заявка
№ US 20230357754
МПК C12N15/10

RAPID EXTRACELLULAR ANTIBODY PROFILING (REAP) FOR THE DISCOVERY AND USE OF SAID ANTIBODIES

Авторы:
Connor Rosen Eric Wang Aaron Ring
Все (4)
Номер заявки
17906759
Дата подачи заявки
22.03.2021
Опубликовано
09.11.2023
Страна
US
Как управлять
интеллектуальной собственностью
Реферат

[0000]

The present invention relates to methods for a sensitive and high-throughput detection of various antibodies and targets thereof. For example, in one aspect, methods of the present invention can successfully detect autoantibodies against extracellular and secreted proteins. In various embodiments, the present invention provides methods of diagnosing, assessing prognosis, preventing, and treating diseases or disorders associated with antibodies or targets thereof detected via the high-throughput detection methods of the present invention.

[00000]

Формула изобретения

1. A method of identifying at least one polypeptide which binds to at least one antibody, wherein the method comprises:

(a) contacting a library of display cells or particles with a sample comprising at least one antibody, wherein the library of display cells comprises a plurality of cells or particles wherein together the plurality of cells or particles comprises nucleic acid molecules for expression of a plurality of extracellular proteins, secreted proteins or a combination thereof;

wherein each cell or particle of the plurality of cells or particles comprises a barcoded nucleic acid molecule, wherein each nucleic acid molecule comprises

i) a nucleotide sequence encoding a polypeptide of interest for display on the surface of the cell or particle; and

ii) a unique nucleotide barcode sequence;

(b) isolating one or more antibody-bound cell or particle;

(c) isolating at least one barcoded nucleic acid molecule from at least one cell or particle of step (b); and

(d) identifying the barcoded nucleic acid molecule, thereby identifying the associated encoded polypeptide as an antigen for binding by at least one antibody in the sample.

2. The method of claim 1, wherein the method of isolating one or more antibody-bound cell or particle comprises high-throughput magnetic separation.

3. The method of claim 1, wherein the method further comprises the step of:

(b′) expanding the one or more isolated antibody-bound cell or particle.

4. The method of claim 1, wherein the method of identifying the barcoded nucleic acid molecule comprises at least one selected from the group consisting of amplifying the barcoded nucleic acid molecule and sequencing the barcoded nucleic acid molecule.

5. The method of claim 1, comprising:

in step (b), isolating multiple antibody bound cells,

in step (c), isolating the barcoded nucleic acid molecules from the cells of step (b), and

in step (d), sequencing the isolated barcoded nucleic acid molecules, and identifying the associated encoded polypeptide as an antigen for binding by the antibody based on an enrichment of the number of reads of the associated barcode in the sequencing data as compared to a threshold level.

6. The method of claim 3, wherein the threshold level is selected from the group consisting of a predetermined threshold level, a statistically determined threshold, and a threshold level determined using z-scores.

7. The method of claim 1, wherein the library of display cells or particles comprises a library of barcoded nucleic acid molecules encoding at least one selected from an extracellular domain of a protein, an extracellular protein, and a secreted protein.

8. The method of claim 7, wherein the library of barcoded nucleic acid molecules comprises a plurality of nucleic acid molecules which together encode the human exoproteome.

9. The method of claim 7, wherein the library of barcoded nucleic acid molecules comprises at least one nucleic acid molecule encoding at least one polypeptide sequence selected from SEQ ID NO:1-3092.

10. The method of claim 7, wherein the library of barcoded nucleic acid molecules comprises a plurality of nucleic acid molecules which together encode each of SEQ ID NO:1-3092.

11. The method of claim 7, wherein the library of barcoded nucleic acid molecules comprises at least one nucleic acid molecule comprising a nucleotide sequence selected from SEQ ID NO:3093-6185.

12. The method of claim 7, wherein the library of barcoded nucleic acid molecules comprises a plurality of nucleic acid molecules which together comprise each of SEQ ID NO:3093-6185.

13. The method of claim 1, wherein the sample comprises a biological sample selected from the group consisting of a body fluid, blood, serum, plasma, cerebrospinal fluid, tissue, and any combination thereof.

14. The method of claim 1, wherein the sample comprises at least one antibody purified from a biological sample selected from the group consisting of a body fluid, blood, serum, plasma, cerebrospinal fluid, tissue, and any combination thereof.

15. The method of claim 14, wherein at least one antibody is purified from a biological sample by at least one selected from the group consisting of:

(a) affinity purification for a specific antibody isotype of interest, and

(b) contacting the sample with a control cell or particle comprising an empty expression plasmid.

16. The method of claim 1, wherein the sample is from a subject diagnosed as having a disease or disorder, and whereby the antigen for binding by at least one antibody is a disease-associated antigen.

17. The method of claim 1, wherein the antibody is an autoantibody.

18. The method of claim 1, wherein the antibody is associated with an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof.

19. A method of preventing or treating a disease or disorder in a subject in need thereof; the method comprising administering a therapeutic agent to the subject, wherein the therapeutic agent comprises an agent for modifying the level or reactivity of at least one antibody which interacts with at least one antigen selected from the group consisting of the antigens as set forth in SEQ ID NO:1-3092.

20. The method of claim 19, wherein the antigen is identified as a target for at least one antibody according to the method of claim 1.

21. The method of claim 19, wherein the at least one antigen is selected from the group consisting of an antigen as set forth in Table 3, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 3.

22. The method of claim 21, wherein the therapeutic agent comprises an agent for decreasing the level or reactivity of at least one antibody with at least one disease-associated antigen selected from the group consisting of the antigens as set forth in Table 3.

23. The method of claim 19, wherein the at least one antigen is selected from the group consisting of an antigen as set forth in Table 6, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 6.

23. The method of claim 19, wherein the therapeutic agent comprises a therapeutically effective amount of at least agent that reduces or eliminates at least one antibody.

24. The method of claim 23, wherein the therapeutic agent comprises a composition comprising an antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092 linked to a domain for endocytosis and degradation.

25. The method of claim 23, wherein the therapeutic agent comprises a composition comprising an antigen selected from the group consisting of an antigen as set forth in Table 6 linked to a domain for endocytosis and degradation.

26. The method of claim 24, wherein the domain for endocytosis and degradation comprises an asialoglycoprotein receptor binding domain.

27. The method of claim 23, wherein the agent that reduces or eliminates at least one antibody comprises a molecule for targeting and destruction of at least one antibody-expressing cell.

28. The method of claim 27, wherein the agent comprises a chimeric antigen receptor (CAR) T cell expressing an antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof.

29. The method of claim 28, wherein the CAR T cell expresses an antigen selected from the group consisting of an antigen as set forth in Table 6.

30. The method of claim 19, wherein the therapeutic agent comprises an agent for increasing the level or reactivity of at least one antibody with at least one disease-associated antigen selected from the group consisting of the antigens as set forth in Table 3.

31. The method of claim 30, wherein the at least one antigen is selected from the group consisting of an antigen as set forth in Table 5, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 5.

32. The method of claim 30, wherein the therapeutic agent comprises a therapeutically effective amount of at least one antibody, or fragment thereof, wherein the antibody specifically binds to a disease-associated antigen.

33. The method of claim 19, wherein the disease or disorder is selected from the group consisting of an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof.

34. The method of claim 19, wherein the disease or disorder is selected from the group consisting of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, and any combination thereof.

35. A method of diagnosing, assessing the prognosis, or assessing the effectiveness of treatment of a disease or disorder in a subject in need thereof; the method comprising assessing the level or reactivity of at least one antibody which interacts with at least one antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092.

36. The method of claim 35, wherein the at least one antigen is selected from the group consisting of an antigen as set forth in Table 3, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 3.

37. The method of claim 35, wherein the at least one antigen is selected from the group consisting of an antigen as set forth in Table 4, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 4.

38. The method of claim 35, wherein the disease or disorder is selected from the group consisting of an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof.

39. The method of claim 35, wherein the disease or disorder is selected from the group consisting of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, and any combination thereof.

40. A composition comprising an antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof, linked to a domain for endocytosis, degradation, or a combination thereof.

41. The composition of claim 40, wherein the composition comprises an antigen selected from the group consisting of an antigen as set forth in Table 6 linked to a domain for endocytosis, degradation, or a combination thereof.

42. The composition of claim 40, wherein the domain for endocytosis, degradation, or a combination thereof comprises an asialoglycoprotein receptor binding domain.

43. A composition for targeting and destruction of at least one antibody-expressing cell comprising an antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof.

44. The composition of claim 43, wherein the agent comprises a chimeric antigen receptor (CAR) T cell expressing an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof.

45. The composition of claim 44, wherein the CAR T cell expresses an antigen selected from the group consisting of an antigen as set forth in Table 6.

Описание

CROSS REFERENCE TO RELATED APPLICATIONS

[0001]

This application claims priority to U.S. Provisional Application No. 62/992,484, filed Mar. 20, 2020 which is hereby incorporated by reference herein in its entirety.

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH OR DEVELOPMENT

[0002]

This invention was made with government support under CA196530 awarded by National Institutes of Health. The government has certain rights in the invention.

BACKGROUND OF THE INVENTION

[0003]

Antibodies are natural products of the immune system that normally mediate host-defense against foreign pathogens. Auto-reactive antibodies that recognize against self-antigens play a major role in numerous facets of normal health and disease. For instance, autoantibodies underlie a wide range of autoimmune diseases, but they also contribute to anti-tumor immune responses against cancer. The precise targets of autoantibodies have been shown in many cases to determine the pathophysiology of disease, in both exacerbating and mitigating mechanisms. In some cases, autoantibodies of particular specificity may be diagnostic. In others, if the autoantibodies are functional and can exert immunomodulatory effects, they can drive disease pathogenesis or attenuate disease severity. Hence, identifying the precise molecular specificities of autoantibodies is critical for understanding the molecular basis for numerous diseases. Furthermore, knowledge of autoantibody reactivities may reveal new therapeutic disease targets, for instance by revealing anti-cancer antibody targets (e.g., endogenous anti-HER2 responses seen in breast cancer and anti-MUC1 in carcinoma) or immunosuppressive targets in autoimmune disease (e.g., endogenous anti-IFN-α in less severe cases of systemic lupus erythematosus). Autoantibodies themselves may represent therapeutic agents, given that they are fully human, recognize a native human antigen, and exert a desired therapeutic activity that can be inferred from clinical outcomes associated with the seroreactivity.

[0004]

One major barrier in the identification of autoantibodies is limitations in modern autoantibody discovery methods. On one hand, current autoantibody detection methods that maximize sensitivity are limited in throughput, which forces autoantibody discovery to be done in a deductive process on the basis of well-known protein targets. On the other hand, current high-throughput autoantibody discovery methods that enable unbiased autoantibody detection, such as protein microarray or phage-based peptide display methods, do not effectively detect antibodies against extracellular and secreted proteins (the “exoproteome”) due to the conformational nature of these antigens. This is a major limitation because the “exoproteome” contains the very proteins that reside topologically outside the cell and are actually accessible to circulating autoantibodies. As such, extracellular proteins constitute the most likely targets of functional autoantibodies.

[0005]

Thus, there is a need in the art for a sensitive and high-throughput detection method of antibodies and targets thereof that can successfully detect autoantibodies against extracellular and secreted proteins. The present invention addresses this need.

BRIEF SUMMARY OF THE INVENTION

[0006]

In one embodiment, the invention provides a method of identifying at least one polypeptide which binds to at least one antibody, wherein the method comprises:

    • (a) contacting a library of display cells or particles with a sample comprising at least one antibody, wherein the library of display cells comprises a plurality of cells or particles wherein together the plurality of cells or particles comprises nucleic acid molecules for expression of a plurality of extracellular proteins, secreted proteins or a combination thereof,
    • wherein each cell or particle of the plurality of cells or particles comprises a barcoded nucleic acid molecule, wherein each nucleic acid molecule comprises
      • i) a nucleotide sequence encoding a polypeptide of interest for display on the surface of the cell or particle; and
      • ii) a unique nucleotide barcode sequence;
    • (b) isolating one or more antibody-bound cell or particle;
    • (c) isolating at least one barcoded nucleic acid molecule from at least one cell or particle of step (b); and
    • (d) identifying the barcoded nucleic acid molecule, thereby identifying the associated encoded polypeptide as an antigen for binding by at least one antibody in the sample.

[0014]

In one embodiment, the method of isolating one or more antibody-bound cell or particle comprises high-throughput magnetic separation.

[0015]

In one embodiment, the method further comprises the step of:

    • (b′) expanding the one or more isolated antibody-bound cell or particle.

[0017]

In one embodiment, the method of identifying the barcoded nucleic acid molecule comprises at least one selected from the group consisting of amplifying the barcoded nucleic acid molecule and sequencing the barcoded nucleic acid molecule.

[0018]

In one embodiment, the method comprises:

    • in step (b), isolating multiple antibody bound cells,
    • in step (c), isolating the barcoded nucleic acid molecules from the cells of step (b), and
    • in step (d), sequencing the isolated barcoded nucleic acid molecules, and identifying the associated encoded polypeptide as an antigen for binding by the antibody based on an enrichment of the number of reads of the associated barcode in the sequencing data as compared to a threshold level.

[0022]

In one embodiment, the threshold level is selected from the group consisting of a predetermined threshold level, a statistically determined threshold, and a threshold level determined using z-scores.

[0023]

In one embodiment, the library of display cells or particles comprises a library of barcoded nucleic acid molecules encoding at least one selected from an extracellular domain of a protein, an extracellular protein, and a secreted protein.

[0024]

In one embodiment, the library of barcoded nucleic acid molecules comprises a plurality of nucleic acid molecules which together encode the human exoproteome.

[0025]

In one embodiment, the library of barcoded nucleic acid molecules comprises at least one nucleic acid molecule encoding at least one polypeptide sequence selected from SEQ ID NO:1-3092.

[0026]

In one embodiment, the library of barcoded nucleic acid molecules comprises a plurality of nucleic acid molecules which together encode each of SEQ ID NO:1-3092.

[0027]

In one embodiment, the library of barcoded nucleic acid molecules comprises at least one nucleic acid molecule comprising a nucleotide sequence selected from SEQ ID NO:3093-6185.

[0028]

In one embodiment, the library of barcoded nucleic acid molecules comprises a plurality of nucleic acid molecules which together comprise each of SEQ ID NO:3093-6185.

[0029]

In one embodiment, the sample comprises a biological sample selected from the group consisting of a body fluid, blood, serum, plasma, cerebrospinal fluid, tissue, and any combination thereof.

[0030]

In one embodiment, the sample comprises at least one antibody purified from a biological sample selected from the group consisting of a body fluid, blood, serum, plasma, cerebrospinal fluid, tissue, and any combination thereof.

[0031]

In one embodiment, the at least one antibody is purified from a biological sample by at least one selected from the group consisting of:

    • (a) affinity purification for a specific antibody isotype of interest, and
    • (b) contacting the sample with a control cell or particle comprising an empty expression plasmid.

[0034]

In one embodiment, the sample is from a subject diagnosed as having a disease or disorder, and whereby the antigen for binding by at least one antibody is a disease-associated antigen.

[0035]

In one embodiment, the antibody is an autoantibody.

[0036]

In one embodiment, the antibody is associated with an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof.

[0037]

In one embodiment, the invention relates to a method of preventing or treating a disease or disorder in a subject in need thereof; the method comprising administering a therapeutic agent to the subject, wherein the therapeutic agent comprises an agent for modifying the level or reactivity of at least one antibody which interacts with at least one antigen selected from the group consisting of the antigens as set forth in SEQ ID NO:1-3092.

[0038]

In one embodiment, the antigen is identified as a target for at least one antibody according to a method comprising:

    • (a) contacting a library of display cells or particles with a sample comprising at least one antibody, wherein the library of display cells comprises a plurality of cells or particles wherein together the plurality of cells or particles comprises nucleic acid molecules for expression of a plurality of extracellular proteins, secreted proteins or a combination thereof,
    • wherein each cell or particle of the plurality of cells or particles comprises a barcoded nucleic acid molecule, wherein each nucleic acid molecule comprises
      • i) a nucleotide sequence encoding a polypeptide of interest for display on the surface of the cell or particle; and
      • ii) a unique nucleotide barcode sequence;
    • (b) isolating one or more antibody-bound cell or particle;
    • (c) isolating at least one barcoded nucleic acid molecule from at least one cell or particle of step (b); and
    • (d) identifying the barcoded nucleic acid molecule, thereby identifying the associated encoded polypeptide as an antigen for binding by at least one antibody in the sample

[0046]

In one embodiment, the at least one antigen is selected from the group consisting of an antigen as set forth in Table 3, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 3.

[0047]

In one embodiment, the therapeutic agent comprises an agent for decreasing the level or reactivity of at least one antibody with at least one disease-associated antigen selected from the group consisting of the antigens as set forth in Table 3.

[0048]

In one embodiment, the at least one antigen is selected from the group consisting of an antigen as set forth in Table 6, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 6.

[0049]

In one embodiment, the therapeutic agent comprises a therapeutically effective amount of at least agent that reduces or eliminates at least one antibody.

[0050]

In one embodiment, the therapeutic agent comprises a composition comprising an antigen selected from the group consisiting of an antigen as set forth in SEQ

[0051]

ID NO:1-3092 linked to a domain for endocytosis and degradation.

[0052]

In one embodiment, the therapeutic agent comprises a composition comprising an antigen selected from the group consisiting of an antigen as set forth in Table 6 linked to a domain for endocytosis and degradation.

[0053]

In one embodiment, the domain for endocytosis and degradation comprises an asialoglycoprotein receptor binding domain.

[0054]

In one embodiment, the agent that reduces or eliminates at least one antibody comprises a molecule for targeting and destruction of at least one antibody-expressing cell.

[0055]

In one embodiment, the agent comprises a chimeric antigen receptor (CAR) T cell expressing an antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof.

[0056]

In one embodiment, the CAR T cell expresses an antigen selected from the group consisting of an antigen as set forth in Table 6.

[0057]

In one embodiment, the therapeutic agent comprises an agent for increasing the level or reactivity of at least one antibody with at least one disease-associated antigen selected from the group consisting of the antigens as set forth in Table 3.

[0058]

In one embodiment, the at least one antigen is selected from the group consisting of an antigen as set forth in Table 5, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 5.

[0059]

In one embodiment, the therapeutic agent comprises a therapeutically effective amount of at least one antibody, or fragment thereof, wherein the antibody specifically binds to a disease-associated antigen.

[0060]

In one embodiment, the disease or disorder is selected from the group consisting of an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof.

[0061]

In one embodiment, the disease or disorder is selected from the group consisting of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, and any combination thereof.

[0062]

In one embodiment, the invention relates to a method of diagnosing, assessing the prognosis, or assessing the effectiveness of treatment of a disease or disorder in a subject in need thereof, the method comprising assessing the level or reactivity of at least one antibody which interacts with at least one antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092.

[0063]

In one embodiment, the at least one antigen is selected from the group consisting of an antigen as set forth in Table 3, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 3.

[0064]

In one embodiment, the at least one antigen is selected from the group consisting of an antigen as set forth in Table 4, and further wherein the disease or disorder is the disease or disorder associated with the antigen as set forth in Table 4.

[0065]

In one embodiment, the disease or disorder is selected from the group consisting of an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof.

[0066]

In one embodiment, the disease or disorder is selected from the group consisting of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, and any combination thereof.

[0067]

In one embodiment, the invention relates to a composition comprising an antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof, linked to a domain for endocytosis, degradation, or a combination thereof.

[0068]

In one embodiment, the composition comprises an antigen selected from the group consisting of an antigen as set forth in Table 6 linked to a domain for endocytosis, degradation, or a combination thereof.

[0069]

In one embodiment, the domain for endocytosis, degradation, or a combination thereof comprises an asialoglycoprotein receptor binding domain.

[0070]

In one embodiment, the invention relates to a composition for targeting and destruction of at least one antibody-expressing cell comprising an antigen selected from the group consisting of an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof.

[0071]

In one embodiment, the agent comprises a chimeric antigen receptor (CAR)

[0072]

T cell expressing an antigen as set forth in SEQ ID NO:1-3092, or a fragment thereof. In one embodiment, the CAR T cell expresses an antigen selected from the group consisting of an antigen as set forth in Table 6.

BRIEF DESCRIPTION OF THE DRAWINGS

[0073]

The following detailed description of embodiments of the invention will be better understood when read in conjunction with the appended drawings. It should be understood that the invention is not limited to the precise arrangements and instrumentalities of the embodiments shown in the drawings.

[0074]

FIG. 1 depicts a REAP schematic. Simplified schematic of REAP. Antibodies are incubated with a genetically-barcoded yeast library displaying members of the exoproteome in 96-well microtiter plates. Antibody bound yeast are enriched by magnetic column-based sorting and enrichment is quantified by next-generation sequencing.

[0075]

FIG. 2A and FIG. 2B depict exemplary experimental data demonstrating that REAP detects known targets of monoclonal antibodies. A panel of nine monoclonal antibodies were screened using REAP. FIG. 2A depicts a heatmap of results from REAP screen of nine monoclonal antibodies. Only relevant monoclonal antibody targets (gene names) are displayed. FIG. 2B depicts a representative sample from the screen. Monoclonal antibody target is highlighted in red and labelled. Background subtraction was performed by subtracting the score of a selection performed with beads and secondary alone. Scores below the average background level are not shown.

[0076]

FIG. 3 depicts exemplary experimental data demonstrating a REAP screen of APECED patient samples. Reactivities uncovered in a REAP screen of 77 APECED patients and 20 healthy controls. Heatmap of REAP scores is depicted. Antigen groups were manually categorized.

[0077]

FIG. 4 depicts exemplary experimental data demonstrating the concordance of REAP results and clinical anti-GIF autoantibody tests in APECED patients. Violin plot of GIF REAP scores in APECED samples stratified by intrinsic factor clinical autoantibody test results.

[0078]

FIG. 5A and FIG. 5B depict exemplary experimental data demonstrating a REAP screen with serial dilutions of APECED 19 sample. REAP screen conducted with half log serial dilutions of APECED 19 IgG. Results are composed of technical duplicates. Only results from known autoantibody targets in APECED are depicted. Results are depicted as (FIG. 5A) the uncapped score of reactivities at various concentrations of APECED IgG and as (FIG. 5B) normalized, dose-response curves of reactivities where reactivities are measured by log 2 fold enrichment rather than score. Curves were fit using a sigmoidal 4 parameter logistic curve. Error bars represent standard deviation.

[0079]

FIG. 6A and FIG. 6B depict exemplary experimental data demonstrating that REAP sensitivity can exceed that of ELISA. REAP (FIG. 6A) versus ELISA (FIG. 6B) dose-response curve comparison for APECED 19 autoantibodies against four proteins. Results are the averages of technical duplicates. Curves were fit using a sigmoidal 4 parameter logistic curve. Error bars represent standard deviation.

[0080]

FIG. 7 depicts exemplary data demonstrating that REAP exhibits high reproducibility. Box plot of Log 2[fold enrichment] R2 coefficient of determination values between technical replicates of APECED patients screened in FIG. 3.

[0081]

FIG. 8 depicts exemplary data demonstrating a REAP screen of SLE patient samples. Reactivities uncovered in a REAP screen of a cohort of 106 unique SLE patients spanning 155 samples and 20 healthy controls. Heatmap of REAP scores is depicted where each column is a unique patient. For patients with longitudinal samples, the maximum REAP score for each given reactivity is shown. Antigen groups were manually categorized. Patients are ordered from left to right by increasing SLEDAI score. White stars symbolize detection of a therapeutic antibody. Score was artificially capped at 7 to aid visualization.

[0082]

FIG. 9A through FIG. 9E depict exemplary data demonstrating the biochemical and functional validation of novel SLE autoantibodies. FIG. 9A depicts an anti-PD-L2 pan-IgG ELISAs conducted with serial dilutions of SLE or control serum. FIG. 9D depicts an anti-IL-33 pan-IgG ELISAs conducted with serial dilutions of SLE or control serum. FIG. 9B depicts a schematic and FIG. 9C depicts results of PD-L2 blocking assay conducted with serial dilutions of serum from a control and the SLE patient in FIG. 9A. FIG. 9E depicts a schematic and FIG. 9F depicts results of IL-33 neutralization assay conducted with serial dilutions of IgG from a control and the SLE patient in FIG. 9D. All error bars in this figure represent standard deviation.

[0083]

FIG. 10 depicts exemplary data demonstrating a REAP screen of immunotherapy-treated NSCLC patients. Reactivities uncovered in a REAP screen of 63 immunotherapy-treated non-small cell lung cancer (NSCLC) patients and 16 healthy donors. Of the 63 patients, longitudinal samples for 57 patients were available. Results are composed of technical duplicates. Longitudinal reactivities for each patient were collapsed and each reactivity was classified as increased, decreased, constant, therapeutic. The maximum reactivity for each protein in the healthy donor group is shown. Only proteins reactivities that developed or regressed in at least one patient are shown. Maximum score is defined as the maximum score of the protein at any time point. Score was not artificially capped. Increased responses are defined as those where the score of the protein increased by 2 or more at any time point after the first screened time point. Decreased responses are defined as those where the maximum score of the protein after the first screened time point was decreased by 2 or more from the initial score. Therapeutic responses are those where the patient was known to be receiving a therapeutic antibody against that protein. Patients are grouped by response to immunotherapy treatment.

[0084]

FIG. 11 depicts exemplary data demonstrating that REAP scores can accurately reflect longitudinal changes in autoantibodies. Single point anti-OX40 isotype specific ELISAs conducted with serum from patient 3 at all available time points. REAP reactivity scores are depicted below with score artificially capped at 5. 1:100 serum dilutions were used. Results are averages of technical duplicates.

[0085]

FIG. 12 depicts exemplary data demonstrating that unique sample clusters can be identified from REAP data. UMAP analysis of scores from previously described REAP screens of NSCLC, SLE, and UCTD patients. Each dot on the plot represents one patient sample at one time point. UMAP analysis was performed and visualized using a custom R script.

[0086]

FIG. 13 depicts a REAP screen of scleroderma patients. Reactivities uncovered in a REAP screen of limited cutaneous systemic sclerosis, diffuse cutaneous systemic sclerosis patients, and healthy controls. Heatmap of REAP scores is depicted where each column is a unique patient. Antigen groups were manually categorized. Patient modified Rodnan skin score (mRSS), disease duration in months, and age in years is displayed below the heatmap.

[0087]

FIG. 14 depicts immune-targeting autoantibody reactivities uncovered in COVID-19 patients. Heatmap of REAP scores for autoantibodies against immune-related antigens uncovered in a REAP screen of 194 COVID-19 patients. Antigen groups were manually categorized. Patients were stratified by disease severity. The negative group consists of control samples from uninfected healthcare workers. Abbreviations are as follows: asym: asymptomatic. Score was artificially capped at 7 to aid visualization.

[0088]

FIG. 15 depicts tissue-targeting autoantibody reactivities uncovered in COVID-19 patients. Heatmap of REAP scores for autoantibodies against tissue-associated antigens uncovered in a REAP screen of COVID-19 patients. Antigen groups were manually categorized. Patients were stratified by disease severity. The negative group consists of control samples from uninfected healthcare workers. Abbreviations are as follows: asym—asymptomatic. Score was artificially capped at 7 to aid visualization.

[0089]

FIG. 16 depicts a REAP screen of immunotherapy-treated melanoma patients. Heatmap of REAP score for autoantibodies identified in a screen of 222 CPI-treated melanoma patients and 62 healthy control samples. Score was artificially capped at 7 to aid visualization.

[0090]

FIG. 17 depicts a REAP screen of kidney transplant patients. Heatmap of REAP score for immune-related autoantibodies identified in a screen of 108 kidney transplant patients with pre and post transplantation serum samples. Longitudinal reactivities for each patient were collapsed and each reactivity was classified as increased, decreased, stable. Patients are grouped by rejection and infection status after transplantation.

[0091]

FIG. 18 depicts representative ELISA and LIPS validation data. FIG. 18A depicts an anti-OX40 autoantibody enzyme-linked immunosorbent assay (ELISA) titrations of NSCLC patient 3 serum at different time points. Reactivities were considered validated if average optical density (OD) at 1:100 serum dilution was at least 3 healthy donor standard deviations above the average 1:100 healthy donor serum dilution OD. Results are averages of technical duplicates. Error bars represent standard deviation. FIG. 18B depicts an anti-VEGFB autoantibody single-point luciferase immunoprecipitation systems (LIPS) with various NSCLC patient serum and healthy donor serum. 1:100 serum dilutions were used. Reactivities were considered validated if average relative light units (RLU) was at least 3 healthy donor standard deviations above the average healthy donor RLU.

[0092]

FIG. 19 depicts an analysis of the sensitivity and specificity of REAP. An ROC curve based on orthogonal validation data of APECED and SLE screen reactivities is shown. Orthogonal validation was performed with LIPS or ELISA. For ELISA and LIPS, valid reactivities were defined as those 3 standard deviations above the healthy donor average for a given protein in each assay. ROC analysis was performed using 247 test pairs across 25 different proteins.

[0093]

FIG. 20 depicts a schematic for targeted degradation of autoantigen-specific antibodies. Autoantigens are conjugated with a degradation moiety (e.g., a binding partner of the asialoglycoprotein receptor or other endocytosis promoting receptor). Once pathogenic autoantibodies bind to their respective autoantigen, they will be removed from circulation by endocytosis and degradation in the lysosome or other intracellular compartment.

[0094]

FIG. 21 depicts a schematic for removal of autoantigen-specific B/plasma cells. CAR-T or CAR-NK cells are designed such that instead of an scFv targeting domain, instead, an autoantigen identified via REAP is used to direct CAR activity. Once CAR-T/NK cells bind to autoreactive B cells (that present B cell receptors/immunoglobulin on their plasma membrane), the CAR-T/NK cells will initiate cytotoxic programs that kill the corresponding autoreactive B/plasma cell.

[0095]

FIG. 22 depicts schematic for autoantigen engineering to remove unwanted interaction with endogenous binding partners. To avoid unwanted interaction with their native binding partners, autoantigens are engineered to maintain autoantibody binding, but avoid interaction with their native binding partners. For example, a type I interferon engineered with decreasing binding to its receptors IFNAR1 and IFNAR2, but with maintained interaction with anti-interferon autoantibodies. The engineered autoantigens can subsequently be used for targeted autoantibody degradation (FIG. 20) or targeted B cell removal (FIG. 21).

[0096]

FIG. 23 depicts a summary of validation data. ELISA or LIPS validation data for reactivities identified in REAP.

DETAILED DESCRIPTION

[0097]

The present invention relates to methods for the sensitive and high-throughput detection of various antibodies and targets thereof. For example, in one aspect, methods of the present invention identify target extracellular, secreted, and/or transmembrane proteins that specifically bind to various antibodies of interest. In another aspect, the present invention provides methods of preventing or treating diseases or disorders associated with antibodies and/or targets thereof detected via the high-throughput detection methods of the present invention. In various embodiments, the present invention provides methods of diagnosing, assessing prognosis, and assessing the effectiveness of treatments of diseases or disorders associated with antibodies detected via the high-throughput detection methods of the present invention. In another aspect, the present invention provides methods of predicting a response to a therapy. In another aspect, the present invention provides methods of alleviating toxicity of a cancer treatment.

Definitions

[0098]

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.

[0099]

As used herein, each of the following terms has the meaning associated with it in this section.

[0100]

The articles “a” and “an” are used herein to refer to one or to more than one (i.e., to at least one) of the grammatical object of the article. By way of example, “an element” means one element or more than one element.

[0101]

The term “about” as used herein when referring to a measurable value such as an amount, a temporal duration, and the like, is meant to encompass variations of ±20%, ±10%, ±5%, ±1%, or ±0.1% from the specified value, as such variations are appropriate to perform the disclosed methods.

[0102]

The term “antibody,” as used herein, refers to an immunoglobulin molecule which is able to specifically bind to a specific epitope of an antigen. Antibodies can be intact immunoglobulins derived from natural sources, or from recombinant sources and can be immunoreactive portions of intact immunoglobulins. The antibodies in the present invention may exist in a variety of forms including, for example, polyclonal antibodies, monoclonal antibodies, intracellular antibodies (“intrabodies”), Fv, Fab, Fab′, F(ab)2 and F(ab′)2, as well as single chain antibodies (scFv), heavy chain antibodies, such as camelid antibodies, and humanized antibodies (Harlow et al., 1999, Using Antibodies: A Laboratory Manual, Cold Spring Harbor Laboratory Press, NY; Harlow et al., 1989, Antibodies: A Laboratory Manual, Cold Spring Harbor, New York; Houston et al., 1988, Proc. Natl. Acad. Sci. USA 85:5879-5883; Bird et al., 1988, Science 242:423-426).

[0103]

The term “antibody fragment” refers to at least one portion of an intact antibody, or recombinant variants thereof, and refers to the antigen binding domain, e.g., an antigenic determining variable region of an intact antibody, that is sufficient to confer recognition and specific binding of the antibody fragment to a target, such as an antigen.

[0104]

By the term “synthetic antibody” as used herein, is meant an antibody which is generated using recombinant DNA technology, such as, for example, an antibody expressed by a bacteriophage. The term should also be construed to mean an antibody which has been generated by the synthesis of a DNA molecule encoding the antibody and which DNA molecule expresses an antibody protein, or an amino acid sequence specifying the antibody, wherein the DNA or amino acid sequence has been obtained using synthetic DNA or amino acid sequence technology which is available and well known in the art.

[0105]

A “humanized antibody” refers to a type of engineered antibody having its CDRs derived from a non-human donor immunoglobulin, the remaining immunoglobulin-derived parts of the molecule being derived from one (or more) human immunoglobulin(s). In addition, framework support residues may be altered to preserve binding affinity (see, e.g., 1989, Queen et al., Proc. Natl. Acad Sci USA, 86:10029-10032; 1991, Hodgson et al., Bio/Technology, 9:421). A suitable human acceptor antibody may be one selected from a conventional database, e.g., the KABAT database, Los Alamos database, and Swiss Protein database, by homology to the nucleotide and amino acid sequences of the donor antibody. A human antibody characterized by a homology to the framework regions of the donor antibody (on an amino acid basis) may be suitable to provide a heavy chain constant region and/or a heavy chain variable framework region for insertion of the donor CDRs. A suitable acceptor antibody capable of donating light chain constant or variable framework regions may be selected in a similar manner. It should be noted that the acceptor antibody heavy and light chains are not required to originate from the same acceptor antibody. The prior art describes several ways of producing such humanized antibodies (see for example EP-A-0239400 and EP-A-054951).

[0106]

A “chimeric antibody” refers to a type of engineered antibody which contains a naturally-occurring variable region (light chain and heavy chains) derived from a donor antibody in association with light and heavy chain constant regions derived from an acceptor antibody.

[0107]

The term “donor antibody” refers to an antibody (monoclonal, and/or recombinant) which contributes the amino acid sequences of its variable regions, CDRs, or other functional fragments or analogs thereof to a first immunoglobulin partner, so as to provide the altered immunoglobulin coding region and resulting expressed altered antibody with the antigenic specificity and neutralizing activity characteristic of the donor antibody.

[0108]

The term “acceptor antibody” refers to an antibody (monoclonal and/or recombinant) heterologous to the donor antibody, which contributes all (or any portion, but in some embodiments all) of the amino acid sequences encoding its heavy and/or light chain framework regions and/or its heavy and/or light chain constant regions to the first immunoglobulin partner. In certain embodiments a human antibody is the acceptor antibody.

[0109]

By the term “recombinant antibody” as used herein, is meant an antibody which is generated using recombinant DNA technology, such as, for example, an antibody expressed by a bacteriophage or yeast cell expression system. The term should also be construed to mean an antibody which has been generated by the synthesis of a DNA molecule encoding the antibody and which DNA molecule expresses an antibody protein, or an amino acid sequence specifying the antibody, wherein the DNA or amino acid sequence has been obtained using recombinant DNA or amino acid sequence technology which is available and well known in the art.

[0110]

An “antibody heavy chain,” as used herein, refers to the larger of the two types of polypeptide chains present in antibody molecules in their naturally occurring conformations, and which normally determines the class to which the antibody belongs.

[0111]

An “antibody light chain,” as used herein, refers to the smaller of the two types of polypeptide chains present in antibody molecules in their naturally occurring conformations. Kappa (κ) and lambda (λ) light chains refer to the two major antibody light chain isotypes.

[0112]

As used herein, “antigen-binding domain” means that part of the antibody, recombinant molecule, the fusion protein, or the immunoconjugate of the invention which recognizes the target or portions thereof.

[0113]

The term “antigen” or “Ag” as used herein is defined as a molecule that provokes an adaptive immune response. This immune response may involve either antibody production, or the activation of specific immunogenically-competent cells, or both. The skilled artisan will understand that any macromolecule, including virtually all proteins or peptides, can serve as an antigen. Furthermore, antigens can be derived from recombinant or genomic DNA or RNA. A skilled artisan will understand that any DNA or RNA, which comprises a nucleotide sequence or a partial nucleotide sequence encoding a protein that elicits an adaptive immune response therefore encodes an “antigen” as that term is used herein. Furthermore, one skilled in the art will understand that an antigen need not be encoded solely by a full-length nucleotide sequence of a gene. It is readily apparent that the present invention includes, but is not limited to, the use of partial nucleotide sequences of more than one gene and that these nucleotide sequences are arranged in various combinations to elicit the desired immune response. Moreover, a skilled artisan will understand that an antigen need not be encoded by a “gene” at all. It is readily apparent that an antigen can be generated synthesized or can be derived from a biological sample. Such a biological sample can include, but is not limited to a tissue sample, tumor sample, cell, biological fluid, body fluid, blood, serum, plasma, tissue, or any combination thereof.

[0114]

As used herein, the terms “targeting domain”, “targeting moiety”, or “targeting group” are used interchangeably and refer to all molecules capable of specifically binding to a particular target molecule and forming a bound complex as described above. Thus, the ligand and its corresponding target molecule form a specific binding pair.

[0115]

By the term “specifically binds,” as used herein with respect to an antibody, is meant an antibody which recognizes a specific antigen, but does not substantially recognize or bind other molecules in a sample. For example, an antibody that specifically binds to an antigen from one species may also bind to that antigen from one or more other species. But, such cross-species reactivity does not itself alter the classification of an antibody as specific. In another example, an antibody that specifically binds to an antigen may also bind to different allelic forms of the antigen. However, such cross reactivity does not itself alter the classification of an antibody as specific. In some instances, the terms “specific binding” or “specifically binding,” can be used in reference to the interaction of an antibody, a protein, or a peptide with a second chemical species, to mean that the interaction is dependent upon the presence of a particular structure (e.g., an antigenic determinant or epitope) on the chemical species; for example, an antibody recognizes and binds to a specific protein structure rather than to proteins generally. If an antibody is specific for epitope “A”, the presence of a molecule containing epitope A (or free, unlabeled A), in a reaction containing labeled “A” and the antibody, will reduce the amount of labeled A bound to the antibody.

[0116]

The term “transfected” or “transformed” or “transduced” as used herein refers to a process by which exogenous nucleic acid is transferred or introduced into the host cell. A “transfected” or “transformed” or “transduced” cell is one which has been transfected, transformed or transduced with exogenous nucleic acid. The cell includes the primary subject cell and its progeny.

[0117]

The phrase “under transcriptional control” or “operatively linked” as used herein means that the promoter is in the correct location and orientation in relation to a polynucleotide to control the initiation of transcription by RNA polymerase and expression of the polynucleotide.

[0118]

The term “operably linked” refers to functional linkage between a regulatory sequence and a heterologous nucleic acid sequence resulting in expression of the latter. For example, a first nucleic acid sequence is operably linked with a second nucleic acid sequence when the first nucleic acid sequence is placed in a functional relationship with the second nucleic acid sequence. For instance, a promoter is operably linked to a coding sequence if the promoter affects the transcription or expression of the coding sequence. Generally, operably linked DNA or RNA sequences are contiguous and, where necessary to join two protein coding regions, in the same reading frame.

[0119]

The term “adjuvant” as used herein is defined as any molecule to enhance an antigen-specific adaptive immune response.

[0120]

“Immunogen” refers to any substance introduced into the body in order to generate an immune response. That substance can a physical molecule, such as a protein, or can be encoded by a vector, such as DNA, mRNA, or a virus.

[0121]

“Immune response,” as the term is used herein, means a process involving the activation and/or induction of an effector function in, by way of non-limiting examples, a T cell, B cell, natural killer (NK) cell, and/or an antigen-presenting cell (APC). Thus, an immune response, as would be understood by the skilled artisan, includes, but is not limited to, any detectable antigen-specific activation and/or induction of a helper T cell or cytotoxic T cell activity or response, production of antibodies, antigen presenting cell activity or infiltration, macrophage activity or infiltration, neutrophil activity or infiltration, and the like.

[0122]

“Isolated” means altered or removed from the natural state. For example, a nucleic acid or a peptide naturally present in a living animal is not “isolated,” but the same nucleic acid or peptide partially or completely separated from the coexisting materials of its natural state is “isolated.” An isolated nucleic acid or protein can exist in substantially purified form, or can exist in a non-native environment such as, for example, a host cell.

[0123]

As used herein, the terms “peptide,” “polypeptide,” and “protein” are used interchangeably, and refer to a compound comprised of amino acid residues covalently linked by peptide bonds. A protein or peptide must contain at least two amino acids, and no limitation is placed on the maximum number of amino acids that can comprise a protein's or peptide's sequence. Polypeptides include any peptide or protein comprising two or more amino acids joined to each other by peptide bonds. As used herein, the term refers to both short chains, which also commonly are referred to in the art as peptides, oligopeptides and oligomers, for example, and to longer chains, which generally are referred to in the art as proteins, of which there are many types. “Polypeptides” include, for example, biologically active fragments, substantially homologous polypeptides, oligopeptides, homodimers, heterodimers, variants of polypeptides, modified polypeptides, derivatives, analogs, fusion proteins, among others. The polypeptides include natural peptides, recombinant peptides, synthetic peptides, or a combination thereof.

[0124]

A “nucleic acid” refers to a polynucleotide and includes poly-ribonucleotides and poly-deoxyribonucleotides. Nucleic acids according to the present invention may include any polymer or oligomer of pyrimidine and purine bases, preferably cytosine, thymine, and uracil, and adenine and guanine, respectively. (See Albert L. Lehninger, Principles of Biochemistry, at 793-800 (Worth Pub. 1982) which is herein incorporated in its entirety for all purposes). Indeed, the present invention contemplates any deoxyribonucleotide, ribonucleotide or peptide nucleic acid component, and any chemical variants thereof, such as methylated, hydroxymethylated or glucosylated forms of these bases, and the like. The polymers or oligomers may be heterogeneous or homogeneous in composition, and may be isolated from naturally occurring sources or may be artificially or synthetically produced. In addition, the nucleic acids may be DNA or RNA, or a mixture thereof, and may exist permanently or transitionally in single-stranded or double-stranded form, including homoduplex, heteroduplex, and hybrid states.

[0125]

The term “DNA” as used herein is defined as deoxyribonucleic acid.

[0126]

The term “recombinant DNA” as used herein is defined as DNA produced by joining pieces of DNA from different sources.

[0127]

The term “recombinant polypeptide” as used herein is defined as a polypeptide produced by using recombinant DNA methods.

[0128]

The term “RNA” as used herein is defined as ribonucleic acid.

[0129]

The term “recombinant RNA” as used herein is defined as RNA produced by joining pieces of RNA from different sources.

[0130]

As used herein, “conjugated” refers to covalent attachment of one molecule to a second molecule.

[0131]

“Variant” as the term is used herein, is a nucleic acid sequence or a peptide sequence that differs in sequence from a reference nucleic acid sequence or peptide sequence respectively, but retains essential biological properties of the reference molecule. Changes in the sequence of a nucleic acid variant may not alter the amino acid sequence of a peptide encoded by the reference nucleic acid, or may result in amino acid substitutions, additions, deletions, fusions and truncations. Changes in the sequence of peptide variants are typically limited or conservative, so that the sequences of the reference peptide and the variant are closely similar overall and, in many regions, identical. A variant and reference peptide can differ in amino acid sequence by one or more substitutions, additions, deletions in any combination. A variant of a nucleic acid or peptide can be a naturally occurring such as an allelic variant, or can be a variant that is not known to occur naturally. Non-naturally occurring variants of nucleic acids and peptides may be made by mutagenesis techniques or by direct synthesis. In various embodiments, the variant sequence is at least 99%, at least 98%, at least 97%, at least 96%, at least 95%, at least 94%, at least 93%, at least 92%, at least 91%, at least 90%, at least 89%, at least 88%, at least 87%, at least 86%, at least 85% identical to the reference sequence.

[0132]

As used herein, the term “identical” refers to two or more sequences or subsequences which are the same.

[0133]

In addition, the term “substantially identical,” as used herein, refers to two or more sequences which have a percentage of sequential units which are the same when compared and aligned for maximum correspondence over a comparison window, or designated region as measured using a comparison algorithm or by manual alignment and visual inspection. By way of example only, two or more sequences may be “substantially identical” if the sequential units are about 60% identical, about 65% identical, about 70% identical, about 75% identical, about 80% identical, about 85% identical, about 90% identical, or about 95% identical over a specified region. Such percentages to describe the “percent identity” of two or more sequences. The identity of a sequence can exist over a region that is at least about 75-100 sequential units in length, over a region that is about 50 sequential units in length, or, where not specified, across the entire sequence. This definition also refers to the complement of a test sequence.

[0134]

As used herein, “fragment” is defined as at least a portion of a sequence. For example, in one embodiment, the term “fragment” refers to a portion of the variable region of the immunoglobulin molecule which binds to its target, i.e. the antigen binding region. Some of the constant region of the immunoglobulin may be included.

[0135]

In the context of the present invention, the following abbreviations for the commonly occurring nucleosides (nucleobase bound to ribose or deoxyribose sugar via N-glycosidic linkage) are used. “A” refers to adenosine, “C” refers to cytidine, “G” refers to guanosine, “T” refers to thymidine, and “U” refers to uridine.

[0136]

The term “polynucleotide” as used herein is defined as a chain of nucleotides. Furthermore, nucleic acids are polymers of nucleotides. Thus, nucleic acids and polynucleotides as used herein are interchangeable. One skilled in the art has the general knowledge that nucleic acids are polynucleotides, which can be hydrolyzed into the monomeric “nucleotides.” The monomeric nucleotides can be hydrolyzed into nucleosides. As used herein polynucleotides include, but are not limited to, all nucleic acid sequences which are obtained by any means available in the art, including, without limitation, recombinant means, i.e., the cloning of nucleic acid sequences from a recombinant library or a cell genome, using ordinary cloning technology and PCR™, and the like, and by synthetic means. As used herein, “polynucleotide” includes cDNA, RNA, DNA/RNA hybrid, antisense RNA, ribozyme, genomic DNA, synthetic forms, and mixed polymers, both sense and antisense strands, and may be chemically or biochemically modified to contain non-natural or derivatized, synthetic, or semi-synthetic nucleotide bases. Also, contemplated are alterations of a wild type or synthetic gene, including but not limited to deletion, insertion, substitution of one or more nucleotides, or fusion to other polynucleotide sequences.

[0137]

In some instances, the polynucleotide or nucleic acid of the invention is a “nucleoside-modified nucleic acid,” which refers to a nucleic acid comprising at least one modified nucleoside. A “modified nucleoside” refers to a nucleoside with a modification. For example, over one hundred different nucleoside modifications have been identified in RNA (Rozenski, et al., 1999, The RNA Modification Database: 1999 update. Nucl Acids Res 27: 196-197).

[0138]

Unless otherwise specified, a “nucleotide sequence encoding an amino acid sequence” includes all nucleotide sequences that are degenerate versions of each other and that encode the same amino acid sequence. The phrase nucleotide sequence that encodes a protein or an RNA may also include introns to the extent that the nucleotide sequence encoding the protein may in some version contain an intron(s).

[0000]

Unless otherwise specified, a “nucleotide sequence encoding an amino acid sequence” includes all nucleotide sequences that are degenerate versions of each other and that encode the same amino acid sequence. Nucleotide sequences that encode proteins and RNA may include introns. In addition, the nucleotide sequence may contain modified nucleosides that are capable of being translated by translational machinery in a cell. Exemplary modified nucleosides are described elsewhere herein. For example, an mRNA where some or all of the uridines have been replaced with pseudouridine, 1-methyl psuedouridine, or another modified nucleoside, such as those described elsewhere herein. In some embodiments, the nucleotide sequence may contain a sequence where some or all cytodines are replaced with methylated cytidine, or another modified nucleoside, such as those described elsewhere herein.

[0139]

“Encoding” refers to the inherent property of specific sequences of nucleotides in a polynucleotide, such as a gene, a cDNA, or an mRNA, to serve as templates for synthesis of other polymers and macromolecules in biological processes having either a defined sequence of nucleotides (i.e., rRNA, tRNA and mRNA) or a defined sequence of amino acids and the biological properties resulting therefrom. Thus, a gene encodes a protein if transcription and translation of mRNA corresponding to that gene produces the protein in a cell or other biological system. Both the coding strand, the nucleotide sequence of which is identical to the mRNA sequence and is usually provided in sequence listings, and the non-coding strand, used as the template for transcription of a gene or cDNA, can be referred to as encoding the protein or other product of that gene or cDNA.

[0140]

A “vector” is a composition of matter which comprises an isolated nucleic acid and which can be used to deliver the isolated nucleic acid to the interior of a cell. Numerous vectors are known in the art including, but not limited to, linear polynucleotides, polynucleotides associated with ionic or amphiphilic compounds, plasmids, and viruses. Thus, the term “vector” includes an autonomously replicating plasmid or a virus. The term should also be construed to include non-plasmid and non-viral compounds which facilitate transfer of nucleic acid into cells, such as, for example, polylysine compounds, liposomes, and the like. Examples of viral vectors include, but are not limited to, adenoviral vectors, adeno-associated virus vectors, retroviral vectors, and the like.

[0141]

The term “expression” as used herein is defined as the transcription and/or translation of a particular nucleotide sequence driven by its promoter.

[0142]

“Expression vector” refers to a vector comprising a recombinant polynucleotide comprising expression control sequences operatively linked to a nucleotide sequence to be expressed. An expression vector comprises sufficient cis-acting elements for expression; other elements for expression can be supplied by the host cell or in an in vitro expression system. Expression vectors include all those known in the art, such as cosmids, plasmids (e.g., naked or contained in liposomes) RNA, and viruses (e.g., lentiviruses, retroviruses, adenoviruses, and adeno-associated viruses) that incorporate the recombinant polynucleotide.

[0143]

The term “promoter” as used herein is defined as a DNA sequence recognized by the synthetic machinery of the cell, or introduced synthetic machinery, required to initiate the specific transcription of a polynucleotide sequence. By way of one non-limiting example, a promoter that is recognized by bacteriophage RNA polymerase and is used to generate the mRNA by in vitro transcription.

[0144]

The terms “patient,” “subject,” “individual,” and the like are used interchangeably herein, and refer to any animal, or cells thereof whether in vitro or in situ, amenable to the methods described herein. In some non-limiting embodiments, the patient, subject or individual is a human. In various embodiments, the subject is a human subject, and may be of any race, sex, and age.

[0145]

A “disease” is a state of health of an animal wherein the animal cannot maintain homeostasis, and wherein if the disease is not ameliorated then the animal's health continues to deteriorate. In contrast, a “disorder” in an animal is a state of health in which the animal is able to maintain homeostasis, but in which the animal's state of health is less favorable than it would be in the absence of the disorder. Left untreated, a disorder does not necessarily cause a further decrease in the animal's state of health.

[0146]

“Cancer,” as used herein, refers to the abnormal growth or division of cells. Generally, the growth and/or life span of a cancer cell exceeds, and is not coordinated with, that of the normal cells and tissues around it. Cancers may be benign, pre-malignant or malignant. Cancer occurs in a variety of cells and tissues, including, but not limited to, the oral cavity (e.g., mouth, tongue, pharynx, etc.), digestive system (e.g., esophagus, stomach, small intestine, colon, rectum, liver, bile duct, gall bladder, pancreas, etc.), respiratory system (e.g., larynx, lung, bronchus, etc.), bones, joints, skin (e.g., basal cell, squamous cell, meningioma, etc.), breast, genital system, (e.g., uterus, ovary, prostate, testis, etc.), urinary system (e.g., bladder, kidney, ureter, etc.), eye, nervous system (e.g., brain, etc.), endocrine system (e.g., thyroid, etc.), soft tissues (e.g., muscle, fat, etc.), and hematopoietic system (e.g., lymphoma, myeloma, leukemia, acute lymphocytic leukemia, chronic lymphocytic leukemia, acute myeloid leukemia, chronic myeloid leukemia, etc.).

[0147]

A disease or disorder is “alleviated” if the severity of at least one sign or symptom of the disease or disorder, the frequency with which such a sign or symptom is experienced by a patient, or both, is reduced.

[0148]

By the term “modulating,” as used herein, is meant mediating a detectable increase or decrease in the level of a response in a subject compared with the level of a response in the subject in the absence of a treatment or compound, and/or compared with the level of a response in an otherwise identical but untreated subject. The term encompasses perturbing and/or affecting a native signal or response thereby mediating a beneficial therapeutic response in a subject, such as, a human.

[0149]

The term “inhibit,” as used herein, means to suppress or block an activity or function by at least about ten percent relative to a control value. In various embodiments, the activity is suppressed or blocked by at least 50% compared to a comparator value, or by at least 55%, or by at least 60%, or by at least 65%, or by at least 70%, or by at least 75%, or by at least 80%, or by at least 85%, or by at least 90%, or by at least 95%.

[0150]

As used herein, the term “diagnosis” refers to the determination of the presence of a disease or disorder. In various embodiments of the present invention, methods for making a diagnosis are provided which permit determination of the presence of a particular disease or disorder.

[0151]

To “treat” a disease as the term is used herein, means to reduce the frequency and/or severity of at least one sign or symptom of a disease or disorder experienced by a subject.

[0152]

An “effective amount” as used herein, means an amount which provides a therapeutic or prophylactic benefit.

[0153]

The term “therapeutic” as used herein means a treatment and/or prophylaxis. A therapeutic effect is obtained by suppression, diminution, remission, prevention, or eradication of at least one sign or symptom of a disease or disorder.

[0154]

The term “therapeutically effective amount” refers to the amount of the subject compound that will elicit the biological or medical response of a tissue, system, or subject that is being sought by the researcher, veterinarian, medical doctor or other clinician. The term “therapeutically effective amount” includes that amount of a compound that, when administered, is sufficient to prevent development of, or alleviate to some extent, one or more of the signs or symptoms of the disorder or disease being treated. The therapeutically effective amount will vary depending on the compound, the disease and its severity and the age, weight, etc., of the subject to be treated.

[0155]

As used herein, the term “pharmaceutical composition” refers to a mixture of at least one compound of the invention with other chemical components and entities, such as carriers, stabilizers, diluents, dispersing agents, suspending agents, thickening agents, and/or excipients. The pharmaceutical composition facilitates administration of the compound to an organism. Multiple techniques of administering a compound exist in the art including, but not limited to, intravenous, oral, aerosol, parenteral, ophthalmic, pulmonary and topical administration.

[0156]

“Pharmaceutically acceptable” refers to those properties and/or substances which are acceptable to the patient from a pharmacological/toxicological point of view and to the manufacturing pharmaceutical chemist from a physical/chemical point of view regarding composition, formulation, stability, patient acceptance and bioavailability. “Pharmaceutically acceptable carrier” refers to a medium that does not interfere with the effectiveness of the biological activity of the active ingredient(s) and is not toxic to the host to which it is administered.

[0157]

As used herein, the term “pharmaceutically acceptable carrier” means a pharmaceutically acceptable material, composition or carrier, such as a liquid or solid filler, stabilizer, dispersing agent, suspending agent, diluent, excipient, thickening agent, solvent or encapsulating material, involved in carrying or transporting a compound useful within the invention within or to the patient such that it may perform its intended function. Typically, such constructs are carried or transported from one organ, or portion of the body, to another organ, or portion of the body. Each carrier must be “acceptable” in the sense of being compatible with the other ingredients of the formulation, including the compound useful within the invention, and not injurious to the patient. Some examples of materials that may serve as pharmaceutically acceptable carriers include: sugars, such as lactose, glucose and sucrose; starches, such as corn starch and potato starch; cellulose, and its derivatives, such as sodium carboxymethyl cellulose, ethyl cellulose and cellulose acetate; powdered tragacanth; malt; gelatin; talc; excipients, such as cocoa butter and suppository waxes; oils, such as peanut oil, cottonseed oil, safflower oil, sesame oil, olive oil, corn oil and soybean oil; glycols, such as propylene glycol; polyols, such as glycerin, sorbitol, mannitol and polyethylene glycol; esters, such as ethyl oleate and ethyl laurate; agar; buffering agents, such as magnesium hydroxide and aluminum hydroxide; surface active agents; alginic acid; pyrogen-free water; isotonic saline; Ringer's solution; ethyl alcohol; phosphate buffer solutions; and other non-toxic compatible substances employed in pharmaceutical formulations. As used herein, “pharmaceutically acceptable carrier” also includes any and all coatings, antibacterial and antifungal agents, and absorption delaying agents, and the like that are compatible with the activity of the compound useful within the invention, and are physiologically acceptable to the patient. Supplementary active compounds may also be incorporated into the compositions. The “pharmaceutically acceptable carrier” may further include a pharmaceutically acceptable salt of the compound useful within the invention. Other additional ingredients that may be included in the pharmaceutical compositions used in the practice of the invention are known in the art and described, for example in Remington's Pharmaceutical Sciences (Genaro, Ed., Mack Publishing Co., 1985, Easton, PA), which is incorporated herein by reference.

[0158]

The term “solvate” in accordance with this invention should be understood as meaning any form of the active compound in accordance with the invention in which said compound is bonded by a non-covalent bond to another molecule (normally a polar solvent), including especially hydrates and alcoholates.

[0159]

As used herein, an “immunoassay” refers to any binding assay that uses an antibody capable of binding specifically to a target molecule to detect and quantify the target molecule.

[0160]

The term “amplification” refers to the operation by which the number of copies of a target nucleotide sequence present in a sample is multiplied.

[0161]

The term “next generation sequencing” herein refers to sequencing methods that allow for massively parallel sequencing of clonally amplified molecules and of single nucleic acid molecules. Next generation sequencing is synonymous with “massively parallel sequencing” for most purposes. Non-limiting examples of next generation sequencing include sequencing-by-synthesis using reversible dye terminators, and sequencing-by-ligation.

[0162]

Assays for amplification of the known sequence are also disclosed. For example primers for PCR may be designed to amplify regions of the sequence. For RNA, a first reverse transcriptase step may be used to generate double stranded DNA from the single stranded RNA. The array may be designed to detect sequences from an entire genome; or one or more regions of a genome, for example, selected regions of a genome such as those coding for a protein or RNA of interest; or a conserved region from multiple genomes; or multiple genomes, arrays and methods of genetic analysis using arrays is described in Cutler, et al., 2001, Genome Res. 11(11): 1913-1925 and Warrington, et al., 2002, Hum Mutat 19:402-409 and in US Patent Pub No 20030124539, each of which is incorporated herein by reference in its entirety.

[0163]

“Instructional material,” as that term is used herein, includes a publication, a recording, a diagram, or any other medium of expression which can be used to communicate the usefulness of the nucleic acid, peptide, and/or compound of the invention in the kit for identifying, diagnosing or alleviating or treating the various diseases or disorders recited herein. Optionally, or alternately, the instructional material may describe one or more methods of identifying, diagnosing or alleviating the diseases or disorders in a cell or a tissue of a subject. The instructional material of the kit may, for example, be affixed to a container that contains one or more components of the invention or be shipped together with a container that contains the one or more components of the invention. Alternatively, the instructional material may be shipped separately from the container with the intention that the recipient uses the instructional material and the components cooperatively.

[0164]

Ranges: throughout this disclosure, various aspects of the invention can be presented in a range format. It should be understood that the description in range format is merely for convenience and brevity and should not be construed as an inflexible limitation on the scope of the invention. Accordingly, the description of a range should be considered to have specifically disclosed all the possible subranges as well as individual numerical values within that range. For example, description of a range such as from 1 to 6 should be considered to have specifically disclosed subranges such as from 1 to 3, from 1 to 4, from 1 to 5, from 2 to 4, from 2 to 6, from 3 to 6 etc., as well as individual numbers within that range, for example, 1, 2, 2.7, 3, 4, 5, 5.3, and 6. This applies regardless of the breadth of the range.

DESCRIPTION

[0165]

The present invention relates to methods of detecting various antibodies and targets thereof. In one aspect, the present invention provides methods of identifying a target extracellular, secreted, and/or transmembrane protein that specifically binds to an antibody of interest. In another aspect, the present invention provides methods of preventing or treating diseases or disorders associated with antibodies and/or a targets thereof identified via the methods of the present invention. In another aspect, the present invention provides methods of diagnosing, assessing prognosis, or assessing the effectiveness of treatments of diseases or disorders associated with antibodies and/or a targets thereof identified via the methods of the present invention. In another aspect, the present invention provides methods of predicting a response to a therapy. In another aspect, the present invention provides methods of alleviating toxicity of a cancer treatment.

Methods of Identifying Antibodies and Targets Thereof

[0166]

The present invention relates, in part, to methods of identifying antibodies or binding partners thereof. In one aspect, the method comprises identifying an antigenic polypeptide that specifically binds to an antibody of interest. In one aspect, the method comprises identifying novel antibody-antigen interactions.

[0167]

In one embodiment, the invention relates to a screening method for antigen antibody interactions, wherein the method comprises generating a display library of polypeptides that are then screened for interactions with at least one antibody. Therefore, in one embodiment, the invention relates to a polypeptide display library and methods of use thereof for screening for antigen-antibody interactions.

Display Library

[0168]

In various embodiments, the invention relates to methods of screening using a cellular display library. In some embodiments, the cellular display library comprises a plurality of cells, wherein together the plurality of cells displays at least 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000, 6000, 7000, 8000, 9000, 10,000 or more than 10,000 different polypeptides on the surface of the cells. In one embodiment, the plurality of cells of the display library display proteins or polypeptides of the secretome, representing a plurality of secreted proteins, the exoproteome, representing a plurality of extracellular proteins, or a combination thereof. In one embodiment, the plurality of cells of the display library display a combination of at least 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000, 6000, or more than 6,000 extracellular and secreted polypeptides or proteins. In one embodiment, together the plurality of cells in the display library, display each of the polypeptide amino acid sequences set forth in SEQ ID NO:1-3092.

[0169]

In some embodiments, the polypetides for display are fusion proteins with polypeptides that allow expression and exposure on a cell or particle surface. In one embodiment, nucleic acids encoding the molecules can be cloned into a display vector. The vector is designed to express the fusion molecules and display the encoded antigen on the outer surface of a display cell or partilce containing the vector. For example, antigens can be expressed as fusion proteins with a phage coat protein from the outer surface of the phage. In some embodiments, the polypeptides for display are IgGI Fc fusion molecules. Thereafter, the display cells or particles can be screened for antibody reactivities with the displayed antigens.

[0170]

Thus, in various embodiments, the present invention also includes a vector in which a nucleotide sequence encoding a polypeptide for display of the present invention is inserted. The art is replete with suitable vectors that are useful in the present invention.

[0171]

In brief summary, the expression of a nucleotide construct is typically achieved by operably linking a nucleic acid sequence comprising a promoter to a nucleic acid sequence encoding an antigen or portions thereof, and incorporating the construct into an expression vector. In one embodiment, the vectors to be used are suitable for replication and, optionally, integration in eukaryotic cells. Typical vectors contain transcription and translation terminators, initiation sequences, and other regulatory sequences useful for regulation of the expression of the desired nucleic acid sequence.

[0172]

The recombinant nucleotide sequences encoding an antigen for display of the invention can be cloned into a number of types of vectors. For example, the nucleic acid can be cloned into a vector including, but not limited to a plasmid, a phagemid, a phage derivative, an animal virus, and a cosmid. Vectors of particular interest include expression vectors, replication vectors, probe generation vectors, and sequencing vectors.

[0173]

Further, the vector may be provided to a cell in the form of a viral vector. Viral vector technology is well known in the art and is described, for example, in Sambrook et al. (2012, Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory, New York), and in other virology and molecular biology manuals. Viruses, which are useful as vectors include, but are not limited to, retroviruses, adenoviruses, adeno-associated viruses, herpes viruses, and lentiviruses. In general, a suitable vector contains an origin of replication functional in at least one organism, a promoter sequence, convenient restriction endonuclease sites, and one or more selectable markers, (e.g., WO 01/96584; WO 01/29058; and U.S. Pat. No. 6,326,193).

[0174]

A number of viral based systems have been developed for gene transfer into mammalian cells. For example, retroviruses provide a convenient platform for gene delivery systems. A selected gene can be inserted into a vector and packaged in retroviral particles using techniques known in the art. The recombinant virus can then be isolated and delivered to cells of the subject either in vivo or ex vivo. A number of retroviral systems are known in the art. In some embodiments, adenovirus vectors are used. A number of adenovirus vectors are known in the art. In one embodiment, lentivirus vectors are used.

[0175]

For example, vectors derived from retroviruses such as the lentivirus are suitable tools to achieve long-term gene transfer since they allow long-term, stable integration of a transgene and its propagation in daughter cells. Lentiviral vectors have the added advantage over vectors derived from onco-retroviruses such as murine leukemia viruses in that they can transduce non-proliferating cells, such as hepatocytes. They also have the added advantage of low immunogenicity. In one embodiment, the composition includes a vector derived from an adeno-associated virus (AAV). Adeno-associated viral (AAV) vectors have become powerful gene delivery tools for the treatment of various disorders. AAV vectors possess a number of features that render them ideally suited for gene therapy, including a lack of pathogenicity, minimal immunogenicity, and the ability to transduce postmitotic cells in a stable and efficient manner. Expression of a particular gene contained within an AAV vector can be specifically targeted to one or more types of cells by choosing the appropriate combination of AAV serotype, promoter, and delivery method

[0176]

In certain embodiments, the vector also includes conventional control elements which are operably linked to the encoded antigen sequence in a manner which permits its transcription, translation and/or expression in a cell transfected with the plasmid vector or infected with the virus produced by the invention. As used herein, “operably linked” sequences include both expression control sequences that are contiguous with the reporter molecule and expression control sequences that act in trans or at a distance to control the expression of the reporter molecule. Expression control sequences include appropriate transcription initiation, termination, and enhancer sequences; efficient RNA processing signals such as splicing and polyadenylation (polyA) signals; sequences that stabilize cytoplasmic mRNA; sequences that enhance translation efficiency (i.e., Kozak consensus sequence); sequences that enhance protein stability; and when desired, sequences that enhance secretion of the encoded product. All of the above-described functional elements can be used in any combination to produce a suitable display vector.

[0177]

In one embodiment, a display vector comprises an origin of replication capable of initiating DNA synthesis in a suitable host cell. In one embodiment, the origin of replication is selected based on the type of host cell. For instance, it can be eukaryotic (e.g., yeast) or prokaryotic (e.g., bacterial) or a suitable viral origin of replication may be used.

[0178]

In one embodiment, a display vector comprises a selection marker gene to facilitate identification and selection of expressing cells from the population of cells sought to be transfected or infected through viral vectors. In other aspects, the selectable marker may be carried on a separate piece of DNA and used in a co-transfection procedure. Selectable marker genes may be flanked with appropriate regulatory sequences to enable expression in the host cells.

[0179]

A selection marker sequence can be used to eliminate host cells in which the display vector has not been properly transfected. A selection marker sequence can be a positive selection marker or negative selection marker. Positive selection markers permit the selection for cells in which the gene product of the marker is expressed. This generally comprises contacting cells with an appropriate agent that, but for the expression of the positive selection marker, kills or otherwise selects against the cells.

[0180]

Examples of selection markers also include, but are not limited to, proteins conferring resistance to compounds such as antibiotics, proteins conferring the ability to grow on selected substrates, proteins that produce detectable signals such as luminescence, catalytic RNAs and antisense RNAs. A wide variety of such markers are known and available, including, for example, a Zeocin™ resistance marker, a blasticidin resistance marker, a neomycin resistance (neo) marker (Southern & Berg, J. Mol. Appl. Genet. 1: 327-41 (1982)), a puromycin (puro) resistance marker; a hygromycin resistance (hyg) marker (Te Riele et al., Nature 348:649-651 (1990)), thymidine kinase (tk), hypoxanthine phosphoribosyltransferase (hprt), and the bacterial guanine/xanthine phosphoribosyltransferase (gpt), which permits growth on MAX (mycophenolic acid, adenine, and xanthine) medium. See Song et al., Proc. Nat'l Acad. Sci. U.S.A. 84:6820-6824 (1987). Other selection markers include histidinol-dehydrogenase, chloramphenicol-acetyl transferase (CAT), dihydrofolate reductase (DHFR), β-galactosyltransferase and fluorescent proteins such as GFP.

[0181]

Expression of a fluorescent protein can be detected using a fluorescent activated cell sorter (FACS). Expression of 3-galactosyltransferase also can be sorted by FACS, coupled with staining of living cells with a suitable substrate for β-galactosidase. A selection marker also may be a cell-substrate adhesion molecule, such as integrins, which normally are not expressed by the host cell. In one embodiment, the cell selection marker is of mammalian origin, for example, thymidine kinase, aminoglycoside phosphotransferase, asparagine synthetase, adenosine deaminase or metallothionien. In one embodiment, the cell selection marker can be neomycin phosphotransferase, hygromycin phosphotransferase or puromycin phosphotransferase, which confer resistance to G418, hygromycin and puromycin, respectively.

[0182]

Suitable prokaryotic and/or bacterial selection markers include proteins providing resistance to antibiotics, such as kanamycin, tetracycline, and ampicillin. In one embodiment, a bacterial selection marker includes a protein capable of conferring selectable traits to both a prokaryotic host cell and a mammalian target cell.

[0183]

Negative selection markers permit the selection against cells in which the gene product of the marker is expressed. In some embodiments, the presence of appropriate agents causes cells that express “negative selection markers” to be killed or otherwise selected against. Alternatively, the expression of negative selection markers alone kills or selects against the cells.

[0184]

Such negative selection markers include a polypeptide or a polynucleotide that, upon expression in a cell, allows for negative selection of the cell. Illustrative of suitable negative selection markers are (i) herpes simplex virusthymidine kinase (HSV-TK) marker, for negative selection in the presence of any of the nucleoside analogs acyclovir, gancyclovir, and 5-fluoroiodoamino-Uracil (FIAU), (ii) various toxin proteins such as the diphtheria toxin, the tetanus toxin, the cholera toxin and the pertussis toxin, (iii) hypoxanthine-guanine phosphoribosyl transferase (HPRT), for negative selection in the presence of 6-thioguanine, (iv) activators of apoptosis, or programmed cell death, such as the bc12-binding protein (BAX), (v) the cytidine deaminase (codA) gene of E. coli, and (vi) phosphotidyl choline phospholipase D. In one embodiment, the negative selection marker requires host genotype modification (e.g. ccdB, tolC, thyA, rpsl and thymidine kinases.)

[0185]

In accordance with the present invention, the selection marker usually is selected based on the type of the cell undergoing selection. For instance, it can be eukaryotic (e.g., yeast), prokaryotic (e.g., bacterial) or viral. In such an embodiment, the selection marker sequence is operably linked to a promoter that is suited for that type of cell.

[0186]

In one embodiment, the invention provides a plurality of at least 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000, 6000, 7000, 8000, 9000, 10,000 or more than 10,000 recombinant nucleic acid molecules, wherein together the plurality of recombinant nucleic acid molecules encode at least 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000, 6000, 7000, 8000, 9000, 10,000 or more than 10,000 different polypeptides for display in a cell display library. In one embodiment, the plurality of cells of the display library display proteins or polypeptides of the secretome, representing a plurality of secreted proteins, the exoproteome, representing a plurality of extracellular proteins, or a combination thereof. In one embodiment, together the plurality of recombinant nucleic acid molecules encodes at least 10, 20, 30, 40, 50, 60, 70, 80, 90, 100, 200, 300, 400, 500, 600, 700, 800, 900, 1000, 2000, 3000, 4000, 5000, 6000, or more than 6,000 extracellular and secreted polypeptides or proteins. In one embodiment, together the plurality of recombinant nucleic acid molecules encodes each of the polypeptide amino acid sequences set forth in SEQ ID NO:1-3092. In one embodiment, together the plurality of recombinant nucleic acid molecules comprises each of the nucleotide sequences set forth in SEQ ID NO:3093-6185.

[0187]

In one embodiment, each of the recombinant nucleic acid molecules in the plurality of recombinant nucleic acid molecules encodes a polypeptide sequence for expression on a cell surface, and further comprises a unique nucleotide barcode sequence, which is then associated with the encoded polypeptide sequence. In various embodiments, the unique barcode sequence comprises a nucleotide sequence of at least 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 or more than 20 nucleotides which is non-redundant within the recombinant nucleotide sequences included in the library.

[0188]

In some embodiments, the invention relates to methods of generating a display library for expression of a plurality of extracellular or secreted proteins on the surface of a plurality of cells. In some embodiments, the method comprises obtaining or generating a library of barcoded nucleic acid molecules, wherein each nucleic acid molecule comprises i) a nucleotide sequence encoding a polypeptide for display on the surface of a cell; and ii) a unique nucleotide barcode sequence; and introducing the plurality of recombinant nucleic acid molecules into a system for expression and/or display of the recombinant nucleic acid molecules. Display systems that can be used for expression and/or display of the recombinant nucleic acid library of the invention include, but are not limited to, phage display, mRNA display, ribosome display, yeast display, mammalian cell display, and the like.

[0189]

Any method known in the art for introducing nucleic acid sequences into cells can be used to generate the display library of the invention. Exemplary methods of introducing nucleic acid molecules into cells include, but are not limited to, electroporation, cell squeezing, sonoporation, optical transfection, protoplast fusion, impalefection, hydrodynamic delivery, fusion, magnetofection, particle bombardment, nucleofection, heat shock, lipofection, viral transduction, nonviral transfection, lithium acetate/PEG chemical transformation, or any combination thereof.

[0190]

In one embodiment, the method comprises generating a library of cells for displaying polypeptides which function as epitopes for antigen binding. Thus, in one embodiment, the method comprises generating a library of cells, wherein the library comprises cells comprising barcode-labeled nucleic acid sequences, wherein the barcode-labeled nucleic acid sequences encode polypeptides which function as epitopes for antigen binding.

Screening Methods

[0191]

In some embodiments, the invention provides methods for screening a display library comprising a plurality of proteins or polypeptides of the secretome, representing a plurality of secreted proteins, the exoproteome, representing a plurality of extracellular proteins, or a combination thereof, to identify those proteins or polypeptides which interact with at least one antibody. In one embodiment, the methods comprise contacting the plurality of displayed proteins or polypeptides with a sample comprising at least one antibody.

[0192]

In one embodiment, the method comprises the step of contacting a library of display cells with a sample comprising at least one antibody, thus generating one or more antibody-bound cells. In various embodiments, the antibody is a purified antibody. In one embodiment, the antibody is purified from a biological sample. Biological samples may be of any biological tissue or fluid. Frequently the sample will be a “clinical sample” which is a sample derived from a subject. The biological sample may contain any biological material suitable for detecting the desired antibodies or targets thereof, and may comprise cellular and/or non-cellular material obtained from the subject. A biological sample can be obtained by appropriate methods, such as, by way of examples, blood draw, fluid draw, biopsy, or surgical resection. Examples of such samples include but are not limited to serum, blood, lymph, urine, gastrointestinal fluid, cerebrospinal fluid, semen, and samples from biopsies. Samples that are liquid in nature are referred to herein as “bodily fluids.” Body samples may be obtained from a subject by a variety of techniques including, for example, by scraping or swabbing an area or by using a needle to aspirate bodily fluids. Methods for collecting various body samples are well known in the art. Frequently, a sample will be a “clinical sample,” i.e., a sample derived from a subject. Such samples include, but are not limited to, bodily fluids which may or may not contain cells, e.g., blood (e.g., whole blood, serum or plasma), urine, saliva, cerebrospinal fluid, or fine needle biopsy samples, tissue sample obtained during surgical resection, and archival samples with known diagnosis, treatment and/or outcome history.

[0193]

In one embodiment, the method comprises contacting the display cells with at least one antibody purified from a biological sample. In one embodiment, the antibody is purified from a biological sample by affinity purification. In some embodiment, the antibody is purified from a biological sample by affinity purification of the desired antibody isotype (e.g., IgG, IgA, IgE, etc.). In some embodiments, the antibody is purified from a biological sample using any method known in the art for the purification of specific antibodies from a biological sample. For example, in one embodiment, the antibody is purified from a serum by affinity purification. In some embodiments, the antibody is purified by a high-throughput and efficient method for antibody isolation from human serum or plasma. In one embodiment, the method comprises an affinity purification of the desired antibody isotype (IgG, IgA, IgE, etc.) in 96-well microtiter plates.

[0194]

In one embodiment, the sample comprising at least one antibody is purified by removing at least one human serum component. In one embodiment, the sample comprising at least one antibody is purified by removing at least one antibody that may bind a display cell and interfere with a downstream selection procedure. For example, in one embodiment, the sample comprising at least one antibody of interest is purified by contacting the sample with at least one control cell or particle comprising an empty display vector, and removing any species that bind to the control cell or particle comprising the empty display vector from the sample.

[0195]

In one embodiment, the sample goes through a two-step purification process which involves both a) purification or selection of the specific antibody isotype of interest using an affinity purification for the isotype of interest (e.g., IgG, IgA, IgE, etc.), and b) elimination of human serum components and display cell or particle-reactive antibodies that may bind the display cell or particle and interfere with downstream selection procedures by contacting the purified sample with at least one control cell or particle comprising an empty display vector, and removing any species that bind to the control cell or particle.

[0196]

In one embodiment, the biological sample is a healthy, normal or control sample. In some embodiments, a healthy, normal or control sample is a sample from a subject who has not been diagnosed with a disease or disorder. In one embodiment, the biological sample is obtained from a subject having a disease or disorder. Thus, in some embodiments, the biological sample comprises at least one antibody associated with a disease or disorder. Exemplary diseases and disorders include, but are not limited to, an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof. In one embodiment, the antibody is an autoantibody.

[0197]

In some embodiments, the sample is from a subject who shows good prognosis of a disease or disorder, has reduced symptoms associated with a disease or disorder, or has a mild form of a disease or disorder. In such an embodiment, the methods of the invention serve to identify therapeutic antibodies or antibody-antigen interactions for the treatment of the disease or disorder. In some embodiments, the disease or disorder is selected from antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, or any combination thereof, and therefore the antibody is a therapeutic antibody for the treatment of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, or any combination thereof.

[0198]

In some embodiments, the sample is from a subject who shows poor prognosis of a disease or disorder, has increased symptoms associated with a disease or disorder, or has a severe form of a disease or disorder. In such an embodiment, the methods of the invention serve to identify antibodies or antibody-antigen interactions that are therapeutic targets for the treatment or prevention of a disease or disorder. In some embodiments, the disease or disorder is selected from antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, or any combination thereof, and therefore the antibody is a therapeutic target for the treatment of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, or any combination thereof.

[0199]

In one embodiment, the screening method further comprises a step of isolating or purifying one or more antibody-bound display cell of the invention. Any method known in the art for separating or purifying an antibody-bound display cell can be used including, but not limited to, magnetic cell separation, fluorescent cell separation, affinity purification, bead based cell separation, column separation, or any combination thereof.

[0200]

In some embodiments, the methods of the invention comprise a step of staining cells. Examples of stains include, but are not limited to: fluorescent dyes, propidium iodine, ethidium homodimer III, thiazole orange, acridine orange, Bismarck brown, carmine, coomassie blue, cresyl violet, crystal violet, DAPI, eosin, ethidium bromide, acid fuchsine, haematoxylin, Hoechst stains, iodine, malachite green, methyl green, methylene blue, neutral red, nile blue, nile red, osmium tetraoxide, rhodamine, safranine, biotin, or any combination thereof.

[0201]

In some embodiments, the methods of the invention comprise a step of identifying cells bound to an antibody by contacting the library of cells with a secondary immunoglobulin binding molecule for recognition of a primary antibody isotype of interest. For example, in some embodiments, the secondary immunoglobulin binding molecule is an antibody, nanobody, VHH antibody, monobody, knottin, anticalin, peptide, cyclic peptide, aptamer, designed ankyrin repeat protein (DARPin), or any combination thereof.

[0202]

In one embodiment, a cell bound by an antibody of interest is identified using any appropriate sorting or selection method. Exemplary sorting and selection methods include, but are not limited to, biotinylated labeled anti-immunoglobulin antibody, fluorescence activated cell sorting (FACS), fluorescently labeled anti-immunoglobulin antibody, magnetic bead-based selection, magnetic bead conjugated to an anti-immunoglobulin antibody, or any combination thereof.

[0203]

In one embodiment, the method comprises isolating at least one antibody-bound cell or particle from a mixture. In one embodiment, the method comprises isolating at least one antibody-bound cell or particle from at least one non-antibody-bound cell or particle. In one embodiment, the isolating at least one antibody-bound cell or particle comprises washing to remove at least one non-specific binder, centrifuging, cell separation, or any combination thereof. In one embodiment, the isolating at least one antibody-bound cell or particle comprises washing to remove at least one non-specific binder, centrifuging, magnetic cell separation, fluorescent cell separation, high-throughput selection process based on 96-well magnetic columns, or any combination thereof. In one embodiment, the magnetic cell separation comprises magnetic columns for capturing cells. In one embodiment, the magnetic cell separation comprises magnetic columns for capturing antibody-bound cell or particles. In one embodiment, the fluorescent cell separation comprises fluorescence activated cell sorting (FACS). In some embodiments, the high-throughput selection process based on 96-well magnetic columns comprises cell or particle library selections, 96-well magnetic columns, large magnetic columns, FACS, washing, centrifuging, or any combination thereof.

[0204]

In one embodiment, the method comprises enriching at least one antibody-bound cell or particle by magnetic column-based sorting. In one embodiment, the method comprises amplifying the barcoded recombinant nucleic acid molecule of the antibody-bound cell or particle. In one embodiment, the enrichment is quantified by sequencing. In one embodiment, the enrichment is quantified by next generation sequencing.

High Throughput Identification of Autoantibody Reactivities

[0205]

In one embodiment, the screening methods of the invention include methods of high throughput identification of antigen or autoantigen interactions with antibodies or autoantibodies (reactivities.) In some embodiments the screening methods of the invention include of high throughput identification of antibody or autoantibody reactivities include methods of contacting a sample comprising at least one antibody or autoantibody with a display library of the invention, isolating those cells or particles expressing polypeptides which interact with at least one antibody or autoantibody, and identifying the expressed antigen or autoantigen on at the isolated cells or particles.

[0206]

In one embodiment, the screening methods of the invention include a step of isolating and sequencing the barcoded nucleic acid molecules from a plurality of antibody-bound cells or particles. In one embodiment, a polypeptide is identified to be an antigen or autoantigen of at least one antibody in the sample based on detection of an increased or enriched level of the associated encoding nucleotide sequence or associated barcode in sequencing data over an established threshold level. In some embodiments, the threshold level is a predetermined threshold level, a statistically determined threshold, a threshold level determined using z-scores, or an established cut-point.

[0207]

In various embodiments of the methods of the invention, the level of the nucleic acid sequence barcode is determined to be increased when the number of associated sequencing reads from Next-gen sequencing data corresponding to the barcode is increased or enriched relative to a reference value or statistically determined cut-off value. In some embodiments, the level of the nucleic acid sequence barcode is determined to be increased when the number of associated sequencing reads Next-gen sequencing data corresponding to the barcode is increased or enriched by at least 0.01 fold, at least 0.05 fold, at least 0.07 fold, at least 0.076 fold, at least 0.1 fold, at least 0.18 fold, at least 0.19 fold, at least 0.3 fold, at least 0.36 fold, at least 0.37 fold, at least 0.38 fold, at least 0.4 fold, at least 0.43 fold, at least 1 fold, at least 1.1 fold, at least 1.2 fold, at least 1.3 fold, at least 1.4 fold, at least 1.5 fold, at least 1.6 fold, at least 1.7 fold, at least 1.8 fold, at least 1.9 fold, at least 2 fold, at least 2.1 fold, at least 2.2 fold, at least 2.3 fold, at least 2.4 fold, at least 2.5 fold, at least 2.6 fold, at least 2.7 fold, at least 2.8 fold, at least 2.9 fold, at least 3 fold, at least 3.5 fold, at least 4 fold, at least 4.5 fold, at least 5 fold, at least 5.5 fold, at least 6 fold, at least 6.5 fold, at least 7 fold, at least 7.5 fold, at least 8 fold, at least 8.5 fold, at least 9 fold, at least 9.5 fold, at least 10 fold, at least 11 fold, at least 12 fold, at least 13 fold, at least 14 fold, at least 15 fold, at least 16 fold, at least 16.3 fold, at least 16.31 fold, at least 20 fold, at least 25 fold, at least 26 fold, at least 26.7 fold, at least 26.72 fold, at least 30 fold, at least 40 fold, at least 50 fold, at least 75 fold, at least 100 fold, at least 192 fold, at least 192.4 fold, at least 192.44 fold, at least 200 fold, at least 250 fold, at least 500 fold, or at least 1000 fold, or at least 10000 fold, when compared with a comparator (e.g., a statistically determined threshold level or pre-determined cut-off).

[0208]

In one embodiment, an increased level of a barcode nucleic acid sequence provides an indication that an associated encoded polypeptide serves as a target for antibody binding, or an antigen. In one embodiment, an increased level of a barcode nucleic acid sequence provides an indication that an associated encoded polypeptide serves as a target for autoantibody binding, or an autoantigen. In various embodiments, the associated encoded polypeptide is an extracellular protein, transmembrane protein, secreted protein, or any combination thereof. In one embodiment, the associated encoded polypeptide is selected from those provided in Table 1, or a fragment thereof For example, in some embodiments, the associated encoded polypeptide is BMPR2, BTN1A1, BTNL8, C1QTNF4, C6, CCL11, CCL15, CCL17, CCL2, CCL22, CCL24, CCL4L1, CD207, CD300E, CD3D, CD44, CD74, CD81, CDH19, CNTN5, COLEC12, CSPG5, CX3CL1, CXCL1, CXCL13, CXCL2, CXCL3, EDIL3, EPYC, EREG, FGF10, FGF21, FGF23, FGF7, FGFBP3, FGFRL1, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNB1, IFNL2, IFNW1, IGF2, IGFBPL1, IGSF4B, IL15RA, IL16, IL17A, IL17F, IL17F, IL18RAP, IL19, IL1A, IL1F9, IL1RAP, IL20RB, IL22, IL22RA2, IL28B, IL29, IL33, IL34, IL4, IL4R, IL5, IL6, IL6R, ITGA5, JCHAIN, LAG3, LGR6, LIF, LRP11, LRRC3B, LRRC4, LRTM2, LY6G6D, LY6H, MADCAM1, MPZL3, MUC21, NGFR, NOTCH2NL, NTRK3, PDCD1LG2, PDGFB, PGLYRP1, REGlA, REG1B, REG4, RTN4RL1, SCARA3, SDC1, SDC4, STIM2, TGFA, TMEM149, TNF, TNFRSF10C, TNFRSF10D, TNFRSF19L, TNFRSF6, TRAILR4, TREM2, TREML1, TSLP, TSPAN2, TYRO3, VEGFB, VSIG4, VSTM2A, or any combination thereof.

[0209]

In one embodiment, the method comprises identifying antibody reactivities based on quantitative next generation sequencing data. In one embodiment, the next generation sequencing can determine the total enrichment of antibody target proteins after selection, how many “antibody target protein clones” were enriched, or a combination thereof.

[0210]

In one embodiment, the method comprises an incorporation of clonal enrichment into data analysis to eliminate false positive enrichments. In one embodiment, the method comprises an incorporation of clonal enrichment into data analysis to expedite identification of genuine autoantibody reactivities in samples. Thus, in one embodiment, the method comprises quantifying clonal enrichment for identification of antibody reactivities, elimination of non-specific enrichment of antibody target proteins (e.g., polyreactive cell or particle clones), elimination of stochastic variations in library distribution, or any combination thereof. In one embodiment, the clonal enrichment is a fraction of clones that were enriched above a set cutoff.

[0211]

In one embodiment, the methods described herein can utilize next-generation sequencing technologies that allow multiple samples to be sequenced individually as genomic molecules (i.e., singleplex sequencing) or as pooled samples comprising indexed genomic molecules (e.g., multiplex sequencing) on a single sequencing run. These methods can generate up to several hundred million reads of DNA sequences. In various embodiments, the sequences of nucleic acid sequence barcodes can be determined using, for example, the next generation sequencing technologies described herein. In various embodiments, analysis of the massive amount of sequence data obtained using next-generation sequencing can be performed using one or more processors as described herein.

[0212]

In some embodiments, the nucleic acid product can be sequenced by next generation sequencing methods. In some embodiments, the next generation sequencing method comprises a method selected from the group consisting of Ion Torrent, Illumina, SOLiD, 454; Massively Parallel Signature Sequencing, solid phase reversible dye terminator sequencing; and DNA nanoball sequencing may be included. In some embodiments, the first and second sequencing primers are compatible with the selected next generation sequencing method.

[0213]

In some embodiments, sequencing can be performed by next generation sequencing methods. As used herein, “next generation sequencing” refers to the speeds that were possible with conventional sequencing methods (e.g., Sanger sequencing) by reading thousands of millions of sequencing reactions simultaneously. Means an oligonucleotide sequencing technique that has the ability to sequence oligonucleotides at a greater rate. Non-limiting examples of next generation sequencing methods/platforms include Massively Parallel Signature Sequencing (Lynx Therapeutics); pyrophosphate sequencing/454; 454 Life Sciences/Roche Diagnostics; Solid Phase Reversible Dye Terminator Sequencing (Solexa/illumina): SOLiD technology (Applied Biosystems); ion semiconductor sequencing (ION Torrent.); DNA nanoball sequencing (Complete Genomics); and technologies available from Pacific Biosciences, Intelligen Bio-systems, Oxford Nanopore Technologies, and Helicos Biosciences. In some embodiments, the sequencing primer may comprise a moiety that is compatible with the selected next generation sequencing method.

[0214]

Next generation sequencing techniques and related sequencing primer constraints and design parameters are well known in the art (e.g., Shendure et al., 2008, Nature, 26:1135-1145; Mardis, 2007, Trends in Genetics, 24:133-141; Su et al., 2011, Expert. Rev. Mol. Diagn., 11:333-43; Zhang et al., 2011, J. Genet. Genomics, 38:95-109; Nyren P et al. 1993, Anal. Biochem., 208:17175; Bentley et al., 2006, Curr. Opin. Genet. Dev., 16:545-552; Strausberg et al., 2008, Drug Disc. Today, 13:569-577; U.S. Pat. Nos. 7,282,337; 7,279,563; 7,226,720; 7,220,549; 7,169,560; U. S. Patent Application Publication No. 20070070349; U.S. Pat. Nos. 6,818,395; 6,911,345; U.S. Patent Application Publication No. 2006/0252077; No. 2007/0070349).

[0215]

Several targeted next generation sequencing methods are described in the literature (for review see e.g., Teer and Mullikin, 2010, Human Mol. Genet. 19:R145-151), all of which can be used in conjunction with the present invention. Many of these methods (described e.g. as genome capture, genome partitioning, genome enrichment etc.) use hybridization techniques and include array-based (e.g., Hodges et al., 2007, Nat. Genet., 39:1522-1527) and liquid based (e.g., Choi et al., 2009, Proc. Natl. Acad. Sci USA, 106:19096-19101) hybridization approaches. Commercial kits for DNA sample preparation are also available: for example, Illumina Inc. (San Diego, California) offers the TruSeq™ DNA Sample Preparation Kit and the Exome Enrichment Kit TruSeq™ Exome Enrichment Kit.

[0216]

There are many methods known in the art for the detection, identification, and quantification of specific nucleic acid sequences (e.g., nucleic acid sequence barcodes) and new methods are continually reported. A great majority of the known specific nucleic acid detection, identification, and quantification methods utilize nucleic acid probes in specific hybridization reactions. Preferably, the detection of hybridization to the duplex form is a Southern blot technique. In the Southern blot technique, a nucleic acid sample is separated in an agarose gel based on size (molecular weight) and affixed to a membrane, denatured, and exposed to (admixed with) the labeled nucleic acid probe under hybridizing conditions. If the labeled nucleic acid probe forms a hybrid with the nucleic acid on the blot, the label is bound to the membrane.

[0217]

In the Southern blot, the nucleic acid probe is preferably labeled with a tag. That tag can be a radioactive isotope, a fluorescent dye or the other well-known materials. Another type of process for the specific detection of nucleic acids in a biological sample known in the art are the hybridization methods as exemplified by U.S. Pat. Nos. 6,159,693 and 6,270,974, and related patents. To briefly summarize one of those methods, a nucleic acid probe of at least 10 nucleotides, preferably at least 15 nucleotides, more preferably at least 25 nucleotides, having a sequence complementary to a nucleic acid of interest is hybridized in a sample, subjected to depolymerizing conditions, and the sample is treated with an ATP/luciferase system, which will luminesce if the nucleic sequence is present. In quantitative Southern blotting, the level of the nucleic acid of interest can be compared with the level of a second nucleic acid of interest, and/or to one or more comparators nucleic acids (e.g., positive control, negative control, quantity control, etc.).

[0218]

Many methods useful for the detection and quantification of nucleic acid takes advantage of the polymerase chain reaction (PCR). The PCR process is well known in the art (U.S. Pat. Nos. 4,683,195, 4,683,202, and 4,800,159). To briefly summarize PCR, nucleic acid primers, complementary to opposite strands of a nucleic acid amplification target sequence, are permitted to anneal to the denatured sample. A DNA polymerase (typically heat stable) extends the DNA duplex from the hybridized primer. The process is repeated to amplify the nucleic acid target. If the nucleic acid primers do not hybridize to the sample, then there is no corresponding amplified PCR product. In this case, the PCR primer acts as a hybridization probe.

[0219]

In PCR, the nucleic acid probe can be labeled with a tag as discussed elsewhere herein. Most preferably the detection of the duplex is done using at least one primer directed to the nucleic acid of interest. In yet another embodiment of PCR, the detection of the hybridized duplex comprises electrophoretic gel separation followed by dye-based visualization.

[0220]

Typical hybridization and washing stringency conditions depend in part on the size (i.e., number of nucleotides in length) of the oligonucleotide probe, the base composition and monovalent and divalent cation concentrations (Ausubel et al., 1994, eds Current Protocols in Molecular Biology).

[0221]

In one embodiment, the process for determining the quantitative and qualitative profile of the nucleic acid of interest according to the present invention is characterized in that the amplifications are real-time amplifications performed using a labeled probe, preferably a labeled hydrolysis-probe, capable of specifically hybridizing in stringent conditions with a segment of the nucleic acid of interest. The labeled probe is capable of emitting a detectable signal every time each amplification cycle occurs, allowing the signal obtained for each cycle to be measured.

[0222]

The real-time amplification, such as real-time PCR, is well known in the art, and the various known techniques will be employed in the best way for the implementation of the present process. These techniques are performed using various categories of probes, such as hydrolysis probes, hybridization adjacent probes, or molecular beacons. The techniques employing hydrolysis probes or molecular beacons are based on the use of a fluorescence quencher/reporter system, and the hybridization adjacent probes are based on the use of fluorescence acceptor/donor molecules.

[0223]

Hydrolysis probes with a fluorescence quencher/reporter system are available in the market, and are for example commercialized by the Applied Biosystems group (USA). Many fluorescent dyes may be employed, such as FAM dyes (6-carboxy-fluorescein), or any other dye phosphoramidite reagents.

[0224]

Among the stringent conditions applied for any one of the hydrolysis-probes of the present invention is the Tm, which is in the range of about 65° C. to 75° C. Preferably, the Tm for any one of the hydrolysis-probes of the present invention is in the range of about 67° C. to about 70° C. Most preferably, the Tm applied for any one of the hydrolysis-probes of the present invention is about 67° C.

[0225]

In one aspect, the invention includes a primer that is complementary to a nucleic acid of interest, and more particularly the primer includes 12 or more contiguous nucleotides substantially complementary to the nucleic acid of interest. Preferably, a primer featured in the invention includes a nucleotide sequence sufficiently complementary to hybridize to a nucleic acid sequence of about 12 to 25 nucleotides. More preferably, the primer differs by no more than 1, 2, or 3 nucleotides from the target flanking nucleotide sequence. In another aspect, the length of the primer can vary in length, preferably about 15 to 28 nucleotides in length (e.g., 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, or 27 nucleotides in length).

[0226]

In one embodiment, the invention includes detecting one or more barcode-labeled nucleic acid sequences, one or more nucleic acid sequence barcodes, or a combination thereof in the DNA of the antibody-bound cell or particle. Such sequences generally can be measured and detected through a variety of assays, methods and detection systems known to one of skill in the art.

[0227]

Various methods include but are not limited to immunoassays, microarray, PCR, RT-PCR, refractive index spectroscopy (RI), ultra-violet spectroscopy (UV), fluorescence analysis, electrochemical analysis, radiochemical analysis, near-infrared spectroscopy (near-IR), infrared (IR) spectroscopy, nuclear magnetic resonance spectroscopy (NMR), light scattering analysis (LS), mass spectrometry, pyrolysis mass spectrometry, nephelometry, dispersive Raman spectroscopy, gas chromatography, liquid chromatography, gas chromatography combined with mass spectrometry, liquid chromatography combined with mass spectrometry, matrix-assisted laser desorption ionization-time of flight (MALDI-TOF) combined with mass spectrometry, ion spray spectroscopy combined with mass spectrometry, capillary electrophoresis, colorimetry and surface plasmon resonance (such as according to systems provided by Biacore Life Sciences). See also PCT Publications WO/2004/056456 and WO/2004/088309. In this regard, the nucleic acid sequence barcodes can be measured using the above-mentioned detection methods, or other methods known to the skilled artisan. Other nucleic acid sequence barcodes can be similarly detected using reagents that are specifically designed or tailored to detect them.

[0228]

Different types of antibody targets and their measurements can be combined in the compositions and methods of the present invention. In various embodiments, the nucleic acid sequence encoding one or more antibody target is measured. In various embodiments, the nucleic acid sequence barcode is measured. In exemplary embodiments, the nucleic acid sequence barcode is DNA. In various embodiments, measurements of nucleic acid sequences encoding one or more antibody targets are used in conjunction with measurements of nucleic acid sequence barcodes.

[0229]

In various embodiments of the invention, methods of measuring antibody target levels (e.g., the levels of barcode-labeled nucleic acid sequences, levels of nucleic acid sequences encoding one or more antibody targets, levels of the nucleic acid barcodes of the barcode-labeled nucleic acid sequences) include, but are not limited to, an immunochromatography assay, an immunodot assay, a Luminex assay, an ELISA assay, an ELISPOT assay, a protein microarray assay, a ligand-receptor binding assay, displacement of a ligand from a receptor assay, displacement of a ligand from a shared receptor assay, an immunostaining assay, a Western blot assay, a mass spectrophotometry assay, a radioimmunoassay (RIA), a radioimmunodiffusion assay, a liquid chromatography-tandem mass spectrometry assay, an ouchterlony immunodiffusion assay, reverse phase protein microarray, a rocket immunoelectrophoresis assay, an immunohistostaining assay, an immunoprecipitation assay, a complement fixation assay, FACS, an enzyme-substrate binding assay, an enzymatic assay, an enzymatic assay employing a detectable molecule, such as a chromophore, fluorophore, or radioactive substrate, a substrate binding assay employing such a substrate, a substrate displacement assay employing such a substrate, and a protein chip assay (see also, 2007, Van Emon, Immunoassay and Other Bioanalytical Techniques, CRC Press; 2005, Wild, Immunoassay Handbook, Gulf Professional Publishing; 1996, Diamandis and Christopoulos, Immunoassay, Academic Press; 2005, Joos, Microarrays in Clinical Diagnosis, Humana Press; 2005, Hamdan and Righetti, Proteomics Today, John Wiley and Sons; 2007).

[0230]

Methods for detecting a nucleic acid sequence (e.g., nucleic acid sequence barcode, such as DNA, nucleic acid sequence encoding one or more antibody targets, and/or a barcode-labeled nucleic acid sequence encoding one or more antibody targets), such as RT-PCR, real time PCR, microarray, branch DNA, NASBA and others, are well known in the art. Using sequence information provided by the database entries for the nucleic acid sequences, expression of the nucleic acid sequences can be detected (if present) and measured using techniques well known to one of ordinary skill in the art. For example, sequences in sequence database entries or sequences disclosed herein can be used to construct probes for detecting nucleic acid sequence barcodes in, e.g., Northern blot hybridization analyses or methods which specifically, and, preferably, quantitatively amplify specific nucleic acid sequences. As another example, the sequences can be used to construct primers for specifically amplifying the nucleic acid sequence barcodes in, e.g., amplification-based detection methods such as reverse-transcription based polymerase chain reaction (RT-PCR). In addition to Northern blot and RT-PCR, the level of nucleic acid sequence barcodes can also be measured using, for example, other target amplification methods (e.g., TMA, SDA, NASBA), signal amplification methods (e.g., bDNA), nuclease protection assays, in situ hybridization and the like.

[0231]

In various embodiments, quantitative hybridization methods, such as Southern analysis, Northern analysis, or in situ hybridizations, can be used (see Current Protocols in Molecular Biology, Ausubel, F. et al., eds., John Wiley & Sons, including all supplements). A “nucleic acid probe,” as used herein, can be a DNA probe or an RNA probe. The probe can be, for example, a gene, a gene fragment (e.g., one or more exons), a vector comprising the gene, a probe or primer, etc. For representative examples of use of nucleic acid probes, see, for example, U.S. Pat. Nos. 5,288,611 and 4,851,330. The nucleic acid probe can be, for example, a full-length nucleic acid molecule, or a portion thereof, such as an oligonucleotide of at least 15, 30, 50, 100, 250 or 500 nucleotides in length and sufficient to specifically hybridize under stringent conditions to appropriate target mRNA or cDNA. The hybridization sample is maintained under conditions which are sufficient to allow specific hybridization of the nucleic acid probe to mRNA or cDNA. Specific hybridization can be performed under high stringency conditions or moderate stringency conditions, as appropriate. In a preferred embodiment, the hybridization conditions for specific hybridization are high stringency. Specific hybridization, if present, is then detected using standard methods. If specific hybridization occurs between the nucleic acid probe having a mRNA or cDNA in the test sample, the level of the mRNA or cDNA in the sample can be assessed. More than one nucleic acid probe can also be used concurrently in this method. Specific hybridization of any one of the nucleic acid probes is indicative of the presence of the mRNA or cDNA of interest, as described herein.

[0232]

Alternatively, a peptide nucleic acid (PNA) probe can be used instead of a nucleic acid probe in the quantitative hybridization methods described herein. PNA is a DNA mimic having a peptide-like, inorganic backbone, such as N-(2-aminoethyl)glycine units, with an organic base (A, G, C, T or U) attached to the glycine nitrogen via a methylene carbonyl linker (see, for example, 1994, Nielsen et al., Bioconjugate Chemistry 5:1). The PNA probe can be designed to specifically hybridize to a target nucleic acid sequence. Hybridization of the PNA probe to a nucleic acid sequence is used to determine the level of the target nucleic acid in the biological sample.

[0233]

In another embodiment, arrays of oligonucleotide probes that are complementary to target nucleic acid sequence barcodes can be used to determine the level of one or more antibody targets. The array of oligonucleotide probes can be used to determine the level of one or more antibody targets alone or the level of the one or more antibody targets in relation to the level of one or more other nucleic acids in the biological sample. Oligonucleotide arrays typically comprise a plurality of different oligonucleotide probes that are coupled to a surface of a substrate in different known locations. These oligonucleotide arrays, also known as “Genechips,” have been generally described in the art, for example, U.S. Pat. No. 5,143,854 and PCT patent publication Nos. WO 90/15070 and 92/10092. These arrays can generally be produced using mechanical synthesis methods or light directed synthesis methods which incorporate a combination of photolithographic methods and solid phase oligonucleotide synthesis methods. See Fodor et al., Science, 251:767-777 (1991), Pirrung et al., U.S. Pat. No. 5,143,854 (see also PCT Application No. WO 90/15070) and Fodor et al., PCT Publication No. WO 92/10092 and U.S. Pat. No. 5,424,186. Techniques for the synthesis of these arrays using mechanical synthesis methods are described in, e.g., U.S. Pat. No. 5,384,261.

[0234]

After an oligonucleotide array is prepared, a nucleic acid of interest is hybridized with the array and its level is quantified. Hybridization and quantification are generally carried out by methods described herein and also in, e.g., published PCT Application Nos. WO 92/10092 and WO 95/11995, and U.S. Pat. No. 5,424,186. In brief, a target nucleic acid sequence is amplified by well-known amplification techniques, e.g., PCR. Typically, this involves the use of primer sequences that are complementary to the target nucleic acid. Asymmetric PCR techniques may also be used. Amplified target, generally incorporating a label, is then hybridized with the array under appropriate conditions. Upon completion of hybridization and washing of the array, the array is scanned to determine the quantity of hybridized nucleic acid. The hybridization data obtained from the scan is typically in the form of fluorescence intensities as a function of quantity, or relative quantity, of the target nucleic acid in the biological sample. The target nucleic acid can be hybridized to the array in combination with one or more comparators (e.g., positive control, negative control, quantity control, etc.) to improve quantification of the target nucleic acid in the sample.

[0235]

The probes and primers according to the invention can be labeled directly or indirectly with a radioactive or nonradioactive compound, by methods well known to those skilled in the art, in order to obtain a detectable and/or quantifiable signal; the labeling of the primers or of the probes according to the invention is carried out with radioactive elements or with nonradioactive molecules. Among the radioactive isotopes used, mention may be made of32P,33P,35S or3H. The nonradioactive entities are selected from ligands such as biotin, avidin, streptavidin or digoxigenin, haptenes, dyes, and luminescent agents such as radioluminescent, chemoluminescent, bioluminescent, fluorescent or phosphorescent agents.

[0236]

Other suitable assays for determining the level of nucleic acid sequence barcode or level of barcode-labeled nucleic acid sequence may include one or more of the following methods, an enzyme assay, an immunoassay, mass spectrometry, chromatography, electrophoresis or an antibody microarray, or any combination thereof. Thus, as would be understood by one skilled in the art, the system and methods of the invention may include any method known in the art to detect a nucleic acid sequence and/or amino acid sequence in a sample.

[0237]

In some embodiments, methods of identifying antibody targets, optionally, utilize methods that focus on cellular components (cellular examination), or methods that focus on examining extracellular components (fluid examination). In one embodiment, a cellular or fluid examination is used to detect or measure a variety of molecules including the nucleic acid barcode, RNA, protein, and a number of molecules that are modified as a result of the protein's function. Exemplary methods focusing on nucleic acids include but are not limited to amplification techniques, such as PCR and RT-PCR (including quantitative variants), and hybridization techniques, such as in situ hybridization, microarrays, and blots. Exemplary methods focusing on amino acid sequences (e.g., proteins) include but are not limited to binding techniques, such as ELISA, immunohistochemistry, microarray, and functional techniques, such as enzymatic assays. For example, in some embodiments, methods of identifying antibody targets, optionally, utilize ELISA, LIPS, or a combination thereof.

Methods of Identifying Antibodies

[0238]

In one aspect, the method comprises identifying at least one antibody that specifically binds to an extracellular or secreted protein. Thus, in one embodiment, the method comprises: isolating the antibodies that bound to the display library of the invention; and identifying the sequence of the antibodies that bound to the display library of the invention.

[0239]

For example, in various embodiments, the antibody is an anti-BMPR2 antibody, anti-BTN1A1 antibody, anti-BTNL8 antibody, anti-C1QTNF4 antibody, anti-C6 antibody, anti-CCL11 antibody, anti-CCL15 antibody, anti-CCL17 antibody, anti-CCL2 antibody, anti-CCL22 antibody, anti-CCL24 antibody, anti-CCL4L1 antibody, anti-CD207 antibody, anti-CD300E antibody, anti-CD3D antibody, anti-CD44 antibody, anti-CD74 antibody, anti-CD81 antibody, anti-CDH19 antibody, anti-CNTN5 antibody, anti-COLEC12 antibody, anti-CSPG5 antibody, anti-CX3CL1 antibody, anti-CXCL1 antibody, anti-CXCL13 antibody, anti-CXCL2 antibody, anti-CXCL3 antibody, anti-EDIL3 antibody, anti-EPYC antibody, anti-EREG antibody, anti-FGF10 antibody, anti-FGF21 antibody, anti-FGF23 antibody, anti-FGF7 antibody, anti-FGFBP3 antibody, anti-FGFRL1 antibody, anti-IFNA13 antibody, anti-IFNA14 antibody, anti-IFNA17 antibody, anti-IFNA2 antibody, anti-IFNA5 antibody, anti-IFNA6 antibody, anti-IFNA8 antibody, anti-IFNB1 antibody, anti-IFNL2 antibody, anti-IFNW1 antibody, anti-IGF2 antibody, anti-IGFBPL1 antibody, anti-IGSF4B antibody, anti-IL15RA antibody, anti-IL16 antibody, anti-IL17A antibody, anti-IL17F antibody, anti-IL17F antibody, anti-IL18RAP antibody, anti-IL19 antibody, anti-IL1A antibody, anti-IL1F9 antibody, anti-ILIRAP antibody, anti-IL20RB antibody, anti-IL22 antibody, anti-IL22RA2 antibody, anti-IL28B antibody, anti-IL29 antibody, anti-IL33 antibody, anti-IL34 antibody, anti-IL4 antibody, anti-IL4R antibody, anti-IL5 antibody, anti-IL6 antibody, anti-IL6R antibody, anti-ITGA5 antibody, anti-JCHAIN antibody, anti-LAG3 antibody, anti-LGR6 antibody, anti-LIF antibody, anti-LRP11 antibody, anti-LRRC3B antibody, anti-LRRC4 antibody, anti-LRTM2 antibody, anti-LY6G6D antibody, anti-LY6H antibody, anti-MADCAM1 antibody, anti-MPZL3 antibody, anti-MUC21 antibody, anti-NGFR antibody, anti-NOTCH2NL antibody, anti-NTRK3 antibody, anti-PDCD1LG2 antibody, anti-PDGFB antibody, anti-PGLYRP1 antibody, anti-REG1A antibody, anti-REG1B antibody, anti-REG4 antibody, anti-RTN4RL1 antibody, anti-SCARA3 antibody, anti-SDC1 antibody, anti-SDC4 antibody, anti-STIM2 antibody, anti-TGFA antibody, anti-TMEM149 antibody, anti-TNF antibody, anti-TNFRSF10C antibody, anti-TNFRSF10D antibody, anti-TNFRSF19L antibody, anti-TNFRSF6 antibody, anti-TREM2 antibody, anti-TREML1 antibody, anti-TSLP antibody, anti-TSPAN2 antibody, anti-TYRO3 antibody, anti-VEGFB antibody, anti-VSIG4 antibody, anti-VSTM2A antibody, or any combination thereof.

[0000]

Method of Identifying an Antibody or a Target Thereof Associated with a Disease or Disorder

[0240]

The present invention provides, in part, a method of identifying disease associated antigen-antibody interactions. The present invention provides, in part, a method of identifying autoantigens that are targets of disease-associated autoantibodies. In one aspect, the method comprises contacting a display library of the invention with a biological sample from a subject who has been diagnosed as having a disease or disorder. In one embodiment, the disease or disorder is selected from an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, an autoimmune or inflammatory disease or disorder associated with an infectious disease, or any combination thereof. In some embodiments, the disease or disorder is antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, or any combination thereof.

[0241]

In one embodiment, the antibody is purified from a biological sample obtained from a subject having a disease or disorder.

[0242]

In one embodiment, the antigen or autoantigen is identified to be reactive with an antibody or autoantibody associated with a disease or disorder when the level of nucleic acid sequence barcode is statistically different than an expected level based on comparison with a control or a threshold level (e.g., the predetermined threshold level). In one embodiment, the antibody target is identified to be the antibody target associated with the disease or disorder when the level of nucleic acid sequence barcode is higher than the threshold level (e.g., the predetermined threshold level). In some embodiments, the threshold level is obtained from control group samples.

[0243]

In various embodiments of the methods of the invention, the level (e.g., activity, amount, concentration, expression, level, etc.) of nucleic acid sequence barcode is determined to be increased or to be higher when the level of nucleic acid sequence barcode is determined to be increased by at least 0.01 fold, at least 0.05 fold, at least 0.07 fold, at least 0.076 fold, at least 0.1 fold, at least 0.18 fold, at least 0.19 fold, at least 0.3 fold, at least 0.36 fold, at least 0.37 fold, at least 0.38 fold, at least 0.4 fold, at least 0.43 fold, at least 1 fold, at least 1.1 fold, at least 1.2 fold, at least 1.3 fold, at least 1.4 fold, at least 1.5 fold, at least 1.6 fold, at least 1.7 fold, at least 1.8 fold, at least 1.9 fold, at least 2 fold, at least 2.1 fold, at least 2.2 fold, at least 2.3 fold, at least 2.4 fold, at least 2.5 fold, at least 2.6 fold, at least 2.7 fold, at least 2.8 fold, at least 2.9 fold, at least 3 fold, at least 3.5 fold, at least 4 fold, at least 4.5 fold, at least 5 fold, at least 5.5 fold, at least 6 fold, at least 6.5 fold, at least 7 fold, at least 7.5 fold, at least 8 fold, at least 8.5 fold, at least 9 fold, at least 9.5 fold, at least 10 fold, at least 11 fold, at least 12 fold, at least 13 fold, at least 14 fold, at least 15 fold, at least 16 fold, at least 16.3 fold, at least 16.31 fold, at least 20 fold, at least 25 fold, at least 26 fold, at least 26.7 fold, at least 26.72 fold, at least 30 fold, at least 40 fold, at least 50 fold, at least 75 fold, at least 100 fold, at least 192 fold, at least 192.4 fold, at least 192.44 fold, at least 200 fold, at least 250 fold, at least 500 fold, or at least 1000 fold, or at least 10000 fold, when compared with a comparator.

[0244]

In one embodiment, an antibody target is identified to be the antibody target associated with a disease or disorder when the expression level of nucleic acid sequence barcode is increased or higher as compared to a comparator (e.g., the predetermined threshold level). For example, in some embodiments, an antibody target is identified to be the antibody target associated with a disease or disorder when the level of nucleic acid sequence barcode is increased by at least 0.01 fold, or at least 0.18 fold. In some embodiments, an antibody target is identified to be the antibody target associated with a disease or disorder when the level of nucleic acid sequence barcode is increased in a range from 0.1 fold to 10,000 fold.

[0245]

In one embodiment, the antibody target is identified to be the antibody target associated with the disease or disorder when the level of nucleic acid sequence barcode is lower than the threshold level (e.g., the predetermined threshold level).

[0246]

In various embodiments of the methods of the invention, the level (e.g., activity, amount, concentration, expression, level, etc.) of nucleic acid sequence barcode is determined to be decreased or to be lower when the level of nucleic acid sequence barcode is determined to be decreased by at least 0.01 fold, at least 0.05 fold, at least 0.07 fold, at least 0.076 fold, at least 0.1 fold, at least 0.18 fold, at least 0.19 fold, at least 0.3 fold, at least 0.36 fold, at least 0.37 fold, at least 0.38 fold, at least 0.4 fold, at least 0.43 fold, at least 1 fold, at least 1.1 fold, at least 1.2 fold, at least 1.3 fold, at least 1.4 fold, at least 1.5 fold, at least 1.6 fold, at least 1.7 fold, at least 1.8 fold, at least 1.9 fold, at least 2 fold, at least 2.1 fold, at least 2.2 fold, at least 2.3 fold, at least 2.4 fold, at least 2.5 fold, at least 2.6 fold, at least 2.7 fold, at least 2.8 fold, at least 2.9 fold, at least 3 fold, at least 3.5 fold, at least 4 fold, at least 4.5 fold, at least 5 fold, at least 5.5 fold, at least 6 fold, at least 6.5 fold, at least 7 fold, at least 7.5 fold, at least 8 fold, at least 8.5 fold, at least 9 fold, at least 9.5 fold, at least 10 fold, at least 11 fold, at least 12 fold, at least 13 fold, at least 14 fold, at least 15 fold, at least 16 fold, at least 16.3 fold, at least 16.31 fold, at least 20 fold, at least 25 fold, at least 26 fold, at least 26.7 fold, at least 26.72 fold, at least 30 fold, at least 40 fold, at least 50 fold, at least 75 fold, at least 100 fold, at least 192 fold, at least 192.4 fold, at least 192.44 fold, at least 200 fold, at least 250 fold, at least 500 fold, or at least 1000 fold, or at least 10000 fold, when compared with a comparator.

[0247]

In one embodiment, an antibody target is identified to be the antibody target associated with a disease or disorder when the expression level of nucleic acid sequence barcode is decreased or lower as compared to a comparator (e.g., the predetermined threshold level). For example, in some embodiments, an antibody target is identified to be the antibody target associated with a disease or disorder when the level of nucleic acid sequence barcode is decreased by at least 0.01 fold, or at least 0.18 fold. In some embodiments, an antibody target is identified to be the antibody target associated with a disease or disorder when the level of nucleic acid sequence barcode is decreased in a range from 0.1 fold to 10,000 fold.

[0248]

In one aspect, the present invention provides, in part, a method of identifying an antibody associated with a disease or disorder. Thus, in one embodiment, the antibody is identified to be the antibody associated with the disease or disorder when the level of the target nucleic acid sequence barcode is different than the threshold level (e.g., the predetermined threshold level). In one embodiment, the antibody is identified to be the antibody associated with the disease or disorder when the level of the target nucleic acid sequence barcode is higher than the threshold level (e.g., the predetermined threshold level). In some embodiments, the threshold level is obtained from control group samples.

[0249]

In one embodiment, an antibody is identified to be the antibody associated with a disease or disorder when the expression level of the target nucleic acid sequence barcode is increased or higher as compared to a comparator (e.g., the predetermined threshold level). For example, in some embodiments, an antibody is identified to be the antibody associated with a disease or disorder when the level of the target nucleic acid sequence barcode is increased by at least 0.01 fold, or at least 0.18 fold. In some embodiments, an antibody is identified to be the antibody associated with a disease or disorder when the level of nucleic acid sequence barcode is increased in a range from 0.1 fold to 10,000 fold.

[0250]

In one embodiment, the antibody is identified to be the antibody associated with the disease or disorder when the level of the target nucleic acid sequence barcode is lower than the threshold level (e.g., the predetermined threshold level).

[0251]

In one embodiment, an antibody is identified to be the antibody associated with a disease or disorder when the expression level of the target nucleic acid sequence barcode is decreased or lower as compared to a comparator (e.g., the predetermined threshold level). For example, in some embodiments, an antibody is identified to be the antibody associated with a disease or disorder when the level of nucleic acid sequence barcode is decreased by at least 0.01 fold, or at least 0.18 fold. In some embodiments, an antibody is identified to be the antibody associated with a disease or disorder when the level of nucleic acid sequence barcode is decreased in a range from 0.1 fold to 10,000 fold.

[0252]

In some embodiments, the disease or disorder is an autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof. In some embodiments, the disease or disorder is antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis, autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy, antiphospholipid antibody syndrome, chronic inflammatory demyelinating polyradiculoneuropathy, cutaneous lupus erythematosus, COVID-19, drug-induced lupus, dermatomyositis, glomerulonephritis, a disease or disorder associated with kidney transplant, malaria, mixed connective tissue disease, myasthenia gravis, malignant melanoma, neuromyelitis optica, non-small cell lung cancer, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, systemic lupus erythematosus, sjogren's syndrome, scleroderma, susac syndrome, undifferentiated connective tissue disease, or any combination thereof.

[0253]

In one embodiment, the disease or disorder is a cancer. Examples of cancers include, but are not limited to: acute lymphoblastic; acute myeloid leukemia; adrenocortical carcinoma; adrenocortical carcinoma, childhood; appendix cancer; basal cell carcinoma; bile duct cancer, extrahepatic; bladder cancer; bone cancer; osteosarcoma and malignant fibrous histiocytoma; liposarcoma and anaplastic liposarcoma; brain stem glioma, childhood; brain tumor, adult; brain tumor, brain stem glioma, childhood; brain tumor, central nervous system atypical teratoid/rhabdoid tumor, childhood; central nervous system embryonal tumors; cerebellar astrocytoma; cerebral astrocytotna/malignant glioma; craniopharyngioma; ependymoblastoma; ependymoma; medulloblastoma; medulloepithelioma; pineal parenchymal tumors of intermediate differentiation; supratentorial primitive neuroectodermal tumors and pineoblastoma; visual pathway and hypothalamic glioma; brain and spinal cord tumors; breast cancer; bronchial tumors; Burkitt lymphoma; carcinoid tumor; carcinoid tumor, gastrointestinal; central nervous system atypical teratoid/rhabdoid tumor; central nervous system embryonal tumors; central nervous system lymphoma; cerebellar astrocytoma cerebral astrocytoma/malignant glioma, childhood; cervical cancer; chordoma, childhood; chronic lymphocytic leukemia; chronic myelogenous leukemia; chronic myeloproliferative disorders; colon cancer; colorectal cancer; craniopharyngioma; cutaneous T-cell lymphoma; esophageal cancer; Ewing family of tumors; extragonadal germ cell tumor; extrahepatic bile duct cancer; eye cancer, intraocular melanoma; eye cancer, retinoblastoma; biliary track cancer, cholangiocarcinoma, anal cancer, neuroendocrine tumors, small bowel cancer, gallbladder cancer; gastric (stomach) cancer; gastrointestinal carcinoid tumor; gastrointestinal stromal tumor (gist); germ cell tumor, extracranial; germ cell tumor, extragonadal; germ cell tumor, ovarian; gestational trophoblastic tumor; glioma; glioma, childhood brain stem; glioma, childhood cerebral astrocytoma; glioma, childhood visual pathway and hypothalamic; hairy cell leukemia; head and neck cancer; hepatocellular (liver) cancer; histiocytosis, langerhans cell; Hodgkin lymphoma; hypopharyngeal cancer; hypothalamic and visual pathway glioma; intraocular melanoma; islet cell tumors; kidney (renal cell) cancer; Langerhans cell histiocytosis; laryngeal cancer; leukemia, acute lymphoblastic; leukemia, acute myeloid; leukemia, chronic lymphocytic; leukemia, chronic myelogenous; leukemia, hairy cell; lip and oral cavity cancer; liver cancer; lung cancer, non-small cell; lung cancer, small cell; lymphoma, aids-related; lymphoma, burkitt; lymphoma, cutaneous T-cell; lymphoma, non-Hodgkin lymphoma; lymphoma, primary central nervous system; macroglobulinemia, Waldenstrom; malignant fibrous histiocvtoma of bone and osteosarcoma; medulloblastoma; melanoma; melanoma, intraocular (eye); Merkel cell carcinoma; mesothelioma; metastatic squamous neck cancer with occult primary; mouth cancer; multiple endocrine neoplasia syndrome, (childhood); multiple myeloma/plasma cell neoplasm; mycosis; fungoides; myelodysplastic syndromes; myelodysplastic/myeloproliferative diseases; myelogenous leukemia, chronic; myeloid leukemia, adult acute; myeloid leukemia, childhood acute; myeloma, multiple; myeloproliferative disorders, chronic; nasal cavity and paranasal sinus cancer; nasopharyngeal cancer; neuroblastoma; non-small cell lung cancer; oral cancer; oral cavity cancer; oropharyngeal cancer; osteosarcoma and malignant fibrous histiocytoma of bone; ovarian cancer; ovarian epithelial cancer; ovarian germ cell tumor; ovarian low malignant potential tumor; pancreatic cancer, islet cell tumors; papillomatosis; parathyroid cancer; penile cancer; pharyngeal cancer; pheochromocytoma; pineal parenchymal tumors of intermediate differentiation; pineoblastoma and supratentorial primitive neuroectodermal tumors; pituitary tumor; plasma celt neoplasm/multiple myeloma; pleuropulmonary blastoma; primary central nervous system lymphoma; prostate cancer; rectal cancer; renal cell (kidney) cancer; renal pelvis and ureter, transitional cell cancer; respiratory tract carcinoma involving the nut gene on chromosome 15; retinoblastoma; rhabdomyosarcoma; salivary gland cancer; sarcoma, ewing family of tumors; sarcoma, Kaposi; sarcoma, soft tissue; sarcoma, uterine; sezary syndrome; skin cancer (nonmelanoma); skin cancer (melanoma); skin carcinoma, Merkel cell; small cell lung cancer; small intestine cancer; soft tissue sarcoma; squamous cell carcinoma, squamous neck cancer with occult primary, metastatic; stomach (gastric) cancer; supratentorial primitive neuroectodermal tumors; T-cell lymphoma, cutaneous; testicular cancer; throat cancer; thymoma and thymic carcinoma; thyroid cancer; transitional cell cancer of the renal pelvis and ureter; trophoblastic tumor, gestational; urethral cancer; uterine cancer, endometrial; uterine sarcoma; vaginal cancer; vulvar cancer; Waldenstrom macroglobulinemia; Wilms tumor, and any combination thereof.

[0254]

Control group samples may either be from a normal subject, samples from subjects with a known diagnosis of a disease or disorder associated with increased level of the antibody or the target thereof, samples from subjects with a known diagnosis of a disease or disorder associated with decreased level of the antibody or the target thereof, or any combination thereof. As described below, comparison of the expression patterns of the sample to be tested with those of the comparators can be used to assess the risk of developing a disease or disorder associated with decreased antibody level, increased level of the antibody or the target thereof, or any combination thereof in the subject. In some instances, the control groups are only for the purposes of establishing initial cutoffs or thresholds for the assays of the invention. Therefore, in some instances, the systems and methods of the invention can evaluate a treatment of a disease or disorder associated with decreased level of the antibody or target thereof, increased level of the antibody or target thereof, or any combination thereof without the need to compare with a control group.

Method of Diagnosing a Disease or Disorder

[0255]

The present invention further relates, in part, to a method of diagnosing a disease or disorder associated with at least one antibody or target thereof (e.g., an antibody level, antibody target level, antibody activity, or antibody target activity) in a subject in need thereof.

[0256]

In one aspect, the present invention provides a method of diagnosing a disease or disorder in a subject, the method comprising assessing the presence of at least one antibody in the subject, wherein the at least one antibody is identified to be associated with the disease or disorder according to the method described above. In one aspect, the present invention provides a method of diagnosing a disease or disorder in a subject, the method comprising assessing the level or activity of at least one antibody in the subject, wherein the at least one antibody is identified to be associated with the disease or disorder according to the method described above.

[0257]

In one embodiment, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody is different than the threshold level (e.g., the predetermined threshold level). In one embodiment, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody is higher than the threshold level (e.g., the predetermined threshold level). In some embodiments, the threshold level is obtained from control group samples. In one embodiment, the threshold is 0.

[0258]

In one embodiment, the subject is diagnosed with a disease or disorder by detecting an altered or increased level of an antibody that binds to at least one antibody target associated with the disease or disorder, relative to a control level. In some embodiments, the control level is a level of a particular marker (i.e., an antibody that binds to at least one antibody target associated with the disease or disorder) in a subject or population known not to have the disease.

[0259]

In various embodiments of the methods of the invention, the level (e.g., activity, amount, concentration, expression, level, etc.) of antibody is determined to be increased or to be higher when the level of antibody is determined to be more than 0.

[0260]

In various embodiments of the methods of the invention, the level (e.g., activity, amount, concentration, expression, level, etc.) of antibody is determined to be increased or to be higher when the level of antibody is determined to be increased by at least 0.01 fold, at least 0.05 fold, at least 0.07 fold, at least 0.076 fold, at least 0.1 fold, at least 0.18 fold, at least 0.19 fold, at least 0.3 fold, at least 0.36 fold, at least 0.37 fold, at least 0.38 fold, at least 0.4 fold, at least 0.43 fold, at least 1 fold, at least 1.1 fold, at least 1.2 fold, at least 1.3 fold, at least 1.4 fold, at least 1.5 fold, at least 1.6 fold, at least 1.7 fold, at least 1.8 fold, at least 1.9 fold, at least 2 fold, at least 2.1 fold, at least 2.2 fold, at least 2.3 fold, at least 2.4 fold, at least 2.5 fold, at least 2.6 fold, at least 2.7 fold, at least 2.8 fold, at least 2.9 fold, at least 3 fold, at least 3.5 fold, at least 4 fold, at least 4.5 fold, at least 5 fold, at least 5.5 fold, at least 6 fold, at least 6.5 fold, at least 7 fold, at least 7.5 fold, at least 8 fold, at least 8.5 fold, at least 9 fold, at least 9.5 fold, at least 10 fold, at least 11 fold, at least 12 fold, at least 13 fold, at least 14 fold, at least 15 fold, at least 16 fold, at least 16.3 fold, at least 16.31 fold, at least 20 fold, at least 25 fold, at least 26 fold, at least 26.7 fold, at least 26.72 fold, at least 30 fold, at least 40 fold, at least 50 fold, at least 75 fold, at least 100 fold, at least 192 fold, at least 192.4 fold, at least 192.44 fold, at least 200 fold, at least 250 fold, at least 500 fold, or at least 1000 fold, or at least 10000 fold, when compared with a comparator (e.g., the level of antibody in control group samples).

[0261]

In one embodiment, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody associated with the disease or disorder is increased or higher as compared to a comparator (e.g., the predetermined threshold level). For example, in some embodiments, the subject is diagnosed with a disease or disorder when at least one antibody associated with the disease or disorder is present in the subject (i.e., the level or activity of at least one antibody associated with the disease or disorder is more than 0). In some embodiments, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody associated with the disease or disorder is increased by at least 0.01 fold, or at least 0.18 fold. In some embodiments, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody associated with the disease or disorder is increased in a range from 0.1 fold to 10,000 fold.

[0262]

For example, in some embodiments, the subject is diagnosed with ANCA-associated vasculitis by detecting an altered or increased level of an antibody that binds to EDIL3, LY6H, TREM2, or any combination thereof, relative to a control level.

[0263]

In some embodiments, the subject is diagnosed with autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy by detecting an altered or increased level of an antibody that binds to FGF10, LRRC3B, VSTM2A, IL22, IL17F, IL17A, IL5, IL22RA2, IFNL2, IGSF4B, IL28B, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, or any combination thereof, relative to a control level.

[0264]

In some embodiments, the subject is diagnosed with antiphospholipid antibody syndrome by detecting an altered or increased level of an antibody that binds to IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IL6R, or any combination thereof, relative to a control level.

[0265]

In some embodiments, the subject is diagnosed with chronic inflammatory demyelinating polyradiculoneuropathy by detecting an altered or increased level of an antibody that binds to CXCL1, CXCL2, CXCL3, PDGFB, TMEM149, CD74, CXCL13, or any combination thereof, relative to a control level.

[0266]

In some embodiments, the subject is diagnosed with cutaneous lupus erythematosus by detecting an altered or increased level of an antibody that binds to CCL11, CCL24, CD300E, IFNL2, TMEM149, TYRO3, VEGFB, or any combination thereof, relative to a control level.

[0267]

In some embodiments, the subject is diagnosed with drug-induced lupus by detecting an altered or increased level of an antibody that binds to CXCL1, TNF, TSLP, or any combination thereof, relative to a control level.

[0268]

In some embodiments, the subject is diagnosed with dermatomyositis by detecting an altered or increased level of an antibody that binds to CD81, relative to a control level.

[0269]

In some embodiments, the subject is diagnosed with glomerulonephritis by detecting an altered or increased level of an antibody that binds to C1QTNF4, CCL17, CCL4L1, CXCL2, CXCL3, EDIL3, EPYC, IFNL2, IL34, PDGFB, RTN4RL1, TMEM149, TREM2, TSLP, or any combination thereof, relative to a control level.

[0270]

In some embodiments, the subject is diagnosed with mixed connective tissue disease by detecting an altered or increased level of an antibody that binds to BTNL8, CXCL3, EPYC, JCHAIN, SDC4, TSPAN2, VEGFB, or any combination thereof, relative to a control level.

[0271]

In some embodiments, the subject is diagnosed with myasthenia gravis by detecting an altered or increased level of an antibody that binds to CXCL2, PDGFB, REG4, CCL22, CCL2, or any combination thereof, relative to a control level.

[0272]

In some embodiments, the subject is diagnosed with neuromyelitis optica by detecting an altered or increased level of an antibody that binds to CXCL2, CXCL3, IGFBPL1, CCL22, IL1F9, LY6G6D, or any combination thereof, relative to a control level.

[0273]

In some embodiments, the subject is diagnosed with non-small cell lung cancer by detecting an altered or increased level of an antibody that binds to CCL17, CCL24, CXCL1, CXCL3, EDIL3, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNL2, IFNW1, IL28B, IL34, MADCAM1, PDGFB, REG1A, SDC1, BTN1A1, C6, CD207, CD3D, CDH19, COLEC12, EREG, FGF23, FGF7, FGFBP3, IGFBPL1, IL15RA, IL17F, IL1RAP, IL22RA2, IL4, IL4R, ITGA5, LAG3, LRRC4, MPZL3, NOTCH2NL, NTRK3, REG4, SCARA3, STIM2, TNFRSF10C, TNFRSF19L, TREML1, or any combination thereof, relative to a control level.

[0274]

In some embodiments, the subject is diagnosed with pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections by detecting an altered or increased level of an antibody that binds to LRP 11, relative to a control level.

[0275]

In some embodiments, the subject is diagnosed with sarcoidosis by detecting an altered or increased level of an antibody that binds to CX3CL1, EPYC, PGLYRP1, or any combination thereof, relative to a control level.

[0276]

In some embodiments, the subject is diagnosed with systemic lupus erythematosus by detecting an altered or increased level of an antibody that binds to BMPR2, BTNL8, C1QTNF4, CCL11, CCL15, CCL17, CCL24, CCL4L1, CD300E, CD44, CSPG5, CX3CL1, CXCL1, CXCL2, CXCL3, EDIL3, EPYC, FGF21, FGFRL1, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNB1, IFNL2, IFNW1, IGF2, IGSF4B, IL16, IL18RAP, IL19, IL1A, IL20RB, IL28B, IL29, L33, IL34, IL6, IL6R, JCHAIN, LGR6, LIF, LRTM2, LY6H, MADCAM1, MUC21, NGFR, PDCD1LG2, PDGFB, PGLYRP1, REG1A, REG1B, RTN4RL1, SDC1, SDC4, TGFA, TMEM149, TNF, TNFRSF10D, TNFRSF6, TREM2, TSLP, TSPAN2, TYRO3, VEGFB, or any combination thereof, relative to a control level.

[0277]

In some embodiments, the subject is diagnosed with sjogren's syndrome by detecting an altered or increased level of an antibody that binds to CXCL1, CXCL3, PDCD1LG2, or any combination thereof, relative to a control level.

[0278]

In some embodiments, the subject is diagnosed with susac syndrome by detecting an altered or increased level of an antibody that binds to CCL24, SDC4, TREML1, VSIG4, or any combination thereof, relative to a control level.

[0279]

In some embodiments, the subject is diagnosed with undifferentiated connective tissue disease by detecting an altered or increased level of an antibody that binds to CNTN5, TNF, or any combination thereof, relative to a control level.

[0280]

In one aspect, the present invention provides a method of diagnosing a disease or disorder in a subject, the method comprising assessing the presence of at least one antibody or autoantibody in a biological sample from the subject, wherein the at least one antibody or autoantibody is identified to be associated with the disease or disorder according to the methods described elsewhere herein. In one aspect, the present invention provides a method of diagnosing a disease or disorder in a subject, the method comprising detecting the binding of at least one autoantibody with at least one autoantigen as set forth in Table 3, and diagnosing the subject as having or at risk of having the associated disease or disorder as set forth in Table 3. In one aspect, the present invention provides a method of diagnosing a disease or disorder in a subject, the method comprising assessing detecting the binding of at least one autoantibody with at least one autoantigen as set forth in Table 4, and diagnosing the subject as having or at risk of having the associated disease or disorder as set forth in Table 4.

[0281]

In one aspect, the present invention provides a method of evaluating the effectiveness of a treatment for a disease or disorder in a subject, the method comprising assessing the presence of at least one antibody or autoantibody in a biological sample from the subject, wherein the at least one antibody or autoantibody is identified to be associated with the disease or disorder according to the methods described elsewhere herein. In one aspect, the present invention provides a method of evaluating the effectiveness of a treatment for a disease or disorder in a subject, the method comprising detecting the binding of at least one autoantibody with at least one autoantigen as set forth in Table 3, in a subject pre administration of a treatment regimen, post administration of a treatment regimen, or both pre- and post-administration of a treatment regimen. For example, in one embodiment, the treatment regimen comprises administration of an antibody, and the method of the invention is used to evaluate the effectiveness of the treatment regimen by detecting the presence of or an increased level of antibody reactivity with a target antigen following treatment. In one embodiment, the treatment regimen comprises administering a therapeutic agent to reduce or eliminate one or more autoantibodies, and the method of the invention is used to evaluate the effectiveness of the treatment regimen by detecting the absence of or a reduced level of antibody reactivity with a target antigen following treatment.

[0282]

In one embodiment, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody target associated with the disease or disorder is different than the threshold level. In one embodiment, the subject is diagnosed with a disease or disorder when the level or activity (e.g., activity, amount, concentration, expression, level, etc.) of at least one antibody target associated with the disease or disorder is higher than the threshold level. In some embodiments, the threshold level is obtained from control group samples.

[0283]

In one embodiment, the subject is diagnosed with a disease or disorder by detecting an altered or increased level of an antibody target associated with the disease or disorder, relative to a control level. In some embodiments, the control level is a level of a particular marker (i.e., an antibody that binds to at least one antibody target associated with the disease or disorder) in a subject or population known not to have the disease. In various embodiments of the methods of the invention, the level (e.g., activity, amount, concentration, expression, level, etc.) of antibody target is determined to be increased or to be higher when the level of antibody target is determined to be increased by at least 0.01 fold, at least 0.05 fold, at least 0.07 fold, at least 0.076 fold, at least 0.1 fold, at least 0.18 fold, at least 0.19 fold, at least 0.3 fold, at least 0.36 fold, at least 0.37 fold, at least 0.38 fold, at least 0.4 fold, at least 0.43 fold, at least 1 fold, at least 1.1 fold, at least 1.2 fold, at least 1.3 fold, at least 1.4 fold, at least 1.5 fold, at least 1.6 fold, at least 1.7 fold, at least 1.8 fold, at least 1.9 fold, at least 2 fold, at least 2.1 fold, at least 2.2 fold, at least 2.3 fold, at least 2.4 fold, at least 2.5 fold, at least 2.6 fold, at least 2.7 fold, at least 2.8 fold, at least 2.9 fold, at least 3 fold, at least 3.5 fold, at least 4 fold, at least 4.5 fold, at least 5 fold, at least 5.5 fold, at least 6 fold, at least 6.5 fold, at least 7 fold, at least 7.5 fold, at least 8 fold, at least 8.5 fold, at least 9 fold, at least 9.5 fold, at least 10 fold, at least 11 fold, at least 12 fold, at least 13 fold, at least 14 fold, at least 15 fold, at least 16 fold, at least 16.3 fold, at least 16.31 fold, at least 20 fold, at least 25 fold, at least 26 fold, at least 26.7 fold, at least 26.72 fold, at least 30 fold, at least 40 fold, at least 50 fold, at least 75 fold, at least 100 fold, at least 192 fold, at least 192.4 fold, at least 192.44 fold, at least 200 fold, at least 250 fold, at least 500 fold, or at least 1000 fold, or at least 10000 fold, when compared with a comparator (e.g., the level of antibody target in control group samples).

[0284]

In one embodiment, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody target associated with the disease or disorder is increased or higher as compared to a comparator (e.g., the predetermined threshold level). For example, in some embodiments, the subject is diagnosed with a disease or disorder when at least one antibody target associated with the disease or disorder is present in the subject (i.e., the level or activity of at least one antibody target associated with the disease or disorder is more than 0). In some embodiments, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody target associated with the disease or disorder is increased by at least 0.01 fold, or at least 0.18 fold. In some embodiments, the subject is diagnosed with a disease or disorder when the level or activity of at least one antibody target associated with the disease or disorder is increased in a range from 0.1 fold to 10,000 fold.

Method of Preventing or Treating a Disease or Disorder

[0285]

The present invention further relates, in part, to methods of preventing or treating a diseases or disorders associated with at least one antibody or target thereof (e.g., an antibody level, antibody target level, antibody activity, or antibody target activity) in a subject in need thereof. In one aspect, the method comprises administering a treatment to the subject comprising eliminating or modifying the level (e.g., activity, amount, concentration, expression, level, etc.) of at least one antibody target that is identified to be the antibody target associated with the disease or disorder according to the method of the present invention.

[0286]

In one aspect, the present invention relates to a method of preventing or treating a disease or disorder associated with at least one antibody target in a subject in need thereof. In one embodiment, the method comprises administering a treatment to reduce the level (e.g., activity, amount, concentration, expression, level, etc.) of the antibody target identified to be associated with the disease or disorder according to the method of the present invention in the subject. In one embodiment, the treatment comprises inhibiting at least one antibody target associated with the disease or disorder. In one embodiment, the treatment comprises administering a therapeutically effective amount of an inhibitor of at least one antibody target associated with the disease or disorder. For example, in some embodiments, the inhibitor of the antibody target is an antibody, nucleic acid, peptide, small molecule, antagonist, aptamer, peptidomemetic, or a combination thereof.

[0287]

In one aspect, the present invention relates to a method of preventing or treating a disease or disorder associated with an increased level of at least one antibody target in a subject in need thereof. In one embodiment, the method comprises administering a treatment to reduce the level (e.g., activity, amount, concentration, expression, level, etc.) of the antibody target identified to be associated with the disease or disorder according to the method of the present invention in the subject. In one embodiment, the treatment comprises inhibiting at least one antibody target associated with the disease or disorder. In one embodiment, the treatment comprises administering a therapeutically effective amount of an inhibitor of at least one antibody target associated with the disease or disorder. For example, in some embodiments, the inhibitor of the antibody target is an antibody For example, in some embodiments, the inhibitor of the antibody target is an antibody, nucleic acid, peptide, small molecule, antagonist, aptamer, peptidomemetic, or a combination thereof.

[0288]

In one aspect, the present invention relates to a method of preventing or treating a disease or disorder associated with a decreased level of at least one antibody target in a subject in need thereof. In one embodiment, the method comprises administering a treatment to increase the level (e.g., activity, amount, concentration, expression, level, etc.) of the antibody target identified to be associated with the disease or disorder according to the method of the present invention in the subject. In one embodiment, the treatment comprises activating at least one antibody target associated with the disease or disorder. For example, in some embodiments, the treatment comprises increasing the level or activity of at least one antibody target associated with the disease or disorder by administering a therapeutically effective amount of at least one antibody target associated with the disease or disorder or a fragment thereof, nucleic acid sequences encoding the antibody target associated with the disease or disorder or a fragment thereof, inhibitor of the antibody that specifically binds to the antibody target, therapeutic agent, or a combination thereof. In some embodiments, the inhibitor of the antibody that specifically binds to the antibody target is an antibody, therapeutic agent, or a combination thereof.

[0289]

The present invention also relates, in part, to methods of preventing or treating a disease or disorder associated with at least one antibody (e.g., antibody level or activity) in a subject in need thereof. In one aspect, the method comprises administering a treatment to the subject comprising modifying the level (e.g., activity, amount, concentration, expression, level, etc.) of at least one antibody that binds to an antigen associated with the disease or disorder according to the method of the present invention.

[0290]

In one aspect, the present invention relates to a method of preventing or treating a disease or disorder associated with at least one antibody in a subject in need thereof. In one embodiment, the method comprises administering a treatment to reduce the level (e.g., activity, amount, concentration, expression, level, etc.) of the antibody identified to be associated with the disease or disorder according to the method of the present invention in the subject. In one embodiment, the treatment comprises inhibiting at least one antibody associated with the disease or disorder. In one embodiment, the treatment comprises administering a therapeutically effective amount of an inhibitor of at least one antibody associated with the disease or disorder. For example, in some embodiments, the inhibitor of the antibody is a composition comprising an antigen identified according to the methods of the invention, or a fragment thereof, that specifically binds to the antibody associated with the disease or disorder. In some embodiments, the composition comprising the antigen further comprises a therapeutic agent, a nucleic acid, a peptide, an antibody, a small molecule, or a combination thereof.

[0291]

In one aspect, the present invention relates to a method of preventing or treating a disease or disorder associated with at least one antibody in a subject in need thereof. In one embodiment, the method comprises administering a therapeutic agent for decreasing the level (e.g., activity, amount, concentration, expression, level, etc.) of at least one antibody identified to be associated with the disease or disorder according to the method of the present invention in the subject. In one embodiment, the method comprises administering a therapeutic agent for inhibiting the reactivity of at least one antibody with at least one antigen identified to be associated with the disease or disorder according to the method of the present invention in the subject. In one embodiment, the method comprises inhibiting the reactivitiy of at least of antibody with at least one antigen for the treatment of the associated disease as set forth in Table 3. In one embodiment, the method comprises modulating the reactivitiy of at least of antibody with at least one antigen for the treatment of the associated disease as set forth in Table 3.

[0292]

Exemplary therapeutic autoantigens whose reactivities with autoantibodies can be increased for the treatment of diseases and disorders include, but are not limited to, those autoantigens identified in Table 5, and associated diseases. Therefore, in one embodiment, the methods of the invention include methods of admininstering an autoantibody directed to autoantigen as set forth in Table 5, or a fragment thereof.

[0293]

Exemplary autoantigens whose reactivities with autoantibodies can be inhibited or decreased for the treatment of diseases and disorders include, but are not limited to, those autoantigens identified in Table 6, and associated diseases. Therefore, in one embodiment, the methods of the invention include methods of admininstering an agent to decrease the level or activity of an autoantibody directed to autoantigen as set forth in Table 6, or a fragment thereof.

[0294]

In one embodiment, the methods of the invention include methods of administering a fusion molecule comprising an antigen identified according to the methods of the invention fused to a domain to support degradation of an antibody. Exemplary domains to promote internalization and degradation of autoantibodies include, but are not limited to, an asialoglycoprotein receptor binding domain. In such an embodiment, binding of the autoantibody to the fusion antigen would result in targeted degradation of the bound autoantibody. Therefore, in some embodiments, the invention relates to fusion molecules comprising the antigens as set forth in Table 3 fused to a molecule for endocytosis and degradation, and their use for treating the associated disease or disorder as set forth in Table 3. In some embodiments, the invention relates to fusion molecules comprising the antigens as set forth in Table 6 fused to a molecule for endocytosis and degradation, and their use for treating the associated disease or disorder as set forth in Table 6.

[0295]

In one embodiment, the methods of the invention include methods of directing T cells to B cells expressing autoantibodies. For example, in one embodiment, the invention provides compositions comprising engineered T cells expressing an autoantigen identified according to the methods of the invention, and their use to target auto-antigen expressing B cells for depletion or killing. Therefore, in various embodiments, the invention includes engineered T cells, including but not limited to, CAR-T cells and CAAR-T cells, expressing an antigen as set forth in Table 3, and the use thereof for the treatment of the associated disease or disorder as set forth in Table 3. Therefore, in various embodiments, the invention includes engineered T cells, including but not limited to, CAR-T cells and CAAR-T cells, expressing an antigen as set forth in Table 6, and the use thereof for the treatment of the associated disease or disorder as set forth in Table 6.

[0296]

In some embodiments, the method of preventing or treating COVID-19 comprises administering a treatment to the subject for decreasing the level or activity of at least one autoantibody directed to IFITM10, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNW1, KLRC1, KLRC2, KLRC3, CCR2, CD38, C5A, CCR4, CD3E, TNFRSF9, ADCYAP1, CGA, HCTR2, AZGP1, SCC41A2 or LAIR1 or any combination thereof. In some embodiments, the method of preventing or treating COVID-19 comprises administering a composition comprising at least one of IFITM10, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNW1, KLRC1, KLRC2, KLRC3, CCR2, CD38, C5A, CCR4, CD3E, TNFRSF9, ADCYAP1, CGA, HCTR2, AZGP1, SCC41A2 and LAIR1, and further comprising a domain for degradation of an autoantibody directed to at least one of IFITM10, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNW1, KLRC1, KLRC2, KLRC3, CCR2, CD38, C5A, CCR4, CD3E, TNFRSF9, ADCYAP1, CGA, HCTR2, AZGP1, SCC41A2 and LAIR1. In one embodiment, the method of preventing or treating COVID-19 comprises administering a composition comprising a CAR T cell expressing at least one of IFITM10, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNW1, KLRC1, KLRC2, KLRC3, CCR2, CD38, C5A, CCR4, CD3E, TNFRSF9, ADCYAP1, CGA, HCTR2, AZGP1, SCC41A2 and LAIR1.

[0297]

In some embodiments, the method of preventing or treating a disease or disorder associated with kidney transplant comprises administering a treatment to the subject for decreasing the level or activity of at least one autoantibody directed to IL4, EXOC3-AS1, IFNA13, CD99L2, OSTN, SYCN, LYG2, BTN1A1, or any combination thereof. In some embodiments, the method of preventing or treating a disease or disorder associated with kidney transplant comprises administering a composition comprising at least one of IL4, EXOC3-AS1, IFNA13, CD99L2, OSTN, SYCN, LYG2, and BTN1A1, and further comprising a domain for degradation of an autoantibody directed to at least one of IL4, EXOC3-AS1, IFNA13, CD99L2, OSTN, SYCN, LYG2, and BTN1A1. In one embodiment, the method of preventing or treating a disease or disorder associated with kidney transplant comprises administering a composition comprising a CAR T cell expressing at least one of IL4, EXOC3-AS1, IFNA13, CD99L2, OSTN, SYCN, LYG2, and BTN1A1.

[0298]

In some embodiments, the method of preventing or treating malignant melanoma comprises administering a treatment to the subject for decreasing the level or activity of at least one autoantibody directed to IFNA13, OBP2B, TMEM108, CELAl, OTOL1, ATP4B, ICOSLG, REG1A, CCL24, TMEM91, LALBA, ITPRIPL1, LCN2, BTN1A1, OS9, FGF17 or any combination thereof. In some embodiments, the method of preventing or treating malignant melanoma comprises administering a composition comprising at least one of IFNA13, OBP2B, TMEM108, CELAl, OTOL1, ATP4B, ICOSLG, REG1A, CCL24, TMEM91, LALBA, ITPRIPL1, LCN2, BTN1A1, OS9, and FGF17, and further comprising a domain for degradation of an autoantibody directed to at least one of IFNA13, OBP2B, TMEM108, CELAl, OTOL1, ATP4B, ICOSLG, REG1A, CCL24, TMEM91, LALBA, ITPRIPL1, LCN2, BTN1A1, OS9, and FGF17. In one embodiment, the method of preventing or treating malignant melanoma comprises administering a composition comprising a CAR T cell expressing at least one of IFNA13, OBP2B, TMEM108, CELAl, OTOL1, ATP4B, ICOSLG, REG1A, CCL24, TMEM91, LALBA, ITPRIPL1, LCN2, BTN1A1, OS9, FGF17.

[0299]

In some embodiments, the method of preventing or treating non-small cell lung cancer comprises administering a treatment to the subject for decreasing the level or activity of at least one autoantibody directed to IFNL2, VSTM2A, PDGFB or any combination thereof. In some embodiments, the method of preventing or treating non-small cell lung cancer comprises administering a composition comprising at least one of IFNL2, VSTM2A, and PDGFB, and further comprising a domain for degradation of an autoantibody directed to at least one of IFNL2, VSTM2A, and PDGFB. In one embodiment, the method of preventing or treating non-small cell lung cancer comprises administering a composition comprising a CAR T cell expressing at least one of IFNL2, VSTM2A, and PDGFB.

[0300]

In some embodiments, the method of preventing or treating systemic lupus erythematosus comprises administering a treatment to the subject for decreasing the level or activity of at least one autoantibody directed to TMEM102, CCL8, CCL4L1, ACVR2B, FGF21, IGFBP2, RGMB, ACVR1B, ACRV1, SCGB1D1, TFF2, SFN, ANTXRL, SLC41A2, CD248 or any combination thereof. In some embodiments, the method of preventing or treating systemic lupus erythematosus comprises administering a composition comprising at least one of TMEM102, CCL8, CCL4L1, ACVR2B, FGF21, IGFBP2, RGMB, ACVR1B, ACRV1, SCGB1D1, TFF2, SFN, ANTXRL, SLC41A2, and CD248, and further comprising a domain for degradation of an autoantibody directed to at least one of TMEM102, CCL8, CCL4L1, ACVR2B, FGF21, IGFBP2, RGMB, ACVR1B, ACRV1, SCGB1D1, TFF2, SFN, ANTXRL, SLC41A2, and CD248. In one embodiment, the method of preventing or treating systemic lupus erythematosus comprises administering a composition comprising a CAR T cell expressing at least one of TMEM102, CCL8, CCL4L1, ACVR2B, FGF21, IGFBP2, RGMB, ACVR1B, ACRV1, SCGB1D1, TFF2, SFN, ANTXRL, SLC41A2, and CD248.

[0301]

In one aspect, the present invention relates to a method of preventing or treating a disease or disorder associated with insufficient level of at least one antibody in a subject in need thereof. In one embodiment, the method comprises administering a treatment for decreasing the level (e.g., activity, amount, concentration, expression, level, etc.) of an antigen identified to be associated with the disease or disorder according to the method of the present invention in the subject. In one embodiment, the treatment comprises administering at least one antibody specific for binding to the antigen. For example, in some embodiments, the treatment comprises decreasing the level or activity of at least one autoantigen associated with a disease or disorder by administering a therapeutically effective amount of at least one antibody, or a fragment thereof, specific for binding to the antigen, a nucleic acid sequence encoding the antibody, or a fragment thereof, a therapeutic agent, nucleic acid, peptide, small molecule, antagonist, aptamer, peptidomemetic, or a combination thereof, or a combination thereof.

[0302]

For example, in some embodiments, the method of preventing or treating autoimmune polyendocrinopathy candidiasis ecto-dermal dystrophy comprises administering a treatment to the subject for modulating the level or activity of IL22RA2, or administering an antibody that binds to IL22RA2.

[0303]

In some embodiments, the method of preventing or treating cutaneous lupus erythematosus comprises administering a treatment to the subject for modulating the level or activity of CD300E, TYRO3, or any combination thereof, or administering an antibody that binds to CD300E, TYRO3, or any combination thereof.

[0304]

In some embodiments, the method of preventing or treating COVID-19 comprises administering a treatment to the subject for modulating the level or activity of IL13, IL18RAP, TNFRSF8, CCR10, CD74, TNFRSF17, CCR9, CRTAM, C6, or any combination thereof, or administering an antibody that binds to IL13, IL18RAP, TNFRSF8, CCR10, CD74, TNFRSF17, CCR9, CRTAM, C6, or any combination thereof.

[0305]

In some embodiments, the method of preventing or treating dermatomyositis comprises administering a treatment to the subject for modulating the level or activity of CD81, or administering an antibody that binds to CD81.

[0306]

In some embodiments, the method of preventing or treating glomerulonephritis comprises administering a treatment to the subject for modulating the level or activity of IL34, or administering an antibody that binds to IL34.

[0307]

In some embodiments, the method of preventing or treating a disease or disorder associated with kidney transplant comprises administering a treatment to the subject for modulating the level or activity of IGFBP1, IL15RA, NXPH1, CST5, C6, or any combination thereof, or administering an antibody that binds to IGFBP1, IL15RA, NXPH1, CST5, C6, or any combination thereof.

[0308]

In some embodiments, the method of preventing or treating myasthenia gravis comprises administering a treatment to the subject for modulating the level or activity of CCL22, CCL2, or any combination thereof, or administering an antibody that binds to CCL22, CCL2, or any combination thereof.

[0309]

In some embodiments, the method of preventing or treating malignant melanoma comprises administering a treatment to the subject for modulating the level or activity of PSORS1C2, LHFPL1, PTPRR, ZG16B, IGF1, IFLL1, LRIT3, VEGFB, or any combination thereof, or administering an antibody that binds to PSORS1C2, LHFPL1, PTPRR, ZG16B, IGF1, IFLL1, LRIT3, VEGFB, or any combination thereof.

[0310]

In some embodiments, the method of preventing or treating neuromyelitis opticas comprises administering a treatment to the subject for modulating the level or activity of CCL22, IL1F9, or any combination thereof, or administering an antibody that binds to CCL22, IL1F9, or any combination thereof.

[0311]

In some embodiments, the method of preventing or treating non-small cell lung cancer comprises administering a treatment to the subject for modulating the level or activity of CCL22, FGF23, FGF7, EREG, CXCL1, CXCL2, CXCL3, VEGFB, IL1A, LAG3, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNL2, IFNW1, IL34, IL22RA2, IGFBPL1 or any combination thereof, or an administering antibody that binds to CCL22, FGF23, FGF7, EREG, CXCL1, CXCL2, CXCL3, VEGFB, IL1A, LAG3, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNL2, IFNW1, IL34, IL22RA2, IGFBPL1 or any combination thereof.

[0312]

In some embodiments, the method of preventing or treating systemic lupus erythematosus comprises administering a treatment to the subject for modulating the level or activity of PDCD1LG2, LIF, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNB1, IFNL2, IFNW1, IL6, IL6R, IL33, IL34, IL16, IL19, IL20RB, IL18RAP, MADCAM1, TNF, TRAILR4, TYRO3, CD44, CD300E, FGF21, CXCL1, CXCL2, CXCL3, VEGFB, IL1A, LILRB2, LILRB4 or any combination thereof, or administering an antibody that binds to PDCD1LG2, LIF, IFNA13, IFNA14, IFNA17, IFNA2, IFNA5, IFNA6, IFNA8, IFNB1, IFNL2, IFNW1, IL6, TL6R, IL33, IL34, IL16, IL19, IL20RB, IL18RAP, MADCAM1, TNF, TRAILR4, TYRO3, CD44, CD300E, FGF21, CXCL1, CXCL2, CXCL3, VEGFB, IL1A, LILRB2, LILRB4 or any combination thereof.

[0313]

In some embodiments, the method of preventing or treating sjogren's syndrome comprises administering a treatment to the subject for modulating the level or activity of PDCD1LG2, or administering an antibody that binds to PDCD1LG2.

[0314]

In one embodiment, the invention relates to the use of therapeutic agent to modulate the reactivity of at least one autoantibody with at least one autoantigen of the invention. Examples of therapeutic agents include, but are not limited to, one or more drugs, metabolites, metabolic inhibitors, proteins, amino acids, peptides, antibodies, medical imaging agents, therapeutic moieties, one or more non-therapeutic moieties or a combination to target cancer or atherosclerosis, selected from folic acid, peptides, proteins, aptamers, antibodies, siRNA, poorly water soluble drugs, anti-cancer drugs, antibiotics, analgesics, vaccines, anticonvulsants; anti-diabetic agents, antifungal agents, antineoplastic agents, anti-parkinsonian agents, anti-rheumatic agents, appetite suppressants, biological response modifiers, cardiovascular agents, central nervous system stimulants, contraceptive agents, dietary supplements, vitamins, minerals, lipids, saccharides, metals, amino acids (and precursors), nucleic acids and precursors, contrast agents, diagnostic agents, dopamine receptor agonists, erectile dysfunction agents, fertility agents, gastrointestinal agents, hormones, immunomodulators, antihypercalcemia agents, mast cell stabilizers, muscle relaxants, nutritional agents, ophthalmic agents, osteoporosis agents, psychotherapeutic agents, parasympathomimetic agents, parasympatholytic agents, respiratory agents, sedative hypnotic agents, skin and mucous membrane agents, smoking cessation agents, steroids, sympatholytic agents, urinary tract agents, uterine relaxants, vaginal agents, vasodilator, anti-hypertensive, hyperthyroids, anti-hyperthyroids, anti-asthmatics and vertigo agents, anti-tumor agents, including cytotoxic/antineoplastic agents and anti-angiogenic agents, or any combination thereof.

[0315]

Cytotoxic/anti-neoplastic agents are defined as agents which attack and kill cancer cells. Some cytotoxic/anti-neoplastic agents are alkylating agents, which alkylate the genetic material in tumor cells, e.g., cis-platin, cyclophosphamide, nitrogen mustard, trimethylene thiophosphoramide, carmustine, busulfan, chlorambucil, belustine, uracil mustard, chlomaphazin, and dacabazine. Other cytotoxic/anti-neoplastic agents are antimetabolites for tumor cells, e.g., cytosine arabinoside, fluorouracil, methotrexate, mercaptopuirine, azathioprime, and procarbazine. Other cytotoxic/anti-neoplastic agents are antibiotics, e.g., doxorubicin, bleomycin, dactinomycin, daunorubicin, mithramycin, mitomycin, mytomycin C, and daunomycin. There are numerous liposomal formulations commercially available for these compounds. Still other cytotoxic/anti-neoplastic agents are mitotic inhibitors (vinca alkaloids). These include vincristine, vinblastine and etoposide. Miscellaneous cytotoxic/anti-neoplastic agents include taxol and its derivatives, L-asparaginase, anti-tumor antibodies, dacarbazine, azacytidine, amsacrine, melphalan, VM-26, ifosfamide, mitoxantrone, and vindesine.

[0316]

Anti-angiogenic agents are well known to those of skill in the art. Suitable anti-angiogenic agents for use in the methods of the present disclosure include anti-VEGF antibodies, including humanized and chimeric antibodies, anti-VEGF aptamers and antisense oligonucleotides. Other known inhibitors of angiogenesis include angiostatin, endostatin, interferons, interleukin 1 (including alpha and beta) interleukin 12, retinoic acid, and tissue inhibitors of metalloproteinase-1 and -2. (TIMP-1 and -2). Small molecules, including topoisomerases such as razoxane, a topoisomerase II inhibitor with anti-angiogenic activity, can also be used.

[0317]

Other anti-cancer agents that can be used in combination with the disclosed compounds include, but are not limited to: acivicin; aclarubicin; acodazole hydrochloride; acronine; adozelesin; aldesleukin; altretamine; ambomycin; ametantrone acetate; aminoglutethimide; amsacrine; anastrozole; anthramycin; asparaginase; asperlin; azacitidine; azetepa; azotomycin; batimastat; benzodepa; bicalutamide; bisantrene hydrochloride; bisnafide dimesylate; bizelesin; bleomycin sulfate; brequinar sodium; bropirimine; busulfan; cactinomycin; calusterone; caracemide; carbetimer; carboplatin; carmustine; carubicin hydrochloride; carzelesin; cedefingol; chlorambucil; cirolemycin; cisplatin; cladribine; crisnatol mesylate; cyclophosphamide; cytarabine; dacarbazine; dactinomycin; daunorubicin hydrochloride; decitabine; dexormaplatin; dezaguanine; dezaguanine mesylate; diaziquone; docetaxel; doxorubicin; doxorubicin hydrochloride; droloxifene; droloxifene citrate; dromostanolone propionate; duazomycin; edatrexate; eflornithine hydrochloride; elsamitrucin; enloplatin; enpromate; epipropidine; epirubicin hydrochloride; erbulozole; esorubicin hydrochloride; estramustine; estramustine phosphate sodium; etanidazole; etoposide; etoposide phosphate; etoprine; fadrozole hydrochloride; fazarabine; fenretinide; floxuridine; fludarabine phosphate; fluorouracil; fluorocitabine; fosquidone; fostriecin sodium; gemcitabine; gemcitabine hydrochloride; hydroxyurea; idarubicin hydrochloride; ifosfamide; ilmofosine; interleukin II (including recombinant interleukin II, or rIL2), interferon alfa-2a; interferon alfa-2b; interferon alfa-n1; interferon alfa-n3; interferon beta-I a; interferon gamma-I b; iproplatin; irinotecan hydrochloride; lanreotide acetate; letrozole; leuprolide acetate; liarozole hydrochloride; lometrexol sodium; lomustine; losoxantrone hydrochloride; masoprocol; maytansine; mechlorethamine hydrochloride; megestrol acetate; melengestrol acetate; melphalan; menogaril; mercaptopurine; methotrexate; methotrexate sodium; metoprine; meturedepa; mitindomide; mitocarcin; mitocromin; mitogillin; mitomalcin; mitomycin; mitosper; mitotane; mitoxantrone hydrochloride; mycophenolic acid; nocodazole; nogalamycin; ormaplatin; oxisuran; paclitaxel; pegaspargase; peliomycin; pentamustine; peplomycin sulfate; perfosfamide; pipobroman; piposulfan; piroxantrone hydrochloride; plicamycin; plomestane; porfimer sodium; porfiromycin; prednimustine; procarbazine hydrochloride; puromycin; puromycin hydrochloride; pyrazofurin; riboprine; rogletimide; safingol; safingol hydrochloride; semustine; simtrazene; sparfosate sodium; sparsomycin; spirogermanium hydrochloride; spiromustine; spiroplatin; streptonigrin; streptozocin; sulofenur; talisomycin; tecogalan sodium; tegafur; teloxantrone hydrochloride; temoporfin; teniposide; teroxirone; testolactone; thiamiprine; thioguanine; thiotepa; tiazofurin; tirapazamine; toremifene citrate; trestolone acetate; triciribine phosphate; trimetrexate; trimetrexate glucuronate; triptorelin; tubulozole hydrochloride; uracil mustard; uredepa; vapreotide; verteporfin; vinblastine sulfate; vincristine sulfate; vindesine; vindesine sulfate; vinepidine sulfate; vinglycinate sulfate; vinleurosine sulfate; vinorelbine tartrate; vinrosidine sulfate; vinzolidine sulfate; vorozole; zeniplatin; zinostatin; zorubicin hydrochloride. Other anti-cancer drugs include, but are not limited to: 20-epi-1,25 dihydroxyvitamin D3; 5-ethynyluracil; abiraterone; aclarubicin; acylfulvene; adecypenol; adozelesin; aldesleukin; ALL-TK antagonists; altretamine; ambamustine; amidox; amifostine; aminolevulinic acid; amrubicin; amsacrine; anagrelide; anastrozole; andrographolide; angiogenesis inhibitors; antagonist D; antagonist G; antarelix; anti-dorsalizing morphogenetic protein-1; antiandrogen, prostatic carcinoma; antiestrogen; antineoplaston; antisense oligonucleotides; aphidicolin glycinate; apoptosis gene modulators; apoptosis regulators; apurinic acid; ara-CDP-DL-PTBA; arginine deaminase; asulacrine; atamestane; atrimustine; axinastatin 1; axinastatin 2; axinastatin 3; azasetron; azatoxin; azatyrosine; baccatin III derivatives; balanol; batimastat; BCR/ABL antagonists; benzochlorins; benzoylstaurosporine; beta lactam derivatives; beta-alethine; betaclamycin B; betulinic acid; bFGF inhibitor; bicalutamide; bisantrene; bisaziridinylspermine; bisnafide; bistratene A; bizelesin; breflate; bropirimine; budotitane; buthionine sulfoximine; calcipotriol; calphostin C; camptothecin derivatives; canarypox IL-2; capecitabine; carboxamide-amino-triazole; carboxyamidotriazole; CaRest M3; CARN 700; cartilage derived inhibitor; carzelesin; casein kinase inhibitors (ICOS); castanospermine; cecropin B; cetrorelix; chlorins; chloroquinoxaline sulfonamide; cicaprost; cis-porphyrin; cladribine; clomifene analogues; clotrimazole; collismycin A; collismycin B; combretastatin A4; combretastatin analogue; conagenin; crambescidin 816; crisnatol; cryptophycin 8; cryptophycin A derivatives; curacin A; cyclopentanthraquinones; cycloplatam; cypemycin; cytarabine ocfosfate; cytolytic factor; cytostatin; dacliximab; decitabine; dehydrodidemnin B; deslorelin; dexamethasone; dexifosfamide; dexrazoxane; dexverapamil; diaziquone; didemnin B; didox; diethylnorspermine; dihydro-5-azacytidine; dihydrotaxol, 9-; dioxamycin; diphenyl spiromustine; docetaxel; docosanol; dolasetron; doxifluridine; droloxifene; dronabinol; duocarmycin SA; ebselen; ecomustine; edelfosine; edrecolomab; eflornithine; elemene; emitefur; epirubicin; epristeride; estramustine analogue; estrogen agonists; estrogen antagonists; etanidazole; etoposide phosphate; exemestane; fadrozole; fazarabine; fenretinide; filgrastim; finasteride; flavopiridol; flezelastine; fluasterone; fludarabine; fluorodaunorunicin hydrochloride; forfenimex; formestane; fostriecin; fotemustine; gadolinium texaphyrin; gallium nitrate; galocitabine; ganirelix; gelatinase inhibitors; gemcitabine; glutathione inhibitors; hepsulfam; heregulin; hexamethylene bisacetamide; hypericin; ibandronic acid; idarubicin; idoxifene; idramantone; ilmofosine; ilomastat; imidazoacridones; imiquimod; immunostimulant peptides; insulin-like growth factor-1 receptor inhibitor; interferon agonists; interferons; interleukins; iobenguane; iododoxorubicin; ipomeanol, 4-; iroplact; irsogladine; isobengazole; isohomohalicondrin B; itasetron; jasplakinolide; kahalalide F; lamellarin-N triacetate; lanreotide; leinamycin; lenograstim; lentinan sulfate; leptolstatin; letrozole; leukemia inhibiting factor; leukocyte alpha interferon; leuprolide+estrogen+progesterone; leuprorelin; levamisole; liarozole; linear polyamine analogue; lipophilic disaccharide peptide; lipophilic platinum compounds; lissoclinamide 7; lobaplatin; lombricine; lometrexol; lonidamine; losoxantrone; lovastatin; loxoribine; lurtotecan; lutetium texaphyrin; lysofylline; lytic peptides; maitansine; mannostatin A; marimastat; masoprocol; maspin; matrilysin inhibitors; matrix metalloproteinase inhibitors; menogaril; merbarone; meterelin; methioninase; metoclopramide; MIF inhibitor; mifepristone; miltefosine; mirimostim; mismatched double stranded RNA; mitoguazone; mitolactol; mitomycin analogues; mitonafide; mitotoxin fibroblast growth factor-saporin; mitoxantrone; mofarotene; molgramostim; monoclonal antibody, human chorionic gonadotrophin; monophosphoryl lipid A+myobacterium cell wall sk; mopidamol; multiple drug resistance gene inhibitor; multiple tumor suppressor 1-based therapy; mustard anticancer agent; mycaperoxide B; mycobacterial cell wall extract; myriaporone; N-acetyldinaline; N-substituted benzamides; nafarelin; nagrestip; naloxone+pentazocine; napavin; naphterpin; nartograstim; nedaplatin; nemorubicin; neridronic acid; neutral endopeptidase; nilutamide; nisamycin; nitric oxide modulators; nitroxide antioxidant; nitrullyn; 06-benzylguanine; octreotide; okicenone; oligonucleotides; onapristone; ondansetron; ondansetron; oracin; oral cytokine inducer; ormaplatin; osaterone; oxaliplatin; oxaunomycin; paclitaxel; paclitaxel analogues; paclitaxel derivatives; palauamine; palmitoylrhizoxin; pamidronic acid; panaxytriol; panomifene; parabactin; pazelliptine; pegaspargase; peldesine; pentosan polysulfate sodium; pentostatin; pentrozole; perflubron; perfosfamide; perillyl alcohol; phenazinomycin; phenylacetate; phosphatase inhibitors; picibanil; pilocarpine hydrochloride; pirarubicin; piritrexim; placetin A; placetin B; plasminogen activator inhibitor; platinum complex; platinum compounds; platinum-triamine complex; porfimer sodium; porfiromycin; prednisone; propyl bis-acridone; prostaglandin J2; proteasome inhibitors; protein A-based immune modulator; protein kinase C inhibitor; protein kinase C inhibitors, microalgal; protein tyrosine phosphatase inhibitors; purine nucleoside phosphorylase inhibitors; purpurins; pyrazoloacridine; pyridoxylated hemoglobin polyoxyethylene conjugate; raf antagonists; raltitrexed; ramosetron; ras farnesyl protein transferase inhibitors; ras inhibitors; ras-GAP inhibitor; retelliptine demethylated; rhenium Re 186 etidronate; rhizoxin; ribozymes; RII retinamide; rogletimide; rohitukine; romurtide; roquinimex; rubiginone B1; ruboxyl; safingol; saintopin; SarCNU; sarcophytol A; sargramostim; Sdi 1 mimetics; semustine; senescence derived inhibitor 1; sense oligonucleotides; signal transduction inhibitors; signal transduction modulators; single chain antigen binding protein; sizofuran; sobuzoxane; sodium borocaptate; sodium phenylacetate; solverol; somatomedin binding protein; sonermin; sparfosic acid; spicamycin D; spiromustine; splenopentin; spongistatin 1; squalamine; stem cell inhibitor; stem-cell division inhibitors; stipiamide; stromelysin inhibitors; sulfinosine; superactive vasoactive intestinal peptide antagonist; suradista; suramin; swainsonine; synthetic glycosaminoglycans; tallimustine; tamoxifen methiodide; tauromustine; tazarotene; tecogalan sodium; tegafur; tellurapyrylium; telomerase inhibitors; temoporfin; temozolomide; teniposide; tetrachlorodecaoxide; tetrazomine; thaliblastine; thiocoraline; thrombopoietin; thrombopoietin mimetic; thymalfasin; thymopoietin receptor agonist; thymotrinan; thyroid stimulating hormone; tin ethyl etiopurpurin; tirapazamine; titanocene bichloride; topsentin; toremifene; totipotent stem cell factor; translation inhibitors; tretinoin; triacetyluridine; triciribine; trimetrexate; triptorelin; tropisetron; turosteride; tyrosine kinase inhibitors; tyrphostins; UBC inhibitors; ubenimex; urogenital sinus-derived growth inhibitory factor; urokinase receptor antagonists; vapreotide; variolin B; vector system, erythrocyte gene therapy; velaresol; veramine; verdins; verteporfin; vinorelbine; vinxaltine; vitaxin; vorozole; zanoterone; zeniplatin; zilascorb; and zinostatin stimalamer. In one embodiment, the anti-cancer drug is 5-fluorouracil, taxol, or leucovorin.

[0318]

In some embodiments, the anti-cancer agent may be a prodrug form of an anti-cancer agent. As used herein, the term “prodrug form” and its derivatives is used to refer to a drug that has been chemically modified to add and/or remove one or more substituents in such a manner that, upon introduction of the prodrug form into a subject, such a modification may be reversed by naturally occurring processes, thus reproducing the drug. The use of a prodrug form of an anti-cancer agent in the compositions, among other things, may increase the concentration of the anti-cancer agent in the compositions of the present disclosure. In certain embodiments, an anti-cancer agent may be chemically modified with an alkyl or acyl group or some form of lipid. The selection of such a chemical modification, including the substituent(s) to add and/or remove to create the prodrug, may depend upon a number of factors including, but not limited to, the particular drug and the desired properties of the prodrug. One of ordinary skill in the art, with the benefit of this disclosure, will recognize suitable chemical modifications.

[0319]

In one embodiment, the treatment comprises administering a therapeutically effective amount of at least one agent for modulating the reactivity of at least one antibody with at least one antigen.

[0320]

In some embodiments, the treatment comprises decreasing or eliminating the level of at least one antibody associated with the disease or disorder by administering a therapeutically effective amount of an inhibitor of at least one antibody associated with the disease or disorder. For example, in one embodiment, the inhibitor of the antibody comprises an autoantigen identified using the methods of the invention.

[0321]

Any drug or any combination of drugs disclosed herein may be administered to a subject to treat the disease or disorder. The drugs herein can be formulated in any number of ways, often according to various known formulations in the art or as disclosed or referenced herein.

[0322]

In various embodiments, any drug or any combination of drugs disclosed herein is not administered to a subject to treat a disease. In these embodiments, the practitioner may refrain from administering the drug or any combination of drugs, may recommend that the subject not be administered the drug or any combination of drugs or may prevent the subject from being administered the drug or any combination of drugs.

[0323]

In various embodiments, one or more additional drugs may be optionally administered in addition to those that are recommended or have been administered. An additional drug will typically not be any drug that is not recommended or that should be avoided.

[0324]

In one aspect, the present invention also provides a method of alleviating toxicity of the treatment. In one embodiment, the method of alleviating toxicity of the treatment alleviates the toxicity of a cancer treatment. For example, in one embodiment, the method of alleviating toxicity of the treatment alleviates the toxicity of an immune-modifying checkpoint blockage therapies.

Method of Assessing the Prognosis, Assessing the Effectiveness, or Alleviating the Toxicity of Treatment of a Disease or Disorder

[0325]

The present invention further relates, in part, to a method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder associated with at least one antibody or target thereof (e.g., an antibody level, antibody target level, antibody activity, or antibody target activity) in a subject in need thereof.

[0326]

In one aspect, the present invention provides a method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder in a subject, the method comprising assessing the presence of at least one antibody target in the subject, wherein the at least one antibody target is identified to be associated with the disease or disorder according to the method described above. In one aspect, the present invention provides a method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder in a subject, the method comprising assessing the level or activity of at least one antibody target in the subject, wherein the at least one antibody target is identified to be associated with the disease or disorder according to the method described above.

[0327]

In one embodiment, the method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder comprises comparing the level of at least one antibody target, that is identified to be associated with the disease or disorder according to the method described above, to the threshold level. In some embodiments, the threshold level is obtained from control group samples.

[0328]

The present invention further relates, in part, to a method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder associated with at least one antibody in a subject in need thereof. In one aspect, the present invention provides a method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder in a subject, the method comprising assessing the presence of at least one antibody in the subject, wherein the at least one antibody is identified to be associated with the disease or disorder according to the method described above. In one aspect, the present invention provides a method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder in a subject, the method comprising assessing the level or activity of at least one antibody in the subject, wherein the at least one antibody is identified to be associated with the disease or disorder according to the method described above.

[0329]

In one embodiment, the method of assessing the prognosis or assessing the effectiveness of treatment of a disease or disorder comprises comparing the level of at least one antibody, that is identified to be associated with the disease or disorder according to the method described above, to the threshold level. In some embodiments, the threshold level is obtained from control group samples. In one embodiment, the threshold is 0.

[0330]

In another aspect, the present invention provides a method of predicting a response to the treatment.

[0331]

Information obtained from the methods of the invention described herein can be used alone, or in combination with other information (e.g., age, family history, disease status, disease history, vital signs, blood chemistry, PSA level, Gleason score, primary tumor staging, lymph node staging, metastasis staging, expression of other gene signatures relevant to outcomes of a disease or disorder, such as autoimmune disease or disorder, cancer, inflammatory disease or disorder, metabolic disease or disorder, neurodegenerative disease or disorder, organ tissue rejection, organ transplant rejection, or any combination thereof, etc.) from the subject or from the biological sample obtained from the subject.

Compositions

[0332]

The present invention also provides various compositions comprising the antibodies or targets thereof identified by methods of the present invention. In one embodiment, the compositions modulate a reactivity between an autoantibody and at least one antigen. In one embodiment, the antigen is an antigen set forth in Table 1.

[0333]

In some embodiments, the composition of the invention increases the reactivity of at least one antigen of the invention with an antibody. In some embodiments, the composition of the invention comprises at least one autoantibody directed to at least one antigen set forth in Table 1.

[0334]

In some embodiments, the composition of the invention decreases the reactivity of at least one antigen of the invention with an antibody. In one embodiment, the invention provides compositions comprising at least one antigen of the invention linked to at least one domain for endocytosis, degradation, or a combination thereof. In one embodiment, the invention provides a composition comprising an antigen selected from the antigens set forth in Table 3, or a fragment thereof, linked to a domain for endocytosis, degradation, or a combination thereof. In one embodiment, the invention provides a composition comprising an antigen selected from the antigens set forth in Table 6, or a fragment thereof, linked to a domain for endocytosis, degradation, or a combination thereof.

[0335]

In one embodiment, the invention provides a composition comprising a nucleic acid molecule encoding an antigen selected from the antigens set forth in Table 3, or a fragment thereof, linked to a domain for endocytosis, degradation, or a combination thereof. In one embodiment, the invention provides a composition comprising a nucleic acid molecule encoding an antigen selected from the antigens set forth in Table 6, or a fragment thereof, linked to a domain for endocytosis, degradation, or a combination thereof.

[0336]

In one embodiment, the invention provides compositions comprising a cell or particle expressing at least one antigen of the invention, for example, a CAR T-cell expressing at least one antigen of the invention as described elsewhere herein.

[0337]

In various aspects, the composition comprises: one or more antibodies or targets thereof of the present invention and one or more stabilizers. In various embodiments, the stabilizer to compound weight ratio is less than 50%. In one embodiment, the stabilizer comprises a biocompatible polymer. Examples of stabilizers include, but are not limited to, biocompatible polymer, a biodegradable polymer, a multifunctional linker, starch, modified starch, and starch derivatives, gums, including but not limited to polymers, polypeptides, albumin, amino acids, thiols, amines, carboxylic acid and combinations or derivatives thereof, citric acid, xanthan gum, alginic acid, other alginates, benitoniite, veegum, agar, guar, locust bean gum, gum arabic, quince psyllium, flax seed, okra gum, arabinoglactin, pectin, tragacanth, scleroglucan, dextran, amylose, amylopectin, dextrin, etc., cross-linked polyvinylpyrrolidone, ion-exchange resins, potassium polymethacrylate, carrageenan (and derivatives), gum karaya and biosynthetic gum, polycarbonates (linear polyesters of carbonic acid); microporous materials (bisphenol, a microporous poly(vinylchloride), micro-porous polyamides, microporous modacrylic copolymers, microporous styrene-acrylic and its copolymers); porous polysulfones, halogenated poly(vinylidene), polychloroethers, acetal polymers, polyesters prepared by esterification of a dicarboxylic acid or anhydride with an alkylene polyol, poly(alkylenesulfides), phenolics, polyesters, asymmetric porous polymers, cross-linked olefin polymers, hydrophilic microporous homopolymers, copolymers or interpolymers having a reduced bulk density, and other similar materials, poly(urethane), cross-linked chain-extended poly(urethane), poly(imides), poly(benzimidazoles), collodion, regenerated proteins, semi-solid cross-linked poly(vinylpyrrolidone), monomeric, dimeric, oligomeric or long-chain, copolymers, block polymers, block co-polymers, polymers, PEG, dextran, modified dextran, polyvinylalcohol, polyvinylpyrollidone, polyacrylates, polymethacrylates, polyanhydrides, polypeptides, albumin, alginates, amino acids, thiols, amines, carboxylic acids, or combinations thereof.

[0338]

The compositions may be formulated in a pharmaceutically acceptable excipient, such as wetting agents, buffers, disintegrants, binders, fillers, flavoring agents and liquid carrier media such as sterile water, water/ethanol etc. The compositions should be suitable for administration either by topical administration or injection or inhalation or catheterization or instillation or transdermal introduction into any of the various body cavities including the alimentary canal, the vagina, the rectum, the bladder, the ureter, the urethra, the mouth, etc. For oral administration, the pH of the composition is preferably in the acid range (e.g., 2 to 7) and buffers or pH adjusting agents may be used. The contrast media may be formulated in conventional pharmaceutical administration forms, such as tablets, capsules, powders, solutions, dispersion, syrups, suppositories etc.

[0339]

The compositions of the invention can be formulated and administered to a subject, as now described. The invention encompasses the preparation and use of pharmaceutical compositions comprising the compositions of the invention useful for the delivery of a therapeutic agent to a cell. The invention also encompasses the preparation and use of pharmaceutical compositions comprising the compositions of the invention useful for the treatment of a disease or disorder. The invention also encompasses the preparation and use of pharmaceutical compositions comprising the compositions of the invention useful for improved cell penetration.

[0340]

Such a pharmaceutical composition may consist of the active ingredient alone, in a form suitable for administration to a subject, or the pharmaceutical composition may comprise the active ingredient and one or more pharmaceutically acceptable carriers, one or more additional ingredients, or some combination of these. The active ingredient may be present in the pharmaceutical composition in the form of a physiologically acceptable ester or salt, such as in combination with a physiologically acceptable cation or anion, as is well known in the art.

[0341]

In various embodiments, the pharmaceutical compositions useful in the methods of the invention may be administered, by way of example, systemically, parenterally, or topically, such as, in oral formulations, inhaled formulations, including solid or aerosol, and by topical or other similar formulations. In addition to the appropriate therapeutic composition, such pharmaceutical compositions may contain pharmaceutically acceptable carriers and other ingredients known to enhance and facilitate drug administration. Other possible formulations, such as nanoparticles, liposomes, resealed erythrocytes, and immunologically based systems may also be used to administer an appropriate modulator thereof, according to the methods of the invention.

[0342]

The formulations of the pharmaceutical compositions described herein may be prepared by any method known or hereafter developed in the art of pharmacology. In general, such preparatory methods include the step of bringing the active ingredient into association with a carrier or one or more other accessory ingredients, and then, if necessary or desirable, shaping or packaging the product into a desired single- or multi-dose unit.

[0343]

Pharmaceutical compositions that are useful in the methods of the invention may be prepared, packaged, or sold in formulations suitable for oral, rectal, vaginal, parenteral, topical, pulmonary, intranasal, buccal, intravenous, ophthalmic, intrathecal and other known routes of administration. Other contemplated formulations include projected nanoparticles, liposomal preparations, resealed erythrocytes containing the active ingredient, and immunologically-based formulations.

[0344]

A pharmaceutical composition of the invention may be prepared, packaged, or sold in bulk, as a single unit dose, or as a plurality of single unit doses. As used herein, a “unit dose” is discrete amount of the pharmaceutical composition comprising a predetermined amount of the active ingredient. The amount of the active ingredient is generally equal to the dosage of the active ingredient which would be administered to a subject or a convenient fraction of such a dosage such as, for example, one-half or one-third of such a dosage.

[0345]

The relative amounts of the active ingredient, the pharmaceutically acceptable carrier, and any additional ingredients in a pharmaceutical composition of the invention will vary, depending upon the identity, size, and condition of the subject treated and further depending upon the route by which the composition is to be administered. By way of example, the composition may comprise between 0.1% and 100% (w/w) active ingredient. In various embodiments, the composition comprises at least about 1%, at least about 2%, at least about 3%, at least about 4%, at least about 5%, at least about 6%, at least about 7%, at least about 8%, at least about 9%, at least about 10%, at least about 11%, at least about 12%, at least about 13%, at least about 14%, at least about 15%, at least about 16%, at least about 17%, at least about 18%, at least about 19%, at least about 20%, at least about 21%, at least about 22%, at least about 23%, at least about 24%, at least about 25%, at least about 26%, at least about 27%, at least about 28%, at least about 29%, at least about 30%, at least about 31%, at least about 32%, at least about 33%, at least about 34%, at least about 35%, at least about 36%, at least about 37%, at least about 38%, at least about 39%, at least about 40%, at least about 41%, at least about 42%, at least about 43%, at least about 44%, at least about 45%, at least about 46%, at least about 47%, at least about 48%, at least about 49%, at least about 50%, at least about 51%, at least about 52%, at least about 53%, at least about 54%, at least about 55%, at least about 56%, at least about 57%, at least about 58%, at least about 59%, at least about 60%, at least about 61%, at least about 62%, at least about 63%, at least about 64%, at least about 65%, at least about 66%, at least about 67%, at least about 68%, at least about 69%, at least about 70%, at least about 71%, at least about 72%, at least about 73%, at least about 74%, at least about 75%, at least about 76%, at least about 77%, at least about 78%, at least about 79%, at least about 80%, at least about 81%, at least about 82%, at least about 83%, at least about 84%, at least about 85%, at least about 86%, at least about 87%, at least about 88%, at least about 89%, at least about 90%, at least about 91%, at least about 92%, at least about 93%, at least about 94%, at least about 95%, at least about 96%, at least about 97%, at least about 98%, at least about 99%, or at least about 100% (w/w) active ingredient.

[0346]

In addition to the active ingredient, a pharmaceutical composition of the invention may further comprise one or more additional pharmaceutically active agents.

[0347]

Controlled- or sustained-release formulations of a pharmaceutical composition of the invention may be made using conventional technology.

[0348]

A formulation of a pharmaceutical composition of the invention suitable for oral administration may be prepared, packaged, or sold in the form of a discrete solid dose unit including, but not limited to, a tablet, a hard or soft capsule, a cachet, a troche, or a lozenge, each containing a predetermined amount of the active ingredient. Other formulations suitable for oral administration include, but are not limited to, a powdered or granular formulation, an aqueous or oily suspension, an aqueous or oily solution, or an emulsion.

[0349]

A tablet comprising the active ingredient may, for example, be made by compressing or molding the active ingredient, optionally with one or more additional ingredients. Compressed tablets may be prepared by compressing, in a suitable device, the active ingredient in a free-flowing form such as a powder or granular preparation, optionally mixed with one or more of a binder, a lubricant, an excipient, a surface active agent, and a dispersing agent. Molded tablets may be made by molding, in a suitable device, a mixture of the active ingredient, a pharmaceutically acceptable carrier, and at least sufficient liquid to moisten the mixture. Pharmaceutically acceptable excipients used in the manufacture of tablets include, but are not limited to, inert diluents, granulating and disintegrating agents, binding agents, and lubricating agents. Known dispersing agents include, but are not limited to, potato starch and sodium starch glycolate. Known surface active agents include, but are not limited to, sodium lauryl sulphate. Known diluents include, but are not limited to, calcium carbonate, sodium carbonate, lactose, microcrystalline cellulose, calcium phosphate, calcium hydrogen phosphate, and sodium phosphate. Known granulating and disintegrating agents include, but are not limited to, corn starch and alginic acid. Known binding agents include, but are not limited to, gelatin, acacia, pre-gelatinized maize starch, polyvinylpyrrolidone, and hydroxypropyl methylcellulose. Known lubricating agents include, but are not limited to, magnesium stearate, stearic acid, silica, and talc.

[0350]

Tablets may be non-coated or they may be coated using known methods to achieve delayed disintegration in the gastrointestinal tract of a subject, thereby providing sustained release and absorption of the active ingredient. By way of example, a material such as glyceryl monostearate or glyceryl distearate may be used to coat tablets. Further by way of example, tablets may be coated using methods described in U.S. Pat. Nos. 4,256,108; 4,160,452; and U.S. Pat. No. 4,265,874 to form osmotically-controlled release tablets. Tablets may further comprise a sweetening agent, a flavoring agent, a coloring agent, a preservative, or some combination of these in order to provide pharmaceutically elegant and palatable preparation.

[0351]

Hard capsules comprising the active ingredient may be made using a physiologically degradable composition, such as gelatin. Such hard capsules comprise the active ingredient, and may further comprise additional ingredients including, for example, an inert solid diluent such as calcium carbonate, calcium phosphate, or kaolin.

[0352]

Soft gelatin capsules comprising the active ingredient may be made using a physiologically degradable composition, such as gelatin. Such soft capsules comprise the active ingredient, which may be mixed with water or an oil medium such as peanut oil, liquid paraffin, or olive oil.

[0353]

Liquid formulations of a pharmaceutical composition of the invention which are suitable for oral administration may be prepared, packaged, and sold either in liquid form or in the form of a dry product intended for reconstitution with water or another suitable vehicle prior to use.

[0354]

Liquid suspensions may be prepared using conventional methods to achieve suspension of the active ingredient in an aqueous or oily vehicle. Aqueous vehicles include, for example, water and isotonic saline. Oily vehicles include, for example, almond oil, oily esters, ethyl alcohol, vegetable oils such as arachis, olive, sesame, or coconut oil, fractionated vegetable oils, and mineral oils such as liquid paraffin. Liquid suspensions may further comprise one or more additional ingredients including, but not limited to, suspending agents, dispersing or wetting agents, emulsifying agents, demulcents, preservatives, buffers, salts, flavorings, coloring agents, and sweetening agents. Oily suspensions may further comprise a thickening agent.

[0355]

Known suspending agents include, but are not limited to, sorbitol syrup, hydrogenated edible fats, sodium alginate, polyvinylpyrrolidone, gum tragacanth, gum acacia, and cellulose derivatives such as sodium carboxymethylcellulose, methylcellulose, and hydroxypropylmethylcellulose. Known dispersing or wetting agents include, but are not limited to, naturally-occurring phosphatides such as lecithin, condensation products of an alkylene oxide with a fatty acid, with a long chain aliphatic alcohol, with a partial ester derived from a fatty acid and a hexitol, or with a partial ester derived from a fatty acid and a hexitol anhydride (e.g. polyoxyethylene stearate, heptadecaethyleneoxycetanol, polyoxyethylene sorbitol monooleate, and polyoxyethylene sorbitan monooleate, respectively). Known emulsifying agents include, but are not limited to, lecithin and acacia. Known preservatives include, but are not limited to, methyl, ethyl, or n-propyl-para-hydroxybenzoates, ascorbic acid, and sorbic acid. Known sweetening agents include, for example, glycerol, propylene glycol, sorbitol, sucrose, and saccharin. Known thickening agents for oily suspensions include, for example, beeswax, hard paraffin, and cetyl alcohol.

[0356]

Liquid solutions of the active ingredient in aqueous or oily solvents may be prepared in substantially the same manner as liquid suspensions, the primary difference being that the active ingredient is dissolved, rather than suspended in the solvent. Liquid solutions of the pharmaceutical composition of the invention may comprise each of the components described with regard to liquid suspensions, it being understood that suspending agents will not necessarily aid dissolution of the active ingredient in the solvent. Aqueous solvents include, for example, water and isotonic saline. Oily solvents include, for example, almond oil, oily esters, ethyl alcohol, vegetable oils such as arachis, olive, sesame, or coconut oil, fractionated vegetable oils, and mineral oils such as liquid paraffin.

[0357]

Powdered and granular formulations of a pharmaceutical preparation of the invention may be prepared using known methods. Such formulations may be administered directly to a subject, used, for example, to form tablets, to fill capsules, or to prepare an aqueous or oily suspension or solution by addition of an aqueous or oily vehicle thereto. Each of these formulations may further comprise one or more of dispersing or wetting agent, a suspending agent, and a preservative. Additional excipients, such as fillers and sweetening, flavoring, or coloring agents, may also be included in these formulations.

[0358]

A pharmaceutical composition of the invention may also be prepared, packaged, or sold in the form of oil-in-water emulsion or a water-in-oil emulsion. The oily phase may be a vegetable oil such as olive or arachis oil, a mineral oil such as liquid paraffin, or a combination of these. Such compositions may further comprise one or more emulsifying agents such as naturally occurring gums such as gum acacia or gum tragacanth, naturally-occurring phosphatides such as soybean or lecithin phosphatide, esters or partial esters derived from combinations of fatty acids and hexitol anhydrides such as sorbitan monooleate, and condensation products of such partial esters with ethylene oxide such as polyoxyethylene sorbitan monooleate. These emulsions may also contain additional ingredients including, for example, sweetening or flavoring agents.

[0359]

Methods for impregnating or coating a material with a chemical composition are known in the art, and include, but are not limited to methods of depositing or binding a chemical composition onto a surface, methods of incorporating a chemical composition into the structure of a material during the synthesis of the material (i.e., such as with a physiologically degradable material), and methods of absorbing an aqueous or oily solution or suspension into an absorbent material, with or without subsequent drying.

[0360]

Parenteral administration of a pharmaceutical composition includes any route of administration characterized by physical breaching of a tissue of an individual and administration of the pharmaceutical composition through the breach in the tissue. Parental administration can be local, regional or systemic. Parenteral administration thus includes, but is not limited to, administration of a pharmaceutical composition by injection of the composition, by application of the composition through a surgical incision, by application of the composition through a tissue-penetrating non-surgical wound, and the like. In particular, parenteral administration is contemplated to include, but is not limited to, intravenous, intraocular, intravitreal, subcutaneous, intraperitoneal, intramuscular, intradermal, intrasternal injection, and intratumoral.

[0361]

Formulations of a pharmaceutical composition suitable for parenteral administration comprise the active ingredient combined with a pharmaceutically acceptable carrier, such as sterile water or sterile isotonic saline. Such formulations may be prepared, packaged, or sold in a form suitable for bolus administration or for continuous administration. Injectable formulations may be prepared, packaged, or sold in unit dosage form, such as in ampules or in multi-dose containers containing a preservative. Formulations for parenteral administration include, but are not limited to, suspensions, solutions, emulsions in oily or aqueous vehicles, pastes, and implantable sustained-release or biodegradable formulations. Such formulations may further comprise one or more additional ingredients including, but not limited to, suspending, stabilizing, or dispersing agents. In one embodiment of a formulation for parenteral administration, the active ingredient is provided in dry (i.e., powder or granular) form for reconstitution with a suitable vehicle (e.g., sterile pyrogen-free water) prior to parenteral administration of the reconstituted composition.

[0362]

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 formulations 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.

[0363]

Formulations suitable for topical administration include, but are not limited to, liquid or semi-liquid preparations such as liniments, lotions, oil-in-water or water-in-oil emulsions such as creams, ointments or pastes, and solutions or suspensions. Topically-administrable formulations may, for example, comprise from about 1% to about 10% (w/w) active ingredient, although the concentration of the active ingredient may be as high as the solubility limit of the active ingredient in the solvent Formulations for topical administration may further comprise one or more of the additional ingredients described herein.

[0364]

A pharmaceutical composition of the invention may be prepared, packaged, or sold in a formulation suitable for pulmonary administration via the buccal cavity. Such a formulation may comprise dry particles which comprise the active ingredient and which have a diameter in the range from about 0.5 to about 7 nanometers, and preferably from about 1 to about 6 nanometers. Such compositions are conveniently in the form of dry powders for administration using a device comprising a dry powder reservoir to which a stream of propellant may be directed to disperse the powder or using a self-propelling solvent/powder-dispensing container such as a device comprising the active ingredient dissolved or suspended in a low-boiling propellant in a sealed container. Preferably, such powders comprise particles wherein at least 98% of the particles by weight have a diameter greater than 0.5 nanometers and at least 95% of the particles by number have a diameter less than 7 nanometers. More preferably, at least 95% of the particles by weight have a diameter greater than 1 nanometer and at least 90% of the particles by number have a diameter less than 6 nanometers. In some embodiments, dry powder compositions include a solid fine powder diluent such as sugar and are conveniently provided in a unit dose form.

[0365]

Low boiling propellants generally include liquid propellants having a boiling point of below 65° F. at atmospheric pressure. Generally, the propellant may constitute 50 to 99.9% (w/w) of the composition, and the active ingredient may constitute 0.1 to 20% (w/w) of the composition. The propellant may further comprise additional ingredients such as a liquid non-ionic or solid anionic surfactant or a solid diluent (in some embodiments having a particle size of the same order as particles comprising the active ingredient).

[0366]

Pharmaceutical compositions of the invention formulated for pulmonary delivery may also provide the active ingredient in the form of droplets of a solution or suspension. Such formulations may be prepared, packaged, or sold as aqueous or dilute alcoholic solutions or suspensions, optionally sterile, comprising the active ingredient, and may conveniently be administered using any nebulization or atomization device. Such formulations may further comprise one or more additional ingredients including, but not limited to, a flavoring agent such as saccharin sodium, a volatile oil, a buffering agent, a surface active agent, or a preservative such as methylhydroxybenzoate. The droplets provided by this route of administration preferably have an average diameter in the range from about 0.1 to about 200 nanometers.

[0367]

The formulations described herein as being useful for pulmonary delivery are also useful for intranasal delivery of a pharmaceutical composition of the invention.

[0368]

Another formulation suitable for intranasal administration is a coarse powder comprising the active ingredient and having an average particle from about 0.2 to 500 micrometers.

[0369]

Such a formulation is administered in the manner in which snuff is taken i.e. by rapid inhalation through the nasal passage from a container of the powder held close to the nares. Formulations suitable for nasal administration may, for example, comprise from about as little as 0.1% (w/w) and as much as 100% (w/w) of the active ingredient, and may further comprise one or more of the additional ingredients described herein.

[0370]

A pharmaceutical composition of the invention may be prepared, packaged, or sold in a formulation suitable for buccal administration. Such formulations may, for example, be in the form of tablets or lozenges made using conventional methods, and may, for example, contain 0.1 to 20% (w/w) active ingredient, the balance comprising an orally dissolvable or degradable composition and, optionally, one or more of the additional ingredients described herein. Alternately, formulations suitable for buccal administration may comprise a powder or an aerosolized or atomized solution or suspension comprising the active ingredient. Such powdered, aerosolized, or aerosolized formulations, when dispersed, preferably have an average particle or droplet size in the range from about 0.1 nanomaters to about 2000 micrometers, and may further comprise one or more of the additional ingredients described herein.

[0371]

A pharmaceutical composition of the invention may be prepared, packaged, or sold in a formulation suitable for ophthalmic administration. Such formulations may, for example, be in the form of eye drops including, for example, a 0.1-1.0% (w/w) solution or suspension of the active ingredient in an aqueous or oily liquid carrier. Such drops may further comprise buffering agents, salts, or one or more other of the additional ingredients described herein. Other opthalmically-administrable formulations which are useful include those which comprise the active ingredient in microcrystalline form or in a liposomal preparation.

[0372]

As used herein, “additional ingredients” include, but are not limited to, one or more of the following: excipients; surface active agents; dispersing agents; inert diluents; granulating and disintegrating agents; binding agents; lubricating agents; sweetening agents; flavoring agents; coloring agents; preservatives; physiologically degradable compositions such as gelatin; aqueous vehicles and solvents; oily vehicles and solvents; suspending agents; dispersing or wetting agents; emulsifying agents, demulcents; buffers; salts; thickening agents; fillers; emulsifying agents; antioxidants; antibiotics; antifungal agents; stabilizing agents; and pharmaceutically acceptable polymeric or hydrophobic materials. Other “additional ingredients” which may be included in the pharmaceutical compositions of the invention are known in the art and described, for example in Genaro, ed., 1985, Remington's Pharmaceutical Sciences, Mack Publishing Co., Easton, Pa.

[0373]

Administration of the compounds of the present invention or the compositions thereof may be continuous or intermittent, depending, for example, upon the recipient's physiological condition, whether the purpose of the administration is therapeutic or prophylactic, and other factors known to skilled practitioners. The administration of the agents of the invention may be essentially continuous over a preselected period of time or may be in a series of spaced doses. Both local and systemic administration is contemplated. The amount administered will vary depending on various factors including, but not limited to, the composition chosen, the particular disease, the weight, the physical condition, and the age of the mammal, and whether prevention or treatment is to be achieved. Such factors can be readily determined by the clinician employing animal models or other test systems which are well known to the art.

[0374]

One or more suitable unit dosage forms having the therapeutic agent(s) of the invention, which, as discussed below, may optionally be formulated for sustained release (for example using microencapsulation, see WO 94/07529, and U.S. Pat. No. 4,962,091 the disclosures of which are incorporated by reference herein), can be administered by a variety of routes including parenteral, including by intravenous and intramuscular routes, as well as by direct injection into the diseased tissue. For example, the therapeutic agent may be directly injected into the muscle. The formulations may, where appropriate, be conveniently presented in discrete unit dosage forms and may be prepared by any of the methods well known to pharmacy. Such methods may include the step of bringing into association the therapeutic agent with liquid carriers, solid matrices, semi-solid carriers, finely divided solid carriers or combinations thereof, and then, if necessary, introducing or shaping the product into the desired delivery system.

[0375]

When the therapeutic agents of the invention are prepared for administration, they are preferably combined with a pharmaceutically acceptable carrier, diluent or excipient to form a pharmaceutical formulation, or unit dosage form. The total active ingredients in such formulations include from 0.1 to 99.9% by weight of the formulation. A “pharmaceutically acceptable” is a carrier, diluent, excipient, and/or salt that is compatible with the other ingredients of the formulation, and not deleterious to the recipient thereof. The active ingredient for administration may be present as a powder or as granules; as a solution, a suspension or an emulsion.

[0376]

Pharmaceutical formulations containing the therapeutic agents of the invention can be prepared by procedures known in the art using well known and readily available ingredients. The therapeutic agents of the invention can also be formulated as solutions appropriate for parenteral administration, for instance by intramuscular, subcutaneous or intravenous routes.

[0377]

The pharmaceutical formulations of the therapeutic agents of the invention can also take the form of an aqueous or anhydrous solution or dispersion, or alternatively the form of an emulsion or suspension.

[0378]

Thus, the therapeutic agent may be formulated for parenteral administration (e.g., by injection, for example, bolus injection or continuous infusion) and may be presented in unit dose form in ampules, pre-filled syringes, small volume infusion containers or in multi-dose containers with an added preservative. The active ingredients may take such forms as suspensions, solutions, or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents. Alternatively, the active ingredients may be in powder form, obtained by aseptic isolation of sterile solid or by lyophilization from solution, for constitution with a suitable vehicle, e.g., sterile, pyrogen-free water, before use.

[0379]

It will be appreciated that the unit content of active ingredient or ingredients contained in an individual aerosol dose of each dosage form need not in itself constitute an effective amount for treating the particular indication or disease since the necessary effective amount can be reached by administration of a plurality of dosage units. Moreover, the effective amount may be achieved using less than the dose in the dosage form, either individually, or in a series of administrations.

[0380]

The pharmaceutical formulations of the present invention may include, as optional ingredients, pharmaceutically acceptable carriers, diluents, solubilizing or emulsifying agents, and salts of the type that are well-known in the art. Specific non-limiting examples of the carriers and/or diluents that are useful in the pharmaceutical formulations of the present invention include water and physiologically acceptable buffered saline solutions, such as phosphate buffered saline solutions pH 7.0-8.0.

[0381]

In general, water, suitable oil, saline, aqueous dextrose (glucose), and related sugar solutions and glycols such as propylene glycol or polyethylene glycols are suitable carriers for parenteral solutions. Solutions for parenteral administration contain the active ingredient, suitable stabilizing agents and, if necessary, buffer substances. Antioxidizing agents such as sodium bisulfate, sodium sulfite or ascorbic acid, either alone or combined, are suitable stabilizing agents. Also used are citric acid and its salts and sodium Ethylenediaminetetraacetic acid (EDTA). In addition, parenteral solutions can contain preservatives such as benzalkonium chloride, methyl- or propyl-paraben and chlorobutanol. Suitable pharmaceutical carriers are described in Remington's Pharmaceutical Sciences, a standard reference text in this field.

[0382]

The active ingredients of the invention may be formulated to be suspended in a pharmaceutically acceptable composition suitable for use in mammals and in particular, in humans. Such formulations include the use of adjuvants such as muramyl dipeptide derivatives (MDP) or analogs that are described in U.S. Pat. Nos. 4,082,735; 4,082,736; 4,101,536; 4,185,089; 4,235,771; and 4,406,890. Other adjuvants, which are useful, include alum (Pierce Chemical Co.), lipid A, trehalose dimycolate and dimethyldioctadecylammonium bromide (DDA), Freund's adjuvant, and IL-12. Other components may include a polyoxypropylene-polyoxyethylene block polymer (Pluronic®), a non-ionic surfactant, and a metabolizable oil such as squalene (U.S. Pat. No. 4,606,918).

[0383]

Additionally, standard pharmaceutical methods can be employed to control the duration of action. These are well known in the art and include control release preparations and can include appropriate macromolecules, for example polymers, polyesters, polyamino acids, polyvinyl, pyrolidone, ethylenevinylacetate, methyl cellulose, carboxymethyl cellulose or protamine sulfate. The concentration of macromolecules as well as the methods of incorporation can be adjusted in order to control release. Additionally, the agent can be incorporated into particles of polymeric materials such as polyesters, polyamino acids, hydrogels, poly (lactic acid) or ethylenevinylacetate copolymers. In addition to being incorporated, these agents can also be used to trap the compound in microcapsules.

[0384]

Accordingly, the composition of the present invention may be delivered via various routes and to various sites in a mammal body to achieve a particular effect (see, e.g., Rosenfeld et al., 1991; Rosenfeld et al., 1991a; Jaffe et al., supra; Berkner, supra). One skilled in the art will recognize that although more than one route can be used for administration, a particular route can provide a more immediate and more effective reaction than another route. In one embodiment, the composition described above is administered to the subject by subretinal injection. In other embodiments, the composition is administered by intravitreal injection. Other forms of administration that may be useful in the methods described herein include, but are not limited to, direct delivery to a desired organ (e.g., the eye), oral, inhalation, intranasal, intratracheal, intravenous, intramuscular, subcutaneous, intradermal, and other parental routes of administration. Additionally, routes of administration may be combined, if desired. In another embodiments, route of administration is subretinal injection or intravitreal injection.

[0385]

The active ingredients of the present invention can be provided in unit dosage form wherein each dosage unit, e.g., a teaspoonful, tablet, solution, or suppository, contains a predetermined amount of the composition, alone or in appropriate combination with other active agents. The term “unit dosage form” as used herein refers to physically discrete units suitable as unitary dosages for human and mammal subjects, each unit containing a predetermined quantity of the compositions of the present invention, alone or in combination with other active agents, calculated in an amount sufficient to produce the desired effect, in association with a pharmaceutically acceptable diluent, carrier, or vehicle, where appropriate. The specifications for the unit dosage forms of the present invention depend on the particular effect to be achieved and the particular pharmacodynamics associated with the composition in the particular host.

[0386]

The pharmaceutical compositions useful for practicing the invention may be administered to deliver a dose of at least about 1 ng/kg, at least about 5 ng/kg, at least about 10 ng/kg, at least about 25 ng/kg, at least about 50 ng/kg, at least about 100 ng/kg, at least about 500 ng/kg, at least about 1 μg/kg, at least about 5 μg/kg, at least about 10 μg/kg, at least about 25 μg/kg, at least about 50 μg/kg, at least about 100 μg/kg, at least about 500 μg/kg, at least about 1 mg/kg, at least about 5 mg/kg, at least about 10 mg/kg, at least about 25 mg/kg, at least about 50 mg/kg, at least about 100 mg/kg, at least about 200 mg/kg, at least about 300 mg/kg, at least about 400 mg/kg, and at least about 500 mg/kg of body weight of the subject.

[0387]

In some embodiments, the pharmaceutical compositions useful for practicing the invention may be administered to deliver a dose of no more than about 1 ng/kg, no more than about 5 ng/kg, no more than about 10 ng/kg, no more than about 25 ng/kg, no more than about 50 ng/kg, no more than about 100 ng/kg, no more than about 500 ng/kg, no more than about 1 μg/kg, no more than about 5 μg/kg, no more than about 10 μg/kg, no more than about 25 μg/kg, no more than about 50 μg/kg, no more than about 100 μg/kg, no more than about 500 μg/kg, no more than about 1 mg/kg, no more than about 5 mg/kg, no more than about 10 mg/kg, no more than about 25 mg/kg, no more than about 50 mg/kg, no more than about 100 mg/kg, no more than about 200 mg/kg, no more than about 300 mg/kg, no more than about 400 mg/kg, and no more than about 500 mg/kg of body weight of the subject. Also contemplated are dosage ranges between any of the doses disclosed herein.

[0388]

Typically, dosages which may be administered in a method of the invention to a subject, in some embodiments a human, range in amount from 0.5 μg to about 100 g per kilogram of body weight of the subject. While the precise dosage administered will vary depending upon any number of factors, including but not limited to, the type of subject and type of disease state being treated, the age of the subject and the route of administration. In some embodiments, the dosage of the compound will vary from about 1 μg to about 10 mg per kilogram of body weight of the subject. In other embodiments, the dosage will vary from about 3 μg to about 1 mg per kilogram of body weight of the subject.

[0389]

The compositions may be administered to a subject as frequently as several times daily, or it may be administered less frequently, such as once a day, twice a day, thrice a day, once a week, twice a week, thrice a week, once every two weeks, twice every two weeks, thrice every two weeks, once a month, twice a month, thrice a month, or even less frequently, such as once every several months or even once or a few times a year or less. The frequency of the dose will be readily apparent to the skilled artisan and will depend upon any number of factors, such as, but not limited to, the type and severity of the disease being treated, the type and age of the subject, etc. The formulations of the pharmaceutical compositions may be prepared by any method known or hereafter developed in the art of pharmacology. In general, such preparatory methods include the step of bringing the active ingredient into association with a carrier or one or more other accessory ingredients, and then, if necessary or desirable, shaping or packaging the product into a desired single- or multi-dose unit.

[0390]

Individuals to which administration of the pharmaceutical compositions of the invention is contemplated include, but are not limited to, humans and other primates, mammals including commercially relevant mammals such as non-human primates, cattle, pigs, horses, sheep, cats, and dogs.

[0391]

These compositions described herein are by no means all-inclusive, and further modifications to suit the specific application will be apparent to the ordinary skilled artisan. Moreover, the effective amount of the compositions can be further approximated through analogy to compounds known to exert the desired effect.

Kits

[0392]

The present invention also pertains to kits useful in the methods of the invention. Such kits comprise various combinations of components useful in any of the methods described elsewhere herein, including for example, materials for identifying at least one antibody target, quantitatively analyzing at least one antibody or a target thereof (e.g., quantitatively analyzing a nucleic acid sequence barcode), materials for diagnosing or assessing the prognosis of a disease or disorder associated with the antibody or target thereof, materials for preventing or treating a disease or disorder associated with the antibody or target thereof, materials for alleviating toxicity of the treatment, and instructional material. For example, in one embodiment, the kit comprises components useful for the identification of a desired antibody target in a biological sample. In another embodiment, the kit comprises components useful for the quantification of a desired antibody or a desired antibody target (e.g., quantification of a desired nucleic acid sequence barcode). In a further embodiment, the kit comprises components useful for diagnosing or assessing the prognosis of a disease or disorder associated with the antibody or target thereof In a further embodiment, the kit comprises components useful for preventing or treating a disease or disorder associated with the antibody or target thereof. In a further embodiment, the kit comprises components useful for alleviating toxicity of the treatment.

[0393]

In a further embodiment, the kit comprises the components of an assay for monitoring the effectiveness of a treatment administered to a subject in need thereof, containing instructional material and the components for determining whether the level of an antibody or a target thereof of the invention in a biological sample obtained from the subject is modulated during or after administration of the treatment. In various embodiments, to determine whether the level of an antibody or a target thereof of the invention is modulated in a biological sample obtained from the subject, the level of the antibody or the target thereof is compared with the level of at least one comparator contained in the kit, such as a positive control, a negative control, a historical control, a historical norm, or the level of another reference molecule in the biological sample. In certain embodiments, the ratio of the antibody or the target thereof and a reference molecule is determined to aid in the monitoring of the treatment.

EXPERIMENTAL EXAMPLES

[0394]

The invention is further described in detail by reference to the following experimental examples. These examples are provided for purposes of illustration only, and are not intended to be limiting unless otherwise specified. Thus, the invention should in no way be construed as being limited to the following examples, but rather should be construed to encompass any and all variations which become evident as a result of the teaching provided herein.

[0395]

Without further description, it is believed that one of ordinary skill in the art can, using the preceding description and the following illustrative examples, make and utilize the present invention and practice the claimed methods. The following working examples therefore are not to be construed as limiting in any way the remainder of the disclosure.

Example 1: Rapid Extracellular Antibody Profiling (REAP)

[0396]

Current high-throughput autoantibody discovery techniques have limited sensitivity towards extracellular and secreted proteins largely due to the biochemical challenges associated with producing these proteins in a high-throughput manner. In this regard, yeast cell surface display offers several important advantages over other common systems. Unlike in vitro translation or peptide-array-based approaches, yeast cell surface display can express full-length proteins in folded three-dimensional conformations, allowing for the identification of non-linear binding epitopes. Compared to phage or bacterial expression systems, yeast cell produced extracellular proteins in a eukaryotic cell system that included ER chaperones, glycosylation machinery, and disulfide “proofreading.” While mammalian systems may offer even superior quality control owing to more native glycosylation machinery and chaperones, a yeast cell surface display library is far more economical to maintain and expand. These advantages combine to make a yeast-displayed exoproteome library a robust solution that can maximize the sensitivity and throughput of extracellular autoantibody discovery.

[0397]

The present study generated, characterized, and applied a high-quality yeast-display based platform to identify extracellular proteins that are targets of autoantibodies. The system was benchmarked using a well-characterized autoimmune syndrome with pathognomonic autoantibody targets and showed that it has high sensitivity and specificity. The method was additionally applied to a cohort of immunotherapy-treated NSCLC patients and another cohort of patients with SLE, UCTD, and sarcoidosis. In both cohorts several novel autoantibody reactivities were identified and validated.

[0398]

REAP as a Novel Autoantibody Discovery Platform

[0399]

In order to leverage the power of yeast cell surface display systems for autoantibody discovery, a yeast-displayed “exoproteome” library of approximately 1400 human extracellular or secreted proteins, where each protein in the library was paired with unique DNA barcodes, was used. Using this library, REAP, a platform that allowed for sensitive high throughput identification of autoantibody reactivities against extracellular proteins, was developed. In it, purified patient antibodies were incubated with the library. Autoantibodies, if present, bound to yeast cell clones displaying their target antigen. These autoantibody-coated yeast cells were enriched by magnetic bead-based selection and enrichment was quantified through next generation sequencing of the unique DNA barcodes (FIG. 1).

[0400]

In developing REAP, a number of novel methodologies had to be established. These include advances in antigen library preparation as well as advances in methodology for preparation of patient biological samples, high-throughput selection, and downstream data analysis. First, a necessary component of REAP was the defined linkage between a genetically encoded barcode that may be read out by next-generation sequencing and an associated gene. While multiple barcodes may be associated with the same gene, no barcode may be associated with multiple genes for the REAP assay to function. Additionally, REAP required a library composed of native, properly-folded proteins comprising individual extracellular domains (“ectodomains”). Therefore, approaches, such as peptide tiling, shotgun DNA cloning, or whole-cDNA cloning approaches, which have previously been used to generate libraries for autoantibody screening, did not offer the same specificity or coverage as the curated library since they did not present the full, properly folded tertiary structure of the secreted or ectodomain antigen. As such, these technologies cannot readily detect antibodies recognizing discontinuous, three-dimensional epitopes. These difficulties were overcome and generated a curated library of full-length ectodomains that were individually cloned, normalized during a pooling step, and confidently associated with multiple unique genetic barcodes.

[0401]

Second, a high-throughput and efficient method for antibody isolation from human serum or plasma were developed. This method involved affinity purification of the desired antibody isotype (IgG, IgA, IgE, etc.) in 96-well microtiter plates. This allowed for the isolation of antibodies from hundreds of patient samples in a day. Importantly, after the antibodies were isolated, they were incubated with empty vector yeast. Since yeast cell contained conserved epitopes that may be targeted by endogenous anti-saccharomyces antibodies and proteins, such as complement/MBL, this step removed human serum components and yeast-reactive antibodies that may bind yeast cell and interfere with downstream selection procedures. Ultimately, the antibody isolation method allowed to rapidly process patient samples while generating antibody inputs that lead to minimal background in the REAP selection process.

[0402]

Third, a novel high-throughput selection process based on 96-well magnetic columns were developed. Traditionally, yeast cell library selections for directed evolution purposes have been conducted with either large magnetic columns designed for capturing cells or fluorescence activated cell sorting (FACS). While this process was effective, it was entirely low-throughput. Using these large magnetic columns, only a few dozen selections can be performed at a time. Use of FACS was similarly limiting, as one FACS machine can only sort one sample at a time at a maximum speed of ˜17 minutes per 100 million cells. In order to achieve the desired level of throughput, 96-well magnetic columns designed for analytical scale isolations of proteins and nucleic acids were repurposed. Through optimization, a standard protocol for use of these columns that involved washing to remove non-specific binders as well as centrifugation for maximum elution efficiency was developed. Using this novel selection method, the entire selection process for 96 samples consisting of 100 million cells per sample can be completed in ˜40 minutes, while comparable sorting using FACS would take ˜27 hours.

[0403]

Finally, a custom scoring algorithm was developed to identify genuine autoantibody reactivities based on quantitative next generation sequencing data. The data analysis method relied on the fact that each protein in the library was displayed on multiple yeast cell clones and each clone carried a unique DNA barcode. In other words, each protein in the library consisted of multiple “protein clones”. Through next generation sequencing, not only can the total enrichment of a protein after selection be determined, but also how many “protein clones” were enriched. This allows for quantifying “clonal enrichment”, which was defined as the fraction of clones that were enriched above a set cutoff. Incorporation of clonal enrichment in REAP data analysis was essential for identification of true reactivities because it allowed for the elimination of non-specific enrichment of proteins due to polyreactive “sticky” yeast cell clones or stochastic variations in library distribution. These factors may result in enrichment of a single protein clone, but it was extremely unlikely that they would result in enrichment of all of the “protein clones” for a protein. On the other hand, genuine enrichment of a protein due to the presence of autoantibodies targeting it would result in enrichment of many if not all protein clones. Thus, incorporation of clonal enrichment into data analysis allowed for elimination of false positive enrichments, expediting identification of genuine autoantibody reactivities in samples.

[0404]

REAP Allows for Specific and Sensitive High-Throughput Autoantibody Discovery

[0405]

To validate that this method can accurately detect antibody targets, REAP was performed on a panel of 9 commercial monoclonal antibodies with known targets (FIG. 2). All antibody targets in this panel were detect accurately and specifically. Next, the assay was benchmarked using samples from patients with autoimmune-polyendocrinopathy-candidiasis-ectodermal dystrophy (APECED), an autoimmune disease characterized by near universal presence of high titer autoantibodies against type 1 interferons and IL22 and rarer autoantibodies against other cytokines. IgG was purified from the serum of twelve APECED patients along with 16 healthy donor samples and conducted REAP on them. This REAP screen revealed that all APECED samples exhibited robust enrichment of type 1 interferons (IFNA & IFNW1) and 1L22 and several exhibited enrichment of other known autoantibody targets in APECED such as IL17, IL5, and IL28 at frequencies comparable to previously described autoantibody distributions in the APECED patient population (FIG. 3). Little to no enrichment of these proteins was seen in the 20 healthy donor samples. Autoantibodies were identified against gastric intrinsic factor (GIF), lipocalin-1 (LCN1), IL-5, IL-6, protein disulfide-isomerase-like protein of the testis (PDILT), and BPI fold containing family member 1 and 2 (BPIFA1/2), which have been previously described in APECED. With respect to GIF reactivities, the results seen with REAP demonstrated strong concordance with clinical anti-GIF ELISA results from the same patients (FIG. 4). To quantify the sensitivity of the assay, REAP screens were conducted using serial dilutions of antibody from an APECED patient (FIG. 5) and compared the results to that of enzyme-linked immunosorbent assays (ELISAs), the “gold-standard” assay for autoantibody detection (FIG. 6). For the four protein targets tested, REAP exhibited higher sensitivity than ELISA, as seen by the left-shifted dose response curves in the REAP assay. To investigate the reproducibility of REAP, log 2[fold enrichment] was compared between technical (intra-assay) replicates across all APECED patient samples and strong positive correlations were found between replicates (median R2=0.914; FIG. 7). Together, these data show that REAP is a sensitive and specific assay for high-throughput autoantibody identification from patient serum.

[0406]

REAP Identifies Novel Autoantibodies in a Wide Variety of Disease Contexts

[0407]

Using REAP, a cohort of patients with systemic lupus erythematosus (SLE) was screened (FIG. 8). THe screen identified autoantibody reactivities that are known to be present in SLE patients, such as those against TNF, IL6, and type I interferons. Importantly, many previously undescribed autoantibody reactivities were identified against proteins with a wide range of biological functions. For example, autoantibody reactivities were identified targeting cytokines (e.g., IL4, IL33), chemokines (e.g., CXCL3, CCL8), growth factors (e.g., VEGFB, FGF21), immunoregulatory proteins (e.g., PD-L2, B7H4), and extracellular matrix proteins (e.g., EPYC, CD248).

[0408]

Two notable autoantibody reactivities uncovered in SLE patients were those against PD-L2 and IL-33. These were biochemically validated using ELISAs and the function of these autoantibodies was characterized. As the primary biological function of PD-L2 is mediated by its binding to its receptor PD-1, it was tested whether autoantibodies against PD-L2 could block this interaction. Serum samples from an SLE patient with anti-PD-L2 autoantibodies were present at titers >1:100 and inhibited the interaction between PD-L2 and PD-1 in a dose-dependent manner, while serum from a control patient without anti-PD-L2 autoantibodies did not (FIG. 9A-9C). To test the functional effects of anti-IL-33 autoantibodies, a HEK-Blue IL-33 reporter cell line was used, which produces secreted alkaline phosphatase downstream of an NFκB promoter that is activated by the IL-33 pathway. Bulk IgG (isolated via protein G) from the SLE patient harboring anti-IL-33 autoantibodies potently neutralized IL-33 signaling with an IC50 less than 0.01 mg/mL, while IgG from a control patient without anti-IL-33 autoantibodies had no neutralizing effect (FIG. 9D-9F). These findings underscore the ability of REAP to discover novel autoantibodies with functional biological effects.

[0409]

In addition, a longitudinal cohort of 63 non-small cell lung cancer (NSCLC) patients treated primarily with anti-PD-L1 and anti-PD-1 checkpoint inhibition along with a variety of other antibody immunotherapies (FIG. 10) was screened. From this screen, novel autoantibody reactivities against proteins that have not yet been described in the context of cancer and that could potentially have disease-modifying effects were identified. These include autoantibodies targeting chemokines (e.g., CXCL1/2/3), type 1 interferons, growth factors (e.g., VEGFB), and adhesion receptors (e.g., MADCAM1).

[0410]

Using REAP, many of the therapeutic antibodies administered to these patients were accurately detected, which served as internal positive controls. The assay was able to detect therapeutic antibody presence with high sensitivity. In one patient, patient 9, bevacizumab (anti-VEGFA therapeutic antibody) was detected 6 months after their last dose. The assay was also able to accurately detect longitudinal changes in therapeutic antibody titer. For example, REAP score accurately reflected changes in therapeutic anti-OX40 antibody titers in one patient, as measured by ELISA (FIG. 11).

[0411]

Combining these data with the SLE REAP data, the heterogeneity in REAP data was analyzed between different diseases by performing UMAP analysis on the NSCLC, SLE, and UCTD patient data (FIG. 12). While some NSCLC and SLE patients clustered together, some subsets of patients formed distinct disease-specific clusters.

[0412]

A cohort of patients was screened with systemic sclerosis, a chronic autoimmune rheumatic disorder (FIG. 13). Similar to the screen of SLE patients, numerous novel autoantibody reactivities targeting proteins involved in a wide variety of biological functions were found. Of note, many reactivities against NK cell related proteins (LILRA3, LILRB2, RAETIL, ULBP2) were identified and multiple patients had autoantibody reactivities against PD-1, an immune checkpoint receptor that plays an important role in inhibiting immune responses.

[0413]

Finally, a longitudinal cohort of 194 COVID-19 patients were screened. It was found that autoantibodies in COVID-19 patients targeted proteins involved in diverse immunological functions such as acute phase response, type II immunity, leukocyte trafficking, interferon responses, and lymphocyte function/activation (FIG. 14). Cytokine autoantibody targets included type 1 and type 3 interferons, IL-1α/β, IL-6, IL-21, IL-22, GM-CSF (CSF2), IL-18Rβ (IL18RAP), and Leptin (LEP). Chemokine autoantibody targets included CXCL1, CXCL7 (PPBP), CCL2, CCL15, CCL16, and the chemokine decoy receptor ACKR1 (Duffy blood group antigen). Immunomodulatory cell surface autoantibody targets included NKG2D ligands (e.g., RAET1E/L, ULBP1/2), NK cell receptors NKG2A/C/E (e.g., KLRC1/2/3), B cell expressed proteins (e.g., CD38, FCMR, FCRL3, CXCR5), T cell expressed proteins (e.g., CD3E, CXCR3, CCR4), and myeloid expressed proteins (e.g., CCR2, CD300E).

[0414]

In addition to immune-targeting autoantibodies, a high prevalence of tissue-associated autoantibodies in COVID-19 patients (FIG. 15) was observed. A list of tissue associated antigens with significant differences in REAP signals was manually curated between uninfected controls and symptomatic patients, and a heatmap organized by COVID-19 disease severity was generated. Broadly, a high frequency of autoantibodies were found directed against vascular cell types (e.g., endothelial adhesion molecule PLVAP, regulator of angiogenesis RSPO3); against coagulation factors (e.g., coagulation factor II receptor F2R, SERPINEl and 2) and platelets (e.g., glycoprotein VI GP6); and against connective tissue and extracellular matrix targets (e.g., suspected regulator of cartilage maintenance OTOR, matrix metalloproteinases MMP7 and MMP9). In addition, REAP hits were observed against various organ systems including lung (e.g., ectodysplasin A2 Receptor EDA2R and mesothelin MSLN), the CNS compartment (e.g., orexin receptor HCRTR2, metabotropic glutamate receptor GRM5, neuronal injury marker NINJ1), skin (e.g., dermcidin DCD), gastrointestinal tract (e.g., regenerating family member 4 REG4, guanylate cyclase activator 2A GUCA2A), and other tissues.

[0415]

To explore the correlation of autoantibodies with disease progression/adverse events in cancer patients treated with immunotherapy, 1,454 longitudinal samples were screened from 222 CPI-treated melanoma patients (FIG. 16). Anti-CTLA4/PD1/PDL1 drugs were detected in most treated patients. Beyond these “controls”, more than 400 hits with significant REAP scores were observed across the samples. Many hits like ICOSLG, IL6, TNFa, and ILlA are present in multiple patients and these antibodies could have a modulation role in drug response and immune-related adverse events.

[0416]

The broad autoantibody reactivity is also observed in kidney transplant patients (FIG. 17). 108 patients with pre and post transplantation serum samples were screened. Around 320 autoantibodies and 70/320 are immune-related hits were detected. Patients treated with Belatacept (CTLA-4 Fc) were accurately captured, with high CD80 scores. Patients are grouped by rejection and infection status after transplantation. Some hits like IFITM10, IL4, EXOC3-AS1 are highly associated with post-transplantation rejection while anti-IGFBP1 shows a potential protective role. Anti-IFNa family/CD99L2/OSTN/SYCN/LYG2/BTN1A1 autoantibodies are enriched in the infection group, suggesting a protective role of these proteins in virus infection. Anti-NXPH1/CST5 autoantibodies are observed in the non-infection group, indicates the potential immune-inhibitory role of these proteins. The existence of these autoantibodies is an opportunity to modulate patients' responses with kidney transplantation.

[0417]

Custom Scoring Algorithm has High Sensitivity and Specificity

[0418]

To validate the autoantibody reactivities that were discovered, two parallel and orthogonal assays were used. Luciferase Immunoprecipitation Systems (LIPS) offers a highly sensitive, higher-throughput validation process, but relies on luciferase fusions that may interfere with protein folding or lead to higher noise and variability between proteins. ELISA requires larger amounts of purified recombinant protein but is a “gold-standard” assay that is widely used. In both assays, valid autoantibody reactivities were defined as those with signals 3 standard deviations above the average healthy donor signal. Representative ELISA and LIPS validation plots can be seen in FIG. 18A and FIG. 18B. Using orthogonal validation data from APECED and SLE patients (247 test pairs across 25 different proteins), a receiver operating characteristic analysis was conducted and it was found that using the current scoring algorithm, REAP could distinguish autoantibody reactivities with an area under the curve of 0.892 (FIG. 19). A list of all REAP reactivities that have been orthogonally validated is provided in FIG. 23.

[0419]

Pathogenic Autoantibodies Identified by REAP could be Specifically Targeted for Degradation in Clinical Settings

[0420]

Autoantibodies that are identified in REAP screens and are further demonstrated to have pathogenic effects could be targeted for degradation in clinical settings using existing therapeutic modalities. For example, pathogenic autoantibodies could be removed from circulation in patients through the use of recombinant biologics in the form of autoantigens conjugated to endocytosis-promoting protein tags. Upon injection of these autoantigen conjugates into circulation, pathogenic autoantibodies will bind to their respective autoantigen, be trafficked to endosomal pathways, and ultimately be degraded intracellularly (FIG. 20). Chimeric autoantigen receptor (CAAR) T cells, a recently developed drug modality, could also be used to eliminate the B cells responsible for pathogenic autoantibody production. CAAR T cells display autoantigens on their cell surfaces that are connected to intracellular T cell activation domains. Inside a patient, CAAR T cells can bind to the B cell receptors of autoreactive B cells and initiate cytotoxic pathways that lead to lysis of the target autoreactive B cell (FIG. 21). In some cases, when autoantigens are proteins that have potentially harmful physiological effects when administered systemically and in large quantities (e.g., cytokines, chemokines, growth factors) or have native binding partners that are widely expressed, autoantigens could be engineered so that they do not interact with their native partner (FIG. 22). For example, if depletion of anti-IFNα autoantibodies was clinically indicated, IFNα could be engineered so that it does not bind to IFNAR1/2 and this engineered protein could be used as the autoantigen in the previously described therapeutic modalities.

[0421]

The materials and methods employed in this experiment are now described.

[0422]

Library Design:

[0423]

An initial library of 3093 human extracellular proteins was assembled based on protein domains, immunological functions, and yeast-display compatibility. The extracellular portion of each protein was identified by manual inspection of topological domains annotated in the SwissProt database (January 2018). For proteins with uncertain topology, full sequences were run through SignalP 4, Topcons, and GPTPred to identify most likely topologies. For proteins with multiple extracellular portions, in general the longest individual region was chosen for initial amplification. cDNAs for chosen proteins were purchased from GE Dharmacon or DNASU. The protein sequences were further modified to match isoforms available in purchased cDNAs. An inventory of antigens included in the library are compiled in Table 1.

[0000]

Representative list of DNA and protein sequences
amplified for the initial and expanded libraries.
Seq. Id.Seq. Id.UniprotGene
No. (protein)No. (DNA)IDSymbol
13093P04217A1BG
23094P01023A2M
33095Q7Z7G0ABI3BP
43096P16112ACAN
53097Q9BYF1ACE2
63098O75078ADAM11
73099O43184ADAM12
83100Q13444ADAM15
93101Q9Y3Q7ADAM18
103102Q9H013ADAM19
113103Q99965ADAM2
123104O43506ADAM20
133105Q9UKJ8ADAM21
143106Q9P0K1ADAM22
153107O75077ADAM23
163108QOUKQ2ADAM28
173109Q9UKF5ADAM29
183110Q9UKF2ADAM30
193111Q8TC27ADAM32
203112Q9BZ11ADAM33
213113P78325ADAM8
223114Q13443ADAM9
233115P82987ADAMTSL3
243116Q9UHX3ADGRE2
253117Q9BY15ADGRE3
263118Q86SQ3ADGRE4P
273119P48960ADGRE5
283120P35318ADM
293121Q7Z4H4ADM2
303122Q15109AGER
313123O00468AGRN
323124Q13740ALCAM
333125Q86YT9AMICA1
343126Q86WK6AMIGO1
353127Q86SJ2AMIGO2
363128Q86WK7AMIGO3
373129Q15389ANGPT1
383130O15123ANGPT2
393131Q9Y264ANGPT4
403132Q9UKU9ANGPTL2
413133Q9Y5C1ANGPTL3
423134Q9BY76ANGPTL4
433135Q9H6X2ANTXR1
443136P58335ANTXR2
453137A6NF34ANTXRL
463138P15514AREG
473139Q9H6B4ASAM
483140P07306ASGR1
493141P07307ASGR2
503142Q9BXN1ASPN
513143O14525ASTN1
523144O75129ASTN2
533145Q6UW56ATRAID
543146O75882ATRN
553147Q5VV63ATRNL1
563148P30530AXL
573149P25311AZGP1
583150P61769B2M
593151P50895BCAM
603152Q96GW7BCAN
613153P21810BGN
623154P13497BMP1
633155O95393BMP10
643156O95972BMP15
653157P12643BMP2
663158P12645BMP3
673159P12644BMP4
683160P22003BMP5
693161P18075BMP7
703162Q7Z5Y6BMP8A
713163P34820BMP8B
723164P36894BMPR1A
733165O00238BMPR1B
743166Q13873BMPR2
753167Q9BWV1BOC
763168P35613BSG
773169Q075Z2BSPH1
783170P35070BTC
793171Q7Z6A9BTLA
803172Q13410BTN1A1
813173Q7KYR7BTN2A1
823174Q8WVV5BTN2A2
833175Q96KV6BTN2A3P
843176O00481BTN3A1
853177P78410BTN3A2
863178O00478BTN3A3
873179A8MVZ5BTNL10
883180Q9UIR0BTNL2
893181Q6UXE8BTNL3
903182Q6UX41BTNL8
913183Q6UXG8BTNL9
923184O95971BY55
933185Q9H7M9C10orf54
943186Q5VYX0C10orf59
953187Q6UX52C17orf99
963188Q969H8C19orf10
973189F2Z333C1orf233
983190Q71H61C1orf32
993191O75973C1QL1
1003192Q7Z5L3C1QL2
1013193Q9NPY3C1QR1
1023194Q9BXJ5C1QTNF2
1033195Q9BXJ3C1QTNF4
1043196Q9BXJ0C1QTNF5
1053197P00736C1R
1063198P09871C1S
1073199P01024C3
1083200P0C0L4C4A
1093201P01031C5
1103202P13671C6
1113203O95866C6orf25
1123204P10643C7
1133205P07357C8A
1143206P07358C8B
1153207P02748C9
1163208Q9BY67CADM1
1173209Q8N3J6CADM2
1183210Q6UXH8CCBE1
1193211P22362CCL1
1203212P51671CCL11
1213213Q99616CCL13
1223214Q16627CCL14
1233215Q16663CCL15
1243216O15467CCL16
1253217Q92583CCL17
1263218P55774CCL18
1273219Q99731CCL19
1283220P13500CCL2
1293221P78556CCL20
1303222O00585CCL21
1313223O00626CCL22
1323224P55773CCL23
1333225O00175CCL24
1343226O15444CCL25
1353227Q9Y258CCL26
1363228Q9Y4X3CCL27
1373229Q9NRJ3CCL28
1383230P10147CCL3
1393231P16619CCL3L3
1403232P13236CCL4
1413233Q8NHW4CCL4L1
1423234P13501CCL5
1433235P80098CCL7
1443236P80075CCL8
1453237P08571CD14
1463238P48509CD151
1473239Q86VB7CD163
1483240Q9NR16CD163L1
1493241Q99467CD180
1503242P15391CD19
1513243P06126CD1A
1523244P29016CD1B
1533245P29017CD1C
1543246P15813CD1D
1553247P15812CD1E
1563248P06729CD2
1573249P41217CD200
1583250Q8TD46CD200R1
1593251Q6Q8B3CD200R1L
1603252Q9UJ71CD207
1613253Q9NNX6CD209
1623254P20273CD22
1633255Q15762CD226
1643256Q9BZW8CD244
1653257Q9HCU0CD248
1663258Q9NZQ7CD274
1673259Q5ZPR3CD276
1683260P10747CD28
1693261Q9UGN4CD300A
1703262Q08708CD300C
1713263Q496F6CD300E
1723264A8K4G0CD300LB
1733265Q6UXZ3CD300LD
1743266Q8TDQ1CD300LF
1753267Q6UXG3CD300LG
1763268Q8IX05CD302
1773269Q9NPF0CD320
1783270P20138CD33
1793271P28906CD34
1803272P16671CD36
1813273P11049CD37
1823274P28907CD38
1833275P04234CD3D
1843276P07766CD3E
1853277P09693CD3G
1863278P01730CD4
1873279P29965CD40LG
1883280P16070CD44
1893281Q08722CD47
1903282P09326CD48
1913283P06127CD5
1923284P19397CD53
1933285P08174CD55
1943286P19256CD58
1953287P13987CD59
1963288P30203CD6
1973289P08962CD63
1983290Q07108CD69
1993291P09564CD7
2003292P32970CD70
2013293P21854CD72
2023294P04233CD74
2033295P11912CD79A
2043296P40259CD79B
2053297P33681CD80
2063298P60033CD81
2073299P27701CD82
2083300Q01151CD83
2093301Q9UIB8CD84
2103302P42081CD86
2113303P01732CD8A
2123304P10966CD8B
2133305A6NJW9CD8B2
2143306P21926CD9
2153307P40200CD96
2163308P14209CD99
2173309P12830CDH1
2183310Q9Y6N8CDH10
2193311P55287CDH11
2203312P55289CDH12
2213313P55290CDH13
2223314P55291CDH15
2233315O75309CDH16
2243316Q12864CDH17
2253317Q13634CDH18
2263318Q9H159CDH19
2273319P19022CDH2
2283320Q9HBT6CDH20
2293321Q9UJ99CDH22
2303322Q9H251CDH23
2313323Q86UP0CDH24
2323324Q8IXH8CDH26
2333325P22223CDH3
2343326P55283CDH4
2353327P33151CDH5
2363328P55285CDH6
2373329Q9ULB5CDH7
2383330P55286CDH8
2393331Q9ULB4CDH9
2403332Q4KMG0CDON
2413333O43827CDT6
2423334P13688CEACAM1
2433335Q2WEN9CEACAM16
2443336A8MTB9CEACAM18
2453337Q7Z692CEACAM19
2463338Q6UY09CEACAM20
2473339Q3KPI0CEACAM21
2483340P40198CEACAM3
2493341O75871CEACAM4
2503342P06731CEACAM5
2513343P40199CEACAM6
2523344Q14002CEACAM7
2533345P31997CEACAM8
2543346P0CG37CFC1
2553347P0CG36CFC1B
2563348P00746CFD
2573349P08603CFH
2583350Q92496CFHR4
2593351P05156CFI
2603352O15335CHAD
2613353Q6NUI6CHADL
2623354O00533CHL1
2633355Q9H9P2CHODL
2643356O75339CILP
2653357Q8IUL8CILP2
2663358QOUQC9CLCA2
2673359Q14CN2CLCA4
2683360Q8WXI8CLEC-6
2693361Q8IUN9CLEC10A
2703362Q9Y240CLEC11A
2713363Q5QGZ9CLEC12A
2723364Q2HXU8CLEC12B
2733365Q86T13CLEC14A
2743366Q6ZS10CLEC17A
2753367Q6UXF7CLEC18A
2763368A5D8T8CLEC18A
2773369Q6UXS0CLEC19A
2783370Q8NC01CLEC1A
2793371Q9P126CLEC1B
2803372Q92478CLEC2B
2813373Q9UHP7CLEC2D
2823374O75596CLEC3A
2833375Q9UMR7CLEC4A
2843376Q8WTT0CLEC4C
2853377Q9ULY5CLEC4E
2863378Q8N1N0CLEC4F
2873379Q6UXB4CLEC4G
2883380Q9H2X3CLEC4M
2893381Q9NY25CLEC5A
2903382Q6EIG7CLEC6A
2913383Q9BXN2CLEC7A
2923384Q6UXN8CLEC9A
2933385Q8IZS7CLECL1
2943386P26992CNTFR
2953387Q12860CNTN1
2963388Q02246CNTN2
2973389Q9P232CNTN3
2983390Q8IWV2CNTN4
2993391O94779CNTN5
3003392Q9UQ52CNTN6
3013393P78357CNTNAP1
3023394Q9UHC6CNTNAP2
3033395Q9BZ76CNTNAP3
3043396Q9C0A0CNTNAP4
3053397Q8WYK1CNTNAP5
3063398Q05707COL14A1
3073399Q9P218COL20A1
3083400Q9Y6Z7COLEC10
3093401Q9BWP8COLEC11
3103402Q5KU26COLEC12
3113403P49747COMP
3123404Q8IZJ3CPAMD8
3133405P22792CPN2
3143406P82279CRB1
3153407Q96HD1CRELD1
3163408Q6UXH1CRELD2
3173409O75462CRLF1
3183410Q9HC73CRLF2
3193411Q9NQ79CRTAC1
3203412O95727CRTAM
3213413P07333CSF1R
3223414P04141CSF2
3233415P15509CSF2RA
3243416P32927CSF2RB
3253417P09919CSF3
3263418Q99062CSF3R
3273419O95196CSPG5
3283420P16410CTLA4
3293421P78423CX3CL1
3303422P78310CXADR
3313423P09341CXCL1
3323424P02778CXCL10
3333425O14625CXCL11
3343426P48061CXCL12
3353427O43927CXCL13
3363428O95715CXCL14
3373429Q9H2A7CXCL16
3383430Q6UXB2CXCL17
3393431P19875CXCL2
3403432P19876CXCL3
3413433P42830CXCL5
3423434P80162CXCL6
3433435Q07325CXCL9
3443436Q14118DAG1
3453437Q8N907DAND5
3463438P07585DCN
3473439Q5T197DCST1
3483440Q9H295DCSTAMP
3493441P59665DEFA1
3503442B2R9L8Delta
3513443P98153DGCR2
3523444Q68D85DKFZp686O24166
3533445P80370DLK1
3543446Q6UY11DLK2
3553447O00548DLL1
3563448Q9NYJ7DLL3
3573449Q9NR61DLL4
3583450Q8NFT8DNER
3593451Q02487DSC2
3603452Q14574DSC3
3613453Q14126DSG2
3623454P32926DSG3
3633455Q86SJ6DSG4
3643456Q14213EBI3
3653457O94769ECM2
3663458Q92838EDA
3673459Q9HAV5EDA2R
3683460Q9UNE0EDAR
3693461O43854EDIL3
3703462Q12805EFEMP1
3713463O95967EFEMP2
3723464P20827EFNA1
3733465O43921EFNA2
3743466P52797EFNA3
3753467P52803EFNA5
3763468P98172EFNB1
3773469P52799EFNB2
3783470Q15768EFNB3
3793471P01133EGF
3803472O75095EGFL3
3813473Q8IUX8EGFL6
3823474Q9UHF1EGFL7
3833475Q63HQ2EGFLAM
3843476P00533EGFR
3853477P0C7U0ELFN1
3863478Q5R3F8ELFN2
3873479Q96BH3ELSPBP1
3883480Q9HBW9ELTD1
3893481Q6PCB8EMB
3903482Q9ULC0EMCN
3913483Q14246EMR1
3923484P22413ENPP1
3933485P49961ENTPD1
3943486O75355ENTPD3
3953487Q6UW88EPGN
3963488P21709EPHA1
3973489Q5JZY3EPHA10
3983490P29317EPHA2
3993491P29320EPHA3
4003492P54764EPHA4
4013493P54756EPHA5
4023494Q9UF33EPHA6
4033495Q15375EPHA7
4043496P29322EPHA8
4053497P54762EPHB1
4063498P29323EPHB2
4073499P54753EPHB3
4083500P54760EPHB4
4093501O15197EPHB6
4103502P01588EPO
4113503P19235EPOR
4123504Q99645EPYC
4133505P04626ERBB2
4143506P21860ERBB3
4153507Q15303ERBB4
4163508O14944EREG
4173509Q96PL5ERMAP
4183510Q96AP7ESAM
4193511Q5T1H1EYS
4203512P00742F10
4213513Q9Y624F11R
4223514P00748F12
4233515P00488F13A1
4243516P13726F3
4253517P08709F7
4263518P00740F9
4273519Q4G0M1FAM132B
4283520Q5VUB5FAM171A1
4293521A6NFU0FAM187A
4303522Q17R55FAM187B
4313523Q8IXL6FAM20C
4323524Q9NYQ8FAT2
4333525P23142FBLN1
4343526P98095FBLN2
4353527Q9UBX5FBLN5
4363528Q53RD9FBLN7
4373529P35556FBN2
4383530Q75N90FBN3
4393531Q8WWV6FCAMR
4403532P24071FCAR
4413533P12319FCER1A
4423534P06734FCER2
4433535P12314FCGR1A
4443536Q92637FCGR1B
4453537P12318FCGR2A
4463538P31994FCGR2B
4473539P31994FCGR2C
4483540P31995FCGR2C
4493541P08637FCGR3A
4503542P08637FCGR3A
4513543P55899FCGRT
4523544O60667FCMR
4533545Q96LA6FCRL1
4543546Q96LA5FCRL2
4553547Q96P31FCRL3
4563548Q96PJ5FCRL4
4573549Q96RD9FCRL5
4583550Q6DN72FCRL6
4593551Q6BAA4FCRLB
4603552Q7L513FCRLM1
4613553P05230FGF1
4623554O15520FGF10
4633555O43320FGF16
4643556O60258FGF17
4653557O76093FGF18
4663558O95750FGF19
4673559Q9NP95FGF20
4683560Q9NSA1FGF21
4693561Q9GZV9FGF23
4703562P11487FGF3
4713563P12034FGF5
4723564P10767FGF6
4733565P21781FGF7
4743566P31371FGF9
4753567Q14512FGFBP1
4763568Q8TAT2FGFBP3
4773569P11362FGFR1
4783570P21802FGFR2
4793571P22607FGFR3
4803572P22455FGFR4
4813573Q8N441FGFRL1
4823574O43915FIGF
4833575Q6NSJ5FLJ23420
4843576Q9NZU1FLRT1
4853577O43155FLRT2
4863578Q9NZU0FLRT3
4873579P17948FLT1
4883580P36888FLT3
4893581Q06828FMOD
4903582P02751FN1
4913583Q9H6D8FNDC4
4923584Q8NAU1FNDC5
4933585Q5VTL7FNDC7
4943586Q5H8C1FREM1
4953587P23945FSHR
4963588Q6MZW2FSTL4
4973589Q8N475FSTL5
4983590P05161G1P2
4993591Q14393GAS6
5003592P55107GDF10
5013593O95390GDF11
5023594Q99988GDF15
5033595Q9UK05GDF2
5043596Q9NR23GDF3
5053597P43026GDF5
5063598Q6KF10GDF6
5073599O14793GDF8
5083600O60383GDF9
5093601P39905GDNF
5103602P56159GFRA1
5113603O00451GFRA2
5123604O60609GFRA3
5133605Q9GZZ7GFRA4
5143606P10912GHR
5153607Q9Y5U5GITR
5163608Q99445GML
5173609P22749GNLY
5183610P07359GP1BA
5193611P13224GP1BB
5203612P55259GP2
5213613P40197GP5
5223614Q9HCN6GP6
5233615P14770GP9
5243616Q99795GPA33
5253617P06744GPI
5263618Q8IV16GPIHBP1
5273619Q14956GPNMB
5283620P08236GUSB
5293621Q14520HABP2
5303622P81172HAMP
5313623P10915HAPLN1
5323624Q9GZV7HAPLN2
5333625Q96S86HAPLN3
5343626Q86UW8HAPLN4
5353627Q96D42HAVCR1
5363628Q8TDQ0HAVCR2
5373629Q99075HBEGF
5383630Q14CZ8HEPACAM
5393631A8MVW5HEPACAM2
5403632Q30201HFE
5413633P14210HGF
5423634Q04756HGFAC
5433635Q96QV1HHIP
5443636Q9UM44HHLA2
5453637P01893HLA
5463638P01889HLA
5473639P01891HLA
5483640P01892HLA
5493641P30685HLA
5503642P04439HLA-A
5513643P01889HLA-B
5523644P10321HLA-C
5533645P28067HLA-DMA
5543646P28068HLA-DMB
5553647P06340HLA-DOA
5563648P13765HLA-DOB
5573649P20036HLA-DPA1
5583650P04440HLA-DPB1
5593651P01909HLA-DQA1
5603652P01920HLA-DQB1
5613653P01903HLA-DRA
5623654P01911HLA-DRB1
5633655P13747HLA-E
5643656P30511HLA-F
5653657P17693HLA-G
5663658P09429HMGB1
5673659P26583HMGB2
5683660Q12794HYAL1
5693661Q12891HYAL2
5703662O43820HYAL3
5713663P05362ICAM1
5723664P13598ICAM2
5733665P32942ICAM3
5743666Q14773ICAM4
5753667Q9UMF0ICAM5
5763668Q9Y6W8ICOS
5773669O75144ICOSLG
5783670A6NMD0IFITM10
5793671P01566IFNA10
5803672P01562IFNA13
5813673P01570IFNA14
5823674P05015IFNA16
5833675P01571IFNA17
5843676P01571IFNA17
5853677P01563IFNA2
5863678P01568IFNA21
5873679P01567IFNA4
5883680P01569IFNA5
5893681P05013IFNA6
5903682P32881IFNA8
5913683P17181IFNAR1
5923684P48551IFNAR2
5933685P01574IFNB1
5943686Q86WN2IFNE
5953687P01579IFNG
5963688P15260IFNGR1
5973689P38484IFNGR2
5983690Q9P0W0IFNK
5993691Q8IZJ0IFNL2
6003692P05000IFNW1
6013693Q8IVU1IGDCC3
3694P08069IGF1R
6023695P01344IGF2
6033696P11717IGF2R
6043697P35858IGFALS
6053698Q16270IGFBP7
6063699Q8WX77IGFBPL1
6073700Q6UW32IGFL1
6083701Q6UWQ7IGFL2
6093702Q6UXB1IGFL3
6103703A6NJ69IGIP
6113704P15814IGLL1
6123705B9A064IGLL5
6133706A6NGN9IGLON5
6143707Q8N6C5IGSF1
6153708Q6WRI0IGSF10
6163709Q5DX21IGSF11
6173710Q96ID5IGSF21
6183711O75054IGSF3
6193712Q8N126IGSF4B
6203713Q8NFZ8IGSF4C
6213714Q9NSI5IGSF5
6223715O95976IGSF6
6233716Q969P0IGSF8
6243717Q9P212IGSF9
6253718P22301IL10
6263719Q13651IL10RA
6273720Q08334IL10RB
6283721P20809IL11
6293722Q14626IL11RA
6303723P29459IL12A
6313724P29460IL12B
6323725P42701IL12RB1
6333726Q99665IL12RB2
6343727P35225IL13
6353728P78552IL13RA1
6363729Q14627IL13RA2
6373730P40933IL15
6383731Q13261IL15RA
6393732Q14005IL16
6403733Q16552IL17A
6413734Q9UHF5IL17B
6423735Q9NRM6IL17BR
6433736Q9P0M4IL17C
6443737Q8TAD2IL17D
6453738Q96PD4IL17F
6463739Q96F46IL17RA
6473740Q8NAC3IL17RC
6483741Q8NFM7IL17RD
6493742Q8NFR9IL17RE
6503743Q14116IL18
6513744O95998IL18BP
6523745Q13478IL18R1
6533746O95256IL18RAP
6543747Q9UHD0IL19
6553748P01583IL1A
6563749P01584IL1B
6573750Q8WWZ1IL1F10
6583751Q9UBH0IL1F5
6593752Q9UHA7ILIF6
6603753Q9NZH6IL1F7
6613754Q9NZH8IL1F9
6623755P14778ILIR1
6633756P27930ILIR2
6643757Q9NPH3IL1RAP
6653758Q9NZN1IL1RAPL1
6663759Q9NP60IL1RAPL2
6673760Q01638IL1RL1
6683761Q9HB29IL1RL2
6693762P18510IL1RN
6703763P60568IL2
6713764Q9NYY1IL20
6723765Q9UHF4IL20RA
6733766Q6UXL0IL20RB
6743767Q9HBE4IL21
6753768Q9HBE5IL21R
6763769Q9GZX6IL22
6773770Q8N6P7IL22RA1
6783771Q969J5IL22RA2
6793772Q9NPF7IL23A
6803773Q5VWK5IL23R
6813774Q13007IL24
6823775Q9H293IL25
6833776Q9NPH9IL26
6843777Q8NEV9IL27
6853778Q6UWB1IL27RA
6863779Q8IZI9IL28B
6873780Q8IU57IL28RA
6883781Q8IU54IL29
6893782P01589IL2RA
6903783P14784IL2RB
6913784P31785IL2RG
6923785P08700IL3
6933786Q6EBC2IL31
6943787Q8NI17IL31RA
6953788P24001IL32
6963789O95760IL33
6973790Q6ZMJ4IL34
6983791Q9NZH7IL36B
6993792P26951IL3RA
7003793P05112IL4
7013794P24394IL4R
7023795P05113IL5
7033796Q01344IL5RA
7043797P05231IL6
7053798P08887IL6R
7063799P40189IL6ST
7073800P13232IL7
7083801P16871IL7R
7093802P10145IL8
7103803P25025IL8RB
7113804P15248IL9
7123805Q01113IL9R
7133806Q86SU0ILDR1
7143807Q9BZV3IMPG2
7153808K9M1U5INFL4
7163809P01308INS
7173810P51460INSL3
7183811Q9Y5Q6INSL5
7193812Q9Y581INSL6
7203813P06213INSR
7213814O14498ISLR
7223815Q6UXK2ISLR2
7233816P56199ITGA1
7243817P17301ITGA2
7253818P08514ITGA2B
7263819P26006ITGA3
7273820P13612ITGA4
7283821P08648ITGA5
7293822P23229ITGA6
7303823Q13683ITGA7
7313824P53708ITGA8
7323825Q13797ITGA9
7333826P38570ITGAE
7343827P20701ITGAL
7353828P11215ITGAM
7363829P06756ITGAV
7373830P20702ITGAX
7383831P05556ITGB1
7393832P05107ITGB2
7403833P05106ITGB3
7413834P18084ITGB5
7423835P18564ITGB6
7433836P26010ITGB7
7443837P26012ITGB8
7453838O95965ITGBL1
7463839Q8IYV9IZUMO
7473840P78504JAG1
7483841Q9Y219JAG2
7493842P57087JAM2
7503843Q9BX67JAM3
7513844P01591JCHAIN
7523845P23352KAL1
7533846Q96I82KAZALD1
7543847Q6UW63KDELC1
7553848Q7ZAH8KDELC2
7563849P35968KDR
7573850O60938KERA
7583851Q5VV43KIAA0319
7593852Q8IZA0KIAA0319L
7603853P43626KIR2DL2
7613854P43627KIR2DL3
7623855P43628KIR2DL3
7633856Q99706KIR2DL4
7643857Q8NHK3KIR2DL5B
7653858Q8N109KIR2DL5B
7663859P43631KIR2DS2
7673860Q14952KIR2DS3
7683861Q14954KIR2DS4
7693862P43632KIR2DS4
7703863Q14953KIR2DS5
7713864P43629KIR3DL1
7723865P43630KIR3DL2
7733866Q8N743KIR3DL3
7743867A8MWS1KIR3DP1
7753868Q14943KIR3DS1
7763869Q9H7L2KIR3DX1
7773870Q96J84KIRREL
7783871Q6UWL6KIRREL2
7793872Q8IZU9KIRREL3
7803873P10721KIT
7813874P21583KITLG
7823875Q12918KLRB1
7833876P26715KLRC1
7843877P26717KLRC2
7853878Q07444KLRC3
7863879Q13241KLRD1
7873880Q9NZS2KLRF1
7883881D3W0D1KLRF2
7893882Q96E93KLRG1
7903883P26718KLRK1
7913884Q9BYJ0KSP37
7923885P32004LICAM
7933886P18627LAG3
7943887Q6GTX8LAIR1
7953888Q6ISS4LAIR2
7963889P25391LAMA1
7973890Q16787LAMA3
7983891P07942LAMB1
7993892Q13751LAMB3
8003893A4D0S4LAMB4
8013894P11047LAMC1
8023895Q13753LAMC2
8033896Q6UX15LAYN
8043897P01130LDLR
8053898P48357LEPR
8063899O95970LGI1
8073900Q8N0V4LGI2
8083901Q8N145LGI3
8093902Q8N135LGI4
8103903Q9BXB1LGR4
8113904O75473LGR5
8123905Q9HBX8LGR6
8133906Q8WXD0LGR8
8143907P22888LHCGR
8153908P15018LIF
8163909P42702LIFR
8173910O75019LILRA1
8183911Q8N149LILRA2
8193912Q8N6C8LILRA3
8203913P59901LILRA4
8213914A6NI73LILRA5
8223915Q8NHL6LILRB1
8233916Q8N423LILRB2
8243917O75022LILRB3
8253918Q8NHJ6LILRB4
8263919O75023LILRB5
8273920Q6PI73LILRB6
8283921Q96FE5LINGO1
8293922Q7L985LINGO2
8303923P0C6S8LINGO3
8313924Q6UY18LINGO4
8323925Q8NCF0LOC348174
8333926P28300LOX
8343927Q08397LOXL1
8353928Q96II8LRCH3
8363929Q9P244LRFN1
8373930Q9ULH4LRFN2
8383931Q9BTN0LRFN3
8393932Q6PJG9LRFN4
8403933Q96NI6LRFN5
8413934P02750LRG1
8423935Q96JA1LRIG1
8433936O94898LRIG2
8443937Q6UXM1LRIG3
8453938A6NDA9LRIT2
8463939Q3SXY7LRIT3
8473940Q86VZ4LRP11
8483941O75096LRP4
8493942O75197LRP5
8503943O75581LRP6
8513944Q14114LRP8
8523945Q8TF66LRRC15
8533946Q8N6Y2LRRC17
8543947Q9H756LRRC19
8553948Q9P2V4LRRC21
8563949Q50LG9LRRC24
8573950Q8N386LRRC25
8583951Q2I0M4LRRC26
8593952Q9BY71LRRC3
8603953Q14392LRRC32
8613954A6NMS7LRRC37A
8623955O60309LRRC37A3
8633956Q96QE4LRRC37B
8643957Q5VT99LRRC38
8653958Q96PB8LRRC3B
8663959A6NJW4LRRC3C
8673960Q9HBW1LRRC4
8683961Q9NT99LRRC4B
8693962Q9HCJ2LRRC4C
8703963Q8N7C0LRRC52
8713964Q6ZSA7LRRC55
8723965Q7Z2Q7LRRC70
8733966Q8IWT6LRRC8A
8743967Q6P9F7LRRC8B
8753968Q8TDW0LRRC8C
8763969Q7L1W4LRRC8D
8773970Q6UXK5LRRN1
8783971Q9H3W5LRRN3
8793972Q8WUT4LRRN4
8803973Q8ND94LRRN4CL
8813974O75325LRRN5
8823975Q86UE6LRRTM1
8833976O43300LRRTM2
8843977Q86VH5LRRTM3
8853978Q86VH4LRRTM4
8863979Q9HBL6LRTM1
8873980Q8N967LRTM2
8883981Q13449LSAMP
8893982Q86X29LSR
8903983P01374LTA
8913984Q06643LTB
8923985Q14766LTBP1
8933986P36941LTBR
8943987P02788LTF
8953988P29376LTK
8963989P51884LUM
8973990Q14210LY6D
8983991Q16553LY6E
8993992Q8NDX9LY6G5B
9003993Q5SRR4LY6G5C
9013994O95867LY6G6C
9023995O95868LY6G6D
9033996Q5SQ64LY6G6F
9043997O94772LY6H
9053998Q17RY6LY6K
9063999H3BQJ8Ly6L
9074000O60449LY75
9084001Q9HBG7LY9
9094002Q9BZG9LYNX1
9104003Q8N2G4LYPD1
9114004Q6UXB3LYPD2
9124005O95274LYPD3
9134006Q6UWN0LYPD4
9144007Q6UWN5LYPD5
9154008Q86Y78LYPD6
9164009Q8NI32LYPD6B
9174010Q6UX82LYPD8
9184011Q13477MADCAM1
9194012P20916MAG
9204013O00462MANBA
9214014P48740MASP1
9224015P21941MATN1
9234016O00339MATN2
9244017O15232MATN3
9254018O95460MATN4
9264019P11226MBL2
9274020P43121MCAM
9284021P15529MCP
9294022Q8NFP4MDGA1
9304023Q7Z553MDGA2
9314024Q96KG7MEGF10
9324025A6BM72MEGF11
9334026Q9H1U4MEGF9
9344027Q16819MEP1A
9354028Q16820MEP1B
9364029Q12866MERTK
9374030P08581MET
9384031P55082MFAP3
9394032O75121MFAP3L
9404033Q08431MFGE8
9414034P08582MFI2
9424035Q29983MICA
9434036Q29980MICB
9444037P14174MIF
9454038Q7Z6M3MILR1
9464039P51511MMP15
9474040P51512MMP16
9484041Q9ULZ9MMP17
9494042P08253MMP2
9504043Q9Y5R2MMP24
9514044Q9H239MMP28
9524045P14780MMP9
9534046Q13201MMRN1
9544047Q16653MOG
9554048P40238MPL
9564049P25189MPZ
9574050O95297MPZL1
9584051O60487MPZL2
9594052Q6UWV2MPZL3
9604053Q95460MR1
9614054P22897MRC1
9624055Q9UBG0MRC2
9634056P21757MSR1
9644057P26927MST1
9654058P15941MUC1
9664059Q9H3R2MUC13
9674060Q685J3MUC17
9684061Q8N307MUC20
9694062Q5SSG8MUC21
9704063P98088MUC5AC
9714064O15146MUSK
9724065Q9BRK3MXRA8
9734066Q9UK23NAGPA
9744067P13591NCAM1
9754068O15394NCAM2
9764069O14594NCAN
9774070O76036NCR1
9784071O95944NCR2
9794072O14931NCR3
9804073Q8TB73NDNF
9814074Q7Z3B1NEGR1
9824075Q92832NELL1
9834076Q99435NELL2
9844077Q92859NEO1
9854078Q8NET5NFAM1
9864079O94856NFASC
9874080P01138NGFB
9884081P08138NGFR
9894082P14543NID1
9904083Q14112NID2
9914084Q8NFZ3NLGN4Y
9924085Q8NFZ3NLGN4Y
9934086Q96P20NLRP3
9944087Q8TDY8NOPE
9954088Q04721NOTCH2
9964089Q7Z3S9NOTCH2NL
9974090Q99466NOTCH4
9984091O60500NPHS1
9994092Q6UXI9NPNT
10004093Q9Y639NPTN
10014094Q92823NRCAM
10024095Q02297NRG1
10034096Q02297NRGI
10044097O14511NRG2
10054098P56975NRG3
10064099Q8WWG1NRG4
10074100O14786NRP1
10084101O60462NRP2
10094102Q86YC3NRROS
10104103P58400NRXN1
10114104Q9HDB5NRXN3
10124105P21589NT5E
10134106P20783NTF3
10144107P34130NTF5
10154108Q9P121NTM
10164109O95631NTN1
10174110O00634NTN3
10184111Q9HB63NTN4
10194112Q8WTR8NTN5
10204113Q9Y212NTNG1
10214114Q96CW9NTNG2
10224115P04629NTRK1
10234116Q16620NTRK2
10244117Q16288NTRK3
10254118Q8N323NXPE1
10264119Q969Y0NXPE3
10274120Q6UWF7NXPE4
10284121Q9GZU5NYX
10294122P20774OGN
10304123Q8WWZ8OIT3
10314124P78380OLR1
10324125Q99983OMD
10334126P23515OMG
10344127Q14982OPCML
10354128Q9UBM4OPTC
10364129Q8IYS5OSCAR
10374130Q99650OSMR
10384131Q6UXH9PAMR1
10394132Q06141PAP
10404133O95428PAPLN
10414134Q13219PAPPA
10424135Q8WXA2PATE1
10434136Q6UY27PATE2
10444137B3GLJ2PATE3
10454138P0C8F1PATE4
10464139Q9P2E7PCDH10
10474140Q9NPG4PCDH12
10484141Q8N6Y1PCDH20
10494142Q9HC56PCDH9
10504143Q9Y5H5PCDHA9
10514144Q9Y5F3PCDHB1
10524145Q9Y5F2PCDHB11
10534146Q9UN66PCDHB13
10544147Q9Y5E8PCDHB15
10554148Q9NRJ7PCDHB16
10564149Q9Y5E6PCDHB3
10574150Q9Y5E4PCDHB5
10584151Q9Y5E3PCDHB6
10594152Q9Y5E2PCDHB7
10604153Q9Y5E1PCDHB9
10614154Q9Y5G9PCDHGA4
10624155Q9Y5G1PCDHGB3
10634156Q9Y5F9PCDHGB6
10644157Q9UN70PCDHGC3
10654158Q9UHG2PCSK1N
10664159Q8NBP7PCSK9
10674160Q15116PDCD1
10684161Q9BQ51PDCD1LG2
10694162P04085PDGFA
10704163P01127PDGFB
10714164Q9NRA1PDGFC
10724165Q9GZP0PDGFD
10734166P16234PDGFRA
10744167P09619PDGFRB
10754168Q15198PDGFRL
10764169P16284PECAM1
10774170P02776PF4
10784171P49763PGF
10794172O75594PGLYRP1
10804173P01833PIGR
10814174Q96FE7PIK3IP1
10824175Q9UKJ1PILRA
10834176Q9UKJ0PILRB
10844177A6NC86PINLYP
10854178P12273PIP
10864179Q504Y2PKDCC
10874180P00750PLAT
10884181P00749PLAU
10894182Q03405PLAUR
10904183Q9HCM2PLXNA4
10914184Q7Z5L7PODN
10924185Q6PEZ8PODNL1
10934186P02775PPBP
10944187Q99944PPT2
10954188P51888PRELP
10964189P14222PRF1
10974190P13727PRG2
10984191Q9Y2Y8PRG3
10994192P16471PRLR
11004193P04070PROC
11014194Q9UNN8PROCR
11024195P07225PROS1
11034196P22891PROZ
11044197Q2VWP7PRTG
11054198Q8N6Q3PRV1
11064199O43653PSCA
11074200Q9UQ74PSG1
11084201P11464PSG1
11094202Q9UQ72PSG2
11104203P11465PSG2
11114204Q16557PSG4
11124205Q00888PSG4
11134206Q15238PSG5
11144207Q00889PSG6
11154208Q13046PSG8
11164209Q00887PSG9
11174210O60542PSPN
11184211P23219PTGS1
11194212P35354PTGS2
11204213Q13308PTK7
11214214Q9H106PTPNS1L2
11224215P23467PTPRB
11234216P08575PTPRC
11244217P23468PTPRD
11254218P10586PTPRF
11264219P23470PTPRG
11274220Q9HD43PTPRH
11284221Q12913PTPRJ
11294222Q15262PTPRK
11304223Q16849PTPRN
11314224Q16827PTPRO
11324225Q15256PTPRR
11334226Q13332PTPRS
11344227P26022PTX3
11354228P15151PVR
11364229Q15223PVRL1
11374230Q92692PVRL2
11384231Q9NQS3PVRL3
11394232Q96NY8PVRL4
11404233P20742PZP
11414234P05451REG1A
11424235P48304REG1B
11434236Q6UW15REG3G
11444237Q9BYZ8REG4
11454238Q9HCK4ROBO2
11464239Q8WZ75ROBO4
11474240Q01973ROR1
11484241Q01974ROR2
11494242P08922ROS1
11504243Q9BZR6RTN4R
11514244Q86UN2RTN4RL1
11524245Q86UN3RTN4RL2
11534246Q9HBX9RXFP1
11544247Q6AZY7SCARA3
11554248Q14162SCARF1
11564249Q96GP6SCARF2
11574250Q07699SCN1B
11584251O60939SCN2B
11594252Q9NY72SCN3B
11604253Q8IWT1SCN4B
11614254Q8IWY4SCUBE1
11624255Q9NQ36SCUBE2
11634256Q8IX30SCUBE3
11644257P18827SDC1
11654258P34741SDC2
11664259P31431SDC4
11674260Q58EX2SDK2
11684261Q8WVN6SECTM1
11694262P16581SELE
11704263P14151SELL
11714264P16109SELP
11724265Q14563SEMA3A
11734266Q13214SEMA3B
11744267Q99985SEMA3C
11754268O95025SEMA3D
11764269O15041SEMA3E
11774270Q13275SEMA3F
11784271Q9NS98SEMA3G
11794272Q9H3S1SEMA4A
11804273Q9NPR2SEMA4B
11814274Q9C0C4SEMA4C
11824275Q92854SEMA4D
11834276O95754SEMA4F
11844277Q9NTN9SEMA4G
11854278Q9P283SEMA5B
11864279Q9H2E6SEMA6A
11874280Q9H3T3SEMA6B
11884281Q9H3T2SEMA6C
11894282O75326SEMA7A
11904283Q8IWL2SFTPA1
11914284Q8IWL1SFTPA2
11924285P35247SFTPD
11934286Q6IA17SIGIRR
11944287Q96LC7SIGLEC10
11954288Q96RL6SIGLEC11
11964289Q96PQ1SIGLEC12
11974290Q08ET2SIGLEC14
11984291Q6ZMC9SIGLEC15
11994292A6NMB1SIGLEC16
12004293O15389SIGLEC5
12014294O43699SIGLEC6
12024295Q9Y286SIGLEC7
12034296Q9NYZ4SIGLEC8
12044297Q9Y336SIGLEC9
12054298P78324SIRPA
12064299O00241SIRPB1
12074300Q5JXA9SIRPB2
12084301Q9P1W8SIRPG
12094302Q13291SLAMF1
12104303Q96DU3SLAMF6
12114304Q9NQ25SLAMF7
12124305Q9P0V8SLAMF8
12134306Q96A28SLAMF9
12144307O94813SLIT2
12154308O75094SLIT3
12164309Q96PX8SLITRK1
12174310Q9H156SLITRK2
12184311O94933SLITRK3
12194312Q8IW52SLITRK4
12204313O94991SLITRK5
12214314Q9H5Y7SLITRK6
12224315P55000SLURP1
12234316Q8TER0SNED1
12244317Q8TDM5SPACA4
12254318W5XKT8SPACA6P
12264319O43278SPINT1
12274320P78539SRPX
12284321O60687SRPX2
12294322Q8WTU2SSC4D
12304323Q13586STIM1
12314324Q9P246STIM2
12324325Q6UWL2SUSD1
12334326Q9UGT4SUSD2
12344327Q5VX71SUSD4
12354328Q86UU9TAC4
12364329B6A8C7TARM1
12374330P13385TDGF1
12384331Q02763TEK
12394332Q9UKZ4TENM1
12404333Q9BY14TEX101
12414334P02787TF
12424335Q9UP52TFR2
12434336P02786TFRC
12444337P01135TGFA
12454338P01137TGFB1
12464339P61812TGFB2
12474340P10600TGFB3
12484341Q15582TGFBI
12494342P36897TGFBR1
12504343P37173TGFBR2
12514344Q03167TGFBR3
12524345P07204THBD
12534346P07996THBS1
12544347P35442THBS2
12554348P49746THBS3
12564349P35443THBS4
12574350P04216THY1
12584351P35590TIE1
12594352Q495A1TIGIT
12604353Q96H15TIMD4
12614354O43897TLL1
12624355Q9Y6L7TLL2
12634356Q15399TLR1
12644357Q9BXR5TLR10
12654358O60603TLR2
12664359O15455TLR3
12674360O00206TLR4
12684361O60602TLR5
12694362Q9Y2C9TLR6
12704363Q9NYK1TLR7
12714364Q9NR97TLR8
12724365Q9NR96TLR9
12734366O43657TM4SF6
12744367Q8IYR6TMEFF1
12754368Q9UIK5TMEFF2
12764369Q8N3G9TMEM130
12774370Q9H665TMEM149
12784371Q86YD3TMEM25
12794372Q9HCN3TMEM8
12804373Q6P7N7TMEM81
12814374A6NDV4TMEM8B
12824375Q6UXZ0TMIGD1
12834376Q96BF3TMIGD2
12844377P05452TNA
12854378P01375TNF
12864379O00220TNFRSF10A
12874380O14763TNFRSF10B
12884381O14798TNFRSF10C
12894382Q9UBN6TNFRSF10D
12904383Q9Y6Q6TNFRSF11A
12914384O00300TNFRSF11B
12924385Q9NP84TNFRSF12A
12934386O14836TNFRSF13B
12944387Q96RJ3TNFRSF13C
12954388Q92956TNFRSF14
12964389Q02223TNFRSF17
12974390Q9NS68TNFRSF19
12984391Q969Z4TNFRSF19L
12994392P19438TNFRSF1A
13004393P20333TNFRSF1B
13014394O75509TNFRSF21
13024395Q93038TNFRSF25
13034396P43489TNFRSF4
13044397P25942TNFRSF5
13054398P25445TNFRSF6
13064399O95407TNFRSF6B
13074400P26842TNFRSF7
13084401P28908TNFRSF8
13094402Q07011TNFRSF9
13104403P50591TNFSF10
13114404O14788TNFSF11
13124405O43508TNFSF12
13134406O75888TNFSF13
13144407Q9Y275TNFSF13B
13154408O43557TNFSF14
13164409O95150TNFSF15
13174410Q9UNG2TNFSF18
13184411P23510TNFSF4
13194412P48023TNFSF6
13204413P32971TNFSF8
13214414P41273TNFSF9
13224415Q9UQP3TNN
13234416Q92752TNR
13244417P22105TNXB
13254418Q13641TPBG
13264419P0DKB5TPBGL
13274420P07202TPO
13284421Q86V40TRABD2A
13294422Q9NP99TREM1
13304423Q9NZC2TREM2
13314424Q86YW5TREML1
13324425Q5T2D2TREML2
13334426Q6UXN2TREML4
13344427Q7L0X0TRIL
13354428P16473TSHR
13364429Q8WUA8TSKU
13374430Q969D9TSLP
13384431O60635TSPAN1
13394432O95859TSPAN12
13404433O95857TSPAN13
13414434O95858TSPAN15
13424435Q96FV3TSPAN17
13434436Q96SJ8TSPAN18
13444437O60636TSPAN2
13454438O60637TSPAN3
13464439Q12999TSPAN31
13474440Q86UF1TSPAN33
13484441O14817TSPAN4
13494442P62079TSPAN5
13504443P41732TSPAN7
13514444P19075TSPAN8
13524445O75954TSPAN9
13534446Q06418TYRO3
13544447O43914TYROBP
13554448P07911UMOD
13564449Q6ZN44UNC5A
13574450Q8IZJ1UNC5B
13584451O95185UNC5C
13594452Q6UXZ4UNC5D
13604453O00322UPK1A
13614454O75841UPK1B
13624455Q6EMK4VASN
13634456P19320VCAM1
13644457P15692VEGFA
13654458P49765VEGFB
13664459P49767VEGFC
13674460P98155VLDLR
13684461Q86XK7VSIG1
13694462Q8N0Z9VSIG10
13704463Q96IQ7VSIG2
13714464Q9Y279VSIG4
13724465Q5VU13VSIG8
13734466Q6UX27VSTM1
13744467Q8TAG5VSTM2A
13754468A6NLU5VSTM2B
13764469Q96N03VSTM2L
13774470Q8IW00VSTM4
13784471A8MXK1VSTM5
13794472Q7Z7D3VTCN1
13804473Q6PCB0VWA1
13814474Q5GFL6VWA2
13824475Q96DN2VWCE
13834476Q96NZ8WFIKKN1
13844477Q8TEU8WFIKKN2
13854478Q9Y5W5WIF1
13864479P47992XCL1
13874480Q9UBD3XCL2
13884481Q9BS86ZPBP
13894482Q6X784ZPBP2
13904483Q96GS6ABHD17A
13914484Q5VST6ABHD17B
13924485Q0P651ABHD18
13934486Q9C0K3ACTR3C
13944487O15204ADAMDEC1
13954488Q6ZMM2ADAMTSL5
13964489Q9UKB5AJAP1
13974490Q6UX46ALKAL2
13984491P03971AMH
13994492Q9BXJ7AMN
14004493P04746AMY2A
14014494P19961AMY2B
14024495O95841ANGPTL1
14034496Q86XS5ANGPTL5
14044497Q8NI99ANGPTL6
14054498Q6UXH0ANGPTL8
14064499A6NMY6ANXA2P2
14074500P28039AOAH
14084501Q8NCL9APCDD1L
14094502P06727APOA4
14104503P15848ARSB
14114504Q5T4W7ARTN
14124505Q16515ASIC2
14134506Q86Y30BAGE2
14144507Q86Y29BAGE3
14154508P23560BDNF
14164509P22004BMP6
14174510Q9BQP9BPIFA3
14184511Q86YQ2BPIFA4P
14194512Q8NFQ6BPIFC
14204513A6NE02BTBD17
14214514Q8N8P7C11orf44
14224515C9JXX5C11orf94
14234516Q9H972C14orf93
14244517A6NNL5C15orf61
14254518Q96HA4C1orf159
14264519P02745C1QA
14274520P02746C1QB
14284521P02747C1QC
14294522Q5VWW1C1QL3
14304523Q5T7M4C1QTNF12
14314524Q9NYP8C21orf62
14324525C9J442C22orf46
14334526Q8N8R5C2orf69
14344527Q7Z4R8C6orf120
14354528Q5VTT2C9orf135
14364529Q6ZRZ4C9orf47
14374530P23280CA6
14384531Q9NYX4CALY
14394532Q8IUK8CBLN2
14404533Q6UW01CBLN3
14414534P0C854CECR9
14424535Q8N7Q2CELF2-AS1
14434536Q9UKY3CES1P1
14444537Q5XG92CES4A
14454538Q6NT32CES5A
14464539P01215CGA
14474540A6NKQ9CGB1
14484541Q6NT52CGB2
14494542P0DN86CGB3
14504543P0DN87CGB7
14514544Q9BZP6CHIA
14524545P02708CHRNA1
14534546Q15822CHRNA2
14544547Q04844CHRNE
14554548P07510CHRNG
14564549Q9Y6N3CLCA3P
14574550Q6UVW9CLEC2A
14584551Q6UWE3CLPSL2
14594552Q9HBJ8CLTRN
14604553Q15846CLUL1
14614554O43405COCH
14624555Q96A83COL26A1
14634556Q2VPA4CR1L
14644557P54107CRISP1
14654558O76096CST7
14664559Q5W188CST9LP1
14674560Q5H943CT83
14684561Q16619CTF1
14694562Q9UBX1CTSF
14704563P25774CTSS
14714564P56202CTSW
14724565O60888CUTA
14734566A0A087X1C5CYP2D7
14744567P81605DCD
14754568Q9BYW3DEFB126
14764569Q7Z7B8DEFB128
14774570Q6IED9DGAT2L7P
14784571Q6UWP2DHRS11
14794572Q6UX07DHRS13
14804573Q6PKH6DHRS4L2
14814574Q9BPW9DHRS9
14824575Q9H7Y0DIPK2B
14834576Q9H4A9DPEP2
14844577Q8NBI3DRAXIN
14854578Q8N1N2DYNAP
14864579P52798EFNA4
14874580O94919ENDOD1
14884581P21128ENDOU
14894582Q5NDL2EOGT
14904583P60507ERVFC1
14914584M5A8F1ERVH48-1
14924585O42043ERVK-18
14934586P61566ERVK-24
14944587P61567ERVK-7
14954588Q9NX77ERVK13-1
14964589B6SEH8ERVV-1
14974590B6SEH9ERVV-2
14984591P22794EVI2A
14994592Q8N2X6EXOC3-AS1
15004593A1KXE4FAM168B
15014594Q7Z5A7FAM19A5
15024595A6NFZ4FAM24A
15034596P98173FAM3A
15044597Q15485FCN2
15054598Q9UGM5FETUB
15064599Q9HCT0FGF22
15074600P08620FGF4
15084601P55075FGF8
15094602A5D6W6FITM1
15104603Q86VR8FJX1
15114604Q71RG6FP248
15124605O95633FSTL3
15134606Q14332FZD2
15144607P14867GABRA1
15154608P47869GABRA2
15164609P78334GABRE
15174610Q99928GABRG3
15184611A8MPY1GABRR3
15194612P54826GAS1
15204613Q9UFP1GASKIA
15214614P27539GDF1
15224615Q7Z4P5GDF7
15234616Q8N9F7GDPD1
15244617Q7L5L3GDPD3
15254618Q3B7J2GFOD2
15264619Q6UXV0GFRAL
15274620A6NGU5GGT3P
15284621Q8N2G8GHDC
15294622P0CG01GKN3P
15304623Q6ZMI3GLDN
15314624Q5JXX5GLRA4
15324625Q96MS3GLT1D1
15334626Q86YW7GPHB5
15344627Q9NPR9GPR108
15354628Q6UXU4GSG1L
15364629A8MUP6GSG1L2
15374630Q8N7I0GVQW1
15384631Q9BXW7HDHD5
15394632C9JL84HHLA1
15404633A8MTL9HMSD
15414634P22626HNRNPA2B1
15424635P00738HP
15434636P00739HPR
15444637P02790HPX
15454638Q7Z5J1HSD11B1L
15464639Q70Z44HTR3D
15474640Q92743HTRA1
15484641P22304IDS
15494642P05019IGF1
15504643Q6B9Z1IGFL4
15514644Q14623IHH
15524645P09529INHBB
15534646B1AKI9ISM1
15544647Q8IWB1ITPRIP
15554648Q6GPH6ITPRIPL1
15564649Q6PHW0IYD
15574650A6ND01IZUMO1R
15584651Q6UXV1IZUMO2
15594652Q5VZ72IZUMO3
15604653P17658KCNA6
15614654Q8WWG9KCNE4
15624655Q16558KCNMB1
15634656Q9UBX7KLK11
15644657Q9UKR0KLK12
15654658O60259KLK8
15664659Q8NCW0KREMEN2
15674660Q8IYD9LAS2
15684661P04180LCAT
15694662P31025LCN1
15704663Q6JVE6LCN10
15714664Q6JVE5LCN12
15724665Q5VSP4LCN1P1
15734666Q5SZI1LDLRAD2
15744667Q86YD5LDLRAD3
15754668Q6P5S2LEG1
15764669P01229LHB
15774670Q7Z4B0LINC00305
15784671Q9UJ94LINC00527
15794672Q5VYY2LIPM
15804673Q5VXI9LIPN
15814674Q96L11LLCFC1
15824675Q16609LPAL2
15834676A6NCL2LRCOL1
15844677Q5XG99LYSMD4
15854678A6NHS7MANSC4
15864679Q9BUN1MENT
15874680Q9UJH8METRN
15884681Q641Q3METRNL
15894682Q5JXM2METTL24
15904683Q6UX53METTL7B
15914684Q9BY79MFRP
15924685P08493MGP
15934686P24347MMP11
15944687Q8N119MMP21
15954688Q9NPA2MMP25
15964689A6NHM9MOXD2P
15974690Q1L6U9MSMP
15984691Q3MIW9MUCL3
15994692Q02083NAAA
16004693P41271NBL1
16014694Q8TDF5NETO1
16024695Q9NPE2NGRN
16034696Q0D2K0NIPAL4
16044697Q6P988NOTUM
16054698Q9HBY0NOX3
16064699A6NHN6NPIPB15
16074700O75200NPIPB7
16084701P16860NPPB
16094702P17342NPR3
16104703Q9NPD7NRN1
16114704Q99748NRTN
16124705Q02818NUCB1
16134706P80303NUCB2
16144707P00973OAS1
16154708Q9NY56OBP2A
16164709Q02509OC90
16174710A1E959ODAM
16184711Q17RF5ODAPH
16194712A8MZH6OOSP1
16204713Q86WS3OOSP2
16214714A6NHN0OTOL1
16224715Q8NHW6OTOS
16234716Q7RTZ1OVCH2
16244717Q9UBL9P2RX2
16254718Q8NBM8PCYOX1L
16264719Q15084PDIA6
16274720Q96S96PEBP4
16284721P0DJD8PGA3
16294722P20142PGC
16304723Q96PD5PGLYRP2
16314724Q96LB8PGLYRP4
16324725Q6UXB8PI16
16334726Q8NCC3PLA2G15
16344727Q5R387PLA2G2C
16354728Q6P4A8PLBD1
16364729Q8NHP8PLBD2
16374730Q6UQ28PLET1
16384731Q15195PLGLA
16394732Q02325PLGLB1
16404733Q6GTS8PM20D1
16414734P54315PNLIPRP1
16424735Q86SH4PRNT
16434736Q99946PRRT1
16444737O95084PRSS23
16454738Q9BQR3PRSS27
16464739P35030PRSS3
16474740Q8NHM4PRSS3P2
16484741Q7RTY9PRSS41
16494742E7EML9PRSS44
16504743A8MTI9PRSS47
16514744Q6UWB4PRSS55
16524745Q8IYP2PRSS58
16534746Q6NUJ1PSAPL1
16544747Q9UIG4PSORS1C2
16554748P01270PTH
16564749Q96A99PTX4
16574750Q6H3X3RAET1G
16584751Q5VY80RAET1L
16594752Q5W5W9RESP18
16604753Q86XS8RNF130
16614754Q8N7C7RNF148
16624755Q9H6Y7RNF167
16634756Q96EX2RNFT2
16644757Q6UXX9RSPO2
16654758P80511S100A12
16664759Q6ZMJ2SCARA5
16674760Q8TD33SCGB1C1
16684761O75056SDC3
16694762P0C7V7SEC11B
16704763P04279SEMG1
16714764Q6UXR4SERPINA13P
16724765P20848SERPINA2
16734766P36952SERPINB5
16744767P01008SERPINC1
16754768A8MV23SERPINE3
16764769Q99574SERPINI1
16774770P0C7M3SFTA3
16784771Q13326SGCG
16794772Q96LD1SGCZ
16804773Q8N114SHISA5
16814774Q6ZSJ9SHISA6
16824775A6NL88SHISA7
16834776B8ZZ34SHISA8
16844777B4DS77SHISA9
16854778Q5TFQ8SIRPB1
16864779Q63ZE4SLC22A10
16874780Q9Y226SLC22A13
16884781O15244SLC22A2
16894782A6NK97SLC22A20P
16904783Q6T423SLC22A25
16914784A6NKX4SLC22A31
16924785P11168SLC2A2
16934786Q8N130SLC34A3
16944787Q969I6SLC38A4
16954788A6NLE4SMIM23
16964789Q92485SMPDL3B
16974790Q2M3V2SOWAHA
16984791Q96QH8SPACA5
16994792Q96KW9SPACA7
17004793Q6PDA7SPAG11A
17014794Q08648SPAG11B
17024795P09486SPARC
17034796P0C7L1SPINK8
17044797Q6UDR6SPINT4
17054798Q9BUD6SPON2
17064799Q13103SPP2
17074800Q7Z2R9SSBP3-AS1
17084801A6NDD5SYNDIG1L
17094802H3BTG2TEX46
17104803P10646TFPI
17114804H3BV60TGFBR3L
17124805Q8WUY1THEM6
17134806Q86YJ6THNSL2
17144807P40225THPO
17154808Q9NS93TM7SF3
17164809Q9HD45TM9SF3
17174810Q4V9L6TMEM119
17184811Q9BXJ8TMEM120A
17194812Q8N614TMEM156
17204813Q8WZ71TMEM158
17214814Q8NBL3TMEM178A
17224815H3BS89TMEM178B
17234816Q9H813TMEM206
17244817Q86XT9TMEM219
17254818A6NFC5TMEM235
17264819Q9P0T7TMEM9
17274820Q6ZNR0TMEM91
17284821Q8N816TMEM99
17294822Q6ZWK6TMPRSS11F
17304823Q9H1E5TMX4
17314824Q9H2S6TNMD
17324825Q8N2E6TOR2A
17334826Q8NBR0TP53I13
17344827Q15661TPSAB1
17354828Q9BZJ3TPSD1
17364829A6NFA1TRABD2B
17374830O00294TULP1
17384831O75386TULP3
17394832P10599TXN
17404833Q8WVF2UCMA
17414834Q9Y4X1UGT2A1
17424835P36537UGT2B10
17434836Q9BY64UGT2B28
17444837Q16880UGT8
17454838Q9BZM4ULBP3
17464839Q6UY13UNQ5830/
PRO19650/
PRO19816
17474840Q6UXV3UNQ6126/
PRO20091
17484841Q6UXQ8UNQ6190/
PRO20217
17494842Q6UXR6UNQ6494/
PRO21346
17504843Q6UXU0UNQ9165/
PRO28630
17514844Q9N2K0ENH3
17524845Q9N2J8ENH1
17534846Q8N1Y9FLJ37218
17544847Q6ZRU5FLJ46089
17554848Q8N9W7FLJ36131
17564849A6NDX4ENSP00000320207
17574850A8MUN3ENSP00000381830
17584851Q8TAT8LOC644613
17594852B0FP48UPK3BL1
17604853Q86V25VASH2
17614854Q9NY84VNN3
17624855Q8IUB5WFDC13
17634856Q8IUA0WFDC8
17644857O95388WISP1
17654858P56703WNT3
17664859Q9Y6F9WNT6
17674860Q9H1J5WNT8A
17684861O14905WNT9B
17694862P21754ZP3
17704863Q12836ZP4
17714864A1L453PRSS38
17724865A2RUU4CLPSL1
17734866A4D0V7CPED1
17744867A4D1T9PRSS37
17754868A5X5Y0HTR3E
17764869A6NNS2DHRS7C
17774870A8K7I4CLCA1
17784871A8MVS5HIDE1
17794872B2RNN3C1QTNF9B
17804873B2RUY7VWC2L
17814874C9JUS6ADM5
17824875O00115DNASE2
17834876O00144FZD9
17844877O00180KCNK1
17854878O00182LGALS9
17864879O00253AGRP
17874880O00292LEFTY2
17884881O00295TULP2
17894882O00515LAD1
17904883O00560SDCBP
17914884O00584RNASET2
17924885O00590ACKR2
17934886O00591GABRP
17944887O00592PODXL
17954888O00602FCN1
17964889O00622CYR61
17974890O00744WNT10B
17984891O00748CES2
17994892O00754MAN2B1
18004893O00755WNT7A
18014894O14493CLDN4
18024895O14638ENPP3
18034896O14656TOR1A
18044897O14657TOR1B
18054898O14668PRRG1
18064899O14756HSD17B6
18074900O14764GABRD
18084901O14773TPP1
18094902O14791APOL1
18104903O14792HS3ST1
18114904O14904WNT9A
18124905O14958CASQ2
18134906O14960LECT2
18144907O15120AGPAT2
18154908O15245SLC22A1
18164909O15321TM9SF1
18174910O15393TMPRSS2
18184911O15431SLC31A1
18194912O15460P4HA2
18204913O15496PLA2G10
18214914O15537RS1
18224915O15547P2RX6
18234916O15551CLDN3
18244917O43240KLK10
18254918O43280TREH
18264919O43291SPINT2
18274920O43323DHH
18284921O43493TGOLN2
18294922O43555GNRH2
18304923O43556SGCE
18314924O43570CA12
18324925O43614HCRTR2
18334926O43692PI15
18344927O43852CALU
18354928O43866CD5L
18364929O43908KLRC4
18374930O60218AKR1B10
18384931O60235TMPRSS11D
18394932O60565GREM1
18404933O60568PLOD3
18414934O60575SPINK4
18424935O60656UGT1A9
18434936O60676CST8
18444937O60844ZG16
18454938O60882MMP20
18464939O60894RAMP1
18474940O60895RAMP2
18484941O60896RAMP3
18494942O60911CTSV
18504943O75084FZD7
18514944O75106AOC2
18524945O75185ATP2C2
18534946O75310UGT2B11
18544947O75311GLRA3
18554948O75356ENTPD5
18564949O75398DEAF1
18574950O75487GPC4
18584951O75493CA11
18594952O75503CLN5
18604953O75508CLDN11
18614954O75556SCGB2A1
18624955O75610LEFTY1
18634956O75629CREG1
18644957O75636FCN3
18654958O75711SCRG1
18664959O75715GPX5
18674960O75718CRTAP
18684961O75787ATP6AP2
18694962O75795UGT2B17
18704963O75830SERPINI2
18714964O75951LYZL6
18724965O76038SCGN
18734966O76061STC2
18744967O76076WISP2
18754968O76082SLC22A5
18764969O76095JTB
18774970O94907DKK1
18784971O94956SLCO2B1
18794972O94985CLSTN1
18804973O95156NXPH2
18814974O95157NXPH3
18824975O95158NXPH4
18834976O95264HTR3B
18844977O95302FKBP9
18854978O95389WISP3
18864979O95436SLC34A2
18874980O95445APOM
18884981O95471CLDN7
18894982O95484CLDN9
18904983O95497VNN1
18914984O95498VNN2
18924985O95500CLDN14
18934986O95502NPTXR
18944987O95528SLC2A10
18954988O95622ADCY5
18964989O95711LY86
18974990O95813CER1
18984991O95832CLDN1
18994992O95881TXNDC12
19004993O95897OLFM2
19014994O95925EPPIN
19024995O95968SCGB1D1
19034996O95969SCGB1D2
19044997O95994AGR2
19054998O96005CLPTM1
19064999O96009NAPSA
19075000O96014WNT11
19085001P00450CP
19095002P00709LALBA
19105003P00734F2
19115004P00751CFB
19125005P00797REN
19135006P00995SPINK1
19145007P01009SERPINA1
19155008P01011SERPINA3
19165009P01019AGT
19175010P01033TIMP1
19185011P01034CST3
19195012P01036CST4
19205013P01037CST1
19215014P01148GNRH1
19225015P01178OXT
19235016P01185AVP
19245017P01189POMC
19255018P01222TSHB
19265019P01225FSHB
19275020P01236PRL
19285021P01241GH1
19295022P01275GCG
19305023P01350GAST
19315024P02647APOA1
19325025P02649APOE
19335026P02652APOA2
19345027P02654APOC1
19355028P02655APOC2
19365029P02656APOC3
19375030P02675FGB
19385031P02679FGG
19395032P02724GYPA
19405033P02741CRP
19415034P02743APCS
19425035P02749APOH
19435036P02753RBP4
19445037P02760AMBP
19455038P02763ORM1
19465039P02765AHSG
19475040P02766TTR
19485041P02768ALB
19495042P02771AFP
19505043P02774GC
19515044P02810PRH1;
19525045P02814SMR3B
19535046P02818BGLAP
19545047P03950ANG
19555048P03951F11
19565049P03952KLKB1
19575050P03956MMP1
19585051P03973SLP1
19595052P04001OPN1MW
19605053P04003C4BPA
19615054P04004VTN
19625055P04054PLA2G1B
19635056P04062GBA
19645057P04066FUCA1
19655058P04083ANXA1
19665059P04090RLN2
19675060P04118CLPS
19685061P04155TFF1
19695062P04156PRNP
19705063P04196HRG
19715064P04278SHBG
19725065P04628WNT1
19735066P04745AMY1A
19745067P04808RLN1
19755068P04920SLC4A2
19765069P04921GYPC
19775070P05023ATP1A1
19785071P05026ATP1B1
19795072P05060CHGB
19805073P05067APP
19815074P05090APOD
19825075P05109S100A8
19835076P05111INHA
19845077P05120SERPINB2
19855078P05121SERPINE1
19865079P05154SERPINA5
19875080P05155SERPING1
19885081P05160F13B
19895082P05164MPO
19905083P05186ALPL
19915084P05187ALPP
19925085P05408SCG5
19935086P05543SERPINA7
19945087P05546SERPIND1
19955088P05814CSN2
19965089P05981HPN
19975090P06133UGT2B4
19985091P06276BCHE
19995092P06280GLA
20005093P06307CCK
20015094P06396GSN
20025095P06681C2
20035096P06702S100A9
20045097P06858LPL
20055098P06865HEXA
20065099P06870KLK1
20075100P07093SERPINE2
20085101P07098LIPF
20095102P07237P4HB
20105103P07288KLK3
20115104P07339CTSD
20125105P07355ANXA2
20135106P07360C8G
20145107P07477PRSS1
20155108P07478PRSS2
20165109P07498CSN3
20175110P07602PSAP
20185111P07686HEXB
20195112P07711CTSL
20205113P07949RET
20215114P07988SFTPB
20225115P07998RNASE1
20235116P08118MSMB
20245117P08185SERPINA6
20255118P08217CELA2A
20265119P08218CELA2B
20275120P08246ELANE
20285121P08254MMP3
20295122P08294SOD3
20305123P08311CTSG
20315124P08473MME
20325125P08476INHBA
20335126P08572COL4A2
20345127P08697SERPINF2
20355128P08833IGFBP1
20365129P08861CELA3B
20375130P08910ABHD2
20385131P09093CELA3A
20395132P09228CST2
20405133P09237MMP7
20415134P09238MMP10
20425135P09382LGALS1
20435136P09466PAEP
20445137P09544WNT2
20455138P09668CTSH
20465139P09758TACSTD2
20475140P09923ALPI
20485141P09958FURIN
20495142P0C862C1QTNF9
20505143P0DJD7PGA4
20515144P0DJD9PGA5
20525145P0DJI8SAA1
20535146P0DJI9SAA2
20545147P0DML2CSH
20555148P0DML3CSH2
20565149P0DMR2SCGB1C2
20575150P10124SRGN
20585151P10144GZMB
20595152P10153RNASE2
20605153P10253GAA
20615154P10323ACR
20625155P10451SPP1
20635156P10619CTSA
20645157P10645CHGA
20655158P10696ALPPL2
20665159P10720PF4V1
20675160P10909CLU
20685161P11021HSPA5
20695162P11150LIPC
20705163P11230CHRNB1
20715164P11597CETP
20725165P11684SCGB1A1
20735166P12018VPREB1
20745167P12110COL6A2
20755168P12259F5
20765169P12272PTHLH
20775170P12544GZMA
20785171P12724RNASE3
20795172P12872MLN
20805173P13284IFI30
20815174P13521SCG2
20825175P13637ATP1A3
20835176P13667PDIA4
20845177P13674P4HA1
20855178P13686ACP5
20865179P13725OSM
20875180P13762HLA-DRB4
20885181P13866SLC5A1
20895182P14091CTSE
20905183P14207FOLR2
20915184P14384CPM
20925185P14415ATP1B2
20935186P14555PLA2G2A
20945187P14625HSP90B1
20955188P14735IDE
20965189P15085CPA1
20975190P15086CPB1
20985191P15088CPA3
20995192P15169CPN1
21005193P15289ARSA
21015194P15309ACPP
21025195P15328FOLR1
21035196P15586GNS
21045197P16035TIMP2
21055198P16150SPN
21065199P16233PNLIP
21075200P16278GLB1
21085201P16422EPCAM
21095202P16444DPEP1
21105203P16519PCSK2
21115204P16562CRISP2
21125205P16662UGT2B7
21135206P16870CPE
21145207P17050NAGA
21155208P17213BPI
21165209P17787CHRNB2
21175210P17813ENG
21185211P17900GM2A
21195212P17931LGALS3
21205213P17936IGFBP3
21215214P18065IGFBP2
21225215P18433PTPRA
21235216P18505GABRB1
21245217P18507GABRG2
21255218P18509ADCYAP1
21265219P19224UGT1A6
21275220P19440GGT1
21285221P19652ORM2
21295222P19883FST
21305223P19957PI3
21315224P20023CR2
21325225P20061TCN1
21335226P20062TCN2
21345227P20151KLK2
21355228P20160AZU1
21365229P20231TPSB2
21375230P20382PMCH
21385231P20396TRH
21395232P20718GZMH
21405233P20851C4BPB
21415234P20933AGA
21425235P21246PTN
21435236P21741MDK
21445237P21815IBSP
21455238P21964COMT
21465239P22309UGT1A1
21475240P22310UGT1A4
21485241P22692IGFBP4
21495242P22748CA4
21505243P22894MMP8
21515244P23141CES1
21525245P23276KEL
21535246P23284PPIB
21545247P23327HRC
21555248P23415GLRA1
21565249P23416GLRA2
21575250P23435CBLN1
21585251P23582NPPC
21595252P23946CMA1
21605253P23975SLC6A2
21615254P24046GABRR1
21625255P24158PRTN3
21635256P24387CRHBP
21645257P24592IGFBP6
21655258P24593IGFBP5
21665259P24855DNASE1
21675260P25092GUCY2C
21685261P26436ACRV1
21695262P26885FKBP2
21705263P27037ACVR2A
21715264P27169PON1
21725265P27352GIF
21735266P27658COL8A1
21745267P27797CALR
21755268P27918CFP
21765269P28325CST5
21775270P28472GABRB3
21785271P28476GABRR2
21795272P28799GRN
21805273P29120PCSK1
21815274P29279CTGF
21825275P29622SERPINA4
21835276P29973CNGA1
21845277P30040ERP29
21855278P30101PDIA3
21865279P30531SLC6A1
21875280P30532CHRNA5
21885281P30533LRPAP1
21895282P30926CHRNB4
21905283P30990NTS
21915284P31151S100A7
21925285P31415CASQ1
21935286P31644GABRA5
21945287P31947SFN
21955288P32297CHRNA3
21965289P32455GBP1
21975290P34059GALNS
21985291P34096RNASE4
21995292P34810CD68
22005293P34903GABRA3
22015294P34910EVI2B
22025295P34925RYK
22035296P35052GPC1
22045297P35503UGT1A3
22055298P35542SAA4
22065299P35625TIMP3
22075300P36222CHI3L1
22085301P36269GGT5
22095302P36896ACVR1B
22105303P36955SERPINF1
22115304P36980CFHR2
22125305P37023ACVRL1
22135306P37840SNCA
22145307P38567SPAM1
22155308P38571LIPA
22165309P39086GRIK1
22175310P39877PLA2G5
22185311P39900MMP12
22195312P40313CTRL
22205313P41159LEP
22215314P41221WNT5A
22225315P41222PTGDS
22235316P41439FOLR3
22245317P42127ASIP
22255318P42261GRIA1
22265319P42263GRIA3
22275320P42658DPP6
22285321P42785PRCP
22295322P42892ECE1
22305323P43005SLC1A1
22315324P43007SLC1A4
22325325P43234CTSO
22335326P43235CTSK
22345327P43251BTD
22355328P43490NAMPT
22365329P43652AFM
22375330P43681CHRNA4
22385331P45452MMP13
22395332P45844ABCG1
22405333P46059SLC15A1
22415334P46098HTR3A
22425335P46695IER3
22435336P47710CSN1S1
22445337P47870GABRB2
22455338P47929LGALS7
22465339P47972NPTX2
22475340P48029SLC6A8
22485341P48052CPA2
22495342P48060GLIPR1
22505343P48065SLC6A12
22515344P48066SLC6A11
22525345P48067SLC6A9
22535346P48167GLRB
22545347P48169GABRA4
22555348P48307TFPI2
22565349P48723HSPA13
22575350P48745NOV
22585351P48995TRPC1
22595352P49184DNASE1L1
22605353P49662CASP4
22615354P49771FLT3LG
22625355P49862KLK7
22635356P49863GZMK
22645357P50281MMP14
22655358P50443SLC26A2
22665359P50454SERPINH1
22675360P50897PPT1
22685361P51124GZMM
22695362P51164ATP4B
22705363P51168SCNN1B
22715364P51170SCNN1G
22725365P51575P2RX1
22735366P51654GPC3
22745367P51674GPM6A
22755368P51686CCR9
22765369P51688SGSH
22775370P51689ARSD
22785371P51690ARSE
22795372P51693APLP1
22805373P51811XK
22815374P51841GUCY2F
22825375P52823STC1
22835376P52961ART1
22845377P53634CTSC
22855378P53801PTTG1IP
22865379P54108CRISP3
22875380P54317PNLIPRP2
22885381P54709ATP1B3
22895382P54793ARSF
22905383P54803GALC
22915384P54855UGT2B15
22925385P55001MFAP2
22935386P55056APOC4
22945387P55058PLTP
22955388P55083MFAP4
22965389P55103INHBC
22975390P55145MANF
22985391P55808XG
22995392P56373P2RX3
23005393P56704WNT3A
23015394P56705WNT4
23025395P56706WNT7B
23035396P56748CLDN8
23045397P56749CLDN12
23055398P56750CLDN17
23065399P56817BACE1
23075400P56851EDDM3B
23085401P56856CLDN18
23095402P56880CLDN20
23105403P56937HSD17B7
23115404P57727TMPRSS3
23125405P57739CLDN2
23135406P58062SPINK7
23145407P58166INHBE
23155408P58294PROK1
23165409P58417NXPH1
23175410P58499FAM3B
23185411P58658EVA1C
23195412P59666DEFA3
23205413P59826BPIFB3
23215414P60153RNASE9
23225415P60508ERVFRD-1
23235416P60827C1QTNF8
23245417P60985KRTDAP
23255418P61366OSTN
23265419P61626LYZ
23275420P61916NPC2
23285421P62502LCN6
23295422P62937PPIA
23305423P67809YBX1
23315424P78333GPC5
23325425P78348ASIC1
23335426P78369CLDN10
23345427P78562PHEX
23355428P79483HLA-DRB3
23365429P80108GPLD1
23375430P80188LCN2
23385431P83105HTRA4
23395432P83110HTRA3
23405433P98066TNFAIP6
23415434Q00604NDP
23425435Q01459CTBS
23435436Q01523DEFA5
23445437Q02383SEMG2
23455438Q02413DSG1
23465439Q02747GUCA2A
23475440Q02809PLOD1
23485441Q02846GUCY2D
23495442Q02985CFHR3
23505443Q03403TFF2
23515444Q03591CFHR1
23525445Q03692COL10A1
23535446Q04771ACVR1
23545447Q04900CD164
23555448Q05901CHRNB3
23565449Q05996ZP2
23575450Q06033ITIH3
23585451Q06481APLP2
23595452Q06495SLC34A1
23605453Q07001CHRND
23615454Q07021C1QBP
23625455Q07075ENPEP
23635456Q07507DPT
23645457Q07837SLC3A1
23655458Q08345DDR1
23665459Q08380LGALS3BP
23675460Q08554DSC1
23685461Q08629SPOCK1
23695462Q08830FGL1
23705463Q0P5P2C17orf67
23715464Q0VAF6SYCN
23725465Q10588BST1
23735466Q10589BST2
23745467Q12841FSTL1
23755468Q12884FAP
23765469Q12889OVGP1
23775470Q12904AIMP1
23785471Q13003GRIK3
23795472Q13087PDIA2
23805473Q13093PLA2G7
23815474Q13145BAMBI
23825475Q13162PRDX4
23835476Q13217DNAJC3
23845477Q13231CHIT1
23855478Q13253NOG
23865479Q13296SCGB2A2
23875480Q13316DMP1
23885481Q13361MFAP5
23895482Q13421MSLN
23905483Q13438OS9
23915484Q13445TMED1
23925485Q13467FZD5
23935486Q13507TRPC3
23945487Q13508ART3
23955488Q13530SERINC3
23965489Q13563PKD2
23975490Q13609DNASE1L3
23985491Q13705ACVR2B
23995492Q13790APOF
24005493Q13822ENPP2
24015494Q14050COL9A3
24025495Q14242SELPLG
24035496Q14257RCN2
24045497Q14314FGL2
24055498Q14406CSHL1
24065499Q14507EDDM3A
24075500Q14508WFDC2
24085501Q14515SPARCL1
24095502Q14696MESD
24105503Q14714SSPN
24115504Q14832GRM3
24125505Q14993COL19A1
24135506Q14C87TMEM132D
24145507Q15043SLC39A14
24155508Q15046KARS
24165509Q15063POSTN
24175510Q15113PCOLCE
24185511Q15165PON2
24195512Q15166PON3
24205513Q15293RCN1
24215514Q15465SHH
24225515Q15517CDSN
24235516Q15726KISS1
24245517Q15758SLC1A5
24255518Q15782CHI3L2
24265519Q15818NPTX1
24275520Q15825CHRNA6
24285521Q15828CST6
24295522Q15848ADIPOQ
24305523Q15884FAM189A2
24315524Q15904ATP6AP1
24325525Q16281CNGA3
24335526Q16378PRR4
24345527Q16445GABRA6
24355528Q16549PCSK7
24365529Q16568CARTPT
24375530Q16570ACKR1
24385531Q16585SGCB
24395532Q16586SGCA
24405533Q16610ECM1
24415534Q16651PRSS8
24425535Q16671AMHR2
24435536Q16674MIA
24445537Q16769QPCT
24455538Q16790CA9
24465539Q16832DDR2
24475540Q16853AOC3
24485541Q17R60IMPG1
24495542Q17RR3PNLIPRP3
24505543Q19T08ECSCR
24515544Q1HG43DUOXA1
24525545Q1HG44DUOXA2
24535546Q1W4C9SPINK13
24545547Q1ZYL8IZUMO4
24555548Q24JP5TMEM132A
24565549Q2I0M5RSPO4
24575550Q2M2E5C5orf64
24585551Q2M385MPEG1
24595552Q2M3T9HYAL4
24605553Q2MKA7RSPO1
24615554Q2MV58TCTN1
24625555Q2TAL6VWC2
24635556Q30154HLA-DRB5
24645557Q30KP8DEFB136
24655558Q30KP9DEFB135
24665559Q30KQ4DEFB116
24675560Q30KQ5DEFB115
24685561Q30KQ7DEFB113
24695562Q30KQ8DEFB112
24705563Q32M45ANO4
24715564Q3KNT9TMEM95
24725565Q3SXP7SHISAL1
24735566Q3SY77UGT3A2
24745567Q401N2ZACN
24755568Q496H8NRN1L
24765569Q496J9SV2C
24775570Q49AH0CDNF
24785571Q4G0G5SCGB2B2
24795572Q4KMQ2ANO6
24805573Q4U2R8SLC22A6
24815574Q4W5P6TMEM155
24825575Q504Y0SLC39A12
24835576Q53EL9SEZ6
24845577Q53H76PLA1A
24855578Q53RT3ASPRV1
24865579Q5DT21SPINK9
24875580Q5EBL8PDZD11
24885581Q5FWE3PRRT3
24895582Q5FYB0ARSJ
24905583Q5FYB1ARSI
24915584Q5GAN3RNASE13
24925585Q5GAN4RNASE12
24935586Q5GAN6RNASE10
24945587Q5J5C9DEFB121
24955588Q5JS37NHLRC3
24965589Q5JTB6PLAC9
24975590Q5MY95ENTPD8
24985591Q5PT55SLC10A5
24995592Q5T742C10orf25
25005593Q5TF21SOGA3
25015594Q5UCC4EMC10
25025595Q5VXJ0LIPK
25035596Q5VXM1CDCP2
25045597Q5W186CST9
25055598Q68BL8OLFML2B
25065599Q68DH5LMBRD2
25075600Q68DV7RNF43
25085601Q695T7SLC6A19
25095602Q6E0U4DMKN
25105603Q6FHJ7SFRP4
25115604Q6GPI1CTRB2
25125605Q6H9L7ISM2
25135606Q6HA08ASTL
25145607Q6IE38SPINK14
25155608Q6ISU1PTCRA
25165609Q6J4K2SLC8B1
25175610Q6MZM9PRR27
25185611Q6NSJ0MYORG
25195612Q6NSX1CCDC70
25205613Q6NUM9RETSAT
25215614Q6NUS6TCTN3
25225615Q6NUS8UGT3A1
25235616Q6NVV3NIPAL1
25245617Q6NW40RGMB
25255618Q6P093AADACL2
25265619Q6P4Q7CNNM4
25275620Q6P5W5SLC39A4
25285621Q6P995FAM171B
25295622Q6P9G4TMEM154
25305623Q6PB30CSAG1
25315624Q6PL45BRICD5
25325625Q6Q788APOA5
25335626Q6SPF0SAMD1
25345627Q6URK8TEPP
25355628Q6UW10SFTA2
25365629Q6UW49SPESP1
25375630Q6UWF9FAM180A
25385631Q6UWH4FAM198B
25395632Q6UWI2PARM1
25405633Q6UWI4SHISA2
25415634Q6UWJ1TMCO3
25425635Q6UWJ8CD164L2
25435636Q6UWM5GLIPR1L1
25445637Q6UWM7LCTL
25455638Q6UWM9UGT2A3
25465639Q6UWN8SPINK6
25475640Q6UWQ5LYZL1
25485641Q6UWR7ENPP6
25495642Q6UWU4C6orf89
25505643Q6UWV6ENPP7
25515644Q6UWW0LCN15
25525645Q6UWW8CES3
25535646Q6UWY0ARSK
25545647Q6UWY2PRSS57
25555648Q6UWY5OLFML1
25565649Q6UX06OLFM4
25575650Q6UX34SNORC
25585651Q6UX39AMTN
25595652Q6UX71PLXDC2
25605653Q6UXA7C6orf15
25615654Q6UXF1TMEM108
25625655Q6UXI7VIT
25635656Q6UXQ4C2orf66
25645657Q6UXT8ALKAL1
25655658Q6UXT9ABHD15
25665659Q6UXX5ITIH6
25675660Q6WN34CHRDL2
25685661Q6X4U4SOSTDC1
25695662Q6XE38SCGB1D4
25705663Q6XZB0LIPI
25715664Q6ZMH5SLC39A5
25725665Q6ZMR5TMPRSS11A
25735666Q6ZNF0ACP7
25745667Q6ZP80TMEM182
25755668Q6ZQN7SLCO4C1
25765669Q6ZTQ4CDHR3
25775670Q75V66ANO5
25785671Q76B58BRINP3
25795672Q7L0J3SV2A
25805673Q7L1I2SV2B
25815674Q7L8A9VASH1
25825675Q7RTT9SLC29A4
25835676Q7RTW8OTOA
25845677Q7RTX0TAS1R3
25855678Q7RTY5PRSS48
25865679Q7RTY7OVCH1
25875680Q7Z304MAMDC2
25885681Q7Z3D4LYSMD3
25895682Q7Z3S7CACNA2D4
25905683Q7Z404TMC4
25915684Q7Z410TMPRSS9
25925685Q7Z4F1LRP10
25935686Q7Z4W2LYZL2
25945687Q7Z5A4PRSS42
25955688Q7Z5A8FAM19A3
25965689Q7Z5A9FAM19A1
25975690Q7Z5L0VMO1
25985691Q7Z5M5TMC3
25995692Q7Z5P4HSD17B13
26005693Q7Z7B7DEFB132
26015694Q86SG7LYG2
26025695Q86SI9C5orf38
26035696Q86T26TMPRSS11B
26045697Q86TE4LUZP2
26055698Q86TW2ADCK1
26065699Q86TY3C14orf37
26075700Q86U17SERPINA11
26085701Q86UD1OAF
26095702Q86UL3GPAT4
26105703Q86W47KCNMB4
26115704Q86WD7SERPINA9
26125705Q86WI0LHFPL1
26135706Q86WS5TMPRSS12
26145707Q86XP6GKN2
26155708Q86YB8ERO1B
26165709Q86YL7PDPN
26175710Q86Z14KLB
26185711Q86Z23CIQL4
26195712Q8IU80TMPRSS6
26205713Q8IU99CALHM1
26215714Q8IUB2WFDC3
26225715Q8IUH2CREG2
26235716Q8IUK5PLXDC1
26245717Q8IVL6P3H3
26255718Q8IVL8CPO
26265719Q8IVM8SLC22A9
26275720Q8IVN8SBSPON
26285721Q8IW75SERPINA12
26295722Q8IW92GLB1L2
26305723Q8IWF2FOXRED2
26315724Q8IWU5SULF2
26325725Q8IWU6SULF1
26335726Q8IX19MCEMP1
26345727Q8IXA5SPACA3
26355728Q8IXB1DNAJC10
26365729Q8IXB3TUSC5
26375730Q8IYJ0PIANP
26385731Q8IYK4COLGALT2
26395732Q8IYS2KIAA2013
26405733Q8IZS8CACNA2D3
26415734Q8J025APCDD1
26425735Q8N0W4NLGN4X
26435736Q8N0W7FMR1NB
26445737Q8N129CNPY4
26455738Q8N131TMEM123
26465739Q8N158GPC2
26475740Q8N1C3GABRG1
26485741Q8N1E2LYG1
26495742Q8N2K0ABHD12
26505743Q8N2Q7NLGN1
26515744Q8N302AGGF1
26525745Q8N387MUC15
26535746Q8N3H0FAM19A2
26545747Q8N3Z0PRSS35
26555748Q8N436CPXM2
26565749Q8N474SFRP1
26575750Q8N4F0BPIFB2
26585751Q8N4T0CPA6
26595752Q8N539FIBCD1
26605753Q8N5I4DHRSX
26615754Q8N5W8FAM24B
26625755Q8N608DPP10
26635756Q8N695SLC5A8
26645757Q8N6F1CLDN19
26655758Q8N766EMC1
26665759Q8N807PDILT
26675760Q8N9M5TMEM102
26685761Q8NA29MFSD2A
26695762Q8NA58PNLDC1
26705763Q8NB37GATD1
26715764Q8NBJ9SIDT2
26725765Q8NBK3SUMF1
26735766Q8NBL1POGLUT1
26745767Q8NBQ5HSD17B11
26755768Q8NC42RNF149
26765769Q8NC54KCT2
26775770Q8NC67NETO2
26785771Q8NCS7SLC44A5
26795772Q8NCW5NAXE
26805773Q8NDZ4C3orf58
26815774Q8NE79BVES
26825775Q8NEA5C19orf18
26835776Q8NEB7ACRBP
26845777Q8NER1TRPV1
26855778Q8NER5ACVR1C
26865779Q8NET1DEFB108B
26875780Q8NEX5WFDC9
26885781Q8NEX6WFDC11
26895782Q8NF86PRSS33
26905783Q8NFJ6PROKR2
26915784Q8NFQ5BPIFB6
26925785Q8NFU4FDCSP
26935786Q8NFZ6VN1R2
26945787Q8NI22MCFD2
26955788Q8TAA1RNASE11
26965789Q8TAF8LHFPL5
26975790Q8TAL6FIBIN
26985791Q8TAV5C11orf45
26995792Q8TAX7MUC7
27005793Q8TB22SPATA20
27015794Q8TB96ITFG1
27025795Q8TBP5FAM174A
27035796Q8TCC7SLC22A8
27045797Q8TCP9FAM200A
27055798Q8TCW7ZPLD1
27065799Q8TCW9PROKR1
27075800Q8TCZ2CD99L2
27085801Q8TD06AGR3
27095802Q8TD07RAET1E
27105803Q8TD20SLC2A12
27115804Q8TDE3RNASE8
27125805Q8TDL5BPIFB1
27135806Q8TDN2KCNV2
27145807Q8TE23TAS1R2
27155808Q8TE56ADAMTS17
27165809Q8TE57ADAMTS16
27175810Q8TE58ADAMTS15
27185811Q8TE60ADAMTS18
27195812Q8TEB7RNF128
27205813Q8TEB9RHBDD1
27215814Q8WTR4GDPD5
27225815Q8WTV0SCARB1
27235816Q8WU39MZB1
27245817Q8WUF8FAM172A
27255818Q8WUJ1CYB5D2
27265819Q8WUM4PDCD6IP
27275820Q8WUM9SLC20A1
27285821Q8WWA0ITLN1
27295822Q8WWF1C1orf54
27305823Q8WWQ2HPSE2
27315824Q8WWU7ITLN2
27325825Q8WWY7WFDC12
27335826Q8WWY8LIPH
27345827Q8WX39LCN9
27355828Q8WXA8HTR3C
27365829Q8WXD2SCG3
27375830Q8WXQ8CPA5
27385831Q8WXS8ADAMTS14
27395832Q8WXW3PIBF1
27405833Q8WZ59TMEM190
27415834Q8WZ79DNASE2B
27425835Q92484SMPDL3A
27435836Q92520FAM3C
27445837Q92537SUSD6
27455838Q92542NCSTN
27465839Q92563SPOCK2
27475840Q92629SGCD
27485841Q92765FRZB
27495842Q92781RDH5
27505843Q92820GGH
27515844Q92874DNASE1L2
27525845Q92876KLK6
27535846Q92911SLC5A5
27545847Q92932PTPRN2
27555848Q92959SLCO2A1
27565849Q92982NINJ1
27575850Q93070ART4
27585851Q93086P2RX5
27595852Q93091RNASE6
27605853Q93098WNT8B
27615854Q96A33CCDC47
27625855Q96A84EMID1
27635856Q96AY3FKBP10
27645857Q96B33CLDN23
27655858Q96B86RGMA
27665859Q96BD0SLCO4A1
27675860Q96BQ1FAM3D
27685861Q96CG8CTHRC1
27695862Q96D15RCN3
27705863Q96DA0ZG16B
27715864Q96DB9FXYD5
27725865Q96DD7SHISA4
27735866Q96DN0ERP27
27745867Q96DR5BPIFA2
27755868Q96DR8MUCL1
27765869Q96DX4RSPRY1
27775870Q96DZ1ERLEC1
27785871Q96EE4CCDC126
27795872Q96EG1ARSG
27805873Q96EP9SLC10A4
27815874Q96F05C11orf24
27825875Q96FT7ASIC4
27835876Q96GC9VMP1
27845877Q96GX1TCTN2
27855878Q96HE7ERO1A
27865879Q96HF1SFRP2
27875880Q96HH4TMEM169
27885881Q96HP4OXNAD1
27895882Q96HV5TMEM41A
27905883Q96HY6DDRGK1
27915884Q96IY4CPB2
27925885Q96J42TXNDC15
27935886Q96JB6LOXL4
27945887Q96JW4SLC41A2
27955888Q96K78ADGRG7
27965889Q96KA5CLPTM1L
27975890Q96KN2CNDP1
27985891Q96KX0LYZL4
27995892Q96L08SUSD3
28005893Q96L12CALR3
28015894Q96L15ART5
28025895Q96LB9PGLYRP3
28035896Q96LR4FAM19A4
28045897Q96LT7C9orf72
28055898Q96MK3FAM20A
28065899Q96MU5C17orf77
28075900Q96NZ9PRAP1
28085901Q96P44COL21A1
28095902Q96PB7OLFM3
28105903Q96PC5MIA2
28115904Q96PD2DCBLD2
28125905Q96PH1NOX5
28135906Q96PL1SCGB3A2
28145907Q96PL2TECTB
28155908Q96PS8AQP10
28165909Q96PZ7CSMD1
28175910Q96QD8SLC38A2
28185911Q96QE2SLC2A13
28195912Q96QR1SCGB3A1
28205913Q96QZ0PANX3
28215914Q96RQ9IL4I1
28225915Q96S42NODAL
28235916Q96S66CLCC1
28245917Q96SL4GPX7
28255918Q96T91GPHA2
28265919Q99217AMELX
28275920Q99218AMELY
28285921Q99470SDF2
28295922Q99519NEU1
28305923Q99523SORT1
28315924Q99538LGMN
28325925Q99542MMP19
28335926Q99571P2RX4
28345927Q99572P2RX7
28355928Q99584S100A13
28365929Q99674CGREF1
28375930Q99727TIMP4
28385931Q99784OLFM1
28395932Q99835SMO
28405933Q99884SLC6A7
28415934Q99895CTRC
28425935Q99943AGPAT1
28435936Q99954SMR3A
28445937Q99969RARRES2
28455938Q99972MYOC
28465939Q9BPW4APOL4
28475940Q9BQ08RETNLB
28485941Q9BQ16SPOCK3
28495942Q9BQB4SOST
28505943Q9BQI4CCDC3
28515944Q9BQS7HEPH
28525945Q9BQT9CLSTN3
28535946Q9BQY6WFDC6
28545947Q9BRK5SDF4
28555948Q9BRN9TM2D3
28565949Q9BRR6ADPGK
28575950Q9BS26ERP44
28585951Q9BSA4TTYH2
28595952Q9BSG0PRADC1
28605953Q9BSG5RTBDN
28615954Q9BSJ5C17orf80
28625955Q9BSN7TMEM204
28635956Q9BT09CNPY3
28645957Q9BT56SPX
28655958Q9BTY2FUCA2
28665959Q9BU40CHRDL1
28675960Q9BUR5APOO
28685961Q9BV94EDEM2
28695962Q9BWS9CHID1
28705963Q9BX73TM2D2
28715964Q9BX74TM2D1
28725965Q9BX93PLA2G12B
28735966Q9BX97PLVAP
28745967Q9BXI9C1QTNF6
28755968Q9BXJ1C1QTNF1
28765969Q9BXJ2C1QTNF7
28775970Q9BXJ4C1QTNF3
28785971Q9BXR6CFHR5
28795972Q9BXS4TMEM59
28805973Q9BXY4RSPO3
28815974Q9BYE2TMPRSS13
28825975Q9BYE9CDHR2
28835976Q9BZD6PRRG4
28845977Q9BZD7PRRG3
28855978Q9BZG2ACP4
28865979Q9BZM1PLA2G12A
28875980Q9BZM2PLA2G2F
28885981Q9BZM5ULBP2
28895982Q9BZM6ULBP1
28905983Q9C0B6BRINP2
28915984Q9C0H2TTYH3
28925985Q9C0K1SLC39A8
28935986Q9GZM7TINAGL1
28945987Q9GZN4PRSS22
28955988Q9GZT5WNT10A
28965989Q9GZX9TWSG1
28975990Q9GZZ6CHRNA10
28985991Q9GZZ8LACRT
28995992Q9H015SLC22A4
29005993Q9H0B8CRISPLD2
29015994Q9H0U3MAGT1
29025995Q9H0X4FAM234A
29035996Q9H112CST11
29045997Q9H114CSTL1
29055998Q9H173SIL1
29065999Q9H1A3METTL9
29076000Q9H1E1RNASE7
29086001Q9H1F0WFDC10A
29096002Q9H1J7WNT5B
29106003Q9H1M3DEFB129
29116004Q9H1Z8C2orf40
29126005Q9H221ABCG8
29136006Q9H2J7SLC6A15
29146007Q9H2R5KLK15
29156008Q9H2U9ADAM7
29166009Q9H306MMP27
29176010Q9H336CRISPLD1
29186011Q9H3G5CPVL
29196012Q9H3N1TMX1
29206013Q9H3S3TMPRSS5
29216014Q9H3U7SMOC2
29226015Q9H3Y0R3HDML
29236016Q9H461FZD8
29246017Q9H497TOR3A
29256018Q9H4A4RNPEP
29266019Q9H4B8DPEP3
29276020Q9H4D0CLSTN2
29286021Q9H4F8SMOC1
29296022Q9H4G1CST9L
29306023Q9H5V8CDCP1
29316024Q9H6B9EPHX3
29326025Q9H6E4CCDC134
29336026Q9H741C12orf49
29346027Q9H772GREM2
29356028Q9H7B7C7orf69
29366029Q9H8H3METTL7A
29376030Q9H8J5MANSC1
29386031Q9H9K5ERVMER34-1
29396032Q9HAT2SIAE
29406033Q9HAW8UGT1A10
29416034Q9HAW9UGT1A8
29426035Q9HB40SCPEP1
29436036Q9HBJ0PLAC1
29446037Q9HBL7PLGRKT
29456038Q9HBV2SPACA1
29466039Q9HC23PROK2
29476040Q9HC57WFDC1
29486041Q9HC58SLC24A3
29496042Q9HCB6SPON1
29506043Q9HCC8GDPD2
29516044Q9HCN8SDF2L1
29526045Q9HCX4TRPC7
29536046Q9HD89RETN
29546047Q9HDC9APMAP
29556048Q9NNX1TUFT1
29566049Q9NP55BPIFA1
29576050Q9NP70AMBN
29586051Q9NP91SLC6A20
29596052Q9NPA0EMC7
29606053Q9NPA1KCNMB3
29616054Q9NPD5SLCO1B3
29626055Q9NPH5NOX4
29636056Q9NPH6OBP2B
29646057Q9NQ30ESM1
29656058Q9NQ34TMEM9B
29666059Q9NQ38SPINK5
29676060Q9NQ40SLC52A3
29686061Q9NQ60EQTN
29696062Q9NQ76MEPE
29706063Q9NQ90ANO2
29716064Q9NQE7PRSS16
29726065Q9NQX5NPDC1
29736066Q9NRC9OTOR
29746067Q9NRE1MMP26
29756068Q9NRM1ENAM
29766069Q9NRN5OLFML3
29776070Q9NRR1CYTL1
29786071Q9NRS4TMPRSS4
29796072Q9NS71GKN1
29806073Q9NSA0SLC22A11
29816074Q9NSD5SLC6A13
29826075Q9NT22EMILIN3
29836076Q9NTU7CBLN4
29846077Q9NU53GINM1
29856078Q9NUN5LMBRD1
29866079Q9NW15ANO10
29876080Q9NWH7SPATA6
29886081Q9NWM8FKBP14
29896082Q9NX61TMEM161A
29906083Q9NXC2GFOD1
29916084Q9NY37ASIC5
29926085Q9NY91SLC5A4
29936086Q9NYL4FKBP11
29946087Q9NZ20PLA2G3
29956088Q9NZ53PODXL2
29966089Q9NZ94NLGN3
29976090Q9NZG7NINJ2
29986091Q9NZK5ADA2
29996092Q9NZK7PLA2G2E
30006093Q9NZP8C1RL
30016094Q9NZQ8TRPM5
30026095Q9P0G3KLK14
30036096Q9P0L9PKD2L1
30046097Q9P2E8MARCHF4
30056098Q9P2K2TXNDC16
30066099Q9UBC7GALP
30076100Q9UBD9CLCF1
30086101Q9UBN1CACNG4
30096102Q9UBN4TRPC4
30106103Q9UBP4DKK3
30116104Q9UBR2CTSZ
30126105Q9UBS3DNAJB9
30136106Q9UBS4DNAJB11
30146107Q9UBT3DKK4
30156108Q9UBU2DKK2
30166109Q9UBV4WNT16
30176110Q9UEW3MARCO
30186111Q9UGM1CHRNA9
30196112Q9UHC3ASIC3
30206113Q9UHG3PCYOX1
30216114Q9UHI8ADAMTS1
30226115Q9UHL4DPP7
30236116Q9UHM6OPN4
30246117Q9UI38PRSS50
30256118Q9UI42CPA4
30266119Q9UIG8SLCO3A1
30276120Q9UJ14GGT7
30286121Q9UJA9ENPP5
30296122Q9UJJ9GNPTG
30306123Q9UJQ1LAMP5
30316124Q9UJW2TINAG
30326125Q9UK28TMEM59L
30336126Q9UK55SERPINA10
30346127Q9UK85DKKL1
30356128Q9UKI3VPREB3
30366129Q9UKQ9KLK9
30376130Q9UKR3KLK13
30386131Q9UKU6TRHDE
30396132Q9UKY0PRND
30406133Q9UKZ9PCOLCE2
30416134Q9UL01DSE
30426135Q9UL52TMPRSS11E
30436136Q9UL62TRPC5
30446137Q9ULV1FZD4
30456138Q9ULW2FZD10
30466139Q9ULX7CA14
30476140Q9UM22EPDR1
30486141Q9UMR5PPT2
30496142Q9UMX5NENF
30506143Q9UN76SLC6A14
30516144Q9UN88GABRQ
30526145Q9UNI1CELA1
30536146Q9UNK4PLA2G2D
30546147Q9UNQ0ABCG2
30556148Q9UNW1MINPP1
30566149Q9UQF0ERVW-1
30576150Q9UQQ1NAALADL1
30586151Q9Y215COLQ
30596152Q9Y251HPSE
30606153Q9Y267SLC22A14
30616154Q9Y2B0CNPY2
30626155Q9Y2B1RXYLT1
30636156Q9Y2E5MAN2B2
30646157Q9Y2G5POFUT2
30656158Q9Y2G8DNAJC16
30666159Q9Y320TMX2
30676160Q9Y337KLK5
30686161Q9Y345SLC6A5
30696162Q9Y394DHRS7
30706163Q9Y4K0LOXL2
30716164Q9Y561LRP12
30726165Q9Y5I7CLDN16
30736166Q9Y5K2KLK4
30746167Q9Y5L3ENTPD2
30756168Q9Y5S8NOX1
30766169Q9Y5X9LIPG
30776170Q9Y5Y6ST14
30786171Q9Y5Y7LYVE1
30796172Q9Y5Z0BACE2
30806173Q9Y625GPC6
30816174Q9Y646CPQ
30826175Q9Y680FKBP7
30836176Q9Y691KCNMB2
30846177Q9Y693LHFPL6
30856178Q9Y6C5PTCH2
30866179Q9Y6I9TEX264
30876180Q9Y6L6SLCO1B1
30886181Q9Y6M0PRSS21
30896182Q9Y6M7SLC4A7
30906183Q9Y6U7RNF215
30916184Q9Y6X5ENPP4
30926185Q9Y6Y9LY96

[0424]

Library Construction:

[0425]

A two-step PCR process was used to amplify cDNAs for cloning into a barcoded yeast-display vector. cDNAs were amplified with gene-specific primers, with the forward primer containing a 5′ sequence (CTGTTATTGCTAGCGTTTTAGCA (SEQ ID NO: 6186)) and the reverse primer containing a 5′ sequence (GCCACCAGAAGCGGCCGC (SEQ ID NO: 6187)) for template addition in the second step of PCR. PCR reactions were conducted using 1 μL pooled cDNA, gene-specific primers, and the following PCR settings: 98° C. denaturation, 58° C. annealing, 72° C. extension, 35 rounds of amplification. 1 μL of PCR product was used for direct amplification by common primers Aga2FOR and 159REV, and the following PCR settings: 98° C. denaturation, 58° C. annealing, 72° C. extension, 35 rounds of amplification. PCR product was purified using magnetic PCR purification beads (AvanBio). 90 μL beads were added to the PCR product and supernatant was removed. Beads were washed twice with 200 μL 70% ethanol and resuspended in 50 μL water to elute PCR products from the beads. Beads were removed from purified PCR products. The 15 bp barcode fragment was constructed by overlap PCR. 4 primers (bc1, bc2, bc3, bc4) were mixed in equimolar ratios and used as template for a PCR reaction using the following PCR settings: 98° C. denaturation, 55° C. annealing, 72° C. extension, 35 rounds of amplification. Purified product was reamplified with the first and fourth primer using identical PCR conditions. PCR products were run on 2% agarose gels and purified by gel extraction (Qiagen). Purified barcode and gene products were combined with linearized yeast-display vector (pDD003 digested with EcoRI and BamHI) and electroporated into JAR300 yeast cell using a 96-well electroporater (BTX Harvard Apparatus) using the following electroporation conditions: Square wave, 500 V, 5 ms pulse, 2 mm gap. Yeast cell were immediately recovered into 1 mL liquid synthetic dextrose medium lacking uracil (SDO-Ura) in 96-well deepwell blocks and grown overnight at 30° C. Yeast cell were passaged once by 1:10 dilution in SDO-Ura, then frozen as glycerol stocks. To construct the final library, 2.5 μL of all wells except 32 containing genes previously identified as incompatible with high-quality yeast cell display were pooled and counted. A limited dilution of 56,000 clones was sub-sampled and expanded in SDO-Ura. Expression was induced by passaging into synthetic galactose medium lacking uracil (SGO-Ura) at a 1:10 dilution and growing at 30° C. overnight. 108yeast cell were pelleted and resuspend in 1 mL PBE (PBS with 0.5% BSA and 0.5 mM EDTA) containing 1:100 anti-FLAG PE antibody (BioLegend). Yeast cell were stained at 4° C. for 75 minutes, then washed twice with 1 mL PBE and sorted for FLAG display on a Sony SH800Z cell sorter. Sorted cells were expanded in SDO-Ura supplemented with 35 μg/mL chloramphenicol, expanded, and frozen as the final library.

[0000]

(SEQ ID NO: 6188)
bc1-TTGTTAATATACCTCTATACTTTAACGTCAAGGAGAAAAAACCCCG
GATC
(SEQ ID NO: 6189)
bc2-CTGCATCCTTTAGTGAGGGTTGAANNNNNNNNNNNNNNNTTCGATC
CGGGGTTTTTTCTCCTTG
(SEQ ID NO: 6190)
bc3-TTCAACCCTCACTAAAGGATGCAGTTACTTCGCTGTTTTTCAATAT
TTTCTGTTATTGC
(SEQ ID NO: 6191)
bc4-TGCTAAAACGCTAGCAATAACAGAAAATATTGAAAAACAGCG

[0426]

Barcode Identification:

[0427]

Barcode-gene pairings were identified using a custom Tn5-based sequence approach. Tn5 transposase was purified as previously described, using the on-column assembly method for loading oligos. DNA was extracted from the yeast library using Zymoprep-96 Yeast Plasmid Miniprep kits or Zymoprep Yeast Plasmid Miniprep II kits (Zymo Research) according to standard manufacturer protocols. 5 μL of purified plasmid DNA was digested with Tn5 in a 20 μL total reaction as previously described. 2 μL of digested DNA was amplified using primers index1 and index2, using the following PCR settings: 98° C. denaturation, 56° C. annealing, 72° C. extension, 25 rounds of amplification. The product was run on a 2% gel and purified by gel extraction (Qiagen). Purified product was amplified using primers index3 and index4, using the following PCR settings: 98° C. denaturation, 60° C. annealing, 72° C. extension, 25 rounds of amplification. In parallel, the barcode region alone was amplified using primers index1 and index5, using the following PCR settings: 98° C. denaturation, 56° C. annealing, 72° C. extension, 25 rounds of amplification. The product was run on a 2% gel and purified by gel extraction (Qiagen). Purified product was amplified using primers index3 and index6, using the following PCR settings: 98° C. denaturation, 60° C. annealing, 72° C. extension, 20 rounds of amplification. Both barcode and digested fragment products were run on a 2% gel and purified by gel extraction (Qiagen). NGS library was sequenced using an Illumina MiSeq and Illumina v3 MiSeq Reagent Kits with 150 base pair single-end sequencing according to standard manufacturer protocols. Gene-barcode pairings were identified using custom code. Briefly, from each read, the barcode sequence was extracted based on the identification of the flanking constant vector backbone sequences, and the first 25 bp of sequence immediately following the constant vector backbone-derived signal peptide were extracted and mapped to a gene identity based on the first 25 bp of all amplified cDNA constructs. The number of times each barcode was paired with an identified gene was calculated. Barcode-gene pairings that were identified more than twice, with an overall observed barcode frequency of greater than 0.0002% were compiled. For barcodes with multiple gene pairings matching the above criteria, the best-fit gene was manually identified by inspection of all barcode-gene pairing frequencies and, in general, identification of the most abundant gene pairing. In the final library, 2,688 genes were confidently mapped to 35,835 barcodes.

[0428]

Rapid Extracellular Antigen Profiling.

[0429]

Antibody Purification and Yeast Cell Adsorption

[0430]

20 μL protein G magnetic resin (Lytic Solutions) was washed twice with 100 μL sterile PBS, resuspended in 50 μL PBS, and added to 50 μL serum or plasma. Serum-resin mixture was incubated for three hours at 4° C. with shaking. Resin was washed five times with 200 μL PBS, resuspended in 90 μL 100 mM glycine pH 2.7, and incubated for five minutes at room temperature. Supernatant was extracted and added to 10 μL sterile 1M Tris pH 8.0 (purified IgG). Empty vector (pDD003) yeast cell were expanded in SDO-Ura at 30° C. One day later, yeast cell were induced by 1:10 dilution in SGO-Ura for 24 hours. 108induced yeast cell were washed twice with 200 μL PBE (PBS with 0.5% BSA and 0.5 mM EDTA), resuspended with 100 μL purified IgG, and incubated for three hours at 4° C. with shaking. Yeast-IgG mixtures were placed into 96 well 0.45 um filter plates (Thomas Scientific) and yeast-depleted IgG was eluted into sterile 96 well plates by centrifugation at 3000 g for 3 minutes.

[0431]

Antibody Yeast Library Selections.

[0432]

Transformed yeast were expanded in SDO-Ura at 30° C. One day later, at an optical density (OD) below 8, yeast were induced by resuspension at an OD of 1 in SGO-Ura supplemented with ten percent SDO-Ura and culturing at 30° C. for 20 hours. Prior to selection, 400 μL pre-selection library was set aside to allow for comparison to post-selection libraries. 108induced yeast were washed twice with 200 μL PBE and added to wells of a sterile 96-well v-bottom microtiter plate. Yeast were resuspended in 100 μL PBE containing appropriate antibody concentration and incubated with shaking for 1 hour at 4° C. Unless otherwise indicated, 10 μg antibody per well was used for human serum or plasma derived antibodies and 1 μg antibody was used for monoclonal antibodies. Yeast were washed twice with 200 μL PBE, resuspended in 100 μL PBE with a 1:100 dilution of biotin anti-human IgG Fc antibody (clone HP6017, BioLegend) for human serum or plasma derived antibodies or a 1:25 dilution of biotin goat anti-rat or anti-mouse IgG antibody (A16088, Thermo Fisher Scientific; A18869, Thermo Fisher Scientific) for monoclonal antibodies. Yeast-antibody mixtures were incubated with shaking for 30 minutes at 4° C. Yeast were washed twice with 200 μL PBE, resuspended in 100 μL PBE with a 1:20 dilution of Streptavidin MicroBeads (Miltenyi Biotec), and incubated with shaking for 30 minutes at 4° C. Yeast were then pelleted and kept on ice. Multi-96 Columns (Miltenyi Biotec) were placed into a MultiMACS M96 Separator (Miltenyi Biotec) and the separator was placed into positive selection mode. All following steps were carried out at room temperature. Columns were equilibrated with 400 μL 70% ethanol followed by 700 μL degassed PBE. Yeast were resuspended in 200 μL degassed PBE and placed into the columns. After the mixture had completely passed through, columns were washed three times with 700 μL degassed PBE. To elute the selected yeast, columns were removed from the separator and placed over 96-well deep well plates. 700 μL degassed PBE was added to each well of the column and the column and deep well plate were spun at 50 g for 30 seconds. This process was repeated 3 times. Selected yeast were pelleted, and recovered in 1 mL SDO-Ura at 30° C.

[0433]

Recombinant Protein Yeast Library Selections.

[0434]

All pre-selection and yeast induction steps were performed identically as those of the antibody yeast library selections. 108induced yeast were washed twice with 200 μL PBE and added to wells of a sterile 96-well v-bottom microtiter plate. Yeast were resuspended in 100 μL PBE containing 75 μL clarified protein expression supernatant and incubated with shaking for 1 hour at 4° C. Yeast were washed twice with 200 μL PBE, resuspended in 100 μL PBE with 5 μL MACS Protein G MicroBeads (Miltenyi Biotec), and incubated with shaking for 30 minutes at 4° C. Selection of yeast using the MultiMACS M96 Separator and subsequent steps were performed identically as those of the antibody yeast library selections.

[0435]

Next Generation Sequencing Library Preparation and Sequencing.

[0436]

DNA was extracted from yeast libraries using Zymoprep-96 Yeast Plasmid Miniprep kits or Zymoprep Yeast Plasmid Miniprep II kits (Zymo Research) according to standard manufacturer protocols. A first round of PCR was used to amplify a DNA sequence containing the protein display barcode on the yeast plasmid. PCR reactions were conducted using 1 μL plasmid DNA, 159_DIF2 and 159_DIR2 primers (sequences listed below), and the following PCR settings: 98° C. denaturation, 58° C. annealing, 72° C. extension, 25 rounds of amplification. PCR product was purified using magnetic PCR purification beads (AvanBio). 45 μL beads were added to the PCR product and supernatant was removed. Beads were washed twice with 100 μL 70% ethanol and resuspended in 25 μL water to elute PCR products from the beads. Beads were removed from purified PCR products. A second round of PCR was conducted using 1 μL purified PCR product, Nextera i5 and i7 dual-index library primers (Illumina), and the following PCR settings: 98° C. denaturation, 58° C. annealing, 72° C. extension, 25 rounds of amplification. PCR products were pooled and run on a 1% agarose gel. The band corresponding to 257 base pairs was cut out and DNA (NGS library) was extracted using a QlAquick Gel Extraction Kit (Qiagen) according to standard manufacturer protocols. NGS library was sequenced using an Illumina MiSeq and Illumina v3 MiSeq Reagent Kits with 75 base pair single-end sequencing or using an Illumina NovaSeq 6000 and Illumina NovaSeq S4 200 cycle kit with 101 base pair paired-end sequencing according to standard manufacturer protocols. A minimum of 50,000 reads per sample was collected and the pre-selection library was sampled at ten times greater depth than other samples.

[0000]

(SEQ ID NO: 6192)
159_DIF2-TCGTCGGCAGCGTCAGATGTGTATAAGAGACAGNNNNNNNN
NNGAGAAAAAACCCCGGATCG
(SEQ ID NO: 6193)
159_DIR2-GTCTCGTGGGCTCGGAGATGTGTATAAGAGACAGNNNNNNN
NNNACGCTAGCAATAACAGAAAATATTG

[0437]

Data Analysis.

[0438]

REAP scores were calculated as follows. First, barcode counts were extracted from raw NGS data using custom codes and counts from technical replicates were summed. Next, aggregate and clonal enrichment was calculated using edgeR62and custom codes. For aggregate enrichment, barcode counts across all unique barcodes associated with a given protein were summed, library sizes across samples were normalized using default edgeR parameters, common and tagwise dispersion were estimated using default edgeR parameters, and exact tests comparing each sample to the pre-selection library were performed using default edgeR parameters. Aggregate enrichment is thus the log 2 fold change values from these exact tests with zeroes in the place of negative fold changes. Log 2 fold change values for clonal enrichment were calculated in an identical manner, but barcode counts across all unique barcodes associated with a given protein were not summed. Clonal enrichment for a given reactivity was defined as the fraction of clones out of total clones that were enriched (log 2 fold change ≥2). Aggregate (Ea) and clonal enrichment (Ec) for a given protein, a scaling factor (βu) based on the number of unique yeast clones (yeast that have a unique DNA barcode) displaying a given protein, and a scaling factor (βf) based on the overall frequency of yeast in the library displaying a given protein were used as inputs to calculate the REAP score, which is defined as follows.

[0000]


REAP score=Ea*(Ec)2uf

[0439]

βuand βfare logarithmic scaling factors that progressively penalize the REAP score of proteins with low numbers of unique barcodes or low frequencies in the library. βuis applied to proteins with ≤5 unique yeast clones in the library and βfis applied to proteins with a frequency ≤0.0001 in the library. βfwas implemented to mitigate spurious enrichment signals from low frequency proteins, which could occur due to sequencing errors or stochasticity in the selection process. βuwas implemented because the clonal enrichment metric is less valid for proteins with low numbers of unique yeast clones, decreasing confidence in the validity of the reactivity. βuand βfare defined as follows where xuis the number of unique yeast clones for a given protein and xfis the log 10 transformed frequency of a given protein in the library.

[0000]

βu=ln(xu+0.5)1.705βf=ln(xf+7.1)1.16

[0440]

Recombinant Protein Production.

[0441]

REAP Recombinant Protein Production.

[0442]

Proteins were produced as human IgG1 Fc fusions to enable binding of secondary antibody and magnetic beads to the produced proteins during the REAP process. Sequences encoding the extracellular portions of proteins-of-interests that were present in the yeast display library were cloned by Gibson assembly into a modified pD2610-v12 plasmid (ATUM). Modifications include addition of an H7 signal sequence followed by a (GGGGS)3linker and a truncated human IgG1 Fc (N297A). Protein-of-interest sequences were inserted directly downstream of the H7 leader sequence. Protein was produced by transfection into Expi293 cells (Thermo Fisher Scientific) in 96-well plate format. One day prior to transfection, cells were seeded at a density of 2 million cells per mL in Expi293 Expression Medium (Thermo Fisher Scientific). In a 96-well plate, 0.5 μg plasmid DNA was diluted added to 25 μL Opti-MEM (Thermo Fisher Scientific) and mixed gently. In a separate 96-well plate, 1.35 μL ExpiFectamine was added to 25 μL Opti-MEM and mixed gently. The ExpiFectamine-Opti-MEM mixture was added to the diluted DNA, mixed gently, and incubated for 20 minutes at room temperature. Expi293 cells were diluted to a density of 2.8 million cells per mL and 500 L of cells were added to each well of a 96-well deep well plate. 50 μL of the DNA-ExpiFectamine-Opti-MEM mixture was added to each well. The plate was sealed with Breathe-Easier sealing film (Diversified Biotech) and incubated in a humidified tissue culture incubator (37° C., 8% CO2) with shaking at 1,200 rpm so that cells were kept in suspension. 18-20 hours post-transfection, 25 μL enhancer 2 and 2.5 μL enhancer 1 (Thermo Fisher Scientific) were added to each well. 4 days post-transfection, media was clarified by centrifugation at 3000-4000 g for 5 minutes. Clarified media was used for recombinant protein REAP.

[0443]

ELISA Protein Production.

[0444]

Sequences encoding the extracellular portions of proteins-of-interests that were present in the yeast display library were cloned by Gibson assembly into pEZT_Dlux, a modified pEZT-BM vector. The pEZT-BM vector was a gift from Ryan Hibbs (Addgene plasmid #74099). Modifications included insertion of an H7 Leader Sequence followed by an AviTag (Avidity), HRV 3C site, protein C epitope, and an 8×his tag. Protein-of-interest sequences were inserted directly downstream of the H7 leader sequence. Protein was produced by transfection into Expi293 cells (Thermo Fisher Scientific) according to standard manufacturer protocols. Transfected cells were maintained according to manufacturer protocols. 4 days post-transfection, media was clarified by centrifugation at 300 g for 5 minutes. Protein was purified from clarified media by nickel-nitrilotriacetic acid (Ni-NTA) chromatography and desalted into HEPES buffered saline+100 mM sodium chloride, pH 7.5. Protein purity was verified by SDS-PAGE.

[0445]

Biotinylated Protein Production.

[0446]

Sequences encoding the extracellular portions of proteins-of-interests were cloned into pEZT_Dlux as described above. Protein was expressed and purified as described above minus desalting. Enzymatic biotinylation with BirA ligase was performed and protein was purified by size-exclusion fast protein liquid chromatography using a NGC Quest 10 Chromatography System (Bio-Rad).

[0447]

LIPS Protein Production.

[0448]

Sequences encoding Lucia luciferase (InvivoGen) fused by a GGSG linker to the N-terminus of the protein-of-interest extracellular portion (as defined above) were cloned by Gibson assembly into pEZT-BM. Protein was produced by transfection into Expi293 cells (Thermo Fisher Scientific) according to standard manufacturer protocols. Transfected cells were maintained according to manufacturer protocols. 3 days post-transfection, media was clarified by centrifugation at 300 g for 5 minutes. Clarified media was used in luciferase immunoprecipitation systems assays.

[0449]

Enzyme-Linked Immunosorbent Assays (ELISAs).

[0450]

200 or 400 ng of purchased or independently produced recombinant protein in 100 μL of PBS pH 7.0 was added to 96-well flat bottom Immulon 2HB plates (Thermo Fisher Scientific) and placed at 4° C. overnight. Plates were washed once with 225 μL ELISA wash buffer (PBS+0.05% Tween 20) and 150 μL ELISA blocking buffer (PBS+2% Human Serum Albumin) was added to the well. Plates were incubated with shaking for 2 hours at room temperature. ELISA blocking buffer was removed from the wells and appropriate dilutions of sample serum in 100 μL ELISA blocking buffer were added to each well. Plates were incubated with shaking for 2 hours at room temperature. Plates were washed 6 times with 225 μL ELISA wash buffer and 1:5000 goat anti-human IgG HRP (Millipore Sigma) or anti-human IgG isotype specific HRP (Southern Biotech; IgG1: clone HP6001, IgG2: clone 31-7-4, IgG3: clone HP6050, IgG4: clone HP6025) in 100 μL ELISA blocking buffer was added to the wells. Plates were incubated with shaking for 1 hour at room temperature. Plates were washed 6 times with 225 μL ELISA wash buffer. 50 μL TMB substrate (BD Biosciences) was added to the wells and plates were incubated for 15 minutes (pan-IgG ELISAs) or 20 minutes (isotype specific IgG ELISAs) in the dark at room temperature. 50 μL 1 M sulfuric acid was added to the wells and absorbance at 450 nm was measured in a Synergy HTX Multi-Mode Microplate Reader (BioTek).

[0451]

Luciferase Immunoprecipitation Systems (LIPS) Assays.

[0452]

Pierce Protein A/G Ultralink Resin (5 μL; Thermo Fisher Scientific) and 1 μL sample serum in 100 μL Buffer A (50 mM Tris, 150 mM NaCl, 0.1% Triton X-100, pH 7.5) was added to 96-well opaque Multiscreen HTS 96 HV 0.45 um filter plates (Millipore Sigma). Plates were incubated with shaking at 300 rpm for 1 hour at room temperature. Supernatant in wells was removed by centrifugation at 2000 g for 1 minute. Luciferase fusion protein (106RLU) was added to the wells in 100 μL Buffer A. Plates were incubated with shaking at 300 rpm for 1 hour at room temperature. Using a vacuum manifold, wells were washed 8 times with 100 μL Buffer A followed by 2 washes with 100 μL PBS. Remaining supernatant in wells was removed by centrifugation at 2000 g for 1 minute. Plates were dark adapted for 5 minutes. An autoinjector equipped Synergy HTX Multi-Mode Microplate Reader (BioTek) was primed with QUANTI-Luc Gold (InvivoGen). Plates were read using the following per well steps: 50 μL QUANTI-Luc Gold injection, 4 second delay with shaking, read luminescence with an integration time of 0.1 seconds and a read height of 1 mm.

[0453]

PD-L2 Blocking Assay.

[0454]

A single clone of PD-L2 displaying yeast was isolated from the library and expanded in SDO-Ura at 30° C. Yeast were induced by 1:10 dilution into SGO-Ura and culturing at 30° C. for 24 hours. 105 induced PD-L1 yeast were washed twice with 200 μL PBE and added to wells of a 96-well v-bottom microtiter plate. Yeast were resuspended in 25 μL PBE containing serial dilutions of sample serum and incubated with shaking for 1 hour at 4° C. PD-1 tetramers were prepared by incubating a 5:1 ratio of biotinylated PD-1 and PE streptavidin (BioLegend) for 10 minutes on ice in the dark. Yeast were washed twice with 200 μL PBE, resuspended in 25 μL PBE containing 10 nM previously prepared PD-1 tetramers, and incubated with shaking for 1 hour at 4° C. Yeast were washed twice with 200 μL PBE and resuspended in 75 μL PBE. PE fluorescent intensity was quantified by flow cytometry using a Sony SA3800 Spectral Cell Analyzer. Percent max binding was calculated based on fluorescent PD-1 tetramer binding in the absence of any serum.

[0455]

IL-33 Neutralization Assay.

[0456]

IL-33 Reporter Cell Line Construction.

[0457]

The full-length coding sequence for ST2 was cloned by Gibson assembly into the lentiviral transfer plasmid pL-SFFV.Reporter.RFP657.PAC, a kind gift from Benjamin Ebert (Addgene plasmid #61395). REK-293FT cells were seeded into a 6-well plate in 2 mL growth media (DMEM with 10% (v/v) FBS, 100 units/mL penicillin, and 0.1 mg/mL streptomycin) and were incubated at 37° C., 5% CO2. Once cells achieved 70-80% confluence approximately one day later, cells were transfected using TransIT-LT1 (Mirus Bio) in Opti-MEM media (Life Technologies). TransIT-LTI Reagent was pre-warmed to room temperature and vortexed gently. For each well, 0.88 ug lentiviral transfer plasmid along with 0.66 ug pSPAX2 (Addgene plasmid #12260) and 0.44 ug pMD2.G (Addgene plasmid #12259), kind gifts from Didier Trono, were added to 250 μL Opti-MEM media and mixed gently. TransIT-LT1 reagent (6 μl) was added to the DNA mixture, mixed gently, and incubated at room temperature for 15-20 minutes. The mixture was added dropwise to different areas of the well Plates were incubated at 37° C., 5% CO2; 48 hrs later, the virus-containing media was collected and filtered with a 0.45 μm low protein-binding filter. H1EK-BIlue IL-18 cells (InvivoGen) were seeded into a 6-well plate in 1 mL growth media (DMEM with 10% (v/v) FBS, 100 units/mL penicillin, and 0.1 mg/mL streptomycin) and 1 mL virus-containing media. Cells were incubated at 37° C., 5% CO2 for two days before the media was changed.

[0458]

Reporter Cell Stimulation and Reading.

[0459]

Purified IgG titrations and 2 nM IL-33 were mixed in 50 μL assay media (DMEM with 10% (v/v) FBS, 100 units/mL penicillin, and 0.1 mg/mL streptomycin) and incubated with shaking for 1 hour at room temperature. Approximately 50,000 IL-33 reporter cells in 50 μl assay media were added to wells of a sterile tissue culture grade flat-bottom 96-well plate. IgG-IL-33 mixtures were added to respective wells (1 nM IL-33 final concentration). Plates were incubated at 37° C. 5% CO2 for 20 hours, then 20 μL media from each well was added to 180 μL room temperature QUANTI-Blue Solution (InvivoGen) in a separate flat-bottom 96-well plate and incubated at 37° C. for 3 hours. Absorbance at 655 nm was measured in a Synergy HTX Multi-Mode Microplate Reader (BioTek). Percent max signal was calculated based on signal generated by IL-33 in the absence of any serum.

[0460]

ROC Analysis of REAP Score Performance.

[0461]

Orthogonal validation data for the receiver operator curve (ROC) analysis was obtained by ELISA, LIPS, or clinical autoantibody tests. For ELISA and LIPS, valid reactivities were defined as those 3 standard deviations above the healthy donor average for a given protein in each assay. ROC analysis was performed using 247 test pairs across 25 different proteins.

[0462]

Statistical Analysis.

[0463]

Statistical details of experiments can be found in the figure legends. All error bars in figures indicate standard deviation. Data analysis was performed using R, Python, Excel, and GraphPad Prism.

[0464]

In summary, autoantibodies targeting extracellular proteins are known to mediate autoimmune diseases and paraneoplastic syndromes in cancer. However, discovery of new autoantibodies against extracellular (transmembrane and secreted) proteins in high throughput remained difficult due to a lack of methods for screening the thousands of extracellular proteins in the human proteome. The autoantibodies can mediate new forms of autoimmune disease, predict response to therapy, or mediate toxicity or responses in cancer in response to immune-modifying checkpoint blockade therapies.

[0465]

The essence of the invention is the discovery of extracellular antibody targets using a yeast-displayed library of proteins and next-generation sequencing, which enabled high-throughput interrogation of natively folded proteins by total human serum. Moreover, yeast cell display is a technique well-suited to display of human extracellular proteins, and amenable to high-throughput screening due to the ease of handling yeast. This allowed unbiased assessment of autoantibody repertoires in any human patient or healthy population at a previously unattainable scale and cost. Furthermore, it was accomplished by (Step I) using a yeast-displayed library of extracellular antigens as a substrate to interrogate whole sero-reactivities, (Step II) optimizing an antibody isolation protocol, (Step III) staining and selecting conditions for yeast cell selection with total serum antibodies, and (Step IV) next-generation sequencing pipelines to identify the antigen targets. Consequently, this technique enabled screening against thousands of candidate antigens simultaneously

[0466]

More specifically, (Step I) standard methods were used to identify and amplify the ectodomains of human extracellular proteins, and individually transformed them into standard yeast-display strains for fusion to cell-wall associated proteins in yeast. A random nucleotide barcode was additionally incorporated into the display vector to enable tracking of proteins by next-generation sequencing. These individual strains were then pooled to create a single library encompassing all proteins of interest.

[0467]

(Step II) Antibodies were isolated from human serum by affinity purification. For example, antibodies were purified with Protein A or Protein G, using either magnetic or agarose beads, and via standard methods. If other isotypes of antibody besides IgG were desired, appropriate affinity purification methods were used in place of Protein A or Protein G. After antibody purification, yeast-reactive antibodies present in human serum were removed by incubation with parental yeast cell strains and filtration. The final elution was suitable for yeast cell staining and selection.

[0468]

(Step III) Yeast cell were stained with a normalized concentration of purified, non-yeast-reactive antibody from 1-10 μg per reaction. Stained yeast cell were identified with any appropriate secondary antibody recognizing immunoglobulins of the isotype used, such as a biotinylated or fluorescently labeled anti-immunoglobulin antibody. Stained yeast cell were then selected via magnetic separation using standard methods and appropriate magnetic reagents or by FACS. Stained yeast cell were also directly selected with appropriate anti-immunoglobulin magnetic particles. Selected yeast cell were expanded following selection and their DNA isolated via standard methods.

[0469]

(Step IV) Yeast cell DNA was amplified and prepared for next-generation sequencing by standard methods appropriate from the next-generation sequencing method of interest (e.g. Illumina sequencing-by-synthesis). The frequencies of each protein were measured in the initial library and in all samples following selection, by tabulating the frequencies of all barcodes corresponding to an individual protein. An enrichment score was calculated based on the total enrichment of each protein in each sample and the fraction of associated barcodes that enrich. Different thresholds were applied to this enrichment score depending on the desired level of sensitivity or specificity. Proteins with scores above a particular threshold were predicted as candidate autoantigens.

[0470]

Accordingly, the primary novel feature of the present invention is, in part, the design of the display library to improve display success and quality of results over previous methods, such as shotgun cDNA library preparations. A high-quality curation of the library greatly improved the specificity and sensitivity by removing out-of-frame or truncated protein products. Additional novelty comes, in part, from the next-generation sequencing approach and analytical methods, which increased confidence in the predicted candidate autoantigens. Finally, the optimized method for staining and selection was more amenable to high-throughput screening of hundreds of serum samples due to applicability to 96-well formats.

[0471]

As described above, the herein described technique used a more advanced library with higher display success rates that can cover the full complement of well-folded ectodomains in the human proteome. It was additionally scalable, sensitive, and amenable to high-throughput screening and even automation. Compared to the gold-standard approaches, such as protein arrays, it was found that known and novel autoantibody responses can be detected that were previously undectable. As the technique was amenable to high-throughput screening approaches and requires small samples volumes, it can rapidly query large patient cohorts for a small fraction of the cost of previous methods, such as protein arrays.

Diagnostic or Prognostic Antibodies

[0472]

[0000]

List of Diseases or Disorders and the Corresponding Abbreviations
AbbreviationFull Name
AAVANCA-Associated vasculitis
APECEDAutoimmune Polyendocrinopathy Candidiasis
Ecto-Dermal Dystrophy
APSAntiphospholipid Antibody Syndome
CIDPChronic Inflammatory Demyelinating
Polyradiculoneuropathy
COVID-19Coronavirus Disease 2019
DILDrug-Induced Lupus
DMDermatomyositis
KTKidney Transplant
MalariaMalaria
MGMyasthenia Gravis
MMMalignant Melanoma
NMONeuromyelitis Optica
NSCLCNon-Small Cell Lung Cancer
PANDASPediatric Autoimmune Neuropsychiatric
Disorders Associated with Streptococcal
Infections
SLESystemic Lupus Erythematosus
SSSjogren's Syndrome
SSCScleroderma
SUSACSusac Syndrome

[0000]

List of Autoantigens and the Corresponding Diseases or Disorders
DiseaseTarget
AAVEDIL3
AAVLY6H
AAVTREM2
APECEDACRV1
APECEDADM2
APECEDAFP
APECEDAPOA4
APECEDAPOO
APECEDBPIFA1
APECEDBPIFA2
APECEDBTN1A1
APECEDC5orf64
APECEDCASQ1
APECEDCCDC47
APECEDCCL11
APECEDCCL15
APECEDCCL17
APECEDCCL18
APECEDCCL7
APECEDCCL8
APECEDCDSN
APECEDCELA2B
APECEDCLCC1
APECEDCLPS
APECEDCLSTN1
APECEDCLU
APECEDCNPY2
APECEDCNPY3
APECEDCP
APECEDCSHL1
APECEDCSN2
APECEDCSPG5
APECEDCST4
APECEDCST5
APECEDCST6
APECEDCTSG
APECEDDEFA5
APECEDDKK1
APECEDDRAXIN
APECEDECSCR
APECEDEPHA4
APECEDEREG
APECEDFAM19A4
APECEDFAM3A
APECEDFGF1
APECEDFGFR2
APECEDFKBP14
APECEDGFRAL
APECEDGIF
APECEDGPHB5
APECEDHCRTR2
APECEDHSPA13
APECEDIBSP
APECEDIFNA13
APECEDIFNA14
APECEDIFNA17
APECEDIFNA2
APECEDIFNA5
APECEDIFNA6
APECEDIFNA8
APECEDIFNL2
APECEDIFNW1
APECEDIGF1
APECEDIGFBP1
APECEDIGSF4B
APECEDIL17A
APECEDIL17F
APECEDIL22
APECEDIL22RA2
APECEDIL28B
APECEDIL5
APECEDIL6
APECEDKAL1
APECEDKLK2
APECEDLAIR2
APECEDLCN1
APECEDLEG1
APECEDLIPF
APECEDLRIT3
APECEDLRRC3B
APECEDLY6H
APECEDMMP1
APECEDMMP7
APECEDMPZL3
APECEDMSMP
APECEDMSR1
APECEDOBP2A
APECEDODAPH
APECEDOPN4
APECEDOTOL1
APECEDOTOR
APECEDPANX3
APECEDPAP
APECEDPDGFB
APECEDPDILT
APECEDPGC
APECEDPLA2G10
APECEDPLA2G2E
APECEDPLAC9
APECEDPLVAP
APECEDPMCH
APECEDPNLIP
APECEDPNLIPRP1
APECEDPNLIPRP2
APECEDPPT1
APECEDPRG3
APECEDPRLR
APECEDPRRG1
APECEDPRRG3
APECEDPRRT1
APECEDPRRT3
APECEDPSAP
APECEDPTPRN2
APECEDPTPRR
APECEDRAMP2
APECEDREG1A
APECEDREG3G
APECEDREG4
APECEDRNASE8
APECEDRTBDN
APECEDSERPINE1
APECEDSLC2A10
APECEDSLC41A2
APECEDSMR3A
APECEDSOSTDC1
APECEDSPACA7
APECEDSPAG11B
APECEDSPINK1
APECEDSPINK4
APECEDSPINK8
APECEDSRGN
APECEDSYCN
APECEDTEPP
APECEDTEX264
APECEDTFF2
APECEDTGFA
APECEDTM4SF6
APECEDTM9SF3
APECEDTMEM119
APECEDTMEM149
APECEDTNFRSF12A
APECEDTSLP
APECEDTXNDC12
APECEDVSTM2A
APSIL6R
APSIFNA13
APSIFNA14
APSIFNA17
APSIFNA2
APSIFNA5
APSIFNA6
APSIFNA8
APSIL6R
CIDPCXCL1
CIDPCXCL2
CIDPCXCL3
CIDPPDGFB
CIDPTMEM149
CIDPCD74
CIDPCXCL13
COVID-19APOO
COVID-19OPRL1
COVID-19IFNA14
COVID-19MIA2
COVID-19FKBP2
COVID-19GPR1
COVID-19IL29
COVID-19PTPRR
COVID-19RCN2
COVID-19IFNA13
COVID-19IFNW1
COVID-19IL1A
COVID-19TSPAN9
COVID-19SHISA7
COVID-19IFNA17
COVID-19LEP
COVID-19CALU
COVID-19SSPN
COVID-19LPAL2
COVID-19OBP2B
COVID-19CST5
COVID-19IL6
COVID-19CCDC47
COVID-19ACRV1
COVID-19PGA3
COVID-19LRRC8C
COVID-19PMCH
COVID-19GPR6
COVID-19CSF2
COVID-19RCN3
COVID-19LYSMD4
COVID-19CD99
COVID-19IFNA5
COVID-19IFNL2
COVID-19CXCL9
COVID-19SLC41A2
COVID-19EPYC
COVID-19DUOXA1
COVID-19LACRT
COVID-19CNPY2
COVID-19KLK8
COVID-19MZB1
COVID-19LYG2
COVID-19MUCL3
COVID-19LALBA
COVID-19ZG16B
COVID-19ODAM
COVID-19PILRA
COVID-19HRC
COVID-19PPBP
COVID-19CSPG5
COVID-19PTPRN2
COVID-19CST4
COVID-19FAM168B
COVID-19TNFRSF17
COVID-19OTOS
COVID-19SPINK9
COVID-19KLRC2
COVID-19IFNA8
COVID-19TMEM119
COVID-19CSAG1
COVID-19OTOR
COVID-19KCT2
COVID-19PGA4
COVID-19SPINK4
COVID-19FCGR2A
COVID-19CNPY3
COVID-19NEGR1
COVID-19ERP27
COVID-19AGRP
COVID-19PRR27
COVID-19MCFD2
COVID-19IGFBP6
COVID-19IFNA2
COVID-19LGALS3
COVID-19SPOCK1
COVID-19KCNV2
COVID-19HCRTR2
COVID-19LECT2
COVID-19PLA2G2E
COVID-19FAM19A3
COVID-19SPACA7
COVID-19NENF
COVID-19IL6R
COVID-19SPX
COVID-19IGFBP1
COVID-19SRGN
COVID-19LAIR2
COVID-19CPXM2
COVID-19CCL17
COVID-19TUSC5
COVID-19LOC644613
COVID-19TNFRSF21
COVID-19GPR77
COVID-19C2orf40
COVID-19C5A
COVID-19IFNA6
COVID-19SPP1
COVID-19SERPINA3
COVID-19OXTR
COVID-19KLRC1
COVID-19SEMG2
COVID-19APOH
COVID-19PRRG1
COVID-19BTC
COVID-19MSLN
COVID-19FAM19A2
COVID-19CXCL1
COVID-19PRSS55
COVID-19SLCO2B1
COVID-19BTN1A1
COVID-19COV2-RBD
COVID-19OS9
COVID-19PGLYRP1
COVID-19DKK3
COVID-19TOR1B
COVID-19CST1
COVID-19LRRC8D
COVID-19ACKR1
COVID-19COL8A1
COVID-19CXCL3
COVID-19ODAPH
COVID-19PIANP
COVID-19PSORS1C2
COVID-19RNASE10
COVID-19CXCR7
COVID-19PLVAP
COVID-19CDSN
COVID-19SDF2L1
COVID-19TFF2
COVID-19HSPA13
COVID-19CXCR5
COVID-19C5orf64
COVID-19EPO
COVID-19GNLY
COVID-19OPRM1
COVID-19TGFA
COVID-19SLC2A10
COVID-19CXCL13
COVID-19CD99L2
COVID-19AGER
COVID-19CGA
COVID-19CRTAM
COVID-19SLC1A1
COVID-19CDH19
COVID-19GPR25
COVID-19CCL8
COVID-19SERPINI1
COVID-19SPINK8
COVID-19SLPI
COVID-19HRH3
COVID-19TMEM149
COVID-19CD38
COVID-19REG4
COVID-19IGFBP5
COVID-19FKBP7
COVID-19GRM5
COVID-19CXCR3
COVID-19PTHLH
COVID-19LY6K
COVID-19PLAC9
COVID-19LPL
COVID-19CCKAR
COVID-19RTN4R
COVID-19GYPA
COVID-19TMED1
COVID-19DRAXIN
COVID-19CCL13
COVID-19LRRC8A
COVID-19ANGPTL4
COVID-19NPPC
COVID-19IL22
COVID-19CCL21
COVID-19RCN1
COVID-19CD74
COVID-19FGF17
COVID-19PAEP
COVID-19CNPY4
COVID-19APOC3
COVID-19SPINK1
COVID-19AZGP1
COVID-19STC2
COVID-19S1PR4
COVID-19IBSP
COVID-19CEACAM18
COVID-19SLC38A4
COVID-19CSN2
COVID-19VSIG2
COVID-19ENSP00000381830
COVID-19CSHL1
COVID-19CASQ1
COVID-19XG
COVID-19ENDOU
COVID-19RAET1L
COVID-19COL10A1
COVID-19PTH
COVID-19SLC15A1
COVID-19SLC6A2
COVID-19PRRT1
COVID-19CLCC1
COVID-19F2R
COVID-19JTB
COVID-19TGOLN2
COVID-19CCL16
COVID-19MIA
COVID-19TNF
COVID-19TMEM91
COVID-19RTBDN
COVID-19MPL
COVID-19RSPO1
COVID-19RSPO3
COVID-19PRSS3
COVID-19GPR17
COVID-19CCR9
COVID-19GP6
COVID-19PRH1;
COVID-19EQTN
COVID-19RNF43
COVID-19SPN
COVID-19IGSF4B
COVID-19CFD
COVID-19SPACA5
COVID-19CHGA
COVID-19UNQ6190/PRO20217
COVID-19APOA1
COVID-19PRG3
COVID-19SLC2A2
COVID-19CCL11
COVID-19TSLP
COVID-19SMOC2
COVID-19HTR5
COVID-19PRAP1
COVID-19LY6H
COVID-19IMPG1
COVID-19TNFRSF12A
COVID-19SSTR2
COVID-19IGFBP3
COVID-19PRLR
COVID-19PRR4
COVID-19IL13
COVID-19HCTR1
COVID-19IGF1
COVID-19CD300E
COVID-19LINC00305
COVID-19SPESP1
COVID-19FRZB
COVID-19IL28B
COVID-19MMP9
COVID-19GAST
COVID-19FGF1
COVID-19IL15RA
COVID-19CCR10
COVID-19VEGFB
COVID-19SERPINE1
COVID-19EXOC3-AS1
COVID-19PRRT3
COVID-19NETO1
COVID-19VSTM2B
COVID-19CCR4
COVID-19APP
COVID-19AMTN
COVID-19CXCL6
COVID-19NINJ1
COVID-19KLK9
COVID-19SDF4
COVID-19CPE
COVID-19AMELX
COVID-19DCD
COVID-19ANTXRL
COVID-19CCR2
COVID-19PCSK1
COVID-19QRFP
COVID-19RGMB
COVID-19NPY2R
COVID-19IGFBP7
COVID-19SLC2A12
COVID-19PPT1
COVID-19CCL7
COVID-19JCHAIN
COVID-19ADCYAP1
COVID-19PDZD11
COVID-19CP
COVID-19MANF
COVID-19GZMA
COVID-19TXNDC12
COVID-19PGC
COVID-19ACVR1
COVID-19WFDC13
COVID-19SFRP4
COVID-19REG1A
COVID-19GPR37
COVID-19NOPE
COVID-19Cllorf94
COVID-19SCARA5
COVID-19GPR19
COVID-19EMC7
COVID-19CCL15
COVID-19CA4
COVID-19RNASE8
COVID-19MLN
COVID-19UNQ9165/PRO28630
COVID-19NTRK3
COVID-19TREML1
COVID-19CDH15
COVID-19SMR3A
COVID-19DKK1
COVID-19OXER1
COVID-19FAM24B
COVID-19CRLF1
COVID-19PDIA6
COVID-19PLA2G12B
COVID-19FGF7
COVID-19ZP4
COVID-19BAMBI
COVID-19GKN2
COVID-19IGFBPL1
COVID-19MMP7
COVID-19MANSC4
COVID-19APOA4
COVID-19SUSD6
COVID-19CELA1
COVID-19IGLL1
COVID-19IL9
COVID-19MADCAM1
COVID-19NPBW1
COVID-19HAVCR1
COVID-19ITPRIPL1
COVID-19SOST
COVID-19LHFPL1
COVID-19SDC3
COVID-19SEMG1
COVID-19C1QB
COVID-19ASIP
COVID-19CCL18
COVID-19LHFPL5
COVID-19IGFL2
COVID-19FGFRL1
COVID-19EFNB2
COVID-19C2orf66
COVID-19MFAP3
COVID-19C6orf15
COVID-19OPN4
COVID-19NOV
COVID-19GNS
COVID-19FKBP14
COVID-19CELA2B
COVID-19C9
COVID-19VWC2L
COVID-19BMPR2
COVID-19CSH2
COVID-19IL1RAP
COVID-19C1QTNF2
COVID-19SLC10A4
COVID-19IL16
COVID-19LRIT3
COVID-19GRN
COVID-19NIPAL4
COVID-19GNRH1
COVID-19ATP4B
COVID-19APLP2
COVID-19TMEM123
COVID-19IL3
COVID-19PDGFA
COVID-19EVI2B
COVID-19NGFR
COVID-19PROK1
COVID-19SOSTDC1
COVID-19FLJ36131
COVID-19EREG
COVID-19TNFRSF9
COVID-19LYG1
COVID-19SLCO4C1
COVID-19GUCA2A
COVID-19FAM19A5
COVID-19IL21
COVID-19FCMR
COVID-19CADM2
COVID-19CSF3
COVID-19CA11
COVID-19NTRK2
COVID-19CRELD2
COVID-19GPR120
COVID-19C9orf135
COVID-19SLC1A5
COVID-19SYCN
COVID-19COL9A3
COVID-19ADRA1D
COVID-19GLB1
COVID-19SV2C
COVID-19DKFZp686O24166
COVID-19PRSS3P2
COVID-19KIRREL3
COVID-19VSTM2A
COVID-19GCG
COVID-19SERPINE2
COVID-19EDA2R
COVID-19CPAMD8
COVID-19SCN3B
COVID-19OXT
COVID-19CD3E
COVID-19INSL3
COVID-19CALY
COVID-19GHSR
COVID-19SCGB1D1
COVID-19C6
COVID-19CLDN2
COVID-19MUC7
COVID-19KISS1
COVID-19ULBP2
COVID-19CLDN7
COVID-19IGFBP2
COVID-19EFNB3
COVID-19NXPH1
COVID-19GHRHR
COVID-19LILRA4
COVID-19OTOL1
COVID-19EFNB1
COVID-19FGFBP3
COVID-19GPR63
COVID-19PRRG4
COVID-19MUCL1
COVID-19XCL1
COVID-19TMEM120A
COVID-19TMEM108
COVID-19IL1F5
COVID-19MSMP
COVID-19CXCL12
COVID-19GNPTG
COVID-19SDC4
COVID-19FZD9
COVID-19CCL4L1
COVID-19GPRC6A
COVID-19GPR156
COVID-19ITIH3
COVID-19RAMP2
COVID-19TNFRSF11A
COVID-19DKK2
COVID-19SPINK13
COVID-19SDCBP
COVID-19CD8B2
COVID-19CTSG
COVID-19CST2
COVID-19EDDM3B
COVID-19CLTRN
COVID-19PLA2G10
COVID-19DCN
COVID-19DAG1
COVID-19CXCL16
COVID-19CCRL2
COVID-19DEFB108B
COVID-19MRGPRF
COVID-19FCRL3
COVID-19NPS
COVID-19OBP2A
COVID-19ACKR2
COVID-19GRM2
COVID-19FAM174A
COVID-19MSR1
COVID-19NOG
COVID-19TMEM102
COVID-19LAIR1
COVID-19IL22RA2
COVID-19SPACA3
COVID-19WIF1
COVID-19F13B
COVID-19LRTM1
COVID-19ERVH48-1
COVID-19CCL2
COVID-19TFF1
COVID-19ADM2
COVID-19IFITM10
COVID-19HSD11B1L
COVID-19AXL
COVID-19FMR1NB
COVID-19C6orf25
COVID-19OPN3
COVID-19MUC13
COVID-19CCL28
COVID-19CCL26
COVID-19PTN
COVID-19SLC39A8
COVID-19FGF21
COVID-19TIMD4
COVID-19NPTX2
COVID-19IL17RD
COVID-19PAPLN
COVID-19TMEM219
COVID-19CYB5D2
COVID-19IL1B
COVID-19FSTL1
COVID-19PTPRJ
COVID-19NPY1R
COVID-19CLDN18
COVID-19FLT3LG
COVID-19C17orf99
COVID-19SLC6A5
COVID-19AIMP1
COVID-19TNFRSF8
COVID-19CD248
COVID-19TM9SF3
COVID-19FCGR2C
COVID-19MPZL3
COVID-19OSTN
COVID-19SPARCL1
COVID-19TMPRSS11D
COVID-19KLK7
COVID-19GDPD3
COVID-19IL34
COVID-19BTNL8
COVID-19ASTL
COVID-19CLDN19
COVID-19SCG5
COVID-19PSAP
COVID-19PRRG3
COVID-19PLA2G12A
COVID-19LCN1
COVID-19LRRTM2
COVID-19FAM3D
COVID-19PTGS2
COVID-19FCRLB
COVID-19CST8
COVID-19ANGPTL5
COVID-19OPRK1
COVID-19APOD
COVID-19ADM
COVID-19CLU
COVID-19PANX3
COVID-19SLC52A3
COVID-19VASN
COVID-19CMKLR1
COVID-19BGLAP
COVID-19IL4
COVID-19IL18BP
COVID-19ACVRL1
COVID-19FLRT3
COVID-19FAM234A
COVID-19CPVL
COVID-19GPR3
COVID-19LMBRD2
COVID-19TMEM169
COVID-19LRRC8B
COVID-19INSL6
COVID-19PDCD1
COVID-19EMC10
COVID-19IL18RAP
COVID-19NRN1
COVID-19TRABD2A
COVID-19SSBP3-AS1
COVID-19IL17C
COVID-19LGALS1
COVID-19MDK
COVID-19WFDC1
COVID-19NRN1L
COVID-19TNFRSF1B
COVID-19HNRNPA2B1
COVID-19DKKL1
COVID-19NTSR1
COVID-19IL32
COVID-19FAM24A
COVID-19SGCA
COVID-19IL1RN
COVID-19LY6D
COVID-19HSD17B7
COVID-19SCG3
COVID-19TNFRSF4
COVID-19CCL22
COVID-19XK
COVID-19RETN
COVID-19GALP
COVID-19FGL2
COVID-19PDGFB
COVID-19CTF1
COVID-19C8G
COVID-19EBI3
COVID-19EDIL3
COVID-19TRABD2B
COVID-19GP5
COVID-19CLEC2B
COVID-19SEMA6C
COVID-19CLDN9
COVID-19CSN3
COVID-19TRH
COVID-19CCL25
COVID-19APOE
COVID-19IER3
COVID-19DHRS7C
COVID-19C19orf18
COVID-19MCHR1
COVID-19CHRDL2
COVID-19FGF18
COVID-19PINLYP
COVID-19MFAP2
COVID-19C11orf44
COVID-19CXCL17
COVID-19ART1
COVID-19LILRB4
COVID-19DUOXA2
COVID-19CSN1S1
COVID-19PEBP4
COVID-19RTN4RL1
COVID-19SCGB2A2
COVID-19TGFBR3L
COVID-19UCMA
COVID-19RAET1E
COVID-19PKD2L1
COVID-19ACVR1B
COVID-19AVPR1A
COVID-19HEPACAM2
COVID-19P4HB
COVID-19AJAP1
COVID-19MOG
COVID-19EPHA4
COVID-19BAGE3
COVID-19CPA6
COVID-19FSTL3
COVID-19ARTN
COVID-19LRRN4
COVID-19BRINP3
COVID-19EPOR
COVID-19NRG1
COVID-19MEGF9
COVID-19MFSD2A
COVID-19SERPINA13P
COVID-19CLDN10
COVID-19SCG2
COVID-19ENDOD1
COVID-19TMEFF1
COVID-19F12
COVID-19NUCB1
COVID-19CEACAM19
COVID-19B2M
COVID-19FETUB
COVID-19UNQ5830/PRO19650/PRO19816
COVID-19DNASE1L2
COVID-19CLEC-6
COVID-19IL20RB
COVID-19CHRNA9
COVID-19APOC2
COVID-19SLC1A4
COVID-19MC5R
COVID-19COLQ
COVID-19IMPG2
COVID-19VTCN1
COVID-19DEFB126
COVID-19TMEM41A
COVID-19SDC1
COVID-19IL15
COVID-19BPIFA3
COVID-19LTBR
COVID-19CELA3B
COVID-19MPEG1
COVID-19ADAMTS16
COVID-19S1PR3
COVID-19GPR37L1
COVID-19LAS2
COVID-19SNCA
COVID-19SLC6A11
COVID-19LYPD6B
COVID-19FLJ46089
COVID-19CXCL11
COVID-19FAM3A
COVID-19NINJ2
COVID-19HBEGF
COVID-19C9orf47
COVID-19CST6
COVID-19CRTAC1
COVID-19CD14
COVID-19LAG3
COVID-19LILRB2
COVID-19SLC22A31
COVID-19HS3ST1
COVID-19GIF
COVID-19NLGN4X
COVID-19NOTCH2NL
COVID-19MFGE8
COVID-19RXFP3
COVID-19LCAT
COVID-19TRPC3
COVID-19MARCO
COVID-19IGLL5
COVID-19GKN1
COVID-19CST7
COVID-19FMOD
DILCXCL1
DILTNF
DILTSLP
DMCD81
MGCXCL2
MGPDGFB
MCREG4
MGCCL22
MGCCL2
MMPLA2G2E
MMSPX
MMKCNK1
MMTNFRSF21
MMCLDN19
MMMMP7
MMNGRN
MMPSORS1C2
MMFGFBP3
MMVEGFB
MMLOC644613
MMC9
MMCOLEC12
MMSLC38A4
MMSOST
MMSLC41A2
MMMOG
MMDNASE2
MMFMR1NB
MMODAPH
MMLY6H
MMOPN4
MMPRRT3
MMCCL18
MMTMEM41A
MMAPOC3
MMLGALS1
MMSSPN
MMIL21
MMACRV1
MMTFF2
MMAGER
MMDKK1
MMCST9L
MMEPHA5
MMPDIA6
MMDHRS4L2
MMMZB1
MMEVI2B
MMC19orf18
MMSPOCK1
MMSCN3B
MMCCL11
MMHCRTR2
MMMFSD2A
MMIFNA17
MMLILRB1
MMSHISA5
MMGNRH2
MMCOL8A1
MMTGFA
MMACP5
MMSMR3A
MMPSAPL1
MMZG16B
MMGYPA
MMIGLL5
MMCCL22
MMMANSC4
MMDNAJC3
MMTNFRSF8
MMARTN
MMNEGR1
MMCHRNA9
MMAPOO
MMUNQ6190/PRO20217
MMCST6
MMCD164L2
MMASTN2
MMKAL1
MMTRPC3
MMIGFBP6
MMMLN
MMIL15RA
MMPPT1
MMFGF1
MMPRRG3
MMIFNA5
MMC9orf47
MMFAM3A
MMLCN12
MMIFNL2
MMSECTM1
MMPMCH
MMBMPR2
MMFAM19A5
MMPNLIPRP1
MMIL13RA1
MMLCN2
MMLAIR2
MMERVK13-1
MMSLPI
MMOPTC
MMSPN
MMCXCL17
MMCASQ1
MMTMEM108
MMMCFD2
MMIL19
MMSLC6A5
MMPOMC
MMACVRL1
MMIL5
MMPRL
MMOVGP1
MMLCN15
MMITPRIPL1
MMTMEM91
MMFCGR2C
MMCHGA
MMTIMD4
MMRBP4
MMLYG2
MMOBP2A
MMKIR3DL3
MMPTHLH
MMCCL8
MMAMELX
MMCST4
MMGNLY
MMKCNMB3
MMIFNW1
MMWFDC9
MMCLDN2
MMKCT2
MMCPXM2
MMBCAM
MMRAMP2
MMERVK-7
MMNHLRC3
MMOS9
MMDKK2
MMIL2RA
MMSPINK8
MMSYNDIG1L
MMSPINK9
MMDPT
MMAXL
MMSPINK1
MMBTN1A1
MMSLC2A2
MMSLC24A3
MMDRAXIN
MMERVK-24
MMTNFRSF4
MMCST5
MMIER3
MMSLC22A25
MMCLCC1
MMTNFRSF1B
MMFP248
MMLYSMD4
MMAGRP
MMADAMTS16
MMDEFB126
MMECM1
MMIL16
MMINSL6
MMXCL2
MMENDOU
MMCST8
MMUGT2A1
MMFAM174A
MMRCN1
MMUGT1A1
MMRTN4RL1
MMC11orf94
MMFAM187B
MMAPOE
MMBTC
MMLHFPL1
MMPRLR
MMFGFRL1
MMCCL15
MMMPZL3
MMPPBP
MMPDCD1
MMSPINK4
MMRTBDN
MMCD99L2
MMPGA4
MMHSPA13
MMCNTN2
MMTMED1
MMIL1B
MMWFDC12
MMSDF2L1
MMIL1F9
MMIGFBP5
MMTNFRSF12A
MMMICB
MMS100A13
MMRNASE8
MMFAM19A2
MMIMPG1
MMSERPINE1
MMCTSA
MMNPPC
MMPLA2G1B
MMOBP2B
MMCCL16
MMIL13
MMEREG
MMKLK8
MMIL6
MMTNF
MMC1QTNF2
MMKLK14
MMPTPRR
MMADM2
MMCCL24
MMNCR3
MMNETO1
MMC5orf64
MMGP6
MMMIA2
MMFGF17
MMTREML4
MMSOSTDC1
MMCOL9A3
MMFCER1A
MMENSP00000320207
MMIGFBP3
MMC6orf15
MMPROK1
MMSLC22A31
MMCD151
MMEPYC
MMPROKR2
MMFKBP9
MMIL34
MMMMP1
MMLAMC1
MMSRGN
MMERVK-18
MMIGSF4B
MMCALY
MMFKBP14
MMRCN2
MMIL17BR
MMCALR
MMCLDN3
MMGPC6
MMOTOL1
MMMANF
MMSTC2
MMCSAG1
MMTNFRSF9
MMTMEM161A
MMPRH1;
MMTRH
MMCXCL1
MMFSTL1
MMTDGF1
MMPRSS3
MMPGA3
MMVSTM2A
MMIGFL2
MMCRTAC1
MMF13B
MMCTRB2
MMUNQ9165/PRO28630
MMGNRH1
MMSERPINA3
MMAPP
MMIGFBP2
MMITIH3
MMTM9SF3
MMCNPY2
MMIL29
MMOTOR
MMTM2D2
MMCSN3
MMAPOH
MMSEMA6A
MMCD14
MMMUC7
MMLAS2
MMC2orf40
MMTNFRSF5
MMFGFR2
MMCXCL3
MMADM
MMIL1RAP
MMCSPG5
MMRARRES2
MMMIA
MMFKBP2
MMJCHAIN
MMNINJ1
MMRCN3
MMZP4
MMMDK
MMLCN1P1
MMSIGLEC9
MMCOL10A1
MMSPACA7
MMSPAG11B
MMXG
MMCLDN18
MMCCL17
MMSHISA7
MMTMEM149
MMNBL1
MMGAST
MMOXT
MMSEMA6C
MMCCL28
MMLRIT3
MMCHRNB3
MMCCDC47
MMSLC2A10
MMLECT2
MMCRLF1
MMPSAP
MMTMEM119
MMSPACA5
MMCALU
MMMUCL3
MMLILRB2
MMODAM
MMCLU
MMCD40LG
MMCFHR1
MMCHGB
MMIL7
MMXCL1
MMCPVL
MMSYCN
MMSLC39A8
MMDCD
MMPLA2G10
MMIL36B
MMSLC6A2
MMFAM24B
MMLEP
MMIL9
MMPTN
MMCCL26
MMAHSG
MMRNASE10
MMCD274
MMKCNV2
MMFAM3C
MMLY6G6D
MMSPINK13
MMASIP
MMLGALS3
MMCTSW
MMFCAMR
MMCD320
MMPRRG4
MMCA4
MMLILRB6
MMAPLP2
MMBMPR1A
MMAPOA4
MMTXNDC12
MMOLR1
MMCXCL6
MMCXCL9
MMOTOS
MMXK
MMPRG3
MMANGPTL4
MMCCL23
MMPRRT1
MMATP4B
MMIL17C
MMCSF2
MMCCL13
MMHSD11B1L
MMMICA
MMIGF1
MMMSMP
MMTGOLN2
MMERP27
MMPTPRN2
MMKLRK1
MMLRP11
MMPIANP
MMLIF
MMS100A8
MMCSN2
MMEVAIC
MMIFNA6
MMPCSK1
MMLILRB4
MMQPCT
MMSNORC
MMSHISA6
MMPRR27
MMKLRF1
MMCTSG
MMPDIA3
MMCNPY4
MMRSPO4
MMREG1A
MMPEBP4
MMCRTAP
MMTGFBR1
MMVSTM2B
MMCP
MMVPREB1
MMCD44
MMIGFBP7
MMFGF7
MMENSP00000381830
MMSEMG1
MMIL1A
MMEPO
MMCDH19
MMIL32
MMSUMF1
MMANTXRL
MMLHFPL5
MMCCL21
MMPLVAP
MMCELA1
MMICOSLG
MMFGF23
MMSLC6A11
MMCLDN1
MMSFTPB
MMNTS
MMREG4
MMIGLL1
MMCSF3
MMCNPY3
MMNOPE
MMTXN
MMCDSN
MMKLK7
MMTNFRSF13C
MMRAET1L
MMFAM19A3
MMLALBA
MMRTN4R
MMCFD
MMPGLYRP1
MMCRELD2
MMAMTN
MMCCL7
MMTMEM102
MMTNFRSF10B
MMC2orf66
MMHAVCR1
MMFAM234A
MMNOV
MMRSPO3
MMIFNA13
MMCTLA4
MMPLAC9
MMUGT2B28
MMIL28B
MMTOR1B
MMINSL3
MMAPOA1
MMCFHR2
MMFCGR2A
MMIGF2
MMAMBN
MMASIC5
MMNTRK2
MMHNRNPA2B1
MMPRELP
MMCILP2
MMEPHA4
MMKAZALD1
MMFAM168B
MMCD248
MMCOL14A1
MMVTN
MMCELA3A
MMPTPRD
MMCELA3B
MMDKK3
MMCREG2
MMANGPTL5
MMMUCL1
MMSLC15A1
MMGREM2
MMWFDC3
MMPRR4
MMVSIG4
MMFAM19A4
MMCST7
MMTEX46
MMTFF1
MMFCMR
MMCST1
MMCGREF1
MMAIMP1
MMIL4
MMSERPINI1
MMPRAP1
MMPGC
MMGZMA
MMCXCL11
MMSDC4
MMCXCL5
MMPANX3
MMCCL20
MMBPIFC
MMTGFBR3L
MMSNCA
MMIL22RA2
MMARSJ
MMSFRP4
MMTREML1
MMLYPD6B
MMCCL1
MMHRC
MMCLTRN
MMFZD4
MMLRRC8C
MMGH1
MMIHH
MMIL10RB
MMIGFBP1
MMIGDCC3
MMVEGFA
MMSPOCK2
MMFGF16
MMSLC39A14
MMBST2
MMSCG2
MMMFAP2
MMCT83
MMTMEM95
MMABHD12
MMCLN5
MMSCGB1A1
MMHSD17B13
MMSPACA3
MMBTNL8
MMSLC22A9
MMSLC2A13
MMMPO
MMTTYH2
MMTMEM169
MMCD72
MMTRABD2B
MMSCG5
MMSERPINI2
MMSPP2
MMS100A7
MMKRTDAP
MMCST2
MMCREG1
MMTSPAN2
MMNRN1
MMVSIG2
MMMEGF9
MMRNF43
MMCLDN8
MMENH1
MMSMOC1
MMLRRN4CL
MMPDGFA
MMPLA2G12B
MMPTTG1IP
MMFAM24A
MMFKBP10
MMSLC6A13
MMSLC10A4
MMGFRA2
MMSLURP1
MMOLFM1
MMBTLA
MMATP6AP2
MMSCGB2A2
MMPILRB
MMSLC22A4
MMEXOC3-AS1
MMART1
MMMUC5AC
MMCHAD
MMDKKL1
MMSLC8B1
MMTSLP
MMSCGB1C2
MMPDGFB
MMC1QL1
MMTM4SF6
MMFRZB
MMTMEFF1
MMIL17B
MMDAG1
MMCOLQ
MMPLAT
MMTNFRSF6B
MMCLDN4
MMTREM2
MMSUSD6
MMVSTM2L
MMNFASC
MMCOMT
MMMSR1
MMLSR
MMCER1
MMAZU1
MMCCK
MMPLA2G2A
MMSMOC2
MMCXCL13
MMCRTAM
MMGKN1
MMNRXN3
MMDHRS7C
MMCHRDL2
MMHTR3D
MMTRPC4
NMOCXCL2
NMOCXCL3
NMOIGFBPL1
NMOCCL22
NMOIL1F9
NMOLY6G6D
NSCLCCCL17
NSCLCCCL24
NSCLCCXCL1
NSCLCCXCL3
NSCLCEDIL3
NSCLCIFNA13
NSCLCIFNA14
NSCLCIFNA17
NSCLCIFNA2
NSCLCIFNA5
NSCLCIFNA6
NSCLCIFNA8
NSCLCIFNL2
NSCLCIFNW1
NSCLCIL28B
NSCLCIL34
NSCLCMADCAM1
NSCLCPDGFB
NSCLCREG1A
NSCLCSDC1
NSCLCBTN1A1
NSCLCC6
NSCLCCD207
NSCLCCD3D
NSCLCCDH19
NSCLCCOLEC12
NSCLCEREG
NSCLCFGF23
NSCLCFGF7
NSCLCFGFBP3
NSCLCIGFBPL1
NSCLCIL15RA
NSCLCIL17F
NSCLCIL1RAP
NSCLCIL22RA2
NSCLCIL4
NSCLCIL4R
NSCLCITGA5
NSCLCLAG3
NSCLCLRRC4
NSCLCMPZL3
NSCLCNOTCH2NL
NSCLCNTRK3
NSCLCREG4
NSCLCSCARA3
NSCLCSTIM2
NSCLCTNFRSF10C
NSCLCTNFRSF19L
NSCLCTREML1
PANDASLRP11
SarcoidosisCX3CL1
SarcoidosisEPYC
SarcoidosisPGLYRP1
SLECXCL3
SLEIFNA17
SLECXCL1
SLELOC644613
SLEIFNA6
SLESV2C
SLETMEM102
SLEPDCD1LG2
SLESLC29A4
SLEIL1A
SLEC5orf64
SLEIFNW1
SLESCGB1D1
SLEEPYC
SLECNPY2
SLECCL4L1
SLESPINK9
SLETNF
SLEKIRREL3
SLEIFNA8
SLEIFNA14
SLEVEGFB
SLETMEM108
SLEIFNA5
SLEACVR2B
SLEOBP2B
SLEMCFD2
SLEDPT
SLESPACA7
SLEIFNA13
SLEFKBP14
SLELACRT
SLEIL6
SLEFAM19A3
SLEIFNL2
SLEERP27
SLETMEM149
SLEPRH1;
SLEZG16B
SLEIFNA2
SLERAET1E
SLECCDC47
SLEMUC21
SLECCL22
SLECGREF1
SLETEPP
SLEFAM19A2
SLESPOCK1
SLESRGN
SLESHISA7
SLECCL17
SLERNASE10
SLEFGF21
SLEAPOA4
SLENGFR
SLEKCNV2
SLEAGER
SLEFGFRL1
SLELGR6
SLECCL8
SLECD44
SLEITIH3
SLECST8
SLESSPN
SLECELA1
SLEIL4
SLERCN3
SLEPRRG4
SLEMFAP5
SLECSPG5
SLEVTCN1
SLEPLA2G2E
SLELY6H
SLEGYPC
SLESLC41A2
SLEDRAXIN
SLECSHL1
SLELAIR2
SLEIGFBP2
SLECD248
SLERGMB
SLETGOLN2
SLECSAG1
SLEACP4
SLECALU
SLEBTNL8
SLESOSTDC1
SLELYSMD4
SLELCN2
SLESCGB1C2
SLECST4
SLEIGF1
SLEPRRT1
SLECHRNA5
SLEANTXRL
SLETNFRSF6
SLECD300LG
SLESERPINE1
SLEOLFM1
SLEPLA2G10
SLECD300E
SLECDH19
SLERAMP2
SLEATP4B
SLEPTPRR
SLESFN
SLEHCRTR2
SLEACRV1
SLEFAM3A
SLEACVR1B
SLEFGF23
SLEIL15RA
SLEIGFBP7
SLELHFPL1
SLEIL28B
SLEVIT
SLEIER3
SLEC2orf40
SLEPLVAP
SLELECT2
SLEDAG1
SLESPINK6
SLESLC2A12
SLEIGLL1
SLETFF2
SLEASIP
SLEIL16
SLEEDIL3
SLECCL13
SLERCN1
SLECSH2
SLEIL33
SLELILRB4
SLESPESP1
SLEPDGFB
SLEPTHLH
SLEC9orf47
SLECHRDL2
SLEART3
SLECPVL
SLECCL15
SSCSERPINE1
SSCLEP
SSCLECT2
SSCOTOR
SSCCASQ1
SSCCST6
SSCINSL3
SSCSPACA3
SSCAMTN
SSCZG16B
SSCLOC644613
SSCPGA4
SSCLYSMD4
SSCSRGN
SSCCDH19
SSCSHISA7
SSCFAM19A3
SSCHAVCR1
SSCBAMBI
SSCMSMP
SSCSPACA7
SSCPTHLH
SSCPLA2G12B
SSCCXCL3
SSCCST4
SSCDKK3
SSCPIANP
SSCPRG3
SSCBTC
SSCCCL17
SSCXCL1
SSCLMBRD2
SSCLALBA
SSCTGFA
SSCIL29
SSCEVI2B
SSCSLPI
SSCCLCC1
SSCRNASE10
SSCFGFBP3
SSCFAM168B
SSCPGLYRP1
SSCANGPTL4
SSCCLU
SSCAGER
SSCTMEM108
SSCC1QTNF2
SSCTMEM119
SSCCCL8
SSCODAPH
SSCCNPY3
SSCMZB1
SSCCYTL1
SSCPRH1
SSCSLC2A10
SSCPRRG1
SSCCSPG5
SSCDRAXIN
SSCPRR27
SSCDKK1
SSCNTRK2
SSCIFNA13
SSCPDCD1
SSCFAM19A2
SSCIFNW1
SSCRCN1
SSCCFD
SSCCRELD2
SSCCCL18
SSCCD14
SSCBTN1A1
SSCPTPRR
SSCTMEM91
SSCVSIG2
SSCCCL13
SSCC2orf40
SSCVEGFB
SSCREG4
SSCTXNDC12
SSCACVR2B
SSCODAM
SSCCST5
SSCPI3
SSCTMEM149
SSCTEPP
SSCKCNV2
SSCPLA2G2E
SSCAIMP1
SSCIGFBP5
SSCASIP
SSCPGC
SSCTM9SF3
SSCAMELX
SSCCSN2
SSCCPXM2
SSCPRSS3
SSCFAM3A
SSCLILRA3
SSCCSAG1
SSCRTBDN
SSCCELA1
SSCANTXRL
SSCPLA2G10
SSCKCT2
SSCAPOH
SSCNENF
SSCNPPC
SSCLY6H
SSCFGF1
SSCSLC1A1
SSCIFNL2
SSCHSPA13
SSCC6orf15
SSCFLJ37218
SSCCCL7
SSCAPOA4
SSCFSTL1
SSCIGFBP1
SSCFCGR2A
SSCSMR3A
SSCIFITM10
SSCMSLN
SSCPRAP1
SSCEPO
SSCPLVAP
SSCPROK1
SSCTSLP
SSCMIA
SSCAPP
SSCOBP2A
SSCRTN4RL1
SSCPRRT3
SSCAPOA1
SSCFGF7
SSCTMED1
SSCLGALS3
SSCJCHAIN
SSCPRRG3
SSCIGF1
SSCACRV1
SSCSLC38A4
SSCFKBP11
SSCITPRIPL1
SSCPLAC9
SSCTFF2
SSCWFDC13
SSCLCN1
SSCLYG1
SSCLAIR2
SSCTNFRSF8
SSCSOSTDC1
SSCVSTM2A
SSCIGFBP7
SSCPSORS1C2
SSCFGF23
SSCRSPO3
SSCS100A9
SSCCXCL9
SSCTGOLN2
SSCACP5
SSCMANF
SSCAMBN
SSCPSAPL1
SSCWFDC10A
SSCPPT1
SSCMANSC4
SSCCD248
SSCNGRN
SSCPSAP
SSCLILRB2
SSCSCGB2A2
SSCIGFBPL1
SSCSV2C
SSCCXCL6
SSCCD300E
SSCRCN3
SSCIGFBP3
SSCRTN4R
SSCPRRT1
SSCACVR2A
SSCLCN2
SSCHCRTR2
SSCCELA3A
SSCADM2
SSCLRIT3
SSCMIA2
SSCTNFRSF17
SSCSPN
SSCSLC6A5
SSCWFDC1
SSCLILRB4
SSCCTSG
SSCCXCL11
SSCKLK7
SSCCST8
SSCNOPE
SSCGAST
SSCASTN2
SSCMCFD2
SSCCCL22
SSCOTOL1
SSCSYCN
SSCCCL2
SSCSOST
SSCPTN
SSCTACSTD2
SSCIL21
SSCIGLL1
SSCMMP7
SSCAPLP2
SSCSSBP3_AS1
SSCCST7
SSCSSPN
SSCHS3ST1
SSCGP6
SSCRNASE8
SSCACVR1B
SSCPDIA3
SSCIL15RA
SSCPTPRN2
SSCIL28B
SSCPMCH
SSCPVRL2
SSCWIF1
SSCEREG
SSCEDIL3
SSCCDSN
SSCREG1A
SSCPTH
SSCLHFPL1
SSCTRABD2B
SSCTIGIT
SSCKISS1
SSCCXCL17
SSCSPOCK2
SSCCTF1
SSCCD55
SSCDEFB108B
SSCIL17C
SSCGPHB5
SSCPRLR
SSCNLGN4Y
SSCSPACA5
SSCFGF17
SSCC9
SSCCHRDL2
SSCPF4V1
SSCRAMP2
SSCCCL26
SSCCD151
SSCTRPC5
SSCMMP1
SSCPRRG4
SSCART3
SSCHEPACAM2
SSCSDF2L1
SSCIGFBP2
SSCAXL
SSCSCN3B
SSCEPHA5
SSCIL1RAP
SSCATP6AP2
SSCCCL20
SSCGNRH1
SSCSEMG1
SSCAPOE
SSCFGFRL1
SSCIBSP
SSCTEX264
SSCCCBE1
SSCBCAM
SSCLRRC8C
SSCDKK2
SSCEPHA4
SSCSFRP4
SSCSYNDIG1L
SSCFAM19A5
SSCLYG2
SSCFAM3C
SSCTUSC5
SSCMDK
SSCFGF16
SSCMFGE8
SSCPRELP
SSCCOL10A1
SSCIGF2
SSCCSN3
SSCCLDN18
SSCPDIA6
SSCCHAD
SSCTNFRSF21
SSCC6orf120
SSCCOL9A3
SSCPDGFB
SSCTOR1B
SSCLHFPL5
SSCUNQ9165_PRO28630
SSCCCL15
SSCBMPR1A
SSCFGFR2
SSCDGAT2L7P
SSCSERPINA13P
SSCFCAMR
SSCXCL2
SSCTMEM9B
SSCRNF167
SSCLCN15
SSCTREML1
SSCFGF21
SSCSLC22A31
SSCIL20RB
SSCCCL11
SSCSTC2
SSCFKBP14
SUSACCCL24
SUSACSDC4
SUSACTREML1
SUSACVSIG4
MalariaLCN15
MalariaIL21
MalariaLEP
MalariaFKBP7
MalariaCCL11
MalariaBMPR2
MalariaSCGB2A2
MalariaGZMK
MalariaMSMP
MalariaDCD
MalariaSPARC
MalariaCOL9A3
MalariaFLRT3
MalariaTNFRSF10B
MalariaFZD4
MalariaTSPAN13
MalariaHTRA3
MalariaPCSK1
MalariaLYPD6B
MalariaCPE
MalariaGFRAL
MalariaTGOLN2
MalariaPRLR
MalariaTNFRSF21
MalariaTSPAN2
MalariaAMTN
MalariaF12
MalariaSLC1A1
MalariaMPZL3
MalariaF13B
MalariaC6orf120
MalariaPRAP1
MalariaIGFBP6
MalariaFGL2
MalariaSPX
MalariaGPC6
MalariaINSL3
MalariaCYTL1
MalariaTM4SF6
MalariaSGCA
MalariaC9orf135
MalariaCD300A
MalariaCTF1
MalariaOPN4
MalariaSLC22A31
MalariaZP4
MalariaIL21R
MalariaADM
MalariaAXL
MalariaEPHA5
MalariaIL17A
MalariaPTH
MalariaTNFRSF17
MalariaSHISA6
MalariaFGF17
MalariaGNRH1
MalariaSDF2L1
MalariaCNPY4
MalariaSLC6A9
MalariaNPR3
MalariaSIGLEC10
MalariaIL13
MalariaSFTPA2
MalariaGDPD3
MalariaCD164L2
MalariaKLK2
MalariaENSP00000381830
MalariaAKR1B10
MalariaKLK3
MalariaFCER1A
MalariaSNORC
MalariaCSHL1
MalariaCSH2
MalariaCSN3
MalariaSLC1A4
MalariaHEPACAM2
MalariaINS
MalariaGP6
MalariaRNASE8
MalariaSLAMF9
MalariaDPT
MalariaMINPP1
MalariaFGFR3
MalariaC2orf66
MalariaIMPG1
MalariaNENF
MalariaDKK3
MalariaNOV
MalariaSERPINI2
MalariaIFNA6
MalariaCOLEC12
MalariaCALR
MalariaPRRG1
MalariaGSN
MalariaSLC10A4
MalariaCD99
MalariaFSTL1
MalariaIL16
MalariaTRH
MalariaSLC6A14
MalariaGLB1
MalariaCCL20
MalariaARTN
MalariaSPP2
MalariaLINC00305
MalariaLAS2
MalariaS100A13
MalariaMZB1
MalariaRETN
MalariaFAM172A
MalariaCD99L2
MalariaCD151
MalariaSDF4
MalariaCEACAM19
MalariaCHGB
MalariaSLC8B1
MalariaCDNF
MalariaBCAM
MalariaTSPAN9
MalariaENDOD1
MalariaEMC10
MalariaOS9
MalariaTMEM169
MalariaIL22
MalariaNBL1
MalariaIL1RN
MalariaSMOC2
MalariaPRRG3
MalariaLRIT3
MalariaKCT2
MalariaXG
MalariaIGF1
MalariaGAST
MalariaCGREF1
MalariaRAMP2
MalariaPRRG4
MalariaCDSN
MalariaC11orf94
MalariaOTOL1
MalariaIBSP
MalariaLGALS3
MalariaLYSMD4
MalariaSYCN
MalariaJCHAIN
MalariaCST8
MalariaPRRT1
MalariaCCL15
MalariaSSPN
MalariaAPOO
MalariaCST5
MalariaSPINK1
MalariaHCRTR2
MalariaPRRT3
MalariaPSORS1C2
MalariaRTBDN
MalariaACRV1
MalariaFKBP14
MalariaSPINK4
MalariaIGFBP1
MalariaPLA2G2E
MalariaOBP2A
MalariaCCL8
MalariaVEGFB
MalariaTGFA
MalariaCOL10A1
MalariaIFNW1
MalariaRNASE10
MalariaPRH1;
MalariaCDH19
MalariaCPXM2
MalariaCSPG5
MalariaRCN3
MalariaIFNA13
MalariaIGFBP2
MalariaPLA2G10
MalariaSRGN
MalariaEPYC
MalariaCXCL1
MalariaCNPY2
MalariaMCFD2
MalariaANGPTL4
MalariaSPACA7
MalariaSLC2A10
MalariaRTN4R
MalariaCXCL3
MalariaCCDC47
MalariaCST4
MalariaCELA1
MalariaLALBA
MalariaPTPRR
MalariaOBP2B
MalariaTXNDC12
MalariaPTN
MalariaZG16B
MalariaPRSS3
MalariaCNPY3
MalariaPTHLH
MalariaPGLYRP1
MalariaKLK7
MalariaCCL13
MalariaFAM19A3
MalariaKLK8
MalariaSERPINA3
MalariaHCTR1
MalariaDRD5
MalariaGPR37L1
MalariaBDKBR1
MalariaNPY2R
MalariaSCTR
MalariaADCYAP1R1
MalariaGPR19
MalariaS1PR3
MalariaNMBR
MalariaCCR4
MalariaGPR17
MalariaCNR1
MalariaOPRK1
MalariaCYSLTR2
MalariaP2RY10
MalariaHTR1B
MalariaOPRM1
MalariaRXFP3
MalariaOXER1
MalariaCXCR3
MalariaHTR2B
MalariaGPR1
MalariaNPBW1
MalariaVSTM2A
MalariaLY6G6D
MalariaSLC41A2
MalariaMOG
MalariaRNASE9
MalariaIGLL5
MalariaCHGA
MalariaTREML1
MalariaGHRHR
MalariaXK
MalariaKITLG
MalariaWFDC10A
MalariaTMEM108
MalariaOTOR
MalariaGPR63
MalariaPLGRKT
MalariaCTSG
MalariaSLC6A5
MalariaCSAG1
MalariaFZD9
MalariaCMKLR1
MalariaFKBP2
MalariaITIH3
MalariaLILRA4
MalariaTNFRSF12A
MalariaCXCL13
MalariaPPT1
MalariaCXCL17
MalariaODAM
MalariaIL1RAP
MalariaSLC38A4
MalariaACKR1
MalariaCADM2
MalariaPAPLN
MalariaGPR37
MalariaSLC38A2
MalariaTMEM59
MalariaRAET1L
MalariaSPINK8
MalariaTRABD2B
MalariaFGF23
MalariaTMEM91
MalariaSV2C
MalariaREG1A
KTSPOCK1
KTCD99L2
KTACRV1
KTSPINK4
KTMCFD2
KTCD80
KTIL2RA
KTLOC644613
KTAGRP
KTSHISA7
KTRCN2
KTACKR1
KTIFNG
KTSCGB3A1
KTCCL16
KTIL29
KTOBP2B
KTCXCL3
KTCCDC47
KTSSPN
KTEPYC
KTSPACA3
KTMRGPRF
KTKLK8
KTMUCL3
KTIL9
KTIFNL2
KTIGFBP1
KTCALU
KTMZB1
KTCCL22
KTTNFRSF21
KTSPACA7
KTLYG2
KTTNFRSF5
KTANGPTL4
KTENDOU
KTPTPRR
KTCSPG5
KTSPINK9
KTIL7
KTFLJ37218
KTDKK3
KTZG16B
KTSERPINE1
KTSLPI
KTCD274
KTFAM19A2
KTVSIG2
KTCD40LG
KTEDDM3B
KTHCRTR2
KTFGFR2
KTEXOC3-AS1
KTIGFBP2
KTSERPINA3
KTCXCL1
KTOTOR
KTTSPAN9
KTCNPY3
KTPRR27
KTRCN3
KTCNPY2
KTBTC
KTADRB3
KTIGFBP5
KTNPY1R
KTTMEM102
KTLALBA
KTCXCL2
KTCCL13
KTOTOL1
KTIL1A
KTAPOO
KTLGALS3
KTLECT2
KTCDH19
KTRTN4R
KTRETN
KTCSF2
KTAPOH
KTMICA
KTGPR6
KTIL4
KTCRLF1
KTLAIR2
KTNPY2R
KTLYSMD4
KTDCD
KTTXNDC12
KTGP6
KTNOV
KTDRAXIN
KTCCR10
KTPILRA
KTGPR1
KTOPRL1
KTFAM168B
KTPRLR
KTCFD
KTIBSP
KTPTPRN2
KTERP27
KTBTN1A1
KTPDCD1
KTSV2C
KTCSN2
KTNINJ1
KTTMEM91
KTSLC1A1
KTADCYAP1
KTSEMG2
KTAPOA1
KTMPO
KTVEGFB
KTIL34
KTIFNA17
KTS100A13
KTAVPR1A
KTCCL17
KTAMTN
KTIL17RD
KTDKK1
KTPSORS1C2
KTSSTR2
KTSYCN
KTGPR37
KTANTXRL
KTAGER
KTPGLYRP1
KTWFDC12
KTIMPG1
KTGNRH1
KTSLC2A12
KTFKBP2
KTULBP1
KTTMEM119
KTPRSS3
KTMIA2
KTSLC2A2
KTC5orf64
KTTFPI2
KTPCSK1
KTPRH1;
KTIGFBP7
KTUNQ6190/PRO20217
KTCELA1
KTOSTN
KTRARRES2
KTAZGP1
KTTGFA
KTIL6
KTFMR1NB
KTREG1B
KTCXCL12
KTIL28B
KTJCHAIN
KTCES3
KTFAM19A3
KTFAM174A
KTCCL4L1
KTPLA2G2E
KTCOL10A1
KTITPRIPL1
KTPPBP
KTMANF
KTTMEM149
KTPRRG4
KTGFRA2
KTCA11
KTTLR1
KTCCL21
KTREG4
KTPRG3
KTIFNA13
KTSLC22A25
KTCCL7
KTATP6AP2
KTBRICD5
KTGAST
KTKAL1
KTTMEM108
KTIL16
KTGPR182
KTTNFRSF6
KTTSLP
KTAPOA4
KTSIRPA
KTFCER1A
KTPLBD2
KTKCNV2
KTNXPH1
KTBCAM
KTIFNA6
KTSPESP1
KTNENF
KTPLA2G10
KTVSTM2A
KTGPR19
KTNOG
KTCD300E
KTCST5
KTMMP7
KTHAVCR1
KTCST4
KTTHBD
KTMLN
KTTRABD2A
KTATP4B
KTPIANP
KTGNLY
KTCCKAR
KTGPR63
KTICAM2
KTLYPD6B
KTTMEM120A
KTDHRS4L2
KTOTOS
KTRCN1
KTB2M
KTCCL24
KTIFNA2
KTIFNA14
KTBMPR2
KTSRGN
KTFCGR2A
KTITIH3
KTCPXM2
KTACP5
KTKAZALD1
KTMIA
KTFGF1
KTLRRC4B
KTCCL26
KTC2orf40
KTPLVAP
KTSOSTDC1
KTCGREF1
KTTNFRSF12A
KTCLCC1
KTSMR3A
KTLY6G6D
KTCCL18
KTCCL2
KTRTN4RL2
KTC10orf54
KTFAM24B
KTFGF23
KTRSPO3
KTGPR156
KTTGOLN2
KTXG
KTUNQ9165/PRO28630
KTFKBP14
KTGPRC6A
KTC6orf15
KTCREG2
KTPTHLH
KTASIP
KTGPR25
KTGPR17
KTHCTR1
KTSLC38A4
KTSLC8B1
KTIL15RA
KTSLC2A10
KTNPBW1
KTPAEP
KTDKK2
KTCADM2
KTCCL15
KTCXCR3
KTADRA1D
KTIFNA5
KTKIRREL3
KTBMPR1A
KTTNFRSF17
KTMFSD2A
KTC12orf49
KTFCGR2C
KTCOL9A3
KTSPINK7
KTWFDC1
KTADM
KTSOST
KTRXFP3
KTTM4SF6
KTIGFBP3
KTNETO1
KTFGF7
KTLPA4
KTSPINK1
KTTMED1
KTADM2
KTRAET1L
KTS1PR4
KTC2orf66
KTCST6
KTSERPINI1
KTIFITM10
KTSEMG1
KTSCG3
KTSCG5
KTIL17BR
KTANGPTL5
KTCSAG1
KTREG1A
KTIGFBP6
KTGPR83
KTINSL3
KTPRRG1
KTCD248
KTEFNB3
KTIL21
KTNOPE
KTAPOC3
KTNPPC
KTJTB
KTSELL
KTUNC5B
KTWFDC13
KTAPLP2
KTLYPD1
KTC17orf99
KTMADCAM1
KTFZD9
KTCST1
KTIL32
KTPGA3
KTADAMTS16
KTPSAPL1
KTIL1F5
KTP4HB
KTCXCL11
KTSLC20A1
KTSPX
KTSLC10A4
KTTMEM41A
KTLRFN2
KTULBP2
KTLAG3
KTEPCAM
KTOSM
KTSLC39A8
KTFGFRL1
KTGPR22
KTCP
KTAMELX
KTMUCL1
KTFSTL1
KTGZMM
KTGSN
KTSLC6A5
KTLCN1
KTPRL
KTCXCL9
KT229E-S1
KTF13B
KTCPVL
KTTFF2
KTSPINK13
KTSNORC
KTSTC2
KTLIFR
KTOS9
KTHRC
KTSMOC2
KTFGFBP3
KTCRTAP
KTSGCB
KTTOR1B
KTC6
KTGALP
KTSDC1
KTPDGFA
KTOXTR
KTKLK7
KTRNASE8
KTCYTL1
KTSPINK8
KTHRH3
KTCALY
KTLCN15
KTAPP
KTTRPC3
KTAVP
KTRNF167
KTGPR77
KTIGF1
KTCXCR5
KTPGA4
KTCLDN9
KTOXER1
KTCTSG
KTFGF17
KTGPR3
KTCOV2-S1
KTEDIL3
KTAZU1
KTNPTX2
KTLRRC8C
KTDEFB126
KTCXCR1
KTPMCH
KTCCL11
KTMOG
KTTNFRSF6B
KTPDGFB
KTTFF1
KTBTNL8
KTCHGA
KTNTRK2
KTPTN
KTACKR2
KTSERPINE2
KTC9
KTMCP
KTCMKLR1
KTC6orf25
KTOBP2A
KTSLC22A8
KTNGFR
KTCT83
KTCCL8
KTIL6R
KTPLGRKT
KTART1
KTCXCL13
KTHNRNPA2B1
KTCD14
KTLHFPL6
KTFAM20A
KTNOTCH2NL
KTISM2
KTMUC7
KTLGALS1
KTPLAC9
KTFAM187B
KTFGF19
KTFAM3D
KTODAPH
KTKCNK1
KTLRIT3
KTRTN4RL1
KTSLC22A4
KTFAM19A4
KTPRRT3
KTF2R
KTF12
KTPKD2L1
KTOPRM1
KTVSTM2B
KTKLRF1
KTMC5R
KTCCL1
KTEREG
KTPLA2G15
KTCLDN4
KTLHFPL1
KTCDSN
KTAPOE
KTTNF
KTOPRK1
KTPDIA6
KTNTNG2
KTTRH
KTFAM24A
KTOPN4
KTTIMP1
KTCD99
KTCSN3
KTAIMP1
KTXK
KTSLC6A11
KTIGFBPL1
KTHAPLN2
KTALPI
KTFCMR
KTCSHL1
KTPRAP1
KTCOL26A1
KTAPLP1
KTRAMP2
KTLYPD2
KTTMEM219
KTCASQ1
KTNAPSA
KTCOL8A1
KTFRZB
KTDEFB116
KTDLL3
KTKCNMB4
KTS100A8
KTCOMT
KTANGPT4
KTC1QL1
KTGRM5
KTKLRK1
KTVTCN1
KTMARCO
KTRNASE10
KTFCN2
KTIL13
KTWFDC8
KTCCL20
KTCD300A
KTIL1RN
KTGGH
KTIL8RB
KTWNT5A
KTMDK
KTCELA3B
KTPSAP
KTIL25
KTSELE
KTACVRL1
KTPAPLN
KTDEAF1
KTCDNF
KTSDF2L1
KTPRR4
KTSHBG
KTIFNA8
KTFAM3A
KTSPP2
KTC1QTNF2
KTTMPRSS2
KTCXCL17
KTPRRT1
KTEDAR
KTLIPF
KTTREM2
KTFZD7
KTFCRL6
KTCLCF1
KTFAM20C
KTTNFSF9
KTLRRN4
KTCELA3A
KTLCN12
KTCHODL
KTCLEC-6
KTRNF149
KTSYNDIG1L
KTISLR2
KTEPOR
KTASTN2
KTLGI4
KTINHBE
KTNRG1
KTFAM19A5
KTEGFR
KTCLDN12
KTCD74
KTPRSS55
KTPLA2G2C
KTCFP
KTLCAT
KTBPIFA1
KTCNNM4
KTTHBS3
KTCRELD2
KTC9orf47
KTMANSC4
KTMETTL24
KTNPY4R
KTSLCO1B1
KTALPPL2
KTTMPRSS3
KTSPACA4
KTCDH9
KTGYPA
KTGLRA1
KTCX3CL1
KTOLR1
KTEFNA5
KTPRSS22
KTLRRC21
KTIER3
KTPROK1
KTTREM1
KTIL6ST
KTDNASE1L1
KTMMP17
KTPRSS23
KTNPNT
KTIL1B
KTMMP9
KTCA14
KTNXPH4
KTGABRR3

Example 3: Diagnostic or Prognostic Autoantigens

[0473]

[0000]

List of Diagnostic or Prognostic Autoantigens
and their Corresponding Diseases or Disorders
DiseaseTarget
AAVEDIL3
AAVLY6H
AAVTREM2
APECEDIFNA6
APECEDIFNW1
APECEDIFNA17
APECEDIFNA14
APECEDLCN1
APECEDGPHB5
APECEDIFNA13
APECEDIFNA8
APECEDIL22RA2
APECEDPRRT3
APECEDIL22
APECEDC5orf64
APECEDCP
APECEDIFNA5
APECEDLEG1
APECEDPNLIPRP2
APECEDIL17A
APECEDPRG3
APECEDIL17F
APECEDIFNA2
APECEDIL5
APECEDSLC2A10
APECEDGIF
APECEDPNLIPRP1
APECEDBPIFA1
APECEDPDILT
APECEDIFNL2
APECEDPDGFB
APECEDCST5
APECEDPNLIP
APECEDIGSF4B
APECEDTGFA
APECEDBPIFA2
APECEDHSPA13
APECEDODAPH
APECEDSPINK4
APECEDIGFBP1
APECEDIL6
APECEDCLCC1
APECEDBTN1A1
APECEDEREG
APECEDFAM19A4
APECEDPTPRR
APECEDCST6
APECEDRAMP2
APECEDIL28B
APECEDTSLP
APECEDSPAG11B
APECEDCNPY3
APECEDFAM3A
APECEDSLC41A2
APECEDFKBP14
APECEDAFP
APECEDTM4SF6
APECEDREG1A
APECEDPANX3
APECEDPRRG3
APECEDRNASE8
APECEDSMR3A
APECEDSPINK1
APECEDPSAP
APECEDSERPINE1
APECEDCST4
APECEDPRRG1
APECEDKLK2
APECEDHCRTR2
APECEDLAIR2
APECEDOTOR
APECEDTFF2
APECEDMSR1
APECEDCCL7
APECEDADM2
APECEDOPN4
APECEDPAP
APECEDMMP1
APECEDREG4
APECEDPMCH
APECEDCLPS
APECEDOBP2A
APECEDACRV1
APECEDDEFA5
APECEDECSCR
APECEDLRIT3
APECEDPLA2G10
APECEDTM9SF3
APSIL6R
APSIFNA13
APSIFNA14
APSIFNA17
APSIFNA2
APSIFNA5
APSIFNA6
APSIFNA8
APSIL6R
CIDPCXCL1
CIDPCXCL2
CIDPCXCL3
CIDPPDGFB
CIDPTMEM149
CIDPCD74
CIDPCXCL13
COVID-19APOO
COVID-19OPRL1
COVID-19IFNA14
COVID-19MIA2
COVID-19FKBP2
COVID-19GPR1
COVID-19IL29
COVID-19PTPRR
COVID-19RCN2
COVID-19IFNA13
COVID-19IFNW1
COVID-19IL1A
COVID-19TSPAN9
COVID-19SHISA7
COVID-19IFNA17
COVID-19LEP
COVID-19CALU
COVID-19SSPN
COVID-19LPAL2
COVID-19OBP2B
COVID-19CST5
COVID-19IL6
COVID-19CCDC47
COVID-19ACRV1
COVID-19PGA3
COVID-19LRRC8C
COVID-19PMCH
COVID-19GPR6
COVID-19CSF2
COVID-19RCN3
COVID-19LYSMD4
COVID-19CD99
COVID-19IFNA5
COVID-19IFNL2
COVID-19CXCL9
COVID-19SLC41A2
COVID-19EPYC
COVID-19DUOXA1
COVID-19LACRT
COVID-19CNPY2
COVID-19KLK8
COVID-19MZB1
COVID-19LYG2
COVID-19MUCL3
COVID-19LALBA
COVID-19ZG16B
COVID-19ODAM
COVID-19PILRA
COVID-19HRC
COVID-19PPBP
COVID-19CSPG5
COVID-19PTPRN2
COVID-19CST4
COVID-19FAM168B
COVID-19TNFRSF17
COVID-19OTOS
COVID-19SPINK9
COVID-19KLRC2
COVID-19IFNA8
COVID-19TMEM119
COVID-19CSAG1
COVID-19OTOR
COVID-19KCT2
COVID-19PGA4
COVID-19SPINK4
COVID-19FCGR2A
COVID-19CNPY3
COVID-19NEGR1
COVID-19ERP27
COVID-19AGRP
COVID-19PRR27
COVID-19MCFD2
COVID-19IGFBP6
COVID-19IFNA2
COVID-19LGALS3
COVID-19SPOCK1
COVID-19KCNV2
COVID-19HCRTR2
COVID-19LECT2
COVID-19PLA2G2E
COVID-19FAM19A3
COVID-19SPACA7
COVID-19NENF
COVID-19IL6R
COVID-19SPX
COVID-19IGFBP1
COVID-19SRGN
COVID-19LAIR2
COVID-19CPXM2
COVID-19CCL17
COVID-19TUSC5
COVID-19LOC644613
COVID-19TNFRSF21
COVID-19GPR77
COVID-19C2orf40
COVID-19C5A
COVID-19IFNA6
COVID-19SPP1
COVID-19SERPINA3
COVID-19OXTR
COVID-19KLRC1
COVID-19SEMG2
COVID-19APOH
COVID-19PRRG1
COVID-19BTC
COVID-19MSLN
COVID-19FAM19A2
COVID-19CXCL1
COVID-19PRSS55
COVID-19SLCO2B1
COVID-19BTN1A1
COVID-19COV2-RBD
COVID-19OS9
COVID-19PGLYRP1
COVID-19DKK3
COVID-19TOR1B
COVID-19CST1
COVID-19LRRC8D
COVID-19ACKR1
COVID-19COL8A1
COVID-19CXCL3
COVID-19ODAPH
COVID-19PIANP
COVID-19PSORS1C2
COVID-19RNASE10
COVID-19CXCR7
COVID-19PLVAP
COVID-19CDSN
COVID-19SDF2L1
COVID-19TFF2
COVID-19HSPA13
COVID-19CXCR5
COVID-19C5orf64
COVID-19EPO
COVID-19GNLY
COVID-19OPRM1
COVID-19TGFA
COVID-19SLC2A10
COVID-19CXCL13
COVID-19CD99L2
COVID-19AGER
COVID-19CGA
COVID-19CRTAM
COVID-19SLC1A1
COVID-19CDH19
COVID-19GPR25
COVID-19CCL8
COVID-19SERPINI1
COVID-19SPINK8
COVID-19SLPI
COVID-19HRH3
COVID-19TMEM149
COVID-19CD38
COVID-19REG4
COVID-19IGFBP5
COVID-19FKBP7
COVID-19GRM5
COVID-19CXCR3
COVID-19PTHLH
COVID-19LY6K
COVID-19PLAC9
COVID-19LPL
COVID-19CCKAR
COVID-19RTN4R
COVID-19GYPA
COVID-19TMED1
COVID-19DRAXIN
COVID-19CCL13
COVID-19LRRC8A
COVID-19ANGPTL4
COVID-19NPPC
COVID-19IL22
COVID-19CCL21
COVID-19RCN1
COVID-19CD74
COVID-19FGF17
COVID-19PAEP
COVID-19CNPY4
COVID-19APOC3
COVID-19SPINK1
COVID-19AZGP1
COVID-19STC2
COVID-19S1PR4
COVID-19IBSP
COVID-19CEACAM18
COVID-19SLC38A4
COVID-19CSN2
COVID-19VSIG2
COVID-19ENSP00000381830
COVID-19CSHL1
COVID-19CASQ1
COVID-19XG
COVID-19ENDOU
COVID-19RAET1L
COVID-19COL10A1
COVID-19PTH
COVID-19SLC15A1
COVID-19SLC6A2
COVID-19PRRT1
COVID-19CLCC1
COVID-19F2R
COVID-19JTB
COVID-19TGOLN2
COVID-19CCL16
COVID-19MIA
COVID-19TNF
COVID-19TMEM91
COVID-19RTBDN
COVID-19MPL
COVID-19RSPO1
COVID-19RSPO3
COVID-19PRSS3
COVID-19GPR17
COVID-19CCR9
COVID-19GP6
COVID-19PRH1;
COVID-19EQTN
COVID-19RNF43
COVID-19SPN
COVID-19IGSF4B
COVID-19CFD
COVID-19SPACA5
COVID-19CHGA
COVID-19UNQ6190/PRO20217
COVID-19APOA1
COVID-19PRG3
COVID-19SLC2A2
COVID-19CCL11
COVID-19TSLP
COVID-19SMOC2
COVID-19HTR5
COVID-19PRAP1
COVID-19LY6H
COVID-19IMPG1
COVID-19TNFRSF12A
COVID-19SSTR2
COVID-19IGFBP3
COVID-19PRLR
COVID-19PRR4
COVID-19IL13
COVID-19HCTR1
COVID-19IGF1
COVID-19CD300E
COVID-19LINC00305
COVID-19SPESP1
COVID-19FRZB
COVID-19IL28B
COVID-19MMP9
COVID-19GAST
COVID-19FGF1
COVID-19IL15RA
COVID-19CCR10
COVID-19VEGFB
COVID-19SERPINE1
COVID-19EXOC3-AS1
COVID-19PRRT3
COVID-19NETO1
COVID-19VSTM2B
COVID-19CCR4
COVID-19APP
COVID-19AMTN
COVID-19CXCL6
COVID-19NINJ1
COVID-19KLK9
COVID-19SDF4
COVID-19CPE
COVID-19AMELX
COVID-19DCD
COVID-19ANTXRL
COVID-19CCR2
COVID-19PCSK1
COVID-19QRFP
COVID-19RGMB
COVID-19NPY2R
COVID-19IGFBP7
COVID-19SLC2A12
COVID-19PPT1
COVID-19CCL7
COVID-19JCHAIN
COVID-19ADCYAP1
COVID-19PDZD11
COVID-19CP
COVID-19MANF
COVID-19GZMA
COVID-19TXNDC12
COVID-19PGC
COVID-19ACVR1
COVID-19WFDC13
COVID-19SFRP4
COVID-19REG1A
COVID-19GPR37
COVID-19NOPE
COVID-19C11orf94
COVID-19SCARA5
COVID-19GPR19
COVID-19EMC7
COVID-19CCL15
COVID-19CA4
COVID-19RNASE8
COVID-19MLN
COVID-19UNQ9165/PRO28630
COVID-19NTRK3
COVID-19TREML1
COVID-19CDH15
COVID-19SMR3A
COVID-19DKK1
COVID-19OXER1
COVID-19FAM24B
COVID-19CRLF1
COVID-19PDIA6
COVID-19PLA2G12B
COVID-19FGF7
COVID-19ZP4
COVID-19BAMBI
COVID-19GKN2
COVID-19IGFBPL1
COVID-19MMP7
COVID-19MANSC4
COVID-19APOA4
COVID-19SUSD6
COVID-19CELA1
COVID-19IGLL1
COVID-19IL9
COVID-19MADCAM1
COVID-19NPBW1
COVID-19HAVCR1
COVID-19ITPRIPL1
COVID-19SOST
COVID-19LHFPL1
COVID-19SDC3
COVID-19SEMG1
COVID-19C1QB
COVID-19ASIP
COVID-19CCL18
COVID-19LHFPL5
COVID-19IGFL2
COVID-19FGFRL1
COVID-19EFNB2
COVID-19C2orf66
COVID-19MFAP3
COVID-19C6orf15
COVID-19OPN4
COVID-19NOV
COVID-19GNS
COVID-19FKBP14
COVID-19CELA2B
COVID-19C9
COVID-19VWC2L
COVID-19BMPR2
COVID-19CSH2
COVID-19IL1RAP
COVID-19C1QTNF2
COVID-19SLC10A4
COVID-19IL16
COVID-19LRIT3
COVID-19GRN
COVID-19NIPAL4
COVID-19GNRH1
COVID-19ATP4B
COVID-19APLP2
COVID-19TMEM123
COVID-19IL3
COVID-19PDGFA
COVID-19EVI2B
COVID-19NGFR
COVID-19PROK1
COVID-19SOSTDC1
COVID-19FLJ36131
COVID-19EREG
COVID-19TNFRSF9
COVID-19LYG1
COVID-19SLCO4C1
COVID-19GUCA2A
COVID-19FAM19A5
COVID-19IL21
COVID-19FCMR
COVID-19CADM2
COVID-19CSF3
COVID-19CA11
COVID-19NTRK2
COVID-19CRELD2
COVID-19GPR120
COVID-19C9orf135
COVID-19SLC1A5
COVID-19SYCN
COVID-19COL9A3
COVID-19ADRA1D
COVID-19GLB1
COVID-19SV2C
COVID-19DKFZp686O24166
COVID-19PRSS3P2
COVID-19KIRREL3
COVID-19VSTM2A
COVID-19GCG
COVID-19SERPINE2
COVID-19EDA2R
COVID-19CPAMD8
COVID-19SCN3B
COVID-19OXT
COVID-19CD3E
COVID-19INSL3
COVID-19CALY
COVID-19GHSR
COVID-19SCGB1D1
COVID-19C6
COVID-19CLDN2
COVID-19MUC7
COVID-19KISS1
COVID-19ULBP2
COVID-19CLDN7
COVID-19IGFBP2
COVID-19EFNB3
COVID-19NXPH1
COVID-19GHRHR
COVID-19LILRA4
COVID-19OTOL1
COVID-19EFNB1
COVID-19FGFBP3
COVID-19GPR63
COVID-19PRRG4
COVID-19MUCL1
COVID-19XCL1
COVID-19TMEM120A
COVID-19TMEM108
COVID-19IL1F5
COVID-19MSMP
COVID-19CXCL12
COVID-19GNPTG
COVID-19SDC4
COVID-19FZD9
COVID-19CCL4L1
COVID-19GPRC6A
COVID-19GPR156
COVID-19ITIH3
COVID-19RAMP2
COVID-19TNFRSF11A
COVID-19DKK2
COVID-19SPINK13
COVID-19SDCBP
COVID-19CD8B2
COVID-19CTSG
COVID-19CST2
COVID-19EDDM3B
COVID-19CLTRN
COVID-19PLA2G10
COVID-19DCN
COVID-19DAG1
COVID-19CXCL16
COVID-19CCRL2
COVID-19DEFB108B
COVID-19MRGPRF
COVID-19FCRL3
COVID-19NPS
COVID-19OBP2A
COVID-19ACKR2
COVID-19GRM2
COVID-19FAM174A
COVID-19MSR1
COVID-19NOG
COVID-19TMEM102
COVID-19LAIR1
COVID-19IL22RA2
COVID-19SPACA3
COVID-19WIF1
COVID-19F13B
COVID-19LRTM1
COVID-19ERVH48-1
COVID-19CCL2
COVID-19TFF1
COVID-19ADM2
COVID-19IFITM10
COVID-19HSD11BIL
COVID-19AXL
COVID-19FMR1NB
COVID-19C6orf25
COVID-19OPN3
COVID-19MUC13
COVID-19CCL28
COVID-19CCL26
COVID-19PTN
COVID-19SLC39A8
COVID-19FGF21
COVID-19TIMD4
COVID-19NPTX2
COVID-19IL17RD
COVID-19PAPLN
COVID-19TMEM219
COVID-19CYB5D2
COVID-19IL1B
COVID-19FSTL1
COVID-19PTPRJ
COVID-19NPY1R
COVID-19CLDN18
COVID-19FLT3LG
COVID-19C17orf99
COVID-19SLC6A5
COVID-19AIMP1
COVID-19TNFRSF8
COVID-19CD248
COVID-19TM9SF3
COVID-19FCGR2C
COVID-19MPZL3
COVID-19OSTN
COVID-19SPARCL1
COVID-19TMPRSS11D
COVID-19KLK7
COVID-19GDPD3
COVID-19IL34
COVID-19BTNL8
COVID-19ASTL
COVID-19CLDN19
COVID-19SCG5
COVID-19PSAP
COVID-19PRRG3
COVID-19PLA2G12A
COVID-19LCN1
COVID-19LRRTM2
COVID-19FAM3D
COVID-19PTGS2
COVID-19FCRLB
COVID-19CST8
COVID-19ANGPTL5
COVID-19OPRK1
COVID-19APOD
COVID-19ADM
COVID-19CLU
COVID-19PANX3
COVID-19SLC52A3
DILCXCL1
DILTNF
DILTSLP
DMCD81
KTCD99L2
KTCD80
KTTNFRSF21
KTTMEM102
KTMICA
KTPILRA
KTAGER
KTULBP1
KTJCHAIN
KTTLR1
KTTNFRSF6
KTSIRPA
KTFCER1A
KTCD300E
KTB2M
KTC10orf54
KTGPR17
KTIL15RA
KTTMED1
KTS1PR4
KTIFITM10
KTIL17BR
KTEFNB3
KTC6
KTGPR77
KTIL2RA
KTIFNG
KTIL9
KTIFNL2
KTMZB1
KTIL1A
KTCSF2
KTIL4
KTCRLF1
KTIL34
KTIFNA17
KTIL17RD
KTTGFA
KTIL6
KTIL28B
KTPRG3
KTIFNA13
KTIL16
KTTSLP
KTIFNA6
KTIFNA2
KTIFNA14
KTTNFRSF12A
KTCCL15
KTIFNA5
KTTNFRSF17
KTIL21
KTC17orf99
KTIL1F5
KTOSM
KTGZMM
KTLIFR
KTACKR1
KTCCL16
KTCXCL3
KTCCL22
KTCXCL1
KTCCR10
KTGPR1
KTCXCL12
KTCCL4L1
KTPPBP
KTCCL26
KTCCL2
KTCXCR3
KTCXCL9
KTTFF2
KTCXCR5
KTANGPTL4
KTADRB3
KTRETN
KTPRLR
KTADCYAP1
KTAVPR1A
KTGNRH1
KTGAST
KTTHBD
KTCCKAR
KTC2orf40
KTPTHLH
KTNPBW1
KTRXFP3
KTADM2
KTINSL3
KTADM
KTNPPC
KTSPX
KTSTC2
KTOXTR
KTAVP
KTSLC1A1
KTSLC2A2
KTSLC22A25
KTKCNV2
KTHCTR1
KTSLC38A4
KTSLC8B1
KTSLC2A10
KTMFSD2A
KTSLC20A1
KTSLC10A4
KTSLC6A5
KTGALP
KTEPYC
KTOTOL1
KTCDH19
KTIBSP
KTAMTN
KTPSORS1C2
KTIMPG1
KTCOL10A1
KTBCAM
KTICAM2
KTSRGN
KTCPXM2
KTCGREF1
KTCADM2
KTCOL9A3
KTCD248
KTSELL
KTMADCAM1
KTEPCAM
KTCRTAP
KTSGCB
KTSDC1
KTLYG2
KTLGALS3
KTDCD
KTBTN1A1
KTMPO
KTPGLYRP1
KTWFDC12
KTAZU1
KTIGFBP1
KTDKK3
KTFGFR2
KTIGFBP2
KTCNPY2
KTNOV
KTVEGFB
KTTMEM119
KTFAM19A3
KTMANF
KTTMEM149
KTNENF
KTVSTM2A
KTBMPR2
KTFGF1
KTFGF23
KTRSPO3
KTBMPR1A
KTTM4SF6
KTIGFBP3
KTFGF7
KTIGFBP6
KTFZD9
KTFGFRL1
KTAMELX
KTFSTL1
KTSNORC
KTSMOC2
KTFGFBP3
KTPDGFA
KTCYTL1
KTIGF1
KTFGF17
KTEDIL3
KTCNPY3
KTMCFD2
KTCCDC47
KTRCN3
KTRCN1
KTTGOLN2
KTC12orf49
KTOS9
KTSHISA7
KTMRGPRF
KTCSPG5
KTHCRTR2
KTOTOR
KTSV2C
KTPRRG4
KTGFRA2
KTTMEM108
KTLRRC4B
KTUNC5B
KTLYPD1
KTLRFN2
KTSCGB3A1
KTOBP2B
KTFLJ37218
KTVSIG2
KTEDDM3B
KTEXOC3-AS1
KTNPY1R
KTAPOO
KTGPR6
KTLYSMD4
KTOPRL1
KTPTPRN2
KTERP27
KTNINJ1
KTTMEM91
KTS100A13
KTSSTR2
KTSYCN
KTANTXRL
KTSLC2A12
KTMIA2
KTC5orf64
KTREG1B
KTFAM174A
KTITPRIPL1
KTREG4
KTBRICD5
KTGPR182
KTNXPH1
KTNOG
KTMLN
KTGPR63
KTTMEM120A
KTACP5
KTKAZALD1
KTMIA
KTPLVAP
KTSMR3A
KTRTN4RL2
KTFAM24B
KTUNQ9165/PRO28630
KTGPRC6A
KTASIP
KTGPR25
KTADRA1D
KTKIRREL3
KTSOST
KTLPA4
KTSCG3
KTSCG5
KTREG1A
KTGPR83
KTPRRG1
KTJTB
KTCST1
KTPSAPL1
KTGPR22
KTCP
KTGSN
KTLCN1
KTPRL
KTHRC
KTLCN15
KTOXER1
KTNPTX2
KTAPOA1
KTAPOA4
KTAPOC3
KTF13B
KTSPOCK1
KTSPINK4
KTKLK8
KTPTPRR
KTSERPINE1
KTLALBA
KTTXNDC12
KTFKBP2
KTPRSS3
KTTFPI2
KTPCSK1
KTCELA1
KTAZGP1
KTCES3
KTPLA2G2E
KTATP6AP2
KTPLBD2
KTPLA2G10
KTCST5
KTMMP7
KTCST4
KTTRABD2A
KTDHRS4L2
KTITIH3
KTFKBP14
KTSPINK7
KTWFDC1
KTSPINK1
KTCST6
KTSERPINI1
KTWFDC13
KTP4HB
KTTOR1B
KTKLK7
KTRNASE8
KTSPINK8
KTRNF167
KTCTSG
KTACRV1
KTSPACA7
KTSSPN
KTSPACA3
KTZG16B
KTTSPAN9
KTRTN4R
KTNPY2R
KTGP6
KTFAM168B
KTCSN2
KTSEMG2
KTGPR37
KTPRH1;
KTOSTN
KTFMR1NB
KTCA11
KTSPESP1
KTGPR19
KTLYPD6B
KTCLCC1
KTLY6G6D
KTGPR156
KTXG
KTNETO1
KTC2orf66
KTSEMG1
KTANGPTL5
KTCSAG1
KTMUCL1
KTHRH3
KTAPP
KT229E-RBD
KTNL63-RBD
KTCOV2-RBD
KT229E-S1
KTCOV2-S1
KTLOC644613
KTAGRP
KTRCN2
KTIL29
KTMUCL3
KTCALU
KTENDOU
KTSPINK9
KTSLPI
KTFAM19A2
KTSERPINA3
KTPRR27
KTBTC
KTIGFBP5
KTCXCL2
KTCCL13
KTLECT2
KTAPOH
KTLAIR2
KTDRAXIN
KTCFD
KTCCL17
KTDKK1
KTIGFBP7
KTUNQ6190/PRO20217
KTRARRES2
KTCCL21
KTCCL7
KTKAL1
KTHAVCR1
KTATP4B
KTPIANP
KTGNLY
KTOTOS
KTCCL24
KTFCGR2A
KTSOSTDC1
KTCCL18
KTC6orf15
KTCREG2
KTDKK2
KTNOPE
KTAPLP2
KTIL32
KTPGA3
KTADAMTS16
KTCXCL11
KTTMEM41A
KTLAG3
KTSLC39A8
KTCPVL
KTSPINK13
KTCALY
KTTRPC3
KTPGA4
KTCLDN9
KTGPR3
MalariaSPINK8
MalariaOBP2B
MalariaGPR1
MalariaMCFD2
MalariaSDF2L1
MalariaFKBP2
MalariaEPYC
MalariaPTPRR
MalariaLGALS3
MalariaCD99L2
MalariaHCRTR2
MalariaTM4SF6
MalariaCGREF1
MalariaSSPN
MalariaFZD4
MalariaSPINK4
MalariaGPR17
MalariaSRGN
MalariaPRRG1
MalariaSLC1A4
MalariaCCDC47
MalariaODAM
MalariaMZB1
MalariaCSPG5
MalariaACKR1
MalariaC9orf135
MalariaZG16B
MalariaKCT2
MalariaANGPTL4
MalariaKLK8
MalariaDPT
MalariaCD164L2
MalariaLY6G6D
MalariaCOL10A1
MalariaFAM19A3
MalariaRCN3
MalariaKLK3
MalariaCOLEC12
MalariaDKK3
MalariaCOL9A3
MalariaCSAG1
MalariaCNPY4
MalariaBCAM
MalariaADM
MalariaACRV1
MalariaSLC38A2
MalariaNBL1
MalariaTGFA
MalariaCYTL1
MalariaSPACA7
MalariaCALR
MalariaSMOC2
MalariaCSHL1
MalariaDCD
MalariaIMPG1
MalariaIL1RN
MalariaRAMP2
MalariaIGFBP6
MalariaTNFRSF17
MalariaSPX
MalariaSERPINA3
MalariaNPY2R
MalariaGPR19
MalariaFKBP7
MalariaCXCL3
MalariaNOV
MalariaCXCR3
MalariaCCL15
MalariaRTBDN
MalariaHEPACAM2
MalariaCST4
MalariaLEP
MalariaSNORC
MalariaCHGA
MalariaSLC22A31
MalariaCCL13
MalariaOTOL1
MalariaC11orf94
MalariaRETN
MalariaPLA2G2E
MalariaPRRG3
MalariaAPOO
MalariaPGLYRP1
MalariaPRAP1
MalariaGAST
MalariaTMEM91
MalariaHTR2B
MalariaSCTR
MalariaCNPY2
MalariaZP4
MalariaCD151
MalariaSLC6A9
MalariaTMEM59
MalariaSERPINI2
MalariaCYSLTR2
MalariaSLC8B1
MalariaTRABD2B
MalariaIGF1
MalariaS1PR3
MalariaIBSP
MalariaJCHAIN
MalariaCSH2
MalariaIL16
MalariaCELA1
MalariaNENF
MalariaSGCA
MalariaLINC00305
MalariaCXCL1
MalariaCNPY3
Malaria229E-RBD
MalariaLAS2
MalariaLYSMD4
MalariaPTHLH
MalariaSLC10A4
MalariaRNASE10
MalariaKLK2
MalariaRAET1L
MalariaHCTR1
MalariaSLC41A2
MalariaAXL
MalariaCCL20
MalariaPRSS3
MalariaGPC6
MalariaTGOLN2
MalariaLRIT3
MalariaEMC10
MalariaAMTN
MalariaPSORS1C2
MalariaNPBW1
MalariaS100A13
MalariaPCSK1
MalariaPTH
MalariaINS
MalariaCDNF
MalariaSLC2A10
MalariaTXNDC12
MalariaITIH3
MalariaLILRA4
MalariaIL1RAP
MalariaXG
MalariaIL17A
MalariaCST5
MalariaCPE
MalariaNL63-RBD
MalariaGNRH1
MalariaCADM2
MalariaIL21R
MalariaTSPAN13
MalariaOS9
MalariaP2RY10
MalariaSPARC
MalariaPLA2G10
MalariaFKBP14
MalariaRXFP3
MalariaVEGFB
MalariaVSTM2A
MalariaENSP00000381830
MalariaIFNA13
MalariaLYPD6B
MalariaTREML1
MalariaGDPD3
MalariaSLC38A4
MalariaOPRK1
MalariaSV2C
MalariaCPXM2
MalariaIGFBP2
MalariaTMEM169
MalariaCD300A
MalariaGZMK
MalariaADCYAP1R1
MalariaLALBA
MalariaPRH1;
MalariaIFNW1
MalariaPTN
MalariaOPN4
MalariaFLRT3
MalariaTRH
MalariaFGF23
MalariaNPR3
MalariaMPZL3
MalariaTMEM108
MalariaTNFRSF10B
MalariaSIGLEC10
MalariaGLB1
MalariaPRRT1
MalariaOPRM1
MalariaAKR1B10
MalariaKITLG
MalariaOTOR
MalariaCNR1
MalariaMINPP1
MalariaSDF4
MalariaGP6
MalariaGPR63
MalariaRNASE8
MalariaBDKBR1
MalariaCDH19
MalariaCCR4
MalariaSLC6A5
MalariaIL22
MalariaSHISA6
MalariaFZD9
MalariaGSN
MalariaFCER1A
MalariaIFNA6
MalariaKLK7
MalariaCTF1
MalariaNMBR
MalariaC2orf66
MalariaTNFRSF12A
MalariaINSL3
MalariaDRD5
MalariaSFTPA2
MalariaGPR37
MalariaIL13
MalariaGFRAL
MalariaMOG
MalariaTSPAN2
MalariaIGFBP1
MalariaSPINK1
MalariaPLGRKT
MalariaPAPLN
MalariaSCGB2A2
MalariaLCN15
MalariaSLC6A14
MalariaRNASE9
MGCXCL2
MGPDGFB
MGREG4
MGCCL22
MGCCL2
MMCTLA4
MMRCN2
MMIL36B
MMTNF
MMCP
MMCALU
MMKLK8
MMSSPN
MMIL1A
MMTNFRSF9
MMSERPINA3
MMCDH19
MMOBP2B
MMFGFBP3
MMNEGR1
MMXCL1
MMCST5
MMCNPY2
MMSRGN
MMSPINK9
MMTM2D2
MMHSPA13
MMAXL
MMFSTL1
MMMCFD2
MMZG16B
MMLEP
MMTMEM108
MMMUCL3
MMIL17BR
MMODAPH
MMCNPY3
MMFAM168B
MMFAM19A3
MMIGFL2
MMDPT
MMCCDC47
MMCXCL1
MMCOL10A1
MMSPINK4
MMWFDC9
MMCSPG5
MMENDOU
MMVEGFB
MMSPINK8
MMGNLY
MMCRELD2
MMERP27
MMRCN3
MMTMEM119
MMLOC644613
MMAGRP
MMPIANP
MMFAM19A2
MMIL9
MMGNRH2
MMLECT2
MMGNRH1
MMCCL17
MMIL29
MMKAZALD1
MMCST4
MMKCNK1
MMPANX3
MMFKBP14
MMPGA3
MMIGFBP2
MMPGLYRP1
MMNTS
MMOTOL1
MMSOST
MMSHISA7
MMCCL13
MMCGREF1
MMPRR27
MMIFNL2
MMDHRS4L2
MMLYG2
MMOTOS
MMUNQ6190/PRO20217
MMGPC6
MMTNFRSF21
MMPSORS1C2
MMIFNA13
MMJCHAIN
MMACP5
MMTXNDC12
MMC5orf64
MMCLCC1
MMIL10RB
MMFMR1NB
MMSLPI
MMHRC
MMCCL22
MMCASQ1
MMCELA1
MMLCN1P1
MMODAM
MMTMED1
MMREG1A
MMMZB1
MMACRV1
MMIGLL1
MMHCRTR2
MMCST8
MMPLA2G2E
MMBTN1A1
MMCLDN19
MMCSAG1
MMREG4
MMVEGFA
MMCOLEC12
MMLYSMD4
MMCCL24
MMC1QTNF2
MMPCSK1
MMPGA4
MMITIH3
MMICOSLG
MMSDF2L1
MMLALBA
MMPTPRN2
MMFGFRL1
MMSERPINE1
MMCSN2
MMBTC
MMANGPTL4
MMC2orf40
MMFCGR2A
MMFGF1
MMIGSF4B
MMCLTRN
MMERVK-18
MMBPIFC
MMLAIR2
MMIFNW1
MMAPOC3
MMCCL21
MMWFDC3
MMCD274
MMPTHLH
MMPROKR2
MMLRRN4CL
MMCA4
MMTMEM102
MMSLC41A2
MMMIA2
MMCDSN
MMSLC6A13
MMCLDN2
MMRNF43
MMCALR
MMPSAP
MMAMELX
MMRTBDN
MMMICA
MMHAVCR1
MMPDCD1
MMC9orf47
MMDRAXIN
MMOTOR
MMCCL18
MMPRSS3
MMIL6
MMC6orf15
MMNETO1
MMTMEM149
MMAMTN
MMKLK14
MMRAMP2
MMSHISA6
MMTNFRSF12A
MMFAM3A
MMPLA2G10
MMMFAP2
MMPMCH
MMCCL23
MMPRL
MMLCN2
MMMOG
MMITPRIPL1
MMCST2
MMAPOO
MMCFD
MMCTSW
MMGP6
MMNOV
MMMMP7
MMCXCL13
MMEREG
MMNPPC
MMIGFBP6
MMPRLR
MMEXOC3-AS1
MMMIA
MMOPN4
MMKCNV2
MMIL1F9
MMINSL3
MMCXCL6
MMSMR3A
MMCFHR2
MMSHISA5
MMSLC2A2
MMPRH1;
MMCHRNB3
MMTNFRSF13C
MMRCN1
MMCCL15
MMTMEM91
MMRNASE10
MMPTPRR
MMIL15RA
MMCD151
MMSLC2A10
MMERVK-7
MMPLVAP
MMFKBP10
MMCCL28
MMANTXRL
MMCTRB2
MMFGF17
MMAPP
MMPNLIPRP1
MMLILRB6
MMATP4B
MMIGFBP5
MMLGALS3
MMIFNA17
MMLRIT3
MMCCL8
MMCTSA
MMPRR4
MMDNAJC3
MMLCN15
MMTGOLN2
MMTSLP
MMTGFA
MMAPOA1
MMCCL7
MMEVA1C
MMSDC4
MMCSF2
MMIL28B
MMENSP00000381830
MMPPT1
MMCRTAM
MMSPN
MMDCD
MMLAS2
MMCHGB
MMDKK1
MMIL34
MMERVK-24
MMIL1B
MMLRP11
MMAIMP1
MMRSPO4
MMAPOA4
MMPROK1
MMRSPO3
MMFKBP2
MMSCGB1A1
MMTM9SF3
MMMANSC4
MMCST6
MMSPACA7
MMSPACA5
MMDEFB126
MMSLC6A2
MMEPHA5
MMASIP
MMCD14
MMCRLF1
MMSNORC
MMPRG3
MMRNASE8
MMIGF1
MMMUCL1
MMCLN5
MMSTC2
MMSOSTDC1
MMMMP1
MMVSTM2A
MMPRRT1
MMCELA3A
MMPRRG4
MMC1QL1
MMCXCL17
MMIGFBP1
MMSLC22A31
MMLHFPL5
MMSLC6A5
MMVPREB1
MMFGF7
MMOLR1
MMAGER
MMPRRT3
MMATP6AP2
MMAPOH
MMCCL11
MMS100A13
MMCPXM2
MMCD248
MMFAM24B
MMTDGF1
MMXG
MMTNFRSF6B
MMKLK7
MMPGC
MMIGFBP3
MMIFNA6
MMSUMF1
MMFAM19A4
MMAHSG
MMSMOC2
MMAMBN
MMIL5
MMOVGP1
MMCCL26
MMEPYC
MMFAM19A5
MMMSR1
MMIER3
MMOS9
MMXCL2
MMTRABD2B
MMADM2
MMCXCL3
MMMICB
MMPDIA3
MMTMEM95
MMTM4SF6
MMRTN4R
MMFKBP9
MMLHFPL1
MMTFF2
MMTNFRSF1B
MMSPOCK1
MMGAST
MMFAM174A
MMCNPY4
MMC19orf18
MMTREML1
MMCLU
MMKAL1
MMNBL1
MMTGFBR1
MMMANF
MMMUC7
MMKCT2
MMPRRG3
MMFGF23
MMCTSG
MMIL1RAP
MMSCGB2A2
MMLY6H
MMIHH
MMNRN1
MMPTN
MMPRAP1
MMFCMR
MMAPLP2
MMIL21
MMTNFRSF4
MMVSIG2
MMSIGLEC9
MMTRH
MMSPP2
MMSPINK13
MMSEMA6C
MMMEGF9
MMIL32
MMIL16
MMPLAC9
MMUNQ9165/PRO28630
MMDNASE2
MMIGFBP7
MMCOL8A1
MMHSD11B1L
MMCLDN3
MMHSD17B13
MMOBP2A
NMOCXCL2
NMOCXCL3
NMOIGFBPL1
NMOCCL22
NMOIL1F9
NMOLY6G6D
NSCLCCCL17
NSCLCCCL24
NSCLCCXCL1
NSCLCCXCL3
NSCLCEDIL3
NSCLCIFNA13
NSCLCIFNA14
NSCLCIFNA17
NSCLCIFNA2
NSCLCIFNA5
NSCLCIFNA6
NSCLCIFNA8
NSCLCIFNL2
NSCLCIFNW1
NSCLCIL28B
NSCLCIL34
NSCLCMADCAM1
NSCLCPDGFB
NSCLCREG1A
NSCLCSDC1
NSCLCBTN1A1
NSCLCC6
NSCLCCD207
NSCLCCD3D
NSCLCCDH19
NSCLCCOLEC12
NSCLCEREG
NSCLCFGF23
NSCLCFGF7
NSCLCFGFBP3
NSCLCIGFBPL1
NSCLCIL15RA
NSCLCIL17F
NSCLCIL1RAP
NSCLCIL22RA2
NSCLCIL4
NSCLCIL4R
NSCLCITGA5
NSCLCLAG3
NSCLCLRRC4
NSCLCMPZL3
NSCLCNOTCH2NL
NSCLCNTRK3
NSCLCREG4
NSCLCSCARA3
NSCLCSTIM2
NSCLCTNFRSF10C
NSCLCTNFRSF19L
NSCLCTREML1
PANDASLRP11
SarcoidosisCX3CL1
SarcoidosisEPYC
SarcoidosisPGLYRP1
SLECXCL3
SLEIFNA17
SLECXCL1
SLELOC644613
SLEIFNA6
SLESV2C
SLETMEM102
SLEPDCD1LG2
SLESLC29A4
SLEIL1A
SLEC5orf64
SLEIFNW1
SLESCGB1D1
SLEEPYC
SLECNPY2
SLECCL4L1
SLESPINK9
SLETNF
SLEKIRREL3
SLEIFNA8
SLEIFNA14
SLEVEGFB
SLETMEM108
SLEIFNA5
SLEACVR2B
SLEOBP2B
SLEMCFD2
SLEDPT
SLESPACA7
SLEIFNA13
SLEFKBP14
SLELACRT
SLEIL6
SLEFAM19A3
SLEIFNL2
SLEERP27
SLETMEM149
SLEPRH1;
SLEZG16B
SLEIFNA2
SLERAET1E
SLECCDC47
SLEMUC21
SLECCL22
SLECGREF1
SLETEPP
SLEFAM19A2
SLESPOCK1
SLESRGN
SLESHISA7
SLECCL17
SLERNASE10
SLEFGF21
SLEAPOA4
SLENGFR
SLEKCNV2
SLEAGER
SLEFGFRL1
SLELGR6
SLECCL8
SLECD44
SLEITIH3
SLECST8
SLESSPN
SLECELA1
SLEIL4
SLERCN3
SLEPRRG4
SLEMFAP5
SLECSPG5
SLEVTCN1
SLEPLA2G2E
SLELY6H
SLEGYPC
SLESLC41A2
SLEDRAXIN
SLECSHL1
SLELAIR2
SLEIGFBP2
SLECD248
SLERGMB
SLETGOLN2
SLECSAG1
SLEACP4
SLECALU
SLEBTNL8
SLESOSTDC1
SLELYSMD4
SLELCN2
SLESCGB1C2
SLECST4
SLEIGF1
SLEPRRT1
SLECHRNA5
SLEANTXRL
SLETNFRSF6
SLECD300LG
SLESERPINE1
SLEOLFM1
SLEPLA2G10
SLECD300E
SLECDH19
SLERAMP2
SLEATP4B
SLEPTPRR
SLESFN
SLEHCRTR2
SLEACRV1
SLEFAM3A
SLEACVR1B
SLEFGF23
SLEIL15RA
SLEIGFBP7
SLELHFPL1
SLEIL28B
SLEVIT
SLEIER3
SLEC2orf40
SLEPLVAP
SLELECT2
SLEDAG1
SLESPINK6
SLESLC2A12
SLEIGLL1
SLETFF2
SLEASIP
SLEIL16
SLEEDIL3
SLECCL13
SLERCN1
SLECSH2
SLEIL33
SLELILRB4
SLESPESP1
SLEPDGFB
SLEPTHLH
SLEC9orf47
SLECHRDL2
SLEART3
SLECPVL
SLECCL15
SLECFD
SLEMFSD2A
SLERTN4RL1
SLEADM2
SLEAPOO
SLECTSG
SLEPMCH
SLEDKK2
SLECARTPT
SLEBTC
SLEIL18RAP
SLELRIT3
SLELHFPL5
SLESPN
SLEFAM19A5
SLEIL6R
SLESDC1
SLEIL20RB
SLECXCL9
SLERNASE8
SLELILRB2
SLECDSN
SSCXCL1
SSCXCL3
SSPDCD1LG2
SSCKLK10
SSCRCN2
SSCIGFBP6
SSCSERPINA3
SSCSPOCK1
SSCSPINK9
SSCAGRP
SSCCCL21
SSCCSF2
SSCCALU
SSCENDOU
SSCCXCL1
SSCNEGR1
SSCC5orf64
SSCCCDC47
SSCIL1A
SSCEPYC
SSCGNLY
SSCPGA3
SSCUNQ6190_PRO20217
SSCCCL4L1
SSCOBP2B
SSCKLK8
SSCOTOS
SSCCNPY2
SSCERP27
SSCCP
SSCMUCL3
SSCRAET1L
SSCULBP2
SSCTM2D2
SSCSLC2A2
SSCIL6
SSCSERPINE1
SSCLEP
SSCLECT2
SSCOTOR
SSCCASQ1
SSCCST6
SSCINSL3
SSCSPACA3
SSCAMTN
SSCZG16B
SSCLOC644613
SSCPGA4
SSCLYSMD4
SSCSRGN
SSCCDH19
SSCSHISA7
SSCFAM19A3
SSCHAVCR1
SSCBAMBI
SSCMSMP
SSCSPACA7
SSCPTHLH
SSCPLA2G12B
SSCCXCL3
SSCCST4
SSCDKK3
SSCPIANP
SSCPRG3
SSCBTC
SSCCCL17
SSCXCL1
SSCLMBRD2
SSCLALBA
SSCTGFA
SSCIL29
SSCEVI2B
SSCSLPI
SSCCLCC1
SSCRNASE10
SSCFGFBP3
SSCFAM168B
SSCPGLYRP1
SSCANGPTL4
SSCCLU
SSCAGER
SSCTMEM108
SSCC1QTNF2
SSCTMEM119
SSCCCL8
SSCODAPH
SSCCNPY3
SSCMZB1
SSCCYTL1
SSCPRH1
SSCSLC2A10
SSCPRRG1
SSCCSPG5
SSCDRAXIN
SSCPRR27
SSCDKK1
SSCNTRK2
SSCIFNA13
SSCPDCD1
SSCFAM19A2
SSCIFNW1
SSCRCN1
SSCCFD
SSCCRELD2
SSCCCL18
SSCCD14
SSCBTN1A1
SSCPTPRR
SSCTMEM91
SSCVSIG2
SSCCCL13
SSCC2orf40
SSCVEGFB
SSCREG4
SSCTXNDC12
SSCACVR2B
SSCODAM
SSCCST5
SSCPI3
SSCTMEM149
SSCTEPP
SSCKCNV2
SSCPLA2G2E
SSCAIMP1
SSCIGFBP5
SSCASIP
SSCPGC
SSCTM9SF3
SSCAMELX
SSCCSN2
SSCCPXM2
SSCPRSS3
SSCFAM3A
SSCLILRA3
SSCCSAG1
SSCRTBDN
SSCCELA1
SSCANTXRL
SSCPLA2G10
SSCKCT2
SSCAPOH
SSCNENF
SSCNPPC
SSCLY6H
SSCFGF1
SSCSLC1A1
SSCIFNL2
SSCHSPA13
SSCC6orf15
SSCFLJ37218
SSCCCL7
SSCAPOA4
SSCFSTL1
SSCIGFBP1
SSCFCGR2A
SSCSMR3A
SSCIFITM10
SSCMSLN
SSCPRAP1
SSCEPO
SSCPLVAP
SSCPROK1
SSCTSLP
SSCMIA
SSCAPP
SSCOBP2A
SSCRTN4RL1
SSCPRRT3
SSCAPOA1
SSCFGF7
SSCTMED1
SSCLGALS3
SSCJCHAIN
SSCPRRG3
SSCIGF1
SSCACRV1
SSCSLC38A4
SSCFKBP11
SSCITPRIPL1
SSCPLAC9
SSCTFF2
SSCWFDC13
SSCLCN1
SSCLYG1
SSCLAIR2
SSCTNFRSF8
SSCSOSTDC1
SSCVSTM2A
SSCIGFBP7
SSCPSORS1C2
SSCFGF23
SSCRSPO3
SSCS100A9
SSCCXCL9
SSCTGOLN2
SSCACP5
SSCMANF
SSCAMBN
SSCPSAPL1
SSCWFDC10A
SSCPPT1
SSCMANSC4
SSCCD248
SSCNGRN
SSCPSAP
SSCLILRB2
SSCSCGB2A2
SSCIGFBPL1
SSCSV2C
SSCCXCL6
SSCCD300E
SSCRCN3
SSCIGFBP3
SSCRTN4R
SSCPRRT1
SSCACVR2A
SSCLCN2
SSCHCRTR2
SSCCELA3A
SSCADM2
SSCLRIT3
SSCMIA2
SSCTNFRSF17
SSCSPN
SSCSLC6A5
SSCWFDC1
SSCLILRB4
SSCCTSG
SSCCXCL11
SSCKLK7
SSCCST8
SSCNOPE
SSCGAST
SSCASTN2
SSCMCFD2
SSCCCL22
SSCOTOL1
SSCSYCN
SSCCCL2
SSCSOST
SSCPTN
SSCTACSTD2
SSCIL21
SSCIGLL1
SSCMMP7
SSCAPLP2
SSCSSBP3_AS1
SSCCST7
SSCSSPN
SUSACCCL24
SUSACSDC4
SUSACTREML1
SUSACVSIG4

[0000]

Therapeutic Autoantigens and Corresponding Disease or Disorder
DiseaseTarget
APECEDIL22RA2
CLETYRO3
CLECD300E
COVID-19IL13
COVID-19IL18RAP
COVID-19TNFRSF8
COVID-19CCR10
COVID-19CD74
COVID-19TNFRSF17
COVID-19CCR9
COVID-19CRTAM
COVID-19C6
DMCD81
GNIL34
KTIGFBP1
KTIL15RA
KTNXPH1
KTCST5
KTC6
MGCCL22
MGCCL2
MMPSORS1C2
MMLHFPL1
MMPTPRR
MMZG16B
MMIGF1
MMIGLL1
MMLRIT3
MMVEGFB
NSCLCCCL22
NMOCCL22
NMOIL1F9
NSCLCFGF23
NSCLCFGF7
NSCLCEREG
NSCLCCXCL1
NSCLCCXCL2
NSCLCCXCL3
NSCLCVEGFB
NSCLCIL1A
NSCLCLAG3
NSCLCIFNA13
NSCLCIFNA14
NSCLCIFNA17
NSCLCIFNA2
NSCLCIFNA5
NSCLCIFNA6
NSCLCIFNA8
NSCLCIFNW1
NSCLCIL34
NSCLCIL22RA2
SLEPDCD1LG2
SLELIF
SLEIFNA13
SLEIFNA14
SLEIFNA17
SLEIFNA2
SLEIFNA5
SLEIFNA6
SLEIFNA8
SLEIFNB1
SLEIFNL2
SLEIFNW1
SLEIL6
SLEIL6R
SLEIL33
SLEIL34
SLEIL16
SLEIL19
SLEIL20RB
SLEIL18RAP
SLEMADCAM1
SLETNF
SLETRAILR4
SLETYRO3
SLECD44
SLECD300E
SLECXCL1
SLECXCL2
SLECXCL3
SLEVEGFB
SLEIL1A
SLELILRB2
SLELILRB4
SSPDCD1LG2
NSCLCIGFBPL1

[0000]

Autoantigen Specific Therapies
DiseaseTarget
COVID-19IFITM10
COVID-19IFNA13
COVID-19IFNA14
COVID-19IFNA17
COVID-19IFNA2
COVID-19IFNA5
COVID-19IFNA6
COVID-19IFNA8
COVID-19IFNW1
COVID-19KLRC1
COVID-19KLRC2
COVID-19KLRC3
COVID-19CCR2
COVID-19CD38
COVID-19C5A
COVID-19CCR4
COVID-19CD3E
COVID-19TNFRSF9
COVID-19ADCYAP1
COVID-19CGA
COVID-19HCTR2
COVID-19AZGP1
COVID-19SLC41A2
COVID-19LAIR1
KTIFITM10
KTIL4
KTEXOC3-AS1
KTIFNA13
KTCD99L2
KTOSTN
KTSYCN
KTLYG2
KTBTN1A1
MMIFNA13
MMOBP2B
MMTMEM108
MMCELA1
MMOTOL1
MMATP4B
MMICOSLG
MMREG1A
MMCCL24
MMTMEM91
MMLALBA
MMITPRIPL1
MMLCN2
MMBTN1A1
MMOS9
MMFGF17
NSCLCIFNL2
NSCLCVSTM2A
NSCLCPDGFB
SLETMEM102
SLECCL8
SLECCL4L1
SLEACVR2B
SLEFGF21
SLEIGFBP2
SLERGMB
SLEACVR1B
SLEACRV1
SLESCGB1D1
SLETFF2
SLESFN
SLEANTXRL
SLESLC41A2
SLECD248

[0474]

The disclosures of each and every patent, patent application, and publication cited herein are hereby incorporated herein by reference in their entirety. While this invention has been disclosed with reference to specific embodiments, it is apparent that other embodiments and variations of this invention may be devised by others skilled in the art without departing from the true spirit and scope of the invention. The appended claims are intended to be construed to include all such embodiments and equivalent variations.

Как компенсировать расходы
на инновационную разработку
Похожие патенты