WO2009058564A2

Immunosuppressive polypeptides and nucleic acids

Abstract

The invention provides immunosuppressive polypeptides and nucleic acids encoding such polypeptides. In one aspect, the invention provides mutant CTLA-4 polypeptides and nucleic acids encoding mutant CTLA-4 polypeptides. Compositions and methods for utilizing such polypeptides and nucleic acids are also provided.

WO2009058564A2, drawing sheet 1
Sheet 1 of 37

Term

No projected expiry on record.

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365 claims: 169 independent, 196 dependent

  1. 1
    WHAT IS CLAIMED IS:1. An isolated or recombinant CTLA-4 polypeptide comprising a polypeptide sequence which differs from the polypeptide sequence of the extracellular domain of human CTLA-4 shown in SEQ ID NO: 159 in up to 15 amino acid residues, wherein the isolated or recombinant CTLA-4 polypeptide has an ability to bind CD80 or CD86 or an extracellular domain of either and/or has an ability to suppress or inhibit an immune response.
  2. 8
    The polypeptide of any preceding claim, wherein CD80 is human CD80 and CD86 is human CD86.
  3. 9
    The polypeptide of any preceding claim, wherein the polypeptide comprises a polypeptide sequence that is 124 amino acid residues in length.
  4. 10
    The polypeptide of any preceding claim, comprising one amino acid substitution at an amino acid position selected from the group consisting of amino acid positions corresponding to position 50, 54, 55, 56, 64, 65, 70, or 85 relative to SEQ ID NO:159.
  5. 11
    The polypeptide of any preceding claim, comprising two amino acid substitutions at amino acid positions selected from the group consisting of amino acid positions corresponding to position 50, 54, 55, 56, 64, 65, 70, or 85 relative to SEQ ID NO:159.
  6. 12
    The polypeptide of any preceding claim, comprising three amino acid substitutions at amino acid positions selected from the group consisting of amino acid positions corresponding to position 50, 54, 55, 56, 64, 65, 70, or 85 relative to SEQ ID NO:159.
  7. 13
    The polypeptide of any preceding claim, comprising four amino acid substitutions at amino acid positions selected from the group consisting of amino acid positions corresponding to position 50, 54, 55, 56, 64, 65, 70, or 85 relative to SEQ ID NO:159.
  8. 14
    The polypeptide of any of claims 10-13, comprising an amino acid substitution at position 70 relative to SEQ ID NO:159.
  9. 16
    The polypeptide of any of claims 10-15, further comprising an amino acid substitution at position 104 relative to SEQ ID NO:159.
  10. 18
    The polypeptide of claim any of claims 10-17, further comprising an amino acid substitution at position 30 relative to SEQ ID NO:159.
  11. 21
    The polypeptide of any of claims 10-20, comprising an amino acid substitution at position 64 relative to SEQ ID NO:159.
  12. 23
    The polypeptide of any of claims 10-22, comprising an amino acid substitution at position 50 relative to SEQ ID NO:159.
  13. 25
    The polypeptide of any of claims 10-24, comprising an amino acid substitution at position 54 relative to SEQ ID NO:159.
  14. 28
    The polypeptide of any of claims 10-17, comprising an amino acid substitution at position 65 relative to SEQ ID NO:159.
  15. 30
    The polypeptide of any of claims 10-17, comprising an amino acid substitution at position 56 relative to SEQ ID NO:159.
  16. 32
    The polypeptide of any of claims 10-17, comprising an amino acid substitution at position 55 relative to SEQ ID NO:159.
  17. 34
    The polypeptide of any of claims 10-17, comprising an amino acid substitution at position 85 relative to SEQ ID NO:159.
  18. 36
    The polypeptide of any of claims 10-17, further comprising an amino acid substitution at position 24 relative to SEQ ID NO:159.
  19. 39
    The polypeptide of any preceding claim, wherein the polypeptide has a binding affinity for CD86 or an extracellular domain thereof that is about equal to or greater than the binding affinity of a monomeric human CTLA-4 extracellular domain for CD86 or CD86 extracellular domain.
  20. 40
    The polypeptide of any preceding claim, wherein the polypeptide has a binding affinity for CD80 or an extracellular domain thereof that is greater than the binding affinity of a monomeric human CTLA-4 extracellular domain for CD80 or CD80 extracellular domain.
  21. 41
    The polypeptide of any preceding claim, wherein the polypeptide has an ability to suppress an immune response.
  22. 42
    The polypeptide of any preceding claim, wherein the polypeptide has an ability to inhibit T cell activation or T cell proliferation.
  23. 43
    An isolated or recombinant polypeptide multimer comprising at least two polypeptides of any preceding claim.
  24. 44
    An isolated or recombinant fusion protein comprising (a) a polypeptide according to any of claims 1-42, and (b) a second polypeptide, wherein the second polypeptide is an Ig Fc polypeptide, and wherein the fusion protein has an ability to bind CD80 and/or CD86 or an extracellular domain of either or both, and/or an ability to modulate or regulate an immune response.
  25. 49
    A pharmaceutical composition comprising a pharmaceutically acceptable excipient or pharmaceutically acceptable carrier and one or more of the following:(a) a polypeptide of any of claims 1-42;(b) a multimer of claim 43;(c) a fusion protein of claim 44;(d) a dimeric fusion protein of claim 45;(e) a nucleic acid of claim 46;(f) a vector of claim 47;and/or (g) a host cell of claim 48.
  26. 50
    A method for suppressing an immune response, said method comprising contacting a B7-positive cell with an effective amount of at least one of:(a) a polypeptide of any of claims 1-42;(b) a multimer of claim 43;(c) a fusion protein of claim 44;(d) a dimeric fusion protein of claim 45;(e) a nucleic acid of claim 46;(f) a vector of claim 47;and/or (g) a host cell of claim 48, to suppress an immune response, wherein an immune response is thereby suppressed.
  27. 53
    An isolated or recombinant polypeptide comprising a polypeptide sequence having at least 95% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73, wherein the polypeptide binds CD80 or CD86 or an extracellular domain of either, and/or has an ability to suppress or inhibit an immune response.
  28. 55
    The polypeptide of any of claims 53-54, wherein the polypeptide has an ability to suppress or inhibit an immune response.
  29. 56
    The polypeptide of any of claims 53-55 wherein the polypeptide has an ability to inhibit T cell activation.
  30. 57
    The polypeptide of any of claims 53-55, wherein the polypeptide has an ability to inhibit T cell proliferation.
  31. 58
    The polypeptide of any of claims 53-57, wherein the polypeptide has a greater ability to suppress or inhibit an immune response than CTLA-4.
  32. 61
    The polypeptide of any of claims 53-57, wherein the polypeptide has an ability to inhibit an immune response that is greater than the ability of a LEA29Y polypeptide comprising the polypeptide sequence shown in SEQ ID NO:168 to inhibit an immune response.
  33. 62
    The polypeptide of any of claims 53-61, wherein the polypeptide comprises a polypeptide sequence having at least 96%, 97%, 98%, or 99% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73.
  34. 63
    The polypeptide of any of claims 53-62, wherein the polypeptide comprises a polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73.
  35. 64
    An isolated or recombinant polypeptide comprising a polypeptide sequence having at least 95% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73, wherein the polypeptide binds a monomeric human CD80 or monomeric human CD86 or an extracellular domain of either.
  36. 68
    The polypeptide of any of claims 64-67, wherein the polypeptide has a greater ability to suppress an immune response, a greater ability to inhibit T cell activation, and/or a greater ability to inhibit T cell proliferation than monomeric human CTLA-4.
  37. 69
    An isolated or recombinant polypeptide comprising a polypeptide sequence having at least 95% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73, wherein the polypeptide has a binding affinity for a human CD86 extracellular domain or human CD80 extracellular domain that is about equal to or greater than the binding affinity of a human CTLA-4 extracellular domain for the human CD86 extracellular domain or human CD80 extracellular domain, respectively, and wherein the polypeptide optionally has an ability to suppress an immune response.
  38. 72
    The polypeptide of any of claims 69-71, wherein the polypeptide has a greater ability to suppress an immune response, a greater ability to inhibit T cell activation, and/or a greater ability to inhibit T cell proliferation than the human CTLA-4 extracellular domain.
  39. 74
    An isolated or recombinant mutant CTLA-4 polypeptide comprising a polypeptide sequence which (a) differs from the polypeptide sequence of the extracellular domain of human CTLA-4 shown in SEQ ID NO:159 in no more than 11, no more than 10, no more than 9, no more than 8, no more than 7, or no more than 6 amino acid residues, and (b) comprises at least one amino acid substitution at an amino acid residue position corresponding to position 24, 30, 32, 50, 54, 55, 56, 64, 65, 70, or 85 relative to SEQ ID NO: 159, wherein the mutant CTLA-4 polypeptide has an ability to bind CD80 or CD86 or an extracellular domain of either, and/or has an ability to suppress or inhibit an immune response.
  40. 82
    The polypeptide of any of claims 74-81, further comprising an amino acid substitution at position 104 relative to SEQ ID NO:159.
  41. 84
    The polypeptide of claim any of claims 74-83, further comprising an amino acid substitution at position 30 relative to SEQ ID NO:159.
  42. 87
    The polypeptide of any of claims 74-86, comprising an amino acid substitution at position 64 relative to SEQ ID NO:159.
  43. 89
    The polypeptide of any of claims 74-88, comprising an amino acid substitution at position 50 relative to SEQ ID NO:159.
  44. 91
    The polypeptide of any of claims 74-83, comprising an amino acid substitution at position 54 relative to SEQ ID NO:159.
  45. 94
    The polypeptide of any of claims 74-83, comprising an amino acid substitution at position 65 relative to SEQ ID NO:159.
  46. 96
    The polypeptide of any of claims 74-83, comprising an amino acid substitution at position 56 relative to SEQ ID NO:159.
  47. 98
    The polypeptide of any of claims 74-83, comprising an amino acid substitution at position 55 relative to SEQ ID NO:159.
  48. 100
    The polypeptide of any of claims 74-83, comprising an amino acid substitution at position 85 relative to SEQ ID NO:159.
  49. 102
    The polypeptide of any of claims 74-83, further comprising an amino acid substitution at position 24 relative to SEQ ID NO:159.
  50. 105
    The polypeptide of any of claims 74-104, wherein the polypeptide has a binding affinity for CD86 or an extracellular domain thereof that is about equal to or greater than the binding affinity of a monomelic human CTLA-4 extracellular domain for CD86 or CD86 extracellular domain.
  51. 106
    The polypeptide of any claims 74-105, wherein the polypeptide has a binding affinity for CD80 or an extracellular domain thereof that is greater than the binding affinity of a monomeric human CTLA-4 extracellular domain for CD80 or CD80 extracellular domain.
  52. 107
    The polypeptide of any of claims 74-106, wherein the polypeptide has an ability to suppress an immune response.
  53. 108
    The polypeptide of any of claims 74-107, wherein the polypeptide has an ability to inhibit T cell activation or T cell proliferation.
  54. 109
    An isolated or recombinant polypeptide which comprises a polypeptide sequence comprising (i) at least 95% sequence identity to a polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73 and (ii) a phenylalanine residue at an amino acid position corresponding to position 70 of said polypeptide sequence selected from the group consisting of SEQ ID NO: 1-73, wherein the polypeptide has an ability to bind CD80 and/or CD86 or an extracellular domain of either or both, and/or has an ability to suppress or inhibit an immune response.
  55. 111
    An isolated or recombinant mutant CTLA-4 polypeptide that binds CD80 and/or CD86 and/or an extracellular domain of either or both, and/or is capable of suppressing an immune response, said polypeptide comprising a polypeptide sequence which:(a) differs from the polypeptide sequence of human CTLA-4 extracellular domain polypeptide shown in SEQ ID NO: 159 in no more than 6 amino acid residues, and (b) comprises at least one amino acid substitution, wherein said at least amino acid substitution comprises S70F, wherein amino acid residue positions are numbered according to SEQ ID NO: 159.
  56. 113
    An isolated or recombinant polypeptide comprising a polypeptide sequence selected from the group consisting of SEQ ID NOS:1-79, or a fragment of any said polypeptide sequence, wherein said fragment binds CD80 and/or CD86 and/or an extracellular domain of either or both, and/or has an ability to suppress or inhibit an immune response.
  57. 115
    The polypeptide of any of claims 53- 114, wherein the polypeptide is a soluble polypeptide.
  58. 116
    An isolated or recombinant protein comprising:(a) a polypeptide of any of claims 53- 115, and (b) a peptide that facilitates secretion of the polypeptide.
  59. 120
    An isolated or recombinant protein comprising a polypeptide of any of claims 53-115 and a transmembrane domain.
  60. 126
    The protein of any of claims 120-125, further comprising a signal peptide.
  61. 127
    The polypeptide of any of claims 53- 115 or protein of any of claims 116- 126, wherein one or more of the amino acid residues of the polypeptide are glycosylated.
  62. 128
    The polypeptide of any of claims 53-115 or 127 or the protein of any of claims 116-127, wherein one or more of the amino acid residues of the polypeptide are pegylated.
  63. 129
    An isolated or recombinant polypeptide multimer comprising at least two polypeptides of any of claims 53-115 or at least two proteins of any of claims 116-128.
  64. 134
    An isolated or recombinant polypeptide dimer comprising two polypeptides of any of claims 53-115.
  65. 139
    An isolated or recombinant polypeptide dimer comprising two polypeptides of any of claims 53-115, wherein the dimer has a binding avidity for human CD86 or an extracellular domain thereof that is about equal to or greater than the binding avidity of a dimer comprising two human CTLA-4 extracellular domains for human CD86 or an extracellular domain thereof, respectively.
  66. 140
    An isolated or recombinant polypeptide dimer comprising two polypeptides of any of claims 53-115, wherein the dimer has a binding avidity for human CD80 or an extracellular domain thereof that is about equal to or greater than the binding avidity of a dimer comprising two human CTLA-4 extracellular domains for human CD80 or an extracellular domain thereof, respectively.
  67. 147
    An isolated or recombinant polypeptide dimer comprising two polypeptides of any of claims 53-115, wherein the dimer has a greater ability to suppress an immune response than a dimer comprising two human CTLA-4 extracellular domains or two LEA29Y polypeptides.
  68. 149
    An isolated or recombinant polypeptide dimer comprising two polypeptides of any of claims 53-115, wherein the dimer has a CD86 equilibrium dissociation constant (KD) that is less than the CD86 equilibrium dissociation constant (KD) of a dimer comprising two human CTLA-4 extracellular domains or two LEA29Y polypeptides.
  69. 150
    An isolated or synthetic conjugate comprising:(a) a polypeptide of any of claims 1-115;and (b) a non-polypeptide moiety covalently attached to the polypeptide.
  70. 161
    An isolated or recombinant fusion protein comprising (a) a first polypeptide comprising a polypeptide sequence that has at least 95% identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73, and (b) a second polypeptide, wherein the second polypeptide is an Ig Fc polypeptide, wherein the fusion protein has an ability to bind CD80 and/or CD86 or an extracellular domain of either or both, and/or an ability to modulate or regulate an immune response.
  71. 171
    An isolated or recombinant fusion protein dimer comprising two monomeric fusion proteins linked via at least one disulfide bond formed between two cysteine residues present in each monomeric mutant fusion protein, wherein each monomeric fusion protein comprises (a) a polypeptide comprising a polypeptide sequence having at least 95% identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73 and (b) an Ig Fc polypeptide, wherein the fusion protein dimer has an ability to bind CD80 and/or CD86, and/or CD80-Ig and/or CD86-Ig, and/or has an ability to inhibit or suppress an immune response.
  72. 172
    An isolated or recombinant fusion protein dimer comprising two monomeric fusion proteins, wherein each such monomeric fusion protein comprises:(1) a polypeptide comprising a polypeptide sequence which differs from a polypeptide sequence selected from the group consisting of SEQ ID NOS: 1-73 in no more than 10, 9, 8, 7, or 6 amino acid residues, and wherein the amino acid residue in the polypeptide sequence at position 24, 30, 32, 41, 50, 54, 55, 56, 64, 65, 70, or 85 is identical to the amino acid residue at the corresponding position of said selected polypeptide sequence, and (2) an Ig Fc polypeptide, wherein the fusion protein dimer binds CD80 and/or CD86, and/or inhibits an immune response.
  73. 173
    An isolated or recombinant fusion protein dimer comprising two monomeric fusion proteins, wherein each monomeric fusion protein comprises:(1) a mutant CTLA-4 extracellular domain polypeptide comprising a polypeptide sequence which (i) differs from the polypeptide sequence of the extracellular domain of human CTLA-4 shown in SEQ ID NO: 159 in no more than 10, 9, 8, 7, or 6 amino acid residues and (ii) comprises at least one amino acid substitution at an amino acid position corresponding to position 24, 30, 32, 50, 54, 55, 56, 64, 65, 70, or 85 relative to the polypeptide sequence of SEQ ID NO: 159;and (2) an Ig Fc polypeptide, wherein the fusion protein dimer binds CD80 and/or CD86, and/or suppresses or inhibits an immune response.
  74. 174
    An isolated or recombinant mutant CTLA-4-Ig fusion protein dimer comprising two mutant CTLA-4-Ig fusion protein monomers, wherein each mutant CTLA-4-Ig fusion monomer comprises:(1) a mutant CTLA-4-ECD polypeptide comprising a polypeptide sequence which (a) differs from the polypeptide sequence of the extracellular domain of human CTLA-4 shown in SEQ ID NO: 159 in no more than 10, 9, 8, 7, or 6 amino acid residues, and (b) comprises one or more substitutions at amino acid positions relative to SEQ ID NO: 159 selected from the group consisting of A50M, M54K, G55E, N56D, S64P, I65S, and S70F;and (2) an Ig Fc polypeptide, which Ig Fc polypeptide optionally is IgG2 Fc polypeptide, wherein the mutant CTLA-4-Ig dimer binds hCD80 and/or hCD86, and/or suppresses or inhibits an immune response.
  75. 175
    An isolated or recombinant fusion protein dimer comprising two monomeric fusion proteins of any of claims 161-171 and 314-316, wherein the two monomeric fusion proteins are linked via:(i) at least one disulfide bond formed between two cysteine residues, wherein each cysteine residue is present in one of the two first polypeptides, and/or (ii) at least one disulfide bond formed between two cysteine residues, wherein each cysteine residue is present in one of the two second polypeptides.
  76. 195
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence that encodes a polypeptide of any of claims 53-115 a fusion protein of any of claims 161-171 and 314-316, or a fusion protein dimer of any of claims 172-194 and 317, or a complementary polynucleotide sequence thereof.
  77. 196
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence that encodes a polypeptide comprising a polypeptide sequence having at least 95%, at least 96%, at least 97%, at least 98% or at least 99% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-79, 197- 200, 205-214, and 219-222, wherein the polypeptide has an ability to bind CD80 and/or CD86 and/or an extracellular domain of either or both, and/or has an ability to suppress an immune response, or a complementary polynucleotide sequence thereof.
  78. 198
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence that encodes a fusion protein comprising a polypeptide sequence having at least 95%, at least 96%, at least 97%, at least 98% or at least 99% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:74-79, 197- 200, 205-214, and 219-222, wherein the polypeptide binds CD80 and/or CD86 and/or an extracellular domain thereof and/or suppresses an immune response, or a complementary polynucleotide sequence thereof.
  79. 199
    An isolated of recombinant nucleic acid comprising:(a) a polynucleotide sequence having at least 95% sequence identity to at least one polynucleotide sequence selected from the group consisting of SEQ ID NOS:80-158, 201-204, 223, and 224;(b) a complementary polynucleotide sequence of (a);or (c) a fragment of any polynucleotide sequence of (a) or (b), wherein the nucleic acid encodes a polypeptide that binds CD80 and/or CD86 and/or an extracellular domain of either or both, and/or has an ability to suppress or inhibit an immune response.
  80. 200
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence which encodes a polypeptide which comprises a polypeptide sequence (a) which differs from a polypeptide sequence selected from the group consisting of SEQ ID NOS:1- 73 in no more than 10, 9, 8, 7, or 6 amino acid residues and (b) wherein the amino acid residue in the polypeptide sequence at position 24, 30, 32, 41, 50, 54, 55, 56, 64, 65, 70, or 85 is identical to the amino acid residue at the corresponding position of said polypeptide sequence selected from the group consisting of SEQ ID NOS: 1-73, wherein the polypeptide binds CD80 and/or CD86 and/or an extracellular domain of either or both, and/or inhibits an immune response, or a complementary polynucleotide sequence thereof.
  81. 201
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence which encodes a polypeptide comprising a polypeptide sequence which (a) differs from the polypeptide sequence of the extracellular domain of human CTLA-4 shown in SEQ ID NO:159 in no more than 6 amino acid residues, and (b) comprises at least one amino acid substitution at an amino acid position corresponding to position 30, 32, 50, 54, 55, 56, 64, 65, 70, or 85 relative to SEQ ID NO: 159, wherein said polypeptide has an ability to bind CD 80 and/or CD 86 and/or an extracellular domain of either, and/or has an ability to suppress or inhibit an immune response, or a complementary polynucleotide sequence thereof.
  82. 203
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence which encodes a polypeptide comprising a polypeptide sequence having (i) at least 95% identity to a polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73 and (ii) a phenylalanine residue at an amino acid position corresponding to position 70 of said polypeptide sequence selected from the group consisting of SEQ ID NO: 1-73, wherein the polypeptide binds hCD80 and/or hCD86 or an ECD thereof and/or inhibits an immune response, wherein said amino acid substitution optionally comprises S70F, or a complementary polynucleotide sequence thereof.
  83. 204
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence which encodes a recombinant polypeptide dimer comprising two polypeptides, wherein each such polypeptide comprises a polypeptide sequence having at least 95% identity to a sequence selected from the group consisting of SEQ ID NOS:1-73, wherein the dimer binds hCD80 and/or hCD86 and/or inhibits an immune response, or a complementary polynucleotide sequence thereof.
  84. 205
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence which encodes a fusion protein comprising (a) a polypeptide comprising a polypeptide sequence that has at least 95% identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73, and (b) an Ig polypeptide, wherein the fusion protein binds CD80 and/or CD86, and/or has an ability to suppress an immune response, or a complementary polynucleotide sequence thereof.
  85. 210
    An isolated or recombinant nucleic acid comprising:(a) a polynucleotide sequence having at least 95% sequence identity to an RNA polynucleotide sequence, wherein the RNA polynucleotide sequence comprises a DNA sequence selected from the group consisting of SEQ ID NOS:80-158, 201-204, 223, and 224 in which all of the thymine nucleotide residues in the DNA sequence are replaced with uracil nucleotide residues;(b) a complementary polynucleotide sequence of (a);or (c) a fragment of any polynucleotide sequence of (a) or (b), wherein the nucleic acid encodes a polypeptide that (i) binds CD80 and/or CD86 and/or an extracellular domain of either or both, and/or (ii) has an ability to suppress an immune response, which immune response optionally comprises T cell activation and/or T cell proliferation.
  86. 211
    The nucleic acid of any of claims 195-210, further comprising a nucleotide sequence that encodes a signal peptide.
  87. 212
    An isolated or recombinant nucleic acid comprising a polynucleotide sequence which encodes a polypeptide comprising a polypeptide sequence which (a) differs from the polypeptide sequence shown in SEQ ID NO:31 in no more than 6 amino acid residues, and (b) comprises at least one of the following: a methionine residue at a position corresponding to position 50 of SEQ ID NO:31, a lysine residue at a position corresponding to position 54 of SEQ ID NO:31, a glutamic acid residue at a position corresponding to position 55 of SEQ ID NO:31, a proline residue at a position corresponding to position 64 of SEQ ID NO:31, a serine residue at a position corresponding to position 65 of SEQ ID NO:31, a phenylalanine residue at a position corresponding to position 70 of SEQ ID NO:31, wherein amino acid residue positions are numbered according to SEQ ID NO:31, and wherein the polypeptide binds CD80 and/or CD86 and/or an ECD of either or both, and/or inhibits an immune response, or a complementary polynucleotide sequence thereof.
  88. 213
    A vector comprising a nucleic acid of any of claims 143-160, a nucleic acid that encodes a polypeptide of any of claims 53-128 and 312-313, a nucleic acid that encodes a polypeptide multimer of any of claims 129-133, a nucleic acid that encodes a polypeptide dimer of any of claims 134-149, a nucleic acid that encodes a conjugate of any of claims 150-160, a nucleic acid that encodes a fusion protein of any of claims 161- 171 and 314-316, or a nucleic acid that encodes a fusion protein dimer of any of claims 172-194 and 317.
  89. 222
    The vector of any of claims 213-221, wherein the vector further comprises a selectable marker.
  90. 223
    An expression vector comprising:(i) a first polynucleotide sequence that encodes a first polypeptide comprising a polypeptide sequence having at least 95% identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS: 1-73, wherein said first polypeptide binds human CD86 and/or human CD80 and/or an extracellular domain of either or both, and/or suppresses an immune response, and (ii) a second polynucleotide sequence that encodes a second polypeptide comprising a hinge region, a CH2 domain, and a CH3 domain of an immunoglobulin (Ig) polypeptide, which Ig polypeptide is optionally human IgG2 Fc polypeptide.
  91. 224
    An isolated or recombinant host cell comprising:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;and/or (h) a vector of any of claims 213-223.
  92. 225
    An isolated or recombinant host cell transfected or transformed with a nucleic acid of any of claims 143-160.
  93. 226
    An isolated or recombinant host cell transfected with a nucleic acid encoding a fusion protein, the nucleic acid comprising:(i) a first nucleotide sequence encoding a first polypeptide comprising a polypeptide sequence having at least 95% identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS: 1-73, wherein said first polypeptide has an ability to bind human CD 86 and/or human CD 80 and/or an extracellular domain of either or both, and/or has an ability to suppress an immune response;and (ii) a second nucleotide sequence encoding a second polypeptide comprising a hinge region, a CH2 domain, and a CH3 domain of an immunoglobulin (Ig) polypeptide, which Ig polypeptide is optionally human IgG2 Fc polypeptide, wherein the host cell is capable of expressing the fusion protein.
  94. 227
    An isolated or recombinant isolated host cell comprising a vector of any of claims 213-223.
  95. 228
    An isolated host cell transfected or transformed with a vector according to any of claims 213-223.
  96. 229
    The host cell of any of claims 224-228, wherein the host cell is a eukaryotic cell.
  97. 231
    An immortalized cell line comprising:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230.
  98. 232
    A composition comprising an excipient or carrier and one or more of the following:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223 (i) a cell of any of claims 224-230;and/or (j) a cell line of claim 231.
  99. 233
    A pharmaceutical composition comprising a pharmaceutically acceptable excipient or pharmaceutically acceptable carrier and one or more of the following:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223 (i) a cell of any of claims 224-230;and/or (J) a cell line of claim 231.
  100. 234
    A method of suppressing an immune response, said method comprising contacting a B7-positive cell with an effective amount of at least one of:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;to suppress an immune response, wherein an immune response is thereby suppressed.
  101. 237
    A method of modulating the interaction of T cells expressing CD28 and/or CTLA-4 with B7-positive cells, the method comprising contacting B7-positive cells with in an effective amount of at least one of:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;to modulate the interaction of B7-positive cells with CD28-positive T cells and/or CTLA-4-positive T cells, wherein the interaction of B7-positive cells with CD28-positive T cells and/or CTLA-4-positive T cells is modulated.
  102. 238
    A method of inhibiting the interaction of CD28-positive T cells and/or CTLA-4-positive T cells with B7-positive cells, the method comprising contacting Expositive cells with an effective amount of at least one of:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;wherein the interaction of CD28-positive T cells and/or CTLA-4-positive T cells with B7-positive cells is inhibited.
  103. 241
    A method of inhibiting the interaction of CD28-positive T cells with B7- positive cells in a subject, said method comprising administering to a subject an effective amount of at least one of:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;wherein the interaction of endogenous CD28-positive T cells with endogenous Expositive cells in the subject is inhibited.
  104. 245
    A method of suppressing an immune response in a subject, comprising administering to a subject in need thereof a therapeutically effective amount of one of more of the following:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;thereby suppressing an immune response in the subject.
  105. 251
    The method of any of claims 245-250, wherein a soluble fusion protein dimer is administered to the subject in a pharmaceutically acceptable excipient or carrier at a concentration of from about 0.01 mg/ml to about 200 mg/ml, about 0.1 mg/ml to about 200 mg/ml, about 1 to about 200 mg/ml, about 1 to about 100 mg/ml, about 5 to about 75 mg/ml, about 10 to about 50 mg/ml, about 25 to about 50 mg/ml, or about 50 to about 100 mg/ml.
  106. 253
    A method of suppressing an immune response in a subject, comprising administering to a subject in need thereof an effective amount of a first immunosuppressive agent or compound, said first immunosuppressive agent comprising:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;thereby suppressing an immune response in the subject.
  107. 257
    The method of any of claims 253-256, wherein the polypeptide, fusion protein, dimer, multimer, conjugate, fusion protein dimer, nucleic acid, vector, and/or cell is administered at least once daily, at least once per week, at least once biweekly, or at least one per month.
  108. 258
    The method of any of claims 254-257, wherein the at least one additional immunosuppressive compound or agent is administered (i) simultaneously with administration of the first immunosuppressive agent or compound;(ii) after administration of the first immunosuppressive agent or compound;or (iii) prior to administration of the first immunosuppressive agent or compound.
  109. 259
    A method of treating a subject having an immune system disease or disorder modulated by interaction of endogenous T cells with endogenous cells expressing CD80 and/or CD86, said method comprising administering to a subject in need of such treatment a therapeutically effective amount of:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;wherein interaction(s) between endogenous T cells and endogenous cells expressing said CD80 and/or said CD86 is inhibited, thereby treating the immune system disease or disorder in the subject.
  110. 263
    The method of any of claims 259-262, wherein the immune system disease or disorder is an autoimmune disease or disorder.
  111. 265
    The method of any of claims 259-264, wherein the polypeptide, fusion protein, dimer, conjugate, multimer, fusion protein dimer, nucleic acid, vector, and/or cell is administered to the subject in a pharmaceutically acceptable excipient or carrier.
  112. 266
    The method of any of claims 259, wherein a soluble fusion protein dimer is administered in a therapeutically effective amount comprising from about 0.001 mg/kg body weight of the subject to about 100 mg/kg body weight of the subject.
  113. 269
    The method of any of claims 259-268, wherein the polypeptide, fusion protein, dimer, conjugate, multimer, fusion protein dimer, nucleic acid, vector, and/or cell is administered at least once daily, at least once per week, at least once biweekly, or at least one per month.
  114. 270
    A method of producing a polypeptide comprising culturing a host cell of any of claims 224-230 in a culture medium and recovering the polypeptide expressed by the cell.
  115. 271
    A method of producing a polypeptide, comprising:(a) introducing into a population of cells a nucleic acid of any of claims 195-212, wherein the nucleic acid is operatively linked to a regulatory sequence effective to produce the polypeptide encoded by the nucleic acid;(b) culturing the cells in a culture medium to produce the polypeptide;and (c) isolating the polypeptide from the cells or culture medium.
  116. 272
    A cultured cell into which has been introduced a vector of any of claims 213-223.
  117. 273
    A cultured cell into which has been introduced an expression vector of any of claims 161-171.
  118. 274
    A method of making a fusion protein, the method comprising (1) culturing a host cell transformed with a nucleic acid in a culture medium, wherein the nucleic acid comprises:(i) a first nucleotide sequence that encodes a polypeptide having at least 95% identity to a polypeptide sequence selected from the group consisting of SEQ ID NOS: 1-73, which polypeptide binds CD86 and/or CD80, and/or an extracellular domain of either CD86 or CD80, and (ii) a second nucleotide sequence encoding an Ig polypeptide comprising a hinge region, CH2 domain, and CH3 domain, which Ig polypeptide is optionally human IgG2 Fc, whereby the nucleic acid is expressed and a fusion protein is produced;and (2) recovering the fusion protein.
  119. 278
    An isolated or recombinant nucleic acid comprising a nucleotide sequence which encodes (i) a first polypeptide comprising a polypeptide sequence having at least 95% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:1-73, wherein the first polypeptide binds CD80 and/or CD86 and/or an extracellular domain of either or both, and (ii) a second polypeptide comprising a comprising a hinge region, CH2 domain, and CH3 domain of an IgG polypeptide.
  120. 288
    A method of inhibiting rejection of a tissue, cell, graft, or organ transplant from a donor by a recipient subject, the method comprising administering to the recipient subject in need thereof a therapeutically effective amount of:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;thereby inhibiting rejection of the tissue, cell, graft, or organ transplant by the recipient subject.
  121. 298
    A method of treating tissue, cell, graft, or organ transplant rejection in a subject, the method comprising administering to a subject in need of such treatment a therapeutically effective amount of:(a) a polypeptide of any of claims 53-128 and 312-313;(b) a multimer of any of claims 129-133;(c) a dimer of any of claims 134-149;(d) a conjugate of any of claims 150-160;(e) a fusion protein of any of claims 161-171 and 314-316;(f) a fusion protein dimer of any of claims 172-194 and 317;(g) a nucleic acid of any of claims 195-212;(h) a vector of any of claims 213-223;and/or (i) a cell of any of claims 224-230;thereby reducing or alleviating rejection of the tissue, cell, graft, or organ transplant by the subject.
  122. 300
    Use of a polypeptide according to any of claims 53-128 and 312-313, a polypeptide multimer according to any of claims 129-133, a dimer according to any of claims 134-149, a conjugate according to any of claims 150-160, a fusion protein according to any of claims 161-171 and 314-316, a fusion protein dimer according to any of claims 172-194 and 317, a nucleic acid according to any of claims 195-212, a vector according to any of claims 213-223, or a cell according to any of claims 224-230 for the manufacture of a medicament for inhibiting or suppressing an immune response in a mammal.
  123. 302
    Use of a polypeptide according to any of claims 53-128 and 312-313, a polypeptide multimer according to any of claims 129-133, a dimer according to any of claims 134-149, a conjugate according to any of claims 150-160, a fusion protein according to any of claims 161-171 and 314-316, a fusion protein dimer according to any of claims 172-194 and 317, a nucleic acid according to any of claims 195-212, a vector according to any of claims 213-223, or a cell according to any of claims 224-230 for the manufacture of a medicament for the treatment of an immune system disease or disorder.
  124. 306
    Use of a polypeptide according to any of claims 53-128 and 312-313, a polypeptide multimer according to any of claims 129-133, a dimer according to any of claims 134-149, a conjugate according to any of claims 150-160, a fusion protein according to any of claims 161-171 and 314-316, a fusion protein dimer according to any of claims 172-194 and 317, a nucleic acid according to any of claims 195-212, a vector according to any of claims 213-223, or a cell according to any of claims 224-230 for the manufacture of a medicament for the treatment of a tissue or organ transplant rejection in a mammal.
  125. 307
    Use of a polypeptide according to any of claims 53-128 and 312-313, a polypeptide multimer according to any of claims 129-133, a dimer according to any of claims 134-149, a conjugate according to any of claims 150-160, a fusion protein according to any of claims 161-171 and 314-316, a fusion protein dimer according to any of claims 172-194 and 317, a nucleic acid according to any of claims 195-212, a vector according to any of claims 213-223, or a cell according to any of claims 224-230 for the manufacture of a medicament for inhibiting interaction of CD80-positive cells and/or CD86-positive cells with CD28-positive and/or CTLA-4-positive T cells.
  126. 309
    An isolated or recombinant fusion protein dimer two monomeric fusion proteins, each such monomeric fusion protein comprising a polypeptide sequence having at least 95% sequence identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NOS:74-79, 197-200, 205-214, and 219-222, wherein the polypeptide binds CD80 and/or CD86 and/or an extracellular domain thereof and/or suppresses an immune response.
  127. 310
    An isolated or recombinant polypeptide comprising a polypeptide sequence which (a) differs from the polypeptide sequence shown in SEQ ID NO:31 in no more than 6 amino acid residues, and (b) comprises at least one of the following: a methionine residue at a position corresponding to position 50 of SEQ ID NO:31, a lysine residue at a position corresponding to position 54 of SEQ ID NO:31, a glutamic acid residue at a position corresponding to position 55 of SEQ ID NO:31, a proline residue at a position corresponding to position 64 of SEQ ID NO:31, a serine residue at a position corresponding to position 65 of SEQ ID NO:31, a phenylalanine residue at a position corresponding to position 70 of SEQ ID NO:31, wherein amino acid residue positions are numbered according to SEQ ID NO:31, and the polypeptide binds CD80 and/or CD86 and/or an ECD of either or both, and/or inhibits an immune response.
  128. 311
    An isolated or recombinant polypeptide which comprises a polypeptide sequence comprising (i) at least 95% sequence identity to a polypeptide sequence selected from the group consisting of SEQ ID NOS:36-46 and 55, and (ii) a glutamic acid residue at an amino acid position 55 of said selected polypeptide sequence, wherein the polypeptide (i) binds CD80 and/or CD86 or an extracellular domain of either or both, and/or (ii) suppresses an immune response.
  129. 312
    An isolated or recombinant polypeptide comprising a polypeptide sequence having at least 95% sequence identity to a polypeptide sequence selected from the group consisting of SEQ ID NO:26, SEQ ID NO:36, SEQ ID NO:38, SEQ ID NO:50, and SEQ ID NO:56, wherein the polypeptide (i) binds CD80 and/or CD86 or an extracellular domain of either or both, and/or (ii) suppresses an immune response.
  130. 313
    An isolated or recombinant polypeptide comprising a polypeptide sequence having at least 95% sequence identity to a polypeptide sequence selected from the group consisting of SEQ ID NOS:74-79, 197-200, 205-214, and 219-222, wherein the polypeptide (i) binds CD80 and/or CD86 or an extracellular domain of either or both, (ii) binds a CD80-Ig fusion protein and/or CD86-Ig fusion protein, and/or (iii) suppresses an immune response.
  131. 317
    An isolated or recombinant fusion protein dimer comprising two monomeric fusion proteins linked via at least one disulfide bond formed between two cysteine residues present in each monomeric mutant fusion protein, wherein each monomeric fusion protein comprises (a) a polypeptide comprising a polypeptide sequence having at least 95% identity to at least one polypeptide sequence selected from the group consisting of SEQ ID NO:79, SEQ ID NO: 197, SEQ ID NO: 198, SEQ ID NO: 199, and SEQ ID NO:200 and (b) an Ig Fc polypeptide, wherein the fusion protein dimer has (i) an ability to bind CD80 and/or CD86 and/or an extracellular domain of CD80 and/or CD86, (ii) an ability to bind CD80-Ig and/or CD86-Ig, and/or (iii) has an ability to inhibit or suppress an immune response.
  132. 321
    The composition of any of claims 319-320, wherein the composition is at a physiological pH.
  133. 322
    The composition of any of claims 319-321, wherein the composition has a pH of from about 4 to about 7.5.
  134. 323
    The composition of any of claims 319-322, wherein the composition has a pH of from about 5.0 to about 7.5.
  135. 324
    The composition of any of claims 319-323, wherein the composition has a pH of about 6.4.
  136. 325
    The composition of any of claims 319-323, wherein the composition has a pH of about 7.4 or 7.5.
  137. 326
    The composition of any of claims 319-325, wherein the buffer is present in a concentration of from about 1 mM to about 100 mM or 1 mM to about 50 mM.
  138. 327
    The composition of any of claims 319-326, wherein the buffer is present in a concentration of about 5 mM to about 35 mM.
  139. 328
    The composition of any of claims 319-327, wherein the buffer is present in a concentration of about 10 mM to about 25 mM.
  140. 329
    The composition of any of claims 319-328, wherein the buffer is present in a concentration of about 20 mM.
  141. 330
    The composition of any of claims 319-329, wherein the buffer is selected from the group consisting of a HEPES buffer, citrate buffer, succinate buffer, acetate buffer, citrate buffer, maleate buffer, phosphate buffer, and Tris buffer.
  142. 331
    The composition of any of claims 319-330, wherein the buffer is selected from the group consisting of a HEPES buffer, sodium citrate buffer, and sodium succinate buffer.
  143. 332
    The composition of any of claims 319-331, wherein the pH is about 6.0 to about 6.7 and the buffer is sodium succinate or sodium citrate.
  144. 333
    The composition of any of claims 319-332, wherein the pH is about 7.0 to about 7.7 and the buffer is HEPES.
  145. 334
    The composition of any of claims 319-333, wherein the composition comprises a sugar alcohol or saccharide, wherein the saccharide is a monosaccharide, disaccharide, or polysaccharide.
  146. 335
    The composition of any of claims 319-334, wherein the disaccharide is sucrose or trehalose.
  147. 336
    The composition of any of claims 319-335, wherein the composition comprises a salt present in a concentration of about 1 mM to about 50 mM.
  148. 337
    The composition of any of claims 319-336, wherein the composition comprises a salt present in a concentration of about 20 mM.
  149. 338
    The composition of any of claims 319-337, wherein the composition comprises a non-ionic detergent.
  150. 339
    The composition of any of claims 319-338, wherein the composition comprises a non-ionic detergent selected from the group consisting of from the group consisting of Tween®-80, Tween®-60, Tween®-20, or pluronic F-68.
  151. 340
    The composition of any of claims 319-339, wherein the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer is present at a concentration in the range of about 1 mg/ml (w/v) to about 200 mg/ml (w/v).
  152. 341
    The composition of any of claims 319-340, wherein the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer is present at a concentration in the range of about 25 mg/ml (w/v) to about 100 mg/ml (w/v).
  153. 342
    The composition of any of claims 319-341, wherein the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer is present at a concentration in the range of about 50 mg/ml (w/v) to about 300 mg/ml (w/v), optionally about in a range of about 50 mg/ml (w/v) to about 100 mg/ml (w/v).
  154. 343
    The composition of any of claims 319-342, wherein the effective amount of the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer of the composition is from about 0.1 mg/kg to about 15 mg/kg, and wherein the composition is administered to a mammal.
  155. 344
    The composition of any of claims 319-343, wherein the effective amount of the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer is from about 0.5 mg/kg to about 10 mg/kg, and the composition is administered parenterally.
  156. 345
    The composition of any of claims 319-344, wherein the effective amount of the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer is from about 0.1 mg/kg to about 5 mg/kg, and optionally about 0.5 mg/kg, and the composition is administered subcutaneously.
  157. 346
    The composition of any of claims 319-345, wherein the effective amount of the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer is from about 5 mg/kg to about 15 mg/kg, and optionally about 10 mg/kg, and the composition is administered intravenously.
  158. 347
    The composition of any of claims 319-346, wherein the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer comprises an amino acid sequence having at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:36.
  159. 348
    The composition of any of claims 319-346, wherein the polypeptide, multimer, dimer, conjugate, fusion protein, or fusion protein dimer comprises an amino acid sequence having at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:50.
  160. 349
    The composition of any of claims 319-348, wherein the composition is sterile.
  161. 350
    The composition of any of claims 319-349, wherein the composition is isotonic to blood.
  162. 351
    The composition of any of claims 319-350, wherein the composition is a liquid composition.
  163. 352
    The composition of any of claims 319-351, wherein the composition is a liquid or a dried form, wherein the dried form is selected from the group consisting of a lyophilized form, an air-dried form, and a spray-dried form.
  164. 353
    The composition of any of claims 319-352, wherein the composition is in lyophilized form.
  165. 354
    A pharmaceutical composition comprising:(a) a polypeptide comprising a polypeptide sequence selected from the group consisting of SEQ ID NOS:36 and 50 present in a concentration range of about 1 to about 200 mg/ml (w/v);(b) a buffer having a buffering capacity of between about pH 5.0 and about pH 8.0 at a concentration of about 5 mM to about 50 mM;(c) a pharmaceutically acceptable diluent to bring the composition to a designated volume;(d) a sugar at a concentration of 0.5% to 10% by weight;(e) a salt at a concentration of about 1 mM to about 200 mM;(f) the pH is in a range of about pH 5.0 to about pH 8.0;and (g) optionally a detergent.
  166. 357
    A pharmaceutical composition comprising:(a) a polypeptide comprising an amino acid sequence having at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:36;and (b) HEPES buffer.
  167. 358
    A pharmaceutical composition comprising:(a) a polypeptide comprising an amino acid sequence having at least 96%, at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:36;and (b) a pharmaceutically acceptable excipient or a pharmaceutically acceptable carrier, wherein the composition has a pH from about 7 to about 8.
  168. 361
    A pharmaceutical composition comprising:(a) a polypeptide comprising an amino acid sequence having at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:50;and (b) sodium citrate buffer.
  169. 362
    A pharmaceutical composition comprising:(a) a polypeptide comprising an amino acid sequence having at least 97%, at least 98%, or at least 99% sequence identity to the amino acid sequence of SEQ ID NO:50;and (b) a pharmaceutically acceptable excipient or a pharmaceutically acceptable carrier, wherein the composition has a pH from about 6 to about 7.
Independent claims169