This invention relates to NK cell activation and NK cell mediated immunity, immunogenic peptides, compositions and complexes; and associated methods of treatment or prophylaxis .

Natural killer (NK) cells are important in the immune response to cancer, inflammatory disorders and globally important infections, such as HIV, hepatitis B (HBV), hepatitis C (HCV), and malaria. Killer-cell immunoglobulin-like receptors (KIR) are expressed on NK cells and specific combinations of KIR and their HLA class I ligands lead to protection or susceptibility to HCV, HIV, HPV and malaria; to virus related cancers including hepatocellular carcinoma (HBV and HCV) and cervical cancer (HPV); to pregnancy associated disorders and the outcome of haematological malignancies and bone marrow transplantation ^{1 "9} .

Virus-specific long-lived "memory" NK cells have been demonstrated in mice ^{10 ~12} . Consistent with such populations in humans, expansions of NK cells expressing inhibitory or activating KIR specific for self-MHC class I have been observed in a number of viral infections (HCV, HIV, CMV, hantavirus) and associated with protection in both HCV and Chikungunya virus infection ^L ' ^{~1 ;} . The drivers for these self-MHC class I specific expansions are not clear. However, KIR engage MHC class I and its bound peptide "* and an unexpected sensitivity of NK cells to changes in the peptide content of MHC class I has been demonstrated ¹⁹ ' ²⁰ . The specificity of inhibitory receptors has been well defined. Due to the high sequence homology in the ligand binding domains with related inhibitory receptors, ligands for the activating KIR have been considered to be similar to those of the inhibitory KIR, but generally of lower affinity. Thus, in general activating KIR are thought to engage MHC class I molecules and its bound peptide with the same motifs as their inhibitory counterparts.

An aim of the present invention is to provide an improved or alternative NK cell mediated therapy or prophylaxis.

According to a first aspect of the present invention, there is provided a peptide capable of activating NK cell-mediated immunity, the peptide comprising or consisting of the amino acid sequence X ⁿ AX ² X

wherein

X ⁿ is an amino acid sequence of between 5 and 12 residues, and

X ¹ is any amino acid; or leucine or phenylalanine; and

X ² is alanine, threonine or serine.

X ¹ may be leucine. In another embodiment, X ¹ is phenylalanine. X ² may be threonine. In another embodiment, X ² is serine. In another embodiment, X ¹ may be phenylalanine and X ² may be threonine. In another embodiment, X ¹ is leucine and X ² is threonine. In another embodiment, X ¹ is leucine and X ² is serine.

X ⁿ may be an amino acid sequence of 5 residues. X ⁿ may be an amino acid sequence of 6 residues. X ⁿ may be an amino acid sequence of 7 residues. X ⁿ may be an amino acid sequence of 5 residues and X ¹ is leucine . X ⁿ may be an amino acid sequence of 6 residues and X ¹ is leucine . X ⁿ may be an amino acid sequence of 7 residues and X ¹ is leucine. X ⁿ may be an amino acid sequence of 7 residues and X ² is tryptophan. X ⁿ may be an amino acid sequence of 7 residues and X ² is threonine.

The peptide amino acid sequence may comprise any sequence selected from the group comprising: IVDLMCHATF (SEQ ID NO: 1); VIDAMCHATL (SEQ ID NO: 2); AANVMAASL (SEQ ID NO: 3); and FLSDVPVATL (SEQ ID NO: 4).

The peptide may comprise or consist of the amino acid sequence IVDLMCHATF

(SEQ ID NO: 1). Alternatively, the peptide may comprise or consist of the amino acid sequence VIDAMCHATL (SEQ ID NO: 2). In another embodiment, the peptide may comprise or consist of the amino acid sequence AANVMAASL (SEQ ID NO: 3). In another embodiment, the peptide may comprise or consist of the amino acid sequence FLSDVPVATL (SEQ ID NO: 4).

The peptide may be between about 8 and about 12 amino acid residues in length. The peptide may be between about 8 and about 15 amino acid residues in length. The peptide may be at least 8 amino acid residues in length. The peptide may be 9 amino acid residues in length.

The peptide may be an isolated peptide. The peptide may be immunogenic. The peptide may comprise a viral derived peptide, for example a peptide comprising or consisting of an amino acid sequence of a virus peptide or protein. The peptide may comprise an oncogenic peptide. The oncogenic peptide may be a peptide that is presented abnormally on a cell, such that it identifies the cell as cancerous. The peptide may be a self-peptide, that is, a peptide comprising a sequence that is encoded by a patient's genome . For example, a self-peptide may be encoded by a gene that is upregulated during infection. The invention advantageously provides that MHC class I specific peptides can be utilized to drive activation and expansion of NK cells expressing specific inhibitory or activating KIR and that this property can be exploited to generate peptide specific protocols for NK cell therapy. This is attractive for NK cells because KIR have broad peptide:HLA specificities such that the immunogen and the antigen need not be the same . To date NK cell therapy is focused on generating large numbers of non-specific NK cells. However, understanding the concepts of the present invention would lead to peptide-specific activation of NK cells which would inform NK-based vaccination strategies and peptide-based protocols for generating specific sub-populations of NK cells that can be used therapeutically. In particular, activating KIR are associated with haematological malignancies especially leukemia, lymphoma and myeloma. They have similar MHC class Lpeptide specificities as the inhibitory KIR, but bind at much lower affinity ^22-24 . Hence inhibition dominates over activation. In an embodiment, the invention identifies an HCV-derived peptide that specifically binds KIR2DS2, but not KIR2DL2. This means that KIR2DS2-positive NK cells could be activated by specific peptides.

According to another aspect of the invention, there is provided a complex comprising an MHC class I molecule and the peptide according to the invention. The MHC class I molecule may comprise an MHC class I truncated at the stem region of the a3 domain. The MHC class I molecule may comprise HLA-C, or part thereof. The HLA-C may be a group 1 HLA-C (e.g. HLA-C with lysine at residue 80 of the alpha helix of the MHC class I heavy chain). The MHC class I molecule may comprise HLA-Cw* 0102. The MHC class I molecule may comprise HLA-C*0304. The complex may comprise a fusion protein of the MHC class I molecule and the peptide according to the invention. The complex may comprise a fusion protein of the MHC class I molecule HLA- Cw*0102 and the peptide according to the invention. The complex may comprise a fusion protein of the MHC class I molecule HLA-C*0304 and the peptide according to the invention. The complex may be an isolated complex.

According to another aspect of the invention, there is provided a vesicle comprising the complex of the invention.

The vesicle may be an exosome. The vesicle may be isolated. The exosome may be isolated from a cell arranged to express an MHC class I molecule, or part thereof, and the peptide according to the invention. The exosome may be isolated from a cell arranged to express MHC class I molecule HLA-C, or part thereof, and the peptide according to the invention. The exosome may be isolated from a cell arranged to express MHC class I molecule HLA-Cw* 0102 and the peptide according to the invention. The exosome may be isolated from a cell arranged to express MHC class I molecule HLA-C*0304 and the peptide according to the invention.

According to another aspect of the invention, there is provided an activated NK cell, wherein the NK cell expresses KIR2DS2 receptor, and wherein the NK cell is activated by exposure to the peptide according to the invention.

The NK cell may be mammalian. The NK cell may be human. The exposure of the NK cell to the peptide to activate the NK cell may be in vitro, for example in a cell culture . The exposure of the NK cell to the peptide to activate the NK cell may cause expansion of the NK cell into multiple NK cells having specificity to specific peptides, such as the peptide according to the invention, or related peptides. One or more cytokines may additionally be added to the NK cells to aid activation and/or expansion.

According to another aspect of the invention, there is provided a nucleic acid comprising a sequence encoding a peptide according to the invention.

The nucleic acid may be a plasmid vector for vaccination. The nucleic acid may comprise DNA or RNA. The nucleic acid may comprise viral nucleic acid. The nucleic acid may comprise a viral vector. The nucleic acid may be a vector. The nucleic acid may comprise Adeno associated virus plasmid DNA. The nucleic acid may further comprise a sequence encoding an MHC class I molecule . The MHC class I molecule may comprise HLA-C, or part thereof. The MHC class I molecule may comprise HLA- Cw* 0102. The MHC class I molecule may comprise HLA-C*0304. The nucleic acid may comprise a viral promoter, such as SV40 promoter, Rous Sarcoma Virus (RSV) promoter, or cytomegalovirus (CMV) immediate early promoter. The nucleic acid may comprise a sequence encoding Mason-Pfizer monkey virus (MPV)-CTE with or without rev. The nucleic acid may comprise an enhancer sequence. The nucleic acid may comprise a synthetic intron. The nucleic acid may comprise an adenovirus tripartite leader (TPL) sequence. The nucleic acid may comprise a N-terminal ubiquitin signal for targeting the MHC class I pathway. The nucleic acid may encode Adenovirus E3/19K glycoprotein. The nucleic acid may encode a 2A sequence for control of splicing, for example T2A (Thosea asigna virus 2A : T2A), F2A (foot and mouth disease virus 2A) equine rhinitis A virus (E2A), or porcine teschovirus-1 (P2A). The nucleic acid may encode E19/3K, the peptide of the invention, T2A, and a HLA-C, or part thereof. The nucleic acid may encode E19/3K:Peptide:T2A:HLA-C in the orientation provided.

According to another aspect of the invention, there is provided a virus comprising the nucleic acid according to the invention. The virus may be selected from any of the group comprising adenovirus; Adeno associated virus; Pox viruses eg vaccinia such as MVA; Alpha viruses eg Semliki forest virus; Lentivirus; Retrovirus; Oncolytic virus e.g. reovirus. The virus may be attenuated.

According to another aspect of the invention, there is provided a dendritic cell expressing, or capable of expressing, the complex according to the invention. The dendritic cell may comprise nucleic acid encoding the complex according to the invention. The dendritic cell may be autologous for the patient. For example, dendritic cell may be harvested from a patient and transformed with nucleic acid encoding the complex according to the invention. Transformants, or generations thereof, may then be returned back to the patient for treatment or prophylaxis (e.g. immunisation).

According to another aspect of the invention, there is provided an immunogenic composition comprising one or more of:

-the peptide according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the dendritic cell according to the invention;

-the nucleic acid according to the invention; and

-the virus according to the invention.

According to another aspect of the invention, there is provided an immunogenic composition comprising the peptide according to the invention.

According to another aspect of the invention, there is provided an immunogenic composition comprising the complex according to the invention. According to another aspect of the invention, there is provided an immunogenic composition comprising the vesicle according to the invention. According to another aspect of the invention, there is provided an immunogenic composition comprising the dendritic cell according to the invention.

According to another aspect of the invention, there is provided an immunogenic composition comprising the nucleic acid according to the invention.

According to another aspect of the invention, there is provided an immunogenic composition comprising the virus according to the invention.

The immunogenic composition may comprise a carrier, such as a pharmaceutical acceptable carrier. The carrier may comprise a buffer.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of:

-the peptide according to the invention;

-the immunogenic composition according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the dendritic cell according to the invention;

-the activated NK cell according to the invention;

-the nucleic acid according to the invention; or

-the virus according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the peptide according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the immunogenic composition according to the invention. According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the complex according to the invention. According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the vesicle according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the dendritic cell according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the activated NK cell according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the nucleic acid according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of an NK cell regulated disease comprising the administration of the virus according to the invention. The activated NK cells may be provided in the amount of at least lxl O ⁷ cells per kg of body weight. The activated NK cells may be provided in the amount of between about lxl O ⁷ and 5xl 0 ⁹ cells per kg of body weight. The activated NK cells may be provided in the amount of between about lxl O ⁷ and lxl O ⁹ cells per kg of body weight. The treatment or prophylaxis may additionally comprise the administration of one or more cytokines. The cytokine(s) may be administered in the same composition as the peptide of the invention. The administration may be intravenously. In an embodiment where cancer is to be treated, the administration may be directly into the artery supplying the cancer. According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of:

-the peptide according to the invention;

-the immunogenic composition according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the dendritic cell according to the invention;

-the activated NK cell according to the invention;

-the nucleic acid according to the invention; or

-the virus according to the invention.

According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the peptide according to the invention.

According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the immunogenic composition according to the invention.

According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the complex according to the invention. According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the vesicle according to the invention.

According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the dendritic cell according to the invention.

According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the activated NK cell according to the invention; According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the nucleic acid according to the invention.

According to another aspect of the invention, there is provided an agent for use in the prophylaxis or treatment of an NK cell regulated disease, the agent comprising or consisting of the virus according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells;

wherein if the patient produces KIR2DS2-expressing NK cells, administering: -the peptide according to the invention;

-the immunogenic composition according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the dendritic cell according to the invention;

-the nucleic acid according to the invention; or

-the virus according to the invention; and

optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells;

wherein if the patient produces KIR2DS2-expressing NK cells, administering the peptide according to the invention; and optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells; wherein if the patient produces KIR2DS2-expressing NK cells, administering the immunogenic composition according to the invention; and optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells;

wherein if the patient produces KIR2DS2-expressing NK cells, administering the complex according to the invention; and optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells;

wherein if the patient produces KIR2DS2-expressing NK cells, administering the vesicle according to the invention; and optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells;

wherein if the patient produces KIR2DS2-expressing NK cells, administering the dendritic cell according to the invention; and optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention. According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells;

wherein if the patient produces KIR2DS2-expressing NK cells, administering the nucleic acid according to the invention; and optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces KIR2DS2-expressing NK cells;

wherein if the patient produces KIR2DS2-expressing NK cells, administering the virus according to the invention; and optionally wherein if the patient does not produce KIR2DS2-expressing NK cells, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2;

wherein if the patient produces a ligand for KIR2DS2, administering:

-the peptide according to the invention;

-the immunogenic composition according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the dendritic cell according to the invention;

-the nucleic acid according to the invention; or

-the virus according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2;

wherein if the patient produces a ligand for KIR2DS2, administering the peptide according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention. According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2;

wherein if the patient produces a ligand for KIR2DS2, administering the immunogenic composition according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2;

wherein if the patient produces a ligand for KIR2DS2, administering the complex according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2;

wherein if the patient produces a ligand for KIR2DS2, administering the vesicle according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention. According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2;

wherein if the patient produces a ligand for KIR2DS2, administering the dendritic cell according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2; wherein if the patient produces a ligand for KIR2DS2, administering the nucleic acid according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of treatment or prophylaxis of a patient for an NK cell regulated disease comprising determining if a patient produces a ligand for KIR2DS2;

wherein if the patient produces a ligand for KIR2DS2, administering the virus according to the invention; and

optionally wherein if the patient does not produce a ligand for KIR2DS2, administering to the patient the activated NK cells according to the invention.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is selected from:

-the peptide according to the invention;

-the immunogenic composition according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the nucleic acid according to the invention; or

-the virus according to the invention;

the method comprising the step of determining if the patient produces KIR2DS2-expressing NK cells,

wherein a patient producing KIR2DS2-expressing NK cells is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing KIR2DS2-expressing NK cells is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment. According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the peptide according to the invention;

the method comprising the step of determining if the patient produces KIR2DS2-expressing NK cells, wherein a patient producing KIR2DS2-expressing NK cells is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing KIR2DS2-expressing NK cells is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the immunogenic composition according to the invention;

the method comprising the step of determining if the patient produces

KIR2DS2-expressing NK cells,

wherein a patient producing KIR2DS2-expressing NK cells is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing KIR2DS2-expressing NK cells is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the complex according to the invention;

the method comprising the step of determining if the patient produces KIR2DS2-expressing NK cells,

wherein a patient producing KIR2DS2-expressing NK cells is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing KIR2DS2-expressing NK cells is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the vesicle according to the invention;

the method comprising the step of determining if the patient produces KIR2DS2-expressing NK cells,

wherein a patient producing KIR2DS2-expressing NK cells is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing KIR2DS2-expressing NK cells is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the nucleic acid according to the invention;

the method comprising the step of determining if the patient produces KIR2DS2-expressing NK cells,

wherein a patient producing KIR2DS2-expressing NK cells is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing KIR2DS2-expressing NK cells is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment. According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the virus according to the invention;

the method comprising the step of determining if the patient produces KIR2DS2-expressing NK cells,

wherein a patient producing KIR2DS2-expressing NK cells is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing KIR2DS2-expressing NK cells is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is selected from:

-the peptide according to the invention;

-the immunogenic composition according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the nucleic acid according to the invention; or

-the virus according to the invention; the method comprising the step of determining if the patient produces a ligand for KIR2DS2,

wherein a patient producing a ligand for KIR2DS2 is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing a ligand for KIR2DS2 is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the peptide according to the invention;

the method comprising the step of determining if the patient produces a ligand for KIR2DS2,

wherein a patient producing a ligand for KIR2DS2 is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing a ligand for KIR2DS2 is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the immunogenic composition according to the invention;

the method comprising the step of determining if the patient produces a ligand for KIR2DS2,

wherein a patient producing a ligand for KIR2DS2 is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing a ligand for KIR2DS2 is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment. According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the complex according to the invention;

the method comprising the step of determining if the patient produces a ligand for KIR2DS2, wherein a patient producing a ligand for KIR2DS2 is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing a ligand for KIR2DS2 is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the vesicle according to the invention;

the method comprising the step of determining if the patient produces a ligand for KIR2DS2,

wherein a patient producing a ligand for KIR2DS2 is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing a ligand for KIR2DS2 is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the nucleic acid according to the invention;

the method comprising the step of determining if the patient produces a ligand for KIR2DS2,

wherein a patient producing a ligand for KIR2DS2 is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing a ligand for KIR2DS2 is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

According to another aspect of the invention, there is provided a method of selecting a patient for treatment or prophylaxis with an agent arranged to activate NK cell mediated protection from a disease, wherein the agent is the virus according to the invention;

the method comprising the step of determining if the patient produces a ligand for KIR2DS2,

wherein a patient producing a ligand for KIR2DS2 is selected for the treatment or prophylaxis with the agent; and optionally wherein a patient not producing a ligand for KIR2DS2 is not selected for the treatment or prophylaxis with the agent, and/or is selected for an alternative treatment.

The ligand for KIR2DS2 may comprise a Group I HLA-C allele encoded ligand. The ligand for KIR2DS2 may comprise HLA-A 1 1.

The method for selecting a patient may further comprise administering the agent to the selected patient. The alternative treatment may comprise administering to the patient, the activated NK cell according to the invention.

Determining if a patient produces KIR2DS2-expressing NK cells may comprise providing a sample of patient blood or blood plasma and detecting KIR2DS2- expressing NK cells in the blood or blood plasma. Determining if a patient produces KIR2DS2-expressing NK cells may comprise providing a sample of patient blood or blood plasma and detecting nucleic acid encoding KIR2DS2. The detection may comprise PCR, for example using sequence specific primers (PCR-SSP). The detection may comprise nucleic acid sequencing, such as RNA sequencing. The detection may comprise antibody-mediated detection. The detection may comprise KIR2DS2 ligand- receptor binding mediated detection.

Determining if a patient produces a ligand for KIR2DS2 may comprise providing a sample of patient blood or blood plasma and detecting a ligand for KIR2DS2 in the blood or blood plasma. Determining if a patient produces a ligand for KIR2DS2 may comprise providing a sample of patient blood or blood plasma and detecting nucleic acid encoding a ligand for KIR2DS2. The detection may comprise PCR, for example using sequence specific primers (PCR-SSP) . The detection may comprise nucleic acid sequencing, such as RNA sequencing. The detection may comprise antibody-mediated detection. The detection may comprise ligand-receptor binding mediated detection.

The NK cell regulated disease may be a disease capable of being inhibited, supressed, cured, alleviated or prevented by the action of specific NK cell mediated killing. The NK cell regulated disease may be a disease capable of being modified by the action of specific NK cell killing. The NK cell regulated disease may comprise a viral infection. The viral infection may comprise HCV infection. The viral infection may comprise HIV infection. The viral infection may comprise chronic viral infection, such as chronic HCV infection. The NK cell regulated disease may comprise a KIR2DS2 mediated disease . The NK cell regulated disease may comprise an activating KIR mediated disease . The NK cell regulated disease may be any of the disease of infections selected from the group comprising cancer, HCV, HBV, HPV, Malaria, pregnancy related disorders, EBV, Kaposi sarcoma, Ebola, HSV, leprosy, and TB. The NK cell regulated disease may comprise HCV infection. The NK cell regulated disease may comprise EBV infection.

According to another aspect of the invention, there is provided a method of producing activated NK cells comprising exposing an NK cell expressing KIR2DS2 receptor to a peptide according to the invention.

The method of producing activated NK cells may be in vitro, for example in a cell culture.

According to another aspect of the invention, there is provided a method for activating an NK cell mediated immune response of a patient for recognition of an antigen comprising administration of:

-the peptide according to the invention;

-the complex according to the invention;

-the vesicle according to the invention;

-the nucleic acid according to the invention; or

-the virus according to the invention.

According to another aspect of the invention, there is provided a method for activating an NK cell mediated immune response of a patient for recognition of an antigen comprising administration of the peptide according to the invention.

According to another aspect of the invention, there is provided a method for activating an NK cell mediated immune response of a patient for recognition of an antigen comprising administration of the complex according to the invention. According to another aspect of the invention, there is provided a method for activating an NK cell mediated immune response of a patient for recognition of an antigen comprising administration of the vesicle according to the invention. According to another aspect of the invention, there is provided a method for activating an NK cell mediated immune response of a patient for recognition of an antigen comprising administration of the nucleic acid according to the invention.

According to another aspect of the invention, there is provided a method for activating an NK cell mediated immune response of a patient for recognition of an antigen comprising administration of the virus according to the invention.

The antigen may comprise a peptide derived from HCV. The antigen may comprise a peptide derived from HIV. The antigen may comprise a peptide derived from a cancer cell. The antigen may comprise a peptide derived from, or specific for, any of the diseases of infections selected from the group comprising cancer, HCV, HBV, HPV, Malaria, pregnancy related disorders, EBV, Kaposi sarcoma, Ebola, HSV, leprosy, Dengue virus, yellow fever virus, and TB . The NK cell regulated disease may comprise HCV infection, Ebola infection and Dengue virus infection.

The immune response may be protective.

According to another aspect of the invention, there is provided a peptide according to the invention for use in, or as, a vaccine .

In one embodiment, the disease or condition to be treated or prevented according to the invention is not mediated, or not primarily mediated, by a cytotoxic T-lymphocyte response. For example, the disease or condition to be treated or prevented according to the invention may be acute myeloid leukemia, myeloma or lymphoma.

The term "immunogenic", when applied to the peptide or composition of the present invention means capable of eliciting an immune response in a human or animal body. The term "isolated", when applied to the peptide or complex of the present invention means a peptide or complex: (i) encoded by nucleic acids using recombinant DNA methods; or (ii); synthesized by, for example, chemical synthetic methods; or (iii) separated from naturally-occurring biological materials, and then purified using protein analytical procedures; or (iv) associated with chemical moieties (e.g. peptides, carbohydrates, fatty acids, and the like) other than those associated with the antigenic peptide in its naturally-occurring state; or (v) that do not occur in nature . An isolated peptide or complex of the invention includes a peptide or complex expressed from a nucleotide sequence encoding the peptide or complex, or from a recombinant vector containing a nucleotide sequence encoding the peptide or complex.

The term "protective" means prevention of a disease, a reduced risk of disease infection, transmission and/or progression, reduced severity of disease, a cure of a condition or disease, an alleviation of symptoms, or a reduction in severity of a disease or disease symptoms.

The term "prophylaxis" means prevention of or protective treatment for a disease . The prophylaxis may include a reduced risk of disease infection, transmission and/or progression, or reduced severity of disease .

The term "treatment", means a cure of a condition or disease, an alleviation of symptoms, or a reduction in severity of a disease or disease symptoms. The skilled person will understand that optional features of one embodiment or aspect of the invention may be applicable, where appropriate, to other embodiments or aspects of the invention. Embodiments of the invention will now be described in more detail, by way of example only, with reference to the accompanying drawings.

FIGURE 1 shows that the peptide LNPSVAATL (SEQ ID NO: 5) binds HLA- Cw*0102. The HLA-Cw* 0102-positive cell line L721. 174 was incubated with increasing concentrations of the LNPSVAATL (SEQ ID NO: 5) peptide or a control peptide VAPWNSLSL (SEQ ID NO: 1 1 ). Cells were stained for cell surface of MHC class I and analysed by flow cytometry. The mean fluorescence intensity of cell surface MHC Class I was plotted against the peptide concentration.

FIGURE 2 shows that LNPSVAATL (SEQ ID NO: 5) is recognized by KIR2DS2-positive NK cells and leads to NK cell activation (CD 107a degranulation), and killing of target cells expressing HLA-Cw* 0102. A. cells were incubated in the presence or absence of peptides, and then cultured with

NK cells from either a KIR2DS2-positive or KIR2DS2-negative donor. The level of CD 107a (LAMP) expression was measured on NK cells positive for the CH-L antibody. This antibody binds to KIR2DS2, KIR2DL2 and KIR2DL3. B. Summary data from 5 KIR2DS2-positive and 6 KIR2DS2- negative donors tested as per panel A of Figure 2. To compare the different donors the data are normalized to 100% for the no peptide condition.

FIGURE 3 shows that KIR2DS2-postive NK cell clones kill target cells expressing HLA-Cw* 0102 and the LNPSVAATL (SEQ ID NO : 5) peptide. L721. 174 cells were incubated in the presence or absence of the peptides VAPWNSFAL (SEQ ID NO: 12) and the LNPSVAATL (SEQ ID NO: 5). The cells were then labeled with the cell tracker orange dye, and then cultured with KIR2DS2-positive NK cell clones (clones 4,6,9) or a KIR2DS2-negative NK cell clone (clone 27). Cytotoxicity was then determined using Live/Dead® fixable far-red stain.

FIGURE 4 shows that KIR2DS2 binds to HLA-C*0102 and the LNPSVAATL (SEQ ID NO: 5) peptide. A. The KIR2DS2 protein was expressed with a biotinylation C-terminal tag. Following biotinylation with the BirA enzyme, the KIR2DS2 protein was incubated with streptavidin-phycoerythrin to form fluorescent KIR2DS2-tetramers (KIR2DS2-PE) . L721. 174 cells were then incubated with indicated peptides. Cells were then stained with KIR2DS2-PE and analysed by flow cytometry. Shown are histogram plots. The bold numbers represent the mean fluorescent staining intensity of the KIR2DS2-PE staining of the cells in the presence of peptide and the non-bold numbers the staining in the absence of peptide. B. Represents the mean and standard error fluorescent intensities of the experiment in "A" following replicate experiments.

FIGURE 5 shows that KIR2DS2 recognises peptides with XXXXXAAL (SEQ ID NO: 6) and XXXXXATL (SEQ ID NO: 7) motifs. A. L721. 174 cells were incubated with indicated peptides. Cells were then stained with KIR2DS2-PE

(see Figure 4) and analysed by flow cytometry. Shown are histogram plots. The bold numbers represent the mean fluorescent staining intensity of the KIR2DS2-PE staining of the cells in the presence of peptide and the non-bold numbers the staining in the absence of peptide. B. Represents the mean and standard error fluorescent intensities of the experiment in "A" following replicate experiments. FIGURE 6 LNPSVAATL (SEQ ID NO: 5) activates NK cells expressing KIR2DS2. A. L721. 174 cells were incubated with indicated peptides. The cells were then incubated with the NK cell line transfected with KIR2DS2. The cells were lysed and the KIR2DS2 was then immunoprecipitated from the mixture using the GL 183 antibody coupled to protein-G beads. The immune precipitate was analysed by Western blotting using a phosphotyrosine antibody. The membrane was then stripped and reprobed with an antibody to DAP 12 the molecule that transduces a positive signal from KIR2DS2. Shown are the regions on the blots at the level of DAP 12 ( 12- 15kDa) . B. L721. 174 cells were incubated with indicated peptides. The cells were then incubated with the NK cell line transfected with KIR2DS2 or transfected with KIR2DL2. The cells were lysed in 1 % NP-40 and then analysed by Western blotting using antibodies to pVavl and then following stripping of the membrane to Vavl . Shown are Western blots around the 98kDa region, and below them the corresponding densitometries for 3 independent experiments.

Figure 7 lxl O ⁶ L721.221 -HLA-C*0304-ICP47 cells were incubated overnight at 26°C with indicated peptides at a concentration of 20μΜ. The cells were then incubated with the NKL cell line transfected with KIR2DS2 or transfected with KIR2DL2 for 5 minutes. The cells were lysed in 1 % NP-40 and then analysed by Western blotting using antibodies to pVavl and then following stripping of the membrane to Vavl . Shown are Western blots around the 98kDa region, and below them the corresponding densitometries for 2 independent experiments.

Figure 8 The MHC class I-negative 721.221 cell line was transfected with a construct expressing HLA-C*0102:T2A:E 19/3K:LNPSVAATL (SEQ ID NO : 5). The cells were washed and then the HLA-C binding peptides eluted using 10% acetic acid. The eluate was analysed by HPLC using a C 18 column and a 4-60% acetonitrile gradient. The resulting profile was compared to the profile of the LNPSVAATL (SEQ ID NO: 5) peptide alone . The peptide elution peak is indicated with an arrow.

Figure 9 - shows KIR2DS2 tetramer staining on 174 cells with and without the peptides. Staining comparison with the unstained cells, MFI of stained cells (indicated by *) is shown.

Figure 10 - Peptide sequence (SEQ ID NO: 10) of a DNA construct of the sequence HLA-C*0102-T2A-E 19/K-LNPSVAATL used to sensitize 721.221 cells for lysis by KIR2DS2-positive NK cells Figure 11 - Shows that a DNA construct of the sequence HLA-C*0102-T2A-

E 19/K-LNPSVAATL can sensitize cells to lysis by KIR2DS2-positive NK cells. The DNA construct of the sequence C*0102-T2A-E 19/K-LNPSVAATL (Figure 10) was transfected into 721.221 cells. A DNA construct containing only HLA-C*0102 was transfected into another batch of 721.221 cells. Killing by NKL cells either untransfected (NKL) or transfected with KIR2DL2 (2DL2) or KIR2DS2 (2DS2) was tested at the indicated effector to target ratios ( 1 : 1 or 10: 1). Killing of the HLA-C*0102-T2A-E 19/K-LNPSVAATL cell line was significantly greater (p<0.001) than the HLA-C*0102 cell line for the KIR2DS2-positive NK cells, but not the other two cell lines

Figure 12 - shows that the peptide sequences IVDLMCHATF (SEQ ID NO : 1); VIDAMCHATL (SEQ ID NO: 2); AANVMAASL (SEQ ID NO: 3); and FLSDVPVATL (SEQ ID NO: 4) bind HLA-Cw* 0102. The HLA-Cw*0102- positive cell line L721.174 was incubated with increasing concentrations of the peptides IVDLMCHATF (SEQ ID NO: 1 ); VIDAMCHATL (SEQ ID NO: 2); AANVMAASL (SEQ ID NO: 3); and FLSDVPVATL (SEQ ID NO: 4) or a control peptide LADKRPTAWF. Cells were stained for cell surface of MHC class I and analysed by flow cytometry. The mean fluorescence intensity of cell surface MHC Class I was plotted against the peptide concentration.

Figure 13 - KIR2DS2 tetramer staining on 174 cells with and without peptides. Peptides tested include IVDLMCHATF (SEQ ID NO: 1); VIDAMCHATL

(SEQ ID NO: 2); AANVMAASL (SEQ ID NO: 3); and FLSDVPVATL (SEQ ID NO: 4). A negative control peptide VAPWNSFAL (SEQ ID NO: 12) and positive control peptide LNPSVAATL (SEQ ID NO: 5) were included. The mean fluorescence intensity of the KIR2DS2 tetramer staining is shown in the right hand corner of the graph.

Figure 14 - The Dengue virus peptide IVDLMCHATF (SEQ ID NO: 1) activates KIR2DS2 positive NK cells. 174 cells were incubated with the IVDLMCHATF (SEQ ID NO: 1) and then KIR2DS2-positve transfected NKL cells or KIR2DL2-positve transfected NKL cells. Activation of NK cells was assessed by western blotting for phosphorylated Vav l , and compared to total Vav l . At high peptide concentrations the peptide IVDLMCHATF (SEQ ID NO: 1) activated KIR2DS2, but not KIR2DL2-positive NK cells. Example 1 - KIR2DS1 and its group 1 HLA-C ligands provide protection against chronic hepatitis C virus (HCV) infection.

Table 1 shows a logistic regression analysis of the outcome of HCV infection and its association with KIR and HLA in 272 individuals exposed to HCV. 180 individuals had chronic infection and 92 cleared infection. An odds ratio (OR) > 1 indicates protection against chronic HCV infection. (HLA-C*0102 is one of the group 1 HLA-C alleles).

Table 1 : KIR2DS1 and its group 1 HLA-C ligands provide protection against chronic hepatitis C virus (HCV) infection.

Example 2 - The peptide LNPSVAATL (SEQ ID NO: 5) binds HLA-Cw*0102

With reference to figure 1 , the HLA-Cw* 0102-positive cell line L721. 174 was incubated with increasing concentrations of the LNPSVAATL (SEQ ID NO: 5) peptide or a control peptide VAPWNSLSL (SEQ ID NO: 1 1) (known to bind HLA- Cw*0102) overnight at 26°C. 3xl 0 ⁵ cells were used per condition. Following washing in PBS the cells were stained for cell surface of MHC class I and analysed by flow cytometry. The mean fluorescence intensity of cell surface MHC Class I was plotted against the peptide concentration. Example 3 - LNPSVAATL (SEQ ID NO: 5) is recognized by KIR2DS2-positive NK cells and leads to NK cell activation (CD107a degranulation), and killing of target cells expressing HLA-Cw*0102. With reference to figure 2A, 3xl 0 ⁵ L721. 174 cells were incubated at 26°C overnight in the presence or absence of peptides, and then cultured for four hours with NK cells from either a KIR2DS2-positive or KIR2DS2-negative donor. The level of CD 107a (LAMP) expression was measured on NK cells positive for the CH-L antibody. This antibody binds to KIR2DS2, KIR2DL2 and KIR2DL3. NK cells from both donors have lower levels of degranulation when exposed to the VAP-FA (VAPWNSFAL) (SEQ ID NO: 12) peptide as compared to no peptide. NK cells from the KIR2DS2- positive donors have higher levels of degranulation when exposed to the LNPSVAATL (SEQ ID NO : 5) peptide as compared to no peptide . NK cells from the KIR2DS2-positive donors have higher levels of degranulation when exposed to the VAPWNSFAL (SEQ ID NO: 12) and the LNPSVAATL (SEQ ID NO: 5) peptide in combination as compared to the VAPWNSFAL (SEQ ID NO: 12) peptide alone . With reference to figure 2B, summary data from 5 KIR2DS2-positive and 6 KIR2DS2- negative donors were tested as per panel A of Figure 2. To compare the different donors the data are normalized to 100% for the no peptide condition.

Example 4 - KIR2DS2-postive NK cell clones kill target cells expressing HLA- Cw*0102 and the LNPSVAATL (SEQ ID NO: 5) peptide

With reference to figure 3, 3xl 0 ⁵ L721. 174 cells were incubated at 26°C overnight in the presence or absence of the peptides VAPWNSFAL (SEQ ID NO: 12) and the LNPSVAATL (SEQ ID NO: 5). The cells were then labeled with the cell tracker orange dye, and then cultured for four hours with KIR2DS2-positive NK cell clones (clones 4,6,9) or a KIR2DS2-negative NK cell clone (clone 27). Cytotoxicity was then determined using Live/Dead® fixable far-red stain. Only clones 4, 6, 9 killed the L721. 174 cell line to greater extent in the presence of the LNPSVAATL (SEQ ID NO : 5) peptide as compared to no peptide or the VAPWNSFAL (SEQ ID NO: 12) peptide.

Example 5 - KIR2DS2 binds to HLA-C*0102 and the LNPSVAATL (SEQ ID NO: 5) peptide

With reference to figure 4A, the KIR2DS2 protein was expressed as a recombinant protein with a biotinylation C-terminal tag. Following biotinylation with the BirA enzyme, the KIR2DS2 protein was incubated with streptavidin-phycoerythrin to form fluorescent KIR2DS2-tetramers (KIR2DS2-PE). 3xl 0 ⁵ L721. 174 cells were then incubated overnight at 26°C with indicated peptides at a concentration of 200μΜ. Cells were then stained with KIR2DS2-PE and analysed by flow cytometry. Shown are histogram plots. The bold numbers represent the mean fluorescent staining intensity of the KIR2DS2-PE staining of the cells in the presence of peptide and the non-bold numbers the staining in the absence of peptide. With reference to figure 4B, panel B represents the mean and standard error fluorescent intensities of the experiment in "A" following replicate experiments.

Example 6 - KIR2DS2 recognises peptides with XXXXXAAL (SEQ ID NO: 6) and XXXXXATL (SEQ ID NO: 7) motifs

With reference to figure 5A, 3xl 0 ⁵ L721. 174 cells were incubated overnight at 26°C with indicated peptides at a concentration of 200μΜ. Cells were then stained with KIR2DS2-PE (see Figure 4) and analysed by flow cytometry. Shown are histogram plots. The bold numbers represent the mean fluorescent staining intensity of the KIR2DS2-PE staining of the cells in the presence of peptide and the non-bold numbers the staining in the absence of peptide . With reference to figure 5B, panel B represents the mean and standard error fluorescent intensities of the experiment in "A" following replicate experiments.

Example 7 - LNPSVAATL (SEQ ID NO: 5) activates NK cells expressing KIR2DS2.

With reference to figure 6A, lxl O ⁶ L721. 174 cells were incubated overnight at 26°C with indicated peptides at a concentration of 20μΜ. The cells were then incubated with the NK cell line transfected with KIR2DS2 for 5 minutes. The cells were lysed in 1 % digitonin buffer and the KIR2DS2 was then immunoprecipitated from the mixture using the GL 183 antibody coupled to protein-G beads. The immune precipitate was analysed by Western blotting using a phosphotyrosine antibody. The membrane was then stripped and reprobed with an antibody to DAP 12 the molecule that transduces a positive signal from KIR2DS2. Shown are the regions on the blots at the level of DAP 12 ( 12- 15kDa). The LNPSVAATL (SEQ ID NO : 5) peptide induces phosphorylation of DAP 12. With reference to figure 6B, lxl O ⁶ L721. 174 cells were incubated overnight at 26°C with indicated peptides at a concentration of 20μΜ. The cells were then incubated with the NK cell line transfected with KIR2DS2 or transfected with KIR2DL2 for 5 minutes. The cells were lysed in 1 % NP-40 and then analysed by Western blotting using antibodies to pVavl and then following stripping of the membrane to Vavl . Shown are Western blots around the 98kDa region, and below them the corresponding densitometries for 3 independent experiments .

Example 8 - KIR2DS2 is activated by the peptide GAVPDLAWL (SEQ ID NO: 8) and GAVPDLATL (SEQ ID NO: 9) With reference to figure 7, lxl O ⁶ HLA-C*0304:ICP47: 721.221 cells were incubated overnight at 26°C with indicated peptides at a concentration of 20μΜ. The cells were then incubated with the NK cell line transfected with KIR2DS2 for 5 minutes. The cells were lysed in 1 % NP-40 and then analysed by Western blotting using antibodies to pVav l and then following stripping of the membrane to Vav l . Shown is a Western blots around the 98kDa region, and below them the corresponding densitometries for 3 independent experiments.

Example 9

Figure 8 shows the elution profile of the peptide in a construct HLA- C:T2A:E 19/3K:Peptide (Figure 8). The cell line 721.221 expressing HLA- C*0102:T2A:E 19/3K:LNPSVAATL. Following elution of the HLA-C binding peptides using 10% acetic acid the peptides were analysed by HPLC using a C I 8 column and an acetonitrile gradient. When compared to the control LNPSVAATL (SEQ ID NO: 5) peptide a peak is seen in the peptide eluate that corresponds to the reterntion time of the LNPSVAATL (SEQ ID NO: 5) peptide indicating that it is endogenously processed and presented and that this is a suitable vaccine construct.

Example 10: a construct in the sequence HLA-C*0102-T2A-E19/K-LNPSVAATL can be used to activate NK cells

With reference to Figure 1 1 , 721.221 HLA class I-negative cells were transduced with a construct expressing HLA-C*0102-T2A-E 19/K-LNPSVAATL or with a construct expressing HLA-C*0102. Cells were then used in cytotoxicity assays at different effector to target ratios. At effector to target ratios of 1 : 1 or 10: 1 KIR2DS2-positive NKL cells killed the cells expressing HLA-C*0102-T2A-E 19/K-LNPSVAATL more efficiently than those expressing only HLA-C*0102. This demonstrated that a peptide (LNPSVAATL) can be sued to activate NK cells through the route of intracellular expression and endogenous presentation. Example 11 : Peptides IVDLMCHATF (SEQ ID NO: 1 ), VIDAMCHATL (SEQ ID NO: 2), AANVMAASL (SEQ ID NO : 3), and FLSDVPVATL (SEQ ID NO: 4) can bind HLA-C*0102

With reference to figure 12, the HLA-Cw* 0102-positive cell line L721. 174 was incubated with increasing concentrations of the peptides IVDLMCHATF (SEQ ID NO: 1), VIDAMCHATL (SEQ ID NO: 2), AANVMAASL (SEQ ID NO: 3); and FLSDVPVATL (SEQ ID NO: 4) overnight at 26°C. 3xl 0 ⁵ cells were used per condition. Following washing in PBS the cells were stained for cell surface of MHC class I and analysed by flow cytometry. The mean fluorescence intensity of cell surface MHC Class I was plotted against the peptide concentration.

Example 12 KIR2DS2 binds to HLA-C*0102 and the Example 11- KIR2DS2 binds to HLA-C*0102 and the peptides IVDLMCHATF (SEQ ID NO: 1 ), VIDAMCHATL (SEQ ID NO: 2), AANVMAASL (SEQ ID NO: 3), and FLSDVPVATL (SEQ ID NO: 4)

With reference to figure 13, the KIR2DS2 protein was expressed as a recombinant protein with a biotinylation C-terminal tag. Following biotinylation with the BirA enzyme, the KIR2DS2 protein was incubated with streptavidin-phycoerythrin to form fluorescent KIR2DS2-tetramers (KIR2DS2-PE). 3xl 0 ⁵ L721. 174 cells were then incubated overnight at 26°C with indicated peptides at a concentration of 200μΜ. Cells were then stained with KIR2DS2-PE and analysed by flow cytometry. Shown are histogram plots. The numbers in the top right-hand corners represent the mean fluorescent staining intensity of the KIR2DS2-PE staining of the cells in the presence of peptide.

Example 13 - IVDLMCHATF (SEQ ID NO : 1) activates NK cells expressing KIR2DS2. With reference to figure 14, lxl O ⁶ L721. 174 cells were incubated overnight at 26°C with indicated peptides at increasing concentrations. The cells were then incubated with the NK cell line transfected either with KIR2DS2 or KIR2DL2 for 5 minutes. The cells were lysed in 1 % NP-40 and then analysed by Western blotting using antibodies to pVav l and then following stripping of the membrane to Vav l .

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