US008076089B2 (12) United States Patent (10) Patent N0.: (45) Date of Patent: Tseng et a1. (54) BIOMARKERS FOR LIVER DISEASES AND METHOD FOR USING THE SAME 6,329,198 B1 6,423,836 B1 2003/0153013 A1 (75) Inventors: Tzu Ling Tseng, Chiayi (TW); Ping Fu Cheng, Changhua County (TW) (73) Assignee: Industrial Technology Research Institute, Hsinchu (TW) (*) Notice: Subject to any disclaimer, the term of this patent is extended or adjusted under 35 U.S.C. 154(b) by 0 days. US 8,076,089 B2 Dec. 13, 2011 12/2001 King et al. 7/2002 King et al. 8/2003 Huang FOREIGN PATENT DOCUMENTS JP 10319019 4/1998 OTHER PUBLICATIONS Gonzalez et al. ‘Molecular cloning and sequencing of Zeta-crystallin/ quinone reductase cDNA from human liver.’ Biochem. Biophys. Res. Commun. 191:902-907, 1993* Tang et a1. ‘Identi?cation of C-Crystallin/NADPHzQuinone Reductase as a Renal Glutaminase mRNA pH Response Element (21) App1.No.: 12/763,453 binding Protein.’ J. Biol. Chem. 276(24):21375-211380, 2011.* Schmits et al., Analysis of the antibody repertoire of astrocytoma (22) Filed: patients against antigens expressed by gliomas, Int. J. Cancer, vol. 98, Apr. 20, 2010 pp. 73-77, 2002. (65) Prior Publication Data US 2010/0261209 A1 Oct. 14,2010 Related US. Application Data (60) Continuation of application No. 12/073,603, ?led on Mar. 7, 2008, noW abandoned, Which is a division of Lerner et al., Tapping the immunological repertoire to produce anti bodies of predetermined speci?city, Nature, vol. 299, pp. 592-596, 1982. Le Naour et al., A distance repertoire of autoantibodies in hepatocel lular carcinoma identi?ed by proteomic analysis, Molec & Cellular Proteomics, vol. 1, pp. 197-203, 2002. * cited by examiner application No. 11/013,684, ?led on Dec. 17, 2004, noW abandoned. (30) Primary Examiner * Nora Rooney Foreign Application Priority Data Dec. 19, 2003 (TW) ............................. .. 92136309A (74) Attorney, Agent, or Firm * Bacon & Thomas, PLLC (57) ABSTRACT Biomarkers for liver diseases and method for using the same are provided. For detecting liver cirrhosis and liver cancer, the (51) Int. Cl. G01N 33/53 (52) US. Cl. ...................................................... .. 435/71 sequences With SEQ ID NO:1 to SEQ ID NO:24 or deriva (58) Field of Classi?cation Search ...................... .. None tives or fragments or variants or the combination thereof or See application ?le for complete search history. the antibodies against the amino acid sequences. Then the biomarkers are further developed into detection kits, such that by detecting the existence of autoantibodies or autoantigens in screened specimens, liver diseases are detected With higher (56) (2006.01) References Cited U.S. PATENT DOCUMENTS 4,487,830 A * 6,087,117 A 12/1984 biomarkers are selected from any one of the amino acid accuracy and sensitivity. Coates etal. .............. .. 435/723 7/2000 King etal. 8 Claims, 2 Drawing Sheets US. Patent umwor?mohum Dec. 13, 2011 A. E“mBx5E3oD%B Sheet 2 of2 US 8,076,089 B2 N@E US 8,076,089 B2 1 2 BIOMARKERS FOR LIVER DISEASES AND METHOD FOR USING THE SAME Cancer has been the leading cause of death in TaiWan since 1982, Whereas liver cancer is ranked among the top as the CROSS REFERENCES TO THE RELATED APPLICATIONS ?nd biomarkers With high accuracy and not susceptible to cause of death in both men or Women. Thus it is important to interference and use those biomarkers to develop detection kits for liver cirrhosis and cancer to effectively screen patients With liver diseases in the hope that early diagnosis and early This is a continuation application of US. application Ser. No. 12/073,603 ?led Mar. 7, 2008, noW abandoned, Which is a division ofU.S. application Ser. No. 11/013,684 ?led Dec. 17, 2004, noW abandoned. treatment can help loWer the mortality rate. SUMMARY OF THE INVENTION BACKGROUND OF THE INVENTION in addressing the draWbacks of prior arts, the present inven tion provides biomarkers for liver diseases, Which can be developed into detection kits for diagnosis of liver cirrhosis 1. Field of the Invention The present invention is related to biomarkers for liver diseases and method for using the same, in Which a method and liver cancer based on the knoWledge of the existence of autoantibodies. for screening autoantigens is employed to identify biomark An objective of the present invention is to provide biom ers that can be used in detecting liver diseases. The identi?ed biomarkers are further developed into detection kits to detect the presence of autoantibodies or autoantigens in specimens for screening of liver diseases. 2. Description of Related Art People With impaired immune functions are prone to develop immune diseases. The etiology of many human dis arkers for detecting liver cirrhosis and liver cancer, Which are selected from any one of the amino acid sequences With SEQ 20 ID NO:1 to SEQ ID NO:24 or derivatives or fragments or variants or the combination thereof or the antibodies against the amino acid sequences. According to the present invention, the aforesaid variants are obtained by substituting, deleting, inserting and/ or adding to the amino acid in the amino acid sequences of the biomar eases may be traced to our immune system in any of the three conditions described beloW. The ?rst is reduced immunity, loWer activity of immune cells, or reduced quantity of immune cells, such that the human body cannot ?ght off the invading bacteria, virus or mold, and becomes susceptible to contagious diseases, such as common cold, ?u, pneumonia, 25 ker With one or more amino acids; the amino acid sequence of enteritis, or even hepatitis and AIDS. The second condition is immunode?ciency or over-reaction of the immune system 30 the variant and that of the biomarker have sequence homology greater than 80%. Another objective of the present invention is to provide a detection kit for liver diseases, comprising a set of biomarkers selected from any one of the amino acid sequences With SEQ ID NO:1 to SEQ ID NO:24 or derivatives or fragments or variants or the combination thereof. In one embodiment of the present invention, the aforesaid Where the invading sub stances are not germs, but tiny pollens or macromolecular proteins in the food ingested, against Which the immune system releases a large amount of antibod ies. Such attack and defense occur in our cells, causing a chain of reactions Which is also called allergy. When real pathogens 35 detection kit may further include secondary antibodies that can recogniZe the antibodies against any one of the amino acid sequences With SEQ ID NO:1 to SEQ ID NO:24 or such as bacteria, virus or mold attack the human body at this derivatives or fragments or variants thereof. time, the immune system is no longer able to put up resis tance. The third condition of impaired immune system is the immune cells attack normal cells in the human body, called method for screening liver diseases, comprising the steps of: providing a specimen; using biomarkers selected from any autoimmune disorder as in the case of rheumatoid arthritis, A further objective of the present invention is to provide a 40 one of the amino acid sequences With SEQ ID NO:1 to SEQ lupus erythematous, and herpes. Such immune diseases arise ID NO:24 or derivatives or fragments or variants or the com from our oWn immune system having an identi?cation prob bination thereof to capture the autoantibody in the specimen; lem that autoantibodies are produced against human body’s oWn cells, resulting in tissue damage and illnesses. and detecting the autoantibody. It is noW knoWn that autoantibodies are present not just in autoimmune diseases. More and more studies indicate that in the immune response to cancer, autoantigen (from the tumor) and autoantibody (from the body) exist in some cases. Thus the detection of tumor autoantigen that elicits body response may be directed toWards and applied in the testing, diagnosis, Yet another objective of the present invention is to provide 45 A further objective of the present invention is to provide a method using the aforesaid detection kit to screen liver dis 50 specimen; and detecting the antibody-antigen complex. US. Pat. No. 6,631,330, 5,137,807, 5,830,667, 6,264,949, This invention is based on the use of autoantigen screening 55 lines (HepG2 C3A & SNU-387) in sequence through the normal antibody column and patient antibody column to 60 US. Pat. No. 5,891,436 and Publication No. 20030138860 disclose the use of biomarkers to detect the presence of autoantibodies in human serum as a diagnostic tool for pri mary biliary cirrhosis or hepatocellular carcinoma. Those patents con?rm the existence of autoantibodies in cancer kers in cancer screening. from normal persons, liver cirrhosis patients, and liver cancer umns; passing the cell extracts from liver disease related cell lular carcinoma as a diagnostic tool. But the biomarkers dis closed in those patents lack accuracy or are susceptible to patients and thereby establish the rational for using biomar method, comprising the steps of: ?rstly purifying antibodies patients respectively and immobilizing them in different col arkers in the diagnosis ofhepatocellular carcinoma; US. Pat. No. 6,410,724 uses DNA primer associated With hepatocel interference to a certain extent. eases, comprising the steps of: providing a specimen; using the antibody against any one of the amino acid sequences With SEQ ID NO:1 to SEQ ID NO:24 to capture the antigen in the or prognosis of cancer, and furthermore, in the treatment of disease. and 5,985,542 disclose the use ofbiomarkers in the diagnosis of cirrhosis, ?brosis or autoimmune hepatitis (All-I); US. Pat. Nos. 4,994,374 and 5,175,084 disclose the use of biom a detection kit for liver diseases, comprising a set of antibod ies against any one of the amino acid sequences With SEQ ID N011 to SEQ ID NO:24. 65 obtain autoantigens associated With liver cirrhosis and liver cancer; using those autoantigens as biomarker kits coupled With enzyme-linked immunosorbent assay (ELISA), radio immunoassay (RIA), or immuno?uorescence to detect the presence of autoantibodies against said autoantigens in the screened specimen, and based on Which, to determine Whether the patient has liver cirrhosis or liver cancer. Since those biomarkers are identi?ed based on existing autoanti US 8,076,089 B2 3 4 bodies, they can be developed into diagnostic kits to deter variants or the combination thereof. The aforesaid specimen mine if the patient has such diseases based on the presence of autoantibodies against the biomarkers. Such method is much is Whole blood or serum, preferably serum. To facilitate the detection, the aforesaid biomarker may come in any form, including but not limited to, a detection kit easier than direct screening of the antigen and offers greater accuracy and sensitivity. or pre-immobiliZed on a substrate, said substrate may be an BRIEF DESCRIPTION OF THE DRAWINGS immunoassay plate or a biochip, said substrate may be an immunoassay plate or a biochip. The autoantibodies in the specimen captured by the biomarkers can be recogniZed and adsorbed by the secondary antibodies, Which are modi?ed antibodies having special functional groups for color reac FIG. 1 shoWs a ?oW chart of an autoantigen screening method according to the present invention. FIG. 2 shoWs a ?oW chart of using biomarkers for screen tion, radio detection or ?uorescence detection. ing autoantibody according to the present invention. After autoantibody is adsorbed by the secondary antibody, a special reagent is added to undergo color reaction and DETAILED DESCRIPTION OF THE INVENTION enZyme-linked immunosorbent assay (ELISA) is employed to determine the presence of the secondary antibody, and The present invention relates to the use of an autoantigen from Which to learn the presence of the autoantibody as a basis for determining if the patient has liver cancer or liver screening method to identify biomarkers that may be used in the detection of liver diseases, such as liver cirrhosis and liver cancer. Said autoantigen screening method as shoWn in FIG. 1 comprises the folloWing steps: ?rstly obtaining serum samples from normal persons and patients and passing the cirrhosis. The presence of the secondary antibody and thereby 20 respective samples over a?inity columns that can capture antibodies to purify the antibodies contained in the serum marker (e.g. cy3 or Cy5) prior to reacting With the biomark samples; next packing respectively the resulting puri?ed nor mal antibodies and patient antibodies into columns to obtain a column containing antibodies from normal persons (normal ers. The ?uorescence-labeled autoantibodies screened by the 25 Whether a patient has liver cirrhosis or liver cancer. To achieve 30 To continue the procedure, passing the sample from the extract of disease related cell lines or pathological tissues over the normal antibody column Where non-speci?c anti gens are captured and retained in the column through the 35 non-speci?c antigens are removed, the sample constitutes only speci?c antigens. Next, passing the sample over the 40 EXAMPLE 1 45 Autoantibodies in the Serum Sample spectrum technology; the aforesaid determination procedure involves comparing the signals from mass spectrograph With 50 Autoantigens in liver disease related cell lines are puri?ed and identi?ed according to the method described above. Given that those autoantigens are identi?ed by the antibodies in patient sera, the autoantigens or derivatives or fragments or serum using a 0.45 pm ?lter membrane to prevent the block 55 arkers are selected from autoantigens screened by the autoan tigen screening method or its derivatives or fragments or age of column in subsequent steps; next rinsing a Protein G a?inity column With the binding buffer ten times the column volume at the rate of 1 ml/min, and then passing the ?ltered serum sample over the Protein G af?nity column at the rate of 0.2 ml/min to retain the antibodies in the column through a?inity; rinsing the Protein G a?inity column again using the binding buffer 5-10 times the column volume at the rate of 1 ml/min to remove sub stances in the serum sample that do not 60 form af?nity bonding With the column. Eluting antibodies from the column using an elution buffer (0.1 M Glycine-HCl, pH 2.7) 2-5 times the column volume at the rate of 1 ml/min and collecting the elated antibodies in a test tube Which is cation of the detection method. As shoWn in FIG. 2, the screening method utiliZing the detection kits described above comprises the steps of: provid ing a specimen; using biomarkers to capture the autoantibody in the specimen; and detecting the autoantibody. Said biom Firstly obtaining a serum of a patient With liver cirrhosis or liver cancer, diluting the serum With a binding buffer (20 mM PBS, pH 7.0) at the ratio of 1:10, and then ?ltering the diluted ence of autoantibodies in screened specimen, it can be deter mined Whether the patient has liver cirrhosis or other liver diseases. In addition to biomarkers, the detection kits can further include secondary antibodies that can recogniZe the autoantibodies against the biomarkers to facilitate the appli Screening of Autoantigens Using Autoantibodies in Sera of Patients With Liver Diseases Puri?cation of body column are subjected to determination by the mass ers and developed into detection kits. By detecting the pres tions made in the example should not be construed as a limitation on the actual application of the present invention. Finally, the autoantigens displaced from the patient anti variants or combinations thereof can be utiliZed as biomark The method of using the aforesaid detection kit for screen ing liver cancer and liver cirrhosis comprises the steps of: providing a serum specimen; using the aforesaid antibody to The advantages of the present invention are further depicted With the illustration of an example, but the descrip related autoantigen. Since non-speci?c antigens have been the database to obtain the information on the autoantigens. kit containing antibodies that can recogniZe autoantigens identi?ed by the autoantigen screening method for the screen ing of liver diseases. the antibody-antigen complex. column packed With patient antibodies to screen disease removed by normal serum antibodies, the autoantigens as identi?ed by patient’s autoantibodies are more speci?c. this purpose, the present invention also provides a detection recogniZe and capture the antigen in the serum; and detecting speci?c a?inity of normal antibodies; this step may be vieWed as pre-treatment of the sample before the patient antibody column is used to screen autoantigens in the sample. After biomarkers can then be detected by a ?uorescence scanner Without the use of the secondary antibody. Besides detecting the presence of the autoantibody, detec tion of the antigen may also be used as a basis for determining antibody column) and a column containing antibodies from patients (patient antibody column) in Which antibodies are immobiliZed through the chemical bonding formed betWeen the antibodies and chemical functional groups in the column; obtaining a sample Which may be the extract of disease related cell lines or pathological tissues; the aforesaid serum sample may be that of a single patient or a mixture sample containing the sera of a plurality of patients. the presence of the autoantibody can also be determined by radioimmunoassay (RIA) or immuno?uorescence. If the screening method does not include the secondary antibody, the specimen may be labeled With a ?uorescence 65 added beforehand With 60-200 ul Tris-HCL solution (1 M, pH 9.0). Finally displacing the sample in a coupling buffer (0.2M NaHCO3, 0.5M NaCl, pH 8.3) to complete the puri?cation of autoantibodies (IgG) in the serum sample. US 8,076,089 B2 5 6 The method according to the present invention requires one normal IgG and patient IgG column each. Thus sera from normal persons and patients should be obtained and subject to column is free of non- speci?c antigens. Injecting the resulting cell extract into the patient antibody column. Eluting the column With the binding buffer 5-10 times the column vol ume at the rate of 1 ml/min. At this time, the autoantigens the puri?cation steps described above. Preparation of Columns Containing Autoantibodies Pipette one drop of an acidi?cation solution (1 mM HCl, ice bathed) into a NHS-activated column to prevent the for mation of bubbles. After connecting the upper end of the column With a syringe or pump, removing the adapter at the bottom of the column. Rinsing out isopropanol in the column using the acidi?cation solution tWo times the column volume. present in the cell extract Will be captured by the autoanti bodies from the patients and retained in the column. When the cell extract passes over the normal antibody column, the antigens captured by the normal antibodies are retained in the column, Whereas the cell extract free of antigens can be iden 10 ti?ed and captured by the normal antibodies, only antigens that can be identi?ed and captured by the patient antibodies Will be retained by the column. The antigens retained in the patient antibody column are eluted and collected using the After repeating the Wash step three times, injecting the sample containing autoantibodies into the column. Preparing the aforesaid coupling buffer containing puri?ed autoanti elution buffer 2-5 times the column volume at the rate of 1 the column volume and a concentration of 0.5-10 mg/ml. ml/minl. Subjecting the ?ow-through to protein hydrolysis using trypsin and the resulting peptides are assayed using the After passing the aforesaid sample containing autoantibodies mass spectrum technology. The resulting spectrographs are over the column, sealing the column and let the reaction go on for 15-30 minutes under 25° C. or 4 hours under 40 C. to proteins. bodies into a solution With a volume equivalent to one time immobiliZe the antibodies in the column through chemical bonding. compared With the database to obtain the information on the 20 After the bonding betWeen the autoantibodies and the col umn, eluting the column With a blocking buffer (0.5M etha nolamine, 0.5M NaCl, pH 8.3) tWo times the column volume, and repeating the steps three times. Then rinsing the column With a Washing buffer (0.1M acetate, 0.5M NaCl, pH 4) tWo cancer, the folloWing autoantigens are obtained: 1. Nucleoside diphosphate kinase (gi|1421609, SEQ ID NO.1). 25 times the column volume and also repeating the steps three times. Again eluting the column three times using the afore said blocking buffer tWo times the column volume each time, and then let the column react 15-30 minutes to block and inactivate the functional groups in the column that are not 30 bound With autoantibodies. After completing the blocking reaction, rinsing the column three times using the aforesaid Washing buffer tWo times the column volume each time, folloWed by eluting the column three times using the afore said blocking buffer tWo times the column volume to make 35 blocked. Again rinsing three times the column using the packed With the autoantibodies. Identi?cation of Autoantigens from Extract of Liver Disease 40 Firstly rinsing 2.68 mg of HepG2 C3A cells With culture mM Tris pH 7.5, 150 mM NaCl, 1.5 mM PMSF, phosphatase inhibitors) tWice, then adding in 1 ml of Triton Extraction solution (15 mM Tris pH 7.5, 120 mM NaCl, 25 mM KCl, 2 mM EGTA, 0.1 mM DTT, 0.5% Triton X-100, 10 ug/ml leupeptin, 0.5 mM PMSF, and phosphatase inhibitors) and let 45 it stand for 30 minutes under 40 C. At this time, cells start to 50 isomerase-related protein 5 12. Tumor necrosis factor type I receptor associated protein TRAP-1 (gil 1082886, SEQ ID NO.12). 13. Tumor rejection antigen (gp96) 1; glucose regulated protein (gil4507677, SEQ ID NO.13). NO. 1 5). 16. Heat shock 60kDa protein 1 (gi|31542947, SEQ ID NO. 1 6). 17. HMG-l (gil968888, SEQ ID NO.17). 18. KIAA0144 gene product (NICE-4 protein) (gi|13111995, SEQ ID NO.18). NO. 1 9). 55 quent steps. Prior to injecting the sample into the IgG column, rinsing the normal and patient antibody columns With the 20. Glyceraldehyde 3-phosphate dehydrogenase, liver (gil30157565, SEQ ID NO.20). 21. Cytokeratin (giI1419564, SEQ ID NO.21). 22. IGF-II mRNA-binding protein 1 (gi|4191608, SEQ ID NO.22). 23. NADPH: quinone reductase (gi|13236495, SEQ ID 60 NO.23). 24. Crystal Structure of The Human Co-Chaperone P23 (hsp-90 co-chaperone) (gil9257073, SEQ ID NO.24). antibody column With the binding buffer 5-10 times the col step is to remove non-speci?c antigens in the HepG2 C3A cells. As a result, the cell extract that has passed through the disul?de 19. Valosin-containing protein (p97); transitional endo plasmic reticulum ATPase (gil 6005942, SEQ ID decompose and release proteins. Centrifuging (With a table umn volume at the rate of 1 ml/min. At this time, antigens in the cell extract that are identi?ed and captured by the normal antibodies Will be retained in the column. The purpose of this Protein (gi|1710248, SEQ ID N06). 7. Unnamed protein product (gi|21750187, SEQ ID NO.7). 8. Tropomyosin alpha 3 (gil37403, SEQ ID NO.8). 9. Trypomyosin alpha 4 (gi|10435300, SEQ ID NO.9). 14. Heat shock protein 90-beta (gil72222, SEQ ID NO.14). 15. Heat shock protein 90-alpha (gil23678, SEQ ID medium removed With an ice-bathed Iris saline solution (50 binding buffer ten times the column volume at the rate of 1 ml/min. Then passing the ?ltered cell extract over the normal antibody column at the rate of 0.2 ml/min. Eluting the normal N05). 10. Calreticulin precursor (gil4757900, SEQ ID NO.10). 1 1. Human pre-mRNA splicing factor SF2p32 (gil338043, SEQ ID NO.11). Related Cell Lines top centrifuge) the solution at 14,000 rpm under 40 C. for 15 minutes to remove solid, insoluble cell structures. Collecting the supematants to carry on immunoa?inity chromatography. After diluting the cell extract collected With the binding buffer at the ratio of 1:10, passing it through a 0.45p. ?lter membrane to prevent the blockage of the column in subse 2. NM23 protein (gil35068, SEQ ID N02). 3. ATP synthase beta chain, mitochondrial [precursor] (gil28940, SEQ ID N03). 4. 14-3-3 Zeta protein (tyrosine 3/tryptophan 5-monooxy genase activation protein) (gil4507953, SEQ ID NO.4). 5. 14-3-3 epsilon protein (tyrosine 3/tryptophan 5-mo nooxygenase activation protein) (gil4507953, SEQ ID 6. sure all functional groups not bound With autoantibodies are Washing buffer tWo times the column volume each time. Finally eluting the column With a pH neutral buffer 2-5 times the column volume to complete the preparation of the column By screening liver disease related cell lines With autoanti bodies in the serum of the patients With liver cirrhosis or liver 65 The autoantigens identi?ed With the antibodies from liver disease related cell lines are shoWn in Table 1; the left side of the Table 1 lists the GI number and name of the proteins and the right side indicates the autoantigens that may be identi?ed from cell lines using sera of patients With liver cirrhosis or liver cancer. As shoWn, those autoantigens are not just present US 8,076,089 B2 7 8 in one liver disease, they are repeatedly identi?ed in different cell lines using autoantibodies in sera of different sources, indicating their close correlation With liver diseases. Some proteins listed in Table 1 have tWo GI numbers. That is because the protein and its variant had similar results in the Gelatin, 0.15M NaCl, 5 mM EDTA'2Na, 0.05% Tween-20, 50 mM Tris base, or b. 1% BSA-PBS, pH:7.4, or c. 5% non-fat milk-PBS, pH:7.4) and let blocking reaction go on for at least 2 hours under ambient temperature; after the reaction is completed, Washing With a PBST buffer three times and then depositing a 100 ul/Well serum solution to be mass spectrometry. TABLE 2 Autoantigens screened from liver disease related cell lines Liver cirrhosis Liver cancer Liver cirrhosis Liver cancer serum vs. serum vs. serum vs. serum vs. HepG2 C3A HepG2 C3A SNU-387 SNU-387 . . . . . . . . GI number Name ofprotein 1421609 28940 4507953, Nucleoside Diphosphate Kinase (=NM23 protein) ATP synthase beta chain, mitochondrial [Precursor] 14-3-3 protein 5 803225 1710248 Protein disul?de isomerase-related protein 5 . 21750187 Gil21750187 Unnamed protein product (RANirecimot) 37403, Tropomyosin . . 10435300 4757900 Calreticulin precursor . . 338043 Human pre-mRNA splicing factor SF2p32, complete . . 1082886 Tumor necrosis factor type 1 receptor associated . . 4507677 protein TRAP-1 Tumor protein antigen (gp96)1; glucose regulated . . Heat shock protein 90 . . Heat shock 60 kDa protein 1 (chaperonin); mitochondrial matrix protein P1 HMG-l (high-mobility group-1) KIAAO 144 gene product (NICE-4 protein) . Valosin-containing protein (p97); transitional . sequence protein 72222, 123 678 31542947 968888 13111995 6005942 . . endoplasmic reticulum ATPase 30157565 Glyceraldehyde 3-phosphate dehydrogenase, liver . 14195 64 4191608 13236495 9257073 Cytokeratin IGF-II mRNA-binding protein 1 NADPH-quinone reductase Crystal Structure of The Human Co-Chaperone P23 . . . . (hsp-90 co-chaperone) EXAMPLE 2 40 Determining the Availability of Autoanti gens Identi?ed by the Autoantigen Screening Method To demonstrate the availability of 24 autoantigens identi autoantibodies in the serum Will react With immobiliZed biomarkers. After reaction for at least 2 hours under ambient 45 ?ed in Example 1, further assay of serum samples from nor mal persons, liver cirrhosis patients and liver cancer patients using immunoassay (ELISA, RIA or immuno?uorescence) and the aforesaid 24 biomarkers is carried out. The assay method includes the folloWing steps as shoWn in FIG. 2: 50 providing a specimen; using the biomarker selected from any one of the amino acid sequences With SEQ ID N011 to SEQ 30 minutes. Afterwards, adding a 100 ul/Well 0.5M HZSO4 55 60 biomarker, preferably a buffer having pH 1~2 higher than pi. Adding 100 ul/Well biomarker solution to ELISAplate and let it stand overnight under 40 C. for immobilization. To continue the procedure, removing an unattached biom arker by Washing the plate With a PBST buffer tWice (PBST buffer: PSB buffer+0.05% Tween-20), then adding a 200 ul/Well blocking buffer (choice of a. Gelatin-NET: 0.5% and detecting absorbance at 450 nm. To make sure the expression of the autoantibody can be used for diagnosis of liver cirrhosis and/or liver cancer, ELISA is employed to obtain the absorbance values of biomarker With a coating buffer (choice of a. 50 mM Na2HCO3, pH:9.6, or b. 20 mM Tris-HCl, pH:8.5, or c. 10 mM PBS, pH:7.4) to a concentration of 0.5~1 0 ug/ml, Where the coating buffer is selected according to the PI value of the tibody. After reaction for at least 1 hour under ambient tem Then adding in a 100 ul/Well TMB to elicit color reaction for bination thereof to capture the autoantibody in the specimen; In the example of enZyme-linked immunosorbent assay (ELISA), the folloWing steps are taken: ?rstly diluting the temperature, Washing the plate four times With the PBST buffer and then adding in a 1000 ul/Well secondary antibody (diluted 5000 times With the blocking buffer). At this time, the secondary antibody Would recogniZe and adsorb the autoan perature, Washing the plate ?ve times With the PBST buffer. ID NO:24 or derivatives or fragments or variants or the com and detecting the autoantibody. assayed (a serum solution is obtained by diluting the serum sample 1000 times With the blocking buffer). At this time, the 65 autoantibodies in the sera of normal persons, liver cirrhosis patients and liver cancer patients as identi?ed by respective autoantigens. The data derived from ?ve proteins-GADPH, NADPH, HMG-l, NM23 and Cytokeratin are subject to bio statistical analysis and Wilcoxon-Mann-Whitney Test. The folloWing results at a 95% con?dence level as shoWn in the table beloW are obtained: US 8,076,089 B2 9 Normal person vs. 10 GADPH NADPH HMG-1 NM23 Cytokeratin p = 0.001 p = 0.001 p = 0.00006 p = 0.0001 p = 0.001 p = 0.017 p = 0.016 p = 0.015 p = 0.002 p = 0.016 p >0.05 p > 0.05 p >0.05 p > 0.05 Liver cirrhosis patient Normal person vs. Liver cancer patient Liver cirrhosis patientvs. p > 0.05 Liver cancer patient Normal person: N= 10; liver cirrhosis patient: N = 15; liver cancer patient: N = 21 (the assumption ofp < 0.05 is valid) mal persons and liver cirrhosis patients differed by 24 folds, Assuming there are differences between the expressions of biomarker-detected autoantibodies in normal persons, liver cirrhosis patients and liver cancer patients, the table above . . . while that in normal persons and liver cancer patients differed by 8.545 folds. These results demonstrate that the expression 15 . . . . . . . shows that such assumption was vahd 1n normal persons levels of the ant1bod1es 1n hver cirrhosis and hver cancer versus liver cirrhosis patients and normal persons versus liver cancer patients, meaning the differences in the expression patients as detected by the 24 autoantigens provided herein were higherthan those in normal persons. Thus adetection kit levels of biomarker-detected autoantibodies between normal using those 24 autoantigens coupled with immunoassay may persons and liver cirrhosis patients and between normal per- 20 be applied in the screening of liver cirrhosis and liver cancer sons and liver cancer patients are statistically signi?cant. based on the expression levels of autoantibodies in the Statistics shows that the expression levels of GADPHscreened specimens. detected autoantibodies in normal persons and liver cirrhosis The preferred embodiment of the present invention as dis patients differed by 8.375 folds, while that in normal persons closed above is not meant to limit this invention. All modi? and liver cancerpatients differed by 4.86 folds; the expression cations and alterations made by those familiar with the skill levels of HMG-14detected autoantibodies in normal per- 25 without departing from the spirits of the invention and sons and liver cirrhosis patients differed by 74 folds; the appended claims shall remain within the protected scope and expression levels of NM23-detected autoantibodies in norclaims of the invention. SEQUENCE LISTING <l60> NUMBER OF SEQ ID NOS : 24 <211> LENGTH: 151 <212> TYPE: PRT <213> ORGANISM: Human <4oo> SEQUENCE: 1 Ala Asn Leu Glu Arg Thr Phe Ile Ala Ile Lys Pro Asp Gly Val Gln 1 5 1o 15 Arg Gly Leu Val Gly Glu Ile Ile Lys Arg Phe Glu Gln Lys Gly Phe 2o 25 3o Arg Leu Val Ala Met Lys Phe Leu Arg Ala Ser Glu Glu His Leu Lys 35 4o 45 Gln His Tyr Ile Asp Leu Lys Asp Arg Pro Phe Phe Pro Gly Leu Val 5o 55 6o Lys Tyr Met Asn Ser Gly Pro Val Val Ala Met Val Trp Glu Gly Leu 65 7o 75 so Asn Val Val Lys Thr Gly Arg Val Met Leu Gly Glu Thr Asn Pro Ala s5 9o 95 Asp Ser Lys Pro Gly Thr Ile Arg Gly Asp Phe Cys Ile Gln Val Gly 1oo 1o5 11o Arg Asn Ile Ile His Gly Ser Asp Ser Val Lys Ser Ala Glu Lys Glu 115 12o 125 Ile Ser Leu Trp Phe Lys Pro Glu Glu Leu Val Asp Tyr Lys Ser Cys 13o 135 Ala His Asp Trp Val Tyr Glu 14 5 <2lO> SEQ ID NO 2 <211> LENGTH: 180 15o 14 0 US 8,076,089 B2 11 12 —cont inued <2l2> TYPE: PRT <2l3> ORGANISM: Human <400> SEQUENCE: 2 Cys Cys Glu Pro Arg Gly Ser Arg Ala 1 Arg Phe Gly Cys Trp Arg 10 Gln Pro Glu Phe Lys Pro Lys Gln Leu Glu Leu 15 Gly Thr Met Ala Asn Cys Arg Gly Leu 25 Glu Val Arg Gly Thr Phe Ile Ala Ile Lys 35 40 Glu Ile Ile Lys Arg 50 Gly Pro Asp Gly 45 Phe Glu Gln Lys Gly 55 Leu Lys Phe Met Val Phe Arg Lys Glu His Leu Val 60 Ala Ser Glu Asp Leu Leu 65 Val Tyr 80 Asp Leu Lys Asp Arg Pro Phe Phe Ala Gly Leu Val Lys Tyr Met 95 Lys Ser Gly Thr Gly Arg Pro Val Val Ala Met Val 100 105 Val Met Leu 115 Pro Gly Thr Ile Arg Gly Asp 130 Ile His Gly Ser Asp Tyr Leu Asn Val Val 110 Glu Thr Asn Pro Ala 120 125 Phe Cys Ile Gln Val Asp Ser Lys Gly Arg Asn Ile Glu Ile Gly 140 Ser Val Glu Ser Ala Glu 150 155 Phe His Pro Glu Glu Leu Val Ile Gly Gly Asp Tyr 165 Trp Glu 135 145 Trp Trp Lys Thr Ser Cys Ala Leu 160 Asn 170 Glu 180 <210> <211> <2l2> <2l3> SEQ ID NO 3 LENGTH: 539 TYPE: PRT ORGANISM: Human <400> SEQUENCE: 3 Met Thr Ser Leu 1 Arg Trp Gly Lys Gly Thr Gly Cys Lys Val Ala Ala Ala Pro Ala Ser Gly Lys Ser His Pro Val 50 Ala Gly Arg Asp Tyr Ala Leu Arg Arg Arg Leu Thr Pro 30 Ala Val Arg Arg 45 60 Gly Arg Ile Val Ala Val Ile Gly Ala Val 65 Val 80 Asp Val Gln Phe Glu Gly Leu Pro Pro Ile Leu Asn Ala Leu 90 Glu Thr Arg Leu Val Leu Glu Val Ala Gln His 105 Asp 85 Glu Val Gln Leu Phe Ala Ala Gln Thr Ser Pro Ser Pro 55 Ala Ala Thr Lys 15 Ser Ala Ser Leu Pro Pro Ala Gln Leu Leu Leu 35 Arg Leu Phe 10 Gly Gly Arg Glu Ser Thr Val Arg 115 Thr Ile Ala Met Asp Gly 120 Leu Val 130 Arg Gly Pro Val 145 Gly Pro Ile Asp Gln Lys Val Leu Asp Ser Gly 135 Pro Glu Thr Leu 150 Glu Arg Gly Thr Glu Gly Lys Ile Gly Glu 125 Ala Pro Ile 140 Gly Arg Pro Ile Lys Ile Met Asn Val Ile Thr 155 160 Lys Gln Phe Ala Pro Ile US 8,076,089 B2 14 13 —cont inued 165 170 Ala Glu Ala Pro Glu Phe Met Glu Met Ser Val Glu 180 Leu Val Thr 195 Gly Gly Gly Lys Ile 185 Ile Gly 210 Lys Val Val Leu Phe 215 Asp 200 Leu Leu Ala Pro 205 Gly Gly Ala Gly Val Gly Val Gly Glu Arg 245 Tyr His Gly Lys Glu Met Ile Glu Ser Arg Lys Ala Arg Gly Tyr Gly Val Ala Leu Thr 290 Asp Gly Gln 305 Phe Thr Gln Ala Gly 325 Ser Ala Val Arg Gly Tyr Tyr Val Ile Asn Leu Gln Pro Thr Leu Ala Thr Lys Lys Gly 360 Val Pro Ala Asp Asp Leu Thr Tyr Pro Ala Val Asp Gly Lys Asp Tyr Lys Ile Leu Gln Arg Ala Met Arg Lys Arg Asn Ile Phe Arg Gly Arg Ile Pro 335 Met Gly Thr Met Asp Pro Ala Pro Ala Thr 380 Asp Arg Ala Ile Ala Ser Glu His 425 400 Asp Ser Thr Ser 415 Tyr Asp Asp Ser Leu Gly Asp Lys 460 His Met Ile Ile Leu Thr Val Phe Leu Ser Gln Pro Phe Gln Val Gly Lys 485 Thr Ile Lys Gly Pro Glu Phe Gln Gln Ile Leu Ala Tyr 515 Ala 530 <210> <211> <2l2> <2l3> Asp Lys Leu Val Pro Leu Met Val 520 Gly Lys Glu 495 Gly 505 Ala Phe 480 490 500 Arg 445 455 Arg Arg 430 Glu Leu Ser Glu Glu Ile Gln Val Ala 475 Ala Glu Val Phe Thr Lys Asp 440 450 Ser 465 Phe Tyr Ser Ile Thr Ser Val Gln 365 Pro Leu 410 Pro Asn Ile Val 420 Gly Ala 395 435 Ala Ile Leu Ala Thr 320 Ala Thr Thr Val Leu Ser 405 Val Leu 345 390 Gly Asp Ser Glu Val Ser Ala Leu Leu 330 Asp Asp Asp Gly Leu Thr Val Ala Glu 300 315 385 Ile Met Asn Lys Asp Gly Val Leu Leu Phe Ile Ile Thr Thr Thr Ile Gly 240 Gln Met Asn Gln Pro Pro 310 Thr Phe Ala His Leu Gly Thr Val 270 375 Glu Leu Lys 255 Asp 355 Ala Ile Glu 285 340 Gln Glu Arg 280 295 Gln Glu Thr 265 Val Ala Leu Val Ala Gly Gly Tyr 250 260 Ser Tyr 220 Leu Ile Met Glu Leu Ile Asn Asn Val Ala Lys Ala His 225 230 235 Ser Val Phe Ala Glu Ile 19O Glu Tyr Asp His Leu 510 Pro Ile Glu Glu Ala Val Ala 525 Leu Ala Glu Glu His Ser Ser 535 SEQ ID NO 4 LENGTH: 245 TYPE: PRT ORGANISM: Human <400> SEQUENCE: 4 Met Asp Lys Asn Glu Leu Val Gln Lys Ala Lys Leu Ala Glu Gln Ala US 8,076,089 B2 15 16 —cont inued 10 Glu Arg Tyr Asp Asp Met Ala Ala Cys Met 15 Lys 25 Gly Ala Glu Leu Ser Asn Glu Glu 35 Lys Asn Val Val Ile Glu Gln Arg 40 Lys Gly Ala Thr Glu Arg Arg Gly Asn Leu Leu Ser Val Ala 45 Ser Ser Ala Glu Ser Val Thr Glu Gln 30 Trp Arg Lys Lys Val Val Ser Ser Gln Gln Met Ala 65 Glu Tyr Arg Glu Lys Ile Glu Thr Glu Leu Lys Lys 105 Val Phe Tyr Leu 115 Leu Ala Glu Val Ala Ala Gly 130 135 Tyr Lys Met Asp Asp Lys Lys Gly Leu Gly Lys Ala Glu Ala Ile Ala Glu Leu Asp Asp Tyr Lys Asp Gly Gly Cys 185 210 Glu Glu Met 160 200 Trp Lys Lys Asp Ser Leu Ala 190 Thr Leu Ser Glu 205 Arg Asp Asn Glu Ala Glu Ala Gly Ser Thr Leu Ile Met Gln Leu Leu 215 220 Thr Ser Gln Leu Ala Leu Asn Phe Ser Val 170 175 Glu Ile Leu Asn Ser Pro Glu 195 Leu Thr Leu 225 Asp 155 180 Glu Ser Ile Val 140 Glu Ala Phe Glu Ile Ser Arg Asp 125 165 Thr Ala Phe Asn 95 Lys Gly Asp Tyr Tyr Arg Tyr 150 Gln Pro Thr His Pro Ile Tyr Tyr Cys 110 120 Ser Gln Gln Ala 145 Ile Phe Leu Ile Pro Asn Ala Ser Gln Ala 100 Glu Ser Arg Asp 90 Val Leu Ser Leu Leu Glu Lys Arg 80 85 Phe Tyr Thr Gln Gly Asp 230 235 240 Glu Asn 245 <210> <211> <212> <213> SEQ ID NO 5 LENGTH: 255 TYPE: PRT ORGANISM: Human <400> SEQUENCE: Met Asp Asp Arg Glu Asp Leu Val Tyr Gln Ala Lys 1 Ala Glu Arg Tyr Asp Glu Met Val Glu Ser Met 20 Met Asp Val Glu Leu Thr Val Glu Glu Asn Val Ile Gly Ala Arg Arg Gly Arg Asn Leu Leu Ser Val Ala 45 Ala Ser Trp Arg Ile Ile Ser 55 Ser Ile Glu Gln 65 Arg Glu Lys Glu Glu Asn Lys Gly Gly Cys Cys Asp Gly 115 Arg Tyr Glu Asp Lys Leu Lys 80 Tyr Arg Gln Met Val Glu Thr Glu Leu 85 Thr Val Ala 30 40 50 Met Ile Lys Lys 25 35 Tyr Lys Leu Ala Glu Gln 15 Ile Leu Glu Ser Lys 90 Asp Lys Val Leu Val Phe Asp Lys His Leu Ile 95 105 Leu Ile Pro Ala Ala 110 Tyr Tyr Lys Met 120 Leu Ala Glu Phe Ala Thr Lys Gly Asp Tyr 125 Gly Asn Asp Arg Lys Glu Ala US 8,076,089 B2 17 18 —cont inued 130 135 Ala Glu Asn Ser Leu Val Ala 145 140 Tyr Lys Ala Ala Ser 150 Thr Glu Leu Pro Pro Thr His Pro Ile Arg 165 170 Phe Ser Val Phe Tyr Tyr Leu Ala 195 Lys Ala Ala Phe Arg Asp 225 Gly Lys Asp Arg 190 Asp Asp Ala Ile Ala Glu Leu 215 Trp Leu Ala Leu Asn 175 185 Tyr Lys Asp Asn Leu Thr Leu 230 Glu Gln Asn Leu 200 Leu Ser Glu Glu Ser 210 Ile Ala Met 160 Glu Ile Leu Asn Ser Pro 180 Arg Asp 155 Cys Asp Thr 205 Ser Thr Leu Ile Met Gln Leu Leu 220 Thr Ser Glu Ala Leu Gln Ala Asp 245 Asp Met Gln 235 Gly Asp Gly Asp Glu Asn Gln Val Glu Glu 240 250 255 SEQ ID NO 6 LENGTH: 421 TYPE: PRT ORGANISM: Human SEQUENCE: 6 Leu Tyr Ser Ser Ser 1 Asn Asp Asp Val Ile Glu Leu Thr Pro Ser Asn Phe 5 Arg 10 Glu Val Ile Gln Ser Asp 20 Ala Pro Trp Cys Gly His Cys 35 Ala Ala Thr Ala Leu Asp Lys His His Lys Asp Ser Leu Ser Leu 25 Arg 15 Trp Leu Val Glu Phe 30 40 Leu Thr Pro Glu 45 Val Val Lys Gly Gly Gln Val Tyr Gly Gly Trp Lys Lys Ala Val Val Gln Gly Asp 80 Thr Ile Lys Ile Phe Gly Ser Asn Lys Asn Arg Pro Glu Asp Tyr 85 Gly Gly Arg Thr Gly Gln Leu Val Glu Ala Ile Val Gln Lys Asp Arg Gly Arg 130 Glu Leu Thr Asp Asp 145 Val Trp Leu Glu Pro Glu 180 Trp Lys Gly Arg Lys Lys Gly Gly Gly Arg Asp Ser Ser Ser Gly Gly Tyr Tyr Ala Pro Lys Lys Asp Asn Val Leu 155 Asp Ser Glu Asp 160 Trp Cys Gly His Cys Lys Ala Ala Ala Ala Ser Glu Val Asn Lys Leu Ala Ala Val 200 Ile Arg Gly Ala Leu Glu Gln Thr 19O Asp Ala Thr Val Asn Gln Val 205 Phe Pro Thr Ile Lys Ile Phe Thr Arg 220 Asp Tyr Asp Gly Gly Arg 230 245 Val Ile 175 Glu Ser Pro Val Arg Ser 140 215 Ile Val Ser Ser 125 Asp Lys Arg Tyr Gly 225 Asp Ser 135 110 185 195 Leu Ala Ser 210 Ala Ala Leu Ser Ala Leu Leu 120 Ser Phe 150 Met Val Glu Phe 165 Val Asp 105 115 Gly Lys Gln 95 100 Ser Ala Phe Pro 65 Arg Tyr 235 Asp Leu Phe Ser 250 Pro Glu Leu Leu Glu Ile Ile Asn Glu Asp Asp Ile Ala Ser 240 Asn Ala Pro Pro 255 Lys Arg Thr Cys US 8,076,089 B2 19 20 —cont inued 260 265 Glu Glu His Gln Leu Cys Val Val Ala Val Leu Pro His Ile Leu 275 Thr Gly 280 Ala Ala Gly Arg 290 Ala 270 Asn Ser 295 Asp Lys Tyr Lys Lys Lys Met Tyr Leu Glu Val Leu Leu 300 Trp Gly Trp 305 310 Gly Ala Gln Ser Glu Leu Glu Thr Ala Leu Leu Trp Gly 320 Ile Gly Gly 330 Arg Lys Leu Lys Gly Ile Asn Glu Phe Leu Gly Arg Gly Asp Asp Ile Asp Gly Lys Phe Ala Leu Arg Glu 365 Gly Gly Ala Phe Trp Asp Gly Arg Asp Gly Glu Leu 395 Leu Ser 405 Gly Lys Asp Met Ser Thr Ala Pro Val Gly 375 380 Pro Thr Ile Val Glu Arg Glu Pro 385 390 Pro Val Glu Gly Phe 335 Pro Ala Met Ala Ala Ile Asn Ala 340 345 Ser Phe Ser Glu Gln 360 Leu Thr Glu Ala Tyr Leu Ser Phe 370 Lys 315 325 355 Asp 285 Asp 400 Val Glu Leu Asp Asp 410 Leu 415 Glu Leu 420 <211> LENGTH: 687 <2l2> TYPE: PRT <213> ORGANISM: Human <400> SEQUENCE: Met Val Lys Leu Ala Lys Ala Gly Lys 1 Met Ala Pro Pro Pro 20 Met Ser Glu 35 Asp Lys Gly Asp Asp Ser Glu Glu Val Glu Glu Glu Glu Asp Asp Ser Ser Gly Lys Lys Asp Glu Glu Glu Glu Val Val Ile 45 Ala Ala Ala Thr Ser Ala 55 Val Val Ser Pro Thr Lys Lys 30 40 50 Pro 15 25 Lys Lys Gly Lys Lys Pro Asn Gln 10 Lys Lys Val Lys Ala 60 Val Ala Val Ala Thr Pro Ala 65 Val Thr Thr Pro Gly Lys Lys Gly Ala Thr Pro 85 Ala Thr Pro Gly Lys Lys Gly Gly Lys Lys Lys 115 Asp Asp Glu Asp Asp Glu Glu Ser Glu Glu Glu Glu Glu Asp Asp Asp Glu Asp Glu Lys Glu Glu 155 Glu Asp Asp Lys Gly Lys Lys Asp Asp Glu 160 Asp Asp Glu Asp Asp Asp Ser Glu Glu Glu Ala Met Glu Thr Thr Pro 185 190 Ala Ala 195 Val Ala Glu Lys Val Val Pro Val 200 Asp Glu Glu 175 180 Ala Asp Ala Ala Ala Ala Ala Pro Ala 165 Asp Asp Asp Asp 140 150 Asp Lys 125 Asp Asp Glu Ile Glu Pro Ala Ala Met Ser Glu Asp 135 145 Ala 11O 120 Ser Glu Glu 130 Lys Gly 105 Asn Ala Ala Leu Val 95 Ala Ala Ile Pro Ala 100 Asn Gly Lys 90 Asp Glu Glu Glu Lys Ala Lys Glu Asp Asp Asn 205 Asp Asp Glu Asp US 8,076,089 B2 21 22 —cont inued 210 215 Asp Asp Asp Glu Asp Asp 225 Glu 220 Asp Asp Asp Asp 230 Glu Glu Glu Glu Glu Glu Glu Glu Pro Val 245 Arg Lys Lys Glu Met Ala Lys Gln 260 Gln Lys Val Glu Glu Asp Asp Glu Glu 235 Lys Lys 240 Glu Ala Pro Gly Lys 250 255 Ala Ala Pro Glu Ala Lys Lys 265 Gly Thr Glu Pro Thr Thr Ala Phe Asn Leu Phe Val 280 285 Gly Asn Leu Asn Phe Asn Lys Ser Ala Pro Glu Leu 290 295 300 Lys Thr Gly Ser 305 Asp Asp Val Arg Gly Met Thr Val Phe Ala Lys Asn Asp Leu Ala Val Val 310 Arg Lys Phe Ile Ala Lys Arg Lys Gly Tyr Val Ala Leu Glu Leu Thr Gly 340 345 Leu Glu 355 Lys Pro Glu Leu Thr Leu Leu Ala Lys 335 Lys Val Phe Gly Asn Glu Lys Gly Lys Asp Ser Lys Lys Glu Arg Asp Lys 365 Asn Leu Pro Asp Ala Ala Glu Ile Ala Glu Ser 405 Lys Gly Lys Thr Phe Glu Glu Ile Ala Asp Tyr Arg Gly Gly Lys 450 Tyr Tyr Lys Thr Asn Ser Thr 455 Tyr Ile Glu Phe Lys Lys Gln Gly Gly Glu Lys Gly Trp Ser Gly Lys Gly Tyr Lys Cys Asn Lys Lys Arg Gly Glu Ile Ser Pro Asn Ala 540 Arg Thr Leu Phe Val Lys Gly Leu Ser Glu Asp Thr Lys 555 Glu Ser Phe Glu Thr Phe Asn Ser Glu Glu Ser Val Gly Asp Ala Ser Ser 585 Lys Lys Gly Asp Gly Gly Gly Arg Ala Arg Gly Phe Val Ala Ala Lys Glu Ala Met Glu 605 Lys Pro Phe Gly Gly Arg Gly Gly Gly Arg Gly Gly Phe 630 635 640 Asn 615 Lys Phe 590 600 610 Glu Asp Gly 560 570 595 625 Gly Gly Arg Arg Gly 580 Lys Gly Asp Pro 550 Asp Arg Glu Ile Asn 525 565 Asp Gly Thr 495 Ala Phe Ile Glu Phe Ala Ser Phe Glu Leu Glu Leu Thr Glu Glu Thr Leu Asp Lys Val Pro Gln Asn 535 Ile Val Thr Glu Ser 505 530 Ser Gln Pro Ser 545 Asp Gln Asn Gln 490 Glu Ala Leu Asn Ser Arg Thr Glu Ile 460 520 Ala Ile Thr Glu 415 Ser Ala Thr Glu Glu Thr Leu Gln 475 480 Ala Thr Phe Ile 500 Lys Leu Val Ser 400 445 485 Ser Tyr Arg 395 440 Leu Val Leu Ser Asn Leu Ser 465 470 Gly Lys Asp 425 Ser Ile Ser Leu 435 Glu Val Phe Glu Val Thr Gln 410 420 Gly Arg Tyr Lys 380 390 Asp Asp Leu Glu Val Phe Glu Lys Asp Gly Lys Ala Phe Glu Ser Ala Glu 330 375 385 Ala Asp 360 370 Ile 320 325 Leu Glu Ile Val Thr Leu Asp Trp Ala 620 US 8,076,089 B2 23 —cont inued Gly Gly Arg Gly Gly Gly Arg Gly Gly Arg Gly Gly Phe Gly Gly Arg 645 650 655 Gly Arg Gly Gly Phe Gly Gly Arg Gly Gly Phe Arg Gly Gly Arg Gly 660 665 670 Gly Gly Gly Asp His Lys Pro Gln Gly Lys Lys Thr Lys Phe Glu 675 <2lO> <211> <2l2> <213> 680 685 SEQ ID NO 8 LENGTH: 641 TYPE: PRT ORGANISM: Human <400> SEQUENCE: 8 Met Ala Gly Ile Thr Thr Ile Glu Ala Val Lys Arg Lys Ile Gln Val 1 5 1O 15 Leu Gln Gln Gln Ala Asp Asp Ala Glu Glu Arg Ala Glu Arg Leu Gln 2O 25 3O Arg Glu Val Glu Gly Glu Arg Arg Ala Arg Glu Gln Ala Glu Ala Glu 35 4O 45 Val Ala Ser Leu Asn Arg Arg Ile Gln Leu Val Glu Glu Glu Leu Asp 5O 55 6O Arg Ala Gln Glu Arg Leu Ala Thr Ala Leu Gln Lys Leu Glu Glu Ala 65 7O 75 8O Glu Lys Ala Ala Asp Glu Ser Glu Arg Gly Met Lys Val Ile Glu Asn Arg Ala Leu Lys Asp Glu Glu Lys Met Glu Leu Gln Glu Ile Gln Leu 100 105 110 Glu Glu Ala Lys His Ile Ala Glu Glu Ala Asp Arg Lys Tyr Glu Glu 115 120 125 Val Ala Arg Lys Leu Val Ile Ile Glu Gly Asp Leu Glu Arg Thr Glu 130 135 140 Glu Arg Ala Glu Leu Ala Glu Ser Arg Cys Arg Glu Met Asp Glu Gln 145 150 155 160 Ile Arg Leu Met Asp Gln Asn Leu Lys Cys Leu Ser Ala Ala Glu Glu 165 170 175 Lys Tyr Ser Gln Lys Glu Asp Lys Tyr Glu Glu Glu Ile Lys Ile Leu 180 185 190 Thr Asp Lys Leu Lys Glu Ala Glu Thr Arg Ala Glu Phe Ala Glu Arg 195 200 205 Ser Val Ala Lys Leu Glu Lys Thr Ile Asp Asp Leu Glu Asp Thr Asn 210 215 220 Ser Thr Ser Gly Asp Pro Val Glu Lys Lys Asp Glu Thr Pro Phe Gly 225 230 235 240 Val Ser Val Ala Val Gly Leu Ala Val Phe Ala Cys Leu Phe Leu Ser 245 250 255 Thr Leu Leu Leu Val Leu Asn Lys Cys Gly Arg Arg Asn Lys Phe Gly 260 265 270 Ile Asn Arg Pro Ala Val Leu Ala Pro Glu Asp Gly Leu Ala Met Ser 275 280 285 Leu His Phe Met Thr Leu Gly Gly Ser Ser Leu Ser Pro Thr Glu Gly 290 295 300 Lys Gly Ser Gly Leu Gln Gly His Ile Ile Glu Asn Pro Gln Tyr Phe 305 310 315 320 Ser Asp Ala Cys Val His His Ile Lys Arg Arg Asp Ile Val Leu Lys 325 330 335 US 8,076,089 B2 25 26 —cont inued Trp Glu Leu Gly Glu Gly Ala Phe 340 Leu Gly Lys Val Phe Leu Ala Glu Cys Lys Ala 345 Asn Leu Leu Pro Glu Gln Asp 355 360 Lys Met Leu Val Ala Val 365 Lys Arg Gln Glu Ala Ser Glu Ser Ala 370 Asp 375 Phe Gln Glu Leu Leu Thr Met Leu Gln His Gln His Ile Val 385 Val 390 Cys Thr Glu Gly Arg Arg Arg Phe Phe 395 Leu Leu Ala 435 Leu Asn 420 Arg Tyr Met 415 Arg Asp Ala Lys Gly Leu Gly Met Val Tyr Leu Pro Leu Leu Met Val Phe Glu Gly Gly Glu Phe Leu Arg Ser His Pro 430 Val Ala Pro Gly 440 Gln Leu Leu Ala Val Ala Ser Gln Val Ala Ala Ala Gly 425 Asp 450 455 Gly Leu His Phe Val His Gly Gln Pro Leu 445 Gly 460 Arg Asp Leu Ala Thr Arg Asn Cys Leu 480 Lys Gly Asp Gly Met Ser 495 Arg 465 Val Asp Ile Pro Ile Tyr Gly Ser Thr 500 Arg Trp 515 Thr Glu Ser Leu Val Val 485 Asp Thr Tyr Gly Lys Ile Val Trp Gln Pro 545 Ile Thr Gln Thr Met Leu 510 Tyr Arg Lys Gly Trp Tyr Gln Leu Ser Asn Thr Glu Ala Ile Val Val Leu Trp Glu Ile Phe 540 555 Gly Arg Glu Leu Glu Arg 560 Pro Arg Ala 565 Pro Glu Val Tyr Arg His Ala Ile Met Arg Gly Cys Trp Leu Gln Arg 585 Pro Arg Met Cys Thr Pro Gly Cys Lys 600 Leu Leu Ser Thr Trp Glu Pro Ser 590 Pro Trp Pro 605 Met Ser Trp Ala 610 Gly Cys 575 580 Asn Ala Thr Ala Ser 595 Phe Thr 525 Ser Phe 535 550 Asp Cys Gly Gly Arg 505 Met Pro Pro Glu Ser Ile Leu 520 Val Phe 490 Asp Tyr Tyr Arg 530 Gly 400 405 Gly Asp Glu Ala 380 Arg Gly Pro Ala Gln 620 Gly Val Val Ser 625 Arg Asn Thr 630 Gly Ala Cys Pro Gln His Pro 640 Lys Leu 635 Pro 284 <2l2> TYPE: PRT <2l3> ORGANISM: Human <400> SEQUENCE: Met Glu Ala Ile l Asn Ala Ile Lys Lys Lys Asp Arg Met Gln Met Leu 10 Ala Glu Gln Ala Glu Ala 20 Glu Lys Leu 50 Lys Asp Lys Gly Asp Lys Lys Ala Ala 30 Gln Val Glu Glu Glu Leu Thr His Leu Gln 35 40 Thr Glu Asp Glu Leu Glu 15 25 Asp Lys Cys Lys Asp Lys Lys 45 Asp Lys Tyr Asp Leu Ala Ser Asp Ser Glu 60 Ala Gln Glu Lys Leu Glu Leu Thr Glu Lys Lys US 8,076,089 B2 27 28 —cont inued 65 Ala Glu Gly Asp Glu Glu Leu Val Ala Ala Leu Asn Arg Arg 85 90 Asp Arg Ala Gln Glu 100 Leu Glu Glu Ala Glu 115 Val Ile Glu Asn Arg Lys Ala Ala Arg 105 Leu Ala Thr Ala Leu Gln 110 Asp Glu Ser Glu Ala Met Lys Glu Ala Lys Asp Glu Glu Met Lys Lys Met Glu Ile Gln 140 Lys His Ile Ala Glu Glu Ala 150 Glu Glu Val Ala Arg Gly Lys 125 135 145 Lys Tyr 95 120 130 Glu Met Gln Leu Ile Gln Leu Val Glu Asp Arg 155 Arg Lys 160 Leu Val Ile Leu Glu Gly Glu Leu 165 Glu Arg Ala Glu Glu Arg Ala Glu Val Ser Glu Leu 180 Leu Glu Glu Glu Leu 195 Ala Ala Ser Glu Lys Lys Tyr 210 Ile Lys Leu Leu Ser 225 190 Asn Val Thr Asn Asn Leu Lys Ser Leu Glu 200 205 Ser Glu 215 Asp Lys Leu Lys Glu Arg Thr Leu Lys Asp Thr Val Ala Leu Ala Gln Ala 260 Lys Glu Ala Glu Thr Lys Lys Leu Glu 250 Arg Ala Glu Lys 240 Thr Ile Asp Asp Leu 255 Glu Glu Asn Val Gly Leu His Gln 270 Gly Leu Ala Val 15 265 Gln Thr Leu Asn Glu Leu Asn 275 <210> <211> <212> <213> Glu Glu Glu 235 245 Glu Glu Asp Lys Tyr 220 230 Phe Ala Glu Lys Cys Gly Asp 185 Cys Ile 280 SEQ ID NO 10 LENGTH: 417 TYPE: PRT ORGANISM: Human <400> SEQUENCE: 10 Met Leu Leu Ser Val Pro Leu Leu Leu Gly Leu Leu 1 10 Ala Glu Pro Ala Val Tyr Phe Lys Glu Gln Phe Leu Asp Gly Asp Gly 25 Trp Thr Ser Arg Trp Ile Glu Ser 35 Phe Val Leu Ser Ser Gly Lys His Lys Ser 40 Gly Lys 50 55 Leu Gln Thr Ser Gln Asp Phe Asp Phe Gly Lys 45 Tyr Gly Asp Glu Glu Lys Asp Lys 60 Ala Arg Phe Tyr Ala Leu Ser Ala Ser 65 80 Phe Glu Pro Phe Ser Asn Lys Gly Gln Thr Leu Val Val Gln Phe Thr 90 Val Lys His Glu Gln Asn Ile 95 Asp Cys Gly Gly Gly Tyr 105 Phe Pro Asn Ser Leu Asp Gln Thr 115 Asn Ile Met Phe 130 Asp Pro Asp Ile Leu Ser Glu Tyr Lys Lys Val 11O Met His Gly Asp 120 Gly Lys Val 125 Cys Gly Pro 135 His Val Ile Phe Asn Tyr Lys Gly Lys 145 150 Ile Arg Cys Lys Asp Asp Gly Thr 140 Asn Val Leu Ile Asn 155 Glu Phe Thr His Leu Tyr Lys Asp 160 Thr Leu Ile Val US 8,076,089 B2 29 30 —cont inued 165 Arg Ser Pro Gly Lys Asp Asp Asn Thr 180 Ser Leu Glu 195 Pro Asp 175 Tyr Asp Asp Trp Asp Asp Asp Lys Pro Thr Asp Ser Asp Gly Asp Glu Ile Lys Lys Lys Pro Arg Gln Ile Tyr Asn Phe 310 Gly Thr Ile Phe Asp Tyr Asp Ala Glu Glu Phe Gly 340 Ala Glu Lys Asp Trp Asp Lys Pro Glu 250 Asp Asn Pro Gln Met Asp Asp Val Leu Glu Asp Ser Pro 300 Asp Pro Ser Gly Leu Asp Leu Trp Gln 320 Gln Trp Gly Ala Leu Lys Glu Glu Glu Glu Ala Glu Asp Asp Val Thr 350 Arg Glu Glu 365 380 Asp Lys Asp Glu Asp Glu Glu Asp Glu Glu 395 Glu Glu Glu Thr Lys Asn Glu Thr 345 390 Glu Glu Asp Tyr Lys Gly Asn Phe Leu Ile Thr Asn Asp Glu 330 335 Asp Lys Lys Arg Lys 385 Lys Tyr Lys Tyr 375 Glu 255 360 Glu Glu Glu Glu Glu Glu 315 Lys Asp Lys 355 Lys Asp Trp Asp Pro Glu 240 285 Asn Pro Glu 325 Ala Pro Glu 280 Gly Lys Ala 265 295 Ser Arg Glu Pro Pro Val Ile Gln Asn Pro Glu Ala Asp Lys Glu 220 Trp 305 Val Asp Trp Asp Asp Ile His Pro Glu Ile Ala Ile Pro 245 290 Tyr Lys Lys 235 275 Trp Phe Leu Pro Pro 205 Pro Glu 260 Trp Lys Val Glu Asn Ser 190 230 Glu Asp 215 Ile Pro Gly Ile 200 Ala Ser 225 Met Lys 185 210 Ile Glu Val Asp Val Pro 405 Gly Asp 400 Gln Ala Lys Asp 410 Glu 415 Leu <210> <211> <212> <213> SEQ ID NO 11 LENGTH: 278 TYPE: PRT ORGANISM: Human <400> SEQUENCE: 11 Val Leu Gly Ser Ser Val Ala 10 Ala Ala Ala Pro Ala Ser Pro Phe Arg Gln Leu Leu Gln Pro Ala Pro Leu 1 Arg Cys Val Pro Arg 20 Arg Leu Cys 25 Gly Leu 15 Arg 30 Thr Arg Pro Phe Gly Leu Leu Ser Val Arg Ala Gly Pro Gly Leu Leu 55 Arg Pro Arg Gly Cys Ala Cys Gly Ser 35 Glu Arg Arg 50 Cys Gly Cys Gly Ser Leu His Thr Pro 60 Asp Gly Asp Lys Ala Phe Val 65 80 Phe Leu Ser Asp Glu Ile Lys Glu Glu 85 Thr Leu Pro Lys Lys 115 Met Ser Leu Val Arg Lys Ile Gln Lys His Lys 90 95 Gly Gly Trp Glu Leu Glu Leu Asn 105 110 100 Glu Ala Asp Arg Lys Val Ala 120 Gly Glu Lys Gly Thr Ile Thr Val Thr 125 US 8,076,089 B2 31 32 —cont inued Phe Asn Ile Asn Asn Ser Ile Pro Pro Thr Phe 130 135 Pro Ser Gln 145 Gly Gln Lys Val Glu Glu Gln Glu Pro Glu Leu Thr Ser Thr Pro Asn Phe Val Val Glu Val Ile Lys 165 170 Asp Cys His Tyr Glu Ala Glu Ser Asp Asp Gly Asn Asp Asp Gly Lys Lys 175 Ile Phe Ser Ile Arg Glu Ser Glu Asp Trp Thr Asn Tyr Asp His Val Asp Asn Thr Phe Ala 245 Tyr 260 Lys Tyr Thr Leu Asn Thr Asp Leu Met 235 Asp Phe Leu Ala 240 Glu Leu Val Glu Leu Ser 250 Thr Ala Leu Glu His Gln Glu Ser Phe Val 2'75 Glu Val Ser Phe Gln 220 230 Asp Arg Gly Gln Glu 205 Trp Lys Asp Ala Leu Gly 190 215 Ser Leu Glu Val 200 225 <210> <211> <212> <213> 160 Asp 195 Ser Thr 210 155 Pro Glu 185 180 Asp Glu Glu Glu 140 150 Ala Leu Val Leu Asp Gly 255 Ile Thr Phe Leu Glu Asp 265 270 Leu Lys Ser Gln SEQ ID NO 12 LENGTH: 661 TYPE: PRT ORGANISM: Human <400> SEQUENCE: 12 Arg Ala Leu Arg Arg Ala Pro Ala Leu Ala Ala Val Pro Gly Gly Lys 1 Pro Ile Leu Cys Pro Arg Arg Thr Thr Ala Gln Leu 20 Asn Pro Ala 35 Ala Glu Trp Asp Lys Gly 25 Ser Leu Gln Ala 40 Gly Arg Pro 30 Arg Arg Leu Phe Ser Thr Gln Thr 45 Glu Glu Pro Leu His Ser Ile Ile Ser Ser Thr Glu 50 55 Ser Val Gln Gly Ser Thr Ser Lys His Glu Phe Gln Ala Glu Thr Lys 80 Lys Leu Leu Asp Ser Leu 90 Tyr Glu Leu Ile Ser Asn Ala Ser Asp Ile Val Ala Arg 85 Phe Ile Arg Ser Glu Lys Glu Val 95 Ala Leu Glu Lys Leu 105 Arg His Lys Leu Val Ser Asp Gly 115 Leu Gln Thr Asn Ala Glu 130 135 Gly Ile Gly Met Thr 145 Ala 125 Lys Gly Thr Ile Thr Ile Gln Arg Ser Gly Glu Glu Leu Val Ser Asn Leu Ser 165 Lys Lys Ile Ile Ala Phe Leu 210 Ser Leu Asp Gly Thr Ile 155 160 Ala Leu Gln Asn Ala Gly Phe Gly Val Gly 185 Asp Arg 195 Gly Thr 170 180 Ala Phe Met Val Ala Asp 140 150 Glu Ala Ser Ser Pro Gln Ala Leu Pro Glu Met Glu Ile 120 Val Glu Val Gln 215 Trp Tyr Ser 19O Tyr Ser 200 Gly Tyr Phe Arg Ser Ala Ala 205 Leu Ser Asp Gly 220 Ser Gly Val Phe US 8,076,089 B2 33 34 —cont inued Glu Ile Ala Glu Ala Ser 225 Gly Val Arg Leu Lys Ser Val Val Thr Asp Cys Lys Gly Arg Arg 275 Lys Asp Val Gly Lys Tyr Asp Lys Pro Leu Asn Ile Arg His Glu Glu Phe Asp Val Ser Pro 310 Arg Tyr Ser Ile Phe Leu Arg Glu Leu Thr Leu His Tyr Gly 345 Val Leu Ile Gln Thr Lys 355 360 Phe Ile Val Pro Asp Met Met 285 Tyr Arg Tyr Tyr Lys Thr Arg Gly Asp Met Lys Val Val Ala Thr Asp Ile Leu Pro Arg Arg Asp Ser Glu Asp Glu Leu Leu Gln Glu Ser Ala Leu Ile 390 Arg Ala Glu Leu Ile Glu Lys Tyr Ala Lys Lys Arg Lys Lys Phe Phe Ile Asp Phe Phe Glu Ile Val Thr Ala Thr Glu Gln Glu Val Leu Leu Tyr Tyr Lys Lys Lys Leu 485 Arg Tyr Cys Tyr Gly Gln Thr Arg Ala Ser Ala Pro Asn Arg Met 475 Arg His Lys Lys Lys Asp Arg Asp Arg 550 Leu Ala Glu His Ser 495 Thr Glu Val Leu Phe Asp Lys Cys Leu Ser 560 Arg Asn Val Leu 575 Val Thr Leu Arg Leu Asp Gly Gly Thr His Pro 590 Ala Ala Arg His Phe Leu Arg 605 Thr Gln Glu Glu Arg 615 Pro Thr Leu Glu Ile Asn Pro 625 630 Asp His Tyr Met 600 Lys Asp 540 585 595 Glu Phe Trp Ala Met Val Thr Val Leu Glu Met Gln Leu Ala Arg Ile Val Val 565 580 Cys 510 Ser Pro Ala Ala Glu 555 Glu Thr Glu Glu Leu Met Ala Val Thr Asn Val Gly 525 Lys Cys Ala 480 Glu Leu Thr Leu Leu His Leu Phe Glu Leu Phe 460 Glu Glu 610 Lys Glu Ser Ser Ala Leu Pro Ser 505 545 Arg Asp 490 Glu Ala Met Asp Leu Glu Leu Ile Ser Val Glu Thr 535 Met Lys Trp 445 530 Arg Ser Lys 440 520 Ser Tyr 430 455 Tyr Tyr Lys Ala Pro Ser 335 Gln Ser Asp Tyr Gly Gly Phe Glu Gln Phe Glu Asp 400 425 500 Lys Val Ala Ile Pro Leu Asn 420 Leu Thr Ser Leu Ser Glu 465 Pro Pro 415 450 Asn Ile Asp 395 435 Ile Ala Leu 365 405 Met Tyr 380 Val Leu Gln Lys Asp Arg 320 Ser Ser Val Ala Leu 350 370 Leu Ser 385 Trp 330 Arg Val 315 340 Arg Lys Arg 300 325 Met Phe 240 255 295 Ala His Ile Ile Ile Ser Asn Phe Val Ser Phe Pro Leu 265 270 Trp 290 305 Lys Glu Phe Ser Ser Glu Ala Met Asn Thr Leu Gln Ala Ile 280 Glu Thr 250 260 Asn Gly 235 245 Asp Thr 230 Ala Gln Leu Leu Gln 620 Arg His Ala Gln Ala Ser Leu Ala Ala Leu Ile Lys Lys 635 Trp Leu Ser Cys Trp Trp Leu Asn 640 Ile Arg