U.S. patent application number 14/630097 was filed with the patent office on 2015-06-18 for humanized l243 antibodies.
The applicant listed for this patent is IMMUNOMEDICS, INC.. Invention is credited to Chien-Hsing Chang, David M. Goldenberg, Hans J. Hansen, Zhengxing Qu.
Application Number | 20150166659 14/630097 |
Document ID | / |
Family ID | 36941857 |
Filed Date | 2015-06-18 |
United States Patent
Application |
20150166659 |
Kind Code |
A1 |
Goldenberg; David M. ; et
al. |
June 18, 2015 |
Humanized L243 Antibodies
Abstract
Humanized antibodies are provided that specifically bind HLA-DR.
The antibodies recognize the epitope recognized by the murine
monoclonal antibody L243. Processes for preparing such antibodies,
pharmaceutical compositions containing such antibodies, and
clinical therapeutic and diagnostic, as well as research-related
uses for such antibodies, are provided.
Inventors: |
Goldenberg; David M.;
(Mendham, NJ) ; Hansen; Hans J.; (Picayune,
MS) ; Qu; Zhengxing; (Warren, NJ) ; Chang;
Chien-Hsing; (Downingtown, PA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
IMMUNOMEDICS, INC. |
MORRIS PLAINS |
NJ |
US |
|
|
Family ID: |
36941857 |
Appl. No.: |
14/630097 |
Filed: |
February 24, 2015 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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14080231 |
Nov 14, 2013 |
8992917 |
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14630097 |
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12556718 |
Sep 10, 2009 |
8613903 |
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14080231 |
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11368296 |
Mar 3, 2006 |
7612180 |
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12556718 |
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60657695 |
Mar 3, 2005 |
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Current U.S.
Class: |
424/1.49 ;
424/133.1; 424/178.1; 424/183.1; 424/85.2 |
Current CPC
Class: |
A61K 39/39558 20130101;
C07K 2317/24 20130101; A61K 47/6849 20170801; A61K 51/1027
20130101; C07K 19/00 20130101; C07K 2317/92 20130101; A61K 51/1093
20130101; A61P 37/00 20180101; A61K 47/6867 20170801; C07K 2317/732
20130101; A61P 25/28 20180101; C07K 2317/52 20130101; A61P 29/00
20180101; A61P 37/02 20180101; C07K 16/2887 20130101; A61K 2039/507
20130101; C07K 2317/56 20130101; A61P 3/00 20180101; C07K 2317/71
20130101; C07K 2317/75 20130101; A61P 35/02 20180101; A61K 2039/505
20130101; A61K 39/3955 20130101; C07K 2317/734 20130101; C07K
16/4241 20130101; C07K 2317/565 20130101; C07K 16/28 20130101; A61K
45/06 20130101; A61P 35/00 20180101; C07K 2317/73 20130101; A61P
37/06 20180101; C07K 16/2833 20130101 |
International
Class: |
C07K 16/28 20060101
C07K016/28; A61K 39/395 20060101 A61K039/395; A61K 45/06 20060101
A61K045/06 |
Claims
1. A method of treating multiple myeloma comprising administering a
humanized anti-HLA-DR antibody or fragment thereof to a human
subject with an HLA-DR positive multiple myeloma.
2. A method of treating acute lymphocytic leukemia comprising
administering a humanized anti-HLA-DR antibody or fragment thereof
to a human subject with an HLA-DR positive acute lymphocytic
leukemia (ALL).
3. A method of treating chronic lymphocytic leukemia comprising
administering a humanized anti-HLA-DR antibody or fragment thereof
to a human subject with an HLA-DR positive chronic lymphocytic
leukemia (CLL).
4. A method of treating hairy cell leukemia comprising
administering a humanized anti-HLA-DR antibody or fragment thereof
to a human subject with an HLA-DR positive hairy cell leukemia.
5. A method of treating a B-cell lymphoma or leukemia comprising
subcutaneously administering an anti-HLA-DR antibody or fragment
thereof to a human subject with a B-cell lymphoma or leukemia.
6. The method of claim 1, wherein the humanized anti-HLA-DR
antibody or fragment thereof comprises human IgG4 constant region
sequences and wherein the humanized anti-HLA-DR antibody or
fragment thereof comprises a Ser241Pro point mutation in the hinge
region of the antibody or fragment thereof.
7. The method of claim 1, wherein the humanized anti-HLA-DR
antibody or antigen-binding fragment thereof is a naked antibody or
fragment thereof.
8. The method of claim 7, further comprising administering at least
one therapeutic agent to the subject.
9. The method of claim 8, wherein the therapeutic agent is selected
from the group consisting of antibodies, antibody fragments, drugs,
chemotherapeutic agents, toxins, hormones, hormone antagonists,
immunomodulators and cytokines.
10. The method of claim 9, wherein the chemotherapeutic agent is a
taxane, a nitrogen mustard, an ethylenimine, an alkyl sulfonate, a
nitrosourea, a triazene, a folic acid analog, a pyrimidine analog,
a purine analog, an antibiotic, a platinum coordination complex, a
COX-2 inhibitor, an apoptotic agent, a substituted urea, a methyl
hydrazine, a steroid, a progestin, an estrogen, an antiestrogen, an
androgen, a camptothecin, actinomycin, azaribine, anastrozole,
azacytidine, bleomycin, bryostatin-1, busulfan, carmustine,
celecoxib, chlorambucil, cisplatinum, irinotecan, carboplatin,
cladribine, cyclophosphamide, cytarabine, dacarbazine, docetaxel,
dacarbazine, dactinomycin, daunorubicin, dexamethasone,
diethylstilbestrol, doxorubicin, ethinyl estradiol, estramustine,
etoposide, floxuridine, fludarabine, flutamide, 5-fluorouracil,
fluoxymesterone, gemcitabine, hydroxyprogesterone caproate,
hydroxyurea, idarubicin, ifosfamide, L-asparaginase, leucovorin,
lomustine, mechlorethamine, medroprogesterone acetate, megestrol
acetate, melphalan, mercaptopurine, methotrexate, mitoxantrone,
mitomycin, mitotane, oxaliplatin, phenyl butyrate, prednisone,
procarbazine, paclitaxel, pentostatin, semustine, streptozocin,
SN-38, tamoxifen, taxanes, testosterone propionate, thalidomide,
thioguanine, teniposide, topotecan, uracil mustard, vinblastine,
vinorelbine or vincristine.
11. The method of claim 9, wherein the therapeutic agent is a
second antibody or antigen-binding fragment thereof that binds to a
tumor-associated antigen.
12. The method of claim 11, wherein the tumor-associated antigen is
selected from the group consisting of A3, BrE3-antigen, CD1, CD1a,
CD3, CD5, CD15, CD19, CD20, CD21, CD22, CD23, CD25, CD30, CD45,
CD74, CD79a, CD80, HLA-DR, NCA95, NCA90, HCG, CEA (CEACAM-5),
CEACAM-6, CSAp, EGFR, EGP-1, EGP-2, Ep-CAM, Ba 733, HER2/neu,
hypoxia inducible factor (HIF), KC4-antigen, KS-1 antigen, KS1-4,
Le-Y, macrophage inhibition factor (MIF), MAGE, MUC1, MUC2, MUC3,
MUC4, MUC16, PAM-4-antigen, PSA, PSMA, RS5, S100, TAG-72, p53,
tenascin, IL-6, IL-8, insulin growth factor-1 (IGF-1), Tn antigen,
tumor necrosis antigens, VEGF, 17-1A-antigen, an angiogenesis
marker, ED-B fibronectin, an oncogene marker, an oncogene product,
HM1.24, VEGF, ILGF, placental growth factor and carbonic anhydrase
IX.
13. The method of claim 9, wherein the immunomodulator is selected
from the group consisting of a cytokine, a stem cell growth factor,
a lymphotoxin, a tumor necrosis factor (TNF), TNF-.alpha., a
hematopoietic factor, an interleukin, IL-1, IL-2, IL-3, IL-6,
IL-10, IL-12, IL-18, IL-21, a colony stimulating factor, G-CSF,
GM-CSF, interferon-.alpha., -.beta. or -.gamma., erythropoietin and
thrombopoietin.
14. The method of claim 1, wherein the humanized anti-HLA-DR
antibody or antigen-binding fragment thereof is conjugated to at
least one therapeutic or diagnostic agent.
15. The method of claim 14, wherein the therapeutic agent is
selected from the group consisting of antibodies, antibody
fragments, drugs, chemotherapeutic agents, toxins, enzymes,
nucleases, hormones, hormone antagonists, immunomodulators,
cytokines, chelators, boron compounds, photoactive agents, dyes and
radioisotopes.
16. The method of claim 1, wherein the humanized anti-HLA-DR
antibody or antigen-binding fragment thereof is administered
intravenously, subcutaneously, or intramuscularly at a dose of
between 20 and 2000 mg.
17. The method claim 1, wherein the humanized anti-HLA-DR antibody
or antigen-binding fragment thereof is conjugated to one or more
lipids, polymeric carriers, micelles, nanoparticles, or a
combination thereof.
18. The method of claim 15, wherein the chemotherapeutic agent is
selected from the group consisting of a taxane, a nitrogen mustard,
an ethylenimine, an alkyl sulfonate, a nitrosourea, a triazene, a
folic acid analog, a pyrimidine analog, a purine analog, an
antibiotic, a platinum coordination complex, a COX-2 inhibitor, an
apoptotic agent, a substituted urea, a methyl hydrazine, a steroid,
a progestin, an estrogen, an antiestrogen, an androgen, a
camptothecin, actinomycin, azaribine, anastrozole, azacytidine,
bleomycin, bryostatin-1, busulfan, carmustine, celecoxib,
chlorambucil, cisplatinum, irinotecan (CPT-11), carboplatinum,
cladribine, cyclophosphamide, cytarabine, dacarbazine, docetaxel,
dacarbazine, dactinomycin, daunorubicin, dexamethasone,
diethylstilbestrol, doxorubicin, ethinyl estradiol, estramustine,
etoposide, floxuridine, fludarabine, flutamide, 5-fluorouracil,
fluoxymesterone, gemcitabine, hydroxyprogesterone caproate,
hydroxyurea, idarubicin, ifosfamide, L-asparaginase, leucovorin,
lomustine, mechlorethamine, medroprogesterone acetate, megestrol
acetate, melphalan, mercaptopurine, methotrexate, mitoxantrone,
mitomycin, mitotane, oxaliplatin, phenyl butyrate, prednisone,
procarbazine, paclitaxel, pentostatin, semustine, streptozocin,
SN-38, tamoxifen, taxanes, testosterone propionate, thalidomide,
thioguanine, teniposide, topotecan, uracil mustard, vinblastine,
vinorelbine and vincristine.
19. The method of claim 15, wherein the toxin is selected from the
group consisting of ricin, abrin, ribonuclease, DNase I,
Staphylococcal enterotoxin-A, pokeweed antiviral protein, gelonin,
diphtheria toxin, Pseudomonas exotoxin and Pseudomonas
endotoxin.
20. The method of claim 15, wherein the immunomodulator is selected
from the group consisting of a cytokine, a stem cell growth factor,
a lymphotoxin, a tumor necrosis factor (TNF), TNF-.alpha., a
hematopoietic factor, an interleukin, IL-1, IL-2, IL-3, IL-6,
IL-10, IL-12, IL-18, IL-21, a colony stimulating factor, G-CSF,
GM-CSF, interferon-.alpha., -.beta. or -.gamma., erythropoietin and
thrombopoietin.
21. The method of claim 15, wherein the cytokine is
interferon-.alpha., interferon-.beta., interferon-.gamma. or
GM-CSF.
22. The method of claim 15, wherein the radioisotope is selected
from the group consisting of In-111, Lu-177, Bi-212, Bi-213,
At-211, Cu-62, Cu-64, Cu-67, Y-90, 1-125, 1-131, P-32, P-33, Sc-47,
Ag-111, Ga-67, Pr-142, Sm-153, Tb-161, Dy-166, Ho-166, Re-186,
Re-188, Re-189, Pb-212, Ra-223, Ac-225, Fe-59, Se-75, As-77, Sr-89,
Mo-99, Rh-105, Pd-109, Pr-143, Pm-149, Er-169, Ir-194, Au-198,
Au-199, Ac-225 and Pb-211.
23. The method of claim 15, wherein the radioisotope is an
alpha-particle-emitting radionuclide.
24. The method of claim 23, wherein the alpha particle has a decay
energy of between 2,000 and 10,000 keV.
25. The method of claim 23, wherein the alpha particle has a decay
energy of between 3,000 and 8,000 keV.
26. The method of claim 23, wherein the alpha particle has a decay
energy of between 4,000 and 7,000 keV.
27. The method of claim 1, wherein the humanized anti-HLA-DR
antibody is a humanized L243 antibody comprising heavy chain
variable domain complementarity determining region (CDR) sequences
CDR1 (NYGMN, residues 31 to 35 of SEQ ID NO: 4), CDR2
(WINTYTREPTYADDFKG, residues 50 to 66 of SEQ ID NO:4), and CDR3
(DITAVVPTGFDY, residues 99 to 110 of SEQ ID NO:4) and heavy chain
framework residues F27, K38, K46, A68 and F91 and light chain
variable domain CDR sequences CDR1 (RASENIYSNLA, residues 24 to 34
of SEQ ID NO:2), CDR2 (AASNLAD, residues 50 to 56 of SEQ ID NO:2),
and CDR3 (QHFWTTPWA, residues 89 to 98 of SEQ ID NO:2) and light
chain framework residues R37, K39, V48 and F49, wherein the
remainder of the humanized anti-HLA-DR antibody framework region
and constant region sequences are from one or more human
antibodies.
28. The method of claim 1, wherein the humanized anti-HLA-DR
antibody or fragment thereof comprises the hL243VK amino acid
sequence SEQ ID NO:6 and the hL243VH amino acid sequence SEQ ID
NO:8.
29. A method of treating Hodgkins or non-Hodgkin's lymphoma
comprising administering a humanized anti-HLA-DR antibody or
fragment thereof to a human subject with Hodgkins or non-Hodgkin's
lymphoma, wherein the antibody or fragment is administered
subcutaneously.
30. The method of claim 29, wherein the antibody or fragment
thereof is administered at a dosage of 200 to 800 mg weekly.
31. The method of claim 29, wherein administration is repeated for
at least 2 weeks.
32. The method of claim 29, wherein administration is repeated for
between 2 to 12 weeks.
33. The method of claim 31, further comprising administering a
maintenance dosage of the antibody or fragment thereof for 1 or 2
weeks every 2 to 3 months.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application is a divisional of U.S. patent application
Ser. No. 14/080,231, filed Nov. 14, 2013, which is a divisional of
U.S. patent application Ser. No. 12/556,718 (now issued U.S. Pat.
No. 8,613,903), filed Sep. 10, 2009, which is a divisional of U.S.
patent application Ser. No. 11/368,296 (now U.S. Pat. No.
7,612,180), filed Mar. 3, 2006, which claims the benefit under 35
U.S.C. .sctn.119(e) of provisional U.S. patent application Ser. No.
60/657,695 filed on Mar. 3, 2005, each of which is incorporated by
reference in its entirety.
SEQUENCE LISTING
[0002] The instant application contains a Sequence Listing which
has been submitted in ASCII format via EFS-Web and is hereby
incorporated by reference in its entirety. Said ASCII copy, created
on Mar. 5, 2012, is named IMM304US.txt and is 21,232 bytes in
size.
FIELD
[0003] The present invention relates to humanized antibodies
directed to an epitope recognized by murine monoclonal antibody
L243. In one embodiment, the present invention relates to
compositions and methods for preparing and using such antibodies.
In particular, the present invention provides for a humanized
monoclonal antibody, hL243, that is specific for the human
leucocyte antigen (HLA) encoded in the D region of the HLA gene
cluster of the major histocompatibility complex (MHC), otherwise
known as HLA-DR. The antibody inhibits proliferation of
HLA-DR.sup.+ cells and induces expression and release of TNF
molecules.
BACKGROUND
[0004] In humans, the major histocompatibility complex (MHC) is the
human leucocyte antigen (HLA) gene cluster on chromosome 6, which
is divided into regions termed D, B, C, and A. The D region
contains genes for Class II proteins, which are involved in
cooperation and interaction between cells of the immune system. The
D region has been implicated in many diseases including most
autoimmune diseases.
[0005] One antibody, L243 (hereafter mL243) is a murine IgG2a
anti-HLA-DR antibody. This antibody may be of potential use in the
treatment of diseases such as autoimmune diseases by targeting the
D region of the mouse HLA gene. mL243 demonstrates potent
suppression of in vitro immune function and is monomorphic for all
HLA-DR. However, problems exist with the administration of mouse
antibodies to human patients, such as the induction of a human
anti-mouse antibody (HAMA) response. A need exists for antibodies
with the antigenic specificity of mL243, that may be administered
to human subjects
SUMMARY
[0006] One embodiment of the present invention provides for a
recombinant humanized antibody molecule having specificity for the
epitope recognized by the murine monoclonal antibody mL243. This
epitope can be an antigenic determinant dependent on the DR-.alpha.
chain. In accordance with this embodiment, the antibody may be a
humanized CDR-grafted antibody.
[0007] For example, in one embodiment, the humanized antibody
molecule having specificity for the epitope recognized by the
murine monoclonal antibody mL243 has an antigen binding site
wherein at least one of the complementarity determining regions
(CDRs) of the variable domain is derived from the mouse monoclonal
antibody mL243 (MAb L243) and the remaining immunoglobulin-derived
parts of the humanized antibody molecule are derived from a human
immunoglobulin or an analogue thereof. In one particular embodiment
of the present invention, all three heavy and light chain CDRs of a
humanized antibody are derived from mAb mL243. In another
embodiment of the present invention, the humanized antibody
molecule may be conjugated to an effector or a reporter
molecule.
[0008] In one example, the present invention provides for a
humanized L243 antibody having a heavy chain variable domain where
the CDR1, CDR2, and CDR3 regions and one or more framework residues
27, 38, 46, 68 and 91 of the variable domain are from the mouse
monoclonal antibody mL243 heavy chain and the remainder of the
immunoglobulin framework domains are from one or more human heavy
chains. In accordance with this example, the antibody may bind to
at least one epitope of HLA-DR on HLA-DR.sup.+ cells, and increases
killing of the cells. In one particular embodiment, cell killing
may be increased where neither cytotoxic addends nor immunological
effector mechanisms are needed for the killing.
[0009] In another embodiment of the present invention, a humanized
L243 antibody may include a light chain variable domain where the
CDR1, CDR2, and CDR3 regions and one or more framework residues 37,
39, 48 and 49 of the variable domain are from the mouse monoclonal
antibody mL243 light chain and the remainder of the immunoglobulin
framework domains are from one or more human light chains. In
accordance with this embodiment, the antibody may bind to at least
one epitope of HLA-DR on HLA-DR* cells, and increases killing of
the cells. In one particular embodiment, cell killing may be
increased where neither cytotoxic addends nor immunological
effector mechanisms are needed for the killing.
[0010] In another embodiment of the present invention, a humanized
L243 antibody may include a heavy chain variable domain and a light
chain variable domain, where the CDR1, CDR2, and CDR3 regions and
one or more framework residues 27, 38, 46, 68 and 91 of the heavy
chain variable domain are from the mouse monoclonal antibody mL243
heavy chain and the remainder of the immunoglobulin heavy chain
framework domains are from one or more human heavy chains. In
accordance with this embodiment, a humanized L243 antibody may
include a heavy chain variable domain and a light chain variable
domain where the CDR1, CDR2, and CDR3 regions and one or more
framework residues 37, 39, 48 and 49 of the light chain variable
domain are from the mouse monoclonal antibody mL243 light chain and
the remainder of the immunoglobulin light chain framework domains
are from one or more human light chains. In addition, the antibody
may bind to at least one epitope of HLA-DR on HLA-DR.sup.+ cells,
and increases killing of the cells. In one particular embodiment,
cell killing may be increased where neither cytotoxic addends nor
immunological effector mechanisms are needed for the killing.
[0011] In one embodiment of the present invention, any one of the
antibodies as described supra may be used in a pharmaceutical
composition. In accordance with this embodiment, a pharmaceutical
composition including one or more antibodies described herein may
contain further therapeutic agents as described below.
[0012] In addition, one embodiment in the present invention
provides for nucleic acid molecules that encode one or more of the
disclosed antibody compositions, conjugates and fusion proteins as
described infra. Expression vectors and host cells containing these
nucleic acids may also be included.
[0013] In accordance with these embodiments, methods for making the
antibodies such as the use of host cells cultured in a suitable
growth medium for generating the antibodies may be included.
[0014] In one embodiment of the present invention, one or more of
the disclosed antibodies of the invention may be used in a
pharmaceutical composition for therapeutic and/or diagnostic
purposes. For example, one or more antibodies may be administered
in a therapeutic or pharmaceutical composition to a subject in need
of such a treatment (e.g. a subject having an immune disease such
as an autoimmune disease).
[0015] In a more particular embodiment of the present invention,
the humanized L243 antibody has a heavy chain variable domain
having the sequence shown in FIG. 4 and/or a light chain variable
domain having the sequence shown in FIG. 3.
[0016] In another embodiment, a pharmaceutical composition may
further contain one or more additional binding molecules which
specifically bind to one or more antigens selected from the group
consisting of CD4, CDS, CDS, CD14, CD15, CD19, CD20, CD21, CD22,
CD23, CD25, CD30, CD33, CD37, CD38, CD40, CD40L, CD46, CD52, CD54,
CD66 (a,b,c,d), CD74, CD80, CD126, CD138, CD154, B7, MUC1, MUC2,
MUC3, MUC4, MUC16, 1a, HM1.24, tenascin, VEGF, EGFR, CEA, CSAp,
ILGF, placental growth factor, Her2/neu, carbonic anhydrase IX,
IL-6, SI00, MART-1, TRP-1, TRP-2, gp1OO, amyloid and combinations
thereof, where the additional binding molecule is given before,
with, or after any pharmaceutical composition disclosed herein
containing a humanized L243 antibody composition and/or a delivery
vehicle for the antibody.
[0017] In one embodiment, a pharmaceutical composition for
administering to a subject in need of such a treatment may contain
a humanized L243 antibody and one or more peptides, lipids,
polymeric carriers, micelles, nanoparticles, or combinations
thereof; and one or more effectors.
[0018] One or more of the disclosed methods of the present
invention may be used to treat a disease including but not limited
to B cell non-Hodgkin lymphomas, B cell acute and chronic lymphoid
leukemias, Burkitt lymphoma, Hodgkin lymphoma, hairy cell leukemia,
acute and chronic myeloid leukemias, T cell lymphomas and
leukemias, multiple myeloma, Waldenstrom's macroglobulinemia,
carcinomas, melanomas, sarcomas, gliomas, and skin cancers. The
carcinomas may be selected from the group consisting of carcinomas
of the oral cavity, gastrointestinal tract, pulmonary tract,
breast, ovary, prostate, uterus, urinary bladder, pancreas, liver,
gall bladder, skin, and testes. In addition, one or more of the
disclosed methods may be used to treat an autoimmune disease, for
example acute idiopathic thrombocytopenic purpura, chronic
idiopathic thrombocytopenic purpura, dermatomyositis, Sydenham's
chorea, myasthenia gravis, systemic lupus erythematosus, lupus
nephritis, rheumatic fever, polyglandular syndromes, bullous
pemphigoid, diabetes mellitus, Henoch-Schonlein purpura,
post-streptococcal nephritis, erythema nodosum, Takayasu's
arteritis, Addison's disease, rheumatoid arthritis, multiple
sclerosis, sarcoidosis, ulcerative colitis, erythema multiforme,
IgA nephropathy, polyarteritis nodosa, ankylosing spondylitis,
Goodpasture's syndrome, thromboangitis obliterans, Sjogren's
syndrome, primary biliary cirrhosis, Hashimoto's thyroiditis,
thyrotoxicosis, scleroderma, chronic active hepatitis,
polymyositis/dermatomyositis, polychondritis, pemphigus vulgaris,
Wegener's granulomatosis, membranous nephropathy, amyotrophic
lateral sclerosis, tabes dorsalis, giant cell
arteritis/polymyalgia, pernicious anemia, rapidly progressive
glomerulonephritis, psoriasis, or fibrosing alveolitis.
[0019] In one embodiment, a pharmaceutical composition of the
present invention may be use to treat a subject having leukemia,
such as chronic lymphocytic leukemia, acute lymphocytic leukemia,
chronic myeloid leukemia or acute myeloid leukemia.
[0020] In one embodiment, a pharmaceutical composition of the
present invention may be use to treat a subject having a metabolic
disease, such amyloidosis, or a neurodegenerative disease, such as
Alzheimer's disease. In addition, a pharmaceutical composition of
the present invention may be use to treat a subject having an
immune-dysregulatory disorder.
[0021] Other objects, features and advantages of the present
invention will become apparent from the following detailed
description. It should be understood, however, that the detailed
description and the specific examples, while indicating preferred
embodiments of the invention, are given by way of illustration
only, since various changes and modifications within the spirit and
scope of the present invention will become apparent to those
skilled in the art from this detailed description.
BRIEF DESCRIPTION OF THE DRAWINGS
[0022] The following drawings form part of the present
specification and are included to further demonstrate certain
embodiments of the present invention. The embodiments may be better
understood by reference to one or more of these drawings in
combination with the detailed description of specific embodiments
presented herein
[0023] FIG. 1--(also SEQ ID NO:1 and SEQ ID NO:2) DNA coding and
amino acid sequences of VK of the mouse anti-HLA-DR antibody L243.
The putative CDR regions are underlined and indicated. Nucleotide
residues are numbered sequentially. Kabat's Ig molecule numbering
is used for amino acid residues. The numbering for the residues
with a letter (on top) is the number of preceding residues plus the
letter, e.g., the number for T following N52 is 52A; the numbers
for N, N and L following 82 are 82A, 82B and 82C, respectively.
[0024] FIG. 2--(also SEQ ID NO:3 and SEQ ID NO:4) DNA coding and
amino acid sequences of VH of the mouse anti-HLA-DR antibody L243.
The putative CDR regions are underlined and indicated. Nucleotide
residues are numbered sequentially. Kabat's Ig molecule numbering
is used for amino acid residues as described above.
[0025] FIG. 3--(also SEQ ID NO:5 and SEQ ID NO:6) DNA and amino
acid sequences of humanized L243 VR. The bold and underlined
sections of the amino acid sequences indicate the CDRs as defined
by the Kabat numbering scheme.
[0026] FIG. 4--(also SEQ ID NO:7 and SEQ ID NO:8) DNA and amino
acid sequences for humanized L243 VH. The bold and underlined
sections of the amino acid sequences indicate the CDRs as defined
by the Kabat numbering scheme.
[0027] FIG. 5--amino acid sequence alignment of human RF-TS3 (SEQ
ID NO:9) and NEWM (framework 4, SEQ ID NO:12), murine L243 (SEQ ID
NO:10), and hL243 VH chain (SEQ ID NO:11). Dots indicate the
residues in L243 and its humanized version are identical to the
corresponding residues in RF-TS3 or NEWM. Dashes represent gaps
introduced to aid the alignment. Boxes represent the CDR regions.
Both N- and C-terminal residues (underlined) of hL243 are fixed by
the staging vector used. Therefore, the corresponding terminal
residues of L243 are not compared with that of the human VH
sequence.
[0028] FIG. 6--(also SEQ ID NO:13, SEQ ID NO:14 and SEQ ID NO:15)
amino acid sequence alignment of human REI, murine L243, and hL243
VK chains. Dots indicate the residues in L243 that are identical to
the corresponding residues in REI. Dashes represent gaps introduced
to aid the alignment. Boxes represent the CDR regions. Both N- and
C-terminal residues (underlined) of hL243 are fixed by the staging
vector used. Therefore, the corresponding terminal residues of L243
are not compared with that of the human sequence. Kabat's numbering
scheme is used.
[0029] FIG. 7A--antigen-binding specificity of hL243. Raji cells,
preincubated with a saturated concentration of mL234 (for blocking
cell surface antigen ("Ag") sites) or without, were resuspended in
PBS containing 1% BSA and 10 .mu.g/ml of purified hL243 and
incubated for 1 h at 4.degree. C. After washing, the cells were
resuspended in PBS containing 1% BSA and PE-labeled goat anti-human
IgG, Fc fragment specific antibody. After further incubation at
4.degree. C. for 30 min, the cells were counted in a Guava PCA. The
Figure shows specific binding of hL243 to Raji human lymphoma cells
(red trace), which was blocked by preincubation of the cells with
mL243 (blue trace).
[0030] FIG. 7B--negative binding control, performed with anti-CEA
antibody (hMN-14) in place of hL243 under identical conditions.
[0031] FIG. 8A--Ag-binding affinities comparing hL243.gamma.4P and
mL243 in a competitive cell surface binding assay. A constant
amount (100,000 cpm, -10 uCi/ug) of .sup.125I-labeled mL234 was
mixed with varying concentrations (0.2-700 nM) of unlabeled
hL243.gamma.4P (.tangle-solidup.) or mL2343 (.box-solid.). The
mixtures were added to Raji cells and incubated at room temperature
for 2 h. The cells were washed to remove unbound antibodies and the
radioactivity associated with the cells was counted. hL243.gamma.4P
and mL234 were shown to compete with each other for binding to cell
surface Ag. In both cases hL243.gamma.4P appeared to bind to Raji
cells more strongly than mL243.
[0032] FIG. 8B--Ag-binding affinities comparing hL243.gamma.4P and
mL243 in a competitive cell surface binding assay. A constant
amount (100,000 cpm, -10 uCi/ug) of .sup.125I-labeled
hL243.gamma.4P was mixed with varying concentrations (0.2-700 nM)
of unlabeled hL243.gamma.4P (.tangle-solidup.) or mL2343
(.box-solid.). The mixtures were added to Raji cells and incubated
at room temperature for 2 h. The cells were washed to remove
unbound antibodies and the radioactivity associated with the cells
was counted. hL243.gamma.4P and mL234 were shown to compete with
each other for binding to cell surface Ag. In both cases
hL243.gamma.4P appeared to bind to Raji cells more strongly than
mL243.
[0033] FIG. 9--Ag-binding affinities of hL243.gamma.4P and mL243
determined by direct cell surface saturation binding and Scatchard
plot analysis. Varying concentrations of .sup.125I-labeled mL234
(.box-solid.) or hL243.gamma.4P (.DELTA.) were incubated with
2.times.10.sup.5 Daudi human lymphoma cells at 4.degree. C. for 2
h, and unbound radioactivity was removed from cell suspensions by
washing. The cell-associated radioactivity was counted, specific
binding of radiolabeled antibody to the cell surface antigen
calculated, and Scatchard plot analysis was then applied to
determine the maximum number of binding sites per cell and the
apparent antigen-binding affinity constant: The maximum binding of
mL234 or hL243.gamma.4P to Daudi cell surface was 6.times.10.sup.6
molecules/cell; The dissociation constants determined for mL234 or
hL243.gamma.4P were 14 and 2.6 nM, respectively.
[0034] FIG. 10--hL243 killing of target cells in the presence of
human serum complement. Daudi cells were incubated with hL 243,
hL243.gamma.4P, hA20 (a positive control), and hMN-14 (a negative
control) in the presence of human serum complement. hL243.gamma.4P
was shown not to produce any complement-induced cytotoxicity.
[0035] FIG. 11A--LDH release induced by ADCC as observed for hL243,
hL243.gamma.4P, hA20 (positive control) and 1 hMN-14 (negative
control).
[0036] FIG. 11B--% cell lysis by ADCC as observed for hL243,
hL243.gamma.4P, hA20 (positive control) and 1 hMN-14 (negative
control).
[0037] FIG. 12A--in vitro proliferative assay with the Daudi cell
line at the end of 2 days.
[0038] FIG. 12B--in vitro proliferative assay with the Raji cell
line at the end of 2 days.
[0039] FIG. 13A--in vitro proliferative assay with the Daudi cell
line at the end of 3 days.
[0040] FIG. 13B--in vitro proliferative assay with the Raji cell
line at the end of 3 days.
[0041] FIG. 14--median survival times for tumor-bearing SCID mice
injected with hL243.gamma.4P.
[0042] FIG. 15--comparative induction of apoptosis in dog lymphoma
cells (measured as % cells with a sub GO/G1 phase DNA content)
caused by L243, hL243 (IgG4 isotype), hMN-14 (humanized MN-14 IgG),
and Ag8 (murine myeloma derived mAb). L243 and hL243 caused
apoptosis when crosslinked with goat anti-mouse (GAM) and goat-anti
human (GAH) antibodies respectively.
[0043] FIG. 16A--anti-proliferative effects of single humanized
antibodies (hLL1, hLL2, Rituximab, hA20, hMN-14 and hL243 (IgG4
isotype), with and without goat anti-human IgG (GAH)) on Namalwa
human B-cell lymphoma cell line as determined by a
.sup.3H-thymidine uptake assay.
[0044] FIG. 16B--anti-proliferative effects of mixtures of
humanized antibodies (hLL1, hLL2, Rituximab, hA20, hMN-14 and hL243
(IgG4 isotype), with and without goat anti-human IgG (GAH)) on
Namalwa human B-cell lymphoma cell line as determined by a
.sup.3H-thymidine uptake assay.
[0045] FIG. 17--binding characteristics of hL243.gamma.4P relative
to the parental murine L243.
[0046] FIG. 18A--CDC assays in the Raji cell line exposed to
various antibodies disclosed herein.
[0047] FIG. 18B--CDC assays in the Ramos cell line exposed to
various antibodies disclosed herein.
[0048] FIG. 18C--CDC assays in Namalwa cell lines exposed to
various antibodies disclosed herein.
[0049] FIG. 19--ADCC assays and calcein AM release in SU-DHL-6
cells exposed to various antibodies disclosed herein.
[0050] FIG. 20A--MTT studies of anti-proliferative effects of
hL243.gamma.4P on several cell lines disclosed herein.
[0051] FIG. 20B--.sup.3H-thymidine uptake studies of
anti-proliferative effects of hL243.gamma.4P on several cell lines
disclosed herein. In the axis label, hL243 refers to the .gamma.4P
form.
[0052] FIG. 21A--induction of apoptosis, wherein dead cells are
represented by clear and apoptotic cells are illustrated in solid.
Measurement of Sub G0 DNA in SU-DHL-6 and Namalwa cells. Cells used
had 97% viability prior to treatment.
[0053] FIG. 21B--induction of apoptosis dead cells are represented
by clear and apoptotic cells are illustrated in solid. Annexin
V/7-ADD at 4 and 24 hours. Cells used had 97% viability prior to
treatment.
[0054] FIG. 22--mitochondrial membrane potential using a JC-1 assay
in several cell lines.
[0055] FIG. 23A--cleaved caspase-3 time course studies in Daudi
cells.
[0056] FIG. 23B--P-AKT time course studies in Daudi cells.
[0057] FIG. 24--therapy of Raji-bearing SCID mice treated with
murine L243 and L243 .gamma.4P.
DETAILED DESCRIPTION
[0058] In the following section, several methods are described to
detail various embodiments of the invention. It will be obvious to
one skilled in the art that practicing the various embodiments does
not require the employment of all or even some of the specific
details outlined herein, but rather that concentrations, times and
other specific details may be modified through routine
experimentation. In some cases, well known methods or components
have not been included in the description in order to prevent
unnecessary masking of the various embodiments.
[0059] In one embodiment of the present invention humanized mouse
antibodies are provided that bind to HLA-DR. In one particular
embodiment, humanized mL243 antibodies may be provided that bind to
HLA-DR but that have reduced immunogenicity compared to the
corresponding murine antibodies. In accordance with this
embodiment, the antibodies may inhibit proliferation of cells (or
induce cell killing) expressing HLA-DR molecules, such as lymphoma
cells. Alternatively, antibodies discloses herein may be used to
bind to a target molecule and increase the likelihood of cell
killing. Pharmaceutical compositions containing the antibodies and
methods of treating diseases associated with proliferation of
HLA-DR' cells are provided.
[0060] mL243 is a monoclonal antibody previously described by
Lampson & Levy (J. Immunol. (1980) 125:293). The amino acid
sequences of the light and heavy chain variable regions of the
antibody are shown in FIGS. 1 and 2 (also SEQ. ID. 1 and 2
respectively). mL243 has been deposited at the American Type
Culture Collection, 10801 University Blvd., Manassas, Va.
20110-2209, under Accession number ATCC HB55.
[0061] In the description that follows, a number of terms may be
used and the following definitions are provided to facilitate
understanding of the present invention.
[0062] Unless otherwise specified, "a" or "an" means "one or
more".
[0063] As used herein the specification, "subject" or "subjects"
may include but are not limited mammals such as humans or mammals
for example dogs, cats, ferrets, rabbits, pigs, horses, or
cattle.
[0064] "Antibody-dependent cell mediated cytotoxicity" or "ADCC" is
a cell-mediated reaction in which nonspecific cytotoxic cells that
express Fc receptors (natural killer cells, neutrophils, and
macrophages) recognize bound antibody on target cells and
subsequently cause lysis of the target cells. The primary cells for
mediating ADCC are the natural killer cells (express the FcDRIII
only) and monocytes (express FcDRI, FcDRII and FcDRIII).
[0065] "Complement-dependent cytotoxicity" or "CDC" refers to the
lysing of a target in the presence of complement. The complement
activation pathway is initiated by the binding of the first
component of the complement system (Clq) to a molecule (e.g., an
antibody) complexed with a cognate antigen. The "Fc receptor" or
"FcR" is used to describe a receptor that binds to the Fc region of
an antibody. Both CDC and ADCC require the Fc portion of a MAb and
the effect of ADCC can be augmented by increasing the binding
affinity for FcyR (IgG Fc receptors) on effector cells (Shinkawa,
et al., J. Biol. Chem. 278: 3466-3473, 2003; Shields et al., J.
Biol Chem. 211: 26733-26740, 2002; Shields et al, J. Biol. Chem.
276: 6591-6604, 2002; Davies et al., Biotechnol. Bioeng. 74:
288-294, 2001; and Umana et al., Nature Biotechnol. 176-180, 1999).
An "effector cell" refers to any type of cell that is capable of
carrying out effector cell function(s). It is well known that
effector cells having different specialized immune functions can be
distinguished from one another on the basis of their differential
expression of a wide variety of cell surface antigens, such as many
of the antigens described herein to which binding domain
polypeptides can specifically bind. Effector cells include but are
not limited to any cell that is capable of directly mediating an
activity which is a component of immune system function, including
cells having such capability naturally or as a result of genetic
engineering. An effector cell comprises a cell surface receptor for
an immunoglobulin, such as a receptor for an immunoglobulin
constant region and including the class of receptors commonly
referred to as "Fc receptors" (FcR). Cells that are capable of
mediating ADCC are examples of effector cells. Other examples
include natural killer (NK) cells, tumor-infiltrating T lymphocytes
(TIL), cytotoxic T lymphocytes (CTL), and granulocytic cells such
as cells that comprise allergic response mechanisms. Effector cells
can also affect cells of hematopoietic origins including cells at
various stages of differentiation within myeloid and lymphoid
lineages and which may (but need not) express one or more types of
functional cell surface FcR, such as T lymphocytes, B lymphocytes,
NK cells, monocytes, macrophages, dendritic cells, neutrophils,
basophils, eosinophils, mast cells, platelets, erythrocytes, and
precursors, progenitors (e.g., hematopoietic stem cells),
quiescent, activated and mature forms of such cells. Other effector
cells may include cells of non-hematopoietic origin that are
capable of mediating immune functions, for example, endothelial
cells, keratinocytes, fibroblasts, osteoclasts, epithelial cells
and other cells. Immune effector cells may also include cells that
mediate cytotoxic or cytostatic events, or endocytic, phagocytic,
or pinocytotic events, or that effect induction of apoptosis, or
that effect microbial immunity or neutralization of microbial
infection, or cells that mediate allergic, inflammatory,
hypersensitivity and/or autoimmune reactions.
[0066] An antibody that "inhibits growth" is one that inhibits the
growth of diseased cells in vitro and/or in vivo. By inhibiting the
growth of diseased cells, the percentage of cells in S phase is
reduced. Preferred percentage of growth inhibition by an antibody
of the present invention can be greater than 20%, preferably
greater than 50% at an antibody concentration of about 0.5
.mu.g/mL-20 .mu.g/mL in vitro, and at a dose in adult patients of
about 0.5 mg/kg-15 mg/kg.
[0067] An "antibody" as used herein refers to a full-length (i.e.,
naturally occurring or formed by normal immunoglobulin gene
fragment recombinatorial processes) immunoglobulin molecule (e.g.,
an IgG antibody) or an immunologically active (i.e., specifically
binding) portion of an immunoglobulin molecule, like an antibody
fragment. The term "antibody" also includes "humanized" antibodies
and even fully human antibodies that can be produced by phage
display, gene and chromosome transfection methods, as well as by
other means. This term also includes monoclonal antibodies,
polyclonal antibodies, multivalent antibodies, multispecific
antibodies (e.g., bispecific antibodies).
[0068] An "immunogenic response" or "antigenic response" is one
that results in the production of antibodies directed to a compound
after the appropriate cells have been contacted therewith. The
compound that is used to elicit an immunogenic response is referred
to as an immunogen or antigen. The antibodies produced in the
immunogenic response specifically bind the immunogen used to elicit
the response.
[0069] The compound that is used to elicit an immunogenic response
is referred to as an immunogen or antigen. An "epitope" or
"antigenic determinant" is an area on the surface of an immunogen
that stimulates a specific immune response directed to the epitope.
In proteins, particularly denatured proteins, an epitope is
typically defined and represented by a contiguous amino acid
sequence. However, in the case of nondenamred proteins, epitopes
also include structures, such as active sites, that are formed by
the three-dimensional folding of a protein in a manner such that
amino acids from separate portions of the amino acid sequence of
the protein are brought into close physical contact with each
other.
[0070] Naturally occurring (wild type) antibody molecules are
Y-shaped molecules consisting of four polypeptide chains, two
identical heavy chains and two identical light chains, which are
covalently linked together by disulfide bonds. Both types of
polypeptide chains have constant regions, which do not vary or vary
minimally among antibodies of the same class (i.e., IgA, IgM,
etc.), and variable regions. The variable regions are unique to a
particular antibody and comprise a recognition element for an
epitope. The carboxy-terminal regions of both heavy and light
chains are conserved in sequence and are called the constant
regions (also known as C-domains). The amino-terminal regions (also
known as V-domains) are variable in sequence and are responsible
for antibody specificity. The antibody specifically recognizes and
binds to an antigen mainly through six short
complementarity-determining regions (CDRs) located in their
V-domains.
[0071] Each light chain of an antibody is associated with one heavy
chain, and the two chains are linked by a disulfide bridge formed
between cysteine residues in the carboxy-terminal region of each
chain, which is distal from the amino terminal region of each chain
that constitutes its portion of the antigen binding domain.
Antibody molecules are further stabilized by disulfide bridges
between the two heavy chains in an area known as the hinge region,
at locations nearer the carboxy terminus of the heavy chains than
the locations where the disulfide bridges between the heavy and
light chains are made. The hinge region also provides flexibility
for the antigen-binding portions of an antibody.
[0072] The antigen-binding specificity of an antibody can be
determined by its variable regions located in the amino terminal
regions of the light and heavy chains. The variable regions of a
light chain and associated heavy chain form an "antigen binding
domain" that recognizes a specific epitope; an antibody thus has
two antigen binding domains. The antigen binding domains in a
wildtype antibody are directed to the same epitope of an
immunogenic protein, and a single wildtype antibody is thus capable
of binding two molecules of the immunogenic protein at the same
time. Thus, a wildtype antibody is monospecific (i.e., directed to
a unique antigen) and divalent (i.e., capable of binding two
molecules of antigen).
[0073] "Polyclonal antibodies" are generated in an immunogenic
response to a protein having many epitopes. A composition (e.g.,
serum) of polyclonal antibodies thus includes a variety of
different antibodies directed to the same and to different epitopes
within the protein. Methods for producing polyclonal antibodies are
known in the art (see, e.g., Cooper et al., Section III of Chapter
11 in: Short Protocols in Molecular Biology, 2nd Ed., Ausubel et
al., eds., John Wiley and Sons, New York, 1992, pages 11-37 to
11-41).
[0074] "Antipeptide antibodies" (also known as "monospecific
antibodies") are generated in a humoral response to a short
(typically, 5 to 20 amino acids) immunogenic polypeptide that
corresponds to a few (preferably one) isolated epitopes of the
protein from which it is derived. A plurality of antipeptide
antibodies includes a variety of different antibodies directed to a
specific portion of the protein, i.e., to an amino acid sequence
that contains at least one, preferably only one, epitope. Methods
for producing antipeptide antibodies are known in the art (see,
e.g., Cooper et al., Section III of Chapter 11 in: Short Protocols
in Molecular Biology, 2nd Ed., Ausubel et al., eds., John Wiley and
Sons, New York, 1992, pages 11-42 to 11-46).
[0075] A "monoclonal antibody" is a specific antibody that
recognizes a single specific epitope of an immunogenic protein. In
a plurality of a monoclonal antibody, each antibody molecule is
identical to the others in the plurality. In order to isolate a
monoclonal antibody, a clonal cell line that expresses, displays
and/or secretes a particular monoclonal antibody is first
identified; this clonal cell line can be used in one method of
producing the antibodies of the present invention. Methods for the
preparation of clonal cell lines and of monoclonal antibodies
expressed thereby are known in the art (see, for example, Fuller et
al., Section II of Chapter 11 in: Short Protocols in Molecular
Biology, 2nd Ed., Ausubel et al., eds., John Wiley and Sons, New
York, 1992, pages 11-22 to 11-11-36).
[0076] A "naked antibody" is an intact antibody molecule that
contains no further modifications such as conjugation with a toxin,
or with a chelate for binding to a radionuclide. The Fc portion of
the naked antibody can provide effector functions, such as
complement fixation and ADCC (antibody dependent cell
cytotoxicity), which set mechanisms into action that may result in
cell lysis. See, e.g., Markrides, Therapeutic inhibition of the
complement system, Pharmacol. Rev. 50:59-87, 1998. In one
embodiment, the therapeutic action of an antibody may require the
effector functions of the Fc region (see, e.g., Golay et al,
Biologic response of B lymphoma cells to anti-CD20 monoclonal
antibody rituximab in vitro: CD55 and CD59 regulate
complement-mediated cell lysis, Blood 95: 3900-3908, 2000).
[0077] In another embodiment, the Fc portion may not be needed or
in some instances desired for a therapeutic treatment of a subject.
In accordance with this embodiment, other mechanisms, such as
apoptosis, may be invoked. Vaswani and Hamilton, Humanized
antibodies as potential therapeutic drugs. Ann. Allergy Asthma
Immunol. 81: 105-119, 1998.
[0078] An "antibody fragment" is a portion of an intact antibody
such as F(ab')a, F(ab)2, Fab', Fab, Fv, sFv and the like.
Regardless of structure, an antibody fragment binds with the same
antigen that is recognized by the full-length antibody. For
example, an anti-CD20 monoclonal antibody fragment binds with an
epitope of CD20. The term "antibody fragment" also includes any
synthetic or genetically engineered protein that acts like an
antibody by binding to a specific antigen to form a complex. For
example, antibody fragments include isolated fragments consisting
of the variable regions, such as the "Fv" fragments consisting of
the variable regions of the heavy and light chains, recombinant
single chain polypeptide molecules in which light and heavy
variable regions are connected by a peptide linker ("scFv
proteins"), and minimal recognition units consisting of the amino
acid residues that mimic the hypervariable region.
[0079] Antibody fragments produced by limited proteolysis of
wildtype antibodies are called proteolytic antibody fragments.
These include, but are not limited to, the following: "F(ab').sub.2
fragments" are released from an antibody by limited exposure of the
antibody to a proteolytic enzyme, e.g., pepsin or ficin. An F(ab')2
fragment comprises two "arms," each of which comprises a variable
region that is directed to and specifically binds a common antigen.
The two Fab' molecules are joined by interchain disulfide bonds in
the hinge regions of the heavy chains; the Fab' molecules may be
directed toward the same (bivalent) or different (bispecific)
epitopes.
[0080] "Fab.sup.1 fragments" contain a single anti-binding domain
including an Fab and an additional portion of the heavy chain
through the hinge region.
[0081] "Fab'-SH fragments" are typically produced from F(ab')2
fragments, which are held together by disulfide bond(s) between the
H chains in an F(ab')2 fragment. Treatment with a mild reducing
agent such as, by way of non-limiting example,
beta-mercaptoethylamine, breaks the disulfide bond(s), and two Fab'
fragments are released from one F(ab').sub.2 fragment. Fab'-SH
fragments are monovalent and monospecific.
[0082] "Fab fragments" (i.e., an antibody fragment that contains
the antigen-binding domain and comprises a light chain and part of
a heavy chain bridged by a disulfide bond) are produced by papain
digestion of intact antibodies. A convenient method is to use
papain immobilized on a resin so that the enzyme can be easily
removed and the digestion terminated. Fab fragments do not have the
disulfide bond(s) between the H chains present in an F(ab')2
fragment.
[0083] "Single-chain antibodies" are one type of antibody fragment.
The term single chain antibody is often abbreviated as "scFv" or
"sFv." These antibody fragments are produced using molecular
genetics and recombinant DNA technology. A single-chain antibody
consists of a polypeptide chain that comprises both a VH and a VL
domains which interact to form an antigen-binding site. The VH and
VL domains are usually linked by a peptide of 10 to 25 amino acid
residues.
[0084] The term "single-chain antibody" further includes but is not
limited to a disulfide-linked Fv (dsFv) in which two single-chain
antibodies (each of which may be directed to a different epitope)
linked together by a disulfide bond; a bispecific sFv in which two
discrete scFvs of different specificity is connected with a peptide
linker; a diabody (a dimerized sFv formed when the VH domain of a
first sFv assembles with the VL domain of a second sFv and the VL
domain of the first sFv assembles with the VH domain of the second
sFv; the two antigen-binding regions of the diabody may be directed
towards the same or different epitopes); and a triabody (a
trimerized sFv, formed in a manner similar to a diabody, but in
which three antigen-binding domains are created in a single
complex; the three antigen binding domains may be directed towards
the same or different epitopes).
[0085] "Complementary determining region peptides" or "CDR
peptides" are another form of an antibody fragment. A CDR peptide
(also known as "minimal recognition unit") is a peptide
corresponding to a single complementarity-determining region (CDR),
and can be prepared by constructing genes encoding the CDR of an
antibody of interest. Such genes are prepared, for example, by
using the polymerase chain reaction to synthesize the variable
region from RNA of antibody-producing cells. See, for example,
Larrick et al, Methods: A Companion to Methods in Enzymology 2:106,
1991.
[0086] In "cysteine-modified antibodies," a cysteine amino acid is
inserted or substituted on the surface of antibody by genetic
manipulation and used to conjugate the antibody to another molecule
via, e.g., a disulfide bridge. Cysteine substitutions or insertions
for antibodies have been described (see U.S. Pat. No. 5,219,996).
Methods for introducing Cys residues into the constant region of
the IgG antibodies for use in site-specific conjugation of
antibodies are described by Stimmel et al. (J. Biol. Chem
275:330445-30450, 2000).
[0087] A "humanized antibody" is a recombinant protein used to
reduce the amount of non-human protein in which the CDRs from an
antibody from one species; e.g., a rodent antibody, heavy and light
variable chains of the rodent antibody are exchanged for some human
heavy and light variable domains for example using protein
engineering techniques. The constant domains of the antibody
molecule are derived from those of a human antibody. See Gussow and
Seemann, Humanization of monoclonal antibodies, Method Enzymol.
203:99-121, 1991 and Vaswani and Hamilton, Ann. Allergy Asthma
Immunol. 81:105-119, 1998.
Production of Antibody Fragments
[0088] Some embodiments of the claimed methods and/or compositions
may concern antibody fragments. Such antibody fragments may be
obtained by pepsin or papain digestion of whole antibodies by
conventional methods. For example, antibody fragments may be
produced by enzymatic cleavage of antibodies with pepsin to provide
a 5S fragment denoted F(ab').sub.2. This fragment may be further
cleaved using a thiol reducing agent and, optionally, a blocking
group for the sulfhydryl groups resulting from cleavage of
disulfide linkages, to produce 3.5S Fab' monovalent fragments.
Alternatively, an enzymatic cleavage using pepsin produces two
monovalent Fab fragments and an Fc fragment. Exemplary methods for
producing antibody fragments are disclosed in U.S. Pat. No.
4,036,945; U.S. Pat. No. 4,331,647; Nisonoff et al., 1960, Arch.
Biochem. Biophys., 89:230; Porter, 1959, Biochem. J., 73:119;
Edelman et al., 1967, Methods in Enzymology, page 422 (Academic
Press), and Coligan et al. (eds.), 1991, Current Protocols in
Immunology, (John Wiley & Sons).
[0089] Other methods of cleaving antibodies, such as separation of
heavy chains to form monovalent light-heavy chain fragments,
further cleavage of fragments or other enzymatic, chemical or
genetic techniques also may be used, so long as the fragments bind
to the antigen that is recognized by the intact antibody. For
example, Fv fragments comprise an association of V.sub.H and
V.sub.L chains. This association can be noncovalent, as described
in Inbar et al., 1972, Proc. Nat'l. Acad. Sci. USA, 69:2659.
Alternatively, the variable chains may be linked by an
intermolecular disulfide bond or cross-linked by chemicals such as
glutaraldehyde. See Sandhu, 1992, Crit. Rev. Biotech., 12:437.
[0090] Preferably, the Fv fragments comprise V.sub.H and V.sub.L
chains connected by a peptide linker. These single-chain antigen
binding proteins (sFv) are prepared by constructing a structural
gene comprising DNA sequences encoding the V.sub.H and V.sub.L
domains, connected by an oligonucleotides linker sequence. The
structural gene is inserted into an expression vector that is
subsequently introduced into a host cell, such as E. coli. The
recombinant host cells synthesize a single polypeptide chain with a
linker peptide bridging the two V domains. Methods for producing
sFvs are well-known in the art. See Whitlow et al., 1991, Methods:
A Companion to Methods in Enzymology 2:97; Bird et al., 1988,
Science, 242:423; U.S. Pat. No. 4,946,778; Pack et al., 1993,
Bio/Technology, 11:1271, and Sandhu, 1992, Crit. Rev. Biotech.,
12:437.
[0091] Another form of an antibody fragment is a peptide coding for
a single complementarity-determining region (CDR). CDR peptides
("minimal recognition units") can be obtained by constructing genes
encoding the CDR of an antibody of interest. Such genes are
prepared, for example, by using the polymerase chain reaction to
synthesize the variable region from RNA of antibody-producing
cells. See Larrick et al., 1991, Methods: A Companion to Methods in
Enzymology 2:106; Ritter et al. (eds.), 1995, Monoclonal
Antibodies: Production, Engineering and Clinical Application, pages
166-179 (Cambridge University Press); Birch et al., (eds.), 1995,
Monoclonal Antibodies: Principles and Applications, pages 137-185
(Wiley-Liss, Inc.)
[0092] In one embodiment, the humanized antibody may be linked to
an effector or reporter molecule. For example, a macrocycle for
chelating a heavy metal atom, or a toxin such as ricin, may be
attached to the humanized antibody by a covalent bridging
structure. Alternatively, the procedure of recombinant DNA
technology may be used to produce a humanized antibody molecule in
which the Fc fragment, Cu3 or Cn2 domain of a complete antibody
molecule has been replaced by or has attached thereto by peptide
linkage a functional non-immunoglobulin protein such as an enzyme
or toxin molecule.
[0093] In another embodiment of the present invention, the
humanized antibody may include a complete antibody molecule, having
full length heavy and light chains; a fragment thereof, such as a
Fab, Fab', F(ab')2, or Fv fragment; a single chain antibody
fragment, e.g. a single chain Fv, a light chain or heavy chain
monomer or dimer; multivalent monospecific antigen binding proteins
comprising two, three, four or more antibodies or fragments thereof
bound to each other by a connecting structure; or a fragment or
analogue of any of these or any other molecule with the same
specificity as MAb mL243. In one particular embodiment, the
antibody may include a complete antibody molecule, having full
length heavy and light chains.
Humanized L243 Antibodies
Chimeric and Humanized Antibodies
[0094] A chimeric antibody is a recombinant protein in which the
variable regions of a human antibody have been replaced by the
variable regions of, for example, an anti-L243 mouse antibody,
including the complementarity-determining regions (CDRs) of the
mouse antibody. Chimeric antibodies exhibit decreased
immunogenicity and increased stability when administered to a
subject. Methods for constructing chimeric antibodies are well
known in the art (e.g., Leung et al., 1994, Hybridoma 13:469).
[0095] A chimeric monoclonal antibody may be humanized by
transferring the mouse CDRs from the heavy and light variable
chains of the mouse immunoglobulin into the corresponding variable
domains of a human antibody. The mouse framework regions (FR) in
the chimeric monoclonal antibody are also replaced with human FR
sequences. To preserve the stability and antigen specificity of the
humanized monoclonal, one or more human FR residues may be replaced
by the mouse counterpart residues. Humanized monoclonal antibodies
may be used for therapeutic treatment of subjects. The affinity of
humanized antibodies for a target may also be increased by selected
modification of the CDR sequences (WO0029584A1). Techniques for
production of humanized monoclonal antibodies are well known in the
art. (See, e.g., Jones et al., 1986, Nature, 321:522; Riechmann et
al., Nature, 1988, 332:323; Verhoeyen et al., 1988, Science,
239:1534; Carter et al., 1992, Proc. Nat'l Acad. Sci. USA, 89:4285;
Sandhu, Crit. Rev. Biotech., 1992, 12:437; Tempest et al., 1991,
Biotechnology 9:266; Singer et al., J. Immun., 1993, 150:2844.)
[0096] Other embodiments may concern non-human primate antibodies.
General techniques for raising therapeutically useful antibodies in
baboons may be found, for example, in Goldenberg et al., WO
91/11465 (1991), and in Losman et al., Int. J. Cancer 46: 310
(1990).
[0097] In another embodiment, an antibody may be a human monoclonal
antibody. Such antibodies are obtained from transgenic mice that
have been engineered to produce specific human antibodies in
response to antigenic challenge. In this technique, elements of the
human heavy and light chain locus are introduced into strains of
mice derived from embryonic stem cell lines that contain targeted
disruptions of the endogenous heavy chain and light chain loci. The
transgenic mice can synthesize human antibodies specific for human
antigens, and the mice can be used to produce human
antibody-secreting hybridomas. Methods for obtaining human
antibodies from transgenic mice are described by Green et al.,
Nature Genet. 7:13 (1994), Lonberg et al., Nature 368:856 (1994),
and Taylor et al., Int. Immun. 6:579 (1994).
[0098] In one embodiment, the humanized antibody may include the
CDR region sequences of mL243 within human antibody framework
sequences and with human antibody constant region sequences. More
particularly, the humanized antibodies may include a heavy chain
variable domain (VH) containing the mL243 VH residues at all of
CDR1 (31 to 35), CDR2 (50 to 65) and CDR3 (95 to 102). In another
embodiment, the CDRs of the light chain variable domain (VL)
correspond to mL243 VL residues at all of CDR1 (24 to 34) CDR2 (50
to 56) and CDR3 (89 to 97). In another particular embodiment of the
invention, other murine L243 VH residues retained in the humanized
design are at one or more of the following positions: F27, K38,
K46, A68 and F91. Similarly the murine L243 residues in the VL
retained in the humanized design are at one or more of the
following positions: R37, K39, V48, F49, and G100.
[0099] Further details for humanizing antibody sequences, while
retaining the antigenic specificity of the original non-human
antibody, are disclosed for example in U.S. patent application Ser.
No. 09/988,013 filed Nov. 16, 2001, the entire text of which is
incorporated herein by reference
[0100] In one embodiment, the present invention further provides a
CDR-grafted humanized antibody heavy chain having a variable region
domain comprising acceptor frameworks derived from a human heavy
chain of subgroup I and the antigen binding regions derived from
the mL243 donor where the framework comprises mL243 donor residues
at one or more of positions F27, K38, K46, A68 and F91. See FIGS. 3
and 4 respectively.
[0101] In one embodiment of the present invention a CDR-grafted
humanized antibody light chain may be provided having a variable
region domain comprising acceptor frameworks derived from a human
kappa light chain of subgroup I and mL243 donor antigen binding
regions where the framework comprises mL243 donor residues at one
or more of positions R37, K39, V48, F49, and G100.
[0102] In the CDR-grafted humanized antibody molecule of
embodiments of the present invention, the remaining non-L243
immunoglobulin derived (acceptor) portions may be derived from any
suitable human immunoglobulin, provided that the humanized antibody
can fold such that it retains the ability to specifically bind
HLA-DR. Preferably the type of human framework (FR) used is of the
same/similar class/type as the donor antibody.
[0103] In one embodiment of the invention, the human frameworks may
be chosen to maximize homology with a donor antibody sequence
particularly at positions spatially close or adjacent to the CDRs.
In accordance with this embodiment, the frameworks (i.e., FR1-4) of
the humanized L243 VH or VL may be derived from a combination of
human antibodies. Examples of human frameworks which may be used to
construct CDR-grafted antibodies are LAY, POM, TUR, TEI, KOL, NEWM,
REI, RF and EU; preferably human RF-TS3 FR1-3 and NEWM FR4 are used
for the heavy chain and REI FR1-4 is used for the light chain. The
V domain residue numbering system used herein is described in Kabat
et al, (1991), Sequences of Proteins of Immunological Interest, 5th
Edition, United States Department of Health and Human Services. See
FIG. 5 for a comparative amino acid sequence alignment of human
RF-TS3 (FR 1-3 and NEWM FR4), mL243, and hL243 VH chain. See FIG. 6
for a comparative amino acid sequence alignment of human REI,
mL243, and hL243 VL chain.
[0104] The light and heavy chain variable domains of the humanized
antibody molecule may be fused to human light or heavy chain
constant domains as appropriate--(the term "heavy chain constant
domains include hinge regions unless specified otherwise). The
human constant domains of the humanized antibody molecule, where
present, may be selected with regard to the proposed function of
the antibody. In one embodiment, the human constant domains may be
selected based on the lack of effector functions. The heavy chain
constant domains fused to the heavy chain variable region may be
those of human IgA (a1 or a2 chain), IgG (71, 72, j3>, or y4
chain) or IgM (u chain). Preferably a human y chain is used. The
light chain constant domains which may be fused to the light chain
variable region include human lambda and kappa chains.
[0105] In one particular embodiment of the present invention, a y1
chain is used. In yet another particular embodiment of the present
invention, a .gamma.4 chain is used. The use of the y4 chain may be
in some cases may increase the tolerance of an hL243 in subjects
(decreased side effects and infusion reactions, greater tolerance,
etc.).
[0106] In one embodiment, analogues of human constant domains may
be used. These include but are not limited to those constant
domains containing one or more additional amino acids than the
corresponding human domain or those constant domains wherein one or
more existing amino acids of the corresponding human domain has
been deleted or altered. Such domains may be obtained, for example,
by oligonucleotide directed mutagenesis.
[0107] As used herein, the term `altered` when used in conjunction
with the ability of an antibody to fix complement indicates a
decrease in the ability of antibody to fix complement compared to
the starting unaltered antibody. Altering an appropriate amino acid
alters the ability of an antibody to fix complement. As used herein
the phrase `substantially` reduce complement fixation denotes that
human complement fixation is preferably less than or equal to 30%,
more preferably less than or equal to 20%, and is most preferably
less than or equal to 10% of the level seen with wild type
antibody.
[0108] Altered complement fixing ability may be produced by
techniques that are well known in the art, for example, deleting
residues, inserting a glycosylation site at a suitable position in
the molecule, or exchanging lower hinge regions of antibodies of
different isotypes.
Preparation of Genes Encoding HL243 Antibodies
[0109] Any standard technique of molecular biology known in the art
may be used to prepare DNA sequences coding for the antibodies
according to the present invention. For example, DNA sequences may
be synthesised completely or in part using oligonucleotide
synthesis techniques. Site-directed mutagenesis and polymerase
chain reaction (PCR) techniques may be used as appropriate.
Suitable processes include the PCR strand overlap procedure and PCR
mutagenesis as described in for example "PCR Technology Principles
and Applications for DNA Amplification" (1989), Ed. H. A. Erlich,
Stockholm Press, N.Y., London, and oligonucleotide directed
mutagenesis (Kramer et al, Nucleic. Acid. Res. 12 9441 (1984)).
[0110] Any standard techniques of molecular biology may also be
used to prepare DNA sequences coding for CDR-grafted products. For
example, DNA sequences may be synthesized completely or in part
using oligonucleotide synthesis techniques. Site-directed
mutagenesis and polymerase chain reaction (PCR) techniques may be
used as appropriate. Oligonucleotide directed synthesis (Jones et
al (1986) Nature 321 522-525) and oligonucleotide directed
mutagenesis of a pre-existing variable domain region (Verhoeyen et
al (1988) Science 23 1534-1536) may be used. Enzymatic filling-in
of gapped oligonucleotides using T4 DNA polymerase (Queen et al
(1989) Proc. Natl. Acad. Sci. USA 86 10029-10033) may also be used.
Any suitable host cell/expression vector system may be used for
expression of the DNA sequences coding for the chimeric or
CDR-grafted heavy and light chains. A "recombinant host" may be any
prokaryotic or eukaryotic cell that contains either a cloning
vector or expression vector. This term also includes those
prokaryotic or eukaryotic cells, as well as transgenic animals,
that have been genetically engineered to contain the cloned gene(s)
in the chromosome or genome of the host cell or cells. Bacteria,
e.g. E. coli, and other microbial systems may be used
advantageously in particular for expression of antibody fragments,
e.g., Fv, Fab and Fab' fragments and single chain antibody
fragments, e.g. single chain Fvs. Eukaryotic hosts, e.g. mammalian
cell expression systems, may also be used to obtain antibodies
according to the present invention, particularly for production of
larger chimeric or CDR-grafted antibody products. Suitable
mammalian host cells include myeloma cells, such as Sp2/0 and NSO
cells, as well as Chinese Hamster Ovary (CHO) cells, hybridoma cell
lines, and other mammalian cells useful for expressing
antibodies.
[0111] An "expression vector" as used herein is a DNA molecule
including the genes of interest that are expressed in a host cell.
Typically, gene expression is placed under the control of certain
regulatory elements, including constitutive or inducible promoters,
tissue-specific regulatory elements and enhancers. Such a gene is
said to be "operably linked to" the regulatory elements. In further
aspects, on embodiment also includes DNA sequences coding for the
heavy and light chains of the antibodies of the present invention,
cloning and expression vectors containing these DNA sequences, host
cells transformed with these DNA sequences and processes for
producing the heavy or light chains and antibody molecules
comprising expressing these DNA sequences in a transformed host
cell.
[0112] DNA coding for human immunoglobulin sequences may be
obtained by any means known in the art. For example, amino acid
sequences of preferred human acceptor frameworks, such as -LAY,
POM, KOL, REI, EU, TUR, TEI, RF and NEWM, are widely available.
Similarly, the consensus sequences for human light and heavy chain
subgroups also available. The skilled artisan is aware that
multiple codon sequences may encode the same amino acid and that in
various embodiments, the disclosed nucleic acid sequences may be
substituted with an alternative sequence that encodes the same
sequence of amino acids. The skilled artisan is also aware that,
depending on the species of origin for a cell line used to express
a protein from a nucleic acid sequence, the codon usage may be
optimized to enhance expression in the selected species. Such
species preferred codon frequencies are well known in the art.
[0113] In one embodiment, the antibody disclosed herein may be a
complete antibody, or as explained above, a fragment thereof, a
monomer or dimer or a multivalent monospecific antigen binding
protein. Thus, further to one aspect of the present invention, a
multivalent monospecific antigen binding protein may be provided
comprising two, three, four or more antibodies fragments thereof
bound to each other by a connecting structure, which protein is not
a natural immunoglobulin, each of said antibodies or fragments
having a specificity for the epitope recognized by murine MAb L243,
said antigen binding protein being optionally conjugated with an
effector or reporter molecule.
[0114] In accordance with these embodiments, each antibody or
fragment may be a humanized antibody or a fragment thereof, as
defined above, and a multivalent monospecific antigen binding
protein may be a humanized multivalent monospecific antigen binding
protein. Non-humanized, e.g., murine, multivalent monospecific
antigen binding proteins, however, may be contemplated and an
embodiment may extend to these where applicable.
[0115] In one particular embodiment, a multivalent antigen binding
protein may provide two, three or four antibodies or fragments
thereof bound to each other by a connecting structure. In a another
embodiment, a process for producing the humanized antibody may
include: i) producing in an expression vector a DNA sequence which
encodes an antibody heavy or light chain including a variable
domain wherein at least one of the CDRs of the variable domain may
be derived from the mL243 MAb and the remaining
unmunoglobulin-derived parts of the antibody chain are derived from
a human immunoglobulin; ii) producing in an expression vector a DNA
sequence which encodes a complementary antibody light or heavy
chain including a variable domain, wherein at least one of the CDRs
of the variable domain is derived from the MAb mL243 and the
remaining immunoglobulin-derived parts of the antibody chain may be
derived from a human immunoglobulin; iii) transfecting a host cell
with the aforementioned DNA sequences; and iv) culturing the
transfected cell line to produce the humanized antibody
molecule.
Production of Recombinant hL243 in a Host Cell
[0116] In one embodiment, a host cell line used to produce
recombinant hL243 may be transfected with two vectors, the first
vector containing the DNA sequence encoding the light chain-derived
polypeptide, and the second vector containing the DNA sequence
encoding the heavy chain derived polypeptide. Preferably the
vectors are identical except in so far as the coding sequences and
selectable markers are concerned, so as to ensure as far as
possible that each polypeptide chain is equally expressed.
Transfection may be conducted by any technique known to those
skilled in the art. See for example Maniatis et al (1982)
(Molecular Cloning, Cold Spring Harbor, N.Y.) and Primrose and Old
(1980) (Principles of Gene Manipulation, Blackwell, Oxford). One
particular technique for transfection may be electroporation. Other
examples include calcium phosphate mediated transfection,
cationic-lipid mediated transfection, and the like. In one
alternative embodiment, a single vector may be used, the vector
including the DNA sequences encoding both light chain- and heavy
chain-derived polypeptides, and a selectable marker.
General Methods for the Production of Recombinant Fusion Proteins
Containing Antibody Fragments
[0117] Nucleic acid sequences encoding antibody fragments that
recognize specific epitopes can be obtained by techniques that are
well known in the art. For example, hybridomas secreting antibodies
of a desired specificity can be used to obtain antibody-encoding
DNA that can be prepared using known techniques, for example, by
PCR or by traditional cDNA cloning techniques. Alternatively, Fab'
expression libraries or antibody phage display libraries can be
constructed to screen for antibody fragments having a desired
specificity.
[0118] The nucleic acid encoding the antibody fragment can then be
ligated, directly or via a sequence that encodes a peptide spacer,
to nucleic acid encoding either the DDD or the AD. Methods of
producing nucleic acid sequences encoding these types of fusion
proteins are well known in the art and are further discussed in the
following Examples.
[0119] In another embodiment, additional amino acid residues may be
added to either the N- or C-terminus of the modular subunit
composed of A/DDD or B/AD, where the exact fusion site may depend
on whether the DDD or the AD are attached to the N- or C-terminus
(or at an internal position). The additional amino acid residues
may comprise a peptide tag, a signal peptide, a cytokine, an enzyme
(for example, a pro-drug activating enzyme), a hormone, a toxin, a
peptide drug, a membrane-interacting peptide, or other functional
proteins.
[0120] Proteins or peptides may be synthesized, in whole or in
part, in solution or on a solid support in accordance with
conventional techniques. Various automatic synthesizers are
commercially available and can be used in accordance with known
protocols. See, for example, Stewart and Young, (1984, Solid Phase
Peptide Synthesis, 2d. ed., Pierce Chemical Co.); Tam et al.,
(1983, J. Am. Chem. Soc., 105:6442); Merrifield, (1986, Science,
232: 341-347); and Barany and Merrifield (1979, The Peptides, Gross
and Meienhofer, eds., Academic Press, New York, pp. 1-284). Short
peptide sequences, usually from about 6 up to about 35 to 50 amino
acids, can be readily synthesized by such methods. Alternatively,
recombinant DNA technology may be employed wherein a nucleotide
sequence which encodes a peptide of interest is inserted into an
expression vector, transformed or transfected into an appropriate
host cell, and cultivated under conditions suitable for
expression.
[0121] Methods for producing recombinant proteins in a desired host
cell are well known in the art. To facilitate purification, the
stably tethered structures may contain suitable peptide tags, such
as the FLAG sequence or the poly-HIS sequence, to facilitate their
purification with a relevant affinity column.
[0122] In one embodiment, the Fv fragments may include V.sub.H and
V.sub.L chains connected by a peptide linker. These single-chain
antigen binding proteins (sFv) are prepared by constructing a
structural gene comprising DNA sequences encoding the V.sub.H and
V.sub.L domains, connected by an oligonucleotides linker sequence.
The structural gene is inserted into an expression vector that is
subsequently introduced into a host cell, such as E. coli. The
recombinant host cells synthesize a single polypeptide chain with a
linker peptide bridging the two V domains. Methods for producing
sFvs are well-known in the art. See Whitlow et al., 1991, Methods:
A Companion to Methods in Enzymology 2:97; Bird et al., 1988,
Science, 242:423; U.S. Pat. No. 4,946,778; Pack et al., 1993,
Bio/Technology, 11:1271, and Sandhu, 1992, Crit. Rev. Biotech.,
12:437.
[0123] Another form of an antibody fragment is a peptide coding for
a single complementarity-determining region (CDR). CDR peptides
("minimal recognition units") can be obtained by constructing genes
encoding the CDR of an antibody of interest. Such genes are
prepared, for example, by using the polymerase chain reaction to
synthesize the variable region from RNA of antibody-producing
cells. See Larrick et al., 1991, Methods: A Companion to Methods in
Enzymology 2:106; Ritter et al. (eds.), 1995, Monoclonal
Antibodies: Production, Engineering and Clinical Application, pages
166-179 (Cambridge University Press); Birch et al., (eds.), 1995,
Monoclonal Antibodies Principles and Applications, pages 137-185
(Wiley-Liss, Inc.)
[0124] Suitable host cells or cell lines for the expression of the
constituent subunits of the stably tethered structures of are known
to one skilled in the art. The use of a human host cell would
enable any expressed molecules to be modified with human
glycosylation patterns. However, there is no indication that a
human host cell is essential or preferred for the disclosed
methods
Bi-Specific Antibodies and Conjugates
[0125] In certain embodiments, the L243 ligands disclosed herein
may be used in combination with another molecule attached to the
ligand. Attachment may be either covalent or non-covalent. In some
embodiments, a L243 ligand may be attached to a bi-specific
antibody, i.e., an antibody that has two different binding sites,
one for the L243 ligand and another for a disease-related target
antigen. Any disease or condition relating to angiogenesis, cancer,
metastasis or cell motility may be targeted, including but not
limited to, primary cancer, metastatic cancer, hyperplasia,
rheumatoid arthritis, inflammatory bowel disease, Crohn's disease,
ulcerative colitis, sarcoidosis, asthma, edema, pulmonary
hypertension, formation and development of tumor tissue, psoriasis,
diabetic retinopathy, macular degeneration, corneal graft
rejection, neovascular glaucoma, myocardial angiogenesis, plaque
neovascularization, restenosis, neointima formation after vascular
trauma, telangiectasia, hemophiliac joints, angiofibroma, fibrosis
associated with chronic inflammation, lung fibrosis, deep venous
thrombosis and wound granulation. Methods for construction and use
of bi-specific and multi-specific antibodies are disclosed, for
example, in U.S. Patent Application Publication No. 20050002945,
filed Feb. 11, 2004, the entire text of which is incorporated
herein by reference.
[0126] Where the bi-specific antibody is targeted in part against a
tumor-associated antigen, it is anticipated that any type of tumor
and any type of tumor antigen may be so targeted. Exemplary types
of tumors that may be targeted include acute lymphoblastic
leukemia, acute myelogenous leukemia, biliary cancer, breast
cancer, cervical cancer, chronic lymphocytic leukemia, chronic
myelogenous leukemia, colorectal cancer, endometrial cancer,
esophageal, gastric, head and neck cancer, Hodgkin's lymphoma, lung
cancer, medullary thyroid, non-Hodgkin's lymphoma, ovarian cancer,
pancreatic cancer, glioma, melanoma, liver cancer, prostate cancer,
and urinary bladder cancer. Preferred are tumors that have
constitutive expression of L243, or which can be stimulated to
produce L243.
[0127] A variety of recombinant methods can be used to produce
bi-specific antibodies and antibody fragments. For example,
bi-specific antibodies and antibody fragments can be produced in
the milk of transgenic livestock. (See, e.g., Colman, A., Biochem.
Soc. Symp., 63: 141-147, 1998; U.S. Pat. No. 5,827,690, each
incorporated herein by reference.) Two DNA constructs are prepared
which contain, respectively, DNA segments encoding paired
immunoglobulin heavy and light chains. The fragments are cloned
into expression vectors which contain a promoter sequence that is
preferentially expressed in mammary epithelial cells. Examples
include, but are not limited to, promoters from rabbit, cow and
sheep casein genes, the cow alpha-lactoglobulin gene, the sheep
beta-lactoglobulin gene and the mouse whey acid protein gene.
Preferably, the inserted fragment is flanked on its 3' side by
cognate genomic sequences from a mammary-specific gene. This
provides a polyadenylation site and transcript-stabilizing
sequences. The expression cassettes are coinjected into the
pronuclei of fertilized, mammalian eggs, which are then implanted
into the uterus of a recipient female and allowed to gestate. After
birth, the progeny are screened for the presence of both transgenes
by Southern analysis. In order for the antibody to be present, both
heavy and light chain genes must be expressed concurrently in the
same cell. Milk from transgenic females is analyzed for the
presence and functionality of the antibody or antibody fragment
using standard immunological methods known in the art. The antibody
can be purified from the milk using standard methods known in the
art.
Pre-Targeting
[0128] One strategy for use of bi-specific antibodies includes
pretargeting methodologies, in which an effector molecule, such as
an anti-angiogenic or anti-tumor ligand, is administered to a
subject after a bi-specific antibody has been administered. The
bi-specific antibody, which would include a binding site for an
L243 ligand and one for the diseased tissue, localizes to the
diseased tissue and increases the specificity of localization of
the effector L243 ligand to the diseased tissue (U.S. Patent
Application No. 20050002945). Because the effector molecule may be
cleared from circulation much more rapidly than the bi-specific
antibody, normal tissues may have a decreased exposure to the
effector molecule when a pretargeting strategy is used than when
the effector molecule is directly linked to the disease targeting
antibody. Pretargeting methods have been developed to increase the
target: background ratios of detection or therapeutic agents.
Examples of pre-targeting and biotin/avidin approaches are
described, for example, in Goodwin et al., U.S. Pat. No. 4,863,713;
Goodwin et al., J. Nucl. Med. 29:226, 1988; Hnatowich et al., J.
Nucl. Med. 28:1294, 1987; Oehr et al., J. Nucl. Med. 29:728, 1988;
Klibanov et al., J. Nucl. Med. 29:1951, 1988; Sinitsyn et al., J.
Nucl. Med. 30:66, 1989; Kalofonos et al., J. Nucl. Med. 31:1791,
1990; Schechter et al., Int. J. Cancer 48:167, 1991; Paganelli et
al., Cancer Res. 51:5960, 1991; Paganelli et al., Nucl. Med.
Commun. 12:211, 1991; U.S. Pat. No. 5,256,395; Stickney et al.,
Cancer Res. 51:6650, 1991; Yuan et al., Cancer Res. 51:3119, 1991;
U.S. Pat. No. 6,077,499; U.S. Ser. No. 09/597,580; U.S. Ser. No.
10/361,026; U.S. Ser. No. 09/337,756; U.S. Ser. No. 09/823,746;
U.S. Ser. No. 10/116,116; U.S. Ser. No. 09/382,186; U.S. Ser. No.
10/150,654; U.S. Pat. No. 6,090,381; U.S. Pat. No. 6,472,511; U.S.
Ser. No. 10/114,315; U.S. Provisional Application No. 60/386,411;
U.S. Provisional Application No. 60/345,641; U.S. Provisional
Application No. 60/3328,835; U.S. Provisional Application No.
60/426,379; U.S. Ser. No. 09/823,746; U.S. Ser. No. 09/337,756; and
U.S. Provisional Application No. 60/342,103, all of which are
incorporated herein by reference.
[0129] In certain embodiments, bispecific antibodies and targetable
constructs may be of use in treating and/or imaging normal or
diseased tissue and organs, for example using the methods described
in U.S. Pat. Nos. 6,126,916; 6,077,499; 6,010,680; 5,776,095;
5,776,094; 5,776,093; 5,772,981; 5,753,206; 5,746,996; 5,697,902;
5,328,679; 5,128,119; 5,101,827; and 4,735,210, each incorporated
herein by reference. Additional methods are described in U.S.
application Ser. No. 09/337,756 filed Jun. 22, 1999 and in U.S.
application Ser. No. 09/823,746, filed Apr. 3, 2001.
Therapeutic and Diagnostic Uses of hL243
[0130] In another embodiment, the present invention also provides
therapeutic and diagnostic compositions containing the antibodies
of embodiments of the invention. Such compositions can include an
antibody according to the invention together with a
pharmaceutically acceptable excipient, diluent or carrier, e.g.,
for in vivo use.
[0131] A "therapeutic agent" is a molecule or atom which is
administered separately, concurrently or sequentially with an
antibody moiety or conjugated to an antibody moiety, i.e., antibody
or antibody fragment, or a subfragment, and is useful in the
treatment of a disease. Examples of therapeutic agents include
antibodies, antibody fragments, drugs, toxins, enzymes, nucleases,
hormones, immunomodulators, oligonucleotides, interference RNA,
chelators, boron compounds, photoactive agents or dyes and
radioisotopes.
[0132] A "diagnostic/detection agent" is a molecule or atom which
is administered linked to or conjugated to an antibody moiety,
i.e., antibody or antibody fragment, or subfragment, and is useful
in diagnosing or detecting a disease by locating the cells
containing the antigen. Useful diagnostic/detection agents include,
but are not limited to, radioisotopes, dyes (such as with the
biotin-streptavidin complex), contrast agents, fluorescent
compounds or molecules and enhancing agents (e.g. paramagnetic
ions) for magnetic resonance imaging (MRI), and particles or
liposomes as examples of agents used for ultrasound imaging.
Ultrasound enhancing agents are disclosed in United States Patent
Applications US20040219203 A 1 and US20050014207A1, and, are thus,
incorporated in their entirety by reference. Preferred are
gas-filled liposomes. See Maresca, G. et al., Eur J. Radiol. Suppl
2 S171-178 (1998); Demos, Sm. Et al. J. Drug Target 5 507-518
(1998); and Unger, E. et al., Am J. Cardiol. 81 58G-61G (1998).
Alternatively, a bispecific antibody may be used to target the
liposome. In one such embodiment, the liposome is a gas-filled
liposome with a bivalent DTPA-peptide covalently attached to the
outside surface of the liposome lipid membrane. United States
Patent Application US20040018557A1 discloses such liposomes, and is
incorporated in its entirety by reference.
[0133] U.S. Pat. No. 6,331,175 describes MRI technique and the
preparation of antibodies conjugated to a MRI enhancing agent and
is incorporated in its entirety by reference. In one particular
method, diagnostic/detection agents may be selected from the group
consisting of radioisotopes, enhancing agents for use in magnetic
resonance imaging, ultrasound agents, and fluorescent compounds. In
order to load an antibody component with radioactive metals or
paramagnetic ions, it may be necessary to react it with a reagent
having a long tail to which are attached a multiplicity of
chelating groups for binding the ions. Such a tail can be a polymer
such as a polylysine, polysaccharide, or other derivatized or
derivatizable chain having pendant groups to which can be bound
chelating groups such as, e.g., ethylenediaminetetraacetic acid
(EDTA), diethylenetriaminepentaacetic acid (DTPA), porphyrins,
polyamines, crown ethers, bis-thiosemicarbazones, polyoximes, and
like groups known to be useful for this purpose. Chelates can be
coupled to the antibodies using standard chemistries. The chelate
may be linked to the antibody by a group which enables formation of
a bond to the molecule with minimal loss of immunoreactivity and
minimal aggregation and/or internal cross-linking Other, more
unusual, methods and reagents for conjugating chelates to
antibodies are disclosed in U.S. Pat. No. 4,824,659 to Hawthorne,
entitled "Antibody Conjugates", issued Apr. 25, 1989, the
disclosure of which is incorporated herein in its entirety by
reference. In a another particular embodiment, useful metal-chelate
combinations may include 2-benzyl-DTPA and its monomethyl and
cyclohexyl analogs, used with diagnostic isotopes in the general
energy range of 60 to 4,000 keV such as .sup.125I, .sup.131I,
.sup.123I, .sup.124I, .sup.62Cu, .sup.MCu, .sup.18F, .sup.inln,
.sup.67Ga, .sup.68Ga, ''''''Tc, .sup.94mTc, .sup.HC, .sup.13N,
.sup.15, .sup.76Be, .sup.97Zr, for radio-imaging. The same
chelates, when complexed with non-radioactive metals, such as
manganese, iron and gadolinium may be useful for MRI, when used
along with any antibodies disclosed herein. Macrocyclic chelates
such as NOTA, DOT A, and TETA are of use with a variety of metals
and radiometals, most particularly with radionuclides of gallium,
yttrium and copper, respectively. Such metal-chelate complexes can
be stabilized by tailoring the ring size to the metal of interest.
Other ring-type chelates such as macrocyclic polyethers, which are
of interest for stably binding nuclides, such as .sup.223Ra for
RAIT, are encompassed by embodiments herein.
[0134] Examples of therapeutic agents include but are not limited
to antibodies, antibody fragments, drugs, including
chemotherapeutic agents, toxins, enzymes, enzyme-inhibitors,
nucleases, hormones, hormone antagonists, immunomodulators,
cytokines, chelators, boron compounds, uranium atoms, photoactive
agents and radionuclides.
[0135] Useful diagnostic/detection agents include, but are not
limited to, radioisotopes, dyes (such as with the
biotin-streptavidin complex), radiopaque materials (e.g., iodine,
barium, gallium, and thallium compounds and the like), contrast
agents, fluorescent compounds or molecules and enhancing agents
(e.g., paramagnetic ions) for magnetic resonance imaging (MRI).
U.S. Pat. No. 6,331,175 describes MRI technique and the preparation
of antibodies conjugated to a MRI enhancing agent and is
incorporated in its entirety by reference. Preferably, the
diagnostic/detection agents are selected from the group consisting
of radioisotopes for nuclear imaging, intraoperative and endoscopic
detection; enhancing agents for use in magnetic resonance imaging
or in ultrasonography; radiopaque and contrast agents for X-rays
and computed tomography; and fluorescent compounds for fluoroscopy,
including endoscopic fluoroscopy.
[0136] Chemotherapeutic agents, for the purpose of this disclosure,
include all known chemotherapeutic agents. Known chemotherapeutic
agents include but are not limited to the taxanes, nitrogen
mustards, ethylenimine derivatives, alkyl sulfonates, nitrosoureas,
triazenes, folic acid analogs, pyrimidine analogs, purine analogs,
antisense oligonucleotides, antagonists or inhibitors of
transcription factors, interference RNAs, alkaloids, antibiotics,
enzymes, platinum coordination complexes, COX-2 inhibitors,
apoptotic agents, substituted urea, methyl hydrazine derivatives,
adrenocortical suppressants, or antagonists. In a more particular
embodiment, the chemotherapeutic agents may include steroids,
progestins, estrogens, antiestrogens, or androgens. In another
particular embodiment, the chemotherapy agents may include
actinomycin, azaribine, anastrozole, azacytidine, bleomycin,
bryostatin-1, busulfan, carmustine, Celebrex, chlorambucil,
cisplatin, irinotecan (CPT-11), carboplatin, cladribine,
cyclophosphamide, cytarabine, dacarbazine, docetaxel, dacarbazine,
dactinomycin, daunorubicin, dexamethasone, diethylstilbestrol,
doxorubicin, ethinyl estradiol, estramustine, etoposide,
floxuridine, fludarabine, flutamide, fluorouracil, fluoxymesterone,
gemcitabine, hydroxyprogesterone caproate, hydroxyurea, idarubicin,
ifosfamide, L-asparaginase, leucovorin, lomustine, mechlorethamine,
medroprogesterone acetate, megestrol acetate, melphalan,
mercaptopurine, methotrexate, mitoxantrone, rnithramycin,
mitomycin, mitotane, oxaliplatin, phenyl butyrate, prednisone,
procarbazine, paclitaxel, pentostatin, semustine streptozocin,
SN-38, tamoxifen, taxanes, taxol, testosterone propionate,
thalidomide, thioguanine, thiotepa, teniposide, topotecan, uracil
mustard, vinblastine, vinorelbine or vincristine.
[0137] Some suitable chemotherapeutic agents are described in
Remington's Pharmaceutical Sciences 19th Ed. (Mack Publishing Co.
1995). Other suitable chemotherapeutic agents, such as experimental
drugs, are known to those of skill in the art.
[0138] In one embodiment of the present invention, a toxin may
include but is not limited to ricin, abrin, ribonuclease, DNase I,
Staphylococcal enterotoxin-A, pokeweed antiviral protein, gelonin,
diphtherin toxin, Pseudomonas exotoxin, or Pseudomonas
endotoxin.
[0139] In one embodiment of the present invention, enzymes are also
useful therapeutic agents and may be selected from the group
including but not limited to malate dehydrogenase, Staphylococcal
nuclease, delta-V-steroid isomerase, yeast alcohol dehydrogenase,
a-glycerophosphate dehydrogenase, triose phosphate isomerase,
horseradish peroxidase, alkaline phosphatase, asparaginase, glucose
oxidase, p-galactosidase, ribonuclease, urease, catalase,
glucose-6-phosphate dehydrogenase, glucoamylase and
acetylcholinesterase.
[0140] As used herein, the term "immunomodulator" includes
cytokines, stem cell growth factors, lymphotoxins, such as tumor
necrosis factor (TNF), and hematopoietic factors, such as
interleukins (e.g., interleukin-1 (IL-1), IL-2, IL-3, IL-6, IL-10,
IL-12, IL-18 and IL-21), colony stimulating factors (e.g.,
granulocyte-colony stimulating factor (G-CSF) and granulocyte
macrophage-colony stimulating factor (GM-CSF)), interferons (e.g.,
interferons-.alpha., -.beta. and -.gamma.), the stem cell growth
factor designated "S1 factor", and erythropoietin and
thrombopoietin. Examples of suitable immunomodulator moieties
include IL-2, IL-6, IL-10, IL-12, IL-18, IL-21, interferon-.gamma.,
TNF-.alpha., and the like. Alternatively, subjects can receive
invention compositions and a separately administered cytokine,
which can be administered before, concurrently or after
administration of compositions disclosed herein. Embodiments of the
present invention may include compositions conjugated to a
immunomodulator.
[0141] A cytokine, for the purposes of this disclosure, include any
cytokines including but not limited to IL-1, IL-2, IL-3, IL-6,
IL-10, IL-12, IL-18, IL-21, interferon-.alpha., interferon-.beta.,
and interferon-.gamma.. It may also be a colony stimulating factor,
such as GM-CSF, G-CSF, erythropoietin, thrombopoietin, and the
like.
[0142] Additionally, a chelator may include but is not limited to
DTP A, DOTA, TETA, or NOTA or a suitable peptide, to which a
detectable label, such as a fluorescent molecule, or cytotoxic
agent, such as a heavy metal or radionuclide, can be conjugated.
For example, a therapeutically useful immunoconjugate can be
obtained by conjugating a photoactive agent or dye to an antibody
composite. It is contemplated herein that fluorescent compositions,
such as fluorochrome, and other chromogens, or dyes, such as
porphyrins sensitive to visible light, have been used to detect and
to treat lesions by directing the suitable light to the lesion. In
therapy, this has been termed photoradiation, phototherapy, or
photodynamic therapy (Jori et al. (eds.), Photodynamic Therapy of
Tumors and Other Diseases (Libreria Progetto, 1985); van den Bergh,
Chem. Britain 22:430, 1986). Moreover, it is contemplated that
monoclonal antibodies coupled with photoactivated dyes for
achieving phototherapy may be used for diagnostic or therapeutic
purposes herein. Mew et al., J. Immunol. 130: 1473, 1983; idem.,
Cancer Res. 45: 4380, 1985; Oseroff et al., Proc. Natl. Acad. Sci.
USA 83: 8744, 1986; idem., Photochem. Photobiol. 46: 83, 1987;
Hasan et al., Prog. Clin. Biol. Res. 288: 471, 1989; Tatsuta et
al., Lasers Surg. Med. 9: 422, 1989; Pelegrin et al., Cancer 67:
2529, 1991. However, these earlier studies did not include use of
endoscopic therapy applications, especially with the use of
antibody fragments or subfragments. Thus, contemplated herein in
one embodiment is the therapeutic use of immunoconjugates
comprising photoactive agents or dyes. Thus, the present
therapeutic methods may include the therapeutic use of
immunoconjugates comprising photoactive agents or dyes. Endoscopic
methods of detection and therapy are described in U.S. Pat. Nos.
4,932,412; 5,525,338; 5,716,595; 5,736,119; 5,922,302; 6,096,289;
and 6,387,350, which are incorporated herein by reference in their
entirety.
[0143] In one embodiment of the present invention, a nuclide may be
used. In one particular embodiment radionuclides that have useful
diagnostic or therapeutic properties, such as indium-111 or
yttrium-90, respectively are contemplated herein. Other useful
nuclides include, but are not limited to, F-18, P-32, Sc-47, Cu-62,
Cu-64, Cu-67, Ga-67, Ga-68, Y-86, Y-90, Zr-89, Tc-99m, Pd-109,
Ag-111, In-111, I-123, I-125, I-131, Sm-153, Gd-155, Gd-157,
Tb-161, Lu-177, Re-186, Re-188, Pt-197, Pb-212, Bi-212, Bi-213,
Ra-223, Ac-225, As-72, As-77, At-211, Au-198, Au-199, Bi-212,
Br-75, Br-76B, C-11, Co-55Co, Dy-166, Er-169, F-18, Fe-52, Fe-59,
Ga-67, Ga-68, Gd-154-158, Ho-166, 1-120, 1-121, 1-124, In-110,
In-111, M194, Lu-177, Mn-51, Mn-52, Mo-99, N-13, O-15, P-32, P-33,
Pb-211, Pb-212, Pd-109, Pm-149, Pr-142, Pr-143, Rb-82, Re-189,
Rh-105, Sc-47, Se-75, Sr-83, Sr-89, Tb-161, Tc-94, Tc-99, Y-86,
Y-90 or Zr-89. For example, suitable diagnostic radionuclides
include but are not limited to In-110, In-111, Lu-177, F-18, Fe-52,
Cu-62, Cu-64, Cu-67, Ga-67, Ga-68, Y-86, Zr-89, Tc-94m, Tc-94,
Tc-99m, I-120, I-123, I-124, I-125, I-131, Gd-154-158, P-32, C-11,
N-13, 0-15, Re-186, Re-188, Mn-51, Mn-52m, Co-55, As-72, Br-75,
Br-76, Rb-82m, Zr-89 and Sr-83. A typical diagnostic radionuclide
emits particles and/or positrons having between 25-10,000 keV.
Additionally, suitable therapeutic radionuclides include, but are
not limited to In-111, Lu-177, Bi-212, Bi-213, At-211, Cu-62,
Cu-64, Cu-67, Y-90, 1-125, 1-131, P-32, P-33, Sc-47, Ag-111, Ga-67,
Pr-142, Sm-153, Tb-161, Dy-166, Ho-166, Re-186, Re-188, Re-189,
Pb-212, Ra-223, Ac-225, Fe-59, Se-75, As-77, Sr-89, Mo-99, Rh-105,
Pd-109, Pr-143, Pm-149, Er-169, Ir-194, Au-198, Au-199, Ac-225 and
Pb-211. A typical therapeutic cation emits particles and/or
positrons having between 20-10,000 keV.
[0144] Maximum decay energies of useful beta-particle-emitting
nuclides are preferably 20-5,000 keV, more preferably 100-4,000
keV, and most preferably 500-2,500 keV. Also preferred are
radionuclides that substantially decay with Auger-emitting
particles. For example, Co-58, Ga-67, Br-80m, Tc-99m, Rh-103m,
Pt-109, In-111, Sb-119, 1-125, Ho-161, Os-189m and Ir-192. Decay
energies of useful Auger-particle-emitting nuclides are preferably
<1,000 keV, more preferably <100 keV, and most preferably
<70 keV. Also preferred are radionuclides that substantially
decay with generation of alpha-particles. Such radionuclides
include, but are not limited to: Dy-152, At-211, Bi-212, Ra-223,
Rn-219, Po-215, Bi-211, Ac-225, Fr-221, At-217, Bi-213 and Fm-255.
Decay energies of useful alpha-particle-emitting radionuclides are
preferably 2,000-10,000 keV, more preferably 3,000-8,000 keV, and
most preferably 4,000-7,000 keV.
[0145] Other useful therapeutic agents include metals, such as
those as part of a photodynamic therapy, and nuclides, such as
those valuable in therapies based on neutron capture procedures.
Specifically, zinc, aluminum, gallium, lutetium and palladium are
useful for photodynamic therapy and B-10, Gd-157 and U-235 are
useful for neutron capture therapy.
[0146] In one embodiment, metals may be used as diagnostic agents,
including those for magnetic resonance imaging techniques. These
metals include, but are not limited to: Gadolinium, manganese,
iron, chromium, copper, cobalt, nickel, dysprosium, rhenium,
europium, terbium, holmium and neodymium. In order to load an
antibody component with radioactive metals or paramagnetic ions, it
may be necessary to react it with a reagent having a long tail to
which are attached a multiplicity of chelating groups for binding
the ions. For example such a tail may be a polymer such as a
polylysine, polysaccharide, or other derivatized or derivatizable
chain having pendant groups to which can be bound chelating groups
such as, e.g., ethylenediaminetetraacetic acid (EDTA),
diethylenetriaminepentaacetic acid (DTPA), porphyrins, polyamines,
crown ethers, bis-thiosemicarbazones, polyoximes, and like groups
known to be useful for this purpose. In addition, chelates may be
coupled to the peptide antigens using standard chemistries. The
chelate can be linked to the antibody by a group which enables
formation of a bond to the molecule with minimal loss of
immunoreactivity and minimal aggregation and/or internal
cross-linking Other, methods and reagents for conjugating chelates
to antibodies are disclosed in U.S. Pat. No. 4,824,659 to
Hawthorne, entitled "Antibody Conjugates," issued Apr. 25, 1989,
the disclosure of which is incorporated herein in its entirety by
reference. In one particular embodiment, useful metal-chelate
combinations may include but are not limited to 2-benzyl-DTPA and
its monomethyl and cyclohexyl analogs, used with diagnostic
isotopes in the general energy range of 20 to 2,000 keV. The same
chelates, when complexed with non-radioactive metals, such as
manganese, iron and gadolinium, are useful for MRI, when used along
with the antibodies of embodiments disclosed herein. Macrocyclic
chelates such as NOT A, DOT A, and TETA may be of use with a
variety of metals and radiometals, most particularly with
radionuclides of gallium, yttrium and copper, respectively. Such
metal-chelate complexes can be made very stable by tailoring the
ring size to the metal of interest. Other ring-type chelates such
as macrocyclic polyethers, which are of interest for stably binding
nuclides, such as .sup.223Ra for RAIT are encompassed by
embodiments herein.
[0147] In one embodiment of the invention, therapeutically useful
immunoconjugates may be obtained by conjugating photoactive agents
or dyes to an antibody composite. Fluorescent and other chromogens,
or dyes, such as porphyrins sensitive to visible light, have been
used to detect and to treat lesions by directing the suitable light
to the lesion. In therapy, this has been termed photoradiation,
phototherapy, or photodynamic therapy (Joni et al., eds.,
Photodynamic Therapy of Tumors and Other Diseases (Libreria
Progetto 1985); van den Bergh, Chem, Britain 22: 430, 1986).
Moreover, monoclonal antibodies have been coupled with
photoactivated dyes for achieving phototherapy. Mew et al., J.
Immunol. 130: 1473, 1983; idem., Cancer Res. 45: 4380, 1985;
Oseroff et al., Proc. Natl Acad. Sci. USA 83: 8744, 1986; idem.,
Photochem. Photobiol 46:83, 1987; Hasan et al., Prog, Clin. Biol.
Res. 288: 471, 1989; Tatsuta et al., Lasers Surg. Med. 9: 422,
1989; Pelegrin et al, Cancer 67: 2529, 1991. However, these earlier
studies did not include use of endoscopic therapy applications,
especially with the use of antibody fragments or subfragments.
Thus, in one embodiment of the present invention contemplates the
therapeutic use of immunoconjugates comprising photoactive agents
or dyes.
[0148] Paramagnetic ions suitable for use in embodiments of the
present invention include but are not limited to chromium (III),
manganese (II), iron (III), iron (II), cobalt (II), nickel (II),
copper (II), neodymium (HI), samarium (III), ytterbium (III),
gadolinium (III), vanadium (II), terbium (III), dysprosium (III),
holmium (III) and erbium (III), with gadolinium being particularly
preferred.
[0149] Ions useful in other contexts, such as X-ray imaging,
include but are not limited tolanthanum (III), gold (III), lead
(II), and especially bismuth (III). Fluorescent labels include
rhodamine, fluorescein and renographin. Rhodamine and fluorescein
are often linked via an isothiocyanate intermediate. Radiopaque and
contrast materials are used for enhancing X-rays and computed
tomography, and include iodine compounds, barium compounds, gallium
compounds, thallium compounds, etc. Specific compounds include
barium, diatrizoate, ethiodized oil, gallium citrate, iocarmic
acid, iocetamic acid, iodamide, iodiparmde, iodoxamic acid,
iogulamide, iohexol, iopamidol, iopanoic acid, ioprocemic acid,
iosefamic acid, ioseric acid, iosulamide meglumine, iosemetic acid,
iotasul, iotetric acid, iothalamic acid, iotroxic acid, ioxaglic
acid, ioxotrizoic acid, ipodate, meglumine, metrizamide,
metrizoate, propyliodone, and thallous chloride. Thus, in another
embodiment, a therapeutic, pharmaceutical or diagnostic composition
comprising an antibody disclosed herein, in combination with a
pharmaceutically acceptable excipient, diluent or carrier may be
provided.
[0150] In another embodiment of the present invention, a process
for the preparation of a therapeutic, pharmaceutical or diagnostic
composition comprising admixing an antibody disclosed herein
together with a pharmaceutically acceptable excipient, diluent or
carrier may be provided.
[0151] The antibodies and compositions may be for administration in
any appropriate form and amount according to the therapy in which
they are employed.
[0152] In one embodiment, the therapeutic, pharmaceutical or
diagnostic composition may take any suitable form for
administration, and, preferably is in a form suitable for
parenteral administration, e.g. by injection or infusion, for
example by bolus injection or continuous infusion. Where the
product is for injection of infusion, it may take the form of a
suspension, solution or emulsion in an oily or aqueous vehicle and
it may contain formulatory agents such as suspending, preservative,
stabilising and/or dispersing agents. Alternatively, the antibody
or composition may be in dry form, for reconstitution before use
with an appropriate sterile liquid.
[0153] I is contemplated herein that therapeutic and diagnostic
uses may comprise administering an effective amount of an antibody
according to embodiments disclosed herein to a human subject. The
exact dose to be administered will vary according to the use of the
antibody and on the age, sex and condition of the patient but may
typically be varied from about 0.1 mg to 1000 mg, for example from
about 1 mg to 500 mg. The antibody may be administered as a single
dose or in a continuous manner over a period of time. Doses may be
repeated as appropriate.
[0154] In one example, the antibodies and compositions disclosed
herein may be used for administration in any appropriate form and
amount according to the therapy in which they are employed. The
dose at which the antibody is administered depends on the nature of
the condition to be treated and on whether the antibody is being
used prophylactically or to treat an existing condition. The dose
will also be selected according to the age and conditions of the
patient. A therapeutic dose of the antibodies accordingly may be,
for example, between preferably 0.1-25 mg/kg body weight per single
therapeutic dose and most preferably between 0.1-10 mg/kg body
weight for single therapeutic dose.
[0155] In one embodiment, any antibody disclosed herein may be
formulated in accordance with conventional practice for
administration by any suitable route and may generally be in a
liquid form (e.g., a solution of the antibody in a sterile
physiologically acceptable buffer) for administration by, for
example, an intravenous, intraperitoneal, subcutaneous, or
intramuscular route.
[0156] An "immunoconjugate" contemplated herein is an antibody,
fusion protein, or fragment thereof conjugated to at least one
therapeutic and/or diagnostic/detection agent. The
diagnostic/detection agent may include a radionuclide or
non-radionuclide, a contrast agent (such as for magnetic resonance
imaging, computed tomography or ultrasound), and the radionuclide
can be a gamma-, beta-, alpha-, Auger electron-, or
positron-emitting isotope.
[0157] As used herein, the term "antibody fusion protein" is a
recombinantly produced antigen-binding molecule in which two or
more of the same or different natural antibody, single-chain
antibody or antibody fragment segments with the same or different
specificities are linked. Valency of the fusion protein indicates
the total number of binding arms or sites the fusion protein has to
an antigen or epitope; i.e., monovalent, bivalent, trivalent or
multivalent. The multi valency of the antibody fusion protein means
that it can take advantage of multiple interactions in binding to
an antigen, thus increasing the avidity of binding to the antigen.
Specificity indicates how many different antigens or epitopes an
antibody fusion protein is able to bind; i.e., monospecific,
bispecific, trispecific, multispecific. Using these definitions, a
natural antibody, e.g., an IgG, is bivalent because it has two
binding arms but is monospecific because it binds to one antigen.
Monospecific, multivalent fusion proteins have more than one
binding site for an epitope but only bind with the same epitope on
the same antigen, for example a diabody with two binding sites
reactive with the same antigen. The fusion protein may include a
multivalent or multispecific combination of different antibody
components or multiple copies of the same antibody component. The
fusion protein may additionally include a therapeutic gent.
Examples of therapeutic agents suitable for such fusion proteins
include immunomodulators ("antibody-immunomodulator fusion
protein") and toxins ("antibody-toxin fusion protein"). One
preferred toxin comprises a ribonuclease (RNase), preferably a
recombinant RNase.
[0158] In another embodiment, selective linkage may be achieved by
using a heterobifunctional linker such as
maleimide-hydroxysuccinimide ester. Reaction of the ester with an
antibody or fragment can derivatize amine groups on the antibody or
fragment, and the derivative can then be reacted with, e.g., an
antibody Fab fragment having free sulfhydryl groups (or, a larger
fragment or intact antibody with sulfhydryl groups appended thereto
by, e.g., Traut's Reagent). Such a linker is less likely to
crosslink groups in the same antibody and improves the selectivity
of the linkage.
[0159] In one particular embodiment, antibodies or fragments
disclosed herein may be linked at sites remote from the antigen
binding sites. This can be accomplished by, e.g., linkage to
cleaved interchain sulfhydryl groups, as noted above. Another
method involves reacting an antibody having an oxidized
carbohydrate portion with another antibody which has at lease one
free amine function. This results in an initial Schiff base (imine)
linkage, which is preferably stabilized by reduction to a secondary
amine, e.g., by borohydride reduction, to form the final product.
Such site-specific linkages are disclosed, for small molecules, in
U.S. Pat. No. 4,671,958, and for larger addends in U.S. Pat. No.
4,699,784.
[0160] The interchain disulfide bridges of the an F(ab') 2 fragment
having target specificity can be reduced with cysteine, avoiding
light-heavy chain linkage, to form Fab'-SH fragments. The SH
group(s) can be activated with an excess of bis-maleimide linker
(1,1'-15 (methylenedi-4,1-phenylene)bis-malemide).
[0161] In on embodiment, hL243 antibodies disclosed herein, as well
as other binding molecules with different specificities may be used
in combination therapy. For example, the multispecific antibodies
may include at least one binding site to an epitope recognized by
the murine monoclonal antibody mL243, or antigen, and at least one
binding site to another epitope recognized by the murine monoclonal
antibody mL243, or another antigen. In addition, multivalent
antibodies (including multiple binding sites to the same epitope or
antigen), or the antibodies may be both multivalent and
multispecific.
[0162] In one particular embodiment, a binding molecule may be a
fusion protein. In one more particular embodiment, the fusion
protein may contain four or more Fvs or Fab's of a humanized,
chimeric, human or murine L243 antibodies or fragment as described
herein. In another embodiment, an antibody fusion protein may
contain one or more Fvs or Fab's of the mAbs or fragments of a
humanized, chimeric, human or murine L243 MAb or fragment as
described herein. In accordance with these embodiments, one or more
Fvs or Fab's from antibodies specific for another antigen that is
specific for a cell marker other than an HLA antigen may be
included. For example, the non-HLA antigen may include a tumor
marker selected from a B-cell lineage antigen, (e.g., CD19, CD20,
or CD22 for the treatment of B-cell malignancies). In another
example, the non-HLA antigen may also be expressed on other cells
that cause other types of malignancies, such as SI 00 in melanoma,
etc. Further, the cell marker may be a non-B-cell lineage antigen,
such as selected from the group consisting of HLA-DR, CD30, CDS3,
CD52, CD66, MUC1 and TAC.
[0163] In one embodiment, an L243 antibody disclosed herein may be
combined with other antibodies and used to treat a subject having
or suspected of developing a disease. In accordance with this
embodiment, an L243 antibody or composition thereof may be combined
with an anticancer monoclonal antibody such as a humanized
monoclonal antibody (e.g. hA20 (CD20 Mab)) and used to treat
cancer. In a more particular embodiment, an HLA-DR antibody of L243
may be combined with an anticancer monoclonal antibody (e.g. hA20)
and used to treat a subject having of suspected of developing a
disease. It is contemplated herein that an hL243 antibody may be
used as a separate antibody composition in combination with one or
more other separate antibody compositions, as well as, used as a
bi-functional antibody for example one of hL243 and the other
another of hA20. In accordance with this embodiment, the hL243
antibody may be the HLA-DR of hL243. In another particular
embodiment, the disease may include targeting a B-cell malignancy
disease in a subject having such a disease. The B-cell malignancy
may consist of indolent forms of B-cell lymphomas, aggressive forms
of B-cell lymphomas, chronic lymphatic leukemias, acute lymphatic
leukemias, Waldenstrom's macroglobulinemia, and multiple myeloma.
There are also non-malignant B-cell disorders and related diseases,
such as many autoimmune and immune dysregulatory diseases,
including septicemia and septic shock among immune dysregulatory
diseases (see also U.S. Provisional Application No. 60/634,076
filed on Dec. 8, 2004, by Goldenberg and Hansen, and incorporated
herein in its entirety). In particular, the compositions described
herein are particularly useful for treatment of various autoimmune
diseases, as well as indolent forms of B-cell lymphomas, aggressive
forms of B-cell lymphomas, chronic lymphatic leukemias, acute
lymphatic leukemias, multiple myeloma, and Waldenstrom's
macroglobulinemia, as well as other hematopoietic malignancies,
such as acute and chronic myeloid leukemias and T-cell leukemias
and lymphomas. For example, the hL243 antibody components and
immunoconjugates can be used preferably to treat both indolent and
aggressive forms of non-Hodgkin's lymphoma and lymphoid
leukemias.
[0164] Tumor-associated antigens that may be targeted include, but
are not limited to, A3, antigen specific for A33 antibody,
BrE3-antigen, CD1, CD1a, CD3, CD5, CD15, CD19, CD20, CD21, CD22,
CD23, CD25, CD30, CD45, CD74, CD79a, CD80, HLA-DR, NCA 95, NCA90,
HCG and its subunits, CEA (CEACAM-5), CEACAM-6, CSAp, EGFR, EGP-1,
EGP-2, Ep-CAM, Ba 733, HER2/neu, hypoxia inducible factor (HIF),
KC4-antigen, KS-1-antigen, KS1-4, Le-Y, macrophage inhibition
factor (MIF), MAGE, MUC1, MUC2, MUC3, MUC4, PAM-4-antigen, PSA,
PSMA, RS5, 5100, TAG-72, p53, tenascin, IL-6, IL-8, insulin growth
factor-1 (IGF-1), Tn antigen, Thomson-Friedenreich antigens, tumor
necrosis antigens, VEGF, 17-1A-antigen, an angiogenesis marker
(e.g., ED-B fibronectin), an oncogene marker, an oncogene product,
and other tumor-associated antigens. Recent reports on tumor
associated antigens include Mizukami et al., (2005, Nature Med.
11:992-97); Hatfield et al., (2005, Curr. Cancer Drug Targets
5:229-48); Vallbohmer et al. (2005, J. Clin. Oncol. 23:3536-44) and
Ren et al. (2005, Ann. Surg. 242:55-63), each incorporated herein
by reference.
[0165] In addition, another embodiment of the present invention may
include bispecific or multispecific antibodies for preparing
immunoconjugates and compositions. In accordance with these
embodiments, L243 antibodies or fragments or antibody fusion
proteins thereof may be linked to an antibody or antibody fragment
specific for a cancer marker substance, an epitope on the surface
of an infectious disease organism, or a noxious substance in the
blood or other body fluids. The bispecific and multispecific
antibodies may be useful for inducing clearance of a variety of
noxious substances. For example, a bispecific antibody may have one
or more specificities for a noxious substance, such as a pathogenic
organism, and one or more specificities for HLA-DR, the HLA
class-II invariant chain (li). The HLA class-II invariant chain
(li) is described in detail in U.S. Ser. No. 09/314,135, filed on
May 19, 1999, entitled "Therapeutic Using a Bispecific Antibody,"
which is herein incorporated in its entirety by reference.
[0166] In another embodiment, the immunoconjugates and compositions
disclosed herein may also include a L243 multivalent antibody. In
accordance with this embodiment, a multivalent target binding
protein may be constructed by association of a first and a second
polypeptide. The first polypeptide may include a first single chain
Fv molecule covalently linked to a first immunoglobulin-like domain
that preferably is an immunoglobulin light chain variable region
domain. The second polypeptide may include a second single chain Fv
molecule covalently linked to a second immunoglobulin-like domain
that preferably is an immunoglobulin heavy chain variable region
domain. Each of the first and second single chain Fv molecules
forms a target binding site, and the first and second
immunoglobulin-like domains associate to form a third target
binding site.
[0167] In an alternative embodiment, a humanized, chimeric or human
L243 monoclonal antibody may be used to produce antigen specific
diabodies, triabodies, and tetrabodies. For example, the
monospecific diabodies, triabodies and tetrabodies may bind
selectively to targeted antigens and as the number of binding sites
on the molecule increases, the affinity for the target cell
increases and a longer residence time is observed at the desired
location. For diabodies, the two chains comprising the VH
polypeptide of the humanized L243 mAb connected to the VK
polypeptide of the humanized L243 mAb by a five amino acid residue
linker can be utilized. Each chain forms one half of the humanized
L243 diabody. In the case of triabodies, the three chains
comprising VH polypeptide of the humanized L243 MAb connected to
the VK polypeptide of the humanized L243 MAb by no linker are
utilized. Each chain forms one third of the hL243 triabody.
[0168] In another embodiment, the immunoconjugates and compositions
disclosed herein may also include functional bispecific
single-chain antibodies (bscAb) (See, e.g., Mack et al., Proc.
Natl. Acad. Sci. USA, 92:7021-7025, 1995, incorporated herein by
reference). For example, bscAb can be produced by joining two
single-chain Fv fragments via a glycine-serine linker using
recombinant methods. The V light-chain (VL) and V heavy-chain (VH)
domains of two antibodies of interest can be isolated using
standard PCR methods. The VL and VH cDNA's obtained from each
hybridoma may be joined to form a single-chain fragment in a
two-step fusion PCR. In one example, the first PCR step introduces
the (Gly4-Ser1)3 linker, and the second step joins the VL and VH
amplicons. Each single chain molecule can be cloned into a
bacterial expression vector. Following amplification, one of the
single-chain molecules can be excised and sub-cloned into the other
vector, containing the second single-chain molecule of interest.
Then the bscAb fragment can be subcloned into a eukaryotic
expression vector. Functional protein expression can be obtained by
transfecting the vector into Chinese Hamster Ovary cells. Other
bispecific fusion proteins are prepared in a similar manner.
Bispecific single-chain antibodies and bispecific fusion proteins
may be used to prepare the drug carriers.
[0169] In addition, one embodiment may include a tetravalent tandem
diabody (termed tandab) with dual specificity (Cochlovius et al.,
Cancer Research (2000) 60: 4336-4341). A bispecific tandab is a
dimer of two identical polypeptides, each containing four variable
domains of two different antibodies (VH1, VL1, VH2, VL2) linked in
an orientation to facilitate the formation of two potential binding
sites for each of the two different specificities upon
self-association.
[0170] In another embodiment, a conjugated multivalent L243
antibody may be used to prepare the immunoconjugate or composition.
Additional amino acid residues may be added to either the N- or
C-terminus of the first or the second polypeptide. The additional
amino acid residues may comprise a peptide tag, a signal peptide, a
cytokine, an enzyme (for example, a pro-drug activating enzyme), a
hormone, an oligonucleotide, an interference RNA, a peptide toxin,
such as pseudomonas exotoxin, a peptide drug, a cytotoxic protein
or other functional proteins. As used herein, a functional protein
is a protein that has a biological function.
[0171] In yet another embodiment, the hL243 antibody, or fragments
thereof, may be used to prepare a polyvalent protein complex, a
novel antibody fusion protein comprising three or four antigen
binding sites. In accordance with these embodiments, one or more
antigen binding sites may be composed of the hL243 variable
domains, and one or more of the remaining antigen binding sites may
include variable domains of other antigen-specific antibodies as
desired. Such polyvalent protein complexes are described in PCT
Publication WO04094613A2 (Rossi et al., 2004). When combined with
an appropriate antigen specific antibody variable chain, a
polyvalent protein complex comprising a hL243 variable domain may
be used to treat a variety of neoplastic, infectious, metabolic,
neurodegenerative, autoimmune, or immune dysregulation
disorders.
[0172] In one embodiment of the present invention, drugs, toxins,
radioactive compounds, enzymes, hormones, cytotoxic proteins,
oligonucleotides, interfering RNAs (e.g. RNAi molecules), chelates,
cytokines and other functional agents may be conjugated to a
multivalent target binding protein. In accordance with these
embodiments, covalent attachments to the side chains of the amino
acid residues of the multivalent target binding protein may be
used, for example amine, carboxyl, phenyl, thiol or hydroxyl
groups. Various conventional linkers may be used for this purpose,
for example, diisocyanates, diisothiocyanates,
bis(hydroxysuccinimide) esters, carbodiimides,
maleimide-hydroxysuccinimide esters, glutaraldehyde and the like.
Conjugation of agents to the multivalent protein preferably does
not significantly affect the protein's binding specificity or
affinity to its target. As used herein, a functional agent is an
agent which has a biological function. A preferred functional agent
is a cytotoxic agent.
[0173] In still other embodiments, bispecific antibody-directed
delivery of therapeutics or prodrug polymers to in vivo targets can
be combined with bispecific antibody delivery of radionuclides,
such that combination chemotherapy and radioimmunotherapy is
achieved. Each therapeutic agent can be conjugated to a targetable
conjugate and administered simultaneously, or the nuclide can be
given as part of a first targetable conjugate and the drug given in
a later step as part of a second targetable conjugate. Suitable
targetable conjugates and drugs are known in the art.
[0174] In another embodiment, cytotoxic agents may be conjugated to
a polymeric carrier, and the polymeric carrier may subsequently be
conjugated to the multivalent target binding protein. For this
method, see Ryser et al, Proc. Natl. Acad. Sci. USA, 75:3867-3870,
1978, U.S. Pat. No. 4,699,784 and U.S. Pat. No. 4,046,722, which
are incorporated herein by reference. Conjugation preferably does
not significantly affect the binding specificity or affinity of the
multivalent binding protein.
Humanized, Chimeric and Human Antibodies Use for Treatment and
Diagnosis
[0175] Humanized, chimeric and human monoclonal antibodies
described herein, are suitable for use in the therapeutic methods
and diagnostic methods which utilize immunoconjugates and
compositions as described herein. Accordingly, the immunoconjugates
or compositions may include naked humanized, chimeric and human
antibodies or antibodies, which may be conjugated to a carrier, a
therapeutic agent, or a diagnostic agent. The immunoconjugates may
be administered as a multimodal therapy. For example, additional
therapeutic or diagnostic agents may be administered before,
simultaneously, or after administration of the immunoconjugate or
composition. The efficacy of the immunoconjugates or compositions
may be enhanced by supplementing the humanized, chimeric and human
L243 immunoconjugates or compositions with one or more other
binding molecules (i.e., mAbs to specific antigens, such as CD4,
CDS, CD8, CD14, CD15, CD19, CD21, CD22, CD23, CD25, CD30, CD33,
CD37, CD38, CD40, CD40L, CD46, CD52, CD54, CD74, CD80, CD126,
CCD138, CD154, B7, MUC1, MUC2, MUC3, MUC4, MUC16, NCA66, necrosis
antigens, PAM-4, KS-1, Le(y), MAGE, 1a, IL-2, IL-6, tenascin,
HM1.24, VEGF, EGFR, EGP-1, EGP-2, folate receptor, human chorionic
gonadotropin, colon-specific antigen-p (CSAp), insulin-like growth
factor (ILGF), placental growth factor (PlGF), prostatic acid
phosphatase, PSA, PSMA, T101, TAG, TAG-72, Her2/neu, carbonic
anhydrase IX, IL-6, SI00, alpha-fetoprotein, A3, CA125,
carcinoembryonic antigen (CEA), nonspecific cross-reacting antigens
such as CD66 (a,b,c,d), MART-1, TRP-1, TRP-2, gp1OO, amyloid, with
hL243 antibodies, or immunoconjugates thereof, or antibodies to
these recited antigens). Preferred B-cell-associated antigens
include those equivalent to human CD19, CD20, CD21, CD22, CD23,
CD46, CD52, CD74, CD80, and CDS antigens. Preferred T-cell antigens
include those equivalent to human CD4, CDS and CD25 (the IL-2
receptor) antigens.
[0176] Alternatively, substitute molecule for an HLA-DR antigen may
be used in treatment of both B-cell and T-cell disorders. In one
particular embodiment, B-cell antigens can be equivalent to human
CD 19, CD22, CD21, CD23, CD74, CD80, and HLA-DR antigens. In
another particular embodiment, T-cell antigens equivalents to human
CD4, CDS and CD25 antigens can be used. Alternatively, CD46 and
CD59 antigens on the surface of cancer cells that block
complement-dependent lysis (CDC) may be used. In one embodiment,
malignant melanoma associated antigens such as equivalent to
MART-1, TRP-1, TRP-2 and gp1OO may be used. Further, in one
particular embodiment, multiple myeloma-associated antigens are
those equivalent to MUC1, CD38, and CD74.
[0177] In one example, the supplemental binding molecule may be
naked or conjugated with a carrier, a therapeutic agent, or a
diagnostic agent, including lipids, polymers, drugs, toxins,
immunomodulators, hormones, enzymes, oligonucleotides, interference
RNAs, and therapeutic radionuclides, etc. In accordance with this
embodiment, the supplemental binding molecule may be administered
concurrently, sequentially, or according to a prescribed dosing
regimen, with the humanized, chimeric and human L243
immunoconjugates or compositions.
[0178] Further, the administration of an immunoconjugate or
composition for diagnostic and therapeutic uses in B-cell
lymphomas, T-cell lymphomas, and other diseases or disorders is
contemplated herein. An immunoconjugate, as described herein, may
be a molecule including a binding molecule conjugated to a carrier.
In accordance with this embodiment, the immunoconjugate may be used
to form a composition that further includes a therapeutic or
diagnostic agent, which may include a peptide that may bear the
diagnostic or therapeutic agent. An immunoconjugate retains the
immunoreactivity of the binding molecule (i.e., the antibody moiety
has about the same or slightly reduced ability to bind the cognate
antigen after conjugation as before conjugation). Immunoconjugates
may include binding molecules conjugated to any suitable second
molecule (e.g., lipids, proteins, carbohydrates, which may form
higher-ordered structures, or higher-ordered structures themselves,
such as liposomes, micelles, and/or nanoparticles). To facilitate
delivery of certain effectors, it may be desirable to conjugate the
hL243 antibody to one or more molecules that are capable of forming
higher-ordered structures (e.g., amphiphilic lipids). Amphiphilic
molecules may also be desirable to facilitate delivery of effectors
that demonstrate limited solubility in aqueous solution.
[0179] In another embodiment, a wide variety of diagnostic and
therapeutic reagents can be used to form the immunoconjugates and
compositions as described herein. Therapeutic agents include, for
example, chemotherapeutic drugs such as vinca alkaloids,
anthracyclines, epidophyllotoxins, taxanes, antimetabolites,
alkylating agents, antibiotics, Cox-2 inhibitors, antimitotics,
antiangiogenic and apoptotic agents, particularly doxorubicin,
methotrexate, taxol, CPT-11, camptothecans, and others from these
and other classes of anticancer agents, and the like. Other useful
cancer chemotherapeutic drugs for the preparation of
immunoconjugates and antibody fusion proteins include nitrogen
mustards, alkyl sulfonates, nitrosoureas, triazenes, folic acid
analogs, COX-2 inhibitors, pyrimidine analogs, purine analogs,
platinum coordination complexes, hormones, and the like. Suitable
chemotherapeutic agents are described in Remington's Pharmaceutical
Sciences, 19th Ed. (Mack Publishing Co. 1995), and in Goodman and
Oilman's The pharmacological Basis of Therapeutics, 7th Ed.
(MacMillan Publishing Co. 1985), as well as revised editions of
these publications. Other suitable chemotherapeutic agents, such as
experimental drugs, may be used and are known in the art.
[0180] Additionally, in another embodiment, a chelator such as
DTPA, DOTA, TETA, or NOTA may be conjugated to one or more
components of the compositions as described herein. Alternatively,
a suitable peptide including a detectable label, (e.g., a
fluorescent molecule), or a cytotoxic agent, (e.g., a heavy metal
or radionuclide), can be covalently, non-covalently, or otherwise
associated with more components of the compositions as described
herein. For example, one therapeutically useful immunoconjugate may
be obtained by incorporating a photoactive agent or dye in the
composition as described herein. Fluorescent compositions, such as
fluorochrome, and other chromogens, or dyes, such as porphyrins
sensitive to visible light, have been used to detect and to treat
lesions by directing the suitable light to the lesion. In therapy,
this has been termed photoradiation, phototherapy, or photodynamic
therapy (Jori et al. (eds.), PHOTODYNAMIC THERAPY OF TUMORS AND
OTHER DISEASES (Libreria Progetto 1985); van den Bergh, Chem.
Britain 22:430 (1986)). Moreover, monoclonal antibodies have been
coupled with photoactivated dyes for achieving phototherapy. Mew et
al., J. Immunol. 130:1473 (1983); idem., Cancer Res. 45:4380
(1985); Oseroff et al., Proc. Natl. Acad. Sci. USA 83:8744 (1986);
idem., Photochem. Photobiol. 46:83 (1987); Hasan et al., Prog.
Clin. Biol. Res. 288:471 (1989); Tatsuta et al., Lasers Surg. Med.
9:422 (1989); Pelegrin et al., Cancer 67:2529 (1991). Endoscopic
applications are also contemplated. Endoscopic methods of detection
and therapy are described in U.S. Pat. Nos. 4,932,412; 5,525,338;
5,716,595; 5,736,119; 5,922,302; 6,096,289; and 6,387,350, which
are incorporated herein by reference in their entirety.
[0181] In one embodiment, it is contemplated herein that the
therapeutic use of hL243 immunoconjugate compositions comprising
photoactive agents or dyes, and the present diagnostic/therapeutic
methods may include the diagnostic or therapeutic use of hL423
immunoconjugate compositions comprising photoactive agents or dyes.
The immunoconjugate may also contain ultrasound agents of the types
discussed above. Also contemplated is the use of radioactive and
non-radioactive agents as diagnostic agents in the humanized,
chimeric and human L423 immunoconjugate compositions as described
herein. A suitable non-radioactive diagnostic agent is a contrast
agent suitable for magnetic resonance imaging, computed tomography
or ultrasound. Magnetic imaging agents include, for example,
non-radioactive metals, such as manganese, iron and gadolinium,
complexed with metal-chelate combinations that include
2-benzyl-DTPA and its monomethyl and cyclohexyl analogs, when used
along with the antibodies described herein. (See U.S. Ser. No.
09/921,290 filed on Oct. 10, 2001, which is incorporated in its
entirety by reference).
[0182] In another embodiment, a humanized, chimeric and human L423
immunoconjugate composition may include a radioisotope or a
positron-emitter useful for diagnostic imaging. Suitable
radioisotopes may include those in the energy range of 60 to 4,000
keV. Suitable radioisotopes may include 18-F, 52-Fe, 62-Cu, 64-Cu,
67-Cu, 67-Ga, 68-Ga, 86-Y, 89-Zr, 94-Tc, 94m-Tc, 99m-Tc, 111-In,
123-1, 124-1, 125-1, 131-1, and the like. (See, e.g., U.S. patent
application entitled "Labeling Targeting Agents with
Gallium-68"--Inventors G. L. Griffiths and W. J. McBride (U.S.
Provisional Application No. 60/342,104), which discloses positron
emitters, such as 18-F, 68-Ga, 94m-Tc. and the like, for imaging
purposes and which is incorporated in its entirety by
reference).
[0183] In another embodiment of the present invention, a toxin,
such as Pseudomonas exotoxin, may be present in the humanized,
chimeric and human L243 antibodies, or immunoconjugates or
compositions thereof, as described herein. For example, the toxin
may be complexed to or form the therapeutic agent portion of an
antibody fusion protein of an the hL243 antibody described herein.
Other toxins include ricin, abrin, ribonuclease (RNase), DNase I,
Staphylococcal enterotoxin-A, pokeweed antiviral protein, gelonin,
diphtherin toxin, Pseudomonas exotoxin, and Pseudomonas endotoxin.
(See, e.g., Pastan et al., Cell 47:641 (1986), and Goldenberg,
Calif.--A Cancer Journal for Clinicians 44:43 (1994). Additional
toxins suitable for use herein are known to those of skill in the
art and are disclosed in U.S. Pat. No. 6,077,499, which is
incorporated in its entirety by reference).
[0184] Alternatively, an immunomodulator, such as a cytokine may
also be present in the administered hL423 immunoconjugate
compositions as described herein. For example, an immunomodulator
may be conjugated to, or form the therapeutic agent portion of an
antibody fusion protein or be administered as part of the
humanized, chimeric and human L423 immunoconjugate compositions as
described herein. Suitable cytokines include, but are not limited
to, interferons and interleukins, as described below.
[0185] In one embodiment, a humanized L243 antibody can be used as
part of pretargeting, a non-immunogenic, highly selective
alternative for diagnostic and therapeutic applications, in which a
bi-specific antibody is employed that co-recognizes a tumor antigen
and one or more haptens on a carrier molecule, where the carrier
molecule may include an effector molecule. Bispecific antibodies
(bsAb) have the advantage of being capable of being engineered as a
relatively non-immunogenic humanized protein. The binding affinity
of a bsAb may dependent on the binding affinity of the primary
targeting agent. By using a divalent peptide, an affinity
enhancement may be achieved, which can greatly improve the binding
of the peptide to the target site compared to a monovalent peptide.
See, for example, U.S. Pat. No. 5,256,395, the contents of which
are incorporated herein in their entirety.
[0186] In one embodiment, pretargeting with an hL243 bsAb may
include one arm of the bsAb derived from the variable regions of an
hL243 antibody as herein described, and the second arm of the
antibody recognizing a moiety that contains a diagnostic or
therapeutic agent (e.g., a carrier with a diagnostic or therapeutic
agent together as a "targetable construct"). Suitable targetable
constructs and methods of use are described in U.S. Patent
Application 20050002945, the contents of which are hereby
incorporated by reference in their entirety. The targetable
construct may be, for example, (i)
DOTA-Phe-Lys(HSG)-D-Tyr-Lys(HSG)-NH.sub.2; (ii)
DOTA-Phe-Lys(HSG)-Tyr-Lys-(HSG)-NH.sub.2; or (iii)
Ac-Lys(HSG)D-Tyr-Lys(HSG)-Lys(Tsc.sub.g-Cys)-NH.sub.2, although the
skilled artisan will appreciate that other targetable constructs
may be used. In other systems, the targetable construct comprises a
haptenic moiety that is recognized by the second arm of the
antibody and a therapeutic or diagnostic agent. For example, a
therapeutic agent can be a chemotherapeutic agent or a toxin, such
as those described above.
[0187] One particular embodiment includes a pretargeting system
described by Janevik-Ivanovska et al. that uses an antibody
directed against a histamine derivative, histamine-succinyl-glycyl
(HSG), as the recognition system on which a variety of effector
substances could be prepared. Humanized L243 antibodies of the
present invention may be used in such a system. This pretargeting
system represents a significant advantage over other pretargeting
systems in that it can be used with a variety of different imaging
or therapeutic agents. In one example, this system may be based on
use of an antibody directed against DTP A or HSG and the
development of peptides containing the DTPA or HSG residue.
DTPA-containing and/or HSG-containing peptides can be synthesized,
and where the peptide contains DTPA, the peptide may be labeled
with chelated nuclides, such as In, Y, or Lu, which may be useful
in therapy or diagnosis. Antibodies have been generated against the
DTPA--In moiety. In other embodiments, the system includes peptides
of haptens and/or chelators such as DTPA, and which may be suitable
for radiolabeling with .sup.90Y, '''in, and .sup.177Lu, as well as
.sup.99mTc.
Preparation of Immunoconjugates
[0188] The immunoconjugates described herein may be prepared by
known methods of linking antibodies with lipids, carbohydrates,
protein, or other atoms and molecules. For example, the binding
molecules described herein can be conjugated with one or more of
the carriers described herein (e.g., lipids, polymers, liposomes,
micelles, or nanoparticles) to form an immunoconjugate, and the
immunoconjugate can incorporate a therapeutic or diagnostic agent
either covalently, non-covalently, or otherwise. Further, any of
the binding molecules described herein can be conjugated with one
or more therapeutic or diagnostic agents described herein, or
additional carriers. Generally, one therapeutic or diagnostic agent
may be attached to each binding molecule but more than one
therapeutic agent or diagnostic agent can be attached to the same
binding molecule. In one embodiment, the antibody fusion proteins
contemplated herein may include two or more antibodies or fragments
thereof and each of the antibodies that include this fusion protein
may be conjugated with one or more of the carriers described
herein. Additionally, one or more of the antibodies of the antibody
fusion protein may have one or more therapeutic of diagnostic agent
attached. Further, the therapeutic do not need to be the same but
can be different therapeutic agents. For example, the compositions
described herein may include a drug and a radioisotope.
[0189] In one example, an IgG may be radiolabeled with 131-1 and
conjugated to a lipid, such that the IgG-lipid conjugate can form a
liposome. In accordance with this example, the liposome may
incorporate one or more therapeutic or diagnostic agents, (e.g., a
drug such as FUdR-dO). Alternatively, in addition to the carrier,
the IgG may be conjugated to 131-1 (e.g., at a tyrosine residue)
and a drug (e.g., at the epsilon amino group of a lysine residue),
and the carrier may incorporate an additional therapeutic or
diagnostic agent. Therapeutic and diagnostic agents may be
covalently associated with the binding molecule, (e.g., conjugated
to reduced disulfide groups, carbohydrate sidechains, or any other
reactive group on the binding molecule.
[0190] In another embodiment, a carrier, therapeutic agent, or
diagnostic agent may be attached at the hinge region of a reduced
antibody component via disulfide bond formation. As an alternative,
peptides can be attached to an antibody component using a
heterobifunctional cross-linker, such as N-succinyl
3-(2-pyridyldithio)proprionate (SPDP). Yu et al., Int. J. Cancer
56: 244 (1994). General techniques for such conjugation are well
known in the art. (See, e.g., Wong, Chemistry of Protein
Conjugation and Cross-linking (CRC Press 1991); Upeslacis et al.,
"Modification of Antibodies by Chemical Methods," in Monoclonal
Antibodies Principles and Applications, Birch et al. (eds.), pages
187D230 (Wiley-Liss, Inc. 1995); Price, "Production and
Characterization of Synthetic Peptide-Derived Antibodies," in
Moniclonal Antibodies: Production, Engineerting and Clinical
Application, Ritter et al. (eds.), pages 60D84 (Cambridge
University Press 1995)). Alternatively, the carrier, therapeutic
agent, or diagnostic agent can be conjugated via a carbohydrate
moiety in the Fc region of an antibody. The carbohydrate group can
be used to increase the loading of the same peptide that is bound
to a thiol group, or the carbohydrate moiety can be used to bind a
different peptide.
[0191] Method for conjugating peptides to antibody components via
an antibody carbohydrate moiety are well known to those of skill in
the art. (See, e.g., Shih et al., Int. J. Cancer 41: 832 (1988);
Shih et al., Int. J. Cancer 46: 1101 (1990); and Shih et al., U.S.
Pat. No. 5,057,313, all of which are incorporated in their entirety
by reference). Similar chemistry may be used to conjugate one or
more hL243 antibodies, or components thereof, to one or more
carriers, therapeutic agents, or diagnostic agents. In one
embodiment, one general method involves reacting an antibody
component having an oxidized carbohydrate portion with a carrier
polymer that has at least one free amine function and that is
loaded with a plurality of peptide. This reaction results in an
initial Schiff base (imine) linkage, which can be stabilized by
reduction to a secondary amine to form the final conjugate.
[0192] In one embodiment, the Fc region may be absent, for example,
if the hL423 binding molecule is an antibody fragment.
Alternatively, a carbohydrate moiety may be introduced into the
light chain variable region of a full-length antibody or antibody
fragment. (See, e.g., Leung et al., J. Immunol. 154: 5919 (1995);
Hansen et al., U.S. Pat. No. 5,443,953 (1995), Leung et al., U.S.
Pat. No. 6,254,868, all of which are incorporated in their entirety
by reference). In accordance with these embodiments, the engineered
carbohydrate moiety may be used to attach a carrier, a therapeutic
or diagnostic agent.
Carriers (Lipids, Liposomes, Micelles, Polymers, and
Nanoparticles)
[0193] Any methods for formation of liposomes and micelles may be
use and are known in the art. (See, e.g., Wrobel et al., Biochimica
et Biophysica Acta, 1235:296 (1995); Lundberg et al., J. Pharm.
Pharmacol., 51:1099-1105 (1999); Lundberg et al., Int. J. Pharm.,
205:101-108 (2000); Lundberg, J. Pharm. Sci., 83:72-75 (1994); Xu
et al., Molec. Cancer Then, 1:337-346 (2002); Torchilin et al.,
Proc. Nat'l. Acad. Sci. USA, 100:6039-6044 (2003); U.S. Pat. No.
5,565,215; U.S. Pat. No. 6,379,698; and U.S. 2003/0082154).
Nanoparticles or nanocapsules formed from polymers, silica, or
metals, which are contemplated herein for drug delivery or imaging,
have been described. (See, e.g., West et al., Applications of
Nanotechnology to Biotechnology, 11:215-217 (2000); U.S. Pat. No.
5,620,708; U.S. Pat. No. 5,702,727; and U.S. Pat. No.
6,530,944).
Immunoliposomes
[0194] Some methods to conjugate antibodies or binding molecules to
liposomes to form a targeted carrier for therapeutic or diagnostic
agents has been described. (See, e.g., Bendas, Biodrugs, 15:215-224
(2001); Xu et al., Molec. Cancer Ther., 1:337-346 (2002); Torchilin
et al., Proc. Nat'l. Acad. Sci., 100:6039-6044 (2003); Bally, et
al., J. Liposome Res., 8:299-335 (1998); Lundberg, Int. J. Pharm.,
109:73-81 (1994); Lundberg, J. Pharm. Pharmacol., 49:16-21 (1997);
Lundberg, Anti-cancer Drug Design, 13:453-461 (1998)). See also
U.S. Pat. No. 6,306,393; U.S. Ser. No. 10/350,096; U.S. Ser. No.
09/590,284, and U.S. Ser. No. 60/138,284, filed Jun. 9, 1999. All
these references are incorporated herein by reference.
Pharmaceutically Acceptable Excipients
[0195] In one embodiment, the immunoconjugates or compositions may
include one or more pharmaceutically suitable excipients, one or
more additional ingredients, or combination thereof.
[0196] In another embodiment, the immunoconjugate or compositions
disclosed herein may be formulated according to known methods to
prepare pharmaceutically useful compositions, whereby the
immunoconjugate or compositions are combined in a mixture with a
pharmaceutically suitable excipient. Sterile phosphate-buffered
saline is one example of a pharmaceutically suitable excipient.
Other suitable excipients are well known to those in the art. (See,
e.g., Ansel et al., Pharmaceutical Dosage Forms and Drug Delivery
Systems, 5th (Lea & Febiger 1990), and Gennaro (ed),
Remington's Pharmaceutical Sciences, 18th Edition (Mack Publishing
Company 1990), and revised editions thereof.
[0197] In another embodiment, the immunoconjugate or compositions
disclosed herein can be formulated for intravenous administration
via, for example, bolus injection or continuous infusion.
[0198] Formulations for injection may be presented for example in
unit dosage form, e.g., in ampules or in multi-dose containers,
with an added preservative. The compositions may take such forms as
suspensions, solutions or emulsions in oily or aqueous vehicles,
and can contain formulatory agents such as suspending, stabilizing
and/or dispersing agents. Alternatively, the active ingredient may
be in powder form for constitution with a suitable vehicle, e.g.,
sterile pyrogen-free water, before use. Additional pharmaceutical
methods may be employed to control the duration of action of the
therapeutic, diagnostic conjugate or naked antibody. For example,
control release preparations may be prepared through the use of
polymers to complex or adsorb the immunoconjugate or naked
antibody. In one example, biocompatible polymers include matrices
of poly(ethylene-co-vinyl acetate) and matrices of a polyanhydride
copolymer of a stearic acid dimer and sebacic acid. Sherwood et
al., Bio/Technology 10: 1446 (1992). Some of the rates of release
of an immunoconjugate or antibody from such a matrix depends upon
the molecular weight of the immunoconjugate or antibody, the amount
of immunoconjugate, antibody within the matrix, and the size of
dispersed particles. Saltzman et al., Biophys. J. 55: 163 (1989);
Sherwood et al., supra. Other solid dosage forms are described in
Ansel et al., Pharmaceutical Dosage Forms and Drug Delivery
Systems, 5th Edition (Lea & Febiger 1990), and Gennaro (ed.),
Remington's Pharmaceutical Sciences, 18th Edition (Mack Publishing
Company 1990), and revised editions thereof.
[0199] In one embodiment, the immunoconjugate or compositions may
also be administered to a mammal subcutaneously or even by other
parenteral routes. Moreover, the administration may be by
continuous infusion or by single or multiple boluses. In one
example, the dosage of an administered immunoconjugate, fusion
protein or naked antibody for humans will vary depending upon such
factors as the patient's age, weight, height, sex, general medical
condition and previous medical history etc. In a particular
embodiment, the recipient may be administered a dosage of
immunoconjugate or composition including the immunoconjugate that
is in the range of from about 1 mg/kg to mg/kg as a single
intravenous infusion, although a lower or higher dosage also may be
administered as circumstances dictate. This dosage may be repeated
as needed, for example, once per week for 4-10 weeks, preferably
once per week for 8 weeks, and more preferably, once per week for 4
weeks. It may also be given less frequently, such as every other
week for several months. The dosage may be given through various
parenteral routes, with appropriate adjustment of the dose and
schedule.
[0200] In one embodiment, for purposes of therapy, the
immunoconjugate, or composition including the immunoconjugate, is
administered to a mammal in a therapeutically effective amount. A
suitable subject for the therapeutic and diagnostic methods
disclosed herein may be a human, although a non-human animal
subject is also contemplated.
[0201] In one example an antibody preparation is said to be
administered in a "therapeutically effective amount" if the amount
administered is physiologically significant. An agent is
physiologically significant if its presence results in a detectable
change in the physiology of a recipient mammal. In particular, an
antibody preparation is physiologically significant if its presence
invokes an antitumor response or mitigates the signs and symptoms
of an autoimmune disease state. A physiologically significant
effect could also be the evocation of a humoral and/or cellular
immune response in the recipient mammal.
Methods of Treatment Using Compositions Including Humanized,
Chimeric and Human L243 Antibodies
[0202] In one embodiment, immunological diseases which may be
treated with the antibodies of the present invention may include,
for example, joint diseases such as ankylosing spondylitis,
juvenile rheumatoid arthritis, rheumatoid arthritis; neurological
disease such as multiple sclerosis and myasthenia gravis;
pancreatic disease such as diabetes, especially juvenile onset
diabetes; gastrointestinal tract disease such as chronic active
hepatitis, celiac disease, ulcerative colitis, Crohn's disease,
pernicious anemia; skin diseases such as psoriasis or scleroderma;
allergic diseases such as asthma and in transplantation related
conditions such as graft versus host disease and allograft
rejection.
[0203] In another embodiment of the present invention, compositions
and methods are provided that may include the antibodies disclosed
herein, or immunoconjugates thereof, for treating an autoimmune
disease or disorder. Immunotherapy of autoimmune disorders using
antibodies which target B-cells is described in PCT Application
Publication No. WO 00/74718, which claims priority to U.S.
Provisional Application Ser. No. 60/138,284, the contents of each
of which is incorporated herein in its entirety. Exemplary
autoimmune diseases include but are not limited to acute idiopathic
thrombocytopenic purpura, chronic idiopathic thrombocytopenic
purpura, dermatomyositis, Sydenham's chorea, myasthenia gravis,
systemic lupus erythematosus, lupus nephritis, rheumatic fever,
polyglandular syndromes, bullous pemphigoid, diabetes mellitus,
Henoch-Schonlein purpura, post-streptococcal nephritis, erythema
nodosum, Takayasu's arteritis, Addison's disease, rheumatoid
arthritis, multiple sclerosis, sarcoidosis, ulcerative colitis,
erythema multiforme, IgA nephropathy, polyarteritis nodosa,
ankylosing spondylitis, Goodpasture's syndrome, thromboangitis
obliterans, Sjogren's syndrome, primary biliary cirrhosis,
Hashimoto's thyroiditis, thyrotoxicosis, scleroderma, chronic
active hepatitis, polymyositis/dermatomyositis, polychondritis,
parnphigus vulgaris, Wegener's granulomatosis, membranous
nephropathy, amyotrophic lateral sclerosis, tabes dorsalis, giant
cell arteritis/polymyalgia, perniciousanemia, rapidly progressive
glomerulonephritis, psoriasis, and fibrosing alveolitis.
[0204] In another embodiment of the present invention compositions
and methods are provide for treating a disorder selected from the
group consisting of a carcinoma, a sarcoma, a glioma, a lymphoma, a
leukemia, or a skin cancer. The carcinoma may be selected from the
group consisting of a skin, an esophageal, a gastric, a colonic, a
rectal, a pancreatic, a lung, a breast, an ovarian, a urinary
bladder, an endometrial, a cervical, a testicular, a renal, an
adrenal or a liver cancer. The B-cell related disease may be an
indolent form of B-cell lymphoma, an aggressive form of B-cell
lymphoma, non-Hodgkin's lymphoma, a chronic lymphocytic leukemia,
an acute lymphocytic leukemia, a Waldenstrom's macroglobulinemia,
or a multiple myeloma. In addition, the B-cell related disease can
be a human or a veterinary type of disease. On the other hand, a T
cell related disease may include a human or other mammalian T-cell
leukemia or lymphoma, skin psoriasis, psoriatic arthritis or
mycosis fungoides. In one example, the metabolic disease may be an
amyloidosis. In one example, the neurodegenerative disease may be
Alzheimer's disease.
[0205] Also, contemplated herein in one embodiment of the invention
is the use of the antibodies, including immunoconjugates, as a
composition for treatment of any of the following diseases or
disorders, where the disease or disorder is selected from the group
consisting of an immune dysregulation disease, an autoimmune
disease, organ graft rejection, graft versus host disease,
metabolic disease (e.g., amyloidosis), and neurodegenerative
disease (e.g., Alzheimer's disease). The malignant disease or
disorder is selected from the group consisting of a solid tumor, a
hematopoietic tumor (lymphoma, leukemia, myeloma and the like). The
solid tumor is selected from the group consisting of a melanoma,
carcinoma and sarcoma and the carcinoma is selected from the group
consisting of a renal carcinoma, breast carcinoma, lung carcinoma,
gastrointestinal carcinoma, and urogenital carcinoma. The B-cell
malignancy is selected from the group consisting of indolent forms
of B-cell lymphomas, aggressive forms of B-cell lymphomas, chronic
lymphatic leukemias, acute lymphatic leukemias, Waldenstrom's
macroglobulinemia, and multiple myeloma. There are also
non-malignant B-cell disorders and related diseases, such as many
autoimmune and immune dysregulatory diseases, including septicemia
and septic shock among immune dysregulatory diseases (a list of
immune dysregulatory diseases may be found more comprehensively in
U.S. Provisional Application No. 60/634,076 filed on Dec. 8, 2004,
by Goldenberg and Hansen, and incorporated herein in its entirety).
In particular, the compositions described herein are particularly
useful for treatment of various autoimmune diseases, as well as
indolent forms of B-cell lymphomas, aggressive forms of B-cell
lymphomas, chronic lymphatic leukemias, acute lymphatic leukemias,
multiple myeloma, and Waldenstrom's macroglobulinemia, as well as
other hematopoietic malignancies, such as acute and chronic myeloid
leukemias and T-cell leukemias and lymphomas. For example, the
hL243 antibody components and immunoconjugates can be used
preferably to treat both indolent and aggressive forms of
non-Hodgkin's lymphoma and lymphoid leukemias.
[0206] In another embodiment, the humanized, chimeric and human
L243 antibodies of the present invention may be used to treat the
aforementioned diseases and disorders, as appropriate, in all
mammals, including humans, and domestic mammals, including, but not
limited to, dogs, cats, horses, and cattle.
[0207] In one particular embodiment, the method for treating a
B-cell malignancy may include administering to a subject with a
B-cell related malignancy, a therapeutic composition including a
pharmaceutically acceptable carrier, a therapeutic agent, and an
immunoconjugate including a L243 antibody, or component thereof
(e.g., a humanized, chimeric, or human L243 antibody or fragment
thereof or antibody fusion protein thereof), wherein the B-cell
malignancy is a lymphoma or leukemia. More specifically, the B-cell
malignancy is indolent forms of B-cell lymphomas, aggressive forms
of B-cell lymphomas, multiple myeloma, chronic lymphatic leukemias,
or acute lymphatic leukemias. In a more particular embodiment, an
immunoconjugate or composition including the immunoconjugate may be
administered intravenously or intramuscularly at a dose of about
20-2000 mg. that further includes administering the immunoconjugate
or composition before, simultaneously, or after the administration
of at least one additional therapeutic agent or diagnostic agent
used to detect or treat the B-cell malignancy. For example, an
additional agent may include an additional immunoconjugate as
described herein, including a therapeutic or diagnostic agent. In
accordance with these embodiments, a therapeutic agent may include
a naked antibody, an immunomodulator, a hormone, a cytotoxic agent,
an enzyme, and/or an antibody conjugated to at least one
immunomodulator, radioactive label, hormone, enzyme,
oligonucleotide, interference RNA, or cytotoxic agent, or a
combination thereof. In one particular example, an immunomodulator
may be a cytokine and the cytotoxic agent may be a drug or toxin.
In a more particular embodiment, an antibody that may be
administered in combination as a naked antibody or as a
supplemental immunoconjugate preferably reacts with CD4, CDS, CDS,
CD14, CD15, CD19, CD21, CD22, CD23, CD25, CD30, CD33, CD37, CD38,
CD40, CD40L, CD46, CD52, CD54, CD74, CD80, CD126, CD138, CD154, B7,
MUC1, MUC2, MUC3, MUC4, MUC16, NCA66, necrosis antigens, PAM-4,
KS-1, 90 Le(y), MAGE, 1a, IL-2, IL-6, tenascin, HM1.24, VEGF, EGFR,
EGP-1, EGP-2, folate receptor, human corionic gonadotropin, CEA,
colon specific antigen-p (CSAp), insulin-like growth factor (ILGF),
placental growth factor (P1GF), prostatic acid phosphatase, PSA,
PSMA, T101, TAG, TAG-72, Her2/neu, carbonic anhydrase IX, IL-6,
SI00, alpha fetoprotein, A3, CA125, carcinoembryonic antigen (CEA),
nonspecific cross-reacting antigens such as CD66 (a,b,c,d), MART-1,
TRP-1, TRP-2, amyloid, or gp100.
[0208] It is also contemplated herein that a treatment of a
malignancy may include administering to a subject with a malignancy
other than lymphoma or leukemia, a therapeutic composition that may
include: (1) a hL243 antibody, or immunoconjugate thereof, and a
carrier; (2) an effector; and (3) a pharmaceutically acceptable
excipient. The composition may be administered intravenously or
intramuscularly at a dose of 20-2000 mg. Further, the composition
may be administered before, simultaneously, or after the
administration of at least one additional therapeutic agent or
diagnostic agent. Therapeutic agents, as described above and
throughout the specification, may include an immunomodulator, a
hormone, a cytotoxic agent, or a binding molecule (either naked or
conjugated to at least one immunomodulator, radioactive label,
enzyme, hormone, cytotoxic agent, antisense oligonucleotide,
interference RNA, or a combination thereof, where the
immunomodulator preferably is a cytokine and the cytotoxic agent
preferably is a drug or toxin). A therapeutic agent or diagnostic
agent may include the compositions or immunoconjugates as disclosed
herein. In a particular embodiment, an antibody may be administered
in combination with the therapeutic and/or diagnostic composition
to treat a malignancy that is not a B-cell malignancy, but is
likely reactive with a marker other than that recognized by the
hL243 antibody, which is expressed by the cells that comprise the
malignancy that is treated, and the antibody should be formulated
in a pharmaceutically acceptable vehicle. Examples of antibodies
that may be administered for malignant melanoma associated antigens
are those antibodies reactive with MART-1, TRP-1, TRP-2 and gp1OO.
Further, preferred antibodies to multiple myeloma-associated
antigens include those reactive with MUC1, CD74, and CD38. The
compositions for treatment may contain the WL243 antibody, or
immunoconjugates thereof, alone or in combination with other
antibodies, such as other humanized, chimeric, or human
antibodies.
[0209] In one example, compositions may include an immunomodulator
as an effector. As used herein, the term "immunomodulator" includes
cytokines, stem cell growth factors, lymphotoxins, such as tumor
necrosis factor (TNF), and hematopoietic factors, such as
interleukins (e.g., interleukin-1 (IL-1), IL-2, IL-3, IL-6, IL-10,
IL-12, IL-18, and IL-21), colony stimulating factors (e.g.,
granulocyte-colony stimulating factor (G-CSF) and granulocyte
macrophage-colony stimulating factor (GMDCSF)), interferons (e.g.,
interferons-.alpha., .beta., and .gamma.), the stem cell growth
factor designated "SI factor," erythropoietin, thrombopoietin or a
combination thereof. Examples of suitable immunomodulator moieties
include IL-1, IL-2, IL-3, IL-6, IL-10, IL-12, IL-18, IL-21, and a
combination thereof, and interferon-.alpha., .beta., and .gamma.,
TNF-.alpha. and .beta., and the like. In one embodiment, the
immunomodulator may be present in the composition, or
alternatively, the immunomodulator can be administered before,
simultaneously, or after administration of the therapeutic and/or
diagnostic compositions. In one particular embodiment, the hL243
antibody may also be conjugated to the immunomodulator. The
immunomodulator may also be conjugated to a hybrid antibody
consisting of one or more antibodies binding to different
antigens.
[0210] In one example, multimodal therapies contemplated herein may
include immunotherapy with immunoconjugates such as hL243 antibody
supplemented with administration of additional binding molecules
(e.g., anti-CD22, anti-CD19, anti-CD21, anti-CD20, anti-CD80,
anti-CD23, anti-CD46 or HLA-DR, preferably the mature HLA-DR dimer
antibodies in the form of naked antibodies, fusion proteins, or as
immunoconjugates). Further, a micelle, liposome, or nanoparticle,
as described herein, may include binding molecules in addition to
hL243 antibodies. For example, antibodies may be polyclonal,
monoclonal, chimeric, human or humanized antibodies that recognize
at least one epitope on the above-noted antigenie determinants. In
addition, anti-CD 19 and anti-CD22 antibodies are known in the art.
(See, e.g., Ghetie et al., Cancer Res. 48:2610 (1988); Hekman et
al., Cancer Immunol. Immunother. 32:364 (1991); Longo, Curr. Opin.
Oncol. 8:353 (1996) and U.S. Pat. Nos. 5,798,554 and 6,187,287,
incorporated in their entirety by reference.)
[0211] In one particular example, another form of multimodal
therapy may be where subjects receive hL243 immunoconjugates in
conjunction with standard cancer chemotherapy. For example, "CVB"
(1.5 g/m.sup.2 cyclophosphamide, 200-400 mg/m.sup.2 etoposide, and
150-200 mg/m.sup.2 carmustine) is a regimen used to treat
non-Hodgkin's lymphoma. Patti et al., Eur. J. Haematol. 51:18
(1993). Other suitable combination chemotherapeutic regimens are
well known to those of skill in the art. (See, e.g., Freedman et
al., "Non-Hodgkin's Lymphomas," in Cancer Medicine, Volume 2, 3rd
Edition, Holland et al. (eds.), pages 2028-2068 (Lea & Febiger
1993)). As an illustration, first generation chemotherapeutic
regimens for treatment of intermediate-grade non-Hodgkin's lymphoma
(NHL) include C-MOPP (cyclophosphamide, vincristine, procarbazine
and prednisone) and CHOP (cyclophosphamide, doxorubicin,
vincristine, and prednisone). In one particular embodiment of the
present invention, second-generation chemotherapeutic regimen may
be m-BACOD (methotrexate, bleomycin, doxorubicin, cyclophosphamide,
vincristine, dexamethasone and leucovorin), while a suitable third
generation regimen is MACOP-B (methotrexate, doxorubicin,
cyclophosphamide, vincristine, prednisone, bleomycin and
leucovorin). Additional therapeutics may include phenyl butyrate
and bryostatin-1. In a preferred multimodal therapy, both
chemotherapeutic drugs and cytokines may be co-administered with an
antibody, immunoconjugate or fusion protein. The cytokines,
chemotherapeutic drugs and antibody or immunoconjugate may be
administered in any order, or simultaneously.
[0212] In a particular embodiment, NHL may be treated with 4 weekly
infusions of the hL243 immunoconjugate (e.g., a therapeutic
composition) at a dose of 25-700 mg/m.sup.2 weekly for 4
consecutive weeks or every-other week (iv over 2-8 hours), repeated
as needed over next months/yrs, more preferably at a dose of
100-400 mg/m.sup.2 weekly for 4 consecutive weeks or every-other
week (iv over 2-8 hours), repeated as needed over next months/yrs.
In addition, NHL may be treated with 4 semi-monthly infusions as
above, but combined with epratuzumab (anti-CD22 humanized antibody)
on the same days, at a dose of 360 mg/m.sup.2, given as an iv
infusion over 1 hour, either before, during or after the hL243
antibody immunoconjugate infusion. Alternatively, HL may be treated
with 4 weekly infusions of the hL243 antibody immunoconjugate as
above, combined with one or more injections of CD22 mAb
radiolabeled with a therapeutic isotope such as yttrium-90 (at dose
of 90-Y between 5 and 35 mCi/meter-square as one or more injections
over a period of weeks or months. In one example, when used in
patients with lower responses to CD20 antibodies, WL243 may be
combined with such CD20 antibodies as rituximab or hA20. In
accordance with this example, the latter combination may be given
sequentially or contemporaneously, either during the same day or
week, and at varying doses, such as 375 mg/m.sup.2 once weekly by
i.v. infusion for rituximab or hA20 and 250 mg/m.sup.2 for hL243
also given once weekly by i.v. infusion. In all the aforementioned
cases, the doses may be fractionated, administered as continuous
infusions, or by parenteral routes known in the art. They may also
be administered by other routes, such as subcutaneously.
[0213] In addition, in one embodiment a therapeutic composition as
disclosed herein may contain a mixture of or hybrid molecules of
hL243 immunoconjugates directed to different, non-blocking epitopes
recognized by the hL243 antibody. According to this embodiment,
therapeutic compositions may include a mixture of hL243
immunoconjugates that bind at least two epitopes recognized by the
hL243 antibody. Also, the immunoconjugates described herein may
contain a mixture of hL243 antibodies with varying CDR
sequences.
[0214] In one embodiment of the present invention, the hL243
antibodies, or immunoconjugates thereof, may be used for treating B
cell lymphoma and leukemia, and other B cell diseases or disorders
as well as other malignancies in which affected or associated
malignant cells are reactive with epitopes recognized by the hL243
antibody. For example, hL243 antibodies, or immunoconjugates
thereof, may be used to treat immune dysregulation disease and
related autoimmune diseases, including but not limited to Class-Ill
autoimmune diseases such as immune-mediated thrombocytopenias, such
as acute idiopathic thrombocytopenic purpura and chronic idiopathic
thrombocytopenic purpura, dermatomyositis, Sjogren's syndrome,
multiple sclerosis, Sydenham's chorea, myasthenia gravis, systemic
lupus erythematosus, lupus nephritis, rheumatic fever,
polyglandular syndromes, bullous pemphigoid, diabetes mellitus,
Henoch-Schonlein purpura, post-streptococcal nephritis, erythema
nodosum, Takayasu's arteritis, Addison's disease, rheumatoid
arthritis, sarcoidosis, ulcerative colitis, erythema multiforme,
IgA nephropathy, polyarteritis nodosa, ankylosing spondylitis,
Goodpasture's syndrome, thromboangitis obliterans, primary biliary
cirrhosis, Hashimoto's thyroiditis, thyrotoxicosis, scleroderma,
chronic active hepatitis, polymyositis/dermatomyositis,
polychondritis, pamphigus vulgaris, Wegener's granulomatosis,
membranous nephropathy, amyotrophic lateral sclerosis, tabes
dorsalis, giant cell arteritis/polymyalgia, pernicious anemia,
rapidly progressive glomerulonephritis, and fibrosing
alveolitis.
[0215] In a more particular embodiment, hL243 antibodies, or
immunoconjugates or fragments thereof or antibody fusion proteins
thereof, may be administered to a subject with one or more of these
autoimmune diseases. The hL243 antibodies disclosed herein are
particularly useful in the method of treating autoimmune disorders,
disclosed in pending U.S. Ser. No. 09/590,284 filed on Jun. 9, 2000
entitled "Immunotherapy of Autoimmune Disorders using Antibodies
that Target B-Cells," which is incorporated in its entirety by
reference. In one particular embodiment, the hL243 antibodies may
be administered intravenously or intramuscularly at a dose of
20-2000 mg. Further, the hL243 antibodies may be administered
before, during or after the administration of at least one
therapeutic agent or diagnostic agent. In a more particular
embodiment, the therapeutic agent, as described herein, may include
an antibody, an immunomodulator, a hormone, an enzyme, a cytotoxic
agent, an antibody conjugated to at least one immunomodulator,
radioactive label, hormone, enzyme, or cytotoxic agent, antisense
oligonucleotide, an interference RNA, or a combination thereof,
where the immunomodulator is a cytokine and said cytotoxic agent is
a drug or toxin. For example, the therapeutic agent may include an
immunoconjugate as described herein. In one particular embodiment,
antibodies that may be administered in combination as a naked
antibody or as a supplemental immunoconjugate include antibodies
that react with i.e., mAbs to specific antigens, such as CD4, CDS,
CDS, CD14, CD15, CD19, CD21, CD22, CD23, CD25, CD30, CD33, CD37,
CD38, CD40, CD40L, CD46, CD52, CD54, CD74, CD80, CD126, CCD138,
CD154, B7, MUC1, MUC2, MUC3, MUC4, MUC16, NCA66, necrosis antigens,
PAM-4, KS-1, Le(y), MAGE, 1a, IL-2, IL-6, tenascin, HM1.24, VEGF,
EGFR, EGP-1, EGP-2, folate receptor, human corionic gonadotropin,
colon-specific antigen-p (CSAp), insulin-like growth factor (ILGF),
placental growth factor (P1GF), prostatic acid phosphatase, PSA,
PSMA, T101, TAG, TAG-72, Her2/neu, carbonic anhydrase IX, IL-6,
5100, alpha fetoprotein, A3, CA125, carcinoembryonic antigen (CEA),
nonspecific cross-reacting antigens such as CD66 (a,b,c,d), MART-1,
TRP-1, TRP-2, amyloid, and gp1OO, formulated in a pharmaceutically
acceptable vehicle.
[0216] As used herein a "pharmaceutical composition" refers to a
composition including a drug wherein the carrier is a
pharmaceutically acceptable carrier, while a "veterinary
composition" is one wherein the carrier is a veterinarily
acceptable carrier. The term "pharmaceutically acceptable carrier"
or "veterinarily acceptable carrier" can include any medium or
material that is not biologically or otherwise undesirable, i.e,
the carrier may be administered to an organism along with a
composition or compound of the present invention without causing
any undesirable biological effects or interacting in a deleterious
manner with the complex or any of its components or the organism.
Examples of pharmaceutically acceptable reagents are provided in
The United States Pharmacopeia, The National Formulary, United
States Pharmacopeial Convention, Inc., Rockville, Md. 1990, hereby
incorporated in its entirety by reference herein into the present
application, as is Pharmaceutical Dosage Forms & Drug Delivery
Systems, 7th Edition, Ansel et al., editors, Lippincott Williams
& Wilkins, 1999.
[0217] A drug (i.e., targetable construct or complex) can be
included in the pharmaceutical composition in an amount sufficient
to produce the desired effect upon the patient. The pharmaceutical
compositions of the present invention can further comprise other
chemical components, such as diluents and excipients. A "diluent"
is a chemical compound diluted in a solvent, preferably an aqueous
solvent, that facilitates dissolution of the drug in the solvent,
and it may also serve to stabilize the biologically active form of
the drug or one or more of its components. Salts dissolved in
buffered solutions are utilized as diluents in the art. For
example, preferred diluents are buffered solutions containing one
or more different salts. A preferred buffered solution is phosphate
buffered saline (particularly in conjunction with compositions
intended for pharmaceutical administration), as it mimics the salt
conditions of human blood. Since buffer-salts can control the pH of
a solution at low concentrations, a buffered diluent rarely
modifies the biological activity of a biologically active
peptide.
[0218] In one embodiment of the present invention, the
pharmaceutical compositions facilitate administration of humanized
antibodies to an organism, preferably an animal, preferably a
mammal. Particular mammals include bovine, canine, equine, feline,
ovine, and porcine animals, and non-human primates. Humans are
particularly preferred. Multiple techniques of administering or
delivering a compound exist in the art include but are not limited
to, oral, rectal (e.g., an enema or suppository) aerosol (e.g., for
nasal or pulmonary delivery), parenteral (e.g., i.v., i.m., s.c.),
and topical administration. Preferably, sufficient quantities of
the composition or compound may be delivered to achieve the
intended effect. The particular amount of composition or compound
to be delivered will depend on many factors, including the effect
to be achieved, the type of organism to which the composition is
delivered, delivery route, dosage regimen, and the age, health, and
sex of the organism. As such, the particular dosage of a
composition or compound of embodiment disclosed herein in a given
formulation is left to the ordinarily skilled artisan's discretion
(e.g. the health provider's discretion).
[0219] Those skilled in the art will appreciate that when the
pharmaceutical compositions of the present invention are
administered as agents to achieve a particular desired biological
result, which may include a therapeutic or protective effect(s)
(including vaccination), it may be necessary to combine the
composition or compounds disclosed herein with a suitable
pharmaceutical carrier. The choice of pharmaceutical carrier and
the preparation of the composition or compound as a therapeutic or
protective agent will depend on the intended use and mode of
administration. Suitable formulations and methods of administration
of therapeutic agents include, but are not limited to, those for
oral, pulmonary, nasal, buccal, ocular, dermal, rectal, or vaginal
delivery.
[0220] Depending on the mode of delivery employed, the
context-dependent functional entity can be delivered in a variety
of pharmaceutically acceptable forms. For example, the
context-dependent functional entity can be delivered in the form of
a solid, solution, emulsion, dispersion, micelle, liposome, and the
like, incorporated into a pill, capsule, tablet, suppository,
aerosol, droplet, or spray. Pills, tablets, suppositories,
aerosols, powders, droplets, and sprays may have complex,
multilayer structures and have a large range of sizes. Aerosols,
powders, droplets, and sprays may range from small (approximately 1
micron) to large (approximately 200 micron) in size.
[0221] Pharmaceutical compositions disclosed herein may be used in
the form of a solid, a lyophilized powder, a solution, an emulsion,
a dispersion, a micelle, a liposome, and the like, wherein the
resulting composition contains one or more of the targetable
constructs or complexes of embodiments of the present invention, as
an active ingredient, in admixture with an organic or inorganic
carrier or excipient suitable for enteral or parenteral
applications. The active ingredient may be compounded, for example,
with the usual non-toxic, pharmaceutically acceptable carriers for
tablets, pellets, capsules, suppositories, solutions, emulsions,
suspensions, and any other form suitable for use. The carriers
which can be used include glucose, lactose, mannose, gum acacia,
gelatin, mannitol, starch paste, magnesium trisilicate, talc, corn
starch, keratin, colloidal silica, potato starch, urea, medium
chain length triglycerides, dextrans, and other carriers suitable
for use in manufacturing preparations, in solid, semisolid, or
liquid form. In addition auxiliary, stabilizing, thickening and
coloring agents and perfumes may be used. Examples of a stabilizing
dry agent includes triulose, preferably at concentrations of 0.1%
or greater (See, e.g., U.S. Pat. No. 5,314,695).
[0222] Although individual needs may vary, determination of optimal
ranges for effective amounts of pharmaceutical compositions is
within the skill of the art. Human doses may be extrapolated from
animal studies (Katocs et al., Chapter 27 In: Remington's
Pharmaceutical Sciences, 18th Ed., Gennaro, ed., Mack Publishing
Co., Easton, Pa., 1990). Generally, the dosage required to provide
an effective amount of a pharmaceutical composition, which may be
adjusted by one skilled in the art, will vary depending on the age,
health, physical condition, weight, type and extent of the disease
or disorder of the recipient, frequency of treatment, the nature of
concurrent therapy (if any) and the nature and scope of the desired
effect(s). See, for example, Nies et al., Chapter 3 In: Goodman
& Oilman's The Pharmacological Basis of Therapeutics, 9th Ed.,
Hardman et al., eds., McGraw-Hill, New York, N.Y., 1996).
[0223] Dosing of therapeutic compositions is dependent on severity
and responsiveness of the disease state to be treated, with the
course of treatment lasting from several days to several months, or
until a cure is effected or a diminution of the disease state is
achieved. Optimal dosing schedules can be calculated from
measurements of drug accumulation in the body of the patient. The
term "patient" is intended to encompass animals (e.g., cats, dogs
and horses) as well as humans. Persons of ordinary skill can easily
determine optimum dosages, dosing methodologies and repetition
rates. Optimum dosages may vary depending on the relative potency
of individual therapeutic agents, and can generally be estimated
based on ECso found to be effective in in vitro and in vivo animal
models.
[0224] The range of doses (the amount of targetable construct or
complex administered) is broad, since in general the efficacy of a
therapeutic effect for different mammals varies widely with doses
typically being 20, 30 or even 40 times smaller (per unit body
weight) in man than in the rat. In general, dosage is from 0.01
.mu.g to 100 mg per kg of body weight, preferably 0.01 .mu.g to 10
mg/kg of body weight, 0.01 .mu.g to 50 .mu.g/kg of body weight,
0.01 .mu.g to 100 mg/kg of body weight, 0.01 .mu.g to 10 mg/kg of
body weight, 0.01 .mu.g to 1 mg/kg of body weight, 0.01 .mu.g to
100 .mu.g/kg of body weight, 0.01 .mu.g to to 10 .mu.g/kg of body
weight, 0.01 .mu.g to 1 .mu.g/kg of body weight, 0.01 .mu.g to 10
.mu.g/kg of body weight, 0.01 .mu.g to 1 .mu.g/kg of body weight,
0.01 .mu.g to 0.1 .mu.g/kg of body weight, and ranges based on the
boundaries of the preceding ranges of concentrations. Thus, for
example, the preceding description of dosages encompasses dosages
within the range of 10 mg to 100 mg per kg of body weight, 1.0 mg
to 100 mg/kg of body weight, 0.1 mg to 100 mg/kg of body weight,
etc.
[0225] In one embodiment, doses may be given once or more daily,
weekly, monthly or yearly, or even once every 2 to 5 or more years.
Persons of ordinary skill in the art may estimate repetition rates
for dosing based on measured residence times and concentrations of
the targetable construct or complex in bodily fluids or tissues.
Following successful treatment, it may be desirable to have the
patient undergo maintenance therapy to prevent the recurrence of
the disease state, wherein the therapeutic agent is administered in
maintenance doses, ranging from 0.01 ug to 100 mg per kg of body
weight, once or more daily, to once every 5 years.
[0226] In one embodiment, a particular dose may be calculated
according to the approximate body weight or surface area of the
patient. Other factors in determining the appropriate dosage can
include the disease or condition to be treated or prevented, the
severity of the disease, the route of administration, and the age,
sex and medical condition of the patient. Further refinement of the
calculations necessary to determine the appropriate dosage for
treatment is routinely made by those skilled in the art, especially
in light of the dosage information and assays disclosed herein. The
dosage can also be determined through the use of known assays for
determining dosages used in conjunction with appropriate
dose-response data.
[0227] In one embodiment, an individual patient's dosage may be
adjusted as the progress of the disease is monitored. Blood levels
of the targetable construct or complex in a patient may be measured
to see if the dosage needs to be adjusted to attain desired
results.
[0228] In one example, pharmacogenomics may be used to determine
which targetable constructs and/or complexes, and dosages thereof,
are most likely to be effective for a given individual (Schmitz et
al., Clinica ChimicaActa 308: 43-53, 2001; Steimer et al, Clinica
ChimicaActa 308: 33-41, 2001).
[0229] Administration of the humanized antibodies disclosed herein
may be parenteral, including intravenous, intraarterial,
intraperitoneal, intramuscular, subcutaneous, intrapleural,
intrathecal, intracavitary, by perfusion through a catheter or by
direct intralesional injection. In accordance with this
administration the antibodies may be administered once or more
times daily, once or more times weekly, once or more times monthly,
and once or more times annually.
[0230] The contents of the articles, patents, and patent
applications, and all other documents and electronically available
information mentioned or cited herein, are hereby incorporated by
reference in their entirety to the same extent as if each
individual publication was specifically and individually indicated
to be incorporated by reference. Applicants reserve the right to
physically incorporate into this application any and all materials
and information from any such articles, patents, patent
applications, or other documents.
[0231] Embodiments illustratively described herein may suitably be
practiced in the absence of any element or elements, limitation or
limitations, not specifically disclosed herein. Thus, for example,
the terms "comprising", "including," containing", etc. shall be
read expansively and without limitation. Additionally, the terms
and expressions employed herein have been used as terms of
description and not of limitation, and there is no intention in the
use of such terms and expressions of excluding any equivalents of
the features shown and described or portions thereof, but it is
recognized that various modifications are possible within the scope
of the present invention claimed. Thus, it should be understood
that although the present invention has been specifically disclosed
by preferred embodiments and optional features, modification and
variations embodied herein disclosed may be resorted to by those
skilled in the art, and that such modifications and variations are
considered to be within the scope of this invention.
[0232] Embodiments of the present invention have been described
broadly and generically herein. Each of the narrower species and
subgeneric groupings falling within the generic disclosure may also
form part of the invention. This includes the generic description
herein with a proviso or negative limitation removing any subject
matter from the genus, regardless of whether or not the excised
material is specifically recited herein.
[0233] In addition, where features or aspects are described in
terms of Markush groups, those skilled in the art will recognize
that the embodiments also thereby described in terms of any
individual member or subgroup of members of the Markush group.
[0234] The embodiments are further illustrated by the following
examples and detailed protocols. However, the examples are merely
intended to illustrate embodiments and are not to be construed to
limit the scope herein. The contents of all references and
published patents and patent applications cited throughout this
application are hereby incorporated by reference.
EXAMPLES
Example 1
Construction of a Humanized L243 Antibody
Molecular Cloning of L243Vk and VH Genes
[0235] In one exemplary method, the hybridoma cell clone producing
the mAb mL243 was cultured in HSFM medium (Life Technologies,
Inc.,) supplemented with 10% FBS (Hyclone). The genes encoding the
VK (VK1BACK/CK3') and VH (VH1BACK/VH1FOR) of mL243 were cloned by
RT-PCR and the sequences were determined by DNA sequencing.
Multiple independent clones were sequenced to eliminate possible
errors resulting from the PCR reaction.
Sequence Design of hL243 V Genes
[0236] In one example, by searching the human VK and VH sequences
in the Kabat database, the FRs of mL243 VK and VH were found to
exhibit the highest degree of sequence homology to human REI VK and
RF-TS3 VH, respectively. One exception is the FR4 of mL243VH, which
showed the highest sequence homology with that of NEWM VH.
Therefore, in one example human REI framework sequences were used
as the scaffold for grafting the CDRs of mL243VK (FIG. 5), and a
combination of RF-TS3 and NEWM framework sequences were used for
hL243Vn (FIG. 6). In fact, hL243 VH has the same human VH
frameworks as that of another humanized Ab, hRS7 (Govindan et al,
Breast Cancer Res. Treat. 84,173-182, 2004). There are a number of
amino acid changes in each chain outside of the CDR regions when
compared to the starting human antibody frameworks. Several amino
acid residues in murine FRs that flank the putative CDRs were
maintained in the reshaped hL243 Fv based on the guideline
previously established (Qu et al., Clin. Cancer Res. (1999) 5
3095s-3100s). These residues are R37, K39, V48, F49, and G100 of
mL243Vk and F27, K38, K46, A68, and F91 of mL243VH (FIGS. 3 and 4
respectively). Also see SEQ. ID. 3 and 4 respectively for the
sequence of hL243 VL and hL243VH respectively.
Construction of hL243 V Sequences
[0237] A modified strategy as described by Leung et al. (Mol.
Immunol. (1995) 32 1413-1427) was used to construct the designed VK
and VH genes for hL243 using a combination of long oligonucleotide
syntheses and PCR as illustrated in FIG. 4. For the construction of
the hL243 VH domain, two long oligonucleotides, hL243VHA (175-mer)
and hL243VHB (168-mer) were synthesized on an automated DNA
synthesizer (Applied Biosystem).
hL243VHA represents nt 23 to 197 of the HL243VH domain.
TABLE-US-00001 (SEQ ID NO: 16) 5'-GGTCTGAGTT GAAGAAGCCT GGGGCCTCAG
TGAAGGTTTC CTGCAAGGCT TCTGGATTTA CCTTCACAAA CTATGGAATG AACTGGGTGA
AGCAGGCCCC TGGACAAGGG CTTAAGTGGA TGGGCTGGAT AAACACCTAC ACTAGAGAGC
CAACATATGC TGATGACTTC AAGGG-3'
hL243VHB represents the minus strand of the hL243VH domain
complementary to nt 176 to 343.
TABLE-US-00002 (SEQ ID NO: 17) 5'-ACCCTTGGCC CCAGTAGTCA AAACCCGTAG
GTACAACCGC AGTAATATCT CTTGCACAGA AATACACGGC AGTGTCGTCA GCCTTTAGGC
TGCTGATCTG GAGATATGCC GTGCTGACAG AGGTGTCCAA GGAGAAGGCA AACCGTCCCT
TGAAGTCATC AGCATATG-3'
[0238] The 3'-terminal sequences (22 nt residues) of hL243VHA and B
are complementary to each other, as underlined in above sequences.
In one example, under defined PCR conditions, 3'-ends of hL243VHA
and B anneal to form a short double stranded DNA flanked by the
rest of the long oligonucleotides. Each annealed end serves as a
primer for the replication of the single stranded DNA in a PCR
reaction, resulting in a double strand DNA composed of the nt 23 to
343 of hL243VH. This DNA was further amplified in the presence of a
short oligonucleotide primer pair, hRS7VHBACK and hL243VHFOR, to
form the full-length hL243VH. Because of the sequence identity
between hRS7VH and hL243VH in is region, hRS7VHBACK, previously
designed and used for hRS7 Ab, was used here.
TABLE-US-00003 hRS7VHBACK (SEQ ID NO: 18) 5'-GTGGTGCTGC AGCAATCTGG
GTCTGAGTTG AAGAAGCC-3' hL243VHFOR (SEQ ID NO: 19) 5'-TGAGGAGACG
GTGACCAGGG ACCCTTGGCC CCAGTAGT-3'
[0239] In this example a minimum amount of hL243VHA and B
(determined empirically) was amplified in the presence of 10 ul of
10.times.PCR Buffer (500 mM KCl, 100 mM Tris.HCL buffer, pH 8.3, 15
mM MgCl.sub.2), 2 umol of hRS7VHBACK and hL243VHFOR, and 2.5 units
of Taq DNA polymerase (Perkin Elmer Cetus, Norwalk, Conn.). This
reaction mixture was subjected to 3 cycle of PCR reaction
consisting of denaturation at 94.degree. C. for 1 minute, annealing
at 45.degree. C. for 1 minute, and polymerization at 72.degree. C.
for 1.5 minutes, and followed by 27 cycles of PCR reaction
consisting of denaturation at 94.degree. C. for 1 minute, annealing
at 55.degree. C. for 1 minute, and polymerization at 72.degree. C.
for 1 minute. Double-stranded PCR-amplified product for hL243VH was
gel-purified, restriction-digested with PstI and BstEII and cloned
into the complementary Pst1/BstEII sites of the heavy chain staging
vector, VHpBS4.
[0240] In one example, for constructing the full length DNA of the
humanized VK sequence, hL243 VKA (155-mer) and hL243VKB (155-mer)
were synthesized as described above. hL243VKA and B were amplified
by two short oligonucleotides hlmmu31VKBACK and hlmmu31VKFOR as
described above. hlmmuS 1 VKB ACK and hlmmuS1 VKFOR were designed
and used previously for a humanized anti-AFP Ab (Qu et al, Clin.
Cancer Res. (1999) 5 3095-3100).
hL243VKA represents nt 21 to 175 of the hL243VD domain.
TABLE-US-00004 (SEQ ID NO: 20) 5'-TCCATCATCT CTGAGCGCAT CTGTTGGAGA
TAGGGTCACT ATCACTTGTC GAGCAAGTGA GAATATTTAC AGTAATTTAG CATGGTATCG
TCAGAAACCA GGGAAAGCAC CTAAACTGCT GGTCTTTGCT GCATCAAACT TAGCAGATGG
TGTGC-3'
hL243VKB represents the minus strand of the hL243VK domain
complementary to nt 154 to 312.
TABLE-US-00005 (SEQ ID NO: 21) 5'-CAGCTTGGTC CCTCCACCGA ACGCCCACGG
AGTAGTCCAA AAATGTTGAC AATAATATGT TGCAATGTCT TCTGGTTGAA GAGAGCTGAT
GGTGAAAGTA TAATCTGTCC CAGATCCGCT GCCAGAGAAT CGCGAAGGCA CACCATCTGC
TAAGTTTGA-3' hImmu31VKBACK (SEQ ID NO: 22) 5'-GACATTCAGC TGACCCAGTC
TCCATCATCT CTGAGCGC-3' hImmu31VKFOR (SEQ ID NO: 23) 5'-CCGGCAGATC
TGCAGCTTGG TCCCTCCACC G-3'
[0241] Gel-purified PCR products for hL243VK in this example were
restriction-digested with PvuII and BglHI and cloned into the
complementary PvuI/BcII sites of the light chain staging vector,
VKpBR2. The final expression vector hL243pdHL2 was constructed by
sequentially subcloning the Xbal-BamHI and XhoI/NotI fragments of
hL243Vic and VH, respectively, into pdHL2 as described above.
Construction of the Expression Vectors for hL243 Antibodies
[0242] In one example, a final expression vector hL243pdHL2 was
constructed by sequentially subcloning the Xbal-BamHI and XhoI/NotI
fragments of hL243Vx and VH, respectively, into pdHL2 as described
previously (Losman et al. Cancer, 80:2660 (1997)). The expression
vector pdHL2, as described by Gilles et al. (J. Immunol. Methods
125:191 (1989), contains the genomic sequence of the human y1
chain, therefore, the hL243 is an IgG1/K isotype.
[0243] In one exemplary method, to construct the expression vector
for hL243 of other isotype, such as IgG4/K, the genomic sequence of
human .gamma.1 chain was replaced with that of .gamma.4 chain,
which was obtained by PCR amplification. The template used was the
genomic DNA extracted from ATCC CRL-11397 cell and the primer pair
was P-SacII (5'-CCGCGGTCACATGGCACCA CCTCTCTTGCAGCTTCCACCA
AGGGCCC-3') (SEQ ID NO:24) and P-EagI (5'-CCGGCCGTCG CACTCAT TTA
CCCAGAGACA GGG-3') (SEQ ID NO:25) The amplified PCR product was
cloned into TOPO-TA sequencing vector (Invitrogen) and the sequence
was confirmed by DNA sequencing.
[0244] A point mutation, Ser241Pro (based on Kabat numbering) was
introduced into the hinge region of the .gamma.4 sequence to avoid
formation of half-molecules when the IgG4 Ab is expressed in
mammalian cell cultures (Schuurman et al, Mol. Immunol. 38:1
(2001)). The human .gamma.4 hinge region sequence between PstI and
StuI restriction sites (56 bp) was replaced with a synthetic DNA
fragment with substitution of the TCA codon for Ser241 to CCG for
Pro. The human .gamma.1 genomic sequence in hL243pdHL2 was
substituted with the mutated y4 sequence, resulting in the final
expression vector, designated as hL243.gamma.4PpdHL2, for the IgG4
isotype hL243.
Transfection and Expression of hL243 Antibodies
[0245] In one exemplary method, approximately 30 .mu.g of the
expression vector for hL243 or hL243.gamma.4P was linearized by
digestion with Sail and transfected into Sp2/0-Ag14 cells by
electroporation (450V and 25 uF). The transfected cells were plated
into 96-well plates for 2 days and then selected for
drug-resistance by adding MTX into the medium at a final
concentration of 0.025 pM. MTX-resistant colonies emerged in the
wells 2-3 weeks. Supernatants from colonies surviving selection
were screened for human Ab secretion by ELISA assay. Briefly, 100
ul supernatants were added into the wells of a microtiter plate
precoated with GAH-IgG, F(ab')2 fragment-specific Ab and incubated
for 1 h at room temperature. Unbound proteins were removed by
washing three times with wash buffer (PBS containing 0.05%
polysorbate 20). HRP-conjugated GAH-IgG, Fc fragment-specific Ab
was added to the wells. Following an incubation of 1 h, the plate
was washed. The bound HRP-conjugated Ab was revealed by reading
A.sub.490 nm after the addition of a substrate solution containing
4 mM OPD and 0.04% H.sub.2O.sub.2. Positive cell clones were
expanded and hL243 and hL243.gamma.4P were purified from cell
culture supernatant by affinity chromatography on a Protein A
column.
The Ag-Binding Specificity of hL243.
[0246] In one example, Ag-binding activity and specificity of HL243
was shown by a cell surface binding assay. Raji cells were
incubated in PBS/BSA (1%) containing saturate concentration of
purified hL243 (20 .mu.g/ml) for 1 h at 4.degree. C. After washing,
cell surface-bound hL243 was detected by incubating the Raji cells
in the buffer containing a PE-conjugated 2.sup.nd antibody (goat
anti-human IgG, Fc fragment specific) and counting in a Guave PCA
system (Guava Technologies, Inc., Hayword, Calif.). As shown in
FIG. 7, hL243 bound to an antigen on Raji cells recognized by mL243
because the binding is specifically blocked by preincubation of the
cells with mL243, indicating the Ag-binding specificity of mL243 is
preserved in the humanized version.
The Ag-Binding Activity of hL243.gamma.4P.
[0247] In one exemplary method, a competition cell-binding assay
was carried out to assess the immunoreactivity of hL243.gamma.4P
relative to the parent mL243. A constant amount of
.sup.125I-labeled murine L243 or hL243.gamma.4P (100,000 cpm, -10
uCi/ug) was incubated with human lymphoma cells (Raji, Daudi or
Ramos) in the presence of varying concentrations (0.2-700 nM) of
purified hL243.gamma.4P or murine L243 at 4.degree. C. for 1-2 h.
Unbound Abs were removed by washing the cells in PBS. The
radioactivity associated with cells was determined after washing.
As shown in FIG. 8, murine L243 and hL243.gamma.4P mAbs competed
with each other for the binding to the cell surface antigen,
indicating they recognize same antigenic determinant.
hL243.gamma.4P showed an apparent .about.2-fold stronger binding
avidity than mL243 because it competed better than mL243 (ECso of
.about.7 vs. .about.16.5 nM).
[0248] The antigen-binding affinity constant of hL243.gamma.4P was
determined by direct cell surface binding assay of the radiolabeled
antibodies and Scatchard plot analysis. To measure specific cell
surface antigen binding, two sets of cells were prepared and used
in the binding assay to estimate the non-specific and total binding
of radioactivities, respectively. The cells for non-specific
binding were pre-incubated with excess amount of unlabeled Ab to
block all surface antigen sites prior to adding the radiolabeled
antibody, while those for total binding were pre-incubated in PBS.
After pre-incubation, varying amounts of either
.sup.125I-hL243.gamma.4P or .sup.125I-mL243 were added and
incubated with 2.times.10.sup.5 human lymphoma cells (Raji, Daudi
or Ramos) at 4.degree. C. for 2 h and unbound antibodies were
removed by washing. The cell-associated radioactivity was counted.
The specific cell surface binding of the radiolabeled antibody at a
given concentration of radiolabeled antibody was calculated as: the
counts of total binding subtracts the counts of non-specific
binding. Scatchard plot analysis was then performed to determine
the maximum number of hL243.gamma.4P and mL243 binding sites per
cell and the apparent dissociation constants of the equilibrium
binding. As shown in FIG. 9, the maximum binding of hL243.gamma.4P
and mL243 to Daudi cells was virtually same,
.about.6.times.10.sup.5 molecules/cell, indicating they bound to
the same Ag. The apparent dissociation constant values for
hL243.gamma.4P and mL243 were calculated to be 2.6 and 14 nM,
respectively. Similar results were obtained with Raji and Ramos
cells (data not shown).
Example 2
hL243.gamma.4P Functional Studies
[0249] In one exemplary method in vitro cell-based studies were
conducted to determine whether hL243.gamma.4P had retained its
antiproliferative effect and whether effector cell and complement
binding functions have been abrogated. In this example study
described below indicate that the antiproliferative effect had been
maintained, while effector cell and complement binding functions
had been abrogated.
Effector Cell Assay
[0250] The goal of replacing the Fc region of hL243 with an IgG4
isotype Fc region was to abrogate effector cell functions through
Fey-receptor and complement-binding. CDC and ADCC assays were
performed to assess these functions by hL243.gamma.4P.
CDC
[0251] Daudi cells were incubated with serial dilutions of the
antibodies hL243, hL243.gamma.4P, hA20 (as another positive
control) and hMN14 (negative control) in the presence of human
complement for 2 h. This was followed by the addition of resazurin
to assess cell viability. Both untreated and maximum lysis controls
were included. Fluorescence readings were obtained 5 hours after
resazurin addition. The fluorescence level obtained is directly
correlated to the amount of viable cells. % viable cells was
calculated by the formula (Test-maximum lysis)/(untreated
control-maximum lysis).times.100. The results indicate that
hL243.gamma.4P does not produce any complement-mediated cytotoxic
effect on cells compared to hL243 (EC.sub.50=2.6 nM) and hA20
(EC.sub.50=0.66 nM). See FIG. 10.
ADCC
[0252] Daudi cells were incubated with hA20, hL243, hL243.gamma.4P
and hMN-14 at 5 .mu.g/ml. Effector cells were added at a ratio of
50:1 After 4 hours cell lysis was assayed by LDH release (FIG. 11A)
and cell lysis (FIG. 1 IB).
[0253] In these results where the effects of antibody alone on
effector cells are shown it can be seen that the KL243 induced
significant lysis of effector cells while hL243.gamma.4P did not.
When the specific lysis figures are corrected for the effect on
effector cells hL243.gamma.4P shows much reduced lysis of target
cells compared to hL243 (12% vs 48%).
In Vitro Proliferation Assays
[0254] A multiplex colorimetric assays utilizing both MTS
bioreduction (for determination of the number of viable cells) and
BrdU (for quantification of cell proliferation based on the
measurement of BrdU incorporation during DNA synthesis) were
performed. Daudi and Raji cells were incubated with serial
dilutions of hL243.gamma.4P for 2 and 3 days. mL243 and hMN-14 were
used as positive and negative controls respectively. After
incubation, BrdU and MTS assays were performed. Results of the MTS
assays are shown below. BrdU assays gave similar results.
[0255] In one exemplary method, multiplex colorimetric assays
utilizing both MTS bioreduction (for determination of the number of
viable cells) and BrdU (for quantification of cell proliferation
based on the measurement of BrdU incorporation during DNA
synthesis) were performed. Daudi and Raji cells were incubated with
serial dilutions of hL243.gamma.4P for 2 and 3 days. Murine L243
and hMN14 were used as positive and negative controls,
respectively. After incubation, BrdU and MTS assays were performed.
Results of the MTS assays are shown in FIGS. 12 and 13. BRDU assays
gave similar results (not shown). These results indicate
hL243.gamma.4P inhibits proliferation of Raji and Daudi cell lines.
However in similar experiments in the EBV negative cell line Ramos,
inhibition of proliferation was only observed in the presence of a
crosslinking anti Fc (Fab).sub.2.
Example 3
Comparison of In Vivo Efficacy of hL243.gamma.4P and mL243 (IgG2a)
in a Xenograft Model of Human Non-Hodgkin's Lymphoma
[0256] In one exemplary method, a therapeutic study was performed
to compare the in vivo efficacy of humanized L243-IgG4 and murine
L243-IgG2a monoclonal antibody isotypes, in a xenograft model of
human non-Hodgkin's lymphoma (Raji). Prior In vitro studies have
shown that replacing the Fc region of L243-IgG1 with an IgG4
isotype abrogates the effector cell functions of the antibody (ADCC
and CDC), while retaining the antiproliferative effects. Prior
studies using fully human anti-HLA-DR antibodies engineered as an
IgG4 isotype have also been shown to minimize side effects due to
Fc-portion-mediated effector functions while providing excellent
tumoricidal activity in vitro, and in vivo in xenograft models of
non-Hodgkins lymphoma and animal models (cynomologus monkeys) with
no long-lasting hematological effects. See Nagy et al., Nature
Medicine, 8:801 (2002). Thus, this study aimed to determine if
hL243-IgG4 could maintain significant antitumor efficacy in a
xenograft model. In the absence of sufficient quantity of
hL243-IgG1, mL243 IgG2a was used (murine IgG2a is the equivalent of
human IgG1 in complement fixation, and effecting ADCC).
[0257] SCID mice were injected with 2.5 million Raji cells. Therapy
with hL243-IgG4 or mL243-IgG2a was initiated 1 daypost tumor cell
administration. Both groups of mice injected with saline or with
non-specific control antibody, hMN-14, had a median survival time
(MST) of 17 days. All the groups of mice treated with either
humanized or murine L243 had significantly improved life span
compared to mice injected with saline or hMN-14 (PO.0001).
Treatment with various doses of hL243 IgG4 resulted in a
dose-response relationship, with mice receiving higher doses having
better survival times. In the group of animals treated with various
doses of mL243 IgG2a, the cure rate was in the range of 80-100%.
See FIG. 14.
[0258] This study showed the concurrent retention of antitumor
efficacy and removal of complement binding activity of the IgG4
construct of L243. Although, this study was performed in mice,
significant therapeutic benefits using the aforementioned
constructs may be achieved in all mammals suffering from autoimmune
diseases, lymphomas, or leukemias. In particular, the
aforementioned constructs can effectively be used in (i) domestic
animals, especially cats, dogs, and horses, to treat autoimmune
diseases and lymphomas/leukemias; and (ii) humans, for the
treatment of autoimmune diseases, lymphomas, and leukemias, as well
as immune dysregulatory, metabolic, and neurodegenerative diseases
involving HLA-DR expression.
Example 4
In Vitro Comparison of hL243 with L243 and Anti-B Cell MAbs in the
Treatment of Human and Canine Lymphomas
[0259] A 0.5 mg sample of hL243 (IgG4 isotype) was tested for
reactivity with lymphoma cell lines and a dog B-cell lymphoma
aspirate in comparison to the murine L243 as well as in comparison
to other anti-B cell MAbs. Two functional studies were also done.
The ability of the hL243 to induce apoptosis in the dog lymphoma
aspirate was determined, and the anti-proliferative activity of the
hL243 was tested against Namalwa, a human lymphoma cell line
reported to be resistant to rituximab.
[0260] The binding of humanized or chimeric MAbs on human B-cell
lymphomas were measured by flow cytometry using a
Fluorescence-Activated Cell Sorter (FACS) in which the following
MAbs--hMN-14, hLL 1, hLL2, hA20, Rituxan, and hL243 were stained
with FITC goat anti-human (GAH) IgG Fc. The cell lines chosen were
Namalwa (a rituximab resistant human B-cell lymphoma cell lin),
SU-DHL-6 (a human B-cell non-Hodgkin lymphoma), WSU-FSCCL (an
EBV-negative low-grade human B-cell lymphoma cell line), Raji,
Daudi, and Ramos cells: As shown in Table 2, hL243 bound to all the
aforementioned cell lines. In particular, hL243 bound to the
Namalwa cells that are CD20-unresponsive, showing greater binding
than other humanized MAbs. See Table 1. Furthermore, hL243
demonstrated anti-proliferative activity in the rituximab resistant
human B-cell lymphoma cell line, Namalwa, as measured by a
3-H-thymidine uptake assay. The other CD20 antibody, humanized A20
(hA20), developed by Immunomedics, Inc., showed similar results to
rituximab, a chimeric anti-CD20 known as Rituxan.RTM.. See Stein et
al. (2004) Clin. Cancer Res. 10: 2868-2878.
[0261] As shown in FIG. 16A-B, the hL243 yielded 28% inhibition of
proliferation when given alone; this was increased to 51% when
hL243 was given in combination with anti-human IgG second antibody.
When used in combination with rituximab the activity was increased
to a level greater than that of either MAb alone. See FIG.
16-B.
[0262] The studies also demonstrated that hL243 has a greater
binding affinity to the dog lymphoma cells than other humanized
MAbs. See Table 3. In addition, KL243 was able to induce apoptosis
in the dog lymphoma cells when crosslinked with an anti-human IgG
second antibody, measured as % cells with a sub GO/G1 phase DNA
content. See FIG. 15.
Example 5
hL243 Antibody Combinations and Their Effects Methods
Antibodies
[0263] In one exemplary method, the hybridoma cell clone producing
the anti-HLA-DR monoclonal antibody, L243, was obtained from ATCC
(ATCC number HB-55). Cells were cultured in HSFM medium (Life
Technologies, Inc.) supplemented with 10% FBS (Hyclone). The genes
encoding the V.kappa. and VH genes of L243 were cloned by RT-PCR.
The humanized L243 (IgG1/.kappa. isotype), hL243.gamma.1, was
generated similarly, as described previously (Leung et al.,
Hybridoma 13:469 (1994); Leung et al., Mol. Immunol. 32:1413
(1995); Stein et al., Blood 104:3705 (2004); Govindan et al.,
Breast Cancer Res. Treat. 84:173 (2004)).
[0264] The IgG4/.kappa. isotype of hL243, hL243.gamma.4p, can be
constructed by replacing the heavy chain constant region coding
sequence for the human .gamma.1 chain with that of .gamma.4 chain.
A point mutation, Ser241Pro (based on Kabat numbering) was
introduced into the hinge region of the .gamma.4 sequence in order
to avoid formation of half-molecules when the antibody is expressed
and produced in mammalian cell cultures (Schuurman et al. Mol
Immunol. 38:1 (2001)). Other MAbs used in the studies were
rituximab, purchased from for example IDEC Pharmaceuticals Corp.
(San Diego, Calif.), and hMN-14, or labetuzumab (humanized
anti-carcinoembryonic antigen IgG1), provided by Immunomedics, Inc.
The construction and characterization of hMN-14, used here as a
negative isotype control, have been described previously.
Cells
[0265] Exemplary cell lines were used in several studies. For
example, the Burkitt lymphoma lines, Daudi, Raji, and Ramos, were
purchased from the American Type Culture Collection (Manassas,
Va.). Non-Burkitt lymphoma cell lines were obtained as follows. RL
and SU-DHL-6, which contain the chromosomal translocation t(14;18),
were obtained from Dr. John Gribben (Dana-Farber Cancer Institute,
Boston, Mass.) and Dr. Alan Epstein (University of Southern
California, Los Angeles, Calif.), respectively. Cell lines
SU-DHL-4, SU-DHL-10, and Karpas422 were provided by Dr. Myron
Czuczman (Roswell Park Cancer Institute, Buffalo, N.Y.), and
WSU-FCCL and DoHH2 cell lines were obtained from Dr. Mitchell Smith
(Fox Chase Cancer Center, Philadelphia, Pa.). The cells were grown
as suspension cultures in DMEM (Life Technologies, Gaithersburg,
Md.), supplemented with 10% fetal bovine serum, penicillin (100
U/ml), streptomycin (100 .mu.g/ml), and L-glutamine (2 mM)
(complete media).
The Antigen-Binding Specificity of hL243 MAbs
[0266] Antigen-binding activity and specificity of hL243.gamma.1
was shown by a cell surface binding assay. Raji cells were
incubated in PBS/BSA (1%) containing a saturating concentration of
purified hL243 (20 .mu.g/ml) for 1 h at 4.degree. C. After washing,
cell surface-bound hL243.gamma.1 was detected by incubating the
Raji cells in the buffer containing a PE-conjugated 2nd antibody
(goat anti-human IgG, Fc fragment specific) and counting in for
example, a Guave PCA system (Guava Technologies, Inc., Hayword,
Calif.).
[0267] A competition cell-binding assay was carried out to assess
the reactivity of hL243.gamma.4P relative to the parent mL243. A
constant amount of .sup.125I-labeled murine L243 or hL243.gamma.4P
(100,000 cpm, .about.10 .mu.Ci/.mu.g) was incubated with human
lymphoma cells (Raji, Daudi or Ramos) in the presence of varying
concentrations (0.2-700 nM) of purified hL243.gamma.4P or murine
L243 at 4.degree. C. for 1-2 h. Unbound MAbs were removed by
washing the cells in PBS. The radioactivity associated with cells
was determined after washing.
[0268] In one example, the antigen-binding affinity constant of
hL243.gamma.4P was determined by direct cell surface binding assay
of the radiolabeled antibodies and Scatchard plot analysis. To
measure cell surface antigen binding, two sets of cells were
prepared and used in the binding assay to estimate the non-specific
and total binding of radioactivities, respectively. The cells for
non-specific binding were pre-incubated with excess amount of
unlabeled MAb to block all surface antigen sites prior to adding
the radiolabeled antibody, while those for total binding were
pre-incubated in PBS. After pre-incubation, varying amounts of
either .sup.125I-hL243.gamma.4P or .sup.125I-mL243 were added and
incubated with 2.times.10.sup.5 human lymphoma cells (Raji, Daudi
or Ramos) at 4.degree. C. for 2 h and unbound antibodies were
removed by washing. The cell-associated radioactivity was counted.
The specific cell surface binding of the radiolabeled antibody at a
given concentration of radiolabeled antibody was calculated as: the
counts of total binding subtracts the counts of non-specific
binding.
Flow Cytometric Assays.
[0269] Immunophenotyping: Indirect immunofluorescence assays were
performed with the panel of cell lines described above, using
FITC-goat anti-human IgG (Tago, Inc., Burlingame, Calif.)
essentially as described previously, and analyzed by flow cytometry
using a FACSCaliber (Becton Dickinson, San Jose, Calif.).
[0270] Example Analysis of apoptosis: Flow cytometric analysis of
cellular DNA was performed following propidium iodide staining
Cells were placed in 24-well plates (5.times.10.sup.5 cells/well)
and subsequently treated with MAbs (5 .mu.g/ml). Three wells were
prepared with each MAb to study the effects of crosslinking with
goat anti-mouse or goat anti-human second antibodies. Following a
20-min incubation with the primary MAbs (37.degree. C., 5%
CO.sub.2), F(ab').sub.2 goat anti-mouse IgG Fc.gamma.-specific
second antibody (Jackson Laboratories, West Grove, Pa.) was added
to one well from each primary MAb to adjust the second antibody
concentration to 20 .mu.g/ml. F(ab').sub.2 goat anti-human IgG
Fc.gamma.-specific (Jackson Laboratories) was similarly added to
the second well from each primary MAb, and the volume of the third
set was equalized by addition of medium. Following a 48-h
incubation (37.degree. C., 5% CO.sub.2), cells were transferred to
test tubes, washed with PBS, and then resuspended in hypotonic
propidium iodide solution (50 mg/ml propidium iodide in 0.1% sodium
citrate, 0.1% Triton X-100). Samples were analyzed by flow
cytometry using a FACSCaliber. Percent apoptotic cells was defined
as the percent of cells with DNA staining before G1/G0 peak
(hypodiploid).
Construction and Characterization of hL243.
[0271] In one exemplary method, two humanized anti-DR MAbs were
generated. hL243.gamma.1 was designed to have human IgG1/.kappa.
constant regions, and hL243.gamma.4p was constructed by replacing
the heavy chain constant region coding sequence for the human
.gamma.1 chain with that of the human .gamma.4 chain. A point
mutation, Ser241Pro, was introduced into the hinge region of the
.gamma.4 sequence in order to reduce formation of half-molecules
when the antibody is expressed and produced in mammalian cell
cultures (Schuurman et al. Mol Immunol. 38:1 (2001)). The ability
of the two humanized L243 antibodies, .gamma.1 and .gamma.4P, to
bind to Raji cells is shown in FIGS. 7, 8 and 17. In FIG. 7,
hL243.gamma.1 binding to Raji cells is specifically blocked by
pre-incubation of the cells with the parental murine L243 (mL243),
indicating that the antigen-binding specificity of mL243 is
preserved in the humanized version.
[0272] In one example, the reactivity of hL243.gamma.4P relative to
the parent mL243 was assessed and a competition cell-binding assay
was carried out. A constant amount of .sup.125I-labeled mL243 or
hL243.gamma.4P was incubated with human lymphoma cells (Raji, Daudi
or Ramos) in the presence of varying concentrations of purified
hL243.gamma.4P or mL243. As shown in FIG. 8, mL243 and
hL243.gamma.4P MAbs competed with each other for the binding to the
cell surface antigen, indicating recognition of a common antigenic
determinant. hL243.gamma.4P had an apparent approximately 2-fold
stronger binding avidity than mL243 (EC.sub.50 of .about.7 vs.
.about.16.5 nM). The maximum number of hL243.gamma.4P and mL243
binding sites per cell and the apparent dissociation constants of
the equilibrium binding were determined by Scatchard plot analysis.
As shown in FIG. 17, the maximum binding of hL243.gamma.4P and
mL243 to Daudi cells was virtually the identical, approximately
6.times.10.sup.5 molecules/cell, consistent with binding a common
antigen. The apparent dissociation constant values for
hL243.gamma.4P and mL243 were calculated to be 2.6 nM and 14 nM,
respectively. Similar results were obtained with Raji and Ramos
cells (data not shown). Antigen expression of cultured lymphoma
cell.
[0273] In one exemplary method, flow cytometry analysis was
performed using indirect immunofluorescent staining to show that
hL243.gamma.4P binds to a panel of cultured human B-cell lymphomas.
A comparison to other surface antigens is shown. As seen in Table
4, the hL243.gamma.4P MAb binds to all the tested cell lines. A
stronger expression was observed on Daudi and Raji, but the level
of fluorescence staining is strong on all the cell lines. Binding
was compared to that of humanized MAbs against other B-cell
antigens (CD74, CD22, CD20), the murine-human chimeric anti-CD20
MAb rituximab, and a humanized anti-CEA MAb (negative control). The
staining with hL243.gamma.4P is markedly greater than that of CD22
and CD74 on all seven cell lines. CD20 staining was more variable,
as shown by reactivity with the humanized (hA20) and chimeric
(rituximab) MAbs. The Burkitt's lines, Daudi, Raji, and Ramos,
express intermediate levels of CD20, whereas the follicular and
diffuse large B-cell lymphoma lines assessed varied. In comparison
to HLA-DR expression measured by hL243.gamma.4P binding, SU-DHL-6
has higher CD20 expression, Namalwa, and WSU-FSCCL lower CD20
expression, and RL approximately equal expression of both
antigens.
Effector Cell Assays
[0274] In one example, the Fc region of hL43 was replaced with an
IgG4 isotype Fc region to abrogate effector cell functions through
Fc-receptor and complement-binding. CDC and ADCC assays were
performed to assess these functions.
[0275] In another exemplary method, CDC Daudi cells were incubated
with serial dilutions of the antibodies hL243.gamma.1,
hL243.gamma.4P, hA20 (as another positive control) and hMN14
(anti-CEA, negative control) in the presence of human complement
for 2 h. This was followed by the addition of resazurin to assess
cell viability. Both untreated and maximum lysis controls were
included. Fluorescence readings were obtained 5 h after resazurin
addition. The fluorescence level obtained is directly correlated to
the number of viable cells. The results here indicate that
hL243.gamma.4P does not produce a complement-mediated cytotoxic
effect on cells compared to hL243.gamma.1 (EC.sub.50=2.6 nM) and
hA20 (EC.sub.50=0.66 nM) where CMC was observed (FIGS. 10 and
18).
[0276] Induction of ADCC was also measured in Raji, Daudi, and
SU-DHL-6 by calcein AM release. The activity of hL243.gamma.4P was
compared to that of the murine L243 and rituximab, as a positive
control. As expected, rituximab and the murine L243 induced
significantly more cell lysis than the negative controls (no MAb
and murine and humanized MN-14) and hL243.gamma.4P did not (FIG.
19).
In Vitro Anti-Proliferative Effects.
[0277] In one example, the effect of hL243 on cellular
proliferation was assessed using the .sup.3H-thymidine uptake assay
on Raji, FSCCL, and Namalwa (FIG. 20B and Table 5). The effect of
hL243.gamma.4P was compared to that of rituximab and to rituximab
combined with hL243.gamma.4P, in the presence or absence of a
crosslinking anti Fc antibody. In FSCCL, previously shown to be
relatively insensitive to rituximab, hL243.gamma.4P yielded
significantly greater inhibition of proliferation than rituximab.
In Ramos, hL243 and rituximab activity were similar, and the
combination was more effective than either alone. The combination
may have a synergistic effect. Cross-linking with an anti-human Fc
antibody is required for significant anti-proliferative activity to
be seen in Ramos. In Namalwa, as with FSCCL, hL243.gamma.4P yielded
significantly greater inhibition of proliferation than rituximab
and the combination of rituximab and hL243.gamma.4P yielded
significantly more inhibition of proliferation than either MAb
alone.
Assessment of Apoptosis Induction
[0278] In one exemplary method, the mechanism of hL243
.gamma.4P-induced cell death assays was evaluated by measuring
various markers of apoptosis were performed. These included
induction of DNA fragmentation, Annexin V/7-AAD staining,
measurement of activated caspase-3, loss of mitochondrial membrane
potential and activation of the AKT survival pathway.
[0279] In another example, DNA fragmentation was evaluated by flow
cytometry in SU-DHL-6 and Namalwa. Cells were cultured with the
MAbs for 48 h with or without a second MAb for crosslinking,
followed by DNA staining with propidium iodide. Cells were analyzed
by flow cytometry, and positive florescence below the G1 region
represents DNA fragmentation and is a measure of apoptosis.
Activity of hL243 .gamma.4P was compared to that of humanized MAbs
against other B-cell antigens, including anti-CD74 (hLL1), anti
CD22 (hLL2, epratuzumab), anti-CD20 (hA20), as well as the
murine-human chimeric MAb rituximab. Controls included no first MAb
and the negative control humanized anti-CEA MAb, hMN-14. hL243
.gamma.4P induced apoptosis in both cell lines, at levels similar
to or greater than the other anti-B cell MAbs (FIGS. 21A and
21B).
[0280] In one particular embodiment, a kit was used (e.g. the Guava
Nexin.TM. kit) to discriminate between apoptotic and nonapoptotic
dead cells in Daudi cells. In this example, the kit utilizes
Annexin-V-PE to detect phosphatidylserine (PS) on the external
membrane of apoptotic cells and a cell impermeant dye 7-AAD as an
indicator of membrane structural integrity. 7-AAD is excluded from
live, healthy cells and early apoptotic cells, but permeates late
stage apoptotic and dead cells. As shown in FIG. 21B the results of
this study indicated that hL243.gamma.4P induced apoptosis similar
to mL243 following both 4 h and 24 h treatment. In contrast, the
anti-CD20 MAb did not induce measurable apoptosis in Daudi.
Therefore, hypercrosslinking by a secondary agent, such as
anti-human IgG or protein A may be used for induction of apoptosis
by anti-CD20 MAbs in many cell lines including Daudi.
[0281] In another example, effects of humanized and murine L243 on
mitochondrial potential was studied in different cells, namely,
SU-DHL-6, Daudi, Raji, WSU-FSCCL, RL, and Namalwa. Results are
represented in FIG. 22 indicating apoptotic changes in the
mitochondrial membrane potential were observed with both murine and
humanized L243 MAbs. Crosslinking with a second antibody may not be
needed, but can increase the effect in 2 of 6 cell lines evaluated,
FSCCL and Namalwa. The loss of mitochondrial membrane potential
induced by hL243.gamma.4P was greater than that of the anti-CD20
MAb (hA20), without a crosslinking agent. With crosslinking the
hA20 levels are increased to those of hL243.gamma.4P in 3 of the 6
cell lines (RL, SU-DHL-6, and Daudi.).
[0282] In one example, induction of activated caspase-3 by
humanized and murine L243 was assayed by flow cytometry in a panel
of lymphoma cell lines. Result summarized in Table 6 represent both
the murine and humanized L243 induce activation of caspase-3, at
similar levels, in the absence of crosslinking with second
antibody. The induction of activated caspase-3 with the L243 MAbs
is greater in all cell lines than that of hA20. With a second
antibody these levels are increased and the effect of hA20 is
similar to that of the hL243 .gamma.4P, except in Namalwa and
FSCCL, two cell lines which we routinely observe to be relatively
insensitive to anti-CD20 MAbs. Cleaved caspase-3 was also assayed
in Daudi over a 2 day time course (FIG. 23A). The activity
continues to increase for approximately 2 days of L243.gamma.4P
incubation. Time points less than 1 h were not done.
[0283] In one example, the involvement of AKT in the mechanism of
action of L243 was assayed in 6 cell lines by flow cytometry. Cells
were incubated with various MAbs for 2 days, then assayed for
phospho-AKT. The results listed in Table 7 show that L243 activates
AKT in all cell lines. Phospho-AKT levels in anti-CD20, hA20,
treated cells, as well as anti-CD74 and anti-CD22 treated cells
(not shown), are similar to untreated cells on all cell lines. To
determine the time course of P-AKT activation Daudi cells were
incubated with MAbs for various times, MAbs were removed (by
centrifugation) at time points from 0 min to around 2 days (FIG.
23B). These results represent activation of AKT by L243 can occur
faster than can be measured by this assay, because even at the 0
time point P-AKT levels are equal to the 2 day time point.
In Vivo Therapeutic Efficacy of hL243 in a Xenograft Model of
Non-Hodgkin's Lymphoma (Raji)
[0284] In one exemplary method, a therapeutic study was performed
to compare the in vivo efficacy of hL243.gamma.4P and mL243 (IgG2a
isotype) monoclonal antibodies, in a xenograft model of human
non-Hodgkin's lymphoma (Raji). The aim of this study was to
determine if hL243.gamma.4P can maintain significant antitumor
efficacy in a xenograft model. SCID mice were injected with
2.5.times.10.sup.6 Raji cells. Therapy with hL243.gamma.4P or mL243
was initiated 1 day-post tumor cell administration. Results are
shown in FIG. 24. Both groups of mice injected with saline or with
non-specific control antibody, hMN14, had a median survival time
(MST) of 17 days. All the groups of mice treated with either
humanized or murine L243 had significantly improved life span
compared to mice injected with saline or hMN14 (P<0.0001).
Treatment with various doses of hL243.gamma.4P resulted in a
dose-response relationship, with mice receiving higher doses having
better survival times. In the group of animals treated with various
doses of mL243 IgG2a, the cure rate was in the range of
80-100%.
TABLE-US-00006 TABLE 1 Comparison of binding of humanized and
murine MAbs on Namalwa GEO MEAN Fluorescence GEO MEAN Humanized 2nd
Ab:FITC Murine Fluorescence 2nd MAbs GAH MAbs Ab: FITC GAM none
2.52 none 2.91 HMN14 2.49 Ag8 3.64 hRS7 2.47 MN14 3.32 hLL1 10.06
RS7 3.39 hLL2 6.76 LL1 17.31 hA20 6.28 LL2 10.46 Rituximab 7.33 1F5
3.83 HL243 324.16 m2B8 6.16 L243 594.96 [Rituximab is not a
humanized, but a chimeric MAb.]
TABLE-US-00007 TABLE 2 Phenotyping cell lines (Binding of humanized
or chimeric MAbs on B-cell lines by FACS Assay). Indirect assay
using FITC-GAH Fc 2nd Ab staining Geometric Mean Fluorescence
Rituxim none hMN14 hLL1 hA20 ab HL243 Namalwa 2.5 2.36 7 .81 6.4
10. .11 14.12 260.8 SU-DHL-6 4.6 4.94 17 .29 11. 1199 .34 1308.89
572.2 WSU-FSCCL 2.6 2.66 8 .66 4.1 8. .91 12.45 466.7 Raji 6.8 6.96
95 .10 22. 267 .09 394.57 971.9 Daudi 3.1 3.16 48 .77 51. 240. .96
380.45 937.4 Ramos 3.1 3.13 23 .25 14. 203, .65 374.98 277.5
TABLE-US-00008 TABLE 3 Phenotyping dog lymphoma aspirate Murine
Humanized MAbs % Positive Mean FL MAbs % Positive Mean FL none 3.85
3.37 none 4.48 3.24 Ag8 2.81 3.04 hMN-14 4.63 3.24 L243 77.77 10.41
hL243 26.33 5.47 m2B8 2.61 3.11 hA20 3.96 3.25 LL1 6.69 4.01 hLL1
4.71 3.33 LL2 5.05 3.73 hLL2 4.85 3.37
TABLE-US-00009 TABLE 4 Binding of humanized or chimeric MAbs on
B-cell lines. An indirect flow cytometry assay was performed using
FITC-GAH Fc specific 2nd antibody staining. Geometric Mean
Fluorescence anti- anti- anti- anti- anti- anti-HLA- CEA CD74 CD22
CD20 CD20 DR none (hMN14) (hLL1) (hLL2) (hA20) (Rituximab)
(hL243.gamma.4P) Daudi 3.2 3.2 48.8 51.7 241.0 380.5 937.4 Namalwa
2.6 2.4 7.8 6.4 10.1 14.1 260.9 Raji 6.9 7.0 95.1 22.6 267.1 394.6
972.0 Ramos 3.1 3.1 23.3 14.6 203.7 375.0 277.6 RL 2.4 2.8 7.9 5.1
127.5 147.8 112.2 SU-DHL-6 4.6 4.9 17.3 11.0 1199.3 1308.9 572.3
WSU-FSCCL 2.7 2.7 8.7 4.2 8.9 12.5 466.8
TABLE-US-00010 TABLE 5 Summary of antiproliferative activity of
MAbs with and without crosslinking (% Inhibition of 3-H-Thymidine
uptake) Rituximab + hL243 Rituximab hL243.gamma.4P
Antiproliferative activity of MAbs without crosslinking Ramos 18.2
.+-. 4.9 -7.9 .+-. 3.6 10.1 .+-. 11.9 .sup. (0.0001).sup.a (0.3619)
FSCCL 75.9 .+-. 10.2 13.4 .+-. 12.3 78.9 .+-. 1.7 (0.0028) (0.6611)
Namalwa 50.1 .+-. 1.1 13.8 .+-. 5.6 27.8 .+-. 3.3 (0.0061) (0.0038)
Antiproliferative activity of MAbs in the presence of anti-human
2.sup.nd Ab Ramos 69.0 .+-. 7.0 50.5 .+-. 9.4 56.8 .+-. 0.8
(0.0519) (0.0073) FSCCL 94.5 .+-. 0.9 28.1 .+-. 9.6 94.5 .+-. 0.8
(0.0067) (0.9984) Namalwa 58.1 .+-. 2.1 14.7 .+-. 7.0 51.5 .+-. 3.0
(0.0050) (0.0416) .sup.aNumbers in parentheses represent P values
of the single MAbs in comparison to the combination of rituximab +
hL243.gamma.4P.
TABLE-US-00011 TABLE 6 Cleaved Caspase-3 assay Cleaved caspase-3 (%
above no MAb control) Humanized MAbs murine MAbs hL243g4P hA20
hMN-14 mL243 mMN-14 No crosslinking Ramos 26.9 3.2 0.8 15.8 3.9
Namalwa 18.4 -0.1 0.2 9.4 0.5 FSCCL 46.4 0.7 0.3 26.2 -0.7 Daudi
48.1 7.9 0.9 45.8 1.0 RL 22.5 1.5 -0.1 18.2 -0.3 SU-DHL-6 52.2 30.9
2.3 46.5 0.2 Raji 22.5 1.5 -0.1 18.2 -0.3 with 2nd Ab Ramos 71.7
67.8 7.3 40.3 3.0 Namalwa 72.2 20.4 7.9 25.2 -0.3 FSCCL 86.7 20.0
8.4 55.0 1.5 Daudi 68.9 72.0 2.9 51.2 0.0 RL 37.3 24.2 4.0 4.0 0.7
SU-DHL-6 72.1 75.8 5.5 51.4 -0.9 Raji 59.8 37.4 2.8 20.4 -0.3
TABLE-US-00012 TABLE 7 P-AKT assay % above no MAb control humanized
MAbs murine MAbs hL243g4P hA20 hMN-14 mL243 mMN-14 Namalwa 8.4 -2.8
1.3 3.5 -4.4 FSCCL 25.1 -1.4 3.9 16.3 -1.7 Daudi 34.9 1.0 -1.4 24.5
-2.1 RL 5.9 1.8 0.0 1.3 1.3 SU-DHL-6 29.8 0.2 1.2 26.1 -0.5 Raji
5.1 -0.9 -1.6 17.2 -4.2
[0285] All of the COMPOSITIONS and/or METHODS and/or APPARATUS
disclosed and claimed herein can be made and executed without undue
experimentation in light of the present disclosure. While the
compositions and methods of this invention have been described in
terms of preferred embodiments, it will be apparent to those of
skill in the art that variation may be applied to the COMPOSITIONS
and/or METHODS and/or APPARATUS and in the steps or in the sequence
of steps of the method described herein without departing from the
concept, spirit and scope of the invention. More specifically, it
will be apparent that certain agents which are both chemically and
physiologically related may be substituted for the agents described
herein while the same or similar results would be achieved. All
such similar substitutes and modifications apparent to those
skilled in the art are deemed to be within the spirit, scope and
concept of the invention as defined by the appended claims.
Sequence CWU 1
1
251324DNAMus musculusCDS(1)..(321) 1gac atc cag atg act cag tct cca
gcc tcc cta tct gta tct gtg gga 48Asp Ile Gln Met Thr Gln Ser Pro
Ala Ser Leu Ser Val Ser Val Gly 1 5 10 15 gaa act gtc acc atc aca
tgt cga gca agt gag aat att tac agt aat 96Glu Thr Val Thr Ile Thr
Cys Arg Ala Ser Glu Asn Ile Tyr Ser Asn 20 25 30 tta gca tgg tat
cgt cag aaa cag gga aaa tct cct cag ctc ctg gtc 144Leu Ala Trp Tyr
Arg Gln Lys Gln Gly Lys Ser Pro Gln Leu Leu Val 35 40 45 ttt gct
gca tca aac tta gca gat ggt gtg cca tca agg ttc agt ggc 192Phe Ala
Ala Ser Asn Leu Ala Asp Gly Val Pro Ser Arg Phe Ser Gly 50 55 60
agt gga tca ggc aca cag tat tcc ctc aag atc aac agc ctg cag tct
240Ser Gly Ser Gly Thr Gln Tyr Ser Leu Lys Ile Asn Ser Leu Gln Ser
65 70 75 80 gaa gat ttt ggg gat tat tac tgt caa cat ttt tgg act act
ccg tgg 288Glu Asp Phe Gly Asp Tyr Tyr Cys Gln His Phe Trp Thr Thr
Pro Trp 85 90 95 gcg ttc ggt gga ggc acc aac ctg gaa atc aaa cgt
324Ala Phe Gly Gly Gly Thr Asn Leu Glu Ile Lys 100 105 2107PRTMus
musculus 2Asp Ile Gln Met Thr Gln Ser Pro Ala Ser Leu Ser Val Ser
Val Gly 1 5 10 15 Glu Thr Val Thr Ile Thr Cys Arg Ala Ser Glu Asn
Ile Tyr Ser Asn 20 25 30 Leu Ala Trp Tyr Arg Gln Lys Gln Gly Lys
Ser Pro Gln Leu Leu Val 35 40 45 Phe Ala Ala Ser Asn Leu Ala Asp
Gly Val Pro Ser Arg Phe Ser Gly 50 55 60 Ser Gly Ser Gly Thr Gln
Tyr Ser Leu Lys Ile Asn Ser Leu Gln Ser 65 70 75 80 Glu Asp Phe Gly
Asp Tyr Tyr Cys Gln His Phe Trp Thr Thr Pro Trp 85 90 95 Ala Phe
Gly Gly Gly Thr Asn Leu Glu Ile Lys 100 105 3363DNAMus
musculusCDS(1)..(360) 3cag atc cag ttg gtg cag tct gga cct gag ctg
aag aag cct gga gag 48Gln Ile Gln Leu Val Gln Ser Gly Pro Glu Leu
Lys Lys Pro Gly Glu 1 5 10 15 aca gtc aag atc tcc tgc aag gct tct
ggg ttt acc ttc aca aac tat 96Thr Val Lys Ile Ser Cys Lys Ala Ser
Gly Phe Thr Phe Thr Asn Tyr 20 25 30 gga atg aac tgg gtg aag cag
gct cca gga aag ggt tta aag tgg atg 144Gly Met Asn Trp Val Lys Gln
Ala Pro Gly Lys Gly Leu Lys Trp Met 35 40 45 ggc tgg ata aac acc
tac act aga gag cca aca tat gct gat gac ttc 192Gly Trp Ile Asn Thr
Tyr Thr Arg Glu Pro Thr Tyr Ala Asp Asp Phe 50 55 60 aag gga cgg
ttt gcc ttc tct ttg gaa acc tct gcc agc act gcc tat 240Lys Gly Arg
Phe Ala Phe Ser Leu Glu Thr Ser Ala Ser Thr Ala Tyr 65 70 75 80 ttg
cag atc aac aac ctc aaa aat gag gac acg gct aaa tat ttc tgt 288Leu
Gln Ile Asn Asn Leu Lys Asn Glu Asp Thr Ala Lys Tyr Phe Cys 85 90
95 gca aga gat att act gcg gtt gta cct acg ggt ttt gac tac tgg ggc
336Ala Arg Asp Ile Thr Ala Val Val Pro Thr Gly Phe Asp Tyr Trp Gly
100 105 110 caa ggc acc act ctc acc gtc tcc tca 363Gln Gly Thr Thr
Leu Thr Val Ser 115 120 4120PRTMus musculus 4Gln Ile Gln Leu Val
Gln Ser Gly Pro Glu Leu Lys Lys Pro Gly Glu 1 5 10 15 Thr Val Lys
Ile Ser Cys Lys Ala Ser Gly Phe Thr Phe Thr Asn Tyr 20 25 30 Gly
Met Asn Trp Val Lys Gln Ala Pro Gly Lys Gly Leu Lys Trp Met 35 40
45 Gly Trp Ile Asn Thr Tyr Thr Arg Glu Pro Thr Tyr Ala Asp Asp Phe
50 55 60 Lys Gly Arg Phe Ala Phe Ser Leu Glu Thr Ser Ala Ser Thr
Ala Tyr 65 70 75 80 Leu Gln Ile Asn Asn Leu Lys Asn Glu Asp Thr Ala
Lys Tyr Phe Cys 85 90 95 Ala Arg Asp Ile Thr Ala Val Val Pro Thr
Gly Phe Asp Tyr Trp Gly 100 105 110 Gln Gly Thr Thr Leu Thr Val Ser
115 120 5324DNAArtificial SequenceDescription of Artificial
Sequence Synthetic polynucleotide 5gac atc cag ctg acc cag tct cca
tca tct ctg agc gca tct gtt gga 48Asp Ile Gln Leu Thr Gln Ser Pro
Ser Ser Leu Ser Ala Ser Val Gly 1 5 10 15 gat agg gtc act atc act
tgt cga gca agt gag aat att tac agt aat 96Asp Arg Val Thr Ile Thr
Cys Arg Ala Ser Glu Asn Ile Tyr Ser Asn 20 25 30 tta gca tgg tat
cgt cag aaa cca ggg aaa gca cct aaa ctg ctg gtc 144Leu Ala Trp Tyr
Arg Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Val 35 40 45 ttt gct
gca tca aac tta gca gat ggt gtg cct tcg cga ttc tct ggc 192Phe Ala
Ala Ser Asn Leu Ala Asp Gly Val Pro Ser Arg Phe Ser Gly 50 55 60
agc gga tct ggg aca gat tat act ttc acc atc agc tct ctt caa cca
240Ser Gly Ser Gly Thr Asp Tyr Thr Phe Thr Ile Ser Ser Leu Gln Pro
65 70 75 80 gaa gac att gca aca tat tat tgt caa cat ttt tgg act act
ccg tgg 288Glu Asp Ile Ala Thr Tyr Tyr Cys Gln His Phe Trp Thr Thr
Pro Trp 85 90 95 gcg ttc ggt gga ggg acc aag ctg cag atc aaa cgt
324Ala Phe Gly Gly Gly Thr Lys Leu Gln Ile Lys Arg 100 105
6108PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 6Asp Ile Gln Leu Thr Gln Ser Pro Ser Ser Leu
Ser Ala Ser Val Gly 1 5 10 15 Asp Arg Val Thr Ile Thr Cys Arg Ala
Ser Glu Asn Ile Tyr Ser Asn 20 25 30 Leu Ala Trp Tyr Arg Gln Lys
Pro Gly Lys Ala Pro Lys Leu Leu Val 35 40 45 Phe Ala Ala Ser Asn
Leu Ala Asp Gly Val Pro Ser Arg Phe Ser Gly 50 55 60 Ser Gly Ser
Gly Thr Asp Tyr Thr Phe Thr Ile Ser Ser Leu Gln Pro 65 70 75 80 Glu
Asp Ile Ala Thr Tyr Tyr Cys Gln His Phe Trp Thr Thr Pro Trp 85 90
95 Ala Phe Gly Gly Gly Thr Lys Leu Gln Ile Lys Arg 100 105
7363DNAArtificial SequenceDescription of Artificial Sequence
Synthetic polynucleotide 7cag gtg caa ctg cag caa tct ggg tct gag
ttg aag aag cct ggg gcc 48Gln Val Gln Leu Gln Gln Ser Gly Ser Glu
Leu Lys Lys Pro Gly Ala 1 5 10 15 tca gtg aag gtt tcc tgc aag gct
tct gga ttt acc ttc aca aac tat 96Ser Val Lys Val Ser Cys Lys Ala
Ser Gly Phe Thr Phe Thr Asn Tyr 20 25 30 gga atg aac tgg gtg aag
cag gcc cct gga caa ggg ctt aag tgg atg 144Gly Met Asn Trp Val Lys
Gln Ala Pro Gly Gln Gly Leu Lys Trp Met 35 40 45 ggc tgg ata aac
acc tac act aga gag cca aca tat gct gat gac ttc 192Gly Trp Ile Asn
Thr Tyr Thr Arg Glu Pro Thr Tyr Ala Asp Asp Phe 50 55 60 aag gga
cgg ttt gcc ttc tcc ttg gac acc tct gtc agc acg gca tat 240Lys Gly
Arg Phe Ala Phe Ser Leu Asp Thr Ser Val Ser Thr Ala Tyr 65 70 75 80
ctc cag atc agc agc cta aag gct gac gac act gcc gtg tat ttc tgt
288Leu Gln Ile Ser Ser Leu Lys Ala Asp Asp Thr Ala Val Tyr Phe Cys
85 90 95 gca aga gat att act gcg gtt gta cct acg ggt ttt gac tac
tgg ggc 336Ala Arg Asp Ile Thr Ala Val Val Pro Thr Gly Phe Asp Tyr
Trp Gly 100 105 110 caa ggg tcc ctg gtc acc gtc tcc tca 363Gln Gly
Ser Leu Val Thr Val Ser Ser 115 120 8121PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
8Gln Val Gln Leu Gln Gln Ser Gly Ser Glu Leu Lys Lys Pro Gly Ala 1
5 10 15 Ser Val Lys Val Ser Cys Lys Ala Ser Gly Phe Thr Phe Thr Asn
Tyr 20 25 30 Gly Met Asn Trp Val Lys Gln Ala Pro Gly Gln Gly Leu
Lys Trp Met 35 40 45 Gly Trp Ile Asn Thr Tyr Thr Arg Glu Pro Thr
Tyr Ala Asp Asp Phe 50 55 60 Lys Gly Arg Phe Ala Phe Ser Leu Asp
Thr Ser Val Ser Thr Ala Tyr 65 70 75 80 Leu Gln Ile Ser Ser Leu Lys
Ala Asp Asp Thr Ala Val Tyr Phe Cys 85 90 95 Ala Arg Asp Ile Thr
Ala Val Val Pro Thr Gly Phe Asp Tyr Trp Gly 100 105 110 Gln Gly Ser
Leu Val Thr Val Ser Ser 115 120 9108PRTHomo sapiens 9Val Gln Leu
Val Gln Ser Gly Ser Glu Leu Lys Lys Pro Gly Ala Ser 1 5 10 15 Val
Lys Val Ser Cys Lys Ala Ser Gly Tyr Thr Phe Thr Ser Tyr Ala 20 25
30 Met Asn Trp Val Arg Gln Ala Pro Gly Gln Gly Leu Glu Trp Met Gly
35 40 45 Trp Ile Asn Thr Asn Thr Gly Asn Pro Thr Tyr Ala Gln Gly
Phe Thr 50 55 60 Gly Arg Phe Val Phe Ser Leu Asp Thr Ser Val Ser
Thr Ala Tyr Leu 65 70 75 80 Gln Ile Ser Ser Leu Lys Ala Asp Asp Thr
Ala Val Tyr Tyr Cys Ala 85 90 95 Arg Glu Asp Ser Asn Gly Tyr Lys
Ile Phe Asp Tyr 100 105 10121PRTMus musculus 10Gln Ile Gln Leu Val
Gln Ser Gly Pro Glu Leu Lys Lys Pro Gly Glu 1 5 10 15 Thr Val Lys
Ile Ser Cys Lys Ala Ser Gly Phe Thr Phe Thr Asn Tyr 20 25 30 Gly
Met Asn Trp Val Lys Gln Ala Pro Gly Lys Gly Leu Lys Trp Met 35 40
45 Gly Trp Ile Asn Thr Tyr Thr Arg Glu Pro Thr Tyr Ala Asp Asp Phe
50 55 60 Lys Gly Arg Phe Ala Phe Ser Leu Glu Thr Ser Ala Ser Thr
Ala Tyr 65 70 75 80 Leu Gln Ile Asn Asn Leu Lys Asn Glu Asp Thr Ala
Lys Tyr Phe Cys 85 90 95 Ala Arg Asp Ile Thr Ala Val Val Pro Thr
Gly Phe Asp Tyr Trp Gly 100 105 110 Gln Gly Thr Thr Leu Thr Val Ser
Ser 115 120 11121PRTArtificial SequenceDescription of Artificial
Sequence Synthetic polypeptide 11Gln Val Gln Leu Gln Gln Ser Gly
Ser Glu Leu Lys Lys Pro Gly Ala 1 5 10 15 Ser Val Lys Val Ser Cys
Lys Ala Ser Gly Phe Thr Phe Thr Asn Tyr 20 25 30 Gly Met Asn Trp
Val Lys Gln Ala Pro Gly Gln Gly Leu Lys Trp Met 35 40 45 Gly Trp
Ile Asn Thr Tyr Thr Arg Glu Pro Thr Tyr Ala Asp Asp Phe 50 55 60
Lys Gly Arg Phe Ala Phe Ser Leu Asp Thr Ser Val Ser Thr Ala Tyr 65
70 75 80 Leu Gln Ile Ser Ser Leu Lys Ala Asp Asp Thr Ala Val Tyr
Phe Cys 85 90 95 Ala Arg Asp Ile Thr Ala Val Val Pro Thr Gly Phe
Asp Tyr Trp Gly 100 105 110 Gln Gly Ser Leu Val Thr Val Ser Ser 115
120 1211PRTHomo sapiens 12Trp Gly Gln Gly Ser Leu Val Thr Val Ser
Ser 1 5 10 13107PRTHomo sapiens 13Asp Ile Gln Met Thr Gln Ser Pro
Ser Ser Leu Ser Ala Ser Val Gly 1 5 10 15 Asp Arg Val Thr Ile Thr
Cys Gln Ala Ser Gln Asp Ile Ile Lys Tyr 20 25 30 Leu Asn Trp Tyr
Gln Gln Thr Pro Gly Lys Ala Pro Lys Leu Leu Ile 35 40 45 Tyr Glu
Ala Ser Asn Leu Gln Ala Gly Val Pro Ser Arg Phe Ser Gly 50 55 60
Ser Gly Ser Gly Thr Asp Tyr Thr Phe Thr Ile Ser Ser Leu Gln Pro 65
70 75 80 Glu Asp Ile Ala Thr Tyr Tyr Cys Gln Gln Tyr Gln Ser Leu
Pro Tyr 85 90 95 Thr Phe Gly Gln Gly Thr Lys Leu Gln Ile Thr 100
105 14108PRTMus musculus 14Asp Ile Gln Met Thr Gln Ser Pro Ala Ser
Leu Ser Val Ser Val Gly 1 5 10 15 Glu Thr Val Thr Ile Thr Cys Arg
Ala Ser Glu Asn Ile Tyr Ser Asn 20 25 30 Leu Ala Trp Tyr Arg Gln
Lys Gln Gly Lys Ser Pro Gln Leu Leu Val 35 40 45 Phe Ala Ala Ser
Asn Leu Ala Asp Gly Val Pro Ser Arg Phe Ser Gly 50 55 60 Ser Gly
Ser Gly Thr Gln Tyr Ser Leu Lys Ile Asn Ser Leu Gln Ser 65 70 75 80
Glu Asp Phe Gly Asp Tyr Tyr Cys Gln His Phe Trp Thr Thr Pro Trp 85
90 95 Ala Phe Gly Gly Gly Thr Asn Leu Glu Ile Lys Arg 100 105
15108PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 15Asp Ile Gln Leu Thr Gln Ser Pro Ser Ser Leu
Ser Ala Ser Val Gly 1 5 10 15 Asp Arg Val Thr Ile Thr Cys Arg Ala
Ser Glu Asn Ile Tyr Ser Asn 20 25 30 Leu Ala Trp Tyr Arg Gln Lys
Pro Gly Lys Ala Pro Lys Leu Leu Val 35 40 45 Phe Ala Ala Ser Asn
Leu Ala Asp Gly Val Pro Ser Arg Phe Ser Gly 50 55 60 Ser Gly Ser
Gly Thr Asp Tyr Thr Phe Thr Ile Ser Ser Leu Gln Pro 65 70 75 80 Glu
Asp Ile Ala Thr Tyr Tyr Cys Gln His Phe Trp Thr Thr Pro Trp 85 90
95 Ala Phe Gly Gly Gly Thr Lys Leu Gln Ile Lys Arg 100 105
16175DNAArtificial SequenceDescription of Artificial Sequence
Synthetic polynucleotide 16ggtctgagtt gaagaagcct ggggcctcag
tgaaggtttc ctgcaaggct tctggattta 60ccttcacaaa ctatggaatg aactgggtga
agcaggcccc tggacaaggg cttaagtgga 120tgggctggat aaacacctac
actagagagc caacatatgc tgatgacttc aaggg 17517168DNAArtificial
SequenceDescription of Artificial Sequence Synthetic polynucleotide
17acccttggcc ccagtagtca aaacccgtag gtacaaccgc agtaatatct cttgcacaga
60aatacacggc agtgtcgtca gcctttaggc tgctgatctg gagatatgcc gtgctgacag
120aggtgtccaa ggagaaggca aaccgtccct tgaagtcatc agcatatg
1681838DNAArtificial SequenceDescription of Artificial Sequence
Synthetic oligonucleotide 18gtggtgctgc agcaatctgg gtctgagttg
aagaagcc 381938DNAArtificial SequenceDescription of Artificial
Sequence Synthetic oligonucleotide 19tgaggagacg gtgaccaggg
acccttggcc ccagtagt 3820155DNAArtificial SequenceDescription of
Artificial Sequence Synthetic polynucleotide 20tccatcatct
ctgagcgcat ctgttggaga tagggtcact atcacttgtc gagcaagtga 60gaatatttac
agtaatttag catggtatcg tcagaaacca gggaaagcac ctaaactgct
120ggtctttgct gcatcaaact tagcagatgg tgtgc 15521159DNAArtificial
SequenceDescription of Artificial Sequence Synthetic polynucleotide
21cagcttggtc cctccaccga acgcccacgg agtagtccaa aaatgttgac aataatatgt
60tgcaatgtct tctggttgaa gagagctgat ggtgaaagta taatctgtcc cagatccgct
120gccagagaat cgcgaaggca caccatctgc taagtttga 1592238DNAArtificial
SequenceDescription of Artificial Sequence Synthetic
oligonucleotide 22gacattcagc tgacccagtc tccatcatct ctgagcgc
382331DNAArtificial SequenceDescription of Artificial Sequence
Synthetic oligonucleotide 23ccggcagatc tgcagcttgg tccctccacc g
312447DNAMus musculus 24ccgcggtcac atggcaccac ctctcttgca gcttccacca
agggccc 472533DNAMus musculus 25ccggccgtcg cactcattta cccagagaca
ggg 33
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