U.S. patent application number 14/995111 was filed with the patent office on 2016-08-18 for anti-fgfr4 antibodies and methods of use.
The applicant listed for this patent is Genentech, Inc.. Invention is credited to Mark DENNIS, Luc DESNOYERS, Dorothy FRENCH.
Application Number | 20160237157 14/995111 |
Document ID | / |
Family ID | 45952667 |
Filed Date | 2016-08-18 |
United States Patent
Application |
20160237157 |
Kind Code |
A1 |
DENNIS; Mark ; et
al. |
August 18, 2016 |
ANTI-FGFR4 ANTIBODIES AND METHODS OF USE
Abstract
The invention provides anti-FGFR4 antibodies and methods of
using the same.
Inventors: |
DENNIS; Mark; (San Carlos,
CA) ; DESNOYERS; Luc; (San Francisco, CA) ;
FRENCH; Dorothy; (San Carlos, CA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Genentech, Inc. |
South San Francisco |
CA |
US |
|
|
Family ID: |
45952667 |
Appl. No.: |
14/995111 |
Filed: |
January 13, 2016 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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14046659 |
Oct 4, 2013 |
9266955 |
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14995111 |
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PCT/US2012/032491 |
Apr 6, 2012 |
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14046659 |
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61473106 |
Apr 7, 2011 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
C07K 2317/55 20130101;
C07K 2317/24 20130101; C07K 2317/94 20130101; C07K 2317/33
20130101; C07K 2317/567 20130101; C07K 2317/56 20130101; A61P 43/00
20180101; A61P 35/00 20180101; A61K 39/3955 20130101; C07K 2317/734
20130101; C07K 16/2863 20130101; A61K 45/06 20130101; C07K 2317/92
20130101; A61K 2039/505 20130101; C07K 2317/565 20130101; C07K
2317/76 20130101 |
International
Class: |
C07K 16/28 20060101
C07K016/28 |
Claims
1-41. (canceled)
42: An isolated nucleic acid encoding an anti-FGFR4 antibody heavy
chain variable domain or light chain variable domain, wherein said
antibody comprises (a) HVR-H1 comprising the amino acid sequence of
SEQ ID NO: 1; (b) HVR-H2 comprising the amino acid sequence of SEQ
ID NO:2; (c) HVR-H3 comprising the amino acid sequence of SEQ ID
NO:3; (d) HVR-L1 comprising the amino acid sequence of SEQ ID NO:4;
(e) HVR-L2 comprising the amino acid sequence of SEQ ID NO:5; and
(f) HVR-L3 comprising the amino acid sequence of SEQ ID NO:6.
43: The nucleic acid of claim 42, wherein the antibody further
comprises a light chain variable domain framework sequence of SEQ
ID NO: 9, 10, 11 and/or 12.
44: The nucleic acid of claim 42, wherein the antibody further
comprises a heavy chain variable domain framework sequence of SEQ
ID NO: 12, 14, 15 and/or 16.
45: The nucleic acid of claim 42, wherein the heavy chain variable
domain sequence comprises the amino acid sequence of SEQ ID NO: 7
or the light chain variable domain sequence comprises the amino
acid sequence of SEQ ID NO: 8.
46: The nucleic acid of claim 42, wherein the nucleic acid encoding
the heavy chain variable domain or light chain variable domain is
on a separate vector from a nucleic acid encoding the corresponding
light chain variable domain or heavy chain variable domain.
47: The nucleic acid of claim 42, wherein the nucleic acid encoding
the heavy chain variable domain or light chain variable domain and
a nucleic acid encoding the corresponding light chain variable
domain or heavy chain variable domain are on a single vector.
48: The nucleic acid of claim 42, wherein the nucleic acid encodes
the heavy chain variable domain and the light chain variable
domain.
49: The nucleic acid of claim 42, wherein the heavy chain variable
domain sequence comprises the amino acid sequence of SEQ ID NO:7
and the light chain variable domain comprises the amino acid
sequence of SEQ ID NO: 8.
50: The nucleic acid of claim 49, wherein the nucleic acid encoding
the heavy chain variable domain or light chain variable domain is
on a separate vector from a nucleic acid encoding the corresponding
light chain variable domain or heavy chain variable domain.
51: The nucleic acid of claim 49, wherein the nucleic acid encoding
the heavy chain variable domain or light chain variable domain and
a nucleic acid encoding the corresponding light chain variable
domain or heavy chain variable domain are on a single vector.
52: The nucleic acid of claim 42, wherein said antibody is a full
length IgG1 antibody.
53: The nucleic acid of claim 49, wherein said antibody is a full
length IgG1 antibody.
54: A vector comprising the nucleic acid of claim 42.
55: A vector comprising the nucleic acid of claim 46.
56: A vector comprising the nucleic acid of claim 48.
57: A vector comprising the nucleic acid of claim 49.
58: A vector comprising the nucleic acid of claim 50.
59: An isolated recombinant host cell transformed with the nucleic
acid of claim 42.
60: An isolated recombinant host cell transformed with the nucleic
acid of claim 46.
61: An isolated recombinant host cell transformed with the nucleic
acid of claim 48.
62: An isolated recombinant host cell transformed with the nucleic
acid of claim 49.
63: An isolated recombinant host cell transformed with the nucleic
acid of claim 50.
64: An isolated recombinant host cell transformed with the vector
of claim 54.
65: An isolated recombinant host cell transformed with the vector
of claim 58.
66: A method of making an anti-FGFR4 antibody comprising a heavy
chain variable domain and a light chain variable domain, said
method comprising culturing a recombinant host cell transformed
with a first nucleic acid encoding the heavy chain variable domain
and a second nucleic acid encoding the light chain variable domain,
wherein said antibody comprises (a) HVR-H1 comprising the amino
acid sequence of SEQ ID NO:1; (b) HVR-H2 comprising the amino acid
sequence of SEQ ID NO:2; (c) HVR-H3 comprising the amino acid
sequence of SEQ ID NO:3; (d) HVR-L1 comprising the amino acid
sequence of SEQ ID NO:4; (e) HVR-L2 comprising the amino acid
sequence of SEQ ID NO:5; and (f) HVR-L3 comprising the amino acid
sequence of SEQ ID NO:6.
67: The method of claim 66, wherein the heavy chain variable domain
sequence comprises the amino acid sequence of SEQ ID NO: 7 and the
light chain variable domain sequence comprises the amino acid
sequence of SEQ ID NO: 8.
68: A method of making an anti-FGFR4 antibody comprising a heavy
chain variable domain and a light chain variable domain, said
method comprising culturing a recombinant host cell transformed
with a first vector comprising a nucleic acid encoding the heavy
chain variable domain and a second vector comprising a nucleic acid
encoding the light chain variable domain, wherein said antibody
comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID
NO: 1; (b) HVR-H2 comprising the amino acid sequence of SEQ ID
NO:2; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO:3;
(d) HVR-L1 comprising the amino acid sequence of SEQ ID NO:4; (e)
HVR-L2 comprising the amino acid sequence of SEQ ID NO:5; and (f)
HVR-L3 comprising the amino acid sequence of SEQ ID NO:6.
69: The method of claim 68, wherein the heavy chain variable domain
sequence comprises the amino acid sequence of SEQ ID NO: 7 and the
light chain variable domain sequence comprises the amino acid
sequence of SEQ ID NO: 8.
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application is a divisional of U.S. patent application
Ser. No. 14/046,659, filed Oct. 4, 2013, which is a continuation of
International Patent Application No. PCT/US2012/032491, filed Apr.
6, 2012, which claims priority to U.S. Provisional Patent
Application No. 61/476,106, filed Apr. 7, 2011, the contents of
which are incorporated herein by reference in their entirety.
SUBMISSION OF SEQUENCE LISTING ON ASCII TEXT FILE
[0002] The content of the following submission on ASCII text file
is incorporated herein by reference in its entirety: a computer
readable form (CRF) of the Sequence Listing (file name:
146392035010sequencelisting.txt, date recorded: Jan. 12, 2016,
size: 36 KB).
FIELD OF THE INVENTION
[0003] The present invention relates to anti-FGFR4 antibodies and
methods of using the same.
BACKGROUND
[0004] Fibroblast growth factors (FGFs) comprise a family of 22
structurally related polypeptides with diverse biological
activities; most of these signaling molecules function by binding
to and activating their cognate receptors (FGFRs; designated
FGFR1-4), a family of receptor tyrosine kinases (Eswarakumar et
al., 2005; Ornitz and Itoh, 2001). These receptor-ligand
interactions result in receptor dimerization and
autophosphorylation, formation of complexes with
membrane-associated and cytosolic accessory proteins, and
initiation of multiple signaling cascades (Powers et al., 2000).
The FGFR-FGF signaling system plays important roles in development
and tissue repair by regulating cellular functions/processes such
as growth, differentiation, migration, morphogenesis, and
angiogenesis.
[0005] Alterations in FGFRs (i.e. overexpression, mutation,
translocation, and truncation) are associated with a number of
human cancers, including myeloma breast, stomach, colon, bladder,
pancreatic, and hepatocellular carcinomas (Bange et al., 2002;
Cappellen et al., 1999; Chesi et al., 2001; Chesi et al., 1997;
Gowardhan et al., 2005: Jaakkola et al., 1993; Jang et al., 2001;
Jang et al., 2000; Jeffers et al., 2002; Xiao et al., 1998).
Hepatocellular carcinoma (HCC) is one of the leading global causes
of cancer related deaths, resulting in over half a million
fatalities per year (Shariff et al., 2009). While the role of FGFR4
in cancer remains to be fully elucidated, several findings suggest
that this receptor may be an important player in HCC development
and/or progression. FGFR4 is the predominant FGFR isoform present
in human hepatocytes (Kan et al., 1999); we have also previously
reported that liver tissue has the highest transcript levels of
FGFR4 (Lin et al., 2007). In addition to FGFR4 being overexpressed
in liver carcinomas (as well as several other types of human
tumors), several missense genetic alterations have been observed in
HCC patient samples; notably, a highly frequent G388R single
nucleotide polymorphism in FGFR4 (associated with reduced survival
for head and neck carcinoma, as well as a more aggressive phenotype
for colon, soft tissue, prostate, and breast carcinomas) was
identified (Ho et al., 2009). Furthermore, it has been previously
demonstrated that ectopic expression of FGF19 (i.e. FGFR4-specific
ligand) in mice promotes hepatocyte proliferation, hepatocellular
dysplasia, and neoplasia (Nicholes et al., 2002).
[0006] It is clear that there continues to be a need for agents
that have clinical attributes that are optimal for development as
therapeutic agents. The invention described herein meets this need
and provides other benefits.
[0007] All references cited herein, including patent applications
and publications, are incorporated by reference in their
entirety.
SUMMARY
[0008] The invention provides anti-FGFR4 antibodies and methods of
using the same.
[0009] In one aspect, the invention provides an isolated antibody
that binds to FGFR4, wherein the anti-FGFR4 antibody binds human
FGFR4 with an affinity of .ltoreq.1 nM. In some embodiment, the
anti-FGFR4 antibody binds human, mouse and cynomolgus FGFR4 with an
affinity of .ltoreq.1 nM. In some embodiments, the anti-FGFR4
antibody binds human FGFR4 with an affinity of .ltoreq.0.05 nM.
[0010] In some embodiments, the anti-FGFR4 antibody does not
substantially bind a mouse C3 protein having the amino acid
sequence shown in FIG. 12D.
[0011] In some embodiments, the anti-FGFR4 antibody binds to a
denatured FGFR4. In some embodiments, the anti-FGFR4 antibody binds
to denatured, reduced FGFR4. In some embodiments, binding of the
anti-FGFR4 antibody to FGFR4 is detected using western blot.
[0012] In some embodiments, the anti-FGFR4 antibody does not
significantly bind to human FGFR4 comprising a G165A mutation. In
some embodiments, the anti-FGFR4 antibody binds a polypeptide
having at least 70%, 80%, 90%, 95%, 98% sequence identity or
similarity with the sequence comprising, consisting essentially of
or consisting of amino acid numbers 150 to 170 of the mature human
FGFR4 amino acid sequence. In some embodiments, the anti-FGFR4
antibody binds a polypeptide comprising, consisting essentially of
or consisting of amino acid numbers 150 to 170 of the mature human
FGFR4 amino acid sequence.
[0013] In some embodiments, the anti-FGFR4 is an antagonist of
FGFR4 activity. In some embodiments, FGFR4 activity is FGF induced
cell proliferation, FGF binding to FGFR4, FGF19-mediated inhibition
of CYP7.alpha.7 expression in a cell exposed to FGF19, or
FGF19-induced colony formation. In some embodiments, FGF1 and/or
FGF19 binding to FGFR4 is inhibited. In some embodiments, the IC50
for inhibition of FGF1 binding to FGFR4 is about 0.10 nM and the
IC50 for inhibition of FGF19 binding to FGFR4 is about 0.10 nM.
[0014] In some embodiments, the anti-FGFR4 antibody is a monoclonal
antibody.
[0015] In some embodiments, the anti-FGFR4 antibody is a human,
humanized, or chimeric antibody.
[0016] In some embodiments, the anti-FGFR4 antibody is an antibody
fragment that binds FGFR4.
[0017] In some embodiments, the antibody comprises (a) HVR-H3
comprising the amino acid sequence of SEQ ID NO:3, (b) HVR-L3
comprising the amino acid sequence of SEQ ID NO:6, and (c) HVR-H2
comprising the amino acid sequence of SEQ ID NO:2.
[0018] In some embodiments, the antibody comprises (a) HVR-H1
comprising the amino acid sequence of SEQ ID NO:1 (b) HVR-H2
comprising the amino acid sequence of SEQ ID NO:2, and (c) HVR-H3
comprising the amino acid sequence of SEQ ID NO:3. In some
embodiments, the antibody further comprises (a) HVR-L1 comprising
the amino acid sequence of SEQ ID NO:4; (b) HVR-L2 comprising the
amino acid sequence of SEQ ID NO:5; and (c) HVR-L3 comprising the
amino acid sequence of SEQ ID NO:6.
[0019] In some embodiments, the antibody comprises (a) HVR-L1
comprising the amino acid sequence of SEQ ID NO:4; (b) HVR-L2
comprising the amino acid sequence of SEQ ID NO:5; and (c) HVR-L3
comprising the amino acid sequence of SEQ ID NO:6. In some
embodiments, the antibody further comprises a light chain variable
domain framework sequence of SEQ ID NO: 9, 10, 11 and/or 12.
[0020] In some embodiments, the antibody further comprises a heavy
chain variable domain framework sequence of SEQ ID NO: 13, 14, 15
and/or 16.
[0021] In some embodiments, the antibody comprises (a) a VH
sequence having at least 95% sequence identity to the amino acid
sequence of SEQ ID NO:7; (b) a VL sequence having at least 95%
sequence identity to the amino acid sequence of SEQ ID NO:8; or (c)
a VH sequence as in (a) and a VL sequence as in (b). In some
embodiments, the antibody comprises a VH sequence of SEQ ID NO: 7.
In some embodiments, the antibody comprises a VL sequence of SEQ ID
NO: 8.
[0022] In some embodiments, the antibody comprises a VH sequence of
SEQ ID NO:7 and a VL sequence of SEQ ID NO:8.
[0023] In some embodiments, the antibody is a full length IgG1
antibody.
[0024] The invention also provides isolated nucleic acids encoding
any of the antibodies described herein.
[0025] The invention also provides host cells comprising any of the
nucleic acids described herein.
[0026] The invention also provides methods of producing an antibody
comprising culturing the host cell described herein so that the
antibody is produced. In some embodiments, the method further
comprises recovering the antibody from the host cell.
[0027] The invention also provides immunoconjugates comprising any
of the antibodies described herein and a cytotoxic agent.
[0028] The invention also provides pharmaceutical formulations
comprising any of the antibodies described herein and a
pharmaceutically acceptable carrier. In some embodiments, the
pharmaceutical formulation further comprises an additional
therapeutic agent.
[0029] The invention also provides any of the antibodies described
herein for use as a medicament.
[0030] In some embodiments, the antibodies are for use in treating
cancer
[0031] In some embodiments, the antibodies are for use in
inhibiting cell proliferation
[0032] In some embodiments, the antibodies are for use in the
manufacture of a medicament.
[0033] In some embodiments, the medicament is for treatment of
cancer
[0034] In some embodiments, the medicament is for inhibiting cell
proliferation.
[0035] The invention also provides methods of treating an
individual having cancer comprising administering to the individual
an effective amount of any of the antibodies described herein. In
some embodiments, the methods further comprise administering an
additional therapeutic agent to the individual.
[0036] The invention also provides methods of inhibiting cell
proliferation in an individual comprising administering to the
individual an effective amount of any of the antibodies described
herein to inhibit cell proliferation.
[0037] In some embodiments, the cancer is cancer of the breast,
lung, pancreas, brain, kidney, ovary, stomach, leukemia, uterine
endometrium, colon, prostate, pituitary, mammary fibroadenoma, head
and neck, soft tissue, neuroblastomas, melanoma, endometrium,
testis, cholangiocarcinoma, gallbladder and/or liver.
[0038] In certain embodiments, the cancer displays FGFR4 expression
(such as overexpression), amplification, or activation. In certain
embodiments, the cancer displays FGFR4 amplification.
BRIEF DESCRIPTION OF THE FIGURES
[0039] FIGS. 1A-1F: FGFR4 is required for FGF19-mediated liver
tumorigenesis. A, Multiple, large, raised tumors (arrows)
protruding from the hepatic surface of a 10-month-old
FGF19-TG:FGFR4-WT mouse (left panel). Liver from 10-month-old
FGF19-TG:FGFR4-KO mouse (right panel). B, BrdU incorporation in
female (left panel) and male (right panel) FGF19-TG or wild type
mice bred with FGFR4-KO or FGFR4-WT mice. C, Multiple, large,
raised tumors (arrows) on the surface of the liver of a 4-month-old
FGF19-TG:FGFR4-WT mouse treated with DEN. D, Prevalence of liver
tumors in male and female FGF19-TG mice treated with DEN as
determined by gross and histological examinations. E, Liver weights
from FGF19-TG or wild type female (left panel) and male (right
panel) mice treated with DEN. The asterisk (*) indicates that the
weight of the liver could not be measured from the 7-month time
point for male FGF19-TG mice treated with DEN because none survived
past 6 months of age. F, Liver weights of FGF19-TG or wild type
female (left panel) and male (right panel) FGFR4-KO mice treated
with DEN.
[0040] FIGS. 2A-2F: LD1 binds to FGFR4. A, LD1 binds to human (h),
mouse (m), and cynomolgus (c) FGFR4 but does not bind to hFGFR1,
hFGFR2, or hFGFR3. The binding of LD1 to immobilized FGFR-Fc
chimeric proteins was determined by solid phase binding assay. B,
Affinity of LD1 binding to mouse, cynomolgus, and human FGFR4 as
determined by surface plasmon resonance. C, Binding of LD1 to
hFGFR4 expressed at the cell surface of stably transfected HEK293
cells as measured by FACS (RFU=Relative Fluorescence Unit). D, The
binding of LD1 to immobilized hFGFR4-Flag chimeric proteins bearing
point mutations as measured by a solid phase binding assay. E, The
binding of LD1 to hFGFR4-Flag chimeric proteins bearing point
mutations as evaluated by Western blot. Mutated proteins were
electrophoresed and sequentially immunoblotted using LD1, an
anti-FGFR4 (8G11), and an anti-Flag antibody. F, Dimer model
illustrating the position of G165 (black) on FGFR4 (black and
white) bound to FGF19 (grey).
[0041] FIGS. 3A-3D: LD1 inhibits FGFR4 activities. A, LD1 inhibits
FGFR4 binding to FGF1 and FGF19 as determined by solid phase
binding assay. B, LD1 inhibits FGF1-stimulated proliferation of
BaF3 cells stably expressing FGFR4/R1. C, LD1 inhibits FGFR4
signaling in L6 cells stably expressing FGFR4. D, Cell surface
expression of FGFR4 protein in a subset of liver tumor cell lines
as determined by FACS analysis using LD1.
[0042] FIGS. 4A-4F: LD1 inhibits FGFR4 biological activities in
liver cancer cell lines. A. LD1 inhibits FGFR4 signaling in HEP3B
cells as evaluated by Western blot. B, LD1 inhibits the
FGFR4-regulated CYP7.alpha.1 repression in HEP3B cells.
CYP7.alpha.1 levels are represented as fold expression relative to
the level in untreated cells. C, LD1 inhibits FGFR4-regulated c-Fos
expression in a panel of liver cancer cell lines. The results are
represented as fold expression relative to the c-Fos level in
untreated cells. D, Inhibition of colony formation by repression of
FGFR4 expression in JHH5 cells stably transfected with an FGFR4
shRNA doxycycline-inducible vector. E, LD1 inhibits HCC cell line
colony formation. F, Enumeration of LD1-inhibited liver cancer cell
line colony formation. The values are represented as percent of the
number of colonies enumerated in the absence of added LD1.
[0043] FIGS. 5A-5E: In vivo efficacy of LD1. A, LD1 inhibits
FGF19-regulated c-Fos expression in mouse liver. The results are
represented as fold expression relative to c-Fos levels in the
livers of non-treated mice. B, LD1 (30 mg/kg; twice weekly)
inhibits HUH7 xenograft tumor growth in vivo. C, Effects of LD1 on
the mRNA expression of FGFR4, CYP7.alpha.1, c-Fos, and egr-1 in
HUH-7 xenograft tumors from FIG. 5B. D, Multiple, large, raised
tumors (arrows) protruding from the hepatic surface of a
DEN-accelerated FGF19-TG:FGFR4-WT mouse treated with a control
antibody (upper panel). Liver of DEN-accelerated FGF19-TG:FGFR4-WT
mouse treated with LD1 (lower panel). E, Liver weights of
DEN-accelerated FGF19-TG:FGFR4-WT mice treated with control
antibody, LD1, or 1A6 (anti-FGF19 antibody).
[0044] FIGS. 6A-6C: FGFR4 expression is deregulated in cancer. A,
Whisker-box plots show FGFR4 expression in human tumors and normal
tissues as determined by mRNA analysis of the BioExpress database.
The center line indicates the median; the box represents the
interquartile range between the first and third quartiles.
"Whiskers" extend from the interquartile to the positions of
extreme values. B, FGFR4 immunostaining in samples of breast
(.times.00 magnification) and pancreas (.times.100 magnification)
adenocarcinomas, and hepatocellular carcinoma (.times.200
magnification and .times.400 magnification). C, FGFR4 mRNA
expression in a panel of human normal liver and liver tumors as
determined by qRT-PCR. The value for each sample is represented as
fold expression relative to the level observed in sample N1.
[0045] FIGS. 7A and 7B: Expression of FGFRs in liver cancer cell
lines. A, FGFR4 mRNA expression in a panel of liver tumor cell
lines as determined by qRT-PCR. The values are represented as fold
expression relative to the FGFR1 levels in the JHH4 cell line. B,
FGFR4 protein expression in the same panel of cell lines as in FIG.
S1A as determined by Western blot.
[0046] FIG. 8: LD1 inhibits FGFR4 biological activities in HUH7
cells. LD1 inhibits the FGFR4-regulated CYP7.alpha.1 repression in
HUH7 cells. CYP7.alpha.1 levels are represented as fold expression
relative to the level in untreated cells.
[0047] FIG. 9: In vivo efficacy of LD1. LD1 (30 mg/kg) inhibits
HUH7 xenograft tumor growth in vivo. The anti-tumor efficacy of LD1
was evaluated in a biweekly modality.
[0048] FIGS. 10A and 10B: Variable domain sequences of mouse and
humanized variants of anti-FGFR4. The amino acid sequences of mouse
LD1 and humanized variants hLD1.vB and hLD1.v22 are aligned with
the (A) human kappa I (huKI) and (B) human VH subgroup III (huIII)
variable domain frameworks used in trastuzumab. Differences are
highlighted in dotted boxes and positions are numbered according to
Kabat. Hypervariable regions that were grafted from mouse LD1 into
the human variable Kappa I and subgroup III consensus frameworks
were selected based on a combination of sequence, structural and
contact CDR definitions (MacCallum R M et al., J of Molec Biol
(1996); 262:732-45) and are boxed. Three vernier positions in the
light chain were altered to restore affinity during humanization;
these positions were not expected to be surface exposed.
[0049] FIGS. 11A-11D: Pharmacokinetics and Distribution of
anti-FGFR4 antibody variants. (A) Comparison of the binding of
chLD1 and hLD1.vB to FGFR4 using the FGFR4 ELISA. (B) Comparison of
day 16 tumor volumes of chLD1, hLD1.vB and vehicle in an HUH7 human
hepatocelluar carcinoma xenograft model in CRL nu/nu mice.
Antibodies were administered at 30 mg/kg twice weekly (10 mice per
group). Only chLD1 was effective at reducing tumor growth relative
to the PBS control (p value=0.014) while hLD1.vB was not
significantly effective (p value=0.486). (C) Pharmacokinetics of
chLD1 and hLD1.vBNCR nude mice were dosed at 1 or 20 mg/kg IV and
samples were analyzed using the FGFR4 ELISA. Similar results were
obtained using the IgG ELISA (not shown). (D) Tissue distribution
of .sup.125I-chLD1 and .sup.125I-hLD1.vB in NCR nude mouse. Mice
were dosed with either .sup.125I-chLD1 or .sup.125I-hLD1.vB and the
percent of injected dose per gram of tissue (% ID/g) was determined
at 2 hours post-dose as described in Methods.
[0050] FIGS. 12A-12D: Identification of an interaction between
hLD1.vB and mouse C3d. (A) Detection of chLD1 (hatched bar) and
hLD1.vB (white bar) following incubation for 48 h in PBS/BSA or NCR
nude mouse, rat, human and cynomolgus monkey plasma. Percent
recovery was determined using the FGFR4 ELISA. (B) Plasma binding
analysis of .sup.125I-chLD1 (solid line) and .sup.125I-hLD1.vB
(dashed line). The traces are off-set; a dot indicates the position
of the 150 kDa peaks. The antibodies were incubated in mouse plasma
for 0 and 48 h followed by analysis using size exclusion HPLC. For
incubations in PBS/BSA, human plasma or cynomolgus monkey plasma
see FIG. 15. All incubations gave rise to a peak at the expected
150 kDa corresponding to IgG. Higher molecular weight peaks were
only observed in mouse plasma samples containing hLD1.vB. The
initial time point revealed additional peaks at ca. 270 and ca. 550
kDa while at 48 h, only the 270 kDa peak was observed. The high
molecular weight peaks were not observed when hLD1.vB/mouse plasma
incubations were performed at pH 4, indicating that the presence of
these high molecular weight peaks was pH dependent (FIG. 15). (C)
Immunoprecipitation of mouse plasma. chLD1 and hLD1.vB were
incubated in mouse plasma for 24 hours at 37.degree. C. and
analyzed by size-exclusion HPLC. Protein-G beads were then added to
fractions followed by SDS-PAGE analysis. A band at ca. 37 kDa was
detected in fractions corresponding to the 270 kDa peak present in
the hLD1.vB/mouse plasma sample (lane 3), but not in samples from
cynomolgus monkey or human plasma or PBS/BSA (FIG. 15). This band
was not observed in mouse plasma alone (lane 4) or mouse plasma
incubated with chLD1 (lane 2). The protein molecular weight marker
was run in lane 1. (D) MS/MS sequence coverage of mouse C3 obtained
from immunoprecipitation with hLD1.vB. The sequence for mouse C3 is
shown (SEQ ID NO: 38) and the region encoding C3d is underlined.
Identified peptides were as follows:
TABLE-US-00001 (SEQ ID NO: 17)
DVPAADLSDQVPDTDSETRIILQGSPVVQMAEDAVDGER (SEQ ID NO: 18)
RQEALELIKKGYTQQLAFK (SEQ ID NO: 19) AAFNNRPPSTWLTAYVVK (SEQ ID NO:
20) AANLIADSHVLCGAVK (SEQ ID NO: 21) QKPDGVFQEDGPVIHQEMIGGFR (SEQ
ID NO: 22) EADVSLTAFVLIALQEARDICEGQVNSLPGSINKAGEYIEASYMNLQRPY
TVAIAGYALALMNK (SEQ ID NO: 23) WEEPDQQLYNVEATSY (SEQ ID NO: 24)
YYGGGYGSTQATFMVFQALAQYQTDVPDHK (SEQ ID NO: 25) GTLSVVAVYHAK (SEQ ID
NO: 26) DLELLASGVDR (SEQ ID NO: 27) NTLIIYLEK.
[0051] FIGS. 13A-13B: An affinity matured anti-FGFR4 variant lacked
C3d binding. (A) Detection of FGFR4 binding of chLD1, hLD1.vB and
hLD1.v22 incubated 16 hours in NCR nude, C3 wildtype (wt) and C3 ko
mouse serum prior to assessment using the FGFR4 ELISA. Samples were
normalized to identical samples incubated in PBS/0.5% BSA. (B) Lack
of mouse C3d immunoprecipitation by hLD1.v22. Immunoprecipitation
from NCR nude mouse plasma using chLD1 (lane 2), hLD1.vB (lane 3)
and hLD1.v22 (lane 4) was analyzed by SDS-PAGE. The band at
.about.37 kDa was only detected in the hLD1.vB/mouse plasma sample.
The protein molecular weight marker was run in lane 1.
[0052] FIGS. 14A-14C: Loss of C3d binding restores Pharmacokinetics
and Efficacy. (A) Pharmacokinetic analysis of chLD1 and hLD1.vB in
C3 wt and C3 ko mice. Antibodies were dosed IV at 20 mg/kg; their
concentration in blood was monitored using the FGFR4 ELISA. The
clearance of hLD1.vB in C3 k mice is similar to that of chLD1 in
both C3 ko and C3 wt mice. (B) Pharmacokinetic analysis of chLD1
hLD1.vB and hLD1.v22 in NCR nude mice. Antibodies were dosed IV at
20 mg/kg; their concentration in blood was monitored using the
FGFR4 ELISA. The clearance of hLD1.v22 is similar to that of chLD1.
(C) Comparison of chLD1 hLD1.vB and hLD1.v22 in an HUH7 human HCC
xenograft model in CRL nu/nu mice. Antibodies were dosed at 30
mg/kg weekly (10 mice per group) and tumor volumes were monitored
for 4 weeks. At day 21 chLD1 and hLD1.v22 (p
value=7.times.10.sup.-7 and 3.times.10.sup.-5, respectively) were
effective at reducing tumor growth relative to the PBS control
(open square) while hLD1.vB was only marginally effective (p
value=0.011).
[0053] FIGS. 15A-15C: Size-exclusion HPLC analysis of radiolabeled
chLD1 and hLD1.vB in plasma from in vitro (A-B) and in vivo study
(C) samples. .sup.125I-hLD1.vB (A) and .sup.125I-chLD1 (B) were
added to PBS/BSA or mouse, human and cynomolgus monkey plasma and
analyzed by size-exclusion HPLC at 0 or 48 h. All traces revealed a
peak at the expected 150 kDa (peak on the right) for IgG. Higher
molecular weight peaks at ca. 270 (peak in the middle) and ca. 550
kDa (peak on the left) were observed only in the initial mouse
plasma sample containing hLD1.vB; at 48 h only the additional 270
kDa peak was observed. These high molecular weight peaks were not
observed with hLD1.vB in mouse plasma at pH 4.0 indicating that
generation of the high molecular weight peaks was pH dependent.
High molecular weight peaks were not detected in cynomolgus monkey
or human plasma or in any plasma with chLD1 added; (C) In vivo
mouse plasma samples. Mice were dosed with .about.0.1 mg/kg of
antibody with a specific activity of 12.52 .mu.Ci/.mu.g for chLD1
and 9.99 .mu.Ci/ug for hLD1.vB. Serum samples were collected at
0.25, 2, 5, 24, 72 and 120 h. All traces revealed a peak at the
expected 150 kDa (peak on the right) for IgG. Higher molecular
weight peaks at .about.270 (peak in the middle) and .about.550 kDa
(peak on the left) were observed only in the hLD1.vB serum samples.
High molecular weight peaks were not observed with chLD1.
[0054] FIGS. 16A-16D: Immunoprecipitation and SDS-PAGE analysis.
Antibodies were incubated in plasma for 24 h at 37.degree. C., then
fractionized by size-exclusion HPLC. Protein-G beads were added to
size exclusion HPLC fractions containing high molecular weight
peaks. The pull-down samples were analyzed by SDS-PAGE. (A) In
vitro rat plasma; (B) In vitro cynomolgus monkey plasma; (C) In
vitro human plasma. A .about.37 kDa protein was detected in rat
samples incubated with hLD1.vB, but not in the cynomolgus monkey
and human samples (lane 4 of their respective gels). No band at
.about.37 kDa protein was observed in any of the blank plasma (lane
2 of each gel) or in the chLD1 samples (lane 3 of each gel). The
protein molecular weight marker was run in lane 1. (D) In vivo
mouse plasma. Mice were dosed with hLD1.vB or chLD1 as described in
the "METHODS". Protein-G beads were then added to the collected
serum samples from the 2 h post dose time point and analyzed by
SDS-PAGE. A band at .about.37 kDa was detected in the hLD1.vB (lane
3), but not the chLD1 serum sample (lane 2). The protein molecular
weight marker was run in lane 1.
[0055] FIG. 17: ELISA detection of chLD1 and hLD1.vB added to C3 wt
serum, C3 ko mouse serum, and PBS/BSA. The antibodies were
incubated overnight in serum or PBS/BSA and then analyzed by ELISA.
Relative to PBS/BSA, hLD1.vB was fully recovered in C3 ko mouse
serum, but not C3 wt mouse serum. chLD1 was fully recovered from
all matrices.
[0056] FIG. 18: shows an exemplary human FGFR4 amino acid sequence
of Genbank Accession No. AAB25788.
DETAILED DESCRIPTION OF EMBODIMENTS OF THE INVENTION
I. Definitions
[0057] An "acceptor human framework" for the purposes herein is a
framework comprising the amino acid sequence of a light chain
variable domain (VL) framework or a heavy chain variable domain
(VH) framework derived from a human immunoglobulin framework or a
human consensus framework, as defined below. An acceptor human
framework "derived from" a human immunoglobulin framework or a
human consensus framework may comprise the same amino acid sequence
thereof, or it may contain amino acid sequence changes. In some
embodiments, the number of amino acid changes are 10 or less, 9 or
less, 8 or less, 7 or less, 6 or less, 5 or less, 4 or less, 3 or
less, or 2 or less. In some embodiments, the VL acceptor human
framework is identical in sequence to the VL human immunoglobulin
framework sequence or human consensus framework sequence.
[0058] "Affinity" refers to the strength of the sum total of
noncovalent interactions between a single binding site of a
molecule (e.g., an antibody) and its binding partner (e.g., an
antigen). Unless indicated otherwise, as used herein, "binding
affinity" refers to intrinsic binding affinity which reflects a 1:1
interaction between members of a binding pair (e.g., antibody and
antigen). The affinity of a molecule X for its partner Y can
generally be represented by the dissociation constant (Kd).
Affinity can be measured by common methods known in the art,
including those described herein. Specific illustrative and
exemplary embodiments for measuring binding affinity are described
in the following.
[0059] An "affinity matured" antibody refers to an antibody with
one or more alterations in one or more hypervariable regions
(HVRs), compared to a parent antibody which does not possess such
alterations, such alterations resulting in an improvement in the
affinity of the antibody for antigen.
[0060] An anti-angiogenic agent refers to a compound which blocks,
or interferes with to some degree, the development of blood
vessels. An anti-angiogenic agent may, for instance, be a small
molecule or antibody that binds to a growth factor or growth factor
receptor involved in promoting angiogenesis. In one embodiment, an
anti-angiogenic agent is an antibody that binds to vascular
endothelial growth factor (VEGF), such as bevacizumab
(AVASTIN.RTM.).
[0061] The terms "anti-FGFR4 antibody" and "an antibody that binds
to FGFR4" refer to an antibody that is capable of binding FGFR4
with sufficient affinity such that the antibody is useful as a
diagnostic and/or therapeutic agent in targeting FGFR4. In one
embodiment, the extent of binding of an anti-FGFR4 antibody to an
unrelated, non-FGFR4 protein is less than about 10% of the binding
of the antibody to FGFR4 as measured, e.g., by a radioimmunoassay
(RIA). In certain embodiments, an antibody that binds to FGFR4 has
a dissociation constant (Kd) of .ltoreq.1M, .ltoreq.100 nM,
.ltoreq.10 nM, .ltoreq.1 nM, .ltoreq.0.1 nM, .ltoreq.0.01 nM, or
.ltoreq.0.001 nM (e.g. 10.sup.-8 M or less, e.g. from 10.sup.-8 M
to 10.sup.-3 M, e.g., from 10.sup.-9 M to 10.sup.-13 M). In certain
embodiments, an anti-FGFR4 antibody binds to an epitope of FGFR4
that is conserved among FGFR4 from different species.
[0062] The term "antibody" herein is used in the broadest sense and
encompasses various antibody structures, including but not limited
to monoclonal antibodies, polyclonal antibodies, multispecific
antibodies (e.g., bispecific antibodies), and antibody fragments so
long as they exhibit the desired antigen-binding activity.
[0063] An "antibody fragment" refers to a molecule other than an
intact antibody that comprises a portion of an intact antibody that
binds the antigen to which the intact antibody binds. Examples of
antibody fragments include but are not limited to Fv, Fab, Fab',
Fab'-SH, F(ab').sub.2; diabodies; linear antibodies; single-chain
antibody molecules (e.g. scFv); and multispecific antibodies formed
from antibody fragments.
[0064] An "antibody that binds to the same epitope" as a reference
antibody refers to an antibody that blocks binding of the reference
antibody to its antigen in a competition assay by 50% or more, and
conversely, the reference antibody blocks binding of the antibody
to its antigen in a competition assay by 50% or more. An exemplary
competition assay is provided herein.
[0065] The term "FGFR4." as used herein, refers to any native FGFR4
from any vertebrate source, including mammals such as primates
(e.g. humans) and rodents (e.g., mice and rats), unless otherwise
indicated. The term encompasses "full-length," unprocessed FGFR4 as
well as any form of FGFR4 that results from processing in the cell.
The term also encompasses naturally occurring variants of FGFR4,
e.g., splice variants or allelic variants. The amino acid sequence
of an exemplary human FGFR4 is shown in FIG. 18.
[0066] "FGFR4 activation" refers to activation, or phosphorylation,
of the FGFR4 receptor. Generally, FGFR4 activation results in
signal transduction (e.g. that caused by an intracellular kinase
domain of an FGFR4 receptor phosphorylating tyrosine residues in
FGFR4 or a substrate polypeptide). FGFR4 activation may be mediated
by FGFR4 ligand (Gas6) binding to an FGFR4 receptor of interest.
Gas6 binding to FGFR4 may activate a kinase domain of FGFR4 and
thereby result in phosphorylation of tyrosine residues in the FGFR4
and/or phosphorylation of tyrosine residues in additional substrate
polypeptides(s).
[0067] The terms "cancer" and "cancerous" refer to or describe the
physiological condition in mammals that is typically characterized
by unregulated cell growth/proliferation. Examples of cancer
include, but are not limited to, carcinoma, lymphoma (e.g.,
Hodgkin's and non-Hodgkin's lymphoma), blastoma, sarcoma, and
leukemia. More particular examples of such cancers include squamous
cell cancer, small-cell lung cancer, non-small cell lung cancer,
adenocarcinoma of the lung, squamous carcinoma of the lung, cancer
of the peritoneum, hepatocellular cancer, gastrointestinal cancer,
pancreatic cancer, glioma, cervical cancer, ovarian cancer, liver
cancer, bladder cancer, hepatoma, breast cancer, colon cancer,
colorectal cancer, endometrial or uterine carcinoma, salivary gland
carcinoma, kidney cancer, liver cancer, prostate cancer, vulval
cancer, thyroid cancer, hepatic carcinoma, leukemia and other
lymphoproliferative disorders, and various types of head and neck
cancer.
[0068] The terms "cell proliferative disorder" and "proliferative
disorder" refer to disorders that are associated with some degree
of abnormal cell proliferation. In one embodiment, the cell
proliferative disorder is cancer.
[0069] A "chemotherapeutic agent" refers to a chemical compound
useful in the treatment of cancer. Examples of chemotherapeutic
agents include alkylating agents such as thiotepa and
cyclosphosphamide (CYTOXAN.RTM.); alkyl sulfonates such as
busulfan, improsulfan and piposulfan; aziridines such as benzodopa,
carboquone, meturedopa, and uredopa; ethylenimines and
methylamelamines including altretamine, triethylenemelamine,
triethylenephosphoramide, triethylenethiophosphoramide and
trimethylomelamine; acetogenins (especially bullatacin and
bullatacinone); delta-9-tetrahydrocannabinol (dronabinol,
MARINOL.RTM.); beta-lapachone; lapachol; colchicines; betulinic
acid; a camptothecin (including the synthetic analogue topotecan
(HYCAMTIN.RTM.), CPT-11 (irinotecan, CAMPTOSAR.RTM.),
acetylcamptothecin, scopolectin, and 9-aminocamptothecin);
bryostatin; callystatin; CC-1065 (including its adozelesin,
carzelesin and bizelesin synthetic analogues); podophyllotoxin;
podophyllinic acid; teniposide; cryptophycins (particularly
cryptophycin 1 and cryptophycin 8); dolastatin; duocarmycin
(including the synthetic analogues, KW-2189 and CB1-TM1);
eleutherobin; pancratistatin; a sarcodictyin; spongistatin;
nitrogen mustards such as chlorambucil, chlornaphazine,
chlorophosphamide, estramustine, ifosfamide, mechlorethamine,
mechlorethamine oxide hydrochloride, melphalan, novembichin,
phenesterine, prednimustine, trofosfamide, uracil mustard;
nitrosoureas such as carmustine, chlorozotocin, fotemustine,
lomustine, nimustine, and ranimnustine; antibiotics such as the
enediyne antibiotics (e. g., calicheamicin, especially
calicheamicin gamma1I and calicheamicin omegaI1 (see, e.g.,
Nicolaou et al., Angew. Chem Intl. Ed. Engl., 33: 183-186 (1994));
CDP323, an oral alpha-4 integrin inhibitor; dynemicin, including
dynemicin A; an esperamicin; as well as neocarzinostatin
chromophore and related chromoprotein enediyne antibiotic
chromophores), aclacinomysins, actinomycin, authramycin, azaserine,
bleomycins, cactinomycin, carabicin, carminomycin, carzinophilin,
chromomycins, dactinomycin, daunorubicin, detorubicin,
6-diazo-5-oxo-L-norleucine, doxorubicin (including ADRIAMYCIN.RTM.,
morpholino-doxorubicin, cyanomorpholino-doxorubicin,
2-pyrrolino-doxorubicin, doxorubicin HCl liposome injection
(DOXIL.RTM.), liposomal doxorubicin TLC D-99 (MYOCET.RTM.),
peglylated liposomal doxorubicin (CAELYX.RTM.), and
deoxydoxorubicin), epirubicin, esorubicin, idarubicin,
marcellomycin, mitomycins such as mitomycin C, mycophenolic acid,
nogalamycin, olivomycins, peplomycin, porfiromycin, puromycin,
quelamycin, rodorubicin, streptonigrin, streptozocin, tubercidin,
ubenimex, zinostatin, zorubicin; anti-metabolites such as
methotrexate, gemcitabine (GEMZARX.RTM.), tegafur (UFTORAL.RTM.),
capecitabine (XELODA.RTM.), an epothilone, and 5-fluorouracil
(5-FU); folic acid analogues such as denopterin, methotrexate,
pteropterin, trimetrexate; purine analogs such as fludarabine,
6-mercaptopurine, thiamiprine, thioguanine; pyrimidine analogs such
as ancitabine, azacitidine, 6-azauridine, carmofur, cytarabine,
dideoxyuridine, doxifluridine, enocitabine, floxuridine; androgens
such as calusterone, dromostanolone propionate, epitiostanol,
mepitiostane, testolactone; anti-adrenals such as
aminoglutethimide, mitotane, trilostane; folic acid replenisher
such as frolinic acid; aceglatone; aldophosphamide glycoside;
aminolevulinic acid; eniluracil; amsacrine; bestrabucil;
bisantrene; edatraxate; defofamine; demecolcine; diaziquone;
elfornithine; elliptinium acetate; an epothilone; etoglucid;
gallium nitrate; hydroxyurea; lentinan; lonidainine; maytansinoids
such as maytansine and ansamitocins; mitoguazone; mitoxantrone;
mopidanmol; nitraerine; pentostatin; phenamet; pirarubicin;
losoxantrone; 2-ethylhydrazide; procarbazine; PSK.RTM.
polysaccharide complex (JHS Natural Products, Eugene, Oreg.);
razoxane; rhizoxin; sizofiran; spirogermanium; tenuazonic acid;
triaziquone; 2,2',2'-trichlorotriethylamine; trichothecenes
(especially T-2 toxin, verracurin A, roridin A and anguidine);
urethan; vindesine (ELDISINE.RTM., FILDESIN.RTM.); dacarbazine;
mannomustine; mitobronitol; mitolactol; pipobroman; gacytosine;
arabinoside ("Ara-C"); thiotepa; taxoid, e.g., paclitaxel
(TAXOL.RTM.), albumin-engineered nanoparticle formulation of
paclitaxel (ABRAXANE.TM.), and docetaxel (TAXOTERE.RTM.);
chloranbucil; 6-thioguanine; mercaptopurine; methotrexate; platinum
agents such as cisplatin, oxaliplatin (e.g., ELOXATIN.RTM.), and
carboplatin; vincas, which prevent tubulin polymerization from
forming microtubules, including vinblastine (VELBAN.RTM.),
vincristine (ONCOVIN.RTM.), vindesine (ELDISINE.RTM.,
FILDESIN.RTM.), and vinorelbine (NAVELBINE.RTM.); etoposide
(VP-16); ifosfamide; mitoxantrone; leucovorin; novantrone;
edatrexate; daunomycin; aminopterin; ibandronate; topoisomerase
inhibitor RFS 2000; difluoromethylornithine (DMFO); retinoids such
as retinoic acid, including bexarotene (TARGRETIN.RTM.);
bisphosphonates such as clodronate (for example, BONEFOS.RTM. or
OSTAC.RTM.), etidronate (DIDROCAL.RTM.), NE-58095, zoledronic
acid/zoledronate (ZOMETA.RTM.), alendronate (FOSAMAX.RTM.),
pamidronate (AREDIA.RTM.), tiludronate (SKELID.RTM.), or
risedronate (ACTONEL.RTM.); troxacitabine (a 1,3-dioxolane
nucleoside cytosine analog); antisense oligonucleotides,
particularly those that inhibit expression of genes in signaling
pathways implicated in aberrant cell proliferation, such as, for
example, PKC-alpha, Raf, H-Ras, and epidermal growth factor
receptor (EGF-R); vaccines such as THERATOPE.RTM. vaccine and gene
therapy vaccines, for example, ALLOVECTIN.RTM. vaccine,
LEUVECTIN.RTM. vaccine, and VAXID.RTM. vaccine; topoisomerase 1
inhibitor (e.g., LURTOTECAN.RTM.); rmRH (e.g., ABARELIX.RTM.);
BAY439006 (sorafenib; Bayer); SU-11248 (sunitinib, SUTENT.RTM.,
Pfizer); perifosine, COX-2 inhibitor (e.g. celecoxib or
etoricoxib), proteosome inhibitor (e.g. PS341); bortezomib
(VELCADE.RTM.); CCI-779; tipifarnib (R11577); orafenib, ABT510;
Bcl-2 inhibitor such as oblimersen sodium (GENASENSE.RTM.);
pixantrone; EGFR inhibitors (see definition below); tyrosine kinase
inhibitors (see definition below); serine-threonine kinase
inhibitors such as rapamycin (sirolimus, RAPAMUNE.RTM.);
farnesyltransferase inhibitors such as lonafarnib (SCH 6636,
SARASAR.TM.); and pharmaceutically acceptable salts, acids or
derivatives of any of the above; as well as combinations of two or
more of the above such as CHOP, an abbreviation for a combined
therapy of cyclophosphamide, doxorubicin, vincristine, and
prednisolone; and FOLFOX, an abbreviation for a treatment regimen
with oxaliplatin (ELOXATIN.TM.) combined with 5-FU and
leucovorin.
[0070] Chemotherapeutic agents as defined herein include
"anti-hormonal agents" or "endocrine therapeutics" which act to
regulate, reduce, block, or inhibit the effects of hormones that
can promote the growth of cancer. They may be hormones themselves,
including, but not limited to: anti-estrogens with mixed
agonist/antagonist profile, including, tamoxifen (NOLVADEX.RTM.),
4-hydroxytamoxifen, toremifene (FARESTON.RTM.), idoxifene,
droloxifene, raloxifene (EVISTA.RTM.), trioxifene, keoxifene, and
selective estrogen receptor modulators (SERMs) such as SERM3; pure
anti-estrogens without agonist properties, such as fulvestrant
(FASLODEX.RTM.), and EM800 (such agents may block estrogen receptor
(ER) dimerization, inhibit DNA binding, increase ER turnover,
and/or suppress ER levels); aromatase inhibitors, including
steroidal aromatase inhibitors such as formestane and exemestane
(AROMASIN.RTM.), and nonsteroidal aromatase inhibitors such as
anastrazole (ARIMIDEX.RTM.), letrozole (FEMARA.RTM.) and
aminoglutethimide, and other aromatase inhibitors include vorozole
(RIVISOR.RTM.), megestrol acetate (MEGASE.RTM.), fadrozole, and
4(5)-imidazoles; lutenizing hormone-releasing hormone agonists,
including leuprolide (LUPRON.RTM. and ELIGARD.RTM.), goserelin,
buserelin, and tripterelin; sex steroids, including progestines
such as megestrol acetate and medroxyprogesterone acetate,
estrogens such as diethylstilbestrol and premarin, and
androgens/retinoids such as fluoxymesterone, all transretionic acid
and fenretinide; onapristone; anti-progesterones; estrogen receptor
down-regulators (ERDs); anti-androgens such as flutamide,
nilutamide and bicalutamide; and pharmaceutically acceptable salts,
acids or derivatives of any of the above; as well as combinations
of two or more of the above.
[0071] The term "chimeric" antibody refers to an antibody in which
a portion of the heavy and/or light chain is derived from a
particular source or species, while the remainder of the heavy
and/or light chain is derived from a different source or
species.
[0072] The "class" of an antibody refers to the type of constant
domain or constant region possessed by its heavy chain. There are
five major classes of antibodies: IgA, IgD, IgE. IgG, and IgM, and
several of these may be further divided into subclasses (isotypes),
e.g., IgG.sub.1, IgG.sub.2, IgG.sub.3, IgG.sub.4, IgA.sub.1, and
IgA.sub.2. The heavy chain constant domains that correspond to the
different classes of immunoglobulins are called .alpha., .delta.,
.epsilon., .gamma., and .mu., respectively.
[0073] The term "cytostatic agent" refers to a compound or
composition which arrests growth of a cell either in vitro or in
vivo. Thus, a cytostatic agent may be one which significantly
reduces the percentage of cells in S phase. Further examples of
cytostatic agents include agents that block cell cycle progression
by inducing G0/G1 arrest or M-phase arrest. The humanized anti-Her2
antibody trastuzumab (HERCEPTIN.RTM.) is an example of a cytostatic
agent that induces G0/G1 arrest. Classical M-phase blockers include
the vincas (vincristine and vinblastine), taxanes, and
topoisomerase II inhibitors such as doxorubicin, epirubicin,
daunorubicin, etoposide, and bleomycin. Certain agents that arrest
G1 also spill over into S-phase arrest, for example, DNA alkylating
agents such as tamoxifen, prednisone, dacarbazine, mechlorethamine,
cisplatin, methotrexate, 5-fluorouracil, and ara-C. Further
information can be found in Mendelsohn and Israel, eds., The
Molecular Basis of Cancer, Chapter 1, entitled "Cell cycle
regulation, oncogenes, and antineoplastic drugs" by Murakami et al.
(W.B. Saunders, Philadelphia, 1995), e.g., p. 13. The taxanes
(paclitaxel and docetaxel) are anticancer drugs both derived from
the yew tree. Docetaxel (TAXOTERE.RTM., Rhone-Poulenc Rorer),
derived from the European yew, is a semisynthetic analogue of
paclitaxel (TAXOL.RTM., Bristol-Myers Squibb). Paclitaxel and
docetaxel promote the assembly of microtubules from tubulin dimers
and stabilize microtubules by preventing depolymerization, which
results in the inhibition of mitosis in cells.
[0074] The term "cytotoxic agent" as used herein refers to a
substance that inhibits or prevents a cellular function and/or
causes cell death or destruction. Cytotoxic agents include, but are
not limited to, radioactive isotopes (e.g., At.sup.211, I.sup.131,
I.sup.125, Y.sup.90, Re.sup.186, Re.sup.188, Sm.sup.153,
Bi.sup.212, P.sup.32, Pb.sup.212 and radioactive isotopes of Lu);
chemotherapeutic agents or drugs (e.g., methotrexate, adriamicin,
vinca alkaloids (vincristine, vinblastine, etoposide), doxorubicin,
melphalan, mitomycin C, chlorambucil, daunorubicin or other
intercalating agents); growth inhibitory agents; enzymes and
fragments thereof such as nucleolytic enzymes; antibiotics; toxins
such as small molecule toxins or enzymatically active toxins of
bacterial, fungal, plant or animal origin, including fragments
and/or variants thereof; and the various antitumor or anticancer
agents disclosed below.
[0075] A cancer or biological sample which "displays FGFR4
expression, amplification, or activation" is one which, in a
diagnostic test, expresses (including overexpresses) FGFR4, has
amplified FGFR4 gene, and/or otherwise demonstrates activation or
phosphorylation of a FGFR4.
[0076] "Effector functions" refer to those biological activities
attributable to the Fc region of an antibody, which vary with the
antibody isotype. Examples of antibody effector functions include:
C1q binding and complement dependent cytotoxicity (CDC); Fc
receptor binding; antibody-dependent cell-mediated cytotoxicity
(ADCC); phagocytosis; down regulation of cell surface receptors
(e.g. B cell receptor); and B cell activation.
[0077] An "effective amount" of an agent, e.g., a pharmaceutical
formulation, refers to an amount effective, at dosages and for
periods of time necessary, to achieve the desired therapeutic or
prophylactic result.
[0078] The term "Fc region" herein is used to define a C-terminal
region of an immunoglobulin heavy chain that contains at least a
portion of the constant region. The term includes native sequence
Fc regions and variant Fc regions. In one embodiment, a human IgG
heavy chain Fc region extends from Cys226, or from Pro230, to the
carboxyl-terminus of the heavy chain. However, the C-terminal
lysine (Lys447) of the Fc region may or may not be present. Unless
otherwise specified herein, numbering of amino acid residues in the
Fc region or constant region is according to the EU numbering
system, also called the EU index, as described in Kabat et al.,
Sequences of Proteins of Immunological Interest, 5th Ed. Public
Health Service, National Institutes of Health, Bethesda, Md.,
1991.
[0079] "Framework" or "FR" refers to variable domain residues other
than hypervariable region (HVR) residues. The FR of a variable
domain generally consists of four FR domains: FR1, FR2, FR3, and
FR4. Accordingly, the HVR and FR sequences generally appear in the
following sequence in VH (or VL):
FR1-H1(L1)-FR2-H2(L2)-FR3-H3(L3)-FR4.
[0080] The terms "full length antibody," "intact antibody." and
"whole antibody" are used herein interchangeably to refer to an
antibody having a structure substantially similar to a native
antibody structure or having heavy chains that contain an Fc region
as defined herein.
[0081] The terms "host cell," "host cell line," and "host cell
culture" are used interchangeably and refer to cells into which
exogenous nucleic acid has been introduced, including the progeny
of such cells. Host cells include "transformants" and "transformed
cells," which include the primary transformed cell and progeny
derived therefrom without regard to the number of passages. Progeny
may not be completely identical in nucleic acid content to a parent
cell, but may contain mutations. Mutant progeny that have the same
function or biological activity as screened or selected for in the
originally transformed cell are included herein.
[0082] A "human antibody" is one which possesses an amino acid
sequence which corresponds to that of an antibody produced by a
human or a human cell or derived from a non-human source that
utilizes human antibody repertoires or other human
antibody-encoding sequences. This definition of a human antibody
specifically excludes a humanized antibody comprising non-human
antigen-binding residues.
[0083] A "human consensus framework" is a framework which
represents the most commonly occurring amino acid residues in a
selection of human immunoglobulin VL or VH framework sequences.
Generally, the selection of human immunoglobulin VL or VH sequences
is from a subgroup of variable domain sequences. Generally, the
subgroup of sequences is a subgroup as in Kabat et al., Sequences
of Proteins of Immunological Interest, Fifth Edition, NIH
Publication 91-3242, Bethesda Md. (1991), vols. 1-3. In one
embodiment, for the VL, the subgroup is subgroup kappa I as in
Kabat et al., supra. In one embodiment, for the VH, the subgroup is
subgroup III as in Kabat et al., supra.
[0084] A "humanized" antibody refers to a chimeric antibody
comprising amino acid residues from non-human HVRs and amino acid
residues from human FRs. In certain embodiments, a humanized
antibody will comprise substantially all of at least one, and
typically two, variable domains, in which all or substantially all
of the HVRs (e.g., CDRs) correspond to those of a non-human
antibody, and all or substantially all of the FRs correspond to
those of a human antibody. A humanized antibody optionally may
comprise at least a portion of an antibody constant region derived
from a human antibody. A "humanized form" of an antibody, e.g., a
non-human antibody, refers to an antibody that has undergone
humanization.
[0085] The term "hypervariable region" or "HVR," as used herein,
refers to each of the regions of an antibody variable domain which
are hypervariable in sequence and/or form structurally defined
loops ("hypervariable loops"). Generally, native four-chain
antibodies comprise six HVRs; three in the VH (H1, H2, H3), and
three in the VL (L1, L2, L3). HVRs generally comprise amino acid
residues from the hypervariable loops and/or from the
"complementarity determining regions" (CDRs), the latter being of
highest sequence variability and/or involved in antigen
recognition. Exemplary hypervariable loops occur at amino acid
residues 26-32 (L1), 50-52 (L2), 91-96 (L3), 26-32 (H1), 53-55
(H2), and 96-101 (H3). (Chothia and Lesk, J. Mol. Biol. 196:901-917
(1987).) Exemplary CDRs (CDR-L1, CDR-L2, CDR-L3, CDR-H1, CDR-H2,
and CDR-H3) occur at amino acid residues 24-34 of L1, 50-56 of L2,
89-97 of L3, 31-35B of H1, 50-65 of H2, and 95-102 of H3. (Kabat et
al., Sequences of Proteins of Immunological Interest, 5th Ed.
Public Health Service, National Institutes of Health, Bethesda, Md.
(1991).) With the exception of CDR1 in VH, CDRs generally comprise
the amino acid residues that form the hypervariable loops. CDRs
also comprise "specificity determining residues," or "SDRs," which
are residues that contact antigen. SDRs are contained within
regions of the CDRs called abbreviated-CDRs, or a-CDRs. Exemplary
a-CDRs (a-CDR-L1, a-CDR-L2, a-CDR-L3, a-CDR-H1, a-CDR-H2, and
a-CDR-H3) occur at amino acid residues 31-34 of L1, 50-55 of L2,
89-96 of L3, 31-35B of H1, 50-58 of H2, and 95-102 of H3. (See
Almagro and Fransson, Front. Biosci. 13:1619-1633 (2008).) Unless
otherwise indicated, HVR residues and other residues in the
variable domain (e.g., FR residues) are numbered herein according
to Kabat et al., supra.
[0086] An "immunoconjugate" is an antibody conjugated to one or
more heterologous molecule(s), including but not limited to a
cytotoxic agent.
[0087] An "individual" or "subject" is a mammal. Mammals include,
but are not limited to, domesticated animals (e.g., cows, sheep,
cats, dogs, and horses), primates (e.g., humans and non-human
primates such as monkeys), rabbits, and rodents (e.g., mice and
rats). In certain embodiments, the individual or subject is a
human.
[0088] "Inhibiting cell growth or proliferation" means decreasing a
cell's growth or proliferation by at least 10%, 20%, 30%, 40%, 50%,
60%, 70%, 80%, 90%, 95%, or 100%, and includes inducing cell
death.
[0089] An "isolated" antibody is one which has been separated from
a component of its natural environment. In some embodiments, an
antibody is purified to greater than 95% or 99% purity as
determined by, for example, electrophoretic (e.g., SDS-PAGE,
isoelectric focusing (IEF), capillary electrophoresis) or
chromatographic (e.g., ion exchange or reverse phase HPLC). For
review of methods for assessment of antibody purity, see, e.g.,
Flatman et al., J. Chromatogr. B 848:79-87 (2007).
[0090] An "isolated" nucleic acid refers to a nucleic acid molecule
that has been separated from a component of its natural
environment. An isolated nucleic acid includes a nucleic acid
molecule contained in cells that ordinarily contain the nucleic
acid molecule, but the nucleic acid molecule is present
extrachromosomally or at a chromosomal location that is different
from its natural chromosomal location.
[0091] "Isolated nucleic acid encoding an anti-FGFR4 antibody"
refers to one or more nucleic acid molecules encoding antibody
heavy and light chains (or fragments thereof), including such
nucleic acid molecule(s) in a single vector or separate vectors,
and such nucleic acid molecule(s) present at one or more locations
in a host cell.
[0092] The phrase "little to no binding" with respect to an
antibody of the invention, as used herein, means the antibody does
not show a biologically meaningful amount of binding. As would be
understood in the art, amount of an activity may be determined
quantitatively or qualitatively, so long as a comparison between an
antibody of the invention and a reference counterpart can be done.
The activity can be measured or detected according to any assay or
technique known in the art, including, e.g., those described
herein. The amount of activity for an antibody of the invention and
its reference counterpart can be determined in parallel or in
separate runs.
[0093] The term "monoclonal antibody" as used herein refers to an
antibody obtained from a population of substantially homogeneous
antibodies, i.e., the individual antibodies comprising the
population are identical and/or bind the same epitope, except for
possible variant antibodies, e.g., containing naturally occurring
mutations or arising during production of a monoclonal antibody
preparation, such variants generally being present in minor
amounts. In contrast to polyclonal antibody preparations, which
typically include different antibodies directed against different
determinants (epitopes), each monoclonal antibody of a monoclonal
antibody preparation is directed against a single determinant on an
antigen. Thus, the modifier "monoclonal" indicates the character of
the antibody as being obtained from a substantially homogeneous
population of antibodies, and is not to be construed as requiring
production of the antibody by any particular method. For example,
the monoclonal antibodies to be used in accordance with the present
invention may be made by a variety of techniques, including but not
limited to the hybridoma method, recombinant DNA methods,
phage-display methods, and methods utilizing transgenic animals
containing all or part of the human immunoglobulin loci, such
methods and other exemplary methods for making monoclonal
antibodies being described herein.
[0094] A "naked antibody" refers to an antibody that is not
conjugated to a heterologous moiety (e.g., a cytotoxic moiety) or
radiolabel. The naked antibody may be present in a pharmaceutical
formulation.
[0095] "Native antibodies" refer to naturally occurring
immunoglobulin molecules with varying structures. For example,
native IgG antibodies are heterotetrameric glycoproteins of about
150,000 daltons, composed of two identical light chains and two
identical heavy chains that are disulfide-bonded. From N- to
C-terminus, each heavy chain has a variable region (VH), also
called a variable heavy domain or a heavy chain variable domain,
followed by three constant domains (CH1, CH2, and CH3). Similarly,
from N- to C-terminus, each light chain has a variable region (VL),
also called a variable light domain or a light chain variable
domain, followed by a constant light (CL) domain. The light chain
of an antibody may be assigned to one of two types, called kappa
(.kappa.) and lambda (.lamda.), based on the amino acid sequence of
its constant domain.
[0096] The term "package insert" is used to refer to instructions
customarily included in commercial packages of therapeutic
products, that contain information about the indications, usage,
dosage, administration, combination therapy, contraindications
and/or warnings concerning the use of such therapeutic
products.
[0097] "Percent (%) amino acid sequence identity" with respect to a
reference polypeptide sequence is defined as the percentage of
amino acid residues in a candidate sequence that are identical with
the amino acid residues in the reference polypeptide sequence,
after aligning the sequences and introducing gaps, if necessary, to
achieve the maximum percent sequence identity, and not considering
any conservative substitutions as part of the sequence identity.
Alignment for purposes of determining percent amino acid sequence
identity can be achieved in various ways that are within the skill
in the art, for instance, using publicly available computer
software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR)
software. Those skilled in the art can determine appropriate
parameters for aligning sequences, including any algorithms needed
to achieve maximal alignment over the full length of the sequences
being compared. For purposes herein, however, % amino acid sequence
identity values are generated using the sequence comparison
computer program ALIGN-2. The ALIGN-2 sequence comparison computer
program was authored by Genentech, Inc., and the source code has
been filed with user documentation in the U.S. Copyright Office.
Washington D.C., 20559, where it is registered under U.S. Copyright
Registration No. TXU510087. The ALIGN-2 program is publicly
available from Genentech, Inc., South San Francisco, Calif., or may
be compiled from the source code. The ALIGN-2 program should be
compiled for use on a UNIX operating system, including digital UNIX
V4.0D. All sequence comparison parameters are set by the ALIGN-2
program and do not vary.
[0098] In situations where ALIGN-2 is employed for amino acid
sequence comparisons, the % amino acid sequence identity of a given
amino acid sequence A to, with, or against a given amino acid
sequence B (which can alternatively be phrased as a given amino
acid sequence A that has or comprises a certain % amino acid
sequence identity to, with, or against a given amino acid sequence
B) is calculated as follows:
100 times the fraction X/Y
where X is the number of amino acid residues scored as identical
matches by the sequence alignment program ALIGN-2 in that program's
alignment of A and B, and where Y is the total number of amino acid
residues in B. It will be appreciated that where the length of
amino acid sequence A is not equal to the length of amino acid
sequence B, the % amino acid sequence identity of A to B will not
equal the % amino acid sequence identity of B to A. Unless
specifically stated otherwise, all % amino acid sequence identity
values used herein are obtained as described in the immediately
preceding paragraph using the ALIGN-2 computer program.
[0099] The term "pharmaceutical formulation" refers to a
preparation which is in such form as to permit the biological
activity of an active ingredient contained therein to be effective,
and which contains no additional components which are unacceptably
toxic to a subject to which the formulation would be administered.
A "pharmaceutically acceptable carrier" refers to an ingredient in
a pharmaceutical formulation, other than an active ingredient,
which is nontoxic to a subject, A pharmaceutically acceptable
carrier includes, but is not limited to, a buffer, excipient,
stabilizer, or preservative.
[0100] As used herein, "treatment" (and grammatical variations
thereof such as "treat" or "treating") refers to clinical
intervention in an attempt to alter the natural course of the
individual being treated, and can be performed either for
prophylaxis or during the course of clinical pathology. Desirable
effects of treatment include, but are not limited to, preventing
occurrence or recurrence of disease, alleviation of symptoms,
diminishment of any direct or indirect pathological consequences of
the disease, preventing metastasis, decreasing the rate of disease
progression, amelioration or palliation of the disease state, and
remission or improved prognosis. In some embodiments, antibodies of
the invention are used to delay development of a disease or to slow
the progression of a disease.
[0101] The term "tumor" refers to all neoplastic cell growth and
proliferation, whether malignant or benign, and all pre-cancerous
and cancerous cells and tissues. The terms "cancer," "cancerous,"
"cell proliferative disorder," "proliferative disorder" and "tumor"
are not mutually exclusive as referred to herein.
[0102] The term "variable region" or "variable domain" refers to
the domain of an antibody heavy or light chain that is involved in
binding the antibody to antigen. The variable domains of the heavy
chain and light chain (VH and VL, respectively) of a native
antibody generally have similar structures, with each domain
comprising four conserved framework regions (FRs) and three
hypervariable regions (HVRs). (See, e.g., Kindt et al. Kuby
Immunology, 6.sup.th ed., W.H. Freeman and Co., page 91 (2007).) A
single VH or VL domain may be sufficient to confer antigen-binding
specificity. Furthermore, antibodies that bind a particular antigen
may be isolated using a VH or VL domain from an antibody that binds
the antigen to screen a library of complementary VL or VH domains,
respectively. See, e.g., Portolano et al., J. Immunol. 150:880-887
(1993); Clarkson et al., Nature 352:624-628 (1991).
[0103] The term "vector," as used herein, refers to a nucleic acid
molecule capable of propagating another nucleic acid to which it is
linked. The term includes the vector as a self-replicating nucleic
acid structure as well as the vector incorporated into the genome
of a host cell into which it has been introduced. Certain vectors
are capable of directing the expression of nucleic acids to which
they are operatively linked. Such vectors are referred to herein as
"expression vectors."
[0104] A "VH subgroup III consensus framework" comprises the
consensus sequence obtained from the amino acid sequences in
variable heavy subgroup Ill of Kabat et al. In one embodiment, the
VH subgroup III consensus framework amino acid sequence comprises
at least a portion or all of each of the following sequences:
TABLE-US-00002 (SEQ ID NO: 13) EVQLVESGGGLVQPGGSLRLSCAASS- (SEQ ID
NO: 14) H1-WVRQAPGKGLEWV- (SEQ ID NO: 15)
H2-RFTISRDNSKNTLYLQMNSLRAEDTAVYYC- (SEQ ID NO: 16)
H3-WGQGTLYTVSS.
[0105] A "VL subgroup I consensus framework" comprises the
consensus sequence obtained from the amino acid sequences in
variable light kappa subgroup I of Kabat et al. In one embodiment,
the VH subgroup I consensus framework amino acid sequence comprises
at least a portion or all of each of the following sequences:
TABLE-US-00003 (SEQ ID NO: 28) DIQMTQSPSSLSASVGDRVTITC- (SEQ ID NO:
29) L1-WYQQKPGKAPKLLIY- (SEQ ID NO: 30)
L2-GVPSRFSGSGSGTDFTLTISSLQPEDFATYYC- (SEQ ID NO: 31)
L3-FGQGTKVEIK.
[0106] The term "wasting" disorders (e.g., wasting syndrome,
cachexia, sarcopenia) refers to a disorder caused by undesirable
and/or unhealthy loss of weight or loss of body cell mass. In the
elderly as well as in AIDS and cancer patients, wasting disease can
result in undesired loss of body weight, including both the fat and
the fat-free compartments. Wasting diseases can be the result of
inadequate intake of food and/or metabolic changes related to
illness and/or the aging process. Cancer patients and AIDS
patients, as well as patients following extensive surgery or having
chronic infections, immunologic diseases, hyperthyroidism, Crohn's
disease, psychogenic disease, chronic heart failure or other severe
trauma, frequently suffer from wasting disease which is sometimes
also referred to as cachexia, a metabolic and, sometimes, an eating
disorder. Cachexia is additionally characterized by hypermetabolism
and hypercatabolism. Although cachexia and wasting disease are
frequently used interchangeably to refer to wasting conditions,
there is at least one body of research which differentiates
cachexia from wasting syndrome as a loss of fat-free mass, and
particularly, body cell mass (Mayer, 1999, J. Nutr. 129(1S
Suppl.):256S-259S). Sarcopenia, yet another such disorder which can
affect the aging individual, is typically characterized by loss of
muscle mass. End stage wasting disease as described above can
develop in individuals suffering from either cachexia or
sarcopenia.
II. Compositions and Methods
[0107] In one aspect, the invention is based, in part, on
identification of a variety of FGFR4 binding agents (such as
antibodies and fragments thereof). In certain embodiments,
antibodies that bind to FGFR4 are provided. Antibodies of the
invention are useful, e.g., for the diagnosis or treatment of
cancer, liver disease, and wasting.
[0108] A. Exemplary Anti-FGFR4 Antibodies
[0109] In one aspect, the invention provides isolated antibodies
that bind to FGFR4.
[0110] In certain embodiments, an anti-FGFR4 antibody binds human
FGFR4 with an affinity of .ltoreq.1 nM. In some embodiments, an
anti-FGFR4 antibody binds human FGFR4 with an affinity of
.ltoreq.0.05 nM.
[0111] In certain embodiments, an anti-FGFR4 antibody binds mouse
FGFR4 with an affinity of .ltoreq.1 nM.
[0112] In certain embodiments, an anti-FGFR4 antibody binds
cynomolgus FGFR4 with an affinity of .ltoreq.1 nM.
[0113] In certain embodiments, an anti-FGFR4 antibody binds human,
mouse and cynomolgus FGFR4 with an affinity of .ltoreq.1 nM.
[0114] In certain embodiments, an anti-FGFR4 antibody does not
substantially bind human FGFR1, human FGFR2 and/or human FGFR3. In
certain embodiment, an anti-FGFR4 antibody shows little or no
binding to human FGFR1, human FGFR2 and/or human FGFR3.
[0115] In certain embodiments, an anti-FGFR4 antibody does not
substantially bind mouse C3 protein (in some embodiment, a mouse C3
protein having the amino acid sequence shown in FIG. 12D). In
certain embodiment, an anti-FGFR4 antibody shows little or no
binding to a mouse C3 protein (in some embodiment, a mouse C3
protein having the amino acid sequence shown in FIG. 12D).
[0116] In certain embodiments, the anti-FGFR4 antibody is a
humanized anti-FGFR4 antibody wherein monovalent affinity of the
antibody to human FGFR4 is substantially the same as monovalent
affinity of a murine antibody comprising a light chain and heavy
chain variable sequence as depicted in SEQ ID NO:8 and 7,
respectively. In some embodiments, the anti FGFR4 antibody is a
humanized and affinity matured antibody.
[0117] In certain embodiments, an anti-FGFR4 antibody is an
antagonist of FGFR4 activity.
[0118] In certain embodiments, an anti-FGFR4 antibody inhibits FGF
binding to FGFR4. In some embodiments, FGF1 and/or FGF19 binding to
FGFR4 is inhibited. In some embodiments, the IC50 for inhibition of
FGF1 binding to FGFR4 is about 0.10 nM. In some embodiments, the
IC50 for inhibition of FGF19 binding to FGFR4 is about 0.10 nM.
[0119] In certain embodiments, an anti-FGFR4 antibody inhibits cell
proliferation. In some embodiments, proliferation is FGF-induced
cell proliferation. In some embodiments, cell proliferation is
BAF3/FGFR4 transgenic cell proliferation.
[0120] In certain embodiments, an anti-FGFR4 antibody inhibits FGF
(e.g., FGF1) stimulated proliferation of cells that express FGFR4.
In some embodiments, the cell is a HUH7 cell.
[0121] In certain embodiments, an anti-FGFR4 antibody inhibits
FGF19-mediated inhibition of CYP7.alpha.7 expression in a cell
exposed to FGF19.
[0122] In certain embodiments, an anti-FGFR4 antibody inhibits
FGF19-induced phosphorylation of FGFR4, MAPK, FRS2 and/or ERK2 in a
cell exposed to FGF19.
[0123] In certain embodiments, an anti-FGFR4 antibody inhibits
FGF19-induced colony formation. In some embodiments, colony
formation is HCC cell line colony formation. In some embodiments,
the HCC cell line is JHH5.
[0124] In certain embodiments, an anti-FGFR4 antibody binds to a
denatured FGFR4. In some embodiments, an anti-FGFR4 antibody binds
to a reduced, denatured FGFR4. In some embodiments, binding of
reduced, denatured FGFR4 is assayed using a western blot.
[0125] In certain embodiments, an anti-FGFR4 antibody binds FGFR4
expressed at a cell surface. In some embodiments, the cell is a
HUH7 or JHH5 cell.
[0126] In certain embodiments, an anti-FGFR4 antibody does not
significantly bind to human FGFR4 comprising a G165A mutation. In
certain embodiments, an anti-FGFR4 antibody shows little or no
binding to human FGFR4 comprising a G165A mutation.
[0127] In certain embodiments, an anti-FGFR4 antibody binds a
polypeptide comprising, consisting essentially of or consisting of
amino acid numbers 150 to 170 of the mature human FGFR4 amino acid
sequence. In certain embodiments, an anti-FGFR4 antibody binds a
polypeptide comprising, consisting essentially of or consisting of
amino acid numbers 145 to 180 of the mature human FGFR4 amino acid
sequence.
[0128] In certain embodiments, an anti-FGFR4 antibody binds a
polypeptide having at least 70%, 80%, 90%, 95%, 98% sequence
identity or similarity with the sequence comprising, consisting
essentially of or consisting of amino acid numbers 150 to 170 of
the mature human FGFR4 amino acid sequence. In certain embodiments,
an anti-FGFR4 antibody binds a polypeptide having at least 70%,
80%, 90%, 95%, 98% sequence identity or similarity with the
sequence comprising, consisting essentially of or consisting of
amino acid numbers 145-180 of the mature human FGFR4 amino acid
sequence.
[0129] In certain embodiments, an anti-FGFR4 antibody inhibits
FGFR4 dimerization.
[0130] In certain embodiments, an anti-FGFR4 antibody binds at a
FGFR4 dimerization interface.
[0131] In certain embodiments, an anti-FGFR4 antibody inhibits
tumor growth. In some embodiments, tumor growth is liver tumor
growth.
[0132] In one aspect, the invention provides an anti-FGFR4 antibody
comprising at least one, two, three, four, five, or six HVRs
selected from (a) HVR-H1 comprising the amino acid sequence of
NHWMN (SEQ ID NO:1); (b) HVR-H2 comprising the amino acid sequence
of MILPVDSETTLEQKFKD (SEQ ID NO:2); (c) HVR-H3 comprising the amino
acid sequence of GDISLFDY (SEQ ID NO:3); (d) HVR-L1 comprising the
amino acid sequence of RTSQDISNFLN (SEQ ID NO:4); (e) HVR-L2
comprising the amino acid sequence of YTSRLHS (SEQ ID NO:5); and
(f) HVR-L3 comprising the amino acid sequence of QQGNALPYT (SEQ ID
NO:6).
[0133] In one aspect, the invention provides an antibody comprising
at least one, at least two, or all three VH HVR sequences selected
from (a) HVR-H1 comprising the amino acid sequence of SEQ ID NO: 1;
(b) HVR-H2 comprising the amino acid sequence of SEQ ID NO:2; and
(c) HVR-H3 comprising the amino acid sequence of SEQ ID NO:3. In
one embodiment, the antibody comprises HVR-H3 comprising the amino
acid sequence of SEQ ID NO:3. In another embodiment, the antibody
comprises HVR-H3 comprising the amino acid sequence of SEQ ID NO:3
and HVR-L3 comprising the amino acid sequence of SEQ ID NO:6. In a
further embodiment, the antibody comprises HVR-H3 comprising the
amino acid sequence of SEQ ID NO:3, HVR-L3 comprising the amino
acid sequence of SEQ ID NO:6, and HVR-H2 comprising the amino acid
sequence of SEQ ID NO:2. In a further embodiment, the antibody
comprises (a) HVR-H1 comprising the amino acid sequence of SEQ ID
NO:1; (b) HVR-H2 comprising the amino acid sequence of SEQ ID NO:2;
and (c) HVR-H3 comprising the amino acid sequence of SEQ ID
NO:3.
[0134] In another aspect, the invention provides an antibody
comprising at least one, at least two, or all three VL HVR
sequences selected from (a) HVR-L1 comprising the amino acid
sequence of SEQ ID NO:4; (b) HVR-L2 comprising the amino acid
sequence of SEQ ID NO:5; and (c) HVR-L3 comprising the amino acid
sequence of SEQ ID NO:6. In one embodiment, the antibody comprises
(a) HVR-L1 comprising the amino acid sequence of SEQ ID NO:4; (b)
HVR-L2 comprising the amino acid sequence of SEQ ID NO:5; and (c)
HVR-L3 comprising the amino acid sequence of SEQ ID NO:6.
[0135] In another aspect, an antibody of the invention comprises
(a) a VH domain comprising at least one, at least two, or all three
VH HVR sequences selected from (i) HVR-H1 comprising the amino acid
sequence of SEQ ID NO:1, (ii) HVR-H2 comprising the amino acid
sequence of SEQ ID NO:2, and (iii) HVR-H3 comprising an amino acid
sequence selected from SEQ ID NO:3; and (b) a VL domain comprising
at least one, at least two, or all three VL HVR sequences selected
from (i) HVR-L1 comprising the amino acid sequence of SEQ ID NO:4,
(ii) HVR-L2 comprising the amino acid sequence of SEQ ID NO:5, and
(c) HVR-L3 comprising the amino acid sequence of SEQ ID NO:6.
[0136] In another aspect, the invention provides an antibody
comprising (a) HVR-H1 comprising the amino acid sequence of SEQ ID
NO: 1; (b) HVR-H2 comprising the amino acid sequence of SEQ ID
NO:2; (c) HVR-H3 comprising the amino acid sequence of SEQ ID NO:3;
(d) HVR-L1 comprising the amino acid sequence of SEQ ID NO:4; (e)
HVR-L2 comprising the amino acid sequence of SEQ ID NO:5; and (f)
HVR-L3 comprising an amino acid sequence selected from SEQ ID
NO:6.
[0137] In another aspect, an anti-FGFR4 antibody comprises a heavy
chain variable domain (VH) sequence having at least 90%, 91%, 92%,
93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the
amino acid sequence of
EVQLVESGGGLVQPGGSLRLSCAASGYTFTNHWMNWVRQAPGKGLEWVGMILPVDSE
TTLEQKFKDRFTISADTSKNTAYLQMNSLRAEDTAVYYCTRGDISLFDYWGQGTLVTVSS (SEQ
ID NO:7). In certain embodiments, a VH sequence having at least
90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% identity
contains substitutions (e.g., conservative substitutions),
insertions, or deletions relative to the reference sequence, but an
anti-FGFR4 antibody comprising that sequence retains the ability to
bind to FGFR4. In certain embodiments, a total of 1 to 10 amino
acids have been substituted, inserted and/or deleted in SEQ ID
NO:7. In certain embodiments, substitutions, insertions, or
deletions occur in regions outside the HVRs (i.e., in the FRs).
Optionally, the anti-FGFR4 antibody comprises the VH sequence in
SEQ ID NO:7, including post-translational modifications of that
sequence. In a particular embodiment, the VH comprises one, two or
three HVRs selected from: (a) HVR-H1 comprising the amino acid
sequence of SEQ ID NO: 1, (b) HVR-H2 comprising the amino acid
sequence of SEQ ID NO:2, and (c) HVR-H3 comprising the amino acid
sequence of SEQ ID NO:3.
[0138] In another aspect, an anti-FGFR4 antibody is provided,
wherein the antibody comprises a light chain variable domain (VL)
having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%,
or 100% sequence identity to the amino acid sequence of
DIQMTQSPSSLSASVGDRVTITCRTSQDISNFLNWYQQKPGKAFKILISYTSRLHSGVPSRFSGSG
SGTDFTLTISSLQPEDFATYYCQQGNALPYTFGQGTKVEIKR (SEQ ID NO:8). In
certain embodiments, a VL sequence having at least 90%, 91%, 92%,
93%, 94%, 95%, 96%, 97%, 98%, or 99% identity contains
substitutions (e.g., conservative substitutions), insertions, or
deletions relative to the reference sequence, but an anti-FGFR4
antibody comprising that sequence retains the ability to bind to
FGFR4. In certain embodiments, a total of 1 to 10 amino acids have
been substituted, inserted and/or deleted in SEQ ID NO:8. In
certain embodiments, the substitutions, insertions, or deletions
occur in regions outside the HVRs (i.e., in the FRs). Optionally,
the anti-FGFR4 antibody comprises the VL sequence in SEQ ID NO:8,
including post-translational modifications of that sequence. In a
particular embodiment, the VL comprises one, two or three HVRs
selected from (a) HVR-L1 comprising the amino acid sequence of SEQ
ID NO:4; (b) HVR-L2 comprising the amino acid sequence of SEQ ID
NO:5; and (c) HVR-L3 comprising the amino acid sequence of SEQ ID
NO:6.
[0139] In another aspect, an anti-FGFR4 antibody is provided,
wherein the antibody comprises a VH as in any of the embodiments
provided above, and a VL as in any of the embodiments provided
above. In one embodiment, the antibody comprises the VH and VL
sequences in SEQ ID NO:7 and SEQ ID NO:8, respectively, including
post-translational modifications of those sequences.
[0140] In any of the above embodiments, an anti-FGFR4 antibody is
humanized. In one embodiment, an anti-FGFR4 antibody comprises HVRs
as in any of the above embodiments, and further comprises an
acceptor human framework, e.g. a human immunoglobulin framework or
a human consensus framework. The antibodies of the invention can
comprise any suitable framework variable domain sequence, provided
binding activity to FGFR4 is substantially retained. For example,
in some embodiments, antibodies of the invention comprise a human
subgroup III heavy chain framework consensus sequence. In one
embodiment of these antibodies, the framework consensus sequence
comprises a substitution at position 71, 73, and/or 78. In some
embodiments of these antibodies, position 71 is A, 73 is T and/or
78 is A. In one embodiment, these antibodies comprise heavy chain
variable domain framework sequences of huMAb4D5-8 (HERCEPTIN.RTM.,
Genentech, Inc., South San Francisco, Calif., USA) (also referred
to in U.S. Pat. Nos. 6,407,213 & 5,821,337, and Lee et al., J.
Mol. Biol. (2004), 340(5): 1073-1093). In one embodiment, the
framework sequence comprises the following acceptor human
framework:
TABLE-US-00004 (SEQ ID NO: 9) DIQMTQSPSSLSASVGDRVTITC- (SEQ ID NO:
10) L1-WYQQKPGKAFKILIS- (SEQ ID NO: 11)
L2-GVPSRFSGSGSGTDFTLTISSLQPEDFATYYC- (SEQ ID NO: 12)
L3-FGQGTKVEIK.
[0141] In a further aspect, the invention provides an anti-FGFR4
antibody that binds to the same
epitope as an anti-FGFR4 antibody provided herein. For example, in
certain embodiments, an antibody is provided that binds to the same
epitope as an anti-FGFR4 antibody comprising a VH sequence of SEQ
ID NO:7 and a VL sequence of SEQ ID NO:8. In certain embodiments,
an antibody is provided that binds to an epitope within a fragment
of FGFR4 consisting of amino acids 145-180 of a sequence shown in
FIG. 18 (SEQ ID NO: 39).
[0142] In a further aspect, the invention provides an anti-FGFR4
antibody that competes for binding to human FGFR4 with an
anti-FGFR4 antibody comprising a VH sequence of SEQ ID NO: 7 and a
VL sequence of SEQ ID NO: 8.
[0143] In a further aspect of the invention, an anti-FGFR4 antibody
according to any of the above embodiments is a monoclonal antibody,
including a chimeric, humanized or human antibody. In one
embodiment, an anti-FGFR4 antibody is an antibody fragment, e.g., a
Fv, Fab, Fab', scFv, diabody, or F(ab').sub.2 fragment. In another
embodiment, the antibody is a full length antibody, e.g., an intact
IgG1 antibody or other antibody class or isotype as defined
herein.
[0144] In a further aspect, an antibody according to any of the
above embodiments may incorporate any of the features, singly or in
combination, as described in Sections 1-7 below:
[0145] 1. Antibody Affinity
[0146] In certain embodiments, an antibody provided herein has a
dissociation constant (Kd) of .ltoreq.1 M, .ltoreq.100 nM,
.ltoreq.10 nM, .ltoreq.1 nM, .ltoreq.0.1 nM, .ltoreq.0.01 nM, or
.ltoreq.0.001 nM (e.g. 10.sup.-8M or less, e.g. from 10.sup.-8 M to
10.sup.-13 M, e.g., from 10.sup.-9 M to 10.sup.-13 M).
[0147] In one embodiment, Kd is measured by a radiolabeled antigen
binding assay (RIA) performed with the Fab version of an antibody
of interest and its antigen as described by the following assay.
Solution binding affinity of Fabs for antigen is measured by
equilibrating Fab with a minimal concentration of
(.sup.125I)-labeled antigen in the presence of a titration series
of unlabeled antigen, then capturing bound antigen with an anti-Fab
antibody-coated plate (see, e.g., Chen et al., J. Mol. Biol.
293:865-881(1999)). To establish conditions for the assay,
MICROTITER.RTM. multi-well plates (Thermo Scientific) are coated
overnight with 5 .mu.g/ml of a capturing anti-Fab antibody (Cappel
Labs) in 50 mM sodium carbonate (pH 9.6), and subsequently blocked
with 2% (w/v) bovine serum albumin in PBS for two to five hours at
room temperature (approximately 23.degree. C.). In a non-adsorbent
plate (Nunc #269620), 100 pM or 26 pM [.sup.125I]-antigen are mixed
with serial dilutions of a Fab of interest (e.g., consistent with
assessment of the anti-VEGF antibody, Fab-12, in Presta et al.,
Cancer Res. 57:4593-4599 (1997)). The Fab of interest is then
incubated overnight; however, the incubation may continue for a
longer period (e.g., about 65 hours) to ensure that equilibrium is
reached. Thereafter, the mixtures are transferred to the capture
plate for incubation at room temperature (e.g., for one hour). The
solution is then removed and the plate washed eight times with 0.1%
polysorbate 20 (TWEEN-20.RTM.) in PBS. When the plates have dried,
150 .mu.l/well of scintillant (MICROSCINT-20 .TM.; Packard) is
added, and the plates are counted on a TOPCOUNT.TM. gamma counter
(Packard) for ten minutes. Concentrations of each Fab that give
less than or equal to 20% of maximal binding are chosen for use in
competitive binding assays.
[0148] According to another embodiment, Kd is measured using
surface plasmon resonance assays using a BIACORE.RTM.-2000 or a
BIACORE.RTM.-3000 (BIAcore, Inc., Piscataway, N.J.) at 25.degree.
C. with immobilized antigen CM5 chips at .about.10 response units
(RU). Briefly, carboxymethylated dextran biosensor chips (CM5,
BIACORE, Inc.) are activated with
N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide hydrochloride (EDC)
and N-hydroxysuccinimide (NHS) according to the supplier's
instructions. Antigen is diluted with 10 mM sodium acetate, pH 4.8,
to 5 .mu.g/ml (.about.0.2 pM) before injection at a flow rate of 5
.mu.l/minute to achieve approximately 10 response units (RU) of
coupled protein. Following the injection of antigen, 1 M
ethanolamine is injected to block unreacted groups. For kinetics
measurements, two-fold serial dilutions of Fab (0.78 nM to 500 nM)
are injected in PBS with 0.05% polysorbate 20 (TWEEN-20.TM.)
surfactant (PBST) at 25.degree. C. at a flow rate of approximately
25 .mu.l/min. Association rates (k.sub.on) and dissociation rates
(k.sub.off) are calculated using a simple one-to-one Langmuir
binding model (BIACORE.RTM. Evaluation Software version 3.2) by
simultaneously fitting the association and dissociation
sensorgrams. The equilibrium dissociation constant (Kd) is
calculated as the ratio k.sub.off/k.sub.on. See, e.g., Chen et al.,
J. Mol. Biol. 293:865-881 (1999). If the on-rate exceeds 10.sup.6
M.sup.-1 s.sup.-1 by the surface plasmon resonance assay above,
then the on-rate can be determined by using a fluorescent quenching
technique that measures the increase or decrease in fluorescence
emission intensity (excitation=295 nm; emission=340 nm, 16 nm
band-pass) at 25.degree. C. of a 20 nM anti-antigen antibody (Fab
form) in PBS, pH 7.2, in the presence of increasing concentrations
of antigen as measured in a spectrometer, such as a stop-flow
equipped spectrophometer (Aviv Instruments) or a 8000-series
SLM-AMINCO.RTM. spectrophotometer (ThermoSpectronic) with a stirred
cuvette.
[0149] 2. Antibody Fragments
[0150] In certain embodiments, an antibody provided herein is an
antibody fragment. Antibody fragments include, but are not limited
to, Fab, Fab', Fab'-SH, F(ab').sub.2, Fv, and scFv fragments, and
other fragments described below. For a review of certain antibody
fragments, see Hudson et al. Nat. Med. 9:129-134 (2003). For a
review of scFv fragments, see, e.g., Pluckthun, in The Pharmacology
of Monoclonal Antibodies, vol. 113, Rosenburg and Moore eds.,
(Springer-Verlag, New York), pp. 269-315 (1994); see also WO
93/16185; and U.S. Pat. Nos. 5,571,894 and 5,587,458. For
discussion of Fab and F(ab').sub.2 fragments comprising salvage
receptor binding epitope residues and having increased in vivo
half-life, see U.S. Pat. No. 5,869,046.
[0151] Diabodies are antibody fragments with two antigen-binding
sites that may be bivalent or bispecific. See, for example, EP
404,097; WO 1993/01161; Hudson et al., Nat. Med. 9:129-134 (2003);
and Hollinger et al., Proc. Natl. Acad. Sci. USA 90: 6444-6448
(1993). Triabodies and tetrabodies are also described in Hudson et
al., Nat. Med. 9:129-134 (2003).
[0152] Single-domain antibodies are antibody fragments comprising
all or a portion of the heavy chain variable domain or all or a
portion of the light chain variable domain of an antibody. In
certain embodiments, a single-domain antibody is a human
single-domain antibody (Domantis, Inc., Waltham, Mass.; see, e.g.,
U.S. Pat. No. 6,248,516 B1).
[0153] Antibody fragments can be made by various techniques,
including but not limited to proteolytic digestion of an intact
antibody as well as production by recombinant host cells (e.g. E.
coli or phage), as described herein.
[0154] 3. Chimeric and Humanized Antibodies
[0155] In certain embodiments, an antibody provided herein is a
chimeric antibody. Certain chimeric antibodies are described, e.g.,
in U.S. Pat. No. 4,816,567; and Morrison et al., Proc. Natl. Acad.
Sci. USA, 81:6851-6855 (1984)). In one example, a chimeric antibody
comprises a non-human variable region (e.g., a variable region
derived from a mouse, rat, hamster, rabbit, or non-human primate,
such as a monkey) and a human constant region. In a further
example, a chimeric antibody is a "class switched" antibody in
which the class or subclass has been changed from that of the
parent antibody. Chimeric antibodies include antigen-binding
fragments thereof.
[0156] In certain embodiments, a chimeric antibody is a humanized
antibody. Typically, a non-human antibody is humanized to reduce
immunogenicity to humans, while retaining the specificity and
affinity of the parental non-human antibody. Generally, a humanized
antibody comprises one or more variable domains in which HVRs.
e.g., CDRs, (or portions thereof) are derived from a non-human
antibody, and FRs (or portions thereof) are derived from human
antibody sequences. A humanized antibody optionally will also
comprise at least a portion of a human constant region. In some
embodiments, some FR residues in a humanized antibody are
substituted with corresponding residues from a non-human antibody
(e.g., the antibody from which the HVR residues are derived), e.g.,
to restore or improve antibody specificity or affinity.
[0157] Humanized antibodies and methods of making them are
reviewed, e.g., in Almagro and Fransson, Front. Biosci.
13:1619-1633 (2008), and are further described, e.g., in Riechmann
et al., Nature 332:323-329 (1988); Queen et al., Proc. Nat'l Acad.
Sci. USA 86:10029-10033 (1989); U.S. Pat. Nos. 5,821,337,
7,527,791, 6,982,321, and 7,087,409; Kashmiri et al., Methods
36:25-34 (2005) (describing SDR (a-CDR) grafting); Padlan, Mol.
Immunol. 28:489-498 (1991) (describing "resurfacing"); Dall'Acqua
et al., Methods 36:43-60 (2005) (describing "FR shuffling"); and
Osbourn et al., Methods 36:61-68 (2005) and Klimka et al., Br. J.
Cancer, 83:252-260 (2000) (describing the "guided selection"
approach to FR shuffling).
[0158] Human framework regions that may be used for humanization
include but are not limited to: framework regions selected using
the "best-fit" method (see, e.g., Sims et al. J. Immunol. 151:2296
(1993)); framework regions derived from the consensus sequence of
human antibodies of a particular subgroup of light or heavy chain
variable regions (see, e.g., Carter et al. Proc. Natl. Acad. Sci.
USA, 89:4285 (1992); and Presta et al. J. Immunol., 151:2623
(1993)); human mature (somatically mutated) framework regions or
human germline framework regions (see, e.g., Almagro and Fransson,
Front. Biosci. 13:1619-1633 (2008)); and framework regions derived
from screening FR libraries (see, e.g., Baca et al., J. Biol. Chem.
272:10678-10684 (1997) and Rosok et al., J. Biol. Chem.
271:22611-22618 (1996)).
[0159] 4. Human Antibodies
[0160] In certain embodiments, an antibody provided herein is a
human antibody. Human antibodies can be produced using various
techniques known in the art. Human antibodies are described
generally in van Dijk and van de Winkel, Curr. Opin. Pharmacol. 5:
368-74 (2001) and Lonberg, Curr. Opin. Immunol. 20:450-459
(2008).
[0161] Human antibodies may be prepared by administering an
immunogen to a transgenic animal that has been modified to produce
intact human antibodies or intact antibodies with human variable
regions in response to antigenic challenge. Such animals typically
contain all or a portion of the human immunoglobulin loci, which
replace the endogenous immunoglobulin loci, or which are present
extrachromosomally or integrated randomly into the animal's
chromosomes. In such transgenic mice, the endogenous immunoglobulin
loci have generally been inactivated. For review of methods for
obtaining human antibodies from transgenic animals, see Lonberg,
Nat. Biotech. 23:1117-1125 (2005). See also, e.g., U.S. Pat. Nos.
6,075,181 and 6,150,584 describing XENOMOUSE.TM. technology; U.S.
Pat. No. 5,770,429 describing HUMAB3 technology; U.S. Pat. No.
7,041,870 describing K-M MOUSE.RTM. technology, and U.S. Patent
Application Publication No. US 2007/0061900, describing
VELOCIMOUSE.RTM. technology). Human variable regions from intact
antibodies generated by such animals may be further modified, e.g.,
by combining with a different human constant region.
[0162] Human antibodies can also be made by hybridoma-based
methods. Human myeloma and mouse-human heteromyeloma cell lines for
the production of human monoclonal antibodies have been described.
(See, e.g., Kozbor J. Immunol., 133: 3001 (1984); Brodeur et al.,
Monoclonal Antibody Production Techniques and Applications, pp.
51-63 (Marcel Dekker, Inc., New York, 1987); and Boemer et al., J.
Immunol., 147: 86 (1991).) Human antibodies generated via human
B-cell hybridoma technology are also described in Li et al., Proc.
Natl. Acad. Sci. USA. 103:3557-3562 (2006). Additional methods
include those described, for example, in U.S. Pat. No. 7,189,826
(describing production of monoclonal human IgM antibodies from
hybridoma cell lines) and Ni, Xiandai Mianyixue, 26(4):265-268
(2006) (describing human-human hybridomas). Human hybridoma
technology (Trioma technology) is also described in Vollmers and
Brandlein, Histology and Histopathology, 20(3):927-937 (2005) and
Vollmers and Brandlein, Methods and Findings in Experimental and
Clinical Pharmacology, 27(3): 185-91 (2005).
[0163] Human antibodies may also be generated by isolating Fv clone
variable domain sequences selected from human-derived phage display
libraries. Such variable domain sequences may then be combined with
a desired human constant domain. Techniques for selecting human
antibodies from antibody libraries are described below.
[0164] 5. Library-Derived Antibodies
[0165] Antibodies of the invention may be isolated by screening
combinatorial libraries for antibodies with the desired activity or
activities. For example, a variety of methods are known in the art
for generating phage display libraries and screening such libraries
for antibodies possessing the desired binding characteristics. Such
methods are reviewed, e.g., in Hoogenboom et al. in Methods in
Molecular Biology 178:1-37 (O'Brien et al., ed., Human Press,
Totowa, N. J., 2001) and further described, e.g., in the McCafferty
et al., Nature 348:552-554; Clackson et al., Nature 352: 624-628
(1991); Marks et al., J. Mol. Biol. 222: 581-597 (1992); Marks and
Bradbury, in Methods in Molecular Biology 248:161-175 (Lo, ed.,
Human Press, Totowa, N. J., 2003); Sidhu et al., J. Mol. Biol.
338(2): 299-310 (2004); Lee et al., J. Mol. Biol. 340(5): 1073-1093
(2004); Fellouse, Proc. Natl. Acad. Sci. USA 101(34): 12467-12472
(2004); and Lee et al., J. Immunol. Methods 284(1-2):
119-132(2004).
[0166] In certain phage display methods, repertoires of VH and VL
genes are separately cloned by polymerase chain reaction (PCR) and
recombined randomly in phage libraries, which can then be screened
for antigen-binding phage as described in Winter et al., Ann. Rev.
Immunol., 12: 433-455 (1994). Phage typically display antibody
fragments, either as single-chain Fv (scFv) fragments or as Fab
fragments. Libraries from immunized sources provide high-affinity
antibodies to the immunogen without the requirement of constructing
hybridomas. Alternatively, the naive repertoire can be cloned
(e.g., from human) to provide a single source of antibodies to a
wide range of non-self and also self antigens without any
immunization as described by Griffiths et al., EMBO J, 12: 725-734
(1993). Finally, naive libraries can also be made synthetically by
cloning unrearranged V-gene segments from stem cells, and using PCR
primers containing random sequence to encode the highly variable
CDR3 regions and to accomplish rearrangement in vitro, as described
by Hoogenboom and Winter, J. Mol. Biol., 227: 381-388 (1992).
Patent publications describing human antibody phage libraries
include, for example: U.S. Pat. No. 5,750,373, and US Patent
Publication Nos. 2005/0079574, 2005/0119455, 2005/0266000,
2007/0117126, 2007/0160598, 2007/0237764, 2007/0292936, and
2009/0002360.
[0167] Antibodies or antibody fragments isolated from human
antibody libraries are considered human antibodies or human
antibody fragments herein.
[0168] 6. Multispecific Antibodies
[0169] In certain embodiments, an antibody provided herein is a
multispecific antibody, e.g. a bispecific antibody. Multispecific
antibodies are monoclonal antibodies that have binding
specificities for at least two different sites. In certain
embodiments, one of the binding specificities is for FGFR4 and the
other is for any other antigen. In certain embodiments, bispecific
antibodies may bind to two different epitopes of FGFR4. Bispecific
antibodies may also be used to localize cytotoxic agents to cells
which express FGFR4. Bispecific antibodies can be prepared as full
length antibodies or antibody fragments.
[0170] Techniques for making multispecific antibodies include, but
are not limited to, recombinant co-expression of two immunoglobulin
heavy chain-light chain pairs having different specificities (see
Milstein and Cuello, Nature 305: 537 (1983)), WO 93/08829, and
Traunecker et al., EMBO J. 10: 3655 (1991)), and "knob-in-hole"
engineering (see, e.g., U.S. Pat. No. 5,731,168). Multi-specific
antibodies may also be made by engineering electrostatic steering
effects for making antibody Fc-heterodimeric molecules (WO
2009/089004A1); cross-linking two or more antibodies or fragments
(see, e.g., U.S. Pat. No. 4,676,980, and Brennan et al., Science,
229: 81 (1985)); using leucine zippers to produce bi-specific
antibodies (see, e.g., Kostelny et al., J. Immunol., 148(5):
1547-1553 (1992)); using "diabody" technology for making bispecific
antibody fragments (see, e.g., Hollinger et al., Proc. Natl. Acad.
Sci. USA, 90:6444-6448 (1993)); and using single-chain Fv (sFv)
dimers (see, e.g. Gruber et al., J. Immunol., 152:5368 (1994)); and
preparing trispecific antibodies as described, e.g., in Tutt et al.
J. Immunol. 147: 60 (1991).
[0171] Engineered antibodies with three or more functional antigen
binding sites, including "Octopus antibodies," are also included
herein (see, e.g. US 2006/0025576A1).
[0172] The antibody or fragment herein also includes a "Dual Acting
FAb" or "DAF" comprising an antigen binding site that binds to
FGFR4 as well as another, different antigen (see, US 2008/0069820,
for example).
[0173] 7. Antibody Variants
[0174] In certain embodiments, amino acid sequence variants of the
antibodies provided herein are contemplated. For example, it may be
desirable to improve the binding affinity and/or other biological
properties of the antibody. Amino acid sequence variants of an
antibody may be prepared by introducing appropriate modifications
into the nucleotide sequence encoding the antibody, or by peptide
synthesis. Such modifications include, for example, deletions from,
and/or insertions into and/or substitutions of residues within the
amino acid sequences of the antibody. Any combination of deletion,
insertion, and substitution can be made to arrive at the final
construct, provided that the final construct possesses the desired
characteristics, e.g., antigen-binding.
[0175] a) Substitution, Insertion, and Deletion Variants
[0176] In certain embodiments, antibody variants having one or more
amino acid substitutions are provided. Sites of interest for
substitutional mutagenesis include the HVRs and FRs. Conservative
substitutions are shown in Table 1 under the heading of
"conservative substitutions." More substantial changes are provided
in Table 1 under the heading of "exemplary substitutions," and as
further described below in reference to amino acid side chain
classes. Amino acid substitutions may be introduced into an
antibody of interest and the products screened for a desired
activity, e.g., retained/improved antigen binding, decreased
immunogenicity, or improved ADCC or CDC.
TABLE-US-00005 TABLE 1 Original Exemplary Preferred Residue
Substitutions Substitutions Ala (A) Val; Leu; Ile Val Arg (R) Lys;
Gln; Asn Lys Asn (N) Gln; His; Asp, Lys; Arg Gln Asp (D) Glu; Asn
Glu Cys (C) Ser; Ala Ser Gln (Q) Asn; Glu Asn Glu (E) Asp; Gln Asp
Gly (G) Ala Ala His (H) Asn; Gln; Lys; Arg Arg Ile (I) Leu; Val;
Met; Ala; Phe; Norleucine Leu Leu (L) Norleucine; Ile; Val; Met;
Ala; Phe Ile Lys (K) Arg; Gln; Asn Arg Met (M) Leu; Phe; Ile Leu
Phe (F) Trp; Leu; Val; Ile; Ala; Tyr Tyr Pro (P) Ala Ala Ser (S)
Thr Thr Thr (T) Val; Ser Ser Trp (W) Tyr; Phe Tyr Tyr (Y) Trp; Phe;
Thr; Ser Phe Val (V) Ile; Leu; Met; Phe; Ala; Norleucine Leu
[0177] Amino acids may be grouped according to common side-chain
properties: [0178] (1) hydrophobic: Norleucine, Met, Ala, Val, Leu,
lie; [0179] (2) neutral hydrophilic: Cys, Ser, Thr, Asn, Gin;
[0180] (3) acidic: Asp, Glu; [0181] (4) basic: His, Lys, Arg;
[0182] (5) residues that influence chain orientation: Gly, Pro;
[0183] (6) aromatic: Trp, Tyr, Phe.
[0184] Non-conservative substitutions will entail exchanging a
member of one of these classes for another class.
[0185] One type of substitutional variant involves substituting one
or more hypervariable region residues of a parent antibody (e.g. a
humanized or human antibody). Generally, the resulting variant(s)
selected for further study will have modifications (e.g.,
improvements) in certain biological properties (e.g., increased
affinity, reduced immunogenicity) relative to the parent antibody
and/or will have substantially retained certain biological
properties of the parent antibody. An exemplary substitutional
variant is an affinity matured antibody, which may be conveniently
generated, e.g., using phage display-based affinity maturation
techniques such as those described herein. Briefly, one or more HVR
residues are mutated and the variant antibodies displayed on phage
and screened for a particular biological activity (e.g. binding
affinity).
[0186] Alterations (e.g., substitutions) may be made in HVRs. e.g.,
to improve antibody affinity. Such alterations may be made in HVR
"hotspots," i.e., residues encoded by codons that undergo mutation
at high frequency during the somatic maturation process (see, e.g.,
Chowdhury, Methods Mol. Biol. 207:179-196 (2008)), and/or SDRs
(a-CDRs), with the resulting variant VH or VL being tested for
binding affinity. Affinity maturation by constructing and
reselecting from secondary libraries has been described, e.g., in
Hoogenboom et al. in Methods in Molecular Biology 178:1-37 (O'Brien
et al., ed., Human Press, Totowa, N.J., (2001).) In some
embodiments of affinity maturation, diversity is introduced into
the variable genes chosen for maturation by any of a variety of
methods (e.g., error-prone PCR, chain shuffling, or
oligonucleotide-directed mutagenesis). A secondary library is then
created. The library is then screened to identify any antibody
variants with the desired affinity. Another method to introduce
diversity involves HVR-directed approaches, in which several HVR
residues (e.g., 4-6 residues at a time) are randomized. HVR
residues involved in antigen binding may be specifically
identified, e.g., using alanine scanning mutagenesis or modeling.
CDR-H3 and CDR-L3 in particular are often targeted.
[0187] In certain embodiments, substitutions, insertions, or
deletions may occur within one or more HVRs so long as such
alterations do not substantially reduce the ability of the antibody
to bind antigen. For example, conservative alterations (e.g.,
conservative substitutions as provided herein) that do not
substantially reduce binding affinity may be made in HVRs. Such
alterations may be outside of HVR "hotspots" or SDRs. In certain
embodiments of the variant VH and VL sequences provided above, each
HVR either is unaltered, or contains no more than one, two or three
amino acid substitutions.
[0188] A useful method for identification of residues or regions of
an antibody that may be targeted for mutagenesis is called "alanine
scanning mutagenesis" as described by Cunningham and Wells (1989)
Science, 244:1081-1085. In this method, a residue or group of
target residues (e.g., charged residues such as arg, asp, his, lys,
and glu) are identified and replaced by a neutral or negatively
charged amino acid (e.g., alanine or polyalanine) to determine
whether the interaction of the antibody with antigen is affected.
Further substitutions may be introduced at the amino acid locations
demonstrating functional sensitivity to the initial substitutions.
Alternatively, or additionally, a crystal structure of an
antigen-antibody complex to identify contact points between the
antibody and antigen. Such contact residues and neighboring
residues may be targeted or eliminated as candidates for
substitution. Variants may be screened to determine whether they
contain the desired properties.
[0189] Amino acid sequence insertions include amino- and/or
carboxyl-terminal fusions ranging in length from one residue to
polypeptides containing a hundred or more residues, as well as
intrasequence insertions of single or multiple amino acid residues.
Examples of terminal insertions include an antibody with an
N-terminal methionyl residue. Other insertional variants of the
antibody molecule include the fusion to the N- or C-terminus of the
antibody to an enzyme (e.g. for ADEPT) or a polypeptide which
increases the serum half-life of the antibody.
[0190] b) Glycosylation Variants
[0191] In certain embodiments, an antibody provided herein is
altered to increase or decrease the extent to which the antibody is
glycosylated. Addition or deletion of glycosylation sites to an
antibody may be conveniently accomplished by altering the amino
acid sequence such that one or more glycosylation sites is created
or removed.
[0192] Where the antibody comprises an Fc region, the carbohydrate
attached thereto may be altered. Native antibodies produced by
mammalian cells typically comprise a branched, biantennary
oligosaccharide that is generally attached by an N-linkage to
Asn297 of the CH2 domain of the Fc region. See, e.g., Wright et al.
TIBTECH 15:26-32 (1997). The oligosaccharide may include various
carbohydrates, e.g., mannose, N-acetyl glucosamine (GlcNAc),
galactose, and sialic acid, as well as a fucose attached to a
GlcNAc in the "stem" of the biantennary oligosaccharide structure.
In some embodiments, modifications of the oligosaccharide in an
antibody of the invention may be made in order to create antibody
variants with certain improved properties.
[0193] In one embodiment, antibody variants are provided having a
carbohydrate structure that lacks fucose attached (directly or
indirectly) to an Fc region. For example, the amount of fucose in
such antibody may be from 1% to 80%, from 1% to 65%, from 5% to 65%
or from 20% to 40%. The amount of fucose is determined by
calculating the average amount of fucose within the sugar chain at
Asn297, relative to the sum of all glycostructures attached to Asn
297 (e. g. complex, hybrid and high mannose structures) as measured
by MALD1-TOF mass spectrometry, as described in WO 2008/077546, for
example. Asn297 refers to the asparagine residue located at about
position 297 in the Fc region (Eu numbering of Fc region residues);
however, Asn297 may also be located about .+-.3 amino acids
upstream or downstream of position 297, i.e., between positions 294
and 300, due to minor sequence variations in antibodies. Such
fucosylation variants may have improved ADCC function. See, e.g.,
US Patent Publication Nos. US 2003/0157108 (Presta, L.); US
2004/0093621 (Kyowa Hakko Kogyo Co., Ltd). Examples of publications
related to "defucosylated" or "fucose-deficient" antibody variants
include: US 2003/0157108; WO 2000/61739; WO 2001/29246; US
2003/0115614; US 2002/0164328; US 2004/0093621; US 2004/0132140; US
2004/0110704; US 2004/0110282; US 2004/0109865; WO 2003/085119; WO
2003/084570; WO 2005/035586; WO 2005/035778; WO2005/053742;
WO2002/031140; Okazaki et al. J. Mol. Biol. 336:1239-1249 (2004);
Yamane-Ohnuki et al. Biotech. Bioeng. 87: 614 (2004). Examples of
cell lines capable of producing defucosylated antibodies include
Lec13 CHO cells deficient in protein fucosylation (Ripka et al.
Arch. Biochem. Biophys. 249:533-545 (1986); US Pat Appl No US
2003/0157108 A1, Presta, L; and WO 2004/056312 A1, Adams et al.,
especially at Example 11), and knockout cell lines, such as
alpha-1,6-fucosyltransferase gene, FUT8, knockout CHO cells (see,
e.g., Yamane-Ohnuki et al. Biotech. Bioeng. 87: 614 (2004); Kanda,
Y. et al., Biotechnol. Bioeng., 94(4):680-688 (2006); and
WO2003/085107).
[0194] Antibodies variants are further provided with bisected
oligosaccharides, e.g., in which a biantennary oligosaccharide
attached to the Fc region of the antibody is bisected by GlcNAc.
Such antibody variants may have reduced fucosylation and/or
improved ADCC function. Examples of such antibody variants are
described, e.g., in WO 2003/011878 (Jean-Mairet et al.); U.S. Pat.
No. 6,602,684 (Umana et al.); and US 2005/0123546 (Umana et al.).
Antibody variants with at least one galactose residue in the
oligosaccharide attached to the Fc region are also provided. Such
antibody variants may have improved CDC function. Such antibody
variants are described, e.g., in WO 1997/30087 (Patel et al.); WO
1998/58964 (Raju, S.); and WO 1999/22764 (Raju, S.).
[0195] c) Fc Region Variants
[0196] In certain embodiments, one or more amino acid modifications
may be introduced into the Fc region of an antibody provided
herein, thereby generating an Fc region variant. The Fc region
variant may comprise a human Fc region sequence (e.g., a human
IgG1, IgG2, IgG3 or IgG4 Fc region) comprising an amino acid
modification (e.g. a substitution) at one or more amino acid
positions.
[0197] In certain embodiments, the invention contemplates an
antibody variant that possesses some but not all effector
functions, which make it a desirable candidate for applications in
which the half life of the antibody in vive is important yet
certain effector functions (such as complement and ADCC) are
unnecessary or deleterious. In vitro and/or in vivo cytotoxicity
assays can be conducted to confirm the reduction/depletion of CDC
and/or ADCC activities. For example, Fc receptor (FcR) binding
assays can be conducted to ensure that the antibody lacks
Fc.gamma.R binding (hence likely lacking ADCC activity), but
retains FcRn binding ability. The primary cells for mediating ADCC,
NK cells, express Fc.gamma.RIII only, whereas monocytes express
Fc.gamma.RI, Fc.gamma.RII and Fc.gamma.RIII. FcR expression on
hematopoietic cells is summarized in Table 3 on page 464 of Ravetch
and Kinet, Annu. Rev. Immunol. 9:457-492 (1991). Non-limiting
examples of in vitro assays to assess ADCC activity of a molecule
of interest is described in U.S. Pat. No. 5,500,362 (see, e.g.
Hellstrom, I. et al. Proc. Nat'l Acad. Sci. USA 83:7059-7063
(1986)) and Hellstrom, I et al., Proc. Nat'l Acad. Sci. USA
82:1499-1502 (1985); 5,821,337 (see Bruggemann, M. et al., J. Exp.
Med. 166:1351-1361 (1987)). Alternatively, non-radioactive assays
methods may be employed (see, for example, ACTI.TM. non-radioactive
cytotoxicity assay for flow cytometry (CellTechnology, Inc.
Mountain View, Calif.; and CytoTox 96.RTM. non-radioactive
cytotoxicity assay (Promega, Madison, Wis.). Useful effector cells
for such assays include peripheral blood mononuclear cells (PBMC)
and Natural Killer (NK) cells. Alternatively, or additionally, ADCC
activity of the molecule of interest may be assessed in vivo, e.g.,
in a animal model such as that disclosed in Clynes et al. Proc.
Nat'l Acad. Sci. USA 95:652-656 (1998). C1q binding assays may also
be carried out to confirm that the antibody is unable to bind C1q
and hence lacks CDC activity. See, e.g., C1q and C3c binding ELISA
in WO 2006/029879 and WO 2005/100402. To assess complement
activation, a CDC assay may be performed (see, for example,
Gazzano-Santoro et al., J. Immunol. Methods 202:163 (1996); Cragg,
M. S. et al., Blood 101:1045-1052 (2003); and Cragg, M. S. and M.
J. Glennie, Blood 103:2738-2743 (2004)). FcRn binding and in vivo
clearance/half life determinations can also be performed using
methods known in the art (see, e.g., Petkova, S. B. et al., Int'l.
Immunol. 18(12): 1759-1769 (2006)).
[0198] Antibodies with reduced effector function include those with
substitution of one or more of Fc region residues 238, 265, 269,
270, 297, 327 and 329 (U.S. Pat. No. 6,737,056). Such Fc mutants
include Fc mutants with substitutions at two or more of amino acid
positions 265, 269, 270, 297 and 327, including the so-called
"DANA" Fc mutant with substitution of residues 265 and 297 to
alanine (U.S. Pat. No. 7,332,581).
[0199] Certain antibody variants with improved or diminished
binding to FcRs are described. (See, e.g., U.S. Pat. No. 6,737,056;
WO 2004/056312, and Shields et al., J. Biol. Chem. 9(2): 6591-6604
(2001).)
[0200] In certain embodiments, an antibody variant comprises an Fc
region with one or more amino acid substitutions which improve
ADCC, e.g., substitutions at positions 298, 333, and/or 334 of the
Fc region (EU numbering of residues).
[0201] In some embodiments, alterations are made in the Fc region
that result in altered (i.e., either improved or diminished) C1q
binding and/or Complement Dependent Cytotoxicity (CDC), e.g., as
described in U.S. Pat. No. 6,194,551, WO 99/51642, and Idusogie et
al. J. Immunol. 164: 4178-4184 (2000).
[0202] Antibodies with increased half lives and improved binding to
the neonatal Fc receptor (FcRn), which is responsible for the
transfer of maternal IgGs to the fetus (Guyer et al., J. Immunol.
117:587 (1976) and Kim et al., J. Immunol. 24:249 (1994)), are
described in US2005/0014934A1 (Hinton et al.). Those antibodies
comprise an Fc region with one or more substitutions therein which
improve binding of the Fc region to FcRn. Such Fc variants include
those with substitutions at one or more of Fc region residues: 238,
256, 265, 272, 286, 303, 305, 307, 311, 312, 317, 340, 356, 360,
362, 376, 378, 380, 382, 413, 424 or 434, e.g., substitution of Fc
region residue 434 (U.S. Pat. No. 7,371,826). See also Duncan &
Winter, Nature 322:738-40 (1988); U.S. Pat. No. 5,648,260; U.S.
Pat. No. 5,624,821; and WO 94/29351 concerning other examples of Fc
region variants.
[0203] d) Cysteine Engineered Antibody Variants
[0204] In certain embodiments, it may be desirable to create
cysteine engineered antibodies, e.g., "thioMAbs," in which one or
more residues of an antibody are substituted with cysteine
residues. In particular embodiments, the substituted residues occur
at accessible sites of the antibody. By substituting those residues
with cysteine, reactive thiol groups are thereby positioned at
accessible sites of the antibody and may be used to conjugate the
antibody to other moieties, such as drug moieties or linker-drug
moieties, to create an immunoconjugate, as described further
herein. In certain embodiments, any one or more of the following
residues may be substituted with cysteine: V205 (Kabat numbering)
of the light chain; A118 (EU numbering) of the heavy chain; and
S400 (EU numbering) of the heavy chain Fc region. Cysteine
engineered antibodies may be generated as described, e.g., in U.S.
Pat. No. 7,521,541.
[0205] e) Antibody Derivatives
[0206] In certain embodiments, an antibody provided herein may be
further modified to contain additional nonproteinaceous moieties
that are known in the art and readily available. The moieties
suitable for derivatization of the antibody include but are not
limited to water soluble polymers. Non-limiting examples of water
soluble polymers include, but are not limited to, polyethylene
glycol (PEG), copolymers of ethylene glycol/propylene glycol,
carboxymethylcellulose, dextran, polyvinyl alcohol, polyvinyl
pyrrolidone, poly-1, 3-dioxolane, poly-1,3,6-trioxane,
ethylene/maleic anhydride copolymer, polyaminoacids (either
homopolymers or random copolymers), and dextran or poly(n-vinyl
pyrrolidone)polyethylene glycol, propropylene glycol homopolymers,
prolypropylene oxide/ethylene oxide co-polymers, polyoxyethylated
polyols (e.g., glycerol), polyvinyl alcohol, and mixtures thereof.
Polyethylene glycol propionaldehyde may have advantages in
manufacturing due to its stability in water. The polymer may be of
any molecular weight, and may be branched or unbranched. The number
of polymers attached to the antibody may vary, and if more than one
polymer are attached, they can be the same or different molecules.
In general, the number and/or type of polymers used for
derivatization can be determined based on considerations including,
but not limited to, the particular properties or functions of the
antibody to be improved, whether the antibody derivative will be
used in a therapy under defined conditions, etc.
[0207] In another embodiment, conjugates of an antibody and
nonproteinaceous moiety that may be selectively heated by exposure
to radiation are provided. In one embodiment, the nonproteinaceous
moiety is a carbon nanotube (Kam et al., Proc. Natl. Acad. Sci. USA
102: 11600-11605 (2005)). The radiation may be of any wavelength,
and includes, but is not limited to, wavelengths that do not harm
ordinary cells, but which heat the nonproteinaceous moiety to a
temperature at which cells proximal to the
antibody-nonproteinaceous moiety are killed.
[0208] B. Recombinant Methods and Compositions
[0209] Antibodies may be produced using recombinant methods and
compositions, e.g., as described in U.S. Pat. No. 4,816,567. In one
embodiment, isolated nucleic acid encoding an anti-FGFR4 antibody
described herein is provided. Such nucleic acid may encode an amino
acid sequence comprising the VL and/or an amino acid sequence
comprising the VH of the antibody (e.g., the light and/or heavy
chains of the antibody). In a further embodiment, one or more
vectors (e.g., expression vectors) comprising such nucleic acid are
provided. In a further embodiment, a host cell comprising such
nucleic acid is provided. In one such embodiment, a host cell
comprises (e.g., has been transformed with): (1) a vector
comprising a nucleic acid that encodes an amino acid sequence
comprising the VL of the antibody and an amino acid sequence
comprising the VH of the antibody, or (2) a first vector comprising
a nucleic acid that encodes an amino acid sequence comprising the
VL of the antibody and a second vector comprising a nucleic acid
that encodes an amino acid sequence comprising the VH of the
antibody. In one embodiment, the host cell is eukaryotic, e.g. a
Chinese Hamster Ovary (CHO) cell or lymphoid cell (e.g., Y0, NS0,
Sp20 cell). In one embodiment, a method of making an anti-FGFR4
antibody is provided, wherein the method comprises culturing a host
cell comprising a nucleic acid encoding the antibody, as provided
above, under conditions suitable for expression of the antibody,
and optionally recovering the antibody from the host cell (or host
cell culture medium).
[0210] For recombinant production of an anti-FGFR4 antibody,
nucleic acid encoding an antibody, e.g., as described above, is
isolated and inserted into one or more vectors for further cloning
and/or expression in a host cell. Such nucleic acid may be readily
isolated and sequenced using conventional procedures (e.g., by
using oligonucleotide probes that are capable of binding
specifically to genes encoding the heavy and light chains of the
antibody).
[0211] Suitable host cells for cloning or expression of
antibody-encoding vectors include prokaryotic or eukaryotic cells
described herein. For example, antibodies may be produced in
bacteria, in particular when glycosylation and Fc effector function
are not needed. For expression of antibody fragments and
polypeptides in bacteria, see, e.g., U.S. Pat. Nos. 5,648,237,
5,789,199, and 5,840,523. (See also Charlton, Methods in Molecular
Biology, Vol. 248 (B. K. C. Lo, ed., Humana Press, Totowa, N. J.,
2003), pp. 245-254, describing expression of antibody fragments in
E. coli.) After expression, the antibody may be isolated from the
bacterial cell paste in a soluble fraction and can be further
purified.
[0212] In addition to prokaryotes, eukaryotic microbes such as
filamentous fungi or yeast are suitable cloning or expression hosts
for antibody-encoding vectors, including fungi and yeast strains
whose glycosylation pathways have been "humanized," resulting in
the production of an antibody with a partially or fully human
glycosylation pattern. See Gerngross, Nat. Biotech. 22:1409-1414
(2004), and Li et al., Nat. Biotech. 24:210-215 (2006).
[0213] Suitable host cells for the expression of glycosylated
antibody are also derived from multicellular organisms
(invertebrates and vertebrates). Examples of invertebrate cells
include plant and insect cells. Numerous baculoviral strains have
been identified which may be used in conjunction with insect cells,
particularly for transfection of Spodoptera frugiperda cells.
[0214] Plant cell cultures can also be utilized as hosts. See,
e.g., U.S. Pat. Nos. 5,959,177, 6,040,498, 6,420,548, 7,125,978,
and 6.417,429 (describing PLANTIBODIES.TM. technology for producing
antibodies in transgenic plants).
[0215] Vertebrate cells may also be used as hosts. For example,
mammalian cell lines that are adapted to grow in suspension may be
useful. Other examples of useful mammalian host cell lines are
monkey kidney CV1 line transformed by SV40 (COS-7); human embryonic
kidney line (293 or 293 cells as described, e.g., in Graham et al.,
J. Gen Virol. 36:59 (1977)); baby hamster kidney cells (BHK); mouse
sertoli cells (TM4 cells as described, e.g., in Mather, Biol.
Reprod. 23:243-251 (1980)); monkey kidney cells (CV1); African
green monkey kidney cells (VERO-76); human cervical carcinoma cells
(HELA); canine kidney cells (MDCK; buffalo rat liver cells (BRL3A);
human lung cells (W138); human liver cells (Hep G2); mouse mammary
tumor (MMT 060562); TRI cells, as described, e.g., in Mather et
al., Annals N. Y. Acad. Sci. 383:44-68 (1982); MRC 5 cells; and FS4
cells. Other useful mammalian host cell lines include Chinese
hamster ovary (CHO) cells, including DHFR.sup.- CHO cells (Urlaub
et al., Proc. Natl. Acad. Sci. USA 77:4216 (1980)); and myeloma
cell lines such as Y0, NS0 and Sp2/0. For a review of certain
mammalian host cell lines suitable for antibody production, see,
e.g., Yazaki and Wu, Methods in Molecular Biology, Vol. 248 (B. K.
C. Lo, ed., Humana Press, Totowa, N.J.), pp. 255-268 (2003).
[0216] C. Assays
[0217] Anti-FGFR4 antibodies provided herein may be identified,
screened for, or characterized for their physical/chemical
properties and/or biological activities by various assays known in
the art.
[0218] 1. Binding Assays and Other Assays
[0219] In one aspect, an antibody of the invention is tested for
its antigen binding activity, e.g., by known methods such as ELISA,
Western blot, etc.
[0220] In another aspect, competition assays may be used to
identify an antibody that competes with antibody LD1 for binding to
FGFR4. In certain embodiments, such a competing antibody binds to
the same epitope (e.g., a linear or a conformational epitope) that
is bound by antibody LD1. Detailed exemplary methods for mapping an
epitope to which an antibody binds are provided in Morris (1996)
"Epitope Mapping Protocols," in Methods in Molecular Biology vol.
66 (Humana Press, Totowa, N.J.).
[0221] In an exemplary competition assay, immobilized FGFR4 is
incubated in a solution comprising a first labeled antibody that
binds to FGFR4 (e.g., antibody LD1) and a second unlabeled antibody
that is being tested for its ability to compete with the first
antibody for binding to FGFR4. The second antibody may be present
in a hybridoma supernatant. As a control, immobilized FGFR4 is
incubated in a solution comprising the first labeled antibody but
not the second unlabeled antibody. After incubation under
conditions permissive for binding of the first antibody to FGFR4,
excess unbound antibody is removed, and the amount of label
associated with immobilized FGFR4 is measured. If the amount of
label associated with immobilized FGFR4 is substantially reduced in
the test sample relative to the control sample, then that indicates
that the second antibody is competing with the first antibody for
binding to FGFR4. See Harlow and Lane (1988) Antibodies: A
Laboratory Manual ch. 14 (Cold Spring Harbor Laboratory, Cold
Spring Harbor, N.Y.).
[0222] 2. Activity Assays
[0223] In one aspect, assays are provided for identifying
anti-FGFR4 antibodies thereof having biological activity.
Biological activity may include, e.g., inhibition of: FGF (e.g.,
FGF1) stimulated proliferation of cells (e.g. HUH7 cells) that
express FGFR4, FGF19-mediated inhibition of CYP7.alpha.7 expression
in a cell exposed to FGF19, FGF19-induced phosphorylation of FGFR4,
MAPK, FRS2 and/or ERK2 in a cell exposed to FGF19, and
FGF19-induced colony formation (in some embodiments, HCC cell line
colony formation).
[0224] Antibodies having such biological activity in vivo and/or in
vitro are also provided.
[0225] In certain embodiments, an antibody of the invention is
tested for such biological activity. Assays for testing such
biological activity are described herein.
[0226] In certain embodiments, an antibody of the invention is
tested for its ability to inhibit cell growth or proliferation in
vitro. Assays for inhibition of cell growth or proliferation are
well known in the art. Certain assays for cell proliferation,
exemplified by the "cell killing" assays described herein, measure
cell viability. One such assay is the CellTiter-Glo.TM. Luminescent
Cell Viability Assay, which is commercially available from Promega
(Madison, Wis.). That assay determines the number of viable cells
in culture based on quantitation of ATP present, which is an
indication of metabolically active cells. See Crouch et al (1993)
J. Immunol. Meth. 160:81-88, U.S. Pat. No. 6,602,677. The assay may
be conducted in 96- or 384-well format, making it amenable to
automated high-throughput screening (HTS). See Cree et al (1995)
AntiCancer Drugs 6:398-404. The assay procedure involves adding a
single reagent (CellTiter-Glo.RTM. Reagent) directly to cultured
cells. This results in cell lysis and generation of a luminescent
signal produced by a luciferase reaction. The luminescent signal is
proportional to the amount of ATP present, which is directly
proportional to the number of viable cells present in culture. Data
can be recorded by luminometer or CCD camera imaging device. The
luminescence output is expressed as relative light units (RLU).
[0227] Another assay for cell proliferation is the "MTT" assay, a
colorimetric assay that measures the oxidation of
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide to
formazan by mitochondrial reductase. Like the CellTiter-Glo.TM.
assay, this assay indicates the number of metabolically active
cells present in a cell culture. See. e.g., Mosmann (1983) J.
Immunol. Meth. 65:55-63, and Zhang et al. (2005) Cancer Res.
65:3877-3882.
[0228] Cells for use in any of the above in vitro assays include
cells or cell lines that naturally express FGFR4 or that have been
engineered to express FGFR4. Such cells include tumor cells that
overexpress FGFR4 relative to normal cells of the same tissue
origin. Such cells also include cell lines (including tumor cell
lines) that express FGFR4 and cell lines that do not normally
express FGFR4 but have been transfected with nucleic acid encoding
FGFR4. Exemplary cell lines provided herein for use in any of the
above in vitro assays include HCC cell line HUH7.
[0229] In one aspect, an anti-FGFR4 antibody thereof is tested for
its ability to inhibit cell growth or proliferation in vivo. In
certain embodiments, an anti-FGFR4 antibody thereof is tested for
its ability to inhibit tumor growth in vivo. In vivo model systems,
such as xenograft models, can be used for such testing. In an
exemplary xenograft system, human tumor cells are introduced into a
suitably immunocompromised non-human animal, e.g., an athymic
"nude" mouse. An antibody of the invention is administered to the
animal. The ability of the antibody to inhibit or decrease tumor
growth is measured. In certain embodiments of the above xenograft
system, the human tumor cells are tumor cells from a human patient.
Such xenograft models are commercially available from Oncotest GmbH
(Frieberg, Germany). In certain embodiments, the human tumor cells
are cells from a human tumor cell line, such as the HUH7 HCC tumor
cell line. In certain embodiments, the human tumor cells are
introduced into a suitably immunocompromised non-human animal by
subcutaneous injection or by transplantation into a suitable site,
such as a mammary fat pad. In certain embodiments, the xenograft
model is a transgenic mouse that overexpresses FGF19, e.g., as
described herein and in nicholes et al, Am J Pathol
160:2295-2307.
[0230] It is understood that any of the above assays may be carried
out using an immunoconjugate of the invention in place of or in
addition to an anti-FGFR4 antibody.
[0231] It is understood that any of the above assays may be carried
out using anti-FGFR4 antibody and an additional therapeutic agent,
such as a chemotherapeutic agent.
[0232] D. Immunoconjugates
[0233] The invention also provides immunoconjugates comprising an
anti-FGFR4 antibody herein conjugated to one or more cytotoxic
agents, such as chemotherapeutic agents or drugs, growth inhibitory
agents, toxins (e.g., protein toxins, enzymatically active toxins
of bacterial, fungal, plant, or animal origin, or fragments
thereof), or radioactive isotopes.
[0234] In one embodiment, an immunoconjugate is an antibody-drug
conjugate (ADC) in which an antibody is conjugated to one or more
drugs, including but not limited to a maytansinoid (see U.S. Pat.
Nos. 5,208,020, 5,416,064 and European Patent EP 0 425 235 B1); an
auristatin such as monomethylauristatin drug moieties DE and DF
(MMAE and MMAF) (see U.S. Pat. Nos. 5,635,483 and 5,780,588, and
7,498,298); a dolastatin; a calicheamicin or derivative thereof
(see U.S. Pat. Nos. 5,712,374, 5,714,586, 5,739,116, 5,767,285,
5,770,701, 5,770,710, 5,773,001, and 5,877,296; Hinman et al.,
Cancer Res. 53:3336-3342 (1993); and Lode et al., Cancer Res.
58:2925-2928 (1998)); an anthracycline such as daunomycin or
doxorubicin (see Kratz et al., Current Med. Chem. 13:477-523
(2006); Jeffrey et al., Bioorganic & Med. Chem. Letters
16:358-362 (2006); Torgov et al., Bioconj. Chem. 16:717-721 (2005);
Nagy et al., Proc. Natl. Acad. Sci. USA 97:829-834 (2000);
Dubowchik et al., Bioorg. & Med. Chem. Letters 12:1529-1532
(2002); King et al., J. Med. Chem. 45:4336-4343 (2002); and U.S.
Pat. No. 6,630,579); methotrexate; vindesine; a taxane such as
docetaxel, paclitaxel, larotaxel, tesetaxel, and ortataxel; a
trichothecene; and CC1065.
[0235] In another embodiment, an immunoconjugate comprises an
antibody as described herein conjugated to an enzymatically active
toxin or fragment thereof, including but not limited to diphtheria
A chain, nonbinding active fragments of diphtheria toxin, exotoxin
A chain (from Pseudomonas aeruginosa), ricin A chain, abrin A
chain, modeccin A chain, alpha-sarcin, Aleurites fordii proteins,
dianthin proteins, Phytolaca americana proteins (PAPI, PAPII, and
PAP-S), momordica charantia inhibitor, curcin, crotin, sapaonaria
officinalis inhibitor, gelonin, mitogellin, restrictocin,
phenomycin, enomycin, and the tricothecenes.
[0236] In another embodiment, an immunoconjugate comprises an
antibody as described herein conjugated to a radioactive atom to
form a radioconjugate. A variety of radioactive isotopes are
available for the production of radioconjugates. Examples include
At.sup.211, I.sup.131, I.sup.25, Y.sup.90, Re.sup.186, Re.sup.188,
Sm.sup.153, Bi.sup.212, P.sup.32, Pb.sup.212 and radioactive
isotopes of Lu. When the radioconjugate is used for detection, it
may comprise a radioactive atom for scintigraphic studies, for
example tc99m or I123, or a spin label for nuclear magnetic
resonance (NMR) imaging (also known as magnetic resonance imaging,
mri), such as iodine-123 again, iodine-131, indium-111,
fluorine-19, carbon-13, nitrogen-15, oxygen-17, gadolinium,
manganese or iron.
[0237] Conjugates of an antibody and cytotoxic agent may be made
using a variety of bifunctional protein coupling agents such as
N-succinimidyl-3-(2-pyridyldithio) propionate (SPDP),
succinimidyl-4-(N-maleimidomethyl) cyclohexane-1-carboxylate
(SMCC), iminothiolane (IT), bifunctional derivatives of imidoesters
(such as dimethyl adipimidate HCl), active esters (such as
disuccinimidyl suberate), aldehydes (such as glutaraldehyde),
bis-azido compounds (such as bis (p-azidobenzoyl) hexanediamine),
bis-diazonium derivatives (such as
bis-(p-diazoniumbenzoyl)-ethylenediamine), diisocyanates (such as
toluene 2,6-diisocyanate), and bis-active fluorine compounds (such
as 1,5-difluoro-2,4-dinitrobenzene). For example, a ricin
immunotoxin can be prepared as described in Vitetta et al., Science
238:1098 (1987). Carbon-14-labeled
1-isothiocyanatobenzyl-3-methyldiethylene triaminepentaacetic acid
(MX-DTPA) is an exemplary chelating agent for conjugation of
radionucleotide to the antibody. See WO94/11026. The linker may be
a "cleavable linker" facilitating release of a cytotoxic drug in
the cell. For example, an acid-labile linker, peptidase-sensitive
linker, photolabile linker, dimethyl linker or disulfide-containing
linker (Chari et al., Cancer Res. 52:127-131 (1992); U.S. Pat. No.
5,208,020) may be used.
[0238] The immunoconjugates or ADCs herein expressly contemplate,
but are not limited to such conjugates prepared with cross-linker
reagents including, but not limited to, BMPS, EMCS, GMBS, HBVS,
LC-SMCC, MBS, MPBH, SBAP, SIA, SIAB, SMCC, SMPB, SMPH, sulfo-EMCS,
sulfo-GMBS, sulfo-KMUS, sulfo-MBS, sulfo-SIAB, sulfo-SMCC, and
sulfo-SMPB, and SVSB (succinimidyl-(4-vinylsulfone)benzoate) which
are commercially available (e.g., from Pierce Biotechnology, Inc.,
Rockford, Ill., U.S.A).
[0239] E. Methods and Compositions for Diagnostics and
Detection
[0240] In certain embodiments, any of the anti-FGFR4 antibodies
provided herein is useful for detecting the presence of FGFR4 in a
biological sample. The term "detecting" as used herein encompasses
quantitative or qualitative detection. In certain embodiments, a
biological sample comprises a cell or tissue, such as breast,
pancreas, esophagus, lung and/or brain.
[0241] In one embodiment, an anti-FGFR4 antibody for use in a
method of diagnosis or detection is provided. In a further aspect,
a method of detecting the presence of FGFR4 in a biological sample
is provided. In certain embodiments, the method comprises
contacting the biological sample with an anti-FGFR4 antibody as
described herein under conditions permissive for binding of the
anti-FGFR4 antibody to FGFR4, and detecting whether a complex is
formed between the anti-FGFR4 antibody and FGFR4. Such method may
be an in vitro or in vivo method. In one embodiment, an anti-FGFR4
antibody is used to select subjects eligible for therapy with an
anti-FGFR4 antibody, e.g. where FGFR4 is a biomarker for selection
of patients.
[0242] Exemplary disorders that may be diagnosed using an antibody
of the invention include cancer (for example, cancer of the breast,
lung, pancreas, brain, kidney, ovary, stomach, leukemia, uterine
endometrium, colon, prostate, pituitary, mammary fibroadenoma, head
and neck, soft tissue, neuroblastomas, melanoma, endometrium,
testis, cholangiocarcinoma, gallbladder and liver).
[0243] In certain embodiments, labeled anti-FGFR4 antibodies are
provided. Labels include, but are not limited to, labels or
moieties that are detected directly (such as fluorescent,
chromophoric, electron-dense, chemiluminescent, and radioactive
labels), as well as moieties, such as enzymes or ligands, that are
detected indirectly, e.g., through an enzymatic reaction or
molecular interaction. Exemplary labels include, but are not
limited to, the radioisotopes .sup.32P, .sup.14C, .sup.12I,
.sup.3H, and .sup.131I, fluorophores such as rare earth chelates or
fluorescein and its derivatives, rhodamine and its derivatives,
dansyl, umbelliferone, luceriferases, e.g., firefly luciferase and
bacterial luciferase (U.S. Pat. No. 4,737,456), luciferin,
2,3-dihydrophthalazinediones, horseradish peroxidase (HRP),
alkaline phosphatase, .beta.-galactosidase, glucoamylase, lysozyme,
saccharide oxidases, e.g., glucose oxidase, galactose oxidase, and
glucose-6-phosphate dehydrogenase, heterocyclic oxidases such as
uricase and xanthine oxidase, coupled with an enzyme that employs
hydrogen peroxide to oxidize a dye precursor such as HRP,
lactoperoxidase, or microperoxidase, biotin/avidin, spin labels,
bacteriophage labels, stable free radicals, and the like.
[0244] F. Pharmaceutical Formulations
[0245] Pharmaceutical formulations of an anti-FGFR4 antibody as
described herein are prepared by mixing such antibody having the
desired degree of purity with one or more optional pharmaceutically
acceptable carriers (Remington's Pharmaceutical Sciences 16th
edition, Osol, A. Ed. (1980)), in the form of lyophilized
formulations or aqueous solutions. Pharmaceutically acceptable
carriers are generally nontoxic to recipients at the dosages and
concentrations employed, and include, but are not limited to:
buffers such as phosphate, citrate, and other organic acids;
antioxidants including ascorbic acid and methionine; preservatives
(such as octadecyldimethylbenzyl ammonium chloride; hexamethonium
chloride; benzalkonium chloride; benzethonium chloride; phenol,
butyl or benzyl alcohol; alkyl parabens such as methyl or propyl
paraben; catechol; resorcinol; cyclohexanol; 3-pentanol; and
m-cresol); low molecular weight (less than about 10 residues)
polypeptides; proteins, such as serum albumin, gelatin, or
immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone;
amino acids such as glycine, glutamine, asparagine, histidine,
arginine, or lysine; monosaccharides, disaccharides, and other
carbohydrates including glucose, mannose, or dextrins; chelating
agents such as EDTA; sugars such as sucrose, mannitol, trehalose or
sorbitol; salt-forming counter-ions such as sodium; metal complexes
(e.g. Zn-protein complexes); and/or non-ionic surfactants such as
polyethylene glycol (PEG). Exemplary pharmaceutically acceptable
carriers herein further include insterstitial drug dispersion
agents such as soluble neutral-active hyaluronidase glycoproteins
(sHASEGP), for example, human soluble PH-20 hyaluronidase
glycoproteins, such as rHuPH20 (HYLENEX.RTM., Baxter International,
Inc.). Certain exemplary sHASEGPs and methods of use, including
rHuPH20, are described in US Patent Publication Nos. 2005/0260186
and 2006/0104968. In one aspect, a sHASEGP is combined with one or
more additional glycosaminoglycanases such as chondroitinases.
[0246] Exemplary lyophilized antibody formulations are described in
U.S. Pat. No. 6,267,958. Aqueous antibody formulations include
those described in U.S. Pat. No. 6,171,586 and WO2006/044908, the
latter formulations including a histidine-acetate buffer.
[0247] The formulation herein may also contain more than one active
ingredients as necessary for the particular indication being
treated, preferably those with complementary activities that do not
adversely affect each other. For example, it may be desirable to
further provide an EGFR antagonist (such as erlotinib), an
anti-angiogenic agent (such as VEGF antagonist, such as an
anti-VEGF antibody) or a chemotherapeutic agent (such as a taxoid
or a platinum agent). Such active ingredients are suitably present
in combination in amounts that are effective for the purpose
intended.
[0248] Active ingredients may be entrapped in microcapsules
prepared, for example, by coacervation techniques or by interfacial
polymerization, for example, hydroxymethylcellulose or
gelatin-microcapsules and poly-(methylmethacylate) microcapsules,
respectively, in colloidal drug delivery systems (for example,
liposomes, albumin microspheres, microemulsions, nano-particles and
nanocapsules) or in macroemulsions. Such techniques are disclosed
in Remington's Pharmaceutical Sciences 16th edition, Osol, A. Ed.
(1980).
[0249] Sustained-release preparations may be prepared. Suitable
examples of sustained-release preparations include semipermeable
matrices of solid hydrophobic polymers containing the antibody,
which matrices are in the form of shaped articles, e.g. films, or
microcapsules.
[0250] The formulations to be used for in vivo administration are
generally sterile. Sterility may be readily accomplished, e.g., by
filtration through sterile filtration membranes.
[0251] G. Therapeutic Methods and Compositions
[0252] Any of the anti-FGFR4 antibodies provided herein may be used
in therapeutic methods.
[0253] In one aspect, an anti-FGFR4 antibody for use as a
medicament is provided. In further aspects, an anti-FGFR4 antibody
for use in treating cancer is provided. In further embodiments, an
anti-FGFR4 antibody for use in treating liver disease (e.g.,
cirrhosis) is provided. In further embodiments, an anti-FGFR4
antibody for use in treating wasting disorders is provided. In
certain embodiments, an anti-FGFR4 antibody for use in a method of
treatment is provided. In certain embodiments, the invention
provides an anti-FGFR4 antibody for use in a method of treating an
individual having cancer comprising administering to the individual
an effective amount of the anti-FGFR4 antibody. In certain
embodiments, the invention provides an anti-FGFR4 antibody for use
in a method of treating an individual having a liver disorder (such
as cirrhosis) comprising administering to the individual an
effective amount of the anti-FGFR4 antibody. In one such
embodiment, the method further comprises administering to the
individual an effective amount of at least one additional
therapeutic agent, e.g., as described below. In further
embodiments, the invention provides an anti-FGFR4 antibody for use
in inhibiting cell proliferation. In certain embodiments, the
invention provides an anti-FGFR4 antibody for use in a method of
inhibiting cell proliferation in an individual comprising
administering to the individual an effective of the anti-FGFR4
antibody to inhibit cell proliferation. An "individual" according
to any of the above embodiments is preferably a human.
[0254] In a further aspect, the invention provides for the use of
an anti-FGFR4 antibody in the manufacture or preparation of a
medicament. In one embodiment, the medicament is for treatment of
cancer. In a further embodiment, the medicament is for use in a
method of treating cancer comprising administering to an individual
having cancer an effective amount of the medicament. In one
embodiment, the medicament is for treatment of a liver disorder
(such as cirrhosis, non-alcoholic fatty liver disease, biliary
cirrhosis, sclerosing cholengitis, progressive familial
intrahepatic cholestasis). In a further embodiment, the medicament
is for use in a method of treating a liver disorder (such as
cirrhosis, non-alcoholic fatty liver disease, biliary cirrhosis,
sclerosing cholengitis, progressive familial intrahepatic
cholestasis) comprising administering to an individual having the
liver disorder an effective amount of the medicament. In one such
embodiment, the method further comprises administering to the
individual an effective amount of at least one additional
therapeutic agent, e.g., as described below. In a further
embodiment, the medicament is for inhibiting cell proliferation. In
a further embodiment, the medicament is for use in a method of
inhibiting cell proliferation in an individual comprising
administering to the individual an amount effective of the
medicament to inhibit cell proliferation. An "individual" according
to any of the above embodiments may be a human.
[0255] In a further aspect, the invention provides a method for
treating a cancer. In one embodiment, the method comprises
administering to an individual having such cancer an effective
amount of an anti-FGFR4 antibody. In one such embodiment, the
method further comprises administering to the individual an
effective amount of at least one additional therapeutic agent, as
described below. An "individual" according to any of the above
embodiments may be a human.
[0256] In a further aspect, the invention provides a method for
treating a liver disorder (such as cirrhosis, non-alcoholic fatty
liver disease, biliary cirrhosis, sclerosing cholengitis,
progressive familial intrahepatic cholestasis). In one embodiment,
the method comprises administering to an individual having such a
liver disorder an effective amount of an anti-FGFR4 antibody. In
one such embodiment, the method further comprises administering to
the individual an effective amount of at least one additional
therapeutic agent, as described below. An "individual" according to
any of the above embodiments may be a human.
[0257] In a further aspect, the invention provides a method for
treating a wasting disorder. In one embodiment, the method
comprises administering to an individual having such a wasting
disorder an effective amount of an anti-FGFR4 antibody. In one such
embodiment, the method further comprises administering to the
individual an effective amount of at least one additional
therapeutic agent, as described below. An "individual" according to
any of the above embodiments may be a human.
[0258] In a further aspect, the invention provides a method for
inhibiting cell proliferation in an individual. In one embodiment,
the method comprises administering to the individual an effective
amount of an anti-FGFR4 antibody to inhibit cell proliferation. In
one embodiment, an "individual" is a human.
[0259] In a further aspect, the invention provides pharmaceutical
formulations comprising any of the anti-FGFR4 antibodies provided
herein, e.g., for use in any of the above therapeutic methods. In
one embodiment, a pharmaceutical formulation comprises any of the
anti-FGFR4 antibodies provided herein and a pharmaceutically
acceptable carrier. In another embodiment, a pharmaceutical
formulation comprises any of the anti-FGFR4 antibodies provided
herein and at least one additional therapeutic agent, e.g., as
described below.
[0260] Antibodies of the invention can be used either alone or in
combination with other agents in a therapy. For instance, an
antibody of the invention may be co-administered with at least one
additional therapeutic agent. In certain embodiments, an additional
therapeutic agent is a chemotherapeutic agent. In certain
embodiments, an additional therapeutic agent is an
anti-angiogenesis agent.
[0261] Such combination therapies noted above encompass combined
administration (where two or more therapeutic agents are included
in the same or separate formulations), and separate administration,
in which case, administration of the antibody of the invention can
occur prior to, simultaneously, and/or following, administration of
the additional therapeutic agent and/or adjuvant. Antibodies of the
invention can also be used in combination with radiation
therapy.
[0262] An antibody of the invention (and any additional therapeutic
agent) can be administered by any suitable means, including
parenteral, intrapulmonary, and intranasal, and, if desired for
local treatment, intralesional administration. Parenteral infusions
include intramuscular, intravenous, intraarterial, intraperitoneal,
or subcutaneous administration. Dosing can be by any suitable
route, e.g. by injections, such as intravenous or subcutaneous
injections, depending in part on whether the administration is
brief or chronic. Various dosing schedules including but not
limited to single or multiple administrations over various
time-points, bolus administration, and pulse infusion are
contemplated herein.
[0263] Antibodies of the invention would be formulated, dosed, and
administered in a fashion consistent with good medical practice.
Factors for consideration in this context include the particular
disorder being treated, the particular mammal being treated, the
clinical condition of the individual patient, the cause of the
disorder, the site of delivery of the agent, the method of
administration, the scheduling of administration, and other factors
known to medical practitioners. The antibody need not be, but is
optionally formulated with one or more agents currently used to
prevent or treat the disorder in question. The effective amount of
such other agents depends on the amount of antibody present in the
formulation, the type of disorder or treatment, and other factors
discussed above. These are generally used in the same dosages and
with administration routes as described herein, or about from 1 to
99% of the dosages described herein, or in any dosage and by any
route that is empirically/clinically determined to be
appropriate.
[0264] For the prevention or treatment of disease, the appropriate
dosage of an antibody of the invention (when used alone or in
combination with one or more other additional therapeutic agents)
will depend on the type of disease to be treated, the type of
antibody, the severity and course of the disease, whether the
antibody is administered for preventive or therapeutic purposes,
previous therapy, the patient's clinical history and response to
the antibody, and the discretion of the attending physician. The
antibody is suitably administered to the patient at one time or
over a series of treatments. Depending on the type and severity of
the disease, about 1 .mu.g/kg to 15 mg/kg (e.g. 0.1 mg/kg-10 mg/kg)
of antibody can be an initial candidate dosage for administration
to the patient, whether, for example, by one or more separate
administrations, or by continuous infusion. One typical daily
dosage might range from about 1 .mu.g/kg to 100 mg/kg or more,
depending on the factors mentioned above. For repeated
administrations over several days or longer, depending on the
condition, the treatment would generally be sustained until a
desired suppression of disease symptoms occurs. Such doses may be
administered intermittently, e.g. every week or every three weeks
(e.g. such that the patient receives from about two to about
twenty, or e.g. about six doses of the antibody). An initial higher
loading dose, followed by one or more lower doses may be
administered. However, other dosage regimens may be useful. The
progress of this therapy is easily monitored by conventional
techniques and assays.
[0265] It is understood that any of the above formulations or
therapeutic methods may be carried out using an immunoconjugate of
the invention in place of or in addition to an anti-FGFR4
antibody.
[0266] H. Articles of Manufacture
[0267] In another aspect of the invention, an article of
manufacture containing materials useful for the treatment,
prevention and/or diagnosis of the disorders described above is
provided. The article of manufacture comprises a container and a
label or package insert on or associated with the container.
Suitable containers include, for example, bottles, vials, syringes,
IV solution bags, etc. The containers may be formed from a variety
of materials such as glass or plastic. The container holds a
composition which is by itself or combined with another composition
effective for treating, preventing and/or diagnosing the condition
and may have a sterile access port (for example the container may
be an intravenous solution bag or a vial having a stopper
pierceable by a hypodermic injection needle). At least one active
agent in the composition is an antibody of the invention. The label
or package insert indicates that the composition is used for
treating the condition of choice. Moreover, the article of
manufacture may comprise (a) a first container with a composition
contained therein, wherein the composition comprises an antibody of
the invention; and (b) a second container with a composition
contained therein, wherein the composition comprises a further
cytotoxic or otherwise therapeutic agent. The article of
manufacture in this embodiment of the invention may further
comprise a package insert indicating that the compositions can be
used to treat a particular condition. Alternatively, or
additionally, the article of manufacture may further comprise a
second (or third) container comprising a
pharmaceutically-acceptable buffer, such as bacteriostatic water
for injection (BWFI), phosphate-buffered saline, Ringer's solution
and dextrose solution. It may further include other materials
desirable from a commercial and user standpoint, including other
buffers, diluents, filters, needles, and syringes.
[0268] It is understood that any of the above articles of
manufacture may include an immunoconjugate of the invention in
place of or in addition to an anti-FGFR4 antibody.
III. Examples
[0269] A. Treatment with Anti-FGFR4 Antibodies Inhibited
Hepatocellular Carcinoma Materials and Methods
[0270] In Silico Expression Analysis.
[0271] For expression analysis, box- and whisker-plots were
generated for FGFR4 with the normalized gene expression data
extracted from the BioExpress.TM. database (Gene Logic,
Gaithersburg, Md.). The distribution of FGFR4 expression in normal
and cancer tissues was evaluated using the signals associated with
probe 204579_at.
[0272] Immunohistochemistry.
[0273] Formalin-fixed paraffin-embedded tissue sections were
treated for antigen retrieval using Trilogy (Cell Marque, Rocklin,
Calif.) and then incubated with 10 .mu.g/ml anti-FGFR4 antibody
(8G11; Genentech, South San Francisco, Calif.). The immunostaining
was accomplished using a biotinylated secondary antibody, an
ABC-HRP reagent (Vector Laboratories, Burlingame, Calif.), and a
metal-enhanced DAB colorimetric peroxidase substrate (Thermo Fisher
Scientific, Rockford, Ill.).
[0274] Semi-Quantitative RT-PCR.
[0275] Total RNA was extracted using the RNeasy kit (Qiagen,
Valencia, Calif.). Specific primers and fluorogenic probes were
used to amplify and quantitate gene expression (31). The
gene-specific signals were normalized to the RPL19 housekeeping
gene. All TaqMan qRT-PCR reagents were purchased from Applied
Biosystems (Foster City, Calif.). A minimum of a triplicate set of
data was analyzed for each condition. Data are presented as the
mean.+-.SEM.
[0276] Immunoprecipitation and Immunoblotting.
[0277] Lysates of cultured cells or frozen tissues were prepared
with RIPA lysis buffer (Millipore, Billerica, Mass.) supplemented
with Completed EDTA-free protease inhibitor cocktail (Roche,
Indianapolis, Ind.), phosphatase inhibitor cocktails 1 and 2
(Sigma-Aldrich, St. Louis, Mo.), 2 mM sodium fluoride, and 2 mM
sodium orthovanadate. Equal amounts of protein, as determined by
BCA assay (Thermo Fisher Scientific) were analyzed by immunoblot
analysis using antibodies against FGFR4 (8G11; Genentech), FGFR3
(Santa Cruz Biotechnology, Santa Cruz, Calif.), FGFR2 (GeneTex,
Irvine, Calif.) and FGFR1 (Santa Cruz Biotechnology). For the human
liver lysates, the immunoblot analysis was preceded by the
immunoprecipitation of FGFR4 as described previously (16).
[0278] Generation of FGFR4 monoclonal antibodies. FGFR4 null mice
were immunized with recombinant human and mouse FGFR4-Fc chimeric
proteins (Genentech). Spleens were harvested after 8 weeks and
hybridomas were generated. Cultured supernatants were collected and
screened by solid phase antibody binding assay against the
immunogens. Positive cell lines were further screened using solid
phase receptor binding assay for their efficacy at inhibiting FGF1
and FGF19 binding to human and mouse FGFR4. The LD1-producing
hybridoma was subcloned twice to insure monoclonality.
[0279] Molecular Cloning of LD1.
[0280] Total RNA was extracted from hybridoma cells producing muLD1
using the RNeasy Mini kit (Qiagen). The variable light and variable
heavy domains were amplified using reverse transcription-PCR
(RT-PCR). The forward primers were specific for the
NH.sub.2-terminal amino acid sequence of the variable light and
variable heavy regions. Respectively, the light chain and heavy
chain reverse primers were designed to anneal to regions in the
constant light and constant heavy domain 1 that are highly
conserved across species. Amplified variable light chain was cloned
into a mammalian expression vector containing the human K constant
domain. Amplified variable heavy chain was inserted into a
mammalian expression vector encoding the full-length human IgG1
constant domain. The chimeric antibody was transiently expressed as
previously described (16). Experiments described in this Part A of
the Examples (including FIGS. 1-9) used chimeric LD1.
[0281] Solid Phase Antibody Binding Assay.
[0282] Maxisorp 96 well plates were coated overnight at 4.degree.
C. with 50 .mu.l of 2 .mu.g/ml anti-human immunoglobulin Fc
fragment-specific (Jackson ImmunoResearch Laboratories, West Grove,
Pa.) or anti-FLAG antibody (Sigma-Aldrich). The non-specific
binding sites were saturated with 200 .mu.l PBS/3% bovine serum
albumin (BSA) for 1 hour and FGFRs-IgG (Genentech and R&D
Systems, Minneapolis, Minn.) or FLAG tagged-FGFR4
(FGFR4.DELTA.TM-FLAG) were incubated in PBS/0.3% BSA for 1 hour.
The plates were washed and incubated for 1 hour with anti-FGFR4
antibodies in PBS/0.3% BSA. The bound antibodies were detected
using an HRP-conjugated anti-IgG (Jackson ImmunoResearch
Laboratories) and the TMB peroxidase colorigenic substrate (KPL,
Gaithersburg, Md.).
[0283] Flow Cytometry Analysis.
[0284] Cells for flow cytometry analysis were resuspended with PBS
containing 5 mM EDTA and washed with PBS containing 2%
heat-inactivated fetal bovine serum (FBS). All subsequent steps
were carried out on ice. Cells (1.times.10.sup.6) were incubated
with a primary antibody (LD1 or isotype control) for 30 minutes,
followed by incubation with phycoerythrin (PE)-conjugated
anti-human IgG antibody (Jackson ImmunoResearch). Cells were
analyzed with a FACScan flow cytometer (BD Biosciences, San Jose,
Calif.).
[0285] DNA Constructs.
[0286] The human FGFR4 (hFGFR4) cDNA was cloned as described
previously (16). The extracellular domain of FGFR4 was also
subcloned into the expression vector pCMV-Tag4A (Stratagene, La
Jolla, Calif.) to obtain a secreted form of FGFR4 with a FLAG tag
at the C-terminal end (FGFR4.DELTA.TM-Flag). Single nucleotide
mutations were introduced in the FGFR4.DELTA.TM-Flag construct
using the QuikChange XL Site-Directed Mutagenesis Kit (Stratagene).
We also generated a human FGFR4-FGFR1 chimeric construct
(hFGFR4/R1) that contained the extracellular and the transmembrane
domains of human FGFR4 (amino acid residues M1-G392 of FGFR4) fused
to the cytoplasmic domain of human FGFR1 (amino acid residues
K398-R820 of FGFR1). The amino acid sequence joining FGFR4 (bold)
to FGFR1 (plain) is . . .
TABLE-US-00006 (SEQ ID NO: 32) KMKSG
KMKSG ID NO: 32) . . . . The hFGFR4 cDNA or hFGFR4/R1 cDNA was
ligated into the pQCXIP retroviral bicistronic expression vector
(Clontech Laboratories, Mountain View, Calif.).
[0287] FGFR4.DELTA.TM-Flag-Conditioned Medium.
[0288] HEK293 cells were transfected with the wild type or mutant
FGFR4.DELTA.TM-Flag constructs or the corresponding empty vector
and maintained in serum free PS25 medium for 72 to 96 hours. The
resulting media were filtered, supplemented with HEPES pH 7.2
(final concentration 40 mM), and protease inhibitors and stored at
4.degree. C. until used.
[0289] Cell Culture and Stable Cell Lines.
[0290] HEK293, HEPG2, and HEP3B cells were obtained from American
Type Culture Collection (ATCC, Manassas, Va.) and maintained in
F-12:DMEM mix (50:50) supplemented with 10% FBS and 2 mM
L-glutamine. HUH7 and PLC/PRF/5 cells were cultured in DMEM high
glucose, 10% FBS. JHH4, JHH5, and JHH7 cells were purchased from
the Japanese Cancer Research Resources Bank (Tokyo, Japan) and
maintained in Williams Medium E supplemented with 10% FBS and 2 mM
L-glutamine. SNU449 cells were obtained from ATCC and maintained in
RPMI 1640 containing 10% FBS and 2 mM L-glutamine. BaF3 cells were
maintained in RPMI 1640 (Life Technologies, Carlsbad, Calif.)
supplemented with 10% FBS, 1 ng/ml IL-3, and 2 mM L-glutamine. L6
cells were obtained from ATCC and maintained in DMEM high glucose
supplemented with 10% FBS.
[0291] Cultures of BaF3 and L6 cells were infected with the empty,
hFGFR4, or hFGFR4/R1 retroviral expression vectors according to the
manufacturer's recommendations and selected in media containing 2.5
.mu.g/mL puromycin (Life Technologies) for 10 to 12 days. From the
selected pools, the fifth percentile of highest expressing cells
was isolated by Fluorescence Activated Cell Sorting (FACS) using an
anti-FGFR4 antibody (8G11; Genentech). The resulting pools of cells
expressing high levels of FGFR4, high levels of FGFR4/R1, and the
control cells stably transfected with an empty vector were
maintained in complete medium containing 2.5 .mu.g/mL
puromycin.
[0292] Mitogenic Assays.
[0293] BaF3/control, BaF3/FGFR4, and BaF3/FGFR4/R1 cells were
washed twice and seeded in 96-well plates (22,500 cells/well) in
RPMI 1640 supplemented with 10% FBS, 2 mM L-glutamine, and 2 g/ml
heparin. FGFs were added to each well and the cells were incubated
at 37.degree. C. for 72 hours. The relative cell density was
measured using CellTiter-Glo (Promega, Madison, Wis.) according to
the manufacturer's recommendations.
[0294] Anti-FGFR4 Antibody Inhibition of FGF Pathway
Activation.
[0295] Cells were serum starved for 24 hours in the absence or
presence of LD1 or an isotype control antibody. They were then
stimulated with 5 ng/ml FGF1 (FGF acidic, R&D Systems) and 10
.mu.g/ml heparin for 5 minutes. The cells were lysed with RIPA
lysis buffer (Millipore) supplemented with Complete EDTA-free
protease inhibitor cocktail (Roche), phosphatase inhibitor
cocktails 1 and 2 (Sigma-Aldrich), 2 mM sodium fluoride, and 2 mM
sodium orthovanadate. Equal amounts of protein were analyzed by
immunoblot using antibodies against phospho-ERK1/2, phospho-FRS2,
ERK1/2 (Cell Signaling Technology, Danvers, Mass.), and FRS2
(Millipore).
[0296] Clonogenic assay. HUH7 (5,000 cells/well), PLC/PRF/5 (2,000
cells/well), JHH5 (500 cells/well), or JHH5/hFGFR4 shRNA (500
cells/well) cells were seeded in 2 ml medium/well in 6 well plates,
in triplicate. Three hours after seeding, the HUH7 and PLC/PRF/5
cells were treated without or with anti-FGFR4 antibody (chLD1;
Genentech). Antibody was replaced twice weekly for the duration of
the experiment (14 days). For the JHH5 and JHH5/hFGFR4 shRNA cells,
treatment without or with 2 mg/ml doxycycline was initiated 3 hours
after seeding, and replaced three times weekly for the duration of
the experiment. Cells were washed with PBS and stained with 0.5%
crystal violet solution. Colonies were counted using MetaMorph
software (Molecular Devices, Sunnyvale, Calif.).
[0297] In Vivo Experiments.
[0298] All animal protocols were approved by an Institutional
Animal Care and Use Committee. Female nu/nu mice that were 5 to 6
weeks old were obtained from Charles River Laboratories
International (Wilmington, Mass.). The mice were provided standard
feed and water ad libitum until 12 hours before injection, at which
time feed was removed. Mice were given intraperitoncal (IP)
injections (10 mg/kg) of a control or an anti-FGFR4 (chLD1)
antibody. Eighteen hours later the mice received vehicle (PBS) or 1
mg/kg FGF19 intravenously (IV). After 30 minutes, mice from all
groups were necropsied and tissue samples were collected, frozen in
liquid nitrogen, and stored at -70.degree. C. Total RNA from frozen
tissue samples was prepared using the RNeasy kit (Qiagen). Groups
of 3 to 5 animals were analyzed for each condition. Data are
presented as the mean.+-.SEM and were analyzed by the Student's
t-test.
[0299] For xenograft experiments, 6- to 8-week-old nu/nu female
mice (Charles River Laboratories International) were inoculated
subcutaneously with 5.times.10.sup.6 cells (200 ul/mouse) and
Matrigel (BD Biosciences). After 7 days, mice bearing tumors of
equivalent volumes (.about.150 mm.sup.3) were randomized into
groups (n=10) and treated IP twice weekly. Tumors were measured
with an electronic caliper (Fowler Sylvac Ultra-Cal Mark III; Fred
V. Fowler Company, Newton, Mass.) and average tumor volume was
calculated using the formula: (W.sup.2.times.L)/2 where W and L are
the smaller diameter and larger diameter, respectively. Data are
presented as the mean tumor volume.+-.SEM and were analyzed by the
Student's t-test.
[0300] The FGF19 transgenic mice were produced as described
previously (32). The FGFR4 null mutant (FGFR4-KO) animals were
constructed as reported previously (33) and provided by W. L.
McKechan under a Material Transfer Agreement (University of Texas
Southwestern Medical Center, Dallas, Tex.). Mice that both
overexpressed FGF19 and lacked the FGFR4 receptor
(FGF19-TG:FGFR4-KO) were fabricated by crossing young adult
FGF19-TG males with young adult FGFR4-KO females. The presence of
both gene engineering events was confirmed at weaning by PCR on
tail DNA.
[0301] Results
[0302] FGFR4 is Required for Hepatocarcinogenesis in FGF19
Transgenic Mice.
[0303] The exogenous expression of FGF19 in transgenic mice was
previously shown to cause HCC by the age of 10 months (18). To
assess whether FGFR4 is involved in this FGF19-mediated
tumorigenesis we bred the FGF19 transgenic (FGF19-TG) mice with
FGFR4 knockout (FGFR4-KO) mice or FGFR4 wild type (FGFR4-WT) mice.
The mice were necropsied at various time points and liver
carcinogenesis was assessed by performing gross and histological
examinations and by measuring preneoplastic hepatocellular
proliferation (i.e. BrdU incorporation). The development of HCC in
FGF19-TG:FGFR4-WT mice was as previously described (18). Contrary
to the FGF19-TG:FGFR4-WT mice, the FGF19-TG:FGFR4-KO mice did not
develop gross or histological evidence of hepatocellular neoplasia
at any time during this experiment (FIG. 1A). Also, preneoplastic
hepatocellular proliferation was significantly elevated in FGF19-TG
mice that had the FGFR4-WT genotype, but was not evident in the
FGF19-TG:FGFR4-KO littermates (FIG. 1B). Consistent with the
previously reported higher frequency and severity of tumor
development in female FGF19-TG mice (18), the BrdU incorporation
was increased in FGF19-TG:FGFR4-WT females as compared to the
corresponding males (compare left and right panels of FIG. 1B). We
also evaluated the effect of diethylnitrosamine (DEN), a potent
liver carcinogen, on the development of HCC in FGF19-TG mice. The
administration of DEN accelerated the development of HCC in
FGF19-TG:FGFR4-WT mice. The entire range of preneoplastic and
neoplastic lesions-altered (basophilic) hepatic foci, pericentral
hepatocyte dysplasia, well differentiated hepatocellular neoplasms,
and aggressive hepatocellular carcinomas--was seen in livers from
all DEN-treated FGF19-TG:FGFR4-WT animals by 4 months of age (FIG.
1D) as compared to 10 months of age for the non-DEN treated
FGF19-TG:FGFR4-WT mice. The cardinal morphologic characteristic of
livers from almost all FGF19-TG:FGFR4-WT mice at all time points
was grossly evident nodules of HCC on multiple lobes (FIG. 1C). The
tumor burden was evaluated by measuring liver weight. The relative
liver weights increased progressively at all time points in
FGF19-TG:FGFR4-WT mice treated with DEN (FIG. 1E). Interestingly,
the increase in liver weight was more pronounced in females
(2.7-fold at 6 months) than in males (1.8-fold at 6 months)
(compare left and right panels of FIG. 1E). It should be noted that
none of the males survived past 6 months of age (FIG. 1E). The
hepatocarcinogenesis observed in the FGF19-TG:FGFR4-WT mice treated
with DEN was abolished by the removal of FGFR4 expression in the
FGFR4-KO mice. Accordingly, the relative liver weight of
FGF19-TG:FGFR4-KO mice remained constant during adulthood (FIG.
1F). These results suggest that FGFR4 expression is required for
FGF19-promoted hepatocarcinogenesis in mice.
[0304] Generation of an Anti-FGFR4 Neutralizing Monoclonal
Antibody.
[0305] To evaluate whether targeting FGFR4 could have a therapeutic
impact in HCC we generated an FGFR4-specific monoclonal antibody by
immunizing FGFR4-KO mice with recombinant mouse and human FGFR4.
One of the resulting clones, designated as LD1, was selected for
the specificity of its binding to mouse, cynomolgus monkey, and
human FGFR4 (FIG. 2A). This antibody did not bind to mouse or human
FGFR1, FGFR2, or FGFR3 (FIG. 2A). Surface plasmon resonance
analysis revealed that LD1 bound to mouse, cynomolgus monkey, and
human FGFR4 with comparable affinity (FIG. 2B). We used flow
cytometry to evaluate whether LD1 bound to FGFR4 present at the
cell surface. The specific binding of LD1 to HEK293 cells stably
transfected with human FGFR4 was proportional to the concentration
of antibody added (FIG. 2C). There was no binding of LD1 to control
HEK293 cells stably transfected with an empty vector. Together
these data demonstrate that LD1 binds specifically to mouse,
cynomolgus monkey, and human FGFR4 and also recognizes the human
receptor when expressed at the cell surface.
[0306] To map the FGFR4 epitope for LD1, we compared the amino acid
sequences of mouse and human FGFR1, FGFR2, FGFR3, and FGFR4. Eight
amino acids were selected based on their similarity between the
FGFR4 orthologs and their dissimilarity in the FGFR1-3 orthologs.
These amino acids in FGFR4 were substituted with the amino acids
present at the equivalent positions in FGFR3 to generate eight
different mutant constructs of human FGFR4. These constructs were
expressed and evaluated for LD1 binding using a solid phase binding
assay. LD1 bound equally well to wild type FGFR4 and most of the
mutant constructs; G165A was the only FGFR4 mutant for which LD1
binding was compromised (FIG. 2D). LD1 did not bind to the negative
control wild type FGFR3 (FIG. 2D). We also tested the binding of
LD1 to the mutant constructs using immunoblot analysis. All
previously described protein constructs were reduced, denatured,
electrophoresed, and electro-transferred to nitrocellulose. The
nitrocellulose membrane was sequentially incubated with LD1, an
anti-FGFR4 antibody recognizing a different epitope (8G11), or an
anti-FLAG antibody. The anti-FLAG antibody and 8G11 detected wild
type FGFR4 and all FGFR4 mutant constructs while LD1 detected all
constructs equally well with the exception of the G165A mutant
(FIG. 2E). No protein band was detected by any of the antibodies in
the control lanes (FIG. 2E). We generated a three-dimensional model
of an FGFR4 dimer bound to two molecules of FGF19 to visualize the
location of G165 (FIG. 2F). G165 is localized in the center of the
FGFR4-FGF19 complex at the point of contact between the two FGFR4
units. Together these results show that G165 is critical for the
interaction of LD1 with human FGFR4. The binding of LD1 to reduced
and denatured FGFR4 also suggests that the epitope does not depend
on ternary confirmation.
[0307] Next we tested whether LD1 could block the binding of FGF1
and FGF19 to FGFR4 using a solid phase receptor-binding assay. The
LD1 inhibition of FGF binding was dose-dependent and reached an
IC.sub.50 of 0.093.+-.0.006 nM for FGF1 and 0.102.+-.0.003 nM for
FGF19 (FIG. 3A). To evaluate whether LD1 could inhibit the
functions of FGFR4 expressed at the cell surface we first utilized
a BaF3 murine pro-B cell line stably transfected with a chimeric
construct that encodes for the extracellular domain of FGFR4 and
the intracellular domain of FGFR1 (BaF3/FGFR4/RI). The wild type
BaF3 cell line is an interleukin-3 (IL-3)-dependent cell line that
does not express any FGFRs. BaF3 cells transfected with FGFRs
proliferate in the absence of IL-3 when stimulated with FGF and
heparin (21). The transfection of this construct allowed us to
substitute FGFs for IL-3 to support the growth of the BaF3 cells.
In the presence of 5 nM FGF1, LD1 inhibited the proliferation of
BaF3/FGFR4/R1 cells with an IC.sub.50 of 17.4.+-.5.4 nM (FIG.
3B).
[0308] We also used the L6 rat skeletal muscle cell line stably
transfected with a vector expressing FGFR4 (L6/FGFR4) to evaluate
the effect of LD1 on FGF signaling. The addition of FGF1 and
heparin to the L6/FGFR4 cell cultures activated the FGFR pathway as
demonstrated by the phosphorylation of FGFR (FRS2) and
extracellular signal-regulated kinase 1/2 (ERK1/2) while LD1
inhibited the ligand-induced phosphorylation of these secondary
messengers in a dose-dependent manner (FIG. 3C). Interestingly, the
addition of LD1 also triggered an increase in total FRS2 content in
these cells (FIG. 3C).
[0309] Using flow cytometry we evaluated the binding of LD1 and
confirmed the expression of FGFR4 at the cell surface of a subset
of HCC cell lines. LD1 bound most highly to PLC/PRF/5 and bound to
a lesser extent to HUH7 and JHH5 cells (FIG. 3D). The binding of a
control antibody to the surface of these cells was negligible (FIG.
3D). Furthermore, the binding of LD1 and the control antibody to
the surface of BaF3 cells, which were used as a negative control
because they do not express FGFR4, was also negligible (FIG.
3D).
[0310] LD1 Inhibits FGFR4 Functions in Liver Cancer Cell Lines.
[0311] The inhibitory activity of LD1 was characterized using liver
cancer cell lines with various levels of endogenous FGFR (i.e.
FGFR1-4) expression (FIG. 7). In HEP3B cells, the addition of FGF19
triggered the phosphorylation of FRS2 and ERK1/2 while LD1
inhibited the FGF19-stimulated phosphorylation of FRS2 (FIG. 4A),
similar to its effect on L6/FGFR4 cells. LD1, however, did not
appreciably alter the phosphorylation of ERK1/2 (FIG. 4A).
[0312] The expression of cytochrome P450 7.alpha.1 (CYP7.alpha.1)
and c-Fos are modulated by FGF19 in liver cell lines (16, 22). We
tested whether LD1 could inhibit this FGF19-mediated gene
modulation. In HEB3B cells, the addition of FGF19 reduced the
expression of CYP7.alpha.1 by 81% (FIG. 4B). The addition of LD1
restored 67% of the basal expression of CYP7.alpha.1 (FIG. 4B). In
the absence of added FGF19, LD1 increased CYP7.alpha.1 expression
by 2-fold (FIG. 4B). Although the addition of FGF19 did not affect
the expression of CYP7.alpha.1 in HUH7 cells, the addition of LD1
had a similar effect as in HEP3B cells, increasing the expression
of this gene by 2.9- and 3.5-fold in the presence or the absence of
FGF19, respectively (FIG. 8). The addition of a negative control
antibody had no effect on the expression of CYP7.alpha.1 in either
HEP3B or HUH7 cells (FIGS. 4B and 8, respectively). Interestingly,
the addition of LD1 leads to the upregulation of CYP7.alpha.1
expression in the absence of exogenously added FGFR4 ligand in both
HEP3B and HUH7 cells. This indicates that LD1 inhibits the FGFR4
basal activity possibly maintained by an FGFR4 ligand
autocrine/paracrine loop.
[0313] To further evaluate the effect of LD1 on the basal activity
of FGFR4 we measured the expression of c-Fos in the absence of
exogenously added FGFR4 ligand. The activation of the FGFR4 pathway
was previously shown to increase the expression of c-Fos (16). The
addition of LD1 decreased the basal expression of c-Fos by 50% in
JHH5, JHH7, and HUH7 cell lines and by 75% in the PLC/PRF/5 cell
line; addition of a control antibody had no effect on basal c-Fos
expression (FIG. 4C). These results demonstrate the ability of LD1
to inhibit the basal activity of FGFR4.
[0314] LD1 Inhibits Colony Formation.
[0315] We first measured colony formation by JHH5 cells stably
transfected with a doxycycline-inducible FGFR4 specific shRNA or a
control shRNA. Although there was no difference in the ability of
JHH5 cells transfected with the control construct to form colonies
in the absence or presence of doxycycline, the addition of
doxycycline to the JHH5 cells transfected with the FGFR4 shRNA
construct inhibited colony formation by 76% as compared to cells in
the absence of doxycycline (FIG. 4D). This result suggests that
FGFR4 is involved in the colony formation of liver cancer cell
lines.
[0316] Next we tested the ability of LD1 to inhibit colony
formation by a panel of liver cancer cell lines. The addition of
LD1 to cultures of JHH5, HUH7, and PLC PRF/5 cells caused a
dose-dependent reduction in colony formation, reaching a maximum
inhibition of 26%, 50%, and 82%, respectively (FIG. 4F).
Representative examples of PLC/PRF/5 and HUH7 cell cultures are
shown in FIG. 4E. The addition of a control antibody did not affect
colony formation (FIGS. 4E and 4F). These results indicate that LD1
inhibits FGFR4-mediated colony formation in liver cancer cell
lines.
[0317] LD1 Inhibits FGFR4 In Vivo Activity.
[0318] We evaluated the in vivo efficacy of LD1 by measuring the
FGF19-triggered c-Fos induction in the livers of mice injected with
LD1 or a control antibody. We chose to monitor the c-Fos response
to FGF19 because c-Fos induction in the liver is sensitive to FGF19
stimulation (16). C-Fos expression was 53-fold higher in the livers
of mice treated with FGF19 compared with livers of mice treated
with phosphate buffered saline (PBS) (FIG. 5A). The administration
of LD1 18 hours prior to the injection of FGF19 reduced the c-Fos
induction by 3.5-fold (FIG. 5A). LD1 also reduced the basal level
of c-Fos expression in naive mice by 6-fold (FIG. 5A). The
injection of a control antibody did not alter the basal or the
FGF19-stimulated expression of c-Fos compared to the non-treated
mice (FIG. 5A). These data demonstrate the in vivo efficacy of LD1
at inhibiting the basal and the FGF19-stimulated FGFR4
activity.
[0319] LD1 Inhibits Tumor Growth In Vivo.
[0320] To examine the in vivo efficacy of LD1 at inhibiting tumor
growth we first utilized the HUH7 liver cancer cell line xenograft
model. Mice bearing established tumors (approximately 150 mm.sup.3)
were dosed weekly with 30 mg/kg LD1, 30 mg/kg control antibody, or
PBS. After 13 days, the HUH7 tumors of mice treated with either PBS
or control antibody grew to an average size of 720 mm.sup.3 (FIG.
5B). However, the HUH7 tumors of mice treated with LD1 grew to an
average size of 28 mm.sup.3, a 96% inhibition of tumor growth as
compared to control antibody or PBS (FIG. 5B). In a repeat
experiment, the administration of 30 mg/kg of LD1 twice per week
caused complete tumor growth inhibition (FIG. 9). At necropsy, the
tumors were excised and the effect of LD1 on the expression of
FGFR4 and FGFR4-regulated genes was evaluated. The administration
of LD1 did not affect FGFR4 expression in HUH7 xenograft tumors
(FIG. 5C). However, LD1 increased the expression of CYP7.alpha.1 by
3-fold compared to the level of expression of CYP7.alpha.1 measured
in the tumors of PBS treated mice (FIG. 5C). LD1 also reduced the
expression of c-Fos and egr-1 by 17- and 6-fold, respectively,
compared to PBS-treated mice (FIG. 5C).
[0321] To further evaluate the in vivo efficacy of LD1 we used the
FGF19-TG mouse model. FGF19-TG mice were treated with DEN at 15
days of age to accelerate tumorigenesis and then randomly grouped
into 3 cohorts at 4 weeks of age. One group received a control
antibody and the other two groups received either LD1 or an
anti-FGF19 antibody (1A6) on a weekly basis. 1A6 was previously
shown to prevent tumor formation in FGF19-TG mice (23). After 6
months the mice were necropsied and the livers were excised for
analyses. The livers of mice treated with the control antibody had
grossly evident large nodules on multiple lobes (FIG. 5D). However,
the livers of mice treated with LD1 (FIG. 5D) or 1A6 had no
evidence of neoplasia. We also measured liver weights to evaluate
tumor burden because this parameter was previously shown to
strongly correlate with percent tumor volume in the FGF19-TG model
(18, 23). The weight of the livers from mice treated with LD1 or
1A6 was significantly (p=0.035 and p=0.052, respectively) lower
than the weight of the livers from mice treated with control
antibody (FIG. 5E). The difference in liver weight between mice
treated with LD1 and the mice treated with 1A6 was not significant
(p=0.439) (FIG. 5E). Together these data clearly demonstrate the in
vivo efficacy of LD1 at inhibiting hepatocellular carcinoma in
preclinical models.
[0322] FGFR4 Expression is Altered in Cancer.
[0323] We evaluated FGFR4 expression in a variety of human normal
and cancerous tissues by analyzing the BioExpress database (Gene
Logic, Inc., Gaithersburg, Md. USA). FGFR4 expression is highly
variable in most types of cancer. Compared to normal tissues, FGFR4
expression was elevated in liver, colorectal, stomach, esophageal,
and testicular cancers, but diminished in kidney, lung, lymphoid,
and small intestine cancers (FIG. 6A). Using immunohistochemistry
(IHC) we localized FGFR4 in a panel of lung, breast, pancreas, and
ovarian adenocarcinomas, lung squamous cell carcinoma,
hepatocellular carcinoma, thyroid carcinoma, and normal lung,
pancreas, and thyroid samples. The detection of FGFR4 gave rise to
membranous and cytoplasmic staining in normal and neoplastic
epithelial cells (representative examples are shown in FIG. 6B).
Compared to normal tissues, higher grades of staining were
generally found in tumor samples. Moderate to marked labeling by
anti-FGFR4 was apparent in tumors from pancreas (in 41% of
specimens), breast (46%), lung (31%), ovary (41%), colon (90%),
liver (33%), and thyroid (11%) (Table 2 and ref. 23).
TABLE-US-00007 TABLE 2 FGFR4 expression in normal and cancer
tissues. Prevalence of FGFR4 expression in normal and cancer
tissues as determined by histopathological evaluation of FGFR4
immunostaining. Number of Grades Samples 0 1+ 2+ 3+ Lung 29 7 (24%)
13 (45%) 7 (24%) 2 (7%) Adenocarcinoma Lung Squamous 23 7 (30%) 15
(65%) 1 (4%) 0 Cell Carcinoma Breast 63 1 (2%) 33 (52%) 25 (40%) 4
(6%) Adenocarcinoma Thyroid 86 16 (19%) 60 (70%) 9 (10%) 1 (1%)
carcinoma Pancreatic 67 4 (6%) 36 (54%) 24 (36%) 3 (5%)
Adenocarcinoma Ovarian 80 9 (11%) 38 (48%) 26 (32%) 7 (9%)
Adenocarcinoma Normal lung 4 3 (75%) 1 (25%) 0 0 Normal Thyroid 9 2
(22%) 7 (78%) 0 0 Normal Pancreas 23 2 (9%) 17 (74%) 3 (13%) 1
(4%)
[0324] The widespread expression of FGFR4 in human HCC was also
previously confirmed by in situ hybridization (23). Because a link
between FGFR4 and HCC has already been suggested we decided to
further evaluate FGFR4 expression in 23 primary human liver tumors
and 11 normal livers using quantitative real-time polymerase chain
reaction (qRT-PCR). The expression of FGFR4 in each sample was
normalized to the expression of this receptor in the first normal
liver sample (NI). The average level of FGFR4 was moderately
increased in liver tumors (1.22-.+-.0.05-fold) compared to normal
livers (0.90-.+-.0.04-fold), but the difference did not reach
statistical significance (p=0.23) when that population was
considered as a whole (FIG. 6C). However, FGFR4 expression was
significantly higher (more than 2-fold) in a subset of tumors
(7/23; 30%). These results illustrate that FGFR4 expression is
deregulated in several types of cancer. The increased expression of
FGFR4 in a subset of liver tumors suggests that it may represent an
attractive target for the treatment of liver cancer in a
diagnostic-selected patient population.
[0325] In this study, we provide evidence that FGFR4 participates
in hepatocellular carcinoma and that treatment with an FGFR4
inactivating antibody can provide anti-tumor benefits. To evaluate
the participation of FGFR4 in liver tumorigenesis we used
genetically engineered mouse models. The exogenous expression of
FGF19 was shown to promote hepatocyte proliferation, hepatocellular
dysplasia, and the development of HCC in mice. In addition, we and
others have demonstrated that Klotho .beta. is required for the
liver-specific activities of FGF19 (16, 19, 24). Because KLB and
FGFR4 are most highly expressed in liver, we hypothesized that the
deregulation of the FGFR4 pathway is responsible for the
FGF19-mediated liver tumorigenesis. To test this hypothesis we bred
FGF19-TG mice with FGFR4-KO mice. Preneoplastic hepatocellular
proliferation and hepatocellular neoplasia were found only in
FGF19-TG mice with an FGFR4-WT background. The liver tumorigenesis
was abrogated in the FGFR4-KO mice. We further challenged the mice
by administering a potent hepatocarcinogen, diethylnitrosamine.
Treatment with DEN accelerated the development of HCC in FGF19-TG
mice with an FGFR4-WT background, whereas no evidence of liver
neoplasia was found in the FGFR4-KO mice. The clear conclusion is
that FGFR4 is required for FGF19-promoted liver tumorigenesis.
[0326] Together these data suggest a link between FGFR4, liver
tumorigenesis, and liver cancer progression. Consequently, FGFR4 is
a potential therapeutic target and its inhibition may provide a
therapeutic benefit to liver cancer patients. To this end we
developed an anti-FGFR4 neutralizing antibody (LD1). LD1 binds to
FGFR4 and inhibits ligand binding, pathway activation, regulation
of gene expression, cell proliferation, and colony formation in
vitro. The site at which LD1 binds to FGFR4 was localized by
evaluating the interaction of LD1 with FGFR4 constructs bearing
point mutations at sites that are similar between the FGFR4
orthologs but dissimilar in the FGFR1-3 orthologs; these amino acid
residues in FGFR4 were substituted with the amino acid residues
present at the equivalent positions in FGFR3. LD1 bound to wild
type FGFR4 and all of the mutant FGFR4 constructs with the
exception of the G165A mutant. The replacement of a glycine by an
alanine at position 165 of FGFR4 nearly abolished LD1 binding. The
exquisite specificity of LD1 for FGFR4 combined with the high
identity of this region between FGFRs emphasizes the importance of
this residue for LD1 binding. Glycine 165 in FGFR4 corresponds to
alanine 171 in FGFR1. Interestingly, alanine 171 is the residue at
the closest approach in the FGFR1 dimer interface (25). Across the
axis of the dimer, the side chain of alanine 171 of one receptor
makes a hydrophobic contact with alanine 171 of the adjacent
receptor. The sequence conservation in this region of the FGFRs is
consistent with this region forming a receptor-receptor interface
(25). Thus, the binding of LD1 to this equivalent region of FGFR is
likely disrupting receptor dimerization. Ligand-induced receptor
dimerization is essential for the activation of FGFRs (26, 27).
Therefore, inhibition of FGFR4 dimerization is a potential
mechanism of action for LD1. A similar mechanism of action has
already been described for other therapeutic antibodies (28).
[0327] We showed that in vivo, LD1 acts on liver cancer xenograft
tumors by inhibiting the modulation of genes downstream from FGFR4
and by blocking tumor growth. In addition, the administration of
LD1 inhibited the formation and development of HCCs in FGF19-TG
mice.
[0328] These data demonstrate that FGFR4 is involved in promoting
tumorigenesis and cancer progression. In particular, our results
suggest that FGFR4 may play an important role in hepatocellular
carcinoma. Several lines of evidence support this hypothesis. FGFR4
is the predominant FGFR isoform present in human hepatocytes (15).
We have previously reported that liver tissue has the highest FGFR4
and KLB transcript levels, both of which are essential for
ligand-stimulated activity by this signaling complex (16).
Furthermore, ectopic expression of FGF19 (i.e. FGFR4-specific
ligand) in mice promotes hepatocyte proliferation, hepatocellular
dysplasia, and neoplasia (18) and FGF19-induced hepatocyte
proliferation has been reported to be uniquely mediated by FGFR4
(24). A recent report suggests that FGFR4 also contributes
significantly to HCC progression by modulating alpha-fetoprotein
secretion, proliferation, and anti-apoptosis (17). FGFR4 expression
has also been shown to promote resistance to chemotherapy (29). It
should be noted that one group has reported a protective role,
rather than an HCC promoting effect, for FGFR4 in mice (30). It is
possible that contextual factors including the identity and
concentration of ligand, as well as the levels of FGFRs and
co-receptor expression might modulate the role of FGFR4 in
tumorigenesis. For example, we found FGFR4 expression to be
significantly increased in a subset of primary liver tumors,
suggesting that FGFR4 may represent an attractive target for the
treatment of liver cancer in a diagnostic-selected patient
population. Given the accumulating evidence for the participation
of FGFR4 in liver tumorigenesis and HCC progression, we believe
that a therapeutic intervention that includes an anti-FGFR4
neutralizing antibody is likely to be beneficial in the treatment
of liver cancer.
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B. Highly Specific Off-Target Binding Identified and Eliminated
During the Humanization of an Antibody Against FGF Receptor 4
[0362] Materials and Methods
[0363] FGFR4 was biotinylated using Sulfo-NHS-LC-biotin (Pierce;
cat 21335).
[0364] Generation of Chimeric LD1--
[0365] As described herein, the extracellular domain of human FGF
receptor 4 (FGFR4), expressed in CHO cells and purified as
described.sup.14 was used to immunize balb/c mice. A hybridoma
expressing LD1 was identified when clones were screened for the
ability to block FGF19 binding to FGFR4 in a protein-based
ELISA.
[0366] The murine LD1 variable domains were cloned from total RNA
extracted from LD1 producing hybridoma cells using standard
methods. The variable light (VL) and variable heavy (VH) domains
were amplified using RT-PCR with degenerate reverse primers to the
constant light (CL) and constant heavy domain 1 (CH1) and forward
primers specific for the N-terminal amino acid sequence of the VL
and VH regions. These variable domains were then cloned in-frame
into vectors that contained the respective human light and heavy
chain constant regions.
[0367] Humanization and Affinity Maturation of LD1--
[0368] Hypervariable regions of LD1 were grafted into the human
kappa I (huKI) and human VH subgroup III (huIII) variable domain
frameworks used in trastuzumab. Framework repair was used to
optimize FGFR4 binding affinity through the addition of mouse
vernier position until a minimum combination of framework changes
was identified that fully restored FGFR4 binding
affinity.sup.33.
[0369] hLD1.vB, displayed as a monovalent Fab-P3 fusion on phage,
was affinity matured using a soft randomization strategy. Sequence
diversity was introduced separately into each hypervariable region
such that a bias towards the murine hypervariable region sequence
was maintained using a poisoned oligonucleotide synthesis
strategy.sup.34. For each diversified position, the codon encoding
the wild-type amino acid was poisoned with a 70-10-10-10 mixture of
nucleotides resulting in an average 50 percent mutation rate at
each position.
[0370] The hLD1.vB diversified phage libraries were panned using a
soluble selection method.sup.35. This approach relied upon a short
binding period with low concentrations of biotinylated FGFR4 in
solution, followed by a short 5 min capture of phage-bound to FGFR4
on immobilized neutravidin. Excess unlabeled FGFR4 (greater than
100 nM) was added prior to the capture step for increased off-rate
selection stringency. Bound phage were eluted by incubating the
wells with 100 mM HCl for 30 min, neutralized with 1 M Tris, pH 8
and amplified using XL1-Blue cells and M13/KO7 helper phage. Phage
antibodies were reformatted into full-length IgG, transiently
expressed in mammalian cells and purified by Protein A
chromatography.
[0371] Affinity Determinations--
[0372] Affinity determinations were performed by surface plasmon
resonance using a BIAcore.TM.-2000. Approximately 50 RU of hLD1.vB
IgG was immobilized in 10 mM Sodium Acetate pH 4.8 on a CM5 sensor
chip and serial 2-fold dilutions of the FGFR4 (0.48-1000 nM) in
PBST were injected at a flow rate of 30 .mu.l/min. Each sample was
analyzed with 4-minute association and 10-minute dissociation.
After each injection the chip was regenerated using 10 mM glycine
pH 1.7. Binding response was corrected by subtracting the RU from a
flow cell with an irrelevant IgG immobilized at similar density. A
1:1 Languir model of simultaneous fitting of kon and koff was used
for kinetics analysis.
[0373] Xenograft Experiments--
[0374] All animal protocols were approved by Genentech's
Institutional Animal Care and Use Committee. Female nu/nu
(nude-CRL) mice at seven weeks of age were obtained from Charles
River Laboratories International (strain code 088). Mice were
maintained under specific pathogen-free conditions. HUH7 cells
(5.times.10.sup.6; Japan Health science Research Resources Bank,
cat JCRB0403) were implanted subcutaneously into the flank of mice
in a volume of 0.2 mL in HBSS/Matrigel (1:1 v/v; BD Biosciences,
cat 354234). Tumors were measured twice weekly with a caliper and
tumor volume was calculated using the formula:
V=0.5.times.L.times.W.sup.2, where L and W are the length and width
of the tumor, respectively. When the mean tumor volume reached 145
mm.sup.3, mice were randomized into groups (n=15) and treated once
weekly with 0.2 mL intraperitoneal injections of vehicle (PBS), 30
mg/kg chLD1, 30 mg/kg hLD1.vB, or 30 mg/kg hLD1.v22. Following
treatment, tumor volumes were measured as described above. Percent
tumor growth inhibition (% TGI) was calculated using the following
formula, in which C=the mean tumor volume on Day 21 of the control
vehicle group and T=the mean volume on Day 21 from each group of
mice given the test treatment: % TGI=100.times.((C-T)/C). Data were
analyzed and log-rank tests were used to evaluate tumor doubling
differences between groups with JMP software, Version 6.0 (SAS
Institute; Cary, N.C.). Data are presented as the mean tumor
volume.+-.SEM.
[0375] Pharmacokinetic Studies in Mice--
[0376] NCR nude mice were supplied by Taconic (cat NCRNU). C3
knock-out mice.sup.36 were back-crossed to C57BL/6 mice for at
least 10 generations. Offspring were intercrossed to produce C3
knock-out mice and wild-type controls. In this study, they are
referred to as C3 ko and C3 wt mice, respectively.
[0377] Mice weighing between 15.5 and 38.3 g were administered a 1,
5 or 20 mg/kg body weight IV bolus dose of anti-FGFR4 antibody via
the tail vein. Blood samples were collected via retro orbital bleed
or cardiac stick (n=3 mice per time point) and serum isolated at
selected time points up to 28 day post dose. Serum samples were
stored at -80.degree. C. until assayed for anti-FGFR4 antibody
serum concentrations using an ELISA.
[0378] Anti-FGFR4 antibody serum concentration-time profiles were
used to estimate PK parameters using WinNonlin Enterprise Version
5.2.1 (Pharsight Corp.,). Since a single concentration-time profile
was determined for each group, one estimate of each PK parameter
was obtained and is reported, along with the standard error (SE) of
the fit of each PK parameter. The nominal dose administered for
each group was used for modeling.
[0379] Radioiodinations--
[0380] Antibodies were radioiodinated using an indirect iodogen
addition method.sup.37. The radiolabeled proteins were purified
using NAP5.TM. columns (GE Healthcare Life Sciences, cat.
17-0853-01) pre-equilibrated in PBS. The specific activities of
molecules used in the in vitro studies were 14.38 .mu.Ci/.mu.g for
chLD1 and 15.05 .mu.Ci/.mu.g for hLD1.vB. The specific activities
of molecules used in the in vivo study were 12.52 .mu.Ci/.mu.g for
chLD1 and 9.99 .mu.Ci/.mu.g for hLD1.vB. Following radioiodination,
the radioiodinated antibodies were characterized by size-exclusion
high-performance liquid chromatography (HPLC), sodium dodecyl
sulfate polyacrylamide gel electrophoresis (SDS-PAGE), and ELISA as
intact and retaining comparable antigen binding to the unlabeled
antibodies.
[0381] In Vitro Incubations--
[0382] For incubations in serum, antibodies were added to NCR nude,
C3 ko or C3 wt mouse serum.sup.36, and PBS+0.5% BSA at a final
concentration of 200 .mu.g/ml. Aliquots (100 .mu.l) were made and
incubated at 37.degree. C. with gentle rotation. The samples were
transferred to dry ice at 0, 4, 8, 24, 48, and 96 h and stored at
-70.degree. C. until ELISA analysis.
[0383] For incubations in plasma, antibodies were added to
cynomolgus monkey, human, rat (Bioreclamation LLC, cat. CYNPLLIHP,
HMLLIHP, and RATPLLIHP, respectively), and NCR nude mouse plasma
(Taconic, cat NCRNU-E) and PBS+0.5% BSA at a final concentration of
200 .mu.g/ml.+-..sup.125I-antibodies at a final concentration of
5.times.10.sup.6 CPM/ml. Aliquots (100 .mu.l) were made and
incubated at 37.degree. C. with gentle rotation. At 0, 24, and 48 h
the samples were transferred to dry ice and stored at -70.degree.
C. until analysis by size-exclusion HPLC
(.sup.125I-antibody+unlabeled antibody samples) or subjected to
protein-G extraction followed by SDS-PAGE (unlabeled antibody
samples).
[0384] Tissue Distribution Study--
[0385] Female NCR nude mice received an IV bolus dose of
.sup.125I-chLD1 at 300 .mu.Ci/kg.+-.unlabeled chLD1 at 20 mg/kg or
.sup.125I-hLD1.vB at 300 .mu.Ci/kg.+-.unlabeled hLD1.vB at 20
mg/kg. Blood was collected at 15 minutes and 2, 5, 24, 72, and 120
h post-dose and processed for serum. The serum was frozen at
-70.degree. C. until analyzed by size-exclusion HPLC and subjected
to protein-G extraction followed by SDS-PAGE separation. Total
radioactive counts were also obtained using a Wallac 1480 Wizard
3'' (EC&G Wallac, cat. 1480-011). Liver, lungs, kidneys, and
heart were collected at 2, 72, and 120 hours post-dose and frozen
at -70.degree. C. until analysis for total radioactivity. All
animals were handled in accordance with IACUC guidelines.
[0386] IgG and FGFR4 ELISA--
[0387] FGFR4 specific IgG was measured using the FGFR4 ELISA. FGFR4
was immobilized on microtiter plates, LD1 standard (chLD1, hLD1.vB,
or hLD1.v22) and samples diluted in Magic Buffer+0.35M NaCl
(1.times.PBS pH 7.4, 0.5% BSA, 0.05% Tween-20, 0.25% Chaps, 5 mM
EDTA, 0.2% BgG, 0.35M NaCl, 15 ppm Proclin) were added and capture
IgG was detected with a F(ab').sub.2 goat anti-huIgG Fc conjugated
to horseradish peroxidase (HRP, Jackson, cat#109-036-098).
[0388] Total antibody was determined using the Human Fc ELISA by
incubating diluted samples on microtiter plates coated with
F(ab').sub.2 rabbit anti-huIgG Fc (Jackson, cat#309-006-008) and
detected with F(ab').sub.2 goat anti-huIgG Fc conjugated to HRP
(Jackson, cat#109-036-098). TMB peroxidase substrate solution was
used for color development (Moss, cat#TMBE-1000) and 1M
H.sub.3PO.sub.4 was added to stop the reaction. Plates were read on
a microplate reader (Biotek EL311 or equivalent) at 450/620 nm.
[0389] Size-Exclusion HPLC--
[0390] Size-exclusion HPLC was performed in PBS using a
Phenomenex.TM. BioSep-SEC-S 3000 column (300.times.7.8 mm, 5 m
column (Torrance, cat. 00H-2146-KO) with samples starting at pH 4.0
and pH 7.0. Samples at pH 7.0 were diluted in PBS; samples at pH
4.0 were generated by lowering the pH with 200 mM Citric Acid, pH
3.0. The flow rate was 0.5 ml/min for 30 minutes, isocratic. The
ChemStation analog-to-digital converter was set to 25,000 units/mV,
peak width 2 seconds, slit 4 nM (Agilent Technologies; cat 35900E).
Radioactivity was detected with a raytest Ramona 90 (raytest USA
Inc.; Wilmington, N.C.) in line with a standard Agilent 1100 HPLC
module system (Santa Clara, Calif.).
[0391] Protein-G Bead Extraction and SDS-PAGE Separation--
[0392] Triton X-100 (final concentration of 1% (v/v)) was added to
fractions collected from the size-exclusion HPLC followed by the
addition of Protein-G beads (GE Lifesciences Inc, cat. 17-0885-01).
Samples were incubated overnight at 4.degree. C. with gentle
rotation and then the beads were washed four times with PBS+1%
Triton X-100. Each sample was split and half of the sample was
reduced using NuPage.RTM. Sample Reducing Agen (cat. NP0004)t.
Beads were treated with NuPAGE.RTM. 4.times.LDS Sample Buffer (pH
8.4) (cat. NP00007).+-.NuPAGE.RTM. Sample Reducing Agent and
incubated at 99.degree. C. for 5 min; then applied to NuPAGE.RTM.
4-12% Bis-Tris gels (cat. NP0321BOX) with NuPAGE.RTM. 1.times.MOPS
SDS Running buffer (cat. NP0001). Gels were stained with Coomassie
Blue R250 dye. All NuPAGE.RTM. reagents were obtained from
Invitrogen. Corp.
[0393] Mass Spectrometric and Bioinformatics Analysis--
[0394] Samples excised from SDS-PAGE were treated as previously
described.sup.38. Briefly, following rapid in-solution
microwave-assisted tryptic digestion peptides were separated by
reverse phase chromatography and eluted directly into a nanospray
ionization source with a spray voltage of 2 kV and were analyzed
using an LTQ XL-Orbitrap mass spectrometer (ThermoFisher).
Precursor ions were analyzed in the FTMS at 60,000 resolution.
MS/MS was performed in the LTQ with the instrument operated in data
dependent mode whereby the top 10 most abundant ions were subjected
for fragmentation. Data was searched using the Mascot Search
Algorithm (Matrix Sciences) or by de novo interpretation.
[0395] For searching Mascot data: Search criteria included a full
MS tolerance of 20 ppm, MS/MS tolerance of 0.5 Da with GlyGly on
Lys, Oxidation of Methionine, +57 Da on Cys and Phosphorylation of
ST and Y as variable modifications with up to 3 mis-cleavages. Data
was searched against the Mammalian subset of the Swissprot
database.
Results
[0396] Humanization and Characterization of LD1.
[0397] The human chimeric antibody LD1 (chLD1) has been shown to
bind human FGFR4, block signaling by FGF19 and other FGF ligands
and suppress tumor growth in a HUH7 human hepatocelluar carcinoma
(HCC) xenograft model.sup.14. As a first step in the humanization
of LD1, the variable light and heavy domains of chLD1 were aligned
with the human kappa I (huKI) and human VH subgroup III (huIII)
variable domain frameworks used in trastuzumab (FIG. 10).
Hypervariable regions from chLD1 were grafted into these human
variable frameworks to generate a direct CDR-graft
(hLD1.vA).sup.15, 16. When compared to chLD1 by surface plasmon
resonance for binding FGFR4, the affinity of hLD1.vA was decreased
by about 5-fold (not shown). Substitution of mouse sequence at
various vernier positions in both the variable light and heavy
domains was explored as a means to improve binding and led to the
identification of three important mouse vernier positions in the
LC: P44F, L46I and Y49S. These changes were incorporated in hLD1.vB
that had an affinity for FGFR4 comparable to chLD1 (Table 3).
TABLE-US-00008 TABLE 3 Binding Kinetics of anti-FGFR4 antibody
variants. The association and dissociation rates of human FGFR4
binding to immobilized antibody variants were measured using
surface plasmon resonance. kd kon koff LD1 Ab (nM) (M sec-1)
(sec-1) chLD1 0.45 3.82e5 1.73e-4 hLD1.vB 0.97 2.88e5 2.80e-4
hLD1.v22 .043 9.10e5 3.90e-5
[0398] Surprisingly, despite similar FGFR4 binding affinity (FIG.
11A), hLD1.vB had diminished anti-tumor efficacy compared to chLD1
in the HUH7 human HCC xenograft model in nu/nu mouse (FIG. 11B).
After 9 days, the HUH7 tumors of mice treated with PBS grew to an
average volume of approximately 700 mm.sup.3. In the chLD1 treated
group, average HUH7 tumor volume was approximately 400 mm.sup.3,
representing a 43% inhibition of tumor growth compared to the tumor
in the PBS-treated animals. However, the average tumor volume in
mice treated with hLD1.vB was approximately 600 mm.sup.3,
representing a 14% inhibition of tumor growth compared to the tumor
in the PBS-treated animals.
[0399] A pharmacokinetic evaluation of chLD1 and hLD1.vB conducted
in athymic NCR nude mice revealed rapid clearance for both chLD1
and hLD1.vB at 1 mg/kg IV (140 and 132 mL/day/kg, respectively),
suggesting a target mediated clearance mechanism. This clearance
mechanism appeared to be saturated for chLD1 at a higher dose of 20
mg/kg. At this dose the observed clearance (11.7 mL/day/kg; FIG.
11C) was with in the range (6-12 mL/day/kg) of target-independent
clearance observed for a typical humanized antibody in mouse (Ref.
17 and P. Theil personal communication). However, hLD1.vB continued
to be rapidly cleared (34.2 mL/day/kg; FIG. 11C). This suggested an
additional clearance mechanism for hLD1.vB could be responsible for
the apparent lack of efficacy in the mouse xenograft model.
[0400] Consistent with the PK finding, a biodistribution study
using .sup.125I-chLD1 and .sup.125I-hLD1.vB revealed significantly
different distribution profiles (FIG. 11D). .sup.125I-chLD1
distributed rapidly and specifically to the liver due to the high
expression of FGFR4 on hepatocytes while only a limited amount of
.sup.125I-hLD1.vB was found in liver at an equivalent dose by 2
hours (.about.80 vs. 35% ID/g). In contrast, the observed
distribution of these antibodies was reversed in blood suggesting
that a competing interaction prevented distribution of hLD1.vB to
the liver as opposed to a loss in antibody stability in vivo that
would have led to a loss in overall radioactivity.
[0401] Identification of C3 Interference.
[0402] In an effort to reconcile the in vivo differences observed
between chLD1 and hLD1.vB, we evaluated antibody stability in
plasma as well as potential off-target plasma or tissue
interactions that might affect their function. Plasma stability was
evaluated by incubating chLD1 or hLD1.vB in mouse, rat, monkey or
human plasma for 48 hours at 37.degree. C. followed by an
assessment of both the FGFR4 binding activity and the total human
IgG concentration. While the total chLD1 or hLD1.vB concentration
as measured by the IgG ELISA did not change (not shown), the
recovery of hLD1.vB detected by the FGFR4 ELISA was significantly
reduced (by .about.30%) in mouse and rat plasma compared to a
control incubation in PBS/BSA (FIG. 12A). In contrast, there was no
loss of chLD1 FGFR4 binding activity in any condition tested. The
significant reduction in hLD1.vB recovery, specifically from rodent
plasma, suggested that the loss was not due to degradation, but
more likely the formation of an interfering complex in rodent
plasma. Since the interaction of hLD1.vB with mouse plasma might
result in the generation of a higher molecular weight complex,
iodinated chLD1 and hLD1.vB were also incubated in plasma and
analyzed using size-exclusion HPLC. High molecular weight peaks
were detected only in the mouse plasma samples containing
.sup.125I-hLD1.vB but not .sup.125I-chLD1. In addition to the
expected antibody peak at 150 kDa, peaks corresponding to ca. 270
and ca. 550 kDa were also detected initially (FIG. 12B), however by
48 h, only the 150 and 270 kDa peaks remained; the 550 kDa peak was
no longer observed. These higher molecular weight peaks were not
detected in cynomolgus monkey and human plasma or PBS/BSA
containing hLD1.vB or in any sample containing chLD1 (FIG. 15).
Interestingly, the presence of these high molecular weight peaks
correlated directly with the antibody recovery data obtained in the
FGFR4 ELISA. Further, the presence of these peaks was diminished
when the analysis was performed at pH 4.0 (FIG. 15), further
supporting the hLD1.vB dependent interaction with mouse serum.
[0403] Immunoprecipitation of mouse plasma revealed a ca. 37 kDa
protein that was selectively pulled down using hLD1.vB, but not
chLD1 (FIG. 12C). Consistent with the findings from size-exclusion
HPLC, this 37 kDa protein band was observed in rat but not
cynomolgus monkey and human plasma samples (FIG. 16A-C).
Furthermore, the protein was detected in the plasma from mice dosed
with hLD1.vB (FIG. 16D). MS/MS analysis of tryptic peptides derived
from the 37 kDa mouse plasma protein identified this band as being
derived from mouse complement C3 (FIG. 12D). A direct involvement
of C3 was supported by the full recovery of hLD1.vB incubated in
plasma from C3 knock-out (ko) mice (FIG. 17).
[0404] Affinity Maturation and Re-Evaluation of C3 Binding.
[0405] Both chLD1 and hLD1.vB share the same human constant regions
and complementary determining regions (CDRs) and thus differ only
by their variable domain frameworks. Further, the light and heavy
chain variable domain frameworks used to humanize hLD1.vB share a
very high degree of homology with several humanized antibodies
including trastuzumab that have not been reported to exhibit
interactions with mouse serum proteins. Thus the off-target
interaction of hLD1.vB with mouse C3 most likely resulted from the
particular combination of the mouse LD1 CDRs with the human
variable domain frameworks.
[0406] We reasoned that some of the changes in the CDR sequences of
hLD1.vB, which resulted from affinity maturation of the Fab
fragment displayed on phage, could lead to improved affinity for
FGFR4 with a concomitant loss in mouse C3 binding. Phage selected
variants were expressed as IgG and screened for FGFR4 binding
affinity as well as for potential interaction with mouse C3 using
an immunoprecipitation assay coupled with SDS-PAGE analysis. One
variant, hLD1.v22, with 3 amino acid changes in CDR-H2 compared to
hLD1.vB (H52L, S53V and D60E, FIG. 10), showed both improved
binding affinity for FGFR4 (Table 3) and a loss of binding to
complement C3 (FIG. 13B).
[0407] The degree to which mouse complement C3 altered the
clearance of hLD1.vB and hLD1.v22 in vivo was assessed in a
pharmacokinetic study comparing C3 ko mice to C3 wt mice at 20
mg/kg. As observed previously in NCR mice, hLD1.vB was rapidly
cleared from circulation in C3 wt mice (29 mL/day/kg); however,
both chLD1 and hLD1.vB had similar pharmacokinetic profiles
(clearance of 8.7 and 9.3 mL/day/kg, respectively) in the C3 ko
mice (FIG. 14A and Table 4).
TABLE-US-00009 TABLE 4 Pharmacokinetic parameters of anti-FGF.R4
variants dosed at 20 mg/kg IV AUC Cmax CL Beta HL c (day*ug/mL)
(ug/mL) (mL/day/kg) (day) V1 (mL/kg) Vss (mL/kg) chLD1 C3 ko 2294
(203) 483 (42) 8.7 (0.77) 7.1 (1) 41 (3.6) 86 (6.8) hLD1.vB C3 ko
2143 (161) 530 (51) 9.3 (0.70) 5.9 (0.6) 38 (3.6) 78 (5.1) chLD1 C3
wt 2937 (325) 489 (62) 6.8 (0.76) 7.9 (1.3) 41 (5.2) 76 (6.9)
hLD1.vB C3 wt 688 (48) 376 (30) 29 (2.06) 2.5 (0.3) 53 (4.2) 97
(8.8) chLD1 NCR nude 1696 (85) 335 (21) 11.8 (0.59) 5.8 (0.4) 60
(3.7) 97 (4.5) hLD1.vB NCR nude 428 (22) 256 (15) 46.7 (2.46) 2.3
(0.2) 78 (4.6) 139 (9.9) hLD1.v22 NCR nude 1777 (119) 338 (24) 11.3
(0.75) 6.5 (0.6) 59 (4.1) 103 (5.6)
[0408] These data are consistent with the tissue distribution data
and confirm that specific interaction with mouse complement C3 in
vivo leads to rapid clearance of hLD1.vB. Since the clearance of
hLD1.vB is significantly improved in C3 ko mice and hLD1.v22 does
not bind to C3, we anticipated that hLD1.v22 would have a
pharmacokinetic profile similar to chLD1 in NCR nude mice. As shown
in FIG. 14B, the clearance of chLD1 and hLD1.v22 are similar in NCR
nude mice (11.8 and 11.3 mL/day/kg respectively) while consistent
with our previous findings, hLD1.vB is rapidly cleared (46.7
mL/day/kg).
[0409] The ability of hLD1.v22 to inhibit tumor growth in the HUH7
HCC xenograft model was evaluated in comparison to chLD1 and
hLD1.vB. After 21 days, the HUH7 tumors of mice treated with PBS
grew to an average volume of approximately 2,100 mm.sup.3 (FIG.
14C). Of the 15 animals in the PBS-treated group, three were
euthanized before the end of study due to tumor volume limits
(approximately 2,500 mm.sup.3). In the hLD1.vB treated group,
average HUH7 tumor volume was approximately 1,200 mm.sup.3,
representing a 43% inhibition of tumor growth compared to the tumor
in the PBS-treated animals. However, the average tumor volume in
mice treated with hLD1.v22 was approximately 530 mm.sup.3. This
result was comparable to the chLD1 treated mice where the average
HUH7 tumor volume was approximately 350 mm.sup.3. For both hLD1.v22
and chLD1 treated groups, this represents a 75% and 83% reduction
in tumor size, respectively, compared to the PBS vehicle treatment
group. The tumor doubling times of the groups treated with hLD1.vB
(12.2 days), hLD1.v22 (15.8 days) or chLD1 (17.1 days) is
significantly greater than that of the PBS-treated group (8.2
days). Additionally, the tumor doubling times of the hLD1.v22 or
chLD1-treated groups were significantly longer than that for the
hLD1.vB treated group. The similar in vivo performance of both
hLD1.v22 and chLD1 compared to hLD1.vB, strongly implies that the
specific off-target interaction with mouse complement C3 was
causing the increased clearance resulting in lower exposure and
reduced efficacy of hLD1.vB.
[0410] Thus, the generation of anti-FGFR4 antibody hLD1.v22 had the
following steps: 1) the generation of a human chimeric LD1 (chLD1)
containing the murine VL and VH domains of LD1 and the human IgG1
constant domain; 2) the graft of the 6 murine HVRs from chLD1 to
human VL kappa I and human VH subgroup III variable domain
frameworks, creating a direct-HCR graft, generating antibody
hLD1.vA. Antibody hLD1.vA bound FGFR4 about 5 fold less than ChLD1;
3) introduction of light chain mutations P44F, L461 and Y49S
resulted in antibody hLD1.vB. Antibody hLD1.vB bound human FGFR4
with about two-fold more weakly than did antibody chLD1, but
hLD1.vB had reduced tumor efficacy in vivo, rapid clearance in vivo
compared with chLD1, and was found to bind mouse complement protein
C3; 4) affinity maturation was performed, and the addition of three
changes to HVR H2 (H52L, S53V, D60E) improved binding affinity to
FGFR4 and eliminated binding to mouse complement c3 protein. The
resulting humanized and affinity matured antibody, antibody
hLD1.v22, had comparable in vivo efficacy, pK and tissue
distribution to chLD1. Furthermore, antibody hLD1.v22, has been
determined to have at least comparable biological activity as the
parent chLD1 antibody, for example in inhibiting cancer in human
xenograft tumor studies.
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[0449] Although the foregoing invention has been described in some
detail by way of illustration and example for purposes of clarity
of understanding, the descriptions and examples should not be
construed as limiting the scope of the invention. The disclosures
of all patent and scientific literature cited herein are expressly
incorporated in their entirety by reference.
Sequence CWU 1
1
3915PRTArtificial SequenceSynthetic peptide 1Asn His Trp Met Asn 1
5 217PRTArtificial SequenceSynthetic peptide 2Met Ile Leu Pro Val
Asp Ser Glu Thr Thr Leu Glu Gln Lys Phe Lys 1 5 10 15 Asp
38PRTArtificial SequenceSynthetic peptide 3Gly Asp Ile Ser Leu Phe
Asp Tyr 1 5 411PRTArtificial SequenceSynthetic peptide 4Arg Thr Ser
Gln Asp Ile Ser Asn Phe Leu Asn 1 5 10 57PRTArtificial
SequenceSynthetic peptide 5Tyr Thr Ser Arg Leu His Ser 1 5
69PRTArtificial SequenceSynthetic peptide 6Gln Gln Gly Asn Ala Leu
Pro Tyr Thr 1 5 7117PRTArtificial SequenceSynthetic polypeptide
7Glu Val Gln Leu Val Glu Ser Gly Gly Gly Leu Val Gln Pro Gly Gly 1
5 10 15 Ser Leu Arg Leu Ser Cys Ala Ala Ser Gly Tyr Thr Phe Thr Asn
His 20 25 30 Trp Met Asn Trp Val Arg Gln Ala Pro Gly Lys Gly Leu
Glu Trp Val 35 40 45 Gly Met Ile Leu Pro Val Asp Ser Glu Thr Thr
Leu Glu Gln Lys Phe 50 55 60 Lys Asp Arg Phe Thr Ile Ser Ala Asp
Thr Ser Lys Asn Thr Ala Tyr 65 70 75 80 Leu Gln Met Asn Ser Leu Arg
Ala Glu Asp Thr Ala Val Tyr Tyr Cys 85 90 95 Thr Arg Gly Asp Ile
Ser Leu Phe Asp Tyr Trp Gly Gln Gly Thr Leu 100 105 110 Val Thr Val
Ser Ser 115 8108PRTArtificial SequenceSynthetic polypeptide 8Asp
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 Arg Thr Ser Gln Asp Ile Ser Asn Phe
20 25 30 Leu Asn Trp Tyr Gln Gln Lys Pro Gly Lys Ala Phe Lys Ile
Leu Ile 35 40 45 Ser Tyr Thr Ser Arg Leu His Ser Gly Val Pro Ser
Arg Phe Ser Gly 50 55 60 Ser Gly Ser Gly Thr Asp Phe Thr Leu Thr
Ile Ser Ser Leu Gln Pro 65 70 75 80 Glu Asp Phe Ala Thr Tyr Tyr Cys
Gln Gln Gly Asn Ala Leu Pro Tyr 85 90 95 Thr Phe Gly Gln Gly Thr
Lys Val Glu Ile Lys Arg 100 105 923PRTHomo sapiens 9Asp 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 20 1015PRTHomo sapiens 10Trp Tyr Gln Gln Lys
Pro Gly Lys Ala Phe Lys Ile Leu Ile Ser 1 5 10 15 1132PRTHomo
sapiens 11Gly Val Pro Ser Arg Phe Ser Gly Ser Gly Ser Gly Thr Asp
Phe Thr 1 5 10 15 Leu Thr Ile Ser Ser Leu Gln Pro Glu Asp Phe Ala
Thr Tyr Tyr Cys 20 25 30 1210PRTHomo sapiens 12Phe Gly Gln Gly Thr
Lys Val Glu Ile Lys 1 5 10 1325PRTArtificial SequenceSynthetic
peptide 13Glu Val Gln Leu Val Glu Ser Gly Gly Gly Leu Val Gln Pro
Gly Gly 1 5 10 15 Ser Leu Arg Leu Ser Cys Ala Ala Ser 20 25
1413PRTArtificial SequenceSynthetic peptide 14Trp Val Arg Gln Ala
Pro Gly Lys Gly Leu Glu Trp Val 1 5 10 1530PRTArtificial
SequenceSynthetic polypeptide 15Arg Phe Thr Ile Ser Arg Asp Asn Ser
Lys Asn Thr Leu Tyr Leu Gln 1 5 10 15 Met Asn Ser Leu Arg Ala Glu
Asp Thr Ala Val Tyr Tyr Cys 20 25 30 1611PRTArtificial
SequenceSynthetic peptide 16Trp Gly Gln Gly Thr Leu Val Thr Val Ser
Ser 1 5 10 1739PRTMus sp. 17Asp Val Pro Ala Ala Asp Leu Ser Asp Gln
Val Pro Asp Thr Asp Ser 1 5 10 15 Glu Thr Arg Ile Ile Leu Gln Gly
Ser Pro Val Val Gln Met Ala Glu 20 25 30 Asp Ala Val Asp Gly Glu
Arg 35 1819PRTMus sp. 18Arg Gln Glu Ala Leu Glu Leu Ile Lys Lys Gly
Tyr Thr Gln Gln Leu 1 5 10 15 Ala Phe Lys 1918PRTMus sp. 19Ala Ala
Phe Asn Asn Arg Pro Pro Ser Thr Trp Leu Thr Ala Tyr Val 1 5 10 15
Val Lys 2017PRTMus sp. 20Ala Ala Asn Leu Ile Ala Ile Asp Ser His
Val Leu Cys Gly Ala Val 1 5 10 15 Lys 2123PRTMus sp. 21Gln Lys Pro
Asp Gly Val Phe Gln Glu Asp Gly Pro Val Ile His Gln 1 5 10 15 Glu
Met Ile Gly Gly Phe Arg 20 2264PRTMus sp. 22Glu Ala Asp Val Ser Leu
Thr Ala Phe Val Leu Ile Ala Leu Gln Glu 1 5 10 15 Ala Arg Asp Ile
Cys Glu Gly Gln Val Asn Ser Leu Pro Gly Ser Ile 20 25 30 Asn Lys
Ala Gly Glu Tyr Ile Glu Ala Ser Tyr Met Asn Leu Gln Arg 35 40 45
Pro Tyr Thr Val Ala Ile Ala Gly Tyr Ala Leu Ala Leu Met Asn Lys 50
55 60 2316PRTMus sp. 23Trp Glu Glu Pro Asp Gln Gln Leu Tyr Asn Val
Glu Ala Thr Ser Tyr 1 5 10 15 2430PRTMus sp. 24Tyr Tyr Gly Gly Gly
Tyr Gly Ser Thr Gln Ala Thr Phe Met Val Phe 1 5 10 15 Gln Ala Leu
Ala Gln Tyr Gln Thr Asp Val Pro Asp His Lys 20 25 30 2512PRTMus sp.
25Gly Thr Leu Ser Val Val Ala Val Tyr His Ala Lys 1 5 10 2611PRTMus
sp. 26Asp Leu Glu Leu Leu Ala Ser Gly Val Asp Arg 1 5 10 279PRTMus
sp. 27Asn Thr Leu Ile Ile Tyr Leu Glu Lys 1 5 2823PRTArtificial
SequenceSynthetic peptide 28Asp 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 20
2915PRTArtificial SequenceSynthetic peptide 29Trp Tyr Gln Gln Lys
Pro Gly Lys Ala Pro Lys Leu Leu Ile Tyr 1 5 10 15 3032PRTArtificial
SequenceSynthetic polypeptide 30Gly Val Pro Ser Arg Phe Ser Gly Ser
Gly Ser Gly Thr Asp Phe Thr 1 5 10 15 Leu Thr Ile Ser Ser Leu Gln
Pro Glu Asp Phe Ala Thr Tyr Tyr Cys 20 25 30 3110PRTArtificial
SequenceSynthetic peptide 31Phe Gly Gln Gly Thr Lys Val Glu Ile Lys
1 5 10 3217PRTArtificial SequenceSynthetic peptide 32Ala Val Leu
Leu Leu Leu Ala Gly Leu Tyr Arg Gly Lys Met Lys Ser 1 5 10 15 Gly
3381PRTHomo sapiens 33Asp 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 Trp Tyr
Gln Gln Lys Pro Gly Lys Ala 20 25 30 Pro Lys Leu Leu Ile Tyr Gly
Val Pro Ser Arg Phe Ser Gly Ser Gly 35 40 45 Ser Gly Thr Asp Phe
Thr Leu Thr Ile Ser Ser Leu Gln Pro Glu Asp 50 55 60 Phe Ala Thr
Tyr Tyr Cys Phe Gly Gln Gly Thr Lys Val Glu Ile Lys 65 70 75 80 Arg
34108PRTMus sp. 34Asp Ile Gln Met Thr Gln Thr Thr Ser Ser Leu Ser
Ala Ser Leu Gly 1 5 10 15 Asp Arg Val Thr Ile Thr Cys Arg Thr Ser
Gln Asp Ile Ser Asn Phe 20 25 30 Leu Asn Trp Tyr Gln Gln Lys Pro
Asp Gly Thr Phe Lys Ile Leu Ile 35 40 45 Ser Tyr Thr Ser Arg Leu
His Ser Gly Val Pro Ser Arg Phe Ser Gly 50 55 60 Ser Gly Ser Gly
Thr Asp Tyr Ser Leu Thr Ile Ser Thr Leu Glu Gln 65 70 75 80 Glu Asp
Phe Ala Thr Tyr Phe Cys Gln Gln Gly Asn Ala Leu Pro Tyr 85 90 95
Thr Phe Gly Gly Gly Thr Lys Leu Glu Ile Glu Arg 100 105 3582PRTHomo
sapiens 35Glu Val Gln Leu Val Glu Ser Gly Gly Gly Leu Val Gln Pro
Gly Gly 1 5 10 15 Ser Leu Arg Leu Ser Cys Ala Ala Ser Trp Val Arg
Gln Ala Pro Gly 20 25 30 Lys Gly Leu Glu Trp Val Arg Phe Thr Ile
Ser Ala Asp Thr Ser Lys 35 40 45 Asn Thr Ala Tyr Leu Gln Met Asn
Ser Leu Arg Ala Glu Asp Thr Ala 50 55 60 Val Tyr Tyr Cys Phe Asp
Tyr Trp Gly Gln Gly Thr Leu Val Thr Val 65 70 75 80 Ser Ser
36117PRTMus sp. 36Glu Val Gln Leu Gln Gln Pro Gly Ala Val Leu Val
Arg Pro Gly Thr 1 5 10 15 Ser Val Lys Leu Ser Cys Lys Ala Ser Gly
Tyr Thr Phe Thr Asn His 20 25 30 Trp Met Asn Trp Val Lys Gln Arg
Pro Gly Gln Gly Leu Glu Trp Ile 35 40 45 Gly Met Ile His Pro Ser
Asp Ser Glu Thr Thr Leu Asp Gln Lys Phe 50 55 60 Lys Asp Lys Ala
Thr Leu Thr Val Asp Lys Ser Ser Ser Thr Ala Tyr 65 70 75 80 Met Gln
Leu Asn Arg Pro Thr Ser Glu Asp Ser Ala Val Tyr Tyr Cys 85 90 95
Thr Arg Gly Asp Ile Ser Leu Phe Asp Tyr Trp Gly Gln Gly Thr Thr 100
105 110 Val Thr Val Ser Ser 115 37117PRTArtificial
SequenceSynthetic polypeptide 37Glu Val Gln Leu Val Glu Ser Gly Gly
Gly Leu Val Gln Pro Gly Gly 1 5 10 15 Ser Leu Arg Leu Ser Cys Ala
Ala Ser Gly Tyr Thr Phe Thr Asn His 20 25 30 Trp Met Asn Trp Val
Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 35 40 45 Gly Met Ile
His Pro Ser Asp Ser Glu Thr Thr Leu Asp Gln Lys Phe 50 55 60 Lys
Asp Arg Phe Thr Ile Ser Ala Asp Thr Ser Lys Asn Thr Ala Tyr 65 70
75 80 Leu Gln Met Asn Ser Leu Arg Ala Glu Asp Thr Ala Val Tyr Tyr
Cys 85 90 95 Thr Arg Gly Asp Ile Ser Leu Phe Asp Tyr Trp Gly Gln
Gly Thr Leu 100 105 110 Val Thr Val Ser Ser 115 381663PRTMus sp.
38Met Gly Pro Ala Ser Gly Ser Gln Leu Leu Val Leu Leu Leu Leu Leu 1
5 10 15 Ala Ser Ser Pro Leu Ala Leu Gly Ile Pro Met Tyr Ser Ile Ile
Thr 20 25 30 Pro Asn Val Leu Arg Leu Glu Ser Glu Glu Thr Ile Val
Leu Glu Ala 35 40 45 His Asp Ala Gln Gly Asp Ile Pro Val Thr Val
Thr Val Gln Asp Phe 50 55 60 Leu Lys Arg Gln Val Leu Thr Ser Glu
Lys Thr Val Leu Thr Gly Ala 65 70 75 80 Ser Gly His Leu Arg Ser Val
Ser Ile Lys Ile Pro Ala Ser Lys Glu 85 90 95 Phe Asn Ser Asp Lys
Glu Gly His Lys Tyr Val Thr Val Val Ala Asn 100 105 110 Phe Gly Glu
Thr Val Val Glu Lys Ala Val Met Val Ser Phe Gln Ser 115 120 125 Gly
Tyr Leu Phe Ile Gln Thr Asp Lys Thr Ile Tyr Thr Pro Gly Ser 130 135
140 Thr Val Leu Tyr Arg Ile Phe Thr Val Asp Asn Asn Leu Leu Pro Val
145 150 155 160 Gly Lys Thr Val Val Ile Leu Ile Glu Thr Pro Asp Gly
Ile Pro Val 165 170 175 Lys Arg Asp Ile Leu Ser Ser Asn Asn Gln His
Gly Ile Leu Pro Leu 180 185 190 Ser Trp Asn Ile Pro Glu Leu Val Asn
Met Gly Gln Trp Lys Ile Arg 195 200 205 Ala Phe Tyr Glu His Ala Pro
Lys Gln Ile Phe Ser Ala Glu Phe Glu 210 215 220 Val Lys Glu Tyr Val
Leu Pro Ser Phe Glu Val Arg Val Glu Pro Thr 225 230 235 240 Glu Thr
Phe Tyr Tyr Ile Asp Asp Pro Asn Gly Leu Glu Val Ser Ile 245 250 255
Ile Ala Lys Phe Leu Tyr Gly Lys Asn Val Asp Gly Thr Ala Phe Val 260
265 270 Ile Phe Gly Val Gln Asp Gly Asp Lys Lys Ile Ser Leu Ala His
Ser 275 280 285 Leu Thr Arg Val Val Ile Glu Asp Gly Val Gly Asp Ala
Val Leu Thr 290 295 300 Arg Lys Val Leu Met Glu Gly Val Arg Pro Ser
Asn Ala Asp Ala Leu 305 310 315 320 Val Gly Lys Ser Leu Tyr Val Ser
Val Thr Val Ile Leu His Ser Gly 325 330 335 Ser Asp Met Val Glu Ala
Glu Arg Ser Gly Ile Pro Ile Val Thr Ser 340 345 350 Pro Tyr Gln Ile
His Phe Thr Lys Thr Pro Lys Phe Phe Lys Pro Ala 355 360 365 Met Pro
Phe Asp Leu Met Val Phe Val Thr Asn Pro Asp Gly Ser Pro 370 375 380
Ala Ser Lys Val Leu Val Val Thr Gln Gly Ser Asn Ala Lys Ala Leu 385
390 395 400 Thr Gln Asp Asp Gly Val Ala Lys Leu Ser Ile Asn Thr Pro
Asn Ser 405 410 415 Arg Gln Pro Leu Thr Ile Thr Val Arg Thr Lys Lys
Asp Thr Leu Pro 420 425 430 Glu Ser Arg Gln Ala Thr Lys Thr Met Glu
Ala His Pro Tyr Ser Thr 435 440 445 Met His Asn Ser Asn Asn Tyr Leu
His Leu Ser Val Ser Arg Met Glu 450 455 460 Leu Lys Pro Gly Asp Asn
Leu Asn Val Asn Phe His Leu Arg Thr Asp 465 470 475 480 Pro Gly His
Glu Ala Lys Ile Arg Tyr Tyr Thr Tyr Leu Val Met Asn 485 490 495 Lys
Gly Lys Leu Leu Lys Ala Gly Arg Gln Val Arg Glu Pro Gly Gln 500 505
510 Asp Leu Val Val Leu Ser Leu Pro Ile Thr Pro Glu Phe Ile Pro Ser
515 520 525 Phe Arg Leu Val Ala Tyr Tyr Thr Leu Ile Gly Ala Ser Gly
Gln Arg 530 535 540 Glu Val Val Ala Asp Ser Val Trp Val Asp Val Lys
Asp Ser Cys Ile 545 550 555 560 Gly Thr Leu Val Val Lys Gly Asp Pro
Arg Asp Asn His Leu Ala Pro 565 570 575 Gly Gln Gln Thr Thr Leu Arg
Ile Glu Gly Asn Gln Gly Ala Arg Val 580 585 590 Gly Leu Val Ala Val
Asp Lys Gly Val Phe Val Leu Asn Lys Lys Asn 595 600 605 Lys Leu Thr
Gln Ser Lys Ile Trp Asp Val Val Glu Lys Ala Asp Ile 610 615 620 Gly
Cys Thr Pro Gly Ser Gly Lys Asn Tyr Ala Gly Val Phe Met Asp 625 630
635 640 Ala Gly Leu Ala Phe Lys Thr Ser Gln Gly Leu Gln Thr Glu Gln
Arg 645 650 655 Ala Asp Leu Glu Cys Thr Lys Pro Ala Ala Arg Arg Arg
Arg Ser Val 660 665 670 Gln Leu Met Glu Arg Arg Met Asp Lys Ala Gly
Gln Tyr Thr Asp Lys 675 680 685 Gly Leu Arg Lys Cys Cys Glu Asp Gly
Met Arg Asp Ile Pro Met Arg 690 695 700 Tyr Ser Cys Gln Arg Arg Ala
Arg Leu Ile Thr Gln Gly Glu Asn Cys 705 710 715 720 Ile Lys Ala Phe
Ile Asp Cys Cys Asn His Ile Thr Lys Leu Arg Glu 725 730 735 Gln His
Arg Arg Asp His Val Leu Gly Leu Ala Arg Ser Glu Leu Glu 740 745 750
Glu Asp Ile Ile Pro Glu Glu Asp Ile Ile Ser Arg Ser His Phe Pro 755
760 765 Gln Ser Trp Leu Trp Thr Ile Glu Glu Leu Lys Glu Pro Glu Lys
Asn 770 775 780 Gly Ile Ser Thr Lys Val Met Asn Ile Phe Leu Lys Asp
Ser Ile Thr 785 790 795 800 Thr Trp Glu Ile Leu Ala Val Ser Leu Ser
Asp Lys Lys Gly Ile Cys 805 810 815 Val Ala Asp Pro Tyr Glu Ile Arg
Val Met Gln Asp Phe Phe Ile Asp 820 825 830 Leu Arg Leu Pro Tyr Ser
Val Val Arg Asn Glu Gln Val Glu Ile Arg 835
840 845 Ala Val Leu Phe Asn Tyr Arg Glu Gln Glu Glu Leu Lys Val Arg
Val 850 855 860 Glu Leu Leu His Asn Pro Ala Phe Cys Ser Met Ala Thr
Ala Lys Asn 865 870 875 880 Arg Tyr Phe Gln Thr Ile Lys Ile Pro Pro
Lys Ser Ser Val Ala Val 885 890 895 Pro Tyr Val Ile Val Pro Leu Lys
Ile Gly Gln Gln Glu Val Glu Val 900 905 910 Lys Ala Ala Val Phe Asn
His Phe Ile Ser Asp Gly Val Lys Lys Thr 915 920 925 Leu Lys Val Val
Pro Glu Gly Met Arg Ile Asn Lys Thr Val Ala Ile 930 935 940 His Thr
Leu Asp Pro Glu Lys Leu Gly Gln Gly Gly Val Gln Lys Val 945 950 955
960 Asp Val Pro Ala Ala Asp Leu Ser Asp Gln Val Pro Asp Thr Asp Ser
965 970 975 Glu Thr Arg Ile Ile Leu Gln Gly Ser Pro Val Val Gln Met
Ala Glu 980 985 990 Asp Ala Val Asp Gly Glu Arg Leu Lys His Leu Ile
Val Thr Pro Ala 995 1000 1005 Gly Cys Gly Glu Gln Asn Met Ile Gly
Met Thr Pro Thr Val Ile 1010 1015 1020 Ala Val His Tyr Leu Asp Gln
Thr Glu Gln Trp Glu Lys Phe Gly 1025 1030 1035 Ile Glu Lys Arg Gln
Glu Ala Leu Glu Leu Ile Lys Lys Gly Tyr 1040 1045 1050 Thr Gln Gln
Leu Ala Phe Lys Gln Pro Ser Ser Ala Tyr Ala Ala 1055 1060 1065 Phe
Asn Asn Arg Pro Pro Ser Thr Trp Leu Thr Ala Tyr Val Val 1070 1075
1080 Lys Val Phe Ser Leu Ala Ala Asn Leu Ile Ala Ile Asp Ser His
1085 1090 1095 Val Leu Cys Gly Ala Val Lys Trp Leu Ile Leu Glu Lys
Gln Lys 1100 1105 1110 Pro Asp Gly Val Phe Gln Glu Asp Gly Pro Val
Ile His Gln Glu 1115 1120 1125 Met Ile Gly Gly Phe Arg Asn Ala Lys
Glu Ala Asp Val Ser Leu 1130 1135 1140 Thr Ala Phe Val Leu Ile Ala
Leu Gln Glu Ala Arg Asp Ile Cys 1145 1150 1155 Glu Gly Gln Val Asn
Ser Leu Pro Gly Ser Ile Asn Lys Ala Gly 1160 1165 1170 Glu Tyr Ile
Glu Ala Ser Tyr Met Asn Leu Gln Arg Pro Tyr Thr 1175 1180 1185 Val
Ala Ile Ala Gly Tyr Ala Leu Ala Leu Met Asn Lys Leu Glu 1190 1195
1200 Glu Pro Tyr Leu Gly Lys Phe Leu Asn Thr Ala Lys Asp Arg Asn
1205 1210 1215 Arg Trp Glu Glu Pro Asp Gln Gln Leu Tyr Asn Val Glu
Ala Thr 1220 1225 1230 Ser Tyr Ala Leu Leu Ala Leu Leu Leu Leu Lys
Asp Phe Asp Ser 1235 1240 1245 Val Pro Pro Val Val Arg Trp Leu Asn
Glu Gln Arg Tyr Tyr Gly 1250 1255 1260 Gly Gly Tyr Gly Ser Thr Gln
Ala Thr Phe Met Val Phe Gln Ala 1265 1270 1275 Leu Ala Gln Tyr Gln
Thr Asp Val Pro Asp His Lys Asp Leu Asn 1280 1285 1290 Met Asp Val
Ser Phe His Leu Pro Ser Arg Ser Ser Ala Thr Thr 1295 1300 1305 Phe
Arg Leu Leu Trp Glu Asn Gly Asn Leu Leu Arg Ser Glu Glu 1310 1315
1320 Thr Lys Gln Asn Glu Ala Phe Ser Leu Thr Ala Lys Gly Lys Gly
1325 1330 1335 Arg Gly Thr Leu Ser Val Val Ala Val Tyr His Ala Lys
Leu Lys 1340 1345 1350 Ser Lys Val Thr Cys Lys Lys Phe Asp Leu Arg
Val Ser Ile Arg 1355 1360 1365 Pro Ala Pro Glu Thr Ala Lys Lys Pro
Glu Glu Ala Lys Asn Thr 1370 1375 1380 Met Phe Leu Glu Ile Cys Thr
Lys Tyr Leu Gly Asp Val Asp Ala 1385 1390 1395 Thr Met Ser Ile Leu
Asp Ile Ser Met Met Thr Gly Phe Ala Pro 1400 1405 1410 Asp Thr Lys
Asp Leu Glu Leu Leu Ala Ser Gly Val Asp Arg Tyr 1415 1420 1425 Ile
Ser Lys Tyr Glu Met Asn Lys Ala Phe Ser Asn Lys Asn Thr 1430 1435
1440 Leu Ile Ile Tyr Leu Glu Lys Ile Ser His Thr Glu Glu Asp Cys
1445 1450 1455 Leu Thr Phe Lys Val His Gln Tyr Phe Asn Val Gly Leu
Ile Gln 1460 1465 1470 Pro Gly Ser Val Lys Val Tyr Ser Tyr Tyr Asn
Leu Glu Glu Ser 1475 1480 1485 Cys Thr Arg Phe Tyr His Pro Glu Lys
Asp Asp Gly Met Leu Ser 1490 1495 1500 Lys Leu Cys His Ser Glu Met
Cys Arg Cys Ala Glu Glu Asn Cys 1505 1510 1515 Phe Met Gln Gln Ser
Gln Glu Lys Ile Asn Leu Asn Val Arg Leu 1520 1525 1530 Asp Lys Ala
Cys Glu Pro Gly Val Asp Tyr Val Tyr Lys Thr Glu 1535 1540 1545 Leu
Thr Asn Ile Lys Leu Leu Asp Asp Phe Asp Glu Tyr Thr Met 1550 1555
1560 Thr Ile Gln Gln Val Ile Lys Ser Gly Ser Asp Glu Val Gln Ala
1565 1570 1575 Gly Gln Gln Arg Lys Phe Ile Ser His Ile Lys Cys Arg
Asn Ala 1580 1585 1590 Leu Lys Leu Gln Lys Gly Lys Lys Tyr Leu Met
Trp Gly Leu Ser 1595 1600 1605 Ser Asp Leu Trp Gly Glu Lys Pro Asn
Thr Ser Tyr Ile Ile Gly 1610 1615 1620 Lys Asp Thr Trp Val Glu His
Trp Pro Glu Ala Glu Glu Cys Gln 1625 1630 1635 Asp Gln Lys Tyr Gln
Lys Gln Cys Glu Glu Leu Gly Ala Phe Thr 1640 1645 1650 Glu Ser Met
Val Val Tyr Gly Cys Pro Asn 1655 1660 39805PRTHomo sapiens 39Met
Arg Leu Leu Leu Ala Leu Leu Gly Val Leu Leu Ser Val Pro Gly 1 5 10
15 Pro Pro Val Leu Ser Leu Glu Ala Ser Glu Glu Val Glu Leu Glu Pro
20 25 30 Cys Leu Ala Pro Ser Leu Glu Gln Gln Glu Gln Glu Leu Thr
Val Ala 35 40 45 Leu Gly Gln Pro Val Arg Leu Cys Cys Gly Arg Ala
Glu Arg Gly Gly 50 55 60 His Trp Tyr Lys Glu Gly Ser Arg Leu Ala
Pro Ala Gly Arg Val Arg 65 70 75 80 Gly Trp Arg Gly Arg Leu Glu Ile
Ala Ser Phe Leu Pro Glu Asp Ala 85 90 95 Gly Arg Tyr Leu Cys Leu
Ala Arg Gly Ser Met Ile Val Leu Gln Asn 100 105 110 Leu Thr Leu Ile
Thr Gly Asp Ser Leu Thr Ser Ser Asn Asp Asp Glu 115 120 125 Asp Pro
Lys Ser His Arg Asp Pro Ser Asn Arg His Ser Tyr Pro Gln 130 135 140
Gln Ala Pro Tyr Trp Thr His Pro Gln Arg Met Glu Lys Lys Leu His 145
150 155 160 Ala Val Pro Ala Gly Asn Thr Val Lys Phe Arg Cys Pro Ala
Ala Gly 165 170 175 Asn Pro Thr Pro Thr Ile Arg Trp Leu Lys Asp Gly
Gln Ala Phe His 180 185 190 Gly Glu Asn Arg Ile Gly Gly Ile Arg Leu
Arg His Gln His Trp Ser 195 200 205 Leu Val Met Glu Ser Val Val Pro
Ser Asp Arg Gly Thr Tyr Thr Cys 210 215 220 Leu Val Glu Asn Ala Val
Gly Ser Ile Arg Tyr Asn Tyr Leu Leu Asp 225 230 235 240 Val Leu Glu
Arg Ser Pro His Arg Pro Ile Leu Gln Ala Gly Leu Pro 245 250 255 Ala
Asn Thr Thr Ala Val Val Gly Ser Asp Val Glu Leu Leu Cys Lys 260 265
270 Val Tyr Ser Asp Ala Gln Pro His Ile Gln Trp Leu Lys His Ile Val
275 280 285 Ile Asn Gly Ser Ser Phe Gly Ala Asp Gly Phe Pro Tyr Val
Gln Val 290 295 300 Leu Lys Thr Ala Asp Ile Asn Ser Ser Glu Val Glu
Val Leu Tyr Leu 305 310 315 320 Arg Asn Val Ser Ala Glu Asp Ala Gly
Glu Tyr Thr Cys Leu Ala Gly 325 330 335 Asn Ser Ile Gly Leu Ser Tyr
Gln Ser Ala Trp Leu Thr Val Leu Pro 340 345 350 Glu Glu Asp Pro Thr
Trp Thr Ala Ala Ala Pro Glu Ala Arg Tyr Thr 355 360 365 Asp Ile Ile
Leu Tyr Ala Ser Gly Ser Leu Ala Leu Ala Val Leu Leu 370 375 380 Leu
Leu Ala Gly Leu Tyr Arg Gly Gln Ala Leu His Gly Arg His Pro 385 390
395 400 Arg Pro Pro Ala Thr Val Gln Lys Leu Ser Arg Phe Pro Leu Ala
Arg 405 410 415 Gln Phe Ser Leu Glu Ser Gly Ser Ser Gly Lys Ser Ser
Ser Ser Leu 420 425 430 Val Arg Gly Val Arg Leu Ser Ser Ser Gly Pro
Ala Leu Leu Ala Gly 435 440 445 Leu Val Ser Leu Asp Leu Pro Leu Asp
Pro Leu Trp Glu Phe Pro Arg 450 455 460 Asp Arg Leu Val Leu Gly Lys
Pro Leu Gly Glu Gly Cys Phe Gly Gln 465 470 475 480 Val Val Arg Ala
Glu Ala Phe Gly Met Asp Pro Ala Arg Pro Asp Gln 485 490 495 Ala Ser
Thr Val Ala Val Lys Met Leu Lys Asp Asn Ala Ser Asp Lys 500 505 510
Asp Leu Ala Asp Leu Val Ser Glu Met Glu Val Met Lys Leu Ile Gly 515
520 525 Arg His Lys Asn Ile Ile Asn Leu Leu Gly Val Cys Thr Gln Glu
Gly 530 535 540 Pro Leu Tyr Val Ile Val Glu Cys Ala Ala Lys Gly Asn
Leu Arg Glu 545 550 555 560 Phe Leu Arg Ala Arg Arg Pro Pro Gly Pro
Asp Leu Ser Pro Asp Gly 565 570 575 Pro Arg Ser Ser Glu Gly Pro Leu
Ser Phe Pro Val Leu Val Ser Cys 580 585 590 Ala Tyr Gln Val Ala Arg
Gly Met Gln Tyr Leu Glu Ser Arg Lys Cys 595 600 605 Ile His Arg Asp
Leu Ala Ala Arg Asn Val Leu Val Thr Glu Asp Asn 610 615 620 Val Met
Lys Ile Ala Asp Phe Gly Leu Ala Arg Gly Val His His Ile 625 630 635
640 Asp Tyr Tyr Lys Lys Thr Ser Asn Gly Arg Leu Pro Val Lys Trp Met
645 650 655 Ala Pro Glu Ala Leu Phe Asp Arg Val Tyr Thr His Gln Ser
Asp Val 660 665 670 Trp Ser Phe Gly Ile Leu Leu Trp Glu Ile Phe Thr
Leu Gly Gly Ser 675 680 685 Pro Tyr Pro Gly Ile Pro Val Glu Glu Leu
Phe Ser Leu Leu Arg Glu 690 695 700 Gly His Arg Met Asp Arg Pro Pro
His Cys Pro Pro Glu Leu Tyr Gly 705 710 715 720 Leu Met Arg Glu Cys
Trp His Ala Ala Pro Ser Gln Arg Pro Thr Phe 725 730 735 Lys Gln Leu
Val Glu Ala Leu Asp Lys Val Leu Leu Ala Val Ser Glu 740 745 750 Glu
Tyr Leu Asp Leu Arg Leu Thr Phe Gly Pro Tyr Ser Pro Ser Gly 755 760
765 Gly Asp Ala Ser Ser Thr Cys Ser Ser Ser Asp Ser Val Phe Ser His
770 775 780 Asp Pro Leu Pro Leu Gly Ser Ser Ser Phe Pro Phe Gly Ser
Gly Val 785 790 795 800 Gln Thr Glu Phe Thr 805
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