U.S. patent application number 15/827637 was filed with the patent office on 2018-03-22 for multivalent antibody complexes targeting igf-1r show potent toxicity against solid tumors.
The applicant listed for this patent is IBC Pharmaceuticals, Inc.. Invention is credited to Chien-Hsing Chang, David M. Goldenberg.
Application Number | 20180079816 15/827637 |
Document ID | / |
Family ID | 52343879 |
Filed Date | 2018-03-22 |
United States Patent
Application |
20180079816 |
Kind Code |
A1 |
Chang; Chien-Hsing ; et
al. |
March 22, 2018 |
Multivalent Antibody Complexes Targeting IGF-1R Show Potent
Toxicity Against Solid Tumors
Abstract
The present invention concerns methods and compositions
comprising an anti-IGF-1R antibody or fragment thereof for
treatment of cancer or autoimmune disease. Preferably, the cancer
is renal cell carcinoma, breast cancer or pancreatic cancer. The
anti-IGF-1R antibody or fragment may be part of a complex, such as
a DOCK-AND-LOCK.RTM. (DNL.RTM.) (complex produced by binding
interaction between anchor domain moiety of A-kinase anchoring
protein and dimerization and docking domain moiety of protein
kinase A regulatory subunit) complex. Preferably, the DNL.RTM.
(complex produced by binding interaction between anchor domain
moiety of A-kinase anchoring protein and dimerization and docking
domain moiety of protein kinase A regulatory subunit) complex.
Preferably, the DNL.RTM. complex also comprises a second antibody,
a second antibody fragment, an affibody or a cytokine. More
preferably, the cytokine is interferon-.alpha.2b. Most preferably,
the second antibody, second fragment or affibody binds to IGF-1R,
TROP2 or CEACAM6. The anti-IGF-1R antibody or complex may be
administered alone or in combination with a therapeutic agent, such
as an mTOR inhibitor.
Inventors: |
Chang; Chien-Hsing;
(Downingtown, PA) ; Goldenberg; David M.;
(Mendham, NJ) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
IBC Pharmaceuticals, Inc. |
Morris Plains |
NJ |
US |
|
|
Family ID: |
52343879 |
Appl. No.: |
15/827637 |
Filed: |
November 30, 2017 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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14505595 |
Oct 3, 2014 |
9862770 |
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15827637 |
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13688812 |
Nov 29, 2012 |
8883162 |
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14505595 |
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13483761 |
May 30, 2012 |
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13688812 |
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12949536 |
Nov 18, 2010 |
8211440 |
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13483761 |
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12396605 |
Mar 3, 2009 |
7858070 |
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12949536 |
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11633729 |
Dec 5, 2006 |
7527787 |
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12396605 |
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PCT/US2006/010762 |
Mar 24, 2006 |
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11633729 |
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PCT/US2006/012084 |
Mar 29, 2006 |
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PCT/US2006/010762 |
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PCT/US2006/025499 |
Jun 29, 2006 |
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PCT/US2006/012084 |
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11389358 |
Mar 24, 2006 |
7550143 |
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PCT/US2006/025499 |
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11391584 |
Mar 28, 2006 |
7521056 |
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11389358 |
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11478021 |
Jun 29, 2006 |
7534866 |
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11391584 |
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12722645 |
Mar 12, 2010 |
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13688812 |
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12689336 |
Jan 19, 2010 |
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12722645 |
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61566273 |
Dec 2, 2011 |
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61616051 |
Mar 27, 2012 |
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60782332 |
Mar 14, 2006 |
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60728292 |
Oct 19, 2005 |
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60751196 |
Dec 16, 2005 |
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60751196 |
Dec 16, 2005 |
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60864530 |
Nov 6, 2006 |
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61145896 |
Jan 20, 2009 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61K 47/6813 20170801;
A61K 2039/505 20130101; C07K 2317/55 20130101; A61K 47/6845
20170801; C07K 2317/73 20130101; A61K 51/1045 20130101; C07K
2317/24 20130101; C07K 2317/31 20130101; C07K 2317/76 20130101;
C07K 16/30 20130101; A61K 47/6851 20170801; C07K 2317/565 20130101;
C07K 16/2863 20130101; C07K 2317/53 20130101; C07K 2317/35
20130101; C07K 2317/522 20130101; A61K 51/103 20130101 |
International
Class: |
C07K 16/28 20060101
C07K016/28; C07K 16/30 20060101 C07K016/30; A61K 51/10 20060101
A61K051/10; A61K 47/68 20060101 A61K047/68 |
Claims
1. A method of treating a cancer that expresses IGF-1R comprising:
a) administering a complex comprising at least one anti-IGF-1R
antibody or antigen-binding fragment thereof to an individual with
the cancer; and b) administering an mTOR inhibitor to the
individual; wherein the combination of anti-IGF-1R antibody or
antigen-binding fragment and mTOR inhibitor is more effective than
either alone.
2. The method of claim 1, wherein the complex comprises: (i) an
anti-IGF-1R IgG antibody attached to one or more anchor domain (AD)
moieties from an AKAP protein; and (ii) two or more copies of an
effector attached to a dimerization and docking domain (DDD) moiety
from a human protein kinase A (PKA) regulatory subunit RI.alpha.,
RI.beta., RII.alpha. or RII.beta., wherein the effector is a second
antibody fragment or a cytokine; wherein two copies of the DDD
moiety form a dimer that binds to the AD moiety to form the
complex.
3. The method of claim 2, wherein the second antibody fragment is
an anti-IGF-1R antibody fragment, an anti-TROP2 antibody fragment
and an anti-CEACAM6 antibody fragment.
4. The method of claim 2, wherein the second antibody fragment
binds to a tumor-associated antigen selected from the group
consisting of carbonic anhydrase IX, CCCL19, CCCL21, CSAp, CD1,
CD1a, CD2, CD3, CD4, CD5, CD8, CD11A, CD14, CD15, CD16, CD18, CD19,
CD20, IGF-1R, CD21, CD22, CD23, CD25, CD29, CD30, CD32b, CD33,
CD37, CD38, CD40, CD40L, CD45, CD46, CD52, CD54, CD55, CD59, CD64,
CD66a-e, CD67, CD70, CD74, CD79a, CD80, CD83, CD95, CD126, CD133,
CD138, CD147, CD154, CEACAM5, CEACAM6, B7, ED-B fibronectin, Factor
H, FHL-1, Flt-3, folate receptor, GROB, HMGB-1, hypoxia inducible
factor (HIF), HM1.24, insulin-like growth factor-1 (ILGF-1),
IFN-.gamma., IFN-.alpha., IFN-.beta., IL-2, IL-4R, IL-6R, IL-13R,
IL-15R, IL-17R, IL-18R, IL-6, IL-8, IL-12, IL-15, IL-17, IL-18,
IL-25, IP-10, MAGE, mCRP, MCP-1, MIP-1A, MIP-1B, MIF, MUC1, MUC2,
MUC3, MUC4, MUC5ac, PAM4 antigen, NCA-95, NCA-90, PSMA, EGP-1,
EGP-2, AFP, Ia, HM1.24, HLA-DR, tenascin, Le(y), RANTES, T101, TAC,
Tn antigen, Thomson-Friedenreich antigens, tumor necrosis antigens,
TNF-.alpha., TRAIL receptor (R1 and R2), VEGFR, EGFR, PlGF,
complement factors C3, C3a, C3b, C5a, C5, and an oncogene
product.
5. The method of claim 1, wherein the cytokine is
interferon-.alpha.2b.
6. The method of claim 1, wherein the cytokine is selected from the
group consisting of human growth hormone, N-methionyl human growth
hormone, parathyroid hormone, thyroxine, insulin, proinsulin,
relaxin, prorelaxin, follicle stimulating hormone (FSH), thyroid
stimulating hormone (TSH), luteinizing hormone (LH), hepatic growth
factor, prostaglandin, fibroblast growth factor, prolactin,
placental lactogen, tumor necrosis factor-.alpha., tumor necrosis
factor-.beta., mullerian-inhibiting substance, mouse
gonadotropin-associated peptide, inhibin, activin, vascular
endothelial growth factor, integrin, thrombopoietin (TPO),
NGF-.beta., platelet-growth factor, TGF-.alpha., TGF-.beta.,
insulin-like growth factor-I, insulin-like growth factor-II,
erythropoietin (EPO), interferon-.alpha., interferon-.beta.,
interferon-.gamma., macrophage-CSF (M-CSF), interleukin-1 (IL-1),
IL-1.alpha., IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10,
IL-11, IL-12, IL-13, IL-14, IL-15, IL-16, IL-17, IL-18, IL-21,
IL-25, LIF, FLT-3, angiostatin, thrombospondin, endostatin, tumor
necrosis factor and lymphotoxin.
7. The method of claim 1, wherein the anti-IGF-1R antibody or
fragment thereof (i) binds to human IGF-1R; (ii) does not bind to
human insulin receptor (IR); (iii) is not an agonist of IGF-1R;
(iv) does not block binding of IGF-1 or IGF-2 to an isolated
IGF-1R; and (v) neutralizes the activation of IGF-1R by IGF-1 in
intact cells.
8. The method of claim 1, wherein the anti-IGF-1R antibody or
fragment thereof binds to the first half of the cysteine-rich
domain of IGF-1R, between amino acid residues 151 and 222 of human
IGF-1R.
9. The method of claim 1, wherein the anti-IGF-1R antibody or
fragment thereof competes for binding to IGF-1R with a murine
antibody comprising the heavy chain CDR sequences CDR1 (DYYMY, SEQ
ID NO:85), CDR2 (YITNYGGSTYYPDTVKG, SEQ ID NO:86) and CDR3
(QSNYDYDGWFAY, SEQ ID NO:87) and the light chain CDR sequences CDR1
(KASQEVGTAVA, SEQ ID NO:88), CDR2 (WASTRHT, SEQ ID NO:89) and CDR3
(QQYSNYPLT, SEQ ID NO:90).
10. The method of claim 1, wherein the anti-IGF-1R antibody or
fragment thereof comprises the heavy chain CDR sequences CDR1
(DYYMY, SEQ ID NO:85), CDR2 (YITNYGGSTYYPDTVKG, SEQ ID NO:86) and
CDR3 (QSNYDYDGWFAY, SEQ ID NO:87) and the light chain CDR sequences
CDR1 (KASQEVGTAVA, SEQ ID NO:88), CDR2 (WASTRHT, SEQ ID NO:89) and
CDR3 (QQYSNYPLT, SEQ ID NO:90).
11. The method of claim 1, wherein the anti-IGF-1R antibody or
fragment thereof comprises the heavy chain variable region amino
acid sequence of SEQ ID NO:94 and the light chain variable region
amino acid sequence of SEQ ID NO:95.
12. The method of claim 1, wherein the anti-IGF-1R antibody is a
chimeric antibody, a humanized antibody or a human antibody.
13. The method of claim 1, wherein the cancer is selected from the
group consisting of Wilms' tumor, Ewing sarcoma, a neuroendocrine
tumor, a glioblastoma, a neuroblastoma, a melanoma, skin cancer,
breast cancer, colon cancer, rectal cancer, prostate cancer, liver
cancer, renal cancer, pancreatic cancer, lung cancer, biliary
cancer, cervical cancer, endometrial cancer, esophageal cancer,
gastric cancer, head and neck cancer, medullary thyroid carcinoma,
ovarian cancer, glioma, lymphoma, leukemia, myeloma, acute
lymphoblastic leukemia, acute myelogenous leukemia, chronic
lymphocytic leukemia, chronic myelogenous leukemia, Hodgkin's
lymphoma, non-Hodgkin's lymphoma, and urinary bladder cancer.
14. The method of claim 1, wherein the cancer is renal cell
carcinoma, breast cancer or pancreatic cancer.
15. The method of claim 1, wherein the mTOR inhibitor is
temsirolimus, rapamycin, ridaforolimus or everolimus.
16. The method of claim 1, wherein the anti-IGF-1R antibody is a
naked antibody.
17. The method of claim 1, wherein the anti-IGF-1R antibody is
conjugated to at least one therapeutic or diagnostic agent.
18. The method of claim 17, wherein said therapeutic agent is
selected from the group consisting of a radionuclide, an
immunomodulator, an anti-angiogenic agent, a cytokine, a chemokine,
a growth factor, a hormone, a drug, a prodrug, an enzyme, an
oligonucleotide, a pro-apoptotic agent, an interference RNA, a
photoactive therapeutic agent, a cytotoxic agent, a
chemotherapeutic agent and a toxin.
19. The method of claim 17, wherein said diagnostic agent is
selected from the group consisting of a radioisotope, a dye, a
radiological contrast agent, an ultrasound contrast agent, a
fluorescent label, a chemiluminescent label, an enzyme, an
enhancing agent and a paramagnetic ion.
20. The method of claim 18, wherein the drug is selected from the
group consisting of 5-fluorouracil, aplidin, azaribine,
anastrozole, anthracyclines, bendamustine, bleomycin, bortezomib,
bryostatin-1, busulfan, calicheamycin, camptothecin, carboplatin,
10-hydroxycamptothecin, carmustine, celebrex, chlorambucil,
cisplatin (CDDP), Cox-2 inhibitors, irinotecan (CPT-11), SN-38,
carboplatin, cladribine, camptothecans, cyclophosphamide,
cytarabine, dacarbazine, docetaxel, dactinomycin, daunorubicin,
doxorubicin, 2-pyrrolinodoxorubicine (2P-DOX), cyano-morpholino
doxorubicin, doxorubicin glucuronide, epirubicin glucuronide,
estramustine, epipodophyllotoxin, estrogen receptor binding agents,
etoposide (VP16), etoposide glucuronide, etoposide phosphate,
floxuridine (FUdR), 3',5'-O-dioleoyl-FudR (FUdR-dO), fludarabine,
flutamide, farnesyl-protein transferase inhibitors, gemcitabine,
hydroxyurea, idarubicin, ifosfamide, L-asparaginase, lenolidamide,
leucovorin, lomustine, mechlorethamine, melphalan, mercaptopurine,
6-mercaptopurine, methotrexate, mitoxantrone, mithramycin,
mitomycin, mitotane, navelbine, nitrosourea, plicomycin,
procarbazine, paclitaxel, pentostatin, PSI-341, raloxifene,
semustine, streptozocin, tamoxifen, taxol, temazolomide (an aqueous
form of DTIC), transplatinum, thalidomide, thioguanine, thiotepa,
teniposide, topotecan, uracil mustard, vinorelbine, vinblastine,
vincristine and vinca alkaloids.
21. The method of claim 18, wherein the toxin is selected from the
group consisting of ricin, abrin, alpha toxin, saporin,
ribonuclease (RNase), e.g., onconase, DNase I, Staphylococcal
enterotoxin-A, pokeweed antiviral protein, gelonin, diphtheria
toxin, Pseudomonas exotoxin, and Pseudomonas endotoxin.
22. The method of claim 18, wherein the radioisotope is selected
from the group consisting of .sup.111In, .sup.177Lu, .sup.212Bi,
.sup.213Bi, .sup.211At, .sup.62Cu, .sup.67Cu, .sup.90Y, .sup.125I,
.sup.131I, .sup.32P, .sup.33P, .sup.47Sc, .sup.111Ag, .sup.67Ga,
.sup.142Pr, .sup.153Sm, .sup.161Tb .sup.166Dy, .sup.166Ho,
.sup.186Re, .sup.188Re, .sup.189Re, .sup.212Pb, .sup.223Ra,
.sup.225Ac, .sup.59Fe, .sup.75Se, .sup.77As, .sup.89Sr, .sup.99Mo,
.sup.105Rh, .sup.109Pd, .sup.143Pr, .sup.149Pm, .sup.169Er,
.sup.194Ir, .sup.198Au, .sup.199Au, and .sup.211Pb
Description
CROSS REFERENCE TO RELATED APPLICATIONS
[0001] This application claims the benefit under 35 U.S.C. 119(e)
of U.S. Provisional Patent Application Ser. Nos. 61/566,273, filed
Dec. 2, 2011, and 61/616,051, filed Mar. 27, 2012. This application
is a divisional of U.S. patent application Ser. No. 14/505,595,
filed Oct. 3, 2014, which was a continuation of U.S. patent
application Ser. No. 13/688,812 (now U.S. Pat. No. 8,883,162),
filed Nov. 29, 2012, which was a continuation-in-part of U.S.
patent application Ser. No. 13/483,761 (now abandoned), filed May
30, 2012, which was a divisional of U.S. Ser. No. 12/949,536, filed
Nov. 18, 2010 (now U.S. Pat. No. 8,211,440), which was a divisional
of U.S. Ser. No. 12/396,605, filed Mar. 3, 2009 (now U.S. Pat. No.
7,858,070), which was a divisional of U.S. Ser. No. 11/633,729,
filed Dec. 5, 2006 (now U.S. Pat. No. 7,527,787), which was a
continuation-in-part of PCT/US06/10762, filed Mar. 24, 2006, and a
continuation-in-part of PCT/US06/12084, filed Mar. 29, 2006, and a
continuation-in-part of PCT/US06/25499, filed Jun. 29, 2006, and a
continuation-in-part of U.S. Ser. No. 11/389,358, filed Mar. 24,
2006 (now U.S. Pat. No. 7,550,143), and a continuation-in-part of
U.S. Ser. No. 11/391,584, filed Mar. 28, 2006 (now U.S. Pat. No.
7,521,056), and a continuation-in-part of U.S. Ser. No. 11/478,021,
filed Jun. 29, 2006 (now U.S. Pat. No. 7,534,866), and which
claimed the benefit under 35 U.S.C. 119(e) of provisional U.S.
Patent Application Ser. Nos. 60/782,332, filed Mar. 14, 2006, and
60/751,196, filed Dec. 16, 2005, and 60/728,292, filed Oct. 19,
2005. U.S. Ser. No. 11/633,729 claimed the benefit under 35 U.S.C.
119(e) of provisional U.S. Patent Application Ser. Nos. 60/751,196,
filed Dec. 16, 2005, and 60/864,530, filed Nov. 6, 2006. This
application is also a continuation-in-part of U.S. patent
application Ser. No. 12/722,645, filed Mar. 12, 2010, which was a
continuation-in-part of U.S. Ser. No. 12/689,336, filed Jan. 19,
2010 (now abandoned), which claimed the benefit under 35 U.S.C.
119(e) of provisional U.S. Patent Application Ser. No. 61/145,896,
filed Jan. 20, 2009. Each priority application is incorporated
herein by reference in its entirety.
SEQUENCE LISTING
[0002] The instant application contains a Sequence Listing which
has been submitted in ASCII format via EFS-Web and is hereby
incorporated by reference in its entirety. Said ASCII copy, created
on Nov. 26, 2012, is named IBC134US1.txt and is 54,756 bytes in
size.
FIELD
[0003] The present invention relates to compositions and methods of
use of multivalent, complexes, preferably multivalent,
multispecific complexes, more preferably multivalent, bispecific
complexes, that comprise one or more antibodies or antigen-binding
fragments thereof that bind to the insulin-like growth factor type
I receptor (IGF-1R), but not to the insulin receptor (IR). In other
preferred embodiments, the multivalent complexes comprise a second
antibody or antigen-binding fragment thereof that binds to a
different tumor-associated antigen (TAA), such as TROP2 or CEACAM6.
In alternative embodiments, the complexes may comprise a cytokine,
such as interferon-.alpha.2b. In most preferred embodiments, the
multivalent complex is a DOCK-AND-LOCK.RTM. (DNL.RTM.) (complex
produced by binding interaction between anchor domain moiety of
A-kinase anchoring protein and dimerization and docking domain
moiety of protein kinase A regulatory subunit) complex. The complex
may be administered to a subject, preferably a human subject, for
treatment of a disease or medical condition. Preferably the disease
is cancer, more preferably renal cell carcinoma, breast cancer or
pancreatic cancer. However, the skilled artisan will realize that
other forms of cancer which express IGF-1R may also be treated. The
complexes may be administered alone or in combination with one or
more therapeutic agents administered before, simultaneously with,
or after the complex. In a particular embodiment, the complex
exhibits a synergistic effect with a therapeutic agent, such as an
mTOR inhibitor.
BACKGROUND
[0004] The insulin-like growth factor type I receptor (IGF-1R) is a
member of the large class of tyrosine kinase receptors, which
regulate a variety of intracellular pathways. IGF-1R binds IGF-1, a
polypeptide hormone structurally similar to insulin (Laron, Mol
Pathol. 2001, 54:311-16). The IGF-1 receptor is homologous to the
insulin receptor (IR), sharing about 70% overall sequence homology
with IR (Riedemann and Macaulay, Endocrine-Related Cancer, 2006,
13:S33-43). Not surprisingly, inhibitors developed against IGF-1R
tend to show cross-reactivity with the insulin receptor, accounting
for at least part of the toxicity profiles of such compounds
(Miller and Yee, 2005, Cancer Res. 65:10123-27; Riedemann and
Macaulay, 2006).
[0005] The IGF system plays an important role in regulating cell
proliferation, differentiation, apoptosis and transformation (Jones
et al, Endocrinology Rev. 1995. 16:3-34). The IGF system comprises
two receptors, insulin like growth factor receptor 1 (IGF-1R;
CD221) and insulin like growth factor receptor 2 (IGF-2R; CD222);
two ligands, insulin like growth factor 1 (IGF-1) and IGF-2; and
several IGF binding proteins (IGFBP-1 to IGFBP-6). In addition, a
large group of IGFBP proteases (e.g., caspases, metalloproteinases,
prostate-specific antigen) hydrolyze IGF bound IGFBP to release
free IGFs, which then interact with IGF-1R and IGF-2R.
[0006] IGF-1R comprises two extracellular a subunits (130-135 kD)
and two membrane spanning .beta.-subunits (95 kD) that contain the
cytoplasmic tyrosine kinase domain. IGF-1R, like the insulin
receptor (IR), differs from other receptor tyrosine kinase family
members by having a covalent dimeric (.alpha.2.beta.2) structure.
IGF-1R contains 84% sequence identity to IR in the kinase domain,
while the membrane and C-terminal regions share 61% and 44%
sequence identity, respectively (Ulrich et al., EMBO J., 1986,
5:2503-12; Blakesley et al., Cytokine Growth Factor Rev., 1996.
7:153-56).
[0007] IGF-1 and IGF-2 are activating ligands of IGF-1R. Binding of
IGF-1 and IGF-2 to the .alpha.-chain induces conformational changes
that result in autophosphorylation of each .beta.-chain at specific
tyrosine residues, converting the receptor from the
unphosphorylated inactive state to the phosphorylated active state.
The activation of three tyrosine residues in the activation loop
(Tyr residues at 1131, 1135 and 1136) of the kinase domain leads to
an increase in catalytic activity that triggers docking and
phosphorylation of substrates such as IRS-1 and Shc adaptor
proteins. Activation of these substrates leads to phosphorylation
of additional proteins involved in the signaling cascade of
survival (PI3K, AKT, TOR, S6) and/or proliferation
(mitogen-activated protein kinase, p42/p44) (Pollak et al., Nature
Reviews Cancer. 2004. 4:505-516; Baserga et al., Biochim Biophys
Acta. 1997. 1332:F105-F126; Baserga et al, Int. J. Cancer. 2003.
107:873-77).
[0008] IGF-1R has anti-apoptotic effects in both normal and cancer
cells (Resnicoff et al., 1995, Cancer Res. 55:2463-69; Kang et al.,
Am J Physiol Renal Physiol., 2003, 285:F1013-24; Riedemann and
Macaulay, 2006). IGF-1R activation has been reported to be
significant in the development of resistance to a variety of
cytotoxic agents, such as chemotherapeutic agents, radionuclides
and EGFR inhibitors (Jones et al., Endocr Relat Cancer 2004,
11:793-814; Warshamana-Greene et al., 2005, Clin. Cancer Res.
11:1563-71; Riedemann and Macaulay, 2006; Lloret et al., 2007,
Gynecol. Oncol. 106:8-11). IGF-1R is overexpressed in a wide range
of tumor lines, such as melanoma, neuroblastoma, colon cancer,
prostate cancer, renal cancer, breast cancer and pancreatic cancer
(Ellis et al., 1998, Breast Cancer Treat. 52:175-84; van Golen et
al., 2000, Cell Death Differ. 7:654-65; Zhang et al., 2001, Breast
Cancer Res. 2:170-75; Jones et al., 2004; Riedemann and Macaulay,
2006). A functional IGF-1R is required for transformation and
promotes cancer cell growth, survival and metastasis (Riedemann and
Macaulay, 2006).
[0009] Attempts have been made to develop IGF-1R inhibitors for use
as anti-cancer agents, such as tyrphostins,
pyrrolo[2,3-d]-pyrimidine derivatives, nordihydroguaiaretic acid
analogs, diaryureas, AG538, AG1024, NVP-AEW541, NVP-ADW742,
BMS-5326924, BMS-554417, OSI-906, INSM-18, luteolin, simvastatin,
silibinin, black tea polyphenols, picropodophyllin, anti-IGF-1R
antibodies and siRNA inhibitors (Arteaga et al., 1998, J Clin
Invest. 84:1418-23; Warshamana-Greene et al., 2005; Klein and
Fischer, 2002, Carcinogenesis 23:217-21; Blum et al., 2000,
Biochemistry 39:15705-12; Garcia-Echeverria et al., 2004, Cancer
Cell 5:231-39; Garber, 2005, JNCI 97:790-92; Bell et al., 2005,
Biochemistry 44:930-40; Wu et al., 2005, Clin Cancer Res
11:3065-74; Wang et al., 2005, Mol Cancer Ther 4:1214-21; Singh and
Agarwal, 2006, Mol Carinog. 45:436-42; Gable et al., 2006, Mol
Cancer Ther 5:1079-86; Niu et al., Cell Biol Int., 2007, 31:156-64;
Blecha et al., 2007, Biorg Med Chem Lett. 17:4026-29; Qian et al.,
2007, Acta Biochim Biophys Sin, 39:137-47; Fang et al., 2007,
Carcinogenesis 28:713-23; Cohen et al., 2005, Clin Cancer Res
11:2063-73; Sekine et al., Biochem Biophys Res Commun., 2008,
25:356-61; Haluska et al., 2008, J Clin Oncol. 26:May 20 suppl;
abstr 14510; U.S. Patent Application Publ. No. 2006-233810, the
Examples section of each of which is incorporated herein by
reference). Typically, these agents have tended to cross-react to a
greater or lesser extent with both IGF-1R and IR and/or to act as
IGF-1R agonists. The use of such agents for cancer therapy has been
limited by their toxicity (Riedemann and Macaulay, 2006). A need
exists in the field for more effective forms of anti-IGF-1R
antibodies and complexes thereof.
SUMMARY
[0010] The present invention concerns compositions and methods of
use of multivalent complexes comprising anti-IGF-1R antibodies or
fragments thereof. The complexes may further comprise a second
anti-TAA antibody or fragment thereof, such as an anti-TROP2 or
anti-CEACAM6 antibody or antibody fragment. Alternatively, the
complexes may comprise a cytokine, such as interferon-.alpha.2b.
Preferably, the complex comprising two different antibodies, or an
antibody and a cytokine, have greater activity than the individual
antibodies alone, the individual antibody or individual cytokine,
or the combination of unconjugated antibodies or unconjugated
antibody and unconjugated cytokine.
[0011] Preferably, the anti-IGF-1R antibodies bind to IGF-1R but
not to IR. More preferably, the anti-IGF-1R antibodies are not
agonists of IGF-1R. Most preferably, the anti-IGF-1R antibodies
bind to an epitope of IGF-1R comprising the first half of the
cysteine-rich domain of IGF-1R, between amino acid residues 151 and
222 of the human IGF-1R sequence. (See, e.g., Adams et al., Cell
Mol Life Sci 57:1050-93, 2000; NCBI Accession No. AAB22215).
[0012] In certain embodiments, the anti-IGF-1R antibody is a
murine, chimeric, humanized or human antibody or antigen-binding
fragment thereof comprising the heavy chain CDR sequences CDR1
(DYYMY, SEQ ID NO:85), CDR2 (YITNYGGSTYYPDTVKG, SEQ ID NO:86) and
CDR3 (QSNYDYDGWFAY, SEQ ID NO:87) and the light chain CDR sequences
CDR1 (KASQEVGTAVA, SEQ ID NO:88), CDR2 (WASTRHT, SEQ ID NO:89) and
CDR3 (QQYSNYPLT, SEQ ID NO:90). In alternative embodiments, the
anti-IGF-1R antibody is a chimeric, humanized or human antibody
that binds to the same epitope of IGF-1R and/or that blocks binding
to IGF-1R of a murine R1 antibody comprising the heavy chain CDR
sequences CDR1 (DYYMY, SEQ ID NO:85), CDR2 (YITNYGGSTYYPDTVKG, SEQ
ID NO:86) and CDR3 (QSNYDYDGWFAY, SEQ ID NO:87) and the light chain
CDR sequences CDR1 (KASQEVGTAVA, SEQ ID NO:88), CDR2 (WASTRHT, SEQ
ID NO:89) and CDR3 (QQYSNYPLT, SEQ ID NO:90). The anti-IGF-1R
antibody may be a naked antibody or may be an immunoconjugate
attached to at least one therapeutic agent and/or at least one
diagnostic agent.
[0013] Although the second anti-TAA antibody or fragment thereof
may be an anti-TROP2 or anti-CEACAM6 antibody or fragment, in
alternative embodiments the second antibody or fragment may bind to
any of a number of known tumor-associated antigens, such as
carbonic anhydrase IX, CCCL19, CCCL21, CSAp, CD1, CD1a, CD2, CD3,
CD4, CD5, CD8, CD11A, CD14, CD15, CD16, CD18, CD19, IGF-1R, CD20,
CD21, CD22, CD23, CD25, CD29, CD30, CD32b, CD33, CD37, CD38, CD40,
CD40L, CD45, CD46, CD52, CD54, CD55, CD59, CD64, CD66a-e, CD67,
CD70, CD74, CD79a, CD80, CD83, CD95, CD126, CD133, CD138, CD147,
CD154, AFP, PSMA, CEACAM5, CEACAM-6, B7, ED-B of fibronectin,
Factor H, FHL-1, Flt-3, folate receptor, GROB, HMGB-1, hypoxia
inducible factor (HIF), HM1.24, insulin-like growth factor-1
(ILGF-1), IFN-.gamma., IFN-.alpha., IFN-.beta., IL-2, IL-4R, IL-6R,
IL-13R, IL-15R, IL-17R, IL-18R, IL-6, IL-8, IL-12, IL-15, IL-17,
IL-18, IL-25, IP-10, MAGE, mCRP, MCP-1, MIP-1A, MIP-1B, MIF, MUC1,
MUC2, MUC3, MUC4, MUC5ac, PAM4 antigen, NCA-95, NCA-90, Ia, HM1.24,
EGP-1, EGP-2, HLA-DR, tenascin, Le(y), RANTES, T101, TAC, Tn
antigen, Thomson-Friedenreich antigens, tumor necrosis antigens,
TNF-.alpha., TRAIL receptor (R1 and R2), VEGFR, EGFR, PlGF,
complement factors C3, C3a, C3b, C5a, C5, and an oncogene
product.
[0014] The second anti-TAA antibody may be selected from any of a
wide variety of anti-cancer antibodies known in the art, including
but not limited to hPAM4 (U.S. Pat. No. 7,282,567), hA20 (U.S. Pat.
No. 7,151,164), hA19 (U.S. Pat. No. 7,109,304), hIMIVIU31 (U.S.
Pat. No. 7,300,655), hLL1 (U.S. Pat. No. 7,312,318), hLL2 (U.S.
Pat. No. 7,074,403), hMu-9 (U.S. Pat. No. 7,387,772), hL243 (U.S.
Pat. No. 7,612,180), hMN-14 (U.S. Pat. No. 6,676,924), hMN-15 (U.S.
Pat. No. 7,541,440), hR1 (U.S. Provisional Patent Application
61/145,896), hRS7 (U.S. Pat. No. 7,238,785), hMN-3 (U.S. Pat. No.
7,541,440), AB-PG1-XG1-026 (U.S. patent application Ser. No.
11/983,372, deposited as ATCC PTA-4405 and PTA-4406) and D2/B (WO
2009/130575) the text of each recited patent or application is
incorporated herein by reference with respect to the Figures and
Examples sections. In certain embodiments, a second, different
anti-IGF-1R antibody may be used, such as any of the anti-IGF-1R
antibodies in clinical development (see, e.g., Ryan and Goss, The
Oncologist, 2008, 13:16-24).
[0015] In various embodiments, the complexes may be
DOCK-AND-LOCK.RTM. (DNL.RTM.) complexes. The technology to make
DNL.RTM. complexes has been described in U.S. Pat. Nos. 7,521,056;
7,527,787; 7,534,866; 7,550,143; 7,666,400; 7,906,118; 8,003,111
and 8,034,352, the Examples section of each incorporated herein by
reference. The technique relies upon the binding interaction
between a dimerization and docking domain (DDD) moiety of human
protein kinase A (PKA) regulatory subunit RI.alpha., RI.beta.,
RII.alpha. or RII.beta. and an anchor domain (AD) moiety of an
A-kinase anchoring protein (AKAP). The PKA DDD moieties
spontaneously form dimers that bind to an AD moiety to join the
complex together. The AD and DDD moiety may be attached to an
effector, such as an antibody, antibody fragment, cytokine, toxin,
enzyme, hormone or other protein or peptide, for example in the
form of a fusion protein. Alternatively, the AD and DDD moieties
may be attached to effectors by other covalent linkage, such as by
chemical cross-linking. The technique is not limiting and any
effector moiety that may be attached to an AD or DDD moiety may be
incorporated into a DNL.RTM. complex.
[0016] The anti-IGF-1R containing complex may be administered
alone, or in combination with one or more therapeutic agents. The
agents may be attached to the complex or may be administered
separately. As discussed below, therapeutic agents may include, but
are not limited to, radionuclides, immunomodulators,
anti-angiogenic agents, cytokines, chemokines, growth factors,
hormones, drugs, prodrugs, enzymes, oligonucleotides, siRNAs,
pro-apoptotic agents, photoactive therapeutic agents, cytotoxic
agents, chemotherapeutic agents, toxins, other antibodies or
antigen binding fragments thereof. In preferred embodiments the
therapeutic agent may be an EGFR inhibitor (e.g., erlotinib or
anti-EGFR antibody, such as ERBITUX.RTM. (cetuximab)), an IGF-1R
inhibitor such as tryphostins (e.g., AG1024, AG538),
pyrrolo[2,3-d]-pyrimidine derivatives (e.g., NVP-AEW541) or an mTOR
inhibitor such as temsirolimus, rapamycin, ridaforolimus or
everolimus.
[0017] Any cancer or diseased cell that expresses IGF-1R may be
treated and/or diagnosed with the anti-IGF-1R antibodies, including
but not limited to Wilms' tumor, Ewing sarcoma, neuroendocrine
tumors, glioblastomas, neuroblastoma, melanoma, skin, breast,
colon, rectum, prostate, liver, renal, pancreatic and/or lung
cancer, as well as lymphomas, leukemias, and myelomas. Other forms
of cancer that may be treated include but are not limited to acute
lymphoblastic leukemia, acute myelogenous leukemia, biliary cancer,
cervical cancer, chronic lymphocytic leukemia, chronic myelogenous
leukemia, endometrial cancer, esophageal cancer, gastric cancer,
head and neck cancer, Hodgkin's lymphoma, medullary thyroid
carcinoma, non-Hodgkin's lymphoma, ovarian cancer, glioma and
urinary bladder cancer.
BRIEF DESCRIPTION OF THE DRAWINGS
[0018] The following drawings form part of the present
specification and are included to further demonstrate certain
embodiments of the present invention. The embodiments may be better
understood by reference to one or more of these drawings in
combination with the detailed description of specific embodiments
presented herein.
[0019] FIG. 1A. Anti-IGF-1R mediated growth inhibition under
serum-free conditions. Caki-2 cells were grown in serum-free media
containing holo-transferrin (10 mg/mL) for 24 h before the addition
of the antibodies. After a 1-h incubation with the antibodies,
IGF-1 (100 ng/mL) was added to all the wells. Plates were incubated
for a further 96 h before MTS reagent was added and cell growth
inhibition determined using Prism Graph Pad software.
[0020] FIG. 1B. Anti-IGF-1R mediated growth inhibition under
serum-free conditions. ACHN cells were grown in serum-free media
containing holo-transferrin (10 mg/mL) for 24 h before the addition
of the antibodies. After a 1-h incubation with the antibodies,
IGF-1 (100 ng/mL) was added to all the wells. Plates were incubated
for a further 96 h before MTS reagent was added and cell growth
inhibition determined using Prism Graph Pad software.
[0021] FIG. 1C. Anti-IGF-1R mediated growth inhibition under
serum-free conditions. 786-0 cells were grown in serum-free media
containing holo-transferrin (10 mg/mL) for 24 h before the addition
of the antibodies. After a 1-h incubation with the antibodies,
IGF-1 (100 ng/mL) was added to all the wells. Plates were incubated
for a further 96 h before MTS reagent was added and cell growth
inhibition determined using Prism Graph Pad software.
[0022] FIG. 2A. Characterization of 1R-2b in RCC. Based on the
luciferase reporter gene assay (iLite kit), 1R-2b yielded a
specific activity of 15.times.10.sup.6 U/mg or 3750 U/pmole versus
180 and 3255 U/pmole for two different pegylated-IFN molecules.
[0023] FIG. 2B. Characterization of 1R-2b in RCC. In growth
inhibition assays of 786-0 cells, 1R-2b had an EC50 values of 49
pm.
[0024] FIG. 2C. Characterization of 1R-2b in RCC. In growth
inhibition assays of ACHN cells, 1R-2b had an EC50 value 62 pM.
[0025] FIG. 3A. Growth inhibition under anchorage-independent
conditions. A 1% base agar was mixed 1:1 with 2.times. growth media
(10% FBS final concentration) and added to wells of a 24-well
plate. ACHN cells in 2.times. growth media were mixed 1:1 with 0.7%
agarose and added (1250 cells per well) to the base agar. Cells
were fed by weekly replacement of growth media on the top of the
agarose layer. Treated wells contained the test articles in the
agarose/cell layer at the beginning and in subsequent feedings.
Once colonies were clearly visible by microscopy in untreated
control wells, the medium was removed and the colonies stained with
crystal violet. Colonies were counted under a microscope and the
average number was determined from five different fields of view
within the well.
[0026] FIG. 3B. Growth inhibition under anchorage-independent
conditions. Conditions were as disclosed in the legend to FIG. 3A,
with the exception that 786-0 cells were used.
[0027] FIG. 4A. Synergy between anti-IGF-1R treatment and an mTOR
inhibitor. ACHN cells were harvested, washed in PBS several times
to remove FBS, and plated in 96-wells plates overnight in SFM. On
the following day, various doses (1 mM to 0.06 nM) of the mTOR
inhibitor temsirolimus was added to the plates with and without hR1
or Hex-hR1 (100, 10, and 1 nM constant amounts) or 1R-2b (26, 2.6,
or 0.26 nM; NOTE: 26 nM 1R-2b .about.100,000 Units/mL of IFN).
IGF-1 was added at 100 ng/mL. Plates were incubated for 96-h before
MTS substrate was added to all the wells and the plates read at 492
nm. Data was graphed as Percent Growth Inhibition vs.
[temsirolimus]. IC50-values for temsirolimus were determined for
each condition and Combinatorial Index (CI) was calculated based on
changes in these values when co-incubated with hR1, Hex-hR1, or
1R-2b (CI<1 for synergy). Combination of temsirolimus with hR1
(CI=0.64). The IC.sub.50 values for temsirolimus concentration
needed to mediate 50% inhibition of cell growth were 7.76 nM for
Tem alone (R.sup.2 0.94); 1.45 nM with 100 nM hR1 (R.sup.2 0.88);
0.56 nM with 10 nM hR1 (R.sup.2 0.84); and 2.86 nM with 1 nM hR1
(R.sup.2 0.93). Synergy with an mTOR inhibitor occurred at
concentrations as low as 10 nM.
[0028] FIG. 4B. Synergy between anti-IGF-1R treatment and an mTOR
inhibitor. Conditions were as disclosed in the legend to FIG. 4A.
Combination of temsirolimus with Hex-hR1 (CI=0.43). The IC.sub.50
values were 7.76 nM for Tem alone (R.sup.2 0.94); 3.15 nM with 1 nM
Hex-hR1 (R.sup.2 0.63); 0.06 nM with 10 nM Hex-hR1 (R.sup.2 0.66);
and <0.06 nM with 100 nM HexhR1 (R.sup.2 0.63). Synergy with an
mTOR inhibitor occurred at concentrations as low as 1 nM.
[0029] FIG. 4C. Synergy between anti-IGF-1R treatment and an mTOR
inhibitor. Conditions were as disclosed in the legend to FIG. 4A.
Combination of temsirolimus with 1R-2b (CI=0.02). The IC.sub.50
values were 7.76 nM for Tem alone (R.sup.2 0.94); <0.06 nM with
26 nM 1R-2b (R.sup.2 0.32); <0.06 nM with 2.6 nM 1R-2b (R.sup.2
0.34); and 12.7 nM with 0.26 nM 1R-2b (R.sup.2 0.81). Synergy with
an mTOR inhibitor occurred at concentrations as low as 2.6 nM.
DETAILED DESCRIPTION
Definitions
[0030] Unless otherwise specified, "a" or "an" means "one or
more".
[0031] As used herein, the term "about" means plus or minus ten
percent (10%) of a value. For example, "about 100" would refer to
any number between 90 and 110.
[0032] A "therapeutic agent" is an atom, molecule, or compound that
is useful in the treatment of a disease. Examples of therapeutic
agents include antibodies, antibody fragments, peptides, drugs,
toxins, enzymes, nucleases, hormones, immunomodulators, antisense
oligonucleotides, small interfering RNA (siRNA), chelators, boron
compounds, photoactive agents, oligonucleotides (e.g., RNAi or
siRNA) and radioisotopes.
[0033] A "diagnostic agent" is an atom, molecule, or compound that
is useful in diagnosing a disease. Useful diagnostic agents
include, but are not limited to, radioisotopes, dyes (such as with
the biotin-streptavidin complex), contrast agents, fluorescent
compounds or molecules, and enhancing agents (e.g., paramagnetic
ions) for magnetic resonance imaging (MM).
[0034] An "antibody" as used herein refers to a full-length (i.e.,
naturally occurring or formed by normal immunoglobulin gene
fragment recombinatorial processes) immunoglobulin molecule (e.g.,
an IgG antibody) or an immunologically active (i.e., specifically
binding) portion of an immunoglobulin molecule, like an antibody
fragment. An "antibody" includes monoclonal, polyclonal,
bispecific, multispecific, murine, chimeric, humanized and human
antibodies.
[0035] A "naked antibody" is an antibody or antigen binding
fragment thereof that is not attached to a therapeutic or
diagnostic agent. The Fc portion of an intact naked antibody can
provide effector functions, such as complement fixation and ADCC
(see, e.g., Markrides, Pharmacol Rev 50:59-87, 1998). Other
mechanisms by which naked antibodies induce cell death may include
apoptosis. (Vaswani and Hamilton, Ann Allergy Asthma Immunol 81:
105-119, 1998.)
[0036] An "antibody fragment" is a portion of an intact antibody
such as F(ab').sub.2, F(ab).sub.2, Fab', Fab, Fv, sFv, scFv, dAb
and the like. Regardless of structure, an antibody fragment binds
with the same antigen that is recognized by the full-length
antibody. For example, antibody fragments include isolated
fragments consisting of the variable regions, such as the "Fv"
fragments consisting of the variable regions of the heavy and light
chains or recombinant single chain polypeptide molecules in which
light and heavy variable regions are connected by a peptide linker
("scFv proteins"). "Single-chain antibodies", often abbreviated as
"scFv" consist of a polypeptide chain that comprises both a V.sub.H
and a V.sub.L domain which interact to form an antigen-binding
site. The V.sub.H and V.sub.L domains are usually linked by a
peptide of 1 to 25 amino acid residues. Antibody fragments also
include diabodies, triabodies and single domain antibodies
(dAb).
[0037] A "chimeric antibody" is a recombinant protein that contains
the variable domains including the complementarity determining
regions (CDRs) of an antibody derived from one species, preferably
a rodent antibody, while the constant domains of the antibody
molecule are derived from those of a human antibody. For veterinary
applications, the constant domains of the chimeric antibody may be
derived from that of other species, such as a cat or dog.
[0038] A "humanized antibody" is a recombinant protein in which the
CDRs from an antibody from one species; e.g., a rodent antibody,
are transferred from the heavy and light variable chains of the
rodent antibody into human heavy and light variable domains.
Additional FR amino acid substitutions from the parent, e.g.
murine, antibody may be made. The constant domains of the antibody
molecule are derived from those of a human antibody.
[0039] A "human antibody" is an antibody obtained from transgenic
mice that have been genetically engineered to produce human
antibodies in response to antigenic challenge. In this technique,
elements of the human heavy and light chain locus are introduced
into strains of mice derived from embryonic stem cell lines that
contain targeted disruptions of the endogenous heavy chain and
light chain loci. The transgenic mice can synthesize human
antibodies specific for human antigens, and the mice can be used to
produce human antibody-secreting hybridomas. Methods for obtaining
human antibodies from transgenic mice are described by Green et
al., Nature Genet. 7:13 (1994), Lonberg et al., Nature 368:856
(1994), and Taylor et al., Int. Immun. 6:579 (1994). A fully human
antibody also can be constructed by genetic or chromosomal
transfection methods, as well as phage display technology, all of
which are known in the art. (See, e.g., McCafferty et al., Nature
348:552-553 (1990) for the production of human antibodies and
fragments thereof in vitro, from immunoglobulin variable domain
gene repertoires from unimmunized donors). Human antibodies may
also be generated by in vitro activated B cells. (See, U.S. Pat.
Nos. 5,567,610 and 5,229,275).
[0040] Antibodies and Antibody Fragments
[0041] Techniques for preparing monoclonal antibodies against
virtually any target antigen are well known in the art. See, for
example, Kohler and Milstein, Nature 256: 495 (1975), and Coligan
et al. (eds.), CURRENT PROTOCOLS IN IMMUNOLOGY, VOL. 1, pages
2.5.1-2.6.7 (John Wiley & Sons 1991). Briefly, monoclonal
antibodies can be obtained by injecting mice with a composition
comprising an antigen, removing the spleen to obtain B-lymphocytes,
fusing the B-lymphocytes with myeloma cells to produce hybridomas,
cloning the hybridomas, selecting positive clones which produce
antibodies to the antigen, culturing the clones that produce
antibodies to the antigen, and isolating the antibodies from the
hybridoma cultures.
[0042] Antibodies can be isolated and purified from hybridoma
cultures by a variety of well-established techniques. Such
isolation techniques include affinity chromatography with Protein-A
Sepharose, size-exclusion chromatography, and ion-exchange
chromatography. See, for example, Coligan at pages 2.7.1-2.7.12 and
pages 2.9.1-2.9.3. Also, see Baines et al., "Purification of
Immunoglobulin G (IgG)," in METHODS IN MOLECULAR BIOLOGY, VOL. 10,
pages 79-104 (The Humana Press, Inc. 1992).
[0043] After the initial raising of antibodies to the immunogen,
the antibodies can be sequenced and subsequently prepared by
recombinant techniques. Humanization and chimerization of murine
antibodies and antibody fragments are well known to those skilled
in the art. The use of antibody components derived from humanized,
chimeric or human antibodies obviates potential problems associated
with the immunogenicity of murine constant regions.
[0044] Chimeric Antibodies
[0045] A chimeric antibody is a recombinant protein in which the
variable regions of a human antibody have been replaced by the
variable regions of, for example, a mouse antibody, including the
complementarity-determining regions (CDRs) of the mouse antibody.
Chimeric antibodies exhibit decreased immunogenicity and increased
stability when administered to a subject. General techniques for
cloning murine immunoglobulin variable domains are disclosed, for
example, in Orlandi et al., Proc. Nat'l Acad. Sci. USA 86: 3833
(1989). Techniques for constructing chimeric antibodies are well
known to those of skill in the art. As an example, Leung et al.,
Hybridoma 13:469 (1994), produced an LL2 chimera by combining DNA
sequences encoding the V.sub.K and V.sub.H domains of murine LL2,
an anti-CD22 monoclonal antibody, with respective human .kappa. and
IgG.sub.1 constant region domains.
[0046] Humanized Antibodies
[0047] Techniques for producing humanized antibodies are well known
in the art (see, e.g., Jones et al., Nature 321: 522 (1986),
Riechmann et al., Nature 332: 323 (1988), Verhoeyen et al., Science
239: 1534 (1988), Carter et al., Proc. Nat'l Acad. Sci. USA 89:
4285 (1992), Sandhu, Crit. Rev. Biotech. 12: 437 (1992), and Singer
et al., J. Immun. 150: 2844 (1993)). A chimeric or murine
monoclonal antibody may be humanized by transferring the mouse CDRs
from the heavy and light variable chains of the mouse
immunoglobulin into the corresponding variable domains of a human
antibody. The mouse framework regions (FR) in the chimeric
monoclonal antibody are also replaced with human FR sequences. As
simply transferring mouse CDRs into human FRs often results in a
reduction or even loss of antibody affinity, additional
modification might be required in order to restore the original
affinity of the murine antibody. This can be accomplished by the
replacement of one or more human residues in the FR regions with
their murine counterparts to obtain an antibody that possesses good
binding affinity to its epitope. See, for example, Tempest et al.,
Biotechnology 9:266 (1991) and Verhoeyen et al., Science 239: 1534
(1988). Generally, those human FR amino acid residues that differ
from their murine counterparts and are located close to or touching
one or more CDR amino acid residues would be candidates for
substitution.
[0048] Human Antibodies
[0049] Methods for producing fully human antibodies using either
combinatorial approaches or transgenic animals transformed with
human immunoglobulin loci are known in the art (e.g., Mancini et
al., 2004, New Microbiol. 27:315-28; Conrad and Scheller, 2005,
Comb. Chem. High Throughput Screen. 8:117-26; Brekke and Loset,
2003, Curr. Opin. Phamacol. 3:544-50). A fully human antibody also
can be constructed by genetic or chromosomal transfection methods,
as well as phage display technology, all of which are known in the
art. See for example, McCafferty et al., Nature 348:552-553 (1990).
Such fully human antibodies are expected to exhibit even fewer side
effects than chimeric or humanized antibodies and to function in
vivo as essentially endogenous human antibodies. In certain
embodiments, the claimed methods and procedures may utilize human
antibodies produced by such techniques.
[0050] In one alternative, the phage display technique may be used
to generate human antibodies (e.g., Dantas-Barbosa et al., 2005,
Genet. Mol. Res. 4:126-40). Human antibodies may be generated from
normal humans or from humans that exhibit a particular disease
state, such as cancer (Dantas-Barbosa et al., 2005). The advantage
to constructing human antibodies from a diseased individual is that
the circulating antibody repertoire may be biased towards
antibodies against disease-associated antigens.
[0051] In one non-limiting example of this methodology,
Dantas-Barbosa et al. (2005) constructed a phage display library of
human Fab antibody fragments from osteosarcoma patients. Generally,
total RNA was obtained from circulating blood lymphocytes (Id.).
Recombinant Fab were cloned from the .mu., .gamma. and .kappa.
chain antibody repertoires and inserted into a phage display
library (Id.). RNAs were converted to cDNAs and used to make Fab
cDNA libraries using specific primers against the heavy and light
chain immunoglobulin sequences (Marks et al., 1991, J. Mol. Biol.
222:581-97). Library construction was performed according to
Andris-Widhopf et al. (2000, In: Phage Display Laboratory Manual,
Barbas et al. (eds), 1.sup.st edition, Cold Spring Harbor
Laboratory Press, Cold Spring Harbor, N.Y. pp. 9.1 to 9.22). The
final Fab fragments were digested with restriction endonucleases
and inserted into the bacteriophage genome to make the phage
display library. Such libraries may be screened by standard phage
display methods, as known in the art (see, e.g., Pasqualini and
Ruoslahti, 1996, Nature 380:364-366; Pasqualini, 1999, The Quart.
J. Nucl. Med. 43:159-162).
[0052] Phage display can be performed in a variety of formats, for
their review, see e.g. Johnson and Chiswell, Current Opinion in
Structural Biology 3:5564-571 (1993). Human antibodies may also be
generated by in vitro activated B cells. See U.S. Pat. Nos.
5,567,610 and 5,229,275, incorporated herein by reference in their
entirety. The skilled artisan will realize that these techniques
are exemplary and any known method for making and screening human
antibodies or antibody fragments may be utilized.
[0053] In another alternative, transgenic animals that have been
genetically engineered to produce human antibodies may be used to
generate antibodies against essentially any immunogenic target,
using standard immunization protocols. Methods for obtaining human
antibodies from transgenic mice are disclosed by Green et al.,
Nature Genet. 7:13 (1994), Lonberg et al., Nature 368:856 (1994),
and Taylor et al., Int. Immun. 6:579 (1994). A non-limiting example
of such a system is the XENOMOUSE.RTM. (mouse genetically
engineered to produce human antibodies) (e.g., Green et al., 1999,
J. Immunol. Methods 231:11-23) from Abgenix (Fremont, Calif.). In
the XENOMOUSE.RTM. (mouse genetically engineered to produce human
antibodies) and similar animals, the mouse antibody genes have been
inactivated and replaced by functional human antibody genes, while
the remainder of the mouse immune system remains intact.
[0054] The XENOMOUSE.RTM. (mouse genetically engineered to produce
human antibodies) was transformed with germline-configured YACs
(yeast artificial chromosomes) that contained portions of the human
IgH and Igkappa loci, including the majority of the variable region
sequences, along accessory genes and regulatory sequences. The
human variable region repertoire may be used to generate antibody
producing B cells, which may be processed into hybridomas by known
techniques. A XENOMOUSE.RTM. (mouse genetically engineered to
produce human antibodies) immunized with a target antigen will
produce human antibodies by the normal immune response, which may
be harvested and/or produced by standard techniques discussed
above. A variety of strains of XENOMOUSE.RTM. (mouse genetically
engineered to produce human antibodies) are available, each of
which is capable of producing a different class of antibody.
Transgenically produced human antibodies have been shown to have
therapeutic potential, while retaining the pharmacokinetic
properties of normal human antibodies (Green et al., 1999). The
skilled artisan will realize that the claimed compositions and
methods are not limited to use of the XENOMOUSE.RTM. (mouse
genetically engineered to produce human antibodies) system but may
utilize any transgenic animal that has been genetically engineered
to produce human antibodies.
[0055] Antibody Fragments
[0056] Antibody fragments which recognize specific epitopes can be
generated by known techniques. Antibody fragments are antigen
binding portions of an antibody, such as F(ab').sub.2, Fab',
F(ab).sub.2, Fab, Fv, sFv and the like. F(ab').sub.2 fragments can
be produced by pepsin digestion of the antibody molecule and Fab'
fragments can be generated by reducing disulfide bridges of the
F(ab').sub.2 fragments. Alternatively, Fab' expression libraries
can be constructed (Huse et al., 1989, Science, 246:1274-1281) to
allow rapid and easy identification of monoclonal Fab' fragments
with the desired specificity. F(ab).sub.2 fragments may be
generated by papain digestion of an antibody.
[0057] A single chain Fv molecule (scFv) comprises a VL domain and
a VH domain. The VL and VH domains associate to form a target
binding site. These two domains are further covalently linked by a
peptide linker (L). Methods for making scFv molecules and designing
suitable peptide linkers are described in U.S. Pat. No. 4,704,692,
U.S. Pat. No. 4,946,778, R. Raag and M. Whitlow, "Single Chain
Fvs." FASEB Vol 9:73-80 (1995) and R. E. Bird and B. W. Walker,
"Single Chain Antibody Variable Regions," TIBTECH, Vol 9: 132-137
(1991).
[0058] Techniques for producing single domain antibodies (DABs) are
also known in the art, as disclosed for example in Cossins et al.
(2006, Prot Express Purif 51:253-259), incorporated herein by
reference.
[0059] An antibody fragment can be prepared by proteolytic
hydrolysis of the full length antibody or by expression in E. coli
or another host of the DNA coding for the fragment. An antibody
fragment can be obtained by pepsin or papain digestion of full
length antibodies by conventional methods. These methods are
described, for example, by Goldenberg, U.S. Pat. Nos. 4,036,945 and
4,331,647 and references contained therein. Also, see Nisonoff et
al., Arch Biochem. Biophys. 89: 230 (1960); Porter, Biochem. 1 73:
119 (1959), Edelman et al., in METHODS IN ENZYMOLOGY VOL. 1, page
422 (Academic Press 1967), and Coligan at pages 2.8.1-2.8.10 and
2.10.-2.10.4.
[0060] Known Antibodies
[0061] Antibodies of use may be commercially obtained from a wide
variety of known sources. For example, a variety of antibody
secreting hybridoma lines are available from the American Type
Culture Collection (ATCC, Manassas, Va.). A large number of
antibodies against various disease targets, including but not
limited to tumor-associated antigens, have been deposited at the
ATCC and/or have published variable region sequences and are
available for use in the claimed methods and compositions. See,
e.g., U.S. Pat. Nos. 7,312,318; 7,282,567; 7,151,164; 7,074,403;
7,060,802; 7,056,509; 7,049,060; 7,045,132; 7,041,803; 7,041,802;
7,041,293; 7,038,018; 7,037,498; 7,012,133; 7,001,598; 6,998,468;
6,994,976; 6,994,852; 6,989,241; 6,974,863; 6,965,018; 6,964,854;
6,962,981; 6,962,813; 6,956,107; 6,951,924; 6,949,244; 6,946,129;
6,943,020; 6,939,547; 6,921,645; 6,921,645; 6,921,533; 6,919,433;
6,919,078; 6,916,475; 6,905,681; 6,899,879; 6,893,625; 6,887,468;
6,887,466; 6,884,594; 6,881,405; 6,878,812; 6,875,580; 6,872,568;
6,867,006; 6,864,062; 6,861,511; 6,861,227; 6,861,226; 6,838,282;
6,835,549; 6,835,370; 6,824,780; 6,824,778; 6,812,206; 6,793,924;
6,783,758; 6,770,450; 6,767,711; 6,764,688; 6,764,681; 6,764,679;
6,743,898; 6,733,981; 6,730,307; 6,720,155; 6,716,966; 6,709,653;
6,693,176; 6,692,908; 6,689,607; 6,689,362; 6,689,355; 6,682,737;
6,682,736; 6,682,734; 6,673,344; 6,653,104; 6,652,852; 6,635,482;
6,630,144; 6,610,833; 6,610,294; 6,605,441; 6,605,279; 6,596,852;
6,592,868; 6,576,745; 6,572,856; 6,566,076; 6,562,618; 6,545,130;
6,544,749; 6,534,058; 6,528,625; 6,528,269; 6,521,227; 6,518,404;
6,511,665; 6,491,915; 6,488,930; 6,482,598; 6,482,408; 6,479,247;
6,468,531; 6,468,529; 6,465,173; 6,461,823; 6,458,356; 6,455,044;
6,455,040; 6,451,310; 6,444,206; 6,441,143; 6,432,404; 6,432,402;
6,419,928; 6,413,726; 6,406,694; 6,403,770; 6,403,091; 6,395,276;
6,395,274; 6,387,350; 6,383,759; 6,383,484; 6,376,654; 6,372,215;
6,359,126; 6,355,481; 6,355,444; 6,355,245; 6,355,244; 6,346,246;
6,344,198; 6,340,571; 6,340,459; 6,331,175; 6,306,393; 6,254,868;
6,187,287; 6,183,744; 6,129,914; 6,120,767; 6,096,289; 6,077,499;
5,922,302; 5,874,540; 5,814,440; 5,798,229; 5,789,554; 5,776,456;
5,736,119; 5,716,595; 5,677,136; 5,587,459; 5,443,953, 5,525,338,
the Examples section of each of which is incorporated herein by
reference. These are exemplary only and a wide variety of other
antibodies and their hybridomas are known in the art. The skilled
artisan will realize that antibody sequences or antibody-secreting
hybridomas against almost any disease-associated antigen may be
obtained by a simple search of the ATCC, NCBI and/or USPTO
databases for antibodies against a selected disease-associated
target of interest. The antigen binding domains of the cloned
antibodies may be amplified, excised, ligated into an expression
vector, transfected into an adapted host cell and used for protein
production, using standard techniques well known in the art (see,
e.g., U.S. Pat. Nos. 7,531,327; 7,537,930; 7,608,425 and 7,785,880,
the Examples section of each of which is incorporated herein by
reference). Such known antibodies may be used in combination with
one or more anti-IGF-1R antibodies, either as part of a complex, or
administered separately or together with an anti-IGF-1R
antibody.
[0062] Particular antibodies that may be of use for therapy of
cancer within the scope of the claimed methods and compositions
include, but are not limited to, LL1 (anti-CD74), LL2 and RFB4
(anti-CD22), RS7 (anti-epithelial glycoprotein-1 (EGP-1)), PAM4 and
KC4 (both anti-mucin), MN-14 (anti-carcinoembryonic antigen (CEA,
also known as CD66e), Mu-9 (anti-colon-specific antigen-p), Immu 31
(an anti-alpha-fetoprotein), TAG-72 (e.g., CC49), Tn, J591 or
HuJ591 (anti-PSMA (prostate-specific membrane antigen)),
AB-PG1-XG1-026 (anti-PSMA dimer), D2/B (anti-PSMA), G250
(anti-carbonic anhydrase IX), hL243 (anti-HLA-DR), alemtuzumab
(anti-CD52), bevacizumab (anti-VEGF), cetuxiamab (anti-EGFR),
gemtuzumab (anti-CD33), ibritumomab tiuxetan (anti-CD20);
panitumumab (anti-EGFR); rituximab (anti-CD20); tositumomab
(anti-CD20); GA101 (anti-CD20); and trastuzumab (anti-ErbB2). Such
antibodies are known in the art (e.g., U.S. Pat. Nos. 5,686,072;
5,874,540; 6,107,090; 6,183,744; 6,306,393; 6,653,104; 6,730.300;
6,899,864; 6,926,893; 6,962,702; 7,074,403; 7,230,084; 7,238,785;
7,238,786; 7,256,004; 7,282,567; 7,300,655; 7,312,318; 7,585,491;
7,612,180; 7,642,239; and U.S. Patent Application Publ. No.
20040202666 (now abandoned); 20050271671; and 20060193865; the
Examples section of each incorporated herein by reference.)
Specific known antibodies of use include hPAM4 (U.S. Pat. No.
7,282,567), hA20 (U.S. Pat. No. 7,251,164), hA19 (U.S. Pat. No.
7,109,304), hIMMU31 (U.S. Pat. No. 7,300,655), hLL1 (U.S. Pat. No.
7,312,318,), hLL2 (U.S. Pat. No. 7,074,403), hMu-9 (U.S. Pat. No.
7,387,773), hL243 (U.S. Pat. No. 7,612,180), hMN-14 (U.S. Pat. No.
6,676,924), hMN-15 (U.S. Pat. No. 7,541,440), hR1 (U.S. patent
application Ser. No. 12/772,645), hRS7 (U.S. Pat. No. 7,238,785),
hMN-3 (U.S. Pat. No. 7,541,440), AB-PG1-XG1-026 (U.S. patent
application Ser. No. 11/983,372, deposited as ATCC PTA-4405 and
PTA-4406) and D2/B (WO 2009/130575) the text of each recited patent
or application is incorporated herein by reference with respect to
the Figures and Examples sections.
[0063] Anti-TNF-.alpha. antibodies are known in the art and may be
of use to treat immune diseases, such as autoimmune disease, immune
dysfunction (e.g., graft-versus-host disease, organ transplant
rejection) or diabetes. Known antibodies against TNF-.alpha.
include the human antibody CDP571 (Ofei et al., 2011, Diabetes
45:881-85); murine antibodies MTNFAI, M2TNFAI, M3TNFAI, M3TNFABI,
M302B and M303 (Thermo Scientific, Rockford, Ill.); infliximab
(Centocor, Malvern, Pa.); certolizumab pegol (UCB, Brussels,
Belgium); and adalimumab (Abbott, Abbott Park, Ill.). These and
many other known anti-TNF-.alpha. antibodies may be used in the
claimed methods and compositions. Other antibodies of use for
therapy of immune dysregulatory or autoimmune disease include, but
are not limited to, anti-B-cell antibodies such as veltuzumab,
epratuzumab, milatuzumab or hL243; tocilizumab (anti-IL-6
receptor); basiliximab (anti-CD25); daclizumab (anti-CD25);
efalizumab (anti-CD11a); muromonab-CD3 (anti-CD3 receptor);
anti-CD40L (UCB, Brussels, Belgium); natalizumab (anti-a4 integrin)
and omalizumab (anti-IgE). While anti-IGF-1R antibodies have
primarily been addressed to cancer therapy to date, there are
indications that IGF-1R may also be involved in immune system
function and autoimmune diseases (see, e.g., Smith, 2010, Pharm Rev
62:199-236).
[0064] Type-1 and Type-2 diabetes may be treated using known
antibodies against B-cell antigens, such as CD22 (epratuzumab),
CD74 (milatuzumab), CD19 (hA19), CD20 (veltuzumab) or HLA-DR
(hL243) (see, e.g., Winer et al., 2011, Nature Med 17:610-18).
Anti-CD3 antibodies also have been proposed for therapy of type 1
diabetes (Cernea et al., 2010, Diabetes Metab Rev 26:602-05).
[0065] Macrophage migration inhibitory factor (MIF) is an important
regulator of innate and adaptive immunity and apoptosis. It has
been reported that CD74 is the endogenous receptor for MIF (Leng et
al., 2003, J Exp Med 197:1467-76). The therapeutic effect of
antagonistic anti-CD74 antibodies on MIF-mediated intracellular
pathways may be of use for treatment of a broad range of disease
states, such as cancers of the bladder, prostate, breast, lung,
colon and chronic lymphocytic leukemia (e.g., Meyer-Siegler et al.,
2004, BMC Cancer 12:34; Shachar & Haran, 2011, Leuk Lymphoma
52:1446-54); autoimmune diseases such as rheumatoid arthritis and
systemic lupus erythematosus (Morand & Leech, 2005, Front
Biosci 10:12-22; Shachar & Haran, 2011, Leuk Lymphoma
52:1446-54); kidney diseases such as renal allograft rejection
(Lan, 2008, Nephron Exp Nephrol. 109:e79-83); and numerous
inflammatory diseases (Meyer-Siegler et al., 2009, Mediators
Inflamm epub Mar. 22, 2009; Takahashi et al., 2009, Respir Res
10:33; Milatuzumab (hLL1) is an exemplary anti-CD74 antibody of
therapeutic use for treatment of MIF-mediated diseases.
[0066] Bapineuzumab is in clinical trials for Alzheimer's disease
therapy. Other antibodies proposed for therapy of Alzheimer's
disease include Alz 50 (Ksiezak-Reding et al., 1987, J Biol Chem
263:7943-47), gantenerumab, and solanezumab. Infliximab, an
anti-TNF-.alpha. antibody, has been reported to reduce amyloid
plaques and improve cognition.
[0067] Antibodies to fibrin (e.g., scFv(59D8); T2G1s; MH1) are
known and in clinical trials as imaging agents for disclosing said
clots and pulmonary emboli, while anti-granulocyte antibodies, such
as MN-3, MN-15, anti-NCA95, and anti-CD15 antibodies, can target
myocardial infarcts and myocardial ischemia. (See, e.g., U.S. Pat.
Nos. 5,487,892; 5,632,968; 6,294,173; 7,541,440, the Examples
section of each incorporated herein by reference) Anti-macrophage,
anti-low-density lipoprotein (LDL), anti-MIF, and anti-CD74 (e.g.,
hLL1) antibodies can be used to target atherosclerotic plaques.
Abciximab (anti-glycoprotein IIb/IIIa) has been approved for
adjuvant use for prevention of restenosis in percutaneous coronary
interventions and the treatment of unstable angina (Waldmann et
al., 2000, Hematol 1:394-408). Anti-CD3 antibodies have been
reported to reduce development and progression of atherosclerosis
(Steffens et al., 2006, Circulation 114:1977-84). Antibodies
against oxidized LDL induced a regression of established
atherosclerosis in a mouse model (Ginsberg, 2007, J Am Coll Cardiol
52:2319-21). Anti-ICAM-1 antibody was shown to reduce ischemic cell
damage after cerebral artery occlusion in rats (Zhang et al., 1994,
Neurology 44:1747-51). Commercially available monoclonal antibodies
to leukocyte antigens are represented by: OKT anti-T-cell
monoclonal antibodies (available from Ortho Pharmaceutical Company)
which bind to normal T-lymphocytes; the monoclonal antibodies
produced by the hybridomas having the ATCC accession numbers HB44,
HB55, HB12, HB78 and HB2; G7E11, W8E7, NKP15 and G022 (Becton
Dickinson); NEN9.4 (New England Nuclear); and FMC11 (Sera Labs). A
description of antibodies against fibrin and platelet antigens is
contained in Knight, Semin. Nucl. Med., 20:52-67 (1990).
[0068] Antibody Allotypes
[0069] Immunogenicity of therapeutic antibodies is associated with
increased risk of infusion reactions and decreased duration of
therapeutic response (Baert et al., 2003, N Engl J Med 348:602-08).
The extent to which therapeutic antibodies induce an immune
response in the host may be determined in part by the allotype of
the antibody (Stickler et al., 2011, Genes and Immunity 12:213-21).
Antibody allotype is related to amino acid sequence variations at
specific locations in the constant region sequences of the
antibody. The allotypes of IgG antibodies containing a heavy chain
.gamma.-type constant region are designated as Gm allotypes (1976,
J Immunol 117:1056-59).
[0070] For the common IgG1 human antibodies, the most prevalent
allotype is G1m1 (Stickler et al., 2011, Genes and Immunity
12:213-21). However, the G1m3 allotype also occurs frequently in
Caucasians (Id.). It has been reported that G1m1 antibodies contain
allotypic sequences that tend to induce an immune response when
administered to non-G1m1 (nG1 m1) recipients, such as G1m3 patients
(Id.). Non-G1m1 allotype antibodies are not as immunogenic when
administered to G1m1 patients (Id.).
[0071] The human G1m1 allotype comprises the amino acids aspartic
acid at Kabat position 356 and leucine at Kabat position 358 in the
CH3 sequence of the heavy chain IgG1. The nG1m1 allotype comprises
the amino acids glutamic acid at Kabat position 356 and methionine
at Kabat position 358. Both G1m1 and nG1m1 allotypes comprise a
glutamic acid residue at Kabat position 357 and the allotypes are
sometimes referred to as DEL and EEM allotypes. A non-limiting
example of the heavy chain constant region sequences for G1m1 and
nG1m1 allotype antibodies is shown for the exemplary antibodies
rituximab (SEQ ID NO:120) and veltuzumab (SEQ ID NO:121).
TABLE-US-00001 Rituimab heavy chain variable region sequence (SEQ
ID NO: 120) ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGV
HTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKKAEP
KSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVS
HEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGK
EYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELLTKNQVSLT
CLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSR
WQQGNVFSCSVMHEALHNHYTQKSLSLSPGK Veltuzumab heavy chain variable
region (SEQ ID NO: 121)
ASTKGPSVFPLAPSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGV
HTFPAVLQSSGLYSLSSVVTVPSSSLGTQTYICNVNHKPSNTKVDKRVEP
KSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVS
HEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGK
EYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSREEMTKNQVSLTC
LVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRW
QQGNVFSCSVMHEALHNHYTQKSLSLSPGK
[0072] Jefferis and Lefranc (2009, mAbs 1:1-7) reviewed sequence
variations characteristic of IgG allotypes and their effect on
immunogenicity. They reported that the G1m3 allotype is
characterized by an arginine residue at Kabat position 214,
compared to a lysine residue at Kabat 214 in the G1m17 allotype.
The nG1 m1,2 allotype was characterized by glutamic acid at Kabat
position 356, methionine at Kabat position 358 and alanine at Kabat
position 431. The G1 m1,2 allotype was characterized by aspartic
acid at Kabat position 356, leucine at Kabat position 358 and
glycine at Kabat position 431. In addition to heavy chain constant
region sequence variants, Jefferis and Lefranc (2009) reported
allotypic variants in the kappa light chain constant region, with
the Km1 allotype characterized by valine at Kabat position 153 and
leucine at Kabat position 191, the Km1,2 allotype by alanine at
Kabat position 153 and leucine at Kabat position 191, and the Km3
allotypoe characterized by alanine at Kabat position 153 and valine
at Kabat position 191.
[0073] With regard to therapeutic antibodies, veltuzumab and
rituximab are, respectively, humanized and chimeric IgG1 antibodies
against CD20, of use for therapy of a wide variety of hematological
malignancies and/or autoimmune diseases. Table 1 compares the
allotype sequences of rituximab vs. veltuzumab. As shown in Table
1, rituximab (G1m17,1) is a DEL allotype IgG1, with an additional
sequence variation at Kabat position 214 (heavy chain CH1) of
lysine in rituximab vs. arginine in veltuzumab. It has been
reported that veltuzumab is less immunogenic in subjects than
rituximab (see, e.g., Morchhauser et al., 2009, J Clin Oncol
27:3346-53; Goldenberg et al., 2009, Blood 113:1062-70; Robak &
Robak, 2011, BioDrugs 25:13-25), an effect that has been attributed
to the difference between humanized and chimeric antibodies.
However, the difference in allotypes between the EEM and DEL
allotypes likely also accounts for the lower immunogenicity of
veltuzumab.
TABLE-US-00002 TABLE 1 Allotypes of Rituximab vs. Veltuzumab Heavy
chain position and associated allotypes 214 356/358 431 Complete
allotype (allotype) (allotype) (allotype) Rituximab G1m17,1 K 17
D/L 1 A -- Veltuzumab G1m3 R 3 E/M -- A --
[0074] In order to reduce the immunogenicity of therapeutic
antibodies in individuals of nG1m1 genotype, it is desirable to
select the allotype of the antibody to correspond to the G1m3
allotype, characterized by arginine at Kabat 214, and the nG1 m1,2
null-allotype, characterized by glutamic acid at Kabat position
356, methionine at Kabat position 358 and alanine at Kabat position
431. Surprisingly, it was found that repeated subcutaneous
administration of G1m3 antibodies over a long period of time did
not result in a significant immune response. In alternative
embodiments, the human IgG4 heavy chain in common with the G1m3
allotype has arginine at Kabat 214, glutamic acid at Kabat 356,
methionine at Kabat 359 and alanine at Kabat 431. Since
immunogenicity appears to relate at least in part to the residues
at those locations, use of the human IgG4 heavy chain constant
region sequence for therapeutic antibodies is also a preferred
embodiment. Combinations of G1m3 IgG1 antibodies with IgG4
antibodies may also be of use for therapeutic administration.
[0075] Immunoconjugates
[0076] In certain embodiments, the antibodies or fragments thereof
may be conjugated to one or more therapeutic or diagnostic agents.
The therapeutic agents do not need to be the same but can be
different, e.g. a drug and a radioisotope. For example, .sup.131I
can be incorporated into a tyrosine of an antibody or fusion
protein and a drug attached to an epsilon amino group of a lysine
residue. Therapeutic and diagnostic agents also can be attached,
for example to reduced SH groups and/or to carbohydrate side
chains. Many methods for making covalent or non-covalent conjugates
of therapeutic or diagnostic agents with antibodies or fusion
proteins are known in the art and any such known method may be
utilized.
[0077] A therapeutic or diagnostic agent can be attached at the
hinge region of a reduced antibody component via disulfide bond
formation. Alternatively, such agents can be attached using a
heterobifunctional cross-linker, such as N-succinyl
3-(2-pyridyldithio)propionate (SPDP). Yu et al., Int. J. Cancer 56:
244 (1994). General techniques for such conjugation are well-known
in the art. See, for example, Wong, CHEMISTRY OF PROTEIN
CONJUGATION AND CROSS-LINKING (CRC Press 1991); Upeslacis et al.,
"Modification of Antibodies by Chemical Methods," in MONOCLONAL
ANTIBODIES: PRINCIPLES AND APPLICATIONS, Birch et al. (eds.), pages
187-230 (Wiley-Liss, Inc. 1995); Price, "Production and
Characterization of Synthetic Peptide-Derived Antibodies," in
MONOCLONAL ANTIBODIES: PRODUCTION, ENGINEERING AND CLINICAL
APPLICATION, Ritter et al. (eds.), pages 60-84 (Cambridge
University Press 1995). Alternatively, the therapeutic or
diagnostic agent can be conjugated via a carbohydrate moiety in the
Fc region of the antibody. The carbohydrate group can be used to
increase the loading of the same agent that is bound to a thiol
group, or the carbohydrate moiety can be used to bind a different
therapeutic or diagnostic agent.
[0078] Methods for conjugating peptides to antibody components via
an antibody carbohydrate moiety are well-known to those of skill in
the art. See, for example, Shih et al., Int. J. Cancer 41: 832
(1988); Shih et al., Int. J. Cancer 46: 1101 (1990); and Shih et
al., U.S. Pat. No. 5,057,313, incorporated herein in their entirety
by reference. The general method involves reacting an antibody
component having an oxidized carbohydrate portion with a carrier
polymer that has at least one free amine function. This reaction
results in an initial Schiff base (imine) linkage, which can be
stabilized by reduction to a secondary amine to form the final
conjugate.
[0079] The Fc region may be absent if the antibody used as the
antibody component of the immunoconjugate is an antibody fragment.
However, it is possible to introduce a carbohydrate moiety into the
light chain variable region of a full length antibody or antibody
fragment. See, for example, Leung et al., J. Immunol. 154: 5919
(1995); Hansen et al., U.S. Pat. No. 5,443,953 (1995), Leung et
al., U.S. Pat. No. 6,254,868, incorporated herein by reference in
their entirety. The engineered carbohydrate moiety is used to
attach the therapeutic or diagnostic agent.
[0080] An alternative method for attaching toxins or other
functional groups to antibodies or complexes thereof involves use
of click chemistry reactions. The click chemistry approach was
originally conceived as a method to rapidly generate complex
substances by joining small subunits together in a modular fashion.
(See, e.g., Kolb et al., 2004, Angew Chem Int Ed 40:3004-31; Evans,
2007, Aust J Chem 60:384-95.) Various forms of click chemistry
reaction are known in the art, such as the Huisgen 1,3-dipolar
cycloaddition copper catalyzed reaction (Tornoe et al., 2002, J
Organic Chem 67:3057-64), which is often referred to as the "click
reaction." Other alternatives include cycloaddition reactions such
as the Diels-Alder, nucleophilic substitution reactions (especially
to small strained rings like epoxy and aziridine compounds),
carbonyl chemistry formation of urea compounds and reactions
involving carbon-carbon double bonds, such as alkynes in thiol-yne
reactions.
[0081] The azide alkyne Huisgen cycloaddition reaction uses a
copper catalyst in the presence of a reducing agent to catalyze the
reaction of a terminal alkyne group attached to a first molecule.
In the presence of a second molecule comprising an azide moiety,
the azide reacts with the activated alkyne to form a
1,4-disubstituted 1,2,3-triazole. The copper catalyzed reaction
occurs at room temperature and is sufficiently specific that
purification of the reaction product is often not required.
(Rostovstev et al., 2002, Angew Chem Int Ed 41:2596; Tornoe et al.,
2002, J Org Chem 67:3057.) The azide and alkyne functional groups
are largely inert towards biomolecules in aqueous medium, allowing
the reaction to occur in complex solutions. The triazole formed is
chemically stable and is not subject to enzymatic cleavage, making
the click chemistry product highly stable in biological systems.
Although the copper catalyst is toxic to living cells, the
copper-based click chemistry reaction may be used in vitro for
immunoconjugate formation.
[0082] A copper-free click reaction has been proposed for covalent
modification of biomolecules. (See, e.g., Agard et al., 2004, J Am
Chem Soc 126:15046-47.) The copper-free reaction uses ring strain
in place of the copper catalyst to promote a [3+2] azide-alkyne
cycloaddition reaction (Id.) For example, cyclooctyne is a 8-carbon
ring structure comprising an internal alkyne bond. The closed ring
structure induces a substantial bond angle deformation of the
acetylene, which is highly reactive with azide groups to form a
triazole. Thus, cyclooctyne derivatives may be used for copper-free
click reactions (Id.)
[0083] Another type of copper-free click reaction was reported by
Ning et al. (2010, Angew Chem Int Ed 49:3065-68), involving
strain-promoted alkyne-nitrone cycloaddition. To address the slow
rate of the original cyclooctyne reaction, electron-withdrawing
groups are attached adjacent to the triple bond (Id.) Examples of
such substituted cyclooctynes include difluorinated cyclooctynes,
4-dibenzocyclooctynol and azacyclooctyne (Id.) An alternative
copper-free reaction involved strain-promoted akyne-nitrone
cycloaddition to give N-alkylated isoxazolines (Id.) The reaction
was reported to have exceptionally fast reaction kinetics and was
used in a one-pot three-step protocol for site-specific
modification of peptides and proteins (Id.) Nitrones were prepared
by the condensation of appropriate aldehydes with
N-methylhydroxylamine and the cycloaddition reaction took place in
a mixture of acetonitrile and water (Id.)
[0084] Bispecific and Multispecific Antibodies
[0085] Certain embodiments may involve bispecific or even
multispecific complexes comprising an anti-IGF-1R antibody or
antibody fragment. Numerous methods to produce bispecific or
multispecific antibodies are known, as disclosed, for example, in
U.S. Pat. No. 7,405,320, the Examples section of which is
incorporated herein by reference. Bispecific antibodies can be
produced by the quadroma method, which involves the fusion of two
different hybridomas, each producing a monoclonal antibody
recognizing a different antigenic site (Milstein and Cuello,
Nature, 1983; 305:537-540).
[0086] Another method for producing bispecific antibodies uses
heterobifunctional cross-linkers to chemically tether two different
monoclonal antibodies (Staerz, et al. Nature. 1985; 314:628-631;
Perez, et al. Nature. 1985; 316:354-356). Bispecific antibodies can
also be produced by reduction of each of two parental monoclonal
antibodies to the respective half molecules, which are then mixed
and allowed to reoxidize to obtain the hybrid structure (Staerz and
Bevan. Proc Natl Acad Sci USA. 1986; 83:1453-1457). Another
alternative involves chemically cross-linking two or three
separately purified Fab' fragments using appropriate linkers. (See,
e.g., European Patent Application 0453082).
[0087] Other methods include improving the efficiency of generating
hybrid hybridomas by gene transfer of distinct selectable markers
via retrovirus-derived shuttle vectors into respective parental
hybridomas, which are fused subsequently (DeMonte, et al. Proc Natl
Acad Sci USA. 1990, 87:2941-2945); or transfection of a hybridoma
cell line with expression plasmids containing the heavy and light
chain genes of a different antibody.
[0088] Cognate V.sub.H and V.sub.L domains can be joined with a
peptide linker of appropriate composition and length (usually
consisting of more than 12 amino acid residues) to form a
single-chain Fv (scFv) with binding activity. Methods of
manufacturing scFvs are disclosed in U.S. Pat. No. 4,946,778 and
U.S. Pat. No. 5,132,405, the Examples section of each incorporated
herein by reference. Reduction of the peptide linker length to less
than 12 amino acid residues prevents pairing of V.sub.H and V.sub.L
domains on the same chain and forces pairing of V.sub.H and V.sub.L
domains with complementary domains on other chains, resulting in
the formation of functional multimers. Polypeptide chains of
V.sub.H and V.sub.L domains that are joined with linkers between 3
and 12 amino acid residues form predominantly dimers (termed
diabodies). With linkers between 0 and 2 amino acid residues,
trimers (termed triabody) and tetramers (termed tetrabody) are
favored, but the exact patterns of oligomerization appear to depend
on the composition as well as the orientation of V-domains
(V.sub.H-linker-V.sub.L or V.sub.L-linker-V.sub.H), in addition to
the linker length.
[0089] These techniques for producing multispecific or bispecific
antibodies exhibit various difficulties in terms of low yield,
necessity for purification, low stability or the
labor-intensiveness of the technique. A more recent technique to
produce DNL.RTM. complexes, described in more detail below, has
been utilized to produce combinations of virtually any desired
antibodies, antibody fragments and other effector molecules. The
technique allows the assembly of monospecific, bispecific or
multispecific antibodies, either as naked antibody moieties or in
combination with a wide range of other effector molecules such as
immunomodulators, enzymes, chemotherapeutic agents, chemokines,
cytokines, diagnostic agents, therapeutic agents, radionuclides,
imaging agents, anti-angiogenic agents, growth factors,
oligonucleotides, hormones, peptides, toxins, pro-apoptotic agents,
or a combination thereof. Any of the techniques known in the art
for making bispecific or multispecific antibodies may be utilized
in the practice of the presently claimed methods.
[0090] Affibodies and Fynomers
[0091] Certain alternative embodiments may utilize affibodies in
place of antibodies. Affibodies are commercially available from
AFFIBODY.RTM. (small protein antibody mimetic) AB (Solna, Sweden).
Affibodies are small proteins that function as antibody mimetics
and are of use in binding target molecules. Affibodies were
developed by combinatorial engineering on an alpha helical protein
scaffold (Nord et al., 1995, Protein Eng 8:601-8; Nord et al.,
1997, Nat Biotechnol 15:772-77). The AFFIBODY.RTM. (small protein
antibody mimetic) design is based on a three helix bundle structure
comprising the IgG binding domain of protein A (Nord et al., 1995;
1997). Affibodies with a wide range of binding affinities may be
produced by randomization of thirteen amino acids involved in the
Fc binding activity of the bacterial protein A (Nord et al., 1995;
1997). After randomization, the PCR amplified library was cloned
into a phagemid vector for screening by phage display of the mutant
proteins. The phage display library may be screened against any
known antigen, using standard phage display screening techniques
(e.g., Pasqualini and Ruoslahti, 1996, Nature 380:364-366;
Pasqualini, 1999, Quart. J. Nucl. Med. 43:159-162), in order to
identify one or more affibodies against the target antigen.
[0092] A .sup.177Lu-labeled AFFIBODY.RTM. specific for HER2/neu has
been demonstrated to target HER2-expressing xenografts in vivo
(Tolmachev et al., 2007, Cancer Res 67:2773-82). Although renal
toxicity due to accumulation of the low molecular weight
radiolabeled compound was initially a problem, reversible binding
to albumin reduced renal accumulation, enabling radionuclide-based
therapy with labeled AFFIBODY.RTM. (Id.).
[0093] The feasibility of using radiolabeled AFFIBODY.RTM.
molecules for in vivo tumor imaging has been recently demonstrated
(Tolmachev et al., 2011, Bioconjugate Chem 22:894-902). A
maleimide-derivatized NOTA was conjugated to the anti-HER2
AFFIBODY.RTM. and radiolabeled with .sup.111In (Id.).
Administration to mice bearing the HER2-expressing DU-145
xenograft, followed by gamma camera imaging, allowed visualization
of the xenograft (Id.).
[0094] Fynomers can also bind to target antigens with a similar
affinity and specificity to antibodies. Fynomers are based on the
human Fyn SH3 domain as a scaffold for assembly of binding
molecules. The Fyn SH3 domain is a fully human, 63 amino acid
protein that can be produced in bacteria with high yields. Fynomers
may be linked together to yield a multispecific binding protein
with affinities for two or more different antigen targets. Fynomers
are commercially available from COVAGEN AG (Zurich,
Switzerland).
[0095] The skilled artisan will realize that AFFIBODY.RTM.
molecules or fynomers may be used as targeting molecules in the
practice of the claimed methods and compositions.
[0096] Pre-Targeting
[0097] Bispecific or multispecific antibodies may be utilized in
pre-targeting techniques. Pre-targeting is a multistep process
originally developed to resolve the slow blood clearance of
directly targeting antibodies, which contributes to undesirable
toxicity to normal tissues such as bone marrow. With pre-targeting,
a radionuclide or other therapeutic agent is attached to a small
delivery molecule (targetable construct or targetable construct)
that is cleared within minutes from the blood. A pre-targeting
bispecific or multispecific antibody, which has binding sites for
the targetable construct as well as a target antigen, is
administered first, free antibody is allowed to clear from
circulation and then the targetable construct is administered.
[0098] Pre-targeting methods are disclosed, for example, in Goodwin
et al., U.S. Pat. No. 4,863,713; Goodwin et al., J. Nucl. Med.
29:226, 1988; Hnatowich et al., J. Nucl. Med. 28:1294, 1987; Oehr
et al., J. Nucl. Med. 29:728, 1988; Klibanov et al., J. Nucl. Med.
29:1951, 1988; Sinitsyn et al., J. Nucl. Med. 30:66, 1989;
Kalofonos et al., J. Nucl. Med. 31:1791, 1990; Schechter et al.,
Int. J. Cancer 48:167, 1991; Paganelli et al., Cancer Res. 51:5960,
1991; Paganelli et al., Nucl. Med. Commun. 12:211, 1991; U.S. Pat.
No. 5,256,395; Stickney et al., Cancer Res. 51:6650, 1991; Yuan et
al., Cancer Res. 51:3119, 1991; U.S. Pat. Nos. 6,077,499;
7,011,812; 7,300,644; 7,074,405; 6,962,702; 7,387,772; 7,052,872;
7,138,103; 6,090,381; 6,472,511; 6,962,702; 6,962,702; 7,074,405;
and U.S. Ser. No. 10/114,315 (now abandoned); the Examples section
of each of which is incorporated herein by reference.
[0099] A pre-targeting method of treating or diagnosing a disease
or disorder in a subject may be provided by: (1) administering to
the subject a bispecific antibody or antibody fragment; (2)
optionally administering to the subject a clearing composition, and
allowing the composition to clear the antibody from circulation;
and (3) administering to the subject the targetable construct,
containing one or more chelated or chemically bound therapeutic or
diagnostic agents. The technique may also be utilized for antibody
dependent enzyme prodrug therapy (ADEPT) by administering an enzyme
conjugated to a targetable construct, followed by a prodrug that is
converted into active form by the enzyme.
[0100] Dock-and-Lock.RTM. (DNL.RTM.)
[0101] In preferred embodiments, an anti-IGF-1R complex is formed
as a DOCK-AND-LOCK.RTM. (DNL.RTM.) complex (see, e.g., U.S. Pat.
Nos. 7,521,056; 7,527,787; 7,534,866; 7,550,143 and 7,666,400, the
Examples section of each of which is incorporated herein by
reference.) Generally, the technique takes advantage of the
specific and high-affinity binding interactions that occur between
a dimerization and docking domain (DDD) sequence of the regulatory
(R) subunits of cAMP-dependent protein kinase (PKA) and an anchor
domain (AD) sequence derived from any of a variety of AKAP proteins
(Baillie et al., FEBS Letters. 2005; 579: 3264. Wong and Scott,
Nat. Rev. Mol. Cell Biol. 2004; 5: 959). The DDD and AD peptides
may be attached to any protein, peptide or other molecule. Because
the DDD sequences spontaneously dimerize and bind to the AD
sequence, the technique allows the formation of complexes between
any selected molecules that may be attached to DDD or AD
sequences.
[0102] Although the standard DNL.RTM. complex comprises a trimer
with two DDD-linked molecules attached to one AD-linked molecule,
variations in complex structure allow the formation of dimers,
trimers, tetramers, pentamers, hexamers and other multimers. In
some embodiments, the DNL.RTM. complex may comprise two or more
antibodies, antibody fragments or fusion proteins which bind to the
same antigenic determinant or to two or more different antigens.
The DNL.RTM. complex may also comprise one or more other effectors,
such as proteins, peptides, immunomodulators, cytokines,
interleukins, interferons, binding proteins, peptide ligands,
carrier proteins, toxins, ribonucleases such as onconase,
inhibitory oligonucleotides such as siRNA, antigens or
xenoantigens, polymers such as PEG, enzymes, therapeutic agents,
hormones, cytotoxic agents, anti-angiogenic agents, pro-apoptotic
agents or any other molecule or aggregate.
[0103] PKA, which plays a central role in one of the best studied
signal transduction pathways triggered by the binding of the second
messenger cAMP to the R subunits, was first isolated from rabbit
skeletal muscle in 1968 (Walsh et al., J. Biol. Chem. 1968;
243:3763). The structure of the holoenzyme consists of two
catalytic subunits held in an inactive form by the R subunits
(Taylor, J. Biol. Chem. 1989; 264:8443). Isozymes of PKA are found
with two types of R subunits (RI and RII), and each type has
.alpha. and .beta. isoforms (Scott, Pharmacol. Ther. 1991; 50:123).
Thus, the four isoforms of PKA regulatory subunits are RI.alpha.,
RI.beta., RII.alpha. and RII.beta.. The R subunits have been
isolated only as stable dimers and the dimerization domain has been
shown to consist of the first 44 amino-terminal residues of
RII.alpha. (Newlon et al., Nat. Struct. Biol. 1999; 6:222). As
discussed below, similar portions of the amino acid sequences of
other regulatory subunits are involved in dimerization and docking,
each located near the N-terminal end of the regulatory subunit.
Binding of cAMP to the R subunits leads to the release of active
catalytic subunits for a broad spectrum of serine/threonine kinase
activities, which are oriented toward selected substrates through
the compartmentalization of PKA via its docking with AKAPs (Scott
et al., J. Biol. Chem. 1990; 265; 21561)
[0104] Since the first AKAP, microtubule-associated protein-2, was
characterized in 1984 (Lohmann et al., Proc. Natl. Acad. Sci USA.
1984; 81:6723), more than 50 AKAPs that localize to various
sub-cellular sites, including plasma membrane, actin cytoskeleton,
nucleus, mitochondria, and endoplasmic reticulum, have been
identified with diverse structures in species ranging from yeast to
humans (Wong and Scott, Nat. Rev. Mol. Cell Biol. 2004; 5:959). The
AD of AKAPs for PKA is an amphipathic helix of 14-18 residues (Carr
et al., J. Biol. Chem. 1991; 266:14188). The amino acid sequences
of the AD are quite varied among individual AKAPs, with the binding
affinities reported for RII dimers ranging from 2 to 90 nM (Alto et
al., Proc. Natl. Acad. Sci. USA. 2003; 100:4445). AKAPs will only
bind to dimeric R subunits. For human RII.alpha., the AD binds to a
hydrophobic surface formed by the 23 amino-terminal residues
(Colledge and Scott, Trends Cell Biol. 1999; 6:216). Thus, the
dimerization domain and AKAP binding domain of human RII.alpha. are
both located within the same N-terminal 44 amino acid sequence
(Newlon et al., Nat. Struct. Biol. 1999; 6:222; Newlon et al., EMBO
J. 2001; 20:1651), which is termed the DDD herein.
[0105] We have developed a platform technology to utilize the DDD
of human PKA regulatory subunits and the AD of AKAP as an excellent
pair of linker modules for docking any two entities, referred to
hereafter as A and B, into a noncovalent complex, which could be
further locked into a DNL.RTM. complex through the introduction of
cysteine residues into both the DDD and AD at strategic positions
to facilitate the formation of disulfide bonds. The general
methodology of the approach is as follows. Entity A is constructed
by linking a DDD sequence to a precursor of A, resulting in a first
component hereafter referred to as a. Because the DDD sequence
would effect the spontaneous formation of a dimer, A would thus be
composed of a.sub.2. Entity B is constructed by linking an AD
sequence to a precursor of B, resulting in a second component
hereafter referred to as b. The dimeric motif of DDD contained in
a.sub.2 will create a docking site for binding to the AD sequence
contained in b, thus facilitating a ready association of a.sub.2
and b to form a binary, trimeric complex composed of a.sub.2b. This
binding event is made irreversible with a subsequent reaction to
covalently secure the two entities via disulfide bridges, which
occurs very efficiently based on the principle of effective local
concentration because the initial binding interactions should bring
the reactive thiol groups placed onto both the DDD and AD into
proximity (Chmura et al., Proc. Natl. Acad. Sci. USA. 2001;
98:8480) to ligate site-specifically. Using various combinations of
linkers, adaptor modules and precursors, a wide variety of DNL.RTM.
constructs of different stoichiometry may be produced and used
(see, e.g., U.S. Pat. Nos. 7,550,143; 7,521,056; 7,534,866;
7,527,787 and 7,666,400.)
[0106] By attaching the DDD and AD away from the functional groups
of the two precursors, such site-specific ligations are also
expected to preserve the original activities of the two precursors.
This approach is modular in nature and potentially can be applied
to link, site-specifically and covalently, a wide range of
substances, including peptides, proteins, antibodies, antibody
fragments, and other effector moieties with a wide range of
activities. Utilizing the fusion protein method of constructing AD
and DDD conjugated effectors described in the Examples below,
virtually any protein or peptide may be incorporated into a
DNL.RTM. construct. However, the technique is not limiting and
other methods of conjugation may be utilized.
[0107] A variety of methods are known for making fusion proteins,
including nucleic acid synthesis, hybridization and/or
amplification to produce a synthetic double-stranded nucleic acid
encoding a fusion protein of interest. Such double-stranded nucleic
acids may be inserted into expression vectors for fusion protein
production by standard molecular biology techniques (see, e.g.
Sambrook et al., Molecular Cloning, A laboratory manual, 2.sup.nd
Ed, 1989). In such preferred embodiments, the AD and/or DDD moiety
may be attached to either the N-terminal or C-terminal end of an
effector protein or peptide. However, the skilled artisan will
realize that the site of attachment of an AD or DDD moiety to an
effector moiety may vary, depending on the chemical nature of the
effector moiety and the part(s) of the effector moiety involved in
its physiological activity. Site-specific attachment of a variety
of effector moieties may be performed using techniques known in the
art, such as the use of bivalent cross-linking reagents and/or
other chemical conjugation techniques.
[0108] Structure-Function Relationships in AD and DDD Moieties
[0109] For different types of DNL.RTM. constructs, different AD or
DDD sequences may be utilized. Exemplary DDD and AD sequences are
provided below.
TABLE-US-00003 DDD1 (SEQ ID NO: 1)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA DDD2 (SEQ ID NO: 2)
CGHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA AD1 (SEQ ID NO: 3)
QIEYLAKQIVDNAIQQA AD2 (SEQ ID NO: 4) CGQIEYLAKQIVDNAIQQAGC
[0110] The skilled artisan will realize that DDD1 and DDD2 are
based on the DDD sequence of the human RII.alpha. isoform of
protein kinase A. However, in alternative embodiments, the DDD and
AD moieties may be based on the DDD sequence of the human RI.alpha.
form of protein kinase A and a corresponding AKAP sequence, as
exemplified in DDD3, DDD3C and AD3 below.
TABLE-US-00004 DDD3 (SEQ ID NO: 5)
SLRECELYVQKHNIQALLKDSIVQLCTARPERPMAFLREYFERLEKEEAK DDD3C (SEQ ID
NO: 6) MSCGGSLRECELYVQKHNIQALLKDSIVQLCTARPERPMAFLREYFERLE KEEAK AD3
(SEQ ID NO: 7) CGFEELAWKIAKMIWSDVFQQGC
[0111] In other alternative embodiments, other sequence variants of
AD and/or DDD moieties may be utilized in construction of the
DNL.RTM. complexes. For example, there are only four variants of
human PKA DDD sequences, corresponding to the DDD moieties of PKA
RI.alpha., RII.alpha., RI.beta. and RII.beta.. The RII.alpha. DDD
sequence is the basis of DDD1 and DDD2 disclosed above. The four
human PKA DDD sequences are shown below. The DDD sequence
represents residues 1-44 of RII.alpha., 1-44 of RII.beta., 12-61 of
RI.alpha. and 13-66 of RI.beta.. (Note that the sequence of DDD1 is
modified slightly from the human PKA RII.alpha. DDD moiety.)
TABLE-US-00005 PKA RI.alpha. (SEQ ID NO: 8)
SLRECELYVQKHNIQALLKDVSIVQLCTARPERPMAFLREYFEKLEKEEA K PKA RI.beta.
(SEQ ID NO: 9) SLKGCELYVQLHGIQQVLKDCIVHLCISKPERPMKFLREHFEKLEKEENR
QILA PKA RII.alpha. (SEQ ID NO: 10)
SHIQIPPGLTELLQGYTVEVGQQPPDLVDFAVEYFTRLREARRQ PKA RII.beta. (SEQ ID
NO: 11) SIEIPAGLTELLQGFTVEVLRHQPADLLEFALQHFTRLQQENER
[0112] The structure-function relationships of the AD and DDD
domains have been the subject of investigation. (See, e.g.,
Burns-Hamuro et al., 2005, Protein Sci 14:2982-92; Carr et al.,
2001, J Biol Chem 276:17332-38; Alto et al., 2003, Proc Natl Acad
Sci USA 100:4445-50; Hundsrucker et al., 2006, Biochem J
396:297-306; Stokka et al., 2006, Biochem J 400:493-99; Gold et
al., 2006, Mol Cell 24:383-95; Kinderman et al., 2006, Mol Cell
24:397-408, the entire text of each of which is incorporated herein
by reference.)
[0113] For example, Kinderman et al. (2006, Mol Cell 24:397-408)
examined the crystal structure of the AD-DDD binding interaction
and concluded that the human DDD sequence contained a number of
conserved amino acid residues that were important in either dimer
formation or AKAP binding, underlined in SEQ ID NO:1 below. (See
FIG. 1 of Kinderman et al., 2006, incorporated herein by
reference.) The skilled artisan will realize that in designing
sequence variants of the DDD sequence, one would desirably avoid
changing any of the underlined residues, while conservative amino
acid substitutions might be made for residues that are less
critical for dimerization and AKAP binding.
TABLE-US-00006 (SEQ ID NO: 1)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA
[0114] As discussed in more detail below, conservative amino acid
substitutions have been characterized for each of the twenty common
L-amino acids. Thus, based on the data of Kinderman (2006) and
conservative amino acid substitutions, potential alternative DDD
sequences based on SEQ ID NO:1 are shown in Table 2. In devising
Table 2, only highly conservative amino acid substitutions were
considered. For example, charged residues were only substituted for
residues of the same charge, residues with small side chains were
substituted with residues of similar size, hydroxyl side chains
were only substituted with other hydroxyls, etc. Because of the
unique effect of proline on amino acid secondary structure, no
other residues were substituted for proline. A limited number of
such potential alternative DDD moiety sequences are shown in SEQ ID
NO:12 to SEQ ID NO:31 below. The skilled artisan will realize that
an almost unlimited number of alternative species within the genus
of DDD moieties can be constructed by standard techniques, for
example using a commercial peptide synthesizer or well known
site-directed mutagenesis techniques. The effect of the amino acid
substitutions on AD moiety binding may also be readily determined
by standard binding assays, for example as disclosed in Alto et al.
(2003, Proc Natl Acad Sci USA 100:4445-50).
TABLE-US-00007 TABLE 2 Conservative Amino Acid Substitutions in
DDD1 (SEQ ID NO: 1). Consensus sequence disclosed as SEQ ID NO: 91.
S H I Q I P P G L T E L L Q G Y T V E V L R T K N A S D N A S D K R
Q Q P P D L V E F A V E Y F T R L R E A R A N N E D L D S K K D L K
L I I I V V V THIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID
NO: 12) SKIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO:
13) SRIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 14)
SHINIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 15)
SHIQIPPALTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 16)
SHIQIPPGLSELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 17)
SHIQIPPGLTDLLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 18)
SHIQIPPGLTELLNGYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 19)
SHIQIPPGLTELLQAYTVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 20)
SHIQIPPGLTELLQGYSVEVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 21)
SHIQIPPGLTELLQGYTVDVLRQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 22)
SHIQIPPGLTELLQGYTVEVLKQQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 23)
SHIQIPPGLTELLQGYTVEVLRNQPPDLVEFAVEYFTRLREARA (SEQ ID NO: 24)
SHIQIPPGLTELLQGYTVEVLRQNPPDLVEFAVEYFTRLREARA (SEQ ID NO: 25)
SHIQIPPGLTELLQGYTVEVLRQQPPELVEFAVEYFTRLREARA (SEQ ID NO: 26)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVDFAVEYFTRLREARA (SEQ ID NO: 27)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFLVEYFTRLREARA (SEQ ID NO: 28)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFIVEYFTRLREARA (SEQ ID NO: 29)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFVVEYFTRLREARA (SEQ ID NO: 30)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVDYFTRLREARA (SEQ ID NO: 31)
[0115] Alto et al. (2003, Proc Natl Acad Sci USA 100:4445-50)
performed a bioinformatic analysis of the AD sequence of various
AKAP proteins to design an RII selective AD sequence called AKAP-IS
(SEQ ID NO:3), with a binding constant for DDD of 0.4 nM. The
AKAP-IS sequence was designed as a peptide antagonist of AKAP
binding to PKA. Residues in the AKAP-IS sequence where
substitutions tended to decrease binding to DDD are underlined in
SEQ ID NO:3 below. The skilled artisan will realize that in
designing sequence variants of the AD sequence, one would desirably
avoid changing any of the underlined residues, while conservative
amino acid substitutions might be made for residues that are less
critical for DDD binding. Table 3 shows potential conservative
amino acid substitutions in the sequence of AKAP-IS (AD1, SEQ ID
NO:3), similar to that shown for DDD1 (SEQ ID NO:1) in Table 2
above.
[0116] A limited number of such potential alternative AD moiety
sequences are shown in SEQ ID NO:32 to SEQ ID NO:49 below. Again, a
very large number of species within the genus of possible AD moiety
sequences could be made, tested and used by the skilled artisan,
based on the data of Alto et al. (2003). It is noted that FIG. 2 of
Alto (2003) shows an even large number of potential amino acid
substitutions that may be made, while retaining binding activity to
DDD moieties, based on actual binding experiments.
TABLE-US-00008 AKAP-IS (SEQ ID NO: 3) QIEYLAKQIVDNAIQQA
TABLE-US-00009 TABLE 3 Conservative Amino Acid Substitutions in AD1
(SEQ ID NO: 3). Consensus sequence disclosed as SEQ ID NO: 92. Q I
E Y L A K Q I V D N A I Q Q A N L D F I R N E Q N N L V T V I S V
NIEYLAKQIVDNAIQQA (SEQ ID NO: 32) QLEYLAKQIVDNAIQQA (SEQ ID NO: 33)
QVEYLAKQIVDNAIQQA (SEQ ID NO: 34) QIDYLAKQIVDNAIQQA (SEQ ID NO: 35)
QIEFLAKQIVDNAIQQA (SEQ ID NO: 36) QIETLAKQIVDNAIQQA (SEQ ID NO: 37)
QIESLAKQIVDNAIQQA (SEQ ID NO: 38) QIEYIAKQIVDNAIQQA (SEQ ID NO: 39)
QIEYVAKQIVDNAIQQA (SEQ ID NO: 40) QIEYLARQIVDNAIQQA (SEQ ID NO: 41)
QIEYLAKNIVDNAIQQA (SEQ ID NO: 42) QIEYLAKQIVENAIQQA (SEQ ID NO: 43)
QIEYLAKQIVDQAIQQA (SEQ ID NO: 44) QIEYLAKQIVDNAINQA (SEQ ID NO: 45)
QIEYLAKQIVDNAIQNA (SEQ ID NO: 46) QIEYLAKQIVDNAIQQL (SEQ ID NO: 47)
QIEYLAKQIVDNAIQQI (SEQ ID NO: 48) QIEYLAKQIVDNAIQQV (SEQ ID NO:
49)
[0117] Gold et al. (2006, Mol Cell 24:383-95) utilized
crystallography and peptide screening to develop a SuperAKAP-IS
sequence (SEQ ID NO:50), exhibiting a five order of magnitude
higher selectivity for the RII isoform of PKA compared with the RI
isoform. Underlined residues indicate the positions of amino acid
substitutions, relative to the AKAP-IS sequence, which increased
binding to the DDD moiety of RII.alpha.. In this sequence, the
N-terminal Q residue is numbered as residue number 4 and the
C-terminal A residue is residue number 20. Residues where
substitutions could be made to affect the affinity for RII.alpha.
were residues 8, 11, 15, 16, 18, 19 and 20 (Gold et al., 2006). It
is contemplated that in certain alternative embodiments, the
SuperAKAP-IS sequence may be substituted for the AKAP-IS AD moiety
sequence to prepare DNL.RTM. constructs. Other alternative
sequences that might be substituted for the AKAP-IS AD sequence are
shown in SEQ ID NO:51-53. Substitutions relative to the AKAP-IS
sequence are underlined. It is anticipated that, as with the AD2
sequence shown in SEQ ID NO:4, the AD moiety may also include the
additional N-terminal residues cysteine and glycine and C-terminal
residues glycine and cysteine.
TABLE-US-00010 SuperAKAP-IS (SEQ ID NO: 50) QIEYVAKQIVDYAIHQA
Alternative AKAP sequences (SEQ ID NO: 51) QIEYKAKQIVDHAIHQA (SEQ
ID NO: 52) QIEYHAKQIVDHAIHQA (SEQ ID NO: 53) QIEYVAKQIVDHAIHQA
[0118] FIG. 2 of Gold et al. disclosed additional DDD-binding
sequences from a variety of AKAP proteins, shown below.
TABLE-US-00011 RII-Specific AKAPs AKAP-KL (SEQ ID NO: 54)
PLEYQAGLLVQNAIQQAI AKAP79 (SEQ ID NO: 55) LLIETASSLVKNAIQLSI
AKAP-Lbc (SEQ ID NO: 56) LIEEAASRIVDAVIEQVK RI-Specific AKAPs
AKAPce (SEQ ID NO: 57) ALYQFADRFSELVISEAL RIAD (SEQ ID NO: 58)
LEQVANQLADQIIKEAT PV38 (SEQ ID NO: 59) FEELAWKIAKMIWSDVF
Dual-Specificity AKAPs AKAP7 (SEQ ID NO: 60) ELVRLSKRLVENAVLKAV
MAP2D (SEQ ID NO: 61) TAEEVSARIVQVVTAEAV DAKAP1 (SEQ ID NO: 62)
QIKQAAFQLISQVILEAT DAKAP2 (SEQ ID NO: 63) LAWKIAKMIVSDVMQQ
[0119] Stokka et al. (2006, Biochem J 400:493-99) also developed
peptide competitors of AKAP binding to PKA, shown in SEQ ID
NO:64-66. The peptide antagonists were designated as Ht31 (SEQ ID
NO:64), RIAD (SEQ ID NO:65) and PV-38 (SEQ ID NO:66). The Ht-31
peptide exhibited a greater affinity for the RH isoform of PKA,
while the RIAD and PV-38 showed higher affinity for RI.
TABLE-US-00012 Ht31 (SEQ ID NO: 64) DLIEEAASRIVDAVIEQVKAAGAY RIAD
(SEQ ID NO: 65) LEQYANQLADQIIKEATE PV-38 (SEQ ID NO: 66)
FEELAWKIAKMIWSDVFQQC
[0120] Hundsrucker et al. (2006, Biochem J 396:297-306) developed
still other peptide competitors for AKAP binding to PKA, with a
binding constant as low as 0.4 nM to the DDD of the RII form of
PKA. The sequences of various AKAP antagonistic peptides are
provided in Table 1 of Hundsrucker et al., reproduced in Table 4
below. AKAPIS represents a synthetic RII subunit-binding peptide.
All other peptides are derived from the RII-binding domains of the
indicated AKAPs.
TABLE-US-00013 TABLE 4 AKAP Peptide sequences Peptide Sequence
AKAPIS QIEYLAKQIVDNAIQQA (SEQ ID NO: 3) AKAPIS-P QIEYLAKQIPDNAIQQA
(SEQ ID NO: 67) Ht31 KGADLIEEAASRIVDAVIEQVKAAG (SEQ ID NO: 68)
Ht31-P KGADLIEEAASRIPDAPIEQVKAAG (SEQ ID NO: 69)
AKAP7.delta.-wt-pep PEDAELVRLSKRLVENAVLKAVQQY (SEQ ID NO: 70)
AKAP7.delta.-L304T-pep PEDAELVRTSKRLVENAVLKAVQQY (SEQ ID NO: 71)
AKAP7.delta.-L308D-pep PEDAELVRLSKRDVENAVLKAVQQY (SEQ ID NO: 72)
AKAP7.delta.-P-pep PEDAELVRLSKRLPENAVLKAVQQY (SEQ ID NO: 73)
AKAP7.delta.-PP-pep PEDAELVRLSKRLPENAPLKAVQQY (SEQ ID NO: 74)
AKAP7.delta.-L314E-pep PEDAELVRLSKRLVENAVEKAVQQY (SEQ ID NO: 75)
AKAP1-pep EEGLDRNEEIKRAAFQIISQVISEA (SEQ ID NO: 76) AKAP2-pep
LVDDPLEYQAGLLVQNAIQQAIAEQ (SEQ ID NO: 77) AKAP5-pep
QYETLLIETASSLVKNAIQLSIEQL (SEQ ID NO: 78) AKAP9-pep
LEKQYQEQLEEEVAKVIVSMSIAFA (SEQ ID NO: 79) AKAP10-pep
NTDEAQEELAWKIAKMIVSDIMQQA (SEQ ID NO: 80) AKAP11-pep
VNLDKKAVLAEKIVAEAIEKAEREL (SEQ ID NO: 81) AKAP12-pep
NGILELETKSSKLVQNIIQTAVDQF (SEQ ID NO: 82) AKAP14-pep
TQDKNYEDELTQVALALVEDVINYA (SEQ ID NO: 83) Rab32-pep
ETSAKDNINIEEAARFLVEKILVNH (SEQ ID NO: 84)
[0121] Residues that were highly conserved among the AD domains of
different AKAP proteins are indicated below by underlining with
reference to the AKAP IS sequence (SEQ ID NO:3). The residues are
the same as observed by Alto et al. (2003), with the addition of
the C-terminal alanine residue. (See FIG. 4 of Hundsrucker et al.
(2006), incorporated herein by reference.) The sequences of peptide
antagonists with particularly high affinities for the RII DDD
sequence were those of AKAP-IS, AKAP7.delta.-wt-pep,
AKAP7.delta.-L304T-pep and AKAP7.delta.-L308D-pep.
TABLE-US-00014 AKAP-IS (SEQ ID NO: 3) QIEYLAKQIVDNAIQQA
[0122] Carr et al. (2001, J Biol Chem 276:17332-38) examined the
degree of sequence homology between different AKAP-binding DDD
sequences from human and non-human proteins and identified residues
in the DDD sequences that appeared to be the most highly conserved
among different DDD moieties. These are indicated below by
underlining with reference to the human PKA RII.alpha. DDD sequence
of SEQ ID NO:1. Residues that were particularly conserved are
further indicated by italics. The residues overlap with, but are
not identical to those suggested by Kinderman et al. (2006) to be
important for binding to AKAP proteins. The skilled artisan will
realize that in designing sequence variants of DDD, it would be
most preferred to avoid changing the most conserved residues
(italicized), and it would be preferred to also avoid changing the
conserved residues (underlined), while conservative amino acid
substitutions may be considered for residues that are neither
underlined nor italicized.
TABLE-US-00015 (SEQ ID NO: 1)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA
[0123] A modified set of conservative amino acid substitutions for
the DDD1 (SEQ ID NO:1) sequence, based on the data of Carr et al.
(2001) is shown in Table 5. Even with this reduced set of
substituted sequences, there are over 65,000 possible alternative
DDD moiety sequences that may be produced, tested and used by the
skilled artisan without undue experimentation. The skilled artisan
could readily derive such alternative DDD amino acid sequences as
disclosed above for Table 2 and Table 3.
TABLE-US-00016 TABLE 5 Conservative Amino Acid Substitutions in
DDD1 (SEQ ID NO: 1). Consensus sequence disclosed as SEQ ID NO: 93.
S H I Q P T E Q V T N S I L A Q P V E V E T R R E A A N I D S K K L
L L I I A V V
[0124] The skilled artisan will realize that these and other amino
acid substitutions in the DDD or AD amino acid sequences may be
utilized to produce alternative species within the genus of AD or
DDD moieties, using techniques that are standard in the field and
only routine experimentation.
[0125] Amino Acid Substitutions
[0126] In alternative embodiments, the disclosed methods and
compositions may involve production and use of proteins or peptides
with one or more substituted amino acid residues. For example, the
DDD and/or AD sequences used to make DNL.RTM. constructs may be
modified as discussed above.
[0127] The skilled artisan will be aware that, in general, amino
acid substitutions typically involve the replacement of an amino
acid with another amino acid of relatively similar properties
(i.e., conservative amino acid substitutions). The properties of
the various amino acids and effect of amino acid substitution on
protein structure and function have been the subject of extensive
study and knowledge in the art.
[0128] For example, the hydropathic index of amino acids may be
considered (Kyte & Doolittle, 1982, J. Mol. Biol.,
157:105-132). The relative hydropathic character of the amino acid
contributes to the secondary structure of the resultant protein,
which in turn defines the interaction of the protein with other
molecules. Each amino acid has been assigned a hydropathic index on
the basis of its hydrophobicity and charge characteristics (Kyte
& Doolittle, 1982), these are: isoleucine (+4.5); valine
(+4.2); leucine (+3.8); phenylalanine (+2.8); cysteine/cystine
(+2.5); methionine (+1.9); alanine (+1.8); glycine (-0.4);
threonine (-0.7); serine (-0.8); tryptophan (-0.9); tyrosine
(-1.3); proline (-1.6); histidine (-3.2); glutamate (-3.5);
glutamine (-3.5); aspartate (-3.5); asparagine (-3.5); lysine
(-3.9); and arginine (-4.5). In making conservative substitutions,
the use of amino acids whose hydropathic indices are within .+-.2
is preferred, within .+-.1 are more preferred, and within .+-.0.5
are even more preferred.
[0129] Amino acid substitution may also take into account the
hydrophilicity of the amino acid residue (e.g., U.S. Pat. No.
4,554,101). Hydrophilicity values have been assigned to amino acid
residues: arginine (+3.0); lysine (+3.0); aspartate (+3.0);
glutamate (+3.0); serine (+0.3); asparagine (+0.2); glutamine
(+0.2); glycine (0); threonine (-0.4); proline (-0.5.+-0.1);
alanine (-0.5); histidine (-0.5); cysteine (-1.0); methionine
(-1.3); valine (-1.5); leucine (-1.8); isoleucine (-1.8); tyrosine
(-2.3); phenylalanine (-2.5); tryptophan (-3.4). Replacement of
amino acids with others of similar hydrophilicity is preferred.
[0130] Other considerations include the size of the amino acid side
chain. For example, it would generally not be preferred to replace
an amino acid with a compact side chain, such as glycine or serine,
with an amino acid with a bulky side chain, e.g., tryptophan or
tyrosine. The effect of various amino acid residues on protein
secondary structure is also a consideration. Through empirical
study, the effect of different amino acid residues on the tendency
of protein domains to adopt an alpha-helical, beta-sheet or reverse
turn secondary structure has been determined and is known in the
art (see, e.g., Chou & Fasman, 1974, Biochemistry, 13:222-245;
1978, Ann. Rev. Biochem., 47: 251-276; 1979, Biophys. J.,
26:367-384).
[0131] Based on such considerations and extensive empirical study,
tables of conservative amino acid substitutions have been
constructed and are known in the art. For example: arginine and
lysine; glutamate and aspartate; serine and threonine; glutamine
and asparagine; and valine, leucine and isoleucine. Alternatively:
Ala (A) leu, ile, val; Arg (R) gln, asn, lys; Asn (N) his, asp,
lys, arg, gln; Asp (D) asn, glu; Cys (C) ala, ser; Gln (Q) glu,
asn; Glu (E) gln, asp; Gly (G) ala; His (H) asn, gln, lys, arg; Ile
(I) val, met, ala, phe, leu; Leu (L) val, met, ala, phe, ile; Lys
(K) gln, asn, arg; Met (M) phe, ile, leu; Phe (F) leu, val, ile,
ala, tyr; Pro (P) ala; Ser (S), thr; Thr (T) ser; Trp (W) phe, tyr;
Tyr (Y) trp, phe, thr, ser; Val (V) ile, leu, met, phe, ala.
[0132] Other considerations for amino acid substitutions include
whether or not the residue is located in the interior of a protein
or is solvent exposed. For interior residues, conservative
substitutions would include: Asp and Asn; Ser and Thr; Ser and Ala;
Thr and Ala; Ala and Gly; Ile and Val; Val and Leu; Leu and Ile;
Leu and Met; Phe and Tyr; Tyr and Trp. (See, e.g., PROWL website at
rockefeller.edu) For solvent exposed residues, conservative
substitutions would include: Asp and Asn; Asp and Glu; Glu and Gln;
Glu and Ala; Gly and Asn; Ala and Pro; Ala and Gly; Ala and Ser;
Ala and Lys; Ser and Thr; Lys and Arg; Val and Leu; Leu and Ile;
Ile and Val; Phe and Tyr. (Id.) Various matrices have been
constructed to assist in selection of amino acid substitutions,
such as the PAM250 scoring matrix, Dayhoff matrix, Grantham matrix,
McLachlan matrix, Doolittle matrix, Henikoff matrix, Miyata matrix,
Fitch matrix, Jones matrix, Rao matrix, Levin matrix and Risler
matrix (Idem.)
[0133] In determining amino acid substitutions, one may also
consider the existence of intermolecular or intramolecular bonds,
such as formation of ionic bonds (salt bridges) between positively
charged residues (e.g., His, Arg, Lys) and negatively charged
residues (e.g., Asp, Glu) or disulfide bonds between nearby
cysteine residues.
[0134] Methods of substituting any amino acid for any other amino
acid in an encoded protein sequence are well known and a matter of
routine experimentation for the skilled artisan, for example by the
technique of site-directed mutagenesis or by synthesis and assembly
of oligonucleotides encoding an amino acid substitution and
splicing into an expression vector construct.
[0135] Therapeutic Agents
[0136] In various embodiments, therapeutic agents such as cytotoxic
agents, anti-angiogenic agents, pro-apoptotic agents, antibiotics,
hormones, hormone antagonists, chemokines, drugs, prodrugs, toxins,
enzymes or other agents may be used, either conjugated to the
subject anti-IGF-1R complexes or separately administered before,
simultaneously with, or after the anti-IGF-1R complex. Drugs of use
may possess a pharmaceutical property selected from the group
consisting of antimitotic, antikinase, alkylating, antimetabolite,
antibiotic, alkaloid, anti-angiogenic, pro-apoptotic agents and
combinations thereof.
[0137] Exemplary drugs of use may include 5-fluorouracil, aplidin,
azaribine, anastrozole, anthracyclines, bendamustine, bleomycin,
bortezomib, bryostatin-1, busulfan, calicheamycin, camptothecin,
carboplatin, 10-hydroxycamptothecin, carmustine, celebrex,
chlorambucil, cisplatin (CDDP), Cox-2 inhibitors, irinotecan
(CPT-11), SN-38, carboplatin, cladribine, camptothecans,
cyclophosphamide, cytarabine, dacarbazine, docetaxel, dactinomycin,
daunorubicin, doxorubicin, 2-pyrrolinodoxorubicine (2P-DOX),
cyano-morpholino doxorubicin, doxorubicin glucuronide, epirubicin
glucuronide, estramustine, epipodophyllotoxin, estrogen receptor
binding agents, etoposide (VP16), etoposide glucuronide, etoposide
phosphate, floxuridine (FUdR), 3',5'-O-dioleoyl-FudR (FUdR-dO),
fludarabine, flutamide, farnesyl-protein transferase inhibitors,
gemcitabine, hydroxyurea, idarubicin, ifosfamide, L-asparaginase,
lenolidamide, leucovorin, lomustine, mechlorethamine, melphalan,
mercaptopurine, 6-mercaptopurine, methotrexate, mitoxantrone,
mithramycin, mitomycin, mitotane, navelbine, nitrosourea,
plicomycin, procarbazine, paclitaxel, pentostatin, PSI-341,
raloxifene, semustine, streptozocin, tamoxifen, taxol, temazolomide
(an aqueous form of DTIC), transplatinum, thalidomide, thioguanine,
thiotepa, teniposide, topotecan, uracil mustard, vinorelbine,
vinblastine, vincristine and vinca alkaloids.
[0138] Toxins of use may include ricin, abrin, alpha toxin,
saporin, ribonuclease (RNase), e.g., onconase, DNase I,
Staphylococcal enterotoxin-A, pokeweed antiviral protein, gelonin,
diphtheria toxin, Pseudomonas exotoxin, and Pseudomonas
endotoxin.
[0139] Chemokines of use may include RANTES, MCAF, MIP1-alpha,
MIP1-Beta and IP-10.
[0140] In certain embodiments, anti-angiogenic agents, such as
angiostatin, baculostatin, canstatin, maspin, anti-VEGF antibodies,
anti-PlGF peptides and antibodies, anti-vascular growth factor
antibodies, anti-Flk-1 antibodies, anti-Flt-1 antibodies and
peptides, anti-Kras antibodies, anti-cMET antibodies, anti-MIF
(macrophage migration-inhibitory factor) antibodies, laminin
peptides, fibronectin peptides, plasminogen activator inhibitors,
tissue metalloproteinase inhibitors, interferons, interleukin-12,
IP-10, Gro-B, thrombospondin, 2-methoxyoestradiol,
proliferin-related protein, carboxiamidotriazole, CM101,
Marimastat, pentosan polysulphate, angiopoietin-2,
interferon-alpha, herbimycin A, PNU145156E, 16K prolactin fragment,
Linomide (roquinimex), thalidomide, pentoxifylline, genistein,
TNP-470, endostatin, paclitaxel, accutin, angiostatin, cidofovir,
vincristine, bleomycin, AGM-1470, platelet factor 4 or minocycline
may be of use.
[0141] Immunomodulators of use may be selected from a cytokine, a
stem cell growth factor, a lymphotoxin, an hematopoietic factor, a
colony stimulating factor (CSF), an interferon (IFN),
erythropoietin, thrombopoietin and a combination thereof.
Specifically useful are lymphotoxins such as tumor necrosis factor
(TNF), hematopoietic factors, such as interleukin (IL), colony
stimulating factor, such as granulocyte-colony stimulating factor
(G-CSF) or granulocyte macrophage-colony stimulating factor
(GM-CSF), interferon, such as interferons-.alpha., -.beta. or
-.gamma., and stem cell growth factor, such as that designated "S1
factor". Included among the cytokines are growth hormones such as
human growth hormone, N-methionyl human growth hormone, and bovine
growth hormone; parathyroid hormone; thyroxine; insulin;
proinsulin; relaxin; prorelaxin; glycoprotein hormones such as
follicle stimulating hormone (FSH), thyroid stimulating hormone
(TSH), and luteinizing hormone (LH); hepatic growth factor;
prostaglandin, fibroblast growth factor; prolactin; placental
lactogen, OB protein; tumor necrosis factor-.alpha. and -.beta.;
mullerian-inhibiting substance; mouse gonadotropin-associated
peptide; inhibin; activin; vascular endothelial growth factor;
integrin; thrombopoietin (TPO); nerve growth factors such as NGF-B;
platelet-growth factor; transforming growth factors (TGFs) such as
TGF-.alpha. and TGF-.beta.; insulin-like growth factor-I and -II;
erythropoietin (EPO); osteoinductive factors; interferons such as
interferon-.alpha., -.beta., and -.gamma.; colony stimulating
factors (CSFs) such as macrophage-CSF (M-CSF); interleukins (ILs)
such as IL-1, IL-1.alpha., IL-2, IL-3, IL-4, IL-5, IL-6, IL-7,
IL-8, IL-9, IL-10, IL-11, IL-12; IL-13, IL-14, IL-15, IL-16, IL-17,
IL-18, IL-21, IL-25, LIF, kit-ligand or FLT-3, angiostatin,
thrombospondin, endostatin, tumor necrosis factor and LT.
[0142] Radionuclides of use include, but are not limited
to--.sup.111In, .sup.177Lu, .sup.212Bi, .sup.213Bi, .sup.211At,
.sup.62Cu, .sup.67Cu, .sup.90Y, .sup.125I, .sup.131I, .sup.32P,
.sup.33P, .sup.47Sc, .sup.111Ag, .sup.67Ga, .sup.142Pr, .sup.153Sm,
.sup.161Tb .sup.166Dy, .sup.166Ho, .sup.186Re, .sup.188Re,
.sup.189Re, .sup.212Pb, .sup.223Ra, .sup.225Ac, .sup.59Fe,
.sup.75Se, .sup.77As, .sup.89Sr, .sup.99Mo, .sup.105Rh, .sup.109Pd,
.sup.143Pr, .sup.149Pm, .sup.169Er, .sup.194Ir, .sup.198Au,
.sup.199Au, and .sup.211Pb. The therapeutic radionuclide preferably
has a decay-energy in the range of 20 to 6,000 keV, preferably in
the ranges 60 to 200 keV for an Auger emitter, 100-2,500 keV for a
beta emitter, and 4,000-6,000 keV for an alpha emitter. Maximum
decay energies of useful beta-particle-emitting nuclides are
preferably 20-5,000 keV, more preferably 100-4,000 keV, and most
preferably 500-2,500 keV. Also preferred are radionuclides that
substantially decay with Auger-emitting particles. For example,
Co-58, Ga-67, Br-80m, Tc-99m, Rh-103m, Pt-109, In-111, Sb-119,
1-125, Ho-161, Os-189m and Ir-192. Decay energies of useful
beta-particle-emitting nuclides are preferably <1,000 keV, more
preferably <100 keV, and most preferably <70 keV. Also
preferred are radionuclides that substantially decay with
generation of alpha-particles. Such radionuclides include, but are
not limited to: Dy-152, At-211, Bi-212, Ra-223, Rn-219, Po-215,
Bi-211, Ac-225, Fr-221, At-217, Bi-213 and Fm-255. Decay energies
of useful alpha-particle-emitting radionuclides are preferably
2,000-10,000 keV, more preferably 3,000-8,000 keV, and most
preferably 4,000-7,000 keV. Additional potential radioisotopes of
use include .sup.11C, .sup.13N, .sup.15O, .sup.75Br, .sup.198AU,
.sup.224Ac, .sup.126I, .sup.133I, .sup.77Br, .sup.113mIn,
.sup.95Ru, .sup.97Ru, .sup.103Ru, .sup.105Ru, .sup.107Hg,
.sup.203Hg, .sup.121mTe, .sup.122mTe, .sup.125mTe, .sup.165Tm,
.sup.167Tm, .sup.168Tm, .sup.197Pt, .sup.109Pd, .sup.105Rb,
.sup.142Pr, .sup.143Pr, .sup.161Tb, .sup.166Ho, .sup.199Au,
.sup.57Co, .sup.58Co, .sup.51Cr, .sup.59Fe, .sup.75Se, .sup.201Tl,
.sup.225Ac, .sup.76Br, .sup.169Yb, and the like. Some useful
diagnostic nuclides may include .sup.18F, .sup.52Fe, .sup.62Cu,
.sup.64Cu, .sup.67Cu, .sup.67Ga, .sup.68Ga, .sup.86Y, .sup.89Zr,
.sup.94Tc, .sup.94mTc, .sup.99mTc, or .sup.111In.
[0143] Therapeutic agents may include a photoactive agent or dye.
Fluorescent compositions, such as fluorochrome, and other
chromogens, or dyes, such as porphyrins sensitive to visible light,
have been used to detect and to treat lesions by directing the
suitable light to the lesion. In therapy, this has been termed
photoradiation, phototherapy, or photodynamic therapy. See Joni et
al. (eds.), PHOTODYNAMIC THERAPY OF TUMORS AND OTHER DISEASES
(Libreria Progetto 1985); van den Bergh, Chem. Britain (1986),
22:430. Moreover, monoclonal antibodies have been coupled with
photoactivated dyes for achieving phototherapy. See Mew et al., J.
Immunol. (1983), 130:1473; idem., Cancer Res. (1985), 45:4380;
Oseroff et al., Proc. Natl. Acad. Sci. USA (1986), 83:8744; idem.,
Photochem. Photobiol. (1987), 46:83; Hasan et al., Prog. Clin.
Biol. Res. (1989), 288:471; Tatsuta et al., Lasers Surg. Med.
(1989), 9:422; Pelegrin et al., Cancer (1991), 67:2529.
[0144] Other useful therapeutic agents may comprise
oligonucleotides, especially antisense oligonucleotides that
preferably are directed against oncogenes and oncogene products,
such as bcl-2 or p53. A preferred form of therapeutic
oligonucleotide is siRNA.
[0145] Diagnostic Agents
[0146] Diagnostic agents are preferably selected from the group
consisting of a radionuclide, a radiological contrast agent, a
paramagnetic ion, a metal, a fluorescent label, a chemiluminescent
label, an ultrasound contrast agent and a photoactive agent. Such
diagnostic agents are well known and any such known diagnostic
agent may be used. Non-limiting examples of diagnostic agents may
include a radionuclide such as .sup.110In, .sup.111In, .sup.177Lu,
.sup.18F, .sup.52Fe, .sup.62Cu, .sup.64Cu, .sup.67Cu, .sup.67Ga,
.sup.68Ga, .sup.86Y, .sup.90Y, .sup.89Zr, .sup.94mTc, .sup.94Tc,
.sup.99mTc, .sup.120I, .sup.123I, .sup.124I, .sup.125I, .sup.131I,
.sup.154-158Gd, .sup.32P, .sup.11C, .sup.13N, .sup.15O, .sup.186Re,
.sup.188Re, .sup.51Mn, .sup.52mMn, .sup.55CO, .sup.72As, .sup.75Br,
.sup.76Br, .sup.82mRb, .sup.83Sr, or other gamma-, beta-, or
positron-emitters. Paramagnetic ions of use may include chromium
(III), manganese (II), iron (III), iron (II), cobalt (II), nickel
(II), copper (II), neodymium (III), samarium (III), ytterbium
(III), gadolinium (III), vanadium (II), terbium (III), dysprosium
(III), holmium (III) or erbium (III). Metal contrast agents may
include lanthanum (III), gold (III), lead (II) or bismuth (III).
Ultrasound contrast agents may comprise liposomes, such as gas
filled liposomes. Radiopaque diagnostic agents may be selected from
compounds, barium compounds, gallium compounds, and thallium
compounds. A wide variety of fluorescent labels are known in the
art, including but not limited to fluorescein isothiocyanate,
rhodamine, phycoerytherin, phycocyanin, allophycocyanin,
o-phthaldehyde and fluorescamine. Chemiluminescent labels of use
may include luminol, isoluminol, an aromatic acridinium ester, an
imidazole, an acridinium salt or an oxalate ester.
[0147] Methods of Therapeutic Treatment
[0148] Various embodiments concern methods of treating a cancer in
a subject, such as a mammal, including humans, domestic or
companion pets, such as dogs and cats, comprising administering to
the subject a therapeutically effective amount of a multivalent
complex comprising an anti-IGF-1R antibody or fragment.
[0149] In one embodiment, immunological diseases which may be
treated with the subject anti-IGF-1R complexes may include, for
example, joint diseases such as ankylosing spondylitis, juvenile
rheumatoid arthritis, rheumatoid arthritis; neurological disease
such as multiple sclerosis and myasthenia gravis; pancreatic
disease such as diabetes, especially juvenile onset diabetes;
gastrointestinal tract disease such as chronic active hepatitis,
celiac disease, ulcerative colitis, Crohn's disease, pernicious
anemia; skin diseases such as psoriasis or scleroderma; allergic
diseases such as asthma and in transplantation related conditions
such as graft versus host disease and allograft rejection.
[0150] The administration of the anti-IGF-1R complexes can be
supplemented by administering concurrently or sequentially a
therapeutically effective amount of another antibody that binds to
or is reactive with another antigen on the surface of the target
cell. Preferred additional antibodies comprise at least one
humanized, chimeric or human antibody selected from the group
consisting of an antibody reactive with CD4, CD5, CD8, CD14, CD15,
CD16, CD19, IGF-1R, CD20, CD21, CD22, CD23, CD25, CD30, CD32b,
CD33, CD37, CD38, CD40, CD40L, CD45, CD46, CD52, CD54, CD70, CD74,
CD79a, CD80, CD95, CD126, CD133, CD138, CD154, CEACAM5, CEACAM6,
B7, AFP, PSMA, EGP-1, EGP-2, carbonic anhydrase IX, PAM4 antigen,
MUC1, MUC2, MUC3, MUC4, MUC5ac, Ia, MIF, HM1.24, HLA-DR, tenascin,
Flt-3, VEGFR, PlGF, ILGF, IL-6, IL-25, tenascin, TRAIL-R1,
TRAIL-R2, complement factor C5, oncogene product, or a combination
thereof. Various antibodies of use, such as anti-CD19, anti-CD20,
and anti-CD22 antibodies, are known to those of skill in the art.
See, for example, Ghetie et al., Cancer Res. 48:2610 (1988); Hekman
et al., Cancer Immunol. Immunother. 32:364 (1991); Longo, Curr.
Opin. Oncol. 8:353 (1996), U.S. Pat. Nos. 5,798,554; 6,187,287;
6,306,393; 6,676,924; 7,109,304; 7,151,164; 7,230,084; 7,230,085;
7,238,785; 7,238,786; 7,282,567; 7,300,655; 7,312,318; 7,501,498;
7,612,180; 7,670,804; and U.S. Patent Application Publ. Nos.
20080131363; 20070172920; 20060193865; and 20080138333, the
Examples section of each incorporated herein by reference.
[0151] The therapy can be further supplemented with the
administration, either concurrently or sequentially, of at least
one therapeutic agent. For example, "CVB" (1.5 g/m.sup.2
cyclophosphamide, 200-400 mg/m.sup.2 etoposide, and 150-200
mg/m.sup.2 carmustine) is a regimen used to treat non-Hodgkin's
lymphoma. Patti et al., Eur. J. Haematol. 51: 18 (1993). Other
suitable combination chemotherapeutic regimens are well-known to
those of skill in the art. See, for example, Freedman et al.,
"Non-Hodgkin's Lymphomas," in CANCER MEDICINE, VOLUME 2, 3rd
Edition, Holland et al. (eds.), pages 2028-2068 (Lea & Febiger
1993). As an illustration, first generation chemotherapeutic
regimens for treatment of intermediate-grade non-Hodgkin's lymphoma
(NHL) include C-MOPP (cyclophosphamide, vincristine, procarbazine
and prednisone) and CHOP (cyclophosphamide, doxorubicin,
vincristine, and prednisone). A useful second generation
chemotherapeutic regimen is m-BACOD (methotrexate, bleomycin,
doxorubicin, cyclophosphamide, vincristine, dexamethasone and
leucovorin), while a suitable third generation regimen is MACOP-B
(methotrexate, doxorubicin, cyclophosphamide, vincristine,
prednisone, bleomycin and leucovorin). Additional useful drugs
include phenyl butyrate, bendamustine, and bryostatin-1.
[0152] The subject anti-IGF-1R complexes can be formulated
according to known methods to prepare pharmaceutically useful
compositions, whereby the anti-IGF-1R complex is combined in a
mixture with a pharmaceutically suitable excipient. Sterile
phosphate-buffered saline is one example of a pharmaceutically
suitable excipient. Other suitable excipients are well-known to
those in the art. See, for example, Ansel et al., PHARMACEUTICAL
DOSAGE FORMS AND DRUG DELIVERY SYSTEMS, 5th Edition (Lea &
Febiger 1990), and Gennaro (ed.), REMINGTON'S PHARMACEUTICAL
SCIENCES, 18th Edition (Mack Publishing Company 1990), and revised
editions thereof.
[0153] The subject anti-IGF-1R complexes can be formulated for
intravenous administration via, for example, bolus injection or
continuous infusion. Preferably, the complex is infused over a
period of less than about 4 hours, and more preferably, over a
period of less than about 3 hours. For example, the first 25-50 mg
could be infused within 30 minutes, preferably even 15 min, and the
remainder infused over the next 2-3 hrs. Formulations for injection
can be presented in unit dosage form, e.g., in ampoules or in
multi-dose containers, with an added preservative. The compositions
can take such forms as suspensions, solutions or emulsions in oily
or aqueous vehicles, and can contain formulatory agents such as
suspending, stabilizing and/or dispersing agents. Alternatively,
the active ingredient can be in powder form for constitution with a
suitable vehicle, e.g., sterile pyrogen-free water, before use.
[0154] Additional pharmaceutical methods may be employed to control
the duration of action of the anti-IGF-1R complexes. Control
release preparations can be prepared through the use of polymers to
complex or adsorb the anti-IGF-1R complexes. For example,
biocompatible polymers include matrices of poly(ethylene-co-vinyl
acetate) and matrices of a polyanhydride copolymer of a stearic
acid dimer and sebacic acid. Sherwood et al., Bio/Technology 10:
1446 (1992). The rate of release from such a matrix depends upon
the molecular weight of the anti-IGF-1R complex, the amount of
complex within the matrix, and the size of dispersed particles.
Saltzman et al., Biophys. 1 55: 163 (1989); Sherwood et al., supra.
Other solid dosage forms are described in Ansel et al.,
PHARMACEUTICAL DOSAGE FORMS AND DRUG DELIVERY SYSTEMS, 5th Edition
(Lea & Febiger 1990), and Gennaro (ed.), REMINGTON'S
PHARMACEUTICAL SCIENCES, 18th Edition (Mack Publishing Company
1990), and revised editions thereof.
[0155] The anti-IGF-1R complex may also be administered to a mammal
subcutaneously or even by other parenteral routes. Moreover, the
administration may be by continuous infusion or by single or
multiple boluses. Preferably, the complex is infused over a period
of less than about 4 hours, and more preferably, over a period of
less than about 3 hours.
[0156] More generally, the dosage of an administered anti-IGF-1R
complex for humans will vary depending upon such factors as the
patient's age, weight, height, sex, general medical condition and
previous medical history. It may be desirable to provide the
recipient with a dosage of anti-IGF-1R complex that is in the range
of from about 1 mg/kg to 25 mg/kg as a single intravenous infusion,
although a lower or higher dosage also may be administered as
circumstances dictate. A dosage of 1-20 mg/kg for a 70 kg patient,
for example, is 70-1,400 mg, or 41-824 mg/m.sup.2 for a 1.7-m
patient. The dosage may be repeated as needed, for example, once
per week for 4-10 weeks, once per week for 8 weeks, or once per
week for 4 weeks. It may also be given less frequently, such as
every other week for several months, or monthly or quarterly for
many months, as needed in a maintenance therapy.
[0157] Alternatively, an anti-IGF-1R complex may be administered as
one dosage every 2 or 3 weeks, repeated for a total of at least 3
dosages. Or, the construct may be administered twice per week for
4-6 weeks. If the dosage is lowered to approximately 200-300
mg/m.sup.2 (340 mg per dosage for a 1.7-m patient, or 4.9 mg/kg for
a 70 kg patient), it may be administered once or even twice weekly
for 4 to 10 weeks. Alternatively, the dosage schedule may be
decreased, namely every 2 or 3 weeks for 2-3 months. It has been
determined, however, that even higher doses, such as 20 mg/kg once
weekly or once every 2-3 weeks can be administered by slow i.v.
infusion, for repeated dosing cycles. The dosing schedule can
optionally be repeated at other intervals and dosage may be given
through various parenteral routes, with appropriate adjustment of
the dose and schedule.
[0158] In preferred embodiments, the anti-IGF-1R complexes are of
use for therapy of cancer. Examples of cancers include, but are not
limited to, carcinoma, lymphoma, glioblastoma, melanoma, sarcoma,
and leukemia, myeloma, or lymphoid malignancies. More particular
examples of such cancers are noted below and include: squamous cell
cancer (e.g., epithelial squamous cell cancer), Ewing sarcoma,
Wilms tumor, astrocytomas, lung cancer including small-cell lung
cancer, non-small cell lung cancer, adenocarcinoma of the lung and
squamous carcinoma of the lung, cancer of the peritoneum,
hepatocellular cancer, gastric or stomach cancer including
gastrointestinal cancer, pancreatic cancer, glioblastoma
multiforme, cervical cancer, ovarian cancer, liver cancer, bladder
cancer, hepatoma, hepatocellular carcinoma, neuroendocrine tumors,
medullary thyroid cancer, differentiated thyroid carcinoma, breast
cancer, ovarian cancer, colon cancer, rectal cancer, endometrial
cancer or uterine carcinoma, salivary gland carcinoma, kidney or
renal cancer, prostate cancer, vulvar cancer, anal carcinoma,
penile carcinoma, as well as head-and-neck cancer. The term
"cancer" includes primary malignant cells or tumors (e.g., those
whose cells have not migrated to sites in the subject's body other
than the site of the original malignancy or tumor) and secondary
malignant cells or tumors (e.g., those arising from metastasis, the
migration of malignant cells or tumor cells to secondary sites that
are different from the site of the original tumor). Cancers
conducive to treatment methods of the present invention involves
cells which express, over-express, or abnormally express
IGF-1R.
[0159] Other examples of cancers or malignancies include, but are
not limited to: Acute Childhood Lymphoblastic Leukemia, Acute
Lymphoblastic Leukemia, Acute Lymphocytic Leukemia, Acute Myeloid
Leukemia, Adrenocortical Carcinoma, Adult (Primary) Hepatocellular
Cancer, Adult (Primary) Liver Cancer, Adult Acute Lymphocytic
Leukemia, Adult Acute Myeloid Leukemia, Adult Hodgkin's Lymphoma,
Adult Lymphocytic Leukemia, Adult Non-Hodgkin's Lymphoma, Adult
Primary Liver Cancer, Adult Soft Tissue Sarcoma, AIDS-Related
Lymphoma, AIDS-Related Malignancies, Anal Cancer, Astrocytoma, Bile
Duct Cancer, Bladder Cancer, Bone Cancer, Brain Stem Glioma, Brain
Tumors, Breast Cancer, Cancer of the Renal Pelvis and Ureter,
Central Nervous System (Primary) Lymphoma, Central Nervous System
Lymphoma, Cerebellar Astrocytoma, Cerebral Astrocytoma, Cervical
Cancer, Childhood (Primary) Hepatocellular Cancer, Childhood
(Primary) Liver Cancer, Childhood Acute Lymphoblastic Leukemia,
Childhood Acute Myeloid Leukemia, Childhood Brain Stem Glioma,
Childhood Cerebellar Astrocytoma, Childhood Cerebral Astrocytoma,
Childhood Extracranial Germ Cell Tumors, Childhood Hodgkin's
Disease, Childhood Hodgkin's Lymphoma, Childhood Hypothalamic and
Visual Pathway Glioma, Childhood Lymphoblastic Leukemia, Childhood
Medulloblastoma, Childhood Non-Hodgkin's Lymphoma, Childhood Pineal
and Supratentorial Primitive Neuroectodermal Tumors, Childhood
Primary Liver Cancer, Childhood Rhabdomyosarcoma, Childhood Soft
Tissue Sarcoma, Childhood Visual Pathway and Hypothalamic Glioma,
Chronic Lymphocytic Leukemia, Chronic Myelogenous Leukemia, Colon
Cancer, Cutaneous T-Cell Lymphoma, Endocrine Pancreas Islet Cell
Carcinoma, Endometrial Cancer, Ependymoma, Epithelial Cancer,
Esophageal Cancer, Ewing's Sarcoma and Related Tumors, Exocrine
Pancreatic Cancer, Extracranial Germ Cell Tumor, Extragonadal Germ
Cell Tumor, Extrahepatic Bile Duct Cancer, Eye Cancer, Female
Breast Cancer, Gaucher's Disease, Gallbladder Cancer, Gastric
Cancer, Gastrointestinal Carcinoid Tumor, Gastrointestinal Tumors,
Germ Cell Tumors, Gestational Trophoblastic Tumor, Hairy Cell
Leukemia, Head and Neck Cancer, Hepatocellular Cancer, Hodgkin's
Lymphoma, Hypergammaglobulinemia, Hypopharyngeal Cancer, Intestinal
Cancers, Intraocular Melanoma, Islet Cell Carcinoma, Islet Cell
Pancreatic Cancer, Kaposi's Sarcoma, Kidney Cancer, Laryngeal
Cancer, Lip and Oral Cavity Cancer, Liver Cancer, Lung Cancer,
Lymphoproliferative Disorders, Macroglobulinemia, Male Breast
Cancer, Malignant Mesothelioma, Malignant Thymoma, Medulloblastoma,
Melanoma, Mesothelioma, Metastatic Occult Primary Squamous Neck
Cancer, Metastatic Primary Squamous Neck Cancer, Metastatic
Squamous Neck Cancer, Multiple Myeloma, Multiple Myeloma/Plasma
Cell Neoplasm, Myelodysplastic Syndrome, Myelogenous Leukemia,
Myeloid Leukemia, Myeloproliferative Disorders, Nasal Cavity and
Paranasal Sinus Cancer, Nasopharyngeal Cancer, Neuroblastoma,
Non-Hodgkin's Lymphoma, Nonmelanoma Skin Cancer, Non-Small Cell
Lung Cancer, Occult Primary Metastatic Squamous Neck Cancer,
Oropharyngeal Cancer, Osteo-/Malignant Fibrous Sarcoma,
Osteosarcoma/Malignant Fibrous Histiocytoma, Osteosarcoma/Malignant
Fibrous Histiocytoma of Bone, Ovarian Epithelial Cancer, Ovarian
Germ Cell Tumor, Ovarian Low Malignant Potential Tumor, Pancreatic
Cancer, Paraproteinemias, Polycythemia vera, Parathyroid Cancer,
Penile Cancer, Pheochromocytoma, Pituitary Tumor, Primary Central
Nervous System Lymphoma, Primary Liver Cancer, Prostate Cancer,
Rectal Cancer, Renal Cell Cancer, Renal Pelvis and Ureter Cancer,
Retinoblastoma, Rhabdomyosarcoma, Salivary Gland Cancer,
Sarcoidosis Sarcomas, Sezary Syndrome, Skin Cancer, Small Cell Lung
Cancer, Small Intestine Cancer, Soft Tissue Sarcoma, Squamous Neck
Cancer, Stomach Cancer, Supratentorial Primitive Neuroectodermal
and Pineal Tumors, T-Cell Lymphoma, Testicular Cancer, Thymoma,
Thyroid Cancer, Transitional Cell Cancer of the Renal Pelvis and
Ureter, Transitional Renal Pelvis and Ureter Cancer, Trophoblastic
Tumors, Ureter and Renal Pelvis Cell Cancer, Urethral Cancer,
Uterine Cancer, Uterine Sarcoma, Vaginal Cancer, Visual Pathway and
Hypothalamic Glioma, Vulvar Cancer, Waldenstrom's
Macroglobulinemia, Wilms' Tumor, and any other hyperproliferative
disease, besides neoplasia, located in an organ system listed
above.
[0160] The methods and compositions described and claimed herein
may be used to treat malignant or premalignant conditions and to
prevent progression to a neoplastic or malignant state, including
but not limited to those disorders described above. Such uses are
indicated in conditions known or suspected of preceding progression
to neoplasia or cancer, in particular, where non-neoplastic cell
growth consisting of hyperplasia, metaplasia, or most particularly,
dysplasia has occurred (for review of such abnormal growth
conditions, see Robbins and Angell, Basic Pathology, 2d Ed., W. B.
Saunders Co., Philadelphia, pp. 68-79 (1976)).
[0161] Dysplasia is frequently a forerunner of cancer, and is found
mainly in the epithelia. It is the most disorderly form of
non-neoplastic cell growth, involving a loss in individual cell
uniformity and in the architectural orientation of cells. Dysplasia
characteristically occurs where there exists chronic irritation or
inflammation. Dysplastic disorders which can be treated include,
but are not limited to, anhidrotic ectodermal dysplasia,
anterofacial dysplasia, asphyxiating thoracic dysplasia,
atriodigital dysplasia, bronchopulmonary dysplasia, cerebral
dysplasia, cervical dysplasia, chondroectodermal dysplasia,
cleidocranial dysplasia, congenital ectodermal dysplasia,
craniodiaphysial dysplasia, craniocarpotarsal dysplasia,
craniometaphysial dysplasia, dentin dysplasia, diaphysial
dysplasia, ectodermal dysplasia, enamel dysplasia,
encephalo-ophthalmic dysplasia, dysplasia epiphysialis hemimelia,
dysplasia epiphysialis multiplex, dysplasia epiphysialis punctata,
epithelial dysplasia, faciodigitogenital dysplasia, familial
fibrous dysplasia of jaws, familial white folded dysplasia,
fibromuscular dysplasia, fibrous dysplasia of bone, florid osseous
dysplasia, hereditary renal-retinal dysplasia, hidrotic ectodermal
dysplasia, hypohidrotic ectodermal dysplasia, lymphopenic thymic
dysplasia, mammary dysplasia, mandibulofacial dysplasia,
metaphysial dysplasia, Mondini dysplasia, monostotic fibrous
dysplasia, mucoepithelial dysplasia, multiple epiphysial dysplasia,
oculoauriculovertebral dysplasia, oculodentodigital dysplasia,
oculovertebral dysplasia, odontogenic dysplasia,
opthalmomandibulomelic dysplasia, periapical cemental dysplasia,
polyostotic fibrous dysplasia, pseudoachondroplastic
spondyloepiphysial dysplasia, retinal dysplasia, septo-optic
dysplasia, spondyloepiphysial dysplasia, and ventriculoradial
dysplasia.
[0162] Additional pre-neoplastic disorders which can be treated
include, but are not limited to, benign dysproliferative disorders
(e.g., benign tumors, fibrocystic conditions, tissue hypertrophy,
intestinal polyps or adenomas, and esophageal dysplasia),
leukoplakia, keratoses, Bowen's disease, Farmer's Skin, solar
cheilitis, and solar keratosis.
[0163] In preferred embodiments, the method of the invention is
used to inhibit growth, progression, and/or metastasis of cancers,
in particular those listed above.
[0164] Additional hyperproliferative diseases, disorders, and/or
conditions include, but are not limited to, progression, and/or
metastases of malignancies and related disorders such as leukemia
(including acute leukemias (e.g., acute lymphocytic leukemia, acute
myelocytic leukemia (including myeloblastic, promyelocytic,
myelomonocytic, monocytic, and erythroleukemia)) and chronic
leukemias (e.g., chronic myelocytic (granulocytic) leukemia and
chronic lymphocytic leukemia)), polycythemia vera, lymphomas (e.g.,
Hodgkin's disease and non-Hodgkin's disease), multiple myeloma,
Waldenstrom's macroglobulinemia, heavy chain disease, and solid
tumors including, but not limited to, sarcomas and carcinomas such
as fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma,
osteogenic sarcoma, chordoma, angiosarcoma, endotheliosarcoma,
lymphangiosarcoma, lymphangioendotheliosarcoma, synovioma,
mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma,
colon carcinoma, pancreatic cancer, breast cancer, ovarian cancer,
prostate cancer, squamous cell carcinoma, basal cell carcinoma,
adenocarcinoma, sweat gland carcinoma, sebaceous gland carcinoma,
papillary carcinoma, papillary adenocarcinomas, cystadenocarcinoma,
medullary carcinoma, bronchogenic carcinoma, renal cell carcinoma,
hepatoma, bile duct carcinoma, choriocarcinoma, seminoma, embryonal
carcinoma, Wilm's tumor, cervical cancer, testicular tumor, lung
carcinoma, small cell lung carcinoma, bladder carcinoma, epithelial
carcinoma, glioma, astrocytoma, medulloblastoma, craniopharyngioma,
ependymoma, pinealoma, emangioblastoma, acoustic neuroma,
oligodendroglioma, meningioma, melanoma, neuroblastoma, and
retinoblastoma.
[0165] Exemplary autoimmune diseases include acute idiopathic
thrombocytopenic purpura, chronic immune thrombocytopenia,
dermatomyositis, Sydenham's chorea, myasthenia gravis, systemic
lupus erythematosus, lupus nephritis, rheumatic fever,
polyglandular syndromes, bullous pemphigoid, pemphigus vulgaris,
juvenile diabetes mellitus, Henoch-Schonlein purpura,
post-streptococcal nephritis, erythema nodosum, Takayasu's
arteritis, Addison's disease, rheumatoid arthritis, multiple
sclerosis, sarcoidosis, ulcerative colitis, erythema multiforme,
IgA nephropathy, polyarteritis nodosa, ankylosing spondylitis,
Goodpasture's syndrome, thromboangitis obliterans, Sjogren's
syndrome, primary biliary cirrhosis, Hashimoto's thyroiditis,
thyrotoxicosis, scleroderma, chronic active hepatitis,
polymyositis/dermatomyositis, polychondritis, pemphigus vulgaris,
Wegener's granulomatosis, membranous nephropathy, amyotrophic
lateral sclerosis, tabes dorsalis, giant cell
arteritis/polymyalgia, pernicious anemia, rapidly progressive
glomerulonephritis, psoriasis and fibrosing alveolitis.
[0166] Expression Vectors
[0167] Still other embodiments may concern DNA sequences comprising
a nucleic acid encoding an antibody, antibody fragment, cytokine or
constituent fusion protein of an anti-IGF-1R complex, such as a
DNL.RTM. construct. Fusion proteins may comprise an antibody or
fragment or toxin attached to, for example, an AD or DDD
moiety.
[0168] Various embodiments relate to expression vectors comprising
the coding DNA sequences. The vectors may contain sequences
encoding the light and heavy chain constant regions and the hinge
region of a human immunoglobulin to which may be attached chimeric,
humanized or human variable region sequences. The vectors may
additionally contain promoters that express the encoded protein(s)
in a selected host cell, enhancers and signal or leader sequences.
Vectors that are particularly useful are pdHL2 or GS. More
preferably, the light and heavy chain constant regions and hinge
region may be from a human EU myeloma immunoglobulin, where
optionally at least one of the amino acid in the allotype positions
is changed to that found in a different IgG1 allotype, and wherein
optionally amino acid 253 of the heavy chain of EU based on the EU
number system may be replaced with alanine. See Edelman et al.,
Proc. Natl. Acad. Sci USA 63: 78-85 (1969). In other embodiments,
an IgG1 sequence may be converted to an IgG4 sequence.
[0169] The skilled artisan will realize that methods of genetically
engineering expression constructs and insertion into host cells to
express engineered proteins are well known in the art and a matter
of routine experimentation. Host cells and methods of expression of
cloned antibodies or fragments have been described, for example, in
U.S. Pat. Nos. 7,531,327 and 7,537,930, the Examples section of
each incorporated herein by reference.
[0170] Kits
[0171] Various embodiments may concern kits containing components
suitable for treating or diagnosing diseased tissue in a patient.
Exemplary kits may contain one or more anti-IGF-1R complexes as
described herein. If the composition containing components for
administration is not formulated for delivery via the alimentary
canal, such as by oral delivery, a device capable of delivering the
kit components through some other route may be included. One type
of device, for applications such as parenteral delivery, is a
syringe that is used to inject the composition into the body of a
subject. Inhalation devices may also be used. In certain
embodiments, a therapeutic agent may be provided in the form of a
prefilled syringe or autoinjection pen containing a sterile, liquid
formulation or lyophilized preparation.
[0172] The kit components may be packaged together or separated
into two or more containers. In some embodiments, the containers
may be vials that contain sterile, lyophilized formulations of a
composition that are suitable for reconstitution. A kit may also
contain one or more buffers suitable for reconstitution and/or
dilution of other reagents. Other containers that may be used
include, but are not limited to, a pouch, tray, box, tube, or the
like. Kit components may be packaged and maintained sterilely
within the containers. Another component that can be included is
instructions to a person using a kit for its use.
[0173] General Techniques for Construction of Anti-IGF-1R
Antibodies
[0174] The V.sub.K (variable light chain) and V.sub.H (variable
heavy chain) sequences for anti-IGF-1R antibodies may be obtained
by a variety of molecular cloning procedures, such as RT-PCR,
5'-RACE, and cDNA library screening. The V genes of an anti-IGF-1R
MAb from a cell that expresses a murine anti-IGF-1R MAb can be
cloned by PCR amplification and sequenced. To confirm their
authenticity, the cloned V.sub.L and V.sub.H genes can be expressed
in cell culture as a chimeric Ab as described by Orlandi et al.,
(Proc. Natl. Acad. Sci., USA, 86: 3833 (1989)). Based on the V gene
sequences, a humanized anti-IGF-1R MAb can then be designed and
constructed as described by Leung et al. (Mol. Immunol., 32: 1413
(1995)).
[0175] cDNA can be prepared from any known hybridoma line or
transfected cell line producing a murine anti-IGF-1R MAb by general
molecular cloning techniques (Sambrook et al., Molecular Cloning, A
laboratory manual, 2.sup.nd Ed (1989)). The V.sub.H sequence for
the MAb may be amplified using the primers VK1BACK and VK1FOR
(Orlandi et al., 1989) or the extended primer set described by
Leung et al. (BioTechniques, 15: 286 (1993)). The V.sub.H sequences
can be amplified using the primer pair VH1BACK/VH1FOR (Orlandi et
al., 1989) or the primers annealing to the constant region of
murine IgG described by Leung et al. (Hybridoma, 13:469
(1994)).
[0176] PCR reaction mixtures containing 10 .mu.l of the first
strand cDNA product, 10 .mu.l of 10.times.PCR buffer [500 mM KCl,
100 mM Tris-HCl (pH 8.3), 15 mM MgCl.sub.2, and 0.01% (w/v)
gelatin] (Perkin Elmer Cetus, Norwalk, Conn.), 250 .mu.M of each
dNTP, 200 nM of the primers, and 5 units of Taq DNA polymerase
(Perkin Elmer Cetus) can be subjected to 30 cycles of PCR. Each PCR
cycle preferably consists of denaturation at 94.degree. C. for 1
min, annealing at 50.degree. C. for 1.5 min, and polymerization at
72.degree. C. for 1.5 min. Amplified V.sub.K and VH fragments can
be purified on 2% agarose (BioRad, Richmond, Calif.). The humanized
V genes can be constructed by a combination of long oligonucleotide
template syntheses and PCR amplification as described by Leung et
al. (Mol. Immunol., 32: 1413 (1995)).
[0177] PCR products for V.sub.K can be subcloned into a staging
vector, such as a pBR327-based staging vector, VKpBR, that contains
an Ig promoter, a signal peptide sequence and convenient
restriction sites to facilitate in-frame ligation of the Vic PCR
products. PCR products for V.sub.H can be subcloned into a similar
staging vector, such as the pBluescript-based VHpBS. Individual
clones containing the respective PCR products may be sequenced by,
for example, the method of Sanger et al. (Proc. Natl. Acad. Sci.,
USA, 74: 5463 (1977)).
[0178] Expression cassettes containing the V.sub.K and V.sub.H
sequences, together with the promoter and signal peptide sequences,
can be excised from VKpBR and VHpBS, respectively, by double
restriction digestion as HindIII-BamHI fragments. The V.sub.K and
V.sub.H expression cassettes can be ligated into appropriate
expression vectors, such as pKh and pG1g, respectively (Leung et
al., Hybridoma, 13:469 (1994)). The expression vectors can be
co-transfected into an appropriate cell, e.g., myeloma Sp2/0-Ag14
(ATCC, VA), colonies selected for hygromycin resistance, and
supernatant fluids monitored for production of a chimeric,
humanized or human anti-IGF-1R MAb by, for example, an ELISA assay.
Alternatively, the V.sub.K and V.sub.H expression cassettes can be
assembled in the modified staging vectors, VKpBR2 and VHpBS2,
excised as XbaI/BamHI and XhoI/BamHI fragments, respectively, and
subcloned into a single expression vector, such as pdHL2, as
described by Gillies et al. (J. Immunol. Methods 125:191 (1989) and
also shown in Losman et al., Cancer, 80:2660 (1997)). Another
vector that is useful is the GS vector, as described in Barnes et
al., Cytotechnology 32:109-123 (2000). Other appropriate mammalian
expression systems are described in Werner et al.,
Arzneim.-Forsch./Drug Res. 48(II), Nr. 8, 870-880 (1998).
[0179] Co-transfection and assay for antibody secreting clones by
ELISA, can be carried out as follows. About 10 .mu.g of VKpKh
(light chain expression vector) and 20 .mu.g of VHpG1g (heavy chain
expression vector) can be used for the transfection of
5.times.10.sup.6 SP2/0 myeloma cells by electroporation (BioRad,
Richmond, Calif.) according to Co et al., J. Immunol., 148: 1149
(1992). Following transfection, cells may be grown in 96-well
microtiter plates in complete HSFM medium (Life Technologies, Inc.,
Grand Island, N.Y.) at 37.degree. C., 5% CO.sub.2. The selection
process can be initiated after two days by the addition of
hygromycin selection medium (Calbiochem, San Diego, Calif.) at a
final concentration of 500 units/ml of hygromycin. Colonies
typically emerge 2-3 weeks post-electroporation. The cultures can
then be expanded for further analysis. Transfectoma clones that are
positive for the secretion of chimeric, humanized or human heavy
chain can be identified by ELISA assay.
[0180] Antibodies can be isolated from cell culture media as
follows. Transfectoma cultures are adapted to serum-free medium.
For production of chimeric antibody, cells are grown as a 500 ml
culture in roller bottles using HSFM. Cultures are centrifuged and
the supernatant filtered through a 0.2.mu. membrane. The filtered
medium is passed through a protein A column (1.times.3 cm) at a
flow rate of 1 ml/min. The resin is then washed with about 10
column volumes of PBS and protein A-bound antibody is eluted from
the column with 0.1 M citrate buffer (pH 3.5) containing 10 mM
EDTA. Fractions of 1.0 ml are collected in tubes containing 10
.mu.l of 3 M Tris (pH 8.6), and protein concentrations determined
from the absorbance at 280/260 nm. Peak fractions are pooled,
dialyzed against PBS, and the antibody concentrated, for example,
with the Centricon 30 (Amicon, Beverly, Mass.). The antibody
concentration is determined by absorbance at 280 nm and its
concentration adjusted to about 1 mg/ml using PBS. Sodium azide,
0.01% (w/v), is conveniently added to the sample as
preservative.
EXAMPLES
[0181] The following examples are provided to illustrate, but not
to limit, the claims of the present invention.
Example 1. Generation and Initial Characterization of Anti-IGF-1R
Antibodies: R1, cR1, and hR1
[0182] Three BALB/c mice were each immunized i.p. with 15 .mu.g of
recombinant human IGF-1R (R&D Systems, Catalog #391-GR),
comprising a mixture of both processed and unprocessed
extracellular domain of human IGF-1R, in complete Freund's
adjuvant. Additional immunizations in incomplete Freund's adjuvant
were done 14, 21, and 28 days after the initial immunization.
Spleen cells from the immunized mice were fused with
P3.lamda.63Ag8.653 cells to generate hybridomas according to
standard protocols. One clone (C-11) expressing anti-IGF-1R but not
anti-IR (insulin receptor) activity was isolated and expanded in
cultures to obtain the mouse antibody designated ML04R1 or R1,
which was shown to be an IgG1/k with the ability to inhibit the
binding of radioiodinated IGF-1 to the IGF-1R expressing human
breast cancer cell line MCF-7L (a subline of MCF-7) comparable to a
commercially available mouse anti-IGF-1R monoclonal antibody (mAb)
MAB391 (Table 6).
TABLE-US-00017 TABLE 6 Binding of .sup.125I-IGF-1 to MCF-7L in the
presence of MAB391 or R1 [Ab] MAB391.sup.a R1 1000 ng/mL 38% 58%
100 ng/mL 54% 71% 10 ng/mL 95% 97% 0 ng/mL 100% 100% .sup.aR&D
clone 33255.111
[0183] To obtain cR1, the mouse-human chimeric mAb of R1, the
V.sub.H and V.sub.K genes of R1 were cloned by 5'-RACE. The
authenticity of the cloned V.sub.H and V.sub.K genes was confirmed
by N-terminal protein sequencing that showed an exact match of the
first 15 N-terminal amino acids with the corresponding amino acids
deduced from DNA sequences (not shown). The cloned V.sub.H and
V.sub.K genes were inserted into the pdHL2 vector to generate
cR1pdHL2 (not shown), the expression vector for cR1.
[0184] cR1-producing clones were generated using SpE-26 (e.g., U.S.
Pat. No. 7,531,327), a variant of Sp2/0-Ag14 that shows improved
growth properties, as host cells. Briefly, approximately 30 .mu.g
of cR1pdHL2 was linearized by digestion with SalI restriction
endonuclease and transfected into SpE-26 cells by electroporation.
The transfectants were selected with 0.075 methotrexate (MTX), and
screened by ELISA for human Fc binding activities. The higher
producing clones were further expanded to pick the two best clones
(709.2D2 and 710.2G2), from which cR1 was produced in batch
cultures, purified by Protein A, and each confirmed by ELISA to
bind specifically to immobilized rhIGF-1R, but not to immobilized
rhIR (not shown), with the same high affinity (K.sub.D.about.0.1
nM) for immobilized rhIGF-1R (not shown). Surprisingly, cR1
appeared to have a higher affinity than R1 for rhIGF-1R immobilized
onto polystyrene beads as shown by a competition assay in which the
binding of R1 tagged with a fluorescent probe was measured by flow
cytometry in the presence of varying concentrations of cR1 or R1
(not shown).
[0185] Successful humanization of cR1 to hR1 was achieved by
grafting the CDRs onto the human framework regions of hMN-14 (U.S.
Pat. Nos. 5,874,540 and 6,676,924, the Examples section of each
incorporated herein by reference) in which certain human framework
residues were replaced with murine counterparts of R1 at
corresponding positions. Other selected residues were substituted
for cloning purposes, resulting in the amino acid sequences of hR1
V.sub.H and hR1 V.sub.K as shown in SEQ ID NO:94 and SEQ ID NO:95,
respectively. Genes encoding hR1 V.sub.H and hR1 Vk were then
synthesized and engineered into pdHL2 to obtain hR1pdHL2, the
expression vector for hR1. Subsequent efforts to secure the
production clone (711.3C11) for hR1 were similar to those describe
above for cR1. Positive clones were selected for binding activity
to rhIGF-1R. hR1 displayed virtually the same binding affinity as
cR1 for rhIGF-1R immobilized on polystyrene beads (not shown).
TABLE-US-00018 hR1 VH (SEQ ID NO: 94)
QVQLQESGGGVVQPGRSLRLSCSASGFTFSDYYMYWVRQAPGKGLEWVAY
ITNYGGSTYYPDTVKGRFTISRDNAKNTLFLQMDSLRPEDTGVYFCARQS
NYDYDGWFAYWGQGTPVTVSS hR1 VK (SEQ ID NO: 95)
DIQLTQSPSSLSASVGDRVTITCKASQEVGTAVAWYQQKPGKAPKLLIYW
ASTRHTGVPSRFSGSGSGTDFTFTISSLQPEDIATYFCQQYSNYPLTFGQ GTKVEIKR
[0186] To determine whether cR1 can block the binding of IGF-1 or
IGF-2 to IGF-1R, we used polystyrene beads immobilized with
rhIGF-1R as surrogates of cells expressing IGF-1R and performed the
beads-competition assays as follows. Briefly, varying
concentrations (0 to 670 nM) of cR1, IGF-1, or IGF-2 were mixed
with a constant amount of .sup.125I-IGF-1 or .sup.125I-IGF-2. The
rhIGF-1-coated beads were then added, incubated at room temperature
for 1 h with gentle rocking, washed, and counted for radioactivity.
The results indicated that cR1 failed to block the binding of
either IGF-1 or IGF-2 to such immobilized rhIGF-1R under these
conditions (not shown). The results of a similar experiment also
indicated that binding of .sup.125I-IGF-1 to the bead-immobilized
IGF-1R was effectively blocked by IGF-1 or MAB391, but not by hR1
or R1 (not shown). These findings suggest IGF-1 and MAB391 bind to
the same epitope, or have overlapping epitopes of IGF-1R, and hR1
targets a different region of IGF-1R from MAB391 or IGF-1. As the
primary binding site of IGF-1R for IGF-1 was reported to be located
in the cysteine-rich (CR) domain between amino acids (aa) 223 and
274, and the same region (aa 223-274) has been assigned as the
epitope to aIR-3, which like MAB391, competes for IGF-1 binding
(Gustafson T A, Rutter W J. J Biol Chem 1990; 265:18663-7), it
appeared that MAB391 also binds to the same region or interacts
with sites in close proximity.
Example 2. Epitope Mapping Studies of R1, cR1, and hR1
[0187] To further locate the region of IGF-1R to which hR1 binds, a
panel of commercially available anti-IGF-1R mAbs that have their
epitopes to IGF-1R mapped, were evaluated for their ability to
cross-block each other from binding to the IGF-1R-coated beads. The
results showed that binding of R1 tagged with a fluorescent probe
(PE) was not affected by MAB391 even at 100 .mu.g/mL, and the
binding of MAB391 tagged with PE was only partially inhibited (50
to 60%) by R1 at 100 .mu.g/mL (not shown). Additional mapping
studies indicate that the epitope of R1 is located in the CR domain
between aa 151 and 282 and can be further located to the first half
of the CR domain between aa 151 and 222 (not shown).
Example 3. Additional Characterization of R1, cR1, and hR1
[0188] Whereas IGF-1 stimulates proliferation of MCF-7 cells grown
in serum-free medium, achieving a maximal effect of 50% increase in
viable cell counts at 100 ng/mL when compared to the untreated
control at 48 h, hR1 does not (not shown). Thus hR1 is not
agonistic upon binding to IGF-1R. Internalization of hR1 into MCF-7
was observed at 37.degree. C. but not at 4.degree. C. (not
shown).
Example 4. Construction of Expression Vectors for hR1-IgG4(S228P)
Variant
[0189] B13-24 cells containing an IgG4 gene are purchased from ATCC
(ATCC Number CRL-11397) and genomic DNA is isolated. Briefly, cells
are washed with PBS, resuspended in digestion buffer (100 mM NaCl,
10 mM Tris-HCl pH8.0, 25 mM EDTA pH8.0, 0.5% SDS, 0.1 mg/ml
proteinase K) and incubated at 50.degree. C. for 18 h. The sample
is extracted with an equal volume of
phenol/chloroform/isoamylalcohol and precipitated with 7.5 M
NH.sub.4Ac/100% EtOH. Genomic DNA is recovered by centrifugation
and dissolved in TE buffer. Using genomic DNA as template, the IgG4
gene is amplified by PCR using the following primers.
TABLE-US-00019 Primer-SacII (SEQ ID NO: 96)
CCGCGGTCACATGGCACCACCTCTCTTGCAGCTTCCACCAAGGGCCC Primer-EagI: (SEQ
ID NO: 97) CCGGCCGTCGCACTCATTTACCCAGAGACAGGG
[0190] Amplified PCR product is cloned into a TOPO-TA sequencing
vector (Invitrogen) and confirmed by DNA sequencing. The SacII-EagI
fragment containing the heavy chain constant region of IgG1 in
hR1pdHL2 is replaced with SacII-EagI of the TOPO-TA-IgG4 plasmid to
produce the hR1-pdHL2-IgG4 (hR1pdHL2-.gamma.4) vector.
[0191] IgG4-Proline Mutation
[0192] A Ser228Pro mutation is introduced in the hinge region of
IgG4 to avoid formation of half-molecules. A mutated hinge region
56 bp fragment (PstI-StuI) is synthesized
TABLE-US-00020 (SEQ ID NO: 98)
GAGTCCAAATATGGTCCCCCATGCCCACCGTGCCCAGGTAAGCCAACCCA GG; (SEQ ID NO:
99) CCTGGGTTGGCTTACCTGGGCACGGTGGGCATGGGGGACCATATTTGGAC TCTGCA
annealed and replaced with the PstI-StuI fragment of IgG4. This
construction results in a final vector hR1pdHL2-.gamma.4P.
Example 5. Generation of Multivalent hR1-Based Antibodies by
DNL.RTM.
[0193] The DNL.RTM. technique may be used to make multivalent,
hR1-based antibodies in various formats that are either
monospecific or bispecific. For certain preferred embodiments, Fab
antibody fragments may be produced as fusion proteins containing
either a DDD or AD sequence. Bispecific antibodies may be formed by
combining a Fab-DDD fusion protein of a first antibody with a
Fab-AD fusion protein of a second antibody. Alternatively, an
IgG-AD module may be produced as a fusion protein and combined with
a Fab-DDD module of the same or different specificity. Another
alternative is a DDD-cytokine fusion, such as a
DDD-interferon-.alpha.2b construct, combined with an anti-IGF-1R
IgG-AD or Fab-AD construct. Additional types of constructs may be
made that combine the targeting capabilities of an antibody with
the effector function of any other protein or peptide.
[0194] Independent transgenic cell lines are developed for each
DDD- or AD-fusion protein. Once produced, the modules can be
purified if desired or maintained in the cell culture supernatant
fluid. Following production, any Fab-AD or IgG-AD module can be
combined with any DDD-module, or any Fab-DDD module may be combined
with any AD-module. DDD- or AD-modules may be produced
synthetically such as linkinging an AD-sequence to polyethylene
glycol or a DDD-sequence to an oligonucleotide. For different types
of constructs, different AD or DDD sequences may be utilized.
TABLE-US-00021 DDD1: (SEQ ID NO: 1)
SHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA DDD2: (SEQ ID NO: 2)
CGHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTRLREARA AD1: (SEQ ID NO: 3)
QIEYLAKQIVDNAIQQA AD2: (SEQ ID NO: 4) CGQIEYLAKQIVDNAIQQAGC
[0195] The plasmid vector pdHL2 has been used to produce a number
of antibodies and antibody-based constructs. See, Gillies et al., J
Immunol Methods (1989), 125:191-202; Losman et al., Cancer (Phila)
(1997), 80:2660-6. The di-cistronic mammalian expression vector
directs the synthesis of the heavy and light chains of IgG. The
vector sequences are mostly identical for many different IgG-pdHL2
constructs, with the only differences existing in the variable
domain (V.sub.H and V.sub.L) sequences. Using molecular biology
tools known to those skilled in the art, these IgG expression
vectors can be converted into Fab-DDD, Fab-AD, or IgG-AD expression
vectors, as described in detail below for Fab-DDD1 and Fab-AD1. To
generate the expression vector for Fab-DDD1, the coding sequences
for the hinge, C.sub.H2 and C.sub.H3 domains of the heavy chain are
replaced with a sequence encoding the first 4 residues of the
hinge, a 14 residue Gly-Ser linker and DDD1 (the first 44 residues
of human RII.alpha.). To generate the expression vector for
Fab-AD1, the sequences for the hinge, C.sub.H2 and C.sub.H3 domains
of IgG are replaced with a sequence encoding the first 4 residues
of the hinge, a 15 residue Gly-Ser linker and AD1 (a 17 residue
synthetic AD called AKAP-IS, which was generated using
bioinformatics and peptide array technology and shown to bind
RII.alpha. dimers with a very high affinity (0.4 nM). See Alto, et
al. Proc. Natl. Acad. Sci., U.S.A (2003), 100:4445-50).
[0196] To facilitate the conversion of IgG-pdHL2 vectors to either
Fab-DDD1 or Fab-AD1 expression vectors, two shuttle vectors were
designed and constructed as follows.
[0197] Preparation of C.sub.H1
[0198] The C.sub.H1 domain was amplified by PCR using the pdHL2
plasmid vector as a template. The left PCR primer consists of the
upstream (5') end of the C.sub.H1 domain and a SacII restriction
endonuclease site, which is 5' of the C.sub.H1 coding sequence. The
right primer consists of the sequence coding for the first 4
residues of the hinge followed by four glycines and a serine (SEQ
ID NO: 122), with the final two codons comprising a Bam HI
restriction site.
TABLE-US-00022 5' of C.sub.H1 Left Primer (SEQ ID NO: 100)
5'GAACCTCGCGGACAGTTAAG-3' C.sub.H1 + G.sub.4S-Bam Right
(''G.sub.4S'' disclosed as SEQ ID NO: 122) (SEQ ID NO: 101)
5'GGATCCTCCGCCGCCGCAGCTCTTAGGTTTCTTGTCCACCTTGGTGTT GCTGG-3'
[0199] The 410 bp PCR amplimer was cloned into the pGemT PCR
cloning vector (Promega, Inc.) and clones were screened for inserts
in the T7 (5') orientation.
[0200] Construction of (G.sub.4S).sub.2DDD1 ("(G.sub.4S).sub.2"
Disclosed as SEQ ID NO: 123)
[0201] A duplex oligonucleotide, designated (G.sub.4S).sub.2DDD1
("(G.sub.4S).sub.2" disclosed as SEQ ID NO: 123), was synthesized
by Sigma Genosys (Haverhill, UK) to code for the amino acid
sequence of DDD1 preceded by 11 residues of the linker peptide,
with the first two codons comprising a BamHI restriction site. A
stop codon and an EagI restriction site are appended to the 3' end.
The encoded polypeptide sequence is shown below.
TABLE-US-00023 (SEQ ID NO: 102)
GSGGGGSGGGGSHIQIPPGLTELLQGYTVEVLRQQPPDLVEFAVEYFTR LREARA
[0202] The two oligonucleotides, designated RIIA1-44 top and
RIIA1-44 bottom, that overlap by 30 base pairs on their 3' ends,
were synthesized (Sigma Genosys) and combined to comprise the
central 154 base pairs of the 174 bp DDD1 sequence. The
oligonucleotides were annealed and subjected to a primer extension
reaction with Taq polymerase.
TABLE-US-00024 RIIA1-44 top (SEQ ID NO: 103) 5'
GTGGCGGGTCTGGCGGAGGTGGCAGCCACATCCAGATCCCGCCGGG
GCTCACGGAGCTGCTGCAGGGCTACACGGTGGAGGTGCTGCGACAG-3' RIIA1-44 bottom
(SEQ ID NO: 104) 5' GCGCGAGCTTCTCTCAGGCGGGTGAAGTACTCCACTGCGAATTCGA
CGAGGTCAGGCGGCTGCTGTCGCAGCACCTCCACCGTGTAGCCCTG-3'
[0203] Following primer extension, the duplex was amplified by PCR
using the following primers:
TABLE-US-00025 G4S Bam-Left (''G4S'' disclosed as SEQ ID NO: 122)
(SEQ ID NO: 105) 5'-GGATCCGGAGGTGGCGGGTCTGGCGGAGGT-3' AKAP-IS stop
Eag Right (SEQ ID NO: 106) 5'-CGGCCGTCAAGCGCGAGCTTCTCTCAGGCG-3'
[0204] This amplimer was cloned into pGemT and screened for inserts
in the T7 (5') orientation.
[0205] Construction of (G.sub.4S).sub.2-AD1 ("(G.sub.4S).sub.2"
disclosed as SEQ ID NO: 123)
[0206] A duplex oligonucleotide, designated (G.sub.4S).sub.2-AD1
("(G.sub.4S).sub.2" disclosed as SEQ ID NO: 123), was synthesized
(Sigma Genosys) to code for the amino acid sequence of AD1 preceded
by 11 residues of the linker peptide with the first two codons
comprising a BamHI restriction site. A stop codon and an EagI
restriction site are appended to the 3' end. The encoded
polypeptide sequence is shown below.
TABLE-US-00026 (SEQ ID NO: 107) GSGGGGSGGGGSQIEYLAKQIVDNAIQQA
[0207] Two complimentary overlapping oligonucleotides, designated
AKAP-IS Top and AKAP-IS Bottom, were synthesized.
TABLE-US-00027 AKAP-IS Top (SEQ ID NO: 108) 5'
GGATCCGGAGGTGGCGGGTCTGGCGGAGGTGGCAGCCAGATCGAGT
ACCTGGCCAAGCAGATCGTGGACAACGCCATCCAGCAGGCCTGACGGC CG-3' AKAP-IS
Bottom (SEQ ID NO: 109) 5'
CGGCCGTCAGGCCTGCTGGATGGCGTTGTCCACGATCTGCTTGGCC
AGGTACTCGATCTGGCTGCCACCTCCGCCAGACCCGCCACCTCCGGAT CC-3'
[0208] The duplex was amplified by PCR using the following
primers:
TABLE-US-00028 G4S Bam-Left (''G4S'' disclosed as SEQ ID NO: 122)
(SEQ ID NO: 110) 5'-GGATCCGGAGGTGGCGGGTCTGGCGGAGGT-3' AKAP-IS stop
Eag Right (SEQ ID NO: 111) 5'-CGGCCGTCAGGCCTGCTGGATG-3'
[0209] This amplimer was cloned into the pGemT vector and screened
for inserts in the T7 (5') orientation.
[0210] Ligating DDD1 with CH1
[0211] A 190 bp fragment encoding the DDD1 sequence was excised
from pGemT with BamHI and NotI restriction enzymes and then ligated
into the same sites in C.sub.H1-pGemT to generate the shuttle
vector C.sub.H1-DDD1-pGemT.
[0212] Ligating AD1 with CH1
[0213] A 110 bp fragment containing the AD1 sequence was excised
from pGemT with BamHI and NotI and then ligated into the same sites
in CH1-pGemT to generate the shuttle vector CH1-AD1-pGemT.
[0214] Cloning CH1-DDD1 or CH1-AD1 into pdHL2-based vectors
[0215] With this modular design either C.sub.H1-DDD1 or CH1-AD1 can
be incorporated into any IgG-pdHL2 vector. The entire heavy chain
constant domain is replaced with one of the above constructs by
removing the SacII/EagI restriction fragment (C.sub.H1-C.sub.H3)
from pdHL2 and replacing it with the SacII/EagI fragment of
C.sub.H1-DDD1 or C.sub.H1-AD1, which is excised from the respective
pGemT shuttle vector.
[0216] CH1-DDD2-Fab-hR1-pdHL2
[0217] C.sub.H1-DDD2-Fab-hR1-pdHL2 is an expression vector for
production of C.sub.H1-DDD2-Fab-hR1, which possesses a dimerization
and docking domain sequence of DDD2 appended to the carboxyl
terminus of the Fd via a 14 amino acid residue Gly/Ser peptide
linker.
[0218] The expression vector was engineered as follows. Two
overlapping, complimentary oligonucleotides, which comprise the
coding sequence for part of the linker peptide (GGGGSGGGCG, SEQ ID
NO:112) and residues 1-13 of DDD2, were made synthetically. The
oligonucleotides were annealed and phosphorylated with T4 PNK,
resulting in overhangs on the 5' and 3' ends that are compatible
for ligation with DNA digested with the restriction endonucleases
BamHI and PstI, respectively.
TABLE-US-00029 G4S-DDD2 top (''G4S'' disclosed as SEQ ID NO: 122)
(SEQ ID NO: 113) 5'GATCCGGAGGTGGCGGGTCTGGCGGAGGTTGCGGCCACATCCAGATC
CCGCCGGGGCTCACGGAGCTGCTGCA-3' G4S-DDD2 bottom (''G4S'' disclosed as
SEQ ID NO: 122) (SEQ ID NO: 114)
5'GCAGCTCCGTGAGCCCCGGCGGGATCTGGATGTGGCCGCAACCTCCG
CCAGACCCGCCACCTCCG-3'
[0219] The duplex DNA was ligated with the shuttle vector
CH1-DDD1-pGemT, which was prepared by digestion with BamHI and
PstI, to generate the shuttle vector CH1-DDD2-pGemT. A 507 bp
fragment was excised from CH1-DDD2-pGemT with SacII and EagI and
ligated with the IgG expression vector hR1pdHL2, which was prepared
by digestion with SacII and EagI. The final expression construct is
C.sub.H1-DDD2-Fab-hR1-pdHL2.
[0220] Generation of C.sub.H1-AD2-Fab-h679-pdHL2
[0221] C.sub.H1-AD2-Fab-h679-pdHL2 is an expression vector for the
production of C.sub.H1-AD2-Fab-h679 and is useful as a template for
the DNA sequence encoding AD2. The expression vector is engineered
as follows. Two overlapping, complimentary oligonucleotides (AD2
Top and AD2 Bottom), which comprise the coding sequence for AD2 and
part of the linker sequence, are made synthetically. The
oligonucleotides are annealed and phosphorylated with T4
polynucleotide kinase, resulting in overhangs on the 5' and 3' ends
that are compatible for ligation with DNA digested with the
restriction endonucleases BamHI and SpeI, respectively.
TABLE-US-00030 AD2 Top (SEQ ID NO: 115) 5'
GATCCGGAGGTGGCGGGTCTGGCGGATGTGGCCAGATCGAGTACCT
GGCCAAGCAGATCGTGGACAACGCCATCCAGCAGGCCGGCTGCTG AA-3' AD2 Bottom (SEQ
ID NO: 116) 5' TTCAGCAGCCGGCCTGCTGGATGGCGTTGTCCACGATCTGCTTGGC
CAGGTACTCGATCTGGCCACATCCGCCAGACCCGCCACCTCCG-3'
[0222] The duplex DNA is ligated into the shuttle vector
C.sub.H1-AD1-pGemT, which is prepared by digestion with BamHI and
SpeI, to generate the shuttle vector CH1-AD2-pGemT. A 429 base pair
fragment containing C.sub.H1 and AD2 coding sequences is excised
from the shuttle vector with SacII and EagI restriction enzymes and
ligated into h679-pdHL2 vector that is prepared by digestion with
those same enzymes, resulting in C.sub.H1-AD2-Fab-h679-pdHL2.
[0223] Generation of C.sub.H3-AD2-IgG-pdHL2 for Expressing
C.sub.H3-AD2-IgG
[0224] C.sub.H3-AD2-IgG modules have an AD2 peptide fused to the
carboxyl terminus of the heavy chain of IgG via a 9 amino acid
residue peptide linker. The DNA coding sequences for the linker
peptide (GSGGGGSGG, SEQ ID NO:117) followed by the AD2 peptide are
coupled to the 3' end of the C.sub.H3 (heavy chain constant domain
3) coding sequence by standard recombinant DNA methodologies,
resulting in a contiguous open reading frame. When the heavy
chain-AD2 polypeptide is co-expressed with a light chain
polypeptide, an IgG molecule is formed possessing two AD2 peptides,
which can therefore bind two Fab-DDD2 dimers. The C.sub.H3-AD2-IgG
module can be combined with any C.sub.H1-DDD2-Fab module to
generate a wide variety of hexavalent structures composed of an Fc
fragment and six Fab fragments. If the C.sub.H3-AD2-IgG module and
the C.sub.H1-DDD2-Fab module are derived from the same parental
monoclonal antibody (MAb) the resulting complex is monospecific
with 6 binding arms to the same antigen. If the modules are instead
derived from two different MAbs then the resulting complexes are
bispecific, with two binding arms for the specificity of the
C.sub.H3-AD2-IgG module and 4 binding arms for the specificity of
the C.sub.H1-DDD2-Fab module.
[0225] A plasmid shuttle vector was produced to facilitate the
conversion of any IgG-pdHL2 vector into a C.sub.H3-AD2-IgG-pdHL2
vector. The gene for the Fc (C.sub.H2 and C.sub.H3 domains) was
amplified using the pdHL2 vector as a template and the
oligonucleotides Fc BglII Left and Fc Bam-EcoRI Right as
primers.
TABLE-US-00031 Fc BglII Left (SEQ ID NO: 118)
5'-AGATCTGGCGCACCTGAACTCCTG-3' Fc Bam-EcoRI Right (SEQ ID NO: 119)
5'-GAATTCGGATCCTTTACCCGGAGACAGGGAGAG-3'
[0226] The amplimer was cloned in the pGemT PCR cloning vector. The
Fc insert fragment was excised from pGemT with XbaI and BamHI
restriction enzymes and ligated with AD2-pdHL2 vector that was
prepared by digestion of C.sub.H1-AD2-Fab-h679-pdHL2 with XbaI and
BamHI, to generate the shuttle vector Fc-AD2-pdHL2.
[0227] To convert any IgG-pdHL2 expression vector to a
C.sub.H3-AD2-IgG-pdHL2 expression vector, an 861 bp BsrGI/NdeI
restriction fragment is excised from the former and replaced with a
952 bp BsrGI/NdeI restriction fragment excised from the
Fc-AD2-pdHL2 vector. BsrGI cuts in the C.sub.H3 domain and NdeI
cuts downstream (3') of the expression cassette.
Example 6. Generation of Hex-hR1
[0228] The DNL.RTM. method was used to create Hex-hR1, a
monospecific anti-IGF-1R with one Fc and six Fabs, by combining
C.sub.H3-AD2-IgG-hR1 with C.sub.H1-DDD2-Fab-hR1. Hex-hR1 was made
in four steps.
[0229] Step 1, Combination:
[0230] C.sub.H1-DDD2-Fab-hR1 was mixed with C.sub.H3-AD2-IgG-hR1 in
phosphate buffered saline, pH 7.4 (PBS) with 1 mM EDTA, at a molar
ratio of 4.2 such that there are two C.sub.H1-DDD2-Fab-hR1 for each
AD2 on C.sub.H3-AD2-IgG-hR1, allowing some excess of
C.sub.H1-DDD2-Fab-hR1 to ensure that the coupling reaction was
complete.
[0231] Step 2, Mild Reduction:
[0232] Reduced glutathione (GSH) was added to a final concentration
of 1 mM and the solution held at room temperature (16-25.degree.
C.) for 1 to 24 hours.
[0233] Step 3, Mild Oxidation:
[0234] Following reduction, oxidized glutathione (GSSH) was added
directly to the reaction mixture to a final concentration of 2 mM
and the solution was held at room temperature for 1 to 24
hours.
[0235] Step 4, Isolation of the DNL.RTM. Product:
[0236] Following oxidation, the reaction mixture was loaded
directly onto a Protein-A affinity chromatography column. The
column was washed with PBS and the Hex-hR1 eluted with 0.1 M
Glycine, pH 2.5. The unreacted C.sub.H1-DDD2-Fab-hR1 was removed
from the desired product in the unbound fraction. Other hexavalent
DNL.RTM. constructs can be prepared similarly by mixing a selected
pair of C.sub.H3-AD2-IgG and C.sub.H1-DDD2-Fab.
[0237] A list of such DNL.RTM. constructs and structural controls
related to the present invention is provided in Table 7. Each of
these constructs was shown to retain the binding activities of the
constitutive antibodies.
TABLE-US-00032 TABLE 7 hR1-containing DNL .RTM. constructs and
structural controls Valency DNL .RTM. code IgG-AD2 Fab-DDD2 2 4 6
Hex-hR1 hR1 hR1 -- -- IGF-1R Hex-hRS7 hRS7 hRS7 -- -- EGP-1
Hex-hPAM4 hPAM4 hPAM4 -- -- mucin Hex-hMN-14 hMN-14 hMN14 -- --
CEACAM5 Hex-hLL1 hLL1 hLL1 -- -- CD74 Hex-hL243 hL243 hL243 -- --
HLA-DR 1R-E1 hR1 hRS7 IGF-1R EGP-1 -- 1R-14 hR1 hMN-14 IGF-1R
CEACAM5 -- 1R-15 hR1 hMN-15 IGF-1R CEACAM6 -- 1R-31 hR1 hAFP IGF-1R
AFP -- 1R-74 hR1 hLL1 IGF-1R CD74 -- 1R-C2 hR1 hL243 IGF-1R HLA-DR
-- 1R-M1 hR1 hPAM4 IGF-1R mucin E1-1R hRS7 hR1 EGP-1 IGF-1R --
M1-1R hPAM4 hR1 mucin IGF-1R -- 14-1R hMN-14 hR1 CEACAM5 IGF-1R --
74-1R hLL1 hR1 CD74 IGF-1R -- C2-1R hL243 hR1 HLA-DR IGF-1R --
22-20 hLL2 hA20 CD22 CD20 --
Example 7. Production of AD- and DDD-Linked Fab and IgG Fusion
Proteins from Multiple Antibodies
[0238] The following IgG or Fab fusion proteins were constructed
and incorporated into DNL.RTM. constructs, retaining the
antigen-binding characteristics of the parent antibodies.
TABLE-US-00033 TABLE 8 Fusion proteins comprising IgG or Fab
Moieties Fusion Protein Binding Specificity C-AD1-Fab-h679 HSG
C-AD2-Fab-h679 HSG C-(AD).sub.2-Fab-h679 HSG C-AD2-Fab-h734
Indium-DTPA C-AD2-Fab-hA20 CD20 C-AD2-Fab-hA20L CD20
C-AD2-Fab-hL243 HLA-DR C-AD2-Fab-hLL2 CD22 N-AD2-Fab-hLL2 CD22
C-AD2-IgG-hMN-14 CEACAM5 C-AD2-IgG-hR1 IGF-1R C-AD2-IgG-hRS7 EGP-1
C-AD2-IgG-hPAM4 MUC C-AD2-IgG-hLL1 CD74 C-DDD1-Fab-hMN-14 CEACAM5
C-DDD2-Fab-hMN-14 CEACAM5 C-DDD2-Fab-h679 HSG C-DDD2-Fab-hA19 CD19
C-DDD2-Fab-hA20 CD20 C-DDD2-Fab-hAFP AFP C-DDD2-Fab-hL243 HLA-DR
C-DDD2-Fab-hLL1 CD74 C-DDD2-Fab-hLL2 CD22 C-DDD2-Fab-hMN-3 CEACAM6
C-DDD2-Fab-hMN-15 CEACAM6 C-DDD2-Fab-hPAM4 MUC C-DDD2-Fab-hR1
IGF-1R C-DDD2-Fab-hRS7 EGP-1 N-DDD2-Fab-hMN-14 CEACAM5
Example 8. IGF-1R Expression in Cancer Cell Lines
[0239] Zenon-labeled various parental antibodies as well as
multivalent antibodies derived from these antibodies were used to
assess the expression levels of cognate antigens in several cancer
cell lines by flow cytometry performed on Guava instrument.
Expression of IGF-1R was confirmed by the binding of hR1 to MCF-7
(breast cancer), CaPan1 (pancreatic cancer), and DU-145 (prostate
cancer) (not shown). The dual expression of IGF-1R and AFP in HepG2
(liver cancer) was also shown by the binding of humanized anti-AFP
IgG and TF18 (made by combining C.sub.H1-DDD2-Fab-hAFP with
C.sub.H1-AD2-Fab-h679 to contain two Fab fragments of hAFP), as
well as by the enhanced binding of hR1-IgG-AD2 (the dimer of
C.sub.H3-AD2-IgG-hR1) and 1R-31, suggesting a higher affinity of
these multivalent DNL.RTM. constructs (not shown). The expression
of CEACAM6 in Hep G2 was evidenced by the enhanced binding of
1R-15. Additional studies performed with MCF-7, DU-145, and ME-180
(cervical cancer) are summarized in Table 9, which shows that the
multivalent DNL.RTM. constructs exhibit enhanced binding to target
cell lines compared to their parental antibodies.
TABLE-US-00034 TABLE 9 Flow cytometry data obtained from FACScan
MCF-7 DU145 ME-180 Antibody MFI % Positive Antibody MFI % Positive
Antibody MFI % Positive / / -- 2.4 1.96 -- 1.86 2 human IgG 1.84
2.34 human IgG 2.21 1.44 human IgG 1.8 1.37 22-20 2.11 3.1 DNL1
2.74 7.88 DNL1 1.98 12.6 hR1 9.93 89.15 hR1 5.33 30.39 hR1 3.65
10.74 hRS7 21.42 99.15 hRS7 10.58 82.82 hRS7 35.54 99.96 Hex-hR1
14.08 98.58 Hex-hR1 7.83 72.56 Hex-hR1 6.36 33.02 Hex-hRS7 35.73
99.86 Hex-hRS7 17.03 93.74 Hex-hRS7 59.58 99.95 1R-E1 47.85 99.92
1R-E1 22.10 99.53 1R-E1 76.29 99.94 E1-1R 109.19 98.77 E1-1R 53.96
99.9 E1-1R 254.8 99.89
Example 9. Neutralizing Activity of Hex-hR1 and 1R-E1
[0240] The following experiments were performed to determine the
effect of Hex-hR1 or 1R-E1 on neutralizing the growth stimulating
activity of IGF-1 in DU-145 and ME-180, both of which express
IGF-1R and EGP-1. Target cells were seeded at 2000/well onto
96-well plates and grown overnight in complete medium. Cells were
washed twice with serum free medium and exposed to a selected
multivalent antibody at 0.8, 4, 20, and 100 .mu.g/mL in serum free
medium for 2 h, followed by the addition of IGF-1 to a final
concentration of 10 ng/ml. Cells were incubated for 72 hours and
then subjected to MTS assay. Under these conditions, Hex-hR1
suppressed the proliferation of DU-145 and ME-180 in a
dose-dependent manner (not shown) with statistical significance.
Similar results were obtained with 1R-E1 in ME-180 (not shown).
Example 10. Downregulation of IGF-1R
[0241] One major mechanism of anti-tumor actions induced by an
anti-IGF-1R antibody, despite its being an agonist or antagonist,
is to downregulate IGF-1R via endocytosis leading to subsequent
degradation in endosomal vesicles. Efficient downregulation of
IGF-1R in MCF-7 or HT-29 (colorectal cancer) was clearly
demonstrated with hR1 at 100 nM as well as the two commercially
available anti-IGF-1R antibodies (MAB391 and 24-60) serving as
positive controls, but not with the anti-CD22 antibody, hLL2
(epratuzumab), which serves as a negative control (not shown).
Further studies revealed that Hex-hR1 and 1R-E1 were capable of
substantially reducing the level of IGF-1R at a concentration as
low as 0.1 nM in MCF-7, DU-145, and LnCap (androgen-dependent
prostate cancer) (not shown).
Example 11. Anti-Tumor Effects of Multivalent Anti-IGF-1R Complexes
are Enhanced in Renal Cell Carcinoma and Synergistic with an mTOR
Inhibitor
[0242] Among kidney cancer types, approximately 90% are renal cell
carcinomas (RCC). Advanced or metastatic RCC, which presents in
about one third of the patients, has a poor prognosis, because it
is resistant to conventional chemotherapy or radiotherapy.
Treatments with human interferon-.alpha.2b (IFN-.alpha.2b) alone or
in combination with mTOR inhibitors such as rapamycin have led to
only modest improvements in outcome. One observation made with mTOR
inhibitors is that cancer cells can overcome the effects of the
inhibitor by activating the insulin-like growth factor-I (IGF-I)
signaling pathways. Clinically, there is an association of IGF-I
receptor (IGF-IR) expression in RCC and poor long-term patient
survival, particularly among patients with high-grade tumors.
[0243] A humanized anti-IGF-IR monoclonal antibody, hR1, binds to
multiple tumor types, including RCC, resulting in effective
down-regulation of IGF-IR and moderate inhibition of cell
proliferation in vitro. To enhance the anti-tumor activity of hR1,
we generated the DOCK-AND-LOCK.RTM. (DNL.RTM.) complex 1R-2b,
comprising a conjugate of hR1 IgG with two dimers of
interferon-.alpha.2b, and Hex-hR1, comprising 6 Fab fragments of
hR1 tethered onto a common Fc. To make Hex-R1, a dimerization and
docking domain (DDD) was fused to hR1 Fab to produce a
self-associating dimeric Fab-DDD2. An anchor domain (AD) was fused
to the two CH3 domains of hR1 IgG to produce a CH3-AD2-IgG molecule
with two AD peptides. Final assembly was readily obtained by mixing
the Fab-DDD2 with the CH3-AD2-IgG under mild redox conditions, to
produce a DNL.RTM. complex comprising four Fab moieties attached to
an IgG moiety. To produce 1R-2b, DDD2 was fused to human
IFN-.alpha.2b and the DDD2-IFN-.alpha.2b moiety was mixed with a
CH3-AD2-IgG molecule under mild redox conditions.
[0244] There was no loss in cell binding for either 1R-2b or
Hex-hR1 when compared to parental hR1 as determined by flow
cytometry (not shown). The IFN-.alpha. specific activity was
measured at 3750 U/pmole for 1R-2b versus 180 U/pmole and 3255
U/pmole for two different forms of peginterferon alpha-2 (60 and 31
kDa), respectively with a luciferase reporter gene fused to a
promoter containing the interferon-stimulated response element
(iLite kit).
[0245] An in vitro cytotoxicity assay with 1R-2b demonstrated
growth inhibition of two different RCC cell lines, 786-0 and ACHN,
with EC50-values of 0.049 and 0.062 pmole/mL, respectively (FIG.
1). Hex-hR1 induced the down-regulation of IGF-IR at 10-fold lower
concentrations compared to the parental hR1 IgG (FIG. 1). In
soft-agar growth assays, all three agents (hR1, Hex-hR1 and 1R-2b)
significantly inhibited colony formation of 786-0 and ACHN
(P<0.038 and P<0.0022, respectively) (FIG. 1). Table 10
summarizes the data on growth inhibition by different forms of
anti-IGF-1R for Caki-2 cells, ACHN cells and 786-0 cells.
TABLE-US-00035 TABLE 10 Maximum growth inhibition by Anti-IGF-1R
under serum-free conditions. Data were obtained from the
experiments shown in FIG. 1. Concentration at maximum inhibition in
parentheses. Caki-2 Cells ACHN Cells 786-O Cells Antibody (8 nM)
(200 nM) (8 nM) hR1 33 .+-. 0.6% 3 .+-. 4.4% 26 .+-. 5.4% Hex-hR1
*43 .+-. 0.3% *48 .+-. 1.9% 35 .+-. 4.8% MAB 391 *50 .+-. 4.7% *48
.+-. 13.2% 34 .+-. 2.0% *Significantly different from hR1 (P <
0.001)
[0246] The activity of the 1R-2b DNL.RTM. complex, comprising four
copies of IFN-.alpha.2b attached to hR1 IgG, was examined. Based on
a luciferase reporter gene assay (iLite kit), 1R-2b yielded a
specific activity of 15.times.10.sup.6 U/mg or 3750 U/pmole versus
180 and 3255 U/pmole for two different pegylated-IFN molecules
(FIG. 2A). In growth inhibition assays of 786-O (FIG. 2B) and ACHN
(FIG. 2C), 1R-2b had EC50 values of 49 and 62 pM, respectively.
Confirmation of units of activity was further demonstrated in
IFN-mediated phosphorylation of STAT1. Cells were plated in 6-well
plates overnight. On the following day IFN, either in the form of
rhIFN-a2a or 1R-2b, was added at 100, 10 and 1 U/ml of IFN. After
30 min, cell lysates were prepared and resolved by SDS-PAGE,
transferred to nitrocellulose membranes and probed with antibodies
to phospho-STAT1. ACHN cells showed similar levels of pSTAT1 for
1R-2b and rhIFN-a2a at each of the three different concentrations
added to the plates (not shown). The ratios of pSTAT1 relative to
untreated (.beta.-actin control) for were respectively 13.1
(rhIFN-.alpha. at 100 U/ml IFN), 2.3 (rhIFN-.alpha. at 10 U/ml
IFN), 1.3 (rhIFN-.alpha. at 1 U/ml IFN), 13.7 (1R-2b at 100 U/ml
IFN), 2.4 (1R-2b at 10 U/ml IFN), 1.1 (1R-2b at 1 U/ml IFN) and 1.0
(control). 1R-2b and rhIFN-.alpha.2a had similar effects in 786-0
cells (not shown).
[0247] The effect of hR1 constructs on growth inhibition under
anchorage-independent conditions was examined (FIG. 3). A 1% base
agar was mixed 1:1 with 2.times. growth media (10% FBS final
concentration) and added to wells of a 24-well plate. Cells in
2.times. growth media were mixed 1:1 with 0.7% agarose and added
(1250 cells per well) to the base agar. Cells were fed by weekly
replacement of growth media on the top of the agarose layer.
Treated wells contained the test articles in the agarose/cell layer
at the beginning and in subsequent feedings. Once colonies were
clearly visible by microscopy in untreated control wells, the
medium was removed and the colonies stained with crystal violet.
Colonies were counted under a microscope and the average number was
determined from five different fields of view within the well. Each
of the hR1 constructs induced significant growth inhibition of ACHN
cells under anchorage-independent conditions (FIG. 3). Both Hex-hR1
and 1R-2b showed significantly greater growth inhibition compared
to unconjugated hR1, with the greatest effect shown by the
IFN-.alpha.2b DNL.RTM. construct (FIG. 3). hR1 IgG and 1R-2b, but
not Hex-hR1, significantly inhibited anchorage-independent growth
of 786-0 cells, with the greatest effect again observed with the
IFN-.alpha.2b DNL.RTM. construct (FIG. 3).
[0248] When combined with temsirolimus, an mTOR inhibitor, in vitro
cytotoxicity assays demonstrated a synergistic interaction with
hR1, Hex-hR1, and 1R-2b. This synergy occurred at concentrations as
low as 10 nM for hR1, 1 nM for Hex-hR1, and 2.6 nM for 1R-2b (FIG.
4). ACHN cells were harvested, washed in PBS several times to
remove FBS, and plated in 96-wells plates overnight in SFM. On the
following day, various doses (1 mM to 0.06 nM) of the mTOR
inhibitor temsirolimus was added to the plates with and without hR1
or Hex-hR1 (100, 10, and 1 nM constant amounts) or 1R-2b (26, 2.6,
or 0.26 nM; NOTE: 26 nM 1R-2b .about.100,000 Units/mL of IFN).
IGF-1 was added at 100 ng/mL. Plates were incubated for 96-h before
MTS substrate was added to all the wells and the plates read at 492
nm. Data was graphed as Percent Growth Inhibition vs.
[temsirolimus]. IC50-values for temsirolimus were determined for
each condition and Combinatorial Index (CI) was calculated based on
changes in these values when co-incubated with hR1, Hex-hR1, or
1R-2b (CI<1 for synergy). FIG. 4A shows the effect of the
combination of temsirolimus with hR1 (CI=0.64). The IC.sub.50
values for temsirolimus concentration needed to mediate 50%
inhibition of cell growth were 7.76 nM for Tem alone (R.sup.2
0.94); 1.45 nM with 100 nM hR1 (R.sup.2 0.88); 0.56 nM with 10 nM
hR1 (R.sup.2 0.84); and 2.86 nM with 1 nM hR1 (R.sup.2 0.93). FIG.
4B shows the effect of the combination of temsirolimus with Hex-hR1
(CI=0.43). The IC.sub.50 values were 7.76 nM for Tem alone (R.sup.2
0.94); 3.15 nM with 1 nM Hex-hR1 (R.sup.2 0.63); 0.06 nM with 10 nM
Hex-hR1 (R.sup.2 0.66); and <0.06 nM with 100 nM HexhR1 (R.sup.2
0.63). FIG. 4C shows the effect of the combination of temsirolimus
with 1R-2b (CI=0.02). The IC.sub.50 values were 7.76 nM for Tem
alone (R.sup.2 0.94); <0.06 nM with 26 nM 1R-2b (R.sup.2 0.32);
<0.06 nM with 2.6 nM 1R-2b (R.sup.2 0.34); and 12.7 nM with 0.26
nM 1R-2b (R.sup.2 0.81).
[0249] In conclusion, two novel anti-IGF-1R DNL.RTM. complexes were
created for the treatment of RCC. Both Hex-hR1 and 1R-2b retained
anti-IGF-1R binding capacity to target cells, similar to that of
the parental hR1. Hex-hR1 mediated complete receptor
down-regulation at concentrations as low as 1 nM versus 10 nM for
hR1. 1R-2b demonstrated signaling activity similar to rhIFN-a2a in
two different RCC cell lines. Both Hex-hR1 and 1R-2b inhibit the
growth of RCC tumor lines in vitro and under anchorage-independent
growth in soft-agar. Synergistic interactions were observed with
these anti-IGF-1R molecules when combined with the mTOR inhibitor,
temsirolimus. These data suggest that while each agent shows
activity when used alone, a greater benefit might be achieved when
combined with an mTOR inhibitor.
Example 12. Bispecific, Hexavalent Antibodies Targeting IGF-1R and
Trop-2 or CEACAM6 Inhibit Anchorage-Independent Growth and Invasion
of Breast and Pancreatic Cancer Cell Lines
[0250] Combination therapy using two distinct monoclonal antibodies
to achieve improved efficacy without increased toxicity is being
pursued in various preclinical and clinical studies. Preferably,
this may be accomplished with a single bispecific antibody to avoid
the need for administering two antibodies sequentially, which is
time consuming, expensive and inconvenient. Based on the elevated
expression of the type I insulin-like growth factor receptor
(IGF-1R), the trophoblast cell-surface marker (Trop-2), and the
carcinoembryonic antigen related cell adhesion molecule 6 (CEACAM6)
in diverse epithelial cancer cell lines, we explored the potential
of 1R-(E1)-(E1) and 1R-(15)-(15), two novel bispecific HexAbs
targeting IGF-1R/Trop-2 and IGF-1R/CEACAM6, respectively, for
treating breast and pancreatic cancers.
[0251] 1R-(E1)-(E1), comprising the IgG of hR1 (humanized
anti-IGF-1R) and four Fabs of hRS7 (humanized anti-Trop-2) was
generated as a DNL.RTM. complex by reacting the IgG-AD2 module of
hR1 with the Fab-DDD2 module of hRS7 under mild redox conditions,
followed by purification on Protein A. 1R-(15)-(15) was generated
in a similar fashion using the Fab-DDD2 module of hMN-15 (humanized
anti-CEACAM6).
[0252] The in vitro effects of 1R-(E1)-(E1) and 1R-(15)-(15) on
three triple-negative breast cancer lines of varying invasive
activities (MCF-7, low; MDA-MB-468, moderate; MDA-MB-231, high) and
two pancreatic cancer lines (Capan-1 and BxPC-3) were determined,
which included cell binding by flow cytometry,
anchorage-independent growth by soft agar assay, and invasiveness
by BD matrigel chambers. Statistical differences (P values) between
two populations were determined by Student's t-test.
[0253] All five cell lines were found to express IGF-1R, Trop-2,
and CEACAM6 of sufficient levels, which are higher in MCF-7,
MDA-MB-468, and BxPC-3, respectively (not shown). When tested at
100 .mu.g/mL, 1R-(E1)-(E1) reduced the invasion of MDA-MB-468 to
less than 10% of the untreated control (not shown), whereas under
the same conditions, MDA-MB-231 appeared to be resistant and the
parental antibodies showed no effect (not shown). 1R-(15)-(15) at
100 .mu.g/mL potently reduced the invasion of Capan-1, but had
little effect on MDA-MB-468 (not shown). The ability of
1R-(E1)-(E1) to inhibit anchorage-independent growth was
demonstrated at 200 nM in MDA-MB-231 with statistically significant
difference (P<0.041) when compared with samples treated with
parental antibodies at the same concentrations (not shown). Cells
treated with 1R-(E1)-(E1) produced few and much smaller colonies,
the largest size of which was less than 1/10 of the untreated cells
(not shown). The parental hR1 alone, but not hRS7, had some effect
on inhibiting the growth of MDA-MB-231 in soft agar, presumably
resulting from the downregulation of IGF-1R (not shown). These
results evidence the potential of bispecific HexAbs for targeted
therapy of solid cancers.
[0254] The skilled artisan will realize that the disclosed methods
and compositions are not limited to the specific anti-IGF-1R
antibodies, DNL.RTM. constructs and/or mTOR inhibitors described
above, but rather may comprise other known anti-IGF-1R antibodies
or antigen-binding fragments thereof, other known mTOR inhibitors
and alternative constructs.
[0255] All of the COMPOSITIONS and METHODS disclosed and claimed
herein can be made and used without undue experimentation in light
of the present disclosure. While the compositions and methods have
been described in terms of preferred embodiments, it is apparent to
those of skill in the art that variations maybe applied to the
COMPOSITIONS and METHODS and in the steps or in the sequence of
steps of the METHODS described herein without departing from the
concept, spirit and scope of the invention. More specifically,
certain agents that are both chemically and physiologically related
may be substituted for the agents described herein while the same
or similar results would be achieved. All such similar substitutes
and modifications apparent to those skilled in the art are deemed
to be within the spirit, scope and concept of the invention as
defined by the appended claims.
Sequence CWU 1
1
123144PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 1Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro
Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 245PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 2Cys Gly His Ile Gln Ile
Pro Pro Gly Leu Thr Glu Leu Leu Gln Gly 1 5 10 15 Tyr Thr Val Glu
Val Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe 20 25 30 Ala Val
Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40 45
317PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 3Gln Ile Glu Tyr Leu Ala Lys Gln Ile Val Asp Asn
Ala Ile Gln Gln 1 5 10 15 Ala 421PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 4Cys Gly Gln Ile Glu Tyr
Leu Ala Lys Gln Ile Val Asp Asn Ala Ile 1 5 10 15 Gln Gln Ala Gly
Cys 20 550PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 5Ser Leu Arg Glu Cys Glu Leu Tyr Val Gln Lys
His Asn Ile Gln Ala 1 5 10 15 Leu Leu Lys Asp Ser Ile Val Gln Leu
Cys Thr Ala Arg Pro Glu Arg 20 25 30 Pro Met Ala Phe Leu Arg Glu
Tyr Phe Glu Arg Leu Glu Lys Glu Glu 35 40 45 Ala Lys 50
655PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 6Met Ser Cys Gly Gly Ser Leu Arg Glu Cys Glu
Leu Tyr Val Gln Lys 1 5 10 15 His Asn Ile Gln Ala Leu Leu Lys Asp
Ser Ile Val Gln Leu Cys Thr 20 25 30 Ala Arg Pro Glu Arg Pro Met
Ala Phe Leu Arg Glu Tyr Phe Glu Arg 35 40 45 Leu Glu Lys Glu Glu
Ala Lys 50 55 723PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 7Cys Gly Phe Glu Glu Leu Ala Trp Lys Ile
Ala Lys Met Ile Trp Ser 1 5 10 15 Asp Val Phe Gln Gln Gly Cys 20
851PRTHomo sapiens 8Ser Leu Arg Glu Cys Glu Leu Tyr Val Gln Lys His
Asn Ile Gln Ala 1 5 10 15 Leu Leu Lys Asp Val Ser Ile Val Gln Leu
Cys Thr Ala Arg Pro Glu 20 25 30 Arg Pro Met Ala Phe Leu Arg Glu
Tyr Phe Glu Lys Leu Glu Lys Glu 35 40 45 Glu Ala Lys 50 954PRTHomo
sapiens 9Ser Leu Lys Gly Cys Glu Leu Tyr Val Gln Leu His Gly Ile
Gln Gln 1 5 10 15 Val Leu Lys Asp Cys Ile Val His Leu Cys Ile Ser
Lys Pro Glu Arg 20 25 30 Pro Met Lys Phe Leu Arg Glu His Phe Glu
Lys Leu Glu Lys Glu Glu 35 40 45 Asn Arg Gln Ile Leu Ala 50
1044PRTHomo sapiens 10Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val Gly Gln Gln Pro Pro
Asp Leu Val Asp Phe Ala Val 20 25 30 Glu Tyr Phe Thr Arg Leu Arg
Glu Ala Arg Arg Gln 35 40 1144PRTHomo sapiens 11Ser Ile Glu Ile Pro
Ala Gly Leu Thr Glu Leu Leu Gln Gly Phe Thr 1 5 10 15 Val Glu Val
Leu Arg His Gln Pro Ala Asp Leu Leu Glu Phe Ala Leu 20 25 30 Gln
His Phe Thr Arg Leu Gln Gln Glu Asn Glu Arg 35 40 1244PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
12Thr His Ile Gln Ile Pro Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1
5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe
Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40
1344PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 13Ser Lys Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro
Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 1444PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 14Ser Arg Ile Gln Ile Pro
Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val
Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu
Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40 1544PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
15Ser His Ile Asn Ile Pro Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1
5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe
Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40
1644PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 16Ser His Ile Gln Ile Pro Pro Ala Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro
Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 1744PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 17Ser His Ile Gln Ile Pro
Pro Gly Leu Ser Glu Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val
Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu
Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40 1844PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
18Ser His Ile Gln Ile Pro Pro Gly Leu Thr Asp Leu Leu Gln Gly Tyr 1
5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe
Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40
1944PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 19Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Asn Gly Tyr 1 5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro
Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 2044PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 20Ser His Ile Gln Ile Pro
Pro Gly Leu Thr Glu Leu Leu Gln Ala Tyr 1 5 10 15 Thr Val Glu Val
Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu
Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40 2144PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
21Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1
5 10 15 Ser Val Glu Val Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe
Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40
2244PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 22Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Asp Val Leu Arg Gln Gln Pro
Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 2344PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 23Ser His Ile Gln Ile Pro
Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val
Leu Lys Gln Gln Pro Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu
Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40 2444PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
24Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1
5 10 15 Thr Val Glu Val Leu Arg Asn Gln Pro Pro Asp Leu Val Glu Phe
Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40
2544PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 25Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val Leu Arg Gln Asn Pro
Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 2644PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 26Ser His Ile Gln Ile Pro
Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val
Leu Arg Gln Gln Pro Pro Glu Leu Val Glu Phe Ala 20 25 30 Val Glu
Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40 2744PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
27Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1
5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro Pro Asp Leu Val Asp Phe
Ala 20 25 30 Val Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40
2844PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 28Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro
Pro Asp Leu Val Glu Phe Leu 20 25 30 Val Glu Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 2944PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 29Ser His Ile Gln Ile Pro
Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val
Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe Ile 20 25 30 Val Glu
Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40 3044PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
30Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu Leu Leu Gln Gly Tyr 1
5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro Pro Asp Leu Val Glu Phe
Val 20 25 30 Val Glu Tyr Phe Thr Arg Leu Arg Glu Ala Arg Ala 35 40
3144PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 31Ser His Ile Gln Ile Pro Pro Gly Leu Thr Glu
Leu Leu Gln Gly Tyr 1 5 10 15 Thr Val Glu Val Leu Arg Gln Gln Pro
Pro Asp Leu Val Glu Phe Ala 20 25 30 Val Asp Tyr Phe Thr Arg Leu
Arg Glu Ala Arg Ala 35 40 3217PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 32Asn Ile Glu Tyr Leu Ala Lys
Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10 15 Ala 3317PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 33Gln
Leu Glu Tyr Leu Ala Lys Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10
15 Ala 3417PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 34Gln Val Glu Tyr Leu Ala Lys Gln Ile Val Asp Asn
Ala Ile Gln Gln 1 5 10 15 Ala 3517PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 35Gln Ile Asp Tyr Leu Ala
Lys Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10 15 Ala
3617PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 36Gln Ile Glu Phe Leu Ala Lys Gln Ile Val Asp Asn
Ala Ile Gln Gln 1 5 10 15 Ala 3717PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 37Gln Ile Glu Thr Leu Ala
Lys Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10 15 Ala
3817PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 38Gln Ile Glu Ser Leu Ala Lys Gln Ile Val Asp Asn
Ala Ile Gln Gln 1 5 10 15 Ala 3917PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 39Gln Ile Glu Tyr Ile Ala
Lys Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10 15 Ala
4017PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 40Gln Ile Glu Tyr Val Ala Lys Gln Ile Val Asp Asn
Ala Ile Gln Gln 1 5 10 15 Ala 4117PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 41Gln Ile Glu Tyr Leu Ala
Arg Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10 15 Ala
4217PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 42Gln Ile Glu Tyr Leu Ala Lys Asn Ile Val Asp Asn
Ala Ile Gln Gln 1 5 10 15 Ala 4317PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 43Gln Ile Glu Tyr Leu Ala
Lys Gln Ile Val Glu Asn Ala Ile Gln Gln 1 5 10 15 Ala
4417PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 44Gln Ile Glu Tyr Leu Ala Lys Gln Ile Val Asp Gln
Ala Ile Gln Gln 1 5 10 15 Ala 4517PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 45Gln Ile Glu Tyr Leu Ala
Lys Gln Ile Val Asp Asn Ala Ile Asn Gln 1 5 10 15 Ala
4617PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 46Gln Ile Glu Tyr Leu Ala Lys Gln Ile Val Asp Asn
Ala Ile Gln Asn 1 5 10 15 Ala 4717PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 47Gln Ile Glu Tyr Leu Ala
Lys Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10 15 Leu
4817PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 48Gln Ile Glu Tyr Leu Ala Lys Gln Ile Val Asp Asn
Ala Ile Gln Gln 1 5 10 15 Ile 4917PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 49Gln Ile Glu Tyr Leu Ala
Lys Gln Ile Val Asp Asn Ala Ile Gln Gln 1 5 10 15 Val
5017PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 50Gln Ile Glu Tyr Val Ala Lys Gln Ile Val Asp Tyr
Ala Ile His Gln 1 5 10 15 Ala 5117PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 51Gln Ile Glu Tyr Lys Ala
Lys Gln Ile Val Asp His Ala Ile His Gln 1 5 10 15 Ala
5217PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 52Gln Ile Glu Tyr His Ala Lys Gln Ile Val Asp His
Ala Ile His Gln 1 5 10 15 Ala 5317PRTArtificial SequenceDescription
of Artificial Sequence Synthetic peptide 53Gln Ile Glu Tyr Val Ala
Lys Gln Ile Val Asp His Ala Ile His Gln 1 5 10 15 Ala
5418PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 54Pro Leu Glu Tyr Gln Ala Gly Leu Leu Val Gln Asn
Ala Ile Gln Gln 1 5 10 15 Ala Ile 5518PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 55Leu
Leu Ile Glu Thr Ala Ser Ser Leu Val Lys Asn Ala Ile Gln Leu 1 5
10
15 Ser Ile 5618PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 56Leu Ile Glu Glu Ala Ala Ser Arg Ile
Val Asp Ala Val Ile Glu Gln 1 5 10 15 Val Lys 5718PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 57Ala
Leu Tyr Gln Phe Ala Asp Arg Phe Ser Glu Leu Val Ile Ser Glu 1 5 10
15 Ala Leu 5817PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 58Leu Glu Gln Val Ala Asn Gln Leu Ala
Asp Gln Ile Ile Lys Glu Ala 1 5 10 15 Thr 5917PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 59Phe
Glu Glu Leu Ala Trp Lys Ile Ala Lys Met Ile Trp Ser Asp Val 1 5 10
15 Phe 6018PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 60Glu Leu Val Arg Leu Ser Lys Arg Leu Val Glu Asn
Ala Val Leu Lys 1 5 10 15 Ala Val 6118PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 61Thr
Ala Glu Glu Val Ser Ala Arg Ile Val Gln Val Val Thr Ala Glu 1 5 10
15 Ala Val 6218PRTArtificial SequenceDescription of Artificial
Sequence Synthetic peptide 62Gln Ile Lys Gln Ala Ala Phe Gln Leu
Ile Ser Gln Val Ile Leu Glu 1 5 10 15 Ala Thr 6316PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 63Leu
Ala Trp Lys Ile Ala Lys Met Ile Val Ser Asp Val Met Gln Gln 1 5 10
15 6424PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 64Asp Leu Ile Glu Glu Ala Ala Ser Arg Ile Val Asp
Ala Val Ile Glu 1 5 10 15 Gln Val Lys Ala Ala Gly Ala Tyr 20
6518PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 65Leu Glu Gln Tyr Ala Asn Gln Leu Ala Asp Gln Ile
Ile Lys Glu Ala 1 5 10 15 Thr Glu 6620PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 66Phe
Glu Glu Leu Ala Trp Lys Ile Ala Lys Met Ile Trp Ser Asp Val 1 5 10
15 Phe Gln Gln Cys 20 6717PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 67Gln Ile Glu Tyr Leu Ala Lys
Gln Ile Pro Asp Asn Ala Ile Gln Gln 1 5 10 15 Ala 6825PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 68Lys
Gly Ala Asp Leu Ile Glu Glu Ala Ala Ser Arg Ile Val Asp Ala 1 5 10
15 Val Ile Glu Gln Val Lys Ala Ala Gly 20 25 6925PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 69Lys
Gly Ala Asp Leu Ile Glu Glu Ala Ala Ser Arg Ile Pro Asp Ala 1 5 10
15 Pro Ile Glu Gln Val Lys Ala Ala Gly 20 25 7025PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 70Pro
Glu Asp Ala Glu Leu Val Arg Leu Ser Lys Arg Leu Val Glu Asn 1 5 10
15 Ala Val Leu Lys Ala Val Gln Gln Tyr 20 25 7125PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 71Pro
Glu Asp Ala Glu Leu Val Arg Thr Ser Lys Arg Leu Val Glu Asn 1 5 10
15 Ala Val Leu Lys Ala Val Gln Gln Tyr 20 25 7225PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 72Pro
Glu Asp Ala Glu Leu Val Arg Leu Ser Lys Arg Asp Val Glu Asn 1 5 10
15 Ala Val Leu Lys Ala Val Gln Gln Tyr 20 25 7325PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 73Pro
Glu Asp Ala Glu Leu Val Arg Leu Ser Lys Arg Leu Pro Glu Asn 1 5 10
15 Ala Val Leu Lys Ala Val Gln Gln Tyr 20 25 7425PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 74Pro
Glu Asp Ala Glu Leu Val Arg Leu Ser Lys Arg Leu Pro Glu Asn 1 5 10
15 Ala Pro Leu Lys Ala Val Gln Gln Tyr 20 25 7525PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 75Pro
Glu Asp Ala Glu Leu Val Arg Leu Ser Lys Arg Leu Val Glu Asn 1 5 10
15 Ala Val Glu Lys Ala Val Gln Gln Tyr 20 25 7625PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 76Glu
Glu Gly Leu Asp Arg Asn Glu Glu Ile Lys Arg Ala Ala Phe Gln 1 5 10
15 Ile Ile Ser Gln Val Ile Ser Glu Ala 20 25 7725PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 77Leu
Val Asp Asp Pro Leu Glu Tyr Gln Ala Gly Leu Leu Val Gln Asn 1 5 10
15 Ala Ile Gln Gln Ala Ile Ala Glu Gln 20 25 7825PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 78Gln
Tyr Glu Thr Leu Leu Ile Glu Thr Ala Ser Ser Leu Val Lys Asn 1 5 10
15 Ala Ile Gln Leu Ser Ile Glu Gln Leu 20 25 7925PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 79Leu
Glu Lys Gln Tyr Gln Glu Gln Leu Glu Glu Glu Val Ala Lys Val 1 5 10
15 Ile Val Ser Met Ser Ile Ala Phe Ala 20 25 8025PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 80Asn
Thr Asp Glu Ala Gln Glu Glu Leu Ala Trp Lys Ile Ala Lys Met 1 5 10
15 Ile Val Ser Asp Ile Met Gln Gln Ala 20 25 8125PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 81Val
Asn Leu Asp Lys Lys Ala Val Leu Ala Glu Lys Ile Val Ala Glu 1 5 10
15 Ala Ile Glu Lys Ala Glu Arg Glu Leu 20 25 8225PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 82Asn
Gly Ile Leu Glu Leu Glu Thr Lys Ser Ser Lys Leu Val Gln Asn 1 5 10
15 Ile Ile Gln Thr Ala Val Asp Gln Phe 20 25 8325PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 83Thr
Gln Asp Lys Asn Tyr Glu Asp Glu Leu Thr Gln Val Ala Leu Ala 1 5 10
15 Leu Val Glu Asp Val Ile Asn Tyr Ala 20 25 8425PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 84Glu
Thr Ser Ala Lys Asp Asn Ile Asn Ile Glu Glu Ala Ala Arg Phe 1 5 10
15 Leu Val Glu Lys Ile Leu Val Asn His 20 25 855PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 85Asp
Tyr Tyr Met Tyr 1 5 8617PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 86Tyr Ile Thr Asn Tyr Gly Gly
Ser Thr Tyr Tyr Pro Asp Thr Val Lys 1 5 10 15 Gly 8712PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 87Gln
Ser Asn Tyr Asp Tyr Asp Gly Trp Phe Ala Tyr 1 5 10
8811PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 88Lys Ala Ser Gln Glu Val Gly Thr Ala Val Ala 1 5
10 897PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 89Trp Ala Ser Thr Arg His Thr 1 5
909PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 90Gln Gln Tyr Ser Asn Tyr Pro Leu Thr 1 5
9144PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptideMOD_RES(1)..(1)Ser or ThrMOD_RES(2)..(2)His,
Lys or ArgMOD_RES(4)..(4)Gln or AsnMOD_RES(8)..(8)Gly or
AlaMOD_RES(10)..(10)Thr or SerMOD_RES(11)..(11)Glu or
AspMOD_RES(14)..(14)Gln or AsnMOD_RES(15)..(15)Gly or
AlaMOD_RES(17)..(17)Thr or SerMOD_RES(19)..(19)Glu or
AspMOD_RES(22)..(22)Arg or LysMOD_RES(23)..(24)Gln or
AsnMOD_RES(27)..(27)Asp or GluMOD_RES(30)..(30)Glu or
AspMOD_RES(32)..(32)Ala, Leu, Ile or ValMOD_RES(34)..(34)Glu or
AspMOD_RES(37)..(37)Thr or SerMOD_RES(38)..(38)Arg or
LysMOD_RES(40)..(40)Arg or LysMOD_RES(41)..(41)Glu or
AspMOD_RES(42)..(42)Ala, Leu, Ile or ValMOD_RES(43)..(43)Arg or
LysMOD_RES(44)..(44)Ala, Leu, Ile or Val 91Xaa Xaa Ile Xaa Ile Pro
Pro Xaa Leu Xaa Xaa Leu Leu Xaa Xaa Tyr 1 5 10 15 Xaa Val Xaa Val
Leu Xaa Xaa Xaa Pro Pro Xaa Leu Val Xaa Phe Xaa 20 25 30 Val Xaa
Tyr Phe Xaa Xaa Leu Xaa Xaa Xaa Xaa Xaa 35 40 9217PRTArtificial
SequenceDescription of Artificial Sequence Synthetic
peptideMOD_RES(1)..(1)Gln or AsnMOD_RES(2)..(2)Ile, Leu or
ValMOD_RES(3)..(3)Glu or AspMOD_RES(4)..(4)Tyr, Phe, Thr or
SerMOD_RES(5)..(5)Leu, Ile or ValMOD_RES(7)..(7)Lys or
ArgMOD_RES(8)..(8)Gln or AsnMOD_RES(11)..(11)Asp or
GluMOD_RES(12)..(12)Asn or GlnMOD_RES(15)..(16)Gln or
AsnMOD_RES(17)..(17)Ala, Leu, Ile or Val 92Xaa Xaa Xaa Xaa Xaa Ala
Xaa Xaa Ile Val Xaa Xaa Ala Ile Xaa Xaa 1 5 10 15 Xaa
9344PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptideMOD_RES(1)..(1)Ser or ThrMOD_RES(4)..(4)Gln or
AsnMOD_RES(10)..(10)Thr or SerMOD_RES(18)..(18)Val, Ile, Leu or
AlaMOD_RES(23)..(23)Gln or AsnMOD_RES(33)..(33)Val, Ile, Leu or
AlaMOD_RES(34)..(34)Glu or AspMOD_RES(37)..(37)Thr or
SerMOD_RES(38)..(38)Arg or LysMOD_RES(40)..(40)Arg or
LysMOD_RES(42)..(42)Ala, Leu, Ile or ValMOD_RES(44)..(44)Ala, Leu,
Ile or Val 93Xaa His Ile Xaa Ile Pro Pro Gly Leu Xaa Glu Leu Leu
Gln Gly Tyr 1 5 10 15 Thr Xaa Glu Val Leu Arg Xaa Gln Pro Pro Asp
Leu Val Glu Phe Ala 20 25 30 Xaa Xaa Tyr Phe Xaa Xaa Leu Xaa Glu
Xaa Arg Xaa 35 40 94121PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 94Gln Val Gln Leu Gln Glu
Ser Gly Gly Gly Val Val Gln Pro Gly Arg 1 5 10 15 Ser Leu Arg Leu
Ser Cys Ser Ala Ser Gly Phe Thr Phe Ser Asp Tyr 20 25 30 Tyr Met
Tyr Trp Val Arg Gln Ala Pro Gly Lys Gly Leu Glu Trp Val 35 40 45
Ala Tyr Ile Thr Asn Tyr Gly Gly Ser Thr Tyr Tyr Pro Asp Thr Val 50
55 60 Lys Gly Arg Phe Thr Ile Ser Arg Asp Asn Ala Lys Asn Thr Leu
Phe 65 70 75 80 Leu Gln Met Asp Ser Leu Arg Pro Glu Asp Thr Gly Val
Tyr Phe Cys 85 90 95 Ala Arg Gln Ser Asn Tyr Asp Tyr Asp Gly Trp
Phe Ala Tyr Trp Gly 100 105 110 Gln Gly Thr Pro Val Thr Val Ser Ser
115 120 95108PRTArtificial SequenceDescription of Artificial
Sequence Synthetic polypeptide 95Asp Ile Gln Leu Thr Gln Ser Pro
Ser Ser Leu Ser Ala Ser Val Gly 1 5 10 15 Asp Arg Val Thr Ile Thr
Cys Lys Ala Ser Gln Glu Val Gly Thr Ala 20 25 30 Val Ala Trp Tyr
Gln Gln Lys Pro Gly Lys Ala Pro Lys Leu Leu Ile 35 40 45 Tyr Trp
Ala Ser Thr Arg His Thr Gly Val Pro Ser Arg Phe Ser Gly 50 55 60
Ser Gly Ser Gly Thr Asp Phe Thr Phe Thr Ile Ser Ser Leu Gln Pro 65
70 75 80 Glu Asp Ile Ala Thr Tyr Phe Cys Gln Gln Tyr Ser Asn Tyr
Pro Leu 85 90 95 Thr Phe Gly Gln Gly Thr Lys Val Glu Ile Lys Arg
100 105 9647DNAArtificial SequenceDescription of Artificial
Sequence Synthetic primer 96ccgcggtcac atggcaccac ctctcttgca
gcttccacca agggccc 479733DNAArtificial SequenceDescription of
Artificial Sequence Synthetic primer 97ccggccgtcg cactcattta
cccagagaca ggg 339852DNAArtificial SequenceDescription of
Artificial Sequence Synthetic oligonucleotide 98gagtccaaat
atggtccccc atgcccaccg tgcccaggta agccaaccca gg 529956DNAArtificial
SequenceDescription of Artificial Sequence Synthetic
oligonucleotide 99cctgggttgg cttacctggg cacggtgggc atgggggacc
atatttggac tctgca 5610020DNAArtificial SequenceDescription of
Artificial Sequence Synthetic primer 100gaacctcgcg gacagttaag
2010153DNAArtificial SequenceDescription of Artificial Sequence
Synthetic primer 101ggatcctccg ccgccgcagc tcttaggttt cttgtccacc
ttggtgttgc tgg 5310255PRTArtificial SequenceDescription of
Artificial Sequence Synthetic polypeptide 102Gly Ser Gly Gly Gly
Gly Ser Gly Gly Gly Gly Ser His Ile Gln Ile 1 5 10 15 Pro Pro Gly
Leu Thr Glu Leu Leu Gln Gly Tyr Thr Val Glu Val Leu 20 25 30 Arg
Gln Gln Pro Pro Asp Leu Val Glu Phe Ala Val Glu Tyr Phe Thr 35 40
45 Arg Leu Arg Glu Ala Arg Ala 50 55 10392DNAArtificial
SequenceDescription of Artificial Sequence Synthetic
oligonucleotide 103gtggcgggtc tggcggaggt ggcagccaca tccagatccc
gccggggctc acggagctgc 60tgcagggcta cacggtggag gtgctgcgac ag
9210492DNAArtificial SequenceDescription of Artificial Sequence
Synthetic oligonucleotide 104gcgcgagctt ctctcaggcg ggtgaagtac
tccactgcga attcgacgag gtcaggcggc 60tgctgtcgca gcacctccac cgtgtagccc
tg 9210530DNAArtificial SequenceDescription of Artificial Sequence
Synthetic primer 105ggatccggag gtggcgggtc tggcggaggt
3010630DNAArtificial SequenceDescription of Artificial Sequence
Synthetic primer 106cggccgtcaa gcgcgagctt ctctcaggcg
3010729PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 107Gly Ser Gly Gly Gly Gly Ser Gly Gly Gly Gly
Ser Gln Ile Glu Tyr 1 5 10 15 Leu Ala Lys Gln Ile Val Asp Asn Ala
Ile Gln Gln Ala 20 25 10896DNAArtificial SequenceDescription of
Artificial Sequence Synthetic oligonucleotide 108ggatccggag
gtggcgggtc tggcggaggt ggcagccaga tcgagtacct ggccaagcag 60atcgtggaca
acgccatcca gcaggcctga cggccg 9610996DNAArtificial
SequenceDescription of Artificial Sequence Synthetic
oligonucleotide 109cggccgtcag gcctgctgga tggcgttgtc cacgatctgc
ttggccaggt actcgatctg 60gctgccacct ccgccagacc cgccacctcc ggatcc
9611030DNAArtificial SequenceDescription of Artificial Sequence
Synthetic primer 110ggatccggag gtggcgggtc tggcggaggt
3011122DNAArtificial SequenceDescription of Artificial Sequence
Synthetic primer 111cggccgtcag gcctgctgga tg 2211210PRTArtificial
SequenceDescription of Artificial Sequence Synthetic peptide 112Gly
Gly Gly Gly Ser Gly Gly Gly Cys Gly 1 5 10 11373DNAArtificial
SequenceDescription of Artificial Sequence Synthetic
oligonucleotide 113gatccggagg tggcgggtct ggcggaggtt gcggccacat
ccagatcccg ccggggctca 60cggagctgct gca 7311465DNAArtificial
SequenceDescription of Artificial Sequence Synthetic
oligonucleotide 114gcagctccgt gagccccggc gggatctgga tgtggccgca
acctccgcca gacccgccac 60ctccg 6511593DNAArtificial
SequenceDescription of Artificial Sequence Synthetic
oligonucleotide 115gatccggagg tggcgggtct ggcggatgtg gccagatcga
gtacctggcc aagcagatcg 60tggacaacgc catccagcag gccggctgct gaa
9311689DNAArtificial SequenceDescription of Artificial Sequence
Synthetic oligonucleotide 116ttcagcagcc ggcctgctgg atggcgttgt
ccacgatctg cttggccagg tactcgatct 60ggccacatcc gccagacccg ccacctccg
891179PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 117Gly Ser Gly Gly Gly Gly Ser
Gly Gly 1 5 11824DNAArtificial SequenceDescription of Artificial
Sequence Synthetic primer 118agatctggcg cacctgaact cctg
2411933DNAArtificial SequenceDescription of Artificial Sequence
Synthetic primer 119gaattcggat cctttacccg gagacaggga gag
33120330PRTArtificial SequenceDescription of Artificial Sequence
Synthetic polypeptide 120Ala Ser Thr Lys Gly Pro Ser Val Phe Pro
Leu Ala Pro Ser Ser Lys 1 5 10 15 Ser Thr Ser Gly Gly Thr Ala Ala
Leu Gly Cys Leu Val Lys Asp Tyr 20 25 30 Phe Pro Glu Pro Val Thr
Val Ser Trp Asn Ser Gly Ala Leu Thr Ser 35 40 45 Gly Val His Thr
Phe Pro Ala Val Leu Gln Ser Ser Gly Leu Tyr Ser 50 55 60 Leu Ser
Ser Val Val Thr Val Pro Ser Ser Ser Leu Gly Thr Gln Thr 65 70 75 80
Tyr Ile Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys 85
90 95 Lys Ala Glu Pro Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro
Cys 100 105 110 Pro Ala Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu
Phe Pro Pro 115 120 125 Lys Pro Lys Asp Thr Leu Met Ile Ser Arg Thr
Pro Glu Val Thr Cys 130 135 140 Val Val Val Asp Val Ser His Glu Asp
Pro Glu Val Lys Phe Asn Trp 145 150 155 160 Tyr Val Asp Gly Val Glu
Val His Asn Ala Lys Thr Lys Pro Arg Glu 165 170 175 Glu Gln Tyr Asn
Ser Thr Tyr Arg Val Val Ser Val Leu Thr Val Leu 180 185 190 His Gln
Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser Asn 195 200 205
Lys Ala Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly 210
215 220 Gln Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Asp
Glu 225 230 235 240 Leu Thr Lys Asn Gln Val Ser Leu Thr Cys Leu Val
Lys Gly Phe Tyr 245 250 255 Pro Ser Asp Ile Ala Val Glu Trp Glu Ser
Asn Gly Gln Pro Glu Asn 260 265 270 Asn Tyr Lys Thr Thr Pro Pro Val
Leu Asp Ser Asp Gly Ser Phe Phe 275 280 285 Leu Tyr Ser Lys Leu Thr
Val Asp Lys Ser Arg Trp Gln Gln Gly Asn 290 295 300 Val Phe Ser Cys
Ser Val Met His Glu Ala Leu His Asn His Tyr Thr 305 310 315 320 Gln
Lys Ser Leu Ser Leu Ser Pro Gly Lys 325 330 121330PRTArtificial
SequenceDescription of Artificial Sequence Synthetic polypeptide
121Ala Ser Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Ser Ser Lys
1 5 10 15 Ser Thr Ser Gly Gly Thr Ala Ala Leu Gly Cys Leu Val Lys
Asp Tyr 20 25 30 Phe Pro Glu Pro Val Thr Val Ser Trp Asn Ser Gly
Ala Leu Thr Ser 35 40 45 Gly Val His Thr Phe Pro Ala Val Leu Gln
Ser Ser Gly Leu Tyr Ser 50 55 60 Leu Ser Ser Val Val Thr Val Pro
Ser Ser Ser Leu Gly Thr Gln Thr 65 70 75 80 Tyr Ile Cys Asn Val Asn
His Lys Pro Ser Asn Thr Lys Val Asp Lys 85 90 95 Arg Val Glu Pro
Lys Ser Cys Asp Lys Thr His Thr Cys Pro Pro Cys 100 105 110 Pro Ala
Pro Glu Leu Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro 115 120 125
Lys Pro Lys Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys 130
135 140 Val Val Val Asp Val Ser His Glu Asp Pro Glu Val Lys Phe Asn
Trp 145 150 155 160 Tyr Val Asp Gly Val Glu Val His Asn Ala Lys Thr
Lys Pro Arg Glu 165 170 175 Glu Gln Tyr Asn Ser Thr Tyr Arg Val Val
Ser Val Leu Thr Val Leu 180 185 190 His Gln Asp Trp Leu Asn Gly Lys
Glu Tyr Lys Cys Lys Val Ser Asn 195 200 205 Lys Ala Leu Pro Ala Pro
Ile Glu Lys Thr Ile Ser Lys Ala Lys Gly 210 215 220 Gln Pro Arg Glu
Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Glu Glu 225 230 235 240 Met
Thr Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr 245 250
255 Pro Ser Asp Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn
260 265 270 Asn Tyr Lys Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser
Phe Phe 275 280 285 Leu Tyr Ser Lys Leu Thr Val Asp Lys Ser Arg Trp
Gln Gln Gly Asn 290 295 300 Val Phe Ser Cys Ser Val Met His Glu Ala
Leu His Asn His Tyr Thr 305 310 315 320 Gln Lys Ser Leu Ser Leu Ser
Pro Gly Lys 325 330 1225PRTArtificial SequenceDescription of
Artificial Sequence Synthetic peptide 122Gly Gly Gly Gly Ser 1 5
12310PRTArtificial SequenceDescription of Artificial Sequence
Synthetic peptide 123Gly Gly Gly Gly Ser Gly Gly Gly Gly Ser 1 5
10
* * * * *