U.S. patent application number 15/977725 was filed with the patent office on 2018-11-08 for antibody variants having modifications in the constant region.
The applicant listed for this patent is Genmab A/S. Invention is credited to Aran Frank Labrijn, Ignace Lasters, Stefan Loverix, Paul Parren, Janine Schuurman, Jan Van De Winkel.
Application Number | 20180319888 15/977725 |
Document ID | / |
Family ID | 41692881 |
Filed Date | 2018-11-08 |
United States Patent
Application |
20180319888 |
Kind Code |
A1 |
Labrijn; Aran Frank ; et
al. |
November 8, 2018 |
ANTIBODY VARIANTS HAVING MODIFICATIONS IN THE CONSTANT REGION
Abstract
The present invention relates to positions in the constant
region of antibodies, in particular the CH3 region of IgG4, which
affect the strength of CH3-CH3 interactions. Mutations that either
stabilize or destabilize this interaction are disclosed.
Inventors: |
Labrijn; Aran Frank;
(Amsterdam, NL) ; Loverix; Stefan; (Ternat,
BE) ; Parren; Paul; (Odijk, NL) ; Van De
Winkel; Jan; (Zeist, NL) ; Schuurman; Janine;
(Diemen, NL) ; Lasters; Ignace; (Antwerpen,
BE) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Genmab A/S |
Copenhagen V |
|
DK |
|
|
Family ID: |
41692881 |
Appl. No.: |
15/977725 |
Filed: |
May 11, 2018 |
Related U.S. Patent Documents
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Application
Number |
Filing Date |
Patent Number |
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14739768 |
Jun 15, 2015 |
10000570 |
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15977725 |
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13132423 |
Aug 16, 2011 |
9085625 |
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PCT/EP2009/066290 |
Dec 3, 2009 |
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14739768 |
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Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61K 2039/505 20130101;
C07K 16/2863 20130101; C07K 2317/76 20130101; A61K 39/3955
20130101; A61K 51/103 20130101; C07K 16/00 20130101; C07K 2317/52
20130101; C07K 2317/53 20130101; A61P 43/00 20180101; A61K 47/6849
20170801; A61P 35/00 20180101; A61P 37/02 20180101; C07K 2317/526
20130101; C07K 2317/21 20130101; A61P 29/00 20180101; C07K 2317/524
20130101 |
International
Class: |
C07K 16/28 20060101
C07K016/28; C07K 16/00 20060101 C07K016/00; A61K 47/68 20060101
A61K047/68; A61K 51/10 20060101 A61K051/10; A61K 39/395 20060101
A61K039/395 |
Foreign Application Data
Date |
Code |
Application Number |
Dec 3, 2008 |
DK |
PA200801709 |
Claims
1-91. (canceled)
92. A method of treating a disorder, comprising administering to a
patient in need thereof a therapeutically effective amount of a
monovalent antibody comprising a single heavy chain and a single
light chain, wherein the antibody is a human IgG4 isotype
comprising a modified heavy chain constant region, wherein the
heavy chain constant region has been modified relative to the
sequence set forth in SEQ ID NO: 4 by one or more of the following
amino acid substitutions: Glu (E) in position 225 has been replaced
by Ala (A) or Val (V); Ser (S) in position 232 has been replaced by
Arg (R); Leu (L) in position 236 has been replaced by Glu (E), Gly
(G), Ser (S), or Thr (T); Asp (D) in position 267 has been replaced
by Ala (A) or Ser (S); Phe (F) in position 273 has been replaced by
Asp (D), Thr (T), Arg (R), Gln (Q), or Tyr (Y); or Tyr (Y) in
position 275 has been replaced by Glu (E), Gln (Q), or Lys (K); and
wherein the heavy chain constant region further comprises a hinge
region modified such that all amino acid residues in the hinge
region which are capable of forming a disulfide bond with an
identical constant region in the presence of polyclonal human IgG
have been deleted or substituted with other amino acid residues,
including modification of all cysteine residues in the hinge
region.
93. The method of claim 92, wherein the monovalent antibody is a
human antibody.
94. The method of claim 92, wherein the monovalent antibody binds
to a target selected from erythropoietin, beta-amyloid,
thrombopoietin, interferon-alpha (2a and 2b), interferon-beta (1b),
interferon-gamma, TNFR I (CD120a), TNFR II (CD120b), IL-1R type 1
(CD121a), IL-1R type 2 (CD121b), IL-2, IL-2R (CD25), IL-2R-beta
(CD123), IL-3, IL-4, IL-3R (CD123), IL-4R (CD124), IL-5R (CD125),
IL-6R-alpha (CD126), IL-6R-beta (CD130), IL-8, IL-10, IL-11, IL-15,
IL-15BP, IL-15R, IL-20, IL-21, TCR variable chain, RANK, RANK-L,
CTLA4, CXCR4R, CCR5R, TGF-beta1, TGF-beta2, TGF-beta3, G-CSF,
GM-CSF, MIF-R (CD74), M-CSF-R (CD115), GM-CSF-R (CD116), soluble
FcRI, soluble FcRII, soluble FcRIII, FcRn, Factor VII, Factor VIII,
Factor IX, VEGF, VEGFxxxb, alpha-4 integrin, CD11 a, CD18, CD20,
CD38, CD79, CD81, FcalphaRI, FcepsilonRI, acetylcholine receptor,
fas, fasL, TRAIL, hepatitis C virus, envelope E2 of hepatitis C
virus, tissue factor, a complex of tissue factor and Factor VII,
EGFr, CD4, CD28, VLA-1, VLA-2, VLA-3, VLA-4, LFA-1, MAC-1,
1-selectin, PSGL-1, ICAM-1, P-selectin, periostin, CD33 (Siglec 3),
Siglec 8, TNF, CCL1, CCL2, CCL3, CCL4, CCL5, CCL11, CCL13, CCL17,
CCL18, CCL20, CCL22, CCL26, CCL27, CX3CL1, LIGHT, EGF, TGFalpha,
HGF, PDGF, NGF, C1q, C4, C2, C3, C5, C6, C7, C8, C9, MBL, factor B,
a matrix metallo protease (MMP), CD32b, CD200, CD200R, a killer
immunoglobulin-like receptor (KIR), NKG2D, a leukocyte-associated
immunoglobulin-like receptor (LAIR), Iy49, PD-L2, CD26, BST-2,
melanoma inhibitor of apoptosis protein (ML-IAP), cathepsin D,
CD40, CD4OR, CD86, a B cell receptor, c-Met, PD-1, a T cell
receptor, erb-B1, erb-B2, erb-B3, erb-B4, ephrin-A1, ephrin-A2,
ephrin-A3, ephrin-A4, ephrin-A5, ephrin-A6, ephrin-A7, ephrin-A8,
ephrin-B1, ephrin-B2, ephrin-B3, ephrin-B4, ephrin-B5, ephrin-B6,
TLR-3, TLR-9, angiopoietin-1, angiopoietin-2, CD30, CD95, an
adrenocorticosteroid, insulin, GIP, GLP-1, a thyroid hormone,
growth hormone, ACTH, oestrogen, testosterone, anti-diuretic
hormone, heparin, EPO, an opiate, morphine, vitamin C, LH, and
FSH.
95. The method of claim 92, wherein the monovalent antibody is
conjugated to a therapeutic moiety, an immunosuppressant or a
radioisotope.
96. The method of claim 92, wherein the monovalent antibody
comprises all the listed amino acid substitutions relative to the
sequence set forth in SEQ ID NO: 4.
97. The method of claim 92, wherein the heavy chain constant region
of the monovalent antibody has been modified such that all cysteine
residues in the hinge region have been substituted with amino acid
residues that have an uncharged polar side chain or a nonpolar side
chain.
98. The method of claim 92, wherein the heavy chain constant region
of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 by the following amino acid
substitutions: Phe (F) in position 273 has been replaced by Asp (D)
or Thr (T), and Tyr (Y) in position 275 has been replaced by Glu
(E).
99. The method of claim 92, wherein the heavy chain constant region
of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 such that Phe (F) in position
273 has been replaced by Asp (D).
100. The method of claim 92, wherein the heavy chain constant
region of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 such that Phe (F) in position
273 has been replaced by Thr (T).
101. The method of claim 92, wherein the heavy chain constant
region of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 such that Tyr (Y) in position
275 has been replaced by Glu (E).
102. The method of claim 92, wherein the heavy chain constant
region of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 by the following amino acid
substitutions: Asp (D) in position 267 has been replaced by Ser
(S), and Tyr (Y) in position 275 has been replaced by Glu (E), Gln
(Q), or Lys (K).
103. The method of claim 92, wherein the heavy chain constant
region of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 such that Asp (D) in position
267 has been replaced by Ser (S).
104. The method of claim 92, wherein the heavy chain constant
region of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 such that Tyr (Y) in position
275 has been replaced by Glu (E).
105. The method of claim 92, wherein the heavy chain constant
region of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 such that Tyr (Y) in position
275 has been replaced by Gln (Q).
106. The method of claim 92, wherein the heavy chain constant
region of the monovalent antibody has been modified relative to the
sequence set forth in SEQ ID NO: 4 such that Tyr (Y) in position
275 has been replaced by Lys (K).
107. The method of claim 92, wherein the monovalent antibody is
administered with one or more pharmaceutically acceptable
excipients, diluents, and/or carriers.
108. The method of claim 92, wherein the monovalent antibody is
administered alone or in combination with one or more additional
therapeutic agents.
109. The method of claim 108, wherein the one or more additional
therapeutic agents are selected from one or more antibodies, one or
more cytotoxic agents, one or more radiotoxic agents, one or more
anti-angiogenic agents, one or more cytokines, one or more growth
inhibitory agents, one or more anti-inflammatory agents, one or
more disease modifying anti-rheumatic drugs (DMARDs), and one or
more immunosuppressants, or any combination thereof.
110. The method of claim 108, wherein the monovalent antibody and
the one or more additional therapeutic agents are administered
simultaneously.
111. The method of claim 110, wherein the monovalent antibody and
the one or more additional therapeutic agents are in the same
formulation.
112. The method of claim 110, wherein the monovalent antibody and
the one or more additional therapeutic agents are in separate
formulations.
113. The method of claim 108, wherein the monovalent antibody and
the one or more additional therapeutic agents are administered
sequentially.
114. The method of claim 113, wherein the monovalent antibody is
administered before administration of the one or more additional
therapeutic agents, after administration of the one or more
additional therapeutic agents, or both.
115. The method of claim 92, wherein the disorder is selected from
a neoplastic disorder or malignancy, an inflammatory or immune
disorder, an angiogenic disorder, an allergic disorder, a
neurological or neurogenerative disorder, a gastrointestinal
disorder, a hepatic disorder, a hematological disorder, a skin
disorder, a pulmonary disorder, an endocrine disorder, a vascular
disorder, an infectious disease or disorder, a kidney disorder, an
ophthalmologic disorder, a cardiac disorder, a circulatory
disorder, a metabolic disorder, a bone disorder, a muscle disorder,
a connective tissue disorder, a gynecological-obstetrical disorder,
a male reproductive disorder, a transplantation-derived disorder,
and a viral infection.
116. The method of claim 115, wherein the disorder is a neoplastic
disorder or malignancy selected from a leukemia, a lymphoid
neoplasm, an ovarian cancer, an endometrial cancer, a lung cancer,
a brain cancer, a spinal cord cancer, a breast cancer, an oral
cancer, a colorectal cancer, a pancreatic cancer, a head and neck
cancer, a kidney cancer, a thymoma, a lung cancer, a skin cancer, a
larynx cancer, a liver cancer, a gastric cancer, an esophageal
cancer, a prostate cancer, a bladder cancer, a sarcoma, a cancer of
the testis, and a parotid tumor, or any metastases thereof.
117. The method of claim 115, wherein the disorder is selected from
B-cell chronic lymphocytic leukemia, acute myeloid leukemia, B-cell
lymphoma, non-Hodgkin's lymphoma, cutaneous T-cell lymphoma,
non-cutaneous T-cell lymphoma, non-small cell lung cancer,
glioblastoma, glioma, oral squamous cell carcinoma, head and neck
squamous cell carcinoma, melanoma, immune mediated cytopenia, HIV
infection, AIDS, cystic fibrosis, osteomyelitis,
glomerulonephritis, fibrosis, acute respiratory distress syndrome,
chorioretinitis, palmoplanar pustulosis, alcoholic hepatitis, acute
pancreatitis, transplant rejection, graft-versus-host disease,
Alzheimer's disease, Parkinson's disease, myocardial vascular
disease, cerebral vascular disease, retinopathy, macular
degeneration, cardiovascular disease, post-thrombotic vein wall
fibrosis, ischemia reperfusion injury, atherosclerosis, stroke,
cerebral aneurysm, asthma, allergic rhinitis, hay fever, atopic
dermatitis, eczema, hives, urticaria, allergic conjunctivitis, a
seasonal allergy, a nasal allergy, a contact allergy, an ocular
allergy, a food or drug allergy, a latex allergy, an insect
allergy, an IgA nephropathy, corneal wound healing, a degenerative
genetic eye disease, dental caries, periodontitis, rheumatoid
arthritis, gout, multiple sclerosis, inflammatory bowel disease,
type-1 diabetes, systemic lupus erythematosus, psoriasis, atopic
dermatitis, chronic obstructive pulmonary disease, sepsis,
hepatitis C virus infection, Crohn's disease, Guillain-Barre
syndrome, ulcerative colitis, hemolytic anemia, paroxysmal
nocturnal hemoglobinuria, a heart attack, a burn injury, myasthenia
gravis, and anti-phospholipid syndrome.
Description
FIELD OF INVENTION
[0001] The present invention relates to modified antibodies that
may be used in therapeutic applications. The invention also relates
to methods for producing the antibodies, pharmaceutical
compositions comprising the antibodies and use thereof for
different therapeutic applications.
BACKGROUND OF THE INVENTION
[0002] Native antibodies and immunoglobulins are usually
heterotetrameric glycoproteins of about 150,000 daltons, composed
of two identical light (L) chains and two identical heavy (H)
chains. Each light chain is linked to a heavy chain by one covalent
disulfide bond, while the number of disulfide linkages varies
between the heavy chains of different immunoglobulin isotypes. Each
light chain is comprised of a light chain variable region
(abbreviated herein as VL) and a light chain constant region
(abbreviated herein as CL). Each heavy chain is comprised of a
heavy chain variable region (VH) and a heavy chain constant region
(CH) consisting of three domain, CH1 , CH2 and CH3). CH1 and CH2 of
the heavy chain are separated from each other by the so-called
hinge region. The hinge region normally comprises one or more
cysteine residues, which may form disulphide bridges with the
cysteine residues of the hinge region of the other heavy chain in
the antibody molecule.
[0003] Recently, antibodies have become a major focus area for
therapeutic applications, and many antibody drug products have been
approved or are in the process of being approved for use as
therapeutic drugs. The desired characteristics of therapeutic
antibodies may vary according to the specific condition which is to
be treated. For some indications, only antigen binding is required,
for instance where the therapeutic effect of the antibody is to
block interaction between the antigen and one or more specific
molecules otherwise capable of binding to the antigen. For such
indications, the use of Fab fragments, the only function of which
is to bind antigen, may be preferred. For other indications,
further effects may also be required, such as for instance the
ability to induce complement activation and/or the ability to for
instance bind Fc receptors, protect from catabolism, recruit immune
cells, etc. For such use, other parts of the antibody molecule,
such as the Fc region, may be required. Some full-length antibodies
may exhibit agonistic effects (which may be considered to be
undesirable) upon binding to the target antigen, even though the
antibody works as an antagonist when used as a Fab fragment. In
some instances, this effect may be attributed to "cross-linking" of
the bivalent antibodies, which in turn promotes target
dimerization, which may lead to activation, especially when the
target is a receptor. In the case of soluble antigens, dimerization
may form undesirable immune complexes.
[0004] For some indications, monovalent antibodies may thus be
preferable. The presently available Fab fragments show inferior
pharmacokinetics due to their small size resulting to filtration in
the kidneys as well as their inability to interact with the
Brambell receptor FcRn (Junghans R P et al, Proc Natl Acad Sci USA
93(11), 5512-6 (1996)), therefore being unstable in vivo and having
very rapid clearance after administration.
[0005] There is thus a need for stable monovalent antibodies which
can be used as therapeutics.
[0006] Dimeric, monovalent antibodies (Fab/c), wherein the Fc
region comprises two Fc polypeptides, have been described
(WO200563816 to Genentech and Parham P, J Immunol. 131(6), 2895-902
(1983).
[0007] Ig half-molecules, which have a dimeric configuration
consisting of only one light chain and only one heavy chain, have
been described as the result of rare deletions in human and murine
plasmacytomas. Studies on the biochemical nature of these
half-molecules showed that they consist of IgG1 molecules in which
the heavy chain CH1, hinge and CH2 regions appeared normal, whereas
deletions were found in the CH3 region. The mutations appeared to
be located in CH3 and the hinge peptide appeared normal (Hobbs, J R
et al., Clin Exp Immunol 5, 199 (1969); Hobbs, J R, Br Med J 2, 67
(1971); Spiegelberg, H L et al., Blood 45, 305 (1975); Spiegelberg,
H L et al., Biochemistry 14, 2157 (1975); Seligmann M E et al., Ann
Immunol (Paris) 129C, 855-870 (1978); Gallango, M L et al., Blut
48, 91 (1983)). It was also showed that this human IgG1
half-molecule is rapidly catabolized (half-life in man was 4.3
days) and, in monomeric form, is unable to bind C1q or Fr receptors
on human lymphocytes, monocytes or neutrophils (Spiegelberg, H L. J
Clin Invest 56, 588 (1975)).
[0008] Murine IgA half-molecules which were generated by somatic
mutation have also been described (Mushinski, J F, J Immunol 106,
41 (1971); Mushinski, J F et al., J Immunol 117, 1668 (1976);
Potter, M et al., J Mol Biol 93, 537 (1964); Robinson, E A et al.,
J Biol Chem 249, 6605 (1974); Zack, D J et :al., J Exp Med 154,
1554 (1981)). These molecules were shown to all contain deletions
of the CH3 domain or mutations at the CH2-CH3 boundary.
[0009] WO2007059782 (Genmab) describes human monovalent antibodies
comprising a light chain and a heavy chain, wherein
[0010] a) said light chain comprises the amino acid sequence of the
variable (VL) region of a selected antigen specific antibody and
the amino acid sequence of the constant (CL) region of an Ig, and
wherein, in case of an IgG1 subtype, the amino sequence of the
constant (CL) region has been modified so that it does not contain
any amino acids capable of participating in the formation of
disulfide bonds or covalent bonds with other peptides comprising an
identical amino acid sequence of the constant (CL) region of the
Ig, in the presence of polyclonal human IgG or when administered to
an animal or human being, and
[0011] b) said heavy chain comprises the amino acid sequence of the
variable (VH) region of said selected antigen specific antibody and
the amino acid sequence of the constant (CH) region of human Ig,
wherein the amino acid sequence of the constant (CH) region has
been modified so that the hinge region and, as required by the Ig
subtype, other regions of the CH region, such as the CH3 region,
does not contain any amino acid residues which participate in the
formation of disulphide bonds or covalent or stable non-covalent
inter-heavy chain bonds with other peptides comprising an identical
amino acid sequence of the constant (CN) region of the human Ig, in
the presence of polyclonal human IgG or when administered to an
animal or human being.
[0012] As shown in WO2007059782, these monovalent antibodies have a
more favorable in vivo half-life than Fab fragments. WO2008145140
describes variants of these monovalent antibodies wherein
intermolecular CH3-CH3 interactions are destabilized. The present
application describes alternative and improved variants of the
monovalent antibodies disclosed in WO2007059782 and WO2008145140.
These variants remain monovalent even under conditions that favor
intermolecular CH3-CH3 interactions.
[0013] Human IgG4 molecules exist in various molecular forms which
differ by the absence or presence of inter-heavy chain disulphide
bonds located in the hinge region. Thus IgG4 molecules exist in
which two, one or no inter-heavy chain disulphide bonds have been
formed (Schuurman, J. et al., Mol immunol 38, 1 (2001)). Under
physiological conditions, these molecular forms of IgG4 may be in
equilibrium with each other. Human IgG4s exist as tetramers in
solution consisting of two Ig heavy and two light chains, as common
for immunoglobulin G molecules, irrespective of the absence or
presence of these interchain disulphide bonds (Schuurman 2001
supra; Gregory, L. et al. Mol Immuno) 24, 321 (1987)). Only upon
denaturation under non-reducing conditions, the two non-covalently
associated half-molecules dissociate as demonstrated by
size-determination analysis such as SDS-PAGE (Schuurman, J. et al.
Mol Immunol) 38, 1 (2001); Deng, L. et al. Biotechnol Appl Biochem
40, 261 (2004)). It has been shown that mutation of the residues of
the hinge region which are involved in inter-chain disulphide bond
formation or deletion of the hinge region lead to creation of a
homogeneous pool of IgG4 molecules in solution, which pool consists
of tetrameric molecules consisting of two light chains and two
heavy chains (Schuurman, J. et al. Mol Immunol 38. 1 (2001);
Horgan, C. et al. J Immunol 150, 5400 (1993)). The IgG4
hinge-deleted and mutated antibodies also demonstrated an improved
capability of antigen crosslinking when compared to native
IgG.sub.4 molecules (Horgan, C. (1993) supra).
[0014] It has been shown that administration of two recombinant
monoclonal IgG4 antibodies having different antigen-binding
specificities to a mouse leads to in vivo formation of bispecific
antibodies. The phenomenon can be reproduced in vitro by incubating
IgG4 antibodies with cells or under reducing conditions. It has
been shown that IgG4 antibodies having different antigen-binding
specificities engage in Fab arm exchange which is stochastic and in
which all IgG4 molecules seem to participate. Thus, IgG4 antibodies
form bispecific antibodies without concomitant formation of
aggregates.
[0015] IgG4 antibodies therefore have unusual properties which are
undesirable in vivo; IgG4 antibodies are unstable, dynamic,
molecules which engage in Fab arm exchange. An administered
therapeutic IgG4 antibody may exchange with endogenous IgG4
antibodies with undesired specificities. The random nature of this
process introduces unpredictability which is highly undesirable for
human immunotherapy.
[0016] In one aspect, the present invention relates to stabilized
forms of IgG4 antibodies that have a reduced ability to undergo
Fab-arm exchange. Stabilized forms of IgG4 have previously been
described in WO2008145142 (Genmab). It has now surprisingly been
found that specific alternative substitutions in human IgG4 can
prevent Fab arm exchange, and thus stabilize IgG4.
[0017] In summary, the present invention relates to positions in
the constant region of antibodies, in particular the CH3 region of
IgG4, which affect the strength of CH3-CH3 interactions. Mutations
that either stabilize or destabilize this interaction are disclosed
herein.
[0018] When introduced in the monovalent antibody context described
in WO2007059782, the destabilizing mutations contribute to keeping
the antibodies monovalent even under conditions that favor
intermolecular CH3-CH3 interactions. When introduced in the IgG4
context, the stabilizing mutations contribute to preventing
undesired Fab arm exchange.
SUMMARY OF THE INVENTION
[0019] In a first main aspect, the invention relates to a
monovalent antibody, which comprises
[0020] (i) a variable region of a selected antigen specific
antibody or an antigen binding part of the said region, and
[0021] (ii) a CH region of an immunoglobulin or a fragment thereof
comprising the CH2 and CH3 regions, wherein the CH region or
fragment thereof has been modified such that the region
corresponding to the hinge region and, if the immunoglobulin is not
an IgG4 subtype, other regions of the CH region, such as the CH3
region, do not comprise any amino acid residues which are capable
of forming disulfide bonds with an identical CH region or other
covalent or stable non-covalent inter-heavy chain bonds with an
identical CH region in the presence of polyclonal human IgG,
[0022] wherein the antibody is of the IgG4 type and the constant
region of the heavy chain has been modified so that one or more of
the following amino acid substitutions have been made relative to
the sequence set forth in SEQ ID NO:4: Tyr (Y) in position 217 has
been replaced by Arg (R), Leu (L) in position 219 has been replaced
by Asn (N) or Gln (Q), Gln (E) in position 225 has been replaced by
Thr (T), Val (V) or IIe (I), Ser (S) in position 232 has been
replaced by Arg (R) or Lys (K), Thr (T) in position 234 has been
replaced by Arg (R), Lys (K) or Asn (N), Leu (L) in position 236
has been replaced by Ser (S) or Thr (T), Lys (K) in position 238
has been replaced by Arg (R), Asp (D) in position 267 has been
replaced by Thr (T) or Ser (S), Phe (F) in position 273 has been
replaced by Arg (R), Gln (Q), Lys (K) or Tyr (Y), Tyr (Y) in
position 275 has been replaced by Gln (Q), Lys (K) or Phe (F), Arg
(R) in position 277 has been replaced by Glu (E), Thr (T) in
position 279 has been replaced by Asp (D), Val (V) and Asn (N),
[0023] or the antibody is of another IgG type and the constant
region of the heavy chain has been modified so that one or more of
the same amino-acid substitutions have been made at the positions
that correspond to the before-mentioned positions for IgG4.
[0024] As explained above, mutations at the above specified
positions disfavor intermolecular CH3-CH3 interactions. Thus,
monovalent antibodies carrying these mutations are less likely to
dimerize through non-covalent interactions. This may be an
advantage for therapeutic applications wherein such dimerization is
highly undesired. Furthermore, a reduced tendency of the monovalent
antibodies to associate non-covalently through the CH3 regions may
make pharmaceutical compositions comprising such antibodies more
stable and homogenous than pharmaceutical compositions of
monovalent antibodies that do not comprise the above-specified
mutations.
[0025] Thus, in another aspect, the invention relates to a
pharmaceutical composition comprising the monovalent antibody
according the invention as defined herein.
[0026] In a further aspect, the invention relates to a method of
treating a disease or disorder as described herein, wherein said
method comprises administering to a subject in need of such
treatment a therapeutically effective amount of a monovalent
antibody according to the invention.
[0027] In a further aspect, the invention relates to a stabilized
IgG4 antibody for use as a medicament, comprising a heavy chain and
a light chain, wherein said heavy chain comprises a human IgG4
constant region having the sequence set forth in SEQ ID NO:2,
wherein Lys (K) in position 250 has been replaced by Gln (Q) or Glu
(E) and wherein the antibody optionally comprises one or more
further substitutions, deletions and/or insertions in the constant
region as set forth in SEQ ID NO:2.
[0028] As explained above, and shown herein below in the Examples,
the mutations at position 250 stabilize the IgG4 molecule and
prevent undesired Fab arm exchange.
DESCRIPTION OF FIGURES
[0029] FIG. 1: Percentage of molecules present as monomers for each
HG mutant tested using non-covalent nano-electrospray mass
spectrometry. HG mutant samples were prepared in aqueous 50 mM
ammonium acetate solutions at a concentration of 1 .mu.M.
[0030] FIG. 2: NativePAGE.TM. Novex.RTM. Bis-Tris gel
electrophoresis of CH3 mutants compared to 2F8-HG (WT) and R277K HG
mutant control.
[0031] FIG. 3: The binding of 2F8-HG and CH3 variants 2F8-HG-T234A
and 2F8-HG-L236V was tested in EGFR ELISA in the presence and
absence of polyclonal human IgG.
[0032] FIG. 4: The binding of 2F8-HG and CH3 variants 2F8-HG-L236A
and 2F8-HG-Y275A was tested in EGFR ELISA in the presence and
absence of polyclonal human IgG.
[0033] FIG. 5: Dose-response curves showing the inhibition of
EGF-induced EGFr phosphorylation in A431 cells by anti-EGFr 2F8-HG
(WT) and CH3 mutants thereof.
[0034] FIG. 6: Percentage molecules present as monomers at
different molar concentrations of CH3 mutants compared to 2F8-HG
(WT) and 1277K.
[0035] FIG. 7: Relative interaction strength (KD) of CH3 mutants
compared to 2F8-HG (WT).
[0036] FIG. 8: The binding of 2F8-HG and deglycosylation variants
2F8-HG-GST and 2F8-HG-NSE was tested in EGFR ELISA in the presence
and absence of polyclonal human IgG.
[0037] FIG. 9: Percentage of molecules present as monomers for each
HG mutant measured using non-covalent nano-electrospray mass
spectrometry. HG mutant samples were prepared in aqueous 50 mM
ammonium acetate solutions at a concentration of 1 .mu.M.
[0038] FIG. 10: Dose-response curves showing the inhibition of
EGF-induced EGFr phosphorylation in A431 cells by anti-EGFr 2F8-HG
(WT) and non-glycosylation mutants thereof.
[0039] FIG. 11: Clearance (expressed as D/AUC) of non-glycosylation
mutants 2F8-HG-GST and 2F8-HG-NSE compared to 28-HG (WT) and
2F8-IgG4.
[0040] FIG. 12: Schematic representation of constructs for IgG1 and
IgG4 containing mutations in the core hinge and/or CH3 domain
(residues are numbered according to EU numbering, see table Example
16).
[0041] FIG. 13: Fab arm exchange of IgG1 and IgG4 hinge region or
CH3 domain mutants (residues are numbered according to EU
numbering, see table Example 16).
[0042] FIG. 14: Binding of hingeless IgG4 antibody 2F8-HG and CH3
variants 2F8-HG-F405L, 2F8-HG-F405A, 2F8-HG-R409A and 2F8-HG-R409K
to EGFr (residues are numbered according to EU numbering, see table
Example 16). Binding was tested in an EGFR ELISA in the presence
and absence of polyclonal human IgG (IVIG).
[0043] FIG. 15: Sequence alignment of anti-EGFr antibody 2F8 in an
IgG1, (IgG4 and (partial) IgG3 backbone. Amino acid numbering
according to Kabat and according to the EU-index are depicted (both
described in Kabat et al., Sequences of Proteins of immunological
Interest. 5th Ed. Public Health Service, National Institutes of
Health, Bethesda, Md. (1991)).
[0044] FIG. 16: Fab-arm exchange of CH3 domain mutants of human
IgG4 antibodies. Mixtures of two recombinant human IgG4 antibodies
(IgG4-CD20 and IgG4-EGFr) and CH3 domain mutants thereof were
incubated with 0.5 mM GSH at 37.degree. C. The formation of
bispecific antibodies through Fab arm exchange was followed over
time and measured in a sandwich ELISA. The bispecific activity of
IgG4 at 24 hrs was set as 100%.
[0045] FIG. 17: Relative interaction strength (K.sub.D) of CH3
mutants compared to his-CH2-CH3(G4) (WT).
[0046] FIG. 18: Correlation between the CH3-CH3 interaction
strength (K.sub.D) and the bispecific activity. The bispecific
activity of IgG4 at 24 hrs was set as 100% (open circle).
DETAILED DESCRIPTION OF THE SEQUENCE LISTINGS
[0047] SEQ ID No:1: The nucleic acid sequence of the wildtype CH
region of human IgG4
[0048] SEQ ID No:2: The amino acid sequence of the wildtype CH
region of human IgG4.
[0049] Sequences in italics represent the CH1 region, highlighted
sequences represent the hinge region, regular sequences represent
the CH2 region and underlined sequences represent the CH3
region.
[0050] SEQ ID No: 3: The nucleic acid sequence of the CH region et
human IgG4 (SEQ ID No: 1) mutated in positions 714 and 722
[0051] SEQ ID No: 4: The amino acid sequence of the hingeless CH
region of a human IgG4. Underlined sequences represent the CH3
region.
[0052] SEQ) ID No: 5: The amino acid sequence of the lambda chain
constant human (accession number S25751)
[0053] SEQ ID No: 6: The amino acid sequence of the lambda chain
constant human (accession number P01834)
[0054] SEQ ID No: 7: The amino acid sequence of IgG1 constant
region (accession number P01857). Sequences in italics represent
the CH1 region, highlighted sequences represent the hinge region,
regular sequences represent the CH2 region and underlined sequences
represent the CH3 region
[0055] SEQ ID No: 8: The amino acid sequence of the IgG2 constant
region (accession number P01859). Sequences in italics represent
the CH1 region, highlighted sequences represent the hinge region,
regular sequences represent the CH2 region and underlined sequences
represent the CH3 region
[0056] SEQ ID No: 9: The amino acid sequence of the IgG3 constant
region (accession number A23511). Sequences in italics represent
the CH1 region, highlighted sequences represent the hinge region,
regular sequences represent the CH2 region and underlined sequences
represent the CH3 region
DETAILED DESCRIPTION OF THE INVENTION
[0057] Definitions
[0058] The term "antibody" as referred to herein includes whole
antibody molecules, antigen binding fragments, monovalent
antibodies, and single chains thereof. Antibody molecules belong to
a family of plasma proteins called immunoglobulins, whose basic
building block, the immunoglobulin fold or domain, is used in
various forms in many molecules of the immune system and other
biological recognition systems. Native antibodies and
immunoglobulins are usually heterotetrameric glycoproteins of about
150,000 daltons, composed of two identical light (L) chains and two
identical heavy (H) chains. Each light chain is linked to a heavy
chain by one covalent disulfide bond, while the number of disulfide
linkages varies between the heavy chains of different
immunoglobulin isotypes. Each heavy and light chain may also have
regularly spaced intrachain disulfide bridges. Each light chain is
comprised of a light chain variable region (abbreviated herein as
VL) and a light chain constant region (abbreviated herein as CL).
Each heavy chain is comprised of a heavy chain variable region (VH)
and a heavy chain constant region (CH) consisting of three domains,
CH-1, CH2 and CH3, and the hinge region). The three CH domains and
the hinge region have been indicated for IgG1 IgG2, IgG3 and IgG4
in SEQ) ID NO: 7, 8, 9 and 2, respectively (see below). The
constant domain of the light chain is aligned with the first
constant domain (CH1) of the heavy chain, and the light chain
variable domain is aligned with the variable domain of the heavy
chain forming what is known as the "Fab fragment". CH1 and CH2 of
the heavy chain are separated form each other by the so-called
hinge region, which allows the Fab "arms" of the antibody molecule
to swing to some degree. The hinge region normally comprises one or
more cysteine residues, which are capable of forming disulphide
bridges with the cysteine residues of the hinge region of the other
heavy chain in the antibody molecule.
[0059] The variable regions of the heavy and light chains contain a
binding domain that interacts with an antigen. The constant regions
of the antibodies may mediate the binding of the immunoglobulin to
host tissues or factors, including various cells of the immune
system (for instance effector cells) and the first component (C1q)
of the classical complement system
[0060] Depending on the amino acid sequences of the constant domain
of their heavy chains, immunoglobulins can be assigned to different
classes. There are at least five (5) major classes of
immunoglobulins: IgA, IgD, IgE, IgG and IgM, and several of these
may be further divided into subclasses (isotypes), for instance
IgG1. IgG2, IgG3 and IgG4.; IgA1 and IgA2. The genes for the heavy
chains constant domains that correspond to the different classes of
immunoglobulins are called alpha (.alpha.), delta (o), epsilon
(.epsilon.), gamma (.gamma.) and mu (.mu.), respectively.
Immunoglobulin subclasses are encoded by different genes such as
.gamma.1, .gamma.2, .gamma.3 and .gamma.4. The genes for the light
chains of antibodies are assigned to one of two clearly distinct
types, called kappa (.kappa.) and lambda (.lamda.), based on the
amino sequences of their constant domain. The subunit structures
and three-dimensional configurations of different classes of
immunoglobulins are well known. Distinct allotypes of
immunoglobulins exist within the human population such as G1m(a),
G1m(x), G1m(f) and G1m(z) for IgG1 heavy chain and Km1 , Km1,2 and
Km3 for the kappa light chain. These allotypes differ at distinct
amino acids in their region encoding the constant regions.
[0061] The term antibody also encompasses "derivatives" of
antibodies, wherein one or more of the amino acid residues have
been derivatised, for instance by acylation or glycosylation,
without significantly affecting or altering the binding
characteristics of the antibody containing the amino acid
sequences.
[0062] In addition, the term antibody covers variants, e.g.
variants wherein the in vivo half-life of the antibodies has been
improved by modifying the salvage receptor epitope of the Ig
constant domain or an Ig-like constant domain such that the
molecule does not comprise an intact CH2 domain or an intact Ig Fc
region, cf. U.S. Pat. No. 6,121,022 and U.S. Pat. No. 6,194,551.
The in vivo half-life may be furthermore increased by making
mutations in the Fc region, for instance by substituting threonine
for leucine at the position corresponding to position 252 of an
intact antibody molecule, threonine for serine at the position
corresponding to position 254 of an intact antibody molecule, or
threonine for phenylalanine at the position corresponding to
position 256 of an intact antibody molecule, cf. U.S. Pat. No.
6,277,375.
[0063] Furthermore, antibodies, and particularly Fab or other
fragments, may be pegylated to increase the half-life. This can be
carried out by pegylation reactions known in the art, as described,
for example, in Focus on Growth Factors 3, 4-10 (1992), EP 154 316
and EP 401 384.
[0064] The term "antibody half-molecule" is used herein to mean an
antibody molecule as described above, but comprising no more than
one light chain and no more than one heavy chain, and which exists
in water solutions as a heterodimer of said single light and single
heavy chain. Such antibody is by nature monovalent as only one
antigen-binding portion is present.
[0065] The term "human antibody", as used herein, is intended to
include antibodies having variable and constant regions derived
from human germline immunoglobulin sequences. The human antibodies
of the invention may include amino acid residues not encoded by
human germline immunoglobulin sequences (for instance mutations
introduced by random or site-specific mutagenesis in vitro or by
somatic mutation in viva). However, the term "human antibody", as
used herein, is not intended to include antibodies in which CDR1 or
CDR2 sequences derived from the germline of another mammalian
species, such as a mouse, or the CDR3 region derived from an
antibody from another species, such as mouse, have been grafted
onto human framework sequences. Human monoclonal antibodies
directed may be generated using transgenic or transchromosomal mice
carrying parts of the human immune system rather than the mouse
system. Such transgenic and transchromosomic mice include mice
referred to herein as HuMAb mice and KM mice, respectively, and are
collectively referred to herein as "transgenic mice".
[0066] The HuMAb mouse contains a human immunoglobulin gene
miniloci that encodes unrearranged human heavy (.mu. and .gamma.)
and .kappa. light chain immunoglobulin sequences, together with
targeted mutations that inactivate the endogenous .mu. and .kappa.
chain loci (Lonberg, N. et al., Nature 368, 856-859 (1994)).
Accordingly, the mice exhibit reduced expression of mouse IgM or
.kappa. and in response to immunization, the introduced human heavy
and light chain transgenes, undergo class switching and somatic
mutation to generate high affinity human IgG,.kappa. monoclonal
antibodies (Lonberg, N. et al. (1994), supra; reviewed in Lonberg,
N. Handbook of Experimental Pharmacology 113, 49-101 (1994),
Lonberg, N. and Hussar, D., Intern. Rev. Immunol. Vol. 13 65-93
(1995) and Harding, F. and Lonberg, N. Ann. N.Y. Acad. Sci 764
536-546 (1995)). The preparation of HuMAb mice is described in
detail in Taylor, L. et al., Nucleic Acids Research 20, 6287-6295
(1992), Chen, J. et al., International immunology 5, 647-656
(1993), Tuaillon et al., J. Immunol. 152. 2912-2920 (1994), Taylor,
L. et al., International Immunology 6, 579-591 (1994), Fishwild, D.
et al., Nature Biotechnology 14, 845-851 (1996). See also U.S. Pat.
No. 5,545,806, U.S. Pat. No. 5,569,825, U.S. Pat. No. 5,625,126,
U.S. Pat. No. 5,633,425, U.S. Pat. No. 5,789,650, U.S. Pat. No.
5,877,397, U.S. Pat. No. 5,661,016, U.S. Pat. No. 5,814,318, U.S.
Pat. No. 5,874,299, U.S. Pat. No. 5,770,429, U.S. Pat. No.
5,545,807, WO 98/24884, WO 94/25585, WO 93/1227, WO 92/22645, WO
92/03918 and WO 01/09137.
[0067] The HCo7 mice have a JKD disruption in their endogenous
light chain (kappa) genes (as described in Chen et al., EMBO J. 12,
821-830 (1993)), a CMD disruption in their endogenous heavy chain
genes (as described in Example 1 of WO 01/14424), a KCo5 human
kappa light chain transgene (as described in Fishwild et al.,
Nature Biotechnology 14, 845-851 (1996)), and a HCo7 human heavy
chain transgene (as described in U.S. Pat. No. 5,770,429).
[0068] The HCo12 mice have a JKD disruption in their endogenous
light chain (kappa) genes (as described in Chen et al., EMBO J. 12,
821-830 (1993)), a CMD disruption in their endogenous heavy chain
genes (as described in Example 1 of WO 01/14424), a KCo5 human
kappa light chain transgene (as described in Fishwild et al.,
Nature Biotechnology 14, 845-851 (1996)), and a HCo12 human heavy
chain transgene (as described in Example 2 of WO 01/14424).
[0069] In the KM mouse strain, the endogenous mouse kappa light
chain gene has been homozygously disrupted as described in Chen et
al., EMBO J. 12, 811-820 (1993) and the endogenous mouse heavy
chain gene has been homozygously disrupted as described in Example
1 of WO 01/09187. This mouse strain carries a human kappa light
chain transgene, KCo5, as described in Fishwild et al., Nature
Biotechnology 14, 845-851 (1996). This mouse strain also carries a
human heavy chain transchromosome composed of chromosome 14
fragment hCF (SC20) as described in WO 02/43478.
[0070] Splenocytes from these transgenic mice may be used to
generate hybridomas that secrete human monoclonal stabilized IgG4
antibodies according to well known techniques. Such transgenic
non-human animals, non-human animals comprising an operable nucleic
acid sequence coding for expression of antibody used in the
invention, non-human animals stably transfected with one or more
target-encoding nucleic acid sequences, and the like, are
additional features of the present invention. The term "K.sub.D"
(M), as used herein, refers to the dissociation equilibrium
constant of a particular antibody-antigen interaction.
[0071] The terms "monoclonal antibody" or "monoclonal antibody
composition" as used herein refer to a preparation of antibody
molecules of single molecular composition. A monoclonal antibody
composition displays a single binding specificity and affinity for
a particular epitope. Accordingly, the term "human monoclonal
antibody" refers to antibodies displaying a single binding
specificity which have variable and constant regions derived from
human germline immunoglobulin sequences.
[0072] The term "monovalent antibody" means in the present context
that an antibody molecule is capable of binding a single molecule
of the antigen, and thus is not able of antigen crosslinking.
[0073] As used herein, "specific binding"' refers to the binding of
an antibody, or antigen-binding fragment thereof, to a
predetermined antigen. Typically, the antibody binds with an
affinity corresponding to a K.sub.D of about 10.sup.-7 M or less,
such as about 10.sup.-9 M or less, such as about 10.sup.-9 M or
less, about 10.sup.-10 M or less, or about 10.sup.-11 M or even
less, when measured for instance using sulfon plasmon resonance on
BlAcore or as apparent affinities based on IC.sub.50 values in FACS
or ELISA, and binds to the predetermined antigen with an affinity
corresponding to a K.sub.C that is at least ten-fold lower, such as
at least 100 fold lower, for instance at least 1000 fold lower,
such as at least 10,000 fold lower, for instance at least 100,000
told lower than its affinity for binding to a non-specific antigen
(e.g., BSA, casein) other than the predetermined antigen or a
closely-related antigen. The amount with which the affinity is
lower is dependent on the K.sub.D of the antigen binding peptide,
so that when the K.sub.D of the antigen binding peptide is very low
(that is, the antigen binding peptide is highly specific), then the
amount with which the affinity for the antigen is lower than the
affinity for a non-specific antigen may be at least 10,000
fold.
[0074] The terms "transgenic, non-human animal" refers to a
non-human animal having a genome comprising one or more human heavy
and/or light chain transgenes or transchromosomes (either
integrated or non-integrated into the animal's natural genomic DNA)
and which is capable of expressing human antibodies. For example, a
transgenic mouse can have a human light chain transgene and either
a human heavy chain transgene or human heavy chain transchromosome,
such that the mouse produces human antibodies when immunized with
an antigen and/or cells expressing an antigen. The human heavy
chain transgene can be integrated into the chromosomal DNA of the
mouse, as is the case for transgenic, for instance HuMAb mice, such
as HCo7 or HCo12 mice, or the human heavy chain transgene can be
maintained extrachromosomally, as is the case for transchromosomal
KM mice as described in WO 02/43478. Such transgenic and
transchromosomal mice are capable of producing multiple classes and
isotypes of monovalent antibodies to a given antigen (for instance
IgM, IgG, IgA and/or IgE) by undergoing V-D-J recombination and
isotype switching.
[0075] The term "acceptor site for N-linked glycosylation" refers
to a site on a polypeptide which is susceptible of becoming
glycosylated on an Asn residue. The typical consensus site for this
type of glycosylation is Asn-X-Ser/Thr, wherein X can be any amino
acid, except for Pro.
[0076] As explained above, the characteristic IgG structure in
which two heavy-light chain heterodimers are linked is maintained
by the inter-heavy chain disulphide bridges of the hinge region and
the non-covalent interactions of the CH3 domains.
[0077] It has been shown in WO2007059782 that removal of the hinge
region in IgG4 results in the formation of monovalent antibodies in
which the linkage between the two heavy-light chain heterodimers is
lost or diminished. Consequently, changes in hinge region
disulphide bridges of other IgG subclasses alone or in combination
with mutations in the CH3 domain interactions may result in the
formation of monovalent antibodies for these other subclasses as
well. It is well within the capability of the skilled artisan to
use the intimate knowledge of structure of Ig subclasses, and the
knowledge provided in the present invention, to select and to
modify selected amino acids to prevent light chain
interactions.
[0078] In a first main aspect, the invention relates to a
monovalent antibody, which comprises
[0079] (i) a variable region of a selected antigen specific
antibody or an antigen binding part of the said region, and
[0080] (ii) a CH region of an immunoglobulin or a fragment thereof
comprising the CH2 and CH3 regions, wherein the CH region or
fragment thereof has been modified such that the region
corresponding to the hinge region and, if the immunoalobulin is not
an IgG4 subtype, other regions of the CH region, such as the CH3
region, do not comprise any amino acid residues which are capable
of forming disulfide bonds with an identical CH region or other
covalent or stable non-covalent inter-heavy chain bonds with an
identical CH region in the presence of polyclonal human IgG.
[0081] wherein the antibody is of the IgG4 type and the constant
region of the heavy chain has been modified so that one or more of
the following amino acid substitutions have been made relative the
sequence set forth in SEQ ID NO: 4: Tyr (Y) in position 217 has
been replaced by Arg (R), Leu (L) in position 219 has been replaced
by Asn (N) or Gln (Q), Glu (E) in position 225 has been replaced by
Thr (T), Val (V) or IIe (I), Ser (S) in position 232 has been
replaced by Arg (A) or Lys (K), Thr (T) in position 234 has been
replaced by Arg (R), Lys (K) or Asn (N), Leu (L) in position 236
has been replaced by Ser (S) or Thr (T), Lys (K) in position 238
has been replaced by Arg (R), Asp (D) in position 267 has been
replaced by Thr (T) or Ser (S), Phe (F) in position 273 has been
replaced by Arg (R), Gln (Q), Lys (K) or Tyr (Y), Tyr (Y) in
position 275 has been replaced by Gln (Q), Lys (K) or Phe (F), Arg
(R) in position 277 has been replaced by Glu (E), Thr (T) in
position 279 has been replaced by Asp (D), Val (V) and Asn (N).
[0082] or the antibody is of another IgG type and the constant
region of the heavy chain has been modified so that one or more of
the same amino-acid substitutions have been made at the positions
that correspond to the before-mentioned positions for lgG4. See
e.g. SEQ ID NO: 7, 8 and 9 for the corresponding positions in other
isotypes.
[0083] In one embodiment, the monovalent antibody comprises
[0084] (i) a variable region of a selected antigen specific
antibody or an antigen binding part of the said region, and
[0085] (ii) a CH region of an immunoglobulin or a fragment thereof
comprising the CH2 and CH3 regions, wherein the CH region or
fragment thereof has been modified such that the region
corresponding to the hinge region and, if the immunoglobulin is not
an IgG4 subtype, other regions of the CH region, such as the CH3
region, do not comprise any amino acid residues which are capable
of forming disulfide bonds with an identical CH region or other
covalent or stable non-covalent inter-heavy chain bonds with an
identical CH region in the presence of polyclonal human IgG.
[0086] wherein the antibody is of the IgG4 type and the constant
region of the heavy chain has been modified so that one or more of
the following amino acid substitutions have been made relative the
sequence set forth in SEQ ID NO: 4: Glu (E) in position 225 has
been replaced by Val (V), Ser (S) in position 232 has been replaced
by Arg (R), Leu (L) in position 236 has been replaced by Ser (S) or
Thr (T), Asp (D) in position 267 has been replaced by Thr (T) or
Ser (S), Phe (F) in position 273 has been replaced by Arg (R), Gln
(Q) or Tyr (Y), Tyr (Y) in position 275 has been replaced by Gln
(Q) or Lys (K).
[0087] In another embodiment, the antibody is of the IgG4 type and
the constant region of the heavy chain has been modified so that
one or more of the following combinations of amino acid
substitutions have been made relative the sequence set forth in SEQ
ID NO: 4: [0088] Asp (D) in position 267 has been replaced by Ser
(S) and Tyr (Y) in position 275 has been replaced by Gln (Q) or Lys
(K), Arg (R), [0089] Asp (D) in position 267 has been replaced by
Thr (T) and Tyr (Y) in position 275 has been replaced by Gln (Q) or
Lys (K), Arg (R),
[0090] or the antibody is of another IgG type and the constant
region of the heavy chain has been modified so that the same
combinations of amino-acid substitutions have been made at the
positions that correspond to the before-mentioned positions for
IgG4.
[0091] Typically, the variable region and the C.sub.H region of the
monovalent antibody are connected to each other via peptide bonds
and are produced from a single open reading frame. Without being
bound to any theory, it is believed that the monovalent antibodies
according to the invention are capable of binding to the FcRn. Such
binding may be determined by use of methods for determining binding
as it is known in the art, for instance by use of ELSA assays. The
binding of a monovalent antibody of the invention to FcRn may for
instance be compared to the binding of a F(ab').sub.2 fragment,
which F(ab').sub.2 fragment has a VH region and a VL region, which
are identical to the VH region and the VL region of the monovalent
antibody of the invention, to FcRn in the same assay. In one
embodiment, the binding of a monovalent antibody of the invention
to FcRn is more than 10 times stronger than the binding of the
F(ab').sub.2 fragment to FcRn.
[0092] In one embodiment, the antibody (further) comprises a CH1
region.
[0093] In another embodiment, the monovalent antibody consists of
said variable region and said CH region.
[0094] In another embodiment, the variable region is a VH region.
In a further embodiment, the variable region is a VL region. In an
even further embodiment the antibody does not comprise a CL
region.
[0095] In an important embodiment, the monovalent antibody of the
invention comprises a heavy chain and a light chain, wherein the
heavy chain comprises [0096] (i) a VH region of a selected antigen
specific antibody or an antigen binding part of the said region,
and [0097] (ii) a CH region as defined above, and the light chain
comprises [0098] (i) a VL region of a selected antigen specific
antibody or an antigen binding part of the said region, and [0099]
(ii) a CL region which, in case of an IgG1 subtype, has been
modified such that the CL region does not contain any amino acids,
which are capable of forming disulfide bonds with an identical CL
region or other covalent bonds with an identical CL region in the
presence of polyclonal human IgG.
[0100] Typically, the light chain and the heavy chain of the
monovalent antibody defined above are connected to each other via
one or more disulfide bonds. It is evident that for such disulphide
bonds, neither of the binding partners in the disulphide, bond is
present in the region corresponding to the hinge region. In one
embodiment however the light chain and the heavy chain of the
monovalent antibody are connected to each other via one or more
amide bonds.
[0101] Furthermore, typically, the VL region and the CL region of
the light chain are connected to each other via peptide bonds and
produced from a single open reading frame.
[0102] In one embodiment, the VH and VL region of an antibody
molecule of the invention are derived from the same antigen
specific antibody.
[0103] According to the invention, the, sequence of the CL region
of the light chain of the antibody molecule may be derived from the
sequence of CL region of an immunoglobulin. In one embodiment, the
CL region is the constant region of the kappa light chain of human
IgG. In one embodiment, the CL region comprises the amino acid
sequence of SEQ ID No: 2. In one embodiment, the CL region is the
constant region of the lambda light chain of human IgG. In one
embodiment, the CL region comprises the amino acid sequence of SEQ
ID No: 4.
[0104] In one embodiment, the monovalent antibody of the invention
is an IgC1, IgG2, IgG3, IgG4, IgA or IgD antibody, such as an IgG1,
IgG2 or IgG4 antibody. In a further embodiment, the monovalent
antibody is a human antibody.
[0105] A monovalent antibody of the present invention may also be a
variant of any of the above isotypes. For example, a variant IgG4
antibody may be an antibody that differs from a IgG4 antibody by
one or more suitable amino acid residue alterations, that is
substitutions, deletions, insertions, or terminal sequence
additions, for instance in the constant domain, and/or the variable
regions (or any one or more CDRs thereof) in a single variant
antibody. Typically, amino acid sequence alterations, desirably do
not substantially change the structural characteristics of the
parent sequence (e.g., a replacement amino acid should not tend to
disrupt secondary structure that characterizes the function of the
parent sequence), but which may be associated with advantageous
properties, such as changing the functional or pharmacokinetic
properties of the antibodies, for example increasing the half-life,
altering the immunogenicity, providing a site for covalent or
non-covalent binding to another molecule, reducing susceptibility
to proteolysis or reducing susceptibility to oxidation. Examples of
variants include variants which have a modification of the CH3
region, such as a substitution or deletion at any one or more of
the positions 225, 234, 236, 238, 273 or 275 of SEQ ID NO: 4 or the
corresponding residues in non-IgG4 isotypes. Modifications at these
positions may e.g. further reduce intermolecular interactions
between hinge-modified antibodies of the invention. Other examples
include variants which have a modification of the constant region,
such as a substitution or deletion, at any one or more of the
positions 118, 120, 122, 124, 175, 248, 298, 302 of SEQ ID NO: 4 or
the corresponding residues in non-IgG4 isotypes. Modifications at
these positions may e.g. increase the half-life of hinge-modified
antibodies of the invention.
[0106] In one embodiment, the monovalent antibody of the invention
comprises the CH3 region as set as set forth in SEQ ID NO: 7, but
wherein the CH3 region has been modified so that one or more of the
following amino acid substitutions have been made: Arg (R) in
position 238 has been replaced by Gln (Q); Asp (D) in position 239
has been replaced by Glu (E); Thr (T) in position 249 has been
replaced by Ala (A); Leu (L) in position 251 has been replaced by
Ala (A); Lau (L) in position 251 has been replaced by Val (V); Phe
(F) in position 288 has been replaced by Ala (A); Phe (F) in
position 288 has been replaced by Leu (L); Tyr (Y) in position 290
has been replaced by Ala (A); Lys (K) in position 292 has been
replaced by Arg (R); Lys (K) in position 292 has been replaced by
Ala (A); Gln (Q) in position 302 has been replaced by Glu (F); and
Pro (P) in position 328 has been replaced by Leu (L).
[0107] In a further embodiment hereof, one or more of the following
amino acid substitutions have been made: Arg (R) in position 238
has been replaced by Gln (Q); Asp (D) in position 239 has beer
replaced by Gln (E); Lys (K) in position 292 has been replaced by
Arg (R); Gln (Q) in position 302 has been replaced by Glu (E); and
Pro (P) in position 328 has been replaced by Leu (L). In an even
further embodiment: [0108] (i) Arg (R) in position 238 has been
replaced by Gln (Q), [0109] (ii) Arg (R) in position 238 has been
replaced by Gln (Q), and Pro (P) in position 328 has been replaced
by Leu (L), or [0110] (iii) all five substitutions as defined above
have been made.
[0111] In another further embodiment hereof, the monovalent
antibody further comprises the CH1 and/or CH2 regions as set forth
in SEQ ID NO: 7, with the proviso that the CH2 region has been
modified so that it does not comprise any acceptor sites for
N-linked glycosylation.
[0112] In one embodiment, the monovalent antibody of the invention
comprises the kappa CL region having the amino acid sequence as sot
forth in SEQ ID NO: 6, but wherein the sequence has been modified
so that the terminal cysteine residue in position 106 has been
replaced with another amino acid residue or has been deleted.
[0113] In another embodiment, the monovalent antibody of the
invention comprises the lambda CL region having the amino acid
sequence as set forth in SEQ ID NO: 5, but wherein the sequence has
been modified so that the cysteine residue in position 104 has been
replaced with another amino acid residue or has been deleted.
[0114] In a further embodiment, the monovalent antibody of the
invention comprises the CH1 region as set forth in SEQ ID NO: 7,
but wherein the CH1 region has been modified so that Ser (S) in
position 14 has been replaced by a cysteine residue.
[0115] In a different embodiment, the monovalent antibody of the
invention comprises the CH3 region as set forth in SEQ ID NO: 8,
but wherein the CH3 region has been modified so that one or more of
the of the following amino acid substitutions have been made: Arg
(R) in position 234 has been replaced by Gln (Q); Thr (T) in
position 245 has been replaced by Ala (A); Leo (L) in position 247
has been replaced by Ala (A); Leu (L) in position 247 has been
replaced by Val (V); Met (M) in position 276 has been replaced by
Val (V); Phe (F) in position 284 has been replaced by Ala (A); Phe
(F) in position 284 has been replaced by Leu (L); Tyr (Y) in
position 286 has been replaced by Ala (A); Lys (K) in position 288
has been replaced by Arg (R); Lys (K) in position 288 has been
replaced by Ala (A); Gln (Q) in position 298 has been replaced by
Glu (E); and Pro (P) in position 324 has been replaced by Leu
(L).
[0116] In a further embodiment hereof, one or more of the of the
following amino acid substitutions have been made: Arg (R) in
position 234 has been replaced by Gln (Q); Met (M) in position 276
has been replaced by Val (V); Lys (K) in position 288 has been
replaced by Arg (R); Gln (Q) in position 298 has been replaced by
Glu (E); and Pro (P) in position 324 has been replaced by Leu (L).
In an even further embodiment: [0117] (i) Arg (R) in position 234
has been replaced by Gln (Q); [0118] (ii) Arg (R) in position 234
has been replaced by Gln (Q); and Pro (P) in position 324 has been
replaced by Leu (L); or [0119] (iii) all five substitutions as
defined above have been made.
[0120] In another further embodiment hereof, the monovalent
antibody further comprises the CH1 and/or CH2 regions as set forth
in SEQ ID NO: 8, with the proviso that the CH2 region has been
modified so that it does not comprise any acceptor sites for
N-linked glycosylation.
[0121] In a further different embodiment, the monovalent antibody
of the invention comprises the CH3 region as set forth in SEQ ID
NO: 9, but wherein the CH3 region has been modified so that one or
more of the following amino acid substitutions have been made: Arg
(A) in position 285 has been replaced by Gln (Q); Thr (T) in
position 296 has been replaced by Ala (A); Leu (L) in position 298
has been replaced by Ala (A); Leu (L) in position 298 has been
replaced by Val (V); Ser (S) in position 314 has been replaced by
Asn (N); Asn (N) in position 322 has been replaced by Lys (K); Met
(M) in position 327 has been replaced by Val (V); Phe (F) in
position 335 has been replaced by Ala (A); Phe (F) in position 335
has been replaced by Leu (L); Tyr (Y) in position 337 has been
replaced by Ala (A); Lys (K) in position 339 has been replaced by
Arg (R); Lys (K) in position 339 has been replaced by Ala (A); Gln
(Q) in position 349 has been replaced by Glu (E); Ile (I) in
position 362 has been replaced by Val (V); Arg (R) in position 365
has been replaced by His (H); Phe (F) in position 366 has been
replaced by Tyr (Y); and Pro (P) in position 375 has been replaced
by Leu (L), with the proviso that the CH3 region has been modified
so that it does not comprise any acceptor sites for N-linked
glycosylation.
[0122] In a further embodiment hereof, one or more of the of the
following amino acid substitutions have been made: Arg (R) in
position 285 has been replaced by Gln (Q); Ser (S) in position 314
has been replaced by Asn (N); Asn (N) in position 322 has been
replaced by Lys (K); Met (M) in position 327 has been replaced by
Val (V); Lys (K) in position 339 has been replaced by Arg (R); Gln
(Q) in position 349 has been replaced by Glu (E).; IIe (I) in
position 352 has been replaced by Val (V); Arg (R) in position 365
has been replaced by His (H); Phe (F) in position 366 has been
replaced by Tyr (Y); and Pro (P) in position 375 has been replaced
by Leu (L). In an even further embodiment: [0123] (i) Arg (R) in
position 285 has been replaced by Gln (Q), [0124] (ii) Arg (R) in
position 285 has been replaced by Gln (Q); and Pro (P) in position
375 has been replaced by Leu (L), or [0125] (iii) all ten
substitutions as defined above have been made.
[0126] In another further embodiment hereof, the monovalent
antibody further comprises the CH1 and/or CH2 regions as set forth
in SEQ ID NO: 9, with the proviso that the CH2 region has been
modified so that it does not comprise any acceptor sites for
N-linked glycosylation.
[0127] In further embodiments, the monovalent antibody according to
the invention has been further modified e.g. in the CH2 and/or CH3
region, for example, to reduce the ability of the monovalent
antibody to dimerize or to improve the pharmacokinetic profile,
e.g. via improving the binding to FcRn.
[0128] Examples of such modifications include the following
substitutions (reference is here made to IgG4 residues given in SEQ
ID NO:4, but the same substitutions may be made in corresponding
residues in other isotypes, such as IgG1. These corresponding
residues may be found by simply alignment of the sequence): in the
CH3 region: T234A, L236A, L236V, F273A, F273L, Y275A, E225A, D267A,
L236E, L236G, F273D, F273T, Y275E, and in the CH2 region: T118Q,
M296L, M120Y, S122T, T124E, N302A, T175A, E248A, N302A. Two or more
of the above mentioned substitutions made combined to obtain the
combined effects.
[0129] Thus, in one embodiment, the monovalent antibody comprises
the CH3 region as set forth in SEQ ID NO: 4.
[0130] However, in another embodiment, the monovalent antibody
comprises the CH3 region as set forth in SEQ ID NO: 4, but: [0131]
Glu (E) in position 225 has been replaced by Ala (A), and/or [0132]
Thr (T) in position 234 has been replaced by Ala (A), and/or [0133]
Leu (L) in position 236 has been replaced by Ala (A), Val (V), Gln
(E) or Gly (G), and/or [0134] Asp (D) in position 267 has been
replaced by Ala (A), and/or [0135] Phe (F) in position 273 has been
replaced by Ala (A) or Leu (L). [0136] Tyr (Y) in position 275 has
been replaced by Ala (A).
[0137] In another embodiment, the monovalent antibody comprises the
CH3 region as set forth in SEQ ID NO: 4, but: [0138] Glu (E) in
position 225 has been replaced by Ala (A), and/or [0139] Thr (T) in
position 234 has been replaced by Ala (A), and/or [0140] Leu (L) in
position 236 has been replaced by Ala (A), Val (V), Glu (E) or Gly
(G), and/or [0141] Asp (D) in position 267 has been replaced by Ala
(A), and/or [0142] Phe (F) in position 273 has been replaced by Asp
(D) and Tyr (Y) in position 275 has been replaced by Glu (E).
[0143] In another embodiment, the monovalent antibody comprises the
CH3 region as set forth in SEQ ID NO: 4, but: [0144] Glu (E) in
position 225 has been replaced by Ala (A), and/or [0145] Thr (T) in
position 234 has been replaced by Ala (A), and/or [0146] Leu (L) in
position 236 has been replaced by Ala (A), Val (V), Glu (E) or Gly
(G), and/or [0147] Asp (D) in position 267 has been replaced by Ala
(A), and/or [0148] Phe (F) in position 273 has been replaced by Thr
(T) and Tyr (Y) in position 275 has been replaced by Glu (E).
[0149] In one embodiment, the monovalent antibody comprises the CH2
region as set forth in SEQ ID NO: 4, but wherein Thr (T) in
position 118 has been replaced by Gln (Q) and/or Met (M) in
position 296 has been replaced by Leu (L).
[0150] In another embodiment, the monovalent antibody comprises the
CH2 region as set forth in SEQ ID NO: 4, but wherein one, two or
all three of the following substitutions have been made: Met (M) in
position 120 has been replaced by Tyr (Y); Ser (S) in position 122
has been replaced by Thr (T); and Thr (T) in position 124 has been
replaced by Glu (E).
[0151] In another embodiment, the monovalent antibody comprises the
CH2 region as set forth in SEQ ID NO: 4, but wherein Asn (N) in
position 302 has been replaced by Ala (A).
[0152] In a yet other embodiment, the monovalent antibody comprises
the CH2 region as set forth in SEQ ID NO: 4, but wherein Asn (N) in
position 302 has been replaced by Ala (A) and Thr (T) in position
175 has been replaced by Ala (A) and Glu (E) in position 248 has
been replaced by Ala (A).
[0153] In an even further different embodiment, the antibody of the
invention comprises the CH3 region as set forth in SEQ ID NO: 4,
and wherein the CH3 region has been modified so that one or more of
the following amino acid substitutions have been made: Thr (T) in
position 234 has been replaced by Ala (A); Leu (L) in position 236
has been replaced by Ala (A); Len (L) in position 236 has been
replaced by Val (V); Phe (F) in position 273 has been replaced by
Ala (A); Phe (F) in position 273 has been replaced by Leu (L); Tyr
(Y) in position 275 has been replaced by Ala (A); Arg (R) in
position 277 has been replaced by Ala (A).
[0154] Preferred substitutions include; replacement of Leu (L.) in
position 236 by Val (V), replacement of Phe (F) in position 273 by
Ala (A) and replacement of of Tyr (Y) in position 275 by Ala
(A).
[0155] In one embodiment of the invention, the monovalent antibody
does not bind to the synthetic antigen (Tyr, Glu)-Ala-Lys.
[0156] The hinge region is a region of an antibody situated between
the CH1 and CH2 regions of the constant domain of the heavy chain.
The extent of the hinge region is determined by the separate exon,
which encodes the hinge region. The hinge region is normally
involved in participating in ensuring the correct assembly of the
four peptide chains of an antibody into the traditional tetrameric
form via the formation of disulphide bonds, or bridges, between one
or more cysteine residues in the hinge region of one of the heavy
chains and one or more cysteine residues in the hinge region of the
other heavy chain. A modification of the hinge region so that none
of the amino acid residues in the hinge region are capable of
participating in the formation of disulphide bonds may thus for
instance comprise the deletion and/or substitution of the cysteine
residues present in the unmodified hinge region. A region
corresponding to the hinge region should for the purpose of this
specification be construed to mean the region between region CH1
and CH2 of a heavy chain of an antibody. In the context of the
present invention, such a region may also comprise no amino acid
residues at all, corresponding to a deletion of the hinge region,
resulting in the CH1 and CH2 regions being connected to each other
without any intervening amino acid residues. Such a region may also
comprise only one or a few amino acid residues, which residues need
not be the amino acid residues present in the N-or C-terminal of
the original hinge region.
[0157] Accordingly, in one embodiment of the antibody of the
invention, the CH region has been modified such that the region
corresponding to the hinge region of the CH region does not
comprise any cysteine residues. In another embodiment, the CH
region has been modified such that at least all cysteine residues
have been deleted and/or substituted with other amino acid
residues. In a further embodiment, the CH region has been modified
such that the cysteine residues of the hinge region have been
substituted with amino acid residues that have an uncharged polar
side chain or a nonpolar side chain. Preferably, the amino acids
with uncharged polar side chains are independently selected from
asparagine, glutamine, serine, threonine, tyrosine, and tryptophan,
and the amino acid with the nonpolar side chain are independently
selected from alanine, valine, leucine, isoleucine, proline,
phenylalanine, and methionine.
[0158] In an even further embodiment, the monovalent antibody is a
human IgG4, wherein the amino acids corresponding to amino acids
106 and 109 of the CH sequence of SEQ ID No: 2 have been
deleted.
[0159] In a yet further embodiment, the monovalent antibody is a
human IgG4, wherein one of the amino acid residues corresponding to
amino acid residues 106 and 109 of the sequence of SEQ ID No: 2 has
been substituted with an amino acid residue different from
cysteine, and the other of the amino acid residues corresponding to
amino acid residues 106 and 109 of the sequence of SEQ ID No: 2 has
been deleted.
[0160] In a yet further embodiment, the amino acid residue
corresponding to amino acid residue 106 has been substituted with
an amino acid residue different from cysteine, and the amino acid
residue corresponding to amino acid residue 109 has been
deleted.
[0161] In a yet further embodiment, the amino acid residue
corresponding to amino acid residue 106 has been deleted, and the
amino acid residue corresponding to amino acid residue 109 has been
substituted with an amino acid residue different from cysteine.
[0162] In a yet further embodiment, the monovalent antibody is a
human IgG4, wherein at least the amino acid residues corresponding
to amino acid residues 106 to 109 of the CH sequence of SEQ ID No:
2 have been deleted.
[0163] In a yet further embodiment, the monovalent antibody is a
human IgG4, wherein at least the amino acid residues corresponding
to amino acid residues 99 to 110 of the sequence of SEQ ID No: 2
have been deleted.
[0164] In a yet further embodiment, the CH region comprises the
amino acid sequence of SEQ ID No: 4.
[0165] In a yet even further embodiment, the monovalent antibody is
a human IgG4, wherein the CH region has been modified such that the
entire hinge region has been deleted.
[0166] In a further embodiment, the sequence of the antibody has
been modified so that it does not comprise any acceptor sites for
N-linked glycosylation. In a further embodiment hereof, the NST
acceptor site for N-linked glycosylation in the CH2 region has been
modified to a sequence selected from the group consisting of: GST,
MST, CSE, DSE, DSP, ESP, GSP, NSE, NSE, PSP and SSE.
[0167] In one embodiment, the monovalent antibody of the invention
is monovalent in the presence of physiological concentrations of
polyclonal human IgG.
[0168] The antibodies of the present invention has the advantage of
having a long half-life in vivo, leading to a longer therapeutic
window, as compared to e.g. a FAB fragment of the same antibody
which has a considerably shorter half-life in vivo.
[0169] Further, due to the long half-life and small size, the
monovalent antibodies of the invention will have a potential having
a better distribution in vivo, in example by being able to
penetrate solid tumors. This leads to a great use potential of the
monovalent antibodies of the invention, e.g. for treatment of
cancer, since the antibodies of the invention could be used either
to inhibit a target molecule, or as a target specific delivery
mechanism for other drugs that would treat the disease.
[0170] Accordingly, in one embodiment, the monovalent antibody of
the invention has a plasma concentration above 10 .mu.g/ml for more
than 7 days when administered in vivo at a dose of 4 mg per kg, as
measured in an phermacokinetic study in SCID mice (for instance as
shown in the WO2007059782). The clearance rate of a monovalent
antibody of the invention may be measured by use of pharmacokinetic
methods as it is known in the art. The antibody may for instance be
injected intravenously (other routes such as i.p. or i,m, may also
be used) in a human or animal after which blood samples are drawn
by venipuncture at several time points, for instance 1 hour, 4
hours, 24 hours, 3 days, 7 days, 14 days, 21 days and 28 days after
initial injection). The concentration of antibody in the serum is
determined by an appropriate assay such as ELISA. Pharmacokinetic
analysis can performed as known in the art and described in
WO2007059782. Monovalent antibodies of the invention may have a
plasma residence time, which is as much as 100 times longer than
the plasma residence time of for instance Fab fragments which are
frequently used as monovalent antibodies.
[0171] In one embodiment, a monovalent antibody of the invention
has a plasma clearance, which is more than 10 times slower than the
plasma clearance of a F(ab').sub.2 fragment, which has a comparable
molecular size. This may be an indication of the capability of the
antibodies of the invention to bind to FcRn. FcRn is a major
histocompatibility complex class l-related receptor and plays a
role in the passive delivery of immunoglobulin (1g)Gs from mother
to young and in the regulation of serum IgG levels by protecting
IgG from intracellular degradation (Ghetie V et al., Annu Rev
immunol. 18, 739-66 (2000)). In one embodiment, the F(ab').sub.2
fragment is directed at the same antigen as the monovalent antibody
of the invention. In one embodiment, the F(ab').sub.2 fragment is
directed at the same epitope as the monovalent antibody of the
invention, in one embodiment, the VH region and the VL region of
the F(ab').sub.2 fragment are identical to the VH region and the VL
region of the monovalent antibody of the invention.
[0172] In one embodiment, a monovalent antibody of the invention
has a halt-life of at least 5 days when administered in vivo. The
half-life of a monovalent antibody of the invention may be measured
by any method known in the art, for instance as described
above.
[0173] In one embodiment, a monovalent antibody of the invention
has a half-life of at least 5 days and up to 14 days, when
administered in vivo.
[0174] In one embodiment, the monovalent antibody of the invention
has a half-life of at least 5 days and up to 21 days, when
administered in vivo.
[0175] In an even further embodiment, the monovalent antibody has a
serum half-life of at least 5 days, such as of at least 14 days,
for example of from 5 and up to 21 days when administered in vivo
to a human being or a SCID mouse.
[0176] In one embodiment, the monovalent antibody of the invention
binds to a tumor antigen with a dissociation constant (k.sub.d) of
10.sup.-7 M or less, such as 10.sup.-8 M or less.
[0177] In another embodiment, the monovalent antibody of the
invention binds to a cell surface receptor with a dissociation
constant (k.sub.d) of 10.sup.-7 M or less, such as 10.sup.-8 M or
less, which cell surface receptor is activated upon receptor
dirnerization.
[0178] In a further embodiment, the monovalent antibody binds to a
target with a dissociation constant (k.sub.d) of 10.sup.-7 M or
less, such as 10.sup.-8 M or less, which target is selected from:
erythropoietin, beta-amyloid, thrombopoletin, interferon-alpha (2a
and 2b), -beta (1b), -gamma, TNFR I (CD120a), TNFR II (CD120b),
IL-1R type 1 (CD121a), IL-1R type 2 (CD121b), IL-2, IL.2R (CD25),
1L-2R-beta (CD123), IL-3, IL-4, IL-3R (CD123), IL-4R (CD124),
IL-5SR (CD125), IL-6R-alpha (CD126), -beta (C D130), IL-10, IL-11,
1IL-15BP, IL-15R, IL-20, 1IL-21, TCR variable chain, RANK, RANK-L,
CTLA4, CXCR4R, CCR5R, TGF-beta1, -beta2, beta3, G-CSF, GM CSF,
MIF-R (CD74), M-CSF-R (CD115), GM-CSFB (CD116), soluble FcRI,
sFcRII, sFcRIII, FcRn, Factor VII, Factor VIII, Factor IX, VEGF,
VEGFxxxb, anti-psychotic drugs, anti-depressant drugs,
anti-Parkinson drugs, anti-seizure agents, neuromuscular blocking
drugs, anti-epileptic drugs, adrenocorticosteroids, insulin,
proteins or enzymes involved in regulation of insulin, incretins
(GIP and GLP-1) or drugs mimicking incretin action such as
Exenaticie and sitagliptin, thyroid hormones, growth hormone, ACTH,
oestrogen, testosterone, anti-diuretic hormone, diuretics, blood
products such as heparin and FPO, beta-blocking agents, cytotoxic
agents, anti-viral drugs, anti-bacterial agents, anti-fungal
agents, anti-parasitic drugs, anti-coagulation drugs,
anti-inflammatory drugs, anti-asthma drugs, anti-COPD drugs,
Viagra, opiates, morphine, vitamins (such as vitamin C for
conservation), hormones involved in pregnancy such as LH and FSH,
hormones involved in sex changes, anti-conceptives and
antibodies.
[0179] In one embodiment, a monovalent antibody of the invention
specifically binds a cell surface receptor that is activated upon
receptor dimerization. Monovalent antibodies, such as the
monovalent antibodies of the invention, may often be useful in the
treatment of diseases or disorders, where receptor activation is
undesirable, since the antibody molecules of the inventions due to
their monovalent nature are unable to induce such dimerization and
thereby such activation. Without being limited to specific
receptors, examples of such receptors could be erb-B1, erb-B2,
erb-B3, erb-B4 and members of the ephrins and ephrin receptors such
as ephrin-A1 through A6, ephA1 through A8, ephrin B1 through B3 and
eph-B1 through eph-B6.
[0180] In one embodiment, a monovalent antibody of the invention,
when bound to a target molecule, inhibits target molecule
multimerization (such as dimerization). Again, monovalent
antibodies, such as the monovalent antibodies of the invention, may
often be useful in the treatment of diseases or disorders, where
multimerization of the target antigen is undesirable, since the
antibody molecules of the inventions due to their monovalent nature
are unable to induce such multimerization. In the case of soluble
antigens, multimerization may form undesirable immune complexes.
Without being limited to specific targets, examples of such targets
could be Toll-like receptors such as TLR-3 and TLR-9, or
angiopoietin-1, or angiopoietin-2, or TNF receptor family members
such as CD30, CD40 and CD95.
[0181] In one embodiment, a monovalent antibody of the invention is
an inhibitor of TNF-alpha. In one embodiment of the invention; the
monovalent antibody of the invention is a monovalent form of
adalimumab, etanercept, or infliximab.
[0182] In a further embodiment, the monovalent antibody binds to a
target with a dissociation constant (k.sub.d) of 10.sup.-7 M or
less, such as 10.sup.-8 M. or less, which target is selected from
VEGF, c-Met, CD20, CD38, IL 8, CD25, CD74, FcalphaRI, FcepsilonRI,
acetyl choline receptor, fas, fasL, TRAIL, hepatitis virus,
hepatitis C virus, envelope E2 of hepatitis C virus, tissue factor,
a complex of tissue factor and Factor VII, EGFr, CD4, and GD28.
[0183] In one embodiment, an anti-VEGF monovalent antibody is used
for treatment of AMD (acute macular degeneration), and other
diseases.
[0184] In one embodiment, the anti-VEGF monovalent antibody used is
a monovalent form of bevacizumab (Avastin).
[0185] In an even further embodiment, the monovalent antibody is a
human IgG4 antibody and which binds to c-Met with a dissociation
constant (k.sub.d) of 10.sup.-7 M or less, such as 10.sup.-8 M or
less.'
[0186] In one embodiment, a monovalent antibody of the invention is
incapable of effector binding. The expression "incapable of
effector binding" or "inability of effector binding" in the present
context means that a monovalent antibody of the invention is
incapable of binding to the C1q component of the first component of
complement (C1) and therefore is unable of activating the classical
pathway of complement mediated cytotoxicity. In addition, the
monovalent antibodies of the invention are unable to interact with
Fc receptors and may therefore be unable to trigger Fc
receptor-mediated effector functions such as phagocytosis, cell
activation, induction of cytokine release.
[0187] In one embodiment, a monovalent antibody of the invention is
produced by use of recombinant DNA technologies. Antibodies may be
produced using recombinant eukaryotic host cells, such as Chinese
hamster ovary (CHO) cells, NS/0 cells, HEK293 cells, insect cells,
plant cells, or fungi, including yeast cells. Both stable as well
as transient systems may be used for this purpose. Transfection may
be done using plasmid expression vectors by a number of established
methods, such as electroporation, lipofection or nueleofection.
Alternatively, infection may be used to express proteins encoded by
recombinant viruses such as adeno, vaccinia or baculoviruses.
Another method may be to use transgenic animals for production of
antibodies.
[0188] Thus, in a further main aspect, the invention relates to a
nucleic acid construct encoding the monovalent antibody of the
invention as described herein. In one embodiment, said nucleic acid
construct is an expression vector.
[0189] Furthermore, the invention relates to a method of preparing
a monovalent antibody according to the invention comprising
culturing a host cell comprising a nucleic acid construct according
to invention, so that the monovalent antibody is produced, and
recovering the said monovalent antibody from the cell culture.
[0190] A DNA sequence encoding the antibody may be prepared
synthetically by established standard methods. The DNA sequence may
then be inserted into a recombinant expression vector, which may be
any vector, which may conveniently be subjected to recombinant DNA
procedures. The choice of vector will often depend on the host cell
into which it is to be introduced. Thus, the vector may be an
autonomously replicating vector, i.e. a vector that exists as an
extrachromosomal entity, the replication of which is independent of
chromosomal replication, for instance a plasmid. Alternatively, the
vector may be one which, when introduced into a host cell, is
integrated into the host cell genome and replicated together with
the chromosome(s) into which it has been integrated. In the vector,
a DNA sequence encoding the antibody should be operably connected
to a suitable promoter sequence. The coding DNA sequence may also
be operably connected to a suitable terminator and the vector may
further comprise elements such as polyadenylation signals (for
instance from SV40 or the adenovirus 5 Elb region), transcriptional
enhancer sequences (for instance the SV40 enhancer) and
translational enhancer sequences (for instance the ones encoding
adenovirus VA RNAs). Other such signals and enhancers are known in
the art.
[0191] To obtain recombinant monovalent antibodies of the
invention, the DNA sequences encoding different parts of the
polypeptide chain(s) of the antibody may be individually expressed
in a host cell, or may be fused, giving a DNA construct encoding
the fusion polypeptide, such as a polypeptide comprising both light
and heavy chains, inserted into a recombinant expression vector,
and expressed in host cells.
[0192] Thus, in a further aspect, the invention relates to a host
cell comprising a nucleic acid according to the invention.
[0193] The invention also relate to a non-human transgenic animal
comprising a nucleic acid construct according to the invention.
[0194] The host cell into which the expression vector may be
introduced, may be any cell which is capable of expression of
full-length proteins, and may for instance be a prokaryotic or
eukaryotic cell, such as yeast, insect or mammalian cells. Examples
of suitable mammalian cell lines are the HEK293 (ATCC CRL-1573),
COS (ATCC CRL-1650), BHK (ATCC CRL-1632, ATCC CCL-10), NS/0 (ECACC
85110503) or CHO (ATCC CCL-61) cell lines. Other suitable cell
lines are known in the art. In one embodiment, the expression
system is a mammalian expression system, such as a mammalian cell
expression system comprising various clonal variations of HEK293
cells.
[0195] Methods of transfecting mammalian cells and expressing DNA
sequences introduced in the cells are well known in the art. To
obtain a monovalent antibody of the invention, host cells of the
expression system may in one embodiment to be cotransfected with
two expression vectors simultaneously, wherein first of said two
expression vectors comprises a DNA sequence encoding the heavy
chain of the antibody, and second of said two expression vectors
comprises a DNA sequence encoding the light chain of the antibody.
The two sequences may also be present on the same expression
vector, or they may be fused giving a DNA construct encoding the
fusion polypeptide, such as a polypeptide comprising both light and
heavy chains.
[0196] The recombinantly produced monovalent antibody may then be
recovered from the culture medium by conventional procedures
including separating the host cells from the medium by
centrifugation or filtration, precipitating the proteinaceous
components of the supernatant or filtrate by means of a salt, for
instance ammonium sulphate, purification by a variety of
chromatographic procedures, for instance HPLC, ion exchange
chromatography, affinity chromatography, Protein A chromatography,
Protein G chromatography, or the like.
[0197] The present invention also relates to a method of preparing
a monovalent antibody of the invention, wherein said method
comprises the steps of: [0198] (a) culturing a host cell comprising
a nucleic acid encoding said monovalent antibody; and [0199] (b)
recovering the monovalent antibody from the host cell culture.
[0200] In one embodiment, said host cell is a prokaryotic host
cell. In one embodiment, the host cell is an E. coli cell. In one
embodiment, the E. coli cells are of a strain deficient in
endogenous protease activities.
[0201] In one embodiment, said host cell is a eukaryotic cell. In
one embodiment, the host cell is a HEK-293F cell. In another
embodiment, the host cell is a CHO cell.
[0202] In one embodiment, the monovalent antibody is recovered from
culture medium. In another embodiment, the monovalent antibody is
recovered from cell lysate:
[0203] In a further main aspect, the invention relates to a
pharmaceutical composition comprising the monovalent antibody
according to the invention. In one embodiment, the composition
further comprises one or more further therapeutic agents described
herein.
[0204] The pharmaceutical compositions may be formulated with
pharmaceutically acceptable carriers or diluents as well as any
other known adjuvants and excipients in accordance with
conventional techniques such as those disclosed in Remington: The
Science and Practice of Pharmacy, 19.sup.th Edition, Gennaro, Ed.,
Mack Publishing Co., Easton, Pa., 1995. As used herein,
"pharmaceutically acceptable carrier" includes any and all
solvents, dispersion media, coatings, antibacterial and antifungal
agents, isotonicity agents, antioxidants and absorption delaying
agents, and the like that are physiologically compatible.
[0205] The pharmaceutical composition may be administered by any
suitable route and mode. As will be appreciated by the skilled
artisan, the route and/or mode of administration will vary
depending upon the desired results.
[0206] In one embodiment, the pharmaceutical composition is
suitable for parenteral administration. The phrase "parenteral
administration" means modes of administration other than enteral
and topical administration, usually by injection, and includes,
without limitation, intravenous, intramuscular, intraarterial,
intrathecal, intracapsular, intraorbital, intracardiac,
intradermal, intraperitoneal, transtracheal, subcutaneous,
subcuticular, intraarticular, subcapsular, subarachnoid,
intraspinal, epidural and intrasternal injection and infusion. In
one embodiment the pharmaceutical composition is administered by
intravenous or subcutaneous injection or infusion.
[0207] Regardless of the route of administration selected, the
monovalent antibodies of the present invention, which may be' used
in the form of a pharmaceutically acceptable salt or in a suitable
hydrated form, and/or the pharmaceutical compositions of the
present invention, are formulated into pharmaceutically acceptable
dosage forms by conventional methods known to those of skill in the
art.
[0208] Dosage regimens are adjusted to provide the optimum desired
response (for instance a therapeutic response). For example, a
single bolus may be administered, several divided doses may be
administered over time or the dose may be proportionally reduced or
increased as indicated by the exigencies of the therapeutic
situation. It is especially advantageous to formulate parenteral
compositions in dosage unit form for ease of administration and
uniformity of dosage. Dosage unit form as used herein refers to
physically discrete units suited as unitary dosages for the
subjects to be treated; each unit contains a predetermined quantity
of monovalent antibody calculated to produce the desired
therapeutic effect in association with the required pharmaceutical
carrier. The specification for the dosage unit forms of the
invention are dictated by and directly dependent on (a) the unique
characteristics of the monovalent antibody and the particular
therapeutic effect to be achieved, and (b) the limitations inherent
in the art of compounding such a monovalent antibody for the
treatment of sensitivity in individuals.
[0209] Actual dosage levels of the monovalent antibodies in the
pharmaceutical compositions of the present invention may be varied
so as to obtain an amount of the active ingredient which is
effective to achieve the desired therapeutic response for a
particular patient, composition, and mode of administration. The
selected dosage level will depend upon a variety of pharmacokinetic
factors including the activity of the particular monovalent
antibodies of the present invention employed, the route of
administration, the time of administration, the rate of excretion
of the particular monovalent antibody being employed, the duration
of the treatment, other drugs, compounds and/or materials used in
combination with the particular compositions employed, the age,
sex, weight, condition, general health and prior medical history of
the patient being treated, and like factors well known in the
medical arts.
[0210] A physician or veterinarian having ordinary skill in the art
can readily determine and prescribe the effective amount of the
pharmaceutical composition required. For example, the physician or
veterinarian could start doses of the compounds of the invention
employed in the pharmaceutical composition at levels lower than
that required in order to achieve the desired therapeutic effect
and gradually increase the dosage until the desired effect is
achieved. In general, a suitable dose of a pharmaceutical
composition of the invention will be that amount of the monovalent
antibody which is the lowest dose effective to produce a
therapeutic effect. Such an effective dose will generally depend
upon the factors described above. As another example, the physician
or veterinarian may start with a high loading dose followed by
repeated administration of lower doses to rapidly build up a
therapeutically effective dose and maintain it over longer periods
of time.
[0211] A pharmaceutical composition of the invention may contain
one or a combination of different monovalent antibodies of the
invention. Thus, in a further embodiment, the pharmaceutical
compositions include a combination of multiple (for instance two or
more) monovalent antibodies of the invention which act by different
mechanisms. The monovalent antibodies may also be thus combined
with divalent antibodies.
[0212] The monovalent antibody of the present invention have
numerous in vitro and in vivo diagnostic and therapeutic utilities
involving the diagnosis and treatment of disorders involving cells
expressing the antigen which the antibody can recognize and bind
to. In certain pathological conditions, it is necessary and/or
desirable to utilize monovalent antibodies. Also, in some
instances, it is preferred that a therapeutic antibody effects its
therapeutic action without involving immune system-mediated
activities, such as the effector functions, ADCC, phagocytosis and
CDC. In such situations, it is desirable to generate forms of
antibodies in which such activities are substantially reduced or
eliminated. It is also advantageous if the antibody is of a form
that can be made efficiently and with high yield. The present
invention provides such antibodies, which may be used for a variety
of purposes, for example as therapeutics, prophylactics and
diagnostics.
[0213] In one embodiment, a monovalent antibody of the invention is
directed to CD74 and inhibits MlF-induced signaling, but lacks
Fc-mediated effector functions.
[0214] In one embodiment, a monovalent antibody of the invention
may prevent binding of a virus or other pathogen to its receptor,
such as inhibition of HIV binding to CD4 or coreceptor such as CCR5
or CXCR4.
[0215] The scientific literature is abundant with examples of
targets, where the binding of antibodies against said target, or
specific epitopes of said target, is shown to have, or is expected
to have, a therapeutic effect. Given the teaching of this
specification and as described elsewhere herein, it is within the
skill of a person skilled in the art to determine, whether the use
of a monovalent antibody, such as a monovalent antibody of the
present invention, against such targets would be expected to
produce the therapeutic effect.
[0216] Accordingly, in a further aspect, the invention relates to
the monovalent antibody according to the invention as described
herein for use as a medicament.
[0217] In another aspect, the invention relates to the monovalent
antibody according to the invention for use in the treatment of
cancer.
[0218] In another aspect, the invention relates to the monovalent
antibody according to the invention for use in the treatment of an
inflammatory condition.
[0219] In another aspect, the invention relates to the monovalent
antibody according to the invention for use in the treatment of an
auto(immune) disorder.
[0220] In another aspect, the invention relates to the monovalent
antibody according to the invention for use in the treatment of a
disorder involving undesired angiogenesis.
[0221] In a further aspect, the invention relates to the monovalent
antibody according to the invention for use in the treatment of a
disease or disorder, which disease or disorder is treatable by
administration of an antibody against a certain target, wherein the
involvement of immune system-mediated activities is not necessary
or is undesirable for achieving the effects of the administration
of the antibody, and wherein said antibody specifically binds said
antigen.
[0222] In a further aspect, the invention relates to the monovalent
antibody according to the invention for use in the treatment of a
disease or disorder, which disease or disorder is treatable by
blocking or inhibiting a soluble antigen, wherein multimerization
of said antigen may form undesirable immune complexes, and wherein
said antibody specifically binds said antigen.
[0223] In a further aspect, the invention relates to the monovalent
antibody according to the invention for use in the treatment of a
disease or disorder, which disease or disorder is treatable by
blocking or inhibiting a cell membrane bound receptor, wherein said
receptor may be activated by dimerization of said receptor, and
wherein said antibody specifically binds said receptor.
[0224] In one embodiment of any of the above treatments, the
treatment comprises administering one or more further therapeutic
agents.
[0225] Similarly, the invention relates to the use of the
monovalent antibody according to the invention as described herein
as a medicament.
[0226] The invention also relates to a method of treating a disease
or disorder as defined herein, wherein said method comprises
administering to a subject in need of such treatment a
therapeutically effective amount of a monovalent antibody according
the invention, a pharmaceutical composition according to the
invention or a nucleic acid construct according to the invention.
In one embodiment, the treatment comprises administering one or
more further therapeutic agents.
[0227] Furthermore, the invention relates to the use of the
monovalent antibody according to the invention in the preparation
of a medicament for the treatment of a disease or disorder as
defined herein.
[0228] In one embodiment of the invention, the disease or disorder
to be treated is treatable by interference with cell activation
through Fc.alpha.RI, by interference with Fc.alpha.RI function, by
inhibition of subsequent Fc.alpha.RI activated IgE mediated
responses, or by binding of soluble Fc.alpha.RI. In one embodiment
of the invention, the monovalent antibody is directed against
Fc.alpha.RI and induces apoptosis of Fc.alpha.RI expressing cells.
In one embodiment, such disease or disorder may for instance be
allergic asthma or other allergic diseases such as allergic
rhinitis, seasonal/perennial allergies, hay fever, nasal allergies,
atopic dermatitis, eczema, hives, urticaria, contact allergies,
allergic conjunctivitis, ocular allergies, food and drug allergies,
latex allergies, or insect allergies, or IgA nephropathy, such as
IgA pemphigus. In one such embodiment, the monovalent antibody of
the invention is directed at Fc.alpha.RI. Such monovalent
antibodies may also be used for in vitro or in vivo screening for
Fc.alpha.RI in sample or patient or in an immunotoxin or radiolabel
approach to treating these diseases and disorders.
[0229] In one embodiment of the invention, the disease or disorder
to be treated is treatable by downregulating Fc receptor
.gamma.-chain mediated signaling through Fc.epsilon.R1 or Fcy
receptors. Monomeric binding of antibody to Fc.alpha.RI is known to
effect such inhibition. Monovalent antibodies may thus be used to
inhibit immune activation through a range of Fc receptors including
Fc.gamma., Fc.alpha. and Fc.epsilon. receptors. Thus, in one
embodiment, the monovalent antibody of the invention may bind an
Fc.alpha., Fc.alpha., or Fc.gamma. receptor, such as CD32b.
[0230] In one such embodiment, the monovalent antibody of the
invention is directed at CD25. Such monovalent antibodies may also
be used for in vitro or in vivo screening for CD25 in sample or
patient or in an immunotoxin or radiolabel approach to treating
these diseases and disorders.
[0231] In one embodiment of the invention, the disease or disorder
to be treated is treatable by antagonizing and/or inhibiting IL-15
or IL15 receptor functions. In one embodiment, such disease or
disorder may for instance be arthritides, gout, connective,
neurological, gastrointestinal, hepatic, allergic, hematologic,
skin, pulmonary, malignant, endocrinological, vascular, infectious,
kidney, cardiac, circulatory, metabolic, bone, and muscle
disorders. In one such embodiment, the monovalent antibody of the
invention is directed at IL-15. Such monovalent antibodies may also
be used for in vitro or in vivo screening for IL-15 in a sample or
patient or in an immunotoxin or radiolabel approach to treating
these diseases and disorders.
[0232] In one embodiment of the invention, the disease or disorder
to be treated is treatable by interfering with CD20 activity, by
depleting B cells, interfering with B cell growth and/or
proliferation through for instance an immunotoxin or radiolabel
approach. In one embodiment, such disease or disorder may for
instance be rheumatoid arthritis, (auto)immune and inflammatory
disorders (as described above for IL-8 related diseases and
disorders), non-Hodgkin's lymphoma, B-CLL, lymphoid neoplasms,
malignancies and hematological disorders, infectious diseases and
connective, neurological, gastrointestinal, hepatic, allergic,
hematologic, skin, pulmonary, malignant, endocrinological,
vascular, infectious, kidney, cardiac, circulatory, metabolic, bone
and muscle disorders, and immune mediated cytopenia.
[0233] In one such embodiment, the monovalent antibody of the
invention is directed at CD20. Such monovalent antibodies may also
be used for in vitro or in vivo screening for CD20 in a sample or
patient.
[0234] In one embodiment of the invention, the disease or disorder
to be treated is treatable by interfering with CD38 activity, by
depleting CD38 expressing cells, interfering with C03.sup.+cell
growth and/or proliferation through for instance an immunotoxin or
radiolabel approach.
[0235] In one embodiment of the invention, the disease or disorder
to be treated is treatable by blocking ligand-EGFr interaction,
blocking EGFr function, depletion of EGFr expressing
cells/interference with EGFr+ cell growth and/or proliferation
through for instance an immunotoxin or radiolabel approach.
[0236] In one such embodiment, the monovalent antibody of the
invention is directed at EGFr. Such monovalent antibodies may also
be used for in vitro or in vivo screening for EGFr in a sample or
patient.
[0237] In one embodiment of the invention, the disease or disorder
to be treated is treatable by interfering with CD4 function,
depletion of CD4 expressing cells/interference with CD4+ cell
growth and/or proliferation through for instance an immunotoxin or
radiolabel approach. In one embodiment, such disease or disorder
may for instance be rheumatoid arthritis, (auto)immune and
inflammatory disorders (as described above for IL-5 related
diseases and disorders), cutaneous T cell lymphomas, non-cutaneous
T cell lymphomas, lymphoid neoplasms, malignancies and
hematological disorders, infectious diseases, and connective,
neurological, gastrointestinal, hepatic, allergic, hematologic,
skin, pulmonary, malignant, endocrinological, vascular, infectious,
kidney, cardiac, circulatory, metabolic, bone, and muscle
disorders, and immune mediated cytopenia.
[0238] In one such embodiment, the monovalent antibody of the
invention is directed at CD4. Such monovalent antibodies may also
be used for in vitro or in vivo screening for CD4 in a sample or
patient.
[0239] In one embodiment of the invention, a monovalent antibody
directed at CD4 is used for treatment of HIV infection, or for the
treatment of AIDS.
[0240] In one embodiment of the invention, the monovalent
antibodies of the invention are monovalent antibodies of the CD4
antibodies disclosed in WO97/13852.
[0241] In one embodiment of the invention, the disease or disorder
to be treated is treatable by antagonizing and/or inhibiting CD28
functions, such as preventing of co-stimulatory signals needed in T
cell activation. In one embodiment, such disease or disorder may
for instance be an inflammatory, autoimmune and immune disorder as
indicated above. In one such embodiment, the monovalent antibody of
the invention is directed at CD28.
[0242] In one embodiment of the invention, the disease or disorder
to be treated is treatable by altering Tissue Factor functions,
such as altering coagulation or inhibition of tissue factor
signalling. In one embodiment, such disease or disorder may for
instance be vascular diseases, such as myocardial vascular disease,
cerebral vascular disease, retinopathia and macular degeneration,
and inflammatory disorders as indicated above.
[0243] In one embodiment of the invention, the monovalent
antibodies are directed at Tissue factor, or at a complex of Factor
VII and Tissue Factor.
[0244] In one embodiment of the invention, the disease or disorder
to be treated is treatable by interfering with Hepatitis C Virus
(HCV) infection. In one such embodiment, the monovalent antibody of
the invention is directed at HCV or an HCV receptor such as
CD81.
[0245] In one embodiment of the invention, the monovalent antibody
is a monovalent antibody according to the invention of an antibody
as disclosed in WO2000/05266.
[0246] In one embodiment of the invention, the disease or disorder
to be treated is treatable by prevention of binding of allergen to
IgE-sensitized on mast cell. In one embodiment, such disease or
disorder may for instance be allergen-immunotherapy of allergic
diseases such as asthma, allergic rhinitis, seasonal/perennial
allergies, hay fever, nasal allergies, atopic dermatitis, eczema,
hives, urticaria, contact allergies, allergic conjunctivitis,
ocular allergies, food and drug allergies, latex allergies, and
insect allergies.
[0247] In one such embodiment, the monovalent antibody(s) of the
invention are IgG4 hingeless antibodies directed towards
allergen(s).
[0248] In certain embodiments, an immunoconjugate comprising a
monovalent antibody conjugated with a cytotoxic agent is
administered to the patient. In some embodiments, the
immunoconjugate and/or antigen to which it is bound is/are
internalized by the cell, resulting in increased therapeutic
efficacy cf the immunoconjugate in killing the target cell to which
it binds. In one embodiment, the cytotoxic agent targets or
interferes with nucleic acid in the target cell.
[0249] Examples of such cytotoxic agents include any of the
chemotherapeutic agents noted herein (such as a maytansinoid or a
calicheamicin), a radioactive isotope, or a ribonuclease or a DNA
endonuclease.
[0250] Monovalent antibodies of the invention may be used either
alone or in combination with other compositions in a therapy. For
instance, a monovalent antibody of the invention may be
co-administered with one or more other antibodies, such as
monovalent antibodies of the present invention, one or more
chemotherapeutic agent(s) (including cocktails of chemotherapeutic
agents), one or more other cytotoxic agent(s), one or more
anti-angiogenic agent(s), one or more cytokines, one or more growth
inhibitory agent(s), one or more anti-inflammatory agent(s), one or
more disease modifying antirheumatic drug(s) (DMARD), or one or
more immunosuppressive agent(s), depending on the disease or
condition to be treated. Where a monovalent antibody of the
invention inhibits tumor growth, it may be particularly desirable
to combine it with one or more other therapeutic agent(s) which
also inhibits tumor growth. For instance, anti-VEGF antibodies
blocking VEGF activities may be combined with anti-ErbB antibodies
(for instance Trastuzumab (Herceptin), an anti-HER2 antibody) in a
treatment of metastatic breast cancer. Alternatively, or
additionally, the patient may receive combined radiation therapy
(for instance external beam irradiation or therapy with a
radioactive labeled agent, such as an antibody). Such combined
therapies noted above include combined administration (where the
two or more agents are included in the same or separate
formulations), and separate administration, in which case,
administration of the antibody of the invention may occur prior to,
and/or following, administration of the adjunct therapy or
therapies.
[0251] In one embodiment, the monovalent antibody of the invention
is a monovalent form of trastuzumab, for treatment of Her2 positive
cancer.
[0252] For the prevention or treatment of disease, the appropriate
dosage of a monovalent antibody of the invention (when used alone
or in combination with other agents such as chemotherapeutic
agents) will depend on the type of disease to be treated, the type
of antibody, the severity and course of the disease, whether the
monovalent antibody is administered for preventive, therapeutic or
diagnostic purposes, previous therapy, the patient's clinical
history and response to the antibody, and the discretion of the
attending physician. The monovalent antibody may be suitably
administered to the patient at one time or over a series of
treatments.
[0253] Such dosages may be administered intermittently, for
instance every week or every three weeks (for instance such that
the patient receives from about two to about twenty, for instance
about six doses of the monovalent antibody). An initial higher
loading dose, followed by one or more lower doses may be
administered. An exemplary dosing regimen comprises administering
an initial loading dose of about 4 mg/kg, followed by a weekly
maintenance dose of about 2 mg/kg of the monovalent antibody.
However, other dosage regimens may be useful. In one embodiment,
the monovalent antibodies of the invention are administered in a
weekly dosage of from 50 mg to 4000 mg, for instance of from 250 mg
to 2000 mg, such as for example 300 mg, 500 mg, 700 mg, 1000 mg,
1500 mg or 2000 mg, for up to 8 times, such as from 4 to 6 times.
The weekly dosage may be divided into two or three subdosages and
administered over more than one day. For example, a dosage of 300
mg may be administered over 2 days with 100 mg on day one (1), and
200 mg on day two (2). A dosage of 500 mg may be administered over
3 days with 100 mg on day one (1), 200 mg on day two (2), and 200
mg on day three (3), and a dosage of 700 mg may be administered
over 3 days with 100 mg on day 1 (one), 300 mg on day 2 (two), and
300 mg on day 3 (three).The regimen may be repeated one or more
times as necessary, for example, after 6 months or 12 months.
[0254] The dosage may be determined or adjusted by measuring the
amount of circulating monovalent antibodies of the invention upon
administration in a biological sample for instance by using
anti-idiotypic antibodies which target said monovalent
antibodies.
[0255] In one embodiment, the monovalent antibodies of the
invention may be administered by maintenance therapy, such as, for
instance once a week for a period of 6 months or more.
[0256] In one embodiment, the monovalent antibodies of the
invention may be administered by a regimen including one infusion
of a monovalent antibody of the invention followed by an infusion
of same monovalent antibody conjugated to a radioisotope. The
regimen may be repeated, for instance 7 to 9 days later.
[0257] In another main aspect, the invention relates to the use of
a monovalent antibody according to the invention as a diagnostic
agent.
[0258] As described above, in a further aspect, the invention
relates to a stabilized IgG4 antibody for use as a medicament,
comprising a heavy chain and a light chain, wherein said heavy
chain comprises a human IgG4 constant region having the sequence
set forth in SEQ ID NO:2, wherein Lys (K) in position 250 has been
replaced by Gln (Q) or Glu (E) and wherein the antibody optionally
comprises one or more further substitutions, deletions and/or
insertions in the constant region as set forth in SEQ ID NO2.
[0259] In one embodiment thereof, the human IgG4 constant region
has the sequence set forth in SEQ ID NO:2, wherein X1 at position
189 is Leu and X2 at position 289 is Arg. In another embodiment
thereof, the human IgG4 constant region has the sequence set forth
in SEQ ID NO:2, wherein X1 at position 189 is Leu and X2 at
position 289 is Lys. In yet another embodiment thereof, the human
IgG4 constant region has the sequence set forth in SEQ ID NO:2,
wherein X1 at position 189 is Val and X2 at position 289 is
Arg.
[0260] In one further aspect, the invention relates to an isolated
stabilized IgG4 antibody for use as a medicament., comprising a
heavy chain and a light chain, wherein said heavy chain comprises a
human IgG4 constant region having the sequence set forth in SEQ ID
NO:2, wherein Lys (K) in position 250 has been replaced by Gln (Q)
Glu (E) and wherein the antibody optionally comprises one or more
further substitutions, deletions and/or insertions in the constant
region as set forth in SEQ ID NO:2.
[0261] In one embodiment thereof, the human IgG4 constant region
has the sequence set forth in SEQ ID NO:2, wherein X1 at position
189 is Leu and X2 at position :289 is Arg. In another embodiment
thereof, the human IgG4 constant region has the sequence set forth
in SEQ ID NO:2, wherein X1 at position 189 is Leu and X2 at
position 289 is Lys. In yet another embodiment thereof, the human
IgG4 constant region has the sequence set forth in SEQ ID NO:2,
wherein X1 at position 189 is Val and X2 at position 289 is
Arg.
[0262] The stabilized IgG4 antibodies according to the invention
have the advantage that they contain a minimal number of sequence
changes in the constant region as compared to naturally occurring
IgG4. This reduces the risk of immunogenicity when the antibody is
used for human therapy.
[0263] In one embodiment thereof the stabilized IgG4 antibody does
not comprise a Cys-Pro-Pro-Cys sequence in the hinge region.
[0264] In one embodiment thereof the CH3 region of the stabilized
IgG4 antibody has been replaced by the CH3 region of human IgG1, of
human IgG2 or of human IgG3.
[0265] In one embodiment thereof the stabilized IgG4 antibody Does
not comprise a substitution of the Leu (L) residue at the position
corresponding to 115 by a Glu (E).
[0266] In one embodiment thereof the stabilized IgG4 antibody does
comprise a substitution of the Leu (L) residue at the position
corresponding to 115 by a Glu (E).
[0267] In one embodiment thereof the stabilized IgG4 antibody
comprises one or more of the following substitutions an Ala (A) at
position 114, an Ala (A) at position 116, an Ala (A) at position
117, an Ala (A) at position 177, an Ala (A) or Val (V) at position
198, an Ala (A) at position 200, an Ala (A) or Gln (Q) at position
202.
[0268] In one embodiment thereof the stabilized IgG4 antibody
comprises a CXPC or CPXC sequence in the hinge region, wherein X
can be any amino acid except for Pro (P).
[0269] In one embodiment thereof the stabilized IgG4 antibody does
not comprise an extended IgG3-like, hinge region, such as the
extended hinge region as set forth in FIG. 14.
[0270] In one embodiment thereof the stabilized IgG4 antibody
comprises a CPSC sequence in the hinge region.
[0271] In one embodiment thereof the stabilized IgG4 antibody has
less than 25, such as less than 10, e.g. less than 9, 8, 7, 6, 5,
4, 3, or 2 substitutions, deletions and/or insertions in the
constant region as set forth in SEQ ID NO:2.
[0272] Typically, the stabilized IgG4 antibody of the invention has
a lower ability to activate effector functions as compared to IgG1
and IgG3. In one embodiment thereof the antibody is less efficient
in mediating CDC and/or ADCC than a corresponding IgG1 or IgG3
antibody having the same variable regions. Assays for measuring CDC
or ADCC activity are well known in the art.
[0273] In one embodiment thereof the stabilized IgG4 antibody is
selected from the group consisting of a human monoclonal antibody,
a humanized monoclonal antibody and a chimeric monoclonal
antibody.
[0274] In one embodiment thereof the stabilized IgG4 antibody
comprises a human kappa light chain.
[0275] In one embodiment thereof the stabilized IgG4 antibody
comprises a human lambda light chain.
[0276] In one embodiment thereof the stabilized IgG4 antibody is a
bivalent antibody, for example an antibody which is bivalent even
in the presence of excess of irrelevant antibodies, as explained in
the Examples herein.
[0277] In one embodiment thereof the stabilized IgG4 antibody is a
full-length antibody.
[0278] Methods for the production of stabilized IgG4 antibodies are
well-known in the art. In a preferred embodiment, antibodies of the
invention are monoclonal antibodies. Monoclonal antibodies may e.g.
be produced by the hybridoma method first described by Kohler et
al., Nature 256, 495 (1975), or may be produced by recombinant DNA
methods. Monoclonal antibodies may also be isolated from phage
antibody libraries using the techniques described in, for example,
Clarkson et al., Nature 352, 624-628 (1991) and Marks et al., J.
Mol. Biol. 222, 581-597 (1991) Monoclonal antibodies may be
obtained from any suitable source. Thus, for example, monoclonal
antibodies may be obtained from hybridomas prepared from murine
splenic B cells obtained from mice immunized with an antigen of
interest, for instance in form of cells expressing the antigen on
the surface, or a nucleic acid encoding an antigen of interest.
Monoclonal antibodies may also be obtained from hybridomas derived
from antibody-expressing cells of immunized humans or non-human
mammals such as rats, dogs, primates, etc.
[0279] Further modifications, such as amino acid substitutions,
deletions or insertion as described above, may be performed using
standard recombinant DNA techniques well-known in the art.
[0280] In one embodiment, the stabilized IgG4 antibody of the
invention is a human antibody.
[0281] In a further main aspect, the invention relates to a method
for producing a stabilized IgG4 antibody of the invention, said
method comprising expressing a nucleic acid construct encoding said
antibody in a host cell and optionally purifying said antibody.
[0282] In one embodiment, the stabilized IgG4 antibody of the
invention is linked to a compound selected from the group
consisting of a cytotoxic agent; a radioisotope; a prodrug or drug,
such as a taxane; a cytokine; and a chemokine. Methods for linking
(conjugating) such compounds to an antibody are well-known in the
art. References to suitable methods have been given in WO
20041056847 (Genmab).
[0283] In one embodiment thereof the stabilized IgG4 antibody is
linked to a compound selected from the group consisting of a
cytotoxic agent; a radioisotope; a prodrug or drug, such as a
taxane; a cytokine; and a chemokine.
[0284] In a further main aspect, the invention relates to a
pharmaceutical composition comprising a stabilized IgG4 antibody as
defined herein above. The pharmaceutical compositions may be
formulated with pharmaceutically acceptable carriers or diluents as
well as any other known adjuvants and excipients in accordance with
conventional techniques, such as those disclosed in Remington: The
Science and Practice of Pharmacy, 19th Edition, Gennaro, Ed., Mack
Publishing Co., Easton, Pa., 1995.
[0285] In one embodiment, a pharmaceutical composition of the
present invention is administered parenterally. The phrases
"parenteral administration" and "administered parenterally" as used
herein means modes of administration other than enteral and topical
administration, usually by injection, and include epidermal,
intravenous, intramuscular, intraarterial, intrathecal,
intracapsular, intraorbital, intracardiac, intradermal,
intraperitoneal, intratendinous, transtracheal, subcutaneous,
subcuticular, intraarticular, subcapsular, subarachnoid,
intraspinal, intracranial, intrathoracic, epidural and intrasternal
injection and infusion.
[0286] The stabilized IgG4 antibodies of the invention can be used
in the treatment and/or prevention of a number of diseases, and be
directed to an antigen selected from a broad variety of suitable
target molecules.
[0287] In one embodiment thereof the stabilized IgG4 antibody
according to any one of the above embodiments binds to an antigen
selected from the group consisting of erythropoietin, beta-amyloid,
thrombopoletin, interferon-alpha (2a and 2b), interferon-beta (1b),
interferon-gamma, TNFR I (CD120a), TNFR II (CD120b), IL-1R type 1
(CD121a), IL-1R type 2 (CD121b), IL-2, IL 2R (CD25), IL2R-beta
(CD123), IL-3, IL-4, IL-3R (CD123), IL-4R (CD124), IL-5R (CD125),
IL-6R-alpha (CD126), -beta (CD130), IL-8, IL-10, IL-11, IL-15,
IL-15BP, IL-15R, IL-20, IL-21, TCR variable chain, RANK, RANK-L,
CTLA4, CXCR4R, CCR5R, TGF-beta 1, -beta2, -beta3, G-CSF, GM-CSF,
MIF-R (CD74), M-CSF-R (CD115), GM-CSFB (CD116), soluble FcRI,
sFcRII, sFcRIII, FcRn, Factor VII, Factor VIII, Factor IX, VEGF
VEGFxxxb, alpha-4 integrin, Cd11a, CD18, CD20, CD38, CD25, CD74,
FcalphaRI, FcepsilonRI, acetyl choline receptor, faa, fasL, TRAIL,
hepatitis virus, hepatitis C virus, envelope E2 of hepatitis C
virus, tissue factor, a complex of tissue factor and Factor VII,
EGFr, CD4, CD28, VLA-1, 2, 3, or 4, LFA-1, MAC-1, 1-selectin,
PSGL-1, ICAM-1, P-selectin, periostin, CD33 (Siglec 3), Siglec 8,
TNF, CCL1, CCL2, CCL3, CCL4, CRL5, CCL11, CCL13, CCL17, CCL18,
CCL20, CCL22, CCL26, CCL27, CX3CL1, LIGHT, EGF, VEGF, TGFalpha,
HGF, PDGF, NGF, complement or a related components such as: C1q,
C4, C2, C3, C5, C6, C7, C9, MBL, factor B, a Matrix Metallo
Protease such as any of MMP1 to MMP28, CD32b, CD200, CD200R, Killer
Immunoglobulin-Like Receptors (KIRs), NKG2D and related molecules,
leukocyte-associated immunoglobulin-like receptors (LAIRS),
1.gamma.49, PD-L2, CD26, BST-2, ML-IAP (melanoma inhibitor of
apoptosis protein), cathepsin D, CD40, CD40R, CD86, a B cell
receptor, CD79 , PD-1 and a cell receptor.
[0288] In one embodiment thereof. [0289] (i) the antibody binds to
an alpha-4 integrin and is for use in the treatment of inflammatory
and autoimmune diseases, such as rheumatoid arthritis, multiple
sclerosis, inflammatory bowel disease, asthma and sepsis; [0290]
(ii) the antibody binds to VLA-1, 2, 3, or 4 and is for use in the
treatment of inflammatory and autoimmune diseases, such as
rheumatoid arthritis, multiple sclerosis, inflammatory bowel
disease, asthma, type-1 diabetes, SLE, psoriasis, atopic
dermatitis, COPD and sepsis, [0291] (iii) the antibody binds to a
molecule selected from the group consisting of LFA-1, MAC-1,
l-selectin and PSGL-1 and is for use in the treatment of
inflammatory and autoimmune diseases, such as rheumatoid arthritis,
multiple sclerosis, inflammatory bowel disease, asthma, type-1
diabetes, SLE, psoriasis, atopic dermatitis, and COPD; [0292] (iv)
the antibody binds to a molecule selected from the group consisting
of LFA-1, MAC-1, 1-selectin and PSGL-1 and is for use in the
treatment of a disease selected from the group consisting of
ischernia-reperfusion injury, cystic fibrosis, osteomyelitis,
glomerulonepritis, gout and sepsis; [0293] (v) the antibody binds
to CD18 and is for use in the treatment of inflammatory and
autoimmune diseases, such as rheumatoid arthritis, multiple
sclerosis, inflammatory bowel disease, asthma, type-1 diabetes,
SLE, psoriasis, atopic dermatitis and COPD; [0294] (vi) the
antibody binds to Cd11a and is for use in the treatment of
inflammatory and autoimmune diseases, such as rheumatoid arthritis,
multiple sclerosis, inflammatory bowel disease, asthma, type-1
diabetes, SLE, psoriasis, atopic dermatitis and COPD; [0295] (vii)
the antibody binds lCAM-1 and is for use in the treatment of
inflammatory and autoimmune diseases, such as rheumatoid arthritis,
multiple sclerosis, inflammatory bowel disease, asthma, type-1
diabetes, SLE, psoriasis, atopic dermatitis and COPD; [0296] (viii)
the antibody binds to P-selectin and is for use in the treatment of
cardiovascular diseases, post-thrombotic vein wall fibrosis,
ischemia reperfusion injury, inflammatory diseases or sepsis.
[0297] (ix) the antibody binds to periostin and is for use in the
treatment of malignant diseases and/or metastasizing diseases, such
as ovary cancer, endometrial cancer, NSCLC, glioblastoma,
brain-related tumors, breast cancer, OSCC, colon cancer, pancreatic
cancer, HNSCC, kidney cancer, thymoma, lung cancer, skin cancer,
larynx cancer, liver cancer, parotid tumors, gastric cancer,
esophagus cancer, prostate cancer, bladder cancer and cancer of the
testis; [0298] (x) the antibody binds to CD33 (Siglec 3), is
optionally coupled to a toxin, cytotoxic or cytostatic drug, and is
for use in the treatment of tumors expressing CD33 or acute myeloid
leukemia: [0299] (xi) the antibody binds to Siglec 8 and is for use
in the treatment of asthma, inflammatory or autoimmune diseases,
such as rheumatoid arthritis, multiple sclerosis, inflammatory
bowel disease, asthma, type-1 diabetes, SLE, psoriasis, atopic
dermatitis and COPD: [0300] (xii the antibody binds to TNF and is
for use in the treatment of inflammatory and autoimmune diseases,
such as rheumatoid arthritis, multiple sclerosis, inflammatory
bowel disease, asthma, type-1 diabetes, SLE, psoriasis, atopic
dermatitis, COPD and sepsis; [0301] (xiii) the antibody binds to
CCL1, CCL2, CCL3, CCL4, CCL5, CCL11, CCL13, CCL17, CCL18, CCL20,
CCL22, CCL26, CCL27 or CX3CL1 and is for use in the treatment of
atopic dermatitis, inflammatory and autoimmune diseases, such as
rheumatoid arthritis, multiple sclerosis, inflammatory bowel
disease, asthma, type-1 diabetes, SLE, psoriasis, COPD and sepsis;
[0302] (xiv) the antibody binds to LIGHT and is for use in the
treatment of a disease selected from the group consisting of:
hepatitis, inflammatory bowel disease, GVHD and inflammation;
[0303] (xv) the antibody binds to EGF, VEGF, TGFalpha HGF and is
for use in the treatment of; malignant diseases, such as solid
cancers; [0304] (xvi) the antibody binds to PDGF and is for use in
the treatment of diseases in which abnormal cell proliferation cell
migration and/or angiogenesis occurs, such as atherosclerosis,
fibrosis, and malignant diseases; [0305] (xvii) the antibody binds
to NGF and is for use in the treatment of neurological diseases,
neurodegenerative diseases, such as Alzheimer's disease and
Parkinson's disease, or cancer, such as prostate cancer; [0306]
(xviii) the antibody binds to complement or a related components
such as C1q, C4, C2, C3, C5, C6, C8, C9, MBL, or factor B and is
for use in diseases in which complement and related components play
a detrimental role, such as organ transplant rejection, multiple
sclerosis, Gulllain-Barre, syndrome, hemolytic anemia, Paroxysmal
Nocturnal Herrioglobinuria, stroke, heart attacks, burn injuries,
age-related macular degeneration, asthma, lupus, arthritis,
myasthenia gravis, anti-phospholipid syndrome, sepsis and ischemia
reperfusion injury; [0307] (xix) the antibody binds to a Matrix
Metalb Protease such as any of MMP1 to MMP28 and is for use in the
treatment of inflammatory and autoimmune diseases, cancer,
including metastatic cancer; arthritis, inflammation,
cardiovascular diseases, cerebrovascular diseases such as stroke or
cerebral aneurysms, pulmonary diseases such as asthma, ocular
diseases such as corneal wound healing or degenerative genetic eye
diseases, gastrointestinal diseases such as inflammatory bowel
disease or ulcers, oral diseases such as dental caries, oral cancer
or periodontitis, ischemia reperfusion injury or sepsis; [0308]
(xx) the antibody binds to CD32b and is for use in enhancement of
T-cell responses to tumor antigens and ADCC/phagocytosis by
macrophages, in combination with another therapeutic antibody;
vaccination, immunotherapy of B-cell lymphoma's, asthma or allergy;
[0309] (xxi) the antibody binds to CD200 or CD200R and is for use
in the treatment of: asthma, rheumatoid arthritis, GVHD, other
autoimmune diseases, or cancer, such as solid tumors or lymphomas;
[0310] (xxii) the antibody binds to Killer Immunoglobulin-Like
Receptors (KIRs), NKG2D or related molecules, leukocyte-associated
immunoglobulin-like receptors (LAIRs), or ly49 and is for use in
the treatment of: cancer, such as solid tumors or lymphomas,
asthma, rheumatoid arthritis, GVHD or other autoimmune diseases;
[0311] (xxiii) the antibody binds to PD-L2 and is for use in the
treatment of cancer, asthma, or for use in vaccine enhancement;
[0312] (xxiv) the antibody binds to CD26 and is for use in the
treatment of: atherosclerosis, GVHD, or auto-immune diseases;
[0313] (xxv) the antibody binds to BST-2 and is for use in the
treatment of asthma, atherosclerosis, rheumatoid arthritis,
psoriasis. Crohn's disease, ulcerative cholitis, atopic dermatitis,
sepsis or inflammation; [0314] (xxvi) the antibody binds to ML-IAP
(melanoma inhibitor of apoptosis protein) and is for use in the
treatment of melanoma, [0315] (xxvii) the antibody binds to
cathepsin D and is for use in the treatment of malignant diseases
such as breast cancer, ovarian cancer, oliorna, NSCLC, bladder
cancer, endometrial cancer, liver cancer, sarcoma, gastric cancer,
SCCHN, prostate cancer or colorectal cancer; [0316] (xxviii) the
antibody binds to CD40 or CD40R and is for use in the treatment of
cancer, in particular B-cell lymphomas, B-cell-related or -mediated
diseases, autoimmune diseases such as psoriatic arthritis,
rheumatoid arthritis, multiple sclerosis, psoriasis, Crohn's
disease or ulcerative cholitis; [0317] (xxix) the antibody binds to
CD86 and is for use in conjunction with organ transplantation;
[0318] (xxx) the antibody binds to a B cell receptor and is for use
in the treatment of: B-cell-related or -mediated diseases, such as
B cell lymphoma's, leukemia, autoimmune diseases, inflammation or
allergy; [0319] (xxxi) the antibody binds to CD79 and is for use in
the treatment of B-cell-related or -mediated diseases, such as
B-cell lymphomas, leukemia, autoimmune diseases, inflammation or
allergy; [0320] (xxxii) the antibody binds to a T cell receptor and
is for use in the treatment of T-cell-related or-mediated diseases,
such as T-cell lymphomas, leukemia, autoimmune diseases,
inflammation or allergy; [0321] (xxxiii) the antibody binds to
FcalphaR1 and is for use in the treatment of a disease or disorder
selected from allergic asthma or other allergic diseases such as
allergic rhinitis, seasonallperennial allergies, hay fever, nasal
allergies, atopic dermatitis, eczema, hives, urticaria, contact
allergies, allergic conjunctivitis, ocular allergies, food and drug
allergies, latex allergies, or insect allergies, or IgA
nephropathy, such as IgA pemphigus; [0322] (xxxiv) the antibody
binds to CD25 and is for use in the treatment of a disease or
disorder selected from the group consisting of transplant
rejection, graft-versus-host disease, inflammatory, immune or
autoimmune diseases, inflammatory or hyperproliferative skin
disorders, lymphoid neoplasms, malignancies, hematological
disorders, skin disorders, hepato-gastrointestinal disorders,
cardiac disorders, vascular disorders, renal disorders, pulmonary
disorders, neurological disorders, connective tissue disorders,
endocrinological disorders, and viral infections; [0323] (xxxv) the
antibody binds to IL-15 or the IL15 receptor and is for use in the
treatment of a disease or disorder selected from the group
consisting of: arthritides, gout, connective disorders,
neurological disorders, gastrointestinal disorders, hepatic
disorders, allergic disorders, hematologic disorders, skin
disorders, pulmonary disorders, malignant disorders,
endocrinological disorders, vascular disorders, infectious
disorders, kidney disorders, cardiac disorders, circulatory
disorders, metabolic disorders, hone, disorders and muscle
disorders; [0324] (xxxvi) the antibody binds to IL-8 and is for use
in the treatment of a disease or disorder selected from the group
consisting of paimoplantar pustulosis (PPP), psoriasis, or other
skin diseases, inflammatory, autoimmune and immune disorders,
alcoholic hepatitis and acute pancreatitis, diseases involving 1L-8
mediated angiogenesis; [0325] (xxxvii) the antibody binds to CD20
and is for use in the treatment of a disease or disorder selected
from the group consisting of: rheumatoid arthritis, (autojimmurre
and inflammatory disorders, non-Hodgkin's lymphoma, B-CLL, lymphoid
neoplasms, malignancies and hematological disorders, infectious
diseases and connective disorders, neurological disorders,
gastrointestinal disorders, hepatic disorders, allergic disorders,
hematologic disorders, skin disorders, pulmonary disorders,
malignant disorders, endocrinological disorders, vascular
disorders, infectious disorders, kidney disorders, cardiac
disorders, circulatory disorders, metabolic disorders, bone and
muscle disorders, and immune mediated cytopenia; [0326] (xxxviii)
the antibody binds to CD38 and is for use in the treatment of a
disease or disorder selected from the group consisting of
tumorigenic disorders, immune disorders in which CD38 expressing B
cells, plasma cells, monocytes and T cells are involved, acute
respiratory distress syndrome and choreoretinitis, rheumatoid
arthritis, inflammatory, immune and/or autoimmune disorders in
which autoantibodies and/or excessive B and T lymphocyte activity
are prominent, skin disorders, immune-mediated cytopenias,
connective tissue disorders, arthritides, hematologic disorders,
endocrinopathies, hepato-gastrointestinal disorders, nephropathies,
neurological disorders, cardiac and pulmonary disorders, allergic
disorders, ophthalmologic disorders, infectious diseases,
gynecological-obstetrical disorders, male reproductive disorders,
transplantation-derived disorders; [0327] (xxxix) the antibody
binds to EGFr and is for use in the treatment of a disease or
disorder selected from the group consisting of: cancers
(over)expressing EGFr and other EGFr related diseases, such as
autoimmune diseases, psoriasis, and inflammatory arthritis; [0328]
(xxxx) the antibody binds to CD4 and is for use in the treatment of
a disease or disorder selected from the group consisting of
rheumatoid arthritis, (auto)immune and inflammatory disorders,
cutaneous T cell lymphomas, non-cutaneous T cell lymphomas,
lymphoid neoplasms, malignancies and hematological disorders,
infectious diseases, and connective disorders, neurological
disorders, gastrointestinal disorders, hepatic disorders, allergic
disorders, hematologic disorders, skin disorders, pulmonary
disorders, malignant disorders, endocrinological disorders,
vascular disorders, infectious disorders, kidney disorders, cardiac
disorders, circulatory disorders, metabolic disorders, bone
disorders, muscle disorders, immune mediated cytopenia, and HIV
infection/AIDS; [0329] (xxxxi) the antibody binds CD28 and is for
use in the treatment of a disease or disorder selected from the
group consisting of an inflammatory disease, autoimmune disease and
immune disorder; [0330] (xxxxii) the antibody binds to tissue
factor, or a complex of Factor VII and tissue factor and is for use
in the treatment of a disease or disorder selected from the group
consisting of vascular diseases, such as myocardial vascular
disease, cerebral vascular disease, retinopathy and macular
degeneration, and inflammatory disorders; or [0331] (xxxxiii) the
antibody binds to PD-1 and is for use in the treatment of
HIV-1/AIDS.
[0332] In a further embodiment the invention relates to a
pharmaceutical composition, characterized in that it comprises a
stabilized IgG4 antibody as defined in any one of the above
embodiments and a pharmaceutically acceptable carrier or
excipient.
[0333] In a further embodiment the invention relates to the use of
a stabilized IgG4 antibody according to any one of the above
embodiments (i) to (xxxxiii) for the preparation of a medicament
for the treatment of a disease as specified in any one of the above
related embodiments (i) to (xxxxiii).
[0334] In a further embodiment the invention relates to a method
for the treatment of a subject suffering from a disease as
specified in any one of the above embodiments (i) to (xxxxiii)
comprising administering to the subject in need thereof a
stabilized IgG4 antibody according to as specified in any one of
the above related embodiments (i) to (xxxxiii).
[0335] The present invention is further illustrated by the
following examples which should not be construed as further
limiting.
EXAMPLES
Example 1
Structural Analysis of CH3-CH-3 Interface
[0336] In human IgG1, the non-covalent interaction between the CH3
domains involves 16 residues located on four anti-parallel
13-strands that make intermolecular contacts and burry
1090.sup..ANG.2 from each surface (Deisenhofer, J.; Biochemistry,
1981. 20(9): p. 2361-70). Alanine scanning mutagenesis showed that
stabilization of the IgG1 CH3-CH3 interaction was largely mediated
by 6 of these residues, including K409 (Dall'Acqua, W., et al.;
Biochemistry, 1998. 37(26): p. 9266-73). To get a better
understanding of the role of K409 in the IgG1 CH3-CH3 interaction,
the 1.65 .ANG.1L6X crystal structure (Idusogie, E. E., et al.;
Immunol, 2000. 164(8): p. 4178-84) was studied in more detail using
the Brugel modelling package (Delhaise, P., et al., J. Mol. Graph.,
1984. 2(4): p. 103-106).
[0337] In order to propose mutations that should lead to a desired
stabilization (or destabilization) of IgG4, a quantitative
structure-based scoring methodology was employed (Desmet, J., et
al., Proteins, 2005. 58(1): p. 53-69). Briefly, each position in
the CF3-CH3 dimer interface was subjected to mutagenesis to all
natural amino acids, except cysteine and praline. Subsequent to
mutagenesis, Exploration of the conformational space was obtained
by interdependent optimization of the side chains of all residues
located in a sphere of 12 A of the mutated residue, using the
FASTER algorithm (Desmet, J., et al., Proteins, 2002. 48(1): p.
31-43), performed on all macro-rotameric states for the side chain
under investigation. Subsequently, on each macro-rotameric state
thus obtained, a scoring function for the side chain under
investigation was evaluated, as described (Desmet, J., et al.;
Proteins, 2005. 58(1); p. 53-69). Finally, per position in the
CH3-CH3 dimer interface, the highest scores for each mutation were
compared, and visual inspection of the resulting conformation was
carried out in selected cases,
Example 2
Water Hypothesis
[0338] In the IgG1 structure, K409 forms a hydrogen bond with D399'
on the opposite CH3 domain. Furthermore, K409 is part of a
water-binding pocket together with S364 and T411 in the same CH3
domain and K370' on the opposite CH3 domain. The presence of the
water molecule prevents an electrostatic clash between K409 and
K370'.
[0339] The K409R substitution (as in IgG4) was modelled in the 1L6X
structure by optimizing the side chain conformations of the
arginine residue and its surrounding residues, using the FASTER
algorithm (Desmet, J., et al., Proteins, 2002. 48(1): p. 31-43). In
this model, the guanidinium group of R409 takes up the position of
the water molecule and causes an electrostatic clash with K370'.
The side-chains of T411 and K370' loose their interactions compared
to the case with water present (as in IgG1), but D399 keeps its
interaction with the side chain at position R409.
Example 3
Destabilization of IgG4
[0340] The mutations in the Table below were made in order to
destabilize the CH3-CH3 interaction of an IgG4.
[0341] KABAT indicates amino acid numbering according to Kabat
(Kabat et al., Sequences of Proteins of immunological Interest, 5th
Ed. Public Health Service, National Institutes of Health, Bethesda,
Md., (1991). EU index indicates amino acid numbering according to
EU index as outlined in Kabat et al., Sequences of Proteins of
Immunological Interest, 5th Ed, Public Health Service, National
Institutes of Health, Bethesda, Md. (1991)).
TABLE-US-00001 Numbering of CH3 mutations KABAT EU index G4 SEQ ID
NO: 4 370 Y349R* Y217R* 372 L351N* L219N* 372 L351Q* L219Q* 378
E357A E225A 378 E357T* E225T* 378 E357V* E225V* 378 E357I* E225I*
387 S364R* S232R* 387 S364K* S232K* 389 T366A T234A 389 T366R*
T234R* 389 T366K* T234K* 389 T366N* T234N* 391 L368A L236A 391
L368V L236V 391 L368E* L236E* 391 L368G* L236G* 391 L368S* L236S*
391 L368T* L236T* 393 K370A K238A 393 K370R* K238R* 393 K370T K238T
427 D399A D267A 427 D399T* D267T* 427 D399S* D267S* 436 F405A F273A
436 F405L F273L 436 F405T* F273T* 436 F405D* F273D* 436 F405R*
F273R* 436 F405Q* F273Q* 436 F405K* F273K* 436 F405Y F273Y 438
Y407A Y275A 438 Y407E* Y275E* 438 Y407Q* Y275Q* 438 Y407K* Y275K*
438 Y407F Y275F 440 R409A R277A 440 R409K R277K (stabilizing see
WO2008145142) 440 R409E* R277E* 442 T411D* T279D* 442 T411V* T279V*
442 T411N* T279N*
Example 4
Various Technical Procedures
[0342] The following techniques were performed as described in
WO2007059782: Oligonucleotide primers and FOR amplification,
agarose gel electrophoresis, analysis and purification of PCR
products and enzymatic digestion products, quantification of DNA by
UV spectroscopy, restriction enzyme digestions, ligation of DNA
fragments, transformation of E. coli, screening of bacterial
colonies by PCR, plasmid DNA isolation from E. coli culture,
site-directed mutagenesis, DNA sequencing and transient expression
in HEK-293F cells,
Example 5
Construction and Biochemical Analysis of CH3 Variants of 2F8-HG
[0343] The above-described mutations were introduced into the CH3
region of hingeless anti-EGFR antibody 2F8-HG, described in
WO200/059782. To make the constructs for the expression of the CH3
mutants, the mutations were introduced into pTomG42F8HG (described
in WO2007059782) using site-directed mutagenesis. The constructs
were expressed transiently and purified as described in
WO2007059782.
[0344] In order to investigate whether CH3 variant HG molecules
exist as monomers or dimers, a mass spectrometry method was
employed as described in WO2007059782.
[0345] FIG. 1 shows a summary of the monomer/dimer ratios obtained
for each HG mutant using non-covalent nano-electrospray mass
spectrometry. Ch3 mutants showed a substantial increase in
monomer/dimer ratio compared to 2F8-HG (WT). The percentage
molecules present as monomers increased from 15% in 2F8-HG (WT) to
>80% in most CH3 mutants, except for mutation R277A. HG mutation
R277K, which introduces an IgG1 sequence into the IgGG4 backbone,
was used as negative control. As expected, this mutant behaved as
dimer.
[0346] The monomer or dimer configuration of CH3 mutants was
verified using NativePAGE.TM. Novex.RTM. Bis-Tris gel
electrophoresis (lnvitrogen, Carlsbad, Calif.) according to the
instructions of the manufacturer as shown in FIG. 2. This native
gel electrophoresis technique uses Coornassie G-250 as a
charge-shift molecule instead of SDS and is able to maintain native
protein conformation and protein complex quaternary structures
(Schagger H and von Jagow G 1991 Blue native gel electrophoresis
for isolation of membrane complexes in enzymatically active form.
Anal. Biocheim 199:223-244).
[0347] Under these experimental conditions, 2F8-HG (WT) and R277K
and R277A showed a protein band corresponding to the size of a full
tetrameric (two heavy and two light chains) molecule. The CH3
mutants T234A, L236A, L236V, F273A, F2731L, and Y275A were shown to
be half molecules (only one heavy and one light chain).
Example 6
Functional Analysis of CH3 Mutants of 2F8-HG
[0348] Binding of 21F8-HG (WT) and variants was determined in the
absence and presence of 200 .mu.g/ml polyclonal human IgG
(Intravenous Immunoglobulin, IVIG, Sanquin Netherlands) (as
described in Example 57 of WO2007059782).
[0349] FIGS. 3 and 4 show that the binding curve of 2F8-HG in the
presence of IVIG clearly right-shifts with respect to the binding
curve of 2F8-HG without IVIG. This difference in avidity for the
EGFr coat is consistent with the idea that, in the presence of
IVIG, 2F8-HG binds monovalently (see Example 57 of WO2007059782).
The binding curves of several of the tested mutations,
2F8-HG-T234A, 2F8-HG-L236V, 2F8HG-L236A and 2F8-HG-Y275A, become
insensitive to the addition of IVIG and were super-imposable ore
the monovalent binding curve of 2F8-HG in the presence of IVIG.
These differences in avidity for the EGFr coat are consistent with
the idea that the 2F8-HG-T234A, 2F8-HG-L236V, 2F8-HG-L236A and
2F8-HG-Y275A mutations prevent dimerization of the HG
molecules.
Example 7
Functional Analyses of CH3 Mutants of 2F8-HG
[0350] CH3 mutants of 2F8-HG were shown to bind EGFr with lower
apparent affinities than 2F8-HG in a binding ELISA coated with EGFr
protein (see above). The potency of 2F8-HG CH3 mutants to inhibit
ligand-induced EGFr phosphorylation in cells in vitro was compared
to that of 2F8-HG (WT) and 2F8-Fab fragments in the Phosphorylation
Inhibition Assay (PIA) as described in example 54 of
WO2007059782.
[0351] CH3 HG mutants were less potent to inhibit EGFr
phosphorylation than 2F8-HG (WT) and the control mutants R277K and
R277A, in line with the increase in monomer/dimer ratio of these
mutants (FIG. 5).
Example 8
Concentration Dependent Configuration of CH3 Mutants of HG
[0352] The monomer/dimer configuration of CH3 mutants F273A, L236V,
and Y275A was further investigated at different concentrations,
ranging from 0.01-10 .mu.M using non-covalent nano-electrospray
mass spectrometry as described in WO2007059732. The monomer/dimer
configuration of these CH3 mutants was compared to the
configuration of 2F8-HG (WT) and R277K.
[0353] FIG. 6 shows that all HG mutants were 100% monomeric at low
concentrations (except for R277K which behaved as dimer). With
increased concentration of HG mutants, a decrease in monomericity
was observed. However, the figure shows that the CH3 mutants
exhibited such decrease in monomericity at much higher
concentration than 2F8-HG (WT). Hence, the CH3 mutants contained a
higher percentage of monomer molecules at higher molar
concentrations.
[0354] For 2F8-HG (WT) and mutants E225A, E225V, S232R, T234A,
L236A, L236T, L236V, L236E, L236S, L236G, K238A, K238T, D267S,
D267A, F273A, F273L, F273Y, F273D, F273T, F273R, F273Q, Y275A,
Y275Q, Y275K, Y275E, R277A, R277K, D267S+Y275E, D S+Y275Q,
F273D+Y275E and F273T+Y275E signals corresponding to the monomeric
(M.sub.s,) and dimeric (D.sub.s) configurations were integrated and
the relative proportion of each configuration at each concentration
([M].sub.0) was determined using the following equations:
[M].sub.eq=M.sub.S/(M.sub.S+D.sub.S)[M].sub.0: concentration
monomer at equilibrium
[D].sub.eq =([M].sub.0[M].sub.eq)/2; concentration dimer at
equilibrium
[0355] Dissociation constant (K.sub.D) values were subsequently
calculated for all mutants by plotting the [D].sub.eq against
[M].sub.eq.sup.2 values of each concentration and determining the
gradient by least-squares linear regression using Excell software
(Microsoft), The K.sub.D measured for 2F8-HG (WT) was 5.0.times.10
.sup.-8 M. The relative K.sub.D of each mutant compared to the
K.sub.D of 2F8-HG (WT) was calculated and plotted.
[0356] FIG. 7 shows that all HG mutants (except for R277K. K238A
and K238T) had a higher relative K.sub.D, which translates into an
increase in monomeric behavior compared to 2F8-HG (WT). The R277K,
K238A and K238Tmutants showed a lower relative K.sub.D, meaning
that they stabilize the CH3-CH3 interaction.
Example 9
Removal of Glycosylation Sites
[0357] To remove (potential) acceptor sites for N-linked
glycosylation ("glycosylation sites") from the monovalent antibody,
alterations to the sequence were made. To examine how this could be
achieved with introducing a minimum of T cell epitopes, and without
perturbing the native structure of the molecule, an in silico
analysis was performed. The HLA binding specificities of all
possible 10-mer peptides derived from a target sequence were
analyzed (Desmet et al. 1992, 1997, 2002, 2005; Van Walle et al.
2007 Expert Opinion on Biological Therapy 7:405-418). Profiling was
done at the allotype level for 20 DRB1, 7 DRB3/4/5, 14 DQ and 7 DP,
i.e. 48 HLA class ll receptors in total. Quantitative estimates of
the free energy of binding deltaGbind of a peptide for each of the
48 HLA class II receptors were calculated. These data were then
further processed by classifying peptides as strong, medium, weak
and non-binders.
[0358] The table below shows the 27 sequence variants which contain
only medium epitopes, specific for no more than three different
DRB1 allotypes.
TABLE-US-00002 TABLE Summary of sequence variants containing either
a single medium DRB1 epitope, or multiple medium epitopes affecting
three or less MHC allotypes. The first column contains the specific
sequence, the second column the number of medium DRB1 binding
epitopes present in the sequence fragment, and the subsequent
columns describe the specificity of these epitopes. Allotypes for
which no epitopes were found in any of these sequence fragments
were not included in the table. DRB1M DRB1*0101 DRB1*0102 DRB1*0401
DRB1*0402 DRB1*0405 DRB1*0407 DRB1*0801 NST 0 DST 1 1 1 EST 1 1 1
GST 1 1 HST 1 1 1 MST 1 1 PST 1 1 QST 1 1 1 1 SST 1 1 1 TST 1 1 1
CSE 2 1 1 CSP 2 1 1 DSE 2 1 1 DSG 2 1 1 DSP 2 1 1 ESE 2 1 1 1 ESP 2
1 1 GSE 2 1 1 1 GSP 2 1 1 HSE 2 1 1 MSE 2 1 1 1 NSE 2 1 1 NSP 2 1 1
PSE 2 1 1 1 PSP 2 1 1 SSE 2 1 1 SSP 3 1 1 1 TSP 3 1 1 1 DRB1*0802
DRB1*0901 DRB1*1101 DRB1*1104 DRB1*1301 DRB1*1401 NST DST 1 1 EST 1
GST 1 HST 1 1 MST 1 PST 1 1 QST 1 1 1 1 1 SST 1 TST 1 1 1 CSE CSP 1
DSE DSG 1 DSP ESE ESP GSE GSP HSE MSE NSE NSP 1 PSE PSP SSE SSP
TSP
[0359] The lowest epitope content found in the study was within
sequence variants which bind with medium strength to two different
DRB1 allotypes (GST, MST, CSE, DSE, DSP, ESP, GSP, HSE, NSE, PSP
and SSE). A negative selection for mutations that:
[0360] substitute any positions to cysteine,
[0361] change the final threonine to proline, or
[0362] replace the initial asparagines residue by an aliphatic side
chain, lead to the selection of the following preferred candidates:
GST, NSE, DSE, HSE and SSE.
[0363] To make the constructs for the expression of deglycosylated
2F8-HG, the GST and NSE mutations as identified by the
above-described analysis were introduced into pTomG42F8HG
(described in WO 2007059782) using site-directed mutagenesis. The
constructs were expressed transiently and binding was determined in
the absence and presence of polyclonal human IgG (Intravenous
Immunoglobulin, IVIG, Sanquin Netherlands) (as described in Example
57 of WO 2007059782).
[0364] FIG. 8 shows that the binding curves of 2F8-HG-GST and
2F8-HG-NSE in the absence and presence of IVIG were identical to
the binding curve of 2F8-HG in the absence and presence of IVIG,
respectively. This is consistent with the hypothesis that
deglycosylation does not effect the binding affinity of the
HG-molecules or sensitivity to IVIG.
Example 10
Biochemical Analysis of Non-Glycosylation Mutants of 2F8-HG
[0365] Absence of glycosylation in the glycosylation site mutants
of 2F8-HG was confirmed using High pH Anion Exchange
Chromatography-Pulse Amperometric Detection (HFAEC-PAD).
[0366] To investigate the monomeric or dimeric configuration of the
mutated HG molecules, a specialized mass spectrometry method was
employed to preserve non covalent interactions between
molecules.
[0367] HG mutant samples were prepared in aqueous 50 mM ammonium
acetate solutions and introduced into an LC-T nanoelectrospray
ionization orthogonal time-of-flight mass spectrometer (Micromass,
Manchester, UK), operating in positive ion mode. Source pressure
conditions in the LC-T mass spectrometer and nano-electrospray
voltages were optimized for optimal transmission, the pressure in
the interface region was adjusted by reducing the pumping capacity
of the rotary pump by closing the valve (Pirani Pressure 6.67e0
mbar).
[0368] Spraying conditions were .as follows: needle voltage 1275 V,
cone voltage 200 V, and source temperature 80.degree. C.
Borosilicate glass capillaries (Kwik-Fil.TM., World Precision
instruments Inc., Sarasota, Fla.) were used on a P-97 puller
(Sutter Instrument Co., Novato, Calif.) to prepare the
nano-electrospray needles. They were subsequently coated with a
thin gold layer using an Edwards Scancoat six Pirani 501 sputter
coater (Edwards High Vacuum International, Crawley, UK).
[0369] FIG. 9 shows a summary of the monomer/dimer ratios obtained
for each HG mutant using non-covalent nano-electrospray mass
spectrometry at 1 .mu.M protein concentrations. In agreement with
the observations described in Example 54 of WO2007059782, the data
indicate that in the absence of polyclonal human IgG, 2F8-HG may
behave as a bivalent antibody.
[0370] Under these experimental conditions, non-glycosylation
mutants exhibited the same monomer/dimer ratio as 2F8-HG (WT).
Example 11
Functional Analysis of Non-Glycosvlation Mutants of 2F8-HG
[0371] Non-glycosylation HG mutants 2F8-HG-GST, 2F8-HG-NSE,
2F8-HG-DSE, 2F8-HG-HSE, and 2F8-HG-SSE were shown to bind EGFr with
apparent affinities similar to 2F8-HG (WT) in a binding ELISA,
using EGFr protein as coat (see above). The potency of
non-glycosylation 2F8-HG mutants to inhibit ligand-induced EGFr
phosphorylation in cells in vitro was compared to that of 2F8-HG
(WT) and 2F8-Fab fragments in the Phosphorylation Inhibition Assay
(PIA) as described in example 54 of WO2007059782. FIG. 10 shows
that the potency of non-glycosylation HG mutants to inhibit
EGF-induced phosphorylation of EGFr in vitro was similar to that of
2F8-HG (WT).
Example 12
Pharmacokinetic Evaluation of Non-Glycoasylation Mutants
[0372] Pharmacokinetic characteristics of non-glycosylation mutant
2F8-HG-GST and 2F8-HG-NSE were analyzed in SCID mice supplemented
with 0.1 mg 7D8-IgG1 as internal control. Pharmacokinetic analysis
is explained in detail in example 50 of WO2007059782, Internal
control 7D8-IgG1 exhibited an equal clearance rate in at mice
investigated and was comparable to the clearance rate of
2F8-IgG4.
[0373] FIG. 11 shows that absence of glycosylation of 2F8-HG did
not affect plasma clearance.
Example 13
[0374] Generation of IgG1 and IgG4 Antibodies with Hinge Region
and/or CH3 Domain Mutations
[0375] To investigate the structural requirements for Fab arm
exchange, five IgG1 mutants were made: an IgG1 with an IgG4
core-hinge (IgG1-P228S) (corresponds to 111 in SEQ ID NO:7), two
CH3 domain swap mutants (IgG1-CH3(.gamma.4) and
IgG1-P228S-CH3(.gamma.4)), one CH3 point mutant in which lysine
present at position 409 of IgG1 (within the CH3 domain)
(corresponds to 292 in SEQ ID NO:7) is replaced for arginine
(IgG1-K409R), and one IgG1 with an IgG4 core hinge and K409F1
mutation (IgG1-P228S-K409R) (FIG. 12). These mutants were made with
either Bet v1 or Fel d1 specificity. Please see WO 2008/119353
(Genmab A(S), especially the examples, for a further description of
production of antibody mutants as well as the Bet v1 and Fel d1
specificities.
[0376] Two IgG4 mutants were made: one CH3 point mutant in which
arginine present at position 409 of IgG4 (within the CH3 domain)
(corresponds to 289 in SEQ ID NO:2) is replaced for lysine
(IgG4-R409K), and one CH3 swap mutant (1g04-CH3(.gamma.1)) (FIG.
12). These mutants were also made with either Bet v1 or Fel d1
specificity.
[0377] Site directed mutagenesis was used to introduce a P228S
mutation in the hinge of IgG1 using pEE-G1-wt a Bet v1 as a
template. Quickchange site-directed mutagenesis kit (Stratagene)
was used to create the pEE-G1-CFSC mutant. The polymerase chain
reaction (PCR) mix consisted of 5 .mu.l pEE-G1 a Betv1 DNA template
(.about.35 ng), 1.5 .mu.l mutagenic primer-forward (.about.150 ng),
1.5 .mu.l mutagenic primer-reverse (.about.150 ng), 1 .mu.l dNTP
mix, 5 .mu.l reaction buffer (10.times.), 36 .mu.l H2O and finally
1 .mu.l Plu Turbo DNA polymerase. Then the mix was applied to the
PCR: 30''95.degree. C., 30''95.degree. C. (denaturating),
1'55.degree. C. (annealing) and 17 minutes 68.degree. C.
(elongating). This cycle was repeated 20 times.
[0378] DNA digesting and ligation was used to create CH3 domain
swap mutant constructs IgG1 CH3(y4) and IgG1-P2288-CH3(y4).
Digestion reactions to obtain CH3 domains and vectors without CH3
domains were as follows: .about.1500 ng DNA (pEE-G1-betv1,
pEE-G1-CPSC and pEE-G4-betv1), 2 .mu.l BSA, 2 .mu.l Neb3 buffer, 1
.mu.l Sail and H.sub.2O added to a volume of 20 .mu.l. Incubation
at 37.degree. C. for 30'. DNA was purified and eluted with 30 .mu.l
H.sub.2O before 1 .mu.l San Dl and 3 .mu.l universal buffer was
added and incubated at 37.degree. C. for 30'. Fragments were
subjected to gel electrophoresis on 1% agarose gels with ethidium
bromide. Fragments were cut from the gel under ultraviolet light
and dissolved using a DNA purification kit (Amersham). The
pEE-G4-wt Sall/SanDl (which contained IgG4 CH3 domain) fragment was
ligated into pEE-G1-wt and pEE-G1-CPSC using following procedure: 1
.mu.l template DNA (SaII/SanDI)I digested pEE-G1-wt and
pEE-G1-CPSC), 5 .mu.l SaII/SanDI insert, 4 .mu.l Ligate-it buffer,
9 .mu.l H.sub.2O and 1 .mu.l ligase in a total volume of 20 .mu.l.
Ligation was stopped after 5'.
[0379] DNA digestion (using ApaI and HindIII) and ligation was used
to replace the VH domain of the bet v1 mutant antibodies with that
of pEE-G4-a-feld1 wt, following a similar procedure as above.
[0380] Site-directed mutagenesis was used to introduce point
mutations (K409R or R409K) into the pEE-.gamma.4 wt, pEE-.gamma.1
and PEE-.gamma.1-P228S constructs. Site-directed mutagenesis was
performed using the QuickChange II XL Site-Directed Mutagenesis Kit
(Stratagene, Amsterdam, The Netherlands) according to the
manufacturer's instructions, with changes as indicated below to
increase mutagenic efficiency. This method included the
introduction of a silent extra Reel site to screen for successful
mutagenesis. First, a prePCR mix was used containing 3 .mu.l
10.times. pfu reaction buffer, 1 .mu.l dNTP mix (10 mM), 275 ng
forward or reverse primer, 50 ng template DNA and 0.75 .mu.l Flu
turbo hotstart polymerase. A prePCR was run using a GeneAmp PCR
system 9700 (Applied Biosystems): initial denaturation at
94.degree. C. for 5 min; 4 cycles of 94.degree. C. for 30 sec,
50.degree. C. for 1 rain and 68.degree. C. for 14 min, 25 .mu.l of
forward primer containing prePCR mix was added to 25 .mu.l of
reverse primer containing prePCR mix. 0.5 .mu.l Pfu turbo hotstart
was added and amplification was performed: denaturing at 94.degree.
C. for 1 min; 14 cycles of 94.degree. C. for 1 min, 50.degree. C.
for 1 min and 68.degree. C. for 8 min; 12 cycles of 94.degree. C.
for 30 sec, 55.degree. C. for 1 min and 68.degree. C. for 8
min.
[0381] PCR mixtures were stored at 4.degree. C. until further
processing. Next, PCR mixtures were incubated with 1 .mu.l DpnI for
60 min at 37.degree. C. and stored at 4.degree. G until further
processing. 2 .mu.l of the digested PCR products was transformed in
One Shot DNH5.alpha. T1.sup.A competent E. coil cells (Invitrogen,
Breda, The Netherlands) according to the manufacturer's
instructions (Invitrogen). Next, cells were plated on Luria-Bertani
(LB) agar plates containing 50 .mu.g/ml ampicillin. Plates were
incubated for 16-18 hours at 37.degree. C. until bacterial colonies
became evident. After screening by colony PCR and Accl digestion to
check for successful mutagenesis, plasmid was isolated from the
bacteria and the mutation was confirmed by DNA sequencing. To check
if no unwanted extra mutations were introduced the whole HC coding
region was sequenced and did not contain any additional
mutations.
[0382] Recombinant antibodies from these constructs were
transiently expressed in HEK 293 cells in 3 ml, 6-wells plates
(NUNC) or in 125 or 250 erienmeyers (Corning) with 293 Pectin
(Invitrogen) as transfection reagent.
Example 14
Pab Arm Exchange of IgG1 and IgG4 Hinge Region or CH3 Domain
Mutants
[0383] Antibodies were mixed and subsequently incubated with
reduced glutathione (GSH) to investigate the exchange of half
molecules. GSH (Sigma-Aldrich, St. Louis, Mo.) was dissolved in
water before use.
[0384] The exchange of half molecules was evaluated by incubating
an antibody mixture consisting of Bet v1 specific antibody (200 ng)
and Fel d1 specific antibody (200 ng) in PBS/Azide containing GSH
(1 or 10 mM) at 37.degree. C. Total incubation volume was 50 .mu.l.
After 24 hours samples were drawn from the incubation mixture in
PBS-AT (PBS supplemented with 0.3% bovine serum albumin, 0.1%
Tween-20 and 0.05% (w/v) NaN.sub.3). For samples containing 10 mM
GSH an equimolar amount of iodine-acetamide, a strongly alkyiating
agent that inhibits the GSH activity, was added. Samples were
stored at 4.degree. C. for measuring of antigen binding and
bispecific activity
[0385] Levels of Bet v1 binding antibodies were measured in the
antigen binding test. Samples were incubated with 0.75 mg of
protein G Sepharose (Amersham Biosciences, Uppsala, Sweden) in 750
.mu.l PBS-IAT (PBS-AT supplemented with 1 .mu.g/ml IVIg) in the
presence of .sup.125 l -labeled Bet v1 for 24 h. Next, the
Sepharose was washed with PBS-T (PBS supplemented with 0.1%
Tween-20 and 0.05% (w/v) NaN.sub.3) and the amount of radioactivity
bound relative to the amount of radioactivity added was measured.
The concentration of Bet v1 specific IgG was calculated using
purified Bet v1 specific antibodies as a standard (range 0-200 ng
per test as determined by nephelometer).
[0386] The concentration of bispecific IgG (Le. Fel d1-Bet v1
cross-linking activity) was measured in the heterologous
cross-linking assay. In this assay, a sample was incubated for 24 h
with 0.5 mg Sepharose-coupled cat extract, in which Fel d1 antigen
is present, in a total volume of 300 .mu.l in PBS-IAT.
Subsequently, the Sepharose was washed with PBS-T and incubated for
24 h with .sup.125I-labeled Bet v1, after which the Sepharose was
washed with PBS-T and the amount of radioactivity bound relative to
the amount of radioactivity added was measured. The concentration
of bispecific IgG (Fel d1-Bet v1) was calculated using the same
calibration curve as used in the Bet v1 binding test, which was
obtained from purified Bet v1 binding IgG. Tests were performed
using antibody-containing supernatants in FreeStyle 293 expression
medium, GIBCO/invitrogen Corporation.
[0387] The following antibody mixtures were used: [0388] Betv1-IgG1
wt with Feld1-IgG1 wt (indicated as IgG1 wt in FIG. 13) [0389]
Betv1-IgG1 P228S with Feld1-IgG1-P228S in FIG. 13) [0390]
Betv1-IgG4-CH3(y1) with Feld1-IgG4-CH3(.gamma.1)
(IgG4-CH3(.gamma.1) in FIG. 13) [0391] Betv1-IgG4-R409K with
Feld1-IgG4-R409K (IgG4-R409K in FIG. 13) [0392]
Betv1-IgG1-CH3(.gamma.4) with Feld1-IgG1-CH3(.gamma.4)
(IgG1-CH3(y4) in FIG. 13) [0393] Betv1-IgG1-K409R with
Feld1-IgG1-K409R (IgG1-K409R in FIG. 13) [0394] Betv1-IgG4 wt with
Feld1-IgG4 wt (IgG4 wt in FIG. 13) [0395] Betv1-IgG1-P228S-CH3(y4)
with Feld1-IgG1-P228S-CH3(.gamma.4) (IgG1-P228S-CH3(.gamma.4) in
FIG. 13) [0396] Betv1-IgG1-P228S-K409R with Feld1-IgG1-P228S-K409R
(IgG1-P228S-409R in FIG. 13)
[0397] The results (FIG. 13) showed that at 1 mM GSH, half molecule
exchange occurs between lgG4 wt, IgG1-P228S-K409R or
IgG1-P228S-CH3(.gamma.4) antibodies. Under these conditions, IgG1
wt, IgG1-P228S, IgG4-CH3(.gamma.1), IgG4-R409K, IgG1-CH3(.gamma.4)
or IgG1-K409R antibodies showed no or only minimal exchange of half
molecules. At 10 .mu.M GSH, half molecule exchange was also seen in
the reactions containing IgG1-CH3(.gamma.4) or IgG1-K409R
antibodies.
Example 15
Additional CH3 Mutations to Stabilize Dimerization of Hingeless
IgG4 Antibody Molecules in the Absence of IVIG.
[0398] Hingeless IgG4 antibody (HG) molecules form dimers by low
affinity non-covalent interactions, WO120071059782 describes that
this dimerization process can be inhibited by using HG IgG4
molecules in the presence of an excess of irrelevant antibodies.
WO/2007/059782 describes a hingeless IgG4 anti-EGFR antibody
2F8-HG.
[0399] Construction of pHG-2F8: A vector for the expression of the
heavy chain of 2F8-HG: The heavy chain cDNA encoding region of
2F8-HG was codon optimized and cloned in the pEE6,4 vector (Lonza
Biologics, Slough, UK). The resulting vector was named pHG-2F8.
[0400] Construction of pKappa2F8: A vector for the production of
the light chain of 2F8 antibodies: The VL region encoding antibody
2F8 was codon optimized and cloned in the pKappa2F2 vector (a
vector encoding the codon optimized cDNA region of antibody 2F2
(described in WO2004035607) in vector pEE12.4 (Lonza)), replacing
the 2F2 VL region with the 2F8 VL region. The resulting vector was
named pKappa-2F8.
[0401] Hingeless IgG4 anti-EGFR antibody 2F8-HG has been described
in WO12007/059782. The additional mutations given in the Table
below were introduced into the CH3 region of hingeless IgG4
antibody 2F8-HG by site-directed mutagenesis.
[0402] KABAT indicates amino acid numbering according to Kabat
(Kabat et al., Sequences of Proteins of immunological Interest, 5th
Ed. Public Health Service, National Institutes of Health, Bethesda,
Md. (1991).
[0403] EU index indicates amino acid numbering according to EU,
index as outlined in Kabat et al., Sequences of Proteins of
Immunological Interest, 5th Ed. Public Health Service, National
institutes of Health, Bethesda, Md. (1991)). See also FIG. 14 for
comparison of numbering methods.
TABLE-US-00003 Numbering of CH3 mutations KABAT EU index G4 SEQ ID
NO: 2 436 F405A F285A 436 F405L F285L 440 R409A R289A 440 R409K
R289K
[0404] To make the constructs for the expression of the CH3
mutants, the mutations were introduced into pHG2F8 using
site-directed mutagenesis.
[0405] The constructs were expressed transiently in HEK-293F cells
by cotransfecting the heavy-chain-and light-chain-encoding plasmids
and binding to purified EGFr was determined in the absence and
presence of 200 .mu.g/ml polyclonal human IgG (Intravenous
Immunoglobulin, IVIG, Sanquin Netherlands).
[0406] Binding affinities were determined using an ELISA in which
purified EGFr (Sigma, St Louis, Mo.) was coated to 96-well Microlon
ELISA plates (Greiner, Germany), 50 ng/well. Plates were blocked
with PBS supplemented with 0.05% Tween 20 and 2% chicken serum.
Subsequently, samples, serially diluted in a buffer containing 100
.mu.g/ml polyclonal human IgG (Intravenous Immunoglobulin, IVIG,
Sanquin Netherlands) were added and incubated for 1 h at room
temperature (RT). Plates were subsequently incubated with
peroxidase-conjugated rabbit-anti-human kappa light chain (DAKO,
Glostrup, Denmark) as detecting antibody and developed with
2,2'-azino-bis (3-ethylbenzthiazoline-6-sulfonic acid) (ALTS;
Roche, Mannheim, Germany). Absorbance was measured in a microplate
reader (Biotek, Winooski, Vt.) at 405 nm.
[0407] FIG. 14 shows that the binding curve of 2F8-HG in the
presence of IVIG (thick dotted line with closed boxes) clearly
right-shifts with respect to the binding curve of 2F8-HG without
IVIG (thick closed line with open boxes). This difference in
avidity for the EGFr coat is consistent with the idea that, in the
presence of IVIG, 2F8-HG binds monovalently. The binding curves of
the tested mutations, 2F8-HG-F405L, 2F8-HG-F405A, 2F8-HG-R409A and
2F8-HG-R409KA, become insensitive to the addition of IVIG and were
super-imposable on the bivalent binding curve of 2F8-HG in the
absence of IVIG. These differences in avidity for the EGFr coat are
consistent with the idea that the 2F8-HG-F405L, 2F8-HG-F405A,
2F8-HG-R409A and 2F8-HG-R409K mutations stabilize dimerization of
the HG molecules.
Example 16
Additional CH3 Domain Mutations to Stabilize Dimerization of Human
Antibodies
[0408] Following the analysis described in Examples 1 and 2, it was
hypothesized that in human IgG 4, mutations relieving the
electrostatic strain between P409 and K370 (indicated with 4 in the
table below) could possibly be used to stabilize IgG4 and prevent
Fab-arm exchange. Mutations were introduced into the CH3 domains of
IgG4-CD20 and IgG4-EGFr by site-directed mutagenesis.
[0409] Mutations as given in the Table below were introduced into
the CH3 domains of IgG4-CD20 and IgG4-EGFr by site-directed
mutagenesis.
[0410] KABAT indicates amino acid numbering according to Kabat
(Kabat et al., Sequences of Proteins of Immunological Interest, 5th
Ed. Public Health Service, National Institutes of Health, Bethesda,
Md. (1991). EU index indicates amino acid numbering according to EU
index as outlined Kabat et al., Sequences of Proteins of
immunological Interest, 5th Ed. Public Health Service, National
Institutes of Health, Bethesda, Md. (1991)). See also FIG. 15 for
comparison of numbering methods.
TABLE-US-00004 Numbering of CH3 mutations KABAT EU index G4 SEQ ID
NO: 2 370 Y349D Y229D 372 L351K L231K 376 Q355R Q235R 378 E357T
E237T 387 S364D S244D 393 K370E K250E 393 K370Q K250Q 436 F405A
F285A 436 F405L F285L 440 R409A R289A 440 R409K R289K 440 R409L
R289L 440 R409M R289M 440 R409T R289T 440 R409W R289W 442 T411V
T291V 450 E419Q E299Q 476 L445P L325P
[0411] IgG1-CD20 and IgG1-EGFr, IgG4-CD20 and IgG4-EGFr, or
IgG4-0H3mutant-CD20 and IgG4-CH3mutant-EGFr were mixed and
incubated with 0.5 mM GSH as described above. Bispecific activity
was determined as described in Example 33 of PCT application, WO
2008/119353 (Genmab A/S),
[0412] FIG. 16 shows that bispecific anti-EGFrICD20 antibodies were
formed in mixtures of IgG4 antibodies as well as in mixtures of CH3
domain mutants Q235R, E299Q, L325P, R289A and S244D. No bispecific
activity was measured in mixtures of CH3 domain mutants R289K,
R289M, R289L, K250E and K250Q, indicating that these mutations
stabilized dimerization of human IgG4 antibodies. For CH3 domain
mutants L231K, Y229D, F285A, F285L, R289W and E237T diminished
bispecific activity was measured. The CH3 domain mutant T291V was
unique in that it slowed down the exchange reaction, but reached
the same level of exchange as wild-type IgG4 after 24 hrs.
Example 17
Kp Measurements in CH2 CH3 Constructs Based on IgG4 and IgG4 CH3
Mutants
[0413] In order to investigate the CH3-CH3 interaction strength of
IgG4, his-tagged constructs were designed based on the Fc-domains
human IgG4 lacking the hinge region to prevent covalent inter-heavy
chain disulfide bonds, his-CH2-CH3(G4). Subsequently, variants of
these constructs containing mutations in the CH3-CH3 interface
listed below were generated by site-directed mutagenesis.
[0414] KABAT indicates amino acid numbering according to Kabat
(Kabat et al., Sequences of Proteins of Immunological Interest, 5th
Ed. Public Health Service, National Institutes of Health, Bethesda,
Md. (1991). EU index indicates amino acid numbering according to EU
index as outlined in Kabat et al., Sequences of Proteins of
Immunological Interest, 5th Ed. Public Health Service, National
Institutes of Health, Bethesda, Md. (1991)). See also FIG. 15 for
comparison of numbering methods.
TABLE-US-00005 Numbering of CH3 mutations KABAT EU index G4 SEQ ID
NO: 2 370 Y349D Y229D 372 L351K L231K 378 E357T E237T 387 S364D
S244D 393 K370E K250E 393 K370Q K250Q 436 F405A F285A 436 F405L
F285L 440 R409A R289A 440 R409K R289K 440 R409L R289L 440 R409M
R289M 440 R409W R289W
[0415] The monomer/dimer configuration of the his-CH2-CH3(G4) and
CH3 mutants was investigated at different concentrations, ranging
from 0.01-10 .mu.M using non-covalent nano-electrospray mass
spectrometry as described in WO2007059782. For his-CH2-CH3(G4) and
CH3 mutants signals corresponding to the monomeric (M.sub.s) and
dimeric (D.sub.s) configurations were integrated and the relative
proportion of each configuration at each concentration ([M].sub.c)
was determined as described in example 8.
[0416] The K.sub.D measured for his-CH2-CH3(G4) (WT) was
4.8.times.10.sup.-8 M. The relative K.sub.D of each mutant compared
to the K.sub.D of his-CH2-CH3(G4) (WT) was calculated and
plotted.
[0417] FIG. 17 shows that CH3 mutants K250E, K250Q, R289L, R289M
and R289K had a lower relative K.sub.D, which translates into
stabilization of the CH3-CH3 interaction compared to
his-CH2-CH3(G4) (WT). The S244D mutant had a K.sub.D. value, which
was comparable to his-CH2-CH3(G4) (WT). The CH3 mutants Y229D,
L231K, E237T, F285A, F285L, R289A and R289W showed a higher
relative K.sub.D, meaning an increase in monomeric behavior
compared to his-CH2-CH3(G4) (WT).
[0418] FIG. 18 shows the correlation between the K.sub.D values of
the CH3 mutants in relation to the % of bispecific activity (after
24 hrs compared to WT IgG4). Mutants that are stabilized do not
show bispecific activity, indicating that Fab-arm exchange does not
occur in these mutants. Mutants that have K.sub.D values comparable
to WT. IgG4 behave similar in the generation of bispecific
antibodies. FIG. 16 and FIG. 18 together show that mutants that
have a weaker CH3-CH3 interaction do form bispecific antibodies,
but the amount of bispecific antibodies is much lower and are not
stable over time.
TABLE-US-00006 SEQUENCE LISTING The nucleic acid sequence of the
wildtype C.sub.H region of human IgG4 SEQ ID No: 1: 1 GCTAGCACCA
AGGQCCCATC CGTCTTCCCC CTGGCGCCCT GCTCCAGGAG 51 CACCTCCGAG
AGCACAGCCG CCCTGGGCTG CCTGGTCAAG GACTACTTCC 101 CCGAACCGGT
GACGGTGTCG TGGAACTCAG GCGCCCTGAC CAGCGGCGTG 151 CACACCTTCC
CGGCTGTCCT ACAGTCCTCA GGACTCTACT CCCTCAGCAG 201 CGTGGTGACC
GTGCCCTCCA GCAGCTTGGG CACGAAGACC TACACCTGCA 251 ACGTAGATCA
CAAGCCCAGC AACACCAAGG TGGACAAGAG AGTTGGTGAG 301 AGGCCAGCAC
AGGGAGGGAG GGTGTCTGCT GGAAGCCAGG CTCAGCCCTC 351 CTGCCTGGAC
GCACCCCGGC TGTGCAGCCC CAGCCCAGGG CAGCAAGGCA 401 TGCCCCATCT
GTCTCCTCAC CCGGAGGCCT CTGACCACCC CACTCATGCT 451 CAGGGAGAGG
GTCTTCTGGA TTTTTCCACC AGGCTCCGGG CAGCCACAGG 501 CTGGATGCCC
CTACCCCAGG CCCTGCGCAT ACAGGGGCAG GTGCTGCGCT 551 CAGACCTGCC
AAGAGCCATA TCCGGGAGGA CCCTGCCCCT GACCTAAGCC 601 CACCCCAAAG
GCCAAACTCT CCACTCCCTC AGCTCAGACA CCTTCTCTCC 651 TCCCAGATCT
GAGTAACTCC CAATCTTCTC TCTGCAGAGT CCAAATATGG 701 TCCCCCATGC
CCATCATGCC CAGGTAAGCC AACCCAGGCC TCGCCCTCCA 751 GCTCAAGGCG
GGACAGGTGC CCTAGAGTAG CCTGCATCCA GGGACAGGCC 801 CCAGCCGGGT
GCTGACGCAT CCACCTCCAT CTCTTCCTCA GCACCTGAGT 851 TCCTGGGGGG
ACCATCAGTC TTCCTGTTCC CCCCAAAACC CAAGGACACT 901 CTCATGATCT
CCCGGACCCC TGAGGTCACG TGCGTGGTGG TGGACGTGAG 951 CCAGGAAGAC
CCCGAGGTCC AGTTCAACTG GTACGTGGAT GGCGTGGAGG 1001 TGCATAATGC
CAAGACAAAG CCGCGGGAGG AGCAGTTCAA CAGCACGTAC 1051 CGTGTGGTCA
GCGTCCTCAC CGTCCTGCAC CAGGACTGGC TGAACGGCAA 1101 GGAGTACAAG
TGCAAGGTCT CCAACAAAGG CCTCCCGTCC TCCATCGAGA 1151 AAACCATCTC
CAAAGCCAAA GGTGGGACCC ACGGGGTGCG AGGGCCACAT 1201 GGACAGAGGT
CAGCTCGGCC CACCCTCTGC CCTGGGAGTG ACCGCTGTGC 1251 CAACCTCTGT
CCCTACAGGG CAGCCCCGAG AGCCACAGGT GTACACCCTG 1301 CCCCCATCCC
AGGAGGAGAT GACCAAGAAC CAGGTCAGCC TGACCTGCCT 1351 GGTCAAAGGC
TTCTACCCCA GCGACATCGC CGTGGAGTGG GAGAGCAATG 1401 GGCAGCCGGA
GAACAACTAC AAGACCACGC CTCCCGTGCT GGACTCCGAC 1451 GGCTCCTTCT
TCCTCTACAG CAGGCTAACC GTGGACAAGA GCAGGTGGCA 1501 GGAGGGGAAT
GTCTTCTCAT GCTCCGTGAT GCATGAGGCT CTGCACAACC 1551 ACTACACACA
GAAGAGCCTC TCCCTGTCTC TGGGTAAA The amino acid sequence of the
wildtype C.sub.H region of human IgG4 SEQ ID No: 2: 1 ASTKGPSVFP
LAPCSRSTSE STAALGCLVK DYFPEPVTVS WNSGALTSGV 51 ##STR00001## 101
##STR00002## 151 PEVQFNWYVD GVEVHNAKTK PREEQFNSTY RVVSVLTVX1H
QDWLNGKEYK 201 ##STR00003## 251 ##STR00004## 301 ##STR00005##
wherein X1 at position 189 is Leu and X2 at position 289 is Arg, or
wherein X1 at position 189 is Leu and X2 at position 289 is Lys, or
wherein X1 at position 189 is Val and X2 at position 289 is Arg.
The nucleic acid sequence encoding the C.sub.H region of human IgG4
(SEQ ID No: 1) mutated in positions 714 and 722 SEQ ID No: 3: 1
GCTAGCACCA AGGGCCCATC CGTCTTCCCC CTGGCGCCCT GCTCCAGGAG 51
CACCTCCGAG AGCACAGCCG CCCTGGGCTG CCTGGTCAAG GACTACTTCC 101
CCGAACCGGT GACGGTGTCG TGGAACTCAG GCGCCCTGAC CAGCGGCGTG 151
CACACCTTCC CGGCTGTCCT ACAGTCCTCA GGACTCTACT CCCTCAGCAG 201
CGTGGTGACC GTGCCCTCCA GCAGCTTGGG CACGAAGACC TACACCTGCA 251
ACGTAGATCA CAAGCCCAGC AACACCAAGG TGGACAAGAG AGTTGGTGAG 301
AGGCCAGCAC AGGGAGGGAG GGTGTCTGCT GGAAGCCAGG CTCAGCCCTC 351
CTGCCTGGAC GCACCCCGGC TGTGCAGCCC CAGCCCAGGG CAGCAAGGCA 401
TGCCCCATCT GTCTCCTCAC CCGGAGGCCT CTGACCACCC CACTCATGCT 451
CAGGGAGAGG GTCTTCTGGA TTTTTCCACC AGGCTCCGGG CAGCCACAGG 501
CTGGATGCCC CTACCCCAGG CCCTGCGCAT ACAGGGGCAG GTGCTGCGCT 551
CAGACCTGCC AAGAGCCATA TCCGGGAGGA CCCTGCCCCT GACCTAAGCC 601
CACCCCAAAG GCCAAACTCT CCACTCCCTC AGCTCAGACA CCTTCTCTCC 651
TCCCAGATCT GAGTAACTCC CAATCTTCTC TCTGCAGAGT CCAAATATGG 701
TCCCCCATGC CCACCATGCC CGGGTAAGCC AACCCAGGCC TCGCCCTCCA 751
GCTCAAGGCG GGACAGGTGC CCTAGAGTAG CCTGCATCCA GGGACAGGCC 801
CCAGCCGGGT GCTGACGCAT CCACCTCCAT CTCTTCCTCA GCACCTGAGT 851
TCCTGGGGGG ACCATCAGTC TTCCTGTTCC CCCCAAAACC CAAGGACACT 901
CTCATGATCT CCCGGACCCC TGAGGTCACG TGCGTGGTGG TGGACGTGAG 951
CCAGGAAGAC CCCGAGGTCC AGTTCAACTG GTACGTGGAT GGCGTGGAGG 1001
TGCATAATGC CAAGACAAAG CCGCGGGAGG AGCAGTTCAA CAGCACGTAC 1051
CGTGTGGTCA GCGTCCTCAC CGTCCTGCAC CAGGACTGGC TGAACGGCAA 1101
GGAGTACAAG TGCAAGGTCT CCAACAAAGG CCTCCCGTCC TCCATCGAGA 1151
AAACCATCTC CAAAGCCAAA GGTGGGACCC ACGGGGTGCG AGGGCCACAT 1201
GGACAGAGGT CAGCTCGGCC CACCCTCTGC CCTGGGAGTG ACCGCTGTGC 1251
CAACCTCTGT CCCTACAGGG CAGCCCCGAG AGCCACAGGT GTACACCCTG 1301
CCCCCATCCC AGGAGGAGAT GACCAAGAAC CAGGTCAGCC TGACCTGCCT 1351
GGTCAAAGGC TTCTACCCCA GCGACATCGC CGTGGAGTGG GAGAGCAATG 1401
GGCAGCCGGA GAACAACTAC AAGACCACGC CTCCCGTGCT GGACTCCGAC 1451
GGCTCCTTCT TCCTCTACAG CAGGCTAACC GTGGACAAGA GCAGGTGGCA 1501
GGAGGGGAAT GTCTTCTCAT GCTCCGTGAT GCATGAGGCT CTGCACAACC 1551
ACTACACACA GAAGAGCCTC TCCCTGTCTC TGGGTAAA The amino acid sequence
of the hingeless C.sub.H region of a human IgG4. SEQ ID No: 4: 1
ASTKGPSVFP LAPCSRSTSE STAALGCLVK DYFPEPVTVG WNSGALTSGV 51
HTFPAVLQSS GLYSLSSVVT VPSSSLGTKT YTCNVDHKPS NTKVDKRVAP 101
EFLGGPSVFL FPPKPKDTLM ISRTPEVTCV VVDVSQEDPE VQFNWYVDGV 151
EVHNAKTKPR EEQFNSTYRV VSVLTVLHQD WLNGKEYKCK VSNKGLPSSI 201
##STR00006## 251 ##STR00007## 301 ##STR00008## The amino acid
sequence of the lambda chain constant human (accession number
S25751) SEQ ID No: 5: 1 qpkaapsvtl fppsseelqa nkatlvclis dfypgavtva
wkadsspvka 51 gvetttpskg snnkyaassy lsltpeqwks hrsyscgvth
egstvektva 101 pteCs The amino acid sequence of the kappa chain
constant human (accession number P01834) SEQ ID No: 6: 1 tvaapsvfif
ppsdeqlksg tasvvcllnn fypreakvqw kvdnalqsgn 51 sqesvteqds
kdstyslsst ltlskadyek hkvyacevth qglsspvtks 101 fnrgeC The amino
acid sequence of IgG1 constant region (accession number P01857) SEQ
ID No: 7: 1 astkgpsvfp lapSskstsg gtaalgclvk dyfpepvtvs wnsgaltsgv
51 ##STR00009## 101 ##STR00010## 151 hedpevkfnw yvdgvevhna
ktkpreeqyn styrvvsvlt vlhqdwlngk 201 ##STR00011## 251 ##STR00012##
301 ##STR00013## The amino acid sequence of IgG2 constant region
(accession number P01859) SEQ ID No: 8: 1 astkgpsvfp lapcsrstse
staalgclvk dyfpepvtvs wnsgaltsgv 51 ##STR00014## 101 ##STR00015##
151 evqfnwyvdg vevhnaktkp reeqfnstfr vvsvltvvhq dwlngkeykc 201
##STR00016## 251 ##STR00017## 301 ##STR00018## The amino acid
sequence of IgG3 constant region (accession number A23511) SEQ ID
No: 9: 1 astkgpsvfp lapcsrstsg gtaalgclvk dyfpepvtvs wnsgaltsgv 51
##STR00019## 101 ##STR00020## 151 ##STR00021## 201 pevqfkwyvd
gvevhnaktk preeqynstf rvvsvltvlh qdwlngkeyk 251 ##STR00022## 301
##STR00023## 351 ##STR00024##
Sequence CWU 1
1
1111588DNAHomo sapiens 1gctagcacca agggcccatc cgtcttcccc ctggcgccct
gctccaggag cacctccgag 60agcacagccg ccctgggctg cctggtcaag gactacttcc
ccgaaccggt gacggtgtcg 120tggaactcag gcgccctgac cagcggcgtg
cacaccttcc cggctgtcct acagtcctca 180ggactctact ccctcagcag
cgtggtgacc gtgccctcca gcagcttggg cacgaagacc 240tacacctgca
acgtagatca caagcccagc aacaccaagg tggacaagag agttggtgag
300aggccagcac agggagggag ggtgtctgct ggaagccagg ctcagccctc
ctgcctggac 360gcaccccggc tgtgcagccc cagcccaggg cagcaaggca
tgccccatct gtctcctcac 420ccggaggcct ctgaccaccc cactcatgct
cagggagagg gtcttctgga tttttccacc 480aggctccggg cagccacagg
ctggatgccc ctaccccagg ccctgcgcat acaggggcag 540gtgctgcgct
cagacctgcc aagagccata tccgggagga ccctgcccct gacctaagcc
600caccccaaag gccaaactct ccactccctc agctcagaca ccttctctcc
tcccagatct 660gagtaactcc caatcttctc tctgcagagt ccaaatatgg
tcccccatgc ccatcatgcc 720caggtaagcc aacccaggcc tcgccctcca
gctcaaggcg ggacaggtgc cctagagtag 780cctgcatcca gggacaggcc
ccagccgggt gctgacgcat ccacctccat ctcttcctca 840gcacctgagt
tcctgggggg accatcagtc ttcctgttcc ccccaaaacc caaggacact
900ctcatgatct cccggacccc tgaggtcacg tgcgtggtgg tggacgtgag
ccaggaagac 960cccgaggtcc agttcaactg gtacgtggat ggcgtggagg
tgcataatgc caagacaaag 1020ccgcgggagg agcagttcaa cagcacgtac
cgtgtggtca gcgtcctcac cgtcctgcac 1080caggactggc tgaacggcaa
ggagtacaag tgcaaggtct ccaacaaagg cctcccgtcc 1140tccatcgaga
aaaccatctc caaagccaaa ggtgggaccc acggggtgcg agggccacat
1200ggacagaggt cagctcggcc caccctctgc cctgggagtg accgctgtgc
caacctctgt 1260ccctacaggg cagccccgag agccacaggt gtacaccctg
cccccatccc aggaggagat 1320gaccaagaac caggtcagcc tgacctgcct
ggtcaaaggc ttctacccca gcgacatcgc 1380cgtggagtgg gagagcaatg
ggcagccgga gaacaactac aagaccacgc ctcccgtgct 1440ggactccgac
ggctccttct tcctctacag caggctaacc gtggacaaga gcaggtggca
1500ggaggggaat gtcttctcat gctccgtgat gcatgaggct ctgcacaacc
actacacaca 1560gaagagcctc tccctgtctc tgggtaaa 15882327PRTHomo
sapiensVARIANT(189)..(189)Xaa = Leu or ValVARIANT(289)..(289)Xaa =
Arg or Lys 2Ala Ser Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Cys
Ser Arg 1 5 10 15 Ser Thr Ser Glu Ser 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 Lys Thr 65 70 75 80 Tyr Thr Cys Asn
Val Asp His Lys Pro Ser Asn Thr Lys Val Asp Lys 85 90 95 Arg Val
Glu Ser Lys Tyr Gly Pro Pro Cys Pro Ser Cys Pro Ala Pro 100 105 110
Glu Phe Leu Gly Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro Lys 115
120 125 Asp Thr Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val
Val 130 135 140 Asp Val Ser Gln Glu Asp Pro Glu Val Gln Phe Asn Trp
Tyr Val Asp 145 150 155 160 Gly Val Glu Val His Asn Ala Lys Thr Lys
Pro Arg Glu Glu Gln Phe 165 170 175 Asn Ser Thr Tyr Arg Val Val Ser
Val Leu Thr Val Xaa His Gln Asp 180 185 190 Trp Leu Asn Gly Lys Glu
Tyr Lys Cys Lys Val Ser Asn Lys Gly Leu 195 200 205 Pro Ser Ser Ile
Glu Lys Thr Ile Ser Lys Ala Lys Gly Gln Pro Arg 210 215 220 Glu Pro
Gln Val Tyr Thr Leu Pro Pro Ser Gln Glu Glu Met Thr Lys 225 230 235
240 Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser Asp
245 250 255 Ile Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn
Tyr Lys 260 265 270 Thr Thr Pro Pro Val Leu Asp Ser Asp Gly Ser Phe
Phe Leu Tyr Ser 275 280 285 Xaa Leu Thr Val Asp Lys Ser Arg Trp Gln
Glu Gly Asn Val Phe Ser 290 295 300 Cys Ser Val Met His Glu Ala Leu
His Asn His Tyr Thr Gln Lys Ser 305 310 315 320 Leu Ser Leu Ser Leu
Gly Lys 325 31588DNAHomo sapiens 3gctagcacca agggcccatc cgtcttcccc
ctggcgccct gctccaggag cacctccgag 60agcacagccg ccctgggctg cctggtcaag
gactacttcc ccgaaccggt gacggtgtcg 120tggaactcag gcgccctgac
cagcggcgtg cacaccttcc cggctgtcct acagtcctca 180ggactctact
ccctcagcag cgtggtgacc gtgccctcca gcagcttggg cacgaagacc
240tacacctgca acgtagatca caagcccagc aacaccaagg tggacaagag
agttggtgag 300aggccagcac agggagggag ggtgtctgct ggaagccagg
ctcagccctc ctgcctggac 360gcaccccggc tgtgcagccc cagcccaggg
cagcaaggca tgccccatct gtctcctcac 420ccggaggcct ctgaccaccc
cactcatgct cagggagagg gtcttctgga tttttccacc 480aggctccggg
cagccacagg ctggatgccc ctaccccagg ccctgcgcat acaggggcag
540gtgctgcgct cagacctgcc aagagccata tccgggagga ccctgcccct
gacctaagcc 600caccccaaag gccaaactct ccactccctc agctcagaca
ccttctctcc tcccagatct 660gagtaactcc caatcttctc tctgcagagt
ccaaatatgg tcccccatgc ccaccatgcc 720cgggtaagcc aacccaggcc
tcgccctcca gctcaaggcg ggacaggtgc cctagagtag 780cctgcatcca
gggacaggcc ccagccgggt gctgacgcat ccacctccat ctcttcctca
840gcacctgagt tcctgggggg accatcagtc ttcctgttcc ccccaaaacc
caaggacact 900ctcatgatct cccggacccc tgaggtcacg tgcgtggtgg
tggacgtgag ccaggaagac 960cccgaggtcc agttcaactg gtacgtggat
ggcgtggagg tgcataatgc caagacaaag 1020ccgcgggagg agcagttcaa
cagcacgtac cgtgtggtca gcgtcctcac cgtcctgcac 1080caggactggc
tgaacggcaa ggagtacaag tgcaaggtct ccaacaaagg cctcccgtcc
1140tccatcgaga aaaccatctc caaagccaaa ggtgggaccc acggggtgcg
agggccacat 1200ggacagaggt cagctcggcc caccctctgc cctgggagtg
accgctgtgc caacctctgt 1260ccctacaggg cagccccgag agccacaggt
gtacaccctg cccccatccc aggaggagat 1320gaccaagaac caggtcagcc
tgacctgcct ggtcaaaggc ttctacccca gcgacatcgc 1380cgtggagtgg
gagagcaatg ggcagccgga gaacaactac aagaccacgc ctcccgtgct
1440ggactccgac ggctccttct tcctctacag caggctaacc gtggacaaga
gcaggtggca 1500ggaggggaat gtcttctcat gctccgtgat gcatgaggct
ctgcacaacc actacacaca 1560gaagagcctc tccctgtctc tgggtaaa
15884315PRTHomo sapiens 4Ala Ser Thr Lys Gly Pro Ser Val Phe Pro
Leu Ala Pro Cys Ser Arg 1 5 10 15 Ser Thr Ser Glu Ser 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 Lys Thr 65 70 75 80
Tyr Thr Cys Asn Val Asp His Lys Pro Ser Asn Thr Lys Val Asp Lys 85
90 95 Arg Val Ala Pro Glu Phe Leu Gly Gly Pro Ser Val Phe Leu Phe
Pro 100 105 110 Pro Lys Pro Lys Asp Thr Leu Met Ile Ser Arg Thr Pro
Glu Val Thr 115 120 125 Cys Val Val Val Asp Val Ser Gln Glu Asp Pro
Glu Val Gln Phe Asn 130 135 140 Trp Tyr Val Asp Gly Val Glu Val His
Asn Ala Lys Thr Lys Pro Arg 145 150 155 160 Glu Glu Gln Phe Asn Ser
Thr Tyr Arg Val Val Ser Val Leu Thr Val 165 170 175 Leu His Gln Asp
Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val Ser 180 185 190 Asn Lys
Gly Leu Pro Ser Ser Ile Glu Lys Thr Ile Ser Lys Ala Lys 195 200 205
Gly Gln Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Gln Glu 210
215 220 Glu Met Thr Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly
Phe 225 230 235 240 Tyr Pro Ser Asp Ile Ala Val Glu Trp Glu Ser Asn
Gly Gln Pro Glu 245 250 255 Asn Asn Tyr Lys Thr Thr Pro Pro Val Leu
Asp Ser Asp Gly Ser Phe 260 265 270 Phe Leu Tyr Ser Arg Leu Thr Val
Asp Lys Ser Arg Trp Gln Glu Gly 275 280 285 Asn Val Phe Ser Cys Ser
Val Met His Glu Ala Leu His Asn His Tyr 290 295 300 Thr Gln Lys Ser
Leu Ser Leu Ser Leu Gly Lys 305 310 315 5105PRTHomo sapiens 5Gln
Pro Lys Ala Ala Pro Ser Val Thr Leu Phe Pro Pro Ser Ser Glu 1 5 10
15 Glu Leu Gln Ala Asn Lys Ala Thr Leu Val Cys Leu Ile Ser Asp Phe
20 25 30 Tyr Pro Gly Ala Val Thr Val Ala Trp Lys Ala Asp Ser Ser
Pro Val 35 40 45 Lys Ala Gly Val Glu Thr Thr Thr Pro Ser Lys Gln
Ser Asn Asn Lys 50 55 60 Tyr Ala Ala Ser Ser Tyr Leu Ser Leu Thr
Pro Glu Gln Trp Lys Ser 65 70 75 80 His Arg Ser Tyr Ser Cys Gln Val
Thr His Glu Gly Ser Thr Val Glu 85 90 95 Lys Thr Val Ala Pro Thr
Glu Cys Ser 100 105 6106PRTHomo sapiens 6Thr Val Ala Ala Pro Ser
Val Phe Ile Phe Pro Pro Ser Asp Glu Gln 1 5 10 15 Leu Lys Ser Gly
Thr Ala Ser Val Val Cys Leu Leu Asn Asn Phe Tyr 20 25 30 Pro Arg
Glu Ala Lys Val Gln Trp Lys Val Asp Asn Ala Leu Gln Ser 35 40 45
Gly Asn Ser Gln Glu Ser Val Thr Glu Gln Asp Ser Lys Asp Ser Thr 50
55 60 Tyr Ser Leu Ser Ser Thr Leu Thr Leu Ser Lys Ala Asp Tyr Glu
Lys 65 70 75 80 His Lys Val Tyr Ala Cys Glu Val Thr His Gln Gly Leu
Ser Ser Pro 85 90 95 Val Thr Lys Ser Phe Asn Arg Gly Glu Cys 100
105 7330PRTHomo sapiens 7Ala 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 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 Asp
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 8326PRTHomo sapiens
8Ala Ser Thr Lys Gly Pro Ser Val Phe Pro Leu Ala Pro Cys Ser Arg 1
5 10 15 Ser Thr Ser Glu Ser 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 Asn Phe Gly Thr Gln Thr 65 70 75 80 Tyr Thr Cys Asn Val Asp His
Lys Pro Ser Asn Thr Lys Val Asp Lys 85 90 95 Thr Val Glu Arg Lys
Cys Cys Val Glu Cys Pro Pro Cys Pro Ala Pro 100 105 110 Pro Val Ala
Gly Pro Ser Val Phe Leu Phe Pro Pro Lys Pro Lys Asp 115 120 125 Thr
Leu Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val Val Val Asp 130 135
140 Val Ser His Glu Asp Pro Glu Val Gln Phe Asn Trp Tyr Val Asp Gly
145 150 155 160 Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu
Gln Phe Asn 165 170 175 Ser Thr Phe Arg Val Val Ser Val Leu Thr Val
Val His Gln Asp Trp 180 185 190 Leu Asn Gly Lys Glu Tyr Lys Cys Lys
Val Ser Asn Lys Gly Leu Pro 195 200 205 Ala Pro Ile Glu Lys Thr Ile
Ser Lys Thr Lys Gly Gln Pro Arg Glu 210 215 220 Pro Gln Val Tyr Thr
Leu Pro Pro Ser Arg Glu Glu Met Thr Lys Asn 225 230 235 240 Gln Val
Ser Leu Thr Cys Leu Val Lys Gly Phe Tyr Pro Ser Asp Ile 245 250 255
Ala Val Glu Trp Glu Ser Asn Gly Gln Pro Glu Asn Asn Tyr Lys Thr 260
265 270 Thr Pro Pro Met Leu Asp Ser Asp Gly Ser Phe Phe Leu Tyr Ser
Lys 275 280 285 Leu Thr Val Asp Lys Ser Arg Trp Gln Gln Gly Asn Val
Phe Ser Cys 290 295 300 Ser Val Met His Glu Ala Leu His Asn His Tyr
Thr Gln Lys Ser Leu 305 310 315 320 Ser Leu Ser Pro Gly Lys 325
9377PRTHomo sapiens 9Ala Ser Thr Lys Gly Pro Ser Val Phe Pro Leu
Ala Pro Cys Ser Arg 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
Thr Cys Asn Val Asn His Lys Pro Ser Asn Thr Lys Val Asp Lys 85 90
95 Arg Val Glu Leu Lys Thr Pro Leu Gly Asp Thr Thr His Thr Cys Pro
100 105 110 Arg Cys Pro Glu Pro Lys Ser Cys Asp Thr Pro Pro Pro Cys
Pro Arg 115 120 125 Cys Pro Glu Pro Lys Ser Cys Asp Thr Pro Pro Pro
Cys Pro Arg Cys 130 135 140 Pro Glu Pro Lys Ser Cys Asp Thr Pro Pro
Pro Cys Pro Arg Cys Pro 145 150 155 160 Ala Pro Glu Leu Leu Gly Gly
Pro Ser Val Phe Leu Phe Pro Pro Lys 165 170 175 Pro Lys Asp Thr Leu
Met Ile Ser Arg Thr Pro Glu Val Thr Cys Val 180 185 190 Val Val Asp
Val Ser His Glu Asp Pro Glu Val Gln Phe Lys Trp Tyr 195 200 205 Val
Asp Gly Val Glu Val His Asn Ala Lys Thr Lys Pro Arg Glu Glu 210 215
220 Gln Tyr Asn Ser Thr Phe Arg Val Val Ser Val Leu Thr Val Leu His
225 230 235 240 Gln Asp Trp Leu Asn Gly Lys Glu Tyr Lys Cys Lys Val
Ser Asn Lys 245 250 255 Ala Leu Pro Ala Pro Ile Glu Lys Thr Ile Ser
Lys Thr Lys Gly Gln 260
265 270 Pro Arg Glu Pro Gln Val Tyr Thr Leu Pro Pro Ser Arg Glu Glu
Met 275 280 285 Thr Lys Asn Gln Val Ser Leu Thr Cys Leu Val Lys Gly
Phe Tyr Pro 290 295 300 Ser Asp Ile Ala Val Glu Trp Glu Ser Ser Gly
Gln Pro Glu Asn Asn 305 310 315 320 Tyr Asn Thr Thr Pro Pro Met Leu
Asp Ser Asp Gly Ser Phe Phe Leu 325 330 335 Tyr Ser Lys Leu Thr Val
Asp Lys Ser Arg Trp Gln Gln Gly Asn Ile 340 345 350 Phe Ser Cys Ser
Val Met His Glu Ala Leu His Asn Arg Phe Thr Gln 355 360 365 Lys Ser
Leu Ser Leu Ser Pro Gly Lys 370 375 104PRTHomo sapiens 10Cys Pro
Pro Cys 1 114PRTHomo sapiens 11Cys Pro Ser Cys 1
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