HRP20160494T1 - Antigen-vezujući proteini za proproteinsku konvertazu subtilizin keksin tipa 9 (pcsk9) - Google Patents
Antigen-vezujući proteini za proproteinsku konvertazu subtilizin keksin tipa 9 (pcsk9) Download PDFInfo
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- HRP20160494T1 HRP20160494T1 HRP20160494TT HRP20160494T HRP20160494T1 HR P20160494 T1 HRP20160494 T1 HR P20160494T1 HR P20160494T T HRP20160494T T HR P20160494TT HR P20160494 T HRP20160494 T HR P20160494T HR P20160494 T1 HRP20160494 T1 HR P20160494T1
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- 102000025171 antigen binding proteins Human genes 0.000 title claims 26
- 108091000831 antigen binding proteins Proteins 0.000 title claims 26
- 101710172072 Kexin Proteins 0.000 title 1
- 239000012634 fragment Substances 0.000 claims 17
- 125000003275 alpha amino acid group Chemical group 0.000 claims 16
- 101001098868 Homo sapiens Proprotein convertase subtilisin/kexin type 9 Proteins 0.000 claims 13
- 102100038955 Proprotein convertase subtilisin/kexin type 9 Human genes 0.000 claims 11
- 210000004027 cell Anatomy 0.000 claims 7
- 230000027455 binding Effects 0.000 claims 5
- ZDXPYRJPNDTMRX-UHFFFAOYSA-N glutamine Natural products OC(=O)C(N)CCC(N)=O ZDXPYRJPNDTMRX-UHFFFAOYSA-N 0.000 claims 5
- WHUUTDBJXJRKMK-UHFFFAOYSA-N Glutamic acid Natural products OC(=O)C(N)CCC(O)=O WHUUTDBJXJRKMK-UHFFFAOYSA-N 0.000 claims 4
- 101001051093 Homo sapiens Low-density lipoprotein receptor Proteins 0.000 claims 4
- 102100024640 Low-density lipoprotein receptor Human genes 0.000 claims 4
- 235000013922 glutamic acid Nutrition 0.000 claims 4
- 239000004220 glutamic acid Substances 0.000 claims 4
- 125000000291 glutamic acid group Chemical group N[C@@H](CCC(O)=O)C(=O)* 0.000 claims 4
- HVYWMOMLDIMFJA-DPAQBDIFSA-N cholesterol Chemical compound C1C=C2C[C@@H](O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@H]([C@H](C)CCCC(C)C)[C@@]1(C)CC2 HVYWMOMLDIMFJA-DPAQBDIFSA-N 0.000 claims 3
- 239000008194 pharmaceutical composition Substances 0.000 claims 3
- 239000000427 antigen Substances 0.000 claims 2
- 102000036639 antigens Human genes 0.000 claims 2
- 108091007433 antigens Proteins 0.000 claims 2
- 238000012875 competitive assay Methods 0.000 claims 2
- 239000003814 drug Substances 0.000 claims 2
- 102000053786 human PCSK9 Human genes 0.000 claims 2
- 238000000338 in vitro Methods 0.000 claims 2
- 210000003292 kidney cell Anatomy 0.000 claims 2
- 102000039446 nucleic acids Human genes 0.000 claims 2
- 108020004707 nucleic acids Proteins 0.000 claims 2
- 150000007523 nucleic acids Chemical class 0.000 claims 2
- 238000003259 recombinant expression Methods 0.000 claims 2
- 229940124597 therapeutic agent Drugs 0.000 claims 2
- 208000024172 Cardiovascular disease Diseases 0.000 claims 1
- 241000282693 Cercopithecidae Species 0.000 claims 1
- 241000699800 Cricetinae Species 0.000 claims 1
- 241000699802 Cricetulus griseus Species 0.000 claims 1
- 208000032928 Dyslipidaemia Diseases 0.000 claims 1
- 229940121710 HMGCoA reductase inhibitor Drugs 0.000 claims 1
- 208000035150 Hypercholesterolemia Diseases 0.000 claims 1
- 102000001706 Immunoglobulin Fab Fragments Human genes 0.000 claims 1
- 108010054477 Immunoglobulin Fab Fragments Proteins 0.000 claims 1
- 208000017170 Lipid metabolism disease Diseases 0.000 claims 1
- 208000001145 Metabolic Syndrome Diseases 0.000 claims 1
- 208000006011 Stroke Diseases 0.000 claims 1
- 201000000690 abdominal obesity-metabolic syndrome Diseases 0.000 claims 1
- 210000004899 c-terminal region Anatomy 0.000 claims 1
- 235000012000 cholesterol Nutrition 0.000 claims 1
- 206010012601 diabetes mellitus Diseases 0.000 claims 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims 1
- 239000013604 expression vector Substances 0.000 claims 1
- 125000003630 glycyl group Chemical group [H]N([H])C([H])([H])C(*)=O 0.000 claims 1
- 206010073071 hepatocellular carcinoma Diseases 0.000 claims 1
- 231100000844 hepatocellular carcinoma Toxicity 0.000 claims 1
- 210000004408 hybridoma Anatomy 0.000 claims 1
- 238000004519 manufacturing process Methods 0.000 claims 1
- 238000000034 method Methods 0.000 claims 1
- 239000000203 mixture Substances 0.000 claims 1
- 230000035772 mutation Effects 0.000 claims 1
- 210000001672 ovary Anatomy 0.000 claims 1
- 239000000546 pharmaceutical excipient Substances 0.000 claims 1
- 230000002265 prevention Effects 0.000 claims 1
- 235000018102 proteins Nutrition 0.000 claims 1
- 102000004169 proteins and genes Human genes 0.000 claims 1
- 108090000623 proteins and genes Proteins 0.000 claims 1
- 239000013598 vector Substances 0.000 claims 1
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- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/21—Esters, e.g. nitroglycerine, selenocyanates
- A61K31/215—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids
- A61K31/22—Esters, e.g. nitroglycerine, selenocyanates of carboxylic acids of acyclic acids, e.g. pravastatin
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- A61K31/33—Heterocyclic compounds
- A61K31/335—Heterocyclic compounds having oxygen as the only ring hetero atom, e.g. fungichromin
- A61K31/365—Lactones
- A61K31/366—Lactones having six-membered rings, e.g. delta-lactones
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- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
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- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/40—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil
- A61K31/403—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with one nitrogen as the only ring hetero atom, e.g. sulpiride, succinimide, tolmetin, buflomedil condensed with carbocyclic rings, e.g. carbazole
- A61K31/404—Indoles, e.g. pindolol
- A61K31/405—Indole-alkanecarboxylic acids; Derivatives thereof, e.g. tryptophan, indomethacin
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- A61K31/00—Medicinal preparations containing organic active ingredients
- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
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- A61K31/33—Heterocyclic compounds
- A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
- A61K31/495—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with two or more nitrogen atoms as the only ring heteroatoms, e.g. piperazine or tetrazines
- A61K31/505—Pyrimidines; Hydrogenated pyrimidines, e.g. trimethoprim
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- A61K39/39533—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
- A61K39/3955—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
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- A61P7/00—Drugs for disorders of the blood or the extracellular fluid
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- A—HUMAN NECESSITIES
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- A61P9/00—Drugs for disorders of the cardiovascular system
- A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/40—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against enzymes
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- C12—BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
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- C12N15/00—Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
- C12N15/09—Recombinant DNA-technology
- C12N15/11—DNA or RNA fragments; Modified forms thereof; Non-coding nucleic acids having a biological activity
- C12N15/113—Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing
- C12N15/1137—Non-coding nucleic acids modulating the expression of genes, e.g. antisense oligonucleotides; Antisense DNA or RNA; Triplex- forming oligonucleotides; Catalytic nucleic acids, e.g. ribozymes; Nucleic acids used in co-suppression or gene silencing against enzymes
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- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
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- A61K2300/00—Mixtures or combinations of active ingredients, wherein at least one active ingredient is fully defined in groups A61K31/00 - A61K41/00
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- C07K—PEPTIDES
- C07K2299/00—Coordinates from 3D structures of peptides, e.g. proteins or enzymes
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- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/10—Immunoglobulins specific features characterized by their source of isolation or production
- C07K2317/14—Specific host cells or culture conditions, e.g. components, pH or temperature
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- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
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- C07K2317/00—Immunoglobulins specific features
- C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
- C07K2317/34—Identification of a linear epitope shorter than 20 amino acid residues or of a conformational epitope defined by amino acid residues
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- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/76—Antagonist effect on antigen, e.g. neutralization or inhibition of binding
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- C07K2317/00—Immunoglobulins specific features
- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
- C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
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Claims (23)
1. Monoklonsko protutijelo ili njegov fragment koji se veže za ljudski PCSK9 i neutralizira ga tako da je suvišak navedenog protutijela ili njegovog fragmenta sposoban umanjiti količinu PCSK9 vezanog za LDLR u in vitro kompetetivnom veznom određivanju, pri čemu se navedeno monoklonsko protutijelo ili njegov fragment natječu za vezanje za PCSK9 s
(a) protutijelom koje sadrži varijabilnu regiju teškog lanca aminokiselinskog slijeda iz SEQ ID NO: 49; i varijabilnu regiju lakog lanca aminokiselinskog slijeda iz SEQ ID NO: 23; ili
(b) protutijelom koje sadrži varijabilnu regiju teškog lanca aminokiselinskog slijeda iz SEQ ID NO: 67; i varijabilnu regiju lakog lanca aminokiselinskog slijeda iz SEQ ID NO: 12.
2. Protein koji veže antigen, pri čemu
(A) se navedeni protein koji veže antigen specifično veže za ljudski PCSK9 i neutralizira ga tako da je suvišak navedenog proteina koji veže antigen sposoban umanjiti količinu PCSK9 vezanog za LDLR u in vitro kompetetivnom veznom određivanju, navedeni protein koji veže antigen sadrži bilo:
(i)
(a) kombinaciju varijabilne domene lakog lanca i varijabilne domene teškog lanca odabrane između grupe kombinacija koje sa sastoje od:
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 9 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 71;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 10 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 72;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 12 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 67;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 16 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 52;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 17 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 51;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 20 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 54;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 21 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 55;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 22 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 56;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 23 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 49;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 24 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 57;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 26 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 50;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 30 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 64;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 31 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 62;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 33 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 65;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 35 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 79;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 36 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 80;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 37 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 76;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 38 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 77;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 39 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 78;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 40 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 83;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 461 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 459;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 465 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 463;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 473 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 471;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 477 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 475;
varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 485 i
varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 483;
(ii)
(a) CDRH1 sadrži SEQ ID NO: 308, CDRH2 sadrži SEQ ID NO: 175 i CDRH3 sadrži SEQ ID NO: 180; ili
(b) CDRH1 sadrži SEQ ID NO: 368, CDRH2 sadrži SEQ ID NO: 175 i CDRH3 sadrži SEQ ID NO: 180; i
CDRL1 sadrži SEQ ID NO: 158, CDRL2 sadrži SEQ ID NO: 162 i CDRL3 sadrži SEQ ID NO: 395;
(iii) CDRH1 sadrži SEQ ID NO: 368, CDRH2 sadrži SEQ ID NO: 174 i CDRH3 sadrži SEQ ID NO: 180, a CDRL1 sadrži SEQ ID NO: 158, CDRL2 sadrži SEQ ID NO: 162 i CDRL3 sadrži SEQ ID NO: 164; ili
(iv) CDRH1 sadrži GFTFSSYWMS, CDRH2 sadrži SIKQDGSEKYYVDSVKG i CDRH3 sadrži DLVLMVYDIDYYYYGMDV, a CDRL1 sadrži RSSQSLLHSNGYNYLD, CDRL2 sadrži LGSNRAS i CDRL3 sadrži MOALOTPLT;
ili
(B) Navedeni protein koji veže antigen sadrži
(a) varijabilnu domenu lakog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 23 i varijabilnu domenu teškog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 49; ili
(b) varijabilnu domenu lakog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 23, pri čemu je prvi ostatak glutaminska kiselina umjesto glutamina, i varijabilnu domenu teškog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 49, pri čemu je prvi ostatak glutaminska kiselina umjesto glutamina.
3. Protein koji veže antigen iz patentnog zahtjeva 2(A)(i) sadrži kombinaciju varijabilne domene lakog lanca i varijabilne domene teškog lanca, pri čemu su varijabilna domena lakog lanca i varijabilna domena teškog lanca odabrane iz grupe kombinacija koja se sastoji od: varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 10 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 72; varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 12 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 67; varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 17 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 51; varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 23 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 49; varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 35 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 79; varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 461 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 459; varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 465 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 463; varijabilne domene lakog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 485 i varijabilne domene teškog lanca koja ima slijed s najmanje 90% podudaranja sa SEQ ID NO: 483; pri čemu se protein koji veže antigen specifično veže za PCSK9.
4. Protein koji veže antigen iz patentnog zahtjeva 3, pri čemu su varijabilna domena lakog lanca i varijabilna domena teškog lanca odabrane iz grupe kombinacija koja se sastoji od: varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 10 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 72; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 12 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 67; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 17 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 51; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 23 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 49; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 35 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 79; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 461 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 459; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 465 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 463; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 485 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 483; pri čemu se protein koji veže antigen specifično veže za PCSK9.
5. Protein koji veže antigen iz patentnog zahtjeva 2(A)(ii) sadrži:
(a) varijabilnu domenu lakog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 23 i varijabilnu domenu teškog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 49; ili
(b) varijabilnu domenu lakog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 23, pri čemu je prvi ostatak glutaminska kiselina umjesto glutamina, i varijabilnu domenu teškog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 49, pri čemu je prvi ostatak glutaminska kiselina umjesto glutamina.
6. Protein koji veže antigen iz patentnog zahtjeva 2(B)(b) ili 5(b), nadalje obuhvaća glicinski ostatak na C-terminalnom kraju navedene varijabilne domene lakog lanca.
7. Protein koji veže antigen iz patentnog zahtjeva 2(A)(iii) obuhvaća varijabilnu domenu lakog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 17 i varijabilnu domenu teškog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 51.
8. Protein koji veže antigen iz patentnog zahtjeva 2(A)(iv) obuhvaća varijabilnu domenu lakog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 461 i varijabilnu domenu teškog lanca koja sadrži aminokiselinski slijed SEQ ID NO: 459.
9. Protein koji veže antigen iz bilo kojeg od patentnih zahtjeva 2 do 8, nadalje obuhvaća:
(a) konstantni slijed lakog lanca sa SEQ ID NO: 156;
(b) konstantni slijed lakog lanca sa SEQ ID NO: 157;
(c) konstantni slijed teškog lanca sa SEQ ID NO: 154;
(d) konstantni slijed teškog lanca sa SEQ ID NO: 155;
(e) Konstantni slijed lakog lanca sa SEQ ID NO: 156 i konstantni slijed teškog lanca sa SEQ ID NO: 154;
(f) konstantni slijed lakog lanca sa SEQ ID NO: 157 i konstantni slijed teškog lanca sa SEQ ID NO: 154;
(g) konstantni slijed lakog lanca sa SEQ ID NO: 156 i konstantni slijed teškog lanca sa SEQ ID NO: 155;
(h) konstantni slijed lakog lanca sa SEQ ID NO: 157 i konstantni slijed teškog lanca sa SEQ ID NO: 155.
10. Protutijelo ili njegov fragment ili protein koji veže antigen iz bilo kojeg od prethodnih patentnih zahtjeva, pri čemu protutijelo ili njegov fragment ili protein koji veže antigen ima najmanje jednu od sljedećih karakteristika:
(a) veže se za PCSK9 varijantu koja ima D374Y točkastu mutaciju;
(b) odabrano je iz grupe koja se sastoji od ljudskog protutijela, humaniziranog protutijela, kimernog protutijela, monoklonskog protutijela, multispecifičnog protutijela, rekombinantnog protutijela, antigen-vezujućeg fragmenta protutijela, jednolančanog protutijela, dijatijela, Fab fragmenta, F(ab)2 fragmenta, IgG1 protutijela, IgG2 protutijela, IgG3 protutijela, IgG4 protutijela;
(c) veže se za PCSK9 s Kd koja je manja od 1 nM, manja od 100 pM, manja od 10 pM ili je manja od 5 pM; ili
(d) može blokirati vezanje D374Y PCSK9 za LDLR s IC50 manjom od 200 pM.
11. Protutijelo ili njegov fragment ili protein koji veže antigen iz bilo kojeg od prethodnih patentnih zahtjeva koje, kada je vezano za PCSK9:
(a) veže se za PCSK9 s istom Kd kao referentno protutijelo;
(b) inhibira vezanje PCSK9 za LDLR s istom IC50 kao navedeno referentno protutijelo; ili
(c) natječe se za vezanje navedenog referentnog protutijela za PCSK9, pri čemu navedeno referentno protutijelo sadrži kombinaciju sljedova varijabilne domene lakog lanca i teškog lanca odabranu iz grupe koja se sastoji od varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 10 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 72; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 12 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 67; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 17 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 51; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 23 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 49; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 35 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 79; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 461 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 459; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 465 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 463; varijabilne domene lakog lanca koja ima slijed naveden u SEQ ID NO: 485 i varijabilne domene teškog lanca koja ima slijed naveden u SEQ ID NO: 483.
12. Nukleinska kiselina koja kodira protutijelo ili njegov fragment ili protein koji veže antigen iz bilo kojeg od prethodnih patentnih zahtjeva.
13. Rekombinantni ekspresijski vektor koji sadrži molekulu nukleinske kiseline iz patentnog zahtjeva 12.
14. Stanica domaćin koja sadrži vektor iz patentnog zahtjeva 13.
15. Hibridoma sposobna za stvaranje protutijela iz patentnog zahtjeva 10 ili 11.
16. Metoda za izradu protutijela ili njegovog fragmenta ili proteina koji veže antigen iz bilo kojeg od patentnih zahtjeva 1-11, obuhvaća korak priprave navedenog protutijela ili njegovog fragmenta ili proteina koji veže antigen iz stanice domaćina koja izlučuje navedeno protutijelo ili njegov fragment ili navedeni protein koji veže antigen.
17. Protutijelo ili njegov fragment ili protein koji veže antigen nastao ekspresijom rekombinantne
18. Metoda iz patentnog zahtjeva 16 ili protutijelo ili njegov fragment ili protein koji veže antigen iz patentnog zahtjeva 17, pri čemu je stanica domaćin odabrana iz grupe koja se sastoji od stanica ovarija kineskog hrčka (CHO), HeLa stanica, stanica bubrega mladunčeta hrčka (BHK), stanica bubrega majmuna (COS), stanica hepatocelularnog karcinoma čovjeka i epitelnih bubrežnih 293 stanica čovjeka.
19. Farmaceutski sastav obuhvaća najmanje jedno protutijelo ili njegov fragment ili najmanje jedan protein koji veže antigen u skladu s bilo kojim od patentnih zahtjeva 1 do 11, 17 ili 18 i farmaceutski prihvatljivi ekscipijens.
20. Farmaceutski sastav iz patentnog zahtjeva 19, pri čemu se farmaceutski sastav primjenjuje prije, zajedno s, ili nakon primjene barem jednog terapijskog agensa, pri čemu je opcionalno drugi terapijski agens statin.
21. Komplet za liječenje poremećaja povezanih s kolesterolom obuhvaća sastav iz patentnih zahtjeva 19 ili 20.
22. Protutijelo ili njegov fragment ili protein koji veže antigen iz s bilo kojeg od patentnih zahtjeva 1 do 11, 17 ili 18 za uporabu u liječenju ili prevenciji stanja povezanih s povišenim koncentracijama kolesterola u serumu subjekta.
23. Protutijelo ili njegov fragment ili protein koji veže antigen za uporabu u skladu s patentnim zahtjevom 22, pri čemu je stanje odabrano između hiperkolesterolemije, kardiovaskularne bolesti, metaboličkog sindroma, dijabetesa, moždanog udara i dislipidemije.
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