JPWO2019185717A5 - - Google Patents

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JPWO2019185717A5
JPWO2019185717A5 JP2020552716A JP2020552716A JPWO2019185717A5 JP WO2019185717 A5 JPWO2019185717 A5 JP WO2019185717A5 JP 2020552716 A JP2020552716 A JP 2020552716A JP 2020552716 A JP2020552716 A JP 2020552716A JP WO2019185717 A5 JPWO2019185717 A5 JP WO2019185717A5
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JP2021519100A (en
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抗CD47抗体又はその抗原結合部分であって、前記抗体は、重鎖可変(VH)領域及び軽鎖可変(VL)領域を含有し、
(a)VH領域のアミノ酸配列、GYTFTNYAMH(配列番号48)のHCDR1、MGTIYPGNDDTKYNQKFQG(配列番号49)のHCDR2、及びGGFRAMDY(配列番号50)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNANTYLG(配列番号55)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びFQASHVPYT(配列番号53)のLCDR3を含
(b)VH領域のアミノ酸配列、GYTFTNYAMH(配列番号48)のHCDR1、MGTIYPGNDDTKYNQKFQG(配列番号49)のHCDR2、及びGGFRAMDY(配列番号50)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNGNTYLG(配列番号51)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びFQASHVPYT(配列番号53)のLCDR3を含
(c)VH領域のアミノ酸配列、GYTFTNYAMH(配列番号48)のHCDR1、MGTIYPGNDDTKYNQKFQG(配列番号49)のHCDR2、及びGGFRAMDY(配列番号50)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNAYNYLG(配列番号56)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びFQASHVPYT(配列番号53)のLCDR3を含
(d)VH領域のアミノ酸配列、GYTFTNYAMH(配列番号48)のHCDR1、MGTIYPGNDDTKYNQKFQG(配列番号49)のHCDR2、及びGGFRAMDY(配列番号50)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNAYNYLG(配列番号56)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びFQASQVPYT(配列番号54)のLCDR3を含
(e)VH領域のアミノ酸配列、GYTFTNYAMH(配列番号48)のHCDR1、MGTIYPGNDDTKYNQKFQG(配列番号49)のHCDR2、及びGGFRAMDY(配列番号50)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNANTYLG(配列番号55)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びFQASQVPYT(配列番号54)のLCDR3を含
(f)VH領域のアミノ酸配列、GYTFTNYAMH(配列番号48)のHCDR1、MGTIYPGNDDTKYNQKFQG(配列番号49)のHCDR2、及びGGFRAMDY(配列番号50)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNGNTYLG(配列番号51)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びFQASQVPYT(配列番号54)のLCDR3を含
(g)VH領域のアミノ酸配列、GYSFTNYNIH(配列番号57)のHCDR1、MGTIYPGNSDTSYNPSFQG(配列番号61)のHCDR2、及びGGVRAMDY(配列番号62)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNGNTYLG(配列番号51)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びMQASQVPYT(配列番号63)のLCDR3を含
(h)VH領域のアミノ酸配列、GYSFTNYNIH(配列番号57)のHCDR1、MGTIYPGDSDTRYNPKFQG(配列番号58)のHCDR2、及びGGYRAEDY(配列番号59)のHCDR3を含み、VL領域のアミノ酸配列、RSSQSLLHSNGNTYLG(配列番号51)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びMQGSHVPY(配列番号60)のLCDR3を含む、又は
(i)VH領域のアミノ酸配列が、GYSFTNYNIH(配列番号57)のHCDR1、MGTIYPGDSDTSYNPKFQG(配列番号94)のHCDR2、及びGGYRAEDY (配列番号59)のHCDR3を含み、VL領域のアミノ酸配列が、RSSQSLLHSNGNTYLG(配列番号51)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びMQGSHVPYT(配列番号97)のLCDR3を含む、
抗CD47抗体又はその抗原結合部分。
An anti-CD47 antibody or antigen-binding portion thereof, said antibody containing a heavy chain variable (VH) region and a light chain variable (VL) region.
(A) The amino acid sequence of the VH region contains HCDR1 of GYTFTNYAMH (SEQ ID NO: 48), HCDR2 of MGTIYPGNDDTKYNQKFQG (SEQ ID NO: 49) , and HCDR3 of GGFRAMDY (SEQ ID NO: 50), and the amino acid sequence of the VL region is RSSQSLLHSNANTYLG (SEQ ID NO: 50). Includes LCDR1 of No. 55), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of FQASHVPYT (SEQ ID NO: 53).
(B) The amino acid sequence of the VH region contains HCDR1 of GYTFTNYAMH (SEQ ID NO: 48), HCDR2 of MGTIYPGNDDTKYNQKFQG (SEQ ID NO: 49) , and HCDR3 of GGFRAMDY (SEQ ID NO: 50), and the amino acid sequence of the VL region is RSSQSLLHSNGNTYLG. Includes LCDR1 of No. 51), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of FQASHVPYT (SEQ ID NO: 53).
(C) The amino acid sequence of the VH region contains HCDR1 of GYTFTNYAMH (SEQ ID NO: 48), HCDR2 of MGTIYPGNDDTKYNQKFQG (SEQ ID NO: 49) , and HCDR3 of GGFRAMDY (SEQ ID NO: 50), and the amino acid sequence of the VL region is RSSQSLLHSNAYLG (SEQ ID NO: 50). Includes LCDR1 of number 56), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of FQASHVPYT (SEQ ID NO: 53).
(D) The amino acid sequence of the VH region comprises HCDR1 of GYTFTNYAMH (SEQ ID NO: 48), HCDR2 of MGTIYPGNDDTKYNQKFQG (SEQ ID NO: 49) , and HCDR3 of GGFRAMDY (SEQ ID NO: 50), and the amino acid sequence of the VL region is RSSQSLLHSNAYLG (SEQ ID NO: 50). Includes LCDR1 of number 56), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of FQASQVPYT (SEQ ID NO: 54).
(E) The amino acid sequence of the VH region contains HCDR1 of GYTFTNYAMH (SEQ ID NO: 48), HCDR2 of MGTIYPGNDDTKYNQKFQG (SEQ ID NO: 49) , and HCDR3 of GGFRAMDY (SEQ ID NO: 50), and the amino acid sequence of the VL region is RSSQSLLHSNANTYLG (SEQ ID NO: 50). Includes LCDR1 of No. 55), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of FQASQVPYT (SEQ ID NO: 54).
(F) The amino acid sequence of the VH region comprises HCDR1 of GYTFTNYAMH (SEQ ID NO: 48), HCDR2 of MGTIYPGNDDTKYNQKFQG (SEQ ID NO: 49) , and HCDR3 of GGFRAMDY (SEQ ID NO: 50), and the amino acid sequence of the VL region is RSSQSLLHSNGNTYLG. Includes LCDR1 of No. 51), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of FQASQVPYT (SEQ ID NO: 54).
(G) The amino acid sequence of the VH region comprises HCDR1 of GYSFTNYNIH (SEQ ID NO: 57), HCDR2 of MGTIYPGNSDTSYNPSFQG (SEQ ID NO: 61) , and HCDR3 of GGVRAMDY (SEQ ID NO: 62), and the amino acid sequence of the VL region is RSSQSLLHSNGNTYLG. Includes LCDR1 of No. 51), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of MQASQVPYT (SEQ ID NO: 63).
(H) The amino acid sequence of the VH region contains HCDR1 of GYSFTNYNIH (SEQ ID NO: 57), HCDR2 of MGTIYPGDSDTRYNPKFQG (SEQ ID NO: 58) , and HCDR3 of GGYRAEDY (SEQ ID NO: 59), and the amino acid sequence of the VL region is RSSQSLLHSNGNTYLG. Includes LCDR1 of No. 51), LCDR2 of KGSNRFS (SEQ ID NO: 52) , and LCDR3 of MQGSHVPY (SEQ ID NO: 60) , or
(I) The amino acid sequence of the VH region contains HCDR1 of GYSFTNYNIH (SEQ ID NO: 57), HCDR2 of MGTIYPGDSDTSYNPKFQG (SEQ ID NO: 94), and HCDR3 of GGYRAEDY (SEQ ID NO: 59), and the amino acid sequence of the VL region is RSSQSLLHSNGNTYLG. Includes LCDR1 of No. 51), LCDR2 of KGSNRFS (SEQ ID NO: 52), and LCDR3 of MQGSHVPYT (SEQ ID NO: 97).
Anti-CD47 antibody or antigen-binding portion thereof.
(a)前記VH領域のアミノ酸配列配列番号1を含有し、かつ、前記VL領域のアミノ酸配列配列番号2を含
(b)前記VH領域のアミノ酸配列配列番号3を含み、かつ、前記VL領域のアミノ酸配列配列番号4を含
(c)前記VH領域のアミノ酸配列配列番号5を含み、かつ、前記VL領域のアミノ酸配列配列番号6を含
(d)前記VH領域のアミノ酸配列配列番号7を含有し、かつ、前記VL領域のアミノ酸配列配列番号8を含
(e)前記VH領域のアミノ酸配列配列番号9を含み、かつ、前記VL領域のアミノ酸配列配列番号10を含
(f)前記VH領域のアミノ酸配列配列番号11を含み、かつ、前記VL領域のアミノ酸配列配列番号12を含
(g)前記VH領域のアミノ酸配列配列番号13を含み、かつ、前記VL領域のアミノ酸配列配列番号14を含又は
(h)前記VH領域のアミノ酸配列配列番号15を含み、かつ、前記VL領域のアミノ酸配列配列番号16を含む、
請求項1記載の抗体又は抗原結合部分。
(A) The amino acid sequence of the VH region contains SEQ ID NO: 1 and the amino acid sequence of the VL region contains SEQ ID NO: 2.
(B) The amino acid sequence of the VH region comprises SEQ ID NO: 3, and the amino acid sequence of the VL region comprises SEQ ID NO: 4.
(C) The amino acid sequence of the VH region comprises SEQ ID NO: 5, and the amino acid sequence of the VL region comprises SEQ ID NO: 6.
(D) The amino acid sequence of the VH region contains SEQ ID NO: 7, and the amino acid sequence of the VL region contains SEQ ID NO: 8.
(E) The amino acid sequence of the VH region comprises SEQ ID NO: 9, and the amino acid sequence of the VL region comprises SEQ ID NO: 10.
(F) The amino acid sequence of the VH region comprises SEQ ID NO: 11 and the amino acid sequence of the VL region comprises SEQ ID NO: 12.
(G) The amino acid sequence of the VH region comprises SEQ ID NO: 13, and the amino acid sequence of the VL region comprises SEQ ID NO: 14.
(H) The amino acid sequence of the VH region comprises SEQ ID NO: 15, and the amino acid sequence of the VL region comprises SEQ ID NO: 16.
The antibody or antigen-binding moiety according to claim 1.
前記抗体が、ヒト化抗体又はキメラ抗体である、請求項1又は2に記載の抗体又は抗原結合部分。 The antibody or antigen-binding moiety according to claim 1 or 2, wherein the antibody is a humanized antibody or a chimeric antibody. 前記VH領域、前記VL領域、又は前記VH領域及び前記VL領域の両方、1つ又は複数のヒトフレームワーク領域のアミノ酸配列を含有する、請求項1からのいずれか一項に記載の抗体又は抗原結合部分。 The antibody according to any one of claims 1 to 3 , wherein the VH region, the VL region, or both the VH region and the VL region contain an amino acid sequence of one or more human framework regions. Or the antigen binding part. 前記VH領域、前記VL領域、又は前記VH領域及び前記VL領域の両方、前記CDRが挿入されたヒト可変領域フレームワークスキャホールドのアミノ酸配列を含有する、請求項1からのいずれか一項に記載の抗体又は抗原結合部分。 One of claims 1 to 4 , wherein the VH region, the VL region, or both the VH region and the VL region contain the amino acid sequence of the human variable region framework scaffold into which the CDR is inserted. The antibody or antigen binding moiety according to. 前記VH領域、前記HCDR1、HCDR2、及びHCDR3のアミノ酸配列が挿入された、IGHV5-51又はIGHV1-3のヒト生殖細胞系列スキャホールドのアミノ酸配列を含有する、請求項1に記載の抗体又は抗原結合部分。 The antibody or antigen according to claim 1, wherein the VH region contains the amino acid sequence of a human germline scaffold of IGHV5-51 or IGHV1-3 into which the amino acid sequences of HCDR1, HCDR2, and HCDR3 have been inserted. Joining part. 前記VL領域、前記LCDR1、LCDR2、及びLCDR3のアミノ酸配列が挿入されたIGKV2-28ヒト生殖細胞系列スキャホールドのアミノ酸配列を含有する、請求項1又は6に記載の抗体又は抗原結合部分。 The antibody or antigen binding moiety according to claim 1 or 6 , wherein the VL region contains the amino acid sequence of IGKV2-28 human germline scaffold into which the amino acid sequences of LCDR1, LCDR2, and LCDR3 are inserted. 前記抗体、免疫グロブリン定常領域を含有する、請求項1からのいずれか一項に記載の抗体又は抗原結合部分。 The antibody or antigen-binding moiety according to any one of claims 1 to 7 , wherein the antibody contains an immunoglobulin constant region. 前記免疫グロブリン定常領域、IgG、IgE、IgM、IgD、IgA又はIgYである、請求項8に記載の抗体又は抗原結合部分。 The antibody or antigen binding moiety according to claim 8, wherein the immunoglobulin constant region is IgG, IgE, IgM, IgD, IgA or IgY. 前記免疫グロブリン定常領域、IgG1、IgG2、IgG3、IgG4、IgA1又はIgA2である、請求項9に記載の抗体又は抗原結合部分。 The antibody or antigen binding moiety of claim 9, wherein the immunoglobulin constant region is IgG1, IgG2, IgG3, IgG4, IgA1 or IgA2. 前記免疫グロブリン定常領域、免疫学的に不活性である、請求項8に記載の抗体又は抗原結合部分。 The antibody or antigen-binding moiety according to claim 8, wherein the immunoglobulin constant region is immunologically inactive. 前記免疫グロブリン定常領域、野生型ヒトIgG4定常領域、S228Pのアミノ酸置換を含有するヒトIgG4定常領域、野生型ヒトIgG1定常領域、L234A、L235A及びG237Aのアミノ酸置換を含有するヒトIgG1定常領域、又は野生型ヒトIgG2定常領域であ番号付けがKabatにあるEUインデックスに従う、請求項8に記載の抗体又は抗原結合部分。 The immunoglobulin constant region is a wild-type human IgG4 constant region, a human IgG4 constant region containing an amino acid substitution of S228P, a wild-type human IgG1 constant region, a human IgG1 constant region containing amino acid substitutions of L234A, L235A and G237A, or a human IgG1 constant region. The antibody or antigen binding moiety of claim 8, wherein it is a wild-type human IgG2 constant region, numbered according to the EU index in Kabat . 前記免疫グロブリン定常領域、配列番号17~23のいずれか1つを含有する、請求項8に記載の抗体又は抗原結合部分。 The antibody or antigen-binding moiety according to claim 8, wherein the immunoglobulin constant region contains any one of SEQ ID NOs: 17 to 23. 前記抗体又は抗原結合部分、Fab、Fab’、F(ab’)、Fv、scFv、マキシボディ、ミニボディ、ダイアボディ、トリアボディ、テトラボディ、又はbis-scFvである、請求項1から13のいずれか一項に記載の抗体又は抗原結合部分。 From claim 1, the antibody or antigen-binding moiety is Fab, Fab', F (ab') 2 , Fv, scFv, maxibody, minibody, diabody, triabody, tetrabody, or bis-scFv. 13. The antibody or antigen-binding moiety according to any one of 13. 前記抗体モノクローナルである、請求項1から14のいずれか一項に記載の抗体又は抗原結合部分。 The antibody or antigen-binding moiety according to any one of claims 1 to 14 , wherein the antibody is monoclonal. 前記抗体、四量体抗体、四価抗体、又は多特異性抗体である、請求項1から15のいずれか一項に記載の抗体又は抗原結合部分。 The antibody or antigen-binding moiety according to any one of claims 1 to 15 , wherein the antibody is a tetramer antibody, a tetravalent antibody, or a polyspecific antibody. 前記抗体第一の抗原及び第二の抗原に特異的に結合する二特異性抗体であり、前記第一の抗原CD47であり、前記第二の抗原CD47ではない、請求項1から16のいずれか一項に記載の抗体又は抗原結合部分。 Claims 1-16 , wherein the antibody is a bispecific antibody that specifically binds to the first and second antigens, the first antigen is CD47 and the second antigen is not CD47. The antibody or antigen-binding moiety according to any one of the above. 前記抗体又は抗原結合部分、(a)ヒトCD47に特異的に結合する、又は(b)ヒトCD47及びカニクイザルCD47に特異的に結合する、請求項1から17のいずれか一項に記載の抗体又は抗原結合部分。 The antibody according to any one of claims 1 to 17 , wherein the antibody or antigen-binding moiety specifically binds to (a) human CD47 or (b) human CD47 and cynomolgus monkey CD47. Or the antigen binding part. 重鎖可変(VH)領域及び軽鎖可変(VL)領域を含む単一鎖Fv(scFv)であって、
(a)VHアミノ酸配列、GYSFTNYNIH(配列番号57)のHCDR1、MGTIYPGDSDTSYNPKFQG(配列番号94)のHCDR2、及びGGYRAEDY(配列番号59)のHCDR3を含み、
(b)Vアミノ酸配列、RSSQSLLHSNGNTYLG(配列番号51)のLCDR1、KGSNRFS(配列番号52)のLCDR2、及びMQGSHVPYT(配列番号97)のLCDR3を含む、
scFv。
A single chain Fv (scFv) containing a heavy chain variable (VH) region and a light chain variable (VL) region.
(A) The VH amino acid sequence comprises HCDR1 of GYSFTNYNIH (SEQ ID NO: 57), HCDR2 of MGTIYPGDSDTSYNPKFQG (SEQ ID NO: 94), and HCDR3 of GGYRAEDY (SEQ ID NO: 59).
(B) The VL amino acid sequence comprises LCDR1 of RSSQSLLHSNGNTYLG (SEQ ID NO: 51), LCDR2 of KGSNRFS (SEQ ID NO: 52), and LCDR3 of MQGSHVPYT (SEQ ID NO: 97).
scFv.
免疫グロブリン定常領域又は免疫グロブリン定常領域の部分をさらに含む、請求項19に記載のscFv。 19. The scFv of claim 19 , further comprising a portion of an immunoglobulin constant region or an immunoglobulin constant region. 前記免疫グロブリン定常領域、配列番号17から23のいずれか1つを含有する、請求項20に記載のscFv。 The scFv according to claim 20, wherein the immunoglobulin constant region contains any one of SEQ ID NOs: 17 to 23. 治療剤に結合された請求項1から18のいずれか一項に記載の抗体又は抗原結合部分、又は請求項19から21のいずれか一項に記載のscFvを含有する免疫結合体。 An immunoconjugate containing the antibody or antigen-binding moiety according to any one of claims 1 to 18 bound to a therapeutic agent, or the scFv according to any one of claims 19 to 21 . 前記治療剤が、細胞毒素、放射性同位体、化学療法剤、免疫調節剤、細胞増殖抑制酵素、細胞溶解性酵素、治療用核酸、抗血管新生剤、抗増殖剤、又はアポトーシス促進剤である、請求項22に記載の免疫結合体。 The therapeutic agent is a cytotoxin, a radioisotope, a chemotherapeutic agent, an immunomodulator, a cell growth inhibitor, a cytolytic enzyme, a therapeutic nucleic acid, an antiangiogenic agent, an antiproliferative agent, or an apoptosis-promoting agent. The immune conjugate according to claim 22 . 請求項1から18のいずれか一項に記載の抗体又は抗原結合部分、請求項19から21のいずれか一項に記載のscFv、又は請求項22又は23に記載の免疫結合体
薬学的に許容可能な担体、希釈剤、又は賦形剤と、
を含有する医薬組成物。
The antibody or antigen-binding moiety according to any one of claims 1 to 18 , the scFv according to any one of claims 19 to 21 , or the immunoconjugate according to claims 22 or 23 .
With pharmaceutically acceptable carriers, diluents , or excipients ,
A pharmaceutical composition containing.
核酸分子であって、
請求項1から18のいずれか一項に記載の抗体又は抗原結合部分、又は請求項19から21のいずれか一項に記載のscFvの
(a)VH領域のアミノ酸配列、
(b)VL領域のアミノ酸配列、又は
(c)VH領域及びVL領域の両方のアミノ酸配列
をコードする核酸分子。
It ’s a nucleic acid molecule.
The antibody or antigen-binding moiety according to any one of claims 1 to 18 , or the amino acid sequence of the (a) VH region of scFv according to any one of claims 19 to 21 .
(B) Amino acid sequence of VL region or
(C) A nucleic acid molecule encoding both the amino acid sequences of the VH region and the VL region.
請求項25に記載の核酸分子を含有する発現ベクター。 An expression vector containing the nucleic acid molecule according to claim 25 . 請求項25に記載の核酸分子、又は請求項26に記載の発現ベクターを含有する組換え宿主細胞。 A recombinant host cell containing the nucleic acid molecule of claim 25 or the expression vector of claim 26 . 抗CD47抗体又はその抗原結合部分を作製する方法であって、
核酸分子が発現される条件下で、請求項26に記載の発現ベクターを含有する組換え宿主細胞を培養し、それにより抗体又は抗原結合部分を作製すること
前記宿主細胞又は培養物から、前記抗体又は抗原結合部分を単離することと、
を含む、方法。
A method for producing an anti-CD47 antibody or an antigen-binding portion thereof.
Culturing a recombinant host cell containing the expression vector according to claim 26 under conditions in which a nucleic acid molecule is expressed , thereby producing an antibody or antigen-binding moiety.
Isolating the antibody or antigen-binding moiety from the host cell or culture and
Including, how.
対象における免疫反応を強化するために使用される、請求項1から18のいずれか一項に記載の抗体又は抗原結合部分、請求項19から21のいずれか一項に記載のscFv、請求項22又は23に記載の免疫結合体、又は請求項24に記載の医薬組成物。 The antibody or antigen binding moiety of any one of claims 1-18 , the scFv of any one of claims 19-21 , used to enhance an immune response in a subject, claim. The immunoconjugate according to claim 22 or 23 , or the pharmaceutical composition according to claim 24 . 癌、自己免疫性疾患、炎症性疾患、心血管疾患、又は線維症の治療における使用のための請求項1から18のいずれか一項に記載の抗体又は抗原結合部分、請求項19から21のいずれか一項に記載のscFv、請求項22又は23に記載の免疫結合体、又は請求項24に記載の医薬組成物。 The antibody or antigen-binding moiety according to any one of claims 1 to 18 , according to claims 19 to 21 , for use in the treatment of cancer, autoimmune disease, inflammatory disease, cardiovascular disease, or fibrosis. The scFv according to any one, the immune conjugate according to claim 22 or 23 , or the pharmaceutical composition according to claim 24 . 前記癌が、消化管間質癌(GIST)、膵臓癌、メラノーマ、乳癌、肺癌、気管支癌、結腸直腸癌、前立腺癌、胃癌、卵巣癌、膀胱癌、脳腫瘍又は中枢神経系の癌、末梢神経系の癌、食道癌、子宮頸癌、子宮癌又は子宮内膜癌、口腔又は咽頭の癌、肝癌、腎癌、精巣癌、胆管癌、小腸癌又は虫垂癌、唾液腺癌、甲状腺癌、副腎癌、骨肉腫、軟骨肉腫、又は血液組織の癌である、請求項30に記載の使用のための抗体又は抗原結合部分、免疫結合体、又は医薬組成物。 The cancers are gastrointestinal stromal cancer (GIST), pancreatic cancer, melanoma, breast cancer, lung cancer, bronchial cancer, colorectal cancer, prostate cancer, gastric cancer, ovarian cancer, bladder cancer, brain cancer or central nervous system cancer, peripheral nerve. System cancer, esophageal cancer, cervical cancer, uterine cancer or endometrial cancer, oral or pharyngeal cancer, liver cancer, renal cancer, testis cancer, bile duct cancer, small intestinal cancer or pituitary cancer, salivary adenocarcinoma, thyroid cancer, adrenal cancer The antibody or antigen binding moiety, immune conjugate, or pharmaceutical composition for use according to claim 30 , which is an osteosarcoma, chondrosarcoma, or cancer of blood tissue. 前記自己免疫性疾患又は前記炎症性疾患、関節炎、喘息、多発性硬化症、乾癬、クローン病、炎症性腸疾患、ループス(lupus)、グレーブス病、橋本甲状腺炎、又は強直性脊椎炎である、請求項30に記載の使用のための抗体又は抗原結合部分、免疫結合体、又は医薬組成物。 The autoimmune disease or the inflammatory disease is arthritis, asthma, multiple sclerosis, psoriasis, Crohn's disease, inflammatory bowel disease, lupus, Graves' disease, Hashimoto thyroiditis, or tonic spondylitis. , The antibody or antigen-binding moiety, immune conjugate, or pharmaceutical composition for use according to claim 30 . 前記心血管疾患が、冠動脈心疾患又はアテローム性動脈硬化症である、請求項30に記載の使用のための抗体又は抗原結合部分、免疫結合体、又は医薬組成物。 The antibody or antigen binding moiety, immune conjugate, or pharmaceutical composition for use according to claim 30 , wherein the cardiovascular disease is coronary heart disease or atherosclerosis. 前記線維症が、心筋梗塞、狭心症、変形性関節症、肺線維症、嚢胞性線維症、気管支炎又は喘息である、請求項30に記載の使用のための抗体又は抗原結合部分、免疫結合体、又は医薬組成物。 The antibody or antigen binding moiety for use according to claim 30 , wherein the fibrosis is myocardial infarction, angina, osteoarthritis, pulmonary fibrosis, cystic fibrosis, bronchitis or asthma. Bounds, or pharmaceutical compositions. 医薬品としての使用のための、請求項1から18のいずれか一項に記載の抗体又は抗原結合部分、請求項19から21のいずれか一項に記載のscFv、請求項22又は23に記載の免疫結合体、又は請求項24に記載の医薬組成物。 The antibody or antigen-binding moiety according to any one of claims 1 to 18 , scFv according to any one of claims 19 to 21 , according to claim 22 or 23 , for use as a pharmaceutical product. The immune conjugate or the pharmaceutical composition according to claim 24 .
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