NZ708615B2 - Novel modulators and methods of use - Google Patents
Novel modulators and methods of use Download PDFInfo
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- NZ708615B2 NZ708615B2 NZ708615A NZ70861512A NZ708615B2 NZ 708615 B2 NZ708615 B2 NZ 708615B2 NZ 708615 A NZ708615 A NZ 708615A NZ 70861512 A NZ70861512 A NZ 70861512A NZ 708615 B2 NZ708615 B2 NZ 708615B2
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- A61K47/68—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient the non-active ingredient being chemically bound to the active ingredient, e.g. polymer-drug conjugates the non-active ingredient being a modifying agent the modifying agent being an antibody, an immunoglobulin or a fragment thereof, e.g. an Fc-fragment
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- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
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- C07K16/32—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against translation products of oncogenes
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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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- C07K2317/30—Immunoglobulins specific features characterized by aspects of specificity or valency
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- C07K2317/565—Complementarity determining region [CDR]
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- 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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- C12N5/0634—Cells from the blood or the immune system
- C12N5/0636—T lymphocytes
Abstract
Disclosed is an antibody or fragment thereof that specifically binds to human PTK7 comprising three CDRs of a light chain variable region set forth as SEQ ID NO: 62 and three CDRs of a heavy chain variable region set forth as SEQ ID NO: 63. Further disclosed is the use of said antibody or fragment thereof for the manufacture of a medicament for detecting, diagnosing, or monitoring cancer in a subject, wherein the antibody or fragment thereof is conjugated to a detectable agent. hereof for the manufacture of a medicament for detecting, diagnosing, or monitoring cancer in a subject, wherein the antibody or fragment thereof is conjugated to a detectable agent.
Description
NOVEL MODULATORS AND METHODS OF USE
CROSS REFERENCED APPLICATIONS
The present application is a divisional application of New Zealand Application
No. 615285, which is incorporated in its entirety herein by reference.
[001a] This application claims priority to U.S. Provisional Application Ser. No. 61/444,614
filed February 18, 2011 and Patent ation Treaty (PCT); No. , filed
September 2, 2011, each of which is orated herein by reference in its entirety.
SEQUENCE LISTING
The instant application contains a Sequence Listing which has been submitted in
ASCII format via EFS-Web and is hereby incorporated by reference in its entirety. Said ASCII
copy, created on January 26, 2012, is named 112304PCT.txt and is 163,049 bytes in size.
FIELD OF THE INVENTION
This application generally relates to novel compositions and methods of their use in
preventing, treating or ameliorating hyperproliferative disorders and any expansion, recurrence,
relapse or metastasis thereof. In a broad aspect, the present invention relates to the use of
protein tyrosine kinase 7 (PTK7) modulators, ing anti-PTK7 dies and fusion
constructs, for the treatment, diagnosis or prophylaxis of neoplastic disorders. Particularly
preferred embodiments of the present invention provide for the use of such PTK7 modulators
for the therapeutic treatment of malignancies comprising a ion in tumor initiating
cell frequency.
BACKGROUND OF THE INVENTION
[003a] Any discussion of the prior art throughout the specification should in no way be
considered as an admission that such prior art is widely known or forms part of common
general knowledge in the field.
Stem and itor cell differentiation and cell proliferation are normal ongoing
ses that act in concert to support tissue growth during organogenesis and cell replacement
and repair of most tissues during the lifetime of all living organisms. Differentiation and
proliferation decisions are often controlled by us factors and signals that are balanced to
in cell fate decisions and tissue architecture. Normal tissue architecture is y
ined by cells responding to microenvironmental cues that regulate cell division and tissue
maturation. Accordingly, cell proliferation and entiation normally occurs only as
necessary for the replacement of damaged or dying cells or for growth. Unfortunately,
disruption of cell proliferation and/or differentiation can result from a myriad of s
including, for example, the under- or overabundance of various signaling chemicals, the
presence of altered microenvironments, c ons or some combination thereof. When
normal cellular proliferation and/or differentiation is disturbed or somehow disrupted it can lead
to various diseases or disorders including hyperproliferative disorders such as cancer.
Conventional treatments for cancer include herapy, radiotherapy, surgery,
immunotherapy (e.g., biological se modifiers, vaccines or targeted therapeutics) or
combinations thereof. Sadly, Far too many cancers are non~responsive or minimally responsive to
such conventional treatments leaving few options for patients. For e, in some patients
certain cancers t gene mutations that render them non-responsive despite the general
effectiveness of selected therapies. Moreover, depending on the type of cancer some available
treatments, such as surgery, may not be viable alternatives. Limitations inherent in current standard
of care therapeutics are particularly evident when attempting to care for patients who have
undergone previous treatments and have subsequently relapscd. In such cases the failed therapeutic
regimens and resulting patient deterioration may contribute to tory tumors which often
manifest themselves as a vely sive disease that ultimately proves to be incurable.
Although there have been great improvements in the diagnosis and treatment of cancer over the
years, overall survival rates for many solid tumors have remained largely unchanged due to the
failure of existing ies to prevent relapse, tumor recurrence and metastases. Thus, it remains a
nge to develop more targeted and potent therapies.
One promising area of research involves the use of targeted therapeutics to go after the
tumorigenic “seed” cells that appear to underlie many cancers. To that end most solid tissues are
now known to contain adult, tissue-resident stem cell populations generating the differentiated cell
types that comprise the majority of that tissue. Tumors arising in these tissues similarly consist of
heterogeneous populations of cells that also arise from stem cells. but differ markedly in their
l proliferation and organization. While it is increasingly recognized that the majority of
tumor cells have a limited ability to proliferate, a minority population of cancer cells nly
known as cancer stem cells or CSC) have the exclusive ability to extensively self-renew thereby
enabling an inherent tumor reinitialing capacity. More specifically, the cancer stem cell hypothesis
proposes that there is a ct subset of cells (i.e. CSC) within each tumor (approximately 0.!—
%) that is capable of indefinite enewal and of ting tumor cells progressively limited
in their replication ty as a result of differentiation to tumor progenitor cells and,
subsequently, to terminally differentiated tumor cells.
In recent years it has become more evident these CSC (also known as tumor
perpetuating cells or TPC) might be more resistant to traditional chemotherapeutic agents or
radiation and thus persist after standard of care al therapies to later fuel the growth of
refractory tumors, secondary tumors and promote metastases. In this regard cancer stem cells have
been implicated in promoting the migratory and invasive potential of various sia. Moreover,
growing evidence suggests that pathways that regulate genesis and/or the self-renewal of
normal tissue-resident stem cells are deregulated or altered in CSC, resulting in the continuous
ion of selfirenewing cancer cells and tumor formation. See generally Al~Hajj et al., 2004,
PMID: 15378087; and a et 211., 2007, PMID: 17548814; each of which is incorporated herein
in its entirety by reference. Thus, the effectiveness of ional, as well as more recent targeted
treatment methods, has apparently been limited by the existence and/or emergence of resistant
cancer cells that are capable of perpetuating the cancer even in face of these diverse ent
methods. Huff et 211,, European Journal of Cancer 42: l293— 1297 (2006) and Zhou et al., Nature
Reviews Drug Discovery 8: 3 (2009) each of which is incorporated herein in its entirety by
reference. Such ations are confirmed by the consistent inability of traditional debulking
agents to substantially increase patient survival when suffering from solid tumors, and through the
development of an increasingly sephisticated understanding as to how tumors grow, recur and
metastasize. Accordingly, recent strategies for treating neoplastic disorders have recognized the
importance of eliminating, depleting, silencing or promoting the differentiation ol’ tumor
perpetuating cells so as to diminish the possibility of tumor recurrence or metastasis leading to
patient relapse.
Efforts to devel0p such strategies have incorporated recent work involving non—
traditional xenograft (NTX) models, wherein primary human solid tumor ens are implanted
and passaged exclusively in compromised mice. In numerous cancers such techniques
confirm the existence of a subpopulation of cells with the unique ability to generate geneous
tumors and fuel their growth indefinitely. As previously hypothesized, work in NTX models has
confirmed that identified CSC lations of tumor cells appear more resistant to debulking
ns such as chemotherapy and radiation, potentially explaining the disparity between clinical
se rates and overall survival. Further, employment of NTX models in CSC research has
sparked a fundamental change in drug discovery and preclinical tion of drug candidates that
may lead to CSC-targeted therapies having a major impact on tumor recurrence and metastasis
thereby improving patient survival rates. While progress has been made, inherent technical
difficulties associated with ng y and/or xenograft tumor tissue, along with a lack of
experimental platforms to characterize CSC identity and differentiation potential, pose major
challenges. As such, there remains a substantial need to selectively target cancer stem cells and
develop diagnostic, prophylactic or therapeutic compounds or methods that may be used in the
treatment, prevention and/or management of hyperproliferativc disorders.
[008a] It is an object of the present invention to overcome or ameliorate at least one of the
disadvantages of the prior art, or to provide a useful alternative.
[008b] Unless the t clearly requires otherwise, throughout the description and the
claims, the words ise”, “comprising”, and the like are to be construed in an inclusive
sense as opposed to an exclusive or exhaustive sense; that is to say, in the sense of “including,
but not d to”.
Y OF THE ION
The present invention, in a broad sense, is directed to methods, compounds,
compositions and articles of manufacture that may be used in the treatment of PTK7 associated
disorders (e.g., roliferative disorders or neoplastic disorders). The present invention
provides novel protein tyrosine kinase 7 (or PTK7) modulators that effectively target tumor
cells and/or cancer stem cells and may be used to treat patients suffering from a wide variety of
malignancies. As will be discussed in more detail herein, there are presently several known
PTK7 isoforms and the disclosed modulators preferably comprise or associate with one or more
of the same. Moreover, in certain embodiments the disclosed PTK7 tors may comprise
any compound that recognizes, competes, agonizes, antagonizes, interacts, binds or associates
with a PTK7 polypeptide or gene (or fragment thereof) and modulates, adjusts, alters, changes
or modifies the impact of the PTK7 protein on one or more logical pathways. Thus, in a
broad sense the present invention is generally directed to isolated PTK7 modulators and use
thereof. In red embodiments the invention is more particularly directed to ed PTK7
modulators comprising antibodies (i.e., antibodies that immunopreferentially bind, react with or
associate with at least one isoform of PTK7). Moreover, as discussed ively below, such
modulators may be used to provide pharmaceutical compositions useful for the prophylaxis,
diagnosis or treatment of proliferative disorders.
[009a] According to a first aspect, the invention provides an antibody or fragment thereof
that specifically binds to human PTK7 comprising three CDRs of a light chain variable region
set forth as SEQ ID NO: 62 and three CDRs of a heavy chain le region set forth as SEQ
ID NO: 63.
[009a] According to a second aspect, the invention provides an antibody drug conjugate
comprising the antibody or fragment thereof according to the first aspect, wherein the antibody
or fragment thereof is conjugated, linked, or otherwise associated with a cytotoxic agent.
[009a] According to a third aspect, the invention provides a ceutical composition
comprising the isolated antibody or fragment thereof according to the first aspect.
[009a] ing to a fourth aspect, the invention provides a pharmaceutical composition
comprising the antibody drug conjugate according to the second aspect.
[009a] According to a fifth aspect, the invention provides a nucleic acid encoding a light
chain variable region or a heavy chain variable region of the antibody or fragment thereof
ing to the first aspect.
[009a] According to a sixth aspect, the invention provides a nucleic acid encoding a light
chain variable region set forth as SEQ ID NO: 48 or 62, and/or a heavy chain variable region
set forth as SEQ ID NO: 49 or 63.
[009a] According to a h aspect, the invention provides a vector comprising the
nucleic acid according to the fifth or sixth aspects.
[009a] According to an eighth aspect, the invention provides a non-human or isolated host
cell sing the nucleic acid according to the fifth or sixth aspects.
[009a] According to a ninth aspect, the invention provides a man or isolated host
cell comprising the vector of the h aspect.
[009a] According to a tenth aspect, the invention provides use of the antibody or nt
thereof according to the first aspect for the manufacture of a medicament for detecting,
diagnosing, or monitoring cancer in a subject, wherein the antibody or fragment thereof is
conjugated to a detectable agent.
[009a] According to an eleventh aspect, the invention provides use of a therapeutically
effective dose of an dy conjugate comprising the antibody or fragment thereof according
to the first aspect for the cture of a medicament for treating cancer in a subject, wherein
the antibody or fragment f is conjugated, linked, or otherwise ated with a cytotoxic
agent.
[009a] According to a twelfth aspect, the invention provides use of an antibody conjugate
comprising the dy or fragment thereof according to the first aspect for the manufacture of
a medicament for reducing the frequency of tumor initiating cells in a subject, wherein the
antibody or fragment thereof is conjugated, , or otherwise associated with a cytotoxic
agent.
[009a] According to a thirteenth aspect, the invention provides use of an antibody or a
fragment thereof that specifically binds to PTK7 for the manufacture of a medicament for
treating a neoplastic er, wherein the antibody or fragment thereof is capable of being
conjugated, linked or otherwise associated with a cytotoxic agent and has an EC50 against
PTK7-expressing cells from 0.5 pM to 150 pM when conjugated, linked or ise ated
with the cytotoxic agent.
In selected embodiments of the invention, PTK7 modulators may comprise a PTK7
polypeptide or fragments thereof, either in an isolated form or fused or associated with other
moieties (e.g., Fc-PTK7, PEG-PTK7 or PTK7 associated with a targeting moiety). In other
selected embodiments PTK7 modulators may comprise PTK7 antagonists which, for the
purposes of the instant application, shall be held to mean any construct or compound that
recognizes, competes, interacts, binds or associates with PTK7 and neutralizes, eliminates,
s, sensitizes, reprograms, inhibits or controls the growth of neoplastic cells including
tumor initiating cells. In preferred embodiments the PTK7 modulators of the instant invention
comprise anti-PTK7 antibodies, or fragments or derivatives f, that have unexpectedly
been found to silence, neutralize, , decrease, deplete, moderate, diminish, reprogram,
eliminate, or otherwise inhibit the y of tumor initiating cells to propagate, maintain,
expand, erate or otherwise facilitate the survival, ence, regeneration and/or
metastasis of neoplastic cells. In particularly preferred embodiments the antibodies or
reactive fragments may be associated with or conjugated to one or more ancer
agents (e.g., a cytotoxic agent).
In selected embodiments compatible PTK7 modulators may comprise an antibody
having a light chain variable region and a heavy chain variable region wherein said light chain
variable region ses an amino acid sequence having at least 60% identity to an amino acid
sequence selected from the group consisting of amino acid sequences as set forth in SEQ ID NO:
, SEQ ID NO: 22, SEQ ID NO: 24, SEQ ID NO: 26, SEQ ID NO: 28, SEQ ID NO: 30, SEQ ID
NO: 32, SEQ ID NO: 34, SEQ iD NO: 36, SEQ ID NO: 38, SEQ ID NO: 40, SEQ ID NO: 42, SEQ
ID NO: 44, SEQ ID NO: 46, SEQ ID NO: 48, SEQ ID NO: 50, SEQ ID NO: 52, SEQ ID NO: 54.
SEQ ID NO: 56, SEQ ID NO: 58 and SEQ ID NO: 60 and n said heavy chain variable
region comprises an amino acid sequence having at least 60% identity to an amino acid sequence
selected from the group consisting of amino acid sequences as set forth in SEQ ID NO: 21, SEQ ID
NO: 23, SEQ ID NO: 25, SEQ lD NO: 27, SEQ ID NO: 29, SEQ ID NO: 31, SEQ ID NO: 33, SEQ
ID NO: 35, SEQ ID NO: 37, SEQ ID NO: 39, SEQ ID NO: 41, SEQ ID NO: 43, SEQ ID NO: 45,
SEQ ID NO: 47, SEQ ID NO: 49, SEQ ID NO: 51 , SEQ ID NO: 53, SEQ ID NO: 55, SEQ ID NO:
57, SEQ ID NO: 59, and SEQ ID NO: 6l.
[012} Of course, in view of the instant disclosure those skilled in the art could readily identify
CDRS associated with each of the entioned heavy and light chain variable regions and use
those CDRs to engineer or fabricate chimeric, humanized or CDR grafted antibodies without undue
experimentation. As such, in selected ments the present ion is ed to anti-PTK7
antibodies comprising one or more CDRs from a variable region sequence set forth in or
. In preferred embodiments such antibodies will comprise monoclonal antibodies and, in
even more preferred embodiments will se chimeric, CDR grafted or zed antibodies.
As discussed in more detail below still other embodiments will comprise such antibodies
conjugated or associated with one or more cytotoxic agents.
[013} Accordingly, in other embodiments the instant invention will comprise a humanized
P’I‘K? modulator selected from the group consisting of hSC6.23, hSC6.24, hSC6.4l and hSC6.58.
Still other embodiments are directed to a PTK? modulator comprising a humanized antibody
wherein said humanized dy comprises a light chain variable region and a heavy chain
variable region wherein said light chain variable region comprises an amino acid sequence having
at least 60% identity to an amino acid sequence selected from the group consisting of amino acid
sequences as set forth in SEQ ID NO: 62, SEQ ID NO: 64, SEQ ID NO: 66 and SEQ ID NO: 68
and n said heavy chain variable region comprises an amino acid sequence having at least
60% identity to an amino acid sequence selected from the group consisting of amino acid sequences
as set forth in SEQ ID NO: 63, SEQ ID NO: 65, SEQ ID NO: 67 and SEQ ID NO: 69.
{014} As previously indicated one aspect of the invention comprises the unexpected
association of PTK’] polypeptides with cancer stem cells. Thus, in certain other embodiments the
invention will se a PTK7 modulator that reduces the frequency of tumor initiating cells upon
administration to a t. Preferably the reduction in frequency will be determined using in vitro
or in viva limiting dilution analysis. in particularly preferred embodiments such analysis may be
conducted using in viva limiting dilution analysis sing transplant of live human tumor cells
into immunocompromised mice. Alternatively, the limiting dilution analysis may be conducted
using in vitro limiting dilution analysis comprising limiting dilution deposition of live human tumor
cells into in vilro colony supporting conditions. In either case, the analysis, calculation or
quantification of the reduction in frequency will preferably comprise the use of n distribution
statistics to provide an accurate accounting. 11 will be appreciated that, while such quantification
s are preferred, other, less labor intensive methodology such as flow cytometry or
immunohistochemistry may also be used to provide the desired values and, accordingly, are
expressly contemplated as being within the scope of the instant invention. In such cases the
reduction in ncy may be determined using flow tric analysis or irnmunohistochemical
detection of tumor cell surface markers known to enrich for tumor initiating cells.
As such, in another preferred ment of the instant invention cornprises a method
of treating a PTK7 associated er comprising administering a therapeutically effective amount
of a PTK7 modulator to a t in need thereof whereby the frequency of tumor initiating cells is
reduced. ably the PTK7 associated disorder comprises a neoplastic disorder. Again, the
reduction in the tumor initiating cell frequency will preferably be determined using in vitro or in
vivo limiting dilution analysis.
In this regard it will be appreciated that the present invention is based, at least in part,
upon the ery that PTK7 immunogens are associated with tumor uating cells (i.e.,
cancer stem cells) that are involved in the etiology of various neoplasia. More specifically, the
instant application unexpectedly demonstrates that the administration of various exemplary PTK7
modulators can mediate, reduce, deplete, inhibit or eliminate tumorigenic signaling by tumor
initiating cells (i.e., reduce the frequency of tumor initiating cells). This reduced signaling, whether
by depletion, neutralization, reduction, elimination, reprogramming or ing of the tumor
initiating cells or by modifying tumor cell logy (cg, induced differentiation. niche
disruption), in turn allows for the more ive treatment of PTK? associated disorders by
inhibiting tumorigenesis, tumor maintenance, expansion and/or metastasis and recurrence.
[017} Besides the aforementioned association with cancer stem cells, there is evidence that
PTK7 isoforms may be involved in enesis, migration of endothelial cells and Specific
developmental ing cascades that have been tied to oncogenesis (i.e., Wnt signaling
pathways). ention in such cellular interactions, using the novel PTK7 modulators described
herein, may thereby ameliorate or treat a disorder by more than one mechanism (i.e., tumor
initiating cell reduction and disruption oncogenic pathway signaling) to provide additive or
synergistic effects. Still other preferred embodiments may take advantage of the cellular
internalization of cell surface PTK7 to r a modulator mediated anticancer agent. in this
regard it will be iated that the present invention is not limited by any particular mechanism
of action but rather encompasses the broad use of the disclosed modulators to treat PTK7 associated
disorders (including s neoplasia).
Thus, other facets of the instant invention exploit the ability of the disclosed modulators
to potentially disrupt oncogenic survival pathways while simultaneously silencing tumor initiating
Cells. Such multi-active PTK? modulators (cg, PTK7 antagonists) may prove to be particularly
effective when used in combination with standard of care anti-cancer agents or debulking agents.
ingly red embodiments of the instant invention comprise using the disclosed
modulators as anti-metastatic agents for maintenance therapy ing initial treatments. In
addition, two or more PTK7 nists (cg. dies that specifically bind to two discrete
epitopes on PTK?) may be used in ation in accordance with the present teachings.
Moreover, as discussed in some detail below, the PTK7 modulators of the present invention may be
used in a conjugated or unconjugated state and, optionally, as a izing agent in combination
with a variety chemical or ical anti-cancer agents.
{019] Accordingly another preferred embodiment of the t invention comprises a method
of sensitizing a tumor in a subject for treatment with an anti-cancer agent comprising the step of
administering a PTK7 modulator to said t. Other embodiments comprise a method of
reducing metastasis following treatment comprising administering a PTK7 modulator to a subject
in need thereof. In a particularly preferred aspect of the invention the PTK7 modulator will
ically result in a reduction of tumor initiating cell frequency is as determined using in vitro or
in viva limiting dilution analysis.
More generally preferred embodiments of the invention comprise a method of treating a
P'TK7 associated disorder in a subject in need f comprising the step of administering a PTK7
modulator to the subject. In particularly preferred embodiments the PTK7 modulator will be
associated (e.g., conjugated) with an anti-cancer agent. In yet other embodiments the PTK7
modulator will internalize following association or binding with the PTK7 on or near the surface of
the cell. er the beneficial aspects of the instant invention, including any disruption of
signaling pathways and collateral benefits, may be achieved whether the subject tumor tissue
exhibits elevated levels of PTK7 or reduced or depressed levels of P’l‘K? as compared with normal
adjacent tissue.
[0211 in yet r aspect the present ion will comprise a method of treating a subject
suffering front neoplastic disorder sing the step of administering a therapeutically ive
amount of at least one internalizing PTK? modulator. Preferred embodiments will comprise the
stration of internalizing antibody modulators wherein‘ in other selected embodiments, the
alizing antibody modulators are conjugated or associated with a cytotoxic agent.
[0221 Other embodiments are directed to a method of treating a subject suffering from a PTK7
associated disorder comprising the step of administering a therapeutically effective amount of at
least one.depleting PTK7 modulator.
[023} In yet another embodiment the t invention provides methods of maintenance
therapy wherein the sed effectors or modulators are administered over a period of time
following an initial procedure (e.g., chemotherapeutic, radiation or surgery) designed to remove at
least a portion of the tumor mass. Such therapeutic regimens may be administered over a period of
weeks, a period of months or even a period of years wherein the PTK7 modulators may act
prophylactically to inhibit metastasis and/or tumor recurrence. in yet other embodiments the
disclosed modulators may be administrated in concert with known debulking regimens to prevent
or retard metastasis, tttmor maintenance or recurrence.
{024] it will further be appreciated that the PTK? modulators of the instant invention may be
fabricated and selected to react with a single isoform of PTK? or a select few ms (Le.
provided by splice variants) of the protein or, conversely, may comprise a pan—PTK7 modulator
that reacts or associates with some or all PTK7 isoforms (five have currently been identified).
More specifically. as disclosed herein preferred modulators such as antibodies may be generated
and selected so that they react with domains that are exhibited by single splice ts (e.g., at
specific nctions) or with 1g domains that are conserved across multiple or all PTK’?
isoforms. This is significant with rcSpcct to the instant ion in that certain isoforms may be
preferably expressed on 'I‘IC and can therefore serve as therapeutic targets to provide for the
selective reduction in tumorigenic cell frequency and/or depletion of cancer stem cell populations.
[025} Accordingly, in a selected embodiment the ion comprises a pan~PTK7 modulator.
In other selected ments the invention comprises a PTK’I modulator that immunospecifically
associates with one or more splice variants or ms. Preferably the splice variants may be
selected from the group consisting of isoform :1, isoform b, isoform c and isoform d. In yet other
embodiments the present invention ses a method of treating a subject in need f
comprising administering a therapeutically effective amount of a pan-FTK'I tor. Still other
embodiments comprise a method of treating a subject in need thereof comprising administering a
therapeutically ive amount of a PTK7 modulator that immunospecifically associates with one
or more isoforms.
[0261 Beyond the therapeutic uses discussed above it will also be appreciated that the
modulators of the instant ion may be used to diagnose PTK? related disorders and, in
particular, hyperproliferative disorders. In some embodiments the modulator may be stered
to the subject and detected or monitored in viva. Those of skill in the art will appreciate that such
modulators may be labeled or associated with markers or reporters as disclosed below and detected
using any one of a number of standard techniques (cg, MRI, CAT scan PET scan, etc).
{027] Thus. in some embodiments the invention will comprise a method of diagnosing,
detecting or monitoring a PTK7 associated disorder in vivo in a subject in need thereof comprising
the step of administering a PTK7 modulator.
In other instances the modulators may be used in an in vitro diagnostic g using art~
recognized ures. As such, a preferred embodiment comprises a method of sing a
hyperproliferative disorder in a subject in need thereof sing the steps of:
a. obtaining a tissue sample from said subject;
b. ting the tissue sample with at least one PTK7 modulator; and
c. detecting or quantifying the PTK7 modulator associated with the sample.
Such methods may be easily discerned in conjunction with the instant application and
may be readily performed using generally available commercial technology such as automatic plate
readers, dedicated er systems, etc. in ed embodiments the PRC] modulator will be
associated with tumor perpetuating cells present in the sample. In other preferred embodiments the
detecting or quantifying step will comprise a reduction of tumor initiating cell frequency and
detection thereof. Moreover, limiting on analysis may be conducted as previously d to
above and will preferably employ the use of Poisson distribution statistics to provide an accurate
accounting as to the reduction of ncy.
{030] In a similar vein the present invention also provides kits that are useful in the diagnosis
and monitoring of P’I‘K7 associated disorders such as . To this end the present invention
preferably provides an article of manufacture useful for diagnosing or treating PTK7 associated
disorders comprising a receptacle sing a PTK7 modulator and instructional materials for
using said PTK? modulator to treat or diagnose the PTK? ated disorder.
[03 1] Other preferred embodiments of the invention also exploit the properties of the
disclosed modulators as an instrument useful for identifying, isolating, sectioning or enriching
populations or subpopulations of tumor initiating cells through methods such as flow cytometric
analysis, fluorescence activated cell sorting (FACS) or laser mediated sectioning.
As such, another preferred ment of the instant invention is directed to a method
of identifying, isolating, sectioning or enriching a population of tumor initiating cells comprising
the step of contacting said tumor initiating cells with a PTK? modulator.
{033] The foregoing is a summary and thus contains. by ity, simplifications.
generalizations, and omissions of detail; consequently, those skilled in the art will appreciate that
the summary is illustrative only and is not intended to be in any way limiting. Other aspects,
features, and advantages of the s, compositions and/or devices and/or other subject matter
described herein will become apparent in the teachings set forth herein. The summary is pr0vided
to introduce a selection ofconeepts in a simplified form that are further described below in the
Detailed Description. This summary is not intended to identify key features or essential features of
the claimed subject matter, nor is it intended to be used as an aid in determining the scope of the
claimed subject matter.
BRIEF DESCRIPTION OFTHE FIGURES
[O34] FIGS. lA —- lC depict, respectively, the nucleic acid sequence encoding human PTK7
(SEQ ID NO: 1), the amino acid sequence of an ary human PTK? variant (SEQ ID NO: 2)
and depicts the aligned and notated sequences of four representative isol‘orms of PTK7
(SEQ 1D NOS: 3-6) wherein the underlined section in represents PTK7~l Open reading
frame, the underlined section in FIG. [B s an ellular domain of PTK7 as defined herein
and FIG. lC shows a protein alignment of four known exemplary isoforms of the human PTK7
protein as reported in the Gene database at NCBI in accessions: isol’orm a = 812,
isol'orm b = NPu690619; isoform c = NP_690620; isoi’orm d = 62|) wherein FIG. lC
further discloses the motif peptides, "GxGxFGxV," "HRDLxxxN," and "SDVWSXG" as SEQ ID
NOS: l l- l 3, respectivdy.
is a cal representation depicting the gene expression levels of PTK'} in
untreated (-) and in ecan treated (+) mice as measured using whole transcriptome sequencing
of highly enriched tumor progenitor cell (TProg), tumor perpetuating cell (TPC) and non-
tumorigenic cell (NTG) populations obtained from a subset of a whole ctal tumor specimen.
is a graphical representation g the ve gene expression levels of
human PTK7 in highiy enriched tumor itor cell (TProg) and tumor perpetuating cell (TPC)
populations obtained from mice bearing one of three different non—traditional xenograft (NTX)
colorectal or pancreatic tumor cell lines, and normalized against non—tumorigenic (NTG) enriched
cell populations as measured using quantitative RT—PCR.
FIGS. 4A and 4B are graphical representations showing the relative gene expression
levels of human PTK? as measured using RT-PCR in whole colorectai tumor specimens from
ts with Stage I-IV disease, as normalized against the mean of expression in normal colon and
rectum tissue () or matched with normal adjacent tissue ().
[038} FIGS. 5A and SB are graphical representations showing the relative or absolute gene
expression levels, respectively, of human PTK7 genes as measured by RT-PCR in whole tumor
specimens (grey dot) or matched NAT (white dots) from patients with one of eighteen ent
solid tumor types.
{039] FIGS. 6A and 63 provide, in a tabular form, the contiguous amino acid sequences of
heavy and light chain le regions of a number of murine and humanized exemplary PTK7
modulators isolated, cloned and engineered as bed in the Examples .
FIGS. 7A — 7E provide, in graphical and r representations, physiochemical
characteristics of exemplary P'l‘K7 modulators wherein depicts binding characteristics of
certain modulators with respect to marine and human PTK7, provides affinity. binning and
cross-reactivity data for ed tors, FIGS. 7C and 7D show comparative binding
characteristics of a ed murine modulator and its humanized rpart and 3 provides
g affinities for selected tors with respect to human PTK7 and its murine ortholog.
{041} FIGS. 8A ~ SG depict various PTK7 constructs in accordance with the instant invention
wherein FIGS. 8A — 8F e the amino acid sequences of six PTK? modulator variants in the
form of 7~ECD constructs wherein the extracellular domain portion of each construct is
varied and schematically illustrates the seven lg domains of the extracellular portion of
PTK? along with the ELISA d binding regions of several PTK? modulators as indicated by
brackets.
FIGS. 9A~913 illustrate expression levels of PTK7 protein in different tumor iysates and
in NTX samples wherein FIGS. 9A — 9D depict tumor lysate levels for various tumors and diseasc
stages as compared with normal adjacent tissue controls and provides histograms
illustrating the staining of human non-traditional xenografts with selected modulators where control
staining (gray) was compared to staining on non-tumorogenic (dashed) and putative cancer stem
cell populations (solid).
{043] FIGS. lOA-IOE graphically illustrate the capacity of a selected tor of the instant
invention to internalize upon binding with PTK7 on a cell surface wherein C shows the
fluorescent shift associated with an exemplary modulator (i.e. 8C6. 10.2 termed H 10 in C)
and FIGS. IDA and 1013 represent controls, D demonstrate that exemplary modulators from
liybridoma supernatants may be screened for internalization as compared to purified controls
[’3&
(SC6.2.35t 8C6. 10.2 and SC6.25.l termed H235, H l0.2 and l-l25.l respectively) and FIG. IOE
illustrates the extent of internalization of s tors (each data point represents a discrete
modulator) where the dashed line denotes the background cutoff and the number of PTK7
molecules that are internalized by the cell in response to the binding event is plotted on the y axis.
{044] FIGS. 1 1A - l lD graphically illustrate the capability of the disclosed modulators to
immunospecifically mediate the delivery of cytotoxic agents and promote cell killing wherein FIG.
l IA depicts the use of three exemplary modulators (SC6.2.35, SC6.10.2 and SC6.25.3 termed
, Hl0.2 and 1-1253 respectively) as targeting moieties to direct cytotoxic payloads to cells
expressing PTK7 and where FIGS. ME ~ 1 1D illustrate the ability of four onal exemplary
modulators to eliminate three te cell lines wherein in each FIG. the downward g curve
is tive of cell killing through internalized toxin.
{045] evidences the ability of three exemplary PTK7 modulators to
immunospecifically mediate the delivery of cytotoxic agents and thereby reduce tumor cell viability
in a variety NTX tumorcell lines.
FIGS. 13A — 13C are indicative of the capacity of the disclosed moduiators to reduce
the frequency of tumor perpetuating cells and inhibit their tumorigenic potential where FIGS. 13A
and lBB show that tor (i.e., 3C6.2.35 labeled SC6.H2) mediated delivery of cytotoxic
agents s the viability of two discrete NTX breast tumor cell populations and FIG. [3C
depicts the reduced tumorigenicity of the d cell lines upon implantation into
immunocompromised mice.
{0471 demonstrates the capability of exemplary humanized PTK7 modulators of the
instant invention to effectively mediate the specific delivery and internalization of
cytotoxic agents to PTK7 expressing cells.
DETAILED DESCRIPTION on THE INVENTION
1. Introduction
While the present invention may be embodied in many different forms, disclosed herein
are specific illustrative embodiments thereof that exemplify the ples of the invention. It
should be emphasized that the t invention is not limited to the specific embodiments
rated. Moreover, any section headings used herein are for organizational purposes only and
are not to be construed as limiting the subject matter described.
As previously alluded to, it has surprisingly been found that the expression of PTK7,
including various isoforms, is associated with neoplastic growth and roliferative disorders
and that such ligands provide useful tumor markers which may be exploited in the treatment of
related diseases. More specifically, it has been discovered that PTK? modulators such as those
disclosed herein may advantageously be used in the diagnosis, theragnosis, treatment or prevention
of neoplastic disorders in subjects in need thereof. Accordingly, while preferred ments of
the inventiOn will be discussed extensively below, particularly in the context of cancer stem cells
and their interactions with the disclosed tors, those skilled in the art will appreciate that the
scope of the t invention is not limited by such exemplary embodiments. Rather, the present
invention and the appended claims are broadly and sly directed to PTK? modulators and
their use in the sis, theragnosis, treatment or prevention of a variety of PTK? associated or
mediated disorders, including neoplastic or hyperproliferative disorders, regardless of any
particular mechanism of action or specifically targeted tumor component.
It will further be iated that, in st to s prior art disclosures, the present
invention is largely directed to immunospecific modulators of the various isoforms of PTK7 rather
than general protein tyrosine kinase modulators. That is, while the class of protein tyrosine kinase
receptors have been widely ated in several types of disorders and generally ed for
therapeutic intervention, P’I‘K7 specific modulators have heretofore attracted less attention. in part
this may arise from the belief that interference with general PTK activity cularly with small
molecules that interact with conserved kinase domains) is more effective from a therapeutic
standpoint as kinase redundancy would likely compensate for any specific antagonism of particular
members of the class. Moreover, P'I‘K7 reportedly comprises an inactive kinase domain (or
pseudokinase domain) that may have discouraged its exploitation as a eutic target.
{05[] Conversely, the present invention comprises the use of immunospecific modulators that
preferentially react with one or more ms of PTK’? to provide therapeutic benefits. As briefly
discussed above in certain embodiments the modulators of the present ion may be generated
and selected to associate with a single PTK7 isoform while in other embodiments the selected
modulators may react with more than one isoform or all recognized isol’orms of PTK7. In these
latter embodiments the present invention may comprise modulators that associate or react with
more than one PTK7 isoform thereby providing an cted additive or synergistic effect that
may allow for quiescence of more than one PTK7 mediated pathway
{052] More generally, as demonstrated in the instant application, the disclosed
immunospecific PTK7 modulators can effectively be used to target and eliminate or otherwise
incapacitate tumorigenic cells and treat PTK7 associated disorders (e.g., neoplasia). As used herein
a PTK7 ated disorder shall be held to mean any disorder or disease (including proliferative
disorders) that is marked, diagnosed or identified by a phenotypic aberration of PTK7 expression
during the course or gy of the disease or disorder. In this regard the ypic aberration
may, for e, comprise elevated or depressed levels of PTK7 expression, abnormal PTK7
expression on certain definable cell populations or abnormal PTK7 expression at an inapprOpriate
phase or stage ofa cell cle.
[053i Besides the general association discussed immediately ab0ve, the inventors have further
discovered a heretofore unknown phenotypical association between selected tumor initiating cells
(TIC) and PTK7. In this regard, it has been found that selected TICs express elevated levels of
PTK7s when compared to normal tissue and non-tumorigenic cells (NTG), which er
comprise much of a solid tumor. Thus, PTK7 isoforms comprise tumor associated markets (or
antigens or immunogens) and have been found to provide effective agents for the detection and
suppression OFTIC and associated neoplasia due to altered levels of the proteins on cell surfaces or
in the tumor microenvironment. More. specifically, it has further been ered that P’I‘K’l
tors, including immunoreactive antagonists and antibodies that associate bind or react with
the ns, effectively reduce the frequency of tumor initiating cells and are therefore useful in
eliminating, depleting, incapacitating, reducing, promoting the differentiation of, or otherwise
precluding or limiting the ability of these tumor—initiating cells to lie t and/or continue to
fuel tumor , asis or recurrence in a patient. As sed in more detail below, the
TlC tumor cell subpopulation is composed of both tumor perpetuating cells (TPC) and highly
proliferative tumor progenitor cells (TProg).
In view of these discoveries, those skilled in the art will appreciate that the present
invention further provides PTK7 modulators and their use in reducing the frequency of tumor
initiating cells. As will be discussed extensively below, P’I‘K7 modulators of the invention broadly
comprise any compound that recognizes, reacts, competes, antagonizes, interacts, binds, agonizes,
or ates with PTK7 or PTK7 or their genes. By these interactions, the PTK7 modulators
thereby reduce or moderate the frequency of tumor initiating cells. Exemplary modulators
disclosed herein comprise nucleotides, oligonucleotides, polynucleotides, peptides or polypeptides.
In certain preferred embodiments the selected modulators will comprise antibodies to PTK7 or
immunorcactive nts or derivatives thereof. Such antibodies may be antagonistic or tic
in nature and may Optionally be conjugated or ated with a xic agent. In other
embodiments, modulators within the instant invention will comprise a PTK7 construct comprising
a PTK7 isoform or a reactive fragment thereof. It will be appreciated that such constructs may
comprise fusion proteins and can include reactive domains from other polypeptides such as
globulins or biological response modifiers. In still other aspects, the PTK’] modulator will
comprise a nucleic acid assembly that exerts the desired effects at a genomic level. Still other
modulators compatible with the instant teachings will be discussed in detail below.
Whichever form of modulator is ultimately selected it will preferably be in an isolated
and purified state prior to introduction into a subject. In this regard an isolated PTK7 modulator
shall be construed in a broad sense and in accordance with standard pharmaceutical practice to
mean any ation or composition comprising the tor in a state substantially free of
unwanted contaminants (biological or otherwise). As will be discusscd in some detail below these
preparations may be purified and formulated as desired using various art recognized techniques. Of
, it will be appreciated that such isolated preparations may be intentionally formulated or
combined with inert or active ingredients as desired to improve the commercial, manufacturing or
therapeutic aspects of the finished product and provide pharmaceutical itions.
iI. PTK7 logy
Protein tyrosine kinase (PTK7), also known as colon carcinoma kinase 4 (CCK4), is a
receptor tyrosine kinase originally cloned from normal human melanoeytes (Lee et al., Oncogene
8(12), 1993) and separately from colon carcinoma tissue (Mossie et al., Oncogene “(10), 1995).
The P'I‘K? gene is located at 6p2l.l-pl2.2. Five splice isoforms of human PTK7 have been cloned
from testis cDNA (Jung, Ji et al., Biochim Biophvs Aeta 1579, 2002). The ve abundance of
the isoforms with respect to one another differs between testis and hepatoma or colon carcinoma
lines, but the functional significance of these ms, if any, is unknown. Bioinformatics analyses
have suggested that the mouse may s a e Ptk7 isoform from alternatively spliced
mRNAs (Forrest, Taylor et ai., Genome Biol 7, 2006). For the purposes of the t application it
will be appreciated that the terms “PTK7” and “CCKLl” may be used interchangeably and include
splice ts, isoforms, species orthologs and homologs of human PTK7 unless ise
dictated by tual constraints. It will further be appreciated that the terms may also refer to any
derivative or fragment of a native or variant form of PTK’)’ that contains an cpitone to which a
PTK7 protein modulator (e.g., an antibody or immunoreactive fragment) can specifically bind.
Full length PTK7 protein is a type I transmembrane n, with a 674 amino acid
ellular domain (ECD), followed by a short TM spanning portion and a 345 amino acid
cytoplasmic domain. A complete nucleic acid sequence of an exemplary isoform of human P’I‘K7
(i.e., transcript variant 171‘K7- 1) has Genbank accession number NM_002821 and is represented in
(SEQ ID NO: 1). Similarly, a full-length exemplary amino acid sequence of PTK7-l
protein is shown in (SEQ ID NO: 2). Note that the PTK7 protein in SEQ ID NO: 2 differs
from the translation product of the ined nucleic acid sequence of SEQ ID NO: 1 Ge. isoform
a as shown in SEQ ID NO: 3) in that there is a point mutation (L —> P) at position 93 in FIG. lB.
With regard to isoforms shows the annotated alignment of amino acid sequences of four
exemplary isoforms of PTK7 as reported in Genbank (Protein accessions: isoform a = 8 l2,
SEQ ID NO: 3; isoform b = NP_690619, SEQ ID NO: 5; isoform C = NP~690620, SEQ ID NO: 6;
isoform (1 = NPH690621, SEQ ID NO: 4). As previously alluded to the sequence set forth in
isoform :1 corresponds to the translation product of the open reading frame from PTK7 t 1 set
forth in FIG. IA and is the longest of the isoforms. The other splice isoforms encode extracellular
domains lacking various Igcam domains ve to isoform a, as shown. All isoforms encode the
same intracellular domain, Conserved submotifs in the catalytic domain of the protein
scrim/tyrosine kinases are shown below the PTK7 alignments, as are annotations of the changes in
the PTK7 protein thought to render its kinasc domain inactive (e.g., changes in subdomains I and
VII).
[058} In any event the mature full length PTK7 ECD comprises seven immunoglobulin-like
domains while, as shown in FIG. lC the various Splice variants encode PTK7 isoforms that differ in
their ECD structure. All isoforms contain a cytoplasmic domain with substantial homology to that
found in the general class of tyrosine kinases. However, PTK’I lacks detectable ne kinase
activity and, as such, belongs to a subfamily of pseudokinases in which several amino acid changes
in various conserved kinase subdomains lead to impaired binding of ATP (Kroiher et al. Bloessavs
23(1), 2001). Specifically, key residues in subdomains I and VII are altered in PTK7 such that
direct interactions with the non-transferable phosphates of ATP, as well as chelation of the Mg”
cofactor bridging these phosphates, would be impaired (Hanks et 211., Methods Enzymol 200, 199 l ).
[059} It will further be appreciated PTK7 polypeptides ible with the instant ion
may be in the form of a e‘ protein or may be part of a larger protein such as a fusion protein.
It is often advantageous to include an additional amino acid sequence which contains secretory or
leader sequences, a pre—, pro- or prepro—protein sequence, or a sequence which aids in purification
such as an affinity tag, for example, but without limitation, multiple histidinc residues, a FLAG tag,
HA tag or myc tag. Additional sequences which may provide stability during inant
production may also be used. Such sequences may be optionally removed as required by
incorporating a cleavable sequence as an additional sequence or part thereof. Thus, a PTK?
ptide as d herein may comprise constructs fused to adjunct es ing other
polypeptides. Such additional ces and affinity tags are well known in the art and may be
generated using standard biochemical techniques.
The biological ance of PTK7 function despite its inactive kinase domain can be
inferred from the presence of conserved orthologs from Hydra through Drosophila to chicken and
human, each of which by sequence analysis is predicted to lack kinase activity (Kroiher et ai.,
200i ). Based upon the high conservation of a Specific TM domain motif associated with a
propensity for helix-helix association and the fact that RTK typically dimerize in se to ligand
engagement. it was suggested that TM domain may mediate PTK7 dimerization (Kroiher et 21].,
200i). A later study suggested that the PTK7 TM domain does not promote preferential self»
association (Kobus et al., Biochemistry 44(5), 2005), but did not rule out meric interactions
with the TM domains of other RTKs or members of a signaling complex. Therefore, the PTK’I
psetrdokinase domain itself is not expected to directly transmit the signal, but it may interact as a
scaffold for other molecules in the signaling pathway, or may recruit other ne kinase(s)
(Kroiher et al., 200i).
[06l] Human PTK7 is not expressed in adult colon although it is expressed in fetal colon and
a variety ofcolon carcinoma derived cell lines e et al. supra, 1995), as well as in atic
colorectal cancer (Saha et 211., More 294(5545) 200] ). Other normal tissues and cells reported to
s PTK7 include lung, thyroid and ovary (Mossie, Jallal et al. 1995), CD4+ recent thymic
emigrant T-cells (Haines et al., J Exp Med 206(2) 2009), and normal myeloid progenitors and
CD34+CD38~ bone marrow cells (Prehet et al.,N 116( l 3), 2010). With respect to cancerous
tissues, PTK7 expression has also been found in colon carcinoma cells (Mossie et al. 1995); in
AML samples (Muller—Tidow, et al. Clin Cancer Res 10(4), 2004); in CD34- pie—TALL cells
(Shangguan et al., J Proteome Res 7(5) 2008) and in c carcinoma nge et al., Genes
Chromosomes Cancer 42(3), 2005). Interestingly, despite being cloned originally from normal
melanocytes, PTK7 has been reported to be lost in metastatic melanoma (Easty et al., lntJ Cancer
71(6), 1997). PTK7 also may be lost in certain breast cancers containing deletions of chromosome
6p2l (Piao et al., Genes Chromosomes Cancer 30(2), 2001), although sion is le in
breast cancer cell lines (Su et al., J Cancer .1 20l0). PTK7 is also expressed lung adenocarcinoma,
where stronger expression levels have been correlated with a more favorable prognosis in these
tumors (Endoh et al.. J Clin Oncoi 22(5), 3004). Fine mapping of the amplifications of 6p l 2-1321
region in osteosarcomas has shown that increases in gene copy number do not necessarily result in
overexpression of P'I‘K7, as determined by qRT-PCR (Lu et al., Mol Cancer Res 6(6), 2008).
The ligand or ligands for PTK7 are not known, gh PTK’? has been linked to a
variety of biological signaling pathways and developmental ses. The immunogiobulin-like
ECD domain structure of the protein suggests that it may be a participant in or sensor of celi~cell
contact and on. The Drosop/zila ortholog of PTK7, OTK, has been associated with plexin as
a potential co~receptor for semaphorin signaling during axon guidance (Winberg et al., £33320
32(1), 2001). Recently an interaction between PlexinAl and PTK7 in Xenopus has been
demonstrated (Wagner et al., m Bioghys Res Commun 402(2) 2010) while the chick
ortholog of PTK7, KLG, has been shown to interact with PlexinAl and SemaéD in a complex
important for chick cardiac morphogenesis ((Toyoftrku ct al., Genes Dev 18(4), 2004). Soluble
PTK7 (sPTK7) was used to show a role for PTK7 in VEGEinduced angiogenesis, as well as in
vitro tube formation, migration and invasion of human endothelial cells (Shin et al., Biochem
Biophys Res Commun 371(4), 2008). Mouse PTK? has also been linked to epidermal wound
healing processes, which require actin cytoskeletal reorganization and cell migration (Caddy et at,
Dev Cell 19(1), 2010).
{063] With respect to specific signaling cascades, PTK7 appears to be a component of various
Wnt ing pathways important for development (Puppo et a1., EMBO Rep 12(1), 2010). Mice
expressing a null or severely hypomorphic mutation in Ptk7 die tally, displaying phenotypes
consistent with a role for PTK7 in a planar cell polarity (PCP) pathway (Lu et al., Mare:
430(6995), 2004). Similarly, chuzhoi mice containing mutant PTK7 ns with a three amino
acid insertion in the ECD display PCP—defective phenotypes (Paudyal, Damrau et a1. 2010).
Murine P'I‘K7 has been shown to genetically interact with other PCP genes, including Vangl2 (Lu
et at, 2004), Celsr] (Paudyal, Damrau et a1. 2010), Serb! and (Fr/113 (Caddy et al., 2010).
Membrane type-l matrix metalloproteinasc (MTl-VIMP) cleaves PTK7 to release soluble PUG
(i.e., sPTK7), and disregulation of the balance of MTl~MMP activity and 7 production leads
to convergent extension defects in ish, also consistent with a role for PTK7 in a PCP pathway
(Golubkov et al., J Biol Chem 285(46), 2010). In s, PTK7 was found in xes with
dsh and the Wnt~receptor fz7 in non-canonical Wnt ing pathways (Shnitsar et al.,
Develogment 135(24), 2008), s interactions between PTK? and B-catenin could be shown to
be dynamically affected by canonical Wnt signaling in mouse cells (Puppo etal., 2010)
onally, a conserved TCF/LEF— transcription factor binding site in the P‘TK7 promoter
suggests it is a Wnt response gene and may explain PTK7 up regulation in certain colorectal
cancers, since these tumors are frequently disregulatcd for War pathway ing (Katoh, lntl Moi
Mg 20(3), 2007).
Within cancerous tissues, in addition to its potential for modulating the Wnt pathways
described above, PTK appears to convey pro-proliferation and anti-apoptotic signals in the HCT l 16
colon carcinoma line, phenotypes which could be reversed by RNAi mediated knock-down of
PTK7 (Meng et al., PLoS One 5( l l), 2010). PTK7 anti—apoptotic signals conveyed ance to
anthracyclinc-mediated cell killing in AML blasts, which could be reversed using a e PTK7-
Fe protein (Prebet et a1., 2010). Over-expression of PTK7 by Specific cancer cells has been
exploited in a strategy to target delivery of daunorubicin to T—ALL cells in e using aptamers
that bind PTK? and are subsequently alized (Xiao et 111., Chemistry 14(6), 2008).
{065] In addition to the aforementioned characteristics the present disclosure demonstrates
that the expression of PTK7 is elevated in various tumor ting cell populations. Along with
concomitant upregulation of PTK7 in at least some of the non~tumorigenic cells in the bulk tumor.
this raises the possibility that PTK7 mediated ligand receptor interactions may he triggering cell
signaling cascades linked to tumor proliferation, neoangiogenesis and/or tumor metastasis. While
not wishing to be bound by any particular theory, it is believed that PTK7 modulators of the present
invention (particularly antagonistic or neutralizing embodiments) act, at least in part, by either
reducing or eliminating tumor initiating cell frequency thereby interfering with tumor ation
or survival in a different manner than traditional standard of care therapeutic regimens (e.g.
irinotecan), or through immunotherapeutic ing or delivering a payload able to kill PTK7
expressing cells. For example, a reduction in cancer stem cell activity by antagonizing PTK7 may
include simply promoting cell proliferation in the face of chemotherapeutic regimens that eliminate.
proliferating cells, or ng differentiation of the tumor initiating cell such that their self—renewal
(Le. ted proliferation and maintenance of multipotency) capacity is lost. Alternatively, in
preferred ments recruitment of cytotoxic T—cells to PTK7 expressing cells, or delivery of a
potent toxin conjugated to an anti-PTK7 antibody that is able to internalize, may selectively kill
TPC.
III. Tumor Perpetuating Cells
In contrast to teachings of the prior art. the present invention provides P'l‘K7 modulators
that are particularly useful for targeting tumor initiating cells, and especially tumor perpetuating
cells, thereby facilitating the treatment, management or prevention of neoplastic disorders. More
Specifically, as previously indicated it has surprisingly been found that specific tumor cell
ulations express PTK’? and may modify localized coordination of morphogcn signaling
important to cancer stem cell self-renewal and cell al. Thus, in preferred embodiments
modulators of PTK7 may be used to reduce tumor initiating cell frequency in accordance with the
present ngs and thereby facilitate the ent or management of roliferative diseases.
As used herein, the term tumor initiating cell (TIC) encompasses both tumor
perpetuating cells (TPC; i.e., cancer stem cells or CSC) and highly proliferative tumor progenitor
cells d TProg), which together generally comprise a unique ulation (i.e. 0.140%) of a
bulk tumor or mass. For the purposes of the instant disclosure the terms tumor perpetuating cells
and cancer stem cells or neoplastic stem cells are equivalent and may be used interchangeably
herein. Conversely, TPC differ from TProg in that they can completely tulate the
composition of tumor cells ng within a tumor and have unlimited self~renewal capacity as
demonstrated by serial transplantation (two or more passages h mice) of low numbers of
isolated cells. As will be discussed in more detail below fluorescence-activated cell sorting (FACS)
using appropriate cell surface markers is a reliable method to isolate highly enriched cell
subpopttlations (e.g., > 99.5% purity) due, at least in part, to its ability to discriminate between
single cells and clumps of cells (Le. doublets, etc.). Using such techniques it has been shown that
when low cell numbers of highly ed TProg cells are transplanted into immunocompromised
mice they can fuel tumor growth in a primary transplant. However, unlike purified TPC
subpopulations the Tng generated tumors do not completely reflect the parental tumor in
phenotypic cell heterogeneity and are demonstrably inefficient at reinitiaring serial tumorigenesis in
subsequent transplants. In contrast, TPC subpopulations completely reconstitute the ar
heterogeneity of parental tumors and can efficiently initiate tumors when serially isolated and
transplanted. Thus, those skilled in the art will recognize that a definitive ence between TPC
and TProg, though both may be tumor generating in primary transplants, is the unique y of
TPC to perpetually fuel heterogeneous tumor growth upon serial transplantation at low cell
numbers. Other common approaches to characterize TPC e morphology and examination of
cell surface markers, transcriptional profile, and drug response although marker expression may
change with culture conditions and with cell line passage in vilro.
Accordingly, for the purposes of the instant invention tumor perpetuating cells, like
normal stem cells that support ar hierarchies in normal tissue, are preferably defined by their
ability to self-renew indefinitely while maintaining the capacity for multilineage entiation.
Tumor perpetuating cells are thus e of ting both tumorigenic progeny (i.e., tumor
initiating cells: TPC and TProg) and non-tumorigenic (NTG) progeny. As used herein a non-
tumorigenic cell (NTG) refers to a tumor cell that arises from tumor initiating cells, but does not
itself have the capacity to sclf~renew or generate the heterogeneous lineages of tumor cells that
comprise a tumor. Experimentally, NTG cells are ble of reproducibly forming tumors in
mice, even when transplanted in excess cell numbers.
[069} As indicated, TProg are also categorized as tumor initiating cells (or TIC) due to their
limited y to generate tumors in mice. TProg are progeny of TPC and are typically capable of a
finite number of non—self—renewing cell divisions. Moreover, TProg cells may r be divided
into early tumor progenitor cells (ET?) and late tumor itor cells (LTP), each of which may
be distinguished by phenotype (e.g., cell surface markers) and different capacities to recapitulate
tumor cell architecture. in spite of such technical differences, both ETP and LTP differ
functionally from TPC in that they are generally less capable of serially reconstituting tumors when
transplanted at low cell numbers and typically do not reflect the heterogeneity of the parental
tumor. Notwithstanding the foregoing ctions, it has also been shown that s TProg
populations can, on rare occasion, gain self-renewal capabilities normally attributed to stem cells
and themselves become TPC (or CSC). In any event both types of tumor-initiating cells are likely
represented in the typical tumor mass of a single t and are subject to treatment with the
tors as disclosed herein. That is, the disclosed compositions are generally effective in
reducing the frequency or altering the chemosensitivity of such PTK7 positive tumor initiating cells
regardless of the particular embodiment or mix represented in a tumor.
[070} in the context of the instant invention, TPC are more tumorlgenic, relatively more
quiescent and often more chemoresistant than the TProg (both ETP and LTP), NTG cells and the
tumor-infiltrating non—TPC d cells (cg, fibroblasts/stroma, endothelial 8: hematopoictic
cells) that comprise the bulk of a tumor. Given that conventional therapies and regimens have, in
large part, been designed to both debulk tumors and attack rapidly proliferating cells, TPC are
likely to be more resistant to conventional ies and regimens than the faster proliferating
TProg and other bulk tumor cell populations. Further, 'l‘PC often express other characteristics that
make them vely chemoresistant to conventional therapies, such as increased expression of
multi-drug resistance transporters, enhanced DNA repair mechanisms and anti—apoptotic proteins.
These properties, each of which contribute to drug tolerance by TPC, tute a key reason for the
failure of standard oncology treatment ns to ensure long-term benefit for most patients with
ed stage neoplasia; i.e. the failure to tely target and eradicate those cells that fuel
continued tumor growth and recurrence (Le. TPC or CSC).
Unlike many of the aforementioned prior art treatments, the novel compositions of the
present invention preferably reduce the frequency of tumor initiating cells upon administration to a
t regardless of the form or specific target (e.g., genetic material, PTK? antibody or ligand
fusion construct) of the selected modulator. As noted above, the reduction in tumor initiating cell
frequency may occur as a result of a) elimination, depletion, sensitization, silencing or inhibition of
tumor initiating cells; b) controlling the growth, expansion or recurrence of tumor initiating cells; c)
interrupting the initiation, propagation, maintenance, or proliferation of tumor initiating cells; or d)
by otherwise hindering the survival, regeneration and/or metastasis of the tumorigenic cells. In
some embodiments, the reduction in the ncy of tumor initiating cells occurs as a result of a
change in one or more physiological pathways. The change in the pathway, whether by reduction
or elimination of the tumor initiating cells or by modifying their potential (cg, induced
differentiation, niche disruption) or isc interfering with their y to exert affects on the
tumor environment or other cells, in turn allows for the more ive treatment of P’I‘K7
ix) Ix.)
associated disorders by inhibiting genesis. tumor maintenance and/or metastasis and
recurrence.
1072) Among the methods that can be used to assess such a reduction in the frequency of
tumor initiating cells is limiting dilution analysis either in vitro or in vivo, preferably followed by
enumeration using Poisson bution tics or assessing the frequency of predefined definitive
events such as the ability to generate tumors in vivo or not. While such limiting dilution analysis
are the preferred methods of calculating reduction of tumor initiating cell frequency, other, less
demanding s, may also be used to effectively ine the desired values, albeit slightly
less accurately, and are entirely compatible with the teachings herein. Thus, as will be appreciated
by those skilled in the art, it is also possible to determine ion of frequency values through
well—known flow cytometric or immunohistochemica1 means. As to all the aforementioned
methods see, for example, Dylla et al. 2008, PMCID: PMC2413402 & I-Ioey et al. 2009, PMlD:
l966499l; each of which is incorporated herein by reference in its entirety.
1073] With respect to limiting dilutiori is, in vitro ation of tumor initiating cell
frequency may be accomplished by depositing either fractionated or unfractionated human tumor
cells (eg. from d and untreated tumors, respectively) into in vitro growth conditions that
foster colony formation. In this manner, colony forming cells might be enumerated by simple
counting and characterization of colonies, or by analysis consisting of, for example, the deposition
of human tumor cells into plates in serial dilutions and scoring each well as either positive or
negative for colony formation at least l0 days after plating. In vivo limiting dilution experiments or
analyses, which are generally more accurate in their ability to determine tumor ting cell
frequency encompass the transplantation of human tumor cells, from either untreated control or
treated conditions, for example, into immunocompromised mice in serial dilutions and
subsequently scoring each mouse as either positive or negative for tumor formation at least 60 days
after transplant. The derivation of cell frequency values by limiting dilution analysis in vz'rm or in
vivo is preferably done by ng Poisson distribution statistics to the known frequency of
positive and negative events, thereby providing a frequenCy for events fulfilling the definition of a
positive event; in this case, colony or tumor formation, respectively.
As to other methods compatible with the instant invention that may be used to calculate
tumor initiating cell frequency, the most common comprise fiable flow cytometrie ques
and immunohistochemical staining procedures. Though not as precise as the limiting on
analysis techniques described immediately above, these procedures are much less labor intensive
and e reasonable values in a relatively short time frame. Thus, it will be iated that a
skilled artisan may use flow cytometric cell surface marker profile determination employing one or
Ix.) OJ
more antibodies or reagents that bind art recognized cell surface proteins known to enrich for tumor
initiating cells (e.g., potentially ible markers as are set forth in Example I below) and
thereby measure TIC levels from various samples. In still another compatible method one skilled
in the art might ate TIC frequency in situ (e.g., in a tissue section) by
histochemistry using one or more antibodies or reagents that are able to bind cell surface
proteins thought to demarcate these cells.
Using any of the above-referenced methods it is then possible to quantify the reduction
in frequency of TIC (or the TPC n) provided by the disclosed PTK7 modulators (including
those conjugated to cytotoxic agents) in ance with the teachings herein. In some instances,
the compounds of the instant invention may reduce the frequency OFTIC (by a variety of
mechanisms noted above, ing elimination, induced differentiation, niche disruption,
silencing, etc.) by l0%, l5%, 20%, 25 n, 30% or even by 35%. In other embodiments, the
reduction in frequency of TIC may be on the order of 40%, 45%, 50%, 55%, 60% or 65%. In
certain embodiments, the disclosed compounds my reduce the frequency of TIC by 70%, 75%,
80%, 85%, 90% or even 95%. Of course it will be appreciated that any reduction of the frequency
of the TIC likely results in a corresponding reduction in the tumorigenicity, persistence, recurrence
and aggressiveness of the neoplasia.
IV. PTK7 Modulators
[076} In any event, the present invention is directed to the use of PTK? modulators, ing
PTK7 antagonists, for the diagnosis, theragnosis, treatment and/or prophylaxis of various disorders
ing any one of a number of PTK?‘ ated ancies. The disclosed modulators may
be used alone or in conjunction with a wide variety of anti-cancer nds such as
chemotherapeutic or immunotherapeutic agents (e.g., therapeutic antibodies) or biological response
modifiers. In other selected embodiments, two or more discrete PTK7 modulators may be used in
combination to provide enhanced anti-neoplastic effects or may be used to fabricate multispecific
constructs.
In certain embodiments, the PTK? modulators of the t invention will comprise
nucleotides, oligonucleotides, polynucleotides, peptides or polypeptides. Even more preferably the
modulators will comprise soluble PTK7 (sPI‘K7) or a form, variant, derivative or fragment thereof
including, for example, PTK7 fusion constructs (e.g., c, PTK7-targeting , etc.) or
PTK7-conjugates (c.g., PTK7-PEG, PTK7-cytotoxic agent, PTK7«brm, etc). It will also be
appreciated that, in other embodiments, the PTK7 modulators comprise antibodies or
immunoreactive fragments or derivatives thereof. In particularly preferred embodiments the
modulators of the instant invention will comprise neutralizing antibodies or derivatives or
fragments thereof. In other embodiments the P’I‘K7 modulators may se alizing
antibodies or fragments thereof. In still other embodiments the PTK7 modulators may comprise
depleting antibodies or fragments thereof. Moreover, as with the aforementioned fusion constructs,
these antibody modulators may be conjugated, linked or otherwise associated with selected
xic agents, polymers, biological response modifiers (BRMs) or the like to provide ed
immunotherapies with various (and ally multiple) mechanisms of action. As alluded to
above such dies may be pan-PTK7 antibodies and associate with two or more PTK7 isoforms
or immunospecific antibodies that selectively react with a single m. In yet other
embodiments the modulators may operate on the c level and may comprise compounds as
antisense constructs, siRNA, micro RNA and the like.
[078} It will further be appreciated that the disclosed PTK? modulators may deplete, silence.
neutralize, ate or inhibit growth, propagation or survival of tumor cells, particularly TPC,
and/or associated neoplasia h a variety of mechanisms, including agonizing or antagonizing
selected pathways or eliminating specific cells depending, for example, on the form of PTK7
modulator, any ated payload or dosing and method of delivery. Accordingly, while preferred
embodiments disclosed herein are directed to the depletion, tion or silencing of specific tumor
cell suprpulations such as tumor perpetuating cells, it must be emphasized that such embodiments
are merely rative and not limiting in any sense. , as set forth in the appended claims, the
present invention is broadly directed to PTK7 modulators and their use in the treatment,
management or prOpliylaxis of various PTK7 ated hyperproliferative disorders irrespective of
any particular mechanisrn or target tumor cell population.
In the same sense disclosed embodiments of the instant invention may comprise one or
more PTK? antagonists that associate with PTK7. To that end it will be appreciated that PTK7
antagonists of the instant ion may comprise any ligand, polypeptide, peptide, fusion protein,
antibody or immunologically active fragment or derivative thereof that recognizes, reacts, binds,
combines, competes, associates or otherwise interacts with the PTK? n or fragment thereof
and eliminates, silences, reduces, ts, hinders, restrains or controls the growth of tumor
initiating cells or other neoplastic cells including bulk tumor or NTG cells. In selected
embodiments the PTK7 modulators comprise PTK7 antagonists.
[080} As used herein an antagonist refers to a molecule capable of neutralizing, blocking,
inhibiting, abrogating, reducing or interfering with the activities of a particular or specified protein,
including the binding of receptors to ligands or the interactions of enzymes with substrates. More
generally nists of the invention may comprise antibodies and antigen~bintling fragments or
derivatives thereof, proteins, peptides, glycoproteins, glycopcptides, glycolipids, polysaccharides,
oligosaccharides, nucleic acids, antisense ucts, siRNA, miRNA, bioorganic molecules,
pcptidomimetics, pharmacological agents and their metabolites, transcriptional and translation
l sequences, and the like. Antagonists may also include small molecule inhibitors, fusion
proteins, receptor molecules and derivatives which bind specifically to the protein thereby
tering its binding to its substrate target, antagonist variants of the n, antisense
molecules ed to the protein, RNA aptamers, and ribozymes against the protein.
As used herein and applied to two or more molecules or compounds, the terms
recognizes or associates shall be held to mean the reaction, binding, specific binding, combination,
interaction, connection, linkage, uniting, coalescence, merger orjoining, covalently or non-
covalently, of the molecules whereby one molecule exerts an effect on the other molecule.
Moreover, as demonstrated in the examples herein, some modulators of human PTK7
may, in certain cases, cross-react with PTK? from a species other than human ('e.g., murine). In
other cases exemplary modulators may be specific for one or more isoforms of human PTK7 and
will not exhibit cross-reactivity with PTK‘? orthologs from other species. Of course, in ction
with the ngs herein such embodiments may comprise pan—PTK7 antibodies that associate
with two or more isoforms from a single species or antibodies that exclusively associate with a
single isoform.
[0831 In any event, and as will be sed in more detail below, those skilled in the art will
iate that the disclosed modulators may be used in a conjugated or unconjugated form. That
is, the modulator may be associated with or conjugated to (cg. covalently or non—covalently)
pharmaceutically active compounds, biological response modifiers, anti-cancer agents, xic or
cytostatic agents, diagnostic moieties or biocompatible modifiers. In this respect it will be
understood that such conjugates may comprise peptides, polypeptides, proteins, fusion ns,
nucleic acid molecules, small molecules, mimetic agents, tic drugs, inorganic molecules,
organic molecules and radioisot0pes. Moreover, as indicated herein the ed conjugate may be
covalently or non-covalently linked to the PTK? modulator in various molar ratios depending, at
least in part, on the method used to effect the conjugation.
V. Antibodies
a. Overview
As previously d to particularly preferred embodiments of the instant invention
comprise PTK7 modulators in the form of antibodies that preferentially associate with one or more
ms of PTK7. The term antibody is used in the broadest sense and specifically covers
synthetic antibodies, monoclonal antibodies, oligoclonal or polyclonal antibodies, multiclonal
antibodies, reeombinantly produced dies, intrabodies, multispecific antibodies, bispecific
antibodies, monovalent antibodies, multivalent antibodies, human antibodies, humanized
antibodies, chimeric antibodies, CDR-grafted antibodies, primatizcd antibodies, Fab fragments,
F(ab') fragments, single-chain Fchs (scFch), single—chain Fvs (scFv), anti-idiotypic (anti-Id)
antibodies and any other immunologically active antibody fragments so long as they exhibit the
desired biological ty (i.e., immunos‘pecifie or preferential PTK7 association or
binding). in a broader sense, the antibodies of the present invention include immunoglobulin
les and immunologically active fragments of immunoglobulin molecules, i.e., molecules
that contain an antigen binding site, where these fragments may or may not be fused to another
immunoglobulin domain including, but not limited to, an Fc region or nt thereof. r, as
outlined in more detail herein, the terms antibody and antibodies specifically e Fe variants as
described below, including full length antibodies and variant Fe-Fusions comprising Fe regions, or
fragments thereof, Optionally comprising at least one amino acid residue modification and fused to
an immunologically active fragment of an immunoglobulin.
{085] As discussed in more detail below, the c terms antibody or immunoglolmlin
comprises five distinct classes of antibody that can be distinguished mically and, depending
on the amino acid sequence of the constant domain of their heavy chains, can readily be assigned to
the appropriate class. For historical reasons, the major classes of intact dies are termed lgA,
IgD, IgE, IgG, and IgM. In humans, the lgG and lgA classes may be r divided into
recognized sses (isotypes), i.e., lgGl, IgGZ, IgG3, lgG4, lgAl, and IgA2 depending on
structure and certain biochemical properties. It will be appreciated that the IgG isotypes in humans
are named in order of their abundance in serum with IgGl being the most abundant.
{086] While all five classes of antibodies (i.e. lgA, lgD, lgE, lgG. and lgM) and all isotypes
(i.e., lgGl, IgGZ, lgG3, lgG4, lgAl, and IgAZ), as well as variations thereof, are within the scope
of the present int/cation, preferred embodiments comprising the lgG class of immunoglobulin will
be discussed in some detail solely for the es of illustration. it will be understood that such
disclosure is, r, merely demonstrative of exemplary compositions and methods of practicing
the present invention and not in any way ng of the scope of the invention or the claims
ed hereto.
In this respect, human IgG immunoglobulins comprise two identical light polypeptide
chains of molecular weight approximately 23,000 s, and two identical heavy chains of
molecular weight 53,000-70,000 ing on the isotype. Heavy-chain constant domains that
correspond to the different classes of antibodies are denoted by the corresponding lowercase Greek
letter a, 5, s, y. and it, respectively. The light chains of the antibodies from any vertebrate species
can be assigned to one of two clearly distinct types, called kappa (K) and lambda 0.), based on the
amino acid sequences of their constant domains. Those skilled in the art will iate that the
subunit structures and tln'ee-dimensional urations of different classes of imtnunoglobulins are
well known.
[088} The four chains are joined by disulfide bonds in a Y configuration wherein the light
chains bracket the heavy chains starting at the mouth of the Y and continuing through the variable
region to the dual ends of the Y. Each light chain is linked to a heavy chain by one cavalent
disulfide bond while two disulfide linkages in the hinge region join the heavy chains. The
tive heavy and ii ght chains also have regularly spaced intrachain disulfide bridges the
number of which may vary based on the isotype of IgG.
[089} Each heavy chain has at one end a variable domain (V1.1) followed by a number of
nt domains. Each light chain has a variable demain at one end (V1) and a constant domain at
its other end; the constant domain of the light chain is aligned with the first constant domain of the
heavy chain, and the light chain variabie domain is aligned with the variable domain of the heavy
chain. In this regard, it will be appreciated that the variable domains of both the light (V1) and
heavy (VH) chain portions determine antigen recognition and specificity. Conversely, the constant
domains of the light chain (CL) and the heavy chain (Cul, CH2 or CH3) confer and te
important biological properties such as secretion, transplacental mobility, circulation half-life,
complement g, and the like. By convention the numbering of the constant regioa domains
increases as they become more distal from the antigen binding site or amino-terminus of the
antibody. Thus, the amino or N—terminus of the antibody comprises the variable region and the
y or C-tcrminus ses the constant region. Thus, the CH3 and C1. s actually
comprise the y-terminns of the heavy and light chain, respectively.
The term variable refers to the fact that certain portions of the variable domains differ
extensively in sequence among immunoglobulins and these hot spots largely define the binding and
specificity characteristics of a particular antibody. These hypervariable sites manifest themselves
in three segments, known as complementarity determining regions (CDRS), in both the light-chain
and the heavy-chain variable domains respectively. The more highly conserved portions of
variable s flanking the CDRs are termed framework s (FRs). More specifically, in
naturally ing monomeric IgG antibodies, the six CDRs present on each arm of the antibody
are short, non~contiguous sequences of amino acids that are ically positioned to form the
antigen binding site as the antibody assumes its three dimensional configuration in an aqueous
environment.
The framework regions comprising the remainder of the heavy and light variable
domains show less inter~molecular ility in amino acid sequence. Rather, the framework
regions largely adopt a B-sheet conformation and the CDRs form loops which connect, and in some
cases form part of, the B-sheet structure. Thus, these framework s act to form a scaffold that
provides for positioning the six CDRs in correct orientation by inter-Chain, non-covalent
interactions. The antigen-binding site formed by the positioned CDRS defines a surface
complementary to the epitope on the immunoreactive antigen. This complementary surface
promotes the non-covalent binding of the antibody to the immnnorcactive antigen epitope. It will
be iated that the position and composition of CDRs can be readily identified by one of
ordinary skill in the art using the definitions provided herein.
[092} As discussed in more detail below all or part of the heavy and light chain variable
regions may be recombined or engineered using standard recombinant and expression techniques to
provide effective antibodies. That is, the heavy or light chain variable region from a first antibody
(or any portion thereof) may be mixed and matched with any selected portion of the heavy or light
chain variable region from a second antibody. For example, in one ment, the entire light
chain le region comprising the three light chain CDRs of a first antibody may be paired with
the entire heavy chain variable region comprising the three heavy chain CDRs of a second antibody
to provide an operative antibody. er, in other embodiments, individual heavy and light
chain CDRs derived from s antibodies may be mixed and matched to e the desired
antibody having optimized characteristics. Thus, an exemplary antibody may comprise three light
chain CDRs from a first antibody, two heavy chain CDRs derived from a second antibody and a
third heavy chain CDR from a third antibody.
More ically, in the context of the instant invention it will be appreciated that any
of the disclosed heavy and light chain CDRS derived from the murine variable region amino acid
sequences set forth in or may be rearranged in this manner to e optimized
anti—PTK? (e.g. anti-hPTK7) antibodies in accordance with the instant teachings. That is, one or
more of the CDRs derived from the contiguous light chain variable region amino acid ces set
forth in (SEQ ID NOS: 20 — 60, even numbers) or the contiguous heavy chain variable
region amino acid sequences set forth in (SEQ ID N08: 21 ~ 61 odd numbers) may be
incorporated in a PTK7 modulator and, in particularly preferred embodiments, in a CDR grafted or
humanized dy that immunospecil’ically associates with one or more PTK7 isoforms.
Examples of light (SEQ ID NOS: 62 — 68, even s) and heavy (SEQ lD NOS: 63 — 69, odd
numbers) chain variable region amino acid sequences of such humanized modulators are also set
forth in FIGS. 6A and 6B. Taken together these novel amino acid sequences depict twenty-one
marine and four humanized ary modulators in accordance with the instant invention.
Moreover, corresponding nucleic acid sequences of each of the -one exemplary marine
modulators and four zed tors set forth in FIGS. 6A and 6B are included in the
sequence listing appended to the instant ation (SEQ ID NOS: 120— 169).
[0941 In any event, the compiementarity determining regions residue numbers may be defined
as those of Kabat et a1. (1991, NIH Publication 9l—3242, National Technical ation Service,
Springfield, Va), specificaily, residues 24-34 (CDRI), 50-56 (CDR2) and 89—97 (CDR3) in the
light chain variabie domain and 31-35 (CDRl), 50—65 (CDRZ) and 95—102 (CDR3) in the heavy
chain variable domain. Note that CDRs vary considerably from antibody to antibody (and by
definition wili not exhibit homology with the Kabat coasensus sequences). Maximal a1 ignmcnt of
framework residues frequently es the insertion of spacer residues in the numbering system, to
be used for the Fv region. In addition, the identity of certain individual residues at any given Kabat
site number may vary from antibody chain to antibody chain due to interspecies or allelic
divergence. See also Chothia et al., J. Mol. Biol. [96:901-917 (1987); Chothia et al., Nature 342,
pp. 3 (1989), MacCallum et al., J. Mol. Biol. 262:732~745 (1996) and S. Dubel, ed.,
ok of Therapeutic Antibodies. 3rd ed., WILEY~VCH Veriag GmbH and Co. (2007), where
the definitions include overlapping or subsets of amino acid residues when compared against each
other. Each of the aforementioned references is incorporated herein by reference in its entirety and
the amino acid residues which comprise g s or CDRs as defined by each of the above
cited references and are set forth for comparison below.
CDR Definitions
«moon: 50.65 ~ sass 47-58
-VrCDR3102102
’Residue numbering follows the nomenclature of Kabat et 221., supra
“Resadue ing follows the nomenclature of Chothta et al., supra. . .
3Residue numbering follows the nomenclature of MacCallum et al., supra
{0951 As discussed herein one skilled in the art could readily define, identify derive and/0r
enumerate the CDRs as defined by Kabat et al., Chothia et al. or MacCallum et al. for each
respective heavy and light chain sequence set forth in or . Accordingly, each of
the subject CDRs and antibodies comprising CDRs defined by all such nomenclature are expressly
included within the scope of the t invention. More broadly the term variable region CDR
amino acid residue includes amino acids in a CDR as identified using any sequence or structure
based method as set forth above.
As used herein the term variable region framework (FR) amino acid residues refers to
those amino acids in the framework region of an lg chain. The term ork region or FR
region as used herein, includes the amino acid residues that are part of the variable region, but are
not part of the CDRs (cg, using the Kabat. definition of CDRs). Therefore, a variable region
framework is a non-contiguous sequence between about 100-120 amino acids in length but includes
only those amino acids outside of the CDRs.
For the specific example of a heavy chain variable region and for the CDRS as defined
by Kabat et al., framework region i corresponds to the domain of the variable region encompassing
amino acids 1-30; framework region 2 corresponds to the domain of the variable region
encompassing amino acids 36—49; framework region 3 corresponds to the domain of the variable
region assing amino acids 66—94, and framework region 4 ponds to the domain of the
variable region frOni amino acids l03 to the end of the le region. The framework regions for
the light chain are similarly separated by each of the light claim variable region CDRs. Similarly,
using the definition of CDRs by Chothia et al. (cg, CDR~LI 23~34, CDR~L2 50-56, CDR-L3 89-
97; CDR-Hl 26-32, CDR-HQ 50-58, CDR-H3 95-102) or McCallum et al. the framework region
boundaries are separated by the respective CDR termini as described above.
With the entioned structural considerations in mind, those skilled in the art will
appreciate that the dies of the present invention may comprise any One of a number of
functional embodiments. In this respect, compatible antibodies may comprise any immunorcactive
antibody (as the term is defined herein) that es the desired physiological response in a
subject. While any of the disclosed antibodies may be used in conjunction with the present
teachings, certain embodiments of the invention will comprise chimeric, humanized or human
monoclonal antibodies or innnunoreactive nts thereof. Yet other embodiments may, for
e, comprise neous or heterogeneous multitneric constructs, Fe variants and
conjugated or glycosylationally d antibodies. Moreover, it will be understood that such
configurations are not mutually exclusive and that compatible individual antibodies may comprise
one or more of the functional aspects disclosed herein. For example, a ible antibody may
comprise a single chain diabody with zed variable regions or a fully human full length IgG3
antibody with Fe modifications that alter the glycosylation n to modulate serum half—life.
Other exemplary embodiments are readily apparent to those skilled in the art and may easily be
discernable as being within the scope of the invention.
b. Antibody generation
As is well known, and shown in the Examples herein. s host animals, including
rabbits, mice, rats, etc. may be inoculated and used to provide antibodies in accordance with the
teachings herein. Art known adjuvants that may be used to increase the logical se,
depending on the ated species include, but are not d to, l's (complete and
incomplete), mineral gels such as aluminum hydroxide, surface active substances such as
lysolecithin, pluronic polyols, polyanions, peptides, oil emulsions, keyhole limpet hemocyanins,
dinitroplienol, and potentially useful human adjuvants such as BCG (bacille Calmette—Guerin) and
corynebacterium parvum. Such adjuvants may protect the n lrorn rapid sal by
sequestering it in a local deposit, or they may contain substances that stimulate the host to secrete
factors that are chemotactic for ages and other components of the immune .
Preferably, if a polypeptide is being administered, the immunization schedule will involve two or
more administrations of the polypeptide, spread out over several weeks.
[01001 After immunization of an animal with a PTK7 immunogen (cg, soluble PTK7 or
sPTK'i) which may comprise selected isoforms and/or peptides, or live cells or cell preparations
expressing the desired protein, antibodies and/or antibody-producing cells can be obtained from the
animal using art recognized techniques. In some ments, polyclonal anti-PTK7 antibody—
containing serum is obtained by bleeding or sacrificing the animal. The serum may be used for
research purposes in the form obtained from the animal or, in the alternative, the anti-PTK7
antibodies may be partially or fully purified to provide. globulin ons or homogeneous
antibody preparations.
c. Monoclonal antibodies
While polyclonal antibodies may be used in conjunction with certain aspects of the
present invention, preferred embodiments comprise the use of PTK? reactive monoclonal
antibodies. As used herein, the term monoclonal dy or mAb refers to an antibody obtained
from a population of substantially homogeneous antibodies, i.e., the individual antibodies
comprising the population are identical except for possible ons, e.g., naturally occurring
mutations, that may be present in minor amounts. Thus, the modifier monoclonal indicates the
character of the antibody as not being a mixture of discrete antibodies and may be used in
conjunction with any type of antibody. In certain embodiments, such a monoclonal antibody
includes an antibody comprising a polypeptide sequence that binds or associates with PTK7,
wherein the PTK7-binding polypeptide sequence was ed by a process that es the
selection of a single target binding polypeptide sequence from a plurality of polypeptide sequences.
[0l02] In preferred embodiments, dy-producing cell lines are ed from cells isolated
from the immunized animal. After immunization. the animal is sacrificed and lymph node and/or
splenic B cells are immortalized by means well known in the art as shown in the appended
Examples). Methods of imtnortalizing cells include, but are not limited to, transfecting them with
oncogenes, infecting them with an oncogenic virus and cultivating them under conditions that
select for immortalized cells, ting them to carcinogenic or mutating compounds, fusing them
with an immortalized cell, e.g., a myeloma cell, and inactivating a tumor suppressor gene. If fusion
with myeloma cells is used, the mycloma cells preferably do not e immunoglobulin
polypeptides (a non~secretory cell line). As set forth in the Examples below immortalized cells
may be screened using a PTK7 (including selected isoforms), or an immunoreactive portion
thereof. In a preferred embodiment, the initial screening is performed using an enzyme-linked
immunoassay (ELISA) or a radioimmunoassay.
More generally, te monoclonal dies consistent with the present invention
can be prepared using a wide variety of techniques known in the art including hybridoma,
recombinant techniques, phage diSplay technologies, yeast libraries, transgenic animals (e.g. a
XenoMouse® or HuMAb Mouse®) or some combination thereof. For example, monoclonal
antibodies can be produced using hybridoma techniques such as broadly bed above and
taught in more detail in Harlow ct al., Antibodies: A Laboratory Manual, (Cold Spring Harbor
Laboratory Press, 2nd ed. 1988); Hammcrling, et al., in: Monoclonal Antibodies and T-Cell
Hybridomas 563~68l (Elsevier, N.Y., l981) each of which is orated herein. Using the
disclosed protocols, antibodies are preferably raised in mammals by multiple subcutaneous or
intrapcritoneal injections of the relevant antigen and an adjuyant. As usly discussed, this
immunization generally elicits an immune response that comprises production of antigeii~t‘eacti\'e
antibodies (that may be frilly human if the immunized animal is transgenic) from activated
splenocytes or lymphocytes. While the resulting antibodies may be harvested from the serum of
the animal to provide polyclonai ations, it is lly more ble to isolate individual
lymphocytes from the , lymph nodes or peripheral blood to provide nous preparations
of onal antibodies. Most typically, the lymphocytes are obtained from the spleen and
immortalized to provide hybridomas.
For example, as described above, the selection process can be the selection of a unique
clone from a plurality of clones, such as a pool of hybridoma clones, phage clones, or recombinant
DNA cloaes. It should be understood that a selected PTK? binding sequence can be further altered,
b.) b.)
for example, to improve affinity for the target, to humanize the target binding sequence, to e
its production in cell culture, to reduce its ogenicity in vivo, to create a multispecific
antibody, etc., and that an antibody comprising the altered target binding sequence is also a
monoclonal antibody of this invention. In contrast to polyclonal antibody preparations, which
typically include discrete antibodies directed against different determinants (epitopes), each
monoclonal dy of a monoclonal antibody ation is directed against a single inant
on an antigen. In addition to their specificity, monoclonal antibody preparations are advantageous
in that they are lly uncontaminated by other immunoglobulins that may be cross—reactive.
d. Chimeric antibodies
In r embodiment, the antibody of the invention may comprise chimeric antibodies
derived from covalently joined n segments from at least two different species or types of
antibodies. It will be appreciated that, as used herein, the term chimeric antibodies is directed to
constructs in which a portion of the heavy and/or light chain is identical with or homologous to
corresponding sequences in antibodies derived from a particular species or belonging to a particular
antibody class or subclass, while the remainder of the chain(s) is identical with or homologous to
corresponding ces in antibodies derived from r species or belonging to another
antibody class or subclass, as well as fragments of such antibodies, so long as they exhibit the
desired biological activity (US. Pat. No. 4,816,567; Morrison et al., Proc. Natl. Acad. Sci. USA,
8i 26851~6855 (1984)). in one exemplary embodiment, a ic antibody in accordance with the
teachings herein may comprise murine V” and VL amino acid sequences and constant regions
derived from human sources. In other compatible embodiments a chimeric antibody of the t
invention may comprise a CDR grafted or humanized dy as bed herein.
Generally, a goal of making a chimeric antibody is to create a chimera in which the
number of amino acids from the intended subject species is maximized. One example is the CDR‘
grafted antibody, in which the dy comprises one or more complementarity determining
regions (CDRs) from a particular species or belonging to a ular antibody class or ss,
while the remainder of the antibody chain(s) is/are identical with or homologous to a corresponding
sequence in antibodies derived from another species or belonging to another antibody class or
subclass. For use in humans, the variable region or selected CDRs from a rodent antibody often are
grafted into a human antibody, ing the lly occurring variable regions or CDRs of the
human antibody. These constructs generally have the advantages of providing full strength
modulator functions (cg, CDC, ADCC, etc.) while reducing unwanted immune responses to the
antibody by the subject.
e. Humanized antibodies
Similar to the CDR grafted antibody is a humanized dy. Generally, a humanized
antibody is produced from a monoclonal antibody raised initially in a non-human animal. As used
herein humanized forms of non-human (e.g., murine) antibodies are chimeric antibodies that
contain a minimal sequence d from a non—human immunoglobulin. In one embodiment, a
humanized antibody is a human immunoglobulin (recipient or acceptor dy) in which residues
from a CDR of the recipient antibody are replaced by residues from a CDR of a non—human species
(donor dy) such as mouse, rat, rabbit, or nonhuman primate having the desired specificity,
affinity, and/0r capacity.
{0108] Generally humanization of an dy ses an analysis of the sequence homology
and canonical structures of both the donor and recipient antibodies. In selected ments, the
recipient antibody may comprise consensus sequences. To create consensus human frameworks,
frameworks from several human heavy chain or light chain amino acid sequences may be aligned to
identify a consensus amino acid sequence. Moreover, in many instances, one or more ork
residues in the variable domain of the human immunoglobulin are repiaced by corresponding non~
human es from the donor antibody. These framework substitutions are identified by methods
well known in the art, e.g., by modeling of the interactions of the CDR and ork residues to
identify framework residues important for antigen binding and ce comparison to identify
unusual framework residues at particular ons. Such substitutions help maintain the
appropriate tln'ee~dimensional configuration of the d CDR(s) and often improve infinity over
similar constructs with no framework substitutions. Furthermore, humanized antibodies may
comprise residues that are not found in the recipient antibody or in the donor antibody. These
modifications may be made to further refine antibody performance using wet1~known techniques.
{0109} CDR grafting and humanized dies are described, for example, in U.S.P.Ns.
6,180,370, 5,693,762, 5,693,761, 5,585,089, and 5,530,101. in general, a humanized dy will
comprise substantially aii of at least one, and typically two, variable domains, in which all or
ntially all of the CDRs pond to those of a non~human immtmoglobulin, and all or
substantially all of the framework regions are those of a human immunoglobulin sequence. The
humanized antibody optionally will also comprise at least a portion of an immunoglobulin constant
region (Fe), typically that of a human immunoglobulin. For further details, see, e.g., Jones et al.,
Nature 2-525 (1986); Riechmann et al., Nature 3322323629 (1988); and Presta, Curr. Op.
Struct. Biol. 2:593-596 (1992). See also, e.g., Vaswani and Hamilton, Ann. Allergy, Asthma &
Immunol. 1: 105~1 15 (1998); Harris, Biochem. Soc. Transactions 23:10354038 (1995); Hurle and
Gross, Curr. Op. Biotech. 5:428-433 (1994); and U.S.P.Ns. 6,982,321 and 7,087,409. Still another
method is termed humaneering and is bed, for example, in US. 2005/0008625. For the
purposes of the present application the term humanized antibodies will be held to expressly include
CDR grafted antibodies (i.e. human antibodies comprising one or more grafted nonhuman CDRs)
with no or minimal framework substitutions.
[Ol 10] Additionally, a non-human anti-PTK7 antibody may also be modified by specific
on of human T cell es or deimmunization by the methods disclosed in WO 98/52976
and WO 00/34317. Briefly, the heavy and light chain variable regions of an antibody can be
analyzed for peptides that bind to MHC Class [1; these peptides ent potential T-cell epitopes
(as defined in WO 76 and WO 17). For detection of ial 'l‘~cell epitopes, a
computer modeling ch termed peptide threading can be applied, and in addition a database of
human MHC class II binding peptides can be searched for motifs present in the V“ and V1-
sequences, as described in WO 98/52976 and W0 Oil/34317. These motifs bind to any of the 18
major MHC class Ii DR pes, and thus constitute potential T cell cpitopes. Potential T-cell
epitopes detected can be eliminated by substituting small numbers of amino acid residues in the
variable regions, or by single amino acid tutions. As far as possible, conservative
substitutions are made. Often, but not exclusively, an amino acid common to a position in human
germline antibody sequences may be used. After the deimmunizing changes are identified, nucleic
acids encoding V” and VL can be constructed by mutagenesis or other synthetic s (e.g., de
novo synthesis, cassette replacement, and so forth). A mutagenized variable sequence can,
optionally, be fused to a human constant region.
[01 l i] In selected ments, at least 60%, 65%, 70%, 75%, or 80% of the zed
antibody variable region residues will correspond to those of the parental framework region (FR)
and CDR sequences. In other embodiments at least 85% or 90% of the humanized antibody
residues will correspond to those of the al framework region (FR) and CDR sequences, In a
further preferred embodiment, greater than 95% of the humanized antibody residues will
correspond to those of the parental framework region (PR) and CDR sequences.
{Oi l2] Humanized antibodies may be fabricated using common molecular biology and
biomolecular engineering techniques as described herein. These s include isolating,
manipulating, and expressing nucleic acid sequences that encode all or part of immunoglobulin Fv
variable regions from at least one of a heavy or light chain. Sources of such nucleic acid are well
known to those skilled in the art and, for example, may be obtained from a hybridoma, eukaryotic
cell or phage producing an antibody or inununoreactive fragment against a predetermined target, as
described above, from ne immunoglobulin genes, or from synthetic constructs. The
recombinant DNA encoding the humanized antibody can then be cloned into an appropriate
expression vector.
[01 i3} Human ne sequences, for example, are disclosed in Tomlinson. I. A. et a]. (1992)
J. Mol. Biol. 227:776«798; Cook, G. P. et al. (1995) Immunol. Today l6: 237-242; Chothia. D. et
al. (1992) J. Mol. Bio. 9-817; and Tomlinson et al. (l995) EMBOJ 14:4628-4638. The V
BASE directory provides a comprehensive directory of human immunoglobulin le region
sequences (See Retter et ai., (2005) Nuc Acid Res 33: 4). These sequences can be used as a
source of human sequence, e.g., for framework regions and CDRs. As set forth herein consensus
human framework regions can also be used, e.g., as bed in U.S.P.N. 6,300,064.
t'. Human antibodies
{OI 14] In addition to the aforementioned antibodies, those skilled in the art will appreciate that
the antibodies of the present invention may comprise fully human antibodies. For the purposes of
the instant application the term human antibody comprises an antibody which possesses an amino
acid sequence that corresponds to that of an antibody produced by a human and/or has been made
using any of the techniques for making human antibodies as disclosed herein. This definition of a
human antibody ically excludes a humanized antibody comprising non-human antigen-
g residues.
15‘] Human antibodies can be produced using various techniques known in the art. As
alluded to above, phage display techniques may be used to provide active binding regions
in accordance with the t ngs. Thus, certain embodiments of the invention provide
methods for producing anti-PTK? antibodies or antigen‘binding portions f comprising the
steps of synthesizing a library of (preferably human) antibodies on phage, screening the library with
a selected PTK7 or an antibody—binding portion thereof, isolating phage that binds PTK7, and
obtaining the immunoreactive fragments from the phage. By way of example, one method for
ing the y of antibodies for use in phage display techniques comprises the steps of
immunizing a non-human animal comprising human or non~human immunoglobulin loci with the
selected PTK7 or an nic portion thereof to create an immune response, extracting antibody-
producing cells from the immunized animal; isolating RNA encoding heavy and light chains of
antibodies of the invention from the extracted cells, reverse transcribing the RNA to produce
cDNA, amplifying the CDNA using primers, and inserting the cDNA into a phage display vector
such that antibodies are expressed on the phage. More particularly, DNA encoding the V” and VL
domains are recombined er with an seFv linker by PCR and cloned into a phagemid vector
(cg, p CANTAB 6 01' pComb 3 H38). The vector may then be electroporated in E. eoli and then
the E. coli is infected with helper phage. Phage used in these s are typically filamentous
phage including fd and M13 and the VH and V1, domains are usualiy recombinantly fused to either
the phage gene III or gene. V111.
[01 I6] Recombinant human anti—PTK7 antibodies of the invention may be isolated by
ing a recombinant combinatorial antibody library prepared as above. in a preferred
embodiment, the library is a scFv phage display library, generated using human VL and V" cDNAs
prepared from mRNA isolated from B cells. Methods for preparing and screening such libraries are
well known in the art and kits for generating phage display libraries are commercially available
(e.g., the Pharmaeia Recombinant Phage Antibody System, catalog no. 2701; and the
Stratagene SuriZAPm phage display kit, catalog no. 240612). There also are other methods and
reagents that can be used in generating and screening antibody display libraries (see, e.g., U.S.P.N.
,223,409; PCT Publication Nos. W0 92/18619, W0 91/1727 1, W0 92/2079], WO 92/15679, WO
93/01288, W0 92/01047, WO 92/09690; Fuchs et al., Bio/Technology 9: 1370-1372 ( 1991); Hay et
al., Hum. Antibod. Hybridomas 3:81-85 ; Huse et al., Science 246:1275~1281 (1989);
McCafferty et al., Nature 2-554 ; Griffiths et a1., EMBO J. 12:725—734 (1993);
Hawkins et ai., J. M01. Biol. 226:889-896 (1992); Clackson et 31., Nature 352:624~628 (1991);
Gram et al., Proc. Natl. Acad. Sci. USA 6-3580 (1992); Gan'ad at al.. Bio/Technology
921373-1377 (1991 ); Hoogenboom et ah, Nuc. Acid Res. 1941334137 ; and Barbas (:1 211.,
Proc. Natl. Acad. Sci. USA 88:7978~7982 (1991).
{01 17] The antibodies produced by naive libraries (either natural or synthetic) can be of
te affinity (Ka of about 106 to 107 M“), but affinity maturation can also be mimicked in vitro
by constructing and reselecting from secondary libraries as bed in the art. For example,
mutation can be introduced at random in vitro by using erronprone polymerase (reported in Leung
et a1., Technique, 1: 1 1-15 (1989)) in the method of s et 211., J. Mol. Biol. 226: 889-896
(1992) or in the method of Gram et al., Proc. Natl. Acad. Sci. USA, 89: 3576-3580 (1992).
Additionally, affinity maturation can be performed by ly mutating one or more CDRs, e.g.
using PCR with primers carrying random sequence spanning the CDR of interest, in ed
individual Fv clones and screening for higher ty clones. W0 9607754 described a method for
inducing mutagenesis in a compiementarity determining region of an giobulin light chain
to create a library of light chain genes. Another effective approach is to recombine the V“ or V;,
s seiected by phage display with repertoires of naturally occurring V domain variants
obtained from tmimmunized donors and screen for higher affinity in several rounds of chain
reshuffling as bed in Marks et a1., Biotechnol., 10: 779-783 ( 1992). This technique allows the
production of dies and antibody fragments with a dissociation constant Kd (keg/km) of about
‘9 M or less.
{01 18] It will further be appreciated that similar procedures may be employed using libraries
comprising eukaryotic cells (cg, yeast) that express binding pairs on their surface. As with phage
display technology, the cukaryotic libraries are screened against the antigen of st (i.e., PTK7)
and cells expressing candidate-binding pairs are isolated and cloned. Steps may be taken to
optimize library content and for affinity maturation of the reactive binding pairs. See, for example,
U.S.P.N. 7,700,302 and U.S.S.N. 12/404,059. In one embodiment, the human antibody is selected
from a phage y, where that phage library ses human antibodies (Vaughan et al. Nature
Biotechnology 14:309-3 I4 (1996): Sheets et al. Proc. Natl. Acad. Sci. 95:6157-6162 );
Hoogenboom and Winter, 1. Mol. Biol, 227:381 (1991); Marks et al.. J. Mol. Biol, 2222581 (1991)).
In other embodiments human binding pairs may be isolated from combinatorial antibody libraries
generated in otic cells such as yeast. See e.g., U.S.P.N. 7,700,302. Such techniques
advantageously allow for the screening of large s of candidate modulators and provide for
relatively easy manipulation of candidate sequences (e.g., by affinity maturation or recombinant
shuffling).
{01 19] Human antibodies can also be made by introducing human immunoglobulin loci into
transgenic animals, e.g., mice in which the endogenous globulin genes have been partially
or completely inactivated. Upon nge, human antibody production is observed, which closely
resembles that seen in humans in all respects, ing gene rearrangement, assembly, and
antibody repertoire. This approach is described, for example, in U.S.P.Ns. 5,545,807; 5,545,806;
825; 5,625,126; 425; 5,661,016, and U.S.P.N 6,075,18l and 6,150,584 regarding
XenoMouse® logy along with the following scientific publications: Marks et al.,
chnology 10: 779-783 (1992); Lonberg et al., Nature 368: 856—859 (1994); Morrison, Nature
368:812—13 (1994); ld et al., Nature Biotechnology l4: 845-51 (1996); ger, Nature
hnology 14: 826 (1996); Lonberg and Huszat, Intern. Rex. Immunol. 13:65—93 (1995).
Alternatively, the human antibody may be prepared via immortalization of human B—lymphocytes
ing an antibody directed against a target antigen (such B lymphocytes may be recovered
from an individual suffering from a neoplastic disorder or may have been immunized in vitro).
See, e.g., Cole et al., Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, p. 77 (l985);
Boemer et al., .1. lmmunol, 147 (0:86—95 (1991); and U.S.P.N. 5,750,373.
VI. Antibody Characteristics
0120 No matter how obtained or which of the aforementioned forms the antibodY modulator
takes (cg, humanized, human, etc.) the preferred embodiments of the disclosed modulators may
exhibit various teristics. In this regard anti~PTK7 antibody-producing cells (e.g., hybridomas
or yeast colonies) may be selected, cloned and further screened for ble characteristics
including, forexample, robust growth, high antibody production and, as discussed in more detail
below, desirable antibody characteristics. Hybridomas can be expanded in viva in syngeneic
animals, in animals that lack an immune system, e.g., nude mice, or in cell culture in vitro.
s of selecting, cloning and expanding hybridomas and/or colonies, each of which produces a
discrete antibody species, are well known to those of ordinary skill in the art.
a. lizing antibodies
[012” In particularly red embodiments the modulators of the instant invention will
se neutralizing antibodies or derivative or fragment thereof. The term neutralizing antibody
or neutralizing antagonist refers to an antibody or antagonist that binds to or interacts with a PTK7
molecule and prevents g or association of the ligand to any binding partner thereby
interrupting the biological response (e.g., phOSphorylation or VEGF—induced angiogenesis) that
otherwise would result from the interaction of the molecules. In ing the binding and
specificity of an antibody or immunologically functioaal fragment or derivative thereof, an
antibody or fragment will substantially t binding of the ligand to its binding partner or
substrate when an excess of antibody reduces the quantity of binding partner bound to the target
molecule by at least about 20%, 3 9’0, 40%, 50%, 60%, 70%, 809’, 85%, 90%. 9 %, 97%, 99% or
more as measured, for example, by phosphorylation or selected substrates (Shirt et al, Biochem and
Biopltys Res Com, Vol. 37 I :4) or in an in vim; competitive g assay. In the case of
antibodies to PTK7 for e. a neutralizing antibody or nist will preferably diminish the
phosphorylation ability of PTK7 with regard to a specific substrate by at least about 20%, 30%,
40%, 50%, 60%, 70%, 80%, 85%, 90%, 95%, 97%, 99% or more. It will be appreciated that this
diminished activity may be measured directly using art ized techniques or may be measured
by the impact such reduction will have on secondary activities such as angiogcnesis.
b. Internalizina antibodies
[0l22] While evidence indicates that PTK7 or selected isoforms thereof may be present in a
soluble form, at least some PTK7 likely remains associated with the cell surface thereby ng
for internalization of the disclosed modulators. Accordingly, the anti-I"I‘K7 antibodies of the
instant invention may be internalized, at least to some , by cells that express PTK7. For
example, an anti-PTK7 antibody that binds to 171‘K7 on the surface of a tumor—initiating cell may be
internalized by the turner-initiating cell. In particularly preferred embodiments such anti-PTK7
antibodies may be associated with or conjugated to anti~cancer agents such as xic moieties
that kill the cell upon internalization.
{0l231 As used herein, an anti-PTK7 antibody that internalizes is one that is taken tip by the
cell upon binding to PTK7 associated with a ian cell. The internalizing antibody es
antibody fragments, human or humanized antibody and antibody conjugates. Internalization may
occur in win-0 or in viva. For therapeutic applications, internalization may occur in viva. The
number of antibody molecules internalized may be sufficient or adequate to kill a PTK7-expressing
cell, especially a PTK‘i-expressing tumor initiating cell. Depending on the potency of the antibody
or antibody conjugate, in same instances, the uptake of a single dy molecule into the cell is
sufficient to kill the target cell to which the antibody binds. For example, certain toxins are highly
potent in killing such that internalization of one molecule of the toxin conjugated to the antibody is
sufficient to kill the tumor cell. Whether an anti—PTK7 antibody internalizes upon binding PTK7
on a ian cell can be determined by various assays including those described in the
Examples below (cg, Examples 12 and 13). Methods of ing whether an antibody
internalizes into a cell are also bed in U.S.P.N. 7,619,068 which is incorporated herein by
reference in its entirety.
c. Depicting antibodies
i0l24] In other preferred embodiments the modulators of the instant ion will se
depleting antibodies or derivatives or fragments thereof. The term depleting antibody refers to an
antibody or fragment that binds to or associates with a PTK'] on or near the cell surface and
s, promotes or causes the death, incapacitation or elimination of the cell (e.g., by
complement—dependent cytotoxicity or antibody—dependent cellular cytotoxicity). In some
embodiments discussed more fully below the selected depleting antibodies will be associated or
conjugated to a cytotoxic agent. Preferably a depleting antibody will be able to remove,
incapacitate, ate or kill at least 20%, 30%, 40%. 50%, 60%, 70%, 80%, 85%, 9 %, 95%,
97% or 99% of tumor perpetuating cells in a defined cell population. in some embodiments the
cell population may comprise enriched, sectioned, purified or isolated tumor perpetuating cells. In
other embodiments the cell population may comprise whole tumor samples or heterogeneous tumor
extracts that comprise tumor perpetuating cells. Those skilled in the art will appreciate that
standard biochemical techniques as bed in the Examples below (e.g., Examples 13 and 14)
may be used to monitor and quantify the depletion of tumorigenic cells or tumor perpetuating cells
in accordance with the teachings herein.
(1. Epitope binding
it will further be appreciated the disclosed anti-PTK’I antibodies will ate with, or
bind to, discrete es or determinants presented by the ed target(s). As used herein the
term epitOpe refers to that n of the target antigen capable of being recognized and specifically
bound by a particular antibody. When the antigen is a polypeptide such as PTK7. epit0pes can be
formed both from contiguous amino acids and noncontiguous amino acidsjuxtaposed by tertiary
folding of a n. Epitopes formed from contiguous amino acids are typically retained upon
protein denaturing, whereas epitopes formed by tertiary folding are typically lost upon protein
denaturing. An epitope typically includes at least 3, and more usually, at least 5 or 8-10 amino
acids in a unique spatial conformation. More specifically. the skilled artisan will appreciate the
term epit0pe includes any protein determinant capable of specific binding to an imnnmoglobulin or
T-cell receptor or ise interacting with a molecule. Epitopic determinants generally consist of
chemically active surface ngs of molecules such as amino acids or carbohydrate or sugar side
chains and generally have specific three dimensional structural teristics, as well as Specific
charge characteristics. onally an e may be linear or conformational. In a linear
epitope, all of the points of interaction between the protein and the interacting le (such as an
antibody) occur linearly along the primary amino acid sequence of the protein. In a conformational
epitope, the points of interaction occur across amino acid residues on the protein that are linearly
separated from one another.
[0l26] Once a desired e on an antigen is determined, it is possible to generate antibodies
to that e, e.g., by immunizing with a peptide sing the epitope using techniques
described in the present invention. Alternatively, during the ery process, the tion and
terization of antibodies may elucidate information about desirable epitopes. From this
information, it is then possible to competitively screen antibodies for binding to the same epitope.
An approach to achieve this is to conduct competition studies to find antibodies that itively
bind with one another, i.e. the antibodies compete for binding to the antigen. A high throughput
process for binning antibodies based upon their cross-competition is described in WO 03/48731.
[0127} As used herein, the term binning refers to a method to group antibodies based on their
antigen binding characteristics. The assignment ofbins is somewhat arbitrary, depending on how
different the observed binding patterns of the antibodies tested. Thus, while the technique is a
useful tool for categorizing antibodies of the instant invention, the bins do not always ly
correlate with epitopes and such initial determinations of epitope binding should be further
confirmed by other art recognized methodology as described .
With this caveat one can ine r a selected primary antibody (or fragment
thereof) binds to the same epitope or cross competes for binding with a second antibody by using
s known in the art and set forth in the Examples herein. in one embodiment, one allows the
primary antibody of the invention to bind to PTK7 under saturating conditions and then measures
the ability of the secondary antibody to bind to PTK7. If the test antibody is able to bind to PTK7
at the same time as the primary anti-PTK7 dy, then the secondary antibody binds to a
different epitope than the y antibody. However, if the secondary dy is not able to bind
to P’I‘K7 at the same time, then the secondary antibody binds to the same epitope, an overlapping
epitope, or an epitope that is in close proximity to the epitope bound by the primary antibody. As
known in the art and detailed in the Examples below, the desired data can be obtained using solid
phase direct or indirect mmunoassay (RIA), solid phase direct or indirect enzyme
immunoassay (BIA), sandwich competition assay, a BiacoreTM system (i.e., surface plasmon
resonance — GE Healthcare), a ForteBio® Analyzer (i.e., bio-layer interferometry - ForteBio, Inc.)
or flow cytometric methodology. The term surface plasmon resonance, as used herein, refers to an
optical phenomenon that allows for the analysis of real-time specific interactions by detection of
alterations in protein concentrations within a biosensor matrix. In a particularly preferred
embodiment, the analysis is performer! using a Biacore or ForteBio instrument as demonstrated in
the Examples below.
The term compete when used in the context of dies means competition between
antibodies as determined by an assay in which the antibody or immunologically functional
fragment under test prevents or ts Specific binding of a reference antibody to a common
antigen. Typically, such an assay involves the use of purified antigen bound to a solid surface or
cells bearing either of these, an unlabeled test globulin and a labeled reference
immunoglobulin. Competitive inhibition is measured by determining the amount of label bound to
the solid surface or cells in the presence of the test immunoglobulin. Usually the test
immunoglobulin is t in excess. Antibodies fied by competition assay (competing
antibodies) include dies binding to the same epitOpe as the reference antibody and antibodies
binding to an adjacent e sufficiently proximal to the epitope bound by the reference antibody
for steric hindrance to occur. Additional details regarding methods for determining competitive
g are provided in the Examples . Usually, when a competing antibody is present in
excess, it will inhibit specific binding of a reference antibody to a common antigen by at least 40%,
45%, 50%, 55%, 60%, 65%, 70% or 75%. In some instance, binding is inhibited by at least 80%,
85%, 90%, 95%, or 9 % or more.
[Ol30] Besides epitopc specificity the disoloscd antibodies may be characterized using a
number of different al characteristics including, for example, binding affinities, melting
ature (Tm), and isoelectric .
e. Binding affinity
{0131] In this t. the present invention further encompasses the use of antibodies that have
a high binding affinity fora selected PTK7 or, in the case of pan—antibodies, more than one type of
PTK7. An antibody of the invention is said to specifically bind its target antigen when the
dissociation constant K, (km/k0“) is 5 lO‘SM. The antibody specifically binds antigen with high
affinity when the K. is 5 5x lO'QM, and with very high affinity when the K(. is 5 5x IO'IOM. In one
embodiment of the invention, the antibody has a K, of S 1043M and an off—rate of about l’see.
In one embodiment of the invention, the off-rate is < lxlO'S/sec. In other embodiments of the
invention, the antibodies will bind to P'l‘K? with a K; of between about lO‘SM and 10‘mM, and in
yet another embodiment it will bind with a Ki 5 2x lO’wM. Still other selected ments of the
present invention comprise dies that have a disassoeiation constant or Kd (km/k0“) of less
than IO‘ZM, less than SXlO‘zM, less than lO'3M, less than leO'3M, less than 10‘4M, less than leO'
4M, less than lO‘SM, less than 5x lO'SM, less than lO'f’M, less than leO‘éM, less than lO'7M, less
than 5xl0'7M, less than lO'gM, less than SXIO'SM, less than lO'9M, less than leO‘gM, less than 10'
’OM, less than SXIO‘ROM, less than l0"”l\/I, less than 5x 10'”M, less than IO'IQM, less than 5xlO“2M,
less than 10"3M, less than leO"3M, less than lO'MM, less than SXIO'HM, less than lO'ISM or less
than 5x10"5M.
[0132} In specific embodiments, an antibody of the invention that ospeeifically binds to
PTK'I has an association rate constant or k,,,, rate (PTK7 (Ab) + antigen (Ag)"},n<—Ab-Ag) of at least
lOSM‘Is", at least 2x s‘], at least 5xl05M"s’l, at least 106M"s'1, at least 5x106M‘ls“, at least
107M"s", at least 5x lO7M"s", or at least 108M"s“.
In r ment, an antibody of the invention that immunospecifically binds to
PTK7 has a clisassociation rate constant or kw rate (PTK7 (Ah) + antigen (Ag)k(,n-(-Ab-Ag) of less
than 10"5‘ ', less than Sam’s", less than lO'gs", less than leO‘zs' ', less than l0'3s“, less than 5x10'3s’l,
less than l0'4s'l, less than leoqs' I, less than lO'ss". less than 5", less than lO‘Gs' I, less than
leO'os'l less than l0'7s~ ', less than 5xl0'7s", less than l0'8s'i, less than SXIO'SS", less than 100$", less
than leO‘qs" or less than lO‘ms‘ 1.
In other selected embodiments of the present invention anti»PTK7 antibodies will have
an affinity constant or Kn (km/ken) of at least , at least leOzM'], at least l03M“, at least
5x l03M". at least 104M", at least 5x10‘M", at least 105M", at least 5x105M“, at least ‘, at
leasthlObM'l, at least 107M“, at least 5xlO7M‘1, at least 108M", at least leOSM", at least lOQM‘l,
at least 5xlo9M", at least lO'OM“, at least 5xlo'0lvl", at least lo' ‘M", at least 5xlo“lvr', at least
lOIQM‘l, at least 5XIOIZM'1, at least I, at least 5x lOUM‘E, at least lOMlVfl, at least SXIOMM",
at least [0'5M'I or at least 5x1015M".
f. lsoeleetric points
In addition to the aforementioned binding properties, anti—PTK’] antibodies and
fragments thereof, like all polypeptides, have an etrie Point (pl), which is generally defined as
the pH at which a polypeptide carries no net charge. It is known in the art that protein solubility is
typically lowest when the pH of the solution is equal to the isoelectric point (pl) of the n.
Therefore it is possible to optimize solubility by altering the number and location of ble
residues in the antibody to adjust the pl. For example the pl of a polypeptide can be manipulated
by making the appropriate amino acid substitutions (e.g., by substituting a charged amino acid such
as a lysine, for an uncharged residue such as alanine). Without wishing to be bound by any
particular theory, amino acid tutions of an antibody that result in changes of the pl of said
antibody may improve solubility and/or the stability of the antibody. One skilled in the art would
understand which amino acid substitutions would be most appropriate for a particular antibody to
achieve a desired pl.
[0136} The pl of a protein may be determined by a variety of methods ing but not d
to, isoelectric focusing and various computeralgorithms (see for example Bjellqvist et al., I993,
Electrophoresis 14: 1023). In one embodiment, the pl of the TK? antibodies of the invention
is between is higher than about 6.5, about 7.0, about 75, about 8.0, about 8.5, or about 9.0. In
another embodiment, the pl of the anti-PTK7 antibodies of the invention is between is higher than
6.5, 7.0, 7.5, 8.0, 8.5, or 9.0. In yet r embodiment, tutions ing in alterations in the
pl of antibodies of the invention will not significantly sh their binding ty for PTK7. As
discusscd in more detail below, it is specifically contemplated that the tutionts) of the Fe
region that result in altered binding to FcyR may also result in a change in the pi. In a preferred
embodiment, substitutionts) of the Fc region are specifically chosen to effect both the desired
alteration in FcyR binding and any desired change in pl. As used herein, the pi value is defined as
the. pl of the predominant charge form.
g. Thermal stability
[Oi37] It will further be appreciated that the Tm of the Fab domain of an antibody can he a
good indicator of the thermal stability of an antibody and may further provide an indication of the
shelf life. Tm is merely the temperature of 50% unfolding for a given domain or sequence. A
lower Tm tes more aggregation/less stability, whereas a higher 'l‘m indicates less
aggregation/more stability. Thus, antibodies or fragments or derivatives having higher Tm are
preferable. Moreover, using art—recognized ques it is possible to alter the composition of the
anti-PTK7 antibodies or domains thereof to increase or optimize molecular stability. See, for
example, U.S.PIN. 7,960,142. Thus, in one embodiment, the Fab domain of a selected antibody has
a Tm value higher than at least 50°C, 55°C, 60°C, 65°C, 70°C, 75°C, 80°C, 85°C, 90°C, 95°C,
100°C, 105°C, 1 10°C, 1 15°C or 120°C. In another embodiment, the Fab domain of an antibody
has a Tm value higher than at least about 50°C, about 55°C, about 60°C, about 65°C, about 70°C,
about 75°C. about 80°C, about 85°C, about 90°C, about 95°C, about l00°C, about 105°C, about
i l0°C, about l 15°C or about 120°C. Thermal melting temperatures (Tm) of a protein domain
(e.g., a Fab domain) can be measured using any standard method known in the art, for example, by
differential scanning calorimetry (see, c.g.. r et al.. 2000, ys. 3. 04; Vermeer
ct al., 2000, s. J. 79: 2150-2154 both incorporated herein by reference).
VII. PTK7 Modulator Fragments and Derivatives
[Ol38] Whether the agents of the present invention se intact fusion constructs,
antibodies, fragments or derivatives, the selected modulators will react, bind, combine, complex,
connect, attach, join, interact or otherwise associate with PTK7 and thereby provide the desired
anti-neoplastic s. Those of skill in the art will appreciate that modulators sing anti-
P’I‘K'I antibodies interact or associate. with PTK? through one or more binding sites expressed on
the antibody. More specifically, as used herein the term binding site comprises a region of a
polypeptide that is responsible for selectively binding to a target molecule of interest (cg, enzyme,
antigen, ligand, receptor, substrate or inhibitor). Binding domains se at least one binding
site (eg. an intact IgG antibody will have two binding domains and two g sites). Exemplary
binding domains include an antibody variable domain, a receptor-binding domain of a ligand, a
ligand-binding domain of a receptor or an enzymatic domain. For the purpose of the instant
invention the typical active region of PTK'I (e.g., as part of an Fe-PTK? fusion construct) may
comprise a binding site for a substrate or promote phosphorylation.
a. Fragments
[0139} Regardless of which form of the tor (cg. chimeric, humanized, etc.) is selected
to practice the invention, it will be appreciated that immunoreactive nts of the same may be
used in accordance with the teachings herein. In the broadest sense, the term antibody fragment
comprises at least a portion of an intact antibody (eg. a naturally occurring immunoglobulin).
More particularly the term fragment refers to a part or portion of an dy or antibody chain (or
PTK7 molecule in the case of Fe fusiOns) comprising fewer amino acid residues than an intact or
complete antibody or antibody chain. The term antigen»binding fragment refers to a polypeptide
fragment of an immunoglobulin or antibody that binds antigen or competes with intact antibody
(i.e., with the intact antibody from which they were derived) for antigen binding (i.e., ic
binding). As used herein, the term nt of an antibody molecule includes antigen—binding
fragments of antibodies, for example, an dy light chain (V1,), an antibody heavy chain (VH), a
single chain antibody (scFv), a 2 fragment, a Fab fragment, an Fd fragment, an Fv Fragment,
single domain antibody fragments, diabodies, linear antibodies, single-chain antibody molecules
and multispecific antibodies formed from antibody fragments. Simiiarly. an active fragment of
PfK7 ses a n of the PTK7 molecule that retains its ability to interact with PTK?‘
substrates or receptors and modify them in a manner similar to that of an intact PTK7 (e.g.,
phosphorylation ~ though maybe with somewhat less efficiency).
[0l40] Those skilled in the art will appreciate fragments can be obtained via al or
enzymatic treatment of an intact or complete modulator (e.g., antibody or antibody chain) or by
inant means. In this regard, while various antibody fragments are defined in terms of the
digestion of an intact antibody, one of skill will appreciate that such fragments may be synthesized
de novo either chemically or by using recombinant DNA methodology. Thus, the term antibody, as
used herein, explicitly includes antibodies or fragments or derivatives thereof either produced by
the cation of whole antibodies or synthesized de novo using recombinant DNA
methodoiogies.
{0141] More specifically, papain digestion of antibodies es two identical antigen-binding
fragments, called Fab fragments, each with a single antigen-binding site, and a residual Fc
fragment, whose name reflects its ability to llize readily. Pepsin treatment yields an F(ab')2
fragment that has two antigen-binding sites and is still capable of cross-linking antigen. The Fab
fragment also contains the constant domain of the Iight chain and the first constant domain (CH1) of
the heavy chain. Fab' fragments differ from Fab fragments by the addition of a few residues at the
carboxy terminus of the heavy-chain CHI domain including one or more cysteines from the
antibody hinge region. Fab-SH is the designation herein for Fab' in which the ne residuc(s)
of the constant domains hear at least one free thiol group. 3 antibody fragments originally
were produced as pairs of Fab' fragments that have hinge cysteines between them. Other chemical
couplings of dy fragments are also known. See, e.g.. Fundamental lnununology, W. E. Patti,
ed, Raven Press, NY. ( WOO), for a more detailed description of other antibody fragments.
It will further be iated that an Fv fragment is an antibody fragment that contains a
complete antigen recognition and binding site. This region is made up of a dimer of one heavy and
one light chain variable domain in tight association, which can be covalent in nature, for e in
scFv. It is in this configuration that the three CDRs of each variable domain ct to define an
antigen binding site on the surface of the VH-VL dimer. Collectively, the six CDRs or a subset
thereof confer antigen binding specificity to the antibody. However, even a single variable domain
(or half of an Fv comprising only three CDRs specific for an antigen) has the ability to recognize
and bind antigen, gh usually at a lower ty than the entire binding site.
[0143} In other embodiments an antibody fragment, for example, is one that comprises the Fc
region, retains at least one of the biological functions normally associated with the Fc region when
present in an intact antibody, such as FcRn binding, antibody half life modulation, ADCC function
and complement binding. In one embodiment, an antibody fragment is a monovalent antibody that
has an in vivo half life substantially r to an intact antibody. For example. such an antibody
fragment may comprise on n binding arm linked to an Fe sequence e of conferring in
vivo stability to the fragment.
b. Derivatives
{0144] In another embodiment, it will further be iated that the modulators of the
invention may be monovalent or alent (e.g., bivalent, trivalent, etc). As used herein the term
valency refers to the number of potential target (i.e., PTK7) g sites associated with an
dy. Each target binding site specifically binds one target molecule or specific position or
locus on a target molecule. When an antibody of the instant invention comprises more than one
target g site (multivalent), each target binding site may specifically bind the same or different
molecules (cg, may bind to different ligands or different antigens, or different epitopes or
positions on the same antigen). For the purposes of the instant invention, the subject antibodies
will preferably have at least one binding site specific for human PTK7. In one embodiment the
antibodies of the instant invention will be monovalent in that each binding site of the molecule will
specifically bind to a single PTK7 position ope. In other embodiments, the antibodies will be
multivalent in that they comprise more titan one binding site and the different binding sites
specifically associate with more than a single position or epitope. In such cases the multiple
epitopes may be present on the selected PTK7 polypeptide or spice variant or a single epiIOpe may
be present on PTK7 while a second, different epitope may be present on another le or
surface. See, for e, U.S.P.N. 2009/Ol30105.
As alluded to above, multivalent antibodies may immunospecifically bind to different
cs of the desired target molecule or may immunospccifieally bind to both the target molecule
as well as a logous epitope, such as a heterologous polypeptide or solid support material.
While preferred embodiments of the anti~PTK7 dies only bind two antigens (i.e. bispecific
antibodies), antibodies with additional specificities such as trispecific antibodies are also
encompassed by the instant invention. Examples of bispecific antibodies include, without
limitation, those with one arm directed against PTK7 and the other arm directed against any other
antigen (e.g., a modulator cell marker). Methods for making bispecific antibodies are known in the
art. Traditional production of full—length bispecific antibodies is based on the coexpression of two
immunoglobulin heavy light chain pairs, where the two chains have different icities
(Millstein et al., 1983, Nature, 305537-539). Other more sophisticated compatible multiSpecific
ucts and methods of their fabrication are set forth in U.S.P.N. 2009/0155255.
[0146} In yet other embodiments, antibody variable domains with the desired binding
specificities (antibody—antigen combining sites) are fused to immunoglobulin nt domain
sequences. The fusion preferably is with an immunoglobulin heavy chain constant ,
comprising at least part of the hinge, C112, and/or CH3 regions. In one example, the first heavy-
chain constant region (Cnl) containing the site necessary for light chain binding is present in at
least one of the fusions. DNAs encoding the immunoglobulin heavy chain s and, if desired,
the immunoglobulin light chain, are inserted into separate expression vectors, and are co»
transfected into a suitable host organism. This provides for great flexibility in adjusting the mutual
proportions of the three polypeptide fragments in embodiments when unequal ratios of the three
polypeptide chains used in the construction provide the optimum yields. It is, however, possible to
insert the coding sequences for two or all three polypeptide chains in one expression vector when,
the expression of at least two polypeptide chains in equal ratios results in high yields or when the
ratios are of no particular significance.
{0147] In one embodiment of this approach. the bispecific dies are ed of a hybrid
immunoglobulin heavy chain with a first binding specificity in one arm (e.g., PTK7), and a hybrid
immunoglobulin heavy chain-light chain pair (providing a second binding icity) in the other
arm. It was found that this asymmetric structure facilitates the separation of the desired bispecific
compound from unwanted immunoglobulin chain combinations, as the presence of an
immunoglobulin light chain in only one half of the bispecific molecule provides for a facile way of
separation. This ch is disclosed in WO 94/04690. For further details of ting
bispecific antibodies see, for example, Suresh et al., 1986, s in Enzymology, 121:210.
According to r approach described in WO96/2701 l, a pair of antibody molecules can be
engineered to maximize the percentage of heterodimers that are recovered from recombinant cell
culture. The preferred interface comprises at least a part of the CH3 domain of an antibody constant
domain. In this method, one or more small amino acid side chains from the interface of the first
antibody molecule are ed with larger side chains (e.g. tyrosine or tryptOphan). Compensatory
cavities of identical or r size to the large side chain(s) are d on the interface of the
second antibody molecule by replacing large amino acid side chains with smaller ones (eg. alanine
or threonine). This provides a mechanism for increasing the yield of the heterodimer over other
unwanted end-products such as homodimers.
{0l48l Bispecific antibodies also e cross«linked or heteroconjugate antibodies. For
e, one of the antibodies in the heteroconjugate can be coupled to avidin, the other to biotin.
Such antibodies have, for e, been proposed to target immune system cells to unwanted cells
(U.S.P.N. 4,676,980), and for ent of HIV infection (WO 91/00360, WO 92/200373, and EP
03089). Heteroconjugat’e dies may be made using any convenient cross~linking methods.
Suitable cross-linking agents are well known in the art, and are disclosed in U.S.P.N. 4,676,980,
along with a number of cross~linl<ing techniques.
VIII. PTK7 Modulators - nt Region Modifications
a. Fc region and Fc receptors
[0!49] In addition to the various modifications, substitutions, additions or deletions to the
variable or binding region of the disclosed modulators (erg, Fc-PTK7 or anti-PTK7 antibodies) set
forth above, those skilled in the art will appreciate that selected embodiments of the present
invention may also se substitutions or modifications of the constant region (i.e. the Fe
region). More particularly, it is contemplated that the FIR? modulators of the ion may
n inter alia one or more additional amino acid residue substitutions, mutations and/or
modifications which result in a compound with preferred characteristics including, but not limited
to: altered pharmacokinetics, increased serum half life, increase binding affinity, reduced
immunogenicity, increased production, d Fe ligand binding, enhanced or reduced ADCC or
CDC activity, altered glycosylation and/or disulfide bonds and modified binding specificity. In this
regard it will be appreciated that these Fe variants may advantageously be used to e the
effective anti-neoplastic properties of the disclosed modulators.
The term Fc region herein is used to define a C—terminal region of an immunoglobulin
heavy chain, including native sequence Fe regions and variant Fc regions. gh the boundaries
of the Fe region of an immunoglobulin heavy chain might vary, the human IgG heavy chain Fc
region is usually defined to stretch from an amino acid residue at position Cy5226, or from Pro230,
to the carboxyl—terminus thereof, The C-terminal lysine (residue 447 according to the EU
numbering system) of the Fc region may he removed, for example, during tion or
cation of the antibody, or by recombinantly engineering the nucleic acid encoding a heavy
chain of the antibody. ingly, a composition of intact antibodies may comprise antibody
populations with all K447 residues removed, antibody populations with no K447 es removed,
and antibody populations having a mixture of antibodies with and without the K447 residue. A
functional Fc region possesses an effector function of a native sequence Fc region. Exemplary
or functions include Cl q g; CDC; Fe receptor binding; ADCC; phagocytosis; down
tion of cell surface ors (cg. B cell receptor; BCR), etc. Such effector functions
generally require the Fc region to be combined with a binding domain (e.g., an antibody variable
domain) and can be assessed using various assays as disclosed, for example, in definitions herein.
[015 l] Fe receptor or FcR describes a receptor that binds to the Fc region of an antibody. in
some embodiments, an FcR is a native human FcR. In some embodiments, an FcR is one that
binds an lgG antibody (a gamma receptor) and es receptors of the Fer/RI, Fc.RH, and II
subclasses, including allelic variants and atively spliced forms of those receptors. Fcyll
receptors include FcleIA (an activating receptor) and FcyRIIB (an inhibiting receptor), which
have similar amino acid sequences that differ ily in the cytoplasmic domains thereof.
Activating receptor Fey RIIA contains an imtnunoreceptor tyrosinebased activation motif (lTAM)
in its cytoplasmic domain. Inhibiting receptor FyRIIB contains an reccptor tyrosine—based
inhibition motif (ITIM) in its cytoplasmic domain. (see, e.g., Dacron. Annu. Rev. Immunol.
[5203-234 (1997)). FcRs are reviewed, for example, in Ravetch and Kinet, Annu. Rev. Immunol
9145732 (1991 ); Cape] et al.. Immunomethods 4 (1994); and dc Haas et al., J. Lab. Clin.
Med. 126:330-41 ( l995). Other FeRs, including those to be identified in the future, are
encompassed by the term FcR herein. The term Fe receptor or FcR also includes the neonatal
receptor, FcRn, which, in n instances, is sible for the transfer of maternal IgGs to the
fetus (Guyer et al., J. lmmunol. l 172587 (1976) and Kim et al., J. Immunol. 242249 (1994)) and
regulation of tasis of innnunoglobulins. Methods of measuring binding to FcRn are known
(see, e.g., Ghetic and Ward, i. Today 18( l2):592-S98 (1997); Ghetie et al., Nature
Biotechnology, 15(7):637-640 G997); Hinton et al., J. Biol. Chem. :62l3-6216 (2004); W0
2004/92219 (Hinton et a1.)
b. Fe functions
[0152} As used herein complement dependent cytotoxicity and CDC refer to the lysing of a
target cell in the presence of complement. The complement activation pathway is initiated by the
binding of the first component of the complement system (CI q) to a le, an antibody for
example. complexed with a cognate antigen. To assess complement. activation, a CDC assay, eg.
as described in o-Santoro et al., 1996, J. Immtmol. Methods, 2022163, may be performed.
Further, dy-dependent cell—mediated cytotoxicity or ADCC refers to a form of
xicity in which secreted lg bound onto Fc receptors (FcRs) t on certain cytotoxic cells
(e.g., Natural Killer (NK) cells, neutrophils, and macrOphages) enables these cytotoxic effector
cells to bind specifically to an antigen-bearing target cell and subsequently kill the target cell with
cytotoxins. Specific high~affinity igG antibodies directed to the target arm cytotoxic cells and are
absolutely required for such killing. Lysis of the target cell is extracellular, requires direct cell-to-
cell contact, and does not involve complement.
[0i54] PTK7 modulator variants with altered FcR binding affinity or ADCC activity is one
which has either enhanced or diminished FcR binding activity and/or ADCC activity compared to a
parent or unmodified antibody or to a modulator comprising a native sequence Fc region. The
modulator variant which displays increased binding to an FcR binds at least one PcR with better
affinity than the parent or unmodified antibody or to a modulator comprising a native sequence Fc
region. A variant which displays decreased binding to an FcR, binds at least one FcR with worse
affinity than the parent or unmodified antibody or to a modulator comprising a native ce Fc
region. Such variants which display decreased binding to an FCR may possess little or no
appreciable binding to an FCR, e.g., 020% binding to the FcR compared to a native sequence IgG
Fe region, eg. as determined techniques well known in the art.
{Ol55] As to FcRn, the antibodies of the instant invention also comprise or encompass Fe
variants with modifications to the constant region that provide ives (e.g., serum ives) in a
mammal, preferably a human, of greater than 5 days, greater than 10 days, r than l5 days,
preferably greater than 20 days, r than 25 days, greater than 30 days, greater than 35 days,
greater than 40 days, greater than 45 days, r than 2 months, greater than 3 months, greater
than 4 months, or greater than 5 months. The sed half-lives of the antibodies (or Fe
containing molecules) of the present invention in a mammal, preferably a human, results in a higher
serum titer of said antibodies or antibody fragments in the mammal, and thus, reduces the
frequency of the administration of said antibodies or antibody fragments and/or reduces the
concentration of said antibodies or antibody nts to be stered. Antibodies having
increased in viva half-lives can be generated by techniques known to those of skill in the art. For
e, antibodies with increased in viva half‘lives can be ted by ing (e. g.,
substituting, deleting or adding) amino acid residues identified as involved in the interaction
between the Fe domain and the FcRn or (see, e.g., international Publication Nos. WO
97/3463 1; W0 04/029207; U.S.P.N. 6,737,056 and U.S.P.N. 2003/0l903l 1. Binding to human
FcRn in tire and serum half life of human FcRn high affinity g polypeptides can be assayed
e.g., in transgenic mice or transfeeted human cell lines expressing human FcRn, or in primates to
which the polypeptides with a variant Fc region are administered. W0 2000/42072 describes
antibody variants with improved or diminished binding to FCRns. See also, cg, Shields et al. J.
Biol. Chem. 9(2):659l-6604 (2001).
[Ol56] In still other embodiments, glycosylation patterns or compositions of the antibodies of
the invention are modified. More particularly, preferred embodiments of the present invention may
comprise one or more engineered glycoforms, i.e., an altered ylation pattern or altered
carbohydrate composition that is covalently attached to a molecule sing an Fc .
Engineered glycoforms may be useful for a variety of purposes, including but not limited to
enhancing or reducing effector function, increasing the ty of the antibody for a target antigen
or facilitating production of the antibody. In cases where reduced effector function is d‘ it
will be appreciated that the molecule may be engineered to express in an agiycosylated form. Such
carbohydrate modifications can be accomplished by, for example, aitering one or more sites of
glycosylation within the antibody sequence. That is, one or more amino acid substitutions can be
made that result in elimination of one or more variable region framework glycosylation sites to
y eliminate ylation at that site (see e.g. U.S.P.Ns. 5,714,350 and 6,350,861.
Conversely, enhanced effector functions or ed binding may be imparted to the Fe containing
molecule by engineering in one or more additional glycosylation sites.
[Ol57l Additionally or alternatively, an Fe variant can be made that has an d glycosylation
composition, such as a hypofucosylated antibody having reduced amounts of fucosyi residues or an
antibody having increased bisecting GlcNAc structures. These and similar altered glycosylation
patterns have been demonstrated to increase the ADCC ability of antibodies. Engineered
glycoforms may be generated by any method known to one skilled in the art, for example by using
engineered or variant expression strains, by ression with one or more enzymes (for example
ylglucosaminyltransferase Ill (GnTll 1)), by expressing a molecule comprising an Fc region
in various organisms or cell lines from various organisms or by ing carbohydrate(s) after the
molecule comprising Fc region has been expressed. See, for e, Shields, R. L. et al. (2002) J.
Biol. Chem. 277:26733—26740; Umana et al. (1999) Nat. Biotech. l7: l76—l, as well as, European
Patent No: EP l,l76,195; PCT ations W0 03/035835; W0 423, Umana et al, 1999,
Nat. Biotechnol 17: I76- l 80; Davies et al., 20017 Biotechnoi Bioeng 742288-294; Shields et al,
2002, J Biol Chem 277:26733—26740; Shinkawa et al., 2003, J Biol Chem 278:3466-3473)
U.S.P.N. 6,602,684; U.S.S.Ns. 10/277370; 10/ 1 13,929; PCT W0 00/61739A l; PCT W0
0 l/292246Ai: PCT W0 02/3 l 1 140m; PCT W0 02/30954Al; l’otillcgcntTM technology (Bion'a,
Inc.); GlycoMAbTM glycosylation engineering logy (GLYCART biotechnology AG); W0
0006l739; EA01229125; N. 2003/01 15614; Okazaki et al., 2004, JMB, 336: 1239-49,
IX. Modulator Expression
a. Overview
[0l58] DNA encoding the desired PTK7 modulators may be readily isolated and sequenced
using conventional procedures (e.g., by using oligonttcleotide probes that are capable of binding
specifically to genes encoding dy heavy and light chains). Isolated and subcloned hybridonta
cells (or phage or yeast derived colonies) may serve as a preferred source of such DNA if the
modulator is an antibody. If desired, the nucleic acid can further be manipulated as described
herein to create agents including Fusion proteins, or chimeric, humanized or fully human antibodies.
More particularly, the isolated DNA (which may be modified) can be used to clone constant and
variable region sequences for the manufacture antibodies as described in U.S.P.N. 7,709,61 l.
[0l59l This exemplary method s extraction of RNA from the ed cells, conversion to
cDNA, and amplification by PCR using antibody Specific primers. Suitable primers are well
known in the art and, as exemplified herein, are readily available from numerous commercial
sources. It will be appreciated that, to express a recombinant human or non-human antibody
isolated by screening of a combinatorial library, the DNA encoding the antibody is cloned into a
recombinant expression vector and introduced into host cells including mammalian cells, insect
cells, plant cells, yeast, and bacteria. in yet other embodiments, the modulators are introduced into
and expressed by simian COS cells, N80 cells, Chinese r Ovary (CHO) cells or myeloma
cells that do not otherwise produce the desired construct. As will be discussed in more detail
below, transformed cells expressing the desired modulator may be grown up in relatively large
quantities to provide clinical and cial supplies of the fusion construct or immunoglobulin.
[Ol60] Whether the c acid encoding the d portion of the PTK7 modulator is
obtained or derived from phage display logy, yeast libraries, liybridoma based technology,
tically or from commercial sources, it is to be understood that the present invention explicitly
asses nucleic acid molecules and ces encoding PTK7 modulators including fusion
proteins and anti-PTK7 antibodies or antigen-binding fragments or derivatives thereof. The
invention further encompasses nucleic acids or nucleic acid molecules (cg, polynucleotides) that
ize under high stringency, or alternatively, under intermediate or lower stringency
ization conditions (e.g., as defined below), to polynucleotides complementary to nucleic
acids having a polynucleotide sequence that encodes a modulator of the invention or a nt or
t thereof. The term nucleic acid molecule or isolated nucleic acid molecule. as used herein, is
intended to include at least DNA les and RNA molecules. A nucleic acid molecule may be
single—stranded or double—stranded, but preferably is double-stranded DNA. Moreover, the t
invention comprises any vehicle or construct, incorporating such modulator encoding
polynucleotide ing, without limitation, s, plasmids, host cells, cosmids Or viral
constructs.
[Ol 61] The term isolated nucleic acid means a that the nucleic acid was (i) amplified in vitro,
for example by polymerase chain reaction (PCR), (ii) recombinantly produced by cloning, (iii)
purified, for example by cleavage and gel-electrophoretic fractionation, or (iv) synthesized, for
example by chemical synthesis. An isolated nucleic acid is a nucleic acid that is available for
manipulation by recombinant DNA techniques.
More specifically. nucleic acids that encode a modulator, ing one or both chains
of an antibody of the invention, or a fragment, derivative, mutein, or t thereof,
polynucleotides ient for use as hybridization probes, PCR primers or sequencing primers for
identifying, analyzing, mutating or amplifying a polynucleotide encoding a polypeptide. anti-sense
nucleic acids for inhibiting expression of a polynucleotide, and complementary sequences of the
foregoing are also provided, The nucleic acids can be any . They can be, for example, 5, 10,
l5, 20, 25, 30, 35, 40, 45,50, 75, l00, 125, [50, I75, 200, 250, 300, 350, 400, 450, 500, 750, l,000,
l,500, 3,000, 5,000 or more nucleotides in length, and/or can comprise one or more onal
sequences, for example, regulatory ces, and/or be part of a larger nucleic acid, for example, a
vector. These nucleic acids can be single-stranded or double—stranded and can comprise RNA
and/or DNA nucleotides, and cial variants thereof (e.g., peptide nucleic . c acids
encoding modulators of the invention, including antibodies or immunoreactive fragments or
derivatives thereof, have preferably been isolated as described above.
[0163} As indicated, the invention further es nucleic acids that hybridize to other nucleic
acids under particular hybridization conditions Methods for hybridizing nucleic acids are well
known in the art. See, e.g., Current Protocols in Molecular Biology, John Wiley & Sons, N .Y.
(1989), 63.1-63.6. For the purposes of the instant application, a moderately stringent
hybridization condition uses a prewashing solution containing 5x sodium chloride/sodium citrate
(SSC), 0.5% SDS, 1.0 mM EDTA (le 8.0), hybridization buffer of about 50% formamide, 6xSSC,
and a hybridization temperature of 55°C (or other similar hybridization solutions, such as one
containing about 50% formamide, with a hybridization temperature of 42°C), and washing
conditions of 60°C, in 0.5xSSC. 0. l % SDS. A ent ization condition liybridizes in
GXSSC at 45°C, followed by one or more washes in 0.leSC, 0.3“? SDS at 68°C. Furthermore,
one of skill in the art can manipulate the hybridization and/or washing conditions to increase or
decrease the stringency of hybridization such that c acids comprising nucleotide sequences
that are at least 65, 70, 75, 80, 85, 90, 95, 98 or 99% identical to each other typically remain
hybridized to each other. More generally, for the purposes of the instant disclosure the term
substantially identical with regard to a nucleic acid sequence may be construed as a sequence of
nucleotides exhibiting at least about 85%, or 90%, or 95%, or 97% sequence identity to the
reference nucleic acid sequence.
{0164] The basic parameters affecting the choice of hybridization conditions and guidance for
devising suitable conditions are set forth by, for e, Sambrook, Fritsch, and Maniatis (1989,
Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, Cold Spring
Harbor. N.Y., chapters 9 and l l; and Current Protocols in Molecular Biology, 1995, Ausubel et al.,
eds, John Wiley & Sons, Inc, sections 2. l0 and 6.3-6.4), and can be readily ined by those
having ordinary skill in the art based on, for e, the length and/or base ition of the
nucleic acid.
IOl65] it will further be appreciated that nucleic acids may, according to the invention, be
present alone or in ation with other nucleic acids, which may be homologous or
heterologous. In red embodiments, a nucleic acid is functionally linked to sion control
sequences that may be homologous or logous with respect to said nucleic acid. In this
context the term homologous means that a c acid is also functionally linked to the expression
control sequence naturally and the term heterologons means that a nucleic acid is not functionally
linked to the expression l sequence naturally.
c. Expression
l0l66] A nucleic acid, such as a nucleic acid expressing RNA and/or protein or peptide, and an
expression l sequence are onally linked to one another, if they are covalently linked to
one r in such a way that expression or transcription of said nucleic acid is under the control
or under the influence of said expression control sequence. If the nucleic acid is to be translated
into a functional protein, then, with an expression control sequence functionally linked to a coding
sequence, induction of said expression control ce results in transcription of said nucleic acid,
without g a frame shift in the coding sequence or said coding sequence not being capable of
being translated into the desired protein or peptide.
[0 l 67} The term expression control sequence comprises according to the invention promoters,
ribosome binding sites, enhancers and other control elements that regulate transcription of a gene or
translation of mRNA. In particular embodiments of the invention, the expression control sequences
can he regulatecli The exact structure of expression l sequences may vary as a function of the
species or cell type, but generally comprises S’—untranscribed and 5'- and 3‘—untranslated sequences
which are involved in initiation of transcription and translation, respectively, such as TATA box,
capping sequence, CAAT sequence, and the like. More specifically, 5'~untranscribed expression
control sequences comprise a promoter region that includes a promoter sequence for transcriptional
control of the- functionally linked nucleic acid. Expression control sequences may also comprise
enhancer sequences or upstream activator sequences.
[Ol 68] According to the invention the term promoter or promoter region relates to a nucleic
acid sequence which is d upstream (5') to the nucleic acid sequence being expressed and
ls expression of the sequence by providing a recognition and binding site for RNA-
rase. The promoter region may include further recognition and binding sites for further
factors that are involved in the regulation of transcription of a gene. A promoter may control the
transcription of a prokaryotic or eukaryotic gene. Furthermore, a promoter may be inducible and
may initiate transcription in response to an inducing agent or may be constitutive il’ transcription is
not controlled by an inducing agent. A gene that is under the control of an ble promoter is
not expressed or only expressed to a small extent if an inducing agent is absent. In the presence of
the inducing agent the gene is switched on or the level of ription is increased. This is
mediated, in l, by binding of a specific transcription factor.
[Ol69] Promoters which are preferred according to the ion include promoters for SP6, T3
and T7 polymerase, human U6 RNA promoter, CMV promoter, and artificial hybrid promoters
thereof (eg. CMV) where a part or parts are fused to a part or parts of promoters of genes of other
cellular proteins such as e.g. human GAPDH (glyceraldehyde—B-phosphate dehydrogenase), and
including or not including (an) additional intron(s).
[0i70] According to the invention, the term expression is used in its most general meaning and
ses the production of RNA or of RNA and protein/peptide. It also comprises partial
expression of c acids. rmore, expression may be carried out transiently or stably.
10l7l] In a preferred embodiment, a c acid molecule is according to the invention present
in a vector, where appropriate with a er. which controls expression of the nucleic acid. The
term vector is used here in its most l meaning and comprises any intermediary vehicle for a
nucleic acid which enables said nucleic acid, for e, to be introduced into prokaryotic and/or
eukaryotic cells and, where appropriate, to be integrated into a genome. s of this kind are
preferably replicated and/or sed in the cells. Vectors may comprise plasmids, phagemids,
bacteriophages or viral genomes. The term plasmid as used herein generally relates to a construct
of extracln'omosomal genetic al, usually a circular DNA duplex, which can replicate
independently of chromosomal DNA.
[0172} In practicing the present invention it will be iated that many conventional
techniques in molecular biology, microbiology, and recombinant DNA technology are Optionally
used. Such couventional techniques relate to vectors, host cells and recombinant methods as
defined . These techniques are well known and are explained in, for example, Berger and
Kimmel, Guide to Molecular g Techniques, Methods in Enzymology volume 152. Academic
Press, Inc, San Diego, Calif.; Sambrook et al., Molecular Cloning-A Laboratory Manual (3rd Ed),
Vol. 1-3, Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y., 2000 and Current Protocols in
Molecular Biology, F. M. Austibel et al., eds, supra Other useful references, e.g. for cell isolation
and culture (e.g., for subsequent nucleic acid or protein ion) include Freshney (1994) Culture
of Animal Cells, a Manual of Basic Technique, third edition, Wiley-Liss, New York and the
references cited therein; Payne et al. (1992) Plant Cell and Tissue Culture in Liquid Systems John
Wiley & Sons, Inc. New York, N.Y.; Gamborg and Phillips (Eds) ([995) Plant Cell, Tissue and
Organ Culture; Fundamental Methods Springer Lab Manual, Springer—Verlag (Berlin Heidelberg
New York) and Atlas and Parks (Eds) The ok of Microbiological Media (1993) CRC Press,
Boca Raton, Fla. Methods of making nucleic acids (e.g., by in vitro amplification, purification from
cells, or chemical synthesis), methods for manipulating nucleic acids (cg, site-directed
mutagcnesis, by restriction enzyme digestion, ligation, etc.), and various vectors, cell lines and the
like useful in manipulating and making nucleic acids are described in the above references. In
addition, essentially any polynucleotide ding, e.g., labeled or biotinylated polynucleotides)
can be custom or standard ordered from any of a variety of commercial sources.
[0173} Thas, in one aspect, the t invention provides recombinant host cells ng
recombinant expression of antibodies of the invention or portions thereof. Antibodies produced by
expression in such recombinant host cells are referred to herein as inant antibodies. The
present invention also provides progeny cells of such host cells, and dies produced by the
same.
{Ol74} The term recombinant host cell (or simply host cell), as used herein, means a cell into
which a recombinant expression vector has been uced. it should be understood that
recombinant host cell and host cell mean not only the particular subject cell but also the progeny of
such a cell. Because certain modifications may occur in ding generations due to either
mutation or environmental influences, such progeny may not, in fact, be identical to the parent cell,
but are still included within the scope of the term host cell as used herein. Such cells may comprise
a vector according to the invention as described above.
[0175} In another aspect, the present invention provides a method for making an antibody or
portion thereof as described . According to one embodiment, said method comprises
culturing a cell transfected or transformed with a vector as described above, and retrieving the
antibody or portion f.
{0176} As indicated above, expression of an antibody of the invention (or fragment or variants
thereof) preferably comprises expression vector(s) containing a polynucleotide that s the
desired anti-PTK7 antibody. Methods that are well known to those skilled in the art can be used to
construct expression vectors sing antibody coding sequences and appropriate transcriptional
and translational control signals. These methods include, for e, in vizro recombinant DNA
techniques, synthetic ques, and in viva genetic recombination. Embodiments of the
invention, thus, e replicable vectors sing a nucleotide sequence encoding an anti-
PTK7 antibody of the ion (e.g., a whole antibody, a heavy or light chain of an antibody, :1
heavy or light chain variable domain of an antibody, or a portion thereof. or a heavy or light chain
CDR, a single chain Fv, or fragments or variants thereof), operably linked to a promoter. in
preferred embodiments such vectors may include a nucleotide sequence encoding the heavy chain
of an antibody molecule (or fragment thereof), a nucleotide sequence encoding the light chain of an
antibody (or fragment thereof) or both the heavy and light chain.
{0l77] Once the nucleotides of the present invention have been isolated and modified according
to the ngs herein, they may be used to produce selected modulators including anti-PTK7
antibodies or fragments thereof.
X. Modulator Production and Purification
Using art recognized molecular biology techniques and current protein ex pression
methodology, ntial quantities of the desired modulators may be produced. More specifically,
nucleic acid molecules encoding modulators, such as dies ed and engineered as
bed above, may be integrated into well known and commercially available protein production
systems comprising various types of host cells to provide preclinical, clinical or commercial
quantities of the desired pharmaceutical product. it will be iated that in preferred
embodiments the nucleic acid molecules encoding the tors are engineered into vectors or
expression vectors that provide for efficient integration into the ed host cell and subsequent
high expression levels of the desired PTK? tor.
Preferably nucleic acid molecules encoding PTK7 modulators and vectors comprising
these nucleic acid molecules can be used for transfection of a suitable mammalian, plant, bacterial
or yeast host cell though it will be appreciated that proltaryotic systems may be used for modulator
production. ection can be by any known method for ucing polynoclcotides into a host
cell. s for the introduction of logous polynuclcotidcs into ian cells are well
known in the art and include dextran—mediatcd transfcction, calcium phosphate precipitation,
polybrene-mediated transfection, protoplast fusion, electroporation, encapsulation of the
polynucleotide(s) in liposomes, and direct microinjection of the DNA into . In addition,
nucleic acid molecules may be introduced into mammalian cells by viral s. Methods of
transforming mammalian cells are well known in the art. See, e.g., U.S.P.Ns 4,399,216, 4,912,040,
4,740,461, and 4,959,455. Further, methods of transforming plant cells are well known in the art,
including, e.g., agrobacteriurn-mediated transformation, biolistic transformation, direct injection,
electroporation and viral ormation. Methods of transforming bacterial and yeast cells are also
well known in the art.
[OESOJ Moreover, the host cell may be nsfected with two expression vectors of the
invention, for example, the first vector encoding a heavy chain d ptide and the second
vector encoding a light chain derived polypeptide. The two vectors may contain cal
selectable markers that enable substantially equal expression of heavy and light chain polypeptides.
Alternatively, a single vector may be used which encodes, and is capable of expressing, both heavy
and light chain polypeptides In such situations, the light chain is preferably placed before the
heavy chain to avoid an excess of toxic free heavy chain. The coding sequences for the heavy and
light chains may se CDNA or c DNA.
a. Host-expression systems
[0l8 l] Varieties of host-expression vector systems, many commercially available, are
compatible with the teachings herein and may be used to express the modulators of the invention.
Such host-expression systems represent vehicles by which the coding sequences of interest may be
expressed and subsequently ed, but also represent cells which may, when transformed or
transfected with the appropriate nucleotide coding sequences, express a molecule of the invention
in situ. Such systems include, but are not limited to, microorganisms such as bacteria (e.g., E. coli,
B. subtilis, streptomyecs) transformed with recombinant bacteriOphage DNA, plasmid DNA or
cosmid DNA expression vectors containing modulator coding sequences; yeast (e.g..
Saccharomyces, Pichia) transfected with recombinant yeast expression vectors containing
modulator coding sequences; insect cell systems infected with recombinant virus expression vectors
(e.g., baeulovirus) ning modulator coding sequences; plant cell systems (e.g., Nicotlana,
ArabidOpsis, duckweed, corn, wheat, potato, etc.) ed with recombinant virus expression
s (e.g., cauliflower mosaic virus, CaMV; tobacco mosaic virus, TMV) or transfected with
recombinant plasmid expression vectors (cg, Ti plasmid) coutaining tor coding ces;
or mammalian cell systems leg, COS, Cl-lO, BHK, 293, 3T3 cells) harboring recombinant
expression constructs containing promoters derived from the genome of mammalian cells (cg,
othionein promoter) or from mammalian viruses (e.g., the adenovirus late promoter; the
vaccinia virus 7.5K promoter).
[0182} In bacterial systems, a number of expression vectors may be advantageously selected
ing upon the use intended for the molecule being expressed. For example, when a large
quantity of such a protein is to be produced, for the generation of pharmaceutical compositions of a
modulator, vectors which direct the expression of high levels of fusion protein products that are
readily purified may be desirable. Such vectors include, but are not limited to, the E. coli
expression vector pUR278 (Ruther et al., EMBO l. 2: l79l (1983)), in which the coding sequence
may be ligated individually into the vector in frame with the lac Z coding region so that a fusion
protein is produced; pIN vectors (Inouye & , Nucleic Acids Res. 132310143109 (1985); Van
Heelte & Schuster, J. Biol. Chem. 2455036509 (1989)); and the-like, pGEX vectors may also be
used to express foreign polypeptides as fusion proteins with glutathione S-transferase (GST). In
general, such fusion proteins are soluble and can easily be purified from lysed cells by adsorption
and binding to matrix glutathione agarose beads followed by elution in the presence of free
glutathione The pGEX vectors are designed to include thrombin or factor Xa protease cleavage
sites so that the cloned target gene product can be released from the GST .
In an insect system, Autographa californica nuclear polyhedrosis virus (AcNPV) may be
used as a vector to express foreign genes. The virus grows in Spodoptera frugiperda cells. The
coding sequences may be cloned individually into non-essential regions (for example, the
polyhedrin gene) of the virus and placed under control of an AcNPV promoter (for example. the
polyhedrin promoter).
In mammalian host cells, a number of viral-based expression s may be used to
introduce the desired nucleotide ce. In cases where an adenovirus is used as an sion
vector, the coding sequence of interest may be ligated to an irus ription/translalien
control complex, e.g., the late promoter and tripartite leader sequence. This chimeric gene may
then be inserted in the adenovirus genome by in vitro or in vivo recombination. Insertion in a non-
essential region of the viral genome (cg, region E1 or EB) will result in a recombinant virus that is
viable and capable of sing the molecule in infected hosts (cg, see Logan & Shenk, Proc.
Natl. Acad. Sci. USA 8 59 ). Specific initiation signals may also be required for
efficient translation of inserted coding sequences. These signals include the ATG initiation codon
and adjacent sequences. Furthermore, the tion codon must be in phase with the reading frame
of the desired coding sequence to ensure ation of the entire insert. These exogenous
translational control signals and initiation codons can he of a variety of s, both natural and
synthetic. The ency of expression may be enhanced by the ion of appropriate
transcription enhancer elements, transcription terminators, etc. (see, e.g., Bittner et al., Methods in
Enzymol. 153:51-544 (1987)). Thus, compatible mammalian cell lines available as hosts for
expression are well known in the art and include many immortalized cell lines available from the
American Type Culture Collection (ATCC). These include, inter alia, Chinese hamster ovary
(CHO) cells, N80 cells, SP2 cells, HER-293T cells, 293 Freestyle cells (Life Technologies), NIH—
3T3 cells, HeLa cells, baby hamster kidney (BHK) cells, African green monkey kidney cells
(COS), human hepatocellular carcinoma cells (e.g., Hep 62), A549 cells, and a number of other
cell lines.
For long—term, high~yield production of recombinant proteins stable expression is
preferred. Accordingly, cell lines that stably express the ed modulator may be engineered
using standard art recognized techniques. Rather than using expression vectors that contain viral
origins of ation, host cells can be transformed with DNA controlled by appropriate sion
control elements (e.g., promoter, enhancer, sequences, transcription terminators, polyadenylation
sites, etc), and a able marker. Following the introduction of the foreign DNA, engineered
cells may be allowed to grow for 1-2 days in an enriched media, and then are switched to a
selective media. The able marker in the inant plasmid confers resistance to the
selection and allows cells to stably integrate the plasmid into their chromosomes and grow to form
foci which in turn can be cloned and expanded into cell lines. This method may advantageously be
used to er cell lines which s the molecule. Such engineered cell lines may be
particularly useful in screening and evaluation of compositions that interact directly or indirectly
with the molecule.
[01861 A number of selection systems are well known in the art and may be used including, but
not d to, the herpes simplex virus thymidine kinase (Wigler et al., Cell 1 1:223 0977)),
hypoxanthineguanine phosphoribosyltransferase (Szybalska & Szybalski, Proc. Natl. Acad. Sci.
USA 48:202 (1992)), and adenine phosphoribosyltransferase (Lowy et al., Cell 22:8 17 (1980))
genes can be employed in tk-, hgprtw or aprt- cells, respectively. Also, antimetabolite resistance can
be used as the basis of selection for the following genes: dhl’r, which s resistance to
methotrexale (Wigler et al., Natl. Acad. Sci. USA 77:35? U980); O'Hare et al., Proc. Natl. Acad.
Sci. USA 78: 1527 (1981)); gpt, which confers resistance to mycophenolic acid (Mulligan & Berg,
Proc. Natl. Acad. Sci. USA 782072 (1981)); neo, which s resistance to the aminoglycoside
(3-418 (Clinical Pharmacy 122488-505; Wu and Wu, Biotherapy 3:87-95 (1991); Tolstoshev, Ann.
Rev. Pharmacol. l. 32:573—596 (1993); Mulligan, Science 260:926-932 (1993); and Morgan
and Anderson, Ann. Rev. Biochem. 62: 191-217 ; TIB TECH 11(5): 155-2 15 (May, 1993));
and hygro, which confers resistance to hygromycin (Santerre et al., Gene 30:147 (1984)). Methods
commonly known in the art of recombinant DNA technology may be routinely applied to select the
desired inant clone, and such methods are described, for example, in Ausubel et al. (eds),
Current Protocols in lar Biology, John Wiley & Sons, NY (1993); Kriegler, Gene Transfer
and Expression, A Laboratory Manual, Stockton Press, NY ; and in Chapters l2 and 13,
Dracopoli et al. (eds), Current Protocols in Human Genetics, John Wiley & Sons, NY (l994);
Colberre—Garapin et a1., 3. M01. Biol. l5021 (1981), It will be appreciated that one particularly
preferred method of establishing a stable, high yield cell line ses the glutamine synthetase
gene expression system (the GS system) which provides an efficient approach for enhancing
expression under certain conditions. The GS system is discussed in whole or part in connection
with EP patents 0 216 846, O 256 055, 0 323 997 and O 338 841 each of which is orated
herein by reference.
i0i87] In addition, a host cell strain may be chosen which modulates the expression of the
inserted sequences, or modifies and processes the gene product in the specific fashion desired.
Such modifications , glycosylation) and processing (e.g., cleavage) of protein products may be
important for the function and/or purification of the protein. Different host cells have characteristic
and specific mechanisms for the post-translational processing and ation of proteins and
gene products. As known in the art appropriate cell lines or host systems can be chosen to ensure
the desired modification and processing of the expressed polypeptide. To this end, eukaryotic host
cells that possess the cellular machinery for proper processing of the primary ript,
glycosylation, and phosphorylation of the gene product are particularly effective for use in the
instant invention. ingly, particularly preferred mammalian host cells include, but are not
limited to, CHO, VERY, BHK, HcLa, COS, NSO, MDCK, 293, 3T3, W138, as well as breast
cancer cell lines such as, for example, BT483, H5578T, I-ITBZ, BT20 and T47D, and normal
mammary gland cell line such as, for exampie, CRL703O and HsS78Bst. Depending on the
modulator and the selected production , those of skill in the art may easily select and
optimize appropriate host cells for ent expression of the tor.
b. Chemical synthesis
s the aforementioned host cell systems, it will be appreciated that the modulators
of the invention may be chemically synthesized using techniques knowu in the art (e.g., see
Creighton, E983, Proteins: Structures and Molecular Principles, W.H. Freeman & Co., N.Y., and
Hunkapiiler, M., et al., 1984, Nature 310: lOS—l l I). For example, a peptide ponding to a
polypeptide fragment of the invention can be sized by use of a peptide synthesizer,
Furthermore, if d, nonclassical amino acids or chemical amino acid analogs can be introduced
as a substitution or on into a polypeptide sequence. Non-classical amino acids include, but
are not limited to, to the D-isomers of the common amino acids, 2,4-diaminobutyric acid, a-amino
isobutyric acid, 4-a1ninobutyric acid, Abu, Ziamino butyric acid, g-Abu, e—Ahx, 6iamino hexanoic
acid, Ail), Z-amino isobutyric acid, 3-amino propionic acid, ornithine, norleucine, norvaline,
hydroxyproline, sarcosine, citrulline, homocitruiiine, cysteic acid, t—butylglycine, t-butylaianine,
phenylglycine, cyclohexyialanine, b-alanine, fluoro—amino acids, designer amino acids such as 1)-
methyl amino acids, Ca-mcthyi amino acids, Nit—methyl amino acids, and amino acid analogs in
general. rmore, the amino acid can be D orotary) or L (levorotary).
c. Transgenic systems
[0l89] The PTK7 tors of the invention also can be produced transgenically through the
generation of a mammal or plant that is enic for the immunoglobulin heavy and light chain
sequences (or fragments or derivatives or variants thereof) of interest and production of the desired
compounds in a recoverable form. In connection with the transgenic production in mammals, anti-
PTK7 antibodies, for example, can be produced in, and recovered from, the milk of goats, cows, or
other s. See. e.g., Ns. 690, 5,756,687, 5,750,!72, and 5,741,957. In some
embodiments, non-human transgenic animals that comprise human immunoglobulin loci are
immunized with PTK7 or an immunogenic portion thereof, as described above. Methods for
making antibodies in plants are described, e.g., in U.S.P.Ns. 6,046,037 and 5,959,177.
In accordance with the teachings herein non-human transgenic s or plants may be
produced by introducing one or more nucleic acid molecules encoding a PTK? tor of the
invention into the animal or plant by standard transgenic ques. Sec Hogan and U.S. Pat. No.
6,417,429. The transgenic cells used for making the transgenic animal can be embryonic stem cells
or somatic cells or a fertilized egg. The transgenic non-human organisms can be chimeric,
meric heterozygotes, and nonchimeric homozygotes. See, e.g., Hogan et al., Manipulating
the Mouse Embryo: A Laboratory Manual 2nd ed, Cold Spring Harbor Press (E999); Jackson et al.,
Mouse. Genetics and Transgenics: A Practical ch, Oxford University Press (2000); and
Pinkert, Transgenic Animal Technology: A Laboratory Handbook, Academic Press (1999). In
some embodiments, the transgenic man s have a ed disruption and replacement
by a targeting construct that s, for example, a heavy chain and/or a light chain of interest. In
one embodiment, the transgenic animals comprisc and express nucleic acid molecules encoding
heavy and light chains that specifically bind to PTK7. While anti-PTK? antibodies may be made in
any transgenic animal, in particularly preferred embodiments the non—human animals are mice, rats,
sheep, pigs, goats, cattle or horses. in further embodiments the non-human enic animal
expresses the d ceutical product in blood, milk, urine, saliva, tears, mucus and other
bodily fluids from which it is readily obtainable using art recognized purification techniques.
It is likely that modulators, including antibodies, expressed by different cell lines or in
transgenic animals will have different glycosylation patterns from each other. However, all
modulators encoded by the nucleic acid molecules provided herein, or comprising the amino acid
sequences provided herein are part of the instant invention, regardless of the glycosylation state of
the molecule, and more generally, regardless of the ce or absence of post—translational
modifieationts). In addition the invention encompasses modulators that are differentially modified
during or after translation, e.g., by glycosylation, aeetylation, phosphorylation, amidation,
derivatization by known protecting/blocking groups, proteolytic cleavage, linkage to an antibody
molecule or other cellular ligand, etc. Any of numerous chemical cations may be carried out
by known techniques, including but not limited, to specific chemical cleavage by cyanogen
bromide, trypsin, chymotrypsin, papain, V8 protease, NaBHi, acetylation, formylation, ion,
ion, metabolic synthesis in the presence of tunicamycin, etc. Various post—translational
modifications are also encompassed by the invention include, for example, e.g., ed or O-
linked carbohydrate , processing of N-terminal or C-terminal ends), attachment of chemical
moieties to the amino acid backbone, chemical modifications of N-linked or O-linked ydrate
chains, and addition or deletion of an N~terminal methionine residue as a result of prokaryotic host
cell expression. Moreover, as set forth in the text and Examples below the polypeptides may also
be modified with a able label, such as an enzymatic, fluorescent, radioisot0pic or affinity
label to allow for detection and isolation of the modulator.
(1. cation
Once a modulator of the invention has been produced by inant expression or any
one of the other techniques disclosed herein, it may be purified by any method known in the art for
purification of immunoglobulins, or more lly by any other standard technique for the
purification of proteins. In this respect the modulator may be isoiated. As used herein, an isolated
PTK7 modulator is one that has been fied and separated and/or recovered from a component
of its natural environment. Contaminant components of its natural environment are materials that
would interfere with diagnostic or therapeutic uses for the polypeptide and may include enzymes,
hormones, and other proteinaceous or nonproteinaceous solutes. Isolated tors include a
modulator in silu within recombinant cells e at least one component of the pol ypeptide's
natural environment will not be present.
[0193} When using recombinant techniques, the PTK? modulator (cg. an anti«PTK7 antibody
or derivative or fragment f) can be produced.intracellularly, in the peripiasmic space, or
directly ed into the medium. If the desired molecule is produced intracellularly, as a first
step, the particulate debris, either host cells or lysed fragments, may be removed, for example, by
centrifugation or ultrafiltration. For example, Carter, et al., Bio/Technology [0:163 (1992) be
a procedure for isolating antibodies that are secreted to the periplasmic Space of E. coli. Briefly,
cell paste is thawed in the presence of sodium acetate (pH 3.5), EDTA, and
phenylmethylsulfonylfluoride (PMSF) over about 30 minutes. Cell debris can be removed by
centrifugation. Where the antibody is secreted into the medium, supernatants from such expression
systems are generally first concentrated using a commercially available protein concentration filter,
for example, an Amicon or Millipore Pellicon iitration unit. A protease inhibitor such as
PMSF may be included in any of the foregoing steps to inhibit proteolysis and antibiotics may be
included to prevent the growth of itious contaminants.
The modulator (cg, fc-PTK7 or anti—PTK7 dy) composition prepared from the
cells can be purified using, for example. hydroxylapatite chromatography, gel electrophoresis,
dialysis, and affinity chromatography, with affinity chromatography being the preferred
purification technique. The suitability of protein A as an affinity ligand depends on the species and
isotype of any immunoglobulin Fe domain that is present in the selected construct. Protein A can
be used to purify antibodies that are based on human IgG 1, lgG2 or IgG4 heavy chains (Lindmarlt,
et al.,J lmmunol Meth 62:1 (1983)). Protein G is recommended for all mouse isotypes and for
human IgG3 (Guss, et al., EMBO J 5:1567 (l986)). The matrix to which the affinity ligand is
attached is most often agarose, but other matrices are available. Mechanically stable matrices such
as controlled pore glass or poly(styrenedivinyl)bcnzene allow for faster flow rates and shorter
processing times than can be achieved with agarose. Where the antibody comprises :1 CH3 domain,
the Bakerbond ABX'“ resin (J. T. Baker; Phillipsburg, NJ.) is useful for purification. Other
techniques for protein purification such as fractionation on an ion—exchange column, ethanol
precipitation, reverse phase HPLC, cinematography on silica, chromatography on heparin,
sepharose chromatography on an anion or cation ge resin (such as a polyaspartic acid
column), chromatofocusing, SDS-PAGE and ammonium sulfate precipitation are also available
depending on the antibody to be recovered. In particularly preferred embodiments the modulators
of the instant ion will be purified, at least in part, using Protein A or n G affinity
chromatography.
XI. ated PTK’? Modulators
{0195] Once the modulators of the invention have been purified according to the teachings
herein they may be linked with, fused to, conjugated to (cg, covalently or non-covalently) or
otherwise assodated with pharmaceutically active or diagnostic moieties or biocompatible
modifiers. As used herein the term ate will be used broadly and held to mean any le
associated with the disclosed modulators less of the method of association. In this respect it
will be understood that such conjugates may comprise peptides, polypeptides, proteins, polymers,
c acid molecules, small molecules, mimetic agents, synthetic drugs, inorganic molecules,
c molecules and radioisotopes. Moreover, as indicated above the ed conjugate may be
covalently or valently linked to the tor and exhibit various molar ratios ing, at
least in part, on the method used to effect the conjugation.
[Oi 96} In red embodiments it will be apparent that the modulators of the invention may
be conjugated or associated with proteins, polypeptides or peptides that impart selected
characteristics (cg, biotoxins, biomarkers, purification tags, etc.). More generally, in selected
embodiments the present invention encompasses the use of modulators or fragments thereof
recombinantly fused or chemically ated ding both covalent and non-covalent
conjugations) to a heterologous n or polypeptide wherein the polypeptide comprises at least
, at least 20, at least 30, at least 40, at least 50, at least 60, at least 70, at least. 80, at least 90 or at
least 100 amino acids. The construct does not necessarily need to be directly linked, but may occur
through linker sequences. For example, antibodies may be used to target lieterologous polypeptides
to ular cell types expressing PTK7, either in vitro or in vivo. by fusing or conjugating the
modulators of the present invention to antibodies specific for particular cell surface receptors.
Moreover, modulators fused or conjugated to heterologous polypeptides may also be used in in
vitro immunoassays and may be ible with purification methodology known in the art. See
e.g., International publication No. WO 93121232; an Patent No. EP 5; ttra et
al., 1994, Immunol. Letti 39:91—99; US. Pat. No. 5,474,981; Gillies et al., l992, PNAS 892M28-
l432; and Fell ct al., l99l, J. Immunol. 146:2446-2452.
:1. Biocompatible modifiers
In a red embodiment, the modulators of the invention may be conjugated or
otherwise associated with biocompatible ers that may be used to adjust, alter, improve or
moderate modulator characteristics as d. For example, antibodies or fusion constructs with
increased in viva half-lives can be generated by attaching relatively high molecular weight polymer
molecules such as commercially available polyethylene glycol (PEG) or similar biocompatible
polymers. Those skilled in the art will appreciate that PEG may be obtained in many different
molecular weight and lar configurations that can be selected to impart specific properties to
the antibody (eg the half~life may be tailored). PEG can be ed to modulators or antibody
fragments or derivatives with or without a multifunctional linker either through site—specific
conjugation of the PEG to the N— or C-terminus of said antibodies or antibody fragments or via
epsilon-amino groups present on lysine residues. Linear or ed polymer derivatization that
results in minimal loss of biological activity may be used. The degree of conjugation can be
closely monitored by SDS~PAGE and mass spectrometry to ensure Optimal conjugation of PEG
molecules to antibody molecules. Unreacted PEG can be separated from antibody-PEG conjugates
by, e.g., size exclusion or change cinematography. In a similar , the disclosed
modulators can be conjugated to albumin in order to make the antibody or antibody fragment more
stable in vivo or have a longer half life in vivo. The techniques are well known in the art, see e.g.,
international Publication Nos. W0 93/ | S 199, W0 93/ i 5200, and W0 01/77 l 37; and European
Patent No. 0 4i 3, 622. Other biocompatible conjugates are evident to those of ordinary skill and
may readily be fied in accordance with the teachings herein.
b. Diagnostic or detection agents
[01981 in other preferred embodiments, tors of the present ion, or fragments or
derivatives thereof, are conjugated to a diagnostic or detectable agent, marker or reporter which
may be a biological molecule (e.g., a peptide or nucleotide), a small molecule, phore, or
radioisotope. Labeled modulators can be useful for monitoring the development or progression of a
hyperproliferative disorder or as part of a clinical testing procedure to determine the efficacy of a
particular therapy including the disclosed modulators (i.e. theragnostics) or to determine a future
course of treatment. Such markers or reporters may also be useful in ing the selected
modulator, separating or isolating TIC or in preclinical procedures or toxicology s.
Such diagnosis and ion can be lished by coupling the modulator to
detectable substances including, but not limited to, various enzymes comprising for example
horseradish peroxidase, alkaline phosphatase, beta~galactosidase, or acetylcholinesterase; prosthetic
groups, such as but not limited to streptavidinlbiotin and avidin/biotin; fluorescent materials, such
as but not limited to, umbelliferone, fluorescent, fluorescent isothiocynate, rhodamine,
dicltlorotriazinylamine scein, dansyl chloride or phycoerythrin; luminescent materials, such
as but not limited to, luminol; bioluminescent als, such as but not limited to, rase,
luciferin, and aequorin; radioactive als, such as but not d to iodine (”[1, ml, '23], ’31,),
carbon (NC), sulfur (35$), m (3H), indium (”5111, min, 112In, 1Him), and technetium (”Tc),
um (:O'Ti), gallium (“Ga 67Ga), palladium ('03Pd), molybdenum (99Mo), xenon (mXe),
"fluorine (18F), 1538“]! 277M, mGd, HQPm! mom, 175:ng ‘GGHO, 90y, ”Sc, lSGRe: lBSRc, 1-4an lOSRh,
”Ru. 680e, 57Co. “Zn. 8551: ”P, mGd. mqu,SICI‘,543411.7536, “33m and “7Tin: positron emitting
metals using various positron emission aphies, noradioactive paramagnetic metal ions, and
molecules that are radiolabeled or conjugated to specific radioisotopes. In such embodiments
appropriate detection methodology is well known in the art and readily available from numerous
commercial sources.
As indicated above, in other embodiments the modulators or fragments thereof can be
fused to marker sequences, such as a peptide or fluoroPhore to facilitate purification or diagnostic
procedures such as immunohistochemistry or FACs. In preferred embodiments, the marker amino
acid sequence is a hexa-histidine peptide (SEQ ID NO: 7), such as the tag provided in a pQE vector
(Qiagen Inc), among others, many of which are commercially available. As bed in Gentz et
al., E989, Proc. Natl. Acad. Sci. USA 86:821~824, for instance, hexa-histidine provides for
convenient purification of the fusion protein. Other e tags useful for purification include. but
are not limited to, the hemaggiutinin "HA" tag, which corresponds to an epitOpe derived from the
influenza hemagglutinin protein (Wilson et at, 1984. Cell ) and the "flag" tag (U.S.P.N.
4,703,004).
c. Therapeutic Moieties
As usly alluded to the tors or fragments or tives thereof may also be
conjugated, linked or fused to or otherwise associated with a therapeutic moiety such as anti-cancer
agents, a cytotoxin or cytotoxic agent, e.g., a cytostatic or cytocidal agent, a eutic agent or a
radioactive metal ion, e.g., alpha or betawemitters. As used herein a cytotoxin or xic agent
includes any agent or therapeutic moiety that is detrimental to cells and may inhibit cell growth or
survival. Examples include paclitaxel, cytochalasin B, gramicidin D, ethidium bromide, cmetine,
mitomycin, eleposide, tenoposide, vincristine, vinblastine, colchicin, doxorubicin, daunorubicin,
dihydroxy anthracin, maytansinoids such as DM—l and DM—4 (lmmunogen, Inc), dione,
mitoxantrone. mithramycin, actinomycin D, l-dehydrotestoster0ne, orticoids, procaine,
tetracaine, iidocaine, prepranolol, putomycin, epirubicin, and cyclophosphamide and analogs or
homologs thereof. Additional cytotoxins comprise auristatins, inciuding monomethyl auristatin E
(MMAE) and monomethyl atin F (MMAF) (Seattle Genetics, Inc), amanitins such as alpha-
amanitin, beta-amanitin, gamma-amanitin or n-amanitin (Heidelberg Pharma AG), DNA
minor groove binding agents such as duocarmycin derivatives (Syntarga, B.V.) and modified
pyrrolobenzodiaZepine dimers (PBDs, Spirogen, Ltd). Furthermore, in one embodiment the PTK7
modulators of the instant invention may be ated with anti-CD3 binding molecules to recruit
cytotoxic T-cells and have them target the tumor initiating cells (BiTE technology; see e.g.,
nn, S. et. at. Annual Meeting of AACR Abstract No. 5625 (2010) which is incorporated
herein by reference).
{0202] Additional compatible therapeutic moieties comprise cytotoxic agents including. but are
not limited to, antimetabolites (e.g., methotrexate, 6-mercaptopurine, 6-thioguanine, cytarabine, 5—
flttorouracil decarbazine), alkylating agents (e.g., mechlorethamine, thioepa chlorambucil,
melphalan, carmustine (BCNU) and lomustine (CCNU), cyclothosphamide. busulfan,
dibromomannitol, streptozotocin, mitomycin C, and cisdichlorodiamine platinum (ll) (DDP)
ciSplatin), cyclines (e.g., ubicin (formerly ycin) and doxorubicin), antibiotics
(e.g., dactinomycin (formeriy mycin), bleomycin, mithramycin, and anthramycin (AMC)),
and anti-mitotic agents (e.g., vincristine and vinblastine). A more extensive list of eutic
moieties can be found in PCT ation W0 03/075957 and U.S.P.N. 200910155255 each of
which is incorporated herein by reference.
[0203} The selected modulators can also be conjugated to therapeutic moieties such as
radioactive materials or yclie chelators useful for conjugating radiometal ions (see above for
examples of radioactive materials). In certain embodiments, the macrocyclic chelator is l,4,7,IO—
tetraazacyclododeeane—N,N',N",N"—tetraacctic acid (DOTA) which can be attached to the antibody
via a linker molecule. Such linker molecules are commonly known in the art and described in
Denardo et al., 1998, Clin Cancer Res. 4:2483; Peterson et al., I999, Bioconjug. Chem. 101553; and
Zimmerman et al., l999. Nucl. Med. Biol. 26:943.
[0204} Exemplary radioisotopes that may be compatible with this aSpect of the invention
include, but are not limited to, iodine (ml, [251, 1231, ”ILL carbon (MC), copper (fizCu, “Cu, 67Ctl),
sulfur (35$), tritium (3H), indium (“5111, min, ”gin, inim), bismuth (glzBi, 213Bi), technetium
(99Tc), thallium (zo'Ti), gallium (686a, 67Ga), palladium (103Pd), molybdenum (”Mo), xenOn
(mXe), fluorine ('XF), ”33m, ”7141, “on, “9pm, ”out, with, “Giro, ”or, ”Sc, 130Re, ”Site, ”3 Pr,
msRh, ”Ru, “Ge, 57Co, “Zn, 85Sr, 33?, '53Gd, mYb, 5‘Cr, 54Mn, 7536, ”3Sn, MT in, mAc. 7“Br, and
2] lAt.
Other radionuclides are also available as diagnostic and therapeutic agents, especially those
in the energy range of 60 to 4,000 keV. Depending on the condition to be d and the desired
eutic profile, those skilled in the art may readily select. the appropriate radioisotope for use
with the disclosed tors.
PTK7 modulators of the present invention may also be conjugated to a therapeutic
moiety or drug that modifies a given ical response (e.g., biological response modifiers or
BRMs). That is, therapeutic agents or moieties compatible with the t invention are not to be
ued as limited to classical chemical therapeutic agents. For example, in ularly preferred
embodiments the drug moiety may be a n or ptide or fragment thereof possessing a
desired biological activity. Such proteins may include, for example, a toxin such as abrin, ricin A,
Onconase (or another cytotoxic RNase). pseudomonas exotoxin, a toxin. or diphtheria toxin:
a protein such as tumor necrosis factor, terferon, B-interferon, nerve growth factor, platelet
derived growth factor, tissue plasminogen activator, an apoptotic agent. e.g., TNF- or, TNF—B, AIM
I(see, International Publication No. WO 99), AIM Ii (see, International Publication No. W0
97/349l I), Fas Ligand ashi et al., 1994, J. Immunol., 6: l 567), and VEGI (see, International
Publication No. WO 99123105), :1 thrombotic agent or an anti-angiogenic agent, e.g., angiostatin or
atin; or, a biological reSponse modifier such as, for e, a lymphokine (cg, interleukin~
l (“IL-l"), interleukin-2 ("IL—2“), interleukin-6 ("IL—6"), granulocytc macrophage colony
stimulating factor SF"), and granulocyte colony stimulating factor (”G-CSF")), or a growth
factor (e.g., growth hormone ("GH")). As set forth above, methods for fusing or conjugating
modulators to polypeptide moieties are known in the art. In addition to the previously disclosed
subject references see, c.g., U.S.P.Ns. 5,336,603; 5,622,929; 5,359,046; 5,349,053; 5,447,851, and
,1 12,946; EP 307,434; 13? 367, I 66; PCT Publications WO 88 and WO 91/06570;
Ashkenazi et al., l99l, PNAS USA 88:!0535: Zheng et al., 1995, J Immunol 1154:5590; and Vil et
al., 1992, PNAS USA 89:] l337 each of which is incorporated herein by reference. The association
of a modulator with a moiety does not necessarily need to be direct, but may occur h linker
sequences. Such linker molecules are commonly known in the art and described in Denardo et al.,
1998, Clin Cancer Res 422483; Peterson et al., l999. jug Chem l0z553; Zimmerman et al.,
1999, Nucl Med Biol 26:943; t, 2002, Adv Drug Deliv Rev 53:171 each of which is
incorporated herein.
More generally, techniques for conjugating therapeutic moieties or cytotoxic agents to
modulators are well known. Moieties can be conjugated to modulators by any art-recognized
method, including, but not limited to aldehyde/Schilf e, sulphydryl linkage, acidalabilc
linkage, cis-aconityl linkage, hydrazone linkage, enzymatically degradable linkage (see generally
t, 2002, Adv Drug Deliv Rev 53: l7l). Also see, e.g., Anion et al., "Monoclonal Antibodies
For Itnmunotargeting Of Drugs In Cancer Therapy“, in Monoclonal Antibodies And Cancer
Therapy, Reisfeld et al. (eds), pp. 243-56 (Alan R. Liss, Inc. l985); l-Iellstrom et al., "Antibodies
For Drug Delivery", in Controlled Drug Delivery (2nd Ed), Robinson et al. (eds), pp. 62363
(Marcel Dekker, Inc. 1987); Thorpe, "Antibody Carriers Of xic Agents in Cancer y:
A Review“, in Monoclonal Antibodies '84: Biological And al Applications, Pinchera et al.
(eds), pp. 475—506 (1985); "Analysis, Results, And Future Prospective Ol’The Therapeutic Use Of
Radiolabeled Antibody in Cancer y", in Monoclonal Antibodies For Cancer ion And
Therapy, Baldwin et al. (eds), pp. 303-16 (Academic Press 1985), and Thorpe et al., l982,
Immunol. Rev. 62:] 19. In preferred embodiments a PTK7 modulator that is conjugated to a
therapeutic moiety or cytotoxic agent may be alized by a cell upon binding to a P'l‘K7
molecule associated with the cell e thereby delivering the therapeutic payload.
XII. Diagnostics and Screening
a. stics
As indicated, the present invention prevides in vitro or in viva methods for detecting,
diagnosing or monitoring hyperproliferative disorders and methods of screening cells from a patient
to identify tumorigenic cells including TPCs. Such methods include identifying an individual
having cancer for treatment or monitoring progression of a cancer comprising contacting the t
or a sample obtained from a patient with a selected PTK7 modulator as described herein and
detecting presence or absence, or level of association of the modulator to bound or free PTK? in the
sample. When the modulator comprises an antibody or immunologically active fragment thereof
the association with particular PTK? in the sample likely denotes that the sample may contain
tumor uating cells (cg. a cancer stem cells) indicating that the dual having cancer may
be effectively treated with a PTK7 modulator as described herein. The s may further
se a step of comparing the level of binding to a control- sely, when the selected
modulator is Fc-PTK7 the binding properties of the ed PTK7 may be exploited and monitored
(directly or indirectly, in vivo or in vitro) when in contact with the sample to provide the desired
information. Other diagnostic or theragnostic methods compatible with the teachings herein are
well known in the art and can be practiced using commercial materials such as dedicated ing
systems.
in a particularly preferred embodiment the modulators of the instant invention may be
used to detect and quantify PTK7 levels in a patient sample (cg, plasma or blood) which may, in
turn, be used to detect, diagnose or monitor PTK? associated ers including hyperproliferative
disorders. In related embodiments the modulators of the instant invention may be used to detect,
monitor and/or quantify circulating tumor cells either in vivo or in vitro (see, for example, WO
20l2/0l28801 which is incorporated herein by reference). in still other preferred embodiments the
circulating tumor cells may comprise cancer stem cells.
{0209] Exemplary compatible assay methods include radioimmunoassays, enzyme
immunoassays, competitivebinding , fluorescent immunoassay, immunoblot assays,
Western Blot analysis, flow cytometry assays, and ELISA assays. More generally detection of
PTK? in a ical sample or the measurement of PTK7 enzymatic activity (or inhibition thereof)
may be accomplished using any art—known assay. Compatible in viva theragnostics or diagnostics
may comprise art ized imaging or ring techniques such as ic resonance
imaging (MRI), erized tomography leg. CAT scan), positron tomooraphy (cg, PET scan)
radiography, ultrasound, etc.- Those skilled in the art will readily be able to recognize and-
implement appropriate detection, ring or imaging techniques (often comprising
commercially available sources) based on the etiology, pathological manifestation or clinical
progression of the disorder.
[02l0] In another embodiment, the invention provides a method of analyzing cancer
progression and/or pathogenesis in. vivo. In another embodiment, analysis of cancer progression
and/or pathogenesis in viva comprises determining the extent of tumor ssion. In another
embodiment, analysis comprises the identification of the tumor. In another embodiment, analysis
of tumor progression is performed on the y tumor. In another embodiment, analysis is
performed over time depending on the type of cancer as known to one skilled in the art. In another
embodiment. further analysis of secondary tumors originating from metastasizing cells of the
primary tumor is ed iii-viva. In r embodiment, the size and shape of secondary tumors
are ed. In some embodiments, further ex vivo analysis is med.
{021 I] In another ment, the invention provides a method of analyzing cancer
progression and/or pathogenesis in vivo including determining cell metastasis or detecting and
quantifying the level of ating tumor cells. In yet another embodiment, analysis of cell
asis comprises determination of progressive growth of cells at a site that is discontinuous
from the primary tumor. In another embodiment, the site of cell asis analysis ses the
route of neoplastic . 1n some embodiment, cells can disperse via blood vasculature,
lymphatics, within body cavities or combinations thereof. In another embodiment, cell metastasis
analysis is performed in view of cell migration, dissemination, extravasation, proliferation or
combinations thereof.
In n examples, the tumorigenic cells in a subject or a sample from a subject may be
assessed or terized using the disclosed modulators prior to therapy or regimen to establish a
baseline. In other examples the sample is derived from a subject that was treated. In some
examples the sample is taken from the subject at least about 1, 2,4, 6, 7, 8, 10, 12, l4, IS, 16, l8,
, 30, 60, 90 days, 6 , 9 months, 12 months, or >12 months after the subject begins or
terminates treatment. In certain es, the tumorigenic cells are assessed or characterized after
a certain number of doses (e.g., after 2, 5, IO, 20, 30 or more doses of a therapy). In other
examples, the gcnic cells are characterized or assessed after 1 week, 2 weeks, 1 month, 2
months, 1 year, 2 years, 3 years, 4 years or more after receiving one or more therapies.
In another aspect, and as discussed in more detail below, the present invention provides
kits for detecting, monitoring or diagnosing a hyperproliferative disorder, identifying individual
having such a disorder for possible treatment or monitoring progression (or regression) of the
disorder in a patient, wherein the kit comprises a modulator as described herein, and reagents for
detecting the impact of the modulator on a sample.
in. Screeninty
The PTK7 modulators and cells, cultures, populations and compositions comprising the
same, including progeny thereof, can also be used to screen for or identify compounds or agents
(e.g., drugs) that affect a function or activity of tumor ting cells or progeny thereof by
interacting with PTK7 (e.g., the polypeptide or genetic components thereoi). The invention
therefore further provides systems and methods for evaluation or identification of a compound or
agent that can affect a function or activity tumor initiating cells or progeny f by associating
with PTK7 or its substrates. Such compounds and agents can be drug candidates that are screened
for the treatment of a hyperproliferative disorder, for example. In one ment, a system or
method comprises tumor initiating cells exhibiting PTK7 and a compound or agent (e.g., drug),
wherein the cells and compound or agent (e.g., drug) are in contact with each other.
[02 l 5] The invention further provides methods of screening and identifying PTK7 modulators
or agents and compounds for altering an activity or function of tumor initiating cells or progeny
cells. In one embodiment, a method includes contacting tumor initiating cells or progeny thereof
with a test agent 01' compound; and determining if the test agent or compound modulates an activity
or function of the PTK’] associated tumor initiating cells.
{0216] A test agent or compound modulating a PTK7 related ty or function of such tumor
ting cells or progeny thereof within the population identifies the test agent or compound as an
active agent. Exemplary ty or function that can be modulated include changes in cell
morphology, sion of a marker, differentiation or ferentiation, maturation, proliferation,
viability, apoptosis or cell death neuronal progenitor cells or progeny thereof.
{0217] Contacting, when used in reference to cells or a cell culture or method step or treatment,
means a direct or indirect interaction between the ition (cg, a PTK7 associated cell or cell
culture) and another referenced entity. A particular example of a direct interaction is physical
ction. A particular example of an indirect interaction is where a composition acts upon an
intermediary molecule which in turn acts upon the referenced entity (cg, cell or cell culture).
{0218] In this aspect of the invention tes indicates influencing an activity or function of
tumor initiating cells or progeny cells in a manner compatible with detecting the effects on cell
ty or function that has been determined to be nt to a particular aspect (e.g., metastasis or
proliferation) of the tumor initiating cells or progeny cells of the ion. ary activities
and functions e, but are not limited to, measuring morphology, developmental markers,
differentiation. proliferation. viability. cell respiration, mitochondrial activity, membrane ity,
or expression of markers associated with certain conditions. Accordingly, a compound or agent
(e.g., a drug candidate) can be evaluated for its effect on tumor initiating cells or progeny cells, by
contacting such cells or progeny cells with the compound or agent and measuring any modulation
of an activity or function of tumor initiating cells or progeny cells as disclosed herein or would be
known to the skilled artisan.
s of screening and identifying agents and nds include those suitable for
high throughput screening, which include arrays of cells (e.g., microarrays) positioned or placed,
optionally at pre—determined locations or addresses. hroughput robotic or manual handling
methods can probe chemical interactions and determine levels of expression of many genes in a
short period of time. Techniques have been deveIOped that utilize molecular signals (e.g.,
fluorophores) and automated analyses that process information at a very rapid rate (see, e.g.,
Pinhasov et al., Comb. Chem. High Throughput Screen. 7:133 (2004)). For example, microarray
technology has been extensively utilized to probe the interactions of thousands of genes at once,
while providing information for specific genes (see. e.g., Mocellin and Rossi, Adv. Exp. Med. Biol.
593:19 (2007)).
Such screening methods (e.g., high—thrmtghput) can identify active agents and
nds rapidly and efficiently. For example, cells can be oned or placed (pie-seeded) on
a culture dish, tube, flask, roller bottle or plate (cg, a single multi-well plate or dish such as an 8,
16, 32, 64, 96, 384 and 1536 multi-well plate or dish), optionally at defined locations, for
identification of potentially therapeutic molecules. Libraries that can be screened include, for
example, small molecule ies, phage display libraries, fully human dy yeast y
ies (Adimab, LLC), siRNA libraries, and adenoviral transfection vectors.
XIII. Pharmaceutical Preparations and Therapeutic Uses
a. Formulations and routes of administration
] Depending on the form of the modulator along with any optional conjugate, the mode of
intended delivery, the disease being treated or monitored and numerous other variables,
compositions of the instant invention may be ated as desired using art recognized ques.
That is, in various embodiments of the instant invention compositions comprising PTK7
modulators are ated with a wide variety of pharmaceutically acceptable carriers (see, e.g.,
o, Remington: The Science and Practice ofPharmacy with Facts and Comparisons:
cts Plus, 20th ed. (2003); Ansel at al., Pharmaceutical Dosage Forms and Drug wy
Systems, 7m ed, Lippencott Williams and Wilkins (2004); Kibbe et at, Handbook of
Plzrzi-izzacezm'ml Erripimzrs, 3m ed, Pharmaceutical Press (2000)). Various pharmaceutically
acceptable carriers, which include vehicles, adjuvants, and diluents, are readily available from
numerous cial sources. Moreover, an assortment of pharmaceutically acceptable auxiliary
substances, such as pH adjusting and ing agents, tonicity adjusting agents, stabilizers, wetting
agents and the like, are also ble. Certain miting exemplary carriers include saline,
buffered saline, dextrose, water, glycerol, ethanol, and combinations thereof.
More particularly it will be appreciated that, in some ments, the therapeutic
compositions of the invention may be administered neat or with a minimum of additional
compouents. Conversely the PTK? modulators of the present invention may optionally be
formulated to contain suitable pharmaceutically acceptable carriers comprising excipients and
auxiliaries that are well known in the art and are relatively inert substances that facilitate
administration of the modulator or which aid processing of the active compounds into preparations
that are pharmaceutically optimized for delivery to the site of action. For example, an excipient can
give form or consistency or act as a diluent to improve the pharmacokinetics of the modulator.
le excipients include but are not limited to stabilizing agents, wetting and emulsifying agents,
salts for varying osmolarity, ulating agents, buffers, and skin ation enhancers.
Disclosed tors for systemic administration may be formulated For entcral,
parenteral or t0pical administration. indeed, all three types of formulation may be used
simultaneously to e systemic administration of the active ingredient. ents as well as
formulations For parenteral and nonparenleral drug delivery are set forth in Remington, The Science
and Practice of Pharmacy 20th Ed. Mack Publishing (2000). Suitable ations for parenteral
administration include aqueous solutions of the active compounds in soluble form, for
example, water—soluble salts. In addition, suspensions of the active compounds as apprOpriate for
oily injection suspensions may be administered. Suitable lipOphilic solvents or vehicles include
fatty oils, for example, sesame oil, or synthetic fatty acid esters, for example, ethyl oleate or
triglycerides. Aqueous injection suspensions may contain substances that increase the viscosity of
the suspension and include, for example, sodium carboxymethyl cellulose, sorbitol, and/or dextran.
Optionally, the suspension may also contain stabilizers. Liposomes can also be used to ulate
the agent for delivery into the cell.
[0224'] Suitable formulations forenteral stration include hard or soft gelatin capsules.
pills, tablets, including coated tablets, elixirs. sions, syrups or inhalations and controlled
release forms thereof.
{0225] In general the nds and compositions of the invention, sing PTK7
modulators may be administered in viva, to a subject in need thereof, by various routes, ing,
but not limited to, oral, intravenous, intranrterial, subcutancmis, parenteral, intranasal.
intramuscular, intracardiac, intraventricular, intratracheal, buccal, rectal, intraperitoneal,
intradermal, topical, ermal, and intrathecal, or otherwise by implantation or inhalation. The
subject compositions may be formulated into preparations in solid, scmi~solid, liquid, or gaseous
forms; including, but not limited to, tablets, capsules, powders, granules, ointments, solutions,
suppositories, enemas, injections, inhalants, and aerosols. The riate formulation and route of
stration may be selected according to the intended application and eutic regimen.
b. Dosages
Similarly, the particular dosage regimen, i.e., dose, timing and repetition, will depend on
the particular individual and that individual's l history. Empirical considerations such as
pharmacokinetics (e.g., half-life, clearance rate, etc.) will contribute to the determination of the
dosage. Frequency of administration may be determined and adjusted over the course of therapy,
and is based on ng the number of hyperprolil’erative or neoplastic cells, including tumor
initiating cells, maintaining the reduction of such beeplastie cells, reducing the proliferation of
neoplastic cells, or delaying the development of metastasis. Alternatively, sustained continuous
release formulations of a subject therapeutic composition may be appropriate. As alluded to above
various formulations and devices for achieving sustained release are known in the art.
From a therapeutic standpoint the pharmaceutical compositions are administered in an
amount effective for ent or laxis of the specific indication. The therapeutically
effective amount is typically dependent on the weight of the t being treated, his or her
physical or health condition, the extensiveness of the condition to be treated, or the age of the
subject being treated. In general, the PTK7 modulators of the invention may be administered in an
amount in the range of about 10 rig/kg body weight to about 100 rug/kg body weight per dose. In
certain embodiments, the PTK7 modulators of the invention may be administered in an amount in
the range of about 50 rig/kg body weight to about 5 mg/kg body weight per dose. In certain other
embodiments, the PTK7 tors of the invention may be stered in an amount in the
range of about 100 ttg/kg body weight to about to mg/kg body weight per dose. Optionally, the
PTK7 modulators of the invention may be stered in an amount in the range of about 100
rig/kg body weight to about 20 mg/kg body weight per dose. Further optionally, the PTK7
modulators of the invention may be administered in an amount in the range of about 0.5 mg/kg
body weight to about 20 mg/kg body weight per dose. In certain embodiments the compounds of
present invention are provided a dose of at least about 100 rig/kg body , at least about 250
ttg/kg body weight, at least about 750 ttg/kg body weight, at least about 3 tug/kg body weight, at
least about 5 mg/kg body weight, at least about 10 tug/kg body weight is stered.
[022%] Other dosing regimens may be predicated on Body e Area (BSA) calculations as
disclosed in U.S.P.N. 7,744,877 which is incorporated herein by reference in its entirety. As is well
known in the art the BSA is ated using the patient’s height and weight and provides a
measure of a subject’s size as represented by the surface area of his or her body. In selected
embodiments of the invention using the BSA the modulators may be stered in dosages from
mg/m2 to 800 mg/mz. in other preferred embodiments the modulators will be stered in
dosages from 50 mg/m?‘ to 500 mg/m2 and even more preferably at dosages of 100 mg/mz, lSO
trig/mg, 200 rug/m2, 250 m g/mg, 300 tug/ma, 350 rug/mg, 400 mg/mzor 450 trig/ma. Of course it
will be appreciated that, regardless of how the dosages are calculated, multiple dosages may be
administered over a ed time period to provide an absolute dosage that is substantially higher
than the individual administrations.
In any event. the PTK7 modulators are preferably administered as needed to subjects in
need thereof. Determination of the frequency of stration may be made by persons skilled in
the art, such as an ing physician based on considerations of the condition being treated, age of
the subject being d, severity of the condition being treated, general state of health of the
t being treated and the like. lly, an effective dose of the PTK7 modulator is
administered to a subject one or more times. More particularly, an effective dose of the tor
is administered to the subject once a month, more than once a month, or less than once a month. In
certain embodiments, the effective dose of the PTK7 modulator may be stered multiple
times, including for periods of at least a month, at least six months, or at least a year. In yet other
embodiments, several days (2, 3, 4, 5, 6 or 7), several weeks (1, 2, 3, 4, 5, 6, 7 or 8) or several
months ( l 7 or 8) may lapse between administration of the disclosed modulators.
, 2, 3, 4, 5, 6,
[0230} Dosages and ns may also be determined empirically for the disclosed therapeutic
compositions in individuals who have been given one or more administration(s). For example,
individuals may be given incremental dosages of a therapeutic ition produced as described
herein. To assess efficacy of the selected composition, a marker of the specific disease, disorder or
condition can be followed as described previously. In embodiments where the individual has
cancer, these include direct measurements of tumor size via palpation or visual observation, indirect
measurement of tumor size by x-ray or other imaging ques; an improvement as assessed by
direct tumor biopsy and microsc0pic examination of the tumor sample; the measurement of an
ct tumor marker (e.g., PSA for prostate cancer) or an n identified according to the
methods described herein, a decrease in pain or paralysis; improved , vision, breathing or
other disability associated with the tumor; increased appetite; or an increase in quality of life as
measured by accepted tests or prolongation of survival. It will be apparent to one of skill in the art
that the dosage will vary depending on the individual. the type of neoplastic condition, the stage of
neoplastic condition, whether the neoplastic condition has begun to metastasize to other location in
the individual, and the past and concurrent treatments being used.
c. Combination therapies
Combination therapies contemplated by the invention may be ularly useful in
decreasing or ting unwanted neoplastic cell proliferation (cg. endothelial cells), decreasing
the occurrence of cancer, decreasing or preventing the recurrence of cancer, or decreasing or
preventing the spread or asis of cancer. in such cases the compounds of the instant invention
may function as sensitizing or chemosensitizing agent by removing the TPC propping up and
perpetuating the tumor mass (e.g. NTG cells) and allow for more effective use of current standard
of care debulking or anti-cancer agents. That is, a combination therapy comprising a PTK7
modulator and one or more anti-cancer agents may be used to diminish established cancer cg,
decrease the number of cancer cells present and/or decrease tumor burden, or rate at least
one manifestation or side effect of cancer. As such, ation therapy refers to the
stration of a PTK? modulator and one or more anti—cancer agent that includes, but is not
d to, cytotoxic agents, cytostatic agents, chemotherapeutic agents, targeted anti-cancer agents,
biological response modifiers, immunotherapeutic agents, cancer vaccines, anti-angiogenic agents,
cytokines, hormone therapies, ion therapy and anti-metastatic agents.
ing to the methods of the present invention, there is no requirement for the
combined results to be additive of the effects observed when each treatment (e.g., anti-PTK7
antibody and anti-cancer agent) is conducted separately. Although at least additive effects are
generally desirable, any increased umor effect above one of the single therapies is beneficial.
Furthermore, the invention does not e the combined ent to exhibit synergistic s.
r, those skilled in the art will appreciate that with certain selected combinations that
comprise red embodiments, synergism may be ed.
[0233} To practice combination therapy according to the invention, a PTK7 modulator (e.g.,
anti-PTK7 antibody) in ation with one or more anti-cancer agent may be administered to a
subject in need thereof in a manner effective to result in anti-cancer activity within the subject. The
PTK? modulator and anti-cancer agent are provided in amounts effective and for periods of time
effective to result in their combined presence and their combined actions in the tumor environment
as d. To achieve this goal, the PTK7 modulator and anticancer agent may be administered to
the subject simultaneously, either in a single composition, or as two or more distinct compositions
using the same or different administration routes.
Alternatively, the modulator may precede, or follow, the anti-cancer agent treatment by,
cg, intervals ranging from minutes to weeks. In certain embodiments wherein the anti-cancer
agent and the aniibody are applied separately to the subject, the time period between the time of
each delivery is such that the anti—cancer agent and modulator are able to exert a combined effect
on the tumor. In a particular embodiment, it is plated that both the ancer agent and the
PTK7 modulator are administered within about 5 minutes to about two weeks of each other.
In yet other embodiments, several days (2, 3, 4, 5, 6 or 7), several weeks (1, 2, 3, 4, 5, 6,
7 or 8) or several months (l, 2, 3, 4, 5, 6, 7 or 8) may lapse between administration of the
modulator and the anti-cancer agent. The PTK? modulator and one or more ancer agent
(combination theraPY) may be administered once, twice or at least the period of time until the
condition is treated, palliated or cured. Preferably, the combination therapy is administered
multiple times. The combination therapy may be administered from three times daily to once every
six months. The administering may be on a schedule such as three times daily, twice daily, once
daily. once every two days, once every three days, once weekly, once every two weeks, once every
month, once every two months, once every three months, once every six months or may be
stered continuously via a minipump. As previously indicated the combination therapy may
be administered via an oral, mucosal. buccal, intranasal, inhalable, intravenous, subcutaneous.
intranmscular, parenteral, ttmor or topical route. The combination y may be
administered at a site distant from the site of the tumor. The combination therapy generally will be
administered for as long as the tumor is present provided that the combination therapy causes the
tumor or cancer to stop growing or to decrease in weight or volume.
In one embodiment a PTK7 modulator is administered in combination with one or more
anti-cancer agents for a short ent cycle to a subject in need thereof. The duration of
treatment with the antibody may vary ing to the particular anti-cancer agent used. The
invention also contemplates tinuous administration or daily doses divided into several l
administrations. An appropriate treatment time fora particular anti-cancer agent will be
appreciated by the skilled n, and the invention contemplates the continued ment of
l treatment schedules for each anti~cancer agent.
The present invention contemplates at least one cycle, preferably more than one cycle
during which the combination therapy is administered. An riate period of time for one cycle
will be appreciated by the skilled artisan, as will the total number of cycles, and the interval
between cycles. The invention contemplates the continued assessment of Optimal treatment
schedules for each modulator and anticancer agent. Moreover, the invention also provides for
more than one administration of either the anti-PTK? antibody or the anti-cancer agent. The
modulator and anti-cancer agent may be administered interchangeably, on alternate days or weeks;
or a sequence of antibody treatment may be given. followed by one or more treatments of anti-
cancer agent therapy. In any event, as will be understood by those of ordinary skill in the art, the
appropriate doses of chemotherapeutic agents will be generally around those already employed in
clinical therapies wherein the chemotherapeutics are administered alone or in combination with
other chemotherapeutics.
{0238] In another preferred embodiment the PTK7 modulators of the instant ion may be
used in maintenance y to reduce or ate the chance of tumor recurrence following the
initial presentation of the disease. Preferably the disorder will have been d and the initial
tumor mass eliminated, reduced or otherwise ameliorated so the patient is asymptomatic or in
remission. At such time the subject may be administered pharmaceutically effective s of the
disclosed modulators one or more times even though there is little or no indication of disease using
standard diagnostic procedures. In some embodiments the effectors will be stered on a
regular schedule over a period of time. For example the PTK7 modulators could be adminisrered
weekly, every two weeks, monthly, every six weeks, every two mOnths, every three months every
six months or annually. Given the teachings herein, one skilled in the art could readily determine
favorable dosages and dosing regimens to reduce the potential of disease recurrence Moreover
such ents could be continued for a period of weeks, months, years or even indefinitely
depending on the patient response and clinical and diagnostic parameters.
[0239} In yet another preferred embodiment the modulators of the present invention may be
used to prophylactically to prevent or reduce the ility of tumor metastasis following a
debulking procedure. As used in the t disclosure :1 debulking procedure is defined broadly
and shall mean any procedure, technique or method that eliminates, reduces, treats or ameliorates a
tumor or tumor eration. Exemplary debulking procedures include, but are not limited to,
surgery, radiation treatments (i.e., beam radiation), chemotherapy or ablation. At appropriate times
readily determined by one skilled in the art in view of the t sure the PTK7 modulators
may be administered as suggested by clinical and diagnostic or theragnostic procedures to reduce
tumor metastasis. The modulators may be administered one or more times at pharmaceutically
effective dosages as determined using standard techniques. Preferably the dosing regimen will be
accompanied by appropriate stic or monitoring ques that allow it to be ed as
necessary.
d. Anti—cancer agents
As used herein the term anti—cancer agent means any agent that can be used to treat a
cell proliferative disorder such as cancer, including cytotoxic agents, cytostatic agents, anti»
angiogenic agents, debulking agents, chemotherapeutic agents, radiotherapy and herapeutic
agents, targeted anti-cancer agents. biological se modifiers. antibodies, and
immunotherapeutic agents. It will be appreciated that, in selected embodiments as discussed above,
ancer agents may comprise conjugates and may be associated with modulators prior to
stration.
[O24l1 The term cytotoxic agent means a substance that decreases or inhibits the function of
cells and/or causes destruction of cells, i.e., the substance is toxic to the cells. Typically, the
substance is a naturally occurring molecule derived from a living organism. es of cytotoxic
agents include, but are not limited to, small molecule toxins orenzymatically active toxins of
bacteria (e.g., ria toxin, Pseudomonas endotoxin and exotoxin, Staphylococcal enterotoxin
A), fungal (e,g.,a—sarcin, restrictocin), plants (e.g., abrin, ricin, modeccin, viscumin, pokeweed anti-
viral protein, saporin, gelonin, momoridin, santhin, barley toxin, Aleurites fordii proteins,
dianthin proteins, Phytoiacca mericana ns (PAPI, PAPIi, and , Momordica charantia
inhibitor, , crotin, saponaria officinalis inhibitor, gelonin, mitegeliin, restrictocin,
ycin, neomycin, and the tricotheccnes) or animals, e.g., cytotoxic RNases, such as
extraceliuiar pancreatic RNases; DNase i, inciuding fragments and/or ts thereof.
A chemotherapeutic agent means a chemical compound that non-specifically decreases
or inhibits the growth, proliferation, and/or survival of cancer cells (e.g., cytotoxic or atic
agents). Such chemical agents are often directed to intracellular processes necessary for cell
growth or division, and are thus particularly ive against cancerous cells, which generaliy grow
and divide rapidly. For exampie, stine depoiymerizes microtubules, and thus inhibits cells
from entering s. In general, chemotherapeutic agents can e any chemical agent that
inhibits, or is designed to inhibit, a cancerous cell or a cell iikely to become cancerous or generate
tumorigenic progeny (e.g., TIC). Such agents are often administered, and are often most effective,
in combination, e.g., in the formulation CHOP.
{0243] es of anti-cancer agents that may be used in ation with (or conjugated to)
the moduiators of the present invention include, but are not limited to, aikyiating agents, alkyl
suifonates, aziridines, nimines and methylamclamines, acetogenins, a camptothecin,
bryostatin, callystatin, CC- 1065, cryptophycins, doiaslatin, duocarmycin, eieutherobin,
pancratistatin, a sarcodictyin, spengistatin, nitrogen mustards, antibiotics, enediyne antibiotics,
dynemicin, bisphosphonates, an esperamicin, chromoprotein enediyne antiobiotic chromophorcs,
aclacinomysins, actinomycin, mycin, azaserine, bleomycins, cactinomycin, carabicin,
carminomycin, carzinophilin, chromomycinis, dactinomycin, daunorubicin, bicin, 6-diazo—5-
norleucine, Pairiamycin® doxorubicin, epirubicin, esorubicin, idarubicin, marcellomycin,
mitomycins, mycophenolic acid, nogalamycin, olivomycins, peplomycin, potfiromycin, puromycin,
quelamyein. rodorubicin, streptonigrin, sti‘eptozoein, tubercidin. uhenimc‘t, zinosttttin, zorubicin:
anti-metaboiites, foiic acid analogues, purine analogs, androgcns, anti-adrenals, folic acid
replenisher such as frolinic acid, aceglatone, aidOphosphamide glycoside, evulinic acid,
eniluracil, amsacrine, bestrabucil, bisantrene, edatraxate, defofamine, demecolcine, diaziquone,
eifomithine, elliptinium e, an epothilone, etogiucid, gallium nitrate, hydroxyurea, Ientinan,
ionidainine, maytansinoids, mitoguazone, mitoxantrone, mopidanmol, rine, pentostatin,
phenamet, pirarubicin, losoxantrone, podophyilinic acid, 2- ethylhydrazide, procarbazine, PSK®
polysaccharide complex (JHS Natural Products, Eugene, OR), razoxane; rhizoxin; sizofiran;
spirogermanium; tenuazonic acid; triaziquone; 2,222"—trichlorotriethyiamine; trichothecencs
(eSpeciaiiy T—2 toxin, verracurin A, roridin A and ine); urethan; vindesine; dacarbazine;
mannomustine; mitobronitoi; mitolactol; pipobroman; gacytosine; arabinoside ("Ara-C");
cyclOphosphamide; thiotepa; taxoids, chloranbucil; ® abine; 6-thioguanine;
mercaptopurine; methotrexate; platinum analogs, vinblastine; platinum; etoposide (VP-16);
mide; mitoxantrone; vincristine; NAVELBINEa vinorelbine; novantrone; teniposide;
edatrexate; daunomycin; aminopterin; xeloda; ibandronale; irinotecan (Camptosar, CPT—l I).
topoisomerase inhibitor RFS 2000; difluorometlhylornithine (DMFO); retinoids; capecitabine;
combretastatin; leucovorin (LV); oxaliplatin; tors of PKG-alpha, Raf, H—Ras. EGFR and
VEGF—A that reduce cell proliferation and pharmaceutically acceptable salts, acids or derivatives of
any of the above. Also included in this definition are anti-hormonal agents that act to regulate or
inhibit hormone action on tumors such as anti-estrogens and ive estrogen receptor modulators
(SERMs), aromatase inhibitors that inhibit the enzyme aromatase, which regulates estrogen
production in the adrenal glands, and anti-androgens; as well as troxacitabine (a l.3- dioxolane
nucleoside cytosine analog); nse oligonucleotides,; ribozymes such as a VEGF expression
inhibitor and a HERZ expression inhibitor; vaccines, PROLEUKIN® rIL~2; LURTOTECAN®
topoisomerase 1 inhibitor; ABARELIX® rmRH; Vinorelbine and Esperamicins and
pharmaceutically able salts, acids or derivatives of any of the above. Other embodiments
comprise the use of immunotherapeutic agents, such as antibodies, approved for cancer therapy
including, but not limited to, rituximab, trasttizumab, gerntuznmab ozogamcin, alemtuzumab,
ibritumomab an, tositttmomab, bevacizumab, mab, patitumttmab, ofatuniumab,
ipilimumab and brentuximab vedolin. Those d in the art will be able to readily identify
additional anti-cancer agents that are compatible with the teachings herein.
e. herapy
[0244} The present invention also provides for the combination of PTK? modulators with
radiotherapy (i.e., any mechanism for inducing DNA damage locally within tumor cells such as
gamma-irradiation, . [TV-irradiation, microwaves, onic emissions and the like).
ation therapy using the directed delivery. of radioisotopes to tumor cells is also
contemplated, and may be used in tion with a targeted anti—cancer agent or other targeting
means. Typically, radiation therapy is administered in pulses over a period of time from about I to
about 2 weeks. The radiation therapy may be administered to subjects having head and neck cancer
for about 6 to 7 weeks. Optionally, the radiation therapy may be administered as a single dose or as
multiple, sequential doses.
f. Neoplastic conditions
{0245] Whether administered alone or in combination with an anti—cancer agent or
radiotherapy, the P’I‘K7 tors of the instant invention are particularly useful for generally
treating neoplastic conditions in patients or ts which may include benign or malignant tumors
(e.g., renal, liver, kidney, bladder. breast, gastric, ovarian, colorectal, prostate, pancreatic, lung,
thyroid, hepatic carcinomas; sarcomas; glioblastomas; and various head and neck tumors);
leukemias and lymphoid malignancies; other disorders such as neuronal, glial, astrocytal,
alamic and other glandular, macrophagal, epithelial, stromal and blastocoelic ers; and
inflammatory, angiogenic, immunologic disorders and disorders caused by pathogens. Particularly
preferred targets for treatment with therapeutic compositions and methods of the present invention
are neoplastic ions comprising solid tumors. in other preferred embodiments the modulators
of the present invention may be used for the sis, prevention or treatment of hematologic
malignancies. Preferably the subject or patient to be treated will be human although, as used
herein, the terms are expressly held to comprise any mammalian species.
More specifically, neoplastic conditions subject to ent in ance with the
t ion may be ed from the group including, but not limited to, adrenal gland
tumors, AIDS-associated s, alveolar soft part sarcoma, ytic tumors, bladder cancer
(squamous cell carcinoma and transitional cell carcinoma), bone cancer (adamantinoma, aneurismal
bone cysts, osteochondroma, osteosarcoma), brain and Spinal cord s, metastatic brain tumors,
breast cancer, carotid body tumors, cervical cancer, ehondrosarcoma, chordoma, chromophobe
renal cell carcinoma, clear cell carcinoma, colon cancer, colorectal cancer, ous benign
fibrous histiocytomas, lastic small round cell tumors, cpendymomas, Ewing's tumors,
extraskeletal myxoid chondrosarcoma, fibrogenesis imperfecla ossium, fibrous dysplasia of the
bone, gallbladder and bile duct cancers, gestational trophoblastic disease, germ cell tumors, head
and neck s, islet cell tumors, 's a, kidney cancer (nephroblastoma, papillary
renal cell carcinoma), leultemias, lipoma/bcnign lipomatous tumors, liposarcoma/malignant
lipomatous tumors, liver cancer (hepatoblastoma, hepatocellular carcinoma), lymphomas, lung
cancers (small cell carcinoma, adenocarcinoma, squamous cell carcinoma, large cell carcinoma
etc), medulloblastoma, melanoma, meningiomas, multiple endocrine neoplasia, multiple mycloma,
myelodysplastic syndrome, neuroblastoma, neuroendocrine tumors, ovarian , pancreatic
cancers, papillary thyroid carcinomas, parathyroid tumors, ric cancers, peripheral nerve
sheath tumors, hromocytoma, pituitary tumors, prostate cancer, posterious unveal
melanoma, rare hematologic disorders, renal metastatic cancer, id tumor, rhabdomysarcoma,
sarcomas, skin cancer, soft-tissue sarcomas, squamous cell cancer, stomach cancer, synovial
sarcoma, testicular cancer, thymic carcinoma, thymoma, thyroid metastatic cancer, and uterine
cancers (carcinoma of the cervix, endometrial carcinoma, and leiomyoma). In certain preferred
embodiments, the cancerous cells are selected from the group of solid tumors including but not
d to breast cancer, non~small cell lung cancer (NSCLC), small cell lung cancer, pancreatic
cancer, colon , prostate cancer, sarcomas, renal metastatic cancer, thyroid atic cancer,
and clear cell carcinoma.
[0247} With regard to hematologic malignancies it will be r be appreciated that the
compounds and methods of the present invention may be particularly effective in treating a variety
of B-cell mas, including low grade/NHL follicular cell lymphoma (FCC), mantle cell
lymphoma (MCL), e large cell lymphoma (DLCL), small lymphocytic (SL) NHL,
intermediate grade/follicular NHL, intermediate grade diffuse NHL, high grade immunoblastic
NHL, high grade lymphoblastic NHL, high grade small non-cleaved cell NHL, bulky disease NHL,
strom's Macroglobulinemia, lymphoplasmacytoid lymphoma (LPL), mantle cell lymphoma
(MCL), follicular lymphoma (FL), diffuse large cell lymphoma (DLCL), Burkitt's lymphoma (BL),
AIDS—related lymphomas, monocytic B cell lymphoma, angioimmunoblastic lymphoadenOpathy,
small lymphocytic, follicular, diffuse large cell, diffuse small cleaved cell, large cell blastic
lympltoblastoma, small, non-cleaved, t's and non-Burkitt's, follicular, predominantly large
cell; ular, predominantly small d cell; and follicular, mixed small cleaved and large cell
lymphomas. See, Gaidono et al., "Lymphomas", IN CANCER: PRlNCIPLES & PRACTICE OF
ONCOLOGY, Vol. 2: 2131-2145 (DeVita et al., eds., Ssup.th ed. 1997). It should be clear to those
of skill in the art that these lymphomas will often have different names due to changing systems of
classification, and that patients having lymphomas classified under different names may also
benefit from the combined therapeutic regimens of the present invention.
[0248} In yet other preferred embodiments the P'I‘K7 tors may be used to effectively
treat certain myeloid and hematologic malignancies including lenkemias such as chronic
lymphocytic leukemia (CLL or B-CLL) or acute myeloid leukemia AML. Such leukemias are
inantly a disease of the elderly that starts to increase in incidence after fifty years of age and
reaches a peak by late sixties. Clo/l- generally involves the eration of neoplastic peripheral
blood lymphocytes. Clinical finding of CLL involves cytosis, lymphadenopatliy,
Splenomegaly, anemia and ocytopenia. AML is also called acute myelogenous ia,
acute lastic leukemia, acute granulocytic leukemia, and acute nonlymphocytic leukemia.
The underlying pathophysiology in AML consists of a maturational arrest of bone marrow cells in
the earliest stages of develOpment. In the case of either disorder treatment regimens can readily be
derived by those skilled in the art in view of the t disclosure using clinically accepted
procedures.
[0249} The present invention also provides for a preventative or prOphylactic treatment of
subjects who present with benign or precancerous tumors. It is not believed that any particular type
of tumor or neoplastic disorder should be excluded from treatment using the present invention.
However. the type of tumor cells may be relevant to the use of the invention in combination with
secondary therapeutic agents, particularly chemotherapeutic agents and targeted anti-cancer agents.
{0250} Still other preferred embodiments of the instant invention comprise the use of PTK?
tors to treat subjects ing from solid tumors. in such subjects many of these solid
tumors comprise tissue exhibiting various genetic mutations that may render them particularly
susceptible to treatment with the disclosed effectors. For example, KRAS, APC and CTNNB land
CDHl mutations are relatively common in patients with colorectal . Moreover, patients
suffering from tumors with these ons are usually the most refractory to current therapies;
especially those patients with KRAS mutations. KRAS activating mutations, which typically result
in single amino acid substitutions, are also implicated in other difficult to treat malignancies,
including lung adenocarcinoma, mucinous adenoma, and ductal carcinoma of the pancreas.
[025M Currently, the most reliable prediction of r colorectal cancer patients will respond
to EGFRv or VEGF—inhibiting drugs, for example, is to test for n KRAS “activating"
mutations. KRAS is mutated in 35—45% of colorectal cancers, and patients whose tumors express
d KRAS do not respond well to these drugs. For e, KRAS mutations are predictive
of a lack of response to panitumumab and cetuximab therapy in colorectal cancer e et al.
Cancer Res 66:3992—5; tis et al. NEJM 359: 1757-1765). Approximately 85% of patients
with colorectal cancer have mutations in the APC gene (Markowitz & Bertagnolli. NEJM
36122449-60), and more than 800 AFC mutations have been characterized in patients with familial
adenomatous polyposis and colorectal cancer. A majority of these mutations result in a truncated
AFC protein with reduced functional ability to mediate the destruction of beta-catenin. Mutations
in the beta-catenin gene. CTNNB i, can also result in increased stabilization of the protein, resulting
in r import and subsequent activation of l oncogenic transcriptional programs, which is
also the ism of oncogenesis resulting from failure of mutated AFC to appropriately mediate
beta-catcnin destruction, which is required to keep normal cell eration and differentiation
programs in check-
{0252] Loss of CDH l (E-cadherin) expression is yet another common occurrence in colorectal
cancer, often observed in more advanced stages of the disease. E-cadherin is the central member of
adherinjtmctions that connect and organize cells in epithelial layers. Normally E-cadherin
physically sequesters beta-catenin (CTNNB l) at the plasma membrane; loss of erin
sion in colorectal cancer results in localization of beta-catenin to the s and
transcriptional activation of the beta ~catenin/ WNT pathway. Aberrant beta-catenin/ WNT
signaling is central to oncogenesis and nuclear beta—catenin has been implicated in cancer stemness
(Schmalhofer et al., 2009 PMID l9l 53669). E-cadherin is required for the expression and function
of EphA2 a knowa binding partner for PTK7 ligands in lia cells (Dodge Zantek et al., 1999
PMID 1051 1313; Orsulic S and Kemler R, 2000 PMID 10769210). Using tors that bind to
PTK7 s and agonize with or antagonize receptor binding may modify, interrupt or reverse the
pro—oncogenic processes. Alternatively, PTK7 modulators may preferentially bind to tumor cciis
with aberrant PTK7 interactions based on the binding preferences of the PTK7 tors. Hence
patients with cancers carrying the above mentioned genetic traits may benefits from ent with
aforementioned PTK’? moduiators.
XIV. Articies of Manufacture
Pharmaceutical packs and kits comprising one or more containers, comprising one or
more doses of a PTK7 modulator are also provided. in certain embodiments, a unit dosage is
provided wherein the unit dosage contains a predetermined amount of a composition comprising,
for example, an anti~PTK7 antibody, with or t one or more additional agents. For other
embodiments, such a unit dosage is supplied in single—use prefiiled syringe for injection. In still
other embodiments, the ition contained in the unit dosage may comprise saline, sucrose, or
the like; a buffer, such as phosphate, or the like; and/or be formulated within a stable and effective
pH range. Alternatively, in certain embodiments, the composition may be provided as a lyOphilized
powder that may be reconstituted upon addition of an apprOpriate liquid, for e, steriie water.
In certain preferred embodiments, the composition comprises one or more substances that inhibit
protein aggregation, including, but not limited to. sucrose and arginine. Any label on, or associated
with, the containerts) indicates that the enclosed composition is used for diagnosing or treating the
disease condition of choice.
The present invention also es kits for producing singic~dose or multi~dose
administration units of a PTK7 modulator and, optionally, one or more anti—cancer agents. The kit
comprises a container and a labei or package insert on or ated with the container. Suitable
containers include, for e, s, vials, syringes, etc. The containers may be formed from a
variety of materials such as glass or plastic. The container holds a composition that is effective for
treating the condition and may have a steriie access port (for exampie the container may be an
intravenous solution bag or a vial having a stopper pierceable by a hypodermic injection needle).
Such kits wiii generally contain in a le container :1 ceuticaily acceptable formulation
of the PTK'] modulator and, optionally, one or more anti~cancer agents in the same or different
containers. The kits may also contain other pharmaceutically acceptable ations, either for
diagnosis or combined therapy. For e, in addition to the PTK? modulator of the invention
such kits may contain any one or more of a range of anti~cancer agents such as chemotherapeutic or
radiotherapeutic drugs; anti-angiogenic agents; anti-metastatic ; targeted anti-cancer agents;
cytotoxic agents; and/or other ancer agents. Such kits may also provide appropriate reagents
to conjugate the PTK? modulator with an anti—cancer agent or diagnostic agent (e.g., see U.S.P.N.
7,422,739 which is incorporated herein by reference in its ty).
{0255] More specifically the kits may have a single container that contains the PTK7
modulator, with or without additional components, or they may have distinct containers for each
desired agent. Where combined therapeutics are provided for ation. a single solution may be
pie-mixed, either in a molar equivalent combination, or with one component in excess of the other.
Alternatively, the PTK7 modulator and any optional anti«cancer agent of the kit may be maintained
separately within distinct containers prior to administration to a patient. The kits may also
comprise a second/third container means for containing a e, pharmaceutically acceptable
buffer or other diluent such as bacteriostatic water for injection (BWFI), phosphate-buffered saline
(PBS), Ringer‘s solution and dextrose on.
When the ents of the kit are provided in one or more liquid solutions, the liquid
solution is preferably an s solution, with a sterile aqueous on being particularly
preferred. However, the components of the kit may be provided as dried powderts). When
reagents or components are ed as a dry powder, the powder can be reconstituted by the
addition of a le solvent. It is envisioned that the t may also be provided in another
container.
[02571 As indicated briefly ab0ve the kits may also contain a means by which to administer the
antibody and any optional components to an animal or patient, e.g., one or more needles or
syringes, or even an eye dropper, pipette, or other such like apparatus, from which the formulation
may be injected or introduced into the animal or applied to a diseased area of the body. The kits of
the present invention will also lly include a means for containing the vials, or such like, and
other component in close confinement for commercial sale. such as. cg, injection or blow-molded
plastic containers into which the d vials-and other apparatus are placed and retained. Any
label or package insert indicates that the PTK7 tor composition is used for treating cancer,
for example colorectal cancer.
In other preferred embodiments the modulators of the instant invention may be used in
conjunction with, or se, diagnostic or therapeutic devices useful in the diagnosis or treatment
of proliferative disorders. For example, in on preferred embodiment the compounds and
compositions of the instant invention may be combined with certain diagnostic devices or
instruments that may be used to detect, monitor, quantify or profile cells or marker compounds
involved in the etiology or station of proliferative disorders. In particularly preferred
embodiments the devices may be used to detect, monitor and/or quantify circulating tumor cells
either in viva or in w'tro (see, for example, WO 12880] which is orated herein by
reference). in still other preferred embodiments, and as discussed above, the ating tumor cells
may comprise cancer stem cells.
XV. Research Reagents
Other preferred embodiments of the invention also exploit the preperties of the
disclosed modulators as an instrument useful for identifying, isolating, sectioning or enriching
populations or subpopulations of tumor initiating cells through methods such as flow cytometry,
fluorescent ted cell sorting (FACS), magnetic activated cell sorting (MACS) or laser
mediated sectioning. Those skilled in the art will appreciate that the modulators may be used in
several compatible techniques for the characterization and manipulation of TIC including cancer
stem cells (e.g., see U.S.S.Ns. 12/686,359, 12/669,136 and 12/757,649 each of which is
incorporated herein by reference in its entirety).
XVI. Miscellaneous
Unless ise defined herein, scientific and technical terms used in connection with
the present invention shall have the gs that are ly understood by those of ordinary
skill in the art. Further, unless otherwise required by context, singular terms shall e
pluralities and plural terms shall include the singular. More Specifically, as used in this
specification and the appended claims, the singular forms "a," "an" and "the" include plural
referents unless the context clearly dictates ise. Thus, for example, reference to "a protein"
includes a plurality of proteins; reference to "a cell" includes mixtures of cells, and the like. In
addition, ranges provided in the ication and appended claims include both end points and all
points between the end points. Therefore, a range oi2.0 to 3.0 includes 3.0, 3.0. and all points
between 2.0 and 3.0.
[026l] Generally, nomenclature used in connection with, and techniques of, cell and tissue
culture, molecular biology, logy, iology, genetics and protein and nucleic acid
chemistry and hybridization described herein are those well known and commonly used in the art.
The methods and techniques of the present invention are generally performed according to
tional methods well known in the art and as described in various general and more specific
references that are cited and discussed throughout the present specification unless otherwise
indicated. See, e.g., Sambrook J. & Russell D. Molecular Cloning: A Laboratory , 3rd ed,
Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY. (2000); Ausubel et al., Short
Protocols in Molecular Biology: A dium of Methods from t Protocols in Molecular
Biology, Wiley, John & Sons, inc. (2002); Harlow and Lane Using Antibodies: A Laboratory
Manual, Cold Spring Harbor Laboratory Press, Cold Spring , NY. (1998); and Coligan et
al., Short Protocols in Protein Science, Wiley, John & Sons, Inc. . Enzymatic reactions and
purification techniques are performed according to manufacturer's Specifications, as commonly
accomplished in the art or as described herein. The nomenclature used in contraction with, and the
laboratory procedures and techniques of, analytical chemistry, synthetic organic chemistry, and
medicinal and ceutical chemistry described herein are those well known and ly
used in the art.
{0262] All references or documents disclosed or cited within this specification are, without
limitation, incorporated herein by reference in their entirety. Moreover, any section headings used
herein are lor organizational es only and are not to be construed as limiting the subject
matter described.
terns
[0263} The present invention, thus generally described above, will be understood more readily
by nce to the following examples, which are provided by way of illustration and are not
intended to be limiting of the instant invention. The examples are not intended to represent that the
experiments below are all or the only experiments performed. Unless ted otherwise, parts are
parts by weight, molecular weight is weight average molecular weight, ature is in degrees
rade, and pressure is at or near atmospheric.
Example 1
Enrichment of Tumor ting Cell tions
[026-1] To characterize the cellular heterogeneity of solid tumors as they exist in cancer
patients, elucidate the identity of tumor perpetuating cells (TPC; Le. cancer stem cells: CSC) using
particular phenotypie markers and identify clinically nt therapeutic targets, a large non-
traditional xenograft (NTX) tumor bank was developed and maintained using art recognized
techniques. The NTX tumor bank, comprising a large number of discrete tumor cell lines, was
propagated in immunocompromised mice through multiple passages of heterogeneous tumor cells
originally obtained from numerous cancer patients afflicted by a variety of solid tumor
malignancies. The continued availability of a large number of discrete early passage NTX tumor
cell lines having well defined lineages greatly facilitate the fication and isolation of TPC as
they allow for the reproducible and repeated characterization of cells purified from the cell lines.
More particularly, isolated or purified TPC are most accurately defined retrOSpectively according to
their ability to generate phenotypically and logically heterogeneous tumors in mice that
recapitulate the patient tumor sample from which the cells originated. Thus, the ability to use small
populations of isolated cells to te fully geneous tumors in mice is strongly indicative of
the fact that the isolated cells comprise TPC. in such work the use of minimally passaged NTX cell
lines greatly simplifies in viva experimentation and provides readily verifiable results. Moreover,
early passage NTX tumors also respond to therapeutic agents such as irinotecan (i.e. Camptosarel),
which prevides clinically relevant insights into underlying mechanisms driving tumor growth,
resistance to current therapies and tumor recurrence.
{0265] As the NTX tumor cell lines were ished the constituent tumor cell phenotypes
were analyzed using flow cytometry to identify discrete markers that might be used to characterize,
isolate, purify or enrich tumor ting cells (TIC) and separate or e TPC and TProg cells
within such populations. In this regard the inventors employed a proprietary proteomic based
platform (Le. F‘henol’rint’M Array) that provided for the rapid characterization of cells based on
protein expression and the concomitant identification of potentially useful s. The
PhenoPrint Array is a proprietary proteomic rm comprising ds of discrete binding
molecules, many obtained from commercial sources, arrayed in 96 well plates wherein each well
contains a distinct antibody in the phycoerythrin scent channel and multiple additional
antibodies in different fluorochromes d in every well across the plate. This allows for the
determination of expression levels of the antigen of interest in a subpopulalion of selected tumor
cells h rapid inclusion of relevant cells or elimination of non—relevant cells via non-
phycoerythrin channels. When the Phenol’rint Array was used in combination with tissue
dissociation, transplantation and stem cell techniques well known in the art (Al-Hajj et al., 2004,
a et al., 2007 and Dylla et al., 2008, all supra, each of which is incorporated herein by
reference in its entirety), it was possible to effectively fy nt markers and subsequently
isolate and transplant specific human tumor cell ulations with great efficiency.
Accordingly, upon establishing various NTX tumor cell lines as is commonly done for
human tumors in severely immune compromised mice, the tumors were resected from mice upon
reaching 800 - 2,000 mm3 and the cells were dissociated into single cell suspensions using artrecognized
enzymatic digestion techniques (See for example U.S.P.N. 2007/0292414 which is
incorporated herein). Data obtained from these suSpensions using the PhenoPrint Array provided
both absolute (per cell) and relative (vs. other cells in the population) surface protein expression on
a ccll-by-cell basis, g to more complex characterization and stratification of cell pOpulations.
More specifically, use of the PhenoPrint Array allowed for the rapid identification of proteins or
markers that prospectively distinguished TIC or TPC from NTG bulk tumor cells and tumor stroma
and, when isolated from NTX tumor models, provided for the relatively rapid characterization of
tumor cell subpopulations expressing differing levels of specific cell surface proteins. In particular,
proteins with heterogeneous expression across the tumor cell population allow for the isolation and
transplantation ofdistinct, and highly purified, tumor cell subpopulations expressing either high
and low levels of a particular protein or marker into immune—compromised mice, thereby
facilitating the assessment of whether 'l‘PC were ed in one subpopulation or another.
[0267} The term enriching is used synonymously with isolating cells and means that the yield
(fraction) of cells of one type is increased over the fraction of other types of cells as compared to
the starting or initial cell population. ably, enriching refers to increasing the tage by
about l0%, by about 20%, by about 30%, by about 40%, by about 50% or greater than 50% of one
type of cell in a population of cells as compared to the starting population of cells.
[0268} As used herein a marker, in the context of a cell or tissue, means any characteristic in
the form ofa chemical or biological entity that is identifiably associated with, or specifically found
in or on a particular cell, cell tion or tissue including those identified in or on a tissue or cell
tion affected by a e or disorder. As manifested, markers may be morphological,
functional or mical in nature. In preferred embodiments the marker is a cell surface n
that is differentially or preferentially expressed by specific cell types (e.g., TPC) or by cells under
certain ions (cg, during specific points of the cell life cycle or cells in a particular niche).
Preferably, such markers are proteins, and more preferably, s an epitope for dies,
aptamers or other binding molecules as known in the art. However, a marker may consist of any
molecule found on the surface or within a cell including, but not limited to, proteins (peptides and
polypeptides), lipids, polysaccharides, nucleic acids and steroids. Examples of morphological
marker characteristics or traits include, but are not limited to, shape, size, and nuclear to
asmic ratio. Examples of functional marker characteristics or traits include- but are not
limited to, the ability to adhere to particular substrates, ability to incorporate or exclude particular
dyes, for example but not limited to exclusions of lipophilic dyes, ability to migrate under particular
conditions and the ability to differentiate along particular lineages. Markers can also be a n
expressed from a er gene, for example a reporter gene sed by the cell as a result of
introduction of the nueleic acid sequence encoding the reporter gene into the cell and its
transcription resulting in the production of the reporter protein that can be used as a marker. Such
er genes that can be used as markers are, for example but not limited to fluorescent proteins
enzymes, chromomeric proteins, resistance genes and the like.
In a related sense the term marker phenotype in the context of a tissue, cell or cell
population (e.g., a stable TPC phenotype) means any marker or combination of markers that may
be used to characterize, identify, separate, isolate or enrich a particular cell or cell population (e.g.,
by FACS). In specific embodiments, the marker phenotype is a cell surface phenotype that may be
ined by ing or identifying the expression of a combination of cell surface markers.
Those skilled in the art will recognize that us markers (or their e) have
been assoeiated with various populations of cancer stem cells and used to isolate or characterize
tumor cell subpopulations. In this respect exemplary cancer stem cell markers comprise OCT4,
Nanog, STATS, EPCAM, CD24, CD34, NB84, TrkA, GD2, CD133, CD20, CD56, CD29, B7113,
CD46, transferrin receptor, JAMS, carboxypeptidase M, ADAM9, oncostatin M, LgrS, Lgr6,
CD324, CD325, nestin, Soxl, Bmid, eed, easyhl, easth, mf2, yyl, srnarcA3, AS,
smarcD3, smarcEl, mllt3, FZD 1, 132132, FZD3, FZD4, FZDG, FZD7, FZDS, PZD9, FZDIO,
WNT2, WNT2B, WNT3, WNTSA, WNTIOB, WNT16, AXIN 1 , BCL9, MYC, (TCF4) ,
ILlRAP, TEM8, 4, MUC16, GPRCSB, SLC6A14, SLC4A1 l, PPAP2C, CAVI, CAV2.
PTPN3, 1,EPHA2, , CX3CL1, ADORAZA, MPZLl, FL] 10052, C4.4A, EDG3,
RARRESI, TMEPAI, PTS, CEACAM6, NID2, STEAP, ABCAS, CRlMl, ILlRl, OPN3, DAF,
MUCl, MCP, CPD, NMA, ADAM9, GJAI, SLC19A2, ABCAl, PCDI-l7, ADCY9, SLC39A1,
NPCl, ENPPl, N33, GPNMB, LY6E, CELSRl, LRPS, C200rf52, TMEPAI, FLVCR, PCDHAIO,
GPR54, TGFBR3, SEMA4B, PCDHBZ, ABCGZ, CD166, AFP, EMF-4, B-catenin, CD2, CD3,
CD9, CD14, CD31, CD38, CD44, CD45, CD74, CD90, CXCR4, n, EGFR, CD105, CD64,
CD16, CD 16a, CD16b, GL1}, GLIZ, CD491), and CD49f. See, for example, Schulenburg et al.,
2010, PMID: 29, N. 7,632,678 and U.S.P.Ns. 292414, 2008/0175870,
2010/0275280, 2010/0162416 and 201 1/0020221 each of which is incorporated herein by
reference. It will be appreciated that a number of these markers were included in the PhenoPrint
Array described above.
{0271] Similarly. non-limiting es nfcell surface phenotypes associated with cancer stem
cells of certain tumor types include CD44'“CD24‘°‘”, ALDI—l”, CD133+, CD123+, CD34+CD382
CD44*CD24", CD46MCD324+CD66C‘, CD133+CD34*CD10“CD19“, CD138‘CD34”CD19+,
CD133+RC2+, CD44+agfi1hiCD133+, CD44+CD24+ESA+, CD271+, ABCBS’r as well as other cancer
stem cell surface phenotypes that are known in the art. See, for example, Schulenburg et a1., 2010,
supra, Visvader et a1., 2008, PMID: 18784658 and U.S.P.N. 2008/0138313, each of which is
incorporated herein in its entirety by reference. Those skilled in the art will appreciate that marker
phenotypes such as those exemplified immediately above may be used in conjunction with standard
flow cytometric analysis and cell sorting techniques to characterize, isolate, purify or enrich TIC
and/or TPC cells or cell populations for further analysis. Of interest with regard to the instant
invention CD46, CD324 and, Optionally, CD660 are either highly or heterogeneously expressed on
the surface of many human colorectal (“CR"), breast (“BR”), non-small cell lung (NSCLC), small
ceil lung (SCLC), pancreatic (“PA”), prostate (“PR”), kidney (“KDY”), melanotna (“Mel”),
ovarian (“0V”), and head and neck cancer (“EN") tumor cells, regardless of whether the tumor
specimens being analyzed were primary patient tumor specimens or patient—derived NTX .
Cells with negative expression (i.e. 9! as - ) are herein d as those cells expressing less
than, or equal to, the 95‘” percentile of expression observed with an isotype control antibody in the
channel of fluorescence in the presence of the complete antibody staining cocktail ng for other
proteins of interest in additional channels of fluorescence emission. Those d in the art will
appreciate that this procedure for defining negative events is referred to as escence minus
one”, or "FMO", staining. Cells with expression greater than the 95m percentile of expression
observed with an isotype control dy using the FMO staining procedure described above are
herein defined as ive” (i.e."+”). As defined herein there are various populations of cells
broadly defined as “positive.” First, cells with low expression (i.e. “10”) are generally defined as
those cells with observed expression above the 95‘“ percentile determined using FMO staining with
an isotype control antibody and within one standard ion of the 95‘h percentile of expression
observed with an isotype control antibody using the FMO staining procedure described above.
Cells with “high" expression (i.e. “hi”) may be defined as those cells with observed expression
above the 951“ percentile determined using FMO staining with an isotype control antibody and
greater than one standard deviation above the 95”I tile of sion observed with an isotype
control antibody using the FMO staining procedure described above. in other ments the
99lh percentile may preferably be used as a demarcation point between negative and positive FMO
staining and in ularly preferred embodiments the percentile may be greater than 99%.
Using techniques such as those described above to quickly identify and rank colorectal
tumor antigens based on expression intensity and heterogeneity across l NTX tumors from
colorectal cancer patients, candidate TPC antigens were further assessed byicomparison of tumor
versus normal adjacent tissue and then selected based, at least in part, on the up- or down-
regulation of the ular antigen in malignant cells. Moreover, systematic ”analysis of a variety of
cell surface markers for their ability to enrich for the ability to transplant fully heterogeneous
tumors into mice (i.e. tumorigenic ability), and subscquent combination of these markers
substantially improved the resolution of the method and improved the ability to tailor fluorescence
activated cell sorting (FACS) techniques to identify and characterize distinct, highly ed tumor
cell subpopulations that exclusively ned all tumor generating y upon transplantation (i.e.
tumor initiating cells).
{0274] To reiterate, the term tumor initiating cell (TIC) or tttmorigenic (TG) cell encompasses
both Tumor Perpetuating Cells (TPC; i.e. cancer stem cells) and highly proliferative Tumor
Progenitor cells ), which together generally comprise a unique subpopulation (i.e. 0. l 25%)
of a bulk tumor or mass; the characteristics of which are d above. The majority of tumor
cells terized in this fashion are devoid of this tumor forming y, and can thus be
characterized as non-tumorigenic (NTG), singly, it was observed that most distinct markers
identified using the proprietary PhenoPrint Array did not demonstrate an ability to enrich tumor
initiating cell populations in colorectal tumors using standard FACS protocols. but that distinct
marker combinations could be used to identify two subpopulations of tumor initiating cells: TPC
and TProg. Those skilled in the art will recognize that the defining difference between TPC and
TProg, though both are tumor initiating in primary transplants, is the ability of TPC to perpetually
fuel tumor growth upon serial transplantation at low cell s. Furthermore, the
marker/proteins used in combination to enrich for both TPC and 'I‘Prog were n to be
associated with cells containing such activity in any tissue or neoplasm prior to ery by
current inventors though others have defined cell e markers or enzymatic ty that can
similarly be used to enrich for tumorigenic cells (Dylla et al 2008, supra). As set forth below,
specific tumor cell subpopulations isolated using cell surface marker combinations alluded to above
were then analyzed using whole transcriptome next generation sequencing to identify and
characterize differentially expressed genes.
Example 2
Isolation and Analysis of RNA Samples From Enriched Tumor ting Cell Populations
[0275} The established colorectai NTX tumor line SCRX-CR4 was passaged as described in
Example 1 and Used to initiate tumors in immune compromised mice. Once the mean tumor burden
reached ~ 300 mm3 the mice were randomized and treated with i5 mg/kg irinotecan, 25 mg/kg
gemcitabine, or vehicle control (PBS) twice weekly fora period of at least twenty days prior to
euthanization. Tumors were then removed and TPC, TProg and NTG cells, respectively, were
isolated from freshly resected colorectal NTX tumors and, similarly, TG and NTG cells were
ed from pancreatic NTX tumors, lly using the technique set out in Example 1. More
particularly, cell populations were isolated by FACS and immediately pelleted and lysed in Qiagen
RLTplus RNA lysis buffer (Qiagen, Inc.) The iysates were then stored at ~80°C until used. Upon
thawing, total RNA was extracted using the Qiagen RNeasy isolation kit (Qiagen, Inc.) following
vendor’s instructions and quantified on the Nanodmp (Thermo ific) and a Bioanalyzer 2100
(Agilent Technologies) again using the vendor’s protocols and recommended instrument settings.
The resulting total RNA preparation was suitable for c sequencing and analysis.
[0276} Total RNA samples ed from the respective cell populations isolated as described
above from vehicle or chemotherapeutic agent-treated mice were prepared for whole transcriptome
sequencing using an Applied Biosystems SOLiD 3.0 (Sequencing by Oligo Ligation/Detection)
next generation sequencing platform (Life Technologies), starting with 5 ng of total RNA per
sample. The data generated by the SOLiD platform mapped to 34,609 genes from the human
genome and was able to detect PTK7, in several samples.
Generally the SOLiD3 next generation cing platform enables parallel sequencing
of clonally-amplified RNA/DNA nts linked to beads. Sequencing by ligation with dye-
labeled oligonucleotides is then used to generate 50 base reads of each fragment that exists in the
sample with a total of greater than 50 n reads generating a much more accurate representation
of the mRNA transcript level expression of proteins in the genome. The SOLiD3 platform is able
to capture not only expression, but SNPs, known and unknown alternative splicing events, and
potentially new exon eries based solely on the read coverage (reads mapped uniquely to
genomic locations). Thus, use of this next generation platform allowed the determination of
differences in transcript level sion as well as differences or preferences for specific splice
ts of those expressed mRNA transcripts. Moreover, analysis with the SOLiD3 rm using
a modified whole transcriptome protocol from Applied Biosystems only required approximately 5
ng of starting material pie-amplification. This is significant as extraction of total RNA from sorted
cell tions where the TPC subset of cells is, for example, vastly smaller in number than the
NTG or bulk tumors and thus results in very small quantities of usable starting material.
{0278} ate runs of sequencing data from the SOLiD3 platform were normalized and
transformed and fold ratios calculated as is standard industry practice. As seen in FlG. 2. P'l‘K7
gene expression levels (expressed as reads per million mapped to exons; RPM_exon) were
measured in respective SCRx-CR4 tumor cell subpopulations. An analysis of the data showed that
PTK7 was tip—regulated at the transcript level n 2 - 4 fold over the NTG population, and 50 ——
200% over the TProg population, in vehicle or irinotecan treated mice, respectively.
[0279} The ations detailed above show that PTK? expression is generally ed in
TPC populations and suggests that PTK7 may play an important role in turnori genesis and tumor
maintenance, thus coustituting an interesting target for immunotherapeutic approaches.
Example 3
Real-Time PCR is of PTK7 in Enriched Tumor Initiating Cell Populations
{0280] To validate the ential PTK7 expression observed by whole transcriptome
sequencing in TPC populations versus TProg and N'I‘G cells in colorectal cancer, and TG versus
NTG cells in pancreatic cancer, TaqMan® quantitative real-time PCR was used to measure gene
expression levels in respective cell populations isolated from various NTX lines as set forth above.
It will be appreciated that such real-time PCR analysis allows for a more direct and rapid
measurement of gene expression levels for discrete targets using primers and probe sets specific to
a particular gene of interest. '1‘aqMan®real-time tative PCR was performed on an Applied
Biosystems 7900HT Machine (Life Technologies), which was used to measure P'l‘K? and PTK7
gene expression in multiple patientiderived NTX line cell populations and ponding controls.
Moreover, the analysis was conducted as specified in the instructions supplied with the TaqMan
System and using commercially available PTK7 and PTK7 /probe sets (Life Technologies).
As seen in quantitative real-time PCR interrogation of gene expression was
conducted using NTG and TPC populations isolated from 2 distinct colorectal NTX tumor lines
(SCRX-CR4 & CR5) and a pancreatic tumor line (SCRX-PAB). TProg cell populations were also
ted and analyzed for SCRx-CR4. The data set forth in shows that PTK7 gene
expression is elevated more than 2-fold in colorectal TPC, when compared versus NTG cells from
the same tumors. P'FK"? was also elevated more than 2-fold in TPC in mice undergoing treatment
with irinotccan, and in the TIC cell population of pancreatic tumors (eg. SCRx-PA3). The
observation of ed PTK’) expression in NTX TPC preparations as compared with NTG cell
controls from both colorectal and pancreatic t—derived NTX tumors using the widely accepted
ology of real-time quantitative PCR confirms the more sensitive SOLiD3 whole
transcriptome sequencing data of the previous Example. Such findings further support the
observed association between PTK? expression levels and cells underlying tumorigenesis,
ance to therapy and ence.
Example 4
Expression of P'I‘K7s in tionatetl Colorectal Tumor Specimens
In light of the fact that PTK7 gene expression was found to be ed in TPC
populations from colorectal tumors when compared with TProg and NTG cells from the same
tumors, experiments were ted to determine whether elevated PTK7 expression was also
detectable in unfractionated colorectal tumor samples versus normal adjacent tissue (NAT).
Measurements were also made to determine how the expression of PTK7 in tumors compares with
levels in normal tissue ens (NL).
{0283] More specifically custom TumorScan qPCR (Origene Technologies) 384-well arrays
ning l to colorectal patient tumor specimens at different stages, normal adjacent tissue, and
48 normal tissues were designed and fabricated using art known techniques. Using the procedures
detailed in Example 3 and the same PTK7 ic primer/probe sets, ® real-time
tative PCR was performed in the wells of the custom plates.
[0284} FIGS. 4A and 4B show the results of the expression data in a graphical format
normalized t the mean expression in normal colon and rectum tissue. More particularly, summarizes data generated using 168 tissue specimens, obtained from i 10 colorectal cancer
patients at various stages of the disease (LN), (35 tissue ens of which are normal adjacent
(NAT) tissue from colorectal cancer patients) and 48 normal tissues from other locations (NL
Tissue). In the plot, data From each tissue specimenfpatient is represented by a dot, with the
geometric mean value of each population demarcated on the X-axis represented as a line.
Similarly, contains data from 24 matched colorectal patient specimens ed from
tumor (T) or normal adjacent tissue (N) at various stages of the disease . Here the plotted
data is presented on a sample by sample basis with linkage between the respective tumor and
normal adjacent tissue from individual patients. Expression of PTK? is clearly higher in the
majority of matched tumor versus normal nt tissue, with the differential expression in Stages
3 and 4 reaching statistical significance (n 2 4, P _<, 0.037).
{0285] Both FIGS. 4A and 4B indicate that, in all four stages presented, the expressed level of
the PTK7 gene is elevated in a ty of ctal tumors and in matched tumor specimens
versus normal adjacent tissue. Moreover, the mean PTK? gene expression in any Stage of
coiorcctal cancer appears elevated versus most normal tissues that were evaluated ().
.These results demonstrate that PTK’7 expression is increased in colorectal cancer and, when
coupled with the above observations that PTK7 expression is greatest in colorectal TPC and
atic TIC, suggests that therapeutic targeting of cancer stem cells expressing PTK7 may
provide a therapeutic benefit to cancer patients.
Example 5
Differential Expression of PTK7 in Exemplary Tumor Samples
[0286} To r assess PTK7 gene expression in additional colorectal cancer patient tumor
samples and tumor specimens from patients sed with l of 18 different solid tumor types,
Taqman® qRT-PCR was performed using TissueScan qPCR (Origene Technologies) 384—well
arrays, which were custom fabricated as described in Example 4 but including solid tumor samples
from eighteen different tumor types rather thanjust colorectal samples. The results of the
measurements are presented in FIGS. 5A and SB and show that gene expression of PTK7 is
significantly ed in a number of solid tumor types.
{0287} In this regard, FIGS. 5A and SB show the relative and absolute gene expression levels.
tively. of human ‘ in whole tumor specimens (grey dots) or matched normal adjacent
tissue (NAT; white dots) from patients with one ofeighteen different solid tumor types. In , data is normalized against mean gene expression in NAT for each tumor type analyzed. In
FIG. SB, the absolute expression of PTK7 was assessed in various tissues/tumors, with the data
being plotted as the number of cycles (Ct) needed to reach exponential amplification by
quantitative real-time PCR. Specimens not amplified were assigned a Ct value of 45, which
represents the last cycle of amplification in the experimental protocol. Each dot ents an
dual tissue specimen, with the mean value represented as a black line.
[0288! Using the custom assembled OriGene TissueScan Array, it was observed that the
ty of ts diagnosed with colorectal cancer and most ts diagnosed with adrenal,
endomctrial, esophageal, liver, thyroid and bladder cancer had significantly more I’l‘K7 gene
expression in their tumors versus NAT, suggesting that PTK7 might play a role in genesis
and/0r tumor progression in these tumors. There were also subsets of lung and prostate cancer
patients with elevated PTK7 expression versus NAT. What was also clear from these studies is that
PTK'} gene expression was generally moderate in most NAT samples; with the highest expression
being observed in the breast, cervix, ovary, pancreas, testis and bladder. Again, these data suggest
that elevated PTK? expression is indicative, and potentially dispositive, as to tumorigenesis or
tumor perpetuation in patients presenting with selected roliferative disorders.
Example 6
Construction and Expression of PTK7 Immunogens
{0289] In order to generate and characterize certain PTK7 modulators in accordance with the
instant invention two forms of PTK7 immunogen were constructed and expressed. Initially a
commercial expression vector, pCMV6~XL4~PTK7, was sed from Origene, Inc. The
sequence of the full length ORF (underlined portion of FIG. IA) was confirmed, then subcloned by
PCR into the EcoRI and NotI sites of the pCDH—EFl-MCS—T2A—GFP lentiviral vector (System
Biosciences). This lentiviral vector expresses the full length PTK7 protein fused to a T2A
ribosomal skip e and a GFP selectable marker, ng multicistronic expression in
transduced cells. This lentiviral vector was used to transduce 293T cells or BALE/c 3T3 cells
according to standard protocols. in addition, pCMVé-XL4—PTK7 was used to transiently express
PTK7 protein on the surface of 293T cells 48-hours after transfection of the cells using
polyethenimine. Plasma membrane preparations were obtained from P'l‘K7 over-expressing cells
using differential centrifugation.
[0290} in other instances, soluble PTK7 immunogens were prepared and expressed using the
pEE12.4 expression vector (Lonza AG) into which the portion of the PTK7 CDNA ng the
extracellular domain (ECD) of the protein, encoded by the sequence denoted by the underlined
amino acids in FIG. IB). in a first instance the ECD fragment was subcloned iii-frame downstream
of an IgK leader sequence and am of an SxHis epitOpe tag (SEQ ID NO: 8). Soluble Hisw
tagged PTK7 ECD immunogen was produced by transient transfection of CHOKSV cells, and the
secreted protein purified from the cell supernatant using Ni-NTA resins and rd methods
(Qiagen Inc). In addition to the aforementioned PTK7~ECD~His construct, plasma preps and
ected cells bed above, a Fc-PTK7-ECD construct was also generated and sed.
This process was initiated by PCR amplification of the ECD fragment set forth in FIG. [8 using the
high fidelity KOD l—Iot Start DNA Polymerase (EMD Chemicals). The forward primer used in this
PCR reaction had PTK7 sequence: GCCATTGTCTTCATCAAGCAGCC (SEQ lD NO: 9) and
also included a 5’ HindIII restriction site and marine IgG Kappa signal peptide / leader sequence
for secretion of the product into the e atant. The e primer used to amplify these
ucts had PTK? sequence: CTGGATCATCTFGTAGGGGGGAG (SEQ ID NO: 10) and
included a 5’ DraIIl and Bglll restriction site allowing for cioning upstream of the human IgG2 Fe
protein which was ordered as a synthesized gene (DNA 2.0 Inc.).
Amplified or sub-cloned products were then moved into the final expression vector
pEE12.4 (Lonza AG) using Hindlll and EcoRI restriction sites, and ty was confirmed by DNA
sequencing. Plasmids were transiently transfected into either (THO—S or 293T suspension cells and
ed by either nickel affinity column for His-lagged protein or Protein A for the Fe fusion
product. The products were further purified by size exclusion chromatography using a
SuperdexZOO column (GE Healthcare) in phosphate buffered saline (PBS), pH 7.2 with the purified
fusion protein being quantified using the Bradford method ord, 1976: PMID 94205l).
Example 7
Generation of anti-PTK7 Antibodies Using hPTK7 gens
PTK-7 modulators in the form of marine antibodies were ed in accordance with
the teachings herein through inoculation, respectively, with BALE/3T3 or HEK 293 cells over
expressing full length hPTK7, hPTK7-His or hP'I‘K7-Fc fabricated as set forth in the previous
Example. In this respect three strains of female mice (3 each: Bath/c, CD—I, FVB) were immunized
with preparations of the aforementioned PTK7 immunogens. The mice were all immunized via the
d route with l0 pg of the selected PTK7 construct or leO0 cells in each case emulsified
with an equal volume of TiterMax® or alum adjuvant.
1,0293} Either FACS or solid-phase ELISA assays was used to Screen mouse sera for mouse IgG
antibodies specific for human PTK7. For the ELISAs, plates were coated with PTK7—His at
different concentrations ranging from 0.01—1 ug/mL in PBS overnight. After washing with PBS
containing 0.02% (v/v) Tween 20, the wells were blocked with 3% (w/v) BSA in PBS or 2% FCS
in PBS, 200 uL/well for I hour at RT. Mouse serum dilutions were incubated on the PTK7-His
coated plates at 50 uUwcll at RT for I hour. The plates are washed and then incubated with 50
pL/well HRP-labeled goat anti-mouse IgG diluted l:l0,000 in 3% BSA~PBS or 2% FCS in PBS for
1 hour at RT. The plates were washed and £00 uL/well of the TMB ate solution (Thermo
Scientific 34028) was added for 15 minutes at RT. Finally an equal volume of 2M H2504 was
added to stop substrate develoPment and analyzed by spectrophotometer at OD 450.
[0294} As indicated murine sera were also tested for anti-PTK? dies by FACS against
cells over expressing human PTK7 co—transduced with GFP. Briefly lx l05 BALE/3 3cells per
well were uced with human PTK7 and GFP were incubated for 30 minutes with l00ul mouse
serum diluted l:l00 in FCS. Cells were washed PBS/295FCS and then incubated with
SOuL per sample DyeLight 649 labeled goat—anti-mouse IgG, Fc fragment specific secondary
diluted 1:200 in PBS/2%FCS. After a 15 minute incubation cells were washed 2 times with
FCS and re-suspended in PBS/2%ch with DAPI and analyzed by FACS.
[0295) Sera positive immunized mice were sacrificed and draining lymph nodes (poplitcal and
inguinal, if enlarged) were dissected out and used as a source for antibody producing cells. Single
cell suspension ofB cells {375xl06 cells) were fused with nonsecreting P3X63Ag8.653 a
cells (ATCC #CRL—ISSO) at a ratio of 1:1 by electrofusion. Cell electrofusion was med
using the BTX Hybrimmune System or an ECMZOO], (both BTX Harvard Apparatus) as per the
manufacturer’s instructions Following electrofusion cells were resuspended in hybridoma
selection medium supplemented with Azaserine (Sigma #A9666) (DMEM (Cellgro cattll 5-017—
CM) medium containing, 15% Fetal Clone 1 serum (Hyclone), l0% BM Condimed (Roche Applied
Sciences), l mM sodium pyruvate, 4 mM L-glutamine, 100 IU Fenici”in-Streptomycin, 50 Md 2-
mercaptoethanol, and 100 uM hypoxanthine). In a first fusion cells were plated at 2XIO4/well in
flat bottom iter , followed by two weeks incubation in selective HAT medium ,
CRL P-7185). In a second fusion the cells were plated post fusion in four T225 flasks at 90 ml
ion medium per flask. The flasks were then placed in a humidified 37°C incubator containing
% CO 3 and 95% air for 6—7 days.
[0296} After growth the library comprising the cells from the second fusion in the T2253 is
sorted using a FACSAria 1 cell sorter and plated at one cell per well in Falcon 96 well U-bottom
plates (both BD Biosciences). Any remaining unused doma library cells were frozen for
future testing if necessary. The selected omas were then grown in 200 uL of culture medium
containing 15% Fetal Clone I serum (Hyclone). l0% BM-Condimed (Roche Applied Sciences), 1
mM sodium pyruvate, 4 mM L-glutamine, 100 IU Penecillin-Streptamycin, 50 uM 2-
mercaptoethanol, and 100 ttM hypoxanthine. After 10—14 days of growth for both fusions in 96
well plates the supernatants from each well were d for antibodies reactive for marine PTK7
using an ELISA or FACS assay.
y, 96 well plates (VWR, 610744) were coated with 1 pg/ttiL murine PTK7-His in
sodium carbonate buffer overnight at 4°C. The plates were washed and blocked with 2% PCS-PBS
for one hour at 37°C and used immediately or kept at 4°C. Undiluted liybridoma supernatants were
incubated on the plates for one hour at RT. The plates are washed and probed with HRP labeled
goat anti-mouse lgG diluted 1:10.000 in l% BSA~PBS for one hour at RT. Following incubation
with ate solution as described above the plates were read at OD 450.
Growth positive hybridoma wells secreting mouse immunoglobulins were also screened
for human PTK7 specificity using a FACS assay similar to that described above. Briefly 1x10S per
well BALE/3T3cells transduced with human PTK7 and GP? were incubated for 30 minutes with
— 100 uL hybridoma supernatant. Cells were washed PBS/2%FCS twice and then incubated with
50 uL per sample DyeLight 649 labeled nti-mouse IgG, Fe fragment specific secondary
diluted 1:200 in PBS/2%FCS. After a 15 minute tion cells were washed 2 times with
PB S/B‘P’rFCS and re~snspended in PBSIZG’rFCS with DAPI (Life Technologies) and ed by
FACS‘.- For the second fusion the resulting PTK7 specific clonal omas were expanded and
cryopreserved in CS-lO freezing medium (Biolife Solutions) and stored in liquid nitrogen.
{0299] For the first fusion oning was performed on selected antigen~positive wells using
limited dilution plating. Plates were visually inspected for the presence of single colony growth and
supernatants from single colony wells then screened by antigen-specific ELISAS and FACS
mation as described above. The resulting clonal populations were expanded and
cry0preserved in freezing medium (90% PBS, 10% DMSO) and stored in liquid nitrogen.
[0300} For the first fusion PTK7 secreting hybridomas from positive wells (4 hits
OD405@20min >O.75) were selected for further characterization.
A second fusion seeded over 48 plates (4608 wells) resulted in approximately a
65% cloning ency with hundreds of hits. ed clones provided several dozen murine
antibodies that were immunospecific for human PTK7, some of which also cross-reacted with
murine PTK7.
Example 8
Sequencing and Humanization of PTK7 Modulators
8(a) Sequencing:
Based on the foregoing, a number of exemplary distinct monoclonal antibodies that
bind immobilized human and antibodies that cross-react with the mouse PTK7 with apparently
high affinity were selected for sequencing and r analysis. As shown in a tabular fashion
in FIGS. 6A and 6B, sequence analysis of the light chain variable regions () and heavy
chain variable regions () from selected monoclonal antibodies generated in Example 7
confirmed that many had novel complementarity determining regions and often displayed novel
VDJ arrangements. Note that the complementarity ining regions set forth in FIGS. 6A
and 6B were derived from VBASE2 analysis.
More specifically, depicts the contiguous amino acid sequences of twentyone
novel murine light chain variable regions from anti-PTK7 antibodies (SEQ ID NOS: 20 –
60, even numbers) and four humanized light chain variable regions (SEQ ID NOS: 62 – 68,
even numbers) derived from representative murine light chains. Similarly, depicts the
contiguous amino acid ces of twenty-one novel murine heavy chain le regions
(SEQ ID NOS: 21 – 61, odd s) from the same anti-PTK7 antibodies and four humanized
heavy chain variable regions (SEQ ID NOS: 63 – 69, odd numbers) from the same murine
antibodies as those providing the humanized light chains. Thus, taken together FIGS. 6A and
6B provide the annotated sequences of twenty-one murine anti-PTK7 dies (termed
SC6.2.35, SC6.10.2, SC6.4.1, SC6.50.1, SC6.3, SC6.4, SC6.6, SC6.7, SC6.13, SC6.14, SC6.15,
SC6.19, , , SC6.23, SC6.24, SC6.26, , SC6.41, SC6.58 and SC6.59) and
four humanized antibodies (termed hSC6.23, hSC6.24, 1 and hSC6.58). Note that the
ations SC6.4.1 and SC6.4 merely reflect a naming anomaly and that the modulators
actually comprise two discrete antibodies with novel heavy and light chain variable region
sequences.
102a
For the purposes of the instant application the SEQ ID NOS of each particular
antibody are sequential. Thus mAb 35 comprises SEQ ID NOS: 20 and 21 for the light
and heavy chain variable s respectively. In this regard SC6.10.2 comprises SEQ ID
NOS: 22 and 23, SC6.4.1 comprises SEQ ID NOS: 24 and 25, and so on. Moreover,
corresponding nucleic acid sequences for each antibody amino acid sequence in FIGS. 6A and
6B are included in the instant
application as a sequence listing appended hereto. The included nucleic acid sequences se
SEQ ID NOS that are one d greater than the corresponding amino acid sequence (heavy or
light chain). Thus, nucleic acid sequences encoding the heavy and light chain variable region
amino acid sequences of mAb SC6.2.35 (i.e., SEQ ID NOS: 20 and 2 l) comprise SEQ ID NOS:
120 and till. The other antibody nucleic acid sequences, including those encoding zed
constructs are numbered similarly.
} As a first step in sequencing ary modulators the selected hybridoma cells were
lysed in Trizol@ reagent (Life Technologies) to prepare the RNA. In this regard between 104 and
lO‘S cells were ended in l ml Trizol and shaken vigorously after addition of 200 pl. of
chloroform. Samples were then centrifuged at 4°C for l0 minutes and the aqueous phase was
transferred to a fresh microfuge tube where an equal volume of isopropanol was added. The tubes
were again shaken vigorously and allowed to incubate at room temperature for l0 minutes before
being centrifuged at 4°C for 10 minutes. The resulting RNA pellets were washed once with I ml of
70% ethanol and dried briefly at room ature before being resuspended in 40 uL of DEPC—
treated water. The quality of the RNA preparations was determined by fractionating 3 id. in a l%
agarose gel before being stored at — 80°C until used.
{0306} The le region of the Ig heavy chain of each hybridoma was amplified using a 5’
primer mix comprising thirty—two mouse specific leader sequence primers, designed to target the
complete mouse VI—I repertoire, in combination with 3' mouse Cy primer ic for all mouse lg
isotypcs. A 400 hp PCR nt of the VB was sequenced from both ends using the same PCR
primers. Similarly thirty—two 5’ Vk leader sequence primer mix designed to amplify each of the Vk
mouse families combined with a single reverse primer specific to the mouse kappa constant region
were used to amplify and sequence the kappa light chain. The VH and VL transcripts were
amplified from lOO ng total RNA using e transcriptase polymerase chain reaction (RTPCRll
[0307} A total of eight RT—PCR reactions were run for each hybridoma: four for the V kappa
light chain and four for the V gamma heavy chain (yl). The QIAGEN One Step RT~PCR kit was
used for amplification, (Qiagen, Inc). This kit provides a blend of cript and Omniscript
Reverse Transcriptases, HotStat‘Taq DNA Polymerase, dNTP mix, buffer and Q-Solution, a novel
additive that enables efficient amplification of cult" (e.g., GC-rich) templates. The extracted
PCR products were directly sequenced using specific V region primers. Nucleotide sequences were
analyzed using IMGT to identify germ line V, D and I gene members with the highest sequence
homology. The derived sequences were compared to known germ line DNA sequences of the Ig V-
and .I-rcgions using V-BASEZ (Retter et al., supra) and by alignment of VH and VL genes to the
mouse germ line database.
Reaction mixtures were prepared that included 3 itL of RNA. 0.5 of 100 itM of either
heavy chain or kappa light chain primers 5 til. of 5x RT—PCR buffer, 1 uL dNTPs, 1 rd. of enzyme
mix containing reverse transcriptase and DNA polymerase, and 0.4 ill. of ribonuclease inhibitor
RNasin (Promega BioSysteins.). The reaction e contains all of the reagents required for both
reverse ription and PCR. The thermal cycler program was RT step 50°C for 30 minutes 95°C
for [5 minutes followed by 30 cycles of (95°C for 30 seconds, 48°C for 30 seconds, 72°C for LG
minutes). There was then a final incubation at 72°C for i0 minutes.
To e the PCR products for direct DNA sequencing, they were purified using the
QIAquick”l PCR Purification Kit according to the manufacturer's protocol. The DNA was eluted
from the spin column using 50 id, of sterile water and then sequenced directly from both strands.
Again the resulting DNA sequences were analyzed using VBASE2 (data not shown) to provide the
annotated sequences set forth in FIGS. 6A and 613. More specifically, as sed above, the
annotated amino acid sequences of twenty-one murine anti~PTK7 dy heavy and light chain
le regions are set forth FIGS. 6A and 613.
8(b) zation:
Four of the marine antibodies generated in Example 7 were humanized using
complementarity determining region (CDR) grafting. Human frameworks for heavy and light
chains were selected based on sequence and structure similarity with respect to functional human
germline genes. In this regard structural rity was ted by comparing the mouse
cal CDR structure to human candidates with the same canonical structures as described in
Chothia et al. (supra).
{03l ll More particularly murine antibodies SC6.23, SC624, SC6.41 and SC6.58 were
humanized using a computer-aided CDR~grafting method (Abysis Database, UCL Business Plc.)
and standard molecular engineering techniques to provide hSC623, 118C624. liSC6.-’ll and
hSC6.58 tors. The human frameviIork regions of the variable regions were selected based on
their highest Sequence homology to the mouse framework sequence and its canonical structure. For
the purposes of the analysis the assignment of amino acids to each of the CDR s is in
ance with the Kabat et al. numbering. Several zed antibody variants were made in
order to generate the optimal humanized antibody with the humanized antibodies generally
retaining the antigen—binding complementarity~determining regions (CDRS) from the mouse
hybridoma in association with human framework regions. Ultimately it was feund that humanized
SC6.23, $03.24. SC6.4l and SC6.58 mAbs bind to the human PTK? antigen with similar affinity
to their murine counterparts as measured using the e system.
{0312} Moiecular engineering procedures were conducted using art-recognized techniques. To
that end total mRNA was extracted from the hybridomas according to the manufacturer's protocol
(Trizol® Plus RNA Purification System, Life Technologies). A sequence specific 5‘ leader
sequence primer, ed to amplify each hybridoma, was used in ation with 3’ human C71
primer to amplify and clone the variable regions of each humanized antibody. Similarly a 5' Vk
leader sequence designed specifically to y each of the Vk regions combined with a single
reverse primer ic to the human kappa constant region were used to y and clone the
kappa light chain. The amplified fragments were cloned as chimeric human gammal/kappa chains
and served as a bench mark for each immunized mAb.
{0313] From the nucleotide sequence information, data regarding V, D and 5 gene segments of
the heavy and light chains of SC6.23, SC6.24. SC6.4l and SC6.58 were obtained. Based on the
sequence data new primer sets Specific to the leader sequence of the Ig V1,; and VK chain of the
antibodies were designed for g of the recombinant monoclonal antibody. Subsequently the
V-(D)-J sequences were aligned with mouse lg germ line sequences. Heavy chain genes of SC6.23
were identified as VH36096 (V), DSP2.3 (D) and JHS. The heavy chain genes of SC6.2~’l were
identified as VHJ558 ( V ). DSP2.7 (D) and 11-14. The heavy chain genes of SC6.4l were identified
as IGHVI4—4 (V), DFLl6.1 (D) and JHZ. The heavy chain genes of 5C658 were identified as
IGHV4—I (V), DFLI6.l (D) and 11-14. All four light chains were K class. Light chains genes were
identified as IGKV [4—1 1 land JKS for the SC6.23 mAb, IGKV3—5 and JKI for the. SC6.24 mAb,
IGKV2~l37and JK4 germ line sequence for the SC6.4l mAb and IGKVI7-l2l and 1K4 germ line
sequences for SC6.58 kappa light chain. These results are summarized in the TABLE 1
immediately below.
TABLE 1
Clone DH
see 73 VH3609 DSP2.3 IGKV 14-: ll JKS
SC6.24 VHJSSS DSP2.7 1H4 5 1K1
SC6.41 IGHVl4-4 DFL16.1 1112 IGKV2— [37
scess IGHV4—l DFL16.1 H4 IGKV 17- 121
The obtained heavy and light chain sequences from all four clones were aligned to the
functional human variable region sequences and reviewed for homology and canonical structure.
The result the heavy and light chain analysis are shown below in TABLES 2 and 3 reSpectively.
TABLE 2
‘56 homology to % homology
human human human human germ line to mouse
mAb VH DH JI-l se uence seuence
llSC6.23 VH2-S IGHDS—S 1H4 81
4 VI—Il-3 mum-23 82
hSC6.41 VH1 -46 IGHD4-23 1H4 79 88
hSC6.58 VH3-7 IGHDZ—S J H6 86 88
TABLE 3
--% homology to human ”/0 homology to
mAh VK IK erm line se uence mouse se uence
"Ii-=1-82
hscass -——-§-
{0315} As the germ line selection and CDR grafting processes provided dies that
generally ed their binding characteristics, there was apparently little need to insert murine
residues in most of the constructs.
[0316} As alluded to above the amino acid sequences of the humanized heavy variable region
chains and the humanized kappa light chains for all four antibodies are shown in FIGS. 6A and 613
(SEQ ID NOS: 62 - 69) and the corresponding nucleic acid sequences (SEQ ID NOS: 162 «169) are
set forth in the appended sequence listing.
More particularly the amino acid ces and ponding nucleic acid sequences
oftlte humanized $136.23 light chain (SEQ ID NOS: 62 and 162), and the humanized heavy chain
(SEQ ID NOS: 63 and 163) are shown in FIGS. 6A and 6B and in the sequence listing. Similarly,
the amino acid sequences and corresponding nucleic acid sequences of the humanized SC6.24 light
chain (SEQ ID NOS: 64 and 164), and the humanized heavy chain (SEQ ID NOS: 65 and I65) are
shown in the same manner. Another embodiment of the invention is illustrated by the amino acid
ces and corresponding c acid sequences of the humanized SC6.4l light chain (SEQ ID
NOS: 66 and 166), and the humanized heavy chain (SEQ ID NOS: 67 and 167). In yet another
embodiment the amino acid sequences and corresponding nucleic acid sequences of the humanized
SC6.58 light chain (SEQ ID NOS: 68 and 168), and the humanized heavy chain (SEQ ID NOS: 69
and 169) are depicted. As demonstrated in the Examples below each of the aforementioned
humanized antibodies functions as an effective PTK7 modulator in accordance with the ngs
herein.
{0318] In any event the disclosed modulators were expressed and isolated using art recognized
techniques. To that end synthetic zed variable DNA fragments rated DNA
Technologies) of both heavy chains were cloned into human IgGl expression vector. The variable
light. chain nts were cloned into human a expression vector. dies were
sed by co-transfeetion of the heavy and the light chain into CHO cells.
[0319} More particularly, for antibody production directional cloning of the marine and
zed variable gene PCR products into human immunoglobulin expression vectors was
undertaken. All primers used in lg pecific PCRs included restriction sites (Agel and XhoI
t"or IgH, XmaI and DraIII for IgK, which allowed direct cloning into expression vectors containing
the human IgGl, and IGK constant regions, respectively. in brief, PCR products were purified with
Qiaquick PCR purification kit (Qiagen, Inc.) followed by digestion with Agel and Xhol (lgH),
Xmal and Dralli (ng), respectively. Digested PCR products were purified prior to ligation into
expression vectors. Ligation reactions were performed in a total volume of 10 pl. with ZOOU T4-
DNA Ligase (New England Biolabs), 7.5 ttL of digested and purified gene-specific PCR product
and 25ng linearized vector DNA. Competent E. coli DHlOB bacteria (Life Technologies) were
transformed via heat shock at 42°C with 3 uL ligation product and plated onto ampicillin plates
(100 ). The AgeI-EcoRI fragment of the V“ region was than inserted into the same sites of
pEE6.4HngGl (Lonza AG) expression vector while the synthetic XmaLDrallI VK insert was
cloned into the Xmal-Dralli sites of -the respective pEE12.4Hu-Kappa expression .
{0320] Cells producing humanized antibodies were generated by transfection of I-IEK 293 cells
with the appropriate plasmids using 293fectin. In this respect plasmid DNA was purified with
QlAprcp Spin columns (Qiagen). liunian embryonic kidney (HEK) 293T (ATCC No CRL-l 1368)
cells were ed in lSOmm plates (Falcon, Becton Dickinson) under standard conditions in
Dulbecco’s Modified Eagle's Medium (DMEM) mented with 10% heat inactivated FCS, 100
ug/mL omycin, 100 U/mL penicillin G (all from Life Technologies).
[032i] For transient transfections cells were grown to 80% confluency. Equal amounts of lgI—I
and corresponding IgL chain vector DNA (12.5 ttg of each vector DNA) was added to 1.5 mL Opti-
MEM mixed with 50 pL HEK 293 transfection reagent in LS mL opti-MEM. The mix was
incubated for 30 min at room temperature and distributed evenly to the culture plate. Supernatants
were harvested three days after transfection, replaced by 20 mL of fresh DMEM supplemented with
% FBS and harvested again at day 6 after transfection. Culture supernatants were cleared from
cell debris by centrifugation at SOOxg for 10 min and stored at 4°C. Recombinant chimeric and
humanized antibodies were purified with Protein G beads (GE Healthcare).
Example 9
Characteristics of PTK7 Modulators
9(a) General Modulator teristics
{0322] Various methods were used to analyze the immunochemical characteristics of selected
PTK7 tors (both marine and humanized) generated as set forth above. Specifically, a
number of these antibodies were characterized as to affinity. kinetics. binning, and cross reactivity
with regard to cynomolgus and marine homologs (e.g., by io). The reactivity of the
modulators was also measured by Western blot using reduced and non-reduced samples to provide
some indication as to whether es were linear or not. In addition to the marine and human
antigen binding data set forth in , results of the antibody characterization for selected
murine modulators are set forth in tabular form in 3. Finally, as shown in FIGS. 7C — 7E
affinities for selected inurine had humanized modulators were ed using biodayer
interferometry analysis on a ForteBio RED Bio, Inc.) with a standard antigen concentration
series. In general, the selected modulators exhibited relatively high affinities in the nanomolar
range.
In accordance with the instant invention modulator ty was measured in three ways
to ensure accuracy. First, binding signal was measured for a fixed amount of antibody probed
against serial dilutions of antigen in an ELISA to ine ve modulator activity (data not
shown). Second, the affinities and kinetic constants kon and k0“ of the selected effectors were then
measured using bio~layer interferometry is on a ForteBio RED (ForteBio, Inc.) with a
standard antigen concentration series. Finally, the affinity of selected modulators was measured by
surface plasmon resonance (Biacore System, GE Healthcare). Bascd on a standard antigen
concentration series and using a 1:1 Langmuir binding model, the Kd of the antibody binding to
antigen and the kinetic constants kg.I and kg” were determined (e.g., see FIGS. 7C and 713) using
techniques common in the art. lly the selected effectors, whether marine or humanized,
exhibited relatively high affinities in the nanomolar range. In the table in :1 superscript B
designates affinity measurements made on Biacore while superscript F designates measurements
made on ForteBio.
Preliminary work was also conducted to determine r the epitope recognized by
the PTK'i effector comprises contiguous amino acids or is formed by tiguous amino acids
juxtaposed by ary structure of the antigen. In this respect Western blots were run under
reducing (cg, using 0.5M DTT) and non~reducing conditions. More specifically, using standard
electrophoresis techniques well known in the art, PTK7 antigen in both states was run on gels and
blotted before exposure to the ed modulators. As set forth in two PTK? modulators
were tested that apparently reacted only with antigen where disulphide bonds were intact (NR).
The remaining PTK7 modulators were not tested for Western blot activity.
With regard to antibody g, a ForteBio Octet Red96 Analyzer (ForteBio, Inc.) was
used per manufacturer’s instructions and an art recognized sandwich method [Analytical
Biochemistry 386: l72~l 80 (2009) to identify antibodies which bound to the same or different bins.
, an antibody (Abl) was captured onto an anti-mouse capture chip before a high
concentration of nonbinding antibody at . ( lOOnM) was used to block the chip and
establish a baseline. Monomeric recombinant hPTK7~Hi$ (isoform :1) as ed for in e 6
(at SOOnM) was then captured by the specific antibody (Ab!) and the tip was dipped into a well
with either the same antibody (Abl) as a control or into a well with a different antibody (Ab2)
where both antibodies are at l. (2511M). If onal binding was observed with a new
dy, then Abl and Ab“). were determined to be in a ent bin. If no further binding
occurred, similar to the control Ab 1, then Ab2 was determined to be in the same bin. This process
can be expanded to screen large libraries of unique antibodies using a full row of antibodies
representing unique bins in a 96—well plate. Exemplary data for three representative modulators is
shown in for both human and marine PTK7 antigen. illustrates that while
SC6.lO.2 did not bind mouse at all, SC6.2.35 bound at about l0% of human and .I bound to
mouse PTK7-His with identical affinity (note; the antibodies are denoted 1-12.35, H102 and H25]
in ). it was further determined that each of these tested antibodies resided in a different
bin. In a similar manner binning analysis was conducted for nine additional PTK7 modulators with
the results shown in . These data identified at least seven ct bins recognized by the
tested modulators. ND in the tables indicates that the data was not determined.
Finally, cross—reactivity with regard to cynomolgus and murine PTK’I homologs were
evaluated in with a ForteBio using a concentration series comprising recombinantly sed,
monomeric antigen. As listed in :1 number of the exemplary modulators were reactive with
mouse PTK7, while all antibodies cross-reacted with the highly similar cynomolgus PTK'I.
9(1)) Humanized Modulator Characteristics
Using techniques set forth above in this e the humanized constructs 3,
hSC6.24, hSC6.4l and hSC6.58 were analyzed to determine their binding characteristics.
Additionally, humanized antibody binding was directly compared with the parent murine antibody
for both antibodies to identify any subtle changes in rate constants brought about by the
humanization process.
{0328] More specifically, the affinity of murine SC6.23 was measured by a Biacore using
surface plasmon resonance (SPR) to provide the results set forth in . Based on a
concentration series of 25, I25, and 6.25 nM (generating the curves from top to bottom in the
FIGS. 7C and 7D) and using a lzl Langmuir binding model, the Kd of the dy binding to
n was estimated to be 2.3 nM. Similar experiments then run with the immunized SC6.23
construct showed equivalent results () indicating that the zation process had not
adversely impacted the affinity. In this regard the measurements indicated that the humanized
construct had an affinity of 3.9 nM which is well within the acceptable limits for therapeutic
antibodies. Similar measurements for each of the humanized constructs described in Example 8 are
set forth in and, atong with the other techniques set out in this Example, show that the
disclosed humanized PTK7 modulators possess desirable qualities for therapeutic antibodies.
e 10
Epitope ination of Selected PTK7 tors
{0329] In order to further refine binning data and determine the epitope regions defined by
selected PTK'I modulators generated as set forth above, several ent variants of the PTK? ECD
were constructed and expressed. More specifically PTK? deletion mutants were designed using
primers which amplified various PTK7 Ig domains and fused these to the Bglll ction site
am of the human IgG2 Fc domain, ordered as a synthetic gene (DNA 2.0). These Fe fusion
proteins were then cloned into the pEEl 2.4 expressiori vector (Lonza AG) using HindIII and EcoRI
restriction sites. Isolated endotoxin free Plasmids DNA (Qiagen Inc.) were used for transfection of
adherent 293 cell using 293Fcctin (Life Technologies). atants from 293 transl‘ected cells
were harvested 72 hours post transfection. Specit’ically the following deletion constructs fused to
the Fc region were ed:
I. PTK’] ECD 1g domains 1-2 (SEQ ID NO: 70)
2. PTK‘I ECD lg domains 3—7 (SEQ ID NO: 7 1) FIG. SB
3. PTK7 ECD Ig domains 16 (SEQ ID NO: 72)
4. PTK7 ECD Ig domains 6—7 (SEQ ID NO: 73)
. PTK7 ECD lg domains 2-3 (SEQ ID NO: 74)
6. PTK7 ECD Ig s 1-4 (SEQ ID NO: 75)
7. PTK'Y ECD Ig domains 1—7 (SEQ ID NO: 3) FIG. lC -ECD
{0330} Amino acid sequences for the first six of these constructs are set forth in FIGS. 8A-8F
(comprising the selected PTK'] ECD along, with the Fc region). The sequence for the seventh
construct comprises the extracellular domain of m a (SEQ ID NO: 3) as set forth in FIG. lC
fused to the Fe domain.
[033 l] Using these constructs several modulators were tested for their ability to recognize
WK? proteins with ons of defined lg domains. Through an ELISA assay comprising the use
of domain deleted constructs and run under standard conditions. In this regard PTK7 Ig domain Fe
fusions were captured on ELISA plate coated with goat anti-human IgG eifie (Jackson
Immunoresearch) antibody. The ability of each murine anti-PTK7 antibody to bind the various
deletion Fe fusion ns was then detected with HRP—Iabeled goat anti—mouse Fc-specilie
antibody.
Using this assay exemplary modulators were identified as being directed t
ular PTK? 1g s. An example of ELISA results defines each representative detected
epitope or binding pattern and is included in TABLE 4 immediately below.
TABLE 4
1g Domains 6-7
see-2.35 .— + .l -
5C6 10 2
10333] The anti-i’TK7 monoclonal antibodies apparently recognize several different epitopes
based on the different patterns of positive binding in the ELISA assay (Table 4 and 3).
Note that in the modulators are listed as 6M rather that 8C6 and SC6.2.3S and 303.102
are listed as H235 and H102. None of the antibodies bind only to an e within lg domains 6-
7, but these two domains may contribute to the secondary/tertiary structure of the Ig3—7 Fe fusion
construct which was bound by SC6.lS and SC6.3l (NOT IN TABLE). er, three antibodies
(SC6.2.35, SC6.4_1 and SC6.10.2) recognize an epitope in the first four {g domains and none of the
antibodies bind to an epitope in within lg domains 6—7. In the first four Ig domains SC6.2.35 binds
to an epitope within domains i-Z. SC6.4.l recognizes an epitope within the boundaries of Ig
domains 2 and 3. sely 3C6. l0.2 appears sensitive to any deletions within the first four lg
domains, and therefore all four lg like domains are likely involved in defining the epitope
ll”?
SC6.10.2. Similarly some antibodies only bound to the ength construct, lg domains l—7,
ting that the lg deletions may have disrupted some of the binding sites or secondary structure
of these epitopes. provides a schematic representation of these binding patterns including
additional antibodies and comparable data showing binding localization of the disclosed tors
where the 7 lg domains of PTK’] ECD are represented in block form and brackets are used to note
the elucidated epitope position within this ECD of the tive TK7 antibodies.
e 11
PTK7 Protein Expression in Exemplary Tumor Samples
{0334} After documenting elevated gene expression levels and generating antibodies against
PTK7 in the previous Examples, evidence was sought for corresponding P'l‘K'l protein expression
in selected patient tumor tions. In this respect, reverse phase cancer protein lysate arrays
(ProteoScan'M Arrays; OriGene Technologies) comprising 4 dilutions of 432 tissue lysates from I l
tumor types, or their respective normal adjacent tissue, were provided along with controls
consisting of HEK 293 cells without or with TP53~overexpression driven by an exogenous
promoter. PTK7 protein expression in the lysates on this array was ed using a mouse
monoclonal PTK7 antibody generated as set forth in Example 7 and that recognizes PTK7 protein
by Western Blot (cg. clone SC6.2.35). Colorimetric detection reagents and protocols were
provided by the manufacturer of the ProteoScan , spots on the fabricated array were
converted to a digital image using a flatbed scanner using BZScanZ Java Software (INSERM-
TAGC) to quantify spot intensity.
Results of such assays indicate that expression of the PTK7 protein is upregulated in a
subset of ma, all cell lung carcinoma (NSCLC), small cell lung carcinoma (SCLC),
coloreetal, pancreatic, breast and ovarian cancer patient-derived tumor samples. Exemplary data
from these assays for selected tumors are shown in FIGS. 9A~9D. More ically,
shows that PTK7 protein expression appears significantly elevated in a subset of colorectal tumor
ens; CSpecially in patients with Stage IV e when compared to normal adjacent tissue or
tumor tissue from specimens obtained from earlier stages of disease. As shown in PTK7
protein expression was also elevated in most neuroendocrine atic tumors, as well as in
subsets of patients with breast () and ovarian () cancer, respectively. Data was
ted as described above and represented as average pixel intensity per spot (spot intensity).
The horizontal black bar in each sample represents the mean for specimens in each respective
category.
These data support the observations in above Examples that PTK7 overexpression is
associated with TIC and/or TPC in colorectal cancer, and may be involved in proliferation and/or
survival. In View of the forgoing Examples showing: a) PTK7 gene expression is predominantly
associated with the TPC cell suprpulation in colorectal cancer and the TG cell subpopulation in
pancreatic tumors; b) that PTK7 protein expression is higher on the TIC cell subpopulation; c)
PTK7 protein expression is ed in whole tumor Specimens from late stage colorectal cancer;
and d) the general observation is that TlC are more frequent in late stage tumors, it appears that
P'l‘K7 is associated with those cells underlying tumor growth, resistance to therapy and tumor
recurrence, thus reinforcing the proposition that PTK7 may play in integral role in supporting TPC
and/or TIC in the aforementioned tumors.
[0337} in view of these results expression of PTK7 was assessed within the non-tumorigenic
(NTG) and cancer stem cell (CSC) populations of human breast (BR), lung (LU), ovary (0V),
colon (CR), and kidney (KDY) tumor afts using flow try. As set forth in Example I
NTG and CSC-enriched tions may be identified, monitored and enriched using phenotypic
markers CD46""’CD324' and CD46hiCD324‘} respectively. Accordingly, human tumor xenografts
from immunocompromised mice were harvested, dissociated, and (so-stained with commercially
available anti-CD46, ariti-CD324, and anti»PTK7 (Miltenyi Biotech) antibodies before assessing
PTK7 expression using flow cytometry in the CD46’"°CD324‘ NTG population and co4o'”c0324*
CSC population. More specifically, flow cytometry analysis was conducted using standard
techniques on a BB nto’“ It flow cytometer (BD ences) with e—stained and
fluorescence minus one (FMO) controls employed to m staining specificity.
10338] The results for exemplary breast, lung, ovarian, colorectal and kidney tumors samples
are showu in 3 where the e control is marked in solid grey, the NTG cell population is
represented by the hatched line and the riched population is shown by the solid line. It will
be appreciated that, s surface PTK7 staining was relatively low in the NTG populations of
each of these , surface PTK'] staining was markedly elevated in the CSC~enriched
populations. These results have since been confirmed (data not shown) using a number of the
sed modulators and is representative of more than twenty five unique NTX lines tested
(comprising various solid tumors).
[0339} The correlated expression pattern of PTK7 with other surface markers of TPC was
further delineated functionally in tumorigenicity studies in NSCLC and ovarian cancer. PTKT and
PTKT” tumor populations were isolated from dissociated human tumor xenografts stained as
described above by fluorescence activated cell sorting (FACS), and equivalent numbers were mixed
with Matrigel (BD ences) and subcutaneously lanted into ID recipient mice.
Whereas PTKT cells failed to e tumors in recipient mice, PTKT' tumor cells tently
produced rapidly growing tumors with both NSCLC and ovarian carcinomas. Thus, in accordance
with the ngs herein PTK7 functionally delineates TPC in ovarian cancer and NSCLC and
provides further evidence as to the y of the sed modulators as diagnostic and theragnostic
agents.
Example 12
Selected PTK7 Modulators Are Internalized by K562 and G401 Cells
PTK'7 modulators from ltybridomas that were generated by immunizing mice as
described above were ed for their ability to internalize in K562 and G40! cells.
[034” In this regard K562 cells at a starting concentration of lOGImL (single cell suspension)
were blocked with Human TruStain (Biolegcnd, Inc., 422302) for 10 minutes at room temperature.
Cells were diluted to 50x 103 cells per reaction. Duplicate samples were stained for 30 minutes on
ice with antibody supernatant fora final volume of 50 uL, then washed with FACS staining
medium (FSM; 2% fetal bovine serum/Hank's buffered saline on/ZSmM HEPES [pH7.4];
Mediatcch, inc.) to remove unbound antibody. This was followed by a second stain with donkey
anti—mouse Alexa647 (Life Technologies) for 30 minutes on ice. Cells were then washed again to
remove unbound antibody and samples were i‘esrt3pended in internalization medium (2% fetal
bovine serum/ lscovc‘s Modified Dulbecco‘s Medium) and incubated in 5% C02 @ 37°C (or 4°C
for the control) for l hour to allow internalization. The reaction was stopped by transferring
samples to ice and adding ice cold FSM. To remove any antibody that did not internalize and
ed on the cell surface. samples were treated with low pH phosphate buffered saline (PBS
{pl-12.01) for l0 minutes on ice. Following this "acid-strip" step, samples were washed extensively
with FSM, tesuspended in lSO ill. of FSM containing Eng/ml of DAPI (Life Technologies) and
ed on a BD FACS Canto flow cytometer. Any increase in fluorescence over that detected
from cells incubated on ice in this experiment resulted from the ability of antibody internalization,
which protects the scent molecule from being stripped off the cell surface during the low pH
phosphate buffer treatment. All incubations were performed in FACS staining medium unless
otherwise .
When ing individual clones of PTK? antibody—containing hybridoma supernatants
using the acid strip protocol described above, several supernatants showed a positive shift in
fluorescence vs. ned cells and IgG negative control antibodies (FIGS. 10A and lOB).
Antibody internalization was ed with several anti—PTK? antibodies, as demonstrated by the
ability of these antibodies to t the Alexa647 secondary antibody from acid stripping and
resulting in a shift in fluorescence to the right. Antibody clone SC6.lO.2 (i.e., H10 in C) is
an example of typical alization y by anti-PTK7 antibodies with this activity. Compared
to the IgG controls, approximately 15% of the PTK7 antibody-containing supernatants (4 of 27)
induced internalization. Using the K562 cells this data demonstrates that a subset of antibodies
able to bind PTK7 ECD engage the antigen as it is presented on cells and are able to internalize
efficiently.
[0343} Further ce indicating that the disclosed modulators can e internalization in
various exemplary cell lines is showu in FIG. lOD. More ically a glioblastoma cell line
(G40! Wilm’s Tumor cells) was found to express high levels of PTK7 (data not shown) suggesting
that this cell line may be may be more sensitive under selected assay conditions and therefore able
to more effectively identify modulators able to induce internalization. Generally using these cells
with the aforementioned acid—strip procedure l70 unique hybridoma supernatants from Example 7
were screened to determine if they contained alizing antibodies. ed antibodies
SC6.2.35, SC6.10.2 and SC6.25.3 (denoted H235, 1-1102 and H253 in FIG. lOD) which were
identified in the above mentioned screen were used as positive controls (FIG. lOD). The
internalization capacity of modulators present in six exemplary supernatants (identified by well
designation) are shown immediately below the controls. With this more refined assay the data
shows that numerous modulators provided by the immunization procedure discussed above were
able to bind PTK7 and internalize (as evidenced by lAO2, IFOZ, 2AO3 and 2F10) although not
every clone (2Fl l and 2F09) possessed this ability.
In yet a further demonstration as to the properties of the disclosed modulators, all
ed antibodies that bound to the G401 cells in a significant way were found to internalize to
some extent (FIG. lOE). As represented by the dashed line in FIG. lOE. positive cell staining was
set to 4‘2?- basetl on mouse isotype control antibodies which showed nonspecific staining nfO-BQ’r of
cells. ‘Mean fluorescent intensities of G401 cells stained with each antibody were measured after
the acid-strip step (i.e., post internalization) at 37°C and 4°C and interpolated to relative or
numbers per cells using 8-peak w beads (BD Spherotech #559123) which contain known
numbers of fluorescent molecules. Numbers of internalized receptors were calculated by
subtracting receptor s obtained from s oing the internalization step at the 4°C
(control) from the one at 37°C. It was noted that PTK7 specific antibodies are heterogeneous in
their ability to induce internalization given a ten-fold difference in numbers of alized
ors independent of the level of cell binding (upper right quadrant of E).
Example 13
PTK7 Modulators Facilitate Delivery of Cytotoxic Agents
ing of a cytotoxic drug stably linked to an antibody represents an empowered
antibody approach that might have great therapeutic benefit for patients with solid tumors. To
ine whether the internalizing PTK7aspecific antibodies described above were able to mediate
the delivery of a cytotoxic agent to live cells, an in vitro cell killing assay was performed wherein
streptavidin conjugated to the ribosome~inactivating protein saporin (Advanced Targeting Systems)
was bound to biotinylated PTK7 antibodies, and the ability of these n complexes to
internalize and kill cells was ed 72 hours later by measuring cell ity.
10346] Specifically, Ix l04 G40l Wilin’s Tumor cells per well were plated in wells of a l
plate. PTK7 modulators in the form of anti-PTK7 antibodies as described above were purified
from supernatants, biotinylated and then d to 20 uglmL. An aliquot of each antibody was
mixed [:1 with streptavidin-ZAP ced Targeting Systems), vortexed for 5 seconds and then
incubated at room temperature for I hour. Three additional serial lO-fold dilutions of the antibody~
saporin complexes were then made and 50 ill. of each mixture, respectively, was added to G40!
cell containing wells. The cell/antibody-saporin mixture was then incubated at 37°C/5‘76C03 for 24
hours. Following this incubation, cells were spun down in round-bottom 96-well plates,
supernatant was removed, and IOO uL of fresh culture medium was added to each well. The cells
were then incubated for an additional 72 heurs before viable cell numbers were enumerated using
CcllTiter-Glo ga Inc.) per the cturer’s protocol.
[0347} Using the cell killing assay described above, exemplary internalizing PTK7 modulators
comprising antibodies from clones SC6.2.35,SC6.10.2 and SC6.25.3 ed H235, H 10.2 and -
HZS.3 in FIG 1 1A) were shown to mediate saporin toxin alization and cell killing. More
particularly FIG. llA clearly demonstrate the ability of these modulators effectcell killing through
FTK’? mediated internalization as Opposed to a non-specific isotypc control antibody (i.e. MOPC).
Such data demonstrates that the disclosed modulators are immunospecific for PTK7 and are
effectively able to mediate the ry of a cytotoxic payload and kill PTK? positive cells through
cell surface association.
[0348} In an extension of the aforementioned killing assay the delivery of a cytotoxic payload
via PTK? specific antibodies was demonstrated using four more exemplary modulators (SC6.23,
SC6.41, SC6.51 and SC6.58) with SC6.IO.2 used as a positive control. To this end the following
cell types were plated into 96 well tissue culture plates in their tive culture media (500 cells
per well) one day before the addition of antibodies and toxin: G40] Wilm’s Tumor cells, HEK293T
engineered using retroviral transduction to express PTK’] molecules on their cell surface (herein
denoted as 293.PTK7 cells) and HEK293T which on as a control.
For this assay purified PTK? modulators at various concentrations were added to the
wells containing the plated cells. Following addition of the modulators a fixed amount of anti—
mouse IgG Fab fragment covalently linked to n (Fab~ZAP, Advanced Targeting Systems,
#IT-48) at a concentration of 411M was added to the wells and the cultures were incubated for 72
hours. Viable cell s were determined as described above using CellTiter-Glo. Raw
luminescence counts using cultures containing cells with the saporin-Fab fragment (but no
modulator) were set as l00% reference values and all other counts calculated accordingly (referred
to as “Normalized RLU”).
{0350] Using this assay, it was trated that all tested PTK7 dies (but not isotype
control antibodies) were able to kill target cells (FIGS. llB — 1 11)) where FIGSA l 113, l 1C and 1 1D
rate the modulator impact on G401 cells. 293.PTK7 cells and HEK293T cells respectively. It
will be appreciated that modulator mediated internalization and killing is dependent on cell type
(compare FIGS. l 1B — G401 cells and 1 1D - HEK293T cells), sion level of PTK? on the
target cells (compare Fig. 1 1C - 293.PTK7 cells and l ID —- HEK293T cells) and the intrinsic
ability of the various modulators to internalize. The assay further demonstrates that internalization
primarily occurs because of binding of the PTK7- specific antibody to the cell surface without the
need for additional crosslinking. Based on the data used to generate the dose response curves of
FIGS. 1 [B — 1 1D (and similarly derived values for additional tors — not shown) the half-
maximal effective concentration (“ECSO”) was determined for each of the tested modulators / target
cell combination. More specifically TABLE 5 immediately below lists the EC50 (in pM) for
thirteen modulators as determined for each of the three target cells using the assay described
immediately above. ND tes that value was not determined.
TABLE 5
PTK7 Modulator Mediated Delivery of a Cytotoxic Agent
Modulator G401 Cells 293.1’TK7 Cells HEK293T Cells
No killing
.5... . e4... 0.65 0.45
..... KJI C\
223 \D Dc, O\
\J ~ 00
~200 we) sous:-C‘ g
~- as
cm . \J [0-— U).— ~w 7‘00
314 .‘9 \)
~-G [\J DJ U!
\ol‘J‘ u x.)
SC6.51 105 i00 oo
4:.fU
J}. 00m w
While some variation as to killing was noted among the individual modulators there
were some general trends that are evident from the data in TABLE 5. In this regard the modulators
were generally more effective in mediating cell g of the engineered PTK overexpressing 293
cells than either the G401 cells or wild type 293 cells. Of interest, many of the tested modulators
were vely effective at ing the killing of non-engineered G40l tumor cells that are
known to express PTK7 on the cell surface. Such reproducible results are indicative as to the
therapeutic potential of a broad range of internalizing PTK7 modulators as exemplified herein.
Example 14
PTK7 Modulators Facilitate Delivery of Cytotoxic Agents to 'l‘umorigeuic Cells
{0352] To corroborate the results of the previous Example and demonstrate that PTK7
modulators can e toxin internalization and cell killing of primary human tumor cells, mouse
lineage—depleted NTX cells (i.e. human tumor cells propagated as low-passage xenografts in
immunocompromised mice) were plated and subsequently exposed to anti-PTK7 antibodies and
Fab-ZAP.
[0353} Specifically, NTX tumors d from lung (LU), ovarian (0V) cancer and melanoma
(SK) patients were dissociated into a single cell suspension and plated on iaT‘“ plates (BD
Biosciences) in growth factor supplemented serum free media using common art recognized
techniques that favor cancer stem cell proliferation. After3-5 days of culture at 37°C/59’oCOg/5‘7a03
the cells were contacted with an isotype control (IgG2a) antibody or one of three murine anti~PTK7
antibodies (SCG.2.35, SC6.l0.?., or .l at 0.1 nM; - labeled SC6.H?., SC6.HIO and SC6.H25),
and P (at 4011M) as generally set forth in the previous Example. Modulator—mediated
saporin cytotoxicity was then assessed by quantifying the remaining number of cells using CellTiter
Glo as per the manufacturer’s instructions 5~7 days later. The results were normalized to untreated
cells.
As seen in exposure to each of the tested modulators (though not the isotype
control) resulted in reduced viable cell numbers for all tumor types. In this respect it will be
appreciated that the amount ofcell killing is apparently dependant on the specific tumor cell line as
well as on the particular modulator. These data indicate that the modulators of the instant ion
can innnunospecificall y associate with various antigen expressing cells from various tumor types,
internalize and thereby mediate the killing ofthe constituent cells. Moreover. the y of the
disclosed modulators to do this with t to NTX tumor cell lines cultured under conditions that
favor cancer stem cell eration as previously bed is ly indicative of their ability to
selectively eliminate cancer stem cells.
Example 15
PTK7 Modulators Reduce Cancer Stem Cell Tumorigenicity
To further confirm the ability of the disclosed tors to reduce the frequency of
cancer stem cells and impact their tumorigenic potential, NTX breast tumor cells were treated with
and subsequently implanted into immunocompromised mice.
{0356] In this regard two breast cancer patient—derived NTX tumors (BRlB and BR64) were
iated and the human tumor cells were cultured under conditions known in the art to in
tumorigenic cells, and treated with a PTK7 modulator (and isotype control) and Fab~ZAP as set
forth in the previous Example. Cytotoxicity was then measured in terms ofcell viability using Cell
Titer Glo per the manufacturer’s instructions fourteen days post treatment. Again the results were
normalized to untreated cells.
{0357} As seen in FIGS. 13A and l3B respectively the breast tumor cells derived from BR13
(A) and from BR64 (B) were largely eliminated through the PTK7 modulator
mediated immunospecific association and internalization of the saporin cytotoxic agent. More
Specifically treatment with the PTK7 modulator 35 (SC6.H2) at 0.2 nM resulted in the
elimination of approximately 70—80% of the cells whereas the lgGZa control treated cells were
largely unaffected. The findings are consistent with results seen in Example l3 and further
demonstrate the broad applicability of the instant invention based on the ability of the disclosed
modulators to ate tumor perpetuating cells derived from a y of tumors.
In order to confirm that the disclosed modulators ate tumor initiating cells, the
treated preparations from the two breast cancer cell lines were lanted into mice to determine
r tumor initiating cells remained alive. More specifically, cells from triplicate wells were
each harvested independently, washed in PBS containing 2% BSA, resuspcnded in mom and then
transplanted into individual immunocompromised mice lly using the procedures set forth in
Example I. Mice were monitored weekly for tumor growth and any tumors that arose were
measured to calculate their volume. Only mice transplanted with NTX BRl3 and BR64 cells
treated with the lgG control developed tumors s those transplanted with cells ted with
PTK7 modulators did not. These results demonstrate that TIC are eliminated by PTK7 modulators
able to mediate toxin deliver (C).
A review of the data shows that the implantation of live cells remaining after treatment
of either breast cancer cell line with PTK7 modulator and saporin does not result in the formation
of tumors. Conversely, the control cells from both breast cancer cell lines (i.e., those that were
treated with the e control antibody) were able to reinitiate tumor growth upon implantation.
In particular, two of the three mice implanted with each control cell line (BR22 and BR64)
developed measurable tumors indicating that the implanted cells included tumor perpetuating cells.
More significantly, the inability of the modulator treated cells to form tumors strongly implies that
the cells that were implanted did not include tumor perpetuating cells. That is, it is likely that
treatment: with the PTK? modulator / n combination selectively targeted and eliminated
tumor perpetuating cells in accordance with the instant invention. In any event these data
demonstrate that treatment with the disclosed tors is effectivo at reducing the genic
potential of tumor cells
Example 16
Humanized P'I‘K7 Modulators Mediate The Delivery of Cytotoxic Agents
As preferred ments of the present invention will likely employ humanized PTK7
modulators in a therapeutic setting, work was performed to demonstrate that humanized anti—PTK7
antibodies (fabricated as set forth in Example 8) function as effective mediators of cell killing
through ry of cytotoxic .
l036l} More particularly, three exemplary humanized PTK7 modulators (hSC6.23, 8
and hSC6.2¢t) were employed to mediate the introduction of a cytotoxic payload and eliminate
tumorigenie cells in accordance with the teachings herein. Generally using the protocol set forth in
Example 13 above HEK293 cells ered to express PTK7 (i.e. 293.?TK7 cells) were exposed
to different concentrations of the selected modulators and saporin linked to an anti—human Fab
(Fab-ZAP human, Advanced Targeting Systems). Following incubation the cells were washed and
modulator-mediated n cytotoxicity was then assessed by quantifying the remaining number of
cells using ter Glo as per the manufacturer‘s instructions 5-7 days later: The s were
normalized to untreated cells and are graphically presented in .
[0362} Examination of the curves set forth in FIG. l4 shows that all three of the tested PTK']
tors were very effective at inducing internalization of the cytotoxic payload reducing cell
viability. In this respect each of the modulators provided a 50% reduction in cell viability at a
concentration between i and 10 pM and a reduction of greater than 80% in cell viability at a
concentration of 100 pM. Again. in accordance with the instance disclosure these data are
indicative of highly effective modulators that can itnmunospecifically mediate the delivery of
xic agents to selected cell populations.
Those skilled in the art will further appreciate that the present invention may be
embodied in other specific forms without ing from the spirit or central attributes thereof. In
that the foregoing description of the present invention discloses only exemplary embodiments
f, it is to be understood that other variations are contemplated as being within the scope of the
present invention. Accordingly, the present invention is not limited to the particular embodiments
that have been described in detail . Rather, reference should be made to the appended claims
as indicative of the scope and content of the invention.
Claims (38)
1. An antibody or fragment thereof that specifically binds to human PTK7 comprising three CDRs of a light chain variable region set forth as SEQ ID NO: 62 and three CDRs of a heavy chain variable region set forth as SEQ ID NO: 63.
2. The antibody or fragment thereof according to claim 1, comprising: (a) a light chain variable region comprising three CDRs set forth as residues 24-34 of SEQ ID NO: 62 for VL CDR1, residues 50-56 of SEQ ID NO: 62 for VL CDR2, and residues 89-97 of SEQ ID NO: 62 for VL CDR3; and (b) a heavy chain variable region comprising three CDRs set forth as residues 31-35 of SEQ ID NO: 63 for VH CDR1, residues 50-65 of SEQ ID NO: 63 for VH CDR2, and residues 95-102 of SEQ ID NO: 63 for VH CDR3; wherein the CDR numbering is according to Kabat.
3. The antibody or fragment thereof according to claim 1, comprising: (a) a light chain variable region comprising three CDRs set forth as residues 23-34 of SEQ ID NO: 62 for VL CDR1, residues 50-56 of SEQ ID NO: 62 for VL CDR2, and residues 89-97 of SEQ ID NO: 62 for VL CDR3; and (b) a heavy chain variable region sing three CDRs set forth as residues 26-32 of SEQ ID NO: 63 for VH CDR1, residues 50-58 of SEQ ID NO: 63 for VH CDR2, and residues 95-102 of SEQ ID NO: 63 for VH CDR3; wherein the CDR numbering is according to Chothia.
4. The antibody or fragment f ing to claim 1, comprising: (a) a light chain le region comprising three CDRs set forth as residues 30-36 of SEQ ID NO: 62 for VL CDR1, residues 46-55 of SEQ ID NO: 62 for VL CDR2, and residues 89-96 of SEQ ID NO: 62 for VL CDR3; and (b) a heavy chain variable region comprising three CDRs set forth as residues 30-35 of SEQ ID NO: 63 for VH CDR1, es 47-58 of SEQ ID NO: 63 for VH CDR2, and residues 93-101 of SEQ ID NO: 63 for VH CDR3; wherein the CDR ing is according to MacCallum.
5. The antibody or fragment thereof according to any one of claims 1-4, comprising a light chain variable region having an amino acid sequence that is at least 60% cal to SEQ ID NO: 62 and a heavy chain le region having an amino acid sequence that is at least 60% identical to SEQ ID NO: 63.
6. The antibody or fragment thereof according to any one of claims 1-5, comprising a light chain variable region set forth as SEQ ID NO: 62 and a heavy chain variable region set forth as SEQ ID NO: 63.
7. The antibody or fragment thereof according to any one of claims 1-6, which is a neutralizing antibody, depleting antibody, and/or internalizing antibody.
8. The dy or fragment thereof according to any one of claims 1-7, wherein the isolated antibody is a monoclonal, chimeric, CDR-grafted, humanized, or recombinant human antibody, or fragment thereof.
9. An antibody drug conjugate comprising the antibody or fragment thereof according to any one of claims 1-8, n the antibody or fragment thereof is conjugated, linked, or otherwise associated with a cytotoxic agent.
10. A pharmaceutical composition comprising the isolated antibody or fragment thereof according to any one of claims 1-8.
11. A pharmaceutical composition comprising the antibody drug conjugate according to claim 9.
12. A nucleic acid ng a light chain le region or a heavy chain variable region of the antibody or nt f according to any one of claims 1-8.
13. A nucleic acid encoding a light chain variable region set forth as SEQ ID NO: 48 or 62, and/or a heavy chain variable region set forth as SEQ ID NO: 49 or 63.
14. A vector comprising the nucleic acid according to claim 12 or claim 13.
15. A non-human or ed host cell comprising the nucleic acid according to claim 12 or claim 13.
16. A non-human or isolated host cell comprising the vector of claim 14.
17. Use of the antibody or nt thereof according to any one of claims 1-8 for the manufacture of a medicament for detecting, diagnosing, or monitoring cancer in a subject, wherein the antibody or fragment thereof is ated to a detectable agent.
18. Use according to claim 17, wherein the cancer is breast cancer, ovarian cancer, colorectal cancer, pancreatic cancer, lung cancer, or skin cancer.
19. Use according to claim 17, wherein the cancer is ovarian cancer.
20. Use according to claim 18, wherein the cancer is breast cancer.
21. Use according to claim 18, wherein the lung cancer is non-small cell lung cancer.
22. Use of a therapeutically effective dose of an antibody conjugate comprising the antibody or fragment f ing to any one of claims 1-8 for the manufacture of a medicament for treating cancer in a subject, wherein the antibody or fragment thereof is conjugated, linked, or otherwise associated with a xic agent.
23. Use according to claim 22, wherein the cancer is breast cancer, ovarian cancer, colorectal cancer, pancreatic cancer, lung cancer, or skin cancer.
24. Use according to claim 22, wherein the cancer is ovarian cancer.
25. Use according to claim 23, wherein the cancer is breast cancer.
26. Use according to claim 23, wherein the lung cancer is non-small cell lung cancer.
27. Use of an antibody conjugate comprising the antibody or fragment thereof according to any one of claims 1-8 for the manufacture of a medicament for ng the frequency of tumor initiating cells in a subject, wherein the antibody or fragment thereof is ated, linked, or otherwise ated with a cytotoxic agent.
28. Use according to claim 27, n the cancer is breast cancer, ovarian , colorectal cancer, pancreatic cancer, lung , or skin cancer.
29. Use according to claim 27, wherein the cancer is ovarian cancer.
30. Use according to claim 28, wherein the cancer is breast cancer.
31. Use according to claim 28, wherein the lung cancer is non-small cell lung cancer.
32. The isolated antibody or fragment f according to claim 1 substantially as herein described with reference to any one or more of the examples but excluding ative examples.
33. The dy drug conjugate ing to claim 9 substantially as herein described with nce to any one or more of the examples but excluding comparative examples.
34. The pharmaceutical composition according to claim 10 or claim 11 substantially as herein described with reference to any one or more of the examples but excluding comparative examples.
35. The nucleic acid according to claim 12 or claim 13 substantially as herein described with reference to any one or more of the examples but excluding comparative examples.
36. The vector ing to claim 14 substantially as herein described with reference to any one or more of the examples but excluding comparative examples.
37. The non-human or isolated host cell according to claim 15 or claim 16 substantially as herein described with reference to any one or more of the examples but excluding comparative examples.
38. The use according to any one of claims 17 to 31 substantially as herein described with reference to any one or more of the examples but ing comparative examples.
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201161444614P | 2011-02-18 | 2011-02-18 | |
US61/444,614 | 2011-02-18 | ||
PCT/US2011/050451 WO2012031280A2 (en) | 2010-09-03 | 2011-09-02 | Identification and enrichment of cell subpopulations |
USPCT/US2011/050451 | 2011-09-02 | ||
NZ615285A NZ615285B2 (en) | 2011-02-18 | 2012-02-17 | Novel modulators and methods of use |
Publications (2)
Publication Number | Publication Date |
---|---|
NZ708615A NZ708615A (en) | 2017-02-24 |
NZ708615B2 true NZ708615B2 (en) | 2017-05-25 |
Family
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