TW200944230A - Anti-VEGF monoclonal antibody - Google Patents

Anti-VEGF monoclonal antibody Download PDF

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TW200944230A
TW200944230A TW97115507A TW97115507A TW200944230A TW 200944230 A TW200944230 A TW 200944230A TW 97115507 A TW97115507 A TW 97115507A TW 97115507 A TW97115507 A TW 97115507A TW 200944230 A TW200944230 A TW 200944230A
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antibody
amino acid
seq
vegf
fab
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TW97115507A
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Chinese (zh)
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TWI348915B (en
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Keelung Hong
Luke Guo
Yun-Long Tseng
Hsiu-Li Song
Po-Chun Chang
Sheue-Fang Shih
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Taiwan Liposome Co Ltd
Tlc Biopharmaceuticals Inc
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Abstract

The present invention provides novel monoclonal antibodies with a high binding affinity to all five isoforms of humanVEGF.

Description

200944230 九、發明說明: 【發明所屬之技術領域】 本發明係關於抗-VEGF單株抗體。 【先前技術】 血管新生作用(angiogenesis)(亦即’新血管之形成)在胚 胎發生之過程中係必要者,且其直接在血管形成作用 (vasculogenesis)之後發生[Gilbert et al. (1997) Developmental biology [發育生物學],Sunderland (ΜΑ): Sinauer]。其亦在各種病理學之病症之中扮演重要角色,包 括腫瘤性[Folkman et al. (1974) Xc/v Cimcer 及以 19: 331-58] 及部分非腫瘤性疾病,諸如年齡相關性黃斑變性(AMD)、 類風濕性關節炎、及糖尿病視網膜病變[Ohno-Matsui et al. (2001) J Cell Physiol 189: 323-333; Aiello et al. (1994) N Engl J Med 331: 1480-1487; Boulton et al. (1998) Br J 82: 561-568] ° 血管内皮生長因子(VEGF)係血管新生作用中最強效之正 調節子[F err araetal· (2004) 及 ev25: 581-611]。在小 鼠模式中,以專一性之抗體阻斷衍生自腫瘤細胞之VEGF之 活性可抑制腫瘤生長[Kim et al_ (1993) iVaiwre 362: 841-844; Liang et al· (2006) ·/·价〇/. C/zem. 281: 951_961]。 貝伐單抗(Bevacizumab),一種對抗人類VEGF之專一性人類 抗體,已經核准用於治療結腸直腸癌病患[Hurwitz et al. (2004) C/z.«. Co/oreeia/ Cawcer 4: suppl.2,S62-S68],而蘭 尼單抗(Ranibizumab),一種對抗人類VEGF之重組人類抗 200944230 體,亦對新生血管性AMD病患具臨床有效性[R〇senfeM et al· (2006) TV 五《容/ JMed 5; 355(14):1419-31]。咸已經證實, 在新生血管性AMD中,經由VEGF之阻斷,抗血管新生作用 係一種抑制腫瘤生長並改善視力之成功方法。 【發明内容】 本發明係基於一種抗體(亦即,VC300)之辨識,其可專一 結合人類VEFG (SEQ ID NO:9)中之胺基酸殘基Asn丨〇〇至 ❹ Lysm。此種抗體具有意外之低心值(亦即,< 2 X 1〇-9 , 可中和VEGF活性。 因此,本發明提供一種人類VEGF-專一性單株抗體,其 可結合人類VEFG (SEQ ID NO:9)中之胺基酸殘基Asni〇〇至 [ys 1 〇7,且具小於2 X 10 9 Μ之Kd值。在一實例中,此種單 . 株抗體具有包含一或多種SEQ ID NOs: 1、2、及3之胺基酸 序列之重鏈可變區,以及包含一或多種SEq m N〇s: 4、5、 及6之胺基酸序列之輕鏈可變區。較佳者,本發明之抗體具 _ 有包括全部之胺基酸序列SEQ ID NOs: 1、2、及3 (亦即, 具有SEQ ID NO: 10之胺基酸序列)之重鏈可變區,以及包 括全部之胺基酸序列SEQ ID NOs: 4、5、及6 (亦即,具有 SEQ ID NO: 11之胺基酸序列)之輕鏈可變區。辭彙「單株 抗體」在本文中係指一種抗體組合物,其具有同源之抗體 種群(亦即,一種全分子免疫球蛋白或其片段)。 在一實例中,本發明之單株抗體係全分子免疫球蛋白。 在另一實例中,該抗體係具有抗原結合活性之全分子免疫 球蛋白片段,如,Fab、Fab'、F(ab)2、或F(ab,)2片段《本發 200944230 明之單株抗體亦可為非天然存在性分子,如,嵌合抗體、 人類化抗體、或單鏈抗體。嵌合抗體係一種分子,其中不 同之部分係衍生自不同之動物生物種,諸如,具有衍生自 鼠類單株杬體之可變區及人類免疫球蛋白恆定區者。人類 抗體係種非人類抗體,其中其νΗ及VL之框架區(FRs) 係經人類抗體之FRs置換。單鏈抗體系一種單鏈多肽,其含 有重鏈可變區及輕鏈可變區兩者。200944230 IX. DESCRIPTION OF THE INVENTION: TECHNICAL FIELD OF THE INVENTION The present invention relates to anti-VEGF monoclonal antibodies. [Prior Art] Angiogenesis (ie, formation of new blood vessels) is necessary during embryogenesis and occurs directly after vasculogenesis [Gilbert et al. (1997) Developmental Biology [developmental biology], Sunderland (ΜΑ): Sinauer]. It also plays an important role in a variety of pathological conditions, including neoplastic [Folkman et al. (1974) Xc/v Cimcer and 19: 331-58] and some non-neoplastic diseases such as age-related macular degeneration. (AMD), rheumatoid arthritis, and diabetic retinopathy [Ohno-Matsui et al. (2001) J Cell Physiol 189: 323-333; Aiello et al. (1994) N Engl J Med 331: 1480-1487; Boulton et al. (1998) Br J 82: 561-568] ° Vascular endothelial growth factor (VEGF) is the most potent positive regulator of angiogenesis [F err ara et al (2004) and ev25: 581-611]. In the mouse model, blocking the activity of VEGF derived from tumor cells with specific antibodies inhibits tumor growth [Kim et al_ (1993) iVaiwre 362: 841-844; Liang et al. (2006) ·/· 〇/. C/zem. 281: 951_961]. Bevacizumab, a specific human antibody against human VEGF, has been approved for the treatment of colorectal cancer patients [Hurwitz et al. (2004) C/z.«. Co/oreeia/ Cawcer 4: suppl .2, S62-S68], and Ranibizumab, a recombinant human anti-200944230 body against human VEGF, is also clinically effective in patients with neovascular AMD [R〇senfeM et al· (2006) TV V. Rong / JMed 5; 355(14): 1419-31]. Salt has demonstrated that in neovascular AMD, anti-angiogenic effects are a successful method of inhibiting tumor growth and improving vision via VEGF blockade. SUMMARY OF THE INVENTION The present invention is based on the identification of an antibody (i.e., VC300) that specifically binds to the amino acid residues Asn丨〇〇 to ❹ Lysm in human VEFG (SEQ ID NO: 9). Such an antibody has an unexpectedly low heart value (i.e., < 2 X 1〇-9 , which neutralizes VEGF activity. Thus, the present invention provides a human VEGF-specific monoclonal antibody that binds to human VEFG (SEQ ID NO: the amino acid residue Asni(R) in 9) to [ys 1 〇7, and having a Kd value of less than 2 X 10 9 。. In one example, such a single antibody has one or more SEQ ID NOs: heavy chain variable region of the amino acid sequence of 1, 2, and 3, and light chain variable region comprising one or more SEq m N〇s: amino acid sequences of 4, 5, and 6 Preferably, the antibody of the present invention has a heavy chain variable including all of the amino acid sequences SEQ ID NOs: 1, 2, and 3 (i.e., having the amino acid sequence of SEQ ID NO: 10) a region, and a light chain variable region comprising all of the amino acid sequences SEQ ID NOs: 4, 5, and 6 (i.e., having the amino acid sequence of SEQ ID NO: 11). Reference herein is directed to an antibody composition having a population of homologous antibodies (ie, a full-molecule immunoglobulin or a fragment thereof). In one example, the individual resistance system of the invention is In another example, the anti-system has a full-molecule immunoglobulin fragment with antigen-binding activity, such as a Fab, Fab', F(ab)2, or F(ab,) 2 fragment. 200944230 The monoclonal antibody may also be a non-naturally occurring molecule, such as a chimeric antibody, a humanized antibody, or a single chain antibody. A chimeric antibody is a molecule in which different portions are derived from different animal species, such as , having a variable region derived from a murine corpus callosum and a human immunoglobulin constant region. The human anti-systematic non-human antibody, wherein the framework regions (FRs) of νΗ and VL are replaced by FRs of human antibodies. Single-stranded anti-system A single-chain polypeptide comprising both a heavy chain variable region and a light chain variable region.

亦在本發明範圍内者包括使用任何上述之單株抗體以治 療VEGF_相關性血管新生疾病之料,如,癌症、年齡相 關性黃斑變性(AMD)、類風濕性關節炎、及糖尿病視網膜 病變其係藉由對需要該治療之對象投藥治療有效量之該 抗體而進行。 辭彙〆台療」在本文中係指對具有VEGF-相關性血管新 ,疾病、邊疾病之症狀、或朝向該疾病之傾向之對象施用 包括活性劑之組合物,其目的在於治療 '治癒、緩 厂輕、改變、補救、改善、改良、或影響該疾病、該 7之症狀、或朝向該疾病之傾向。「有效量」在本文中伟 ^各個純劑之量,其在與—或多種活㈣ ;,對該對象產生治療作用所需者。如熟習技藝I :知’有效量會根據投藥之途經、賦形劑之使 其他活性劑之共使用而有不同。 乂及與 本發明之單株抗體亦可用沐认 生疾病之藥物之製造。;4療VEGF·相關性灰管新 本發明-或多個具體實例之詳情示於下文之敘述中。本 200944230 發明之其他特徵、目的及優點將可由該敘述以及由申請專 利範圍明顯得見。 【實施方式】 下列之縮寫用於本發明之各處: AMD =年齡相關性黃斑變性; CDR =互補決定區; CNV =脈絡膜新生血管; HUVEC =人臍靜脈上皮細胞; mAb =單株抗體; VEGF =血管内皮生長因子。 除非另外定義,本文中所用之所有技術及科學辭彙具有 如本文所屬技藝之一般熟習技藝者通常明瞭之相同意義。 辭彙「Kd」在本文中係欲指特定抗體-抗原作用之解離常 數或是「分離」速率除以「連結」速率。就本發明之目的 而言,Kd係如實例4中所示測定。 在本文中,詞或「VEGF」或「人類VEGF」係指全長之 人類血管内皮細胞生長因子,其具有SEQ ID NO: 9之胺基 酸序列[Leung et al. (1989) 5c246:1306-1309],或其同 種型或片段,其具有血小板衍生性生長因子之作用。如 Ferrara et al.中所提及,藉由選擇性前接,自全長VEGF可 產生五種同種型[Ferrara (1999) /Mo/ Med 77: 527-543]。根 據結構及功能研究,其證實VEGF之受體結合域係介於全長 VEGF之胺基酸殘基Gly8至 Asp1Q9 [Muller et al. (1997) Structure 5: 1325-1338; Fuh et al., (2006) J. Biol. Chem. 200944230 281: 6625-6631]。在本發明中,其將一種重組VEGF3m (SEQ ID NO. 8 ,圖1A)用於進行小鼠免疫,並取得抗 單株抗體。 本發明提供一種抗-VEGF單株抗體’其可以小於約2 X 10 9 M2Kd值結合人類VEFG (SEQ m N〇:9)之胺基酸殘基 Asn⑽至Lys丨〇7 (其係所有五種人類VEGF同種型之共有抗 原表位)。在結合VEGF之同時,此種抗—vegf抗體可中和 0 VEGF,因而抑制血管新生作用。 為製備本發明之抗體,可使含有所述抗原表位之肽與載 體蛋白(諸如,KLH)偶合,與佐劑混合,再注射至宿主動物 中。接著可以肽親和層析純化在該動物體内製備之抗體。 一般常用之宿主動物包括兔、小鼠、天竺鼠、及大鼠。可 根據宿主之生物種而使用各種不同之佐劑以增加免疫反 應,且其包括弗氏(Freund)佐劑(完全及不完全)、礦物凝 • 膠,諸如,氫氧化鋁、CpG、界面活性物質,諸如,溶血 ® 卵磷脂、普魯藍尼克(pluronic)多元酵、聚陰離子、多肽、 油性乳液、匙孔虫戚血藍蛋白 '及二硝基酚。可用之人類佐 劑包括BCG (卡介苗)及短小棒狀桿菌(c〇rynebacterium parvum) ° 對於人類VEFG之Asn⑽至LySl。7具有專一性之多株抗體 存在於如上所述經免疫對象之血清中。接著可使用標準之 融合技術製備單株抗體(參見,例如,K〇h丨er et a丨.Also within the scope of the invention includes the use of any of the above-described monoclonal antibodies to treat VEGF-related angiogenic diseases such as cancer, age-related macular degeneration (AMD), rheumatoid arthritis, and diabetic retinopathy. It is carried out by administering a therapeutically effective amount of the antibody to a subject in need of such treatment. "Delling Taiwan" refers to the administration of a composition comprising an active agent to a subject having a VEGF-associated vascular neoplasm, a disease, a symptom of a disease, or a tendency toward the disease, the purpose of which is to treat 'healing, Slow, change, remedy, improve, improve, or affect the disease, the symptoms of the 7th, or the tendency toward the disease. "Effective amount" in this article is the amount of each pure agent, which is required for the therapeutic effect of the subject in relation to - or multiple activities (IV); As is well known in the art I know that the effective amount will vary depending on the route of administration and the use of other active agents. The monoclonal antibodies of the present invention and the antibodies of the present invention can also be used as a medicament for the treatment of diseases. 4 VEGF Dependent Gray Tube New Details of the present invention - or a plurality of specific examples are shown in the following description. Other features, objects, and advantages of the invention will be apparent from the description and claims. [Examples] The following abbreviations are used throughout the present invention: AMD = age-related macular degeneration; CDR = complementarity determining region; CNV = choroidal neovascularization; HUVEC = human umbilical vein epithelial cells; mAb = monoclonal antibody; = vascular endothelial growth factor. All technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art, unless otherwise defined. The term "Kd" is used herein to refer to the dissociation constant of a particular antibody-antigen effect or the "separation" rate divided by the "linkage" rate. For the purposes of the present invention, Kd was determined as shown in Example 4. As used herein, the term "VEGF" or "human VEGF" refers to the full length human vascular endothelial growth factor having the amino acid sequence of SEQ ID NO: 9 [Leung et al. (1989) 5c246: 1306-1309 ], or an isoform or fragment thereof, which has the effect of a platelet-derived growth factor. As mentioned in Ferrara et al., five isoforms can be produced from full-length VEGF by selective anterior [Ferrara (1999) / Mo/ Med 77: 527-543]. Based on structural and functional studies, it was confirmed that the receptor binding domain of VEGF is between the amino acid residues Gly8 to Asp1Q9 of full-length VEGF [Muller et al. (1997) Structure 5: 1325-1338; Fuh et al., (2006) J. Biol. Chem. 200944230 281: 6625-6631]. In the present invention, a recombinant VEGF3m (SEQ ID NO. 8, Figure 1A) is used for immunization of mice, and anti-monoclonal antibodies are obtained. The present invention provides an anti-VEGF monoclonal antibody which can bind to amino acid residues Asn(10) to Lys丨〇7 of human VEFG (SEQ m N〇:9) at a value of less than about 2 X 10 9 M2Kd (all five of which are A consensus epitope of human VEGF isoforms). While binding to VEGF, this anti-vegf antibody neutralizes 0 VEGF, thereby inhibiting angiogenesis. To prepare an antibody of the present invention, a peptide containing the epitope can be coupled to a carrier protein (e.g., KLH), mixed with an adjuvant, and injected into a host animal. The antibody prepared in the animal can then be purified by peptide affinity chromatography. Commonly used host animals include rabbits, mice, guinea pigs, and rats. Various adjuvants may be used depending on the host species to increase the immune response, and include Freund's adjuvant (complete and incomplete), mineral gel, such as aluminum hydroxide, CpG, interfacial activity. Substances such as hemolysis® lecithin, pluronic multi-fermentation, polyanions, peptides, oily lotions, keyhole limpet hemocyanin and dinitrophenol. Useful human adjuvants include BCG (Bacillus Calmette-Guerin) and C. rynebacterium parvum ° Asn (10) to LySl for human VEFG. 7 A multi-drug antibody having specificity is present in the serum of the immunized subject as described above. Individual antibodies can then be prepared using standard fusion techniques (see, for example, K〇h丨er et a丨.

Nature 256, 495 ; Kohler et al. (1976) Eur. J. Immunol. 6, 511,Kohler et al. (1976)五wr J 加卿⑽/ 6,292 ;及 9 200944230Nature 256, 495; Kohler et al. (1976) Eur. J. Immunol. 6, 511, Kohler et al. (1976) V. W J Jiaqing (10) / 6,292; and 9 200944230

Hammerling et al. (1981) Monoclonal Antibodies and T Cell Hybridomas [單株抗體及T細胞融合瘤],Elsevier, N.Y.)。特 定言之,可以藉由培養中之連續細胞系而提供抗體分子製 備之任何技術(諸如,述於Kohler et al. (1975) 256, 495及美國專利第4,376,110號中者);人類B細胞融合瘤技術 (Kosbor et al. (1983) Immunol Today 4, 72; Cole et al. (1983) ' 户iASW 80, 2026);及£BV-融合瘤技術 ❹ (Cole et al. (1983) Monoclonal Antibodies and Cancer Therapy [單株抗體及癌症療法],Alan R Liss,Inc,,pp. 77-96)而取得單株抗體。此等抗體可為任何免疫球蛋白類 型,包括IgG、IgM ' IgE、IgA、IgD,以及其任何亞型。 可在試管内或體内培育生產本發明單株抗體之融合瘤。在 體内生產高效價單株抗體之能力使其成為一種特別有用之 製備方法。 _ 一旦建立融合瘤細胞系,由其所生產之單株抗體對於人 類VEFG之Asn⑽至Lys1〇7之親和力可以技藝中已知之方法 測定’並可辨識出具有小於2x 1〇-9M2Kd值者。 由融合瘤細胞系產生之單株抗體係全分子免疫球蛋白分 子。此等免疫球蛋白分子可以,如,酶性切割處理,以產 生該免疫球蛋白之功能性片段,例如,保留抗原結合活性 之片段。此等功能性片段包括Fab、Fabl、F(ab)2、或F(abt)2 片段。辭彙「Fab片段」在本文中係指一抗體片段,其含有 杈鏈之怪定域及重鏈之第一恆定域(CH1)。辭囊「㈣·片段」 係指-抗體片段,其與Fab片段不同在於其在該重鏈⑽域 200944230 之羧端添加數個殘基,包括取自該抗體鉸鏈區之一或多個 半胱胺酸。辭彙「F(ab')2片段」係指一抗體片段,其原始 係製備為配對之Fab’片段,其間具有鉸鏈半胱胺酸。此等形 式可以任何已知之技術製備,諸如,但不限於,酶性切割、 肽合成、或重組表現。 本發明之抗-VEGF抗體亦可以重組技術製備。後述其一 實例。自產生該抗體之融合瘤細胞選殖編碼抗體重鏈可變 φ 區(VH)及輕鏈可變區(VL)之基因。根據其VH及VL之胺基酸 序列,可判定該重鏈可變區及輕鏈可變區兩者之互補決定 區(CDRs)及框架區(FRs)。參見 www.bioinf.org.uk/abs。接 著可在宿主細胞中表現該多肽,並在體内或試管内 ' 重構以形成本發明之抗體。 • 用以製備非天然存在性抗體分子(如,嵌合抗體、人類 化抗體、或單鏈抗體)之技術亦為技藝中所熟知。參見,如, Morrison et al. (1984) Proc. Natl. Acad. Sci. USA 81, 6851 ; ❹ Neuberger et al· (1984) iVaiwre 3 1 2,604 ;及 Takeda et al. (1984) iVaiwre 314:452。 在一實例中,本發明之單株抗體具有包含一或多個下列 VH-CDRs之重鏈可變區以及包含一或多個下列VL-CDRs之 輕鏈可變區:Hammerling et al. (1981) Monoclonal Antibodies and T Cell Hybridomas [single antibody and T cell fusion tumor], Elsevier, N.Y.). In particular, any technique for the preparation of antibody molecules can be provided by continuous cell lines in culture (such as those described in Kohler et al. (1975) 256, 495 and U.S. Patent No. 4,376,110); Human B cell fusion Tumor technology (Kosbor et al. (1983) Immunol Today 4, 72; Cole et al. (1983) 'House iASW 80, 2026); and £BV-fused tumor technique (Cole et al. (1983) Monoclonal Antibodies and Cancer Therapy [Single antibody and cancer therapy], Alan R Liss, Inc, pp. 77-96) Obtained monoclonal antibodies. Such antibodies can be of any immunoglobulin class, including IgG, IgM 'IgE, IgA, IgD, and any subtype thereof. The fusion tumor producing the monoclonal antibody of the present invention can be cultured in vitro or in vivo. The ability to produce high titers of monoclonal antibodies in vivo makes it a particularly useful method of preparation. Once the fusion cell line is established, the affinity of the monoclonal antibody produced by it for Asn(10) to Lys1〇7 of human VEFG can be determined by methods known in the art' and can be identified as having a value less than 2x 1〇-9M2Kd. A monoclonal antibody against systemic immunoglobulin molecules produced by a fusion tumor cell line. Such immunoglobulin molecules can, for example, be enzymatically cleaved to produce a functional fragment of the immunoglobulin, e.g., a fragment that retains antigen binding activity. Such functional fragments include Fab, Fabl, F(ab)2, or F(abt)2 fragments. The term "Fab fragment" as used herein refers to an antibody fragment comprising a strange domain of the 杈 chain and a first constant domain (CH1) of the heavy chain. "(4)·fragment" refers to an antibody fragment that differs from a Fab fragment in that it adds a number of residues at the carboxy terminus of the heavy chain (10) domain 200944230, including one or more vesicles taken from the hinge region of the antibody. Amino acid. The vocabulary "F(ab')2 fragment" refers to an antibody fragment which is prepared as a paired Fab' fragment with hinged cysteine in between. Such forms can be prepared by any known technique, such as, but not limited to, enzymatic cleavage, peptide synthesis, or recombinant expression. The anti-VEGF antibodies of the invention can also be prepared by recombinant techniques. An example of this will be described later. The gene encoding the antibody heavy chain variable φ region (VH) and the light chain variable region (VL) is selected from the fusion tumor cell producing the antibody. Based on the amino acid sequences of VH and VL, the complementarity determining regions (CDRs) and framework regions (FRs) of both the heavy chain variable region and the light chain variable region can be determined. See www.bioinf.org.uk/abs. The polypeptide can then be expressed in a host cell and reconstituted in vivo or in vitro to form an antibody of the invention. • Techniques for making non-naturally occurring antibody molecules (e.g., chimeric antibodies, humanized antibodies, or single chain antibodies) are also well known in the art. See, for example, Morrison et al. (1984) Proc. Natl. Acad. Sci. USA 81, 6851; ❹ Neuberger et al (1984) iVaiwre 3 1 2, 604; and Takeda et al. (1984) iVaiwre 314: 452. In one embodiment, a monoclonal antibody of the invention has a heavy chain variable region comprising one or more of the following VH-CDRs and a light chain variable region comprising one or more of the following VL-CDRs:

Vh-CDR1 : GYFMN (SEQ ID NO: 1);Vh-CDR1 : GYFMN (SEQ ID NO: 1);

Vh-CDR2 : RINPYTGETLYNQKFKD (SEQ ID NO: 2); Vh-CDR3 : RGYAGSGGIYSMDS (SEQ ID NO: 3); Vl-CDR1 : TASSAVSSSYLH (SEQ ID NO: 4); 11 200944230 VL-CDR2 : STSNLAS (SEQ ID NO: 5); VL-CDR3 : HQYHRSPYT (SEQ ID NO: 6)。 此外,咸可能以標準之分子生物技術,製備對於VEGF具 有高親和力之本發明抗體之變體。變體在本文中係指一分 子,其胺基酸序列藉由親代抗體一或多個CDR中一或多個 胺基酸殘基之添加、缺失、及/或取代而不同於親代胺基 酸序列。該變體CDR之胺基酸序列通常與該親代抗體CDR 〇 具有至少 75% (如 ’ 80%、85%、90%、95%、98%、或 99%) 之序列相同性。 可將本發明之單株抗體納入適合對一對象進行投藥之醫 藥組合物中。一般而言,該醫藥組合物包含治療有效量之 本發明單株抗體,以及醫藥可接受之稀釋劑、載劑、及/ 或賦形劑。「可接受」意謂該載體必須可與該組合物之活性 成分相容(且較佳者,能夠安定該活性成分),且對該待治療 對象為無害。該用於投藥之醫藥組合物係設計為適用於所 ❹ 豸之投藥途徑,而醫藥可接受之稀釋劑、載劑、及/或賦 形劑,諸如分散劑、緩衝劑、界面活性劑、防腐劑、增溶 劑、等滲劑 '安定劑、及其類似者則依適當使用。^ 本發明之單株抗體亦可覆埋於微膠囊中。舉例而言,可 在藥物傳遞系統中(諸如’脂質體及奈米顆粒),經由任何技 藝中之標準或常用技術,以凝聚技術或界面聚合作用 備該單株抗體。 、 上述之醫藥組合物可用於治療各種VEGF-相關性灰管新 生疾病。該VEGF-相關性血管新生疾病可包括,但不限於, 12 200944230 AMD、類風濕性關節炎、及糖尿病視網膜病變。其可經由 適當之途徑而投藥至需要該治療之對象,如,靜脈内、腹 膜内、皮下、經肺、穿皮、肌内、鼻内、經頰、舌下、或 栓劑投藥。 在本發明之一較佳具體實例中,該單株抗體係調配成為 醫藥組合物,諸如適於進行靜脈内注射之溶液。 本發明之單株抗體在預防或治療疾病方面之有效性可藉 © 由系列投藥該抗體或結合另一對該等目標有效之試劑投藥 該抗體而獲得改良。此等其他試劑可存在於該投藥之組合 物中,或是可分別進行投藥。同時,該抗體可適當經系列 投藥,或是結合放射治療’不論係涉及放射照射或是投藥 放射性物質。 本發明單株抗體之非治療性用途包括但不限於親和純化 及診斷分析。 下述之特定實例係解釋為僅具說明性,且不以任何方式 ® 限制本揭示内容之其他部分。在無進一步詳盡闡述之情形 下,咸信熟習技藝者可根據本文之說明而將本發明利用至 其最大程度。所有引述於本文中之出版品皆於此以其全文 併入作為參考。 實例1抗-VEGF單株抗體之產生 選殖編碼VEGF3_"4之cDNA(SEQIDNO: 7),並在一原核 系統中表現。純化該VEGFV^4至同質以進行小鼠免疫。根 據Kohler之方法產生單株抗體[K〇hler (1975) 256: 495]。簡言之,以該重組VEGF3.m免疫六週齡之balb/c雄 13 200944230 性小鼠四次。收穫淋巴細胞,並以聚乙二醇1500 (Roche Diagnostics GmbH, Mannheim,Germany)使其與骨魏瘤細胞 融合,以產生融合瘤細胞。將該等融合瘤細胞接種並使其 生長於含有次黃嘌呤、胺基喋呤、及胸苷之選擇培養基中 (Invitrogen Corporation,Carlsbad, CA) ’ 以容許次黃嗓 7 烏 嘌呤磷酸核糖轉移酶-陽性細胞之生長。收集該培養液’並 以ELISA篩選可與VEGF3.114抗原反應之抗體的存在。應用 ❹ 限制稀釋法以選擇抗體生產陽性純系。在數輪之選擇後’ 取得一個產生高含量抗-VEGF抗體之純系’並將其指名為 VC300。 實例2 VC3〇0 mAb之抗原表位作圈 為闡明VC300 mAb之結合抗原表位,在作圖中使用 ' VEGF3.114 (SEQ ID NO: 8)以及五種VEGF片段VEGF3-33、 VEGF3_63、VEGF3_93、VEGF3.100、及 VEGF3-107 (參見圖 1B)。 以DNA定序驗證所有此等建構物之核苷酸序列。以12.5 % ⑩ SDS-PAGE及使用抗-五-His單株抗體(Qiagen,Valencia, CA)之西方點潰分析,分析融合蛋白之表現譜。使用該等裂 解物於VC300 mAb之結合抗原表位之驗證中。 在37° C下,以0.4 mM之異丙基-石-D-硫代半乳糖吡喃糖 苷(IPTG,Sigma-Aldrich, St. Louis, MO),對含有表現載體 中之各種VEGF cDNA截節片段之大腸桿菌(五· co/i)細胞進 行誘發3小時以表現重組蛋白,再以1 〇,〇〇〇 rpm離心2分鐘以 收穫該等細胞。使該等細胞沈澱物懸浮,再以蛋白樣本緩 衝液裂解,煮沸10分鐘,並以12.5 % SDS-PAGE分析。就西 14 200944230 方點潰分析,將該等凝膠電潰至PVDF膜上,再在室溫下, 於含有0.05 % Tween 20之磷酸緩衝鹽水(pH 7.4)中,以5 % 之脫脂牛奶對該等膜進行阻斷1小時,以抗-五_His單株抗體 或VC300 mAb之1:1000稀釋物探測,再以HRP-複合性山羊 抗小鼠免疫球蛋白(Chemicon Int.,Temecula, CA)進行反 應。藉由添加二胺基聯苯胺(Sigma-Aidrich,St. Louis,MO) 顯色試劑、0.05 %二胺基聯苯胺、0.005 %過氧化氫,於0.1 φ M Tris-HCl (pH 7.4)中,偵測該結合反應。 咸預期該抗原表位可能在該抗原上跨越一連續區域,因 VC3 00 mAb可辨識VEGF3_114。在此種假設下,使用五種 VEGF截節片段於結合抗原表位之驗證中。所有該等VEGF 片段皆在大腸桿菌細胞有良好表現,如由SDS-PAGE (圖 " 1C,左侧板)及使用抗-五-His單株抗體之西方點潰分析(數 據未顯示)所揭露。在圖1C (右側板)中,該等結果顯示,除 VEGF3.1〇7 及 VEGF3.114 之外,VC300 mAb 與四種片段 Φ vegf3_33、VEGF3.63、VEGF3-93、VEGF3-100並無反應。此等 結果指出,全長VEGF (SEQ ID NO:9)之胺基酸殘基Asn100 至Lys1()7提供了 VEGF上可由VC300 mAb辨識之結合抗原表 位。 實例3 VC300 mAb cDNA之辨識 以 mRNA純化套組 Oligotex Maxi Kit (Qiagen,Valencia, CA),自5 x 106個生產VC300 mAb之融合瘤細胞萃取總 mRNA。根據 Amersdorfer et al. (1997) /«/eci 65(9): 3743-3752,設計之引子,使用RT-PCR合成cDNA。將所得 15 200944230 之cDNA次選殖至ΤΑ載體(Invitrogen, CA,USA)中並進行定 序。VH及VL之推論胺基酸序列示於圖2A及2B。在該VH序列 中,其含有重鏈高變區CDR1、CDR2、及CDR3,且其序列 分別為 GYFMN (SEQ ID NO: 1)、RINPYTGETLYNQKFKD (SEQ ID NO: 2)、及 RGYAGSGGIYSMDS (SEQ ID NO: 3)。 在該VL序列中,CDR1、CDR2、及CDR3之序列分別為 TASSAVSSSYLH (SEQ ID NO: 4)、STSNLAS (SEQ ID NO: ❹ 4)、及 HQYHRSPYT (SEQ ID NO: 6)。 由NCBI資料庫對該等VH& VL片段之胺基酸序列(特別是 CDRs)進行BLAST檢索,而該等資料指出,此等序列係小 鼠單株抗體VH及VL中之新穎CDRs。此等資料指出,VC300 mAb係新穎之抗-VEGF單株抗體,且其具有臨床應用之價 . 值。 實例4 VC300 mAb之製備及定性 以硫酸敍沈澱及CM瓊脂糖層析(GE Healthcare, 〇 Piscataway,NJ),自小鼠腹水中純化 VC300 mAb。以 7.5 % SDS-PAGE分析該經純化之VC300 mAb,並以280 nm之吸收 值定量蛋白濃度。以一種取自PIERCE (Rockford,IL,USA) 之單株抗體同種型測定套組I,進行VC300 mAb之同種型測 定。以競爭型 ELISA [Lin et al·,(1997) 254: 9-17]測定抗原-抗體作用之分離常數(Kd)。簡言之,使各種 濃度之VEGF3_114與該抗體VC3 00 mAb在4°C下培育隔夜以 達到平衡。將該等混合物移至經3微克/毫升VEGF^ 14塗覆 之孔中,並在室溫下培育1小時。藉由加入山羊抗小鼠複合 16 200944230 性HRP (辣根過氧化物酶),接著與2,2-連氮基-雙-3乙基苯 并-噻唑啉-6 磺酸(ABT,Sigma-Aldrich, St. Louis, MO)進 行培育,以顯示連結於該孔之VC300 mAb量。測量450 nm 之吸收值,並如前述計算Kd值。 VC3 00 mAb之同種型經測定為igGl (數據未示),而其Kd 係約2 X 10_9 Μ,如示於圖3者。因為其對於VEGF之高親和 力,VC300 mAb可在試管内或體内有效減少由VEGF誘發之 $ 新血管生長。 實例5 VC3〇0 mAb在試管内之中和活性 為評估VC300 mAb在試管内之中和活性,進行HUVEC增 殖分析。自生物資源保存及研究中心(新竹,台灣)購買 ' HUVECs (H-UV001),並在經明膠塗覆之燒瓶中,於含有 20% (v/v)胎牛血清(FBS,Hyclone,Utah,USA)、3微克 / 毫 升内皮細胞生長添加物(ECGS,Sigma-Aldrich, St. Louis, MO)、5 IU/ 毫升肝素(Sigma-Aldrich,St. Louis, MO)、1 mM 〇 丙酮酸鹽、2 mM麩胺醯胺、100 U/毫升青黴素、及0.1毫 克/毫升鍵黴素之M199培養基(Invitrogen Corporation, Carlsbad,CA)中,在37°C及5 % C02下進行培養。為進行該 增殖分析,以4000個細胞/孔之密度,將HUVECs接種於含 有1.5% (v/v) FBS、5 IU/毫升肝素、1 mM丙酮酸鹽、2 mM 麩胺醯胺、100 U/毫升青黴素、及0.1毫克/毫升鏈黴素 之Ml 99培養基中,並在37 °C下培育隔夜。在漸增濃度之 VC300 mAb存在下,以13.6納克/毫升之VEGF3-114,對該 等HUVECs進行激發32小時。接著加入BrdU,並使該等 17 200944230 HUVECs額外再進行培育16小時。以購自Calbiochem (San Diego,CA)之BrdU細胞增殖分析測量納入之BrdU。 相較於無-VEGF控制組,在48 h時,以13.6納克/毫升之 VEGF處理之HUVEC增殖增加約3倍。在約2 nM抗-VEGF單 株抗體VC300 mAb之存在下,VEGF之作用降低至基線量。 如圖4所示,其繪製HUVEC增殖曲線,而IC50值約為1 nM。 此等數據表示,VC300 mAb可專一結合VEGF並中和VEGF ❿ 活性。 實例6 VC3〇0 mAb在體内之中和活性 以一先前經敘述之技術加上修改而產生CNV [Tobe et al., (1998)」/«乂 153: 1641-1646]。所有之實驗皆根 據視覺與眼科研究協會(Association for Research in Vision and Ophthalmology (ARVO))針對眼科及視覺研究中之動物 使用之聲明而進行。簡言之,以0.15毫升/公斤之2 %利 多卡因(lidocaine)(Xylocaine; Astra, Astra Sodertalje, ❺ Sweden)及 50 毫克 / 毫升氣胺酮(ketamine)(Ketalar;Vh-CDR2: RINPYTGETLYNQKFKD (SEQ ID NO: 2); Vh-CDR3: RGYAGSGGIYSMDS (SEQ ID NO: 3); Vl-CDR1: TASSAVSSSYLH (SEQ ID NO: 4); 11 200944230 VL-CDR2: STSNLAS (SEQ ID NO : 5); VL-CDR3: HQYHRSPYT (SEQ ID NO: 6). In addition, it is possible to prepare variants of the antibodies of the invention having high affinity for VEGF using standard molecular biology techniques. A variant herein refers to a molecule whose amino acid sequence differs from the parent amine by the addition, deletion, and/or substitution of one or more amino acid residues in one or more CDRs of the parent antibody. Base acid sequence. The amino acid sequence of the variant CDR typically has at least 75% (e.g., < 80%, 85%, 90%, 95%, 98%, or 99%) sequence identity to the parent antibody CDR. The monoclonal antibodies of the present invention can be incorporated into a pharmaceutical composition suitable for administration to a subject. Generally, the pharmaceutical compositions comprise a therapeutically effective amount of a monoclonal antibody of the invention, together with a pharmaceutically acceptable diluent, carrier, and/or excipient. By "acceptable" is meant that the carrier must be compatible with the active ingredient of the composition (and preferably, the active ingredient is stable) and is not deleterious to the subject to be treated. The pharmaceutical composition for administration is designed to be suitable for the administration route of the drug, and a pharmaceutically acceptable diluent, carrier, and/or excipient such as a dispersing agent, a buffering agent, a surfactant, and a preservative. Agents, solubilizers, isotonic agents, stabilizers, and the like, are used as appropriate. ^ The monoclonal antibodies of the invention may also be embedded in microcapsules. For example, the monoclonal antibodies can be prepared by a coacervation technique or interfacial polymerization in a drug delivery system, such as 'liposome and nanoparticles, via standard or common techniques in any art. The above pharmaceutical composition can be used for the treatment of various VEGF-related gray tube neoplasias. The VEGF-associated angiogenic disease can include, but is not limited to, 12 200944230 AMD, rheumatoid arthritis, and diabetic retinopathy. It can be administered via a suitable route to a subject in need of such treatment, e.g., intravenous, intraperitoneal, subcutaneous, transpulmonary, transdermal, intramuscular, intranasal, buccal, sublingual, or suppository administration. In a preferred embodiment of the invention, the monoclonal anti-system is formulated into a pharmaceutical composition, such as a solution suitable for intravenous injection. The effectiveness of the monoclonal antibodies of the present invention in preventing or treating diseases can be improved by administering the antibodies in series or in combination with another agent effective for such targets. These other agents may be present in the administered composition or may be administered separately. At the same time, the antibody may be administered in a series or in combination with radiation therapy, whether it involves radiation exposure or administration of radioactive material. Non-therapeutic uses of the monoclonal antibodies of the invention include, but are not limited to, affinity purification and diagnostic assays. The following specific examples are to be construed as illustrative only and not limiting in any way. In the absence of further elaboration, the skilled artisan can utilize the invention to its fullest extent in accordance with the teachings herein. All publications cited herein are hereby incorporated by reference in their entirety. Example 1 Production of anti-VEGF monoclonal antibody The cDNA encoding VEGF3_" 4 (SEQ ID NO: 7) was cloned and expressed in a prokaryotic system. The VEGFV^4 was purified to homogeneity for mouse immunization. Monoclonal antibodies were produced according to the method of Kohler [K〇hler (1975) 256: 495]. Briefly, six weeks old balb/c male 13 200944230 mice were immunized four times with the recombinant VEGF3.m. Lymphocytes were harvested and fused with osteoblastoma cells by polyethylene glycol 1500 (Roche Diagnostics GmbH, Mannheim, Germany) to produce fusion tumor cells. The fusion tumor cells are seeded and grown in a selection medium containing hypoxanthine, aminoguanidine, and thymidine (Invitrogen Corporation, Carlsbad, CA) to allow hypoxanthine 7 scutellaria ribosyltransferase - Growth of positive cells. The culture broth was collected and the presence of antibodies reactive with VEGF 3.114 antigen was screened by ELISA. Application 限制 Limit dilution to select positive production lines for antibody production. After several rounds of selection, a pure line producing a high level of anti-VEGF antibody was obtained and designated as VC300. Example 2 The epitope of VC3〇0 mAb was circled to elucidate the binding epitope of VC300 mAb. In the mapping, 'VEGF3.114 (SEQ ID NO: 8) and five VEGF fragments VEGF3-33, VEGF3_63, VEGF3_93 were used in the mapping. , VEGF 3.100, and VEGF3-107 (see Figure 1B). The nucleotide sequences of all such constructs were verified by DNA sequencing. The expression profile of the fusion protein was analyzed by Western blot analysis using 12.5% 10 SDS-PAGE and anti-five-His monoclonal antibody (Qiagen, Valencia, CA). These lysates were used in the validation of the binding epitope of the VC300 mAb. Peptide of various VEGF cDNAs containing expression vectors at 0.4 mM isopropyl-stone-D-thiogalactopyranoside (IPTG, Sigma-Aldrich, St. Louis, MO) at 37 ° C Fragmented E. coli (five co/i) cells were induced for 3 hours to express recombinant proteins, which were then centrifuged at 1 Torr, rpm for 2 minutes to harvest the cells. The cell pellets were suspended, lysed with protein sample buffer, boiled for 10 minutes, and analyzed by 12.5% SDS-PAGE. For the West 14 200944230 square point collapse analysis, the gel was electrolyzed onto the PVDF membrane and then incubated at room temperature in phosphate buffered saline (pH 7.4) containing 0.05% Tween 20 at 5% skim milk. The membranes were blocked for 1 hour and probed with a 1:1000 dilution of anti-five-His monoclonal antibody or VC300 mAb, followed by HRP-complex goat anti-mouse immunoglobulin (Chemicon Int., Temecula, CA). ) carry out the reaction. By adding diaminobenzidine (Sigma-Aidrich, St. Louis, MO) chromogenic reagent, 0.05% diaminobenzidine, 0.005% hydrogen peroxide in 0.1 φ M Tris-HCl (pH 7.4), The binding reaction is detected. It is expected that the epitope may span a contiguous region on the antigen, as the VC3 00 mAb recognizes VEGF3_114. Under this hypothesis, five VEGF cut-off fragments were used in the validation of binding epitopes. All of these VEGF fragments were well expressed in E. coli cells, such as by SDS-PAGE (Figure " 1C, left panel) and Western blot analysis using anti-five-His monoclonal antibodies (data not shown) Revealed. In Figure 1C (right panel), these results show that VC300 mAb does not react with the four fragments Φ vegf3_33, VEGF3.63, VEGF3-93, VEGF3-100, except for VEGF3.1〇7 and VEGF3.114. . These results indicate that the amino acid residues Asn100 to Lys1()7 of full length VEGF (SEQ ID NO: 9) provide a binding epitope on VEGF that can be recognized by the VC300 mAb. Example 3 Identification of VC300 mAb cDNA Total mRNA was extracted from 5 x 106 fusion tumor cells producing VC300 mAbs using an mRNA purification kit Oligotex Maxi Kit (Qiagen, Valencia, CA). cDNA was synthesized using RT-PCR according to the design of Amersdorfer et al. (1997) / «/eci 65(9): 3743-3752. The resulting cDNA of 15 200944230 was subcloned into a sputum vector (Invitrogen, CA, USA) and sequenced. The deduced amino acid sequence of VH and VL is shown in Figures 2A and 2B. In the VH sequence, it contains the heavy chain hypervariable region CDR1, CDR2, and CDR3, and the sequences thereof are GYFMN (SEQ ID NO: 1), RINPYTGETLYNQKFKD (SEQ ID NO: 2), and RGYAGSGGIYSMDS (SEQ ID NO: 3). In the VL sequence, the sequences of CDR1, CDR2, and CDR3 are TASSAVSSSYLH (SEQ ID NO: 4), STSNLAS (SEQ ID NO: ❹ 4), and HQYHRSPYT (SEQ ID NO: 6), respectively. BLAST searches were performed on the amino acid sequences (especially CDRs) of these VH& VL fragments from the NCBI database, and these data indicate that these sequences are novel CDRs in mouse monoclonal antibodies VH and VL. These data indicate that the VC300 mAb is a novel anti-VEGF monoclonal antibody and has a clinically useful value. Example 4 Preparation and Characterization of VC300 mAb The VC300 mAb was purified from mouse ascites by sulfuric acid precipitation and CM Sepharose chromatography (GE Healthcare, 〇 Piscataway, NJ). The purified VC300 mAb was analyzed by 7.5% SDS-PAGE and the protein concentration was quantified by absorbance at 280 nm. Isotype I of the VC300 mAb was determined by assay kit I of a single antibody isotype taken from PIERCE (Rockford, IL, USA). The separation constant (Kd) of antigen-antibody action was determined by a competitive ELISA [Lin et al., (1997) 254: 9-17]. Briefly, various concentrations of VEGF3_114 were incubated overnight at 4 °C with the antibody VC3 00 mAb to achieve equilibrium. The mixtures were transferred to wells coated with 3 μg/ml VEGF 14 and incubated for 1 hour at room temperature. By adding goat anti-mouse composite 16 200944230 HRP (horseradish peroxidase) followed by 2,2-carbazino-bis-3ethylbenzo-thiazoline-6 sulfonic acid (ABT, Sigma- Aldrich, St. Louis, MO) was incubated to show the amount of VC300 mAb attached to the well. The absorbance at 450 nm was measured and the Kd value was calculated as described above. The isoform of VC3 00 mAb was determined to be igGl (data not shown) and its Kd was approximately 2 X 10_9 Μ as shown in Figure 3. Because of its high affinity for VEGF, the VC300 mAb can effectively reduce VEGF-induced new blood vessel growth in vitro or in vivo. Example 5 VC3〇0 mAb neutralizing activity in vitro To evaluate the activity of VC300 mAb in vitro, HUVEC proliferation analysis was performed. Purchased 'HUVECs (H-UV001) from the Bioresource Conservation and Research Center (Hsinchu, Taiwan) in a gelatin-coated flask containing 20% (v/v) fetal bovine serum (FBS, Hyclone, Utah, USA), 3 μg/ml endothelial cell growth supplement (ECGS, Sigma-Aldrich, St. Louis, MO), 5 IU/ml heparin (Sigma-Aldrich, St. Louis, MO), 1 mM guanidinium pyruvate, The culture was carried out at 37 ° C and 5% C02 in M 199 medium (Invitrogen Corporation, Carlsbad, CA) of 2 mM glutamine, 100 U/ml penicillin, and 0.1 mg/ml of cinnamycin. For this proliferation assay, HUVECs were seeded at 1.5 cells (v/v) FBS, 5 IU/ml heparin, 1 mM pyruvate, 2 mM glutamine, 100 U at a density of 4000 cells/well. /ml penicillin, and 0.1 mg/ml streptomycin in Ml 99 medium, and incubated overnight at 37 °C. The HUVECs were challenged for 32 hours in the presence of increasing concentrations of VC300 mAb at 13.6 ng/ml of VEGF 3-114. Then BrdU was added and the 17 200944230 HUVECs were additionally incubated for an additional 16 hours. BrdU was included in the BrdU cell proliferation assay purchased from Calbiochem (San Diego, CA). The proliferation of HUVEC treated with VEGF at 13.6 ng/ml was increased approximately 3-fold compared to the non-VEGF control group at 48 h. The effect of VEGF was reduced to a baseline amount in the presence of about 2 nM anti-VEGF monoclonal antibody VC300 mAb. As shown in Figure 4, it plots the HUVEC proliferation curve with an IC50 value of approximately 1 nM. These data indicate that the VC300 mAb specifically binds to VEGF and neutralizes VEGF ❿ activity. Example 6 VC3〇0 mAb in vivo neutralizing activity CNV was generated by a previously described technique plus modification [Tobe et al., (1998)" / «乂 153: 1641-1646]. All experiments were conducted in accordance with the Declaration of Association for Research in Vision and Ophthalmology (ARVO) for the use of animals in ophthalmic and visual research. Briefly, 0.15 ml/kg of 2% lidocaine (Xylocaine; Astra, Astra Sodertalje, ❺ Sweden) and 50 mg/ml ketamine (Ketalar;

Parke-Davis, Morris Plains, NJ)之等體積混合物之肌内注射 麻醉棕色挪威(BN)大鼠。在麻醉之後,以1 %托品醯胺 (tropicamide)(l % Mydriacyl; Alcon Laboratories)擴張右瞳 孔。以玻尿酸酶鈉(Healon; Pharmacia and Upjohn)將一小片 直徑約3 mm之透明薄片(3M, Minneapolis, MN)黏附於角膜 上以作為隱形眼鏡。經由一狹缝燈(Carl Zeiss, Oberkochen, Germany)傳遞氪雷射(Novus Omni; Coherent, Palo Alto, CA)照射❶所用之雷射參數如下:光點大小=l 〇〇 mm,功 200944230 率=120至160 mW,及暴露期間=0,1秒。嘗試破壞玻璃膜 (Bruch’ s membrane),如由中央空泡之形成獲得臨床證 實,有或無視網膜或脈絡膜内之出血。在右眼底之主視網 膜血管間產生四個病變。在第14天以眼科顯微鏡檢驗、眼 底攝影、及習知之螢光血管造影術(FAG)(使用數位眼底照 相機(Retinal Angiography; Heidelberg Engineering, Heidelberg, Germany))檢驗該等CNV病變。在產生病變後, ❹ 以鹽水或VC300 mAb治療病變位點,並以螢光血管造影術 再次檢驗大鼠視網膜。在以氬雷射誘發CNV兩週後,進行 大鼠視網膜之螢光血管造影,並檢驗初始雷射損傷位點處 之螢光滲漏。 如圖5A及5B所示,螢光滲漏之強度指出在右及左眼中成 功產生CNV病變。在誘發CNV兩週後,以有或無VC300 mAb 治療病變位點,並分析大鼠視網膜之螢光血管造影。該等 數據顯示,VC300 mAb有效降低了螢光滲漏之程度,如圖 G 5C (VC300 mAb治療組)及5D (鹽水控制組)所示。此等結果 指出,VC300 mAb可中和VEGF以減少血管新生作用。 其他具體實例 揭示於本專利說明書中之所有特徵皆可以任何組合結 合。各個揭示於本專利說明書中之特徵可以提供相同、相 當、或類似目的之其他替代特徵置換。因此,除非另外明 確聲明,所揭示之各個特徵僅為一同類系列之相當或類似 特徵之實例。 由上文之敘述,熟習技藝者可輕易確知本發明之必要特 19 200944230 徵,且在不偏離其精神及範圍之情形下,可對本發明進^ 各種變更及修改,以使其適應各種用途及條件。因此,其 他之具體實例亦涵括於下述申請專利範圍之範圍之 " 【圖式簡單說明】 ° 刖文之發明内容以及前文之實施方式將可在結合附呈之 圖式閱讀之情形下獲得更佳之理解。就說明本發明之目 的,在該等圖式中顯示目前較佳之具體實例。然而,咸應 ❹ 明瞭’本發明並不限於所示之確切安排及手段。 在該等圖式中: 圖1A顯示VEGF3·"4 (SEQ ID NO: 8)之序列,其中α _螺旋 及 /5-股根據 Wiesmami et al [Wiesmann et al. (1998) • 扪07 37:17765-17772]畫有底線並標記,而VC3〇〇 mAb之結合抗原表位以粗體顯示。圖1B顯示各種截節VEQF 片段。圖1C顯示該等VEGF片段在大腸桿菌中之表現,如以 SDS-PAGE所測定(左側板,]V!=標記物),以及由西方點潰 〇 分析所進行之結合抗原表位驗證(右侧板)。 圖2A及2B分別顯示VC300 mAb在重鏈可變區(SEQ ID NO: 10)及輕鏈可變區(SEq id NO: 11)中之胺基酸序列)。 該等 CDRs係根據由 Kabat et al. [(1991) Sequences of Proteins of Immunological Interest [具免疫學重要性之蛋白 之序列],第五版· NIH出版品No. 1991; 91-3234]所研發之 分析方法而判定並畫有底線。 圖3顯示VC3 00 mAb對人類VEGF3_114之結合親和力。 圖4說明VC3 00 mAb對於VEGF-誘發性HUVEC增殖之抑 20 200944230 制的作用。 圖5說明VC300 mAb在大鼠模式中對於降低雷射光凝誘 發性CNV之程度的作用。在氬雷射之CNV誘發2週後之大鼠 視網膜螢光血管造影示於A (右眼)及B (左眼)中,在接續進 行另外一週之不同治療後者示於C (經VC300 mAb治療)及 D (鹽水控制組)中。箭號代表雷射損傷位點之螢光滲漏區 域。 #Intramuscular injection of an equal volume mixture of Parke-Davis, Morris Plains, NJ) Anesthetized brown Norwegian (BN) rats. After anesthesia, the right pupil was dilated with 1% tropicamide (1% Mydriacyl; Alcon Laboratories). A small piece of transparent sheet (3M, Minneapolis, MN) having a diameter of about 3 mm was adhered to the cornea as a contact lens by sodium hyaluronate (Healon; Pharmacia and Upjohn). The laser parameters used to transmit the krypton laser (Novus Omni; Coherent, Palo Alto, CA) via a slit lamp (Carl Zeiss, Oberkochen, Germany) are as follows: spot size = l 〇〇 mm, work 200944230 rate = 120 to 160 mW, and exposure period = 0, 1 second. Try to destroy the Bruch's membrane, as evidenced by the formation of central vacuoles, with or without retinal or intrachoroidal hemorrhage. Four lesions were created between the main retina vessels in the right fundus. These CNV lesions were examined on day 14 by ophthalmic microscopy, fundus photography, and conventional fluorescein angiography (FAG) using a digital fundus camera (Retinal Angiography; Heidelberg Engineering, Heidelberg, Germany). After the lesion was produced, the lesion was treated with saline or VC300 mAb and the rat retina was examined again by fluorescein angiography. Two weeks after induction of CNV by argon laser, fluorescein angiography of the rat retina was performed and fluorescence leakage at the initial laser lesion site was examined. As shown in Figures 5A and 5B, the intensity of the fluorescent leak indicates that the CNV lesion is successfully produced in the right and left eyes. Two weeks after induction of CNV, lesion sites were treated with or without VC300 mAb and fluorescein angiography of the rat retina was analyzed. These data show that the VC300 mAb effectively reduces the extent of fluorescence leakage as shown in Figure G 5C (VC300 mAb treatment group) and 5D (saline control group). These results indicate that the VC300 mAb neutralizes VEGF to reduce angiogenesis. Other Specific Examples All of the features disclosed in this patent specification can be combined in any combination. Each of the features disclosed in this patent specification may be substituted for other alternative features of the same, equivalent, or similar purpose. Therefore, unless expressly stated otherwise, the various features disclosed are merely examples of equivalent or similar features of the same series. From the above description, those skilled in the art can readily ascertain the invention of the present invention, and the present invention can be modified and modified to suit various uses and without departing from the spirit and scope thereof. condition. Therefore, other specific examples are also included in the scope of the following patent application. [Simplified description of the drawings] ° The contents of the invention and the foregoing embodiments will be read in conjunction with the attached drawings. Get a better understanding. For the purposes of the present invention, the presently preferred embodiments are shown in the drawings. However, it should be understood that the invention is not limited to the exact arrangements and means shown. In these figures: Figure 1A shows the sequence of VEGF3·"4 (SEQ ID NO: 8), where α_helix and /5-strand according to Wiesmami et al [Wiesmann et al. (1998) • 扪07 37 :17765-17772] The bottom line is drawn and labeled, while the binding epitope of VC3〇〇mAb is shown in bold. Figure 1B shows various cut VEQF segments. Figure 1C shows the expression of these VEGF fragments in E. coli as determined by SDS-PAGE (left panel, ]V!=label), and binding epitope verification by Western blot analysis (right) Side panel). 2A and 2B show the amino acid sequence of the VC300 mAb in the heavy chain variable region (SEQ ID NO: 10) and the light chain variable region (SEq id NO: 11), respectively. These CDRs were developed according to Kabat et al. [(1991) Sequences of Proteins of Immunological Interest, Fifth Edition, NIH Publication No. 1991; 91-3234] The analysis method determines and draws the bottom line. Figure 3 shows the binding affinity of the VC3 00 mAb to human VEGF3_114. Figure 4 illustrates the effect of VC3 00 mAb on VEGF-induced HUVEC proliferation inhibition 200944. Figure 5 illustrates the effect of the VC300 mAb on reducing the extent of laser photocoagulation-induced CNV in rat mode. Rat retinal angiography after 2 weeks of CNV induction by argon laser is shown in A (right eye) and B (left eye), followed by another week of different treatment. The latter is shown in C (treated by VC300 mAb) ) and D (salt control group). The arrow represents the fluorescent leak area of the laser damage site. #

21twenty one

Claims (1)

200944230 十、申請專利範園: 1. 一種抗人類企管内皮生長因子(VEGF)單株抗體,其中該 抗體可以小於約2 X 1 〇-9 1^[之Kd值結合人類VEFG (SEQ ID N〇:9)中含有胺基酸殘基Asni〇〇至LySl〇7之抗原表位,其中 該抗體具有包含一或多種選自由SEq ID NOs: 1、2、及3 所構成之群之胺基酸序列之重鏈可變區,以及包含一或多 種選自由SEQ ID NOs: 4、5、及6所構成之群之胺基酸序 φ 列之輕鍵可變區。 2.如請求項1之單株抗體,其中該抗蠢具痛包♦胺《基酸序列 SEQ ID NOs: 1、2、及3之重鏈可變區,以及包含胺基酸 序列SEQ ID NOs: 4、5、及6之輕鏈可變區。 ' 3.如請求項2之單株抗體’其中該抗體具有含有胺基酸序列 - SEQ ID NO: 10之重鏈可變區,以及含有胺基酸序列SEq ID NO: 11之輕鏈可變區。 4.如請求項1之單株抗體,其中該抗體係全分子免疫球蛋白 _ 之功能性片段。 ' 5.如請求項4之單株抗體,其中該片段係Fab、Fab,、F0b&gt;2、 或 F(ab丨)2。 6. 如請求項2之單株抗體,其中該抗體係選自由Fab、Fab,、 F(ab)2、或F(ab')2所構成之群之全分子免疫球蛋白之功能 性片段。 7. 如請求項1之單株抗體,其中該抗體係人類化抗體。 8. 如請求項2之單株抗體’其中該抗體係人類化抗體。 9. 一種用以治療VEGF-相關性血管新生疾病之方法,其包含 22 200944230 對需要其之對象投藥治療有效量之如請求項丨之單株抗 10. 如請求項9之方法,其中該VEGF_相關性血管新生疾病係 選自由癌症、年齡相關性黃斑變性(AMD)、類風濕性關節 炎、及糖尿病視網膜病變所構成之群。 11. 如請求項10之方法’其中該VEGF-相關性血管新生疾病係 年齡相關性黃斑變性(AMD)。 β 12.如請求項9之方法,其中該抗體係選自由Fab、Fab,、 F(ab)2、.F(ab’)2所構成之群之全分乎宽疫.球赞嘗之片段。 13如明求項9之方法,其中該抗體具有包含胺基酸序列 . 〇s. 1、2、及3之重鏈可變區,以及包含胺基酸序列 SEQ I〇n〇s: 4、5、及ό之輕鏈可變區。 14·如請求項13之方法,其中該抗體具有含有胺基酸序列seq 1〇之重鏈可變區,以及含有胺基酸序列Seq①N〇: 11之輪鍵可變區。 © 15.如3月求項9之方法,其中該抗體係人類化抗體。 16.如叫求項13之方法,其中該抗體係人類化抗體。 17·如请求項13之方法,其中該VEGF-相關性血管新生疾病係 达自由癌症、年齡相關性黃斑變性(AMD)、類風濕性關節 炎、及糖尿病視網膜病變所構成之群。 18. 如請求項17之方法,其中該VEGFjg關性血管新生疾病係 年齡相關性黃斑變性(AMD)。 19. 如請求項13之方法,其中該抗體係選自由Fab、Fab'、 F(ab)2、或F(at)l)2所構成之群之全分子免疫球蛋白之片段。 23 200944230 20.如請求項14之方法,其中該抗體係選自由Fab、Fab1、 F(ab)2、或F(ab%所構成之群之全分子免疫球蛋白之片段。200944230 X. Application for Patent Park: 1. An anti-human antibody to endothelial growth factor (VEGF) monoclonal antibody, wherein the antibody can be less than about 2 X 1 〇-9 1^[Kd value binds to human VEFG (SEQ ID N〇) :9) comprising an epitope of an amino acid residue Asni(R) to LySl7, wherein the antibody has one or more amino acids selected from the group consisting of SEq ID NOs: 1, 2, and 3. A heavy chain variable region of the sequence, and a light bond variable region comprising one or more amino acid sequence φ columns selected from the group consisting of SEQ ID NOs: 4, 5, and 6. 2. The monoclonal antibody of claim 1, wherein the anti-stupid pain-containing amino acid "base acid sequence SEQ ID NOs: heavy chain variable region of 1, 2, and 3, and amino acid sequence SEQ ID NOs : Light chain variable regions of 4, 5, and 6. 3. The monoclonal antibody of claim 2, wherein the antibody has a heavy chain variable region comprising an amino acid sequence - SEQ ID NO: 10, and a light chain variable comprising the amino acid sequence SEq ID NO: 11 Area. 4. The monoclonal antibody of claim 1, wherein the anti-system is a functional fragment of a full-molecule immunoglobulin. 5. The monoclonal antibody of claim 4, wherein the fragment is Fab, Fab, F0b&gt;2, or F(ab丨)2. 6. The monoclonal antibody of claim 2, wherein the anti-system is selected from the group consisting of functional fragments of a full-molecule immunoglobulin consisting of Fab, Fab, F(ab)2, or F(ab')2. 7. The monoclonal antibody of claim 1, wherein the anti-system humanized antibody. 8. The monoclonal antibody of claim 2, wherein the anti-system humanized antibody. A method for treating a VEGF-associated angiogenic disease, comprising: 22, 2009, 430, </ RTI> </ RTI> </ RTI> </ RTI> </ RTI> <RTIgt; The _ related angiogenesis disease is selected from the group consisting of cancer, age-related macular degeneration (AMD), rheumatoid arthritis, and diabetic retinopathy. 11. The method of claim 10 wherein the VEGF-associated angiogenic disorder is age-related macular degeneration (AMD). The method of claim 9, wherein the anti-system is selected from the group consisting of Fab, Fab, F(ab)2, .F(ab')2. . The method of claim 9, wherein the antibody has a heavy chain variable region comprising an amino acid sequence. 〇s. 1, 2, and 3, and an amino acid sequence comprising SEQ I〇n〇s: 5. The light chain variable region of ό. The method of claim 13, wherein the antibody has a heavy chain variable region comprising an amino acid sequence seq 1〇, and a cyclic bond variable region comprising an amino acid sequence Seq1N〇:11. © 15. The method of claim 9, wherein the anti-system humanized antibody. 16. The method of claim 13, wherein the anti-system humanizes the antibody. The method of claim 13, wherein the VEGF-related angiogenic disease is a group consisting of free cancer, age-related macular degeneration (AMD), rheumatoid arthritis, and diabetic retinopathy. 18. The method of claim 17, wherein the VEGFjg angiogenic disease is age-related macular degeneration (AMD). 19. The method of claim 13, wherein the anti-system is selected from the group consisting of Fab, Fab', F(ab)2, or F(at)l)2. The method of claim 14, wherein the anti-system is selected from the group consisting of Fab, Fab1, F(ab)2, or F (ab%) of a full-molecular immunoglobulin fragment. 24twenty four
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