TW201038590A - Antibodies specific for the protofibril form of beta-amyloid protein - Google Patents

Antibodies specific for the protofibril form of beta-amyloid protein Download PDF

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TW201038590A
TW201038590A TW98113213A TW98113213A TW201038590A TW 201038590 A TW201038590 A TW 201038590A TW 98113213 A TW98113213 A TW 98113213A TW 98113213 A TW98113213 A TW 98113213A TW 201038590 A TW201038590 A TW 201038590A
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antibody
monoclonal antibody
seq
peptide
gly
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TW98113213A
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Chinese (zh)
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TWI508976B (en
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Jeffrey Ravetch
Hidehiro Fukuyama
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Univ Rockefeller
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Abstract

Isolated antibodies have been characterized which show specific affinity to a repeating conformational epitope of a protofibril form of the human β -amyloid peptide as compare to low molecular weight forms of β -amyloid peptide. These isolated antibodies and related pharmaceutically effective compositions may be useful in the therapeutic and/or prophykactic treatment of Alzheimer's disease by effectively blocking the ability of the protofibril form of β -amyloid peptide to form fibril forms linked with complications associated with Alzheimer's disease. The isolated antibodies of the present invention are also useful in various diagnostic assays and associated kits.

Description

201038590 六、發明說明: 【發明所屬之技術領域】201038590 VI. Description of the invention: [Technical field to which the invention belongs]

阿兹海默氏症(Alzheimer's 里形式具最小或無可偵測親和 I用於診斷、治療及/或預防與 disease)發作及進展相關之p —類 澱粉斑塊沈積。 【先前技術】 認為β-類澱粉(Αβ)肽為經由形成不可溶Αβ肽原纖維且此 等原纖維沈積以形成類澱粉斑塊而導致阿茲海默氏症 (「AD」)之病原體。認為在對記憶及其他認知功能關鍵之 腦區域内形成此等斑塊引起與此疾病相關之癡呆(參看Alzheimer's disease (in the form of Alzheimer's with minimal or no detectable affinity I for diagnosis, treatment and/or prevention of disease) and the onset and progression of p-like amyloid deposits. [Prior Art] The β-based starch (Αβ) peptide is considered to be a pathogen causing Alzheimer's disease (“AD”) by forming insoluble Αβ-peptide fibrils and depositing such fibrils to form amyloid plaques. It is believed that the formation of such plaques in brain regions critical to memory and other cognitive functions causes dementia associated with the disease (see

Selkoe,1994, J. 五;53:438_447)。β_ 類澱粉肽包含一組長39-43個胺基酸之肽,其係由卜分泌酶 及γ-力泌酶分別在胺基及叛基末端蛋白水解自類殺粉前驅 蛋白(ΑΡΡ)加工而來。ΑΡΡ存在至少五種明顯不同同功異 型物:長度分別為563、695、714、75 1及770個胺基酸(來 看Wirak等人,1991 253:323)。藉由替代性拼接 APP基因之初級轉錄物產生APP之此等同功異型物。已在 具有體染色體顯性早發性阿茲海默氏症之家族中之App中 鑑別出眾多誤義突變。一些突變叢集於分泌酶裂解位點附 近且藉由增加Αβ形式(例如Αβ42)之產量或比例來影響App 代謝’其傾向於比其他形式更具原纖維生成性且聚隼更 139769.doc 201038590 快。神經元毒性可存在於經由使可溶Αβ肽聚集為不可溶原 纖維且隨後將原纖維併入類澱粉斑塊中形成之大分子量原 纖維中。中間原纖維形式為基原纖維(PF)形式,一種Αβ肽 之大分子量券聚开> 式,其在活體外可溶且可以約67〇 kDa 貫體形式分離。因此,活體外形成不可溶Αβ肽原纖維為 Α β狀初始券t化以形成結構上獨特之可溶較高分子量基原 ‘纖維形式之最終結果。此等暫時之基原纖維結構為造成阿 兹海默氏症(AD)及其他蛋白質聚集疾病中細胞功能障礙及 〇 神經元損失之類澱粉纖維的前驅體。 已發展各種治療來嘗試防止Αβ肽形成,例如防止APP之 蛋白水解加工的抑制劑。同樣,已謀取諸如投予抗Αβ抗體 (以誘導類澱粉沈積物之清除)或以Αρ肽抗原免疫(以促進 體液反應)之免疫療法策略來試圖減小斑塊尺寸及密度。 頒予Lannfelt等人之美國專利第7,179,463號揭示一種藉 由投予針對由Αβ肽編碼區内北極突變(Arctic mutati〇n)組 Q 成之基原纖維而產生之抗體來治療阿茲海默氏症之方法。 在說明書中未提供所產生抗體之例證且未提供關於對Αβ肽 之低分子量形式之親和力的比較。 頒予Schenk等人之美國專利第6,761,888號及第6,75〇 324 ' 號揭不一系列識別沿AP42胺基酸序列之各種抗原決定基之 抗體。對Αβυ之N-末端及中部區域具專一性之抗體展示在 離體及活體内均減小斑塊之功效。 儘官在治療及預防阿兹海默氏症之領域中存在當前知 識,但對治療及/或預防此疾病之改良組合物及方法仍存 139769.doc 201038590 在需要。本發明之組合物及方法藉由揭示對八(3肽之基原纖 、准幵v式具專一性同時展示對Α β肽之低分子量形式具最小可 偵測親和力的抗體來解決且滿足此等需要。包含此抗體之 醫藥學上有效之組合物將適用於治療及/或預防已知與阿 茲海默氏症發作及進展相關之|3_類澱粉斑塊沈積。 【發明内容】 本發明係關於—種經分離抗體’其展示與卜類殿粉狀之 基原纖維形式之構形抗原決定基專一性結合。野生型卜類 澱粉(Αβ)肽之單體在此項技術中已知且在本文中展示為 SEQ ID NO: 1。本發明之經分離抗體對八^太之較大分子量 基原纖維形式之此重複構形抗原決定基具有親和力,同時 展示對Αβ肽之其他形式(諸如Αβ肽之單體或二聚體形式)具 最小或無親和力。 本發明亦係關於一種與Αβ肽之基原纖維形式之構形抗原 決定基專-性相互作用且展示對事之基原纖維形=構 形抗原決定基具可量測親和力的經分離抗體其中基原纖 維抗原決定基係由包含Αβ肽之暴露部分之胺基末端^分的 Αβ-基原纖維形式之暴露區域表示。 本發明另外係關於一種與Αβ肽之基原纖維形式之構形扩 原決定基專-性相互作用且展示對Αρ肽之基原纖維形Ζ 構形抗原決定基具可量測親和力的經分離抗體, 工 纖維抗原決定基係由包含Αβ肽之暴露部 乃·2 20(SEQ ID NO: 2)的Αβ-基原纖維形式之暴露區域表示 本發明亦關於一種與Αβ肽之基原纖維形式 攝形抗原決 I39769.doc 201038590 定基專一性相互作用且展示對Αβ肽之基原纖維形式之構形 抗原決定基具可量測親和力的經分離抗體,其中基原纖維 抗原決定基係由包含Αβ肽之暴露部分之胺基酸4_ 12及9-20(分別為SEQ ID NO: 3及4)的Αβ-基原纖維形式之暴露區 域表示。Selkoe, 1994, J. V; 53: 438_447). The β_ amyloid peptide comprises a group of 39-43 amino acid peptides which are processed by a secretase and a γ-secretase, respectively, in an amine group and a thiol end protein hydrolyzed from a powder-killing precursor protein (ΑΡΡ). Come. There are at least five distinct isoforms of ΑΡΡ: 563, 695, 714, 75 1 and 770 amino acids (see Wirak et al., 1991 253: 323). This equivalent work isoform of APP is produced by alternatively splicing the primary transcript of the APP gene. Numerous misidentification mutations have been identified in App in families with somatically dominant early onset Alzheimer's disease. Some mutations cluster near the secretase cleavage site and affect App metabolism by increasing the yield or ratio of the Αβ form (eg Αβ42), which tends to be more fibrogenic than other forms and is more 139769.doc 201038590 faster . Neurotoxicity may be present in large molecular weight fibrils formed by aggregating soluble Αβ peptides into insoluble fibrils and subsequently incorporating fibrils into the amyloid plaques. The intermediate fibril form is in the form of a fibril (PF), a large molecular weight valency of the Αβ peptide, which is soluble in vitro and can be isolated in a form of about 67 〇 kDa. Thus, the formation of insoluble Αβ-peptide fibrils in vitro is the final result of the formation of a structurally unique soluble higher molecular weight primordial fiber. These temporary fibrillar structures are precursors of starch fibers that cause cell dysfunction and loss of sacral neurons in Alzheimer's disease (AD) and other protein aggregation diseases. Various treatments have been developed to try to prevent the formation of Aβ peptides, such as inhibitors that prevent proteolytic processing of APP. Similarly, immunotherapeutic strategies such as administration of anti-Aβ antibodies (to induce clearance of starch-like deposits) or immunization with Αρ peptide antigens (to promote humoral responses) have been sought to reduce plaque size and density. U.S. Patent No. 7,179,463 to Lannfelt et al. discloses the treatment of Azhai by administering antibodies raised against the Q-based fibrils of the Arctic Mutant (Arctic mutati〇n) group in the Αβ peptide coding region. The method of Mohs disease. An illustration of the antibodies produced is not provided in the specification and no comparison is provided regarding the affinity for the low molecular weight form of the Aβ peptide. U.S. Patent Nos. 6,761,888 and 6,75,324, both to Schenk et al., disclose a series of antibodies which recognize various epitopes along the AP42 amino acid sequence. The specific antibody to the N-terminal and central regions of Αβυ demonstrates the efficacy of reducing plaques both in vitro and in vivo. There is a current knowledge in the field of treating and preventing Alzheimer's disease, but there are still improved compositions and methods for treating and/or preventing this disease. 139769.doc 201038590 is needed. The composition and method of the present invention solves and satisfies this by revealing an antibody having a minimum detectable affinity for a low molecular weight form of Αβ peptide, which is specific for the octene (3 peptide) fibril, quasi-v-type specificity The pharmaceutically effective composition comprising the antibody will be suitable for the treatment and/or prevention of [3]-like amyloid plaque deposits known to be associated with the onset and progression of Alzheimer's disease. The invention relates to an isolated antibody which exhibits a specific binding to a conformational epitope of a powdery fibrillar form of the genus. The monomer of the wild type starch (Αβ) peptide has been It is known and shown herein as SEQ ID NO: 1. The isolated antibody of the present invention has an affinity for this repetitive conformation epitope of the larger molecular weight fibril form of octa, while exhibiting other forms of the Αβ peptide. (such as a monomeric or dimeric form of the Αβ peptide) with minimal or no affinity. The present invention also relates to a specific interaction with the conformational epitope of the 原β peptide in the form of a fibril form and exhibits a basis for the matter. Fibrous shape = structure An isolated antibody having a measurable affinity, wherein the basal fibril epitope is represented by an exposed region in the form of Αβ-based fibrils comprising an amine terminal of the exposed portion of the Αβ peptide. An isolated antibody having a measurable affinity for a conformational determinant-specific interaction with a ruthenium-based peptide-based fibril form and exhibiting a measurable affinity for a basal fibril-shaped 抗原-configuration epitope of Αρ-peptide The epitope is derived from the exposed region of the Αβ-based fibril form of the exposed portion of the Αβ peptide (SEQ ID NO: 2). The present invention also relates to a profibrillar form of the Αβ peptide. I39769.doc 201038590 An isolated antibody that binds to a specific interaction and exhibits a measurable affinity for a conformational epitope of the basal fibril form of the Αβ peptide, wherein the basal fibril epitope is derived from the exposed portion comprising the Αβ peptide The exposed regions of the Αβ-based fibril form of the amino acids 4-12 and 9-20 (SEQ ID NOS: 3 and 4, respectively) are represented.

本發明部分係關於單株抗體13C3、1D1及19Α6,及 13C3、1D1及19Α6之任何親和力成熟形式。本發明另外係 關於模擬13C3、1D1及19Α6之如本文所述之功能專一性的 〇 抗體。為此目的,本發明亦係關於13C3、1D1、19Α6或 13C3樣、1D1樣或19Α6樣抗體之生物活性片段及/或突變 體’包括(但不必限於)胺基酸取代(例如,如VH或VL區之 親和力成熟之定點形式)、缺失、添加、胺基末端截斷及 竣基末端截斷,以使得此等突變為產生13C3、1D1、19A6 或1 3C3樣抗體結合蛋白之類似或改良型式之抗體或抗體結 合部分提供基礎。在本發明之此部分的一實施例中,13 C 3 之VH及VL區包含如分別在SEQ ID NO: 7(VH)及/或SEQ ID 〆 NO: 5(VL)中闡明之胺基酸序列。 本發明另外係關於一種經分離核酸分子,其包含編碼 13C3、1D1或19A6抗體之VH及/或vL區之核苦酸序列;及 .尤其編碼13 C 3之生物相關部分的經分離核酸分子(聚核苦 酸),或13C3、1D1或19A6抗體之親和力成熟型式或其他 突變型式。為此目的’本發明之一個實施例係關於一種核 酸分子,其包含編碼如分別在SEQ ID NO: 8(13C3 : VH區) 及SEQ ID NO: 6(13C3: VL區)中闡明之13C的VH及VL區之 139769.doc 201038590 核苷酸序列。 本發明亦係關於如本文所揭示之經分離抗體丨3C3、工Μ 或19Α6,亦即與Αβ肽之基原纖維形式之構形抗原決定美 專一性相互作用且展示對Αβ肽基之原纖維形式之構形抗原 決定基具可量測親和力的抗體。 本發明亦係關於能夠產生本發明之單株抗體的融合瘤。 本發明之特定融合瘤包括分別產生例示單株抗體13 〇、 19Α6及1D1之融合瘤。 本發明係關於醫藥學上有效之組合物,其包含如在本文 中揭示且進一步定義之經分離抗體:與^之基原纖維形式 之重複構形抗原決定基專一性相互作用且展示對Αβ之基原 纖維形式之重複構形抗原決定基具實測親和力及與A β之基 原纖維形式之重複構形抗原決定基專一性結合之能力,同 時展不對Α β之低分子量形式具最小或無可量測親和力的經 分離抗體。此等組合物可視情況包含一或多種载劑、一或 多種賦形劑及/或一或多種化學衍生物。 本發明亦係關於治療患有阿茲海默氏症之個體的方法, 其ι έ向該個體投予包含本文所揭示之經分離抗體的醫藥 學上有效之組合物,該經分離抗體亦即與Αβ肽之基原纖維 形式之重複構形抗原決定基專一性相互作用且展示對Αρ肽 之土原纖維形式之重複構形抗原決定基具實測親和力,同 時展7F對Αβ肽之較低分子量形式具最小或無可債測親和力 的抗體it匕等方法將提供治療性介入以便降低患有阿兹海 默氏症之個體之腦中的類殿粉沈積物之量。本發明之此部 139769.doc 201038590 分之特定實_係關於治療患有阿茲海默氏症之個體的方 法,其包含投予與抗體一起調配的醫藥學上有效之组合 物,該抗體展示對Αβ肽之基原纖維形式之構形抗原決定: 具專-親和力(如至少與Αβ肽之低分子量形式相比),尤其 其中基原纖維抗原決定基係由包含Αρ肽之暴露部分之胺基 酸l-2〇(SEQ ID ΝΟ·· 2)的修基原纖維形式之暴露區域= 不。本文所揭示之關於此等治療性及預防性方法之特定實 施例可利用例示性小鼠單株抗體13C3、19Α6、ι〇ι,以及 任何此類抗體之親和力成熟型式、嵌合抗體、人類化抗 體、人類單株抗體,及/或在此項技術中已知之任何其2 此類抗體形式,包括(但不限於)在本文中回顧之抗體料 一性結合成員。在本說明書中可將任何此類抗體或專一性 結合成員稱作「13C3樣抗體」。因此,「13(:3樣抗體」意 謂亦包涵本文所揭示之13C3單株抗體。 本發明亦係關於篩選及選擇可充當與阿兹海默氏症相關 之原纖維及/或老年斑形成之抑制劑的化合物之方法。此 方法包含在各種抗體/肽/測試化合物相互作用檢定中利用 具有13C3樣特徵(例如,相比於Αβ肽之LMW形式對pF具專 一親和力)之抗體以選擇調節原纖維及/或斑塊形成過程之 化合物。 本發明另外係關於專一性測定個體或患者體内基原纖維 含量之診斷檢定方法。此等檢定可藉由技工已知及可得之 任何技術來進行,該等技術包括(但不限於)西方墨點法 (Western blot)、ELISA、放射免疫檢定、免疫組織化學檢 139769.doc 201038590 疋、免疫沈殿或其他在此項技術中已知之免疫化學檢定。 因此,本發明之此部分之一個實施例係關於自個體或患者 取得組織樣本且使用診斷套組及相關檢定來測定樣本中P F Αβ之含量;其中該套組包含13C3樣抗體,因此允許專一 性測定組織樣本中之PF Αβ含量。用於分析之組織樣本通 常為來自個體或患者之血液、血漿、血清、黏液或腦脊 液。 為此目的,本發明之抗體可用於至少以下用途:(1)單 獨或與任何可用組合療法結合作為預防或減少與阿茲海默 氏症相關之斑塊沈積物的預防劑或治療劑;(2)設計可用以 在與治療阿茲海默氏症有關之預防性或治療性疫苗接種策 略中引發有效抗體反應的肽免疫原;(3)產生模擬結合本發 明之抗體的隱密抗原決定基的預防性或治療性抗遺傳型抗 體(Ab2);及’(4)設計來源於本發明之中和抗體之互補決 定區(CDR)的肽以用於篩選用於預防性及/或治療性方案之 基原纖維形成抑制劑,及(5)作為測定處於產生AD之風險 中的患者之血清或CSF令基原纖維A{3之含量的診斷試劑。 本發明之一目標在於提供與A卩肽之基原纖維形式之暴露 構形抗原決定基專一性相互作用且展示對Ap肽之基原纖維 形式之暴露構形抗原決定基具親和力的抗體,該暴露構形 抗原決定基包含Αβ肽之暴露部分之胺基酸出 NO: 2)。 本發明之另一目標在於提供與Αβ肽之基原纖維形式之暴 露構形抗原決定基相互作用且展示對八0肽之基原纖維形式 139769.doc •10· 201038590 之暴露構形抗原決定基具親和力的抗體,該暴露構形抗原 決定基包含八@肽之暴露部分之胺基酸4-12及9-20(8£卩1〇 NO: 3、4)。 該之另一目標在於提供13C3樣抗體,其預防或減少與阿 兹海默氏症相關之斑塊沈積關聯之Αβ肽基原纖維形成。 本發明之另一目標在於提供在抗體/肽/測試化合物相互 作用檢定中提供利用13C3樣抗體來選擇將適用於治療與阿 兹海默氏症相關之斑塊沈積的化合物之檢定。 如本文中所用,「Ka」意欲指特定抗體抗原相互作用之 締合常數’「Kd」意欲指特定抗體-抗原相互作用之解離常 數。 如本文中所用,術語「抗原決定基」或「抗原決定子」 係指抗原上B細胞及/或τ細胞所反應之位點或分子上抗體 所針對產生及/或抗體將結合之位點。舉例而言,可藉由 定義抗原決定基之抗體來識別抗原決定基。抗原決定基可 為「線性抗原決定基」(其中一級胺基酸一級序列包含抗 原決定基;在獨特序列中通常包含至少3個連續胺基酸殘 基且更通常至少5個’且至多約8至約1〇個胺基酸)或「構 形抗原決定基」(一級連續胺基酸序列並非抗原決定基之 唯一疋義組份之抗原決定基)。相對於線性抗原決定基, 構形杬原決定基可包含增加數目之胺基酸,因為此構形抗 原決定基識別肽或蛋白質之三維結構。舉例而言,當蛋白 質分子摺疊以形成三維結構時,形成構形抗原決定基之某 些胺基酸及/或多肽主鏈變得毗鄰,使抗體能夠識別抗原 139769.doc 201038590 決定基。測定抗原決定基構形之方法包括(但不限於例 如)χ射線結晶學、二維核磁共振光譜及位置定向自旋標記 (she-directed spin labeIing)及電子順磁共振光譜。例:參 看 Epitope Mapping Pr〇t〇c〇Is in Meth〇ds & M〇iecu^rThe present invention is directed, in part, to any affinity matured form of monoclonal antibodies 13C3, 1D1 and 19Α6, and 13C3, 1D1 and 19Α6. The invention further relates to a 〇 antibody that mimics the functional specificity of 13C3, 1D1 and 19Α6 as described herein. For this purpose, the invention also relates to biologically active fragments and/or mutants of 13C3, 1D1, 19Α6 or 13C3-like, 1D1-like or 19Α6-like antibodies, including, but not necessarily limited to, amino acid substitutions (eg, such as VH or Affinity-maturation in the VL region), deletions, additions, amino-terminal truncation, and thiol-terminal truncation, such that the mutations are similar or modified versions of the 13C3, 1D1, 19A6 or 1 3C3-like antibody binding protein. Or the antibody binding moiety provides the basis. In an embodiment of this aspect of the invention, the VH and VL regions of 13 C 3 comprise an amino acid as set forth in SEQ ID NO: 7 (VH) and/or SEQ ID 〆 NO: 5 (VL), respectively. sequence. The invention further relates to an isolated nucleic acid molecule comprising a nucleotide sequence encoding a VH and/or vL region of a 13C3, 1D1 or 19A6 antibody; and, in particular, an isolated nucleic acid molecule encoding a biologically relevant portion of 13 C3 ( Polynucleotide), or an affinity matured version of the 13C3, 1D1 or 19A6 antibody or other mutant version. To this end, an embodiment of the invention relates to a nucleic acid molecule comprising 13C encoded as set forth in SEQ ID NO: 8 (13C3: VH region) and SEQ ID NO: 6 (13C3: VL region, respectively) 139769.doc 201038590 nucleotide sequence of VH and VL regions. The present invention is also directed to an isolated antibody, 丨3C3, Μ or 19Α6, as disclosed herein, i.e., a conformational epitope-specific interaction with the basal fibril form of the Αβ peptide and exhibiting a fibril for the Αβ peptide group. Formal conformational epitopes are antibodies with measurable affinity. The present invention also relates to a fusion tumor capable of producing a monoclonal antibody of the present invention. The specific fusion tumor of the present invention comprises a fusion tumor of the exemplified monoclonal antibodies 13 〇, 19 Α 6 and 1 D1, respectively. The present invention relates to a pharmaceutically effective composition comprising an isolated antibody as disclosed and further defined herein: a repetitive conformational epitope specific interaction with a fibril form of the base and exhibiting a The repeating conformation epitope of the fibrillar form has the ability to measure affinity and specifically bind to the repeating conformational epitope of the A-based fibril form, while exhibiting minimal or no An isolated antibody that measures affinity. Such compositions may optionally comprise one or more carriers, one or more excipients and/or one or more chemical derivatives. The invention also relates to a method of treating an individual suffering from Alzheimer's disease, wherein the individual is administered a pharmaceutically effective composition comprising the isolated antibody disclosed herein, ie, the isolated antibody Repeated conformation epitope specific interaction with the 原β peptide-based fibril form and exhibits a measured affinity for the repetitive conformation epitope of the 原ρ peptide in the fibrillar form, while exhibiting a lower molecular weight of the Αβ peptide for 7F Methods such as antibodies with minimal or no affinities will provide therapeutic intervention to reduce the amount of parenchyma deposits in the brain of individuals with Alzheimer's disease. The present invention is directed to a method for treating an individual having Alzheimer's disease, comprising administering a pharmaceutically effective composition formulated with an antibody, the antibody exhibiting Configuration antigenic determination of the fibrillar form of the Αβ peptide: specificity-affinity (as compared to at least the low molecular weight form of the Αβ peptide), especially where the basal fibril epitope is composed of an amine comprising an exposed portion of the Αρ peptide Exposed area of the repaired fibril form of the base acid l-2〇 (SEQ ID ΝΟ·· 2) = No. Specific examples of such therapeutic and prophylactic methods disclosed herein may utilize exemplary mouse monoclonal antibodies 13C3, 19Α6, ι〇ι, and affinity maturation patterns, chimeric antibodies, humanization of any such antibodies Antibodies, human monoclonal antibodies, and/or any of such antibody forms known in the art include, but are not limited to, antibody-binding members that are reviewed herein. Any such antibody or specific binding member may be referred to as a "13C3-like antibody" in this specification. Thus, "13(:3-like antibody) means also encompasses the 13C3 monoclonal antibody disclosed herein. The present invention also relates to screening and selection for fibrillation and/or senile plaque formation associated with Alzheimer's disease. A method of a compound of an inhibitor. The method comprises the use of an antibody having a 13C3-like characteristic (for example, a specific affinity for pF compared to the LMW form of the Aβ peptide) to select for regulation in various antibody/peptide/test compound interaction assays. Compounds of the fiber and/or plaque forming process. The invention further relates to a diagnostic assay for the specific determination of the fibril content in an individual or patient. Such assays can be performed by any technique known and available to the skilled artisan. Such techniques include, but are not limited to, Western blot, ELISA, radioimmunoassay, immunohistochemical assay 139769.doc 201038590, immunosuppression or other immunochemical assays known in the art. Accordingly, one embodiment of this aspect of the invention is directed to obtaining a tissue sample from an individual or patient and using a diagnostic kit and associated assay to determine the sample. The content of PF Αβ; wherein the kit contains 13C3-like antibodies, thus allowing specificity to determine the PF Αβ content in tissue samples. The tissue samples used for analysis are usually blood, plasma, serum, mucus or from individuals or patients. Cerebrospinal fluid. For this purpose, the antibodies of the invention can be used for at least the following purposes: (1) alone or in combination with any available combination therapy as a prophylactic or therapeutic agent for preventing or reducing plaque deposits associated with Alzheimer's disease (2) designing a peptide immunogen that can be used to elicit an effective antibody response in a prophylactic or therapeutic vaccination strategy associated with treating Alzheimer's disease; (3) producing a secret antigen that mimics the antibody of the present invention a deterministic or therapeutic anti-genetic antibody (Ab2); and '(4) a peptide derived from a complementarity determining region (CDR) of a neutralizing antibody of the invention for use in screening for prophylactic and/or A fibrillation inhibitor of a therapeutic regimen, and (5) a diagnostic reagent for determining the amount of serum or CSF-based fibril A{3 in a patient at risk of developing AD. It is an object to provide an antibody that specifically interacts with an exposed conformation epitope in the form of a fibril form of the A卩 peptide and exhibits an affinity for an exposed conformation epitope of the base fibril form of the Ap peptide, the exposed configuration The epitope comprises the amino acid of the exposed portion of the Αβ peptide. NO: 2). Another object of the present invention is to provide an exposed conformation epitope which is associated with an exposed conformation epitope of the Αβ peptide in the form of fibrils and exhibits a fibril form of octapeptide 139769.doc •10· 201038590 An affinity antibody that comprises an exposed portion of the amino acid 4-12 and 9-20 (8 卩 1 〇 NO: 3, 4) of the octapeptide. Another object of this is to provide a 13C3-like antibody that prevents or reduces the formation of Αβ-peptide fibrils associated with plaque deposition associated with Alzheimer's disease. Another object of the present invention is to provide assays for the use of 13C3-like antibodies to select compounds suitable for the treatment of plaque deposits associated with Alzheimer's disease in an antibody/peptide/test compound interaction assay. As used herein, "Ka" is intended to mean the association constant for a particular antibody antigen interaction 'Kd' is intended to mean the dissociation constant for a particular antibody-antigen interaction. As used herein, the term "antigenic determinant" or "antigenic determinant" refers to a site at which a B cell and/or tau cell on an antigen reacts or a site on which an antibody is raised and/or the antibody will bind. For example, an epitope can be identified by an antibody that defines an epitope. An epitope may be a "linear epitope" (wherein the primary amino acid primary sequence comprises an epitope; typically comprises at least 3 contiguous amino acid residues in a unique sequence and more typically at least 5 ' and up to about 8 Up to about 1 amino acid or a "configurational epitope" (the primary contiguous amino acid sequence is not the epitope of the sole determinant of the epitope). The conformational determinant may comprise an increased number of amino acids relative to a linear epitope, as this conformational determinant recognizes the three dimensional structure of the peptide or protein. For example, when a proteinaceous molecule is folded to form a three-dimensional structure, some of the amino acid and/or polypeptide backbone forming the conformational epitope are contiguous, allowing the antibody to recognize the antigen 139769.doc 201038590. Methods for determining the configuration of an epitope include, but are not limited to, xenon ray crystallography, two-dimensional nuclear magnetic resonance spectroscopy, and her-directed spin labeing and electron paramagnetic resonance spectroscopy. Example: See Epitope Mapping Pr〇t〇c〇Is in Meth〇ds & M〇iecu^r

Biology,第 66卷 ’ Glenn E· Morris編(1996),其揭示内容 係以其全文引用的方式併入本文中。 如本文中所用,在兩種實體之間的「專一性結合」意謂 至少 ΙΟ6 Μ 1、ΙΟ7 Μ-ι、1〇8 μ-,、1〇9 Μ.^ι〇ί〇 μ·,之親和 力。 如本文中所用’「基原纖維」為似乎代表形成曲線結構 之球形結構串的基原纖維聚集體,其包括包含Αβ肽的球形 結構。 如本文t所用’術語「經分離」在本文中如其在此項技 術内所用來使用。亦即,抗體/專—性結合成貞、核酸分 子及其類似物所存在之狀態。抗體/專-性結合成員及核 酸刀子將不含或實質上不含其所天I缔合之物質諸如與 其一起存在於其天然環境或其製備環境(例如細胞培養 物)(當此製備係藉由重組DNA技術(在活體外或活體内實 :)時)中之其他多肽或核酸。「經分離」涵蓋在自彼初始環 境移除之後含有本發明之經鑑別及經表徵組份的任何形 式。實例(但當然並非限制)包括醫藥調配物,具有稀釋 劑、抗體/專—性結合成員、核酸分子及其已活體外或活 體内改質(例如’抗體糖基化)且自彼環境移除之部分的調 139769.doc .12- 201038590Biology, Vol. 66, ed., Glenn E. Morris (1996), the disclosure of which is incorporated herein by reference in its entirety. As used herein, "specificity" between two entities means at least Μ6 Μ 1, ΙΟ7 Μ-ι, 1〇8 μ-, 1,〇9 Μ.^ι〇ί〇μ·, Affinity. As used herein, "base fibrils" are base fibril aggregates that appear to represent a cluster of spherical structures that form a curved structure, including a spherical structure comprising an indole beta peptide. The term "isolated" as used herein is used herein as it is used in the art. That is, the antibody/specifically binds to the state in which sputum, nucleic acid molecules, and the like exist. The antibody/specific-specific binding member and the nucleic acid knives will be free or substantially free of the substance to which they are associated, such as in their natural environment or their preparation environment (eg, cell culture) (when this preparation is Other polypeptides or nucleic acids in recombinant DNA technology (when in vitro or in vivo). "Separated" encompasses any form containing the identified and characterized components of the invention after removal from the initial environment. Examples (but of course not limiting) include pharmaceutical formulations with diluents, antibody/specific-binding members, nucleic acid molecules and their in vitro or in vivo modifications (eg, 'antibody glycosylation) and removed from the environment Part of the adjustment 139769.doc .12- 201038590

如本文中所用,術語「重組人類抗體」表示藉由各種重 組DNA技術手段產生之「抗體」及在此項技術中熟知之非 人類轉殖基因的可行子集。此方法係用以自一種或以下來 源產生抗體:(i)自組合人類抗體文庫分離之scFv*替代性 抗體;(11)自穩定或瞬時轉染於宿主細胞(較佳為哺乳動物 宿主細胞)中之各別表現載體產生之部分或完整抗體(例 如,與各別cH及cL核苦酸序列結合將編碼%及Vl鏈之核 〇 苷酸序列次選殖於表現載體中,以便促進展示對八0之PF 形式具專一性的抗體之預定形式的表現);及/或(iii)自含 有人類免疫球蛋白基因之非人類轉殖基因動物或藉由任何 其他已知之依賴於人類免疫球蛋白基因序列與其他Dn a序 列之重組「混合及匹配」以產生所關注人類重組抗體的方 法分離之抗體。 術語「個體」或「患者」意謂包括脊索動物門之任何成 員,包括(但不限於)人類及其他靈長類動物,包括非人類 〇 靈長類動物,諸如黑猩猩及其他猿及猴物種;農畜,諸如 牛綿羊、豬、山羊及馬,家養哺乳動物,諸如犬及貓; 實驗動物,包括齧齒動物,諸如小鼠、大鼠及豚鼠;鳥 - 禽,包括家養、野生及供獵鳥禽,諸如雞、火雞及其他鶉 * 雞類鳥禽、鴨、鵝及其類似物。 術δ吾冶療」疾病係指執行可包括向個體(人類或其他) 投予一或多種藥物以圖緩解疾病之體徵或症狀的方案。緩 解可在疾病之體征或症狀出現之前,以及在其出現之後發 生。因此,「治療」包括「預防」疾病。在阿兹海默氏二 139769.doc -13- 201038590 之情況下’「預防」亦可在推進療程以預防或停止與阿兹 海默氏症相關之症狀發作的情形中發生。另外,「、Λ療 並不需要完全緩解體征或症狀,不需要治癒,且尤其包1 對個體僅具有最低限度(marginal)正面作用之方案。 如本文中所用,術語「活性成份」係指展示對p_類澱粉 之基原纖維結構之胺基末端部分具親和力及專一性(例如 專一性結合)的13C3樣抗體。 如本文中所用,如本文提供之術語抗體之「有效量」或 「醫藥學上有效之量」係指無毒但足以提供所需生物結果 之活性成份之量。任何個體情況下適當之「有效」量可由 一般技術者使用常規實驗來測定。 如本文中所用,術語「醫藥學上可接受」或「藥理學上 可接受」意謂物質可連同經調配生物藥劑—起在藥物傳遞 裝置中向個體投予’而不導致㈣不合需要之生物作用或 與其所包含於内之組合物(例如,「醫藥學上可接受之組合 物」)之任何組份以有害方式相互作用。 如本文中所用,可互換使用之短「生理學上可接受之 載劑」及「醫藥學上可接受之載劑」係、指對生物體不導致 顯著刺激且不廢除所投予化合物之生物活性及特性的載 劑、稀釋劑及賦形劑。佐劑係包括在此等短語下。 如本文中所用,術語「賦形劑」係指添加至醫藥組合物 中以進一步促進活性成份投藥之惰性物質。 術語「最小親和力」當用於比較抗體對Αβ肽之基原纖维 形式的親和力與抗體對郸肽之其他形式(諸如原纖維、片 139769.doc 14 201038590 狀結構及低分子量寡聚物及單體)的親和力時指示對基原 纖維Αβ形式之親和力與對其他Αβ形式之親和力的比率大 於約2。該比率較佳大於約3,或約4,或約5。 【實施方式】 類澱粉前驅蛋白(ΑΡΡ)在阿兹海默氏症(AD)之發病機制 中起重要作用。β-分泌酶及γ-分泌酶對ΑΡΡ之蛋白水解加 工產生長度通常在39至43個胺基酸之長度範圍内的Αβ肽 (Αβ)。阿茲海默氏症發作之特徵在於Αβ之寡聚或聚集形式 在腦中累積。本發明之免疫組合物適用於治療或預防阿茲 海默氏症,適用作診斷檢定中之試劑,以及適用於設計類 澱粉沈積之小分子抑制劑。本發明之13C3樣抗體可在預期 醫藥學上可接受之調配物中,以足以消除、減少或延遲疾 病發作之量及/或劑量方案向哺乳動物(尤其人類)之一般群 體預防性投予。對於已知處於阿茲海默氏症之遺傳或家族 風險中的個體,尤其准許使用預防性治療之方法。已鑑別 出阿茲海默氏症風險之眾多遺傳標誌,包括(但不限 於)ΑΡΡ 突變(例如印度突變(Indian mutation)(Val717Phe)、 瑞典突變(Swedish mutation)(Lys670Asn、Met671Leu)、亨 德里克斯突變(Hendricks mutation)(Ala692Gly)、荷蘭突變 (Dutch mutation)(Glu693Gln)、伊朗突變(Iranian mutation) (Thr714Ala)、德國突變(German mutation)(Val715Ala)及佛 羅里達突變(Florida mutation)(Ile716Val)等)。可表明阿茲 海默氏症風險增大之其他突變包括早老素(presenilin)基因 (PS1及PS2)及ApoE4之突變。本發明亦係關於對目前患有 139769.doc 15 201038590 阿茲海默氏症(可由特徵性癡呆識別),尤其存在上述風險 因素或已遭受此疾病的個體經由包含13C3樣抗體之醫藥學 上可接受之組合物,以足以治癒或至少部分阻滯阿茲海默 氏症症狀及併發症之量進行治療性介入。在本文中涵蓋之 基於預防性或治療性治療之方法可用以解決早發性或遲發 性阿茲海默氏症。鑒於Αβ之寡聚形式在阿茲海默氏症發作 中的重要性,本發明係關於一種經分離抗體,其與Αβ肽之 基原纖維形式之重複構形抗原決定基專一性相互作用且展 示對Αβ肽之基原纖維形式之重複構形抗原決定基具實測親 和力。野生型Αβ肽之單體(Αβ42 ; 42個胺基酸之形式)在此 項技術中為已知且在本文中經展示為SEQ ID NO: 1 :As used herein, the term "recombinant human antibody" refers to a "antibody" produced by various recombinant DNA techniques and a viable subset of non-human transgenic genes well known in the art. The method is for producing antibodies from one or a source: (i) an scFv* surrogate antibody isolated from a combinatorial human antibody library; (11) self-stabilized or transiently transfected into a host cell (preferably a mammalian host cell) Partial or complete antibodies produced by the respective expression vectors (for example, binding to the respective cH and cL nucleotide sequences to sub-select the nucleotide sequences encoding the % and V1 chains in the expression vector to facilitate display of the pair a PF form of a specific form of a specific antibody; and/or (iii) from a non-human transgenic animal containing a human immunoglobulin gene or by any other known human immunoglobulin An antibody that is "mixed and matched" with the recombination of other Dn a sequences to produce a recombinant human antibody of interest. The term "individual" or "patient" is intended to include any member of the chordae, including but not limited to humans and other primates, including non-human primates, such as chimpanzees and other baboon and monkey species; Farm animals, such as cattle and sheep, pigs, goats and horses, domesticated mammals such as dogs and cats; experimental animals, including rodents such as mice, rats and guinea pigs; birds and birds, including domestic, wild and for game birds Birds such as chickens, turkeys and other cockroaches* chickens, ducks, geese and the like. "Disease" refers to a regimen that can include administering one or more drugs to an individual (human or other) to alleviate the signs or symptoms of the disease. The mitigation may occur before and after the onset of symptoms or symptoms of the disease. Therefore, "treatment" includes "preventing" the disease. In the case of Alzheimer's 2 139769.doc -13- 201038590, 'prevention' can also occur in the case of advancing treatment to prevent or stop the onset of symptoms associated with Alzheimer's disease. In addition, "therapy does not require complete relief of signs or symptoms, no need for cure, and especially package 1 has a minimal positive effect on the individual. As used herein, the term "active ingredient" refers to the display. A 13C3-like antibody having affinity and specificity (e.g., specific binding) to the amino terminal portion of the p-type starch-based fibril structure. As used herein, the term "effective amount" or "pharmaceutically effective amount" of an antibody as used herein refers to an amount of an active ingredient that is non-toxic but sufficient to provide the desired biological result. The appropriate "effective" amount in any individual case can be determined by one of ordinary skill in the art using routine experimentation. As used herein, the term "pharmaceutically acceptable" or "pharmacologically acceptable" means that the substance can be administered to an individual in a drug delivery device along with the formulated biological agent' without causing (4) undesirable organisms. Any component of the composition or composition contained therein (e.g., "pharmaceutically acceptable composition") interacts in a detrimental manner. As used herein, the terms "physiologically acceptable carrier" and "pharmaceutically acceptable carrier" are used interchangeably and refer to a substance that does not cause significant irritation to the organism and does not abolish the administered compound. Carriers, diluents and excipients of activity and characteristics. Adjuvants are included under these phrases. As used herein, the term "excipient" refers to an inert substance that is added to a pharmaceutical composition to further facilitate administration of the active ingredient. The term "minimum affinity" when used to compare the affinity of an antibody for the fibril form of the Αβ peptide with other forms of the antibody to the 郸 peptide (such as fibrils, sheets 139769.doc 14 201038590-like structures and low molecular weight oligomers and singles) The affinity of the body indicates a ratio of affinity for the basal fibril Αβ form to affinity for other Αβ forms of greater than about 2. The ratio is preferably greater than about 3, or about 4, or about 5. [Embodiment] A starch-like precursor protein (ΑΡΡ) plays an important role in the pathogenesis of Alzheimer's disease (AD). The proteolytic processing of hydrazine by β-secretase and γ-secretase produces an Αβ peptide (Αβ) which is usually in the range of 39 to 43 amino acids in length. The onset of Alzheimer's disease is characterized by the accumulation of oligomeric or aggregated forms of Aβ in the brain. The immunological compositions of the present invention are useful in the treatment or prevention of Alzheimer's disease, as reagents for use in diagnostic assays, and as small molecule inhibitors for the design of starch-like deposits. The 13C3-like antibody of the present invention can be administered prophylactically to a general population of mammals, particularly humans, in a formulation that is expected to be pharmaceutically acceptable, in an amount and/or dosage regimen sufficient to eliminate, reduce or delay the onset of the disease. For individuals known to be at the genetic or family risk of Alzheimer's disease, the use of prophylactic treatment is particularly permitted. Numerous genetic markers for the risk of Alzheimer's disease have been identified, including (but not limited to) ΑΡΡ mutations (eg, Indian mutation (Val717Phe), Swedish mutation (Lys670Asn, Met671Leu), Hendrick Hendricks mutation (Ala692Gly), Dutch mutation (Glu693Gln), Iranian mutation (Thr714Ala), German mutation (Val715Ala), and Florida mutation (Ile716Val) ). Other mutations that may indicate an increased risk of Alzheimer's disease include mutations in the presenilin genes (PS1 and PS2) and ApoE4. The present invention is also directed to a medicinal drug comprising a 13C3-like antibody to an individual currently suffering from 139769.doc 15 201038590 Alzheimer's disease (identified by characteristic dementia), particularly in the presence of the above risk factors or having suffered from the disease. The composition received is therapeutically administered in an amount sufficient to cure or at least partially arrest the symptoms and complications of Alzheimer's disease. Methods based on prophylactic or therapeutic treatments encompassed herein can be used to address early-onset or late-onset Alzheimer's disease. In view of the importance of the oligomeric form of Aβ in the onset of Alzheimer's disease, the present invention relates to an isolated antibody that specifically interacts with the repetitive conformation epitope of the 原β peptide in the form of a fibril form and exhibits Repeated conformation epitopes in the form of fibrils of the Αβ peptide have measured affinities. The monomer of the wild type Αβ peptide (Αβ42; the form of 42 amino acids) is known in the art and is shown herein as SEQ ID NO: 1 :

Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His GinAsp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His Gin

Lys Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly Val Val lie Ala (SEQ ID NO:l) 〇 本發明之經分離抗體將展示對Αβ肽之較大分子量寡聚基 原纖維形式之重複構形抗原決定基具親和力,同時展示對 Αβ肽之其他形式(諸如,低分子量單體及二聚體)具最小親 和力。 本發明亦係關於一種經分離抗體,其與Αβ肽之基原纖維 形式之構形抗原決定基相互作用且展示對Αβ肽之基原纖維 形式之構形抗原決定基具可量測親和力,其中基原纖維抗 原決定基係由包含Αβ肽之暴露部分之胺基末端部分的Αβ 基原纖維形式之暴露區域表示。 139769.doc -16- 201038590 本發明另外係關於一種經分離抗體,其與Αβ肽之基原纖 維形式之構形抗原決定基專一性相互作用且展示對Αβ肽之 基原纖維形式之構形抗原決定基具可量測親和力,其中基 原纖維抗原決定基係由包含如下Αβ肽之暴露部分之胺基酸 1-20(SEQ ID NO: 2)的Αβ-基原纖維形式之暴露區域表示:Lys Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly Val Val lie Ala (SEQ ID NO: l) 经 The isolated antibody of the present invention will exhibit a larger molecular weight for the Αβ peptide The repetitive conformational epitope of the oligomeric fibril form has affinity while exhibiting minimal affinity for other forms of the Αβ peptide, such as low molecular weight monomers and dimers. The present invention is also directed to an isolated antibody that interacts with a conformational epitope of the fibril form of the Aβ peptide and exhibits a measurable affinity for a conformational epitope of the fibril form of the Aβ peptide, wherein The fibril epitope is represented by an exposed region in the form of an Aβ-based fibril comprising an amine-terminal portion of the exposed portion of the Aβ peptide. 139769.doc -16- 201038590 The invention further relates to an isolated antibody which specifically interacts with a conformational epitope of the Αβ peptide in the form of a fibril form and exhibits a conformational antigen to the basal fibril form of the Αβ peptide The substrate is determined to have a measurable affinity, wherein the fibril epitope is represented by an exposed region of the Αβ-based fibril in the form of the amino acid 1-20 (SEQ ID NO: 2) comprising the exposed portion of the Αβ peptide:

Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His ' Gin Lys Leu Val Phe Phe (SEQ ID NO:2) 〇 如本文中所例示,已鑑別出尤其展示對Αβ肽之基原纖維 (PF)形式具專一親和力,同時展示對Αβ肽之低分子量種類 具最小親和力的小鼠單株抗體。Αβ之二聚體形式(約j 5 kDa)隨時間流逝而聚合以形成Αβ之分子量為約67〇 kDa的 可溶PF形式。以此較高分子量PF Ap免疫小鼠。就對八^肽 之高分子量PF形式之專一性,同時展示最小或無結合Αβ 之較低分子量形式之能力而言對單株抗體加以篩選。本發 明之此部分由篩選、分離及表徵針對Αρ肽之約67〇 kDa高 〇 分子量基原纖維形式產生之UC3系列單株抗體(亦即, 13C3、1D1及19A6)。此系列單株抗體在轉殖基因小鼠阿 茲海默氏症«中展示預定活體外專一性,同時亦減少阿 兹海默氏症相關斑塊形成。因此,在本發明之一特定實施 •例中,經分離抗體與Αβ肽之基原纖維形式之構形抗原決定 基專一性相互作用且展示對Αβ肽之基原纖維形式之構形抗 原決定基具可量測親和力,其中基原纖維抗原決定基係由 包含Αβ肽之暴露部分之胺基酸4_12(卿m ν〇: 3)及92〇 (SEQ ID ΝΟ: 4)的♦基原纖維形式之暴露區域表示: 139769.doc -17- 201038590Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His ' Gin Lys Leu Val Phe Phe (SEQ ID NO: 2) As exemplified herein, it has been identified that a fibril (PF), especially for the Αβ peptide, has been identified. The form has a specific affinity and simultaneously displays mouse monoclonal antibodies with minimal affinity for the low molecular weight species of the Αβ peptide. The dimeric form of Αβ (about j 5 kDa) polymerizes over time to form a soluble PF form having a molecular weight of 〇β of about 67 〇 kDa. Mice were immunized with this higher molecular weight PF Ap. Individual antibodies were screened for their specificity for the high molecular weight PF form of octapeptide while exhibiting minimal or no ability to bind to the lower molecular weight form of Αβ. This portion of the invention screens, isolates, and characterizes UC3 series monoclonal antibodies (i.e., 13C3, 1D1, and 19A6) produced in the form of about 67 〇 kDa high 分子量 molecular weight fibrils of Αρ peptide. This series of monoclonal antibodies demonstrates predetermined in vitro specificity in the transgenic mouse Alzheimer's disease, and also reduces Alzheimer's-related plaque formation. Thus, in a particular embodiment of the invention, the isolated antibody specifically interacts with the conformational epitope of the Αβ peptide in the form of a fibril form and displays a conformational epitope of the fibrillar form of the Αβ peptide Having a measurable affinity, wherein the fibril epitope is from the ♦-based fibril form of the amino acid 4_12 (clear m ν〇: 3) and 92 〇 (SEQ ID ΝΟ: 4) comprising the exposed portion of the Αβ peptide The exposed area indicates: 139769.doc -17- 201038590

Phe Arg His Asp Ser Gly Tyr Glu Val (SEQ ID N〇:3) . Gly TyrPhe Arg His Asp Ser Gly Tyr Glu Val (SEQ ID N〇: 3) . Gly Tyr

Glu Val His His Gin Lys Leu Val Phe Phe (SEX ID N〇:4) 〇 本發明之一個實施例係關於一種抗體,其包含如關於 13C3所揭示之 VH(SEQ ID NO: 7)及 / 或 VL(SEQ ID NO: 5)區 域以便賦予相比於Αβ肽之LMW形式針對PF之13C3樣專一 性。另一實施例為展示勝於Αβ肽之LMW形式針對PF形式 的專一性之13C3樣抗體或其生物學相關片段。因此,本發 明亦係關於13C3、1D1、19Α6或13C3樣抗體之生物學活性 片段及/或突變體’包括(但不必限於)胺基酸取代(例如, 作為VH或VL區之親和力成熟之定點形式)、缺失、添加、 胺基末端截斷及羧基末端截斷,以使得此等突變為產生 13C3、1D1、19A6或13C3樣抗體結合蛋白之類似或改良型 式之抗體或抗體結合部分提供基礎。如本文中所述,本發 明之此部分之一個實施例係關於包含如分別在SEQ ID N〇: 7及/或SEQ ID NO: 5中闡明之胺基酸序列的此類抗體之vH 及/或VL區。本發明注意到存在密碼子冗餘,其可產生表 現相同抗體或其部分(例如’編碼相同的scFv或IgG之%及/ 或VL部分之替代核酸分子)之不同分子。出於本說明 書之目的’帶有一或多個經置換密碼子之序列將定義為簡 併性變異(degenerate variation)。序列變異之另一來源可經 由RNA編輯而發生。此RNA編輯可產生另一形式密碼子冗 餘’其中開放閱讀框之變化並不引起所表現蛋白質中胺基 酸殘基的改變。在本發明之範疇内亦包括DNA序列或所轉 譯抗體中改良所表現抗體之最終物理特性的突變。為此目 139769.doc -18- 201038590Glu Val His His Gin Lys Leu Val Phe Phe (SEX ID N〇: 4) An embodiment of the invention pertains to an antibody comprising VH (SEQ ID NO: 7) and/or VL as disclosed in relation to 13C3 (SEQ ID NO: 5) region to confer 13C3-like specificity for PF compared to the LMW form of the Aβ peptide. Another embodiment is a 13C3-like antibody or a biologically relevant fragment thereof that exhibits specificity for the PF form over the LMW form of the Aβ peptide. Thus, the invention also relates to biologically active fragments and/or mutants of 13C3, 1D1, 19Α6 or 13C3-like antibodies including, but not necessarily limited to, amino acid substitutions (eg, as a site for affinity maturation of the VH or VL regions) Forms, deletions, additions, amino terminal truncations, and carboxy-terminal truncations provide a basis for such mutations to produce similar or modified versions of antibodies or antibody binding portions of 13C3, 1D1, 19A6 or 13C3-like antibody binding proteins. As described herein, one embodiment of this aspect of the invention pertains to vH and/or such antibodies comprising an amino acid sequence as set forth in SEQ ID N: 7 and/or SEQ ID NO: 5, respectively. Or VL area. The present invention contemplates the presence of codon redundancy that can produce different molecules that represent the same antibody or portion thereof (e.g., 'alternative nucleic acid molecules encoding the same scFv or IgG % and/or VL portion). For the purposes of this specification 'a sequence with one or more permuted codons will be defined as a degenerate variation. Another source of sequence variation can occur through RNA editing. This RNA editing can result in another form of codon redundancy' where changes in the open reading frame do not cause alterations in the amino acid residues in the expressed protein. Also included within the scope of the invention are mutations in the DNA sequence or in the translated antibody that improve the final physical properties of the expressed antibody. For this purpose 139769.doc -18- 201038590

的’本發明係關於⑴13C3、1D1、19A6或任何其他此類 13C3樣抗體之親和力成熟型式,及/或⑴)13C3、1D1、 19A6或任何其他此類13C3樣抗體之突變形式,包括(但不 限於)如經由已知親和力成熟方法及已知用於引入位點專 一性突變之重組DNA技術產生之CDR1、CDR2及/或CDR3 區域中之一或多個突變。因此,本發明之經分離抗體為與 Αβ肽之基原纖維形式之構形抗原決定基專一性相互作用的 抗體。本發明之經分離抗體將展示對Αβ肽之較大分子量基 原纖維形式的此構形抗原決定基具親和力,同時展示對Αβ 肽之其他形式(諸如,原纖維、片狀結構及低分子量寡聚 物及單體)具最小親和力。 本發明亦係關於經分離單株抗體13C3。本發明之此部分 亦係關於產生單株抗體13C3之融合瘤。產生單株抗體 uc3之融合瘤可以ATCC寄存編號ρτΑ_883〇獲得。 本發明亦係關於經分離單株抗體1D1。本發明之此部分 亦係關於產生單株抗體1D1之融合瘤。 本發明亦係關於經分離單株抗體19A6。本發明之此部分 亦係關於產生單株抗體19八6之融合瘤。 本發明亦係關於篩選及選擇可充當與阿兹海默氏症相關 之原纖維及/或老年斑形成之抑制劑的化合物之方法。此 方法包含在各種抗體/肽/測試化合物相互作用檢定中利用 肽之PF形式具有13C3樣親和力的抗體來選擇調節原 纖維及/或斑塊形成過程之化合物。化合物可為非蛋白質 有機或無機分子、肽(例如,呈潛在預防性或治療性狀疫 139769.doc 201038590 苗形式)、蛋白質、DNA(單股或雙股)或rNA(諸如siRNA或 shRNA)在回顧本s兒明書之揭示内容及教示後,與1 3^3 樣抗體有效競爭結合Αβ肽之PF形式之任何此類肽或小分 子代表與預防性或治療性治療阿茲海默氏症有關之可能主 導化合物將變得明顯。為此目的,相互作用檢定可出於高 產量篩選目的用於鑑別佔據Αβ肽之PF形式之13C3抗原決 定基或與Αβ肽之pF形式之13C3抗原決定基相互作用且置 換抗體的化合物。 可使用此項技術中已知之各種基於抗體/抗原之檢定, 其併有且依賴本發明之13C3樣抗體作為必要試劑,用於篩 選適用於預防性或治療性治療阿茲海默氏症之化合物(例 如無機小分子或候選肽疫苗),該等檢定包括(但不限 於)ELISA檢定、放射免疫檢定、西方墨點分析、任何依賴 可偵測之生物相互作用而無需分離或洗滌步驟的均質檢定 (例如參看PerkinElmer之AlphaScreen)及/或基於SPR之技術 (例如參看BIACore)。經使用13C3樣抗體鑑別之化合物及/ 或肽疫苗候選物可藉由多種檢定偵測。該檢定可為測定形 成已知抗體/抗原複合物之能力是否變化的簡單「是/否」 檢疋’或可為事實上利用諸如基於ELIS A之檢定、均質檢 疋或基於SPR之檢定定量。為此目的,本發明係關於任何 此類檢定,不管使用何種已知方法,其測量測試化合物與 13C3樣抗體競爭Αβ肽之PF形式之13C3抗原決定基之胺基 端部分的適當肽或蛋白質模擬物之能力。 本文所述之抗體可在許多不同免疫檢定中用作測定組織 139769.doc 20· 201038590 樣本中Α β基原纖維形式之存在的基本試劑。一般而言,該 等抗體可用於任何類型之免疫檢定中’無論為定性或定量 檢定。此包括非競爭類型以及傳統競爭結合檢定中之兩位 點三明治式檢定(sandwich assay)及單位點免疫檢定。為容 易偵測及定量,一個所關注之實施例為三明治式或雙抗體 檢定,其中存在許多變化,其所有均欲涵蓋於本發明之此 部分中。舉例而言,在典型正向三明治式檢定(f〇rward'The present invention relates to an affinity matured version of (1) 13C3, 1D1, 19A6 or any other such 13C3-like antibody, and/or (1) a mutant form of 13C3, 1D1, 19A6 or any other such 13C3-like antibody, including (but not Limited to one or more mutations in the CDR1, CDR2 and/or CDR3 regions as produced by known affinity maturation methods and recombinant DNA techniques known to introduce site-specific mutations. Therefore, the isolated antibody of the present invention is an antibody which specifically interacts with a conformational epitope of the basal fibril form of the Αβ peptide. The isolated antibody of the present invention will exhibit affinity for this conformational epitope of the larger molecular weight fibril form of the Aβ peptide, while exhibiting other forms of the Aβ peptide (such as fibrils, lamella structures, and low molecular weight oligos). Polymer and monomer) have minimal affinity. The invention also relates to isolated monoclonal antibody 13C3. This part of the invention is also directed to the production of a fusion tumor of monoclonal antibody 13C3. The fusion cell producing monoclonal antibody uc3 can be obtained by ATCC accession number ρτΑ_883〇. The invention also relates to isolated monoclonal antibody 1D1. This part of the invention is also directed to the production of a fusion tumor of monoclonal antibody 1D1. The invention also relates to isolated monoclonal antibody 19A6. This part of the invention is also directed to the production of a fusion tumor of monoclonal antibody 19-8. The invention is also directed to methods of screening and selecting compounds that act as inhibitors of fibrils and/or senile plaque formation associated with Alzheimer's disease. This method involves the use of antibodies having a 13C3-like affinity for the PF form of the peptide in various antibody/peptide/test compound interaction assays to select for compounds that modulate fibril and/or plaque formation processes. The compound may be a non-proteinaceous organic or inorganic molecule, a peptide (for example, in the form of a prophylactic or therapeutic trait 139769.doc 201038590 seedling), a protein, a DNA (single or double strand) or an rNA (such as siRNA or shRNA) in review After the disclosure and teaching of this stipulation, any such peptide or small molecule that effectively competes with the 1 3^3-like antibody for binding to the PF form of the Αβ peptide represents a prophylactic or therapeutic treatment for Alzheimer's disease. It is possible that the dominant compound will become apparent. For this purpose, interaction assays can be used for high yield screening purposes to identify compounds that occupy the 13C3 epitope of the PF form of the Aβ peptide or interact with the 13C3 epitope of the pF form of the Aβ peptide and modulate the antibody. Various antibody/antigen-based assays known in the art can be used which also rely on and rely on the 13C3-like antibody of the present invention as an essential reagent for screening compounds suitable for prophylactic or therapeutic treatment of Alzheimer's disease. (eg, inorganic small molecule or candidate peptide vaccines), including, but not limited to, ELISA assays, radioimmunoassays, Western blot analysis, any homogenization assay that relies on detectable biological interactions without separation or washing steps (See, for example, PerkinElmer's AlphaScreen) and/or SPR-based technology (see, for example, BIACore). Compounds and/or peptide vaccine candidates identified using 13C3-like antibodies can be detected by a variety of assays. The assay can be a simple "yes/no" check to determine if the ability to form a known antibody/antigen complex changes, or can be quantified using, for example, an ELIS A-based assay, a homogenization assay, or an SPR-based assay. . To this end, the present invention relates to any such assay, regardless of which known method is employed, which measures the appropriate peptide or protein of the amine-terminal portion of the 13C3 epitope of the PF form of the Αβ peptide that competes with the 13C3-like antibody. The ability to simulate objects. The antibodies described herein can be used as a primary reagent in the determination of the presence of the Αβ-based fibril form in tissue 139769.doc 20· 201038590 in a number of different immunoassays. In general, such antibodies can be used in any type of immunoassay' whether qualitative or quantitative. This includes non-competitive types as well as two-point sandwich assays and single-site immunoassays in traditional competitive binding assays. For ease of detection and quantification, one embodiment of interest is a sandwich or diabody assay in which there are many variations, all of which are intended to be encompassed in this part of the invention. For example, in a typical positive sandwich test (f〇rward

sandwich assay)中,將未標記抗體固定於固體基板(例如微 量滴定盤孔)上,且使待測試樣本與所結合分子接觸。在 歷時足以允卉形成抗體-抗原二元複合物之一段時間的合 適培育期之後,接著添加以能夠誘導可偵測信號之報導分 子標§己的第二抗體,且繼續培育,允許足以在不同位點與 抗原結合且形成抗體-抗原_經標記抗體之三元複合物的時 間。洗去任何未反應之物質,且藉由觀察信號來確定抗原 之存在,該信號可藉由與含有已知量之抗原的對照樣本相 比較來加以定量。正向三明治式檢定之變化形式包括同時 檢定,其中將樣本與抗體同時添加至經結合抗體中,或反 向三明'治m丨中首先將經標記抗體與待测試樣本組 合’培育且添加至未標記表面結合抗體中。此等技術為熟 習此項技術者所熟知’且輕微變化之可能性將顯而易見。 如本文中所用,「三明治式檢定」意欲包涵基本兩位點技 術之所有變化形式。 ’ 限制因素為兩種 —性。因此,許 對於本發明之三明治式檢定而言,唯一 抗體均對Αβ基原纖維形式具有不同結合專 139769.doc 21 201038590 的。作為—更特”例,在典m 固::::常為玻:?抗體與固體载體共價或被動結合。 口體表面通常為玻璃或聚合物’最常用聚合物為纖维素 聚丙稀醯胺、财綸'聚笨乙稀、聚氯乙稀 、’。、、 載體可呈管、珠粒、圓盤或彳^ , 固體 — 板’或任㈣料進行免搏 才欢疋之其他表面的形式。結合方法為此項技術中所孰知 :::後’洗滌固相-抗體複合物為測試樣本。 ==試場原纖維形式之體液的等分試樣添加 至固相複合物中’且在25t下培育足以允許所存在之 Αβ基原纖維形式蛋白質與對Ap基原纖維形式具專 抗體結合之一段時間。接著將第_ 八 、 中…作 * 者將第-抗體添加至固相複合物 下k月足以允許第二抗體與初級抗體-抗原固 相複合物結合之另-段時間。使第二抗體與報導分子遠 接,該報導分子之可見信號係用以指示第二抗體與樣本中 任何抗原之結合。如本說明書中所用之「報導分 〜 因其化學性質而提供允許偵測抗原結合抗體之可心2 ㈣信號。谓測須至少可相對定量以允許測定:本中 抗原之量,此可按絕對項(abs〇lme {叫計算或可與含 :已知正常含量之抗原的標準(或標準之系列)相比較二 =型檢定中之最常用報導分子為酶或螢光團。在酶免 疫檢定之情況下,經常藉助於戊二盤或過峨酸鹽使酶與第 抗體共概。然而’將易於認識到’存在多種熟習此項技 術者所热知之不同共桃技術。常用酶尤其包括辣根過氧化 139769.doc -22· 201038590In the sandwich assay, the unlabeled antibody is immobilized on a solid substrate (e.g., a microtiter well) and the sample to be tested is contacted with the bound molecule. After a suitable incubation period that is sufficient to allow for the formation of the antibody-antigen binary complex for a period of time, followed by the addition of a second antibody capable of inducing a detectable signal to the reporter molecule, and continuing cultivation, allowing for sufficient The time at which the site binds to the antigen and forms a ternary complex of the antibody-antigen-labeled antibody. Any unreacted material is washed away and the presence of the antigen is determined by observing the signal, which can be quantified by comparison to a control sample containing a known amount of antigen. Variations of the positive sandwich assay include simultaneous assays in which the sample is added to the bound antibody simultaneously with the antibody, or in the reverse triad 'treatment', the labeled antibody is first combined with the sample to be tested' To the unlabeled surface bound antibody. These techniques are well known to those skilled in the art and the possibilities for minor variations will be apparent. As used herein, a "sandwich check" is intended to encompass all variations of the basic two-point technique. The limiting factor is two-sex. Thus, for the sandwich assay of the present invention, the only antibodies have different combinations of Αβ-based fibril forms. 139769.doc 21 201038590. As a more specific example, in the code m:::: often glass: ? antibody covalently or passively combined with a solid carrier. The surface of the mouth is usually glass or polymer 'the most commonly used polymer is cellulose polypropylene Dilute amine, ruthenium 'polystyrene, polyvinyl chloride, '.,, the carrier can be tube, bead, disc or 彳^, solid-board' or any (four) material for free pulse Other surface forms. The binding method is known in the art::: The 'washing solid phase-antibody complex is a test sample. == An aliquot of the body fluid in the test field fibril form is added to the solid phase complex. Medium and 'cultivation at 25t is sufficient to allow the presence of the Αβ-based fibril form of the protein with a specific antibody binding to the Ap-based fibril form for a period of time. Then add the _ _ VIII, s... The solid phase complex is k months sufficient to allow the second antibody to bind to the primary antibody-antigen solid phase complex for a further period of time. The second antibody is remote from the reporter molecule, and the visible signal of the reporter molecule is used to indicate the second The binding of the antibody to any antigen in the sample. The "reported points ~" used for their chemical properties provide a positive 2 (four) signal that allows detection of antigen-binding antibodies. The pre-test must be at least relatively quantitative to allow determination: the amount of antigen in the present, which can be absolute (abs〇 Lme {called calculation or can be compared with the standard (or series of standards) containing: known normal content of antigens. The most commonly used reporter in the two-type assay is an enzyme or a fluorophore. In the case of an enzyme immunoassay, The enzyme is often co-administered with the first antibody by means of a pentane disk or perrhenate. However, it will be readily recognized that there are a variety of different peach technology known to those skilled in the art. Common enzymes include, in particular, horseradish peroxidation 139769. .doc -22· 201038590

Ο 酶、葡萄糖氧化酶、β_半乳糠苷酶及鹼性磷酸酶。一般選 擇欲與專一性酶—起使用之受質來在由相應酶水解後產生 可偵測顏色變化。舉例而言,磷酸對硝基苯酯適用於鹼性 填酸酶共概物;對於過氧化酶共軛物,通常使用1,2-苯二 胺或甲笨胺。亦可能採用產生螢光產物而非上文所述之發 色爻質之螢光受質。在所有情況下,將經酶標記之抗體添 加至第一抗體-Αβ基原纖維蛋白複合物中且允許與複合物 結合,且接著洗去過量試劑。接著將含有適當受質之溶液 添加至抗體-抗原·經標記抗體之三元複合物中。使受質與 連接於第二抗體之酶反應,得収性可見信號,可將其進 ν疋1 (通&以分光光度方式)以得到對存在於企清樣本 中之抗原之量的估算值。 另外,可使諸如螢光素或羅丹明(rhodamine)之螢光化合 =與抗體化學偶合而不改變抗體之結合能力。當藉由以特 定波長之光照射來活化時,經螢光染料標記之抗體吸收光 能’誘導出分子之激發狀態,接著發射特徵性較長波長下 之光”亥發射表現為可以光學顯微鏡視覺偵測之特徵顏 - r體二免疫檢疋(EIA)中’使經螢光標記之抗體與第 -抗體-Αβ基原纖維形式蛋白f複合物結合。在洗務未壯 合試劑之後,接著使剩餘三元複合物曝露於適當波長之: 之螢光表明存在抗原。免疫螢光及EIA技術均 :此項支術中充分確立且對於本發明之方法而 =二=用諸如放射性同位素、化學發光或生物 八u分子。如何改變程序以適應所需用途 139769.doc -23- 201038590 對熟習此項技術者而言將顯而易見。 在另一實施例中,待測試樣本(例如,含有八^基原纖維 形式之人類血液或脊髓液)可用於單位點免疫檢定中,其 中使其與固體基板共價或非共價黏著。使未標記抗Αβ基原 纖維蛋白質抗體與結合於固體基板上之樣本接觸。在歷時 足以允許形成抗體-抗原二元複合物之一段時間的合適培 育期之後,接著添加經能夠誘導可偵測信號之報導分子標 記的第二抗體,且繼續培育,允許足以形成抗原-抗體-經 標記抗體之三元複合物的時間。對於單位點免疫檢定而 吕,第一抗體可為能夠結合對所關注之Α{3基原纖維蛋白質 形式具專一性之抗體的通用抗體(亦即,免疫球蛋白之異 種發生杬體,尤其與報導分子連接之抗(IgM及IgG))。 13C3樣抗體可採用在此項技術中已知之眾多形式中之一 者。抗體可採用任何類型之相關抗體片&、抗體結合部 分、專-性結合成員、非蛋白質合成模擬物,或任何在此 項技術中已知係指至少實質上保留結合專一性/中和活性 之實體之其他相關命名的形式。因此,如本說明中任何情 形中所用之術浯「抗體」意謂包括(但不限於)任何專一性 結合成員、免疫球蛋白類別及/或同型(例如IgGi、igG2、Ο Enzyme, glucose oxidase, β-galactosidase and alkaline phosphatase. It is generally preferred to use a specific enzyme to produce a detectable color change upon hydrolysis by the corresponding enzyme. For example, p-nitrophenyl phosphate is suitable for alkaline ligase complexes; for peroxidase conjugates, 1,2-phenylenediamine or formalamine is typically used. Fluorescent receptors that produce fluorescent products other than the enamels described above may also be employed. In all cases, the enzyme-labeled antibody is added to the first antibody-Αβ-based fibrillin complex and allowed to bind to the complex, and then the excess reagent is washed away. The solution containing the appropriate substrate is then added to the ternary complex of the antibody-antigen-labeled antibody. The receptor is reacted with an enzyme linked to the second antibody to obtain a visible signal, which can be input into ν疋1 (pass & spectrophotometrically) to obtain an estimate of the amount of antigen present in the sample. value. In addition, a fluorescent combination such as luciferin or rhodamine can be chemically coupled to the antibody without changing the binding ability of the antibody. When activated by irradiation with light of a specific wavelength, the fluorescent dye-labeled antibody absorbs light energy to induce the excited state of the molecule, and then emits light of a characteristic longer wavelength. The characteristic of the detection - r body II immunoassay (EIA) - combines the fluorescently labeled antibody with the first antibody-Αβ-based fibril form protein f complex. After the washing does not rejuvenate the reagent, then Exposing the remaining ternary complex to the appropriate wavelength: Fluorescence indicates the presence of antigen. Immunofluorescence and EIA techniques: fully established in this branch and for the method of the invention = two = with radioisotopes, chemiluminescence Or a biological octupole. How to change the program to suit the desired use 139769.doc -23- 201038590 will be apparent to those skilled in the art. In another embodiment, the sample to be tested (eg, containing 八基基原Fiber-like human blood or spinal fluid) can be used in single-site immunoassays where it is covalently or non-covalently attached to a solid substrate. Unlabeled anti-Αβ-based fibril protein Contacting the sample bound to the solid substrate. After a suitable incubation period for a period of time sufficient to allow formation of the antibody-antigen binary complex, followed by the addition of a second antibody that is capable of inducing a detectable signal indicative of the reporter molecule, And continue to grow, allowing a time sufficient to form a ternary complex of the antigen-antibody-labeled antibody. For a single site immunoassay, the first antibody may be capable of binding to the Α {3 fibril protein form of interest A universal antibody to a specific antibody (i.e., a heterologous immunoglobulin-producing steroid, particularly an antibody (IgM and IgG) linked to a reporter molecule). The 13C3-like antibody can be used in a variety of forms known in the art. Alternatively, the antibody can be any type of related antibody sheet & antibody binding moiety, specific-binding member, non-protein synthesis mimetic, or any of the art known in the art to at least substantially retain binding specificity/ Other related naming forms of the entity that neutralizes the activity. Therefore, the term "antibody" as used in any case in this specification means (including Not limited to any specificity binding members, immunoglobulin classes and/or isotypes (eg IgGi, igG2)

IgG3、IgG4、IgM、IgA、IgD、IgE及 ;及其生物學相 關片段或專-性結合成員,包括(但不限於)Fab、F⑽)2、 Fv及scFv(單鏈或相關實體)。因此,在此 僅以回顧之形式包括,「抗體」係指包含由雙硫鍵互連之 至少兩條重(H)鏈及兩條輕(L)鏈之醣蛋白,或其抗原結合 I39769.doc -24· 201038590 部分。重鏈包含重鏈可變區(VH)與重鏈恆定區(CHI、CH2 及CH3)。輕鏈包含輕鏈可變區(VL)與輕鏈恆定區(CL)。重 鏈及輕鏈之可變區均包含框架區(FWR)及互補決定區 (CDR)。四個FWR區相對顛倒,而CDR區域(CDR1、CDR2 及CDR3)代表高變區且如下自NH2末端排列至COOH末端: FWR1、CDR1、FWR2、CDR2、FWR3、CDR3、FWR4。 重鏈及輕鏈之可變區含有與抗原相互作用之結合域,而恆 定區視同型而定可介導免疫球蛋白與宿主組織或因子之結 合。亦即,在「抗體」之工作定義中亦包括嵌合抗體、人 類化抗體、重組抗體,如自轉殖基因非人類動物產生之人 類抗體,以及使用技工可得之富集技術自文庫選擇之抗 體。如下文所回顧,使用一般技術者易於知曉且可得之技 術來獲得抗體片段。因此,「抗體」為任何此類實體或專 一性結合成員,其與如本文所述之Αβ之基原纖維形式之構 形抗原決定基專一性結合。因此,術語「抗體」描述天然 抑或部分或完全合成產生之免疫球蛋白;具有與抗體結合 域同源或實質上同源之結合域的任何多肽或蛋白質。此等 抗體可來源於天然來源,或其可部分或完全以合成方式產 生。如下文所非限制性論述,抗體之實例為免疫球蛋白同 型及其同型子類;諸如Fab、scFv、Fv、dAb、Fd及雙功能 抗體的包含抗原結合域之片段。在此項技術中已知可操作 單株抗體及其他抗體且使用重組DNA技術之技術來產生保 留原始抗體之專一性的其他抗體或嵌合分子。此等技術可 包括將編碼抗體之免疫球蛋白可變區或互補決定區(CDR) 139769.doc -25- 201038590 的DNA引入不同免疫球蛋白之恆定區或恆定區外加框架區 中。可使產生抗體之融合瘤或其他細胞經受遺傳突變或其 他變化,其可能會或可能不會改變所產生抗體之結合專一 性。可以許多方式修舞抗體,且應將術語「抗體」視為涵 二/、有擁有所萬專性之結合域的任何專一性結合成員或 物質。因此,此等術語涵蓋包括任何包含免疫球蛋白結合 域之多肽的「抗體」之抗體片段、衍生物、功能等效物及 同源物,無論為天然抑或完全或部分合成。此實體可為包 涵於術語抗體之「抗原結合部分」或「專一性結合成員」 内之結合片段,其包括(但不限於)(i) Fab片段,由Vl、 VH、cL及cH域組成之單價片段;(ii) F(ab,)2片段,包含兩 個由鉸鏈區之雙硫橋連接之Fab片段的二價片段;(出)由 Vh與CH域組成之Fd片段;(iv)由抗體之單一臂之Vl與Vh域 組成的Fv片段;(v)包含vH域之dAb片段;(vi)經分離互補 決定區(CDR) ; (Vii),scAb,,含有Vh&Vl以及Cl或Ch之抗 體片段:及(viii)基於蛋白質骨架之人工抗體,其包括(但 不限於)111型纖維結合蛋白多肽抗體(例如參看2〇〇4年3月9 曰頒予Koide之美國專利第6,703,199號,及PCT國際申請 么開案第WO 〇 2 / 3 2 9 2 5號)。此外,儘管F v片段之兩個域 (VL及VH)係由獨立基因編碼’但其可使用重組方法藉由使 得其能夠製備為VL及VH區配對以形成單價分子之單一蛋白 質鏈(稱為單鏈Fv(scFv))的合成連接子接合。 在一實施例中,本發明之經分離13C3或13C3樣抗體之 輕鏈可變(VL)區可包含11 3個胺基酸之肽序列(SEQ ID NO: 139769.doc -26- 201038590 5),其係由339個鹼基對之核苷酸序列(SEQ ID NO: 6)編 碼:IgG3, IgG4, IgM, IgA, IgD, IgE and; and biologically relevant fragments or specific-binding members thereof, including but not limited to Fab, F(10))2, Fv and scFv (single-chain or related entities). Therefore, it is included herein only in the form of a review, "antibody" refers to a glycoprotein comprising at least two heavy (H) chains and two light (L) chains interconnected by disulfide bonds, or antigen binding thereof I39769. Doc -24· 201038590 part. The heavy chain comprises a heavy chain variable region (VH) and a heavy chain constant region (CHI, CH2 and CH3). The light chain comprises a light chain variable region (VL) and a light chain constant region (CL). The variable regions of the heavy and light chains each comprise a framework region (FWR) and a complementarity determining region (CDR). The four FWR regions are relatively inverted, while the CDR regions (CDR1, CDR2 and CDR3) represent hypervariable regions and are arranged from the NH2 terminus to the COOH terminus as follows: FWR1, CDR1, FWR2, CDR2, FWR3, CDR3, FWR4. The variable regions of the heavy and light chains contain a binding domain that interacts with the antigen, while the constant region, depending on the isotype, mediates binding of the immunoglobulin to the host tissue or factor. That is, chimeric antibodies, humanized antibodies, recombinant antibodies, such as human antibodies produced by non-human animals derived from transgenic genes, and antibodies selected from libraries using skilled enrichment techniques are also included in the working definition of "antibody". . As reviewed below, antibody fragments are obtained using techniques that are readily known and available to those of ordinary skill in the art. Thus, an "antibody" is any such entity or specific binding member that specifically binds to a conformational epitope of the ruthenium-based fibril form as described herein. Thus, the term "antibody" describes an immunoglobulin produced naturally or partially or completely synthetically; any polypeptide or protein having a binding domain that is homologous or substantially homologous to the binding domain of the antibody. Such antibodies may be derived from natural sources, or they may be produced in part or in whole synthetically. As hereinafter, non-limiting discussion, examples of antibodies are immunoglobulin isotypes and isoforms thereof; fragments comprising an antigen binding domain such as Fab, scFv, Fv, dAb, Fd and bifunctional antibodies. It is known in the art to manipulate monoclonal antibodies and other antibodies and use techniques of recombinant DNA techniques to generate additional antibodies or chimeric molecules that retain the specificity of the original antibody. Such techniques can include introducing DNA encoding an immunoglobulin variable region or complementarity determining region (CDR) 139769.doc -25-201038590 of an antibody into a constant region or constant region of a different immunoglobulin plus a framework region. The fusion-producing tumor or other cells that produce the antibody can be subjected to genetic mutations or other changes that may or may not alter the binding specificity of the antibody produced. The antibody can be migratory in a number of ways, and the term "antibody" should be considered to be any specific binding member or substance that has a binding domain with a versatility. Thus, such terms encompass antibody fragments, derivatives, functional equivalents and homologs of "antibodies" including any polypeptide comprising an immunoglobulin binding domain, whether natural or wholly or partially synthetic. The entity may be a binding fragment encompassed by the term "antigen-binding portion" or "specific binding member" of the antibody, including but not limited to (i) a Fab fragment consisting of V1, VH, cL and cH domains. a monovalent fragment; (ii) a F(ab,)2 fragment comprising two bivalent fragments of a Fab fragment joined by a disulfide bridge of the hinge region; (out) an Fd fragment consisting of Vh and CH domains; (iv) An Fv fragment consisting of the V1 and Vh domains of a single arm of the antibody; (v) a dAb fragment comprising the vH domain; (vi) an isolated complementarity determining region (CDR); (Vii), scAb, containing Vh&Vl and Cl or Antibody fragments of Ch: and (viii) artificial antibodies based on protein backbones, including but not limited to, type 111 fibronectin polypeptide antibodies (see, for example, U.S. Patent No. 6,703 issued to Koide on March 9, 2004. , No. 199, and PCT International Application No. WO 〇 2 / 3 2 9 2 5). Furthermore, although the two domains of the Fv fragment (VL and VH) are encoded by independent genes', they can be recombined by enabling them to be prepared as pairs of VL and VH regions to form a single protein chain of monovalent molecules (referred to as Synthetic linker ligation of single-chain Fv (scFv)). In one embodiment, the light chain variable (VL) region of an isolated 13C3 or 13C3-like antibody of the invention may comprise a peptide sequence of 11 3 amino acids (SEQ ID NO: 139769. doc -26- 201038590 5) , which is encoded by a 339 base pair nucleotide sequence (SEQ ID NO: 6):

Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly Asp Gin Ala Ser lie Ser Cys Arg Ser Gly Gin Ser Leu Val His Ser Asn Gly Asn Thr Tyr Leu His Trp Tyr Leu Gin Lys Pro Gly Gin Ser Pro Lys Leu Leu lie Tyr Thr Val Ser Asn Arg Phe Ser Gly Val Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Ser Asp Phe Thr Leu Lys lie Ser Arg Val Glu Ala Glu Asp Leu Gly Val Tyr Phe Cys Ser Gin Asn Thr Phe Val Pro Trp Thr Phe Gly Gly Gly Thr Lys Leu Glu lie Lys Arg (SEQ ID NO: 5) 〇Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly Asp Gin Ala Ser lie Ser Cys Arg Ser Gly Gin Ser Leu Val His Ser Asn Gly Asn Thr Tyr Leu His Trp Tyr Leu Gin Lys Pro Gly Gin Ser Pro Lys Leu Leu lie Tyr Thr Val Ser Asn Arg Phe Ser Gly Val Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly Ser Asp Phe Thr Leu Lys lie Ser Arg Val Glu Ala Glu Asp Leu Gly Val Tyr Phe Cys Ser Gin Asn Thr Phe Val Pro Trp Thr Phe Gly Gly Gly Thr Lys Leu Glu lie Lys Arg (SEQ ID NO: 5) 〇

GATGTTGTGATGACCCAAACTCCACTCTCCCTGCCTGTCAGTCTTGGAGATCAAGCCTCC ATCTCTTGCAGATCTGGTCAGAGCCTTGTACACAGTAATGGAAACACCTATTTACATTGG TACCTGCAGAAGCCAGGCCAGTCTCCAAAGCTCCTGATCTATACAGTTTCCAACCGATTT TCTGGGGTCCCGGACAGGTTCAGTGGCAGTGGATCAGGGTCAGATTTCACACTCAAGATC AGCAGAGTGGAGGCTGAGGATCTGGGAGTTTATTTCTGCTCTCAAAATACATTTGTTCCT TGGACGTTCGGTGGAGGCACCAAGCTGGAAATCAAACGG (SEQ ID NO: 6) 在另一實施例中,本發明之經分離13C3或13C3樣抗體 之重鏈可變(VH)區可包含115個胺基酸之肽序列(SEQ ID NO: 7),其係由345個鹼基對之核苷酸序列(SEQ ID NO: 8) 編碼:GATGTTGTGATGACCCAAACTCCACTCTCCCTGCCTGTCAGTCTTGGAGATCAAGCCTCC ATCTCTTGCAGATCTGGTCAGAGCCTTGTACACAGTAATGGAAACACCTATTTACATTGG TACCTGCAGAAGCCAGGCCAGTCTCCAAAGCTCCTGATCTATACAGTTTCCAACCGATTT TCTGGGGTCCCGGACAGGTTCAGTGGCAGTGGATCAGGGTCAGATTTCACACTCAAGATC AGCAGAGTGGAGGCTGAGGATCTGGGAGTTTATTTCTGCTCTCAAAATACATTTGTTCCT TGGACGTTCGGTGGAGGCACCAAGCTGGAAATCAAACGG (SEQ ID NO: 6) In another embodiment, the present invention is the separation of heavy chain variable 13C3 or 13C3-like antibodies (VH) regions may comprise a peptide sequence of 115 amino acids ( SEQ ID NO: 7), which is encoded by a 345 base pair nucleotide sequence (SEQ ID NO: 8):

Gin Val Gin Leu Gin Gin Ser Gly Pro Glu Leu Val Arg Pro Gly Val Ser Val Lys lie Ser Cys Lys Gly Ser Gly Tyr Thr Phe Thr Asp Tyr Ala Met His Trp Val Lys Gin Ser His Ala Lys Ser Leu Glu Trp lie Gly Val lie Ser Thr Lys Tyr Gly Lys Thr Asn Tyr Asn Gin Lys Phe Lys Gly Lys Ala Thr Met Thr Val Asp Lys Ser Ser Ser Thr Ala Tyr Met Glu Leu Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys Ala Arg Gly Asp Asp Gly Tyr Ser Trp Gly Gin Gly Thr Ser Val Thr Val Ser Ser (SEQ ID NO: 7); CAGGTCCAGCTGCAGCAGTCTGGGCCTGAGCTGGTGAGGCCTGGGGTCTCAGTGAAGATT TCCTGCAAGGGTTCCGGCTACACATTCACTGATTATGCTATGCACTGGGTGAAGCAGAGT CATGCAAAGAGTCTAGAGTGGATTGGAGTTATTAGTACTAAGTATGGTAAGACAAACTAC AACCAGAAGTTTAAGGGCAAGGCCACAATGACTGTTGACAAATCCTCCAGCACAGCCTAT ATGGAGCTTGCCAGATTGACATCTGAGGATTCTGCCATCTATTACTGTGCAAGAGGGGAC GATGGTTATTCCTGGGGTCAAGGAACCTCAGTCACCGTCTCCTCA (SEQ ID NO: 8) 〇 27· 139769.doc 201038590 在另一實施例中,VL鏈之框架區、FWRl、FWR2、 FWR3及FWR4可包含如下分別在SEQ ID NO: 9、SEQ ID NO: 10、SEQ ID NO: 11及SEQ ID NO: 12中闡明之胺基 酸:Gin Val Gin Leu Gin Gin Ser Gly Pro Glu Leu Val Arg Pro Gly Val Ser Val Lys lie Ser Cys Lys Gly Ser Gly Tyr Thr Phe Thr Asp Tyr Ala Met His Trp Val Lys Gin Ser His Ala Lys Ser Leu Glu Trp lie Gly Val Lie Ser Thr Lys Tyr Gly Lys Thr Asn Tyr Asn Gin Lys Phe Lys Gly Lys Ala Thr Met Thr Val Asp Lys Ser Ser Ser Thr Ala Tyr Met Glu Leu Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys Ala Arg Gly Asp Asp Gly Tyr Ser Trp Gly Gin Gly Thr Ser Val Thr Val Ser Ser (SEQ ID NO: 7); CAGGTCCAGCTGCAGCAGTCTGGGCCTGAGCTGGTGAGGCCTGGGGTCTCAGTGAAGATT TCCTGCAAGGGTTCCGGCTACACATTCACTGATTATGCTATGCACTGGGTGAAGCAGAGT CATGCAAAGAGTCTAGAGTGGATTGGAGTTATTAGTACTAAGTATGGTAAGACAAACTAC AACCAGAAGTTTAAGGGCAAGGCCACAATGACTGTTGACAAATCCTCCAGCACAGCCTAT ATGGAGCTTGCCAGATTGACATCTGAGGATTCTGCCATCTATTACTGTGCAAGAGGGGAC GATGGTTATTCCTGGGGTCAAGGAACCTCAGTCACCGTCTCCTCA (SEQ ID NO: 8) · 139769.doc 201038590 〇27 in another embodiment, The framework regions of the VL chain, FWR1, FWR2, FWR3 and FWR4 may comprise SEQ ID NO: 9, SEQ ID NO: 10, S, respectively. EQ ID NO: 11 and the amino acid set forth in SEQ ID NO: 12:

Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly Asp Gin Ala Ser lie Ser Cys Arg Ser Gly (SEQ ID N〇:9);Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly Asp Gin Ala Ser lie Ser Cys Arg Ser Gly (SEQ ID N〇: 9);

Leu His Trp Tyr Leu Gin Lys Pro Gly Gin Ser Pro Lys Leu Leu lie Tyr (SEQ ID NO: 10);Leu His Trp Tyr Leu Gin Lys Pro Gly Gin Ser Pro Lys Leu Leu lie Tyr (SEQ ID NO: 10);

Asn Arg Phe Ser Gly Val Pro Asp Arg Phe Ser Gly Ser Gly SerAsn Arg Phe Ser Gly Val Pro Asp Arg Phe Ser Gly Ser Gly Ser

Gly Ser Asp Phe Thr Leu Lys lie Ser Arg Val Glu Ala Glu AspGly Ser Asp Phe Thr Leu Lys lie Ser Arg Val Glu Ala Glu Asp

Leu Gly Val Tyr Phe Cys (SEQ 工D N〇:11);Leu Gly Val Tyr Phe Cys (SEQ D 〇: 11);

Phe Gly Gly Gly Thr Lys Leu Glu lie Lys Arg (SEQ ID NO: 12) 〇 在另一實施例中,VL鏈之互補決定區、CDRl、CDR2及 CDR3可包含如下分別在SEQ ID NO: 13、SEQ ID NO: 14、SEQ ID NO: 15中闡明之胺基酸:Phe Gly Gly Gly Thr Lys Leu Glu ly Lys Arg (SEQ ID NO: 12) In another embodiment, the complementarity determining region, CDR1, CDR2 and CDR3 of the VL chain may comprise the following SEQ ID NO: 13, SEQ, respectively. ID NO: 14. Amino acid as set forth in SEQ ID NO: 15:

Gin Ser Leu Val His Ser Asn Gly Asn Thr Tyr (SEQ ID NO: 13);Gin Ser Leu Val His Ser Asn Gly Asn Thr Tyr (SEQ ID NO: 13);

Thr Val Ser (SEQ ID NO: 14);Thr Val Ser (SEQ ID NO: 14);

Ser Gin Asn Thr Phe Val Pro Trp Thr (SEQ ID NO: 15) 〇 在另一實施例中,VH鏈之框架區、FWRl、FWR2、 FWR3及FWR4可包含如下分另丨J在SEQ ID NO: 16、SEQ ID NO: 17、SEQ ID NO: 18及SEQ ID NO: 19中闡明之胺基 酸:Ser Gin Asn Thr Phe Val Pro Trp Thr (SEQ ID NO: 15) In another embodiment, the framework regions of the VH chain, FWR1, FWR2, FWR3, and FWR4 may comprise the following: SEQ ID NO: 16 Amino acids as set forth in SEQ ID NO: 17, SEQ ID NO: 18 and SEQ ID NO: 19:

Gin Val Gin Leu Gin Gin Ser Gly Pro Glu Leu Val Arg Pro GlyGin Val Gin Leu Gin Gin Ser Gly Pro Glu Leu Val Arg Pro Gly

Val Ser Val Lys lie Ser Cys Lys (SEQ ID NO: 16);Val Ser Val Lys lie Ser Cys Lys (SEQ ID NO: 16);

Met His Trp Val Lys Gin Ser His Ala Lys Ser Leu Glu Trp lieMet His Trp Val Lys Gin Ser His Ala Lys Ser Leu Glu Trp lie

Gly Val (SEQ ID N〇:17); •28· 139769.doc 201038590Gly Val (SEQ ID N〇: 17); •28· 139769.doc 201038590

Ala Thr Met Thr Val Asp Lys Ser Ser Ser Thr Ala Tyr Met Glu Leu Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys Ala Arg (SEQ ID NO: 18);Ala Thr Met Thr Val Asp Lys Ser Ser Ser Thr Ala Tyr Met Glu Leu Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys Ala Arg (SEQ ID NO: 18);

Trp Gly Gin Gly Thr Ser Val Thr Val Ser Ser (SEQ ID N〇:19) 〇 在另一實施例中,VH鏈之互補決定區、CDRl、CDR2及 CDR3可包含如下分別在SEQ ID NO: 20、SEQ ID NO: 21、SEQ ID NO: 22中闡明之胺基酸:Trp Gly Gin Gly Thr Ser Val Thr Val Ser Ser (SEQ ID N〇: 19) In another embodiment, the complementarity determining region, CDR1, CDR2 and CDR3 of the VH chain may comprise the following SEQ ID NO: 20, respectively. SEQ ID NO: 21, amino acid as set forth in SEQ ID NO: 22:

Gly Ser Gly Tyr Thr Phe Thr Asp Tyr Ala (SEQ ID NO: 20); lie Ser Thr Lys Tyr Gly Lys Thr Asn Tyr Asn Gin Lys Phe Lys Gly Lys (SEQ ID NO: 21); oGly Ser Gly Tyr Thr Phe Thr Asp Tyr Ala (SEQ ID NO: 20); lie Ser Thr Lys Tyr Gly Lys Thr Asn Tyr Asn Gin Lys Phe Lys Gly Lys (SEQ ID NO: 21);

Gly Asp Asp Gly Tyr Ser (SEQ ID N〇:22) 〇 所揭示治療方法中所用之多株或單株抗體可藉由已知技 術來產生。展示對所選目標之構形抗原決定基具專一性之 單專一性鼠類(小鼠)抗體可自含有對此區域具反應性之抗 體的哺乳動物抗血清中純化,或可使用Kohler及Milstein 之技術(1975, iVaiMre 256: 495-497)製備為單株抗體。如本 文中所用,單專一性抗體係定義為具有均一結合特徵之單 〇 一抗體物質或多種抗體物質,諸如在本文中例示之具有 13 C3系列單株抗體之小鼠單株抗體。融合瘤細胞係藉由在 • 將允許形成穩定融合瘤之條件下混合脾臟淋巴細胞與適當 融合搭配物(較佳骨髓瘤細胞)來產生。使脾臟抗體產生細 胞與骨髓瘤細胞融合,就抗體產生而言加以選擇且篩選。 藉由諸如MacPherson之軟瓊脂技術(1973, Soft Agar Techniques ,於 Tissue Culture Methods and Applications, Kruse及Paterson編’ Academic Press中)之技術來選殖來自 139769.doc -29- 201038590 抗體陽性孔之融合瘤細胞。單株抗體係藉由將各別融合瘤 細胞注射於初次預致敏小鼠(pristine primed mice)中,在 一定時間間隔之後收集腹水液來活體内產生,且藉由在此 項技術中熟知之技術加以製備。 除上述物種專一性單株抗體以外,本發明之抗體亦可呈 「肷合抗體」之形式,其為由來源於(例如)鼠類來源之可 變區及來源於預定宿主來源(例如人類;關於回顧,參看Gly Asp Asp Gly Tyr Ser (SEQ ID N〇: 22) 多 Multiple strains or monoclonal antibodies used in the disclosed therapeutic methods can be produced by known techniques. Monoclonal murine (mouse) antibodies displaying specificity for the selected epitope of the selected target may be purified from mammalian antisera containing antibodies reactive in this region, or may use Kohler and Milstein The technique (1975, iVaiMre 256: 495-497) was prepared as a monoclonal antibody. As used herein, a single specific anti-system is defined as a mono- or antibody-like substance having a uniform binding characteristic, such as a mouse monoclonal antibody having a 13 C3 series monoclonal antibody as exemplified herein. The fusion tumor cell line is produced by mixing spleen lymphocytes with appropriate fusion partners (preferred myeloma cells) under conditions that will allow for the formation of stable fusion tumors. The spleen antibody-producing cells are fused with myeloma cells, selected and screened for antibody production. A fusion tumor from 139769.doc -29-201038590 antibody-positive wells was cloned by techniques such as MacPherson's Soft Agar Technique (1973, Soft Agar Techniques, in Tissue Culture Methods and Applications, Kruse and Paterson, ed., Academic Press). cell. The monoclonal antibody system is produced in vivo by injecting individual fusion tumor cells into primary pre-sensitized mice (pristine primed mice) after a certain time interval, and is well known in the art. Technology is prepared. In addition to the species-specific monoclonal antibodies described above, the antibodies of the invention may also be in the form of "conjugated antibodies" which are derived from, for example, murine-derived variable regions and from a predetermined host source (eg, human; For review, see

Morrison及 〇i,1989,/«/所则W0/0gy, 44: 65-92)之 恆定區構築的單株抗體。舉例而言,可將來自齧齒動物 (例如小鼠)抗體之輕鏈及重鏈可變DNA序列(例如,分別為 SEQ ID NO: 6及8)選殖於哺乳動物表現載體中。藉由已知 技術將此等輕及重「嵌合」表現載體共轉染於受體細胞株 中且加以選擇及擴增。可接著使此細胞株經受已知細胞培 養技術’使仔產生嵌合抗體之輕鏈及重鏈。此匕等嵌合抗體 歷史上已展示具有原&齧齒動物I株抗體之抗原結合能 力’同時顯著降低宿主投藥後之免疫原性問題。 對喪合抗體之合理改良為「人類化抗體」,當與使用嵌 合或完整鼠類單株抗體相比時,其似乎降低患者產生針對 化療k體之免疫反應之可能性。&「鼠類Mab」人類化之 策略係基於藉由個別殘基之定點突變誘發或藉由移植整個 補决定區(Jones等人,1986,細⑽321: 522_526)來置換 不同於人類序列中胺基酸殘基之胺基酸殘基。此技術在此 項技術中現已再次热知且由改良此技術之眾多策略代表; 亦即’藉由實施包括(但不限於)以下各策略之策略:「再成 139769.doc 201038590 形」(參看 Verhoeyen 等人,1988,239: 1534- 1536)、「過度嵌合(hyperchimerization)」(參看 Queen 等 人,1991, Proc. Natl. Acad. Sci. 88:2869-2873)或「鑲飾 (veneering)」(Mark 等人,1994, Derivation of Therapeutically Active Humanized and Veneered anti-CD18 Antibodies Metcalf end. Dalton 編 Cellular Adhesion:Monozymes constructed in the constant region of Morrison and 〇i, 1989, /«/, W0/0gy, 44: 65-92). For example, light and heavy chain variable DNA sequences (e.g., SEQ ID NOS: 6 and 8, respectively) from rodent (e.g., mouse) antibodies can be selected for expression in a mammalian expression vector. These light and heavy "chimeric" expression vectors are co-transfected into recipient cell lines by known techniques and selected and amplified. This cell line can then be subjected to known cell culture techniques to produce the light and heavy chains of the chimeric antibody. Such chimeric antibodies such as guanidine have historically demonstrated the antigen binding ability of the original & rodent I strain antibody while significantly reducing the immunogenicity of the host after administration. A reasonable improvement of the antibody to the fungus is a "humanized antibody" which appears to reduce the likelihood of a patient developing an immune response against the chemobody when compared to the use of a chimeric or intact murine monoclonal antibody. & "Mouse Mab" humanization strategy based on the induction of site-directed mutagenesis by individual residues or by grafting the entire complementarity determining region (Jones et al., 1986, Fine (10) 321: 522_526) to replace amines different from human sequences. An amino acid residue of a base acid residue. This technology is now again known in the art and is represented by numerous strategies for improving this technology; that is, by implementing a strategy including, but not limited to, the following strategies: "re- 139769.doc 201038590 shape" ( See Verhoeyen et al., 1988, 239: 1534-1536), "hyperchimerization" (see Queen et al., 1991, Proc. Natl. Acad. Sci. 88: 2869-2873) or "veneering" (Mark et al., 1994, Derivation of Therapeutically Active Humanized and Veneered anti-CD18 Antibodies Metcalf end. Dalton, Cellular Adhesion:

Molecular Definition to Therapeutic Potential. New York: Plenum Press, 291-312)。此等策略在某種程度上均包括在 齧齒動物與人類序列之間進行序列比較以確定自齧齒動物 至人類一致序列之特定胺基酸取代是否適當。無論為何種 變化形式,產生人類化抗體中所涉及之中心主題均取決於 CDR移植,其中來自輕鏈及重鏈之此等三個抗原結合位點 均自表現抗體純系之齧齒動物有效移除且次選殖(或「移 植」)於編碼人類抗體之框架區的表現載體中。舉例而 言,利用以上技術可表現人類化抗體,其中可變輕鏈之 CDR1、CDR2 及 CDR3區域分別闡明於SEQ ID NO: 13、14 及15中,且可變重鏈之CDR1、CDR2及CDR3區域分別闡 明於SEQ ID NOS: 20、21及22中。因此,「人類化抗體」 有效地為僅以鼠類CDR(減去藉由併入上述策略中一或多 者產生之任何其他改良)構築之抗體,其中可變區之剩餘 部分及所有恆定區係來源於人類來源。 本發明亦係關於與13C3抗體之VH及/或VL區有關之經分 離核酸分子及相關胺基酸序列,及更特定言之編碼13C3或 13C3、1D1、19A6或其他13C3樣抗體之親和力成熟型式或 139769.doc -31 · 201038590 其他犬’又型式的生物學相關部分的經分離核酸分子(聚核 苷酸)。此等核酸實質上不含其他核酸。出於大多數選殖 目的,DNA為較佳核酸。可將此等DNA分子次選殖於表現 載體中且隨後轉染於所選宿主細胞中,其中重組宿主細胞 為13C3 ' 1D1、19A6或13C3樣、1D1樣或19A6樣抗體或其 親和力成熟型式之相關部分之實質含量提供來源。此等程 序了用於夕種效用,诸如產生scFvs*將此等%與&鏈共 表現於編碼(例如)igG抗體之人類Ch& Cl區之哺乳動物表 現載體系統中。對於除兩種胺基酸以外之所有胺基酸而 °遺傳德碼子之簡併性使得超過一種密碼子編碼一特定 胺基酸。此允許構築編碼本發明之抗體的合成DNA,其中 合成DNA之核苷酸序列顯著不同於本文揭示之核苷酸序 列,但仍編碼此抗體。此等合成DNA意欲在本發明之範疇 内。若需要在特定宿主細胞或生物體中表現此等合成 DNA,則可調節此等合成DNA之密碼子使用率以反映彼特 定宿主之密碼子使用率,因此產生本發明之抗體的較高表 現量。換言之,編碼特定胺基酸之各種密碼子之此冗餘係 在本發明之範疇内。因此,本發明亦針對編碼包含替代密 碼子之RNA的彼等DNA序列,該等替代密碼子編碼相同胺 基酸之最終轉譯’如下所示:A=Ala=丙胺酸:密碼子 GCA、GCC、GCG、GCU C=Cys=半胱胺酸··密碼子 UGC、UGU ; D=Asp=天冬胺酸:密碼子 GAC、QAu · E=Glu=麵胺酸:密碼子GAA、GAG ; F=Phe=苯丙胺酸: 密碼子UUC、UUU ; G=Gly=甘胺酸:密码子GGA、 i39769.doc -32- 201038590 GGC、GGG、GGU ; H=His=組胺酸:密石馬子 CAC、CAU ; I=Ile=異白胺酸:密碼子AUA、AUC ; AUU ; K=Lys=離胺 酸:密碼子AAA、AAG ; L=Leu=白胺酸:密碼子UUA、 UUG、CUA、CUC、CUG、CUU ; M=Met=甲硫胺酸:密 碼子AUG ; N=Asp=天冬醯胺:密碼子GAU、GAC ; P=Pro=脯胺酸:密碼子 CCA、CCC、CCG、CCU ; Q=Gln= 麩胺醯胺:密碼子CAA、CAG ; R=Arg=精胺酸:密碼子 AGA、AGG、CGA、CGC、CGG、CGU ; S = Ser=絲胺酸: 〇 密碼子 AGC、AGU、UCA、UCC、UCG、UCU ; T=Thr=蘇 胺酸:密碼子ACA、ACC、ACG、ACU ; V=Val=纈胺酸: 密碼子GUA、GUC、GUG、GUU ; W=Trp=色胺酸:密碼 子UGG ; Y=Tyr=酪胺酸:密碼子UAC、UAU。可接著將此 等重組表現載體穩定或瞬時轉染於適當細胞株中以供產生 替代抗體形式。 本發明注意到存在密碼子冗餘,其可產生表現相同抗體 或其部分之不同DNA分子(例如,編碼相同的scFv或IgG之 ◎ VH及/或VL部分之替代核酸分子)。出於本說明書之目的, 帶有一或多個經置換密碼子之序列將定義為簡併性變異。 _ 序列變異之另一來源可經由RNA編輯而發生。此RNA編輯 •可產生密碼子冗餘之另一形式,其中開放閱讀框之變化並 不引起所表現蛋白質中胺基酸殘基之改變。在本發明之範 疇内亦包括DNA序列或所轉譯抗體中改良所表現抗體之最 終物理特性的突變。為此目的,本發明係關於(i)13C3樣抗 體親和力成熟型式,其包括(但不限於)13C3、19A6及 139769.doc -33- 201038590 1D1,及/或(n)i3C3樣抗體之突變形式,其包括(但不限 於)13C3、19A6及/或1D1,包括(但不限於)CDR1、CDR2 及/或CDR3區域中如經由已知用於引入位點專一性突變之 已知親和力成熟方法及重組DNA技術所產生之一或多個突 變。此等經分離或經純化核酸分子將代表丨3C3樣抗體之 VH及/或VL部分。此等核酸實質上不含其他核酸。出於大 多數選殖目的,DNA為較佳核酸。可將此等DNA分子次選 殖於表現載體中且隨後轉染於所選宿主細胞中,其中重組 侣主細胞為13C3樣抗體或其親和力成熟型式之相關部分之 貫貝含置提供來源。此等程序可用於多種效用,諸如產生 scFvs或將此等vH與VL鏈共表現於編碼(例如)IgG抗體之人 類CH及CL區之哺乳動物表現载體系統中。 本發明亦係關於重組載體及重組宿主(原核與真核),其 含有編碼13C3樣抗體之各別重鏈區及/或輕鏈區的核酸分 子。可將此等核酸分子整體或部分與並不天然連接之其他 DNA分子(亦即,包涵免疫球蛋白基因的用於產生重組人 類抗體之DNA分子)連接以形成編碼各別人類重組抗體之 「重組DNA分子」。此等載體可包含DNA或RNA。出於大 多數選殖目的’ DNA載體較佳。典型載體包括質體、經修 飾病毒、噬菌體、黏質體、酵母人工染色體及游離型或整 合型DNA之其他形式。確定用於特定基因轉移、產生重組 人類抗體或其他用途之適當載體在熟習技工範圍内。熟知 將所關注核酸分子次選殖於表現載體中、轉型或轉染含有 載體之宿主細胞的方法,及製備實質上純蛋白質之方法, 139769.doc •34- 201038590 其包含將各別表現載體引入宿主細胞中及在適當條件下培 養宿主細胞之步驟。如此產生之抗體(諸如IgG重組人類抗 體)可以習知方式自宿主細胞收集。可使用任何已知表現 載體來實施本發明之此部分’包括任何含有合適啟動子及 其他適當轉錄調節元件之載體。將所得表現構築體轉移至 原核或真核宿主細胞中以產生重組蛋白質。表現載體在本 文中定義為在適當宿主中轉錄經選殖DNA及轉譯其mRNA 所需之DNA序列。可使用此等載體來在多種宿主(諸如細 菌、藍綠藻、植物細胞、昆蟲細胞及動物細胞)中表現真 核DNA。經特定設計之載體允許DNA在宿主之間(諸如細 菌-酵母或細菌-動物細胞)穿梭。經適當構築之表現載體應 含有:用於在宿主細胞中自主複製之複製起點、可選擇標 誌、、有限數目之適用限制酶位點、高複本數之潛力及活性 啟動子。啟動子定義為引導RNA聚合酶與DNA結合且啟始 RNA合成之DNA序列。強啟動子為使mRNA以高頻率啟始 之啟動子。用於此等操作之技術可見描述於Sambrook等人 (1989, Molecular Cloning. A Laboratory Manual; Cold Spring Harbor Laboratory, Cold Spring Harbor, New York) 中,其為一般技術之技工熟知且可得。表現載體可包括 (但不限於)選殖載體、經修飾選殖載體、經特定設計之質 體或病毒。可為合適之市售哺乳動物表現載體包括(但不 限於)pcDNA3.neo(Invitrogen)、pcDNA3.1(Invitrogen)、 pCI-neo(Promega) 、 pLITMUS28 、 pLITMUS29 、 pLITMUS38 及 pLITMUS39(New England Bioloabs)、 139769.doc -35- 201038590 pcDNAI ' pcDNAIanp(Invitrogen)、pcDNA3(Invitrogen)、 pMClneo(Stratagene) 、 pXTl (Stratagene) 、 pSG5 (Stratagene)、EBO pSV2-neo(ATCC 37593)、pBPV-1 (8-2) (ATCC 37110) > pdBPV-MMTneo(342-12)(ATCC 37224)、 pRSVgpt(ATCC 37199)、pRSVneo(ATCC 37198)、pSV2-dhfr(ATCC 37146)、pUCTag(ATCC 37460)及 1ZD35(ATCC 37565)。同樣,可獲得多種細菌表現載體,包括(但不限 K)pCR2.1(Invitrogen)、pETl la(Novagen)、λ gtl 1 (Invitrogen)及 pKK223-3(Pharmacia)。另外,可使用多種 真菌細胞表現載體,包括(但不限於)pYES2(Invitrogen)及 畢赤酵母(Pichie)表現載體(Invitrogen)。同樣,可使用多 種昆蟲細胞表現載體,包括(但不限於)pBlueBacIII及 pBlueBacHis2(Invitrogen),及 pAcG2T(Pharmingen)。 重組宿主細胞可為原核或真核細胞,包括(但不限於)細 菌,諸如大腸桿菌(£. ;真菌細胞,諸如酵母;哺乳 動物細胞,包括(但不限於)牛、豬、猴及齧齒動物來源之 細胞株;及昆蟲細胞。可為合適之哺乳動物物種(-26)包括 (但不限於)L 細胞 L-M(TK-)(ATCCCCL1.3)、L 細胞 L-M(ATCC CCL 1.2) 、 Saos-2(ATCCHTB-85) 、 293 (ATCCCRL1 573)、Raji(ATCC CCL 86)、CV-1(ATCC CCL 70)、COS-l(ATCC CRL1650)、COS-7(ATCC CRL 1651)、 CHO-Kl(ATCC CCL 61) 、 3T3(ATCC CCL 92)、 NIH/3T3(ATCC CRL 1658)、HeLa(ATCC CCL 2)、 C127I(ATCC CRL 1616)、BS-C-1(ATCC CCL 26)、MRC- 139769.doc -36- 201038590 5(ATCCCCL171)及 CPAE(ATCC CCL 209)。 對如上回顧之再工程化抗體的又一改良為產生完全人類 單株抗體。首先涉及使用具有免疫系統之遺傳工程化小鼠 品系,其中小鼠抗體基因已去活化且轉而又經全套功能性 人類抗體基因置換,同時使得小鼠免疫系統之其他組份不 變。此等遺傳工程化小鼠允許天然活體内免疫反應及親和 力成熟過程,其產生高親和力、完全人類單株抗體。此技 術在此項技術中現再次已為熟知且充分詳述於各種公開案 Ο 中,包括(但不限於)美國專利第5,939,598號;第6,075,181 號;第6,114,598號;第6,150,584號及相關家族成員(讓渡 於Abgenix,其揭示其XenoMouse技術);以及美國專利第 5,545,806 號;第 5,569,825 號;第 5,625,126 號;第 5,633,425 號;第 5,789,650 號;第 5,877,397 號;第 5,661,016 號;第 5,814,318 號;第 5,874,299 號;及第 5,770,429號(讓渡於GenPharmInternational且經由Medarex 可得,在「UltraMab人類抗體研發系統(UltraMab HumanMolecular Definition to Therapeutic Potential. New York: Plenum Press, 291-312). These strategies include, to some extent, sequence comparisons between rodent and human sequences to determine if a particular amino acid substitution from a rodent to human consensus sequence is appropriate. Regardless of the variation, the central subject involved in the production of humanized antibodies depends on CDR grafting, in which all three antigen binding sites from the light and heavy chains are efficiently removed from rodents exhibiting antibody-only lines and Secondary selection (or "transplantation") in expression vectors encoding the framework regions of human antibodies. For example, humanized antibodies can be expressed using the above techniques, wherein the CDR1, CDR2 and CDR3 regions of the variable light chain are set forth in SEQ ID NOs: 13, 14, and 15, respectively, and the CDR1, CDR2 and CDR3 of the variable heavy chain The regions are set forth in SEQ ID NOS: 20, 21 and 22, respectively. Thus, a "humanized antibody" is effectively an antibody constructed only with a murine CDR (minus any other modification resulting from the incorporation of one or more of the above strategies), wherein the remainder of the variable region and all of the constant regions It is derived from human sources. The invention also relates to an isolated nucleic acid molecule and related amino acid sequence associated with the VH and/or VL region of a 13C3 antibody, and more particularly an affinity matured version encoding a 13C3 or 13C3, 1D1, 19A6 or other 13C3-like antibody. Or 139769.doc -31 · 201038590 Isolated nucleic acid molecules (polynucleotides) of other dog's type-related biologically relevant parts. These nucleic acids are substantially free of other nucleic acids. For most purposes of selection, DNA is the preferred nucleic acid. These DNA molecules can be sub-selected in a performance vector and subsequently transfected into a host cell of choice, wherein the recombinant host cell is a 13C3 '1D1, 19A6 or 13C3-like, 1D1-like or 19A6-like antibody or an affinity matured version thereof. The source of the relevant content provides the source. Such procedures are used for the utility of the invention, such as the production of scFvs* which are co-presented in the mammalian expression vector system encoding the human Ch& Cl region of, for example, an igG antibody. For all amino acids except for the two amino acids, the degeneracy of the genetic code allows more than one codon to encode a particular amino acid. This allows for the construction of synthetic DNA encoding an antibody of the invention wherein the nucleotide sequence of the synthetic DNA differs significantly from the nucleotide sequence disclosed herein, but still encodes the antibody. Such synthetic DNA is intended to be within the scope of the invention. If such synthetic DNA is to be expressed in a particular host cell or organism, the codon usage of such synthetic DNA can be adjusted to reflect the codon usage of the particular host, thus producing a higher expression of the antibody of the invention. . In other words, this redundancy of the various codons encoding a particular amino acid is within the scope of the invention. Thus, the present invention is also directed to the encoding of the DNA sequences comprising the alternative codons, which encode the final translation of the same amino acid as follows: A = Ala = alanine: codon GCA, GCC, GCG, GCU C=Cys=cysteine··codon UGC, UGU; D=Asp=aspartic acid: codon GAC, QAu · E=Glu=face acid: codon GAA, GAG; F= Phe=phenylalanine: codon UUC, UUU; G=Gly=glycine: codon GGA, i39769.doc -32- 201038590 GGC, GGG, GGU; H=His=histamine: 密石马子CAC, CAU ; I = Ile = isoleucine: codon AUA, AUC; AUU; K = Lys = lysine: codon AAA, AAG; L = Leu = leucine: codon UUA, UUG, CUA, CUC, CUG, CUU; M=Met=methionine: codon AUG; N=Asp=aspartate: codon GAU, GAC; P=Pro=proline: codon CCA, CCC, CCG, CCU; Q=Gln= glutamine amide: codon CAA, CAG; R=Arg=arginine: codon AGA, AGG, CGA, CGC, CGG, CGU; S = Ser=serine: 〇 codon AGC, AGU, UCA, UCC, UCG, UCU; T=Thr=threonine: codon ACA, ACC, ACG, ACU; V=Val=proline: codon GUA, GUC, GUG, GUU; W=Trp=tryptophan: codon UGG; Y=Tyr=tyrosine: codon UAC, UAU. These recombinant expression vectors can then be stably or transiently transfected into an appropriate cell line for production of a surrogate antibody. The present invention contemplates the presence of codon redundancy that can produce different DNA molecules that represent the same antibody or portion thereof (e.g., a replacement nucleic acid molecule encoding a VH and/or VL portion of the same scFv or IgG). For the purposes of this specification, a sequence with one or more altered codons will be defined as a degenerate variant. Another source of sequence variation can occur via RNA editing. This RNA editing • can produce another form of codon redundancy in which changes in the open reading frame do not cause changes in the amino acid residues in the expressed protein. Mutations in the DNA sequences or in the translated antibodies that improve the final physical properties of the expressed antibodies are also included within the scope of the invention. To this end, the present invention relates to (i) 13C3-like antibody affinity maturation patterns including, but not limited to, 13C3, 19A6 and 139769.doc-33-201038590 1D1, and/or (n) i3C3-like antibody mutant forms , which includes, but is not limited to, 13C3, 19A6 and/or 1D1, including but not limited to, known affinity maturation methods in the CDR1, CDR2 and/or CDR3 regions, such as via a known site-specific mutation Recombinant DNA technology produces one or more mutations. Such isolated or purified nucleic acid molecules will represent the VH and/or VL portions of the 丨3C3-like antibody. These nucleic acids are substantially free of other nucleic acids. DNA is the preferred nucleic acid for most purposes of selection. These DNA molecules can be sub-selected in a performance vector and subsequently transfected into a host cell of choice, wherein the recombinant companion cell provides a source for the conformation of the 13C3-like antibody or a portion of its affinity matured version. Such procedures can be used for a variety of utilities, such as generating scFvs or co-presenting such vH and VL chains in a mammalian expression vector system encoding human CH and CL regions of, for example, IgG antibodies. The invention also relates to recombinant vectors and recombinant hosts (prokaryotic and eukaryotic) comprising nucleic acid molecules encoding respective heavy and/or light chain regions of a 13C3-like antibody. These nucleic acid molecules may be ligated in whole or in part with other DNA molecules not naturally linked (ie, DNA molecules encoding recombinant immunoglobulin genes for the production of recombinant human antibodies) to form a "recombinant" encoding recombinant antibodies of various other classes. DNA molecule." Such vectors may comprise DNA or RNA. A DNA vector is preferred for most purposes of selection. Typical vectors include plastids, modified viruses, phage, plastids, yeast artificial chromosomes, and other forms of free or integrated DNA. It is within the skill of the art to identify appropriate vectors for specific gene transfer, production of recombinant human antibodies, or other uses. Well-known methods for sub-selecting a nucleic acid molecule of interest in a performance vector, transforming or transfecting a host cell containing the vector, and methods for preparing a substantially pure protein, 139769.doc • 34- 201038590 which comprises introducing individual expression vectors The step of culturing the host cells in the host cell and under appropriate conditions. The antibodies thus produced, such as IgG recombinant human antibodies, can be collected from host cells in a conventional manner. This portion of the invention can be practiced using any known expression vector and includes any vector containing a suitable promoter and other appropriate transcriptional regulatory elements. The resulting expression construct is transferred to a prokaryotic or eukaryotic host cell to produce a recombinant protein. A expression vector is defined herein as the DNA sequence required to transcribe a selected DNA and translate its mRNA in a suitable host. Such vectors can be used to express eukaryotic DNA in a variety of hosts, such as bacteria, blue-green algae, plant cells, insect cells, and animal cells. A specially designed vector allows DNA to shuttle between hosts, such as bacterial-yeast or bacterial-animal cells. A suitably constructed expression vector shall contain: an origin of replication for autonomous replication in the host cell, a selectable marker, a limited number of suitable restriction enzyme sites, the potential for a high number of copies, and an active promoter. A promoter is defined as a DNA sequence that directs RNA polymerase to bind to DNA and initiate RNA synthesis. A strong promoter is a promoter that initiates mRNA at a high frequency. Techniques for such operations are described in Sambrook et al. (1989, Molecular Cloning. A Laboratory Manual; Cold Spring Harbor Laboratory, Cold Spring Harbor, New York), which are well known and available to those skilled in the art. Expression vectors can include, but are not limited to, selection vectors, modified selection vectors, specially designed plastids or viruses. Commercially available mammalian expression vectors that may be suitable include, but are not limited to, pcDNA3.neo (Invitrogen), pcDNA3.1 (Invitrogen), pCI-neo (Promega), pLITMUS28, pLITMUS29, pLITMUS38, and pLITMUS39 (New England Bioloabs), 139769.doc -35- 201038590 pcDNAI ' pcDNAIanp (Invitrogen), pcDNA3 (Invitrogen), pMClneo (Stratagene), pXTl (Stratagene), pSG5 (Stratagene), EBO pSV2-neo (ATCC 37593), pBPV-1 (8-2 (ATCC 37110) > pdBPV-MMTneo (342-12) (ATCC 37224), pRSVgpt (ATCC 37199), pRSVneo (ATCC 37198), pSV2-dhfr (ATCC 37146), pUCTag (ATCC 37460) and 1ZD35 (ATCC 37565) ). Also, a variety of bacterial expression vectors are available, including (but not limited to) pCR2.1 (Invitrogen), pETla (Novagen), λ gtl 1 (Invitrogen), and pKK223-3 (Pharmacia). In addition, a variety of fungal cell expression vectors can be used including, but not limited to, pYES2 (Invitrogen) and Pichia expression vector (Invitrogen). Likewise, a variety of insect cell expression vectors can be used including, but not limited to, pBlueBacIII and pBlueBacHis2 (Invitrogen), and pAcG2T (Pharmingen). The recombinant host cell can be a prokaryotic or eukaryotic cell, including but not limited to bacteria, such as E. coli (f.; fungal cells such as yeast; mammalian cells including, but not limited to, cattle, pigs, monkeys, and rodents) Cell lines of origin; and insect cells. Suitable mammalian species (-26) include, but are not limited to, L cell LM (TK-) (ATCCCCL1.3), L cell LM (ATCC CCL 1.2), Saos- 2 (ATCCHTB-85), 293 (ATCCCRL1 573), Raji (ATCC CCL 86), CV-1 (ATCC CCL 70), COS-l (ATCC CRL1650), COS-7 (ATCC CRL 1651), CHO-Kl ( ATCC CCL 61), 3T3 (ATCC CCL 92), NIH/3T3 (ATCC CRL 1658), HeLa (ATCC CCL 2), C127I (ATCC CRL 1616), BS-C-1 (ATCC CCL 26), MRC-139769. Doc -36- 201038590 5 (ATCCCCL171) and CPAE (ATCC CCL 209). A further improvement of the re-engineered antibody as reviewed above is the production of fully human monoclonal antibodies. The first involves the use of genetically engineered mouse strains with the immune system. , in which the mouse antibody gene has been deactivated and in turn replaced with a full set of functional human antibody genes, while making the mouse immune system His composition remains unchanged. These genetically engineered mice allow natural in vivo immune responses and affinity maturation processes that produce high-affinity, fully human monoclonal antibodies. This technique is now well known and fully detailed in this technology. Included in various publications, including but not limited to, U.S. Patent Nos. 5,939,598; 6,075,181; 6,114,598; 6,150,584 and related family members (transferred to Abgenix, which reveals its XenoMouse technology); Patent Nos. 5,545,806; 5,569,825; 5,625,126; 5,633,425; 5,789,650; 5,877,397; 5,661,016; 5,814,318; 5,874,299; and 5,770,429 (transferred to GenPharm International and via Medarex is available in the "UltraMab Human Antibody Development System (UltraMab Human)

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Antibody Development System)」之保護下)。亦參看來自 Kellerman 及 Green 之回顧(2002, Curr. Opinion in Sz'oiec/z⑽/og少 13: 593-597)。 最終,使用富集技術自文庫選擇抗體片段之技術可由技 工獲得,其包括(但不限於)噬菌體呈現、核糖體呈現 (Hanes及 Pluckthun,1997, Proc. Nat. Acad. Sci. 94: 4937-4942)、細菌呈現(Georgiou 等人,1997, 15: 29-34)及 / 或酵母呈現(Kieke等人,1997, 139769.doc -37- 201038590Under the protection of Antibody Development System). See also the review from Kellerman and Green (2002, Curr. Opinion in Sz'oiec/z(10)/og less 13: 593-597). Finally, techniques for selecting antibody fragments from libraries using enrichment techniques can be obtained by the skilled artisan including, but not limited to, phage display, ribosome presentation (Hanes and Pluckthun, 1997, Proc. Nat. Acad. Sci. 94: 4937-4942 ), bacterial presentation (Georgiou et al., 1997, 15: 29-34) and/or yeast presentation (Kieke et al., 1997, 139769.doc -37- 201038590)

Proiez'w £«及10: 1303-13 10),其可用作先前所論述 技術之替代以選擇與目標細胞激素專一性結合之單鏈抗 體。單鏈抗體係選自利用絲狀噬菌體技術直接產生之單鏈 抗體文庫。噬菌體呈現技術在此項技術中已知(例如參看 來自劍橋抗體技術(Cambridge Antibody Technology,CAT) 之技術),如以下文獻中所揭示:美國專利第5,565,332 號;第 5,733,743 號;第 5,871,907號;第 5,872,215 號;第 5,885,793 號;第 5,962,255 號;第 6,140,471 號;第 6,225,447號;第 6,291650號;第 6,492,160號;第 6,521,404 號;第 6,544,73 1 號;第 6,555,3 13 號;第 6,582,915 號;第 6,593,081號以及其他美國家族成員,或依賴於1992年5月 24曰申請之優先權文檔GB 92〇63 18之申請案;亦參看Proiez'w £« and 10: 1303-13 10), which can be used as an alternative to the previously discussed techniques to select a single-chain antibody that specifically binds to a target cytokine. The single-stranded anti-system is selected from a single-chain antibody library that is directly produced using filamentous phage technology. Phage presentation techniques are known in the art (see, for example, the technology from Cambridge Antibody Technology, CAT), as disclosed in U.S. Patent Nos. 5,565,332; 5,733,743; 5,871,907; 5, 872, 215; 5, 962, 255; 5, 962, 255; 6,140, 471; 6,225,447; 6,291,650; 6,492,160; 6,521,404; 6,544,73 1; 6,555,3 13 ; No. 6,582,915; No. 6,593,081 and other US family members, or applications that rely on the priority document GB 92〇63 18 of May 24, 1992; see also

Vaughn等人,1996,少 14: 309-314。亦 可使用可得重組DNA技術(諸如DNA擴增方法(例如pcr)) 或可能藉由使用各別融合瘤cDNA作為模板來設計及構築 單鏈抗體。單鏈抗體可為單專一性或雙專一性;二價或四 價抗體。如下文所述,編碼單鏈抗體之核苷酸序列可使用 手動或自動核苷酸合成來構築,使用標準重組DN a方法選 殖於表現構築體中,且引入至細胞中以表現編碼序列。 本發明另外係關於基於抗體之醫藥組合物,其包含有效 量之1 3C3樣抗體或親和力成熟型式,其提供抑制與阿茲海 默氏症相關之原纖維及/或老年斑形成的預防性或治療性 治療選擇。本發明之基於抗體之醫藥組合物可藉由在此項 技術中已知之任何數量之策略(例如參看McG〇ff& Scher, 139769.doc -38- 201038590 2000, Solution Formulation of Proteins/Peptides: In McNally,E.J.編。Protein Formulation and Delivery. New York, NY: Marcel Dekker ;第 139-158 頁;Akers 及Vaughn et al., 1996, less 14: 309-314. Single-chain antibodies can also be designed and constructed using available recombinant DNA techniques (such as DNA amplification methods (e.g., pcr)) or by using individual fusion tumor cDNAs as templates. Single-chain antibodies can be either monospecific or bispecific; bivalent or tetravalent antibodies. As described below, the nucleotide sequence encoding the single chain antibody can be constructed using manual or automated nucleotide synthesis, selected in the expression construct using standard recombinant DN a methods, and introduced into cells to express the coding sequence. The invention further relates to an antibody-based pharmaceutical composition comprising an effective amount of a 13C3-like antibody or an affinity matured form which provides prophylactic or therapeutic treatment for inhibition of Alzheimer's disease-related fibrils and/or senile plaque formation Sexual treatment options. The antibody-based pharmaceutical compositions of the present invention may be by any number of strategies known in the art (see, for example, McG〇ff & Scher, 139769.doc -38- 201038590 2000, Solution Formulation of Proteins/Peptides: In McNally , EJ ed. Protein Formulation and Delivery. New York, NY: Marcel Dekker; pp. 139-158; Akers and

Defilippis, 2000, Peptides and Proteins as Parenteral Solutions.於.Pharmaceutical Formulation Development of Peptides and Proteins· Philadelphia,PA: Talyor 及 Francis ;第 145-177 頁中;Akers 等人,2002,Defilippis, 2000, Peptides and Proteins as Parenteral Solutions. in .Pharmaceutical Formulation Development of Peptides and Proteins· Philadelphia, PA: Talyor and Francis; pp. 145-177; Akers et al., 2002,

Ο 14:47_127)來調配。適用於患者投藥之醫藥學 上可接受之組合物將在調配物中含有有效量之抗體,該調 配物保留生物活性同時亦在儲存期間在可接受之溫度範圍 内促進最大穩定性。視所需調配物而定,醫藥組合物亦可 包括醫藥學上可接受之稀釋劑、醫藥學上可接受之載劑及/ 或醫藥學上可接受之賦形劑,或任何常用以調配用於動物 或人沾技藥之醫藥組合物的此類媒劑。稀釋劑經選擇以便 不影響組合之生物活性。此等稀釋劑之實例為蒸餾水、生 理學磷酸鹽緩衝鹽水、林葛爾氏溶液(Ringer,s s〇iuti〇n)、 右旋糖溶液及亨克氏溶液(Hank,s s〇luti〇n)。適用於本發明 之醫藥組合物或調配物中的賦形劑之量為用以使抗體均一 分布於整個組合物中以使當將其傳遞至有f要之個體時其 可均-分散之量。其可用以將抗體稀釋至提供所需有利緩 解或治癒結果而同時使任何可因過高濃度而發生之不良副 作用最少的濃度。其亦可具有保存作用。因此,對於= 高生理活性之抗體而言,將採用更多賦形劑。另―方^ , 對於任何顯示較低生理活性之活性成份而言 139769.doc -39- 201038590 *之賦形劑。一般而言,組合物中賦形劑之量將在總組合 物之約50重量%(w)與99 9重量%之間。若抗體顯示特別低 之生理活性,則賦形劑之量可少至1重量%。另—方面, 對於具有特別高生理活性之抗體而言,賦形劑之量可在約 98.0重量%與約99.9重量%之間。另外,抗體可以「化學衍 生物」(含有通常不為基本分子之部分的額外化學部分之 分子)之形式投予。此等部分可改良生物劑之溶解度、半 衰期、吸收等。或者,此等部分可削弱抗體之不合需要之 剎作用。醫藥組合物亦可包括大的緩慢代謝之大分子,諸 =蛋白質、多醣、聚乳酸 '聚乙醇酸及共聚物(諸如乳膠 B能化瓊脂糖凝膠(sephar〇se)、瓊脂糖(agar〇se)、纖維素 及其類似物)、聚合胺基酸、胺基酸共聚物及脂質聚集體 (諸如小油滴或脂質體外,此f載劑可用作免疫:激 劑(亦即佐劑)。對於非經腸投藥而言,本發明之藥劑可以 该物質於生理學上可接受之稀釋劑與醫藥載劑中之溶液或 懸浮液之可注射劑量形式投予,該醫藥載劑可為滅菌液 體’諸如水油、鹽水、甘油或乙醇。另外,助劑物質,諸 如濕潤劑或乳化劑、界面活性劑、pH緩衝物質及其類似物 可存在於組合物中。醫藥組合物之其他組份為石油動 物、植物或合成來源之組份,例如花生油、大豆油及礦物 油。一般而言:尤其對於可注射溶液而言,諸如丙二醇或 聚乙一醇之一醇為較佳液體載劑。 抗體調配物可呈液體形式或固體形式。一般將固體調配 物凍乾,在投藥之前製成溶液以供單次或多次給藥。調配 139769.doc -40- 201038590 物不應暴露於極端溫度或PH以避免熱變性。因此,必須在 生物學相關ΡΗϋ圍内調配本發明之抗體組合物。尤其對於 在調配與投樂之間儲存較長時期之液體調配物而言,指示 需要經緩衝以在儲存期間維持適當阳值範圍之溶液。迄今 A止’液體及固體調配物均需要儲存在較低溫度(通常2_ 8 C )下以保持穩定性歷時較長時期。所調配之抗體組合 . 尤其液體調配物可含有防止或最小化儲存期間之蛋白 0 ”解的抑菌劑’包括(但不限於)有效濃度(通常<1% w/v)之 苯甲si苯盼、間曱紛、氯丁醇、對經基苯甲酸甲g旨及/ 或對經基苯甲酸丙醋。抑菌劑對於一些患者而言可能禁止 使用。因!t匕,可在含有或不含此組份之溶液中使床乾調配 物復水。彳將額夕卜組份添加至緩衝液冑或固體抗體調配物 中,該等額外組份包括(但不限於)作為低溫保護劑之糖(包 括(但不必限於)聚羥基烴,諸如山梨糖醇、甘露糖醇、甘 油及半乳糖醇,及/或二醣,諸如蔗糖、乳糖、麥芽糖或 〇 海藻糖)及(在一些情況下)相關鹽(包括(但不限於)Nacn、 KC1或LiCl)。預定用於長期儲存之此等抗體調配物(尤其液 體調配物)將依賴於總容積滲透濃度之適用範圍以促進在2_ 8 C或8 C以上之溫度下的長期穩定性,同時亦使得調配物 ‘ 適用於非經腸注射。總容積滲透濃度之有效範圍(溶液中 分子之總數)為約200 mOs/L至約800 mOs/L。顯然低溫保 濩劑(諸如蔗糖或山梨糖醇)之量將視調配物中鹽之量而定 以使溶液之容積滲透濃度保持在適當範圍内。因此,無鹽 調配物可含有約5%至約25%蔗糖,其中蔗糖之較佳範圍為 139769.doc •41- 201038590 約7 %至約丨5 %,其中無鹽調配物中之尤其較佳蔗糖濃度為 10%至12%。或者,基於山梨糖醇之無鹽調配物可含有在 約3%至約12%範圍内之山梨糖醇,其中較佳範圍為約4% 至7 /。,且尤其較佳範圍為於無鹽調配物中約5%至約6%山 梨糖醇。無鹽調配物當然將准許各別低溫保護劑之範圍增 大以維持有效容積滲透濃度水平。此等調配物亦可含有二 階陽離子(包括(但不必限於)MgCl2、CaCh及MnCl2);及非 32離子型界面活性劑(包括(但不必限於)聚山梨醇醋_ 8〇(Tween 80®)、聚山梨醇酯_6〇(Tween 6〇®)、聚山梨醇酯_ 4〇(Tween 4〇®)及聚山梨醇酯·2〇(Τνναη 2〇®),聚氧化乙烯 烧基醚,包括(但不限於)Brij 58®、Brij 3 5®,以及其他, 諸如 Triton X-100®、Triton X-114®、NP40®、Span 85及泊 洛尼克(Pluronic)系列非離子界面活性劑(例如,泊洛尼克 ⑵))。此等組份之任何組合(包括可能包含抑菌劑)可適用 於填充本發明之含抗體調配物。本發明之抗體組合物亦可 為「化學衍生物」’其描述含有通常不為免疫球蛋白分子 之部分的額外化學部分(例如聚乙二醇化)之抗體。此等部 分可改良基本分子之溶解度、半衰期、吸收等。或者,該 等部分可削弱基本分子之不合需要之副作用或降低基本分 子之毒性。 各種載劑、稀釋劑、賦形劑及其類似物之眾多實例係在 此項技術中已知且揭示於在本文中引用之參考文獻,以及Ο 14:47_127) to deploy. A pharmaceutically acceptable composition suitable for administration to a patient will contain an effective amount of the antibody in the formulation which retains the biological activity while also promoting maximum stability over an acceptable temperature range during storage. Depending on the desired formulation, the pharmaceutical composition may also comprise a pharmaceutically acceptable diluent, a pharmaceutically acceptable carrier, and/or a pharmaceutically acceptable excipient, or any conventionally formulated formulation. Such a vehicle for pharmaceutical compositions of animals or humans. The diluent is selected so as not to affect the combined biological activity. Examples of such diluents are distilled water, physiological phosphate buffered saline, Ringer's solution (Ringer, s s〇iuti〇n), dextrose solution and Henk's solution (Hank, s s〇luti〇n). The amount of excipient suitable for use in the pharmaceutical compositions or formulations of the present invention is such that the antibody is uniformly distributed throughout the composition such that it is uniformly dispersible when delivered to an individual in need thereof. . It can be used to dilute the antibody to a concentration that provides the desired beneficial mitigation or cure while minimizing any undesirable side effects that can occur due to excessive concentrations. It can also have a preservation effect. Therefore, for antibodies with high physiological activity, more excipients will be employed. In addition, for any active ingredient that exhibits lower physiological activity, 139769.doc -39- 201038590 * excipients. Generally, the amount of excipient in the composition will be between about 50% by weight (w) and 99% by weight of the total composition. If the antibody exhibits a particularly low physiological activity, the amount of excipient can be as little as 1% by weight. On the other hand, for antibodies having particularly high physiological activity, the amount of excipient may be between about 98.0% by weight and about 99.9% by weight. Alternatively, the antibody can be administered as a "chemical derivative" (a molecule containing an additional chemical moiety that is not normally part of the basic molecule). These parts improve the solubility, half-life, absorption, etc. of the biological agent. Alternatively, such moieties may impair the undesirable effects of the antibody. Pharmaceutical compositions may also include large, slow-metabolizing macromolecules, such as proteins, polysaccharides, polylactic acid 'polyglycolic acid, and copolymers (such as latex B agarose gel, sephar〇se, agarose (agar〇) Se), cellulose and its analogues), polymeric amino acids, amino acid copolymers and lipid aggregates (such as small oil droplets or lipids in vitro, this f carrier can be used as an immunizer: a stimulant (ie an adjuvant) For parenteral administration, the agent of the present invention can be administered as an injectable dose of the substance in a physiologically acceptable diluent and a solution or suspension in a pharmaceutical carrier, which can be Sterilizing liquids such as water oil, saline, glycerol or ethanol. In addition, auxiliary substances such as wetting or emulsifying agents, surfactants, pH buffering substances and the like may be present in the composition. Other groups of pharmaceutical compositions Parts are petroleum animal, vegetable or synthetic sources such as peanut oil, soybean oil and mineral oil. In general: especially for injectable solutions, such as propylene glycol or one of the polyvinyl alcohols are preferred liquid carriers. anti- The formulation may be in liquid form or in solid form. The solid formulation is typically lyophilized and prepared as a solution for single or multiple administration prior to administration. Formulation 139769.doc -40- 201038590 The substance should not be exposed to extreme temperatures or PH to avoid thermal denaturation. Therefore, the antibody composition of the present invention must be formulated within a biologically relevant range. Especially for liquid formulations that are stored for a longer period of time between formulation and doping, the indication needs to be buffered to A solution that maintains an appropriate positive range during storage. Until now, both liquid and solid formulations need to be stored at a lower temperature (usually 2-8 C) to maintain stability over a longer period of time. Formulations may contain a bacteriostatic agent that prevents or minimizes protein 0" storage during storage including, but not limited to, an effective concentration (usually <1% w/v) of benzoquinone, bismuth, and chlorine. Butanol, p-aminobenzoic acid and / or p-propyl benzoate. Bacteriostatic agents may be banned for some patients. Because !t匕, can be in the solution with or without this component Medium bed compounding complex Adding the burr component to a buffer oxime or solid antibody formulation, including but not limited to, a sugar as a cryoprotectant (including but not necessarily limited to) polyhydroxy hydrocarbons such as Yamanashi Sugar alcohols, mannitol, glycerol and galactitol, and/or disaccharides such as sucrose, lactose, maltose or sorghum trehalose and, in some cases, related salts including but not limited to Nacn, KC1 or LiCl). These antibody formulations (especially liquid formulations) intended for long-term storage will depend on the range of total volume osmotic concentration to promote long-term stability at temperatures above 2-8 C or above 8 C. The formulation is adapted for parenteral injection. The effective range of total volume osmotic concentration (total number of molecules in solution) is from about 200 mOs/L to about 800 mOs/L. It will be apparent that the amount of cryoprotectant (such as sucrose or sorbitol) will depend on the amount of salt in the formulation to maintain the volumetric osmolality of the solution within an appropriate range. Thus, the salt-free formulation may contain from about 5% to about 25% sucrose, with sucrose preferably ranging from 139769.doc • 41 to 201038590 from about 7% to about 5%, with particularly preferred in salt-free formulations. The sucrose concentration is 10% to 12%. Alternatively, the sorbitol-based salt-free formulation may contain sorbitol in the range of from about 3% to about 12%, with a preferred range of from about 4% to about 7%. And especially preferred ranges are from about 5% to about 6% sorbitol in the salt-free formulation. Unsalted formulations will of course permit an increase in the range of individual cryoprotectants to maintain an effective volume osmotic concentration level. These formulations may also contain second order cations (including but not necessarily limited to MgCl2, CaCh and MnCl2); and non-32 ionic surfactants (including but not necessarily limited to) polysorbate vinegar _ 8 〇 (Tween 80®) , Polysorbate _6〇 (Tween 6〇®), Polysorbate _ 4〇 (Tween 4〇®) and Polysorbate 2〇 (Τνναη 2〇®), polyoxyethylene alkyl ether, Includes, but is not limited to, Brij 58®, Brij 3 5®, and others, such as Triton X-100®, Triton X-114®, NP40®, Span 85, and Pluronic series of nonionic surfactants ( For example, Polonik (2))). Any combination of such components, including possibly bacteriostatic agents, may be suitable for filling the antibody-containing formulations of the invention. The antibody composition of the present invention may also be a "chemical derivative" which describes an antibody containing an additional chemical moiety (e.g., PEGylated) that is not normally part of the immunoglobulin molecule. These components improve the solubility, half-life, absorption, etc. of the basic molecule. Alternatively, such moieties may impair the undesirable side effects of the base molecule or reduce the toxicity of the basic molecule. Numerous examples of various carriers, diluents, excipients, and the like are known in the art and are disclosed in the references cited herein, and

Remington's Pharmaceutical Sciences(第]^版.,从Remington's Pharmaceutical Sciences (第]^版., from

Publishing Company,Easton, Pa_,1990)中,該等文獻之内 I39769.doc •42- 201038590In Publishing Company, Easton, Pa_, 1990), within the literature I39769.doc •42- 201038590

容係以引用& t 4 U .. 式併入本文中。簡言之,應瞭解可併入合 週载劑、賦形劑;5甘α e w y及其他樂劑以調配醫藥組合物以提供改良 之轉移、傳遞、耐受 了又性及其類似因素。將生物藥劑及/或 /、他〉舌性成份併入載 ώ u 1心 _ 戟別τ之方法為一般技術者所已知且視 Ο Ο 物藥劑之性質及實施本發明者所選擇載劑之性質而定。 離子',合 '凝膠囊封或物理截留於載劑内、離子導入療法 :載Μ /叉泡於生物劑溶液中為涵蓋於調配欲用於實施所 :丁’口療方法之醫藥組合物中之合適實例。或者,載劑可 等同於生物劑之稀釋劑。此等調配物可包括(例如)散劑、 糊劑、軟膏、膠凝劑、壤'油、脂質、無水吸收基劑、水 ,油或油包水乳液、乳液卡波樣(earb_x)(多種分子量之 聚乙二醇)、半固體凝膠劑,及含有卡波蠟之半固體混合 物根據多種因素來選擇利用本發明之化合物的給藥方 案X等因素包括患者之類型、物種、年齡、體重、性別 及醫學病狀;待治療病狀之嚴重性;投藥途徑;患者之 腎、肝及心血管功能;及所用之其特定生物劑。具有一般 技術之醫師或獸醫可易於決定及指定預防、對抗或阻滞病 狀進展所需之藥物的有效量。達成在產生功效而無毒性之 範圍内之藥物濃度的最佳精確度需要基於藥物到達目標部 位之可用性之動力學的方案。此涉及考慮藥物之分布、平 衡及消除。在根據本發明之治療及療法中,前述調配物中 任一者可為適當的,前提為調配物中之活性成份並未因調 配而失活且調配物為生理學上相容的。 可以在此項技術中可用之任何方式、策略及/或組合, 139769.doc -43· 201038590 以足以提供對抗阿茲海默氏症之治療性治療之量向宿主投 予本發明之藥組合物。可藉由在此項技術中已知之多種 途徑向個體提供此等組合物,該等途徑尤其為非經腸途 仫,包括(但決不限於)非經腸途徑,諸如靜脈内(ιν)、肌 $内_·’或皮下(sc)投藥,其中IV投藥為治療性抗體投 藥技術中之典型方式。此等組合物可以獨立或多次劑量 (亦即,經由治療方案藉由維持調配物之無菌條件在交錯 時間投予抗體)之形式投予。根據多種因素來選擇利用本 發明之化合物的劑量方案,該等因素包括患者(諸如人類 患者)之類型、物種、年齡、體重、性別及醫學病狀;待 ::療病狀之嚴重性;投藥途徑;患者之腎、肝及心血管功 能;及所用之其特定抗體。具有一般技術之醫師或獸醫可 $於決=且指定抗體之有效治療量。達成在產生功效而無 毋1"生之範圍内之抗體漢度的最佳精確度需要基於藥物到達 目標部位之可用性之動力學的方案。此涉及考慮藥物之分 布、平衡及消除。本文所述之抗體可以適當劑量單獨使 用。或者’可需要共投予或連續投予其他藥劑。可結合投 予替代性預防性或治療性方案來提供本發明之抗體的= 性給樂方案。有效劑量方案將視許多不同因素而變化…亥 等因素包括投藥方式、目標部位、患者之生理狀態、串= 為人類抑或動物、所投予之其他藥物及治療為預防性: 抑或治療性治療。對於投予13C3樣抗體而言,劑量介於每 公斤宿主體重約mg至⑽mg,且更通常每公斤 主體重0.01 mg至5呵之範圍内。在阿兹海默氏症之情況 139769.doc -44· 201038590 下,類殿粉沈積物存在於腦中,亦可與增大本發明之藥劑 穿過企腦障壁通過量之其他藥劑結合投予本發明之藥劑。 關於本發明之13C3樣抗體組合物的傳遞及劑量方案之另 -態樣係關於經由非經腸途徑進行藥物傳遞,其可包括非 注射及可注射裝置。通常將可注射組合物製備為液體溶液 或懸浮液;亦可製備適於在注射之前溶解或懸浮於液體媒 劑中之固體形式。如上文所討論,亦可將製劑乳化或囊封 於脂質體或微粒(諸如詩增強佐劑作用之聚丙交醋、聚 乙交醋或共聚物)中,(參看Langer,199〇,如·⑽脚 ⑴以⑶;及Hanes,1997,从㈣“ 細吻 心28: 97_119)。本發明之藥劑可以經允許持續或脈 動釋放活性成份之方式調配的冑槽式注射劑或植入製劑之 形式投予。 特定實施例包括PLGA微球體(如在本文十討論且另外在 此項技術中已知)以及包含聚(乙烯_共_乙酸乙烯酯; PEVAc)之基於聚合物之非降解媒劑。另外,在&心叫打等 人,2004,幻办z.«.犯〇/. 广 4(7): 1〇291〇44(以其全 文引用的方式併入本文中)中回顧基於抗體之治療性產物 的受控釋放及局部傳遞。能夠囊封抗體之合適微膠囊亦可 包括藉由凝聚技術或藉由界面聚合製備之羥甲基纖維素或 明膠-微膠囊及聚甲基丙烯酸甲酯微膠囊。參看標題為 「Method for Producing IGIM SustainedReleaseThe contents are incorporated herein by reference to < t 4 U .. . Briefly, it will be appreciated that a combination of carrier, excipient, 5g, and other agents can be formulated to formulate a pharmaceutical composition to provide improved transfer, delivery, tolerance, and the like. The method of incorporating a biological agent and/or/or a tongue component into a carrier ώ u 1 heart 戟 τ τ is known to the general practitioner and is a property of the medicinal agent and a carrier selected by the inventors of the present invention. Depending on the nature. Ion ', 'gel' encapsulation or physical entrapment in the carrier, iontophoresis: contained in the bio-agent solution for the formulation of the pharmaceutical composition to be used in the formulation: Ding's oral therapy A suitable example. Alternatively, the carrier can be equivalent to a diluent for the biological agent. Such formulations may include, for example, powders, pastes, ointments, gelling agents, soils, oils, lipids, anhydrous absorbent bases, water, oil or water-in-oil emulsions, emulsion cardopheres (earb_x) (multiple molecular weights) The polyethylene glycol), the semi-solid gel, and the semi-solid mixture containing the Kappa wax are selected according to various factors, such as the type of the patient, the species, the age, the body weight, and the like. Sex and medical conditions; severity of the condition to be treated; route of administration; kidney, liver and cardiovascular function of the patient; and the specific biological agent used. A physician or veterinarian of ordinary skill can readily determine and specify an effective amount of the drug required to prevent, combat or arrest the progression of the condition. The best accuracy in achieving a drug concentration in a range that produces efficacy without toxicity requires a regimen based on the kinetics of the availability of the drug to the target site. This involves considering the distribution, balance and elimination of the drug. In the treatment and therapy according to the present invention, any of the foregoing formulations may be suitable provided that the active ingredient in the formulation is not inactivated by the formulation and the formulation is physiologically compatible. Any of the ways, strategies, and/or combinations that may be used in the art, 139769.doc -43. 201038590 administering the pharmaceutical composition of the present invention to a host in an amount sufficient to provide a therapeutic treatment against Alzheimer's disease . Such compositions may be provided to an individual by a variety of routes known in the art, including, but not limited to, parenteral routes, such as intravenous (ιν), Muscles are administered intramuscularly or subcutaneously (sc), with IV administration being a typical mode of therapeutic antibody administration. Such compositions can be administered in the form of separate or multiple doses (i.e., administration of the antibody at staggered times by maintaining the sterile conditions of the formulation via a therapeutic regimen). Dosage regimens utilizing the compounds of the invention are selected based on a variety of factors, including the type, species, age, weight, sex, and medical condition of the patient (such as a human patient); to:: the severity of the condition; administration Route; kidney, liver and cardiovascular function of the patient; and the specific antibodies used. A physician or veterinarian of ordinary skill can determine the effective therapeutic amount of the antibody. Achieving the best accuracy of antibody metrics in the range of efficacy without 毋1" requires a regimen based on the kinetics of the availability of the drug to the target site. This involves considering the distribution, balance and elimination of the drug. The antibodies described herein can be used alone in appropriate dosages. Alternatively, it may be necessary to co-administer or continuously administer other agents. An alternative prophylactic or therapeutic regimen can be administered in combination to provide a sexual sex regimen of the antibodies of the invention. The effective dosage regimen will vary depending on many different factors... factors such as the method of administration, the site of the target, the physiological state of the patient, the string = for humans or animals, other drugs administered, and treatment are preventive: or therapeutic. For the administration of a 13C3-like antibody, the dose is in the range of about mg to (10) mg per kg of host body weight, and more typically in the range of 0.01 mg to 5 ng per kg of body weight. In the case of Alzheimer's disease 139769.doc -44· 201038590, the deposit of the genus powder is present in the brain, and may also be administered in combination with other agents that increase the throughput of the agent of the present invention through the brain barrier. The agent of the invention. Another aspect of the delivery and dosage regimen of the 13C3-like antibody compositions of the present invention relates to drug delivery via the parenteral route, which may include non-injectable and injectable devices. The injectable compositions are usually prepared as a liquid solution or suspension; solid forms suitable for dissolving or suspending in liquid vehicles prior to injection may also be prepared. As discussed above, the formulation may also be emulsified or encapsulated in liposomes or microparticles (such as polyacetic acid vinegar, polyacetamide or copolymer), (see Langer, 199, et al. (10) Foot (1) to (3); and Hanes, 1997, from (4) "Missing Heart 28: 97_119". The agent of the present invention can be administered in the form of a sputum injection or an implant preparation which is formulated in such a manner as to allow sustained or pulsatile release of the active ingredient. Particular embodiments include PLGA microspheres (as discussed herein and otherwise known in the art) and polymer-based non-degrading vehicles comprising poly(ethylene-co-vinyl acetate; PEVAc). Reviewing Antibody-Based Therapy in & Heart Calling, et al., 2004, Magic, z. «. 〇 〇 /. 广 4(7): 1〇291〇44 (incorporated herein by reference in its entirety) Controlled release and local delivery of the product. Suitable microcapsules capable of encapsulating the antibody may also include hydroxymethylcellulose or gelatin-microcapsules and polymethyl methacrylate microparticles prepared by coacervation techniques or by interfacial polymerization. Capsule. See the title "Method for Producing I GIM SustainedRelease

Formulations」之PCT公開案W〇 99/24061,其中將蛋白質 囊封於PLGA微球體中’此參考文獻在本文中係以其全文 】39769.doc -45· 201038590 引用的方式併入本文中。另外,亦可使用微乳液或膠體藥 物傳遞系統’諸如脂質體及白蛋白微球體。其他較佳持續 釋放組合物採用生物黏著劑以使抗體保留在投藥部位。如 上所述,持續釋放調配物可包含内部安置有抗體之可生物 降解4 &物,其可提供非即刻釋放。在本文巾可將非注射 装置描述為「植入物」、「醫藥儲槽式植入物」、「儲槽式植 入物」、非注射儲槽」或一些此類似術語。常見儲槽式植 入物可包括(但不限於)固體可生物降解及不可生物降解聚 合物裝置(諸如延長之聚合物或共軸棒狀裝置),以及亦在 此項技術中已知之眾多泵系統。可注射裝置係分成快速注 射(藥物在注射之後即釋放及耗散),及館存或儲槽式注 射其在主射部位提供儲存庫,允許隨時間持續釋放生物 劑。儲槽式植入物可以手術方式限定於傳遞點以便為隨時 間長期釋放抗體提供適當儲存庫。此裝置將能夠攜帶治療 2時預選時期諸如在治療或預防上所需之量的藥物調配 物。儲槽式植入物亦可在治療持續時間内提供使調配物免 受身體過程(諸如蛋白酶)降解之保護。如在此項技術中已 ’術語「持續釋放」係指在延長時期内此藥劑自嵌段並 基質之逐漸(連續或間斷)釋放。不論特定裝置如何, 持續釋放⑽樣抗體組合物均將產生抗體之局部生物學有 效濃度。視調配物而定,持續釋放生物劑將歷時一天、若 干天、一週或一週以上之時划 ,n %功,但最可能歷時一個月或— ^以上’或至多約六個月。由於諸如通用降解動力學、 女王性及生物相容性之特徵,因此在此項技術中已知之天 139769.doc -46 · 201038590 然或合成聚合物將適用作儲槽式植入物。可操作此等共聚 物以改進活性成份之藥物動力學,保護藥劑免受酶攻擊, 以及在附著或注射部位隨時間之降解。技工應瞭解在此項 技術中存在操作此等共聚物之特性的豐富教示,包括各別 產生過程、所用催化劑及持續釋放儲槽式植入物或儲槽式 注射劑之最終分子量。天然聚合物包括(但不限於)蛋白質 (例如’膠原蛋白、白蛋白或明膠);多醣(纖維素、澱粉、 褐藻酸鹽、甲殼素、聚葡萄胺糖、環糊精、葡聚糖、玻糖 醛酸)及脂質。可生物降解合成聚合物可包括(但不限於)各 種聚酯、L-麩胺酸與γ L-麩胺酸乙酯之共聚物(Sidman等 人,1983,Biopolymers 22:547-556)、聚丙交酯([PLA];美 國專利第3,773,919號及EP 058,481)、聚乳酸酯聚羥乙酸酯 (PLGA),諸如聚丙交酯-共-乙交酯(例如參看美國專利第 4,767,628號及第5,654,008號)、聚乙交酯(PG)、聚(α-羥基 酸)之聚乙二醇(PEG)共軛物、聚原酸酯、聚阿司匹林 (polyaspirin)、聚填肌酸、乙烯η比嘻。定酮、聚乙晞酵 (PVA)、PVA-g-PLGA、PEGT-PBT共聚物(多活性)、甲基丙 烯酸酯、聚(N·異丙基丙烯醯胺)、PEO-PPO-PEO(泊洛尼 克)、PEO-PPO-PAA共聚物、PLGA-PEO-PLGA、聚原酸酯 (POE)或其任何組合(如上所述,例如參看美國專利第 6,991,654號及美國專利申請案第20050187631號,其每一 者均以其全文引用的方式併入本文中)、水凝膠(例如參看 Langer等人,1981, J. Biomed. Mater. Res. 15:167-277 ; Langer, 1982,Chem. Tech. 12:98-105)、不可降解乙稀-乙 139769.doc • 47· 201038590 酸乙烯酯(例如乙烯乙酸乙烯酯盤及聚(乙烯-共-乙酸乙稀 西旨))、可降解乳酸-乙醇酸共聚物’諸如Lupron DepotTM、 聚-D-(-)-3-羥基丁酸(EP 133,988)、玻糖醛酸凝膠(例如參 看美國專利第4,636,524號)、褐藻酸懸浮液、聚原酸賴 (POE)及其類似物。自Lupron Depot™商業化(在1989年核 准作為利用PLA聚合物之第一非經腸持續釋放調配物)以 來’聚丙交酯(PLA)及其與乙交酯(PLGA)之共聚物已在此 項技術中熟知。利用PLA及PLGA作為賦形劑以達成活性 成份之持續釋放之產品的其他實例包括Atridox(PLA ;牙 周病)、Nutropin Depot(PLGA ;具有 hGH)及 Trelstar Depot(PLGA ;前列腺癌)。其他合成聚合物包括(但不限 於)聚(c-己内酯)、聚3-羥基丁酸酯、聚(β·蘋果酸)及聚(二 氧雜環已酮);聚酐、聚胺基甲酸酯(參看WO 2005/013936)、聚醯胺、環糊精、聚原酸酯、正乙烯醇、 聚氧化乙烯/聚對苯二甲酸乙二酯、聚磷氮烯、聚磷酸 酯、聚膦酸酯、聚原酸酯、聚氰基丙稀酸酯、聚乙二醇、 聚二氫哌喃及聚縮醛。不可生物降解裝置包括(但不限於) 各種纖維素衍生物(羧曱基纖維素、乙酸纖維素、乙酸丙 酸纖維素、乙基纖維素、羥丙基曱基纖維素)、矽基植入 物(聚二曱基矽氧烷)、丙烯酸聚合物、(聚曱基丙烯酸酯、 聚曱基丙稀酸甲酯、聚經基(乙基曱基丙稀酸酯)、以及聚 乙稀-共-(乙S文乙細醋)、泊洛沙姆(p〇l〇xamer)、聚乙稀。比 略。定酮、釙酸胺、聚丙烯、聚醯胺、聚縮醛、聚酯、聚乙 烯-氣三氟乙烯、聚四氟乙烯(PTFE或「Teflon™」)、丁苯 139769.doc -48- 201038590 橡膠、聚乙烯、聚丙晞、聚苯醚-聚苯乙烯、聚_a•氣-對二 曱苯、聚曱基戊烯、聚硬及其他相關生物穩定聚合物。適 用於持續釋放儲槽式調配物之載劑包括(但不限於)微球 體、膜、膠囊、粒子、凝膠、塗層、基質、糯米紙囊劑、 丸劑或其他醫藥傳遞組合物。上文描述此等持續釋放調配 物之實例。亦參看美國專利第6,953,593號;第6,946,146 號,第 6,656,508 號;第 6,541,〇33號;及第 6,451,346 號, ΟPCT Publication No. WO/99/24061, in which the protein is encapsulated in PLGA microspheres. This reference is incorporated herein by reference in its entirety by reference. Alternatively, microemulsion or colloidal delivery systems such as liposomes and albumin microspheres can be used. Other preferred sustained release compositions employ a bioadhesive to retain the antibody at the site of administration. As described above, the sustained release formulation can comprise a biodegradable 4 & internally disposed antibody that provides non-immediate release. Non-injectable devices can be described herein as "implants", "medical reservoir implants", "tank implants", non-injected reservoirs, or some similar terms. Common reservoir implants may include, but are not limited to, solid biodegradable and non-biodegradable polymer devices (such as elongated polymer or coaxial rod devices), as well as numerous pumps also known in the art. system. The injectable device is divided into rapid injection (the drug is released and dissipated after injection), and the library or reservoir injection provides a reservoir at the main site, allowing for sustained release of the agent over time. The reservoir implant can be surgically limited to the delivery point to provide a suitable reservoir for long-term release of antibodies over time. The device will be capable of carrying a therapeutic formulation in a preselected period of time such as therapeutic or prophylactic. The reservoir implant can also provide protection from degradation of body processes, such as proteases, for the duration of treatment. As used in the art, the term "sustained release" refers to the gradual (continuous or intermittent) release of the agent from the block and matrix over an extended period of time. The sustained release of the (10)-like antibody composition will produce a local biologically effective concentration of the antibody, regardless of the particular device. Depending on the formulation, the sustained release of the biological agent will take a day, a few days, a week or more, and it will most likely last for a month or more than or more than six months. Due to characteristics such as general degradation kinetics, queen sex, and biocompatibility, days known in the art 139769.doc -46 · 201038590 or synthetic polymers would be suitable for use as a reservoir implant. These copolymers can be manipulated to improve the pharmacokinetics of the active ingredient, to protect the agent from enzymatic attack, and to degrade over time at the attachment or injection site. The skilled artisan will appreciate that there are a wealth of teachings in the art for operating the properties of such copolymers, including the individual production process, the catalyst used, and the final molecular weight of the sustained release reservoir implant or reservoir injection. Natural polymers include, but are not limited to, proteins (eg 'collagen, albumin or gelatin); polysaccharides (cellulose, starch, alginate, chitin, polyglucosamine, cyclodextrin, dextran, glass) Uronic acid) and lipids. Biodegradable synthetic polymers can include, but are not limited to, various polyesters, copolymers of L-glutamic acid and gamma L-glutamate (Sidman et al, 1983, Biopolymers 22: 547-556), polypropylene. Lactide ([PLA]; U.S. Patent Nos. 3,773,919 and EP 058,481), polylactide polyglycolate (PLGA), such as polylactide-co-glycolide (see, for example, U.S. Patent No. 4,767,628 and 5,654,008), polyglycolide (PG), poly(α-hydroxy acid) polyethylene glycol (PEG) conjugate, polyorthoester, polyaspirin, poly-creatine, ethylene η ratio laugh. Ketone, polyacetal (PVA), PVA-g-PLGA, PEGT-PBT copolymer (multi-activity), methacrylate, poly(N-isopropyl acrylamide), PEO-PPO-PEO ( Polonik), PEO-PPO-PAA copolymer, PLGA-PEO-PLGA, polyorthoester (POE), or any combination thereof (as described above, for example, see U.S. Patent No. 6,991,654 and U.S. Patent Application Serial No. No. 20050187631, each of which is incorporated herein by reference in its entirety in its entirety, in the the the the the the the the the the the the the the the the the the the the the the the the the the the Chem. Tech. 12:98-105), Non-degradable Ethylene-B 139769.doc • 47· 201038590 Vinyl acetate (eg ethylene vinyl acetate disk and poly(ethylene-co-acetate)), Degradation of lactic acid-glycolic acid copolymers such as Lupron DepotTM, poly-D-(-)-3-hydroxybutyric acid (EP 133,988), and hyaluronic acid gel (see, for example, U.S. Patent No. 4,636,524), alginic acid suspension Polyortic acid lysate (POE) and its analogues. Since the commercialization of Lupron DepotTM (approved in 1989 as the first parenteral sustained release formulation using PLA polymers), polylactide (PLA) and its copolymer with glycolide (PLGA) have been here. It is well known in the art. Other examples of products that utilize PLA and PLGA as excipients to achieve sustained release of the active ingredient include Atridox (PLA; periodontal disease), Nutropin Depot (PLGA; with hGH), and Trelstar Depot (PLGA; prostate cancer). Other synthetic polymers include, but are not limited to, poly(c-caprolactone), poly-3-hydroxybutyrate, poly(beta-malic acid), and poly(dioxanone); polyanhydrides, polyamines Carbamates (see WO 2005/013936), polyamines, cyclodextrins, polyorthoesters, n-vinyl alcohol, polyethylene oxide/polyethylene terephthalate, polyphosphazenes, polyphosphates , polyphosphonates, polyorthoesters, polycyanoacrylates, polyethylene glycols, polydihydropyrans and polyacetals. Non-biodegradable devices include, but are not limited to, various cellulose derivatives (carboxymethyl cellulose, cellulose acetate, cellulose acetate propionate, ethyl cellulose, hydroxypropyl fluorenyl cellulose), sulfhydryl implants (polydidecyl decane), acrylic polymer, (polydecyl acrylate, polymethyl methacrylate, polyalkyl (ethyl propyl acrylate), and polyethylene - A total of - (S S B fine vinegar), poloxamer (p〇l〇xamer), polyethylene. Billing. ketone, decanoic acid, polypropylene, polyamide, polyacetal, polyester , polyethylene-gas trifluoroethylene, polytetrafluoroethylene (PTFE or "TeflonTM"), styrene-butadiene 139769.doc -48- 201038590 rubber, polyethylene, polypropylene, polyphenylene ether-polystyrene, poly-a • Gas-p-dioxene, polydecylpentene, polyhard and other related biostable polymers. Carriers suitable for sustained release reservoir formulations include, but are not limited to, microspheres, membranes, capsules, particles , gels, coatings, matrices, wafers, pills or other pharmaceutical delivery compositions. These sustained release are described above Examples of the ligands was also reference to U.S. Pat. No. 6,953,593; No. 6,946,146, No. 6,656,508; of 6,541, No. 〇33; and No. 6,451,346, Ο

其每一者之内容係以引用的方式併入本文中。劑型必須能 夠攜帶歷Μ預選階段之治療在治療上所需之量及濃度的藥 物調配物,且必須在治療持續時間内對調配物提供足以免 受身體過程造成之降解的保護。舉例而言,劑型可由以具 有保護免受因代謝過程造成之降解及(例如)滲漏、破裂、 破損或扭曲之風險的特性之材料製成的外部圍繞。此舉可 防止劑型内含物在其將在使用期間經受之應力下以非受控 方式排出’該等應力例如由因個體之正f關節聯接及其他 運動而施加於藥物釋放裝置上之物理力或例如在對流藥物 傳送裝置中與在儲槽内產生之壓力相關的物理力造成。藥 物儲槽或其他用力保持或容、納藥物之構件必多頁亦具有此材 料以避免與活性劑調配物發生非預期反應,且較佳具有生 物相容性(例如,在植入劑型之情況下,其就個體之身體 或體液而言實質上不反應)。一般而言,歷時至少Η小時 至至少一週,且最可能經由經設計以視需要歷時至少1〇、 20、30、1〇〇天或至少4個月或至少6個月或6個月以上來傳 遞樂物之植入物,向個體投予各別生物劑。可在此等相對 139769.doc -49· 201038590 較低體積速率下(例如,約〇_〇〇1毫升/天至1毫升/天)傳遞 13 C 3樣抗體以使調配物釋放部位附近的組織干擾或創傷最 小。視特定生物劑而定,調配物可以(例如)約O.Oi pg/hr! 〇. 1 pg/hr、0.25 pg/hr、1 gg/hr ’ 一般至多約 200 pg/hr之速 率以低劑量釋放,或以低體積速率,例如約〇.〇〇 1毫升/天 至約1毫升/天’例如0· 01微克/天至約20毫克/天之體積速 率傳遞該調配物。劑量取決於許多因素,諸如所用活性成 份(例如’ IgG抗體)之效力、生物可用性及毒性,及個體 之需求。 對熟習此項技術者而言在閱讀如下文更充分闡述之方法 及組合物之細節後,本發明之此等及其他目標、優勢及特 徵將變得顯而易見。 實例 實例1 :製備類澱粉β(Αβ42)之基原纖維形式 根據 Fezoui 等人(Fezoui 等人 Amyloid 7(3): 166-178. (2000))所述之方法來製備Αβ42合成肽(American peptide Company, Inc” CA)。簡言之,將凍乾 Αβ42αι mg/ml 濃度 (pH值為約溶解於2 mM NaOH中,接著進行超音波處 理及/東乾。將經NaOH處理之Αβ以1 mg/ml之濃度溶解於水 中且以 0‘22 μιη ULTRAFREE-MC過濾器(Millipore, MA)過 遽。將0.5 mg/ml肽溶液以50 mM磷酸鹽、1〇〇 mM氣化納 之最終濃度緩衝且在室溫下培育4 hr。為自低分子量蛋白 質分離基原纖維形式’使用尺寸排除層析來分級分離上清 液。接著將經純化SEC溶離份在4°C下儲存。 139769.doc -50- 201038590 Α β 4 2蛋白之各種形式經闡明展示其作為單體或二聚體締 合在一起以形成高分子量寡聚物(基原纖維)之能力(圖丨)。 可溶基原纖維之進一步聚集產生蛋白質之不可溶形式而 基原纖維可重新解離為較低分子量形式。 為自低分子量蛋白質純化Αβ之基原纖維形式,以使用 Superdex 75尺寸排除管柱之ΑΚΤΑ層析系統將樣本分級分 離。圖2Α展示未在室溫下培育Αβ*2合成肽之情況下,不存 在形成基原纖維之寡聚物聚集。圖2Β說明在培育Αβ42合成 肽4 hr後,後續SEC純化展示確定基原纖維溶離份。 貫例2 :產生對基原纖維Αβ具有專一性之單株抗體 藉由使用在此項技術中已知之方案(Harl〇w等人,c〇ldThe content of each of them is incorporated herein by reference. The dosage form must be capable of carrying a pharmaceutical formulation in a quantity and concentration required to treat the treatment in a preselected stage, and the formulation must be provided with protection sufficient to protect against degradation by the body process for the duration of the treatment. For example, the dosage form can be surrounded by an exterior made of a material having properties that protect against degradation by metabolic processes and, for example, leakage, breakage, breakage, or distortion. This prevents the dosage form from being expelled in an uncontrolled manner under the stresses it will experience during use. These stresses are applied to the drug release device, for example, by the positive f-joint and other movements of the individual. Or caused, for example, in a convective drug delivery device with physical forces associated with the pressure generated within the reservoir. Drug reservoirs or other components that are used to hold or contain drugs must have multiple materials to avoid unintended reactions with the active agent formulation, and are preferably biocompatible (eg, in the case of implanted dosage forms) In the meantime, it does not substantially react with respect to the body or body fluid of the individual. Generally, it lasts for at least Η hours to at least one week, and most likely by design to take at least 1 〇, 20, 30, 1 或 or at least 4 months or at least 6 months or more than 6 months or more as needed. The implant of the musical substance is delivered, and the individual biological agent is administered to the individual. 13 C 3 -like antibodies can be delivered at a lower volume rate relative to 139769.doc -49· 201038590 (eg, about 〇_〇〇1 ml/day to 1 ml/day) to allow tissue near the release site of the formulation. Interference or trauma is minimal. Depending on the particular biological agent, the formulation may, for example, be at about O.Oi pg/hr! 1. 1 pg/hr, 0.25 pg/hr, 1 gg/hr', typically at a rate of up to about 200 pg/hr at low doses. The formulation is delivered, or at a low volume rate, for example, from about 1 ml/day to about 1 ml/day, for example, from 0.01 μg/day to about 20 mg/day. The dosage will depend on a number of factors, such as the potency of the active ingredient employed (e.g., &apos; IgG antibody), bioavailability and toxicity, and the individual's needs. These and other objects, advantages and features of the present invention will become apparent from the <RTIgt; EXAMPLES Example 1: Preparation of a fibrillar form of a starch-like β (Αβ42) The Αβ42 synthetic peptide was prepared according to the method described by Fezoui et al. (Fezoui et al. Amyloid 7(3): 166-178. (2000)) (American peptide) Company, Inc" CA). Briefly, lyophilized Αβ42αι mg/ml concentration (pH is approximately dissolved in 2 mM NaOH, followed by ultrasonic treatment and /Donggan. NaOH treated Αβ at 1 mg The concentration of /ml was dissolved in water and passed through a 0'22 μιη ULTRAFREE-MC filter (Millipore, MA). The 0.5 mg/ml peptide solution was buffered at a final concentration of 50 mM phosphate, 1 mM nitrocellulose. And incubated for 4 hr at room temperature. The supernatant was fractionated from the low molecular weight protein separation fibril form using size exclusion chromatography. The purified SEC fraction was then stored at 4 ° C. 139769.doc - 50- 201038590 Various forms of the Αβ 4 2 protein have been shown to demonstrate their ability to associate together as monomers or dimers to form high molecular weight oligomers (based fibrils) (Figure 丨). Solvent-based fibrils Further aggregation to produce an insoluble form of the protein while the fibrils It can be re-dissociated into a lower molecular weight form. To purify the base fibril form of Αβ from low molecular weight proteins, the samples were fractionated using a Superdex 75 size exclusion column chromatography system. Figure 2Α shows that Αβ was not incubated at room temperature. *2 In the case of a synthetic peptide, there is no aggregation of oligomers forming fibrils. Figure 2A shows that after incubation of the Αβ42 synthetic peptide for 4 hr, subsequent SEC purification shows the determination of the fibrils of the basal fibrils. Fibril Αβ has a specific monoclonal antibody by using a protocol known in the art (Harl〇w et al., c〇ld

Spring Harbor Laboratory (1988)),以原纖維Αβ蛋白免疫Spring Harbor Laboratory (1988)), immunized with fibrillar Αβ protein

Balb/c小鼠來產生13C3、19Α6及1D1抗體。移除脾臟且在 若干96孔板中使其與SP2骨髓瘤細胞融合。監測融合培養 物之生長且藉由抗體捕獲免疫檢定就上清液結合基原纖維 溶離份之能力對上清液進行篩選。 實例3 .對基原纖維Αβ具有專一性之單株抗體的表徵 使用抗體捕獲檢定來進一步表徵自融合瘤產生之單株抗 體(13C3、19Α6及1D1)。將50 μΐ之2 pg/ml基原纖維八042蛋 白溶液添加至微量滴定盤之各孔中且將板在4。〇下培育隔 夜。在培育之後’移除殘餘抗原溶液且以pBS溶液洗滌。 將融合瘤上清液之連續稀釋液添加至含有已結合抗原之板 中且在室溫下培育1小時。移除此初級抗體溶液且將孔以 PBS溶液再次洗務。隨後添加經酶標記之二級抗體且在室 139769.doc •51 - 201038590 溫下培育1小時。在移除二級抗體溶液之後,將對共軛酶 具專一性之發色受質添加至反應中且對經捕獲抗體進行偵 測產生定量結果。 另外,將二級試劑改為同型專一性抗免疫球蛋白抗體, 鑑別各單株之特定免疫球蛋白同型。在此等實驗中,使用 市售抗Αβ42抗體來比較13C3、19八6及1〇1單株抗體之結合 專一性。 圖3 Α及Β说明用以在抗體捕獲免疫檢定中測試1 抗體 之專一性的Αβ42肽之基原纖維(PF)及低分子量(lmw)形 式。特定言之’圖3A說明自ELISA產生之圖,其展示13C3 抗體對Αβυ之基原纖維形式(pF)具專一性且並不識別蛋白 質之低分子量(LMW)形式。圖3B說明使用市售4G8抗體獲 得之ELISA資料,展示其識別Αρη蛋白之低分子量及基原 纖維形式。 實例4 :使用表面電漿共振(bIAC〇RE)測得之單株抗體對 Α β η之基原纖維形式的專一性 根據公開方案(Nice 等人,BioEssays 21: 339-352 (1999)) ’將列於表丨(下文)中之經純化單株抗體固定於 BIAcore感應晶片。BIAcore光學反應之高靈敏度定量反射 率變化且產生單獨配位體之基線反應。當將分析物(Αβ42 之LMW形式或PF形式)在溶液中注射於感應晶片上方時進 行相互作用分析’且表面電漿共振之變化產生鑑別各抗體 結合LMW及PF Αβ42之能力的專一性之反應。13C3及19a6 抗體所有均以高於LMW形式之專一性結合Αβ42之PF形 139769.doc •52· 201038590 式。在所有用於此實驗中之抗體中,如由PF結合/LMW結 合之比率指示,市售抗體展示對LMW Αβ42具有高於AP42 之PF形式的專一性。 表1 BIACORE結合分析 名稱 抗原決定基同型 來源 LMW PF 比率(PF/LMW) 1D1 結構 IgGl Ravetch 23.2 122.3 5.3 13C3 結構 IgGl Ravetch 25 124.8 5.0 19A6 結構 IgG3 Ravetch 3D6 Αβ 1-5 IgG2b Elan Pharmaceuticals 424.6 402.7 0.9 4G8 Αβ 17-22 IgG2b Senetek Inc. 228.6 340.3 1.5 6E10 Αβ 3-8 IgG2b Senetek Inc. 400.1 541.1 1.4 82E1 Αβ 1-17 IgGl IBL 69.9 68.4 1.0 表面電漿共振分析藉由感應圖展示13 C3(圖4Β)並不結合 Αβ42蛋白之LMW形式。然而’ 4G8(圖4A)展示對LMW Αβ42 蛋白之標準締合/解離曲線。抗體同型對照1§〇1 (圖c)亦不 結合LMW Αβ。在此等實驗中使用利用表面電漿共振之偵 測原理的自動BIAcore系統。19Α6抗體之結合專一性資料 展示19A6具有5.8之結合比,其類似於比率為5.3之13C3。 實例5 : 13C3抗體之抗原決定基定位 根據公開方案(Korth等人,390: 74 (1997))使用Balb/c mice were used to generate 13C3, 19Α6 and 1D1 antibodies. The spleen was removed and fused to SP2 myeloma cells in several 96-well plates. The growth of the fused culture was monitored and the supernatant was screened for the ability of the supernatant to bind to the fibrils of the fibrils by antibody capture immunoassay. Example 3. Characterization of monoclonal antibodies specific for basal fibrillary Αβ The antibody capture assay was used to further characterize individual antibodies (13C3, 19Α6 and 1D1) produced from fusion tumors. 50 μL of 2 pg/ml basal fibril octa 042 protein solution was added to each well of the microtiter plate and the plate was at 4. Underarm cultivation lasted overnight. The residual antigen solution was removed after incubation and washed with pBS solution. Serial dilutions of the fusion tumor supernatant were added to plates containing the bound antigen and incubated for 1 hour at room temperature. This primary antibody solution was removed and the wells were washed again with PBS solution. Enzyme-labeled secondary antibodies were then added and incubated for 1 hour at room temperature 139769.doc • 51 - 201038590. After removal of the secondary antibody solution, a conjugated chromogenic receptor with specificity is added to the reaction and the captured antibody is detected to produce a quantitative result. In addition, the secondary reagent was changed to a homotypic specific anti-immunoglobulin antibody to identify the specific immunoglobulin isotype of each individual plant. In these experiments, commercially available anti-Aβ42 antibodies were used to compare the binding specificity of 13C3, 1986 and 1〇1 monoclonal antibodies. Figure 3 Α and Β illustrate the fibril (PF) and low molecular weight (lmw) forms of the Αβ42 peptide used to test the specificity of the 1 antibody in an antibody capture immunoassay. Specifically, Figure 3A illustrates a graph generated from ELISA showing that the 13C3 antibody is specific for the fibril form (pF) of Αβυ and does not recognize the low molecular weight (LMW) form of the protein. Figure 3B illustrates ELISA data obtained using commercially available 4G8 antibodies demonstrating their recognition of the low molecular weight and basal fibril forms of Αρη protein. Example 4: Specificity of the fibril form of Αβ η measured by surface electrochemical resonance (bIAC〇RE) using a surface antibody according to the published protocol (Nice et al., BioEssays 21: 339-352 (1999)) The purified monoclonal antibodies listed in Table 丨 (below) were immobilized on BIAcore sensing wafers. The high sensitivity of the BIAcore optical reaction quantifies the change in reflectance and produces a baseline response to the individual ligand. Interaction analysis was performed when the analyte (LMW form or PF form of Αβ42) was injected over the induction wafer in solution and the change in surface plasma resonance produced a specific response that identified the ability of each antibody to bind LMW and PF Αβ42. . All of the 13C3 and 19a6 antibodies were combined with the specificity of the LMW form in combination with the PF of Αβ42 139769.doc •52· 201038590. In all of the antibodies used in this experiment, as indicated by the ratio of PF binding/LMW binding, commercially available antibodies exhibited specificity for LMW Αβ42 that was higher than the PF form of AP42. Table 1 BIACORE binding assay name epitope haplotype source LMW PF ratio (PF/LMW) 1D1 structure IgGl Ravetch 23.2 122.3 5.3 13C3 structure IgGl Ravetch 25 124.8 5.0 19A6 structure IgG3 Ravetch 3D6 Αβ 1-5 IgG2b Elan Pharmaceuticals 424.6 402.7 0.9 4G8 Αβ 17-22 IgG2b Senetek Inc. 228.6 340.3 1.5 6E10 Αβ 3-8 IgG2b Senetek Inc. 400.1 541.1 1.4 82E1 Αβ 1-17 IgGl IBL 69.9 68.4 1.0 Surface plasmon resonance analysis shows 13 C3 (Fig. 4Β) by means of an induction diagram Binding to the LMW form of Αβ42 protein. However, '4G8 (Fig. 4A) shows a standard association/dissociation curve for LMW Αβ42 protein. The antibody isotype control 1 § 〇 1 (panel c) also does not bind LMW Αβ. An automated BIAcore system utilizing the principle of surface plasma resonance detection was used in these experiments. Binding specificity data for the 19Α6 antibody shows that 19A6 has a binding ratio of 5.8, which is similar to 13C3 with a ratio of 5.3. Example 5: epitope mapping of 13C3 antibodies according to the published protocol (Korth et al, 390: 74 (1997))

RepliTope微陣列系統(JPT Peptide Technologies GmbH)進 行13 C3、1D1及19A6之抗原決定基定位。微陣列上之各點 含有Αβά之13個胺基酸之肽,其中微陣列上之各位置移位 代表胺基酸移位(自Ν端至C端),亦即SEQ ID NO: 23、 SEQ ID NO: 24…SEQ ID NO: 51 ;及 SEQ ID NO: 52。下文 列出肽及其精確胺基酸序列,對應於其載片陣列上之位 置。使肽固定於RepliTope微陣列後,將樣本與13C3抗體 139769.doc -53- 201038590 一起培育且接著隨後以與所選化學發光標籤共軛之二級抗 體標記。產生信號之點表示蛋白質上由抗體結合之抗原決 定基結合位點。The RepliTope microarray system (JPT Peptide Technologies GmbH) performed epitope mapping of 13 C3, 1D1 and 19A6. Each point on the microarray contains a peptide of 13 amino acids of Αβά, wherein each position shift on the microarray represents an amino acid shift (from the Ν to the C terminus), ie SEQ ID NO: 23, SEQ ID NO: 24...SEQ ID NO: 51; and SEQ ID NO: 52. The peptides and their precise amino acid sequences are listed below, corresponding to positions on their slide arrays. After immobilizing the peptide to the RepliTope microarray, the sample was incubated with 13C3 antibody 139769.doc-53-201038590 and then subsequently labeled with a secondary antibody conjugated to the selected chemiluminescent tag. The point at which the signal is generated represents the antigen binding site binding site on the protein bound by the antibody.

Asp Ala Glu Phe Arg His Asp Ser 23)Asp Ala Glu Phe Arg His Asp Ser 23)

Ala Glu Phe Arg His Asp Ser Gly 24)Ala Glu Phe Arg His Asp Ser Gly 24)

Glu Phe Arg His Asp Ser Gly Tyr 25)Glu Phe Arg His Asp Ser Gly Tyr 25)

Phe Arg His Asp Ser Gly Tyr Glu 26)Phe Arg His Asp Ser Gly Tyr Glu 26)

Arg His Asp Ser Gly Tyr Glu Val 27)Arg His Asp Ser Gly Tyr Glu Val 27)

His Asp Ser Gly Tyr Glu Val His 28)His Asp Ser Gly Tyr Glu Val His 28)

Asp Ser Gly Tyr Glu Val His His 29)Asp Ser Gly Tyr Glu Val His His 29)

Ser Gly Tyr Glu Val His His Gin 30)Ser Gly Tyr Glu Val His His Gin 30)

Gly Tyr Glu Val His His Gin Lys 31)Gly Tyr Glu Val His His Gin Lys 31)

Tyr Glu Val His His Gin Lys Leu 32)Tyr Glu Val His His Gin Lys Leu 32)

Glu Val His His Gin Lys Leu Val 33)Glu Val His His Gin Lys Leu Val 33)

Val His His Gin Lys Leu Val Phe 34)Val His His Gin Lys Leu Val Phe 34)

His His Gin Lys Leu Val Phe Phe 35)His His Gin Lys Leu Val Phe Phe 35)

His Gin Lys Leu Val Phe Phe Ala 36)His Gin Lys Leu Val Phe Phe Ala 36)

Gin Lys Leu Val Phe Phe Ala Glu 37)Gin Lys Leu Val Phe Phe Ala Glu 37)

Lys Leu Val Phe Phe Ala Glu Asp 38)Lys Leu Val Phe Phe Ala Glu Asp 38)

Leu Val Phe Phe Ala Glu Asp Val 39)Leu Val Phe Phe Ala Glu Asp Val 39)

Val Phe Phe Ala Glu Asp Val Gly 40)Val Phe Phe Ala Glu Asp Val Gly 40)

Phe Phe Ala Glu Asp Val Gly Ser 41)Phe Phe Ala Glu Asp Val Gly Ser 41)

Phe Ala Glu Asp Val Gly Ser Asn 42)Phe Ala Glu Asp Val Gly Ser Asn 42)

Ala Glu Asp Val Gly Ser Asn Lys 43)Ala Glu Asp Val Gly Ser Asn Lys 43)

Glu Asp Val Gly Ser Asn Lys Gly 44)Glu Asp Val Gly Ser Asn Lys Gly 44)

Asp Val Gly Ser Asn Lys Gly Ala 45)Asp Val Gly Ser Asn Lys Gly Ala 45)

Val Gly Ser Asn Lys Gly Ala lie 46)Val Gly Ser Asn Lys Gly Ala lie 46)

Gly Ser Asn Lys Gly Ala lie lie 47)Gly Ser Asn Lys Gly Ala lie lie 47)

Gly Tyr Glu Val His (SEQ ID NO: Tyr Glu Val His His (SEQ ID NO: Glu Val His His Gin (SEQ ID NO: Val His His Gin Lys (SEQ ID NO: His His Gin Lys Leu (SEQ ID NO: His Gin Lys Leu Val (SEQ ID NO: Gin Lys Leu Val Phe (SEQ ID NO: Lys Leu Val Phe Phe (SEQ ID NO: Leu Val Phe Phe Ala (SEQ ID NO: Val Phe Phe Ala Glu (SEQ ID NO: Phe Phe Ala Glu Asp (SEQ ID NO: Phe Ala Glu Asp Val (SEQ ID NO: Ala Glu Asp Val Gly (SEQ ID NO: Glu Asp Val Gly Ser (SEQ ID NO: Asp Val Gly Ser Asn (SEQ ID NO: Val Gly Ser Asn Lys (SEQ ID NO: Gly Ser Asn Lys Gly (SEQ ID NO: Ser Asn Lys Gly Ala (SEQ ID NO: Asn Lys Gly Ala lie (SEQ ID NO: Lys Gly Ala lie lie (SEQ ID NO: Gly Ala lie lie Gly (SEQ ID NO: Ala He lie Gly Leu (SEQ ID NO: lie lie Gly Leu Met (SEQ ID NO: lie Gly Leu Met Val (SEQ ID NO: Gly Leu Met Val Gly (SEQ ID NO: -54- 139769.doc 201038590Gly Tyr Glu Val His (SEQ ID NO: Tyr Glu Val His His (SEQ ID NO: GHi Val His His Gin (SEQ ID NO: Val His His Gin Lys (SEQ ID NO: His His Gin Lys Leu (SEQ ID NO: His Gin Lys Leu Val (SEQ ID NO: Gin Lys Leu Val Phe (SEQ ID NO: Lys Leu Val Phe Phe (SEQ ID NO: Leu Val Phe Phe Ala (SEQ ID NO: Val Phe Phe Ala Glu (SEQ ID NO: Phe Phe Ala Glu Asp (SEQ ID NO: Phe Ala Glu Asp Val (SEQ ID NO: Ala Glu Asp Val Gly (SEQ ID NO: Glu Asp Val Gly Ser (SEQ ID NO: Asp Val Gly Ser Asn (SEQ ID NO: Val Gly Ser Asn Lys (SEQ ID NO: Gly Ser Asn Lys Gly (SEQ ID NO: Ser Asn Lys Gly Ala (SEQ ID NO: Asn Lys Gly Ala lie (SEQ ID NO: Lys Gly Ala lie lie (SEQ ID NO: Gly Ala lie lie Gly (SEQ ID NO: Ala He lie Gly Leu (SEQ ID NO: lie lie Gly Leu Met (SEQ ID NO: lie Gly Leu Met Val (SEQ ID NO: Gly Leu Met Val Gly (SEQ ID NO: -54- 139769.doc 201038590

Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly (SEQ ID NO: 48)Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly (SEQ ID NO: 48)

Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly Val (SEQ ID NO: 49)Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly Val (SEQ ID NO: 49)

Lys Gly Ala lie lie Gly Leu Met Val Gly Gly Val Val (SEQ ID NO: 50)Lys Gly Ala lie lie Gly Leu Met Val Gly Gly Val Val (SEQ ID NO: 50)

Gly Ala lie lie Gly Leu Met Val Gly Gly Val Val lie (SEQ ID NO: 51)Gly Ala lie lie Gly Leu Met Val Gly Gly Val Val lie (SEQ ID NO: 51)

Ala He lie Gly Leu Met Val Gly Gly Val Val lie Ala (SEQ ID NO: 52) 圖5A說明來自鑑別Αβ!-42肽上抗體13C3、1D1及4G8之抗 原決定基的RepliTope微陣列實驗的點潰墨點。經結合抗體 由化學發光信號呈現。圖5B說明展示13C3抗原決定基(當 其存在於序列中時)之多肽區段的胺基酸序列。1D1 抗體展示與13C3相同之抗原決定基,而市售4G8抗體鑑別 不同抗原決定基。 實例6 : 13C3專一性之表徵 圖6說明來自對7PA2細胞株(分泌Αβ寡聚物之細胞株)之 上清液進行的尺寸排除層析之溶離份。使用抗體捕獲檢定 來進一步表徵13C3抗體與基原纖維及來自經SEC純化之 7PA2之低分子量溶離份的結合。將100 μΐ各溶離份之ι:2〇〇 稀釋液添加至微量滴定盤之各孔中且將板在4°C下培育隔 夜。在培育之後,移除殘餘抗原溶液且以PBS溶液洗蘇。 將13C3上清液之連續稀釋液添加至含有結合抗原之板中且 在室溫下培育1小時。移除此初級抗體溶液且將孔以PBS溶 液再次洗條。隨後添加經酶標記之二級抗體且在室溫下培 育1小時。在移除二級抗體溶液之後,將對共輛酶具專一 性之發色受質添加至反應中且對經捕獲抗體進行债測產生 定量結果。此檢定鑑別13C3抗體僅專一性識別基原纖維溶 離份,而4G8抗體識別所有溶離份。7PA2細胞株係由哈佛 139769.doc -55· 201038590 醫學院(Harvard Medical School)之Dennis J. Selkoe,M.D. 提供。 實例7 :藉由EM表徵13C3反應性。 使用標準方案(Brenner 等人 Biochim. Biophys. Ada 34, 103-110 (195 9))進行染色方法。將小體積〇〇微升;)〇.2 mg/ml基原纖維溶液塗覆於經碳塗佈之聚乙酸甲基乙烯脂 (formvar)栅格(400網目)上歷時2 min。接著使柵格在1〇/〇 BSA中阻斷且與13C3抗體一起培育,接著與二級抗體(與 膠體金共軛)一起進行後續培育。藉由置於連續2滴2%磷鎢 酸上各歷時3 0秒將樣本負染色。以濾紙吸去過量染色液, 將柵格風乾’且在JEOL 100CX透射電子顯微鏡上在80 kV 下觀察。將影像記錄於大號柯達(Kodak)4489底片上且在 平板掃描器上數位化。 IEM(免疫電子顯微術)影像展示抗Αβ抗體純系13C3對 Αβ42纖維具結合專一性(圖7B及7C),而同型對照抗體igG1 未展示結合(圖7A)。二級抗體係與膠體金粒子共軛。 實例8 :對人類Ad之小鼠模型的13C3治療 使用13C3單株抗體來治療阿茲海默氏症小鼠模型 (TgCRND8)中之Αβ斑塊。小鼠含有人類APP695 cDNA轉殖 基因’其加速Αβ類澱粉斑塊在小鼠腦部之沈積(在丨個月齡 内出現)。使5隻五週齡之TgCRND8小鼠的樣本組一週—次 得到濃度為每公斤小鼠10 mg之13C3單株抗體之免疫歷時 七週之持續時間。使第二組5隻TgCRND8小鼠得到療程, 然而投予同型對照IgGl抗體。以一週兩次替代一週—次之 139769.doc -56- 201038590 治療重複實驗。 在12週齡將對照及實驗動物處死。腦之組織學製劑揭示 在經13C3治療之小鼠中Αβ斑塊減少。 以13C3或IgGl單株抗體處理來自TgCRND8小鼠之低溫 保藏腦之連續切片。圖8A及8B說明在每一各別抗體之間 • Αβ類澱粉斑塊數目之差異。 • 統計Τ測試展示一週一次之13C3抗體治療減少阿茲海默 氏症模型中之Αβ類澱粉斑塊(圖9Α)。然而,一週兩次之治 〇 療(圖9Β)展示相同程度之斑塊減少。 所有上述TgCRND8小鼠均自多倫多大學(University of Toronto)之David Westaway博士獲得。 實例9 : MAB 13C3之可變區的分子表徵Ala He lie Gly Leu Met Val Gly Gly Val Val lie Ala (SEQ ID NO: 52) Figure 5A illustrates the point collapse of the RepliTope microarray experiment from the identification of the epitopes of the antibodies 13C3, 1D1 and 4G8 on the Αβ!-42 peptide. point. The bound antibody is presented by a chemiluminescent signal. Figure 5B illustrates the amino acid sequence of a polypeptide segment displaying the 13C3 epitope (when it is present in the sequence). The 1D1 antibody displays the same epitope as 13C3, while the commercially available 4G8 antibody identifies different epitopes. Example 6: Characterization of 13C3 specificity Fig. 6 illustrates the fractionation from size exclusion chromatography performed on the supernatant of the 7PA2 cell line (cell line secreting Αβ oligomer). Antibody capture assays were used to further characterize the binding of the 13C3 antibody to the fibrils and the low molecular weight dissolving fraction from the SEC purified 7PA2. 100 μM of each dissolved fraction of the ι:2 稀释 dilution was added to each well of the microtiter plate and the plate was incubated overnight at 4 °C. After incubation, the residual antigen solution was removed and the solution was washed with PBS solution. Serial dilutions of the 13C3 supernatant were added to plates containing antigen-binding and incubated for 1 hour at room temperature. This primary antibody solution was removed and the wells were again washed with PBS solution. The enzyme-labeled secondary antibody was then added and incubated for 1 hour at room temperature. After removal of the secondary antibody solution, a chromogenic receptor with a specific enzyme is added to the reaction and the captured antibody is tested for a quantitative result. This assay identified the 13C3 antibody to uniquely identify the fibril fraction, while the 4G8 antibody recognized all of the fractions. The 7PA2 cell line was supplied by Dennis J. Selkoe, M.D., of Harvard Medical School, Harvard Medical School, 139769.doc-55. Example 7: 13C3 reactivity was characterized by EM. The staining method was carried out using a standard protocol (Brenner et al. Biochim. Biophys. Ada 34, 103-110 (195 9)). A small volume of 〇〇 microliters;) 〇.2 mg/ml of fibril solution was applied to a carbon coated polyvinyl acetate (formvar) grid (400 mesh) for 2 min. The grid was then blocked in 1 〇/〇 BSA and incubated with the 13C3 antibody followed by subsequent incubation with secondary antibody (conjugated to colloidal gold). Samples were negatively stained by placing on 2 consecutive drops of 2% phosphotungstic acid for 30 seconds each. Excess stain solution was blotted with filter paper and the grid was air dried&apos; and observed on a JEOL 100 CX transmission electron microscope at 80 kV. The images were recorded on a large Kodak 4489 negative and digitized on a flatbed scanner. IEM (Immunoelectron Microscopy) images showed that the anti-Αβ antibody-pure 13C3 has binding specificity for Αβ42 fibers (Figs. 7B and 7C), while the isotype control antibody igG1 did not exhibit binding (Fig. 7A). The secondary resistance system is conjugated to the colloidal gold particles. Example 8: 13C3 treatment of a mouse model of human Ad The 13C3 monoclonal antibody was used to treat Αβ plaques in a mouse model of Alzheimer's disease (TgCRND8). The mouse contains the human APP695 cDNA transgene that accelerates the deposition of Αβ-like amyloid plaques in the mouse brain (appearing within a few months of age). The sample group of five five-week-old TgCRND8 mice was administered once a week for a duration of seven weeks for the immunization of 13C3 monoclonal antibody at a concentration of 10 mg per kg of mouse. A second group of 5 TgCRND8 mice was given a course of treatment, however, an isotype control IgGl antibody was administered. Replace the week twice a week - the second time 139769.doc -56- 201038590 treatment repeated experiments. Control and experimental animals were sacrificed at 12 weeks of age. The histological preparation of the brain revealed a decrease in Αβ plaques in 13C3 treated mice. Serial sections of cryopreserved brain from TgCRND8 mice were treated with 13C3 or IgG1 monoclonal antibodies. Figures 8A and 8B illustrate the difference in the number of Αβ-like starch plaques between each individual antibody. • Statistical Τ test shows that once-a-week 13C3 antibody treatment reduces Α beta-amyloid plaques in the Alzheimer's disease model (Figure 9Α). However, twice a week of treatment (Figure 9Β) shows the same degree of plaque reduction. All of the above TgCRND8 mice were obtained from Dr. David Westaway of the University of Toronto. Example 9: Molecular Characterization of the Variable Region of MAB 13C3

IgG重鏈可變區及IgG κ輕鏈區係自13C3融合瘤選殖。使 用摘錄自EMBL-Bank及Ensembl資料文庫的人類及小鼠之 免疫球蛋白基因座之生殖系可變基因之資料庫 VBASE2(http://www.vbase2.org)來分析重鏈及輕鏈序列(圖 〇 10)。(Retter等人Nucleic Acids Res. 33:D671-4 (2005))。分 析結果鑑別重鏈及輕鏈可變區均來自新鑑別之免疫球蛋 • 白,但與資料庫中之其他免疫球蛋白可變區分別具有73% . 及8 1%之一致性。針對此等資料庫,在此等序列中亦鑑別 出骨架區(FWR)及互補決定區(CDR)。當針對VBASE、 KABAT及IMGT/LIGM資料庫分析序列時,結果僅略微不 同。 實例10 :不同於參考抗體3D6投藥,在APP轉殖基因小鼠 139769.doc -57- 201038590 中短期周邊投予13C3並不引起血漿Αβ增加 以10 mg/kg(亦即’ 300微克/小鼠)之劑量,以抗體 13C3、對照IgGl(DM4,不識別Αβ)及參考抗Αβ抗體 3D6(識別Αβ之所有構像)對ΑΡΡ轉殖基因小鼠(Thy APPSL,10-14週齡)進行腹膜内注射。在同一小鼠中零時 刻預注射時' 注射後6 h、24 h及7天對血漿Αβ進行定量。 以使用不干擾13C3或3D6與Αβ結合之抗Αβ抗體對進行之免 疫檢定進行血漿Αβ定量。 投予3D6(針對Αβ之所有構像的抗體)可能藉由保護Αβ分 子免受降解而使得血漿Αβ大量增加。使用此效應來提出作 為抗Αβ免疫療法之作用機制的潛在「周邊沈積(peripheral sink)」假設(Demattos等人,2001,PNAS 17:8850)。不同 於3D6,投予13C3並不引起血漿Αβ含量之任何增加。此與 對Αβ之基原纖維形式具專一性且不識別Αβ肽之可溶單體 或寡聚形式之抗體13C3之特性一致。此等形式為存在於血 漿中之可能形式。 貝例11 .不同於參考3〇6抗Αβ抗體,13C3識別Ad腦中之 人類類激粉神經炎斑塊(聚集)而非彌漫性Αβ沈積物 使用標準技術,以13C3及3D6抗體對人類的經診斷患阿 茲海默氏病之腦切片進行免疫組織化學研究。以DAB色素 原偵測抗體免疫染色(圖12)。13C3標記具有成熟類澱粉神 經炎斑塊(亦稱為緻密斑塊)之典型形態的類澱粉沈積物, 其中忒成熟類澱粉神經炎斑塊具有由較淺光暈包圍之極緻 密核心或對於較大斑塊而言具有極強染色。在相鄰腦切片 139769.doc -58- 201038590 中’如在較低放大率下所見,3D6比13C3將更多目標染色 (圖12’左圖在較高放大率下之進一步表徵(圖12,右 圖)表明3D6與13C3標記相同成熟類澱粉神經炎斑塊’且另 外標把傳統上已使用抗Αβ免疫標記描述之眾多彌漫性類澱 粉沈積物。彌漫性斑塊並不具有如在文獻中所描述之原纖 維性質’因為其不能藉由硫代黃素s(thi〇flavin幻及原纖維 •之其他組織標誌來偵測(Mann, 1989,Ann. Med· 21:133)。 ❹ 為排除兩種抗體靈敏度之差異,以較高濃度(20 pg/ml)之 13C3進行類似實驗且再次不能偵測彌漫性沈積物。此資料 與對Αβ之基原纖維形式具專一性且不同於3d6不識別Αβ肽 之可溶單體或募聚形式之抗體13C3之特性一致。 工業適用性 本發明在阿茲海默氏症之治療及診斷中具有應用。 所有在說明書中引用之公開案(專利公開案及非專利公 開案)均指示熟習本發明所屬技術者之技術範圍。所有此 ❹ 荨a開案在本文中均以如同每一個別公開案係經特定且個 別地表明以引用的方式併入的相同程度以引用的方式經完 全併入本文中。 ’ 儘管已在本文中參考特定實施例描述了本發明,但應暸 • 冑此等Λ施例僅'兄明本發明之原理及應用。因此應瞭解在 不脫離如由以下申請專利範圍界定之本發明之精神及範嘴 的清况下,可對說明性實施例進行眾多修改且可設計其他 配置。 【圖式簡單說明】 139769.doc -59- 201038590 圖1展示Αβ原纖維生成之過程,其包括形成基原纖維寡 聚物; 圖2Α-Β展示Αβ原纖維生成之過程及在0時刻(Α)及4小時 (Β)Αβ形式之純化,如對於溶離體積在mAU215下之吸收率 (在21 5 nm下之吸收率)所指示。在4小時(B),低分子量 (LMW)形式溶離為約15 kDa二聚體,而基原纖維形式尺寸 在約670 kDa下溶離; 圖3A-B展示單株抗體13C3(A)及4G8(B)對Αβ之基原纖維 (PF : 及低分子量(LMW : 形式的專一性,如由對 於遞增濃度的Αβ之PF及LMW形式在450/650 nm下讀取之 光學密度(OD)所指示; 圖4A-C展示來自Biacore®結合檢定之資料,其展示單株 抗體4G8(A)、13C3(B)及對照物IgGJC)對不同濃度的Αβ之 低分子量(LMW)形式(0.25 pg/mL LMW Αβ 至 4.0 pg/mL LMW Αβ)的親和力; 圖5 Α-Β展示鑑別由上述抗Αβ抗體識別之抗原決定基之 資料。圖5Α說明如在實例5中所述使用單株抗體13C3(頂 板)、ID1(中板)及4G8(底板)針對一系列重疊的13個胺基酸 之肽進行的西方點潰墨點分析。圖5B說明ΑβΝ42之胺基酸 序列(SEQ ID NO: 1),以及單株抗體13C3及1D1之預測抗 原決定基; 圖6展示單株抗體13C3(-«-)及4G8(j-)與來自分泌Αβ寡 聚物之7ΡΑ2上清液之SEC溶離份的反應性。如由在450/650 下讀取之光學密度(OD)所量測,在X軸上指示基原纖維 139769.doc -60- 201038590 (PF)及低分子量(LMW)溶離份; 圖7A-C展示來自薄切片免疫電子顯微法之顯微圖,其展 示單株抗體1 3C3對Αβ原纖維(B、C)上重複結構之親和 力。對照免疫ΕΜ為IgGJA); 圖8A-B展示來自電子顯微圖之資料,其展示與投予 13C3單株抗體(B)相比,在投予對照IgGKA)抗體之後代表 性TgCRND8轉殖基因小鼠中斑塊數目減少; 圖9A-B展示按一週一次(A)或每週兩次(B)療法,以13C3 單株抗體治療TgCRND8轉殖基因小鼠使得老年斑形成減 少; 圖1 0展示mAb 13C3之所選殖輕鏈及重鏈可變區之核普 酸及胺基酸序列; 圖11A-B展示不同於參考抗體3D6投藥,在APP轉殖基因 小鼠中短期周邊投予13c3並不引起血漿Αβ增加;及 圖12展示不同於參考3D6抗Αβ抗體,13C3識別(聚集)於 AD腦中之人類類澱粉神經炎斑塊,而非彌漫性Αβ沈積 139769.doc -61 - 201038590 序列表 &lt;ll〇&gt;美國洛克菲勒大學 &lt;120&gt;對β-類澱粉蛋白之基原纖維形式具專一性之抗體 &lt;140&gt; 098113213 &lt;141&gt; 2009-04-21 &lt;160&gt; 52 &lt;170&gt; Patentln version 3.5 &lt;210&gt; &lt;211&gt; &lt;212&gt; &lt;2】3&gt; &lt;400&gt;The IgG heavy chain variable region and the IgG κ light chain region were selected from the 13C3 fusion tumor. Analysis of heavy and light chain sequences using the database of germline variable genes from human and mouse immunoglobulin loci extracted from the EMBL-Bank and Ensembl databases VBASE2 (http://www.vbase2.org) (Figure 10). (Retter et al. Nucleic Acids Res. 33: D671-4 (2005)). The results of the analysis identified the heavy and light chain variable regions from the newly identified immunoglobulins, but with 73% and 81% of the other immunoglobulin variable regions in the database, respectively. For these databases, framework regions (FWR) and complementarity determining regions (CDRs) are also identified in these sequences. When analyzing sequences for the VBASE, KABAT, and IMGT/LIGM databases, the results were only slightly different. Example 10: Unlike the reference antibody 3D6 administration, short-term peripheral administration of 13C3 in APP transgenic mouse 139769.doc -57-201038590 did not cause an increase in plasma Αβ at 10 mg/kg (ie, '300 μg/mouse) The dose of the antibody, 13C3, control IgG1 (DM4, does not recognize Αβ) and reference anti-Aβ antibody 3D6 (identification of all conformations of Αβ) for peritoneal transgenic mice (Thy APPSL, 10-14 weeks old) peritoneum Injection inside. Plasma Αβ was quantified at 6 h, 24 h, and 7 days after injection in the same mouse at zero time pre-injection. Plasma Αβ quantification was performed using an immunoassay performed with an anti-Aβ antibody that does not interfere with the binding of 13C3 or 3D6 to Aβ. Administration of 3D6 (an antibody against all conformations of Αβ) may result in a substantial increase in plasma Αβ by protecting Αβ molecules from degradation. This effect was used to propose a potential "peripheral sink" hypothesis as a mechanism of action against Αβ immunotherapy (Demattos et al., 2001, PNAS 17:8850). Unlike 3D6, administration of 13C3 did not cause any increase in plasma Αβ content. This is consistent with the characteristics of the soluble monomer or oligomeric form of antibody 13C3 which is specific to the 原β-based fibril form and does not recognize the Αβ peptide. These forms are possible forms that are present in the plasma. Shell Example 11. Unlike the reference 3〇6 anti-Aβ antibody, 13C3 recognizes human-like powdered neuritic plaques (aggregation) in Ad brain rather than diffuse Aβ deposits using standard techniques, with 13C3 and 3D6 antibodies against humans. Brain histological sections diagnosed with Alzheimer's disease were subjected to immunohistochemical studies. Immunostaining with DAB chromogen detection antibody (Fig. 12). 13C3 marks a starch-like deposit with a typical morphology of mature amyloin neuritis plaques (also known as dense plaques), in which mature medullary neuritis plaques have extremely dense cores surrounded by lighter halos or Very strong staining for large plaques. In adjacent brain slices 139769.doc -58- 201038590 'as seen at lower magnification, 3D6 stains more targets than 13C3 (Figure 12' left image is further characterized at higher magnification (Figure 12, The image to the right shows that 3D6 and 13C3 mark the same mature amylin plaques' and additionally labeled a number of diffuse starch-like deposits that have traditionally been described using anti-Αβ immunolabeling. Diffuse plaques do not have as in the literature The fibril properties described are 'because they cannot be detected by thioflavin s (thi〇flavin illusion and other tissue markers) (Mann, 1989, Ann. Med. 21: 133). The difference in sensitivity between the two antibodies was similarly tested at a higher concentration (20 pg/ml) of 13C3 and again unable to detect diffuse deposits. This data is specific to the base fibril form of Αβ and is different from 3d6. The characteristics of the soluble monomer or the polymerized form of the antibody 13C3 which recognize the Αβ peptide are consistent. Industrial Applicability The present invention has application in the treatment and diagnosis of Alzheimer's disease. All publications cited in the specification (Patent Disclosure) Case and non-patent The opening of the file is intended to be within the skill of those skilled in the art, and all such disclosures are hereby to the same extent as each individual disclosure is specifically and individually indicated to be incorporated by reference. The manner in which it is recited is hereby incorporated by reference in its entirety in its entirety in its entirety in its entirety, the disclosure of the disclosure of the disclosure of Numerous modifications may be made to the illustrative embodiments and other configurations may be devised without departing from the spirit and scope of the invention as defined by the scope of the following claims. [Simplified Schematic] 139769.doc -59- 201038590 Figure 1 shows the process of Αβ fibril formation, which includes the formation of fibril oligomers; Figure 2Α-Β shows the process of Αβ fibril formation and purification at time 0 (Α) and 4 hours (Β) Αβ, such as The absorbance of the dissolved volume at mAU215 (absorption at 21 5 nm) is indicated. At 4 hours (B), the low molecular weight (LMW) form dissolves to about 15 kDa dimer, while the base fibril form size At about 67 Figure 3A-B shows the monoclonal antibodies 13C3(A) and 4G8(B) for Αβ-based fibrils (PF: and low molecular weight (LMW: form specificity, as by increasing concentrations of Αβ) The PF and LMW forms are indicated by the optical density (OD) read at 450/650 nm; Figures 4A-C show data from the Biacore® binding assay showing monoclonal antibodies 4G8(A), 13C3(B) and controls IgGJC) affinity for different concentrations of Αβ low molecular weight (LMW) form (0.25 pg/mL LMW Αβ to 4.0 pg/mL LMW Αβ); Figure 5 Α-Β shows identification of epitopes recognized by the above anti-Aβ antibody Information. Figure 5A illustrates Western dot blot analysis using a single antibody 13C3 (top plate), ID1 (middle plate), and 4G8 (bottom plate) for a series of overlapping 13 amino acid peptides as described in Example 5. Figure 5B illustrates the amino acid sequence of ΑβΝ42 (SEQ ID NO: 1), and the predicted epitopes of monoclonal antibodies 13C3 and 1D1; Figure 6 shows the monoclonal antibodies 13C3 (-«-) and 4G8 (j-) from The reactivity of the SEC dissolving fraction of the 7ΡΑ2 supernatant of the Αβ oligomer was secreted. The fibril 139769.doc -60-201038590 (PF) and low molecular weight (LMW) dissolving fractions are indicated on the X-axis as measured by optical density (OD) read at 450/650; Figure 7A-C Micrographs from thin section immunoelectron microscopy showing the affinity of monoclonal antibody 13C3 for repeating structures on Αβ fibrils (B, C) are shown. The control immunization ΕΜ is IgGJA); Figures 8A-B show data from electron micrographs showing that the representative TgCRND8 transgene is small after administration of the control IgGKA) antibody compared to the 13C3 monoclonal antibody (B). The number of plaques was reduced in mice; Figures 9A-B show that treatment of TgCRND8 transgenic mice with 13C3 monoclonal antibody reduced senile plaque formation by once-a-week (A) or twice-weekly (B) therapy; Figure 10 shows mAb The nucleotide and amino acid sequences of the selected light and heavy chain variable regions of 13C3; Figure 11A-B shows that unlike the reference antibody 3D6, short-term peripheral administration of 13c3 in APP transgenic mice is not Causes an increase in plasma Αβ; and Figure 12 shows that unlike the reference 3D6 anti-Αβ antibody, 13C3 recognizes (aggregates) human amylin plaques in the AD brain, rather than diffuse Αβ deposition 139769.doc -61 - 201038590 Sequence Listing &lt;ll〇&gt; Rockefeller University, USA &lt;120&gt; Antibody specific for the fibril form of β-amyloid protein &lt;140&gt; 098113213 &lt;141&gt; 2009-04-21 &lt;160&gt; 52 &lt;170&gt; Patentln version 3.5 &lt;210&gt;&lt;211&gt;&lt;212&gt;&lt;2]3&gt;&lt;400&gt;

Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His Gin Lys 15 10 15 o oAsp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His Gin Lys 15 10 15 o o

Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala lie lie 20 25 30Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala lie lie 20 25 30

Gly Leu Met Val Gly Gly Vai Val lie Ala 35 40 &lt;210&gt; 2 &lt;2!1&gt; 20 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 2Gly Leu Met Val Gly Gly Vai Val lie Ala 35 40 &lt;210&gt; 2 &lt;2!1&gt; 20 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 2

Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val 】 5 10Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val 】 5 10

Leu Val Phe Phe 20 &lt;210〉 3 &lt;211&gt; 9 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 3Leu Val Phe Phe 20 &lt;210> 3 &lt;211&gt; 9 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 3

Phe Arg His Asp Ser Gly Tyr Glu Val &lt;210&gt; 4 &lt;211&gt; 12 &lt;212&gt; PR丁 &lt;2]3&gt;智人 &lt;400&gt; 4Phe Arg His Asp Ser Gly Tyr Glu Val &lt;210&gt; 4 &lt;211&gt; 12 &lt;212&gt; PR Ding &lt;2]3&gt; Homo sapiens &lt;400&gt; 4

Gly Tyr Glu Va! His His Gin Lys Leu Val Phe Phe ] 5 10 &lt;210&gt; 5 &lt;211&gt; 113 &lt;212&gt; PRT &lt;2Π&gt;小家鼠 &lt;400&gt; 5Gly Tyr Glu Va! His His Gin Lys Leu Val Phe Phe ] 5 10 &lt;210&gt; 5 &lt;211&gt; 113 &lt;212&gt; PRT &lt;2Π&gt; Mus musculus &lt;400&gt; 5

Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly 139769-序列表.doc 201038590 15 10 15Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly 139769 - Sequence Listing.doc 201038590 15 10 15

Asp Gin Ala Ser lie Ser Cys Arg Ser Gly Gin Ser Leu Val His Ser 20 25 30Asp Gin Ala Ser lie Ser Cys Arg Ser Gly Gin Ser Leu Val His Ser 20 25 30

Asn Gly Asn Thr Tvr Leu His Trp 丁yi· Leu (Πη Lys Pro (i!y G’ln Ser 35 ' 40 45Asn Gly Asn Thr Tvr Leu His Trp Ding Yi· Leu (Πη Lys Pro (i!y G’ln Ser 35 ' 40 45

Pro Lys Leu Leu lie 丁yr Thr Val Ser Asn Arg Phe Ser Gly Val Pro 50 55 60Pro Lys Leu Leu lie Ding yr Thr Val Ser Asn Arg Phe Ser Gly Val Pro 50 55 60

Asp Arg Phe Ser Gly Ser Gly Ser Gly Ser Asp Phe Thr Leu Lys He 65 70 75 80Asp Arg Phe Ser Gly Ser Gly Ser Gly Ser Asp Phe Thr Leu Lys He 65 70 75 80

Ser Arg Val Glu AJa G)u Asp Leu Gly Va! 丁yr Phe Cys Ser Gin Asn 85 90 95Ser Arg Val Glu AJa G)u Asp Leu Gly Va! Ding yr Phe Cys Ser Gin Asn 85 90 95

Thr Phe Val Pro Trp Thr Phe Gly Gly Gly Thr Lys Leu Glu lie Lys 100 105 110Thr Phe Val Pro Trp Thr Phe Gly Gly Gly Thr Lys Leu Glu lie Lys 100 105 110

Arg &lt;210&gt; 6 &lt;211&gt; 339 &lt;212&gt; DNA &lt;213&gt;小家鼠 &lt;400&gt; 6 60 120 ISO 240 300 339 gatgugtga tgaccciiaac iccacutcc ctgcctgica gu'ttggaga 丨caagcctc'c atctcttgca gatclggica gagccttgta cacagtaatg gaaacaccta macaitgg laccigcaga agccaggcca gtclccaaag ctccigaict alacagtttc caaccgam tctggggtcc cggacaggtt cagtggcagt ggatcagggt cagatucac acicaagatc agcagagtgg aggctgagga tctgggagtt tatttctgct ctcaaaatac atttgttcct tggacgttcg gtggaggcac caagctggaa atcaaacggArg &lt;210&gt; 6 &lt;211&gt; 339 &lt;212&gt; DNA &lt;213&gt; Mus musculus &lt;400&gt; 6 60 120 ISO 240 300 339 gatgugtga tgaccciiaac iccacutcc ctgcctgica gu'ttggaga 丨caagcctc'c atctcttgca gatclggica gagccttgta cacagtaatg gaaacaccta Macaitgg laccigcaga agccaggcca gtclccaaag ctccigaict alacagtttc caaccgam tctggggtcc cggacaggtt cagtggcagt ggatcagggt cagatucac acicaagatc agcagagtgg aggctgagga tctgggagtt tatttctgct ctcaaaatac atttgttcct tggacgttcg gtggaggcac caagctggaa atcaaacgg

&lt;210&gt; 7 &lt;21]&gt; 115 &lt;212&gt; PRT &lt;213&gt;小家鼠 &lt;400&gt; 7&lt;210&gt; 7 &lt;21]&gt; 115 &lt;212&gt; PRT &lt;213&gt; Mus musculus &lt;400&gt;

Gin Val Gin Leu Gin Gin Ser Gly Pro Gtu Leu Va! Arg Pro Uly Val ] 5 10 15Gin Val Gin Leu Gin Gin Ser Gly Pro Gtu Leu Va! Arg Pro Uly Val ] 5 10 15

Ser Val Lys lie Ser Cys Lys G!y Ser Gly 丁yr Thr Phe Thr Asp 丁yr 20 25 30 AJa Met His 丁rp Val Lys G】n See His Ala Ly.s Ser Leu Cilu 丁rp !le 35 40 45Ser Val Lys lie Ser Cys Lys G!y Ser Gly Ding yr Thr Phe Thr Asp Ding yr 20 25 30 AJa Met His Ding rp Val Lys G]n See His Ala Ly.s Ser Leu Cilu Ding rp !le 35 40 45

Gly Val lie Ser Thr Lys 丁yr Gly Lys Thr Asn Tyr Asn Gin Lys Phe 50 55 60Gly Val lie Ser Thr Lys Ding yr Gly Lys Thr Asn Tyr Asn Gin Lys Phe 50 55 60

Lys Gly Lys Ala Thr Mel Thr Va) Αϋρ Lys Ser Ser Ser Thr Ala Tyr 65 70 75 80 139769-序列表.doc 201038590Lys Gly Lys Ala Thr Mel Thr Va) Lyρ Lys Ser Ser Ser Thr Ala Tyr 65 70 75 80 139769 - Sequence Listing.doc 201038590

Met Clu Leu Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys 85 90 95Met Clu Leu Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys 85 90 95

Ala Arg Gly Asp Asp Gly Tyr Ser Trp Gly Gin Gly Ήίγ Ser Val Thr 100 105 110Ala Arg Gly Asp Asp Gly Tyr Ser Trp Gly Gin Gly Ήίγ Ser Val Thr 100 105 110

Val Ser Ser 115 &lt;210&gt; 8 &lt;211&gt; 345 &lt;212&gt; DNA &lt;213&gt;小家鼠 &lt;400&gt; 8Val Ser Ser 115 &lt;210&gt; 8 &lt;211&gt; 345 &lt;212&gt; DNA &lt;213&gt; Mus musculus &lt;400&gt;

60 120 180 240 300 345 caggiccagc tgcagcagtc igggcctgag ctggtgaggc ctggggtctc aglgaagatt tcctgcaagg gttccggcta cacattcact gattatgcta tgcactgggt gaagcagagt catgcaaaga gtctagagtg gattggagtt aitagtacta agtatgglaa gacaaactac aaccagaagt ttaagggcaa ggccacaatg aclgilgaca aaicciccag cacagcctat atggagcttg ccagatigac atctgaggat tctgccaict attactgtgc aagaggggac gatggttatt cctggggtca aggaacctca gtcaccgtct cctca &lt;2)0&gt; 9 &lt;211&gt; 26 &lt;212&gt; PRT &lt;2Π&gt;小家鼠 &lt;400&gt; 960 120 180 240 300 345 caggiccagc tgcagcagtc igggcctgag ctggtgaggc ctggggtctc aglgaagatt tcctgcaagg gttccggcta cacattcact gattatgcta tgcactgggt gaagcagagt catgcaaaga gtctagagtg gattggagtt aitagtacta agtatgglaa gacaaactac aaccagaagt ttaagggcaa ggccacaatg aclgilgaca aaicciccag cacagcctat atggagcttg ccagatigac atctgaggat tctgccaict attactgtgc aagaggggac gatggttatt cctggggtca aggaacctca gtcaccgtct cctca &lt; 2) 0 &gt; 9 &lt;211&gt; 26 &lt;212&gt; PRT &lt;2Π&gt; Mus musculus &lt;400&gt; 9

Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly ] 5 10 15Asp Val Val Met Thr Gin Thr Pro Leu Ser Leu Pro Val Ser Leu Gly ] 5 10 15

Asp Gin Ala Ser lie Ser Cys Arg Ser Gly 20 25 &lt;210&gt; 10 &lt;211&gt; 17 &lt;212&gt; PRT &lt;213&gt;小家鼠 &lt;400&gt; 10Asp Gin Ala Ser lie Ser Cys Arg Ser Gly 20 25 &lt;210&gt; 10 &lt;211&gt; 17 &lt;212&gt; PRT &lt;213&gt; Mus musculus &lt;400&gt;

Leu His 丁rp Tyr Leu Gin Lys Pro Giy Gin Ser Pro Lys Leu Leu lie 15 10 】5Leu His Ding rp Tyr Leu Gin Lys Pro Giy Gin Ser Pro Lys Leu Leu lie 15 10 】5

Tyr &lt;210&gt; 11 &lt;211&gt; 36 &lt;212&gt; PRT &lt;213〉小家鼠 &lt;400&gt; 1 ]Tyr &lt;210&gt; 11 &lt;211&gt; 36 &lt;212&gt; PRT &lt;213> Mus musculus &lt;400&gt; 1 ]

Asn Arg Phe Ser Gly Val Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly 15 10 15Asn Arg Phe Ser Gly Val Pro Asp Arg Phe Ser Gly Ser Gly Ser Gly 15 10 15

Ser Asp Phe Thr Leu Lys lie Ser Arg Val Glu Ala Glu Asp Leu Gly 139769-序列表.doc 201038590 20 25 30Ser Asp Phe Thr Leu Lys lie Ser Arg Val Glu Ala Glu Asp Leu Gly 139769 - Sequence Listing.doc 201038590 20 25 30

Val 丁vr Phe Cys 35 &lt;210&gt; 12 &lt;2!1&gt; &lt;212&gt; &lt;213&gt; n PRT 小家鼠 &lt;400&gt; 12Val Ding vr Phe Cys 35 &lt;210&gt; 12 &lt;2!1&gt;&lt;212&gt;&lt;213&gt; n PRT Mus musculus &lt;400&gt; 12

Phe Giy Gly Glv Thr Lys Leu Glu lie Lys Arg ) 5 】0 &lt;210〉 13 &lt;2Π&gt; &lt;212&gt; &lt;213&gt; 11 PRT 小家鼠 &lt;400&gt; 13Phe Giy Gly Glv Thr Lys Leu Glu lie Lys Arg ) 5 】0 &lt;210> 13 &lt;2Π&gt;&lt;212&gt;&lt;213&gt; 11 PRT Mus musculus &lt;400&gt; 13

Gin Ser Leu Val His Ser Asn Gly Asn Thr Tyr I 5 10 &lt;210&gt; &lt;211&gt; 14 3 &lt;212&gt; &lt;213&gt; PRT 小家鼠 &lt;400&gt; 14Gin Ser Leu Val His Ser Asn Gly Asn Thr Tyr I 5 10 &lt;210&gt;&lt;211&gt; 14 3 &lt;212&gt;&lt;213&gt; PRT Mus musculus &lt;400&gt;

Thr Val Se &lt;2]〇&gt; J5 &lt;211&gt; &lt;212&gt; &lt;213&gt; 9 PRT 小家鼠 &lt;400&gt; 15Thr Val Se &lt;2]〇&gt; J5 &lt;211&gt;&lt;212&gt;&lt;213&gt; 9 PRT Mus musculus &lt;400&gt; 15

Ser Gin Asn Thr Phe Val Pro Trp Thr &lt;210&gt; 16 &lt;211&gt; &lt;212&gt; &lt;213&gt; PRT 小家鼠 &lt;400&gt; 16Ser Gin Asn Thr Phe Val Pro Trp Thr &lt;210&gt; 16 &lt;211&gt;&lt;212&gt;&lt;213&gt; PRT Mus musculus &lt;400&gt; 16

Gin Vai G)n Leu Gin Gin Ser Gly Pro Glu Leu Val Arg Pro Gly Va) 15 10 15Gin Vai G)n Leu Gin Gin Ser Gly Pro Glu Leu Val Arg Pro Gly Va) 15 10 15

Ser Val Lys lie Ser Cys Lys 20 &lt;210&gt; &lt;2]1&gt; &lt;2】2&gt; &lt;2J3&gt; 17 Π PRT 小家鼠 &lt;400&gt; 17Ser Val Lys lie Ser Cys Lys 20 &lt;210&gt;&lt;2]1&gt;&lt;2]2&gt;&lt;2J3&gt; 17 Π PRT Mus musculus &lt;400&gt; 17

Met His Trp Vai Lys Gin Ser His Ala Lys Ser Leu Glu Trp lie Gly I 5 10 15 4- 139769-序列表.doc 201038590Met His Trp Vai Lys Gin Ser His Ala Lys Ser Leu Glu Trp lie Gly I 5 10 15 4- 139769 - Sequence Listing.doc 201038590

Val &lt;210&gt; 18 &lt;2I1&gt; 31 &lt;212&gt; PRT &lt;2i3&gt;人造 &lt;220&gt; &lt;223&gt;經分離13C3或13C3樣抗體之重鏈可變區 &lt;400&gt; 18Val &lt;210&gt; 18 &lt;2I1&gt; 31 &lt;212&gt; PRT &lt; 2i3 &gt; artificial &lt;220&gt;&lt;223&gt; Isolation of heavy chain variable region of 13C3 or 13C3-like antibody &lt;400&gt;

Ala Thr Met Thr Val Asp Lys Ser Ser Ser Thr Ala Tyr Met Glu Leu ] 5 10 15Ala Thr Met Thr Val Asp Lys Ser Ser Ser Thr Ala Tyr Met Glu Leu ] 5 10 15

Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys Ala Arg 20 25 30 &lt;210&gt; 19 &lt;211&gt; 1】 &lt;212&gt; PRT &lt;213&gt;小家鼠Ala Arg Leu Thr Ser Glu Asp Ser Ala lie Tyr Tyr Cys Ala Arg 20 25 30 &lt;210&gt; 19 &lt;211&gt; 1] &lt;212&gt; PRT &lt;213&gt; Mus musculus

&lt;400&gt; 19&lt;400&gt; 19

Trp G)y Gin Gly Thr Ser Val Thr Val Ser Ser 1 5 10 &lt;210&gt; 20 &lt;2I1&gt; 10 &lt;212&gt; PRT &lt;213&gt;小家鼠 &lt;400&gt; 20Trp G)y Gin Gly Thr Ser Val Thr Val Ser Ser 1 5 10 &lt;210&gt; 20 &lt;2I1&gt; 10 &lt;212&gt; PRT &lt;213&gt; Mus musculus &lt;400&gt; 20

Giy Ser Gly Tyr Thr Phe Thr Asp Tyr Ala 10 &lt;210&gt; 21 &lt;2ll&gt; 17 &lt;212&gt; PRT &lt;213&gt;小家鼠 &lt;400&gt; 21Giy Ser Gly Tyr Thr Phe Thr Asp Tyr Ala 10 &lt;210&gt; 21 &lt;2ll&gt; 17 &lt;212&gt; PRT &lt;213&gt; Mus musculus &lt;400&gt; 21

He Ser Thr Lys Tyr Gly Lys Thr Asn Tyr Asn Gin Lys Phc Lys Gly 15 10 15He Ser Thr Lys Tyr Gly Lys Thr Asn Tyr Asn Gin Lys Phc Lys Gly 15 10 15

Lys &lt;210&gt; 22 &lt;211&gt; 6 &lt;212&gt; PRT &lt;213&gt;小家鼠 &lt;400&gt; 22Lys &lt;210&gt; 22 &lt;211&gt; 6 &lt;212&gt; PRT &lt;213&gt; Mus musculus &lt;400&gt; 22

Gly Asp Asp Gly Tyr Ser &lt;210&gt; 23 &lt;211&gt; 13 139769-序列表.doc 201038590 &lt;212&gt; PRT &lt;2丨3&gt;智人 &lt;400&gt; 23 Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His 1 5 10 &lt;2]〇&gt; &lt;211&gt; &lt;2I2&gt; &lt;213〉 2413肌智 &lt;400&gt; 24 Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His 1 5 l〇 &lt;210&gt; &lt;211&gt; &lt;212〉 &lt;213&gt; 25,3附智 &lt;400〉 25 Glu Phe Arg His Asp Scr G】y Tyr Glu Val His His Gin J 5 10 &lt;210&gt; &lt;2]]&gt; &lt;212&gt; &lt;213〉 26,3£智 &lt;400&gt; 26 Phe Arg His Asp Ser Gly Tyr Glu Val His His Gin Lys 1 5 10 &lt;2)0&gt; &lt;211&gt; &lt;2)2&gt; &lt;2】3&gt; 2713£智 &lt;400&gt; 27 Arg His Asp Scr Gly Tyr Glu Val His His Gin Lys Leu 1 5 10 &lt;210&gt; &lt;211&gt; &lt;212&gt; &lt;2)3&gt; &lt;400&gt; 28 His Asp Ser Gly Tyr Glu Val His His Gin Lys Leu Val 1 5 10 &lt;2】0&gt; 29 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;微)&gt; 29Gly Asp Asp Gly Tyr Ser &lt;210&gt; 23 &lt;211&gt; 13 139769 - Sequence Listing.doc 201038590 &lt;212&gt; PRT &lt;2丨3&gt; Homo sapiens &lt;400&gt; 23 Asp Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His 1 5 10 &lt;2]〇&gt;&lt;211&gt;&lt;2I2&gt;&lt;213> 2413 Muscle &lt;400&gt; 24 Ala Glu Phe Arg His Asp Ser Gly Tyr Glu Val His His 1 5 l 〇&lt;210&gt;&lt;211&gt;&lt;212&gt;&lt;213&gt; 25,3 智智&lt;400&gt; 25 Glu Phe Arg His Asp Scr G]y Tyr Glu Val His His Gin J 5 10 &lt;210&gt;&lt;;2]]&gt;&lt;212&gt;&lt;213> 26,3 £&lt;400&gt; 26 Phe Arg His Asp Ser Gly Tyr Glu Val His His Gin Lys 1 5 10 &lt;2)0&gt;&lt;211&gt;&lt;2)2&gt;&lt;2]3&gt; 2713 £&lt;400&gt; 27 Arg His Asp Scr Gly Tyr Glu Val His His Gin Lys Leu 1 5 10 &lt;210&gt;&lt;211&gt;&lt;212&gt;&lt;2)3&gt;&lt;400&gt; 28 His Asp Ser Gly Tyr Glu Val His His Gin Lys Leu Val 1 5 10 &lt;2]0&gt; 29 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens&lt;Micro)&gt; 29

Asp Ser Glv Tyr Glu Val His His Gin Ly^ Leu Va) Phc 】 ’ 5 】〇 139769-序列表.doc 201038590 &lt;210&gt; &lt;211&gt; &lt;2I2&gt; &lt;213&gt; &lt;400&gt;Asp Ser Glv Tyr Glu Val His His Gin Ly^ Leu Va) Phc 】 ’ 5 】 〇 139769 - Sequence Listing. doc 201038590 &lt;210&gt;&lt;211&gt;&lt;2I2&gt;&lt;213&gt;&lt;400&gt;

Ser G!y Tyr Glu Val His His Gin Lys Leu Va】Phe Phe 】 5 10 &lt;210&gt; 31 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 31 G1y Ty r Glu Va1 is His Gin Lys Leu Val Phe Phe Ala 10 o &lt;210〉 32 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 32 Tyr Glu Val His His Gin Lys Leu Val Phe Phe Ala Glu 1 5 10 &lt;210&gt; &lt;211&gt; &lt;212&gt; &lt;213&gt; 3313附智 &lt;400&gt; 33 Glu Val His His Gin Lys Leu Val Phe Phe Ala GIu Asp 1 5 10 〇 &lt;210&gt; 34 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; 智人 &lt;400&gt; 34 Va] His His Gin Lys ] 5 Leu Val Phe Phe &lt;210&gt; 35 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; 智人 &lt;400&gt; 35 His His Gin Lys 1 Leu Va] 5 Phe Phe A]a &lt;210&gt; 36 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; 智人 &lt;400&gt; 36 His Gin Lys Leu Va! Phe Phe A!a Glu 10 10 13 9769-序列表.doc 10 201038590 &lt;2i0&gt; 37 &lt;2Π&gt; 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 37 Gin Lys Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn 1 5 10 &lt;210&gt; &lt;211&gt; &lt;21'2&gt; &lt;213&gt; 3813PR智 &lt;400&gt; 38 Lys Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn Lys 】 5 10 &lt;2)0&gt; &lt;21!&gt; &lt;212&gt; &lt;213〉 &lt;400〉 snPRT料39Ser G!y Tyr Glu Val His His Gin Lys Leu Va] Phe Phe 】 5 10 &lt;210&gt; 31 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 31 G1y Ty r Glu Va1 Is His Gin Lys Leu Val Phe Phe Ala 10 o &lt;210> 32 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 32 Tyr Glu Val His His Gin Lys Leu Val Phe Phe Ala Glu 1 5 10 &lt;210&gt;&lt;211&gt;&lt;212&gt;&lt;213&gt; 3313 with wisdom &lt;400&gt; 33 Glu Val His His Gin Lys Leu Val Phe Phe Ala GIu Asp 1 5 10 〇&lt;210&gt; 34 &lt ;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 34 Va] His His Gin Lys] 5 Leu Val Phe Phe &lt;210&gt; 35 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 35 His His Gin Lys 1 Leu Va] 5 Phe Phe A]a &lt;210&gt; 36 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 36 His Gin Lys Leu Va! Phe Phe A!a Glu 10 10 13 9769 - Sequence Listing.doc 10 201038590 &lt;2i0&gt; 37 &lt;2Π&gt; 13 &lt;212&gt; PRT &lt;213 &gt;Homo sapiens&lt;400&gt; 37 Gin Lys Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn 1 5 10 &lt;210&gt;&lt;211&gt;&lt;21'2&gt;&lt;213&gt;3813PR&lt;400&gt; 38 Lys Leu Val Phe Phe Ala Glu Asp Val Gly Ser Asn Lys 】 5 10 &lt;2)0&gt;&lt;21!&gt;&lt;212&gt;&lt;213〉&lt;400> snPRT material 39

Leu Val Phe Phe Ala Glu Asp Val Gly vSer Asn Lys Gly 】 5 10 &lt;210&gt; 40 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 40 VaJ Phe Phe Ala G]u Asp VaJ Gly Ser Asn Lys Gly Ala 1 5 10 &lt;210&gt; &lt;2))&gt; &lt;2!2&gt; &lt;213&gt; nPRTi &lt;400&gt; 41 Phe Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala lie 1 5 10 &lt;2!0&gt; &lt;211&gt; &lt;212&gt; &lt;213〉 4213PRT智 &lt;400&gt; 42 Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala ilc lie 1 5 10 &lt;210&gt; 43 &lt;211〉 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400〉 43 139769-序列表.doc 201038590Leu Val Phe Phe Ala Glu Asp Val Gly vSer Asn Lys Gly 】 5 10 &lt;210&gt; 40 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 40 VaJ Phe Phe Ala G]u Asp VaJ Gly Ser Asn Lys Gly Ala 1 5 10 &lt;210&gt;&lt;2))&gt;&lt;2!2&gt;&lt;213&gt; nPRTi &lt;400&gt; 41 Phe Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala lie 1 5 10 &lt;2!0&gt;&lt;211&gt;&lt;212&gt;&lt;213> 4213 PRT wise &lt;400&gt; 42 Phe Ala Glu Asp Val Gly Ser Asn Lys Gly Ala ilc lie 1 5 10 &lt;210&gt; 43 &lt;;211> 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400> 43 139769 - Sequence Listing.doc 201038590

Ala GJu Asp Val Gly Ser Asn Lys Gly Ala !Je lie Gly 1 5 10 &lt;2!0&gt; 44 &lt;21]&gt; 13 &lt;212&gt; PRT &lt;2丨3&gt;智人 &lt;400&gt; 44Ala GJu Asp Val Gly Ser Asn Lys Gly Ala !Je lie Gly 1 5 10 &lt;2!0&gt; 44 &lt;21]&gt; 13 &lt;212&gt; PRT &lt;2丨3&gt; Homo sapiens &lt;400&gt; 44

Glu Asp Val Gly Ser Asn Lys Gly Ala He Me Gly Leu 1 5 10 &lt;210&gt; &lt;211&gt; &lt;212&gt; &lt;213&gt; &lt;400&gt;Glu Asp Val Gly Ser Asn Lys Gly Ala He Me Gly Leu 1 5 10 &lt;210&gt;&lt;211&gt;&lt;212&gt;&lt;213&gt;&lt;400&gt;

Asp Val Gly Ser Asn Lys Gly Ala lie He Gly Leu Met 1 5 10 o ❹ &lt;210&gt; 46 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 46Asp Val Gly Ser Asn Lys Gly Ala lie He Gly Leu Met 1 5 10 o ❹ &lt;210&gt; 46 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt; 46

Val Gly Ser Asn Lys Gly Ala lie lie Gly Leu Mel Val 1 5 10 &lt;210&gt; 47 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt;智人 &lt;400&gt; 47Val Gly Ser Asn Lys Gly Ala lie lie Gly Leu Mel Val 1 5 10 &lt;210&gt; 47 &lt;211&gt; 13 &lt;212&gt; PRT &lt;213&gt; Homo sapiens &lt;400&gt;

Gly Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly 1 5 10 &lt;2I0&gt; 48 &lt;211&gt; 13 &lt;212&gt; PRT &lt;2丨3&gt;智人 &lt;400&gt; 48Gly Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly 1 5 10 &lt;2I0&gt; 48 &lt;211&gt; 13 &lt;212&gt; PRT &lt;2丨3&gt; Homo sapiens &lt;400&gt; 48

Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly 1 5 10 &lt;210&gt; 49 &lt;2]1&gt; 13 &lt;2!2&gt; PRT &lt;2i3&gt;智人 &lt;400&gt; 49Ser Asn Lys Gly Ala lie lie Gly Leu Met Val Gly Gly 1 5 10 &lt;210&gt; 49 &lt;2]1&gt; 13 &lt;2!2&gt; PRT &lt;2i3&gt; Homo sapiens &lt;400&gt; 49

Asn Lys Gly Ala lie He Gly Leu Mel Val Glv Gly Val I 5 10 &lt;2I0&gt; 50 &lt;211&gt; 13 &lt;2!2&gt; PRT &lt;213&gt;智人 139769-序列表.doc 201038590 &lt;400&gt; 50Asn Lys Gly Ala lie He Gly Leu Mel Val Glv Gly Val I 5 10 &lt;2I0&gt; 50 &lt;211&gt; 13 &lt;2!2&gt; PRT &lt;213&gt; Homo sapiens 139769 - Sequence Listing.doc 201038590 &lt;400&gt; 50

Lys Gly A!a IJe He Q]y Leu Mel Va] Gly Gly Val Vai 1 5 10 &lt;2i0&gt; 51 &lt;21 )&gt; &lt;212&gt; &lt;213&gt; 13 PR丁 智人 &lt;400&gt; 5】Lys Gly A!a IJe He Q]y Leu Mel Va] Gly Gly Val Vai 1 5 10 &lt;2i0&gt; 51 &lt;21 )&gt;&lt;212&gt;&lt;213&gt; 13 PR Ding Homo sapiens &lt;400&gt; 5]

Gly Ala He lie Gly Leu Mel Val Gly Gly Val Val lie 1 5 10 &lt;21ϋ&gt; 52 &lt;2I1&gt; &lt;212&gt; &lt;213&gt; 13 PRT 智人 &lt;400&gt; 52Gly Ala He lie Gly Leu Mel Val Gly Gly Val Val lie 1 5 10 &lt;21ϋ&gt; 52 &lt;2I1&gt;&lt;212&gt;&lt;213&gt; 13 PRT Homo sapiens &lt;400&gt; 52

Ala lie lie Cly Leu Met Val Gly Gly Val Val He Ala 1 5 10 10· 139769-序列表.docAla lie lie Cly Leu Met Val Gly Gly Val Val He Ala 1 5 10 10· 139769 - Sequence Listing.doc

Claims (1)

201038590 七、申請專利範圍: 1. 一種分離之抗體,其對Αβ肽之基原纖維形式之構形抗原 決定基專一性相互作用且展示可測量之親和力,其中該 基原纖維抗原決定基係由Αβ —基原纖維形式之暴露區域 表示,該暴露區域包含SEQ ID ΝΟ: 2中所闌明之胺基酸 序列,其中該抗體展示對Αβ肽之單體或二聚體形式具最 小或無親和力。 2. 如請求項1之抗體,其為單株抗體。 〇 3.如吻求項2之單株抗體,其為人類化單株抗體。 4. 如請求項2之單株抗體,其為人類單株抗體。 5. —種分離之抗體,其對Αρ肽之基原纖維形式之構形抗原 決定基專一性相互作用且展示可測量之親和力其中該 基原纖維抗原決定基係由Αβ_基原纖維形式之暴露區域 表不,該暴露區域包含一個選自由SEQ ID Ν〇: 3及seq ID NO. 4組成之群的胺基酸序列,其中該抗體展示對 D 肽之單體或二聚體形式具最小或無親和力。 6. 如請求項5之抗體,其為單株抗體。 7·如請求項6之單株抗體’其經指定為13C3。 8.如請求項6之單株抗體,其為人類化單株抗體。 9_如請求項6之單株抗體’其為人類單株抗體。 1〇·如明求項5之抗體,其進一步包括包含SEQ ID NO: 5中所 闡明之胺基酸序列的可變輕鏈。 U·如研求項5之抗體,其進一步包括包含SEQ ID NO: 7中所 闡明之胺基酸序列的可變重鏈。 139769.doc 201038590 12. 如清求項5之抗體,其進一步包括包含seq【ο N〇: 13中 所閣明之CDR1區、SEQ ID NO: 14中所闡明之CDR2區及 SEQ ID NO: 15中所闡明之CDR3的可變輕鏈。 13. 如凊求項5之抗體,其進一步包括包含seq id no: 20中 所閣明之CDR1區、SEQ ID NO: 21中所闡明之CDR2區及 SEQ ID NO: 22中所闡明之CDR3的可變重鏈。 14. —種產生在活體外與β_類澱粉肽之基原纖維形式之重複 構形抗原決定基專一性結合同時展示對β_類澱粉肽之低 刀子里形式具最小親和力的單株抗體之方法,該方法包 含: (a) 以β_類澱粉肽之該基原纖維形式免疫哺乳動物; (b) 收集該哺乳動物之β細胞; (0自該等所收集之B細胞產生融合瘤,其中該等融合 瘤產生抗體;及 (d)選擇產生與β-類澱粉肽之該基原纖維形式專一性結 合同時展示對β-類澱粉肽之單體或二聚體形式具最小親 和力之抗體的融合瘤。 15. —種定量組織或液體樣本中β_類澱粉肽之基原纖維形式 之量的方法,該方法包含: (a) 自個體獲得該組織或液體樣本; (b) 使該組織或液體樣本接觸與p_類澱粉肽之該基原纖 維形式專-性結合同時展示則·類激粉肽之低分子量形 式具最小親和力的抗體或其片段;及 (c) 定量該樣本中β-類澱粉肽之基原纖維形式之量。 139769.doc 201038590 19A6組成之群的單株抗體。 17. 一種用於偵測β_魅、'帆201038590 VII. Scope of Application: 1. An isolated antibody that specifically interacts with a conformational epitope of the 原β peptide in the form of fibrils and exhibits measurable affinity, wherein the fibril epitope is determined by The exposed region of the Αβ-based fibril form indicates that the exposed region comprises the amino acid sequence set forth in SEQ ID NO: 2, wherein the antibody exhibits minimal or no affinity for the monomeric or dimeric form of the Αβ peptide. 2. The antibody of claim 1, which is a monoclonal antibody. 〇 3. A monoclonal antibody such as Kiss 2, which is a humanized monoclonal antibody. 4. The monoclonal antibody of claim 2 which is a human monoclonal antibody. 5. An isolated antibody that specifically interacts with a conformational epitope of the fibril form of the Αρ peptide and exhibits a measurable affinity wherein the basal fibril epitope is in the form of Αβ_based fibrils Exposed region, the exposed region comprising an amino acid sequence selected from the group consisting of SEQ ID Ν〇: 3 and seq ID NO. 4, wherein the antibody exhibits minimal monomeric or dimeric forms to the D peptide Or no affinity. 6. The antibody of claim 5 which is a monoclonal antibody. 7. The monoclonal antibody of claim 6 which is designated as 13C3. 8. The monoclonal antibody of claim 6, which is a humanized monoclonal antibody. 9_ The monoclonal antibody of claim 6 which is a human monoclonal antibody. The antibody of claim 5, which further comprises a variable light chain comprising the amino acid sequence set forth in SEQ ID NO: 5. U. The antibody of claim 5, which further comprises a variable heavy chain comprising the amino acid sequence set forth in SEQ ID NO: 7. 139769.doc 201038590 12. The antibody of claim 5, which further comprises the CDR1 region set forth in seq [ο N〇: 13 , the CDR2 region set forth in SEQ ID NO: 14 and SEQ ID NO: 15 The variable light chain of CDR3 as set forth. 13. The antibody of claim 5, which further comprises a CDR1 region comprising seq id no: 20, a CDR2 region set forth in SEQ ID NO: 21, and a CDR3 set forth in SEQ ID NO: Change the weight chain. 14. A specific antibody that produces a repetitive conformational epitope binding to a fibrillar form of a beta-type amyloid peptide in vitro while exhibiting a minimal antibody with minimal affinity for the low-knife form of the beta-type amyloid peptide. The method comprises the steps of: (a) immunizing a mammal in the form of a fibril of a beta-type amyloid peptide; (b) collecting beta cells of the mammal; (0 generating a fusion tumor from the B cells collected therefrom; Wherein the fusion tumor produces an antibody; and (d) is selected to produce an antibody that specifically binds to the fibril form of the beta-type amyloid peptide while exhibiting minimal affinity for the monomeric or dimeric form of the beta-type amyloid peptide 15. A method of quantifying the amount of a fibrillar form of a beta-type amyloid in a tissue or liquid sample, the method comprising: (a) obtaining the tissue or liquid sample from the individual; (b) The tissue or liquid sample is contacted with the fibril form of the p-type amyloid peptide to specifically bind to the low molecular weight form of the probe powder peptide with minimal affinity to the antibody or fragment thereof; and (c) quantify the sample Beta-amyloid peptide Forms of the original amount of the fiber group. 139769.doc 201038590 19A6 monoclonal antibody composition of the group. 17. A method for detecting β_ charm, 'sails 包含: 其中該抗體為選自由HC3、1D1及 16.如請求項15之方法,其中 二基原纖維形式同時展示對β-具最小親和力的套組,該套組 抗體或其片段’其能夠在活體外與β-類澱粉肽之基Including: wherein the antibody is selected from the group consisting of HC3, 1D1, and 16. The method of claim 15, wherein the dibasic fibril form simultaneously exhibits a minimal affinity for β-, the set of antibodies or fragments thereof In vitro and β-type amyloid base 求項17之套組,其中該抗體為選自由13C3 一性結合同時展示 、1D1 及 19 Α6組成之群的單株抗體。 19_種用於治療或預防哺乳動物體内β_類澱粉纖維斑塊沈 積之醫藥組合物,其至少包含醫藥學上有效量的與卜類 滿又粉肽之基原纖維形式專一性相互作用以抑制卜類澱粉 纖維斑塊之形成及沈積的抗體可變區片段。 20. 如請求項19之醫藥組合物,其中該抗體為單株抗體。 21. 如請求項20之醫藥組合物’其中該單株抗體為選自由 13C3、19Α6及1D1組成之群的抗體。 22. 如請求項2〇之醫藥組合物’其中該單株抗體為人類化單 株抗體。 23. 如請求項2〇之醫藥組合物,其中該單株抗體為人類單株 抗體。 24. —種融合瘤,其分泌一種選自由13C3、19A6&amp;iDi組成 之群的抗體。 139769.doc 201038590 25. 26. 27. 28. 29. 30. 31. 32. 33. 一種分離之核酸分子,其編版 、、馬早株抗體1 3 C 3之可變番A 片段,其中該可變重鏈片段包 $鏈 包3 SEQ ID NO: 7中所闡 之胺基酸序列。 單』月 一種分離之核酸分子, 片段,其中該核酸分子 苷酸序列。 其編碼單株抗體13C3之可變重鏈 包含SEQ iD N〇: 8中所閣明之核 在重組伤主細胞中矣相nD u, 鏈片段之 核酸分子 干表現早株抗體13C3之可變隹 表現載體,其中寸表^ 、μ表現載體含有如請求項26之 〇 種伯主細胞’其表現單换邮 兄早株抗體13C3之可變重鏈片 其中該宿主細胞含有如請求初之表現載體。 -種分離之核酸分子’其編碼單株抗體nc3之可變 片段,其中該可變輕鏈片段包含SEQ m N〇: 之胺基酸序列。 1月 一種分離之核酸分子’其編碼單株抗體⑽之可變 片段’其中該核酸分子包含SEQ ID N〇: 6 : 苷酸序列。 (核 一種用於在重組宿主細胞中表現單株抗體丨3 c 3之可傲幸「 鏈片段之表現載體’其中該表現載體含有如 7 核酸分子。 之 一種宿主細胞,其表現單株抗體13C3之可變輕鏈片段, 其中该宿主細胞含有如請求項3 1之表現载體。 一種分離之單株抗體13C3之可變重鏈片段其包含 ID NO: 7中闡明之胺基酸序列。 139769.doc 201038590 34· 一種分離之單株抗體13C3之可變輕鏈片段,其包含紐卩 ID NO: 5中闈明之胺基酸序列。 35. —種與β·類澱粉肽之基原纖維形式專一性相互作用以抑 制β-類殺粉纖維斑塊之形成及沈積的抗體可變區片段之 用途’其係用於製造用於治療或預防哺乳動物體内卜類 澱粉纖維斑塊沈積之藥物。 3 6.如凊求項35之用途,其中該抗體為單株抗體。 37.如請求項36之用途,其中該單株抗體為選自由13C3、 19Α6及idi組成之群的抗體。 3 8.如4求項36之用途’其中該單株抗體為人類化單株抗 體。 3 9·如明求項36之用途,其中該單株抗體為人類單株抗體。 ❹ 139769.docThe kit of claim 17, wherein the antibody is a monoclonal antibody selected from the group consisting of 13C3-sex binding, 1D1 and 19Α6. a pharmaceutical composition for treating or preventing deposition of β-type starch fiber plaque in a mammal, comprising at least a pharmaceutically effective amount of a specific interaction with a fibril-based fibril form An antibody variable region fragment that inhibits the formation and deposition of amyloplasty plaques. 20. The pharmaceutical composition of claim 19, wherein the antibody is a monoclonal antibody. 21. The pharmaceutical composition of claim 20 wherein the monoclonal antibody is an antibody selected from the group consisting of 13C3, 19Α6 and 1D1. 22. The pharmaceutical composition of claim 2, wherein the monoclonal antibody is a humanized monoclonal antibody. 23. The pharmaceutical composition of claim 2, wherein the monoclonal antibody is a human monoclonal antibody. 24. A fusion tumor which secretes an antibody selected from the group consisting of 13C3, 19A6 &amp; iDi. 139769.doc 201038590 25. 26. 27. 28. 29. 30. 31. 32. 33. An isolated nucleic acid molecule, which is spliced, a variable A fragment of the horse early strain antibody 1 3 C 3 , wherein Variable heavy chain fragment package $chain package 3 The amino acid sequence set forth in SEQ ID NO: 7. Single "month" An isolated nucleic acid molecule, a fragment, wherein the nucleic acid molecule sequence. The variable heavy chain encoding the monoclonal antibody 13C3 comprises the nucleus of SEQ iD N〇: 8 in the recombinant injured host cell 矣 phase nD u, and the nucleic acid molecule of the strand fragment expresses the variable 隹 expression of the early strain antibody 13C3 The vector, wherein the expression vector comprises a primary heavy cell of claim 26, which exhibits a variable heavy chain of the single-transfer early antibody 13C3, wherein the host cell contains a vector as claimed. An isolated nucleic acid molecule which encodes a variable fragment of monoclonal antibody nc3, wherein the variable light chain fragment comprises the amino acid sequence of SEQ m N〇:. January An isolated nucleic acid molecule 'which encodes a variable fragment of a monoclonal antibody (10)' wherein the nucleic acid molecule comprises the SEQ ID N:6: nucleotide sequence. (A nuclear expression vector for expressing a single antibody 丨3 c 3 in a recombinant host cell, wherein the expression vector contains, for example, a nucleic acid molecule, a host cell which exhibits a single antibody 13C3 A variable light chain fragment, wherein the host cell comprises a expression vector as claimed in claim 31. A variable heavy chain fragment of an isolated monoclonal antibody 13C3 comprising the amino acid sequence set forth in ID NO: 7. 139769 .doc 201038590 34. A variable light chain fragment of an isolated monoclonal antibody 13C3 comprising the amino acid sequence of 卩IDID: 5 in 闱明. 35. a fibril form with a beta-amyloid peptide The use of specific interactions to inhibit the formation of β-class molluscing fiber plaques and the deposition of antibody variable region fragments, which are used to manufacture drugs for the treatment or prevention of plaque deposits in mammalian starch plaques 3. The use of claim 35, wherein the antibody is a monoclonal antibody. 37. The use of claim 36, wherein the monoclonal antibody is an antibody selected from the group consisting of 13C3, 19Α6, and idi. For example, the use of item 36 'Wherein the monoclonal antibody is a humanized monoclonal antibody. 9. The use of 3 out seeking entry 36, wherein the monoclonal antibody is a human monoclonal antibody. ❹ 139769.doc
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