TW201625697A - Compositions and methods of use for augmented immune response, and cancer therapy - Google Patents

Compositions and methods of use for augmented immune response, and cancer therapy Download PDF

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TW201625697A
TW201625697A TW104133097A TW104133097A TW201625697A TW 201625697 A TW201625697 A TW 201625697A TW 104133097 A TW104133097 A TW 104133097A TW 104133097 A TW104133097 A TW 104133097A TW 201625697 A TW201625697 A TW 201625697A
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antibody
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antigen
heavy chain
light chain
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黛博拉A 妮
珍妮佛 布洛格登
飛 王
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諾華公司
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Abstract

The present invention provides antibody compositions, including, e.g., antibodies, engineered antibodies and antibody fragments that bind to a tumor necrosis factor receptor superfamily member (i.e., 18). Provided compositions are useful in enhancing CD4+ and CD8+ T cell responses, and in the treatment, amelioration and prevention of diseases that can be counteracted with an augmented immune response, e.g., cancers. Also provided in the invention are polynucleotides and vectors that encode such molecules and host cells that harbor the polynucleotides or vectors; as well as pharmaceutical compositions that comprise such molecules and methods of use thereof.

Description

用於增強之免疫反應之組合物及使用方法,及癌症療法 Composition and method for enhancing immune response, and cancer therapy

本發明係關於如下抗體、抗體片段及抗原結合分子,其結合於腫瘤壞死因子受體超家族成員18/糖皮質激素誘導之TNFR相關蛋白(「GITR」),且更特定言之為促效劑、刺激經由該受體進行之信號傳導,及/或調節免疫反應。 The present invention relates to antibodies, antibody fragments and antigen-binding molecules which bind to a tumor necrosis factor receptor superfamily member 18/glucocorticoid-induced TNFR-related protein ("GITR"), and more specifically an agonist Stimulate signaling through the receptor and/or modulate the immune response.

糖皮質激素誘導之TNFR相關蛋白(「GITR」)為腫瘤壞死因子超家族(TNFRSF)之成員,其包括超過20種I型跨膜蛋白、數種拼接變異體及數種病毒蛋白,其均具有富含半胱胺酸之域作為共有結構特徵。GITR之胞外域(ECD)由3個富含半胱胺酸之域(CRD)組成,繼而為跨膜域(TM)及胞內域(ICD)。 Glucocorticoid-induced TNFR-associated protein ("GITR") is a member of the tumor necrosis factor superfamily (TNFRSF), which includes more than 20 type I transmembrane proteins, several splicing variants, and several viral proteins, all of which have The cysteine-rich domain acts as a common structural feature. The extracellular domain (ECD) of GITR consists of three cysteine-rich domains (CRD), followed by the transmembrane domain (TM) and the intracellular domain (ICD).

於鼠類及人類CD4+CD25+調節性T細胞上偵測到組成性GITR表現,該表現可在活化後進一步增加。相比之下,CD4+CD25效應T細胞及CD8+CD25效應T細胞以低至不可偵測之水準表現GITR,在T細胞受體活化後其快速上調。亦在經活化之NK細胞、樹突狀細胞及巨噬細胞上偵測到GITR表現。GITR下游之信號轉導路徑已展示包括MAPK及標準NFκB路徑。已表明各種TRAF家族成員作為GITR下游之信號傳導中間物(Nocentini等人,(2005)Eur.J.Immunol.,35:1016-1022)。 Constitutive GITR expression was detected on murine and human CD4+CD25+ regulatory T cells, which may be further increased after activation. In contrast, CD4+CD25 effector T cells and CD8+CD25 effector T cells express GITR at levels as low as undetectable and rapidly upregulate after T cell receptor activation. GITR expression was also detected on activated NK cells, dendritic cells, and macrophages. Signal transduction pathways downstream of the GITR have been shown to include MAPK and the standard NFκB pathway. Various TRAF family members have been shown to act as signaling intermediates downstream of the GITR (Nocentini et al. (2005) Eur. J. Immunol., 35: 1016-1022).

經由GITR活化細胞被認為視細胞類型及微環境而定用於數種功能,包括(但不限於)共刺激以增強增殖及效應功能,抑制調節性T細胞之抑制作用及避免活化誘發之細胞死亡(Shevach及Stephens(2006)Nat.Rev.Immunol.,6:613-618)。Ko等人((2005)J.Exp.Med.,202:885-891)首次展現在小鼠同基因型腫瘤模型中針對小鼠GITR之促效單株抗體有效誘導腫瘤特異性免疫性且根除所形成之腫瘤。另外及/或替代地,具有功能性Fc效應子活性之抗mGITR已在一些臨床前模型中展示消耗調節性T細胞以及提高所選腫瘤環境中之T效應細胞增殖及細胞激素分泌。此等發現表明mGITR之促效抗體可破壞免疫耐受平衡,從而又使得T細胞可對抗腫瘤及持久性病毒感染。然而,迄今為止研究主要集中於替代抗體於嚙齒動物系統中之用途。由於小鼠及人類GITR中結構之差異,未知小鼠中之替代研究所見之發現是否可轉換為人類GITR功能之改變。 Activation of cells via GITR is thought to be dependent on several cell functions and microenvironments, including but not limited to co-stimulation to enhance proliferation and effector function, inhibit inhibition of regulatory T cells, and avoid activation-induced cell death. (Shevach and Stephens (2006) Nat. Rev. Immunol., 6: 613-618). Ko et al. ((2005) J. Exp. Med., 202: 885-891) demonstrate for the first time that efficacious monoclonal antibodies against mouse GITR in mouse homologous tumor models effectively induce tumor-specific immunity and eradicate The tumor formed. Additionally and/or alternatively, anti-mGITRs with functional Fc effector activity have been shown to deplete regulatory T cells and enhance T effector cell proliferation and cytokine secretion in selected tumor settings in some preclinical models. These findings indicate that agonist antibodies to mGITR disrupt the balance of immune tolerance, which in turn allows T cells to fight tumor and persistent viral infections. However, research to date has focused primarily on the use of surrogate antibodies in rodent systems. Due to structural differences in mouse and human GITR, alternative studies in unknown mice see whether it can be converted to a change in human GITR function.

已鑑別特異性結合於人類糖皮質激素誘導之腫瘤壞死因子受體超家族成員18(「GITR」)的抗體,其中該等抗體在於活體外交聯時具有活體外hGITR促效劑活性,且其中該等抗體賦予活體內hGITR活性且在腫瘤位點誘導提高之Teff:Treg比率,從而抑制腫瘤發展。因此,本發明提供特異性結合且經由靶向表現人類GITR之細胞促進胞內信號傳導及/或調節免疫反應的促效抗體、抗體片段及抗原結合分子。在一個態樣中,本發明提供特異性結合於人類GITR之經分離抗體、抗體片段及抗原結合分子,其中該抗體、抗體片段或抗原結合分子結合於富含半胱胺酸之域1(「CRD1」)內之抗原決定基,且其中該抗體、抗體片段或抗原結合分子為GITR之促效劑,且其中該抗體、抗體片段或抗原結合分子視情況具有完整或增加之FcR效應功能。 Antibodies that specifically bind to human glucocorticoid-induced tumor necrosis factor receptor superfamily member 18 ("GITR") have been identified, wherein the antibodies have in vitro hGITR agonist activity when in vivo, and wherein The antibody confers hGITR activity in vivo and induces an increased Teff:Treg ratio at the tumor site, thereby inhibiting tumor progression. Thus, the invention provides agonist antibodies, antibody fragments and antigen binding molecules that specifically bind and promote intracellular signaling and/or modulate immune responses via cells that target human GITR. In one aspect, the invention provides an isolated antibody, antibody fragment and antigen binding molecule that specifically binds to human GITR, wherein the antibody, antibody fragment or antigen binding molecule binds to a cysteine-rich domain 1 (" An epitope within CRD1"), and wherein the antibody, antibody fragment or antigen-binding molecule is an agonist of GITR, and wherein the antibody, antibody fragment or antigen-binding molecule optionally has a full or increased FcR effector function.

在一些實施例中,抗體、抗體片段或抗原結合分子結合於人類 GITR之殘基41-65內的抗原決定基。在一些實施例中,該抗體、抗體片段或抗原結合分子與結合於人類GITR之殘基41-65內之抗原決定基的抗體或抗體片段競爭。在一些實施例中,抗體、抗體片段或抗原結合分子結合於人類GITR之殘基41-65內的至少一個胺基酸殘基,例如抗體、抗體片段或抗原結合分子結合於與人類GITR之殘基41-65重疊的抗原決定基。 In some embodiments, an antibody, antibody fragment or antigen binding molecule binds to a human An epitope within residues 41-65 of GITR. In some embodiments, the antibody, antibody fragment or antigen binding molecule competes with an antibody or antibody fragment that binds to an epitope within residues 41-65 of human GITR. In some embodiments, the antibody, antibody fragment or antigen binding molecule binds to at least one amino acid residue within residues 41-65 of human GITR, eg, an antibody, antibody fragment or antigen binding molecule binds to a human GITR The epitope 41-65 overlaps the epitope.

在一些實施例中,抗體、抗體片段或抗原結合分子結合於SEQ ID NO:4,且包含構成人類重鏈之(a)重鏈可變區,其中:i)重鏈CDR1包含SEQ ID NO:22,且ii)重鏈CDR2包含選自SEQ ID NO:23、SEQ ID NO:24、SEQ ID NO:25、SEQ ID NO:26及SEQ ID NO:27中之任一者的序列,且iii)重鏈CDR3包含SEQ ID NO:29或SEQ ID NO:109;及(b)輕鏈可變區,其中i)輕鏈CDR1包含SEQ ID NO:30或SEQ ID NO:31,且ii)輕鏈CDR2包含SEQ ID NO:33,且iii)輕鏈CDR3包含SEQ ID NO:34。 In some embodiments, the antibody, antibody fragment or antigen binding molecule binds to SEQ ID NO: 4 and comprises (a) a heavy chain variable region comprising a human heavy chain, wherein: i) heavy chain CDR1 comprises SEQ ID NO: 22, and ii) the heavy chain CDR2 comprises a sequence selected from any one of SEQ ID NO: 23, SEQ ID NO: 24, SEQ ID NO: 25, SEQ ID NO: 26, and SEQ ID NO: 27, and iii The heavy chain CDR3 comprises SEQ ID NO: 29 or SEQ ID NO: 109; and (b) a light chain variable region, wherein i) the light chain CDR1 comprises SEQ ID NO: 30 or SEQ ID NO: 31, and ii) The chain CDR2 comprises SEQ ID NO:33, and iii) the light chain CDR3 comprises SEQ ID NO:34.

關於抗體、抗體片段或抗原結合分子之其他實施例,在一些實施例中,重鏈可變區與SEQ ID NO:16之可變區具有至少95%、96%、97%、98%、99%或100%胺基酸序列一致性,且輕鏈可變區與SEQ ID NO:17之可變區具有至少95%、96%、97%、98%、99%或100%胺基酸序列一致性。在特定實施例中,抗體、抗體片段或抗原結合分子包含有包含SEQ ID NO:16之重鏈及包含SEQ ID NO:17之輕鏈。在一些實施例中,抗體、抗體片段或抗原結合分子與包含有包含SEQ ID NO:16之重鏈及包含SEQ ID NO:17之輕鏈的抗體競爭。 With respect to other embodiments of antibodies, antibody fragments or antigen binding molecules, in some embodiments, the heavy chain variable region has at least 95%, 96%, 97%, 98%, 99 of the variable region of SEQ ID NO: % or 100% amino acid sequence identity, and the light chain variable region and the variable region of SEQ ID NO: 17 have at least 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence consistency. In a particular embodiment, the antibody, antibody fragment or antigen binding molecule comprises a heavy chain comprising SEQ ID NO: 16 and a light chain comprising SEQ ID NO: 17. In some embodiments, the antibody, antibody fragment or antigen binding molecule competes with an antibody comprising a heavy chain comprising SEQ ID NO: 16 and a light chain comprising SEQ ID NO: 17.

在一些實施例中,重鏈FR4為人類生殖系FR4。在特定實施例中,重鏈FR4為SEQ ID NO:42。 In some embodiments, the heavy chain FR4 is the human germline FR4. In a particular embodiment, the heavy chain FR4 is SEQ ID NO:42.

在一些實施例中,輕鏈FR4為人類生殖系FR4。在特定實施例中,輕鏈FR4為SEQ ID NO:50。 In some embodiments, the light chain FR4 is the human germline FR4. In a particular embodiment, the light chain FR4 is SEQ ID NO:50.

在一些實施例中,提供一種抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22或SEQ ID NO:84;ii)重鏈CDR2包含SEQ ID NO:28或SEQ ID NO:80;iii)重鏈CDR3包含SEQ ID NO:29或SEQ ID NO:109;iv)輕鏈CDR1包含SEQ ID NO:30或SEQ ID NO:85;v)輕鏈CDR2包含SEQ ID NO:33或SEQ ID NO:82,且vi)輕鏈CDR3包含SEQ ID NO:34或SEQ ID NO:83。 In some embodiments, an antibody, antibody fragment or antigen binding molecule is provided, wherein: i) the heavy chain CDR1 comprises SEQ ID NO: 22 or SEQ ID NO: 84; ii) the heavy chain CDR2 comprises SEQ ID NO: 28 or SEQ ID NO: 80; iii) heavy chain CDR3 comprises SEQ ID NO: 29 or SEQ ID NO: 109; iv) light chain CDR1 comprises SEQ ID NO: 30 or SEQ ID NO: 85; v) light chain CDR2 comprises SEQ ID NO :33 or SEQ ID NO:82, and vi) the light chain CDR3 comprises SEQ ID NO:34 or SEQ ID NO:83.

在一些實施例中,提供一種抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22;ii)重鏈CDR2包含SEQ ID NO:23;iii)重鏈CDR3包含SEQ ID NO:29;iv)輕鏈CDR1包含SEQ ID NO:30;v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34。 In some embodiments, an antibody, antibody fragment or antigen binding molecule is provided, wherein: i) heavy chain CDR1 comprises SEQ ID NO: 22; ii) heavy chain CDR2 comprises SEQ ID NO: 23; iii) heavy chain CDR3 comprises SEQ ID NO: 29; iv) light chain CDR1 comprises SEQ ID NO: 30; v) light chain CDR2 comprises SEQ ID NO: 33, and vi) light chain CDR3 comprises SEQ ID NO: 34.

在一些實施例中,提供一種抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22;ii)重鏈CDR2包含SEQ ID NO:24;iii)重鏈CDR3包含SEQ ID NO:29;iv)輕鏈CDR1包含SEQ ID NO:31;v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34。 In some embodiments, an antibody, antibody fragment or antigen binding molecule is provided, wherein: i) heavy chain CDR1 comprises SEQ ID NO:22; ii) heavy chain CDR2 comprises SEQ ID NO:24; iii) heavy chain CDR3 comprises SEQ ID NO: 29; iv) light chain CDR1 comprises SEQ ID NO: 31; v) light chain CDR2 comprises SEQ ID NO: 33, and vi) light chain CDR3 comprises SEQ ID NO: 34.

在一些實施例中,提供一種抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22;ii)重鏈CDR2包含SEQ ID NO:25;iii)重鏈CDR3包含SEQ ID NO:29;iv)輕鏈CDR1包含SEQ ID NO:30;v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34。 In some embodiments, an antibody, antibody fragment or antigen binding molecule is provided, wherein: i) heavy chain CDR1 comprises SEQ ID NO: 22; ii) heavy chain CDR2 comprises SEQ ID NO: 25; iii) heavy chain CDR3 comprises SEQ ID NO: 29; iv) light chain CDR1 comprises SEQ ID NO: 30; v) light chain CDR2 comprises SEQ ID NO: 33, and vi) light chain CDR3 comprises SEQ ID NO: 34.

在一些實施例中,提供一種抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22;ii)重鏈CDR2包含SEQ ID NO:26;iii)重鏈CDR3包含SEQ ID NO:29;iv)輕鏈CDR1包含SEQ ID NO:30;v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34。 In some embodiments, an antibody, antibody fragment or antigen binding molecule is provided, wherein: i) heavy chain CDR1 comprises SEQ ID NO:22; ii) heavy chain CDR2 comprises SEQ ID NO:26; iii) heavy chain CDR3 comprises SEQ ID NO: 29; iv) light chain CDR1 comprises SEQ ID NO: 30; v) light chain CDR2 comprises SEQ ID NO: 33, and vi) light chain CDR3 comprises SEQ ID NO: 34.

在一些實施例中,提供一種抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22;ii)重鏈CDR2包含SEQ ID NO:27;iii)重鏈CDR3包含SEQ ID NO:29;iv)輕鏈CDR1包含SEQ ID NO:30;v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34。 In some embodiments, an antibody, antibody fragment or antigen binding molecule is provided, wherein: i) heavy chain CDR1 comprises SEQ ID NO:22; ii) heavy chain CDR2 comprises SEQ ID NO:27; iii) heavy chain CDR3 comprises SEQ ID NO: 29; iv) light chain CDR1 comprises SEQ ID NO: 30; v) light chain CDR2 comprises SEQ ID NO: 33, and vi) light chain CDR3 comprises SEQ ID NO: 34.

在一些實施例中,提供一種抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22;ii)重鏈CDR2包含SEQ ID NO:25;iii)重鏈CDR3包含SEQ ID NO:109;iv)輕鏈CDR1包含SEQ ID NO:30;v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34。 In some embodiments, an antibody, antibody fragment or antigen binding molecule is provided, wherein: i) heavy chain CDR1 comprises SEQ ID NO: 22; ii) heavy chain CDR2 comprises SEQ ID NO: 25; iii) heavy chain CDR3 comprises SEQ ID NO: 109; iv) light chain CDR1 comprises SEQ ID NO: 30; v) light chain CDR2 comprises SEQ ID NO: 33, and vi) light chain CDR3 comprises SEQ ID NO: 34.

在另一態樣中,本發明提供特異性結合GITR之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段包含重鏈可變區及輕鏈可變區,其中:i)重鏈之CDR1包含選自由SEQ ID NO:22、SEQ ID NO:79或SEQ ID NO:84組成之群的胺基酸序列;ii)重鏈之CIR2包含選自由SEQ ID NO:23、SEQ ID NO:24、SEQ ID NO:25、SEQ ID NO:26、SEQ ID NO:27、SEQ ID NO:62及SEQ ID NO:80組成之群的胺基酸序列;iii)重鏈之CDR3包含SEQ ID NO:29或SEQ ID NO:109;iv)輕鏈之CDR1包含選自由SEQ ID NO:30、SEQ ID NO:31、SEQ ID NO:63、SEQ ID NO:81、SEQ ID NO:85及SEQ ID NO:86組成之群的胺基酸序列;v)輕鏈之CDR2包含選自由SEQ ID NO:33、SEQ ID NO:64及SEQ ID NO:82組成之群的胺基酸序列;且輕鏈之CDR3包含SEQ ID NO:34或SEQ ID NO:83。 In another aspect, the invention provides an antibody, antibody fragment or antigen binding molecule that specifically binds to GITR, wherein the antibody or antibody fragment comprises a heavy chain variable region and a light chain variable region, wherein: i) a heavy chain CDR1 comprises an amino acid sequence selected from the group consisting of SEQ ID NO: 22, SEQ ID NO: 79 or SEQ ID NO: 84; ii) CIR2 of the heavy chain comprises SEQ ID NO: 23, SEQ ID NO: 24 , the amino acid sequence of the group consisting of SEQ ID NO: 25, SEQ ID NO: 26, SEQ ID NO: 27, SEQ ID NO: 62 and SEQ ID NO: 80; iii) the CDR3 of the heavy chain comprises SEQ ID NO: 29 or SEQ ID NO: 109; iv) CDR1 of the light chain comprising selected from the group consisting of SEQ ID NO: 30, SEQ ID NO: 31, SEQ ID NO: 63, SEQ ID NO: 81, SEQ ID NO: 85, and SEQ ID NO : a group consisting of the amino acid sequence of the group; v) the CDR2 of the light chain comprises an amino acid sequence selected from the group consisting of SEQ ID NO: 33, SEQ ID NO: 64 and SEQ ID NO: 82; and the light chain CDR3 comprises SEQ ID NO: 34 or SEQ ID NO:83.

在抗體、抗體片段或抗原結合分子之其他實施例中,重鏈可變區與選自由SEQ ID NO:6、SEQ ID NO:8、SEQ ID NO:12、SEQ ID NO:14、SEQ ID NO:99及SEQ ID NO:105組成之群的序列的可變區具有至少90%、93%、95%、96%、97%、98%、99%或100%胺基酸序列 一致性,且輕鏈可變區與選自由SEQ ID NO:9及SEQ ID NO:7組成之群的序列的可變區具有至少90%、93%、95%、96%、97%、98%、99%或100%胺基酸序列一致性。在特定實施例中,經分離抗體、抗體片段或抗原結合分子包含有包含選自SEQ ID NO:6、SEQ ID NO:8、SEQ ID NO:10、SEQ ID NO:12、SEQ ID NO:14、SEQ ID NO:99及SEQ ID NO:105中之任一者的序列的重鏈可變域;且輕鏈可變域包含SEQ ID NO:7或SEQ ID NO:9。在一些實施例中,經分離抗體、抗體片段或抗原結合分子包含SEQ ID NO:6之重鏈可變域及SEQ ID NO:7之輕鏈可變域。在一些實施例中,經分離抗體或抗體片段包含有包含SEQ ID NO:8之重鏈可變域及包含SEQ ID NO:9之輕鏈可變域。在其他實施例中,經分離抗體或抗體片段包含有包含SEQ ID NO:10之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域。在其他實施例中,經分離抗體或抗體片段包含有包含SEQ ID NO:12之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域。在其他實施例中,經分離抗體或抗體片段包含有包含SEQ ID NO:14之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域。 In other embodiments of the antibody, antibody fragment or antigen binding molecule, the heavy chain variable region is selected from the group consisting of SEQ ID NO: 6, SEQ ID NO: 8, SEQ ID NO: 12, SEQ ID NO: 14, SEQ ID NO The variable region of the sequence of: 99 and SEQ ID NO: 105 has at least 90%, 93%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence Consistent, and the variable region of the light chain variable region and the sequence selected from the group consisting of SEQ ID NO: 9 and SEQ ID NO: 7 have at least 90%, 93%, 95%, 96%, 97%, 98 %, 99% or 100% amino acid sequence identity. In a particular embodiment, the isolated antibody, antibody fragment or antigen binding molecule comprises a molecule selected from the group consisting of SEQ ID NO: 6, SEQ ID NO: 8, SEQ ID NO: 10, SEQ ID NO: 12, SEQ ID NO: 14. a heavy chain variable domain of the sequence of any one of SEQ ID NO: 99 and SEQ ID NO: 105; and the light chain variable domain comprises SEQ ID NO: 7 or SEQ ID NO: 9. In some embodiments, the isolated antibody, antibody fragment or antigen binding molecule comprises the heavy chain variable domain of SEQ ID NO: 6 and the light chain variable domain of SEQ ID NO: 7. In some embodiments, the isolated antibody or antibody fragment comprises a heavy chain variable domain comprising SEQ ID NO: 8 and a light chain variable domain comprising SEQ ID NO: 9. In other embodiments, the isolated antibody or antibody fragment comprises a heavy chain variable domain comprising SEQ ID NO: 10 and a light chain variable domain comprising SEQ ID NO: 7. In other embodiments, the isolated antibody or antibody fragment comprises a heavy chain variable domain comprising SEQ ID NO: 12 and a light chain variable domain comprising SEQ ID NO: 7. In other embodiments, the isolated antibody or antibody fragment comprises a heavy chain variable domain comprising SEQ ID NO: 14 and a light chain variable domain comprising SEQ ID NO: 7.

關於抗體、抗體片段或抗原結合分子之其他實施例,在一些實施例中,重鏈可變區與SEQ ID NO:99之可變區具有至少90%、93%、95%、96%、97%、98%、99%或100%胺基酸序列一致性,且輕鏈可變區與SEQ ID NO:7之可變區具有至少90%、93%、95%、96%、97%、98%、99%或100%胺基酸序列一致性。在一些實施例中,經分離抗體或抗體片段包含有包含SEQ ID NO:99之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域。 With respect to other embodiments of antibodies, antibody fragments or antigen binding molecules, in some embodiments, the heavy chain variable region has at least 90%, 93%, 95%, 96%, 97 of the variable region of SEQ ID NO:99 %, 98%, 99% or 100% amino acid sequence identity, and the light chain variable region and the variable region of SEQ ID NO: 7 have at least 90%, 93%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity. In some embodiments, the isolated antibody or antibody fragment comprises a heavy chain variable domain comprising SEQ ID NO: 99 and a light chain variable domain comprising SEQ ID NO: 7.

關於抗體、抗體片段或抗原結合分子之其他實施例,在一些實施例中,重鏈可變區與SEQ ID NO:105之可變區具有至少90%、93%、95%、96%、97%、98%、99%或100%胺基酸序列一致性,且輕 鏈可變區與SEQ ID NO:7之可變區具有至少90%、93%、95%、96%、97%、98%、99%或100%胺基酸序列一致性。在一些實施例中,經分離抗體或抗體片段包含有包含SEQ ID NO:105之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域。 With respect to other embodiments of antibodies, antibody fragments or antigen binding molecules, in some embodiments, the heavy chain variable region has at least 90%, 93%, 95%, 96%, 97 of the variable region of SEQ ID NO:105 %, 98%, 99% or 100% amino acid sequence consistent and light The chain variable region has at least 90%, 93%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity to the variable region of SEQ ID NO: 7. In some embodiments, the isolated antibody or antibody fragment comprises a heavy chain variable domain comprising SEQ ID NO: 105 and a light chain variable domain comprising SEQ ID NO: 7.

在一些實施例中,將結合於GITR之抗體、抗體片段或抗原結合分子人類化。在某些實施例中,抗體或抗體片段包含人類恆定區。 In some embodiments, an antibody, antibody fragment or antigen binding molecule that binds to GITR is humanized. In certain embodiments, the antibody or antibody fragment comprises a human constant region.

在一些實施例中,抗體片段為Fab'片段。在一些實施例中,抗體片段為單鏈抗體(scFv)。在一些實施例中,抗體片段為單域抗體或奈米抗體。 In some embodiments, the antibody fragment is a Fab' fragment. In some embodiments, the antibody fragment is a single chain antibody (scFv). In some embodiments, the antibody fragment is a single domain antibody or a nanobody antibody.

在一些實施例中,抗體或抗體片段與第二抗體或抗體片段交聯。在一些實施例中,將抗體糖基化。 In some embodiments, the antibody or antibody fragment is cross-linked to a second antibody or antibody fragment. In some embodiments, the antibody is glycosylated.

在一些實施例中,抗體、抗體片段或抗原結合分子為IgG。在某些實施例中,抗體、抗體片段或抗原結合分子包含IgG同型抗體Fc區。在特定實施例中,抗體、抗體片段或抗原結合分子包含IgG1或IgG2同型抗體Fc區。在某些實施例中,抗體、抗體片段或抗原結合分子為IgG1或IgG2抗體。在一些實施例中,抗體、抗體片段或抗原結合分子含有至少一種突變,其調節(亦即增加或減少)抗體或抗體片段與Fc受體之結合。在一些實施例中,抗體、抗體片段或抗原結合分子含有至少一種突變,其調節(亦即增加或減少)活化Fc受體之抗體、抗體片段或抗原結合分子。在特定實施例中,抗體、抗體片段或抗原結合分子含有至少一種突變,其增加抗體或抗體片段與Fc受體之結合。在某些實施例中,抗體、抗體片段或抗原結合分子含有至少一種突變,其增加活化Fc受體之抗體、抗體片段或抗原結合分子。 In some embodiments, the antibody, antibody fragment or antigen binding molecule is an IgG. In certain embodiments, the antibody, antibody fragment or antigen binding molecule comprises an IgG isotype antibody Fc region. In a particular embodiment, the antibody, antibody fragment or antigen binding molecule comprises an Fc region of an IgGl or IgG2 isotype antibody. In certain embodiments, the antibody, antibody fragment or antigen binding molecule is an IgGl or IgG2 antibody. In some embodiments, the antibody, antibody fragment or antigen binding molecule contains at least one mutation that modulates (ie, increases or decreases) the binding of the antibody or antibody fragment to the Fc receptor. In some embodiments, the antibody, antibody fragment or antigen binding molecule contains at least one mutation that modulates (ie, increases or decreases) an antibody, antibody fragment or antigen binding molecule that activates the Fc receptor. In a particular embodiment, the antibody, antibody fragment or antigen binding molecule contains at least one mutation that increases the binding of the antibody or antibody fragment to the Fc receptor. In certain embodiments, the antibody, antibody fragment or antigen binding molecule contains at least one mutation that increases an antibody, antibody fragment or antigen binding molecule that activates the Fc receptor.

在一些實施例中,抗體、抗體片段或抗原結合分子與人類及非人類靈長類動物GITR交叉反應。在一些實施例中,抗體、抗體片段或抗原結合分子不與嚙齒動物GITR(例如大鼠GITR或小鼠GITR)交叉 反應。 In some embodiments, the antibody, antibody fragment or antigen binding molecule cross-reacts with human and non-human primate GITR. In some embodiments, the antibody, antibody fragment or antigen binding molecule does not cross the rodent GITR (eg, rat GITR or mouse GITR) reaction.

在一相關態樣中,本發明進一步提供編碼如本文所述之本發明之抗體、抗體片段或抗原結合分子的聚核苷酸。在一些實施例中,編碼輕鏈可變區之聚核苷酸與選自SEQ ID NO:52、SEQ ID NO:54及SEQ ID NO:102之核酸序列具有至少90%、93%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼重鏈可變區之聚核苷酸與選自SEQ ID NO:51、SEQ ID NO:53、SEQ ID NO:55、SEQ ID NO:56、SEQ ID NO:57、SEQ ID NO:101、SEQ ID NO:107及SEQ ID NO:115之核酸序列具有至少90%、93%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈可變區之聚核苷酸具有選自SEQ ID NO:52、SEQ ID NO:54及SEQ ID NO:102之核酸序列。在一些實施例中,編碼重鏈可變區之聚核苷酸具有選自SEQ ID NO:51、SEQ ID NO:53、SEQ ID NO:55、SEQ ID NO:56、SEQ ID NO:57、SEQ ID NO:101、SEQ ID NO:107及SEQ ID NO:115之核酸序列。 In a related aspect, the invention further provides a polynucleotide encoding an antibody, antibody fragment or antigen binding molecule of the invention as described herein. In some embodiments, the polynucleotide encoding the light chain variable region has at least 90%, 93%, 95% of the nucleic acid sequence selected from the group consisting of SEQ ID NO: 52, SEQ ID NO: 54 and SEQ ID NO: 102 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the heavy chain variable region is selected from the group consisting of SEQ ID NO:51, SEQ ID NO:53, SEQ ID NO:55, SEQ ID NO:56, SEQ ID NO:57, The nucleic acid sequences of SEQ ID NO: 101, SEQ ID NO: 107, and SEQ ID NO: 115 have at least 90%, 93%, 95%, 96%, 97%, 98%, 99%, or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain variable region has a nucleic acid sequence selected from the group consisting of SEQ ID NO:52, SEQ ID NO:54, and SEQ ID NO:102. In some embodiments, the polynucleotide encoding the heavy chain variable region is selected from the group consisting of SEQ ID NO: 51, SEQ ID NO: 53, SEQ ID NO: 55, SEQ ID NO: 56, and SEQ ID NO: 57 Nucleic acid sequences of SEQ ID NO:101, SEQ ID NO:107 and SEQ ID NO:115.

在一相關態樣中,本發明進一步提供包含如本文所述之本發明之抗體、抗體片段或抗原結合分子及醫藥學上可接受之載劑的組合物。在一些實施例中,本發明提供包含本發明之抗體、抗體片段或抗原結合分子的醫藥組合物,其用於投與個體。 In a related aspect, the invention further provides a composition comprising an antibody, antibody fragment or antigen binding molecule of the invention as described herein and a pharmaceutically acceptable carrier. In some embodiments, the invention provides a pharmaceutical composition comprising an antibody, antibody fragment or antigen binding molecule of the invention for administration to an individual.

在一些實施例中,組合物進一步包含標靶抗原,例如癌症相關抗原或腫瘤相關抗原。在一些實施例中,標靶抗原為病毒抗原、細菌抗原、真菌抗原或寄生蟲抗原。 In some embodiments, the composition further comprises a target antigen, such as a cancer associated antigen or a tumor associated antigen. In some embodiments, the target antigen is a viral antigen, a bacterial antigen, a fungal antigen, or a parasite antigen.

在一些實施例中,組合物進一步包含CTLA4之拮抗劑。在一些實施例中,組合物進一步包含PD-1/PD-L1(例如B7-H1或其類似物,PD-1抗體)相互作用之抑制劑。 In some embodiments, the composition further comprises an antagonist of CTLA4. In some embodiments, the composition further comprises an inhibitor of PD-1/PD-L1 (eg, B7-H1 or an analog thereof, PD-1 antibody) interaction.

在另一態樣中,本發明進一步提供包含如本文所述之本發明之 抗體或抗體片段的套組。 In another aspect, the invention further provides the invention comprising the invention as described herein A set of antibodies or antibody fragments.

在一些實施例中,套組進一步包含用於與抗體共同投與之第二藥劑。在一些實施例中,第二藥劑為標靶抗原,例如癌症相關抗原或腫瘤相關抗原。在一些實施例中,標靶抗原為病毒抗原、細菌抗原、真菌抗原或寄生蟲抗原。 In some embodiments, the kit further comprises a second agent for co-administering with the antibody. In some embodiments, the second agent is a target antigen, such as a cancer associated antigen or a tumor associated antigen. In some embodiments, the target antigen is a viral antigen, a bacterial antigen, a fungal antigen, or a parasite antigen.

在一些實施例中,第二藥劑為CTLA4之拮抗劑。在一些實施例中,第二藥劑為PD-1/PD-L1(例如B7-H1)相互作用之抑制劑。 In some embodiments, the second agent is an antagonist of CTLA4. In some embodiments, the second agent is an inhibitor of PD-1/PD-L1 (eg, B7-H1) interaction.

視情況,抗體或抗體片段及第二藥劑以混合物之形式提供。視情況,抗體或抗體片段及第二藥劑以各別調配物形式提供。 The antibody or antibody fragment and the second agent are provided as a mixture, as appropriate. The antibody or antibody fragment and the second agent are provided as separate formulations, as appropriate.

在另一態樣中,本發明提供為有需要之個體提高T細胞反應的方法,其包含投與個體治療有效量之如本文所述之本發明之抗促效劑抗體或抗體片段。在另一態樣中,本發明提供一種本發明之抗GITR促效劑抗體或抗體片段,其用於提高個體之T細胞反應。在另一態樣中,本發明提供一種包含本發明之抗體或抗體片段的組合物,其用於提高個體之T細胞反應。 In another aspect, the invention provides a method of increasing a T cell response in an individual in need thereof, comprising administering to the individual a therapeutically effective amount of an anti-agonist antibody or antibody fragment of the invention as described herein. In another aspect, the invention provides an anti-GITR agonist antibody or antibody fragment of the invention for use in increasing a T cell response in an individual. In another aspect, the invention provides a composition comprising an antibody or antibody fragment of the invention for use in increasing a T cell response in an individual.

在另一態樣中,本發明提供為有需要之個體治療表現腫瘤相關抗原之癌症的腫瘤生長的方法,其包含投與個體治療有效量之如本文所述之本發明之抗GITR促效劑抗體、抗體片段或抗原結合分子。本發明進一步提供一種本發明之抗GITR促效劑抗體或抗體片段,其用於治療個體之癌症的腫瘤生長。本發明進一步提供一種包含本發明之抗體或抗體片段的組合物,其用於降低、抑制或預防個體的表現腫瘤相關抗原之癌症的腫瘤生長。 In another aspect, the invention provides a method of treating tumor growth of a cancer exhibiting a tumor-associated antigen in a subject in need thereof, comprising administering to the individual a therapeutically effective amount of an anti-GITR agonist of the invention as described herein. An antibody, antibody fragment or antigen binding molecule. The invention further provides an anti-GITR agonist antibody or antibody fragment of the invention for use in treating tumor growth in a cancer of an individual. The invention further provides a composition comprising an antibody or antibody fragment of the invention for use in reducing, inhibiting or preventing tumor growth in a cancer of a subject exhibiting a tumor associated antigen.

關於方法及醫學用途之實施例,在一些實施例中,將抗GITR促效劑抗體、抗體片段或抗原結合分子與抗原共同投與。在一些實施例中,抗原為癌症相關抗原或腫瘤相關抗原。在一些實施例中,將抗GITR促效劑抗體或抗體片段與來自患者之癌細胞(亦即自體癌細胞)共 同投與。 For embodiments of methods and medical uses, in some embodiments, an anti-GITR agonist antibody, antibody fragment or antigen binding molecule is co-administered with an antigen. In some embodiments, the antigen is a cancer associated antigen or a tumor associated antigen. In some embodiments, an anti-GITR agonist antibody or antibody fragment is co-administered with a cancer cell from a patient (ie, an autologous cancer cell) With the same investment.

在一些實施例中,將抗GITR促效劑抗體、抗體片段或抗原結合分子與CTLA4之拮抗劑共同投與。在一些實施例中,將抗GITR促效劑抗體或抗體片段與PD-1/PD-L1(例如B7-H1)相互作用之抑制劑共同投與。 In some embodiments, an anti-GITR agonist antibody, antibody fragment or antigen binding molecule is co-administered with an antagonist of CTLA4. In some embodiments, an anti-GITR agonist antibody or antibody fragment is co-administered with an inhibitor of PD-1/PD-L1 (eg, B7-H1) interaction.

在一些實施例中,將抗GITR促效劑抗體、抗體片段或抗原結合分子與化學治療劑或細胞毒素共同投與。 In some embodiments, an anti-GITR agonist antibody, antibody fragment or antigen binding molecule is co-administered with a chemotherapeutic agent or a cytotoxin.

在一些實施例中,T細胞反應為CD8+細胞毒性T淋巴細胞性(CTL)T細胞反應。在一些實施例中,T細胞反應為CD4+輔助T細胞(Th)反應。 In some embodiments, the T cell response is a CD8+ cytotoxic T lymphocyte (CTL) T cell response. In some embodiments, the T cell response is a CD4+ helper T cell (Th) response.

在一些實施例中,患者患有表現腫瘤相關抗原之癌症。在一些實施例中,癌症選自由以下組成之群:黑色素瘤、卵巢癌、結腸直腸癌、前列腺癌、非小細胞肺癌(NSCLC)及乳癌。在一個實施例中,癌症類型選自由以下組成之群:胰臟癌、黑色素瘤、乳癌、肺癌、支氣管癌、結腸直腸癌、前列腺癌、胃癌、卵巢癌、膀胱癌、腦癌或中樞神經系統癌症、周邊神經系統癌症、食道癌、子宮頸癌、子宮或子宮內膜癌、口腔癌或咽癌、頭頸鱗狀細胞癌(HNSCC)、肝癌、腎癌、睪丸癌、膽道癌、小腸或附件癌、唾液腺癌、甲狀腺癌、腎上腺癌、骨肉瘤、軟骨肉瘤及血液組織癌。 In some embodiments, the patient has a cancer that exhibits a tumor associated antigen. In some embodiments, the cancer is selected from the group consisting of melanoma, ovarian cancer, colorectal cancer, prostate cancer, non-small cell lung cancer (NSCLC), and breast cancer. In one embodiment, the cancer type is selected from the group consisting of pancreatic cancer, melanoma, breast cancer, lung cancer, bronchial cancer, colorectal cancer, prostate cancer, gastric cancer, ovarian cancer, bladder cancer, brain cancer, or central nervous system. Cancer, peripheral nervous system cancer, esophageal cancer, cervical cancer, uterus or endometrial cancer, oral or pharyngeal cancer, head and neck squamous cell carcinoma (HNSCC), liver cancer, kidney cancer, testicular cancer, biliary tract cancer, small intestine or Attachment cancer, salivary gland cancer, thyroid cancer, adrenal cancer, osteosarcoma, chondrosarcoma and blood tissue cancer.

在一些實施例中,患者患有傳染病,例如病毒感染、細菌感染、真菌抗原或寄生蟲抗原。在一些實施例中,將抗GITR促效劑抗體與病毒抗原(例如來自HCV、HSV或HIV)共同投與。在一些實施例中,將抗GITR促效劑抗體與細菌抗原共同投與。在一些實施例中,將抗GITR促效劑抗體與真菌抗原共同投與。在一些實施例中,將抗GITR促效劑抗體與寄生蟲抗原(例如絲蟲病)共同投與。 In some embodiments, the patient has an infectious disease, such as a viral infection, a bacterial infection, a fungal antigen, or a parasitic antigen. In some embodiments, an anti-GITR agonist antibody is co-administered with a viral antigen (eg, from HCV, HSV, or HIV). In some embodiments, an anti-GITR agonist antibody is co-administered with a bacterial antigen. In some embodiments, an anti-GITR agonist antibody is co-administered with a fungal antigen. In some embodiments, an anti-GITR agonist antibody is co-administered with a parasitic antigen (eg, filariasis).

在其他實施例中,提供用於療法之經分離抗體、抗體片段或抗 原結合分子。在某些實施例中,提供抗體、抗體片段或抗原結合分子以用於為有需要之個體提高T細胞反應。在某些實施例中,提供抗體、抗體片段或抗原結合分子以用於為有需要之個體治療腫瘤生長。 In other embodiments, an isolated antibody, antibody fragment or antibody for use in therapy is provided The original binding molecule. In certain embodiments, antibodies, antibody fragments or antigen binding molecules are provided for use in increasing T cell responses in an individual in need thereof. In certain embodiments, antibodies, antibody fragments or antigen binding molecules are provided for use in treating tumor growth for an individual in need thereof.

定義definition

「抗體」係指免疫球蛋白家族之多肽,其能夠非共價、可逆且特異性結合相應抗原。例示性抗體結構單元包含四聚體。各四聚體由兩條一致多肽鏈對構成,各對具有經由二硫鍵連接之一條「輕」鏈(約25kD)及一條「重」鏈(約50-70kD)。識別之免疫球蛋白基因包括κ、λ、α、γ、δ、ε及μ恆定區基因以及多種免疫球蛋白可變區基因。將輕鏈歸類為κ或λ。重鏈歸類為γ、μ、α、δ或ε,其又分別定義免疫球蛋白類別IgG、IgM、IgA、IgD及IgE。本發明之抗體可具有任何同型/類別(例如IgG、IgM、IgA、IgD及IgE)或任何子類(例如IgG1、IgG2、IgG3、IgG4、IgA1及IgA2)。各鏈之N端界定具有約100至110個或110個以上胺基酸主要負責抗原識別的可變區。術語可變輕鏈(VL)及可變重鏈(VH)分別指輕鏈及重鏈之此等區。除V區以外,重鏈與輕鏈含有恆定(C)區或域。免疫球蛋白C區之分泌形式由三個C域CH1、CH2、CH3、視情況存在之CH4(Cμ)及鉸鏈區組成。免疫球蛋白C區之膜結合形式亦具有膜及胞內域。各輕鏈在N端處具有VL,繼而在其另一端具有恆定域(C)。VL與VH比對,且CL與重鏈之第一恆定域比對。VH及VL對一起形成單一抗原結合位點。如本文所用之「習知抗體」IgG免疫球蛋白係指呈天然存在之構型的抗體。通常,習知抗體IgG具有四條鏈,兩條一致重鏈及兩條一致輕鏈,其經由二硫鍵連接在一起。如本文所用,「抗體」亦涵蓋具有特定結合特異性(亦即對GITR)之抗體變異體及習知抗體結構。因此,對GITR具有特定結合特異性之全長抗體、嵌合抗體及人類化抗體屬於此概念之範疇。 "Antibody" refers to a polypeptide of the immunoglobulin family that is capable of non-covalent, reversible, and specific binding to a corresponding antigen. Exemplary antibody structural units comprise a tetramer. Each tetramer is composed of two identical polypeptide chain pairs, each pair having a "light" chain (about 25 kD) and a "heavy" chain (about 50-70 kD) linked via a disulfide bond. The recognized immunoglobulin genes include the kappa, lambda, alpha, gamma, delta, epsilon and mu constant region genes as well as various immunoglobulin variable region genes. The light chain is classified as κ or λ. Heavy chains are classified as gamma, mu, alpha, delta, or epsilon, which in turn define the immunoglobulin classes IgG, IgM, IgA, IgD, and IgE, respectively. The antibodies of the invention may have any isotype/category (e.g., IgG, IgM, IgA, IgD, and IgE) or any subclass (e.g., IgGl, IgG2, IgG3, IgG4, IgA1, and IgA2). The N-terminus of each strand defines a variable region having about 100 to 110 or more amino acids primarily responsible for antigen recognition. The terms variable light chain (V L) and variable heavy chain (V H) refer to these regions of light and heavy chains. In addition to the V region, the heavy and light chains contain a constant (C) region or domain. The secretory form of the immunoglobulin C region consists of three C domains CH1, CH2, CH3, optionally present CH4 (Cμ) and a hinge region. The membrane-bound form of the immunoglobulin C region also has a membrane and an intracellular domain. Each light chain has a VL at the N-terminus and a constant domain (C) at its other end. VL is aligned with VH and CL is aligned with the first constant domain of the heavy chain. The VH and VL pairs together form a single antigen binding site. As used herein, "a conventional antibody" IgG immunoglobulin refers to an antibody that is in a naturally occurring configuration. Typically, conventional antibody IgGs have four chains, two identical heavy chains, and two identical light chains joined together via disulfide bonds. As used herein, "antibody" also encompasses antibody variants having a specific binding specificity (i.e., to GITR) and conventional antibody structures. Therefore, full-length antibodies, chimeric antibodies, and humanized antibodies having specific binding specificities for GITR fall within the scope of this concept.

抗體以完整免疫球蛋白形式或以藉由用各種肽酶消化而產生之 多個明確表徵的片段形式存在。因此,舉例而言,胃蛋白酶在鉸鏈區中之二硫鍵下方消化抗體以產生F(ab)'2,即Fab之二聚體,其自身為藉由雙硫鍵接合於VH-CH1之輕鏈。F(ab)'2可在溫和條件下還原以破壞鉸鏈區中之二硫鍵,從而將(Fab')2二聚物轉化成Fab'單體。Fab'單體基本上為具有鉸鏈區之一部分的Fab。Paul,Fundamental Immunology,第3版(1993)。儘管各種抗體片段關於消化完整抗體定義,但熟習此項技術者應瞭解此類片段可以化學方法或藉由使用重組DNA方法重新合成。如本文所用,「抗體片段」係指藉由修改全抗體產生或使用重組DNA方法重新合成的對GITR保留結合特異性及促效劑活性的抗體之一或多個部分。抗體片段之實例包括具有相同結合特異性之Fv片段、單鏈抗體(ScFv)、Fab、Fab'、Fd(Vh及CH1域)、dAb(Vh及經分離CDR);及此等片段之多聚型式(例如F(ab')2)。抗體片段亦可併入單域抗體、最大抗體、微型抗體、雙功能抗體、三功能抗體、四功能抗體、vNAR、雙scFv及如抗體之化合物的其他變異體中以實現本發明中所提供之結合特異性及活性。 The antibodies are present as intact immunoglobulins or as a plurality of well characterized fragments produced by digestion with various peptidases. Thus, for example, below the disulfide linkages in the hinge region pepsin digestion of the antibody to produce F (ab) '2, i.e., a dimer of Fab which itself is joined by disulfide bonds to V H -C H 1 light chain. F(ab)' 2 can be reduced under mild conditions to destroy the disulfide bonds in the hinge region, thereby converting the (Fab') 2 dimer to a Fab' monomer. The Fab' monomer is essentially a Fab having a portion of the hinge region. Paul, Fundamental Immunology , 3rd edition (1993). While various antibody fragments are defined in terms of digesting intact antibodies, those skilled in the art will recognize that such fragments can be resynthesized chemically or by using recombinant DNA methods. As used herein, "antibody fragment" refers to one or more portions of an antibody that retains binding specificity and agonist activity to GITR by modification of whole antibody production or resynthesis using recombinant DNA methods. Examples of antibody fragments include Fv fragments having the same binding specificity, single chain antibodies (ScFv), Fab, Fab', Fd (Vh and CH1 domains), dAbs (Vh and isolated CDRs); and multimerization of such fragments Type (for example F(ab') 2 ). Antibody fragments can also be incorporated into single domain antibodies, maximal antibodies, minibodies, bifunctional antibodies, trifunctional antibodies, tetrafunctional antibodies, vNARs, double scFvs, and other variants of compounds such as antibodies to achieve the present invention. Binding specificity and activity.

本發明之上下文中所用之「Fab」域包含重鏈可變域、恆定區CH1域、輕鏈可變域及輕鏈恆定區CL域。域之相互作用藉由CH1與CL域之間的二硫鍵穩定。在一些實施例中,Fab之重鏈域自N端至C端以次序VH-CH,且Fab之輕鏈域自N端至C端以次序VL-CL。在一些實施例中,Fab之重鏈域自N端至C端以次序CH-VH,且Fab之輕鏈域以次序CL-VL。儘管Fab曾藉由木瓜蛋白酶消化完整免疫球蛋白鑑別,但在本發明的上下文中,「Fab」通常藉由任何方法以重組方式產生。各Fab片段關於抗原結合為單價的,亦即其具有單一抗原結合位點。 The "Fab" domain used in the context of the present invention comprises a heavy chain variable domain, a constant region CH1 domain, a light chain variable domain, and a light chain constant region CL domain. The domain interaction is stabilized by a disulfide bond between the CH1 and CL domains. In some embodiments, the heavy chain domain of the Fab is in the order VH-CH from the N-terminus to the C-terminus, and the light-chain domain of the Fab is in the order VL-CL from the N-terminus to the C-terminus. In some embodiments, the heavy chain domain of the Fab is in the order CH-VH from the N-terminus to the C-terminus, and the light-chain domain of the Fab is in the order CL-VL. Although Fab has been identified by papain digestion of intact immunoglobulins, in the context of the present invention, "Fab" is typically produced recombinantly by any method. Each Fab fragment is monovalent with respect to antigen binding, i.e., it has a single antigen binding site.

免疫球蛋白重鏈之包含CH2及CH3域之C端部分為「Fc」域。如本文所用之「Fc區」係指抗體之恆定區,不包括第一恆定區免疫球蛋白域。Fc係指IgA、IgD及IgG之最後兩個恆定區免疫球蛋白域,及IgE 及IgM之最後三個恆定區免疫球蛋白域,及此等域N端之可撓性鉸鏈。對於IgA及IgM,Fc可包括J鏈。對於IgG,Fc包含免疫球蛋白域Cγ2及Cγ3及Cγ1與Cγ之間的鉸鏈。在此項技術中,應瞭解Fc區之邊界可變化,然而,人類IgG重鏈Fc區通常指定包含殘基C226或P230至其羧基端,其使用根據Kabat等人(1991,NIH Publication 91-3242,National Technical Information Service,Springfield,Va.)中之EU指數的編號。「Fc區」可指分離形式之此區或在抗體或抗體片段之情形下的此區。「Fc區」包括Fc區(例如CH2及CH3區中)之天然存在之對偶基因變異體以及調節效應功能之修飾。Fc區亦包括不引起生物功能改變之變異體。舉例而言,免疫球蛋白Fc區之N端或C端可缺失一或多個胺基酸而生物功能不會實質性損失。舉例而言,在某些實施例中,C端離胺酸可藉由置換或移除而經修飾。在特定實施例中,改變或移除Fc區中之一或多個C端殘基。在某些實施例中,Fc中之一或多個C端殘基(例如末端離胺酸)缺失。在某些其他實施例中,Fc中之一或多個C端殘基經替代性胺基酸取代(例如末端離胺酸經置換)。此類變異體可根據此項技術中已知之一般規則選擇以對活性具有最小影響(參見例如Bowie等人,Science 247:306-1310,1990)。Fc域為Ig之由細胞受體(諸如FcR)識別之部分,且與補體活化蛋白C1q結合。CH2外顯子之5'部分中所編碼的下部鉸鏈區在抗體內提供柔韌性以結合於FcR受體。 The C-terminal portion of the immunoglobulin heavy chain comprising the CH2 and CH3 domains is the "Fc" domain. As used herein, "Fc region" refers to the constant region of an antibody, excluding the first constant region immunoglobulin domain. Fc refers to the last two constant region immunoglobulin domains of IgA, IgD, and IgG, and IgE And the last three constant region immunoglobulin domains of IgM, and the flexible hinges at the N-terminus of these domains. For IgA and IgM, Fc can include a J chain. For IgG, Fc comprises the hinge between the immunoglobulin domains Cγ2 and Cγ3 and Cγ1 and Cγ. In the art, it will be appreciated that the boundaries of the Fc region may vary, however, the human IgG heavy chain Fc region is typically designated to contain residues C226 or P230 to its carboxy terminus, as used by Kabat et al. (1991, NIH Publication 91-3242). , the number of the EU index in National Technical Information Service, Springfield, Va.). "Fc region" may refer to this region in isolated form or in the case of antibodies or antibody fragments. The "Fc region" includes naturally occurring dual gene variants of the Fc region (eg, in the CH2 and CH3 regions) and modifications that modulate effector functions. The Fc region also includes variants that do not cause changes in biological function. For example, one or more amino acids can be deleted at the N-terminus or C-terminus of the immunoglobulin Fc region without substantial loss of biological function. For example, in certain embodiments, the C-terminal amide acid can be modified by displacement or removal. In a particular embodiment, one or more C-terminal residues in the Fc region are altered or removed. In certain embodiments, one or more C-terminal residues (eg, terminally deaminated with an acid) are deleted in the Fc. In certain other embodiments, one or more C-terminal residues in the Fc are substituted with an alternative amino acid (eg, the terminal is trans-amino acid substituted). Such variants can be selected to have minimal effect on activity according to the general rules known in the art (see, for example, Bowie et al, Science 247:306-1310, 1990). The Fc domain is a portion of Ig that is recognized by a cellular receptor (such as FcR) and binds to the complement activating protein C1q. The lower hinge region encoded in the 5' portion of the CH2 exon provides flexibility within the antibody to bind to the FcR receptor.

「互補決定域」或「互補決定區」(「CDR」)可互換地指VL及VH之高變區。CDR為具有針對此類標靶蛋白特異性的抗體鏈的標靶蛋白結合位點。各人類VL或VH中存在三個CDR(CDR1-3,自N端依序編號),佔可變域之約15-20%。CDR在結構上與標靶蛋白之抗原決定基互補,因此直接促成結合特異性。VL或VH之剩餘延伸區段(所謂構架區)的胺基酸序列展現較少變化(Kuby,Immunology,第4版,第4章,W.H.Freeman及Co.,New York,2000)。 "Complementarity determining region" or "complementarity determining regions" ( "CDR") interchangeably refer to high V L and V H of the hypervariable region. A CDR is a target protein binding site with an antibody chain specific for such a target protein. There are three CDR (CDR1-3, numbered sequentially from the N-terminus), accounting for about 15-20% of each variable domain of a human V L or V H in. The CDRs are structurally complementary to the epitope of the target protein and thus contribute directly to the binding specificity. The amino acid sequence of the remaining stretched segment of V L or V H (the so-called framework region) exhibits less variation (Kuby, Immunology, 4th edition, Chapter 4, WH Freeman and Co., New York, 2000).

CDR及構架區之位置可使用此項技術中之各種熟知定義確定,例如Kabat、Chothia、國際免疫遺傳學資料庫(international ImMunoGeneTics database,IMGT)(在全球資訊網之imgt.cines.fr/上)及AbM(參見例如Johnson等人,Nucleic Acids Res.,29:205-206(2001);Chothia及Lesk,J.Mol.Biol.,196:901-917(1987);Chothia等人,Nature,342:877-883(1989);Chothia等人,J.Mol.Biol.,227:799-817(1992);Al-Lazikani等人,J.Mol.Biol.,273:927-748(1997))。抗原結合位點之定義亦描述於以下文獻中:Ruiz等人,Nucleic Acids Res.,28:219-221(2000);及Lefranc,M.P.,Nucleic Acids Res.,29:207-209(2001);MacCallum等人,J.Mol.Biol.,262:732-745(1996);及Martin等人,Proc.Natl.Acad.Sci.USA,86:9268-9272(1989);Martin等人,Methods Enzymol.,203:121-153(1991);及Rees等人,In Sternberg M.J.E.(編),Protein Structure Prediction,Oxford University Press,Oxford,141-172(1996)。 The location of the CDRs and framework regions can be determined using various well-known definitions in the art, such as Kabat, Chothia, International ImMunoGeneTics database (IMGT) (on imgt.cines.fr/ on the World Wide Web) And AbM (see, eg, Johnson et al, Nucleic Acids Res., 29: 205-206 (2001); Chothia and Lesk, J. Mol. Biol., 196: 901-917 (1987); Chothia et al, Nature, 342 : 877-883 (1989); Chothia et al, J. Mol. Biol., 227: 799-817 (1992); Al-Lazikani et al, J. Mol. Biol., 273: 927-748 (1997)) . The definition of antigen binding sites is also described in: Ruiz et al, Nucleic Acids Res., 28: 219-221 (2000); and Lefranc, MP, Nucleic Acids Res., 29: 207-209 (2001); MacCallum et al, J. Mol. Biol., 262: 732-745 (1996); and Martin et al, Proc. Natl. Acad. Sci. USA, 86: 9268-9272 (1989); Martin et al, Methods Enzymol 203: 121-153 (1991); and Rees et al, In Sternberg MJE (ed.), Protein Structure Prediction, Oxford University Press, Oxford, 141-172 (1996).

根據Kabat,VH中之CDR胺基酸殘基之編號為31-35(HCDR1)、50-65(HCDR2)及95-102(HCDR3);且VL中之CDR胺基酸殘基之編號為24-34(LCDR1)、50-56(LCDR2)及89-97(LCDR3)。根據Chothia,VH中之CDR胺基酸之編號為26-32(HCDR1)、52-56(HCDR2)及95-102(HCDR3);且VL中之胺基酸殘基之編號為26-32(LCDR1)、50-52(LCDR2)及91-96(LCDR3)。藉由組合Kabat及Chothia之CDR定義,CDR由人類VH中之胺基酸殘基26-35(HCDR1)、50-65(HCDR2)及95-102(HCDR3)及人類VL中之胺基酸殘基24-34(LCDR1)、50-56(LCDR2)及89-97(LCDR3)組成。 According to Kabat, the CDR amino acid residues in VH are numbered 31-35 (HCDR1), 50-65 (HCDR2) and 95-102 (HCDR3); and the number of CDR amino acid residues in VL It is 24-34 (LCDR1), 50-56 (LCDR2) and 89-97 (LCDR3). According to Chothia, the CDR amino acids in V H are numbered 26-32 (HCDR1), 52-56 (HCDR2) and 95-102 (HCDR3); and the amino acid residue in VL is numbered 26- 32 (LCDR1), 50-52 (LCDR2) and 91-96 (LCDR3). By combining the CDR definitions of Kabat and Chothia, the CDRs are composed of amino acid residues 26-35 (HCDR1), 50-65 (HCDR2) and 95-102 (HCDR3) in human VH and amino acid residues in human VL. The base consists of 24-34 (LCDR1), 50-56 (LCDR2) and 89-97 (LCDR3).

術語「結合特異性決定子」或「BSD」可互換地指互補決定區內決定抗體之結合特異性所要的最小鄰接或非鄰接胺基酸序列。最小結合特異性決定子可在一或多個CDR序列內。在一些實施例中,最小結 合特異性決定子存在於抗體之重鏈及輕鏈的部分或全長CDR3序列內(亦即僅藉其決定)。 The term "binding specificity determinant" or "BSD" interchangeably refers to the smallest contiguous or non-contiguous amino acid sequence required to determine the binding specificity of an antibody within a complementarity determining region. The minimal binding specificity determinant can be within one or more CDR sequences. In some embodiments, the minimum knot The specificity determinant is present in the heavy or light chain portion of the antibody or in the full length CDR3 sequence (ie, only by its decision).

如本文所用之「抗體輕鏈」或「抗體重鏈」係指分別包含VL或VH之多肽。內源VL由基因區段V(可變區)及J(接合區)編碼,且內源VH由V、D(多樣區)及J編碼。VL或VH各包括CDR以及構架區。在本申請案中,抗體輕鏈及/或抗體重鏈有時可統稱為「抗體鏈」。如熟習此項技術者容易地認識到,此等術語涵蓋含有不破壞VL或VH之基本結構的突變的抗體鏈。 As used herein, the "antibody light chain" or "heavy chain antibody" refers to a polypeptide comprising the V H or V L, respectively. The endogenous V L is encoded by gene segments V (variable regions) and J (joining regions), and the endogenous V H is encoded by V, D (diverse regions) and J. V L or V H each include a CDR and a framework region. In the present application, antibody light chains and/or antibody heavy chains may sometimes be referred to collectively as "antibody chains." As those skilled in the art will readily recognize, such term encompasses the mutation does not destroy the basic structure comprising a V H or V L chain of antibody.

如本文所用,術語「價數」係指多肽中潛在標靶結合位點之數目。各標靶結合位點特異性結合一個標靶分子或標靶分子上之特定位點。當多肽包含超過一個標靶結合位點時,各標靶結合位點可特異性結合相同或不同分子(例如可結合於不同分子,例如不同抗原,或相同分子上之不同抗原決定基)。習知抗體例如具有兩個結合位點且為二價。抗體、抗原結合分子及其片段可為單價(亦即結合一個標靶分子)、二價或多價(亦即結合超過一個標靶分子)。 As used herein, the term "valency" refers to the number of potential target binding sites in a polypeptide. Each target binding site specifically binds to a target molecule or a specific site on the target molecule. Where the polypeptide comprises more than one target binding site, each of the target binding sites can specifically bind to the same or different molecules (eg, can bind to different molecules, eg, different antigens, or different epitopes on the same molecule). Conventional antibodies have, for example, two binding sites and are bivalent. The antibody, antigen binding molecule and fragments thereof can be monovalent (ie, bound to a target molecule), bivalent or multivalent (ie, bound to more than one target molecule).

為製備單株或多株抗體,可使用此項技術中已知之任何技術(參見例如Kohler及Milstein,Nature 256:495-497(1975);Kozbor等人,Immunology Today 4:72(1983);Cole等人,Monoclonal Antibodies and Cancer Therapy,第77-96頁.Alan R.Liss,Inc.1985)。製備單鏈抗體之技術(美國專利第4,946,778號)可適合於將抗體製備成本發明多肽。此外,可使用轉殖基因小鼠或其他生物體(諸如其他哺乳動物)表現靈長類化或人類化抗體。替代地,可使用噬菌體呈現技術鑑別特異性結合於所選抗原之抗體及雜聚Fab片段(參見例如McCafferty等人,上述;Marks等人,Biotechnology,10:779-783,(1992))。 For the preparation of single or multiple antibodies, any technique known in the art can be used (see, for example, Kohler and Milstein, Nature 256:495-497 (1975); Kozbor et al, Immunology Today 4:72 (1983); Cole Et al., Monoclonal Antibodies and Cancer Therapy, pp. 77-96. Alan R. Liss, Inc. 1985). Techniques for making single-chain antibodies (U.S. Patent No. 4,946,778) may be suitable for the preparation of antibodies to the polypeptides of the invention. In addition, transgenic mice or other organisms, such as other mammals, can be used to express primatized or humanized antibodies. Alternatively, phage display technology can be used to identify antibodies and heteromeric Fab fragments that specifically bind to a selected antigen (see, eg, McCafferty et al, supra; Marks et al, Biotechnology , 10:779-783, (1992)).

靈長類化或人類化非人類抗體之方法為此項技術中熟知。一般而言,靈長類化或人類化抗體具有一或多個自非靈長類動物或非人類 之來源引入其中之胺基酸殘基。此等非靈長類動物或非人類胺基酸殘基通常稱為引入殘基,其通常獲自引入可變域。人類化可基本上遵循Winter及合作者之方法(參見例如Jones等人,Nature 321:522-525(1986);Riechmann等人,Nature 332:323-327(1988);Verhoeyen等人,Science 239:1534-1536(1988)及Presta,Curr.Op.Struct.Biol.2:593-596(1992))藉由用嚙齒動物CDR或CDR序列替代人類抗體序列相應序列進行。因此,此類人類化抗體為嵌合抗體(美國專利第4,816,567號),其中實質上少於完整人類可變域已經來自非人類物種之相應序列取代。實務上,靈長類化或人類化抗體通常為靈長類動物或人類抗體,其中一些互補決定區(「CDR」)殘基及可能的一些構架(「FR」)殘基經起始物種(例如嚙齒動物抗體)中之類似位點之殘基取代以賦予結合特異性。 Methods for primatizing or humanizing non-human antibodies are well known in the art. Generally, primatized or humanized antibodies have one or more amino acid residues introduced therein from a source other than a non-primate or non-human. Such non-primate or non-human amino acid residues are often referred to as introduced residues, which are typically obtained from the introduction of variable domains. Humanization can basically follow the methods of Winter and collaborators (see, for example, Jones et al, Nature 321:522-525 (1986); Riechmann et al, Nature 332:323-327 (1988); Verhoeyen et al, Science 239: 1534-1536 (1988) and Presta, Curr. Op . Struct . Biol . 2:593-596 (1992)) were performed by replacing the corresponding sequences of human antibody sequences with rodent CDR or CDR sequences. Thus, such humanized antibodies are chimeric antibodies (U.S. Patent No. 4,816,567) in which substantially less than the entire human variable domain has been substituted from the corresponding sequence of a non-human species. In practice, primatized or humanized antibodies are typically primate or human antibodies in which some of the complementarity determining region ("CDR") residues and possibly some framework ("FR") residues are passed through the starting species ( Residues of similar sites in, for example, rodent antibodies) are substituted to confer binding specificity.

術語「嵌合抗體」為一種抗體分子,其中(a)恆定區或其一部分經改變、置換或交換以使得抗原結合位點(可變區)連接於類別、效應功能及/或物種不同或改變或完全不同之分子的恆定區,從而賦予嵌合抗體新特性,例如酶、毒素、激素、生長因子及藥物;或(b)可變區或其一部分經具有不同或改變之抗原特異性的可變區改變、置換或交換。 The term "chimeric antibody" is an antibody molecule in which (a) a constant region or a portion thereof is altered, substituted or exchanged such that the antigen binding site (variable region) is linked to a class, effector function, and/or species are different or altered. Or a constant region of a completely different molecule, thereby conferring new properties to the chimeric antibody, such as enzymes, toxins, hormones, growth factors and drugs; or (b) the variable region or a portion thereof may have different or altered antigen specificity Variant changes, permutations, or exchanges.

本發明之抗體或抗原結合分子進一步包括一或多個免疫球蛋白鏈,其化學結合於其他蛋白質或與其他蛋白質一起表現為融合蛋白。其亦包括雙特異性抗體。雙特異性或雙功能抗體為具有兩個不同重鏈/輕鏈對及兩個不同結合位點之人工雜交抗體。本發明之其他抗原結合片段或抗體部分包括二價scFv(雙功能抗體)、雙特異性scFv抗體(其中抗體分子識別兩個不同抗原決定基)、單一結合域(dAb)及微型抗體。 The antibody or antigen binding molecule of the invention further comprises one or more immunoglobulin chains which chemically bind to other proteins or which together with other proteins behave as fusion proteins. It also includes bispecific antibodies. A bispecific or bifunctional antibody is an artificial hybrid antibody having two different heavy/light chain pairs and two different binding sites. Other antigen-binding fragments or antibody portions of the invention include bivalent scFv (bifunctional antibodies), bispecific scFv antibodies (where antibody molecules recognize two different epitopes), single binding domains (dAbs), and minibodies.

本文所述之各種抗體或抗原結合片段可藉由酶學或化學修飾完 整抗體產生或使用重組DNA方法重新合成(例如單鏈Fv)或使用噬菌體呈現庫鑑別(參見例如McCafferty等人,Nature 348:552-554,1990)。舉例而言,微型抗體可使用此項技術中所述之方法產生,例如Vaughan及Sollazzo,Comb Chem High Throughput Screen.4:417-30 2001。雙特異性抗體可藉由包括融合融合瘤或連接Fab'片段之多種方法產生。參見例如Songsivilai及Lachmann,Clin.Exp.Immunol.79:315-321(1990);Kostelny等人,J.Immunol.148,1547-1553(1992)。單鏈抗體可使用噬菌體呈現庫或核糖體呈現庫、基因改組庫鑑別。此類庫可自合成、半合成或天然及免疫活性來源建構。 The various antibodies or antigen-binding fragments described herein can be modified by enzymatic or chemical means. Whole antibody production is either re-synthesized using recombinant DNA methods (e.g., single-chain Fv) or using phage display library identification (see, e.g., McCafferty et al, Nature 348:552-554, 1990). For example, minibodies can be produced using methods described in the art, such as Vaughan and Sollazzo, Comb Chem High Throughput Screen. 4: 417-30 2001. Bispecific antibodies can be produced by a variety of methods including fusion of fusion tumors or ligation of Fab' fragments. See, for example, Songsivilai and Lachmann, Clin. Exp. Immunol. 79:315-321 (1990); Kostelny et al, J. Immunol. 148, 1547-1553 (1992). Single-chain antibodies can be identified using phage display libraries or ribosomal rendering libraries, and gene shuffling libraries. Such libraries can be constructed from synthetic, semi-synthetic or natural and immunologically active sources.

術語「抗原結合分子」或「非抗體配體」係指使用非免疫球蛋白蛋白質骨架之抗體模擬物,包括(但不限於)纖連蛋白、高親和性多聚體、單鏈多肽結合分子及如抗體之結合肽模擬物。 The term "antigen-binding molecule" or "non-antibody ligand" refers to an antibody mimetic using a non-immunoglobulin protein backbone, including but not limited to, fibronectin, high-affinity multimers, single-chain polypeptide-binding molecules, and A peptide mimetic such as an antibody.

術語「可變區」或「V區」可互換地指包含FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4之重鏈或輕鏈。內源可變區藉由免疫球蛋白重鏈V-D-J基因或輕鏈V-J基因編碼。V區可為天然存在、重組或合成的。 The term "variable region" or "V region" interchangeably refers to a heavy or light chain comprising FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4. The endogenous variable region is encoded by an immunoglobulin heavy chain V-D-J gene or a light chain V-J gene. The V region can be naturally occurring, recombinant or synthetic.

如本文所用,術語「可變區」或「V區」可互換地指可變區之子序列,包括FR1-CDR1-FR2-CDR2-FR3。內源V區由免疫球蛋白V基因編碼。V區可為天然存在、重組或合成的。 As used herein, the term "variable region" or "V region" refers interchangeably to a subsequence of a variable region, including FR1-CDR1-FR2-CDR2-FR3. The endogenous V region is encoded by the immunoglobulin V gene. The V region can be naturally occurring, recombinant or synthetic.

如本文所用,術語「J區」係指所編碼之可變區之子序列,其包含CDR3及FR4之C端部分。內源J區由免疫球蛋白J基因編碼。J區可為天然存在、重組或合成的。 As used herein, the term "J region" refers to a subsequence of the encoded variable region comprising the C-terminal portion of CDR3 and FR4. The endogenous J region is encoded by the immunoglobulin J gene. The J region can be naturally occurring, recombinant or synthetic.

「人類化」抗體為保留非人類抗體之反應性(例如結合特異性、活性)同時在人類中免疫原性較少的抗體。其可例如藉由保留非人類CDR區且用人類對應物置換抗體之其餘部分獲得。參見例如Morrison等人,Proc.Natl.Acad.Sci.USA,81:6851-6855(1984);Morrison及Oi, Adv.Immunol.,44:65-92(1988);Verhoeyen等人,Science,239:1534-1536(1988);Padlan,Molec.Immun.,28:489-498(1991);Padlan,Molec.Immun.,31(3):169-217(1994)。 A "humanized" antibody is an antibody that retains the reactivity (eg, binding specificity, activity) of a non-human antibody while being less immunogenic in humans. It can be obtained, for example, by retaining the non-human CDR regions and replacing the rest of the antibody with a human counterpart. See, for example, Morrison et al, Proc. Natl. Acad. Sci. USA , 81: 6851-6855 (1984); Morrison and Oi, Adv. Immunol. , 44: 65-92 (1988); Verhoeyen et al, Science , 239 : 1534-1536 (1988); Padlan, Molec. Immun. , 28: 489-498 (1991); Padlan, Molec. Immun. , 31(3): 169-217 (1994).

術語「相應人類生殖系序列」係指如下編碼人類可變區胺基酸序列或子序列的核酸序列,相較於由人類生殖系免疫球蛋白可變區序列編碼的所有其他已知可變區胺基酸序列,其與參考可變區胺基酸序列或子序列共有所測定之最高胺基酸序列一致性。相應人類生殖系序列亦可指,相較於所評估之所有其他可變區胺基酸序列,與參考可變區胺基酸序列或子序列具有最高胺基酸序列一致性的人類可變區胺基酸序列或子序列。相應人類生殖系序列可為單獨構架區、單獨互補決定區、構架及互補決定區、可變區(如上文所定義)或包含可變區之序列或子序列之其他組合。序列一致性可使用本文所述之方法測定,例如使用BLAST、ALIGN或此項技術中已知的另一比對演算法比對兩個序列。相應人類生殖系核酸或胺基酸序列可與參考可變區核酸或胺基酸序列具有至少約90%、92%、93%、94%、95%、96%、97%、98%、99%或100%序列一致性。相應人類生殖系序列可例如經由公開可獲得之國際免疫遺傳學資料庫(IMGT)(在全球資訊網之imgt.cines.fr/上)及V-base(在全球資訊網之vbase.mrc-cpe.cam.ac.uk上)測定。 The term "corresponding human germline sequence" refers to a nucleic acid sequence encoding a human variable region amino acid sequence or subsequence as compared to all other known variable regions encoded by human germline immunoglobulin variable region sequences. An amino acid sequence which is identical to the highest amino acid sequence determined by the reference variable region amino acid sequence or subsequence. The corresponding human germline sequence may also refer to a human variable region having the highest amino acid sequence identity to a reference variable region amino acid sequence or subsequence compared to all other variable region amino acid sequences evaluated. Amino acid sequence or subsequence. Corresponding human germline sequences can be individual framework regions, individual complementarity determining regions, framework and complementarity determining regions, variable regions (as defined above), or other combinations of sequences or subsequences comprising the variable regions. Sequence identity can be determined using the methods described herein, for example, using BLAST, ALIGN, or another alignment algorithm known in the art to align two sequences. The corresponding human germline nucleic acid or amino acid sequence can have at least about 90%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99 with the reference variable region nucleic acid or amino acid sequence. % or 100% sequence identity. The corresponding human germline sequence can be, for example, via the publicly available International Immunogenetics Database (IMGT) (on the World Wide Web at imgt.cines.fr/) and V-base (vbase.mrc-cpe on the World Wide Web) Determination on .cam.ac.uk).

短語「特異性結合」或「選擇性結合」當在描述抗原(例如蛋白質)與抗體、抗體片段或抗體衍生之結合劑之間的相互作用的上下文中使用時,係指一種結合反應,其決定了抗原在非均質蛋白質群及其他生物製劑(例如生物樣品,例如血液、血清、血漿或組織樣品)中的存在。因此,在某些指定的免疫分析條件下,具有特定結合特異性的抗體或結合劑對特定抗原的結合為背景的至少兩倍且不以顯著量實質上結合於存在於樣品中的其他抗原。在一個實施例中,在指定免疫分析條件下,具有特定結合特異性的抗體或結合劑對特定抗原的結合為 背景的至少十(10)倍且不以顯著量實質上結合於存在於樣品中的其他抗原。在此類條件下特異性結合於抗體或結合劑可能需要抗體或試劑已關於其對特定蛋白質(例如人類GITR)之特異性進行選擇。如本文所用,特異性結合包括選擇性結合於人類GITR之其抗體片段及結合分子,且不包括與例如鼠類GITR分子或其他TNF受體超家族成員交叉反應的抗體。在一些實施例中,選擇與非人類靈長類動物GITR(例如獼猴GITR)交叉反應之抗體或抗體片段。 The phrase "specifically binds" or "selectively binds" when used in the context of describing the interaction between an antigen (eg, a protein) and an antibody, antibody fragment, or antibody-derived binding agent, refers to a binding reaction that The presence of the antigen in a heterogeneous protein population and other biological agents, such as biological samples, such as blood, serum, plasma or tissue samples, is determined. Thus, under certain specified immunoassay conditions, an antibody or binding agent having a particular binding specificity binds to a particular antigen at least twice as background and does not substantially bind to other antigens present in the sample in significant amounts. In one embodiment, the binding of an antibody or binding agent having a particular binding specificity to a particular antigen under specified immunoassay conditions is At least ten (10) times the background and not substantially bound to other antigens present in the sample. Specific binding to an antibody or binding agent under such conditions may require the antibody or agent to be selected for its specificity for a particular protein, such as human GITR. As used herein, specific binding includes antibody fragments and binding molecules that selectively bind to human GITR, and does not include antibodies that cross-react with, for example, murine GITR molecules or other TNF receptor superfamily members. In some embodiments, an antibody or antibody fragment that cross-reacts with a non-human primate GITR (eg, macaque GITR) is selected.

多種免疫分析形式可以用於選擇與特定蛋白質特異性免疫反應的抗體。舉例而言,固相ELISA免疫分析常規地用於選擇與蛋白質發生特異性免疫反應的抗體(關於可用於測定特異性免疫反應性的免疫分析形式及條件之描述,參見例如Harlow及Lane,Using Antibodies,A Laboratory Manual(1998))。通常,特異性或選擇性結合反應產生的信號為背景信號的至少兩倍且更通常,為背景信號的至少10至100倍。 A variety of immunoassay formats can be used to select antibodies that specifically immunoreact with a particular protein. For example, solid phase ELISA immunoassays are routinely used to select antibodies that specifically immunoreact with proteins (for a description of immunoassay formats and conditions that can be used to determine specific immunoreactivity, see, eg, Harlow and Lane, Using Antibodies , A Laboratory Manual (1998)). Typically, the signal produced by a specific or selective binding reaction is at least twice the background signal and more typically at least 10 to 100 times the background signal.

術語「平衡解離常數(Ko,M」係指解離速率常數(kd,時間-1)除以締合速率常數(ka,時間-1,M-1)。可使用此項技術中任何已知方法量測平衡解離常數。本發明抗體之平衡解離常數一般小於約10-7或10-8M,例如小於約10-9M或10-10M,在一些實施例中,小於約10-11M、10-12M或10-13M。在一些實施例中,經分離抗體或抗體片段以約1nM或1nM以下之平衡解離常數(KD)結合於人類GITR。在一些實施例中,抗體或抗體片段以小於1nM之KD結合於人類GITR。在一些實施例中,抗體或抗體片段以在約0.5nM至約1.0nM範圍內之KD結合於人類GITR。 The term "equilibrium dissociation constant (Ko, M" refers to the dissociation rate constant (kd, time -1 ) divided by the association rate constant (k a , time -1 , M -1 ). Any known in this technique can be used. The method measures equilibrium dissociation constants. The equilibrium dissociation constant of the antibodies of the invention is generally less than about 10 -7 or 10 -8 M, such as less than about 10 -9 M or 10 -10 M, and in some embodiments, less than about 10 -11. M, 10 -12 M or 10 -13 M. In some embodiments, the isolated antibody or antibody fragment binds to the human GITR with an equilibrium dissociation constant (K D ) of about 1 nM or less. In some embodiments, the antibody or antibody fragment binding K D of less than 1nM human GITR. in some embodiments, an antibody or antibody fragment K D in the range of about 0.5nM to about 1.0nM of binding to human GITR.

如本文所用,術語「抗原結合區」係指本發明之GITR結合分子中負責分子與GITR之間的特異性結合的域。抗原結合區包括至少一個抗體重鏈可變區及至少一個抗體輕鏈可變區。本發明之各GITR結 合分子中存在至少一個此類抗原結合區,且各抗原結合區可彼此一致或不同。在一些實施例中,本發明之GITR結合分子的抗原結合區中之至少一者充當GITR之促效劑。 As used herein, the term "antigen binding region" refers to a domain of the GITR binding molecule of the invention that is responsible for the specific binding between a molecule and GITR. The antigen binding region comprises at least one antibody heavy chain variable region and at least one antibody light chain variable region. Each GITR junction of the present invention At least one such antigen binding region is present in the conjugate molecule, and each antigen binding region may be identical or different from each other. In some embodiments, at least one of the antigen binding regions of the GITR binding molecules of the invention acts as an agonist of GITR.

術語「抗體促效劑」或「促效劑」可互換地指能夠活化受體以誘導完整或部分受體介導之反應的抗體。舉例而言,GITR之促效劑結合於GITR且誘導GITR介導之胞內信號傳導(例如增加之NF-κB表現活化)。抗體促效劑類似於天然配體GITR-L刺激經由GITR進行之信號傳導。GITR-L與GITR之結合由於IκB降解而誘導NFκB活化。在一些實施例中,GITR抗體促效劑可藉由其結合GITR及誘導T細胞(例如CD8+ CTL或CD4+ Th細胞)增殖、存活、細胞溶解活性及/或細胞激素產生(例如IFNγ、IL-10、IL-13、TNFα)之能力鑑別或如本文另外所述鑑別。 The term "antibody agonist" or "agonist" refers interchangeably to an antibody that is capable of activating a receptor to induce a complete or partial receptor mediated response. For example, an agonist of GITR binds to GITR and induces GITR-mediated intracellular signaling (eg, increased NF-κB expression activation). Antibody agonists stimulate signaling via GITR similar to the natural ligand GITR-L. Binding of GITR-L to GITR induces NFκB activation due to degradation of IκB. In some embodiments, a GITR antibody agonist can be produced by binding to GITR and inducing T cell (eg, CD8 + CTL or CD4 + Th cells) proliferation, survival, cytolytic activity, and/or cytokine production (eg, IFNγ, IL) The ability of -10, IL-13, TNFα) is identified or identified as otherwise described herein.

術語「GITR」或「糖皮質激素誘導之腫瘤壞死因子受體」或「腫瘤壞死因子受體超家族成員18」或「TNFRSF18」可互換地指作為TNF受體超家族之成員的I型跨膜蛋白。GITR以高水準表現於CD4+ CD25+及活化效應CD4+及CD8+ T細胞上。GITR之核酸及胺基酸序列已知且以GenBank寄存編號NM_004195.2→NP_004186.1(同功異型物1前驅物;NM_148901.1→NP_683699.1(同功異型物2前驅物);及NM_148902.1→NP_683700.1(同功異型物3前驅物))公開。亦參見GenBank寄存編號NM_005092→NP_005083.2。結構上,GITR胺基酸序列為I型跨膜蛋白,其為TNF受體超家族之成員,其具有信號肽、包含三個富含半胱胺酸之域(CRD)的細胞外域(ECD)且其全長與Genbank寄存編號NP_004186.1、NP_683699.1、NP_005083.2或NP_005083.2之胺基酸序列具有至少約90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%序列一致性。結構上,GITR核酸序列之全長與Genbank寄存編號NM_004195.2、 NM_148901.1、NM_148902.1、NM_005092或SEQ ID NO:1-4之核酸序列具有至少約90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%序列一致性。功能上,嚙齒動物GITR之促效作用抑制、至少短暫抑制CD25+調節性T細胞(Treg)之活性。GITR促效作用進一步提高免疫活性,例如經活化效應CD4+及CD8+ T細胞之增殖、存活、細胞激素產生及細胞溶解活性。參見例如Nocentini等人,Eur J Immunol(2007)37:1165-1169;Expert Opin Ther Patents(2007)17(5):567-757;Shevach及Stephens,Nature Reviews Immunology(2006)6:613-618。 The term "GITR" or "glucocorticoid-induced tumor necrosis factor receptor" or "tumor necrosis factor receptor superfamily member 18" or "TNFRSF18" is used interchangeably to refer to type I transmembrane as a member of the TNF receptor superfamily. protein. GITR is expressed at high levels on CD4 + CD25 + and activated effector CD4 + and CD8 + T cells. The nucleic acid and amino acid sequence of GITR are known and registered under GenBank accession number NM_004195.2→NP_004186.1 (Isoform 1 precursor; NM_148901.1→NP_683699.1 (Isoform 2 precursor); and NM_148902 .1→NP_683700.1 (the isoform 3 precursor) is disclosed. See also GenBank registration number NM_005092→NP_005083.2. Structurally, the GITR amino acid sequence is a type I transmembrane protein that is a member of the TNF receptor superfamily and has a signal peptide, an extracellular domain (ECD) comprising three cysteine-rich domains (CRD). And the full length thereof has at least about 90%, 91%, 92%, 93%, 94%, 95%, 96% of the amino acid sequence of Genbank accession number NP_004186.1, NP_683699.1, NP_005083.2 or NP_005083.2. , 97%, 98%, 99% or 100% sequence identity. Structurally, the full length of the GITR nucleic acid sequence has at least about 90%, 91%, 92%, 93% of the nucleic acid sequence of Genbank Accession Nos. NM_004195.2, NM_148901.1, NM_148902.1, NM_005092 or SEQ ID NO: 1-4. , 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity. Functionally, the agonist effect of rodent GITR inhibits, at least transiently, the activity of CD25 + regulatory T cells (Treg). GITR agonism further enhances immune activity, such as proliferation, survival, cytokine production, and cytolytic activity of activated effector CD4 + and CD8 + T cells. See, for example, Nocentini et al, Eur J Immunol (2007) 37: 1165-1169; Expert Opin Ther Patents (2007) 17(5): 567-757; Shevach and Stephens, Nature Reviews Immunology (2006) 6: 613-618.

本發明多肽之「活性」指多肽在其天然細胞或組織中之結構、調節或生物化學功能。多肽活性之實例包括直接活性與間接活性。GITR促效作用之例示性活性包括胞內信號傳導,其得到增加之NF-κB活化,經活化效應CD4+及CD8+ T細胞之增加之增殖、存活、細胞激素產生(例如IFNγ、IL-10、IL-13、TNFα)及細胞溶解活性。在治療學上,GITR之促效作用增強活體內抗腫瘤及抗病毒T細胞反應。 "Activity" of a polypeptide of the invention refers to the structural, regulatory or biochemical function of the polypeptide in its natural cells or tissues. Examples of polypeptide activity include direct activity and indirect activity. Exemplary activities of GITR agonism include intracellular signaling, which results in increased NF-κB activation, increased proliferation, survival, and cytokine production by activated effector CD4 + and CD8 + T cells (eg, IFNγ, IL-10) , IL-13, TNFα) and cytolytic activity. In therapeutic terms, the agonistic effect of GITR enhances anti-tumor and anti-viral T cell responses in vivo.

術語「經分離」在用於核酸或蛋白質時表示核酸或蛋白質基本上不含在天然狀態下其所結合之其他細胞組分。其較佳為均質狀態。其可為乾燥或水溶液形式。純度及均質性通常使用諸如聚丙烯醯胺凝膠電泳或高效液相層析之分析化學技術來測定。實質上純化作為製劑中存在之主要物質的蛋白質。詳言之,經分離基因與側接該基因且編碼除所關注之基因外之蛋白質的開放閱讀框架分離。術語「經純化」表示核酸或蛋白質基本上在電泳凝膠中產生一個條帶。特定言之,其意謂核酸或蛋白質至少85%純、更佳至少95%純且最佳至少99%純。 The term "isolated" when used in reference to a nucleic acid or protein means that the nucleic acid or protein is substantially free of other cellular components to which it is bound in its native state. It is preferably in a homogeneous state. It can be in the form of a dry or aqueous solution. Purity and homogeneity are typically determined using analytical chemistry techniques such as polyacrylamide gel electrophoresis or high performance liquid chromatography. The protein which is the main substance present in the preparation is substantially purified. In particular, the isolated gene is isolated from an open reading frame flanked by the gene and encoding a protein other than the gene of interest. The term "purified" means that the nucleic acid or protein substantially produces a band in the electrophoresis gel. In particular, it means that the nucleic acid or protein is at least 85% pure, more preferably at least 95% pure and optimally at least 99% pure.

術語「核酸」或「聚核苷酸」指脫氧核糖核酸(DNA)或核糖核酸(RNA)及其單股或雙股形式之聚合物。除非特別限制,否則該術語涵蓋含有天然核苷酸之已知類似物的核酸,該等已知類似物具有與參考 核酸類似之結合特性且以與天然存在之核苷酸類似之方式代謝。除非另外指明,否則特定核酸序列亦隱含地涵蓋其經保守修飾之變異體(例如簡併密碼子取代)、對偶基因、直系同源物、SNP及互補序列以及明確指明之序列。特定言之,簡併密碼子取代可藉由產生如下序列來達成,其中一或多個所選(或所有)密碼子之第三位置經混合鹼基及/或去氧肌苷殘基取代。(Batzer等人,Nucleic Acid Res.19:5081(1991);Ohtsuka等人,J.Biol.Chem.260:2605-2608(1985);及Rossolini等人,Mol.Cell.Probes 8:91-98(1994))。 The term "nucleic acid" or "polynucleotide" refers to deoxyribonucleic acid (DNA) or ribonucleic acid (RNA) and polymers thereof in single or double-stranded form. Unless specifically limited, the term encompasses nucleic acids containing known analogs of natural nucleotides that have similar binding properties as the reference nucleic acid and are metabolized in a manner similar to naturally occurring nucleotides. Unless otherwise indicated, a particular nucleic acid sequence also implicitly encompasses conservatively modified variants thereof (eg, degenerate codon substitutions), dual genes, orthologs, SNPs, and complementary sequences, as well as the sequence explicitly indicated. In particular, degenerate codon substitution can be achieved by generating a sequence in which the third position of one or more selected (or all) codons is substituted with a mixed base and/or a deoxyinosine residue. (Batzer et al, Nucleic Acid Res. 19:5081 (1991); Ohtsuka et al, J. Biol. Chem. 260: 2605-2608 (1985); and Rossolini et al, Mol. Cell. Probes 8: 91-98 (1994)).

術語「多肽」、「肽」及「蛋白質」在本文中可互換用於指胺基酸殘基之聚合物。該等術語適用於胺基酸聚合物,其中一或多個胺基酸殘基為相應天然存在之胺基酸的人工化學模擬物,以及適用於天然存在之胺基酸聚合物及非天然存在之胺基酸聚合物。 The terms "polypeptide", "peptide" and "protein" are used interchangeably herein to refer to a polymer of an amino acid residue. These terms apply to amino acid polymers in which one or more amino acid residues are artificial chemical mimetics of the corresponding naturally occurring amino acid, as well as to naturally occurring amino acid polymers and non-naturally occurring Amino acid polymer.

術語「胺基酸」指天然存在及合成之胺基酸,以及以類似於天然存在之胺基酸的方式發揮功能的胺基酸類似物及胺基酸模擬物。天然存在之胺基酸為由遺傳密碼編碼之胺基酸,以及後期經修飾之胺基酸,例如羥基脯胺酸、γ-羧基麩胺酸及O-磷絲胺酸。胺基酸類似物指具有與天然存在之胺基酸相同之基本化學結構(亦即α碳結合於氫、羧基、胺基及R基)的化合物,例如高絲胺酸、正白胺酸、甲硫胺酸亞碸、甲硫胺酸甲基鋶。此類類似物具有經修飾之R基(例如正白胺酸)或經修飾之肽主鏈,但保留與天然存在之胺基酸相同之基本化學結構。胺基酸模擬物係指具有與胺基酸之一般化學結構不同之結構,但以與天然存在之胺基酸類似之方式發揮功能的化合物。 The term "amino acid" refers to naturally occurring and synthetic amino acids, as well as amino acid analogs and amino acid mimetics that function in a manner similar to naturally occurring amino acids. Naturally occurring amino acids are amino acids encoded by the genetic code, as well as late modified amino acids such as hydroxyproline, gamma-carboxy glutamic acid and O-phosphoric acid. An amino acid analog refers to a compound having the same basic chemical structure as the naturally occurring amino acid (ie, the alpha carbon is bonded to a hydrogen, a carboxyl group, an amine group, and an R group), such as homoserine, orthraenic acid, Amidoxime and methyl methionine. Such analogs have a modified R group (eg, orthanoic acid) or a modified peptide backbone, but retain the same basic chemical structure as the naturally occurring amino acid. Amino acid mimetic refers to a compound having a structure different from the general chemical structure of an amino acid, but functioning in a manner similar to a naturally occurring amino acid.

「經保守修飾之變異體」適用於胺基酸與核酸序列。關於特定核酸序列,經保守修飾之變異體係指編碼一致或基本上一致胺基酸序列之彼等核酸,或其中該核酸不依照基本上一致序列來編碼胺基酸序列。由於遺傳密碼之簡併性,多個功能上一致之核酸編碼任何既定蛋 白質。舉例而言,密碼子GCA、GCC、GCG及GCU均編碼胺基酸丙胺酸。因此,在丙胺酸由密碼子指定之每個位置上,密碼子可變成任一所述相應密碼子而不改變所編碼之多肽。此類核酸變異為「靜默變異」,其為一種經保守修飾之變異。本文中編碼多肽之每個核酸序列亦描述核酸之每種可能靜默變異。熟習此項技術者應認識到核酸中之各密碼子(除通常為甲硫胺酸之唯一密碼子之AUG及通常為色胺酸之唯一密碼子之TGG外)可經修飾以產生功能上一致之分子。因此,編碼多肽之核酸的各靜默變異隱含於各所述序列中。 "Conservatively modified variants" apply to amino acids and nucleic acid sequences. With respect to a particular nucleic acid sequence, a conservatively modified variant system refers to those nucleic acids encoding a consensus or substantially identical amino acid sequence, or wherein the nucleic acid does not encode an amino acid sequence in accordance with a substantially identical sequence. Due to the degeneracy of the genetic code, multiple functionally identical nucleic acids encode any given egg White matter. For example, the codons GCA, GCC, GCG, and GCU all encode amino acid alanine. Thus, at each position where alanine is designated by a codon, the codon can become any of the corresponding codons without altering the encoded polypeptide. Such nucleic acid variations are "silent variations", which are a conservatively modified variation. Each of the nucleic acid sequences encoding a polypeptide herein also describes every possible silent variation of the nucleic acid. Those skilled in the art will recognize that each codon in a nucleic acid (except for the AUG, which is typically the only codon for methionine and the TGG, which is typically the only codon for tryptophan), can be modified to produce functionally identical The molecule. Thus, each silent variation of a nucleic acid encoding a polypeptide is implicit in each of said sequences.

關於胺基酸序列,熟習此項技術者應認識到改變、添加或缺失編碼序列中之單個胺基酸或較小百分比之胺基酸的核酸、肽、多肽或蛋白質序列的個別取代、缺失或添加為「經保守修飾之變異體」,其中該變化使胺基酸經化學上類似之胺基酸取代。提供功能上類似之胺基酸的保守取代表在此項技術中眾所周知。此類經保守修飾之變異體另外為且不排除本發明之多晶型變異體、種間同源物及對偶基因。 With respect to amino acid sequences, those skilled in the art will recognize that individual substitutions, deletions, or deletions of nucleic acid, peptide, polypeptide or protein sequences that alter, add or delete a single amino acid or a minor percentage of amino acid in the coding sequence are recognized. It is added as a "conservatively modified variant" in which the amino acid is substituted with a chemically similar amino acid. Conservative substitutions that provide functionally similar amino acids are well known in the art. Such conservatively modified variants additionally and do not exclude polymorphic variants, interspecies homologs and dual genes of the invention.

以下八個組各含有彼此保守取代之胺基酸:1)丙胺酸(A)、甘胺酸(G);2)天冬胺酸(D)、麩胺酸(E);3)天冬醯胺N)、麩醯胺酸(Q);4)精胺酸(R)、離胺酸(K);5)異白胺酸(I)、白胺酸(L)、甲硫胺酸(M)、纈胺酸(V);6)苯丙胺酸(F)、酪胺酸(Y)、色胺酸(W);7)絲胺酸(S)、蘇胺酸(T);及8)半胱胺酸(C)、甲硫胺酸(M)(參見例如Creighton,Proteins(1984))。 The following eight groups each contain a conservatively substituted amino acid: 1) alanine (A), glycine (G); 2) aspartic acid (D), glutamic acid (E); 3) winter Indoleamine N), glutamic acid (Q); 4) arginine (R), lysine (K); 5) isoleucine (I), leucine (L), methionine (M), proline (V); 6) phenylalanine (F), tyrosine (Y), tryptophan (W); 7) serine (S), threonine (T); 8) Cysteine (C), methionine (M) (see for example Creighton, Proteins (1984)).

「序列一致性百分比」藉由在比較窗比較兩個最佳比對之序列來測定,其中比較窗中之聚核苷酸序列部分相較於用於最佳比對兩個序列的參考序列(其不包含添加或缺失)(例如本發明之多肽)可包含添加或缺失(亦即空隙)。藉由如下步驟計算百分比:測定兩個序列中存在之一致核酸鹼基或胺基酸殘基的位置數,得到匹配位置數,將匹配位置數除以比較窗中之總位置數且將結果乘以100,得到序列一致性百 分比。 "Sequence Consistency Percent" is determined by comparing the sequences of the two optimal alignments in a comparison window, wherein the portion of the polynucleotide sequence in the comparison window is compared to the reference sequence used to optimally align the two sequences ( It does not contain additions or deletions (e.g., polypeptides of the invention) may include additions or deletions (i.e., voids). Calculate the percentage by determining the number of positions of identical nucleic acid bases or amino acid residues present in the two sequences, obtaining the number of matching positions, dividing the number of matching positions by the total number of positions in the comparison window and multiplying the result At 100, get the sequence consistency The ratio.

在兩個或兩個以上核酸或多肽序列之情況下,術語「一致」或「一致性」百分比係指兩個或兩個以上序列或子序列為相同序列。如使用以下序列比較算法中之一者或藉由人工比對及目視檢查所量測,當在比較窗或指定區域上比較及比對以獲得最大一致性時,若兩個序列具有指定百分比之相同胺基酸殘基或核苷酸(亦即在指定區域上,或未指定時在整個參考序列上,至少75%、80%、85%、90%、95%、96%、97%、98%或99%序列一致性),則兩個序列為「實質上一致」。本發明提供分別與本文中例示之多肽或聚核苷酸(例如SEQ ID NO:6-10、12、14、59及61中之任一者中所例示的可變區;SEQ ID NO:16-17中之任一者中所例示的可變區段;SEQ ID NO:22-34中之任一者中所例示之CDR;SEQ ID NO:35-50中之任一者中所例示的FR;及SEQ ID NO:51-58及60中之任一者中所例示的核酸序列)實質上一致的多肽或聚核苷酸。視情況,一致性存在於長度為至少約15、25或50個核苷酸之區域上,或更佳長度為100至500或1000個或1000個以上核苷酸之區域上,或參考序列之全長上。關於胺基酸序列,一致性或實質一致性可存在於長度為至少5、10、15或20個胺基酸,視情況長度為至少約25、30、35、40、50、75或100個胺基酸、視情況長度為至少約150、200或250個胺基酸之區域上或參考序列之全長上。關於較短之胺基酸序列,例如具有20個或20個以下之胺基酸的胺基酸序列,實質一致性在一個或兩個胺基酸殘基根據本文中定義之保守取代經保守取代時存在。 In the case of two or more nucleic acid or polypeptide sequences, the term "consistent" or "consistency" means that two or more sequences or subsequences are the same sequence. If one of the following sequence comparison algorithms is used or by manual alignment and visual inspection, when comparing and aligning in a comparison window or a specified area to obtain maximum consistency, if the two sequences have a specified percentage The same amino acid residue or nucleotide (ie, at a specified region, or at least when specified, at least 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98% or 99% sequence identity), then the two sequences are "substantially consistent." The invention provides a polypeptide or polynucleotide, respectively, as exemplified herein (eg, the variable region exemplified in any one of SEQ ID NOs: 6-10, 12, 14, 59, and 61; SEQ ID NO: 16 The variable segment exemplified in any one of -17; the CDRs exemplified in any one of SEQ ID NOs: 22-34; exemplified in any one of SEQ ID NOs: 35-50 The FR; and the nucleic acid sequence exemplified in any one of SEQ ID NOS: 51-58 and 60) are substantially identical polypeptides or polynucleotides. Depending on the case, the identity is present over a region of at least about 15, 25 or 50 nucleotides in length, or more preferably in the region of 100 to 500 or 1000 or more nucleotides, or a reference sequence. Full length. With respect to amino acid sequences, uniformity or substantial identity may exist in at least 5, 10, 15 or 20 amino acids in length, optionally at least about 25, 30, 35, 40, 50, 75 or 100 in length. The amino acid, optionally in the region of at least about 150, 200 or 250 amino acids, or the entire length of the reference sequence. With respect to shorter amino acid sequences, such as amino acid sequences having 20 or fewer amino acids, substantial identity is conservatively substituted for one or two amino acid residues according to conservative substitutions as defined herein. It exists.

為進行序列比較,通常將一個序列充當與測試序列比較之參考序列。當使用序列比較算法時,將測試序列及參考序列輸入電腦內,必要時指定子序列座標,且指定序列算法程序參數。可使用預設程式參數,或可指定替代參數。基於程式參數,隨後序列比較算法計算測 試序列相對於參考序列之序列一致性百分比。 For sequence comparison, one sequence is typically used as a reference sequence for comparison to a test sequence. When using the sequence comparison algorithm, the test sequence and the reference sequence are entered into the computer, subsequence coordinates are designated as necessary, and sequence algorithm program parameters are specified. Preset program parameters can be used, or alternate parameters can be specified. Based on program parameters, subsequent sequence comparison algorithm calculation The percent sequence identity of the trial sequence relative to the reference sequence.

如本文所用之「比較窗」包括對選自由20至600、通常約50至約200、更通常約100至約150組成之群的鄰接位置之編號中的任一者之區段的參考,其中在兩個序列經最佳比對後,可將序列與鄰接位置之相同編號之參考序列比較。用於比較之序列比對方法為此項技術中熟知。可藉由如下方法進行最佳序列比對以進行比較,例如Smith及Waterman(1970)Adv.Appl.Math.2:482c之局部同源算法,Needleman及Wunsch(1970)J.Mol.Biol.48:443之同源比對算法,Pearson及Lipman(1988)Proc.Nat'l.Acad.Sci.USA 85:2444之相似性方法搜尋,此等算法之電腦化實施(Wisconsin Genetics軟體套件,Genetics Computer Group,575 Science Dr.,Madison,WI中之GAP、BESTFIT、FASTA及TFASTA),或手動比對及視覺檢查(參見例如Ausubel等人,Current Protocols in Molecular Biology(1995增刊))。 As used herein, "comparison window" includes reference to a segment of any one of the number of contiguous positions selected from the group consisting of 20 to 600, typically about 50 to about 200, and more typically about 100 to about 150, wherein After optimal alignment of the two sequences, the sequence can be compared to a reference sequence of the same number of adjacent positions. Sequence alignment methods for comparison are well known in the art. Optimal sequence alignment can be performed by comparison, for example, Smith and Waterman (1970) Adv. Appl. Math. 2: 482c local homology algorithm, Needleman and Wunsch (1970) J. Mol. Biol. 48 : 443 homologous alignment algorithm, Pearson and Lipman (1988) Proc. Nat'l . Acad. Sci. USA 85: 2444 similarity method search, computerized implementation of these algorithms (Wisconsin Genetics software suite, Genetics Computer Group, 575 Science Dr., GAP, BESTFIT, FASTA, and TFASTA in Madison, WI, or manual alignment and visual inspection (see, for example, Ausubel et al, Current Protocols in Molecular Biology (1995 Supplement)).

適用於測定序列一致性百分比及序列相似性百分比之兩個算法實例為BLAST及BLAST 2.0算法,其分別描述於Altschul等人,(1977)Nuc.Acids Res.25:3389-3402及Altschul等人,(1990)J.Mol.Biol.215:403-410中。用於進行BLAST分析之軟體可經由國家生物技術資訊中心(National Center for Biotechnology Information)公開獲得。此算法包括藉由鑑別查詢序列中之長度W之短字來首先鑑別高評分序列對(HSP),該等短字在與資料庫序列中相同長度之字比對時匹配或滿足某些正值臨限值分數T。T稱為鄰域字分數臨限值(Altschul等人,同上)。此等初始鄰域字命中者充當用於起始搜尋之種子以尋找含有其之較長HSP。字命中者沿各序列以兩個方向延伸,只要累積比對分數可增加即可。對於核苷酸序列,累積分數使用參數M(一對匹配殘基之獎勵分數;始終>0)及N(失配殘基之罰分;始終<0)計算。對於胺基酸序列,使用計分矩陣計算累積分數。當以下情況時,字命中者沿 各方向之延伸中斷:累積比對分數自其達成之最大值降低量X;累積分數由於一或多個負評分殘基比對之累積而變成0或0以下;或達到任一序列之末端。BLAST算法參數W、T及X確定比對之靈敏性及速度。BLASTN程式(對於核苷酸序列)使用以下作為預設值:字長(W)為11,期望值(E)為10,M=5,N=-4且比較兩個股。對於胺基酸序列,BLASTP程式使用以下作為預設值:字長為3且期望值(E)為10,且BLOSUM62計分矩陣(參見Henikoff及Henikoff(1989)Proc.Natl.Acad.Sci.USA 89:10915)比對(B)為50,期望值(E)為10,M=5,N=-4,且比較兩個股。 Two examples of algorithms suitable for determining percent sequence identity and percent sequence similarity are the BLAST and BLAST 2.0 algorithms, which are described in Altschul et al., (1977) Nuc. Acids Res. 25:3389-3402 and Altschul et al, respectively. (1990) J. Mol. Biol. 215: 403-410. Software for performing BLAST analysis is publicly available through the National Center for Biotechnology Information. The algorithm includes first identifying high scoring sequence pairs (HSPs) by identifying short words of length W in the query sequence that match or satisfy certain positive values when aligned with words of the same length in the database sequence. Threshold score T. T is called the neighborhood word score threshold (Altschul et al., supra). These initial neighborhood word hits act as seeds for initiating the search to find longer HSPs containing them. The word hits extend in two directions along each sequence as long as the cumulative alignment score can be increased. For nucleotide sequences, the cumulative score is calculated using the parameters M (reward score for a pair of matching residues; always > 0) and N (penalty for mismatched residues; always < 0). For the amino acid sequence, the cumulative score is calculated using a scoring matrix. The extension of the word hit in all directions is interrupted when the cumulative comparison score is reduced from the maximum value X reached by it; the cumulative score becomes 0 or less due to the accumulation of one or more negative score residues. Or reach the end of either sequence. The BLAST algorithm parameters W, T and X determine the sensitivity and speed of the alignment. The BLASTN program (for nucleotide sequences) uses the following as a preset value: the word length (W) is 11, the expected value (E) is 10, M = 5, N = -4 and the two stocks are compared. For amino acid sequences, the BLASTP program uses the following as a preset: word length 3 and expected value (E) 10, and BLOSUM62 scoring matrix (see Henikoff and Henikoff (1989) Proc. Natl. Acad. Sci. USA 89 :10915) The alignment (B) is 50, the expected value (E) is 10, M=5, N=-4, and the two stocks are compared.

BLAST算法亦對兩個序列之間的相似性進行統計學分析(參見例如Karlin及Altschul(1993)Proc.Natl.Acad.Sci.USA 90:5873-5787)。藉由BLAST算法得到之一種相似性量測結果為最小總機率(P(N)),其提供兩個核苷酸或胺基酸序列之間隨機出現匹配之機率的指示。舉例而言,若測試核酸與參考核酸比較時的最小總機率小於約0.2,更佳小於約0.01,且最佳小於約0.001,則認為核酸與參考序列相似。 The BLAST algorithm also performs a statistical analysis of the similarity between two sequences (see, for example, Karlin and Altschul (1993) Proc. Natl. Acad. Sci. USA 90:5873-5787). A similarity measure obtained by the BLAST algorithm is the minimum total probability (P(N)), which provides an indication of the probability of random matching between two nucleotide or amino acid sequences. For example, a nucleic acid is considered to be similar to a reference sequence if the minimum overall probability of the test nucleic acid when compared to the reference nucleic acid is less than about 0.2, more preferably less than about 0.01, and most preferably less than about 0.001.

如下所述,兩個核酸序列或多肽實質上一致的指示為第一核酸所編碼之多肽與針對第二核酸所編碼之多肽產生的抗體具有免疫交叉反應性。因此,多肽通常與第二多肽實質上一致,例如,其中兩個肽僅因保守取代而不同。如下所述,兩個核酸序列實質上一致之另一指示為兩個分子或其補體在嚴格條件下彼此雜交。兩個核酸序列實質上一致之另一指示為可使用相同引子擴增序列。 As described below, two nucleic acid sequences or polypeptides are substantially identical in that the polypeptide encoded by the first nucleic acid is immunologically cross-reactive with the antibody raised against the polypeptide encoded by the second nucleic acid. Thus, a polypeptide will generally be substantially identical to a second polypeptide, for example, where two peptides differ only by conservative substitutions. As indicated below, another indication that two nucleic acid sequences are substantially identical is that two molecules or their complements hybridize to each other under stringent conditions. Another indication that two nucleic acid sequences are substantially identical is that the same primer can be used to amplify the sequence.

術語「連接」在用於描述抗原結合區如何連接在本發明之GITR結合分子內的情形下時涵蓋實體上接合該等區域之所有可能方式。諸多抗原結合區由化學鍵(諸如共價鍵(例如肽鍵或二硫鍵)或非共價鍵)頻繁接合,該等化學鍵可為直接鍵(亦即兩個抗原結合區之間無連接 子)或間接鍵(亦即兩個或兩個以上抗原結合區之間藉助於至少一個連接分子)。 The term "ligation", when used to describe how an antigen binding region is ligated within a GITR binding molecule of the invention, encompasses all possible ways of physically joining the regions. Many antigen binding regions are frequently joined by chemical bonds (such as covalent bonds (such as peptide bonds or disulfide bonds) or non-covalent bonds), which can be direct bonds (ie, no connection between the two antigen binding regions) (a) or an indirect bond (ie, by means of at least one linker molecule between two or more antigen-binding regions).

術語「個體(subject/individual)」及「患者」可互換地指哺乳動物,例如人類或非人類靈長類哺乳動物。哺乳動物亦可為實驗室哺乳動物,例如小鼠、大鼠、兔、倉鼠。在一些實施例中,哺乳動物可為農用哺乳動物(例如馬、綿羊、牛、豬、駱駝)或馴養哺乳動物(例如犬、貓)。 The terms "subject/individual" and "patient" are used interchangeably to refer to a mammal, such as a human or non-human primate mammal. Mammals can also be laboratory mammals such as mice, rats, rabbits, hamsters. In some embodiments, the mammal can be an agricultural mammal (eg, a horse, a sheep, a cow, a pig, a camel) or a domesticated mammal (eg, a dog, a cat).

如本文所使用,術語「治療」任何疾病或病症在一個實施例中係指改善疾病或病症(亦即,減緩或遏制或減少疾病或其至少一個臨床症狀之發展)。在另一實施例中,「治療」係指緩解或改善至少一種身體參數,包括患者可能辨別不出之身體參數。在另一實施例中,「治療」係指在身體上(例如,穩定可辯別之症狀)、生理上(例如穩定身體參數)或其兩方面上調節疾病或病症。在另一實施例中,「治療」係指預防或延遲疾病或病症之發作或發展或進展。 As used herein, the term "treating" any disease or condition, in one embodiment, refers to ameliorating a disease or condition (ie, slowing or suppressing or reducing the progression of a disease or at least one of its clinical symptoms). In another embodiment, "treating" refers to alleviating or ameliorating at least one physical parameter, including physical parameters that the patient may not recognize. In another embodiment, "treating" refers to modulating a disease or condition on the body (eg, a stable discernible symptom), physiologically (eg, stabilizing a body parameter), or both. In another embodiment, "treating" refers to preventing or delaying the onset or progression or progression of a disease or condition.

術語「治療上可接受之量」或「治療有效劑量」可互換地指足以實現所要結果(亦即降低腫瘤尺寸、抑制腫瘤生長、預防癌轉移、抑制或預防病毒、細菌、真菌或寄生蟲感染)的量。在一些實施例中,治療上可接受之量不誘導或引起不良副作用。治療上可接受之量可藉由首先投與低劑量、隨後遞增地增加劑量直至達成所要作用來確定。「預防有效劑量」及「治療有效劑量」的本發明之GITR促效抗體可分別預防疾病症狀(包括與癌症或傳染病有關之症狀)之發作或使其嚴重性降低。 The terms "therapeutically acceptable amount" or "therapeutically effective dose" are used interchangeably to mean achieving a desired result (ie, reducing tumor size, inhibiting tumor growth, preventing cancer metastasis, inhibiting or preventing viral, bacterial, fungal or parasitic infections). The amount. In some embodiments, a therapeutically acceptable amount does not induce or cause adverse side effects. A therapeutically acceptable amount can be determined by first administering a low dose followed by incrementally increasing the dose until the desired effect is achieved. The "prophylactically effective dose" and the "therapeutically effective dose" of the GITR agonist antibody of the present invention can prevent or reduce the severity of the symptoms of the disease, including symptoms associated with cancer or infectious diseases, respectively.

術語「共同投與」係指兩種活性劑同時存在於個體之血液中。共同投與之活性劑可同時或依序傳遞。 The term "co-administered" refers to the simultaneous presence of two active agents in the blood of an individual. The co-administered active agents can be delivered simultaneously or sequentially.

如本文所用,片語「基本上由……組成」係指方法或組合物中所包括之活性藥劑的屬類或種類,以及用於方法或組合物之預定目的 的任何非活性載劑或賦形劑。在一些實施例中,片語「基本上由……組成」明確排除包括一或多種除本發明之促效抗GITR抗體以外的其他活性劑。在一些實施例中,片語「基本上由……組成」明確排除包括一或多種除本發明之促效抗GITR抗體及第二共同投與藥劑以外的其他活性劑。 As used herein, the phrase "consisting essentially of" means the genus or species of active agent included in the method or composition, and the intended purpose for the method or composition. Any inactive carrier or excipient. In some embodiments, the phrase "consisting essentially of" specifically excludes one or more active agents other than the agonistic anti-GITR antibodies of the invention. In some embodiments, the phrase "consisting essentially of" specifically excludes one or more active agents other than the agonistic anti-GITR antibodies of the invention and the second co-administered agent.

術語「癌症相關抗原」或「腫瘤相關抗原」或「腫瘤特異性標記物」或「腫瘤標記物」可互換地指相較於正常細胞偏好表現於癌細胞之表面上的分子(通常蛋白質、碳水化合物或脂質),且其適用於藥理學藥劑偏好靶向癌細胞。時常,癌症相關抗原為相較於正常細胞在癌細胞中過度表現之細胞表面分子,例如相較於正常細胞1倍過度表現、2倍過度表現、3倍或3倍以上過度表現。時常,癌症相關抗原為癌細胞中不適當合成之細胞表面分子,例如相較於正常細胞上表現之分子含有缺失、添加或突變之分子。時常,癌症相關抗原僅表現於癌細胞之細胞表面上且不合成或表現於正常細胞之表面上。例示性細胞表面腫瘤標記物包括蛋白質c-erbB-2及人類表皮生長因子受體(HER)(乳癌)、PSMA(前列腺癌)及碳水化合物黏液素(多種癌症(包括乳癌、卵巢癌及結腸直腸癌)中)。 The term "cancer-associated antigen" or "tumor-associated antigen" or "tumor-specific marker" or "tumor marker" is used interchangeably to refer to a molecule that appears on the surface of cancer cells as compared to normal cells (usually protein, carbon water). A compound or lipid), and which is suitable for use in pharmacological agents to preferentially target cancer cells. Frequently, cancer-associated antigens are cell surface molecules that are overexpressed in cancer cells compared to normal cells, such as 1x overexpression, 2x overexpression, 3x or more overexpression than normal cells. Often, cancer-associated antigens are cell surface molecules that are inappropriately synthesized in cancer cells, such as molecules that contain deletions, additions, or mutations compared to molecules expressed on normal cells. Often, cancer-associated antigens are only expressed on the cell surface of cancer cells and are not synthesized or expressed on the surface of normal cells. Exemplary cell surface tumor markers include the protein c-erbB-2 and human epidermal growth factor receptor (HER) (breast cancer), PSMA (prostate cancer), and carbohydrate mucin (multiple cancers (including breast, ovarian, and colorectal) Cancer)).

如本文所用,關於抗原結合部分(例如Fab)之術語「第一」、「第二」、「第三」及「第四」在存在超過一個各部分時用於便利地辨別。除非另外說明,否則此等術語之使用不欲賦予抗體之特定次序或取向。 As used herein, the terms "first," "second," "third," and "fourth" with respect to an antigen-binding portion (eg, Fab) are used to facilitate discrimination when more than one portion is present. The use of such terms is not intended to confer a particular order or orientation of the antibody unless otherwise stated.

除非上下文明確指示,否則術語「一(a/an)」及「該」包括複數個指示物。 Unless the context clearly indicates otherwise, the terms "a" and "the" include plural referents.

促效抗GITR抗體Agonistic anti-GITR antibody

本發明提供如下抗體、抗體片段及抗原結合分子,其結合於GITR且刺激經由GITR進行之信號傳導及/或在活體內誘導加強之免疫 反應。抗體、抗體片段及抗原結合分子可用於提高針對標靶抗原之CD4+ T輔助細胞(Th)及/或CD8+細胞溶解性T淋巴細胞(CTL)反應其亦可用於治療如下疾病病狀,其發展可藉由有效免疫反應逆轉或抑制,包括癌症及感染性疾病。 The present invention provides antibodies, antibody fragments and antigen-binding molecules which bind to GITR and stimulate signaling via GITR and/or induce enhanced immunity in vivo. reaction. Antibodies, antibody fragments and antigen-binding molecules can be used to increase CD4+ T helper cells (Th) and/or CD8+ cell-soluble T lymphocyte (CTL) responses against target antigens, and can also be used for the treatment of the following diseases, the development of which can be Reversal or inhibition by an effective immune response, including cancer and infectious diseases.

本發明之抗體、抗體片段及抗原結合分子展示欲用於人類患者中之適合特性,例如其具有免疫原性問題之低風險以用於人類(除結合特異性決定區(BSD)、尤其至少CDR3外,其由人類生殖系核酸序列編碼);對GITR具有高親和力(例如KD為至少小於1nM);不與TNFR超家族之其他成員交叉反應;與人類及非人類靈長類動物GITR交叉反應;且以低劑量促進GITR信號傳導(例如在活體外分析中以小於3nM之濃度)。整個說明書中亦展現其他活性及特徵。 The antibodies, antibody fragments and antigen-binding molecules of the invention exhibit suitable properties for use in human patients, for example, they have a low risk of immunogenicity for use in humans (except for binding specificity determining regions (BSD), especially at least CDR3 In addition, it is encoded by the human germline nucleic acid sequence; has high affinity for GITR (eg, K D is at least less than 1 nM); does not cross-react with other members of the TNFR superfamily; cross-reacts with human and non-human primate GITR And promote GITR signaling at low doses (eg, at concentrations of less than 3 nM in an in vitro assay). Other activities and characteristics are also exhibited throughout the specification.

因此,本發明提供作為GITR之促效劑的抗體、抗體片段及抗原結合分子。所提供之抗GITR抗體、抗體片段或抗原結合分子含有源自起始或參考單株抗體(例如以下表1及表2中所述之抗體)之重鏈及輕鏈的CDR3內的最小結合序列決定子(BSD)。重鏈及輕鏈可變區之其餘序列(CDR及FR)(例如V區及J區)來自相應人類生殖系及親和力成熟胺基酸序列。V區可選自人類V區庫。進一步序列改進可藉由親和力成熟或此項技術中已知之其他方法完成以使結合活性或本發明之抗體、抗體片段或抗原結合分子之活性達最佳。 Accordingly, the present invention provides antibodies, antibody fragments and antigen-binding molecules that are agonists of GITR. The anti-GITR antibody, antibody fragment or antigen-binding molecule provided contains minimal binding sequences in the CDR3 of the heavy and light chains derived from the starting or reference monoclonal antibodies (eg, the antibodies described in Tables 1 and 2 below) Determinator (BSD). The remaining sequences (CDRs and FRs) of the heavy and light chain variable regions (e.g., V and J regions) are derived from the corresponding human germline and affinity mature amino acid sequences. The V region can be selected from a human V region library. Further sequence modification can be accomplished by affinity maturation or other methods known in the art to optimize binding activity or activity of an antibody, antibody fragment or antigen binding molecule of the invention.

在另一實施例中,抗GITR抗體之重鏈及輕鏈或抗體片段含有例如選自人類V區庫之來自相應人類生殖系序列之人類V區(FR1-CDR1-FR2-CDR2-FR3),及來自起始單株抗體(例如表1及表2中所述之抗體)之CDR3-FR4序列區段。CDR3-FR4序列區段可藉由用相應人類生殖系序列置換序列區段及/或藉由親和力成熟而進一步改進。舉例而言,可用相應人類生殖系序列置換BSD周圍之FR4及/或CDR3序列,同時保留來自起始單株抗體之CDR3的BSD。 In another embodiment, the heavy and light chain or antibody fragment of an anti-GITR antibody comprises, for example, a human V region (FR1-CDR1-FR2-CDR2-FR3) from a corresponding human germline sequence selected from a human V region library, And CDR3-FR4 sequence segments from the original monoclonal antibodies (eg, the antibodies described in Tables 1 and 2). The CDR3-FR4 sequence segments can be further improved by replacing sequence segments with corresponding human germline sequences and/or by affinity maturation. For example, the FR4 and/or CDR3 sequences surrounding the BSD can be replaced with corresponding human germline sequences while retaining the BSD from the CDR3 of the original monoclonal antibody.

在一些實施例中,重鏈V區之相應人類生殖系序列為VH3 3-13/30:EVQLVESGGGLVQPGGSLRLSCAASGFTFSSYGMHWVRQAPGKGLEWVAVIRYDGSNKYYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAK(SEQ ID NO:89)。在一個實施例中,SEQ ID NO:89中之最後一個胺基酸離胺酸(「K」)經精胺酸(「R」)取代。在一些實施例中,重鏈J區之相應人類生殖系序列為JH4。在一些實施例中,重鏈J區包含人類生殖系JH4部分序列WGQGTLVTVSS(SEQ ID NO:90)。來自人類生殖系JH4之全長J區為YFDYWGQGTLVTVSS(SEQ ID NO:91)。根據免疫球蛋白可變區基因之標準命名法提及可變區基因。當前免疫球蛋白基因資訊可經由全球資訊網例如於ImMunoGeneTics(IMGT)、V-base及PubMed資料庫上獲得。亦參見Lefranc,Exp Clin Immunogenet.2001;18(2):100-16;Lefranc,Exp Clin Immunogenet.2001;18(3):161-74;Exp Clin Immunogenet.2001;18(4):242-54;及Giudicelli等人,Nucleic Acids Res.2005年1月1日;33(資料庫專刊):D256-61。 In some embodiments, the corresponding human germline sequence of the heavy chain V region is VH3 3-13/30: EVQLVESGGGLVQPGGSLRLSCAASGFTFSSYGMHWVRQAPGKGLEWVAVIRYDGSNKYYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAK (SEQ ID NO: 89). In one embodiment, the last amino acid of SEQ ID NO: 89 is substituted with arginine ("R"). In some embodiments, the corresponding human germline sequence of the heavy chain J region is JH4. In some embodiments, the heavy chain J region comprises the human germline JH4 partial sequence WGQGTLVTVSS (SEQ ID NO: 90). The full-length J region from human germline JH4 is YFDYWGQGTLVTVSS (SEQ ID NO: 91). The variable region genes are referred to according to the standard nomenclature of immunoglobulin variable region genes. Current immunoglobulin gene information is available on the World Wide Web, such as the ImMunoGeneTics (IMGT), V-base, and PubMed databases. See also Lefranc, Exp Clin Immunogenet. 2001; 18(2): 100-16; Lefranc, Exp Clin Immunogenet. 2001; 18(3): 161-74; Exp Clin Immunogenet. 2001; 18(4): 242-54 And Giudicelli et al., Nucleic Acids Res. January 1, 2005; 33 (Database Special): D256-61.

在一些實施例中,輕鏈V區之相應人類生殖系序列為VKIII L16/A27:EIVMTQSPATLSVSPGERATLSCRASQSVSSNLAWYQQKPGQAPRLLIYGASTRATGIPDRFSGSGSGTDFTLTISRLEPEDFAVYYCQQYGSSP(SEQ ID NO:92)。在一些實施例中,輕鏈J區之相應人類生殖系序列為JK2。在一些實施例中,輕鏈J區包含人類生殖系Jk2部分序列FGQGTKLEIK(SEQ ID NO:93)。來自人類生殖系Jk2之全長J區為YTFGQGTKLEIK(SEQ ID NO:94)。 In some embodiments, the corresponding human germline sequence of the light chain V region is VKIII L16/A27: EIVMTQSPATLSVSPGERATLSCRASQSVSSNLAWYQQKPGQAPRLLIYGASTRATGIPDRFSGSGSGTDFTLTISRLEPEDFAVYYCQQYGSSP (SEQ ID NO: 92). In some embodiments, the corresponding human germline sequence of the light chain J region is JK2. In some embodiments, the light chain J region comprises the human germline Jk2 partial sequence FGQGTKLEIK (SEQ ID NO: 93). The full-length J region from human germline Jk2 is YTFGQGTKLEIK (SEQ ID NO: 94).

在一些實施例中,重鏈V區與如下胺基酸序列具有至少95%、96%、97%、98%、99%或100%序列一致性:(E/Q)VQLVESGGGLVQ(P/S)GGSLRLSCAASGFSLSSYGVDWVRQAPGKGLEW(L/V)GVIWGGGGTYY(A/T)(A/S)S(L/V)M(A/G)RFTISRDNSKNTLYLQMNSLRAEDTAVYYCA(K/R)(H/N)AYGHDGGFAMDYWGQ GTLVTVSS(SEQ ID NO:16)。 In some embodiments, the heavy chain V region has at least 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to the amino acid sequence: (E/Q)VQLVESGGGLVQ(P/S) GGSLRLSCAASGFSLSSYGVDWVRQAPGKGLEW(L/V)GVIWGGGGTYY(A/T)(A/S)S(L/V)M(A/G)RFTISRDNSKNTLYLQMNSLRAEDTAVYYCA(K/R)(H/N)AYGHDGGFAMDYWGQ GTLVTVSS (SEQ ID NO: 16).

在一些實施例中,輕鏈V區與如下胺基酸序列具有至少95%、96%、97%、98%、99%或100%序列一致性:EIVMTQSPATLSVSPGERATLSCRAS(E/Q)SVSSN(L/V)AWYQQ(K/R)PGQAPRLLIYGASNRATGIP(D/A)RFSGSGSGTDFTLTISRLEPEDFAVYYCGQSYSYPFTFGQGTKLEIK(SEQ ID NO:17)。 In some embodiments, the light chain V region has at least 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to an amino acid sequence: EIVMTQSPATLSVSPGERATLSCRAS(E/Q)SVSSN(L/V AWYQQ(K/R)PGQAPRLLIYGASNRATGIP(D/A)RFSGSGSGTDFTLTISRLEPEDFAVYYCGQSYSYPFTFGQGTKLEIK (SEQ ID NO: 17).

在一些實施例中,i)重鏈CDR3包含胺基酸序列HAYGHDGGFAMDY(SEQ ID NO:29)或NAYGHDGGFAMDY(SEQ ID NO:109);且ii)輕鏈CDR3可變區包含胺基酸序列GQSYSYPFT(SEQ ID NO:34)或SYSYPF(SEQ ID NO:83)。 In some embodiments, i) the heavy chain CDR3 comprises the amino acid sequence HAYGHDGGFAMDY (SEQ ID NO: 29) or NAYGHDGGFAMDY (SEQ ID NO: 109); and ii) the light chain CDR3 variable region comprises the amino acid sequence GQSYSYPFT ( SEQ ID NO: 34) or SYSYPF (SEQ ID NO: 83).

在一些實施例中,本發明之抗體或抗體片段包含重鏈可變區,其包含有包含胺基酸序列SYGVD(SEQ ID NO:22)或GFSLSSY(SEQ ID NO:84)之CDR1;包含胺基酸序列VIWGGGGTYY(A/T)(A/S)S(L/V)M(A/G)(SEQ ID NO:28)或WGGGG(SEQ ID NO:80)之CDR2;及包含HAYGHDGGFAMDY(SEQ ID NO:29)或NAYGHDGGFAMDY(SEQ ID NO:109)之胺基酸序列的CDR3。 In some embodiments, an antibody or antibody fragment of the invention comprises a heavy chain variable region comprising CDR1 comprising the amino acid sequence SYGVD (SEQ ID NO: 22) or GFSLSSY (SEQ ID NO: 84); comprising an amine Acidic sequence VIWGGGGTYY(A/T)(A/S)S(L/V)M(A/G)(SEQ ID NO:28) or WG2 of WGGGG (SEQ ID NO:80); and HAYGHDGGFAMDY (SEQ ID NO: 29) or CDR3 of the amino acid sequence of NAYGHDGGFAMDY (SEQ ID NO: 109).

在一些實施例中,本發明之抗體或抗體片段包含輕鏈可變區,其包含有包含胺基酸序列RAS(E/Q)SVSSN(L/V)A(SEQ ID NO:32)或S(E/Q)SVSSN(SEQ ID NO:87)之CDR1;包含胺基酸序列GASNRAT(SEQ ID NO:33)或GAS(SEQ ID NO:82)之CDR2;及包含GQSYSYPFT(SEQ ID NO:34)或SYSYPF(SEQ ID NO:83)之胺基酸序列的CDR3。 In some embodiments, an antibody or antibody fragment of the invention comprises a light chain variable region comprising an amino acid sequence RAS(E/Q)SVSSN(L/V)A(SEQ ID NO:32) or S (E/Q) CDR1 of SVSSN (SEQ ID NO: 87); CDR2 comprising amino acid sequence GASNRAT (SEQ ID NO: 33) or GAS (SEQ ID NO: 82); and GQSYSYPFT (SEQ ID NO: 34) Or CDR3 of the amino acid sequence of SYSYPF (SEQ ID NO: 83).

在一些實施例中,本發明之抗體或抗體片段包含重鏈可變區,其包含有包含胺基酸序列SYGVD(SEQ ID NO:22)或GFSLSSY(SEQ ID NO:84)之CDR1;包含胺基酸序列VIWGGGGTYY(A/T)(A/S)S(L/V)M(A/G)(SEQ ID NO:28)或WGGGG (SEQ ID NO:80)之CDR2;及包含HAYGHDGGFAMDY(SEQ ID NO:29)或NAYGHDGGFAMDY(SEQ ID NO:109)之胺基酸序列的CDR3。本發明之此類抗體或抗體片段進一步包含輕鏈可變區,其包含有包含胺基酸序列RAS(E/Q)SVSSN(L/V)A(SEQ ID NO:32)或S(E/Q)SVSSN(SEQ ID NO:87)之CDR1;包含GASNRAT(SEQ ID NO:33)或GAS(SEQ ID NO:82)之CDR2;及包含GQSYSYPFT(SEQ ID NO:34)或SYSYPF(SEQ ID NO:83)之胺基酸序列的CDR3。 In some embodiments, an antibody or antibody fragment of the invention comprises a heavy chain variable region comprising CDR1 comprising the amino acid sequence SYGVD (SEQ ID NO: 22) or GFSLSSY (SEQ ID NO: 84); comprising an amine Acid sequence VIWGGGGTYY(A/T)(A/S)S(L/V)M(A/G)(SEQ ID NO:28) or WGGGG CDR2 of (SEQ ID NO: 80); and CDR3 comprising the amino acid sequence of HAYGHDGGFAMDY (SEQ ID NO: 29) or NAYGHDGGFAMDY (SEQ ID NO: 109). Such antibodies or antibody fragments of the invention further comprise a light chain variable region comprising an amino acid sequence comprising RAS(E/Q)SVSSN(L/V)A (SEQ ID NO: 32) or S (E/ Q) CDR1 of SVSSN (SEQ ID NO: 87); CDR2 comprising GASNRAT (SEQ ID NO: 33) or GAS (SEQ ID NO: 82); and comprising GQSYSYPFT (SEQ ID NO: 34) or SYSYPF (SEQ ID NO) : 83) The CDR3 of the amino acid sequence.

在一些實施例中,本發明之抗體或抗體片段包含重鏈可變區,其包含有包含胺基酸序列SYGVD(SEQ ID NO:22)或GFSLRSY(SEQ ID NO:79)之CDR1;包含胺基酸序列VIWGGGGTNYNSALMA(SEQ ID NO:62)或WGGGG(SEQ ID NO:80)之CDR2;及包含HAYGHDGGFAMDY(SEQ ID NO:29)或NAYGHDGGFAMDY(SEQ ID NO:109)之胺基酸序列的CDR3。在一些實施例中,抗體或抗體片段經人類化。 In some embodiments, an antibody or antibody fragment of the invention comprises a heavy chain variable region comprising a CDR1 comprising the amino acid sequence SYGVD (SEQ ID NO: 22) or GFSLRSY (SEQ ID NO: 79); comprising an amine CDR2 of the base acid sequence VIWGGGGTNYNSALMA (SEQ ID NO: 62) or WGGGG (SEQ ID NO: 80); and CDR3 comprising the amino acid sequence of HAYGHDGGFAMDY (SEQ ID NO: 29) or NAYGHDGGFAMDY (SEQ ID NO: 109). In some embodiments, the antibody or antibody fragment is humanized.

在一些實施例中,本發明之抗體或抗體片段包含輕鏈可變區,其包含有包含胺基酸序列KASENVDTFVS(SEQ ID NO:63)或SENVDTF(SEQ ID NO:81)之CDR1;包含胺基酸序列GASNRYT(SEQ ID NO:64)或GAS(SEQ ID NO:82)之CDR2;及包含GQSYSYPFT(SEQ ID NO:34)或SYSYPF(SEQ ID NO:83)之胺基酸序列的CDR3。在一些實施例中,抗體或抗體片段經人類化。 In some embodiments, an antibody or antibody fragment of the invention comprises a light chain variable region comprising CDR1 comprising the amino acid sequence KASENVDTFVS (SEQ ID NO: 63) or SENNDTF (SEQ ID NO: 81); comprising an amine CDR2 of the base acid sequence GASNRYT (SEQ ID NO: 64) or GAS (SEQ ID NO: 82); and CDR3 comprising the amino acid sequence of GQSYSYPFT (SEQ ID NO: 34) or SYSYPF (SEQ ID NO: 83). In some embodiments, the antibody or antibody fragment is humanized.

在一些實施例中,本發明之抗體或抗體片段包含重鏈可變區,其包含有包含胺基酸序列SYGVD(SEQ ID NO:22)或GFSLRSY(SEQ ID NO:79)之CDR1;包含胺基酸序列VIWGGGGTNYNSALMA(SEQ ID NO:62)或WGGGG(SEQ ID NO:80)之CDR2;及包含HAYGHDGGFAMDY(SEQ ID NO:29)或NAYGHDGGFAMDY(SEQ ID NO:109)之胺基酸序列的CDR3。此類抗體或抗體片段進一步包含輕鏈 可變區,其包含有包含胺基酸序列KASENVDTFVS(SEQ ID NO:63)或SENVDTF(SEQ ID NO:81)之CDR1;包含胺基酸序列GASNRYT(SEQ ID NO:64)或GAS(SEQ ID NO:82)之CDR2;及包含GQSYSYPFT(SEQ ID NO:34)或SYSYPF(SEQ ID NO:83)之胺基酸序列的CDR3。在一些實施例中,抗體或抗體片段經人類化。 In some embodiments, an antibody or antibody fragment of the invention comprises a heavy chain variable region comprising a CDR1 comprising the amino acid sequence SYGVD (SEQ ID NO: 22) or GFSLRSY (SEQ ID NO: 79); comprising an amine CDR2 of the base acid sequence VIWGGGGTNYNSALMA (SEQ ID NO: 62) or WGGGG (SEQ ID NO: 80); and CDR3 comprising the amino acid sequence of HAYGHDGGFAMDY (SEQ ID NO: 29) or NAYGHDGGFAMDY (SEQ ID NO: 109). Such antibodies or antibody fragments further comprise a light chain a variable region comprising CDR1 comprising the amino acid sequence KASENVDTFVS (SEQ ID NO: 63) or SEINRDTF (SEQ ID NO: 81); comprising an amino acid sequence GASNRYT (SEQ ID NO: 64) or GAS (SEQ ID) CDR2 of NO: 82); and CDR3 comprising the amino acid sequence of GQSYSYPFT (SEQ ID NO: 34) or SYSYPF (SEQ ID NO: 83). In some embodiments, the antibody or antibody fragment is humanized.

在一些實施例中,重鏈可變區包含有包含SEQ ID NO:37之胺基酸序列的FR1;包含SEQ ID NO:40之胺基酸序列的FR2;包含SEQ ID NO:41之胺基酸序列的FR3;及包含SEQ ID NO:42之胺基酸序列的FR4。在一些實施例中,重鏈可變區包含有包含選自SEQ ID NO:35及SEQ ID NO:36之胺基酸序列的FR1;包含選自SEQ ID NO:38及SEQ ID NO:39之胺基酸序列的FR2;包含SEQ ID NO:41之胺基酸序列的FR3;及包含SEQ ID NO:42之胺基酸序列的FR4。所鑑別之胺基酸序列可具有一或多個經取代之胺基酸(例如來自親和力成熟)或一個或兩個經保守取代之胺基酸。 In some embodiments, the heavy chain variable region comprises FR1 comprising the amino acid sequence of SEQ ID NO: 37; FR2 comprising the amino acid sequence of SEQ ID NO: 40; and the amino group comprising SEQ ID NO: 41 FR3 of the acid sequence; and FR4 comprising the amino acid sequence of SEQ ID NO:42. In some embodiments, the heavy chain variable region comprises FR1 comprising an amino acid sequence selected from the group consisting of SEQ ID NO: 35 and SEQ ID NO: 36; comprising a member selected from the group consisting of SEQ ID NO: 38 and SEQ ID NO: 39 FR2 of the amino acid sequence; FR3 comprising the amino acid sequence of SEQ ID NO: 41; and FR4 comprising the amino acid sequence of SEQ ID NO: 42. The identified amino acid sequence may have one or more substituted amino acids (e.g., from affinity maturation) or one or two conservatively substituted amino acids.

在一些實施例中,輕鏈可變區包含有包含SEQ ID NO:43之胺基酸序列的FR1;包含SEQ ID NO:46之胺基酸序列的FR2;包含SEQ ID NO:49之胺基酸序列的FR3;及包含SEQ ID NO:50之胺基酸序列的FR4。在一些實施例中,輕鏈可變區包含有包含SEQ ID NO:43之胺基酸序列的FR1;包含選自SEQ ID NO:44及SEQ ID NO:45之胺基酸序列的FR2;包含選自SEQ ID NO:47及SEQ ID NO:48之胺基酸序列的FR3;及包含SEQ ID NO:50之胺基酸序列的FR4。所鑑別之胺基酸序列可具有一或多個經取代之胺基酸(例如來自親和力成熟)或一個或兩個經保守取代之胺基酸。 In some embodiments, the light chain variable region comprises FR1 comprising the amino acid sequence of SEQ ID NO: 43; FR2 comprising the amino acid sequence of SEQ ID NO: 46; and the amino group comprising SEQ ID NO: 49 FR3 of the acid sequence; and FR4 comprising the amino acid sequence of SEQ ID NO:50. In some embodiments, the light chain variable region comprises FR1 comprising the amino acid sequence of SEQ ID NO: 43; FR2 comprising an amino acid sequence selected from the group consisting of SEQ ID NO: 44 and SEQ ID NO: 45; FR3 selected from the amino acid sequences of SEQ ID NO: 47 and SEQ ID NO: 48; and FR4 comprising the amino acid sequence of SEQ ID NO: 50. The identified amino acid sequence may have one or more substituted amino acids (e.g., from affinity maturation) or one or two conservatively substituted amino acids.

本發明之抗GITR抗體的可變區在其全長上與相應人類生殖系可變區胺基酸序列一般具有至少約85%(例如至少約85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%)之整 個可變區(例如FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4)胺基酸序列一致性。舉例而言,抗GITR抗體之重鏈可與人類生殖系可變區EVQLVESGGGLVQPGGSLRLSCAASGFTFSSYGMHWVRQAPGKGLEWVAVIRYDGSNKYYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAK-YFDYWGQGTLVTVSS(SEQ ID NO:89及91)(VH3 3-13/30+CDR3+JH4,連字符表示CDR3,其長度可為可變的)具有至少約85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性。在一個實施例中,SEQ ID NO:89中之最後一個胺基酸離胺酸(K)經精胺酸(R)取代。抗GITR抗體之輕鏈可與人類生殖系可變區EIVMTQSPATLSVSPGERATLSCRASQSVSSNLAWYQQKPGQAPRLLIYGASTRATGIPDRFSGSGSGTDFTLTISRLEPEDFAVYYC-YTFGQGTKLEIK(SEQ ID NO:98及94)(VKIII L16/A27+CDR3+JK2;連字符表示CDR3,其長度可為可變的)具有至少約85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性。在一些實施例中,僅構架區內之胺基酸經添加、缺失或取代。在一些實施例中,序列一致性比較排除CDR3。 The variable region of an anti-GITR antibody of the invention generally has at least about 85% (e.g., at least about 85%, 89%, 90%, 91%, 92%) over its entire length and corresponding human germline variable region amino acid sequence. , 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100%) A variable region (eg, FR1-CDR1-FR2-CDR2-FR3-CDR3-FR4) amino acid sequence identity. For example, the heavy chain of the anti-GITR antibody can be associated with the human germline variable region EVQLVESGGGLVQPGGSLRLSCAASGFTFSSYGMHWVRQAPGKGLEWVAVIRYDGSNKYYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCAK-YFDYWGQGTLVTVSS (SEQ ID NO: 89 and 91) (VH3 3-13/30+CDR3+JH4, the hyphen indicates CDR3, the length can be Is variable) having at least about 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence consistency. In one embodiment, the last amino acid of SEQ ID NO: 89 is substituted with arginine (R) from the amino acid (K). The light chain of the anti-GITR antibody can be associated with the human germline variable region EIVMTQSPATLSVSPGERATLSCRASQSVSSNLAWYQQKPGQAPRLLIYGASTRATGIPDRFSGSGSGTDFTLTISRLEPEDFAVYYC-YTFGQGTKLEIK (SEQ ID NO: 98 and 94) (VKIII L16/A27+CDR3+JK2; the hyphen indicates that the CDR3 can be variable in length) At least about 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity. In some embodiments, only the amino acid in the framework region is added, deleted or substituted. In some embodiments, sequence identity comparisons exclude CDR3.

表1中所列抗體之CDR可藉由此項技術中已知之熟知編號系統(包括本文所述之編號系統)確定。表2列出藉由如下方法定義之CDR:(1)使用Kabat等人,(1991),「Sequences of Proteins of Immunological Interest,」第5版,Public Health Service,National Institutes of Health,Bethesda,MD(「Kabat」編號方案),NIH公開號91-3242中所述之編號系統;及(2)Chothia,參見Al-Lazikani等人,(1997)「Standard conformations for the canonical structures of immunoglobulins,」J.Mol.Biol.273:927-948。 The CDRs of the antibodies listed in Table 1 can be determined by well-known numbering systems known in the art, including the numbering systems described herein. Table 2 lists the CDRs defined by the following methods: (1) using Kabat et al., (1991), "Sequences of Proteins of Immunological Interest," 5th Edition, Public Health Service, National Institutes of Health, Bethesda, MD ( "Kabat" numbering scheme), numbering system described in NIH Publication No. 91-3242; and (2) Chothia, see Al-Lazikani et al., (1997) "Standard conformations for the canonical structures of immunoglobulins," J. Mol .Biol. 273: 927-948.

在一些實施例中,結合於SEQ ID NO:4之本發明之抗GITR抗體或抗體片段係選自以下中之任一者:i)如下抗體、抗體片段或抗原結合分子,其中:重鏈CDR1包含SEQ ID NO:22,重鏈CDR2包含SEQ ID NO:23,重鏈CDR3包含SEQ ID NO:29,輕鏈CDR1包含SEQ ID NO:30,輕鏈CDR2包含SEQ ID NO:33,且輕鏈CDR3包含SEQ ID NO:34;ii)如下抗體、抗體片段或抗原結合分子,其中:重鏈CDR1包含SEQ ID NO:22,重鏈CDR2包含SEQ ID NO:24,重鏈CDR3包含SEQ ID NO:29,輕鏈CDR1包含SEQ ID NO:31,輕鏈CDR2包含SEQ ID NO:33,且輕鏈CDR3包含SEQ ID NO:34;iii)如下抗體、抗體片段或抗原結合分子,其中:重鏈CDR1包含SEQ ID NO:22,重鏈CDR2包含SEQ ID NO:25,重鏈CDR3包含SEQ ID NO:29,輕鏈CDR1包含SEQ ID NO:30,輕鏈CDR2包含SEQ ID NO:33,且輕鏈CDR3包含SEQ ID NO:34;iv)如下抗體、抗體片段或抗原結合分子,其中:重鏈CDR1包含SEQ ID NO:22,重鏈CDR2包含SEQ ID NO:26,重鏈CDR3包含SEQ ID NO:29,輕鏈CDR1包含SEQ ID NO:30,輕鏈CDR2包含SEQ ID NO:33,且輕鏈CDR3包含SEQ ID NO:34;v)如下抗體、抗體片段或抗原結合分子,其中:重鏈CDR1包含SEQ ID NO:22,重鏈CDR2包含SEQ ID NO:27,重鏈CDR3包含SEQ ID NO:29,輕鏈CDR1包含SEQ ID NO:30,輕鏈CDR2包含SEQ ID NO:33,且輕鏈CDR3包含SEQ ID NO:34;及vi)如下抗體、抗體片段或抗原結合分子,其中:重鏈CDR1包含SEQ ID NO:22,重鏈CDR2包含SEQ ID NO:25,重鏈CDR3包含SEQ ID NO:109,輕鏈CDR1包含SEQ ID NO:30,輕鏈CDR2包含SEQ ID NO:33,且輕鏈CDR3包含SEQ ID NO:34。在一些實施例中,抗體或抗體片段經人類化。在特定實施例中,抗體或抗體片段包含人類恆定區。在一些實施例中,抗體或抗體片段包含IgG Fc區。在某些實施例中,抗體或抗原結合片段經糖基化。在一些實施例中,抗體或抗體片段經修飾或表現於經修飾之細胞中,其中此類修飾使抗體或抗體片段之FcR效應功能增加。在某些實施例中,抗體或抗原片段在活體內誘導提高之Teff;Treg比率。在一些實施例中,抗體或抗體片段在活體內誘導加強之免疫反應。在一些實施例中,在抗體或抗體片段與第二抗體或抗體片段交聯時,其為SEQ ID NO:1、SEQ ID NO:2或SEQ ID NO:3之促效劑。 In some embodiments, the anti-GITR antibody or antibody fragment of the invention, which binds to SEQ ID NO: 4, is selected from any of the following: i) an antibody, antibody fragment or antigen binding molecule, wherein: heavy chain CDR1 Included in SEQ ID NO: 22, heavy chain CDR2 comprises SEQ ID NO: 23, heavy chain CDR3 comprises SEQ ID NO: 29, light chain CDR1 comprises SEQ ID NO: 30, light chain CDR2 comprises SEQ ID NO: 33, and light chain CDR3 contains SEQ ID NO: 34; ii) an antibody, antibody fragment or antigen-binding molecule, wherein: heavy chain CDR1 comprises SEQ ID NO: 22, heavy chain CDR2 comprises SEQ ID NO: 24, heavy chain CDR3 comprises SEQ ID NO: 29, light chain CDR1 comprises SEQ ID NO: 31, light chain CDR2 comprises SEQ ID NO: 33, and light chain CDR3 comprises SEQ ID NO: 34; iii) an antibody, antibody fragment or antigen binding molecule, wherein: heavy chain CDR1 comprises SEQ ID NO :22, the heavy chain CDR2 comprises SEQ ID NO:25, the heavy chain CDR3 comprises SEQ ID NO:29, the light chain CDR1 comprises SEQ ID NO:30, the light chain CDR2 comprises SEQ ID NO:33, and the light chain CDR3 comprises SEQ ID NO: 34; iv) an antibody, antibody fragment or antigen-binding molecule, wherein: heavy chain CDR1 comprises SEQ ID NO: 22, heavy chain CDR2 comprises SEQ ID NO: 26, and heavy chain CDR3 comprises SEQ ID NO: 29, light chain CDR1 comprises SEQ ID NO:30, light chain CDR2 comprises SEQ ID NO:33, and light chain CDR3 comprises SEQ ID NO:34; v) an antibody, antibody fragment or antigen binding molecule, wherein: heavy chain CDR1 comprises SEQ ID NO :22, the heavy chain CDR2 comprises SEQ ID NO:27, the heavy chain CDR3 comprises SEQ ID NO:29, and the light chain CDR1 comprises SEQ ID NO:30, light The chain CDR2 comprises SEQ ID NO: 33 and the light chain CDR3 comprises SEQ ID NO: 34; and vi) an antibody, antibody fragment or antigen binding molecule, wherein: the heavy chain CDR1 comprises SEQ ID NO: 22 and the heavy chain CDR2 comprises SEQ ID NO: 25, heavy chain CDR3 comprises SEQ ID NO: 109, light chain CDR1 comprises SEQ ID NO:30, light chain CDR2 comprises SEQ ID NO:33, and light chain CDR3 comprises SEQ ID NO:34. In some embodiments, the antibody or antibody fragment is humanized. In a specific embodiment, the antibody or antibody fragment comprises a human constant region. In some embodiments, the antibody or antibody fragment comprises an IgG Fc region. In certain embodiments, the antibody or antigen-binding fragment is glycosylated. In some embodiments, the antibody or antibody fragment is modified or expressed in a modified cell, wherein such modification increases the FcR effector function of the antibody or antibody fragment. In certain embodiments, the antibody or antigenic fragment induces an increased Teff; Treg ratio in vivo. In some embodiments, the antibody or antibody fragment induces an enhanced immune response in vivo. In some embodiments, when the antibody or antibody fragment is cross-linked with a second antibody or antibody fragment, it is SEQ ID NO: 1, SEQ ID NO: 2 or an agonist of SEQ ID NO: 3.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:16之重鏈可變區具有至少95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈可變區,且包含與SEQ ID NO:17之輕鏈可變區具有至少95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈可變區。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 95%, 96%, 97%, 98%, 99% or 100% amino acid with the heavy chain variable region of SEQ ID NO: Sequence-equilibrium heavy chain variable region, and comprising at least 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity to the light chain variable region of SEQ ID NO:17 Light chain variable region.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:6之重鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈可變區,且包含與SEQ ID NO:7之輕鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈可變區。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94%, 95%, 96% of the heavy chain variable region of SEQ ID NO: a heavy chain variable region of 97%, 98%, 99% or 100% amino acid sequence identity, and comprising at least 90%, 91%, 92% of the light chain variable region of SEQ ID NO: Light chain variable region with 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:8之重鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈可變區,且包含與SEQ ID NO:9之輕鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈可變區。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94%, 95%, 96% of the heavy chain variable region of SEQ ID NO:8 a heavy chain variable region of 97%, 98%, 99% or 100% amino acid sequence identity, and comprising at least 90%, 91%, 92% of the light chain variable region of SEQ ID NO: Light chain variable region with 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:10之重鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈可變區,且包含與SEQ ID NO:7之輕鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈可變區。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94%, 95%, 96% of the heavy chain variable region of SEQ ID NO: a heavy chain variable region of 97%, 98%, 99% or 100% amino acid sequence identity, and comprising at least 90%, 91%, 92% of the light chain variable region of SEQ ID NO: Light chain variable region with 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:12之重鏈可變區具有至少90%、91%、92%、93%、94%、 95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈可變區,且包含與SEQ ID NO:7之輕鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈可變區。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94% of the heavy chain variable region of SEQ ID NO: a heavy chain variable region of 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity and comprising at least 90%, 91 with the light chain variable region of SEQ ID NO: 7. Light chain variable regions of %, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:14之重鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈多肽,且包含與SEQ ID NO:7之輕鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈多肽。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94%, 95%, 96% of the heavy chain variable region of SEQ ID NO: a heavy chain polypeptide of 97%, 98%, 99% or 100% amino acid sequence identity and comprising at least 90%, 91%, 92%, 93% of the light chain variable region of SEQ ID NO: 7. , 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence consistent light chain polypeptide.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:99之重鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈可變區,且包含與SEQ ID NO:7之輕鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈可變區。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94%, 95%, 96% of the heavy chain variable region of SEQ ID NO:99 a heavy chain variable region of 97%, 98%, 99% or 100% amino acid sequence identity, and comprising at least 90%, 91%, 92% of the light chain variable region of SEQ ID NO: Light chain variable region with 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:105之重鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈可變區,且包含與SEQ ID NO:7之輕鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈可變區。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94%, 95%, 96% of the heavy chain variable region of SEQ ID NO:105 a heavy chain variable region of 97%, 98%, 99% or 100% amino acid sequence identity, and comprising at least 90%, 91%, 92% of the light chain variable region of SEQ ID NO: Light chain variable region with 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與SEQ ID NO:61之重鏈可變區具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈多肽,且包含與SEQ ID NO:59之輕鏈可變區具有至少90%、91%、 92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈多肽。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises at least 90%, 91%, 92%, 93%, 94%, 95%, 96% of the heavy chain variable region of SEQ ID NO:61 a heavy chain polypeptide of 97%, 98%, 99% or 100% amino acid sequence identity and comprising at least 90%, 91% of the light chain variable region of SEQ ID NO: 59, A light chain polypeptide of 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% amino acid sequence identity.

在一些實施例中,此類抗體為人類或人類化抗體。VH、VL、全長輕鏈及全長重鏈序列(胺基酸序列及編碼胺基酸序列之核苷酸序列)可「混合且匹配」以產生其他結合GITR之本發明抗體。此類經「混合且匹配」之結合GITR之抗體可使用此項技術中已知之結合分析(例如ELISA及實例部分所述之其他分析)測試以確認活性。當鏈經混合且匹配時,自特定VH/VL配對之VH序列應用結構上類似之VH序列置換。同樣,來自特定全長重鏈/全長輕鏈配對之全長重鏈序列應經結構上類似之全長重鏈序列置換。同樣,自特定VH/VL配對之VL序列應用結構上類似之VL序列置換。同樣,自特定全長重鏈/全長輕鏈配對之全長輕鏈序列應用結構上類似之全長輕鏈序列置換。因此,在一個態樣中,本發明提供一種經分離單株抗體或抗體片段,其具有:包含選自由SEQ ID NO:6、8、10、12、14、99及105組成之群的胺基酸序列的重鏈可變區;及包含選自由SEQ ID NO:7及9組成之群的胺基酸序列的輕鏈可變區;其中該抗體特異性結合於GITR。 In some embodiments, such antibodies are human or humanized antibodies. The VH, VL, full length light chain and full length heavy chain sequences (amino acid sequences and nucleotide sequences encoding amino acid sequences) can be "mixed and matched" to produce additional antibodies of the invention that bind to GITR. Such "mixed and matched" antibodies that bind to GITR can be tested using binding assays known in the art (e.g., ELISA and other assays described in the Examples section) to confirm activity. When the strands are mixed and matched, a structurally similar VH sequence substitution is applied from a particular VH/VL paired VH sequence. Likewise, full length heavy chain sequences from a particular full length heavy chain/full length light chain pair should be replaced by structurally similar full length heavy chain sequences. Similarly, structurally similar VL sequence substitutions are applied from a particular VH/VL paired VL sequence. Likewise, structurally similar full length light chain sequence substitutions are applied from a full length heavy chain/full length light chain paired full length light chain sequence. Accordingly, in one aspect, the invention provides an isolated monoclonal antibody or antibody fragment having: an amine group comprising a population selected from the group consisting of SEQ ID NOs: 6, 8, 10, 12, 14, 99, and 105 a heavy chain variable region of an acid sequence; and a light chain variable region comprising an amino acid sequence selected from the group consisting of SEQ ID NOs: 7 and 9; wherein the antibody specifically binds to GITR.

在一些實施例中,本發明之抗GITR抗體或抗體片段包含與選自SEQ ID NO:65、SEQ ID NO:69、SEQ ID NO:73、SEQ ID NO:75、SEQ ID NO:77、SEQ ID NO:100及SEQ ID NO:106中之任一者的重鏈序列具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的重鏈多肽;且包含與SEQ ID NO:66或SEQ ID NO:70之輕鏈具有至少90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%胺基酸序列一致性的輕鏈多肽。在某些實施例中,本發明之抗GITR抗體或抗體片段包含選自SEQ ID NO:65、SEQ ID NO:69、SEQ ID NO:73、SEQ ID NO:75、SEQ ID NO:77、SEQ ID NO:100及SEQ ID NO:106中之任一者的重鏈 多肽;且包含SEQ ID NO:66或SEQ ID NO:70之輕鏈多肽。 In some embodiments, an anti-GITR antibody or antibody fragment of the invention comprises and is selected from the group consisting of SEQ ID NO: 65, SEQ ID NO: 69, SEQ ID NO: 73, SEQ ID NO: 75, SEQ ID NO: 77, SEQ The heavy chain sequence of any one of ID NO: 100 and SEQ ID NO: 106 has at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% Or a 100% amino acid sequence-equilibrium heavy chain polypeptide; and comprising at least 90%, 91%, 92%, 93%, 94%, 95% of the light chain of SEQ ID NO: 66 or SEQ ID NO: 70 , 96%, 97%, 98%, 99% or 100% amino acid sequence consistent light chain polypeptide. And X. Heavy chain of ID NO: 100 and SEQ ID NO: 106 a polypeptide; and comprising the light chain polypeptide of SEQ ID NO: 66 or SEQ ID NO: 70.

為鑑別長度小於20個胺基酸之胺基酸序列,可容許一或兩個保守胺基酸殘基取代,同時仍保留所要特定結合及/或促效活性。 To identify amino acid sequences of less than 20 amino acids in length, one or two conservative amino acid residue substitutions may be tolerated while still retaining the desired specific binding and/or agonistic activity.

本發明之抗GITR抗體及抗體片段一般以例如小於約10-8M或10-9M或小於約10-10M或10-11M,且在一些實施例中,小於約10-12M或10-13M之平衡解離常數(KD)結合GITR,包括同功異型物1、同功異型物2及同功異型物3。 The anti-GITR antibodies and antibody fragments of the invention are typically, for example, less than about 10 -8 M or 10 -9 M or less than about 10 -10 M or 10 -11 M, and in some embodiments, less than about 10 -12 M or The equilibrium dissociation constant (K D ) of 10 -13 M is combined with GITR, including isoform 1, isoform 2 and isoform 3.

結合於相同抗原決定基之抗體Antibody that binds to the same epitope

本發明提供結合於人類GITR之殘基41-65內之抗原決定基的抗體及抗體片段,其中此類抗體及抗體片段為GITR之促效劑。本發明亦提供與表1中所述之結合GITR之抗體結合於相同抗原決定基的抗體及抗體片段。因此,其他抗體及抗體片段可基於其在GITR結合分析中與本發明之其他抗體交叉競爭(例如以統計學上顯著之方式競爭性抑制其結合)的能力鑑別。測試抗體抑制本發明之抗體及抗體片段與GITR蛋白(例如人類GITR)之結合的能力展現測試抗體可與結合於GITR之抗體或抗體片段競爭;此類抗體可根據非限制性理論結合於GITR蛋白上與其所競爭之抗體或抗體片段相同或相關(例如結構上類似或空間上接近)的抗原決定基。在某一實施例中,結合於GITR上與本發明之抗體或抗體片段相同之抗原決定基的抗體為人類或人類化單株抗體。此類人類或人類化單株抗體可如本文所述製備及分離。 The present invention provides antibodies and antibody fragments that bind to epitopes within residues 41-65 of human GITR, wherein such antibodies and antibody fragments are agonists of GITR. The present invention also provides antibodies and antibody fragments which bind to the same epitope as the antibody to GITR described in Table 1. Thus, other antibodies and antibody fragments can be identified based on their ability to cross-compete with other antibodies of the invention (e.g., competitively inhibit their binding in a statistically significant manner) in a GITR binding assay. The ability of a test antibody to inhibit binding of an antibody and antibody fragment of the invention to a GITR protein (eg, human GITR) demonstrates that the test antibody can compete with an antibody or antibody fragment that binds to GITR; such antibodies can bind to the GITR protein according to non-limiting theory. An epitope that is identical or related (eg, structurally similar or spatially close) to the antibody or antibody fragment to which it competes. In one embodiment, the antibody that binds to the same epitope on the GITR as the antibody or antibody fragment of the invention is a human or humanized monoclonal antibody. Such human or humanized monoclonal antibodies can be prepared and isolated as described herein.

經工程改造及經修飾之抗體Engineered and modified antibody

此外,本發明之抗體或抗體片段可使用具有本文(例如表1)所示之CDR及/或VH及/或VL序列中之一或多者的抗體作為起始物質製備以工程改造經修飾之抗體或抗體片段,該經修飾之抗體可相較於起始抗體具有改變之特性。抗體或抗體片段可藉由修飾一或兩個可變區(亦即VH及/或VL)內(例如一或多個CDR區內及/或一或多個構架區內) 之一或多個殘基工程改造。另外或替代地,抗體或抗體片段可藉由修飾恆定區內之殘基工程改造以例如改變抗體之效應功能。 Furthermore, an antibody or antibody fragment of the invention can be prepared using an antibody having one or more of the CDRs and/or VH and/or VL sequences set forth herein (eg, Table 1) as a starting material to engineer the modified An antibody or antibody fragment that has altered properties compared to the starting antibody. An antibody or antibody fragment can be modified by one or two variable regions (ie, VH and/or VL) (eg, within one or more CDR regions and/or one or more framework regions) One or more residues are engineered. Additionally or alternatively, the antibody or antibody fragment can be engineered by modifying residues within the constant region to, for example, alter the effector function of the antibody.

可進行之可變區工程改造之一種類型為CDR移植。抗體主要經由位於六個重鏈及輕鏈互補決定區(CDR)中的胺基酸殘基與標靶抗原相互作用。出於此原因,與CDR外之序列相比,CDR內之胺基酸序列在個別抗體之間更多樣化。由於CDR序列負責大多數之抗體-抗原相互作用,故可藉由建構如下表現載體來表現模擬特定抗體之特性的重組抗體,其包括來自特定抗體之CDR序列,該CDR序列移植於來自具有不同特性之不同抗體的構架序列上(參見例如Riechmann,L.等人,1998 Nature 332:323-327;Jones,P.等人,1986 Nature 321:522-525;Queen,C.等人,1989 Proc.Natl.Acad.,U.S.A.86:10029-10033;Winter之美國專利第5,225,539號,及Queen等人之美國專利第5,530,101號;第5,585,089號;第5,693,762號及第6,180,370號)。 One type of variable zone engineering that can be performed is CDR grafting. The antibody interacts with the target antigen primarily via amino acid residues located in the six heavy and light chain complementarity determining regions (CDRs). For this reason, the amino acid sequences within the CDRs are more diverse between individual antibodies than sequences outside the CDRs. Since the CDR sequences are responsible for most of the antibody-antigen interactions, recombinant antibodies can be expressed that mimic the properties of a particular antibody by constructing a vector comprising CDR sequences from a particular antibody that has been ligated from different traits. The framework sequences of the different antibodies (see, for example, Riechmann, L. et al, 1998 Nature 332: 323-327; Jones, P. et al, 1986 Nature 321: 522-525; Queen, C. et al, 1989 Proc. Natl. Acad., USA 86: 10029-10033; U.S. Patent No. 5,225,539 to Winter, and U.S. Patent No. 5,530,101 to Queen et al.; 5,585,089; 5,693,762 and 6,180,370.

因此,本發明之另一實施例係關於一種經分離單株抗體或其抗原結合片段,其包含重鏈可變區,其分別包含具有選自由SEQ ID NO:22、79及84組成之群的胺基酸序列的CDR1序列;具有選自由SEQ ID NO:23、24、25、26、27、62及80組成之群的胺基酸序列的CDR2序列;具有選自由SEQ ID NO:29、34及109組成之群的胺基酸序列的CDR3序列;及輕鏈可變區,其分別包含具有選自由SEQ ID NO:30、31、63、81、85及86組成之群的胺基酸序列的CDR1序列;具有選自由SEQ ID NO:33、64及82組成之群的胺基酸序列的CDR2序列;及由選自由SEQ ID NO:34及83組成之群的胺基酸序列組成的CDR3序列。因此,此類抗體含有單株抗體之VH及VL CDR序列,又可含有來自此等抗體之不同構架序列。在某些實施例中,經分離抗體或抗體片段包含與此段落中之相應序列具有至少約85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%之胺基酸序列一致 性的序列。 Accordingly, another embodiment of the invention relates to an isolated monoclonal antibody or antigen-binding fragment thereof comprising a heavy chain variable region comprising a population selected from the group consisting of SEQ ID NOs: 22, 79 and 84, respectively. a CDR1 sequence of an amino acid sequence; a CDR2 sequence having an amino acid sequence selected from the group consisting of SEQ ID NOS: 23, 24, 25, 26, 27, 62 and 80; having a SEQ ID NO: 29, 34 And a CDR3 sequence of the amino acid sequence of the group consisting of 109; and a light chain variable region each comprising an amino acid sequence having a population selected from the group consisting of SEQ ID NOS: 30, 31, 63, 81, 85 and 86 a CDR1 sequence; a CDR2 sequence having an amino acid sequence selected from the group consisting of SEQ ID NOS: 33, 64 and 82; and a CDR3 consisting of an amino acid sequence selected from the group consisting of SEQ ID NOS: 34 and 83 sequence. Thus, such antibodies contain VH and VL CDR sequences of monoclonal antibodies, and may contain different framework sequences from such antibodies. In certain embodiments, the isolated antibody or antibody fragment comprises at least about 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96% of the corresponding sequence in this paragraph. , 97%, 98%, 99% or 100% amino acid sequence consistent Sexual sequence.

此類構架序列可獲自公共DNA資料庫或公開文獻,其包括生殖系抗體基因序列。舉例而言,人類重鏈及輕鏈可變區基因之生殖系DNA序列可見於「VBase」人類生殖系序列資料庫(可在網際網路之www.mrc-cpe.cam.ac.uk/vbase上獲得)以及Kabat,E.A.等人,1991 Sequences of Proteins of Immunological Interest,第五版,U.S.Department of Health and Human Services,NIH公開號91-3242;Tomlinson,I.M.等人,1992 J.fol.Biol.227:776-798;及Cox,J.P.L.等人,1994Eur.J Immunol.24:827-836。 Such framework sequences can be obtained from public DNA databases or published literature, including germline antibody gene sequences. For example, the germline DNA sequences of human heavy and light chain variable region genes can be found in the "VBase" human germline sequence database (available on the Internet at www.mrc-cpe.cam.ac.uk/vbase Obtained) and Kabat, EA et al, 1991 Sequences of Proteins of Immunological Interest, Fifth Edition, USDepartment of Health and Human Services, NIH Publication No. 91-3242; Tomlinson, IM et al, 1992 J.fol. Biol. 227:776-798; and Cox, JPL et al, 1994 Eur. J Immunol. 24: 827-836.

用於本發明抗體之構架序列的實例為結構上類似於本發明所選抗體所用之構架序列(例如本發明單株抗體所用之共同序列及/或構架序列)的構架序列。VH CDR1、2及3序列及VL CDR1、2及3序列可移植於構架區上,該等構架區具有與獲得構架序列之生殖系免疫球蛋白基因中所發現之序列一致的序列,或CDR序列可移植於與生殖系序列相比含有一或多種突變之構架區上。舉例而言,已發現,在某些情況下,構架區內之殘基突變有益於維持或提高抗體之抗原結合能力(參見例如Queen等人之美國專利第5,530,101號;第5,585,089號;第5,693,762號及第6,180,370號)。 Examples of framework sequences for use in the antibodies of the invention are framework sequences that are structurally similar to the framework sequences used in the antibodies of the invention (e.g., the common sequences and/or framework sequences used in the antibodies of the invention). The VH CDR1, 2 and 3 sequences and the VL CDR1, 2 and 3 sequences can be grafted onto framework regions having sequences consistent with sequences found in the germline immunoglobulin genes from which the framework sequences are obtained, or CDR sequences It can be transplanted into a framework region containing one or more mutations compared to the germline sequence. For example, it has been found that, in some cases, mutations in the framework regions are useful for maintaining or enhancing the antigen binding ability of the antibody (see, for example, U.S. Patent No. 5,530,101 to Queen et al; 5,585,089; 5,693,762 And No. 6,180,370).

可變區修飾之另一類型為使VH及/或VL CDR1、CDR2及/或CDR3區內的胺基酸殘基發生突變,從而改良所關注之抗體之一或多種結合特性(例如親和力),此稱為「親和力成熟」。可進行定點突變誘發或PCR介導之突變誘發以引入突變,且可在如本文所述及實例中提供的活體外或活體內分析及/或此項技術中已知之替代方案或其他分析中評估對抗體結合或其他所關注之功能特性之作用。可引入保守修飾。突變可為胺基酸取代、添加或缺失。此外,通常,在CDR區內不超過一個、兩個、三個、四個或五個殘基改變。 Another type of variable region modification is to mutate an amino acid residue within the VH and/or VL CDR1, CDR2 and/or CDR3 regions to improve one or more binding properties (eg, affinity) of the antibody of interest, This is called "affinity maturity." Site-directed mutagenesis or PCR-mediated mutagenesis can be performed to introduce mutations, and can be assessed in vitro or in vivo assays as provided herein and in the Examples and/or alternatives or other assays known in the art. The effect on antibody binding or other functional properties of interest. Conservative modifications can be introduced. The mutation can be an amino acid substitution, addition or deletion. Furthermore, typically no more than one, two, three, four or five residues are altered within the CDR regions.

本發明之經工程改造之抗體或抗體片段包括如下抗體或抗體片段,其中對VH及/或VL內之構架殘基進行修飾例如以改良抗體之特性。典型地進行此類構架修飾以降低抗體之免疫原性。舉例而言,一種方法為使一或多個構架殘基「回復突變」成相應生殖系序列。更特定言之,已進行體細胞突變之抗體可含有不同於獲得抗體之生殖系序列的構架殘基。此類殘基可藉由比較抗體構架序列與獲得抗體之生殖系序列來鑑別。為使構架區序列恢復其生殖系構型,體細胞突變可藉由例如定點突變誘發「回復突變」為生殖系序列。本發明亦意欲涵蓋此類「回復突變」抗體。 Engineered antibodies or antibody fragments of the invention include antibodies or antibody fragments in which the framework residues within VH and/or VL are modified, for example, to improve the properties of the antibody. Such framework modifications are typically performed to reduce the immunogenicity of the antibody. For example, one method is to "backmutate" one or more framework residues into the corresponding germline sequence. More specifically, an antibody that has undergone somatic mutation may contain a framework residue different from the germline sequence from which the antibody is obtained. Such residues can be identified by comparing the antibody framework sequences to the germline sequences from which the antibodies are obtained. In order to restore the framework region sequence to its germline configuration, somatic mutations can induce "backmutation" into a germline sequence by, for example, site-directed mutagenesis. The invention is also intended to encompass such "backmutation" antibodies.

構架修飾之另一類型包括使構架區內,或甚至一或多個CDR區內之一或多個殘基突變,以移除T細胞抗原決定基,從而降低抗體之潛在免疫原性。此方法亦稱為「去免疫」,且進一步詳細描述於Carr等人之美國專利公開案第20030153043號中。 Another type of framework modification involves mutating one or more residues within the framework region, or even within one or more CDR regions, to remove T cell epitopes, thereby reducing the potential immunogenicity of the antibody. This method is also referred to as "de-immunization" and is described in further detail in U.S. Patent Publication No. 20030153043 to Carr et al.

在存在時,視需要,抗GITR抗體或抗體片段之恆定區可為任何類型或次型,且可經選擇而來自藉由本發明方法治療之個體的物種(例如人類、非人類靈長類動物或其他哺乳動物,例如農用哺乳動物(例如馬、綿羊、牛、豬、駱駝)、馴養哺乳動物(例如犬、貓)或嚙齒動物(例如大鼠、小鼠、倉鼠、兔))。在一些實施例中,抗GITR抗體經工程改造以產生人類化或Humaneered®抗體。在一些實施例中,恆定區同型為IgG,例如IgG1、IgG2、IgG3、IgG4。在某些實施例中,恆定區同型為IgG1Where present, the constant region of an anti-GITR antibody or antibody fragment, if desired, can be of any type or subtype, and can be selected from a species of an individual treated by the methods of the invention (eg, human, non-human primate or Other mammals, such as agricultural mammals (e.g., horses, sheep, cattle, pigs, camels), domesticated mammals (e.g., dogs, cats) or rodents (e.g., rats, mice, hamsters, rabbits). In some embodiments, an anti-GITR antibody is engineered to produce a humanized or Humaneered® antibody. In some embodiments, the constant region is isotyped as an IgG, such as IgGl, IgG2, IgG3, IgG4. In certain embodiments, the constant region of isotype IgG 1.

除構架或CDR區內進行之修飾以外或替代該等修飾,本發明之抗體或抗體片段可經工程改造以包括Fc區內之修飾,通常以改變抗體之一或多個功能特性,諸如血清半衰期、補體固定、Fc受體結合及/或抗原依賴性細胞毒性。此外,本發明之抗體或抗體片段可經化學修飾(例如一或多個化學部分可連接於抗體)或經修飾以改變其糖基化以再 次改變抗體或抗體片段之一或多個功能特性。 In addition to or instead of modifications made in the framework or CDR regions, the antibodies or antibody fragments of the invention can be engineered to include modifications in the Fc region, typically to alter one or more of the functional properties of the antibody, such as serum half-life. , complement fixation, Fc receptor binding, and/or antigen-dependent cytotoxicity. Furthermore, an antibody or antibody fragment of the invention may be chemically modified (eg, one or more chemical moieties may be attached to the antibody) or modified to alter its glycosylation for further One or more of the functional properties of the antibody or antibody fragment are altered.

在一個實施例中,CH1之鉸鏈區經修飾以使得鉸鏈區中之半胱胺酸殘基數改變,例如增加或減少。此方法進一步描述於Bodmer等人之美國專利第5,677,425號中。改變CH1之鉸鏈區中半胱胺酸殘基之數目以例如便於組裝輕鏈及重鏈或提高或降低抗體或抗體片段之穩定性。 In one embodiment, the hinge region of CH1 is modified such that the number of cysteine residues in the hinge region is altered, such as increased or decreased. This method is further described in U.S. Patent No. 5,677,425 to Bodmer et al. The number of cysteine residues in the hinge region of CH1 is altered to, for example, facilitate assembly of the light and heavy chains or to increase or decrease the stability of the antibody or antibody fragment.

在另一實施例中,抗體之Fc鉸鏈區經突變以改變抗體之生物半衰期。更特定言之,將一或多個胺基酸突變引入Fc鉸鏈片段之CH2-CH3域界面區以使得抗體對葡萄球菌蛋白A(Staphylococcyl protein A;SpA)之結合相對於天然Fc鉸鏈域SpA結合減弱。此方法進一步詳細描述於Ward等人之美國專利第6,165,745號中。 In another embodiment, the Fc hinge region of the antibody is mutated to alter the biological half life of the antibody. More specifically, one or more amino acid mutations are introduced into the CH2-CH3 domain interface region of the Fc hinge fragment such that binding of the antibody to Staphylococcyl protein A (SpA) binds to the native Fc hinge domain SpA. Weakened. This method is described in further detail in U.S. Patent No. 6,165,745 to Ward et al.

在另一實施例中,抗體經修飾以提高其生物半衰期。可使用各種方法。舉例而言,可引入以下突變中之一或多者:如Ward之美國專利第6,277,375號中所述之T252L、T254S、T256F。或者,為延長生物半衰期,抗體可在CH1或CL區內改變以含有獲自IgG之Fc區之CH2域的兩個環的救助受體結合抗原決定基,如Presta等人之美國專利第5,869,046號及第6,121,022號中所述。 In another embodiment, the antibody is modified to increase its biological half life. Various methods can be used. For example, one or more of the following mutations can be introduced: T252L, T254S, T256F as described in U.S. Patent No. 6,277,375 to Ward. Alternatively, to extend the biological half-life, the antibody can be altered in the CH1 or CL region to contain a two-loop rescue receptor binding epitope derived from the CH2 domain of the Fc region of IgG, such as US Patent No. 5,869,046 to Presta et al. And described in 6,121,022.

在其他實施例中,Fc區藉由用不同胺基酸殘基置換至少一個胺基酸殘基來改變,以改變抗體之效應功能。舉例而言,一或多個胺基酸可經不同胺基酸殘基置換以使得該抗體具有改變之針對效應子配體的親和力,但保留親本抗體之抗原結合能力。親和力改變之效應子配體可為例如Fc受體(FcR)或補體之C1組分。此方法進一步詳細描述於Winter等人之美國專利第5,624,821號與第5,648,260號中。 In other embodiments, the Fc region is altered by replacing at least one amino acid residue with a different amino acid residue to alter the effector function of the antibody. For example, one or more amino acids can be replaced with different amino acid residues such that the antibody has altered affinity for the effector ligand, but retains the antigen binding ability of the parent antibody. An effector-modified effector ligand can be, for example, an Fc receptor (FcR) or a C1 component of complement. This method is described in further detail in U.S. Patent Nos. 5,624,821 and 5,648,260, both toW.

在另一實施例中,一或多個選自胺基酸殘基之胺基酸可經不同胺基酸殘基置換,以使得抗體具有改變之C1q結合及/或降低或消除之補體依賴性細胞毒性(CDC)。此方法進一步詳細描述於Idusogie等人 之美國專利第6,194,551號中。 In another embodiment, one or more amino acids selected from amino acid residues can be substituted with different amino acid residues such that the antibody has altered C1q binding and/or reduced or eliminated complement dependent Cytotoxicity (CDC). This method is described in further detail in Idusogie et al. U.S. Patent No. 6,194,551.

含有此類突變之抗體介導降低或無抗體依賴性細胞毒性(ADCC)或補體依賴性細胞毒性(CDC)。在一些實施例中,IgG1恆定區之胺基酸殘基L234及L235取代為Ala234及Ala235。在一些實施例中,IgG1恆定區之胺基酸殘基N267取代為Ala267。 Antibodies containing such mutations mediate reduced or no antibody-dependent cellular cytotoxicity (ADCC) or complement dependent cytotoxicity (CDC). In some embodiments, the amino acid residues L234 and L235 of the IgGl constant region are substituted with Ala234 and Ala235. In some embodiments, the amino acid residue N267 of the IgGl constant region is substituted with Ala267.

在另一實施例中,一或多個胺基酸殘基經改變以從而改變抗體固定補體之能力。此方法進一步描述於Bodmer等人之PCT公開案WO 94/29351中。 In another embodiment, one or more amino acid residues are altered to thereby alter the ability of the antibody to fix complement. This method is further described in PCT Publication WO 94/29351 to Bodmer et al.

在另一實施例中,Fc區經修飾以提高抗體介導抗體依賴性細胞毒性(ADCC)之能力及/或藉由修飾一或多個胺基酸來提高抗體對Fcγ受體之親和力。此方法進一步描述於Presta之PCT公開案WO 00/42072中。此外,已定位人類IgG1上對FcγR1、FcγRII、FcγRIII及FcRn之結合位點且已描述具有改良之結合的變異體(參見Shields,R.L.等人,2001 J.Biol.Chen.276:6591-6604)。 In another embodiment, the Fc region is modified to increase the ability of the antibody to mediate antibody-dependent cellular cytotoxicity (ADCC) and/or to increase the affinity of the antibody for the Fc gamma receptor by modifying one or more amino acids. This method is further described in PCT Publication WO 00/42072 to Presta. In addition, binding sites for FcγR1, FcγRII, FcγRIII, and FcRn on human IgG1 have been mapped and variants with improved binding have been described (see Shields, RL et al, 2001 J. Biol. Chen. 276: 6591-6604) .

在另一實施例中,抗體之糖基化經修飾。舉例而言,可製備去糖基化抗體(意即,缺乏糖基化之抗體)。糖基化可經改變以例如提高抗體對「抗原」之親和力。此類碳水化合物修飾可藉由例如改變抗體序列內之一或多個糖基化位點來完成。舉例而言,可進行一或多個胺基酸取代,從而去除一或多個可變區構架糖基化位點,從而去除該位點處之糖基化。此類去糖基化可提高抗體對抗原之親和力。此類方法進一步詳細描述於Co等人之美國專利第5,714,350號及第6,350,861號中。 In another embodiment, the glycosylation of the antibody is modified. For example, a deglycosylated antibody (ie, an antibody lacking glycosylation) can be prepared. Glycosylation can be altered to, for example, increase the affinity of the antibody for the "antigen." Such carbohydrate modification can be accomplished, for example, by altering one or more glycosylation sites within the antibody sequence. For example, one or more amino acid substitutions can be made to remove one or more variable region framework glycosylation sites, thereby removing glycosylation at that site. Such deglycosylation increases the affinity of the antibody for the antigen. No. 5,714,350 and 6,350,861 to Co. et al.

另外或替代地,可製得具有改變類型之糖基化的抗體,諸如具有降低量之海藻糖基殘基之低海藻糖基化抗體或具有增加之二等分GlcNac結構之抗體。此類改變之糖基化模式已展示會提高抗體之ADCC能力。此類碳水化合物修飾可藉由例如在糖基化機構改變之宿 主細胞中表現抗體來完成。具有經改變之糖基化機構之細胞已描述於此項技術中,且可用作表現本發明之重組抗體從而產生具有經改變之糖基化之抗體的宿主細胞。舉例而言,Hang等人之EP 1,176,195描述一種細胞株,其中編碼海藻糖基轉移酶之FUT8基因在功能上被破壞,使得此類細胞株中所表現之抗體展現低海藻糖基化。Presta之PCT公開案WO 03/035835描述一種變異型CHO細胞株Lecl3細胞,其使海藻糖連接至Asn(297)所連碳水化合物之能力降低,亦導致該宿主細胞中所表現之抗體發生低海藻糖基化(亦參見Shields,R.L.等人,2002 J.Biol.Chem.277:26733-26740)。Umana等人之PCT公開案WO 99/54342描述經工程改造以表現醣蛋白修飾型醣基轉移酶(例如β(1,4)-N乙醯基葡糖胺轉移酶III(GnTIII))的細胞株,使得經工程改造之細胞株內所表現之抗體展現增加之二分GlcNac結構,從而提高抗體之ADCC活性(亦參見Umana等人,1999 Nat.Biotech.17:176-180)。 Additionally or alternatively, antibodies having altered types of glycosylation can be made, such as low fucosylated antibodies with reduced amounts of trehalose residues or antibodies with increased halved GlcNac structures. Such altered glycosylation patterns have been shown to increase the ADCC ability of antibodies. Such carbohydrate modifications can be altered by, for example, a glycosylation mechanism The expression of antibodies in the main cells is completed. Cells having altered glycosylation machinery have been described in the art and can be used as host cells for the expression of recombinant antibodies of the invention to produce antibodies with altered glycosylation. For example, EP 1,176,195 to Hang et al. describes a cell line in which the FUT8 gene encoding a trehalyl transferase is functionally disrupted such that the antibodies expressed in such cell lines exhibit low haylation. PCT Publication WO 03/035835 to Presta describes a variant CHO cell line Lecl3 cell which reduces the ability of trehalose to attach to the carbohydrate associated with Asn (297) and also results in low seaweed production of antibodies present in the host cell. Glycosylation (see also Shields, RL et al, 2002 J. Biol. Chem. 277:26733-26740). PCT Publication WO 99/54342 to Umana et al. describes cells engineered to express glycoprotein-modified glycosyltransferases (e.g., β(1,4)-N-ethylglucanilide transferase III (GnTIII)) The strain, such that the antibody exhibited in the engineered cell line exhibits an increased dichotomous GlcNac structure, thereby increasing the ADCC activity of the antibody (see also Umana et al, 1999 Nat. Biotech. 17: 176-180).

抗原結合域移植至替代構架或骨架中The antigen binding domain is transplanted into an alternative framework or backbone

可使用多種抗體/免疫球蛋白構架或骨架,只要所得多肽包括特異性結合於GITR之至少一個結合區即可。此類構架或骨架包括人類免疫球蛋白之5種主要個體基因型或其片段,且包括其他動物物種之免疫球蛋白,其較佳具有人類化態樣。就此而言,單一重鏈抗體(諸如在駱駝中所鑑別之單一重鏈抗體)備受關注。熟習此項技術者繼續發現及開發新穎的構架、骨架及片段。 A variety of antibody/immunoglobulin frameworks or backbones can be used as long as the resulting polypeptide comprises at least one binding region that specifically binds to the GITR. Such frameworks or backbones include the five major individual genotypes of human immunoglobulins or fragments thereof, and include immunoglobulins of other animal species, which preferably have a humanized appearance. In this regard, a single heavy chain antibody, such as a single heavy chain antibody identified in camelids, has received much attention. Those skilled in the art will continue to discover and develop novel frameworks, skeletons, and fragments.

在一個態樣中,本發明係關於使用上面可移植本發明之CDR的非免疫球蛋白骨架產生基於非免疫球蛋白之抗體。可使用已知或未來的非免疫球蛋白構架及骨架,只要其包含特異性針對標靶GITR蛋白(例如人類及/或獼猴GITR)之結合區即可。已知非免疫球蛋白構架或骨架包括(但不限於)纖維結合蛋白(Compound Therapeutics,Inc.,Waltham,MA)、錨蛋白(Molecular Partners AG,Zurich, Switzerland)、域抗體(Domantis,Ltd.,Cambridge,MA及Ablynx nv,Zwijnaarde,Belgium)、脂質運載蛋白(Pieris Proteolab AG,Freising,Germany)、小模組免疫藥物(Trubion Pharmaceuticals Inc.,Seattle,WA)、最大抗體(Avidia,Inc.,Mountain View,CA)、蛋白A(Affibody AG,Sweden)及阿菲林(affilin)(γ-晶狀體球蛋白或泛素)(Scil Proteins GmbH,Halle,Germany)。 In one aspect, the invention relates to the production of non-immunoglobulin-based antibodies using non-immunoglobulin backbones from which the CDRs of the invention can be grafted. Known or future non-immunoglobulin frameworks and backbones can be used as long as they contain a binding region that is specific for the target GITR protein (eg, human and/or macaque GITR). Non-immunoglobulin frameworks or backbones are known to include, but are not limited to, Fibronectin (Compound Therapeutics, Inc., Waltham, MA), ankyrin (Molecular Partners AG, Zurich, Switzerland), domain antibodies (Domantis, Ltd., Cambridge, MA and Ablynx nv, Zwijnaarde, Belgium), lipocalin (Pieris Proteolab AG, Freising, Germany), small module immunopharmaceuticals (Trubion Pharmaceuticals Inc., Seattle, WA) ), maximal antibody (Avidia, Inc., Mountain View, CA), Protein A (Affibody AG, Sweden), and affilin (γ-crystallin or ubiquitin) (Scil Proteins GmbH, Halle, Germany).

纖維結合蛋白骨架係基於纖維結合蛋白III型域(例如纖維結合蛋白III型之第十模組(10 Fn3域))。纖維結合蛋白III型域具有分佈在兩個β片之間的7或8個β股,其自身彼此間填塞而形成蛋白質之核心,且進一步含有使β股彼此間連接且暴露於溶劑的環(與CDR類似)。在β片夾層結構之各邊緣處存在至少三個此類環,其中邊緣為蛋白質垂直於β股方向之邊界(參見US 6,818,418)。此等基於纖維結合蛋白之骨架不為免疫球蛋白,然而總體摺疊與包含駱駝及駱馬IgG之完整抗原識別單元之最小功能抗體片段(重鏈可變區)之摺疊密切相關。由於此結構,故非免疫球蛋白抗體模擬在性質及親和力上與抗體類似之抗原結合特性。類似於活體內抗體親和力成熟方法,活體外環隨機化及改組策略中可使用此等骨架。此等基於纖維結合蛋白之分子可用作骨架,其中分子之環區域可使用標準選殖技術用本發明之CDR置換。 The fibronectin backbone is based on a fibronectin type III domain (eg, the tenth module of the fibronectin type III (10 Fn3 domain)). The fibronectin type III domain has 7 or 8 beta strands distributed between two beta sheets, which themselves are packed with each other to form the core of the protein, and further contain a loop that connects the beta strands to each other and to the solvent ( Similar to CDR). There are at least three such loops at each edge of the beta sheet sandwich structure, with the edges being the boundaries of the protein perpendicular to the beta strand direction (see US 6,818,418). These fibronectin based scaffolds are not immunoglobulins, however the overall folding is closely related to the folding of the minimal functional antibody fragment (heavy chain variable region) comprising the complete antigen recognition unit of camel and vicugna IgG. Due to this structure, non-immunoglobulin antibodies mimic antigen binding properties similar to antibodies in terms of properties and affinities. Similar to in vivo antibody affinity maturation methods, such scaffolds can be used in in vitro loop randomization and shuffling strategies. These fibronectin-based molecules can be used as backbones in which the loop regions of the molecule can be replaced with the CDRs of the invention using standard methods of selection.

錨蛋白技術係基於使用其中以來源於錨蛋白之重複模組作為承載可用於結合於不同標靶之可變區之骨架的蛋白質。錨蛋白重複模組為一種由兩個逆平行α螺旋及β轉彎組成之33個胺基酸多肽。可變區之結合主要藉由使用核糖體呈現來最佳化。 The ankyrin technique is based on the use of a protein in which a repeating module derived from an ankyrin is used as a backbone for carrying a variable region that can be used to bind to different targets. The ankyrin repeat module is a 33 amino acid polypeptide consisting of two antiparallel alpha helices and a beta turn. The combination of variable regions is primarily optimized by the use of ribosome presentation.

高親和性多聚體來源於天然含A域蛋白,諸如LRP-1。此等域本質上用於蛋白質-蛋白質相互作用,且在人類中逾250種蛋白質在結構上係基於A域。高親和性多聚體係由多個不同「A域」單體(2-10個)經由胺基酸連接子連接而組成。可結合於靶抗原的高親和性多聚體可使 用例如美國專利申請公開案第20040175756號、第20050053973號、第20050048512號及第20060008844號中所述之方法產生。 High affinity multimers are derived from natural A-containing domain proteins such as LRP-1. These domains are essentially used for protein-protein interactions, and more than 250 proteins in humans are structurally based on the A domain. The high affinity polypolymer system consists of a plurality of different "A domain" monomers (2-10) linked via an amino acid linker. High affinity multimers that bind to the target antigen can It is produced by the methods described in, for example, U.S. Patent Application Publication Nos. 20040175756, No. 20050053973, No. 20050048512, and No. 20060008844.

親和抗體親和性配位體為由三螺旋束組成的小型簡單蛋白質,該三螺旋束係基於蛋白質A之IgG結合域中之一者的骨架。蛋白A為來自細菌金黃色葡萄球菌(Staphylococcus aureus)的表面蛋白。此骨架域係由58個胺基酸組成,其中13個隨機化以產生具有許多配體變異體之親和抗體庫(參見例如US 5,831,012)。親和抗體分子模擬抗體,與分子量為150kDa之抗體相比,其分子量為6kDa。儘管親和抗體分子具有小尺寸,但親和抗體分子之結合位點類似於抗體之結合位點。 The affinity antibody affinity ligand is a small, simple protein consisting of a triple helix bundle based on the backbone of one of the IgG binding domains of Protein A. Protein A is a surface protein from the bacterium Staphylococcus aureus. This backbone domain consists of 58 amino acids, 13 of which are randomized to produce a library of affinity antibodies with many ligand variants (see, for example, US 5,831,012). The affinity antibody molecule mimicking antibody has a molecular weight of 6 kDa compared to an antibody having a molecular weight of 150 kDa. Although the affinity antibody molecule has a small size, the binding site of the affinity antibody molecule is similar to the binding site of the antibody.

抗運載蛋白(Anticalins)為Pieris ProteoLab AG公司開發之產品。其來源於脂質運載蛋白(一組廣泛的小型穩定蛋白質,其通常涉及化學敏感或不溶化合物之生理學運輸或儲存)。若干種天然脂質運載蛋白出現於人類組織或體液中。蛋白質架構使人聯想到免疫球蛋白,其中高變環位於剛性構架上。然而,與抗體或其重組片段相比,脂質運載蛋白由具有160至180個胺基酸殘基之單一多肽鏈組成,該多肽鏈僅略大於單一免疫球蛋白域。一組構成結合袋之四個環展示明顯的結構可塑性且包容多個側鏈。結合位點因此可以專有方法再成形以利用高親和性及特異性識別不同形狀之指定標靶分子。大菜粉蝶(Pieris Brassicae)之後膽色素結合蛋白(bilin-binding protein;BBP),脂質運載蛋白家族中之一種蛋白質,已用於藉由對該組四個環進行突變誘發來開發抗運載蛋白。描述抗運載蛋白之專利申請案之一個實例存在於PCT公開案第WO 1999/16873號中。 Anticalins is a product developed by Pieris ProteoLab AG. It is derived from lipocalins (a broad group of small stable proteins that typically involve the physiological transport or storage of chemically sensitive or insoluble compounds). Several natural lipocalins are found in human tissues or body fluids. The protein architecture is reminiscent of immunoglobulins, where the hypervariable loops are located on rigid frameworks. However, lipocalins consist of a single polypeptide chain having 160 to 180 amino acid residues, which is only slightly larger than a single immunoglobulin domain, as compared to an antibody or a recombinant fragment thereof. A set of four rings that make up the binding pocket exhibits significant structural plasticity and accommodates multiple side chains. Binding sites can therefore be reshaped by proprietary methods to recognize different target specific target molecules with high affinity and specificity. After the Pieris Brassicae, a bilin-binding protein (BBP), a protein in the lipocalin family, has been used to develop anti-carrier proteins by mutation induction of the four loops of this group. An example of a patent application describing an anti-carrier protein is found in PCT Publication No. WO 1999/16873.

阿菲林分子為小型非免疫球蛋白蛋白質,其經設計而對蛋白質及小分子具特異性親和力。新阿菲林分子可極快速地選自兩個庫,各庫均基於不同的源自人類之骨架蛋白。阿菲林分子對免疫球蛋白蛋白質不展示任何結構同源性。目前使用兩種阿菲林骨架,其一為γ結晶 體(人類結構性眼晶狀體蛋白質),且另一者為「泛素」超家族蛋白質。兩種人類骨架均極小,展示高溫穩定性且對pH值變化及變性劑幾乎具有抗性。此高穩定性主要歸因於蛋白質之β片結構擴大。源自γ結晶體之蛋白質的實例描述於WO200104144中且「泛素樣」蛋白之實例描述於WO2004106368中。 Afilin molecules are small, non-immunoglobulin proteins that are designed to have specific affinities for proteins and small molecules. The new Affine molecule can be selected very quickly from two libraries, each based on a different human skeleton protein. Afilin molecules do not exhibit any structural homology to immunoglobulin proteins. Currently, two kinds of Affi structure are used, one of which is γ crystal The body (human structural eye lens protein), and the other is the "ubiquitin" superfamily protein. Both human skeletons are extremely small, exhibit high temperature stability and are almost resistant to pH changes and denaturants. This high stability is mainly due to the expansion of the beta sheet structure of the protein. Examples of proteins derived from gamma crystals are described in WO200104144 and examples of "ubiquitin-like" proteins are described in WO2004106368.

蛋白質抗原決定基模擬物(PEM)為模擬蛋白質之β髮夾二級結構(涉及蛋白質-蛋白質相互作用的主要二級結構)的中等尺寸、環狀、肽樣分子(MW 1-2kDa)。 Protein epitope haplotype (PEM) is a medium size, circular, peptide-like molecule (MW 1-2 kDa) that mimics the beta hairpin secondary structure of a protein involved in the major secondary structure of protein-protein interactions.

人類或人類化抗體Human or humanized antibody

本發明提供特異性結合於GITR蛋白(例如人類GITR)之經工程改造之人類抗體。相較於嵌合、靈長類化或人類化抗體,當向人類個體投與時,本發明之人類GITR結合抗體之抗原性進一步降低。 The invention provides engineered human antibodies that specifically bind to a GITR protein, such as the human GITR. The antigenicity of the human GITR-binding antibody of the present invention is further reduced when administered to a human subject as compared to a chimeric, primatized or humanized antibody.

人類GITR結合抗體可使用此項技術中已知之方法產生。舉例而言,使用Humaneered®技術平台(KaloBios,Sout San Francisco,CA)將非人類抗體轉化為經工程改造之人類抗體。美國專利公開案第20050008625號描述用人類可變區置換抗體中之非人類抗體可變區同時相對於非人類抗體維持相同或提供較佳結合特徵的活體內方法。該方法依賴於抗原決定基引導之用全人類抗體對非人類參考抗體之可變區的置換。所得人類抗體一般在結構上與參考非人類抗體不相關,但與參考抗體結合同一抗原上之同一抗原決定基。 Human GITR binding antibodies can be produced using methods known in the art. For example, the use of Humaneered ® technology platform (KaloBios, Sout San Francisco, CA ) will convert non-human antibody for the transformation of the human antibody engineered. U.S. Patent Publication No. 20050008625 describes an in vivo method of replacing a non-human antibody variable region in an antibody with a human variable region while maintaining the same or providing better binding characteristics relative to the non-human antibody. This method relies on epitope-directed replacement of the variable region of a non-human reference antibody with a fully human antibody. The resulting human antibody is generally not structurally related to a reference non-human antibody, but binds to the same epitope on the same antigen as the reference antibody.

本發明之抗GITR抗體係基於經工程改造之人類抗體,其中V區序列與人類生殖系V區序列具有實質性胺基酸序列一致性,同時保留參考抗體之特異性及親和力。參見美國專利公開案第2005/0255552號及美國專利公開案第2006/0134098號,其均特此以引用的方式併入本文中。該改良方法鑑別出來自參考抗體之可變區的確定抗原結合特異性所需的最少序列資訊,且向人類部分V區基因序列庫傳遞資訊以產生 人類抗體V區之抗原決定基集中庫。可使用基於微生物之分泌系統來使庫之成員表現為抗體Fab片段,且使用群落轉移結合分析篩選例如庫之抗原結合Fab。參見例如美國專利公開案第2007/0020685號。可進一步表徵陽性純系以鑑別具有最高親和力之純系。所得經工程改造之人類Fab保留親本參考抗GITR抗體之結合特異性,通常相較於親本抗體對抗原具有相等或較高親和力,且具有相較於人類生殖系抗體V區具有高度序列一致性的V區。 The anti-GITR anti-system of the invention is based on engineered human antibodies in which the V region sequence shares substantial amino acid sequence identity with the human germline V region sequence while retaining the specificity and affinity of the reference antibody. See U.S. Patent Publication No. 2005/0255552 and U.S. Patent Publication No. 2006/0134098, each hereby incorporated hereinby reference. The improved method identifies minimal sequence information required to determine antigen binding specificity from a variable region of a reference antibody, and transmits information to a human partial V region gene sequence library to generate A pool of epitopes of the human antibody V region. Microbial-based secretion systems can be used to visualize members of the library as antibody Fab fragments, and community transfer binding assays can be used to screen antigen-binding Fabs such as libraries. See, for example, U.S. Patent Publication No. 2007/0020685. Positive pure lines can be further characterized to identify pure lines with the highest affinity. The resulting engineered human Fab retains the binding specificity of the parent reference anti-GITR antibody, typically having equal or higher affinity for the antigen compared to the parent antibody, and having a high sequence identity compared to the V region of the human germline antibody Sexual V zone.

產生抗原決定基集中庫所需之最小結合特異性決定子(BSD)通常由重鏈CDR3(「CDRH3」)內之序列及輕鏈CDR3(「CDRL3」)內之序列表示。BSD可包含CDR3之部分或整個長度。BSD可包含鄰接或非鄰接胺基酸殘基。在一些情形下,抗原決定基集中庫由連接於來自參考抗體之獨特CDR3-FR4區的人類V區序列建構,該參考抗體含有BSD及人類生殖系J區序列(參見美國專利公開案第2005/0255552號)。替代地,人類V區庫可藉由連續卡匣置換產生,其中最初僅參考抗體V區之一部分經人類序列庫置換。在殘餘參考抗體胺基酸序列之情形下,隨後所鑑別之支持結合之人類「卡匣」於第二庫篩選中再組合以產生全人類V區(參見美國專利公開案第2006/0134098號)。 The minimal binding specificity determinant (BSD) required to generate a pool of epitopes is typically represented by the sequence within the heavy chain CDR3 ("CDRH3") and the sequence within the light chain CDR3 ("CDRL3"). The BSD can comprise part or the entire length of the CDR3. The BSD can comprise contiguous or non-contiguous amino acid residues. In some cases, the epitope pool is constructed from a human V region sequence linked to a unique CDR3-FR4 region from a reference antibody comprising BSD and human germline J region sequences (see U.S. Patent Publication No. 2005/ 0255552). Alternatively, the human V-region library can be generated by a sequential cassette replacement in which only a portion of the antibody V region is initially replaced by a human sequence library. In the case of a residual reference antibody amino acid sequence, the subsequently identified human binding cassettes are then recombined in a second library screen to generate a full human V region (see U.S. Patent Publication No. 2006/0134098). .

在各情形下,使用含有來自參考抗體之特異性決定子的配對重鏈及輕鏈CDR3區、CDR3-FR4區或J區來限制結合特異性,使得自庫獲得之抗原結合物保留參考抗體之抗原決定基特異性。其他成熟變化可在庫建構期間引入各鏈之CDR3區中以鑑別具有最佳結合動力學之抗體。所得經工程改造之人類抗體具有源自人類生殖系庫之V區序列,保留CDR3區內之短BSD序列且具有人類生殖系構架4(FR4)區。 In each case, the paired heavy and light chain CDR3 region, CDR3-FR4 region or J region containing a specific determinant from a reference antibody is used to limit binding specificity such that the antigen conjugate obtained from the library retains the reference antibody Epitope specificity. Other mature changes can be introduced into the CDR3 region of each strand during library construction to identify antibodies with optimal binding kinetics. The resulting engineered human antibody has a V region sequence derived from the human germline library, retains a short BSD sequence within the CDR3 region and has a human germline framework 4 (FR4) region.

駱駝抗體Camel antibody

自駱駝及單峰駝(雙峰駱駝(Camelus bactrianus)及單峰駱駝(Calelus dromaderius))家族成員(包括新世界成員,諸如駱馬物種(例 如羊駝(Lama pacos)、大羊駝(Lama glama)及瘦駝(Lama vicugna)))獲得之抗體蛋白已在尺寸、結構複雜性及對人類個體之抗原性方面加以表徵。如自然界中所發現之來自此哺乳動物家族之某些IgG抗體缺少輕鏈,因此在結構上不同於其他動物抗體之具有兩條重鏈及兩條輕鏈之典型四鏈四級結構。參見PCT/EP93/02214(1994年3月3日公開之WO 94/04678)。 Member of the camel and dromedary (Camelus bactrianus and Calelus dromaderius) family members (including members of the New World, such as llama species) Antibody proteins such as Lama pacos, Lama glama, and Lama vicugna have been characterized in terms of size, structural complexity, and antigenicity to human individuals. Certain IgG antibodies from this mammalian family, as found in nature, lack a light chain and are therefore structurally distinct from other animal antibodies with a typical four-chain quaternary structure with two heavy chains and two light chains. See PCT/EP93/02214 (WO 94/04678, published March 3, 1994).

駱駝抗體之鑑別為VHH之區域(小型單一可變域)可藉由遺傳工程改造來獲得,以產生對標靶具有高親和力之小蛋白質,從而產生低分子量源自抗體之蛋白質,稱為「駱駝奈米抗體」。參見美國專利1998年6月2日頒予的第5,759,808號;亦參見Stijlemans,B.等人,2004 J Biol Chem 279:1256-1261;Dumoulin,M.等人,2003 Nature 424:783-788;Pleschberger,M.等人,2003 Bioconjugate Chem 14:440-448;Cortez-Retamozo,V.等人,2002 Int J Cancer 89:456-62;及Lauwereys,M.等人,1998 EMBO J 17:3512-3520。經工程改造之駱駝抗體及抗體片段之庫可購自例如Ablynx,Ghent,Belgium。如同非人類來源之其他抗體,駱駝抗體之胺基酸序列可重組改變以得到與人類序列更密切類似之序列,亦即,奈米抗體可經「人類化」。從而可進一步減小駱駝抗體對人類之天然低抗原性。 The region in which the camelid antibody is identified as VHH (small single variable domain) can be obtained by genetic engineering to produce a small protein with high affinity for the target, thereby producing a low molecular weight antibody-derived protein, called a camel. Nano antibodies". See U.S. Patent No. 5,759,808, issued June 2, 1998; also to Stijlemans, B. et al., 2004 J Biol Chem 279: 1256-1261; Dumoulin, M. et al., 2003 Nature 424: 783-788; Pleschberger, M. et al., 2003 Bioconjugate Chem 14: 440-448; Cortez-Retamozo, V. et al., 2002 Int J Cancer 89: 456-62; and Lauwereys, M. et al., 1998 EMBO J 17: 3512 3520. A library of engineered camel antibodies and antibody fragments is commercially available, for example, from Ablynx, Ghent, Belgium. Like other antibodies of non-human origin, the amino acid sequence of camelid antibodies can be recombinantly altered to yield sequences that are more closely analogous to human sequences, i.e., nano antibodies can be "humanized." Thereby, the natural low antigenicity of camelid antibodies to humans can be further reduced.

駱駝奈米抗體之分子量為人類IgG分子之約十分之一,且蛋白質之實體直徑僅為幾奈米。小尺寸之一種結果為駱駝奈米抗體結合能夠結合於較大抗體蛋白質在功能上不可見的抗原位點,亦即,駱駝奈米抗體適用作偵測抗原之試劑(否則使用經典免疫技術,抗原會隱匿),及可能之治療劑。因此,小尺寸之又一結果為駱駝奈米抗體由於結合於標靶蛋白之凹槽或窄隙中之特定位點而可具抑制作用,且因此相較於經典抗體之功能,可以更緊密類似於經典低分子量藥物之功能的能力來發揮作用。 The molecular weight of the camelid nanobody is about one tenth of that of a human IgG molecule, and the physical diameter of the protein is only a few nanometers. One result of the small size is that the camelid antibody binds to an antigenic site that is functionally invisible to the larger antibody protein, ie, the camelid antibody is used as a reagent for detecting antigen (otherwise using classical immunological techniques, antigen Will be hidden), and possible therapeutic agents. Therefore, a further result of the small size is that the camelid nano-antibody can have an inhibitory effect due to binding to a specific site in the groove or narrow gap of the target protein, and thus can be more closely similar to the function of the classical antibody. The ability to function as a classic low molecular weight drug works.

低分子量及緊湊尺寸進一步使駱駝奈米抗體具有極大的熱穩定性(對極端pH值及蛋白水解消化具有穩定性),及弱抗原性。另一結果為駱駝奈米抗體容易自循環系統移至組織中,且甚至跨過血腦障壁且可治療影響神經組織之病症。奈米抗體可進一步促進藥物傳輸跨過血腦障壁。參見2004年8月19日公開之美國專利申請案20040161738。此等特徵與對人類之低抗原性組合指示巨大治療潛力。另外,此等分子可表現於諸如大腸桿菌之原核細胞中,且以與噬菌體形成之融合蛋白形式表現且具功能性。 The low molecular weight and compact size further provide Camel Nano antibodies with great thermal stability (stability for extreme pH and proteolytic digestion) and weak antigenicity. Another result is that camelid nano antibodies are susceptible to migration from the circulatory system into tissues and even across the blood brain barrier and can treat conditions affecting neural tissue. Nano-antibodies can further promote drug delivery across the blood-brain barrier. See U.S. Patent Application No. 20040161738, issued Aug. 19, 2004. These features, combined with low antigenicity to humans, indicate great therapeutic potential. In addition, such molecules can be expressed in prokaryotic cells such as E. coli and be expressed as a fusion protein with phage and are functional.

因此,本發明之一個特徵為對GITR具有高親和力之駱駝抗體或奈米抗體。在本文之某些實施例中,駱駝抗體或奈米抗體在駱駝動物中天然產生,亦即,駱駝動物使用本文針對其他抗體所述之技術經GITR或其肽片段免疫之後而產生。或者,對結合GITR的駱駝奈米抗體進行工程改造,亦即以GITR作為標靶,使用淘選程序,自例如呈現經適當誘變之駱駝奈米抗體蛋白質之噬菌體庫中選擇而產生。經工程改造之奈米抗體可進一步藉由遺傳工程改造定製以使其在受者個體中之半衰期為45分鐘至2週。在一特定實施例中,駱駝抗體或奈米抗體係藉由將本發明之人類抗體之重鏈或輕鏈之CDR序列移植至奈米抗體或單域抗體構架序列中來獲得,如PCT/EP93/02214中之實例所述。在一些實施例中,根據下述方法,本發明提供多價駱駝抗體或奈米抗體。 Therefore, a feature of the present invention is a camelid antibody or a nano-antibody having high affinity for GITR. In certain embodiments herein, a camelid antibody or a nanobody is naturally produced in a camelid animal, that is, a camelid animal is produced following immunization with GITR or a peptide fragment thereof using the techniques described herein for other antibodies. Alternatively, the GITR-binding camelid nanobody antibody is engineered, i.e., using GITR as a target, using a panning procedure, for example, from selection of a phage library that exhibits appropriately mutagenated camelid nanobody protein. The engineered nano-antibody can be further customized by genetic engineering to have a half-life of 45 minutes to 2 weeks in the recipient individual. In a specific embodiment, the camelid antibody or the nano-antibody system is obtained by grafting the CDR sequences of the heavy or light chain of the human antibody of the invention into a nanobody or single domain antibody framework sequence, such as PCT/EP93 As described in the example in /02214. In some embodiments, the invention provides a multivalent camelid antibody or a nanobody according to the methods described below.

多價抗體Multivalent antibody

在另一態樣中,提供本發明之包含GITR結合抗體或其片段之多價分子(單特異性、雙特異性或多特異性)。本發明之抗體或其抗原結合區可經衍生或連接於另一功能分子,例如另一肽或蛋白質(例如另一抗體或受體之配體),以產生結合於至少兩個不同結合位點(其可為相同或不同標靶位點或分子)之多價分子。在一些實施例中,本發明 抗體經衍生或功能上連接(例如)於超過一個其他功能分子以產生結合於兩個或兩個以上不同結合位點的多價分子,該等結合位點為相同標靶分子上之相同或不同結合位點。在某些實施例中,多價結合位點相同。在一些實施例中,本發明抗體經衍生或連接於超過一個其他功能分子以產生結合至少兩個標靶分子上之兩個或兩個以上不同結合位點的多特異性分子;如本文所用,此類多特異性分子亦意欲由術語「雙特異性分子」或「多特異性」涵蓋。為產生本發明之雙特異性分子,本發明之抗體可在功能上與一或多個其他結合分子(諸如另一抗體、抗體片段、肽或結合模擬劑)連接(例如藉由化學偶合、遺傳融合、非共價結合或以其他方式連接),從而產生多價分子。本發明包括如下雙特異性分子,其包含至少一個針對GITR之第一結合特異性及針對第二標靶抗原決定基之第二結合特異性。舉例而言,第二標靶抗原決定基為GITR之不同於第一標靶抗原決定基之另一抗原決定基。另外,對於分子為多特異性之本發明,在一些實施例中,除第一及第二標靶抗原決定基以外,該分子進一步包括第三結合特異性。 In another aspect, a multivalent molecule (monospecific, bispecific or multispecific) comprising a GITR binding antibody or fragment thereof of the invention is provided. An antibody or antigen binding region thereof of the invention may be derivatized or linked to another functional molecule, such as another peptide or protein (eg, another antibody or a ligand for a receptor) to produce binding to at least two different binding sites. A multivalent molecule (which may be the same or a different target site or molecule). In some embodiments, the invention An antibody is derivatized or functionally linked, for example, to more than one other functional molecule to produce a multivalent molecule that binds to two or more different binding sites, which are the same or different on the same target molecule Binding site. In certain embodiments, the multivalent binding sites are the same. In some embodiments, an antibody of the invention is derivatized or linked to more than one other functional molecule to produce a multispecific molecule that binds two or more different binding sites on at least two of the target molecules; as used herein, Such multispecific molecules are also intended to be encompassed by the terms "bispecific molecule" or "multispecificity". To produce a bispecific molecule of the invention, an antibody of the invention may be functionally linked to one or more other binding molecules (such as another antibody, antibody fragment, peptide or binding mimetic) (eg, by chemical coupling, inheritance) Fusion, non-covalent binding or otherwise linking) to produce multivalent molecules. The invention includes a bispecific molecule comprising at least one first binding specificity for GITR and a second binding specificity for a second target epitope. For example, the second target epitope is another epitope of the GITR that is different from the first target epitope. Additionally, for the invention in which the molecule is multispecific, in some embodiments, the molecule further comprises a third binding specificity in addition to the first and second target epitopes.

在一個實施例中,本發明之雙特異性分子包含至少一種抗體或其抗體片段(包括例如Fab、Fab'、F(ab')2、Fv或單鏈Fv)作為結合特異性。抗體亦可為輕鏈或重鏈二聚體或其任何最小片段,諸如Fv或單鏈構築體,如Ladner等人之美國專利第4,946,778號中所述。 In one embodiment, the bispecific molecule of the invention comprises at least one antibody or antibody fragment thereof (including, for example, Fab, Fab', F(ab')2, Fv or single chain Fv) as binding specificity. The antibody may also be a light chain or a heavy chain dimer, or any minimally fragment thereof, such as an Fv or a single-stranded construct, as described in U.S. Patent No. 4,946,778 to Ladner et al.

雙功能抗體為二價雙特異性分子,其中VH及VL域在單多肽鏈上表現,其由過短而不容許同一鏈上之兩個域之間配對的連接子連接。VH及VL域與另一鏈之互補域配對,從而產生兩個抗原結合位點(參見例如Holliger等人,1993 Proc.Natl.Acad.Sci.USA 90:6444-6448;Poljak等人,1994 Structure 2:1121-1123)。雙功能抗體可藉由在同一細胞內表現具有結構VHA-VLB及VHB-VLA(VH-VL構型)或VLA-VHB及VLB-VHA(VL-VH構型)之兩個多肽鏈來產生。其中大多數可在細菌 中以可溶形式表現。單鏈雙功能抗體(scDb)係藉由約15個胺基酸殘基之連接子連接兩個形成雙功能抗體的多肽鏈來產生(參見Holliger及Winter,1997 Cancer Immunol.Immunother.,45(3-4):128-30;Wu等人,1996 Immunotechnology,2(1):21-36)。scDb可以可溶性、活性單體形式表現於細菌中(參見Holliger及Winter,1997 Cancer Immunol.Immunother.,45(34):128-30;Wu等人,1996 Immunotechnology,2(1):21-36;Pluckthun及Pack,1997 Immunotechnology,3(2):83-105;Ridgway等人,1996 Protein Eng.,9(7):617-21)。雙功能抗體可與Fc融合而產生「二-雙功能抗體」(參見Lu等人,2004 J.Biol.Chem.,279(4):2856-65)。 Bifunctional antibodies are bivalent, bispecific molecules in which the VH and VL domains are expressed on a single polypeptide chain that is linked by a linker that is too short to allow pairing between the two domains on the same chain. The VH and VL domains are paired with complementary domains of another strand to create two antigen binding sites (see, eg, Holliger et al, 1993 Proc. Natl. Acad. Sci. USA 90:6444-6448; Poljak et al., 1994 Structure 2: 1121-1123). Bifunctional antibodies can be produced by expressing two polypeptide chains having the structural VHA-VLB and VHB-VLA (VH-VL configuration) or VLA-VHB and VLB-VHA (VL-VH configuration) in the same cell. Most of them are in bacteria It is expressed in a soluble form. Single-chain bifunctional antibodies (scDb) are produced by ligation of two polypeptide chains that form bifunctional antibodies by a linker of about 15 amino acid residues (see Holliger and Winter, 1997 Cancer Immunol. Immunother., 45 (3) -4): 128-30; Wu et al, 1996 Immunotechnology, 2(1): 21-36). scDb can be expressed in bacteria as a soluble, reactive monomer form (see Holliger and Winter, 1997 Cancer Immunol. Immunother., 45(34): 128-30; Wu et al, 1996 Immunotechnology, 2(1): 21-36; Pluckthun and Pack, 1997 Immunotechnology, 3(2): 83-105; Ridgway et al, 1996 Protein Eng., 9(7): 617-21). Bifunctional antibodies can be fused to Fc to produce "di-bifunctional antibodies" (see Lu et al, 2004 J. Biol. Chem., 279(4): 2856-65).

可用於本發明之雙特異性分子中之其他抗體為鼠、嵌合及人類化單株抗體。 Other antibodies useful in the bispecific molecules of the invention are murine, chimeric and humanized monoclonal antibodies.

本發明之雙特異性及/或多價分子可藉由使用此項技術中已知之方法結合組成性結合特異性來製備舉例而言,雙特異性及/或多價分子之各結合特異性可分別產生,隨後彼此結合。當結合特異性為蛋白質或肽時,可使用多種偶合劑或交聯劑進行共價結合。交聯劑之實例包括蛋白A、碳化二亞胺、N-丁二醯亞胺基-S-乙醯基-硫乙酸酯(SATA)、5,5'-二硫基雙(2-硝基苯甲酸)(DTNB)、鄰伸苯基二順丁烯二醯亞胺(oPDM)、N-丁二醯亞胺基-3-(2-吡啶基二硫基)丙酸酯(SPDP)及磺基丁二醯亞胺基4-(N-順丁烯二醯亞胺基甲基)環己烷-1-甲酸酯(磺基-SMCC)(參見例如Karpovsky等人,1984 J.Exp.Med.160:1686;Liu,MA等人,1985 Proc.Natl.Acad.Sci.USA 82:8648)。其他方法包括以下文獻中所述之方法:Paulus,1985 Behring Ins.Mitt.No.78,118-132;Brennan等人,1985 Science 229:81-83)及Glennie等人,1987 J.Immunol.139:2367-2375)。結合劑為SATA及磺基-SMCC,其均購自Pierce Chemical Co.(Rockford,IL)。 The bispecific and/or multivalent molecules of the invention can be prepared by using methods known in the art in combination with constitutive binding specificities, for example, the binding specificities of bispecific and/or multivalent molecules can be Generated separately and then combined with each other. When the binding specificity is a protein or peptide, a variety of coupling agents or cross-linking agents can be used for covalent bonding. Examples of the crosslinking agent include protein A, carbodiimide, N-butylenedimino-S-ethylidene-thioacetate (SATA), 5,5'-dithiobis(2-nitrate Benzoic acid) (DTNB), ortho-phenyl dimethyleneimine (oPDM), N-butylenedimino-3-(2-pyridyldithio)propionate (SPDP) And sulfobutanediamine 4-(N-methylene-2-imidazolylmethyl)cyclohexane-1-carboxylate (sulfo-SMCC) (see, for example, Karpovsky et al., 1984 J. Exp. Med. 160: 1686; Liu, MA et al., 1985 Proc. Natl. Acad. Sci. USA 82:8648). Other methods include those described in Paulus, 1985 Behring Ins. Mitt. No. 78, 118-132; Brennan et al., 1985 Science 229: 81-83) and Glennie et al., 1987 J. Immunol. 139: 2367 -2375). The binders were SATA and sulfo-SMCC, all available from Pierce Chemical Co. (Rockford, IL).

當結合特異性為抗體時,其可藉由兩條重鏈之恆定域鉸鏈區之硫氫基鍵結來結合。在一個特定實施例中,在結合之前,鉸鏈區經修飾以含有奇數個硫氫基殘基,例如一個。 When the binding specificity is an antibody, it can be bound by a sulfhydryl linkage of the constant domain hinge region of the two heavy chains. In a particular embodiment, the hinge region is modified to contain an odd number of sulfhydryl residues, such as one, prior to binding.

或者,結合特異性可在同一載體中編碼,且在同一宿主細胞中表現及組裝。在雙特異性及/或多價分子為mAb×mAb、mAb×Fab、Fab×F(ab')2或配體×Fab融合蛋白的情況下,此方法尤其適用。本發明之雙特異性及/或多價分子可為包含一個單鏈抗體及一個結合決定子之單鏈分子,或包含兩個結合決定子之單鏈雙特異性分子。雙特異性分子可包含至少兩個單鏈分子。製備雙特異性分子之方法描述於例如美國專利5,260,203號、美國專利第5,455,030號、美國專利第4,881,175號、美國專利第5,132,405號、美國專利第5,091,513號、美國專利第5,476,786號、美國專利第5,013,653號、美國專利第5,258,498號及美國專利第5,482,858號中。 Alternatively, the binding specificity can be encoded in the same vector and expressed and assembled in the same host cell. This method is particularly useful where the bispecific and/or multivalent molecule is a mAb x mAb, mAb x Fab, Fab x F (ab') 2 or ligand x Fab fusion protein. The bispecific and/or multivalent molecule of the invention may be a single chain molecule comprising a single chain antibody and a binding determinant, or a single chain bispecific molecule comprising two binding determinants. The bispecific molecule can comprise at least two single chain molecules. The method of preparing the bispecific molecule is described, for example, in U.S. Patent No. 5,260,203, U.S. Patent No. 5,455,030, U.S. Patent No. 4,881,175, U.S. Patent No. 5,132,405, U.S. Patent No. 5,091,513, U.S. Patent No. 5,476,786, U.S. Patent No. 5,013,653 U.S. Patent No. 5,258,498 and U.S. Patent No. 5,482,858.

雙特異性及/或多價分子與其特異性標靶之結合可藉由例如酶聯免疫吸附分析(ELISA)、放射免疫分析(REA)、FACS分析、生物分析(例如生長抑制)或西方墨點分析來確認。此等分析中之每一者通常藉由使用經標記之試劑(例如抗體)來偵測備受關注之蛋白質-抗體複合物的存在,該經標記之試劑對所關注之該複合物具特異性。 Bispecific and/or multivalent molecules can bind to their specific targets by, for example, enzyme-linked immunosorbent assay (ELISA), radioimmunoassay (REA), FACS analysis, bioanalysis (eg, growth inhibition), or Western blotting. Analysis to confirm. Each of these assays typically detects the presence of a protein-antibody complex of interest by using a labeled reagent (eg, an antibody) that is specific for the complex of interest. .

半衰期延長之抗體Half-life extended antibody

本發明提供特異性結合於GITR蛋白、活體內半衰期延長之抗體及抗體片段。 The present invention provides an antibody and an antibody fragment which specifically bind to a GITR protein, have an extended half-life in vivo.

許多因素可影響蛋白質之活體內半衰期。舉例而言,腎臟過濾、肝中代謝、藉由蛋白水解酶(蛋白酶)降解及免疫原性反應(例如蛋白質由抗體中和及由巨噬細胞及樹突狀細胞吸收)。多種策略可用於延長本發明抗體之半衰期。舉例而言,藉由化學連接於聚乙二醇(PEG)、reCODE PEG、抗體骨架、聚唾液酸(PSA)、羥基乙基澱粉 (HES)、結合白蛋白之配體及碳水化合物遮蔽物;藉由與結合於血清蛋白質之蛋白質(諸如白蛋白、IgG、FcRn)遺傳融合且轉移;藉由與結合於血清蛋白質之其他結合部分(諸如奈米抗體、Fab、DARPin、高親和性多聚體、親和抗體及抗運載蛋白)偶合(遺傳方式或化學方式);藉由與rPEG、白蛋白、白蛋白域、白蛋白結合蛋白及Fc遺傳融合;或藉由併入奈米載體、緩釋調配物或醫學裝置中。 Many factors can affect the in vivo half-life of a protein. For example, renal filtration, hepatic metabolism, degradation by proteolytic enzymes (protease), and immunogenic reactions (eg, proteins are neutralized by antibodies and absorbed by macrophages and dendritic cells). A variety of strategies are available to extend the half-life of the antibodies of the invention. For example, by chemical linkage to polyethylene glycol (PEG), reCODE PEG, antibody backbone, polysialic acid (PSA), hydroxyethyl starch (HES), a ligand binding to albumin and a carbohydrate mask; by genetic fusion with a protein that binds to serum proteins (such as albumin, IgG, FcRn) and by transfer; by binding to other binding proteins of serum proteins Coupling (such as nano-antibody, Fab, DARPin, high-affinity multimer, affinity antibody and anti-carrier protein) (genetic or chemical); by binding to rPEG, albumin, albumin domain, albumin and Fc genetic fusion; or by incorporation into a nanocarrier, sustained release formulation, or medical device.

為了延長活體內抗體之血清循環,諸如高分子量PEG之惰性聚合物分子可經由PEG與抗體之N末端或C末端之位點特異性結合或經由存在於離胺酸殘基上之ε胺基、使用或不使用多官能性連接子連接於抗體或其片段。為使抗體發生聚乙二醇化,通常使抗體或其片段與聚乙二醇(PEG)(諸如PEG之反應性酯或醛衍生物)在使一或多個PEG基團連接於抗體或抗體片段的條件下反應。聚乙二醇化可藉由與反應性PEG分子(或類似之反應性水溶聚合物)之醯化反應或烷基化反應來進行。如本文所用,術語「聚乙二醇」意欲涵蓋已用於衍生其他蛋白質之任何PEG形式,諸如單(C1-C10)烷氧基或芳氧基聚乙二醇或聚乙二醇-順丁烯二醯亞胺。在某些實施例中,待聚乙二醇化之抗體為去糖基化抗體。將使用使生物活性損失降至最小之線性或分枝聚合物衍生化。結合度可藉由SDS-PAGE及質譜密切監測以確保PEG分子與抗體之適當結合。未反應之PEG可藉由尺寸排阻或藉由離子交換層析而與抗體-PEG結合物分離。可使用熟習此項技術者熟知的方法(例如本文所述之免疫分析)測試PEG衍生化抗體的結合活性以及活體內功效。蛋白質聚乙二醇化方法在此項技術中已知且可應用於本發明之抗體。參見例如Nishimura等人之EP 0 154 316及Ishikawa等人之EP 0 401 384。 In order to prolong the serum circulation of antibodies in vivo, an inert polymer molecule such as a high molecular weight PEG may specifically bind to the N-terminal or C-terminal site of the antibody via PEG or via an epsilon amine group present on the amino acid residue, The antibody or fragment thereof is ligated with or without a polyfunctional linker. To PEGylate an antibody, the antibody or fragment thereof is typically linked to a polyethylene glycol (PEG) (such as a reactive ester or aldehyde derivative of PEG) by attaching one or more PEG groups to the antibody or antibody fragment. The reaction under the conditions. PEGylation can be carried out by a deuteration reaction or an alkylation reaction with a reactive PEG molecule (or a similar reactive water-soluble polymer). As used herein, the term "polyethylene glycol" is intended to encompass any PEG form that has been used to derive other proteins, such as mono(C1-C10) alkoxy or aryloxy polyethylene glycols or polyethylene glycol-cis-butane. Alkene diimine. In certain embodiments, the antibody to be PEGylated is a deglycosylated antibody. Linear or branched polymer derivatization that minimizes loss of biological activity will be used. The degree of binding can be closely monitored by SDS-PAGE and mass spectrometry to ensure proper binding of the PEG molecule to the antibody. Unreacted PEG can be separated from the antibody-PEG conjugate by size exclusion or by ion exchange chromatography. Binding activity and in vivo efficacy of PEG-derivatized antibodies can be tested using methods well known to those skilled in the art, such as the immunoassays described herein. Protein pegylation methods are known in the art and are applicable to the antibodies of the invention. See, for example, EP 0 154 316 by Nishimura et al. and EP 0 401 384 by Ishikawa et al.

其他經修改之聚乙二醇化技術包括再建化學正交導引工程改造技術(ReCODE PEG),其經由包括tRNA合成酶及tRNA之再建系統將 化學上特定的側鏈併入生物合成蛋白質中。此技術能夠將超過30種新胺基酸併入生物大腸桿菌、酵母及哺乳動物細胞之合成蛋白質中。tRNA將非天然胺基酸併入琥珀密碼子所定位之任何位置,從而將琥珀密碼子自終止密碼子轉換為傳遞化學上指定胺基酸之合併信號的密碼子。 Other modified PEGylation techniques include re-establishing chemical orthogonal targeting engineering (ReCODE PEG) via a reconstitution system including tRNA synthetase and tRNA Chemically specific side chains are incorporated into the biosynthetic protein. This technology enables the incorporation of more than 30 neo-amino acids into synthetic proteins of bio-E. coli, yeast and mammalian cells. The tRNA incorporates the unnatural amino acid to any position where the amber codon is located, thereby converting the amber codon from the stop codon to a codon that conveys the combined signal of the chemically designated amino acid.

重組聚乙二醇化技術(rPEG)亦可用於延長血清半衰期。此技術包括以遺傳方式將300至600個胺基酸非結構化蛋白質尾與現有醫藥蛋白質融合。由於此類非結構化蛋白質鏈之表觀分子量比其實際分子量大約15倍,因此蛋白質之血清半衰期大大延長。與需要化學結合及再純化之傳統聚乙二醇化相比,此製造方法大大簡化且產物為均質的。 Recombinant PEGylation technology (rPEG) can also be used to extend serum half-life. This technique involves genetically fusing 300 to 600 amino acid unstructured protein tails to existing pharmaceutical proteins. Since the apparent molecular weight of such unstructured protein chains is about 15 times greater than its actual molecular weight, the serum half-life of the protein is greatly extended. This manufacturing process is greatly simplified and the product is homogeneous compared to conventional pegylation requiring chemical bonding and repurification.

另一技術為聚唾液酸化,其使用天然聚合物聚唾液酸(PSA)延長有效壽命且改良治療肽及蛋白質之穩定性。PSA為唾液酸聚合物(一種糖)。當用於傳遞蛋白質及治療肽藥物時,聚唾液酸為結合提供保護性微環境。此提高治療性蛋白質在循環中之有效壽命且防止其被免疫系統識別。PSA聚合物天然地存在於人體中。進化逾數百萬年之某些細菌採用PSA聚合物覆蓋其壁。此等天然聚唾液酸化細菌接著能夠憑藉分子擬態來阻擋身體之防禦系統。此類細菌中可容易產生大量具有預定物理特徵之PSA(天然之終極隱匿技術)。由於細菌PSA與人體中之PSA在化學上相同,因此細菌PSA完全不具免疫原性,即使在與蛋白質偶合時。 Another technique is polysialylation, which uses natural polymer polysialic acid (PSA) to extend the useful life and improve the stability of therapeutic peptides and proteins. PSA is a sialic acid polymer (a sugar). When used to deliver proteins and therapeutic peptide drugs, polysialic acid provides a protective microenvironment for binding. This increases the useful life of the therapeutic protein in the circulation and prevents it from being recognized by the immune system. PSA polymers are naturally present in the human body. Some bacteria that have evolved over millions of years have covered their walls with PSA polymers. These natural polysialytic bacteria can then block the body's defense system by virtue of molecular mimicry. A large number of PSAs with a predetermined physical characteristic (natural ultimate stealing technique) can be easily produced in such bacteria. Since bacterial PSA is chemically identical to PSA in humans, bacterial PSA is completely non-immunogenic, even when coupled with proteins.

另一技術包括使用連接於抗體之羥基乙基澱粉(「HES」)衍生物。HES為來源於糯性玉米澱粉之經修飾天然聚合物,且可藉由身體之酶代謝。通常投與HES溶液以取代血容量不足及改良血液之流變特性。抗體之羥基乙基澱粉化能夠藉由提高分子穩定性以及藉由減小腎清除率而延長循環半衰期,從而提高生物活性。藉由改變不同參數,諸如HES分子量,可定製廣泛範圍之HES抗體結合物。 Another technique involves the use of a hydroxyethyl starch ("HES") derivative linked to an antibody. HES is a modified natural polymer derived from waxy corn starch and can be metabolized by enzymes of the body. HES solutions are usually administered to replace hypovolemia and to improve the rheological properties of the blood. Hydroxyethyl amylation of antibodies can increase biological activity by increasing molecular stability and by increasing renal half-life by reducing renal clearance. A wide range of HES antibody conjugates can be customized by varying different parameters, such as HES molecular weight.

亦可藉由將一或多個胺基酸修飾(亦即取代、插入或缺失)引入IgG恆定域或其FcRn結合片段(較佳Fc或鉸鏈Fc域片段)中來產生活體內半衰期延長的抗體。參見例如國際公開案第WO 98/23289號;國際公開案第WO 97/34631號;及美國專利第6,277,375號。 An antibody having an extended half-life in vivo can also be produced by introducing one or more amino acid modifications (ie, substitutions, insertions or deletions) into an IgG constant domain or an FcRn binding fragment thereof (preferably an Fc or hinge Fc domain fragment). . See, for example, International Publication No. WO 98/23289; International Publication No. WO 97/34631; and U.S. Patent No. 6,277,375.

另外,抗體可與白蛋白結合以便使得抗體或抗體片段在活體內更穩定或在活體內具有較長半衰期。該等技術為此項技術中所熟知,參見例如國際公開案第WO 93/15199號、第WO 93/15200號及第WO 01/77137號,及歐洲專利第EP 413,622號。 In addition, the antibody can bind to albumin to make the antibody or antibody fragment more stable in vivo or have a longer half-life in vivo. Such techniques are well known in the art, see, for example, International Publication No. WO 93/15199, No. WO 93/15200 and WO 01/77137, and European Patent No. EP 413,622.

延長半衰期之策略尤其適用於奈米抗體、基於纖維結合蛋白之結合子及需要延長活體內半衰期之其他抗體或蛋白質。 Strategies for prolonging half-life are particularly useful for nanobodies, fibronectin-based binders, and other antibodies or proteins that require increased half-life in vivo.

抗體結合物Antibody conjugate

本發明提供特異性結合於GITR蛋白質之抗體或其片段,其與異源蛋白質或多肽(或其片段,較佳至少10個、至少20個、至少30個、至少40個、至少50個、至少60個、至少70個、至少80個、至少90個或至少100個胺基酸之多肽)以重組方式融合或以化學方式結合(包括共價與非共價結合)而產生融合蛋白。特定言之,本發明提供融合蛋白,其包含本文所述抗體之抗原結合片段(例如Fab片段、Fd片段、Fv片段、F(ab)2片段、VH域、VH CDR、VL域或VL CDR)及異源蛋白質、多肽或肽。使蛋白質、多肽或肽與抗體或抗體片段融合或結合之方法在此項技術中已知。參見例如美國專利第5,336,603號、第5,622,929號、第5,359,046號、第5,349,053號、第5,447,851號及第5,112,946號;歐洲專利第EP 307,434號及第EP 367,166號;國際公開案第WO 96/04388號及第WO 91/06570號;Ashkenazi等人,1991,Proc.Natl.Acad.Sci.USA 88:10535-10539;Zheng等人,1995,J.Immunol.154:5590-5600;及Vil等人,1992,Proc.Natl.Acad.Sci.USA 89:11337-11341。 The invention provides an antibody or fragment thereof that specifically binds to a GITR protein, and a heterologous protein or polypeptide (or a fragment thereof, preferably at least 10, at least 20, at least 30, at least 40, at least 50, at least A fusion protein is produced by recombinant fusion or chemical binding (including covalent and non-covalent binding) of 60, at least 70, at least 80, at least 90 or at least 100 amino acid polypeptides. In particular, the invention provides fusion proteins comprising an antigen-binding fragment of an antibody described herein (eg, a Fab fragment, an Fd fragment, an Fv fragment, a F(ab)2 fragment, a VH domain, a VH CDR, a VL domain, or a VL CDR) And heterologous proteins, polypeptides or peptides. Methods of fusing or binding a protein, polypeptide or peptide to an antibody or antibody fragment are known in the art. See, for example, U.S. Patent Nos. 5,336,603, 5,622,929, 5,359,046, 5,349,053, 5,447,851 and 5,112,946; European Patent Nos. EP 307,434 and EP 367,166; International Publication No. WO 96/04388 and WO 91/06570; Ashkenazi et al, 1991, Proc. Natl. Acad. Sci. USA 88: 10535-10539; Zheng et al, 1995, J. Immunol. 154: 5590-5600; and Vil et al., 1992 , Proc. Natl. Acad. Sci. USA 89: 11337-11341.

其他融合蛋白可經由基因改組、基元改組、外顯子改組及/或密碼子改組(統稱為「DNA改組」)技術產生。DNA改組可用於改變本發明抗體或其片段之活性(例如具有較高親和力及較低解離速率的抗體或其片段)。一般而言,參見美國專利第5,605,793號、第5,811,238號、第5,830,721號、第5,834,252號及第5,837,458號;Patten等人,1997,Curr.Opinion Biotechnol.8:724-33;Harayama,1998,Trends Biotechnol.16(2):76-82;Hansson等人,1999,J.Mol.Biol.287:265-76;及Lorenzo及Blasco,1998,Biotechniques 24(2):308-313(此等專利及公開案各特此以全文引用的方式併入本文中)。抗體或其片段,或所編碼之抗體或其片段在重組之前可如下改變:藉由易錯PCR進行隨機突變誘發、隨機核苷酸插入或其他方法。編碼特異性結合於GITR蛋白質之抗體或其片段的聚核苷酸可與一或多種異源分子之一或多種組分、基元、區段、部分、域、片段等重組。 Other fusion proteins can be produced by techniques of gene shuffling, motif shuffling, exon shuffling, and/or codon shuffling (collectively referred to as "DNA shuffling"). DNA shuffling can be used to alter the activity of an antibody or fragment thereof of the invention (e.g., an antibody or fragment thereof having a higher affinity and a lower off rate). In general, see U.S. Patent Nos. 5,605,793, 5,811,238, 5,830,721, 5,834,252, and 5,837,458; Patten et al., 1997, Curr. Opinion Biotechnol. 8:724-33; Harayama, 1998, Trends Biotechnol .16(2): 76-82; Hansson et al., 1999, J. Mol. Biol. 287: 265-76; and Lorenzo and Blasco, 1998, Biotechniques 24(2): 308-313 (these patents and publications) Each case is hereby incorporated by reference in its entirety. The antibody or fragment thereof, or the encoded antibody or fragment thereof, can be altered prior to recombination by random mutation induction, random nucleotide insertion or other methods by error-prone PCR. A polynucleotide encoding an antibody or fragment thereof that specifically binds to a GITR protein can be recombined with one or more components, motifs, segments, portions, domains, fragments, and the like of one or more heterologous molecules.

此外,抗體或其片段可與諸如肽之標記序列融合以促進純化。在較佳實施例中,標記胺基酸序列為六組胺酸(SEQ ID NO:11)肽,尤其諸如pQE載體(QIAGEN,Inc.,9259 Eton Avenue,Chatsworth,Calif.,91311)中所提供之標記,其中許多可購得。如Gentz等人,1989,Proc.Natl.Acad.Sci.USA 86:821-824中所述,例如六組胺酸(SEQ ID NO:11)為融合蛋白之純化提供方便。適用於純化之其他肽標記包括(但不限於)紅血球凝集素(「HA」)標記,其對應於來源於流感紅血球凝集素蛋白之抗原決定基(Wilson等人,1984,Cell 37:767);及「flag」標記。 In addition, antibodies or fragments thereof can be fused to a tag sequence such as a peptide to facilitate purification. In a preferred embodiment, the labeled amino acid sequence is a hexahistamine (SEQ ID NO: 11) peptide, particularly as provided in a pQE vector (QIAGEN, Inc., 9259 Eton Avenue, Chatsworth, Calif., 91311). Marks, many of which are commercially available. As described in Gentz et al., 1989, Proc. Natl. Acad. Sci. USA 86:821-824, for example, hexahistamine (SEQ ID NO: 11) facilitates purification of the fusion protein. Other peptide markers suitable for purification include, but are not limited to, a hemagglutinin ("HA") marker, which corresponds to an epitope derived from influenza red hemagglutinin protein (Wilson et al., 1984, Cell 37:767); And the "flag" tag.

在其他實施例中,本發明之抗體或其片段與診斷劑或偵測劑結合。作為臨床測試程序之一部分,此類抗體可適用於監測或預後疾病或病症之發作、發展、進展及/或嚴重性,諸如測定特定療法之功效。此類診斷及偵測可藉由使抗體與可偵測物質偶合來實現,可偵測 物質包括(但不限於)不同酶,諸如(但不限於)辣根過氧化酶、鹼性磷酸酶、β-半乳糖苷酶或乙醯膽鹼酯酶;輔基,諸如(但不限於)抗生蛋白鏈菌素/生物素及抗生物素蛋白/生物素;螢光物質,諸如(但不限於)傘酮、螢光素、異硫氰酸螢光素、若丹明(rhodamine)、二氯三嗪基胺螢光素、二甲胺基磺萘醯氯或藻紅素;發光物質,諸如(但不限於)魯米諾(luminol);生物發光物質,諸如(但不限於)螢光素酶、螢光素及水母素;放射性物質,諸如(但不限於)碘(131I、125I、123I及121I)、碳(14C)、硫(35S)、氚(3H)、銦(115In、113In、112In及111In)、鎝(99Tc)、鉈(201Ti)、鎵(68Ga、67Ga)、鈀(103Pd)、鉬(99Mo)、氙(133Xe)、氟(18F)、153Sm、177Lu、159Gd、149Pm、140La、175Yb、166Ho、90Y、47Sc、186Re、188Re、142Pr、105Rh、97Ru、68Ge、57Co、65Zn、85Sr、32P、153Gd、169Yb、51Cr、54Mn、75Se、113Sn及117Tin;及使用各種正電子發射斷層攝影之正電子發光金屬,及非放射性順磁金屬離子。 In other embodiments, an antibody or fragment thereof of the invention is combined with a diagnostic or detection agent. As part of a clinical testing procedure, such antibodies can be adapted to monitor or prognose the onset, progression, progression, and/or severity of a disease or condition, such as determining the efficacy of a particular therapy. Such diagnosis and detection can be achieved by coupling antibodies to detectable substances and detecting Substances include, but are not limited to, different enzymes such as, but not limited to, horseradish peroxidase, alkaline phosphatase, beta-galactosidase or acetylcholinesterase; prosthetic groups such as, but not limited to Streptavidin/biotin and avidin/biotin; fluorescent substances such as, but not limited to, umbelliferone, luciferin, luciferin isothiocyanate, rhodamine, two Chlorotriazinylamine luciferin, dimethylamine sulfonaphthoquinone chloride or phycoerythrin; luminescent material such as, but not limited to, luminol; bioluminescent material such as, but not limited to, fluorescent Nuclease, luciferin and aequor; radioactive materials such as, but not limited to, iodine (131I, 125I, 123I and 121I), carbon (14C), sulfur (35S), antimony (3H), indium (115In, 113In , 112In and 111In), yttrium (99Tc), yttrium (201Ti), gallium (68Ga, 67Ga), palladium (103Pd), molybdenum (99Mo), yttrium (133Xe), fluorine (18F), 153Sm, 177Lu, 159Gd, 149Pm , 140La, 175Yb, 166Ho, 90Y, 47Sc, 186Re, 188Re, 142Pr, 105Rh, 97Ru, 68Ge, 57Co, 65Zn, 85Sr, 32P, 153Gd, 169Yb, 51Cr, 54Mn, 75Se, 113Sn, and 117Tin; and using various positrons emission The positron-emitting metal of tomography, and non-radioactive paramagnetic metal ions.

此外,本發明涵蓋結合於治療部分或藥物部分的抗體或其片段,該治療部分或藥物部分調節結合於治療部分之抗體或其片段的既定生物作用或反應及用途。治療部分或藥物部分不應視為限於經典化學治療劑。舉例而言,藥物部分可為具有所要生物活性之蛋白質、肽或多肽。此類蛋白質可包括例如毒素,諸如相思子毒素、蓖麻毒素A、綠膿桿菌外毒素、霍亂毒素或白喉毒素;蛋白質,諸如腫瘤壞死因子、α干擾素、β干擾素、神經生長因子、血小板衍生生長因子、組織纖維蛋白溶酶原活化因子;細胞凋亡劑;抗血管生成劑;或生物反應調節劑,諸如淋巴激素。抗體或其片段可結合於治療部分(諸如細胞毒素,例如細胞抑制劑或殺細胞劑)、治療劑或放射性金屬離子(例如α-發射體)。細胞毒素或細胞毒性劑包括對細胞不利的任何試劑。 Furthermore, the invention encompasses antibodies or fragments thereof that bind to a therapeutic moiety or a pharmaceutical moiety that modulates the intended biological action or reaction and use of the antibody or fragment thereof that binds to the therapeutic moiety. The therapeutic portion or drug portion should not be considered limited to classical chemotherapeutic agents. For example, the drug moiety can be a protein, peptide or polypeptide having the desired biological activity. Such proteins may include, for example, toxins such as acacia toxin, ricin A, Pseudomonas aeruginosa exotoxin, cholera toxin or diphtheria toxin; proteins such as tumor necrosis factor, alpha interferon, beta interferon, nerve growth factor, platelets Derived growth factor, tissue plasminogen activator; apoptosis agent; anti-angiogenic agent; or biological response modifier, such as lymphokine. The antibody or fragment thereof can bind to a therapeutic moiety (such as a cytotoxin, such as a cytostatic or cytocidal), a therapeutic agent, or a radioactive metal ion (eg, an alpha-emitter). Cytotoxins or cytotoxic agents include any agent that is detrimental to cells.

舉例而言,抗體可與以下結合:治療部分,諸如放射性金屬離 子,諸如α-發射體,諸如213Bi;或適用於放射金屬離子(包括(但不限於)131In、131LU、131Y、131Ho、131Sm)與多肽之結合的巨環螯合劑。在某些實施例中,巨環螯合劑為1,4,7,10-四氮雜環十二烷-N,N',N",N'"-四乙酸(DOTA),其可經由連接子分子連接於抗體。此類連接子分子在此項技術中通常已知且描述於Denardo等人,1998,Clin Cancer Res.4(10):2483-90;Peterson等人,1999,Bioconjug.Chem.10(4):553-7;及Zimmerman等人,1999,Nucl.Med.Biol.26(8):943-50,各以全文引用的方式併入本文中。 For example, an antibody can be combined with a therapeutic moiety, such as a radioactive metal ion A sub-ring, such as an alpha-emitter, such as 213Bi; or a macrocyclic chelating agent suitable for the binding of a metal ion, including but not limited to 131In, 131LU, 131Y, 131Ho, 131Sm, to a polypeptide. In certain embodiments, the macrocyclic chelating agent is 1,4,7,10-tetraazacyclododecane-N,N',N",N'"-tetraacetic acid (DOTA), which is connectable via The daughter molecule is attached to the antibody. Such linker molecules are generally known in the art and are described in Denardo et al, 1998, Clin Cancer Res. 4(10): 2482-90; Peterson et al, 1999, Bioconjug. Chem. 10(4): 553-7; and Zimmerman et al, 1999, Nucl. Med. Biol. 26(8): 943-50, each incorporated herein by reference in its entirety.

使治療部分與抗體結合的技術已熟知,參見例如Arnon等人,「Monoclonal Antibodies For Immunotargeting Of Drugs In Cancer Therapy」,於Monoclonal Antibodies And Cancer Therapy,Reisfeld等人(編),第243-56頁(Alan R.Liss,Inc.1985);Hellstrom等人,「Antibodies For Drug Delivery」,於Controlled Drug Delivery(第2版);Robinson等人(編),第623-53頁(Marcel Dekker,Inc.1987);Thorpe,「Antibody Carriers Of Cytotoxic Agents In Cancer Therapy:A Review」,Monoclonal Antibodies 84:Biological And Clinical Applications,Pinchera等人(編),第475-506頁(1985);「Analysis,Results,And Future Prospective Of The Therapeutic Use Of Radiolabeled Antibody In Cancer Therapy」,Monoclonal Antibodies For Cancer Detection And Therapy,Baldwin等人(編),第303-16頁(Academic Press 1985);及Thorpe等人,1982,Immunol.Rev.62:119-58。 Techniques for binding a therapeutic moiety to an antibody are well known, see, for example, Arnon et al, "Monoclonal Antibodies For Immunotargeting Of Drugs In Cancer Therapy", in Monoclonal Antibodies And Cancer Therapy, Reisfeld et al. (eds.), pp. 243-56 (Alan R. Liss, Inc. 1985); Hellstrom et al., "Antibodies For Drug Delivery", Controlled Drug Delivery (2nd Edition); Robinson et al. (eds.), pp. 623-53 (Marcel Dekker, Inc. 1987) Thorpe, "Antibody Carriers Of Cytotoxic Agents In Cancer Therapy: A Review", Monoclonal Antibodies 84: Biological And Clinical Applications, Pinchera et al. (eds.), pp. 475-506 (1985); "Analysis, Results, And Future Prospective Of The Therapeutic Use Of Radiolabeled Antibody In Cancer Therapy, Monoclonal Antibodies For Cancer Detection And Therapy, Baldwin et al. (eds.), pp. 303-16 (Academic Press 1985); and Thorpe et al., 1982, Immunol. Rev. :119-58.

抗體亦可連接於固體載體,其尤其適用於標靶抗原之免疫分析或純化。此類固體載體包括(但不限於)玻璃、纖維素、聚丙烯醯胺、耐綸、聚苯乙烯、聚氯乙烯或聚丙烯。 The antibody may also be linked to a solid support, which is especially useful for immunoassays or purification of the target antigen. Such solid carriers include, but are not limited to, glass, cellulose, polypropylene decylamine, nylon, polystyrene, polyvinyl chloride or polypropylene.

編碼促效抗GITR抗體之聚核苷酸Polynucleotide encoding an anti-GITR antibody

抗GITR抗體、抗原結合分子及其片段可藉由此項技術中已知之任何方法製備,包括(但不限於)重組表現、化學合成及酶促消化抗體四聚體,而全長單株抗體可藉由例如融合瘤或重組製備來獲得。重組表現可來自此項技術中已知之任何適當宿主細胞,例如哺乳動物宿主細胞、細菌宿主細胞、酵母宿主細胞、昆蟲宿主細胞等。 Anti-GITR antibodies, antigen binding molecules and fragments thereof can be prepared by any method known in the art including, but not limited to, recombinant expression, chemical synthesis, and enzymatic digestion of antibody tetramers, while full-length monoclonal antibodies can be borrowed Obtained by, for example, fusion tumors or recombinant preparation. Recombinant expression can be from any suitable host cell known in the art, such as mammalian host cells, bacterial host cells, yeast host cells, insect host cells, and the like.

本發明進一步提供編碼本文所述之抗體的聚核苷酸,例如本文所述之編碼包含互補決定區之重鏈或輕鏈可變區或區段的聚核苷酸。在一些實施例中,編碼重鏈可變區之聚核苷酸包含與選自由SEQ ID NO:51、SEQ ID NO:53、SEQ ID NO:55、SEQ ID NO:56、SEQ ID NO:57、SEQ ID NO:101、SEQ ID NO:107及SEQ ID NO:115組成之群的聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性的序列。在一些實施例中,編碼輕鏈可變區之聚核苷酸包含與選自由SEQ ID NO:52、SEQ ID NO:54及SEQ ID NO:102組成之群的聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性的序列。 The invention further provides a polynucleotide encoding an antibody described herein, such as a polynucleotide encoding a heavy or light chain variable region or segment comprising a complementarity determining region as described herein. In some embodiments, the polynucleotide encoding the heavy chain variable region comprises and is selected from the group consisting of SEQ ID NO: 51, SEQ ID NO: 53, SEQ ID NO: 55, SEQ ID NO: 56, and SEQ ID NO: 57 The polynucleotide of the group consisting of SEQ ID NO: 101, SEQ ID NO: 107 and SEQ ID NO: 115 has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95 Sequence of %, 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding a light chain variable region comprises at least 85% of a polynucleotide selected from the group consisting of SEQ ID NO: 52, SEQ ID NO: 54 and SEQ ID NO: 102 , 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence of nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:67之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:67. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:72之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與選擇自SEQ ID NO:73之聚核苷酸具有至少 85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:72. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least one of the polynucleotides selected from SEQ ID NO: 73 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:74之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:74. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:76之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:76. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:78之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:78. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與選自由SEQ ID NO:103組成之群的聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:104之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, and a polynucleotide selected from the group consisting of SEQ ID NO:103. 94%, 95%, 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO: 104 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:108之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:104之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:108 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO: 104 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:116之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:116. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:118之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO: , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:120之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與選自由SEQ ID NO:68組成之群的聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO: 120 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93% with a polynucleotide selected from the group consisting of SEQ ID NO:68. 94%, 95%, 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:122之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、 96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:122. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:124之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO: 124 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:131之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:131 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:133之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO: , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:135之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、 89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:135 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85% of the polynucleotide of SEQ ID NO:68, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:137之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:137 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:139之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:139. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:141之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO: 141 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:143之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:68之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:143 , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:68. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

在一些實施例中,編碼重鏈之聚核苷酸與SEQ ID NO:60之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。在一些實施例中,編碼輕鏈之聚核苷酸與SEQ ID NO:58之聚核苷酸具有至少85%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%核酸序列一致性。 In some embodiments, the polynucleotide encoding the heavy chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:60. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity. In some embodiments, the polynucleotide encoding the light chain has at least 85%, 89%, 90%, 91%, 92%, 93%, 94%, 95% of the polynucleotide of SEQ ID NO:58. , 96%, 97%, 98%, 99% or 100% nucleic acid sequence identity.

本發明之聚核苷酸僅可編碼抗GITR抗體之可變區序列。其亦可編碼抗體之可變區與恆定區。一些聚核苷酸序列編碼包含例示性小鼠抗GITR抗體中之一者的重鏈與輕鏈之可變區的多肽。一些其他聚核苷酸編碼與小鼠抗體中之一者的重鏈及輕鏈之可變區分別實質性一致的兩個多肽區段。 The polynucleotide of the present invention can only encode the variable region sequence of an anti-GITR antibody. It can also encode the variable and constant regions of an antibody. Some polynucleotide sequences encode polypeptides comprising the variable regions of the heavy and light chains of one of the exemplary mouse anti-GITR antibodies. Some other polynucleotides encode two polypeptide segments that are substantially identical to the variable regions of the heavy and light chains, respectively, of one of the mouse antibodies.

聚核苷酸序列可藉由重新固相DNA合成或藉由編碼抗GITR抗體或其結合片段之現有序列(例如如本文中所述之序列)之PCR突變誘發來產生。核酸之直接化學合成可藉由此項技術中已知之方法實現,諸如Narang等人,1979,Meth.Enzymol.68:90之磷酸三酯法;Brown等人,Meth.Enzymol.68:109,1979之磷酸二酯法;Beaucage等人,Tetra.Lett.,22:1859,1981之胺基磷酸二乙酯法;及美國專利第4,458,066號之固體載體法。藉由PCR向聚核苷酸序列引入突變可如以下文獻中所述進行:例如PCR Technology:Principles and Applications for DNA Amplification,H.A.Erlich(編),Freeman Press,NY,NY,1992;PCR Protocols:A Guide to Methods and Applications,Innis等人(編),Academic Press,San Diego,CA,1990;Mattila等人,Nucleic Acids Res.19:967,1991;及Eckert等人,PCR Methods and Applications 1:17,1991。 Polynucleotide sequences can be produced by re-solid phase DNA synthesis or by PCR mutation induction encoding an existing sequence of an anti-GITR antibody or binding fragment thereof, such as a sequence as described herein. Direct chemical synthesis of nucleic acids can be accomplished by methods known in the art, such as the phosphotriester method of Narang et al., 1979, Meth. Enzymol. 68:90; Brown et al., Meth. Enzymol. 68:109, 1979 Phosphate diester method; Beaucage et al., Tetra. Lett., 22: 1859, 1981 Aminophosphoric acid diethyl ester process; and U.S. Patent No. 4,458,066. Introduction of mutations into a polynucleotide sequence by PCR can be performed as described in the following literature: PCR Technology: Principles and Applications for DNA Amplification, HAErlich (ed.), Freeman Press, NY, NY, 1992; PCR Protocols: A Guide to Methods and Applications, Innis et al. (eds.), Academic Press, San Diego, CA, 1990; Mattila et al, Nucleic Acids Res. 19: 967, 1991; and Eckert et al., PCR Methods and Applications 1:17, 1991.

本發明亦提供產生上述抗GITR抗體之表現載體及宿主細胞。不同表現載體可用於表現編碼抗GITR抗體鏈、片段或結合片段之聚核 苷酸。基於病毒之表現載體與非病毒表現載體均可用於在哺乳動物宿主細胞中產生抗體。非病毒載體及系統包括質體、游離型載體,其通常具有用於表現蛋白質或RNA及人類人工染色體的表現卡匣(參見例如Harrington等人,Nat Genet 15:345,1997)。舉例而言,適用於在哺乳動物(例如人類)細胞中表現抗GITR聚核苷酸及多肽之非病毒載體包括pThioHis A、B及C、pcDNA3.1/His、pEBVHis A、B及C(Invitrogen,San Diego,CA)、MPSV載體及此項技術中已知用於表現其他蛋白質之許多其他載體。適用的病毒載體包括基於逆轉錄病毒、腺病毒、腺相關病毒、疱疹病毒之載體;基於SV40、乳頭狀瘤病毒、HBP埃-巴二氏病毒(HBP Epstein Barr virus)、牛痘病毒載體及勝利基森林病毒(Semliki Forest virus;SFV)之載體。參見Brent等人,同上;Smith,Annu.Rev.Microbiol.49:807,1995;及Rosenfeld等人,Cell 68:143,1992。 The present invention also provides expression vectors and host cells which produce the above anti-GITR antibodies. Different expression vectors can be used to express a polynucleus encoding an anti-GITR antibody chain, fragment or binding fragment Glycosylate. Both viral-based expression vectors and non-viral expression vectors can be used to produce antibodies in mammalian host cells. Non-viral vectors and systems include plastid, episomal vectors, which typically have a manifestation for expression of proteins or RNA and human artificial chromosomes (see, eg, Harrington et al, Nat Genet 15:345, 1997). For example, non-viral vectors suitable for displaying anti-GITR polynucleotides and polypeptides in mammalian (eg, human) cells include pThioHis A, B and C, pcDNA3.1/His, pEBVHis A, B, and C (Invitrogen) , San Diego, CA), MPSV vectors and many other vectors known in the art for expressing other proteins. Suitable viral vectors include vectors based on retrovirus, adenovirus, adeno-associated virus, herpes virus; based on SV40, papilloma virus, HBP Epstein Barr virus, vaccinia virus vector and victory base The carrier of the forest virus (Semliki Forest virus; SFV). See Brent et al., supra; Smith, Annu. Rev. Microbiol. 49: 807, 1995; and Rosenfeld et al, Cell 68: 143, 1992.

表現載體之選擇視欲表現載體之預定宿主細胞而定。通常,表現載體含有啟動子及可操作地連接於編碼抗GITR抗體鏈或片段之聚核苷酸的其他調節序列(例如增強子)。在一些實施例中,誘導性啟動子用於防止所插入之序列表現,在誘導條件下除外。誘導性啟動子包括例如阿拉伯糖、lacZ、金屬硫蛋白啟動子或熱休克啟動子。經轉型之生物體培養物可在使群體不偏向表現產物被宿主細胞良好耐受的非誘導條件下擴增。除啟動子之外,其他調節元件亦可為抗GITR抗體鏈或片段之有效表現所必需或需要的。此等元件通常包括ATG起始密碼子及相鄰的核糖體結合位點或其他序列。另外,表現效率可藉由包括適於所用細胞系統之增強子來增強(參見例如Scharf等人,Results Probl.Cell Differ.20:125,1994;及Bittner等人,Meth.Enzymol.,153:516,1987)。舉例而言,SV40增強子或CMV增強子可用於增強哺乳動物宿主細胞中之表現。 The choice of expression vector depends on the intended host cell of the expression vector. Typically, the expression vector contains a promoter and other regulatory sequences (e.g., enhancers) operably linked to a polynucleotide encoding an anti-GITR antibody chain or fragment. In some embodiments, an inducible promoter is used to prevent expression of the inserted sequence, except under induction conditions. Inducible promoters include, for example, arabinose, lacZ, metallothionein promoters or heat shock promoters. The transformed organism culture can be expanded under non-inducing conditions that render the population unbiased that the performance product is well tolerated by the host cell. In addition to the promoter, other regulatory elements may be necessary or required for the effective performance of the anti-GITR antibody chain or fragment. Such elements typically include an ATG start codon and an adjacent ribosome binding site or other sequence. In addition, performance efficiency can be enhanced by including enhancers suitable for the cell system used (see, for example, Scharf et al, Results Probl. Cell Differ. 20: 125, 1994; and Bittner et al, Meth. Enzymol., 153:516). , 1987). For example, an SV40 enhancer or CMV enhancer can be used to enhance expression in a mammalian host cell.

表現載體亦可提供分泌信號序列位置以與由所插入之抗GITR抗體序列編碼之多肽形成融合蛋白。更通常,所插入之抗GITR抗體序列在包含於載體中之前連接於信號序列。待用於接收編碼抗GITR抗體輕鏈及重鏈可變域之序列的載體有時亦編碼恆定區或其一部分。此類載體允許可變區以與恆定區形成之融合蛋白形式表現,從而產生完整抗體或其片段。通常,此類恆定區為人類恆定區。 The expression vector can also provide a secretion signal sequence position to form a fusion protein with the polypeptide encoded by the inserted anti-GITR antibody sequence. More typically, the inserted anti-GITR antibody sequence is ligated to the signal sequence prior to inclusion in the vector. Vectors to be used to receive sequences encoding anti-GITR antibody light and heavy chain variable domains also sometimes encode a constant region or a portion thereof. Such vectors allow the variable region to be expressed as a fusion protein formed with the constant region, thereby producing an intact antibody or fragment thereof. Typically, such constant regions are human constant regions.

含有及表現抗GITR抗體鏈之宿主細胞可為原核或真核細胞。大腸桿菌為一種適用於選殖及表現本發明聚核苷酸之原核宿主。適用之其他微生物宿主包括桿菌(諸如枯草桿菌(Bacillus subtilis)),及其他腸內菌科(諸如沙門氏菌(Salmonella)、沙雷氏菌(Serratia)),及多種假單胞菌種。在此等原核宿主中,亦可產生表現載體,其通常含有與宿主細胞相容之表現控制序列(例如複製起點)。另外,將存在任何數目之多種熟知啟動子,諸如乳糖啟動子系統、色胺酸(trp)啟動子系統、β-內醯胺酶啟動子系統或來自噬菌體λ之啟動子系統。啟動子通常控制表現(視情況與操縱序列一起控制表現),且具有用於起始且完成轉錄及轉譯之核糖體結合位點序列及其類似序列。諸如酵母之其他微生物亦可用於表現本發明之抗GITR多肽。亦可使用昆蟲細胞與桿狀病毒載體之組合。 Host cells containing and expressing an anti-GITR antibody chain can be prokaryotic or eukaryotic. E. coli is a prokaryotic host suitable for the selection and expression of the polynucleotides of the present invention. Other microbial hosts suitable for use include bacilli (such as Bacillus subtilis), and other enterobacteriaceae (such as Salmonella, Serratia), and a variety of Pseudomonas species. In such prokaryotic hosts, expression vectors can also be produced which typically contain expression control sequences (e.g., origins of replication) that are compatible with the host cell. In addition, any number of well-known promoters will be present, such as a lactose promoter system, a tryptophan (trp) promoter system, a beta-endosinase promoter system, or a promoter system from phage lambda. Promoters typically control performance (controlling performance as appropriate with manipulation sequences) and have ribosome binding site sequences and similar sequences for initiation and completion of transcription and translation. Other microorganisms such as yeast can also be used to express the anti-GITR polypeptides of the invention. Combinations of insect cells and baculovirus vectors can also be used.

在一些較佳實施例中,以哺乳動物宿主細胞用於表現及產生本發明之抗GITR多肽。舉例而言,其可為表現內源免疫球蛋白基因之融合瘤細胞株(例如如實例中所述之骨髓瘤融合瘤純系)或含有外源表現載體之哺乳動物細胞株(例如下文舉例說明之SP2/0骨髓瘤細胞)。此等細胞包括任何正常死亡或正常或異常永生動物或人類細胞。舉例而言,已開發出能夠分泌完整免疫球蛋白之多種適合宿主細胞株,包括CHO細胞株、各種Cos細胞株、海拉細胞(HeLa cells)、骨髓瘤細胞株、經轉型之B細胞及融合瘤。以哺乳動物組織細胞培養物用於表現 多肽之用途一般論述於例如Winnacker,From Genes to Clones,VCH Publishers,N.Y.,N.Y.,1987中。哺乳動物宿主細胞之表現載體可包括表現控制序列,諸如複製起點、啟動子及增強子(參見例如Queen等人,Immunol.Rev.89:49-68,1986),及必需的處理資訊位點(諸如核糖體結合位點、RNA拼接位點、聚腺苷酸化位點),及轉錄終止子序列。此等表現載體通常含有來源於哺乳動物基因或來源於哺乳動物病毒之啟動子。合適啟動子可為組成性、細胞類型特異性、階段特異性及/或可調節或可調控的。適用之啟動子包括(但不限於)金屬硫蛋白啟動子、組成性腺病毒主要晚期啟動子、地塞米松(dexamethasone)誘導性MMTV啟動子、SV40啟動子、MRP polIII啟動子、組成性MPSV啟動子、四環素(tetracycline)誘導性CMV啟動子(諸如人類立即早期CMV啟動子)、組成性CMV啟動子及此項技術中已知之啟動子-增強子組合。 In some preferred embodiments, a mammalian host cell is used to express and produce an anti-GITR polypeptide of the invention. For example, it may be a fusion tumor cell line expressing an endogenous immunoglobulin gene (for example, a myeloma fusion tumor line as described in the Examples) or a mammalian cell line containing an exogenous expression vector (for example, exemplified below) SP2/0 myeloma cells). Such cells include any normal death or normal or abnormal immortal animal or human cell. For example, a variety of suitable host cell lines capable of secreting intact immunoglobulins have been developed, including CHO cell lines, various Cos cell lines, HeLa cells, myeloma cell lines, transformed B cells, and fusions. tumor. Using mammalian tissue cell cultures for performance The use of polypeptides is generally discussed, for example, in Winnacker, From Genes to Clones, VCH Publishers, N.Y., N.Y., 1987. Expression vectors for mammalian host cells can include expression control sequences such as origins of replication, promoters and enhancers (see, eg, Queen et al., Immunol. Rev. 89:49-68, 1986), and the necessary processing information sites (see, eg, Such as ribosome binding sites, RNA splicing sites, polyadenylation sites, and transcription terminator sequences. Such expression vectors typically contain a promoter derived from a mammalian gene or derived from a mammalian virus. Suitable promoters can be constitutive, cell type specific, stage specific and/or regulatable or regulatable. Suitable promoters include, but are not limited to, metallothionein promoter, constitutive adenovirus major late promoter, dexamethasone-inducible MMTV promoter, SV40 promoter, MRP polIII promoter, constitutive MPSV promoter , a tetracycline-inducible CMV promoter (such as the human immediate early CMV promoter), a constitutive CMV promoter, and a promoter-enhancer combination known in the art.

引入含有所關注之聚核苷酸序列之表現載體的方法視細胞宿主之類型而變化。舉例而言,氯化鈣轉染通常用於原核細胞,而磷酸鈣處理或電穿孔可用於其他細胞宿主。(一般參見Sambrook等人,同上)。其他方法包括例如電穿孔、磷酸鈣處理、脂質體介導之轉型、注射及顯微注射、衝擊法、病毒顆粒(virosome)、免疫脂質體、聚陽離子:核酸結合物、裸DNA、人工病毒粒子、與疱疹病毒結構蛋白VP22融合(Elliot及O'Hare,Cell 88:223,1997)、DNA之藥劑增強性吸收,及離體轉導。就長期高產率產生重組蛋白質而言,通常需要穩定的表現。舉例而言,穩定表現抗GITR抗體鏈或結合片段之細胞株可使用本發明之表現載體製備,本發明之表現載體含有病毒複製起點或內源性表現元件及可選標記基因。在引入載體之後,可允許細胞在豐富培養基中生長1-2天,隨後將豐富培養基與選擇性培養基交換。可選標記之目的為賦予選擇耐藥性,且其存在允許成功表現所引入序列 的細胞在選擇性培養基中生長。經穩定轉染之耐藥性細胞可使用適合於該細胞類型之組織培養技術增殖。 The method of introducing a expression vector containing a polynucleotide sequence of interest varies depending on the type of the cell host. For example, calcium chloride transfection is typically used in prokaryotic cells, while calcium phosphate treatment or electroporation can be used in other cellular hosts. (See generally Sambrook et al., supra). Other methods include, for example, electroporation, calcium phosphate treatment, liposome-mediated transformation, injection and microinjection, impact methods, viral particles, immunoliposomes, polycations: nucleic acid conjugates, naked DNA, artificial virions Fusion with herpesvirus structural protein VP22 (Elliot and O'Hare, Cell 88: 223, 1997), enhanced absorption of DNA agents, and ex vivo transduction. For long-term high yields of recombinant proteins, stable performance is usually required. For example, a cell line stably expressing an anti-GITR antibody chain or a binding fragment can be prepared using the expression vector of the present invention, and the expression vector of the present invention contains a viral origin of replication or an endogenous expression element and a selectable marker gene. After introduction of the vector, the cells can be allowed to grow for 1-2 days in a rich medium, followed by exchange of the rich medium with the selective medium. The purpose of the selectable marker is to confer resistance to selection and its presence allows for successful expression of the introduced sequence The cells are grown in selective medium. The stably transfected drug resistant cells can be propagated using tissue culture techniques appropriate to the cell type.

鑑別促效抗GITR抗體之分析Identification of agonistic anti-GITR antibodies

鑑別促效抗GITR抗體之分析為此項技術中已知且如本文所述。促效抗GITR抗體結合於GITR且促進、誘導、刺激胞內經由GITR進行之信號傳導。 Assays for identifying agonistic anti-GITR antibodies are known in the art and are described herein. The agonistic anti-GITR antibody binds to GITR and promotes, induces, stimulates intracellular signaling via GITR.

抗GITR抗體與GITR之結合可使用此項技術中已知之任何方法測定。舉例而言,與GITR之結合可使用已知技術測定,該等技術包括(但不限於)ELISA、西方墨點、表面電漿子共振(例如BIAcore)及流式細胞術。 The binding of an anti-GITR antibody to GITR can be determined using any method known in the art. For example, binding to GITR can be determined using known techniques including, but not limited to, ELISA, Western blots, surface plasmonic resonance (eg, BIAcore), and flow cytometry.

經由GITR進行之胞內信號傳導可使用此項技術中已知之任何方法量測。舉例而言,經由GITR活化促進NFκB及MAPK信號傳導。量測NFκB及MAPK活化之方法為此項技術中之標準方法(例如使用報導基因分析、NFκB蛋白之核轉位、MAPK蛋白之磷酸化狀態)。經由GITR活化為在經由T細胞受體活化存在下(例如在初級或標靶抗原存在下)促進經活化CD4+及CD8+ T細胞增殖的共刺激信號。量測細胞增殖之方法為此項技術中之標準方法(例如3H-胸苷併入分析,CFSE標記)。經由GITR信號傳導亦在經由T細胞受體活化存在下共刺激經活化之CD4+及CD8+ T細胞而產生細胞激素。經由GITR信號傳導亦共刺激經活化之NK細胞而產生細胞激素。細胞激素可為Th1型細胞激素(例如干擾素γ、IL-2及TNF)及Th2型細胞激素(例如IL-4、IL-5、IL-10及IL-13)中之任一者或兩者。量測細胞激素產生之方法為此項技術中熟知(例如ELISA分析、ELISpot分析)。經由GITR活化亦可誘導細胞凋亡。量測細胞凋亡之方法為此項技術中之標準方法(例如磷脂結合蛋白V染色)。在進行活體外分析時,可將與促效抗GITR抗體接觸之測試細胞或來自測試細胞之培養物上清液與尚未與促效抗GITR抗體 接觸之對照細胞或來自對照細胞之培養物上清液比較。 Intracellular signaling via GITR can be measured using any method known in the art. For example, NFκB and MAPK signaling are promoted via GITR activation. Methods for measuring activation of NFκB and MAPK are standard methods in the art (eg, using reporter gene analysis, nuclear translocation of NFκB protein, phosphorylation status of MAPK protein). Activation via GITR is a costimulatory signal that promotes proliferation of activated CD4 + and CD8 + T cells in the presence of T cell receptor activation (eg, in the presence of primary or target antigens). Methods for measuring cell proliferation are standard methods in the art (e.g., 3 H-thymidine incorporation assay, CFSE labeling). Cytokines are also produced by co-stimulation of activated CD4 + and CD8 + T cells via GITR signaling in the presence of T cell receptor activation. Cytokines are also produced by stimulating activated NK cells via GITR signaling. The cytokine may be any one or two of Th1 type cytokines (such as interferon gamma, IL-2 and TNF) and Th2 type cytokines (such as IL-4, IL-5, IL-10 and IL-13). By. Methods for measuring cytokine production are well known in the art (e.g., ELISA assay, ELISpot assay). Apoptosis can also be induced by activation of GITR. Methods for measuring apoptosis are standard methods in the art (e.g., phospholipid binding protein V staining). In the in vitro assay, the test cells contacted with the agonistic anti-GITR antibody or the culture supernatant from the test cells can be cultured with control cells that have not been contacted with the agonistic anti-GITR antibody or culture supernatants from control cells. Liquid comparison.

亦可在活體內量測本發明抗體之GITR促效功能。較佳促效抗GITR抗體能夠活化及擴增CD4+及CD8+ T細胞。CD4+及CD8+ T細胞之活體內活化及擴增可使用此項技術中已知之任何方法(例如藉由流式細胞術)量測。較佳促效抗GITR抗體可在治療上適用於抑制腫瘤生長或促進腫瘤收縮。腫瘤生長或其抑制可使用此項技術中已知之任何方法(例如視覺檢查、測徑規、稱量、成像技術,包括MRI)量測。較佳促效抗GITR抗體可在治療上適用於預防、降低、抑制或去除傳染病之誘因,例如細菌、真菌、病毒或寄生蟲感染。促效抗GITR抗體在增強T細胞反應或降低疾病嚴重性中之功效可藉由投與個體治療有效量之抗體且比較投與抗體之前及之後的個體來測定。促效抗GITR抗體在增強T細胞反應或降低疾病嚴重性中之功效亦可藉由投與治療測試個體有效量之抗體且比較測試個體與尚未投與抗體之對照個體來測定。 The GITR agonizing function of the antibody of the present invention can also be measured in vivo. Preferred agonistic anti-GITR antibodies are capable of activating and expanding CD4 + and CD8 + T cells. In vivo activation and amplification of CD4 + and CD8 + T cells can be measured using any method known in the art (e.g., by flow cytometry). Preferred agonistic anti-GITR antibodies are therapeutically suitable for inhibiting tumor growth or promoting tumor shrinkage. Tumor growth or inhibition thereof can be measured using any method known in the art (e.g., visual inspection, caliper, weighing, imaging techniques, including MRI). Preferred agonistic anti-GITR antibodies are therapeutically useful for preventing, reducing, inhibiting or eliminating the cause of infectious diseases such as bacterial, fungal, viral or parasitic infections. The efficacy of an agonistic anti-GITR antibody in enhancing a T cell response or reducing the severity of a disease can be determined by administering to a subject a therapeutically effective amount of the antibody and comparing the individual before and after administration of the antibody. The efficacy of the agonistic anti-GITR antibody in enhancing the T cell response or reducing the severity of the disease can also be determined by administering an effective amount of the antibody to the test subject and comparing the test subject to a control individual to whom the antibody has not been administered.

包含促效抗GITR抗體之組合物Composition comprising an agonistic anti-GITR antibody

本發明提供醫藥組合物,其包含與醫藥學上可接受之載劑一起調配之本發明抗GITR抗體或抗原結合分子視情況,醫藥組合物另外含有一或多種適用於治療或預防既定病症之其他治療劑。醫藥學上可接受之載體使組合物提高或穩定,或可促進組合物之製備。醫藥學上可接受之載劑包括生理上相容之溶劑、分散介質、包衣、抗細菌劑及抗真菌劑、等張劑及吸收延遲劑及其類似物。 The present invention provides a pharmaceutical composition comprising an anti-GITR antibody or antigen-binding molecule of the invention formulated together with a pharmaceutically acceptable carrier, optionally containing one or more other compounds suitable for the treatment or prevention of a defined condition. Therapeutic agent. A pharmaceutically acceptable carrier enhances or stabilizes the composition or may facilitate the preparation of the composition. Pharmaceutically acceptable carriers include physiologically compatible solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like.

本發明之醫藥組合物可藉由此項技術中已知之多種方法投與。投藥途徑及/或模式視所要結果而變化。較佳投與為靜脈內、肌肉內、腹膜內或皮下投與或接近標靶位點投與。醫藥學上可接受之載劑應適用於靜脈內、肌肉內、皮下、非經腸、鼻內、吸入、脊髓或表皮投與(例如藉由注射或輸注)。視投藥途徑而定,活性化合物(例如本發 明之抗體或抗原結合片段或多價分子(例如單特異性、雙特異性或多特異性分子))可包覆於材料中以保護化合物使其免受酸之作用及可使化合物不活化之其他自然條件。 The pharmaceutical compositions of the invention can be administered by a variety of methods known in the art. The route and/or mode of administration will vary depending on the desired outcome. Preferably, the administration is administered intravenously, intramuscularly, intraperitoneally or subcutaneously or close to the target site. A pharmaceutically acceptable carrier should be suitable for intravenous, intramuscular, subcutaneous, parenteral, intranasal, inhalation, spinal or epidermal administration (for example by injection or infusion). Depending on the route of administration, the active compound (eg the hair) An antibody or antigen-binding fragment or a multivalent molecule (eg, a monospecific, bispecific or multispecific molecule) can be coated in a material to protect the compound from the action of the acid and other compounds that render the compound inactive Natural conditions.

可將單獨或與其他適合組分組合形式的抗體或其片段製成氣溶膠調配物(亦即其可經「霧化)」以經由吸入投與。氣溶膠調配物可置於諸如二氯二氟甲烷、丙烷、氮氣及其類似物的可接受加壓之推進劑中。 The antibody or fragment thereof, alone or in combination with other suitable components, can be formulated into an aerosol formulation (i.e., it can be "atomized") for administration via inhalation. Aerosol formulations can be placed in an acceptable pressurized propellant such as dichlorodifluoromethane, propane, nitrogen, and the like.

在一些實施例中,組合物為無菌且流動的。舉例而言,可藉由使用諸如卵磷脂之包衣、藉由在分散液之情況下維持所需粒度及藉由使用界面活性劑來維持適當流動性。在諸多情形下,組合物中較佳包括等張劑,例如糖、多元醇(諸如甘露糖醇或山梨糖醇)及氯化鈉。藉由使組合物中包括延遲吸收之試劑(例如單硬脂酸鋁或明膠),可使可注射組合物長時間吸收。在某些實施例中,可製備組合物以使用適當賦形劑(例如蔗糖)以凍乾形式儲存。 In some embodiments, the composition is sterile and fluid. For example, proper fluidity can be maintained by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. In many cases, it is preferred to include an isotonic agent, such as a sugar, a polyol (such as mannitol or sorbitol), and sodium chloride in the composition. Injectable compositions can be absorbed for a prolonged period of time by including agents which delay absorption, such as aluminum monostearate or gelatin. In certain embodiments, the compositions can be prepared for storage in lyophilized form using suitable excipients such as sucrose.

本發明之醫藥組合物可根據此項技術中熟知且常規實踐之方法製備。醫藥學上可接受之載劑部分藉由所投予之特定組合物以及藉由投與組合物使用之特定方法決定。因此,存在本發明之醫藥組合物之多種適合調配物。調配抗體及確定適當給藥劑量及時程之適用方法可見於例如Remington:The Science and Practice of Pharmacy,第21版,University of the Sciences in Philadelphia,Lippincott Williams及Wilkins(2005)編;Martindale:The Complete Drug Reference,Sweetman,2005,London:Pharmaceutical Press.;Martindale,Martindale:The Extra Pharmacopoeia,第31版,1996,Amer Pharmaceutical Assn;及Sustained and Controlled Release Drug Delivery Systems,J.R.Robinson編,Marcel Dekker,Inc.,New York,1978中,其各特此以引用的方式併入本文中。醫藥組合物較佳在GMP 條件下製造。通常,本發明之醫藥組合物中採用治療有效劑量或有用劑量之抗GITR抗體。抗GITR抗體藉由熟習此項技術者已知之習知方法調配成醫藥學上可接受之劑型。調節劑量方案以得到所要反應(例如治療反應)。在確定治療或預防有效劑量時,可投與低劑量,隨後逐漸增加直至在最少或無不適宜副作用下達成所要反應為止。舉例來說,如由治療情況的緊急狀態所指示,可單次團式投與,可隨時間投與數個分次劑量,或可按比例減少或增加劑量。尤其有利的是以劑量單位形式配製非經腸組合物以便於劑量的投與及均勻性。如本文所用之單位劑型係指適合作為單一劑量用於待治療之個體的實體上不連續單位;各單位含有經計算以與所需醫藥載劑結合產生所需治療作用之預定量活性化合物。 The pharmaceutical compositions of the present invention can be prepared according to methods well known and routinely practiced in the art. The pharmaceutically acceptable carrier moiety is determined by the particular composition being administered and by the particular method of administration of the composition. Thus, there are a variety of suitable formulations of the pharmaceutical compositions of the present invention. Suitable methods for formulating antibodies and determining appropriate dosing schedules can be found, for example, in Remington: The Science and Practice of Pharmacy , 21st Edition, University of the Sciences in Philadelphia, Lippincott Williams and Wilkins (2005); Martindale: The Complete Drug Reference , Sweetman, 2005, London: Pharmaceutical Press.; Martindale, Martindale: The Extra Pharmacopoeia , 31st edition, 1996, Amer Pharmaceutical Assn; and Sustained and Controlled Release Drug Delivery Systems, edited by JR Robinson, Marcel Dekker, Inc., New York In 1978, each of them is hereby incorporated by reference. The pharmaceutical composition is preferably manufactured under GMP conditions. Generally, a therapeutically effective or useful amount of an anti-GITR antibody is employed in the pharmaceutical compositions of the invention. Anti-GITR antibodies are formulated into pharmaceutically acceptable dosage forms by conventional methods known to those skilled in the art. The dosage regimen is adjusted to achieve the desired response (eg, a therapeutic response). In determining a therapeutically or prophylactically effective dose, a low dose can be administered, followed by a gradual increase until the desired response is achieved with minimal or no adverse side effects. For example, as indicated by the state of emergency of the treatment situation, a single bolus administration may be administered, several fractional doses may be administered over time, or the dose may be reduced or increased proportionally. It is especially advantageous to formulate parenteral compositions in dosage unit form for ease of administration and uniformity of dosage. Unit dosage form as used herein refers to a physically discrete unit suitable as a single dosage for the subject to be treated; each unit contains a predetermined amount of active compound calculated to produce the desired therapeutic effect in association with the desired pharmaceutical carrier.

可改變本發明之醫藥組合物中之活性成分的實際劑量,使得可獲得在對患者無毒性之情況下有效達成特定患者、組合物及投與模式之所需治療反應的量的活性成分。所選劑量取決於多種藥物動力學因素,其包括本發明所用特定組合物或其酯、鹽或醯胺之活性、投藥途徑、投藥時間、所用特定化合物之排泄速率、治療持續時間、與所用特定組合物組合使用之其他藥物、化合物及/或物質、所治療患者之年齡、性別、體重、病狀、一般健康狀況及先前病史及其類似因素。 The actual dosage of the active ingredient in the pharmaceutical compositions of the present invention can be varied so that the amount of active ingredient that is effective to achieve the desired therapeutic response in a particular patient, composition, and mode of administration without toxic to the patient can be obtained. The selected dose will depend on a variety of pharmacokinetic factors, including the activity of the particular composition or its ester, salt or guanamine used in the present invention, the route of administration, the time of administration, the rate of excretion of the particular compound employed, the duration of treatment, and the particular Other drugs, compounds and/or substances used in combination with the composition, age, sex, weight, condition, general health and prior medical history of the patient being treated, and the like.

與第二藥劑共調配Co-distributed with the second agent

在一些實施例中,藥理學組合物包含抗GITR抗體或抗原結合分子與第二藥理學藥劑之混合物。與本發明之抗GITR促效劑抗體或抗原結合分子之混合物中包括的例示性第二藥劑包括(但不限於)初級或標靶抗原、提高腫瘤細胞之免疫原性的藥劑、抑制或抑止共抑制信號之藥劑。 In some embodiments, the pharmacological composition comprises an anti-GITR antibody or a mixture of an antigen binding molecule and a second pharmacological agent. Exemplary second agents included in a mixture with an anti-GITR agonist antibody or antigen binding molecule of the invention include, but are not limited to, primary or target antigens, agents that increase the immunogenicity of tumor cells, inhibit or inhibit A drug that inhibits signals.

本發明之抗GITR抗體或抗原結合分子可與初級或標靶抗原共調配(亦即以混合物之形式提供或以混合物形式製備)。標靶抗原或疫苗 取決於待治療之疾病病狀。舉例而言,標靶抗原可來自腫瘤細胞、細菌細胞、真菌、病毒或寄生蟲。標靶抗原可視需要為肽、多肽、細胞或聚核苷酸之形式。 The anti-GITR antibodies or antigen binding molecules of the invention may be co-formulated with the primary or target antigen (i.e., provided as a mixture or as a mixture). Target antigen or vaccine It depends on the condition of the disease to be treated. For example, the target antigen can be from a tumor cell, a bacterial cell, a fungus, a virus, or a parasite. The target antigen may be in the form of a peptide, polypeptide, cell or polynucleotide.

在一個實施例中,標靶抗原來自例如選自由以下組成之群的病毒:肝炎A型、肝炎B型、肝炎C型、流感病毒、水痘、腺病毒、單純疱疹I型(HSV I)、單純疱疹II型(HSV II)、牛瘟、鼻病毒、埃可病毒(echovirus)、輪狀病毒、呼吸道融合細胞病毒、乳頭狀瘤病毒、乳多泡病毒、巨細胞病毒、埃克諾病毒(echinovirus)、蟲媒病毒、漢坦病毒(hantavirus)、柯薩奇病毒(coxsackie virus)、腮腺炎病毒、麻疹病毒、風疹病毒、脊髓灰質炎病毒、人類免疫缺陷病毒I型(HIV I)及人類免疫缺陷病毒II型(HIV II)、任何小RNA病毒科、腸病毒、杯狀病毒科、諾沃克病毒群(Norwalk group of viruses)中之任一者、披衣病毒(諸如甲病毒、黃病毒)、冠狀病毒、狂犬病毒、馬堡病毒(Marburg virus)、埃博拉病毒(ebola virus),副流感病毒、正黏液病毒、布尼亞病毒(bunyavirus)、沙粒狀病毒、呼腸孤病毒、輪狀病毒、環狀病毒、人類T細胞白血病病毒I型、人類T細胞白血病病毒II型、猴免疫缺乏病毒、慢病毒、多瘤病毒、小病毒、埃-巴二氏病毒、人類疱疹病毒6、猴庖疹病毒1(B病毒)及痘病毒。 In one embodiment, the target antigen is derived, for example, from a virus selected from the group consisting of hepatitis A, hepatitis B, hepatitis C, influenza virus, chickenpox, adenovirus, herpes simplex type I (HSV I), simple Herpes type II (HSV II), burdock, rhinovirus, echovirus, rotavirus, respiratory tract cell virus, papilloma virus, papovavirus, cytomegalovirus, ecinovirus ), arbovirus, hantavirus, coxsackie virus, mumps virus, measles virus, rubella virus, poliovirus, human immunodeficiency virus type I (HIV I) and human immunity Defective virus type II (HIV II), any small RNA virus family, enterovirus, calicivirus family, Norwalk group of viruses, chlamydia virus (such as alphavirus, flavivirus) , coronavirus, rabies virus, Marburg virus, ebola virus, parainfluenza virus, positive mucus virus, bunyavirus, ruby virus, reovirus, Rotavirus, ring disease Toxic, human T cell leukemia virus type I, human T cell leukemia virus type II, monkey immunodeficiency virus, lentivirus, polyoma virus, small virus, Epstein-Barr virus, human herpesvirus 6, monkey herpes virus 1 (B virus) and pox virus.

在一個實施例中,標靶抗原來自例如選自由以下組成之群的細菌:奈瑟氏菌屬(Neisseria spp)、鏈球菌屬(Streptococcus spp)、變異鏈球菌(S.mutans)、嗜血桿菌屬(Haemophilus spp.)、莫拉菌屬(Moraxella spp)、鮑特氏菌屬(Bordetella spp)、分支桿菌屬(Mycobacterium spp)、軍團菌屬(Legionella spp)、埃希氏菌屬(Escherichia spp)、弧菌屬(Vibrio spp)、耶爾森菌屬(Yersinia spp)、曲桿菌屬(Campylobacter spp)、沙門氏菌屬(Salmonella spp)、李氏菌屬(Listeria spp.)、螺旋桿菌屬(Helicobacter spp)、假單胞菌屬 (Pseudomonas spp)、葡萄球菌屬(Staphylococcus spp.)、腸球菌屬(Enterococcus spp)、梭菌屬(Clostridium spp.)、芽孢桿菌屬(Bacillus spp)、棒狀桿菌屬(Corynebacterium spp.)、疏螺旋體屬(Borrelia spp.)、艾利希體屬(Ehrlichia spp)、立克次體屬(Rickettsia spp)、衣原體屬(Chlamydia spp.)、鉤端螺旋體屬(Leptospira spp.)、密螺旋體屬(Treponema spp)。 In one embodiment, the target antigen is derived, for example, from a bacterium selected from the group consisting of Neisseria spp, Streptococcus spp, S. mutans, Haemophilus Genus (Haemophilus spp.), Moraxella spp, Bordetella spp, Mycobacterium spp, Legionella spp, Escherichia spp ), Vibrio spp, Yersinia spp, Campylobacter spp, Salmonella spp, Listeria spp., Helicobacter Spp), Pseudomonas (Pseudomonas spp), Staphylococcus spp., Enterococcus spp, Clostridium spp., Bacillus spp, Corynebacterium spp., sparse Borrelia spp., Ehrlichia spp, Rickettsia spp, Chlamydia spp., Leptospira spp., Treponema sp. Treponema spp).

在一些實施例中,將抗GITR抗體或抗原結合分子以與腫瘤相關抗原(TAA)之混合物形式共調配。TAA可為經分離多肽或肽,可為完整細胞之一部分或腫瘤細胞溶解物之一部分。TAA可為聚核苷酸,例如裸質體,或包含編碼一或多種TAA之聚核苷酸的病毒載體。已知TAA之實例包括(但不限於)黑色素瘤相關抗原(與黑色素瘤相關之MAGE-1、MAGE-3、TRP-2、黑素體膜醣蛋白gp100、gp75及MUC-1(黏蛋白-1));可例如與卵巢、黑色素瘤或結腸癌相關之CEA(癌胚抗原);由卵巢癌表現之葉酸受體α;由包括(但不限於)骨髓瘤之多種不同腫瘤表現的游離人類絨膜促性腺激素β(hCGβ)次單位;與乳癌相關之HER-2/neu;與小細胞肺癌有關之腦脊髓炎抗原HuD;與神經母細胞瘤相關之酪胺酸羥化酶;與前列腺癌相關之前列腺特異性抗原(PSA);與卵巢癌相關之CA125;且B細胞淋巴瘤之個體基因型決定子可產生腫瘤特異性免疫性(歸因於個體基因型特異性體液免疫反應)。此外,人類T細胞白血病病毒1型之抗原已展示誘導針對病毒誘發性人類成人T細胞白血病(ATL)的特異性CTL反應及抗腫瘤免疫性。參見例如Haupt等人,Experimental Biology and Medicine(2002)227:227-237;Ohashi等人,Journal of Virology(2000)74(20):9610-9616。已知其他TAA且其可用於與抗GITR抗體共調配。 In some embodiments, the anti-GITR antibody or antigen binding molecule is co-formulated as a mixture with a tumor associated antigen (TAA). The TAA can be an isolated polypeptide or peptide that can be part of a whole cell or part of a tumor cell lysate. The TAA can be a polynucleotide, such as a naked body, or a viral vector comprising a polynucleotide encoding one or more TAAs. Examples of known TAAs include, but are not limited to, melanoma-associated antigens (MAGE-1, MAGE-3, TRP-2, melanosome membrane glycoproteins gp100, gp75, and MUC-1 associated with melanoma). 1)); CEA (carcinoembryonic antigen) which may, for example, be associated with ovarian, melanoma or colon cancer; folate receptor alpha expressed by ovarian cancer; free human manifested by a variety of different tumors including, but not limited to, myeloma Chorionic gonadotropin beta (hCGβ) subunit; HER-2/neu associated with breast cancer; encephalomyelitis antigen HuD associated with small cell lung cancer; tyrosine hydroxylase associated with neuroblastoma; Cancer-associated prostate-specific antigen (PSA); CA125 associated with ovarian cancer; and individual genotype determinants of B-cell lymphoma produce tumor-specific immunity (due to individual genotype-specific humoral immune responses). Furthermore, the antigen of human T cell leukemia virus type 1 has been shown to induce specific CTL responses and anti-tumor immunity against virus-induced human adult T cell leukemia (ATL). See, for example, Haupt et al, Experimental Biology and Medicine (2002) 227:227-237; Ohashi et al, Journal of Virology (2000) 74(20): 9610-9616. Other TAAs are known and are useful for co-provisioning with anti-GITR antibodies.

在一些實施例中,將抗GITR抗體或抗原結合分子與來自患者之自體腫瘤細胞或來自另一患者之相同組織類型之同種異體腫瘤細胞共 調配。腫瘤細胞可為完整細胞、腫瘤細胞溶解物、凋亡腫瘤細胞或總腫瘤mRNA之形式。腫瘤細胞可經轉染以表現提高或增強患者中腫瘤細胞之免疫原性的多肽,例如經轉染以表現粒細胞群落刺激因子(GM-CSF)。腫瘤細胞可來自任何癌性組織,包括(但不限於)上皮癌或癌瘤,以及肉瘤及淋巴瘤。在一些實施例中,癌症為黑色素瘤、卵巢癌、腎癌、結腸直腸癌、前列腺癌、肺癌(包括非小細胞肺癌(NSCLC))、乳癌、神經膠質瘤、纖維肉瘤、血液癌或頭頸鱗狀細胞癌(HNSCC)。參見例如Pardee等人,Immunotherapy(2009)1(2):249-264及其中所論述之參考文獻。在一些實施例中,腫瘤細胞來自例如胰臟癌、黑色素瘤、乳癌、肺癌、支氣管癌、結腸直腸癌、前列腺癌、胃癌、卵巢癌、膀胱癌、腦或中樞神經系統癌症、周邊神經系統癌症、食道癌、子宮頸癌、子宮或子宮內膜癌、口腔或咽之癌症、肝癌、腎癌、睪丸癌、膽道癌、小腸或附件癌、唾液腺癌、甲狀腺癌、腎上腺癌、骨肉瘤、軟骨肉瘤及血液組織之癌症。 In some embodiments, an anti-GITR antibody or antigen binding molecule is co-formulated with an autologous tumor cell from a patient or an allogeneic tumor cell of the same tissue type from another patient. Tumor cells can be in the form of intact cells, tumor cell lysates, apoptotic tumor cells, or total tumor mRNA. Tumor cells can be transfected to express a polypeptide that enhances or enhances the immunogenicity of tumor cells in a patient, for example, transfected to express granulocyte colony stimulating factor (GM-CSF). Tumor cells can be derived from any cancerous tissue including, but not limited to, epithelial cancer or carcinoma, as well as sarcomas and lymphomas. In some embodiments, the cancer is melanoma, ovarian cancer, renal cancer, colorectal cancer, prostate cancer, lung cancer (including non-small cell lung cancer (NSCLC)), breast cancer, glioma, fibrosarcoma, blood cancer, or head and neck scales. Cellular carcinoma (HNSCC). See, for example, Pardee et al, Immunotherapy (2009) 1(2): 249-264 and the references discussed therein. In some embodiments, the tumor cells are from, for example, pancreatic cancer, melanoma, breast cancer, lung cancer, bronchial cancer, colorectal cancer, prostate cancer, gastric cancer, ovarian cancer, bladder cancer, brain or central nervous system cancer, peripheral nervous system cancer , esophageal cancer, cervical cancer, uterus or endometrial cancer, oral or pharyngeal cancer, liver cancer, kidney cancer, testicular cancer, biliary tract cancer, small intestine or accessory cancer, salivary gland cancer, thyroid cancer, adrenal cancer, osteosarcoma, Cancer of chondrosarcoma and blood tissue.

在一些實施例中,將抗GITR抗體或抗原結合分子與細胞毒性劑共調配。舉例而言,將抗GITR抗體或抗原結合分子與結合於且減少或消耗CD4+ CD25+調節性T細胞(Treg)之促效抗體或抗原結合分子共調配。例示性Treg細胞消耗抗體或抗原結合分子結合於CD25或CCR4。參見Expert Opin Ther Patents(2007)17(5):567-575及其中所論述之參考文獻。 In some embodiments, an anti-GITR antibody or antigen binding molecule is co-formulated with a cytotoxic agent. For example, an anti-GITR antibody or antigen binding molecule is co-formulated with an agonist antibody or antigen binding molecule that binds to and reduces or depletes CD4+CD25+ regulatory T cells (Treg). Exemplary Treg cells deplete antibodies or antigen binding molecules that bind to CD25 or CCR4. See Expert Opin Ther Patents (2007) 17(5): 567-575 and the references discussed therein.

在一些實施例中,將抗GITR抗體或抗原結合分子與共抑制信號之抑制劑共調配。例示性抑制劑包括CTLA-4之抑制劑及PD-1/PD-L1(例如B7-H1)相互作用之抑制劑。在一些實施例中,將抗GITR抗體與結合於且抑制CTLA-4之抗體共調配。在一些實施例中,將抗GITR抗體與結合於且抑制PD-1之抗體共調配。在一些實施例中,將抗GITR抗體與結合於且抑制B7-H1之抗體共調配。參見例如Expert Opin Ther Patents(2007)17(5):567-575;及Melero,等人,Clin Cancer Res(2009)15(5):1507-1509及其中所論述之參考文獻。在某些實施例中,調配物包含包括抗GITR抗體或抗原結合分子及共抑制信號之抑制劑的雙特異性分子。在一些實施例中,調配物包含包括抗GITR抗體或抗原結合分子及CTLA4之抑制劑的雙特異性分子。在一些實施例中,調配物包含包括抗GITR抗體或抗原結合分子及PD-1/PD-L1之抑制劑的雙特異性分子。在一些實施例中,調配物包含包括抗GITR抗體或抗原結合分子及B7H1之抑制劑的雙特異性分子。 In some embodiments, an anti-GITR antibody or antigen binding molecule is co-formulated with an inhibitor of a co-suppression signal. Exemplary inhibitors include inhibitors of CTLA-4 and inhibitors of PD-1/PD-L1 (eg, B7-H1) interactions. In some embodiments, an anti-GITR antibody is co-formulated with an antibody that binds to and inhibits CTLA-4. In some embodiments, an anti-GITR antibody is co-formulated with an antibody that binds to and inhibits PD-1. In some embodiments, an anti-GITR antibody is co-formulated with an antibody that binds to and inhibits B7-H1. See, for example, Expert Opin Ther Patents (2007) 17(5): 567-575; and Melero, et al, Clin Cancer Res (2009) 15(5): 1507-1509 and the references discussed therein. In certain embodiments, the formulation comprises a bispecific molecule comprising an anti-GITR antibody or antigen binding molecule and an inhibitor of a co-suppression signal. In some embodiments, the formulation comprises a bispecific molecule comprising an anti-GITR antibody or antigen binding molecule and an inhibitor of CTLA4. In some embodiments, the formulation comprises a bispecific molecule comprising an anti-GITR antibody or antigen binding molecule and an inhibitor of PD-1/PD-L1. In some embodiments, the formulation comprises a bispecific molecule comprising an anti-GITR antibody or antigen binding molecule and an inhibitor of B7H1.

抗GITR抗體或抗原結合分子亦可與一或多種免疫刺激劑共調配。舉例而言,在一些實施例中,將抗GITR抗體與免疫刺激性細胞激素(例如IL-7、IL-12或IL-15)共調配。替代地,可將抗GITR抗體或抗原結合分子與第二免疫刺激性抗體共調配。舉例而言,亦可將抗GITR抗體或抗原結合分子與腫瘤壞死因子受體超家族之另一成員的促效抗體或抗原結合分子共調配。例示性第二免疫刺激標靶包括(但不限於)TNFRSF4腫瘤壞死因子受體超家族成員4(亦稱為OX40)或腫瘤壞死因子受體超家族成員9(亦稱為TNFRSF9、4-1BB或CD137)。參見例如Expert Opin Ther Patents(2007)17(5):567-575;Pardee等人,Immunotherapy(2009)1(2):249-264;及Melero,等人,Clin Cancer Res(2009)15(5):1507-1509及其中所論述之參考文獻。 Anti-GITR antibodies or antigen binding molecules can also be co-formulated with one or more immunostimulatory agents. For example, in some embodiments, an anti-GITR antibody is co-formulated with an immunostimulatory cytokine (eg, IL-7, IL-12, or IL-15). Alternatively, an anti-GITR antibody or antigen binding molecule can be co-formulated with a second immunostimulatory antibody. For example, an anti-GITR antibody or antigen binding molecule can also be co-formulated with an agonist antibody or antigen binding molecule of another member of the tumor necrosis factor receptor superfamily. Exemplary second immunostimulatory targets include, but are not limited to, TNFRSF4 tumor necrosis factor receptor superfamily member 4 (also known as OX40) or tumor necrosis factor receptor superfamily member 9 (also known as TNFRSF9, 4-1BB or CD137). See, for example, Expert Opin Ther Patents (2007) 17(5): 567-575; Pardee et al, Immunotherapy (2009) 1(2): 249-264; and Melero, et al, Clin Cancer Res (2009) 15 (5) ): 1507-1509 and the references discussed therein.

亦可將抗GITR抗體或抗原結合分子與化學治療劑共調配。所選藥劑取決於待治療之病狀,例如癌症或傳染病,諸如細菌感染、真菌感染、病毒感染或寄生蟲感染。可將抗GITR抗體或抗原結合分子與熟習此項技術者已知治療待治療疾病病狀的化學治療劑共調配。舉例而言,用於治療癌症及傳染病之化學治療劑為此項技術中已知且例如描述於如下文獻中:Goodman and Gilman's The Pharmacological Basis of Therapeutics,第11版,Brunton,Lazo及Parker編,McGraw-Hill (2006);2010 Physicians' Desk Reference(PDR),第64版,Thomson PDR。 An anti-GITR antibody or antigen binding molecule can also be co-formulated with a chemotherapeutic agent. The agent selected depends on the condition to be treated, such as cancer or an infectious disease, such as a bacterial infection, a fungal infection, a viral infection, or a parasitic infection. Anti-GITR antibodies or antigen binding molecules can be co-formulated with chemotherapeutic agents known to those skilled in the art to treat the condition of the disease to be treated. For example, chemotherapeutic agents for the treatment of cancer and infectious diseases are known in the art and are described, for example, in the literature: Goodman and Gilman's The Pharmacological Basis of Therapeutics , 11th edition, edited by Brunton, Lazo and Parker, McGraw-Hill (2006); 2010 Physicians' Desk Reference (PDR) , 64th edition, Thomson PDR.

在一些實施例中,可將抗GITR抗體或抗原結合分子與抗腫瘤劑共調配。可用於與抗GITR抗體混合於組合物中的例示性抗腫瘤劑包括烷基化劑(例如氮芥、伸乙亞胺及甲基三聚氰胺、甲基肼衍生物、磺酸烷酯、亞硝基脲、三氮烯及鉑配位錯合物);抗代謝物(例如葉酸類似物、嘧啶類似物、嘌呤類似物);天然產物(例如長春花生物鹼、紫杉烷、表鬼臼毒素、喜樹鹼、抗生素及蒽醌)。在一些實施例中,將抗GITR抗體或抗原結合分子與抗代謝物抗腫瘤藥劑共調配,例如葉酸類似物(例如甲胺喋呤(methotrexate)、培美曲塞(pemetrexed)、曲美沙特(trimetrexate))、嘧啶類似物(例如5-氟尿嘧啶、卡培他濱(capecitabine)、阿糖胞苷(cytarabine)、吉西他濱(gemcitabine))、嘌呤類似物(例如巰基嘌呤(mercaptopurine)、噴司他汀(pentostatin)、克拉屈濱(cladribine)、氟達拉濱(fludarabine))或其混合物。在一些實施例中,將抗GITR抗體或抗原結合分子與烷基化劑抗腫瘤藥劑共調配,例如氮芥(例如氮芥、環磷醯胺、異環磷醯胺、美法侖(melphalan)、苯丁酸氮芥(chlorambucil))、伸乙亞胺(例如六甲蜜胺(altretamine))及甲基三聚氰胺(例如噻替派(thiotepa))、甲基肼衍生物(例如丙卡巴肼(procarbazine))、磺酸烷酯(例如白消安(busulfan))、亞硝基脲(例如卡莫司汀(carmustine)、鏈脲菌素(streptozocin))、三氮烯(例如達卡巴嗪(dacarbazine)、替莫唑胺(temozolomide))及鉑配位錯合物(例如順鉑(cisplatin)、卡鉑(carboplatin)、奧沙利鉑(oxaliplatin))。 In some embodiments, an anti-GITR antibody or antigen binding molecule can be co-formulated with an anti-tumor agent. Exemplary antineoplastic agents useful in combination with an anti-GITR antibody include alkylating agents (e.g., nitrogen mustard, ethyleneimine, and methyl melamine, methyl anthracene derivatives, alkyl sulfonates, nitroso groups). Urea, triazene and platinum coordination complexes; antimetabolites (eg folic acid analogs, pyrimidine analogs, purine analogs); natural products (eg vinca alkaloids, taxanes, epipodophyllotoxins, Camptothecin, antibiotics and bismuth). In some embodiments, the anti-GITR antibody or antigen binding molecule is co-formulated with an antimetabolite antineoplastic agent, such as a folic acid analog (eg, methotrexate, pemetrexed, trimesat ( Trimetrexate)), pyrimidine analogs (eg, 5-fluorouracil, capecitabine, cytarabine, gemcitabine), purine analogs (eg, mercaptopurine, pentastatin ( Pentostatin), cladribine, fludarabine, or a mixture thereof. In some embodiments, the anti-GITR antibody or antigen binding molecule is co-formulated with an alkylating agent antineoplastic agent, such as nitrogen mustard (eg, nitrogen mustard, cyclophosphamide, ifosfamide, melphalan) , chlorambucil, ethimine (such as altretamine) and methyl melamine (such as thiotepa), methyl hydrazine derivatives (such as procarbazine) )), alkyl sulfonate (such as busulfan), nitrosourea (such as carmustine, streptozocin), triazene (such as dacarbazine) ), temozolomide, and a platinum coordination complex (eg, cisplatin, carboplatin, oxaliplatin).

在一些實施例中,可將抗GITR抗體或抗原結合分子與抗病毒劑共調配。例示性抗病毒劑包括(但不限於)抗疱疹病毒劑(例如阿昔洛韋(acyclovir)、西多福韋(cidofovir)、泛昔洛韋(famciclovir)、膦甲酸(foscarnet)、賽奧韋(thiovir)、福米韋生(fomivirsen)、更昔洛韋 (ganciclovir)、碘苷(idoxuridine)、噴苷洛韋(penciclovir)、曲氟尿苷(trifluridine)、發昔洛韋(valacyclovir)、瓦金洛韋(valgenciclovir)、雷西莫特(resiquimod));抗流感病毒劑(例如金剛胺(amantadine)、奧司他韋(oseltamivir)、金剛乙胺(rimantadine)、紮那米韋(zanamivir)、帕拉米韋(peramivir)、E-118958);抗肝炎劑(例如阿地福韋酯(adefovir dipivoxil)、干擾素α、拉米夫定(lamivudine)、恩替卡韋(entecavir)、克來夫定(clevudine)、恩曲他濱(emtricitabine)、替比夫定(telbivudine)、替諾福韋(tenofovir)、偉拉咪定(viramidine)、BILN 2061、NM283)及其他抗病毒劑(例如病毒唑(ribavirin)、咪喹莫特(imiquimod)、馬立巴韋(maribavir)、sICAM-1、普可那利(pleconaril))。抗病毒劑可為抗反轉錄病毒劑。例示性抗反轉錄病毒劑包括(但不限於)齊多夫定(zidovudine)、地達諾新(didanosine)、司他夫定(stavudine)、紮西他濱(zalcitabine)、拉米夫定(lamivudine)、阿巴卡韋(abacavir)、提諾法韋(tenofavir)、恩曲他濱(emtricitabine)、奈韋拉平(nevirapine)、依法韋侖(efavirenz)、地拉韋啶(delavirdine)、沙奎那韋(saquinavir)、茚地那韋(indinavir)、利托那韋(ritonavir)、奈非那韋(nelfinavir)、安普那韋(amprenavir)、洛匹那韋(lopinavir)、阿紮那韋(atazanavir)、夫沙那韋(fosamprenavir)及恩夫韋地(enfuvirtide)。 In some embodiments, an anti-GITR antibody or antigen binding molecule can be co-formulated with an antiviral agent. Exemplary antiviral agents include, but are not limited to, anti-herpes virus agents (eg, acyclovir, cidofovir, famciclovir, foscarnet, thiovir) , fomivirsen, ganciclovir (ganciclovir), idoxuridine, penciclovir, trifluridine, valacyclovir, valgenciclovir, resiquimod ; anti-influenza agents (eg amantadine, oseltamivir, rimantadine, zanamivir, peramivir, E-118958); anti-influenza agents (amantadine, oseltamivir, zanamivir, zanamivir, peramivir, E-118958); Hepatitis agents (eg, adefovir dipivoxil, interferon alpha, lamivudine, entecavir, clevudine, emtricitabine, telbif Telbivudine, tenofovir, viramidine, BILN 2061, NM283, and other antiviral agents (eg ribavirin, imiquimod, maribavir) (maribavir), sICAM-1, pleconaril (pleconaril). The antiviral agent can be an antiretroviral agent. Exemplary antiretroviral agents include, but are not limited to, zidovudine, didanosine, stavudine, zalcitabine, lamivudine ( Lamivudine), abacavir, tenofavir, emtricitabine, nevirapine, efavirenz, delavirdine, saquina Saquinavir, indinavir, ritonavir, nelfinavir, amprenavir, lopinavir, atazanavir Atazanavir), fosamprenavir and enfuvirtide.

在一些實施例中,可將抗GITR抗體或抗原結合分子與抗細菌劑共調配。例示性抗細菌劑包括(但不限於)磺醯胺(例如對胺基苯磺醯胺(sulfanilamide)、磺胺嘧啶(sulfadiazine)、磺胺甲基異噁唑(sulfamethoxazole)、磺胺異噁唑(sulfisoxazole)、磺胺醋醯胺(sulfacetamide))、甲氧苄啶(trimethoprim)、喹諾酮(例如萘啶酸(nalidixic acid)、西諾沙星(cinoxacin)、諾氟沙星(norfloxacin)、環丙沙星(ciprofloxacin)、氧氟沙星(ofloxacin)、司帕沙星(sparfloxacin)、氟羅沙星(fleroxacin)、培氟沙星(perfloxacin)、左氧氟沙星 (levofloxacin)、加雷沙星(garenoxacin)及吉米沙星(gemifloxacin))、烏洛托品(methenamine)、呋喃妥因(nitrofurantoin)、青黴素(penicillin)(例如青黴素G、青黴素V、甲氧西林(methicilin)、苯唑西林(oxacillin)、氯唑西林(cloxacillin)、雙氯西林(dicloxacillin)、萘夫西林(nafcilin)、安比西林(ampicillin)、阿莫西林(amoxicillin)、卡本西林(carbenicillin)、替卡西林(ticarcillin)、美洛西林(mezlocillin)及哌拉西林(piperacillin))、頭胞菌素(例如頭孢唑林(cefazolin)、頭孢力新(cephalexin)、頭孢羥胺苄(cefadroxil)、頭孢西丁(cefoxitin)、頭孢克洛(cefaclor)、頭孢羅齊(cefprozil)、頭孢呋辛(cefuroxime)、頭孢呋辛酯(cefuroxime acetil)、氯碳頭孢(loracarbef)、頭孢替坦(cefotetan)、頭孢雷特(ceforanide)、頭孢噻肟(cefotaxime)、頭孢泊肟酯(cefpodoxime proxetil)、頭孢布烯(cefibuten)、頭孢地尼(cefdinir)、頭孢妥侖匹酯(cefditoren pivorxil)、頭孢唑肟(ceftizoxime)、頭孢曲松(ceftriaxone)、頭孢哌酮(cefoperazone)、頭孢他啶(ceftazidime)及頭孢吡肟(cefepime))、碳青黴烯(例如亞胺培南(imipenem)、安曲南(aztreonam))及胺基糖苷(例如新黴素(neomycin)、卡那黴素(kanamycin)、鏈黴素(streptomycin)、慶大黴素(gentamicin)、妥布黴素(tobramycin)、奈替米星(netilmicin)及阿米卡星(amikacin))。 In some embodiments, an anti-GITR antibody or antigen binding molecule can be co-formulated with an antibacterial agent. Exemplary antibacterial agents include, but are not limited to, sulfonamides (eg, sulfanilamide, sulfadiazine, sulfamethoxazole, sulfisoxazole) , sulfacetamide, trimethoprim, quinolones (eg nalidixic acid, cinoxacin, norfloxacin, ciprofloxacin) Ciprofloxacin), ofloxacin, sparfloxacin, fleroxacin, perfloxacin, levofloxacin (levofloxacin), garenoxacin and gemifloxacin, methenamine, nitrofurantoin, penicillin (eg penicillin G, penicillin V, methicillin) ), oxacillin, cloxacillin, dicloxacillin, nafcilin, ampicillin, amoxicillin, carbencilin, Ticarcillin, mezlocillin and piperacillin, cephalosporin (eg cefazolin, cephalexin, cefdroxil, cephalosporin) Cefoxitin, cefaclor, cefprozil, cefuroxime, cefuroxime acetil, loracarbef, cefotetan, cefotetan Ceforanide, cefotaxime, cefpodoxime proxetil, cefbuten, cefdinir, cefditoren pivorxil, ceftizoxime (ceftizoxi Me), ceftrixone, cefoperazone, ceftazidime and cefepime, carbapenems (eg imipenem, aztreonam) And aminoglycosides (eg neomycin, kanamycin, streptomycin, gentamicin, tobramycin, netilmicin) ) and amikacin (amikacin).

在一些實施例中,可將抗GITR抗體或抗原結合分子與抗寄生蟲劑共調配。例示性抗寄生蟲劑包括(但不限於)抗瘧疾劑(例如喹啉,包括(chloroquine)、甲氟喹(mefloquine)、奎寧(quinine)、奎尼丁(quinidine)及伯胺喹(primaquine);二胺基嘧啶,包括乙胺嘧啶(pyrimethamine)、磺胺多辛(sulfadoxine)、四環素(tetracycline)、阿托喹酮(atovaquone)及氯胍(proguanil));抗原蟲劑,包括兩性黴素(amphotericin)、氯奎、依氟鳥胺酸(eflornithine)、吐根素(emetine)、煙黴素(fumagillin)、8-羥基喹啉、美拉腫醇(melarsoprol)、甲硝噠唑 (metronidazole)、米替福新(miltefosine)、硝呋莫司(nifurtimox)、硝唑尼特(nitazoxanide)、巴龍黴素(paromomycin)、潘他米丁(pentamidine)、葡萄糖酸銻鈉及蘇拉明(suramin)。 In some embodiments, an anti-GITR antibody or antigen binding molecule can be co-formulated with an antiparasitic agent. Exemplary antiparasitic agents include, but are not limited to, anti-malarial agents (eg, quinoline, including (chloroquine), mefloquine, quinine, quinidine, and primaquine Diaminopyrimidines, including pyrimethamine, sulfadoxine, tetracycline, atovaquone, and proguanil; antiprotozoal agents, including amphotericin (amphotericin), chloroquine, eflornithine, emetine, fumagillin, 8-hydroxyquinoline, melarsoprol, metronidazole (metronidazole), miltefosine, nifurtimox, nitazoxanide, paromomycin, pentamidine, sodium gluconate and sulphate Lamin (suramin).

在一些實施例中,可將抗GITR抗體或抗原結合分子與抗真菌劑共調配。例示性抗真菌劑包括(但不限於)多烯(例如遊黴素(natamycin)、龜裂殺菌素(rimocidin)、非律平(filipin)、耐絲他汀(nystatin)、兩性黴素B、坎底辛(candicin)及哈黴素(hamycin))、咪唑(例如咪康唑(miconazole)、酮康唑(ketoconazole)、克黴唑(clotrimazole)、益康唑(econazole)、聯苯苄唑(bifonazole)、布康唑(butoconazole)、芬替康唑(fenticonazole)、異康唑(isoconazole)、奧昔康唑(oxiconazole)、舍他康唑(sertaconazole)、硫康唑(sulconazole)、噻康唑(tioconazole))、三唑(例如氟康唑(fluconazole)、伊曲康唑(itraconazole)、艾沙康唑(isavuconazole)、拉夫康唑(ravuconazole)、泊沙康唑(posaconazole)、伏立康唑(voriconazole)、特康唑(terconazole))、噻唑(例如阿巴芬淨(abafungin))、烯丙胺(例如特比萘芬(terbinafine)、阿莫羅芬(amorolfine)、萘替芬(naftifine)、布替萘芬(butenafine))、棘白菌素(echinocandin)(例如阿尼芬淨(anidulafungin)、卡泊芬淨(caspofungin)、米卡芬淨(micafungin))、苯甲酸、環吡酮(ciclopirox)、托萘酯(tolnaftate)、十一碳烯酸、氟胞嘧啶或5-氟胞嘧啶、灰黃黴素(griseofulvin)及鹵苯炔醚(haloprogin)。 In some embodiments, an anti-GITR antibody or antigen binding molecule can be co-formulated with an antifungal agent. Exemplary antifungal agents include, but are not limited to, polyenes (eg, natamycin, rimoidin, filipin, nystatin, amphotericin B, kan Candicin and hamycin, imidazole (eg miconazole, ketoconazole, clotrimazole, econazole, bifonazole) Bifonazole), butoconazole, fenticonazole, isoconazole, oxiconazole, sertaconazole, sulconazole, thicon Tioconazole, triazole (eg fluconazole, itraconazole, isavuconazole, ravconazole, posaconazole, voriconazole) Voriconazole), terconazole, azole (eg abfungin), allylamine (eg terbinafine, amorolfine, naftifine, Butenafine, echinocandin (eg anidulafungin, caspofungin) ), micafungin, benzoic acid, ciclopirox, tolnaftate, undecylenic acid, flucytosine or 5-fluorocytosine, griseofulvin And haloprogin.

套組Set

本發明之抗GITR組合物可提供於套組中。抗GITR抗體、抗體片段或抗原結合分子一般在小瓶或容器中。視需要,抗體可為液體或乾燥(例如凍乾)形式。套組可包含如本文所述之本發明之抗GITR抗體、抗體片段或抗原結合分子,且視情況亦含有第二或第三藥劑。在一些實施例中,套組含有本發明之抗GITR抗體、抗體片段或抗原結合分 子及醫藥學上可接受之稀釋劑。抗GITR抗體、抗體片段或抗原結合分子可與第二或第三藥劑一起以同一調配物或各別調配物形式(例如混合物形式或於各別容器中)提供於套組中。套組可含有提供一或多種劑量之抗GITR抗體、抗體片段或抗原結合分子之等分試樣。若提供多次投藥之等分試樣,則劑量可為均勻或變化的。變化之給藥方案可視需要遞增或減少。抗GITR抗體、抗體片段或抗原結合分子及第二藥劑之劑量可獨立地為一致或不同的。 The anti-GITR compositions of the present invention can be provided in a kit. Anti-GITR antibodies, antibody fragments or antigen binding molecules are typically in vials or containers. The antibody can be in a liquid or dry (e.g., lyophilized) form, as desired. The kit may comprise an anti-GITR antibody, antibody fragment or antigen binding molecule of the invention as described herein, and optionally a second or third agent. In some embodiments, the kit comprises an anti-GITR antibody, antibody fragment or antigen binding partner of the invention And a pharmaceutically acceptable diluent. The anti-GITR antibody, antibody fragment or antigen binding molecule can be provided in the kit together with the second or third agent in the same formulation or in separate formulations (eg, in the form of a mixture or in separate containers). The kit may contain aliquots of one or more doses of an anti-GITR antibody, antibody fragment or antigen binding molecule. If an aliquot of multiple administrations is provided, the dosage can be uniform or varied. Varying dosing regimens may be increased or decreased as needed. The dose of the anti-GITR antibody, antibody fragment or antigen binding molecule and the second agent can be independently identical or different.

在一些實施例中,套組可進一步含有標靶抗原。標靶抗原或疫苗取決於待治療之疾病病狀。舉例而言,標靶抗原可來自腫瘤細胞、細菌細胞、真菌、寄生蟲或病毒。標靶抗原可視需要為肽、多肽、細胞、聚核苷酸(例如裸質體或病毒載體)形式。在一些實施例中,標靶抗原為腫瘤相關抗原。例示性標靶抗原如本文中論述;此項技術中已知之其他標靶抗原亦可用。 In some embodiments, the kit can further comprise a target antigen. The target antigen or vaccine depends on the condition of the disease to be treated. For example, the target antigen can be from a tumor cell, a bacterial cell, a fungus, a parasite, or a virus. The target antigen may be in the form of a peptide, polypeptide, cell, polynucleotide (eg, a naked body or a viral vector). In some embodiments, the target antigen is a tumor associated antigen. Exemplary target antigens are as discussed herein; other target antigens known in the art can also be used.

在一些實施例中,套組進一步含有細胞毒性劑。舉例而言,套組可含有結合於且減少或消耗CD4+ CD25+調節性T細胞(Treg)之促效抗體或抗原結合分子。例示性Treg細胞消耗抗體或抗原結合分子結合於CD25或CCR4。參見Expert Opin Ther Patents(2007)17(5):567-575及其中所論述之參考文獻。 In some embodiments, the kit further contains a cytotoxic agent. For example, a kit can contain an agonist antibody or antigen binding molecule that binds to and reduces or depletes CD4+CD25+ regulatory T cells (Tregs). Exemplary Treg cells deplete antibodies or antigen binding molecules that bind to CD25 or CCR4. See Expert Opin Ther Patents (2007) 17(5): 567-575 and the references discussed therein.

在一些實施例中,套組進一步含有共抑制信號之抑制劑。例示性抑制劑包括CTLA-4之抑制劑及PD-1/PD-L1(例如B7-H1)相互作用之抑制劑。在一些實施例中,套組進一步含有結合於且抑制CTLA-4之抗體。在一些實施例中,套組進一步含有結合於且抑制PD-1之抗體。在一些實施例中,套組進一步含有結合於且抑制B7-H1之抗體。參見例如Expert Opin Ther Patents(2007)17(5):567-575;及Melero,等人,Clin Cancer Res(2009)15(5):1507-1509及其中所論述之參考文獻。 In some embodiments, the kit further comprises an inhibitor of a co-suppression signal. Exemplary inhibitors include inhibitors of CTLA-4 and inhibitors of PD-1/PD-L1 (eg, B7-H1) interactions. In some embodiments, the kit further comprises an antibody that binds to and inhibits CTLA-4. In some embodiments, the kit further comprises an antibody that binds to and inhibits PD-1. In some embodiments, the kit further comprises an antibody that binds to and inhibits B7-H1. See, for example, Expert Opin Ther Patents (2007) 17(5): 567-575; and Melero, et al, Clin Cancer Res (2009) 15(5): 1507-1509 and the references discussed therein.

在一些實施例中,套組進一步含有一或多種免疫刺激劑。舉例而言,在一些實施例中,套組含有免疫刺激性細胞激素,例如IL-7、IL-12或IL-15。替代地,套組可含有第二免疫刺激性抗體。舉例而言,套組可含有腫瘤壞死因子受體超家族之另一成員的促效抗體或抗原結合分子。例示性第二免疫刺激標靶包括(但不限於)TNFRSF4腫瘤壞死因子受體超家族成員4(亦稱為OX40)或腫瘤壞死因子受體超家族成員9(亦稱為TNFRSF9、4-1BB或CD137)。參見例如Expert Opin Ther Patents(2007)17(5):567-575;Pardee等人,Immunotherapy(2009)1(2):249-264;及Melero等人,Clin Cancer Res(2009)15(5):1507-1509及其中所論述之參考文獻。 In some embodiments, the kit further contains one or more immunostimulating agents. For example, in some embodiments, the kit contains an immunostimulatory cytokine, such as IL-7, IL-12 or IL-15. Alternatively, the kit can contain a second immunostimulatory antibody. For example, a kit can contain a agonist antibody or antigen binding molecule of another member of the tumor necrosis factor receptor superfamily. Exemplary second immunostimulatory targets include, but are not limited to, TNFRSF4 tumor necrosis factor receptor superfamily member 4 (also known as OX40) or tumor necrosis factor receptor superfamily member 9 (also known as TNFRSF9, 4-1BB or CD137). See, for example, Expert Opin Ther Patents (2007) 17(5): 567-575; Pardee et al, Immunotherapy (2009) 1(2): 249-264; and Melero et al, Clin Cancer Res (2009) 15(5) : 1507-1509 and the references discussed therein.

在一些實施例中,套組進一步含有化學治療劑。所選藥劑取決於待治療之病狀,例如癌症或傳染病,諸如細菌感染、真菌感染、病毒感染或寄生蟲感染。例示性化學治療劑包括此項技術中已知及本文所述之任何抗腫瘤、抗病毒、抗細菌、抗寄生蟲及抗真菌劑。 In some embodiments, the kit further contains a chemotherapeutic agent. The agent selected depends on the condition to be treated, such as cancer or an infectious disease, such as a bacterial infection, a fungal infection, a viral infection, or a parasitic infection. Exemplary chemotherapeutic agents include any of the anti-tumor, anti-viral, anti-bacterial, anti-parasitic, and anti-fungal agents known in the art and described herein.

提高T細胞反應之方法Method for increasing T cell response 進行治療或預防之病狀Condition for treatment or prevention

本發明之抗GITR促效抗體及抗體片段可用於增強有需要之患者的CD4+ T輔助細胞及CD8+細胞溶解性T細胞反應。因此,抗體可用於提高或增強患者之T細胞反應,例如以實現可用提高或增強之免疫反應對抗的疾病的降低、逆轉、抑制或預防。在一個態樣中,本發明提供為有需要之個體提高T細胞反應的方法,其包含投與個體治療有效量之如本文所述之本發明之抗GITR促效劑抗體或抗體片段。在一個態樣中,本發明亦提供一種抗GITR促效劑抗體或抗體片段,其用於提高個體之T細胞反應。在另一態樣中,本發明提供一種組合物,其包含此類用於提高個體之T細胞反應的抗體或抗體片段。 The anti-GITR agonistic antibodies and antibody fragments of the invention can be used to enhance CD4 + T helper cells and CD8 + cell lytic T cell responses in patients in need thereof. Thus, antibodies can be used to increase or enhance a patient's T cell response, for example, to achieve a reduction, reversal, inhibition, or prevention of a disease that can be countered by an increased or enhanced immune response. In one aspect, the invention provides a method of increasing a T cell response in an individual in need thereof, comprising administering to the subject a therapeutically effective amount of an anti-GITR agonist antibody or antibody fragment of the invention as described herein. In one aspect, the invention also provides an anti-GITR agonist antibody or antibody fragment for use in increasing an individual's T cell response. In another aspect, the invention provides a composition comprising such an antibody or antibody fragment for use in increasing the T cell response of an individual.

進行治療之病狀包括癌症及傳染病。出於治療目的,患者可患 有癌症或腫瘤或傳染病,例如細菌、病毒、真菌或寄生蟲感染。出於預防目的,患者可處於癌症之緩解中或可預計暴露於細菌、病毒、真菌或寄生蟲感染。抗體亦可充當佐劑以提高或促進或增強針對初級抗原或標靶抗原(例如疫苗)之免疫反應。 The conditions for treatment include cancer and infectious diseases. For treatment purposes, patients may suffer There are cancers or tumors or infectious diseases such as bacteria, viruses, fungi or parasitic infections. For prophylactic purposes, the patient may be in the relief of cancer or may be expected to be exposed to bacterial, viral, fungal or parasitic infections. The antibody may also act as an adjuvant to enhance or promote or enhance an immune response against a primary antigen or a target antigen (eg, a vaccine).

在一些實施例中,患者患有癌症,懷疑患有癌症或正處於癌症之緩解中。用抗GITR抗體進行治療之癌症通常表現如本文所述之腫瘤相關抗原(TAA)。進行治療之癌症包括(但不限於)上皮癌或癌瘤,以及肉瘤及淋巴瘤。在一些實施例中,癌症為黑色素瘤、卵巢癌、腎癌、結腸直腸癌、前列腺癌、肺癌(包括非小細胞肺癌(NSCLC))、乳癌、神經膠質瘤或纖維肉瘤。參見例如Pardee等人,Immunotherapy(2009)1(2):249-264及其中所論述之參考文獻。在一些實施例中,癌症類型選自由以下組成之群:胰臟癌、黑色素瘤、乳癌、肺癌、支氣管癌、結腸直腸癌、前列腺癌、胃癌、卵巢癌、膀胱癌、腦癌或中樞神經系統癌症、周邊神經系統癌症、食道癌、子宮頸癌、子宮或子宮內膜癌、口腔癌或咽癌、肝癌、腎癌、睪丸癌、膽道癌、小腸或附件癌、唾液腺癌、甲狀腺癌、腎上腺癌、骨肉瘤、軟骨肉瘤、血液組織癌及頭頸鱗狀細胞癌(HNSCC)。 In some embodiments, the patient has cancer, is suspected of having cancer, or is in the mitigation of cancer. Cancers treated with an anti-GITR antibody typically exhibit a tumor associated antigen (TAA) as described herein. Cancers to be treated include, but are not limited to, epithelial cancer or carcinoma, as well as sarcomas and lymphomas. In some embodiments, the cancer is melanoma, ovarian cancer, renal cancer, colorectal cancer, prostate cancer, lung cancer (including non-small cell lung cancer (NSCLC)), breast cancer, glioma, or fibrosarcoma. See, for example, Pardee et al, Immunotherapy (2009) 1(2): 249-264 and the references discussed therein. In some embodiments, the cancer type is selected from the group consisting of pancreatic cancer, melanoma, breast cancer, lung cancer, bronchial cancer, colorectal cancer, prostate cancer, gastric cancer, ovarian cancer, bladder cancer, brain cancer, or central nervous system. Cancer, peripheral nervous system cancer, esophageal cancer, cervical cancer, uterus or endometrial cancer, oral or pharyngeal cancer, liver cancer, kidney cancer, testicular cancer, biliary tract cancer, small intestine or accessory cancer, salivary gland cancer, thyroid cancer, Adrenal cancer, osteosarcoma, chondrosarcoma, blood tissue cancer, and head and neck squamous cell carcinoma (HNSCC).

在一個態樣中,本發明提供為有需要之個體治療表現腫瘤相關抗原之癌症的腫瘤生長的方法,其包含投與個體治療有效量之如本文所述之本發明之抗GITR促效劑抗體或抗體片段。本發明亦提供本發明之抗GITR促效劑抗體或抗體片段,其用於治療個體之表現腫瘤相關抗原之癌症的腫瘤生長。本發明進一步提供一種包含本發明之抗體或抗體片段的組合物,其用於降低、抑制或預防個體的表現腫瘤相關抗原之癌症的腫瘤生長。 In one aspect, the invention provides a method of treating tumor growth of a cancer exhibiting a tumor associated antigen in a subject in need thereof, comprising administering to the individual a therapeutically effective amount of an anti-GITR agonist antibody of the invention as described herein Or antibody fragments. The invention also provides an anti-GITR agonist antibody or antibody fragment of the invention for use in treating tumor growth in a subject exhibiting a tumor associated antigen. The invention further provides a composition comprising an antibody or antibody fragment of the invention for use in reducing, inhibiting or preventing tumor growth in a cancer of a subject exhibiting a tumor associated antigen.

在一些實施例中,促進個體之癌症的診斷或預後的方法包含使用本發明之抗GITR促效劑抗體或抗體片段來偵測個體之腫瘤中或周 圍GITR的表現。 In some embodiments, a method of promoting diagnosis or prognosis of an individual's cancer comprises detecting an individual's tumor or week using an anti-GITR agonist antibody or antibody fragment of the invention The performance of the GITR.

在一些實施例中,患者患有傳染病,例如細菌、病毒、真菌或寄生蟲感染。抗GITR促效抗體可用於降低、抑制及/或預防例如絲蟲病及利什曼體病(leishmaniasis)中之寄生蟲。 In some embodiments, the patient has an infectious disease, such as a bacterial, viral, fungal, or parasitic infection. Anti-GITR agonistic antibodies can be used to reduce, inhibit and/or prevent parasites such as filariasis and leishmaniasis.

在一些實施例中,抗GITR促效抗體可用於治療病毒感染,包括(但不限於)肝炎病毒感染,例如慢性肝炎C型(HCV)感染、單純疱疹病毒(HSV)感染或人類免疫缺陷病毒(HIV)感染。在一些實施例中,抗GITR促效抗體可用於治療選自由以下組成之群的病毒感染:肝炎A型、肝炎B型、肝炎C型、流感病毒、水痘、腺病毒、單純疱疹I型(HSV I)、單純疱疹II型(HSV II)、牛瘟、鼻病毒、埃可病毒、輪狀病毒、呼吸道融合細胞病毒、乳頭狀瘤病毒、乳多泡病毒、巨細胞病毒、埃克諾病毒、蟲媒病毒、漢坦病毒、柯薩奇病毒、腮腺炎病毒、麻疹病毒、風疹病毒、脊髓灰質炎病毒、人類免疫缺陷病毒I型(HIV I)及人類免疫缺陷病毒II型(HIV II)、任何小RNA病毒科、腸病毒、杯狀病毒科、諾沃克病毒群中之任一者、披衣病毒(諸如甲病毒、黃病毒)、冠狀病毒、狂犬病毒、馬堡病毒、埃博拉病毒,副流感病毒、正黏液病毒、布尼亞病毒、沙粒狀病毒、呼腸孤病毒、輪狀病毒、環狀病毒、人類T細胞白血病病毒I型、人類T細胞白血病病毒II型、猴免疫缺乏病毒、慢病毒、多瘤病毒、小病毒、埃-巴二氏病毒、人類疱疹病毒6、猴庖疹病毒1(B病毒)及痘病毒。 In some embodiments, an anti-GITR agonistic antibody can be used to treat a viral infection, including but not limited to a hepatitis virus infection, such as a chronic hepatitis C (HCV) infection, a herpes simplex virus (HSV) infection, or a human immunodeficiency virus ( HIV) infection. In some embodiments, an anti-GITR agonistic antibody can be used to treat a viral infection selected from the group consisting of hepatitis A, hepatitis B, hepatitis C, influenza virus, chickenpox, adenovirus, herpes simplex type I (HSV) I), herpes simplex type II (HSV II), burdock, rhinovirus, echovirus, rotavirus, respiratory tract cell virus, papilloma virus, papovavirus, cytomegalovirus, october virus, Arbovirus, Hantavirus, Coxsackie virus, mumps virus, measles virus, rubella virus, poliovirus, human immunodeficiency virus type I (HIV I) and human immunodeficiency virus type II (HIV II), Any of the picornavirus, enterovirus, caloviridae, norwalk virus populations, chlamydiavirus (such as alphavirus, flavivirus), coronavirus, rabies virus, Marburg virus, Ebola virus , parainfluenza virus, positive mucus virus, bunia virus, ruby virus, reovirus, rotavirus, circovirus, human T cell leukemia virus type I, human T cell leukemia virus type II, monkey immunity Lack of virus, Virus, polyomavirus, a small virus, Epstein - Barr virus, human herpes virus 6, simian herpes virus 1 (B virus) and pox viruses.

在一些實施例中,抗GITR促效抗體可用於治療細菌感染,包括(但不限於)以下之感染:奈瑟氏菌屬、鏈球菌屬、變異鏈球菌、嗜血桿菌屬、莫拉菌屬、鮑特氏菌屬、分支桿菌屬、軍團菌屬、埃希氏菌屬、弧菌屬、耶爾森菌屬、曲桿菌屬、沙門氏菌屬、李氏菌屬、螺旋桿菌屬、假單胞菌屬、葡萄球菌屬、腸球菌屬、梭菌屬、芽孢桿菌屬、棒狀桿菌屬、疏螺旋體屬、艾利希體屬、立克次體屬、衣原體 屬、鉤端螺旋體屬、密螺旋體屬。 In some embodiments, an anti-GITR agonistic antibody can be used to treat a bacterial infection, including but not limited to the following infections: Neisseria, Streptococcus, Streptococcus mutans, Haemophilus, Moraxella , Bacillus, Mycobacterium, Legionella, Escherichia, Vibrio, Yersinia, Aspergillus, Salmonella, Listeria, Helicobacter, Pseudomonas Genus, Staphylococcus, Enterococcus, Clostridium, Bacillus, Corynebacterium, Borrelia, Ehrlichia, Rickettsia, Chlamydia Genus, Leptospira, and Treponema.

投與抗GITR抗體Administration of anti-GITR antibodies

醫師或獸醫可以低於為達成所要治療作用所需之水準開始給與醫藥組合物中所用之本發明之抗體或抗體片段,且逐漸增加劑量直至達成所要作用為止。一般而言,本發明組合物之有效劑量視多種不同因素而變化,包括待治療之特定疾病或病狀、投藥方法、標靶位點、患者之生理學狀態、患者為人類或動物、所投與之其他藥物及治療為預防性或治療性的。需要滴定治療劑量以使安全性及功效達最佳。為投與抗體,劑量在每公斤宿主體重約0.0001至100mg範圍內,且更通常在0.01至5mg範圍內。舉例而言,劑量可為每公斤體重1mg或每公斤體重10mg或在1-10mg/kg範圍內。給藥可視需要或適宜時為每天、每週、每兩週、每月或更頻繁或更不頻繁。例示性治療方案需要每週投與一次或每兩週投與一次或一個月一次或每3至6個月一次。 The physician or veterinarian can begin administering the antibody or antibody fragment of the invention for use in a pharmaceutical composition at a level below that required to achieve the desired therapeutic effect, and gradually increasing the dosage until the desired effect is achieved. In general, the effective dose of the compositions of the invention will vary depending on a number of different factors, including the particular disease or condition being treated, the method of administration, the target site, the physiological state of the patient, the patient being a human or animal, Other drugs and treatments are preventive or therapeutic. The therapeutic dose needs to be titrated to optimize safety and efficacy. For administration of the antibody, the dosage is in the range of from about 0.0001 to 100 mg per kg of host body weight, and more typically in the range of from 0.01 to 5 mg. For example, the dose can be 1 mg per kilogram of body weight or 10 mg per kilogram of body weight or within the range of 1-10 mg/kg. Administration may be daily, weekly, biweekly, monthly or more frequent or less frequent as needed or as appropriate. An exemplary treatment regimen requires administration once a week or once every two weeks or once every three to six months.

在一些實施例中,投與編碼本發明之抗GITR抗體、抗體片段或抗原結合分子的聚核苷酸。在藥劑為核酸之實施例中,典型劑量可在每公斤體重約0.1mg至每公斤體重約100mg(且包括約100mg)範圍內,例如在每公斤體重約1mg至每公斤體重約50mg之間。在一些實施例中,每公斤體重約1、2、3、4、5、10、15、20、30、40或50mg。 In some embodiments, a polynucleotide encoding an anti-GITR antibody, antibody fragment or antigen binding molecule of the invention is administered. In embodiments where the agent is a nucleic acid, a typical dosage may range from about 0.1 mg per kilogram of body weight to about 100 mg per kilogram of body weight (and including about 100 mg), such as between about 1 mg per kilogram of body weight to about 50 mg per kilogram of body weight. In some embodiments, about 1, 2, 3, 4, 5, 10, 15, 20, 30, 40, or 50 mg per kilogram of body weight.

抗體或抗體片段可以單次劑量或分次劑量投與。抗體或抗體片段通常在多個時機投與。視需要或適宜時,單次劑量之間的時間間隔可為每週、每兩週、每月或每年。時間間隔亦可為不規則的,其藉由量測患者中抗GITR抗體或抗體片段之血液含量所指示。在一些方法中,調節劑量以達成1-1000μg/ml之血漿抗體或抗體片段濃度,且在一些方法中為25-300μg/ml。替代地,抗體或抗體片段可以持續釋放調配物形式投與,在此情況下不需要頻繁投與。劑量及頻率視患者中 抗體或抗體片段之半衰期而變化。一般而言,人類化抗體展示的半衰期比嵌合抗體及非人類抗體之半衰期長。投藥之劑量及頻率可視治療為預防性或治療性的而變化。在預防性應用中,以相對不頻繁之時間間隔長期投予相對較低劑量。一些患者在其餘生中繼續接受治療。在治療性應用中,有時需要以相對短時間間隔投與相對高劑量,直至疾病之進展降低或終止,且較佳直至患者展示疾病之症狀部分或完全改善。之後,可向患者投與預防性方案。 The antibody or antibody fragment can be administered in a single dose or in divided doses. Antibodies or antibody fragments are usually administered at multiple times. The time interval between single doses may be weekly, biweekly, monthly or yearly as needed or appropriate. The time interval can also be irregular, as indicated by measuring the blood content of the anti-GITR antibody or antibody fragment in the patient. In some methods, the dosage is adjusted to achieve a plasma antibody or antibody fragment concentration of 1-1000 [mu]g/ml, and in some methods 25-300 [mu]g/ml. Alternatively, the antibody or antibody fragment can be administered in the form of a sustained release formulation, in which case no frequent administration is required. Dose and frequency depending on the patient The half-life of the antibody or antibody fragment varies. In general, human antibodies display a half-life that is longer than the half-life of chimeric and non-human antibodies. The dosage and frequency of administration may vary depending on whether the treatment is prophylactic or therapeutic. In prophylactic applications, relatively low doses are administered chronically at relatively infrequent intervals. Some patients continue to receive treatment for the rest of their lives. In therapeutic applications, it is sometimes desirable to administer relatively high doses at relatively short intervals until the progression of the disease is reduced or terminated, and preferably until the patient exhibits partial or complete improvement in the symptoms of the disease. Thereafter, a prophylactic regimen can be administered to the patient.

與第二藥劑共同投與Co-administered with the second agent

在一些實施例中,將抗GITR抗體、抗體片段或抗原結合分子與第二或第三藥理學藥劑共同投與。抗GITR抗體、抗體片段或抗原結合分子及第二或第三藥劑可以混合物形式或各別調配物形式投與。抗GITR抗體、抗體片段或抗原結合分子及第二或第三藥劑可同時或依序投與。抗GITR抗體、抗體片段或抗原結合分子及第二或第三藥劑可視需要經由相同投藥途徑或經由不同投藥途徑投與。用於與本發明之抗GITR促效抗體、抗體片段或抗原結合分子共同投與的例示性第二藥劑及第三藥劑包括(但不限於)初級或標靶抗原、提高腫瘤細胞之免疫原性的藥劑、抑制或抑止共抑制信號之藥劑。抗GITR促效抗體、抗體片段或抗原結合分子亦可與用於治療所治療疾病病狀之化學治療劑共同投與,例如以提高化學治療劑之功效或進一步提高針對標靶抗原之免疫反應。抗GITR促效抗體、抗體片段或抗原結合分子亦可用於與治療指定疾病病狀之現有程序(例如輻射或手術)的組合療法。 In some embodiments, an anti-GITR antibody, antibody fragment or antigen binding molecule is co-administered with a second or third pharmacological agent. The anti-GITR antibody, antibody fragment or antigen binding molecule and the second or third agent can be administered as a mixture or as separate formulations. The anti-GITR antibody, antibody fragment or antigen binding molecule and the second or third agent can be administered simultaneously or sequentially. The anti-GITR antibody, antibody fragment or antigen binding molecule and the second or third agent may optionally be administered via the same route of administration or via different routes of administration. Exemplary second and third agents for co-administration with an anti-GITR agonist antibody, antibody fragment or antigen binding molecule of the invention include, but are not limited to, primary or target antigens, and increase immunogenicity of tumor cells An agent, an agent that inhibits or inhibits a co-suppression signal. Anti-GITR agonist antibodies, antibody fragments or antigen binding molecules can also be co-administered with a chemotherapeutic agent for treating the condition being treated, for example to increase the efficacy of the chemotherapeutic agent or to further increase the immune response against the target antigen. Anti-GITR agonist antibodies, antibody fragments or antigen binding molecules can also be used in combination therapy with existing procedures for treating a given disease condition, such as radiation or surgery.

本發明之抗GITR抗體、抗體片段或抗原結合分子可與初級或標靶抗原共同投與。標靶抗原或疫苗取決於待治療之疾病病狀。舉例而言,標靶抗原可來自腫瘤細胞、細菌細胞、真菌、病毒或寄生蟲。標靶抗原可視需要為肽、多肽、細胞或聚核苷酸之形式。 The anti-GITR antibodies, antibody fragments or antigen binding molecules of the invention can be co-administered with a primary or target antigen. The target antigen or vaccine depends on the condition of the disease to be treated. For example, the target antigen can be from a tumor cell, a bacterial cell, a fungus, a virus, or a parasite. The target antigen may be in the form of a peptide, polypeptide, cell or polynucleotide.

在一些實施例中,將抗GITR抗體、抗體片段或抗原結合分子與來自例如選自由以下組成之群的病毒的標靶抗原共同投與:肝炎A型、肝炎B型、肝炎C型、流感病毒、水痘、腺病毒、單純疱疹I型(HSV I)、單純疱疹II型(HSV II)、牛瘟、鼻病毒、埃可病毒、輪狀病毒、呼吸道融合細胞病毒、乳頭狀瘤病毒、乳多泡病毒、巨細胞病毒、埃克諾病毒、蟲媒病毒、漢坦病毒、柯薩奇病毒、腮腺炎病毒、麻疹病毒、風疹病毒、脊髓灰質炎病毒、人類免疫缺陷病毒I型(HIV I)及人類免疫缺陷病毒II型(HIV II)、任何小RNA病毒科、腸病毒、杯狀病毒科、諾沃克病毒群中之任一者、披衣病毒(諸如甲病毒、黃病毒)、冠狀病毒、狂犬病毒、馬堡病毒、埃博拉病毒,副流感病毒、正黏液病毒、布尼亞病毒、沙粒狀病毒、呼腸孤病毒、輪狀病毒、環狀病毒、人類T細胞白血病病毒I型、人類T細胞白血病病毒II型、猴免疫缺乏病毒、慢病毒、多瘤病毒、小病毒、埃-巴二氏病毒、人類疱疹病毒6、猴庖疹病毒1(B病毒)及痘病毒。 In some embodiments, an anti-GITR antibody, antibody fragment or antigen binding molecule is co-administered with a target antigen from, for example, a virus selected from the group consisting of hepatitis A, hepatitis B, hepatitis C, influenza virus , varicella, adenovirus, herpes simplex type I (HSV I), herpes simplex type II (HSV II), burdock, rhinovirus, echovirus, rotavirus, respiratory tract cell virus, papilloma virus, milk lot Bubble virus, cytomegalovirus, ectroscopy virus, arbovirus, hantavirus, coxsackie virus, mumps virus, measles virus, rubella virus, poliovirus, human immunodeficiency virus type I (HIV I) And human immunodeficiency virus type II (HIV II), any small RNA virus family, enterovirus, calicivirus family, norovirus group, chlamy virus (such as alphavirus, flavivirus), coronavirus , rabies virus, Marburg virus, Ebola virus, parainfluenza virus, positive mucus virus, Bunia virus, sand granulosis virus, reovirus, rotavirus, circovirus, human T cell leukemia virus I Type, human T Type II cell leukemia virus, simian immunodeficiency virus, lentivirus, polyomavirus, a small virus, Epstein - Barr virus, human herpes virus 6, simian herpes virus 1 (B virus) and pox viruses.

在一些實施例中,將抗GITR抗體、抗體片段或抗原結合分子與來自例如選自由以下組成之群的細菌的標靶抗原共同投與:奈瑟氏菌屬、鏈球菌屬、變異鏈球菌、嗜血桿菌屬、莫拉菌屬、鮑特氏菌屬、分支桿菌屬、軍團菌屬、埃希氏菌屬、弧菌屬、耶爾森菌屬、曲桿菌屬、沙門氏菌屬、李氏菌屬、螺旋桿菌屬、假單胞菌屬、葡萄球菌屬、腸球菌屬、梭菌屬、芽孢桿菌屬、棒狀桿菌屬、疏螺旋體屬、艾利希體屬、立克次體屬、衣原體屬、鉤端螺旋體屬、密螺旋體屬。 In some embodiments, an anti-GITR antibody, antibody fragment or antigen binding molecule is co-administered with a target antigen from, for example, a bacterium selected from the group consisting of: Neisseria, Streptococcus, Streptococcus mutans, Haemophilus, Moraxella, Bacillus, Mycobacterium, Legionella, Escherichia, Vibrio, Yersinia, Aspergillus, Salmonella, Listeria Genus, Helicobacter, Pseudomonas, Staphylococcus, Enterococcus, Clostridium, Bacillus, Corynebacterium, Borrelia, Ehrlichia, Rickettsia, Chlamydia Genus, Leptospira, and Treponema.

在一些實施例中,將抗GITR抗體、抗體片段或抗原結合分子與腫瘤相關抗原(TAA)共同投與。TAA可為經分離多肽或肽,可為完整細胞之一部分或腫瘤細胞溶解物之一部分。例示性TAA如上文所述;此項技術中已知之其他TAA亦可用。 In some embodiments, an anti-GITR antibody, antibody fragment or antigen binding molecule is co-administered with a tumor associated antigen (TAA). The TAA can be an isolated polypeptide or peptide that can be part of a whole cell or part of a tumor cell lysate. Exemplary TAAs are as described above; other TAAs known in the art can also be used.

在一些實施例中,將抗GITR抗體、抗體片段或抗原結合分子與 來自患者的自體腫瘤細胞或來自另一患者之相同組織類型的同種異體腫瘤細胞共同投與。腫瘤細胞可為完整細胞、腫瘤細胞溶解物、凋亡腫瘤細胞或總腫瘤mRNA之形式。腫瘤細胞可經轉染以表現提高或增強患者中腫瘤細胞之免疫原性的多肽,例如經轉染以表現粒細胞群落刺激因子(GM-CSF)。腫瘤細胞可來自任何癌性組織,包括(但不限於)上皮癌或癌瘤,以及肉瘤及淋巴瘤。在一些實施例中,癌症為黑色素瘤、卵巢癌、腎癌、結腸直腸癌、前列腺癌、肺癌(包括非小細胞肺癌(NSCLC))、乳癌、神經膠質瘤或纖維肉瘤。參見例如Pardee等人,Immunotherapy(2009)1(2):249-264及其中所論述之參考文獻。在一個實施例中,腫瘤細胞來自例如胰臟癌、黑色素瘤、乳癌、肺癌、支氣管癌、結腸直腸癌、前列腺癌、胃癌、卵巢癌、膀胱癌、腦癌或中樞神經系統癌症、周邊神經系統癌症、食道癌、子宮頸癌、子宮或子宮內膜癌、口腔癌或咽癌、肝癌、腎癌、睪丸癌、膽道癌、小腸或附件癌、唾液腺癌、甲狀腺癌、腎上腺癌、骨肉瘤、軟骨肉瘤、血液組織癌及頭頸鱗狀細胞癌(HNSCC)。 In some embodiments, an anti-GITR antibody, antibody fragment or antigen binding molecule is co-administered with an autologous tumor cell from a patient or an allogeneic tumor cell of the same tissue type from another patient. Tumor cells can be in the form of intact cells, tumor cell lysates, apoptotic tumor cells, or total tumor mRNA. Tumor cells can be transfected to express a polypeptide that enhances or enhances the immunogenicity of tumor cells in a patient, for example, transfected to express granulocyte colony stimulating factor (GM-CSF). Tumor cells can be derived from any cancerous tissue including, but not limited to, epithelial cancer or carcinoma, as well as sarcomas and lymphomas. In some embodiments, the cancer is melanoma, ovarian cancer, renal cancer, colorectal cancer, prostate cancer, lung cancer (including non-small cell lung cancer (NSCLC)), breast cancer, glioma, or fibrosarcoma. See, for example, Pardee et al, Immunotherapy (2009) 1(2): 249-264 and the references discussed therein. In one embodiment, the tumor cells are derived, for example, from pancreatic cancer, melanoma, breast cancer, lung cancer, bronchial cancer, colorectal cancer, prostate cancer, gastric cancer, ovarian cancer, bladder cancer, brain cancer or central nervous system cancer, peripheral nervous system Cancer, esophageal cancer, cervical cancer, uterus or endometrial cancer, oral or pharyngeal cancer, liver cancer, kidney cancer, testicular cancer, biliary tract cancer, small intestine or accessory cancer, salivary gland cancer, thyroid cancer, adrenal cancer, osteosarcoma , chondrosarcoma, blood tissue cancer and head and neck squamous cell carcinoma (HNSCC).

在一些實施例中,將抗GITR抗體、抗體片段或抗原結合分子與細胞毒性劑共同投與。舉例而言,將抗GITR抗體或抗原結合分子與結合於且減少或消耗CD4+ CD25+調節性T細胞(Treg)之促效抗體或抗原結合分子共同投與。例示性Treg細胞消耗抗體或抗原結合分子結合於CD25或CCR4。參見Expert Opin Ther Patents(2007)17(5):567-575及其中所論述之參考文獻。 In some embodiments, an anti-GITR antibody, antibody fragment or antigen binding molecule is co-administered with a cytotoxic agent. For example, an anti-GITR antibody or antigen binding molecule is co-administered with an agonist antibody or antigen binding molecule that binds to and reduces or depletes CD4+CD25+ regulatory T cells (Treg). Exemplary Treg cells deplete antibodies or antigen binding molecules that bind to CD25 or CCR4. See Expert Opin Ther Patents (2007) 17(5): 567-575 and the references discussed therein.

在一些實施例中,將抗GITR抗體、抗體片段或抗原結合分子與共抑制信號之抑制劑共同投與。例示性抑制劑包括CTLA-4之抑制劑及PD-1/PD-L1(例如B7-H1)相互作用之抑制劑。在一些實施例中,將抗GITR抗體與結合於且抑制CTLA-4之抗體共同投與。在一些實施例中,將抗GITR抗體與結合於且抑制PD-1之抗體共同投與。在一些實 施例中,將抗GITR抗體與結合於且抑制B7-H1之抗體共同投與。參見例如Expert Opin Ther Patents(2007)17(5):567-575;及Melero等人,Clin Cancer Res(2009)15(5):1507-1509及其中所論述之參考文獻。 In some embodiments, an anti-GITR antibody, antibody fragment or antigen binding molecule is co-administered with an inhibitor of a co-suppression signal. Exemplary inhibitors include inhibitors of CTLA-4 and inhibitors of PD-1/PD-L1 (eg, B7-H1) interactions. In some embodiments, an anti-GITR antibody is co-administered with an antibody that binds to and inhibits CTLA-4. In some embodiments, an anti-GITR antibody is co-administered with an antibody that binds to and inhibits PD-1. In some embodiments, an anti-GITR antibody is co-administered with an antibody that binds to and inhibits B7-H1. See, for example, Expert Opin Ther Patents (2007) 17(5): 567-575; and Melero et al, Clin Cancer Res (2009) 15(5): 1507-1509 and the references discussed therein.

亦可將抗GITR抗體、抗體片段或抗原結合分子與一或多種免疫刺激劑共同投與。舉例而言,在一些實施例中,將抗GITR抗體或抗體片段與免疫刺激性細胞激素(例如IL-7、IL-12或IL-15)共同投與。替代地,可將抗GITR抗體、抗體片段或抗原結合分子與第二免疫刺激性抗體共同投與。舉例而言,亦可將抗GITR抗體、抗體片段或抗原結合分子與腫瘤壞死因子受體超家族之另一成員的促效抗體、抗體片段或抗原結合分子共同投與。例示性第二免疫刺激標靶包括(但不限於)TNFRSF4腫瘤壞死因子受體超家族成員4(亦稱為OX40)或腫瘤壞死因子受體超家族成員9(亦稱為TNFRSF9、4-1BB或CD137)。參見例如Expert Opin Ther Patents(2007)17(5):567-575;Pardee等人,Immunotherapy(2009)1(2):249-264;及Melero等人,Clin Cancer Res(2009)15(5):1507-1509及其中所論述之參考文獻。 Anti-GITR antibodies, antibody fragments or antigen binding molecules can also be co-administered with one or more immunostimulatory agents. For example, in some embodiments, an anti-GITR antibody or antibody fragment is co-administered with an immunostimulatory cytokine (eg, IL-7, IL-12, or IL-15). Alternatively, an anti-GITR antibody, antibody fragment or antigen binding molecule can be co-administered with a second immunostimulatory antibody. For example, an anti-GITR antibody, antibody fragment or antigen binding molecule can also be co-administered with an agonist antibody, antibody fragment or antigen binding molecule of another member of the tumor necrosis factor receptor superfamily. Exemplary second immunostimulatory targets include, but are not limited to, TNFRSF4 tumor necrosis factor receptor superfamily member 4 (also known as OX40) or tumor necrosis factor receptor superfamily member 9 (also known as TNFRSF9, 4-1BB or CD137). See, for example, Expert Opin Ther Patents (2007) 17(5): 567-575; Pardee et al, Immunotherapy (2009) 1(2): 249-264; and Melero et al, Clin Cancer Res (2009) 15(5) : 1507-1509 and the references discussed therein.

亦可將抗GITR抗體、抗體片段或抗原結合分子與化學治療劑共同投與。所選藥劑取決於待治療之病狀,例如癌症或傳染病,諸如細菌感染、真菌感染、病毒感染或寄生蟲感染。可將抗GITR抗體、抗體片段或抗原結合分子與熟習此項技術者已知治療所治療疾病病狀之化學治療劑共同投與。例示性化學治療劑如本文中論述;此項技術中已知之其他化學治療劑亦可用。 Anti-GITR antibodies, antibody fragments or antigen binding molecules can also be co-administered with a chemotherapeutic agent. The agent selected depends on the condition to be treated, such as cancer or an infectious disease, such as a bacterial infection, a fungal infection, a viral infection, or a parasitic infection. The anti-GITR antibody, antibody fragment or antigen binding molecule can be co-administered with a chemotherapeutic agent known to those skilled in the art to treat the condition being treated. Exemplary chemotherapeutic agents are as discussed herein; other chemotherapeutic agents known in the art can also be used.

圖1A-C說明本發明之GITR mAb之抗原決定基定位。圖1A描繪與質譜偶聯之氫/氘交換(HDXMS)分析的結果。結果指出MAB1(親本mAb)抗原決定基之ECD的CRD1區(SEQ ID NO:88)。圖1B描繪使用人類GITR之細胞外域(hGITR ECD)製備的N端缺失構築體之示意圖。圖 1C描繪MAB與hGITR ECD構築體之結合結果。來自人類GITR(hGITR)細胞外域(ECD)之富含半胱胺酸之域1(CRD1)的N端缺失使MAB4及MAB5與hGITR不能結合。圖1D描繪丙胺酸掃描突變誘發之結果。除GITR突變體E78A外,MAB7結合於所有突變蛋白質。執行ForteBioTM結合分析,且結果亦確認MAB7不能結合於hGITRE78A突變蛋白質(未示)。 Figures 1A-C illustrate epitope mapping of the GITR mAb of the invention. Figure 1A depicts the results of a hydrogen/deuterium exchange (HDXMS) analysis coupled to a mass spectrometer. The results indicate the CRD1 region of the ECD of the MAB1 (parent mAb) epitope (SEQ ID NO: 88). Figure IB depicts a schematic representation of an N-terminal deletion construct prepared using the extracellular domain of human GITR (hGITR ECD). Figure 1C depicts the results of binding of MAB to hGITR ECD constructs. The N-terminal deletion of the cysteine-rich domain 1 (CRD1) from the extracellular domain (ECD) of human GITR (hGITR) prevents MAB4 and MAB5 from binding to hGITR. Figure 1D depicts the results of alanine scanning mutation induction. In addition to the GITR mutant E78A, MAB7 binds to all mutant proteins. ForteBio TM binding assay performed, and the results also confirmed MAB7 not bind to a mutant protein hGITRE78A (not shown).

圖2A-2E描繪抗GITR MAB抗體之結合實驗的結果。如藉由ELISA分析所測定,MAB4及MAB5特異性結合於來自人類及獼猴之GITR(A),但不特異性結合於來自嚙齒動物之GITR(B);且MAB7具有類似概況(C)。如藉由FACS競爭分析所測定,MAB7與GITR配體結合競爭(D)。ELISA分析亦展示本發明之抗GITR抗體不結合於TNF受體超家族(TNFRSF)之其他成員(E)。ProtagenTM晶片分析亦確認該等抗體不結合於其他非標靶蛋白質(未示出)。 Figures 2A-2E depict the results of binding experiments with anti-GITR MAB antibodies. MAB4 and MAB5 specifically bind to GITR (A) from humans and macaques, but do not specifically bind to GITR (B) from rodents as determined by ELISA analysis; and MAB7 has a similar profile (C). MAB7 competes with the GITR ligand for competition (D) as determined by FACS competition analysis. ELISA analysis also showed that the anti-GITR antibodies of the invention do not bind to other members of the TNF receptor superfamily (TNFRSF) (E). Protagen (TM) wafer analysis also confirmed that these antibodies did not bind to other non-target proteins (not shown).

圖3說明經工程改造以表現GITR之293細胞中的胞內信號傳導。圖3A說明重組人類GITR配體(GITR-L)活化經穩定轉染以過度表現人類GITR之293細胞中的胞內信號傳導。圖3B說明單株抗體MAB4及MAB5在該等抗體交聯時與GITR-L相當地活化經轉染以過度表現人類GITR之293細胞中的胞內信號傳導(GITRL之EC50為約65nM,相比之下,在交聯劑存在下促效抗體之EC50為約2.5nM)。圖3C說明交聯MAB抗體活化細胞中之胞內信號傳導,因為MAB7及MAB8亦以類似於交聯MAB4之方式促進經人類GITR及NFkB-螢光素酶報導基因穩定轉染之293細胞中的NFκB活化。圖3D說明交聯之MAB4及MAB5促進經獼猴GITR及NFκB-螢光素酶報導基因穩定轉染之293細胞中的NFκB活化。交聯MAB7可見類似活化(資料未示)。 Figure 3 illustrates intracellular signaling in 293 cells engineered to express GITR. Figure 3A illustrates that intracellular signaling in 293 cells stably transfected to overexpress human GITR by recombinant human GITR ligand (GITR-L) activation. 3B illustrates MAB4 monoclonal antibodies when said antibodies and MAB5 crosslinking GITRL quite transfected by excessive activation of intracellular signaling performance 293 cells of the human GITR (GITRL the EC 50 of approximately 65nM, with under ratio, in the presence of a crosslinker antibody agonist EC 50 of about 2.5nM). Figure 3C illustrates intracellular signaling in activated cells of cross-linked MAB antibodies, as MAB7 and MAB8 also promoted stable transfection of human GITR and NFkB-luciferase reporter genes in 293 cells in a manner similar to cross-linking MAB4. NFκB activation. Figure 3D illustrates that cross-linked MAB4 and MAB5 promote NFκB activation in 293 cells stably transfected with cynomolgus GITR and NFκB-luciferase reporter genes. Cross-linked MAB7 showed similar activation (data not shown).

圖4說明MAB7對T細胞之活體外共刺激活性取決於T細胞活化。使抗CD3(OKT3)、抗CD28(CD28.2)及抗GITR mAb於珠粒上交聯(以 1:1:3之比率),隨後與PBMC一起培育。MAB7為CD4+ T細胞之共活化劑且在TCR接合後刺激CD4+ T細胞(4A)及CD8+ T細胞(4B)中之T細胞增殖以及細胞激素產生,例如IFNγ產生(4C)。MAB4及5可見類似結果(資料未示)。 Figure 4 illustrates that the in vitro costimulatory activity of MAB7 on T cells depends on T cell activation. Anti-CD3 (OKT3), anti-CD28 (CD28.2) and anti-GITR mAbs were cross-linked on beads (at a ratio of 1:1:3) and subsequently incubated with PBMC. MAB7 is a co-activator of CD4+ T cells and stimulates T cell proliferation and cytokine production in CD4+ T cells (4A) and CD8+ T cells (4B) after TCR conjugation, such as IFNy production (4C). Similar results were observed for MAB 4 and 5 (data not shown).

圖5A-D說明在不同水準之GITR表現細胞中,MAB7之活體外ADCC活性。MAB7能夠誘導經由FcgRIIIa進行之信號傳導,其中在GITR信號傳導水準增加後活性增加。 Figures 5A-D illustrate in vitro ADCC activity of MAB7 in different levels of GITR-expressing cells. MAB7 is capable of inducing signaling via FcgRIIIa, with increased activity upon increased GITR signaling levels.

圖6說明GITR在hGITR-hGITRL基因嵌入小鼠中發揮功能。自hGITR-hGITRL基因嵌入小鼠分離脾細胞且在未用CD3及CD8抗體刺激或用其刺激下培養48小時,隨後用不同濃度之對照或MAB7脈衝處理30分鐘,隨後固定且用結合螢光團之抗體染色且藉由流式細胞術分析。圖6A描繪如下結果,其展示在經刺激CD8+ T細胞上hGITR之表現上調。圖6B藉由hFc染色描繪結合於T細胞之抗hGITR抗體之結果,其展示MAB7可結合於小鼠CD8+ T細胞上所表現之hGITR。圖6C及6D描繪MAB7結合於經刺激CD8+ T細胞與增加之T細胞活化相關,如藉由胞內pIKK染色(6C)及T細胞活化(6D)所示。*p<0.05,**p<0.005。 Figure 6 illustrates that GITR functions in the hGITR-hGITRL gene-embedded mouse. Splenocytes were isolated from hGITR-hGITRL gene-embedded mice and cultured for 48 hours without stimulation with or stimulation with CD3 and CD8 antibodies, followed by pulse treatment with different concentrations of control or MAB7 for 30 minutes, followed by fixation and binding of fluorophores The antibody was stained and analyzed by flow cytometry. Figure 6A depicts the results showing up-regulation of hGITR on stimulated CD8+ T cells. Figure 6B depicts the results of anti-hGITR antibodies binding to T cells by hFc staining, which demonstrates that MAB7 can bind to hGITR as expressed on mouse CD8+ T cells. Figures 6C and 6D depict that MAB7 binding to stimulated CD8+ T cells is associated with increased T cell activation, as shown by intracellular pIKK staining (6C) and T cell activation (6D). *p<0.05, **p<0.005.

圖7A-C說明MAB7在活體內發揮功能。用單次劑量之媒劑(n=8/時間點)或MAB7(n=10/時間點)抗體處理具有確定之Colon26腫瘤的hGITR-hGITRL雙基因嵌入小鼠。圖7A描繪每週兩次腫瘤量測及使用方程式(L×W2)/2計算之腫瘤體積的結果。所示資料來自十五(15)天時間點組。圖7B及7C描繪來自全血之結果,且圖7D及7E描繪來自腫瘤的結果,該等腫瘤在給藥後3天收集且藉由流式細胞術分析免疫細胞上之細胞表面hGITR表現。(*p<0.05,****p<0.00005)。 Figures 7A-C illustrate that MAB7 functions in vivo. hGITR-hGITRL double gene-embedded mice with defined Colon26 tumors were treated with a single dose of vehicle (n=8/time point) or MAB7 (n=10/time point) antibody. 7A depicts twice weekly and tumor measured results using the equation (L × W 2) / 2 The tumor volume was calculated. The information shown is from the fifteen (15) day time point group. Figures 7B and 7C depict the results from whole blood, and Figures 7D and 7E depict results from tumors collected 3 days after dosing and analyzed for cell surface hGITR expression on immune cells by flow cytometry. (*p<0.05, ****p<0.00005).

圖8說明MAB7在活體內對Colon26腫瘤引發抗腫瘤免疫反應。用單次劑量之媒劑(n=8/時間點)或MAB7(n=10/時間點)處理具有確定之Colon26腫瘤的hGITR-hGITRL雙基因嵌入小鼠。圖8A描繪給藥後3天 T調節細胞之結果。圖8B-8C描繪遵循腫瘤中之處理水準給藥15天後腫瘤位點中所存在之淋巴細胞(8B)及經活化CD8+ T細胞(8C)的結果。將細胞之絕對數根據腫瘤尺寸標準化以說明媒劑與MAB7處理組之間腫瘤尺寸之顯著差異。圖8D描繪處理動物中得到之Teff/Treg比率,其藉由將總瘤內活化CD8+ T細胞與CD4+ FOXP3+ Treg比較以產生Teff/Treg比率而測定。圖8E描繪來自與Colon26腫瘤細胞一起離體培育且使用IFNg ELISPOT分析量測CTL反應的經純化CD8+ T細胞的脾細胞分析之結果。(*p<0.05,***p<0.0005)。 Figure 8 illustrates that MAB7 elicits an anti-tumor immune response against Colon26 tumors in vivo. hGITR-hGITRL double gene-embedded mice with defined Colon26 tumors were treated with a single dose of vehicle (n=8/time point) or MAB7 (n=10/time point). Figure 8A depicts the results of T-regulated cells 3 days after administration. Figures 8B-8C depict the results of lymphocytes (8B) and activated CD8+ T cells (8C) present in the tumor site 15 days after administration according to the treatment level in the tumor. The absolute number of cells was normalized to tumor size to account for the significant difference in tumor size between the vehicle and the MAB7 treated group. Figure 8D depicts the treated animals obtained Teff / Treg ratio, which is CD8 + T cells and CD4 FOXP3 + Treg comparator to generate T eff / T reg + was determined by the ratio of the total tumor activated. Figure 8E depicts the results of spleen cell analysis of purified CD8+ T cells from ex vivo culture with Colon26 tumor cells and measuring CTL responses using IFNg ELISPOT assay. (*p<0.05, ***p<0.0005).

GITR促效抗體MAB2、MAB3、MAB4、MAB5、MAB6、MAB7及MAB8之產生Production of GITR agonistic antibodies MAB2, MAB3, MAB4, MAB5, MAB6, MAB7 and MAB8

人類抗體MAB2、MAB3、MAB4、MAB5、MAB6、MAB7及MAB8藉由工程改造鼠類單株GITR促效抗體MAB1以與人類生殖系抗體具有較大序列同源性而產生。MAB2、MAB3、MAB4、MAB5、MAB6、MAB7及MAB8保留親本鼠類抗體MAB1之抗原決定基特異性、親和力及獼猴GITR交叉反應性。相較於初始鼠類抗體,MAB2、MAB3、MAB4、MAB5、MAB6、MAB7及MAB8與人類生殖系序列具有高得多的同源性,因此應更加為人類免疫系統所容許。 The human antibodies MAB2, MAB3, MAB4, MAB5, MAB6, MAB7 and MAB8 were produced by engineering a murine monoclonal antibody GITR agonistic antibody MAB1 with greater sequence homology to human germline antibodies. MAB2, MAB3, MAB4, MAB5, MAB6, MAB7 and MAB8 retained the epitope specificity, affinity and GITR cross-reactivity of the parental murine antibody MAB1. Compared to the original murine antibodies, MAB2, MAB3, MAB4, MAB5, MAB6, MAB7 and MAB8 have much higher homology to human germline sequences and should therefore be more tolerated by the human immune system.

使用Humaneered®技術平台(可經由KaloBios(South San Francisco,CA(在全球資訊網之kalobios.com上))獲得)將小鼠單株MAB1工程改造以使其蛋白質序列更接近人類生殖系序列且降低其免疫原性。Humaneered®抗體極接近人類抗體,其具有與人類生殖系序列具有高同源性之V區序列,同時仍保留親本或參考抗體之特異性及親和力(美國專利公開案2005/0255552及2006/0134098)。該方法首先鑑別參考Fab之重鏈及輕鏈可變區中的最小抗原結合特異性決定子(BSD)(通常重鏈CDR3及輕鏈CDR3內之序列)。因為此等重鏈及輕鏈 BSD維持在方法期間所建構之所有庫中,故各庫為抗原決定基集中庫,且所得Humaneered®抗體保留初始小鼠抗體之抗原決定基特異性。 (May)) is available on the WWW kalobios.com via KaloBios (South San Francisco, CA ( ) using Humaneered ® technology platform will MAB1 mouse monoclonal protein sequences engineered to make it closer to human germline sequence and reduce Its immunogenicity. Humaneered ® close proximity to human antibody antibody, having a human germline region sequence having high sequence homology to V, while still retaining the parent or reference antibody specificity and affinity (U.S. Patent Publication 2005/0255552 and 2006/0134098). The method first identifies the minimal antigen binding specificity determinant (BSD) in the heavy and light chain variable regions of the reference Fab (usually the sequences within the heavy chain CDR3 and light chain CDR3). Since these heavy and light chain libraries constructed BSD maintain all during the process, so that each of the epitopes is a centralized database repository, and the resulting antibody retains the antigen Humaneered ® original mouse antibody decision Kit sex.

隨後,產生完整鏈庫(其中整個輕鏈或重鏈可變區經人類序列之庫置換)及/或卡匣庫(其中小鼠Fab之重鏈或輕鏈可變區之一部分經人類序列之庫置換)。可使用基於細菌分泌系統來使庫之成員表現為抗體Fab片段,且使用群落轉移結合分析(CLBA)篩選庫之抗原結合Fab。可進一步表徵陽性純系以鑑別具有最高親和力之純系。在殘餘鼠類序列之情形下,將支持結合之所鑑別人類卡匣組合於最終庫篩選中以產生全人類V區。 Subsequently, a complete strand library (where the entire light or heavy chain variable region is replaced by a library of human sequences) and/or a cassette library (where one of the heavy or light chain variable regions of the mouse Fab is subjected to human sequences) Library replacement). A bacterial-based secretion system can be used to visualize members of the library as antibody Fab fragments, and a library-bound antigen binding Fab using a community transfer binding assay (CLBA). Positive pure lines can be further characterized to identify pure lines with the highest affinity. In the case of a residual murine sequence, the identified human cassettes that support binding are combined in a final library screen to generate a fully human V region.

所得Humaneered®抗體Fab具有源自人類庫之V區序列,保留CDR3區內鑑別之短BSD序列且具有人類生殖系構架4區。藉由將重鏈及輕鏈之可變區選殖於IgG表現載體中將此等Fab轉化為完整IgG。此方法中產生之Humaneered®抗體保留親本鼠類抗體之結合特異性,其相較於親本抗體通常對抗原具有相等或較高親和力,且在蛋白質層面具有相較於人類生殖系抗體基因具有高度序列一致性的V區。 The resulting Humaneered ® Fab antibodies having V region sequences derived from a human library, the sequence of the CDR3 BSD short retention zone identification purposes and having a human germline framework 4 region. The Fabs are converted to intact IgG by culturing the variable regions of the heavy and light chains in an IgG expression vector. Humaneered ® antibodies of this process retain the binding specificity of the parent murine antibody, which compared to the parent antibody generally has an equal or higher affinity for the antigen, and having a protein level compared to the human germline antibody gene having A highly sequence-consistent V region.

方法method 鼠類抗GITR mAb MAB1之產生Production of murine anti-GITR mAb MAB1

用人類GITR之N端區域(aa 26-161)使用需要多位點重複免疫(RIMMS)的程序(McIntyre GD.Hybridoma 1997)使Bcl-2轉殖基因小鼠(C57BL/6-Tgn(bcl-2)22 wehi品系)免疫,繼而自高力價小鼠產生融合瘤。使用針對hGITR之夾心ELISA及NFκB報導基因分析來鑑別且選擇分泌MAB1之融合瘤以確認hGITR結合及促效活性。 The Bcl-2 transgenic mouse (C57BL/6-Tgn (bcl-) was used in the N-terminal region of human GITR (aa 26-161) using a procedure that requires multiple site repeated immunization (RIMMS) (McIntyre GD. Hybridoma 1997). 2) 22 wehi strain) immunization, which in turn produces fusion tumors from high-power mice. The sandwich ELISA and NFκB reporter gene assay for hGITR were used to identify and select fusion tumors secreting MAB1 to confirm hGITR binding and agonistic activity.

鼠類V區之選殖Colonization of the murine V region

使用標準方法藉由RT-PCR自獲自融合瘤細胞株的RNA擴增來自鼠類單株MAB1之可變區。重鏈可變區自具有HV3(5'- GGGTCTAGACACCATGGCTGTCTTGGGGCTGCTCTTC-3'(SEQ ID NO:95))及HC恆定(5'-GCGTCTAGAAYCTCCACACACAGGRRCCAGTGGATAGAC-3'(SEQ ID NO:96))之MAB1 cDNA擴增。輕鏈可變區自具有LV3(5'-GGGTCTAGACACCATGGAGWCACAKWCTCAGGTCTTTRTA-3'(SEQ ID NO:97))及LC恆定(5'-GCGTCTAGAACTGGATGGTGGGAAGATGG-3'(SEQ ID NO:19))之相同cDNA擴增。將可變重鏈及輕鏈產物插入pcDNA3.1載體中且檢驗序列。使用重鏈及輕鏈載體作為模板來PCR併入限制酶位點以供選殖於KaloBios載體中:將Vh在NcoI(5')及NheI(3')處選殖於KB1292-His(KB1292之經修飾形式,其編碼C端可撓性連接子及CH1上胺基酸序列AAGASHHHHHH(SEQ ID NO:13)之6-His標記物(SEQ ID NO:11))中;將Vk在NcoI(5')及BsiWI(3')處選殖於KB1296中。隨後藉由用BssHII及ClaI限制消化及接合將此等各別重鏈及輕鏈載體組合成於單一雙順反子KaloBios Fab表現載體中。將Fab片段由此載體表現於大腸桿菌中。測試此Fab之hGITR-抗原結合且稱為MAB1rFab。 The variable region from the murine monoculture MAB1 was amplified from the RNA obtained from the fusion tumor cell strain by RT-PCR using standard methods. The heavy chain variable region was amplified from MAB1 cDNA with HV3 (5'-GGGTCTAGACACCATGGCTGTCTTGGGGCTGCTCTTC-3' (SEQ ID NO: 95)) and HC constant (5'-GCGTCTAGAAYCTCCACACACAGGRRCCAGTGGATAGAC-3' (SEQ ID NO: 96)). The light chain variable region was amplified from the same cDNA with LV3 (5'-GGGTCTAGACACCATGGAGWCACAKWCTCAGGTCTTTRTA-3' (SEQ ID NO: 97)) and LC constant (5'-GCGTCTAGAACTGGATGGTGGGAAGATGG-3' (SEQ ID NO: 19)). The variable heavy and light chain products were inserted into the pcDNA3.1 vector and the sequences were verified. The heavy and light chain vectors were used as templates to PCR-incorporate restriction enzyme sites for selection in KaloBios vectors: Vh was cloned at Nco I (5') and Nhe I (3') at KB1292-His ( A modified version of KB1292 encoding a C-terminal flexible linker and a 6-His tag (SEQ ID NO: 11) of the amino acid sequence AAGASHHHHHH (SEQ ID NO: 13) on CH1; Vk at Nco I(5') and Bsi WI (3') were selected in KB1296. These individual heavy and light chain vectors are then combined into a single bicistronic KaloBios Fab expression vector by restriction digestion and ligation with BssHII and ClaI. The Fab fragment was expressed in E. coli from this vector. The hGITR-antigen binding of this Fab was tested and referred to as MAB1rFab.

Fab純化Fab purification

Fab片段藉由使用KaloBios表現載體自大腸桿菌分泌而表現。使細胞在2×YT培養基中生長至約0.6之OD500。藉由添加達100μM之IPTG且在33℃下震盪4小時誘導表現。根據標準方法藉由滲透性溶解且藉由親和層析使用Ni-NTA管柱(HisTrap HP管柱;GE Healthcare目錄號17-5247-01)純化自周質部分獲得組裝之Fab。將Fab於含有500mM咪唑之緩衝液中溶離且針對PBS(pH7.4)在無鈣及鎂下充分透析。 Fab fragments are expressed by secretion from E. coli using the KaloBios expression vector. The cells were grown in 2 x YT medium to an OD500 of about 0.6. Performance was induced by the addition of 100 mM IPTG and shaking at 33 °C for 4 hours. The assembled Fab was obtained by osmotic dissolution and purification from the periplasmic fraction by affinity chromatography using a Ni-NTA column (HisTrap HP column; GE Healthcare Cat. No. 17-5247-01) according to standard methods. The Fab was dissolved in a buffer containing 500 mM imidazole and thoroughly dialyzed against PBS (pH 7.4) without calcium and magnesium.

庫建構Library construction

為限制鑑別人類GITR結合中支持BSD-FR4的互補人類CDR的複雜性,採用卡匣庫方法,其中僅親本鼠類V區之一部分經人類序列庫置換。初始鼠類MAB1 Vk最接近人類生殖系VkIII,故在製備Vk卡匣 庫時使用含有VkIII生殖系之兩個KaloBios庫(KB1423及KB1424)的混合物。含有VH3生殖系之KaloBios庫(KB1413,KB1414)用於建構Vh卡匣庫。藉由重疊PCR建構兩類卡匣:使用上述生殖系限制KaloBios庫擴增FR1、CDR1及FR2中含有人類序列之前端卡匣(8C1VK3FE-01及MAB1VH3FE-01)及FR3中含有人類序列之FR3卡匣(MAB1VK3FR3-01及MAB1VH3FR3-01)。將各Vh卡匣庫在NcoI(5')及KpnI(3')處選殖於載體KB1292-His中;將各Vk卡匣庫在NcoI(5')及HindIII(3')處選殖於載體KB1296-B(KaloBios載體KB1296之經修飾形式,其在FR4中添加有靜默HindIII位點)中。隨後藉由用BssHII及ClaI消化,隨後接合,將所得Vh或Vk質體庫與來自經最佳化之參考Fab的互補鏈(MAB1opVK或MAB1 opVH)組合(例如將Vh前端庫與經最佳化之參考Vk載體組合),得到表現完整Fab之雙順反子載體之庫。 To limit the complexity of identifying complementary human CDRs that support BSD-FR4 in human GITR binding, the Karma method was used in which only one of the parental murine V regions was replaced by a human sequence library. The initial murine MAB1 Vk is closest to the human germline VkIII, so a mixture of two KaloBios libraries (KB1423 and KB1424) containing the VkIII germline was used in the preparation of the Vk cassette. The KaloBios library (KB1413, KB1414) containing the VH3 germline was used to construct the Vh cassette library. Two types of cassettes were constructed by overlapping PCR: using the above-mentioned germline restriction KaloBios library to amplify FR3 cards containing FR1, CDR1 and FR2 containing human sequences in the front end cassettes (8C1VK3FE-01 and MAB1VH3FE-01) and FR3 containing human sequences.匣 (MAB1VK3FR3-01 and MAB1VH3FR3-01). Each Vh cassette was selected in the vector KB1292-His at Nco I (5') and Kpn I (3'); each Vk cassette was stored in Nco I (5') and Hind III (3') The vector was cloned in the vector KB1296-B (a modified version of the KaloBios vector KB1296, which was added with a silent Hind III site in FR4). Subsequent digestion with Bss HII and Cla I followed by conjugation, combining the resulting Vh or Vk plastid library with the complementary strand from the optimized reference Fab (MAB1opVK or MAB1 opVH) (eg, the Vh front-end library and the most A reference to the Vk vector combination of Jiahua, to obtain a library of bicistronic vectors representing the complete Fab.

無VH3前端純系以高親和力結合人類GITR,因此,建構第二VH3前端庫(MAB1VH3FE-02)。此庫在FR1、FR2及CDR2群中含有人類序列,其中CDR2群在所有位置編碼親本鼠類殘基或所選人類生殖系殘基。此庫之FR3區域序列來自選自VH3FR3庫(MAB1VH3FR3-01)之六個純系。 The VH3 front-end pure system combines the human GITR with high affinity. Therefore, the second VH3 front-end library (MAB1VH3FE-02) is constructed. This library contains human sequences in the FR1, FR2 and CDR2 populations, wherein the CDR2 population encodes a parent murine residue or a selected human germline residue at all positions. The FR3 region sequence of this library is derived from six pure lines selected from the VH3FR3 library (MAB1VH3FR3-01).

最終Vk完整鏈庫(MAB1VK3FCL-01)藉由組合來自VK前端之純系與VKFR3卡匣庫來建構,該等VKFR3卡匣庫所具有的突變誘發VK CDR2在所有位置編碼親本鼠類或所選人類生殖系殘基。將所得Vk完整鏈庫在NcoI及HindIII位點選殖於KB1296b中。將此VK完整鏈庫與多個所選VH3FR3庫純系配對以使得功能性Fab表現,且藉由CLBS篩選。抗原特異性純系藉由人類GITR特異性ELISA確認且藉由抗原親和力滴定ELISA分級。VH3完整鏈庫(MAB1VH3FcL-01)使用來自第二VH3前端庫(MAB1VH3FE-02)之所選純系產生,該第二VH3前端庫所具有的CDR2序列群在各位置含有親本鼠類或人類殘基。將此VH完整 鏈庫在NcoI及KpnI位點選殖於KB1292-his中。為產生最終完整鏈人類Fab表現庫,將所選VK完整鏈純系與VH完整鏈庫在BssHII及ClaI位點組合。 The final Vk complete strand library (MAB1VK3FCL-01) was constructed by combining the pure line and the VKFR3 cassette library from the VK front end, and the mutations in the VKFR3 cassette library induced the VK CDR2 to encode the parent mouse or selected at all positions. Human reproductive system residues. The resulting complete Vk library was cloned into KB1296b at the Nco I and Hind III sites. This VK complete strand library was paired with multiple selected VH3FR3 library lines to allow functional Fab expression and was screened by CLBS. Antigen-specific purity was confirmed by human GITR-specific ELISA and fractionated by antigen affinity titration ELISA. The VH3 complete strand library (MAB1VH3FcL-01) was generated using the selected pure line from the second VH3 front-end library (MAB1VH3FE-02), which has a CDR2 sequence group containing the parent mouse or human residue at each position. base. This VH complete strand library was cloned in KB1292-his at the Nco I and Kpn I sites. To generate the final full-stranded human Fab expression library, the selected VK intact chain pure line was combined with the VH full chain library at the Bss HII and Cla I sites.

通用ELISAUniversal ELISA

將重組人類GITR及人類Fc融合蛋白(hGITR-hFc)用於所有ELISA分析。通常,藉由在4℃下隔夜培育使以PBS(pH 7.4)稀釋之hGITR-hFc抗原以每孔200ng結合於96孔微量滴定盤。用PBST沖洗三次後,在37℃下用1% BSA之PBS溶液阻斷培養盤一小時,隨後用PBST沖洗一次。隨後將含Fab細胞培養基或經稀釋純化之Fab(50μL)添加至各孔中。在37℃下培育一小時或在4℃下隔夜培育後,用PBST沖洗培養盤三次。將用PBST(50μL)1:5000稀釋之抗人類κ鏈HRP結合物(Sigma #A7164)添加至各孔中,且在室溫下培育培養盤45分鐘。用PBST洗滌培養盤三次,隨後將100μL SureBlue TMB受質(KPL #52-00-03)添加至各孔中,且在室溫下培育培養盤約10分鐘。於分光光度計中在650nm下讀取培養盤。 Recombinant human GITR and human Fc fusion protein (hGITR-hFc) were used for all ELISA analyses. Typically, hGITR-hFc antigen diluted in PBS (pH 7.4) was bound to a 96-well microtiter plate at 200 ng per well by overnight incubation at 4 °C. After washing three times with PBST, the plate was blocked with 1% BSA in PBS for one hour at 37 ° C, followed by rinsing once with PBST. Fab-containing medium or diluted and purified Fab (50 μL) was then added to each well. After incubating for one hour at 37 ° C or overnight at 4 ° C, the plate was rinsed three times with PBST. An anti-human kappa chain HRP conjugate (Sigma #A7164) diluted 1:5000 in PBST (50 μL) was added to each well, and the plate was incubated at room temperature for 45 minutes. The plate was washed three times with PBST, then 100 μL of SureBlue TMB substrate (KPL #52-00-03) was added to each well, and the plate was incubated for about 10 minutes at room temperature. The plates were read at 650 nm in a spectrophotometer.

親和力滴定ELISAAffinity titration ELISA

為評估所選Fab產生純系之抗原結合,開發出親和力滴定ELISA。此分析組合兩個連續ELISA步驟:第一個,使用山羊抗人類Fab(Jackson ImmunoResearch Lab #109-005-097)捕捉物及山羊抗人類κ(Sigma #A7164)偵測物量測細胞培養基中之Fab濃度以標準化第二抗原滴定ELISA中所用之Fab之量;第二ELISA,即普通抗原特異性ELISA,以相同量之起始Fab產生抗原結合稀釋曲線。藉由比較不同純系之稀釋曲線,鑑別高親和力純系。 To assess the antigen binding of the selected Fabs to produce pure lines, an affinity titration ELISA was developed. This assay combines two consecutive ELISA steps: the first, using a goat anti-human Fab (Jackson ImmunoResearch Lab #109-005-097) capture and goat anti-human kappa (Sigma #A7164) detector to measure cell culture Fab concentration was used to normalize the amount of Fab used in the second antigen titration ELISA; a second ELISA, a common antigen-specific ELISA, produced an antigen binding dilution curve with the same amount of starting Fab. High-affinity pure lines were identified by comparing dilution curves of different pure lines.

群落轉移結合ELISA(CLBA)Community transfer combined with ELISA (CLBA)

基本上如(美國專利公開案2005/0255552及2006/0134098)中所述,使用以2.0μg/mL塗佈hGITR-hFC之PBS(pH7.4)溶液的硝化纖維 素濾膜執行Fab片段之Humaneered®抗體庫篩選。使用以PBST 1:5000稀釋之山羊抗人類κ鏈HRP結合物(Sigma #A7164)偵測結合於塗有抗原之濾膜的Fab,且用ECL加西方墨點偵測系統(GE Healthcare #RPN2132)產生墨點。 A nitrocellulose fiber coated with hGITR-hFC in PBS (pH 7.4) at 2.0 μg/mL was used substantially as described in (U.S. Patent Publication Nos. 2005/0255552 and 2006/0134098). The membrane was subjected to screening of the Humaneered® antibody library of Fab fragments. The Fab bound to the antigen-coated filter was detected using a goat anti-human kappa chain HRP conjugate (Sigma #A7164) diluted 1:5000 in PBST, and the ECL plus Western blot detection system (GE Healthcare #RPN2132) Produce ink dots.

移除MAB4中之糖基化位點Removal of glycosylation sites in MAB4

藉由用精胺酸置換離胺酸或用精胺酸置換離胺酸及用天冬醯胺置換組胺酸移除MAB4重鏈之FR3與CDR3之接合點中的糖基化位點「KH」。藉由基於PCR之突變誘發使用p50H質體作為DNA模板來完成KH至RH及KH至RN的轉化。反向引子(TCTGGCGCAGTAATACACGGCC,SEQ ID NO:110)併入精胺酸替代離胺酸;正向引子(NNKGCCTATGGCCATGATGGCG,SEQ ID NO:111)在組胺酸位點具有簡併NNK三核苷酸。PCR反應用100ng模板、0.2μM各引子、200μM dNTP及2.5U pfuUltraII DNA聚合酶(Strategene)以50μl反應體積進行。PCR條件為94℃ 3分鐘,1個循環;94℃ 15秒,52℃ 20秒及65℃ 5分鐘,30個循環;及最後在72℃下5分鐘,1個循環。將DpnI(2U)添加至PCR反應中且在37℃下培育30分鐘以移除模板p50H。藉由1% SYBR凝膠分離擴增之MAB4重鏈變異體且使用Qiagen Gel純化套組純化。用T4 DNA聚核苷酸激酶處理經凝膠純化之PCR產物,接合且在安比西林選擇下轉型於DH5α化學勝任細胞(Invitrogen)中。 Removal of the glycosylation site in the junction of FR3 and CDR3 of the MAB4 heavy chain by replacing the lysine with arginine or replacing the lysine with arginine and replacing histidine with aspartame "KH "." Transformation of KH to RH and KH to RN was accomplished by PCR-based mutation induction using p50H plastids as DNA templates. The reverse primer (TCTGGCGCAGTAATACACGGCC, SEQ ID NO: 110) incorporates arginine instead of lysine; the forward primer (NNKGCCTATGGCCATGATGGCG, SEQ ID NO: 111) has degenerate NNK trinucleotides at the histidine site. The PCR reaction was carried out in a 50 μl reaction volume using 100 ng of template, 0.2 μM of each primer, 200 μM dNTP, and 2.5 U of pfu UltraII DNA polymerase (Strategene). The PCR conditions were 94 ° C for 3 minutes, 1 cycle; 94 ° C for 15 seconds, 52 ° C for 20 seconds and 65 ° C for 5 minutes, 30 cycles; and finally at 72 ° C for 5 minutes, 1 cycle. DpnI (2 U) was added to the PCR reaction and incubated at 37 °C for 30 minutes to remove template p50H. The amplified MAB4 heavy chain variants were isolated by 1% SYBR gel and purified using the Qiagen Gel purification kit. The gel purified PCR product was treated with T4 DNA polynucleotide kinase, ligated and transformed into DH5α chemical competent cells (Invitrogen) under ampicillin selection.

藉由群落PCR使用正向(GCCTTTCTCTCCACAGG,SEQ ID NO:112)及反向(GGCAAACAACAGATGGCTGG,SEQ ID NO:113)引子遵循GoTaqClear方案(Promega)選擇具有MAB7及MAB8重鏈之純系。PCR條件為94℃ 3分鐘,1個循環;94℃ 10秒,55℃ 30秒,72℃ 45秒,25次;及最後在72℃下5分鐘,1個循環。清洗PCR反應物以藉由與核酸外切酶I及Shrimp鹼性磷酸酶一起在37℃下培育樣品30分鐘 及在80℃下培育15分鐘測序。對PCR樣品測序且使用純系處理軟體(Clone Manager software)分析結果。 The pure line with the MAB7 and MAB8 heavy chains was selected by community PCR using the forward (GCCTTTCTCTCCACAGG, SEQ ID NO: 112) and reverse (GGCAAACAACAGATGGCTGG, SEQ ID NO: 113) primers following the GoTaqClear protocol (Promega). The PCR conditions were 94 ° C for 3 minutes, 1 cycle; 94 ° C for 10 seconds, 55 ° C for 30 seconds, 72 ° C for 45 seconds, 25 times; and finally at 72 ° C for 5 minutes, 1 cycle. The PCR reaction was washed to incubate the sample for 30 minutes at 37 °C with exonuclease I and Shrimp alkaline phosphatase. And incubated at 80 ° C for 15 minutes for sequencing. The PCR samples were sequenced and the results were analyzed using Clone Manager software.

抗體產生及純化Antibody production and purification

所產生之抗體MAB2、MAB3、MAB4、MAB5、MAB6、MAB7及MAB8(IgG1κ)藉由根據製造商之方案使用293fectin轉染試劑(Invitrogen #51-0031)將如下載體共轉染於293 Freestyle細胞中產生。 The resulting antibodies MAB2, MAB3, MAB4, MAB5, MAB6, MAB7 and MAB8 (IgG1 kappa) were co-transfected into 293 Freestyle cells by using 293fectin transfection reagent (Invitrogen #51-0031) according to the manufacturer's protocol. produce.

MAB2-p35H+p35κ MAB2-p35H+p35κ

MAB3-p38H+p38κ MAB3-p38H+p38κ

MAB4-p50H+p35κ MAB4-p50H+p35κ

MAB5-p51H+p35κ MAB5-p51H+p35κ

MAB6-p56H+p35κ MAB6-p56H+p35κ

MAB7-pMAB7H+p35κ MAB7-pMAB7H+p35κ

MAB8-pMAB8H+p35κ MAB8-pMAB8H+p35κ

使用5-mL HiTrap蛋白A HP管柱(GE Healthcare #17-0403-03)自293 Freestyle細胞上清液純化抗體。使用IgG溶離緩衝液(Pierce #21004)溶離抗體,且藉由透析將緩衝液交換於PBS中。於AKTA-FPLC液相層析系統(GE Healthcare)上進行蛋白A親和層析。 The antibody was purified from 293 Freestyle cell supernatant using a 5-mL HiTrap Protein A HP column (GE Healthcare #17-0403-03). The antibody was lysed using IgG Dissolution Buffer (Pierce #21004) and the buffer was exchanged in PBS by dialysis. Protein A affinity chromatography was performed on an AKTA-FPLC liquid chromatography system (GE Healthcare).

特異性ELISASpecific ELISA

為進行特異性ELISA,由表現TNFRSF家族成員之細菌製成粗細胞溶解物。為防止與培養盤之非特異性結合,每毫升細菌溶解物添加50μL 5% BSA。用含TNFRSF之細菌溶解物以每孔100μL溶解物/BSA塗佈HisGrab 96孔鎳盤(Pierce #15142)且在室溫下培育1小時。隨後用PBST沖洗培養盤三次,隨後用10% FBS之PBS溶液稀釋MAB至0.5μg/mL且向各孔添加100μL。在室溫下培育培養盤1小時,隨後用PBST沖洗三次。用1:1 PBST:10% FBS之PBS溶液1:5000稀釋結合於HRP之抗人類κ抗體(Sigma #A7164)且向各孔中添加100μL。在室溫下 培育培養盤1小時,隨後用PBST洗滌三次。向各孔中添加100μL SureBlue TMB受質,且在室溫下培育培養盤約10分鐘,隨後用每孔100μL 2N H2SO4終止反應。於分光光度計中在450nm下讀取培養盤。 For specific ELISA, crude cell lysates are made from bacteria that express members of the TNFRSF family. To prevent non-specific binding to the plates, 50 μL of 5% BSA was added per ml of bacterial lysate. A HisGrab 96-well nickel disk (Pierce #15142) was coated with TNFRSF-containing bacterial lysate in 100 μL of lysate/BSA per well and incubated for 1 hour at room temperature. The plate was then washed three times with PBST, then the MAB was diluted to 0.5 μg/mL with 10% FBS in PBS and 100 μL was added to each well. The plates were incubated for 1 hour at room temperature and then washed three times with PBST. Anti-human kappa antibody (Sigma #A7164) bound to HRP was diluted 1:5000 in 1:1 PBST: 10% FBS in PBS and 100 μL was added to each well. The plates were incubated for 1 hour at room temperature and then washed three times with PBST. 100 μL of SureBlue TMB substrate was added to each well, and the plate was incubated at room temperature for about 10 minutes, and then the reaction was terminated with 100 μL of 2N H 2 SO 4 per well. The plates were read at 450 nm in a spectrophotometer.

ELISA(GITR結合、物種交叉反應性、丙胺酸掃描)ELISA (GITR binding, species cross-reactivity, alanine scanning)

使用384孔盤評定MAB與來自各種物種之GITR、各種丙胺酸突變構築體或GITR細胞外域的結合,其中用大鼠、小鼠、人類或獼猴GITR細胞外域(ECD)以每孔50ng塗佈384孔盤且在4℃下培育隔夜。在室溫下用1% BSA之PBS溶液阻斷培養盤一小時,隨後用PBST沖洗三次。隨後用PBS稀釋MAB至0.5μg/mL或1μg/mL且向各孔中添加20μL。在室溫下培育培養盤1小時,隨後用PBST洗滌三次。用阻斷緩衝液(25μL)1:5000稀釋抗人類κ抗體(Sigma #A7164)、抗人類γ抗體(Jackson Immunoresearch 109-036-098)、山羊抗小鼠抗體(Jackson ImmunoResearch 115-035-071)與HRP之結合物且添加至各孔中,或添加用阻斷緩衝液1:1000稀釋之結合hrp之HIS抗體(QIAGEN 1014992)。在室溫下培育培養盤1小時,隨後用PBST洗滌六次。將25μL SureBlue TMB(KPL 52-00-02)受質添加至各孔中且在室溫下培育培養盤約10分鐘。於分光光度計中在650nm下讀取培養盤。 The binding of MAB to GITR, various alanine mutant constructs or GITR extracellular domains from various species was assessed using a 384-well plate using a rat, mouse, human or macaque GITR extracellular domain (ECD) coated at 50 ng per well. The wells were incubated overnight at 4 °C. The plates were blocked with 1% BSA in PBS for one hour at room temperature and then washed three times with PBST. The MAB was then diluted to 0.5 μg/mL or 1 μg/mL with PBS and 20 μL was added to each well. The plates were incubated for 1 hour at room temperature and then washed three times with PBST. Anti-human kappa antibody (Sigma #A7164), anti-human gamma antibody (Jackson Immunoresearch 109-036-098), goat anti-mouse antibody (Jackson ImmunoResearch 115-035-071) diluted 1:5000 in blocking buffer (25 μL) The conjugate was combined with HRP and added to each well, or HIS antibody (QIAGEN 1014992) in combination with hrp diluted 1:1000 in blocking buffer was added. The plates were incubated for 1 hour at room temperature and then washed six times with PBST. 25 μL of SureBlue TMB (KPL 52-00-02) substrate was added to each well and the plate was incubated for about 10 minutes at room temperature. The plates were read at 650 nm in a spectrophotometer.

細胞株、細胞Cell line, cell

為產生293-hGITR-NFκB報導基因細胞株,用NFκB-螢光素酶報導基因及人類GITR(或獼猴GITR)穩定轉染293細胞。藉由在與GITR-L或促效抗體一起培育24小時後量測細胞內誘導之螢光素酶含量測定此等細胞中GITR信號傳導路徑之活化。為評定交聯Ab之作用,將其與過量F(ab')2山羊抗人類Fcγ片段特異性抗體或蛋白A一起培育,隨後用於報導基因分析中。 To generate a 293-hGITR-NFκB reporter gene cell line, 293 cells were stably transfected with the NFκB-luciferase reporter gene and human GITR (or macaque GITR). Activation of the GITR signaling pathway in these cells was determined by measuring intracellularly induced luciferase levels after incubation with GITR-L or agonist antibodies for 24 hours. To assess the effect of cross-linked Ab, it was incubated with excess F(ab') 2 goat anti-human Fc[gamma] fragment-specific antibody or protein A and subsequently used to report on gene analysis.

產生純系道迪細胞株(Daudi cell line),其表現人類免疫細胞上可 見之GITR量。 Produce a pure Daudi cell line, which can be expressed on human immune cells. See the amount of GITR.

製備獼猴且使用MAB測定GITR結合。簡言之,將獼猴血液轉移於50mL錐形管(Falcon,#352098)中,隨後用PBS(HyClone,#SH30256.01)1:2稀釋且混合。使經稀釋血液小心地在18mL 90% Ficoll Paque PLUS(GE Healthcare #17-1440-03,用PBS稀釋)上分層,且在室溫下在不制動下以2,000×g於桌上型離心機中旋轉管30分鐘。在不干擾Ficoll上分散之PBMC層下小心地移除血漿層。隨後小心收集PBMC且將PBS添加至經分離PBMC中直至錐形管中之體積為45mL為止,混合,隨後在室溫下以300×g於桌上型離心機中旋轉15分鐘。小心抽吸上清液,添加4mL 1×BD溶解溶液(BD #555899)且使樣品輕緩渦旋。在室溫下在黑暗中培育3分鐘後,將40mL PBS添加至各樣品中,且使其在室溫下以200×g於桌上型離心機中旋轉10分鐘。小心抽吸上清液且用45mL PBS洗滌顆粒兩次,隨後在室溫下以200×g於桌上型離心機中旋轉10分鐘。過濾所得顆粒且以1×106個細胞/毫升再懸浮於補充有青黴素/鏈黴素/麩醯胺酸(Hyclone #SV30082.01)之CTL測試培養基(CTLT-005)中。將100μL經純化獼猴PBMC置於96孔圓底盤(Corning,#3799)中。為活化PBMC,將100μL M-280甲苯磺醯基活化之與SP34-2/CD28.2抗體結合的戴諾珠粒(dynabead)(Life Technologies #142.04)添加至各孔中。使用3:1 CD3/CD28珠粒與PBMC之比率且於37℃組織培養培育箱中培育培養盤48小時。對於第0天染色,將200μL PBMC置於96孔圓底盤(Corning,#3799)中。對於刺激48小時之樣品,小心移除100μL上清液且將孔之其餘內含物小心地再懸浮且將200μL轉移至FACS染色培養盤。 Cynomolgus monkeys were prepared and GITR binding was determined using MAB. Briefly, macaque blood was transferred to a 50 mL conical tube (Falcon, #352098), followed by dilution and mixing with PBS (HyClone, #SH30256.01) 1:2. The diluted blood was carefully layered on 18 mL of 90% Ficoll Paque PLUS (GE Healthcare #17-1440-03, diluted with PBS) and at room temperature with 2,000 x g on a tabletop centrifuge without braking. Rotate the tube for 30 minutes. Carefully remove the plasma layer under the PBMC layer that does not interfere with the dispersion on the Ficoll. PBMC were then carefully collected and PBS was added to the isolated PBMC until the volume in the conical tube was 45 mL, mixed, and then spun at 300 x g in a tabletop centrifuge for 15 minutes at room temperature. The supernatant was carefully aspirated, 4 mL of 1 x BD dissolution solution (BD #555899) was added and the sample was gently vortexed. After incubating for 3 minutes at room temperature in the dark, 40 mL of PBS was added to each sample, and it was rotated at 200 x g in a tabletop centrifuge for 10 minutes at room temperature. The supernatant was carefully aspirated and the particles were washed twice with 45 mL PBS and then spun at 200 x g in a tabletop centrifuge for 10 minutes at room temperature. The resulting granules were filtered and resuspended at 1 × 10 6 cells/ml in CTL test medium (CTLT-005) supplemented with penicillin/streptomycin/glutamic acid (Hyclone #SV30082.01). 100 μL of purified macaque PBMC was placed in a 96-well round chassis (Corning, #3799). To activate PBMC, 100 μL of M-280 toluenesulfonyl-activated dynabead (Life Technologies #142.04) bound to the SP34-2/CD28.2 antibody was added to each well. The plates were incubated for 48 hours in a tissue culture incubator at 37 ° C using a ratio of 3:1 CD3/CD28 beads to PBMC. For day 0 staining, 200 μL of PBMC was placed in a 96-well round chassis (Corning, #3799). For samples incubated for 48 hours, 100 [mu]L of supernatant was carefully removed and the remaining contents of the wells were carefully resuspended and 200 [mu]L was transferred to a FACS stained plate.

FACSFACS

用再懸浮於200μL冷PBS中之細胞製備培養盤。將LIVE/DEAD可固定染料(Life Technologies #L23105)於50μL DMSO中復原,且每毫 升冷PBS添加1μL經復原染料,且立即將細胞顆粒再懸浮於100μL LIVE/DEAD PBS溶液中,在冰上避光培育30分鐘,隨後洗滌且再懸浮於100μL含有2μg/mL MAB7或同型人類IgG1對照抗體之冷FACS緩衝液中且在冰上避光培育培養盤30分鐘。洗滌且再懸浮於100μL如下抗體混合物(PerCP Cy5.5抗人類CD3(BD #552852)、Alexa Fluor 700抗人類CD4(BD #560836)、V450抗人類CD8(BD #561426)、PE-Cy7抗人類CD25(BD #561405)及含PE抗人類之FACS緩衝液(Jackson Immuno #109-116-098))中,隨後於冰上避光培育培養盤30分鐘,隨後在4℃下以3,200RPM於桌上型離心機中旋轉1分鐘。用FACS緩衝液洗滌細胞,隨後再懸浮於100μL BD CytoFix(BD #554655)中且在室溫下避光培育培養盤15分鐘,隨後洗滌兩次且再懸浮於100μL FACS緩衝液中。用箔(Beckman Coulter,#538619)覆蓋培養盤且儲存在4℃下直至準備讀取為止。在FACS讀取之日,將培養盤以3,200RPM於桌上型離心機中旋轉1分鐘,且將50μL CML乳膠珠粒(Life Technologies #C37259)(每毫升FACS緩衝液4×105個)添加至各孔中。於BD Fortessa流式細胞儀上讀取培養盤且使用FlowJo分析資料。 Plates were prepared from cells resuspended in 200 μL of cold PBS. The LIVE/DEAD fixable dye (Life Technologies #L23105) was reconstituted in 50 μL of DMSO, and 1 μL of the reconstituted dye was added per ml of cold PBS, and the cell pellet was immediately resuspended in 100 μL of LIVE/DEAD PBS solution to avoid on ice. The cells were incubated for 30 minutes, then washed and resuspended in 100 μL of cold FACS buffer containing 2 μg/mL MAB7 or homotype human IgG1 control antibody and incubated on ice for 30 minutes in the dark. Wash and resuspend in 100 μL of the following antibody mixture (PerCP Cy5.5 anti-human CD3 (BD #552852), Alexa Fluor 700 anti-human CD4 (BD #560836), V450 anti-human CD8 (BD #561426), PE-Cy7 anti-human In CD25 (BD #561405) and FACS buffer containing PE anti-human (Jackson Immuno #109-116-098), the plate was then incubated on ice for 30 minutes in the dark, followed by 3,200 RPM at 4 °C. Spin in a top centrifuge for 1 minute. The cells were washed with FACS buffer, then resuspended in 100 μL of BD CytoFix (BD #554655) and the plates were incubated for 15 minutes at room temperature in the dark, then washed twice and resuspended in 100 μL of FACS buffer. The plates were covered with foil (Beckman Coulter, #538619) and stored at 4 °C until ready for reading. Date read by FACS, rotating the culture plate for 1 minute to 3,200RPM in a desktop centrifuge, and the latex bead 50μL CML (Life Technologies # C37259) (per ml of FACS buffer and 4 × 10 5 th) was added To each hole. Plates were read on a BD Fortessa flow cytometer and analyzed using FlowJo.

轉殖基因小鼠Transgenic mouse

藉由用人類GITR cDNA序列置換小鼠GITR之整個編碼序列(外顯子及內含子)產生hGITR基因嵌入小鼠。起始密碼子上游及終止密碼子下游之未轉譯序列來自小鼠基因組。藉由標準技術於BALB/c ES細胞中進行基因靶向,其中靶向載體具有源自BALB/c之同源組。藉由PCR鑑別數種ES細胞純系且藉由南方墨點法確認以含有精確人類cDNA嵌入。遵循標準小鼠胚胎學技術,將陽性ES細胞純系注入囊胚中,將其轉移於假孕接受者哺育母體中以產生嵌合後代。使雄性嵌合小鼠與生殖系中表現Cre重組酶之BALB/c雌性小鼠雜交以去除側接loxP之新黴素耐受性卡匣。一種純系產生白色後代,表明標靶ES細胞 可生殖系傳遞。去除側接loxP之卡匣藉由PCR基因分型確認。BALB/c wt小鼠之後續飼養步驟移除Cre重組酶。 The hGITR gene was inserted into the mouse by replacing the entire coding sequence (exons and introns) of the mouse GITR with the human GITR cDNA sequence. The untranslated sequence upstream of the initiation codon and downstream of the stop codon is derived from the mouse genome. Gene targeting is performed in BALB/c ES cells by standard techniques, wherein the targeting vector has a homologous group derived from BALB/c. Several ES cell lines were identified by PCR and confirmed by Southern blotting to contain precise human cDNA inserts. Following normal mouse embryology techniques, positive ES cells are injected purely into the blastocysts and transferred to a pseudopregnant recipient to nurture the maternal to produce chimeric offspring. Male chimeric mice were crossed with BALB/c female mice expressing Cre recombinase in the germ line to remove the neomycin-resistant cassette flanked by loxP. A pure line produces white offspring indicating target ES cells Can be transmitted by the reproductive system. The card for removing the lateral loxP was confirmed by PCR genotyping. The subsequent feeding step of BALB/c wt mice removes Cre recombinase.

藉由用後面有牛生長激素聚-A信號之人類GITRL cDNA序列置換小鼠之外顯子1之編碼部分產生hGITRL基因嵌入小鼠。所有ES細胞研究及小鼠胚胎學類似於上述程序進行。藉由兩個基礎品系異種交配2代以產生同型接合雙基因嵌入小鼠來產生hGITR-hGITRL雙基因嵌入小鼠。 The hGITRL gene was inserted into the mouse by replacing the coding portion of mouse exon 1 with a human GITRL cDNA sequence followed by a bovine growth hormone poly-A signal. All ES cell studies and mouse embryology were performed similarly to the above procedure. The hGITR-hGITRL double gene-embedded mouse was generated by heterologous mating of two basic lines for two generations to generate a homozygous double gene-embedded mouse.

功能分析Functional Analysis

在促效活性之NFkB報導基因分析中測試MAB之功能活性。用PBS稀釋MAB至6μg/mL,且在室溫下在3倍過量之F(ab')2片段山羊抗人類Fcγ特異性交聯劑存在/不存在下培育30分鐘。替代地,用PBS稀釋MAB至6μg/mL且在室溫下在2倍過量蛋白A存在/不存在下培育30分鐘。隨後降10μL經培育MAB添加至384孔白色透明底分析盤中。將用hGITR及NFκB報導基因穩定轉染之HEK-293細胞株稀釋至5×105個細胞/毫升且將20μL細胞懸浮液添加至各孔中。將培養盤在37℃組織培養培育箱中培育24小時。將30μL Cell Bright Glo添加至各孔中且在Acquest上讀取培養盤之發光情況。 The functional activity of MAB was tested in a stimulatory activity NFkB reporter gene assay. MAB was diluted to 6 μg/mL with PBS and incubated for 30 minutes at room temperature in the presence/absence of a 3-fold excess of F(ab') 2 fragment goat anti-human Fcγ specific crosslinker. Alternatively, MAB was diluted to 6 μg/mL with PBS and incubated for 30 minutes at room temperature in the presence/absence of 2-fold excess protein A. Subsequently, 10 μL of the incubated MAB was added to a 384-well white clear bottom assay disk. The HEK-293 cell line stably transfected with the hGITR and NFκB reporter genes was diluted to 5 × 10 5 cells/ml and 20 μL of the cell suspension was added to each well. The plates were incubated for 24 hours in a tissue culture incubator at 37 °C. 30 μL of Cell Bright Glo was added to each well and the luminescence of the culture plate was read on Acquest.

使用HEK293 NFκB報導子親本細胞評定MAB阻斷配體結合之能力,且hGITR穩定細胞用於競爭結合分析及FACS分析。簡言之,將所收集之細胞以每毫升1×106個細胞,每孔100μL塗佈於96孔圓底FACS盤(Corning),隨後再懸浮於每孔200μL冷FACS緩衝液(1×PBS+1%FBS-HI+0.1%疊氮化鈉)中。自270nM至1.52pM於FACS緩衝液中以每孔100μL進行人類GITR配體滴定。將培養盤於冰上避光培育1小時,洗滌細胞,隨後得到4nM同型對照,或製備MAB溶液且以每孔100μL添加至適當孔中且將培養盤於冰上避光培育1小時,洗滌細胞,隨後以每孔100μL添加用FACS緩衝液1:100稀釋製備之PE結 合之山羊抗人類偵測抗體(Jackson ImmunoResearch),且將培養盤於冰上避光培育30分鐘。用FACS緩衝液洗滌細胞,隨後以每孔100μL BD CytoFix(BD Biosciences)固定細胞且於冰上再避光培育15分鐘。洗滌經固定細胞兩次,以每孔150μL FACS緩衝液之最終體積再懸浮且在1週內於BD Fortessa流式細胞儀(BD Bioscience)上分析樣品。 The ability of MAB to block ligand binding was assessed using HEK293 NFκB reporter parent cells, and hGITR stable cells were used for competitive binding assays and FACS analysis. Briefly, the collected cells were plated at 1 × 10 6 cells per ml, 100 μL per well in a 96-well round bottom FACS plate (Corning), and then resuspended in 200 μL of cold FACS buffer per well (1 × PBS). +1% FBS-HI + 0.1% sodium azide). Human GITR ligand titration was performed at 270 nM to 1.52 pM in FACS buffer at 100 [mu]L per well. The plates were incubated on ice for 1 hour in the dark, the cells were washed, and then 4 nM isotype control was obtained, or MAB solution was prepared and added to appropriate wells at 100 μL per well and the plates were incubated on ice for 1 hour in the dark to wash the cells. Then, PE-conjugated goat anti-human detection antibody (Jackson ImmunoResearch) prepared by diluting 1:100 with FACS buffer was added at 100 μL per well, and the culture plate was incubated on ice for 30 minutes in the dark. The cells were washed with FACS buffer, and then the cells were fixed with 100 μL of BD CytoFix (BD Biosciences) per well and incubated on ice for 15 minutes in the dark. The fixed cells were washed twice, resuspended in a final volume of 150 μL of FACS buffer per well and analyzed on a BD Fortessa flow cytometer (BD Bioscience) within 1 week.

在表現內源水準之GITR的初級T細胞上亦可經由自初級T細胞之增殖及細胞激素分泌發現MAB之促效活性。根據製造商之說明,使MABs結合於M-280甲苯磺醯基活化之珠粒(Invitrogen #142.04)上。在一些實驗中,亦使促效CD3(OKT3)及CD28(CD28.2)抗體結合於珠粒。將1×105個新鮮純化之經CFSE標記之人類PBMC塗佈於96孔圓底組織培養物盤中之10μL CTL測試培養基(CTL #CTLW-010)中。隨後以1個T細胞:1個珠粒之比率添加100μL MAB結合珠粒。隨後在37℃組織培養培育箱中培育培養盤3天。培養基中所分泌細胞激素之含量使用MSD多重分析根據製造商之說明量測。將細胞用抗-CD4、-CD8a、-CD25、-GITR抗體及LIVE/DEAD染料染色,染色後,固定細胞且於流式細胞儀上讀取。藉由CFSE染色評定各CD4及CD8細胞之增殖,且添加計數珠粒,隨後FACS讀取,以使得可將樣品標準化。 The stimulatory activity of MAB can also be found on primary T cells expressing endogenous levels of GITR via proliferation from primary T cells and cytokine secretion. MABs were bound to M-280 toluenesulfonyl activated beads (Invitrogen #142.04) according to the manufacturer's instructions. In some experiments, agonistic CD3 (OKT3) and CD28 (CD28.2) antibodies were also bound to the beads. 1 x 10 5 freshly purified CFSE-labeled human PBMCs were plated in 10 μL of CTL test medium (CTL #CTLW-010) in a 96-well round bottom tissue culture dish. 100 μL of MAB-bound beads were then added at a ratio of 1 T cell: 1 bead. The plates were then incubated for 3 days in a tissue culture incubator at 37 °C. The amount of cytokine secreted in the medium was measured using MSD multiplex analysis according to the manufacturer's instructions. The cells were stained with anti-CD4, -CD8a, -CD25, -GITR antibodies and LIVE/DEAD dye. After staining, the cells were fixed and read on a flow cytometer. Proliferation of each CD4 and CD8 cells was assessed by CFSE staining and count beads were added followed by FACS reading so that the samples could be normalized.

MAB對T細胞之共刺激活性亦使用ELISpot方法量測以偵測IFNg。簡言之,藉由用70%乙醇塗佈2分鐘,繼而PBS洗滌,且與50μg IFNg單株抗體一起於PBS(Mabtech 3321-3)中培育隔夜製備ELISPOT盤(Millipore MSIPS4510)。給藥後15天,自媒劑或MAB7處理小鼠之脾分離經純化CD8+ T細胞。將T細胞以每孔0.25×106個細胞塗佈於經塗佈ELISPOT盤中之CTL培養基(CTL測試培養基(CTL CTLT-005),1mM Hepes(Mediatech MT25-060-C1)、2mM L-麩醯胺酸(Mediatech MT25-005-Cl)、1mM丙酮酸鈉(Mediatech MT25-000-Cl)、100μM MEM非必需胺基酸(Mediatech MT25-025-Cl)、66μM 2-巰基 乙醇(Gibco 21985-023)、100U/mL Pten/Strep(Gibco 10378016))中。在37℃下用10% ConA sup(BD Biosciences 354115)處理Colon26細胞48小時以上調MHC類別II表現,且用CTL培養基洗滌,隨後添加至T細胞中。將Colon26腫瘤細胞(20,000個/孔)添加至CTL中且在37℃下培育24-48小時。隨後用0.05% Tween-20/PBS洗滌培養盤,將10μg經生物素標記之抗IFNg Mab(Mabtech R4-6A2-生物素)添加至各孔中且在37℃下培育2小時。隨後用0.05% Tween-20/PBS洗滌培養盤,將Vectastain ABC溶液(Vector Labs PK6100)添加至各孔中且在室溫下培育1小時。隨後用0.05% Tween-20/PBS洗滌細胞,將根據製造商之方案製備之AEC受質(Sigma A6926)添加至各孔中且在室溫下培育4分鐘。隨後用自來水沖洗培養盤,乾燥且儲存於黑暗中24小時,隨後讀取。 The costimulatory activity of MAB on T cells was also measured using the ELISpot method to detect IFNg. Briefly, ELISPOT dishes (Millipore MSIPS 4510) were prepared overnight by coating with 70% ethanol for 2 minutes followed by PBS washing and incubation with 50 μg of IFNg monoclonal antibody in PBS (Mabtech 3321-3). Purified CD8+ T cells were isolated from the spleens of vehicle or MAB7 treated mice 15 days after dosing. T cells were plated at 0.25 x 10 6 cells per well in CTL medium (CTL CTLT-005), 1 mM Hepes (Mediatech MT25-060-C1), 2 mM L-breast in coated ELISPOT dishes. Proline (Mediatech MT25-005-Cl), 1 mM sodium pyruvate (Mediatech MT25-000-Cl), 100 μM MEM non-essential amino acid (Mediatech MT25-025-Cl), 66 μM 2-mercaptoethanol (Gibco 21985- 023), 100 U/mL Pten/Strep (Gibco 10378016)). Colon26 cells were treated with 10% ConA sup (BD Biosciences 354115) for 48 hours at 37 ° C to upregulate MHC class II expression and washed with CTL medium and subsequently added to T cells. Colon26 tumor cells (20,000/well) were added to the CTL and incubated at 37 °C for 24-48 hours. The plates were then washed with 0.05% Tween-20/PBS, and 10 μg of biotinylated anti-IFNg Mab (Mabtech R4-6A2-biotin) was added to each well and incubated at 37 °C for 2 hours. The plates were then washed with 0.05% Tween-20/PBS, Vectastain ABC solution (Vector Labs PK6100) was added to each well and incubated for 1 hour at room temperature. The cells were subsequently washed with 0.05% Tween-20/PBS, AEC substrate (Sigma A6926) prepared according to the manufacturer's protocol was added to each well and incubated for 4 minutes at room temperature. The plates were then rinsed with tap water, dried and stored in the dark for 24 hours before being read.

使用報導子分析量測MAB誘導ADCC之能力。在96孔白色盤(Perkin Elmer F6178)中,將2×103個hGITR-道迪細胞與4×104個傑卡特(Jurkat)-V158細胞(穩定表現人類FcgRIIIa之V158變異體及NFAT報導子)一起以1個道迪細胞比20個傑卡特細胞之比率於50μL RPMI+10% FBS中培育。將相等體積之MAB添加至孔中且於37℃組織培養培育箱中培育培養盤3小時。培育後,將60μL Bright Glo添加至各孔中且在光度計上讀取培養盤。 The ability of MAB to induce ADCC was measured using reporter analysis. In a 96-well white plate (Perkin Elmer F6178), 2×10 3 hGITR-Dodi cells and 4×10 4 Jurkat-V158 cells (V158 variants stably expressing human FcgRIIIa and NFAT reporters) ) were incubated together in a ratio of 1 Doddy cell to 20 Jactech cells in 50 μL RPMI + 10% FBS. Equal volumes of MAB were added to the wells and the plates were incubated for 3 hours in a tissue culture incubator at 37 °C. After incubation, 60 μL of Bright Glo was added to each well and the plate was read on a luminometer.

使用自小鼠分離之脾進行活體外脾細胞分析。簡言之,藉由於gentleMACS Octo解離器(Miltenyi Biotech 130-095-937)上使用gentleMACS C管(Miltenyi Biotech 130-096-334)於5mL含有5% BSA(Miltenyi Biotech 130-091-376)之AutoMACS沖洗溶液(Miltenyi Biotech 130-091-222)中自動均質化將來自小鼠之脾解離。將勻漿經由0.70μM孔徑細胞過濾器(Fisher Scientific 22363548)過濾且用10mL AutoMACS緩衝液洗滌。再懸浮脾細胞且以每孔100,000個細胞塗佈於 96孔組織培養盤(Costar 3799)中之RPMI(HyClone SH30027.02)+10%人類血清(Cellgro 35-060.C1)+1×Pen/Strep/L-Glut(Gibco 15 140-112)中。為進行T細胞刺激,將0.4μg/mL抗小鼠CD3(eBioscience 16-0031-86)及0.8μg/mL抗小鼠CD28(eBioscience 13-0281-86)抗體添加至適當孔中。48小時後,將細胞立即分析或用對照或治療抗體脈衝處理30分鐘至96小時,用螢光團結合之抗體染色且藉由流式細胞術分析。 In vitro spleen cell analysis was performed using spleens isolated from mice. Briefly, by using a gentleMACS Octo dissociator (Miltenyi Biotech 130-095-937) using a gentleMACS C tube (Miltenyi Biotech 130-096-334) in 5 mL of AutoMACS containing 5% BSA (Miltenyi Biotech 130-091-376) Automated homogenization in the rinsing solution (Miltenyi Biotech 130-091-222) dissociated the spleen from the mice. The homogenate was filtered through a 0.70 μM pore size cell strainer (Fisher Scientific 22363548) and washed with 10 mL of AutoMACS buffer. Resuspended spleen cells and coated with 100,000 cells per well RPMI (HyClone SH30027.02) + 10% human serum (Cellgro 35-060.C1) + 1 x Pen/Strep/L-Glut (Gibco 15 140-112) in a 96-well tissue culture dish (Costar 3799). For T cell stimulation, 0.4 μg/mL anti-mouse CD3 (eBioscience 16-0031-86) and 0.8 μg/mL anti-mouse CD28 (eBioscience 13-0281-86) antibody were added to appropriate wells. After 48 hours, cells were immediately assayed or pulsed with control or therapeutic antibodies for 30 minutes to 96 hours, stained with fluorophore-conjugated antibodies and analyzed by flow cytometry.

流式細胞術:對於表面標記物,將細胞在4℃下用抗CD19(BD Biosciences 562291)、抗CD8(Biolegend 100725)、抗CD4(eBioscience 25-0041)、抗CD69(BD Biosciences 561238)、抗hGITR(Miltenyi Biotech 130-092-895)及抗hIgG(Life Sciences A-10631)抗體染色30分鐘。為進行胞內染色,與細胞表面抗體一起培育後,洗滌細胞,根據製造商之方案用FOXP3 Fix/Perm緩衝液(Biolegend 421403)固定且滲透,且在4℃下與抗磷酸化IKKa/b抗體(Cell Signaling 2697)或抗FOXP3抗體(eBioscience 50-4774-42)一起培育30分鐘。於BD LSRFortessa細胞計數器上使用BD FACSDiva軟體(BD Biosciences)讀取細胞,且使用FlowJo軟體(TreeStar Inc.)分析流動資料. Flow cytometry: For surface markers, cells were treated with anti-CD19 (BD Biosciences 562291), anti-CD8 (Biolegend 100725), anti-CD4 (eBioscience 25-0041), anti-CD69 (BD Biosciences 561238), anti-resistant at 4 °C. hGITR (Miltenyi Biotech 130-092-895) and anti-hIgG (Life Sciences A-10631) antibody were stained for 30 minutes. For intracellular staining, after incubation with cell surface antibodies, the cells were washed, fixed and permeabilized with FOXP3 Fix/Perm buffer (Biolegend 421403) according to the manufacturer's protocol, and anti-phosphorylated IKKa/b antibody at 4 °C (Cell Signaling 2697) or anti-FOXP3 antibody (eBioscience 50-4774-42) was incubated for 30 minutes. Cells were read on BD LSRFortessa cell counters using BD FACSDiva software (BD Biosciences) and flow data was analyzed using FlowJo software (TreeStar Inc.).

活體內腫瘤模型.將鼠類Colon26癌瘤細胞培養於補充有10% FBS(Gibco 10099-141)、10mM HEPES(Gibco 15630-080)及1mM丙酮酸鈉(Gibco 11360-070)之RPMI 1640培養基(HyClone SH30027.02)中。用100μL含0.5×106個Colon26細胞之RPMI於側腹中皮下注射8-10週齡雌性hGITR-hGITRL基因嵌入小鼠。使用數位測徑規量測腫瘤且使用方程式(L×W2)/2計算腫瘤體積。當腫瘤達到180mm3之平均尺寸時,將小鼠隨機分組且給與媒劑(PBS)或200μL PBS中之治療抗體(15mg/kg)的單次腹膜內注射。給與治療抗體後7天,將小鼠處死且收集腫瘤以藉由流式細胞術分析。所有動物實驗均在AAALAC認可機構中使用 IACUC批准方案進行。 In vivo tumor model. Murine Colon26 carcinoma cells were cultured in RPMI 1640 medium supplemented with 10% FBS (Gibco 10099-141), 10 mM HEPES (Gibco 15630-080) and 1 mM sodium pyruvate (Gibco 11360-070) ( HyClone SH30027.02). The 8-10 week old female hGITR-hGITRL gene was subcutaneously injected into the flank using 100 μL of RPMI containing 0.5×10 6 Colon 26 cells into the mouse. Tumors were measured using a digital caliper gauge and tumor volume was calculated using the equation (L x W 2 )/2. When tumors reached an average size of 180 mm 3 , mice were randomized and given a single intraperitoneal injection of vehicle (PBS) or 200 μL of therapeutic antibody (15 mg/kg) in PBS. Seven days after administration of the antibody, the mice were sacrificed and tumors were collected for analysis by flow cytometry. All animal experiments were performed in an AAALAC accreditation body using the IACUC approval program.

在Prism軟體中使用具有兩尾95%信賴區間之史都登氏t檢驗(student's t-test)或進行圖基校正(Tukey correction)之單因子ANOVA進行統計分析。 Statistical analysis was performed in the Prism software using a one-factor A's t-test with two 95% confidence intervals or a one-way ANOVA with Tukey correction.

結果result 鼠類及參考V區胺基酸序列Murine and reference V-region amino acid sequence

將來自表現MAB1之雜交瘤細胞的RT-PCR產物測序,且使用ThermoElectron LTQ-Orbitrap質譜儀在蛋白質層面對此序列進行大體上(95%或大於95%)檢驗。隨後將MAB1之重鏈及輕鏈可變區選殖於KaloBios載體中以產生參考Fab MAB1rFab。MAB1中之第一胺基酸必須自天冬醯胺(N)變為麩胺酸(E)殘基以使得能夠選殖於KaloBios載體中而產生參考Fab;因此,MAB1rFab在第一VK位置中具有麩胺酸。Fab MAB1rFab具有來自與人類恆定區融合之MAB1的完整鼠類V區。除MAB1rFab以外,建構經最佳化之Fab,即MAB1opFab。MAB1rFab中之數個構架胺基酸殘基在MAB1opFab中變為人類生殖系殘基。 RT-PCR products from hybridoma cells expressing MAB1 were sequenced and this sequence was subjected to a substantially (95% or greater than 95%) assay at the protein level using a ThermoElectron LTQ-Orbitrap mass spectrometer. The heavy and light chain variable regions of MAB1 were subsequently cloned into the KaloBios vector to generate a reference Fab MAB1rFab. The first amino acid in MAB1 must be changed from asparagine (N) to a glutamic acid (E) residue to enable colonization in the KaloBios vector to produce a reference Fab; thus, MAB1rFab is in the first VK position With glutamic acid. The Fab MAB1rFab has a complete murine V region from MAB1 fused to a human constant region. In addition to MAB1rFab, a optimized Fab, MAB1opFab, is constructed. Several of the framework amino acid residues in the MAB1rFab become human germline residues in the MAB1 opFab.

參考及經最佳化之參考Fab親和力分析Reference and optimized reference Fab affinity analysis

併入經最佳化之參考MAB1opFab的FR1及FR3中的人類生殖系殘基為由用於擴增人類V區譜系之PCR引子指定的殘基,因此存在於Humaneered®抗體V區庫之所有成員中。建構經最佳化之參考Fab以評定向人類生殖系之任何變化是否改變Fab結合之特性。使用ForteBio Octed QK系統及塗有經生物素標記之hGITR-hFc的Striptavidin高結合生物感測器分析MAB1rFab、MAB1opFab的親和力常數(Ka(1/Ms)、Kd(1/s)及KD(M)。相較於MAB1rFab,MAB1opFab具有極類似Kd,但Ka改良五倍,表明MAB1rFab中之胺基酸變化為容許的。 The human germline residues in FR1 and FR3 incorporated into the optimized reference MAB1opFab are residues specified by PCR primers used to amplify the human V region lineage, and therefore are present in all members of the Humaneered® antibody V-region library. in. A optimized reference Fab was constructed to assess whether any changes to the human germline alter the properties of Fab binding. Affinity constants (Ka(1/Ms), Kd(1/s) and KD(M) of MAB1rFab, MAB1opFab were analyzed using a ForteBio Octed QK system and a Striptavidin high binding biosensor coated with biotinylated hGITR-hFc. Compared to MAB1rFab, MAB1opFab has a very similar Kd, but Ka is improved by a factor of five, indicating that the amino acid change in MAB1rFab is permissible.

Humaneered®抗體Fab之庫建構及選擇 Library Construction and Selection of Humaneered® Antibody Fab

產生重鏈及輕鏈前端及FR3卡匣庫(生殖系家族限於VH3及VKIII) 且藉由CLBA篩選。對於VK,自VK前端(MAB1VK3FE-01)與FR3(MAB1VK3FR3-01)卡匣庫鑑別支持結合於人類GITR之純系。對於VH,自FR3卡匣庫(MAB1VH3FR3-01)而非自VH3前端庫(MAB1VH3FE-01)鑑別支持結合於人類GITR之純系。因為Vk前端及FR3卡匣庫中之大部分成員在CLBA中呈陽性,故使用此兩種庫之整個譜系藉由用在所有位置編碼親本鼠類或所選人類生殖系(VKIII L-16)殘基的突變誘發VK CDR2進行重疊PCR來建構Vk完整鏈庫(MAB1VK3FcL-01)。經由CLBA自VH3FR3庫(MAB1VH3FR3-01)鑑別出多種hGITR陽性純系且藉由人類GITR特異性ELISA確認。使用其中六者與VK完整鏈庫(MAB1Vk3FcL-01)配對,使得能夠進行功能性Fab表現及對此庫進行篩選。 Production of heavy and light chain front ends and FR3 cassettes (reproductive family limited to VH3 and VKIII) And filtered by CLBA. For VK, the identification of the VK front end (MAB1VK3FE-01) and FR3 (MAB1VK3FR3-01) card library is supported by the pure line of human GITR. For VH, the pure line that binds to human GITR is identified from the FR3 cassette library (MAB1VH3FR3-01) rather than from the VH3 front-end library (MAB1VH3FE-01). Because most of the members of the Vk front-end and FR3 cassettes are positive in CLBA, the entire lineage of the two libraries is used to encode the parental mouse or selected human germline (VKIII L-16) at all locations. Mutation of the residue induces VK CDR2 to perform overlapping PCR to construct the Vk complete strand library (MAB1VK3FcL-01). A variety of hGITR positive lines were identified from the VH3FR3 library (MAB1 VH3FR3-01) via CLBA and confirmed by human GITR specific ELISA. Six of these were paired with the VK Complete Chain Library (MAB1Vk3FcL-01) to enable functional Fab performance and screening of this library.

因為自VH前端庫(MAB1VH3FE-01)未鑑別到以高親和力結合hGITR之純系,故隨後建構第二VH3前端庫(MAB1VH3FE-02)。此庫在來自六種所選VHFR3純系之CDR1及FR3序列的各位置具有親本鼠類或人類生殖系(VH3 3-30)殘基。自VK完整鏈庫(MAB1Vk3FcL-01)與第二VH前端庫(MAB1VH3FE-02)鑑別到多個hGITR結合物。此等純系藉由對含Fab之細胞上清液進行人類GITR特異性ELISA分析確認且藉由hGITR親和力滴定ELISA進行等級排序。 Since the pure line of hGITR is combined with high affinity from the VH front-end library (MAB1VH3FE-01), the second VH3 front-end library (MAB1VH3FE-02) is subsequently constructed. This library has a parental mouse or human germline (VH3 3-30) residue at each position from the CDR1 and FR3 sequences of the six selected VHFR3 pure lines. Multiple hGITR conjugates were identified from the VK Complete Chain Library (MAB1Vk3FcL-01) and the second VH Front End Library (MAB1VH3FE-02). These pure lines were confirmed by human GITR-specific ELISA analysis of Fab-containing cell supernatants and ranked by hGITR affinity titration ELISA.

基於hGITR親和力滴定ELISA,自VK完整鏈庫(MAB1VK3FcL01)選擇四種VK完整鏈純系,且自MAB1VH3FE-02庫選擇六種純系。將該六種VH純系用作主鏈來建構VH完整鏈庫,其中CDR2之各位置具有MAB1鼠類或最接近人類生殖系(VH3 3-30)殘基。將此VH完整鏈譜系與四種VK完整鏈純系配對以形成最終人類完整鏈Fab庫。CLBA鑑別出多種hGITR結合純系,其藉由ELISA使用各別培養物上清液作為Fab來源來確認。基於DNA序列分析及hGITR親和力滴定ELISA結果選擇五種人類完整鏈Fab純系(MAB2、MAB3、MAB4、MAB5及 MAB6)。 Based on the hGITR affinity titration ELISA, four VK intact chain lines were selected from the VK complete chain library (MAB1VK3FcL01), and six pure lines were selected from the MAB1 VH3FE-02 library. The six VH pure lines were used as backbones to construct a complete VH library, where each position of CDR2 has a MAB1 murine or closest to the human germline (VH3 3-30) residue. This VH complete chain lineage was paired with four VK intact chain lines to form the final human full chain Fab library. CLBA identified a number of hGITR-binding homologues which were confirmed by ELISA using individual culture supernatants as Fab sources. Five human complete-chain Fab lines (MAB2, MAB3, MAB4, MAB5 and 5) were selected based on DNA sequence analysis and hGITR affinity titration ELISA results. MAB6).

使用ForteBio Octet分析測試Humaneered®抗體Fab對GITR抗原之親和力 Testing the affinity of the Humaneered® antibody Fab for GITR antigen using ForteBio Octet assay

表現五種人類完整鏈Fab(MAB2、MAB3、MAB4、MAB5及MAB6)且純化。隨後,使用ForteBio Octet系統將此等人類Fab之結合動力學與經最佳化之參考Fab(MAB1opFab)之動力學比較(數值資料概括於表3中)。 Five human intact chain Fabs (MAB2, MAB3, MAB4, MAB5 and MAB6) were expressed and purified. Subsequently, the binding kinetics of these human Fabs were compared to the kinetics of the optimized reference Fab (MAB1opFab) using the ForteBio Octet system (numerical data are summarized in Table 3).

*a、b、c指示三個各別Forte實驗。將兩個樣品之重複實驗的結果進行整體擬合。 *a, b, and c indicate three separate Forte experiments. The results of the repeated experiments of the two samples were fitted as a whole.

抗體MAB2、MAB3、MAB4、MAB5、MAB6之胺基酸序列及與人類生殖系序列之一致性百分比The amino acid sequence of the antibodies MAB2, MAB3, MAB4, MAB5, MAB6 and the percentage of identity with the human germline sequence

表1中展示五種Fab(MAB2、MAB3、MAB4、MAB5、MAB6)之可變區胺基酸序列。五種Fab與人類生殖系序列之一致性百分比藉由將Vh及Vk胺基酸序列與單一生殖系序列(分別為VKIII L16/A27及VH3 3-30;表4)比對來測定。各鏈之計算省略CDRH3及CDRL3中之殘基。 The variable region amino acid sequences of the five Fabs (MAB2, MAB3, MAB4, MAB5, MAB6) are shown in Table 1. The percent identity of the five Fab and human germline sequences was determined by aligning the Vh and Vk amino acid sequences to the single germline sequence (VKIII L16/A27 and VH3 3-30, respectively; Table 4). The calculation of each strand omits the residues in CDRH3 and CDRL3.

人類GITR抗原決定基之保守性Conservativeness of human GITR epitopes

藉由間接競爭ELISA評估抗原決定基之保守性。所有五種Fab阻斷親本小鼠抗體MAB1與人類GITR之結合,表明此等人類Fab保留初始鼠類抗體之抗原決定基特異性。 The conservation of the epitope was assessed by indirect competition ELISA. Binding of all five Fab-blocking mouse antibody MAB1 to human GITR indicates that these human Fabs retain the epitope specificity of the original murine antibody.

藉由ELISA分析MAB4及MAB5之抗原特異性Analysis of antigen specificity of MAB4 and MAB5 by ELISA

為測試IgG(即MAB2、MAB3、MAB4及MAB5)中親本小鼠抗體MAB1之抗原特異性是否保留,在ELISA分析中測試抗體與一組人類TNFR之結合。用MAB4及MAB5進行一種此類分析的結果(圖2C)展示MAB4及MAB5類似於鼠類抗體MAB1保留對GITR之高特異性。用MAB2、MAB3及MAB6獲得類似結果。 To test whether the antigen specificity of the parental mouse antibody MAB1 in IgG (i.e., MAB2, MAB3, MAB4, and MAB5) was retained, the binding of the antibody to a panel of human TNFR was tested in an ELISA assay. The results of one such assay with MAB4 and MAB5 (Fig. 2C) show that MAB4 and MAB5 are similar to the murine antibody MAB1 retaining high specificity for GITR. Similar results were obtained with MAB2, MAB3 and MAB6.

在ELISA中抗體結合於人類及獼猴而非嚙齒動物GITR蛋白Antibody binding to human and macaque rather than rodent GITR proteins in ELISA

親本小鼠抗體MAB1結合於人類及獼猴而非嚙齒動物GITR蛋白。圖2A-B展示,抗體MAB4及MAB5能夠如MAB1般以類似方式結合人類與獼猴GITR而非嚙齒動物GITR。用MAB6、7、8、9、10、11、12及13發現類似結果。 The parental mouse antibody MAB1 binds to human and macaque rather than rodent GITR proteins. 2A-B show that antibodies MAB4 and MAB5 are capable of binding human and macaque GITR rather than rodent GITR in a similar manner as MAB1. Similar results were found with MAB 6, 7, 8, 9, 10, 11, 12 and 13.

GITR促效抗體MAB4及MAB5對人類GITR(hGITR)及獼猴GITR(cGITR)之結合親和力藉由Biacore分析測定。參見表5。單株抗體MAB4及MAB5以次奈莫耳結合親和力(KD)結合於人類GITR。抗體MAB4及MAB5以比對人類GITR之結合親和力低約2-3倍的奈莫耳結合親和力結合於獼猴GITR。在多種生物化學分析(包括流式細胞術、ELISA、Biacore及ProtagenTM晶片分析)中,本發明之抗GITR促效抗體選擇性結合於人類及獼猴GITR。 The binding affinities of the GITR agonistic antibodies MAB4 and MAB5 to human GITR (hGITR) and cynomolgus GITR (cGITR) were determined by Biacore analysis. See Table 5. The monoclonal antibodies MAB4 and MAB5 bind to human GITR with sub-nemo-binding affinity (KD). The antibodies MAB4 and MAB5 bind to the macaque GITR with a 2-3 fold lower binding affinity than the binding affinity for human GITR. In various biochemical analysis (including flow cytometry, ELISA, Biacore analysis and wafer Protagen TM), and anti-GITR agonist antibodies of the present invention selectively bind to human and cynomolgus GITR.

單株抗體MAB7結合於人類以及獼猴CD4+ T細胞。經分離獼猴或人類PBMC之FACS分析展現MAB7結合經分離CD4+ T細胞。另外,FACS實驗展現對PBMC(CD4+ T細胞)進行CD3/CD28活化後,GITR(由於MAB7結合)及CD25上調。(資料未示) The monoclonal antibody MAB7 binds to human and macaque CD4+ T cells. FACS analysis of isolated macaques or human PBMCs revealed that MAB7 binds to isolated CD4+ T cells. In addition, FACS experiments revealed that GITR (due to MAB7 binding) and up-regulation of CD25 after CD3/CD28 activation of PBMC (CD4+ T cells). (data not shown)

報導基因分析及細胞分析中抗體之功能活性Reporting the functional activity of antibodies in gene analysis and cell analysis

在報導基因分析中分析抗體之功能活性(圖3)。MAB4、MAB5、MAB7及MAB8 IgG在交聯時各以類似於GITR配體(GITR-L)之水準誘導NFκB活性。參見圖3A-D。用MAB2、MAB3及MAB6獲得類似結果(資料未示)。 The functional activity of the antibodies was analyzed in a reporter gene assay (Figure 3). MAB4, MAB5, MAB7 and MAB8 IgG each induced NFκB activity at the level similar to the GITR ligand (GITR-L) at the time of cross-linking. See Figures 3A-D. Similar results were obtained with MAB2, MAB3 and MAB6 (data not shown).

MAB7與人類GITR配體競爭結合人類GITR表現穩定細胞株。競爭分析以三組值進行,FACS競爭分析展現抑制配體結合。參見圖2D。 MAB7 competes with human GITR ligands for binding to human GITR-expressing stable cell lines. Competition analysis was performed in three sets of values, and FACS competition analysis revealed inhibition of ligand binding. See Figure 2D.

為確認對內源GITR之功能活性,使抗體與珠粒結合且與經純化經CFSE標記之人類PBMC一起培育。相較於同型對照抗體,MAB7誘導CD4+ T細胞(圖4A)與CD8+ T細胞(圖4B)之增殖的增加。此增殖增加亦伴隨數種細胞激素之分泌增加,包括IFNγ(圖4C)、TNFα、IL-10及IL-13(未示)。用MAB 4、MAB5發現類似結果(未示)。吾人能夠展示MAB7所誘導之增殖及IFNγ產生增加取決於珠粒上抗CD3及抗CD28促效抗體之存在。若無此等共刺激抗體,則MAB對CD4+或CD8+ T細胞無促效作用。用MAB2、MAB3、MAB4;MAB5及MAB6獲得類似結果。 To confirm functional activity on endogenous GITR, antibodies were conjugated to beads and incubated with purified CFSE-labeled human PBMC. MAB7 induced an increase in proliferation of CD4+ T cells (Fig. 4A) and CD8+ T cells (Fig. 4B) compared to isotype control antibodies. This increase in proliferation is also accompanied by increased secretion of several cytokines, including IFNy (Fig. 4C), TNF[alpha], IL-10 and IL-13 (not shown). Similar results were found with MAB 4, MAB5 (not shown). We were able to demonstrate that MAB7-induced proliferation and increased IFNy production depend on the presence of anti-CD3 and anti-CD28 agonist antibodies on the beads. Without such co-stimulatory antibodies, MAB has no agonistic effect on CD4+ or CD8+ T cells. Similar results were obtained with MAB2, MAB3, MAB4, MAB5 and MAB6.

在活體外分析中亦發現,在高水準之GITR存在時,MAB7展示誘導FcgRIIIa信號傳導(經展示與ADCC活性相關)之能力。將道迪-hGITR細胞與MAB7或對照Ab一起培育,且傑卡特-V158細胞株展示 在活體外分析中MAB7能夠誘導FcgRIIIa信號傳導,且MAB7誘導FcgRIIIa信號傳導之能力與道迪細胞之表面上表現的受體水準有關(亦即較高之受體水準等同於較大之FcgRIIIa信號傳導誘導)。參見圖5。 It has also been found in in vitro assays that MAB7 displays the ability to induce FcgRIIIa signaling, which is shown to be associated with ADCC activity, in the presence of high levels of GITR. Dodge-hGITR cells were incubated with MAB7 or control Ab and the Jaccarat-V158 cell line was displayed MAB7 is able to induce FcgRIIIa signaling in an in vitro assay, and the ability of MAB7 to induce FcgRIIIa signaling is related to the level of receptors expressed on the surface of the Doddy cells (ie, higher receptor levels are equivalent to larger FcgRIIIa signaling). Induction). See Figure 5.

hGITR表現於T細胞上且在hGITR-hGITRL基因嵌入小鼠中發揮功能。自野生型或hGITR-hGITRL基因嵌入小鼠分離脾細胞且在無刺激下或使用CD3及CD28抗體刺激下培養24、48、72或96小時。隨後將細胞用螢光團結合之抗體染色且藉由流式細胞術分析,展現表現人類GITR,且共刺激使野生型或轉殖基因小鼠中GITR表達譜增加。自hGITR-hGITRL基因嵌入小鼠分離之脾細胞展示響應於共刺激在培養物中誘導GITR表現(圖6A)。MAB7有效結合CD8+細胞上所表現之hGITR(圖6B);且如藉由pIKK染色(圖6C)及T細胞活化標記物CD25+(圖6D)所量測,MAB7與經刺激T細胞之結合與增加之T細胞活化有關。 hGITR is expressed on T cells and functions in the hGITR-hGITRL gene-embedded mouse. Splenocytes were isolated from wild-type or hGITR-hGITRL gene-embedded mice and cultured for 24, 48, 72 or 96 hours without stimulation or with stimulation with CD3 and CD28 antibodies. Cells were subsequently stained with fluorophore-conjugated antibodies and analyzed by flow cytometry to demonstrate human GITR expression, and co-stimulation increased GITR expression profiles in wild-type or transgenic mice. Spleen cells isolated from the hGITR-hGITRL gene-inserted mouse showed induction of GITR expression in culture in response to co-stimulation (Fig. 6A). MAB7 efficiently binds to hGITR expressed on CD8+ cells (Fig. 6B); and as measured by pIKK staining (Fig. 6C) and T cell activation marker CD25+ (Fig. 6D), binding and increase of MAB7 to stimulated T cells It is related to T cell activation.

MAB7在活體內發揮功能。如上所述,用單次劑量之媒劑(n=8/時間點)或MAB7(n=10/時間點)抗體處理具有確定之Colon26腫瘤的hGITR-hGITRL雙基因嵌入小鼠。每週兩次量測腫瘤且使用方程式(L×W2)/2計算腫瘤體積。MAB處理動物展現Colon26腫瘤生長延遲。治療後三天,收集全血(圖7B-7C)及腫瘤(圖7D-7E)且藉由流式細胞術分析免疫細胞上之細胞表面hGITR表現。結果表明hGITR佔用且脫落,從而對於血液與腫瘤中之T調節細胞與T輔助細胞,使來自處理組之hGITR減少(*p<0.05,****p<0.00005)。 MAB7 functions in vivo. The hGITR-hGITRL double gene-embedded mice with defined Colon26 tumors were treated with a single dose of vehicle (n=8/time point) or MAB7 (n=10/time point) antibody as described above. Tumors were measured twice a week and tumor volume was calculated using the equation (L x W 2 )/2. MAB treated animals exhibited a delay in colon26 tumor growth. Three days after treatment, whole blood (Fig. 7B-7C) and tumors (Fig. 7D-7E) were collected and cell surface hGITR expression on immune cells was analyzed by flow cytometry. The results indicated that hGITR occupied and fell off, thereby reducing hGITR from the treatment group for T-regulated cells and T helper cells in blood and tumors (*p<0.05, ****p<0.00005).

MAB7在活體內引發對Colon26腫瘤之抗腫瘤免疫反應。用單次劑量之媒劑(n=8/時間點)或MAB7(n=10/時間點)處理具有確定之Colon26腫瘤的hGITR-hGITRL雙基因嵌入小鼠。圖8A描繪給藥後3天之結果,展現處理動物中之Treg降低。圖8B-8C描繪給藥後15天之結果,展現處理後,增加之淋巴細胞(8B)及增加之經活化CD8+ T細胞 (8C)存在於腫瘤位點中。將細胞之絕對數根據腫瘤尺寸標準化以說明媒劑與MAB7處理組之間腫瘤尺寸之顯著差異。MAB7結果表明處理使處理動物中之Teff/Treg比率增加,如藉由將總瘤內活化CD8+ T細胞與CD4+ FOXP3+ Treg比較所測定。參見圖8D。另外,來自將經純化CD8+ T細胞與Colon26腫瘤細胞一起離體培育且使用IFNg ELISPOT分析量測CTL反應的脾細胞分析之結果表明來自MAB7處理動物之CD8+ T細胞中的腫瘤特異性IFNg反應增加。(*p<0.05,***p<0.0005)。參見圖8E。 MAB7 elicits an anti-tumor immune response against Colon26 tumors in vivo. hGITR-hGITRL double gene-embedded mice with defined Colon26 tumors were treated with a single dose of vehicle (n=8/time point) or MAB7 (n=10/time point). Figure 8A depicts the results 3 days after dosing showing a decrease in Tregs in treated animals. Figures 8B-8C depict the results 15 days after dosing, showing increased lymphocytes (8B) and increased activated CD8+ T cells after treatment. (8C) is present in the tumor site. The absolute number of cells was normalized to tumor size to account for the significant difference in tumor size between the vehicle and the MAB7 treated group. MAB7 results indicate that treatment increases the Teff/Treg ratio in treated animals as determined by comparing total intratumoral activated CD8+ T cells to CD4+ FOXP3+ Treg. See Figure 8D. In addition, the results from spleen cell analysis in which purified CD8+ T cells were cultured ex vivo with Colon26 tumor cells and CTL responses were measured using IFNg ELISPOT assay indicated an increase in tumor-specific IFNg response in CD8+ T cells from MAB7 treated animals. (*p<0.05, ***p<0.0005). See Figure 8E.

應瞭解,本文所述之實例及實施例僅出於說明之目的,且根據其之各種修改或變化將由熟習此項技術者提出且包括在本申請案之精神及範圍內及隨附申請專利範圍之範疇內。本文中所引用之所有公開案、序列寄存編號、專利及專利申請案均出於所有目的特此以全文引用之方式併入。 It is understood that the examples and embodiments described herein are for illustrative purposes only, and that various modifications and variations are intended to be included within the spirit and scope of the application and the scope of the accompanying claims. Within the scope of this. All publications, serial accession numbers, patents, and patent applications cited herein are hereby incorporated by reference in their entirety in their entirety herein

SEQ ID NO:1-GITR同功異型物1前驅物(GenBank編號NP_004186.1) SEQ ID NO: 1-GITR isoform 1 precursor (GenBank No. NP_004186.1)

SEQ ID NO:2-GITR同功異型物2前驅物(GenBank編號NP_683699.1) SEQ ID NO: 2-GITR isoform 2 precursor (GenBank No. NP_683699.1)

SEQ ID NO:3-GITR同功異型物3前驅物(GenBank編號NP_683700.1) SEQ ID NO: 3-GITR isoform 3 precursor (GenBank No. NP_683700.1)

SEQ ID NO:4-GITR富含半胱胺酸之域1(CRD1),殘基34-65 SEQ ID NO: 4-GITR cysteine-rich domain 1 (CRD1), residues 34-65

SEQ ID NO:5-GITR抗體結合區,殘基41-65 SEQ ID NO: 5 - GITR antibody binding region, residues 41-65

SEQ ID NO:6-MAB2重鏈可變區(FR1至FR4)之胺基酸序列 SEQ ID NO: 6-Amino acid sequence of the heavy chain variable region (FR1 to FR4) of MAB2

SEQ ID NO:7-MAB2、MAB4、MAB5、MAB6、MAB7及MAB8輕鏈可變區(FR1至FR4) 之胺基酸序列 SEQ ID NO: 7-MAB2, MAB4, MAB5, MAB6, MAB7 MAB8 and light chain variable regions (FR1 to FR4) amino acid sequence of

SEQ ID NO:8-MAB3重鏈可變區(FR1至FR4)之胺基酸序列 SEQ ID NO: 8-amino acid sequence of the heavy chain variable region (FR1 to FR4) of MAB3

SEQ ID NO:9-MAB3輕鏈可變區(FR1至FR4)之胺基酸序列 SEQ ID NO: 9-amino acid sequence of the light chain variable region (FR1 to FR4) of MAB3

SEQ ID NO:10-MAB4重鏈可變區(FR1至FR4)之胺基酸序列 SEQ ID NO: 10 - Amino acid sequence of the heavy chain variable region (FR1 to FR4) of MAB4

SEQ ID NO:11-六組胺酸,6-His標記物 SEQ ID NO: 11 - hexahistamine, 6-His marker

SEQ ID NO:12--MAB5重鏈可變區(FR1至FR4)之胺基酸序列 SEQ ID NO: 12 - amino acid sequence of the heavy chain variable region (FR1 to FR4) of MAB5

SEQ ID NO:13-C端可撓性連接子及6-His標記物 SEQ ID NO: 13-C-terminal flexible linker and 6-His marker

SEQ ID NO:14-MAB6重鏈可變區(FR1至FR4)之胺基酸序列 SEQ ID NO: 14 - Amino acid sequence of the heavy chain variable region (FR1 to FR4) of MAB6

SEQ ID NO:15-5-aa Gly-Ser連接子 SEQ ID NO: 15-5-aa Gly-Ser Linker

SEQ ID NO:16-共同重鏈可變區(FR1至FR4) SEQ ID NO: 16 - Common heavy chain variable region (FR1 to FR4)

SEQ ID NO:17-共同輕鏈可變區(FR1至FR4) SEQ ID NO: 17 - Common light chain variable region (FR1 to FR4)

SEQ ID NO:18-15-aa Gly-Ser連接子,(GGGGS) 3 SEQ ID NO: 18-15-aa Gly-Ser Linker, (GGGGS) 3

SEQ ID NO:19-輕鏈可變區RT-PCR擴增引子LC恆定區 SEQ ID NO: 19 - Light chain variable region RT-PCR amplification primer LC constant region

SEQ ID NO:20-重鏈IgG1恆定區,粗體之Leu-Leu殘基亦可為Ala-Ala SEQ ID NO: 20 - heavy chain IgG1 constant region, the crude Leu-Leu residue may also be Ala-Ala

SEQ ID NO:21-κ鏈 SEQ ID NO: 21 - kappa chain

SEQ ID NO:22-MAB1-8之CDRH1的胺基酸序列(Kabat) Amino acid sequence of CDRH1 of SEQ ID NO: 22-MAB1-8 (Kabat)

SEQ ID NO:23-MAB2之CDRH2的胺基酸序列(Kabat) Amino acid sequence of CDRH2 of SEQ ID NO: 23-MAB2 (Kabat)

SEQ ID NO:24-MAB3之CDRH2的胺基酸序列(Kabat) SEQ ID NO: 24-amino acid sequence of CDRH2 of MAB3 (Kabat)

SEQ ID NO:25-MAB4之CDRH2的胺基酸序列(Kabat) Amino acid sequence of CDRH2 of SEQ ID NO: 25-MAB4 (Kabat)

SEQ ID NO:26-MAB5之CDRH2的胺基酸序列(Kabat) Amino acid sequence of CDRH2 of SEQ ID NO:26-MAB5 (Kabat)

SEQ ID NO:27-MAB6之CDRH2的胺基酸序列(Kabat) Amino acid sequence of CDRH2 of SEQ ID NO:27-MAB6 (Kabat)

SEQ ID NO:28-共同重鏈CDR2(Kabat) SEQ ID NO:28 - Common Heavy Chain CDR2 (Kabat)

SEQ ID NO:29-MAB1-7之CDRH3的胺基酸序列(Kabat/Chothia) Amino acid sequence of CDRH3 of SEQ ID NO:29-MAB1-7 (Kabat/Chothia)

SEQ ID NO:30-MAB2、MAB4、MMABS、MAB6、MAB7及MAB8之CDRL1的胺基酸序列 (Kabat) Amino acid sequence of CDR1 of SEQ ID NO: 30-MAB2, MAB4, MMABS, MAB6, MAB7 and MAB8 (Kabat)

SEQ ID NO:31-MAB3之CDRL1的胺基酸序列(Kabat) SEQ ID NO: 31 - amino acid sequence of CDRL1 of MAB3 (Kabat)

SEQ ID NO:32-共同輕鏈CDR1(Kabat) SEQ ID NO: 32 - Common Light Chain CDR1 (Kabat)

SEQ ID NO:33-MAB2-8之CDRL2的胺基酸序列(Kabat) SEQ ID NO: 33 - amino acid sequence of CDRL2 of MAB2-8 (Kabat)

SEQ ID NO:34-MAB1-8之CDRL3的胺基酸序列(Kabat) Amino acid sequence of CDRs of SEQ ID NO: 34-MAB1-8 (Kabat)

SEQ ID NO:35-MAB2及MAB3之重鏈FR1的胺基酸序列 SEQ ID NO: 35-Amino acid sequence of heavy chain FR1 of MAB2 and MAB3

SEQ ID NO:36-MAB4、MAB5、MAB6、MAB7及MAB8之重鏈FR1的胺基酸序列 Amino acid sequence of heavy chain FR1 of SEQ ID NO: 36-MAB4, MAB5, MAB6, MAB7 and MAB8

SEQ ID NO:37-共同重鏈FR1之胺基酸序列 SEQ ID NO:37 - Amino acid sequence of the common heavy chain FR1

SEQ ID NO:38-MAB2、MAB4、MAB7及MAB8之重鏈FR2的胺基酸序列 Amino acid sequence of heavy chain FR2 of SEQ ID NO: 38-MAB2, MAB4, MAB7 and MAB8

SEQ ID NO:39-MAB3、MAB5及MAB6之重鏈FR2的胺基酸序列 SEQ ID NO: 39 - amino acid sequence of heavy chain FR2 of MAB3, MAB5 and MAB6

SEQ ID NO:40-共同重鏈FR2 SEQ ID NO: 40 - Common heavy chain FR2

SEQ ID NO:41-重鏈FR3之胺基酸序列 SEQ ID NO: 41 - Amino acid sequence of heavy chain FR3

SEQ ID NO:42-重鏈FR4之胺基酸序列 SEQ ID NO: 42 - amino acid sequence of heavy chain FR4

SEQ ID NO:43-輕鏈FR1之胺基酸序列 SEQ ID NO:43 - Amino acid sequence of light chain FR1

SEQ ID NO:44-MAB2、MAB4、MAB5、MAB6、MAB7及MAB8之輕鏈FR2的胺基酸 序列 Amino acid sequence of light chain FR2 of SEQ ID NO: 44-MAB2, MAB4, MAB5, MAB6, MAB7 and MAB8

SEQ ID NO:45-MAB3之輕鏈FR2的胺基酸序列 SEQ ID NO: 45 - amino acid sequence of light chain FR2 of MAB3

SEQ ID NO:46-共同輕鏈FR2 SEQ ID NO:46 - Common Light Chain FR2

SEQ ID NO:47-MAB2、MAB4、MAB5、MAB6、MAB7及MAB8之輕鏈FR3的胺基酸 序列 SEQ ID NO: 47 - Amino acid sequence of light chain FR3 of MAB2, MAB4, MAB5, MAB6, MAB7 and MAB8

SEQ ID NO:48-MAB3之輕鏈FR3的胺基酸序列 SEQ ID NO: 48-amino acid sequence of light chain FR3 of MAB3

SEQ ID NO:49-共同輕鏈FR3 SEQ ID NO: 49 - Common Light Chain FR3

SEQ ID NO:50-輕鏈FR4之胺基酸序列 SEQ ID NO: 50 - amino acid sequence of light chain FR4

SEQ ID NO:51-MAB2 VH之核酸序列 SEQ ID NO: 51 - MAB2 VH nucleic acid sequence

SEQ ID NO:52-MAB2、MAB4、MAB5及MAB6 VK之核酸序列 Nucleic acid sequence of SEQ ID NO: 52-MAB2, MAB4, MAB5 and MAB6 VK

SEQ ID NO:53-MAB3 VH之核酸序列: Nucleic acid sequence of SEQ ID NO: 53-MAB3 VH:

SEQ ID NO:54-MAB3 VK之核酸序列: Nucleic acid sequence of SEQ ID NO: 54-MAB3 VK:

SEQ ID NO:55-MAB4 VH之核酸序列: Nucleic acid sequence of SEQ ID NO: 55-MAB4 VH:

SEQ ID NO:56-MAB5 VH之核酸序列: Nucleic acid sequence of SEQ ID NO: 56-MAB5 VH:

SEQ ID NO:57-MAB6 VH之核酸序列: Nucleic acid sequence of SEQ ID NO: 57-MAB6 VH:

SEQ ID NO:58-親本小鼠Vk之可變區的核酸序列 SEQ ID NO: 58 - Nucleic acid sequence of the variable region of parental mouse Vk

SEQ ID NO:59-親本小鼠Vk之可變區的胺基酸序列 SEQ ID NO: 59 - Amino acid sequence of the variable region of parental mouse Vk

SEQ ID NO:60-親本小鼠VH之可變區的核酸序列 SEQ ID NO: 60 - Nucleic acid sequence of the variable region of the parental mouse VH

SEQ ID NO:61-親本小鼠VH之可變區的胺基酸序列 SEQ ID NO: 61 - Amino acid sequence of the variable region of parental mouse VH

SEQ ID NO:62-MAB1之CDRH2的胺基酸序列(Kabat) Amino acid sequence of CDRH2 of SEQ ID NO: 62-MAB1 (Kabat)

SEQ ID NO:63-MAB1之CDRL1的胺基酸序列(Kabat) SEQ ID NO: 63 - amino acid sequence of CDRL1 of MAB1 (Kabat)

SEQ ID NO:64-MAB1之CDRL2的胺基酸序列(Kabat) SEQ ID NO: 64-amino acid sequence of CDRL2 of MAB1 (Kabat)

SEQ ID NO:65-MAB2之重鏈的胺基酸序列 SEQ ID NO: 65-Amino acid sequence of the heavy chain of MAB2

SEQ ID NO:66-MAB2、MAB4、MAB5、MAB6、MAB7及MAB8之輕鏈的胺基酸序列 Amino acid sequence of the light chain of SEQ ID NO: 66-MAB2, MAB4, MAB5, MAB6, MAB7 and MAB8

SEQ ID NO:67-編碼MAB2之重鏈的核酸序列 SEQ ID NO:67 - Nucleic acid sequence encoding the heavy chain of MAB2

SEQ ID NO:68-編碼MAB2、MAB4、MAB5及MAB6之輕鏈的核酸序列 SEQ ID NO:68 - Nucleic acid sequence encoding the light chain of MAB2, MAB4, MAB5 and MAB6

SEQ ID NO:69-MAB3之重鏈的胺基酸序列 Amino acid sequence of the heavy chain of SEQ ID NO: 69-MAB3

SEQ ID NO:70-MAB3之輕鏈的胺基酸序列 Amino acid sequence of the light chain of SEQ ID NO: 70-MAB3

SEQ ID NO:71-編碼MAB3之重鏈的核酸序列 SEQ ID NO:71 - Nucleic acid sequence encoding the heavy chain of MAB3

SEQ ID NO:72-編碼MAB3之輕鏈的核酸序列 SEQ ID NO:72 - Nucleic acid sequence encoding the light chain of MAB3

SEQ ID NO:73-MAB4之重鏈的胺基酸序列 SEQ ID NO: 73-Amino acid sequence of the heavy chain of MAB4

SEQ ID NO:74-編碼MAB4之重鏈的核酸序列 SEQ ID NO:74 - Nucleic acid sequence encoding the heavy chain of MAB4

SEQ ID NO:75-MAB5之重鏈的胺基酸序列 Amino acid sequence of the heavy chain of SEQ ID NO: 75-MAB5

SEQ ID NO:76-編碼MAB5之重鏈的核酸序列 SEQ ID NO:76 - Nucleic acid sequence encoding the heavy chain of MAB5

SEQ ID NO:77-MAB6之重鏈的胺基酸序列 Amino acid sequence of the heavy chain of SEQ ID NO: 77-MAB6

SEQ ID NO:78-編碼MAB6之重鏈的核酸序列 SEQ ID NO:78 - Nucleic acid sequence encoding the heavy chain of MAB6

SEQ ID NO:79-MAB1之CDRH1的胺基酸序列(Chothia) SEQ ID NO: 79 - amino acid sequence of CDRH1 of MAB1 (Chothia)

SEQ ID NO:80-MAB1-8之CDRH2的胺基酸序列(Chothia) Amino acid sequence of CDRH2 of SEQ ID NO: 80-MAB1-8 (Chothia)

SEQ ID NO:81-MAB1之CDRL1的胺基酸序列(Chothia) SEQ ID NO: 81 - amino acid sequence of CDRL1 of MAB1 (Chothia)

SEQ ID NO:82-MAB1-8之CDRL2的胺基酸序列(Chothia) Amino acid sequence of CDR1 of SEQ ID NO: 82-MAB1-8 (Chothia)

SEQ ID NO:83-MAB1-8之CDRL3的胺基酸序列(Chothia) SEQ ID NO: 83 - amino acid sequence of CDRL3 of MAB1-8 (Chothia)

SEQ ID NO:84-MAB2-8之CDRH1的胺基酸序列(Chothia) Amino acid sequence of CDRH1 of SEQ ID NO: 84-MAB2-8 (Chothia)

SEQ ID NO:85-MAB2、MAB4、MAB5、MAB6、MAB7及MAB8之CDRL1的胺基酸序列 (Chothia) Amino acid sequence of CDR1 of SEQ ID NO:85-MAB2, MAB4, MAB5, MAB6, MAB7 and MAB8 (Chothia)

SEQ ID NO:86-MAB3之CDRL1的胺基酸序列(Chothia) SEQ ID NO: 86 - amino acid sequence of CDRL1 of MAB3 (Chothia)

SEQ ID NO:87-CDRL1之共同胺基酸序列(Chothia) SEQ ID NO:87 - Common amino acid sequence of CDRL1 (Chothia)

SEQ ID NO:88-GITR之細胞外域(ECD)的富含半胱胺酸之域1(CRD1)區 SEQ ID NO: 88 - cysteine-rich domain 1 (CRD1) region of the extracellular domain (ECD) of GITR

SEQ ID NO:89-重鏈V區(VH33-13/30)之人類生殖系序列 SEQ ID NO:89 - Human germline sequence of heavy chain V region (VH33-13/30)

SEQ ID NO:90-人類生殖系JH4部分序列 SEQ ID NO: 90 - Human Germline JH4 Partial Sequence

SEQ ID NO:91-來自人類生殖系JH4之全長J區 SEQ ID NO:91 - Full length J region from human germline JH4

SEQ ID NO:92-輕鏈V區(VKIII L16/A27)之人類生殖系序列 SEQ ID NO: 92 - Human germline sequence of the light chain V region (VKIII L16/A27)

SEQ ID NO:93-人類生殖系Jk2部分序列 SEQ ID NO:93 - Human germline Jk2 partial sequence

SEQ ID NO:94-來自人類生殖系Jk2之全長J區 SEQ ID NO:94 - Full length J region from human germline Jk2

SEQ ID NO:95-重鏈可變區RT-PCR擴增引子HV3 SEQ ID NO: 95 - Heavy chain variable region RT-PCR amplification primer HV3

SEQ ID NO:96-重鏈可變區RT-PCR擴增引子HC恆定區 SEQ ID NO:96-heavy chain variable region RT-PCR amplification primer HC constant region

SEQ ID NO:97-輕鏈可變區RT-PCR擴增引子LV3 SEQ ID NO:97-Light chain variable region RT-PCR amplification primer LV3

SEQ ID NO:98-人類生殖系可變區(VKIII L16/A27) SEQ ID NO: 98 - Human Germline Variable Region (VKIII L16/A27)

SEQ ID NO:99-MAB7之重鏈可變區的胺基酸序列 Amino acid sequence of the heavy chain variable region of SEQ ID NO:99-MAB7

SEQ ID NO:100-MAB7之重鏈胺基酸序列 SEQ ID NO: 100-MAB7 heavy chain amino acid sequence

SEQ ID NO:101-MAB7 VH之核酸序列 Nucleic acid sequence of SEQ ID NO: 101-MAB7 VH

SEQ ID NO:102-MAB7/MAB8 VL之核酸序列 Nucleic acid sequence of SEQ ID NO: 102-MAB7/MAB8 VL

SEQ ID NO:103-MAB7重鏈之核酸序列 SEQ ID NO: 103 - Nucleic acid sequence of MAB7 heavy chain

SEQ ID NO:104-MAB7/MAB8輕鏈之核酸序列 Nucleic acid sequence of SEQ ID NO: 104-MAB7/MAB8 light chain

SEQ ID NO:105-MAB8之重鏈可變區胺基酸序列 SEQ ID NO: 105-MAB8 heavy chain variable region amino acid sequence

SEQ ID NO:106-MAB8之重鏈胺基酸序列 SEQ ID NO: 106 - Heavy chain amino acid sequence of MAB8

SEQ ID NO:107-MAB8 VH之核酸序列 SEQ ID NO:107-MAB8 VH nucleic acid sequence

SEQ ID NO:108-MAB8重鏈之核酸序列 SEQ ID NO: 108 - Nucleic acid sequence of MAB8 heavy chain

SEQ ID NO:109-MAB8之CDRH3的胺基酸序列 Amino acid sequence of CDRH3 of SEQ ID NO: 109-MAB8

SEQ ID NO:110-引子 SEQ ID NO: 110 - Introduction

SEQ ID NO:111-引子 SEQ ID NO: 111 - Introduction

SEQ ID NO:112-引子 SEQ ID NO: 112 - Introduction

SEQ ID NO:113-引子 SEQ ID NO: 113 - Introduction

Claims (33)

一種經分離抗體或抗體片段或其抗原結合分子,其結合於SEQ ID NO:4,且其中該抗體、抗體片段或抗原結合分子包含(a)重鏈可變區,其中:i)重鏈CDR1包含SEQ ID NO:22,且ii)重鏈CDR2包含選自SEQ ID NO:23、SEQ ID NO:24、SEQ ID NO:25、SEQ ID NO:26及SEQ ID NO:27中之任一者的序列,且iii)重鏈CDR3包含SEQ ID NO:29或SEQ ID NO:109;及(b)輕鏈可變區,其中i)輕鏈CDR1包含SEQ ID NO:30或SEQ ID NO:31,且ii)輕鏈CDR2包含SEQ ID NO:33,且iii)輕鏈CDR3包含SEQ ID NO:34。 An isolated antibody or antibody fragment or antigen binding molecule thereof, which binds to SEQ ID NO: 4, and wherein the antibody, antibody fragment or antigen binding molecule comprises (a) a heavy chain variable region, wherein: i) heavy chain CDR1 SEQ ID NO: 22 is included, and ii) the heavy chain CDR2 comprises any one selected from the group consisting of SEQ ID NO: 23, SEQ ID NO: 24, SEQ ID NO: 25, SEQ ID NO: 26, and SEQ ID NO: 27. a sequence, and iii) the heavy chain CDR3 comprises SEQ ID NO: 29 or SEQ ID NO: 109; and (b) a light chain variable region, wherein i) the light chain CDR1 comprises SEQ ID NO: 30 or SEQ ID NO: 31 And ii) the light chain CDR2 comprises SEQ ID NO:33, and iii) the light chain CDR3 comprises SEQ ID NO:34. 如請求項1之抗體、其抗體片段或抗原結合分子,其中該重鏈可變區與SEQ ID NO:16具有至少95%序列一致性,且其中該輕鏈可變區與SEQ ID NO:17具有至少95%序列一致性。 The antibody, antibody fragment or antigen-binding molecule thereof of claim 1, wherein the heavy chain variable region has at least 95% sequence identity to SEQ ID NO: 16, and wherein the light chain variable region is SEQ ID NO: Has at least 95% sequence identity. 如請求項1之抗體、抗體片段或抗原結合分子,其中重鏈FR4為人類生殖系FR4及/或輕鏈FR4為人類生殖系FR4。 The antibody, antibody fragment or antigen-binding molecule of claim 1, wherein the heavy chain FR4 is human germline FR4 and/or the light chain FR4 is human germline FR4. 如請求項3之抗體、抗體片段或抗原結合分子,其中該重鏈FR4為SEQ ID NO:42及/或該輕鏈FR4為SEQ ID NO:50。 The antibody, antibody fragment or antigen-binding molecule of claim 3, wherein the heavy chain FR4 is SEQ ID NO: 42 and/or the light chain FR4 is SEQ ID NO: 50. 如請求項1之抗體、抗體片段或抗原結合分子,其中:A:i)該重鏈CDR1包含SEQ ID NO:22,ii)該重鏈CDR2包含SEQ ID NO:23,iii)該重鏈CDR3包含SEQ ID NO:29,iv)該輕鏈CDR1包含SEQ ID NO:30, v)該輕鏈CDR2包含SEQ ID NO:33,且vi)該輕鏈CDR3包含SEQ ID NO:34;或B:i)該重鏈CDR1包含SEQ ID NO:22,ii)該重鏈CDR2包含SEQ ID NO:24,iii)該重鏈CDR3包含SEQ ID NO:29,iv)該輕鏈CDR1包含SEQ ID NO:31,v)該輕鏈CDR2包含SEQ ID NO:33,且vi)該輕鏈CDR3包含SEQ ID NO:34;或C:i)該重鏈CDR1包含SEQ ID NO:22,ii)該重鏈CDR2包含SEQ ID NO:25,iii)該重鏈CDR3包含SEQ ID NO:29,iv)該輕鏈CDR1包含SEQ ID NO:30,v)該輕鏈CDR2包含SEQ ID NO:33,且vi)該輕鏈CDR3包含SEQ ID NO:34;或D:i)該重鏈CDR1包含SEQ ID NO:22,ii)該重鏈CDR2包含SEQ ID NO:26,iii)該重鏈CDR3包含SEQ ID NO:29,iv)該輕鏈CDR1包含SEQ ID NO:30,v)該輕鏈CDR2包含SEQ ID NO:33,且vi)該輕鏈CDR3包含SEQ ID NO:34;或E:i)該重鏈CDR1包含SEQ ID NO:22,ii)該重鏈CDR2包含SEQ ID NO:27,iii)該重鏈CDR3包含SEQ ID NO:29,iv)該輕鏈CDR1包含SEQ ID NO:30,v)該輕鏈CDR2包含SEQ ID NO:33,且vi)該輕鏈CDR3包含SEQ ID NO:34;或 F:i)該重鏈CDR1包含SEQ ID NO:22,ii)該重鏈CDR2包含SEQ ID NO:25,iii)該重鏈CDR3包含SEQ ID NO:109,iv)該輕鏈CDR1包含SEQ ID NO:30,v)該輕鏈CDR2包含SEQ ID NO:33,且vi)該輕鏈CDR3包含SEQ ID NO:34。 The antibody, antibody fragment or antigen-binding molecule of claim 1, wherein: A: i) the heavy chain CDR1 comprises SEQ ID NO: 22, ii) the heavy chain CDR2 comprises SEQ ID NO: 23, iii) the heavy chain CDR3 Included in SEQ ID NO:29, iv) the light chain CDR1 comprises SEQ ID NO:30, v) the light chain CDR2 comprises SEQ ID NO: 33, and vi) the light chain CDR3 comprises SEQ ID NO: 34; or B: i) the heavy chain CDR1 comprises SEQ ID NO: 22, ii) the heavy chain CDR2 comprises SEQ ID NO: 24, iii) the heavy chain CDR3 comprises SEQ ID NO: 29, iv) the light chain CDR1 comprises SEQ ID NO: 31, v) the light chain CDR2 comprises SEQ ID NO: 33, and vi) The chain CDR3 comprises SEQ ID NO: 34; or C: i) the heavy chain CDR1 comprises SEQ ID NO: 22, ii) the heavy chain CDR2 comprises SEQ ID NO: 25, iii) the heavy chain CDR3 comprises SEQ ID NO: 29 Iv) the light chain CDR1 comprises SEQ ID NO: 30, v) the light chain CDR2 comprises SEQ ID NO: 33, and vi) the light chain CDR3 comprises SEQ ID NO: 34; or D: i) the heavy chain CDR1 Included in SEQ ID NO: 22, ii) the heavy chain CDR2 comprises SEQ ID NO: 26, iii) the heavy chain CDR3 comprises SEQ ID NO: 29, iv) the light chain CDR1 comprises SEQ ID NO: 30, v) the light The chain CDR2 comprises SEQ ID NO: 33, and vi) the light chain CDR3 comprises SEQ ID NO: 34; or E: i) the heavy chain CDR1 comprises SEQ ID NO: 22, ii) the heavy chain CDR2 comprises SEQ ID NO: 27, iii) the heavy chain CDR3 comprises SEQ ID NO: 29, iv) the light chain CDR1 comprises SEQ ID NO: 30, v) the light chain CDR2 comprises SEQ ID NO: 33, and vi) the light chain CDR3 comprises SEQ ID NO: 34; or F: i) the heavy chain CDR1 comprises SEQ ID NO: 22, ii) the heavy chain CDR2 comprises SEQ ID NO: 25, iii) the heavy chain CDR3 comprises SEQ ID NO: 109, iv) the light chain CDR1 comprises SEQ ID NO: 30, v) the light chain CDR2 comprises SEQ ID NO: 33, and vi) the light chain CDR3 comprises SEQ ID NO: 34. 如請求項1或2之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段包含有包含SEQ ID NO:16之重鏈及包含SEQ ID NO:17之輕鏈的經分離抗體或其抗原結合片段,或與包含有包含SEQ ID NO:16之重鏈及包含SEQ ID NO:17之輕鏈的經分離抗體或其抗原結合片段競爭。 The antibody, antibody fragment or antigen-binding molecule of claim 1 or 2, wherein the antibody or antibody fragment comprises an isolated antibody comprising the heavy chain of SEQ ID NO: 16 and a light chain comprising SEQ ID NO: 17 or an antigen thereof The fragment is either contiguous with an isolated antibody or antigen-binding fragment thereof comprising a heavy chain comprising SEQ ID NO: 16 and a light chain comprising SEQ ID NO: 17. 如請求項1之抗體、抗體片段或抗原結合分子,其中該抗體、抗體片段或抗原結合分子包含有包含選自SEQ ID NO:6、SEQ ID NO:8、SEQ ID NO:10、SEQ ID NO:12、SEQ ID NO:14、SEQ ID NO:99及SEQ ID NO:105中之任一者的序列的重鏈可變域;及包含SEQ ID NO:7或SEQ ID NO:9之輕鏈可變域。 The antibody, antibody fragment or antigen-binding molecule of claim 1, wherein the antibody, antibody fragment or antigen-binding molecule comprises a molecule selected from the group consisting of SEQ ID NO: 6, SEQ ID NO: 8, SEQ ID NO: 10, SEQ ID NO a heavy chain variable domain of the sequence of any one of SEQ ID NO: 14, SEQ ID NO: 99, and SEQ ID NO: 105; and a light chain comprising SEQ ID NO: 7 or SEQ ID NO: Variable domain. 如請求項7之抗體、抗體片段或抗原結合分子,其中該抗體、抗體片段或抗原結合分子包含以下中之任一者:i)包含SEQ ID NO:6之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域;ii)包含SEQ ID NO:8之重鏈可變域及包含SEQ ID NO:9之輕鏈可變域;iii)包含SEQ ID NO:10之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域;iv)包含SEQ ID NO:12之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域; v)包含SEQ ID NO:14之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域;vi)包含SEQ ID NO:99之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域;及vii)包含SEQ ID NO:105之重鏈可變域及包含SEQ ID NO:7之輕鏈可變域。 The antibody, antibody fragment or antigen-binding molecule of claim 7, wherein the antibody, antibody fragment or antigen-binding molecule comprises any one of the following: i) a heavy chain variable domain comprising SEQ ID NO: 6 and comprising the SEQ ID NO: a light chain variable domain of 7; ii) a heavy chain variable domain comprising SEQ ID NO: 8 and a light chain variable domain comprising SEQ ID NO: 9; iii) a heavy chain comprising SEQ ID NO: a variable domain and a light chain variable domain comprising SEQ ID NO: 7; iv) a heavy chain variable domain comprising SEQ ID NO: 12 and a light chain variable domain comprising SEQ ID NO: v) a heavy chain variable domain comprising SEQ ID NO: 14 and a light chain variable domain comprising SEQ ID NO: 7; vi) a heavy chain variable domain comprising SEQ ID NO: 99 and comprising SEQ ID NO: The light chain variable domain; and vii) comprises the heavy chain variable domain of SEQ ID NO: 105 and the light chain variable domain comprising SEQ ID NO: 7. 如請求項1之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段或抗原結合分子經人類化。 The antibody, antibody fragment or antigen-binding molecule of claim 1, wherein the antibody or antibody fragment or antigen-binding molecule is humanized. 如請求項1之抗體、抗體片段或抗原結合分子,其包含Fab'片段及/或單鏈抗體(scFv)。 An antibody, antibody fragment or antigen binding molecule according to claim 1, which comprises a Fab' fragment and/or a single chain antibody (scFv). 如請求項1之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段包含IgG Fc及/或人類恆定區。 The antibody, antibody fragment or antigen binding molecule of claim 1, wherein the antibody or antibody fragment comprises an IgG Fc and/or a human constant region. 如請求項11之抗體、抗體片段或抗原結合分子,其中該抗體、抗體片段或抗原結合分子包含有包含選自SEQ ID NO:65、SEQ ID NO:69、SEQ ID NO:73、SEQ ID NO:75、SEQ ID NO:77、SEQ ID NO:100及SEQ ID NO:106中之任一者的序列的重鏈;及包含SEQ ID NO:66或SEQ ID NO:70之輕鏈。 The antibody, antibody fragment or antigen-binding molecule of claim 11, wherein the antibody, antibody fragment or antigen-binding molecule comprises a molecule selected from the group consisting of SEQ ID NO: 65, SEQ ID NO: 69, SEQ ID NO: 73, SEQ ID NO The heavy chain of the sequence of any one of SEQ ID NO: 77, SEQ ID NO: 100, and SEQ ID NO: 106; and the light chain comprising SEQ ID NO: 66 or SEQ ID NO: 70. 如請求項1之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段與第二抗體或抗體片段交聯,該抗體、抗體片段或抗原結合分子為SEQ ID NO:1、SEQ ID NO:2或SEQ ID NO:3之促效劑。 The antibody, antibody fragment or antigen-binding molecule of claim 1, wherein the antibody or antibody fragment is cross-linked to a second antibody or antibody fragment, and the antibody, antibody fragment or antigen-binding molecule is SEQ ID NO: 1, SEQ ID NO: 2 or an agonist of SEQ ID NO: 3. 一種經分離抗體或抗體片段或其抗原結合分子,其係結合SEQ ID NO:4,其選自以下中之任一者:A.如下抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22,ii)重鏈CDR2包含SEQ ID NO:23, iii)重鏈CDR3包含SEQ ID NO:29,iv)輕鏈CDR1包含SEQ ID NO:30,v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34;B.如下抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22,ii)重鏈CDR2包含SEQ ID NO:24,iii)重鏈CDR3包含SEQ ID NO:29,iv)輕鏈CDR1包含SEQ ID NO:31,v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34;C.如下抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22,ii)重鏈CDR2包含SEQ ID NO:25,iii)重鏈CDR3包含SEQ ID NO:29,iv)輕鏈CDR1包含SEQ ID NO:30,v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34;D.如下抗體、抗體片段或抗原結合分子,其中:i)重鏈CDR1包含SEQ ID NO:22,ii)重鏈CDR2包含SEQ ID NO:26,iii)重鏈CDR3包含SEQ ID NO:29,iv)輕鏈CDR1包含SEQ ID NO:30,v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34;E.如下抗體、抗體片段或抗原結合分子,其中: i)重鏈CDR1包含SEQ ID NO:22,ii)重鏈CDR2包含SEQ ID NO:27,iii)重鏈CDR3包含SEQ ID NO:29,iv)輕鏈CDR1包含SEQ ID NO:30,v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34;及F.如下抗體、抗體片段或抗原結合分子,其中:ii)重鏈CDR1包含SEQ ID NO:22,ii)重鏈CDR2包含SEQ ID NO:25,iii)重鏈CDR3包含SEQ ID NO:109,iv)輕鏈CDR1包含SEQ ID NO:30,v)輕鏈CDR2包含SEQ ID NO:33,且vi)輕鏈CDR3包含SEQ ID NO:34。 An isolated antibody or antibody fragment or antigen binding molecule thereof, which binds to SEQ ID NO: 4, which is selected from any one of the following: A. an antibody, antibody fragment or antigen binding molecule, wherein: i) a heavy chain CDR1 comprises SEQ ID NO: 22, ii) heavy chain CDR2 comprises SEQ ID NO:23, Iii) heavy chain CDR3 comprises SEQ ID NO:29, iv) light chain CDR1 comprises SEQ ID NO:30, v) light chain CDR2 comprises SEQ ID NO:33, and vi) light chain CDR3 comprises SEQ ID NO:34; An antibody, antibody fragment or antigen binding molecule, wherein: i) the heavy chain CDR1 comprises SEQ ID NO: 22, ii) the heavy chain CDR2 comprises SEQ ID NO: 24, iii) the heavy chain CDR3 comprises SEQ ID NO: 29, iv The light chain CDR1 comprises SEQ ID NO: 31, v) the light chain CDR2 comprises SEQ ID NO: 33, and the vi) light chain CDR3 comprises SEQ ID NO: 34; C. an antibody, antibody fragment or antigen binding molecule, wherein: i) heavy chain CDR1 comprises SEQ ID NO: 22, ii) heavy chain CDR2 comprises SEQ ID NO: 25, iii) heavy chain CDR3 comprises SEQ ID NO: 29, iv) light chain CDR1 comprises SEQ ID NO: 30, v) The light chain CDR2 comprises SEQ ID NO: 33, and vi) the light chain CDR3 comprises SEQ ID NO: 34; D. an antibody, antibody fragment or antigen binding molecule, wherein: i) the heavy chain CDR1 comprises SEQ ID NO: 22, ii The heavy chain CDR2 comprises SEQ ID NO: 26, iii) the heavy chain CDR3 comprises SEQ ID NO: 29, iv) the light chain CDR1 comprises SEQ ID NO: 30, the v) light chain CDR2 comprises SEQ ID NO: 33, and vi) The light chain CDR3 comprises SEQ ID NO: 34; E. , Antibody fragment, or antigen-binding molecules, wherein: i) heavy chain CDR1 comprises SEQ ID NO: 22, ii) heavy chain CDR2 comprises SEQ ID NO: 27, iii) heavy chain CDR3 comprises SEQ ID NO: 29, iv) light chain CDR1 comprises SEQ ID NO: 30, v) The light chain CDR2 comprises SEQ ID NO: 33, and vi) the light chain CDR3 comprises SEQ ID NO: 34; and F. an antibody, antibody fragment or antigen binding molecule, wherein: ii) the heavy chain CDR1 comprises SEQ ID NO: Ii) heavy chain CDR2 comprises SEQ ID NO: 25, iii) heavy chain CDR3 comprises SEQ ID NO: 109, iv) light chain CDR1 comprises SEQ ID NO: 30, v) light chain CDR2 comprises SEQ ID NO: 33, and vi The light chain CDR3 comprises SEQ ID NO:34. 如請求項14之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段或抗原結合分子經人類化。 The antibody, antibody fragment or antigen-binding molecule of claim 14, wherein the antibody or antibody fragment or antigen-binding molecule is humanized. 如請求項14之抗體、抗體片段或抗原結合分子,其包含Fab'片段及/或單鏈抗體(scFv)。 An antibody, antibody fragment or antigen binding molecule according to claim 14, which comprises a Fab' fragment and/or a single chain antibody (scFv). 如請求項14之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段包含IgG Fc及/或人類恆定區。 The antibody, antibody fragment or antigen binding molecule of claim 14, wherein the antibody or antibody fragment comprises an IgG Fc and/or a human constant region. 如請求項17之抗體、抗體片段或抗原結合分子,其中該抗體、抗體片段或抗原結合分子包含有包含選自SEQ ID NO:65、SEQ ID NO:69、SEQ ID NO:73、SEQ ID NO:75、SEQ ID NO:77、SEQ ID NO:100及SEQ ID NO:106中之任一者的序列的重鏈;及包含SEQ ID NO:66或SEQ ID NO:70之輕鏈。 The antibody, antibody fragment or antigen-binding molecule of claim 17, wherein the antibody, antibody fragment or antigen-binding molecule comprises a molecule selected from the group consisting of SEQ ID NO: 65, SEQ ID NO: 69, SEQ ID NO: 73, SEQ ID NO The heavy chain of the sequence of any one of SEQ ID NO: 77, SEQ ID NO: 100, and SEQ ID NO: 106; and the light chain comprising SEQ ID NO: 66 or SEQ ID NO: 70. 如請求項14之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段與第二抗體或抗體片段交聯,該抗體、抗體片段或抗 原結合分子為SEQ ID NO:1、SEQ ID NO:2或SEQ ID NO:3之促效劑。 An antibody, antibody fragment or antigen-binding molecule according to claim 14, wherein the antibody or antibody fragment is cross-linked with a second antibody or antibody fragment, the antibody, antibody fragment or antibody The pro-binding molecule is an agonist of SEQ ID NO: 1, SEQ ID NO: 2 or SEQ ID NO: 3. 如請求項1或14之抗體、抗體片段或抗原結合分子,其中該抗體或抗體片段經糖基化。 The antibody, antibody fragment or antigen-binding molecule of claim 1 or 14, wherein the antibody or antibody fragment is glycosylated. 如請求項1或14之抗體、抗體片段或抗原結合分子,其中該抗體經修飾或表現於經修飾之細胞中,其中此類修飾使該抗體、抗體片段或抗原結合分子之FcR效應功能提高。 The antibody, antibody fragment or antigen-binding molecule of claim 1 or 14, wherein the antibody is modified or expressed in a modified cell, wherein such modification increases the FcR effector function of the antibody, antibody fragment or antigen-binding molecule. 如請求項1至21中任一項之抗體、抗體片段或抗原結合分子,其中i)該抗體或抗體片段在活體內誘導提高之Teff:Treg比率;ii)該抗體或抗體片段在活體內誘導加強之免疫反應;及/或iii)該抗體與非人類靈長類動物GITR交叉反應且不與嚙齒動物GITR交叉反應。 The antibody, antibody fragment or antigen-binding molecule of any one of claims 1 to 21, wherein i) the antibody or antibody fragment induces an increased Teff:Treg ratio in vivo; ii) the antibody or antibody fragment is induced in vivo An enhanced immune response; and/or iii) the antibody cross-reacts with the non-human primate GITR and does not cross-react with the rodent GITR. 一種聚核苷酸,其編碼如請求項1至21中任一項之抗體、抗體片段或抗原結合分子。 A polynucleotide encoding the antibody, antibody fragment or antigen-binding molecule of any one of claims 1 to 21. 一種組合物,其包含如請求項1至21中任一項之經分離抗體、抗體片段或抗原結合分子,及醫藥學上可接受之載劑。 A composition comprising the isolated antibody, antibody fragment or antigen-binding molecule of any one of claims 1 to 21, and a pharmaceutically acceptable carrier. 如請求項24之組合物,其進一步包含靶向腫瘤相關抗原之結合分子、CTLA4之拮抗劑或PD-1/PD-L1相互作用之抑制劑。 The composition of claim 24, which further comprises a binding molecule that targets a tumor associated antigen, an antagonist of CTLA4, or an inhibitor of PD-1/PD-L1 interaction. 一種套組,其包含如請求項1至21中任一項之抗體、抗體片段或抗原結合分子。 A kit comprising the antibody, antibody fragment or antigen-binding molecule of any one of claims 1 to 21. 一種如請求項1至21中任一項之經分離抗體、抗體片段或抗原結合分子之用途,其係用於製造為有需要之個體提高T細胞反應的藥物。 Use of an isolated antibody, antibody fragment or antigen-binding molecule according to any one of claims 1 to 21 for the manufacture of a medicament for increasing a T cell response in an individual in need thereof. 一種如請求項1至21中任一項之經分離抗體、抗體片段或抗原結合分子之用途,其係用於製造為有需要之個體治療表現腫瘤相 關抗原之癌症的腫瘤生長用的藥物。 Use of an isolated antibody, antibody fragment or antigen-binding molecule according to any one of claims 1 to 21 for the manufacture of a tumor-producing tumor in a subject in need thereof A drug for tumor growth of an antigenic cancer. 如請求項27或28之用途,其中將該抗體、抗體片段或抗原結合分子係與i)抗原、CTLA4之拮抗劑或PD-1/PD-L1相互作用之抑制劑,ii)化學治療劑或細胞毒素,iii)來自個體之癌細胞及/或iv)腫瘤相關抗原共同投與。 The use of claim 27 or 28, wherein the antibody, antibody fragment or antigen-binding molecule is an inhibitor of i) antigen, an antagonist of CTLA4 or PD-1/PD-L1, ii) a chemotherapeutic agent or Cytotoxins, iii) cancer cells from individuals and/or iv) tumor-associated antigens are co-administered. 如請求項27或28之用途,其中該T細胞反應為CD8+細胞毒性T淋巴細胞(CTL)T細胞反應或CD4+輔助T細胞(Th)反應。 The use of claim 27 or 28, wherein the T cell response is a CD8+ cytotoxic T lymphocyte (CTL) T cell response or a CD4+ helper T cell (Th) response. 如請求項30之用途,其中該癌症選自由以下組成之群:黑色素瘤、卵巢癌、結腸直腸癌、前列腺癌、非小細胞肺癌(NSCLC)、乳癌及頭頸鱗狀細胞癌(HNSCC)。 The use of claim 30, wherein the cancer is selected from the group consisting of melanoma, ovarian cancer, colorectal cancer, prostate cancer, non-small cell lung cancer (NSCLC), breast cancer, and head and neck squamous cell carcinoma (HNSCC). 如請求項1至21中任一項之經分離抗體、抗體片段或抗原結合分子,其係用於為有需要之個體提高T細胞反應。 The isolated antibody, antibody fragment or antigen-binding molecule of any one of claims 1 to 21 for use in increasing a T cell response in an individual in need thereof. 如請求項1至21中任一項之經分離抗體、抗體片段或抗原結合分子,其係用於為有需要之個體治療腫瘤生長。 The isolated antibody, antibody fragment or antigen binding molecule of any one of claims 1 to 21 for use in treating tumor growth in an individual in need thereof.
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2022252994A1 (en) * 2021-05-31 2022-12-08 Suzhou Singleron Biotechnologies Co., Ltd. Methods of primary lung adenocarcinoma treatment with ciclopirox

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