TW202016145A - Humanized antibodies against human tim-3 and uses thereof - Google Patents

Humanized antibodies against human tim-3 and uses thereof Download PDF

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TW202016145A
TW202016145A TW108123001A TW108123001A TW202016145A TW 202016145 A TW202016145 A TW 202016145A TW 108123001 A TW108123001 A TW 108123001A TW 108123001 A TW108123001 A TW 108123001A TW 202016145 A TW202016145 A TW 202016145A
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楊育臻
李佳樺
林淑惠
蔡艾璇
吳俋蓉
蔡顯裕
賴思良
羅慕舜
駱育壎
官建村
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財團法人生物技術開發中心
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    • AHUMAN NECESSITIES
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    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39533Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
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    • C07K16/00Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/28Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
    • C07K16/2803Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • C07ORGANIC CHEMISTRY
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    • C07K2317/92Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value

Abstract

A humanized anti-human T-cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody, or a binding fragment thereof, wherein the antibody or the binding fragment includes a heavy-chain variable domain that comprises framework region sequences derived from a human immunoglobulin and the following complementarity determining region (CDR) sequences: HCDR1 (SEQ ID NO: 3), HCDR2 (SEQ ID NO: 4), HCDR3 (SEQ ID NO: 5), and a light-chain variable domain that includes framework region sequences from a human immunoglobulin and the following CDR sequences: LCDR1 (SEQ ID NO: 6), LCDR2 (SEQ ID NO: 7), and LCDR3 (SEQ ID NO: 8).

Description

抗人類TIM-3之人類化抗體及其用途Humanized antibodies against human TIM-3 and their uses

本發明係關於用於產生特異性結合至人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)之人類化抗體的方法及該等抗體的用途。The present invention relates to methods for producing humanized antibodies that specifically bind to human T-cell immunoglobulin domain and mucin domain 3 (TIM-3) and the use of these antibodies.

免疫反應在抵擋癌症中起重要作用。因此,T細胞衰竭可能係與宿主中之腫瘤生長有關。T細胞衰竭係由多種機制引起。計劃性細胞死亡分子(PD-1)係經衰竭T細胞之標記物。阻斷PD-1與其配位體(PD-1配位體,或PD1L,或PD-L1)之相互作用可部分地恢復T細胞功能。The immune response plays an important role in resisting cancer. Therefore, T cell failure may be related to tumor growth in the host. T cell failure is caused by multiple mechanisms. Planned cell death molecule (PD-1) is a marker of depleted T cells. Blocking the interaction between PD-1 and its ligand (PD-1 ligand, or PD1L, or PD-L1) can partially restore T cell function.

除PD-1以外,在患有實體腫瘤之小鼠中發現T細胞免疫球蛋白黏蛋白3 (TIM-3)表現於CD8+ 腫瘤浸潤性淋巴細胞上。TIM-3最初被認為係T輔助細胞(Th) 1-特異性I型膜蛋白。TIM-3 (一種免疫檢查點)調節巨噬細胞活化作用並且在Th1免疫及耐受性誘導中起重要作用。In addition to PD-1, T-cell immunoglobulin mucin 3 (TIM-3) was found on CD8 + tumor-infiltrating lymphocytes in mice with solid tumors. TIM-3 was originally thought to be a T helper cell (Th) 1-specific type I membrane protein. TIM-3 (an immune checkpoint) regulates macrophage activation and plays an important role in Th1 immunity and tolerance induction.

亦發現所有表現TIM-3之腫瘤浸潤性淋巴細胞均表現PD-1。此等表現TIM-3及PD-1之淋巴細胞占浸潤腫瘤之T細胞的大部分。此外,此等表現TIM-3及PD-1之淋巴細胞亦展現最嚴重的衰竭表型:其無法增殖且亦無法產生IL-2、TNF及IFN-γ。(Sakuishi等人, J. Exp. Med., 2010, 207(10): 2187-2194)。It was also found that all tumor infiltrating lymphocytes expressing TIM-3 express PD-1. These lymphocytes expressing TIM-3 and PD-1 account for the majority of T cells infiltrating the tumor. In addition, these lymphocytes expressing TIM-3 and PD-1 also exhibit the most severe failure phenotype: they cannot proliferate and cannot produce IL-2, TNF, and IFN-γ. (Sakuishi et al., J. Exp. Med., 2010, 207(10): 2187-2194).

最近,亦發現TIM-3對於調節其他細胞(諸如Th17細胞、CD4(+) CD25(+)調節性T細胞(Treg )、CD8(+) T細胞及某些先天免疫細胞)起作用。Recently, TIM-3 has also been found to regulate other cells, such as Th17 cells, CD4(+) CD25(+) regulatory T cells (T reg ), CD8(+) T cells, and certain innate immune cells.

因為TIM-3路徑與自體免疫疾病、慢性病毒感染及癌症之發病機制有關,所以需要尋找可抑制或阻斷TIM-3信號傳導路徑之試劑。Because the TIM-3 pathway is involved in the pathogenesis of autoimmune diseases, chronic viral infections, and cancer, it is necessary to find agents that can inhibit or block the TIM-3 signaling pathway.

本發明之實施例係關於可與TIM-3特異性結合而由此抑制TIM-3之功能的人類化抗體。發現TIM-3信號傳導路徑與T細胞衰竭有關。因此,本發明之抗體可用以預防或治療與T細胞衰竭有關之疾病或病狀,諸如自體免疫疾病及癌症。The embodiments of the present invention relate to humanized antibodies that can specifically bind to TIM-3 and thereby inhibit the function of TIM-3. It was found that TIM-3 signaling pathway is related to T cell failure. Therefore, the antibodies of the present invention can be used to prevent or treat diseases or conditions associated with T cell failure, such as autoimmune diseases and cancer.

本發明之一個態樣係關於抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)之人類化抗體或其結合片段(例如scFv、Fab或(Fab)2 )。根據本發明之一個實施例,人類化抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段可包含重鏈可變結構域及輕鏈可變結構域,該重鏈可變結構域包含衍生自人類免疫球蛋白之構架區序列及以下互補決定區(CDR)序列:HCDR1 (SEQ ID NO: 3)、HCDR2 (SEQ ID NO: 4)、HCDR3(SEQ ID NO: 5),而該輕鏈可變結構域包含來自人類免疫球蛋白之構架區序列及以下CDR序列:LCDR1 (SEQ ID NO: 6)、LCDR2 (SEQ ID NO: 7)及LCDR3 (SEQ ID NO: 8)。重鏈可變結構域中之構架區序列可以衍生自IGHV1-2*02之相應構架區序列,而輕鏈可變結構域中之構架區序列可以衍生自IGVK4-1*01之相應構架區序列。One aspect of the present invention relates to humanized antibodies against human T cell immunoglobulin domain and mucin domain 3 (TIM-3) or binding fragments thereof (eg, scFv, Fab, or (Fab) 2 ). According to an embodiment of the present invention, the humanized anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof may comprise a heavy chain variable domain and a light chain variable domain , The heavy chain variable domain comprises the framework region sequence derived from human immunoglobulin and the following complementarity determining region (CDR) sequences: HCDR1 (SEQ ID NO: 3), HCDR2 (SEQ ID NO: 4), HCDR3 (SEQ ID NO: 5), and the light chain variable domain comprises the framework sequence from human immunoglobulin and the following CDR sequences: LCDR1 (SEQ ID NO: 6), LCDR2 (SEQ ID NO: 7) and LCDR3 (SEQ ID NO: 8). The framework region sequence in the heavy chain variable domain can be derived from the corresponding framework region sequence of IGHV1-2*02, and the framework region sequence in the light chain variable domain can be derived from the corresponding framework region sequence of IGVK4-1*01 .

根據本發明之實施例,抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段可包含具有SEQ ID NO: 10或20或21之序列的重鏈可變結構域及具有SEQ ID NO: 9或22之序列的輕鏈可變結構域。According to an embodiment of the present invention, the anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof may comprise a heavy chain having the sequence of SEQ ID NO: 10 or 20 or 21 The variable domain and the light chain variable domain having the sequence of SEQ ID NO: 9 or 22.

根據本發明之實施例,本發明之抗體或其結合片段可用於表現細胞表面TIM-3之癌症的診斷、預後及治療。此等癌症例如包括肺癌、肝癌、食道癌及實體腫瘤。According to the embodiments of the present invention, the antibodies or binding fragments of the present invention can be used for the diagnosis, prognosis and treatment of cancers expressing TIM-3 on the cell surface. Such cancers include, for example, lung cancer, liver cancer, esophageal cancer, and solid tumors.

將由以下描述及所附申請專利範圍顯而易知本發明之其他態樣及優點。Other aspects and advantages of the present invention will be apparent from the following description and the scope of the attached patent application.

定義definition

如本文所用,「互補決定區(CDR)」係指可變區中與抗原識別有關的三個高變序列。三個CDR利用四個「構架」區分散在輕鏈或重鏈可變區中。CDR主要負責與抗原之抗原決定基結合。各鏈之CDR通常稱為(自N末端開始連續編號)CDR1、CDR2及CDR3,且亦通常利用特定CDR所位於其中之鏈來識別。由此,VH CDR3位於發現其之抗體之重鏈可變結構域中,而VL CDR1為來自發現其之抗體之輕鏈可變結構域的CDR1。此等可分別簡稱為HCDR1、HCDR2、HCDR3、LCDR1、LCDR2及LCDR3,其中H指示重鏈且L指示輕鏈。As used herein, "complementarity determining region (CDR)" refers to the three hypervariable sequences in the variable region that are involved in antigen recognition. The three CDRs are dispersed in the light or heavy chain variable regions using four "framework" regions. The CDR is mainly responsible for binding to the epitope of the antigen. The CDRs of each chain are usually called (continuous numbering from the N-terminus) CDR1, CDR2, and CDR3, and are usually identified by the chain in which the specific CDR is located. Thus, V H CDR3 is located in the heavy chain variable domain of the antibody in which it was found, and V L CDR1 is CDR1 from the light chain variable domain of the antibody in which it was found. These may be referred to as HCDR1, HCDR2, HCDR3, LCDR1, LCDR2, and LCDR3, respectively, where H indicates a heavy chain and L indicates a light chain.

不同輕鏈或重鏈之構架區(FR)的序列在物種內相對保守。抗體之構架區(亦即構成的輕鏈及重鏈之組合構架區)用作在三維空間內安置且對準CDR之骨架。側接3個CDR之四個FR可稱為FR1、FR2、FR3及FR4。本發明之抗體可包含「衍生自」人類免疫球蛋白之構架區序列。如本文所用,術語「衍生自」包括與人類抗體之原始構架序列之序列一致或至少90%一致的構架序列。在一些實施例中,本發明之抗體可包含「選自」人類免疫球蛋白之構架區序列。如本文所用,術語「選自」包括與人類抗體之原始構架序列之序列一致的構架序列。The sequences of the framework regions (FR) of different light or heavy chains are relatively conserved within the species. The framework region of the antibody (that is, the combined framework region of the composed light chain and heavy chain) is used as a framework for positioning and aligning the CDR in three-dimensional space. The four FRs flanked by the three CDRs can be called FR1, FR2, FR3, and FR4. The antibodies of the present invention may include framework region sequences "derived from" human immunoglobulins. As used herein, the term "derived from" includes framework sequences that are identical or at least 90% identical to the sequences of the original framework sequences of human antibodies. In some embodiments, the antibodies of the invention may comprise framework region sequences "selected" from human immunoglobulins. As used herein, the term "selected" includes framework sequences that are identical to the sequences of the original framework sequences of human antibodies.

CDR及構架區(FR)之胺基酸序列可使用此項技術中各種熟知的定義來確定,例如Kabat、國際免疫遺傳學資料庫(international ImMunoGeneTics database,IMGT)。本文描述之CDR區係基於Kabat定義。The amino acid sequence of the CDR and framework region (FR) can be determined using various well-known definitions in the art, such as Kabat, International ImmunoGenetics Database (IMGT). The CDR regions described herein are based on Kabat definitions.

本發明之實施例係關於特異性結合人類TIM-3之人類化抗體。此等人類化抗人類TIM-3抗體可用以治療及/或診斷免疫疾病或癌性疾病。The embodiments of the present invention relate to humanized antibodies that specifically bind to human TIM-3. These humanized anti-human TIM-3 antibodies can be used to treat and/or diagnose immune diseases or cancerous diseases.

免疫反應在抵擋癌症中起重要作用。然而,在慢性病毒感染及癌症中,已發現T細胞衰竭與此等疾病相關。T細胞衰竭係由多種機制引起。計劃性細胞死亡分子(PD-1)係經衰竭T細胞之標記物。阻斷PD-1與其配位體(PD-1配位體,或PD1L,或PD-L1)之相互作用可部分地恢復T細胞功能,表明阻斷PD-1及PD-L1相互作用可能係恢復免疫功能之有效方法,藉此治療或預防與PD-1及/或PD-L1介導之免疫抑制或衰竭相關的疾病。The immune response plays an important role in resisting cancer. However, in chronic viral infections and cancer, T cell failure has been found to be associated with these diseases. T cell failure is caused by multiple mechanisms. Planned cell death molecule (PD-1) is a marker of depleted T cells. Blocking the interaction between PD-1 and its ligand (PD-1 ligand, or PD1L, or PD-L1) can partially restore T cell function, indicating that blocking PD-1 and PD-L1 interaction may be An effective method of restoring immune function, thereby treating or preventing diseases associated with PD-1 and/or PD-L1 mediated immunosuppression or failure.

除PD-1以外,亦發現作為免疫檢查點標記物之T細胞免疫球蛋白黏蛋白3 (TIM-3)與T細胞衰竭有關。TIM-3最初被認為係T輔助細胞(Th) 1-特異性I型膜蛋白。TIM-3 (一種免疫檢查點)調節巨噬細胞活化作用並且在Th1免疫及耐受性誘導中起重要作用。In addition to PD-1, T cell immunoglobulin mucin 3 (TIM-3), a marker of immune checkpoints, was also found to be associated with T cell failure. TIM-3 was originally thought to be a T helper cell (Th) 1-specific type I membrane protein. TIM-3 (an immune checkpoint) regulates macrophage activation and plays an important role in Th1 immunity and tolerance induction.

在患有實體腫瘤小鼠中亦發現TIM-3表現於CD8+ 腫瘤浸潤性淋巴細胞上。亦發現所有表現TIM-3之腫瘤浸潤性淋巴細胞均表現PD-1。此等表現TIM-3及PD-1之淋巴細胞占浸潤腫瘤之T細胞的大部分。此外,此等表現TIM-3及PD-1之淋巴細胞亦展現最嚴重的衰竭表型:其無法增殖且亦無法產生IL-2、TNF及IFN-γ。(Sakuishi等人, J. Exp. Med., 2010, 207(10): 2187-2194)。在癌症中之功能異常的CD8+ T細胞及Treg中,TIM-3路徑可能與PD-1路徑相互作用。在PD-1抑制後,TIM-3主要表現在活化的CD8+ T細胞上並抑制巨噬細胞活化。在抗PD-1療法後,進展之腫瘤中會觀察到TIM-3之上調。(Koyama S.等人 (2016年2月), 「Adaptive resistance to therapeutic PD-1 blockade is associated with upregulation of alternative immune checkpoints」Nature Communications, 7 : 10501, doi: 10.1038/ncomms10501)。此現象似乎係對免疫療法之應變性抗性之一種形式。TIM-3 was also found on CD8 + tumor infiltrating lymphocytes in mice with solid tumors. It was also found that all tumor infiltrating lymphocytes expressing TIM-3 express PD-1. These lymphocytes expressing TIM-3 and PD-1 account for the majority of T cells infiltrating the tumor. In addition, these lymphocytes expressing TIM-3 and PD-1 also exhibit the most severe failure phenotype: they cannot proliferate and cannot produce IL-2, TNF, and IFN-γ. (Sakuishi et al., J. Exp. Med., 2010, 207(10): 2187-2194). In dysfunctional CD8 + T cells and Tregs in cancer, the TIM-3 pathway may interact with the PD-1 pathway. After PD-1 inhibition, TIM-3 mainly appears on activated CD8 + T cells and inhibits macrophage activation. After anti-PD-1 therapy, upregulation of TIM-3 will be observed in progressive tumors. (Koyama S. et al. (February 2016), "Adaptive resistance to therapeutic PD-1 blockade is associated with upregulation of alternative immune checkpoints" Nature Communications, 7 : 10501, doi: 10.1038/ncomms10501). This phenomenon seems to be a form of strain resistance to immunotherapy.

最近,已發現TIM-3對於調節其他細胞(諸如Th17細胞、CD4(+) CD25(+)調節性T細胞(Treg )、CD8(+) T細胞及某些先天免疫細胞)會起作用。因為TIM-3路徑與自體免疫疾病、慢性病毒感染及癌症之發病機制有關,所以本發明抗體可用於治療此等疾病。Recently, TIM-3 has been found to regulate other cells, such as Th17 cells, CD4(+) CD25(+) regulatory T cells (T reg ), CD8(+) T cells, and certain innate immune cells. Because the TIM-3 pathway is involved in the pathogenesis of autoimmune diseases, chronic viral infections, and cancer, the antibodies of the present invention can be used to treat these diseases.

根據本發明之實施例,係產生抗人類TIM-3之抗體之若干純系。簡而言之,用經純化重組人類TIM-3抗原(作為具有6×His標記之融合蛋白)使BALB/c小鼠預致敏。脾細胞經採集且隨後與Fo細胞融合之後培養。藉由基於TIM-3抗原之ELISA挑選出可分泌能識別TIM-3抗原之單株抗體的融合瘤細胞。所選擇的純系係藉由FACS分析來驗證。分離及分析許多純系。確定可變結構域序列。According to embodiments of the invention, there are several pure lines that produce antibodies against human TIM-3. Briefly, BALB/c mice were presensitized with purified recombinant human TIM-3 antigen (as a fusion protein with a 6×His tag). Spleen cells are harvested and then fused with Fo cells and then cultured. Fusion tumor cells that can secrete monoclonal antibodies that recognize TIM-3 antigen are selected by TIM-3 antigen-based ELISA. The selected pure lines were verified by FACS analysis. Isolate and analyze many pure lines. Determine the variable domain sequence.

進一步研究一個例示性抗體8C11。在RKGDVSL(SEQ ID NO: 11)及/或EKFNLKL(SEQ ID NO: 12)之區域中發現TIM-3之細胞外結構域上結合8C11之抗原決定基。發現8C11可與TIM-3結合,會干擾TIM-3與其配位體半乳糖凝集素-9之間的相互作用。此外,8C11結合至TIM-3不會誘導T細胞死亡(凋亡),亦即抗體與TIM-3之結合並不會觸發TIM-3信號傳導路徑。因此,不存在由本發明抗體誘導T細胞衰竭之風險。此點很重要,因為為了用作治療劑,阻斷TIM-3與其配位體(半乳糖凝集素-9)之間相互作用之抗體本身不應活化TIM-3信號傳導路徑,導致T細胞耗竭/凋亡。Further study of an exemplary antibody 8C11. The 8C11 epitope was found to bind to the extracellular domain of TIM-3 in the region of RKGDVSL (SEQ ID NO: 11) and/or EKFNLKL (SEQ ID NO: 12). It was found that 8C11 can bind to TIM-3 and interfere with the interaction between TIM-3 and its ligand galectin-9. In addition, 8C11 binding to TIM-3 does not induce T cell death (apoptosis), that is, antibody binding to TIM-3 does not trigger the TIM-3 signaling pathway. Therefore, there is no risk of T cell failure induced by the antibody of the present invention. This is important because in order to be used as a therapeutic agent, antibodies that block the interaction between TIM-3 and its ligand (galectin-9) should not activate the TIM-3 signaling pathway itself, resulting in T cell depletion /Apoptosis.

此外,本發明抗體可促進T細胞分泌IFN-γ及TNF-α,藉此增強免疫反應。此等抗體能夠抑制動物模型中之腫瘤生長。因此,本發明抗體可用以治療癌症,諸如肺癌、乳癌、胰臟癌、肝癌、結腸直腸癌或前列腺癌。In addition, the antibody of the present invention can promote the secretion of IFN-γ and TNF-α by T cells, thereby enhancing the immune response. These antibodies can inhibit tumor growth in animal models. Therefore, the antibody of the present invention can be used to treat cancer, such as lung cancer, breast cancer, pancreatic cancer, liver cancer, colorectal cancer, or prostate cancer.

雖然上述抗體係有用的,但其係小鼠來源的。當用於人類時,此等小鼠抗體可能帶來併發症(例如,不良免疫反應)。此外,此等小鼠抗體不會誘導抗體依賴性細胞毒性(ADCC)或補體依賴性細胞毒性(CDC)反應,此有助於消除癌細胞或感染細胞。因此,為了進一步開發此等抗體用於臨床用途,此等抗體已經人類化。此外,人類化抗體已經利用CDR序列中之回復突變及突變進行最佳化。Although the above anti-system is useful, it is derived from mice. When used in humans, these mouse antibodies may cause complications (eg, adverse immune reactions). In addition, these mouse antibodies do not induce antibody-dependent cytotoxicity (ADCC) or complement-dependent cytotoxicity (CDC) responses, which helps eliminate cancer cells or infected cells. Therefore, in order to further develop these antibodies for clinical use, these antibodies have been humanized. In addition, humanized antibodies have been optimized using back mutations and mutations in the CDR sequences.

已經分析過人類化抗體與各種Tim家族成員及來自不同物種之Tim-3之結合。發現本發明之人類化抗體對TIM-3具有特異性,並且不與其他TIM家族成員(例如,TIM-1及TIM-4)結合,並且某些抗體(例如,hu8C11)係物種特異性的(例如,僅結合人類TIM-3),而其他變異體亦可以亦與來自其他物種(例如猴子)之TIM-3結合。此外,已經測試了人類化抗體在異種移植物系統中抑制腫瘤生長之能力。發現本發明之抗體在活體內抑制腫瘤生長係有效的,並且與其他化學治療劑(例如環磷醯胺)之組合療法可以提供協同效應。以下將用具體實例來描述此等內容。熟習此項技術者將理解,此等實例僅用於說明而不意味著限制本發明之範疇。 8C11單株抗體之選殖The binding of humanized antibodies to various Tim family members and Tim-3 from different species has been analyzed. It was found that the humanized antibody of the present invention is specific to TIM-3 and does not bind to other TIM family members (for example, TIM-1 and TIM-4), and some antibodies (for example, hu8C11) are species-specific ( For example, it only binds to human TIM-3), while other variants can also bind to TIM-3 from other species (eg monkeys). In addition, the ability of humanized antibodies to inhibit tumor growth in xenograft systems has been tested. The antibody of the present invention was found to be effective in inhibiting tumor growth in vivo, and combination therapy with other chemotherapeutic agents (eg, cyclophosphamide) can provide a synergistic effect. The following will describe these contents with specific examples. Those skilled in the art will understand that these examples are for illustration only and are not meant to limit the scope of the present invention. Selection of 8C11 monoclonal antibody

編碼8C11 mAb之基因之選殖根據下文所描述之方法進行。儘管以下程序可能陳述特定條件及參數,但熟習此項技術者應理解此僅為用於說明本發明之實施例的實例,且在不背離本發明之範疇的情況下其他修飾及變化形式係可能的。 抗體基因之cDNA選殖以及製備The selection of the gene encoding 8C11 mAb was performed according to the method described below. Although the following procedures may state specific conditions and parameters, those skilled in the art should understand that this is only an example for illustrating embodiments of the present invention, and other modifications and variations are possible without departing from the scope of the present invention of. Cloning and preparation of cDNA for antibody genes

融合瘤在成分確定的培養基中培養。當細胞數達至約10×106 個細胞/毫升時,藉由離心採集細胞,且隨後添加TRIzol套組以根據說明書手冊(Thermo Fisher Scientific, Waltham, MA, USA)提取總RNA。根據供應商之說明書手冊使用小鼠Ig-引子集選殖抗體cDNA之可變區。使用5微克總RNA作為模板、50 ng/ml隨機引子及10 µM dNTP,將其混合在PCR管中之經焦碳酸二乙酯(DEPC)處理之水中,從而製備第一股cDNA。The fusion tumor is cultured in a medium with a defined composition. When the cell number reached about 10×10 6 cells/ml, the cells were collected by centrifugation, and then a TRIzol kit was added to extract total RNA according to the instruction manual (Thermo Fisher Scientific, Waltham, MA, USA). The variable region of antibody cDNA was selected using mouse Ig-primer set according to the supplier's instruction manual. Using 5 micrograms of total RNA as a template, 50 ng/ml random primers, and 10 µM dNTPs, it was mixed with diethyl pyrocarbonate (DEPC)-treated water in a PCR tube to prepare the first strand of cDNA.

將反應混合物在65℃下培育5分鐘,且隨後放置在冰上。輕輕地混合10(十) µl cDNA合成混合物,其含有2 µl 10×室溫緩衝液、4 µl 25 mM MgCl2 、2 µl DTT、1 µl 4單位RNaseOUT(Thermo Fisher Scientific)及1 µl 200單位SuperScript III RT且藉由短暫離心來收集。反應管在25℃下培育10分鐘,隨後在50℃下培育50分鐘。反應藉由在85℃下加熱5分鐘終止且隨後將管在冰上冷卻。管經短暫離心以收集反應產物,並且添加1 µl RNase H,且將混合物在37℃下培育20分鐘。The reaction mixture was incubated at 65°C for 5 minutes, and then placed on ice. Gently mix 10 (ten) µl cDNA synthesis mixture containing 2 µl 10× room temperature buffer, 4 µl 25 mM MgCl 2 , 2 µl DTT, 1 µl 4 units RNaseOUT (Thermo Fisher Scientific) and 1 µl 200 units SuperScript III RT and collected by brief centrifugation. The reaction tube was incubated at 25°C for 10 minutes, followed by 50°C for 50 minutes. The reaction was terminated by heating at 85°C for 5 minutes and then the tube was cooled on ice. The tube was briefly centrifuged to collect the reaction product, and 1 µl of RNase H was added, and the mixture was incubated at 37°C for 20 minutes.

具有5 µl cDNA、5 µl 10×反應緩衝液、1 µl 10 mM dNTP混合物、1 µl 2.5單位Taq聚合酶及1 µl正向及反向引子之組成的反應混合物用雙蒸餾水製備成50 µl之最終體積且經歷PCR。對於抗體輕鏈及重鏈之擴增,94℃為第一步驟,且隨後將94℃維持30秒、55℃維持30秒以及72℃維持1分鐘之循環重複30次。在反應循環之後,最終步驟為72℃維持10分鐘。反應混合物利用2%瓊脂糖凝膠分析。將具有預測分子量之產物接合至選殖載體,且隨後用以測定核苷酸序列。A reaction mixture consisting of 5 µl cDNA, 5 µl 10× reaction buffer, 1 µl 10 mM dNTP mixture, 1 µl 2.5 units Taq polymerase and 1 µl forward and reverse primers was prepared with double distilled water to a final 50 µl Volume and undergo PCR. For the amplification of antibody light and heavy chains, 94°C is the first step, and then the cycle of maintaining 94°C for 30 seconds, 55°C for 30 seconds, and 72°C for 1 minute is repeated 30 times. After the reaction cycle, the final step was 72°C for 10 minutes. The reaction mixture was analyzed using 2% agarose gel. The product with the predicted molecular weight was conjugated to the selection vector and then used to determine the nucleotide sequence.

基於序列資訊,使用ExPASY轉譯工具(ExPASY Bioinformatics Resource Portal)將抗體序列轉譯成蛋白序列。所得抗人類TIM-3抗體8C11之序列包含重鏈胺基酸序列及輕鏈序列。此等序列中之互補決定區(CDR)利用Kabat等人, 「Sequences of proteins of immunological interest」, 第五版, NIH出版91-3242, Bethesda Md. (1991), 第1-3卷之方法測定。Based on the sequence information, the ExPASY Translation Tool (ExPASY Bioinformatics Resource Portal) is used to translate the antibody sequence into the protein sequence. The sequence of the obtained anti-human TIM-3 antibody 8C11 includes a heavy chain amino acid sequence and a light chain sequence. The complementarity determining regions (CDRs) in these sequences were determined using Kabat et al., "Sequences of proteins of immunological interest", Fifth Edition, NIH Publication 91-3242, Bethesda Md. (1991), Volumes 1-3 .

如圖1所示,8C11抗體之胺基酸序列含有重鏈可變區(SEQ ID NO: 1)及輕鏈可變區(SEQ ID NO: 2)。構架區(FR1、FR2、FR3及FR4)及CDR (HCDR1 SEQ ID NO: 3、HCDR2 SEQ ID NO: 4、HCDR3 SEQ ID NO: 5、LCDR1 SEQ ID NO: 6、LCDR2 SEQ ID NO: 7及LCDR3 SEQ ID NO: 8)經指示。 抗TIM3抗體8C11 mAb之人類化As shown in FIG. 1, the amino acid sequence of the 8C11 antibody contains a heavy chain variable region (SEQ ID NO: 1) and a light chain variable region (SEQ ID NO: 2). Framework regions (FR1, FR2, FR3 and FR4) and CDR (HCDR1 SEQ ID NO: 3, HCDR2 SEQ ID NO: 4, HCDR3 SEQ ID NO: 5, LCDR1 SEQ ID NO: 6, LCDR2 SEQ ID NO: 7 and LCDR3 SEQ ID NO: 8) as indicated. Humanization of anti-TIM3 antibody 8C11 mAb

為了使抗TIM3抗體在臨床中有用,選擇8C11用於人類化。藉由選擇與8C11序列高度同源之人類抗體序列開始人類化。同源性搜索可以使用8C11之完整序列,僅使用8C11之可變結構域序列,或僅使用8C11之構架序列。例如,如下所示之mAb 8C11之VH及VL序列可用於在IMGT資料庫中搜索具有最高同源性之人類抗體序列。8C11 VH(CDR 序列顯示在方框中: HCDR1 HCDR2 HCDR3)

Figure 02_image001
8C11 VL(CDR 序列顯示在方框中: LCDR1 LCDR2 LCDR3)
Figure 02_image003
To make anti-TIM3 antibodies useful in the clinic, 8C11 was chosen for humanization. Humanization begins by selecting human antibody sequences that are highly homologous to the 8C11 sequence. The homology search can use the complete sequence of 8C11, only the variable domain sequence of 8C11, or only the framework sequence of 8C11. For example, the VH and VL sequences of mAb 8C11 shown below can be used to search the IMGT database for human antibody sequences with the highest homology. 8C11 VH (CDR sequence is shown in the box: HCDR1 , HCDR2 and HCDR3) :
Figure 02_image001
8C11 VL (CDR sequence is shown in the box: LCDR1, LCDR2 and LCDR3):
Figure 02_image003

或者,可以在IMGT資料庫之同源性搜索中僅使用8C11之構架序列(亦即,沒有CDR序列)。Alternatively, only the 8C11 framework sequence (ie, no CDR sequence) can be used in the homology search of the IMGT database.

基於此等搜索,選擇IGHV1-2*02(IMGT寄存編號X62106)及IGVK4-1*01(IMGT寄存編號Z00023)分別作為重鏈可變結構域及輕鏈可變結構域之最同源人類序列。接著,8C11之人類化係基於來自此兩個序列之構架序列。Based on these searches, IGHV1-2*02 (IMGT deposit number X62106) and IGVK4-1*01 (IMGT deposit number Z00023) were selected as the most homologous human sequences of the heavy chain variable domain and the light chain variable domain, respectively . Next, the humanization of 8C11 is based on the framework sequences from these two sequences.

接著,來自8C11之CDR序列用於替換人類抗體序列中之相應CDR序列。人類序列中之CDR區可以使用此項技術中已知的方法,諸如Kabat方法,自分析中獲得。可以使用PCR或類似技術將小鼠CDR序列移植至人類抗體序列中。Next, the CDR sequence from 8C11 was used to replace the corresponding CDR sequence in the human antibody sequence. The CDR regions in the human sequence can be obtained from the analysis using methods known in the art, such as the Kabat method. PCR or similar techniques can be used to graft mouse CDR sequences into human antibody sequences.

圖2顯示人類化抗體Hu8C11之全長輕鏈(VL+VC;SEQ ID NO: 13)及全長重鏈(VH+CH1+CH2+CH3;SEQ ID NO: 14),其中輕鏈可變結構域(VL)序列(SEQ ID NO: 9)及重鏈可變結構域(VH)序列(SEQ ID NO: 10)以粗體顯示。Figure 2 shows the full-length light chain (VL+VC; SEQ ID NO: 13) and full-length heavy chain (VH+CH1+CH2+CH3; SEQ ID NO: 14) of the humanized antibody Hu8C11, in which the light chain variable domain ( VL) sequence (SEQ ID NO: 9) and heavy chain variable domain (VH) sequence (SEQ ID NO: 10) are shown in bold.

接下來,將人類化抗Tim3抗體(亦即Hu8C11)次選殖至抗體表現載體中。可以使用此項技術中已知的任何合適的載體,諸如來自Antibody Design Labs(San Diego,CA)之TGEX載體。接著將表現載體用於轉染細胞,諸如FreeStyle 293-F細胞(Thermo Fisher Scientific),以表現抗體。 3)回復突變以改善結合.Next, the humanized anti-Tim3 antibody (that is, Hu8C11) was subcloned into the antibody expression vector. Any suitable vector known in the art may be used, such as the TGEX vector from Antibody Design Labs (San Diego, CA). The expression vector is then used to transfect cells, such as FreeStyle 293-F cells (Thermo Fisher Scientific), to express antibodies. 3) Revert mutation to improve binding.

將小鼠CDR序列移植至人類構架/抗體上產生含有來自兩個不同來源之序列(亦即小鼠CDR序列+人類構架序列)之可變結構域(VH及VL)。此類異源結構域可能不具有最佳序列,並且可能具有可能影響抗體結合之結構擾動。因此,抗體之親和力可能並非最好的。為了改善結合親和力,可變結構域中之一些胺基酸可以突變回小鼠殘基。Transplantation of mouse CDR sequences onto human frameworks/antibodies produces variable domains (VH and VL) containing sequences from two different sources (ie, mouse CDR sequences + human framework sequences). Such heterologous domains may not have optimal sequences, and may have structural disturbances that may affect antibody binding. Therefore, the affinity of the antibody may not be the best. To improve binding affinity, some amino acids in the variable domain can be mutated back to mouse residues.

在選擇用於回復突變之胺基酸之一種方法中,可以藉由電腦模型建立來分析可能影響抗體結合之關鍵胺基酸殘基。在模型建立中,亦可以基於成功案例應用習自抗體工程改造之先前知識。基於模型建立,可以進行選擇性胺基酸取代,例如,用原始鼠類8C11中之相應胺基酸殘基替換Hu8C11中之胺基酸殘基(亦即回復突變)。接著,突變體抗體可以經過選殖,表現並評估其結合以選擇改進的抗體。In one method of selecting amino acids for back-mutation, computer model creation can be used to analyze key amino acid residues that may affect antibody binding. In the establishment of the model, it is also possible to apply prior knowledge derived from antibody engineering based on successful cases. Based on model establishment, selective amino acid substitutions can be made, for example, replacing the amino acid residues in Hu8C11 with the corresponding amino acid residues in the original murine 8C11 (ie, back mutation). Next, mutant antibodies can be screened, expressed and evaluated for binding to select improved antibodies.

圖3A至圖3E顯示Hu8C11之重鏈及輕鏈區之核苷酸及蛋白質序列以及Hu8C11之幾種回復突變變異體。圖3A顯示初始人類化mAb Hu8C11之重鏈可變區序列之Hu8C11-H序列(核苷酸:SEQ ID NO: 15;蛋白質:10)。圖3D顯示初始人類化mAb Hu8C11之輕鏈區序列之Hu8C11-L序列(核苷酸:SEQ ID NO: 18;蛋白質:9)。圖3B及圖3C顯示亦已顯示兩種改進的重鏈變異體(Hu8C11-HB1;核苷酸:SEQ ID NO: 16;蛋白質:SEQ ID NO: 20)及(Hu8C11-HB2;核苷酸:SEQ ID NO: 17;蛋白質:SEQ ID NO: 21),以及一種改進的輕鏈變異體(Hu8C11-LB3;核苷酸:SEQ ID NO: 19;蛋白質:SEQ ID NO: 22)。3A to 3E show the nucleotide and protein sequences of the heavy and light chain regions of Hu8C11 and several back mutation mutants of Hu8C11. Figure 3A shows the Hu8C11-H sequence of the heavy chain variable region sequence of the initial humanized mAb Hu8C11 (nucleotide: SEQ ID NO: 15; protein: 10). Figure 3D shows the Hu8C11-L sequence (nucleotide: SEQ ID NO: 18; protein: 9) of the light chain region sequence of the initial humanized mAb Hu8C11. Figures 3B and 3C show that two improved heavy chain variants (Hu8C11-HB1; nucleotide: SEQ ID NO: 16; protein: SEQ ID NO: 20) and (Hu8C11-HB2; nucleotide: SEQ ID NO: 17; protein: SEQ ID NO: 21), and an improved light chain variant (Hu8C11-LB3; nucleotide: SEQ ID NO: 19; protein: SEQ ID NO: 22).

Hu8C11-HB1(SEQ ID NO: 20)變異體在胺基酸殘基38、48、66、67、71、73及76處含有回復突變(用鼠類8C11 mAb中之原始殘基替換Hu8C11中之相應殘基)。Hu8C11-HB2(SEQ ID NO: 21)變異體在胺基酸殘基69、71、73及76處含有回復突變。Hu8C11-LB3(SEQ ID NO: 22)變異體在胺基酸殘基46及49處含有回復突變。The Hu8C11-HB1 (SEQ ID NO: 20) variant contains back mutations at amino acid residues 38, 48, 66, 67, 71, 73, and 76 (replacing the original residue in Hu8C11 with the murine 8C11 mAb Corresponding residue). The Hu8C11-HB2 (SEQ ID NO: 21) variant contains back mutations at amino acid residues 69, 71, 73 and 76. The Hu8C11-LB3 (SEQ ID NO: 22) variant contains back mutations at amino acid residues 46 and 49.

在293細胞中產生含有變異體重鏈及輕鏈之不同組合之抗體,將該等抗體純化,並測試其與人類Tim3之結合。組合包括Hu8C11-B1B3(含有Hu8C11-HB1重鏈及Hu8C11-LB3輕鏈)、Hu8C11-B2B3(含有Hu8C11-HB2重鏈及Hu8C11-LB3輕鏈)及Hu8C11-HB3(含有原始Hu8C11重鏈及Hu8C11-LB3輕鏈)。結合分析可以使用此項技術中已知的任何方法進行,諸如ELISA、BIAcore或FACS分析。例如,表1顯示此等組合變異體以及原始鼠類mAb(8C11-MM)及初始人類化mAb(Hu8C11-HH)之BIAcore分析結果。 表1

Figure 108123001-A0304-0001
Antibodies containing different combinations of variable heavy and light chains were produced in 293 cells. These antibodies were purified and tested for binding to human Tim3. The combination includes Hu8C11-B1B3 (containing Hu8C11-HB1 heavy chain and Hu8C11-LB3 light chain), Hu8C11-B2B3 (containing Hu8C11-HB2 heavy chain and Hu8C11-LB3 light chain) and Hu8C11-HB3 (containing original Hu8C11 heavy chain and Hu8C11- LB3 light chain). Binding analysis can be performed using any method known in the art, such as ELISA, BIAcore or FACS analysis. For example, Table 1 shows the BIAcore analysis results of these combination variants as well as the original murine mAb (8C11-MM) and the initial humanized mAb (Hu8C11-HH). Table 1
Figure 108123001-A0304-0001

如表1所示,初始人類化mAb (Hu8C11-HH)之結合親和力略低於原始鼠類mAb (8C11-MM)之結合親和力。回復突變的變異體之各種組合在結合親和力方面略有改善。例如,Hu8C11-B1B3突變體具有與鼠類mAb (8C11-MM)基本相同的親和力。此等回復突變的變異體保留結合親合力之事實表明人類化抗人類TIM-3抗體可以適應構架序列中之某些程度之突變。因此,本發明之抗體可包含「衍生自」人類免疫球蛋白之構架區序列。如本文所用,術語「衍生自」包括與人類抗體之原始構架序列之序列一致或至少90%一致的構架序列。As shown in Table 1, the binding affinity of the initial humanized mAb (Hu8C11-HH) is slightly lower than that of the original murine mAb (8C11-MM). Various combinations of back-mutated variants improved slightly in terms of binding affinity. For example, the Hu8C11-B1B3 mutant has substantially the same affinity as the murine mAb (8C11-MM). The fact that these back-mutated variants retain binding affinity indicates that the humanized anti-human TIM-3 antibody can adapt to some degree of mutation in the framework sequence. Therefore, the antibodies of the present invention may contain framework region sequences "derived from" human immunoglobulins. As used herein, the term "derived from" includes framework sequences that are identical or at least 90% identical to the sequences of the original framework sequences of human antibodies.

為了測試人類化抗體之特異性,吾人測試了Hu8C11與不同Tim分子(亦即Tim1、Tim3及Tim4)之結合。不同的Tim分子在免疫調節中之功能係複雜的,且不同的Tim分子可能具有不同的作用。因此,為了使用抗Tim3抗體來逆轉T細胞衰竭,期望抗體對Tim3具有特異性並且不會作用於Tim1或Tim4。如圖4所示,Hu8C11及對照抗體(抗Tim3抗體,純系2E2,其可自商業來源獲得,諸如Millipore Sigma)僅特異性結合Tim3並且不結合Tim1或Tim4。此結果表明,Hu8C11或其變異體可藉由干擾Tim3與其配位體(半乳糖凝集素-9)之間的相互作用而安全地用於逆轉T細胞衰竭。In order to test the specificity of humanized antibodies, we tested the binding of Hu8C11 to different Tim molecules (ie, Tim1, Tim3, and Tim4). The function of different Tim molecules in immune regulation is complex, and different Tim molecules may have different roles. Therefore, in order to use anti-Tim3 antibodies to reverse T cell failure, it is expected that the antibodies are specific for Tim3 and will not act on Tim1 or Tim4. As shown in FIG. 4, Hu8C11 and control antibodies (anti-Tim3 antibody, pure line 2E2, which are available from commercial sources such as Millipore Sigma) only specifically bind Tim3 and do not bind Tim1 or Tim4. This result indicates that Hu8C11 or its variants can be safely used to reverse T cell failure by interfering with the interaction between Tim3 and its ligand (galectin-9).

除了BIAcore結合分析之外,亦使用FACS分析對抗體進行分析。簡而言之,首先用抗CD3及抗CD28塗佈之磁珠活化人類T細胞,該等磁珠係市售的(諸如來自Thermo Fisher Scientific之Dynabeads®人類T-活化因子CD3/CD28)。抗CD3及抗CD28抗體提供初級及共刺激信號,針對有效的T細胞活化及擴增進行了最佳化。In addition to BIAcore binding analysis, antibodies were also analyzed using FACS analysis. Briefly, human T cells are first activated with anti-CD3 and anti-CD28 coated magnetic beads, which are commercially available (such as Dynabeads® human T-activating factor CD3/CD28 from Thermo Fisher Scientific). Anti-CD3 and anti-CD28 antibodies provide primary and costimulatory signals and are optimized for effective T cell activation and expansion.

使用塗有抗CD3/抗CD28之磁珠之T細胞活化按照商業提供者之程序進行。例如,使用來自Thermo Fisher Scientific之Dynabeads®人類T-活化因子CD3/CD28,以下係例示性程序:T cell activation using anti-CD3/anti-CD28 magnetic beads was performed according to the procedures of commercial providers. For example, using Dynabeads® human T-activating factor CD3/CD28 from Thermo Fisher Scientific, the following is an exemplary procedure:

例如,以在96孔組織培養盤中100至200 μL培養基中之8×104 經純化T細胞開始。添加2 μL預洗滌及重懸浮之Dynabeads®,獲得1:1之珠粒與細胞比。37℃下,在加濕的CO2 培育箱中培育。採集活化T細胞並除去磁珠,隨後進行FACS分析。For example, start with 8×10 4 purified T cells in 100 to 200 μL of culture medium in a 96-well tissue culture dish. Add 2 μL of pre-washed and resuspended Dynabeads® to obtain a 1:1 bead to cell ratio. Incubate at 37°C in a humidified CO 2 incubator. Activated T cells were collected and the magnetic beads were removed, followed by FACS analysis.

活化後,將T細胞與測試抗體一起培育,該等測試抗體包括市售的2E2抗體作為陽性對照。使抗體與T細胞之結合在加濕的CO2 培育箱中在37℃下進行1小時。接著,加入螢光標記之二級抗體(亦即,APC標記之抗小鼠IgG或FITC標記之抗人類IgG)。使二級抗體結合進行1小時。接著,用FACS分析細胞。如圖5所示,所有抗體,亦即2E2、8C11及Hu8C11均與T細胞良好結合。此結果表明人類化Hu8C11保留了對活化T細胞之結合親合力。 4) CDR親和力最佳化及關鍵胺基酸殘基之丙胺酸掃描。After activation, T cells are incubated with test antibodies, which include commercially available 2E2 antibodies as a positive control. The binding of antibodies to T cells was performed in a humidified CO 2 incubator at 37°C for 1 hour. Next, a fluorescent-labeled secondary antibody (ie, APC-labeled anti-mouse IgG or FITC-labeled anti-human IgG) is added. The secondary antibody binding was allowed to proceed for 1 hour. Next, the cells were analyzed by FACS. As shown in Figure 5, all antibodies, namely 2E2, 8C11 and Hu8C11, bind well to T cells. This result indicates that humanized Hu8C11 retains the binding affinity for activated T cells. 4) CDR affinity optimization and alanine scanning of key amino acid residues.

除了構架區中之上述回復突變之外,可以藉由最佳化CDR序列來進一步改善抗體親和力。首先,吾人對CDR中之殘基進行丙胺酸掃描,以鑑別對結合至關重要的殘基。各種丙胺酸取代之變異體藉由定點突變誘發產生,並在F293細胞中暫時表現。In addition to the above back mutations in the framework regions, antibody affinity can be further improved by optimizing CDR sequences. First, we performed alanine scanning on the residues in the CDR to identify the residues that are critical for binding. Various alanine-substituted variants are induced by site-directed mutagenesis and are temporarily expressed in F293 cells.

可以檢查此等突變體之表現以進行適當的表現,例如使用斑點印跡。簡而言之,可以使用連續稀釋之Hu8C11建立預期蛋白質產生範圍內之標準曲線,如圖6A所示。The performance of these mutants can be checked for proper performance, for example using dot blots. In short, serial dilutions of Hu8C11 can be used to establish a standard curve within the expected protein production range, as shown in Figure 6A.

下表總結了重鏈CDR殘基之丙胺酸突變體之斑點印跡分析之結果(圖6B):

Figure 108123001-A0304-0002
The following table summarizes the results of dot blot analysis of alanine mutants of CDR residues in the heavy chain (Figure 6B):
Figure 108123001-A0304-0002

下表總結了輕鏈CDR殘基之丙胺酸突變體之斑點印跡分析之結果(圖6C):

Figure 108123001-A0304-0003
The following table summarizes the results of dot blot analysis of alanine mutants of light chain CDR residues (Figure 6C):
Figure 108123001-A0304-0003

各種丙胺酸突變體構築於表現載體中,其在合適的細胞中暫時表現,諸如293細胞或CHO細胞。接著,突變變異體之結合親和力可以用任何合適的方法分析,諸如利用ELISA、Biacore或FACS分析。圖7顯示重鏈丙胺酸突變體之代表性FACS結果,表明G26A突變體失去結合,而Y27A保留與Tim3之結合。所有丙胺酸突變體(G26A、Y27A、T28A、F29A、T30A、D31A、Y32A、Y33A、M34A、N35A、R50A、V51A、P53A、S54A、N551、G56A、G57A、N63A、F64A、K65A、G66A、R99A、D100A、S101A、S102A、G103A、Y104A、W105A、F106A及Y108A)均進行類似的測試。自此等重鏈丙胺酸掃描及FACS分析中發現,在重鏈突變體中,G26A、R99A、S102A及W105A突變體均失去結合,表明重鏈CDR中之此等殘基對Tim-3結合來說至關重要。Various alanine mutants are constructed in expression vectors, which are temporarily expressed in suitable cells, such as 293 cells or CHO cells. Next, the binding affinity of the mutant variant can be analyzed by any suitable method, such as analysis using ELISA, Biacore or FACS. Figure 7 shows representative FACS results of heavy chain alanine mutants, indicating that the G26A mutant loses binding, while Y27A retains binding to Tim3. All alanine mutants (G26A, Y27A, T28A, F29A, T30A, D31A, Y32A, Y33A, M34A, N35A, R50A, V51A, P53A, S54A, N551, G56A, G57A, N63A, F64A, K65A, G66A, R99A, D100A, S101A, S102A, G103A, Y104A, W105A, F106A and Y108A) are all tested similarly. From these heavy chain alanine scans and FACS analysis, it was found that among the heavy chain mutants, the G26A, R99A, S102A and W105A mutants lost their binding, indicating that these residues in the heavy chain CDR bind to Tim-3. It is very important.

類似地,圖8顯示輕鏈丙胺酸突變體之代表性FACS結果,表明K24A突變體保留結合,而S26A突變體失去與Tim3之結合。所有丙胺酸突變體(K24A、S26A、Q27A、V29A、S30A、T31A、V33A、V34A、S50A、P51A、S52A、Y53A、R54A、T56A、Q89A、Q90A、H91A、Y92A、N93A、I94A、P95A、W96A及T97A)均進行類似的測試。自輕鏈丙胺酸掃描及FACS分析中發現,在輕鏈突變體中,S26A、V29A、S30A、T31A、H91A及N93A均失去與Tim3之結合,表明輕鏈CDR中之此等殘基對於與Tim-3之結合至關重要。Similarly, Figure 8 shows representative FACS results of the light chain alanine mutant, indicating that the K24A mutant retains binding, while the S26A mutant loses binding to Tim3. All alanine mutants (K24A, S26A, Q27A, V29A, S30A, T31A, V33A, V34A, S50A, P51A, S52A, Y53A, R54A, T56A, Q89A, Q90A, H91A, Y92A, N93A, I94A, P95A, W96A and T97A) are similarly tested. From the light chain alanine scan and FACS analysis, it was found that among the light chain mutants, S26A, V29A, S30A, T31A, H91A, and N93A lost their binding to Tim3, indicating that these residues in the light chain CDR are related to Tim The combination of -3 is crucial.

如上(圖4A)所述,mAb 8C11及Hu8C11對Tim-3具有特異性,並且不與Tim-1及Tim-4結合。此外,發現此等抗體係物種特異性的。為了測試此點,構築具有綠色螢光蛋白(GFP)標記之猴TIM-3(TIM-3 ECD-GFP)。將用於暫時表現此重組蛋白之表現載體轉染至F293細胞中。使表現TIM-3 ECD-GFP之轉染之F293細胞與抗體反應,包括對照2E2 mAb及8C11 mAb,並用FACS分析。野生型F293細胞及抗小鼠IgG APC-綴合物用作陰性對照。如圖9所示,mAb 2E2可以結合猴TIM-3,而8C11 mAb不能結合。此等結果表明,8C11 mAb係物種特異性的;其結合人類TIM-3,但不結合猴子TIM-3。As described above (FIG. 4A), mAb 8C11 and Hu8C11 are specific to Tim-3 and do not bind to Tim-1 and Tim-4. In addition, these anti-systems were found to be species-specific. To test this, a monkey TIM-3 (TIM-3 ECD-GFP) labeled with green fluorescent protein (GFP) was constructed. The expression vector used to temporarily express this recombinant protein was transfected into F293 cells. Transfected F293 cells expressing TIM-3 ECD-GFP were reacted with antibodies, including control 2E2 mAb and 8C11 mAb, and analyzed by FACS. Wild-type F293 cells and anti-mouse IgG APC-conjugate were used as negative controls. As shown in Figure 9, mAb 2E2 can bind monkey TIM-3, while 8C11 mAb cannot. These results indicate that the 8C11 mAb is species-specific; it binds human TIM-3, but not monkey TIM-3.

亦測試CDR區中之各種丙胺酸突變體與猴TIM-3之結合。意外地發現,在重鏈CDR中含有丙胺酸突變之一些Hu8C11突變體可以結合猴TIM-3。例如,圖10顯示Hu8C11之VH-S101A突變體及VH-S102A突變體可與猴TIM-3結合。類似地,VH-T28A及VH-W105A亦可以結合猴TIM-3。此等結果表明,此等CDR突變(T28A、S101A、S102A及W105A)改變了Hu8C11之結合性質。Various alanine mutants in the CDR regions were also tested for binding to monkey TIM-3. It was unexpectedly found that some Hu8C11 mutants containing alanine mutations in the heavy chain CDRs can bind monkey TIM-3. For example, Figure 10 shows that the VH-S101A mutant and the VH-S102A mutant of Hu8C11 can bind to monkey TIM-3. Similarly, VH-T28A and VH-W105A can also bind to monkey TIM-3. These results indicate that these CDR mutations (T28A, S101A, S102A and W105A) change the binding properties of Hu8C11.

用輕鏈丙胺酸突變體進行類似的FACS分析。發現輕鏈CDR中之S26A突變體可以結合猴TIM-3,表明此突變體亦具有改變的結合性質。Similar FACS analysis was performed with light chain alanine mutants. The S26A mutant in the light chain CDR was found to bind monkey TIM-3, indicating that this mutant also has altered binding properties.

下表總結了Hu8C11之各種重鏈突變體之FACS及斑點印跡分析結果:

Figure 108123001-A0304-0004
O指示結合;X指示沒有結合;N指示不可用。The following table summarizes the results of FACS and dot blot analysis of various heavy chain mutants of Hu8C11:
Figure 108123001-A0304-0004
O indicates bonding; X indicates no bonding; N indicates unavailable.

下表總結了Hu8C11之各種輕鏈突變體之FACS及斑點印跡分析結果:

Figure 108123001-A0304-0005
O指示結合;X指示沒有結合;N指示不可用。 異種移植動物模型說明Hu8C11之腫瘤生長抑制能力The following table summarizes the results of FACS and dot blot analysis of various light chain mutants of Hu8C11:
Figure 108123001-A0304-0005
O indicates bonding; X indicates no bonding; N indicates unavailable. Xenotransplantation animal model demonstrates the tumor growth inhibitory ability of Hu8C11

腫瘤生長常常與T細胞衰竭有關。T細胞衰竭引起免疫反應降低,其允許癌細胞不受控制地生長。因為發現抗TIM-3抗體逆轉T細胞衰竭之狀況或使T細胞衰竭之狀況降至最低,例如阻斷半乳糖凝集素-9/TIM-3結合及增強T細胞之IFN-γ及TNF-α分泌,所以此等抗體有可能預防或減緩癌細胞之生長。為了測試此點,進行以下實驗。Tumor growth is often associated with T cell failure. T cell failure causes a reduction in the immune response, which allows cancer cells to grow uncontrollably. Because anti-TIM-3 antibodies were found to reverse or minimize T cell failure, such as blocking galectin-9/TIM-3 binding and enhancing T cell IFN-γ and TNF-α Secreted, so these antibodies may prevent or slow the growth of cancer cells. To test this, the following experiment was conducted.

如圖11A所示,在實驗之第0天,NOD.Cg-Prkdcscid Il2rgtmlwjl / YckNarl小鼠(5至6週齡)皮下(s.c.)注射高轉移性人類肺癌細胞CL1-5(總共106 個細胞/100 μl於PBS中)。將小鼠隨機分至各組中並接受不同的處理。11A, on day 0 of the experiment, NOD.Cg- Prkdc scid Il2rg tmlwjl / YckNarl mice (5-6 weeks old) were subcutaneously (sc) injection of highly metastatic human lung cancer cells CLl-5 (total 106 Cells/100 μl in PBS). The mice were randomly divided into groups and received different treatments.

如圖11A所示,在第13天及第20天注射(i.p.)0.5×106 個人類新鮮PBMC,同時在第13天、第15天、第17天、第20天、第23天及第25天注射人類化抗TIM-3 mAb(Hu8C11,每次注射1 mpk、3 mpk或10 mg/kg)進行處理。對於接受環磷醯胺之組,在第12天投與環磷醯胺(每次注射50 mg/kg)。As shown in FIG. 11A, 0.5×10 6 human fresh PBMC were injected (ip) on days 13 and 20, and at the same time on days 13, 15, 17, 20, 23 and 23 Treatment with humanized anti-TIM-3 mAb (Hu8C11, 1 mpk, 3 mpk or 10 mg/kg per injection) was injected on 25 days. For the group receiving cyclophosphamide, cyclophosphamide was administered on day 12 (50 mg/kg per injection).

每天監測存活及異種移植物抗宿主反應直至28天。將出現異種移植物抗宿主疾病(xGVHD)之臨床症狀的動物(>15%體重減輕、駝背姿勢、活動性降低、毛髮損失、呼吸急促)處死,且記錄存活之終點。在第28天處死小鼠且移除皮下腫瘤,將該等腫瘤稱重,並且加以處理以用於免疫組織化學(IHC)及FACS分析。Survival and xenograft versus host response were monitored daily until 28 days. Animals with clinical symptoms of xenograft versus host disease (xGVHD) (>15% weight loss, hunchback posture, decreased mobility, hair loss, shortness of breath) were sacrificed and the end of survival was recorded. The mice were sacrificed on day 28 and the subcutaneous tumors were removed, the tumors were weighed, and processed for immunohistochemistry (IHC) and FACS analysis.

如圖11B所示,環磷醯胺或抗TIM3各自能夠抑制腫瘤生長。環磷醯胺係一種化學治療劑。使用環磷醯胺及抗TIM3抗體之組合療法產生協同效應並且腫瘤生長得到顯著抑制。此等結果表明,本發明之抗體可以係有效的癌症治療劑,尤其當與另一種免疫抑制劑或癌症治療劑一起使用時。As shown in FIG. 11B, cyclophosphamide or anti-TIM3 can each inhibit tumor growth. Cyclophosphamide is a chemotherapeutic agent. The combination therapy using cyclophosphamide and anti-TIM3 antibody produced a synergistic effect and tumor growth was significantly inhibited. These results indicate that the antibodies of the present invention can be effective cancer therapeutic agents, especially when used together with another immunosuppressive agent or cancer therapeutic agent.

本發明之一些實施例係關於本發明抗體之用途,其用於治療與由TIM-3介導之T細胞衰竭有關的疾病或病症。此類疾病包括癌症,諸如肺癌、乳癌、胰臟癌、肝癌、結腸直腸癌或前列腺癌。根據本發明之實施例,用於治療此類癌症之方法可包含向有需要之個體投與有效量之本發明抗體。有效量為實現治療所需之量。熟習此項技術者應理解有效量將視疾病、患者(年齡、重量)、劑型、投與途徑等而定。熟習此項技術者能夠在無需過度實驗之情況下確定有效量。可藉由任何適合之方式投與,包括注射,諸如皮下注射、肌肉內注射、靜脈內注射、腹膜內注射等。Some embodiments of the present invention relate to the use of the antibodies of the present invention for the treatment of diseases or disorders associated with T cell failure mediated by TIM-3. Such diseases include cancers such as lung cancer, breast cancer, pancreatic cancer, liver cancer, colorectal cancer, or prostate cancer. According to an embodiment of the present invention, a method for treating such cancer may include administering an effective amount of the antibody of the present invention to an individual in need. The effective amount is the amount needed to achieve treatment. Those skilled in the art should understand that the effective amount will depend on the disease, patient (age, weight), dosage form, route of administration, etc. Those skilled in the art can determine the effective amount without undue experimentation. Administration can be by any suitable means, including injections, such as subcutaneous injections, intramuscular injections, intravenous injections, intraperitoneal injections, and the like.

雖然已根據有限數目之實施例描述本發明,但得益於本發明之熟習此項技術者將瞭解,可設計不脫離如本文所揭示之本發明範疇的其他實施例。因此,本發明之範疇應僅受所附申請專利範圍限制。Although the present invention has been described based on a limited number of embodiments, those skilled in the art will appreciate that other embodiments can be designed without departing from the scope of the present invention as disclosed herein. Therefore, the scope of the present invention should be limited only by the scope of the attached patent application.

圖1展示根據本發明之一個實施例,單株抗人類TIM-3抗體8C11之重鏈及輕鏈可變區的序列。互補決定區(CDR)序列展示為粗體及加底線的序列。構架序列分散在CDR序列之間且側接CDR序列。Figure 1 shows the sequence of the heavy and light chain variable regions of a single anti-human TIM-3 antibody 8C11 according to an embodiment of the present invention. The complementarity determining region (CDR) sequences are shown as bold and underlined sequences. The framework sequences are scattered between the CDR sequences and flanked by the CDR sequences.

圖2顯示根據本發明之一個實施例,人類化抗人類TIM-3抗體Hu8C11之重鏈(SEQ ID NO: 14)及輕鏈(SEQ ID NO: 13)之全長(包括顯示為加底線之信號肽)序列。輕鏈可變結構域(VL;SEQ ID NO: 9)及重鏈可變結構域(VH;SEQ ID NO: 10)在各自的序列中以粗體顯示,而可變結構域中之互補決定區(CDR)序列(與圖1中所示之彼等一致)顯示在方框中。Figure 2 shows the full length of the heavy chain (SEQ ID NO: 14) and light chain (SEQ ID NO: 13) of the humanized anti-human TIM-3 antibody Hu8C11 according to one embodiment of the present invention (including signals shown as underlined) Peptide) sequence. The light chain variable domain (VL; SEQ ID NO: 9) and the heavy chain variable domain (VH; SEQ ID NO: 10) are shown in bold in their respective sequences, and the complementarity in the variable domain is determined Region (CDR) sequences (identical to those shown in Figure 1) are shown in boxes.

圖3A顯示Hu8C11之重鏈可變結構域之核苷酸及蛋白質序列(核苷酸:SEQ ID NO: 15;蛋白質:SEQ ID NO: 10),而圖3D顯示Hu8C11之輕鏈可變結構域之核苷酸及蛋白質序列(核苷酸:SEQ ID NO: 18;蛋白質:SEQ ID NO: 9)。亦顯示三個回復突變的突變體序列:圖3B顯示Hu8C11-HB1(核苷酸:SEQ ID NO: 16;蛋白質:SEQ ID NO: 20),圖3C顯示Hu8C11-HB2(核苷酸:SEQ ID NO: 17;蛋白質:SEQ ID NO: 21),而圖3E顯示Hu8C11-LB3(核苷酸:SEQ ID NO: 19;蛋白質:SEQ ID NO: 22)。FIG. 3A shows the nucleotide and protein sequences of the heavy chain variable domain of Hu8C11 (nucleotide: SEQ ID NO: 15; protein: SEQ ID NO: 10), and FIG. 3D shows the light chain variable domain of Hu8C11 The nucleotide and protein sequences (nucleotides: SEQ ID NO: 18; protein: SEQ ID NO: 9). Also shown are three back-mutated mutant sequences: Figure 3B shows Hu8C11-HB1 (nucleotide: SEQ ID NO: 16; protein: SEQ ID NO: 20), and Figure 3C shows Hu8C11-HB2 (nucleotide: SEQ ID NO: 17; protein: SEQ ID NO: 21), and FIG. 3E shows Hu8C11-LB3 (nucleotide: SEQ ID NO: 19; protein: SEQ ID NO: 22).

圖4顯示8C11mAb及對照mAb 2E2對Tim3抗原係特異性的,並且不會結合Tim1或Tim4。Figure 4 shows that 8C11 mAb and control mAb 2E2 are specific for the Tim3 antigen line and do not bind Tim1 or Tim4.

圖5顯示使用活化T細胞之FACS分析之結果。結果顯示小鼠類mAb 8C11、人類化mAb Hu8C11及對照mAb 2E2均與活化T細胞緊密結合。Figure 5 shows the results of FACS analysis using activated T cells. The results showed that the mouse mAb 8C11, the humanized mAb Hu8C11 and the control mAb 2E2 were tightly bound to activated T cells.

圖6A顯示斑點印跡分析之標準曲線。圖6B顯示重鏈丙胺酸突變體之斑點印跡分析,而圖6C顯示輕鏈丙胺酸突變體之斑點印跡分析。Figure 6A shows the standard curve for dot blot analysis. Figure 6B shows the dot blot analysis of the heavy chain alanine mutant, and Figure 6C shows the dot blot analysis of the light chain alanine mutant.

圖7顯示與人類Tim3結合之重鏈丙胺酸突變體之FACS分析的代表性結果。此等結果以及其他丙胺酸突變體之類似結果表明,G26A、R99A、S102A及W105A突變體之結合顯著受損,表明此等殘基對結合至關重要。Figure 7 shows representative results of FACS analysis of heavy chain alanine mutants that bind to human Tim3. These results and similar results of other alanine mutants indicate that the binding of G26A, R99A, S102A and W105A mutants is significantly impaired, indicating that these residues are essential for binding.

圖8顯示與人類Tim3結合之輕鏈丙胺酸突變體之FACS分析的代表性結果。此等結果以及其他丙胺酸突變體之類似結果表明,S26A、V29A、S30A、T31A、H91A、N93A及W96A突變體之結合顯著受損,表明此等殘基對結合至關重要。Figure 8 shows representative results of FACS analysis of a light chain alanine mutant that binds to human Tim3. These results and similar results of other alanine mutants indicate that the binding of S26A, V29A, S30A, T31A, H91A, N93A and W96A mutants is significantly impaired, indicating that these residues are essential for binding.

圖9顯示8C11 mAb不能結合猴TIM-3細胞外結構域(ECD),而對照抗體2E2可以結合。此等結果表明8C11 mAb對人類TIM-3具有特異性,但對於猴TIM-3不具有特異性。Figure 9 shows that 8C11 mAb cannot bind to monkey TIM-3 extracellular domain (ECD), while control antibody 2E2 can bind. These results indicate that 8C11 mAb is specific for human TIM-3 but not monkey TIM-3.

圖10顯示重鏈CDR中之Hu8C11之VH-S101A及VH-S102A突變體改變抗體之性質,使得突變體抗體可以結合猴TIM-3。Figure 10 shows that the VH-S101A and VH-S102A mutants of Hu8C11 in the heavy chain CDR change the properties of the antibody so that the mutant antibody can bind to monkey TIM-3.

圖11A顯示用於測試Hu8C11在異種移植肺癌小鼠模型中之作用之治療時程。Figure 11A shows the treatment schedule for testing the role of Hu8C11 in a xenograft lung cancer mouse model.

圖11B顯示使用異種移植模型利用Hu8C11、環磷醯胺及使用Hu8C11與環磷醯胺之組合療法抑制癌細胞生長之作用。結果表明組合療法具有協同效應。FIG. 11B shows the effect of inhibiting the growth of cancer cells using a xenograft model using Hu8C11, cyclophosphamide, and a combination therapy using Hu8C11 and cyclophosphamide. The results show that the combination therapy has a synergistic effect.

Figure 12_A0101_SEQ_0001
Figure 12_A0101_SEQ_0001

Figure 12_A0101_SEQ_0002
Figure 12_A0101_SEQ_0002

Figure 12_A0101_SEQ_0003
Figure 12_A0101_SEQ_0003

Figure 12_A0101_SEQ_0004
Figure 12_A0101_SEQ_0004

Figure 12_A0101_SEQ_0005
Figure 12_A0101_SEQ_0005

Figure 12_A0101_SEQ_0006
Figure 12_A0101_SEQ_0006

Figure 12_A0101_SEQ_0007
Figure 12_A0101_SEQ_0007

Figure 12_A0101_SEQ_0008
Figure 12_A0101_SEQ_0008

Figure 12_A0101_SEQ_0009
Figure 12_A0101_SEQ_0009

Figure 12_A0101_SEQ_0010
Figure 12_A0101_SEQ_0010

Claims (10)

一種人類化抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段,其中該抗體或該結合片段包含重鏈可變結構域及輕鏈可變結構域,該重鏈可變結構域包含衍生自人類免疫球蛋白之構架區序列及以下互補決定區(CDR)序列:HCDR1 (SEQ ID NO: 3)、HCDR2 (SEQ ID NO: 4)、HCDR3(SEQ ID NO: 5),而該輕鏈可變結構域包含來自人類免疫球蛋白之構架區序列及以下CDR序列:LCDR1 (SEQ ID NO: 6)、LCDR2 (SEQ ID NO: 7)及LCDR3 (SEQ ID NO: 8)。A humanized anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof, wherein the antibody or binding fragment comprises a heavy chain variable domain and a light chain variable domain , The heavy chain variable domain comprises the framework region sequence derived from human immunoglobulin and the following complementarity determining region (CDR) sequences: HCDR1 (SEQ ID NO: 3), HCDR2 (SEQ ID NO: 4), HCDR3 (SEQ ID NO: 5), and the light chain variable domain comprises the framework sequence from human immunoglobulin and the following CDR sequences: LCDR1 (SEQ ID NO: 6), LCDR2 (SEQ ID NO: 7) and LCDR3 (SEQ ID NO: 8). 如請求項1之抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段,其中該重鏈可變結構域中之該等構架區序列衍生自IGHV1-2*02之相應的構架區序列。The anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof according to claim 1, wherein the framework region sequences in the heavy chain variable domain are derived from IGHV1- Corresponding framework sequence of 2*02. 如請求項1之抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段,其中該輕鏈可變結構域中之該等構架區序列衍生自IGVK4-1*01之相應的構架區序列。The anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof according to claim 1, wherein the framework region sequences in the light chain variable domain are derived from IGVK4- Corresponding framework sequence of 1*01. 如請求項1之抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段,其中該重鏈可變結構域包含SEQ ID NO: 10或SEQ ID NO: 20或SEQ ID NO: 21之序列。The anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof according to claim 1, wherein the heavy chain variable domain comprises SEQ ID NO: 10 or SEQ ID NO: 20 or the sequence of SEQ ID NO: 21. 如請求項1之抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段,其中該輕鏈可變結構域包含SEQ ID NO: 9或SEQ ID NO: 22之序列。The anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof according to claim 1, wherein the light chain variable domain comprises SEQ ID NO: 9 or SEQ ID NO: The sequence of 22. 如請求項1之抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段,其中該重鏈可變結構域包含SEQ ID NO: 10或SEQ ID NO: 20或SEQ ID NO: 21之序列,而該輕鏈可變結構域包含SEQ ID NO: 9或SEQ ID NO: 22之序列。The anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody or binding fragment thereof according to claim 1, wherein the heavy chain variable domain comprises SEQ ID NO: 10 or SEQ ID NO: 20 or the sequence of SEQ ID NO: 21, and the light chain variable domain comprises the sequence of SEQ ID NO: 9 or SEQ ID NO: 22. 一種用於治療癌症之醫藥組合物,其中該醫藥組合物包含如請求項1至6中任一項之抗人類T細胞免疫球蛋白結構域及黏蛋白結構域3 (TIM-3)抗體或其結合片段。A pharmaceutical composition for treating cancer, wherein the pharmaceutical composition comprises the anti-human T cell immunoglobulin domain and mucin domain 3 (TIM-3) antibody according to any one of claims 1 to 6, or Combine fragments. 如請求項7之醫藥組合物,該醫藥組合物進一步包含化學治療劑。As in the pharmaceutical composition of claim 7, the pharmaceutical composition further comprises a chemotherapeutic agent. 如請求項8之醫藥組合物,該化學治療劑係環磷醯胺。As in the pharmaceutical composition of claim 8, the chemotherapeutic agent is cyclophosphamide. 如請求項7至9中任一項之醫藥組合物,其中該癌症為肺癌、乳癌、胰臟癌、肝癌、結腸直腸癌或前列腺癌。The pharmaceutical composition according to any one of claims 7 to 9, wherein the cancer is lung cancer, breast cancer, pancreatic cancer, liver cancer, colorectal cancer, or prostate cancer.
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