WO2006013107A1 - Il-17 antagonistic antibodies - Google Patents
Il-17 antagonistic antibodies Download PDFInfo
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- WO2006013107A1 WO2006013107A1 PCT/EP2005/008470 EP2005008470W WO2006013107A1 WO 2006013107 A1 WO2006013107 A1 WO 2006013107A1 EP 2005008470 W EP2005008470 W EP 2005008470W WO 2006013107 A1 WO2006013107 A1 WO 2006013107A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
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- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/24—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
- C07K16/244—Interleukins [IL]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P17/00—Drugs for dermatological disorders
- A61P17/06—Antipsoriatics
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/02—Drugs for skeletal disorders for joint disorders, e.g. arthritis, arthrosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P19/00—Drugs for skeletal disorders
- A61P19/08—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease
- A61P19/10—Drugs for skeletal disorders for bone diseases, e.g. rachitism, Paget's disease for osteoporosis
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P27/00—Drugs for disorders of the senses
- A61P27/02—Ophthalmic agents
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P29/00—Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P37/00—Drugs for immunological or allergic disorders
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- C07K16/24—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/21—Immunoglobulins specific features characterized by taxonomic origin from primates, e.g. man
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/55—Fab or Fab'
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/76—Antagonist effect on antigen, e.g. neutralization or inhibition of binding
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
- C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
Definitions
- This invention relates to an IL- 17 binding molecule, in particular an antibody to human IL- 17, more preferably a human antibody to human EL- 17 (also named IL- 17A) and to the use of such antibodies in the treatment of IL-17 mediated diseases and disorders.
- an IL- 17 binding molecule in particular an antibody to human IL- 17, more preferably a human antibody to human EL- 17 (also named IL- 17A) and to the use of such antibodies in the treatment of IL-17 mediated diseases and disorders.
- IL- 17 a T-cell derived cytokine present e.g. in rheumatoid arthritis (RA), acts as a pro- inflammatory cytokine, particularly in conjunction with EL-I and TNF- ⁇ (Chabaud M & Miossec P (1999) Arthritis Rheum 42, 963-970; Awane M et al (1999) J. Immunol 162, 5337-5344).
- IL- 17 induces MMP production and downregulates TIMP (Jovanovic DV et al (2001) J. Rheumatol.
- IL-17 blockage of IL-I and IL-17 has a synergistic effect on inflammation and bone destruction in vivo (Chabaud M & Miossec (2001) Arthritis Rheum 44, 1293-1303). Inappropriate or excessive production of IL-17 is associated with the pathology of various diseases and disorders, such as rheumatoid arthritis (W ⁇ towski et al., 2004 Cell MoI Life Sci 61:567-579), osteoarthritis, loosening of bone implants, acute transplant rejection (Antonysamy et al.
- the invention provides an DL- 17 binding molecule which comprises an antigen binding site comprising at least one immunoglobulin heavy chain variable domain (V H ) which comprises in sequence hypervariable regions CDRl, CDR2 and CDR3, said CDRl having the amino acid sequence SEQ DD NO: 1 (N-Y-W-M-N), said CDR2 having the amino acid sequence SEQ ID NO: 2 (A-I-N-Q-D-G-S-E-K-Y-Y-V-G-S-V-K-G), and said CDR3 having the amino acid sequence SEQ ID NO: 3 (D-Y-Y-D-I-L-T-D-Y-Y-I-H-Y-W-Y-F-D-L); or direct CDR equivalents thereof.
- V H immunoglobulin heavy chain variable domain
- the invention also provides an IL- 17 binding molecule comprising at least one immunoglobulin light chain variable domain (VL) which comprises in sequence hypervariable regions CDRl', CDR2' and CDR3', said CDRl' having the amino acid sequence SEQ ID NO: 4 (R-A-S-Q-S-V-S-S-S-Y-L-A), said CDR2' having the amino acid sequence SEQ ID NO: 5 (G-A-S-S-R-A-T) and said CDR3' having the amino acid sequence SEQ ID NO: 6 (Q- Q-Y-G-S-S-P-C-T) or direct CDR' equivalents thereof.
- VL immunoglobulin light chain variable domain
- the invention provides an IL- 17 binding molecule which comprises an antigen binding site comprising at least one immunoglobulin heavy chain variable domain (VH) which comprises in sequence hypervariable regions CDRl -x, CDR2- x and CDR3-X, said CDRl-x having the amino acid sequence SEQ ID NO: 11 (G-F-T-F-S-N-Y- W-M-N), said CDR2-X having the amino acid sequence SEQ ID NO: 12 (A-I-N-Q-D-G-S-E-K- Y-Y), and said CDR3-X having the amino acid sequence SEQ ID NO: 13 (C-V-R-D-Y-Y-D-I-L- T-D-Y-Y-I-H-Y-W-Y-F-D-L-W-G); or direct CDR-x equivalents thereof.
- VH immunoglobulin heavy chain variable domain
- the invention also provides an IL- 17 binding molecule comprising both heavy (V H ) and light chain (V L ) variable domains; said IL- 17 binding molecule comprises at least one antigen binding site comprising: a) an immunoglobulin heavy chain variable domain (V H ) which comprises in sequence hypervariable regions CDRl, CDR2 and CDR3, said CDRl having the amino acid sequence SEQ ID NO:1, said CDR2 having the amino acid sequence SEQ ID NO:2, and said CDR3 having the amino acid sequence SEQ ID NO:3 or direct CDR equivalents thereof; and b) an immunoglobulin light chain variable domain (VL) which comprises in sequence hypervariable regions CDRl', CDR2' and CDR3', said CDRl' having the amino acid sequence SEQ ID NO:4, said CDR2' having the amino acid sequence SEQ ID NO:5, and said CDR3' having the amino acid sequence SEQ ID NO: 6 or direct CDR' equivalents thereof.
- V H immunoglobulin heavy chain variable domain
- the invention also provides an IL- 17 binding molecule comprising both heavy (VH) and light chain (V L ) variable domains; said IL- 17 binding molecule comprises at least one antigen binding site comprising: a) an immunoglobulin heavy chain variable domain (VH) which comprises in sequence hypervariable regions CDRl -x, CDR2-X and CDR3-X, said CDRl -x having the amino acid sequence SEQ ID NO:11, said CDR2-X having the amino acid sequence SEQ ID NO: 12, and said CDR3-X having the amino acid sequence SEQ ID NO: 13 or direct CDR- x equivalents thereof; and b) an immunoglobulin light chain variable domain (V L ) which comprises in sequence hypervariable regions CDRl', CDR2' and CDR3', said CDRl' having the amino acid sequence SEQ ID NO:4, said CDR2' having the amino acid sequence SEQ ID NO:5, and said CDR3' having the amino acid sequence SEQ ID NO: 6 or direct CDR'
- any polypeptide chain is herein described as having an amino acid sequence starting at the N-terminal extremity and ending at the C-terminal extremity.
- the antigen binding site comprises both the V H and V L domains, these may be located on the same polypeptide molecule or, preferably, each domain may be on a different chain, the V H domain being part of an immunoglobulin heavy chain or fragment thereof and the V L being part of an immunoglobulin light chain or fragment thereof.
- EL- 17 binding molecule any molecule capable of binding to the IL- 17 antigen either alone or associated with other molecules.
- the binding reaction may be shown by standard methods (qualitative assays) including, for example, a binding assay, competition assay or a bioassay for determining the inhibition of DL-17 binding to its receptor or any kind of binding assays, with reference to a negative control test in which an antibody of unrelated specificity but of the same isotype, e.g. an anti-CD25 antibody, is used (see also Example 1).
- antigen binding molecules include antibodies as produced by B-cells or hybridomas and chimeric, CDR-grafted or human antibodies or any fragment thereof, e.g. F(ab') 2 and Fab fragments, as well as single chain or single domain antibodies.
- a single chain antibody consists of the variable domains of the heavy and light chains of an antibody covalently bound by a peptide linker usually consisting of from 10 to 30 amino acids, preferably from 15 to 25 amino acids. Therefore, such a structure does not include the constant part of the heavy and light chains and it is believed that the small peptide spacer should be less antigenic than a whole constant part.
- chimeric antibody is meant an antibody in which the constant regions of heavy or light chains or both are of human origin while the variable domains of both heavy and light chains are of non-human (e.g. murine) origin or of human origin but derived from a different human antibody.
- CDR-grafted antibody is meant an antibody in which the hypervariable regions (CDRs) are derived from a donor antibody, such as a non-human (e.g. murine) antibody or a different human antibody, while all or substantially all the other parts of the immunoglobulin e.g. the constant regions and the highly conserved parts of the variable domains, i.e. the framework regions, are derived from an acceptor antibody, e.g. an antibody of human origin.
- a CDR-grafted antibody may however contain a few amino acids of the donor sequence in the framework regions, for instance in the parts of the framework regions adjacent to the hypervariable regions.
- human antibody is meant an antibody in which the constant and variable regions of both the heavy and light chains are all of human origin, or substantially identical to sequences of human origin, not necessarily from the same antibody and includes antibodies produced by mice in which the murine immunoglobulin variable and constant part genes have been replaced by their human counterparts, e.g. as described in general terms in EP 0546073 Bl, USP 5545806, USP 5569825, USP 5625126, USP 5633425, USP 5661016, USP 5770429, EP 0 438474 Bl and EP 0463151 Bl.
- Particularly preferred EL- 17 binding molecules of the invention are human antibodies, especially the AIN457 antibody as hereinafter described in Examples 1 and 2.
- the constant region domains preferably also comprise suitable human constant region domains, for instance as described in "Sequences of Proteins of Immunological Interest", Kabat E.A. et al, US Department of Health and Human Services, Public Health Service, National Institute of Health. Hypervariable regions may be associated with any kind of framework regions, though preferably are of human origin.
- the preferred heavy chain framework is a human heavy chain framework, for instance that of the AIN457 antibody. It consists in sequence e.g. of FRl (amino acid 1 to 30 of SEQ ID NO: 8), FR2 (amino acid 36 to 49 of SEQ ID NO: 8), FR3 (amino acid 67 to 98 of SEQ ID NO: 8) and FR4 (amino acid 117 to 127 of SEQ ID NO: 8) regions.
- another preferred heavy chain framework consists in sequence of FRl -x (amino acid 1 to 25 of SEQ ID NO: 8), FR2-X (amino acid 36 to 49 of SEQ ID NO: 8), FR3-x (amino acid 61 to 95 of SEQ ID NO: 8) and FR4 (amino acid 119 to 127 of SEQ ID NO: 8) regions.
- the light chain framework consists, in sequence, of FRl' (amino acid 1 to 23 of SEQ ID NO: 10), FR2' (amino acid 36 to 50 of SEQ ID NO: 10), FR3' (amino acid 58 to 89 of SEQ ID NO: 10) and FR4' (amino acid 99 to 109 of SEQ ID NO: 10) regions.
- the invention also provides an IL- 17 binding molecule which comprises at least one antigen binding site comprising either a first domain having an amino acid sequence substantially identical to that shown in SEQ ID NO: 8 starting with the amino acid at position 1 and ending with the amino acid at position 127 or a first domain as described above and a second domain having an amino acid sequence substantially identical to that shown in SEQ ID NO: 10, starting with the amino acid at position 1 and ending with the amino acid at position 109.
- Monoclonal antibodies raised against a protein naturally found in all humans are typically developed in a non-human system e.g. in mice, and as such are typically non-human proteins.
- a xenogenic antibody as produced by a hybridoma when administered to humans, elicits an undesirable immune response which is predominantly mediated by the constant part of the xenogenic immunoglobulin.
- a more preferred IL- 17 binding molecule of the invention is selected from a human anti IL- 17 antibody which comprises at least a) an immunoglobulin heavy chain or fragment thereof which comprises (i) a variable domain comprising in sequence the hypervariable regions CDRl, CDR2 and CDR3 or direct CDR equivalents thereof and (ii) the constant part or fragment thereof of a human heavy chain; said CDRl having the amino acid sequence SEQ DD NO: 1, said CDR2 having the amino acid sequence SEQ ID NO: 2, and said CDR3 having the amino acid sequence SEQ ID NO: 3; and b) an immunoglobulin light chain or fragment thereof which comprises (i) a variable domain comprising in sequence the hypervariable regions and optionally also the CDRl', CDR2', and CDR3' hypervariable regions or direct CDR' equivalents thereof and (ii) the constant part or fragment thereof of a human light chain, said CDRl ' having the amino acid sequence SEQ DD NO: 4, said C
- an IL- 17 binding molecule of the invention may be selected from a single chain binding molecule which comprises an antigen binding site comprising a) a first domain comprising in sequence the hypervariable regions CDRl, CDR2 and CDR3 or direct CDR equivalents thereof, said CDRl having the amino acid sequence SEQ ID NO: 1, said CDR2 having the amino acid sequence SEQ ID NO: 2, and said CDR3 having the amino acid sequence SEQ ID NO: 3; and b) a second domain comprising the hypervariable regions CDRl', CDR2' and CDR3' or direct CDR' equivalents thereof, said CDRl' having the amino acid sequence SEQ ID NO: 4, said CDR2' having the amino acid sequence SEQ ID NO: 5, and said CDR3' having the amino acid sequence SEQ ID NO: 6; and c ) a peptide linker which is bound either to the N-terminal extremity of the first domain and to the C-terminal extremity of the second domain or to the C-terminal extremity of
- directly CDR equivalents thereof are meant IL- 17 binding molecules comprising in sequence the hypervariable regions CDRl;, CDR2i ; and CDR3j, (instead of CDRl , CDR2, and CDR3), wherein (i) the hypervariable region CDRIj differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDRl as shown in SEQ ID NO: 1; and
- the hypervariable region CDR2j differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDR2 as shown in SEQ ID NO: 2;
- the hypervariable region CDR3j differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDR3 as shown in SEQ ID NO: 3;
- direct CDR-x equivalents thereof are meant IL- 17 binding molecules comprising in sequence the hypervariable regions CDRlj-x, CDR2j-x, and CDR3i-x, (instead of CDRl -x, CDR2-X, and CDR3-x), wherein
- the hypervariable region CDRl ,-x differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDRl -x as shown in SEQ ID NO: 11 ;
- the hypervariable region CDR2j-x differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDR2-X as shown in SEQ ID NO: 12;
- the hypervariable region CDR3;-x differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDR3-X as shown in SEQ ID NO: 13;
- direct CDR' equivalents thereof is meant a domain comprising in sequence the hypervariable regions CDRl 'j, CDR2'i, and CDR3'j, wherein (i) the hypervariable region CDRl 'i differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDRl' as shown in SEQ ID NO: 4; and
- the hypervariable region CDR2'j differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDR2' as shown in SEQ ID NO: 5;
- the hypervariable region CDR3'i differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region CDR3' as shown in SEQ ID NO: 6;
- an IL- 17 binding molecule of the invention may be an IL- 17 binding molecule which comprises at least one antigen binding site comprising at least one immunoglobulin heavy chain variable domain (V H ) which comprises in sequence a) hypervariable regions CDRl (SEQ ID NO: 1), CDR2 (SEQ ID NO: 2) and CDR3 (SEQ ID NO: 3); or b) hypervariable regions CDRIi, CDR2j, CDR3j, said hypervariable region CDRl; differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region of CDRl as shown in SEQ ID NO: 1, said hypervariable region CDR2j differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region of CDR2 as shown in SEQ ID NO: 2; and said hypervariable region CDR3j differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region of CDR3 as shown in SEQ ID NO: 3; and said binding
- an IL- 17 binding molecule of the invention may be an IL- 17 binding molecule which comprises at least one antigen binding site comprising at least one immunoglobulin heavy chain variable domain (V H ) which comprises in sequence a) hypervariable regions CDRl -x (SEQ ID NO: 11), CDR2-X (SEQ ID NO: 12) and CDR3-X (SEQ ID NO: 13); or b) hypervariable regions CDRlj-x, CDR2j-x, CDR3i-x, said hypervariable region CDRlj-x differs by 3, preferably 2, more preferably 1 amino acid(s) from the hypervariable region of CDRl-x as shown in SEQ ID NO: 11, said hypervariable region CDR2j-x differs by 3, preferably
- an IL-17 binding molecule of the invention may be a IL-17 binding molecule comprising both heavy (V H ) and light chain (V L ) variable domains and said IL-17 binding molecule comprises at least one antigen binding site comprising: a) an immunoglobulin heavy chain variable domain (VH) which comprises in sequence hypervariable regions CDRl (SEQ ID NO: 1), CDR2 (SEQ ID NO: 2) and CDR3 (SEQ ID NO: 3); and an immunoglobulin light chain variable domain (V L ) which comprises in sequence hypervariable regions CDRl' (SEQ ID NO: 4), CDR2' (SEQ ID NO: 5) and CDR3' (SEQ ID NO: 6); or b) an immunoglobulin heavy chain variable domain (VH) which comprises in sequence hypervariable regions CDRIj, CDR2j, and CDR3j, said hypervariable region hypervariable regions CDRIj, CDR2j, CDR3j, said hypervariable region CDRIj differs by 3,
- an IL-17 binding molecule of the invention may be a IL-17 binding molecule comprising both heavy (VH) and light chain (V L ) variable domains and said IL-17 binding molecule comprises at least one antigen binding site comprising: a) an immunoglobulin heavy chain variable domain (VH) which comprises in sequence hypervariable regions CDRl-x (SEQ ID NO: 11), CDR2-X (SEQ ID NO: 12) and CDR3-X (SEQ ID NO: 13); and an immunoglobulin light chain variable domain (V L ) which comprises in sequence hypervariable regions CDRl ' (SEQ ID NO: 4), CDR2' (SEQ ID NO: 5) and CDR3' (SEQ ID NO: 6); or b) an immunoglobulin heavy chain variable domain (VH) which comprises in sequence hypervariable regions CDRl ; -x, CDR2j-x, and CDR3j-x, said hypervariable region hypervariable regions CDRl 1 -X, CDR2i
- IL- 17 binding molecules of the invention typically have IC 50 S for the inhibition of human IL- 17 on IL-6 production induced by human IL- 17 in human dermal fibroblasts which are within +/- ⁇ 5, i.e.
- the assay used may be an assay of competitive inhibition of binding of IL- 17 by soluble IL- 17 receptors (e.g. the human IL- 17 R/Fc constructs of Example 1) and the IL- 17 binding molecules of the invention.
- the human IL- 17 antibody comprises at least a) one heavy chain which comprises a variable domain having an amino acid sequence substantially identical to that shown in SEQ ID NO: 8 starting with the amino acid at position 1 and ending with the amino acid at position 127 and the constant part of a human heavy chain; and b) one light chain which comprises a variable domain having an amino acid sequence substantially identical to that shown in SEQ ID NO: 10 starting with the amino acid at position 1 and ending with the amino acid at position 109 and the constant part of a human light chain.
- the constant part of a human heavy chain may be of the j ⁇ , ⁇ 2 , ⁇ 3 , ⁇ 4 , ⁇ , Oc 1 , Oc 2 , ⁇ or ⁇ type, preferably of the ⁇ type, more preferably of the Y 1 type, whereas the constant part of a human light chain may be of the K or ⁇ type (which includes the ⁇ ⁇ , ⁇ 2 and ⁇ 3 subtypes) but is preferably of the K type.
- the amino acid sequences of all these constant parts are given in Kabat et al (supra).
- Conjugates of the binding molecules of the invention e. g. enzyme or toxin or radioisotope conjugates, are also included within the scope of the invention.
- Polypeptide if not otherwise specified herein, includes any peptide or protein comprising amino acids joined to each other by peptide bonds, having an amino acid sequence starting at the N-terminal extremity and ending at the C-terminal extremity.
- the polypeptide of the present invention is a monoclonal antibody, more preferred is a chimeric (also called V-grafted) or humanised (also called CDR-grafted) monoclonal antibody, most preferred a fully human antibody obtainable e.g. by the technology exemplified in Example 1.
- the humanised (CDR- grafted) or fully human monoclonal antibody may or may not include further mutations introduced into the framework (FR) sequences of the acceptor antibody.
- a functional derivative of a polypeptide as used herein includes a molecule having a qualitative biological activity in common with a polypeptide to the present invention, i.e. having the ability to bind to the human IL-17.
- a functional derivative includes fragments and peptide analogs of a polypeptide according to the present invention. Fragments comprise regions within the sequence of a polypeptide according to the present invention, e.g. of a specified sequence.
- the term "derivative" is used to define amino acid sequence variants, and covalent modifications of a polypeptide according to the present invention, e.g. of a specified sequence.
- the functional derivatives of a polypeptide according to the present invention e.g. of a specified sequence, e.g.
- the hypervariable region of the light and the heavy chain preferably have at least about 65%, more preferably at least about 75%, even more preferably at least about 85%, most preferably at least about 95, 96, 97, 98, 99% overall sequence homology with the amino acid sequence of a polypeptide according to the present invention, e.g. of a specified sequence, and substantially retain the ability to bind the human IL-17 or e.g. neutralize IL-6 production of IL-17 induced human dermal fibroblasts.
- covalent modification includes modifications of a polypeptide according to the present invention, e.g. of a specified sequence; or a fragment thereof with an organic proteinaceous or non-proteinaceous derivatizing agent, fusions to heterologous polypeptide sequences, and post-translational modifications.
- Covalent modified polypeptides e.g. of a specified sequence, still have the ability to bind the human IL-17 or e.g. neutralize IL-6 production of IL-17 induced human dermal fibroblasts by crosslinking.
- Covalent modifications are traditionally introduced by reacting targeted amino acid residues with an organic derivatizing agent that is capable of reacting with selected sides or terminal residues, or by harnessing mechanisms of post-translational modifications that function in selected recombinant host cells.
- Certain post-translational modifications are the result of the action of recombinant host cells on the expressed polypeptide. Glutaminyl and asparaginyl residues are frequently post- translationally deamidated to the corresponding glutamyl and aspartyl residues. Alternatively, these residues are deaminated under mildly acidic conditions.
- Covalent modifications include fusion proteins comprising a polypeptide according to the present invention, e.g. of a specified sequence and their amino acid sequence variants, such as immunoadhesins, and N-terminal fusions to heterologous signal sequences.
- “Homology” with respect to a native polypeptide and its functional derivative is defined herein as the percentage of amino acid residues in the candidate sequence that are identical with the residues of a corresponding native polypeptide, after aligning the sequences and introducing gaps, if necessary, to achieve the maximum percent homology, and not considering any conservative substitutions as part of the sequence identity. Neither N- or C-terminal extensions nor insertions shall be construed as reducing identity or homology. Methods and computer programs for the alignment are well known.
- amino acid(s) refer to all naturally occurring L- ⁇ -amino acids, e.g. and including D-amino acids.
- the amino acids are identified by either the well known single-letter or three-letter designations.
- amino acid sequence variant refers to molecules with some differences in their amino acid sequences as compared to a polypeptide according to the present invention, e.g. of a specified sequence.
- Amino acid sequence variants of a polypeptide according to the present invention, e.g. of a specified sequence still have the ability to bind the human IL-17 or e.g. neutralize IL-6 production of IL-17 induced human dermal fibroblasts.
- Substitutional variants are those that have at least one amino acid residue removed and a different amino acid inserted in its place at the same position in a polypeptide according to the present invention, e.g. of a specified sequence.
- Insertional variants are those with one or more amino acids inserted immediately adjacent to an amino acid at a particular position in a polypeptide according to the present invention, e.g. of a specified sequence. Immediately adjacent to an amino acid means connected to either the ⁇ -carboxy or ⁇ -amino functional group of the amino acid.
- Deletional variants are those with one or more amino acids in a polypeptide according to the present invention, e.g. of a specified sequence, removed. Ordinarily, deletional variants will have one or two amino acids deleted in a particular region of the molecule.
- An IL-17 binding molecule of the invention maybe produced by recombinant DNA techniques.
- one or more DNA molecules encoding the binding molecule must be constructed, placed under appropriate control sequences and transferred into a suitable host organism for expression.
- the invention provides a DNA molecule encoding an IL- 17 binding molecule as described above.
- the invention provides a DNA construct comprising a DNA molecule which is substantially homologous to SEQ ID NO: 7 or SEQ ID NO: 9.
- the invention provides a DNA construct comprising two DNA molecules of which one is substantially homologous to SEQ ID NO: 7 or is a direct DNAH equivalent thereof and the other substantially homologous to SEQ ID NO: 9, or is a direct DNAL equivalent thereof.
- a method for constructing a variable domain gene is for example described in EPA 239 400 and may be briefly summarized as follows: A gene encoding a variable domain of a MAb of whatever specificity is cloned. The DNA segments encoding the framework and hypervariable regions are determined and the DNA segments encoding the hypervariable regions are removed so that the DNA segments encoding the framework regions are fused together with suitable restriction sites at the junctions. The restriction sites may be generated at the appropriate positions by mutagenesis of the DNA molecule by standard procedures.
- Double stranded synthetic CDR cassettes are prepared by DNA synthesis according to the sequences encoding for SEQ ID NO: 1 (CDRl), SEQ ID NO: 2 (CDR2), SEQ ID NO: 3 (CDR3), SEQ ID NO: 4 (CDRl '), SEQ ID NO: 5 (CDR2'), SEQ ID NO: 6 (CDR6'), SEQ ID NO: 11 (CDRl-x), SEQ ID NO: 12 (CDR2-x), SEQ ID NO: 13 (CDR3-x) v
- These cassettes are provided with sticky ends so that they can be ligated at the junctions of the framework
- PCT application WO 90/07861 gives full instructions for the production of an antibody by recombinant DNA techniques given only written information as to the nucleotide sequence of the gene.
- the method comprises the synthesis of a number of oligonucleotides, their amplification by the PCR method, and their splicing to give the desired DNA sequence.
- Expression vectors comprising a suitable promoter or genes encoding heavy and light chain constant parts are publicly available. Thus, once a DNA molecule of the invention is prepared it may be conveniently transferred in an appropriate expression vector. DNA molecules encoding single chain antibodies may also be prepared by standard methods, for example, as described in WO 88/1649.
- the term "direct DNA H equivalents thereof is meant to stand for a first DNA construct encoding a heavy chain or fragment thereof of an IL- 17 binding molecule of the invention and comprises: a) a first part which encodes a variable domain comprising alternatively framework and hypervariable regions, said hypervariable regions being in sequence CDRIj, CDR2, and CDR3j, said CDRIi is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more preferably at least 95% homologous to the hypervariable region CDRl as shown in SEQ ID NO: 1, said CDR2i is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more preferably at least 95% homologous to the hypervariable region CDR2 as shown in SEQ ID NO: 2, and CDR3j is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more preferably at least at least
- the term "direct DNAH-X equivalents thereof is meant to stand for a first alternative DNA construct encoding a heavy chain or fragment thereof of an IL- 17 binding molecule of the invention and comprises: a) a first part which encodes a variable domain comprising alternatively framework and hypervariable regions, said hypervariable regions being in sequence CDRlj-x, CDR2i-x and CDR3i-x, said CDRl 1 -X is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more preferably at least 95% homologous to the hypervariable region CDRl as shown in SEQ ID NO: 11, said CDR2j-x is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more preferably at least 95% homologous to the hypervariable region CDR2 as shown in SEQ ID NO: 12, and CDR3i-x is at least 50% homologous, preferably at least 60, 70, 80, 85, or
- these DNA constructs encode a variable domain comprising alternatively framework and hypervariable regions, said hypervariable regions being in sequence CDRl, CDR2 and CDR3, said CDRl having the amino acid sequence SEQ ID NO: 1, said CDR2 having the amino acid sequence SEQ ID NO: 2, and said CDR3 having the amino acid sequence SEQ ID NO: 3. More preferably, these DNA constructs encode a variable domain comprising alternatively framework and hypervariable regions, said hypervariable regions being in sequence CDRl-x, CDR2-X and CDR3-X, said CDRl-x having the amino acid sequence SEQ ID NO: 11, said CDR2-X having the amino acid sequence SEQ ID NO: 12, and said CDR3-X having the amino acid sequence SEQ ID NO: 13.
- this first part encodes a variable domain having an amino acid sequence substantially identical to the amino acid sequence as shown in SEQ ID NO: 8 starting with the amino acid at position 1 and ending with the amino acid at position 127. More preferably the first part has the nucleotide sequence as shown in SEQ ID NO: 7 starting with the nucleotide at position 1 and ending with the nucleotide at position 381. Also preferably, the second part encodes the constant part of a human heavy chain, more preferably the constant part of the human ⁇ l chain. This second part may be a DNA fragment of genomic origin (comprising introns) or a cDNA fragment (without introns).
- the term "direct DNA L equivalents thereof is meant to stand for a second DNA construct encoding a light chain or fragment thereof of an IL- 17 binding molecule of the invention and comprises: a) a first part which encodes a variable domain comprising alternatively framework and hypervariable regions; said hypervariable regions being CDR3j' and optionally CDRl;' and CDR2j', said CDRl;' is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more preferably at least 95% homologous to the hypervariable region CDRl ' as shown in SEQ ID NO: 4, said CDR2j' is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more preferably at least 95% homologous to the hypervariable region CDR2' as shown in SEQ ID NO: 5, and said CDR3i' is at least 50% homologous, preferably at least 60, 70, 80, 85, or 90% homologous, more
- this second DNA construct encodes a variable domain comprising alternatively framework and hypervariable regions, said hypervariable regions being in sequence CDRl', CDR2' and CDR3', said CDRl ' having the amino acid sequence SEQ ID NO: 4, said CDR2' having the amino acid sequence SEQ ID NO: 5, and said CDR3' having the amino acid sequence SEQ ID NO: 6. More preferably, this first part of the second DNA construct encodes a variable domain having an amino acid sequence substantially identical to the amino acid sequence as shown in SEQ ID NO: 10 starting with the amino acid at position 1 and ending with the amino acid at position 109.
- the first part has the nucleotide sequence as shown in SEQ ID NO: 9 starting with the nucleotide at position 1 and ending with the nucleotide at position 327.
- the second part encodes the constant part of a human light chain, more preferably the constant part of the human K
- the first and second DNA construct will be used together, but may be also used separately.
- the invention also includes IL- 17 binding molecules in which one or more of the amino acid residues of CDRl, CDR2, CDR3, CDRl-x, CDR2-X, CDR3-X, CDRl ' , CDR2' or CDR3' or the frameworks, typically only a few (e.g. 1-4), are changed; for instance by mutation e.g. site directed mutagenesis of the corresponding DNA sequences.
- the invention includes the DNA sequences coding for such changed IL- 17 binding molecules.
- Li particular the invention includes IL- 17 binding molecules in which one or more residues of CDRl' or CDR2' have been changed from the residues shown in SEQ ID NO: 4 (for CDRl ') and SEQ ID NO: 5 (for CDR2').
- the first and second parts may be separated by an intron, and, an enhancer may be conveniently located in the intron between the first and second parts.
- an enhancer which is transcribed but not translated, may assist in efficient transcription.
- the first and second DNA constructs comprise the enhancer of a heavy chain gene advantageously of human origin.
- Each of the DNA constructs are placed under the control of suitable control sequences, in particular under the control of a suitable promoter.
- suitable control sequences in particular under the control of a suitable promoter.
- Any kind of promoter may be used, provided that it is adapted to the host organism in which the DNA constructs will be transferred for expression.
- the desired antibody may be produced in a cell culture or in a transgenic animal.
- a suitable transgenic animal may be obtained according to standard methods which include micro injecting into eggs the first and second DNA constructs placed under suitable control sequences transferring the so prepared eggs into appropriate pseudo-pregnant females and selecting a descendant expressing the desired antibody.
- the DNA constructs When the antibody chains are produced in a cell culture, the DNA constructs must first be inserted into either a single expression vector or into two separate but compatible expression vectors, the latter possibility being preferred.
- the invention also provides an expression vector able to replicate in a prokaryotic or eukaryotic cell line which comprises at least one of the DNA constructs above described.
- Each expression vector containing a DNA construct is then transferred into a suitable host organism.
- the DNA constructs are separately inserted on two expression vectors, they may be transferred separately, i.e. one type of vector per cell, or co-transferred, this latter possibility being preferred.
- a suitable host organism may be a bacterium, a yeast or a mammalian cell line, this latter being preferred. More preferably, the mammalian cell line is of lymphoid origin, e.g. a myeloma, hybridoma or a normal immortalised B-cell, which conveniently does not express any endogenous antibody heavy or light chain.
- the JL- 17 binding molecule coding sequence is integrated into the host cell DNA within a locus which permits or favours high level expression of the JL-Il binding molecule.
- Cells in which the JL- 17 binding molecule coding sequence is integrated into such favourable loci maybe identified and selected on the basis of the levels of the IL- 17 binding molecule which they express.
- Any suitable selectable marker maybe used for preparation of host cells containing the IL- 17 binding molecule coding sequence; for instance, a dhfr gene/methotrexate or equivalent selection system may be used.
- Alternative systems for expression of the IL-17 binding molecules of the invention include GS-based amplification/selection systems, such as those described in EP 0256055 B, EP 0323997 B and European patent application 89303964.4.
- a process for the product of an IL- 17 binding molecule which comprises (i) culturing an organism which is transformed with an expression vector as defined above and (ii) recovering the IL- 17 binding molecule from the culture.
- an antibody is "capable of inhibiting the binding of IL-17 as AIN457” if the antibody is capable of inhibiting the binding of IL-17 to its receptor substantially to the same extent as the AIN457 antibody, wherein "to the same extent” has meaning as defined above.
- the AIN457 antibody has binding affinity for IL-17 which is higher than affinities previously reported for anti-IL-17 antibodies, in particular to any anti human IL-17 antibodies.
- AIN457 has a dissociation equilibrium constant K D for binding to IL-17 of about 0.188 ⁇ 0.036 nM (determined by BIAcore, e.g. as shown in Example 2). This high binding affinity makes the AIN457 antibody particularly suitable for therapeutic applications.
- 11-17 mediated disease encompasses all diseases and medical conditions in which IL-17 plays a role, whether directly or indirectly, in the disease or medical condition, including the causation, development, progress, persistence or pathology of the disease or condition.
- treatment refers to both prophylactic or preventative treatment as well as curative or disease modifying treatment, including treatment of patient at risk of contracting the disease or suspected to have contracted the disease as well as patients who are ill or have been diagnosed as suffering from a disease or medical condition, and includes suppression of clinical relapse.
- the Antibodies of the Invention are human antibodies, most preferably the AIN457 antibody or direct equivalents thereof.
- the Antibodies of the Invention block the effects of IL- 17 on its target cells and thus are indicated for use in the treatment of IL- 17 mediated diseases and disorders. These and other pharmacological activities of the Antibodies of the Invention may be demonstrated in standard test methods for example as described below:
- human dermal fibroblasts are stimulated with recombinant IL- 17 in the presence of various concentrations of Antibody of the Invention or human IL- 17 receptor with Fc part.
- the chimeric anti-CD25 antibody Simulect ® (basiliximab) is used as a negative control.
- Supernatant is taken after 16 h stimulation and assayed for IL-6 by ELISA.
- Antibodies of the Invention typically have IC 50 S for inhibition of IL-6 production (in the presence 1 nM human IL- 17) of about 50 nM or less (e.g. from about 0.01 to about 50 nM) when tested as above, i.e.
- the Antibodies of the Invention have an ICs 0 for inhibition of IL-6 production as defined above of about 20 nM or less, more preferably of about 10 nM or less, more preferably of about 5 nM or less, more preferably of about 2 nM or less, more preferably of about 1 nM or less.
- Antibodies of the Invention potently block the effects of IL-17. Accordingly, the Antibodies of the Invention have pharmaceutical utility as follows:
- Antibodies of the Invention are useful for the prophylaxis and treatment of IL-17 mediated diseases or medical conditions, e.g. inflammatory conditions, allergies and allergic conditions, hypersensitivity reactions, autoimmune diseases, severe infections, and organ or tissue transplant rejection.
- diseases or medical conditions e.g. inflammatory conditions, allergies and allergic conditions, hypersensitivity reactions, autoimmune diseases, severe infections, and organ or tissue transplant rejection.
- Antibodies of the Invention maybe use for the treatment of recipients of heart, lung, combined heart-lung, liver, kidney, pancreatic, skin or corneal transplants, including allograft rejection or xenograft rejection, and for the prevention of graft- versus-host disease, such as following bone marrow transplant, and organ transplant associated arteriosclerosis.
- Antibodies of the Invention are particularly useful for the treatment, prevention, or amelioration of autoimmune disease and of inflammatory conditions, in particular inflammatory conditions with an aetiology including an autoimmune component such as arthritis (for example rheumatoid arthritis, arthritis chronica progrediente and arthritis deformans) and rheumatic diseases, including inflammatory conditions and rheumatic diseases involving bone loss, inflammatory pain, spondyloarthropathies including ankolsing spondylitis, Reiter syndrome, reactive arthritis, psoriatic arthritis, and enterophathis arthritis,, hypersensitivity (including both airways hypersensitivity and dermal hypersensitivity) and allergies.
- arthritis for example rheumatoid arthritis, arthritis chronica progrediente and arthritis deformans
- rheumatic diseases including inflammatory conditions and rheumatic diseases involving bone loss, inflammatory pain, spondyloarthropathies including ankolsing spondylitis, Reiter syndrome, reactive arthritis, p
- autoimmune haematological disorders including e.g. hemolytic anaemia, aplastic anaemia, pure red cell anaemia and idiopathic thrombocytopenia
- systemic lupus erythematosus inflammatory muscle disorders, polychondritis, sclerodoma, Wegener granulomatosis, dermatomyositis, chronic active hepatitis, myasthenia gravis, psoriasis, Steven- Johnson syndrome, idiopathic sprue, autoimmune inflammatory bowel disease (including e.g.
- ulcerative colitis Crohn's disease and Irritable Bowel Syndrome
- endocrine ophthalmopathy Graves disease, sarcoidosis, multiple sclerosis, primary biliary cirrhosis, juvenile diabetes (diabetes mellitus type T), uveitis (anterior and posterior), keratoconjunctivitis sicca and vernal keratoconjunctivitis, interstitial lung fibrosis, psoriatic arthritis and glomerulonephritis (with and without nephrotic syndrome, e.g.
- idiopathic nephrotic syndrome or minimal change nephropathy including idiopathic nephrotic syndrome or minimal change nephropathy), tumors, multiple sclerosis, inflammatory disease of skin and cornea, myositis, loosening of bone implants, metabolic disorders, such as atherosclerosis, diabetes, and dislipidemia.
- Antibodies of the Invention are also useful for the treatment, prevention, or amelioration of asthma, bronchitis, pneumoconiosis, pulmonary emphysema, and other obstructive or inflammatory diseases of the airways.
- Antibodies of the Invention are useful for treating undesirable acute and hyperacute inflammatory reactions which are mediated by EL-17or involve IL- 17 production, or the promotion of TNF release by DL-17, e.g.
- septic shock e.g., endotoxic shock and adult respiratory distress syndrome
- meningitis e.g., meningitis
- severe burns e.g., burns
- cachexia or wasting syndrome associated with morbid TNF release consequent to infection, cancer, or organ dysfunction, especially AIDS -related cachexia, e.g., associated with or consequential to HTV infection.
- Antibodies of the Invention are particularly useful for treating diseases of bone metabolism including osteoarthritis, osteoporosis and other inflammatory arthritides, and bone loss in general, including age-related bone loss, and in particular periodontal disease.
- the appropriate dosage will, of course, vary depending upon, for example, the particular Antibody of the Invention to be employed, the host, the mode of administration and the nature and severity of the condition being treated. However, in prophylactic use, satisfactory results are generally indicated to be obtained at dosages from about 0.05 mg to about 10 mg per kilogram body weight more usually from about 0.1 mg to about 5 mg per kilogram body weight.
- the frequency of dosing for prophylactic uses will normally be in the range from about once per week up to about once every 3 months, more usually in the range from about once every 2 weeks up to about once every 10 weeks, e.g. once every 4 to 8 weeks.
- Antibody of the Invention is conveniently administered parenterally, intravenously, e.g. into the antecubital or other peripheral vein, intramuscularly, or subcutaneously.
- a prophylactic treatment typically comprises administering the Antibody of the Invention once per month to once every 2 to 3 months, or less frequently.
- the Antibodies of the Invention may be administered as the sole active ingredient or in conjunction with, e.g. as an adjuvant to or in combination to, other drugs e.g. immunosuppressive or immunomodulating agents or other anti-inflammatory agents, e.g. for the treatment or prevention of diseases mentioned above.
- other drugs e.g. immunosuppressive or immunomodulating agents or other anti-inflammatory agents, e.g. for the treatment or prevention of diseases mentioned above.
- the Antibodies of the Invention maybe used in combination with DMARD, e.g.
- Gold salts sulphasalazine, antimalarias, methotrexate, D-penicillamine, azathioprine, mycophenolic acid, cyclosporine A, tacrolimus, sirolimus, minocycline, leflunomide, glucocorticoids; a calcineurin inhibitor, e.g. cyclosporin A or FK 506; a modulator of lymphocyte recirculation, e.g. FTY720 and FTY720 analogs; a mTOR inhibitor, e.g.
- rapamycin 40-O-(2-hydroxyethyl)-rapamycin, CCI779, ABT578, AP23573 or TAFA-93; an ascomycin having immuno-suppressive properties, e.g. ABT-281, ASM981, etc.; corticosteroids; cyclo-phos-phamide; azathioprene; methotrexate; leflunomide; mizoribine; mycophenolic acid; myco-pheno-late mofetil; 15-deoxyspergualine or an immunosuppressive homologue, analogue or derivative thereof; immunosuppressive monoclonal antibodies, e.g., monoclonal antibodies to leukocyte receptors, e.g., MHC, CD2, CD3, CD4, CD7, CD8, CD25, CD28, CD40.
- immunosuppressive monoclonal antibodies e.g., monoclonal antibodies to leukocyte receptors, e.g., MHC, CD2, CD3, CD4, CD
- CD45, CD58, CD80, CD86 or their ligands other immunomodulatory compounds, e.g. a recombinant binding molecule having at least a portion of the extracellular domain of CTLA4 or a mutant thereof, e.g. an at least extracellular portion of CTLA4 or a mutant thereof joined to a non-CTLA4 protein sequence, e.g. CTLA4Ig (for ex. designated ATCC 68629) or a mutant thereof, e.g. LEA29Y; adhesion molecule inhibitors, e.g. LFA-I antagonists, ICAM-I or -3 antagonists, VCAM-4 antagonists or VLA-4 antagonists; or a chemotherapeutic agent, e.g.
- other immunomodulatory compounds e.g. a recombinant binding molecule having at least a portion of the extracellular domain of CTLA4 or a mutant thereof, e.g. an at least extracellular portion of CTLA4 or a mutant thereof joined to a non-
- anti TNF agents e.g. monoclonal antibodies to TNF, e.g. infliximab, adalimumab, CDP870, or receptor constructs to TNF-RI or TNF-RII, e.g. Etanercept, PEG-TNF-RI; blockers of proinflammatory cytokines, . IL-I blockers, e.g. Anakinra or IL-I trap, AAL160, ACZ 885, IL-6 blockers; chemokmes blockers, e.g inhibitors or activators of proteases, e.g. metalloproteases, anti-IL-15 antibodies, anti-IL-6 antibodies, anti-CD20 antibodies, NSAIDs, such as aspirin or an anti-infectious agent (list not limited to the agent mentioned).
- anti TNF agents e.g. monoclonal antibodies to TNF, e.g. infliximab, adalimumab, CDP870, or receptor construct
- a method as defined above comprising co-administration, e.g. concomitantly or in sequence, of a therapeutically effective amount of an IL-17 binding molecule, e.g. an Antibody of the Invention, and at least one second drug substance, said second drug substance being a immuno-suppressive / immunomodulatory, anti-inflammatory chemotherapeutic or anti- infectious drug, e.g. as indicated above.
- a therapeutically effective amount of an IL-17 binding molecule e.g. an Antibody of the Invention
- at least one second drug substance said second drug substance being a immuno-suppressive / immunomodulatory, anti-inflammatory chemotherapeutic or anti- infectious drug, e.g. as indicated above.
- a therapeutic combination e.g. a kit, comprising of a therapeutically effective amount of a) an IL-17 binding molecule, e.g. an Antibody of the Invention, and b) at least one second substance selected from a immuno-suppressive / immunomodulatory, anti-inflammatory chemotherapeutic or anti-infectious drug, e.g. as indicated above.
- the kit may comprise instructions for its administration.
- Antibodies of the Invention are administered in conjunction with other immuno-suppressive / immunomodulatory, anti-inflammatory chemotherapeutic or anti- infectious therapy
- dosages of the co-administered combination compound will of course vary depending on the type of co-drug employed, e.g. whether it is a DMARD, anti-TNF. IL-I blocker or others, on the specific drug employed, on the condition being treated and so forth.
- compositions of the invention maybe manufactured in conventional manner.
- a composition according to the invention is preferably provided in lyophilized form.
- a suitable aqueous carrier for example sterile water for injection or sterile buffered physiological saline.
- a suitable aqueous carrier for example sterile water for injection or sterile buffered physiological saline.
- human serum albumin or the patient's own heparinised blood into the saline at the time of formulation.
- the formulation is given subcutaneous. The presence of an excess of such physiologically inert protein prevents loss of antibody by adsorption onto the walls of the container and tubing used with the infusion solution.
- albumin a suitable concentration is from 0.5 to 4.5% by weight of the saline solution.
- Other formulations comprise liquid or lyophilized formulation.
- mice engineered to express the human IgG/ ⁇ repertoire instead of the murine immunoglobulin repertoire are used to generate antibodies to human IL- 17.
- B cells from these mice are immortalized by standard hybridoma technology and murine hybridoma cells are obtained which secrete the human IgGl /K antibody AIN457.
- Example 1 Generation of the hybridoma, purification of the antibodies, selection of AIN457 antibody
- Recombinant huIL-17 is either produced in E. coli in inclusion bodies and refolded by conventional techniques (produced in house carrier free (E. coli; Novartis Pharma, batch BM-E3141/98) or bought (carrier free, E.
- HEK.EBNA Recombinant huIL-17, carrier free (IL- 17 APP-C6 from transfected HEK/EBNA cells; Novartis Pharma, batch En.E-3382/82; 0.28 mg/ml; recombinant huIL-17, carrier free (IL-17 APP-C4 from transfected HEK/EBNA cells; Novartis Pharma, batch En.E-3382/83; 0.29 mg/ml)).
- the latter form features a C-terminal 4 amino acids extension for rapid purification from culture supernatants by immunoaff ⁇ nity chromatography.
- culture supernatants are loaded on a column of appropriate size of a specific immobilized anti-tag antibody coupled to CNBr activated Sepharose 4B at a density of 10 mg/ml resin following the manufacturer's instructions (Pharmacia).
- bound huIL-17 is eluted with 100 mM glycine, pH 2.7 and immediately neutralized with diluted NaOH.
- mice 27340 The genetically engineered mouse 27340 (female; MEDAREX Inc, Annandale, NJ) in which the murine immunoglobulin variable and constant part genes are functionally replaced by their human counterparts (Genotype Tg code 221100-TgH (CMD)++;TgN(Hco7)11952+; TgH(JKD)++; TgN(KCO5)9272+ (see also Sherie L. Morrison, 1994, Nature, Vol. 368, p. 812-813; Nils Lonberg et al., 1994, Nature, Vol. 368, p. 856-859) is immunized following the scheme reported in table 1. Table 1. Immunization schedule Day Date Immunogen Dose and route of immunization
- H ⁇ X-17 (BM-E3141/98) coupled to KLH 25 ⁇ g of each s.c. in two mixed 1:1 with huJJL-17 (BM-E3141/98) in spots; total volume/mouse Gerbu adjuvant with adjuvant 100 ⁇ l
- HuJL-17 (BM-E3141/98) coupled to KLH 20 ⁇ g of each s.c. in two (4 th boost) mixed 1:1 with huJL-17 (En.E-3382/83) spots; total volume/mouse coupled to KLH in Gerbu adjuvant with adjuvant 100 ⁇ l
- HuIL- 17 (En.E-3382/83) coupled to KLH 10 ⁇ g/mouse i.p.
- Sera samples are obtained 35 and 99 days after the start of the immunization protocol, for measuring levels of anti-huIL17 antibody by enzyme-linked immunosorbent assay (ELISA).
- ELISA enzyme-linked immunosorbent assay
- mice 27340 is killed by CO 2 inhalation.
- Total spleen cells (1 x 10 8 ) are fused with PAI-O cells (5 x 10 7 cells) using PEG 4000.
- Fused cells are plated out in 720 wells (1 ml/well), containing a feeder layer of mouse peritoneal cells (Balb/c mice), in HAT medium (RPMI 1640 containing 2 g/1 Sodium Bicarbonate, 5 x 10 "5 M j8-Mercaptoethanol, 10 "4 M Hypoxanthine, 1.6 x 10 '5 M Thymidine, 4 x 10 '7 M Aminopterin, 10% heat inactivated FCS and 50 ⁇ g/ml Gentamycin).
- HAT medium is exchanged with HT medium i.e. HAT medium without Aminopterin. Screening starts on day 10, and lasts two weeks. Of the initial 720 wells plated, 684 wells (95%) are positive for hybridoma growth. Supernatants are collected and screened for huIL-17 reactive MAb in ELISA using both the E. coli and the HEKTEBNA derived huIL-17. Fifty-two primary wells score positive for the presence of anti- huIL-17 antibodies. Twenty-eight hybridomas are cloned and the remaining ones are frozen. Cloning is done, in 4 x 96 well microtiter plates, in HT medium and a feeder layer of mouse peritoneal cells.
- Hybridomas are plated at 0.5 cell/100 ⁇ l per well. Wells are screened microscopically for growth, and positive ones are fed 100 ⁇ l of HT medium. The following day, supernatants are tested for antibody production in a huIL-17 specific ELISA. Upon cloning, the majority of the cloned hybridomas retain the capacity to secrete anti-huIL-17 specific Monoclonal Antibody (MAb).
- MAb Monoclonal Antibody
- the selected clones are transferred in serum free medium (5 ml) into 25 cm 2 TC (TC: tissue culture) flasks. Hybridomas are progressively expanded in serum free medium to 75 cm 2 TC flasks and roller flasks. All the different anti-hu- IL- 17 MAb including NVP-AM457-NX (340-110-28 i.e. mouse number-hybridoma number- clone number) are purified by Protein A affinity chromatography. Culture supernatants are adjusted to pH 7.3 and loaded on a column of appropriate size of Protein A Sepharose 4 fast flow (Pharmacia).
- Human dermal fibroblasts are cultured in FBM supplemented with 2% FCS, insulin (5 ⁇ g/ml) huFGF-basic (0.1 ⁇ g/ml) and Gentamycin (50 ⁇ g/ml). The fibroblasts are detached from plastic using a Trypsin/EDTA solution. Fibroblasts are distributed into 96 well microtiter plates at a density of 1x10 4 cells/well in FBM supplemented with 1% FCS. Fibroblasts are allowed to adhere to the plates overnight.
- FBM FBM supplemented with 1% FCS, huBL-17 (different concentrations ranging from 30 to 500 ng/ml) and hybridoma supernatants (1/5 final dilution) or purified antibodies are added to a final volume of 200 ⁇ l.
- Culture supernatants are collected after an incubation of 24 h and huIL-6 production is measured by ELISA.
- ELISA for detection of anti-huIL- 17 antibodies ELISA microtiter plates are coated with recombinant huIL-17 (100 ⁇ l/well at 3 ⁇ g/ml; batch BM-E3141/98 or En.E-3382/82) in PBS 0.02% NaN 3 and incubated overnight at room temperature. The following day, microtiter plates are blocked with 300 ⁇ l of PBS/ 2% BSA/ 0.02% NaN 3 for 2 h at 37 0 C. Plates are then washed 4 times with PBS/ 0.05% Tween 20/ 0.02% NaN 3 .
- Serum dilutions of mouse 27340 (final dilution range at day 35: 1/100 to 1/3200; final dilution range at day 99: 1/200 to 1/12800; 100 ⁇ l/well) or culture supernatants of hybridomas (final dilution 1:3; 100 ⁇ l/well) are added. After an overnight incubation at room temperature, plates are washed 4 times with PBS/ 0.05% Tween 20/ 0.02% NaN 3 . A biotin-conjugated mouse anti-hu-IgG, Fc fragment specific antibody is added at a final dilution of 1/20000 (100 ⁇ l/well). Samples are left to react for 4 h at room temperature.
- alkaline phosphatase-conjugated streptavidin is added at a final dilution of 1/8000 (100 ⁇ l/well). After 40 minutes at room temperature, plates are washed again 4 times and the substrate (p-nitrophenylphosphate in diethylamino buffer pH 9.8; 150 ⁇ l/well) is added. Plates are read after 30 or 45 min depending on the development of the reaction in a microtiter reader (Bio-Rad) using filters of 405 and 490 nm.
- ELISA for detection of antibody isotype For revealing the isotype of the MAb, culture supernatants (100 ⁇ l; final dilution 1/5) are added to the wells of microtiter plates coated with huIL-17 (see above), and incubated overnight at room temperature. After washing (4 times), 100 ⁇ l/well of biotin-conjugated mouse MAbs anti-human IgGl (final dilution 1/1000), IgG2 (final dilution 1/1000), IgG3 (final dilution 1/1000) IgG4 (final dilution 1/2000) or anti human K light chain (final dilution 1/1000) are added for 4 h at room temperature.
- a biotin- conjugated rat anti-mouse ⁇ l and ⁇ 2 light chain specific MAb is used (final dilution 1/1000). This is followed as previously described by washing and addition of alkaline phosphatase- conjugated streptavidin (100 ⁇ l; final dilution 1/8000). After washing (4 times) the substrate (p- nitrophenylphosphate in diethylamino buffer; 100 ⁇ l) is added. Plates are read after 30 or 45 min depending on development of reaction, in a microtiter reader (Bio-Rad) using filters of 405 and 490 nm.
- ELISA for detection of huIL-6 production ELISA microtiter plates are coated with an anti-huIL- 6 mouse MAb (MAB206 from R&D system; 100 ⁇ l/well at 4 ⁇ g/ml) in PBS 0.02% NaN 3 and incubated overnight at room temperature. The following day, microtiter plates were blocked with 300 ⁇ l of PBS/ 2% BSA/ 0.02% NaN 3 for 2 h at 37 0 C. Plates were then washed 4 times with PBS/ 0.05% Tween 20/ 0.02% NaN 3 . Culture supernatants of human dermal fibroblasts (final dilution 1:3; 100 ⁇ l/well) were added.
- huIL-6 100 ⁇ l/well is titrated from 400 pg/ml to 3.1 pg/ml in 1:2 dilution steps. After an overnight incubation at room temperature, plates are washed 4 times with PBS/ 0.05% Tween 20/ 0.02% NaN 3 . A biotin- conjugated goat anti-huIL-6 antibody (BAP206; R&D Systems) is added (25 ng/ml; 100 ⁇ l/well). Samples are left to react for 4 h at room temperature. After washing (4 times), alkaline phosphatase-conjugated streptavidin is added at a final dilution of 1/8000 (100 ⁇ l/well).
- Microtiter plates were coated with huIL-17 (3 ⁇ g/ml) from E. coli (BM-E3141/98) or HEK/EBNA cells (En.E-3382/82).
- mice 27340 The serum of mouse 27340 is analyzed in ELISA for the presence of anti-huIL-17 antibodies on days 35 and 99 on two different preparations of huIL-17 (Table 2). Results show that serum titers of mouse 27340 increase about fourfold between day 35 and day 99 and that both huIL-17 preparations are recognized.
- binding in ELISA ofhybridoma supernatants 684 supernatants are tested in ELISA for the presence of anti-huIL-17 antibodies, using two preparations of recombinant huIL-17, the former from E coli (BM-E3141/98) the latter from HEK/EBNA cells (En.E-3382/82). Fifty-two supernatants score positive for the presence of anti-huIL-17 antibodies (Table 3). Preferential binding to one or the other preparation of huIL-17 is observed in a few cases. The 28 hybridomas that are subsequently cloned are underlined. Table 3. ELISA reactivity of culture supernatants
- Microtiter plates are coated with recombinant huDL-17 (3 ⁇ g/ml) from HEK/EBNA cells (En.E- 3382/82).
- Culture supematants are tested for inhibition of huIL-6 production by human dermal fibroblasts stimulated with recombinant huIL-17. As shown in Table 5, the majority of the culture supematants show inhibitory activity. Table 5. Inhibition of IL-6 production induced by huEL-17 in human dermal fibroblasts by culture supernatants
- Neutralizing activity ofAIN45 Selection of clone 110-28 for the production of development candidate AIN457 (preferred embodiment of the invention) is based on neutralizing activity and affinity measurement on BIACORE 2000 of the purified antibodies (see below Example 2).
- Example 2 AIN457 binds with very high affinity to recombinant human IL-17 (huIL-17); the K D is 122 ⁇ 22 pM (BIAcore) and neutralizes human IL-6 production induced by huIL- 17 in human dermal fibroblast; IC50 is 2.1 ⁇ 0.1 nM at a concentration of 1.87nM huIL-17
- Reagents General laboratory reagents are purchased from Merck or Sigma and are of the highest purity grade available; the sources of specialty reagents are detailed below.
- Proteins Monoclonal antibodies are generated by immunizing MEDAREX transgenic mice with recombinant human IL-17, and then following the standard procedure for producing cell lines, from which the secreted material could be purified by Protein A Sepharose chromatography [essentially as described in Example 1). AIN457 is stored as a sterile-filtered solution in 50 mM Na-citrate, pH 7.0, 140 mM NaCl at 4°C .
- the recombinant human AIN457 (batch KB03303A) is obtained in sterile stock solution of either 20 mM Na-citrate/40 mM phosphate buffer, pH 7, 150 mM NaCl or 20 mM acetic acid pH 5.5 adjusted with IM Tris-base. Concentrations are usually in the range of 2 mg/ml and diluted to a final concentration of 5 ⁇ g/ml into BIA buffer (20 mM HEPES, pH 7,4, 150 mM NaCl, 0,05% v/v Tween-20) for the Biacore experiments.
- Recombinant human IL-17 is produced in-house; batch En/E 3882/83; 0.29 mg/ml.
- ATN457 is captured by an anti- human Fc ⁇ antibody (Jackson Immunochemicals; Cat.No. 109-005-098) that is previously immobilized onto a CM-5 BIAcore sensor chip (Research grade). Covalent binding of Fc ⁇ capture antibody is done with the 'Amine coupling kit' provided by BIAcore (BIAcore, Cat.No. BR-1000-50). Typically, 3000 RUs of capture antibody are attached to the activated dextran surface with a 30 ⁇ g/ml anti Fc ⁇ antibody solution in 10 mM Ac buffer, pH 4.5 at a flow rate of 5 ⁇ l/min which lead to approximately 250 RUs of AIN457 immobilization.
- IL-17 As a guideline, 1000 RUs correspond to a mass transfer of 1 ng/mm 2 .
- IL-17 (Section 3.2; Table 4)
- AIN457 antibody is coupled directly to the chip surface without capture antibody. The results are compared to the protocol described in Table 9 (see below).
- the equilibrium dissociation constant K D allows some judgement about the stability of complexes, once formed in vivo.
- Table 3 shows the summary of data obtained when the curves of 2 experiments are fitted to the Langmuir model using the BIAevaluation 3.0 software.
- the antibody is, of course, bivalent, the binding can be treated as a 1:1 event, with individual antibody binding sites displayed at the surface that become occupied by monomelic IL-17 molecules. This experiment shows both, the extremely fast association as well as the very slow dissociation kinetics of the antibody-chemokine complex.
- AIN457 abrogates the IL-17-dependent secretion of huIL-6 by human dermal fibroblasts.
- the potency is comparable to that of huIL-17R/Fc and superior to that of a commercially available mouse anti-huIL-17 MAb. It is interesting to note that a more complete inhibition is observed with AIN457 than with TL-ITRfFc.
- Amino-terminal amino acid sequences of V ⁇ and VH regions The first 48 amino-acid residues of the heavy and the light chain for two anti ⁇ IL-17A antibodies, clone 110-7 (see table 4) and 110- 28 (see table 4), are determined by Edman degradation. The amino-acid sequence is identical for both clones.
- the GeneBank is searched by blast analysis and the most homologous DNA sequence found is used to design the cloning primers.
- RNA is prepared from 2x10 7 hybridoma cells (clone 110-7, clone 110-28) with the RNeasy Midi Kit according to the vendor's protocol (Quiagen Hilden Germany). Total RNA is eluted in 200 ⁇ l RNase-free water and stored at -80 0 C. The first strand cDNA synthesis is carried out with M-MLV reverse transcriptase (Promega, Madison, WT), oligo-dT primer, PCR nucleotide mix (dNTPs) and RNAsin inhibitor (Roche, Mannheim).
- M-MLV reverse transcriptase Promega, Madison, WT
- dNTPs PCR nucleotide mix
- RNAsin inhibitor Roche, Mannheim.
- RNA Five ⁇ g of total RNA is mixed with 1 ⁇ l oligo-dT primer (0.5 ⁇ g/ ⁇ l), and RNase- free water is added to a final volume of 36 ⁇ l. The mixture is incubated at 70°C for 10 minutes and then stored on ice. While on ice, the following reagents are added: lO ⁇ l 5x RT buffer, 2 ⁇ l dNTPs (1OmM each), 2 ⁇ l RNasin and l ⁇ l M-MLV reverse transcriptase. The reaction is carried out at 42°C for lhour.
- the PCR reaction is assembled using 4 ⁇ l of cDNA template, 2 ⁇ l of each primer at 1 O ⁇ M each (see below and Tables 10 and 11 for overview) 20 ⁇ l of 2xQiamix (containing Buffer, dNTP's, TAQPolymerase) and l ⁇ l of Pwo DNA polymerase in a total volume of 40 ⁇ l.
- the PCR conditions are set for 35 cycles of 94 0 C for 15 seconds, 55°C for 20 seconds and 72°C for 30 seconds.
- the PCR product is subcloned into the pCR4-TOPO-Zero (Stragagene, La Jolla, Ca.) cloning vector.
- the cDNA encoding the heavy chain is amplified using the primer pairs MV416 (SEQ ID NO: 15)/#265 (SEQ ID NO: 16) and MV418 (SEQ ID NO: 17) /#265 (SEQ ID NO: 16).
- the primers cover the nucleotide sequences corresponding to the following amino acid positions of the heavy chain: MV416 position -19/-13 (signal peptide); MV418 position +1/+7; #265 position +2531+259. Position +1 is the first amino acid of the mature protein.
- the cDNA encoding the light chain is amplified using the primer pairs MV417 (SEQ ID NO: 18)/#223 (SEQ ID NO: 19) and MV419 (SEQ ID NO: 20)/#223 (SEQ ID NO: 19).
- the primers cover the nucleotide sequences corresponding to the following amino-acid positions of the light chain: MV417 position -20/-14 (signal peptide); MV419 position +1/+7; #223 position +210/+215. This approach permitted to make two independent PCR amplifications for each immunoglobulin chain, resulting in two independently established DNA sequences.
- the cloned PCR products coding for the heavy and light chain from two hybridomas are characterized by DNA sequencing. Five and six independent sequences are used to assemble the light and heavy chain sequences . .
- the light chain cDNAs are all identical and covere the entire coding sequence (amino acid position -20 to +215).
- the heavy chain cDNAs had 2 different mismatches in one cDNA each. These are excluded from the final sequence, which extends from the initiation codon to the end of the hinge region after the constant domain 1 (amino acid position -19 to +238).
- the sequences for both hybridomas are identical.
- the cDNA obtained from hybridoma 110-28 is selected and used for all further expression work.
- SEQ ID NO: 7 (cDNA of heavy chain of AIN457), SEQ ID NO: 8 (amino acid sequence of heavy chain of ATN457), SEQ ID NO: 9 (cDNA of light chain of AIN457) and SEQ E) NO: 10 (amino acid sequence of AIN457) show the DNA sequence coding for the light and heavy chain of AIN457, along with the protein sequence and the position of the primers used for PCR amplification and DNA sequencing. The DNA sequences have been registered in PlasNova, accession number NPL003689 for the heavy chain, and accession number NPL003690 for the light chain.
- amino acid sequence found by cDNA cloning is identical to that previously obtained by Edman degradation of the purified immunoglobulin heavy and light chains, indicating that the correct cDNA has been cloned.
- amino-acid sequence coding for the variable domain is bold and underlined.
- the oligonucleotide primers used for cloning are indicated (underlined).
- amino-acid sequence coding for the variable domain is bold and underlined.
- the oligonucleotide primers used for cloning and sequencing are indicated.
- CDR' s Complementarily-Determining Regions
- a single crystal of AIN457 Fab is cross-linked with glutaraldehyde using the method of Lusty (J. Appl. Cryst. (1999) 32, 106-112) and then transferred to a solution containing 2.0M Li 2 SO 4 , 2% PEG 400, and 0.1M Na MES pH 6.5.
- the crystal is subsequently mounted in a cryo-loop and flash-frozen for data collection at 95K. 180 diffraction images corresponding to l.Odeg oscillation each are recorded.
- the diffraction data are processed with the HKL program suite.
- the structure is determined to 2.5A resolution by molecular replacement.
- the structure is then refined by torsion angle dynamics and energy minimization using the program CNX.
- Two AIN457 Fab molecules are present in the asymmetric unit of the crystal, with the H-CDR3 loop of both Fab molecules involved in protein-protein contacts to the H-CDR3 loop of symmetry-related Fabs.
- the two Fab molecules show different elbow angles but have otherwise essentially identical CDR loop conformations (see Table 12 for amino acid sequence of the CDR loops).
- the H-CDRl loop adopts the expected Hl :1 canonical structure, while the conformation of the H-CDR2 loop matches that of canonical structure H2:3A.
- the H-CDR3 loop of the ATN457 antibody is exceptionally long, comprising 18 residues between Kabat positions 94 (Arg H98) and 101 (Asp Hl 15).
- the head of the H-CDR3 loop has the structure of a long, twisted beta-hairpin with a second beta-bulge at its base and a type F beta-turn at its apex.
- a striking feature of the AIN457 H-CDR3 loop is its very high content in aromatic residues: 6 tyrosines, 2 tryptophanes, 1 phenylalanine.
- the antigen-combining site of AIN457 possesses 11 tyrosines in total.
- the conformations of the L-CDRl and L-CDR2 loops correspond to canonical structures Ll :6 and L2:l, respectively.
- the L-CDR3 loop is short (6 residues) and shows the commonly observed canonical structure L3:l, with a cis-proline at its tip (Pro L96), a glutamine at Kabat position 90 (GIn L91) and a threonine at Kabat position 97 (Thr L98).
- Cys L97 a cysteine residue after the cis-proline.
- the side-chain of Cys L97 is at the bottom of a shallow depression located at the V L -V H interface and lined by residues Trp Hl 12, Trp H47 and Tyr L92.
- Table 1 Amino acid sequences of the hypervariable regions of the AIN457 monoclonal antibodies, based on the Kabat definition and as determined by the X-ray analysis, using the approach of Chothia and coworkers. Amino acid highlighted in bold are part of the CDR loops, while those shown in plain style are part of the antibody framework.
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