WO2006133164A2 - Anti-trkb monoclonal antibodies and uses thereof - Google Patents
Anti-trkb monoclonal antibodies and uses thereof Download PDFInfo
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- WO2006133164A2 WO2006133164A2 PCT/US2006/021878 US2006021878W WO2006133164A2 WO 2006133164 A2 WO2006133164 A2 WO 2006133164A2 US 2006021878 W US2006021878 W US 2006021878W WO 2006133164 A2 WO2006133164 A2 WO 2006133164A2
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Definitions
- Trk tyrosine kinase receptors are multi-domain single-transmembrane receptors that play an important role in a wide spectrum of neuronal responses including survival, differentiation, growth and regeneration. They are high affinity receptors for neurotrophins, a family of protein growth factors, which includes nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT- 3) and neurotrophin-4/5 (NT-4/5).
- NGF nerve growth factor
- BDNF brain-derived neurotrophic factor
- NT- 3 neurotrophin-3
- NT-4/5 neurotrophin-4/5
- the neurotrophins share highly conserved structural features, yet their unique amino acid sequences allow each member to elicit high affinity interactions with the extracellular domain of specific Trk receptors, namely TrIcA, B or C.
- NGF is a preferred ligand for TrkA
- BDNF and NT-4/5 are preferred ligands for TrkB
- NT-3 has been shown to bind TrkC, although it also appears to bind TrkA and TrkB with lower affinities.
- TrkB are widely distributed in the brain, including in the neocortex, hippocampus, striatum, olfactory formation and brainstem.
- BDNF central nervous system
- the indispensable roles of TrkB in neuronal survival, differentiation and neuroregeneration have been shown in a number of neurodegenerative models, including stroke, spinal cord injury, axotomy and ALS.
- the responses of BDNF have been shown to depend on the binding and activation of TrkB.
- Trk receptors are multi-domain single-transmembrane proteins.
- Trk receptors consist of an extracellular ligand binding domain, a transmembrane region, and an intracellular tyrosine kinase domain.
- the extracellular domain is composed of a leucine-rich motif flanked by two cysteine clusters and two immunoglobulin(Ig)-like domains.
- Trk receptors have been shown to interact with their ligands mainly through the second Ig-like domain, although contribution of other regions such as a leucine- rich motif and the first Ig domain in ligand-docking has been proposed.
- the crystal structures of the ligand binding domains of Trk receptors as well as ligand-receptor complexes have been resolved.
- the ligand-receptor interface appears to consist of two patches: one for a conserved binding motif shared among all neurotrophins and the other specific for each neurotrophin.
- Trk receptor dimerization and subsequent conformational changes occur, which are believed to lead to activation of the intracellular tyrosine kinase domain.
- Phosphorylation of the autoregulatory loop of the kinase domain activates the kinase activity, and phosphorylation of other residues promotes signaling by creating docking sites for adaptor proteins that couple these receptors to intracellular signaling cascades, including Ras/extracellular signal regulated kinase (ERK) protein kinase pathway, the PBK/ Akt kinase pathway and phospholipase C-gamma.
- Ras/MAPK regulates neuronal differentiation and proliferation
- PBK/ Akt pathways control actin dynamics and survival
- PLC gamma is involved in calcium mobilization.
- the present invention provides monoclonal antibodies for human TrkB.
- the inventive antibodies bind and activate human TrkB.
- the inventive antibodies are selective for human TrkB in that they bind preferentially to TrkB over human Trk A or human TrkC.
- the inventive monoclonal antibodies cross-react with murine TrkB.
- the invention also provides pharmaceutical compositions that comprise one or more of these antibodies.
- the invention further provides methods for preparing the inventive monoclonal antibodies. Humanized or veneered versions of the inventive antibodies are also encompassed as are the hybridomas that produce the inventive antibodies.
- the invention further provides methods of using these monoclonal antibodies as agonists of TrkB.
- the monoclonal antibodies are used as agonists of human TrkB.
- the antibodies may be used to treat conditions which require TrkB activation, including neurological conditions.
- the invention yet further provides methods for detecting TrkB in a sample and methods for purifying TrIcB from a sample using the inventive antibodies.
- Figure 1 depicts TrkB-specific antibody activities in immune sera from five immunized mice (M1-M5).
- Immune sera binding results from an ELISA assay with a recombinant protein that includes the extracellular domain of human TrkB fused to the Fc region of human IgGl (rhTrkB-EDC-Fc) are shown in (A).
- Immune sera binding results from an ELISA assay with a recombinant protein that includes the extracellular domain of murine TrkB (rmTrkB-EDC) are shown in (B).
- the extent to which immune sera could block the interaction of rhTrkB-EDC-Fc and BDNF in a competition ELISA assay are shown in (C).
- FIG. 2 depicts control results that were obtained with neurotrophins in a luciferase activity assay that uses HEK-293 cells which express surface rhTrkB. These control results show that the assay can selectively represent the activation of TrkB.
- Figure 3 depicts results that were obtained with immune sera in the same luciferase activity assay as Fig. 2. These results show that incubation of hTrkB cells with immune bleeds significantly increased the luciferase signals in a dose-dependent manner.
- Figure 4 depicts results that were obtained with certain TrkB antibodies in the same luciferase activity assay as Fig. 2. All of the antibodies caused dose-dependent increases in the signal with EC 50 in the range of 10 '10 (M). The maximum signal window was ⁇ 7 fold over basal for most of the antibodies, which was comparable to the response induced by BDNF at 200 ng/ml (6.2 fold over basal).
- Figure 5 depicts the results that were obtained with certain TrkB antibodies in a neurite outgrowth assay.
- the assay used human neuroblastoma S Y5 Y cells, which are known to express TrkB upon neuronal differentiation.
- Addition of BDNF and of most antibodies promoted neurite outgrowth as demonstrated by increases in the neurite length (A) and the number of branch points (B).
- Representative images of a few treatment groups are shown in (C).
- the results from full-dose response analyses obtained for a subset of these antibodies are shown in (D).
- Figure 6 depicts the results that were obtained with certain TrkB antibodies in a neuroprotection assay.
- the assay measures the survival of differentiated S Y5 Y cells following serum withdrawal injury. Results showed that BDNF and several antibodies protected differentiated SY5Y cells, demonstrating dose-dependent increases in cell viability.
- Figure 7 depicts some of the results that were obtained when three anti-TrkB antibodies, 18C3, 29D7 and 17D 11 , which were shown to bind to recombinant murine TrkB (rmTrkB), were tested in rat cerebellar granule neuron (CGN) cultures for activity against the endogenous rat TrkB receptor. Results are shown for a neurite outgrowth assay and a neuroprotection assay (29D7 only).
- Figure 8 depicts the results that were obtained when certain anti-TrkB antibodies were evaluated in Western analysis for induction of TrkB autophosphorylation. All antibodies led to robust TrkB phosphorylation, and these effects were antagonized by treatment with the kinase inhibitor K252a, indicating that these TrkB-binding antibodies caused activation of TrkB.
- Figure 9 depicts the results from a FACS TrkA binding assay (A) and a TrkA luciferase activity assay (B) that were obtained with certain anti-TrkB antibodies. These results show that inventive antibodies do not bind or activate human TrkA cells.
- Figure 10 depicts the results that were obtained when certain anti-TrkB antibodies were evaluated in a TrkC luciferase activity assay. These results show that inventive antibodies do not activate human TrkC cells.
- Figure 11 depicts the rodent model of neonatal hypoxia-ischemia (HI) that is based on the Levine procedure.
- HI neonatal hypoxia-ischemia
- Figure 12 depicts the amino acid sequence of human TrkB (SEQ ID NO:1).
- Figure 13 depicts the amino acid sequence of murine TrkB (SEQ ID NO:2).
- Figure 14 depicts the amino acid sequence of rat TrkB (SEQ ID NO:3).
- Figure 15 depicts the amino acid sequence of chicken TrkB (SEQ ID NO:4).
- Figure 16 depicts the amino acid sequence of human TrkA (SEQ ID NO:5).
- Figure 17 depicts the amino acid sequence of human TrkC (SEQ ID NO: 6).
- Figure 18 shows the phage binding ELISA data from a representative set of TrkB positive scFv clones (BMV library panning selection).
- Figure 19 shows the binding specificity of TrkB selected scFv antibodies tested using the FACS assay.
- the data shows that TrkB selected scFv antibodies react with membrane associated TrkB in a specific manner (filled histograms) with no cross-reactivity to control cells (open histograms).
- Figure 20 show ELISA binding results for 29D7 IgG antibody and its Fab fragment with human (A) and mouse (B) TrkB. Both total IgG and Fab of 29D7 showed dose-dependent binding activities to human and mouse TrkB. However, the ED 50 value of the Fab was about 100 fold lower than that of intact 27D7. Neither an isotype control IgGl nor its Fab fragment bound to TrIcB.
- Figure 21 shows luciferase activity in HEK-293 cells measured 16 hours post- treatment with 29D7 IgG or 29D7 Fab. Both total IgG and Fab of 29D7 induced dose-dependent luciferase activities, indicating activation of TrIcB. However, the EC 50 value of 29D7 Fab was about 27 fold higher than that of 27D7 IgG (0.083 nM and 2.28 nM for 27D7 IgG and 29D7 Fab, respectively). Neither an isotype control IgGl nor its Fab fragment had effects on TrkB activation.
- Figure 22 shows results from the epitope mapping analysis of anti-TrkB monoclonal antibodies 17Dl 1, 29D7, 7F5, HEl and 19E12.
- the 17Dl 1 monoclonal antibody recognizes loop-3 of the IgG-2 segment of human TrkB (KNEYGKD, SEQ ID NO:7, amino acids 364 to 370 of SEQ ID NO:1); and loop-1 of the IgG-2 segment of human TrkB (KGNPKP, SEQ ID NO:8, amino acids 308 to 313 of SEQ ID NO:1).
- the 29D7, 7F5, 1 IEl and 19E12 monoclonal antibodies all recognize loop-3 of the IgG-I segment of human TrkB (ENLVGED, SEQ ID NO: 10, amino acids 269 to 275 of SEQ ID NO:1); and may also recognize loop-1 of the IgG-I segment of human TrIdB (AGDPVP, SEQ ID NO:11, amino acids 221 to 226 of SEQ ID NO:1).
- Figure 23 compares the stains that were obtained from the striatum and hippocampus for different treatments after hypoxic-ischemic (HI) injury.
- Figure 24 compares the total brain tissue loss (A) and sub-regional tissue loss (B) for different treatments after HI injury. The data are shown as mean and standard error of the mean (S.E.M.). BDNF and anti-TrkB monoclonal antibody 29D7 showed significant dose-dependent protection of the brain from HI injury. The protection was not localized to any specific sub-region of the brain but greatest protection was generally observed in the cortex.
- Figure 25 shows the results of a DEVD-AMC cleavage assay that was used to determine caspase-3 activities for different treatments after HI injury.
- the results for different regions of the brain are shown as mean ⁇ S.E.M.
- BDNF and anti-TrkB monoclonal antibody 29D7 blocked caspase-3 activation caused by HI injury.
- Figure 26 shows immunoblots of protein samples taken from mice given different treatments after HI injury.
- the samples were separated by SDS-PAGE and subjected to immunoblotting with antibodies against certain caspase-3 substrates (PARP and ⁇ -spectrin).
- Antibodies against ⁇ -actin were used as controls to verify equal loading of proteins.
- Figure 27 shows immunoblots of protein samples taken from normal mice after an intracerebroventricular injection of anti-TrkB antibody 29D7 (or vehicle as control). Samples were taken 1, 2, 6, 12 and 24 hours after injection. Samples were separated by SDS-PAGE and subjected to immunoblotting with antibodies specific to proteins that are phosphorylated as a result of TrkB activation (phospho-ERKl/2 and phospho-AKT). Antibodies against ⁇ -actin were used as controls to verify equal loading of proteins. The results show that anti-TrkB monoclonal antibody 29D7 induced time-dependent phosphorylation of ERK 1/2 and AKT (data from hippocampal and cortical samples are shown and are representative of results obtained from four other samples).
- Figure 28 is a densitometric quantification of the ERK phosphorylation shown in Figure 27.
- Figure 29 is a densitometric quantification of the AKT phosphorylation shown in Figure 27.
- Figure 30 shows vehicle and 29D7 treated brain tissues that have been fixed and immunoflourescently labeled with an antibody for the neuron-specific marker NeuN (left) and an anti-phospho-ERKl/2 antibody (center). The right hand figures show these two merged. ERK 1/2 phosphorylation is significantly stronger in the 29D7 treated samples.
- Figure 31 shows the time-course of ERKl /2 activation in the cortical and hippocampal tissues following intracerebroventricular injection of anti-TrkB monoclonal antibody 29D7.
- Figure 32 shows the dose-dependent inhibition of neurite outgrowth of primary cerebellar granule neurons caused by (A) MAG and (B) myelin.
- Figure 33 shows the reversal of (A) MAG- and (B) myelin-mediated neurite inhibition that is caused by anti-TrkB monoclonal antibody 29D7.
- the present invention stemmed in part from the realization that monoclonal antibodies that specifically bind to the extracellular domains of the TrkB receptor might dimerize TrkB and be sufficient to induce the activation of the receptor and biological responses similar to those mediated by BDNF.
- Monoclonal antibodies in general represent a unique class of proteins that have diverse utilities in research, medical diagnosis, and the clinical treatment of disease.
- monoclonal antibodies are thought to have greater pharmacokinetic stability than recombinant proteins such as BDNF thereby allowing for sustainable pharmacological effects that have a significant benefit for clinical applications.
- the current clinically approved uses of monoclonal antibody medications include prevention of organ transplant rejection, treatment of cancers (e.g., breast, colon, non-Hodgkin's lymphoma, leukemia), rheumatoid arthritis, prophylaxis against respiratory syncytial virus disease, Crohn's disease, percutaneous coronary intervention, and asthma.
- monoclonal antibodies are used as agonists that mimic the biological effects of receptor-ligand interactions.
- the present invention provides monoclonal antibodies that bind human TrkB (SEQ ID NO: 1).
- these antibodies bind human TrkB (SEQ ID NO:1) with an ED 50 in the range of about 10 pM to about 500 nM, for example in the range of about 10 pM to about 1 nM, about 10 pM to about 100 pM, or about 10 pm to about 50 pM.
- the term "about” is defined to encompass variations of ⁇ 15%.
- inventive antibodies are also agonists of human TrkB.
- these antibodies activate human TrkB (SEQ ID NO:1) with an EC 50 in the range of about 10 pM to about 500 nM, for example in the range of about 10 pM to about 1 nM, about 10 pM to about 100 pM, or about 10 pM to about 5O pM.
- inventive antibodies are selective for human TrkB (SEQ ID NO: 1) in that they bond preferentially to TrkB (SEQ ID NO: 1) over human TrM (SEQ ID NO:5) or human TrkC (SEQ ID NO:6).
- inventive antibodies do not bind to human TrIcA or human TrkC.
- an inventive antibody "does not bind" human TrIcA (SEQ ID NO: 5) or human TrkC (SEQ ID NO:6) if it exhibits no detectable binding with these receptors at concentrations above about 1 nM, for example above about 10 nM, above about 100 nM or above about 1 ⁇ M.
- inventive antibodies are selective for human TrkB in that they do not activate human TrIcA (SEQ ID NO:5) or human TrkC (SEQ ID NO:6).
- an inventive antibody "does not activate" human TrIcA (SEQ ID NO: 5) or human TrIcC (SEQ ID NO: 6) if it causes no detectable activation with these receptors at concentrations above about 1 nM, for example above about 10 nM, above about 100 nM or above about 1 ⁇ M.
- inventive antibodies block the binding between BDNF and human TrIcB (SEQ ID NO: 1) with an IC 50 in the range of about 100 pM to about 500 nM, for example in the range of about 100 pM to about 1 nM, or about 100 pM to about 500 pM. In other embodiments these antibodies do not block the binding between BDNF and human TrkB (SEQ ID NO:1).
- an inventive antibody "does not block" the binding between BDNF and human TrkB (SEQ ID NO:1) if it exhibits no detectable blocking activity at concentrations above about 1 nM, for example above about 10 nM, above about 100 nM or above about 1 ⁇ M.
- the antibodies of the invention belong to an IgG isotype, e.g., the IgGl, IgG2a or IgG2b isotype.
- the present invention provides monoclonal antibodies with any of the properties from above that further bind and/or activate mouse TrkB (SEQ ID NO:2).
- these antibodies bind and/or activate mouse TrkB (SEQ ID NO:2) with an ED 50 in the range of about 10 pM to about 500 nM, for example in the range of about 10 pM to about 1 nM, including in the range of about 10 pM to about 500 pM and the range of about 10 pM to about 100 pM.
- the present invention provides monoclonal antibodies with any of the properties from above that further bind one or more specific epitopes of human TrIcB (SEQ ID NO:1) and optionally one or more specific epitopes of mouse TrIcB (SEQ ID NO:2).
- these antibodies bind one or both epitopes of human TrkB with the sequences KNEYGKD (SEQ ID NO: 7, amino acids 364 to 370 of SEQ ID NO:1) and KGNPKP (SEQ ID NO:8, amino acids 308 to 313 of SEQ ID NO:1).
- these antibodies also bind one or both epitopes of mouse TrkB with the sequences KNEYGKD (SEQ ID NO:7, amino acids 364 to 370 of SEQ ID NO:2) and RGNPKP (SEQ ID NO:9, amino acids 308 to 313 of SEQ ID NO:2).
- the present invention provides antibodies that bind an epitope of human TrkB with the sequence ENLVGED (SEQ ID NO : 10, amino acids 269 to 275 of SEQ ID NO:1) and optionally an epitope of human TrkB with the sequence AGDPVP (SEQ ID NO:11, amino acids 221 to 226 of SEQ ID NO:1).
- these antibodies also bind an epitope of mouse TrkB with the sequence ENLVGED (SEQ ID NO: 10, amino acids 269 to 275 of SEQ ID NO:2).
- ENLVGED amino acids 269 to 275 of SEQ ID NO: 2.
- the present invention provides hybridomas that produce any of these monoclonal antibodies. For example, hybridomas that were deposited with the ATCC on August 18, 2005 and have been given ATCC patent deposit designations PTA-6948 (17Dl 1) and PTA-6949 (29D7) are provided.
- the present invention provides monoclonal antibodies that are produced by the hybridomas that were deposited with the ATCC on August 18, 2005 and have been given ATCC patent deposit designations PTA-6948 (17Dl 1) and PTA-6949 (29D7), respectively.
- the present invention also provides antibodies that block the binding of these antibodies and therefore share the same binding epitope on human TrkB (SEQ ID NO:1).
- the monoclonal antibodies of the invention can be prepared by any known method.
- they can be prepared using synthetic, recombinant or hybridoma technology (e.g., as described in Antibodies: A Laboratory Manual, Ed. by E. Harlow and D. Lane, Cold Spring Harbor Laboratory Press, 1988 or Monoclonal Antibodies: Principles and Practice by J. W. Goding, Academic Press, 1996).
- inventive antibodies can be prepared by initially immunizing an animal with human TrkB or a derivative thereof (e.g., a recombinant protein that includes the extracellular domain of human TrkB) and then preparing monoclonals from suitably prepared hybridomas.
- the monoclonal antibodies of the present invention are prepared by standard hybridoma technology using at least two protein immunogens that are derived from TrkB proteins of different species.
- the immunogens may include a first immunogen that was derived from human TrkB and a second immunogen that was derived from a non-human TrIcB.
- the immunogens each include the extracellular domain of TrkB.
- the at least two immunogens are combined as a mixture for immunization purposes.
- the first of these immunogens is a recombinant protein that includes the extracellular domain (ECD) of human TrIcB.
- the ECD of human TrkB is comprised of amino acid residues C32-H430 from the full length protein (which is set forth as SEQ ID NO:1 in Fig. 12, GenBanlc Accession No. NP_006171).
- SEQ ID NO:1 in Fig. 12, GenBanlc Accession No. NP_006171.
- all protein and nucleic acid sequences that are present as of the filing date in the GenBank, SwissProt, EMBL databases or any other publicly available database are incorporated herein by reference (including without limitation the sequences of the neurotrophins, e.g., NGF, BDNF, NT-3, NT-4/5, etc.).
- the second immunogen is a recombinant protein that includes the extracellular domain (ECD) of murine TrkB.
- ECD extracellular domain
- the ECD of murine TrkB is comprised of amino acid residues C32-H429 from the full length protein (which is set forth as SEQ ID NO:2 in Fig. 13, GenBank Accession No. P 15209).
- suitable immunogens that include these domains can be prepared using standard recombinant technology (e.g., see Protocols in Molecular Biology Ed. by Ausubel et al., John Wiley & Sons, New York, NY, 1989 and Molecular Cloning: A Laboratory Manual Ed. by Sambrook et al., Cold Spring Harbor Press, Plainview, NY, 1989, the contents of which are incorporated herein by reference).
- the first and second immunogens are administered in a ratio (by weight) that is greater than about 1.
- the ratio may be about 2, 3, 4, 5, 6, 7, 8, 9, 10 or more.
- the ratio is greater than about 5.
- the ratio is about 10.
- the first and second immunogens are administered simultaneously as a mixture.
- one or both immunogens include versions of their respective extracellular domains that differ slightly from the naturally-occurring domains. For example, amino acids at the N- or C-terminus of the extracellular domain may be missing. Alternatively a few amino acids within the naturally- occurring sequence may be mutated. Preferably these mutations are conservative substitutions. It is to be understood that these non-naturally occurring versions should include an amino acid sequence that is at least 95%, preferably at least 96%, more preferably at least 97%, yet more preferably at least 98% and even more preferably at least 99% identical to the extracellular domains that are found in SEQ ID NO: 1 or SEQ ID N0:2.
- the first and/or second immunogens do not include any of the amino acids that are found outside of the extracellular domain of TrkB (e.g., they do not include the amino acids that are found in transmembrane and/or intracellular domains of TrkB).
- the immunogens may include one or more terminal amino acids that are absent from the naturally occurring TrkB proteins.
- terminal amino acids may be added to increase expression of the recombinant protein, as a consequence of the vector used for expression, etc.
- amino acid segments that are absent from the protein allergen may be added to the amino and/or carboxyl terminus of the recombinant protein, e.g., tags for purification, labels for detection, tags that increase the solubility of the recombinant allergen, tags that increase the stability of the immunogens, fusion with an unrelated protein or adjuvant carrier protein, etc.
- a proteolytic cleavage site may be introduced at the junction of the added amino acid segment and the recombinant protein terminus to enable removal of the added segment after the recombinant protein has been purified, absorbed, etc.
- Common terminal modifications used in recombinant technology are described in Current Protocols in Molecular Biology Ed. by Ausubel et al., John Wiley & Sons, New York, NY, 1989 and Molecular Cloning: A Laboratory Manual Ed. by Sambrook et al., Cold Spring Harbor Press, Plainview, NY, 1989.
- the first and second immunogens have the same composition as the two immunogens that are described in the Examples and that were obtained from R&D systems, Inc. (Cat. No. 397-TR/CF and 1494-TB/CF, respectively).
- the first immunogen is as described above but the second immunogen includes the extracellular domain (ECD) from a non-human TrkB species other than murine (e.g., rat, chicken, rabbit, etc.).
- ECD extracellular domain
- the ECD of rat TrkB is comprised of amino acid residues C32-H429 from the full length protein (which is set forth as SEQ ID NO:3 in Fig. 14, GenBank Accession No. NP_036863).
- the ECD of chicken TrkB is comprised of amino acid residues C32-T428 from the full length protein (which is set forth as SEQ ID NO:4 in Fig. 15, GenBank Accession No. CAA54468).
- the immunogens are injected into any of a wide variety of animals (e.g., mice, rats, rabbits, etc.).
- the immunogens are injected into mice as described in the Examples.
- the immunogens are injected subcutaneously and intraperitoneally with complete Freund's adjuvant.
- each animal is injected subcutaneously at multiple different sites.
- the recombinant proteins may serve as immunogens without further modification.
- a superior immune response may be elicited if the recombinant proteins are joined to an adjuvant carrier protein, such as bovine serum albumin or keyhole limpet hemocyanin (KLH).
- an adjuvant carrier protein such as bovine serum albumin or keyhole limpet hemocyanin (KLH).
- the immunogens are injected into the animal host, preferably according to a predetermined schedule incorporating one or more booster immunizations and the animals are bled periodically.
- one or more booster immunizations are administered intravenously. Binding between immune sera and the first (and optionally the second) immunogen is then optionally assessed to confirm that a suitable titer of antibodies has been raised.
- Monoclonal antibodies that are specific for one or both of the immunogens may be prepared by any standard method. For example, the technique of Kohler and Milstein, Eur. J. Immunol. 6:511, 1976 and improvements thereto may be used. Briefly, these methods generally involve the preparation of immortal cell lines capable of producing antibodies having the desired specificity. Such cell lines may be produced, for example, from spleen cells obtained from one or more animals immunized as described above. The spleen cells are then immortalized by, for example, fusion with a myeloma cell fusion partner, preferably one that is syngeneic with the immunized animal.
- a myeloma cell fusion partner preferably one that is syngeneic with the immunized animal.
- animals with suitable sera are boosted one or more times with the first and/or second immunogen before the spleen cells are removed.
- a variety of fusion techniques may be employed.
- the spleen cells and myeloma cells may be combined with a nonionic detergent for a few minutes and then plated at low density on a selective medium that supports the growth of hybrid cells, but not myeloma cells.
- a certain selection technique uses HAT (hypoxanthine, aminopterin, thymidine) selection. After a sufficient time, usually about 1 to 2 weeks, colonies of hybrids are observed. Single colonies are selected and their culture supernatants tested for binding activity against the first (and optionally the second) immunogen as described below.
- Monoclonal antibodies may be isolated from the supernatants of growing hybridoma colonies.
- various techniques may be employed to enhance the yield, such as injection of the hybridoma cell line into the peritoneal cavity of a suitable vertebrate host, such as a murine.
- Monoclonal antibodies may then be harvested from the ascites fluid or the blood. Contaminants may be removed from the antibodies by conventional techniques, such as chromatography, gel filtration, precipitation and extraction.
- the antibody isotypes can be determined using standard methods. As discussed in the Examples and shown in Table 1, we have prepared specific murine antibodies belonging to isotypes IgGl, IgG2a and IgG2b using these methods.
- inventive antibodies are characterized for their binding activities to human TrIdB (e.g., using ELISA and/or FACS as described in the Examples). In certain embodiments binding to human TrkB proteins that are expressed on a cell surface may also be assessed (e.g., using HEK293 cells as described in the Examples). Preferably, inventive antibodies are also tested for their cross-species binding activity (e.g., with the second immunogen). This allows monoclonal antibodies that bind TrkB from both species to be identified. These antibodies are of interest since they can be tested in animal models with the knowledge that they can also be applied in human clinical trials.
- any given monoclonal antibody may use a competition assay (e.g., an ELISA) to determine whether the antibodies block the interaction of TrkB and BDNF.
- a competition assay e.g., an ELISA
- inventive antibodies are characterized for their functional ability to activate human TrkB.
- Any agonist assay may be used.
- the Examples describe an exemplary luciferase assay that has been shown to selectively represent the activation of TrIcB.
- TrkB autophosphorylation e.g., as measured by Western blot
- the human TrkB agonist activity of the inventive antibodies can be assessed in an assay that involves endogenous TrkB (e.g., in human neuroblastoma SY5 Y cells). As described in the Examples, such assays test for the ability of each antibody to promote neurite growth or to increase survival of differentiated cells following injury (e.g., serum withdrawal injury). In certain embodiments the dose-dependent effects of the inventive antibodies on neurite growth and/or cell viability are measured.
- the purified monoclonal antibodies are also characterized for their functional ability to activate non-human TrkB (e.g., murine, rat, chicken, rabbit, etc.).
- TrkB e.g., murine, rat, chicken, rabbit, etc.
- the Examples describe an assay in which the antibodies were tested in rat cerebellar granule neuron (CGN) cultures for activity against the endogenous rat TrIcB receptor.
- CGN cerebellar granule neuron
- a neurite outgrowth assay and a neuroprotection assay can be performed.
- Other useful assays are known in the art and will be recognized by those skilled in the art.
- the purified monoclonal antibodies are further characterized for their functional ability to activate human TrkA and/or TrkC.
- humanized and veneered antibodies When using an inventive antibody for therapeutic purposes it may prove advantageous to use a humanized or veneered version of the antibody of interest to reduce any potential immunogenic reaction. In general, humanized or veneered antibodies minimize unwanted immunological responses that limit the duration and effectiveness of therapeutic applications of non-human antibodies in human recipients.
- Rodent CDRs grafted into a human supporting framework region (FR) prior to fusion with an appropriate human antibody constant domain e.g., see Riechmann et al., Nature 332:323, 1988; Verhoeyen et al., Science 239:1534, 1988; and Jones et al. Nature 321:522, 1986
- rodent CDRs supported by recombinantly veneered rodent FRs have also been described (e.g., see EPO Patent Pub. No. 519,596).
- Completely human antibodies are particularly desirable for therapeutic treatment of human patients.
- Such antibodies can be produced using transgenic mice that are incapable of expressing endogenous immunoglobulin heavy and light chains genes, but which can express human heavy and light chain genes (e.g., see Lonberg and Huszar M Rev. Immunol 13:65-93, 1995 and U.S. Patent Nos. 5,545,806; 5,569,825; 5,625,126; 5,633,425; and 5,661,016).
- Veneered versions of the inventive antibodies may also be used in the methods of the present invention.
- the process of veneering involves selectively replacing FR residues from, e.g., a murine heavy or light chain variable region, with human FR residues in order to provide an antibody that comprises an antigen binding portion which retains substantially all of the native FR protein folding structure.
- Veneering techniques are based on the understanding that the antigen binding characteristics of an antigen binding portion are determined primarily by the structure and relative disposition of the heavy and light chain CDR sets within the antigen-association surface (e.g., see Davies et al., Ann. Rev. Biochem. 59:439, 1990).
- antigen association specificity can be preserved in a humanized antibody only wherein the CDR structures, their interaction with each other and their interaction with the rest of the variable region domains are carefully maintained.
- exterior (e.g., solvent-accessible) FR residues which are readily encountered by the immune system are selectively replaced with human residues to provide a hybrid molecule that comprises either a weakly immunogenic, or substantially non- immunogenic veneered surface.
- Single chain antibodies can also be prepared based on the inventive antibodies.
- scFv single-chain antibody
- scFv single-chain antibody
- the single-chain antibody can be dimerized or multimerized to generate multivalent antibodies having specificities for different epitopes of human TrkB.
- Monoclonal antibodies of the invention may be administered neat in order to activate TrkB in accordance with the present invention. More commonly, however, they are administered in the context of a pharmaceutical composition, that contains a therapeutically effective amount of one or more antibodies together with one or more other ingredients known to those skilled in the art for formulating pharmaceutical compositions.
- a pharmaceutical composition that contains a therapeutically effective amount of one or more antibodies together with one or more other ingredients known to those skilled in the art for formulating pharmaceutical compositions.
- pharmaceutically effective amount or
- terapéuticaally effective amount mean the total amount of each active ingredient of the pharmaceutical composition or method that is sufficient to show a meaningful patient benefit, i.e., treatment, prevention or amelioration of a condition which requires TrkB activation.
- a meaningful patient benefit i.e., treatment, prevention or amelioration of a condition which requires TrkB activation.
- an individual active ingredient that is administered alone the term refers to that ingredient alone.
- a combination of active ingredients refers to combined amounts of the active ingredients that result in the therapeutic effect, whether administered in combination, serially or simultaneously.
- inventive antibodies are administered with a weekly dose in the range of about 0.1 to about 1000 mg/kg body weight, or about 1 to about 500 mg/kg body weight, in certain embodiments about 10 to about 300 mg/kg body weight.
- Doses may be administered as a single regimen or as a continuous regimen divided by two or more doses over the course of a day or week. Delivery may be as a bolus or in certain embodiments as a gradual infusion (e.g., by injection over 30 mins).
- one or more higher doses e.g., 2, 3 or 4 fold higher
- the higher dose(s) may be administered at the onset of treatment only or at the beginning of each treatment cycle.
- dosage levels and other dosage levels herein are for intravenous or intraperitoneal administration.
- the skilled person will readily be able to determine the dosage levels required for a different route of administration. It will be appreciated that, in general, the precise dose used will be as determined by the prescribing physician and will depend not only on the weight of the subject and the route of administration, but also on the age of the subject and the severity of the symptoms.
- Additional ingredients useful in preparing pharmaceutical compositions in accordance with the present invention include, for example, carriers (e.g., in liquid or solid form), flavoring agents, lubricants, solubilizers, suspending agents, fillers, glidants, compression aids, binders, tablet-disintegrating agents, encapsulating materials, emulsifiers, buffers, preservatives, sweeteners, thickening agents, coloring agents, viscosity regulators, stabilizers or osmo-regulators, or combinations thereof.
- Liquid pharmaceutical compositions preferably contain one or more monoclonal antibodies of the invention and one or more liquid carriers to form solutions, suspensions, emulsions, syrups, elixirs, or pressurized compositions.
- liquid carriers include, for example water, organic solvents, pharmaceutically acceptable oils or fat, or combinations thereof.
- the liquid carrier can contain other suitable pharmaceutical additives such as solubilizers, emulsifiers, buffers, preservatives, sweeteners, flavoring agents, suspending agents, thickening agents, colors, viscosity regulators, stabilizers or osmo-regulators, or combinations thereof. If the liquid formulation is intended for pediatric use, it is generally desirable to avoid inclusion of alcohol.
- liquid carriers suitable for oral or parenteral administration include water (preferably containing additives such as cellulose derivatives such as sodium carboxymethyl cellulose), alcohols or their derivatives (including monohydric alcohols or polyhydric alcohols such as glycols) or oils (e.g., fractionated coconut oil and arachis oil).
- the carrier can also be an oily ester such as ethyl oleate and isopropyl myristate.
- the liquid carrier for pressurized compositions can be halogenated hydrocarbons or other pharmaceutically acceptable propellant.
- Solid pharmaceutical compositions preferably contain one or more solid carriers, and optionally one or more other additives such as flavoring agents, lubricants, solubilizers, suspending agents, fillers, glidants, compression aids, binders or tablet-disintegrating agents or an encapsulating material.
- Suitable solid carriers include, for example, calcium phosphate, magnesium stearate, talc, sugars, lactose, dextrin, starch, gelatin, cellulose, methyl cellulose, sodium carboxymethyl cellulose, polyvinylpyrrolidine, low melting waxes or ion exchange resins, or combinations thereof.
- the carrier is preferably a finely divided solid which is in admixture with the finely divided active ingredient.
- the active ingredient(s) are generally mixed with a carrier having the necessary compression properties in suitable proportions, and optionally, other additives, and compacted into the desired shape and size.
- compositions are provided in unit dosage form, such as tablets or capsules.
- the composition is sub-divided in unit dose containing appropriate quantities of the active ingredient(s).
- the unit dosage forms can be packaged compositions, for example packeted powders, vials, ampoules, pre-filled syringes or sachets containing liquids.
- the unit dosage form can be, for example, a capsule or tablet itself, or it can be an appropriate number of any such compositions in package form.
- the present invention also provides a pharmaceutical composition in unit dosage form for activating TrkB, where the composition contains a therapeutically effective unit dosage of at least one monoclonal antibody of the invention.
- the certain therapeutically effective unit dosage will depend on the method of administration.
- the present invention also provides a therapeutic package for dispensing the monoclonal antibodies of the invention to an individual being treated for a condition which requires TrkB activation.
- the therapeutic package contains one or more unit dosages of at least one inventive monoclonal antibody, a container containing the one or more unit dosages, and labeling directing the use of the package for treatment.
- the unit dose is in tablet or capsule form. In some cases, each unit dosage is a therapeutically effective amount.
- monoclonal antibodies of the invention may be administered alone to modulate TrkB activity.
- the antibodies may be administered in combination with (whether simultaneously or sequentially) one or more other pharmaceutical agents useful in the treatment, prevention or amelioration of one or more other conditions (including symptoms, disorders, or diseases) which require TrkB activity.
- other pharmaceutical agents that can modulate TrkB activity may be used in combination with the monoclonal antibodies of the invention, including other activators of TrIcB.
- U.S. Patent Nos. 5,770,577; 6,077,829; 6,723,701 and 6,800,607 each incorporated herein by reference in their entirety
- describe BDNF derivatives and compositions that may be useful in accordance with the practice of the present invention.
- the monoclonal antibodies may be used in conjunction with other pharmaceutical agents that are useful in the treatment, prevention or amelioration of neurological disorders and diseases.
- the monoclonal antibodies are combined with agents that are useful in the treatment, prevention or amelioration of disorders and diseases caused by injuries to the nervous system (e.g., by wound, surgery, ischemia, infection, metabolic diseases, malnutrition, malignant tumor, toxic drugs, etc.).
- any suitable agent known in the art may be used, including those listed in the Physicians' Desk Reference, 55 th Edition, 2001, published by Medical Economics Company, Inc. at Monvale, NJ, the relevant portions of which are incorporated herein by reference.
- inventive antibodies are useful for treating conditions (including symptoms, disorders, or diseases) which require activation of TrkB. Such methods involve administering a therapeutically effective amount of one or more inventive antibodies to the individual.
- inventive antibodies may be used to treat individuals with a nervous system that has been injured by wound, surgery, ischemia, infection, metabolic diseases, malnutrition, malignant tumor, toxic drug, etc. Specific examples include stroke, spinal cord injury, traumatic brain injury, retinal degeneration and axotomy.
- inventive antibodies may also be used to treat disorders such as attention-deficit hyperactivity disorder (ADHD), depression and age-associated mental impairment (i.e., by providing cognitive enhancement).
- ADHD attention-deficit hyperactivity disorder
- depression i.e., by providing cognitive enhancement
- inventive antibodies may also be used to treat congenital or neurodegenerative conditions including Alzheimer's disease, Parkinson's disease, Huntington's chorea, amyotrophic lateral sclerosis (ALS) and conditions related to these.
- ALS amyotrophic lateral sclerosis
- the benefits of TrkB activation in treating non- neurological diseases such as cancer and diabetes has also been described and the inventive antibodies may therefore find utility in such contexts (e.g., U.S. Patent Nos. 5,877,016 and 6,800,607 describe the benefits of TrkB activation for treating cancer and diabetes, respectively).
- the methods of this invention are useful for treating the conditions described herein in adults and children. They may also be utilized for veterinary applications, particularly including canine and feline applications. If desired, the methods herein may also be used with farm animals, such as ovine, bovine, porcine and equine breeds.
- inventive methods involve delivery of inventive monoclonal antibodies via any appropriate route of administration including, for example, parenteral, intravenous, topical, nasal, oral (including buccal or sublingual), rectal or other modes.
- the antibodies may be formulated for immediate, delayed, modified, sustained, pulsed, or controlled-release delivery.
- the antibodies are formulated for delivery by injection.
- administration may be, for example, intracavernous, intravenous, intra-arterial, intraperitoneal, intrathecal, intraventricular, intraurethral, intrasternal, intracranial, intramuscular or subcutaneous, or via by infusion or needleless injection techniques.
- the antibodies of the invention may be prepared and maintained in conventional lyophylized formulations and reconstituted prior to administration with a pharmaceutically acceptable saline solution, such as a 0.9% saline solution.
- the pH of the injectable formulation can be adjusted, as is known in the art, with a pharmaceutically acceptable acid, such as methanesulfonic acid.
- sterile, fixed oils are conventionally employed as a solvent or suspending medium.
- any bland fixed oil can be employed including synthetic mono- or diglycerides.
- fatty acids such as oleic acid are used in the preparation of injectables.
- the injectable formulations can be sterilized, for example, by filtration through a bacterial-retaining filter, or by incorporating sterilizing agents in the form of sterile solid compositions which can be dissolved or dispersed in sterile water or other sterile injectable medium prior to use. In order to prolong the effect of the inventive antibody, it may be desirable to slow its absorption from an intramuscular or subcutaneous injection.
- Delayed absorption of such an administered antibody may be accomplished by dissolving or suspending the agent in an oil vehicle.
- injectable depot forms are made by forming microencapsule matrices of the antibody in biodegradable polymers such as polylactide-polyglycolide. Depending upon the ratio of antibody to polymer and the nature of the particular polymer employed, the rate of antibody release can be controlled. Examples of other biodegradable polymers include poly(orthoesters) and poly(anhydrides). Depot injectable formulations are also prepared by entrapping the antibodies in liposomes or microemulsions which are compatible with body tissues.
- the antibodies can be formulated as a suitable ointment containing the active ingredient suspended or dissolved in, for example, a mixture with one or more of the following: mineral oil, liquid petrolatum, white petrolatum, propylene glycol, polyoxyethylene polyoxypropylene compound, emulsifying wax and water.
- they can be formulated as a suitable lotion or cream, suspended or dissolved in, for example, a mixture of one or more of the following: mineral oil, sorbitan monostearate, a polyethylene glycol, liquid paraffin, polysorbate 60, cetyl esters wax, cetearyl alcohol, 2-octyldodecanol, benzyl alcohol and water.
- inventive antibodies can also be administered intranasally or by inhalation and are conveniently delivered in the form of a dry powder inhaler or an aerosol spray presentation from a pressurized container, pump, spray, atomiser or nebuliser, with or without the use of a suitable propellant, e.g. dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, a hydrofluoroalkane, carbon dioxide or other suitable gas.
- a suitable propellant e.g. dichlorodifluoromethane, trichlorofluoromethane, dichlorotetrafluoroethane, a hydrofluoroalkane, carbon dioxide or other suitable gas.
- the dosage unit may be determined by providing a valve to deliver a metered amount.
- the pressurized container, pump, spray, atomiser or nebuliser may contain a solution or suspension of the antibody, e.g., using a mixture of ethanol and the propellant as the solvent, which may additionally contain a lubricant, e.g., sorbitan trioleate.
- a lubricant e.g., sorbitan trioleate.
- Capsules and cartridges made, for example, from gelatin) for use in an inhaler or insufflator may be formulated to contain a powder mix of the antibodies of the invention and a suitable powder base such as lactose or starch.
- such delivery may be accomplished using solid or liquid formulations, for example in the form of tablets, capsules, multiparticulates, gels, films, ovules, elixirs, solutions or suspensions.
- the monoclonal antibodies are administered as oral tablets or capsules.
- Such preparations may be mixed chewable or liquid formulations or food materials or liquids if desirable, for example to facilitate administration to children, to individuals whose ability to swallow tablets is compromised, or to animals.
- compositions for rectal administration are preferably suppositories which can be prepared by mixing the inventive antibodies with suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectal vault and release the antibodies.
- suitable non-irritating excipients or carriers such as cocoa butter, polyethylene glycol or a suppository wax which are solid at ambient temperature but liquid at body temperature and therefore melt in the rectal vault and release the antibodies.
- Retention enemas and rectal catheters can also be used as is known in the art.
- Viscosity-enhacing carriers such as hydroxypropyl cellulose are also certain carriers of the invention for rectal administration since they facilitate retention of the pharmaceutical composition within the rectum.
- the volume of carrier that is added to the pharmaceutical composition is selected in order to maximize retention of the composition. In particular, the volume should not be so large as to jeopardize retention of the administered composition in the rec
- inventive antibodies may be used for detecting TrkB in a sample (e.g., in order to diagnose a disorder characterized by over or under expression of TrkB).
- a sample e.g., in order to diagnose a disorder characterized by over or under expression of TrkB.
- an inventive antibody is combined with a sample under conditions to allow specific binding. The specific binding is then detected thereby indicating the presence of TrIcB in the sample.
- the sample can be derived from a body fluid (e.g., from cerebrospinal fluid, blood, serum, urine, etc.) or an extract of cells or tissue (e.g., a biopsy sample).
- Detection of binding can be facilitated by coupling (i.e., physically linking) the antibody to a detectable substance (i.e., antibody labeling).
- detectable substances include various enzymes, prosthetic groups, fluorescent materials, luminescent materials, bioluminescent materials, and radioactive materials.
- suitable enzymes include horseradish peroxidase, alkaline phosphatase, ⁇ - galactosidase, or acetylcholinesterase;
- suitable prosthetic group complexes include streptavidin/biotin and avidin/biotin;
- suitable fluorescent materials include umbelliferone, fluorescein, fluorescein isothiocyanate, rhodamine, dichlorotriazinylamine fluorescein, dansyl chloride or phycoerythrin;
- an example of a luminescent material includes luminol;
- examples of bioluminescent materials include luciferase, luciferin, and aequorin;
- suitable radioactive material include 125 1, 131 1, 35 S or 3 H.
- TrkB expression is established by combining samples taken from normal individuals with an inventive antibody under conditions suitable for complex formation.
- the amount of standard complex formation may be quantified by various methods depending on the nature of the detectable substance.
- the amount of standard complex formation is quantified by photometric means.
- levels of TrIcB expression in samples from diseased individuals are then compared with the standard values. Deviation between standard and diseased values establishes the parameters for diagnosing disease.
- inventive methods may be used to diagnose neurological conditions that are characterized by over or under expression of TrIcB.
- inventive methods may be used to identify nervous systems that have been injured by wound, surgery, ischemia, infection, metabolic diseases, malnutrition, malignant tumor, toxic drug, etc. Specific examples include stroke, spinal cord injury, traumatic brain injury, retinal degeneration and axotomy.
- the inventive methods may also be used to diagnose disorders such as attention-deficit hyperactivity disorder (ADHD), depression and age-associated mental impairment (i.e., by providing cognitive enhancement).
- ADHD attention-deficit hyperactivity disorder
- depression depression
- age-associated mental impairment i.e., by providing cognitive enhancement
- the inventive methods may also be used to diagnose congenital or neurodegenerative conditions including Alzheimer's disease, Parkinson's disease, Huntington's chorea, amyotrophic lateral sclerosis (ALS) and conditions related to these.
- ADHD attention-deficit hyperactivity disorder
- ALS amyotrophic lateral sclerosis
- the invention also provides a method of using an antibody to purify TrIcB from a sample comprising combining an inventive antibody with a sample under conditions to allow specific binding, thereby producing an antibody-TrkB receptor complex, separating the antibody-TrkB receptor complex from the remainder of the sample and then separating the antibody from the TrkB receptor, thereby obtaining a purified TrkB receptor.
- inventive antibodies can be used to isolate TrIcB by any standard technique, such as affinity chromatography or immunoprecipitation.
- This example describes the preparation and in vitro characterization and testing of a plurality of TrkB antibodies.
- Murine anti-TrlcB antibodies were prepared using a mixture of two protein immunogens: a first recombinant protein that includes the extracellular domain (ECD) of human TrkB (rhTrlcB-ECD) (R&D systems, Inc., Cat. No. 397-TR/CF) and a second recombinant protein that includes the extracellular domain of murine TrkB (rmTrkB-ECD) (R&D system, Inc., Cat. No. 1494-TB/CF).
- ECD extracellular domain
- rmTrkB-ECD murine TrkB
- TrkB The extracellular domain of human TrkB is comprised of amino acid residues C32-H430 of the full length protein (which is set forth as SEQ ID NO: 1 in Fig. 12, GenBank Accession No. NP_006171).
- rhTrkB-ECD was expressed in murine myeloma cell line NSO.
- the calculated molecular mass of monomeric rhTrkB-ECD is 44 kDa; however, when glycosylated it migrates as a broad band of 80-100 kDa in SDS-PAGE under reducing conditions.
- the extracellular domain of murine TrkB is comprised of amino acid residues C32-H429 of the full length protein (which is set forth as SEQ ID NO:2 in Fig. 13, GenBank Accession No. Pl 5209).
- this sequence is flanked by an N-terminal human CD33 signal peptide which is cleaved during expression and a C-terminal His Tag.
- rhTrkB-ECD was also expressed in murine myeloma cell line NSO.
- the calculated molecular mass of the monomeric mhTrkB-ECD is 45.9 kDa; however, when glycosylated it migrates as a broad band of 75-100 kDa in SDS-PAGE under reducing conditions.
- mice Five 8-week old female BALB/c mice were immunized with 10 ⁇ g of rhTrkB- ECD that was pre-mixed with complete Freund's adjuvant (CFA). The mixture was separated into portions that were injected subcutaneously and intraperitoneally 4 times biweekly (i.e., at weeks 0, 2, 4, and 6). The mice were also immunized at week 7 by subcutaneous and intraperitoneal injection with 1 ⁇ g of rmTrkB-ECD that was pre- mixed with complete Freund's adjuvant (CFA). Mice bleeds were collected at weeks 5 and 7 and antibody responses in the sera were evaluated.
- CFA complete Freund's adjuvant
- mice Three of the five mice were additionally boosted intravenously with 10 ⁇ g rhTrkB and 1 ⁇ g rmTrkB 3 days prior to the cell fusion (which occurred at week 12). Splenocytes from these three mice were fused with murine myeloma cells
- P3X63Ag8.653 ATCC, Cat. No. CRL-1580 at 4:1 ratio using 50% polyethylene glycol (MW 1500) (Roche Diagnostics Corp., Cat. No. 783641). After fusion, cells were seeded and cultured in 96-well plates at 1x10 5 cells/well in selection medium (RPMIl 640 containing 20% FBS and 5% Origen) (IGEN International, Inc., Cat. No. 210001), 2 niM L-glutamine, 100 U/ml penicillin, 100 ⁇ g/ml streptomycin, IxHEPES and IxHAT (hypoxanthine-aminopterin-thymidine) (Sigma, Cat. No. H0262).
- selection medium RPMIl 640 containing 20% FBS and 5% Origen
- IGEN International, Inc. Cat. No. 210001
- 2 niM L-glutamine 100 U/ml penicillin
- 100 ⁇ g/ml streptomycin IxHE
- Hybridoma supernatants were screened for binding with rhTrkB by ELISA and staining on rhTrkB-expressing HEK293 stable cells by FACS analysis (see below).
- the hybridoma supernatants selected to be positive were subsequently tested for agonist activities on rhTrkB using a luciferase assay (see below).
- Selected hybridomas were subcloned four times by serial dilutions and once by FACS sorting (see below).
- Conditional medium was harvested from the stable hybridoma culture.
- Prosep-A Montage Antibody Purification Spin columns, Millipore, Cat. No. P36486) was used to purify IgG from the hybridoma conditional medium.
- the Ig class of each mAb was determined with a murine mAb isotyping kit (IsoStrip, Boehringer Mannheim Corp., Cat. No. 1493027).
- TrkB-specific antibodies To measure the presence of TrkB-specific antibodies, 96-well plates
- peroxidase conjugated goat anti-human IgG, (Fc ⁇ ) (PIERCE, Cat. No. 31416) was added and incubated for 1 hr at room temperature. The wells were washed and the substrate TMB was added. Absorbance was determined at 450 nm.
- a 96-well plate was coated with 1 ⁇ g/ml of each individual TrkB-specific mAb in PBS and incubated overnight at 4 °C. After washing and blocking the wells with PBS containing 1% BSA and 0.05% Tween-20, 100 ⁇ l of mixture of each individual pre-incubated TrkB mAb (20 ⁇ g/ml) and rhTrlcB-EDC-Fc (0.1 ⁇ g/ml) was added to the wells and incubated for 1 hr at room temperature. The plate was washed and incubated for 1 hr with peroxidase conjugated goat ant-human IgG, (Fc ⁇ ). After washing the plate, the substrate TMB was added. Absorbance was determined at 450 nm.
- a stable line of HEK-293 cells expressing rhTrkB was generated by transfecting HEK-293 cells with pcDNA-hTrkB (full length, see GenBank Accession No. NM_006180). Transfected cells were selected in the presence of hygromycin for 2 wks with limited dilutions. Following initial evaluation, a single clone of cells was chosen for the study. For the luciferase assay, cells were plated at 1.5x10 4 cells/well in 100 ⁇ l growth medium in 96-well plates. The next day, cells were treated with 10 ⁇ l of 10x final concentration of BDNF or test antibodies.
- Luciferase activities were measured 16 hr after the treatments using the Promega Steady-Glo assay kit according to the manufacturer's protocol. In brief, media was replaced with 100 ⁇ l of PBS and 100 ⁇ l of Steady-Glo reagent was added. After sealing the plates with TopSeal, the plates were shaken at Titer Plate Shaker at speed ⁇ 5 for 5 minutes and then luminescence was measured using a TopCount NXT v2.13 instrument (Packard).
- HEK-293 cells expressing rhTrkB were detached from the plates with PBS containing 5 mM EDTA and transferred in to 5 ml Falcon tubes (Becton Dickinson, Cat. No. 352063) with 2xlO 5 cells per tube. Cells were washed once with PBS by centrifuging at 800 rpm at 4 °C for 3 min, and incubated for 30 min at 4 °C with 100 ⁇ l of hybridoma culture supernatant, purified antibodies or immune serum diluted in PBS with 1% FBS.
- the cells were washed 3 times with 1 ml PBS containing 1% FBS and incubated for 30 min at 4 °C in the dark with PE labeled goat anti-murine IgG, F(ab') 2 fragment (DAKO Corporation, Cat. No. R0480) in PBS containing 1% FBS. Cells were washed three times again and re-suspended in 250 ⁇ l PBS containing 1% FBS. Popidium iodide was used for detection of dead cells, which were excluded from analysis. The fluorescence of 5000 cells/tube was counted by a FACScan flow cytofluorometer (Becton Dickinson).
- HEK-293 cells expressing rhTrkB were plated in 24 well plates at 2x10 5 cells/well in a DMEM growth media. The next day, cells were incubated in serum- free DMEM for 90 min, then stimulated with BDNF or testing antibodies at different concentrations for 30 min at 37 0 C. After washing with PBS once, cells were lysed in Laemmli Sample Buffer (Bio-Rad) preheated at 95 °C. Lysates were run through
- Human neuroblastoma SH-SY5Y cells were grown in DMEM:F12(1 :1) supplemented with 2 mM L-glutamine, 15 % FBS and pen/strep.
- DMEM:F12(1 :1) supplemented with 2 mM L-glutamine, 15 % FBS and pen/strep.
- RA all-trans-retinoic acid
- the media was replaced with fresh growth media with or without BDNF or testing antibodies, as indicated in the results.
- cells were fixed by IC-Fix for 30 min at room temperature and further processed for immunostaining of beta-Tubulin III.
- TPBS Triton in phosphate-buffered solution
- NGS normal goat serum
- Tujl signals were detected using Alexa 488 murine anti-goat antibody (1 :500, Molecular Probes) and neurite outgrowth was analyzed using Cellomics arrayscan.
- CGN cerebellar granular neuron
- SH-SY5Y cells were plated in 96 well plates at 1x10 4 cells/well and incubated with RA (10 ⁇ M) to induce neuronal differentiation. After 3 days, the culture media was switched to growth media without serum (serum-free media) and cells were treated with BDNF, testing antibodies or vehicle. Following two additional days in culture, cell viability was measured by MTT assay using the CellTiter 96 Non- Radioactive Cell Proliferation Assay Kit (Promega) according to the manufacturer's protocol.
- mice (M1-M5) were bled one week following the third and fourth immunizations.
- High anti-TrkB antibody titers in the serum were determined by ELISA and FACS analysis in both the third and the fourth bleeds.
- Fig. 1 represents results from the bleeds after the fourth immunization. All five mice generated high titers recognizing both rhTrkB-ECD and ⁇ nTrkB-ECD in ELISA (Figs. IA and IB).
- mice As described previously, the three selected mice (M2, M3 and M5) were boosted intravenously with 10 ⁇ g of rhTrkB-ECD and 1 ⁇ g of rmTrkB-ECD three days prior to the fusion. From the first round of hybridoma screening, ninety-four clones were picked up which bound strongly to rhTrkB-EDC-Fc in an ELISA assay. Twenty of these clones cross-reacted with rmTrkB-ECD in an ELISA assay. FACS analysis confirmed that fifty-four clones bound to rhTrkB expressed on the surface of HEK-293 cells.
- TrkB agonist activity of each clone was tested using a luciferase assay and seventeen hybridoma clones with highest activities were selected for further characterization. Following stabilization of these clones, three rounds of subcloning with serial dilution, and one round of subcloning with FACS sorting, the monoclonal antibodies from each culture conditional medium were collected and purified by using ProSep-A (Montage Antibody Purification Kits). The IgG isotypes of each antibody were determined by Murine Isotyping test kit (Table 1). The antibody concentrations were determined by Murine IgG quantification ELISA and all seventeen clones produced good levels of Ig in the culture supernatants.
- Binding Activity Blocking activity rhTrkB rniTrlcB 293-hTrkB hTrkB-BDNF niAb [ED 50 (nM)] [ED 50 (nM)] [Mean value] [IC 50 (nM)]
- TrkB-specif ⁇ c antibodies were examined using a luciferase assay to demonstrate agonist activities. All of the antibodies caused dose-dependent increases in the signal with EC 50 in the range of 10 ⁇ 10 (M) (Fig. 4). The maximum signal window was ⁇ 7 fold over basal for most of the antibodies, which was comparable to the response induced by BDNF at 200 ng/ml (6.2 fold over basal).
- TrkB-binding antibodies have functional agonist activities mediated by endogenous TrkB receptor activation
- neurite promoting effects were evaluated following treatments with these antibodies.
- 17Dl 1, 19El 2 and 29D7 were selected for full dose-response analysis. They induced dose-dependent increases in the neurite growth with EC 50 of around 10 "10 (M) (Fig. 5D, data was not obtained for 6E2). These antibodies were also tested for their ability to increase survival of differentiated SY5Y cells following serum withdrawal injury. Results showed that BDNF and several antibodies protected differentiated SY5Y cells, demonstrating dose-dependent increases in cell viability (Fig. 6).
- TrkB antibodies Two TrkB antibodies, 17Dl 1, 18C3 and 29D7, which were shown to bind to rmTrkB, were also tested in rat cerebellar granule neuron (CGN) cultures for activity against the endogenous rat TrkB receptor.
- CGN cerebellar granule neuron
- TrkB phosphorylation analysis Seven TrIcB antibodies (6E2, 7F5, 1 IEl, 16El 1, 17Dl 1, 19E12 and 29D7) selected based on all activities described above were evaluated in Western analysis for induction of TrIcB autophosphorylation. All antibodies led to robust TrIcB phosphorylation, and these effects were antagonized by treatment with the kinase inhibitor K252a, indicating that these TrkB-binding antibodies caused activation of TrkB (Fig. 8).
- TrkB antibodies Two TrkB antibodies, 17Dl 1, 18C3 and 29D7, which were shown to bind to rmTrkB, were also tested in rat cerebellar granule neuron (CGN) cultures for activity against the endogenous rat TrkB receptor.
- CGN cerebellar granule neuron
- TrkB phosphorylation analysis Seven TrkB antibodies (6E2, 7F5, 1 IEl, 16El 1, 17Dl 1, 19E12 and 29D7) selected based on all activities described above were evaluated in Western analysis for induction of TrIcB autophosphorylation. All antibodies led to robust TrkB phosphorylation, and these effects were antagonized by treatment with the kinase inhibitor K252a, indicating that these TrkB-binding antibodies caused activation of TrkB (Fig. 8).
- This example describes further in vitro characterization and testing of a plurality of TrIdB antibodies.
- this example describes experiments that were performed to assess the TrIcB vs. TrkA and TrkC specificity of some of the antibodies of Example 1.
- HEK-293 cells expressing human TrIcA were detached from the plates with PBS containing 5 mM EDTA and transferred in to 5 ml Falcon tubes (Becton
- Stable lines of HEK-293 cells expressing human TrkA (or human TrkC) were prepared. Transfected cells were selected in the presence of hygromycin for 2 wks with limited dilutions. Following initial evaluation, a single clone of cells was chosen for the study. For the luciferase assay, cells were plated at 1.5x10 4 cells/well in 100 ⁇ l growth medium in 96- well plates. The next day, cells were treated with 10 ⁇ l of 10x final concentration of NGF (or NT-3) or test antibodies. Luciferase activities were measured 16 hr after the treatments using the Promega Steady-Glo assay kit according to the manufacturer's protocol.
- the neat conditioned media for each of the TrkB-specific monoclonal antibodies of Table 1 were characterized for their binding activities to human TrIcA by FACS. All of the tested antibodies failed to bind to human TrkA. Specifically, the antibodies were tested at concentrations ranging from about 5 to about 60 ⁇ g/ml (see specific concentrations for each antibody in Table 1, these correspond to concentrations in the range of about 30 to about 500 nM) and each antibody failed to show any detectable binding.
- the FACS data is shown in Fig. 9A.
- TrkB-specific antibodies of Table 2 were also examined using a TrkA or TrkC luciferase assay to assess agonist activities. None of the tested antibodies activated TrIcA or TrkC. Specifically, the antibodies were tested at concentrations of up to about 3 ⁇ g/ml (about 20 nM) and in each case the antibodies failed to cause detectable increase above basal (see Fig. 9B for TrIcA and Fig. 10 for TrkC). In contrast, NGF induced a ⁇ 6 fold increase over basal for TrIcA at 300 ng/ml (Fig. 9A) and NT-3 induced a ⁇ 6 fold signal increase over basal for TrkC at 300 ng/ml (Fig. 10).
- EXAMPLE 3 This example describes the in vivo testing of a plurality of TrIcB antibodies in a rodent model of neonatal hypoxia-ischemia (HI).
- HI neonatal hypoxia-ischemia
- mice Two hours later, pups were placed in individual containers, through which humidified 8% oxygen was flowed. After 2.5 hrs of a hypoxic ischemic period, the pups were returned to their home cages. For treatment, animals received a 5 ⁇ l intracerebroventricular injection of 0.1 or 0.3 nmole of either BDNF, anti-TrkB monoclonal antibody 29D7, control IgGl or vehicle just prior to the hypoxic insult.
- BDNF and anti-TrkB monoclonal antibody 29D7 showed significant dose- dependent protection of the brain from HI damage. The protection was not localized to any specific sub-region of the brain but greatest protection was generally observed in the cortex.
- brain sections were prepared from a subset of the mice for biochemical analysis. Hippocampal and cortical brain tissues were dissected, lysed and subjected to several biochemical assays.
- a DEVD-AMC cleavage assay was used to determine caspase-3 activities (e.g., see Nagase et al., Immunol Lett. 84:23, 2002 incorporated herein by reference). The results for different regions of the brain are shown in Fig. 25 for mice that were given 0.1 nmole of different test reagents (mean ⁇ S.E.M.). BDNF and anti-TrkB monoclonal antibody 29D7 blocked caspase-3 activation caused by HI injury.
- Protein samples (30 ⁇ g/lane) from mice treated with 0.3 nmole of different test reagents were separated by SDS-PAGE and subjected to immunoblotting with antibodies against certain caspase-3 substrates (PARP and ⁇ -spectrin). Antibodies against ⁇ -actin were used as controls to verify equal loading of proteins.
- mice of this study The performance of the remaining mice in spatial learning and memory tests could be assessed (e.g., without limitation the tests described in Almli et al., Exp. Neurology 166:99-114, 2000 incorporated herein by reference). For example, the mice could be tested between P20-P30. Optionally, the performance could be assessed over several days during that period or even at later time points.
- Treatment protocols that produce a positive outcome could be repeated over an even greater range of dosages.
- treatment protocols could be repeated with different modes of administration (e.g., intraperitoneal administration, intravenous administration, etc.); with different start points (e.g., before ligation, immediately after hypoxia, with a variable delay after hypoxia, etc.); and/or with different duration or frequency (e.g., daily treatment for 2 wks post injury, etc.).
- hTrkB-EDC-Fc 10 ⁇ g of hTrkB-EDC-Fc was coated on Nunc Maxisorp plate in 100 ⁇ l and left overnight at 4 °C.
- a phage library was pre-blocked (50 ⁇ l phage aliquot added to 50 ⁇ l of 6% skimmed milk in 2xPBS) and negatively selected against PSGL-Fc (Wyeth, Lot. No. 00H25M004) for 1 hr at room temperature to deplete phage reactive against Fc. Deselected phage were transferred to the target protein-coated plate (hTrkB -EDC-Fc) and incubated at room temperature for 2hrs. Wells were washed 10 times with PBS/0.1 % Tween 20 and 5 times with PBS.
- Phage antibodies were selected using biotinylated hTrkB-EDC-Fc according to the protocol described above with the following exceptions. Pre-blocked phage were deselected first against 100 nM biotinylated PSGL-Fc followed by positive selection on 100 nM biotinylated hTrkB-EDC-Fc. Human TrkB specific phage were captured using pre-blocked magnetic streptavidin beads (Dynabeads M-280 streptavidin, Cat. No. 112.06). Beads were washed 10 times with PBS/0.1% Tween 20 and 3 times with PBS.
- Bound phage were eluted with 200 ⁇ l of freshly made 100 mM TEA (140 ⁇ l of TEA in 10 ml of ultra pure water) and neutralized using 100 ⁇ l of sterile 1 M Tris-HCl pH 7.5 to the eluted phage to neutralize the TEA. Phage were infected into E.coli and propagated as described in the previous step.
- Phage antibody preparation for ELISA Single colonies of infected E. coli were picked into microtitre wells (Costat
- M13K07 helper phage stock (10 13 pfu/ml) was diluted 1:1000 with 2xTYAG medium and 20 ⁇ l was added to each well. The wells were incubated at 37 0 C (100 rpm) for 1 hr. Plates were centrifuged at 3200 rpm for 10 min, the supernatant was removed and the cells were resuspended in 150 ⁇ l of 2xTYAK medium. Cultures were grown overnight at 25 °C (120 rpm). The next day, plates were centrifuged at 3200 rpm for 15 min and the supernatant was transferred to a fresh plate for the phage ELISA assay.
- ELISA plates were coated with 50 ⁇ l per well of 1 ⁇ g/ml of hTrkB-EDC-Fc (BSA as a control) in PBS at 4 0 C overnight. Wells were rinsed 3 times with PBS and blocked with 300 ⁇ l per well of PBS/3 % skimmed milk at room temperature for 1 hr. Phage were blocked with equal volume of PBS/6% skimmed milk and incubated at room temperature for 1 hr. 50 ⁇ l of blocked phage were added to ELISA wells and incubated at room temperature for 1 hr. Plates were washed 3 times with PBS/0.1% Tween followed by 3 times with PBS.
- BSA hTrkB-EDC-Fc
- scFv expression was induced by adding IPTG to a final concentration of 0.02 mM in 2xTY medium and growth at 30 °C overnight.
- E. coli were harvested after overnight growth and osmotically shocked with 150 ⁇ l TES buffer diluted 1:5 in water and incubated on ice for 30 min. Cells were centrifuged and the supernatant transferred to a fresh plate for the FACS assay. 293 cells stably transfected with TrkB were stained with scFv prepared as described. Cells were incubated on ice for 30 min and then washed with PBS buffer.
- Single-chain Fv was detected using a solution containing 9E10 anti-myc antibody diluted 1 : 1000 followed by addition of PE conjugated anti mouse IgG-Fc antibody diluted 1 :500. Stained cells were analysed on a Bectin-Dickinson Flow Cytometer. Results
- Table 4 shows the results from phage ELISA assays from the different phage library selections (panning and soluble selections).
- Fig. 18 shows the phage binding ELISA data from a representative set of TrkB positive clones (BMV library panning selection). The majority of TrkB selected clones showed strong and specific reactivity against TrkB-EDC-Fc and not to the control protein PSGL-Fc.
- Fig. 19 shows the binding specificity of TrkB selected scFv antibodies tested using the FACS assay.
- the data shows that TrkB selected scFv antibodies react with membrane associated TrIcB in a specific manner (filled blue histograms) with no cross-reactivity to control cells (open green histograms).
- Figs. 2OA and 2OB show the ELISA binding results for human and mouse TrkB, respectively. Both the 29D7 IgG antibody and its Fab fragment have dose- dependent binding activities to human and mouse TrkB. However, the ED 50 value of the Fab was about 100 fold lower than that of intact 27D7. Neither an isotype control IgGl nor its Fab fragment bound to TrkB.
- This example compares the agonistic activities of the 29D7 TrkB antibody and the Fab fragment of Example 5 against human TrkB. Agonistic activities were examined using a luciferase assay and HEK-293 cells which express surface rhTrkB as described in Example 1.
- HEK-293 cells were treated with 29D7 IgG or 29D7 Fab at indicated concentrations and accumulating luciferase activities were measured 16 hours post- treatment.
- 29D7 IgG or 29D7 Fab both total IgG and Fab of 29D7 induced dose- dependent luciferase activities, indicating activation of TrIcB.
- the EC 50 value of 29D7 Fab was about 27 fold higher than that of 27D7 IgG (0.083 nM and 2.28 nM for 27D7 IgG and 29D7 Fab, respectively).
- Neither an isotype control IgGl nor its Fab fragment had effects on TrkB activation.
- TrkB monoclonal antibodies The mapping was performed against linear, single looped and double looped peptides that were deduced from sequences within the human TrIcB extracellular domain. As shown in Fig. 22, the 17Dl 1 monoclonal antibody recognizes loop-3 of the
- IgG-2 segment of human TrkB (KNEYGKD, SEQ ID NO:7, amino acids 364 to 370 of SEQ ID NO:1); and loop-1 of the IgG-2 segment of human TrkB (KGNPKP, SEQ ID NO: 8, amino acids 308 to 313 of SEQ ID NO:1).
- the mouse sequence for the former epitope (KNEYGKD, SEQ ID NO:7, amino acids 364 to 370 of SEQ ID NO:2) is identical to the human sequence.
- the mouse sequence for the latter epitope (RGNPKP, SEQ ID NO:9, amino acids 308 to 313 of SEQ ID NO:2) differs by one amino acid.
- the 29D7, 7F5, 1 IEl and 19E12 monoclonal antibodies all recognize loop-3 of the IgG-I segment of human TrkB (ENLVGED, SEQ ID NO:10, amino acids 269 to 275 of SEQ ID NO:1); and may also recognize loop-1 of the IgG- 1 segment of human TrIcB (AGDPVP, SEQ ID NO: 11 , amino acids 221 to 226 of SEQ ID NO: 1).
- the mouse sequence for the former epitope (ENLVGED, SEQ ID NO: 10, amino acids 269 to 275 of SEQ ID NO:2) is identical to the human sequence.
- the mouse sequence for the latter epitope (GGDPLP, SEQ ID NO: 12, amino acids 221 to 226 of SEQ ID NO:2) differs by two amino acids.
- Fig. 28 is a densitometric quantification of the ERK phosphorylation shown in Fig. 27.
- Fig. 29 is a densitometric quantification of the AKT phosphorylation shown in Fig. 27.
- Fig. 30 shows vehicle and 29D7 treated brain tissues that have been fixed and immunoflourescently labeled with an antibody for the neuron-specific marker NeuN (left) and an anti-phospho-ERKl/2 antibody (center). The right hand figures show these two merged.
- ERK 1/2 phosphorylation is significantly stronger in the 29D7 treated samples.
- Fig. 31 shows the time-course of ERK 1/2 activation in the cortical and hippocampal tissues following intracerebro ventricular injection of anti- TrkB monoclonal antibody 29D7.
- EXAMPLE 9 This example describes a MAG/myelin-induced neurite inhibition assay that was performed with the anti-TrkB antibody 29D7. Briefly, aliquots of 50 ⁇ l recombinant rat MAG(I -5) or purified rat myelin were added to 96 well flat bottom tissue culture plates and air-dried overnight at room temperature. The total amounts of MAG(l-5) or myelin were 0.25-0.5 ⁇ g per well, unless indicated differently.
- MAG- or myelin-coated plates were treated with 50 ⁇ l of poly-D-lysine (17 ⁇ g/ml) for 1.5 hours, followed by incubation with a media containing 10 % FBS for 1 hour at 37 0 C.
- rat CGN cells were plated at a density of 8,000 cells/well in B27-supplemented Neurobasal growth media containing 200 mM L-Glutamine, 2 M KCl, and 100 U/ml penicillin and streptomycin.
- treatment reagents were added at the time of cell plating. Neurons were grown in a 37 0 C incubator equilibrated with 5 % CO 2 .
- TPBS Triton X/PBS
- S-TPBS normal goat serum in TPBS
- MAG and myelin inhibit neurite outgrowth of primary cerebellar granule neurons in cultures.
- Increasing concentrations of recombinant rat MAG(I -5) or purified rat myelin were coated on 96 well tissue culture plates and the neurite extension of primary neurons were measured at 20 hours as described above.
- (A) MAG and (B) myelin resulted in dose-dependent inhibition of neurite outgrowth.
- CGN neurons were then plated on either MAG or myelin-coated plates with control or with a range of concentrations of the TrkB antibody 29D7. Neurite extension was measured 20 hours post-treatment. As shown in Figure 33, 29D7 led to reversal of (A) MAG- and (B) myelin-mediated neurite inhibition.
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Also Published As
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EP1891114A2 (en) | 2008-02-27 |
CA2610771A1 (en) | 2006-12-14 |
ECSP077978A (en) | 2008-01-23 |
AR053401A1 (en) | 2007-05-02 |
TW200722437A (en) | 2007-06-16 |
IL187710A0 (en) | 2008-08-07 |
NZ563941A (en) | 2011-09-30 |
US20070059304A1 (en) | 2007-03-15 |
US20110150893A1 (en) | 2011-06-23 |
NI200700315A (en) | 2008-07-03 |
NO20076157L (en) | 2008-02-07 |
GT200600240A (en) | 2007-03-14 |
EP2298813A3 (en) | 2012-03-21 |
US7750122B2 (en) | 2010-07-06 |
KR20080032070A (en) | 2008-04-14 |
AU2006255101A1 (en) | 2006-12-14 |
WO2006133164A3 (en) | 2007-03-15 |
PA8678401A1 (en) | 2009-05-15 |
BRPI0610938A2 (en) | 2010-08-03 |
RU2007144678A (en) | 2009-07-20 |
CN101273064A (en) | 2008-09-24 |
EP2298813A2 (en) | 2011-03-23 |
JP2008545781A (en) | 2008-12-18 |
PE20070183A1 (en) | 2007-02-26 |
MX2007015292A (en) | 2008-02-21 |
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