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  • C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
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  • C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
  • C07K2317/569—Single domain, e.g. dAb, sdAb, VHH, VNAR or nanobody®

Definitions

• the invention relates to recombinant domain antibodies (dAbs) useful for human therapy. More particularly, the present invention relates to a domain antibody (dAb) which binds to human TNF- ⁇ and its use in the treatment of disorders characterised by human TNF- ⁇ activity.
• dAb domain antibody
• Tumor necrosis factor alpha is a cytokine produced by numerous cell types, including monocytes and macrophages, that, has been implicated in mediating shock and the pathophysiology of a variety of human diseases and disorders including sepsis, infections, autoimmune diseases, transplant rejection and fraft-versus-host disease.
• human TNF- ⁇ antibodies that bind to and neutralise human TNF- ⁇ have been sought as a means to inhibit TNF-u activity.
• Some of the earliest antibodies directed against human TNF- ⁇ were mouse monoclonal antibodies secreted from hybridoma cell lines prepared from lymphocytes harvested from mice immunized with human TNF- ⁇ . Although such antibodies were effective in binding to and neutralising human TNF- ⁇ , their use in in vivo therapy has been limited by problems associated with the administration of mouse antibodies to humans, in particular, elieiiation of an unwanted immune response against the mouse antibody in a human, referred lo as human anti-mouse antibody (HAMA) reactions.
• HAMA human anti-mouse antibody
• murine anti-human TNF- ⁇ antibodies have been genetically engineered to be more human-like.
• human/mouse chimeric antibodies have been created in which antibody variable region sequences from the mouse genome are combined with antibody constant region sequences from the human genome.
• the chimeric antibodies exhibit the binding characteristics of the parental mouse antibody, and the effector functions associated with the hu man constant region.
• these chimeric antibodies have been used in human therapy, they still retain some murine sequences and therefore still may elicit anti-chimeric antibody reactions an human recipients, particularly when administered for prolonged periods thus limiting their therapeutic application.
• Human monoclonal antibodies against human TiNF-ra have been developed using human hybridoma techniques. This approach, however, suffers from ethical, clinical and immunological limitations on immunization of human subjects.
• IL has been postulated that non-human prhnate antibodies will be tolerated in humans because they are structurally similar Io human antibodies (Ehrlich PH et aU Human and primate monoclonal antibodies for in vivo therapy. Clin Chem. 34:9 pg 1681-1688 (1988)). Furthermore, because human antibodies are no ⁇ -immunogenic in Rhesus monkeys (Ehrich PU et aL, Rhesus monkey responses to multiple injections of human monoclonal antibodies. Hybridoma 1987; 6:151-60), it is likely that the converse is also applicable and primate antibodies will be n ⁇ n-imn ⁇ unogenie in humans.
• EvOlutionarily distant primates such as New World primates
• New World primates are not only sufficiently different from humans to allow antibodies against human antigens lo be generated, but are sufficiently similar to hurnans to have antibodies similar to human antibodies so that the host does not generate an anti-antibody immune response when such primate-derived antibodies are introduced into a human.
• New World primates comprises at least 53 species commonly divided into two families, the Callithricldae and. Cebidtte.
• the CallUhricidae consist of marmosets and lamarins.
• the Cebldae includes the squirrel monkey, titi monkey, spider monkey, woolly monkey, capuchin, night or owl monkey and the howler moiikey.
• Domain antibodies are the smallest functioning binding units of antibodies and correspond to the variable regions of either the heavy (VH) or light (VL) chains of antibodies. Domain antibodies have a molecular weight of approximately 13 IcDa, or less than one tenth the size of a full antibody. Immunoglobulin, light chains are referred to as either kappa or lambda light chains and the heavy chains as gamma, inu. delta, alpha or cpsilon.
• the variable region gives the antibody its specificity. Within each variable region are regions of hypervariability, otherwise known as complementarity determining regions (CDRs) which arc flanked by more conserved regions referred to as framework regions. Within each variable region are three CDRs and four framework regions.
• CDRs complementarity determining regions
• domain antibodies are well expressed in bacterial, yeast and mammalian systems. Tlieir small size allows for higher molar quantities per gram of product, thus providing a significant increase in potency per dose.
• domain antibodies can be used as a building block to create therapeutic prodacls such as multiple targeting dAbs in which a construct containing two or more variable domains bind to two or more therapeutic targets, or dAbs targeted for pulmonary or oral administration.
• the present invention provides a recombinant domain antibody (dAb) which binds to human TNF-ct, the dAb comprising an immunoglobulin heavy or light chain variable domain, wherein said variable domain comprises at least one complementarity determining region (CDR) having a sequence derived from a New World primate wherein the CDR is selected from the group the group consisting of YAATKLQS (SEQ ID No:l), YEASSLQS (SEQ ID No:2), YE ⁇ SKLQS (SBQ ID No:3), YSASNfLET (SEQ ID No:4).
• CDR complementarity determining region
• the invention provides a pharmaceutical composition
• a pharmaceutical composition comprising an effective amount of the dAb according to the first, aspect of the invention, together with a pharmaceutically acceptable carrier or diluent.
• the present invention provides for the use of a dAb according to the first aspect of the invention in a diagnostic application for detecting human TN.F- ⁇ .
• the invention provides a method for treating a disorder characterised by human TNF- ⁇ activity in a human subject, comprising administering to the subject a pharmaceutical composition according to the second aspect of the invention.
• the invention provides a nucleic acid sequence encoding the dAb of the first aspect of the invention.
• Figure 1 shows the amino acid (SEQ ID No:6) and nucleotide sequence (SEQ ID No:5) of the acceptor dAb.
• Figure 2 shows the nucleotide and amino acid sequences of eleven (11) marmoset and six (6) Owl monkey Vk gene segments.
• Figure 3 shows the acceptor dAb amino acid and nucleotide sequence (both strands).
• the restriction digest sites for Kpn I and San DI which excises a region including the CDR2 is indicated in the figure.
• CDR2 residues removed are indicated in underlined.
• Figure 4 shows sequence alignments showing oligonucleotides used during cloning and final sequence confirmation of the nucleotide (A) and amino acid (B) sequences shown in Figure 2.
• Figure S demonstrates the ability of CDR2-grafted dAbs to inhibit the binding of TNF to recombinant TNF receptor.
• Marmoset 1 CDR ⁇ YEASKLQS ; SEQ ID No:3
• Figure 6 demonstrates the improved ability of Compounds 100 and 123 to neutralise the cytotoxic activity of TNF on mouse L929 fibroblasts relative to acceptor dAb (Compound 145).
• the present invention provides a recombinant domain antibody (dAb) which binds to human TNF- ⁇ , the dAb comprising an immunoglobulin heavy or light chain variable domain, wherein said variable domain comprises at least one complementarity determining region (CDR) having a sequence derived from a New World primate wherein the CDR is selected from the group the group consisting of YAATKLQS (SEQ ID No:l), YEASSLQS (SEQ ID No:2), YEASKLQS (SEQ ID NoJ), YSASNLET (SEQ ID No:4).
• CDR complementarity determining region
• the CDR is CDR2.
• the dAb has a sequence selected from: DIQMTQSPSSLSASVGDRVT ⁇ CRASQSIDSYLI-.WYQQKPGK ⁇ PKLLIYS ⁇ SNLETG VPSRFSGSGSGTDFTLTISSLQPEDFATY ⁇ CQQVVWRPF ⁇ FGQGTKVEIKR
• the invention provides a nucleic acid sequence encoding the dAb of the first aspect of the in vention.
• binding is intended to refer to the binding of an antigen by an immunoglobulin variable region with a dissociation constant (Kj) of 1 ⁇ M or lower as measured by surface plasmo ⁇ resonance analysis using, for example a BIAcoreTM surface plasmo ⁇ resonance system and BI ⁇ coreTM kinetic evaluation software (eg. version 2.1).
• Kj dissociation constant
• the affi ⁇ iLy or dissociation constant (Kj) for a specific binding interaction is ⁇ iefe ⁇ ably about 500 ⁇ M or lower, more preferably about 300 nM or lower and preferably at least 300 nM to 50 pM, 200 nM to 50 pM, and more preferably at least 100 nM to 50 pM, 75 nM to 50 pM, 10 nM to 50 pM.
• variant domain as used herein is meant a folded polypeptide domain which comprises sequences characteristic of immunoglobulin heavy or light chain variable domains mid which specifically binds an antigen.
• a domain antibody or dAb is equivalent to a single variable domain polypeptide. It wil 1 be appreciated by persons ski !
• variable domain sequence may be derived from cither a human, New World primate or Old World primate variable domain sequence which, because of their evolutionary association with humans, share a high degree of homology with the human sequence.
• a CDR selected from the sequences above may be grafted into the human or primate variable region sequence to replace the wild-type CDR .
• the invention is further based on a method for amplification of New World primate immunoglobulin variable domain genes, for example by polymerase chain reaction (PCR) from nucleic acid extracted from New World primate lymphocytes using primers specific for heavy and light chain variable domain gene families.
• PCR polymerase chain reaction
• information regarding the boundaries of the variable domains of heavy and light chain genes can be used to design PCR primers that amplify the variable domain from a cloned heavy or light chain coding sequence encoding art antibody known to bind a given antigen.
• the amplified variable domain Is then inserted either alone or as a fusion with another polypeptide sequence into a suitable expression vector.
• the expressed variable domain is then screened for high affinity binding to the desired antigen.
• the repertoire of VH and V L domains can be a naturally occurring repertoire of immunoglobulin sequences or a synthetic repertoire.
• a naturally occurring repertoire is one prepared, for example, from immunoglobulin expressing cells harvested from one or more primates. Such repertoires can be na ' ive ie. prepared from newborn immunoglobulin expressing cells, or rearranged ie. prepared from , for example, adult primate B cells. If desired, clones identified from a natural repertoire, or any repertoire that bind the target antigen arc then subject to mutagenesis and further screening in order to produce and select variants with improved binding characteristics.
• Synthetic repertoires of single immunoglobulin variable domains arc prepared by artificially introducing diversity into a cloned variable domain.
• a repertoire of V H and VL domains can be screened for desired binding specificity and functional behaviour by, for example phage display.
• Methods for the construction of bacteriophage display libraries and lambda phage expression libraries are well known in the art.
• the phage display technique has been described extensively in the ait and examples of methods and compounds for generating and screening such libraries and affinity maturing the products of them can be found in, for example, B arbas et al . ( 1991 ) PNAS 88:7978-7982; Clarkson et al. (1991) Nature 352:624:628; Dower et al. PCT. 91/17271., U.S. Patent No. 5,427,908, U.S. Patcnt No. 5,580,717 and EP 527,839; Fuchs et al. (1991) Bio/Technology 9: 1370-1372; Garrad et al. (1991) Bio/Tecmiology
• Recombinant libraries expressing the repertoire of V H and Vi. domains can be expressed on the surface of microorganisms eg. Yeast or bacteria (see PCT publications WQ99/36569 and 98/49286).
• the Selective Lymphocyte Antibody Method or SLAM as it is referred to in the state of the art, is another means of generating high affinity antibodies rapidly. Unlike phage display approaches all antibodies are fully divalent.
• New World primates are immunised with a human antigen eg. a TNF- GC polypeptide. Following immunisation cells are removed and selectively proliferated in individual micro wells. Supernatants are removed from wells and tested for both binding and function. Gene sequences can be recovered for subsequent manipulations eg. humanisation, Fab fragment, scFv or dAb generation.
• Li one expression system the recombinant peptide/protcin library is displayed on ribosomes (for examples see Roberts, RW and Szostak, J.W.1997. Proc.NatL Acad.Sci. USA. 94:12297 - 123202 and PCT Publication No. WO98/31700).
• a DNA library eg of antibodies or derivatives preferably prepared from immunised cells, but not so limited
• translation of the library such that the protein a ⁇ d "immunised" mRNAs stay on the ribosome
• affinity selection eg by binding to RSP
• mRNA isolation eg by polymerase chain reaction or related technology
• Remplification eg by polymerase chain reaction or related technology. Additional rounds of selection and amplification can be coupled as necessary to affinity maturation through introduction of somatic mutation in this system or by other methods of affinity maturation &H known in the state of the art.
• the CDR regions can be predicted from Lhe Vn and V L domain repertoire (see for example Kabat EA and Wu IT. Attempts to locate complementarity determining residues in ihc variable positions of light and heavy chains. Ann, NY Acad. Sci. 190:382-93 (1971)).
• the CDR sequence may be a genomic DNA or a cDNA,
• the preferred method of the present invention involves replacement of the CDR2 in the variable region domain via primer directed mutagenesis. This method consists of annealing a synthetic oligonucleotide encoding a desired mutations to a target region where it serves as a primer for initiation of DNA synthesis in vitro, extending the oligonucleotide by a DNA polymerase to generate a double-stranded DNA thai carries the desired mutations, and ligating and cloning the sequence into an appropriate expression vector.
• the domain antibody according to ihc invention has low immiinogenicity in humans.
• low immunogcnicity it is meant that the domain antibody does not raise an antibody response in a human of sufficient magnitude to reduce the effectiveness of continued administration of the antibody for a sufficient time to achieve therapeutic efficacy.
• variable region sequence into which the CDR is grafted is the "d ⁇ b acceptor sequence" (designated Compound 128) provided in Figure 1.
• the dAb acceptor sequence consists of the amino acid sequence set fotth in SEQ ID No:5:
• VPSRFSGSOSGTDFTLTISSLQPEDFATYYCQQWWRPFTFGQGTKVEIKR (SEQ ID No;6).
• This sequence is encoded dy the nucleotide sequence set forth in SEQ ID No:5: GAC ATC CAG ATG ⁇ CC CAS TCT CCA TCC 'I 1 CT CTO TCT GCA TCT GTA GGA GAC CGT GTC ⁇ CC ATC ACT TGC CGG GCA AGT CAG AGC ATT CJAT ⁇ G'P TAT TTA CAT TCJG TAC CAG CAG AAA CCA GOiG AAA OCC CCC AAG CTC CTG ATC TA'P AGT GCA TCC GAG TTG CAA AGT GGG GTC CCA TCA CGT TTC AGT GGC AGT OGA TCP GGG ⁇ CA GAT 1 PTC ACT CTC ACC ATC AGC AGT CTG C ⁇ A CCT RAA UAT TTT GCT ACG TAC T ⁇ C TGT CAA CAG GTT GTG TGG CST CCT TTT ACO TTC GGC CAA • GGG ⁇ CC AAO GTG CJA
• a marmoset CDR sequence YSASNLET (SEQ ID No:4) is grafted into the dAb acceptor sequence os as to replace the CDR2 sequence (YSASELQS; SEQ ID No:49) of the dAb acceptor sequence to produce the folloqin g dAb (designated Compound 145): Compound 145
• the dAb which binds to human TNF-cx comprises the amino acid sequence of SEQ ID No:7.
• the dAb sequence may be further subject to affinity maturation in order to improve its antigen binding characteristics. This may necessitate the modification of certain amino acid residues within CDR1 and CDR3.
• the marmoset CDR-grafted dAb set forth in SEQ ID No:7 was affinity matured as set out in the Materials and Methods and tested for TNF-binding.
• the dAb which binds to human TNF- ⁇ comprises the amino acid sequence of SEQ ID No:8 or SEQ ID No:9. These have been designated Compound 123 and Compound 100 respectively and their sequences arc shown below:
• DrQMTQSPSSLS ⁇ SVGDRVTITCRASQSlDSYLflWYQQKPGKAPKLLlYSASNLETG VPSRFSGSGSGTDF ⁇ LTISSLLPEDFATY YCQQVVWRPFTFGQGTKVEIKR (SEQ ID No:9)
• the dAb which binds to human TNF- ⁇ comprises the amino acid sequence of SEQ ID No: 10. This has ben designated Compound 196 and the sequence is provided below: Compound 196
• the dAb according to the invention may further comprise an immunoglobulin constant region (Fc region) connected thereto.
• the constant region sequence may be derived from human or primate sequences.
• the primate sequence may be a Mew World primate or an Old World primate sequence. Suitable Old World primates include chimpanzee, or other hominid ape eg. gorilla or orang utan, which because of their close phylogcnetic proximity to humans, share a Mgh degree of homology with die human constant region sequence.
• the dAb (with or without the constant region connected thereto) can be derivatised or linked to another functional molecule.
• the dAb can be functionally linked by chemical coupling, genetic fusion, noncovalcnt association or otherwise, to one or more other molecular entities, such as another antibody, a detectable agent, a cytotoxic agent, a pharmaceutical agent, and/or a protein or peptide that can mediate association of the antibody with another molecule (such as a streptavidin core region or a polyhislidine tag).
• detectable agents with which the dAb may be derivatised include fluorescent compounds.
• Exemplary fluorescent detectable agents include fluorescein, fluorescein isolhiocyanate, rhodamiac, 5-dimethylamine-1-napthalenesulfonyl chloride, phycoerythrin and the like.
• the dAb may also be derivatised with detectable enzymes such as alkaline phosphatase, horseradish peroxidase, glucose oxidase and the like. When a dAb is derivatized with a detectable enzyme, it is detected by adding additional reagents thai the enzyme uses to produce a detectable reaction product.
• a dAb may also be derivatised with biotin, and detected through indirect measurement of avidin or streptavidin binding. •
• the present invention also extends to PEGylated dAbs (with or without the constant region connected thereto) which provide increased half-life and resistance to degradation without a loss in activity (eg. binding affinity) relative to non-PEGylated antibody polypeptides,
• the d ⁇ b can be coupled, using methods known in the art, to polymer molecules (preferably PEG) useful for achieving the increased half- life and degradation resistance properties.
• Polymer moieties which can be utilised in the invention can be synthetic or naturally occurring and include, but or not limited to straight or branched chain polyalkylene, polyalkenylene or polyoxyalkylcnc polymers, or a branched or unbranched polysaccharide such as a homo-or heteropolysaccharide.
• Preferred examples of synthetic polymers which can be used in the invention include straight or branched chain poly(cthylene glycol) (PEG), poly(propylene glycol), or polyvinyl alcohol) and derivatives or substituted forms thereof.
• Particularly preferred substituted polymers for linkage to dAbs include substituted PBG, including mcthoxy(polyethy!ene glycol).
• Naturally occurring polymer moieties which can be used in addition to or in place of PEG include lactose, amylose, dcxtran, or glycogen, as well as derivatives thereof which would be recognised by persons skilled in the art.
• Derivatizcd forms of polymer molecules include, for example, derivatives which have additional moieties or reactive groups present therein to permit interaction with, amino acid residues of the domain antibody polypeptides described herein.
• Such derivatives include N-hydroxylsuccinimide (NHS) active esters, succinimidyl propionate polymers, and sulfhydryl-seleclive reactive agents such as maleimidc, vinyl sulfo ⁇ e, and thiol.
• PEG polymers useful in the invention can be linear molecu les, or can be branched wherein multiple PEG moieties are present in a single polymer.
• Tlic reactive group e.g., MAL, NHS, SPA, VS, or Thiol
• the size oi " polymers useful in the invention can be in the range of between 500 Da to 60 kDa, for example, between 1000 Da and 60 kDa, 10 kDa and 60 kPa, 20 kDa and 60 kDa, .30 kDa and 60 kDa, 40 kDa and 60 kDa, and up to between 50 kDa and 60 kDa.
• the polymers used m the invention, particularly PEG can be straight chain polymers or may possess a branched conformation.
• the polymer (PEG) molecules useful in the invention can be attached to a domain antibody using methods which are well known in the art.
• the first step in the attachment of PEG or other polymer moieties to an antibody polypeptide monomer or multimer of the invention is the substitution of the hydroxyl end- groups of the PEG polymer by clectrophilc-containing functional groups.
• PEG polymers are attached to either cysteine or lysine residues present in the domain antibody.
• the cysteine and lysine residues can be naturally occurring, or can be engineered into the antibody polypeptide molecule.
• cysteine residues can be recombinantly engineered at the C- terminus of a dAb polypeptide, or residues at specific solvent accessible locations in a dAb or other antibody polypeptide can be substituted with cysteine or lysine.
• the dAb according to the invention may be linked to one or more molecules which can increase its half-life in vivo. These molecules may be linked to the dAb via a linker so that they do not intcrfere/sterically hinder the antigen binding site. Alternatively, they may be linked to the constant region. Typically, such molecules are polypeptides which occur naturally in vivo and which resist degradation or removal by endogenous mechanisms. Molecules which increase half life may be selected from the following:
• proteins from the extracellular matrix eg. collagen, laminin, integ ⁇ n and fibro ⁇ ectin
• proteins found in blood eg. fibrin ⁇ -2 macxogl ⁇ bulin, serum albumin, fibrinogen ⁇ , fibrinogen B, serum amyloid protein A, heptaglobin, protein, ubiquitin, uteroglobulin, ⁇ -2 microglobulin, plasminogen, lysozyme, cystatin C, alpha- 1-anii ⁇ rypsin and pancreatic , kypsin inhibitor
• immune serum proteins eg. IgE, IgG, TgM
• transport proteins eg. rctinol binding protein, ⁇ -1 microglobulin
• defensins eg. beta-defensin 1, Neutrophil defensins 1, 2 and 3;
• proteins found at the blood brain barrier or in neural tissues eg. melanocortin receptor, myelin, ascorbate transporter;
• transferrin receptor specific ligand-neuropharmaceutical agent fusion proteins see US5977307; brain capillary endothelial cell receptor, transferrin, transferrin receptor, insulin, insu lin- like growth factor 1 (IGF 1) receptor, insulin-like growth factor 2 (IGF 2) receptor, insulin receptor;
• proteins localised to the kidney eg. polycystin, type IV collagen, organic anion transporter Kl, lleymann's antigen;
• proteins localised to the liver eg. alcohol dehydrogenase, G250;
• blood coagulation factor X blood coagulation factor X;
• ⁇ -1 antitrypsin (1) HKF l ⁇ ;
• proteins localised to the lung eg, secretory component (binds Ig ⁇ );
• proteins localised to the Heart eg. HSP 27;
• proteins localised to the skin eg, keratin
• bone specific proteins such as bone morphogenic proteins (BMPs) eg. BMP-2, -4, -5, - 6, -7 (also referred to as osteogenic protein (OP-I) and -8 (OP-2);
• BMPs bone morphogenic proteins
• OP-I osteogenic protein
• OP-2 osteogenic protein
• tumour specific proteins eg. human lrophoblast antigen, herceptin receptor, oestrogen receptor, cathepsins eg cathcpsin B (found in liver and spleen);
• disease-specific proteins eg. antigens expressed only on activated T- cells: including LAG-3 (lymphocyte activation gene); osleoprotegerin ligand (OPGL) sec Nature 402, 304- 309, 1999; OX40 (a member of the TNF receptor family, expressed on activated T cells and the only costimulatory T cell molecule known to be specifically up-regulated in human T cell leukaemia virus type-I (HTLV-l)-producing cells - see J. Immunol.
• LAG-3 lymphocyte activation gene
• OPGL osleoprotegerin ligand
• stress proteins heal shock proteins
• proteins involved in Fc transport proteins involved in Fc transport
• antibodies, fragments or derivatives directed against endogenous proteins e.g. serum albumin.
• the d ⁇ b according Io the first aspect may be muliimerised, as for example, hctcro- or homodirncrs, hctcro- or hoinotrimcrs, iieter ⁇ - or homotcttamcrs, or higher order hctero- or homoniultimers.
• Multimerisation can increase the strength of antigen binding, wherein the strength of binding is related to the sum of the binding affinities of the multiple binding sites.
• the invention provides a domain antibody according to the first aspect, wherein the domain antibody is linked to at least one further domain antibody.
• Each dAb may bind to the same or different antigens.
• the dAb rnulLimers may further comprise one or more d ⁇ bs which are linked and wherein each dAb binds to a different antigen, multi-specific ligands including so-called "dual- specil ⁇ c ligands".
• the dual specific ligands may comprise a pair of VH domains or a pair of VL domains.
• Such dual-specific ligands arc described in WO 2004/003019 (PCT/GB2003/002804) in the name of Domantis Ltd.
• the invention provides a pharmaceutical composition comprising an effective amount of (lie d ⁇ b according to the first aspect of the invention, together with a pharmaceutically acceptable carrier or diluent.
• a “pharmaceutically acceptable carrier” includes any and all solvents, dispersion media, coatings, antibacterial and antifungal antifungal agents, isotonic and absorption delaying agents, and the like which are physiologically compatible.
• pharmaceutically acceptable carriers include one or more of water, saline, phosphate buffered saline, dextrose, glycerol, ethanol, and the like as well as combinations thereof, In many cases it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, or sodium chloride in the composition.
• Pharmaceutically acceptable substances such as wetting or minor amounts of auxiliary substances such as wetting or emu lsifying agents, preservatives or buffers.
• the composition may be in a variety of forms, including liquid, semi-solid and solid dosage forms, such as liquid solutions (eg injectable and infusible solutions), dispersions or suspensions, tablets, pills, powders* liposomes and suppositories.
• the composition is in the form of an injectable solution for immunization.
• the administration may be intravenous, subcutaneous, intraperitoneal, intramuscular, transdermal, intrathecal, and intra-arterial.
• compositions typically must be sterile and stable under the conditions of manufacture and storage.
• the compositions can be formulated as a solution, microemulsion, dispersion, liposome, or other ordered structure suitable to high drug concentration.
• Sterile injectable solutions can be prepared by incorporating the active compound (ie. dAb) into the required amount in an appropriate solvent with one or a combination of ingredients listed above, followed by filtered sterilisation.
• composition may also be formulated as a sterile powder for the preparation of sterile injectable solutions.
• the proper fluidity of a solution can be maintained by for example, use of a coating such as lecithin and/or surfactants.
• the active compound may be prepared with a carrier that will protect the compound against rapid release, such as a controlled release formulation, including irnptants, transdermal patches, and microencapsulated delivery systems.
• a controlled release formulation including irnptants, transdermal patches, and microencapsulated delivery systems.
• Compatible polymers may be used such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters and polylactic acid.
• composition may also be formulated for oral administration, Tn this embodiment, the dAb maybe enclosed in a hard or soft shell gelatin capsule, compressed into tablets, or incorporated directly into the subject's dieL.
• the composition may also be formulated for rectal administration.
• Supplementary active compounds can also be incorporated into the composition.
• the domain antibody may be co-formulated with and/or co-adininislercd wilh one or more additional therapeutic agents eg. anti-inflammatory compounds, soluble TNF- ⁇ receptor or a chemical agent that inhibits human TNF- ⁇ production, or antibodies that bind other targets such as cytokines or cell surface molecules.
• additional therapeutic agents eg. anti-inflammatory compounds, soluble TNF- ⁇ receptor or a chemical agent that inhibits human TNF- ⁇ production, or antibodies that bind other targets such as cytokines or cell surface molecules.
• il may be coadministered with a soluble itni ⁇ iuiiochemical reagent such as protein ⁇ , C, G or L.
• An effective amount may include a therapeutically effective amount or prophylaetieally effective amount of the dAb of the invention.
• a therapeutically effective amount refers to an amount effective at dosages and for periods of time necessary, to achieve die desired therapeutic result.
• a prophylactieally effective amount refers to an amount effective, at dosages and for periods of time necessary, to achieve the desired, prophylactic result.
• composition is administered to mammals, preferably humans or piimates.
• present invention provides for the use of a d ⁇ b according to the first aspect of the invention in a diagnostic application for detecting human TNF- ⁇ .
• the anti-human TNF- ⁇ dAb according to the invention can be used to detect human TNF- ⁇ for example in a biological sample, such as serum or plasma using a conventional immunoassay, such as an enzyme linked immunosorbent assay (ELlSA), a radioimmunoassay (RIA) or tissue immunohistochemistry.
• a biological sample such as serum or plasma
• a conventional immunoassay such as an enzyme linked immunosorbent assay (ELlSA), a radioimmunoassay (RIA) or tissue immunohistochemistry.
• ELlSA enzyme linked immunosorbent assay
• RIA radioimmunoassay
• tissue immunohistochemistry tissue immunohistochemistry.
• the anti-human TNF- ⁇ dAb according to the invention can be assayed in biological fluids by a competition immunoassay using recombinant human TNF- ⁇ standards labelled with a detectable substance and an unlabelled anti-human TNF- ⁇ antibody.
• the anti-human TNF- ⁇ dAb according to the invention may also be used to detect TNF- ⁇ from species other than humans eg. chimpanzee, marmoset, rhesus, mouse, pig.
• the anti-human TNF- ⁇ dAb according to the invention may also be used in cell culture applications where it is desired to inhibit TNF-(X activity.
• the invention provides a method for treating a disorder characterised by human TNF-u activity in a human subject, comprising administering to the subject a pharmaceutical composition according to the second aspect of the invention,
• a disorder characterised by human TNF- ⁇ activity is intended to include diseases and other disorders in wli ich the-presence of TNF- ⁇ in a subject suffering from the disorder has been shown to be or is suspected of being either responsible for the pathophysiology of the disorder or a factor which contributes to a worsening of the disorder.
• the disorder characterised by human TNF- ⁇ activity is selected from the group consisting of inflammation, inflammatory diseases, sepsis, including septic shock, endoioxic shock, gram negative sepsis and toxic shock syndrome; autoimmune disease, including rheumatoid arthritis, rheumatoid spondylitis, osteoarthritis and gouty arthritis, allergy, multiple sclerosis, autoimmune diabetes, autoimmune uveitis and nephrotic syndrome; infectious disease, including fever and myalgias due to inicctio ⁇ and cachexia secondary to infection; graft versus host, disease; tumour growth or metastasis; pulmonary disorders including adult respiratory distress syndrome, shock lung, chronic pulmonary inflammatory disease, pulmonary sarcoidosis, pulmonary fibrosis and silicosis; inflammatory bowel disorders including Crohn's disease and ulcerative colitis; cardiac disorders; inflammatory bone disorders, hepatitis, coagulation disturbances, burns, reperfusion injury
• Marmoset (genus Callithrix, species unknown) and Owl monkey (Aoius trivirgatus) genomic DN ⁇ were obtained from the European Collection of Cell Cultures ( ⁇ -CACC), catalogue numbers 85011419 and 90110510 respectively.
• Marmoset DNA was derived from cell line B95-8 while Owl monkey DNA came from cell line OMK 637-69.
• VK leader sequences and recombination signal sequences were derived from Walter and Tomlinson, Antibody Engineering: A Practical Approach (1996).
• the primers used for amplification of germline VK DNA were as follows:
• Genomic PCR (30 cycles) was performed using Taq polymerase with cither primer pair VKlBLxVK I B L35a or VKlBLxV K 1 BL35b. There was overlap between the. sequences cloned and the two primer sets used. PCR products were cloned into I ⁇ vitrogen's TOPO TA cloning kit (Cat No K4500-01) and sequcnced with M13 forward and pUC reverse primers. Sequence was confirmed in forward and reverse directions, Tn order to further confirm key sequences were not subject to PCR errors, the PCR and cloning process was repeated twice for marmoset sequences.
• Nucleotide SEQ ID Nos:14-24 and SEQ ID Nos:36-41) and amino acid (SBQ ID Nos:25- 35 and SEQ iD Nos:42-47) are given in Figure 2. Marmoset sequences 1, 2 and 3 were confirmed. Sequences 4, 5, 6, 7 and 8 were seen only in the initial PCR. Sequences 9, 10 and 11 were seen only in the repeat (ie second) PCR and cloning.
• YA ⁇ TKLQS (SKQ ID No:l) from OwI monkey sequence 1 (SEQ ID No:42), YEASSLQS (SEQ ID No:2) from Owl monkey sequence 2 (SEQ ID No:43) ( YEASKLQS (SEQ ID No:3) from Marmoset sequence 1 (SEQ ID No:25), and YSASNLET (SEQ ID NO:4) from Marmoset sequence 2 (SEQ ID No:2 ⁇ )
• YA ⁇ TKLQS (SKQ ID No:l) from OwI monkey sequence 1 (SEQ ID No:42)
• YEASSLQS (SEQ ID No:2) from Owl monkey sequence 2 (SEQ ID No:43)
• YEASKLQS (SEQ ID No:3) from Marmoset sequence 1 (SEQ ID No:25)
• YSASNLET (SEQ ID NO:4) from Marmoset sequence 2 (SEQ ID No:2 ⁇ )
• acceptor variable region (anti-TNF domain antibody) sequence in the expression vedor (Domantis proprietary vector) was digested (25 ⁇ g) sequentially with Kpnl and SanD£ which excises the majority of FR2 as well as CDR2 as indicated on the restriction digest map. The vector was then gel purified to remove the excised wild-type ER2 and CDR2 sequence.
• Oligo annealing was performed by incubating oligo pairs (500 pmol of each as shown in Figure 4A and 4B) at 95 a C for 5 minutes followed by 65"C for 5 minutes and then allowed to reach rcium temperature slowly on a hot block. Overlaps were then filled in during a Klenow reaction in the presence of dNTPs. Affinity Maturation
• the marmoset CDR-grafted dAb Compound 145 (SEQ ID No:7) was affinity matured by constructing 14 separate libraries, each a diversification of the sequence of SEQ ID No:7 at a single amino acid residue. The selected residues are shown shaded below.
• Clones were initially screened by ELIZA using solid- phase TNF, and positive clones were sequcnccd.
• dAb protein was purified from the best clones and evaluated for potency in receptor binding assays and L929 cytotoxicity assays.
• Compounds 100 SEQ ID No:9 and 123 (SEQ ID No:8) were found to have improved TNF-ncutralization relative to the parent dAb, Compound 145 (SEQ ED No:7).
• Receptor binding assay dAbs diversified in the 14 selected positions were tested for the ability to inhibit the binding of TNF io recombinant TNF receptor 1 (p55). Briefly, Maxisorp plates were incubated overnight with 30 mg/ml anti-human Fc mouse monoclonal antibody (Zymed, San Francisco, USA). The wells were washed with phosphate buffered saline (PBS) containing 0.05% Twcen-20 and lhen blocked with 1% BSA in PBS before being incubated with 100 ng/.ml TNF receptor 1 Fc fusion protein (R&D Systems, Minneapolis, USA).
• PBS phosphate buffered saline
• TNF binding was detected wilh 0,2 mg/rnl biotinylated anti- TNF antibody (HyCuIl biotechnology, Uben, Netherlands) followed by 1 in 500 dilution of horse radish peroxidase labelled streptavidiu (Amcrsham Bioscicnces, UK) and then incubation with TMB substrate (KPL, Gaithersburg, USA). The reaction was stopped by the addition of HCl and the absorbance was read at 450nm, Anti-TNF dAb activity lead to a decrease in TNF binding and therefore a decrease in absorbance compared with the TNF only control (Figure 5).

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