WO2010052344A2

WO2010052344A2 - Antibodies to modified human igf-1/e peptides

Info

Publication number: WO2010052344A2
Application number: PCT/EP2009/064947
Authority: WO
Inventors: John Xu; Yuan Gao; Mara Fornaro; Rainer Hillenbrand; Francois Legay; Daniela Stoellner
Original assignee: Novartis Ag
Priority date: 2008-11-10
Filing date: 2009-11-10
Publication date: 2010-05-14
Also published as: CN102232087A; ZA201102193B; MX2011004923A; US20140243265A1; AU2009312731A1; CA2743072A1; EP2356148A2; CL2011001028A1; US20110218145A1; US8753632B2; IL212078A0; WO2010052344A3; BRPI0921261A2; MA32770B1; EA201100741A1; AU2009312731B2; NZ591918A

Abstract

High- specificity antibodies can distinguish between modified (e.g, hIGF-1/Ea 3mut) and endogenous human IGF- 1 proteins. These antibodies have little or no cross-reactivity with hIGF-1 or hIGF-2. They also have little or no cross-reactivity with rodent IGF-1 or IGF-2. The antibodies can be used in pharmacokinetic (PK)/pharamcodynarnie (PD) assessments of IGF- 1 /E peptides that have been administered to humans or animals. A sandwich ELISA assay, using the antibody of the invention as a capture antibody, can quantify the mutant IGF- 1/E proteins in samples.

Description

ANTIBODIES TO MODIFIED HUMAN IGF-I/E PEPTDES

FIELD OF THE INVENTION

This invention relates generally to immunoglobulins, antibodies and fragments thereof. In particular, the invention relates to the preparation and use or antibodies that bind hnmunospecifically to modified human insulin-like growth factor 1 proteins.

BACKGROUND OF THE INVENTION

Insulin-like growth factor 1 (IGF-I. somatomedin) is a small single-chain protein that induces muscle hypertrophy and blocks skeletal muscle atrophy. IGF-I is initially synthesized in the human body as an IGF-l/E precursor, where E is an extension peptide at the C-lerminus of the mature IGF-I protein. The mature IGF-I is initially encoded by one of three known splice variant mRNΛs. The open reading frame of each mRNA encodes a precursor protein containing the 70 amino acid IGF-I moiety and a particular extension (E) peptide at the C- tcrminus. which can he Ea. Eb or Ec, depending on the particular IGF-I mRNA. The C- terminal E peptide is later cleaved as IGF-I matures.

Modified recombinant human IGF-l/E proteins have been constructed and described in published PCT patent application WO2007/146689. These modified IGF-I /E peptides have longer half-life, increased stability, reduced affinity to inhibitory insulin-like growth factor binding proteins (IGFBPs). and increased efficacy compared to wild type IGF-I. An exemplary modified human IGF- 1 /K protein is hlGF-1/Ka 3mut (see FIG. 1). The "3mul" designation refers to a hlGF-1-E-peptide precursor having the following three sets of modifications: (I) deletion ol'Gl. P3. and E3; (2) mutation of Arg 37 to Ala (R37A); and (3) deletion of R71 and $72. These hIGF-l/E 3mul peptides are proposed as being potential new drug for the treatment of skeletal muscle atrophy.

However, assessing the pharmacokinetics (PK) and nharαcodynamics (PD) for this drug candidate is difficult, because the wild type and modified hlGF-1 /E peptides differ with each other in only one or two amino acids at three separate positions over the length of the entire peptide chains (FIG. 1 ). No commercially available antibody recognizes the hlGF-1/Ea 3muι peptides without also delecting the endogenous hlGF-1. SUMMARY OF THE INVENTION

The invention provides hJgh-specificicty antibodies that distinguish between modified (e.g, hIGF-1/Ea 3mul) and endogenous human IGF-1 proteins. The antibodies of the invention have little or no cross-reactivity with hlGF-1 or hLGF-2. They also have lhtle or no cross- reactivity with rodent IGF-I or IGF-2. The antibodies are useful for phaπnacokinctk: (PK) and pharamcodynainic (PD) assessments of IGF-1/E peptides that have been administered to humans or animals.

In one embodiment, the antibody of die invention binds immunospecifically to the peptide GPTLCGAELV (SEQ ID NOrI), but does not bind immunospecifially to the peptide GPETLCGAELV (SEQ JD NO:2). In another embodiment, the antibody of the invention binds immunospecifically to the peptide PAKSAVRAQR (SEQ ID N0:6) but does not bind immunospecifically to the peptide PTKAARSIRΛQR (SEQ ID N0:7).

The invention therefore provides the antibodies QCl,QC2,QQ2,QQ5and QQ6.

The antibodies may be monoclonal or polyclonal. They may be produced by immunisation of a suitable mammal, such as a mouse, rabbh, goat, horse, camel or shaik.

Further included within the scope of the invention are hybridomas that produce die antibodies of the invention, nucleic acid sequences encoding said antibodies, vectors, for example expression vectors, comprising such a nucleic acid sequence, as well as cells transformed with such vectors.

The invention also provides the hybridomas (deposited with DSMZ, Inhoffenstr.7B, D-38124

Braunschweig.. Germany), which can be used to express the antibodies

and QQ6, respectively.

The invention also provides a bioanalytical assay for assessing the pharmacokinetic (PKVphtrmacodynamic (PD) relationship of modified recombinant human K3F-1/E peptides. In one embodiment, the assay is a radioimmunoassay (RJA) or an Enzyme-Linked Immunosorbent Assay (ELISA), such as a sandwich EUSA, assay to quantify the mutant IGF-1/E proteins in preclinical and clinical samples, in which an antibody of the invention is used as the immunosorbent agent (capture antibody). In these applications, the antibodies can be labelled with an analytically-detectable reagent such as a radioisotope, a fluorescent molecule or an enzyme. In addition, the antibodies of the invention me used lonυrify laτge quantities of IGF-I /E 3mut peptides, for example by affinity chromatography. The antibodies of the invention are thus useful for the commercial-scale purification of a Dharmace4itkal to treat muack atrophy.

In one embodiment, the antibody used in the methods described above is selected from the list consistign of

DETAILED DESCRIPTION OF THE INVENTION Antibodies of the Invention

Definitions. The definitions of certain terms as used in the specification are provided below. Definitions of other terms may be found in the Illustrated Dictionary if Immunology, 2nd Edition. Cruse. J.M. and Lewis, R.E, eds. (CRC Press, Boca Raton, Florida, 1995).

The administration of an aget or drug to assubject or subject includes self-administration and the administration by another. It is also to be appreciated that the various modes of treatment or prevention of medical conditions as described are intended to mean "substantial", which includes total but also less than total treatment or prevention, and wherein some biologically or medically-relevant result is achieved.

The term "antibody" means a polypeptide comprising a framework region from an immunogiobαlin gene or fragments thereof that specifically binds and recognizes an epitope, e.g., an epitope found on a modified 1GF-1/E peptide but not on a wild type IQF. such as the epitopes of the Peptide A and Peptide C antigens, both described below. Use of the term antibody is meant to include whole antibodies, including single-chain whole antibodies, and antigen-binding fragments thereof. The term "antibody" includes antigen-binding antibody fragments, induding single-chain antibodies, which can comprise the variable regions alone, or in combination, with all or part of the following polypeptide elements: hinge region, CHi. CH₂, and CHs domains of an antibody molecule. Also included in the invention are any combinations of variable regions and hinge region. CH₁, CH₂, and CH₃ domains. Antibody- related molecules useful as binding agents of the invention include. e.g. but are not limited to. Fab, Fab' and F(ab')₂. Fd, single-chain Fvs (acFv) single-chain antibodies, disulphide-linked Fvs(sdFv) and fragments comprising either a V₁or V_H doιnain. Examples include: (i) a Fab fragment, a monovalent fragment consisting of the V_L, V₁₁, C_L and CH₁ domains; (ii) a F(ab')₂ fragment, a bivalent fragment comprising two Fab fragments linked by a disulphide bridge at the hinge region; (Ui) a Fd fragment consisting of the V_H and CH1 domains; (iv) α Fv fragmem consisting of the V_L and V_H domains of a single arm of an antibody, (v) a dAb fragment (Ward et al, Nature 341: 544-546. 1989), which consists of a V₁₄ domain; and (vi) an isolated complemeniarity determining region (CDR). The term "antibody" includes single domain antibodies, maxibodies, minibodies, intrabodies, diabodies, triabodies, tetrabodies, v- NAR and bis-scFv (see. e.g Hollinger & Hudson, Nature Biotechnology, 23, 9, 1126-1136 (2005)). Once antibodies have been raised, they may be chimerised or humanised. For example, to create a chimeric antibody, the variable regions can be linked to human constant regions using methods known in the art (see e.g., U.S. Patent No.4,816,567 to CabUly el al.). To create a humanized antibody, the CDR regions can be inserted into a human framework using methods known in the art. See e.g., U.S Patent No.5225539 to Winter, and U.S. Patent Nos. 5530101; 5585089: 5693762 and 6180370 to Queen el al, In an alternative to this antigen binding portions of antibodies can be grafted into scaffolds based on polypeptides such as Fibronectin type 111 (Fn3) (see U.S. Pat. N_º 6,703,199, which describes fibronectin polypeptide monobodies). Antigen binding portions can be incorporated into single chain molecules comprising a pair of tandem Fv segments (VH-CHl-VH-CHI) which, together with complementary light chain polypeptides, form a pair of antigen binding regions (Zapata etal., Protein Eng.8(10):1057-1062 (1995); and U.S. Pat No. 5.641.870).

The term "biological sample" means sample material derived from or contacted by living cells. The term ^"biological sample" is intended to include tissues, cells isolated from a subject, as well as tissues, cells and fluids present within a subject.

The term "epitope" means a protein determinant capable of specific binding to an antibody. Epitopes usually consist of chemically active surface groupings of molecules such as amino adds or sugar side chains and usually have specific three dimensional structural characteristics, as well as specific charge characteristics. Conformational and nonconformational epitopes are distinguished in that the binding to the former but not the latter is lost in the presence of denaturing solvents.

The term immunologically reactive conditions" means conditions which allow an antibody, generated to a particular epitope of an antigen, to bind to that epitope to a detectably greater degree than the antibody binds to substantially all other epitopes, generally at least two times above background binding, preferably at least five tiroes above background. Immunologically reactive conditions an dependent upon the format of the antibody binding reaction and typically are those utilized in immunoassay protocols. See, Hariow & Lane, Antibodies. A Laboratory Manual (CoM Spring Harbor Publications, New York, 1988) for a description of immunoassay formats and condition_.

The term "immunospecifically" as used herein refers to the ability of an individual antibody combining site to react with only one antigenic determinant. The combining site of the antibody is located in the Fab portion of the molecule and is constructed from the hypervariable regions of the heavy and light chains. Binding affinity of an antibody is the strength of the reaction between a single antigenic determinant and a single combining site on the antibody. It is the sum of the attractive and repulsive forces operating between the antigenic determinant and the combining site of the antibody. As used herein, the term "high affinity" for an IgG antibody refers to an antibody having a KD of 10^-8 M or less, 10^-9 M or less,, or 10 ^-10 M, or 10 ^-11 M or less for a target antigen However, "high affinity" binding can vary for other antibody isotypes. For example, "high affinity" binding for an IgM isotype refera to an antibody having a KD of 10^-7 Mor Iless, or 10^{- 8} or less. The term "monoclonal antibody" means an antibody that is derived from a single clone, including any eukaryotic, prokaryotic, or phage done, and not the method by which it is produced. A monoclonal antibody composition displays a single bindin specificity and affinity for a particular epitope.. Monoclonal antibodies can be prepared using a wide variety of techniques known in me art including, e.g.. but not limited to, bybridoma, recombinant, and phage display technologies.

The term ''polyclonal antibody" means a preparation of antibodies derived from at least two different antibody producing cell lines. The use of this term includes preparations of at least two antibodies mat contain antibodies that specifically bind to different epitopes or regions of an antigen.

The terms ''polypeptide," ''peptide" and "protein" are used interchangeably herein to mean a polymer comprising two or more amino acids joined to each other by peptide bonds or modified peptide bonds, i.e... peptide isosteres. Polypeptide refers to both short chains, commonly referred to as peptides, glycopeptides or oligomers, and to longer chains, generally referred to as proteins. Polypeptides may contain amino adds other man the 20 gene-encoded ammo adds. Polypeptides include ammo acid sequences modified cither by natural processes, such as post-tranlation processing, or by chemical modification techniques that are well known in the art. Such modifications are well described in basic texts and in more detailed monographs, as well as in a voluminous research literature In particular, a modified IGF-1/E protein can be any or the modified IGF-l/E proteins described in published PCT patent application WO2007/146689, as well as any secondarily modified (glycosylated, PEGylated, etc.) proteins thereof.

The term "recombinant" when used with reference, e.g.. to a cell, or nucleic acid, p , or vector, indicates that the celL nucleic acid, protein or vector, has been modifi the introduction of a heterologous nucleic add or prolan or the alleration of a native nucleic acid or protein, or thai the πiaterial is derived from a cell so modified. In particular, a recombinant

IGF-l/E protein can be any of the recombinant IOF-1/E proteins described in published PCT patent application WO2007/146689, as well as any secondarily modified (glycosylated, PEGylated, etc.) proteins thereof.

The terms "single chain antibodies" or "single chain Fv (scFv)" refer to an antibody fusion molecule of the two domains of the Fv fragment, VL and V_H. Although the two domains of the Fv fragment, V_L and V_H, are coded for by separate genes, they can be joined, using recombinant methods, by a synthetic linker that enables them to be made as a single protein chain in which the VL and VH regions pair to form monovalent molecules, known as single chain Fv (scFv). See, e.g.. Bird et al.. Science 242: 423-426 ( 1988); and Huston et al., Proc. Natl Acad. SeL USA. 85: 5879-5883 (1988). Such single chain antibodies are included by reference to the term "antibody" fragments, and can be prepared by recombinant techniques or enzymatic or chemical cleavage of intact antibodies.

The term "specific binding" means the contact between an antibody of the invention and an epitope (on a peptide described herein (Peptide A, Peptide B or Peptide C) or a protein corΛήning such a peptide) with a binding affinily of at least 10^-6 M. Preferred binding agents bind with affinities of at feast about 10^-7 M, and preferably

As noted above the antibodies of the invention may be labeled. Labeled antibodies may be employed in a wide variety of assays, employing a wide variety of labels. Detection of the formation of an antibody-antigen complex between an antibody of the invention and an epitope of interest can be facilitated by attaching a detectable substance to the antibody. Suitable detection means include die use of labels such as radionuclides, enzymes, fluorescers, chemlumineacers, chromogens, enzyme substrates or co-factors, enzyme inhibitors, prosthetic group complexes, fire radicals, particles, dyes, and the like. Examples of suitable enzymes include horseradish peroxidase, alkaline phosphatase, β- galactosidasc, or acetylcholinesterase; examples of suitable prosthetic group complexes include streptavidm/biotin and avkϋn/biotin; examples of suitable fluorescent materials include umbeltifcrone, fluorescein, fluorescein isothiocyanate, ihodamme, dichlortriazinylamine fluorescein. dansyl chloride or pbycoerythrin; an ex mple of a luminescent material is hmrinol; examples of biotuminescem materials include luciferase, luciferin, and aequorin; and examples of suitable radioactive material include

The invention provides an isolated polypeptide comprising or consisting of the sequence GPTLCGAELV (SEQ ID NO:!), CPAKSAVRAQR (SEQ ID N0:5) or PAKSΛVRAQR (SEQ ID N0:6). Such polypeptides are useful for raising antibodies according to the invention. The polypeptides of the invention may also form part of a larger polypeptide. For example, a polypeptide of the invention may be flanked by additional n-terminal and/or c- lerminal amino acids.

In general, the polypeptides of the invention are provided in a non-naturally occurring environment, Le. they are separated from their naturally occurring environment. In certain embodiments, the polypeptide is present in a composition that is enriched for the polypeptide red to a control. Polypeptides of the invention are thus preferably provided in isolated or substantially isolated form i.e. the polypeptide is present in a composition that is substantially free of other expressed polypeptides, whereby substantially free is meant that less than 75% (by weight), preferably less than 50%, and mcM« preferably less than 10%(ie.g. 5%) of the composition is made up of other expressed polypeptides.

Nucleic Acid Molecules

Another aspect of the invention pertains to nucleic acid molecules that encode the polypeptides or antibodies of the invention. The nucleic acids may be present in whole cells. in a cell lysate, or may be nucleic acids in a partially purified or substantially pure form. A nucleic acid is "isolated" or "rendered substantially pure" when purified away from other cellular components or other contaminants, e.g., other cellular nucleic acids or proteins, by standard techniques, including alkaline/SDS treatment, CsCl banding, column chromatography, agarose gel electrophoresis and others well known in the art. See, P. Λusubel et al. ed. 1987 Current Protocols in Molecular Biology, Greene Publishing and Wiley Intersciencc. New York. A nucleic acid of the invention can be, for example. DN A or RNA and may or may not contain intronic sequences, In an embodiment the nucleic acid is a cDNA molecule. The nucleic acid may be present in a vector such as a phage display vector, or in a recombinant plasmid vector. Nucleic acids of the invention can be obtained using sumdard molecular biology techniques. For antilwdies expressed by hybrkk)mas such as those described herein, cDNAs encoding the light and heavy chains of the antibody made by the hybridoma can be obtained by standard PCR amplification or cDN A cloning techniques.

Once a nucleic add encoding an antibody of the invention has been obtained, the antibodies of the invention also can be produced in a host cell transfectoma using, for example, a combination of recombinant DNA techniques and gene transfection methods as is well known in the art (e.g., Morrison, S. ( 1985) Science 229:1202).

For example, to express the antibodies, or antibody fragments thereof, DNAs or foil-length light and heavy chains, can be obtained by standard molecular biology techniques (e.g., cDNA cloning using a hybridoma mat expresses the antibody of interest) and the DNAs can be inserted into expression vectors such that the genes ire opemtively linked to transcriptional and translatonal control sequences, m this context, the term "operatively linked" is intended to mean that an antibody gene is ligated into a vector such that transcriptional and Iranslaϋonal control sequences within the vector serve their intended function of regulating the transcription and translation of the antibody gene. The expression vector and expression control sequences are chosen to be compatible with the expresion host cell used. The antibody light chain gene and the antibody heavy chain gene can be inserted into separate vector or, more typically, both genes are inserted into the same expression vector. The antibody genes are inserted into the expression vector by standard methods (e.g., ligation of complementary restriction sites on the anybody gene fragment and vector, or blunt end ligation if no restriction sites are present). The light and heavy chain variable regions of the antibodies described herein can be used to create full-length antibody genes of any antibody isotype by inserting them into expression vectors already encoding heavy chain constant and light chain constant regions of the desired isotype such that the VH s ment is operativdy linked to the CH segmen(s) within the vector and the VL segment is o rativery linked to the CL segment within the vector. Additionally or alternatively, e re mbinant expression vector can encode a signal peptide that facilitates secretion of the antibody chain from a host cell. The antibody chain gene can be cloned into the vector such mat the signal peptide is linked in frame to the amino terminus of the antibody chain gene. The signal peptide can be an immunoglobulin signal peptide or a heterologous signal peptide (i.e., a signal peptide from a non-immunoglobulin protein).

In addition to the antibody chain genes, the recombinant expression vectors of the invention carry regulatory sequences that control the expression of the antibody chain genes in a host cell. The term "regulatory sequence" is intended to include promoters, enhancers and other expression control elements (e.g. potyadenylation signals) that control the transcription or n»ιstoion cfthe antibody chain genes. Such regulatory signals) in Goeddd (Gene Expression Technology. Methods in Emymotogy 185. Academic Press, San Diego. CA 1990). h will be appreciated by those skilled in the art that the design of the expression vector, including the selection of regulatory sequences, may depend on such factors as the choice of the host cell to be transformed, die level of expression of protein desired, etc. Regulatory sequences for mammalian host cell expression include viral dements that direct high levels of protein expression in mammalian cells, such as promoters and/or enhancers derived from cytomegalovirus (CMV), Simian Virus 40 (SV40), adenovirus (e.g, the adenovirus major late promoter (AdMLP)) ,nd polyoma. Alternatively, nonviml regulatory sequences may be used, such as die iib^uhin promoter or P-globin promoter. Still further, regulatory elements composed of sequences from different sources, such as the SRa promoter system, which contains sequences from die SV40 early promoter and die long terminal repeat of human T cell leukemia virus type 1 (Takcbe, Y. el al., 1988 Mol. CeIL Biol.8:466-472). In addition to the antibody chain genes and regulatory sequences, the recombinant expression vectors of the invention may cany additional sequences, such as sequences that regulate replication of die vector in host cells (e.g;., origins of leplication) aid selectable marker genes. The selectable marker gene facilitates selection of host cells into which the vector has been introduced (see, e.g, U.S. Pat Nos. 4,399,216, 4,634,665 and 5,179,017, all by Axd et al.). For example, typically the selectable marker gene confers resistance to drugs, such as O418, hygromycin or methotrexate, on a host cell into which the vector has been introduced. Selectable marker genes include the dihydrofolatc reductase (DHPR) gene (for use in dhfr- host cells with inethotrexate selection/amplification) and the neogene (for G418 selction).

For expression of the light and heavy chains, the expression vector(s) encoding the heavy and light chains is transfected into a host cell by standard techniques. The various forms of the term "transection" are intended to encompass a wide variety of techniques commonly used for the introduction of exogenous DNA into a prokaryotic or eukaryotk host cell e.g., dectroporalion, calcium-phosphate preciptlation, DEAE-dexlran lransfection and the like. It is theoretically possible to express the antibodies of the invention in either prokaiyotic or eukaryotic host cells. Expression of artibodies in eukaryotic cells host cells, is discussed because such eukaryotic cells, and in particular mammalian cells, are more likely than prokaryotic cells to assemble and secrete a properly folded and iramunofogically active antibody. Prokaryotic expresskm of antibody genes has been repoted to be ineffective for production of high yields of active antibody (Boss, M. A. and Wood, C. R., 1985 Immunology Today 6:12-13).

Mammalian host cells for expressing the recombinant antibodies of the invention include Chinese Hamster Ovary (CHO cells) (including dhfr- CHO cells, described Urlaub and Chasin, 1980 Proc. NaU. Acad. Sci. USA 77:4216-4220 used with a DH FR selectable marker, e.g., as described in RJ. Kaufinan and P.A. Sharp, 1982 MoL Biol. 159:601-621), NSO myeloma cells, COS cells and SP2 cells. In particular, for use with NSO myeloma cdb, another expression system is the OS gene expression system shown in WO 87/04462, WO 89/01036 and EP 338,841. When recombinant expression vectors encoding antibody genes are introduced into mammalian host cells, the antibodies are produced by cunuring the host cells for a period of time sufficient to allow for expression of the antibody in the host cells or secretion of the antibody into the culture medium in which the host cells are grown. Antibodies can be recovered from the culture medium using standard protein purification methods.

As noted above, the antibodies of the invention may be used in various assays to determine the concentration of modified IGF-I /E m a sample.

Thus the invention provides a method of detciniinmg me level of modified IGF-11/ E protein in a patient, comprising the steps of :

(I) obtaining a blood sample from a patient who has been administered with said modified IGF-1/E, and

(ϋ) delecting the modified IGF-l/B in said sample using an antibody of the Invention.

The level of modified IGF-1/E can be quantified by using standard techniques, such as by setting up calibration curves using known amounts of the modified IGF-1/E and compering the results obtained with the test samples against the results obtained using the calibration markers (see, e.g. the examples).

Being able to determine the level of modified IGF-1/E protein in a patient also allows a physician to determine an appropriate dose in order to achieve a therapeutic effect. Thus the invention also provides a method of maintaining an optimal dose of modified IGF-l/B in a patient in need thereof, comprising:

(i) obtaining a blood sample from a patient who has been administered with said modified IGF-1/E.

(U) detecting the modified IGF-1/E in said sample using an antibody of the invention, and

(Ui) when the level of modified IGF-I/E in the patient blood sample is below a pre-detcrmined level, administering a further dose of said modified 1GF-1/E to said patient.

Note mat in certain instances, a blood sample may already have been obtained from a patient. Thus the invention provides a method of determining the level of modified IGF-1/E protein in a patient, comprising the step of detecting the modified IOF-l/E in a blood sample obtained from a patient using an antibody of the invention.

The invention also provides a method of maintaining an optimal dose of modified IGF- 1/E in a patient in need thereof, comprising:

(i) detecting modified IGF-l/E in a blood sample from a patient who has been administered a modified IOF-l/E using an antibody of die mvention. and

(ii) where die level of modified IGF-1/E in the patient blood sample is below a pre-determined level, administering a further dose of said modified IGF- 1/E to said patient.

The mvention also allows the monitoring of the production of modified IGF-1/E Thus a sample may be obtained from the production plant and probed with an antibody of the invention to confirm that the correct form of modified IGF-1/E is being produced.

The invention also provides a method of treating a patient who is suffering from a muscle dixorder comprising:

(i) determining the serum concentration of modified IGF-1/E in a blood sample obtained from a patient who has previously been administered a modified IGF-1/E using an antibody according to the present invention; and

(ϋ) administering more modified FGF-I /E to the patient if the serum concentration of MGF- I /Ea 3mut is below a pre-determined optimum level.

In die embodiments described above, the modified IGF-1/E may be hIGF-1/Ea 3mut, or one described in WO2007/146689. For example, the modified IGF-I /E may be that described in example I of WO2007/146689 (referred to as SEQ ID NO* therein and modified IGF-I E No.l herein), or that described in example 45 of WO2007/146689 (referred to as SEQ ID NO.-53 therein and modified ΪGF-l/E No.2 herein).

Protein Purification

As noted above, die antibodies of die mvention may also be used for commercial scale purification of modified IOF-I/E (i.e. a pharmaceutical used to treat muscle atrophy). For example, die antibodies of die invention may be used in affinity chromatography to purify modified IGF-1/E. Purification of recombinant polypeptides i« well known in the ait and includes affinity chromatography purification techniques and the like (see generally Scopes. Protein Purification (Springer-Vcriag, N.Y., 1982). See also, Bailon el a/.. An Overview of Affinity Chromatography, Humana Press (2000)). Affinity chromatography methods (such as membrane-bated affinity technology) for commercial scale purification of biodierapeutic proteins are known in the art. See, Brandt et α/.. Bto/Technology 6: 779-782 (1988).

Preferably the modified IGF-l/E purified by such methods may be hIQF-1/Ea 3mut or one described in WO2007/146689. For example, the modified KGF-I/E may be that described in example 1 of WO2007/146689 (referred to as SEQ ID NO:8 therein and modified KJF-IE No.l herein), or thai described m example 45 of WO2007/146689 (referred to as SEQ ID NO:53 therein and modified IGF-l/E NoJZ herein).

The details of one or more embodiments of the invention are set forth in the accompanying description above. Although any methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, the picfeired methods and materials are now described. Other features, objects, and advantages of the invention will be apparent from the description and lbe claims. Generally, enzymatic reactions and purification steps are performed according to the manufacturer's specifications. The techniques and procedures are generally performed according to oonventinal methods the art and various general references. See generally, Sambrook W al, Molecular Cloning: A Laboratory Manual. 2d Edition (Cold Spring Harbor laboratory Press, Cold Spring Harbor, New York, 1989), which are provided throughout mis document.

The present invention is not to be limited in terms of the particular embodiments described in this application, which are intended as single illustrations of individual aspects of the invention. Many modifications and variations of this invention can be made without departing from hs spirit and scope, as will be apparent to those skilled in the art. Functionally equivalent methods and apparatuses within the scope of the invention, in addition to those enumerated herein, will be apparent to those skilled in the art from the foregoing descriptions. Such modifications and variations are intended to fall within the scope of the appended claims. The present invention is to be limited only by the terms of the appended claims along with the full scope of equivalents to which such claims are entitled.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is an amino add sequence alignment of hIGF-1, hIGF-1/Ea wt, hlGF-1/Ea 3mut, and MGF-2 Amino acid differences between hIGF-l/E wt and WGF-l/E 3mut are highlighted in bold. Dashes in the sequences indicate missing residues. Peptides from MGF-t/Ea 3muf that were selected as antigens for animal immunizations described below are underlined..

FIG. 2 is a set of charts showing the activity of the hIGF-l/E 3mut-specific mouse monoclonal antibodies generated from Peptide A inmunnization. Cell culture supernatants were collected from hybridoma clone QCl (A) and QC2 (B) and diluted into microtiter wdls coated with hIGF-1. hIGF-1/Ea wt, hIGF-1/Ea 3mut, WGF-2, mIGF-1 or mlGF-2. Plate- bound antibody was detected by hone radish peroxidase conjugated polyclonal goat anti- mouse IgG antibodies.

FlG. 3 is a set of charts showing the activity of the hIGF-l/E 3mut-reactive mouse monoclonal antibodies generated from Peptide B immunization. Monoclonal antibody was produced and purified from hybridoma done BPl (A, mg/ml) and BP2 (B, mg/ml) and diluted 1:10-1:100.000 into microther wells coaled with MGF-1, hiGF-I/E wt, hIGF-l/E 3mut, WGF-2, mIGF-1 or mJGF-2. Plate-bound antibody was detected by bone radish peroxidase-conjugated polyclonal goat anti -mouse IgG antibodies.

FIG. 4 is a set of charts showing the activity of the blGF-l/E 3mut-spech1c mouse monoclonal antibodies generated from Peptide C immunization. Cell culture supermatants were collected from hybridoma clone QQ2 (A)₁ QQ5 (B), and QQ6 (C) and diluted into microtiter wdls coaled with hIGF-I, WGF-l/E wt, hIGF-l/E 3nut, MGF-2, mlGF-1 or mϊGF-2. Plate-bound antibody was detected by hone radish peroxidase-conjugated polyclonal goat anti-mouse IgG antibodies.

FiG. 5 is a set of charts showing the sandwich ELISA analysis of monoclonal antibodies generated from Peptide C immunization. Different concentrations of WGF-I /Ea 3mut, hlGF- 1/Ec 3mut glycosylated hJGF-1/Ea 3mut, and WGF-I peptides were added to microtiter plates coated with QQ2 (A), QQ5 (B), or QQ6(C). The plate-bound IGF-1 peptides were detected with a hone radish peroxidase-conjugated monoclona1 mouse anti-hIGF-1 antibody.

EXAMPLES

Antibodies raised to Peptide A. Two monoclonal antibodies were generated by mouse iimmmizations whh Peptide A. GPTLCGAELV (aa 1-10 of IGF-1/E 3mut) (SEQ ID NO:1) (see TABLE 1). The epitope recognized by QCl and QC2 differs from wild type hIGF-1 and mIGF-1 sequence GPETLCOAELV (SEQ ID NO:2) in only one amino add. This peptide was selected for animal immunizations, even though protein structure analysis with Biobench and Abie Pro 3.0 suggested that it has low surface probβbiUly awl low antigenic index.

Hybridomas were screened with (1) recombinant hJGF-l/E 3mut (for positive clones); (2) recombinant hIGF-l/E wt protein (for negative clones); (3) recombinant bJGF-2 (for negative clones), and (4) recombinant mIGF-2 protein (for negative clones).

The antiserum titers after 3 immunizations who Peptide A-KLH conjugate from S mice ranged from 1:500 to 1:16,000. as determined by ELISA with hIGF-1/E 3mut About 1,000 hybridomas were generated from mouse #3, the best responder. and 4 of them were found to be strongly reactive with hlGF-l/E 3mut but not or only weakly reactive with hIGF-l/E wt, MGF-I, h1GF-2. mIGF-1, and mIGF-2. All 4 h1GF-l/E 3mut-reacϋve hybridomas were subject to subcloning, and two final subclones, QCl (7B9C6) and QC2 (8B7A2), each derived from an independent bybridoma, were selected and confirmed by ELISA to produce monoctonal antibody that are specific for hIGF-l/E 3mut (FIG.2, TABLE 1 ).

The two mAbs, QCI (7B9C6) and QC2 (8B7A2), are highly specific for hIGF-l/E 3mut and can be used as an immunosorbent agent (capture antibody) in a sandwich EUSA Io quantify the modified recombinant human 1GF-1/E peptides in pre-clinical and clinical samples. Hybridomas expressing the two mAbs QCI (7B9C6) and QC2 (8B7A2) are deposited at DSMZ under accession numbers and . respectively. Antibodies raised to Peptide A Two monoclonal antibodies were generated from mouse immunizations with Peptide B, CGDRGFYFN-KPTGYGSS (aa 17-33 of hJGF-l/E 3imιt) (SEQ ID NO:3) (tee TABLE 1). This peptide was selected because it has high surface probability and high antigenic index. However, MGF-! and WGF-l/E 3mut have identical sequences in this region. Thus, antibodies generated against tins peptide recognise all of the following proteins: hIGF-1, hIGF-1/E wt, and MGF-1/E 3mut In addition, mlGF-1 and hIGF-I exhibit only one amino acid difference in this region.

Hybridomas were screened with (1) recombinant hJGF-l/E 3mut (for positive clones); (2) recombinant MGF-2 (for negative clones); (3) recombinant mIGF-l (for negative clones); and (4) recombinant mlGF-2 protein (for negative clones).

Mouse immune responses to Peptide B were strong. The antiserum titers after 4 immunizations with Peptide B-KLH conjugate from S mice ranged from 1:1,000 to > 1:32,000. About 1,000 hybridomas were generated from mouse #5, the best responder, and 21 of them were found to be strongly reactive with MGF-I_, WGF-l/E wt, and MOF-1/E 3tnut and weakly reactive with MGF-2. mIGF-l and mlGF-. All 13 hybridomas were subject to subdoning. Two final subdoneSp BPI (2F11D8) and BP2 (3CSD10), each derived from an independent hybridoma, were selected and confirmed to produce monoclonal antibody that bind to MGF-I, WGF-l/E wt and hIGF-1/E 3mm (FKJ.3, TABLE 1).

The two mAbs. BPl (2Fl ID8) and BP2 (3CSD10), recognize both MGF-I and MGF-l/E 3mut and cross-react with MGF-2 and mIGF-1 and mIGF-2. Nevertheless, these mAbs might be useful for IGF-I studies. Antlbodits raised to Peptide C: Three monoclonal antibodies were generated from mouse immunizaiiom with Peptide C, CPAKSAVRAQR (aa 65-74 of hlGF-l/E 3mut, plus an N- tαminal C for conjugation) (SEQ ID NO:5) (see TABLE 1). This peptide of hlOF-ϊ/E 3mut was selected because of Hs high toffee probability and antigenic index. It spans the junctional region between mature hlGF-1 and die mutant £ peptide.

Hybridomas were screened with (1) recombinant MGF-I/E 3mut (for positive clone*); (2) recombinant MQF-] (for negative clones); (3) recombinant hlGF-l/E wt (for negative clones); (4) recombinant mIGF-1 (for negative clones); and (S) recombinant mIGF-2 protein (for negative clones).

The antiserum titers after 4 immunitations with Peptide A-KLH conjugate from 5 mice ranged from 1:400 to 1:3,200. About 1.000 hybridomas were generated from mouse #4, the best responder. and 188 of them were found to be reactive with hlGF-l/E 3raut but not with MOF-I in standard EUSA. Of the 188 hybridomas, 20 were subject to subcloning. Three final subclones, Q

and each derived from an

independent hybridoma, were selected and confirmed to produce monoclonal antibody that recognize WOF-l/E 3mut but not MGF-I (FIG. 4, TABLE 1). However, these mAbs cross- react with MGF-I/E wt

The epitope recognized by QQ2, QQ5 and

6). These theree mAbs, and

l/E 3mut, cross-react wim hlGF-I/E wt, but do not biiKl hlOF-l. Each of these mAbs could be used as an immunosorbent agent (capture antibody) in sandwich EUSA to quantify various modified recombinant human IGF-1/E peptides. Hybridomas expressing the three mAbs,

are numbers . and , respectively.

General methods of making antibodies. Many methods of making polyclonal and monoclonal antibodies to a defined antigen (such as Peptide A, Peptide B or Peptide C) are known in the art. See. Hariow ft Lane. Antibodies. A Laboratory Manual (Cold Spring Harbor Publications, New York, 1988) and the other references cited above.

Animal Immumizazions hybridoma screening, tmd mAb production. Groups of 5 BALB/c mice were immunized with each of the selected peptides conjugated to KLH. Hybridomas were screened by sundatd ELISA with (1) recombinant hIGF-l/E 3mut; (2) recombinant hIGF-l/E wt: (3) recombinant hIGF-1: (4) recombinant hIOF-2: (S) recombinant mIOF-1; and/or (6) recombinant mlGF-2, and hybridomas with desired specificity were selected for three founds of subdonmg and re-screening. Monoclonal antibodies were purified from cell culture supernaiants of final selected hybridomas using a Protein A affinity column.

Three antigen peptides (Peptide A. Peptide B and Peptide Q were che^iically synthesized and HPLC purified at GL Biochcm (Shanghai) Ud., Shanghai China. Peptide purity was deienmined by mass spectrometry analysis to be immuno-grade (about 85 %).Thees peptides conurined a C residue and were conjugated to nialamide activated KLH wilh akil purchased from Pierce (Cat No.77605).

BALB/c mice at 6-8 weeks of age were used to generate antibodies. To elicit immune , groups of 5 mice were administered by subcutaneous injection of 50 μg of each of the three antigen pcptide-KLH conjugates in CFA (for first injection) and 25 μg of each antigen in IFA (for second A third injections). Final boost immunization with 25 μg of antigen was performed by intraperitoneal injection without the use of any adjuvant The immunization schedules were as follow:

Day 0: Pro-immunization bleed; first antigen injection

Day 26: Second antigen injection

Day 52: Third antigen injection

Day 63: Test bleed: antiserum tiler EUSA

Day 69: Final boost injection

Day 73: Splenectomy

Development of antigen-specific antibodies after immunizations was examined by EUSA. Nunc-Iiranuno πϋcrotiter plates were coaled with 1 μg/ml of MGF-1/E 3mut, hIGF-1/E wt, MGF-I,hIGF-2, mJGF-1 or mIOF-2 in sodium carbonate-bicarbonate buffer (Pierce, Cat. N0. 28382), incubated with serially diluted pre-immune and antiserum and/or hybridoma supernatant samples, and antigen-bound mouse IgO was detected with hone radish peroxidase-conjugated polyclonal goat anti-mouse IgO antibodies (Sigma, Cat. No. A0168) followed by color development with BM blue PO-substralc (Roche Diagnostics, Cat. No. 1.484.281). The raicrotiter plates were read at 450 run after peroxidase reaction was stopped with 2.0M H2SO₄, and ELISA data was analyzed with the software SoftMax Pro vS.2 (Molecular Devices). Results are shown in FIGs.2-4.

Hybridomas were generated by fusing splenocytes isolated from immunized mice with the nonsecrcting myeloma So2/0-Agl4 cells using standard procedures. ELISA assays were performed to identify hybridomas specific for the hIGF-1/E 3mut peptides.

Selecicd hybridomas were adapted into serum-free growth medium (Sigma. Cat N0.2462 IC- 500). Monoclonal antibody was purified from hybridoma supernatant by Protein A affinity column according to standard procedures and exchanged into PBS through dialysis. The isotypc of purified antibodies was determined with a mouse IgG isoryping kit purchased from Southern Biotech (CaL N_º.5300-05).

Antigen-specific hybridomas were subject to three rounds of subcloning by limiting dilution (and re-screening by ELISA).

Results for antibodies generated by immunization with Peptide A, Peptide B and Peptide C are described above.

Methods of using the antibodie sf the Invention

Immunoassay to detect modified IGF-I/E in a sample. The invention provides diagnostic assays for determining a modified IGF-l/E protein in a biological sample (e.g. blood, serum, cells, tissue) or from individual to whom the IGF-l/E protein has been administered. Diagnostic assays, such as competitive assays rely on the ability of a labeled analogue (the "tracer") to compete with the test sample amdyte for a limited number of binding sites on a common binding partner. The binding partner generally is insdubilized before or after the competition and then the tracer and analyte bound to the binding partner are separated from the unbound tracer and analyte. This separation is accomplished by decanting (where the binding partner was preinsolubilized) or by centriraging (where the binding partner was precipitated after the competitive reaction). The amount of test sample analyte is inversely proportional to the amount of bound tracer as measured by me amount of marker substance. Dose-response curves whh known amounts of analyte are prepared and compared with the test results in order to quantitatively determine the amount of analyte present in the test sample. These assays are called Enzyme-Linked Immunosorbent Assay (ELISA) systems when enzymes are used as die detectable markers. Such an assay, particularly in the form of an ELISA test has considerable applications in the clinical environment and in routine blood screening. See, Hariow

Lane, Antibodies, A Laboratory Manual (Cold Spring Harbor Publications, New York, 1988) for a description of imnuinoassay formats and conditions

The immunoassays of the invention are useful in the field of predictive medicine in which diagnostic assays, prognostic assays, phaπnacogenomics, and monitoring clinical trials are used for prognostic (predictive) purposes. Sandwich ELISA assays using monoclonal antibodies of the invention. Each of the three mAbs generated against peptide C, QQ2, QQS, and QQ6, was used as capture antibody and a commercially available IGF-I mAb was used as detection reagent were also performed to examine the specificity of QQ2, QQS and QQ6. As shown in FIO. S. all three mAba bind WGF-I /Ea 3mut, hlGF-1/Ec 3mut and glycosylated hIGF-1/Ea 3mu1 but not hlGF-1 peptide. There was no binding of either QQ2, QQS, or QQ6 10 hIGF-1 even when the hIGF-1 concentration was as high as 10 nM (FIO. 5).

For ELISA analysis, the mean OD value obtained from serially diluted antiserum and hybridoma supernatant samples was compared with the mean OD value of similarly treated preimmune scrum and cell growth medium, respectively. An antiserum or hybridoma supernatant sample is considered 10 be reactive with the coated antigen when its OD value was at least 2 (bids higher than that of the negative control.

An "isolated" or "purified" polypeptide or biologically-active portion thereof is substantially tree of cellular material or other contaminating polypeptides from the cell or tissue source from which the antibody of the invention is derived, or substantially fiee from chemical precursors or other chemicals when chemically synthesized. For example, an isolated IGF- IVE would be free of materials that would interfere with diagnostic or therapeutic uses of the agent. Such interfering materials may include enzymes, hormones and other proteinaceous and nonproteinaceous solutes.

Evaluat inw of antibody selectivity

The selectivity of the antibody lor modified K3F-I/E compared to the wt human IOF was confirmed by administering modified JGF-l/E MO.1 or No.2 into animals, and then recovering the modified IOF-l/E using an antibody according to the invention. If more than the original amount of modified IGF-1/E administered to the animal is recovered, then this indicates unspeciϋc binding {Le. binding to wt IGF).

Serum samples from 7 monkeys and 7 dogs were spiked with 80ng/ml mutant IGF Mo.1, or with 200ng/ml mutant IGF No.2 and serum from 6 rats was spiked with 30ng/ml mutant IGF No.l. The concentration of mutant IGF was analysed using antibody QQ2 for mutant IGF N0.I or QQ5 for mutant IGF No.2. For both antibodies, the assay was carried out in the same way. 96 well plates were coated with 100μl antibody (QQ2 or QQ5) at a concentration of 2.5μg/μl and left overnight. The wells were then washed twice with 300μl Mocking buffer and lour times with 300μl wash buffer. The serum samples were dihited 1 :IO with assay buffer and 100μl of eβch sample were added, along with 100μl of controls (concentration of 10-3000ng/ml ) were added to the plate.

The plates were then incubated for 4hours at rooni temperature with shaking.

100μl of a bmtinylated anti-human IGF-1 was then added (concentration 75ng/ml in assay buffer) and the plates were incubated for a further hour at RT with shaking. The plates were then washed four times as described above.

100μl of rtrcptavidin-HRP conjugate (100ng/ml) was added and the plates incubated for a further 30 minutes at RT with shaking. The plates were then washed four times as described above.

100μl TMB substrate was then added to each well and incubated for 10 minutes. lOOμl stop solution was then added and the optical density read at 450mn witJun 30 mmites.

The controls were used to plot a calibration curve (not shown).

23

Specifidty/selctivity is the ability of an analytical method to measure and differentiate the analyte in the presenece of other similar and/or unrelated consituents in the samples. It is investigated by evaluating the accuracy obtained from measuring an amount of the analyte added to and recovered from the biological matrix.Target acceptance criteria for sperificity/sdectivity is that acceptable recovery is obtained for at least 80% of the matrices evaluated. Acceptable recovery was defined for our method as 75-125%. Since all of the investigated individual matrices were within the acceptance criteria we consider this method to be specific and selective.

Claims

1. An antibody that binds immunospecifically to peptide GPTLCGΛELV (SEQ ID NO:1 ) but does not bind iinmumwpecifically to peptide GPETLCGAELV (SBQ IO NO:2).

2. An antibody that binds immunospecifically to a polypeptide comprising peptide OPTLCGAELV (SEQ ID NO:1) but does not bund hnmunospccifically to a polypeptide comprising the peptide GPETLCGAELV (SEQ ID NO:2).

3. An antibody that binds immunospccifically to peptide PAKSAVRΛQR (SEQ ID NO:6) but does not bind immunαspccifically to peptide PTKAARSIRAQR (SEQ ID NO:7).

4. An antibody that binds immunospecifically to a polypeptide comprising peptide PAKSAVRAQR (SEQ ID NO:6) but does not bind immunospecifically to a polypeptide comprising the peptide PTKAARSIRAQR (SEQ ID NO:7).

5. An antibody accordkig to any one of claims 1-4, wherein said antibody is selected from the group consisting of QCI (expressed by the hybridoma ), QC2 (expressed by the hybridoma). QQ2 (expressed by the hybridoma ). QQS (expressed by the hybridoma ) and QQ6 (expressed by the hybridoma ).

6. A hybridoma selected from the group consisting of . all of which are deposited at DSMZ.

7. An isolated polypeptide comprising the sequence OPTLCGAELV (SEQ ID NO: I), CPAKSAVRAQR (SEQ ID NO:5) or PAKSAVRAQR (SEQ ID NO:6).

8. A nucleic add encoding an antibody according to claim S or a polypeptide according to claim 7.

9. A vector comprising a nucleeic acid according to claim 8.

10. A host cell comprising a vector according to claim 9.

1 ! . An improved Enzyme-Linked Immunosorbent Assay (ELISA) for the detection of a modified insulin-like growth factor 1/B (IGF-I), comprising an antibody according to any one of claims 1-5.

12. An improved affinity chromatographic method for the purification of a modified insulin-like growth factor 1/E (IGF-1) from a solution, wherein the improvement comprises purification by an antibody according to any one of claims 1 -5.

13. A method of determining the level of modified IGF-I /E protein in a patient, comprising the step of detecting the modified IGF- 1/E in a blood sample obtained from a patient using an antibody according to any one of claims j -S.

14. A method of maintaining an optimal dose of modified IGF-1 /E in a patient in need thereof, comprising:

(i) detecting modified IGF- 1 /E in a blood sample from a patient who has been administered a modified IGF-J /E, using an antibody according to any one of claims 1-5; and

(ii) where the level of modified IGF- 1 /E in the patient blood sample is below a pre-determined level, administering a further dose of said modified IGF-I /R to said patient.

5 S. A method of treating a patient who is suffering from a muscle disorder comprising:

(t) determining the serum concentration of modified IGF- 1 /E in a blood sample obtained from a patient who has previously been administered a modified IGF-I /E, using an antibody according to any one of claims 1-5; and

(ii) administering more modified IGF- 1/E to the patient if (he serum concentration of h IGF- 1/Ea 3mut is below a prc-determined optimum level.

16. An assay according to claim 11 or a method according to any one of claims 12-15 wherein said modified IGF- 1/B is one described in WO2007/146689.

17. A method seconding to any OIK of claims 13-16 wherein aaid hIGF-1/Ea 3mut is selected from that described in example 1 of WO2007/I46689 (referred to as SEQ ID NO:8 therein and modified IGF-l/E No.l herein), or that described in example 45 of WO2007/I46689 (referred to as SEQ ID NO:53 therein and modified IGF-l/E No.2 herein).