WO2011037791A1

WO2011037791A1 - Antagonists of pcsk9

Info

Publication number: WO2011037791A1
Application number: PCT/US2010/048849
Authority: WO
Inventors: Xun SHEN; Sharon Lobo; Yan Ni; Ayesha Sitlani; Shilpa Pandit; Dale Lewis; Timothy Mccabe; Jon Condra; Fubao Wang; Rose Cubbon
Original assignee: Merck Sharp & Dohme Corp.
Priority date: 2009-09-25
Filing date: 2010-09-15
Publication date: 2011-03-31
Also published as: EP2480576A4; EP2480576A1; US20120219558A1

Abstract

Antagonists of human proprotein convertase subtilisin-kexin type 9 (PCSK9) are disclosed. Said antagonists are effective in the inhibition of PCSK9 function and thereby provide compositions of matter useful for the treatment of conditions associated with PCSK9 activity. The present invention further discloses nucleic acids encoding PCSK9 antagonists as well as methods of making and using PCSK9 antagonists.

Description

ANTAGONISTS OF PCSK9

BACKGROUND OF THE INVENTION

Proprotein convertase subtilisin-kexin type 9 (PCSK9), also known as neural apoptosis- regulated convertase 1 (NARC-1), is a proteinase K-Hke subtilase which was identified as the 9^th member of the secretory subtilase family (Seidah, N.G., et al, 2003 PROC NATL ACAD SCI USA 100:928-933). PCSK9 is expressed in cells capable of proliferation and differentiation such as hepatocytes, kidney mesenchymal cells, intestinal ileum, colon epithelia and embryonic brain telencephalic neurons (Seidah et al. , 2003,). The gene for human PCSK9 has been sequenced and is about 22-kb long, with 12 exons that encode a 692 amino acid protein (NP_777596.2).

PCSK9 has been implicated in cholesterol homeostasis, as it appears to have a specific role in cholesterol biosynthesis or uptake. In a study of cholesterol-fed rats, it was reported that PCSK9 was downregulated in a similar manner to other genes involved in cholesterol biosynthesis, (Maxwell et al, 2003 J. LIPID RES. 44:2109-21 19). Further, the expression of PCSK9 was regulated by sterol regulatory element-binding proteins (SREBP), as seen in other genes involved in cholesterol metabolism (Maxwell, et al., 2003).

PCSK9 expression has been found to be upregulated by statins in a manner attributed to the cholesterol-lowering effects of the drugs (Dubuc et al. , 2004 ARTERIOSCLER. THROMB. VASC. BIOL. 24: 1454-1459). Adenoviral expression of PCSK9 results in a time- dependent increase in circulating low density lipoprotein (LDL) (Benjannet et al, 2004 J. BIOL. CHEM. 279:48865-48875), and mice with PCSK9 gene deletions have increased levels of hepatic LDL receptors (LDLR) and clear LDL from the plasma more rapidly (Rashid et al. , 2005 PROC. NATL. ACAD. SCI. USA 102:5374-5379). Medium from HepG2 cells which are transiently transfected with PCSK9 is found to reduce the amount of cell surface LDLRs and internalization of LDL when transferred to untransfected HepG2 cells (Cameron et al , 2006 HUMAN MOL. GENET. 15:1551-1558). Additionally, purified PCSK9 added to the medium of HepG2 cells reduced the number of cell-surface LDLRs in a dose- and time-dependent manner (Lagace et al, 2006 J. CLIN. INVEST. 116:2995-3005).

A number of mutations in the gene PCSK9 have been associated with autosomal dominant hypercholesterolemia (ADH), an inherited metabolism disorder which is characterized by marked elevations of LDL particles in the plasma that can lead to premature cardiovascular failure (e.g., Abifadel et al, 2003 NATURE GENETICS 34:154-156; Tirnms et al, 2004 HUM.

GENET. 114:349-353; Leren, 2004 CLIN. GENET. 65:419-422).

PCSK9 therefore appears to play a role in the regulation of LDL production.

Expression or upregulation of PCSK9 is associated with increased plasma levels of LDL cholesterol, and inhibition or the lack of expression of PCSK9 is associated with low LDL cholesterol plasma levels and lower levels of LDL cholesterol associated with sequence variations in PCSK9 confer protection against coronary heart disease (Cohen, et al, 2006 N.

ENGL. J. MED. 354:1264-1272). This is of significance as clinical trial data has demonstrated that reductions in LDL cholesterol levels are related to the rate of coronary events (Law et al, 2003 BMJ 326:1423-1427). Moderate lifelong reduction in plasma LDL cholesterol levels has been shown to be substantially correlated with a substantial reduction in the incidence of coronary events (Cohen et al, 2006), even in populations with a high prevalence of non-lipid- related cardiovascular risk factors. Accordingly, there is great benefit to be reaped from the managed control of LDL cholesterol levels.

It is therefore desirable to further investigate PCSK9 as a target for the treatment of cardiovascular disease. Antibodies useful as PCSK9 antagonists have been identified and have utility as therapeutic agents.

It would be further desirable to be able to identify novel PCSK9 antagonists in order to assist in the quest for compounds and/or agents effective in the treatment of cardiovascular disease. Hence, a method for measuring levels of circulating PCSK9 in a biological sample for such purposes as, e.g., assessing the effectiveness of a putative PCSK9 antagonist is of utility.

SUMMARY OF THE INVENTION

The present invention relates to PCSK9-specific antagonists that antagonize

PCSK9's inhibition of cellular LDL uptake, wherein said antagonists comprise a monoclonal antibody comprising a light chain polypeptide having the amino acid sequence of SEQ ID NO: 3 and a heavy chain polypeptide having the amino acid sequence of SEQ ID NO: 4.

The present invention relates to PCSK9-specific antagonists that antagonize PCSK9's inhibition of cellular LDL uptake, wherein said antagonists comprise a monoclonal antibody comprising a light chain polypeptide having the amino acid sequence of SEQ ID NO: 7 and a heavy chain polypeptide having the amino acid sequence of SEQ ID NO: 8. The present invention further relates to a composition comprising a PCSK9- specific antagonist such as described supra and a pharmaceutically acceptable carrier.

The present invention also provides a method for antagonizing PCSK9 function which comprises the step of administering a PCSK9-specific antagonist to cells, tissues, or human or animal subjects.

The present invention further furnishes a use of a PCSK9-specific antagonist in the manufacture of a medicament for ameliorating a disorder, condition or disease caused and/or exacerbated by PCSK9 function.

The present invention provides isolated nucleic acids coding for the heavy and light chain polypeptides of SEQ ID NOs: 1 , 2, 5 and 6.

The present invention also provides vectors comprising isolated nucleic acids coding for the heavy and light chain polypeptides of SEQ ID NOs: 1 , 2, 5 and 6 as well as host cells comprising said vectors.

The present invention also furnishes a method for producing a PCSK9-specific antagonist which comprises: (a) culturing a population of cells comprising host cells comprising vectors having isolated nucleic acids coding for the heavy and light chain

polypeptides of SEQ ID NOs: 3 and 4 or 5 and 6 under conditions appropriate for production of the PCSK9-specific antagonist; and

(b) isolating the PCSK9-specific antagonist produced.

BRIEF DESCRIPTION OF THE DRAWINGS

FIGURE 1 shows that the E07 Fab is a partial inhibitor of PCSK9 function.

FIGURE 2 shows that E07, G08 and H23 (Fab) do not compete with 1B20 IgG for PCSK9 binding.

DETAILED DESCRIPTION OF THE INVENTION

The present invention provides antagonists of PCSK-9 function which are monoclonal antibodies. In a preferred embodiment, there is provided an antagonist of PCSK-9 function which comprises a light chain polypeptide comprising CDRl, CDR2 and CDR3 of SEQ ID NO: 3 and a heavy chain polypeptide comprising CDRl , CDR2, and CDR3 of SEQ ID NO: 4.

The present invention further furnishes a use of a PCSK9-specific antagonist in the manufacture of a medicament for ameliorating a disorder, condition or disease caused and/or exacerbated by PCSK9 function. The utility of these disclosed antagonists is directly measurable by assays readily available to the skilled artisan. Means for measuring LDL uptake are described in the literature (see, e.g., Barak & Webb, 1981 J. Cell Biol. 90:595-604, and Stephan &

Yurachek, 1993 J Lipid Res. 34:325330), In addition, means for measuring LDL cholesterol in plasma is well described in the literature (see, e.g., McNamara et αί, 2006 Clinica Chimica Acta 369: 158-167).

The present invention provides isolated nucleic acids coding for the heavy and light chain polypeptides of SEQ ID NOs: 1, 2, 5 and 6.

polypeptides of SEQ ID NOs: 3 and 4 or 7 and 8 under conditions appropriate for production of the PCSK9-specific antagonist; and

(c) isolating the PCSK9-specific antagonist produced.

In another aspect, the present invention provides a method for identifying, isolating, quantifying or antagonizing PCSK9 in a sample of interest using one or more PCSK9- specific antagonists of the present invention. The PCSK9-specific antagonists may be utilized as research tools in immunochemical assays, such as Western blots, ELISAs, radioimmunoassay, immunohistochemical assays, immunoprecipitations, or other immunochemical assays known in the art (see, e.g., Immunological Techniques Laboratory Manual, ed. Goers, J. 1993, Academic Press) or various purification protocols. The antagonists may have a label incorporated therein or affixed thereto to facilitate ready identification or measurement of the activities associated therewith. One skilled in the art is readily familiar with the various types of detectable labels (e.g., enzymes, dyes, or other suitable molecules which are either readily detectable or cause some activity/result that is readily detectable) which are or may be useful in the above protocols.

As used herein, the term "monoclonal antibody" refers to an antibody obtained from a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising the population are identical except for possible naturally occurring mutations that may be present in minor amounts. Monoclonal antibodies are highly specific, being directed against a single antigenic site. Furthermore, in contrast to conventional (polyclonal) antibody preparations which typically include different antibodies directed against different determinants (epitopes), each mAb is directed against a single determinant on the antigen. In addition to their specificity, monoclonal antibodies are advantageous in that they can be synthesized by hybridoma culture, uncontaminated by other immunoglobulins. The term "monoclonal" indicates the character of the antibody as being obtained from a substantially homogeneous population of antibodies, and is not to be construed as requiring production of the antibody by any particular method. For example, the monoclonal antibodies to be used in accordance with the present invention may be made by the hybridoma method first described by Kohler et al. , (1975) Nature, 256:495, or may be made by recombinant DNA methods (see, e.g., U.S. Pat. No. 4,816,567 to Cabilly et al ).

Use of the term "antagonist" herein refers to the fact that the subject molecule can antagonize the functioning of PCSK9. Use of the term "antagonizing" herein refers to the act of opposing, counteracting, neutralizing or curtailing one or more functions of PCSK9. Reference herein to PCSK9 function or PCSK9 activity refers to any function or activity that is driven by, requires, or is exacerbated or enhanced by PCSK9.

As used herein, the term "isolated" describes a property as it pertains to the disclosed PCSK9-specific antagonists, nucleic acid or other that makes them different from that found in nature. The difference can be, for example, that they are of a different purity than that found in nature, or that they are of a different structure or form part of a different structure than that found in nature. A structure not found in nature, for example, includes recombinant human immunoglobulin structures including, but not limited to, recombinant human immunoglobulin structures with optimized CDRs. Other examples of structures not found in nature are PCSK9- specific antagonists or nucleic acid substantially free of other cellular material. Isolated PCSK9- specific antagonists are generally free of other protein-specific antagonists having different protein specificities [i.e., possess an affinity for other than PCSK9).

The CDR definitions arrived at and disclosed herein were defined using the

Morphosys software program Sequence Analysis Software (SAS). Various other methods are available, however, to delineate and define start and end points of CDR sequences, e.g., most conspicuously, Kabat, E.A., Wu, T.T., Perry, H., Gottesman, K. and Foeller, C, (1991) Sequences of Proteins of Immunological Interest, Fifth Edition. N1H Publication No. 91 -3242. While the current inventors have used the SAS software to define the CDRs, the present invention encompasses different definitions around the sequences and any varying CDR delineations obtained thereby. PCSK-9 specific antagonists also have utility for various diagnostic purposes in the detection and quantification of PCSK9.

The following examples are provided to illustrate the present invention without limiting the same hereto:

EXAMPLE 1

Characterization of the PCSK9 Antagonists

The PCSK9 antagonists used in this assay were antibodies E07, G08 and H23. G08 is disclosed in WO2008057459, which is incorporated in its entirety herein.

The sequences of E07 and H23 are as follows:

E07

IgG V13_3 light chain nucleotide sequence PCSK9_5_CX3_E07 (SEQ ID NO:l)

(underlined residues are CDRs)

GATATCG A ACTGAC CC AGCCGCCTTC AGTG AGCGTTGC ACC AGGTC AGAC C GC GCG TATCTCGTGTAGCGGCGATTCTCTTCGTGATAAGTATGTTCATTGGTACCAGCAG AAACCCGGGCAGGCGCCAGTTGTTGTGATTTATTATGATACTAATCGTCCCTCAG GCATCCCGGAACGCTTTAGCGGATCCAACAGCGGCAACACCGCGACCCTGACCATT AGCGGCACTCAGGCGGAAGACGAAGCGGATTATTATTGCGCTGCTTATACTCGTTC TATTTATGTGTTTGGCGGCGGCACGAAGTTAACCGTTCTTGGCCAGCCCAAGGCCA ACCCCACCGTGACCCTGTTCCCCCCATCTTCTGAGGAGCTGCAAGCCAACAAGGCCA CCCTGGTGTGCCTGATCTCTGACTTCTACCCTGGCGCTGTGACAGTGGCCTGGAAGG CTGATGGCTCTCCTGTGAAGGCTGGCGTGGAGACCACCAAGCCATCTAAGCAGTCTA ACAACAAGTATGCTGCCTCTTCTTACCTGTCTCTGACCCCTGAGCAGTGGAAGAGCC ACCGGTCTTACTCTTGCCAGGTGACCCATGAGGGCTCTACAGTGGAGAAGACAGTG GCCCCCACAGAGTGCTCT

IgG2M4 VH_3 heavy chain nucleotide sequence PCSK9_5_ CX3_E07 (SEQ ID NO: 2) (underlined residues are CDRs)

CAGGTGCAATTGGTGGAAAGCGGCGGCGGCCTGGTGCAACCGGGCGGCAGCCTGCG TCTGAGCTGCGCGGCCTCCGGATTTACCTTTTCTGATCATTGGATGCATTGGGTGC GCCAAGCCCCTGGGAAGGGTCTCGAGTGGGTGAGCTATATCGATTATTATGGTAG CAATACCCATTATGCGGATAGCGTGAAAGGCCGTTTTACCATTTCACGTGATAATT CGAAAAACACCCTGTATCTGCAAATGAACAGCCTGCGTGCGGAAGATACGGCCGTG T ATT ATTGC GCGC GT ATGCTTT ATGGTTGG A ATT ATGGTGTTTTT G ATT ATTGGGG C C A AGGC ACCCTGGTG ACGGTT AGCTC AGC ATC C ACC A AGGGC CC ATCC GTCTTCCC CCTGGCGC CCTGCTC C AGG AGC ACCTCCG AG AGC AC AGCCGCCCTGGGCTGCCTGGT CAAGGACTACTTCCCCGAACCGGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCA GCGGCGTGCACACCTTCCCGGCTGTCCTACAGTCCTCAGGACTCTACTCCCTCAGCA GCGTGGTGACCGTGACCTCCAGCAACTTTGGCACGCAGACCTACACCTGCAACGTA GATCACAAGCCCAGCAACACCAAGGTGGACAAGACAGTTGAGCGGAAATGCTGCGT GGAGTGCCCACCATGCCCAGCACCTCCAGTGGCCGGACCATCAGTCTTCCTGTTCCC CCC A A A AC C C AAGG AC ACTCTC ATG ATCTCCCGG ACCCCTG AGGTC ACGTGCGTGGT GGTGGACGTGAGCCAGGAAGACCCCGAGGTCCAGTTCAACTGGTACGTGGATGGCG TGGAGGTGCATAATGCC AAGACAAAGCCGCGGGAGGAGC AGTTC AAC AGC ACGTTC CGTGTGGTCAGCGTCCTCACCGTCCTGCACCAGGACTGGCTGAACGGCAAGGAGTA CAAGTGCAAGGTCTCCAACAAAGGCCTCCCGTCCTCCATCGAGAAAACCATCTCCA AAACCAAAGGGCAGCCCCGAGAGCCACAGGTGTACACCCTGCCCCCATCCCGGGAG GAGATGACCAAGAACCAGGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTACCCCAG CGACATCGCCGTGGAGTGGGAGAGCAATGGGCAGCCGGAGAACAACTACAAGACC ACGCCTCCCATGCTGGACTCCGACGGCTCCTTCTTCCTCTACAGCAAGCTAACCGTG GACAAGAGCAGGTGGCAGCAGGGGAATGTCTTCTCATGCTCCGTGATGCATGAGGC TCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCTGGTAAA IgG V13_3 light chain amino acid sequence PCSK9_5_CX3_E07 (SEQ ID NO:3)

(underlined residues are CDRs)

DIELTOPPSVSVAPGQTARISCSGDSLRPKYVHWYQOKPGOAPVVVIYYDTNRPSGIPE RFSGSNSGNTATLTISGTQAEDEADYYCAAYTRSIYVFGGGTKLTVLGQPKANPTVTLFP PSSEELQANKATLVCLISDFYPGAVTVAWKADGSPVKAGVETTKPSKQSNNKYAASSYL SLTPEQWKSHRSYSCQVTHEGSTVEKTVAPTECS

IgG2m4 VH3_{_}3 heavy chain amino acid sequence PCSK9_5_CX3_E07 (SEQ ID NO: 4) (underlined residues are CDRs)

OVQLVESGGGLVQPGGSLRLSCAASGFTFSDHWMHWVRQAPGKGLEWVSYIDYYGS NTHYADSVKGRFTISRDNSKNTLYLQMNSLRAEDTAVYYCARMLYGWNYGVFDYWG QGTL VTV S S ASTKGP S VFPL APCSRSTSEST A ALGCLVKD YFPEP VT V S WN S G ALTSG VH TFPAVLQSSGLYSLSSVVTVTSSNFGTQTYTCNVDHKPSNTKVDKTVERKCCVECPPCP APPVAGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSQEDPEVQFNWYVDGVEVHNAKTK PREEQFNSTFRVVSVLTVLHQDWLNGKEYKCKVSNKGLPSSIEKTISKTKGQPREPQVYT LPPSREEMTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPMLDSDGSFFLYSKL TVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPGK H23

IgG Vk3_3b light chain nucleotide sequence PCSK9_6_CX1_„H23 (SEQ ID NO: 5)

(underlined residues are CDRs)

GATATCGTGCTGACCCAGAGCCCGGCGACCCTGAGCCTGTCTCCGGGCGAACGTGC GACCCTGAGCTGCAGAGCGAGCCAGTCTGTTAATTCTAATTATCTGGCTTGGTAC CAGCAGAAACCAGGTCAAGCACCGCGTCTATTAATTTATGGTGCTTCTTCTCGTG CAACTGGGGTCCCGGCGCGTTTTAGCGGCTCTGGATCCGGCACGGATTTTACCCTGA CCATTAGCAGCCTGGAACCTGAAGACTTTGCGGTTTATTATTGCCAGCAGTGGGGT GATGTTCCTATTACCTTTGGCCAGGGTACGAAAGTTGAAATTAAACGTACGGTGGC TGCACCATCTGTCTTCATCTTCCCGCCATCTGATGAGCAGTTGAAATCTGGAACTGC CTCTGTTGTGTGCCTGCTGAATAACTTCTATCCCAGAGAGGCCAAAGTACAGTGGAA GGTGGATAACGCCCTCCAATCGGGTAACTCCCAGGAGAGTGTCACAGAGCAGGACA GCAAGGACAGCACCTACAGCCTCAGCAGCACCCTGACGCTGAGCAAAGCAGACTAC GAGAAACACAAAGTCTACGCCTGCGAAGTCACCCATCAGGGCCTGAGCTCGCCCGT CACAAAGAGCTTCAACAGGGGAGAGTGT

IgG2M4 VH3_3 heavy chain nucleotide sequence PCSK9_6_„CX1_ H23 (SEQ ID NO: 6) (underlined residues are CDRs)

CAGGTGCAATTGGTGGAAAGCGGCGGCGGCCTGGTGCAACCGGGCGGCAGCCTGCG TCTG AGCTGCGC GGCCTCCGG ATTT ACCTTTTCT G ATT ATT AT ATGC ATTGGGTGC GCCAAGCCCCTGGGAAGGGTCTCGAGTGGGTGAGCAATATCTCTGGTTCTGGTAG CACTACCTATTATGCGGATAGCGTGAAAGGCCGTTTTACCATTTCACGTGATAATT CGAAAAACACCCTGTATCTGCAAATGAACAGCCTGCGTGCGGAAGATACGGCCGTG TATTATTGCGCGCGTGGTATGTTTGATTTTTGGGGCCAAGGCACCCTGGTGACGGT TAGCTCAGCATCCACCAAGGGCCCATCCGTCTTCCCCCTGGCGCCCTGCTCCAGGAG CACCTCCGAGAGCACAGCCGCCCTGGGCTGCCTGGTCAAGGACTACTTCCCCGAACC GGTGACGGTGTCGTGGAACTCAGGCGCCCTGACCAGCGGCGTGCACACCTTCCCGG CTGTCCTACAGTCCTCAGGACTCTACTCCCTCAGCAGCGTGGTGACCGTGACCTCCA GCAACTTTGGCACGCAGACCTACACCTGCAACGTAGATCACAAGCCCAGCAACACC AAGGTGGACAAGACAGTTGAGCGGAAATGCTGCGTGGAGTGCCCACCATGCCCAGC ACCTCCAGTGGCCGGACCATCAGTCTTCCTGTTCCCCCCAAAACCCAAGGACACTCT C ATGATCTCCCGG ACCC CTG AGGTC ACGTGCGTGGTGGTGG ACGTG AGCC AGG AAG ACCCCGAGGTCCAGTTCAACTGGTACGTGGATGGCGTGGAGGTGCATAATGCCAAG ACAAAGCCGCGGGAGGAGCAGTTCAACAGCACGTTCCGTGTGGTCAGCGTCCTCAC CGTCCTGCACCAGGACTGGCTGAACGGCAAGGAGTACAAGTGCAAGGTCTCCAACA AAGGCCTCCCGTCCTCCATCGAGAAAACCATCTCCAAAACCAAAGGGCAGCCCCGA G AGCC AC AGGTGT AC AC CCTGC CCCC ATC CCGGG AGG AG ATG ACC A AG A ACC AGGT CAGCCTGACCTGCCTGGTCAAAGGCTTCTACCCCAGCGACATCGCCGTGGAGTGGG AGAGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCATGCTGGACTCC GACGGCTCCTTCTTCCTCTACAGCAAGCTAACCGTGGACAAGAGCAGGTGGCAGCA GGGGAATGTCTTCTCATGCTCCGTGATGCATGAGGCTCTGCACAACCACTACACACA G A AG AGCCTCTCCCTGTCTC CTGGTA A A

IgG Vk3_3b light chain amino acid sequence PCSK9_6_CX1 JH23 (SEQ ID NO: 7) (underlined residues are CDRs)

DIVLTOSPATLSLSPGERATLSCRASOSVNSNYLAWYQQKPGOAPRLLIYGASSRATGV PARFSGSGSGTDFTLTISSLEPEDFAVYYCOOWGDVPITFGQGTKVEIKRTVAAPSVPIFP PSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSST LTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC

IgG2ra4 VH3_3 heavy chain amino acid sequence PCSK9_6_CX1_H23 (SEQ ID NO: 8) (underlined residues are CDRs)

OVOLVESGGGLVOPGGSLRLSCAASGFTFSDYYMHWVROAPGKGLEWVSNISGSGST TYYADSVKGRFTISRDNSKNTLYLOMNSLRAEDTAVYYCARGMFDFWGOGTLVTVSS ASTKGPSVFPLAPCSRSTSESTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSS GLYSLSSVVTVTSSNFGTQTYTCNVDHKPSNTKVDKTVERKCCVECPPCPAPPVAGPSV FLFPPKPKDTLMISRTPEVTCVVVDVSQEDPEVQFNWYVDGVEVHNAKTKPREEQFNST FRVVSVLTVLHQDWLNGKEYKCKVSNKGLPSSIEKTISKTKGQPREPQVYTLPPSREEMT KNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPMLDSDGSFFLYSKLTVDKSRWQ QGNVFSCSVMHEALHNHYTQKSLSLSPGK EXAMPLE 2

Production of the 3E07 and 1H23 antibodies

DNA encoding the heavy chain variable regions were fused in-frame with DNA encoding the IgG2M4 constant region whereas DNA encoding the light chain variable regions were fused in-frame with DNA encoding either lambda or kappa light chain constant region in alignment with the corresponding variable regions. The cloning procedure is described below. The light chain vector comprises cloning sites flanked by a human CMV (HCMV) promoter and leader sequence on the 5' end of one cloning site and the light chain constant region sequences and bovine growth hormone (BGH) pA polyadenyiation signal on the 3' side of the other cloning site. The heavy chain lgG2M4 constant region vector comprises cloning sites flanked by an HCMV promoter and leader sequence on the 5' end of one cloning site and heavy chain IgG2M4 sequences and BGH pA polyadenyiation signal on the 3' side of the other cloning site.. The expression vectors carry oriP from Epstein Barr virus (EBV) viral genome for prolonged expression in 293EBNA cells and the bacterial sequences for kanamycin selection marker and replication origin in E. coli. The leader sequence at the amino termini of the antibodies mediated the secretion of the expressed antibodies into the culture medium, The leader sequence for heavy chain is MEWSWVFLFFLSVTTGVHS (SEQ ID NO: 9) and light chain:

MSVPTQVLGLLLLWLTDARC (SEQ ID NO: 10).

The respective variable regions were PCR amplified in a volume of 25 μL containing high fidelity PCR master mix, template volume 1 μL and forward and reverse primers: 1 μL each. PCR conditions were one cycle of 94°C for two minutes, 25 cycles of 94°C for 1.5 minutes, 60°C for 1.5 minutes and 72°C for 1.5 minutes with a final extension at 72°C for 7 minutes. The amplified light and heavy chain variable region PCR products were cloned in- frame with the appropriate leader sequence at the 5 '-end and constant region at the 3 '-end using In-Fusion strategy (Clontech, Palo Alto, CA) and cloned into E. coli XL10 cells from Stratagene, La Jolla, CA). The DNA sequences for the clones were confirmed by sequencing and the amino acid sequences were deduced from the DNA sequences.

The above plasmids were transfected into 293EBNA monolayer cells using FUGENE transfection reagents (FUGENE is a trademark of Fugent LLC and is available from Roche Diagnostics, Nutley, NJ). The transfected cells were incubated in OPTI-MEM serum free medium (Invitrogen) and the secreted antibodies were purified from the culture medium using protein A/G affinity chromatography. The concentration of purified antibodies was determined by OD at 280 nm and the purity by LABCHIP capillary SDS gel electrophoresis (Caliper Life Sciences, Hopkinton, MA). The antibodies purified were used for characterization described elsewhere. EXAMPLE 3

Functional analysis of E07, G08 and H23 Fab

30,000 HEK293 cells/well were seeded in normal serum conditions and 24 hours later, media was changed to one lacking serum. 24 hours after that, LDL uptake was measured.

3E07 Fab was titrated with 5ug/ml of hPCSK9 purified protein, starting at lOOug/ml. The data in Figure 1 demonstrate that E07 Fab is a partial inhibitor of PCSK9 function. The E07 Fab displays about 50% inhibition on the effect of hPCSK9,

EXAMPLE 4

E07, H23 and G08 do not compete with binding of a known PCSK9 antagonist ("1B20")

As seen in Figure 2, E07, G08 and H23 (Fab) do not compete with 1B20 IgG for

PCSK9 binding. The 1B20 antagonist is covered in US Provisional Application No. 61/063,980 and related applications, and incorporated in its entirety herein. For this experiment, 4nM (final concentration) of Eu-1G08 Fab was mixed with 32nM (final concentration) of AF647-PCSK9 and various concentrations (from ΙμΜ to 50 pM) of unlabeled 1B20, G08, E07 and H23 Fab in 50μ1 of assay buffer (10 mM HEPES pH 7.4, 150mM NaCl, 0.05% BSA, ΙΟΟμΜ CaCl₂) in a black U-Bottom shaped pigmented styrene 96-well microtiter plate (Dynatech). The mixtures were incubated at room temperature for 3 hours and plate was read on a Ruby Star fluorescent reader (available from BMG Technologies, Inc.) at Ex 370 mm. Signals were recorded at both 620 mm and 665mm. The 665mm/620mm ratio was used to calculate the results. The experiments were performed in triplicate and repeated 3 times. The background of the assay is -2340 RFU.

Claims

1. An isolated PC SK.9- specific antagonist that antagonizes PCSK9's inhibition of cellular LDL uptake comprising a monoclonal antibody comprising a light chain polypeptide having the amino acid sequence of SEQ ID NO: 3 and a heavy chain polypeptide having the amino acid sequence of SEQ ID NO: 4.

2. An isolated PCSK9-specific antagonist that antagonizes PCSK9's inhibition of cellular LDL uptake comprising a monoclonal antibody comprising a light chain polypeptide having the amino acid sequence of SEQ ID NO: 7 and a heavy chain polypeptide having the amino acid sequence of SEQ ID NO : 8.

3. The antagonist of PCSK-9 function of claim 1 which comprises a light chain polypeptide comprising CDR1, CDR2 and CDR3 of SEQ ID NO: 3 and a heavy chain polypeptide comprising CDR1, CDR2, and CDR3 of SEQ ID NO: 4.

4. The antagonist of PCSK-9 function of claim 1 which comprises a light chain polypeptide comprising CDR1, CDR2 and CDR3 of SEQ ID NO: 7 and a heavy chain polypeptide comprising CDR1, CDR2, and CDR3 of SEQ ID NO: 8.

5. A composition comprising the antagonist of PCSK-9 function of claim 3.

6. A composition comprising the antagonist of PCSK-9 function of claim 4.

7. A method for antagonizing PCSK9 function which comprises the step of administering a PCSK9-specific antagonist of claim 1.

8. A method for antagonizing PCSK9 function which comprises the step of administering a PCSK9-specific antagonist of claim 2.

9. Isolated nucleic acids coding for a monoclonal antibody comprising a light chain polypeptide having the nucleotide sequence of SEQ ID NO: 1 and a heavy chain polypeptide having the amino acid sequence of SEQ ID NO: 2.

10. Isolated nucleic acids coding for a monoclonal antibody comprising a light chain polypeptide having the nucleotide sequence of SEQ ID NO: 5 and a heavy chain polypeptide having the amino acid sequence of SEQ ID NO: 6.

1 1. A vector comprising isolated nucleic acid coding for the polypeptide of claim 1.

12. A vector comprising isolated nucleic acid coding for the polypeptide of claim 2,

13. A host cell comprising the vector of claim 1 1.

14. A host cell comprising the vector of claim 12.

15. A method for producing a PCSK9-specific antagonist which comprises:

(a) culturing a population of cells comprising the cell of claim 13 under conditions appropriate for production of the PCSK9-specific antagonist; and

(b) isolating the PCSK9-specific antagonist produced.

16. A method for producing a PCSK9~specific antagonist which comprises:

(a) culturing a population of cells comprising the cell of claim 14 under conditions appropriate for production of the PCSK9-specific antagonist; and

(b) isolating the PCSK9-specific antagonist produced.