WO2015011660A1 - Methods for controlling fucosylation levels in proteins - Google Patents
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- C07K16/28—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants
- C07K16/2896—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against molecules with a "CD"-designation, not provided for elsewhere
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- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
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- C07K2317/00—Immunoglobulins specific features
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- C07K2317/41—Glycosylation, sialylation, or fucosylation
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- C07K2317/70—Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
- C07K2317/72—Increased effector function due to an Fc-modification
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- C07K2317/00—Immunoglobulins specific features
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- C07K2317/73—Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
- C07K2317/732—Antibody-dependent cellular cytotoxicity [ADCC]
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- C07K2317/90—Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
- C07K2317/92—Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
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- C07—ORGANIC CHEMISTRY
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- C07K2319/00—Fusion polypeptide
- C07K2319/30—Non-immunoglobulin-derived peptide or protein having an immunoglobulin constant or Fc region, or a fragment thereof, attached thereto
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- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
Definitions
- the present invention relates to methods for controlling fucosylation levels in proteins.
- Proteins expressed in eukaryotic expression systems undergo a process of post-translational modification, which involves glycosylation.
- Eukaryotic expression systems which have been established today for the production of glycoproteins, like IgG and other monoclonal antibodies comprising an Fc region add N-glycans to the polypeptide chains.
- the most important N-glycan is bound at Asn 297 of both CH2 chains (see Fig. 14), which comprises, among others, N-acetyl-neuraminic acid (sialic acid), N-acetyl-glucosamine, galactose, mannose, and fucose residues.
- N-glycan comprises at least one fucose residue which is bound either ⁇ -3-glycosidically or ⁇ -6-glycosidically to the N-acetyl-glucosamine residue bound to the Asn residue of the polypeptide chain.
- Yeast expression systems tend to produce hyperglycoproteins rich in mannose, which often lead to unwanted immune reactions when the therapeutic antibody is administered to a patient.
- Baculovirus transfected insect cell systems cause problems due to hypoglycosylation, which negatively affects the effector function of therapeutic antibodies.
- the major disadvantage are the catalytitc properties of infectious baculovirus that narrows the window for full IgG production.
- ADCC is a mechanism of cell-mediated immunity whereby an effector cell of the immune system actively lyses a target cell that has been bound by specific antibodies. It is one of the mechanisms through which antibodies, as part of the humoral immune response, can act to limit and contain infection.
- Classical ADCC-mediating effector cells are natural killer (NK) cells; but monocytes and eosinophils can also mediate ADCC.
- NK natural killer
- ADCC is part of the adaptive immune response due to its dependence on a prior antibody response.
- Therapeutic antibodies which are used to elicit an ADCC in target cells need an Fc region in order to be recognized by Fc gamma receptors of the said effector cells.
- ADCC Antibody-Dependent Cellular Cytotoxicity
- Fucosylation is one of the most common modifications involving oligosaccharides on glycoproteins or glycolipids. Fucosylation comprises the attachment of a fucose residue to N- glycans, O-glycans, and glycolipids. 0-Fucosylation, a special type of fucosylation, is very important for Notch signaling. The regulatory mechanisms for fucosylation are complicated. Many kinds of fucosyltransferases, the GDP-fucose synthesis pathway, and GDP-fucose transporter are involved in the regulation of fucosylation.
- ADCC antibody dependent cellular cytotoxicity
- Manipulation of cell culture parameters is often employed to control galactosylation and sialylation of an antibody. Control of fucosylation is majorly done by using FUT8 knock out cells and other gene silencing models through cell line engineering.
- US20090208500 discloses the production of antibodies with reduced fucose and improved Fc function by manipulation of FUT8 Knock out cells.
- US7972810 discloses cell culturing methods and media containing manganese that improve glycosylation or sialylation of glycoproteins, including erythropoietin and analogs or derivatives thereof.
- manganese increases sialylation and site occupancy in case of O-linked and N-linked glycosylation (i.e. lower aglycosylated product) and also increases terminal galactosylation.
- fucose content of monoclonal antibodies can be controlled by culture medium osmolality for high antibody-dependent cellular cytotoxicity (Konno et al. 2012)
- a method or process for modifying fucosylation in a eukaryote and/or a eukaryotic protein expression system in which method or process the total concentration of manganese or manganese ions in the medium is controlled.
- Fucosylation of glycoproteins is accomplished by fucosyltransferases (FUT). These are enzymes that transfer an L-fucose sugar from a GDP-fucose (guanosine diphosphate-fucose) donor substrate to an acceptor substrate.
- the acceptor substrate can be another sugar such as the transfer of a fucose to a core GlcNAc (N-acetylglucosamine) sugar as in the case of N-linked glycosylation, or to a protein, as in the case of O-linked glycosylation produced by O- fucosyltransferase.
- GlcNAc N-acetylglucosamine
- O -fucosyltransferases have recently been shown to localize to the endoplasmic reticulum (ER).
- Examples of mammalian fucosyltransferases are FUT1; FUT2; FUT3; FUT4; FUT5; FUT6; FUT7; FUT8; FUT9; FUT10 and FUT11.
- Manganese is essential for the growth and maintenance of the nervous system, the development and maintenance of bones and joints, the function of female sex hormones and thyroid hormones.
- Superoxide dismutase SOD, MnSOD is an antioxidant enzyme that in its structure contains manganese.
- manganese In extracellular liquids or Eukaryotes, manganese is practically absent, while in mammals, the intracellular concentration of Manganese is in the range of 0.010 picogram/cell - 0.10 picogram/cell. However, the inventors surprisingly found that that the concentration of manganese has a direct effect on the fucosylation level of glycoproteins.
- the present invention provides for modification of the fucose content of glycosylated proteins by varying the total concentration of manganese or manganese ions in media and feeds in the process.
- the method or process is a method or process to decrease fucosylation.
- the protein expression and/or post-translational modification is carried out in the presence of an elevated total concentration of manganese or manganese ions.
- the inventors found that under such conditions, the glycoproteins expressed have a decreased fucosylation level. Further, they found that the cell growth, viability and the titre of the proteins produced is not effected by the elevation of manganese or manganese ion concentration.
- the term “fucosylation level” refers to the total amount of glycoproteins in which the glycans carry a fucose.
- the terms “afucosylation level” and “% afucosylation” refers to the percentage of glycoprotein which have no fucose in their glycans.
- the elevated concentration of manganese or manganese ions is in the range of > 0.05 mM - ⁇ 10 mM.
- the elevated concentration of manganese or manganese ions is 0,05; 0,1 ; 0,15; 0,2;
- the concentration of manganese is accomplished by adding manganese to the culture medium, and/or to the feed medium.
- the mammalian cells are selected from the group consisting of murine cells (e.,g, NSO), hamster cells (e.g., CHO or BHK) and/or human cells (e.g., PER.C6).
- murine cells e.g., NSO
- hamster cells e.g., CHO or BHK
- human cells e.g., PER.C6
- the protein is a glycoprotein. More preferably, the protein is a recombinant protein.
- the protein is an immunoligand.
- immunoligand is used herein to mean an entity that has the capability to bind to another biological entity with a sufficient degree of sensitivity and/or specificity.
- immunologand is at least one selected from the group consisting of
- fusion peptide consisting of an immunoglobulin Fc region fused to a target binding moiety, e.g, a receptor fragment
- the above listed immunoligands comprise, preferably, an Fc region or another domain that is capable of being glycosylated and/or binding to an Fc receptor, e.g., FcyRI (CD64), FcyRIIA (CD32), FcyRIIB (CD32), FcyRIIIA (CD 16a), FcyRIIIB (CD 16b).
- FcyRI CD64
- FcyRIIA CD32
- FcyRIIB CD32
- FcyRIIIA CD 16a
- FcyRIIIB CD 16b
- mAb monoclonal antibody
- mAb monoclonal antibody
- an antibody composition having a homogenous antibody population i.e., a homogeneous population consisting of a whole immunoglobulin, or a fragment or derivative thereof.
- a homogenous antibody population i.e., a homogeneous population consisting of a whole immunoglobulin, or a fragment or derivative thereof.
- such antibody is selected from the group consisting of IgG, IgD, IgE, IgA and/or IgM, or a fragment or derivative thereof.
- derivative shall refer to protein constructs being structurally different from, but still having some structural relationship to, the common antibody concept.
- new antibody format encompasses, for example bi- or trispecific antibody constructs, Diabodies, Camelid Antibodies, Domain Antibodies, bivalent homodimers with two chains consisting of scFvs, IgAs (two IgG structures joined by a J chain and a secretory component), shark antibodies, antibodies consisting of new world primate framework plus non-new world primate CDR, dimerised constructs comprising CH3+VL+VH, and antibody conjugates (e.g., antibody or fragments or derivatives linked to a toxin, a cytokine, a radioisotope or a label).
- antibody conjugates e.g., antibody or fragments or derivatives linked to a toxin, a cytokine, a radioisotope or a label.
- immunotoxins i.e., heterodimeric molecules consisting of an antibody, or a fragment thereof, and a cytotoxic, radioactive or apoptotic factor.
- immunotoxins i.e., heterodimeric molecules consisting of an antibody, or a fragment thereof, and a cytotoxic, radioactive or apoptotic factor.
- Such type of format has for example been developed by Philogen (e.g., anti-EDB human antibody LI 9, fused to human TNF), or Trastuzumab emtansine (T-DM1), which consists of trastuzumab linked to the cytotoxoic Mertansine (DM1).
- fusion peptide or "fusion protein” proteins relates, for example, to proteins consisting of an immunoglobulin Fc portion plus a target binding moiety (so-called -cept molecules).
- the immunoligand has a reduced degree of fucosylation compared to an immunoligand expressed in the absence of an elevated concentration of manganese or manganese ions.
- the degree of fucosylation is determined by methods according to the art. Such methods comprise, among others, digestion with Peptide-N-Glycosidase F (PNGase F), to deglycosylate the antibodies (see description at Fig. 1 for more details), and subsequent collection of the isolated glycanes. The collected glycanes are labeled with anthranicilic acid and then analyzed by means of NP HPLC. Full details of the method are disclosed in Anumula (2012), content of which is incorporated herein by reference.
- the immunoligand demonstrates an increased ADCC activity compared to an immunoligand (i) expressed in the absence of an elevated concentration of manganese or manganese ions or (ii) having a higher degree of fucosylation.
- ADCC relates to a mechanism of cell-mediated immune defense whereby an effector cell of the immune system actively lyses a target cell, whose membrane-surface antigens have been bound by specific antibodies. It is one of the mechanisms through which antibodies, as part of the humoral immune response, can act to limit and contain infection.
- Classical ADCC is mediated by natural killer (NK) cells; macrophages, neutrophils and eosinophils can also mediate ADCC.
- NK natural killer
- ADCC is part of the adaptive immune response due to its dependence on a prior antibody response.
- the ADCC activity is determined by methods according to the art. Such methods comprise, among others, the cytotoxicity assay as shown in Figure 3.
- suitable assays include include chromium-51 [Cr51] release assay, europium [Eu] release assay, and sulfur-35 [S35] release assay.
- a labelled target cell line expressing a certain surface-exposed antigen is incubated with antibody specific for that antigen. After washing, effector cells expressing Fc receptor CD 16 are co-incubated with the antibody-labelled target cells.
- Target cell lysis is subsequently measured by release of intracellular label by a scintillation counter or spectrophotometry.
- the coupled bioluminescent method aCella TOX is now in widespread use for ADCC and other cytotoxicity assessments. Since this technique measures the release of enzymes naturally present in the target cells, no labeling step is required and no radioactive agents are used.
- the immunoligand targets one or more cellular surface antigens involved in cell- mediated immune defense.
- said cellular surface antigens are selected from the group consisting of cyclophilin C, complement factor I, CD6, CD5, bovine WC-1 and M130.
- CD6 is an important cell surface protein predominantly expressed by human T cells and a subset of B cells, as well as by some B cell chronic lymphocytic leukemias and neurons (Aruffo et al. 1991, Kantoun et al. 1981, Mayer et al. 1990).
- CD6 is a member of a large family of proteins characterized by having at least one domain homologous to the scavenger receptor cysteine-rich domain (SRCR) of type I macrophages (Matsumoto et al. 1991 and Resnick et al. 1994).
- SRCR scavenger receptor cysteine-rich domain
- Other members of this family include CD5 (Jones et al., 1986) cyclophilin C (Friedman et al.
- complement factor I which binds activated complement proteins C3b and C4b
- Bvine WC-1 expressed by .tau./.delta. T cells (Wijingaard et al. 1992) and Ml 30 (Law et al. 1993)
- a macrophage activation marker a macrophage activation marker.
- the immunoligand is Itolizumab.
- Itolizumab is produced from mouse derived NSO cell line (called herein “Tlh”) and also from Chinese Hamster Ovary (CHO) cell line (called herein “Bmab-600”).
- Tlh mouse derived NSO cell line
- Bmab-600 Chinese Hamster Ovary (CHO) cell line
- the Fc portions of Bmab- 600 and Tlh bind to FcyRIIIa with different affinities as the post translational modifications, especially the afucosylation pattern varies with cell line and culture conditions.
- Itolizumab can for example be produced from mouse derived NSO cell line (called herein “Tlh”) and also from Chinese Hamster Ovary (CHO) cell line (called herein “Bmab-600”).
- Tlh mouse derived NSO cell line
- Bmab-600 Chinese Hamster Ovary (CHO) cell line
- the Fc portions of Bmab-600 and Tlh bind to FcyRIIIa with different affinities as the post translational modifications, especially the afucosylation pattern varies with cell line and culture conditions.
- a glycoprotein is provided, which glycoprotein is produced with a method or process according to any of the method or process of the invention.
- said glycoprotein is a recombinant protein. More preferably, said glycoprotein is an immunoligand, preferably an antibody. It is particularly preferred that said glycoprotein has a decreased fucose content in its glycosylation pattern.
- the glycoprotein, or a subdomain thereof, like an Fc region has an afucosylation level of around 35%.
- the glycoprotein has an increased ADCC.
- said glycoprotein is Itolizumab.
- anti-CD6 antibody leads to reduced proliferation of cells which are positive for the surface antigens CD25 and CD4 (see Fig. 5B and description), in particular CD4+ T-Cells.
- the term "reduction of cells”, as used herein, refers to (i) the inhibition of proliferation, (ii) the depletion, (iii) induction of apoptosis or (iv) other mechanisms which lead to a reduction of such cells.
- the use of a glycoprotein as set forth above for the manufacture of a medicament for the treatment of a human or animal patient is provided.
- the use of a glycoprotein as set forth above for the treatment of a human or animal patient is provided.
- the human or animal patient suffers from or has been diagnosed to be at risk to develop a disease selected from the group consisting of
- Neoplastic diseases including tumors, lymphomas and leukemias, in particular B-cell chronic Lymphocytic leukemia (B-CLL), particularly T-cell leukemias
- Neurodegenerative diseases including Multiple sclerosis, and/or Parkinson's disease, Alzheimer's disease, Huntington's disease and/or Amyotrophic lateral sclerosis, and/or
- such use relates to the treatment or prevention of averse reactions like GVHD (Graft vs. Host disease) in a human or animal that has been transplanted.
- averse reactions like GVHD (Graft vs. Host disease)
- transplantation includes organ transplants as well as bone marrow transplants.
- Tlh buffer Histidine Trehalose buffer
- centricon tubes 50kD cut off filters
- the residual volume is re-suspended again in equal volume with Tlh buffer and centrifuged at 4 °C, 4000 rpm for 15 minutes.
- the de-glycosylated Ab is stored in final storage tube and concentration estimated by Nano drop. The deglycoslation is confirmed by CE-SDS (Capillary Electrophoresis).
- FACS Fluorescence activated cell sorter
- Fig. 1 shows that deglycosylation of the Fc region of Thl does not compromise its ability to bind to CD6 expressing cell lines.
- Figure 2 Result of a deglycosylation experiment carried out with an antibody having an Fc region.
- the anti CD antibody Itolizumab was deglycosylated as discussed supra. It's abilty to inhibit of proliferation of activated T cells was then compared with that of unmodified Tlh in a suitable proliferation assay.
- Nimotuzumab which is an antibody that has the same IgG backbone as that of Itolizumab but binds to EGFR, was used as negative control.
- the antibody was coated on sterile 96 well plates in a concentration range 0- ⁇ g/ml overnight with bicarbonate buffer at pH9.5. After washes purified lymphocytes from normal healthy volunteers were added to the plates. Itolizumab from 80- ⁇ g/ml was added and the culture was incubated for 4 days. Alamar blue was added to measure proliferation. Fold difference is calculated relative to unstimulated cells control. Isotype Nimotuzumab antibody was used as control.
- Plate bound anti CD3 stimulates the proliferation of naive T cells (Peripheral Blood Mononuclear Cells (PBMC) from a human donor, purified over a density gradient of Ficoll) from normal healthy volunteers.
- PBMC Peripheral Blood Mononuclear Cells
- Nimotuzumab (8C ⁇ g/ml) does not show any inhibition of the T-Cell proliferation, resulting in about 2.75 fold increase in cells relative to unstimulated cells, while native Tlh shows inhibition of the T-Cell proliferation (35 - 20 % inhibition in the 80 ⁇ g/ml - 1.25 ⁇ g/ml range).
- the impact of deglycosylated Tlh is similar to that of Nimotuzumab. This means that upon deglycosylating, the antibody loses its ability to inhibit the proliferation of T cells.
- Figure 3 Results of a cytotoxicity assay comparing native antibody and deglycosylated antibody.
- PBMCs Frozen PBMCs were thawed in RPMI 1640 Media with 10% FBS in presence of IL-2 (Conc.2.5ng/mL) and incubated overnight in a 37°C, 5% CO2 incubator. On the next day cells were resuspended in media without IL-2 and incubated for 4-5 hrs. In a 96 well plate 12,000 Hut-78 added to each well. 50 ⁇ . 3X concentrated drug (either native Tlh, deglycosylated Tlh or anti CD3 at lOmicrogram/ml) as per template were added and incubated for 2 hours at 37°C, 5% CO2 incubator.
- PBMCs Preparation of PBMCs: 30 ml of blood was collected from a healthy donor. PBMCs were isolated by standard FICOLL density gradient centrifugation Monocyte Depletion & Setting up
- the Human T cell lymphoma cell line Hut 78 was used to assess the CDC activity of Tlh.
- lxl 0 4 cells were incubated with the respective drug dilutions at 10 ⁇ g/mL, ⁇ g/mL and O.O ⁇ g/mL for 20 minutes in a 37°C, 5% CO2 incubator. Pooled normal human serum was added at a final concentration of 1 : 10 and cells were incubated for 2 hours at 37°C.
- alamarBlue® Invitrogen was added and cells were incubated for 20 - 22 hours at 37°C. The uptake of the dye by cells, followed by its reduction is read as fluorescence at 530/590 nm.
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Priority Applications (18)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/905,350 US9856502B2 (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
EA201690269A EA201690269A1 (en) | 2013-07-23 | 2014-07-23 | WAYS OF CONTROL OF FUKOZYLATION LEVELS IN PROTEINS |
JP2016528640A JP6480926B2 (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
BR112016001461A BR112016001461A2 (en) | 2013-07-23 | 2014-07-23 | METHOD OR PROCESS FOR MODIFYING FUCOSYLATION IN A EUKARYOTIC AND/OR EUKARYOTE PROTEIN EXPRESSION SYSTEM, GLYCOPROTEIN, AND, USE OF A GLYCOPROTEIN |
CA2926967A CA2926967C (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
NZ716182A NZ716182A (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
SG11201600067YA SG11201600067YA (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
EP23196563.3A EP4282975A3 (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
CUP2016000008A CU24312B1 (en) | 2013-07-23 | 2014-07-23 | METHODS TO CONTROL FUCOSILATION LEVELS IN PROTEINS |
EP14830053.6A EP3024922A4 (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
KR1020167004763A KR102062784B1 (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
CN201480041292.1A CN105392878A (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
MX2016001042A MX2016001042A (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins. |
AU2014294618A AU2014294618B2 (en) | 2013-07-23 | 2014-07-23 | Methods for controlling fucosylation levels in proteins |
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EP3227454B1 (en) | 2014-12-01 | 2020-01-29 | Amgen Inc. | Process for manipulating the level of glycan content of a glycoprotein |
WO2020094694A1 (en) | 2018-11-07 | 2020-05-14 | Richter Gedeon Nyrt. | Method for modifying the glycosylation profile of a recombinant glycoprotein produced in cell culture |
US11242401B2 (en) * | 2016-10-21 | 2022-02-08 | Biocon Limited | Monoclonal antibody and a method of use for the treatment of lupus |
US11981743B2 (en) | 2008-03-14 | 2024-05-14 | Biocon Limited | Monoclonal antibody and a method thereof |
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EP3541835A4 (en) * | 2016-11-18 | 2020-08-05 | Biocon Limited | Rapid and efficient de-glycosylation of glycoproteins |
IL313983A (en) * | 2018-03-26 | 2024-08-01 | Amgen Inc | Total afucosylated glycoforms of antibodies produced in cell culture |
CA3107038A1 (en) * | 2018-08-10 | 2020-02-13 | Genentech, Inc. | Cell culture strategies for modulating protein glycosylation |
MA54248A (en) | 2018-11-13 | 2021-09-22 | Janssen Biotech Inc | REGULATION OF TRACE METALS DURING ANTI-CD38 ANTIBODY PRODUCTION |
JP7469593B2 (en) * | 2018-12-27 | 2024-04-17 | 東ソー株式会社 | Method for producing an antibody having improved antibody-dependent cellular cytotoxicity |
CN112779307B (en) * | 2021-01-11 | 2022-04-19 | 苏州药明生物技术有限公司 | Method for two-stage regulation of CHO expression exogenous protein glycoform |
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AU2014294618B2 (en) | 2019-06-27 |
ZA201601113B (en) | 2017-08-30 |
EP4282975A3 (en) | 2024-02-28 |
EP3024922A1 (en) | 2016-06-01 |
EP3024922A4 (en) | 2017-03-29 |
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CA2926967A1 (en) | 2015-01-29 |
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CA2926967C (en) | 2020-12-08 |
EA201690269A1 (en) | 2016-05-31 |
AU2014294618A1 (en) | 2016-02-11 |
CN105392878A (en) | 2016-03-09 |
SG11201600067YA (en) | 2016-02-26 |
EP4282975A2 (en) | 2023-11-29 |
TWI621711B (en) | 2018-04-21 |
PE20160218A1 (en) | 2016-05-09 |
TW201512396A (en) | 2015-04-01 |
MX2016001042A (en) | 2017-01-05 |
US20180087080A1 (en) | 2018-03-29 |
NZ716182A (en) | 2018-07-27 |
HK1220228A1 (en) | 2017-04-28 |
PH12016500158A1 (en) | 2016-04-25 |
US10308970B2 (en) | 2019-06-04 |
US20160138065A1 (en) | 2016-05-19 |
BR112016001461A2 (en) | 2017-08-29 |
JP6480926B2 (en) | 2019-03-13 |
JP2016525352A (en) | 2016-08-25 |
KR102062784B1 (en) | 2020-01-07 |
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