WO2018161798A1 - 一种改进的抗vegfr-2单克隆抗体 - Google Patents
一种改进的抗vegfr-2单克隆抗体 Download PDFInfo
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Definitions
- the present invention relates to the field of biopharmaceutical technology, and in particular to the present invention relates to an improved anti-VEGFR-2 monoclonal antibody.
- Angiogenesis provides oxygen, nutrients, growth factors, hormones and proteolytic enzymes to promote the spread and metastasis of tumor cells to distant areas, accelerating tumor growth and deterioration.
- Angiogenesis is a highly complex dynamic process regulated by many pro-/anti-angiogenic molecules.
- the angiogenic switch is thought to be a malignant marker of pro-angiogenesis over anti-angiogenesis.
- the VEGF/VEGFR axis triggers multiple signaling networks leading to epithelial cell survival, mitosis, metastasis and differentiation, and vascular permeability, and VEGF and its receptors play a central role in normal and pathological angiogenesis.
- increased tumor vascularization and expression of tumor proangiogenic factors have been shown to be associated with tumor grade and malignancy.
- VEGF Vascular endothelial growth factor
- vascular permeability factor is a specific mitotic source of endothelial cells and an effective angiogenesis and permeability-inducing factor.
- the corresponding receptor has been identified as VEGFR-1. (Flt-1, FMS-like tyrosine kinase 1), VEGFR-2 (also known as KDR/Flk-1, kinase insertion chimeric receptor, fetal liver kinase-1), VEGFR-3 (Flt4), nerve fibers Protein-1 (neuropilin-1), neurofibrin-2.
- VEGFR-2 is a major VEGF receptor on vascular endothelial cells, a glycoprotein with seven immunoglobulin-like regions (including ligand binding domain and receptor dimerization domain) in the extracellular region.
- the catalytic domain of tyrosine kinase is inserted, mainly expressed on endothelial cells, such as megakaryocytes, distant progenitor cells, mesenchymal stem cells, tumor cells such as melanoma cells, brain tumors and certain leukemia cells.
- VEGF and VEGFR-2 receptors are involved in the angiogenesis of tumors as a key vascular endothelial cell-specific factor signaling pathway.
- VEGFR-2 The main biological functions of VEGF are achieved by VEGFR-2, and VEGFR-2 and VEGF are combined.
- Polymerization, and phosphorylation of tyrosine residues in the VEGFR-2 cell which activates and transmits a signal to the nucleus of the cell membrane/cytoplasmic kinase cascade, triggers a series of changes in endothelial cells, including vascular endothelial cell proliferation. Survival, cytoskeletal rearrangement, cell migration, and gene expression, and eventually cause vascular proliferation.
- VEGF/VEGFR2 Because of the key role of the VEGF/VEGFR2 signaling pathway in the development of tumors, there are many drugs that target the signaling pathway of VEGF/VEGFR2, such as the anti-VEGF antibody bevacizumab and the anti-VEGFR-2 antibody. .
- Antibodies are the most technically and most difficult class of drugs in biomedicine. Since 2012, six of the top ten single drugs in global sales have been antibody-based drugs. Therefore, the development potential of the antibody-based drug market is huge.
- the most commonly used technique for antibody drug screening is the phage antibody library technology, a new technology for genetic antibody engineering developed by phage display technology, which can convert all antibody variable region genes containing different species.
- the translation of the gene bank into a protein library displayed on the surface of the phage not only makes the production of monoclonal antibodies more convenient, rapid and efficient in vitro, but also opens up a new way of humanizing monoclonal antibodies and promotes the production of human monoclonal antibodies. development of. Our patent No.
- CN103333247 B is a series of anti-VEGFR-2 antibodies screened by computer-aided design and phage antibody library technology, which lays a foundation for obtaining anti-VEGFR-2 antibody drugs.
- Our company is further researching. It has been found that the antibodies involved in the above patents have further improvement in affinity and biological activity. Based on this, we have improved the above-mentioned antibodies based on the original research.
- the invention provides an improved anti-VEGFR-2 monoclonal antibody; the invention adopts the highest affinity of the CN103333247B patent as a template, performs computer-aided simulation design, designs a new phage antibody library, and performs multiple rounds of screening. A new anti-VEGFR-2 monoclonal antibody with affinity and biological activity higher than the original patent antibody was obtained.
- an improved anti-VEGFR-2 monoclonal antibody comprising:
- a light chain and a heavy chain comprising any one of SEQ NO. 1, SEQ NO. 2 or SEQ NO. 3; the amino acid sequence of the heavy chain variable region comprising SEQ NO .4.
- the present invention also provides an antibody, polypeptide or protein comprising the above-described light chain variable region or the above heavy chain variable region.
- the present invention also provides a polynucleotide sequence or combination comprising the above-described light chain variable region or the above-described heavy chain variable region amino acid sequence.
- the present invention also provides a recombinant DNA expression vector comprising the above polynucleotide sequence or combination; the DNA sequence of the recombinant DNA expression vector comprises the above heavy chain variable region, heavy chain encoding an anti-VEGFR-2 antibody Amino acid sequences of the constant region, the light chain variable region, and the light chain constant region.
- the present invention also provides a host cell transfected with the above recombinant DNA expression vector, the host cell comprising mammalian cells, insect cells, Escherichia coli or yeast; preferably mammalian cells; further preferably HEK293E cells, CHO cells or NSO cells.
- heavy chain constant region of the present invention is selected from human IgG1, IgG2, IgG3, IgG4 or murine IgG1, IgG2a, IgG2b.
- the present invention also provides a fragment of the full length antibody and the anti-T1h monoclonal antibody comprising the above light chain variable region or the above heavy chain variable region, the fragment including but not limited to Fab, Fab', F ( Ab') 2 , Fv or ScFv.
- the present invention also provides a single chain antibody, a single domain antibody, a bispecific antibody, an antibody drug conjugate and a chimeric antigen receptor comprising the amino acid sequence of the above light chain variable region or the above heavy chain variable region T cell immunotherapy.
- the present invention provides a monoclonal antibody, an artificial vector, a pharmaceutical or a pharmaceutical composition comprising the above-described light chain variable region or the above heavy chain variable region.
- the present invention also provides a detection reagent or kit comprising the above-described light chain variable region or the above heavy chain variable region.
- the antibody is useful for treating diseases caused by neovascularization, including but not limited to tumors and macular degeneration.
- the ScFv is a single-chain fragment variable
- the HEK293E cell is a human embryonic kidney 293E cell
- the CHO cell is a Chinese hamster ovary cell
- the NSO cell For mouse NSO thymoma cells.
- the anti-VEGFR-2 monoclonal antibody provided by the invention has high affinity and can inhibit the binding of VEGFR-2 and its ligand VEGF well in vitro, and has good biological activity in vitro; and has broad development prospects.
- the anti-VEGFR-2 monoclonal antibody provided by the invention is used for treating diseases caused by neovascularization of tumors, including but not limited to the following diseases: non-small cell lung cancer, metastatic non-small cell lung cancer, glioma, colorectal cancer Hepatocellular carcinoma, metastatic hepatocellular carcinoma, HER2-negative metastatic breast cancer, metastatic gastric adenocarcinoma, metastatic colorectal cancer, metastatic melanoma, metastatic renal cell carcinoma and other diseases such as macular degeneration.
- the present invention provides an improved anti-VEGFR-2 monoclonal antibody comprising:
- a light chain and a heavy chain comprising any one of SEQ NO. 1, SEQ NO. 2 or SEQ NO. 3; the amino acid sequence of the heavy chain variable region comprising SEQ NO .4;
- VFGFR-2 light chain variable region sequence 1 DIQMTQSPSSVSASIGDRVTITCRASQAIDNWLGWYQQKPGKAPKLLIYEGSNLNTGVPSRFSGSGSGTDFTLTISSLQAEDFAVYFCQQAKSFPPTFGGGTKVDIK;
- SEQ NO. 2 (VEGFR-2 light chain variable region sequence 2): DIQMTQSPSSVSASIGDRVTITCRASDAIDQWLGWYQQKPGKAPKLLIYEASNLDTGVPSRFSGSGSGTDFTLTISSLQANQFAVYFCQQAKSFPPTFGGGTKVDIK;
- SEQ NO. 3 (VEGFR-2 light chain variable region sequence 3): DIQMTQSPSSVSASIGDRVTITCRASQGIDQWLGWYQQKPGKAPKLLIYEGSNLNTGVPSRFSGSGSGTDFTLTISSLQANQFAVYFCQQAKSFPPTFGGGTKVDIK;
- VFGFR-2 heavy chain variable region sequence 1 QVQLVESGGGLVKPGGSLRLSCAASAFTFSSYSMNWVRQAPGKGLEWVSSISSSSSYIYYADSVKGRFTISRDNAKNSLYLQMNSLRAEDTAVYYCARVTDAFDLWGQGTMVTVSS.
- the present invention also provides an antibody, polypeptide or protein comprising the above-described light chain variable region or the above heavy chain variable region.
- the present invention also provides a polynucleotide sequence or combination comprising the above-described light chain variable region or the above-described heavy chain variable region amino acid sequence.
- the present invention also provides a recombinant DNA expression vector comprising the above polynucleotide sequence or combination; the DNA sequence of the recombinant DNA expression vector comprising the above heavy chain variable region encoding an anti-VEGFR-2 antibody, Amino acid sequences of the heavy chain constant region, the light chain variable region, and the light chain constant region.
- the present invention also provides a host cell transfected with the above recombinant DNA expression vector, the host cell comprising a mammalian cell, an insect cell, Escherichia coli or yeast; preferably a mammalian cell; further preferably HEK293E cell, CHO Cells or NSO cells.
- the heavy chain constant region of the invention is selected from the group consisting of human IgGl, IgG2, IgG3, IgG4 or murine IgGl, IgG2a, IgG2b.
- the present invention also provides a fragment of the full length antibody and the anti-T1h monoclonal antibody comprising the above-described light chain variable region or the above heavy chain variable region, including but not limited to Fab, Fab', F(ab') 2 , Fv or ScFv.
- the present invention also provides a single chain antibody, a single domain antibody, a bispecific antibody, an antibody drug conjugate, and a chimeric antigen comprising the amino acid sequence of the above light chain variable region or the above heavy chain variable region.
- Receptor T cell immunotherapy a single chain antibody, a single domain antibody, a bispecific antibody, an antibody drug conjugate, and a chimeric antigen comprising the amino acid sequence of the above light chain variable region or the above heavy chain variable region.
- the present invention also provides a monoclonal antibody, artificial vector, drug or pharmaceutical composition comprising the above-described light chain variable region or the above heavy chain variable region.
- the monoclonal antibody is of all human origin.
- the present invention also provides a detection reagent or kit comprising the above-described light chain variable region or the above heavy chain variable region.
- the antibody can be used to treat diseases caused by neovascularization, including but not limited to non-small cell lung cancer, metastatic non-small cell lung cancer, glioma, colorectal cancer, hepatocellular carcinoma, metastatic hepatocellular carcinoma , HER2-negative metastatic breast cancer, metastatic gastric adenocarcinoma, metastatic colorectal cancer, metastatic melanoma, metastatic renal cell carcinoma and other diseases such as macular degeneration.
- diseases caused by neovascularization including but not limited to non-small cell lung cancer, metastatic non-small cell lung cancer, glioma, colorectal cancer, hepatocellular carcinoma, metastatic hepatocellular carcinoma , HER2-negative metastatic breast cancer, metastatic gastric adenocarcinoma, metastatic colorectal cancer, metastatic melanoma, metastatic renal cell carcinoma and other diseases such as macular degeneration.
- the vector pCom3 vector (purchased from the Chinese plasmid vector strain cell strain gene collection) was modified by a series of gene cloning methods for use in the construction and expression of a phage single-chain antibody library.
- the engineered vector was named pScFvDisb-S, and its plasmid map is shown in Figure 1. Based on this vector, a new fully synthetic phage antibody library based on the antibody sequence in the patent CN10333247B was constructed.
- the extracellular domain of VEGFR-2 was used as an antigen to coat the immunotube, and the antigen coating amount was 2 ug/500 ul/tube, and coated at 4 ° C overnight.
- the immunotubes and the fully synthetic phage antibody library were blocked with 4% skim milk powder/PBST, respectively, and blocked at room temperature for 1 hour.
- the blocked phage antibody library was added to the immunotube for antigen-antibody binding, and the phage input amount was about 10 9 -10 12 , and the reaction was carried out at room temperature for 1 hour.
- the PBST-PBS was washed several times to remove unbound phage, eluted with 0.1 M PH2.2 glycine, and the eluted phage antibody solution was neutralized to about pH 7.0 with 1.5 M PH8.8 Tris-HCl.
- the above-mentioned neutralized phage was infected with 10 ml of TG1 bacterial solution grown to log phase, and allowed to stand in a 37 ° C incubator for 30 min, and some of the bacterial liquid was taken out for gradient dilution and applied to 2YTAG plates for calculation of phage yield. .
- the remaining bacterial liquid was centrifuged to discard the supernatant, and the bacterial pellet was resuspended in a small amount of medium, and then aspirated and applied to a 2YTAG large plate to prepare for the next round of screening.
- the above-mentioned infected plate was scraped from the large plate, and the cells were inoculated to 2YTAG liquid medium. After the logarithmic phase, M13 helper phage super infection was added, and the phage was expanded overnight at 28 ° C, and PEG6000-NaCl was purified. Phage were used for the next round of screening. A total of three rounds of phage library enrichment screening were performed.
- the well-separated monoclonal colonies were picked and inoculated into 96-well deep-well plates supplemented with 2YTAG liquid medium, and cultured at 37 ° C, 220 rpm to their logarithmic growth phase, adding about 10 10 per well.
- the phage M13KO7 was inactivated for 30 minutes at 37 °C. After centrifugation at 4000 rpm for 15 minutes at 4 ° C, the supernatant was discarded, the cells were resuspended in 2YTAK, and cultured overnight at 28 ° C, 220 rpm. The phage-containing supernatant was aspirated and identified by ELISA.
- the phage of the biological antibody sequence of CN10333247B (the heavy chain is CN10333247B sequence No.3, the light chain is CN10333247B sequence No.9) was used as a positive control (named as O-1).
- the monoclonal antibodies N-1, N-2 and N-3 with higher affinity were screened, and the sequencing of the gene was determined to be different from the sequence in the original patent CN10333247B.
- Example 2 The clone obtained in Example 2 was subjected to display and purification of monoclonal phage, and phage gradient dilution ELISA assay was performed to identify affinity.
- the extracellular domain of VEGFR-2 was coated with a pH 9.6 carbonate buffer, 20 ng/well/100 ul, and coated overnight at 4 °C.
- the cells were washed three times with PBST and blocked with 4% milk-PBST at 37 ° C for 1 hour h.
- the purified phage was diluted with a 5 fold gradient of 4% milk-PBST, 100 ul of the diluted sample was added to each well, and allowed to stand at room temperature for 1 hour.
- the ELISA plate was washed with PBST, and the 4% milk-PBST diluted HRP-anti-M13 monoclonal antibody was added to the ELISA plate and allowed to stand at room temperature for 1 h.
- the TMB color development kit was developed and developed at room temperature for 10 minutes. After termination with 2M H 2 SO 4 , the reading was taken at 450 nm / 630 nm. As shown in Fig. 2, the three different single-chain antibodies screened were able to specifically bind to VEGFR-2, and the binding ability was higher than that of O-1.
- the heavy chain VH and light chain k genes of the above three antibodies N-1, N-2 and N-3 were cloned into the vector pTSE containing the heavy and light chain constant region genes, respectively (see Figure 3), encoding human IgG1.
- the constant region (see SEQ. 5) and the pTSE vector of the constant region of the k chain (see SEQ. 6) (pTSE vector is shown in Figure 3, and the preparation process is described in paragraph [0019] on page 3 of the CN103525868A specification).
- SEQ NO. 6 (constant region sequence of k-strand): RTVAAPSVFIFPPSDEQLKSGTASVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSSPVTKSFNRGEC;
- HEK293E cells were transiently transfected for full antibody expression.
- Whole antibody protein was obtained using an AKTA instrument protein A affinity column purification. Protein concentration determination was performed using a BCA kit.
- the extracellular domain of VEGFR was coated with a pH 9.6 carbonate buffer, 20 ng/well/100 ul, overnight coating at 4 °C. Wash three times with 300 ul/well PBST, and then add 4% milk-PBST for 1 h at 37 °C. Different dilutions of biotinylated whole antibodies were added. Human IgG (hIgG) was used as an isotype control, the highest concentration of various whole antibodies was 100 ng/ml, 8 gradients were made to 8 gradients, and incubated at 37 °C for 2-3 hours. Wash five times with 300 ul/well PBST, and then add streptavidin diluted 1 : 10000 with 4% milk-PBST for 1 h at 37 °C.
- the cells were washed eight times with 300 ul/well PBST, developed by TMB colorimetric kit, 100 ul/well, developed at room temperature for 10 min, and then terminated with 2M H 2 SO 4 . 450 nm / 630 nm reading.
- the experimental results are shown in Figure 4. All the antibodies bind well to the KDR molecules on the cell surface.
- the affinity of N3 is relatively high, and N-1, N-2 and N-3 are higher than the original O. -1.
- CHO cells overexpressing VEGFR-2 are used to detect the binding of different bispecific antibodies to cell surface EGFR, and human IgG (hIgG) is used as an isotype control.
- the cells were harvested by centrifugation with 0.25% trypsin. Diluted various antibodies at the same time, the highest concentration was 100 nM, 4 times gradient dilution. The collected cells were washed three times with PBS+1% BSA, and the cells were resuspended with PBS+1% BSA, and then the cells were plated in 96-well plates at 1 ⁇ 10 5 cells per well, and 100 ⁇ l of diluted dispecific was added.
- the antibody was incubated for 1 hour at room temperature; the supernatant was removed by centrifugation, the cells were washed three times with PBS, and the cells were resuspended with diluted Alexa488-labeled anti-human IgG FC antibody, incubated at room temperature for 1 hour in the dark, washed three times with PBS, and then washed again.
- the cells were resuspended in 100 ul PBS and the fluorescence intensity was measured by flow cytometry.
- the results were analyzed using Graphpad Prism. The results showed that N3 could better bind to VEGFR-2 expressed by cells, and the binding ability of N1, N2 and N3 was stronger than that of O-1 (see Figure 5).
- Example 7 Total antibody inhibits proliferation of HUVEC cells
- HUVEC Human umbilical vein endothelial cells
- HUVEC Human umbilical vein endothelial cells
- the present inventors have studied the inhibitory effects of different anti-VEGFR-2 antibodies on HUVEC cell proliferation. Wait for HUVEC cells to grow to 80% abundance, replace with fresh EPM medium containing 5% FBS, trypsin digest after 6 hours, then wash the digested cells with serum-free medium for 4-5 times. Pour the medium, resuspend the cell count, connect 5,000 cells per well to the 96-well plate, discard the 96-well plate edge, 100 ul of serum-free medium per well, and starve overnight.
- the above antibodies of the invention can be used for treating diseases caused by neovascularization, including but not limited to non-small cell lung cancer, metastatic non-small cell lung cancer, glioma, colorectal cancer, hepatocellular carcinoma, metastatic hepatocellular carcinoma, HER2 negative Metastatic breast cancer, metastatic gastric adenocarcinoma, metastatic colorectal cancer, metastatic melanoma, metastatic renal cell carcinoma and other diseases as well as macular degeneration.
- diseases caused by neovascularization including but not limited to non-small cell lung cancer, metastatic non-small cell lung cancer, glioma, colorectal cancer, hepatocellular carcinoma, metastatic hepatocellular carcinoma, HER2 negative Metastatic breast cancer, metastatic gastric adenocarcinoma, metastatic colorectal cancer, metastatic melanoma, metastatic renal cell carcinoma and other diseases as well as macular degeneration.
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Abstract
Description
Claims (12)
- 一种抗VEGFR-2单克隆抗体,其特征在于,包括:轻链和重链;所述轻链可变区的氨基酸序列包含SEQ NO.1、SEQ NO.2或SEQ NO.3中的任一种;所述重链可变区的氨基酸序列包含SEQ NO.4。
- 一种包含上述权利要求1所述的轻链可变区或重链可变区的抗体、多肽或蛋白。
- 一种包含权利要求1所述的轻链可变区或重链可变区氨基酸序列的多核苷酸序列或组合。
- 一种包含如权利要求3所述的多核苷酸序列或组合的重组DNA表达载体;所述重组DNA表达载体的DNA序列中包含编码抗VEGFR-2抗体的所述重链可变区、重链恒定区、所述轻链可变区和轻链恒定区的氨基酸序列。
- 一种转染如权利要求4所述的重组DNA表达载体的宿主细胞,所述宿主细胞包含哺乳动物细胞、昆虫细胞、大肠杆菌或酵母;优选哺乳动物细胞;进一步优选HEK293E细胞、CHO细胞或NSO细胞。
- 根据权利要求1所述的单克隆抗体,其特征在于,重链恒定区选自人的IgG1、IgG2、IgG3、IgG4或鼠的IgG1、IgG2a、IgG2b。
- 一种包含权利要求1所述的轻链可变区或重链可变区的全长抗体和抗T1h单克隆抗体的片段,所述片段包含但不限于Fab、Fab’、F(ab’)2、Fv或ScFv。
- 一种包含如权利要求1所述的轻链可变区或重链可变区的氨基酸序列的单链抗体、单域抗体、双特异抗体、抗体药物偶联物和嵌合抗原受体T细胞免疫疗法。
- 一种包含权利要求1所述的轻链可变区或重链可变区的单克隆抗体、人工载体、药物或药物组合物。
- 根据权利要求1所述的单克隆抗体,其特征在于,所述单克隆抗体是全人源的。
- 一种包含权利要求1所述的轻链可变区或重链可变区的检测试剂或试剂盒。
- 一种包含权利要求1所述的轻链可变区或重链可变区的抗体用于治疗新生血管引起的疾病,所述疾病包含肿瘤和黄斑变性。
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KR1020197025428A KR102276489B1 (ko) | 2017-03-07 | 2018-02-14 | 개선된 항vegfr-2 모노클로널 항체 |
JP2019546906A JP6843262B2 (ja) | 2017-03-07 | 2018-02-14 | 改良型抗vegfr−2モノクローナル抗体 |
EP18764068.5A EP3590964A4 (en) | 2017-03-07 | 2018-02-14 | IMPROVED MONOCLONAL ANTI-VEGFR-2 ANTIBODY |
CA3054615A CA3054615C (en) | 2017-03-07 | 2018-02-14 | Improved anti-vegfr-2 monoclonal antibody |
AU2018229915A AU2018229915B2 (en) | 2017-03-07 | 2018-02-14 | Improved anti-VEGFR-2 monoclonal antibody |
EA201991788A EA201991788A1 (ru) | 2017-03-07 | 2018-02-14 | Улучшенные моноклональные анти-vegr-2 антитела |
US16/487,833 US11370834B2 (en) | 2017-03-07 | 2018-02-14 | Anti-VEGFR-2 monoclonal antibody |
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WO2021013061A1 (zh) * | 2019-07-19 | 2021-01-28 | 神州细胞工程有限公司 | 一种人源化抗vegfr2抗体及其应用 |
CN111024949A (zh) * | 2019-12-31 | 2020-04-17 | 上海博威生物医药有限公司 | 一种重组抗vegfr2单克隆抗体的生物活性分析方法及其应用 |
CN112094351B (zh) * | 2020-09-11 | 2021-04-20 | 北京东方百泰生物科技股份有限公司 | 一种抗vegfr-2单克隆抗体的检测性抗体、应用及检测方法 |
CN115724968B (zh) * | 2021-08-27 | 2023-08-08 | 三优生物医药(上海)有限公司 | Vegf结合分子及其用途 |
CN114081945A (zh) * | 2021-11-19 | 2022-02-25 | 北京东方百泰生物科技股份有限公司 | 一种治疗肿瘤疾病的联合用药组合物及应用 |
CN115957319B (zh) * | 2022-10-14 | 2023-06-30 | 北京东方百泰生物科技股份有限公司 | 一种抗nkg2a单克隆抗体的注射制剂 |
CN116254315A (zh) * | 2022-12-23 | 2023-06-13 | 北京东方百泰生物科技股份有限公司 | 一种vegf/vegfr抑制剂生物学活性的检测方法 |
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CN106674349A (zh) | 2017-05-17 |
CN106674349B (zh) | 2018-03-13 |
CA3054615A1 (en) | 2018-09-13 |
EP3590964A1 (en) | 2020-01-08 |
US20210139575A1 (en) | 2021-05-13 |
KR102276489B1 (ko) | 2021-07-13 |
AU2018229915B2 (en) | 2020-10-08 |
US11370834B2 (en) | 2022-06-28 |
JP2020510427A (ja) | 2020-04-09 |
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