WO2020069507A1 - Anti-human vsig4 antibodies and uses thereof - Google Patents
Anti-human vsig4 antibodies and uses thereof Download PDFInfo
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- WO2020069507A1 WO2020069507A1 PCT/US2019/053824 US2019053824W WO2020069507A1 WO 2020069507 A1 WO2020069507 A1 WO 2020069507A1 US 2019053824 W US2019053824 W US 2019053824W WO 2020069507 A1 WO2020069507 A1 WO 2020069507A1
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- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- 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
- C07K16/30—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants from tumour cells
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- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
- 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
- C07K16/2803—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans against receptors, cell surface antigens or cell surface determinants against the immunoglobulin superfamily
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- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- C12N15/00—Mutation or genetic engineering; DNA or RNA concerning genetic engineering, vectors, e.g. plasmids, or their isolation, preparation or purification; Use of hosts therefor
- C12N15/09—Recombinant DNA-technology
- C12N15/63—Introduction of foreign genetic material using vectors; Vectors; Use of hosts therefor; Regulation of expression
- C12N15/79—Vectors or expression systems specially adapted for eukaryotic hosts
- C12N15/85—Vectors or expression systems specially adapted for eukaryotic hosts for animal cells
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K45/00—Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
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- C07K2317/00—Immunoglobulins specific features
- 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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- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/515—Complete light chain, i.e. VL + CL
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- C—CHEMISTRY; METALLURGY
- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
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- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
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- C07—ORGANIC CHEMISTRY
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- C07K2317/00—Immunoglobulins specific features
- C07K2317/50—Immunoglobulins specific features characterized by immunoglobulin fragments
- C07K2317/56—Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
- C07K2317/565—Complementarity determining region [CDR]
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- C07—ORGANIC CHEMISTRY
- C07K—PEPTIDES
- C07K2317/00—Immunoglobulins specific features
- 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
Definitions
- the present disclosure relates to antibodies and antigen-binding fragments that binds to V-Set And Immunoglobulin Domain Containing 4 (VSIG4).
- VSIG4 V-Set And Immunoglobulin Domain Containing 4
- Cancer remains one of the leading causes of death in the world. Recent statistics report that 13% of the world population dies from cancer. According to estimates from the International Agency for Research on Cancer (IARC), in 2012 there were 14.1 million new cancer cases and 8.2 million cancer deaths worldwide. By 2030, the global burden is expected to grow to 21.7 million new cancer cases and 13 million cancer deaths due to population growth and aging and exposure to risk factors such as smoking, unhealthy diet and physical inactivity. Further, pain and medical expenses for cancer treatment cause reduced quality of life for both cancer patients and their families. It is apparent that, above all, cancer is a disease for which it is necessary to urgently find improved treatment methods.
- IARC International Agency for Research on Cancer
- Macrophages are multifunctional antigen presenting cells that play a central role for our immune system and is relevant to cancer biology.
- TAMs tumor-associated macrophages
- Ml macrophages are seen to have a pro-inflammatory and cytotoxic (anti-tumoral) function, while M2 macrophages are anti-inflammatory (pro-tumoral) and promote wound healing. Consistent with these functions, the TAMs, especially macrophages with the M2 phenotype, is closely associated with worse clinical prognosis in many kinds of malignant tumors. Infiltrating TAMs themselves or polarization pathway of TAMs are considered as new therapeutic targets for the therapy of malignant tumors.
- the present disclosure relates, at least in part, to antibodies and fragments thereof that binds to VSIG4 (V-Set And Immunoglobulin Domain Containing 4; also referred to as CRIg or Z39Ig), and methods of using such antibodies and antigen-binding fragments for treating cancer, inducing cytokine and/or chemokine secretion in macrophages, and conversion of M2 macrophages to Ml macrophages.
- V-Set And Immunoglobulin Domain Containing 4 also referred to as CRIg or Z39Ig
- the present invention relates to an isolated humanized antibody or antigen-binding fragment includes: (a) a heavy chain CDR1 comprising the amino acid sequence of SEQ ID NO: 17, a heavy chain CDR2 comprising the amino acid sequence of SEQ ID NO: 18, a heavy chain CDR3 sequence comprising the amino acid sequence of SEQ ID NO: 19; and (b) a light chain CDR1 comprising the amino acid sequence of SEQ ID NO: 20, a light chain CDR2 comprising the amino acid sequence of SEQ ID NO: 21, and a light chain CDR3 comprising the amino acid sequence of SEQ ID NO: 22 or SEQ ID NO: 23.
- the antibody or antigen-binding fragment described herein may include any one of: (a) a heavy chain variable domain comprising an amino acid sequence at least 80%, 90%, 95%, 96%, 97%, 98%, or 99% identical to the amino acid sequence of SEQ ID NO: 2, SEQ ID NO: 6, SEQ ID NO: 14, or SEQ ID NO: 16; (b) a light chain variable domain comprising an amino acid sequence at least 80%, 90%, 95%, 96%, 97%, 98%, or 99% identical to the amino acid sequence of SEQ ID NO: 4, SEQ ID NO: 8, SEQ ID NO: 10, or SEQ ID NO: 12; or (c) a heavy chain variable domain comprising an amino acid sequence at least 80%, 90%, 95%, 96%, 97%, 98%, or 99% identical to the amino acid sequence of SEQ ID NO: 2, SEQ ID NO: 6, SEQ ID NO: 14, or SEQ ID NO: 16, and a light chain variable domain comprising an amino acid sequence at least 80%, 90%, 95%
- the antibody or antigen-binding fragment described herein may include a light chain CDR3 comprising the amino acid sequence of SEQ ID NO: 23.
- the antibody or antigen-binding fragment described herein may include a heavy chain variable domain comprising the amino acid sequence of SEQ ID NO: 2 and a light chain variable domain comprising the amino acid sequence of SEQ ID NO: 4. In some embodiments, the antibody or antigen-binding fragment described herein may include a heavy chain variable domain comprising the amino acid sequence of SEQ ID NO: 6 and a light chain variable domain comprising the amino acid sequence of SEQ ID NO: 8. In some embodiments, the antibody or antigen-binding fragment may include a heavy chain variable domain comprising the amino acid sequence of SEQ ID NO: 6 and a light chain variable domain comprising the amino acid sequence of SEQ ID NO: 10.
- the antibody or antigen-binding fragment may include a heavy chain variable domain comprising the amino acid sequence of SEQ ID NO: 6 and a light chain variable domain comprising the amino acid sequence of SEQ ID NO: 12.
- the antibody or antigen-binding fragment described herein may include a heavy chain variable domain comprising the amino acid sequence of SEQ ID NO: 14 and a light chain variable domain comprising the amino acid sequence of SEQ ID NO: 10.
- the antibody or antigen-binding fragment described herein may include a heavy chain variable domain comprising the amino acid sequence of SEQ ID NO: 16 and a light chain variable domain comprising the amino acid sequence of SEQ ID NO: 12.
- the antibody or antigen-binding fragment described herein has a binding affinity (KD) for a human V-Set And Immunoglobulin Domain Containing 4 (VSIG4) molecule of 1 x 10 7 to 1 x 10 9 .
- the antibody or antigen-binding fragment described herein has a binding affinity (KD) for a VSIG4 molecule of about 7.156 x 10 8 to about 7.636 x 10 9 .
- the antibody or antigen-binding fragment described herein has a binding affinity (KD) for a VSIG4 molecule of about 7.156 x 10 8 , about 7.636 x 10 9 , about 7.952 x 10 9 , about 8.226 x 10 9 , or about 8.688 x 10 9 .
- KD binding affinity
- the present invention relates to a nucleic acid molecule encoding any one of the antibody or antigen-binding fragments described herein.
- the present invention relates to a recombinant vector including any one of the nucleic acid molecules described herein.
- the recombinant vector described herein contains the nucleic acid molecule described herein that is operatively linked to a promoter.
- the recombinant vector includes two separate vectors, each comprising the nucleic acid sequence corresponding to the heavy chain and the light chain of the antibody or antigen-binding fragment provided herein.
- the present invention provides a host cell including the nucleic acid molecule or the recombinant vector described herein.
- the host cell is a mammalian cell, a yeast cell, or a bacterial cell.
- the host cell is a cell selected from the group consisting of E.coli, P.pastoris , Sf9, COS, HEK293, Expi293, CHO-S, CHO-DG44, CHO-K1, and a mammalian lymphocyte.
- the host cell is the Expi293 cell.
- the present invention relates to a pharmaceutical composition including:
- the present invention relates to a method of treating a subject in need thereof, the method comprising the steps of: (a) administering to the subject a composition that comprises or delivers any one of the antibody or antigen-binding fragments described herein, any one of the nucleic acid molecules described herein, any one of the recombinant vectors described herein, or any one of the host cells described herein, thereby treating a disease or a condition.
- the subject has, or is at risk for developing, cancer.
- the cancer is selected from a bladder cancer, breast cancer, cervical cancer, colon cancer, endometrial cancer, esophageal cancer, fallopian tube cancer, gall bladder cancer, gastrointestinal cancer, head and neck cancer, hematological cancer, laryngeal cancer, liver cancer, lung cancer, lymphoma, melanoma, mesothelioma, ovarian cancer, primary peritoneal cancer, salivary gland cancer, sarcoma, stomach cancer, thyroid cancer, pancreatic cancer, renal cell carcinoma, glioblastoma, and prostate cancer.
- the subject has been administered or will be administered one or more additional anticancer therapies selected from ionizing radiation, a chemotherapeutic agent, an antibody agent, and a cell-based therapy, such that the subject receives treatment with both.
- the one or more additional anticancer therapies can include an immune checkpoint inhibitor, IL-12, GM-CSF, an anti-CD4 agent, cisplatin, fluorouracil, doxorubicin, irinotecan, paclitaxel, indoleamine 2,3 -di oxygenase- 1 (IDOl) inhibitor, or cyclophosphamide.
- the present invention also relates to a method of increasing secretion of cytokines or chemokines in M2 macrophages, the method including contacting the M2 macrophages with any one of the antibody or antigen-binding fragments described herein.
- the present invention relates to a method of inducing CD8 + T cell proliferation, the method including: (a) contacting an M2 macrophage with any one of the antibody or antigen-binding fragments described herein; and (b) co-incubating the M2 macrophage with CD8 + T cells.
- the present invention also relates to a method of converting an M2 macrophage into an Ml macrophage, the method including contacting the M2 macrophage with any one of the antibody or antigen-binding fragments described herein.
- FIGURE 1 is a schematic diagram illustrating mechanism of how administration of anti-VSIG4 antibody to macrophages result in conversion of M2 macrophages to Ml macrophages, which results in proliferation of CD8 + T cells and subsequent suppression of cancer.
- FIGURE 2A shows sequence alignment of VSIG4 with various human B7 family of proteins.
- FIGURE 2B is a phylogenic tree showing evolutionary relationship between VSIG4 and various human B7 family of proteins.
- FIGURES 3 A and 3B show correlation of VSIG4 mRNA expression with various genes in tumor tissue.
- FIGURE 4A is a HPLC plot showing protein profile of EU103.2 antibody.
- FIGURE 4B is a surface plasmon resonance data showing binding of EU103.2 antibody to VSIG4.
- FIGURE 5 shows light microscope images of Ml and M2 macrophages (top left and top right, respectively), and FACS analysis data showing expression of VSIG4 in Ml and M2
- FIGURE 6 is a set of graphs showing induction of proinflammatory cytokines and chemokines in Ml and M2 macrophages by EU103.2.
- FIGURE 7 is a set of FACS data showing decreased expression of CD163 in M2 macrophages treated with EU 103.2.
- FIGURE 8 is a set of FACS data (first six columns) and quantification of these data (last column) showing induction of CD8 + T cell proliferation when CD8 + T cells were co-cultured with M2 macrophages treated with EU103.2.
- FIGURE 9 is a set of FACS data showing VSIG4 expression in macrophages isolated from abdominal fluid from ovarian cancer patients.
- FIGURE 10 is a set of FACS data showing induction of CD8 + T cell proliferation when co- cultured with EUl03.2-treated macrophages isolated from ovarian cancer patients.
- FIGURE 11 is a graph showing induction of CD8 + T cell proliferation when co-cultured with anti- EUl03.2-treated macrophages isolated from ovarian cancer patients.
- FIGURE 12 is a set of microscope images of Ml and M2 macrophages showing morphological differences after conversion of M2 macrophages into Ml macrophages by EU103.2 antibody.
- FIGURE 13 is a set of FACS data showing blocking interaction between CD8 + cells and VSIG4 enhances proliferation of CD8 + T cells.
- FIGURES 14A and 14B are set of graphs showing enhanced CD8 + cell proliferation by blocking the suppression by THP-l cells.
- FIGURES 15A-15C are sets of graphs showing the anti -tumor activities of anti-VSIG4 antibody in three different mouse tumor models.
- FIGURE 16 is a set of graphs showing the anti -turn or activities of anti-VSIG4 antibody in a VSIG4 knockout mouse model.
- FIGURE 17A is a set of FACS data showing activation status of T cells and MDSCs in TDLNs in the absence of VSIG4 signaling.
- FIGURE 17B is a set of graphs showing activation status of T cells and MDSCs in TDLNs in the absence of VSIG4 signaling.
- FIGURE 17C is a set of graphs showing activation status of T cells and MDSCs in TDLNs in the absence of VSIG4 signaling.
- FIGURE 17D is a set of graphs showing activation status of T cells and MDSCs in TDLNs in the absence of VSIG4 signaling.
- FIGURE 18A is a graph showing suppression of tumor growth in the absence of VSIG4 signaling.
- FIGURE 18B is a set of histological slides showing suppression of tumor growth in the absence of VSIG4 signaling.
- FIGURE 19 is a graph showing anti-tumor activities of anti-VSIG4 antibody in humanized mouse model.
- FIGURE 20 is a schematic diagram illustrating mechanism of how administration of EU103.2 antibody to macrophages results in conversion of M2 macrophages to Ml macrophages, which results in proliferation of CD8 + T cells.
- FIGURES 21 A and 21B are schematic diagrams showing expression vectors used to clone and express humanized anti-VSIG4 antibodies.
- FIGURE 22 is a HPLC plot showing protein profile of Al antibody (EU103 T01.01).
- FIGURE 23 is a HPLC plot showing protein profile of A2 antibody (EU103 T01.02).
- FIGURE 24 is a HPLC plot showing protein profile of A1.3 antibody (EU103 T01.01S).
- FIGURE 25 is a HPLC plot showing protein profile of A2.3 antibody (EU103 T01.02S).
- FIGURE 26A is a set of FACS data showing decreased expression of CD 163 in M2
- FIGURE 26B is a graph showing decreased expression of CD 163 in M2 macrophages treated with Al or A2 antibodies.
- FIGURE 27 is a set of graphs showing decrease of M2 type cytokines and chemokines in M2 cells treated with Al or A2 antibodies.
- FIGURE 28 is a set of FACS data showing decreased expression of CD 163 and an increased expression of CD86 in M2 macrophages treated with Al or A2 antibodies.
- FIGURE 29 is a set of graphs showing increased expression of Ml type cytokine/chemokines in M2 macrophages treated with Al or A2 antibodies.
- FIGURE 30 is a graph showing data from a chemotaxis assay measuring the chemotactic ability of macrophages after the M2 to Ml macrophage conversion by A2 antibodies.
- FIGURES 31 A-31C show the anti-tumor effect of Al and A2 antibodies in a humanized mouse model.
- FIGURES 32A-32C show macrophage conversion with A2 antibodies in vivo.
- FIGURES 33A and 33B show macrophage conversion with A2 antibodies in vivo by analyzing the effect of M2 conversion to Ml macrophages on tumor growth.
- FIGURES 34A-34E show the anti-tumor effect of A2 antibodies in a humanized mouse model.
- FIGURES 35A-35D show the anti-tumor effect of A2 and A2.3 antibodies in a humanized mouse model.
- FIGURES 36A and 36B are set of data from a co-culture assay showing co-cultures of Al, A1.3, A2, and A2.3 antibodies and M2 macrophages showed increase of CD8 + T cell proliferation.
- FIGURE 37 is a graph showing data from a co-culture assay showing co-cultures of A2 and A2.3 antibodies with M2 macrophages showed increase of CD8 + T cell proliferation.
- FIGURES 38A and 38B are set of graphs showing the use of hVSIG4 expressing HeLa-hVSIG4 cells to observe CD8 + T cell proliferation by A2 or A2.3 antibodies.
- FIGURE 39 is a graph showing the use of human phosphor-kinase array to observe the signal pathway of the macrophage conversion by A2 antibodies.
- FIGURE 40 shows sequence alignment of heavy chains and light chains of humanized EU103.3, Al, A2, A1.3, and A2.3 antibodies.
- FIGURE 41 shows generation and characterization of VSIG4 K/O Mice.
- FIGURE 42 is data from gene array analysis showing change in gene expression after conversion of M2 macrophages to Ml macrophages by A2 antibodies.
- the present invention is based, at least in part, on the discovery that inhibition of VSIG4 interaction with CD8 + T cells using certain anti-VSIG4 antibodies result in proliferation of CD8 + T cells, which can lead to suppression of cancer.
- administration typically refers to the administration of a composition to a subject or system to achieve delivery of an agent that is, or is included in, the composition.
- agents that is, or is included in, the composition.
- routes may, in appropriate circumstances, be utilized for administration to a subject, for example a human.
- administration may be ocular, oral, parenteral, topical, etc.
- administration may be bronchial (e.g., by bronchial instillation), buccal, dermal (which may be or comprise, for example, one or more of topical to the dermis, intradermal, interdermal, transdermal, etc), enteral, intra-arterial, intradermal, intragastric, intramedullary, intramuscular, intranasal, intraperitoneal, intrathecal, intravenous,
- administration may involve only a single dose.
- administration may involve application of a fixed number of doses.
- administration may involve dosing that is intermittent (e.g., a plurality of doses separated in time) and/or periodic (e.g., individual doses separated by a common period of time) dosing.
- administration may involve continuous dosing (e.g., perfusion) for at least a selected period of time.
- affinity typically refers to a measure of the tightness with a particular ligand binds to its partner. Affinities can be measured in different ways. In some embodiments, affinity is measured by a quantitative assay. In some such embodiments, binding partner concentration may be fixed to be in excess of ligand concentration so as to mimic physiological conditions. Alternatively or additionally, in some embodiments, binding partner concentration and/or ligand concentration may be varied. In some such embodiments, affinity may be compared to a reference under comparable conditions (e.g., concentrations).
- the term“affinity maturation” refers to a process in which an antibody is evolved from a reference antibody (also referred to herein as a template or parent antibody), typically by mutation of one or more amino acid residues, to have increased activity for a target antigen than a corresponding form of the reference antibody has for the same target antigen. Hence, the evolved antibody is optimized compared to the reference or template antibody.
- the term“affinity matured antibody” typically refers to an antibody that has an increased activity for a target antigen relative to a reference antibody. In some embodiments, the affinity matured antibody exhibits increased binding to the target antigen compared to the reference or parent antibody. Typically, the affinity matured antibody binds to the same epitope as the reference antibody.
- antibody refers to a polypeptide that includes canonical
- immunoglobulin sequence elements sufficient to confer specific binding to a particular target antigen.
- intact antibodies as produced in nature are approximately 150 kD tetrameric agents comprised of two identical heavy chain polypeptides (about 50 kD each) and two identical light chain polypeptides (about 25 kD each) that associate with each other into what is commonly referred to as a“Y-shaped” structure.
- Each heavy chain is comprised of at least four domains (each about 110 amino acids long)— an amino-terminal variable (VH) domain (located at the tips of the Y structure), followed by three constant domains: CH1, CH2, and the carboxy-terminal CH3 (located at the base of the Y's stem).
- VH amino-terminal variable
- a short region connects the heavy chain variable and constant regions.
- The“hinge” connects CH2 and CH3 domains to the rest of the antibody.
- Two disulfide bonds in this hinge region connect the two heavy chain polypeptides to one another in an intact antibody.
- Each light chain is comprised of two domains— an amino-terminal variable (VL) domain, followed by a carboxy-terminal constant (CL) domain, separated from one another by another“switch”.
- Intact antibody tetramers are comprised of two heavy chain-light chain dimers in which the heavy and light chains are linked to one another by a single disulfide bond; two other disulfide bonds connect the heavy chain hinge regions to one another, so that the dimers are connected to one another and the tetramer is formed.
- Naturally-produced antibodies are also glycosylated, typically on the CH2 domain.
- Each domain in a natural antibody has a structure characterized by an“immunoglobulin fold” formed from two beta sheets (e.g., 3-, 4-, or 5-stranded sheets) packed against each other in a compressed antiparallel beta barrel.
- Each variable domain contains three hypervariable loops known as“complement determining regions” (CDR1, CDR2, and CDR3) and four somewhat invariant“framework” regions (FR1, FR2, FR3, and FR4).
- CDR1, CDR2, and CDR3 hypervariable loops
- FR1, FR2, FR3, and FR4 hypervariable loops
- the Fc region of naturally-occurring antibodies binds to elements of the complement system, and also to receptors on effector cells, including for example effector cells that mediate cytotoxicity.
- affinity and/or other binding attributes of Fc regions for Fc receptors can be modulated through glycosylation or other modification.
- antibodies produced and/or utilized in accordance with the present invention include
- any polypeptide or complex of polypeptides that includes sufficient immunoglobulin domain sequences as found in natural antibodies can be referred to and/or used as an“antibody”, whether such polypeptide is naturally produced (e.g., generated by an organism reacting to an antigen), or produced by recombinant engineering, chemical synthesis, or other artificial system or methodology.
- an“antibody” whether such polypeptide is naturally produced (e.g., generated by an organism reacting to an antigen), or produced by recombinant engineering, chemical synthesis, or other artificial system or methodology.
- an antibody is polyclonal; in some embodiments, an antibody is monoclonal. In some embodiments, an antibody has constant region sequences that are characteristic of mouse, rabbit, primate, or human antibodies. In some embodiments, antibody sequence elements are humanized, primatized, chimeric, etc, as is known in the art.
- antibody as used herein, can refer in appropriate embodiments (unless otherwise stated or clear from context) to any of the art-known or developed constructs or formats for utilizing antibody structural and functional features in alternative presentation.
- an antibody utilized in accordance with the present invention is in a format selected from, but not limited to, intact IgA, IgG, IgE or IgM antibodies; bi- or multi-specific antibodies (e.g., Zybodies®, etc); antibody fragments such as Fab fragments, Fab' fragments, F(ab')2 fragments, Fd' fragments, Fd fragments, and isolated CDRs or sets thereof; single chain Fvs; polypeptide-Fc fusions; single domain antibodies (e.g., shark single domain antibodies such as IgNAR or fragments thereof); cameloid antibodies; masked antibodies (e.g., Probodies®); Small Modular
- ImmunoPharmaceuticals (“SMIPsTM”); single chain or Tandem diabodies (TandAb®); humabodies, VHHs; Anticalins®; Nanobodies® minibodies; BiTE®s; ankyrin repeat proteins or DARPINs®; Avimers®; DARTs; TCR-like antibodies; Adnectins®; Affilins®; Trans-bodies®; Affibodies®; TrimerX®; MicroProteins; Fynomers®, Centyrins®; and KALBITOR®s.
- an antibody may lack a covalent modification (e.g., attachment of a glycan) that it would have if produced naturally.
- an antibody may contain a covalent modification (e.g., attachment of a glycan, a payload [e.g., a detectable moiety, a therapeutic moiety, a catalytic moiety, etc], or other pendant group [e.g., poly-ethylene glycol, etc.].
- a covalent modification e.g., attachment of a glycan, a payload [e.g., a detectable moiety, a therapeutic moiety, a catalytic moiety, etc]
- other pendant group e.g., poly-ethylene glycol, etc.
- an“antibody fragment” refers to a portion of an antibody or antibody agent as described herein, and typically refers to a portion that includes an antigen-binding portion or variable region thereof.
- An antibody fragment may be produced by any means. For example, in some embodiments, an antibody fragment may be enzymatically or chemically produced by fragmentation of an intact antibody or antibody agent. Alternatively, in some embodiments, an antibody fragment may be recombinantly produced (i.e., by expression of an engineered nucleic acid sequence. In some embodiments, an antibody fragment may be wholly or partially synthetically produced.
- an antibody fragment (particularly an antigen binding antibody fragment) may have a length of at least about 50, 60, 70, 80, 90, 100, 110, 120, 130, 140, 150, 160, 170, 180, 190 amino acids or more, in some embodiments at least about 200 amino acids.
- binding typically refers to a non-covalent association between or among two or more entities.“Direct” binding involves physical contact between entities or moieties; indirect binding involves physical interaction by way of physical contact with one or more intermediate entities. Binding between two or more entities can typically be assessed in any of a variety of contexts— including where interacting entities or moieties are studied in isolation or in the context of more complex systems (e.g., while covalently or otherwise associated with a carrier entity and/or in a biological system or cell).
- a tumor may be or comprise cells that are precancerous (e.g., benign), malignant, pre-metastatic, metastatic, and/or non-metastatic.
- precancerous e.g., benign
- malignant pre-metastatic
- metastatic metastatic
- non-metastatic e.g., metastatic
- the present disclosure specifically identifies certain cancers to which its teachings may be particularly relevant.
- a relevant cancer may be characterized by a solid tumor.
- a relevant cancer may be characterized by a hematologic tumor.
- examples of different types of cancers known in the art include, for example, hematopoietic cancers including leukemias, lymphomas (Hodgkin's and non-Hodgkin's), myelomas and myeloproliferative disorders; sarcomas, melanomas, adenomas, carcinomas of solid tissue, squamous cell carcinomas of the mouth, throat, larynx, and lung, liver cancer, genitourinary cancers such as prostate, cervical, bladder, uterine, and endometrial cancer and renal cell carcinomas, bone cancer, pancreatic cancer, skin cancer, cutaneous or intraocular melanoma, cancer of the endocrine system, cancer of the thyroid gland, cancer of the parathyroid gland, head and neck cancers, breast cancer, gastro-intestinal cancers and nervous system cancers, benign lesions such as papillomas, and the like.
- hematopoietic cancers including leukemias, lymphomas (Hodgkin
- CDR refers to a complementarity determining region within an antibody variable region. There are three CDRs in each of the variable regions of the heavy chain and the light chain, which are designated CDR1, CDR2 and CDR3, for each of the variable regions.
- A“set of CDRs” or“CDR set” refers to a group of three or six CDRs that occur in either a single variable region capable of binding the antigen or the CDRs of cognate heavy and light chain variable regions capable of binding the antigen.
- chemotherapeutic agent has its art-understood meaning referring to one or more pro-apoptotic, cytostatic and/or cytotoxic agents, for example specifically including agents utilized and/or recommended for use in treating one or more diseases, disorders or conditions associated with undesirable cell proliferation.
- cytostatic and/or cytotoxic agents for example specifically including agents utilized and/or recommended for use in treating one or more diseases, disorders or conditions associated with undesirable cell proliferation.
- chemotherapeutic agents are useful in the treatment of cancer.
- a chemotherapeutic agent may be or comprise one or more alkylating agents, one or more anthracyclines, one or more cytoskeletal disruptors (e.g.
- microtubule targeting agents such as taxanes, maytansine and analogs thereof, of), one or more epothilones, one or more histone deacetylase inhibitors HDACs), one or more topoisomerase inhibitors (e.g., inhibitors of topoisomerase I and/or topoisomerase II), one or more kinase inhibitors, one or more nucleotide analogs or nucleotide precursor analogs, one or more peptide antibiotics, one or more platinum- based agents, one or more retinoids, one or more vinca alkaloids, and/or one or more analogs of one or more of the following (i.e., that share a relevant anti-proliferative activity).
- a chemotherapeutic agent may be or comprise one or more of
- Actinomycin All-trans retinoic acid, an Auiristatin, Azacitidine, Azathioprine, Bleomycin, Bortezomib, Carboplatin, Capecitabine, Cisplatin, Chlorambucil, Cyclophosphamide, Curcumin, Cytarabine, Daunorubicin, Docetaxel, Doxifluridine, Doxorubicin, Epirubicin, Epothilone, Etoposide, Fluorouracil, Gemcitabine, Hydroxyurea, Idarubicin, Imatinib, Irinotecan,
- Maytansine and/or analogs thereof e.g. DM1 Mechlorethamine, Mercaptopurine, Methotrexate, Mitoxantrone, a Maytansinoid, Oxaliplatin, Paclitaxel, Pemetrexed, Teniposide, Tioguanine, Topotecan, Valrubicin, Vinblastine, Vincristine, Vindesine, Vinorelbine, and combinations thereof.
- a chemotherapeutic agent may be utilized in the context of an antibody-drug conjugate.
- a chemotherapeutic agent is one found in an antibody-drug conjugate selected from the group consisting of: hLLl -doxorubicin, hRS7-SN-38, hMN-l4-SN-38, hLL2-SN-38, hA20-SN-38, hPAM4-SN-38, hLLl-SN-38, hRS7-Pro-2-P-Dox, hMN-l4-Pro-2-P-Dox, hLL2-Pro-2-P-Dox, hA20-Pro-2-P-Dox, hPAM4-Pro-2-P-Dox, hLLl- Pro-2-P-Dox, P4/D10-doxorubicin, gemtuzumab ozogamicin, brentuximab vedotin, trastuzumab emtansine, inotuzumab ozogamicin, glembatumomab
- the term“combination therapy” refers to those situations in which a subject is simultaneously exposed to two or more therapeutic regimens (e.g., two or more therapeutic agents).
- the two or more therapeutic regimens may be administered simultaneously.
- the two or more therapeutic regimens may be administered sequentially (e.g., a first regimen administered prior to administration of any doses of a second regimen).
- the two or more therapeutic regimens are administered in overlapping dosing regimens.
- administration of combination therapy may involve administration of one or more therapeutic agents or modalities to a subject receiving the other agent(s) or modality.
- the term“framework” or“framework region” refers to the sequences of a variable region minus the CDRs. Because a CDR sequence can be determined by different systems, likewise a framework sequence is subject to correspondingly different interpretations.
- the six CDRs divide the framework regions on the heavy and light chains into four sub-regions (FR1, FR2, FR3 and FR4) on each chain, in which CDR1 is positioned between FR1 and FR2, CDR2 between FR2 and FR3, and CDR3 between FR3 and FR4.
- a framework region represents the combined FRs within the variable region of a single, naturally occurring immunoglobulin chain.
- a FR represents one of the four sub-regions, FR1, for example, represents the first framework region closest to the amino terminal end of the variable region and 5' with respect to CDR1, and FRs represents two or more of the sub-regions constituting a framework region.
- a“humanized” antibody is commonly used to refer to antibodies (or antibody components) whose amino acid sequence includes VH and VLregion sequences from a reference antibody raised in a non-human species (e.g., a mouse), but also includes modifications in those sequences relative to the reference antibody intended to render them more“human-like”, i.e., more similar to human germline variable sequences.
- a“humanized” antibody (or antibody component) is one that immunospecifically binds to an antigen of interest and that has a framework (FR) region having substantially the amino acid sequence as that of a human antibody, and a complementary determining region (CDR) having substantially the amino acid sequence as that of a non-human antibody.
- FR framework
- CDR complementary determining region
- a humanized antibody comprises substantially all of at least one, and typically two, variable domains (Fab, Fab', F(ab' FabC, Fv) in which all or substantially all of the CDR regions correspond to those of a non-human immunoglobulin (i.e., donor immunoglobulin) and all or substantially all of the framework regions are those of a human immunoglobulin consensus sequence.
- a humanized antibody also comprises at least a portion of an immunoglobulin constant region (Fc), typically that of a human immunoglobulin constant region.
- a humanized antibody contains both the light chain as well as at least the variable domain of a heavy chain.
- the antibody also may include a Ciil, hinge, CH2, CH3, and, optionally, a CH4 region of a heavy chain constant region.
- in vitro refers to events that occur in an artificial environment, e.g., in a test tube or reaction vessel, in cell culture, etc., rather than within a multi-cellular organism.
- in vivo refers to events that occur within a multi-cellular organism, such as a human and a non-human animal.
- the term may be used to refer to events that occur within a living cell (as opposed to, for example, in vitro systems).
- isolated refers to a substance and/or entity that has been (1) separated from at least some of the components with which it was associated when initially produced (whether in nature and/or in an experimental setting), and/or (2) designed, produced, prepared, and/or manufactured by the hand of man. Isolated substances and/or entities may be separated from about 10%, about 20%, about 30%, about 40%, about 50%, about 60%, about 70%, about 80%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or more than about 99% of the other components with which they were initially associated.
- isolated agents are about 80%, about 85%, about 90%, about 91%, about 92%, about 93%, about 94%, about 95%, about 96%, about 97%, about 98%, about 99%, or more than about 99% pure.
- a substance is“pure” if it is substantially free of other components.
- a substance may still be considered“isolated” or even“pure”, after having been combined with certain other components such as, for example, one or more carriers or excipients (e.g., buffer, solvent, water, etc.); in such embodiments, percent isolation or purity of the substance is calculated without including such carriers or excipients.
- a biological polymer such as a polypeptide or polynucleotide that occurs in nature is considered to be“isolated” when, a) by virtue of its origin or source of derivation is not associated with some or all of the components that accompany it in its native state in nature; b) it is substantially free of other polypeptides or nucleic acids of the same species from the species that produces it in nature; c) is expressed by or is otherwise in association with components from a cell or other expression system that is not of the species that produces it in nature.
- a polypeptide that is chemically synthesized or is synthesized in a cellular system different from that which produces it in nature is considered to be an“isolated” polypeptide.
- a polypeptide that has been subjected to one or more purification techniques may be considered to be an“isolated” polypeptide to the extent that it has been separated from other components a) with which it is associated in nature; and/or b) with which it was associated when initially produced.
- KD refers to the dissociation constant of a binding agent (e.g., an antibody or binding component thereof) from a complex with its partner (e.g., the epitope to which the antibody or binding component thereof binds).
- macrophage refers to a cell of the monocyte/macrophage lineage which is found in the spleen or has differentiated into a tissue macrophage. These cells include follicular dendritic cells (FDC), dendritic cells, Langerhans cells, as well as other tissue macrophages. Macrophages are phagocytes and antigen presenting cells that differentiate from monocytes in circulating peripheral blood. They play an important role in both innate and adaptive immunity by activating T lymphocytes. Macrophages that activate Thl T lymphocytes provide an inflammatory response and are denoted Ml macrophages.
- FDC follicular dendritic cells
- Macrophages are phagocytes and antigen presenting cells that differentiate from monocytes in circulating peripheral blood. They play an important role in both innate and adaptive immunity by activating T lymphocytes. Macrophages that activate Thl T lymphocytes provide an inflammatory response and are denoted Ml macrophages.
- Ml macrophages also referred to as“killer macrophages,” inhibit cell proliferation, cause tissue damage, and are aggressive against bacteria. Macrophages that activate Th2 T lymphocytes provide an anti inflammatory response and are denoted M2 macrophages. M2 macrophages, also referred to as “repair macrophages,” promote cell proliferation and tissue repair and are anti-inflammatory.
- TAMs tumor associated macrophages
- control element“operably linked” refers to a juxtaposition wherein the components described are in a relationship permitting them to function in their intended manner.
- a control element“operably linked” to a functional element is associated in such a way that expression and/or activity of the functional element is achieved under conditions compatible with the control element.
- “operably linked” control elements are contiguous (e.g., covalently linked) with the coding elements of interest; in some embodiments, control elements act in trans to or otherwise at a from the functional element of interest.
- the term“pharmaceutical composition” refers to a composition in which an active agent is formulated together with one or more pharmaceutically acceptable carriers.
- the composition is suitable for administration to a human or animal subject.
- the active agent is present in unit dose amount appropriate for
- polypeptide generally has its art-recognized meaning of a polymer of at least three amino acids.
- polypeptide is intended to be sufficiently general as to encompass not only polypeptides having a complete sequence recited herein, but also to encompass polypeptides that represent functional fragments (i.e., fragments retaining at least one activity) of such complete
- polypeptides are encompassed within the relevant term.
- Polypeptide as used herein. Polypeptides may contain L-amino acids, D-amino acids, or both and may contain any of a variety of amino acid modifications or analogs known in the art. Useful modifications include, e.g., terminal acetylation, amidation, methylation, etc. In some
- proteins may comprise natural amino acids, non-natural amino acids, synthetic amino acids, and combinations thereof.
- the term“peptide” is generally used to refer to a polypeptide having a length of less than about 100 amino acids, less than about 50 amino acids, less than 20 amino acids, or less than 10 amino acids.
- proteins are antibodies, antibody fragments, biologically active portions thereof, and/or characteristic portions thereof.
- the term“prevent” or“prevention” when used in connection with the occurrence of a disease, disorder, and/or condition refers to reducing the risk of developing the disease, disorder and/or condition and/or to delaying onset and/or severity of one or more characteristics or symptoms of the disease, disorder or condition.
- prevention is assessed on a population basis such that an agent is considered to“prevent” a particular disease, disorder or condition if a statistically significant decrease in the development, frequency, and/or intensity of one or more symptoms of the disease, disorder or condition is observed in a population susceptible to the disease, disorder, or condition.
- the term“recombinant” is intended to refer to polypeptides that are designed, engineered, prepared, expressed, created, manufactured, and/or or isolated by recombinant means, such as polypeptides expressed using a recombinant expression vector transfected into a host cell; polypeptides isolated from a recombinant, combinatorial human polypeptide library; polypeptides isolated from an animal (e.g., a mouse, rabbit, sheep, fish, etc) that is transgenic for or otherwise has been manipulated to express a gene or genes, or gene components that encode and/or direct expression of the polypeptide or one or more component s), portion(s), element(s), or domain(s) thereof; and/or polypeptides prepared, expressed, created or isolated by any other means that involves splicing or ligating selected nucleic acid sequence elements to one another, chemically synthesizing selected sequence elements, and/or otherwise generating a nucleic acid that encodes and/or directs expression of the poly
- one or more of such selected sequence elements is found in nature. In some embodiments, one or more of such selected sequence elements is designed in silico. In some embodiments, one or more such selected sequence elements results from mutagenesis (e.g., in vivo or in vitro ) of a known sequence element, e.g., from a natural or synthetic source such as, for example, in the germline of a source organism of interest (e.g., of a human, a mouse, etc).
- mutagenesis e.g., in vivo or in vitro
- a known sequence element e.g., from a natural or synthetic source such as, for example, in the germline of a source organism of interest (e.g., of a human, a mouse, etc).
- the term“specific binding” refers to an ability to discriminate between possible binding partners in the environment in which binding is to occur.
- a binding agent that interacts with one particular target when other potential targets are present is said to“bind specifically” to the target with which it interacts.
- specific binding is assessed by detecting or determining degree of association between the binding agent and its partner; in some embodiments, specific binding is assessed by detecting or determining degree of dissociation of a binding agent-partner complex; in some embodiments, specific binding is assessed by detecting or determining ability of the binding agent to compete an alternative interaction between its partner and another entity. In some embodiments, specific binding is assessed by performing such detections or determinations across a range of concentrations.
- a subject refers an organism, typically a mammal (e.g., a human, in some embodiments including prenatal human forms).
- a subject is suffering from a relevant disease, disorder or condition.
- a subject is susceptible to a disease, disorder, or condition.
- a subject displays one or more symptoms or characteristics of a disease, disorder or condition.
- a subject does not display any symptom or characteristic of a disease, disorder, or condition.
- a subject is someone with one or more features characteristic of
- a subject is a patient.
- a subject is an individual to whom diagnosis and/or therapy is and/or has been administered.
- the phrase“therapeutic agent” in general refers to any agent that elicits a desired pharmacological effect when administered to an organism.
- an agent is considered to be a therapeutic agent if it demonstrates a statistically significant effect across an appropriate population.
- the appropriate population may be a population of model organisms.
- an appropriate population may be defined by various criteria, such as a certain age group, gender, genetic background, preexisting clinical conditions, etc.
- a therapeutic agent is a substance that can be used to alleviate, ameliorate, relieve, inhibit, prevent, delay onset of, reduce severity of, and/or reduce incidence of one or more symptoms or features of a disease, disorder, and/or condition.
- a“therapeutic agent” is an agent that has been or is required to be approved by a government agency before it can be marketed for administration to humans.
- a“therapeutic agent” is an agent for which a medical prescription is required for administration to humans.
- the term“therapeutically effective amount” means an amount that is sufficient, when administered to a population suffering from or susceptible to a disease, disorder, and/or condition in accordance with a therapeutic dosing regimen, to treat the disease, disorder, and/or condition.
- a therapeutically effective amount is one that reduces the incidence and/or severity of, stabilizes one or more characteristics of, and/or delays onset of, one or more symptoms of the disease, disorder, and/or condition.
- a therapeutically effective amount does not in fact require successful treatment be achieved in a particular individual.
- a therapeutically effective amount may be that amount that provides a particular desired pharmacological response in a significant number of subjects when administered to patients in need of such treatment.
- term“therapeutically effective amount” refers to an amount which, when administered to an individual in need thereof in the context of inventive therapy, will block, stabilize, attenuate, or reverse a cancer-supportive process occurring in said individual, or will enhance or increase a cancer-suppressive process in said individual.
- a“therapeutically effective amount” is an amount which, when administered to an individual diagnosed with a cancer, will prevent, stabilize, inhibit, or reduce the further development of cancer in the individual.
- a particularly preferred“therapeutically effective amount” of a composition described herein reverses (in a therapeutic treatment) the development of a malignancy such as a pancreatic carcinoma or helps achieve or prolong remission of a malignancy.
- a therapeutically effective amount administered to an individual to treat a cancer in that individual may be the same or different from a therapeutically effective amount administered to promote remission or inhibit metastasis.
- the therapeutic methods described herein are not to be interpreted as, restricted to, or otherwise limited to a“cure” for cancer; rather the methods of treatment are directed to the use of the described compositions to“treat” a cancer, i.e., to effect a desirable or beneficial change in the health of an individual who has cancer.
- Such benefits are recognized by skilled healthcare providers in the field of oncology and include, but are not limited to, a stabilization of patient condition, a decrease in tumor size (tumor regression), an improvement in vital functions (e.g., improved function of cancerous tissues or organs), a decrease or inhibition of further metastasis, a decrease in opportunistic infections, an increased survivability, a decrease in pain, improved motor function, improved cognitive function, improved feeling of energy (vitality, decreased malaise), improved feeling of well-being, restoration of normal appetite, restoration of healthy weight gain, and combinations thereof.
- a stabilization of patient condition e.g., a decrease in tumor size (tumor regression), an improvement in vital functions (e.g., improved function of cancerous tissues or organs), a decrease or inhibition of further metastasis, a decrease in opportunistic infections, an increased survivability, a decrease in pain, improved motor function, improved cognitive function, improved feeling of energy (vitality, decreased malaise), improved feeling of well-being,
- regression of a particular tumor in an individual may also be assessed by taking samples of cancer cells from the site of a tumor such as a pancreatic adenocarcinoma (e.g., over the course of treatment) and testing the cancer cells for the level of metabolic and signaling markers to monitor the status of the cancer cells to verify at the molecular level the regression of the cancer cells to a less malignant phenotype.
- a tumor such as a pancreatic adenocarcinoma
- a therapeutically effective amount may be formulated and/or administered in a single dose.
- a therapeutically effective amount may be formulated and/or administered in a plurality of doses, for example, as part of a dosing regimen.
- the term“variant” refers to a molecule that shows significant structural identity with a reference molecule but differs structurally from the reference molecule, e.g., in the presence or absence or in the level of one or more chemical moieties as compared to the reference entity. In some embodiments, a variant also differs functionally from its reference molecule. In general, whether a particular molecule is properly considered to be a“variant” of a reference molecule is based on its degree of structural identity with the reference molecule. As will be appreciated by those skilled in the art, any biological or chemical reference molecule has certain characteristic structural elements.
- a variant by definition, is a distinct molecule that shares one or more such characteristic structural elements but differs in at least one aspect from the reference molecule.
- a polypeptide may have a characteristic sequence element comprised of a plurality of amino acids having designated positions relative to one another in linear or three-dimensional space and/or contributing to a particular structural motif and/or biological function;
- a nucleic acid may have a characteristic sequence element comprised of a plurality of nucleotide residues having designated positions relative to on another in linear or three-dimensional space.
- a variant polypeptide or nucleic acid may differ from a reference polypeptide or nucleic acid as a result of one or more differences in amino acid or nucleotide sequence.
- a variant polypeptide or nucleic acid shows an overall sequence identity with a reference polypeptide or nucleic acid that is at least 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, or 99%.
- a variant polypeptide or nucleic acid does not share at least one characteristic sequence element with a reference polypeptide or nucleic acid.
- a reference polypeptide or nucleic acid has one or more biological activities.
- a variant polypeptide or nucleic acid shares one or more of the biological activities of the reference polypeptide or nucleic acid.
- vector refers to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked.
- a“plasmid” refers to a circular double stranded DNA loop into which additional DNA segments may be ligated.
- a viral vector Another type of vector is a viral vector, wherein additional DNA segments may be ligated into the viral genome.
- Certain vectors are capable of autonomous replication in a host cell into which they are introduced (e.g., bacterial vectors having a bacterial origin of replication and episomal mammalian vectors).
- vectors e.g., non-episomal mammalian vectors
- vectors can be integrated into the genome of a host cell upon introduction into the host cell, and thereby are replicated along with the host genome.
- certain vectors are capable of directing the expression of genes to which they are operatively linked.
- Such vectors are referred to herein as“expression vectors.”
- Standard techniques may be used for recombinant DNA, oligonucleotide synthesis, and tissue culture and transformation (e.g., electroporation, lipofection). Enzymatic reactions and purification techniques may be performed according to manufacturer's specifications or as commonly accomplished in the art or as described herein.
- Macrophages are phagocytes and antigen presenting cells that differentiate from monocytes in circulating peripheral blood. These cells have been known to play an important role in both innate and adaptive immunity by activating T lymphocytes. Macrophages that activate Thl T lymphocytes provide an inflammatory response and are denoted Ml macrophages. Ml macrophages, also referred to as“killer macrophages,” inhibit cell proliferation, cause tissue damage, and are aggressive against bacteria. Macrophages that activate Th2 T lymphocytes provide an anti-inflammatory response and are denoted M2 macrophages. M2 macrophages, also referred to as“repair macrophages,” promote cell proliferation and tissue repair and are anti inflammatory.
- Lipopolysaccharide (LPS) and interferon gamma (IFNy) activate monocytes to differentiate into Ml macrophages that secrete high levels of interleukin-l (IL-l) and interleukin- 12 (IL-12) and low levels of interleukin- 10 (IL-10).
- IL-4 interleukin-4
- IL-10 interleukin-l receptor antagonist
- TGFP transforming growth factor beta
- IGF-l insulin-like growth factor 1
- TAMs Tumor associated macrophages
- TAMs tumor-associated macrophages
- the M2 macrophages display the characteristic phenotype of elevated expression of IL-10, IL4, MMP, and VEGF, but decreased expression of pro-inflammatory cytokines and cytotoxic iNOs and ROIs, which are implicated in tumoricidal activities.
- TAMs also contribute to the suppression of anti-tumor immunity by alternating T-cell responses and balance in the tumor microenvironment.
- M2 macrophages can induce vascularization in an area of a tumor. Therefore, in such scenarios it would be useful to inhibit the M2 polarization of macrophages and induce the Ml polarization of macrophages, which are known to attack tumor cells.
- VSIG4 V-set immunoglobulin-domain-containing 4 is a B7 family-related membrane protein belonging to complement receptor of the immunoglobulin superfamily (CRIg) which is known to negatively regulate CD8 + T cell proliferation and IL-2 production by binding iC3b and C3b.
- CRIg immunoglobulin superfamily
- the expression of VSIG4 is restricted to tissue macrophages, including peritoneal macrophages and liver-residential Kupffer cells.
- Figures 2A and 2B shows VSIG4’s relationship (homology and phylogeny relationships, respectively) with other B7 family of proteins (VSIG4 is referred to as EU103 in Figures 2A and 2B).
- Figure 2A shows amino acid sequence alignment of VSIG4 with various other B7 family proteins.
- Figures 2B shows evolutionary relationship between VSIG4 and other B family proteins.
- Tumor associated macrophages are the key cells that create an immunosuppressive tumor microenvironment (TME) providing multiple targets for immunotherapies.
- TEM tumor associated macrophages
- Macrophages are also known to be highly plastic and can also repolarize and acquire an anti-tumorigenic Ml -like phenotype.
- TAMs Tumor-associated macrophages
- TAMs are typically known for their protumoral functions such as promotion of cancer cell motility, metastasis formation and angiogenesis. Formation of TAMs is dependent on microenvironmental factors which are present in developing tumors. TAMs are abundant in many cancers, especially in the tumor microenvironment, and often display an immune-suppressive M2 -like phenotype that fosters tumor growth and promotes resistance to therapy. TAMs also produce immunosuppressive cytokines like IL-10, TGFp and PGE2, very small amount of NO or ROI and low levels of inflammatory cytokines such as IL-12, IL- 1 b, TNFa, and IL-6.
- TAMs Conversion of macrophages to TAMs result in reduced ability to present tumor- associated antigens and stimulate anti-tumor functions of T and NK cells. Further, TAMs are not able to lyse tumor cells. Therefore, targeting of TAM is a new therapeutic strategy for suppressing or treating cancer, for example by delivering agents to either alter the recruitment and distribution of TAMs, depleting existing TAMs, or inducing the re-education (or converting) of TAMs from an M2 to an Ml phenotype.
- the present disclosure is based on the discovery that VSIG4 expressing M2 macrophages can be treated with humanized anti-VSIG4 antibodies to convert (or repolarize) the M2 macrophages to tumor-suppressive Ml macrophages, thereby inducing CD8 + T cell proliferation and
- anti- VSIG4 antibodies can suppress cancer effectively by target both (1) conversion of M2 macrophages into Ml macrophages, and (2) inducing CD8 + T cell proliferation and
- HAMA human anti-mouse antibody response
- Classical antibody humanization generally begins by transferring all six murine complementarity determining regions (CDRs) onto a human antibody framework (Jones et ak, Nature 321, 522- 525 (1986)). These CDR-grafted antibodies generally do not retain their original affinity for antigen binding, and in fact, affinity is often severely impaired. Besides the CDRs, certain non- human framework residues must also be incorporated into the variable domains to maintain proper CDR conformation (Chothia et al., Nature 342:877 (1989)). The incorporation of murine residues at key positions in the human frameworks to restore function is generally referred to as “back-mutations.” Back-mutations can support structural conformation of the grafted CDRs and restore antigen binding and affinity.
- CDRs complementarity determining regions
- phage antibody libraries targeted at these residues can also be used to enhance and speed up the affinity maturation process (Wu et al., J Mol. Biol. 294: 151-162 (1999) and Wu, H., Methods inMol. Biol. 207: 197-212 (2003)).
- Affinity maturation is a process by which TFH cell-activated B cells produce antibodies with increased affinity for a specific antigen during the course of an immune response. With repeated exposures to the same antigen, a host will produce antibodies of successively greater affinities. A secondary response can elicit antibodies with several fold greater affinity than in a primary response. Affinity maturation is an important strategy in antibody optimization to generate safe and efficacious second-generation therapeutics.
- therapeutic antibodies are obtained by immunizing mice or transgenic animals expressing human immunoglobulin genes with the desired antigen. Antigen-stimulated immune cells from these animals were transformed into hybridomas and subsequently screened to identify monoclonal antibodies with low nanomolar affinities for their target antigen.
- EU 103 2 antibody is a humanized anti-VSIG4 antibody generated from the mouse anti-VSIG4 antibody mu6H8.
- Figure 4A and 4B show biochemical characterization of EEG103.2 antibody using size-exclusion HPLC (Figure 4A) and surface plasmon resonance experiments, showing binding of VSIG4 to EEG103.2 Antibody ( Figure 4B).
- a summary of EEG103.2 antibody purification data is shown in TABLE 1, below. TABLE 1: SUMMARY OF SIZE EXCLUSION HPLC DATA FOR EU103.2 ANTIBODY
- Humanized anti-VSIG4 antibody hu6H8 (or EU103.3) was produced as described below. mu6H8 V II humanization
- the heavy chain variable region sequence was modified by FES (L234F, L235E, P331S) mutations to construct heavy chain pOptivec (Invitrogen) expression plasmid without Fc effector functions, as shown in Figure 21A.
- the light chain variable region sequence was constructed using pcDNA3.3 (Invitrogen) and synthesized using IDT, as shown in Figure 21B.
- the gene encoding the heavy chain (HC) was flanked with EcoRl, Nhel restriction enzyme to construct the pOptivec (FES) plasmid vector and the gene encoding the light chain (LC) was flanked with EcoRl, BsiWl restriction enzyme to construct the pcDNA3.3 plasmid vector.
- Cloning was done with the mutation sites sub-cloned into the hu6H8.3 backbone.
- the resulting insert genes and linearized vectors were each cloned with In-Fusion® HD Cloning Kit(Clontech) and the sequencing primer was identified with CMV Forward, EMCV IRES reverse primer.
- VSIG K/O mice were generated by homologous recombination replacing exon 1 with the neomycin resistance gene.
- a targeting vector was generated for use in homologous
- Leukocytes were incubated with fluorochrome-conjugated antibodies specific to several cell surface markers and the numbers of different leukocyte subsets were determined by flow cytometry. Data represent mean + SD of 5-7 mice ( Figure 41C).
- Al and A2 antibodies are generated by affinity maturation of EU103.3 antibody (see Table 2, below), where light chain variable regions at positions 76, 90, and/or 92 (kabat number) are mutated, as shown in Table 2 below.
- A1.3 and A2.3 antibodies are generated from Al and A2 antibodies, respectively, to further improve affinity to VSIG4.
- Figure 40 provides amino acid sequences alignment for heavy chains and light chains of EU103.3, Al, A2, A1.3, and A2.3 are shown, along with consensus amino acid sequences for the heavy chain and light chain. Amino acid residues that differ between the different antibodies are shown in rectangular boxes. TABLE 2: CLONES OF HUMANIZED ANTI-VSIG4 ANTIBODIES SCREENED IN AFFINITY MATURATION EXPERIMENTS
- the humanized antibody gene was inserted into a plasmid and expressed in IgG form using the Expi293 expression system (Invitrogen) then purified using AktaPure (GE healthcare),
- AktaPrime purifier GE healthcare
- MabselectSURE column GE healthcare, Cat#! 1 -0034- 95.
- the purified antibodies were run through a Desalting column (GE healthcare, Cat# 17- 1408- 01) with PBS buffer change and the antibody concentration was measured with Multiskan GO (Thermo).
- TABLE 3 PRODUCTION YIELDS OF ANTIBODIES WITH HIGH BINDING
- Ml and M2 macrophages were obtained from PBMC using the protocol below.
- VSIG4 is expressed in M2 macrophages.
- Figures 3A and 3B show correlative data for VSIG4 expression (as measured by mRNA) to that of various genes associated with type 2 macrophages (M2) and tumor-associated macrophages. As shown in Figure 3A, VSIG4 expression correlates negatively with [CXCL11, CXCL13, ZNMB, IFNAR1, IFNAR2] expression, but while it correlates positively with CCL19, IRF5, and IL1 A expression.
- Figure 3B shows VSIG 4 expression correlates positively with CD163, CSF1R, MSR1, TGFBR2, STAT6, IL1R1,
- IL10RA IL10RA, MS4A4A, CCL2, CCL14, CCL17, and MS4A6A expression.
- Figure 5 shows expression of VSIG4 in M2 macrophages.
- the two panels in the top row of Figure 5 shows light microscope images showing Ml and M2 macrophages’ morphology.
- the second and third rows show flow cytometry data for lymphocytes stained for CD 14 and VSIG4, demonstrating that M2 cells (stained positive for CD14) also expressing VSIG4.
- Ml and M2 macrophages were treated with EU103.2 antibody and secretion of proinflammatory cytokines and chemokines were measured.
- treatment of M2 macrophages with EU103.2 resulted in induction of the cytokines and chemokines IL12, IFNy, IL10, and IL23.
- M2 macrophages were treated with EU 103 2 antibody and stained for the M2 macrophage marker CD 163.
- EU 103.2 treatment decreased the expression of M2 macrophage marker CD 163 in M2 macrophages, which suggested blocking of VSIG4 using EU103.2 resulted in conversion of M2 macrophages into a different cell type.
- abdominal fluid samples from ovarian cancer patients were collected and first analyzed for VSIG4 expression.
- macrophages obtained from abdominal fluid of ovarian cancer patients included M2 macrophages that co-expressed VSIG4 and CD14, and as shown in Figures 10 and 11, induced CD8 + T cell proliferation.
- microscope images confirm that EU 103 2 antibody treatment converted M2
- the monocytic THP-l cells were co- incubated at various ratios with T cells, either in the presence of anti-VSIG4 antibody or a control IgG antibody, to show that anti-VSIG4 antibody was able to increase CD8 + T cells at 4 divisions, as compared to the control IgG.
- MC38 colon adenocarcinoma mouse tumor model B16F10 melanoma mouse tumor model
- 3LL lung carcinoma mouse tumor model using VSIG4 knock out mice, and compared to wild-type mice, as shown in Figures 15A, 15B, and 15C, respectively.
- Tumor growth was suppressed, especially for MC38 and 3LL mouse tumor models in VSIG4 knock out mice, as compared to wild type mice (see Figures 15A and 15C, respectively), confirming that tumor growth is suppressed in the absence of VSIG4 signaling.
- VSIG4 knock out mice activation status of lymphocytes from tumor-draining lymph nodes were examined in VSIG4 knock out mice and compared to wild-type mice.
- FIGs 17A and 17B comparable levels of CD4 + and CD8 + lymphocytes were observed in the VSIG4 knock out mice as compared to their wild-type counterparts, and comparable CD62L expression was observed in those lymphocytes expressing CD4 and CD8 between the VSIG4 knock out mice and wild-type mice.
- VSIG4 knock out mice had increased CD8p + T cells, as compared to wild-type mice, as shown in Figure 17C, but comparable levels of CD1 lp + /Gr-l- lymphocytes, as shown in Figure 17D.
- CD38 colon adenocarcinoma mouse tumor model was used in both VSIG4 knock out mice and wild-type mice, where the chemotherapy agent Claforan (CTX) was injected interperitoneally at days 18 and 23 after tumor injection in the subject mice, as shown in the schematic diagram at the top of Figure 18A.
- CTX chemotherapy agent Claforan
- anti-VSIG4on tumor suppression in humanized mouse model was evaluated by injecting 10 mg/kg of anti-VSIG4 antibody at days 19, 22, 25, 28, and 31 after HT29 cancer cell injection in humanized mice, as shown in Figure 19.
- Significant suppression of tumor growth was observed in mice that received anti-VSIG4 antibody as compared to those that received IgG control injection.
- EXAMPLE 5 EVALUATION OF Al, A2, A1.3, and A2.3 ANTIBODIES
- Antibody clones Al, A2, A1.3, and A2.3 were developed by affinity maturation of EEG103.2 antibodies. Protein profile by size exclusion HPLC shown in Figures 22, 23, 24, and 25, respectively, and summarized below in Table 4.
- Al or A2 antibodies were applied to differentiated M2 macrophages for 2 days and FACs analysis showed a decrease in CD163, a marker for M2 macrophages, and a significant increase in CD86, a marker for Ml macrophages.
- Treatment with LPS/IFNy for two days was used as positive control.
- Treatment with both Al and A2 antibodies showed increased M1/M2 ratio.
- A2 antibody showed a ratio increase close to that of the positive control group.
- Al or A2 antibodies were applied with different concentrations (5, 10 and 20ug/ml) to differentiated M2 macrophages for 2 days and cytokine and chemokine production by the macrophages were assessed, as shown in Figure 29.
- the change in the production of cytokine/chemokines in the culture medium was measured using LEGENDplexTM Treatment with LPS/IFNy for two days was used as positive control.
- Both Al and A2 groups showed an increase of TNFa, IL6, and IP-10, which are associated with Ml macrophages, and this trend was especially pronounced with when the M2 macrophages were treated with A2 antibody.
- the production of Arginase which is associated with M2 macrophages, decreased regardless of concentration of the antibodies.
- the chemotactic ability of macrophages after conversion of M2 macrophages into Ml macrophages by A2 antibody was assessed by chemotaxis assay.
- the lower chamber was treated with the chemoattractant rhCCLl9 (Biolegend, Cat#582104), which is a Ml type chemokine, at a concentration of lOOng/ml (volume 400m1) and the upper chamber was treated with repolarized Ml macrophages at l.5 ⁇ 5xl0 5 cell s/600pl, where M2 or A2 was applied for 2 days (treatment with LPS/IFNy for two days was used as positive control) After a 4 hour incubation period at 37 °C and 5% CO2, 100 m ⁇ of the cells in the lower chamber were moved to a 96 well plate.
- CCK-8 solution (Dojindo, Cat#CK04) were added to each well and after a 1 hour incubation period the absorbance was measured (450nm).
- Ml macrophages from the A2 group showed chemotactic ability, confirming macrophage conversion from M2 to Ml by A2 antibody.
- M2 macrophages were treated with A2 antibodies and the cells were harvested after two days.
- Macrogen, Agilent Human GE 8x60K V3 Analysis shows increase of expression of Ml phenotype marker and Ml type cytokines/chemokines, similar to cells treated with LPS/IFNy as a positive control, and decrease of expression of M2 phenotype marker and M2 type cytokines/chemokines.
- Anti-tumor effect of Al and A2 antibodies were assessed using a humanized mouse model human CD34 cells were injected into NBSGW mice, after that blood samples were collected and human CD45 cells in the PBMC were measured to observe humanization of the mice over a 12-14 weeks period.
- HCT-15 colon cancer cells were injected, lxl0 7 cells/mouse, into the humanized mice and after 5 days the mice were divided into three groups each receiving injections of hlgG (Sigma- Aldrich, Cat#I4506), Al antibody, or A2 antibody.
- the antibodies were injected every three days for a total of 5 injections, as schematically shown in Figure 31 A. Tumor sizes were observed and after the mice were sacrificed, serum from the blood was used to measure IFNy using ELISA (invitrogen, Cat#88-73 16-88) and the tumor samples were used to analyze infiltrated leukocytes.
- mice 8xl0 6 cells/mouse
- varying concentrations of M2 macrophages 2.5xl0 5 /5xl0 5 /lxl0 6 cells/mouse
- hlgG or A2 antibody was injected every 3 days for a total of 5 injections.
- A2 antibody reduced or slowed the growth of the tumor in a dose-dependent manner at day 14 after the tumor injection, as compared to the hlgG control mice, and this effect persisted at day 25 after the tumor injection.
- human CD34 cells were injected into NBSGW mice, after that blood samples were collected and human CD45 cells in the PBMC were measured to observe humanization of the mice over a 12-14 weeks period.
- SW480 colon cancer cells (lxl0 7 cells/mouse) were injected to mice and after 5 days the mice were divided into two groups each injected with hlgG or A2 antibody (20mg/kg). The antibodies were injected every 3 days for a total of 5 injections for each group. Tumor size was observed and after the mice were sacrificed, serum from the blood was used to measure IFNy using ELISA and the tumor samples were used to analyze infiltrated leukocytes.
- the four anti-VSIG4 antibodies, Al, A1.3, A2, and A2.3 were evaluated for their effects on CD8 + T cell proliferation.
- Al, A1.3, A2, and A2.3 antibodies were added to macrophages isolated from donors to convert M2 macrophages into Ml macrophages and co-cultured with CD8 + T cells isolated from PBMCs from the same donor for a co-culture assay.
- M2 macrophages negatively regulated the CD8 + T cell proliferation
- co-cultures of Al, A1.3, A2 and A2.3 antibodies resulted in conversion of M2 macrophages into Ml macrophages, and resulted in increased CD8 + T cell proliferation, as shown in Figures 36A and 36B.
- the hVSIG4 expressing HeLa cells were used to confirm the role of VSIG4 signaling on A2 and A2.3 antibody-mediated induction of CD8 + T cell proliferation.
- CD8 + T cells were isolated from PBMCs from a healthy donor, labeled with CFSE and applied to a anti-CD3 coated plate (2xl0 5 cells/well). After 1 day, the HeLa or HeLa-hVSIG4 cells were added to the wells after 30Gy irradiation (x-ray) (lxlO 5 or 0.5xl0 5 cells/well). After 5 days, CD8 + T cell proliferation was analyzed by measuring CFSE levels using FACs analysis.
- the CD8 + T cells were also treated with anti-CD3 (Miltenyi Biotech, Cat# 130-093 -387) at different concentrations and after 1 day, the HeLa or HeLa-hVSIG4 cells were added to the wells after 30Gy irradiation (x-ray) - (lxlO 5 cells/well). After 5 days, 100 m ⁇ of the cultured cells was moved to a separate 96 well plate and CCK-8 was added to each well (lOul/well). After 5 hours, the absorbance was measured at 450nm confirming CD8 + T cell proliferation. As shown in Figures 38A and 38B, HeLa-hVSIG4 negatively regulated CD8 + T cell proliferation, while treatment with A2 or A2.3 induces T cell proliferation.
- anti-CD3 Miltenyi Biotech, Cat# 130-093 -387
- Human phosphor-kinase array was used to examine the signal pathway through which macrophage is repolarized by A2 antibody. As shown in Figure 39, conversion of M2 macrophages into Ml macrophages by A2 antibody treatment resulted in significant increase in phosphorylation of JNK, MSK1/2, and p38a, as measured using Proteome ProfilerTM Antibody Arrays (R&D Systems, Cat#ARY003B). ANTIBODY SEQUENCE AND BINDING AFFINITY INFORMATION
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CN201980077997.1A CN113423728B (en) | 2018-09-28 | 2019-09-30 | Anti-human VSIG4 antibodies and uses thereof |
SG11202103095RA SG11202103095RA (en) | 2018-09-28 | 2019-09-30 | Anti-human vsig4 antibodies and uses thereof |
EP19867865.8A EP3873929A4 (en) | 2018-09-28 | 2019-09-30 | Anti-human vsig4 antibodies and uses thereof |
AU2019351294A AU2019351294A1 (en) | 2018-09-28 | 2019-09-30 | Anti-human VSIG4 antibodies and uses thereof |
KR1020217012782A KR20210087028A (en) | 2018-09-28 | 2019-09-30 | Anti-human VSIG4 antibodies and uses thereof |
BR112021005716-1A BR112021005716A2 (en) | 2018-09-28 | 2019-09-30 | anti-human vsig4 antibodies and uses thereof |
JP2021517275A JP2022500484A (en) | 2018-09-28 | 2019-09-30 | Anti-human VSIG4 antibody and its use |
MX2021003673A MX2021003673A (en) | 2018-09-28 | 2019-09-30 | Anti-human vsig4 antibodies and uses thereof. |
CA3114402A CA3114402A1 (en) | 2018-09-28 | 2019-09-30 | Anti-human vsig4 antibodies and uses thereof |
US16/838,887 US10927183B2 (en) | 2018-09-28 | 2020-04-02 | Anti-human VSIG4 antibodies and uses thereof |
US17/169,095 US11905334B2 (en) | 2018-09-28 | 2021-02-05 | Anti-human VSIG4 antibodies and uses thereof |
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WO2021044014A1 (en) | 2019-09-04 | 2021-03-11 | Y-Biologics Inc. | Anti-vsig4 antibody or antigen binding fragment and uses thereof |
WO2022184853A1 (en) | 2021-03-03 | 2022-09-09 | Pierre Fabre Medicament | Anti-vsig4 antibody or antigen binding fragment and uses thereof |
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KR20240058017A (en) * | 2022-10-21 | 2024-05-03 | 주식회사 유틸렉스 | An anticancer composition comprising anti-VISG4 antibody |
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WO2008130204A1 (en) * | 2007-04-24 | 2008-10-30 | Eucell Bio Co., Ltd. | New anti-irc85 monoclonal antibody; and composition comprising the same for preventing and treating tuberculosis or enteritis disease; and the use thereof |
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CN101818133B (en) | 2009-12-29 | 2012-05-09 | 中国人民解放军第三军医大学 | VSIG4 (V-set and Ig domain containing 4) and IGRP (glucose-6-phosphatase catalytic subunit-related protein) dual-gene coexpression recombinant adenovirus as well as preparation method and application thereof |
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CN106188298B (en) * | 2016-07-27 | 2019-10-11 | 西安交通大学 | A kind of Vsig4 nano antibody and its epitope identification method and application |
CN110944666A (en) * | 2017-06-26 | 2020-03-31 | 博奥泰克尼公司 | Monoclonal antibodies to hybridoma clones, VSIG-4, and methods of making and using |
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WO2008130204A1 (en) * | 2007-04-24 | 2008-10-30 | Eucell Bio Co., Ltd. | New anti-irc85 monoclonal antibody; and composition comprising the same for preventing and treating tuberculosis or enteritis disease; and the use thereof |
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CN114641501A (en) * | 2019-09-04 | 2022-06-17 | Y生物股份有限公司 | anti-VSIG 4 antibodies or antigen binding fragments and uses thereof |
WO2022184853A1 (en) | 2021-03-03 | 2022-09-09 | Pierre Fabre Medicament | Anti-vsig4 antibody or antigen binding fragment and uses thereof |
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