TWI886446B - Recombinant antibodies and uses thereof - Google Patents
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Abstract
Description
本揭示內容是關於治療疾病的領域。更具體來說,本揭示內容是關於一種對癌胚抗原相關細胞黏附分子6 (carcinoembryonic antigen-related cell adhesion molecule 6, CEACAM6)具有專一性的重組抗體,以及其於治療癌症的用途。The present disclosure relates to the field of treating diseases. More specifically, the present disclosure relates to a recombinant antibody specific for carcinoembryonic antigen-related cell adhesion molecule 6 (CEACAM6) and its use in treating cancer.
癌症一種與細胞異常增生相關的疾病,該些異常細胞會不受控制地分裂,且具有浸潤及破壞正常身體組織的能力。已於人類鑑定出超過100種不同類型的癌症,其中好發於男性的癌症包含肺癌、前列腺癌及結腸直腸癌,而好發於女性的癌症則包含乳癌、肺癌及結腸直腸癌。Cancer is a disease associated with abnormal cell growth that divides uncontrollably and has the ability to infiltrate and destroy normal body tissues. More than 100 different types of cancer have been identified in humans. The most common cancers in men include lung cancer, prostate cancer and colorectal cancer, while the most common cancers in women include breast cancer, lung cancer and colorectal cancer.
癌症的主要治療方法包含手術、放射治療、化學治療、荷爾蒙治療及標靶治療。一般來說,治療會隨著癌症的種類、位置及嚴重程度,以及病患的健康與偏好而有所差異。然而,多數治療皆有其限制,因而無法對癌症病患產生滿意的結果,舉例來說,產生抗藥性、低專一性、功效不佳,以及/或是疼痛、貧血、出血、淋巴水腫、腹瀉、便秘、疲勞、食慾不振、感染、神經病變及記憶力問題等不良副作用。The main treatments for cancer include surgery, radiation therapy, chemotherapy, hormone therapy, and targeted therapy. In general, treatments vary depending on the type, location, and severity of the cancer, as well as the patient's health and preferences. However, most treatments have limitations that do not produce satisfactory results for cancer patients, such as drug resistance, low specificity, poor efficacy, and/or adverse side effects such as pain, anemia, bleeding, lymphedema, diarrhea, constipation, fatigue, loss of appetite, infection, neuropathy, and memory problems.
CEACAM6 (亦稱為CD66c)是癌胚抗原(carcinoembryonic antigen, CEA)家族中的一員。已知將近70%的固體腫瘤(包含結腸直腸癌、胃癌、子宮內膜癌、乳癌、卵巢癌、子宮頸癌、胰臟癌、肺癌及頭頸部鱗狀細胞癌)會過量表現CEACAM6,且CEACAM6會藉由誘發上皮-間質細胞轉型(epithelial-mesenchymal transition, EMT)而促進癌症的進程。基於CEACAM6對癌症生成及進程的重要性,其可作為一種治療癌症的標的。然而,抗CEACAM6藥劑對癌症的功效目前仍未證實,尚待實驗的驗證。CEACAM6 (also known as CD66c) is a member of the carcinoembryonic antigen (CEA) family. It is known that nearly 70% of solid tumors (including colorectal cancer, gastric cancer, endometrial cancer, breast cancer, ovarian cancer, cervical cancer, pancreatic cancer, lung cancer and head and neck squamous cell carcinoma) overexpress CEACAM6, and CEACAM6 promotes cancer progression by inducing epithelial-mesenchymal transition (EMT). Based on the importance of CEACAM6 in cancer formation and progression, it can be used as a target for cancer treatment. However, the efficacy of anti-CEACAM6 agents in cancer has not yet been confirmed and needs to be verified experimentally.
有鑑於此,相關領域亟需一種新穎之用以治療癌症(特別是會表現CEACAM6之癌症)的藥劑及/或方法。In view of this, the relevant field is in urgent need of a novel drug and/or method for treating cancer (especially cancer expressing CEACAM6).
發明內容旨在提供本揭示內容的簡化摘要,以使閱讀者對本揭示內容具備基本的理解。此發明內容並非本揭示內容的完整概述,且其用意並非在指出本發明實施例的重要/關鍵元件或界定本發明的範圍。The content of the invention is intended to provide a simplified summary of the present disclosure so that readers can have a basic understanding of the present disclosure. This content of the invention is not a complete overview of the present disclosure, and it is not intended to point out the important/key elements of the embodiments of the present invention or to define the scope of the present invention.
本揭示內容的第一態樣是關於一種重組抗體或其片段。 依據本揭示內容的實施方式,所述重組抗體包含一重鏈變異(variable heavy chain, VHH)域及一免疫球蛋白的可結晶片段區(fragment crystallizable region, Fc區),其中該Fc區是與該VHH域融合,且該VHH域包含一第一互補決定區(complementarity determining region, CDR-1)、一第二CDR (CDR-2)及一第三CDR (CDR-3)。依據本揭示內容某些實施方式,所述第一、 第二及第三CDR分別包含序列編號:1、2及3的胺基酸序列。The first aspect of the present disclosure is about a recombinant antibody or a fragment thereof. According to an embodiment of the present disclosure, the recombinant antibody comprises a variable heavy chain (VHH) domain and an immunoglobulin crystallizable fragment region (Fc region), wherein the Fc region is fused with the VHH domain, and the VHH domain comprises a first complementarity determining region (CDR-1), a second CDR (CDR-2) and a third CDR (CDR-3). According to certain embodiments of the present disclosure, the first, second and third CDRs comprise the amino acid sequences of sequence numbers: 1, 2 and 3, respectively.
依據某些較佳的實施方式,所述VHH域包含一與序列編號:4具有至少85%序列相似度的胺基酸序列。在一特定實施方式中,所述VHH域包含一與序列編號:4具有100%序列相似度的胺基酸序列。According to certain preferred embodiments, the VHH domain comprises an amino acid sequence having at least 85% sequence similarity to SEQ ID NO: 4. In a specific embodiment, the VHH domain comprises an amino acid sequence having 100% sequence similarity to SEQ ID NO: 4.
依據某些實施方式,所述VHH域是源自駱駝科(camelid)動物的重鏈抗體。According to certain embodiments, the VHH domain is a heavy chain antibody derived from a camelid animal.
依據某些實施方式,所述免疫球蛋白是人類免疫球蛋白G (immunoglobulin G, IgG)或免疫球蛋白A (immunoglobulin A, IgA)。在一特定實施方式中,免疫球蛋白是人類IgG1。依據某些實施方式,免疫球蛋白是小鼠IgG或IgA。在一例示性的實施方式中,免疫球蛋白是小鼠IgG2。According to certain embodiments, the immunoglobulin is human immunoglobulin G (IgG) or immunoglobulin A (IgA). In a specific embodiment, the immunoglobulin is human IgG1. According to certain embodiments, the immunoglobulin is mouse IgG or IgA. In an exemplary embodiment, the immunoglobulin is mouse IgG2.
本揭示內容的第二態樣是關於一種藥學組合物,其包含本揭示內容之重組抗體或抗體片段,以及一藥學上可接受的賦形劑。The second aspect of the present disclosure is a pharmaceutical composition comprising the recombinant antibody or antibody fragment of the present disclosure and a pharmaceutically acceptable excipient.
本揭示內容亦關於一種用以治療一個體之癌症的方法。本發明方法包含對該個體投予一有效量之本發明重組抗體或抗體片段。The present disclosure also relates to a method for treating cancer in a subject. The method of the present invention comprises administering to the subject an effective amount of a recombinant antibody or antibody fragment of the present invention.
依據所需目的不同,癌症可以是任何會表現CEACAM6的癌症;舉例來說,胃癌、肺癌、膀胱癌、乳癌、胰臟癌、腎臟癌、結腸直腸癌、子宮頸癌、卵巢癌、腦瘤、前列腺癌、肝癌、黑色素瘤、食道癌、多發性骨髓瘤或頭頸部鱗狀細胞癌。Depending on the desired purpose, the cancer can be any cancer that expresses CEACAM6; for example, gastric cancer, lung cancer, bladder cancer, breast cancer, pancreatic cancer, kidney cancer, colorectal cancer, cervical cancer, ovarian cancer, brain tumor, prostate cancer, liver cancer, melanoma, esophageal cancer, multiple myeloma, or head and neck squamous cell carcinoma.
非必要地,本發明方法更包含在投予本發明重組抗體或抗體片段之前、同時或之後,對該個體投予一有效量之抗癌劑。依據某些實施方式,抗癌劑是西妥昔單抗(cetuximab)。Optionally, the method of the present invention further comprises administering an effective amount of an anticancer agent to the individual before, simultaneously with, or after administering the recombinant antibody or antibody fragment of the present invention. According to certain embodiments, the anticancer agent is cetuximab.
所述個體是一哺乳動物;較佳為一人類。The individual is a mammal; preferably a human.
在參閱下文實施方式後,本發明所屬技術領域中具有通常知識者當可輕易瞭解本發明之基本精神及其他發明目的,以及本發明所採用之技術手段與實施態樣。After reading the following implementation methods, a person with ordinary knowledge in the technical field to which the present invention belongs can easily understand the basic spirit and other invention purposes of the present invention, as well as the technical means and implementation modes adopted by the present invention.
為了使本揭示內容的敘述更加詳盡與完備,下文針對了本發明的實施態樣與具體實施例提出了說明性的描述;但這並非實施或運用本發明具體實施例的唯一形式。實施方式中涵蓋了多個具體實施例的特徵以及用以建構與操作這些具體實施例的方法步驟與其順序。然而,亦可利用其他具體實施例來達成相同或均等的功能與步驟順序。In order to make the description of the disclosure more detailed and complete, the following provides an illustrative description of the implementation and specific embodiments of the present invention; however, this is not the only form of implementing or using the specific embodiments of the present invention. The implementation covers the features of multiple specific embodiments and the method steps and their sequence for constructing and operating these specific embodiments. However, other specific embodiments can also be used to achieve the same or equal functions and step sequences.
I.I. 定義Definition
雖然用以界定本發明較廣範圍的數值範圍與參數皆是約略的數值,此處已盡可能精確地呈現具體實施例中的相關數值。然而,任何數值本質上不可避免地含有因個別測試方法所致的標準偏差。在此處,「約」通常係指實際數值在一特定數值或範圍的正負10%、5%、1%或0.5%之內。或者是,「約」一詞代表實際數值落在平均值的可接受標準誤差之內,視本發明所屬技術領域中具有通常知識者的考量而定。除了實驗例之外,或除非另有明確的說明,當可理解此處所用的所有範圍、數量、數值與百分比(例如用以描述材料用量、時間長短、溫度、操作條件、數量比例及其他相似者)均經過「約」的修飾。因此,除非另有相反的說明,本說明書與附隨申請專利範圍所揭示的數值參數皆為約略的數值,且可視需求而更動。至少應將這些數值參數理解為所指出的有效位數與套用一般進位法所得到的數值。在此處,將數值範圍表示成由一端點至另一段點或介於二端點之間;除非另有說明,此處所述的數值範圍皆包含端點。Although the numerical ranges and parameters used to define the broader scope of the present invention are approximate, the relevant numerical values in the specific embodiments have been presented as accurately as possible. However, any numerical value inherently inevitably contains standard deviations due to individual testing methods. Here, "about" generally refers to the actual value within plus or minus 10%, 5%, 1% or 0.5% of a particular value or range. Alternatively, the word "about" means that the actual value falls within the acceptable standard error of the mean, depending on the consideration of a person with ordinary knowledge in the technical field to which the present invention belongs. Except for the experimental examples, or unless otherwise expressly stated, it is understood that all ranges, quantities, values and percentages used herein (for example, to describe the amount of material used, the length of time, temperature, operating conditions, quantity ratios and other similar persons) are modified by "about". Therefore, unless otherwise stated, the numerical parameters disclosed in this specification and the attached patent application are approximate values and can be changed as needed. At least these numerical parameters should be understood as the indicated significant digits and the values obtained by applying the general rounding method. Herein, the numerical range is expressed from one end point to another or between two end points; unless otherwise stated, the numerical range described herein includes the end points.
除非本說明書另有定義,此處所用的科學與技術詞彙之含義與本發明所屬技術領域中具有通常知識者所理解與慣用的意義相同。此外,在不和上下文衝突的情形下,本說明書所用的單數名詞涵蓋該名詞的複數型;而所用的複數名詞時亦涵蓋該名詞的單數型。Unless otherwise defined in this specification, the scientific and technical terms used herein have the same meanings as those understood and used by persons of ordinary skill in the art to which the present invention belongs. In addition, singular terms used in this specification include plural forms of the terms, and plural terms also include singular forms of the terms, unless otherwise conflicting with the context.
「抗體」(antibody)一詞在本揭示內容泛指單株抗體(monoclonal antibody;包含全長單株抗體)、多株抗體(polyclonal antibody)、多效或多價抗體(例如雙效抗體)、嵌合型抗體、重鏈抗體(heavy chain antibody, HCAb)及能產生特定生物活性的抗體片段。「抗體片段」(antibody fragment)一詞在本揭示內容中包含全長抗體的一部分,該部分通常為全長抗體中與抗原結合的位置或變異區域(例如VH及/或VL域)。例示性的抗體片段包含VHH域(亦稱為單域抗體(single domain antibody, sdAb)或奈米抗體(nanobody, Nb))、VHH二聚體、抗原結合片段(fragment antigen-binding, Fab)、Fab’、F(ab’)2、單鏈變異片段(single-chain variable fragment, scFv)、雙鏈抗體(diabody)、線性抗體(linear antibody)、單鏈抗體分子(single-chain antibody molecule)及由抗體片段形成的多效抗體。依據本揭示內容某些實施方式,「抗體片段」(antibody fragment)一詞是指HCAb的VHH域或VHH二聚體。The term "antibody" in this disclosure refers to monoclonal antibodies (including full-length monoclonal antibodies), polyclonal antibodies, multi- or multivalent antibodies (e.g., bi-antibodies), chimeric antibodies, heavy chain antibodies (HCAbs), and antibody fragments that can produce specific biological activities. The term "antibody fragment" in this disclosure includes a portion of a full-length antibody, which is usually the antigen-binding site or variable region (e.g., VH and/or VL domain) in the full-length antibody. Exemplary antibody fragments include VHH domains (also known as single domain antibodies (sdAb) or nanobodies (Nb)), VHH dimers, fragment antigen-binding (Fab), Fab', F(ab')2, single-chain variable fragments (scFv), bi-chain antibodies (diabody), linear antibodies (linear antibody), single-chain antibody molecules (single-chain antibody molecules) and multi-antibodies formed by antibody fragments. According to certain embodiments of the present disclosure, the term "antibody fragment" refers to the VHH domain or VHH dimer of HCAb.
在本揭示內容中,「重鏈抗體」(heavy-chain antibody, HCAb)一詞是指一種由二條重鏈所組成而不具輕鏈的抗體(舉例來說,請見Hamers-Casterman, et al. Nature. 1993; 363: 446-448)。具體來說,HCAb是由二條由共價雙硫鍵連接之重鏈所組成,其中各重鏈於其一端具有一變異域。為了與一般抗體(conventional antibody,具有二條重鏈及二條輕鏈)之重鏈的變異域(VH域)有所區隔,將HCAb之重鏈的變異域稱為「VHH域」。自然存在於駱駝科動物及鯊魚的HCAb可藉由VHH域與抗原結合。In the present disclosure, the term "heavy-chain antibody" (HCAb) refers to an antibody composed of two heavy chains without light chains (for example, see Hamers-Casterman, et al. Nature. 1993; 363: 446-448). Specifically, HCAb is composed of two heavy chains connected by a covalent disulfide bond, wherein each heavy chain has a variable domain at one end. In order to distinguish it from the variable domain (VH domain) of the heavy chain of a conventional antibody (having two heavy chains and two light chains), the variable domain of the heavy chain of HCAb is referred to as the "VHH domain". HCAbs naturally present in camels and sharks can bind to antigens through the VHH domain.
在本揭示內容中,一HCAb的「VHH域」(VHH domain)是指抗體重鏈的胺基末端區域。這些區域通常為抗體最易變動的部分,且包含抗原結合位點。「變異」(variable)一詞係指VHH域中某些部分在抗體間序列差異廣泛且用於每種特定抗體對其特定抗原的結合及專一性的實情。然而,變異性並非均勻分佈於抗體的整個變異域。其主要集中於VHH域中3個CDR或高度變異區域。VHH域中更加高度保守的部分稱作框架區域(framework region, FR)。天然重鏈的VHH域包含四個FR,它們大多採取β-折疊片構形,通過形成環狀連接且在有些情況中形成β-折疊片結構一部分的三個CDR連接。每條抗體鏈中的CDR藉由FR非常接近的保持在一起,形成抗體的抗原結合位點。恆定域(constant domain)不直接參與抗體與抗原的結合,但具有不同的作用功效,例如抗體於抗體相關細胞毒殺(antibody-dependent cellular toxicity)的作用。In the present disclosure, the "VHH domain" of a HCAb refers to the amino-terminal region of the antibody heavy chain. These regions are usually the most variable parts of the antibody and contain the antigen binding site. The word "variable" refers to the fact that certain parts of the VHH domain have extensive sequence differences between antibodies and are used for the binding and specificity of each specific antibody to its specific antigen. However, the variability is not evenly distributed throughout the variable domain of the antibody. It is mainly concentrated in the three CDRs or highly variable regions in the VHH domain. The more highly conserved parts of the VHH domain are called the framework region (FR). The natural heavy chain VHH domain contains four FRs, which mostly adopt a β-sheet configuration, connected by three CDRs that form a loop and in some cases form part of the β-sheet structure. The CDRs in each antibody chain are held together in close proximity by the FRs to form the antigen-binding site of the antibody. The constant domain is not directly involved in the binding of the antibody to the antigen, but has different effects, such as the role of the antibody in antibody-dependent cellular toxicity.
「互補性決定區域」(complementarity determining region, CDR)在本揭示內容是指VHH域的高變異區域,其可與結合抗原之三維立體表面形成互補表面。由N端到C端,抗體的各VHH包含三個CDR (即,CDR-1、CDR-2及CDR-3),該些CDR界定了VHH域的結合親和力及專一性。"Complementarity determining region" (CDR) in the present disclosure refers to the hypervariable region of the VHH domain that can form a complementary surface with the three-dimensional surface of the antigen-binding domain. From the N-terminus to the C-terminus, each VHH of the antibody contains three CDRs (i.e., CDR-1, CDR-2, and CDR-3), which define the binding affinity and specificity of the VHH domain.
在本揭示內容中,「可結晶片段區」(fragment crystallizable region)或「Fc區」(Fc region)是指一抗體的末端區域,其會與稱為Fc受體之細胞表面受體及/或補體系統中某些蛋白作用。結構上,Fc區由N端到C端至少包含一鉸鏈區(hinge region,一段用以連接CH1及CH2域的重鏈短序列)、一CH2域(重鏈的第二恆定域)及一CH3域(重鏈的第三恆定域)。舉例來說,可以木瓜酶(papain)分解IgGl抗體,以得到IgG1抗體的Fc域。In the present disclosure, "fragment crystallizable region" or "Fc region" refers to the terminal region of an antibody that interacts with cell surface receptors called Fc receptors and/or certain proteins in the complement system. Structurally, the Fc region includes at least a hinge region (a short sequence of the heavy chain connecting the CH1 and CH2 domains), a CH2 domain (the second constant domain of the heavy chain) and a CH3 domain (the third constant domain of the heavy chain) from the N-terminus to the C-terminus. For example, the Fc domain of the IgG1 antibody can be obtained by decomposing the IgG1 antibody with papain.
此處針對胺基酸序列所述的「序列相似度百分比」(Percentage (%) sequence identity) 係指候選序列的胺基酸殘基與參考序列的胺基酸殘基完全相同的百分比;於進行上述比對時,可將所述的候選序列與參考序列並排,並於必要時引入間隙,使二序列形成最高的序列相似度;在計算相似度時,保守性置換的胺基酸殘基視為不同的殘基。相關領域已有多種方法可用以進行上述並排,譬如可公開取得的軟體如BLAST、BLAST-2、ALIGN或Megalign (DNASTAR)等。本發明所屬技術領域中具有通常知識者在進行並排時,可選擇適當的參數與計算方式,以得到最佳的排列方式。在本說明書中,二多肽序列間的序列比較是採用美國國家生物科技資訊中心(Nation Center for Biotechnology Information, NCBI)所提供的蛋白質-蛋白質BLAST分析資料庫Blastp來進行。候選序列A相較於參考序列B的胺基酸序列相似度(在本說明書中亦稱之為序列A與序列B具有特定百分比(%)的胺基酸序列相似度)的計算方式如下: % ,其中X是利用BLAST序列並排程式對序列A、B進行排列後所得到的相同胺基酸殘基數目(identical matches),而Y是A、B二序列中較短者的胺基酸殘基總數。 The "Percentage (%) sequence identity" for amino acid sequences herein refers to the percentage of amino acid residues of the candidate sequence that are exactly the same as the amino acid residues of the reference sequence; when performing the above-mentioned comparison, the candidate sequence and the reference sequence can be placed side by side, and a gap can be introduced when necessary so that the two sequences form the highest sequence similarity; when calculating the similarity, conservatively substituted amino acid residues are regarded as different residues. There are many methods in the relevant field that can be used to perform the above-mentioned alignment, such as publicly available software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR). When performing the alignment, a person with ordinary knowledge in the technical field to which the present invention belongs can select appropriate parameters and calculation methods to obtain the best arrangement. In this specification, the sequence comparison between two polypeptide sequences is performed using the protein-protein BLAST analysis database Blastp provided by the National Center for Biotechnology Information (NCBI). The amino acid sequence similarity between candidate sequence A and reference sequence B (also referred to as the amino acid sequence similarity between sequence A and sequence B with a specific percentage (%) in this specification) is calculated as follows: %, where X is the number of identical amino acid residues obtained by aligning sequences A and B using the BLAST sequence alignment program, and Y is the total number of amino acid residues in the shorter of the two sequences A and B.
本揭示內容及請求保護之發明概念亦包含抗體之胺基酸序列的微小變異,其中胺基酸序列的變異維持至少85%序列相似度,例如至少85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%或99%序列相似度。可藉由特定修飾來改變抗體的特性,而不影響其生理活性。舉例來說,可改變及/或刪除某些胺基酸而不影響本發明抗體的生理活性(即,與CEACAM6結合的能力)。特別是,保留性胺基酸取代亦包含於其中。保留性取代為具有相似/相關側鏈之胺基酸間的相互取代。一般來說,由基因編碼的胺基酸可分為四大類:(1) 酸性胺基酸,即天門冬胺酸(aspartate)、麩胺酸(glutamate);(2)鹼性胺基酸,即離胺酸(lysine)、精胺酸(arginine)、組胺酸(histidine);(3)非極性胺基酸,即丙胺酸(alanine)、纈胺酸(valine)、白胺酸(leucine)、異白胺酸(isoleucine)、脯胺酸(proline)、苯丙胺酸(phenylalanine)、甲硫胺酸(methionine)、色胺酸(tryptophan);以及(4)非帶電極性胺基酸,即甘胺酸(glycine)、天門冬醯胺(asparagine)、麩醯胺酸(glutamine)、半胱胺酸(cysteine)、絲胺酸(serine)、蘇胺酸(threonine)、酪胺酸(tyrosine)。較佳的分類是:絲胺酸及蘇胺酸係屬脂肪羥基(aliphatic-hydroxy)類;天冬醯胺酸及麩醯胺係屬含醯胺(amide-containing)類;丙胺酸、纈胺酸、白胺酸及異白胺酸係屬脂肪類;而苯丙胺酸、色胺酸及酪胺酸則屬芳香(aromatic)類。舉例來說,當可想見若以異白胺酸或纈胺酸取代白胺酸、以麩胺酸取代天門冬胺酸、以絲胺酸取代蘇胺酸,或是以一結構相似的胺基酸取代另一胺基酸時,並不會造成分子結合或蛋白特性的顯著改變,特別是當該取代位置不是位於框架區域時,胺基酸之間的取代更不會影響上述特性。可藉由檢測抗體衍生物之特定活性來瞭解一胺基酸的改變是否可形成一具功能性的抗體。可利用本發明所屬技術領域中具有通常知識者所知的方法來製備抗體片段或類似物。片段或類似物之較佳的胺基及羧基末端是鄰近功能域的邊界。The disclosed content and claimed inventive concepts also include minor variations in the amino acid sequence of the antibody, wherein the variation in the amino acid sequence maintains at least 85% sequence similarity, for example, at least 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98% or 99% sequence similarity. The properties of the antibody can be changed by specific modifications without affecting its physiological activity. For example, certain amino acids can be changed and/or deleted without affecting the physiological activity of the antibody of the present invention (i.e., the ability to bind to CEACAM6). In particular, conservative amino acid substitutions are also included. Conservative substitutions are mutual substitutions between amino acids with similar/related side chains. Generally speaking, the amino acids encoded by genes can be divided into four major categories: (1) Acidic amino acids, namely aspartate and glutamate; (2) basic amino acids, namely lysine, arginine, and histidine; (3) non-polar amino acids, namely alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, and tryptophan; and (4) non-charged polar amino acids, namely glycine, asparagine, glutamine, cysteine, serine, threonine, and tyrosine. A better classification is that serine and threonine are aliphatic-hydroxy, aspartate and glutamine are amide-containing, alanine, valine, leucine, and isoleucine are aliphatic, and phenylalanine, tryptophan, and tyrosine are aromatic. For example, it is conceivable that substitution of isoleucine or valine for leucine, glutamine for aspartate, serine for threonine, or one structurally similar amino acid for another will not result in a significant change in molecular binding or protein properties, especially when the substitution is not in the framework region, and substitutions between amino acids will not affect the above properties. By detecting the specific activity of the antibody derivative, it can be understood whether the change of an amino acid can form a functional antibody. Antibody fragments or analogs can be prepared by methods known to those of ordinary skill in the art to which the present invention belongs. The amino and carboxyl termini of the fragments or analogs are preferably adjacent to the boundaries of the functional domain.
「個體」(subject)一詞在本揭示內容係指包含人類等可接受本發明重組抗體、藥學組合物及/或方法治療的哺乳動物。除非另有所指,否則「個體」(subject)一詞同時意指男性及女性。The term "subject" in this disclosure refers to mammals including humans that can be treated with the recombinant antibodies, pharmaceutical compositions and/or methods of the present invention. Unless otherwise specified, the term "subject" refers to both males and females.
II.II. 發明詳細說明Invention Details
本揭示內容是關於一種對CEACAM6具有專一性的重組抗體,以及該重組抗體於治療癌症(特別是具有CEACAM6過量表現於其上及/或其中之癌症)的用途。The present disclosure relates to a recombinant antibody specific for CEACAM6 and the use of the recombinant antibody in treating cancer, particularly cancer having CEACAM6 overexpressed thereon and/or therein.
因此,本揭示內容的第一態樣是關於一種重組抗體或其片段(例如,VHH域)。首見參見第1圖,其係依據本揭示內容某些實施方式所繪示之示意圖,用以闡述本發明重組抗體。結構上,本發明重組抗體包含一對VHH域,以及一與該對VHH域連接之免疫球蛋白的Fc區。如本發明所屬技術領域中具有通常知識者所知,Fc區包含二條相同的蛋白片段,彼此以雙硫鍵連接,其中各蛋白片段由N端到C端包含一鉸鏈區、一CH2域及一CH3域。該對VHH域是連接至蛋白片段的N端。如第1圖所示,本發明重組抗體為HCAb的形式(即,VHH-Fc同型二聚複合體),其包含二條於鉸鏈區以雙硫鍵連接的重鏈,其中各重鏈由N端到C端包含一VHH域、一鉸鏈區、一CH2域及一CH3域。Therefore, the first aspect of the present disclosure is about a recombinant antibody or a fragment thereof (e.g., a VHH domain). First, refer to Figure 1, which is a schematic diagram drawn according to certain embodiments of the present disclosure, for illustrating the recombinant antibody of the present invention. Structurally, the recombinant antibody of the present invention comprises a pair of VHH domains, and an Fc region of an immunoglobulin connected to the pair of VHH domains. As known to those skilled in the art to which the present invention belongs, the Fc region comprises two identical protein fragments connected to each other by disulfide bonds, wherein each protein fragment comprises a hinge region, a CH2 domain, and a CH3 domain from the N-terminus to the C-terminus. The pair of VHH domains are connected to the N-terminus of the protein fragment. As shown in FIG. 1 , the recombinant antibody of the present invention is in the form of HCAb (i.e., a VHH-Fc homodimeric complex), which comprises two heavy chains connected by a disulfide bond in the hinge region, wherein each heavy chain comprises a VHH domain, a hinge region, a CH2 domain and a CH3 domain from the N-terminus to the C-terminus.
或者是,該對VHH域可藉由一連接子連接到蛋白片段的N端。在此種情況下,本發明重組抗體為HCAb的形式(即,VHH-連接子-Fc同型二聚複合體),其包含二條於鉸鏈區以雙硫鍵連接的重鏈,其中各重鏈由N端到C端包含一VHH域、一連接子、一鉸鏈區、一CH2域及一CH3域。Alternatively, the pair of VHH domains may be linked to the N-terminus of the protein fragment via a linker. In this case, the recombinant antibody of the present invention is in the form of HCAb (i.e., VHH-linker-Fc homodimer complex), which comprises two heavy chains connected by a disulfide bond in the hinge region, wherein each heavy chain comprises a VHH domain, a linker, a hinge region, a CH2 domain and a CH3 domain from the N-terminus to the C-terminus.
已知抗體的結合特性(包含結合親和力及專一性)是取決於其變異域(即,一般抗體的VH與VL域,或是HCAb的VHH域);更具體來說,取決於變異域中的CDR序列(即,一般抗體的CDR-H1、CDR-H2、CDR-H3、CDR-L1、CDR-L2及CDR-L3;或是HCAb的CDR-1、CDR-2及CDR-3)。依據本揭示內容某些實施方式,重組抗體的各VHH域包含三個CDR (即,CDR-1、CDR-2及CDR-3),其中CDR-1包含序列編號:1的胺基酸序列,CDR-2包含序列編號:2的胺基酸序列,且CDR-3包含序列編號:3的胺基酸序列。It is known that the binding properties of an antibody (including binding affinity and specificity) depend on its variable domain (i.e., the VH and VL domains of a general antibody, or the VHH domain of an HCAb); more specifically, on the CDR sequence in the variable domain (i.e., CDR-H1, CDR-H2, CDR-H3, CDR-L1, CDR-L2, and CDR-L3 of a general antibody; or CDR-1, CDR-2, and CDR-3 of an HCAb). According to certain embodiments of the present disclosure, each VHH domain of a recombinant antibody comprises three CDRs (i.e., CDR-1, CDR-2, and CDR-3), wherein CDR-1 comprises the amino acid sequence of sequence number: 1, CDR-2 comprises the amino acid sequence of sequence number: 2, and CDR-3 comprises the amino acid sequence of sequence number: 3.
依據某些實施方式,重組抗體的各VHH域包含一與序列編號:4具有至少85% (例如,85%、86%、87%、88%、89%、90%、91%、92%、93%、94%、95%、96%、97%、98%、99%或100%)序列相似度的胺基酸序列。當可想見,VHH域的序列(例如,骨架序列)可有所變異(例如以保留性或非保留性胺基酸殘基進行置換),而不會影響本發明抗體的結合親和力及/或專一性。較佳地,以一或多具有相似特性的胺基酸殘基來保留性置換VHH域的序列;;舉例來說,以異白胺酸、丙胺酸、纈胺酸、脯胺酸、苯丙胺酸或色胺酸(一非極性胺基酸殘基)來取代白胺酸(另一非極性胺基酸殘基);以麩胺酸(一酸性胺基酸殘基)取代天門冬胺酸(另一酸性胺基酸殘基);或是以精胺酸或組胺酸(一鹼性胺基酸殘基)來取代離胺酸(另一鹼性胺基酸殘基)。依據某些較佳的實施方式,重組抗體的VHH域包含一與序列編號:4具有至少90%序列相似度的胺基酸序列。更佳地,重組抗體的VHH域包含一與序列編號:4具有至少95%序列相似度的胺基酸序列。在一操作實施例中,重組抗體的VHH域具有序列編號:4的胺基酸序列(即,其胺基酸序列與序列編號:4具有100%序列相似度)。According to certain embodiments, each VHH domain of the recombinant antibody comprises an amino acid sequence having at least 85% (e.g., 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100%) sequence similarity to SEQ ID NO: 4. It is contemplated that the sequence of the VHH domain (e.g., the framework sequence) may be varied (e.g., substituted with conservative or non-conservative amino acid residues) without affecting the binding affinity and/or specificity of the antibody of the invention. Preferably, the sequence of the VHH domain is conservatively replaced with one or more amino acid residues having similar properties; for example, leucine (another non-polar amino acid residue) is replaced with isoleucine, alanine, valine, proline, phenylalanine or tryptophan (a non-polar amino acid residue); aspartic acid (another acidic amino acid residue) is replaced with glutamine (an acidic amino acid residue); or lysine (another basic amino acid residue) is replaced with arginine or histidine (a basic amino acid residue). According to certain preferred embodiments, the VHH domain of the recombinant antibody comprises an amino acid sequence having at least 90% sequence similarity to SEQ ID NO:4. More preferably, the VHH domain of the recombinant antibody comprises an amino acid sequence having at least 95% sequence similarity to SEQ ID NO: 4. In one working embodiment, the VHH domain of the recombinant antibody has the amino acid sequence of SEQ ID NO: 4 (i.e., its amino acid sequence has 100% sequence similarity to SEQ ID NO: 4).
依據所需目的不同,免疫球蛋白可以是人類免疫球蛋白G1 (IgG1)、免疫球蛋白G2 (IgG2)、免疫球蛋白G3 (IgG3)、免疫球蛋白G4 (IgG4)或免疫球蛋白A (IgA)。依據某些例示性的實施方式,免疫球蛋白是人類IgG1。在一特定實施方式中,該對VHH域是連接至人類IgG1之Fc區的N端,其中本發明重組抗體的各重鏈包含序列編號:5的胺基酸序列。Depending on the desired purpose, the immunoglobulin can be human immunoglobulin G1 (IgG1), immunoglobulin G2 (IgG2), immunoglobulin G3 (IgG3), immunoglobulin G4 (IgG4) or immunoglobulin A (IgA). According to certain exemplary embodiments, the immunoglobulin is human IgG1. In a specific embodiment, the pair of VHH domains are linked to the N-terminus of the Fc region of human IgG1, wherein each recombinant chain of the recombinant antibody of the present invention comprises the amino acid sequence of SEQ ID NO: 5.
或者是,免疫球蛋白可以是小鼠IgG1、IgG2、IgG3或IgA。依據某些實施方式,免疫球蛋白是小鼠IgG2。在一特定實施方式中,該對VHH域是連接至小鼠IgG2之Fc區的N端,其中本發明重組抗體的各重鏈包含序列編號:6的胺基酸序列。Alternatively, the immunoglobulin may be mouse IgG1, IgG2, IgG3 or IgA. According to certain embodiments, the immunoglobulin is mouse IgG2. In a specific embodiment, the pair of VHH domains are linked to the N-terminus of the Fc region of mouse IgG2, wherein each recombinant chain of the recombinant antibody of the present invention comprises the amino acid sequence of SEQ ID NO: 6.
依據本揭示內容某些實施方式,以核糖體展示(ribosome display)及DNA選殖(DNA cloning)技術來製備重組抗體。According to certain embodiments of the present disclosure, recombinant antibodies are prepared using ribosome display and DNA cloning techniques.
核糖體展示是一種於活體外由大型蛋白庫篩選蛋白及胜肽的無細胞系統。用以製備核糖體展示系統的方法為本發明所屬技術領域中具有通常知識者所知的技藝。一般來說,是依據慣常採用的流程,利用胜肽(例如,CEACAM6多肽)免疫化宿主動物(例如,駱駝科動物,較佳是羊駝(Lama Pacos或alpaca))來建立核糖體展示系統;舉例來說,每二到三週以胜肽免疫化宿主動物一次,直到產生所需的抗體效價(antibody titer)。於最後一次免疫化注射後,由免疫化的動物收集周邊淋巴細胞,並從中分離總RNA。合成對應的cDNA,據此擴增用以編碼VHH域的cDNA片段後,將PCR產物轉殖至表現載體,以建構cDNA基因庫。編碼VHH的cDNA可以核糖體展示的形式(即,蛋白-核糖體-mRNA (protein-ribosome-mRNA, PRM)複合體)轉錄mRNA並轉譯蛋白。在篩選階段(亦稱為「生物淘洗階段」(biopanning stage)),將PRM複合體加至固定化配體(例如,固定化CEACAM6多肽)後,利用鹽濃度、螫合劑或流動配體(其可與蛋白的結合域形成複合體,使mRNA分離)來沖提對固定化配體具有結合親和力的複合體。接著可將mRNA反轉錄為cDNA,以進行下一輪篩選。篩選階段可重複數次(舉例來說,3-5次),以得到用以編碼VHH域的cDNA,其中該VHH域對胜肽(例如,CEACAM6多肽)具有結合專一性。Ribosome display is a cell-free system for screening proteins and peptides from a large protein library in vitro. Methods for preparing ribosome display systems are well known to those skilled in the art. Generally, a ribosome display system is established by immunizing a host animal (e.g., a camel, preferably an alpaca) with a peptide (e.g., a CEACAM6 polypeptide) according to a commonly used process; for example, the host animal is immunized with the peptide once every two to three weeks until the desired antibody titer is generated. After the last immunization injection, peripheral lymphocytes are collected from the immunized animal and total RNA is isolated therefrom. After synthesizing the corresponding cDNA and amplifying the cDNA fragment encoding the VHH domain, the PCR product is transferred to the expression vector to construct a cDNA gene library. The cDNA encoding VHH can be transcribed into mRNA and protein in the form of ribosome display (i.e., protein-ribosome-mRNA (PRM) complex). In the screening stage (also called "biopanning stage"), after adding the PRM complex to the immobilized ligand (e.g., immobilized CEACAM6 polypeptide), the complex with binding affinity to the immobilized ligand is washed out using salt concentration, chelating agent or mobile ligand (which can form a complex with the binding domain of the protein to separate the mRNA). The mRNA can then be reverse transcribed into cDNA for the next round of screening. The screening stage can be repeated several times (for example, 3-5 times) to obtain cDNA encoding a VHH domain that has binding specificity for a peptide (eg, CEACAM6 polypeptide).
依據本揭示內容某些實施方式,接著將得到的cDNA轉殖至表現載體(例如,IgG1載體),其包含人類免疫球蛋白的Fc區。在導入適當的宿主細胞後,表現載體可於宿主細胞中表現重組抗體;產生的重組抗體在結構上包含一源自人類的Fc區,以及與Fc區之N端連接之源自駱駝科動物的VHH域。所述宿主細胞較佳是一哺乳動物細胞;舉例來說,中國倉鼠卵巢(Chinese hamster ovary, CHO)細胞,或胚胎腎293細胞。依據一較佳的實施方式,宿主細胞是胚胎腎293細胞。According to certain embodiments of the present disclosure, the obtained cDNA is then transferred to an expression vector (e.g., an IgG1 vector) comprising the Fc region of a human immunoglobulin. After being introduced into appropriate host cells, the expression vector can express recombinant antibodies in the host cells; the produced recombinant antibodies structurally comprise an Fc region derived from humans and a VHH domain derived from camelids linked to the N-terminus of the Fc region. The host cell is preferably a mammalian cell; for example, a Chinese hamster ovary (CHO) cell, or an embryonic kidney 293 cell. According to a preferred embodiment, the host cell is an embryonic kidney 293 cell.
或者是,可直接以DNA選殖技術來製備本發明重組抗體。可藉由慣常流程(例如使用寡核苷酸探針,其可專一結合至編碼mAb之輕鏈及重鏈的基因)來分離及定序用以編碼本發明重組抗體的DNA。接著將分離的DNA置入表現載體中,並將表現載體轉染至上述適當的宿主細胞,以於宿主細胞中合成所需的抗體。Alternatively, the recombinant antibodies of the present invention can be prepared directly by DNA cloning techniques. The DNA encoding the recombinant antibodies of the present invention can be isolated and sequenced by conventional procedures (e.g., using oligonucleotide probes that can specifically bind to the genes encoding the light chain and heavy chain of mAb). The isolated DNA is then placed into an expression vector, and the expression vector is transfected into the above-mentioned appropriate host cells to synthesize the desired antibody in the host cells.
可依據本發明所屬技術領域標準流程(例如錯流過濾、親和管柱層析及凝膠過濾等)來純化重組抗體。The recombinant antibody can be purified according to standard procedures in the art to which the present invention pertains (e.g., cross-flow filtration, affinity column chromatography, and gel filtration, etc.).
依據所需目的不同,本揭示內容之重組抗體可與一藥物(例如,抗癌劑)鍵結(即,抗體-藥物複合體(antibody-drug conjugate, ADC)的形式)或與一治療劑(例如,治療胜肽)鍵結,以改善其治療功效。Depending on the desired purpose, the recombinant antibody of the present disclosure can be conjugated to a drug (e.g., an anticancer agent) (i.e., in the form of an antibody-drug conjugate (ADC)) or to a therapeutic agent (e.g., a therapeutic peptide) to improve its therapeutic efficacy.
依據本揭示內容某些實施方式,投予重組抗體可抑制腫瘤的生長。因此,本揭示內容亦關於一種用以治療癌症的藥學組合物或藥物。藥學組合物或藥物包含一有效量之本揭示內容的重組抗體或其片段;以及非必要地,一藥學上可接受的賦形劑。According to certain embodiments of the present disclosure, administration of recombinant antibodies can inhibit tumor growth. Therefore, the present disclosure also relates to a pharmaceutical composition or drug for treating cancer. The pharmaceutical composition or drug comprises an effective amount of a recombinant antibody or a fragment thereof of the present disclosure; and optionally, a pharmaceutically acceptable excipient.
一般來說,本發明重組抗體或抗體片段的重量約佔藥學組合物或藥物總重的0.1%到99%。在某些實施方式中,本發明重組抗體或抗體片段的重量至少佔藥學組合物或藥物總重的1%。在某些實施方式中,本發明重組抗體或抗體片段的重量至少佔藥學組合物或藥物總重的5%。在某些實施方式中,本發明重組抗體或抗體片段的重量至少佔藥學組合物或藥物總重的10%。在其他實施方式中,本發明重組抗體或抗體片段的重量至少佔藥學組合物或藥物總重的25%。Generally speaking, the weight of the recombinant antibody or antibody fragment of the present invention is about 0.1% to 99% of the total weight of the pharmaceutical composition or drug. In certain embodiments, the weight of the recombinant antibody or antibody fragment of the present invention is at least 1% of the total weight of the pharmaceutical composition or drug. In certain embodiments, the weight of the recombinant antibody or antibody fragment of the present invention is at least 5% of the total weight of the pharmaceutical composition or drug. In certain embodiments, the weight of the recombinant antibody or antibody fragment of the present invention is at least 10% of the total weight of the pharmaceutical composition or drug. In other embodiments, the weight of the recombinant antibody or antibody fragment of the present invention is at least 25% of the total weight of the pharmaceutical composition or drug.
可依據可接受的藥物製作方法來製備本發明藥學組合物或藥物,例如於Remington’s Pharmaceutical Sciences, 17 thedition, ed. Alfonoso R. Gennaro, Mack Publishing Company, Easton, Pa (1985)所述的方法。藥學上可接受之賦形劑為該些與劑型中其他成分相容且可為生物體接受的物質。 The pharmaceutical compositions or medicaments of the present invention may be prepared according to acceptable pharmaceutical manufacturing methods, such as those described in Remington's Pharmaceutical Sciences, 17th edition, ed. Alfonoso R. Gennaro, Mack Publishing Company, Easton, Pa (1985). Pharmaceutically acceptable formulations are those that are compatible with the other ingredients of the dosage form and are acceptable to the organism.
可將本發明藥學組合物或藥物 配製為固體、半固體或液體形式,例如錠劑、膠囊、粉末、顆粒、軟膏、溶液、栓劑及注射液。據此,可藉由諸如口服、頰部、直腸、非腸胃道、靜脈注射及腹腔注射等不同路徑來投予本發明重組抗體或抗體片段。在藥劑形式中,可單獨投予本發明重組抗體或抗體片段,或是與其他已知用以治療癌症的藥學活性劑合併投予。本發明所屬技術領域中具有通常知識者可依據投予路徑的不同來選擇適當的劑型。最佳的投予路徑會因疾病或病症的本質或嚴重程度不同而有所差異。The pharmaceutical composition or drug of the present invention can be formulated into solid, semisolid or liquid forms, such as tablets, capsules, powders, granules, ointments, solutions, suppositories and injections. Accordingly, the recombinant antibody or antibody fragment of the present invention can be administered by different routes such as oral, buccal, rectal, parenteral, intravenous injection and intraperitoneal injection. In the form of a dosage form, the recombinant antibody or antibody fragment of the present invention can be administered alone or in combination with other pharmaceutically active agents known to treat cancer. A person with ordinary knowledge in the art to which the present invention belongs can select an appropriate dosage form according to the different administration routes. The optimal administration route varies depending on the nature or severity of the disease or condition.
較佳地,將本揭示內容之藥學組合物或藥劑配置為為無菌溶液或懸浮液形式之液體形式,其係可以靜脈內、動脈內、肌肉內、皮下、脊內、腹腔內或腫瘤內等方式注射至個體。可將藥學組合物或藥劑配製成油性或水性的等張懸浮液、溶液或乳膠,且可包含處方藥劑,例如懸浮、穩定或分散藥劑。或者是,藥學組合物或藥物可以製成乾燥形式,例如粉末、晶體或冷凍乾燥的固體,並附與使用前為無菌且無熱原(pyrogen-free)的水或等張生理食鹽水。組合物亦可置於無菌的安瓶或小瓶中。Preferably, the pharmaceutical composition or medicament of the present disclosure is formulated in a liquid form in the form of a sterile solution or suspension, which can be injected into a subject intravenously, intraarterially, intramuscularly, subcutaneously, intraspinally, intraperitoneally or intratumorally. The pharmaceutical composition or medicament can be formulated as an oily or aqueous isotonic suspension, solution or emulsion and can contain prescription drugs, such as suspension, stabilization or dispersion agents. Alternatively, the pharmaceutical composition or medicament can be prepared in a dry form, such as a powder, crystal or freeze-dried solid, and accompanied by water or isotonic saline that is sterile and pyrogen-free before use. The composition can also be placed in a sterile ampoule or vial.
當將本發明重組抗體或抗體片段配製為靜脈內、經皮或皮下注射等投予劑型時,可將抗體或抗體片段製為無熱原之非口服可接受的液體溶液。在考量到pH值、等張性及穩定性等因素下,本發明所屬技術領域中具有通常知識者皆知如何製備該非口服可接受的液體溶液。除了本發明重組抗體或抗體片段外,一較佳之用以靜脈內、經皮或皮下注射的藥學組合物或藥物應包含一等張賦形劑,例如氯化鈉注射液、林格氏注射液、葡萄糖注射液、葡萄糖及氯化鈉注射液、乳酸林格氏注射液或其他習知之賦形劑。本發明藥學組合物或藥物亦可包含穩定劑、防腐劑、緩衝液、抗氧化劑或其他本發明所屬領域具有通常知識者所知的添加劑。靜脈投予本揭示內容之藥學組合物或藥物的間隔時間會隨著疾病的嚴重程度及每位個體之狀況與潛在特異反應的不同而有所差異。在連續靜脈內投予時,每次投予本發明單株抗體的間隔時間可為12到24小時。醫療人員可決定最終之靜脈治療的療程。When the recombinant antibody or antibody fragment of the present invention is formulated into a dosage form such as intravenous, percutaneous or subcutaneous injection, the antibody or antibody fragment can be prepared into a non-pyrogenic non-orally acceptable liquid solution. Taking into account factors such as pH, isotonicity and stability, those with ordinary knowledge in the art to which the present invention belongs know how to prepare the non-orally acceptable liquid solution. In addition to the recombinant antibody or antibody fragment of the present invention, a preferred pharmaceutical composition or drug for intravenous, percutaneous or subcutaneous injection should include an isotonic formulation, such as sodium chloride injection, Ringer's injection, glucose injection, glucose and sodium chloride injection, lactated Ringer's injection or other known formulations. The pharmaceutical composition or drug of the present invention may also contain stabilizers, preservatives, buffers, antioxidants or other additives known to those of ordinary skill in the art to which the present invention belongs. The interval between intravenous administration of the pharmaceutical composition or drug of the present disclosure will vary with the severity of the disease and the condition and potential specific reactions of each individual. In the case of continuous intravenous administration, the interval between each administration of the monoclonal antibody of the present invention may be 12 to 24 hours. The final course of intravenous treatment can be determined by medical personnel.
本揭示內容的另一態樣是關於一種用以治療一個體之癌症的方法。該方法包含對個體投予一有效量之本發明重組抗體、抗體片段、藥學組合物或藥劑。Another aspect of the present disclosure is a method for treating cancer in an individual, comprising administering to the individual an effective amount of the recombinant antibody, antibody fragment, pharmaceutical composition or agent of the present invention.
投予至個體的有效劑量約為每公斤個體體重0.01到1,000毫克,例如每公斤個體體重0.01、0.02、0.03、0.04、0.05、0.06、0.07、0.08、0.09、0.1、0.2、0.3、0.4、0.5、0.6、0.7、0.8、0.9、1、2、3、4、5、6、7、8、9、10、11、12、13、14、15、16、17、18、19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36、37、38、39、40、41、42、43、44、45、46、47、48、49、50、51、52、53、54、55、56、57、58、59、60、61、62、63、64、65、66、67、68、69、70、71、72、73、74、75、76、77、78、79、80、81、82、83、84、85、86、87、88、89、90、91、92、93、94、95、96、97、98、99、100、150、200、250、300、350、400、450、500、550、600、650、700、750、800、850、900、950或1,000毫克;較佳地,約為每公斤個體體重0.1到100毫克。可以單一等分投予該劑量,或是以多等分進行投予。習知技藝人士或臨床人員可依據病患的生理狀況或疾病的嚴重程度來調整投予劑量或療程。The effective amount administered to an individual is about 0.01 to 1,000 mg per kilogram of body weight, for example, 0.01, 0.02, 0.03, 0.04, 0.05, 0.06, 0.07, 0.08, 0.09, 0.1, 0.2, 0.3, 0.4, 0.5, 0.6, 0.7, 0.8, 0.9, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48 ,49,50,51,52,53,54,55,56,57,58,59,60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81,82,83,84,85,86,87,88,89,90,91 1, 92, 93, 94, 95, 96, 97, 98, 99, 100, 150, 200, 250, 300, 350, 400, 450, 500, 550, 600, 650, 700, 750, 800, 850, 900, 950 or 1,000 mg; preferably, about 0.1 to 100 mg per kg of individual body weight. The dose may be administered in a single aliquot or in multiple aliquots. A skilled person or clinician may adjust the dose or course of treatment according to the patient's physiological condition or the severity of the disease.
依據本揭示內容某些實施方式,投予重組抗體可藉由降低上皮生長因子受體(epidermal growth factor receptor, EGFR)的訊息傳遞,以及癌症/腫瘤細胞自我更新及侵犯的能力,來抑制個體中腫瘤的生長。According to certain embodiments of the present disclosure, administration of a recombinant antibody can inhibit the growth of a tumor in an individual by reducing epidermal growth factor receptor (EGFR) signaling and the ability of cancer/tumor cells to self-renew and invade.
非必要地,本發明方法更包含在投予本發明重組抗體或抗體片段之前、同時或之後,對該個體投予一有效量之抗癌劑。例示性之抗癌劑包含,但不限於:烷化劑(藉由破壞DNA來抑制細胞複製的藥劑;例如,六甲蜜胺(altretamine)、普癌汰(bendamustine)、二甲磺酸丁酯(busulfan)、卡鉑(carboplatin)、雙氯乙基亞硝脲(carmustine)、苯丁酸氮芥(chlorambucil)、順鉑(cisplatin)、環磷醯胺(cyclophosphamide)、達卡巴仁(dacarbazine)、依弗邁(ifosfamide)、環己亞硝(lomustine)、甲氯乙胺(mechlorethamine)、黴法蘭(melphalan)、奧沙利鉑(oxaliplatin)、莫唑胺(temozolomide)、沙奧特帕(thiotepa)及曲貝替定(trabectedin));抗代謝物(作為RNA及DNA正常構建基塊的替代物,以干擾DNA及RNA的藥劑;例如,阿扎胞苷(azacitidine)、5-氟尿嘧啶(5-fluorouracil, 5-FU)、6-硫醇嘌呤(6-mercaptopurine, 6-MP)、凱希得平(capecitabine)、克拉屈濱(cladribine)、克羅拉濱(clofarabine)、阿拉伯糖基胞嘧啶(cytarabine, Ara-C)、地西他濱(decitabine)、氟尿苷(floxuridine)、氟達拉濱(fludarabine)、吉西他濱(gemcitabine)、羥基尿素(hydroxyurea)、胺甲葉酸(methotrexate)、奈拉濱(nelarabine)、培美曲塞(pemetrexed)、噴司他丁(pentostatin)、普拉曲沙(pralatrexate)及硫鳥嘌呤(thioguanine));蒽環類藥物或抗生素(干擾細胞週期中參與DNA複製之酵素的藥劑;例如,柔紅黴素(daunorubicin)、阿黴素(doxorubicin)、泛艾黴素(epirubicin)、艾達黴素(idarubicin)、戊柔比星(valrubicin)、博來黴素(bleomycin)、放線菌素(dactinomycin)、絲裂黴素-C (mitomycin-C)及邁杜蔥酮(mitoxantrone));有絲分裂抑制劑(源自天然產物之可阻斷細胞分裂為新細胞的藥劑;例如,卡巴他賽(cabazitaxel)、多烯紫杉醇(docetaxel)、白蛋白結合型紫杉醇(nab-paclitaxel)、紫杉醇(paclitaxel)、長春鹼(vinblastine)、長春新鹼(vincristine)及長春瑞濱(vinorelbine));皮質類固醇(天然荷爾蒙或荷爾蒙相似藥物;例如,普賴蘇(prednisone)、甲基培尼皮質醇(methylprednisolone)及地塞美松(dexamethasone));以及抗體(例如,利妥昔單抗(rituximab)、賀癌平(trastuzumab)、吉妥珠單抗(gemtuzumab)、阿崙單抗(alemtuzumab)、托西莫單抗(tositumomab)、西妥昔單抗(cetuximab)、伊比妥單抗(ibritumomab)、貝伐單抗(bevacizumab)、帕尼單抗(panitumumab)、卡妥索單抗(catumaxomab)、奧法木單抗(ofatumumab)、伊匹單抗(ipilimumab)及布倫妥昔單抗(brentuximab))。依據某些較佳的實施方式,抗癌劑是一抗EGFR抗體,例如西妥昔單抗、帕尼單抗、尼妥珠單抗(nimotuzumab)、耐昔妥珠單抗(necitumumab)、杜利妥珠單抗(duligotuzumab)、去帕妥珠單抗(depatuxizumab)、馬妥珠單抗(matuzumab)或扎魯木單抗(zalutumumab)。依據一特定實施例,抗癌劑是西妥昔單抗。在該實施例中,投予重組抗體及西妥昔單抗可藉由降低EGFR的訊息傳遞及癌症/腫瘤細胞自我更新及侵犯的能力,加成性地(additively)或加乘性地(synergistically)抑制腫瘤生長。Optionally, the method of the present invention further comprises administering to the subject an effective amount of an anticancer agent before, simultaneously with, or after administering the recombinant antibody or antibody fragment of the present invention. Exemplary anticancer agents include, but are not limited to: alkylating agents (agents that inhibit cell replication by damaging DNA; for example, altretamine, bendamustine, busulfan, carboplatin, carmustine, chlorambucil, cisplatin, cyclophosphamide, dacarbazine, ifos famide, lomustine, mechlorethamine, melphalan, oxaliplatin, temozolomide, thiotepa, and trabectedin); antimetabolites (agents that interfere with DNA and RNA by replacing the normal building blocks of RNA and DNA; for example, azacitidine, 5-fluorouracil (5-FU), 6-mercaptopurine (6-MP), capecitabine, cladribine, clofarabine, cytarabine, Ara-C, decitabine, floxuridine, fludarabine, gemcitabine, hydroxyurea, methotrexate, nelarabine, pemetrexed, pentostatin, pralatrexate ) and thioguanine); anthracyclines or antibiotics (agents that interfere with enzymes in the cell cycle that are involved in DNA replication; for example, daunorubicin, doxorubicin, epirubicin, idarubicin, valrubicin, bleomycin, dactinomycin, mitomycin-C mitomycin-C and mitoxantrone); mitotic inhibitors (drugs derived from natural products that stop cells from dividing into new cells; for example, cabazitaxel, docetaxel, nab-paclitaxel, paclitaxel, vinblastine, vincristine, and vinorelbine); corticosteroids (natural hormones or hormone-like drugs; for example, prednisone, methylprednisolone, and dexamethasone); and antibodies (e.g., rituximab, trastuzumab, gemtuzumab, alemtuzumab, tositumomab, cetuximab, ibritumomab, bevacizumab, panitumumab, catumaxomab, ofatumumab, ipilimumab, and brentuximab). According to certain preferred embodiments, the anticancer agent is an anti-EGFR antibody, such as cetuximab, panitumumab, nimotuzumab, necitumumab, duligotuzumab, depatuxizumab, matuzumab or zalutumumab. According to a specific embodiment, the anticancer agent is cetuximab. In this embodiment, administration of the recombinant antibody and cetuximab can additively or synergistically inhibit tumor growth by reducing EGFR signaling and the ability of cancer/tumor cells to self-renew and invade.
可接受本發明方法治療的個體為一哺乳動物;舉例來說,人類、小鼠、大鼠、天竺鼠、倉鼠、猴子、豬、狗、貓、馬、綿羊、山羊、牛及兔子。較佳地,該個體是一人類。The subject that can be treated by the method of the present invention is a mammal; for example, humans, mice, rats, guinea pigs, hamsters, monkeys, pigs, dogs, cats, horses, sheep, goats, cows and rabbits. Preferably, the subject is a human.
本揭示內容的重組抗體或抗體片段可以一適當的路徑投予至個體體內,例如口服、腸內、鼻腔、局部、黏膜或非口服投予。依據使用目的不同,非口服投予可以是腫瘤內、肌肉內、靜脈內或腹腔內注射。The recombinant antibodies or antibody fragments disclosed herein can be administered to an individual via an appropriate route, such as oral, enteral, nasal, topical, mucosal or parenteral administration. Depending on the purpose of use, parenteral administration can be intratumoral, intramuscular, intravenous or intraperitoneal injection.
下文提出多個實驗例來說明本發明的某些態樣,以利本發明所屬技術領域中具有通常知識者實作本發明,且不應將這些實驗例視為對本發明範圍的限制。據信習知技藝者在閱讀了此處提出的說明後,可在不需過度解讀的情形下,完整利用並實踐本發明。此處所引用的所有公開文獻,其全文皆視為本說明書的一部分。 實施例 The following are several experimental examples to illustrate certain aspects of the present invention, so as to facilitate those with ordinary knowledge in the technical field to which the present invention belongs to implement the present invention, and these experimental examples should not be regarded as limiting the scope of the present invention. It is believed that after reading the description provided here, the skilled person can fully utilize and practice the present invention without over-interpretation. All public documents cited here are regarded as part of this specification in their entirety.
材料及方法Materials and Methods
細胞培養Cell culture
由美國菌種中心(American Type Culture Collection, ATCC)取得HT-29及Caco-2細胞(CEACAM6表現細胞)。二種細胞皆係培養於含有10%胎牛血清(fetal bovine serum, FBS)的RPMI 1640 (Roswell Park Memorial Institute 1640)培養液中。HT-29 and Caco-2 cells (CEACAM6-expressing cells) were obtained from the American Type Culture Collection (ATCC). Both cells were cultured in RPMI 1640 (Roswell Park Memorial Institute 1640) medium containing 10% fetal bovine serum (FBS).
製備重組抗體Preparation of recombinant antibodies (( 以下簡稱「Hereinafter referred to as " HCAbHCAb 」" ))
依據操作者使用手冊以EXPI293F™及EXPICHO-S™細胞表現HCAb,並進行純化。簡單來說,使用EXPIFECTAMINE™ 293及EXPIFECTAMINE™ CHO試劑將HCAb構建體轉染至EXPI293F™細胞。收集細胞培養液後,利用蛋白G管柱來純化HCAb。HCAbs were expressed and purified using EXPI293F™ and EXPICHO-S™ cells according to the operator manual. Briefly, HCAb constructs were transfected into EXPI293F™ cells using EXPIFECTAMINE™ 293 and EXPIFECTAMINE™ CHO reagents. After cell culture medium was collected, HCAbs were purified using a protein G column.
製得的HCAb包含源自駱駝科動物之VHH域的同源二聚體,其係與源自人類的Fc區融合。依據分析結果,各VHH域包含序列編號:4的胺基酸序列,其中CDR-1、CDR-2及CDR-3分別包含序列編號:1-3的胺基酸序列(表1);而源自人類的Fc區則包含序列編號:5的胺基酸序列。The prepared HCAb comprises a homodimer of a VHH domain from a camel family fused with an Fc region from a human. According to the analysis results, each VHH domain comprises an amino acid sequence of sequence number: 4, wherein CDR-1, CDR-2 and CDR-3 comprise amino acid sequences of sequence numbers: 1-3, respectively (Table 1); and the Fc region from a human comprises an amino acid sequence of sequence number: 5.
表1 本發明HCAb的胺基酸序列
結合親和力Binding affinity
以表面電漿共振(surface plasmon resonance, SPR)來決定重組HCAb與重組CEACAM6的結合親和力。具體來說,使用BIACORE TM機器分析HCAb與CEACAM6的結合動力學。依據使用者操作手冊,將重組CEACAM6蛋白固定於感測晶片上。以每分鐘10微升的速度,將連續五倍稀釋於HBS-P緩衝液的HCAb (20、10、5、2.5及1 nM)注入含有3000共振單位(resonance unit, RU)之CEACAM6的晶片上。疊加產生的感測圖,利用軟體平均並分析由二組獨立試驗得到的結合動力學。 Surface plasmon resonance (SPR) was used to determine the binding affinity of recombinant HCAb to recombinant CEACAM6. Specifically, the binding kinetics of HCAb to CEACAM6 were analyzed using a BIACORE ™ machine. Recombinant CEACAM6 protein was immobilized on a sensor chip according to the user manual. Five-fold serial dilutions of HCAb (20, 10, 5, 2.5, and 1 nM) in HBS-P buffer were injected at a rate of 10 μl per minute onto the chip containing 3000 resonance units (RU) of CEACAM6. The resulting sensorgrams were superimposed and the binding kinetics obtained from two independent experiments were averaged and analyzed using software.
免疫組織化學染色Immunohistochemical staining (Immunohistochemistry, IHC)(Immunohistochemistry, IHC)
以免疫組織化學染色來決定重組HCAb對腫瘤及正常組織的結合親和力及專一性。具體來說,在組織微陣列中,以二甲苯對5微米的組織切片脫蠟後再水化。以3%過氧化氫阻斷內源性過氧化酶,之後將HCAb加至玻片,並於4°C反應至隔日。使用鏈球菌親生物素蛋白-生物素-過氧化酶複合體(DAKO)偵測CEACAM6的表現,並以3,3’-二氨基聯苯胺(3,3’-Diaminobenzidine, DAB)來顯示過氧化酶的活性。以蘇木素複染玻片,並使用封片劑封片。Immunohistochemical staining was performed to determine the binding affinity and specificity of recombinant HCAbs for tumor and normal tissues. Specifically, in tissue microarrays, 5-μm tissue sections were dewaxed with xylene and rehydrated. Endogenous peroxidase was blocked with 3% hydrogen peroxide, after which HCAbs were added to the slides and incubated at 4°C until the next day. CEACAM6 expression was detected using streptococcal avidin-biotin-peroxidase complex (DAKO), and peroxidase activity was visualized with 3,3’-diaminobenzidine (DAB). Slides were counterstained with hematoxylin and mounted with mounting agent.
免疫墨點法Immunoblotting (Immunoblotting)(Immunoblotting)
利用含有磷酸酶及蛋白酶抑制劑之哺乳動物蛋白萃取劑的冷緩衝液刮取細胞,以收集細胞蛋白裂解物。決定蛋白的濃度。以10%十二烷基硫酸鈉聚丙烯酰胺凝膠分離約20微克的蛋白,並將分離的蛋白轉移至聚偏二氟乙烯膜。以含有3% BSA的Tris緩衝液稀釋一級抗體後,加入膜並於4°C反應至隔日。利用凝膠處理系統以山葵過氧化酶(horseradish peroxidase, HRP)受質來偵測墨點。Cells were scraped with cold mammalian protein extract buffer containing phosphatase and protease inhibitors to collect cell protein lysate. Protein concentration was determined. Approximately 20 μg of protein was separated with 10% sodium dodecyl sulfate polyacrylamide gel and transferred to polyvinylidene difluoride membrane. Primary antibody was diluted with Tris buffer containing 3% BSA, added to the membrane and reacted at 4°C until the next day. The spots were detected using a gel treatment system with horseradish peroxidase (HRP) substrate.
侵犯及轉移試驗Intrusion and transfer test
以塗有或未塗有基底膠(matrigel)的24-孔洞轉移聚碳酸酯過濾器(transwell polycarbonate filter,孔洞大小為8微米)進行細胞侵犯及轉移試。簡單來說,將癌細胞置於上層腔室,並將1% FBS或上皮生長因子(epidermal growth factor, EGF)加入下層腔室。培養細胞24小時後,計算侵犯及轉移細胞的數量。以棉棒由過濾器上表面移除未穿透的細胞。固定穿透的細胞,並依據使用者操作手冊以染色套組染色穿透的細胞。為進行量化分析,染色所有侵犯或轉移到下表面的細胞,並以光學顯微鏡計算細胞數量。Cell invasion and metastasis assays were performed using 24-well transwell polycarbonate filters (8 μm pore size) coated or not with matrigel. Briefly, cancer cells were placed in the upper chamber, and 1% FBS or epidermal growth factor (EGF) was added to the lower chamber. After 24 h of incubation, the number of invasive and metastatic cells was counted. Non-penetrated cells were removed from the upper surface of the filter using a cotton swab. Penetrated cells were fixed and stained using a staining kit according to the user manual. For quantitative analysis, all cells that invaded or metastasized to the lower surface were stained and counted using an optical microscope.
動物試驗Animal testing
將1×10 7HT-29細胞與0.1毫升的基底膠混合後,皮下注射到8週大的嚴重聯合免疫缺陷(severe combined immunodeficient, SCID)公鼠。細胞注射7天後,將小鼠分為四組,分別以靜脈注射方式投予磷酸鹽緩衝溶液(phosphate buffered saline, PBS)、西妥昔單抗(每公斤10毫克)、HCAb (每公斤10毫克),以及西妥昔單抗(每公斤10毫克) + HCAb (每公斤10毫克),每7天投予一次,共投予6次。以卡尺每週測量腫瘤大小,並利用以下公式計算腫瘤體積:(長度×寬度 2×0.45)。 1×10 7 HT-29 cells were mixed with 0.1 ml of Matrigel and injected subcutaneously into 8-week-old severe combined immunodeficient (SCID) male mice. Seven days after cell injection, the mice were divided into four groups and intravenously injected with phosphate buffered saline (PBS), cetuximab (10 mg/kg), HCAb (10 mg/kg), and cetuximab (10 mg/kg) + HCAb (10 mg/kg) once every 7 days for a total of 6 times. Tumor size was measured weekly with a caliper, and tumor volume was calculated using the following formula: (length × width2 × 0.45).
統計分析Statistical analysis
使用軟體進行所有統計分析。利用不成對Student’s’ t檢驗或單向ANOVA檢驗分析結果,據以比對二獨立組別或二組以上獨立組別的結果。對於每個分析結果,所有數據皆來自三組獨立試驗,並以平均值 ± S.D.來表示。*P < 0.05,**P < 0.01,***P < 0.001,ns則表示95%雙尾信賴區間不具顯著差異。 All statistical analyses were performed using software. Unpaired Student's' t test or one-way ANOVA test was used to analyze the results to compare the results of two or more independent groups. For each analysis result, all data were obtained from three independent experiments and expressed as mean ± SD. *P < 0.05, **P < 0.01, ***P < 0.001, ns indicates that the 95% two-tailed confidence interval is not significantly different.
實施例Embodiment 11 確認Confirm HCAbHCAb
依據IHC染色及SPR的分析結果,本發明HCAb可辨識醣化CEACAM6蛋白,且本發明HCAb對重組CEACAM6的結合親和力(KD)低於1 nM (結果未顯示)。IHC數據證實,相較於未偵測到明顯抗體訊號的正常組織(包含皮膚、乳房、淋巴結、胃臟、胃的肌肉層、肺臟、肝臟、結腸、睪丸、前列腺、腎臟、食道、小腦、大腦、腎上腺、胎盤、心臟、脾臟、骨骼肌、闌尾、唾液腺、膽囊、胰臟及扁桃腺),本發明HCAb對癌化組織(包含直腸腺癌、降結腸腺癌、轉移性結腸直腸腺癌、肺腺癌、肺鱗狀細胞癌及膽管癌)具有結合親和力及專一性(結果未顯示)。According to the results of IHC staining and SPR analysis, the HCAb of the present invention can recognize glycosylated CEACAM6 protein, and the binding affinity (KD) of the HCAb of the present invention to recombinant CEACAM6 is lower than 1 nM (results not shown). IHC data confirmed that compared with normal tissues (including skin, breast, lymph node, stomach, gastric muscle layer, lung, liver, colon, testis, prostate, kidney, esophagus, cerebellum, brain, adrenal gland, placenta, heart, spleen, skeletal muscle, cauda, salivary gland, gall bladder, pancreas and tonsils) in which no obvious antibody signal was detected, the HCAb of the present invention has binding affinity and specificity for cancerous tissues (including rectal adenocarcinoma, descending colon adenocarcinoma, metastatic colorectal adenocarcinoma, lung adenocarcinoma, lung squamous cell carcinoma and cholangiocarcinoma) (results not shown).
該些數據指出,本發明HCAb可專一標的至癌細胞。These data indicate that the HCAb of the present invention can specifically target cancer cells.
實施例Embodiment 22 HCAbHCAb 對抑制腫瘤細胞的功效Effects on inhibiting tumor cells
依據免疫墨點及侵犯試驗的分析結果,腫瘤細胞會過量表現CEACAM6蛋白,其中CEACAM6蛋白會藉由與EGFR作用促進腫瘤的進程(結果未顯示),降低CEACAM6的表現則可顯著地抑制腫瘤細胞的侵犯能力(結果未顯示)。相較於對照組,投予本發明HCAb可明顯地抑制細胞外訊息調控蛋白激酶1及2 (extracellular signal-regulated protein kinases 1 and 2, ERK1/2)的磷酸化程度,即,抑制ERK1/2 MAP激酶路徑的活化(結果未顯示)。第2A及2B圖的結果進一步證明,投予本發明HCAb可降低腫瘤細胞形成球體,以及腫瘤細胞的侵犯能力。值得注意的是,共同投予本發明HCAb及西妥昔單抗可對腫瘤細胞產生加成性的抑制功效(第2B圖)。According to the results of immunoblot and invasion assays, tumor cells overexpress CEACAM6 protein, which promotes tumor progression by interacting with EGFR (results not shown). Reducing the expression of CEACAM6 can significantly inhibit the invasion of tumor cells (results not shown). Compared with the control group, the administration of the HCAb of the present invention can significantly inhibit the phosphorylation level of extracellular signal-regulated protein kinases 1 and 2 (ERK1/2), that is, inhibit the activation of the ERK1/2 MAP kinase pathway (results not shown). The results of Figures 2A and 2B further demonstrate that the administration of the HCAb of the present invention can reduce the spheroid formation of tumor cells and the invasion ability of tumor cells. It is noteworthy that co-administration of HCAb of the present invention and cetuximab can produce additive inhibitory effects on tumor cells ( FIG. 2B ).
該些數據指出,本發明HCAb可作為一種抗癌劑,其可單獨投予或是與其他活性劑(例如,西妥昔單抗)共同投予,以達到治療的目的。These data indicate that the HCAb of the present invention can be used as an anticancer agent, which can be administered alone or co-administered with other active agents (eg, cetuximab) to achieve therapeutic purposes.
實施例Embodiment 33 活體內試驗In vivo test
本實施例將評估本發明HCAb對動物之腫瘤生長的抑制活性。第3A圖的數據證實,相較於PBS對照組,投予HCAb可大幅抑制動物模式中腫瘤的生長。This example will evaluate the inhibitory activity of the HCAb of the present invention on tumor growth in animals. The data in Figure 3A demonstrates that, compared with the PBS control group, administration of HCAb can significantly inhibit tumor growth in animal models.
西妥昔單抗是一種嵌合型單株抗體,作為轉移性結腸直腸癌(RAS野生型)及晚期頭頸部癌的第一線治療藥劑。已知癌症病患通常會於治療3-12個月後對西妥昔單抗產生抗藥性。依據本研究結果,在對西妥昔單抗具有抗藥性的頭頸部鱗狀細胞癌(head and neck squamous cell carcinoma, HNSCC)細胞株中,CEACAM6的表現量會增加(結果未顯示)。為評估本發明HCAb是否可增強西妥昔單抗對於癌症的治療功效,依據材料及方法所述流程,對帶有腫瘤的小鼠投予本發明HCAb及西妥昔單抗。第3B圖的數據證實,相較於對照組,共同投予本發明HCAb及西妥昔單抗可顯著地抑制腫瘤生長。因此,本發明HCAb可與第一線抗癌劑(例如,西妥昔單抗)依序或同時使用,以改善治療功效。Cetuximab is a chimeric monoclonal antibody used as a first-line treatment for metastatic colorectal cancer (RAS wild-type) and advanced head and neck cancer. It is known that cancer patients usually develop resistance to cetuximab after 3-12 months of treatment. According to the results of this study, the expression of CEACAM6 was increased in head and neck squamous cell carcinoma (HNSCC) cell lines resistant to cetuximab (results not shown). To evaluate whether the HCAb of the present invention can enhance the therapeutic efficacy of cetuximab for cancer, the HCAb of the present invention and cetuximab were administered to tumor-bearing mice according to the procedures described in Materials and Methods. The data in Figure 3B demonstrate that co-administration of the HCAb of the present invention and cetuximab can significantly inhibit tumor growth compared to the control group. Therefore, the HCAb of the present invention can be used sequentially or simultaneously with a first-line anticancer agent (e.g., cetuximab) to improve the therapeutic efficacy.
總結上述,本揭示內容提供一種新穎的抗CEACAM6抗體。依據本揭示內容的實施例,本發明抗CEACAM6抗體對於腫瘤細胞具有結合親和力及專一性,且可藉由降低CEACAM6的表現及ERK1/2 MAP激酶路徑的活化來抑制腫瘤的生長。據此,本發明抗CEACAM6抗體可作為治療癌症的潛力抗體。In summary, the present disclosure provides a novel anti-CEACAM6 antibody. According to the embodiments of the present disclosure, the anti-CEACAM6 antibody of the present invention has binding affinity and specificity for tumor cells, and can inhibit tumor growth by reducing the expression of CEACAM6 and the activation of the ERK1/2 MAP kinase pathway. Accordingly, the anti-CEACAM6 antibody of the present invention can be used as a potential antibody for treating cancer.
雖然上文實施方式中揭露了本發明的具體實施例,然其並非用以限定本發明,本發明所屬技術領域中具有通常知識者,在不悖離本發明之原理與精神的情形下,當可對其進行各種更動與修飾,因此本發明之保護範圍當以附隨申請專利範圍所界定者為準。Although the above embodiments disclose specific embodiments of the present invention, they are not intended to limit the present invention. A person having ordinary knowledge in the technical field to which the present invention belongs may make various changes and modifications without departing from the principle and spirit of the present invention. Therefore, the scope of protection of the present invention shall be based on that defined by the scope of the attached patent application.
無without
為讓本發明的上述與其他目的、特徵、優點與實施例能更明顯易懂,所附圖式之說明如下:In order to make the above and other purposes, features, advantages and embodiments of the present invention more clearly understood, the attached drawings are described as follows:
第1圖是依據本揭示內容的實施方式所繪示的示意圖,其係關於重組抗體的結構;FIG. 1 is a schematic diagram according to an embodiment of the present disclosure, which is related to the structure of a recombinant antibody;
第2A及2B圖是依據本揭示內容實施例2所繪示的柱狀圖,其分別闡述本發明重組抗體對腫瘤細胞轉移及侵犯能力的影響;N.S.:不具統計差異(not significant),P > 0.05;*P < 0.05;**P < 0.01;***P < 0.001;以及Figures 2A and 2B are bar graphs according to Example 2 of the present disclosure, which respectively illustrate the effects of the recombinant antibodies of the present invention on tumor cell metastasis and invasion capabilities; N.S.: not statistically significant, P > 0.05; *P < 0.05; **P < 0.01; ***P < 0.001; and
第3A及3B圖是依據本揭示內容實施例3所繪示的線性圖,其分別闡述本發明重組抗體於動物模式的抗腫瘤功效。Figures 3A and 3B are line graphs drawn according to Example 3 of the present disclosure, which respectively illustrate the anti-tumor efficacy of the recombinant antibody of the present invention in an animal model.
根據慣常的作業方式,圖中各種特徵與元件並未依比例繪製,其繪製方式是為了以最佳的方式呈現與本發明相關的具體特徵與元件。此外,在不同圖式間,以相同或相似的元件符號來指稱相似的元件/部件。According to conventional operation methods, various features and components in the figure are not drawn according to scale, and the drawing method is to present the specific features and components related to the present invention in the best way. In addition, the same or similar component symbols are used to refer to similar components/parts between different figures.
無without
TW202434649A_112107050_SEQL.xmlTW202434649A_112107050_SEQL.xml
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| 期刊 Cheng, Tsai-Mu et al. Single domain antibody against carcinoembryonic antigen-related cell adhesion molecule 6 (CEACAM6) inhibits proliferation, migration, invasion and angiogenesis of pancreatic cancer cells. European journal of cancer (Oxford, England : 1990) vol. 50,4 Elsevier 2014 713-21 * |
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