TWI391402B - Anti-fphb4 antibodies and methods using same - Google Patents
Anti-fphb4 antibodies and methods using same Download PDFInfo
- Publication number
- TWI391402B TWI391402B TW96100340A TW96100340A TWI391402B TW I391402 B TWI391402 B TW I391402B TW 96100340 A TW96100340 A TW 96100340A TW 96100340 A TW96100340 A TW 96100340A TW I391402 B TWI391402 B TW I391402B
- Authority
- TW
- Taiwan
- Prior art keywords
- antibody
- hvr
- ephb4
- antibodies
- sequence
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims description 184
- 210000004027 cell Anatomy 0.000 claims description 270
- 206010028980 Neoplasm Diseases 0.000 claims description 169
- 102100031983 Ephrin type-B receptor 4 Human genes 0.000 claims description 148
- 241000282414 Homo sapiens Species 0.000 claims description 143
- 201000011510 cancer Diseases 0.000 claims description 92
- 239000003814 drug Substances 0.000 claims description 71
- 239000000203 mixture Substances 0.000 claims description 70
- 239000013598 vector Substances 0.000 claims description 70
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 65
- 239000002246 antineoplastic agent Substances 0.000 claims description 47
- 229940127089 cytotoxic agent Drugs 0.000 claims description 45
- 108091007491 NSP3 Papain-like protease domains Proteins 0.000 claims description 44
- 238000006467 substitution reaction Methods 0.000 claims description 38
- 230000033115 angiogenesis Effects 0.000 claims description 37
- 239000004037 angiogenesis inhibitor Substances 0.000 claims description 37
- 239000003795 chemical substances by application Substances 0.000 claims description 34
- 230000014509 gene expression Effects 0.000 claims description 33
- 230000001225 therapeutic effect Effects 0.000 claims description 27
- 201000010099 disease Diseases 0.000 claims description 26
- 230000002062 proliferating effect Effects 0.000 claims description 25
- 230000001575 pathological effect Effects 0.000 claims description 24
- 239000002157 polynucleotide Substances 0.000 claims description 24
- 108091033319 polynucleotide Proteins 0.000 claims description 24
- 102000040430 polynucleotide Human genes 0.000 claims description 24
- 108010073929 Vascular Endothelial Growth Factor A Proteins 0.000 claims description 23
- 102000005789 Vascular Endothelial Growth Factors Human genes 0.000 claims description 23
- 108010019530 Vascular Endothelial Growth Factors Proteins 0.000 claims description 23
- 239000005557 antagonist Substances 0.000 claims description 23
- 230000002401 inhibitory effect Effects 0.000 claims description 20
- 229940127121 immunoconjugate Drugs 0.000 claims description 18
- 238000002360 preparation method Methods 0.000 claims description 18
- 208000033808 peripheral neuropathy Diseases 0.000 claims description 17
- 208000015122 neurodegenerative disease Diseases 0.000 claims description 16
- 230000004770 neurodegeneration Effects 0.000 claims description 13
- 201000001119 neuropathy Diseases 0.000 claims description 11
- 230000007823 neuropathy Effects 0.000 claims description 11
- 238000011321 prophylaxis Methods 0.000 claims description 11
- 239000012472 biological sample Substances 0.000 claims description 6
- 210000001236 prokaryotic cell Anatomy 0.000 claims description 6
- 210000003527 eukaryotic cell Anatomy 0.000 claims description 5
- 229960000397 bevacizumab Drugs 0.000 claims description 4
- 210000004962 mammalian cell Anatomy 0.000 claims description 4
- 230000014399 negative regulation of angiogenesis Effects 0.000 claims description 2
- 102220582564 4-hydroxy-2-oxoglutarate aldolase, mitochondrial_N78A_mutation Human genes 0.000 claims 2
- 102220492945 Nuclear RNA export factor 1_R71A_mutation Human genes 0.000 claims 2
- 102220506801 Vitelline membrane outer layer protein 1 homolog_N73T_mutation Human genes 0.000 claims 2
- 230000027455 binding Effects 0.000 description 128
- 108090000623 proteins and genes Proteins 0.000 description 112
- 239000000427 antigen Substances 0.000 description 109
- 108091007433 antigens Proteins 0.000 description 107
- 102000036639 antigens Human genes 0.000 description 107
- 108090000765 processed proteins & peptides Proteins 0.000 description 90
- 102000004196 processed proteins & peptides Human genes 0.000 description 74
- 229920001184 polypeptide Polymers 0.000 description 73
- 102000004169 proteins and genes Human genes 0.000 description 68
- 235000018102 proteins Nutrition 0.000 description 60
- 125000003275 alpha amino acid group Chemical group 0.000 description 56
- 239000012634 fragment Substances 0.000 description 55
- 238000011282 treatment Methods 0.000 description 47
- 108060003951 Immunoglobulin Proteins 0.000 description 45
- -1 antibodies Proteins 0.000 description 45
- 230000000694 effects Effects 0.000 description 45
- 102000018358 immunoglobulin Human genes 0.000 description 45
- 108020004414 DNA Proteins 0.000 description 44
- 235000001014 amino acid Nutrition 0.000 description 42
- 229940079593 drug Drugs 0.000 description 41
- 150000007523 nucleic acids Chemical class 0.000 description 38
- 102000039446 nucleic acids Human genes 0.000 description 38
- 108020004707 nucleic acids Proteins 0.000 description 38
- 102000008394 Immunoglobulin Fragments Human genes 0.000 description 37
- 108010021625 Immunoglobulin Fragments Proteins 0.000 description 37
- 208000035475 disorder Diseases 0.000 description 37
- 125000005647 linker group Chemical group 0.000 description 37
- 238000003556 assay Methods 0.000 description 35
- 230000004927 fusion Effects 0.000 description 30
- 239000003446 ligand Substances 0.000 description 30
- 150000001413 amino acids Chemical class 0.000 description 29
- 238000004519 manufacturing process Methods 0.000 description 29
- 241001465754 Metazoa Species 0.000 description 28
- 239000002253 acid Substances 0.000 description 24
- 238000001727 in vivo Methods 0.000 description 24
- 239000002609 medium Substances 0.000 description 24
- 230000004614 tumor growth Effects 0.000 description 23
- 241000588724 Escherichia coli Species 0.000 description 22
- 239000000562 conjugate Substances 0.000 description 22
- 230000001965 increasing effect Effects 0.000 description 22
- 108010047041 Complementarity Determining Regions Proteins 0.000 description 21
- 230000010056 antibody-dependent cellular cytotoxicity Effects 0.000 description 21
- 230000006870 function Effects 0.000 description 21
- 102000005962 receptors Human genes 0.000 description 21
- 108020003175 receptors Proteins 0.000 description 21
- 231100000599 cytotoxic agent Toxicity 0.000 description 20
- 238000000338 in vitro Methods 0.000 description 20
- 125000003729 nucleotide group Chemical group 0.000 description 19
- 238000002560 therapeutic procedure Methods 0.000 description 19
- WHUUTDBJXJRKMK-VKHMYHEASA-N L-glutamic acid Chemical compound OC(=O)[C@@H](N)CCC(O)=O WHUUTDBJXJRKMK-VKHMYHEASA-N 0.000 description 18
- 239000002254 cytotoxic agent Substances 0.000 description 18
- 239000013604 expression vector Substances 0.000 description 18
- 239000003053 toxin Substances 0.000 description 18
- 231100000765 toxin Toxicity 0.000 description 18
- 108700012359 toxins Proteins 0.000 description 18
- 210000004881 tumor cell Anatomy 0.000 description 18
- 230000000903 blocking effect Effects 0.000 description 17
- 230000012010 growth Effects 0.000 description 17
- 229940124597 therapeutic agent Drugs 0.000 description 17
- 108010087819 Fc receptors Proteins 0.000 description 16
- 102000009109 Fc receptors Human genes 0.000 description 16
- 108010076504 Protein Sorting Signals Proteins 0.000 description 16
- 239000002773 nucleotide Substances 0.000 description 16
- 230000001603 reducing effect Effects 0.000 description 16
- 241000894007 species Species 0.000 description 16
- 239000000126 substance Substances 0.000 description 16
- 206010009944 Colon cancer Diseases 0.000 description 15
- 102000004190 Enzymes Human genes 0.000 description 15
- 230000010261 cell growth Effects 0.000 description 15
- 239000003153 chemical reaction reagent Substances 0.000 description 15
- 229960004679 doxorubicin Drugs 0.000 description 15
- 239000012636 effector Substances 0.000 description 15
- 229940088598 enzyme Drugs 0.000 description 15
- 239000003112 inhibitor Substances 0.000 description 15
- 230000035772 mutation Effects 0.000 description 15
- 238000003752 polymerase chain reaction Methods 0.000 description 15
- 108090000790 Enzymes Proteins 0.000 description 14
- 125000000539 amino acid group Chemical group 0.000 description 14
- 230000004071 biological effect Effects 0.000 description 14
- 206010035226 Plasma cell myeloma Diseases 0.000 description 13
- 238000006243 chemical reaction Methods 0.000 description 13
- 230000006698 induction Effects 0.000 description 13
- 230000004048 modification Effects 0.000 description 13
- 238000012986 modification Methods 0.000 description 13
- 230000003405 preventing effect Effects 0.000 description 13
- 229940002612 prodrug Drugs 0.000 description 13
- 239000000651 prodrug Substances 0.000 description 13
- 210000001519 tissue Anatomy 0.000 description 13
- AOJJSUZBOXZQNB-TZSSRYMLSA-N Doxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-TZSSRYMLSA-N 0.000 description 12
- 229940049595 antibody-drug conjugate Drugs 0.000 description 12
- 150000001875 compounds Chemical class 0.000 description 12
- 230000000875 corresponding effect Effects 0.000 description 12
- 231100000433 cytotoxic Toxicity 0.000 description 12
- 230000001472 cytotoxic effect Effects 0.000 description 12
- 201000000050 myeloid neoplasm Diseases 0.000 description 12
- 238000011275 oncology therapy Methods 0.000 description 12
- 239000013615 primer Substances 0.000 description 12
- 230000002829 reductive effect Effects 0.000 description 12
- FBOZXECLQNJBKD-ZDUSSCGKSA-N L-methotrexate Chemical compound C=1N=C2N=C(N)N=C(N)C2=NC=1CN(C)C1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 FBOZXECLQNJBKD-ZDUSSCGKSA-N 0.000 description 11
- 241001529936 Murinae Species 0.000 description 11
- 230000004540 complement-dependent cytotoxicity Effects 0.000 description 11
- 238000010494 dissociation reaction Methods 0.000 description 11
- 230000005593 dissociations Effects 0.000 description 11
- 230000001613 neoplastic effect Effects 0.000 description 11
- 210000002706 plastid Anatomy 0.000 description 11
- 238000000746 purification Methods 0.000 description 11
- YBJHBAHKTGYVGT-ZKWXMUAHSA-N (+)-Biotin Chemical compound N1C(=O)N[C@@H]2[C@H](CCCCC(=O)O)SC[C@@H]21 YBJHBAHKTGYVGT-ZKWXMUAHSA-N 0.000 description 10
- QWPXBEHQFHACTK-KZVYIGENSA-N (10e,12e)-86-chloro-12,14,4-trihydroxy-85,14-dimethoxy-33,2,7,10-tetramethyl-15,16-dihydro-14h-7-aza-1(6,4)-oxazina-3(2,3)-oxirana-8(1,3)-benzenacyclotetradecaphane-10,12-dien-6-one Chemical compound CN1C(=O)CC(O)C2(C)OC2C(C)C(OC(=O)N2)CC2(O)C(OC)\C=C\C=C(C)\CC2=CC(OC)=C(Cl)C1=C2 QWPXBEHQFHACTK-KZVYIGENSA-N 0.000 description 10
- 241000124008 Mammalia Species 0.000 description 10
- 108091005804 Peptidases Proteins 0.000 description 10
- 102000035195 Peptidases Human genes 0.000 description 10
- 150000001412 amines Chemical class 0.000 description 10
- 108010044540 auristatin Proteins 0.000 description 10
- 230000001580 bacterial effect Effects 0.000 description 10
- 238000009472 formulation Methods 0.000 description 10
- 229940072221 immunoglobulins Drugs 0.000 description 10
- 229960000485 methotrexate Drugs 0.000 description 10
- 230000000306 recurrent effect Effects 0.000 description 10
- 238000012216 screening Methods 0.000 description 10
- 230000009466 transformation Effects 0.000 description 10
- NFGXHKASABOEEW-UHFFFAOYSA-N 1-methylethyl 11-methoxy-3,7,11-trimethyl-2,4-dodecadienoate Chemical compound COC(C)(C)CCCC(C)CC=CC(C)=CC(=O)OC(C)C NFGXHKASABOEEW-UHFFFAOYSA-N 0.000 description 9
- 206010006187 Breast cancer Diseases 0.000 description 9
- 208000026310 Breast neoplasm Diseases 0.000 description 9
- 208000001333 Colorectal Neoplasms Diseases 0.000 description 9
- QWPXBEHQFHACTK-UHFFFAOYSA-N Maytansinol Natural products CN1C(=O)CC(O)C2(C)OC2C(C)C(OC(=O)N2)CC2(O)C(OC)C=CC=C(C)CC2=CC(OC)=C(Cl)C1=C2 QWPXBEHQFHACTK-UHFFFAOYSA-N 0.000 description 9
- 241000699666 Mus <mouse, genus> Species 0.000 description 9
- 101150117115 V gene Proteins 0.000 description 9
- 230000002159 abnormal effect Effects 0.000 description 9
- 150000001299 aldehydes Chemical class 0.000 description 9
- 239000000611 antibody drug conjugate Substances 0.000 description 9
- 230000001588 bifunctional effect Effects 0.000 description 9
- 150000001720 carbohydrates Chemical class 0.000 description 9
- 235000018417 cysteine Nutrition 0.000 description 9
- XUJNEKJLAYXESH-UHFFFAOYSA-N cysteine Natural products SCC(N)C(O)=O XUJNEKJLAYXESH-UHFFFAOYSA-N 0.000 description 9
- 230000003247 decreasing effect Effects 0.000 description 9
- 150000002148 esters Chemical class 0.000 description 9
- 125000002887 hydroxy group Chemical group [H]O* 0.000 description 9
- 230000001976 improved effect Effects 0.000 description 9
- 230000001939 inductive effect Effects 0.000 description 9
- 238000003780 insertion Methods 0.000 description 9
- 230000037431 insertion Effects 0.000 description 9
- 238000002823 phage display Methods 0.000 description 9
- 229920000642 polymer Polymers 0.000 description 9
- 230000002285 radioactive effect Effects 0.000 description 9
- 230000010076 replication Effects 0.000 description 9
- 239000007790 solid phase Substances 0.000 description 9
- 241000894006 Bacteria Species 0.000 description 8
- 102100026120 IgG receptor FcRn large subunit p51 Human genes 0.000 description 8
- 241000829100 Macaca mulatta polyomavirus 1 Species 0.000 description 8
- 230000004913 activation Effects 0.000 description 8
- 239000003242 anti bacterial agent Substances 0.000 description 8
- 239000002585 base Substances 0.000 description 8
- 230000015572 biosynthetic process Effects 0.000 description 8
- 230000008859 change Effects 0.000 description 8
- 238000002648 combination therapy Methods 0.000 description 8
- UQLDLKMNUJERMK-UHFFFAOYSA-L di(octadecanoyloxy)lead Chemical compound [Pb+2].CCCCCCCCCCCCCCCCCC([O-])=O.CCCCCCCCCCCCCCCCCC([O-])=O UQLDLKMNUJERMK-UHFFFAOYSA-L 0.000 description 8
- 238000000855 fermentation Methods 0.000 description 8
- 230000004151 fermentation Effects 0.000 description 8
- 208000014018 liver neoplasm Diseases 0.000 description 8
- 239000003550 marker Substances 0.000 description 8
- 230000000269 nucleophilic effect Effects 0.000 description 8
- 229920001223 polyethylene glycol Polymers 0.000 description 8
- 230000002265 prevention Effects 0.000 description 8
- 239000000523 sample Substances 0.000 description 8
- 235000000346 sugar Nutrition 0.000 description 8
- 102100024746 Dihydrofolate reductase Human genes 0.000 description 7
- 108010001336 Horseradish Peroxidase Proteins 0.000 description 7
- 101710177940 IgG receptor FcRn large subunit p51 Proteins 0.000 description 7
- 239000002202 Polyethylene glycol Substances 0.000 description 7
- 206010057190 Respiratory tract infections Diseases 0.000 description 7
- 238000001042 affinity chromatography Methods 0.000 description 7
- 230000004075 alteration Effects 0.000 description 7
- 229940088710 antibiotic agent Drugs 0.000 description 7
- 210000004204 blood vessel Anatomy 0.000 description 7
- 238000004113 cell culture Methods 0.000 description 7
- 238000004587 chromatography analysis Methods 0.000 description 7
- 230000000295 complement effect Effects 0.000 description 7
- 229920001577 copolymer Polymers 0.000 description 7
- 108020001096 dihydrofolate reductase Proteins 0.000 description 7
- AMRJKAQTDDKMCE-UHFFFAOYSA-N dolastatin Chemical compound CC(C)C(N(C)C)C(=O)NC(C(C)C)C(=O)N(C)C(C(C)C)C(OC)CC(=O)N1CCCC1C(OC)C(C)C(=O)NC(C=1SC=CN=1)CC1=CC=CC=C1 AMRJKAQTDDKMCE-UHFFFAOYSA-N 0.000 description 7
- 229930188854 dolastatin Natural products 0.000 description 7
- 210000002889 endothelial cell Anatomy 0.000 description 7
- 201000007270 liver cancer Diseases 0.000 description 7
- 231100000350 mutagenesis Toxicity 0.000 description 7
- 235000015097 nutrients Nutrition 0.000 description 7
- 210000003819 peripheral blood mononuclear cell Anatomy 0.000 description 7
- 239000000047 product Substances 0.000 description 7
- 238000011160 research Methods 0.000 description 7
- RCINICONZNJXQF-MZXODVADSA-N taxol Chemical compound O([C@@H]1[C@@]2(C[C@@H](C(C)=C(C2(C)C)[C@H](C([C@]2(C)[C@@H](O)C[C@H]3OC[C@]3([C@H]21)OC(C)=O)=O)OC(=O)C)OC(=O)[C@H](O)[C@@H](NC(=O)C=1C=CC=CC=1)C=1C=CC=CC=1)O)C(=O)C1=CC=CC=C1 RCINICONZNJXQF-MZXODVADSA-N 0.000 description 7
- AZQWKYJCGOJGHM-UHFFFAOYSA-N 1,4-benzoquinone Chemical compound O=C1C=CC(=O)C=C1 AZQWKYJCGOJGHM-UHFFFAOYSA-N 0.000 description 6
- AUJXLBOHYWTPFV-BLWRDSOESA-N CS[C@H]1SC[C@H]2N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C(=O)[C@@H]1N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C2=O)NC(=O)c1cnc2ccccc2n1)NC(=O)c1cnc2ccccc2n1 Chemical compound CS[C@H]1SC[C@H]2N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C(=O)[C@@H]1N(C)C(=O)[C@@H](C)NC(=O)[C@H](COC(=O)[C@@H](C(C)C)N(C)C2=O)NC(=O)c1cnc2ccccc2n1)NC(=O)c1cnc2ccccc2n1 AUJXLBOHYWTPFV-BLWRDSOESA-N 0.000 description 6
- 108091026890 Coding region Proteins 0.000 description 6
- 102000001301 EGF receptor Human genes 0.000 description 6
- 238000002965 ELISA Methods 0.000 description 6
- 108010009858 Echinomycin Proteins 0.000 description 6
- XUJNEKJLAYXESH-REOHCLBHSA-N L-Cysteine Chemical compound SC[C@H](N)C(O)=O XUJNEKJLAYXESH-REOHCLBHSA-N 0.000 description 6
- 102100029193 Low affinity immunoglobulin gamma Fc region receptor III-A Human genes 0.000 description 6
- 206010027476 Metastases Diseases 0.000 description 6
- 241000699670 Mus sp. Species 0.000 description 6
- 239000004365 Protease Substances 0.000 description 6
- 108010039491 Ricin Proteins 0.000 description 6
- 206010039491 Sarcoma Diseases 0.000 description 6
- 208000005718 Stomach Neoplasms Diseases 0.000 description 6
- NKANXQFJJICGDU-QPLCGJKRSA-N Tamoxifen Chemical compound C=1C=CC=CC=1C(/CC)=C(C=1C=CC(OCCN(C)C)=CC=1)/C1=CC=CC=C1 NKANXQFJJICGDU-QPLCGJKRSA-N 0.000 description 6
- 108091008605 VEGF receptors Proteins 0.000 description 6
- 210000003719 b-lymphocyte Anatomy 0.000 description 6
- 239000000872 buffer Substances 0.000 description 6
- 239000002738 chelating agent Substances 0.000 description 6
- 208000029742 colonic neoplasm Diseases 0.000 description 6
- 230000003013 cytotoxicity Effects 0.000 description 6
- 231100000135 cytotoxicity Toxicity 0.000 description 6
- 238000012217 deletion Methods 0.000 description 6
- 230000037430 deletion Effects 0.000 description 6
- 125000000118 dimethyl group Chemical group [H]C([H])([H])* 0.000 description 6
- 239000003623 enhancer Substances 0.000 description 6
- 206010017758 gastric cancer Diseases 0.000 description 6
- 230000013595 glycosylation Effects 0.000 description 6
- 238000006206 glycosylation reaction Methods 0.000 description 6
- 239000001963 growth medium Substances 0.000 description 6
- 230000001900 immune effect Effects 0.000 description 6
- 230000016784 immunoglobulin production Effects 0.000 description 6
- 230000003993 interaction Effects 0.000 description 6
- 210000004698 lymphocyte Anatomy 0.000 description 6
- 230000007246 mechanism Effects 0.000 description 6
- 201000001441 melanoma Diseases 0.000 description 6
- 230000003472 neutralizing effect Effects 0.000 description 6
- 238000000159 protein binding assay Methods 0.000 description 6
- AUJXLBOHYWTPFV-UHFFFAOYSA-N quinomycin A Natural products CN1C(=O)C(C)NC(=O)C(NC(=O)C=2N=C3C=CC=CC3=NC=2)COC(=O)C(C(C)C)N(C)C(=O)C2N(C)C(=O)C(C)NC(=O)C(NC(=O)C=3N=C4C=CC=CC4=NC=3)COC(=O)C(C(C)C)N(C)C(=O)C1CSC2SC AUJXLBOHYWTPFV-UHFFFAOYSA-N 0.000 description 6
- 238000003127 radioimmunoassay Methods 0.000 description 6
- 201000011549 stomach cancer Diseases 0.000 description 6
- 239000013589 supplement Substances 0.000 description 6
- 238000003786 synthesis reaction Methods 0.000 description 6
- 230000008685 targeting Effects 0.000 description 6
- 229960005486 vaccine Drugs 0.000 description 6
- OGWKCGZFUXNPDA-XQKSVPLYSA-N vincristine Chemical compound C([N@]1C[C@@H](C[C@]2(C(=O)OC)C=3C(=CC4=C([C@]56[C@H]([C@@]([C@H](OC(C)=O)[C@]7(CC)C=CCN([C@H]67)CC5)(O)C(=O)OC)N4C=O)C=3)OC)C[C@@](C1)(O)CC)CC1=C2NC2=CC=CC=C12 OGWKCGZFUXNPDA-XQKSVPLYSA-N 0.000 description 6
- 229960004528 vincristine Drugs 0.000 description 6
- OGWKCGZFUXNPDA-UHFFFAOYSA-N vincristine Natural products C1C(CC)(O)CC(CC2(C(=O)OC)C=3C(=CC4=C(C56C(C(C(OC(C)=O)C7(CC)C=CCN(C67)CC5)(O)C(=O)OC)N4C=O)C=3)OC)CN1CCC1=C2NC2=CC=CC=C12 OGWKCGZFUXNPDA-UHFFFAOYSA-N 0.000 description 6
- STQGQHZAVUOBTE-UHFFFAOYSA-N 7-Cyan-hept-2t-en-4,6-diinsaeure Natural products C1=2C(O)=C3C(=O)C=4C(OC)=CC=CC=4C(=O)C3=C(O)C=2CC(O)(C(C)=O)CC1OC1CC(N)C(O)C(C)O1 STQGQHZAVUOBTE-UHFFFAOYSA-N 0.000 description 5
- 229920000936 Agarose Polymers 0.000 description 5
- 108091035707 Consensus sequence Proteins 0.000 description 5
- 108060006698 EGF receptor Proteins 0.000 description 5
- 108010055323 EphB4 Receptor Proteins 0.000 description 5
- 102000030797 EphB4 Receptor Human genes 0.000 description 5
- GHASVSINZRGABV-UHFFFAOYSA-N Fluorouracil Chemical compound FC1=CNC(=O)NC1=O GHASVSINZRGABV-UHFFFAOYSA-N 0.000 description 5
- 108010073807 IgG Receptors Proteins 0.000 description 5
- 108010054477 Immunoglobulin Fab Fragments Proteins 0.000 description 5
- 102000001706 Immunoglobulin Fab Fragments Human genes 0.000 description 5
- 206010029113 Neovascularisation Diseases 0.000 description 5
- 108091028043 Nucleic acid sequence Proteins 0.000 description 5
- 108700020796 Oncogene Proteins 0.000 description 5
- 229910019142 PO4 Inorganic materials 0.000 description 5
- 229930012538 Paclitaxel Natural products 0.000 description 5
- 102100030086 Receptor tyrosine-protein kinase erbB-2 Human genes 0.000 description 5
- 125000003277 amino group Chemical group 0.000 description 5
- 230000003321 amplification Effects 0.000 description 5
- 238000004458 analytical method Methods 0.000 description 5
- 229940121369 angiogenesis inhibitor Drugs 0.000 description 5
- 230000000890 antigenic effect Effects 0.000 description 5
- 238000013459 approach Methods 0.000 description 5
- 239000011324 bead Substances 0.000 description 5
- 229960002685 biotin Drugs 0.000 description 5
- 235000020958 biotin Nutrition 0.000 description 5
- 239000011616 biotin Substances 0.000 description 5
- HXCHCVDVKSCDHU-LULTVBGHSA-N calicheamicin Chemical compound C1[C@H](OC)[C@@H](NCC)CO[C@H]1O[C@H]1[C@H](O[C@@H]2C\3=C(NC(=O)OC)C(=O)C[C@](C/3=C/CSSSC)(O)C#C\C=C/C#C2)O[C@H](C)[C@@H](NO[C@@H]2O[C@H](C)[C@@H](SC(=O)C=3C(=C(OC)C(O[C@H]4[C@@H]([C@H](OC)[C@@H](O)[C@H](C)O4)O)=C(I)C=3C)OC)[C@@H](O)C2)[C@@H]1O HXCHCVDVKSCDHU-LULTVBGHSA-N 0.000 description 5
- 229930195731 calicheamicin Natural products 0.000 description 5
- 239000000969 carrier Substances 0.000 description 5
- 238000002512 chemotherapy Methods 0.000 description 5
- 239000002299 complementary DNA Substances 0.000 description 5
- 238000010276 construction Methods 0.000 description 5
- 239000000356 contaminant Substances 0.000 description 5
- 239000007822 coupling agent Substances 0.000 description 5
- STQGQHZAVUOBTE-VGBVRHCVSA-N daunorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(C)=O)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 STQGQHZAVUOBTE-VGBVRHCVSA-N 0.000 description 5
- 238000001514 detection method Methods 0.000 description 5
- 238000011161 development Methods 0.000 description 5
- 230000018109 developmental process Effects 0.000 description 5
- 239000012954 diazonium Substances 0.000 description 5
- 238000004090 dissolution Methods 0.000 description 5
- 238000005516 engineering process Methods 0.000 description 5
- 229960002949 fluorouracil Drugs 0.000 description 5
- 239000003966 growth inhibitor Substances 0.000 description 5
- 206010073071 hepatocellular carcinoma Diseases 0.000 description 5
- 231100000844 hepatocellular carcinoma Toxicity 0.000 description 5
- 206010020718 hyperplasia Diseases 0.000 description 5
- 238000003018 immunoassay Methods 0.000 description 5
- 230000002163 immunogen Effects 0.000 description 5
- 230000005764 inhibitory process Effects 0.000 description 5
- 238000002347 injection Methods 0.000 description 5
- 239000007924 injection Substances 0.000 description 5
- 238000002955 isolation Methods 0.000 description 5
- 210000003292 kidney cell Anatomy 0.000 description 5
- 239000011159 matrix material Substances 0.000 description 5
- 238000005259 measurement Methods 0.000 description 5
- 229910052751 metal Inorganic materials 0.000 description 5
- 239000002184 metal Substances 0.000 description 5
- 230000009401 metastasis Effects 0.000 description 5
- 125000002496 methyl group Chemical group [H]C([H])([H])* 0.000 description 5
- DNIAPMSPPWPWGF-UHFFFAOYSA-N monopropylene glycol Natural products CC(O)CO DNIAPMSPPWPWGF-UHFFFAOYSA-N 0.000 description 5
- 229910052757 nitrogen Inorganic materials 0.000 description 5
- 238000003199 nucleic acid amplification method Methods 0.000 description 5
- 229960001592 paclitaxel Drugs 0.000 description 5
- 125000002924 primary amino group Chemical group [H]N([H])* 0.000 description 5
- 238000001959 radiotherapy Methods 0.000 description 5
- 238000010188 recombinant method Methods 0.000 description 5
- 230000006798 recombination Effects 0.000 description 5
- 238000005215 recombination Methods 0.000 description 5
- 238000012552 review Methods 0.000 description 5
- 150000003839 salts Chemical class 0.000 description 5
- 230000011664 signaling Effects 0.000 description 5
- 150000003384 small molecules Chemical class 0.000 description 5
- 230000035897 transcription Effects 0.000 description 5
- 238000013518 transcription Methods 0.000 description 5
- 230000002792 vascular Effects 0.000 description 5
- HDTRYLNUVZCQOY-UHFFFAOYSA-N α-D-glucopyranosyl-α-D-glucopyranoside Natural products OC1C(O)C(O)C(CO)OC1OC1C(O)C(O)C(O)C(CO)O1 HDTRYLNUVZCQOY-UHFFFAOYSA-N 0.000 description 4
- HZAXFHJVJLSVMW-UHFFFAOYSA-N 2-Aminoethan-1-ol Chemical compound NCCO HZAXFHJVJLSVMW-UHFFFAOYSA-N 0.000 description 4
- FPQQSJJWHUJYPU-UHFFFAOYSA-N 3-(dimethylamino)propyliminomethylidene-ethylazanium;chloride Chemical compound Cl.CCN=C=NCCCN(C)C FPQQSJJWHUJYPU-UHFFFAOYSA-N 0.000 description 4
- 108020004774 Alkaline Phosphatase Proteins 0.000 description 4
- 102000002260 Alkaline Phosphatase Human genes 0.000 description 4
- 206010003445 Ascites Diseases 0.000 description 4
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 description 4
- 206010008342 Cervix carcinoma Diseases 0.000 description 4
- RGSFGYAAUTVSQA-UHFFFAOYSA-N Cyclopentane Chemical compound C1CCCC1 RGSFGYAAUTVSQA-UHFFFAOYSA-N 0.000 description 4
- 102000004127 Cytokines Human genes 0.000 description 4
- 108090000695 Cytokines Proteins 0.000 description 4
- SRBFZHDQGSBBOR-IOVATXLUSA-N D-xylopyranose Chemical compound O[C@@H]1COC(O)[C@H](O)[C@H]1O SRBFZHDQGSBBOR-IOVATXLUSA-N 0.000 description 4
- BWGNESOTFCXPMA-UHFFFAOYSA-N Dihydrogen disulfide Chemical compound SS BWGNESOTFCXPMA-UHFFFAOYSA-N 0.000 description 4
- 102100033946 Ephrin-B1 Human genes 0.000 description 4
- 108010044099 Ephrin-B1 Proteins 0.000 description 4
- 102100023721 Ephrin-B2 Human genes 0.000 description 4
- 108010044090 Ephrin-B2 Proteins 0.000 description 4
- 102100023733 Ephrin-B3 Human genes 0.000 description 4
- 108010044085 Ephrin-B3 Proteins 0.000 description 4
- 108700028146 Genetic Enhancer Elements Proteins 0.000 description 4
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 4
- WHUUTDBJXJRKMK-UHFFFAOYSA-N Glutamic acid Natural products OC(=O)C(N)CCC(O)=O WHUUTDBJXJRKMK-UHFFFAOYSA-N 0.000 description 4
- PEDCQBHIVMGVHV-UHFFFAOYSA-N Glycerine Chemical compound OCC(O)CO PEDCQBHIVMGVHV-UHFFFAOYSA-N 0.000 description 4
- MHAJPDPJQMAIIY-UHFFFAOYSA-N Hydrogen peroxide Chemical compound OO MHAJPDPJQMAIIY-UHFFFAOYSA-N 0.000 description 4
- 102000006496 Immunoglobulin Heavy Chains Human genes 0.000 description 4
- 108010019476 Immunoglobulin Heavy Chains Proteins 0.000 description 4
- 108010067060 Immunoglobulin Variable Region Proteins 0.000 description 4
- 102000017727 Immunoglobulin Variable Region Human genes 0.000 description 4
- OUYCCCASQSFEME-QMMMGPOBSA-N L-tyrosine Chemical compound OC(=O)[C@@H](N)CC1=CC=C(O)C=C1 OUYCCCASQSFEME-QMMMGPOBSA-N 0.000 description 4
- NWIBSHFKIJFRCO-WUDYKRTCSA-N Mytomycin Chemical compound C1N2C(C(C(C)=C(N)C3=O)=O)=C3[C@@H](COC(N)=O)[C@@]2(OC)[C@@H]2[C@H]1N2 NWIBSHFKIJFRCO-WUDYKRTCSA-N 0.000 description 4
- ZDZOTLJHXYCWBA-VCVYQWHSSA-N N-debenzoyl-N-(tert-butoxycarbonyl)-10-deacetyltaxol Chemical compound O([C@H]1[C@H]2[C@@](C([C@H](O)C3=C(C)[C@@H](OC(=O)[C@H](O)[C@@H](NC(=O)OC(C)(C)C)C=4C=CC=CC=4)C[C@]1(O)C3(C)C)=O)(C)[C@@H](O)C[C@H]1OC[C@]12OC(=O)C)C(=O)C1=CC=CC=C1 ZDZOTLJHXYCWBA-VCVYQWHSSA-N 0.000 description 4
- 108091034117 Oligonucleotide Proteins 0.000 description 4
- 206010061902 Pancreatic neoplasm Diseases 0.000 description 4
- 241000288906 Primates Species 0.000 description 4
- XBDQKXXYIPTUBI-UHFFFAOYSA-M Propionate Chemical compound CCC([O-])=O XBDQKXXYIPTUBI-UHFFFAOYSA-M 0.000 description 4
- 241000283984 Rodentia Species 0.000 description 4
- 206010041067 Small cell lung cancer Diseases 0.000 description 4
- IQFYYKKMVGJFEH-XLPZGREQSA-N Thymidine Chemical compound O=C1NC(=O)C(C)=CN1[C@@H]1O[C@H](CO)[C@@H](O)C1 IQFYYKKMVGJFEH-XLPZGREQSA-N 0.000 description 4
- HDTRYLNUVZCQOY-WSWWMNSNSA-N Trehalose Natural products O[C@@H]1[C@@H](O)[C@@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-WSWWMNSNSA-N 0.000 description 4
- 208000006105 Uterine Cervical Neoplasms Diseases 0.000 description 4
- 102000009484 Vascular Endothelial Growth Factor Receptors Human genes 0.000 description 4
- 241000251539 Vertebrata <Metazoa> Species 0.000 description 4
- 150000007513 acids Chemical class 0.000 description 4
- 230000009471 action Effects 0.000 description 4
- 230000001154 acute effect Effects 0.000 description 4
- 230000009824 affinity maturation Effects 0.000 description 4
- 239000000556 agonist Substances 0.000 description 4
- HDTRYLNUVZCQOY-LIZSDCNHSA-N alpha,alpha-trehalose Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CO)O[C@@H]1O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 HDTRYLNUVZCQOY-LIZSDCNHSA-N 0.000 description 4
- 229960000723 ampicillin Drugs 0.000 description 4
- AVKUERGKIZMTKX-NJBDSQKTSA-N ampicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=CC=C1 AVKUERGKIZMTKX-NJBDSQKTSA-N 0.000 description 4
- 229940041181 antineoplastic drug Drugs 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 4
- 210000004369 blood Anatomy 0.000 description 4
- 239000008280 blood Substances 0.000 description 4
- 210000004899 c-terminal region Anatomy 0.000 description 4
- 235000014633 carbohydrates Nutrition 0.000 description 4
- 230000004663 cell proliferation Effects 0.000 description 4
- 201000010881 cervical cancer Diseases 0.000 description 4
- 230000002759 chromosomal effect Effects 0.000 description 4
- 238000004590 computer program Methods 0.000 description 4
- 238000012258 culturing Methods 0.000 description 4
- 125000000151 cysteine group Chemical group N[C@@H](CS)C(=O)* 0.000 description 4
- 230000001086 cytosolic effect Effects 0.000 description 4
- 229960000975 daunorubicin Drugs 0.000 description 4
- 239000000539 dimer Substances 0.000 description 4
- CEIPQQODRKXDSB-UHFFFAOYSA-N ethyl 3-(6-hydroxynaphthalen-2-yl)-1H-indazole-5-carboximidate dihydrochloride Chemical compound Cl.Cl.C1=C(O)C=CC2=CC(C3=NNC4=CC=C(C=C43)C(=N)OCC)=CC=C21 CEIPQQODRKXDSB-UHFFFAOYSA-N 0.000 description 4
- 239000012530 fluid Substances 0.000 description 4
- 108020001507 fusion proteins Proteins 0.000 description 4
- 102000037865 fusion proteins Human genes 0.000 description 4
- 210000004602 germ cell Anatomy 0.000 description 4
- 239000011521 glass Substances 0.000 description 4
- 239000008103 glucose Substances 0.000 description 4
- 229940088597 hormone Drugs 0.000 description 4
- 239000005556 hormone Substances 0.000 description 4
- NOESYZHRGYRDHS-UHFFFAOYSA-N insulin Chemical compound N1C(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(NC(=O)CN)C(C)CC)CSSCC(C(NC(CO)C(=O)NC(CC(C)C)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CCC(N)=O)C(=O)NC(CC(C)C)C(=O)NC(CCC(O)=O)C(=O)NC(CC(N)=O)C(=O)NC(CC=2C=CC(O)=CC=2)C(=O)NC(CSSCC(NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2C=CC(O)=CC=2)NC(=O)C(CC(C)C)NC(=O)C(C)NC(=O)C(CCC(O)=O)NC(=O)C(C(C)C)NC(=O)C(CC(C)C)NC(=O)C(CC=2NC=NC=2)NC(=O)C(CO)NC(=O)CNC2=O)C(=O)NCC(=O)NC(CCC(O)=O)C(=O)NC(CCCNC(N)=N)C(=O)NCC(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC=CC=3)C(=O)NC(CC=3C=CC(O)=CC=3)C(=O)NC(C(C)O)C(=O)N3C(CCC3)C(=O)NC(CCCCN)C(=O)NC(C)C(O)=O)C(=O)NC(CC(N)=O)C(O)=O)=O)NC(=O)C(C(C)CC)NC(=O)C(CO)NC(=O)C(C(C)O)NC(=O)C1CSSCC2NC(=O)C(CC(C)C)NC(=O)C(NC(=O)C(CCC(N)=O)NC(=O)C(CC(N)=O)NC(=O)C(NC(=O)C(N)CC=1C=CC=CC=1)C(C)C)CC1=CN=CN1 NOESYZHRGYRDHS-UHFFFAOYSA-N 0.000 description 4
- 150000002576 ketones Chemical class 0.000 description 4
- 230000002147 killing effect Effects 0.000 description 4
- 230000007774 longterm Effects 0.000 description 4
- 238000012423 maintenance Methods 0.000 description 4
- 230000003211 malignant effect Effects 0.000 description 4
- 208000015486 malignant pancreatic neoplasm Diseases 0.000 description 4
- 108020004999 messenger RNA Proteins 0.000 description 4
- 150000002739 metals Chemical class 0.000 description 4
- 239000003094 microcapsule Substances 0.000 description 4
- 208000005264 motor neuron disease Diseases 0.000 description 4
- 108010068617 neonatal Fc receptor Proteins 0.000 description 4
- 210000001672 ovary Anatomy 0.000 description 4
- 201000002528 pancreatic cancer Diseases 0.000 description 4
- 208000008443 pancreatic carcinoma Diseases 0.000 description 4
- 239000010452 phosphate Substances 0.000 description 4
- 235000021317 phosphate Nutrition 0.000 description 4
- 230000026731 phosphorylation Effects 0.000 description 4
- 238000006366 phosphorylation reaction Methods 0.000 description 4
- 239000002243 precursor Substances 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 230000004044 response Effects 0.000 description 4
- 206010039073 rheumatoid arthritis Diseases 0.000 description 4
- 230000003248 secreting effect Effects 0.000 description 4
- 230000001953 sensory effect Effects 0.000 description 4
- 210000002966 serum Anatomy 0.000 description 4
- 208000000587 small cell lung carcinoma Diseases 0.000 description 4
- JQWHASGSAFIOCM-UHFFFAOYSA-M sodium periodate Chemical compound [Na+].[O-]I(=O)(=O)=O JQWHASGSAFIOCM-UHFFFAOYSA-M 0.000 description 4
- 238000001179 sorption measurement Methods 0.000 description 4
- 206010041823 squamous cell carcinoma Diseases 0.000 description 4
- 238000010561 standard procedure Methods 0.000 description 4
- 210000000130 stem cell Anatomy 0.000 description 4
- 229960002317 succinimide Drugs 0.000 description 4
- 125000003396 thiol group Chemical group [H]S* 0.000 description 4
- 150000003573 thiols Chemical class 0.000 description 4
- WYWHKKSPHMUBEB-UHFFFAOYSA-N tioguanine Chemical compound N1C(N)=NC(=S)C2=C1N=CN2 WYWHKKSPHMUBEB-UHFFFAOYSA-N 0.000 description 4
- 230000005030 transcription termination Effects 0.000 description 4
- 230000003612 virological effect Effects 0.000 description 4
- VEEGZPWAAPPXRB-BJMVGYQFSA-N (3e)-3-(1h-imidazol-5-ylmethylidene)-1h-indol-2-one Chemical compound O=C1NC2=CC=CC=C2\C1=C/C1=CN=CN1 VEEGZPWAAPPXRB-BJMVGYQFSA-N 0.000 description 3
- VILFTWLXLYIEMV-UHFFFAOYSA-N 1,5-difluoro-2,4-dinitrobenzene Chemical compound [O-][N+](=O)C1=CC([N+]([O-])=O)=C(F)C=C1F VILFTWLXLYIEMV-UHFFFAOYSA-N 0.000 description 3
- RTQWWZBSTRGEAV-PKHIMPSTSA-N 2-[[(2s)-2-[bis(carboxymethyl)amino]-3-[4-(methylcarbamoylamino)phenyl]propyl]-[2-[bis(carboxymethyl)amino]propyl]amino]acetic acid Chemical compound CNC(=O)NC1=CC=C(C[C@@H](CN(CC(C)N(CC(O)=O)CC(O)=O)CC(O)=O)N(CC(O)=O)CC(O)=O)C=C1 RTQWWZBSTRGEAV-PKHIMPSTSA-N 0.000 description 3
- FWMNVWWHGCHHJJ-SKKKGAJSSA-N 4-amino-1-[(2r)-6-amino-2-[[(2r)-2-[[(2r)-2-[[(2r)-2-amino-3-phenylpropanoyl]amino]-3-phenylpropanoyl]amino]-4-methylpentanoyl]amino]hexanoyl]piperidine-4-carboxylic acid Chemical compound C([C@H](C(=O)N[C@H](CC(C)C)C(=O)N[C@H](CCCCN)C(=O)N1CCC(N)(CC1)C(O)=O)NC(=O)[C@H](N)CC=1C=CC=CC=1)C1=CC=CC=C1 FWMNVWWHGCHHJJ-SKKKGAJSSA-N 0.000 description 3
- QTBSBXVTEAMEQO-UHFFFAOYSA-N Acetic acid Chemical compound CC(O)=O QTBSBXVTEAMEQO-UHFFFAOYSA-N 0.000 description 3
- 108010088751 Albumins Proteins 0.000 description 3
- 102000009027 Albumins Human genes 0.000 description 3
- UHOVQNZJYSORNB-UHFFFAOYSA-N Benzene Chemical compound C1=CC=CC=C1 UHOVQNZJYSORNB-UHFFFAOYSA-N 0.000 description 3
- WVDDGKGOMKODPV-UHFFFAOYSA-N Benzyl alcohol Chemical compound OCC1=CC=CC=C1 WVDDGKGOMKODPV-UHFFFAOYSA-N 0.000 description 3
- 206010005003 Bladder cancer Diseases 0.000 description 3
- 241000283690 Bos taurus Species 0.000 description 3
- 241000282693 Cercopithecidae Species 0.000 description 3
- 241000699802 Cricetulus griseus Species 0.000 description 3
- 108010069514 Cyclic Peptides Proteins 0.000 description 3
- 102000001189 Cyclic Peptides Human genes 0.000 description 3
- CMSMOCZEIVJLDB-UHFFFAOYSA-N Cyclophosphamide Chemical compound ClCCN(CCCl)P1(=O)NCCCO1 CMSMOCZEIVJLDB-UHFFFAOYSA-N 0.000 description 3
- UHDGCWIWMRVCDJ-CCXZUQQUSA-N Cytarabine Chemical compound O=C1N=C(N)C=CN1[C@H]1[C@@H](O)[C@H](O)[C@@H](CO)O1 UHDGCWIWMRVCDJ-CCXZUQQUSA-N 0.000 description 3
- 102000053602 DNA Human genes 0.000 description 3
- IAZDPXIOMUYVGZ-UHFFFAOYSA-N Dimethylsulphoxide Chemical compound CS(C)=O IAZDPXIOMUYVGZ-UHFFFAOYSA-N 0.000 description 3
- 108010053187 Diphtheria Toxin Proteins 0.000 description 3
- 102000016607 Diphtheria Toxin Human genes 0.000 description 3
- 241000196324 Embryophyta Species 0.000 description 3
- 108091008815 Eph receptors Proteins 0.000 description 3
- 241000283086 Equidae Species 0.000 description 3
- LYCAIKOWRPUZTN-UHFFFAOYSA-N Ethylene glycol Chemical compound OCCO LYCAIKOWRPUZTN-UHFFFAOYSA-N 0.000 description 3
- 101710195101 Flagellar filament outer layer protein Proteins 0.000 description 3
- SXRSQZLOMIGNAQ-UHFFFAOYSA-N Glutaraldehyde Chemical compound O=CCCCC=O SXRSQZLOMIGNAQ-UHFFFAOYSA-N 0.000 description 3
- DHMQDGOQFOQNFH-UHFFFAOYSA-N Glycine Chemical compound NCC(O)=O DHMQDGOQFOQNFH-UHFFFAOYSA-N 0.000 description 3
- 241000282412 Homo Species 0.000 description 3
- 101001012157 Homo sapiens Receptor tyrosine-protein kinase erbB-2 Proteins 0.000 description 3
- VEXZGXHMUGYJMC-UHFFFAOYSA-N Hydrochloric acid Chemical compound Cl VEXZGXHMUGYJMC-UHFFFAOYSA-N 0.000 description 3
- 108010091358 Hypoxanthine Phosphoribosyltransferase Proteins 0.000 description 3
- 102100029098 Hypoxanthine-guanine phosphoribosyltransferase Human genes 0.000 description 3
- 102000013463 Immunoglobulin Light Chains Human genes 0.000 description 3
- 108010065825 Immunoglobulin Light Chains Proteins 0.000 description 3
- 208000008839 Kidney Neoplasms Diseases 0.000 description 3
- ROHFNLRQFUQHCH-YFKPBYRVSA-N L-leucine Chemical compound CC(C)C[C@H](N)C(O)=O ROHFNLRQFUQHCH-YFKPBYRVSA-N 0.000 description 3
- KDXKERNSBIXSRK-YFKPBYRVSA-N L-lysine Chemical compound NCCCC[C@H](N)C(O)=O KDXKERNSBIXSRK-YFKPBYRVSA-N 0.000 description 3
- KDXKERNSBIXSRK-UHFFFAOYSA-N Lysine Natural products NCCCCC(N)C(O)=O KDXKERNSBIXSRK-UHFFFAOYSA-N 0.000 description 3
- 229930126263 Maytansine Natural products 0.000 description 3
- DDYWPQIFOIQIDN-UHFFFAOYSA-N N(=[N+]=[N-])C1=CC=C(C=NCCCCCCN=CC2=CC=C(C=C2)N=[N+]=[N-])C=C1 Chemical compound N(=[N+]=[N-])C1=CC=C(C=NCCCCCCN=CC2=CC=C(C=C2)N=[N+]=[N-])C=C1 DDYWPQIFOIQIDN-UHFFFAOYSA-N 0.000 description 3
- 229930193140 Neomycin Natural products 0.000 description 3
- 241000283973 Oryctolagus cuniculus Species 0.000 description 3
- 206010033128 Ovarian cancer Diseases 0.000 description 3
- 206010061535 Ovarian neoplasm Diseases 0.000 description 3
- 229920001213 Polysorbate 20 Polymers 0.000 description 3
- 201000004681 Psoriasis Diseases 0.000 description 3
- 241000700159 Rattus Species 0.000 description 3
- 206010038389 Renal cancer Diseases 0.000 description 3
- 108020005091 Replication Origin Proteins 0.000 description 3
- 102000006382 Ribonucleases Human genes 0.000 description 3
- 108010083644 Ribonucleases Proteins 0.000 description 3
- IIDJRNMFWXDHID-UHFFFAOYSA-N Risedronic acid Chemical compound OP(=O)(O)C(P(O)(O)=O)(O)CC1=CC=CN=C1 IIDJRNMFWXDHID-UHFFFAOYSA-N 0.000 description 3
- 230000018199 S phase Effects 0.000 description 3
- 108010090804 Streptavidin Proteins 0.000 description 3
- 229940123237 Taxane Drugs 0.000 description 3
- 241001116498 Taxus baccata Species 0.000 description 3
- 208000007097 Urinary Bladder Neoplasms Diseases 0.000 description 3
- 102100033177 Vascular endothelial growth factor receptor 2 Human genes 0.000 description 3
- JXLYSJRDGCGARV-WWYNWVTFSA-N Vinblastine Natural products O=C(O[C@H]1[C@](O)(C(=O)OC)[C@@H]2N(C)c3c(cc(c(OC)c3)[C@]3(C(=O)OC)c4[nH]c5c(c4CCN4C[C@](O)(CC)C[C@H](C3)C4)cccc5)[C@@]32[C@H]2[C@@]1(CC)C=CCN2CC3)C JXLYSJRDGCGARV-WWYNWVTFSA-N 0.000 description 3
- 125000000217 alkyl group Chemical group 0.000 description 3
- 206010002026 amyotrophic lateral sclerosis Diseases 0.000 description 3
- 230000002491 angiogenic effect Effects 0.000 description 3
- 238000010171 animal model Methods 0.000 description 3
- 238000011122 anti-angiogenic therapy Methods 0.000 description 3
- 238000009175 antibody therapy Methods 0.000 description 3
- PYMYPHUHKUWMLA-UHFFFAOYSA-N arabinose Natural products OCC(O)C(O)C(O)C=O PYMYPHUHKUWMLA-UHFFFAOYSA-N 0.000 description 3
- 125000003118 aryl group Chemical group 0.000 description 3
- CKLJMWTZIZZHCS-REOHCLBHSA-N aspartic acid group Chemical group N[C@@H](CC(=O)O)C(=O)O CKLJMWTZIZZHCS-REOHCLBHSA-N 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 3
- SRBFZHDQGSBBOR-UHFFFAOYSA-N beta-D-Pyranose-Lyxose Natural products OC1COC(O)C(O)C1O SRBFZHDQGSBBOR-UHFFFAOYSA-N 0.000 description 3
- 230000003115 biocidal effect Effects 0.000 description 3
- 230000008827 biological function Effects 0.000 description 3
- 229910052797 bismuth Inorganic materials 0.000 description 3
- 201000000053 blastoma Diseases 0.000 description 3
- 230000005907 cancer growth Effects 0.000 description 3
- 125000003178 carboxy group Chemical group [H]OC(*)=O 0.000 description 3
- 210000004978 chinese hamster ovary cell Anatomy 0.000 description 3
- 230000001684 chronic effect Effects 0.000 description 3
- 208000037976 chronic inflammation Diseases 0.000 description 3
- 230000006020 chronic inflammation Effects 0.000 description 3
- DQLATGHUWYMOKM-UHFFFAOYSA-L cisplatin Chemical compound N[Pt](N)(Cl)Cl DQLATGHUWYMOKM-UHFFFAOYSA-L 0.000 description 3
- 229960004316 cisplatin Drugs 0.000 description 3
- 229960002173 citrulline Drugs 0.000 description 3
- 238000003776 cleavage reaction Methods 0.000 description 3
- 238000012875 competitive assay Methods 0.000 description 3
- 230000002860 competitive effect Effects 0.000 description 3
- 230000024203 complement activation Effects 0.000 description 3
- 230000021615 conjugation Effects 0.000 description 3
- 238000007796 conventional method Methods 0.000 description 3
- 238000010168 coupling process Methods 0.000 description 3
- 238000004132 cross linking Methods 0.000 description 3
- 230000002950 deficient Effects 0.000 description 3
- 230000007850 degeneration Effects 0.000 description 3
- CYQFCXCEBYINGO-IAGOWNOFSA-N delta1-THC Chemical compound C1=C(C)CC[C@H]2C(C)(C)OC3=CC(CCCCC)=CC(O)=C3[C@@H]21 CYQFCXCEBYINGO-IAGOWNOFSA-N 0.000 description 3
- 238000001212 derivatisation Methods 0.000 description 3
- 230000004069 differentiation Effects 0.000 description 3
- 125000005442 diisocyanate group Chemical group 0.000 description 3
- VHJLVAABSRFDPM-QWWZWVQMSA-N dithiothreitol Chemical compound SC[C@@H](O)[C@H](O)CS VHJLVAABSRFDPM-QWWZWVQMSA-N 0.000 description 3
- 238000012377 drug delivery Methods 0.000 description 3
- 201000008184 embryoma Diseases 0.000 description 3
- VJJPUSNTGOMMGY-MRVIYFEKSA-N etoposide Chemical compound COC1=C(O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](O)[C@@H]4O[C@H](C)OC[C@H]4O3)O)[C@@H]3[C@@H]2C(OC3)=O)=C1 VJJPUSNTGOMMGY-MRVIYFEKSA-N 0.000 description 3
- 230000036541 health Effects 0.000 description 3
- 229940022353 herceptin Drugs 0.000 description 3
- 150000002429 hydrazines Chemical class 0.000 description 3
- 229960001001 ibritumomab tiuxetan Drugs 0.000 description 3
- 230000003053 immunization Effects 0.000 description 3
- 238000002649 immunization Methods 0.000 description 3
- 239000002596 immunotoxin Substances 0.000 description 3
- 238000001802 infusion Methods 0.000 description 3
- 230000003834 intracellular effect Effects 0.000 description 3
- 238000007912 intraperitoneal administration Methods 0.000 description 3
- UWKQSNNFCGGAFS-XIFFEERXSA-N irinotecan Chemical compound C1=C2C(CC)=C3CN(C(C4=C([C@@](C(=O)OC4)(O)CC)C=4)=O)C=4C3=NC2=CC=C1OC(=O)N(CC1)CCC1N1CCCCC1 UWKQSNNFCGGAFS-XIFFEERXSA-N 0.000 description 3
- XEEYBQQBJWHFJM-UHFFFAOYSA-N iron Substances [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 3
- 201000010982 kidney cancer Diseases 0.000 description 3
- 238000002372 labelling Methods 0.000 description 3
- 208000032839 leukemia Diseases 0.000 description 3
- 210000000265 leukocyte Anatomy 0.000 description 3
- 230000000670 limiting effect Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- WKPWGQKGSOKKOO-RSFHAFMBSA-N maytansine Chemical compound CO[C@@H]([C@@]1(O)C[C@](OC(=O)N1)([C@H]([C@@H]1O[C@@]1(C)[C@@H](OC(=O)[C@H](C)N(C)C(C)=O)CC(=O)N1C)C)[H])\C=C\C=C(C)\CC2=CC(OC)=C(Cl)C1=C2 WKPWGQKGSOKKOO-RSFHAFMBSA-N 0.000 description 3
- 229960005558 mertansine Drugs 0.000 description 3
- ANZJBCHSOXCCRQ-FKUXLPTCSA-N mertansine Chemical compound CO[C@@H]([C@@]1(O)C[C@H](OC(=O)N1)[C@@H](C)[C@@H]1O[C@@]1(C)[C@@H](OC(=O)[C@H](C)N(C)C(=O)CCS)CC(=O)N1C)\C=C\C=C(C)\CC2=CC(OC)=C(Cl)C1=C2 ANZJBCHSOXCCRQ-FKUXLPTCSA-N 0.000 description 3
- MYWUZJCMWCOHBA-VIFPVBQESA-N methamphetamine Chemical compound CN[C@@H](C)CC1=CC=CC=C1 MYWUZJCMWCOHBA-VIFPVBQESA-N 0.000 description 3
- 230000000813 microbial effect Effects 0.000 description 3
- 244000005700 microbiome Species 0.000 description 3
- 229960004857 mitomycin Drugs 0.000 description 3
- KKZJGLLVHKMTCM-UHFFFAOYSA-N mitoxantrone Chemical compound O=C1C2=C(O)C=CC(O)=C2C(=O)C2=C1C(NCCNCCO)=CC=C2NCCNCCO KKZJGLLVHKMTCM-UHFFFAOYSA-N 0.000 description 3
- 210000001616 monocyte Anatomy 0.000 description 3
- 210000000822 natural killer cell Anatomy 0.000 description 3
- 229960004927 neomycin Drugs 0.000 description 3
- 230000007935 neutral effect Effects 0.000 description 3
- 230000036961 partial effect Effects 0.000 description 3
- 239000002245 particle Substances 0.000 description 3
- 239000000546 pharmaceutical excipient Substances 0.000 description 3
- ISWSIDIOOBJBQZ-UHFFFAOYSA-N phenol group Chemical group C1(=CC=CC=C1)O ISWSIDIOOBJBQZ-UHFFFAOYSA-N 0.000 description 3
- 239000000256 polyoxyethylene sorbitan monolaurate Substances 0.000 description 3
- 235000010486 polyoxyethylene sorbitan monolaurate Nutrition 0.000 description 3
- 229920002451 polyvinyl alcohol Polymers 0.000 description 3
- 230000035755 proliferation Effects 0.000 description 3
- 230000000069 prophylactic effect Effects 0.000 description 3
- 235000019419 proteases Nutrition 0.000 description 3
- GZUITABIAKMVPG-UHFFFAOYSA-N raloxifene Chemical compound C1=CC(O)=CC=C1C1=C(C(=O)C=2C=CC(OCCN3CCCCC3)=CC=2)C2=CC=C(O)C=C2S1 GZUITABIAKMVPG-UHFFFAOYSA-N 0.000 description 3
- 102000027426 receptor tyrosine kinases Human genes 0.000 description 3
- 108091008598 receptor tyrosine kinases Proteins 0.000 description 3
- 238000003259 recombinant expression Methods 0.000 description 3
- 230000009467 reduction Effects 0.000 description 3
- 230000007017 scission Effects 0.000 description 3
- 238000000926 separation method Methods 0.000 description 3
- 239000007787 solid Substances 0.000 description 3
- 239000000243 solution Substances 0.000 description 3
- 238000007920 subcutaneous administration Methods 0.000 description 3
- 239000000758 substrate Substances 0.000 description 3
- 239000006228 supernatant Substances 0.000 description 3
- 238000002198 surface plasmon resonance spectroscopy Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000013268 sustained release Methods 0.000 description 3
- 239000012730 sustained-release form Substances 0.000 description 3
- 230000009885 systemic effect Effects 0.000 description 3
- 229960001603 tamoxifen Drugs 0.000 description 3
- 238000012360 testing method Methods 0.000 description 3
- 150000007970 thio esters Chemical class 0.000 description 3
- RUELTTOHQODFPA-UHFFFAOYSA-N toluene 2,6-diisocyanate Chemical compound CC1=C(N=C=O)C=CC=C1N=C=O RUELTTOHQODFPA-UHFFFAOYSA-N 0.000 description 3
- UCFGDBYHRUNTLO-QHCPKHFHSA-N topotecan Chemical class C1=C(O)C(CN(C)C)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 UCFGDBYHRUNTLO-QHCPKHFHSA-N 0.000 description 3
- 238000012546 transfer Methods 0.000 description 3
- 238000011830 transgenic mouse model Methods 0.000 description 3
- 229930013292 trichothecene Natural products 0.000 description 3
- OUYCCCASQSFEME-UHFFFAOYSA-N tyrosine Natural products OC(=O)C(N)CC1=CC=C(O)C=C1 OUYCCCASQSFEME-UHFFFAOYSA-N 0.000 description 3
- 238000011144 upstream manufacturing Methods 0.000 description 3
- 201000005112 urinary bladder cancer Diseases 0.000 description 3
- 239000010455 vermiculite Substances 0.000 description 3
- 235000019354 vermiculite Nutrition 0.000 description 3
- 229910052902 vermiculite Inorganic materials 0.000 description 3
- 229960003048 vinblastine Drugs 0.000 description 3
- JXLYSJRDGCGARV-XQKSVPLYSA-N vincaleukoblastine Chemical compound C([C@@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](OC(C)=O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(=O)OC)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1NC1=CC=CC=C21 JXLYSJRDGCGARV-XQKSVPLYSA-N 0.000 description 3
- UGGWPQSBPIFKDZ-KOTLKJBCSA-N vindesine Chemical compound C([C@@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(N)=O)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1N=C1[C]2C=CC=C1 UGGWPQSBPIFKDZ-KOTLKJBCSA-N 0.000 description 3
- 229960004355 vindesine Drugs 0.000 description 3
- 238000005406 washing Methods 0.000 description 3
- XRASPMIURGNCCH-UHFFFAOYSA-N zoledronic acid Chemical compound OP(=O)(O)C(P(O)(O)=O)(O)CN1C=CN=C1 XRASPMIURGNCCH-UHFFFAOYSA-N 0.000 description 3
- BQWBEDSJTMWJAE-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 4-[(2-iodoacetyl)amino]benzoate Chemical compound C1=CC(NC(=O)CI)=CC=C1C(=O)ON1C(=O)CCC1=O BQWBEDSJTMWJAE-UHFFFAOYSA-N 0.000 description 2
- MTCFGRXMJLQNBG-REOHCLBHSA-N (2S)-2-Amino-3-hydroxypropansäure Chemical compound OC[C@H](N)C(O)=O MTCFGRXMJLQNBG-REOHCLBHSA-N 0.000 description 2
- AGGWFDNPHKLBBV-YUMQZZPRSA-N (2s)-2-[[(2s)-2-amino-3-methylbutanoyl]amino]-5-(carbamoylamino)pentanoic acid Chemical compound CC(C)[C@H](N)C(=O)N[C@H](C(O)=O)CCCNC(N)=O AGGWFDNPHKLBBV-YUMQZZPRSA-N 0.000 description 2
- FDKXTQMXEQVLRF-ZHACJKMWSA-N (E)-dacarbazine Chemical compound CN(C)\N=N\c1[nH]cnc1C(N)=O FDKXTQMXEQVLRF-ZHACJKMWSA-N 0.000 description 2
- IAKHMKGGTNLKSZ-INIZCTEOSA-N (S)-colchicine Chemical compound C1([C@@H](NC(C)=O)CC2)=CC(=O)C(OC)=CC=C1C1=C2C=C(OC)C(OC)=C1OC IAKHMKGGTNLKSZ-INIZCTEOSA-N 0.000 description 2
- 108091032973 (ribonucleotides)n+m Proteins 0.000 description 2
- WNXJIVFYUVYPPR-UHFFFAOYSA-N 1,3-dioxolane Chemical compound C1COCO1 WNXJIVFYUVYPPR-UHFFFAOYSA-N 0.000 description 2
- FZDFGHZZPBUTGP-UHFFFAOYSA-N 2-[[2-[bis(carboxymethyl)amino]-3-(4-isothiocyanatophenyl)propyl]-[2-[bis(carboxymethyl)amino]propyl]amino]acetic acid Chemical compound OC(=O)CN(CC(O)=O)C(C)CN(CC(O)=O)CC(N(CC(O)=O)CC(O)=O)CC1=CC=C(N=C=S)C=C1 FZDFGHZZPBUTGP-UHFFFAOYSA-N 0.000 description 2
- LSBDFXRDZJMBSC-UHFFFAOYSA-N 2-phenylacetamide Chemical group NC(=O)CC1=CC=CC=C1 LSBDFXRDZJMBSC-UHFFFAOYSA-N 0.000 description 2
- NDMPLJNOPCLANR-UHFFFAOYSA-N 3,4-dihydroxy-15-(4-hydroxy-18-methoxycarbonyl-5,18-seco-ibogamin-18-yl)-16-methoxy-1-methyl-6,7-didehydro-aspidospermidine-3-carboxylic acid methyl ester Natural products C1C(CC)(O)CC(CC2(C(=O)OC)C=3C(=CC4=C(C56C(C(C(O)C7(CC)C=CCN(C67)CC5)(O)C(=O)OC)N4C)C=3)OC)CN1CCC1=C2NC2=CC=CC=C12 NDMPLJNOPCLANR-UHFFFAOYSA-N 0.000 description 2
- VPFUWHKTPYPNGT-UHFFFAOYSA-N 3-(3,4-dihydroxyphenyl)-1-(5-hydroxy-2,2-dimethylchromen-6-yl)propan-1-one Chemical compound OC1=C2C=CC(C)(C)OC2=CC=C1C(=O)CCC1=CC=C(O)C(O)=C1 VPFUWHKTPYPNGT-UHFFFAOYSA-N 0.000 description 2
- AOJJSUZBOXZQNB-VTZDEGQISA-N 4'-epidoxorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)[C@@H](O)[C@H](C)O1 AOJJSUZBOXZQNB-VTZDEGQISA-N 0.000 description 2
- TVZGACDUOSZQKY-LBPRGKRZSA-N 4-aminofolic acid Chemical compound C1=NC2=NC(N)=NC(N)=C2N=C1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 TVZGACDUOSZQKY-LBPRGKRZSA-N 0.000 description 2
- AFZIRBOYYNKYFJ-UHFFFAOYSA-N 4-pyridin-2-ylsulfanylpentanoic acid Chemical compound OC(=O)CCC(C)SC1=CC=CC=N1 AFZIRBOYYNKYFJ-UHFFFAOYSA-N 0.000 description 2
- GANZODCWZFAEGN-UHFFFAOYSA-N 5-mercapto-2-nitro-benzoic acid Chemical compound OC(=O)C1=CC(S)=CC=C1[N+]([O-])=O GANZODCWZFAEGN-UHFFFAOYSA-N 0.000 description 2
- 208000030507 AIDS Diseases 0.000 description 2
- OMNVYXHOSHNURL-WPRPVWTQSA-N Ala-Phe Chemical compound C[C@H](N)C(=O)N[C@H](C(O)=O)CC1=CC=CC=C1 OMNVYXHOSHNURL-WPRPVWTQSA-N 0.000 description 2
- OGSPWJRAVKPPFI-UHFFFAOYSA-N Alendronic Acid Chemical compound NCCCC(O)(P(O)(O)=O)P(O)(O)=O OGSPWJRAVKPPFI-UHFFFAOYSA-N 0.000 description 2
- 208000024827 Alzheimer disease Diseases 0.000 description 2
- 101710154825 Aminoglycoside 3'-phosphotransferase Proteins 0.000 description 2
- BFYIZQONLCFLEV-DAELLWKTSA-N Aromasine Chemical compound O=C1C=C[C@]2(C)[C@H]3CC[C@](C)(C(CC4)=O)[C@@H]4[C@@H]3CC(=C)C2=C1 BFYIZQONLCFLEV-DAELLWKTSA-N 0.000 description 2
- 208000022211 Arteriovenous Malformations Diseases 0.000 description 2
- 201000001320 Atherosclerosis Diseases 0.000 description 2
- 108090001008 Avidin Proteins 0.000 description 2
- 208000006373 Bell palsy Diseases 0.000 description 2
- DWRXFEITVBNRMK-UHFFFAOYSA-N Beta-D-1-Arabinofuranosylthymine Natural products O=C1NC(=O)C(C)=CN1C1C(O)C(O)C(CO)O1 DWRXFEITVBNRMK-UHFFFAOYSA-N 0.000 description 2
- 102100026189 Beta-galactosidase Human genes 0.000 description 2
- 241000701822 Bovine papillomavirus Species 0.000 description 2
- OYPRJOBELJOOCE-UHFFFAOYSA-N Calcium Chemical compound [Ca] OYPRJOBELJOOCE-UHFFFAOYSA-N 0.000 description 2
- KLWPJMFMVPTNCC-UHFFFAOYSA-N Camptothecin Natural products CCC1(O)C(=O)OCC2=C1C=C3C4Nc5ccccc5C=C4CN3C2=O KLWPJMFMVPTNCC-UHFFFAOYSA-N 0.000 description 2
- 241000282465 Canis Species 0.000 description 2
- 241000282472 Canis lupus familiaris Species 0.000 description 2
- 101710158575 Cap-specific mRNA (nucleoside-2'-O-)-methyltransferase Proteins 0.000 description 2
- OKTJSMMVPCPJKN-UHFFFAOYSA-N Carbon Chemical compound [C] OKTJSMMVPCPJKN-UHFFFAOYSA-N 0.000 description 2
- OKTJSMMVPCPJKN-NJFSPNSNSA-N Carbon-14 Chemical compound [14C] OKTJSMMVPCPJKN-NJFSPNSNSA-N 0.000 description 2
- 201000009030 Carcinoma Diseases 0.000 description 2
- DLGOEMSEDOSKAD-UHFFFAOYSA-N Carmustine Chemical compound ClCCNC(=O)N(N=O)CCCl DLGOEMSEDOSKAD-UHFFFAOYSA-N 0.000 description 2
- 208000018652 Closed Head injury Diseases 0.000 description 2
- 108020004705 Codon Proteins 0.000 description 2
- 241000699800 Cricetinae Species 0.000 description 2
- 239000004971 Cross linker Substances 0.000 description 2
- XZMCDFZZKTWFGF-UHFFFAOYSA-N Cyanamide Chemical compound NC#N XZMCDFZZKTWFGF-UHFFFAOYSA-N 0.000 description 2
- 241000701022 Cytomegalovirus Species 0.000 description 2
- 101710112752 Cytotoxin Proteins 0.000 description 2
- WQZGKKKJIJFFOK-QTVWNMPRSA-N D-mannopyranose Chemical compound OC[C@H]1OC(O)[C@@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-QTVWNMPRSA-N 0.000 description 2
- 108010092160 Dactinomycin Proteins 0.000 description 2
- 206010011878 Deafness Diseases 0.000 description 2
- 108010053770 Deoxyribonucleases Proteins 0.000 description 2
- 102000016911 Deoxyribonucleases Human genes 0.000 description 2
- 229920002307 Dextran Polymers 0.000 description 2
- 206010012689 Diabetic retinopathy Diseases 0.000 description 2
- RTZKZFJDLAIYFH-UHFFFAOYSA-N Diethyl ether Chemical compound CCOCC RTZKZFJDLAIYFH-UHFFFAOYSA-N 0.000 description 2
- 201000010374 Down Syndrome Diseases 0.000 description 2
- 206010059866 Drug resistance Diseases 0.000 description 2
- 239000006144 Dulbecco’s modified Eagle's medium Substances 0.000 description 2
- 108010014258 Elastin Proteins 0.000 description 2
- 102000016942 Elastin Human genes 0.000 description 2
- 206010014733 Endometrial cancer Diseases 0.000 description 2
- 206010014759 Endometrial neoplasm Diseases 0.000 description 2
- 102000050554 Eph Family Receptors Human genes 0.000 description 2
- HTIJFSOGRVMCQR-UHFFFAOYSA-N Epirubicin Natural products COc1cccc2C(=O)c3c(O)c4CC(O)(CC(OC5CC(N)C(=O)C(C)O5)c4c(O)c3C(=O)c12)C(=O)CO HTIJFSOGRVMCQR-UHFFFAOYSA-N 0.000 description 2
- 101100390711 Escherichia coli (strain K12) fhuA gene Proteins 0.000 description 2
- 229930189413 Esperamicin Natural products 0.000 description 2
- 241000206602 Eukaryota Species 0.000 description 2
- 101710082714 Exotoxin A Proteins 0.000 description 2
- 241000282326 Felis catus Species 0.000 description 2
- 241000724791 Filamentous phage Species 0.000 description 2
- 108010015133 Galactose oxidase Proteins 0.000 description 2
- 208000010412 Glaucoma Diseases 0.000 description 2
- 108090000144 Human Proteins Proteins 0.000 description 2
- 102000003839 Human Proteins Human genes 0.000 description 2
- 208000023105 Huntington disease Diseases 0.000 description 2
- OAKJQQAXSVQMHS-UHFFFAOYSA-N Hydrazine Chemical compound NN OAKJQQAXSVQMHS-UHFFFAOYSA-N 0.000 description 2
- 108010058683 Immobilized Proteins Proteins 0.000 description 2
- 108700005091 Immunoglobulin Genes Proteins 0.000 description 2
- 208000022559 Inflammatory bowel disease Diseases 0.000 description 2
- 102000004877 Insulin Human genes 0.000 description 2
- 108090001061 Insulin Proteins 0.000 description 2
- ZCYVEMRRCGMTRW-AHCXROLUSA-N Iodine-123 Chemical compound [123I] ZCYVEMRRCGMTRW-AHCXROLUSA-N 0.000 description 2
- QNAYBMKLOCPYGJ-REOHCLBHSA-N L-alanine Chemical compound C[C@H](N)C(O)=O QNAYBMKLOCPYGJ-REOHCLBHSA-N 0.000 description 2
- AYFVYJQAPQTCCC-GBXIJSLDSA-N L-threonine Chemical compound C[C@@H](O)[C@H](N)C(O)=O AYFVYJQAPQTCCC-GBXIJSLDSA-N 0.000 description 2
- QIVBCDIJIAJPQS-VIFPVBQESA-N L-tryptophane Chemical compound C1=CC=C2C(C[C@H](N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-VIFPVBQESA-N 0.000 description 2
- 235000019687 Lamb Nutrition 0.000 description 2
- ROHFNLRQFUQHCH-UHFFFAOYSA-N Leucine Natural products CC(C)CC(N)C(O)=O ROHFNLRQFUQHCH-UHFFFAOYSA-N 0.000 description 2
- 206010058467 Lung neoplasm malignant Diseases 0.000 description 2
- 239000006137 Luria-Bertani broth Substances 0.000 description 2
- 206010025323 Lymphomas Diseases 0.000 description 2
- 208000027530 Meniere disease Diseases 0.000 description 2
- 102000003792 Metallothionein Human genes 0.000 description 2
- 108090000157 Metallothionein Proteins 0.000 description 2
- 102000029749 Microtubule Human genes 0.000 description 2
- 108091022875 Microtubule Proteins 0.000 description 2
- 229930192392 Mitomycin Natural products 0.000 description 2
- 244000302512 Momordica charantia Species 0.000 description 2
- 235000009811 Momordica charantia Nutrition 0.000 description 2
- 241000699660 Mus musculus Species 0.000 description 2
- LRHPLDYGYMQRHN-UHFFFAOYSA-N N-Butanol Chemical compound CCCCO LRHPLDYGYMQRHN-UHFFFAOYSA-N 0.000 description 2
- 238000005481 NMR spectroscopy Methods 0.000 description 2
- RHGKLRLOHDJJDR-UHFFFAOYSA-N Ndelta-carbamoyl-DL-ornithine Natural products OC(=O)C(N)CCCNC(N)=O RHGKLRLOHDJJDR-UHFFFAOYSA-N 0.000 description 2
- 206010029260 Neuroblastoma Diseases 0.000 description 2
- 230000004989 O-glycosylation Effects 0.000 description 2
- 102000004316 Oxidoreductases Human genes 0.000 description 2
- 108090000854 Oxidoreductases Proteins 0.000 description 2
- 206010033799 Paralysis Diseases 0.000 description 2
- 208000018737 Parkinson disease Diseases 0.000 description 2
- 206010034620 Peripheral sensory neuropathy Diseases 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-N Phosphoric acid Chemical compound OP(O)(O)=O NBIIXXVUZAFLBC-UHFFFAOYSA-N 0.000 description 2
- 101100413173 Phytolacca americana PAP2 gene Proteins 0.000 description 2
- 108010038512 Platelet-Derived Growth Factor Proteins 0.000 description 2
- 102000010780 Platelet-Derived Growth Factor Human genes 0.000 description 2
- 206010036790 Productive cough Diseases 0.000 description 2
- NBBJYMSMWIIQGU-UHFFFAOYSA-N Propionic aldehyde Chemical compound CCC=O NBBJYMSMWIIQGU-UHFFFAOYSA-N 0.000 description 2
- 206010060862 Prostate cancer Diseases 0.000 description 2
- 208000000236 Prostatic Neoplasms Diseases 0.000 description 2
- 102000004022 Protein-Tyrosine Kinases Human genes 0.000 description 2
- 108090000412 Protein-Tyrosine Kinases Proteins 0.000 description 2
- 241000589517 Pseudomonas aeruginosa Species 0.000 description 2
- 239000012980 RPMI-1640 medium Substances 0.000 description 2
- 101710100968 Receptor tyrosine-protein kinase erbB-2 Proteins 0.000 description 2
- 108020004511 Recombinant DNA Proteins 0.000 description 2
- 102000007056 Recombinant Fusion Proteins Human genes 0.000 description 2
- 108010008281 Recombinant Fusion Proteins Proteins 0.000 description 2
- 208000017442 Retinal disease Diseases 0.000 description 2
- 206010038923 Retinopathy Diseases 0.000 description 2
- 206010038934 Retinopathy proliferative Diseases 0.000 description 2
- 208000004337 Salivary Gland Neoplasms Diseases 0.000 description 2
- 206010061934 Salivary gland cancer Diseases 0.000 description 2
- MTCFGRXMJLQNBG-UHFFFAOYSA-N Serine Natural products OCC(N)C(O)=O MTCFGRXMJLQNBG-UHFFFAOYSA-N 0.000 description 2
- 241000607768 Shigella Species 0.000 description 2
- 101710084578 Short neurotoxin 1 Proteins 0.000 description 2
- CDBYLPFSWZWCQE-UHFFFAOYSA-L Sodium Carbonate Chemical compound [Na+].[Na+].[O-]C([O-])=O CDBYLPFSWZWCQE-UHFFFAOYSA-L 0.000 description 2
- VMHLLURERBWHNL-UHFFFAOYSA-M Sodium acetate Chemical compound [Na+].CC([O-])=O VMHLLURERBWHNL-UHFFFAOYSA-M 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-L Sulfate Chemical compound [O-]S([O-])(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-L 0.000 description 2
- CYQFCXCEBYINGO-UHFFFAOYSA-N THC Natural products C1=C(C)CCC2C(C)(C)OC3=CC(CCCCC)=CC(O)=C3C21 CYQFCXCEBYINGO-UHFFFAOYSA-N 0.000 description 2
- 239000004098 Tetracycline Substances 0.000 description 2
- FOCVUCIESVLUNU-UHFFFAOYSA-N Thiotepa Chemical compound C1CN1P(N1CC1)(=S)N1CC1 FOCVUCIESVLUNU-UHFFFAOYSA-N 0.000 description 2
- 239000004473 Threonine Substances 0.000 description 2
- 208000024770 Thyroid neoplasm Diseases 0.000 description 2
- 101710183280 Topoisomerase Proteins 0.000 description 2
- 101710182532 Toxin a Proteins 0.000 description 2
- 206010044688 Trisomy 21 Diseases 0.000 description 2
- QIVBCDIJIAJPQS-UHFFFAOYSA-N Tryptophan Natural products C1=CC=C2C(CC(N)C(O)=O)=CNC2=C1 QIVBCDIJIAJPQS-UHFFFAOYSA-N 0.000 description 2
- 102000004243 Tubulin Human genes 0.000 description 2
- 108090000704 Tubulin Proteins 0.000 description 2
- DRTQHJPVMGBUCF-XVFCMESISA-N Uridine Chemical compound O[C@@H]1[C@H](O)[C@@H](CO)O[C@H]1N1C(=O)NC(=O)C=C1 DRTQHJPVMGBUCF-XVFCMESISA-N 0.000 description 2
- 208000002495 Uterine Neoplasms Diseases 0.000 description 2
- 208000036826 VIIth nerve paralysis Diseases 0.000 description 2
- 244000000188 Vaccinium ovalifolium Species 0.000 description 2
- JLCPHMBAVCMARE-UHFFFAOYSA-N [3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[3-[[5-(2-amino-6-oxo-1H-purin-9-yl)-3-[[3-[[3-[[3-[[3-[[3-[[5-(2-amino-6-oxo-1H-purin-9-yl)-3-[[5-(2-amino-6-oxo-1H-purin-9-yl)-3-hydroxyoxolan-2-yl]methoxy-hydroxyphosphoryl]oxyoxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxyoxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(5-methyl-2,4-dioxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(6-aminopurin-9-yl)oxolan-2-yl]methoxy-hydroxyphosphoryl]oxy-5-(4-amino-2-oxopyrimidin-1-yl)oxolan-2-yl]methyl [5-(6-aminopurin-9-yl)-2-(hydroxymethyl)oxolan-3-yl] hydrogen phosphate Polymers Cc1cn(C2CC(OP(O)(=O)OCC3OC(CC3OP(O)(=O)OCC3OC(CC3O)n3cnc4c3nc(N)[nH]c4=O)n3cnc4c3nc(N)[nH]c4=O)C(COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3COP(O)(=O)OC3CC(OC3CO)n3cnc4c(N)ncnc34)n3ccc(N)nc3=O)n3cnc4c(N)ncnc34)n3ccc(N)nc3=O)n3ccc(N)nc3=O)n3ccc(N)nc3=O)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)n3cc(C)c(=O)[nH]c3=O)n3cc(C)c(=O)[nH]c3=O)n3ccc(N)nc3=O)n3cc(C)c(=O)[nH]c3=O)n3cnc4c3nc(N)[nH]c4=O)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)n3cnc4c(N)ncnc34)O2)c(=O)[nH]c1=O JLCPHMBAVCMARE-UHFFFAOYSA-N 0.000 description 2
- IEDXPSOJFSVCKU-HOKPPMCLSA-N [4-[[(2S)-5-(carbamoylamino)-2-[[(2S)-2-[6-(2,5-dioxopyrrolidin-1-yl)hexanoylamino]-3-methylbutanoyl]amino]pentanoyl]amino]phenyl]methyl N-[(2S)-1-[[(2S)-1-[[(3R,4S,5S)-1-[(2S)-2-[(1R,2R)-3-[[(1S,2R)-1-hydroxy-1-phenylpropan-2-yl]amino]-1-methoxy-2-methyl-3-oxopropyl]pyrrolidin-1-yl]-3-methoxy-5-methyl-1-oxoheptan-4-yl]-methylamino]-3-methyl-1-oxobutan-2-yl]amino]-3-methyl-1-oxobutan-2-yl]-N-methylcarbamate Chemical compound CC[C@H](C)[C@@H]([C@@H](CC(=O)N1CCC[C@H]1[C@H](OC)[C@@H](C)C(=O)N[C@H](C)[C@@H](O)c1ccccc1)OC)N(C)C(=O)[C@@H](NC(=O)[C@H](C(C)C)N(C)C(=O)OCc1ccc(NC(=O)[C@H](CCCNC(N)=O)NC(=O)[C@@H](NC(=O)CCCCCN2C(=O)CCC2=O)C(C)C)cc1)C(C)C IEDXPSOJFSVCKU-HOKPPMCLSA-N 0.000 description 2
- DZBUGLKDJFMEHC-UHFFFAOYSA-N acridine Chemical compound C1=CC=CC2=CC3=CC=CC=C3N=C21 DZBUGLKDJFMEHC-UHFFFAOYSA-N 0.000 description 2
- RJURFGZVJUQBHK-UHFFFAOYSA-N actinomycin D Natural products CC1OC(=O)C(C(C)C)N(C)C(=O)CN(C)C(=O)C2CCCN2C(=O)C(C(C)C)NC(=O)C1NC(=O)C1=C(N)C(=O)C(C)=C2OC(C(C)=CC=C3C(=O)NC4C(=O)NC(C(N5CCCC5C(=O)N(C)CC(=O)N(C)C(C(C)C)C(=O)OC4C)=O)C(C)C)=C3N=C21 RJURFGZVJUQBHK-UHFFFAOYSA-N 0.000 description 2
- 230000003213 activating effect Effects 0.000 description 2
- OIRDTQYFTABQOQ-KQYNXXCUSA-N adenosine Chemical compound C1=NC=2C(N)=NC=NC=2N1[C@@H]1O[C@H](CO)[C@@H](O)[C@H]1O OIRDTQYFTABQOQ-KQYNXXCUSA-N 0.000 description 2
- 239000002671 adjuvant Substances 0.000 description 2
- 230000002411 adverse Effects 0.000 description 2
- 230000002776 aggregation Effects 0.000 description 2
- 238000004220 aggregation Methods 0.000 description 2
- 235000004279 alanine Nutrition 0.000 description 2
- 238000012867 alanine scanning Methods 0.000 description 2
- 108010011559 alanylphenylalanine Proteins 0.000 description 2
- 229940100198 alkylating agent Drugs 0.000 description 2
- 239000002168 alkylating agent Substances 0.000 description 2
- WQZGKKKJIJFFOK-PHYPRBDBSA-N alpha-D-galactose Chemical compound OC[C@H]1O[C@H](O)[C@H](O)[C@@H](O)[C@H]1O WQZGKKKJIJFFOK-PHYPRBDBSA-N 0.000 description 2
- ROBVIMPUHSLWNV-UHFFFAOYSA-N aminoglutethimide Chemical compound C=1C=C(N)C=CC=1C1(CC)CCC(=O)NC1=O ROBVIMPUHSLWNV-UHFFFAOYSA-N 0.000 description 2
- 229960003437 aminoglutethimide Drugs 0.000 description 2
- 229960003896 aminopterin Drugs 0.000 description 2
- 238000012870 ammonium sulfate precipitation Methods 0.000 description 2
- 206010002022 amyloidosis Diseases 0.000 description 2
- YBBLVLTVTVSKRW-UHFFFAOYSA-N anastrozole Chemical compound N#CC(C)(C)C1=CC(C(C)(C#N)C)=CC(CN2N=CN=C2)=C1 YBBLVLTVTVSKRW-UHFFFAOYSA-N 0.000 description 2
- 239000002870 angiogenesis inducing agent Substances 0.000 description 2
- 230000001772 anti-angiogenic effect Effects 0.000 description 2
- 230000000259 anti-tumor effect Effects 0.000 description 2
- 238000011091 antibody purification Methods 0.000 description 2
- 230000005875 antibody response Effects 0.000 description 2
- 230000005744 arteriovenous malformation Effects 0.000 description 2
- 206010003246 arthritis Diseases 0.000 description 2
- 125000004429 atom Chemical group 0.000 description 2
- 230000035578 autophosphorylation Effects 0.000 description 2
- 229940120638 avastin Drugs 0.000 description 2
- 108010005774 beta-Galactosidase Proteins 0.000 description 2
- IQFYYKKMVGJFEH-UHFFFAOYSA-N beta-L-thymidine Natural products O=C1NC(=O)C(C)=CN1C1OC(CO)C(O)C1 IQFYYKKMVGJFEH-UHFFFAOYSA-N 0.000 description 2
- QZPQTZZNNJUOLS-UHFFFAOYSA-N beta-lapachone Chemical compound C12=CC=CC=C2C(=O)C(=O)C2=C1OC(C)(C)CC2 QZPQTZZNNJUOLS-UHFFFAOYSA-N 0.000 description 2
- 239000011230 binding agent Substances 0.000 description 2
- 230000033228 biological regulation Effects 0.000 description 2
- 238000001815 biotherapy Methods 0.000 description 2
- JCXGWMGPZLAOME-UHFFFAOYSA-N bismuth atom Chemical compound [Bi] JCXGWMGPZLAOME-UHFFFAOYSA-N 0.000 description 2
- DQXBYHZEEUGOBF-UHFFFAOYSA-N but-3-enoic acid;ethene Chemical compound C=C.OC(=O)CC=C DQXBYHZEEUGOBF-UHFFFAOYSA-N 0.000 description 2
- 239000011575 calcium Substances 0.000 description 2
- 229910052791 calcium Inorganic materials 0.000 description 2
- 229940127093 camptothecin Drugs 0.000 description 2
- 239000012830 cancer therapeutic Substances 0.000 description 2
- 229910052799 carbon Inorganic materials 0.000 description 2
- YCIMNLLNPGFGHC-UHFFFAOYSA-N catechol Chemical compound OC1=CC=CC=C1O YCIMNLLNPGFGHC-UHFFFAOYSA-N 0.000 description 2
- 239000003729 cation exchange resin Substances 0.000 description 2
- 210000002421 cell wall Anatomy 0.000 description 2
- 230000001413 cellular effect Effects 0.000 description 2
- 239000001913 cellulose Substances 0.000 description 2
- 229920002678 cellulose Polymers 0.000 description 2
- 238000005119 centrifugation Methods 0.000 description 2
- 238000012412 chemical coupling Methods 0.000 description 2
- 239000003638 chemical reducing agent Substances 0.000 description 2
- 230000000973 chemotherapeutic effect Effects 0.000 description 2
- JCKYGMPEJWAADB-UHFFFAOYSA-N chlorambucil Chemical compound OC(=O)CCCC1=CC=C(N(CCCl)CCCl)C=C1 JCKYGMPEJWAADB-UHFFFAOYSA-N 0.000 description 2
- 229960004630 chlorambucil Drugs 0.000 description 2
- 235000013477 citrulline Nutrition 0.000 description 2
- ACSIXWWBWUQEHA-UHFFFAOYSA-N clodronic acid Chemical compound OP(O)(=O)C(Cl)(Cl)P(O)(O)=O ACSIXWWBWUQEHA-UHFFFAOYSA-N 0.000 description 2
- 238000004581 coalescence Methods 0.000 description 2
- 239000011248 coating agent Substances 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 230000009137 competitive binding Effects 0.000 description 2
- 230000008878 coupling Effects 0.000 description 2
- 238000005859 coupling reaction Methods 0.000 description 2
- NZNMSOFKMUBTKW-UHFFFAOYSA-N cyclohexanecarboxylic acid Chemical compound OC(=O)C1CCCCC1 NZNMSOFKMUBTKW-UHFFFAOYSA-N 0.000 description 2
- 229960004397 cyclophosphamide Drugs 0.000 description 2
- 230000009089 cytolysis Effects 0.000 description 2
- 210000000805 cytoplasm Anatomy 0.000 description 2
- 239000000824 cytostatic agent Substances 0.000 description 2
- 239000002619 cytotoxin Substances 0.000 description 2
- 229960003901 dacarbazine Drugs 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 231100000895 deafness Toxicity 0.000 description 2
- 230000007423 decrease Effects 0.000 description 2
- 206010012601 diabetes mellitus Diseases 0.000 description 2
- 238000000502 dialysis Methods 0.000 description 2
- 230000029087 digestion Effects 0.000 description 2
- 238000006471 dimerization reaction Methods 0.000 description 2
- XBDQKXXYIPTUBI-UHFFFAOYSA-N dimethylselenoniopropionate Natural products CCC(O)=O XBDQKXXYIPTUBI-UHFFFAOYSA-N 0.000 description 2
- 206010013023 diphtheria Diseases 0.000 description 2
- 229940042399 direct acting antivirals protease inhibitors Drugs 0.000 description 2
- 125000002228 disulfide group Chemical group 0.000 description 2
- 150000004662 dithiols Chemical class 0.000 description 2
- VSJKWCGYPAHWDS-UHFFFAOYSA-N dl-camptothecin Natural products C1=CC=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)C5(O)CC)C4=NC2=C1 VSJKWCGYPAHWDS-UHFFFAOYSA-N 0.000 description 2
- 229960003668 docetaxel Drugs 0.000 description 2
- VLCYCQAOQCDTCN-UHFFFAOYSA-N eflornithine Chemical compound NCCCC(N)(C(F)F)C(O)=O VLCYCQAOQCDTCN-UHFFFAOYSA-N 0.000 description 2
- 229920002549 elastin Polymers 0.000 description 2
- 238000004520 electroporation Methods 0.000 description 2
- 239000005712 elicitor Substances 0.000 description 2
- 238000001976 enzyme digestion Methods 0.000 description 2
- 206010015037 epilepsy Diseases 0.000 description 2
- 229960001904 epirubicin Drugs 0.000 description 2
- LJQQFQHBKUKHIS-WJHRIEJJSA-N esperamicin Chemical compound O1CC(NC(C)C)C(OC)CC1OC1C(O)C(NOC2OC(C)C(SC)C(O)C2)C(C)OC1OC1C(\C2=C/CSSSC)=C(NC(=O)OC)C(=O)C(OC3OC(C)C(O)C(OC(=O)C=4C(=CC(OC)=C(OC)C=4)NC(=O)C(=C)OC)C3)C2(O)C#C\C=C/C#C1 LJQQFQHBKUKHIS-WJHRIEJJSA-N 0.000 description 2
- 238000012869 ethanol precipitation Methods 0.000 description 2
- 239000005038 ethylene vinyl acetate Substances 0.000 description 2
- 229960005420 etoposide Drugs 0.000 description 2
- 230000005284 excitation Effects 0.000 description 2
- 210000003754 fetus Anatomy 0.000 description 2
- 238000001914 filtration Methods 0.000 description 2
- 150000002222 fluorine compounds Chemical class 0.000 description 2
- OVBPIULPVIDEAO-LBPRGKRZSA-N folic acid Chemical compound C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-LBPRGKRZSA-N 0.000 description 2
- 238000005194 fractionation Methods 0.000 description 2
- 125000000524 functional group Chemical group 0.000 description 2
- CHPZKNULDCNCBW-UHFFFAOYSA-N gallium nitrate Chemical compound [Ga+3].[O-][N+]([O-])=O.[O-][N+]([O-])=O.[O-][N+]([O-])=O CHPZKNULDCNCBW-UHFFFAOYSA-N 0.000 description 2
- 238000001502 gel electrophoresis Methods 0.000 description 2
- 229960003297 gemtuzumab ozogamicin Drugs 0.000 description 2
- 238000003500 gene array Methods 0.000 description 2
- 238000003209 gene knockout Methods 0.000 description 2
- 210000004392 genitalia Anatomy 0.000 description 2
- 208000005017 glioblastoma Diseases 0.000 description 2
- 235000013922 glutamic acid Nutrition 0.000 description 2
- 239000004220 glutamic acid Substances 0.000 description 2
- RWSXRVCMGQZWBV-WDSKDSINSA-N glutathione Chemical compound OC(=O)[C@@H](N)CCC(=O)N[C@@H](CS)C(=O)NCC(O)=O RWSXRVCMGQZWBV-WDSKDSINSA-N 0.000 description 2
- 150000004676 glycans Chemical class 0.000 description 2
- 235000011187 glycerol Nutrition 0.000 description 2
- 239000003102 growth factor Substances 0.000 description 2
- 150000004820 halides Chemical class 0.000 description 2
- 201000010536 head and neck cancer Diseases 0.000 description 2
- 208000014829 head and neck neoplasm Diseases 0.000 description 2
- 208000016354 hearing loss disease Diseases 0.000 description 2
- 201000011066 hemangioma Diseases 0.000 description 2
- 210000003958 hematopoietic stem cell Anatomy 0.000 description 2
- DMEGYFMYUHOHGS-UHFFFAOYSA-N heptamethylene Natural products C1CCCCCC1 DMEGYFMYUHOHGS-UHFFFAOYSA-N 0.000 description 2
- 238000004128 high performance liquid chromatography Methods 0.000 description 2
- 235000014304 histidine Nutrition 0.000 description 2
- 229920001519 homopolymer Polymers 0.000 description 2
- 238000001794 hormone therapy Methods 0.000 description 2
- 238000009396 hybridization Methods 0.000 description 2
- 239000000017 hydrogel Substances 0.000 description 2
- 229910052739 hydrogen Inorganic materials 0.000 description 2
- NPZTUJOABDZTLV-UHFFFAOYSA-N hydroxybenzotriazole Chemical class O=C1C=CC=C2NNN=C12 NPZTUJOABDZTLV-UHFFFAOYSA-N 0.000 description 2
- 229910052588 hydroxylapatite Inorganic materials 0.000 description 2
- 230000001969 hypertrophic effect Effects 0.000 description 2
- FDGQSTZJBFJUBT-UHFFFAOYSA-N hypoxanthine Chemical compound O=C1NC=NC2=C1NC=N2 FDGQSTZJBFJUBT-UHFFFAOYSA-N 0.000 description 2
- 229960001101 ifosfamide Drugs 0.000 description 2
- HOMGKSMUEGBAAB-UHFFFAOYSA-N ifosfamide Chemical compound ClCCNP1(=O)OCCCN1CCCl HOMGKSMUEGBAAB-UHFFFAOYSA-N 0.000 description 2
- YLMAHDNUQAMNNX-UHFFFAOYSA-N imatinib methanesulfonate Chemical compound CS(O)(=O)=O.C1CN(C)CCN1CC1=CC=C(C(=O)NC=2C=C(NC=3N=C(C=CN=3)C=3C=NC=CC=3)C(C)=CC=2)C=C1 YLMAHDNUQAMNNX-UHFFFAOYSA-N 0.000 description 2
- 150000002466 imines Chemical class 0.000 description 2
- 210000002865 immune cell Anatomy 0.000 description 2
- 238000001114 immunoprecipitation Methods 0.000 description 2
- 238000009169 immunotherapy Methods 0.000 description 2
- 230000002637 immunotoxin Effects 0.000 description 2
- 229940051026 immunotoxin Drugs 0.000 description 2
- 231100000608 immunotoxin Toxicity 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 238000000099 in vitro assay Methods 0.000 description 2
- 238000010348 incorporation Methods 0.000 description 2
- APFVFJFRJDLVQX-AHCXROLUSA-N indium-111 Chemical compound [111In] APFVFJFRJDLVQX-AHCXROLUSA-N 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 229940125396 insulin Drugs 0.000 description 2
- 239000000138 intercalating agent Substances 0.000 description 2
- 238000005342 ion exchange Methods 0.000 description 2
- 230000000302 ischemic effect Effects 0.000 description 2
- 201000010901 lateral sclerosis Diseases 0.000 description 2
- HPJKCIUCZWXJDR-UHFFFAOYSA-N letrozole Chemical compound C1=CC(C#N)=CC=C1C(N1N=CN=C1)C1=CC=C(C#N)C=C1 HPJKCIUCZWXJDR-UHFFFAOYSA-N 0.000 description 2
- RGLRXNKKBLIBQS-XNHQSDQCSA-N leuprolide acetate Chemical compound CC(O)=O.CCNC(=O)[C@@H]1CCCN1C(=O)[C@H](CCCNC(N)=N)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](CC(C)C)NC(=O)[C@@H](NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1N=CNC=1)NC(=O)[C@H]1NC(=O)CC1)CC1=CC=C(O)C=C1 RGLRXNKKBLIBQS-XNHQSDQCSA-N 0.000 description 2
- 238000011068 loading method Methods 0.000 description 2
- 210000004072 lung Anatomy 0.000 description 2
- 201000005249 lung adenocarcinoma Diseases 0.000 description 2
- 201000005202 lung cancer Diseases 0.000 description 2
- 208000020816 lung neoplasm Diseases 0.000 description 2
- 230000036210 malignancy Effects 0.000 description 2
- 230000008774 maternal effect Effects 0.000 description 2
- 229960004961 mechlorethamine Drugs 0.000 description 2
- HAWPXGHAZFHHAD-UHFFFAOYSA-N mechlorethamine Chemical class ClCCN(C)CCCl HAWPXGHAZFHHAD-UHFFFAOYSA-N 0.000 description 2
- 230000001404 mediated effect Effects 0.000 description 2
- 229960001924 melphalan Drugs 0.000 description 2
- SGDBTWWWUNNDEQ-LBPRGKRZSA-N melphalan Chemical compound OC(=O)[C@@H](N)CC1=CC=C(N(CCCl)CCCl)C=C1 SGDBTWWWUNNDEQ-LBPRGKRZSA-N 0.000 description 2
- 210000004379 membrane Anatomy 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 206010061289 metastatic neoplasm Diseases 0.000 description 2
- 125000001360 methionine group Chemical group N[C@@H](CCSC)C(=O)* 0.000 description 2
- HPNSFSBZBAHARI-UHFFFAOYSA-N micophenolic acid Natural products OC1=C(CC=C(C)CCC(O)=O)C(OC)=C(C)C2=C1C(=O)OC2 HPNSFSBZBAHARI-UHFFFAOYSA-N 0.000 description 2
- 239000004005 microsphere Substances 0.000 description 2
- 210000004688 microtubule Anatomy 0.000 description 2
- 230000005012 migration Effects 0.000 description 2
- 238000013508 migration Methods 0.000 description 2
- 239000003226 mitogen Substances 0.000 description 2
- 229960001156 mitoxantrone Drugs 0.000 description 2
- 238000002156 mixing Methods 0.000 description 2
- 229940035032 monophosphoryl lipid a Drugs 0.000 description 2
- 201000006417 multiple sclerosis Diseases 0.000 description 2
- 229960000951 mycophenolic acid Drugs 0.000 description 2
- HPNSFSBZBAHARI-RUDMXATFSA-N mycophenolic acid Chemical compound OC1=C(C\C=C(/C)CCC(O)=O)C(OC)=C(C)C2=C1C(=O)OC2 HPNSFSBZBAHARI-RUDMXATFSA-N 0.000 description 2
- LBWFXVZLPYTWQI-IPOVEDGCSA-N n-[2-(diethylamino)ethyl]-5-[(z)-(5-fluoro-2-oxo-1h-indol-3-ylidene)methyl]-2,4-dimethyl-1h-pyrrole-3-carboxamide;(2s)-2-hydroxybutanedioic acid Chemical compound OC(=O)[C@@H](O)CC(O)=O.CCN(CC)CCNC(=O)C1=C(C)NC(\C=C/2C3=CC(F)=CC=C3NC\2=O)=C1C LBWFXVZLPYTWQI-IPOVEDGCSA-N 0.000 description 2
- 239000002105 nanoparticle Substances 0.000 description 2
- 229940086322 navelbine Drugs 0.000 description 2
- 201000003142 neovascular glaucoma Diseases 0.000 description 2
- 230000000926 neurological effect Effects 0.000 description 2
- 230000003961 neuronal insult Effects 0.000 description 2
- 210000000440 neutrophil Anatomy 0.000 description 2
- 208000002154 non-small cell lung carcinoma Diseases 0.000 description 2
- 239000012038 nucleophile Substances 0.000 description 2
- 230000001590 oxidative effect Effects 0.000 description 2
- WRUUGTRCQOWXEG-UHFFFAOYSA-N pamidronate Chemical compound NCCC(O)(P(O)(O)=O)P(O)(O)=O WRUUGTRCQOWXEG-UHFFFAOYSA-N 0.000 description 2
- 230000007170 pathology Effects 0.000 description 2
- 230000037361 pathway Effects 0.000 description 2
- XYJRXVWERLGGKC-UHFFFAOYSA-D pentacalcium;hydroxide;triphosphate Chemical compound [OH-].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[Ca+2].[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O.[O-]P([O-])([O-])=O XYJRXVWERLGGKC-UHFFFAOYSA-D 0.000 description 2
- AQIXEPGDORPWBJ-UHFFFAOYSA-N pentan-3-ol Chemical compound CCC(O)CC AQIXEPGDORPWBJ-UHFFFAOYSA-N 0.000 description 2
- 239000000137 peptide hydrolase inhibitor Substances 0.000 description 2
- 238000010647 peptide synthesis reaction Methods 0.000 description 2
- 210000005105 peripheral blood lymphocyte Anatomy 0.000 description 2
- 201000002628 peritoneum cancer Diseases 0.000 description 2
- 239000008194 pharmaceutical composition Substances 0.000 description 2
- YBYRMVIVWMBXKQ-UHFFFAOYSA-N phenylmethanesulfonyl fluoride Chemical compound FS(=O)(=O)CC1=CC=CC=C1 YBYRMVIVWMBXKQ-UHFFFAOYSA-N 0.000 description 2
- NBIIXXVUZAFLBC-UHFFFAOYSA-K phosphate Chemical compound [O-]P([O-])([O-])=O NBIIXXVUZAFLBC-UHFFFAOYSA-K 0.000 description 2
- 230000004962 physiological condition Effects 0.000 description 2
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 2
- 229920001200 poly(ethylene-vinyl acetate) Polymers 0.000 description 2
- 238000002264 polyacrylamide gel electrophoresis Methods 0.000 description 2
- 229920001282 polysaccharide Polymers 0.000 description 2
- 239000005017 polysaccharide Substances 0.000 description 2
- 235000019422 polyvinyl alcohol Nutrition 0.000 description 2
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 2
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 2
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 2
- 150000004032 porphyrins Chemical class 0.000 description 2
- 235000019833 protease Nutrition 0.000 description 2
- 125000006239 protecting group Chemical group 0.000 description 2
- 238000001742 protein purification Methods 0.000 description 2
- 230000017854 proteolysis Effects 0.000 description 2
- 229940024999 proteolytic enzymes for treatment of wounds and ulcers Drugs 0.000 description 2
- ZCCUUQDIBDJBTK-UHFFFAOYSA-N psoralen Chemical compound C1=C2OC(=O)C=CC2=CC2=C1OC=C2 ZCCUUQDIBDJBTK-UHFFFAOYSA-N 0.000 description 2
- 230000005180 public health Effects 0.000 description 2
- RXWNCPJZOCPEPQ-NVWDDTSBSA-N puromycin Chemical compound C1=CC(OC)=CC=C1C[C@H](N)C(=O)N[C@H]1[C@@H](O)[C@H](N2C3=NC=NC(=C3N=C2)N(C)C)O[C@@H]1CO RXWNCPJZOCPEPQ-NVWDDTSBSA-N 0.000 description 2
- 238000010791 quenching Methods 0.000 description 2
- 230000000171 quenching effect Effects 0.000 description 2
- 229960004622 raloxifene Drugs 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 239000011347 resin Substances 0.000 description 2
- 229920005989 resin Polymers 0.000 description 2
- GHMLBKRAJCXXBS-UHFFFAOYSA-N resorcinol Chemical compound OC1=CC=CC(O)=C1 GHMLBKRAJCXXBS-UHFFFAOYSA-N 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 238000004007 reversed phase HPLC Methods 0.000 description 2
- 230000028327 secretion Effects 0.000 description 2
- 238000010187 selection method Methods 0.000 description 2
- 229940095743 selective estrogen receptor modulator Drugs 0.000 description 2
- 239000000333 selective estrogen receptor modulator Substances 0.000 description 2
- 230000035945 sensitivity Effects 0.000 description 2
- 201000005572 sensory peripheral neuropathy Diseases 0.000 description 2
- 230000035939 shock Effects 0.000 description 2
- 239000001632 sodium acetate Substances 0.000 description 2
- 235000017281 sodium acetate Nutrition 0.000 description 2
- 238000002415 sodium dodecyl sulfate polyacrylamide gel electrophoresis Methods 0.000 description 2
- 125000006850 spacer group Chemical group 0.000 description 2
- 238000001228 spectrum Methods 0.000 description 2
- 208000002320 spinal muscular atrophy Diseases 0.000 description 2
- 210000004989 spleen cell Anatomy 0.000 description 2
- 208000024794 sputum Diseases 0.000 description 2
- 210000003802 sputum Anatomy 0.000 description 2
- 239000003381 stabilizer Substances 0.000 description 2
- 238000011272 standard treatment Methods 0.000 description 2
- PVYJZLYGTZKPJE-UHFFFAOYSA-N streptonigrin Chemical compound C=1C=C2C(=O)C(OC)=C(N)C(=O)C2=NC=1C(C=1N)=NC(C(O)=O)=C(C)C=1C1=CC=C(OC)C(OC)=C1O PVYJZLYGTZKPJE-UHFFFAOYSA-N 0.000 description 2
- 229960001052 streptozocin Drugs 0.000 description 2
- ZSJLQEPLLKMAKR-GKHCUFPYSA-N streptozocin Chemical compound O=NN(C)C(=O)N[C@H]1[C@@H](O)O[C@H](CO)[C@@H](O)[C@@H]1O ZSJLQEPLLKMAKR-GKHCUFPYSA-N 0.000 description 2
- KZNICNPSHKQLFF-UHFFFAOYSA-N succinimide Chemical compound O=C1CCC(=O)N1 KZNICNPSHKQLFF-UHFFFAOYSA-N 0.000 description 2
- 150000008163 sugars Chemical class 0.000 description 2
- 229910052717 sulfur Inorganic materials 0.000 description 2
- 230000004083 survival effect Effects 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 229940063683 taxotere Drugs 0.000 description 2
- 229960002180 tetracycline Drugs 0.000 description 2
- 229930101283 tetracycline Natural products 0.000 description 2
- 235000019364 tetracycline Nutrition 0.000 description 2
- 150000003522 tetracyclines Chemical class 0.000 description 2
- 229960001196 thiotepa Drugs 0.000 description 2
- UMGDCJDMYOKAJW-UHFFFAOYSA-N thiourea Chemical group NC(N)=S UMGDCJDMYOKAJW-UHFFFAOYSA-N 0.000 description 2
- 125000000341 threoninyl group Chemical group [H]OC([H])(C([H])([H])[H])C([H])(N([H])[H])C(*)=O 0.000 description 2
- 229940104230 thymidine Drugs 0.000 description 2
- 201000002510 thyroid cancer Diseases 0.000 description 2
- 229960003087 tioguanine Drugs 0.000 description 2
- 238000004448 titration Methods 0.000 description 2
- 231100000331 toxic Toxicity 0.000 description 2
- 230000002588 toxic effect Effects 0.000 description 2
- 238000001890 transfection Methods 0.000 description 2
- 238000003151 transfection method Methods 0.000 description 2
- 230000007704 transition Effects 0.000 description 2
- 238000002054 transplantation Methods 0.000 description 2
- 230000008733 trauma Effects 0.000 description 2
- LZAJKCZTKKKZNT-PMNGPLLRSA-N trichothecene Chemical compound C12([C@@]3(CC[C@H]2OC2C=C(CCC23C)C)C)CO1 LZAJKCZTKKKZNT-PMNGPLLRSA-N 0.000 description 2
- 150000005691 triesters Chemical class 0.000 description 2
- 208000029729 tumor suppressor gene on chromosome 11 Diseases 0.000 description 2
- 108010087967 type I signal peptidase Proteins 0.000 description 2
- 238000000108 ultra-filtration Methods 0.000 description 2
- 241000701161 unidentified adenovirus Species 0.000 description 2
- 241001515965 unidentified phage Species 0.000 description 2
- 206010046766 uterine cancer Diseases 0.000 description 2
- 229910052720 vanadium Inorganic materials 0.000 description 2
- 230000006459 vascular development Effects 0.000 description 2
- 230000008728 vascular permeability Effects 0.000 description 2
- 108700026220 vif Genes Proteins 0.000 description 2
- GBABOYUKABKIAF-IELIFDKJSA-N vinorelbine Chemical compound C1N(CC=2C3=CC=CC=C3NC=22)CC(CC)=C[C@H]1C[C@]2(C(=O)OC)C1=CC([C@]23[C@H]([C@@]([C@H](OC(C)=O)[C@]4(CC)C=CCN([C@H]34)CC2)(O)C(=O)OC)N2C)=C2C=C1OC GBABOYUKABKIAF-IELIFDKJSA-N 0.000 description 2
- 229960002066 vinorelbine Drugs 0.000 description 2
- CILBMBUYJCWATM-PYGJLNRPSA-N vinorelbine ditartrate Chemical compound OC(=O)[C@H](O)[C@@H](O)C(O)=O.OC(=O)[C@H](O)[C@@H](O)C(O)=O.C1N(CC=2C3=CC=CC=C3NC=22)CC(CC)=C[C@H]1C[C@]2(C(=O)OC)C1=CC([C@]23[C@H]([C@@]([C@H](OC(C)=O)[C@]4(CC)C=CCN([C@H]34)CC2)(O)C(=O)OC)N2C)=C2C=C1OC CILBMBUYJCWATM-PYGJLNRPSA-N 0.000 description 2
- 229920003169 water-soluble polymer Polymers 0.000 description 2
- 230000003442 weekly effect Effects 0.000 description 2
- 229960004276 zoledronic acid Drugs 0.000 description 2
- NNJPGOLRFBJNIW-HNNXBMFYSA-N (-)-demecolcine Chemical compound C1=C(OC)C(=O)C=C2[C@@H](NC)CCC3=CC(OC)=C(OC)C(OC)=C3C2=C1 NNJPGOLRFBJNIW-HNNXBMFYSA-N 0.000 description 1
- JKHVDAUOODACDU-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 3-(2,5-dioxopyrrol-1-yl)propanoate Chemical compound O=C1CCC(=O)N1OC(=O)CCN1C(=O)C=CC1=O JKHVDAUOODACDU-UHFFFAOYSA-N 0.000 description 1
- PVGATNRYUYNBHO-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 4-(2,5-dioxopyrrol-1-yl)butanoate Chemical compound O=C1CCC(=O)N1OC(=O)CCCN1C(=O)C=CC1=O PVGATNRYUYNBHO-UHFFFAOYSA-N 0.000 description 1
- PMJWDPGOWBRILU-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 4-[4-(2,5-dioxopyrrol-1-yl)phenyl]butanoate Chemical compound O=C1CCC(=O)N1OC(=O)CCCC(C=C1)=CC=C1N1C(=O)C=CC1=O PMJWDPGOWBRILU-UHFFFAOYSA-N 0.000 description 1
- VLARLSIGSPVYHX-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 6-(2,5-dioxopyrrol-1-yl)hexanoate Chemical compound O=C1CCC(=O)N1OC(=O)CCCCCN1C(=O)C=CC1=O VLARLSIGSPVYHX-UHFFFAOYSA-N 0.000 description 1
- WCMOHMXWOOBVMZ-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 6-[3-(2,5-dioxopyrrol-1-yl)propanoylamino]hexanoate Chemical compound O=C1CCC(=O)N1OC(=O)CCCCCNC(=O)CCN1C(=O)C=CC1=O WCMOHMXWOOBVMZ-UHFFFAOYSA-N 0.000 description 1
- IHVODYOQUSEYJJ-UHFFFAOYSA-N (2,5-dioxopyrrolidin-1-yl) 6-[[4-[(2,5-dioxopyrrol-1-yl)methyl]cyclohexanecarbonyl]amino]hexanoate Chemical compound O=C1CCC(=O)N1OC(=O)CCCCCNC(=O)C(CC1)CCC1CN1C(=O)C=CC1=O IHVODYOQUSEYJJ-UHFFFAOYSA-N 0.000 description 1
- LNNDRFNNTDYHIO-OMYILHBOSA-N (2S)-1-[(2S)-2-[[(2S)-2-[2-[(3R,6S)-6-[[(2S)-2-[[(2R)-2-[[(2R)-2-[[(2R)-2-acetamido-3-naphthalen-2-ylpropanoyl]amino]-3-(4-chlorophenyl)propanoyl]amino]-3-pyridin-3-ylpropanoyl]amino]-3-hydroxypropanoyl]-methylamino]-1-amino-7-(4-hydroxyphenyl)-1,4,5-trioxoheptan-3-yl]hydrazinyl]-4-methylpentanoyl]amino]-6-(propan-2-ylamino)hexanoyl]-N-[(2R)-1-amino-1-oxopropan-2-yl]pyrrolidine-2-carboxamide Chemical compound CC(C)C[C@H](NN[C@H](CC(N)=O)C(=O)C(=O)[C@H](Cc1ccc(O)cc1)N(C)C(=O)[C@H](CO)NC(=O)[C@@H](Cc1cccnc1)NC(=O)[C@@H](Cc1ccc(Cl)cc1)NC(=O)[C@@H](Cc1ccc2ccccc2c1)NC(C)=O)C(=O)N[C@@H](CCCCNC(C)C)C(=O)N1CCC[C@H]1C(=O)N[C@H](C)C(N)=O LNNDRFNNTDYHIO-OMYILHBOSA-N 0.000 description 1
- WDQLRUYAYXDIFW-RWKIJVEZSA-N (2r,3r,4s,5r,6r)-4-[(2s,3r,4s,5r,6r)-3,5-dihydroxy-4-[(2r,3r,4s,5s,6r)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-6-[[(2r,3r,4s,5s,6r)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]oxymethyl]oxan-2-yl]oxy-6-(hydroxymethyl)oxane-2,3,5-triol Chemical compound O[C@@H]1[C@@H](CO)O[C@@H](O)[C@H](O)[C@H]1O[C@H]1[C@H](O)[C@@H](O[C@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](CO)O2)O)[C@H](O)[C@@H](CO[C@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](CO)O2)O)O1 WDQLRUYAYXDIFW-RWKIJVEZSA-N 0.000 description 1
- MFRNYXJJRJQHNW-DEMKXPNLSA-N (2s)-2-[[(2r,3r)-3-methoxy-3-[(2s)-1-[(3r,4s,5s)-3-methoxy-5-methyl-4-[methyl-[(2s)-3-methyl-2-[[(2s)-3-methyl-2-(methylamino)butanoyl]amino]butanoyl]amino]heptanoyl]pyrrolidin-2-yl]-2-methylpropanoyl]amino]-3-phenylpropanoic acid Chemical compound CN[C@@H](C(C)C)C(=O)N[C@@H](C(C)C)C(=O)N(C)[C@@H]([C@@H](C)CC)[C@H](OC)CC(=O)N1CCC[C@H]1[C@H](OC)[C@@H](C)C(=O)N[C@H](C(O)=O)CC1=CC=CC=C1 MFRNYXJJRJQHNW-DEMKXPNLSA-N 0.000 description 1
- WOWDZACBATWTAU-FEFUEGSOSA-N (2s)-2-[[(2s)-2-(dimethylamino)-3-methylbutanoyl]amino]-n-[(3r,4s,5s)-1-[(2s)-2-[(1r,2r)-3-[[(1s,2r)-1-hydroxy-1-phenylpropan-2-yl]amino]-1-methoxy-2-methyl-3-oxopropyl]pyrrolidin-1-yl]-3-methoxy-5-methyl-1-oxoheptan-4-yl]-n,3-dimethylbutanamide Chemical compound CC(C)[C@H](N(C)C)C(=O)N[C@@H](C(C)C)C(=O)N(C)[C@@H]([C@@H](C)CC)[C@H](OC)CC(=O)N1CCC[C@H]1[C@H](OC)[C@@H](C)C(=O)N[C@H](C)[C@@H](O)C1=CC=CC=C1 WOWDZACBATWTAU-FEFUEGSOSA-N 0.000 description 1
- YXTKHLHCVFUPPT-YYFJYKOTSA-N (2s)-2-[[4-[(2-amino-5-formyl-4-oxo-1,6,7,8-tetrahydropteridin-6-yl)methylamino]benzoyl]amino]pentanedioic acid;(1r,2r)-1,2-dimethanidylcyclohexane;5-fluoro-1h-pyrimidine-2,4-dione;oxalic acid;platinum(2+) Chemical compound [Pt+2].OC(=O)C(O)=O.[CH2-][C@@H]1CCCC[C@H]1[CH2-].FC1=CNC(=O)NC1=O.C1NC=2NC(N)=NC(=O)C=2N(C=O)C1CNC1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 YXTKHLHCVFUPPT-YYFJYKOTSA-N 0.000 description 1
- XMQUEQJCYRFIQS-YFKPBYRVSA-N (2s)-2-amino-5-ethoxy-5-oxopentanoic acid Chemical compound CCOC(=O)CC[C@H](N)C(O)=O XMQUEQJCYRFIQS-YFKPBYRVSA-N 0.000 description 1
- URLVCROWVOSNPT-XOTOMLERSA-N (2s)-4-[(13r)-13-hydroxy-13-[(2r,5r)-5-[(2r,5r)-5-[(1r)-1-hydroxyundecyl]oxolan-2-yl]oxolan-2-yl]tridecyl]-2-methyl-2h-furan-5-one Chemical compound O1[C@@H]([C@H](O)CCCCCCCCCC)CC[C@@H]1[C@@H]1O[C@@H]([C@H](O)CCCCCCCCCCCCC=2C(O[C@@H](C)C=2)=O)CC1 URLVCROWVOSNPT-XOTOMLERSA-N 0.000 description 1
- KYBXNPIASYUWLN-WUCPZUCCSA-N (2s)-5-hydroxypyrrolidine-2-carboxylic acid Chemical compound OC1CC[C@@H](C(O)=O)N1 KYBXNPIASYUWLN-WUCPZUCCSA-N 0.000 description 1
- HIUQIUQSEYDPNQ-YFKPBYRVSA-N (2s)-6-amino-2-(phosphonoamino)hexanoic acid Chemical class NCCCC[C@@H](C(O)=O)NP(O)(O)=O HIUQIUQSEYDPNQ-YFKPBYRVSA-N 0.000 description 1
- CGMTUJFWROPELF-YPAAEMCBSA-N (3E,5S)-5-[(2S)-butan-2-yl]-3-(1-hydroxyethylidene)pyrrolidine-2,4-dione Chemical compound CC[C@H](C)[C@@H]1NC(=O)\C(=C(/C)O)C1=O CGMTUJFWROPELF-YPAAEMCBSA-N 0.000 description 1
- SRNFODIJXVPXHO-FSJWMSIRSA-N (4r,4ar,5'r,7r,8r,8as)-5'-(furan-3-yl)-4,7-dimethylspiro[1,3,4,4a,5,6,7,8a-octahydronaphthalene-8,3'-oxolane]-2,2'-dione Chemical compound C=1([C@H]2C[C@@]3(C(O2)=O)[C@H](C)CC[C@H]2[C@@H]3CC(=O)C[C@H]2C)C=COC=1 SRNFODIJXVPXHO-FSJWMSIRSA-N 0.000 description 1
- FFTVPQUHLQBXQZ-KVUCHLLUSA-N (4s,4as,5ar,12ar)-4,7-bis(dimethylamino)-1,10,11,12a-tetrahydroxy-3,12-dioxo-4a,5,5a,6-tetrahydro-4h-tetracene-2-carboxamide Chemical compound C1C2=C(N(C)C)C=CC(O)=C2C(O)=C2[C@@H]1C[C@H]1[C@H](N(C)C)C(=O)C(C(N)=O)=C(O)[C@@]1(O)C2=O FFTVPQUHLQBXQZ-KVUCHLLUSA-N 0.000 description 1
- XRBSKUSTLXISAB-XVVDYKMHSA-N (5r,6r,7r,8r)-8-hydroxy-7-(hydroxymethyl)-5-(3,4,5-trimethoxyphenyl)-5,6,7,8-tetrahydrobenzo[f][1,3]benzodioxole-6-carboxylic acid Chemical compound COC1=C(OC)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@H](O)[C@@H](CO)[C@@H]2C(O)=O)=C1 XRBSKUSTLXISAB-XVVDYKMHSA-N 0.000 description 1
- XRBSKUSTLXISAB-UHFFFAOYSA-N (7R,7'R,8R,8'R)-form-Podophyllic acid Natural products COC1=C(OC)C(OC)=CC(C2C3=CC=4OCOC=4C=C3C(O)C(CO)C2C(O)=O)=C1 XRBSKUSTLXISAB-UHFFFAOYSA-N 0.000 description 1
- AESVUZLWRXEGEX-DKCAWCKPSA-N (7S,9R)-7-[(2S,4R,5R,6R)-4-amino-5-hydroxy-6-methyloxan-2-yl]oxy-6,9,11-trihydroxy-9-(2-hydroxyacetyl)-4-methoxy-8,10-dihydro-7H-tetracene-5,12-dione iron(3+) Chemical compound [Fe+3].COc1cccc2C(=O)c3c(O)c4C[C@@](O)(C[C@H](O[C@@H]5C[C@@H](N)[C@@H](O)[C@@H](C)O5)c4c(O)c3C(=O)c12)C(=O)CO AESVUZLWRXEGEX-DKCAWCKPSA-N 0.000 description 1
- JXVAMODRWBNUSF-KZQKBALLSA-N (7s,9r,10r)-7-[(2r,4s,5s,6s)-5-[[(2s,4as,5as,7s,9s,9ar,10ar)-2,9-dimethyl-3-oxo-4,4a,5a,6,7,9,9a,10a-octahydrodipyrano[4,2-a:4',3'-e][1,4]dioxin-7-yl]oxy]-4-(dimethylamino)-6-methyloxan-2-yl]oxy-10-[(2s,4s,5s,6s)-4-(dimethylamino)-5-hydroxy-6-methyloxan-2 Chemical compound O([C@@H]1C2=C(O)C=3C(=O)C4=CC=CC(O)=C4C(=O)C=3C(O)=C2[C@@H](O[C@@H]2O[C@@H](C)[C@@H](O[C@@H]3O[C@@H](C)[C@H]4O[C@@H]5O[C@@H](C)C(=O)C[C@@H]5O[C@H]4C3)[C@H](C2)N(C)C)C[C@]1(O)CC)[C@H]1C[C@H](N(C)C)[C@H](O)[C@H](C)O1 JXVAMODRWBNUSF-KZQKBALLSA-N 0.000 description 1
- RCFNNLSZHVHCEK-IMHLAKCZSA-N (7s,9s)-7-(4-amino-6-methyloxan-2-yl)oxy-6,9,11-trihydroxy-9-(2-hydroxyacetyl)-4-methoxy-8,10-dihydro-7h-tetracene-5,12-dione;hydrochloride Chemical compound [Cl-].O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)C1CC([NH3+])CC(C)O1 RCFNNLSZHVHCEK-IMHLAKCZSA-N 0.000 description 1
- FPVKHBSQESCIEP-UHFFFAOYSA-N (8S)-3-(2-deoxy-beta-D-erythro-pentofuranosyl)-3,6,7,8-tetrahydroimidazo[4,5-d][1,3]diazepin-8-ol Natural products C1C(O)C(CO)OC1N1C(NC=NCC2O)=C2N=C1 FPVKHBSQESCIEP-UHFFFAOYSA-N 0.000 description 1
- IEXUMDBQLIVNHZ-YOUGDJEHSA-N (8s,11r,13r,14s,17s)-11-[4-(dimethylamino)phenyl]-17-hydroxy-17-(3-hydroxypropyl)-13-methyl-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-3-one Chemical compound C1=CC(N(C)C)=CC=C1[C@@H]1C2=C3CCC(=O)C=C3CC[C@H]2[C@H](CC[C@]2(O)CCCO)[C@@]2(C)C1 IEXUMDBQLIVNHZ-YOUGDJEHSA-N 0.000 description 1
- LKJPYSCBVHEWIU-KRWDZBQOSA-N (R)-bicalutamide Chemical compound C([C@@](O)(C)C(=O)NC=1C=C(C(C#N)=CC=1)C(F)(F)F)S(=O)(=O)C1=CC=C(F)C=C1 LKJPYSCBVHEWIU-KRWDZBQOSA-N 0.000 description 1
- AGNGYMCLFWQVGX-AGFFZDDWSA-N (e)-1-[(2s)-2-amino-2-carboxyethoxy]-2-diazonioethenolate Chemical compound OC(=O)[C@@H](N)CO\C([O-])=C\[N+]#N AGNGYMCLFWQVGX-AGFFZDDWSA-N 0.000 description 1
- NWUYHJFMYQTDRP-UHFFFAOYSA-N 1,2-bis(ethenyl)benzene;1-ethenyl-2-ethylbenzene;styrene Chemical compound C=CC1=CC=CC=C1.CCC1=CC=CC=C1C=C.C=CC1=CC=CC=C1C=C NWUYHJFMYQTDRP-UHFFFAOYSA-N 0.000 description 1
- FJQZXCPWAGYPSD-UHFFFAOYSA-N 1,3,4,6-tetrachloro-3a,6a-diphenylimidazo[4,5-d]imidazole-2,5-dione Chemical compound ClN1C(=O)N(Cl)C2(C=3C=CC=CC=3)N(Cl)C(=O)N(Cl)C12C1=CC=CC=C1 FJQZXCPWAGYPSD-UHFFFAOYSA-N 0.000 description 1
- FONKWHRXTPJODV-DNQXCXABSA-N 1,3-bis[2-[(8s)-8-(chloromethyl)-4-hydroxy-1-methyl-7,8-dihydro-3h-pyrrolo[3,2-e]indole-6-carbonyl]-1h-indol-5-yl]urea Chemical compound C1([C@H](CCl)CN2C(=O)C=3NC4=CC=C(C=C4C=3)NC(=O)NC=3C=C4C=C(NC4=CC=3)C(=O)N3C4=CC(O)=C5NC=C(C5=C4[C@H](CCl)C3)C)=C2C=C(O)C2=C1C(C)=CN2 FONKWHRXTPJODV-DNQXCXABSA-N 0.000 description 1
- BJHCYTJNPVGSBZ-YXSASFKJSA-N 1-[4-[6-amino-5-[(Z)-methoxyiminomethyl]pyrimidin-4-yl]oxy-2-chlorophenyl]-3-ethylurea Chemical compound CCNC(=O)Nc1ccc(Oc2ncnc(N)c2\C=N/OC)cc1Cl BJHCYTJNPVGSBZ-YXSASFKJSA-N 0.000 description 1
- UHDGCWIWMRVCDJ-UHFFFAOYSA-N 1-beta-D-Xylofuranosyl-NH-Cytosine Natural products O=C1N=C(N)C=CN1C1C(O)C(O)C(CO)O1 UHDGCWIWMRVCDJ-UHFFFAOYSA-N 0.000 description 1
- MQLACMBJVPINKE-UHFFFAOYSA-N 10-[(3-hydroxy-4-methoxyphenyl)methylidene]anthracen-9-one Chemical compound C1=C(O)C(OC)=CC=C1C=C1C2=CC=CC=C2C(=O)C2=CC=CC=C21 MQLACMBJVPINKE-UHFFFAOYSA-N 0.000 description 1
- PNDPGZBMCMUPRI-HVTJNCQCSA-N 10043-66-0 Chemical compound [131I][131I] PNDPGZBMCMUPRI-HVTJNCQCSA-N 0.000 description 1
- AAILEWXSEQLMNI-UHFFFAOYSA-N 1h-pyridazin-6-one Chemical compound OC1=CC=CN=N1 AAILEWXSEQLMNI-UHFFFAOYSA-N 0.000 description 1
- GXMBXAFPYICUDZ-UHFFFAOYSA-N 2,2-dichloro-n-methylethanamine Chemical compound CNCC(Cl)Cl GXMBXAFPYICUDZ-UHFFFAOYSA-N 0.000 description 1
- BTOTXLJHDSNXMW-POYBYMJQSA-N 2,3-dideoxyuridine Chemical compound O1[C@H](CO)CC[C@@H]1N1C(=O)NC(=O)C=C1 BTOTXLJHDSNXMW-POYBYMJQSA-N 0.000 description 1
- BOMZMNZEXMAQQW-UHFFFAOYSA-N 2,5,11-trimethyl-6h-pyrido[4,3-b]carbazol-2-ium-9-ol;acetate Chemical compound CC([O-])=O.C[N+]1=CC=C2C(C)=C(NC=3C4=CC(O)=CC=3)C4=C(C)C2=C1 BOMZMNZEXMAQQW-UHFFFAOYSA-N 0.000 description 1
- IXQGCWUGDFDQMF-UHFFFAOYSA-N 2-Ethylphenol Chemical compound CCC1=CC=CC=C1O IXQGCWUGDFDQMF-UHFFFAOYSA-N 0.000 description 1
- JKMHFZQWWAIEOD-UHFFFAOYSA-N 2-[4-(2-hydroxyethyl)piperazin-1-yl]ethanesulfonic acid Chemical compound OCC[NH+]1CCN(CCS([O-])(=O)=O)CC1 JKMHFZQWWAIEOD-UHFFFAOYSA-N 0.000 description 1
- FBUTXZSKZCQABC-UHFFFAOYSA-N 2-amino-1-methyl-7h-purine-6-thione Chemical compound S=C1N(C)C(N)=NC2=C1NC=N2 FBUTXZSKZCQABC-UHFFFAOYSA-N 0.000 description 1
- QCXJFISCRQIYID-IAEPZHFASA-N 2-amino-1-n-[(3s,6s,7r,10s,16s)-3-[(2s)-butan-2-yl]-7,11,14-trimethyl-2,5,9,12,15-pentaoxo-10-propan-2-yl-8-oxa-1,4,11,14-tetrazabicyclo[14.3.0]nonadecan-6-yl]-4,6-dimethyl-3-oxo-9-n-[(3s,6s,7r,10s,16s)-7,11,14-trimethyl-2,5,9,12,15-pentaoxo-3,10-di(propa Chemical compound C[C@H]1OC(=O)[C@H](C(C)C)N(C)C(=O)CN(C)C(=O)[C@@H]2CCCN2C(=O)[C@H](C(C)C)NC(=O)[C@H]1NC(=O)C1=C(N=C2C(C(=O)N[C@@H]3C(=O)N[C@H](C(N4CCC[C@H]4C(=O)N(C)CC(=O)N(C)[C@@H](C(C)C)C(=O)O[C@@H]3C)=O)[C@@H](C)CC)=C(N)C(=O)C(C)=C2O2)C2=C(C)C=C1 QCXJFISCRQIYID-IAEPZHFASA-N 0.000 description 1
- RMMVRBURQHNABQ-FHNDMYTFSA-N 2-aminoacetic acid;(2s)-pyrrolidine-2-carboxylic acid Chemical compound NCC(O)=O.NCC(O)=O.OC(=O)[C@@H]1CCCN1 RMMVRBURQHNABQ-FHNDMYTFSA-N 0.000 description 1
- BMUXBWLKTHLRQC-UHFFFAOYSA-N 2-azanylethanoic acid Chemical compound NCC(O)=O.NCC(O)=O.NCC(O)=O BMUXBWLKTHLRQC-UHFFFAOYSA-N 0.000 description 1
- VNBAOSVONFJBKP-UHFFFAOYSA-N 2-chloro-n,n-bis(2-chloroethyl)propan-1-amine;hydrochloride Chemical compound Cl.CC(Cl)CN(CCCl)CCCl VNBAOSVONFJBKP-UHFFFAOYSA-N 0.000 description 1
- BFSVOASYOCHEOV-UHFFFAOYSA-N 2-diethylaminoethanol Chemical compound CCN(CC)CCO BFSVOASYOCHEOV-UHFFFAOYSA-N 0.000 description 1
- XBBVURRQGJPTHH-UHFFFAOYSA-N 2-hydroxyacetic acid;2-hydroxypropanoic acid Chemical compound OCC(O)=O.CC(O)C(O)=O XBBVURRQGJPTHH-UHFFFAOYSA-N 0.000 description 1
- LNCCBHFAHILMCT-UHFFFAOYSA-N 2-n,4-n,6-n-triethyl-1,3,5-triazine-2,4,6-triamine Chemical compound CCNC1=NC(NCC)=NC(NCC)=N1 LNCCBHFAHILMCT-UHFFFAOYSA-N 0.000 description 1
- AOPRXJXHLWYPQR-UHFFFAOYSA-N 2-phenoxyacetamide Chemical compound NC(=O)COC1=CC=CC=C1 AOPRXJXHLWYPQR-UHFFFAOYSA-N 0.000 description 1
- XMTQQYYKAHVGBJ-UHFFFAOYSA-N 3-(3,4-DICHLOROPHENYL)-1,1-DIMETHYLUREA Chemical compound CN(C)C(=O)NC1=CC=C(Cl)C(Cl)=C1 XMTQQYYKAHVGBJ-UHFFFAOYSA-N 0.000 description 1
- PWMYMKOUNYTVQN-UHFFFAOYSA-N 3-(8,8-diethyl-2-aza-8-germaspiro[4.5]decan-2-yl)-n,n-dimethylpropan-1-amine Chemical compound C1C[Ge](CC)(CC)CCC11CN(CCCN(C)C)CC1 PWMYMKOUNYTVQN-UHFFFAOYSA-N 0.000 description 1
- QGJZLNKBHJESQX-UHFFFAOYSA-N 3-Epi-Betulin-Saeure Natural products C1CC(O)C(C)(C)C2CCC3(C)C4(C)CCC5(C(O)=O)CCC(C(=C)C)C5C4CCC3C21C QGJZLNKBHJESQX-UHFFFAOYSA-N 0.000 description 1
- CLOUCVRNYSHRCF-UHFFFAOYSA-N 3beta-Hydroxy-20(29)-Lupen-3,27-oic acid Natural products C1CC(O)C(C)(C)C2CCC3(C)C4(C(O)=O)CCC5(C)CCC(C(=C)C)C5C4CCC3C21C CLOUCVRNYSHRCF-UHFFFAOYSA-N 0.000 description 1
- VXGRJERITKFWPL-UHFFFAOYSA-N 4',5'-Dihydropsoralen Natural products C1=C2OC(=O)C=CC2=CC2=C1OCC2 VXGRJERITKFWPL-UHFFFAOYSA-N 0.000 description 1
- CLPFFLWZZBQMAO-UHFFFAOYSA-N 4-(5,6,7,8-tetrahydroimidazo[1,5-a]pyridin-5-yl)benzonitrile Chemical compound C1=CC(C#N)=CC=C1C1N2C=NC=C2CCC1 CLPFFLWZZBQMAO-UHFFFAOYSA-N 0.000 description 1
- LQILVUYCDHSGEU-UHFFFAOYSA-N 4-[(2,5-dioxopyrrol-1-yl)methyl]cyclohexane-1-carboxylic acid Chemical compound C1CC(C(=O)O)CCC1CN1C(=O)C=CC1=O LQILVUYCDHSGEU-UHFFFAOYSA-N 0.000 description 1
- QFVHZQCOUORWEI-UHFFFAOYSA-N 4-[(4-anilino-5-sulfonaphthalen-1-yl)diazenyl]-5-hydroxynaphthalene-2,7-disulfonic acid Chemical compound C=12C(O)=CC(S(O)(=O)=O)=CC2=CC(S(O)(=O)=O)=CC=1N=NC(C1=CC=CC(=C11)S(O)(=O)=O)=CC=C1NC1=CC=CC=C1 QFVHZQCOUORWEI-UHFFFAOYSA-N 0.000 description 1
- DODQJNMQWMSYGS-QPLCGJKRSA-N 4-[(z)-1-[4-[2-(dimethylamino)ethoxy]phenyl]-1-phenylbut-1-en-2-yl]phenol Chemical compound C=1C=C(O)C=CC=1C(/CC)=C(C=1C=CC(OCCN(C)C)=CC=1)/C1=CC=CC=C1 DODQJNMQWMSYGS-QPLCGJKRSA-N 0.000 description 1
- ZMRMMAOBSFSXLN-UHFFFAOYSA-N 4-[4-(2,5-dioxopyrrol-1-yl)phenyl]butanehydrazide Chemical compound C1=CC(CCCC(=O)NN)=CC=C1N1C(=O)C=CC1=O ZMRMMAOBSFSXLN-UHFFFAOYSA-N 0.000 description 1
- 101710169336 5'-deoxyadenosine deaminase Proteins 0.000 description 1
- IDPUKCWIGUEADI-UHFFFAOYSA-N 5-[bis(2-chloroethyl)amino]uracil Chemical compound ClCCN(CCCl)C1=CNC(=O)NC1=O IDPUKCWIGUEADI-UHFFFAOYSA-N 0.000 description 1
- NMUSYJAQQFHJEW-KVTDHHQDSA-N 5-azacytidine Chemical compound O=C1N=C(N)N=CN1[C@H]1[C@H](O)[C@H](O)[C@@H](CO)O1 NMUSYJAQQFHJEW-KVTDHHQDSA-N 0.000 description 1
- 229940117976 5-hydroxylysine Drugs 0.000 description 1
- RWHRFHQRVDUPIK-UHFFFAOYSA-N 50867-57-7 Chemical compound CC(=C)C(O)=O.CC(=C)C(O)=O RWHRFHQRVDUPIK-UHFFFAOYSA-N 0.000 description 1
- ZGXJTSGNIOSYLO-UHFFFAOYSA-N 88755TAZ87 Chemical compound NCC(=O)CCC(O)=O ZGXJTSGNIOSYLO-UHFFFAOYSA-N 0.000 description 1
- FUXVKZWTXQUGMW-FQEVSTJZSA-N 9-Aminocamptothecin Chemical compound C1=CC(N)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 FUXVKZWTXQUGMW-FQEVSTJZSA-N 0.000 description 1
- HDZZVAMISRMYHH-UHFFFAOYSA-N 9beta-Ribofuranosyl-7-deazaadenin Natural products C1=CC=2C(N)=NC=NC=2N1C1OC(CO)C(O)C1O HDZZVAMISRMYHH-UHFFFAOYSA-N 0.000 description 1
- 108010066676 Abrin Proteins 0.000 description 1
- 241000238876 Acari Species 0.000 description 1
- 208000018025 Acquired peripheral neuropathy Diseases 0.000 description 1
- HRPVXLWXLXDGHG-UHFFFAOYSA-N Acrylamide Chemical compound NC(=O)C=C HRPVXLWXLXDGHG-UHFFFAOYSA-N 0.000 description 1
- 241000186361 Actinobacteria <class> Species 0.000 description 1
- 102000007469 Actins Human genes 0.000 description 1
- 108010085238 Actins Proteins 0.000 description 1
- 208000031261 Acute myeloid leukaemia Diseases 0.000 description 1
- 206010001052 Acute respiratory distress syndrome Diseases 0.000 description 1
- 208000010507 Adenocarcinoma of Lung Diseases 0.000 description 1
- 102100036664 Adenosine deaminase Human genes 0.000 description 1
- 208000007848 Alcoholism Diseases 0.000 description 1
- 108700028369 Alleles Proteins 0.000 description 1
- 102100021266 Alpha-(1,6)-fucosyltransferase Human genes 0.000 description 1
- CEIZFXOZIQNICU-UHFFFAOYSA-N Alternaria alternata Crofton-weed toxin Natural products CCC(C)C1NC(=O)C(C(C)=O)=C1O CEIZFXOZIQNICU-UHFFFAOYSA-N 0.000 description 1
- NLXLAEXVIDQMFP-UHFFFAOYSA-N Ammonia chloride Chemical compound [NH4+].[Cl-] NLXLAEXVIDQMFP-UHFFFAOYSA-N 0.000 description 1
- QGZKDVFQNNGYKY-OUBTZVSYSA-N Ammonia-15N Chemical compound [15NH3] QGZKDVFQNNGYKY-OUBTZVSYSA-N 0.000 description 1
- 206010061424 Anal cancer Diseases 0.000 description 1
- 206010002383 Angina Pectoris Diseases 0.000 description 1
- 208000003120 Angiofibroma Diseases 0.000 description 1
- 102400000068 Angiostatin Human genes 0.000 description 1
- 108010079709 Angiostatins Proteins 0.000 description 1
- 108020000948 Antisense Oligonucleotides Proteins 0.000 description 1
- 208000007860 Anus Neoplasms Diseases 0.000 description 1
- 108091023037 Aptamer Proteins 0.000 description 1
- 101100067974 Arabidopsis thaliana POP2 gene Proteins 0.000 description 1
- 241000203069 Archaea Species 0.000 description 1
- 239000004475 Arginine Substances 0.000 description 1
- 208000002109 Argyria Diseases 0.000 description 1
- 108010078554 Aromatase Proteins 0.000 description 1
- 102000014654 Aromatase Human genes 0.000 description 1
- CIWBSHSKHKDKBQ-JLAZNSOCSA-N Ascorbic acid Natural products OC[C@H](O)[C@H]1OC(=O)C(O)=C1O CIWBSHSKHKDKBQ-JLAZNSOCSA-N 0.000 description 1
- 101000669426 Aspergillus restrictus Ribonuclease mitogillin Proteins 0.000 description 1
- 208000037260 Atherosclerotic Plaque Diseases 0.000 description 1
- 206010003694 Atrophy Diseases 0.000 description 1
- 206010003840 Autonomic nervous system imbalance Diseases 0.000 description 1
- 241000271566 Aves Species 0.000 description 1
- 241000713842 Avian sarcoma virus Species 0.000 description 1
- NOWKCMXCCJGMRR-UHFFFAOYSA-N Aziridine Chemical compound C1CN1 NOWKCMXCCJGMRR-UHFFFAOYSA-N 0.000 description 1
- 108091008875 B cell receptors Proteins 0.000 description 1
- 208000003950 B-cell lymphoma Diseases 0.000 description 1
- 208000028564 B-cell non-Hodgkin lymphoma Diseases 0.000 description 1
- 230000003844 B-cell-activation Effects 0.000 description 1
- 102100022005 B-lymphocyte antigen CD20 Human genes 0.000 description 1
- 235000014469 Bacillus subtilis Nutrition 0.000 description 1
- 108020000946 Bacterial DNA Proteins 0.000 description 1
- 108090000363 Bacterial Luciferases Proteins 0.000 description 1
- 231100000699 Bacterial toxin Toxicity 0.000 description 1
- 108010062877 Bacteriocins Proteins 0.000 description 1
- VGGGPCQERPFHOB-MCIONIFRSA-N Bestatin Chemical compound CC(C)C[C@H](C(O)=O)NC(=O)[C@@H](O)[C@H](N)CC1=CC=CC=C1 VGGGPCQERPFHOB-MCIONIFRSA-N 0.000 description 1
- DIZWSDNSTNAYHK-XGWVBXMLSA-N Betulinic acid Natural products CC(=C)[C@@H]1C[C@H]([C@H]2CC[C@]3(C)[C@H](CC[C@@H]4[C@@]5(C)CC[C@H](O)C(C)(C)[C@@H]5CC[C@@]34C)[C@@H]12)C(=O)O DIZWSDNSTNAYHK-XGWVBXMLSA-N 0.000 description 1
- 229940122361 Bisphosphonate Drugs 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-M Bisulfite Chemical compound OS([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-M 0.000 description 1
- 108010006654 Bleomycin Proteins 0.000 description 1
- ZOXJGFHDIHLPTG-UHFFFAOYSA-N Boron Chemical compound [B] ZOXJGFHDIHLPTG-UHFFFAOYSA-N 0.000 description 1
- 108091003079 Bovine Serum Albumin Proteins 0.000 description 1
- 208000003174 Brain Neoplasms Diseases 0.000 description 1
- 206010048962 Brain oedema Diseases 0.000 description 1
- 244000056139 Brassica cretica Species 0.000 description 1
- 235000003351 Brassica cretica Nutrition 0.000 description 1
- 235000003343 Brassica rupestris Nutrition 0.000 description 1
- MBABCNBNDNGODA-LTGLSHGVSA-N Bullatacin Natural products O=C1C(C[C@H](O)CCCCCCCCCC[C@@H](O)[C@@H]2O[C@@H]([C@@H]3O[C@H]([C@@H](O)CCCCCCCCCC)CC3)CC2)=C[C@H](C)O1 MBABCNBNDNGODA-LTGLSHGVSA-N 0.000 description 1
- KGGVWMAPBXIMEM-ZRTAFWODSA-N Bullatacinone Chemical compound O1[C@@H]([C@@H](O)CCCCCCCCCC)CC[C@@H]1[C@@H]1O[C@@H]([C@H](O)CCCCCCCCCC[C@H]2OC(=O)[C@H](CC(C)=O)C2)CC1 KGGVWMAPBXIMEM-ZRTAFWODSA-N 0.000 description 1
- KGGVWMAPBXIMEM-JQFCFGFHSA-N Bullatacinone Natural products O=C(C[C@H]1C(=O)O[C@H](CCCCCCCCCC[C@H](O)[C@@H]2O[C@@H]([C@@H]3O[C@@H]([C@@H](O)CCCCCCCCCC)CC3)CC2)C1)C KGGVWMAPBXIMEM-JQFCFGFHSA-N 0.000 description 1
- 108010037003 Buserelin Proteins 0.000 description 1
- PYMDEDHDQYLBRT-DRIHCAFSSA-N Buserelin acetate Chemical compound CC(O)=O.CCNC(=O)[C@@H]1CCCN1C(=O)[C@H](CCCN=C(N)N)NC(=O)[C@H](CC(C)C)NC(=O)[C@@H](COC(C)(C)C)NC(=O)[C@@H](NC(=O)[C@H](CO)NC(=O)[C@H](CC=1C2=CC=CC=C2NC=1)NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H]1NC(=O)CC1)CC1=CC=C(O)C=C1 PYMDEDHDQYLBRT-DRIHCAFSSA-N 0.000 description 1
- COVZYZSDYWQREU-UHFFFAOYSA-N Busulfan Chemical compound CS(=O)(=O)OCCCCOS(C)(=O)=O COVZYZSDYWQREU-UHFFFAOYSA-N 0.000 description 1
- HPHVDSAGNARCSL-UHFFFAOYSA-N C(CC)C(=O)CCC.C1(C=CC(N1)=O)=O Chemical compound C(CC)C(=O)CCC.C1(C=CC(N1)=O)=O HPHVDSAGNARCSL-UHFFFAOYSA-N 0.000 description 1
- UPNKWJZUYWEFFO-UHFFFAOYSA-N C(CCCCCCCC)C1C(C(=O)NC1=O)CCCCCCCCC Chemical compound C(CCCCCCCC)C1C(C(=O)NC1=O)CCCCCCCCC UPNKWJZUYWEFFO-UHFFFAOYSA-N 0.000 description 1
- 239000002126 C01EB10 - Adenosine Substances 0.000 description 1
- OBMZMSLWNNWEJA-XNCRXQDQSA-N C1=CC=2C(C[C@@H]3NC(=O)[C@@H](NC(=O)[C@H](NC(=O)N(CC#CCN(CCCC[C@H](NC(=O)[C@@H](CC4=CC=CC=C4)NC3=O)C(=O)N)CC=C)NC(=O)[C@@H](N)C)CC3=CNC4=C3C=CC=C4)C)=CNC=2C=C1 Chemical compound C1=CC=2C(C[C@@H]3NC(=O)[C@@H](NC(=O)[C@H](NC(=O)N(CC#CCN(CCCC[C@H](NC(=O)[C@@H](CC4=CC=CC=C4)NC3=O)C(=O)N)CC=C)NC(=O)[C@@H](N)C)CC3=CNC4=C3C=CC=C4)C)=CNC=2C=C1 OBMZMSLWNNWEJA-XNCRXQDQSA-N 0.000 description 1
- UXVMQQNJUSDDNG-UHFFFAOYSA-L Calcium chloride Chemical compound [Cl-].[Cl-].[Ca+2] UXVMQQNJUSDDNG-UHFFFAOYSA-L 0.000 description 1
- 241000222120 Candida <Saccharomycetales> Species 0.000 description 1
- GAGWJHPBXLXJQN-UORFTKCHSA-N Capecitabine Chemical compound C1=C(F)C(NC(=O)OCCCCC)=NC(=O)N1[C@H]1[C@H](O)[C@H](O)[C@@H](C)O1 GAGWJHPBXLXJQN-UORFTKCHSA-N 0.000 description 1
- OKTJSMMVPCPJKN-OUBTZVSYSA-N Carbon-13 Chemical compound [13C] OKTJSMMVPCPJKN-OUBTZVSYSA-N 0.000 description 1
- SHHKQEUPHAENFK-UHFFFAOYSA-N Carboquone Chemical compound O=C1C(C)=C(N2CC2)C(=O)C(C(COC(N)=O)OC)=C1N1CC1 SHHKQEUPHAENFK-UHFFFAOYSA-N 0.000 description 1
- 229920002134 Carboxymethyl cellulose Polymers 0.000 description 1
- 240000006432 Carica papaya Species 0.000 description 1
- 235000009467 Carica papaya Nutrition 0.000 description 1
- AOCCBINRVIKJHY-UHFFFAOYSA-N Carmofur Chemical compound CCCCCCNC(=O)N1C=C(F)C(=O)NC1=O AOCCBINRVIKJHY-UHFFFAOYSA-N 0.000 description 1
- 102000005600 Cathepsins Human genes 0.000 description 1
- 108010084457 Cathepsins Proteins 0.000 description 1
- 102000000844 Cell Surface Receptors Human genes 0.000 description 1
- 108010001857 Cell Surface Receptors Proteins 0.000 description 1
- 208000010693 Charcot-Marie-Tooth Disease Diseases 0.000 description 1
- 201000006868 Charcot-Marie-Tooth disease type 3 Diseases 0.000 description 1
- JWBOIMRXGHLCPP-UHFFFAOYSA-N Chloditan Chemical compound C=1C=CC=C(Cl)C=1C(C(Cl)Cl)C1=CC=C(Cl)C=C1 JWBOIMRXGHLCPP-UHFFFAOYSA-N 0.000 description 1
- XCDXSSFOJZZGQC-UHFFFAOYSA-N Chlornaphazine Chemical compound C1=CC=CC2=CC(N(CCCl)CCCl)=CC=C21 XCDXSSFOJZZGQC-UHFFFAOYSA-N 0.000 description 1
- 241000282552 Chlorocebus aethiops Species 0.000 description 1
- MKQWTWSXVILIKJ-LXGUWJNJSA-N Chlorozotocin Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](C=O)NC(=O)N(N=O)CCCl MKQWTWSXVILIKJ-LXGUWJNJSA-N 0.000 description 1
- 208000005590 Choroidal Neovascularization Diseases 0.000 description 1
- 206010060823 Choroidal neovascularisation Diseases 0.000 description 1
- 102000003813 Cis-trans-isomerases Human genes 0.000 description 1
- 108090000175 Cis-trans-isomerases Proteins 0.000 description 1
- KRKNYBCHXYNGOX-UHFFFAOYSA-K Citrate Chemical compound [O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O KRKNYBCHXYNGOX-UHFFFAOYSA-K 0.000 description 1
- 241000243321 Cnidaria Species 0.000 description 1
- 206010009900 Colitis ulcerative Diseases 0.000 description 1
- 102100031162 Collagen alpha-1(XVIII) chain Human genes 0.000 description 1
- 206010048832 Colon adenoma Diseases 0.000 description 1
- 206010052358 Colorectal cancer metastatic Diseases 0.000 description 1
- 206010055665 Corneal neovascularisation Diseases 0.000 description 1
- 208000011231 Crohn disease Diseases 0.000 description 1
- 108700032819 Croton tiglium crotin II Proteins 0.000 description 1
- SRNFODIJXVPXHO-UHFFFAOYSA-N Crotonin Natural products CC1CC(=O)CC2C1CCC(C)C2(C(O1)=O)CC1C=1C=COC=1 SRNFODIJXVPXHO-UHFFFAOYSA-N 0.000 description 1
- 229930188224 Cryptophycin Natural products 0.000 description 1
- UHDGCWIWMRVCDJ-PSQAKQOGSA-N Cytidine Natural products O=C1N=C(N)C=CN1[C@@H]1[C@@H](O)[C@@H](O)[C@H](CO)O1 UHDGCWIWMRVCDJ-PSQAKQOGSA-N 0.000 description 1
- FBPFZTCFMRRESA-FSIIMWSLSA-N D-Glucitol Natural products OC[C@H](O)[C@H](O)[C@@H](O)[C@H](O)CO FBPFZTCFMRRESA-FSIIMWSLSA-N 0.000 description 1
- IGXWBGJHJZYPQS-SSDOTTSWSA-N D-Luciferin Chemical compound OC(=O)[C@H]1CSC(C=2SC3=CC=C(O)C=C3N=2)=N1 IGXWBGJHJZYPQS-SSDOTTSWSA-N 0.000 description 1
- FBPFZTCFMRRESA-KVTDHHQDSA-N D-Mannitol Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-KVTDHHQDSA-N 0.000 description 1
- FBPFZTCFMRRESA-JGWLITMVSA-N D-glucitol Chemical compound OC[C@H](O)[C@@H](O)[C@H](O)[C@H](O)CO FBPFZTCFMRRESA-JGWLITMVSA-N 0.000 description 1
- HMFHBZSHGGEWLO-SOOFDHNKSA-N D-ribofuranose Chemical compound OC[C@H]1OC(O)[C@H](O)[C@@H]1O HMFHBZSHGGEWLO-SOOFDHNKSA-N 0.000 description 1
- 239000012624 DNA alkylating agent Substances 0.000 description 1
- 229940126161 DNA alkylating agent Drugs 0.000 description 1
- 239000003155 DNA primer Substances 0.000 description 1
- 229940124087 DNA topoisomerase II inhibitor Drugs 0.000 description 1
- 230000004568 DNA-binding Effects 0.000 description 1
- 102000016928 DNA-directed DNA polymerase Human genes 0.000 description 1
- 108010014303 DNA-directed DNA polymerase Proteins 0.000 description 1
- 108090000626 DNA-directed RNA polymerases Proteins 0.000 description 1
- 102000004163 DNA-directed RNA polymerases Human genes 0.000 description 1
- WEAHRLBPCANXCN-UHFFFAOYSA-N Daunomycin Natural products CCC1(O)CC(OC2CC(N)C(O)C(C)O2)c3cc4C(=O)c5c(OC)cccc5C(=O)c4c(O)c3C1 WEAHRLBPCANXCN-UHFFFAOYSA-N 0.000 description 1
- CYCGRDQQIOGCKX-UHFFFAOYSA-N Dehydro-luciferin Natural products OC(=O)C1=CSC(C=2SC3=CC(O)=CC=C3N=2)=N1 CYCGRDQQIOGCKX-UHFFFAOYSA-N 0.000 description 1
- 101710088194 Dehydrogenase Proteins 0.000 description 1
- 208000031972 Dejerine-Sottas syndrome Diseases 0.000 description 1
- XXGMIHXASFDFSM-UHFFFAOYSA-N Delta9-tetrahydrocannabinol Natural products CCCCCc1cc2OC(C)(C)C3CCC(=CC3c2c(O)c1O)C XXGMIHXASFDFSM-UHFFFAOYSA-N 0.000 description 1
- NNJPGOLRFBJNIW-UHFFFAOYSA-N Demecolcine Natural products C1=C(OC)C(=O)C=C2C(NC)CCC3=CC(OC)=C(OC)C(OC)=C3C2=C1 NNJPGOLRFBJNIW-UHFFFAOYSA-N 0.000 description 1
- 108010008532 Deoxyribonuclease I Proteins 0.000 description 1
- 102000007260 Deoxyribonuclease I Human genes 0.000 description 1
- 201000004624 Dermatitis Diseases 0.000 description 1
- 239000004375 Dextrin Substances 0.000 description 1
- 229920001353 Dextrin Polymers 0.000 description 1
- 208000032131 Diabetic Neuropathies Diseases 0.000 description 1
- 206010012688 Diabetic retinal oedema Diseases 0.000 description 1
- AUGQEEXBDZWUJY-ZLJUKNTDSA-N Diacetoxyscirpenol Chemical compound C([C@]12[C@]3(C)[C@H](OC(C)=O)[C@@H](O)[C@H]1O[C@@H]1C=C(C)CC[C@@]13COC(=O)C)O2 AUGQEEXBDZWUJY-ZLJUKNTDSA-N 0.000 description 1
- AUGQEEXBDZWUJY-UHFFFAOYSA-N Diacetoxyscirpenol Natural products CC(=O)OCC12CCC(C)=CC1OC1C(O)C(OC(C)=O)C2(C)C11CO1 AUGQEEXBDZWUJY-UHFFFAOYSA-N 0.000 description 1
- ZNZYKNKBJPZETN-WELNAUFTSA-N Dialdehyde 11678 Chemical compound N1C2=CC=CC=C2C2=C1[C@H](C[C@H](/C(=C/O)C(=O)OC)[C@@H](C=C)C=O)NCC2 ZNZYKNKBJPZETN-WELNAUFTSA-N 0.000 description 1
- 240000006497 Dianthus caryophyllus Species 0.000 description 1
- 235000009355 Dianthus caryophyllus Nutrition 0.000 description 1
- 108010016626 Dipeptides Proteins 0.000 description 1
- 206010061818 Disease progression Diseases 0.000 description 1
- 239000012988 Dithioester Substances 0.000 description 1
- ZQZFYGIXNQKOAV-OCEACIFDSA-N Droloxifene Chemical compound C=1C=CC=CC=1C(/CC)=C(C=1C=C(O)C=CC=1)\C1=CC=C(OCCN(C)C)C=C1 ZQZFYGIXNQKOAV-OCEACIFDSA-N 0.000 description 1
- CYQFCXCEBYINGO-DLBZAZTESA-N Dronabinol Natural products C1=C(C)CC[C@H]2C(C)(C)OC3=CC(CCCCC)=CC(O)=C3[C@H]21 CYQFCXCEBYINGO-DLBZAZTESA-N 0.000 description 1
- 229930193152 Dynemicin Natural products 0.000 description 1
- KCXVZYZYPLLWCC-UHFFFAOYSA-N EDTA Chemical compound OC(=O)CN(CC(O)=O)CCN(CC(O)=O)CC(O)=O KCXVZYZYPLLWCC-UHFFFAOYSA-N 0.000 description 1
- 101710194146 Ecotin Proteins 0.000 description 1
- 201000009273 Endometriosis Diseases 0.000 description 1
- 102100031780 Endonuclease Human genes 0.000 description 1
- 108010042407 Endonucleases Proteins 0.000 description 1
- 108010079505 Endostatins Proteins 0.000 description 1
- AFMYMMXSQGUCBK-UHFFFAOYSA-N Endynamicin A Natural products C1#CC=CC#CC2NC(C=3C(=O)C4=C(O)C=CC(O)=C4C(=O)C=3C(O)=C3)=C3C34OC32C(C)C(C(O)=O)=C(OC)C41 AFMYMMXSQGUCBK-UHFFFAOYSA-N 0.000 description 1
- 102220518434 Enhancer of filamentation 1_T28S_mutation Human genes 0.000 description 1
- SAMRUMKYXPVKPA-VFKOLLTISA-N Enocitabine Chemical compound O=C1N=C(NC(=O)CCCCCCCCCCCCCCCCCCCCC)C=CN1[C@H]1[C@@H](O)[C@H](O)[C@@H](CO)O1 SAMRUMKYXPVKPA-VFKOLLTISA-N 0.000 description 1
- 241000305071 Enterobacterales Species 0.000 description 1
- 101710181478 Envelope glycoprotein GP350 Proteins 0.000 description 1
- 102100030779 Ephrin type-B receptor 1 Human genes 0.000 description 1
- 102100031982 Ephrin type-B receptor 3 Human genes 0.000 description 1
- 102100031984 Ephrin type-B receptor 6 Human genes 0.000 description 1
- 102400001368 Epidermal growth factor Human genes 0.000 description 1
- 101800003838 Epidermal growth factor Proteins 0.000 description 1
- YQYJSBFKSSDGFO-UHFFFAOYSA-N Epihygromycin Natural products OC1C(O)C(C(=O)C)OC1OC(C(=C1)O)=CC=C1C=C(C)C(=O)NC1C(O)C(O)C2OCOC2C1O YQYJSBFKSSDGFO-UHFFFAOYSA-N 0.000 description 1
- OBMLHUPNRURLOK-XGRAFVIBSA-N Epitiostanol Chemical compound C1[C@@H]2S[C@@H]2C[C@]2(C)[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CC[C@H]21 OBMLHUPNRURLOK-XGRAFVIBSA-N 0.000 description 1
- 102000056372 ErbB-3 Receptor Human genes 0.000 description 1
- 102000044591 ErbB-4 Receptor Human genes 0.000 description 1
- 102000003951 Erythropoietin Human genes 0.000 description 1
- 108090000394 Erythropoietin Proteins 0.000 description 1
- 241000588722 Escherichia Species 0.000 description 1
- 101100409165 Escherichia coli (strain K12) prc gene Proteins 0.000 description 1
- 241001522878 Escherichia coli B Species 0.000 description 1
- 108090000371 Esterases Proteins 0.000 description 1
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 description 1
- JOYRKODLDBILNP-UHFFFAOYSA-N Ethyl urethane Chemical compound CCOC(N)=O JOYRKODLDBILNP-UHFFFAOYSA-N 0.000 description 1
- DBVJJBKOTRCVKF-UHFFFAOYSA-N Etidronic acid Chemical compound OP(=O)(O)C(O)(C)P(O)(O)=O DBVJJBKOTRCVKF-UHFFFAOYSA-N 0.000 description 1
- 208000024720 Fabry Disease Diseases 0.000 description 1
- 208000004248 Familial Primary Pulmonary Hypertension Diseases 0.000 description 1
- 241000282324 Felis Species 0.000 description 1
- 102100037362 Fibronectin Human genes 0.000 description 1
- 108010067306 Fibronectins Proteins 0.000 description 1
- 108090000331 Firefly luciferases Proteins 0.000 description 1
- BJGNCJDXODQBOB-UHFFFAOYSA-N Fivefly Luciferin Natural products OC(=O)C1CSC(C=2SC3=CC(O)=CC=C3N=2)=N1 BJGNCJDXODQBOB-UHFFFAOYSA-N 0.000 description 1
- PXGOKWXKJXAPGV-UHFFFAOYSA-N Fluorine Chemical compound FF PXGOKWXKJXAPGV-UHFFFAOYSA-N 0.000 description 1
- 241000700662 Fowlpox virus Species 0.000 description 1
- 108010002537 Fruit Proteins Proteins 0.000 description 1
- 241000233866 Fungi Species 0.000 description 1
- 230000037057 G1 phase arrest Effects 0.000 description 1
- 230000005526 G1 to G0 transition Effects 0.000 description 1
- 206010017993 Gastrointestinal neoplasms Diseases 0.000 description 1
- 108010010803 Gelatin Proteins 0.000 description 1
- JRZJKWGQFNTSRN-UHFFFAOYSA-N Geldanamycin Natural products C1C(C)CC(OC)C(O)C(C)C=C(C)C(OC(N)=O)C(OC)CCC=C(C)C(=O)NC2=CC(=O)C(OC)=C1C2=O JRZJKWGQFNTSRN-UHFFFAOYSA-N 0.000 description 1
- 108700004714 Gelonium multiflorum GEL Proteins 0.000 description 1
- 108700023863 Gene Components Proteins 0.000 description 1
- 206010064571 Gene mutation Diseases 0.000 description 1
- 208000034826 Genetic Predisposition to Disease Diseases 0.000 description 1
- CEAZRRDELHUEMR-URQXQFDESA-N Gentamicin Chemical compound O1[C@H](C(C)NC)CC[C@@H](N)[C@H]1O[C@H]1[C@H](O)[C@@H](O[C@@H]2[C@@H]([C@@H](NC)[C@@](C)(O)CO2)O)[C@H](N)C[C@@H]1N CEAZRRDELHUEMR-URQXQFDESA-N 0.000 description 1
- 229930182566 Gentamicin Natural products 0.000 description 1
- 241000208152 Geranium Species 0.000 description 1
- 208000010055 Globoid Cell Leukodystrophy Diseases 0.000 description 1
- 102000006395 Globulins Human genes 0.000 description 1
- 108010044091 Globulins Proteins 0.000 description 1
- 108010073178 Glucan 1,4-alpha-Glucosidase Proteins 0.000 description 1
- 102100022624 Glucoamylase Human genes 0.000 description 1
- 239000004366 Glucose oxidase Substances 0.000 description 1
- 108010015776 Glucose oxidase Proteins 0.000 description 1
- 102100041003 Glutamate carboxypeptidase 2 Human genes 0.000 description 1
- 108010024636 Glutathione Proteins 0.000 description 1
- 239000004471 Glycine Substances 0.000 description 1
- 206010018498 Goitre Diseases 0.000 description 1
- 108010069236 Goserelin Proteins 0.000 description 1
- 206010018691 Granuloma Diseases 0.000 description 1
- 208000003807 Graves Disease Diseases 0.000 description 1
- 208000015023 Graves' disease Diseases 0.000 description 1
- 244000041633 Grewia tenax Species 0.000 description 1
- 235000005612 Grewia tenax Nutrition 0.000 description 1
- 102220590966 Group 3 secretory phospholipase A2_S91T_mutation Human genes 0.000 description 1
- 239000007995 HEPES buffer Substances 0.000 description 1
- 208000031886 HIV Infections Diseases 0.000 description 1
- 208000037357 HIV infectious disease Diseases 0.000 description 1
- 102220541980 HLA class II histocompatibility antigen, DQ beta 1 chain_Y92N_mutation Human genes 0.000 description 1
- 101100082540 Haemophilus influenzae (strain ATCC 51907 / DSM 11121 / KW20 / Rd) pcp gene Proteins 0.000 description 1
- 101100508941 Halobacterium salinarum (strain ATCC 700922 / JCM 11081 / NRC-1) ppa gene Proteins 0.000 description 1
- 208000002250 Hematologic Neoplasms Diseases 0.000 description 1
- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 1
- 206010019695 Hepatic neoplasm Diseases 0.000 description 1
- 241000700721 Hepatitis B virus Species 0.000 description 1
- 208000006411 Hereditary Sensory and Motor Neuropathy Diseases 0.000 description 1
- 208000009889 Herpes Simplex Diseases 0.000 description 1
- 101000819490 Homo sapiens Alpha-(1,6)-fucosyltransferase Proteins 0.000 description 1
- 101000897405 Homo sapiens B-lymphocyte antigen CD20 Proteins 0.000 description 1
- 101100118549 Homo sapiens EGFR gene Proteins 0.000 description 1
- 101001064150 Homo sapiens Ephrin type-B receptor 1 Proteins 0.000 description 1
- 101001064458 Homo sapiens Ephrin type-B receptor 3 Proteins 0.000 description 1
- 101001064451 Homo sapiens Ephrin type-B receptor 6 Proteins 0.000 description 1
- 101000892862 Homo sapiens Glutamate carboxypeptidase 2 Proteins 0.000 description 1
- 101000913074 Homo sapiens High affinity immunoglobulin gamma Fc receptor I Proteins 0.000 description 1
- 101000878605 Homo sapiens Low affinity immunoglobulin epsilon Fc receptor Proteins 0.000 description 1
- 101000917826 Homo sapiens Low affinity immunoglobulin gamma Fc region receptor II-a Proteins 0.000 description 1
- 101000934338 Homo sapiens Myeloid cell surface antigen CD33 Proteins 0.000 description 1
- 101000610605 Homo sapiens Tumor necrosis factor receptor superfamily member 10A Proteins 0.000 description 1
- 101000851376 Homo sapiens Tumor necrosis factor receptor superfamily member 8 Proteins 0.000 description 1
- 241000701109 Human adenovirus 2 Species 0.000 description 1
- 241000701024 Human betaherpesvirus 5 Species 0.000 description 1
- UFHFLCQGNIYNRP-UHFFFAOYSA-N Hydrogen Chemical compound [H][H] UFHFLCQGNIYNRP-UHFFFAOYSA-N 0.000 description 1
- VSNHCAURESNICA-UHFFFAOYSA-N Hydroxyurea Chemical compound NC(=O)NO VSNHCAURESNICA-UHFFFAOYSA-N 0.000 description 1
- 206010020751 Hypersensitivity Diseases 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
- UGQMRVRMYYASKQ-UHFFFAOYSA-N Hypoxanthine nucleoside Natural products OC1C(O)C(CO)OC1N1C(NC=NC2=O)=C2N=C1 UGQMRVRMYYASKQ-UHFFFAOYSA-N 0.000 description 1
- XQFRJNBWHJMXHO-RRKCRQDMSA-N IDUR Chemical compound C1[C@H](O)[C@@H](CO)O[C@H]1N1C(=O)NC(=O)C(I)=C1 XQFRJNBWHJMXHO-RRKCRQDMSA-N 0.000 description 1
- MPBVHIBUJCELCL-UHFFFAOYSA-N Ibandronate Chemical compound CCCCCN(C)CCC(O)(P(O)(O)=O)P(O)(O)=O MPBVHIBUJCELCL-UHFFFAOYSA-N 0.000 description 1
- XDXDZDZNSLXDNA-TZNDIEGXSA-N Idarubicin Chemical compound C1[C@H](N)[C@H](O)[C@H](C)O[C@H]1O[C@@H]1C2=C(O)C(C(=O)C3=CC=CC=C3C3=O)=C3C(O)=C2C[C@@](O)(C(C)=O)C1 XDXDZDZNSLXDNA-TZNDIEGXSA-N 0.000 description 1
- XDXDZDZNSLXDNA-UHFFFAOYSA-N Idarubicin Natural products C1C(N)C(O)C(C)OC1OC1C2=C(O)C(C(=O)C3=CC=CC=C3C3=O)=C3C(O)=C2CC(O)(C(C)=O)C1 XDXDZDZNSLXDNA-UHFFFAOYSA-N 0.000 description 1
- DGAQECJNVWCQMB-PUAWFVPOSA-M Ilexoside XXIX Chemical class C[C@@H]1CC[C@@]2(CC[C@@]3(C(=CC[C@H]4[C@]3(CC[C@@H]5[C@@]4(CC[C@@H](C5(C)C)OS(=O)(=O)[O-])C)C)[C@@H]2[C@]1(C)O)C)C(=O)O[C@H]6[C@@H]([C@H]([C@@H]([C@H](O6)CO)O)O)O.[Na+] DGAQECJNVWCQMB-PUAWFVPOSA-M 0.000 description 1
- 102000009786 Immunoglobulin Constant Regions Human genes 0.000 description 1
- 108010009817 Immunoglobulin Constant Regions Proteins 0.000 description 1
- 238000012695 Interfacial polymerization Methods 0.000 description 1
- 102000014150 Interferons Human genes 0.000 description 1
- 108010050904 Interferons Proteins 0.000 description 1
- 241000221089 Jatropha Species 0.000 description 1
- 241000588748 Klebsiella Species 0.000 description 1
- 208000028226 Krabbe disease Diseases 0.000 description 1
- 125000000998 L-alanino group Chemical group [H]N([*])[C@](C([H])([H])[H])([H])C(=O)O[H] 0.000 description 1
- ODKSFYDXXFIFQN-BYPYZUCNSA-P L-argininium(2+) Chemical compound NC(=[NH2+])NCCC[C@H]([NH3+])C(O)=O ODKSFYDXXFIFQN-BYPYZUCNSA-P 0.000 description 1
- RHGKLRLOHDJJDR-BYPYZUCNSA-N L-citrulline Chemical compound NC(=O)NCCC[C@H]([NH3+])C([O-])=O RHGKLRLOHDJJDR-BYPYZUCNSA-N 0.000 description 1
- HNDVDQJCIGZPNO-YFKPBYRVSA-N L-histidine Chemical compound OC(=O)[C@@H](N)CC1=CN=CN1 HNDVDQJCIGZPNO-YFKPBYRVSA-N 0.000 description 1
- AGPKZVBTJJNPAG-WHFBIAKZSA-N L-isoleucine Chemical compound CC[C@H](C)[C@H](N)C(O)=O AGPKZVBTJJNPAG-WHFBIAKZSA-N 0.000 description 1
- FFEARJCKVFRZRR-BYPYZUCNSA-N L-methionine Chemical compound CSCC[C@H](N)C(O)=O FFEARJCKVFRZRR-BYPYZUCNSA-N 0.000 description 1
- 239000005517 L01XE01 - Imatinib Substances 0.000 description 1
- 239000005551 L01XE03 - Erlotinib Substances 0.000 description 1
- 239000002147 L01XE04 - Sunitinib Substances 0.000 description 1
- JLERVPBPJHKRBJ-UHFFFAOYSA-N LY 117018 Chemical compound C1=CC(O)=CC=C1C1=C(C(=O)C=2C=CC(OCCN3CCCC3)=CC=2)C2=CC=C(O)C=C2S1 JLERVPBPJHKRBJ-UHFFFAOYSA-N 0.000 description 1
- 108010029541 Laccase Proteins 0.000 description 1
- 102100038609 Lactoperoxidase Human genes 0.000 description 1
- 108010023244 Lactoperoxidase Proteins 0.000 description 1
- GUBGYTABKSRVRQ-QKKXKWKRSA-N Lactose Natural products OC[C@H]1O[C@@H](O[C@H]2[C@H](O)[C@@H](O)C(O)O[C@@H]2CO)[C@H](O)[C@@H](O)[C@H]1O GUBGYTABKSRVRQ-QKKXKWKRSA-N 0.000 description 1
- 229920001491 Lentinan Polymers 0.000 description 1
- 240000007472 Leucaena leucocephala Species 0.000 description 1
- 235000010643 Leucaena leucocephala Nutrition 0.000 description 1
- 108010000817 Leuprolide Proteins 0.000 description 1
- MEPSBMMZQBMKHM-UHFFFAOYSA-N Lomatiol Natural products CC(=C/CC1=C(O)C(=O)c2ccccc2C1=O)CO MEPSBMMZQBMKHM-UHFFFAOYSA-N 0.000 description 1
- GQYIWUVLTXOXAJ-UHFFFAOYSA-N Lomustine Chemical compound ClCCN(N=O)C(=O)NC1CCCCC1 GQYIWUVLTXOXAJ-UHFFFAOYSA-N 0.000 description 1
- 102100038007 Low affinity immunoglobulin epsilon Fc receptor Human genes 0.000 description 1
- 102100029204 Low affinity immunoglobulin gamma Fc region receptor II-a Human genes 0.000 description 1
- 101710099301 Low affinity immunoglobulin gamma Fc region receptor III-A Proteins 0.000 description 1
- 108060001084 Luciferase Proteins 0.000 description 1
- 239000005089 Luciferase Substances 0.000 description 1
- DDWFXDSYGUXRAY-UHFFFAOYSA-N Luciferin Natural products CCc1c(C)c(CC2NC(=O)C(=C2C=C)C)[nH]c1Cc3[nH]c4C(=C5/NC(CC(=O)O)C(C)C5CC(=O)O)CC(=O)c4c3C DDWFXDSYGUXRAY-UHFFFAOYSA-N 0.000 description 1
- 241000219745 Lupinus Species 0.000 description 1
- 229940082819 Luteinizing hormone releasing hormone (LHRH) agonist Drugs 0.000 description 1
- 239000004472 Lysine Substances 0.000 description 1
- 241000282553 Macaca Species 0.000 description 1
- 239000004907 Macro-emulsion Substances 0.000 description 1
- 206010025421 Macule Diseases 0.000 description 1
- FYYHWMGAXLPEAU-UHFFFAOYSA-N Magnesium Chemical compound [Mg] FYYHWMGAXLPEAU-UHFFFAOYSA-N 0.000 description 1
- 208000032271 Malignant tumor of penis Diseases 0.000 description 1
- PWHULOQIROXLJO-UHFFFAOYSA-N Manganese Chemical compound [Mn] PWHULOQIROXLJO-UHFFFAOYSA-N 0.000 description 1
- 229930195725 Mannitol Natural products 0.000 description 1
- VJRAUFKOOPNFIQ-UHFFFAOYSA-N Marcellomycin Natural products C12=C(O)C=3C(=O)C4=C(O)C=CC(O)=C4C(=O)C=3C=C2C(C(=O)OC)C(CC)(O)CC1OC(OC1C)CC(N(C)C)C1OC(OC1C)CC(O)C1OC1CC(O)C(O)C(C)O1 VJRAUFKOOPNFIQ-UHFFFAOYSA-N 0.000 description 1
- 241001441512 Maytenus serrata Species 0.000 description 1
- IVDYZAAPOLNZKG-KWHRADDSSA-N Mepitiostane Chemical compound O([C@@H]1[C@]2(CC[C@@H]3[C@@]4(C)C[C@H]5S[C@H]5C[C@@H]4CC[C@H]3[C@@H]2CC1)C)C1(OC)CCCC1 IVDYZAAPOLNZKG-KWHRADDSSA-N 0.000 description 1
- VFKZTMPDYBFSTM-KVTDHHQDSA-N Mitobronitol Chemical compound BrC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CBr VFKZTMPDYBFSTM-KVTDHHQDSA-N 0.000 description 1
- 229940121849 Mitotic inhibitor Drugs 0.000 description 1
- 208000034578 Multiple myelomas Diseases 0.000 description 1
- 108010085220 Multiprotein Complexes Proteins 0.000 description 1
- 102000007474 Multiprotein Complexes Human genes 0.000 description 1
- 108010014251 Muramidase Proteins 0.000 description 1
- 102000016943 Muramidase Human genes 0.000 description 1
- 231100000678 Mycotoxin Toxicity 0.000 description 1
- 208000033776 Myeloid Acute Leukemia Diseases 0.000 description 1
- 102100025243 Myeloid cell surface antigen CD33 Human genes 0.000 description 1
- 201000002481 Myositis Diseases 0.000 description 1
- OVRNDRQMDRJTHS-CBQIKETKSA-N N-Acetyl-D-Galactosamine Chemical compound CC(=O)N[C@H]1[C@@H](O)O[C@H](CO)[C@H](O)[C@@H]1O OVRNDRQMDRJTHS-CBQIKETKSA-N 0.000 description 1
- 108010062010 N-Acetylmuramoyl-L-alanine Amidase Proteins 0.000 description 1
- NQTADLQHYWFPDB-UHFFFAOYSA-N N-Hydroxysuccinimide Chemical compound ON1C(=O)CCC1=O NQTADLQHYWFPDB-UHFFFAOYSA-N 0.000 description 1
- OVBPIULPVIDEAO-UHFFFAOYSA-N N-Pteroyl-L-glutaminsaeure Natural products C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)NC(CCC(O)=O)C(O)=O)C=C1 OVBPIULPVIDEAO-UHFFFAOYSA-N 0.000 description 1
- MBLBDJOUHNCFQT-UHFFFAOYSA-N N-acetyl-D-galactosamine Natural products CC(=O)NC(C=O)C(O)C(O)C(O)CO MBLBDJOUHNCFQT-UHFFFAOYSA-N 0.000 description 1
- 230000004988 N-glycosylation Effects 0.000 description 1
- CWLQUGTUXBXTLF-YFKPBYRVSA-N N-methylproline Chemical class CN1CCC[C@H]1C(O)=O CWLQUGTUXBXTLF-YFKPBYRVSA-N 0.000 description 1
- DTBYORFAPXNYRJ-UHFFFAOYSA-N N=C1SCCC1.CCCCC Chemical compound N=C1SCCC1.CCCCC DTBYORFAPXNYRJ-UHFFFAOYSA-N 0.000 description 1
- 102000002111 Neuropilin Human genes 0.000 description 1
- 108050009450 Neuropilin Proteins 0.000 description 1
- 102000004207 Neuropilin-1 Human genes 0.000 description 1
- 108090000772 Neuropilin-1 Proteins 0.000 description 1
- 102000004213 Neuropilin-2 Human genes 0.000 description 1
- 108090000770 Neuropilin-2 Proteins 0.000 description 1
- 101100407828 Neurospora crassa (strain ATCC 24698 / 74-OR23-1A / CBS 708.71 / DSM 1257 / FGSC 987) ptr-3 gene Proteins 0.000 description 1
- SYNHCENRCUAUNM-UHFFFAOYSA-N Nitrogen mustard N-oxide hydrochloride Chemical compound Cl.ClCC[N+]([O-])(C)CCCl SYNHCENRCUAUNM-UHFFFAOYSA-N 0.000 description 1
- KGTDRFCXGRULNK-UHFFFAOYSA-N Nogalamycin Natural products COC1C(OC)(C)C(OC)C(C)OC1OC1C2=C(O)C(C(=O)C3=C(O)C=C4C5(C)OC(C(C(C5O)N(C)C)O)OC4=C3C3=O)=C3C=C2C(C(=O)OC)C(C)(O)C1 KGTDRFCXGRULNK-UHFFFAOYSA-N 0.000 description 1
- 208000015914 Non-Hodgkin lymphomas Diseases 0.000 description 1
- 101710163270 Nuclease Proteins 0.000 description 1
- 239000004677 Nylon Substances 0.000 description 1
- 108010079246 OMPA outer membrane proteins Proteins 0.000 description 1
- 108020005187 Oligonucleotide Probes Proteins 0.000 description 1
- 229930187135 Olivomycin Natural products 0.000 description 1
- 102000043276 Oncogene Human genes 0.000 description 1
- 102100021079 Ornithine decarboxylase Human genes 0.000 description 1
- 108700005126 Ornithine decarboxylases Proteins 0.000 description 1
- 101100081884 Oryza sativa subsp. japonica OSA15 gene Proteins 0.000 description 1
- 102220513987 PCI domain-containing protein 2_T57S_mutation Human genes 0.000 description 1
- 238000012408 PCR amplification Methods 0.000 description 1
- 101150082245 PSAG gene Proteins 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 241000609499 Palicourea Species 0.000 description 1
- 206010033645 Pancreatitis Diseases 0.000 description 1
- 108090000526 Papain Proteins 0.000 description 1
- 241000282520 Papio Species 0.000 description 1
- 241001057811 Paracoccus <mealybug> Species 0.000 description 1
- 208000037273 Pathologic Processes Diseases 0.000 description 1
- 108010087702 Penicillinase Proteins 0.000 description 1
- 208000002471 Penile Neoplasms Diseases 0.000 description 1
- 206010034299 Penile cancer Diseases 0.000 description 1
- 108010057150 Peplomycin Proteins 0.000 description 1
- 102000057297 Pepsin A Human genes 0.000 description 1
- 108090000284 Pepsin A Proteins 0.000 description 1
- 102000007079 Peptide Fragments Human genes 0.000 description 1
- 108010033276 Peptide Fragments Proteins 0.000 description 1
- 206010057249 Phagocytosis Diseases 0.000 description 1
- ABLZXFCXXLZCGV-UHFFFAOYSA-N Phosphorous acid Chemical group OP(O)=O ABLZXFCXXLZCGV-UHFFFAOYSA-N 0.000 description 1
- 108091000080 Phosphotransferase Proteins 0.000 description 1
- 240000007643 Phytolacca americana Species 0.000 description 1
- 235000009074 Phytolacca americana Nutrition 0.000 description 1
- KMSKQZKKOZQFFG-HSUXVGOQSA-N Pirarubicin Chemical compound O([C@H]1[C@@H](N)C[C@@H](O[C@H]1C)O[C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1CCCCO1 KMSKQZKKOZQFFG-HSUXVGOQSA-N 0.000 description 1
- 108090000316 Pitrilysin Proteins 0.000 description 1
- 208000002151 Pleural effusion Diseases 0.000 description 1
- 206010035664 Pneumonia Diseases 0.000 description 1
- 229920000608 Polyaspartic Polymers 0.000 description 1
- 241001505332 Polyomavirus sp. Species 0.000 description 1
- 239000004372 Polyvinyl alcohol Substances 0.000 description 1
- 241000282405 Pongo abelii Species 0.000 description 1
- HFVNWDWLWUCIHC-GUPDPFMOSA-N Prednimustine Chemical compound O=C([C@@]1(O)CC[C@H]2[C@H]3[C@@H]([C@]4(C=CC(=O)C=C4CC3)C)[C@@H](O)C[C@@]21C)COC(=O)CCCC1=CC=C(N(CCCl)CCCl)C=C1 HFVNWDWLWUCIHC-GUPDPFMOSA-N 0.000 description 1
- 206010036595 Premature delivery Diseases 0.000 description 1
- 241000677647 Proba Species 0.000 description 1
- ONIBWKKTOPOVIA-UHFFFAOYSA-N Proline Natural products OC(=O)C1CCCN1 ONIBWKKTOPOVIA-UHFFFAOYSA-N 0.000 description 1
- 102000007327 Protamines Human genes 0.000 description 1
- 108010007568 Protamines Proteins 0.000 description 1
- 101710127332 Protease I Proteins 0.000 description 1
- 102220537293 Protein NDRG2_A32L_mutation Human genes 0.000 description 1
- 108010001267 Protein Subunits Proteins 0.000 description 1
- 102000002067 Protein Subunits Human genes 0.000 description 1
- 102100024924 Protein kinase C alpha type Human genes 0.000 description 1
- 101710109947 Protein kinase C alpha type Proteins 0.000 description 1
- 241000588769 Proteus <enterobacteria> Species 0.000 description 1
- 241000589516 Pseudomonas Species 0.000 description 1
- 206010064911 Pulmonary arterial hypertension Diseases 0.000 description 1
- 244000173166 Pyrus ussuriensis Species 0.000 description 1
- 102000004278 Receptor Protein-Tyrosine Kinases Human genes 0.000 description 1
- 108090000873 Receptor Protein-Tyrosine Kinases Proteins 0.000 description 1
- 101710100969 Receptor tyrosine-protein kinase erbB-3 Proteins 0.000 description 1
- 101710100963 Receptor tyrosine-protein kinase erbB-4 Proteins 0.000 description 1
- 208000015634 Rectal Neoplasms Diseases 0.000 description 1
- 206010038111 Recurrent cancer Diseases 0.000 description 1
- 208000005587 Refsum Disease Diseases 0.000 description 1
- 208000007135 Retinal Neovascularization Diseases 0.000 description 1
- 206010038933 Retinopathy of prematurity Diseases 0.000 description 1
- OWPCHSCAPHNHAV-UHFFFAOYSA-N Rhizoxin Natural products C1C(O)C2(C)OC2C=CC(C)C(OC(=O)C2)CC2CC2OC2C(=O)OC1C(C)C(OC)C(C)=CC=CC(C)=CC1=COC(C)=N1 OWPCHSCAPHNHAV-UHFFFAOYSA-N 0.000 description 1
- 108091028664 Ribonucleotide Proteins 0.000 description 1
- PYMYPHUHKUWMLA-LMVFSUKVSA-N Ribose Natural products OC[C@@H](O)[C@@H](O)[C@@H](O)C=O PYMYPHUHKUWMLA-LMVFSUKVSA-N 0.000 description 1
- 241000714474 Rous sarcoma virus Species 0.000 description 1
- CIEYTVIYYGTCCI-UHFFFAOYSA-N SJ000286565 Natural products C1=CC=C2C(=O)C(CC=C(C)C)=C(O)C(=O)C2=C1 CIEYTVIYYGTCCI-UHFFFAOYSA-N 0.000 description 1
- 240000004808 Saccharomyces cerevisiae Species 0.000 description 1
- 101100123851 Saccharomyces cerevisiae (strain ATCC 204508 / S288c) HER1 gene Proteins 0.000 description 1
- 241000607142 Salmonella Species 0.000 description 1
- 241000293869 Salmonella enterica subsp. enterica serovar Typhimurium Species 0.000 description 1
- 108010084592 Saporins Proteins 0.000 description 1
- 206010039710 Scleroderma Diseases 0.000 description 1
- 229920005654 Sephadex Polymers 0.000 description 1
- 239000012507 Sephadex™ Substances 0.000 description 1
- 229920002684 Sepharose Polymers 0.000 description 1
- 206010040047 Sepsis Diseases 0.000 description 1
- 241000607720 Serratia Species 0.000 description 1
- 241000607715 Serratia marcescens Species 0.000 description 1
- 108010071390 Serum Albumin Proteins 0.000 description 1
- 102000007562 Serum Albumin Human genes 0.000 description 1
- 229920000519 Sizofiran Polymers 0.000 description 1
- 239000004268 Sodium erythorbin Substances 0.000 description 1
- 229920002125 Sokalan® Polymers 0.000 description 1
- 241000191940 Staphylococcus Species 0.000 description 1
- 208000006011 Stroke Diseases 0.000 description 1
- 229930006000 Sucrose Natural products 0.000 description 1
- CZMRCDWAGMRECN-UGDNZRGBSA-N Sucrose Chemical compound O[C@H]1[C@H](O)[C@@H](CO)O[C@@]1(CO)O[C@@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](CO)O1 CZMRCDWAGMRECN-UGDNZRGBSA-N 0.000 description 1
- 241000282887 Suidae Species 0.000 description 1
- NINIDFKCEFEMDL-UHFFFAOYSA-N Sulfur Chemical compound [S] NINIDFKCEFEMDL-UHFFFAOYSA-N 0.000 description 1
- 241000282898 Sus scrofa Species 0.000 description 1
- BXFOFFBJRFZBQZ-QYWOHJEZSA-N T-2 toxin Chemical compound C([C@@]12[C@]3(C)[C@H](OC(C)=O)[C@@H](O)[C@H]1O[C@H]1[C@]3(COC(C)=O)C[C@@H](C(=C1)C)OC(=O)CC(C)C)O2 BXFOFFBJRFZBQZ-QYWOHJEZSA-N 0.000 description 1
- 210000001744 T-lymphocyte Anatomy 0.000 description 1
- CGMTUJFWROPELF-UHFFFAOYSA-N Tenuazonic acid Natural products CCC(C)C1NC(=O)C(=C(C)/O)C1=O CGMTUJFWROPELF-UHFFFAOYSA-N 0.000 description 1
- 101710137710 Thioesterase 1/protease 1/lysophospholipase L1 Proteins 0.000 description 1
- RYYWUUFWQRZTIU-UHFFFAOYSA-N Thiophosphoric acid Chemical class OP(O)(S)=O RYYWUUFWQRZTIU-UHFFFAOYSA-N 0.000 description 1
- AYFVYJQAPQTCCC-UHFFFAOYSA-N Threonine Natural products CC(O)C(N)C(O)=O AYFVYJQAPQTCCC-UHFFFAOYSA-N 0.000 description 1
- 102000006601 Thymidine Kinase Human genes 0.000 description 1
- 108020004440 Thymidine kinase Proteins 0.000 description 1
- DKJJVAGXPKPDRL-UHFFFAOYSA-N Tiludronic acid Chemical compound OP(O)(=O)C(P(O)(O)=O)SC1=CC=C(Cl)C=C1 DKJJVAGXPKPDRL-UHFFFAOYSA-N 0.000 description 1
- 239000000317 Topoisomerase II Inhibitor Substances 0.000 description 1
- IWEQQRMGNVVKQW-OQKDUQJOSA-N Toremifene citrate Chemical compound OC(=O)CC(O)(C(O)=O)CC(O)=O.C1=CC(OCCN(C)C)=CC=C1C(\C=1C=CC=CC=1)=C(\CCCl)C1=CC=CC=C1 IWEQQRMGNVVKQW-OQKDUQJOSA-N 0.000 description 1
- 101710120037 Toxin CcdB Proteins 0.000 description 1
- 108700009124 Transcription Initiation Site Proteins 0.000 description 1
- 102000004338 Transferrin Human genes 0.000 description 1
- 108090000901 Transferrin Proteins 0.000 description 1
- 206010052779 Transplant rejections Diseases 0.000 description 1
- 208000030886 Traumatic Brain injury Diseases 0.000 description 1
- SHGAZHPCJJPHSC-NWVFGJFESA-N Tretinoin Chemical compound OC(=O)/C=C(\C)/C=C/C=C(C)C=CC1=C(C)CCCC1(C)C SHGAZHPCJJPHSC-NWVFGJFESA-N 0.000 description 1
- UMILHIMHKXVDGH-UHFFFAOYSA-N Triethylene glycol diglycidyl ether Chemical compound C1OC1COCCOCCOCCOCC1CO1 UMILHIMHKXVDGH-UHFFFAOYSA-N 0.000 description 1
- 102100040113 Tumor necrosis factor receptor superfamily member 10A Human genes 0.000 description 1
- 102100036857 Tumor necrosis factor receptor superfamily member 8 Human genes 0.000 description 1
- 244000153888 Tung Species 0.000 description 1
- 201000006704 Ulcerative Colitis Diseases 0.000 description 1
- 108091023045 Untranslated Region Proteins 0.000 description 1
- 108010092464 Urate Oxidase Proteins 0.000 description 1
- XSQUKJJJFZCRTK-UHFFFAOYSA-N Urea Natural products NC(N)=O XSQUKJJJFZCRTK-UHFFFAOYSA-N 0.000 description 1
- 208000006593 Urologic Neoplasms Diseases 0.000 description 1
- 206010046798 Uterine leiomyoma Diseases 0.000 description 1
- KZSNJWFQEVHDMF-UHFFFAOYSA-N Valine Chemical compound CC(C)C(N)C(O)=O KZSNJWFQEVHDMF-UHFFFAOYSA-N 0.000 description 1
- 108010053096 Vascular Endothelial Growth Factor Receptor-1 Proteins 0.000 description 1
- 108010053099 Vascular Endothelial Growth Factor Receptor-2 Proteins 0.000 description 1
- 108010053100 Vascular Endothelial Growth Factor Receptor-3 Proteins 0.000 description 1
- 102100033178 Vascular endothelial growth factor receptor 1 Human genes 0.000 description 1
- 102100033179 Vascular endothelial growth factor receptor 3 Human genes 0.000 description 1
- 206010047163 Vasospasm Diseases 0.000 description 1
- 240000001866 Vernicia fordii Species 0.000 description 1
- 241000863480 Vinca Species 0.000 description 1
- 229940122803 Vinca alkaloid Drugs 0.000 description 1
- 108020005202 Viral DNA Proteins 0.000 description 1
- 241000700605 Viruses Species 0.000 description 1
- 241000863000 Vitreoscilla Species 0.000 description 1
- IXKSXJFAGXLQOQ-XISFHERQSA-N WHWLQLKPGQPMY Chemical compound C([C@@H](C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(C)C)C(=O)N1CCC[C@H]1C(=O)NCC(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H](CC(O)=O)C(=O)N1CCC[C@H]1C(=O)N[C@@H](CCSC)C(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(O)=O)NC(=O)[C@@H](N)CC=1C2=CC=CC=C2NC=1)C1=CNC=N1 IXKSXJFAGXLQOQ-XISFHERQSA-N 0.000 description 1
- 208000013058 Weber syndrome Diseases 0.000 description 1
- PVNFMCBFDPTNQI-UIBOPQHZSA-N [(1S,2R,5S,6S,16E,18E,20R,21S)-11-chloro-21-hydroxy-12,20-dimethoxy-2,5,9,16-tetramethyl-8,23-dioxo-4,24-dioxa-9,22-diazatetracyclo[19.3.1.110,14.03,5]hexacosa-10,12,14(26),16,18-pentaen-6-yl] acetate [(1S,2R,5S,6S,16E,18E,20R,21S)-11-chloro-21-hydroxy-12,20-dimethoxy-2,5,9,16-tetramethyl-8,23-dioxo-4,24-dioxa-9,22-diazatetracyclo[19.3.1.110,14.03,5]hexacosa-10,12,14(26),16,18-pentaen-6-yl] 3-methylbutanoate [(1S,2R,5S,6S,16E,18E,20R,21S)-11-chloro-21-hydroxy-12,20-dimethoxy-2,5,9,16-tetramethyl-8,23-dioxo-4,24-dioxa-9,22-diazatetracyclo[19.3.1.110,14.03,5]hexacosa-10,12,14(26),16,18-pentaen-6-yl] 2-methylpropanoate [(1S,2R,5S,6S,16E,18E,20R,21S)-11-chloro-21-hydroxy-12,20-dimethoxy-2,5,9,16-tetramethyl-8,23-dioxo-4,24-dioxa-9,22-diazatetracyclo[19.3.1.110,14.03,5]hexacosa-10,12,14(26),16,18-pentaen-6-yl] propanoate Chemical compound CO[C@@H]1\C=C\C=C(C)\Cc2cc(OC)c(Cl)c(c2)N(C)C(=O)C[C@H](OC(C)=O)[C@]2(C)OC2[C@H](C)[C@@H]2C[C@@]1(O)NC(=O)O2.CCC(=O)O[C@H]1CC(=O)N(C)c2cc(C\C(C)=C\C=C\[C@@H](OC)[C@@]3(O)C[C@H](OC(=O)N3)[C@@H](C)C3O[C@@]13C)cc(OC)c2Cl.CO[C@@H]1\C=C\C=C(C)\Cc2cc(OC)c(Cl)c(c2)N(C)C(=O)C[C@H](OC(=O)C(C)C)[C@]2(C)OC2[C@H](C)[C@@H]2C[C@@]1(O)NC(=O)O2.CO[C@@H]1\C=C\C=C(C)\Cc2cc(OC)c(Cl)c(c2)N(C)C(=O)C[C@H](OC(=O)CC(C)C)[C@]2(C)OC2[C@H](C)[C@@H]2C[C@@]1(O)NC(=O)O2 PVNFMCBFDPTNQI-UIBOPQHZSA-N 0.000 description 1
- SPJCRMJCFSJKDE-ZWBUGVOYSA-N [(3s,8s,9s,10r,13r,14s,17r)-10,13-dimethyl-17-[(2r)-6-methylheptan-2-yl]-2,3,4,7,8,9,11,12,14,15,16,17-dodecahydro-1h-cyclopenta[a]phenanthren-3-yl] 2-[4-[bis(2-chloroethyl)amino]phenyl]acetate Chemical compound O([C@@H]1CC2=CC[C@H]3[C@@H]4CC[C@@H]([C@]4(CC[C@@H]3[C@@]2(C)CC1)C)[C@H](C)CCCC(C)C)C(=O)CC1=CC=C(N(CCCl)CCCl)C=C1 SPJCRMJCFSJKDE-ZWBUGVOYSA-N 0.000 description 1
- IFJUINDAXYAPTO-UUBSBJJBSA-N [(8r,9s,13s,14s,17s)-17-[2-[4-[4-[bis(2-chloroethyl)amino]phenyl]butanoyloxy]acetyl]oxy-13-methyl-6,7,8,9,11,12,14,15,16,17-decahydrocyclopenta[a]phenanthren-3-yl] benzoate Chemical compound C([C@@H]1[C@@H](C2=CC=3)CC[C@]4([C@H]1CC[C@@H]4OC(=O)COC(=O)CCCC=1C=CC(=CC=1)N(CCCl)CCCl)C)CC2=CC=3OC(=O)C1=CC=CC=C1 IFJUINDAXYAPTO-UUBSBJJBSA-N 0.000 description 1
- IHGLINDYFMDHJG-UHFFFAOYSA-N [2-(4-methoxyphenyl)-3,4-dihydronaphthalen-1-yl]-[4-(2-pyrrolidin-1-ylethoxy)phenyl]methanone Chemical compound C1=CC(OC)=CC=C1C(CCC1=CC=CC=C11)=C1C(=O)C(C=C1)=CC=C1OCCN1CCCC1 IHGLINDYFMDHJG-UHFFFAOYSA-N 0.000 description 1
- XZSRRNFBEIOBDA-CFNBKWCHSA-N [2-[(2s,4s)-4-[(2r,4s,5s,6s)-4-amino-5-hydroxy-6-methyloxan-2-yl]oxy-2,5,12-trihydroxy-7-methoxy-6,11-dioxo-3,4-dihydro-1h-tetracen-2-yl]-2-oxoethyl] 2,2-diethoxyacetate Chemical compound O([C@H]1C[C@](CC2=C(O)C=3C(=O)C4=CC=CC(OC)=C4C(=O)C=3C(O)=C21)(O)C(=O)COC(=O)C(OCC)OCC)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 XZSRRNFBEIOBDA-CFNBKWCHSA-N 0.000 description 1
- 108010023617 abarelix Proteins 0.000 description 1
- 229960002184 abarelix Drugs 0.000 description 1
- 208000004622 abetalipoproteinemia Diseases 0.000 description 1
- ZOZKYEHVNDEUCO-XUTVFYLZSA-N aceglatone Chemical compound O1C(=O)[C@H](OC(C)=O)[C@@H]2OC(=O)[C@@H](OC(=O)C)[C@@H]21 ZOZKYEHVNDEUCO-XUTVFYLZSA-N 0.000 description 1
- 229950002684 aceglatone Drugs 0.000 description 1
- QUHYUSAHBDACNG-UHFFFAOYSA-N acerogenin 3 Natural products C1=CC(O)=CC=C1CCCCC(=O)CCC1=CC=C(O)C=C1 QUHYUSAHBDACNG-UHFFFAOYSA-N 0.000 description 1
- 239000003929 acidic solution Substances 0.000 description 1
- 230000002378 acidificating effect Effects 0.000 description 1
- 208000037919 acquired disease Diseases 0.000 description 1
- 229920006243 acrylic copolymer Polymers 0.000 description 1
- 229930183665 actinomycin Natural products 0.000 description 1
- RJURFGZVJUQBHK-IIXSONLDSA-N actinomycin D Chemical compound C[C@H]1OC(=O)[C@H](C(C)C)N(C)C(=O)CN(C)C(=O)[C@@H]2CCCN2C(=O)[C@@H](C(C)C)NC(=O)[C@H]1NC(=O)C1=C(N)C(=O)C(C)=C2OC(C(C)=CC=C3C(=O)N[C@@H]4C(=O)N[C@@H](C(N5CCC[C@H]5C(=O)N(C)CC(=O)N(C)[C@@H](C(C)C)C(=O)O[C@@H]4C)=O)C(C)C)=C3N=C21 RJURFGZVJUQBHK-IIXSONLDSA-N 0.000 description 1
- 239000004480 active ingredient Substances 0.000 description 1
- 239000013543 active substance Substances 0.000 description 1
- 229940037127 actonel Drugs 0.000 description 1
- 206010069351 acute lung injury Diseases 0.000 description 1
- 125000002015 acyclic group Chemical group 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 239000000654 additive Substances 0.000 description 1
- 229960005305 adenosine Drugs 0.000 description 1
- 238000009098 adjuvant therapy Methods 0.000 description 1
- 229950004955 adozelesin Drugs 0.000 description 1
- BYRVKDUQDLJUBX-JJCDCTGGSA-N adozelesin Chemical compound C1=CC=C2OC(C(=O)NC=3C=C4C=C(NC4=CC=3)C(=O)N3C[C@H]4C[C@]44C5=C(C(C=C43)=O)NC=C5C)=CC2=C1 BYRVKDUQDLJUBX-JJCDCTGGSA-N 0.000 description 1
- 210000004100 adrenal gland Anatomy 0.000 description 1
- 229940102884 adrenalin Drugs 0.000 description 1
- 229940009456 adriamycin Drugs 0.000 description 1
- 239000003463 adsorbent Substances 0.000 description 1
- 208000030597 adult Refsum disease Diseases 0.000 description 1
- 201000000028 adult respiratory distress syndrome Diseases 0.000 description 1
- 206010064930 age-related macular degeneration Diseases 0.000 description 1
- 230000004520 agglutination Effects 0.000 description 1
- 201000007930 alcohol dependence Diseases 0.000 description 1
- 229940062527 alendronate Drugs 0.000 description 1
- 125000003342 alkenyl group Chemical group 0.000 description 1
- 150000008052 alkyl sulfonates Chemical class 0.000 description 1
- 208000026935 allergic disease Diseases 0.000 description 1
- 230000007815 allergy Effects 0.000 description 1
- HMFHBZSHGGEWLO-UHFFFAOYSA-N alpha-D-Furanose-Ribose Natural products OCC1OC(O)C(O)C1O HMFHBZSHGGEWLO-UHFFFAOYSA-N 0.000 description 1
- SRBFZHDQGSBBOR-STGXQOJASA-N alpha-D-lyxopyranose Chemical compound O[C@@H]1CO[C@H](O)[C@@H](O)[C@H]1O SRBFZHDQGSBBOR-STGXQOJASA-N 0.000 description 1
- 108010026331 alpha-Fetoproteins Proteins 0.000 description 1
- 102000013529 alpha-Fetoproteins Human genes 0.000 description 1
- 108010001818 alpha-sarcin Proteins 0.000 description 1
- 229960000473 altretamine Drugs 0.000 description 1
- 229910000147 aluminium phosphate Inorganic materials 0.000 description 1
- 150000001408 amides Chemical group 0.000 description 1
- 229960002749 aminolevulinic acid Drugs 0.000 description 1
- 229960001220 amsacrine Drugs 0.000 description 1
- XCPGHVQEEXUHNC-UHFFFAOYSA-N amsacrine Chemical compound COC1=CC(NS(C)(=O)=O)=CC=C1NC1=C(C=CC=C2)C2=NC2=CC=CC=C12 XCPGHVQEEXUHNC-UHFFFAOYSA-N 0.000 description 1
- 229960002932 anastrozole Drugs 0.000 description 1
- 229950000242 ancitabine Drugs 0.000 description 1
- BBDAGFIXKZCXAH-CCXZUQQUSA-N ancitabine Chemical compound N=C1C=CN2[C@@H]3O[C@H](CO)[C@@H](O)[C@@H]3OC2=N1 BBDAGFIXKZCXAH-CCXZUQQUSA-N 0.000 description 1
- 239000003098 androgen Substances 0.000 description 1
- 229940030486 androgens Drugs 0.000 description 1
- 210000004102 animal cell Anatomy 0.000 description 1
- 239000003957 anion exchange resin Substances 0.000 description 1
- 150000001450 anions Chemical class 0.000 description 1
- 239000003817 anthracycline antibiotic agent Substances 0.000 description 1
- 230000002280 anti-androgenic effect Effects 0.000 description 1
- 230000001093 anti-cancer Effects 0.000 description 1
- 229940046836 anti-estrogen Drugs 0.000 description 1
- 230000001833 anti-estrogenic effect Effects 0.000 description 1
- 230000003432 anti-folate effect Effects 0.000 description 1
- 230000000843 anti-fungal effect Effects 0.000 description 1
- 230000000340 anti-metabolite Effects 0.000 description 1
- 230000000118 anti-neoplastic effect Effects 0.000 description 1
- 230000000708 anti-progestin effect Effects 0.000 description 1
- 230000000692 anti-sense effect Effects 0.000 description 1
- 239000000051 antiandrogen Substances 0.000 description 1
- 229940030495 antiandrogen sex hormone and modulator of the genital system Drugs 0.000 description 1
- 229940125644 antibody drug Drugs 0.000 description 1
- 210000000628 antibody-producing cell Anatomy 0.000 description 1
- 239000012635 anticancer drug combination Substances 0.000 description 1
- 229940127074 antifolate Drugs 0.000 description 1
- 238000010913 antigen-directed enzyme pro-drug therapy Methods 0.000 description 1
- 239000013059 antihormonal agent Substances 0.000 description 1
- 229940100197 antimetabolite Drugs 0.000 description 1
- 239000002256 antimetabolite Substances 0.000 description 1
- 229940045687 antimetabolites folic acid analogs Drugs 0.000 description 1
- 229940034982 antineoplastic agent Drugs 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 235000006708 antioxidants Nutrition 0.000 description 1
- 239000003418 antiprogestin Substances 0.000 description 1
- 239000000074 antisense oligonucleotide Substances 0.000 description 1
- 238000012230 antisense oligonucleotides Methods 0.000 description 1
- 201000011165 anus cancer Diseases 0.000 description 1
- 230000001640 apoptogenic effect Effects 0.000 description 1
- 239000007864 aqueous solution Substances 0.000 description 1
- PYMYPHUHKUWMLA-WDCZJNDASA-N arabinose Chemical compound OC[C@@H](O)[C@@H](O)[C@H](O)C=O PYMYPHUHKUWMLA-WDCZJNDASA-N 0.000 description 1
- 150000008209 arabinosides Chemical class 0.000 description 1
- ODKSFYDXXFIFQN-UHFFFAOYSA-N arginine Natural products OC(=O)C(N)CCCNC(N)=N ODKSFYDXXFIFQN-UHFFFAOYSA-N 0.000 description 1
- 235000009697 arginine Nutrition 0.000 description 1
- 229940078010 arimidex Drugs 0.000 description 1
- 229940087620 aromasin Drugs 0.000 description 1
- 239000003886 aromatase inhibitor Substances 0.000 description 1
- 229940046844 aromatase inhibitors Drugs 0.000 description 1
- 150000004982 aromatic amines Chemical class 0.000 description 1
- 229910052785 arsenic Inorganic materials 0.000 description 1
- RQNWIZPPADIBDY-UHFFFAOYSA-N arsenic atom Chemical compound [As] RQNWIZPPADIBDY-UHFFFAOYSA-N 0.000 description 1
- 125000005410 aryl sulfonium group Chemical group 0.000 description 1
- 235000010323 ascorbic acid Nutrition 0.000 description 1
- 229960005070 ascorbic acid Drugs 0.000 description 1
- 239000011668 ascorbic acid Substances 0.000 description 1
- 235000003704 aspartic acid Nutrition 0.000 description 1
- FZCSTZYAHCUGEM-UHFFFAOYSA-N aspergillomarasmine B Natural products OC(=O)CNC(C(O)=O)CNC(C(O)=O)CC(O)=O FZCSTZYAHCUGEM-UHFFFAOYSA-N 0.000 description 1
- 208000006673 asthma Diseases 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000037444 atrophy Effects 0.000 description 1
- 230000004009 axon guidance Effects 0.000 description 1
- 229960002756 azacitidine Drugs 0.000 description 1
- VSRXQHXAPYXROS-UHFFFAOYSA-N azanide;cyclobutane-1,1-dicarboxylic acid;platinum(2+) Chemical compound [NH2-].[NH2-].[Pt+2].OC(=O)C1(C(O)=O)CCC1 VSRXQHXAPYXROS-UHFFFAOYSA-N 0.000 description 1
- 229950011321 azaserine Drugs 0.000 description 1
- 244000052616 bacterial pathogen Species 0.000 description 1
- 239000000688 bacterial toxin Substances 0.000 description 1
- 230000004888 barrier function Effects 0.000 description 1
- 229960000686 benzalkonium chloride Drugs 0.000 description 1
- 229960001950 benzethonium chloride Drugs 0.000 description 1
- UREZNYTWGJKWBI-UHFFFAOYSA-M benzethonium chloride Chemical compound [Cl-].C1=CC(C(C)(C)CC(C)(C)C)=CC=C1OCCOCC[N+](C)(C)CC1=CC=CC=C1 UREZNYTWGJKWBI-UHFFFAOYSA-M 0.000 description 1
- WPYMKLBDIGXBTP-UHFFFAOYSA-N benzoic acid Chemical compound OC(=O)C1=CC=CC=C1 WPYMKLBDIGXBTP-UHFFFAOYSA-N 0.000 description 1
- 235000019445 benzyl alcohol Nutrition 0.000 description 1
- CADWTSSKOVRVJC-UHFFFAOYSA-N benzyl(dimethyl)azanium;chloride Chemical compound [Cl-].C[NH+](C)CC1=CC=CC=C1 CADWTSSKOVRVJC-UHFFFAOYSA-N 0.000 description 1
- 108010051210 beta-Fructofuranosidase Proteins 0.000 description 1
- DRTQHJPVMGBUCF-PSQAKQOGSA-N beta-L-uridine Natural products O[C@H]1[C@@H](O)[C@H](CO)O[C@@H]1N1C(=O)NC(=O)C=C1 DRTQHJPVMGBUCF-PSQAKQOGSA-N 0.000 description 1
- OQFSQFPPLPISGP-UHFFFAOYSA-N beta-carboxyaspartic acid Natural products OC(=O)C(N)C(C(O)=O)C(O)=O OQFSQFPPLPISGP-UHFFFAOYSA-N 0.000 description 1
- QGJZLNKBHJESQX-FZFNOLFKSA-N betulinic acid Chemical compound C1C[C@H](O)C(C)(C)[C@@H]2CC[C@@]3(C)[C@]4(C)CC[C@@]5(C(O)=O)CC[C@@H](C(=C)C)[C@@H]5[C@H]4CC[C@@H]3[C@]21C QGJZLNKBHJESQX-FZFNOLFKSA-N 0.000 description 1
- 229960000997 bicalutamide Drugs 0.000 description 1
- 238000013357 binding ELISA Methods 0.000 description 1
- 238000002306 biochemical method Methods 0.000 description 1
- 239000003139 biocide Substances 0.000 description 1
- 230000008236 biological pathway Effects 0.000 description 1
- 230000005540 biological transmission Effects 0.000 description 1
- 229960000074 biopharmaceutical Drugs 0.000 description 1
- 238000005460 biophysical method Methods 0.000 description 1
- QKSKPIVNLNLAAV-UHFFFAOYSA-N bis(2-chloroethyl) sulfide Chemical compound ClCCSCCCl QKSKPIVNLNLAAV-UHFFFAOYSA-N 0.000 description 1
- 229950008548 bisantrene Drugs 0.000 description 1
- 150000004663 bisphosphonates Chemical class 0.000 description 1
- 229950006844 bizelesin Drugs 0.000 description 1
- 229960001561 bleomycin Drugs 0.000 description 1
- OYVAGSVQBOHSSS-UAPAGMARSA-O bleomycin A2 Chemical compound N([C@H](C(=O)N[C@H](C)[C@@H](O)[C@H](C)C(=O)N[C@@H]([C@H](O)C)C(=O)NCCC=1SC=C(N=1)C=1SC=C(N=1)C(=O)NCCC[S+](C)C)[C@@H](O[C@H]1[C@H]([C@@H](O)[C@H](O)[C@H](CO)O1)O[C@@H]1[C@H]([C@@H](OC(N)=O)[C@H](O)[C@@H](CO)O1)O)C=1N=CNC=1)C(=O)C1=NC([C@H](CC(N)=O)NC[C@H](N)C(N)=O)=NC(N)=C1C OYVAGSVQBOHSSS-UAPAGMARSA-O 0.000 description 1
- 230000036770 blood supply Effects 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000010839 body fluid Substances 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 229910052796 boron Inorganic materials 0.000 description 1
- 108010006025 bovine growth hormone Proteins 0.000 description 1
- 229940098773 bovine serum albumin Drugs 0.000 description 1
- 210000004556 brain Anatomy 0.000 description 1
- 208000006752 brain edema Diseases 0.000 description 1
- 201000007293 brain stem infarction Diseases 0.000 description 1
- 230000015916 branching morphogenesis of a tube Effects 0.000 description 1
- 229960005520 bryostatin Drugs 0.000 description 1
- MJQUEDHRCUIRLF-TVIXENOKSA-N bryostatin 1 Chemical compound C([C@@H]1CC(/[C@@H]([C@@](C(C)(C)/C=C/2)(O)O1)OC(=O)/C=C/C=C/CCC)=C\C(=O)OC)[C@H]([C@@H](C)O)OC(=O)C[C@H](O)C[C@@H](O1)C[C@H](OC(C)=O)C(C)(C)[C@]1(O)C[C@@H]1C\C(=C\C(=O)OC)C[C@H]\2O1 MJQUEDHRCUIRLF-TVIXENOKSA-N 0.000 description 1
- MUIWQCKLQMOUAT-AKUNNTHJSA-N bryostatin 20 Natural products COC(=O)C=C1C[C@@]2(C)C[C@]3(O)O[C@](C)(C[C@@H](O)CC(=O)O[C@](C)(C[C@@]4(C)O[C@](O)(CC5=CC(=O)O[C@]45C)C(C)(C)C=C[C@@](C)(C1)O2)[C@@H](C)O)C[C@H](OC(=O)C(C)(C)C)C3(C)C MUIWQCKLQMOUAT-AKUNNTHJSA-N 0.000 description 1
- MBABCNBNDNGODA-LUVUIASKSA-N bullatacin Chemical compound O1[C@@H]([C@@H](O)CCCCCCCCCC)CC[C@@H]1[C@@H]1O[C@@H]([C@H](O)CCCCCCCCCC[C@@H](O)CC=2C(O[C@@H](C)C=2)=O)CC1 MBABCNBNDNGODA-LUVUIASKSA-N 0.000 description 1
- 229960005064 buserelin acetate Drugs 0.000 description 1
- 229960002092 busulfan Drugs 0.000 description 1
- ZTQSAGDEMFDKMZ-UHFFFAOYSA-N butyric aldehyde Natural products CCCC=O ZTQSAGDEMFDKMZ-UHFFFAOYSA-N 0.000 description 1
- 102220393123 c.290C>G Human genes 0.000 description 1
- 108700002839 cactinomycin Proteins 0.000 description 1
- 229950009908 cactinomycin Drugs 0.000 description 1
- 229910052792 caesium Inorganic materials 0.000 description 1
- TVFDJXOCXUVLDH-UHFFFAOYSA-N caesium atom Chemical compound [Cs] TVFDJXOCXUVLDH-UHFFFAOYSA-N 0.000 description 1
- 239000001110 calcium chloride Substances 0.000 description 1
- 229910001628 calcium chloride Inorganic materials 0.000 description 1
- 229940088954 camptosar Drugs 0.000 description 1
- VSJKWCGYPAHWDS-FQEVSTJZSA-N camptothecin Chemical compound C1=CC=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 VSJKWCGYPAHWDS-FQEVSTJZSA-N 0.000 description 1
- 229950007296 cantuzumab mertansine Drugs 0.000 description 1
- 125000002837 carbocyclic group Chemical group 0.000 description 1
- 150000001718 carbodiimides Chemical class 0.000 description 1
- 125000004432 carbon atom Chemical group C* 0.000 description 1
- 125000002915 carbonyl group Chemical group [*:2]C([*:1])=O 0.000 description 1
- 229960004562 carboplatin Drugs 0.000 description 1
- 229960002115 carboquone Drugs 0.000 description 1
- 239000001768 carboxy methyl cellulose Substances 0.000 description 1
- 235000010948 carboxy methyl cellulose Nutrition 0.000 description 1
- 239000008112 carboxymethyl-cellulose Substances 0.000 description 1
- 210000004413 cardiac myocyte Anatomy 0.000 description 1
- XREUEWVEMYWFFA-CSKJXFQVSA-N carminomycin Chemical compound C1[C@H](N)[C@H](O)[C@H](C)O[C@H]1O[C@@H]1C2=C(O)C(C(=O)C3=C(O)C=CC=C3C3=O)=C3C(O)=C2C[C@@](O)(C(C)=O)C1 XREUEWVEMYWFFA-CSKJXFQVSA-N 0.000 description 1
- 229930188550 carminomycin Natural products 0.000 description 1
- XREUEWVEMYWFFA-UHFFFAOYSA-N carminomycin I Natural products C1C(N)C(O)C(C)OC1OC1C2=C(O)C(C(=O)C3=C(O)C=CC=C3C3=O)=C3C(O)=C2CC(O)(C(C)=O)C1 XREUEWVEMYWFFA-UHFFFAOYSA-N 0.000 description 1
- 229960003261 carmofur Drugs 0.000 description 1
- 229960005243 carmustine Drugs 0.000 description 1
- 229950001725 carubicin Drugs 0.000 description 1
- BBZDXMBRAFTCAA-AREMUKBSSA-N carzelesin Chemical compound C1=2NC=C(C)C=2C([C@H](CCl)CN2C(=O)C=3NC4=CC=C(C=C4C=3)NC(=O)C3=CC4=CC=C(C=C4O3)N(CC)CC)=C2C=C1OC(=O)NC1=CC=CC=C1 BBZDXMBRAFTCAA-AREMUKBSSA-N 0.000 description 1
- 229950007509 carzelesin Drugs 0.000 description 1
- 108010047060 carzinophilin Proteins 0.000 description 1
- 238000012219 cassette mutagenesis Methods 0.000 description 1
- 229940023913 cation exchange resins Drugs 0.000 description 1
- 229960000590 celecoxib Drugs 0.000 description 1
- RZEKVGVHFLEQIL-UHFFFAOYSA-N celecoxib Chemical compound C1=CC(C)=CC=C1C1=CC(C(F)(F)F)=NN1C1=CC=C(S(N)(=O)=O)C=C1 RZEKVGVHFLEQIL-UHFFFAOYSA-N 0.000 description 1
- 230000006369 cell cycle progression Effects 0.000 description 1
- 230000032823 cell division Effects 0.000 description 1
- 230000003915 cell function Effects 0.000 description 1
- 210000000170 cell membrane Anatomy 0.000 description 1
- 230000012292 cell migration Effects 0.000 description 1
- 230000007541 cellular toxicity Effects 0.000 description 1
- 201000007455 central nervous system cancer Diseases 0.000 description 1
- 238000007385 chemical modification Methods 0.000 description 1
- 239000007795 chemical reaction product Substances 0.000 description 1
- 239000005081 chemiluminescent agent Substances 0.000 description 1
- 229950008249 chlornaphazine Drugs 0.000 description 1
- 229960001480 chlorozotocin Drugs 0.000 description 1
- 238000011098 chromatofocusing Methods 0.000 description 1
- 239000012539 chromatography resin Substances 0.000 description 1
- 150000001860 citric acid derivatives Chemical class 0.000 description 1
- 238000011281 clinical therapy Methods 0.000 description 1
- 229960002286 clodronic acid Drugs 0.000 description 1
- HJKBJIYDJLVSAO-UHFFFAOYSA-L clodronic acid disodium salt Chemical compound [Na+].[Na+].OP([O-])(=O)C(Cl)(Cl)P(O)([O-])=O HJKBJIYDJLVSAO-UHFFFAOYSA-L 0.000 description 1
- 230000004186 co-expression Effects 0.000 description 1
- 238000005354 coacervation Methods 0.000 description 1
- 229960001338 colchicine Drugs 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 206010010121 compartment syndrome Diseases 0.000 description 1
- 230000004154 complement system Effects 0.000 description 1
- 239000002131 composite material Substances 0.000 description 1
- 238000003271 compound fluorescence assay Methods 0.000 description 1
- 239000012141 concentrate Substances 0.000 description 1
- 230000001276 controlling effect Effects 0.000 description 1
- 210000004087 cornea Anatomy 0.000 description 1
- 201000000159 corneal neovascularization Diseases 0.000 description 1
- 230000002596 correlated effect Effects 0.000 description 1
- 229940111134 coxibs Drugs 0.000 description 1
- COFJBSXICYYSKG-OAUVCNBTSA-N cph2u7dndy Chemical compound OS(O)(=O)=O.C([C@H](C[C@]1(C(=O)OC)C=2C(=CC3=C([C@]45[C@H]([C@@]([C@H](O)[C@]6(CC)C=CCN([C@H]56)CC4)(O)C(N)=O)N3C)C=2)OC)C[C@@](C2)(O)CC)N2CCC2=C1NC1=CC=CC=C21 COFJBSXICYYSKG-OAUVCNBTSA-N 0.000 description 1
- 239000003431 cross linking reagent Substances 0.000 description 1
- 108010006226 cryptophycin Proteins 0.000 description 1
- PSNOPSMXOBPNNV-VVCTWANISA-N cryptophycin 1 Chemical compound C1=C(Cl)C(OC)=CC=C1C[C@@H]1C(=O)NC[C@@H](C)C(=O)O[C@@H](CC(C)C)C(=O)O[C@H]([C@H](C)[C@@H]2[C@H](O2)C=2C=CC=CC=2)C/C=C/C(=O)N1 PSNOPSMXOBPNNV-VVCTWANISA-N 0.000 description 1
- PSNOPSMXOBPNNV-UHFFFAOYSA-N cryptophycin-327 Natural products C1=C(Cl)C(OC)=CC=C1CC1C(=O)NCC(C)C(=O)OC(CC(C)C)C(=O)OC(C(C)C2C(O2)C=2C=CC=CC=2)CC=CC(=O)N1 PSNOPSMXOBPNNV-UHFFFAOYSA-N 0.000 description 1
- 239000013078 crystal Substances 0.000 description 1
- 239000012228 culture supernatant Substances 0.000 description 1
- 125000000392 cycloalkenyl group Chemical group 0.000 description 1
- 125000000753 cycloalkyl group Chemical group 0.000 description 1
- HPXRVTGHNJAIIH-UHFFFAOYSA-N cyclohexanol Chemical compound OC1CCCCC1 HPXRVTGHNJAIIH-UHFFFAOYSA-N 0.000 description 1
- 239000003255 cyclooxygenase 2 inhibitor Substances 0.000 description 1
- OOTFVKOQINZBBF-UHFFFAOYSA-N cystamine Chemical compound CCSSCCN OOTFVKOQINZBBF-UHFFFAOYSA-N 0.000 description 1
- 229940099500 cystamine Drugs 0.000 description 1
- UFULAYFCSOUIOV-UHFFFAOYSA-N cysteamine Chemical compound NCCS UFULAYFCSOUIOV-UHFFFAOYSA-N 0.000 description 1
- 229960002433 cysteine Drugs 0.000 description 1
- 229960000684 cytarabine Drugs 0.000 description 1
- UHDGCWIWMRVCDJ-ZAKLUEHWSA-N cytidine Chemical class O=C1N=C(N)C=CN1[C@H]1[C@H](O)[C@@H](O)[C@H](CO)O1 UHDGCWIWMRVCDJ-ZAKLUEHWSA-N 0.000 description 1
- 230000000120 cytopathologic effect Effects 0.000 description 1
- 210000001151 cytotoxic T lymphocyte Anatomy 0.000 description 1
- 238000002784 cytotoxicity assay Methods 0.000 description 1
- 231100000263 cytotoxicity test Toxicity 0.000 description 1
- 229960000640 dactinomycin Drugs 0.000 description 1
- 235000013365 dairy product Nutrition 0.000 description 1
- 125000001295 dansyl group Chemical group [H]C1=C([H])C(N(C([H])([H])[H])C([H])([H])[H])=C2C([H])=C([H])C([H])=C(C2=C1[H])S(*)(=O)=O 0.000 description 1
- YSMODUONRAFBET-UHFFFAOYSA-N delta-DL-hydroxylysine Natural products NCC(O)CCC(N)C(O)=O YSMODUONRAFBET-UHFFFAOYSA-N 0.000 description 1
- 229960005052 demecolcine Drugs 0.000 description 1
- 239000005547 deoxyribonucleotide Substances 0.000 description 1
- 125000002637 deoxyribonucleotide group Chemical group 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000003831 deregulation Effects 0.000 description 1
- URLVCROWVOSNPT-QTTMQESMSA-N desacetyluvaricin Natural products O=C1C(CCCCCCCCCCCC[C@@H](O)[C@H]2O[C@@H]([C@@H]3O[C@@H]([C@@H](O)CCCCCCCCCC)CC3)CC2)=C[C@H](C)O1 URLVCROWVOSNPT-QTTMQESMSA-N 0.000 description 1
- 229950003913 detorubicin Drugs 0.000 description 1
- 230000001627 detrimental effect Effects 0.000 description 1
- 235000019425 dextrin Nutrition 0.000 description 1
- 201000011190 diabetic macular edema Diseases 0.000 description 1
- 239000000032 diagnostic agent Substances 0.000 description 1
- 229940039227 diagnostic agent Drugs 0.000 description 1
- 229930191339 dianthin Natural products 0.000 description 1
- SVKRTZCBJZSUJT-UHFFFAOYSA-N diazanium;octanedioate Chemical compound [NH4+].[NH4+].[O-]C(=O)CCCCCCC([O-])=O SVKRTZCBJZSUJT-UHFFFAOYSA-N 0.000 description 1
- WVYXNIXAMZOZFK-UHFFFAOYSA-N diaziquone Chemical compound O=C1C(NC(=O)OCC)=C(N2CC2)C(=O)C(NC(=O)OCC)=C1N1CC1 WVYXNIXAMZOZFK-UHFFFAOYSA-N 0.000 description 1
- 229950002389 diaziquone Drugs 0.000 description 1
- PZXJOHSZQAEJFE-UHFFFAOYSA-N dihydrobetulinic acid Natural products C1CC(O)C(C)(C)C2CCC3(C)C4(C)CCC5(C(O)=O)CCC(C(C)C)C5C4CCC3C21C PZXJOHSZQAEJFE-UHFFFAOYSA-N 0.000 description 1
- 238000010790 dilution Methods 0.000 description 1
- 239000012895 dilution Substances 0.000 description 1
- NKDDWNXOKDWJAK-UHFFFAOYSA-N dimethoxymethane Chemical compound COCOC NKDDWNXOKDWJAK-UHFFFAOYSA-N 0.000 description 1
- 229940042396 direct acting antivirals thiosemicarbazones Drugs 0.000 description 1
- 150000002016 disaccharides Chemical class 0.000 description 1
- 230000005750 disease progression Effects 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- VHJLVAABSRFDPM-ZXZARUISSA-N dithioerythritol Chemical compound SC[C@H](O)[C@H](O)CS VHJLVAABSRFDPM-ZXZARUISSA-N 0.000 description 1
- 125000005022 dithioester group Chemical group 0.000 description 1
- NAGJZTKCGNOGPW-UHFFFAOYSA-N dithiophosphoric acid Chemical class OP(O)(S)=S NAGJZTKCGNOGPW-UHFFFAOYSA-N 0.000 description 1
- 239000003534 dna topoisomerase inhibitor Substances 0.000 description 1
- 230000003828 downregulation Effects 0.000 description 1
- ZWAOHEXOSAUJHY-ZIYNGMLESA-N doxifluridine Chemical compound O[C@@H]1[C@H](O)[C@@H](C)O[C@H]1N1C(=O)NC(=O)C(F)=C1 ZWAOHEXOSAUJHY-ZIYNGMLESA-N 0.000 description 1
- 229950005454 doxifluridine Drugs 0.000 description 1
- 229950004203 droloxifene Drugs 0.000 description 1
- NOTIQUSPUUHHEH-UXOVVSIBSA-N dromostanolone propionate Chemical compound C([C@@H]1CC2)C(=O)[C@H](C)C[C@]1(C)[C@@H]1[C@@H]2[C@@H]2CC[C@H](OC(=O)CC)[C@@]2(C)CC1 NOTIQUSPUUHHEH-UXOVVSIBSA-N 0.000 description 1
- 229960004242 dronabinol Drugs 0.000 description 1
- 229950004683 drostanolone propionate Drugs 0.000 description 1
- 238000009510 drug design Methods 0.000 description 1
- 238000007876 drug discovery Methods 0.000 description 1
- 238000002651 drug therapy Methods 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 239000000975 dye Substances 0.000 description 1
- AFMYMMXSQGUCBK-AKMKHHNQSA-N dynemicin a Chemical compound C1#C\C=C/C#C[C@@H]2NC(C=3C(=O)C4=C(O)C=CC(O)=C4C(=O)C=3C(O)=C3)=C3[C@@]34O[C@]32[C@@H](C)C(C(O)=O)=C(OC)[C@H]41 AFMYMMXSQGUCBK-AKMKHHNQSA-N 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- FSIRXIHZBIXHKT-MHTVFEQDSA-N edatrexate Chemical compound C=1N=C2N=C(N)N=C(N)C2=NC=1CC(CC)C1=CC=C(C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=C1 FSIRXIHZBIXHKT-MHTVFEQDSA-N 0.000 description 1
- 229950006700 edatrexate Drugs 0.000 description 1
- 229960002759 eflornithine Drugs 0.000 description 1
- 229940121647 egfr inhibitor Drugs 0.000 description 1
- 239000012039 electrophile Substances 0.000 description 1
- XOPYFXBZMVTEJF-PDACKIITSA-N eleutherobin Chemical compound C(/[C@H]1[C@H](C(=CC[C@@H]1C(C)C)C)C[C@@H]([C@@]1(C)O[C@@]2(C=C1)OC)OC(=O)\C=C\C=1N=CN(C)C=1)=C2\CO[C@@H]1OC[C@@H](O)[C@@H](O)[C@@H]1OC(C)=O XOPYFXBZMVTEJF-PDACKIITSA-N 0.000 description 1
- XOPYFXBZMVTEJF-UHFFFAOYSA-N eleutherobin Natural products C1=CC2(OC)OC1(C)C(OC(=O)C=CC=1N=CN(C)C=1)CC(C(=CCC1C(C)C)C)C1C=C2COC1OCC(O)C(O)C1OC(C)=O XOPYFXBZMVTEJF-UHFFFAOYSA-N 0.000 description 1
- 229950000549 elliptinium acetate Drugs 0.000 description 1
- 230000013020 embryo development Effects 0.000 description 1
- 230000008011 embryonic death Effects 0.000 description 1
- 210000002257 embryonic structure Anatomy 0.000 description 1
- 230000002357 endometrial effect Effects 0.000 description 1
- 210000004696 endometrium Anatomy 0.000 description 1
- 230000003511 endothelial effect Effects 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 229950011487 enocitabine Drugs 0.000 description 1
- 108010028531 enomycin Proteins 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 230000006862 enzymatic digestion Effects 0.000 description 1
- 230000002255 enzymatic effect Effects 0.000 description 1
- 102000012803 ephrin Human genes 0.000 description 1
- 108060002566 ephrin Proteins 0.000 description 1
- 229940116977 epidermal growth factor Drugs 0.000 description 1
- YJGVMLPVUAXIQN-UHFFFAOYSA-N epipodophyllotoxin Natural products COC1=C(OC)C(OC)=CC(C2C3=CC=4OCOC=4C=C3C(O)C3C2C(OC3)=O)=C1 YJGVMLPVUAXIQN-UHFFFAOYSA-N 0.000 description 1
- 229950002973 epitiostanol Drugs 0.000 description 1
- 229930013356 epothilone Natural products 0.000 description 1
- 150000003883 epothilone derivatives Chemical class 0.000 description 1
- 229960001433 erlotinib Drugs 0.000 description 1
- AAKJLRGGTJKAMG-UHFFFAOYSA-N erlotinib Chemical compound C=12C=C(OCCOC)C(OCCOC)=CC2=NC=NC=1NC1=CC=CC(C#C)=C1 AAKJLRGGTJKAMG-UHFFFAOYSA-N 0.000 description 1
- YSMODUONRAFBET-UHNVWZDZSA-N erythro-5-hydroxy-L-lysine Chemical compound NC[C@H](O)CC[C@H](N)C(O)=O YSMODUONRAFBET-UHNVWZDZSA-N 0.000 description 1
- 229940105423 erythropoietin Drugs 0.000 description 1
- ITSGNOIFAJAQHJ-BMFNZSJVSA-N esorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(=O)CO)[C@H]1C[C@H](N)C[C@H](C)O1 ITSGNOIFAJAQHJ-BMFNZSJVSA-N 0.000 description 1
- 229950002017 esorubicin Drugs 0.000 description 1
- 235000020774 essential nutrients Nutrition 0.000 description 1
- 229960001842 estramustine Drugs 0.000 description 1
- FRPJXPJMRWBBIH-RBRWEJTLSA-N estramustine Chemical compound ClCCN(CCCl)C(=O)OC1=CC=C2[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CCC2=C1 FRPJXPJMRWBBIH-RBRWEJTLSA-N 0.000 description 1
- 229940011871 estrogen Drugs 0.000 description 1
- 239000000262 estrogen Substances 0.000 description 1
- 239000000328 estrogen antagonist Substances 0.000 description 1
- 102000015694 estrogen receptors Human genes 0.000 description 1
- 108010038795 estrogen receptors Proteins 0.000 description 1
- QSRLNKCNOLVZIR-KRWDZBQOSA-N ethyl (2s)-2-[[2-[4-[bis(2-chloroethyl)amino]phenyl]acetyl]amino]-4-methylsulfanylbutanoate Chemical compound CCOC(=O)[C@H](CCSC)NC(=O)CC1=CC=C(N(CCCl)CCCl)C=C1 QSRLNKCNOLVZIR-KRWDZBQOSA-N 0.000 description 1
- 229940009626 etidronate Drugs 0.000 description 1
- 229960005237 etoglucid Drugs 0.000 description 1
- 229940085363 evista Drugs 0.000 description 1
- 230000007717 exclusion Effects 0.000 description 1
- 229960000255 exemestane Drugs 0.000 description 1
- 230000001747 exhibiting effect Effects 0.000 description 1
- 229950011548 fadrozole Drugs 0.000 description 1
- 229940043168 fareston Drugs 0.000 description 1
- 229940087476 femara Drugs 0.000 description 1
- 239000003527 fibrinolytic agent Substances 0.000 description 1
- 230000003480 fibrinolytic effect Effects 0.000 description 1
- 229960000961 floxuridine Drugs 0.000 description 1
- ODKNJVUHOIMIIZ-RRKCRQDMSA-N floxuridine Chemical compound C1[C@H](O)[C@@H](CO)O[C@H]1N1C(=O)NC(=O)C(F)=C1 ODKNJVUHOIMIIZ-RRKCRQDMSA-N 0.000 description 1
- XRECTZIEBJDKEO-UHFFFAOYSA-N flucytosine Chemical compound NC1=NC(=O)NC=C1F XRECTZIEBJDKEO-UHFFFAOYSA-N 0.000 description 1
- 229960004413 flucytosine Drugs 0.000 description 1
- 229960000390 fludarabine Drugs 0.000 description 1
- GIUYCYHIANZCFB-FJFJXFQQSA-N fludarabine phosphate Chemical compound C1=NC=2C(N)=NC(F)=NC=2N1[C@@H]1O[C@H](COP(O)(O)=O)[C@@H](O)[C@@H]1O GIUYCYHIANZCFB-FJFJXFQQSA-N 0.000 description 1
- GNBHRKFJIUUOQI-UHFFFAOYSA-N fluorescein Chemical compound O1C(=O)C2=CC=CC=C2C21C1=CC=C(O)C=C1OC1=CC(O)=CC=C21 GNBHRKFJIUUOQI-UHFFFAOYSA-N 0.000 description 1
- 239000007850 fluorescent dye Substances 0.000 description 1
- 229910052731 fluorine Inorganic materials 0.000 description 1
- 229960002074 flutamide Drugs 0.000 description 1
- MKXKFYHWDHIYRV-UHFFFAOYSA-N flutamide Chemical compound CC(C)C(=O)NC1=CC=C([N+]([O-])=O)C(C(F)(F)F)=C1 MKXKFYHWDHIYRV-UHFFFAOYSA-N 0.000 description 1
- 239000011724 folic acid Substances 0.000 description 1
- 229960000304 folic acid Drugs 0.000 description 1
- 235000019152 folic acid Nutrition 0.000 description 1
- 239000004052 folic acid antagonist Substances 0.000 description 1
- 150000002224 folic acids Chemical class 0.000 description 1
- 229940001490 fosamax Drugs 0.000 description 1
- 229960004783 fotemustine Drugs 0.000 description 1
- YAKWPXVTIGTRJH-UHFFFAOYSA-N fotemustine Chemical compound CCOP(=O)(OCC)C(C)NC(=O)N(CCCl)N=O YAKWPXVTIGTRJH-UHFFFAOYSA-N 0.000 description 1
- 230000005714 functional activity Effects 0.000 description 1
- 230000002538 fungal effect Effects 0.000 description 1
- 229930182830 galactose Natural products 0.000 description 1
- 229940044658 gallium nitrate Drugs 0.000 description 1
- 239000000499 gel Substances 0.000 description 1
- 239000008273 gelatin Substances 0.000 description 1
- 229920000159 gelatin Polymers 0.000 description 1
- 235000019322 gelatine Nutrition 0.000 description 1
- 235000011852 gelatine desserts Nutrition 0.000 description 1
- QTQAWLPCGQOSGP-GBTDJJJQSA-N geldanamycin Chemical compound N1C(=O)\C(C)=C/C=C\[C@@H](OC)[C@H](OC(N)=O)\C(C)=C/[C@@H](C)[C@@H](O)[C@H](OC)C[C@@H](C)CC2=C(OC)C(=O)C=C1C2=O QTQAWLPCGQOSGP-GBTDJJJQSA-N 0.000 description 1
- 238000002523 gelfiltration Methods 0.000 description 1
- SDUQYLNIPVEERB-QPPQHZFASA-N gemcitabine Chemical compound O=C1N=C(N)C=CN1[C@H]1C(F)(F)[C@H](O)[C@@H](CO)O1 SDUQYLNIPVEERB-QPPQHZFASA-N 0.000 description 1
- 229960000578 gemtuzumab Drugs 0.000 description 1
- 238000001415 gene therapy Methods 0.000 description 1
- BRZYSWJRSDMWLG-CAXSIQPQSA-N geneticin Natural products O1C[C@@](O)(C)[C@H](NC)[C@@H](O)[C@H]1O[C@@H]1[C@@H](O)[C@H](O[C@@H]2[C@@H]([C@@H](O)[C@H](O)[C@@H](C(C)O)O2)N)[C@@H](N)C[C@H]1N BRZYSWJRSDMWLG-CAXSIQPQSA-N 0.000 description 1
- 229940080856 gleevec Drugs 0.000 description 1
- 229940116332 glucose oxidase Drugs 0.000 description 1
- 235000019420 glucose oxidase Nutrition 0.000 description 1
- 229960003180 glutathione Drugs 0.000 description 1
- JMANVNJQNLATNU-UHFFFAOYSA-N glycolonitrile Natural products N#CC#N JMANVNJQNLATNU-UHFFFAOYSA-N 0.000 description 1
- 229930182470 glycoside Natural products 0.000 description 1
- 229960003690 goserelin acetate Drugs 0.000 description 1
- 210000005256 gram-negative cell Anatomy 0.000 description 1
- 229940093915 gynecological organic acid Drugs 0.000 description 1
- 230000003779 hair growth Effects 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 108010067006 heat stable toxin (E coli) Proteins 0.000 description 1
- 229960002897 heparin Drugs 0.000 description 1
- 229920000669 heparin Polymers 0.000 description 1
- 210000003494 hepatocyte Anatomy 0.000 description 1
- 125000000623 heterocyclic group Chemical group 0.000 description 1
- 239000000833 heterodimer Substances 0.000 description 1
- UUVWYPNAQBNQJQ-UHFFFAOYSA-N hexamethylmelamine Chemical compound CN(C)C1=NC(N(C)C)=NC(N(C)C)=N1 UUVWYPNAQBNQJQ-UHFFFAOYSA-N 0.000 description 1
- HNDVDQJCIGZPNO-UHFFFAOYSA-N histidine Natural products OC(=O)C(N)CC1=CN=CN1 HNDVDQJCIGZPNO-UHFFFAOYSA-N 0.000 description 1
- 125000000487 histidyl group Chemical class [H]N([H])C(C(=O)O*)C([H])([H])C1=C([H])N([H])C([H])=N1 0.000 description 1
- 230000013632 homeostatic process Effects 0.000 description 1
- 210000005260 human cell Anatomy 0.000 description 1
- 208000033519 human immunodeficiency virus infectious disease Diseases 0.000 description 1
- 210000004408 hybridoma Anatomy 0.000 description 1
- 229940088013 hycamtin Drugs 0.000 description 1
- 239000001257 hydrogen Substances 0.000 description 1
- 230000007062 hydrolysis Effects 0.000 description 1
- 238000006460 hydrolysis reaction Methods 0.000 description 1
- 229920001477 hydrophilic polymer Polymers 0.000 description 1
- 125000001165 hydrophobic group Chemical group 0.000 description 1
- 238000004191 hydrophobic interaction chromatography Methods 0.000 description 1
- 229920001600 hydrophobic polymer Polymers 0.000 description 1
- 229960001330 hydroxycarbamide Drugs 0.000 description 1
- 229920003063 hydroxymethyl cellulose Polymers 0.000 description 1
- 229940031574 hydroxymethyl cellulose Drugs 0.000 description 1
- 125000004029 hydroxymethyl group Chemical group [H]OC([H])([H])* 0.000 description 1
- KNOSIOWNDGUGFJ-UHFFFAOYSA-N hydroxysesamone Natural products C1=CC(O)=C2C(=O)C(CC=C(C)C)=C(O)C(=O)C2=C1O KNOSIOWNDGUGFJ-UHFFFAOYSA-N 0.000 description 1
- 230000003463 hyperproliferative effect Effects 0.000 description 1
- 229940015872 ibandronate Drugs 0.000 description 1
- 229960000908 idarubicin Drugs 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 229960003685 imatinib mesylate Drugs 0.000 description 1
- 150000002463 imidates Chemical class 0.000 description 1
- RAXXELZNTBOGNW-UHFFFAOYSA-N imidazole Substances C1=CNC=N1 RAXXELZNTBOGNW-UHFFFAOYSA-N 0.000 description 1
- 230000003100 immobilizing effect Effects 0.000 description 1
- 230000014726 immortalization of host cell Effects 0.000 description 1
- 210000000987 immune system Anatomy 0.000 description 1
- 230000036039 immunity Effects 0.000 description 1
- 230000005847 immunogenicity Effects 0.000 description 1
- 238000003364 immunohistochemistry Methods 0.000 description 1
- DBIGHPPNXATHOF-UHFFFAOYSA-N improsulfan Chemical compound CS(=O)(=O)OCCCNCCCOS(C)(=O)=O DBIGHPPNXATHOF-UHFFFAOYSA-N 0.000 description 1
- 229950008097 improsulfan Drugs 0.000 description 1
- 238000005462 in vivo assay Methods 0.000 description 1
- 238000011065 in-situ storage Methods 0.000 description 1
- 201000001371 inclusion conjunctivitis Diseases 0.000 description 1
- 238000011534 incubation Methods 0.000 description 1
- 229940055742 indium-111 Drugs 0.000 description 1
- 108091008042 inhibitory receptors Proteins 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 150000002484 inorganic compounds Chemical class 0.000 description 1
- 229910010272 inorganic material Inorganic materials 0.000 description 1
- 229910052816 inorganic phosphate Inorganic materials 0.000 description 1
- 229940047124 interferons Drugs 0.000 description 1
- 238000001361 intraarterial administration Methods 0.000 description 1
- 230000007154 intracellular accumulation Effects 0.000 description 1
- 238000007918 intramuscular administration Methods 0.000 description 1
- 238000001990 intravenous administration Methods 0.000 description 1
- 238000010253 intravenous injection Methods 0.000 description 1
- 239000001573 invertase Substances 0.000 description 1
- 235000011073 invertase Nutrition 0.000 description 1
- 238000004255 ion exchange chromatography Methods 0.000 description 1
- 229960004768 irinotecan Drugs 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 238000005304 joining Methods 0.000 description 1
- SBUJHOSQTJFQJX-NOAMYHISSA-N kanamycin Chemical compound O[C@@H]1[C@@H](O)[C@H](O)[C@@H](CN)O[C@@H]1O[C@H]1[C@H](O)[C@@H](O[C@@H]2[C@@H]([C@@H](N)[C@H](O)[C@@H](CO)O2)O)[C@H](N)C[C@@H]1N SBUJHOSQTJFQJX-NOAMYHISSA-N 0.000 description 1
- 229930027917 kanamycin Natural products 0.000 description 1
- 229960000318 kanamycin Drugs 0.000 description 1
- 229930182823 kanamycin A Natural products 0.000 description 1
- 125000000468 ketone group Chemical group 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 208000017169 kidney disease Diseases 0.000 description 1
- TYQCGQRIZGCHNB-JLAZNSOCSA-N l-ascorbic acid Chemical compound OC[C@H](O)[C@H]1OC(O)=C(O)C1=O TYQCGQRIZGCHNB-JLAZNSOCSA-N 0.000 description 1
- 229940057428 lactoperoxidase Drugs 0.000 description 1
- 239000008101 lactose Substances 0.000 description 1
- CWPGNVFCJOPXFB-UHFFFAOYSA-N lapachol Chemical compound C1=CC=C2C(=O)C(=O)C(CC=C(C)C)=C(O)C2=C1 CWPGNVFCJOPXFB-UHFFFAOYSA-N 0.000 description 1
- SIUGQQMOYSVTAT-UHFFFAOYSA-N lapachol Natural products CC(=CCC1C(O)C(=O)c2ccccc2C1=O)C SIUGQQMOYSVTAT-UHFFFAOYSA-N 0.000 description 1
- 229960001320 lapatinib ditosylate Drugs 0.000 description 1
- 201000010260 leiomyoma Diseases 0.000 description 1
- 229940115286 lentinan Drugs 0.000 description 1
- 229960003881 letrozole Drugs 0.000 description 1
- 150000002632 lipids Chemical class 0.000 description 1
- 239000002502 liposome Substances 0.000 description 1
- 239000007791 liquid phase Substances 0.000 description 1
- 244000144972 livestock Species 0.000 description 1
- 229960002247 lomustine Drugs 0.000 description 1
- YROQEQPFUCPDCP-UHFFFAOYSA-N losoxantrone Chemical compound OCCNCCN1N=C2C3=CC=CC(O)=C3C(=O)C3=C2C1=CC=C3NCCNCCO YROQEQPFUCPDCP-UHFFFAOYSA-N 0.000 description 1
- 229950008745 losoxantrone Drugs 0.000 description 1
- 101150074251 lpp gene Proteins 0.000 description 1
- 210000005265 lung cell Anatomy 0.000 description 1
- 201000005243 lung squamous cell carcinoma Diseases 0.000 description 1
- 108010078259 luprolide acetate gel depot Proteins 0.000 description 1
- 229940087857 lupron Drugs 0.000 description 1
- RVFGKBWWUQOIOU-NDEPHWFRSA-N lurtotecan Chemical compound O=C([C@]1(O)CC)OCC(C(N2CC3=4)=O)=C1C=C2C3=NC1=CC=2OCCOC=2C=C1C=4CN1CCN(C)CC1 RVFGKBWWUQOIOU-NDEPHWFRSA-N 0.000 description 1
- 229950002654 lurtotecan Drugs 0.000 description 1
- 235000018977 lysine Nutrition 0.000 description 1
- 239000004325 lysozyme Substances 0.000 description 1
- 229960000274 lysozyme Drugs 0.000 description 1
- 235000010335 lysozyme Nutrition 0.000 description 1
- 230000002101 lytic effect Effects 0.000 description 1
- RLSSMJSEOOYNOY-UHFFFAOYSA-N m-cresol Chemical compound CC1=CC=CC(O)=C1 RLSSMJSEOOYNOY-UHFFFAOYSA-N 0.000 description 1
- 208000002780 macular degeneration Diseases 0.000 description 1
- 239000011777 magnesium Substances 0.000 description 1
- 229910052749 magnesium Inorganic materials 0.000 description 1
- 238000002595 magnetic resonance imaging Methods 0.000 description 1
- 229910052748 manganese Inorganic materials 0.000 description 1
- 239000011572 manganese Substances 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- MQXVYODZCMMZEM-ZYUZMQFOSA-N mannomustine Chemical compound ClCCNC[C@@H](O)[C@@H](O)[C@H](O)[C@H](O)CNCCCl MQXVYODZCMMZEM-ZYUZMQFOSA-N 0.000 description 1
- 229950008612 mannomustine Drugs 0.000 description 1
- 229940099262 marinol Drugs 0.000 description 1
- 238000004949 mass spectrometry Methods 0.000 description 1
- RQZAXGRLVPAYTJ-GQFGMJRRSA-N megestrol acetate Chemical compound C1=C(C)C2=CC(=O)CC[C@]2(C)[C@@H]2[C@@H]1[C@@H]1CC[C@@](C(C)=O)(OC(=O)C)[C@@]1(C)CC2 RQZAXGRLVPAYTJ-GQFGMJRRSA-N 0.000 description 1
- 229960004296 megestrol acetate Drugs 0.000 description 1
- 206010027191 meningioma Diseases 0.000 description 1
- 229950009246 mepitiostane Drugs 0.000 description 1
- 229960003151 mercaptamine Drugs 0.000 description 1
- GLVAUDGFNGKCSF-UHFFFAOYSA-N mercaptopurine Chemical compound S=C1NC=NC2=C1NC=N2 GLVAUDGFNGKCSF-UHFFFAOYSA-N 0.000 description 1
- 229960001428 mercaptopurine Drugs 0.000 description 1
- 230000003458 metachromatic effect Effects 0.000 description 1
- 230000001394 metastastic effect Effects 0.000 description 1
- 229930182817 methionine Natural products 0.000 description 1
- VJRAUFKOOPNFIQ-TVEKBUMESA-N methyl (1r,2r,4s)-4-[(2r,4s,5s,6s)-5-[(2s,4s,5s,6s)-5-[(2s,4s,5s,6s)-4,5-dihydroxy-6-methyloxan-2-yl]oxy-4-hydroxy-6-methyloxan-2-yl]oxy-4-(dimethylamino)-6-methyloxan-2-yl]oxy-2-ethyl-2,5,7,10-tetrahydroxy-6,11-dioxo-3,4-dihydro-1h-tetracene-1-carboxylat Chemical compound O([C@H]1[C@@H](O)C[C@@H](O[C@H]1C)O[C@H]1[C@H](C[C@@H](O[C@H]1C)O[C@H]1C[C@]([C@@H](C2=CC=3C(=O)C4=C(O)C=CC(O)=C4C(=O)C=3C(O)=C21)C(=O)OC)(O)CC)N(C)C)[C@H]1C[C@H](O)[C@H](O)[C@H](C)O1 VJRAUFKOOPNFIQ-TVEKBUMESA-N 0.000 description 1
- QRMNENFZDDYDEF-GOSISDBHSA-N methyl (8s)-8-(bromomethyl)-2-methyl-4-(4-methylpiperazine-1-carbonyl)oxy-6-(5,6,7-trimethoxy-1h-indole-2-carbonyl)-7,8-dihydro-3h-pyrrolo[3,2-e]indole-1-carboxylate Chemical compound C1([C@H](CBr)CN(C1=C1)C(=O)C=2NC3=C(OC)C(OC)=C(OC)C=C3C=2)=C2C(C(=O)OC)=C(C)NC2=C1OC(=O)N1CCN(C)CC1 QRMNENFZDDYDEF-GOSISDBHSA-N 0.000 description 1
- 239000004292 methyl p-hydroxybenzoate Substances 0.000 description 1
- 235000010270 methyl p-hydroxybenzoate Nutrition 0.000 description 1
- JYXPWUYLZPYOAH-UHFFFAOYSA-N methylhydrazine Chemical compound CN=N JYXPWUYLZPYOAH-UHFFFAOYSA-N 0.000 description 1
- YACKEPLHDIMKIO-UHFFFAOYSA-N methylphosphonic acid Chemical compound CP(O)(O)=O YACKEPLHDIMKIO-UHFFFAOYSA-N 0.000 description 1
- 239000004530 micro-emulsion Substances 0.000 description 1
- 108010029942 microperoxidase Proteins 0.000 description 1
- 230000008880 microtubule cytoskeleton organization Effects 0.000 description 1
- 230000029115 microtubule polymerization Effects 0.000 description 1
- 210000004088 microvessel Anatomy 0.000 description 1
- 230000003278 mimic effect Effects 0.000 description 1
- 231100000324 minimal toxicity Toxicity 0.000 description 1
- 229960005485 mitobronitol Drugs 0.000 description 1
- 229960003539 mitoguazone Drugs 0.000 description 1
- MXWHMTNPTTVWDM-NXOFHUPFSA-N mitoguazone Chemical compound NC(N)=N\N=C(/C)\C=N\N=C(N)N MXWHMTNPTTVWDM-NXOFHUPFSA-N 0.000 description 1
- VFKZTMPDYBFSTM-GUCUJZIJSA-N mitolactol Chemical compound BrC[C@H](O)[C@@H](O)[C@@H](O)[C@H](O)CBr VFKZTMPDYBFSTM-GUCUJZIJSA-N 0.000 description 1
- 229950010913 mitolactol Drugs 0.000 description 1
- 229960000350 mitotane Drugs 0.000 description 1
- 108010010621 modeccin Proteins 0.000 description 1
- 239000003607 modifier Substances 0.000 description 1
- 238000010369 molecular cloning Methods 0.000 description 1
- ZDZOTLJHXYCWBA-BSEPLHNVSA-N molport-006-823-826 Chemical compound O([C@H]1[C@H]2[C@@](C([C@H](O)C3=C(C)[C@@H](OC(=O)[C@H](O)[C@@H](NC(=O)OC(C)(C)C)C=4C=CC=CC=4)C[C@@]1(O)C3(C)C)=O)(C)[C@@H](O)C[C@H]1OC[C@]12OC(=O)C)C(=O)C1=CC=CC=C1 ZDZOTLJHXYCWBA-BSEPLHNVSA-N 0.000 description 1
- 239000000178 monomer Substances 0.000 description 1
- 150000002772 monosaccharides Chemical class 0.000 description 1
- RAHBGWKEPAQNFF-UHFFFAOYSA-N motesanib Chemical compound C=1C=C2C(C)(C)CNC2=CC=1NC(=O)C1=CC=CN=C1NCC1=CC=NC=C1 RAHBGWKEPAQNFF-UHFFFAOYSA-N 0.000 description 1
- 230000021591 motor axon guidance Effects 0.000 description 1
- 235000010460 mustard Nutrition 0.000 description 1
- APNPVBXEWGCCLU-QNRZBPGKSA-N mycomycin Chemical compound OC(=O)C\C=C\C=C/C=C=CC#CC#C APNPVBXEWGCCLU-QNRZBPGKSA-N 0.000 description 1
- 239000002636 mycotoxin Substances 0.000 description 1
- AZBFJBJXUQUQLF-UHFFFAOYSA-N n-(1,5-dimethylpyrrolidin-3-yl)pyrrolidine-1-carboxamide Chemical compound C1N(C)C(C)CC1NC(=O)N1CCCC1 AZBFJBJXUQUQLF-UHFFFAOYSA-N 0.000 description 1
- NJSMWLQOCQIOPE-OCHFTUDZSA-N n-[(e)-[10-[(e)-(4,5-dihydro-1h-imidazol-2-ylhydrazinylidene)methyl]anthracen-9-yl]methylideneamino]-4,5-dihydro-1h-imidazol-2-amine Chemical compound N1CCN=C1N\N=C\C(C1=CC=CC=C11)=C(C=CC=C2)C2=C1\C=N\NC1=NCCN1 NJSMWLQOCQIOPE-OCHFTUDZSA-N 0.000 description 1
- BLCLNMBMMGCOAS-UHFFFAOYSA-N n-[1-[[1-[[1-[[1-[[1-[[1-[[1-[2-[(carbamoylamino)carbamoyl]pyrrolidin-1-yl]-5-(diaminomethylideneamino)-1-oxopentan-2-yl]amino]-4-methyl-1-oxopentan-2-yl]amino]-3-[(2-methylpropan-2-yl)oxy]-1-oxopropan-2-yl]amino]-3-(4-hydroxyphenyl)-1-oxopropan-2-yl]amin Chemical compound C1CCC(C(=O)NNC(N)=O)N1C(=O)C(CCCN=C(N)N)NC(=O)C(CC(C)C)NC(=O)C(COC(C)(C)C)NC(=O)C(NC(=O)C(CO)NC(=O)C(CC=1C2=CC=CC=C2NC=1)NC(=O)C(CC=1NC=NC=1)NC(=O)C1NC(=O)CC1)CC1=CC=C(O)C=C1 BLCLNMBMMGCOAS-UHFFFAOYSA-N 0.000 description 1
- 239000002088 nanocapsule Substances 0.000 description 1
- 125000001624 naphthyl group Chemical group 0.000 description 1
- 229930014626 natural product Natural products 0.000 description 1
- 210000003739 neck Anatomy 0.000 description 1
- 230000017095 negative regulation of cell growth Effects 0.000 description 1
- 230000027498 negative regulation of mitosis Effects 0.000 description 1
- QZGIWPZCWHMVQL-UIYAJPBUSA-N neocarzinostatin chromophore Chemical compound O1[C@H](C)[C@H](O)[C@H](O)[C@@H](NC)[C@H]1O[C@@H]1C/2=C/C#C[C@H]3O[C@@]3([C@@H]3OC(=O)OC3)C#CC\2=C[C@H]1OC(=O)C1=C(O)C=CC2=C(C)C=C(OC)C=C12 QZGIWPZCWHMVQL-UIYAJPBUSA-N 0.000 description 1
- 230000009826 neoplastic cell growth Effects 0.000 description 1
- MQYXUWHLBZFQQO-UHFFFAOYSA-N nepehinol Natural products C1CC(O)C(C)(C)C2CCC3(C)C4(C)CCC5(C)CCC(C(=C)C)C5C4CCC3C21C MQYXUWHLBZFQQO-UHFFFAOYSA-N 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 230000007472 neurodevelopment Effects 0.000 description 1
- 210000002569 neuron Anatomy 0.000 description 1
- 230000006764 neuronal dysfunction Effects 0.000 description 1
- 230000002981 neuropathic effect Effects 0.000 description 1
- 239000002581 neurotoxin Substances 0.000 description 1
- 229960002653 nilutamide Drugs 0.000 description 1
- XWXYUMMDTVBTOU-UHFFFAOYSA-N nilutamide Chemical compound O=C1C(C)(C)NC(=O)N1C1=CC=C([N+]([O-])=O)C(C(F)(F)F)=C1 XWXYUMMDTVBTOU-UHFFFAOYSA-N 0.000 description 1
- 229960001420 nimustine Drugs 0.000 description 1
- VFEDRRNHLBGPNN-UHFFFAOYSA-N nimustine Chemical compound CC1=NC=C(CNC(=O)N(CCCl)N=O)C(N)=N1 VFEDRRNHLBGPNN-UHFFFAOYSA-N 0.000 description 1
- KGTDRFCXGRULNK-JYOBTZKQSA-N nogalamycin Chemical compound CO[C@@H]1[C@@](OC)(C)[C@@H](OC)[C@H](C)O[C@H]1O[C@@H]1C2=C(O)C(C(=O)C3=C(O)C=C4[C@@]5(C)O[C@H]([C@H]([C@@H]([C@H]5O)N(C)C)O)OC4=C3C3=O)=C3C=C2[C@@H](C(=O)OC)[C@@](C)(O)C1 KGTDRFCXGRULNK-JYOBTZKQSA-N 0.000 description 1
- 229950009266 nogalamycin Drugs 0.000 description 1
- 229940085033 nolvadex Drugs 0.000 description 1
- 239000002736 nonionic surfactant Substances 0.000 description 1
- 230000009871 nonspecific binding Effects 0.000 description 1
- 231100000252 nontoxic Toxicity 0.000 description 1
- 230000003000 nontoxic effect Effects 0.000 description 1
- 239000002777 nucleoside Substances 0.000 description 1
- 150000003833 nucleoside derivatives Chemical class 0.000 description 1
- 238000011580 nude mouse model Methods 0.000 description 1
- 229920001778 nylon Polymers 0.000 description 1
- 239000002751 oligonucleotide probe Substances 0.000 description 1
- 229920001542 oligosaccharide Polymers 0.000 description 1
- 150000002482 oligosaccharides Chemical class 0.000 description 1
- CZDBNBLGZNWKMC-MWQNXGTOSA-N olivomycin Chemical compound O([C@@H]1C[C@@H](O[C@H](C)[C@@H]1O)OC=1C=C2C=C3C[C@H]([C@@H](C(=O)C3=C(O)C2=C(O)C=1)O[C@H]1O[C@@H](C)[C@H](O)[C@@H](OC2O[C@@H](C)[C@H](O)[C@@H](O)C2)C1)[C@H](OC)C(=O)[C@@H](O)[C@@H](C)O)[C@H]1C[C@H](O)[C@H](OC)[C@H](C)O1 CZDBNBLGZNWKMC-MWQNXGTOSA-N 0.000 description 1
- 229950005848 olivomycin Drugs 0.000 description 1
- 101150093139 ompT gene Proteins 0.000 description 1
- 229950011093 onapristone Drugs 0.000 description 1
- 150000007524 organic acids Chemical class 0.000 description 1
- 235000005985 organic acids Nutrition 0.000 description 1
- 230000003204 osmotic effect Effects 0.000 description 1
- 230000011164 ossification Effects 0.000 description 1
- 201000008968 osteosarcoma Diseases 0.000 description 1
- 229960001756 oxaliplatin Drugs 0.000 description 1
- DWAFYCQODLXJNR-BNTLRKBRSA-L oxaliplatin Chemical compound O1C(=O)C(=O)O[Pt]11N[C@@H]2CCCC[C@H]2N1 DWAFYCQODLXJNR-BNTLRKBRSA-L 0.000 description 1
- 230000003647 oxidation Effects 0.000 description 1
- 238000007254 oxidation reaction Methods 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229940046231 pamidronate Drugs 0.000 description 1
- 229940055729 papain Drugs 0.000 description 1
- 235000019834 papain Nutrition 0.000 description 1
- 230000005298 paramagnetic effect Effects 0.000 description 1
- 230000008506 pathogenesis Effects 0.000 description 1
- 230000009054 pathological process Effects 0.000 description 1
- 229950009506 penicillinase Drugs 0.000 description 1
- 229960002340 pentostatin Drugs 0.000 description 1
- FPVKHBSQESCIEP-JQCXWYLXSA-N pentostatin Chemical compound C1[C@H](O)[C@@H](CO)O[C@H]1N1C(N=CNC[C@H]2O)=C2N=C1 FPVKHBSQESCIEP-JQCXWYLXSA-N 0.000 description 1
- QIMGFXOHTOXMQP-GFAGFCTOSA-N peplomycin Chemical compound N([C@H](C(=O)N[C@H](C)[C@@H](O)[C@H](C)C(=O)N[C@@H]([C@H](O)C)C(=O)NCCC=1SC=C(N=1)C=1SC=C(N=1)C(=O)NCCCN[C@@H](C)C=1C=CC=CC=1)[C@@H](O[C@H]1[C@H]([C@@H](O)[C@H](O)[C@H](CO)O1)O[C@@H]1[C@H]([C@@H](OC(N)=O)[C@H](O)[C@@H](CO)O1)O)C=1NC=NC=1)C(=O)C1=NC([C@H](CC(N)=O)NC[C@H](N)C(N)=O)=NC(N)=C1C QIMGFXOHTOXMQP-GFAGFCTOSA-N 0.000 description 1
- 229950003180 peplomycin Drugs 0.000 description 1
- 229940111202 pepsin Drugs 0.000 description 1
- 208000008494 pericarditis Diseases 0.000 description 1
- 210000003516 pericardium Anatomy 0.000 description 1
- KHIWWQKSHDUIBK-UHFFFAOYSA-N periodic acid Chemical compound OI(=O)(=O)=O KHIWWQKSHDUIBK-UHFFFAOYSA-N 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 210000000578 peripheral nerve Anatomy 0.000 description 1
- 210000005223 peripheral sensory neuron Anatomy 0.000 description 1
- 125000002080 perylenyl group Chemical group C1(=CC=C2C=CC=C3C4=CC=CC5=CC=CC(C1=C23)=C45)* 0.000 description 1
- CSHWQDPOILHKBI-UHFFFAOYSA-N peryrene Natural products C1=CC(C2=CC=CC=3C2=C2C=CC=3)=C3C2=CC=CC3=C1 CSHWQDPOILHKBI-UHFFFAOYSA-N 0.000 description 1
- 230000008782 phagocytosis Effects 0.000 description 1
- 239000012071 phase Substances 0.000 description 1
- 108010076042 phenomycin Proteins 0.000 description 1
- 125000002467 phosphate group Chemical group [H]OP(=O)(O[H])O[*] 0.000 description 1
- AQSJGOWTSHOLKH-UHFFFAOYSA-N phosphite(3-) Chemical class [O-]P([O-])[O-] AQSJGOWTSHOLKH-UHFFFAOYSA-N 0.000 description 1
- 150000003013 phosphoric acid derivatives Chemical class 0.000 description 1
- 238000003566 phosphorylation assay Methods 0.000 description 1
- 102000020233 phosphotransferase Human genes 0.000 description 1
- 230000035790 physiological processes and functions Effects 0.000 description 1
- 229930000184 phytotoxin Natural products 0.000 description 1
- 229960000952 pipobroman Drugs 0.000 description 1
- NJBFOOCLYDNZJN-UHFFFAOYSA-N pipobroman Chemical compound BrCCC(=O)N1CCN(C(=O)CCBr)CC1 NJBFOOCLYDNZJN-UHFFFAOYSA-N 0.000 description 1
- NUKCGLDCWQXYOQ-UHFFFAOYSA-N piposulfan Chemical compound CS(=O)(=O)OCCC(=O)N1CCN(C(=O)CCOS(C)(=O)=O)CC1 NUKCGLDCWQXYOQ-UHFFFAOYSA-N 0.000 description 1
- 229950001100 piposulfan Drugs 0.000 description 1
- 229960001221 pirarubicin Drugs 0.000 description 1
- 229910052697 platinum Inorganic materials 0.000 description 1
- 150000003057 platinum Chemical class 0.000 description 1
- 229960001237 podophyllotoxin Drugs 0.000 description 1
- YJGVMLPVUAXIQN-XVVDYKMHSA-N podophyllotoxin Chemical compound COC1=C(OC)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@H](O)[C@@H]3[C@@H]2C(OC3)=O)=C1 YJGVMLPVUAXIQN-XVVDYKMHSA-N 0.000 description 1
- YVCVYCSAAZQOJI-UHFFFAOYSA-N podophyllotoxin Natural products COC1=C(O)C(OC)=CC(C2C3=CC=4OCOC=4C=C3C(O)C3C2C(OC3)=O)=C1 YVCVYCSAAZQOJI-UHFFFAOYSA-N 0.000 description 1
- 229920001983 poloxamer Polymers 0.000 description 1
- 229920000191 poly(N-vinyl pyrrolidone) Polymers 0.000 description 1
- 229920000747 poly(lactic acid) Polymers 0.000 description 1
- 229920003229 poly(methyl methacrylate) Polymers 0.000 description 1
- 229920001481 poly(stearyl methacrylate) Polymers 0.000 description 1
- 239000004584 polyacrylic acid Substances 0.000 description 1
- 230000008488 polyadenylation Effects 0.000 description 1
- 108010054442 polyalanine Proteins 0.000 description 1
- 201000010065 polycystic ovary syndrome Diseases 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920002338 polyhydroxyethylmethacrylate Polymers 0.000 description 1
- 238000006116 polymerization reaction Methods 0.000 description 1
- 239000004926 polymethyl methacrylate Substances 0.000 description 1
- 229920005862 polyol Polymers 0.000 description 1
- 150000003077 polyols Chemical class 0.000 description 1
- 229920001451 polypropylene glycol Polymers 0.000 description 1
- 229920000136 polysorbate Polymers 0.000 description 1
- 239000011148 porous material Substances 0.000 description 1
- OXCMYAYHXIHQOA-UHFFFAOYSA-N potassium;[2-butyl-5-chloro-3-[[4-[2-(1,2,4-triaza-3-azanidacyclopenta-1,4-dien-5-yl)phenyl]phenyl]methyl]imidazol-4-yl]methanol Chemical compound [K+].CCCCC1=NC(Cl)=C(CO)N1CC1=CC=C(C=2C(=CC=CC=2)C2=N[N-]N=N2)C=C1 OXCMYAYHXIHQOA-UHFFFAOYSA-N 0.000 description 1
- 230000003389 potentiating effect Effects 0.000 description 1
- 201000011461 pre-eclampsia Diseases 0.000 description 1
- 238000001556 precipitation Methods 0.000 description 1
- 229960004694 prednimustine Drugs 0.000 description 1
- OIGNJSKKLXVSLS-VWUMJDOOSA-N prednisolone Chemical compound O=C1C=C[C@]2(C)[C@H]3[C@@H](O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 OIGNJSKKLXVSLS-VWUMJDOOSA-N 0.000 description 1
- 229960005205 prednisolone Drugs 0.000 description 1
- XOFYZVNMUHMLCC-ZPOLXVRWSA-N prednisone Chemical compound O=C1C=C[C@]2(C)[C@H]3C(=O)C[C@](C)([C@@](CC4)(O)C(=O)CO)[C@@H]4[C@@H]3CCC2=C1 XOFYZVNMUHMLCC-ZPOLXVRWSA-N 0.000 description 1
- 229960004618 prednisone Drugs 0.000 description 1
- 239000003755 preservative agent Substances 0.000 description 1
- 150000003139 primary aliphatic amines Chemical class 0.000 description 1
- 201000008312 primary pulmonary hypertension Diseases 0.000 description 1
- 230000001023 pro-angiogenic effect Effects 0.000 description 1
- CPTBDICYNRMXFX-UHFFFAOYSA-N procarbazine Chemical compound CNNCC1=CC=C(C(=O)NC(C)C)C=C1 CPTBDICYNRMXFX-UHFFFAOYSA-N 0.000 description 1
- 229960000624 procarbazine Drugs 0.000 description 1
- 238000012545 processing Methods 0.000 description 1
- 238000004393 prognosis Methods 0.000 description 1
- 230000001737 promoting effect Effects 0.000 description 1
- 235000019260 propionic acid Nutrition 0.000 description 1
- 235000010232 propyl p-hydroxybenzoate Nutrition 0.000 description 1
- 239000004405 propyl p-hydroxybenzoate Substances 0.000 description 1
- QELSKZZBTMNZEB-UHFFFAOYSA-N propylparaben Chemical compound CCCOC(=O)C1=CC=C(O)C=C1 QELSKZZBTMNZEB-UHFFFAOYSA-N 0.000 description 1
- 208000023958 prostate neoplasm Diseases 0.000 description 1
- 229940048914 protamine Drugs 0.000 description 1
- 108010043383 protease V Proteins 0.000 description 1
- 230000002797 proteolythic effect Effects 0.000 description 1
- 230000006337 proteolytic cleavage Effects 0.000 description 1
- WOLQREOUPKZMEX-UHFFFAOYSA-N pteroyltriglutamic acid Chemical compound C=1N=C2NC(N)=NC(=O)C2=NC=1CNC1=CC=C(C(=O)NC(CCC(=O)NC(CCC(=O)NC(CCC(O)=O)C(O)=O)C(O)=O)C(O)=O)C=C1 WOLQREOUPKZMEX-UHFFFAOYSA-N 0.000 description 1
- 150000003212 purines Chemical class 0.000 description 1
- 229950010131 puromycin Drugs 0.000 description 1
- 150000003230 pyrimidines Chemical class 0.000 description 1
- IUVKMZGDUIUOCP-BTNSXGMBSA-N quinbolone Chemical compound O([C@H]1CC[C@H]2[C@H]3[C@@H]([C@]4(C=CC(=O)C=C4CC3)C)CC[C@@]21C)C1=CCCC1 IUVKMZGDUIUOCP-BTNSXGMBSA-N 0.000 description 1
- UOWVMDUEMSNCAV-WYENRQIDSA-N rachelmycin Chemical compound C1([C@]23C[C@@H]2CN1C(=O)C=1NC=2C(OC)=C(O)C4=C(C=2C=1)CCN4C(=O)C1=CC=2C=4CCN(C=4C(O)=C(C=2N1)OC)C(N)=O)=CC(=O)C1=C3C(C)=CN1 UOWVMDUEMSNCAV-WYENRQIDSA-N 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 239000002516 radical scavenger Substances 0.000 description 1
- 150000003254 radicals Chemical class 0.000 description 1
- 239000012857 radioactive material Substances 0.000 description 1
- 229920005604 random copolymer Polymers 0.000 description 1
- 229910052761 rare earth metal Inorganic materials 0.000 description 1
- 150000002910 rare earth metals Chemical class 0.000 description 1
- BMKDZUISNHGIBY-UHFFFAOYSA-N razoxane Chemical compound C1C(=O)NC(=O)CN1C(C)CN1CC(=O)NC(=O)C1 BMKDZUISNHGIBY-UHFFFAOYSA-N 0.000 description 1
- 229960000460 razoxane Drugs 0.000 description 1
- 230000008707 rearrangement Effects 0.000 description 1
- 239000002464 receptor antagonist Substances 0.000 description 1
- 229940044551 receptor antagonist Drugs 0.000 description 1
- 206010038038 rectal cancer Diseases 0.000 description 1
- 201000001275 rectum cancer Diseases 0.000 description 1
- 230000008929 regeneration Effects 0.000 description 1
- 238000011069 regeneration method Methods 0.000 description 1
- 230000022983 regulation of cell cycle Effects 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 230000003362 replicative effect Effects 0.000 description 1
- 208000037803 restenosis Diseases 0.000 description 1
- 108091008146 restriction endonucleases Proteins 0.000 description 1
- 230000002207 retinal effect Effects 0.000 description 1
- 229930002330 retinoic acid Natural products 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- OWPCHSCAPHNHAV-LMONGJCWSA-N rhizoxin Chemical compound C/C([C@H](OC)[C@@H](C)[C@@H]1C[C@H](O)[C@]2(C)O[C@@H]2/C=C/[C@@H](C)[C@]2([H])OC(=O)C[C@@](C2)(C[C@@H]2O[C@H]2C(=O)O1)[H])=C\C=C\C(\C)=C\C1=COC(C)=N1 OWPCHSCAPHNHAV-LMONGJCWSA-N 0.000 description 1
- PYWVYCXTNDRMGF-UHFFFAOYSA-N rhodamine B Chemical compound [Cl-].C=12C=CC(=[N+](CC)CC)C=C2OC2=CC(N(CC)CC)=CC=C2C=1C1=CC=CC=C1C(O)=O PYWVYCXTNDRMGF-UHFFFAOYSA-N 0.000 description 1
- 239000002336 ribonucleotide Substances 0.000 description 1
- 125000002652 ribonucleotide group Chemical group 0.000 description 1
- 229940089617 risedronate Drugs 0.000 description 1
- 229950004892 rodorubicin Drugs 0.000 description 1
- MBABCNBNDNGODA-WPZDJQSSSA-N rolliniastatin 1 Natural products O1[C@@H]([C@@H](O)CCCCCCCCCC)CC[C@H]1[C@H]1O[C@@H]([C@H](O)CCCCCCCCCC[C@@H](O)CC=2C(O[C@@H](C)C=2)=O)CC1 MBABCNBNDNGODA-WPZDJQSSSA-N 0.000 description 1
- 102220004803 rs104893660 Human genes 0.000 description 1
- 102200012113 rs11466016 Human genes 0.000 description 1
- 102200129685 rs11559290 Human genes 0.000 description 1
- 102200114092 rs121965060 Human genes 0.000 description 1
- 102220248005 rs1237212288 Human genes 0.000 description 1
- 102220248744 rs145985140 Human genes 0.000 description 1
- 102200133096 rs199473644 Human genes 0.000 description 1
- 102220005404 rs33931314 Human genes 0.000 description 1
- VHXNKPBCCMUMSW-FQEVSTJZSA-N rubitecan Chemical compound C1=CC([N+]([O-])=O)=C2C=C(CN3C4=CC5=C(C3=O)COC(=O)[C@]5(O)CC)C4=NC2=C1 VHXNKPBCCMUMSW-FQEVSTJZSA-N 0.000 description 1
- 108091008601 sVEGFR Proteins 0.000 description 1
- 229930182947 sarcodictyin Natural products 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 238000013391 scatchard analysis Methods 0.000 description 1
- 238000012163 sequencing technique Methods 0.000 description 1
- 125000003607 serino group Chemical group [H]N([H])[C@]([H])(C(=O)[*])C(O[H])([H])[H] 0.000 description 1
- 210000000717 sertoli cell Anatomy 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 230000019491 signal transduction Effects 0.000 description 1
- 230000003007 single stranded DNA break Effects 0.000 description 1
- 238000002741 site-directed mutagenesis Methods 0.000 description 1
- 229950001403 sizofiran Drugs 0.000 description 1
- 229940112726 skelid Drugs 0.000 description 1
- 210000000329 smooth muscle myocyte Anatomy 0.000 description 1
- 239000011734 sodium Substances 0.000 description 1
- 229910052708 sodium Inorganic materials 0.000 description 1
- PTLRDCMBXHILCL-UHFFFAOYSA-M sodium arsenite Chemical compound [Na+].[O-][As]=O PTLRDCMBXHILCL-UHFFFAOYSA-M 0.000 description 1
- 229910000029 sodium carbonate Inorganic materials 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 238000005063 solubilization Methods 0.000 description 1
- 230000007928 solubilization Effects 0.000 description 1
- 239000012453 solvate Substances 0.000 description 1
- 239000002594 sorbent Substances 0.000 description 1
- 239000000600 sorbitol Substances 0.000 description 1
- 208000020431 spinal cord injury Diseases 0.000 description 1
- 229950006315 spirogermanium Drugs 0.000 description 1
- ICXJVZHDZFXYQC-UHFFFAOYSA-N spongistatin 1 Natural products OC1C(O2)(O)CC(O)C(C)C2CCCC=CC(O2)CC(O)CC2(O2)CC(OC)CC2CC(=O)C(C)C(OC(C)=O)C(C)C(=C)CC(O2)CC(C)(O)CC2(O2)CC(OC(C)=O)CC2CC(=O)OC2C(O)C(CC(=C)CC(O)C=CC(Cl)=C)OC1C2C ICXJVZHDZFXYQC-UHFFFAOYSA-N 0.000 description 1
- 230000000087 stabilizing effect Effects 0.000 description 1
- SFVFIFLLYFPGHH-UHFFFAOYSA-M stearalkonium chloride Chemical compound [Cl-].CCCCCCCCCCCCCCCCCC[N+](C)(C)CC1=CC=CC=C1 SFVFIFLLYFPGHH-UHFFFAOYSA-M 0.000 description 1
- 239000000021 stimulant Substances 0.000 description 1
- 230000004936 stimulating effect Effects 0.000 description 1
- 238000003860 storage Methods 0.000 description 1
- 238000010254 subcutaneous injection Methods 0.000 description 1
- 239000007929 subcutaneous injection Substances 0.000 description 1
- 125000001424 substituent group Chemical group 0.000 description 1
- 239000005720 sucrose Substances 0.000 description 1
- LSNNMFCWUKXFEE-UHFFFAOYSA-L sulfite Chemical compound [O-]S([O-])=O LSNNMFCWUKXFEE-UHFFFAOYSA-L 0.000 description 1
- 239000011593 sulfur Substances 0.000 description 1
- WINHZLLDWRZWRT-ATVHPVEESA-N sunitinib Chemical compound CCN(CC)CCNC(=O)C1=C(C)NC(\C=C/2C3=CC(F)=CC=C3NC\2=O)=C1C WINHZLLDWRZWRT-ATVHPVEESA-N 0.000 description 1
- 229960002812 sunitinib malate Drugs 0.000 description 1
- 238000004114 suspension culture Methods 0.000 description 1
- 229940034785 sutent Drugs 0.000 description 1
- 230000008409 synovial inflammation Effects 0.000 description 1
- 201000004595 synovitis Diseases 0.000 description 1
- 238000001308 synthesis method Methods 0.000 description 1
- 238000007910 systemic administration Methods 0.000 description 1
- FQZYTYWMLGAPFJ-OQKDUQJOSA-N tamoxifen citrate Chemical compound [H+].[H+].[H+].[O-]C(=O)CC(O)(CC([O-])=O)C([O-])=O.C=1C=CC=CC=1C(/CC)=C(C=1C=CC(OCCN(C)C)=CC=1)/C1=CC=CC=C1 FQZYTYWMLGAPFJ-OQKDUQJOSA-N 0.000 description 1
- DKPFODGZWDEEBT-QFIAKTPHSA-N taxane Chemical class C([C@]1(C)CCC[C@@H](C)[C@H]1C1)C[C@H]2[C@H](C)CC[C@@H]1C2(C)C DKPFODGZWDEEBT-QFIAKTPHSA-N 0.000 description 1
- NRUKOCRGYNPUPR-QBPJDGROSA-N teniposide Chemical compound COC1=C(O)C(OC)=CC([C@@H]2C3=CC=4OCOC=4C=C3[C@@H](O[C@H]3[C@@H]([C@@H](O)[C@@H]4O[C@@H](OC[C@H]4O3)C=3SC=CC=3)O)[C@@H]3[C@@H]2C(OC3)=O)=C1 NRUKOCRGYNPUPR-QBPJDGROSA-N 0.000 description 1
- 229960001278 teniposide Drugs 0.000 description 1
- 229960005353 testolactone Drugs 0.000 description 1
- BPEWUONYVDABNZ-DZBHQSCQSA-N testolactone Chemical compound O=C1C=C[C@]2(C)[C@H]3CC[C@](C)(OC(=O)CC4)[C@@H]4[C@@H]3CCC2=C1 BPEWUONYVDABNZ-DZBHQSCQSA-N 0.000 description 1
- YLQBMQCUIZJEEH-UHFFFAOYSA-N tetrahydrofuran Natural products C=1C=COC=1 YLQBMQCUIZJEEH-UHFFFAOYSA-N 0.000 description 1
- 238000009210 therapy by ultrasound Methods 0.000 description 1
- 239000004308 thiabendazole Substances 0.000 description 1
- 229940071127 thioglycolate Drugs 0.000 description 1
- CWERGRDVMFNCDR-UHFFFAOYSA-M thioglycolate(1-) Chemical compound [O-]C(=O)CS CWERGRDVMFNCDR-UHFFFAOYSA-M 0.000 description 1
- CNHYKKNIIGEXAY-UHFFFAOYSA-N thiolan-2-imine Chemical compound N=C1CCCS1 CNHYKKNIIGEXAY-UHFFFAOYSA-N 0.000 description 1
- ATGUDZODTABURZ-UHFFFAOYSA-N thiolan-2-ylideneazanium;chloride Chemical compound Cl.N=C1CCCS1 ATGUDZODTABURZ-UHFFFAOYSA-N 0.000 description 1
- RYYWUUFWQRZTIU-UHFFFAOYSA-K thiophosphate Chemical compound [O-]P([O-])([O-])=S RYYWUUFWQRZTIU-UHFFFAOYSA-K 0.000 description 1
- 150000003584 thiosemicarbazones Chemical class 0.000 description 1
- 230000008467 tissue growth Effects 0.000 description 1
- 230000000699 topical effect Effects 0.000 description 1
- 229940044693 topoisomerase inhibitor Drugs 0.000 description 1
- 229960000303 topotecan Drugs 0.000 description 1
- 229960005026 toremifene Drugs 0.000 description 1
- XFCLJVABOIYOMF-QPLCGJKRSA-N toremifene Chemical compound C1=CC(OCCN(C)C)=CC=C1C(\C=1C=CC=CC=1)=C(\CCCl)C1=CC=CC=C1 XFCLJVABOIYOMF-QPLCGJKRSA-N 0.000 description 1
- 231100000167 toxic agent Toxicity 0.000 description 1
- 239000003440 toxic substance Substances 0.000 description 1
- 230000007888 toxin activity Effects 0.000 description 1
- 239000011573 trace mineral Substances 0.000 description 1
- 235000013619 trace mineral Nutrition 0.000 description 1
- 206010044325 trachoma Diseases 0.000 description 1
- 230000005026 transcription initiation Effects 0.000 description 1
- 239000012581 transferrin Substances 0.000 description 1
- 238000011426 transformation method Methods 0.000 description 1
- 230000001131 transforming effect Effects 0.000 description 1
- 230000009261 transgenic effect Effects 0.000 description 1
- 230000005945 translocation Effects 0.000 description 1
- 238000011269 treatment regimen Methods 0.000 description 1
- 229960001727 tretinoin Drugs 0.000 description 1
- PXSOHRWMIRDKMP-UHFFFAOYSA-N triaziquone Chemical compound O=C1C(N2CC2)=C(N2CC2)C(=O)C=C1N1CC1 PXSOHRWMIRDKMP-UHFFFAOYSA-N 0.000 description 1
- 229960004560 triaziquone Drugs 0.000 description 1
- 150000003327 trichothecene derivatives Chemical class 0.000 description 1
- 229960001670 trilostane Drugs 0.000 description 1
- KVJXBPDAXMEYOA-CXANFOAXSA-N trilostane Chemical compound OC1=C(C#N)C[C@]2(C)[C@H]3CC[C@](C)([C@H](CC4)O)[C@@H]4[C@@H]3CC[C@@]32O[C@@H]31 KVJXBPDAXMEYOA-CXANFOAXSA-N 0.000 description 1
- NOYPYLRCIDNJJB-UHFFFAOYSA-N trimetrexate Chemical compound COC1=C(OC)C(OC)=CC(NCC=2C(=C3C(N)=NC(N)=NC3=CC=2)C)=C1 NOYPYLRCIDNJJB-UHFFFAOYSA-N 0.000 description 1
- 229960001099 trimetrexate Drugs 0.000 description 1
- 229950000212 trioxifene Drugs 0.000 description 1
- 229960000875 trofosfamide Drugs 0.000 description 1
- UMKFEPPTGMDVMI-UHFFFAOYSA-N trofosfamide Chemical compound ClCCN(CCCl)P1(=O)OCCCN1CCCl UMKFEPPTGMDVMI-UHFFFAOYSA-N 0.000 description 1
- 229950010147 troxacitabine Drugs 0.000 description 1
- RXRGZNYSEHTMHC-BQBZGAKWSA-N troxacitabine Chemical compound O=C1N=C(N)C=CN1[C@H]1O[C@@H](CO)OC1 RXRGZNYSEHTMHC-BQBZGAKWSA-N 0.000 description 1
- 101150057627 trxB gene Proteins 0.000 description 1
- HDZZVAMISRMYHH-LITAXDCLSA-N tubercidin Chemical compound C1=CC=2C(N)=NC=NC=2N1[C@@H]1O[C@@H](CO)[C@H](O)[C@H]1O HDZZVAMISRMYHH-LITAXDCLSA-N 0.000 description 1
- 230000005740 tumor formation Effects 0.000 description 1
- 230000005909 tumor killing Effects 0.000 description 1
- 229940121358 tyrosine kinase inhibitor Drugs 0.000 description 1
- 239000005483 tyrosine kinase inhibitor Substances 0.000 description 1
- 229950009811 ubenimex Drugs 0.000 description 1
- 241001430294 unidentified retrovirus Species 0.000 description 1
- DRTQHJPVMGBUCF-UHFFFAOYSA-N uracil arabinoside Natural products OC1C(O)C(CO)OC1N1C(=O)NC(=O)C=C1 DRTQHJPVMGBUCF-UHFFFAOYSA-N 0.000 description 1
- 229960001055 uracil mustard Drugs 0.000 description 1
- 150000003673 urethanes Chemical class 0.000 description 1
- 229940045145 uridine Drugs 0.000 description 1
- VBEQCZHXXJYVRD-GACYYNSASA-N uroanthelone Chemical compound C([C@@H](C(=O)N[C@H](C(=O)N[C@@H](CS)C(=O)N[C@@H](CC(N)=O)C(=O)N[C@@H](CS)C(=O)N[C@H](C(=O)N[C@@H]([C@@H](C)CC)C(=O)NCC(=O)N[C@@H](CC=1C=CC(O)=CC=1)C(=O)N[C@@H](CO)C(=O)NCC(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CS)C(=O)N[C@@H](CCC(N)=O)C(=O)N[C@@H]([C@@H](C)O)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CC=1C2=CC=CC=C2NC=1)C(=O)N[C@@H](CCC(O)=O)C(=O)N[C@@H](CC(C)C)C(=O)N[C@@H](CCCNC(N)=N)C(O)=O)C(C)C)[C@@H](C)O)NC(=O)[C@H](CO)NC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CO)NC(=O)[C@H](CCC(O)=O)NC(=O)[C@@H](NC(=O)[C@H](CC=1NC=NC=1)NC(=O)[C@H](CCSC)NC(=O)[C@H](CS)NC(=O)[C@@H](NC(=O)CNC(=O)CNC(=O)[C@H](CC(N)=O)NC(=O)[C@H](CC(C)C)NC(=O)[C@H](CS)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)CNC(=O)[C@H](CC(O)=O)NC(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@H](CO)NC(=O)[C@H]1N(CCC1)C(=O)[C@H](CS)NC(=O)CNC(=O)[C@H]1N(CCC1)C(=O)[C@H](CC=1C=CC(O)=CC=1)NC(=O)[C@H](CO)NC(=O)[C@@H](N)CC(N)=O)C(C)C)[C@@H](C)CC)C1=CC=C(O)C=C1 VBEQCZHXXJYVRD-GACYYNSASA-N 0.000 description 1
- 208000019553 vascular disease Diseases 0.000 description 1
- 230000032665 vasculature development Effects 0.000 description 1
- 230000002227 vasoactive effect Effects 0.000 description 1
- 229950000578 vatalanib Drugs 0.000 description 1
- YCOYDOIWSSHVCK-UHFFFAOYSA-N vatalanib Chemical compound C1=CC(Cl)=CC=C1NC(C1=CC=CC=C11)=NN=C1CC1=CC=NC=C1 YCOYDOIWSSHVCK-UHFFFAOYSA-N 0.000 description 1
- 229920002554 vinyl polymer Polymers 0.000 description 1
- 239000013603 viral vector Substances 0.000 description 1
- 210000002845 virion Anatomy 0.000 description 1
- 229960001771 vorozole Drugs 0.000 description 1
- XLMPPFTZALNBFS-INIZCTEOSA-N vorozole Chemical compound C1([C@@H](C2=CC=C3N=NN(C3=C2)C)N2N=CN=C2)=CC=C(Cl)C=C1 XLMPPFTZALNBFS-INIZCTEOSA-N 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- XLYOFNOQVPJJNP-OUBTZVSYSA-N water-17o Chemical compound [17OH2] XLYOFNOQVPJJNP-OUBTZVSYSA-N 0.000 description 1
- 238000001262 western blot Methods 0.000 description 1
- 210000004885 white matter Anatomy 0.000 description 1
- 229910052727 yttrium Inorganic materials 0.000 description 1
- HBOMLICNUCNMMY-XLPZGREQSA-N zidovudine Chemical compound O=C1NC(=O)C(C)=CN1[C@@H]1O[C@H](CO)[C@@H](N=[N+]=[N-])C1 HBOMLICNUCNMMY-XLPZGREQSA-N 0.000 description 1
- 229940002005 zometa Drugs 0.000 description 1
- FBTUMDXHSRTGRV-ALTNURHMSA-N zorubicin Chemical compound O([C@H]1C[C@@](O)(CC=2C(O)=C3C(=O)C=4C=CC=C(C=4C(=O)C3=C(O)C=21)OC)C(\C)=N\NC(=O)C=1C=CC=CC=1)[C@H]1C[C@H](N)[C@H](O)[C@H](C)O1 FBTUMDXHSRTGRV-ALTNURHMSA-N 0.000 description 1
- 229960000641 zorubicin Drugs 0.000 description 1
Landscapes
- Peptides Or Proteins (AREA)
- Medicines Containing Antibodies Or Antigens For Use As Internal Diagnostic Agents (AREA)
Description
本發明一般而言係關於分子生物學領域。更特定言之,本發明係關於抗EphB4抗體及該等抗體之用途。The invention relates generally to the field of molecular biology. More specifically, the invention relates to anti-EphB4 antibodies and the use of such antibodies.
對於許多生理學及病理學過程而言,血管供應發育為一基礎需要。諸如胚胎及腫瘤之活躍生長的組織需要充分的血液供應。其藉由產生促進新血管經由稱為血管生成(angiogenesis)之過程形成之原血管生成因子滿足此需要。血管形成為涉及所有或多個以下步驟之複雜但有序的生物學事件:a)內皮細胞(EC)自存在的EC增生或自祖細胞分化;b)EC遷移且聚結以形成索樣結構;c)血管索接著經歷血管新生(tubulogenesis)以與中央腔形成血管;d)存在的索或血管長出萌芽以形成二級血管;e)初始血管叢經歷進一步重塑及整形;及f)末梢內皮細胞經募集以包裝內皮管,從而向血管提供維護及調節功能;該等細胞包括小毛細管之外被細胞、較大血管之平滑肌細胞及心臟中之心肌細胞。Hanahan,Science 277:48-50(1997);Hogan及Kolodziej,Nat.Rev.Genet. 3:513-23(2002);Lubarsky及Krasnow,Cell 112:19-28(2003)。For many physiological and pathological processes, vascular supply development is a basic need. Actively growing tissues such as embryos and tumors require an adequate blood supply. It fulfils this need by creating pro-angiogenic factors that promote the formation of new blood vessels via a process known as angiogenesis. Angiogenesis is a complex but ordered biological event involving all or more of the following steps: a) endothelial cell (EC) self-existing EC proliferation or differentiation from progenitor cells; b) EC migration and coalescence to form a cord-like structure c) the vascular cord then undergoes tubulogenesis to form a blood vessel with the central lumen; d) the existing cord or blood vessel grows to sprout to form a secondary blood vessel; e) the initial vascular plexus undergoes further remodeling and shaping; and f) The peripheral endothelial cells are recruited to package the endothelial tubes, thereby providing maintenance and regulation functions to the blood vessels; these cells include cells outside the small capillaries, smooth muscle cells of larger blood vessels, and cardiomyocytes in the heart. Hanahan, Science 277: 48-50 (1997); Hogan and Kolodziej, Nat. Rev. Genet . 3: 513-23 (2002); Lubarsky and Krasnow, Cell 112: 19-28 (2003).
現已完全確立:在各種病症之發病機制中涉及血管生成。此等病症包括實體腫瘤及轉移、動脈粥樣硬化、晶狀體後纖維組織增生、血管瘤、慢性炎症、諸如增生性視網膜病(例如糖尿病性視網膜病)之眼內新生血管性疾病、年齡相關之黃斑部變性(AMD)、新生血管性青光眼、移植角膜組織及其他組織之免疫排斥反應、類風濕性關節炎及牛皮癬。Folkman等人,J.Biol.Chem. 267:10931-34(1992);Klagsbrun等人,Annu.Rev.Physiol. 53:217-39(1991);及Garner A.,"Vascular diseases"在:Pathobiology of Ocular Disease.A Dynamic Approach,Garner A.,Klintworth GK編輯,第2版(Marcel Dekker,NY,1994),第1625-1710頁中。It is now fully established: angiogenesis is involved in the pathogenesis of various disorders. Such conditions include solid tumors and metastases, atherosclerosis, post-lens fibrous tissue hyperplasia, hemangioma, chronic inflammation, intraocular neovascular diseases such as proliferative retinopathy (eg, diabetic retinopathy), age-related macula Department of degeneration (AMD), neovascular glaucoma, immune rejection of transplanted corneal tissue and other tissues, rheumatoid arthritis and psoriasis. Folkman et al, J. Biol. Chem. 267: 10931-34 (1992); Klagsbrun et al, Annu. Rev. Physiol . 53: 217-39 (1991); and Garner A., "Vascular diseases" in: Pathobiology A Dynamic Approach, Garner A., Klintworth GK, eds. 2 (Marcel Dekker, NY, 1994), pp. 1625-1710.
在腫瘤生長狀況中,血管生成表現為對於自增生轉變為腫瘤形成而言及對於向腫瘤之生長及轉移提供滋養而言為至關重要的。Folkman等人,Nature 339:58(1989)。與正常細胞相比較,新血管生成允許腫瘤細胞獲得生長優勢及增生自主性。腫瘤通常作為單一異常細胞起始,由於與可利用的毛細管床之距離其可增生至數立方毫米尺寸,且其可保持"休眠"而長時期無進一步生長及擴散。接著,一些腫瘤細胞轉換為血管生成表型以活化內皮細胞,該等細胞增生且成熟為新毛細血管。此等新形成的血管不僅允許原發性腫瘤繼續生長,而且允許轉移性腫瘤細胞擴散及再菌落化。因此,在乳癌以及數種其他腫瘤中,已觀察到腫瘤切片中微血管密度與患者存活率之間的相互關係。Weidner等人,N.Engl.J.Med. 324:1-6(1991);Horak等人,Lancet 340:1120-24(1992);Macchiarini等人,Lancet 340:145-46(1992)。雖然尚未完全瞭解控制血管生成轉換之精確機制,但吾人認為,腫瘤物質之新血管生成由眾多血管生成刺激劑及抑制劑之淨平衡產生(Folkman,Nat.Med .1(1):27-31(1995))。In tumor growth, angiogenesis appears to be critical for the transition from hyperplasia to tumor formation and to nourishment to tumor growth and metastasis. Folkman et al, Nature 339: 58 (1989). Compared to normal cells, neovascularization allows tumor cells to gain growth and autonomy. Tumors usually start as a single abnormal cell that can proliferate to a few cubic millimeters in size due to the distance from the available capillary bed, and it can remain "sleep" without further growth and spread over a long period of time. Next, some tumor cells are converted to an angiogenic phenotype to activate endothelial cells that proliferate and mature into new capillaries. These newly formed blood vessels not only allow the primary tumor to continue to grow, but also allow metastatic tumor cells to spread and re-colonize. Therefore, in breast cancer and several other tumors, the correlation between microvessel density and patient survival in tumor sections has been observed. Weidner et al, N. Engl. J. Med. 324: 1-6 (1991); Horak et al, Lancet 340: 1120-24 (1992); Macchiarini et al, Lancet 340: 145-46 (1992). Although the precise mechanism for controlling angiogenesis switching is not fully understood, it is believed that neovascularization of tumor material is produced by the net balance of numerous angiogenic stimulators and inhibitors (Folkman, Nat . Med.1 (1):27-31 (1995)).
血管發育之過程受到嚴密調節。迄今,大量分子(大部分為周圍細胞產生的分泌因子)已顯示調節EC分化、增生、遷移及聚結為索樣結構。舉例而言,血管內皮生長因子(VEGF)已經識別為刺激血管生成及誘導血管滲透性所涉及的關鍵因子。Ferrara等人,Endocr.Rev. 18:4-25(1997)。發現即使單一VEGF等位基因缺失亦導致胚胎死亡,指出此因子在血管系統發育及分化中所起的不可替代的作用。此外,VEGF已顯示為與腫瘤及眼內病症相關之新血管生成的關鍵介體。前述Ferrara等人,Endocr.Rev. 。所檢查之大部分人類腫瘤過度表現VEGF mRNA。Berkman等人,J.Clin.Invest.91:153-59(1993);Brown等人,Human Pathol.26:86-91(1995);Brown等人,Cancer Res.53:4727-35(1993);Mattern等人,Brit.J.Cancer 73:931-34(1996);Dvorak等人,Am.J.Pathol.146:1029-39(1995)。The process of vascular development is closely regulated. To date, a large number of molecules (mostly secreted factors produced by surrounding cells) have been shown to regulate EC differentiation, proliferation, migration, and coalescence into cord-like structures. For example, vascular endothelial growth factor (VEGF) has been identified as a key factor involved in stimulating angiogenesis and inducing vascular permeability. Ferrara et al., Endocr. Rev. 18: 4-25 (1997). It was found that even a single VEGF allele deletion resulted in embryonic death, indicating an irreplaceable role for this factor in vascular system development and differentiation. In addition, VEGF has been shown to be a key mediator of neovascularization associated with tumors and intraocular disorders. The aforementioned Ferrara et al., Endocr. Rev. Most human tumors examined overexpressed VEGF mRNA. Berkman et al, J. Clin. Invest. 91: 153-59 (1993); Brown et al, Human Pathol. 26: 86-91 (1995); Brown et al, Cancer Res. 53: 4727-35 (1993) Mattern et al, Brit. J. Cancer 73: 931-34 (1996); Dvorak et al, Am. J. Pathol. 146: 1029-39 (1995).
同樣,對於糖尿病性及其他缺血相關視網膜病而言,眼睛流體中VEGF之濃度水平與患者體內血管活性增生之存在高度相關。Aiello等人,N.Engl.J.Med. 331:1480-87(1994)。此外,研究已證明,患者體內脈絡膜新生血管膜中VEGF之位置受AMD影響。Lopez等人,Invest.Ophthalmol.Vis.Sci. 37:855-68(1996)。Similarly, for diabetic and other ischemic-related retinopathy, the level of VEGF in the ocular fluid is highly correlated with the presence of vasoactive hyperplasia in the patient. Aiello et al., N. Engl. J. Med. 331:1480-87 (1994). In addition, studies have shown that the location of VEGF in the choroidal neovascular membrane in patients is affected by AMD. Lopez et al, Invest. Ophthalmol . Vis . Sci. 37: 855-68 (1996).
抗VEGF中和抗體在裸鼠中抑制各種人類腫瘤細胞株之生長(Kim等人,Nature 362:841-44(1993);Warren等人,J.Clin.Invest. 95:1789-97(1995);Borgstrm等人,Cancer Res. 56:4032-39(1996);Melnyk等人,Cancer Res. 56:921-24(1996))且亦在缺血性視網膜病症模型中抑制眼內血管生成(Adamis等人,Arch.Ophthalmol. 114:66-71(1996))。因此,抗VEGF單株抗體或VEGF作用之其他抑制劑為治療腫瘤及各種眼內新生血管性病症之有前途的候選者。該等抗體描述於(例如)公開於1998年1月14日之EP 817,648中;及均公開於1998年10月15日之WO 98/45331及WO 98/45332中。一種抗VEGF抗體,亦即貝伐單抗(bevacizumab)已由FDA核準與化學療法組合使用以治療轉移性結腸直腸癌(CRC)。且在多個正在進行的治療各種癌適應症之臨床試驗中研究貝伐單抗。Anti-VEGF neutralizing antibodies inhibit the growth of various human tumor cell lines in nude mice (Kim et al, Nature 362: 841-44 (1993); Warren et al, J. Clin. Invest. 95: 1789-97 (1995) ;Borgstr M et al, Cancer Res. 56:4032-39 (1996); Melnyk et al, Cancer Res. 56:921-24 (1996)) and also inhibits intraocular angiogenesis in a model of ischemic retinopathy (Adamis et al) Man, Arch. Ophthalmol. 114: 66-71 (1996)). Thus, anti-VEGF monoclonal antibodies or other inhibitors of VEGF action are promising candidates for the treatment of tumors and various intraocular neovascular disorders. Such antibodies are described in, for example, EP 817,648, issued Jan. 14, 1998; the disclosure of which is incorporated herein by reference. An anti-VEGF antibody, bevacizumab, has been approved by the FDA for use in combination with chemotherapy to treat metastatic colorectal cancer (CRC). Bevacizumab was studied in a number of ongoing clinical trials for the treatment of various cancer indications.
EphB4受體("EphB4"或"EphB4R")為eph受體家族之成員,其構成人類基因組中酪胺酸激酶受體之最大家族(評論於Dodelet,Oncogene,19:5614-5619,2000中)。人類eph受體酪胺酸激酶根據序列一致性分類為A類及B類,其中對應的A-型及B-型配位基稱為ephrin。信號傳輸可以轉遞方式發生,其中受體酪胺酸激酶由配位基活化;且可以逆轉方式發生,其中跨膜ephrinB配位基由與受體之相互作用活化。多種生物學功能已涉及Eph受體配位基相互作用,該等生物學功能包括軸突導向、組織邊界形成、血管發生及細胞活動性(Kullander等人,Nat.Rev.Mol.Cell.Biol.,3:475-486,2002;Cheng等人,Cytokine Growth Factor Rev.,13:75-85,2002;Coulthard等人,Int.J.Dev.Biol.,46:375-384,2002)。EphB4結合諸如ephrin-B1、ephrin-B2及ephrin-B3之配位基。EphB4受體具有細胞外區,其中一富含半胱胺酸之基元延伸超過其胺基末端一半,其後為兩個II型纖維結合蛋白基元。存在一細胞內域,其特徵在於一保守激酶區及一跨膜域。The EphB4 receptor ("EphB4" or "EphB4R") is a member of the eph receptor family, which constitutes the largest family of tyrosine kinase receptors in the human genome (reviewed in Dodelet, Oncogene, 19: 5614-5619, 2000) . Human eph receptor tyrosine kinases are classified into class A and class B according to sequence identity, wherein the corresponding A-type and B-type ligands are called ephrin. Signal transduction can occur in a manner in which the receptor tyrosine kinase is activated by a ligand; and can occur in a reversible manner, wherein the transmembrane ephrinB ligand is activated by interaction with the receptor. A variety of biological functions have been implicated in Eph receptor ligand interactions, including axon guidance, tissue boundary formation, angiogenesis, and cellular activity (Kullander et al., Nat. Rev. Mol. Cell. Biol. , 3: 475-486, 2002; Cheng et al, Cytokine Growth Factor Rev., 13: 75-85, 2002; Coulthard et al, Int. J. Dev. Biol., 46: 375-384, 2002). EphB4 binds to ligands such as ephrin-B1, ephrin-B2, and ephrin-B3. The EphB4 receptor has an extracellular region in which a cysteine-rich motif extends beyond its amino terminus half, followed by two type II fibronectin motifs. There is an intracellular domain characterized by a conserved kinase domain and a transmembrane domain.
顯然,仍然需要具有對於發展作為治療劑而言最佳的臨床屬性之藥劑。本文所述之本發明滿足此需要且提供其他優勢。Clearly, there remains a need for agents that have the best clinical properties for developing therapeutic agents. The invention described herein satisfies this need and provides other advantages.
本文所引用之所有參考案均以全文引用方式併入本文中,包括專利案申請案及公開案。All references cited herein are hereby incorporated by reference in their entireties in their entireties in the the the the the the the the the
本發明係部分基於各種EphB4結合劑(例如免疫結合物、抗體及其片段)之識別。EphB4表示一重要且有利的治療目標,且本發明基於結合EphB4提供組合物及方法。如本文所述之本發明EphB4結合劑對於以與EphB4-EphB4配位基途徑表現及/或活性相關的病理性病況為靶向中之用途而言,提供重要的治療劑及診斷劑。因此,本發明提供與EphB4結合相關的方法、組合物、套組及製造物品。The invention is based, in part, on the recognition of various EphB4 binding agents (e.g., immunoconjugates, antibodies, and fragments thereof). EphB4 represents an important and advantageous therapeutic goal, and the present invention provides compositions and methods based on the combination of EphB4. The EphB4 binding agents of the invention as described herein provide important therapeutic and diagnostic agents for the targeted use of pathological conditions associated with EphB4-EphB4 ligand pathway expression and/or activity. Accordingly, the present invention provides methods, compositions, kits, and articles of manufacture associated with the incorporation of EphB4.
本發明提供結合(例如特異性結合)至EphB4之抗體。The invention provides antibodies that bind (eg, specifically bind) to EphB4.
在一態樣中,本發明提供一種經分離抗EphB4抗體,其中該抗體之全長IgG形式特異性結合人類EphB4,其中結合親和力為約50 pM或更佳。如此項技術中完全確立:配位基與其受體之結合親和力可使用各種檢定測定,且可以各種定量值為單位表述。因此,在一實施例中,結合親和力作為Kd值表述,且反映固有結合親和力(例如,具有最小化的親和力效應)。一般而言且較佳地,無論在無細胞設定或在細胞相關設定中均於活體外量測結合親和力。此項技術中已知的數種檢定(包括本文所述之彼等檢定)中之任一種均可用於獲得結合親和力量測結果,該等檢定包括(例如)Biacore、放射免疫檢定(RIA)及ELISA。In one aspect, the invention provides an isolated anti-EphB4 antibody, wherein the full length IgG form of the antibody specifically binds to human EphB4, wherein the binding affinity is about 50 pM or better. As is well established in the art: the binding affinity of a ligand to its receptor can be determined using various assays and can be expressed in various quantitative values. Thus, in one embodiment, binding affinity is expressed as a Kd value and reflects intrinsic binding affinity (eg, with minimal affinity effects). In general and preferably, binding affinity is measured in vitro, whether in a cell-free setting or in a cell-associated setting. Any of a number of assays known in the art, including those assays described herein, can be used to obtain binding affinity measurements, including, for example, Biacore, Radioimmunoassay (RIA), and ELISA.
在一態樣中,本發明提供一種結合EphB4之配位基結合區的經分離抗體。在一些實施例中,該經分離抗體結合包含EphB4細胞外域或由EphB4細胞外域組成或基本上由EphB4細胞外域組成之多肽。In one aspect, the invention provides an isolated antibody that binds to a ligand binding region of EphB4. In some embodiments, the isolated antibody binds to a polypeptide comprising or consisting of an EphB4 extracellular domain or consisting essentially of an EphB4 extracellular domain.
在一態樣中,本發明提供一種與EphB4配位基競爭結合至EphB4之經分離抗EphB4抗體。In one aspect, the invention provides an isolated anti-EphB4 antibody that competes for binding to EphB4 with an EphB4 ligand.
在一態樣中,本發明提供一種抑制、降低及/或阻斷EphB4活性之經分離抗EPhB4抗體。在一些實施例中,EphB4自體磷酸化受抑制、降低及/或阻斷。In one aspect, the invention provides an isolated anti-EPhB4 antibody that inhibits, reduces and/or blocks EphB4 activity. In some embodiments, EphB4 autophosphorylation is inhibited, reduced, and/or blocked.
在一態樣中,本發明之抗EphB4抗體包含:(a)選自由以下序列組成之群的至少一個、兩個、三個、四個或五個高變區(HVR)序列:(i)包含序列A1-A11之HVR-L1,其中A1-A11為RASQDVSTAVA(SEQ ID NO:9),(ii)包含序列B1-B7之HVR-L2,其中B1-B7為SASFLYS(SEQ ID NO:11),(iii)包含序列C1-C9之HVR-L3,其中C1-C9為QESTTTPPT(SEQ ID NO:15),(iv)包含序列D1-D10之HVR-H1,其中D1-D10為GFSISNYYLH(SEQ ID NO:2),(v)包含序列E1-E18之HVR-H2,其中E1-E18為GGIYLYGSSSEYADSVKG(SEQ ID NO:4)及(vi)包含序列F1-F17之HVR-H3,其中F1-F17為ARGSGLRLGGLDYAMDY(SEQ ID NO:7);及(b)至少一個變異HVR,其中該變異HVR序列包含在SEQ ID NO:1-17中所述的序列之至少一個殘基的改變。In one aspect, an anti-EphB4 antibody of the invention comprises: (a) at least one, two, three, four or five hypervariable region (HVR) sequences selected from the group consisting of: (i) HVR-L1 comprising the sequence A1-A11, wherein A1-A11 is RASQDVSTAVA (SEQ ID NO: 9), (ii) HVR-L2 comprising the sequence B1-B7, wherein B1-B7 is SASFLYS (SEQ ID NO: 11) (iii) HVR-L3 comprising the sequence C1-C9, wherein C1-C9 is QESTTTPPT (SEQ ID NO: 15), (iv) HVR-H1 comprising the sequence D1-D10, wherein D1-D10 is GFSISNYYLH (SEQ ID NO: 2), (v) HVR-H2 comprising the sequence E1-E18, wherein E1-E18 is GGIYLYGSSSEYADSVKG (SEQ ID NO: 4) and (vi) HVR-H3 comprising the sequence F1-F17, wherein F1-F17 is ARGSGLRLGGLDYAMDY (SEQ ID NO: 7); and (b) at least one variant HVR, wherein the variant HVR sequence comprises a change in at least one residue of the sequence set forth in SEQ ID NOs: 1-17.
在一態樣中,本發明提供一種包含一個、兩個、三個、四個、五個或六個HVR之抗體,其中各HVR包含選自由SEQ ID NO:1-17組成之序列或由該序列組成或基本上由該序列組成,且其中SEQ ID NO:9或10對應於HVR-L1,SEQ ID NO:11或12對應於HVR-L2,SEQ ID NO:13、14、15、16或17對應於HVR-L3,SEQ ID NO:1或2對應於HVR-H1,SEQ ID NO:3、4、5或6對應於HVR-H2且SEQ ID NO:7或8對應於HVR-H3。In one aspect, the invention provides an antibody comprising one, two, three, four, five or six HVRs, wherein each HVR comprises or consists of a sequence consisting of SEQ ID NOs: 1-17 The sequence consists of or consists essentially of the sequence, and wherein SEQ ID NO: 9 or 10 corresponds to HVR-L1, SEQ ID NO: 11 or 12 corresponds to HVR-L2, SEQ ID NO: 13, 14, 15, 16 or 17 corresponds to HVR-L3, SEQ ID NO: 1 or 2 corresponds to HVR-H1, SEQ ID NO: 3, 4, 5 or 6 corresponds to HVR-H2 and SEQ ID NO: 7 or 8 corresponds to HVR-H3.
在一實施例中,本發明抗體包含HVR-L1、HVR-L2、HVR-L3、HVR-H1、HVR-H2及HVR-H3,其中其各自依次包含SEQ ID NO:9、11、13、1、3、7。In one embodiment, the antibody of the invention comprises HVR-L1, HVR-L2, HVR-L3, HVR-H1, HVR-H2, and HVR-H3, each of which in turn comprises SEQ ID NO: 9, 11, 13, 1 3, 7.
在一實施例中,本發明抗體包含HVR-L1、HVR-L2、HVR-L3、HVR-H1、HVR-H2及HVR-H3,其中其各自依次包含SEQ ID NO:10、12、14、1、3、8。In one embodiment, the antibody of the invention comprises HVR-L1, HVR-L2, HVR-L3, HVR-H1, HVR-H2, and HVR-H3, wherein each of them comprises SEQ ID NO: 10, 12, 14, 1 in sequence. 3, 8.
在一實施例中,本發明抗體包含HVR-L1、HVR-L2、HVR-L3、HVR-H1、HVR-H2及HVR-H3,其中其各自依次包含SEQ ID NO:9、11、15、2、4、7。In one embodiment, the antibody of the invention comprises HVR-L1, HVR-L2, HVR-L3, HVR-H1, HVR-H2, and HVR-H3, each of which in turn comprises SEQ ID NO: 9, 11, 15, 2 4, 7.
在一實施例中,本發明抗體包含HVR-L1、HVR-L2、HVR-L3、HVR-H1、HVR-H2及HVR-H3,其中其各自依次包含SEQ ID NO:9、11、16、1、5、7。In one embodiment, the antibody of the invention comprises HVR-L1, HVR-L2, HVR-L3, HVR-H1, HVR-H2, and HVR-H3, each of which in turn comprises SEQ ID NO: 9, 11, 16, 1 , 5, 7.
在一實施例中,本發明抗體包含HVR-L1、HVR-L2、HVR-L3、HVR-H1、HVR-H2及HVR-H3,其中其各自依次包含SEQ ID NO:9、11、17、1、6、7。In one embodiment, the antibody of the invention comprises HVR-L1, HVR-L2, HVR-L3, HVR-H1, HVR-H2, and HVR-H3, each of which in turn comprises SEQ ID NOs: 9, 11, 17, 1 6,6.
在本發明抗體中之變異HVR可在HVR內具有一或多個(例如兩個、三個、四個、五個或五個以上)殘基之修飾。A variant HVR in an antibody of the invention may have one or more (eg, two, three, four, five or more) residues within the HVR.
在一實施例中,HVR-L1變異體包含在以下位置之任何組合處的1-5(1、2、3、4或5)個取代:A6(V或S)、A7(S或E)、A8(T或I)、A9(A或F)及A10(V或L)。In one embodiment, the HVR-L1 variant comprises 1-5 (1, 2, 3, 4 or 5) substitutions at any combination of the following positions: A6 (V or S), A7 (S or E) , A8 (T or I), A9 (A or F) and A10 (V or L).
在一實施例中,HVR-L2變異體包含在以下位置之任何組合處的1-2(1或2)個取代:B4(F或N)及B6(Y或E)。In one embodiment, the HVR-L2 variant comprises 1-2 (1 or 2) substitutions at any combination of: B4 (F or N) and B6 (Y or E).
在一實施例中,HVR-L3變異體包含在以下位置之任何組合處的1-7(1、2、3、4、5、6或7)個取代:C2(Q、E或K)、C3(S或T)、C4(Y、N、T、E或A)、C5(T、A或Q)、C6(T、V或I)、C8(P、L或E)及C9(T或S)。In one embodiment, the HVR-L3 variant comprises 1-7 (1, 2, 3, 4, 5, 6 or 7) substitutions at any combination of: C2 (Q, E or K), C3 (S or T), C4 (Y, N, T, E or A), C5 (T, A or Q), C6 (T, V or I), C8 (P, L or E) and C9 (T) Or S).
在一實施例中,HVR-H1變異體包含在以下位置之任何組合處的1-3(1、2或3)個取代:D3(T或S)、D6(G或N)及D9(I或L)。In one embodiment, the HVR-H1 variant comprises 1-3 (1, 2 or 3) substitutions at any combination of: D3 (T or S), D6 (G or N), and D9 (I) Or L).
在一實施例中,HVR-H2變異體包含在以下位置之任何組合處的1-5(1、2、3、4或5)個取代:E5(P或L)、E7(S或G)、E8(G或S)、E10(T、S或R)及E11(D、E或G)。In one embodiment, the HVR-H2 variant comprises 1-5 (1, 2, 3, 4 or 5) substitutions at any combination of the following positions: E5 (P or L), E7 (S or G) , E8 (G or S), E10 (T, S or R) and E11 (D, E or G).
在一實施例中,HVR-H3變異體包含在以下位置之1個取代:F3(G或S)。各位置後括號中的字母指示說明性取代(亦即置換)胺基酸;熟習此項技術者顯然應瞭解,可使用此項技術中已知及/或本文所述的的技術常規分析其他胺基酸作為本文所述的內容中之取代胺基酸的適應性。In one embodiment, the HVR-H3 variant comprises one substitution at the following position: F3 (G or S). The letters in parentheses after each position indicate an illustrative substitution (i.e., replacement) of the amino acid; it will be apparent to those skilled in the art that conventional amines can be routinely analyzed using techniques known in the art and/or described herein. The base acid serves as an adaptation of the substituted amino acid in the context described herein.
在一態樣中,本發明提供一種包含HVR-H1區之抗體,該HVR-H1區包含SEQ ID NO:1或2之序列。在一態樣中,本發明提供一種包含HVR-H2區之抗體,該HVR-H2區包含SEQ ID NO:3、4、5或6之序列。在一態樣中,本發明提供一種包含HVR-H3區之抗體,該HVR-H3區包含SEQ ID NO:7或8之序列。在一實施例中,本發明提供一種包含HVR-L1區之抗體,該HVR-L1區包含SEQ ID NO:9或10之序列。在一實施例中,本發明提供一種包含HVR-L2區之抗體,該HVR-L2區包含SEQ ID NO:11或12之序列。在一實施例中,本發明提供一種包含HVR-L3區之抗體,該HVR-L3區包含SEQ ID NO:13、14、15、16或17之序列。In one aspect, the invention provides an antibody comprising an HVR-H1 region comprising the sequence of SEQ ID NO: 1 or 2. In one aspect, the invention provides an antibody comprising an HVR-H2 region comprising the sequence of SEQ ID NO: 3, 4, 5 or 6. In one aspect, the invention provides an antibody comprising an HVR-H3 region comprising the sequence of SEQ ID NO: 7 or 8. In one embodiment, the invention provides an antibody comprising an HVR-L1 region comprising the sequence of SEQ ID NO: 9 or 10. In one embodiment, the invention provides an antibody comprising an HVR-L2 region comprising the sequence of SEQ ID NO: 11 or 12. In one embodiment, the invention provides an antibody comprising an HVR-L3 region comprising the sequence of SEQ ID NO: 13, 14, 15, 16 or 17.
在一態樣中,本發明提供一種包含至少一種、至少兩種或所有三種以下序列之抗體:(i)包含SEQ ID NO:2之序列的HVR-H1序列;(ii)包含SEQ ID NO:4之序列的HVR-H2序列;(iii)包含SEQ ID NO:7之序列的HVR-H3序列。In one aspect, the invention provides an antibody comprising at least one, at least two or all three of the following sequences: (i) an HVR-H1 sequence comprising the sequence of SEQ ID NO: 2; (ii) comprising SEQ ID NO: The HVR-H2 sequence of the sequence of 4; (iii) the HVR-H3 sequence comprising the sequence of SEQ ID NO: 7.
在一態樣中,本發明提供一種包含至少一種、至少兩種或所有三種以下序列之抗體:(i)包含SEQ ID NO:9之序列的HVR-L1序列;(ii)包含SEQ ID NO:11之序列的HVR-L2序列;(iii)包含SEQ ID NO:15之序列的HVR-L3序列。In one aspect, the invention provides an antibody comprising at least one, at least two or all three of the following sequences: (i) an HVR-L1 sequence comprising the sequence of SEQ ID NO: 9; (ii) comprising SEQ ID NO: The HVR-L2 sequence of the sequence of 11; (iii) the HVR-L3 sequence comprising the sequence of SEQ ID NO: 15.
SEQ ID NO:1-17之胺基酸序列關於如圖1中所指示的個別HVR(亦即H1、H2或H3)編號,該編號方式與如下文所述的Kabat編號系統一致。The amino acid sequences of SEQ ID NOS: 1-17 are numbered with respect to individual HVRs (i.e., H1, H2 or H3) as indicated in Figure 1, which is consistent with the Kabat numbering system as described below.
在一態樣中,本發明提供包含如圖1所述的重鏈HVR序列之抗體。In one aspect, the invention provides an antibody comprising a heavy chain HVR sequence as described in Figure 1.
在一態樣中,本發明提供包含如圖1所述的輕鏈HVR序列之抗體。In one aspect, the invention provides an antibody comprising a light chain HVR sequence as described in Figure 1.
本發明抗體之一些實施例包含如以下SEQ ID NO:18中所述的人化4D5抗體(huMAb4D5-8)(HERCEPTIN,Genentech,Inc.,South San Francisco,CA,USA)(亦在美國專利第6,407,213號及Lee等人,J.Mol.Biol.(2004),340(5):1073-93中提及)之輕鏈可變域。Some examples of antibodies of the invention comprise a humanized 4D5 antibody (huMAb4D5-8) as described in SEQ ID NO: 18 below (HERCEPTIN , Genentech, Inc., South San Francisco, CA, USA) (also referred to in US Patent No. 6,407,213 and Lee et al., J. Mol. Biol. (2004), 340(5): 1073-93) Light chain variable domain.
在一實施例中,該huMAb4D5-8輕鏈可變域序列於位置30、66及91(分別為如以上粗體/斜體字所指示的Asn、Arg及His)之一或多個位置經修飾。在一實施例中,該經修飾huMAb4D5-8序列於位置30包含Ser,於位置66包含Gly及/或於位置91包含Ser。因此,在一實施例中,本發明抗體包含輕鏈可變域,該輕鏈可變域包含以下SEQ ID NO:52中所述的序列: In one embodiment, the huMAb4D5-8 light chain variable domain sequence is at one or more positions at positions 30, 66, and 91 (Asn, Arg, and His, respectively, as indicated by the bold/italic, above) Modification. In one embodiment, the modified huMAb4D5-8 sequence comprises Ser at position 30, Gly at position 66 and/or Ser at position 91. Thus, in one embodiment, an antibody of the invention comprises a light chain variable domain comprising the sequence set forth in SEQ ID NO: 52:
關於huMAb4D5-8之經取代殘基以以上粗體/斜體字指示。The substituted residues for huMAb4D5-8 are indicated by the above bold/italic.
本發明抗體可包含任何適當的框架可變域序列,其限制條件在於大體上保持與EphB4之結合活性。舉例而言,在一些實施例中,本發明抗體包含人類亞群III重鏈框架一致序列。在此等抗體之一實施例中,該框架一致序列包含於位置71、73及/或78之取代。在此等抗體之一些實施例中,位置71為A,73為T及/或78為A。在一實施例中,此等抗體包含huMAb4D5-8(HERCEPTIN,Genentech,Inc.,South San Francisco,CA,USA)(亦在美國專利第6,407,213號及第5,821,337號及Lee等人,J.Mol.Biol.(2004),340(5):1073-93中提及)之重鏈可變域框架序列。在一實施例中,此等抗體另外包含一人類I輕鏈框架一致序列。在一實施例中,此等抗體包含如美國專利第6,407,213號及第5,821,337號中所述之huMAb4D5-8的輕鏈HVR序列。在一實施例中,此等抗體包含huMAb4D5-8(HERCEPTIN,Genentech,Inc.,South San Francisco,CA,USA)(亦在美國專利第6,407,213號及第5,821,337號及Lee等人,J.Mol.Biol.(2004),340(5):1073-93中提及)之輕鏈可變域序列。An antibody of the invention may comprise any suitable framework variable domain sequence, with the proviso that it substantially retains binding activity to EphB4. For example, in some embodiments, an antibody of the invention comprises a human subgroup III heavy chain framework consensus sequence. In one embodiment of such antibodies, the framework consensus sequence comprises substitutions at positions 71, 73 and/or 78. In some embodiments of such antibodies, position 71 is A, 73 is T and/or 78 is A. In one embodiment, the antibodies comprise huMAb4D5-8 (HERCEPTIN) , Genentech, Inc., South San Francisco, CA, USA) (also in U.S. Patent Nos. 6,407,213 and 5,821,337 and Lee et al, J. Mol. Biol. (2004), 340(5):1073-93 Reference to the heavy chain variable domain framework sequence. In one embodiment, the antibodies additionally comprise a human I light chain framework consistent sequence. In one embodiment, such antibodies comprise a light chain HVR sequence of huMAb4D5-8 as described in U.S. Patent Nos. 6,407,213 and 5,821,337. In one embodiment, the antibodies comprise huMAb4D5-8 (HERCEPTIN) , Genentech, Inc., South San Francisco, CA, USA) (also in U.S. Patent Nos. 6,407,213 and 5,821,337 and Lee et al, J. Mol. Biol. (2004), 340(5):1073-93 Reference is made to the light chain variable domain sequence.
在一實施例中,本發明抗體包含重鏈可變域,其中該框架序列包含SEQ ID NO:19、20、21、22、23、24、25、26、27、28、29、30、31、32、33、34、35、36及/或37之序列,且HVR H1、H2及H3序列分別為SEQ ID NO:9、11及/或15。在一實施例中,本發明抗體包含輕鏈可變域,其中該框架序列包含SEQ ID NO:38、39、40及/或41之序列,且HVR L1、L2及L3序列分別為SEQ ID NO:2、4及/或7。In one embodiment, an antibody of the invention comprises a heavy chain variable domain, wherein the framework sequence comprises SEQ ID NO: 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31 The sequences of 32, 33, 34, 35, 36 and/or 37, and the HVR H1, H2 and H3 sequences are SEQ ID NOs: 9, 11 and/or 15, respectively. In one embodiment, an antibody of the invention comprises a light chain variable domain, wherein the framework sequence comprises the sequence of SEQ ID NO: 38, 39, 40 and/or 41, and the HVR L1, L2 and L3 sequences are respectively SEQ ID NO : 2, 4 and / or 7.
在一實施例中,本發明抗體包含重鏈可變域,其中該框架序列包含SEQ ID NO:46、47、48及/或49之序列,且HVR H1、H2及H3序列分別為SEQ ID NO:2、4及/或7。在一實施例中,本發明抗體包含輕鏈可變域,其中該框架序列包含SEQ ID NO:42、43、44及/或45之序列,且HVR L1、L2及L3序列分別為SEQ ID NO:9、11及/或15。In one embodiment, the antibody of the invention comprises a heavy chain variable domain, wherein the framework sequence comprises the sequence of SEQ ID NO: 46, 47, 48 and/or 49, and the HVR H1, H2 and H3 sequences are respectively SEQ ID NO : 2, 4 and / or 7. In one embodiment, the antibody of the invention comprises a light chain variable domain, wherein the framework sequence comprises the sequence of SEQ ID NO: 42, 43, 44 and/or 45, and the HVR L1, L2 and L3 sequences are respectively SEQ ID NO : 9, 11 and / or 15.
在一實施例中,本發明抗體包含重鏈可變域,其中該框架序列包含SEQ ID NO:46、47、51及49之序列,且HVR H1、H2及H3序列分別為SEQ ID NO:2、4及/或7。在一實施例中,本發明抗體包含輕鏈可變域,其中該框架序列包含SEQ ID NO:42、43、50及45之序列,且HVR L1、L2及L3序列分別為SEQ ID NO:9、11及/或15。In one embodiment, the antibody of the invention comprises a heavy chain variable domain, wherein the framework sequence comprises the sequences of SEQ ID NOs: 46, 47, 51 and 49, and the HVR H1, H2 and H3 sequences are SEQ ID NO: 2, respectively. , 4 and / or 7. In one embodiment, an antibody of the invention comprises a light chain variable domain, wherein the framework sequence comprises the sequences of SEQ ID NOs: 42, 43, 50, and 45, and the HVR L1, L2, and L3 sequences are SEQ ID NO: 9, respectively. , 11 and / or 15.
在一實施例中,本發明抗體經親和力成熟以獲得所要之靶向結合親和力。在一實例中,本發明之親和力成熟抗體包含於胺基酸位置H28、H31、H34、H52a、H54、H55、H57、H58、H95、L29、L30、L31、L32、L33、L53、L55、L90、L91、L92、L93、L94、L56或L97之一或多個位置處的取代。在一實例中,本發明之親和力成熟抗體包含一或多個以下取代:(a)在重鏈中,T28S、G31N、I34L、P52aL、S54G、G55S、T57S或R、D58E或G、G95S;或(b)在輕鏈中,V29S、S30E、T31I、A32F、V33L、F53N、Y55E、Q90E或K、S91T、Y92N T E或A、T93V或I、T94V或I、P96L或E或T97S。In one embodiment, the antibodies of the invention are affinity matured to achieve the desired targeted binding affinity. In one example, the affinity matured antibodies of the invention are contained in amino acid positions H28, H31, H34, H52a, H54, H55, H57, H58, H95, L29, L30, L31, L32, L33, L53, L55, L90 Substitution at one or more positions of L91, L92, L93, L94, L56 or L97. In one embodiment, the affinity matured antibody of the invention comprises one or more of the following substitutions: (a) in the heavy chain, T28S, G31N, I34L, P52aL, S54G, G55S, T57S or R, D58E or G, G95S; (b) In the light chain, V29S, S30E, T31I, A32F, V33L, F53N, Y55E, Q90E or K, S91T, Y92N TE or A, T93V or I, T94V or I, P96L or E or T97S.
在一實施例中,本發明抗體包含重鏈可變域,該可變域包含SEQ ID NO:53之序列。在一實施例中,本發明抗體包含輕鏈可變域,該可變域包含SEQ ID NO:54之序列。在一實施例中,本發明抗體包含重鏈可變域及輕鏈可變域,該重鏈可變域包含SEQ ID NO:53之序列且該輕鏈可變域包含SEQ ID NO:54之序列。In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising the sequence of SEQ ID NO:53. In one embodiment, an antibody of the invention comprises a light chain variable domain comprising the sequence of SEQ ID NO:54. In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising a sequence of SEQ ID NO: 53 and a light chain variable domain comprising SEQ ID NO: 54 sequence.
在一實施例中,本發明抗體包含重鏈可變域,該可變域包含SEQ ID NO:55之序列。在一實施例,本發明抗體包含輕鏈可變域,該可變域包含SEQ ID NO:56之序列。在一實施例中,本發明抗體包含重鏈可變域及輕鏈可變域,該重鏈可變域包含SEQ ID NO:55之序列且該輕鏈可變域包含SEQ ID NO:56之序列。In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising the sequence of SEQ ID NO:55. In one embodiment, an antibody of the invention comprises a light chain variable domain comprising the sequence of SEQ ID NO:56. In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising a sequence of SEQ ID NO: 55 and a light chain variable domain comprising SEQ ID NO: 56 sequence.
在一實施例中,本發明抗體包含重鏈可變域,該可變域包含SEQ ID NO:57之序列。在一實施例中,本發明抗體包含輕鏈可變域,該可變域包含SEQ ID NO:58之序列。在一實施例中,本發明抗體包含重鏈可變域及輕鏈可變域,該重鏈可變域包含SEQ ID NO:57之序列且該輕鏈可變域包含SEQ ID NO:58之序列。In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising the sequence of SEQ ID NO:57. In one embodiment, an antibody of the invention comprises a light chain variable domain comprising the sequence of SEQ ID NO:58. In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising a sequence of SEQ ID NO: 57 and a light chain variable domain comprising SEQ ID NO: 58 sequence.
在一實施例中,本發明抗體包含重鏈可變域,該可變域包含SEQ ID NO:59之序列。在一實施例中,本發明抗體包含輕鏈可變域,該可變域包含SEQ ID NO:60之序列。在一實施例中,本發明抗體包含重鏈可變域及輕鏈可變域,該重鏈可變域包含SEQ ID NO:59之序列且該輕鏈可變域包含SEQ ID NO:60之序列。In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising the sequence of SEQ ID NO:59. In one embodiment, an antibody of the invention comprises a light chain variable domain comprising the sequence of SEQ ID NO:60. In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising a sequence of SEQ ID NO: 59 and a light chain variable domain comprising SEQ ID NO: 60 sequence.
在一實施例中,本發明抗體包含重鏈可變域,該可變域包含SEQ ID NO:61之序列。在一實施例中,本發明抗體包含輕鏈可變域,該可變域包含SEQ ID NO:62之序列。在一實施例中,本發明抗體包含重鏈可變域及輕鏈可變域,該重鏈可變域包含SEQ ID NO:61之序列且該輕鏈可變域包含SEQ ID NO:62之序列。In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising the sequence of SEQ ID NO:61. In one embodiment, an antibody of the invention comprises a light chain variable domain comprising the sequence of SEQ ID NO:62. In one embodiment, an antibody of the invention comprises a heavy chain variable domain comprising a sequence of SEQ ID NO: 61 and a light chain variable domain comprising SEQ ID NO: 62 sequence.
在一態樣中,本發明提供一種與任何上述抗體競爭結合至EphB4之抗體。在一態樣中,本發明提供一種如任何上述抗體一樣結合至EphB4上之同一抗原決定基之抗體。In one aspect, the invention provides an antibody that competes with any of the above antibodies for binding to EphB4. In one aspect, the invention provides an antibody that binds to the same epitope on EphB4 as any of the above antibodies.
如此項技術中已知且如下文更詳細描述,描繪抗體高變區之胺基酸位置/邊界可視上下文及此項技術中已知的各種定義(如下文所述)而變化。可變域內的一些位置可視為雜合高變位置,因為在一組標準下可認為此等位置在高變區內,而在另一組標準下可認為其在高變區外。亦可在延長高變區(如下文進一步定義)中發現此等位置中的一或多者。As is known in the art and as described in more detail below, the amino acid position/boundary depicting the hypervariable region of the antibody can vary depending on the context and various definitions known in the art (as described below). Some locations within the variable domain can be considered as heterozygous hypervariable locations because they can be considered to be in the hypervariable region under one set of criteria and outside the hypervariable region under another set of criteria. One or more of these locations may also be found in an extended hypervariable region (as further defined below).
在一些實施例中,該抗體為單株抗體。在一些實施例中,該抗體為多株抗體。在一些實施例中,該抗體係選自由嵌合抗體、親和力成熟抗體、人化抗體及人類抗體組成之群。在一些實施例中,該抗體為抗體片段。在一些實施例中,該抗體為Fab、Fab'、Fab'-SH、F(ab')2 或scFv。In some embodiments, the antibody is a monoclonal antibody. In some embodiments, the antibody is a polyclonal antibody. In some embodiments, the anti-system is selected from the group consisting of chimeric antibodies, affinity matured antibodies, humanized antibodies, and human antibodies. In some embodiments, the antibody is an antibody fragment. In some embodiments, the antibody is Fab, Fab', Fab'-SH, F(ab') 2 or scFv.
在一實施例中,該抗體為嵌合抗體,例如包含接枝至異種非人類、人類或人化序列(例如框架及/或恆定域序列)之來自非人類供體之抗原結合序列的抗體。在一實施例中,非人類供體為小鼠。在一實施例中,抗原結合序列為合成的,例如藉由突變誘發(例如噬菌體呈現篩檢等)獲得。在一實施例中,本發明嵌合抗體具有鼠類V區及人類C區。在一實施例中,鼠類輕鏈V區經融合至人類輕鏈。在一實施例中,鼠類重鏈V區經融合至人類IgG1 C區。In one embodiment, the antibody is a chimeric antibody, eg, an antibody comprising an antigen-binding sequence from a non-human donor grafted to a heterologous non-human, human or humanized sequence (eg, a framework and/or a constant domain sequence). In one embodiment, the non-human donor is a mouse. In one embodiment, the antigen binding sequence is synthetic, such as by mutation induction (eg, phage display screening, etc.). In one embodiment, a chimeric antibody of the invention has a murine V region and a human C region. In one embodiment, the murine light chain V region is fused to human Light chain. In one embodiment, the murine heavy chain V region is fused to the human IgGl C region.
本發明人化抗體包括在FR中具有胺基酸取代之彼等抗體及在接枝CDR中具有改變之親和力成熟變異體。CDR或FR中之經取代胺基酸並不限於在供體或受體抗體中存在之彼等胺基酸。在其他實施例中,本發明抗體另外包含Fc區中胺基酸殘基的改變,其導致改良的效應功能,包括加強的CDC及/或ADCC功能及B-細胞殺死。本發明之其他抗體包括具有改良穩定性之特異性改變的彼等抗體。在其他實施例中,本發明抗體包含Fc區中胺基酸殘基的改變,其導致降低的效應功能,例如降低的CDC及/或ADCC功能及/或降低的B-細胞殺死。在一些實施例中,本發明抗體由對自然殺手(NK)細胞上之人類補體因子C1q及/或人類Fc受體的降低結合(例如,缺失結合)表徵。在一些實施例中,本發明抗體由對人類FcγRI、FcγRIIA及/或FcγRIIIA的降低結合(例如,缺失結合)表徵。在一些實施例中,本發明抗體為IgG類(例如IgG1或IgG4)且在E233、L234、G236、D265、D270、N297、E318、K320、K322、A327、A330、P331及/或P329(根據EU索引編號)中包含至少一個突變。在一些實施例中,該抗體包含突變L234A/L235A或D265A/N297A。Humanized antibodies of the invention include those having an amino acid substitution in the FR and affinity matured variants having altered in the grafted CDRs. Substituted amino acids in the CDR or FR are not limited to the amino acids present in the donor or acceptor antibody. In other embodiments, the antibodies of the invention additionally comprise alterations in amino acid residues in the Fc region that result in improved effector functions, including enhanced CDC and/or ADCC function and B-cell killing. Other antibodies of the invention include such antibodies having specific changes that improve stability. In other embodiments, an antibody of the invention comprises an alteration of an amino acid residue in the Fc region that results in reduced effector functions, such as decreased CDC and/or ADCC function and/or reduced B-cell killing. In some embodiments, an antibody of the invention is characterized by reduced binding (eg, deletion binding) to human complement factor C1q and/or human Fc receptors on natural killer (NK) cells. In some embodiments, an antibody of the invention is characterized by reduced binding (eg, deletion binding) to human FcγRI, FcγRIIA, and/or FcγRIIIA. In some embodiments, an antibody of the invention is an IgG class (eg, IgG1 or IgG4) and is in E233, L234, G236, D265, D270, N297, E318, K320, K322, A327, A330, P331, and/or P329 (according to EU The index number) contains at least one mutation. In some embodiments, the antibody comprises the mutation L234A/L235A or D265A/N297A.
在一態樣中,本發明提供抗EphB4多肽,其包含本文所提供的任何抗原結合序列,其中該等抗EphB4多肽特異性結合至EphB4。In one aspect, the invention provides an anti-EphB4 polypeptide comprising any of the antigen binding sequences provided herein, wherein the anti-EphB4 polypeptide specifically binds to EphB4.
本發明抗體結合(例如特異性結合)EphB4,且在一些實施例中,可調節EphB4相關效應之一或多個態樣,包括(但不限於)EphB4活化、EphB4下游分子信號傳輸、EphB4配位基活化、EphB4配位基下游分子信號傳輸、配位基(例如ephrin-B1、ephrin-B2及/或ephrin-B3)結合至EphB4之破壞、EphB4磷酸化及/或EphB4多聚化及/或EphB4配位基磷酸化及/或任何生物學相關EphB4及/或EphB4配位基生物學途徑之破壞、血管生成之抑制及/或腫瘤、細胞增生性病症或癌之治療及/或預防;及/或與EphB4表現及/或活性(例如增加的EphB4表現及/或活性)相關的病症之治療或預防。在一些實施例中,本發明抗體特異性結合至EphB4。在一些實施例中,該抗體特異性結合至EphB4細胞外域(ECD)。在一些實施例中,該抗體特異性結合至由EphB4細胞外域組成或基本上由EphB4細胞外域組成之多肽。在一些實施例中,該抗體特異性結合EphB4,其中KD為約50 pM或更強。在一些實施例中,本發明抗體於活體內及/或活體外降低、抑制及/或阻斷EphB4活性。在一些實施例中,該抗體降低、抑制及/或阻斷EphB4自體磷酸化。在一些實施例中’該抗體與EphB4配位基競爭結合(降低及/或阻斷EphB4配位基結合至EphB4)。The antibodies of the invention bind (e.g., specifically bind) to EphB4, and in some embodiments, can modulate one or more aspects of EphB4-related effects, including but not limited to, EphB4 activation, EphB4 downstream molecular signaling, EphB4 coordination Activation, downstream molecular signaling of EphB4 ligands, ligands (eg, ephrin-B1, ephrin-B2, and/or ephrin-B3) bind to disruption of EphB4, EphB4 phosphorylation, and/or EphB4 multimerization and/or EphB4 ligand phosphorylation and/or disruption of any biologically relevant EphB4 and/or EphB4 ligand biological pathway, inhibition of angiogenesis and/or treatment and/or prevention of tumors, cell proliferative disorders or cancer; / or treatment or prevention of a condition associated with EphB4 performance and/or activity (eg, increased EphB4 performance and/or activity). In some embodiments, an antibody of the invention specifically binds to EphB4. In some embodiments, the antibody specifically binds to the EphB4 extracellular domain (ECD). In some embodiments, the antibody specifically binds to a polypeptide consisting of or consisting essentially of an EphB4 extracellular domain. In some embodiments, the antibody specifically binds to EphB4, wherein KD is about 50 pM or greater. In some embodiments, an antibody of the invention reduces, inhibits, and/or blocks EphB4 activity in vivo and/or in vitro. In some embodiments, the antibody reduces, inhibits, and/or blocks EphB4 autophosphorylation. In some embodiments, the antibody competes for binding to an EphB4 ligand (reducing and/or blocking EphB4 ligand binding to EphB4).
在一態樣中,本發明提供本發明抗體之用途,其係用於製備用於治療性及/或預防性治療諸如癌、腫瘤及/或細胞增生性病症之病症的藥劑。在一些實施例中,該病症為神經病變或神經退化性疾病。In one aspect, the invention provides the use of an antibody of the invention for the preparation of a medicament for the therapeutic and/or prophylactic treatment of a condition such as a cancer, a tumor and/or a cell proliferative disorder. In some embodiments, the condition is a neuropathy or a neurodegenerative disease.
在一態樣中,本發明提供本發明抗體之用途,其係用於製備用於抑制血管生成的藥劑。In one aspect, the invention provides the use of an antibody of the invention for the preparation of a medicament for inhibiting angiogenesis.
在一態樣中,本發明提供包含一或多種本發明抗體及載劑之組合物。在一實施例中,該載劑為醫藥學上可接受的。In one aspect, the invention provides a composition comprising one or more antibodies of the invention and a carrier. In one embodiment, the carrier is pharmaceutically acceptable.
在一態樣中,本發明提供編碼本發明抗EphB4抗體之核酸。In one aspect, the invention provides a nucleic acid encoding an anti-EphB4 antibody of the invention.
在一態樣中,本發明提供包含本發明核酸之載體。In one aspect, the invention provides a vector comprising a nucleic acid of the invention.
在一態樣中,本發明提供包含一或多種本發明核酸及載劑之組合物。在一實施例中,該載劑為醫藥學上可接受的。In one aspect, the invention provides a composition comprising one or more nucleic acids of the invention and a carrier. In one embodiment, the carrier is pharmaceutically acceptable.
在一態樣中,本發明提供包含本發明核酸或載體之宿主細胞。載體可為任何類型的,例如,諸如表現載體之重組載體。可使用各種宿主細胞中之任一種。在一實施例中,宿主細胞為原核細胞,例如大腸桿菌(E.coli)。在一實施例中,宿主細胞為真核細胞,例如哺乳動物細胞(例如中國倉鼠卵巢(CHO)細胞)。In one aspect, the invention provides a host cell comprising a nucleic acid or vector of the invention. The vector may be of any type, for example, a recombinant vector such as an expression vector. Any of a variety of host cells can be used. In one embodiment, the host cell is a prokaryotic cell, such as E. coli. In one embodiment, the host cell is a eukaryotic cell, such as a mammalian cell (eg, a Chinese hamster ovary (CHO) cell).
在一態樣中,本發明提供製造本發明抗體之方法。舉例而言,本發明提供製造抗EphB4抗體(如本文所定義,其包括全長及其片段)或免疫結合物之方法,該方法包含在適當宿主細胞中表現編碼該抗體(或其片段)之本發明重組載體,及回收該抗體。In one aspect, the invention provides a method of making an antibody of the invention. For example, the invention provides a method of making an anti-EphB4 antibody (as defined herein, including full length and fragments thereof) or an immunoconjugate comprising expressing the antibody (or a fragment thereof) in a suitable host cell The recombinant vector is invented, and the antibody is recovered.
在一態樣中,本發明提供一種製造物品,其包含容器;及容器內所含有的組合物,其中該組合物包含一或多種本發明抗EphB4抗體。在一實施例中,該組合物包含本發明核酸。在一實施例中,包含抗體之組合物另外包含載劑,其在一些實施例中為醫藥學上可接受的。在一實施例中,本發明之製造物品另外包含向患者投與該組合物(例如抗體)之說明書(例如任何上述方法之說明書)。In one aspect, the invention provides an article of manufacture comprising a container; and a composition contained within the container, wherein the composition comprises one or more anti-EphB4 antibodies of the invention. In one embodiment, the composition comprises a nucleic acid of the invention. In one embodiment, the composition comprising the antibody additionally comprises a carrier, which in some embodiments is pharmaceutically acceptable. In one embodiment, the article of manufacture of the present invention additionally comprises instructions for administering the composition (eg, an antibody) to a patient (eg, instructions for any of the above methods).
在一態樣中,本發明提供一種包含一第一容器及一第二容器之套組;該第一容器包含組合物,該組合物包含一或多種本發明抗EphB4抗體;該第二容器包含緩衝劑。在一實施例中,該緩衝劑為醫藥學上可接受的。在一實施例中,包含抗體之組合物另外包含載劑,其在一些實施例中為醫藥學上可接受的。在一實施例中,套組另外包含用於向患者投與該組合物(例如該抗體)之說明書。In one aspect, the invention provides a kit comprising a first container and a second container; the first container comprising a composition comprising one or more anti-EphB4 antibodies of the invention; the second container comprising Buffer. In one embodiment, the buffer is pharmaceutically acceptable. In one embodiment, the composition comprising the antibody additionally comprises a carrier, which in some embodiments is pharmaceutically acceptable. In one embodiment, the kit further includes instructions for administering the composition (eg, the antibody) to a patient.
在一態樣中,本發明提供本發明抗EphB4抗體之用途,其係用於製備用於治療性及/或預防性治療諸如癌、腫瘤及/或細胞增生性病症之病症的藥劑。在一些實施例中,該病症為神經病變或神經退化性疾病。在一些實施例中,該病症為與血管生成相關的病理性病況。In one aspect, the invention provides the use of an anti-EphB4 antibody of the invention for the preparation of a medicament for the therapeutic and/or prophylactic treatment of a condition such as a cancer, a tumor and/or a cell proliferative disorder. In some embodiments, the condition is a neuropathy or a neurodegenerative disease. In some embodiments, the condition is a pathological condition associated with angiogenesis.
在一態樣中,本發明提供本發明核酸之用途,其係用於製備用於治療性及/或預防性治療諸如癌、腫瘤及/或細胞增生性病症之病症的藥劑。在一些實施例中,該病症為神經病變或神經退化性疾病。在一些實施例中,該病症為與血管生成相關的病理性病況。In one aspect, the invention provides the use of a nucleic acid of the invention for the preparation of a medicament for the therapeutic and/or prophylactic treatment of a condition such as a cancer, a tumor and/or a cell proliferative disorder. In some embodiments, the condition is a neuropathy or a neurodegenerative disease. In some embodiments, the condition is a pathological condition associated with angiogenesis.
在一態樣中,本發明提供本發明表現載體之用途,其係用於製備用於治療性及/或預防性治療諸如癌、腫瘤及/或細胞增生性病症之病症的藥劑。在一些實施例中,該病症為神經病變或神經退化性疾病。在一些實施例中,該病症為與血管生成相關的病理性病況。In one aspect, the invention provides the use of a performance vector of the invention for the preparation of a medicament for the therapeutic and/or prophylactic treatment of a condition such as a cancer, a tumor and/or a cell proliferative disorder. In some embodiments, the condition is a neuropathy or a neurodegenerative disease. In some embodiments, the condition is a pathological condition associated with angiogenesis.
在一態樣中,本發明提供本發明宿主細胞之用途,其係用於製備用於治療性及/或預防性治療諸如癌、腫瘤及/或細胞增生性病症之病症的藥劑。在一些實施例中,該病症為神經病變或神經退化性疾病。在一些實施例中,該病症為與血管生成相關的病理性病況。In one aspect, the invention provides the use of a host cell of the invention for the preparation of a medicament for the therapeutic and/or prophylactic treatment of a condition such as a cancer, a tumor and/or a cell proliferative disorder. In some embodiments, the condition is a neuropathy or a neurodegenerative disease. In some embodiments, the condition is a pathological condition associated with angiogenesis.
在一態樣中,本發明提供本發明製造物品之用途,其係用於製備用於治療性及/或預防性治療諸如癌、腫瘤及/或細胞增生性病症之病症的藥劑。在一些實施例中,該病症為神經病變或神經退化性疾病。在一些實施例中,該病症為與血管生成相關的病理性病況。In one aspect, the invention provides the use of an article of manufacture of the invention for the preparation of a medicament for the therapeutic and/or prophylactic treatment of a condition such as a cancer, a tumor and/or a cell proliferative disorder. In some embodiments, the condition is a neuropathy or a neurodegenerative disease. In some embodiments, the condition is a pathological condition associated with angiogenesis.
在一態樣中,本發明提供本發明套組之用途,其係用於製備用於治療性及/或預防性治療諸如癌、腫瘤及/或細胞增生性病症之病症的藥劑。在一些實施例中,該病症為神經病變或神經退化性疾病。在一些實施例中,該病症為與血管生成相關的病理性病況。In one aspect, the invention provides the use of a kit of the invention for the preparation of a medicament for the therapeutic and/or prophylactic treatment of a condition such as a cancer, a tumor and/or a cell proliferative disorder. In some embodiments, the condition is a neuropathy or a neurodegenerative disease. In some embodiments, the condition is a pathological condition associated with angiogenesis.
本發明提供可用於調節與EphB4表現及/或活性(例如增加的或降低的表現及/或活性或不良表現及/或活性)相關之疾病狀態的方法及組合物。The present invention provides methods and compositions useful for modulating disease states associated with EphB4 expression and/or activity (e.g., increased or decreased performance and/or activity or poor performance and/or activity).
在一態樣中,本發明提供用於治療或預防與EphB4之增加的表現及/或活性相關的腫瘤、癌及/或細胞增生性病症之方法,該等方法包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides methods for treating or preventing a tumor, cancer, and/or cell proliferative disorder associated with increased performance and/or activity of EphB4, the methods comprising: administering to a patient in need of such treatment An effective amount of an anti-EphB4 antibody.
在一態樣中,本發明提供用於殺死細胞(例如癌或腫瘤細胞)之方法,該等方法包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides methods for killing cells, such as cancer or tumor cells, comprising administering an effective amount of an anti-EphB4 antibody to a patient in need of such treatment.
在一態樣中,本發明提供用於降低、抑制、阻斷或預防腫瘤或癌生長之方法,該等方法包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides methods for reducing, inhibiting, blocking or preventing tumor or cancer growth, the methods comprising administering to a patient in need of such treatment an effective amount of an anti-EphB4 antibody.
在一態樣中,本發明提供用於治療或預防神經病變或神經退化性疾病或修復受損神經細胞之方法,該等方法包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides methods for treating or preventing a neuropathic or neurodegenerative disease or repairing damaged nerve cells, the methods comprising administering to a patient in need of such treatment an effective amount of an anti-EphB4 antibody.
在一態樣中,本發明提供用於促進神經元發育、增生、維護或再生之方法,該等方法包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides methods for promoting neuronal development, proliferation, maintenance, or regeneration, the methods comprising administering to a patient in need of such treatment an effective amount of an anti-EphB4 antibody.
在一態樣中,本發明提供用於抑制血管生成之方法,其包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides a method for inhibiting angiogenesis comprising administering to a patient in need of such treatment an effective amount of an anti-EphB4 antibody.
在一態樣中,本發明提供用於治療與血管生成相關之病理性病況的方法,其包含向需要此治療之患者投與有效量之抗EphB4抗體。在一些實施例中,該與血管生成相關之病理性病況為腫瘤、癌及/或細胞增生性病症。在一些實施例中,該與血管生成相關之病理性病況為眼內新生血管性疾病。In one aspect, the invention provides a method for treating a pathological condition associated with angiogenesis comprising administering to a patient in need of such treatment an effective amount of an anti-EphB4 antibody. In some embodiments, the pathological condition associated with angiogenesis is a tumor, cancer, and/or cell proliferative disorder. In some embodiments, the pathological condition associated with angiogenesis is an intraocular neovascular disorder.
本發明方法可用於影響任何適當的病理性狀態。例示性病症在本文中有所描述,且包括選自由小細胞肺癌、神經母細胞瘤、黑素瘤、乳癌、胃癌、結腸直腸癌(CRC)及肝細胞癌組成之群的癌。The methods of the invention can be used to affect any suitable pathological condition. Exemplary disorders are described herein and include cancers selected from the group consisting of small cell lung cancer, neuroblastoma, melanoma, breast cancer, gastric cancer, colorectal cancer (CRC), and hepatocellular carcinoma.
在一實施例中,在本發明方法中所靶向的細胞為癌細胞。舉例而言,癌細胞可為選自由以下癌細胞組成之群的癌細胞:乳癌細胞、結腸直腸癌細胞、肺癌細胞、乳頭狀癌細胞、結腸癌細胞、胰腺癌細胞、卵巢癌細胞、子宮頸癌細胞、中樞神經系統癌細胞、成骨肉瘤細胞、腎癌細胞、肝細胞癌細胞、膀胱癌細胞、胃癌細胞、頭頸部鱗狀癌細胞、黑素瘤細胞、白血病細胞及結腸腺瘤細胞。在一實施例中,在本發明方法中所靶向的細胞為過度增生性及/或增殖性細胞。在一實施例中,在本發明方法中所靶向的細胞為發育不良細胞。在另一實施例中,在本發明方法中所靶向的細胞為轉移性細胞。In one embodiment, the cells targeted in the methods of the invention are cancer cells. For example, the cancer cells may be cancer cells selected from the group consisting of breast cancer cells, colorectal cancer cells, lung cancer cells, papillary cancer cells, colon cancer cells, pancreatic cancer cells, ovarian cancer cells, and cervical cancer. Cancer cells, central nervous system cancer cells, osteosarcoma cells, renal cancer cells, hepatocellular carcinoma cells, bladder cancer cells, gastric cancer cells, head and neck squamous cancer cells, melanoma cells, leukemia cells, and colon adenoma cells. In one embodiment, the cells targeted in the methods of the invention are hyperproliferative and/or proliferating cells. In one embodiment, the cells targeted in the methods of the invention are dysplastic cells. In another embodiment, the cells targeted in the methods of the invention are metastatic cells.
本發明方法可另外包含額外的治療步驟。舉例而言,在一實施例中,一方法另外包含其中使所靶向的細胞及/或組織(例如癌細胞)暴露於治療或化學治療劑之步驟。The methods of the invention may additionally comprise additional treatment steps. For example, in one embodiment, a method further comprises the step of exposing the targeted cells and/or tissues (eg, cancer cells) to a therapeutic or chemotherapeutic agent.
在一態樣中,本發明提供包含投與有效量之抗EphB4抗體以及有效量的另一治療劑(例如抗血管生成劑)之方法。舉例而言,與抗癌劑或抗血管生成劑組合使用抗EphB4抗體以治療各種贅生性或非贅生性病況。在一實施例中,贅生性或非贅生性病況為與血管生成相關的病理性病況。在一些實施例中,另一治療性劑為抗血管生成劑、抗贅生劑及/或化學治療劑。In one aspect, the invention provides a method comprising administering an effective amount of an anti-EphB4 antibody and an effective amount of another therapeutic agent (eg, an anti-angiogenic agent). For example, an anti-EphB4 antibody is used in combination with an anti-cancer agent or an anti-angiogenic agent to treat various neoplastic or non-neoplastic conditions. In one embodiment, the neoplastic or non-neoplastic condition is a pathological condition associated with angiogenesis. In some embodiments, the additional therapeutic agent is an anti-angiogenic agent, an anti-biochemical agent, and/or a chemotherapeutic agent.
抗EphB4抗體可連續或與有效達成彼等目的的另一治療劑組合以同一組合物形式或作為獨立組合物來投與。使用相同或不同投藥途徑,可同時完成抗EphB4抗體及另一治療劑(例如抗癌劑、抗血管生成劑)(例如)作為單一組合物或作為兩種或兩種以上截然不同的組合物之投藥。另外或其他,可以任何次序相繼完成投藥。另外或其他,可作為以任何次序相繼或同時投藥的組合執行該等步驟。在某些實施例中,在兩種或兩種以上組合物投藥之間,可存在介於幾分鐘至幾天至幾週至幾個月範圍內之時間間隔。舉例而言,可首先投與抗癌劑,接著投與抗EphB4抗體。然而,亦涵蓋同時投藥或首先投與抗EphB4抗體。因此,在一態樣中,本發明提供包含投與抗EphB4抗體、接著投與抗血管生成劑(例如抗VEGF抗體,例如貝伐單抗)之方法。在某些實施例中,在兩種或兩種以上組合物投藥之間,可存在介於幾分鐘至幾天至幾週至幾個月範圍內之時間間隔。The anti-EphB4 antibody can be administered in the same composition or as a separate composition, either continuously or in combination with another therapeutic agent effective to achieve the same. The anti-EphB4 antibody and another therapeutic agent (eg, an anticancer agent, an anti-angiogenic agent) can be simultaneously completed (for example) as a single composition or as two or more distinct compositions using the same or different administration routes. Dosing. Alternatively or additionally, the administration may be completed in succession in any order. Additionally or alternatively, the steps can be performed as a combination of sequential or simultaneous administration in any order. In certain embodiments, there may be a time interval ranging from a few minutes to a few days to weeks to months between administration of two or more compositions. For example, an anticancer agent can be administered first, followed by administration of an anti-EphB4 antibody. However, it is also contemplated to administer the drug simultaneously or first to the anti-EphB4 antibody. Thus, in one aspect, the invention provides a method comprising administering an anti-EphB4 antibody followed by administration of an anti-angiogenic agent (eg, an anti-VEGF antibody, such as bevacizumab). In certain embodiments, there may be a time interval ranging from a few minutes to a few days to weeks to months between administration of two or more compositions.
在某些態樣中,本發明提供一種藉由投與有效量之抗EphB4抗體及/或血管生成抑制劑及一或多種化學治療劑治療病症(例如腫瘤、癌及/或細胞增生性病症)之方法。在本發明之組合治療方法中可使用各種化學治療劑。在本文中"定義"下提供所涵蓋的化學治療劑之例示性及非限制性清單。使用相同或不同投藥途徑,可同時完成抗EphB4抗體及化學治療劑(例如)作為單一組合物或作為兩種或兩種以上截然不同的組合物之投藥。另外或其他,可以任何次序相繼完成投藥。另外或其他,可作為以任何次序相繼或同時投藥的組合執行該等步驟。在某些實施例中,在兩種或兩種以上組合物投藥之間,可存在介於幾分鐘至幾天至幾週至幾個月範圍內之時間間隔。舉例而言,可首先投與化學治療劑,接著投與抗EphB4抗體。然而,亦涵蓋同時投藥或首先投與抗EphB4抗體。因此,在一態樣中,本發明提供包含投與抗EphB4抗體、接著投與化學治療劑之方法。在某些實施例中,在兩種或兩種以上組合物投藥之間,可存在介於幾分鐘至幾天至幾週至幾個月範圍內之時間間隔。In certain aspects, the invention provides a method of treating a disorder (eg, a tumor, a cancer, and/or a cell proliferative disorder) by administering an effective amount of an anti-EphB4 antibody and/or an angiogenesis inhibitor and one or more chemotherapeutic agents. The method. A variety of chemotherapeutic agents can be used in the combination therapies of the invention. An illustrative and non-limiting list of chemotherapeutic agents covered is provided herein under "Definition." The administration of the anti-EphB4 antibody and the chemotherapeutic agent (for example) as a single composition or as two or more distinct compositions can be accomplished simultaneously using the same or different routes of administration. Alternatively or additionally, the administration may be completed in succession in any order. Additionally or alternatively, the steps can be performed as a combination of sequential or simultaneous administration in any order. In certain embodiments, there may be a time interval ranging from a few minutes to a few days to weeks to months between administration of two or more compositions. For example, a chemotherapeutic agent can be administered first, followed by administration of an anti-EphB4 antibody. However, it is also contemplated to administer the drug simultaneously or first to the anti-EphB4 antibody. Thus, in one aspect, the invention provides a method comprising administering an anti-EphB4 antibody followed by administration of a chemotherapeutic agent. In certain embodiments, there may be a time interval ranging from a few minutes to a few days to weeks to months between administration of two or more compositions.
在一態樣中,本發明提供在具有與血管生成相關的病理性病況之患者中加強抗血管生成劑之功效的方法,其包含向患者投與有效量之抗EphB4抗體以及抗血管生成劑,藉此加強該抗血管生成劑的抑制活性。In one aspect, the invention provides a method of potentiating the efficacy of an anti-angiogenic agent in a patient having a pathological condition associated with angiogenesis comprising administering to the patient an effective amount of an anti-EphB4 antibody and an anti-angiogenic agent, Thereby, the inhibitory activity of the anti-angiogenic agent is enhanced.
在另一態樣中,本發明提供用於偵測EphB4之方法,該等方法包含在樣本中偵測EphB4-抗EphB4抗體複合物。如本文所用之術語"偵測"包括參考或不參考對照物進行之定性及/或定量偵測(量測含量)。In another aspect, the invention provides methods for detecting EphB4, the methods comprising detecting an EphB4-anti-EphB4 antibody complex in a sample. The term "detecting" as used herein includes qualitative and/or quantitative detection (measurement content) with or without reference to a control.
在另一態樣中,本發明提供用於診斷與EphB4表現及/或活性相關的病症之方法,該等方法包含在來自患有或懷疑患有該病症之患者的生物樣本中偵測EphB4-抗EphB4抗體複合物。在一些實施例中,EphB4表現為增加的表現或異常表現。在一些實施例中,該病症為腫瘤、癌及/或細胞增生性病症。In another aspect, the invention provides methods for diagnosing a disorder associated with EphB4 expression and/or activity, the methods comprising detecting EphB4- in a biological sample from a patient having or suspected of having the disorder Anti-EphB4 antibody complex. In some embodiments, EphB4 exhibits increased performance or abnormal performance. In some embodiments, the condition is a tumor, cancer, and/or a cell proliferative disorder.
在另一態樣中,本發明提供任何本文所述的抗EphB4抗體,其中該抗EphB4抗體包含可偵測標記。In another aspect, the invention provides any of the anti-EphB4 antibodies described herein, wherein the anti-EphB4 antibody comprises a detectable label.
在另一態樣中,本發明提供任何本文所述的抗EphB4抗體及EphB4之複合物。在一些實施例中,該複合物在活體內或活體外。在一些實施例中,該複合物包含癌細胞。在一些實施例中,該抗EphB4抗體係經可偵測標記的。In another aspect, the invention provides any of the anti-EphB4 antibodies and EphB4 complexes described herein. In some embodiments, the complex is in vivo or ex vivo. In some embodiments, the complex comprises cancer cells. In some embodiments, the anti-EphB4 anti-system is detectably labeled.
在本文中,本發明提供可用於(例如)治療或預防與EphB4表現及/或活性(例如增加的表現及/或活性或不良表現及/或活性)相關的疾病狀態之抗EphB4抗體。在一些實施例中,本發明抗體用於治療腫瘤、癌及/或細胞增生性病症。In the present context, the invention provides anti-EphB4 antibodies useful for, for example, treating or preventing a disease state associated with EphB4 expression and/or activity (eg, increased performance and/or activity or poor performance and/or activity). In some embodiments, an antibody of the invention is used to treat a tumor, cancer, and/or cell proliferative disorder.
在另一態樣中,本發明抗EphB4抗體可用作偵測及/或分離EphB4之試劑,例如在各種組織及細胞類型中偵測EphB4。In another aspect, the anti-EphB4 antibodies of the invention are useful as agents for detecting and/or isolating EphB4, such as EphB4 in various tissues and cell types.
本發明另外提供用於製造抗EphB4抗體及編碼抗EphB4抗體之聚核苷酸的方法。The invention further provides methods for making anti-EphB4 antibodies and polynucleotides encoding anti-EphB4 antibodies.
本文所述或參考的技術及程序為一般熟知的且通常由熟習此項技術者使用習知方法加以使用,例如在Sambrook等人,Molecular Cloning:A Laboratory Manual第3版(2001)Cold Spring Harbor Laboratory Press,Cold Spring Harbor,N.Y.CURRENT PROTOCOLS IN MOLECULAR BIOLOGY(F.M.Ausubel等人編輯,(2003));the series METHODS IN ENZYMOLOGY(Academic Press,Inc.):PCR 2:A PRACTICAL APPROACH(M.J.MacPherson,B.D.Hames及G.R.Taylor編輯(1995)),Harlow及Lane編輯(1988)ANTIBODIES,A LABORATORY MANUAL,and ANIMAL CELL CULTURE(R.I.Freshney編輯(1987))中所述之廣泛使用的方法。The techniques and procedures described or referenced herein are generally well known and commonly used by those skilled in the art using conventional methods, for example, in Sambrook et al., Molecular Cloning: A Laboratory Manual 3rd Edition (2001) Cold Spring Harbor Laboratory. Press, Cold Spring Harbor, NYCURRENT PROTOCOLS IN MOLECULAR BIOLOGY (FMAusubel et al., (2003)); the series METHODS IN ENZYMOLOGY (Academic Press, Inc.): PCR 2: A PRACTICAL APPROACH (MJMacPherson, BD Hames and Edited by GRTaylor (1995), Harlow and Lane (1988) ANTIBODIES, A LABORATORY MANUAL, and ANIMAL CELL CULTURE (RI Freshney, ed. (1987)).
"經分離"抗體為已經識別且與天然環境之組份分離及/或自天然環境之組份中回收的抗體。其天然環境之污染組份為可干擾抗體之診斷性或治療性用途之材料,且可包括酶、激素及其他蛋白或非蛋白溶質。在較佳實施例中,該抗體將經純化(1)至如Lowry方法所測定大於抗體之95重量%,且最佳地大於99%;(2)至足以藉由使用旋轉杯式序列分析儀獲得N-末端或內部胺基酸序列的至少15個殘基之程度;或(3)至藉由在還原或非還原條件下使用庫馬斯藍(Coomassie blue)或較佳地銀染色由SDS-PAGE所顯示之均質性。經分離抗體包括重組細胞內之原位抗體,因為抗體天然環境之至少一種組份將不存在。然而,一般而言,經分離抗體將藉由至少一個純化步驟製備。An "isolated" antibody is one that has been identified and is isolated from components of the natural environment and/or recovered from components of the natural environment. The contaminating component of its natural environment is a material that can interfere with the diagnostic or therapeutic use of the antibody, and can include enzymes, hormones, and other protein or non-protein solutes. In a preferred embodiment, the antibody will be purified (1) to greater than 95% by weight of the antibody as determined by the Lowry method, and optimally greater than 99%; (2) sufficient to use a rotating cup sequencer Obtaining at least 15 residues of the N-terminal or internal amino acid sequence; or (3) by SDS- by Coomassie blue or preferably silver staining under reducing or non-reducing conditions The homogeneity shown by PAGE. An isolated antibody includes an antibody in situ within a recombinant cell, as at least one component of the antibody's natural environment will not be present. However, in general, the isolated antibody will be prepared by at least one purification step.
"經分離"核酸分子為已經識別且自至少一種污染核酸分子分離之核酸分子,在抗體核酸之天然來源中其通常與污染核酸分子相關。經分離核酸分子與其在自然界中的發現形式或設定不同。因此,經分離核酸分子區別於天然細胞中所存在之核酸分子。然而,經分離核酸分子包括在通常表現抗體之細胞中所含有的核酸分子,其中(例如)該核酸分子處於不同於天然細胞之染色體位置的染色體位置。An "isolated" nucleic acid molecule is a nucleic acid molecule that has been identified and separated from at least one contaminating nucleic acid molecule, which is typically associated with a contaminating nucleic acid molecule in the natural source of the antibody nucleic acid. The isolated nucleic acid molecule differs from its found form or setting in nature. Thus, an isolated nucleic acid molecule is distinguished from a nucleic acid molecule present in a natural cell. However, an isolated nucleic acid molecule includes a nucleic acid molecule contained in a cell that typically expresses an antibody, wherein, for example, the nucleic acid molecule is at a chromosomal location different from the chromosomal location of the native cell.
術語"如Kabat中之可變域殘基編號"或"如Kabat中之胺基酸位置編號"及其變化形式係指Kabat等人,Sequences of Proteins of Immunological Interest,第5版Public Health Service,National Institutes of Health,Bethesda,MD.(1991)中關於編譯抗體的重鏈可變域或輕鏈可變域所用之編號系統。使用此編號系統,對應於可變域之FR或CDR的縮短或插入其中,實際線性胺基酸序列可含有較少或額外胺基酸。舉例而言,重鏈可變域可在H2之殘基52後包括一單一胺基酸插入(根據Kabat之殘基52a)及在重鏈FR殘基82後包括插入的殘基(例如根據Kabat之殘基82a、82b及82c等)。可藉由使抗體序列之同源區與"標準"Kabat編號序列對準來確定給定抗體的殘基之Kabat編號。The term "such as the variable domain residue number in Kabat" or "such as the amino acid position number in Kabat" and variations thereof refer to Kabat et al., Sequences of Proteins of Immunological Interest, 5th Edition Public Health Service, National The numbering system used by the Institutes of Health, Bethesda, MD. (1991) to compile heavy chain variable domains or light chain variable domains of antibodies. Using this numbering system, the actual linear amino acid sequence may contain fewer or additional amino acids corresponding to the shortening or insertion of the FR or CDR of the variable domain. For example, the heavy chain variable domain can include a single amino acid insertion after residue 52 of H2 (according to residue 52a of Kabat) and an inserted residue after heavy chain FR residue 82 (eg, according to Kabat Residues 82a, 82b, 82c, etc.). The Kabat numbering of a residue for a given antibody can be determined by aligning the homologous region of the antibody sequence to a "standard" Kabat numbering sequence.
如本文所用之短語"大體上類似"或"大體上相同"表示兩個數值(通常,一數值與本發明抗體相關且另一數值與參考/比較抗體相關)之間具有充分高程度的類似度,從而使熟習此項技術者認為,在藉由該等值(例如Kd值)所量測的生物學特徵內容中,該兩個值之間的差異將具有極小或不具有生物學及/或統計學意義。作為參考/比較抗體值之函數,該兩個值之間的差異較佳地小於約50%、較佳地小於約40%、較佳地小於約30%、較佳地小於約20%、較佳地小於約10%。The phrase "substantially similar" or "substantially identical" as used herein denotes a sufficiently high degree of similarity between two values (typically, one value is associated with an antibody of the invention and another value is associated with a reference/comparative antibody). Degree, so that those skilled in the art believe that the difference between the two values in the biological characteristic content measured by the equivalent value (for example, Kd value) will have little or no biology and / Or statistically significant. As a function of the reference/comparison antibody value, the difference between the two values is preferably less than about 50%, preferably less than about 40%, preferably less than about 30%, preferably less than about 20%, more Good land is less than about 10%.
"結合親和力"通常係指分子(例如抗體)之單一結合位點與其結合搭配物(例如抗原)之間之非共價相互作用的總強度。除非另作指示,否則如本文所用之"結合親和力"係指反映結合對(例如,抗體及抗原)之成員之間的1:1相互作用之固有結合親和力。分子X與其搭配物Y之親和力通常可由解離常數(Kd)表示。親和力可藉由此項技術中已知之常用方法(包括本文所述之彼等方法)量測。低親和力抗體通常與抗原緩慢結合且傾向於快速解離,而高親和力抗體通常與抗原結合較快且傾向於保持長期結合。此項技術中已知量測結合親和力之各種方法,該等方法中之任一者均可用於達成本發明之目的。下文描述特定說明性實施例。"Binding affinity" generally refers to the total intensity of non-covalent interactions between a single binding site of a molecule (eg, an antibody) and its binding partner (eg, an antigen). "Binding affinity" as used herein, unless otherwise indicated, refers to an intrinsic binding affinity that reflects a 1:1 interaction between members of a binding pair (eg, an antibody and an antigen). The affinity of the molecule X for its conjugate Y is usually represented by the dissociation constant (Kd). Affinity can be measured by common methods known in the art, including those described herein. Low affinity antibodies typically bind slowly to the antigen and tend to dissociate rapidly, while high affinity antibodies typically bind faster to the antigen and tend to remain bound for long term. Various methods of measuring binding affinity are known in the art, and any of these methods can be used to achieve the objectives of the present invention. Certain illustrative embodiments are described below.
在一實施例中,根據本發明之"Kd"或"Kd值"藉由以所關注抗體之Fab型式與其抗原執行放射性標記抗原結合檢定(RIA)來量測,如以下量測Fab對抗原的溶液結合親和力之檢定所述,該量測親和力之檢定包含下列步驟:在未經標記抗原之連續滴定存在下,使Fab與最小濃度的經(125 I)標記之抗原平衡,隨後俘獲與經抗Fab抗體塗覆的培養盤結合之抗原(Chen等人,(1999)J.Mol Biol 293:865-881)。為確立檢定之條件,用50 mM碳酸鈉(pH 9.6)中之5 μg/ml俘獲抗Fab抗體(Cappel Labs)塗覆微量滴定盤(Dynex)隔夜,且隨後在室溫(約23℃)下用PBS中之2%(w/v)牛血清白蛋白阻斷二至五小時。在無吸附劑之滴定盤(Nunc #269620)中,使100 pM或26 pM[125 I]抗原與連續稀釋之所關注Fab混合(例如,與抗VEGF抗體Fab-12之評定相符,Presta等人,(1997)Cancer Res. 57:4593-4599)。隨後,培育所關注Fab隔夜;然而,培育可持續一段較長之時間(例如65小時)以確保達到平衡。此後,在室溫下將混合物轉移至俘獲培養盤(capture plate)以用於培育(例如,歷經1小時)。隨後,移除溶液且用PBS中之0.1%吐溫20(Tween-20)洗滌該培養盤8次。當該等培養盤已經乾燥時,每孔添加150 μl閃爍體(MicroScint-20;Packard),且於Topcount γ計數器(Packard)上對該等培養盤計數10分鐘。選擇提供小於或等於20%最大結合之濃度的各Fab以用於競爭性結合檢定。根據另一實施例,藉由在25℃下使用BIAcoreTM -2000或BIAcoreTM -3000(BIAcore,Inc.,Piscataway,NJ)且使用表面電漿共振檢定(surface plasmon resonance assay)用約10個反應單元(RU)之固定抗原CM5晶片量測Kd或Kd值。簡言之,根據供應商之說明書用N -乙基-N' -(3-二甲基胺基丙基)-碳化二醯亞胺鹽酸鹽(EDC)及N -羥基琥珀醯亞胺(NHS)活化羧甲基化葡聚糖生物感應器晶片(CM5,BIAcore Inc.)。用10 mM乙酸鈉(pH 4.8)將抗原稀釋至5 μg/ml(約0.2 μM),接著以5 μl/分鐘之流動速率進行注射以達成約10個反應單元(RU)之偶聯蛋白。在注射抗原後,注射1 M乙醇胺以阻斷未經反應之基團。對於動力學量測而言,在25℃下以約25 μl/min之流動速率注射在具有0.05%吐溫20之PBS(PBST)中兩倍連續稀釋之Fab(0.78 nM至500 nM)。使用簡易的一對一Langmuir結合模型(BIAcore Evaluation Software,3.2版),藉由同時擬合締合及解離感應譜來計算締合速率(kon )及解離速率(koff )。將平衡解離常數(Kd)計算為koff /kon 之比率。例如,參看Chen,Y.等人,(1999)J.Mol Biol 293:865-881。若藉由上述表面電漿共振檢定獲得之締合速率大於106 M-1 .S-1 ,則可在如光譜儀(諸如裝備有間歇流體之分光光度計(Aviv Instruments)或具有經攪拌比色管之8000系列SLM-Aminco光譜光度計(ThermoSpectronic))所量測具有增加之濃度的抗原存在下,藉由使用量測螢光放射強度之增加或降低的螢光淬滅技術(fluorescent quenching technique)(激發=295 nm;放射=340 nm,16 nm帶通)於25℃下測定PBS中之20 nM抗抗原抗體(Fab形式)(pH 7.2)的締合速率。In one embodiment, a "Kd" or "Kd value" according to the present invention is measured by performing a radiolabeled antigen binding assay (RIA) with a Fab version of the antibody of interest, such as the following: As determined by the assay for solution binding affinity, the assay for the affinity of the assay comprises the steps of: equilibrating the Fab with a minimal concentration of the ( 125I ) labeled antigen in the presence of a continuous titration of the unlabeled antigen, followed by capture and antibiotic resistance. Fab antibody coated plate-bound antigen (Chen et al, (1999) J. Mol Biol 293: 865-881). To establish assay conditions, microtiter plates (Dynex) were coated overnight with 5 μg/ml capture anti-Fab antibody (Cappel Labs) in 50 mM sodium carbonate (pH 9.6), and then at room temperature (approximately 23 ° C) Blocked with 2% (w/v) bovine serum albumin in PBS for two to five hours. In a non-sorbent titration plate (Nunc #269620), mix 100 pM or 26 pM [ 125 I] antigen with serially diluted Fab of interest (eg, in accordance with the assessment of anti-VEGF antibody Fab-12, Presta et al. (1997) Cancer Res. 57: 4593-4599). Subsequently, the Fab concerned is cultivated overnight; however, the cultivation lasts for a longer period of time (eg 65 hours) to ensure a balance is achieved. Thereafter, the mixture is transferred to a capture plate at room temperature for incubation (eg, over 1 hour). Subsequently, the solution was removed and the plate was washed 8 times with 0.1% Tween-20 in PBS. When the plates were dry, 150 μl of scintillant (MicroScint-20; Packard) was added to each well, and the plates were counted for 10 minutes on a Topcount gamma counter (Packard). Each Fab providing a concentration less than or equal to 20% of the maximum binding is selected for competitive binding assays. According to another embodiment, by using the BIAcore TM -2000 or a BIAcore TM -3000 (BIAcore, Inc., Piscataway, NJ) at 25 deg.] C and using a surface plasmon resonance assay (surface plasmon resonance assay) Reaction with about 10 The fixed antigen CM5 wafer of the unit (RU) measures the Kd or Kd value. Briefly, according to the supplier's instructions, N -ethyl- N' -(3-dimethylaminopropyl)-carbodiimide hydrochloride (EDC) and N -hydroxysuccinimide ( NHS) Activated carboxymethylated dextran biosensor wafer (CM5, BIAcore Inc.). The antigen was diluted to 5 μg/ml (about 0.2 μM) with 10 mM sodium acetate (pH 4.8), followed by injection at a flow rate of 5 μl/min to achieve about 10 reaction units (RU) of coupled protein. After the antigen was injected, 1 M ethanolamine was injected to block the unreacted groups. For kinetic measurements, Fab (0.78 nM to 500 nM) was serially diluted twice in PBS (PBST) with 0.05% Tween 20 at a flow rate of about 25 μl/min at 25 °C. The association rate ( kon ) and dissociation rate ( koff ) were calculated by simultaneously fitting the association and dissociation induction spectra using a simple one-to-one Langmuir binding model (BIAcore Evaluation Software, version 3.2). The equilibrium dissociation constant (Kd) was calculated as k off / k on the ratio. See, for example, Chen, Y. et al., (1999) J. Mol Biol 293:865-881. The association rate obtained by the above surface plasma resonance test is greater than 10 6 M -1 . S -1 can be measured in a concentration such as a spectrometer (such as a spectrophotometer equipped with an intermittent fluid (Aviv Instruments) or an 8000 series SLM-Aminco spectrophotometer (ThermoSpectronic) with a stirred colorimetric tube) In the presence of an antigen, the fluorescence quenching technique (excitation = 295 nm; emission = 340 nm, 16 nm bandpass) is measured at 25 ° C by using an increase or decrease in fluorescence intensity. Association rate of 20 nM anti-antigen antibody (Fab format) (pH 7.2) in PBS.
亦可在25℃下使用BIAcoreTM -2000或BIAcoreTM -3000(BIAcore,Inc.,Piscataway,NJ)同樣以上述表面電漿共振技術用約10個反應單元(RU)之固定抗原CM5晶片測定"締合速率"或"kon "。簡言之,根據供應商之說明書用N-乙基-N'-(3-二甲基胺基丙基)-碳化二醯亞胺鹽酸鹽(EDC)及N-羥基琥珀醯亞胺(NHS)活化羧甲基化葡聚糖生物感應器晶片(CM5,BIAcore Inc.)。用10 mM乙酸鈉(pH 4.8)將抗原稀釋至5 μg/ml(約0.2 μM),接著以5 μl/分鐘之流動速率進行注射以達成約10個反應單元(RU)之偶聯蛋白。在注射抗原後,注射1 M乙醇胺以阻斷未經反應之基團。對於動力學量測而言,在25℃下以約25 μl/min之流動速率注射在具有0.05%吐溫20之PBS(PBST)中兩倍連續稀釋之Fab(0.78 nM至500 nM)。使用簡易的一對一Langmuir結合模型(BIAcore Evaluation Software 3.2版),藉由同時擬合締合及解離感應譜來計算締合速率(kon )及解離速率(koff )。將平衡解離常數(Kd)計算為koff /kon 之比率。例如,參看Chen,Y.等人,(1999)J.Mol Biol 293:865-881。然而,若藉由上述表面電漿共振檢定獲得之締合速率大於106 M-1 .S-1 ,則可在如光譜儀(諸如裝備有間歇流體之分光光度計(Aviv Instruments)或具有經攪拌比色管之8000系列SLM-Aminco光譜光度計(ThermoSpectronic))所量測具有增加之濃度的抗原存在下,藉由使用量測螢光放射強度之增加或降低的螢光淬滅技術(激發=295 nm;放射=340 nm,16 nm帶通)於25℃下測定PBS中之20 nM抗抗原抗體(Fab形式)(pH 7.2)的締合速率。Or may also be used BIAcore TM -2000 BIAcore TM -3000 (BIAcore, Inc., Piscataway, NJ) at 25 deg.] C similar to the above-described surface plasmon resonance assay with immobilized antigen CM5 wafer 10 about the reaction unit (RU) of technology " The association rate "or" k on ". Briefly, N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide hydrochloride (EDC) and N-hydroxy amber imine (IIC) were used according to the supplier's instructions. NHS) Activated carboxymethylated dextran biosensor wafer (CM5, BIAcore Inc.). The antigen was diluted to 5 μg/ml (about 0.2 μM) with 10 mM sodium acetate (pH 4.8), followed by injection at a flow rate of 5 μl/min to achieve about 10 reaction units (RU) of coupled protein. After the antigen was injected, 1 M ethanolamine was injected to block the unreacted groups. For kinetic measurements, Fab (0.78 nM to 500 nM) was serially diluted twice in PBS (PBST) with 0.05% Tween 20 at a flow rate of about 25 μl/min at 25 °C. The association rate ( kon ) and dissociation rate ( koff ) were calculated by simultaneously fitting the association and dissociation induction spectra using a simple one-to-one Langmuir binding model (BIAcore Evaluation Software version 3.2). The equilibrium dissociation constant (Kd) was calculated as k off / k on the ratio. See, for example, Chen, Y. et al., (1999) J. Mol Biol 293:865-881. However, if the association rate obtained by the above surface plasma resonance test is greater than 10 6 M -1 . S -1 can be measured in a concentration such as a spectrometer (such as a spectrophotometer equipped with an intermittent fluid (Aviv Instruments) or an 8000 series SLM-Aminco spectrophotometer (ThermoSpectronic) with a stirred colorimetric tube) Determination of 20 nM in PBS at 25 ° C by fluorescence quenching technique (excitation = 295 nm; emission = 340 nm, 16 nm bandpass) using an increase or decrease in fluorescence intensity Association rate of anti-antigen antibody (Fab form) (pH 7.2).
如本文所用之術語"載體"意欲指能夠轉運所連接之另一核酸分子之核酸分子。一類載體為"質體",其係指其中可連接額外DNA區段之環形雙鏈DNA環。另一類載體為噬菌體載體。另一類載體為病毒載體,其中額外DNA區段可連接至病毒基因組中。某些載體能夠在引入該等載體之宿主細胞中自主複製(例如,具有細菌複製起點之細菌載體及游離型哺乳動物載體)。其他載體(例如非游離型哺乳動物載體)可在引入宿主細胞中之後整合至該宿主細胞之基因組中,且由此隨宿主基因組一起複製。此外,某些載體能夠引導其可操作性連接之基因之表現。此等載體在本文中稱為"重組表現載體"(或簡言之"重組載體")。一般而言,用於重組DNA技術中之表現載體通常為質體之形式。在本說明書中,"質體"及"載體"可交替使用,因為質體為最常用形式之載體。The term "vector," as used herein, is intended to mean a nucleic acid molecule capable of transporting another nucleic acid molecule to which it is linked. One type of vector is a "plastid", which refers to a circular double stranded DNA loop into which additional DNA segments can be ligated. Another type of vector is a phage vector. Another type of vector is a viral vector in which additional DNA segments can be ligated into the viral genome. Certain vectors are capable of autonomous replication in host cells into which such vectors are introduced (e.g., bacterial vectors having bacterial origins of replication and free mammalian vectors). Other vectors (e.g., non-episomal mammalian vectors) can be integrated into the genome of the host cell after introduction into the host cell, and thereby replicate along with the host genome. In addition, certain vectors are capable of directing the performance of genes for their operability. Such vectors are referred to herein as "recombinant expression vectors" (or in short, "recombinant vectors"). In general, expression vectors for use in recombinant DNA techniques are typically in the form of plastids. In the present specification, "plastid" and "carrier" are used interchangeably because the plastid is the carrier of the most common form.
如本文可交替使用之"聚核苷酸"或"核酸"係指任何長度之核苷酸之聚合物,且包括DNA及RNA。該等核苷酸可為脫氧核糖核苷酸、核糖核苷酸、經修飾核苷酸或鹼基及/或其類似物,或可藉由DNA或RNA聚合酶或藉由合成反應併入聚合物中之任何基質。聚核苷酸可包含經修飾之核苷酸,諸如甲基化核苷酸及其類似物。若存在對於核苷酸結構之修飾,則可在組裝聚合物之前或之後進行修飾。核苷酸序列可由非核苷酸組件中斷。聚核苷酸可於合成後(諸如)藉由與標記結合而進一步經修飾。其他類型之修飾包括(例如)"帽子";一或多個天然存在之核苷酸經類似物取代;核苷酸間修飾,諸如具有不帶電荷之鍵者(例如,膦酸甲酯、磷酸三酯、磷醯胺酸、胺基甲酸酯等)及具有帶電荷之鍵者(例如硫代磷酸酯、二硫代磷酸酯等)、含有附屬部分者(諸如蛋白(例如,核酸酶、毒素、抗體、信號肽、ply-L-離胺酸等))、具有插入劑者(例如吖啶、補骨脂素等)、含有螯合劑者(例如金屬、放射性金屬、硼、氧化性金屬等)、含有烷化劑者、具有經修飾之鍵者(例如α變旋異構核酸等);以及聚核苷酸之未經修飾形式。此外,通常存在於糖中之任何羥基均可經(例如)膦酸酯基、磷酸酯基置換、經標準保護基保護或經活化以製備與額外核苷酸連接之額外鍵,或可與固體或半固體支撐物結合。5'及3'末端OH可經磷酸化或經胺或具有1至20個碳原子之有機封端基團部分取代。其他羥基亦可衍生成標準保護基團。聚核苷酸亦可含有此項技術中通常已知之類似形式的核糖或脫氧核糖,包括(例如)2'-O-甲基-、2'-O-烯丙基-、2'-氟-或2'-疊氮基-核糖、碳環糖類似物、α-變旋異構糖、差向異構糖(諸如阿拉伯糖、木糖或來蘇糖(lyxose))、哌喃糖、呋喃糖、七碳糖、非環類似物及基礎核苷類似物(諸如甲基核糖苷)。一或多種磷酸二酯鍵可經替代連接子置換。該等替代連接子包括(但不限於)其中磷酸酯經P(O)S("硫代酯")、P(S)S("二硫代酯")、(O)NR2 ("醯胺化物")、P(O)R、P(O)OR'、CO或CH2 ("甲縮醛")置換之實施例,其中R或R'各自獨立地為H或視情形含有醚(-O-)鍵之經取代或未經取代烷基(1-20個C)、芳基、烯基、環烷基、環烯基或芳烷基(araldyl)。聚核苷酸中之所有鍵無需相同。上文之描述適用於本文所提及之所有聚核苷酸,包括RNA及DNA。"Polynucleotide" or "nucleic acid" as used interchangeably herein, refers to a polymer of nucleotides of any length, and includes DNA and RNA. The nucleotides may be deoxyribonucleotides, ribonucleotides, modified nucleotides or bases and/or analogs thereof, or may be incorporated by polymerization using DNA or RNA polymerase or by synthesis reaction. Any matrix in the material. Polynucleotides can comprise modified nucleotides, such as methylated nucleotides and analogs thereof. If modifications to the nucleotide structure are present, modifications can be made before or after assembly of the polymer. The nucleotide sequence can be interrupted by a non-nucleotide component. The polynucleotide may be further modified after synthesis, such as by binding to a label. Other types of modifications include, for example, "hats"; one or more naturally occurring nucleotides are substituted with analogs; internucleotide modifications, such as those with uncharged bonds (eg, methyl phosphonate, phosphoric acid) Triesters, phospholysines, urethanes, etc.) and those with a charge (such as phosphorothioates, phosphorodithioates, etc.), those with a subsidiary (such as proteins (eg, nucleases, Toxins, antibodies, signal peptides, ply-L-lysine, etc.), those with intercalating agents (eg acridine, psoralen, etc.), those containing chelating agents (eg metals, radioactive metals, boron, oxidizing metals) And the like, those containing an alkylating agent, those having a modified bond (for example, α-rotating isomeric nucleic acid, etc.); and unmodified forms of the polynucleotide. In addition, any of the hydroxyl groups normally present in the sugar may be replaced by, for example, a phosphonate group, a phosphate group, protected by a standard protecting group, or activated to prepare additional linkages to additional nucleotides, or may be combined with a solid. Or semi-solid support bonding. The 5' and 3' terminal OH groups may be phosphorylated or partially substituted with an amine or an organic capping group having from 1 to 20 carbon atoms. Other hydroxyl groups can also be derivatized into standard protecting groups. Polynucleotides may also contain ribose or deoxyribose sugars of a similar form generally known in the art, including, for example, 2'-O-methyl-, 2'-O-allyl-, 2'-fluoro- Or 2'-azido-ribose, carbocyclic sugar analogs, alpha-or isomers, epimers (such as arabinose, xylose or lyxose), piperanose, furan Sugars, heptasaccharides, acyclic analogs, and basic nucleoside analogs (such as methyl ribosides). One or more phosphodiester bonds can be replaced by an alternative linker. Such alternative linkers include, but are not limited to, wherein the phosphate ester is via P(O)S ("thioester"), P(S)S ("dithioester"), (O)NR 2 ("醯amine compounds "), P (O) R , P (O) oR ', CO or CH 2 (" Swap embodiment methylal "), wherein R or R' are each independently contain an ether is H or as the case ( -O-) A substituted or unsubstituted alkyl (1-20 C), aryl, alkenyl, cycloalkyl, cycloalkenyl or araldyl. All of the bonds in the polynucleotide need not be the same. The above description applies to all polynucleotides mentioned herein, including RNA and DNA.
如本文所用之"寡核苷酸"通常係指長度通常(但非必需)小於約200個核苷酸之短的、通常為單鏈、通常為合成之聚核苷酸。術語"寡核苷酸"及"聚核苷酸"並不相互排除。上文關於聚核苷酸之描述同樣且完全適用於寡核苷酸。As used herein, "oligonucleotide" generally refers to a short, usually single-stranded, usually synthetic polynucleotide that is typically, but not necessarily, less than about 200 nucleotides in length. The terms "oligonucleotide" and "polynucleotide" are not mutually exclusive. The above description of polynucleotides is equally and fully applicable to oligonucleotides.
關於肽或多肽序列之"胺基酸序列一致性百分比(%)"係定義為若需要對準特異性肽或多肽序列及引入間隔以達成最大序列一致性百分比,則在該等步驟之後在與該等序列中的胺基酸殘基相同之候選序列中存在之胺基酸殘基的百分比,且不應認為任何保守取代為序列一致性之部分。可以此項技術能力內之各種方式達成對準以確定胺基酸序列一致性百分比,例如使用諸如BLAST、BLAST-2、ALIGN或Megalign(DNASTAR)軟體之可公開獲得的電腦軟體。熟習此項技術者可測定用於量測對準之適當參數,包括所需任何演算法以在所比較序列全長上達成最大對準。然而,為達成本文目的,使用序列比較電腦程式ALIGN-2產生胺基酸序列一致性%值,其中在下表A中提供ALIGN-2程式之完全源碼。ALIGN-2序列比較電腦程式由Genentech,Inc.創作,且下表A中所顯示之源碼已與用戶文件一起存檔於U.S.Copyright Office,Washington D.C.,20559,其中其以U.S.Copyright Registration第TXU510087號登記。ALIGN-2程式可經由Genentech,Inc.,South San Francisco,California公開獲得。ALIGN-2程式應經編譯以用於UNIX操作系統、較佳地數位UNIX V4.0D。所有序列比較參數均由ALIGN-2程式設定且並不變化。The "amino acid sequence identity percent (%)" for a peptide or polypeptide sequence is defined as the alignment of a specific peptide or polypeptide sequence and the introduction interval to achieve a maximum sequence identity percentage, then after these steps The percentage of amino acid residues present in the candidate sequences of the same amino acid residues in the sequences, and no conservative substitutions should be considered as part of sequence identity. Alignment can be achieved in a variety of ways within this technical capability to determine percent amino acid sequence identity, such as publicly available computer software such as BLAST, BLAST-2, ALIGN or Megalign (DNASTAR) software. Those skilled in the art can determine appropriate parameters for measuring alignment, including any algorithms required to achieve maximum alignment over the entire length of the sequence being compared. However, for the purposes of this paper, the amino acid sequence identity % value was generated using the sequence comparison computer program ALIGN-2, where the full source code for the ALIGN-2 program is provided in Table A below. The ALIGN-2 sequence comparison computer program was created by Genentech, Inc., and the source code shown in Table A below has been filed with user files in U.S. Copyright Office, Washington D.C., 20559, which is registered under U.S. Copyright Registration No. TXU510087. The ALIGN-2 program is publicly available via Genentech, Inc., South San Francisco, California. The ALIGN-2 program should be compiled for use with the UNIX operating system, preferably digital UNIX V4.0D. All sequence comparison parameters are set by the ALIGN-2 program and do not change.
在將ALIGN-2用於胺基酸序列比較之情形中,給定胺基酸序列A與給定胺基酸序列B之胺基酸序列一致性%(其可另外稱為給定胺基酸序列A具有或包含與給定胺基酸序列B之特定胺基酸序列一致性%)如下計算:分數X/Y×100其中X為在A與B之彼程式對準中,由序列對準程式ALIGN-2記分為相同配對之胺基酸殘基數目,且其中Y為B中胺基酸殘基之總數。應瞭解,若胺基酸序列A之長度不等於胺基酸序列B之長度,則A與B之胺基酸序列一致性%將不等於B與A之胺基酸序列一致性%。In the case where ALIGN-2 is used for amino acid sequence comparison, the amino acid sequence sequence A of a given amino acid sequence A is given a certain amino acid sequence identity (which may be additionally referred to as a given amino acid). Sequence A has or contains % amino acid sequence identity with a given amino acid sequence B) calculated as follows: Fraction X/Y x 100 where X is in alignment with A and B, aligned by sequence The program ALIGN-2 scores the number of amino acid residues of the same pair, and wherein Y is the total number of amino acid residues in B. It will be appreciated that if the length of the amino acid sequence A is not equal to the length of the amino acid sequence B, the % identity of the amino acid sequence of A and B will not be equal to the % identity of the amino acid sequence of B and A.
除非另外特別指出,否則本文所用之所有胺基酸序列一致性%值均如前一段落所述使用ALIGN-2電腦程式獲得。Unless otherwise indicated, all amino acid sequence identity % values used herein were obtained using the ALIGN-2 computer program as described in the previous paragraph.
除非另外特定或在上下文中指出,否則如本文所用之術語"EphB4"(可交替稱為"EphB4R")係指任何天然或變異(天然或合成的)EphB4多肽。術語"天然序列"特定涵蓋天然存在的截短或分泌形式(例如細胞外域序列)、天然存在的變異形式(例如選擇性剪接形式)及天然存在的等位基因變異體。術語"野生型EphB4"一般係指包含天然存在的EphB4蛋白之胺基酸序列的多肽。術語"野生型EphB4序列"一般係指在天然存在的EphB4中發現之胺基酸序列。The term "EphB4" (alternatively referred to as "EphB4R") as used herein, unless otherwise specified or indicated in the context, refers to any natural or variant (natural or synthetic) EphB4 polypeptide. The term "native sequence" specifically encompasses naturally occurring truncated or secreted forms (eg, extracellular domain sequences), naturally occurring variant forms (eg, alternatively spliced forms), and naturally occurring allelic variants. The term "wild-type EphB4" generally refers to a polypeptide comprising an amino acid sequence of a naturally occurring EphB4 protein. The term "wild-type EphB4 sequence" generally refers to the amino acid sequence found in naturally occurring EphB4.
術語"抗體"及"免疫球蛋白"就最廣泛之含義而言可交替使用,且包括單株抗體(例如,全長或完整單株抗體)、多株抗體、單價、多價抗體、多特異性抗體(例如雙特異性抗體,只要其展現出所要生物學活性即可),且亦可包括某些抗體片段(如本文更詳細地描述)。抗體可為人類抗體、人化抗體及/或親和力成熟抗體。The terms "antibody" and "immunoglobulin" are used interchangeably in the broadest sense and include monoclonal antibodies (eg, full-length or intact monoclonal antibodies), polyclonal antibodies, monovalent, multivalent antibodies, multispecific An antibody (eg, a bispecific antibody, as long as it exhibits the desired biological activity), and may also include certain antibody fragments (as described in more detail herein). The antibody can be a human antibody, a humanized antibody, and/or an affinity matured antibody.
術語"可變"係指抗體間可變域之某些部分的序列普遍不同且該等部分用於各特定抗體對其特定抗原之結合及特異性。然而,變異性並非均勻分佈於抗體之整個可變域中。其集中於輕鏈與重鏈可變域中稱為互補判定區(complementarity-determining region)(CDR)或高變區之三個區段中。可變域中較高度保守之部分稱為框架(FR)。天然重鏈及輕鏈之可變域各包含在很大程度上採用β折疊組態的由三個CDR連接之四個FR區,其形成環連接,且在某些情形下形成部分β折疊結構。各鏈中之CDR係由FR區以緊密接近之方式固持在一起,且來自其他鏈之CDR有助於形成抗體之抗原結合位點(參看Kabat等人,Sequences of Proteins of Immunological Interest,第5版,National Institute of Health,Bethesda,MD(1991))。恆定域並不直接涉及抗體與抗原之結合,但展現出各種效應功能,諸如抗體參與抗體依賴性細胞毒性。The term "variable" means that the sequences of certain portions of the variable domains between antibodies are generally different and that such portions are used for the binding and specificity of each particular antibody for its particular antigen. However, the variability is not evenly distributed throughout the variable domain of the antibody. It is concentrated in three segments of the light chain and heavy chain variable domains called complementarity-determining regions (CDRs) or hypervariable regions. The higher degree of conservation in the variable domain is called the framework (FR). The variable domains of the native heavy and light chains each comprise four FR regions joined by three CDRs that are largely configured in a beta sheet, which form a loop junction and, in some cases, form a partial beta sheet structure. . The CDRs in each chain are held together in close proximity by the FR regions, and CDRs from other chains contribute to the formation of antigen binding sites for antibodies (see Kabat et al., Sequences of Proteins of Immunological Interest, 5th Edition). , National Institute of Health, Bethesda, MD (1991)). The constant domain is not directly involved in the binding of the antibody to the antigen, but exhibits various effector functions, such as antibody involvement in antibody-dependent cellular toxicity.
由木瓜酵素消化抗體會產生各具有單一抗原結合位點之兩個相同的抗原結合片段,稱為"Fab"片段;及殘餘"Fc"片段,其名稱反映其易於結晶之能力。胃蛋白酶處理會產生具有兩個抗原組合位點且仍能夠交聯抗原之F(ab')2 片段。Digestion of antibodies by papain produces two identical antigen-binding fragments each having a single antigen-binding site, termed a "Fab"fragment; and a residual "Fc" fragment whose name reflects its ability to crystallize readily. Pepsin treatment produces a F(ab') 2 fragment that has two antigen combining sites and is still capable of cross-linking antigen.
"Fv"為含有完整抗原識別位點及抗原結合位點之最小抗體片段。在兩鏈Fv種類中,此區係由緊密、非共價締合之一重鏈可變域及一輕鏈可變域之二聚體組成。在單鏈Fv種類中,一重鏈可變域與一輕鏈可變域可藉由彈性肽連接子共價連接,從而使輕鏈與重鏈可以與兩鏈Fv種類中的結構類似之"二聚"結構締合。各可變域之三個CDR在此組態中相互作用以界定VH-VL二聚體表面上之抗原結合位點。總之,六個CDR賦予抗體以抗原結合特異性。然而,甚至單一可變域(或半數僅包含三個抗原特異性CDR的Fv)亦具有識別且結合抗原之能力,儘管其與抗原之結合親和力比整個結合位點之親和力低。"Fv" is the smallest antibody fragment containing the entire antigen recognition site and antigen binding site. In a two-chain Fv species, this region consists of a dimer of one of the heavy chain variable domains and one of the light chain variable domains that are tightly, non-covalently associated. In the single-chain Fv species, a heavy chain variable domain and a light chain variable domain can be covalently linked by an elastin linker such that the light and heavy chains can be similar to the structure of the two-chain Fv species. Poly" structural association. The three CDRs of each variable domain interact in this configuration to define the antigen binding site on the surface of the VH-VL dimer. In summary, the six CDRs confer antigen binding specificity to the antibody. However, even a single variable domain (or half of an Fv comprising only three antigen-specific CDRs) has the ability to recognize and bind antigen, although its binding affinity to the antigen is lower than the affinity of the entire binding site.
Fab片段亦含有輕鏈之恆定域及重鏈之第一恆定域(CH1)。Fab'片段因在包括來自抗體鉸鏈區之一或多個半胱胺酸之重鏈CH1域的羧基末端添加有數個殘基而不同於Fab片段。Fab'-SH為Fab'在本文中之命名,其中恆定域之半胱胺酸殘基含有游離硫醇基。F(ab')2 抗體片段最初作為其間具有鉸鏈半胱胺酸之Fab'片段對產生。亦已知抗體片段之其他化學偶聯。The Fab fragment also contains the constant domain of the light chain and the first constant domain (CH1) of the heavy chain. The Fab' fragment differs from the Fab fragment by the addition of several residues at the carboxy terminus comprising the heavy chain CH1 domain from one or more of the cysteine regions of the antibody. Fab'-SH is a Fab' designation herein in which the constant domain cysteine residue contains a free thiol group. The F(ab') 2 antibody fragment was originally produced as a Fab' fragment pair with hinged cysteine in between. Other chemical couplings of antibody fragments are also known.
可基於恆定域之胺基酸序列將來自任何脊椎動物物種之抗體(免疫球蛋白)的"輕鏈"指定為兩種完全截然不同類型(稱為及λ)中之一者。The "light chain" of antibodies (immunoglobulins) from any vertebrate species can be assigned to two completely distinct types based on the amino acid sequence of the constant domain (referred to as And one of λ).
視重鏈恆定域之胺基酸序列而定,可將免疫球蛋白指定為不同種類。存在五種主要種類的免疫球蛋白:IgA、IgD、IgE、IgG及IgM,且此等種類中之數種可進一步分為子類(同型),例如IgG1 、IgG2 、IgG3 、IgG4 、IgA1 及IgA2 。對應於不同種類之免疫球蛋白之重鏈恆定域分別稱為α、δ、ε、γ及μ。不同種類免疫球蛋白之次單位結構及三維組態為熟知的。The immunoglobulins can be assigned to different species depending on the amino acid sequence of the heavy chain constant domain. There are five main classes of immunoglobulins: IgA, IgD, IgE, IgG, and IgM, and several of these classes can be further divided into subclasses (isotypes), such as IgG 1 , IgG 2 , IgG 3 , IgG 4 , IgA 1 and IgA 2 . The heavy chain constant domains corresponding to different types of immunoglobulins are called α, δ, ε, γ, and μ, respectively. The subunit structure and three-dimensional configuration of different types of immunoglobulins are well known.
"抗體片段"僅包含完整抗體的一部分,其中該部分較佳保持當存在於完整抗體中時通常與該部分相關的至少一種、較佳地大部分或所有功能。抗體片段之實例包括Fab、Fab'、F(ab')2 及Fv片段;雙功能抗體;線性抗體;單鏈抗體分子;及自抗體片段形成的多特異性抗體。在一實施例中,抗體片段包含完整抗體之抗原結合位點且因此保持結合抗原之能力。在另一實施例中,抗體片段(例如包含Fc區之抗體片段)保持當在完整抗體中存在時,與Fc區通常相關的至少一種生物學功能,例如FcRn結合、抗體半衰期調節、ADCC功能及補體結合。在一實施例中,抗體片段為一具有大體上與完整抗體類似的活體內半衰期之單價抗體。舉例而言,此類抗體片段可包含連接至Fc序列的能夠賦予該片段以活體內穩定性之抗原結合臂。An "antibody fragment" comprises only a portion of an intact antibody, wherein the portion preferably retains at least one, preferably most or all of the functions normally associated with the portion when present in the intact antibody. Examples of antibody fragments include Fab, Fab', F(ab') 2 and Fv fragments; bifunctional antibodies; linear antibodies; single-chain antibody molecules; and multispecific antibodies formed from antibody fragments. In one embodiment, the antibody fragment comprises the antigen binding site of the intact antibody and thus retains the ability to bind antigen. In another embodiment, an antibody fragment (eg, an antibody fragment comprising an Fc region) retains at least one biological function normally associated with the Fc region when present in an intact antibody, eg, FcRn binding, antibody half-life regulation, ADCC function, and Complement binding. In one embodiment, the antibody fragment is a monovalent antibody having an in vivo half-life substantially similar to the intact antibody. For example, such antibody fragments can comprise an antigen binding arm linked to an Fc sequence that confers in vivo stability to the fragment.
術語"高變區"、"HVR"或"HV"在本文中使用時係指序列高變且/或形成結構上界定之環的抗體可變域之區域。通常,抗體包含六個高變區;三個在VH(H1、H2、H3)中,且三個在VL(L1、L2、L3)中。本文中使用且涵蓋許多高變區描繪。Kabat互補判定區(CDR)係基於序列變異性且最常使用(Kabat等人,Sequences of Proteins of Immunological Interest ,第5版,Public Health Service,National Institutes of Health,Bethesda,MD.(1991))。而Chothia指出結構環之位置(Chothia及Lesk,J.Mol.Biol. 196:901-917(1987))。AbM高變區表示Kabat CDR與Chothia結構環之間的折衷,且用於Oxford Molecular的AbM抗體模型化軟體中。"接觸"高變區係基於對可用複合結晶結構之分析。來自該等高變區中之每一者之殘基如下所示。The term "hypervariable region", "HVR" or "HV" as used herein, refers to a region of an antibody variable domain that is hypervariable in sequence and/or forms a structurally defined loop. Typically, the antibody comprises six hypervariable regions; three in VH (H1, H2, H3) and three in VL (L1, L2, L3). Many hypervariable region depictions are used and covered herein. Kabat complementarity determining regions (CDRs) are based on sequence variability and are most commonly used (Kabat et al, Sequences of Proteins of Immunological Interest , Fifth Edition, Public Health Service, National Institutes of Health, Bethesda, MD. (1991)). Chothia pointed out the location of the structural loop (Chothia and Lesk, J. Mol. Biol. 196:901-917 (1987)). The AbM hypervariable region represents a compromise between the Kabat CDR and the Chothia structural loop and is used in Oxford Molecular's AbM antibody modeling software. The "contact" hypervariable region is based on an analysis of available composite crystalline structures. The residues from each of the hypervariable regions are as follows.
高變區可包含如下"延長高變區":VL中之24-36或24-34(L1)、46-56或50-56(L2)及89-97或89-96(L3);及VH中之26-35(H1)、50-65或49-65(H2)及93-102、94-102或95-102(H3)。可變域殘基係根據上文Kabat等人關於該等定義中之每一者所述編號。The hypervariable region may comprise the following "extended hypervariable regions": 24-36 or 24-34 (L1), 46-56 or 50-56 (L2) and 89-97 or 89-96 (L3) in the VL; 26-35 (H1), 50-65 or 49-65 (H2) and 93-102, 94-102 or 95-102 (H3) in VH. Variable domain residues are numbered according to Kabat et al. above for each of these definitions.
"框架"或"FR"殘基為除如本文所定義之高變區殘基外之彼等可變域殘基。"Framework" or "FR" residues are those variable domain residues other than the hypervariable region residues as defined herein.
"人化"形式之非人類(例如鼠類)抗體為含有來源於非人類免疫球蛋白之最小序列的嵌合抗體。人化抗體一般為人類免疫球蛋白(受體抗體),其中來自受體高變區之殘基經來自具有所要特異性、親和力及能力之非人類物種(供體抗體)高變區之殘基置換,該等非人類物種諸如小鼠、大鼠、兔或非人類靈長類動物。在某些情形下,人類免疫球蛋白之框架區(FR)殘基係經相應非人類殘基置換。此外,人化抗體可包含未見於受體抗體或供體抗體中之殘基。進行該等修飾以進一步改進抗體效能。一般地,人化抗體將包含至少一個且通常兩個可變域之大體上所有序列,其中所有或大體上所有高變環與非人類免疫球蛋白之彼等序列相對應,且所有或大體上所有FR為人類免疫球蛋白序列之彼等序列。人化抗體亦將視情形包含至少一部分免疫球蛋白恆定區(Fc),通常為人類免疫球蛋白之恆定區。更詳細之內容,參看Jones等人,Nature 321:522-525(1986);Riechmann等人,Nature 332:323-329(1988);及Presta,Curr.Op.Struct.Biol. 2:593-596(1992)。亦參看下述文章綜述及其中所引用之參考文獻:Vaswani及Hamilton,Ann.Allergy,Asthma & Immunol. 1:105-115(1998);Harris,Biochem.Soc.Transactions 23:1035-1038(1995);Hurle及Gross,Curr.Op.Biotech. 5:428-433(1994)。A "humanized" form of a non-human (eg, murine) antibody is a chimeric antibody containing minimal sequence derived from a non-human immunoglobulin. Humanized antibodies are typically human immunoglobulins (receptor antibodies) in which residues from the hypervariable region of the receptor are subjected to residues from the hypervariable region of a non-human species (donor antibody) having the desired specificity, affinity and ability. Replacement, such non-human species such as mice, rats, rabbits or non-human primates. In some cases, the framework region (FR) residues of human immunoglobulin are replaced by corresponding non-human residues. Furthermore, humanized antibodies may comprise residues that are not found in the recipient antibody or in the donor antibody. These modifications are made to further improve antibody performance. Generally, a humanized antibody will comprise substantially all sequences of at least one and usually two variable domains, wherein all or substantially all of the hypervariable loops correspond to their sequences of non-human immunoglobulins, and all or substantially All FRs are their sequences of human immunoglobulin sequences. The humanized antibody will also, depending on the situation, comprise at least a portion of an immunoglobulin constant region (Fc), typically a constant region of a human immunoglobulin. For more details, see Jones et al, Nature 321:522-525 (1986); Riechmann et al, Nature 332:323-329 (1988); and Presta, Curr.Op.Struct.Biol. 2:593-596 (1992). See also the following review articles and in the references cited: Vaswani and Hamilton, Ann.Allergy, Asthma & Immunol 1 : 105-115 (1998); Harris, Biochem.Soc.Transactions 23:. 1035-1038 (1995) Hurle and Gross, Curr. Op . Biotech . 5: 428-433 (1994).
"嵌合"抗體(免疫球蛋白)具有與來源於特定物種或屬於特定抗體種類或子類的對應序列相同或同源之一部分重鏈及/或輕鏈,而該鏈之剩餘部分與來源於另一物種或屬於另一抗體種類或子類以及該等抗體之片段的對應序列相同或同源,只要其展示所要生物學活性(美國專利第4,816,567號;及Morrison等人,Proc.Natl.Acad.Sci.USA 81:6851-6855(1984))。如本文所用之人化抗體為嵌合抗體之子集。A "chimeric" antibody (immunoglobulin) has a portion of a heavy chain and/or a light chain that is identical or homologous to a corresponding sequence derived from a particular species or belonging to a particular antibody class or subclass, and the remainder of the strand is derived from The corresponding sequence of another species or another antibody class or subclass and fragments of such antibodies is identical or homologous as long as it exhibits the desired biological activity (U.S. Patent No. 4,816,567; and Morrison et al., Proc. Natl. Acad). .Sci. USA 81:6851-6855 (1984)). Humanized antibodies as used herein are a subset of chimeric antibodies.
"單鏈Fv"或"scFv"抗體片段包含抗體之VH及VL域,其中此等域存在於單一多肽鏈中。一般而言,scFv多肽另外在VH與VL域之間包含多肽連接子,其使scFv能形成抗原結合所要的結構。關於scFv之評論,參見Pluckthun,The Pharmacology of Monoclonal Antibodies ,第113卷,Rosenburg及Moore編輯,Springer-Verlag,New York,第269-315頁(1994)。A "single-chain Fv" or "scFv" antibody fragment comprises the VH and VL domains of an antibody, wherein such domains are present in a single polypeptide chain. In general, the scFv polypeptide additionally comprises a polypeptide linker between the VH and VL domains which enables the scFv to form the desired structure for antigen binding. For a review of scFv, see Pluckthun, The Pharmacology of Monoclonal Antibodies , Vol. 113, Rosenburg and Moore eds. Springer-Verlag, New York, pp. 269-315 (1994).
"抗原"為抗體可選擇性結合之預定抗原。靶向抗原可為多肽、碳水化合物、核酸、脂質、半抗原或其他天然存在或合成的化合物。較佳地,靶向抗原為多肽。An "antigen" is a predetermined antigen to which an antibody can selectively bind. The targeting antigen can be a polypeptide, carbohydrate, nucleic acid, lipid, hapten or other naturally occurring or synthetic compound. Preferably, the targeting antigen is a polypeptide.
術語"雙功能抗體"係指具有兩個抗原結合位點之小抗體片段,該等片段在同一多肽鏈(VH-VL)中包含連接至輕鏈可變域(VL)之重鏈可變域(VH)。藉由使用過短以致不能在同一鏈上兩個域之間配對之連接子,迫使該等域與另一鏈之互補域配對且產生兩個抗原結合位點。雙功能抗體更詳細描述於(例如)EP 404,097、WO 93/11161及Hollinger等人,Proc.Natl.Acad.Sci.USA ,90 :6444-6448(1993)中。The term "bifunctional antibody" refers to a small antibody fragment having two antigen binding sites comprising a heavy chain variable domain linked to a light chain variable domain (VL) in the same polypeptide chain (VH-VL) (VH). By using a linker that is too short to be paired between the two domains on the same strand, the domains are forced to pair with the complementary domains of the other strand and create two antigen-binding sites. Bifunctional antibodies are described in more detail in, for example, EP 404,097, WO 93/11161 and Hollinger et al, Proc. Natl. Acad. Sci. USA , 90 :6444-6448 (1993).
"人類抗體"係具有與人類產生之抗體之胺基酸序列相應的胺基酸序列且/或已使用如本文所揭示之用於製造人類抗體之任何技術製得的抗體。此關於人類抗體之定義特別排除包含非人類抗原結合殘基之人化抗體。A "human antibody" is an antibody having an amino acid sequence corresponding to the amino acid sequence of a human-derived antibody and/or having been produced using any of the techniques disclosed herein for the production of human antibodies. This definition of human antibodies specifically excludes humanized antibodies comprising non-human antigen binding residues.
"親和力成熟"之抗體係在一或多個HVR中具有一或多種變化之抗體,與不具有彼等變化之親本抗體相比,該等變化使得抗體對於抗原之親和力得以改良。較佳之親和力成熟抗體對於靶向抗原應具有數奈莫耳(nanomolar)或甚至皮莫耳(picomolar)之親和力。親和力成熟抗體係藉由此項技術中已知之程序產生。Marks等人,Bio/Technology 10:779-783(1992)描述由VH及VL域改組引起之親和力成熟。CDR及/或框架殘基之隨機突變誘發描述於下列文獻中:Barbas等人,Proc Nat.Acad.Sci.USA 91:3809-3813(1994);Schier等人,Gene 169:147-155(1995);Yelton等人,J.Immunol. 155:1994-2004(1995);Jackson等人,J.Immunol. 154(7):3310-9(1995);及Hawkins等人,J.Mol.Biol. 226:889-896(1992)。An "affinity mature" anti-system has one or more altered antibodies in one or more HVRs that result in improved affinity of the antibody for the antigen compared to parental antibodies that do not have such changes. Preferred affinity matured antibodies should have a sensitivity of several nanomolar or even picomolar for the targeted antigen. Affinity mature anti-systems are produced by procedures known in the art. Affinity maturation caused by VH and VL domain shuffling is described by Marks et al, Bio/Technology 10:779-783 (1992). Random mutation induction of CDR and/or framework residues is described in Barbas et al, Proc Nat . Acad. Sci. USA 91: 3809-3813 (1994); Schier et al, Gene 169: 147-155 (1995) Yelton et al. , J. Immunol. 155: 1994-2004 (1995); Jackson et al. , J. Immunol. 154(7): 3310-9 (1995); and Hawkins et al., J. Mol. Biol. 226: 889-896 (1992).
抗體"效應功能"係指可歸因於抗體之Fc區(天然序列Fc區或胺基酸序列變異Fc區)的彼等生物學活性且隨著抗體同型而變化。抗體效應功能之實例包括:C1q結合及補體依賴性細胞毒性;Fc受體結合;抗體依賴性細胞介導的細胞毒性(ADCC);吞噬作用;細胞表面受體(例如B細胞受體)下調;及B細胞活化。Antibody "effector function" refers to the biological activity attributable to the Fc region of an antibody (the native sequence Fc region or the amino acid sequence variant Fc region) and which varies with antibody isotype. Examples of antibody effector functions include: C1q binding and complement dependent cytotoxicity; Fc receptor binding; antibody-dependent cell-mediated cytotoxicity (ADCC); phagocytosis; downregulation of cell surface receptors (eg, B cell receptors); And B cell activation.
"抗體依賴性細胞介導的細胞毒性"或"ADCC"係指一種細胞毒性形式,其中所分泌Ig結合至存在於某些細胞毒性細胞(例如自然殺手(NK)細胞、嗜中性白血球及巨嗜細胞)上之Fc受體(FcR),使得此等細胞毒性效應細胞特異性結合至載運抗原的靶向細胞且隨後以細胞毒素殺死該等靶向細胞。抗體"武裝"細胞毒性細胞,且對於此類殺死作用而言,抗體為絕對必需的。介導ADCC之初級細胞(NK細胞)僅表現FcγRIII,而單核細胞表現FcγRI、FcγRII及FcγRIII。造血細胞上之FcR表現概述於Ravetch及Kinet,Annu.Rev.Immunol 9:457-92(1991)第464頁表3中。為分析所關注分子之ADCC活性,可執行諸如美國專利第5,500,362號或第5,821,337號或Presta美國專利第6,737,056號中所述之活活體外ADCC檢定。適用於該等檢定之效應細胞包括末梢血液單核細胞(PBMC)及自然殺手(NK)細胞。另外或其他,所關注分子之ADCC活性可在諸如Clynes等人,PNAS(USA) 95:652-656(1998)中所揭示之動物模型中於活體內分析。"Antibody-dependent cell-mediated cytotoxicity" or "ADCC" refers to a cytotoxic form in which secreted Ig binds to certain cytotoxic cells (eg, natural killer (NK) cells, neutrophils, and giants). The Fc receptor (FcR) on the cytopathic cells allows these cytotoxic effector cells to specifically bind to the targeted cells carrying the antigen and subsequently kill the targeted cells with cytotoxin. Antibodies "arm" cytotoxic cells, and antibodies are absolutely necessary for such killing effects. Primary cells (NK cells) that mediate ADCC exhibit only FcγRIII, while monocytes express FcγRI, FcγRII, and FcγRIII. The FcR expression on hematopoietic cells is summarized in Table 3 on page 464 of Ravetch and Kinet, Annu . Rev. Immunol 9:457-92 (1991). For the analysis of the ADCC activity of the molecule of interest, an in vitro ADCC assay such as that described in U.S. Patent No. 5,500,362 or U.S. Patent No. 5,821,337, or the disclosure of U.S. Patent No. 6,737,056. Effector cells suitable for such assays include peripheral blood mononuclear cells (PBMC) and natural killer (NK) cells. Additionally or alternatively, the ADCC activity of the molecule of interest can be analyzed in vivo in an animal model such as that disclosed in Clynes et al, PNAS (USA) 95:652-656 (1998).
"人類效應細胞"為表現一或多種FcR且執行效應功能之白血球。較佳地,該等細胞至少表現FcγRIII且執行ADCC效應功能。介導ADCC之人類白血球的實例包括末梢血液單核細胞(PBMC)、自然殺手(NK)細胞、單核細胞、細胞毒性T細胞及嗜中性白血球;其中PBMC及NK細胞為較佳的。效應細胞可自天然來源(例如,血液)分離。A "human effector cell" is a white blood cell that exhibits one or more FcRs and performs effector functions. Preferably, the cells exhibit at least FcyRIII and perform an ADCC effector function. Examples of human leukocytes that mediate ADCC include peripheral blood mononuclear cells (PBMC), natural killer (NK) cells, monocytes, cytotoxic T cells, and neutrophils; PBMCs and NK cells are preferred. Effector cells can be isolated from natural sources (eg, blood).
"Fc受體"或"FcR"描述結合至抗體Fc區之受體。較佳之FcR為天然序列人類FcR。此外,較佳FcR為結合IgG抗體(γ受體)之FcR,且包括FcγRI、FcγRII及FcγRIII子類之受體,包括此等受體之等位基因變異體及選擇性剪接形式。FcγRII受體包括FcγRIIA("活化受體")及FcγRIIB("抑制受體"),其具有主要在於細胞質域有所不同之類似的胺基酸序列。活化受體FcγRIIA在其細胞質域中含有免疫受體基於酪胺酸之活化基元(ITAM)。抑制受體FcγRIIB在其細胞質域中含有免疫受體基於酪胺酸之抑制基元(ITIM)。(參見M.Daron,Annu.Rev.Immunol. 15:203-234(1997)中之評論)。FcR評論於Ravetch及Kinet,Annu.Rev.Immunol 9:457-92(1991);Capel等人,Immunomethods 4:25-34(1994);及de Haas等人,J.Lab.Clin.Med. 126:330-41(1995)中。本文術語"FcR"涵蓋其他FcR,包括未來將辨別的彼等FcR。該術語亦包括新生兒受體FcRn,其為造成母體IgG轉移至胎兒之原因(Guyer等人,J.Immunol. 117:587(1976)及Kim等人,J.Immunol. 24:249(1994))且調節免疫球蛋白之動態平衡。WO 00/42072(Presta)描述對FcR具有改良的或減小的結合之抗體變異體。彼專利公開案之內容以引用方式特定併入本文中。亦參見Shields等人,J.Biol.Chem. 9(2):6591-6604(2001)。"Fc receptor" or "FcR" describes a receptor that binds to the Fc region of an antibody. Preferably, the FcR is a native sequence human FcR. Furthermore, preferred FcRs are FcRs that bind to IgG antibodies (gamma receptors) and include receptors for the FcγRI, FcγRII, and FcγRIII subclasses, including allelic variants and alternatively spliced forms of such receptors. Fc[gamma]RII receptors include FcyRIIA ("Activated Receptor") and FcyRIIB ("Inhibition Receptor"), which have similar amino acid sequences that differ primarily in the cytoplasmic domain. The activating receptor FcyRIIA contains an immunoreceptor tyrosine-based activation motif (ITAM) in its cytoplasmic domain. The inhibitory receptor FcyRIIB contains an immunoreceptor-based tyrosine-based inhibitory element (ITIM) in its cytoplasmic domain. (See M.Da Ron , Annu. Rev. Immunol. 15: 203-234 (1997).) FcR is reviewed in Ravetch and Kinet, Annu . Rev. Immunol 9:457-92 (1991); Capel et al, Immunomethods 4:25-34 (1994); and de Haas et al, J. Lab. Clin. Med. : 330-41 (1995). The term "FcR" herein encompasses other FcRs, including those FcRs that will be recognized in the future. The term also encompasses the neonatal receptor FcRn, which is responsible for the transfer of maternal IgG to the fetus (Guyer et al, J. Immunol. 117:587 (1976) and Kim et al, J. Immunol. 24:249 (1994). And regulate the homeostasis of immunoglobulins. WO 00/42072 (Presta) describes antibody variants with improved or reduced binding to FcR. The content of the patent publication is specifically incorporated herein by reference. See also Shields et al, J. Biol. Chem. 9(2): 6591-6604 (2001).
量測與FcRn之結合的方法為已知的(例如,參見Ghetie 1997,Hinton 2004)。舉例而言,可在轉殖基因小鼠或表現人類FcRn之經轉染人類細胞株中或在投與Fc變異多肽之靈長類動物中檢定對人類FcRn之活體內結合及人類FcRn高親和力結合多肽之血清半衰期。Methods for measuring binding to FcRn are known (for example, see Ghetie 1997, Hinton 2004). For example, in vivo binding to human FcRn and high affinity binding of human FcRn can be assayed in transgenic mouse or transfected human cell lines expressing human FcRn or in primates administered with Fc variant polypeptides. The serum half-life of the polypeptide.
"補體依賴性細胞毒性"或"CDC"係指靶向細胞在補體存在下溶解。經典補體途徑之活化係藉由使補體系統之第一組份(C1q)結合至(適當子類之)抗體(其結合至其同源抗原)起始。為分析補體活化,可執行CDC檢定(例如,如Gazzano-Santoro等人,J.Immunol.Methods 202:163(1996)中所述)。"Complement dependent cytotoxicity" or "CDC" refers to the lysis of a targeted cell in the presence of complement. Activation of the classical complement pathway is initiated by binding the first component of the complement system (C1q) to an antibody (of the appropriate subclass) that binds to its cognate antigen. To analyze complement activation, a CDC assay can be performed (e.g., as described in Gazzano-Santoro et al., J. Immunol. Methods 202: 163 (1996)).
具有改變的Fc區胺基酸序列及增加的或降低的C1q結合能力之多肽變異體描述於美國專利第6,194,551B1號及WO 99/51642中。彼等專利公開案之內容以引用方式特定併入本文中。亦參見Idusogie等人,J.Immunol. 164:4178-4184(2000)。Polypeptide variants with altered Fc region amino acid sequences and increased or decreased C1q binding ability are described in U.S. Patent No. 6,194,551 B1 and WO 99/51642. The contents of their patent publications are specifically incorporated herein by reference. See also Idusogie et al, J. Immunol. 164: 4178-4184 (2000).
術語"包含Fc區之多肽"係指包含Fc區之多肽,例如抗體或免疫黏附素(參見以下定義)。舉例而言,可在多肽純化期間或藉由重組性工程設計編碼多肽之核酸而移除Fc區的C末端離胺酸(根據EU編號系統之殘基447)。因此,包含具有Fc區之多肽的本發明組合物可包含具有K447之多肽、其中K447均已移除之多肽或具有及不具有K447殘基之混合物。The term "polypeptide comprising an Fc region" refers to a polypeptide comprising an Fc region, such as an antibody or immunoadhesin (see definition below). For example, the C-terminal amide acid of the Fc region (residue 447 according to the EU numbering system) can be removed during purification of the polypeptide or by recombinant engineering of the nucleic acid encoding the polypeptide. Thus, a composition of the invention comprising a polypeptide having an Fc region may comprise a polypeptide having K447, a polypeptide in which K447 has been removed, or a mixture having and without K447 residues.
"阻斷"抗體或"拮抗劑"抗體為抑制或降低其所結合的抗原之生物活性之抗體。較佳之阻斷抗體或拮抗劑抗體大體上或完全抑制抗原之生物學活性。A "blocking" antibody or "antagonist" antibody is an antibody that inhibits or reduces the biological activity of the antigen to which it binds. Preferably, the blocking antibody or antagonist antibody substantially or completely inhibits the biological activity of the antigen.
如本文所用之"促效劑抗體"為模擬所關注多肽之至少一種功能活性之抗體。An "agonist antibody" as used herein is an antibody that mimics at least one functional activity of a polypeptide of interest.
用於達成本文目的之"受體人類框架"為包含來源於人類免疫球蛋白框架或來自人類一致框架的VL或VH框架之胺基酸序列的框架。"來源於"人類免疫球蛋白框架或人類一致框架之受體人類框架可包含其相同胺基酸序列,或可含有已存在的胺基酸序列改變。若存在已存在的胺基酸改變,則存在較佳地不超過5個且較佳地4個或4個以下或3個或3個以下已存在的胺基酸改變。若已存在的胺基酸改變存在於VH中,則較佳地彼等改變僅處於位置71H、73H及78H中之三個、兩個或一個位置;例如,彼等位置之胺基酸殘基可為71A、73T及/或78A。在一實施例中,VL受體人類框架之序列與VL人類免疫球蛋白框架序列或人類一致框架序列相同。The "receptor human framework" for the purposes herein is a framework comprising amino acid sequences derived from the human immunoglobulin framework or from the VL or VH framework of the human consensus framework. The acceptor human framework "derived from" the human immunoglobulin framework or the human consensus framework may comprise the same amino acid sequence, or may contain an amino acid sequence change already present. If there is an alteration of the existing amino acid, there is preferably no more than 5 and preferably 4 or less or 3 or less of the existing amino acid changes. If an existing amino acid change is present in the VH, preferably the changes are only at three, two or one of positions 71H, 73H and 78H; for example, amino acid residues at their positions It can be 71A, 73T and/or 78A. In one embodiment, the sequence of the VL receptor human framework is identical to the VL human immunoglobulin framework sequence or the human consensus framework sequence.
"人類一致框架"係表示在所選人類免疫球蛋白VL或VH框架序列中最常存在的胺基酸殘基之框架。一般而言,人類免疫球蛋白VL或VH序列係選自可變域序列之亞群。一般而言,序列之亞群為如Kabat等人所述之亞群。在一實施例中,對於VL而言,該亞群為如Kabat等人所述之亞群I。在一實施例中,對於VH而言,該亞群為如Kabat等人所述之亞群III。"Human consensus framework" refers to the framework of the most frequently occurring amino acid residues in the selected human immunoglobulin VL or VH framework sequences. In general, the human immunoglobulin VL or VH sequence is selected from a subpopulation of variable domain sequences. In general, a subgroup of sequences is a subgroup as described by Kabat et al. In one embodiment, for VL, the subgroup is a subgroup as described by Kabat et al. I. In one embodiment, for VH, the subpopulation is subgroup III as described by Kabat et al.
"VH亞群III一致框架"包含自Kabat等人之可變重鏈亞群III中之胺基酸序列獲得的一致序列。在一實施例中,VH亞群III一致框架胺基酸序列包含以下序列中之每一者之至少一部分或所有:EVQLVESGGGLVQPGGSLRLSCAAS(SEQ ID NO:42)-H1-WVRQAPGKGLEWV(SEQ ID NO:43)-H2-RFTISRDNSKNTLYLQMNSLRAEDTAVYYC(SEQ ID NO:44)-H3-WGQGTLVTVSS(SEQ ID NO:45)。The "VH subgroup III consensus framework" comprises a consensus sequence obtained from the amino acid sequence of the variable heavy chain subgroup III of Kabat et al. In one embodiment, the VH subgroup III consensus framework amino acid sequence comprises at least a portion or all of each of the following sequences: EVQLVESGGGLVQPGGSLRLSCAAS (SEQ ID NO: 42)-H1-WVRQAPGKGLEWV (SEQ ID NO: 43)- H2-RFTISRDNSKNTLYLQMNSLRAEDTAVYYC (SEQ ID NO: 44) - H3-WGQGTLVTVSS (SEQ ID NO: 45).
"VL亞群I一致框架"包含自Kabat等人之可變輕鏈亞群I中之胺基酸序列獲得的一致序列。在一實施例中,VL亞群I一致框架胺基酸序列包含以下序列中之每一者之至少一部分或所有:DIQMTQSPSSLSASVGDRVTITC(SEQ ID NO:46)-L1-WYQQKPGKAPKLLIY(SEQ ID NO:47)-L2-GVPSRFSGSGSGTDFTLTISSLQPEDFATYYC(SEQ ID NO:48)-L3-FGQGTKVEIK(SEQ ID NO:49)。"VL Subgroup I Consistent Framework" contains variable light chains from Kabat et al. A consensus sequence obtained from the amino acid sequence in subgroup I. In one embodiment, the VL subgroup I consensus framework amino acid sequence comprises at least a portion or all of each of the following sequences: DIQMTQSPSSLSASVGDRVTITC (SEQ ID NO: 46)-L1-WYQQKPGKAPKLLIY (SEQ ID NO: 47)- L2-GVPSRFSGSGSGTDFTLTISSLQPEDFATYYC (SEQ ID NO: 48)-L3-FGQGTKVEIK (SEQ ID NO: 49).
"病症"或"疾病"為將自以本發明物質/分子或方法治療獲益之任何病況。此術語包括慢性及急性病症或疾病,包括傾向於使哺乳動物患有所探討病症之彼等病理性病況。本文待治療之病症之非限制性實例包括惡性及良性腫瘤、癌、胚細胞瘤及肉瘤。"Disease" or "disease" is any condition that would benefit from treatment with a substance/molecule or method of the invention. The term includes chronic and acute conditions or diseases, including those pathological conditions that tend to cause the mammal to have the condition in question. Non-limiting examples of conditions to be treated herein include malignant and benign tumors, carcinoma, blastoma, and sarcoma.
術語"細胞增生性病症"及"增生性病症"係指與某一程度之異常細胞增生相關之病症。在一實施例中,細胞增生性病症為癌。The terms "cell proliferative disorder" and "proliferative disorder" refer to a disorder associated with a certain degree of abnormal cell proliferation. In one embodiment, the cell proliferative disorder is cancer.
如本文所用之"腫瘤"係指所有惡性或良性贅生性細胞生長及增生及所有癌前及癌細胞及組織。術語"癌"、"癌的"、"細胞增生性病症"、"增生性病症"及"腫瘤"在本文中提及時並不相互排除。As used herein, "tumor" refers to all malignant or benign neoplastic cell growth and proliferation and all precancerous and cancerous cells and tissues. The terms "cancer", "cancer", "cell proliferative disorder", "proliferative disorder" and "tumor" are not excluded from each other when referred to herein.
術語"癌"及"癌的"係指或描述通常由不受調節的細胞生長/增生表徵之哺乳動物生理學病況。癌之實例包括(但不限於)癌、淋巴瘤、胚細胞瘤、肉瘤及白血病。該等癌之更特定實例包括鱗狀細胞癌、小細胞肺癌、非小細胞肺癌、肺腺癌、肺部鱗狀癌、腹膜癌、肝細胞癌、胃腸癌、胰腺癌、神經膠母細胞瘤、子宮頸癌、卵巢癌、肝癌、膀胱癌、肝腫瘤、乳癌、結腸癌、結腸直腸癌、子宮內膜或子宮癌、唾液腺癌、腎癌、肝癌、前列腺癌、陰門癌、甲狀腺癌、肝癌、胃癌、黑素瘤及各種類型之頭頸部癌。血管生成之失調可導致多種可由本發明組合物及方法治療之病症。此等病症包括非贅生性及贅生性病況。贅生性病況包括(但不限於)以上描述之彼等病況。非贅生性病症包括(但不限於)不良或異常肥大、關節炎、類風濕性關節炎(RA)、牛皮癬、牛皮癬性斑塊、類肉瘤病、動脈粥樣硬化、動脈粥樣硬化斑塊、糖尿病性及其他增生性視網膜病(包括早產兒視網膜病、晶狀體後纖維組織增生、新生血管性青光眼、年齡相關之黃斑部變性、糖尿病性黃斑水腫、角膜新血管生成、角膜移植新血管生成、角膜移植排斥反應、視網膜/脈絡膜新血管生成、隅角新血管生成(虹膜紅變)、眼新生血管性疾病)、血管再狹窄、動靜脈畸形(AVM)、脊膜瘤、血管瘤、血管纖維瘤、甲狀腺增生(包括格雷氏病(Grave's disease))、角膜及其他組織移植、慢性炎症、肺炎症、急性肺損傷/ARDS、敗血症、原發性肺循環血壓過高、惡性肺滲出、腦水腫(例如與急性中風/封閉頭部損傷/外傷相關)、滑液炎症、RA中血管翳形成、骨化性肌炎、肥大骨形成、骨關節炎(OA)、難治癒的腹水、多囊性卵巢疾病、子宮內膜異位、體液疾病之第3間隔(胰腺炎、隔室症候群、灼熱、腸病)、子宮纖維瘤、早產、諸如IBD(克羅恩氏病(Crohn's disease)及潰瘍性結腸炎)之慢性炎症、腎同種異體移植排斥反應、發炎性腸病、腎病症候群、不良或異常組織大量生長(非癌)、嗜血性關節、肥厚性瘢痕、毛髮生長抑制、奧韋症候群(Osler-Weber syndrome)、化膿性肉芽腫晶狀體後纖維組織增生、硬皮病、沙眼、血管黏著、滑膜炎、皮炎、子癇前期、腹水、心包滲出(例如與心包炎相關之滲出)及胸膜滲出。The terms "cancer" and "cancerous" refer to or describe a mammalian physiological condition that is typically characterized by unregulated cell growth/proliferation. Examples of cancer include, but are not limited to, carcinoma, lymphoma, blastoma, sarcoma, and leukemia. More specific examples of such cancers include squamous cell carcinoma, small cell lung cancer, non-small cell lung cancer, lung adenocarcinoma, lung squamous carcinoma, peritoneal cancer, hepatocellular carcinoma, gastrointestinal cancer, pancreatic cancer, glioblastoma , cervical cancer, ovarian cancer, liver cancer, bladder cancer, liver cancer, breast cancer, colon cancer, colorectal cancer, endometrial or uterine cancer, salivary gland cancer, kidney cancer, liver cancer, prostate cancer, genital cancer, thyroid cancer, liver cancer , stomach cancer, melanoma and various types of head and neck cancer. Deregulation of angiogenesis can result in a variety of conditions that can be treated by the compositions and methods of the invention. These conditions include non-neoplastic and neoplastic conditions. The neoplastic conditions include, but are not limited to, the conditions described above. Non-neoplastic conditions include, but are not limited to, poor or abnormal hypertrophy, arthritis, rheumatoid arthritis (RA), psoriasis, psoriasis plaques, sarcoma-like sarcoma, atherosclerosis, atherosclerotic plaque, Diabetic and other proliferative retinopathy (including retinopathy of prematurity, post-lens fibrous tissue hyperplasia, neovascular glaucoma, age-related macular degeneration, diabetic macular edema, corneal neovascularization, corneal transplantation, neovascularization, cornea Transplant rejection, retinal/choroidal neovascularization, angina neovascularization (iris redness), ocular neovascular disease), vascular restenosis, arteriovenous malformation (AVM), meningioma, hemangioma, angiofibroma Thyroid hyperplasia (including Grave's disease), corneal and other tissue transplantation, chronic inflammation, pulmonary inflammation, acute lung injury/ARDS, sepsis, primary pulmonary hypertension, malignant lung exudation, cerebral edema (eg Associated with acute stroke/closed head injury/trauma), synovial inflammation, vasospasm in RA, ossifying myositis, hypertrophic bone formation, bone Arthritis (OA), refractory ascites, polycystic ovarian disease, endometriosis, third interval of body fluid disease (pancreatitis, compartment syndrome, burning, bowel disease), uterine fibroids, premature delivery, such as Chronic inflammation of IBD (Crohn's disease and ulcerative colitis), renal allograft rejection, inflammatory bowel disease, renal disease, abnormal or abnormal tissue growth (non-cancer), bloodthirsty joints Hypertrophic scar, hair growth inhibition, Osler-Weber syndrome, purulent granuloma, posterior fibrous tissue hyperplasia, scleroderma, trachoma, vascular adhesion, synovitis, dermatitis, preeclampsia, ascites, pericardium Exudation (eg, exudation associated with pericarditis) and pleural effusion.
如本文所用之"治療"係指嘗試改變所治療之個體或細胞之自然過程的臨床干預,且可於預防或臨床病理學過程中進行。所要治療作用包括預防疾病出現或復發、減輕症狀、減小疾病之任何直接或間接病理學結果、預防轉移、降低疾病進程速率、改善或緩和疾病狀態及緩解或改良預後。在一些實施例中,本發明抗體用於延遲疾病或病症發展。"Treatment," as used herein, refers to a clinical intervention that attempts to alter the natural course of the individual or cell being treated, and can be performed during prophylaxis or clinical pathology. The desired therapeutic effect includes preventing the occurrence or recurrence of the disease, alleviating the symptoms, reducing any direct or indirect pathological findings of the disease, preventing metastasis, reducing the rate of disease progression, improving or alleviating the disease state, and alleviating or improving the prognosis. In some embodiments, an antibody of the invention is used to delay the progression of a disease or condition.
術語"神經退化性疾病"及"神經退化性病症"以最廣泛含義使用以包括所有病理學涉及神經元退化及/或功能障礙之病症,包括(但不限於)末梢神經病變;運動神經元病症,例如澱粉樣沉著側索硬化症(ALS,盧.格裏格症(Lou Gehrig's disease))、貝爾麻痺(Bell's palsy)及各種涉及脊椎肌肉萎縮病或麻痺的病況;及其他人類神經退化性疾病,例如阿茲海默氏病、帕金森氏病、癲癇症、多發性硬化症、亨廷頓氏舞蹈病(Huntington's chorea)、唐氏症候群(Down's Syndrome)、神經性耳聾及梅尼爾氏病。The terms "neurodegenerative disease" and "neurodegenerative disorder" are used in the broadest sense to include all pathological conditions involving neuronal degeneration and/or dysfunction, including but not limited to peripheral neuropathy; motor neuron disorders, For example, amyloidosis lateral sclerosis (ALS, Lou Gehrig's disease), Bell's palsy, and various conditions involving spinal muscular atrophy or paralysis; and other human neurodegenerative diseases, For example, Alzheimer's disease, Parkinson's disease, epilepsy, multiple sclerosis, Huntington's chorea, Down's Syndrome, neurological deafness, and Meniere's disease.
"末梢神經病變"為一種影響末梢神經之神經退化性病症,最常表現為運動、感官、感覺運動或自主功能障礙之一者或組合。末梢神經病變可(例如)為遺傳學後天性疾病,可起因於全身性疾病或可由諸如神經毒性劑(例如抗贅生劑或工業或環境污染物)之毒性劑誘導。"末梢感官神經病變"由末梢感官神經元之退化表徵,其可為特發性的,可由於(例如)糖尿病(糖尿病性神經病變)、癌中細胞抑制性藥物療法(例如,以諸如長春新鹼、順鉑、甲胺喋呤、3'-疊氮基-3'-脫氧胸苷或紫杉烷(例如紫杉醇[TAXOL,Bristol-Myers Squibb Oncology,Princeton,N.J.]及多西他賽(doxetaxel)[TAXOTERE,Rhne-Poulenc Rorer,Antony,France])之化學治療劑治療)、醇中毒、後天免疫缺乏症候群(AIDS)或遺傳傾向而發生。遺傳學後天性末梢神經病變包括(例如)雷福生氏病(Refsum's disease)、克拉培氏病(Krabbe's disease)、異染性腦白質障礙、法布瑞氏病(Fabry's disease)、代哲因-索他症候群(Dejerine-Sottas syndrome)、無β脂蛋白血症(Abetalipoproteinemia)及夏馬杜三氏(CMT)病(Charcot-Marie-Tooth Disease,亦稱為脛肌萎縮症或遺傳性運動感覺神經病變(HMSN))。大多數類型之末梢神經病變經數月或數年之過程緩慢發展。在臨床實踐中,該等神經病變稱為慢性的。有時,末梢神經病變經幾天之過程快速發展,且稱為急性的。末梢神經病變通常一起影響感官及運動神經,以引起混合的感官及運動神經病變,但純感官及純運動神經病變亦為已知的。"Peripheral neuropathy" is a neurodegenerative disorder that affects peripheral nerves, most often manifested as one or a combination of motor, sensory, sensorimotor, or autonomic dysfunction. Peripheral neuropathy can, for example, be a genetically acquired disease that can result from a systemic disease or can be induced by a toxic agent such as a neurotoxic agent (eg, an anti-biochemical or industrial or environmental contaminant). "Surnal sensory neuropathy" is characterized by degeneration of peripheral sensory neurons, which may be idiopathic, due to, for example, diabetes (diabetic neuropathy), cytostatic drug therapy in cancer (eg, in, for example, Changchun New Base, cisplatin, methotrexate, 3'-azido-3'-deoxythymidine or taxane (eg paclitaxel [TAXOL] , Bristol-Myers Squibb Oncology, Princeton, NJ] and doxetaxel [TAXOTERE] , Rh Ne-Poulenc Rorer, Antony, France]) chemotherapeutic treatment), alcoholism, acquired immunodeficiency syndrome (AIDS) or genetic predisposition. Genetically acquired peripheral neuropathy includes, for example, Refsum's disease, Krabbe's disease, metachromatic white matter disorder, Fabry's disease, and Dynaecone Dejerine-Sottas syndrome, Abetalipoproteinemia, and Charcot-Marie-Tooth Disease (also known as diaphragmatic atrophy or hereditary motor sensory neuropathy) (HMSN)). Most types of peripheral neuropathy develop slowly over months or years. In clinical practice, these neuropathies are called chronic. Sometimes, peripheral neuropathy develops rapidly over a period of several days and is called acute. Peripheral neuropathy usually affects sensory and motor nerves together to cause mixed sensory and motor neuropathy, but pure sensory and pure motor neuropathy are also known.
"個體"為脊椎動物,較佳地為哺乳動物,更佳地為人類。哺乳動物包括(但不限於)家畜(諸如乳牛)、競技類動物(sport animal)、寵物(諸如貓、狗及馬)、靈長類動物、小鼠及大鼠。An "individual" is a vertebrate, preferably a mammal, and more preferably a human. Mammals include, but are not limited to, livestock (such as dairy cows), sport animals, pets (such as cats, dogs, and horses), primates, mice, and rats.
出於治療之目的,"哺乳動物"係指歸類為哺乳動物之任何動物,包括人類、家畜(domestic and farm animal)及動物園動物、競技類動物或寵物,諸如狗、馬、貓、乳牛等。較佳地,哺乳動物為人類。For the purposes of treatment, "mammal" means any animal classified as a mammal, including humans, farm animals and zoo animals, competitive animals or pets such as dogs, horses, cats, cows, etc. . Preferably, the mammal is a human.
"有效量"係指有效達成所要治療或預防結果所必需之劑量及時間之量。"Effective amount" means the amount of time and time necessary to effectively achieve the desired therapeutic or prophylactic result.
本發明物質/分子、促效劑或拮抗劑之"治療有效量"可根據諸如個體疾病狀態、年齡、性別及體重以及物質/分子、促效劑或拮抗劑在個體中引起所需反應的能力等因素而變化。治療有效量亦為物質/分子、促效劑或拮抗劑之有益療效勝於任何毒性或有害效應之量。"預防有效量"係指有效達成所欲預防結果所必需之劑量及時間之量。既然預防劑量於發病前或疾病早期使用,所以預防有效量通常(但非必須)小於治療有效量。A "therapeutically effective amount" of a substance/molecule, agonist or antagonist of the invention may be capable of eliciting a desired response in an individual, such as the individual's disease state, age, sex and weight, and the substance/molecule, agonist or antagonist. And other factors change. A therapeutically effective amount is also one in which the beneficial effects of the substance/molecule, agonist or antagonist are greater than any toxic or detrimental effects. "Prophylactically effective amount" means the amount of time and time necessary to effectively achieve the desired result of prevention. Since the prophylactic dose is administered before or at the onset of the disease, the prophylactically effective amount is usually (but not necessarily) less than the therapeutically effective amount.
如本文所用之術語"細胞毒性劑"係指抑制或預防細胞功能及/或引起細胞破壞之物質。該術語意欲包括放射性同位素(例如At211 、I131 、I125 、Y90 、Re186 、Re188 、Sm153 、Bi212 、P32 及Lu之放射性同位素)、化學治療劑(例如甲胺喋呤、阿黴素(adriamicin)、長春鹼(vinca alkaloid)(長春新鹼、長春鹼、依託泊苷(etoposide))、14-羥基柔紅黴素(doxorubicin)、美法侖(melphalan)、絲裂黴素C(mitomycin C)、苯丁酸氮芥(chlorambucil)、道諾黴素(daunorubicin)或其他插入劑、酶及其片段(例如核分解酶)、抗生素及毒素(諸如細菌、真菌、植物或動物來源的小分子毒素或酶活性毒素,包括其片段及/或變異體)及以下所揭示之各種抗腫瘤或抗癌劑。其他細胞毒性劑描述於下文中。殺腫瘤劑引起腫瘤細胞破壞。The term "cytotoxic agent" as used herein refers to a substance that inhibits or prevents cellular function and/or causes cell destruction. The term is intended to include radioisotopes (eg, radioactive isotopes of At 211 , I 131 , I 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212 , P 32 , and Lu), chemotherapeutic agents (eg, methotrexate) , adriamicin, vinca alkaloid (vincristine, vinblastine, etoposide), 14-hydroxy daunorubicin (doxorubicin), melphalan, mites Minomycin C, chlorambucil, daunorubicin or other intercalating agents, enzymes and fragments thereof (eg nuclear decomposing enzymes), antibiotics and toxins (such as bacteria, fungi, plants) Or animal-derived small molecule toxins or enzymatically active toxins, including fragments and/or variants thereof, and various anti-tumor or anti-cancer agents disclosed below. Other cytotoxic agents are described below. Tumor-killing agents cause tumor cell destruction .
"化學治療劑"為可用於治療癌之化學化合物。化學治療劑之實例包括烷基化劑,例如噻替派(thiotepa)及CYTOXAN環磷醯胺;磺酸烷酯,諸如硫酸布他卡因(busulfan)、英丙舒凡(improsulfan)及哌泊舒凡(piposulfan);氮丙啶,諸如苯幷多巴(benzodopa)、卡巴醌(carboquone)、麥曲多巴(meturedopa)及尤利多巴(uredopa);伸乙基亞胺及甲基艾穆爾胺(methylamelamine),包括六甲嘧胺(altretamine)、三伸乙基三聚氰胺、三伸乙基磷醯胺、三伸乙基硫代磷醯胺及三羥甲基三聚氰胺(trimethylolomelamine);乙醯生(acetogenin)(尤其布拉他辛(bullatacin)及布拉他辛酮(bullatacinone));δ-9-四氫大麻酚(曲大麻酚(dronabinol),MARINOL);β-拉帕酮(beta-lapachone);拉帕醇(lapachol);秋水仙鹼(colchicine);樺木酸(betulinic acid);喜樹鹼(camptothecin)(包括合成類似物拓撲替康(synthetic analogue topotecan)(HYCAMTIN)、CPT-11(伊立替康(irinotecan),CAMPTOSAR)、乙醯喜樹鹼、斯可波萊辛(scopolectin)及9-胺基喜樹鹼);苔蘚抑素(bryostatin);克利他汀(callystatin);CC-1065(包括其阿多來新(adozelesin)、卡折來新(carzelesin)及比折來新合成類似物(bizelesin synthetic analogue));鬼臼毒素(podophyllotoxin);足葉草酸(podophyllinic acid);替尼泊甙(teniposide);念珠藻環肽(cryptophycin)(特定言之,念珠藻環肽1及念珠藻環肽8);海兔毒素(dolastatin);多卡黴素(duocarmycin)(包括合成類似物,KW-2189及CB1-TM1);艾榴素(eleutherobin);潘卡替他汀(pancratistatin);沙科地辛(sarcodictyin);斯潘他汀(spongistatin);氮芥子氣(nitrogen mustard),諸如苯丁酸氮芥、萘氮芥(chlornaphazine)、鉻磷醯胺(cholophosphamide)、雌莫司汀(estramustine)、異環磷醯胺(ifosfamide)、氮芥(mechlorethamine)、氧化氮芥鹽酸鹽(mechlorethamine oxide hydrochloride)、美法侖、新恩比興(novembichin)、苯芥膽甾醇(phenesterine)、潑尼莫司汀(prednimustine)、曲磷胺(trofosfamide)、尿嘧啶芥子氣(uracil mustard);硝基脲(nitrosurea),諸如卡莫司汀(carmustine)、氯脲黴素(chlorozotocin)、福莫司汀(fotemustine)、洛莫司汀(lomustine)、尼莫司汀(nimustine)及雷莫司汀(ranimnustine);抗生素,諸如烯二炔類抗生素(enediyne antibiotic)(例如,刺孢黴素(calicheamicin),尤其刺孢黴素γ1l及刺孢黴素ΩI1)(例如,參看Agnew,Chem Intl.Ed.Engl.,33:183-186(1994));地尼黴素(dynemicin),包括地尼黴素A(dynemicin A);伊斯帕黴素(esperamicin);以及新製癌菌素發色團(neocarzinostatin chromophore)及相關色蛋白烯二確類抗生素發色團),阿克萊諾黴素(aclacinomysin)、放線菌素(actinomycin)、奧瑟黴素(authramycin)、偶氮絲胺酸(azaserine)、博萊黴素(bleomycin)、放線菌素C(cactinomycin)、卡洛比星(carabicin)、洋紅黴素(carminomycin)、嗜癌菌素(carzinophilin)、色黴素(chromomycinis)、放線菌素D(dactinomycin)、道諾黴素(daunorubicin)、地托比星(detorubicin)、6-重氮基-5-側氧基-L-甘白胺酸、阿黴素14-羥基柔紅黴素[ADRIAMYCIN(doxorubicin)](包括嗎啉基-14-羥基柔紅黴素、氰基嗎啉基-14-羥基柔紅黴素、2-吡咯啉基-14-羥基柔紅黴素及14-羥基脫氧柔紅黴素-(deoxydoxorubicin))、表柔比星(epirubicin)、依索比星(esorubicin)、伊達比星(idarubicin)、麻西羅黴素(marcellomycin)、絲裂黴素(mitomycin)(諸如絲裂黴素C)、黴酚酸(mycophenolic acid)、諾拉黴素(nogalamycin)、橄欖黴素(olivomycin)、培洛黴素(peplomycin)、博替羅黴素(potfiromycin)、嘌黴素(puromycin)、奎拉黴素(quelamycin)、羅多比星(rodorubicin)、鏈黑黴素(streptonigrin)、鏈佐星(streptozocin)、殺結核菌素(tubercidin)、烏苯美司(ubenimex)、淨司他丁(zinostatin)、左柔比星(zorubicin);抗代謝物,諸如甲胺喋呤及5-氟尿嘧啶(5-FU);葉酸類似物,諸如迪諾特寧(denopterin)、甲胺喋呤、蝶羅呤(pteropterin)、三甲曲沙(trimetrexate);嘌呤類似物,諸如氟達拉賓(fludarabine)、6-巰嘌呤、硫咪嘌呤(thiamiprine)、硫鳥嘌呤(thioguanine);嘧啶類似物,諸如安西他濱(ancitabine)、阿紮胞苷(azacitidine)、6-硫唑嘧啶、卡莫氟(carmofur)、阿糖胞苷(cytarabine)、雙脫氧尿苷(dideoxyuridine)、去氧氟尿苷(doxifluridine)、依諾他濱(enocitabine)、氮尿苷(floxuridine);雄激素,諸如卡普睪酮(calusterone)、丙酸屈他雄酮(dromostanolone propionate)、環硫雄醇(epitiostanol)、美雄烷(mepitiostane)、睪內酪(testolactone);抗腎上腺素,諸如胺魯米特(aminoglutethimide)、米托坦(mitotane)、曲洛司坦(trilostane);葉酸補充劑(folic acid replenisher),諸如(frolinic acid);醋葡醛內酯(aceglatone);醛磷醯胺糖苷(aldophosphamide glycoside);胺基乙醯丙酸(aminolevulinic acid);5-乙炔尿嘧啶(eniluracil);安吖啶(amsacrine);貝曲布辛(bestrabucil);比生群(bisantrene);伊達曲仙(edatraxate);德弗法明(defofamine);秋水仙胺(demecolcine);地吖醌(diaziquone);伊弗尼辛(elfornithine);依利醋銨(elliptinium acetate);艾普塞隆(epothilone);依託格魯(etoglucid);硝酸鎵(gallium nitrate);羥基尿素(hydroxyurea);香菇多糖(lentinan);洛尼達寧(lonidainine);美登辛諾(maytansinoid),諸如美登素(maytansine)及安絲菌素(ansamitocin);米托胍腙(mitoguazone);米托蒽醌(mitoxantrone);莫吡丹莫(mopidanmol);尼曲伊寧((nitraerine);噴司他丁(pentostatin);蛋胺氮芥(phenamet);比柔比星(pirarubicin);洛索蒽醌(losoxantrone);2-乙基醯肼;丙卡巴肼(procarbazine);PSK多醣複合物(JHS Natural Products,Eugene,OR);雷佐生(razoxane);根瘤菌素(rhizoxin);西佐喃(sizofiran);鍺螺胺(spirogermanium);細交鏈孢菌酮酸(tenuazonicacid);三亞胺醌(triaziquone);2,2',2"-三氯三乙胺;單端孢黴烯族毒素(trichothecene)(尤其T-2毒素、(verracurin A)、漆斑菌素A(roridin A)及(anguidine));烏拉坦(urethan);長春地辛(vindesine)(ELDISINE、FILDESIN);達卡巴嗪(dacarbazine);甘露莫司汀(mannomustine);二溴甘露糖醇(mitobronitol);二溴衛矛醇(mitolactol);哌泊溴烷(pipobroman);瓜西托辛(gacytosine);阿糖苷(arabinoside)("Ara-C");噻替派;紫杉醇類(taxoids),例如TAXOL紫杉醇(paclitaxel)(Bristol-Myers Squibb Oncology,Princeton,N.J.)、ABRAXANETM Cremophor-free、紫杉醇之白蛋白工程設計奈米顆粒調配物(American Pharmaceutical Partners,Schaumberg,Illinois)及TAXOTERE多西他賽(doxetaxel)(Rhne-Poulenc Rorer,Antony,France);氯萊布辛(chloranbucil);吉西他賓(gemcitabine)(GEMZAR);6-硫鳥嘌呤;巰基嘌呤;甲胺喋呤;鉑類似物,諸如順鉑(cisplatin)及卡鉑(carboplatin);長春鹼(vinorelbine)(NAVELBINE);鉑;依託泊苷(etoposide)(VP-16);異環磷醯胺(ifosfamide);米托蒽醌(mitoxantrone);長春新鹼(vincristine)(ONCOVIN);奧賽力鉑(oxaliplatin);洛克沃新(leucovovin);長春瑞賓(vinorelbine)(NAVELBINE);諾凡特龍(novantrone);依達曲沙(edatrexate);道諾黴素(daunomycin);胺基蝶呤(aminopterin);伊班膦酸鹽(ibandronate);拓撲異構酶抑制劑RFS 2000;二氟甲基鳥胺酸(difluoromethylornithine(DMFO));類視色素(retinoid),諸如視黃酸;卡西他賓(capecitabine)(XELODA);上述任何物質的醫藥學上可接受之鹽、酸或衍生物;以及兩種或兩種以上上述物質之組合,諸如CHOP(亦即環磷醯胺、14-羥基柔紅黴素(doxorubicin)、長春新鹼及潑尼龍(prednisolone)之組合療法的縮寫)及FOLFOX(亦即具有奧賽力鉑(ELOXATINTM)與5-FU及洛克沃新組合之治療方案的縮寫)。A "chemotherapeutic agent" is a chemical compound that can be used to treat cancer. Examples of chemotherapeutic agents include alkylating agents such as thiotepa and CYTOXAN Cyclophosphamide; alkyl sulfonate such as busulfan sulfate, improsulfan and piposulfan; aziridine such as benzodopa, kappa Carboquone, meturedopa and uredopa; methyl iminoamine and methylamelamine, including altretamine, tri-ethyl melamine, Tri-ethyl phosphamide, tri-ethyl thiophosphonamide and trimethylolomelamine; acetogenin (especially bullatacin and bullatacinone) ));δ-9-tetrahydrocannabinol (dronabinol, MARINOl) Beta-lapachone; lapachol; colchicine; betulinic acid; camptothecin (including synthetic analogue topotecan) Analogue topotecan)(HYCAMTIN ), CPT-11 (irinotecan, CAMPTOSAR) ), acetyl camptothecin, scopolectin and 9-aminocamptothecin; bryostatin; clallystatin; CC-1065 (including its adoline ( Adozelesin), carzelesin and bizelesin synthetic analogue; podophyllotoxin; podophyllinic acid; teniposide; nymphal Cyclopeptide (cryptophycin) (specifically, Candida cyclic peptide 1 and Nostoccal cyclic peptide 8); dolastatin; doocarmycin (including synthetic analogues, KW-2189 and CB1-TM1) ); eleutherobin; pancastatin; sarcodictyin; spongistatin; nitrogen mustard, such as chlorambucil, naphthyl mustard Chlornaphazine), cholophosphamide, estramustine, ifosfamide, mechlorethamine, mechlorethamine oxide hydrochloride, melphalan, Novembichin, phenesterine, Prednimustine, trofosfamide, uracil mustard; nitrosurea, such as carmustine, chlorozotocin, florol Fotemustine, lomustine, nimustine, and ranimnustine; antibiotics, such as enediyne antibiotics (eg, calicheamicin) ), especially calicheamicin γ1l and calicheamicin ΩI1) (for example, see Agnew, Chem Intl. Ed. Engl., 33: 183-186 (1994)); dynemicin, including Dini Dynemicin A; esperamicin; and neocarzinostatin chromophore and related chromophore bismuth chromophores, alkenomycin (aclacinomysin), actinomycin, authramycin, azaserine, bleomycin, cactinomycin, carabicin (carabicin) ), carminomycin, carzinophilin, chromomycinis, actinomycetes Dactinomycin, daunorubicin, detorubicin, 6-diazo-5-oxo-L-glycinic acid, doxorubicin 14-hydroxydaunorubicin [ADRIAMYCIN (doxorubicin)] (including morpholinyl-14-hydroxydaunorubicin, cyanomorpholinyl-14-hydroxydaunorubicin, 2-pyrrolineyl-14-hydroxydaunorubicin and 14-hydroxydeoxygenation Deoxydoxorubicin, epirubicin, esorubicin, idarubicin, marcellomycin, mitomycin (mitomycin) Such as mitomycin C), mycophenolic acid, nogalamycin, olivomycin, peplomycin, potfiromycin, sputum Puromycin, quelamycin, rodorubicin, streptonigrin, streptozocin, tubercidin, ubenimex ), ketostatin, zorubicin; antimetabolites such as methotrexate and 5-fluorouracil (5-FU); folic acid analogs such as denoptinin, Methotrexate, pteropterin, trimetrexate; purine analogs, such as fludarabine, 6-巯嘌呤Thiamiprine, thioguanine; pyrimidine analogs such as ancitabine, azacitidine, 6-thiazolidine, carmofur, arsenic Cytarabine, dideoxyuridine, doxifluridine, enocitabine, floxuridine; androgens, such as calulsterone, propionic acid Dromostanolone propionate, epitiostanol, mepitiostane, testolactone; anti-adrenalin, such as aminoglutethimide, mitotane, Trilostane; folic acid replenisher, such as (frolinic acid); aceglatone; aldophosphamide glycoside; aminolevulinic acid Acid); 5-ilynuracil; amsacrine; bestrabucil; bisantrene; edatraxate; defofamine; Damine (demecolcine); mantle (diaziqu One); elfornithine; elliptinium acetate; epothilone; etoglucid; gallium nitrate; hydroxyurea; Lentinan); lonidainine; maytansinoid, such as maytansine and ansamitocin; mitoguazone; mitoxantrone Mopidanmol; nitraerine; pentostatin; phenamet; pirarubicin; losoxantrone; -ethyl hydrazine; procarbazine; PSK Polysaccharide complex (JHS Natural Products, Eugene, OR); razoxane; rhizoxin; sizofiran; spirogermanium; tenuazonic acid Triaziquone; 2,2',2"-trichlorotriethylamine; trichothecene (especially T-2 toxin, (verracurin A), laccase A) Roryin A) and (anguidine); urethan; vindesine (ELDISINE) FILDESIN ); dacarbazine; mannomustine; mitobronitol; mitolactol; pipobroman; guacittosine ; arabinoside ("Ara-C");thiotepa; taxoids, such as TAXOL Paclitaxel (Bristol-Myers Squibb Oncology, Princeton, NJ), ABRAXANETM Cremophor-free, paclitaxel albumin engineered nanoparticle formulation (American Pharmaceutical Partners, Schaumberg, Illinois) and TAXOTERE Doxetaxel (Rh ne-Poulenc Rorer, Antony, France); chloranbucil; gemcitabine (GEMZAR) 6-thioguanine; mercaptopurine; methotrexate; platinum analogues such as cisplatin and carboplatin; vinorelbine (NAVELBINE) ); platinum; etoposide (VP-16); ifosfamide; mitoxantrone; vincristine (ONCOVIN) ); oxaliplatin; leucovovin; vinorelbine (NAVELBINE) ;;novantrone; edatrexate; daunomycin; aminopterin; ibandronate; topoisomerase inhibitor RFS 2000; difluoromethylornithine (DMFO); retinoids such as retinoic acid; capecitabine (XELODA) a pharmaceutically acceptable salt, acid or derivative of any of the above; and a combination of two or more of the foregoing, such as CHOP (i.e., cyclophosphamide, 14-hydroxy daunorubicin (doxorubicin) ), abbreviations for the combination therapy of vincristine and prednisolone, and FOLFOX (abbreviated as a treatment with a new combination of ELOXATINTM and 5-FU and Rockow).
此定義亦包括抗激素劑,其用於調節、降低、阻斷或抑制可促進癌生長之激素的作用且其通常為全身性或整個身體治療之形式。其可為激素本身。實例包括抗雌激素及選擇性雌激素受體調節劑(SERM),包括(例如)他莫昔芬(tamoxifen)(包括NOLVADEX他莫昔芬)、EVISTA雷諾昔芬(raloxifene)、屈洛昔芬(droloxifene)、4-羥基他莫昔芬、曲沃昔芬(trioxifene)、克沃昔芬(keoxifene)、LY117018、奧那司酮(onapristone)及FARESTON托瑞米芬(toremifene);抗孕酮;雌激素受體下調劑(ERD);用於抑制或阻止卵巢之藥劑,例如,黃體生成激素釋放激素(LHRH)促效劑,諸如LUPRON及ELIGARD乙酸亮丙瑞林(leuprolide acetate)、乙酸戈舍瑞林(goserelin acetate)、乙酸布舍瑞林(buserelin acetate)及崔普瑞林(tripterelin);其他抗雄激素劑,諸如氟他胺(flutamide)、尼魯胺(nilutamide)及比卡魯胺(bicalutamide);及抑制調節腎上腺中雌激素之產量之芳香酶的芳香酶抑制劑,諸如4(5)-咪唑、胺魯米特(aminoglutethimide)、MEGASE乙酸甲地孕酮(megestrol acetate)、AROMASIN依西美坦(exemestane)、複美坦(formestanie)、法屈唑(fadrozole)、RIVISOR伏羅唑(vorozole)、FEMARA來曲唑(letrozole)及ARIMIDEX安美達錠(anastrozole)。此外,此化學治療劑定義包括雙膦酸鹽,諸如氯屈膦酸鹽(clodronate)(例如,BONEFOS或OSTAC)、DIDROCAL依替膦酸鹽(etidronate)、NE-58095、ZOMETA唑來膦酸/唑來膦酸鹽(zoledronic acid/zoledronate)、FOSAMAX阿侖膦酸鹽(alendronate)、AREDIA帕米膦酸鹽(pamidronate)、SKELID替魯膦酸鹽(tiludronate)或ACTONEL利塞膦酸鹽(risedronate);以及曲沙他濱(troxacitabine)(1,3-二氧戊環胞嘧啶核苷類似物);反義寡核苷酸,尤其抑制與異常細胞增殖關聯之信號傳輸路徑中的基因表現者,諸如PKC-α、Raf、H-Ras及表皮生長因子受體(EGF-R);疫苗,諸如THERATOPE疫苗及基因療法疫苗(例如ALLOVECTIN疫苗、LEUVECTIN疫苗及VAXID疫苗;LURTOTECAN拓撲異構酶1抑制劑;ABARELIXrmRH;拉帕替尼二甲苯磺酸鹽(lapatinib ditosylate)(ErbB-2及EGFR雙重酪胺酸激酶小分子抑制劑,亦稱為GW572016);及上述物質中之任一者的醫藥學上可接受之鹽、酸或衍生物。This definition also includes anti-hormonal agents for modulating, reducing, blocking or inhibiting the action of hormones that promote cancer growth and which are typically in the form of systemic or whole body treatments. It can be the hormone itself. Examples include anti-estrogen and selective estrogen receptor modulators (SERMs) including, for example, tamoxifen (including NOLVADEX) Tamoxifen), EVISTA Raloxifene, droloxifene, 4-hydroxytamoxifen, trioxifene, keoxifene, LY117018, onapristone, and FARESTON Toremifene; antiprogestin; estrogen receptor downregulator (ERD); an agent for inhibiting or preventing ovaries, for example, a luteinizing hormone releasing hormone (LHRH) agonist, such as LUPRON And ELIGARD Leuprolide acetate, goserelin acetate, buserelin acetate, and tripterelin; other antiandrogens, such as flutamide, Nilutamide and bicalutamide; and aromatase inhibitors that inhibit aromatase production of estrogen in the adrenal gland, such as 4(5)-imidazole, aminoglutethimide, MEGASE Megestrol acetate, AROMASIN Exemestane, formestanie, fadrozole, RIVISOR Vorozole, FEMARA Letrozole and ARIMIDEX Anmeta ingot (anastrozole). In addition, this chemotherapeutic definition includes bisphosphonates such as clodronate (eg, BONEFOS) Or OSTAC ), DIDROCAL Etidronate, NE-58095, ZOMETA Zoledronic acid/zoledronate, FOSAMAX Alendronate, AREDIA Pamidronate, SKELID Tiluronate or ACTONEL Risedronate; and troxacitabine (1,3-dioxolan cytidine analog); antisense oligonucleotides, particularly signals that are associated with abnormal cell proliferation Gene expression in the transmission pathway, such as PKC-α, Raf, H-Ras, and epidermal growth factor receptor (EGF-R); vaccines such as THERATOPE Vaccine and gene therapy vaccines (eg ALLOVECTIN) Vaccine, LEUVECTIN Vaccine and VAXID Vaccine; LURTOTECAN Topoisomerase 1 inhibitor; ABARELIX rmRH; lapatinib ditosylate (ErbB-2 and EGFR dual tyrosine kinase small molecule inhibitor, also known as GW572016); and any of the above substances may be pharmaceutically Accepted salts, acids or derivatives.
"生長抑制劑"在本文中使用時係指於活體外或活體內抑制細胞(例如表現EphB4之細胞)生長之化合物或組合物。因此,生長抑制劑可為顯著降低S期中細胞(例如表現EphB4之細胞)百分比之抑制劑。生長抑制劑之實例包括(於非S期之位置)阻斷細胞週期進程之藥劑,例如誘導G1停滯及M期停滯之藥劑。傳統M期阻斷劑包括文卡司(vincas,長春新鹼及長春鹼)、紫杉烷及諸如14-羥基柔紅黴素、表柔比星、道諾黴素、依託泊苷及博萊黴素之拓撲異構酶II抑制劑。使G1停滯之彼等藥劑亦溢出進入S期停滯,舉例而言,諸如他莫西芬、潑尼松(prednisone)、達卡巴嗪、雙氯乙基甲胺、順鉑、甲胺喋呤、5-氟尿嘧啶及ara-C之DNA烷基化劑。可在Murakami等人之The Molecular Basis of Cancer,Mendelsohn及Israel編輯,第1章,標題"Cell cycle regulation,oncogenes,and antineoplastic drugs"(WB Saunders:Philadelphia,1995)尤其第13頁中發現進一步資訊。紫杉烷(太平洋紫杉醇及多烯紫杉醇(docetaxel)為均來自紫杉樹之抗癌藥物。多烯紫杉醇(TAXOTERE,Rhone-Poulenc Rorer)來源於歐洲紫杉(European yew),為太平洋紫杉醇(TAXOL,Bristol-Myers Squibb)之半合成類似物。太平洋紫杉醇及多烯紫杉醇促進自微管蛋白二聚體組裝微管且藉由預防解聚而穩定微管,導致抑制細胞中之有絲分裂。"Growth inhibitory" as used herein refers to a compound or composition that inhibits the growth of cells (eg, cells expressing EphB4) in vitro or in vivo. Thus, growth inhibitors can be inhibitors that significantly reduce the percentage of cells in the S phase, such as cells expressing EphB4. Examples of growth inhibitors include agents that block cell cycle progression (at the non-S phase), such as agents that induce G1 arrest and M arrest. Traditional M-stage blockers include vencar (vincas, vincristine and vinblastine), taxanes and such as 14-hydroxydaunorubicin, epirubicin, daunorubicin, etoposide and Bole Topoisomerase II inhibitor ofmycin. The agents that arrest G1 also overflow into the S phase arrest, for example, such as tamoxifen, prednisone, dacarbazine, dichloroethyl methylamine, cisplatin, methotrexate, 5-fluorouracil and ara-C DNA alkylating agent. Further information can be found in Murakami et al., The Molecular Basis of Cancer, Mendelsohn and Israel, ed., titled "Cell cycle regulation, oncogenes, and antineoplastic drugs" (WB Saunders: Philadelphia, 1995), especially page 13. Taxanes (pacific paclitaxel and docetaxel) are anticancer drugs derived from yew trees. Docetaxel (TAXOTERE) , Rhone-Poulenc Rorer) from European yew (European yew), Pacific Paclitaxel (TAXOL) , semi-synthetic analog of Bristol-Myers Squibb). Paclitaxel and docetaxel promote the assembly of microtubules from tubulin dimers and stabilize microtubules by preventing depolymerization, resulting in inhibition of mitosis in cells.
"14-羥基柔紅黴素"為一種蒽環黴素抗生素。14-羥基柔紅黴素之完整化學名稱為(8S-順)-10-[(3-胺基-2,3,6-三脫氧基-α-L-來蘇-六哌喃糖基)氧基]-7,8,9,10-四氫-6,8,11-三羥基-8-(羥基乙醯基)-1-甲氧基-5,12-幷四苯二酮。"14-hydroxydaunorubicin" is an anthracycline antibiotic. The complete chemical name of 14-hydroxydaunorubicin is (8S-cis)-10-[(3-amino-2,3,6-trideoxy-α-L-lais-hexapipetose) Oxy]-7,8,9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyethenyl)-1-methoxy-5,12-nonanedione.
術語"抗贅生性組合物"係指可用於治療癌之組合物,其包含至少一種活性治療劑,例如"抗癌劑"。治療劑(抗癌劑,在本文中亦稱為"抗贅生劑")之實例包括(但不限於,例如)化學治療劑、生長抑制劑、細胞毒性劑、輻射療法中使用的藥劑、抗血管生成劑、細胞凋亡劑、抗微管蛋白劑、毒素及治療癌之其他藥劑,例如抗VEGF中和抗體、VEGF拮抗劑、抗HER-2、抗CD20、表皮生長因子受體(EGFR)拮抗劑(例如酪胺酸激酶抑制劑)、HER1/EGFR抑制劑、埃羅替尼(erlotinib)、COX-2抑制劑(例如塞內昔布(celecoxib))、干擾素、細胞因子、結合至ErbB2、ErbB3、ErbB4或VEGF受體之一或多者的拮抗劑(例如中和抗體)、血小板來源的生長因子(PDGF)之受體酪胺酸激酶的抑制劑及/或幹細胞因子(SCF)(例如伊馬替尼(imatinib)甲磺酸鹽(GleevecNovartis))、TRAIL/Apo2及其他生物活性及有機化學劑等。The term "anti-neoplastic composition" refers to a composition useful for treating cancer comprising at least one active therapeutic agent, such as an "anti-cancer agent." Examples of therapeutic agents (anticancer agents, also referred to herein as "anti-stimulants") include, but are not limited to, for example, chemotherapeutic agents, growth inhibitors, cytotoxic agents, agents used in radiation therapy, anti-drugs Angiogenesis agents, apoptotic agents, anti-tubulin agents, toxins, and other agents for treating cancer, such as anti-VEGF neutralizing antibodies, VEGF antagonists, anti-HER-2, anti-CD20, epidermal growth factor receptor (EGFR) Antagonists (eg, tyrosine kinase inhibitors), HER1/EGFR inhibitors, erlotinib, COX-2 inhibitors (eg, celecoxib), interferons, cytokines, binding to Antagonists of one or more of ErbB2, ErbB3, ErbB4 or VEGF receptors (eg neutralizing antibodies), inhibitors of platelet-derived growth factor (PDGF) receptor tyrosine kinase and/or stem cell factor (SCF) (eg imatinib mesylate (Gleevec) Novartis)), TRAIL/Apo2 and other biologically active and organic chemicals.
如本申請案中所用之術語"前藥"係指醫藥學活性物質之前驅體或衍生物形式,其對腫瘤細胞之細胞毒性與母體藥物相比較小,且能經酶活化或轉化為更具活性的母體藥物形式。舉例而言,參見Wilman,"Prodrugs in Cancer Chemotherapy"Biochemical Society Transactions,14,第375-382頁,615th Meeting Belfast(1986);及Stella等人,"Prodrugs:A Chemical Approach to Targeted Drug Delivery,"Directed Drug Delivery,Borchardt等人,(編輯),第247-267頁,Humana Press(1985)。本發明前藥包括(但不限於)含磷酸鹽前藥、含硫代磷酸鹽前藥、含硫酸鹽前藥、含肽前藥、經D-胺基酸修飾的前藥、糖基化前藥、含β-內醯胺前藥、含視情況經取代的苯氧基乙醯胺之前藥或含視情況經取代的苯基乙醯胺之前藥、5-氟胞嘧啶及其他5-氟尿苷前藥,其可轉化為更具活性的細胞毒性游離藥物。可衍生為用於本發明的前藥形式之細胞毒性藥物的實例包括(但不限於)上文所述之彼等化學治療劑。The term "prodrug" as used in this application refers to a precursor or derivative form of a pharmaceutically active substance which is less cytotoxic to tumor cells than the parent drug and which can be activated or converted by the enzyme to be more Active parent drug form. See, for example, Wilman, "Prodrugs in Cancer Chemotherapy" Biochemical Society Transactions, 14, pp. 375-382, 615th Meeting Belfast (1986); and Stella et al., "Prodrugs: A Chemical Approach to Targeted Drug Delivery," Directed Drug Delivery, Borchardt et al. (eds.), pp. 247-267, Humana Press (1985). Prodrugs of the invention include, but are not limited to, phosphate-containing prodrugs, thiophosphate-containing prodrugs, sulfate-containing prodrugs, peptide-containing prodrugs, D-amino acid-modified prodrugs, and glycosylation Medicine, prodrug containing β-indoleamine, prodrug containing phenoxyacetamide as appropriate or substituted with phenylacetamide as required, 5-fluorocytosine and other 5-fluoro A uridine prodrug that can be converted to a more active cytotoxic free drug. Examples of cytotoxic drugs that can be derivatized into prodrug forms for use in the present invention include, but are not limited to, the chemotherapeutic agents described above.
"抗血管生成劑"或"血管生成抑制劑"係指一種小分子量物質、聚核苷酸、多肽、經分離蛋白、重組蛋白、抗體或結合物或其融合蛋白,其直接或間接抑制血管生成、血管發生或不良血管滲透性。舉例而言,抗血管生成劑為如上所定義的血管生成劑之抗體或其他拮抗劑,例如抗VEGF之抗體、抗VEGF受體之抗體、阻斷VEGF受體信號傳輸之小分子(例如PTK787/ZK2284、SU6668、SUTENT/SU11248(舒尼替尼(sunitinib)蘋果酸鹽)、AMG706)。抗血管生成劑亦包括天然血管生成抑制劑,例如血管抑制素、內皮抑制素等。舉例而言,參見Klagsbrun及D'Amore,Annu.Rev.Physiol.,53:217-39(1991);Streit及Detmar,Oncogene,22:3172-3179(2003)(例如表3,其列出惡性黑素瘤中的抗血管生成療法);Ferrara及Alitalo,Nature Medicine 5(12):1359-1364(1999);Tonini等人,Oncogene,22:6549-6556(2003)(例如表2,其列出抗血管生成因子);及Sato Int.J.Clin.Oncol.,8:200-206(2003)(例如表1,其列出臨床試驗中所用之抗血管生成劑)。"Anti-angiogenic agent" or "angiogenesis inhibitor" refers to a small molecular weight substance, polynucleotide, polypeptide, isolated protein, recombinant protein, antibody or conjugate or fusion protein thereof that directly or indirectly inhibits angiogenesis , angiogenesis or poor vascular permeability. For example, an anti-angiogenic agent is an antibody or other antagonist of an angiogenic agent as defined above, such as an anti-VEGF antibody, an anti-VEGF receptor antibody, a small molecule that blocks VEGF receptor signaling (eg, PTK787/ ZK2284, SU6668, SUTENT/SU11248 (sunitinib malate), AMG706). Anti-angiogenic agents also include natural angiogenesis inhibitors such as angiostatin, endostatin, and the like. See, for example, Klagsbrun and D'Amore, Annu. Rev. Physiol., 53: 217-39 (1991); Streit and Detmar, Oncogene, 22: 3172-3179 (2003) (eg Table 3, listing malignancy) Anti-angiogenic therapy in melanoma); Ferrara and Alitalo, Nature Medicine 5(12): 1359-1364 (1999); Tonini et al, Oncogene, 22: 6549-6556 (2003) (eg Table 2, column Anti-angiogenic factors; and Sato Int. J. Clin. Oncol., 8:200-206 (2003) (for example, Table 1, which lists anti-angiogenic agents used in clinical trials).
本發明涵蓋組合物,其包括包含抗EphB4抗體之醫藥組合物及包含編碼抗EphB4抗體之序列的聚核苷酸。如本文所用,組合物包含一或多種結合至EphB4的抗體及/或一或多種包含編碼一或多種結合至EphB4的抗體之序列的聚核苷酸。此等組合物可另外包含適當的載劑,例如包括緩衝劑之醫藥學上可接受的賦形劑,其為此項技術中所熟知的。The invention encompasses compositions comprising a pharmaceutical composition comprising an anti-EphB4 antibody and a polynucleotide comprising a sequence encoding an anti-EphB4 antibody. As used herein, a composition comprises one or more antibodies that bind to EphB4 and/or one or more polynucleotides comprising a sequence encoding one or more antibodies that bind to EphB4. Such compositions may additionally comprise a suitable carrier, such as a pharmaceutically acceptable excipient including a buffer, which is well known in the art.
本發明亦涵蓋經分離抗體及聚核苷酸實施例。本發明亦涵蓋大體上純的抗體及聚核苷酸實施例。Examples of isolated antibodies and polynucleotides are also contemplated by the invention. The invention also encompasses substantially pure antibody and polynucleotide embodiments.
本發明之抗EphB4抗體較佳地為單株抗體。本文所提供之抗EphB4抗體之Fab、Fab'、Fab'-SH及F(ab')2 片段亦涵蓋於本發明範疇內。此等抗體片段可藉由例如酶消化之傳統方式產生,或可由重組技術產生。該等抗體片段可為嵌合或人化的。此等片段可用於下文所陳述之診斷性及治療性目的。The anti-EphB4 antibody of the present invention is preferably a monoclonal antibody. Fab, Fab', Fab'-SH and F(ab') 2 fragments of the anti-EphB4 antibodies provided herein are also encompassed within the scope of the invention. Such antibody fragments can be produced by conventional means such as enzymatic digestion, or can be produced by recombinant techniques. Such antibody fragments can be chimeric or humanized. These fragments can be used for the diagnostic and therapeutic purposes set forth below.
單株抗體獲自大體上同源抗體之群體(亦即,除可以微量存在之可能天然存在的突變以外,包含該群體之個別抗體為相同的)。因此,修飾詞"單株"指示抗體之特徵在於其並非離散抗體之混合物。The monoclonal antibodies are obtained from a population of substantially homologous antibodies (i.e., the individual antibodies comprising the population are identical except for possible naturally occurring mutations that may be present in minor amounts). Thus, the modifier "single plant" indicates that the antibody is characterized in that it is not a mixture of discrete antibodies.
本發明之抗EphB4單株抗體可使用Kohler等人,Nature, 256 :495(1975)首先描述之融合瘤方法製得,或可由重組DNA方法(美國專利第4,816,567號)製得。The anti-EphB4 monoclonal antibody of the present invention can be produced by the fusion tumor method first described by Kohler et al., Nature, 256 :495 (1975), or can be obtained by recombinant DNA method (U.S. Patent No. 4,816,567).
在融合瘤方法中,使小鼠或諸如倉鼠之其他適當宿主動物免疫以引起產生或能產生將特異性結合至用於免疫的蛋白之抗體的淋巴細胞。EphB4之抗體通常藉由多次皮下(sc)或腹膜內(ip)注射EphB4及佐劑而在動物中產生。EphB4可使用此項技術中熟知的方法製備,其中一些方法在本文中另外描述。舉例而言,以下描述EphB4之重組產生。在一實施例中,以含有融合至免疫球蛋白重鏈Fc部分的EphB4細胞外域(ECD)之EphB4衍生物使動物免疫。在一較佳實施例中,以EphB4-IgG1融合蛋白使動物免疫。通常以具有單磷醯基脂質A(MPL)/海藻糖二可瑞米可酸鹽(dicrynomycolate)(TDM)(Ribi Immunochem.Research,Inc.,Hamilton,MT)之EphB4的免疫原性結合物或衍生物使動物免疫,且於多個位點處經真皮內注射該溶液。兩週後,對該等動物進行推注。7至14天後,將動物放血且分析血清之抗EphB4效價。對動物進行推注,直至效價達到平穩狀態。In the fusion tumor method, a mouse or other appropriate host animal such as a hamster is immunized to cause lymphocytes that produce or produce an antibody that specifically binds to a protein for immunization. Antibodies to EphB4 are typically produced in animals by multiple subcutaneous (sc) or intraperitoneal (ip) injections of EphB4 and adjuvants. EphB4 can be prepared using methods well known in the art, some of which are additionally described herein. For example, the recombination of EphB4 is described below. In one embodiment, the animal is immunized with an EphB4 derivative comprising an EphB4 extracellular domain (ECD) fused to the Fc portion of the immunoglobulin heavy chain. In a preferred embodiment, the animal is immunized with an EphB4-IgG1 fusion protein. Typically an immunogenic conjugate of EphB4 with monophosphoryl lipid A (MPL) / diculose collicum (TDM) (Ribi Immunochem. Research, Inc., Hamilton, MT) or The derivative immunizes the animal and is injected intradermally at multiple sites. Two weeks later, the animals were bolused. After 7 to 14 days, the animals were bled and analyzed for serum anti-EphB4 titers. The animal is bounced until the titer reaches a steady state.
或者,可在活體外使淋巴細胞免疫。接著使用諸如聚乙二醇之適當融合劑將淋巴細胞與骨髓瘤細胞融合,以形成融合瘤細胞(Goding,Monoclonal Antibodies:Principles and Practice ,第59-103頁(Academic Press,1986))。Alternatively, lymphocytes can be immunized in vitro. The lymphocytes are then fused with myeloma cells using a suitable fusing agent such as polyethylene glycol to form a fusion tumor cell (Goding, Monoclonal Antibodies: Principles and Practice , pp. 59-103 (Academic Press, 1986)).
將由此製備的融合瘤細胞接種且生長於適當培養基中,該培養基較佳地含有一或多種抑制未經融合的親本骨髓瘤細胞之生長或存活的物質。舉例而言,若親本骨髓瘤細胞缺乏次黃嘌啉鳥嘌啉磷酸核糖基轉移酶(HGPRT或HPRT),則用於融合瘤之培養基通常應包括次黃嘌啉、胺基蝶呤及胸苷(HAT培養基),該等物質防止HGPRT缺乏細胞之生長。The fusion tumor cells thus prepared are inoculated and grown in a suitable medium which preferably contains one or more substances which inhibit the growth or survival of the unfused, parental myeloma cells. For example, if the parental myeloma cells lack the hypoxanthohumolin porphyrin phosphoribosyltransferase (HGPRT or HPRT), the medium used for the fusion tumor should generally include hypoxanthine, aminopterin and thymidine (HAT medium). ), these substances prevent the growth of HGPRT-deficient cells.
較佳之骨髓瘤細胞為有效融合、由所選產生抗體之細胞支持抗體的穩定高程度產生且對諸如HAT培養基之培養基敏感的彼等骨髓瘤細胞。在此等細胞中,較佳之骨髓瘤細胞株為鼠類骨髓瘤細胞株,例如來自MOPC-21及MPC-11小鼠腫瘤(可自Salk Institute Cell Distribution Center,San Diego,California USA獲得)之彼等鼠類骨髓瘤細胞株及SP-2或X63-Ag8-653細胞(可自American Type Culture Collection,Rockville,Maryland USA獲得)。人類骨髓瘤及小鼠-人類雜交骨髓瘤細胞株亦已經描述以用於產生人類單株抗體(Kozbor,J.Immunol. ,133 :3001(1984);Brodeur等人,Monoclonal Antibody Production Techniques and Applications ,第51-63頁(Marcel Dekker,Inc.,New York,1987))。Preferred myeloma cells are those which are efficiently fused, stably produced to a high degree by the selected antibody-producing cell-supporting antibody, and which are sensitive to a medium such as HAT medium. Among these cells, preferred myeloma cell lines are murine myeloma cell lines, such as those from MOPC-21 and MPC-11 mouse tumors (available from the Salk Institute Cell Distribution Center, San Diego, California USA). A murine myeloma cell line and SP-2 or X63-Ag8-653 cells (available from American Type Culture Collection, Rockville, Maryland USA). Human myeloma and mouse-human hybrid myeloma cell lines have also been described for the production of human monoclonal antibodies (Kozbor, J. Immunol. , 133 : 3001 (1984); Brodeur et al., Monoclonal Antibody Production Techniques and Applications , Pages 51-63 (Marcel Dekker, Inc., New York, 1987)).
關於針對EphB4之單株抗體的產生來檢定其中生長融合瘤細胞之培養基。由融合瘤細胞產生的單株抗體之結合特異性較佳應藉由免疫沉澱或藉由諸如放射免疫檢定(RIA)或酶聯免疫吸附檢定(ELISA)之活體外結合檢定來測定。單株抗體之結合親和力可(例如)由Munson等人,Anal.Biochem. ,107 :220(1980)之Scatchard分析來測定。The medium in which the fusion tumor cells were grown was assayed for the production of monoclonal antibodies against EphB4. The binding specificity of the monoclonal antibodies produced by the fusion tumor cells should preferably be determined by immunoprecipitation or by an in vitro binding assay such as radioimmunoassay (RIA) or enzyme-linked immunosorbent assay (ELISA). The binding affinity of a monoclonal antibody can be determined, for example, by the Scatchard analysis of Munson et al, Anal. Biochem. , 107 : 220 (1980).
在識別產生所要特異性、親和力及/或活性之抗體的融合瘤細胞後,可藉由限制稀釋程序來次選殖該等純系且使其藉由標準方法生長(Goding,Monoclonal Antibodies:Principles and Practice ,第59-103頁(Academic Press,1986))。適用於達成此目的之培養基包括(例如)D-MEM或RPMI-1640培養基。另外,可使融合瘤細胞作為動物體內之腹水腫瘤在活體內生長。After identifying the fusion tumor cells that produce the desired specificity, affinity and/or activity of the antibody, the pure lines can be sub-selected by limiting the dilution procedure and allowed to grow by standard methods ( Going, Monoclonal Antibodies: Principles and Practice) , pp. 59-103 (Academic Press, 1986)). Suitable media for achieving this include, for example, D-MEM or RPMI-1640 medium. In addition, the fusion tumor cells can be grown in vivo as ascites tumors in animals.
根據諸如蛋白A-瓊脂糖、羥磷灰石層析、凝膠電泳、透析或親和層析之習知免疫球蛋白純化程序,自培養基、腹水流體(ascites fluid)或血清中適當分離由該等次純系分泌之單株抗體。According to conventional immunoglobulin purification procedures such as protein A-agarose, hydroxyapatite chromatography, gel electrophoresis, dialysis or affinity chromatography, appropriate separation from culture medium, ascites fluid or serum A monoclonal antibody secreted by a sub-pure.
本發明之抗EphB4抗體可藉由使用組合文庫篩檢具有所要活性之合成抗體純系來製備。原則上,藉由篩檢呈現融合至噬菌體鞘蛋白中之抗體可變區之各種片段(Fv)的含有噬菌體之噬菌體文庫來選擇合成抗體純系。此等噬菌體文庫係藉由對所要抗原進行親和層析而篩檢得到。表現能夠與所要抗原結合之Fv片段的純系係經抗原吸附,且因此與文庫中之非結合性純系分離。隨後,由抗原溶離結合純系,且可藉由額外抗原吸附/溶離循環進一步富集該等結合純系。設計適當之抗原篩檢程序來選擇所關注之噬菌體純系,隨後使用來自所關注噬菌體純系之Fv序列及Kabat等人,Sequences of Proteins of Immunological Interest ,第5版,NIH Publication 91-3242,Bethesda MD(1991),第1-3卷中所述之適當恆定區(Fc)序列來建構全長抗EphB4抗體純系,藉此可獲得本發明之任何抗EphB4抗體。The anti-EphB4 antibodies of the invention can be prepared by screening combinatorial libraries for the pure lines of synthetic antibodies having the desired activity. In principle, a synthetic antibody-derived line is selected by screening a phage-containing phage library that exhibits various fragments (Fv) of the antibody variable region fused into the phage sheath protein. These phage libraries are screened by affinity chromatography of the desired antigen. A pure lineage of an Fv fragment that is capable of binding to the desired antigen is adsorbed by the antigen and is therefore isolated from the non-binding pure line in the library. Subsequently, the pure line is bound by antigen solubilization, and the bound pure lines can be further enriched by an additional antigen adsorption/dissolution cycle. An appropriate antigen screening procedure is designed to select the phage-pure line of interest, followed by the Fv sequence from the pure line of phage of interest and Kabat et al., Sequences of Proteins of Immunological Interest , 5th Edition, NIH Publication 91-3242, Bethesda MD ( 1991, a suitable constant region (Fc) sequence as described in Volumes 1-3 to construct a full length anti-EphB4 antibody, whereby any of the anti-EphB4 antibodies of the invention can be obtained.
抗體之抗原結合域係由約110個胺基酸之兩個可變(V)區形成,該兩個可變區各來自輕鏈(VL)及重鏈(VH),二者皆呈現三個高變環或互補判定區(CDR)。可變域可於噬菌體上功能性地呈現為其中VH及VL經由短、彎曲肽共價連接之單鏈Fv(ScFv)片段,或呈現為各自融合於恆定域且非共價相互作用之Fab片段,如Winter等人,Ann.Rev.Immunol. ,12: 433-455(1994)中所述。如本文所用,編碼噬菌體純系之ScFv及編碼噬菌體純系之Fab統稱為"Fv噬菌體純系"或"Fv純系"。The antigen binding domain of the antibody is formed by two variable (V) regions of about 110 amino acids, each from the light chain (VL) and the heavy chain (VH), both presenting three Hypervariable loop or complementarity determining region (CDR). The variable domain can be functionally presented on the phage as a single-chain Fv (ScFv) fragment in which VH and VL are covalently linked via a short, curved peptide, or as a Fab fragment each fused to a constant domain and non-covalently interacting As described in Winter et al ., Ann. Rev. Immunol . , 12: 433-455 (1994). As used herein, a bacteriophage-derived ScFv and a phage-derived Fab are collectively referred to as "Fv phage pure line" or "Fv pure line".
可藉由聚合酶鏈反應(PCR)單獨地選殖VH及VL基因譜系且將其隨機重組於噬菌體文庫中,隨後可如Winter等人,Ann.Rev.Immunol. ,12: 433-455(1994)中所述來尋求該等噬菌體文庫之抗原結合純系。來自經免疫來源之文庫無需建構融合瘤即提供與免疫原具高親和力之抗體。或者,可選殖天然譜系以在無任何免疫作用之情形下提供對抗各種非自體抗原以及自體抗原之人類抗體的單一來源,如Griffiths等人,EMBO J, 12 :725-734(1993)中所述。最終,亦可藉由自幹細胞選殖未經重排之V基因片段且使用含有隨機序列之PCR引子來編碼高度可變CDR3區且實現活體外重排而合成性製得天然文庫,如Hoogenboom及Winter,J.Mol.Biol. ,227: 381-388(1992)中所述。The VH and VL gene lineages can be individually selected by polymerase chain reaction (PCR) and randomly recombined into a phage library, followed by Winter et al., Ann. Rev. Immunol . , 12: 433-455 (1994) The antigen binding pure lines of these phage libraries are sought as described in . The library from the immunogenic source provides antibodies with high affinity to the immunogen without constructing the fusion tumor. Alternatively, the natural lineage can be selected to provide a single source of human antibodies against various non-autoantigen and autoantigens without any immunization, as in Griffiths et al , EMBO J, 12 : 725-734 (1993). Said in the middle. Finally, a natural library, such as Hoogenboom, can also be synthesized synthetically by autologously selecting a non-rearranged V gene fragment from a stem cell and using a PCR primer containing a random sequence to encode a highly variable CDR3 region and achieving in vitro rearrangement. Winter, J. Mol. Biol. , 227: 381-388 (1992).
使用絲狀噬菌體以藉由融合至微量鞘蛋白pIII來呈現抗體片段。抗體片段可呈現為單鏈Fv片段,其中VH及VL域係藉由彎曲多肽間隔物連接於同一多肽鏈上,例如,如Marks等人,J.Mol.Biol., 222 :581-597(1991)所述;或呈現為Fab片段,其中一條鏈係融合於pIII中且另一條鏈係分泌於細菌宿主細胞間質中,在細胞間質中組裝藉由移位某些野生型鞘蛋白而呈現於噬菌體表面的Fab鞘蛋白結構,例如,如Hoogenboom等人,Nucl.Acids Res. ,19 :4133-4137(1991)中所述。Filamentous phage were used to present antibody fragments by fusion to the microsphingin pIII. Antibody fragments can be presented as single-chain Fv fragments in which the VH and VL domains are linked to the same polypeptide chain by a curved polypeptide spacer, for example, as in Marks et al , J. Mol. Biol., 222 : 581-597 (1991). Said; or presented as a Fab fragment in which one strand is fused to pIII and the other strand is secreted in the interstitium of the bacterial host cell, assembled in the intercellular substance by displacement of certain wild-type sheath proteins The Fab sheath protein structure on the surface of the phage is described, for example, in Hoogenboom et al., Nucl. Acids Res. , 19 : 4133-4137 (1991).
一般而言,編碼抗體基因片段之核酸係由自人類或動物收集之免疫細胞獲得。若需要偏向於富含抗EphB4純系之文庫,則以EphB4使人類或動物免疫以產生抗體反應,且回收脾細胞及/或循環B細胞或其他末梢血液淋巴細胞(PBL)以用於文庫建構。在一較佳實施例中,於載運功能性人類免疫球蛋白基因陣列(且缺乏功能性內源性抗體產生系統)之轉殖基因小鼠體內產生抗EphB4抗體反應,從而使EphB4免疫作用引起B細胞產生抗EphB4之人類抗體,藉此獲得偏向於富含抗EphB4純系的人類抗體基因片段文庫。下文描述產生人類抗體之轉殖基因小鼠的產生。In general, nucleic acids encoding antibody gene fragments are obtained from immune cells collected from humans or animals. If it is desired to favor a library rich in anti-EphB4 pure lines, human or animal is immunized with EphB4 to generate an antibody response, and spleen cells and/or circulating B cells or other peripheral blood lymphocytes (PBL) are recovered for library construction. In a preferred embodiment, an anti-EphB4 antibody response is produced in a transgenic mouse carrying a functional human immunoglobulin gene array (and lacking a functional endogenous antibody production system), thereby causing EphB4 immunity to cause B The cells produce human antibodies against EphB4, thereby obtaining a library of human antibody gene fragments biased to be rich in anti-EphB4 pure lines. The production of transgenic mice producing human antibodies is described below.
可藉由使用適當篩檢程序(例如藉由用EphB4親和層析分離細胞,或使細胞吸附經螢光染料標記之EphB4,隨後進行流式活化細胞分選(FACS))分離表現EphB4特異性膜結合抗體之B細胞而獲得對於抗EphB4反應性細胞群體的額外富集。EphB4-specific membranes can be isolated by using appropriate screening procedures (for example, by isolating cells with EphB4 affinity chromatography, or by absorbing fluorescent dye-labeled EphB4 followed by flow-activated cell sorting (FACS)). Additional enrichment of anti-EphB4 reactive cell populations was obtained by binding to B cells of the antibody.
或者,使用來自未經免疫供體之脾細胞及/或B細胞或其他PBL以使可能之抗體譜系得以更好呈現,且亦允許使用其中EphB4不具抗原性之任何動物(人類或非人類)物種來建構抗體文庫。對於併入活體外抗體基因建構中之文庫而言,收集來自該等動物之幹細胞以提供編碼未經重排之抗體基因區段的核酸。所關注免疫細胞可自多種動物物種獲得,諸如人類、小鼠、大鼠、兔類、狼(lupine)、犬科、貓科、豬、牛、馬及鳥類物種等。Alternatively, spleen cells and/or B cells or other PBLs from unimmunized donors are used to allow for better presentation of possible antibody lineages, and any animal (human or non-human) species in which EphB4 is not antigenic is also permitted. To construct an antibody library. For libraries incorporated into the construction of an in vitro antibody gene, stem cells from such animals are harvested to provide a nucleic acid encoding an unrearranged antibody gene segment. The immune cells of interest can be obtained from a variety of animal species, such as humans, mice, rats, rabbits, lupines, canines, felines, pigs, cattle, horses, and avian species.
自所關注細胞中回收編碼抗體可變基因區段(包括VH及VL區段)之核酸並使其擴增。在經重排之VH及VL基因文庫的情形下,可自淋巴細胞中分離染色體組DNA或mRNA,隨後以與經重排VH及VL基因之5'及3'端匹配之引子進行聚合酶鏈反應(PCR)(如Orlandi等人,Proc.Natl.Acad.Sci.(USA), 86 :3833-3837(1989)中所述),藉此製得用於表現之不同V基因譜系,從而獲得所要DNA。V基因可由cDNA及染色體組DNA擴增,其中後向引子在編碼成熟V域之外顯子的5'端,且前向引子在J區段內,如Orlandi等人,(1989)及Ward等人,Nature ,341 :544-546(1989)中所述。然而,對於自cDNA擴增而言,後向引子亦可在前導序列之外顯子中,如Jones等人,Biotechnol. ,9 :88-89(1991)中所述;且前向引子在恆定區內,如Sastry等人,Proc.Natl.Acad.Sci.(USA) ,86 :5728-5732(1989)中所述。為使互補最大化,可如Orlandi等人(1989)或Sastry等人(1989)所述將簡併性併入引子中。較佳地,藉由使用靶向各V基因家族之PCR引子而使文庫多樣性最大化,以致擴增存在於免疫細胞核酸樣本中之所有可用VH及VL排列,舉例而言,如Marks等人,J.Mol.Biol. ,222 :581-597(1991)之方法所述或如Orum等人,Nucleic Acids Res. ,21 :4491-4498(1993)之方法所述。為將經擴增之DNA選殖至表現載體中,可在PCR引子內引入稀有限制性位點作為一端之標記(如Orlandi等人,(1989)所述),或藉由另外用經標記引子進行PCR擴增而將其作為一端之標記引入(如Clackson等人,Nature,352:624-628(1991)中所述)。Nucleic acids encoding antibody variable gene segments (including VH and VL segments) are recovered from the cells of interest and amplified. In the case of rearranged VH and VL gene libraries, genomic DNA or mRNA can be isolated from lymphocytes, followed by polymerase chaining with primers that match the 5' and 3' ends of the rearranged VH and VL genes. Reaction (PCR) (as described in Orlandi et al , Proc. Natl. Acad. Sci. (USA), 86 : 3833-3837 (1989)), thereby obtaining different V gene lineages for expression, thereby obtaining The DNA you want. The V gene can be amplified by cDNA and genomic DNA, wherein the backward primer encodes the 5' end of the mature V domain and the forward primer is in the J segment, such as Orlandi et al. (1989) and Ward et al. Human, Nature , 341 : 544-546 (1989). However, for cDNA amplification, the backward primer can also be in the exon of the leader sequence, as described in Jones et al, Biotechnol. , 9 : 88-89 (1991); and the forward primer is constant. Within the zone, as described in Sastry et al, Proc. Natl. Acad. Sci. (USA) , 86 : 5728-5732 (1989). To maximize complementarity, degeneracy can be incorporated into the primer as described by Orlandi et al. (1989) or Sastry et al. (1989). Preferably, library diversity is maximized by using PCR primers that target each V gene family such that all available VH and VL sequences present in the nucleic acid nucleic acid sample are amplified, for example, such as Marks et al. , described in the method of J. Mol. Biol. , 222 : 581-597 (1991) or as described by Orum et al ., Nucleic Acids Res. , 21 : 4491-4498 (1993). In order to select the amplified DNA into the expression vector, a rare restriction site can be introduced into the PCR primer as a label for one end (as described by Orlandi et al. (1989)), or by using a labeled primer. PCR amplification is performed and introduced as a label for one end (as described in Clackson et al, Nature, 352:624-628 (1991)).
合成性重排之V基因譜系可於活體外得自V基因區段。大部分人類VH基因區段已經選殖及定序(報導於Tomlinson等人,J.Mol.Biol. ,227 :776-798(1992)中),且經繪製(報導於Matsuda等人,Nature Genet., 3 :88-94(1993)中);可使用該等經選殖之區段(包括H1及H2環中之所有主要構形),從而以編碼不同序列及長度之H3環的PCR引子產生不同VH基因譜系,如Hoogenboom及Winter,J.Mol.Biol., 227 :381-388(1992)中所述。亦可製得所有序列多樣性集中於具有單一長度之長H3環的VH譜系,如Barbas等人,Proc.Natl.Acad.Sci.USA ,89 :4457-4461(1992)中所述。人類V及Vλ區段已經選殖及定序(報導於Williams及Winter,Eur.J.Immunol. ,23 :1456-1461(1993)中)且可用於製得合成輕鏈譜系。基於各種VH及VL折疊倍數及L3與H3長度的合成V基因譜系將編碼具有可觀結構多樣性之抗體。在擴增編碼V基因之DNA後,可根據Hoogenboom及Winter,J.Mol.Biol., 227 :381-388(1992)之方法於活體外重排生殖系V基因區段。A synthetic rearranged V gene lineage can be obtained from a V gene segment in vitro. Most human VH gene segments have been cloned and sequenced (reported in Tomlinson et al , J. Mol. Biol. , 227 :776-798 (1992)) and mapped (reported in Matsuda et al , Nature Genet). . 3 :88-94 (1993); these selected colonies (including all major configurations in the H1 and H2 loops) can be used to encode PCR primers of H3 loops of different sequences and lengths. Different VH gene lineages are generated as described in Hoogenboom and Winter, J. Mol. Biol., 227 :381-388 (1992). It is also possible to produce a VH lineage in which all sequence diversity is concentrated on a long H3 loop of a single length, as described in Barbas et al , Proc. Natl. Acad. Sci. USA , 89 : 4457-4461 (1992). Human V And the Vλ segment has been cloned and sequenced (reported in Williams and Winter, Eur. J. Immunol. , 23 : 1456-1461 (1993)) and can be used to make synthetic light chain lineages. Synthetic V gene lineages based on various VH and VL folding folds and L3 and H3 lengths will encode antibodies with considerable structural diversity. After amplification of the DNA encoding the V gene, the germline V gene segment can be rearranged in vitro according to the method of Hoogenboom and Winter, J. Mol. Biol., 227 :381-388 (1992).
可藉由以多種方式將VH及VL基因譜系組合在一起而建構抗體片段之譜系。每一譜系可以不同載體建立,且該等載體藉由組合感染而於活體外(例如,如Hogrefe等人,Gene ,128 :119-126(1993)中所述)或活體內(例如,Waterhouse等人,Nucl.Acids Res., 21 :2265-2266(1993)中所述之loxP系統)重組。活體內 重組方法利用Fab片段之兩鏈性質來克服有關由大腸桿菌轉化效率強加之文庫大小的侷限。天然VH及VL譜系係經單獨選殖,一者選殖至噬菌粒(phagemid)中且另一者選殖至噬菌體載體中。隨後,藉由噬菌體感染含有噬菌粒之細菌而使兩種文庫組合,從而使各細胞含有不同組合且使文庫大小僅受所存在之細胞數目(約1012 個純系)限制。兩種載體皆含有活體內重組信號,從而使VH及VL基因重組於單一複製子上且共同包裝於噬菌體病毒粒子中。該等巨型文庫提供大量具有良好親和力(Kd -1 為約10-8 M)之不同抗體。The lineage of antibody fragments can be constructed by combining the VH and VL gene lineages in a variety of ways. Each lineage can be established with a different vector, and the vectors are in vitro by a combination of infections (eg, as described in Hogrefe et al , Gene , 128 : 119-126 (1993)) or in vivo (eg, Waterhouse et al. Recombination of the loxP system described in Human , Nucl. Acids Res., 21 : 2265-2266 (1993). The in vivo recombination method utilizes the two-strand nature of the Fab fragment to overcome the limitations regarding the size of the library imposed by E. coli transformation efficiency. The native VH and VL lineages are individually selected, one is selected for phagemid and the other is selected for phage vector. Subsequently, the two libraries were combined by phage infection of bacteria containing phagemids such that each cell contained a different combination and the library size was limited only by the number of cells present (about 10 12 pure lines). Both vectors contain an in vivo recombination signal such that the VH and VL genes are recombined on a single replicon and co-packaged in phage virions. Such huge libraries provide a large number of good affinity (K d -1 of about 10 -8 M) of different antibodies.
或者,可將該等譜系依次選殖至同一載體中,例如,如Barbas等人,Proc.Natl.Acad.Sci.USA, 88 :7978-7982(1991)所述;或藉由PCR將其組裝在一起且隨後進行選殖,例如,如Clackson等人,Nature ,352: 624-628(1991)中所述。亦可使用PCR組裝來使VH及VLDNA與編碼彎曲肽間隔物之DNA連接在一起以形成單鏈Fv(scFv)譜系。在另一技術中,使用"細胞內PCR組裝"以藉由PCR使VH及VL基因組合於淋巴細胞內且隨後選殖經連接基因之譜系,如Embleton等人,Nucl.Acids Res. ,20 :3831-3837(1992)中所述。Alternatively, the lineages can be sequentially cloned into the same vector, for example as described by Barbas et al , Proc. Natl. Acad. Sci. USA, 88 : 7978-7982 (1991); or assembled by PCR. Colonization is carried out together and subsequently, for example as described in Clackson et al , Nature , 352: 624-628 (1991). PCR assembly can also be used to link VH and VL DNA to DNA encoding a curved peptide spacer to form a single chain Fv (scFv) lineage. In another technique, "intracellular PCR assembly" is used to combine VH and VL genes into lymphocytes by PCR and subsequent selection of lineages of linked genes, such as Embleton et al., Nucl. Acids Res. , 20 : Said in 3831-3837 (1992).
由未處理文庫產生之抗體(天然或合成)可具有適度親和力(Kd -1 為約106 至107 M-1 ),但亦可藉由建構次級文庫且從中進行再選擇而於活體外模擬親和力成熟,如前述Winter等人(1994)所述。舉例而言,可藉由使用易誤聚合酶(報導於Leung等人,Technique, 1: 11-15(1989)中)以Hawkins等人,J.Mol.Biol., 226 :889-896(1992)之方法或以Gram等人,Proc.Natl.Acad.Sci USA ,89 :3576-3580(1992)之方法於活體外隨機引入突變。此外,亦可(例如)用載運跨越所關注CDR之隨機序列的引子使用PCR來隨機突變所選個別Fv純系中之一或多個CDR且篩檢具有較高親和力之純系,藉此進行親和力成熟。WO 9607754(於1996年3月14日公開)描述一種用於誘導免疫球蛋白輕鏈之互補判定區中的突變誘發以建立輕鏈基因文庫之方法。另一有效方法係使藉由噬菌體呈現而選擇之VH或VL域與獲自未經免疫之供體的天然存在V域變異體之譜系重組,且於數輪的鏈改組中篩檢具有較高親和力者,如Marks等人,Biotechnol., 10:779-783(1992)所述。此技術允許產生親和力在10-9 M範圍內之抗體及抗體片段。Of an antibody (natural or synthetic) can be of the untreated libraries generated with a moderate affinity (K d -1 of about 106 to 10 7 M -1), but also by constructing the library and from the secondary re-selection in vivo The external analog affinity matures as described by Winter et al. (1994). For example, by using a misproducible polymerase (reported in Leung et al ., Technique, 1: 11-15 (1989)) by Hawkins et al , J. Mol. Biol., 226 : 889-896 (1992) The method is either introduced randomly in vitro by the method of Gram et al ., Proc. Natl. Acad. Sci USA , 89 : 3576-3580 (1992). In addition, affinity maturation can also be performed, for example, by PCR using a primer carrying a random sequence spanning the CDR of interest to randomly mutate one or more CDRs in a selected individual Fv pure line and screen for a pure line with higher affinity. . WO 9607754 (published on Mar. 14, 1996) describes a method for inducing mutation induction in a complementarity determining region of an immunoglobulin light chain to establish a light chain gene library. Another effective method is to recombine the VH or VL domain selected by phage display and the naturally occurring V domain variant obtained from the unimmunized donor, and the screening is higher in several rounds of strand shuffling. Affinity, as described by Marks et al ., Biotechnol., 10:779-783 (1992). This technique allows the production of antibodies and antibody fragments with affinities in the range of 10-9 M.
EphB4核酸及胺基酸序列為此項技術中已知的。可使用所要EphB4區之胺基酸序列來設計編碼EphB4之核酸序列。或者,可使用GenBank Accession第NM_004444號之cDNA序列(或其片段)或美國專利第635,177號中所揭示者。編碼EphB4之DNA可由此項技術中已知之各種方法製備。此等方法包括(但不限於)根據Engels等人,Agnew.Chem.Int.Ed.Engl. ,28 :716-734(1989)中所述的任何方法進行化學合成,例如三酯、亞磷酸酯、胺基磷酸酯及H-膦酸酯方法。在一實施例中,宿主細胞表現所偏愛的密碼子用於設計編碼EphB4之DNA。或者,可自基因組或cDNA文庫分離編碼EphB4之DNA。EphB4 nucleic acid and amino acid sequences are known in the art. The nucleic acid sequence encoding EphB4 can be designed using the amino acid sequence of the desired EphB4 region. Alternatively, the cDNA sequence of GenBank Accession No. NM_004444 (or a fragment thereof) or the one disclosed in U.S. Patent No. 635,177 can be used. DNA encoding EphB4 can be prepared by a variety of methods known in the art. Such methods include, but are not limited to, chemical synthesis, such as triesters, phosphites, according to any of the methods described in Engels et al, Agnew. Chem. Int. Ed. Engl. , 28 : 716-734 (1989). , Aminophosphate and H-phosphonate methods. In one embodiment, the host cell expresses a preferred codon for designing a DNA encoding EphB4. Alternatively, DNA encoding EphB4 can be isolated from a genomic or cDNA library.
在構造編碼EphB4之DNA分子後,將該DNA分子可操作性連接至諸如質體之表現載體中的表現控制序列,其中該控制序列藉由以該載體轉型的宿主細胞識別。一般而言,質體載體含有來源於與宿主細胞相容的物種之複製及控制序列。載體一般載運複製位點以及編碼能在轉型細胞中提供表現型選擇之蛋白的序列。適於在原核及真核宿主細胞中表現之載體為此項技術中已知的且一些在本文中進一步描述。可使用諸如酵母之真核有機體或來源於諸如哺乳動物之多細胞有機體的細胞。After constructing a DNA molecule encoding EphB4, the DNA molecule is operably linked to a expression control sequence, such as a plastid expression vector, wherein the control sequence is recognized by a host cell transformed with the vector. In general, plastid vectors contain replication and control sequences derived from species compatible with the host cell. Vectors typically carry a replication site and a sequence encoding a protein that provides phenotypic selection in a transformed cell. Vectors suitable for expression in prokaryotic and eukaryotic host cells are known in the art and some are further described herein. Cells such as yeast eukaryotic organisms or cells derived from multicellular organisms such as mammals can be used.
視情況,將編碼EphB4之DNA可操作性連接至分泌前導序列,導致表現產物由宿主細胞分泌至培養基中。分泌前導序列之實例包括stII、ecotin、lamB、疱疹性GD、lpp、鹼性磷酸酶、轉化酶及α因子。蛋白A之36胺基酸前導序列(Abrahmsen等人,EMBO J. ,4 :3901(1985))同樣適用於本文中。Optionally, the DNA encoding EphB4 is operably linked to a secretory leader sequence, resulting in the expression product being secreted by the host cell into the culture medium. Examples of secretory leader sequences include stII, ecotin, lamB, herpes GD, lpp, alkaline phosphatase, invertase, and alpha factor. The 36 amino acid leader sequence of Protein A (Abrahmsen et al., EMBO J. , 4 :3901 (1985)) is equally applicable herein.
以本發明之上述表現載體或選殖載體轉染宿主細胞且較佳地使其轉型,並在經修飾以適於誘導啟動子、選擇轉型子或擴增編碼所要序列之基因的習知營養培養基中培養該等細胞。Transfecting a host cell with the above-described expression vector or selection vector of the present invention and preferably transforming it, and a conventional nutrient medium modified to be suitable for inducing a promoter, selecting a transformant, or amplifying a gene encoding a desired sequence The cells are cultured in the medium.
轉染係指由宿主細胞吸收表現載體,而與任何編碼序列實際上是否表現無關。多種轉染方法已為一般熟習此項技術者所知,例如CaPO4 沉澱及電穿孔。當操作此載體之任何適應症出現於宿主細胞內時,通常識別為成功轉染。轉染方法為此項技術中熟知的,且一些方法在本文中進一步描述。Transfection refers to the uptake of a performance vector by a host cell, regardless of whether or not any coding sequence is actually expressed. A variety of transfection methods are known to those of ordinary skill in the art, such as CaPO 4 precipitation and electroporation. When any indication for manipulation of this vector occurs within a host cell, it is generally recognized as successful transfection. Transfection methods are well known in the art, and some methods are further described herein.
轉型意謂將DNA引入有機體中,從而使DNA可作為染色體外元件或由染色體要素複製。視所用之宿主細胞而定,使用適於此等細胞之標準技術進行轉型。轉型方法為此項技術中熟知的,且一些方法在本文中進一步描述。Transformation means introducing DNA into an organism so that the DNA can be replicated as an extrachromosomal element or by a chromosomal element. Depending on the host cell used, transformation is performed using standard techniques appropriate for such cells. Transformation methods are well known in the art, and some methods are further described herein.
可如前述Sambrook等人一般描述來培養用於產生EphB4之原核宿主細胞。Prokaryotic host cells for the production of EphB4 can be cultured as described generally by Sambrook et al.
可在各種培養基中培養用於產生EphB4之哺乳動物宿主細胞,其為此項技術中熟知的且其中一些在本文中描述。Mammalian host cells for the production of EphB4 can be cultured in a variety of media, which are well known in the art and some of which are described herein.
此揭示內容中所提及之宿主細胞涵蓋活體外培養基中之細胞以及宿主動物體內之細胞。Host cells referred to in this disclosure encompass cells in an in vitro culture medium as well as cells in a host animal.
可使用此項技術中公認的方法達成EphB4之純化,其中一些方法在本文中描述。Purification of EphB4 can be achieved using methods recognized in the art, some of which are described herein.
可將經純化EphB4附著至諸如瓊脂糖珠粒、丙烯醯胺珠粒、玻璃珠粒、纖維素、各種丙烯酸系共聚物、甲基丙烯酸羥基酯凝膠、聚丙烯酸及聚甲基丙烯酸系共聚物、耐綸、中性及離子載劑及其類似物之適當基質,以用於噬菌體呈現純系之親和力層析分離。可由Methods in Enzymology ,第44卷(1976)中所述之方法來達成使EphB4蛋白附著至基質。將蛋白配位基附著至例如瓊脂糖、葡聚糖或纖維素之多醣基質之常用技術涉及以鹵化氰活化載劑,且隨後將肽配位基的初級脂族或芳族胺偶合至經活化的基質。Purified EphB4 can be attached to such as agarose beads, acrylamide beads, glass beads, cellulose, various acrylic copolymers, methacrylate methacrylate gels, polyacrylic acid and polymethacrylic copolymers Suitable substrates for nylon, neutral and ionic carriers and their analogs for phage display in pure affinity chromatography. Attachment of the EphB4 protein to the substrate can be achieved by the method described in Methods in Enzymology , Vol. 44 (1976). A common technique for attaching a protein ligand to a polysaccharide matrix such as agarose, dextran or cellulose involves coupling the carrier with a cyanogen halide and subsequently coupling the primary aliphatic or aromatic amine of the peptide ligand to the activated The matrix.
或者,EphB4可用於塗覆吸附盤之孔,表現於固定於吸附盤上之宿主細胞上或用於細胞分選,或與生物素結合以經抗生蛋白鏈菌素塗覆之珠粒俘獲,或用於任何其他用於篩檢噬菌體呈現文庫的技術中已知之方法中。Alternatively, EphB4 can be used to coat the pores of the adsorption disk, either on the host cells immobilized on the adsorption pad or for cell sorting, or in combination with biotin for streptavidin-coated beads, or It is used in any of the other methods known in the art for screening phage display libraries.
在適於使至少一部分噬菌體顆粒與吸附劑結合之條件下,使噬菌體文庫樣本與經固定之EphB4接觸。通常,選擇條件(包括pH值、離子強度、溫度及其類似條件)以模擬生理學條件。洗滌結合至固相之噬菌體,且隨後藉由酸進行溶離(例如,如Barbas等人,Proc.Natl.Acad.Sci USA ,88 :7978-7982(1991)中所述),或藉由鹼進行溶離(例如,如Marks等人,J.Mol.Biol., 222 :581-597(1991)中所述),或藉由EphB4抗原競爭進行溶離(例如,與Clackson等人,Nature ,352 :624-628(1991)之抗原競爭方法類似的程序)。可於單輪選擇中富集20-1,000倍之噬菌體。此外,所富集之噬菌體可於細菌培養物中生長且經受其他各輪選擇。The phage library sample is contacted with immobilized EphB4 under conditions suitable for binding at least a portion of the phage particles to the adsorbent. Typically, conditions (including pH, ionic strength, temperature, and the like) are selected to mimic physiological conditions. The phage bound to the solid phase is washed and then eluted by acid (for example, as described in Barbas et al ., Proc. Natl. Acad. Sci USA , 88 : 7978-7982 (1991)), or by a base. Dissolution (for example, as described in Marks et al , J. Mol. Biol., 222 : 581-597 (1991)), or by EphB4 antigen competition (for example, with Clackson et al , Nature , 352 :624). -628 (1991) The procedure for antigen competition is similar). Enrichment of 20-1,000 fold phage in a single round of selection. In addition, the enriched phage can be grown in bacterial culture and subjected to other rounds of selection.
選擇效率視多種因子而定,包括洗滌期間之解離動力學及單一噬菌體上之多個抗體片段是否能同時與抗原接合。可藉由使用短時間洗滌、多價噬菌體呈現及抗原於固相中之高塗覆密度而保留具有快速解離動力學(及弱結合親和力)之抗體。高密度不僅經由多價相互作用穩定噬菌體,且亦易使已解離之噬菌體再結合。可藉由使用長時間洗滌及單價噬菌體呈現(如Bass等人,Proteins ,8 :309-314(1990)及WO 92/09690中所述)及低抗原塗覆密度(如Marks等人,Biotechnol., 10 :779-783(1992)所述)來促進對具有緩慢解離動力學之抗體的選擇。The efficiency of selection depends on a number of factors, including the dissociation kinetics during washing and whether multiple antibody fragments on a single phage can simultaneously bind to the antigen. Antibodies with rapid dissociation kinetics (and weak binding affinity) can be retained by using short washes, multivalent phage presentation, and high coating density of the antigen in the solid phase. The high density not only stabilizes the phage via multivalent interactions, but also facilitates recombination of the dissociated phage. It can be presented by using long-term washing and monovalent phage display (as described in Bass et al., Proteins , 8 : 309-314 (1990) and WO 92/09690) and low antigen coating density (eg, Marks et al ., Biotechnol. , 10 :779-783 (1992)) to promote the selection of antibodies with slow dissociation kinetics.
有可能在對EphB4具有不同親和力、甚至具有略微不同之親和力的噬菌體抗體之間進行選擇。然而,所選抗體之隨機突變(例如,如於上文所述之某些親和力成熟技術中進行的突變)可能產生多種突變體,其中大部分與抗原結合,且一些突變體具有較高親和力。使用限制性EphB4可競爭淘汰少數高親和力噬菌體。為保留所有具有較高親和力之突變體,可用過量經結合生物素之EphB4培育噬菌體,但經結合生物素之EphB4具有莫耳濃度低於EphB4的恆定目標莫耳濃度親和力低之濃度。隨後,可藉由經抗生蛋白鏈菌素塗覆之順磁珠粒俘獲高親和力結合之噬菌體。此"平衡俘獲"使得能夠根據抗體之結合親和力以敏感性選擇抗體,該敏感性允許使具有僅兩倍高的親和力之突變體純系與具有較低親和力之大量過量噬菌體分離。亦可操控用於洗滌與固相結合之噬菌體的條件以基於解離動力學相區分。It is possible to choose between phage antibodies that have different affinities for EphB4, even with slightly different affinities. However, random mutations in selected antibodies (e.g., mutations in certain affinity maturation techniques as described above) may result in a variety of mutants, most of which bind to the antigen, and some have higher affinity. The use of restricted EphB4 competitively eliminates a few high-affinity phage. To retain all mutants with higher affinity, phage can be incubated with excess biotin-conjugated EphB4, but biotin-conjugated EphB4 has a lower concentration of constant target molar concentration with a lower molar concentration than EphB4. Subsequently, the high affinity bound phage can be captured by the streptavidin coated paramagnetic beads. This "equilibrium capture" enables the selection of antibodies with sensitivity based on the binding affinity of the antibody, which allows for the isolation of mutant lines with only twice the high affinity from a large number of excess phage with lower affinity. Conditions for washing the phage bound to the solid phase can also be manipulated to distinguish based on dissociation kinetics.
抗EphB4純系可根據活性加以選擇。在一實施例中,本發明提供阻斷EphB4配位基(例如ephrin-B1、ephrin-B2及/或ephrin-B3)與EphB4之間之結合但不阻斷EphB4配位基與第二蛋白(例如EphB1、EphB3、EphB4、EphB5及/或EphB6)之間之結合的抗EphB4抗體。與此等抗EphB4抗體相對應的Fv純系可藉由以下步驟選擇:(1)如上文所述,使抗EphB4純系與噬菌體文庫分離,且視情形藉由在適當細菌宿主中長成群體而擴增經分離之噬菌體純系群體;(2)選擇分別需要阻斷及非阻斷活性之EphB4及第二蛋白;(3)將抗EphB4噬菌體純系吸附至經固定EphB4;(4)使用過量第二蛋白以溶離任何不良純系,該等不良純系識別與該第二蛋白的結合決定子重疊或與該第二蛋白共有結合決定子之EphB4結合決定子;及(5)溶離在第(4)步驟後仍保持吸附之純系。視情形,可藉由重複本文所述之選擇程序一或多次而進一步富集具有所要阻斷/非阻斷特性之純系。The anti-EphB4 pure line can be selected according to the activity. In one embodiment, the invention provides for blocking the binding between an EphB4 ligand (eg, ephrin-B1, ephrin-B2, and/or ephrin-B3) and EphB4 but does not block the EphB4 ligand from the second protein ( For example, an anti-EphB4 antibody that binds between EphB1, EphB3, EphB4, EphB5, and/or EphB6). The Fv pure line corresponding to these anti-EphB4 antibodies can be selected by the following steps: (1) separating the anti-EphB4 pure line from the phage library as described above, and optionally expanding into a population in a suitable bacterial host. Enhance the phage pure line population isolated; (2) select EphB4 and second protein that require blocking and non-blocking activities, respectively; (3) adsorb the anti-EphB4 phage pure line to the immobilized EphB4; (4) use excess second protein To dissociate any poorly pure lines that recognize the EphB4 binding determinant of the binding determinant of the second protein or the binding determinant of the second protein; and (5) the solvate remains after the step (4) Keep the pure line of adsorption. Optionally, the pure line with the desired blocking/non-blocking properties can be further enriched by repeating the selection procedure described herein one or more times.
本發明之編碼融合瘤來源的單株抗體之DNA或噬菌體呈現Fv純系易於分離,且易於使用習知程序(例如,藉由使用經設計以由融合瘤或噬菌體DNA模板特異性擴增所關注重鏈及輕鏈編碼區之寡核苷酸引子)進行定序。分離後可將DNA置於表現載體內,隨後將該等表現載體轉染至不會另外產生免疫球蛋白之宿主細胞(諸如大腸桿菌細胞、猴COS細胞、中國倉鼠卵巢(CHO)細胞或骨髓瘤細胞)中,以於重組宿主細胞中獲得所要單株抗體之合成。關於在編碼抗體之細菌DNA中重組表現之文獻綜述包括Skerra等人,Curr.Opinion in Immunol. ,5 :256(1993)及Pluckthun,Immunol.Revs ,130 :151(1992)。The DNA or phage encoding the fusion cell-derived monoclonal antibody of the present invention exhibits an easy separation of the Fv pure line, and is easy to use conventional procedures (for example, by using a specific weight designed to be specifically amplified by a fusion tumor or phage DNA template) The oligonucleotide primers of the strand and light chain coding regions are sequenced. After isolation, the DNA can be placed in an expression vector, which is then transfected into host cells that do not otherwise produce immunoglobulin (such as E. coli cells, monkey COS cells, Chinese hamster ovary (CHO) cells, or myeloma). In the cell, the synthesis of the desired monoclonal antibody is obtained in a recombinant host cell. A literature review on recombinant expression in bacterial DNA encoding antibodies includes Skerra et al , Curr. Opinion in Immunol. , 5 : 256 (1993) and Pluckthun, Immunol. Revs , 130 : 151 (1992).
編碼本發明Fv純系之DNA可與已知編碼重鏈及/或輕鏈恆定區之DNA序列(例如,適當DNA序列可由Kabat等人上文所述而獲得)組合以形成編碼全長或部分長度之重鏈及/或輕鏈的純系。應瞭解,為達成此目的可使用任何同型之恆定區,包括IgG、IgM、IgA、IgD及IgE恆定區,且此等恆定區可由任何人類或動物物種獲得。如本文所用之定義"嵌合"抗體及"雜交"抗體中包括得自一種動物(諸如人類)物種之可變域DNA且隨後融合至另一動物物種之恆定區DNA中以形成"雜交"編碼序列(全長重鏈及/或輕鏈)的Fv純系。在一較佳實施例中,得自人類可變DNA之Fv純系係融合於人類恆定區DNA中以形成全人類編碼序列,即全長或部分長度之重鏈及/或輕鏈。The DNA encoding the Fv pure line of the invention can be combined with a DNA sequence known to encode a heavy chain and/or a light chain constant region (for example, a suitable DNA sequence can be obtained as described above by Kabat et al.) to form a full length or partial length. A pure line of heavy and/or light chains. It will be appreciated that any isotype constant region can be used for this purpose, including IgG, IgM, IgA, IgD and IgE constant regions, and such constant regions can be obtained from any human or animal species. As used herein, a "chimeric" antibody and a "hybridization" antibody include variable domain DNA derived from an animal (such as a human) species and subsequently fused to constant region DNA of another animal species to form a "hybridization" code. Fv pure line of sequence (full length heavy chain and/or light chain). In a preferred embodiment, an Fv pure line derived from human variable DNA is fused to human constant region DNA to form a full human coding sequence, i.e., a full length or partial length heavy and/or light chain.
舉例而言,亦可藉由以人類重鏈及輕鏈恆定域之編碼序列取代來自融合瘤純系的同源鼠類序列而修飾來自本發明融合瘤之編碼抗EphB4抗體的DNA(例如,如Morrison等人,Proc.Natl.Acad.Sci.USA ,81 :6851-6855(1984)中之方法)。編碼融合瘤或Fv純系來源之抗體或片段的DNA可藉由共價接合至免疫球蛋白編碼序列(該編碼序列之全部或部分用於編碼非免疫球蛋白多肽)進一步修飾。以此方式,製備具有本發明Fv純系或融合瘤純系來源的抗體之結合特異性的"嵌合"或"雜合"抗體。For example, DNA encoding an anti-EphB4 antibody from a fusion tumor of the invention can also be modified by substituting a homologous murine sequence from a fusion tumor homologous line with a coding sequence of the human heavy and light chain constant domains (eg, such as Morrison) Et al., Proc. Natl. Acad. Sci. USA , 81 : 6851-6855 (1984). DNA encoding an antibody or fragment derived from a fusion tumor or Fv pure line may be further modified by covalent ligation to an immunoglobulin coding sequence, all or part of which is used to encode a non-immunoglobulin polypeptide. In this manner, a "chimeric" or "hybrid" antibody having the binding specificity of an antibody of the Fv pure line or fusion line of the invention is prepared.
本發明涵蓋抗體片段。在某些情形下,使用抗體片段而非使用全抗體具有優勢。較小尺寸之片段可迅速清除且可導致對於實體腫瘤接取之改良。The invention encompasses antibody fragments. In some cases, it may be advantageous to use antibody fragments rather than whole antibodies. Fragments of smaller size can be quickly cleared and can result in improved access to solid tumors.
已發展各種技術用於產生抗體片段。通常,經由蛋白水解性消化完整抗體獲得此等片段(例如,參見Morimoto等人,Journal of Biochemical and Biophysical Methods 24:107-117(1992);及Brennan等人,Science,229:81(1985))。然而,現可藉由重組宿主細胞直接產生此等片段。Fab、Fv及ScFv抗體片段均可在大腸桿菌中表現且由其分泌,因此可易於產生大量此等片段。可自以上討論的抗體噬菌體文庫分離抗體片段。或者,可自大腸桿菌直接回收Fab'-SH片段,且將其化學偶合以形成F(ab')2 片段(Carter等人,Bio/Technology 10:163-167(1992))。根據另一種方法,可自重組宿主細胞培養物直接分離F(ab')2 片段。具有增加之活體內半衰期的包含補救受體結合抗原決定基殘基之Fab及F(ab')2 片段係描述於美國專利第5,869,046號中。其他用於產生抗體片段之技術對於熟習此項技術者而言應為顯而易見的。在其他實施例中,所選擇之抗體為單鏈Fv片段(scFv)。參看WO 93/16185、美國專利第5,571,894號及第5,587,458號。Fv及sFv為唯一缺少恆定區但仍具有完整組合位點之種類;因此,其適於在活體內使用期間具有降低之非特異性結合。sFv融合蛋白可經建構以在sFv的胺基或羧基末端產生效應蛋白之融合。參看Antibody Engineering,Borrebaeck編輯,同上文。抗體片段亦可為"線性抗體",例如,如美國專利第5,641,870號中所述。此等線性抗體片段可為單特異性或雙特異性。Various techniques have been developed for the production of antibody fragments. Typically, such fragments are obtained by proteolytic digestion of intact antibodies (see, for example, Morimoto et al, Journal of Biochemical and Biophysical Methods 24: 107-117 (1992); and Brennan et al, Science, 229: 81 (1985)) . However, such fragments can now be produced directly by recombinant host cells. Both Fab, Fv and ScFv antibody fragments can be expressed in and secreted by E. coli, and thus a large number of such fragments can be easily produced. Antibody fragments can be isolated from the antibody phage libraries discussed above. Alternatively, Fab'-SH fragments can be directly recovered from E. coli and chemically coupled to form F(ab') 2 fragments (Carter et al, Bio/Technology 10: 163-167 (1992)). According to another approach, F(ab') 2 fragments can be isolated directly from recombinant host cell culture. Fab and F(ab') 2 fragments comprising a salvage receptor binding epitope residue having an increased in vivo half-life are described in U.S. Patent No. 5,869,046. Other techniques for generating antibody fragments should be apparent to those skilled in the art. In other embodiments, the antibody selected is a single chain Fv fragment (scFv). See WO 93/16185, U.S. Patent Nos. 5,571,894 and 5,587,458. Fv and sFv are the only species that lack a constant region but still have a complete combinatorial site; therefore, they are suitable for reduced non-specific binding during in vivo use. The sFv fusion protein can be constructed to produce fusion of effector proteins at the amino or carboxy terminus of the sFv. See Antibody Engineering, edited by Borrebaeck, supra. The antibody fragment can also be a "linear antibody", for example, as described in U.S. Patent No. 5,641,870. Such linear antibody fragments can be monospecific or bispecific.
本發明涵蓋人化抗體。各種用於人化非人類抗體之方法已為此項技術中所知。舉例而言,人化抗體可具有一或多個由非人類來源引入其中之胺基酸殘基。該等非人類胺基酸殘基通常被稱為"輸入"殘基,其通常自"輸入"可變域取得。可基本上根據Winter及其同事(Jones等人, (1986)Nature 321:522-525;Riechmann等人, (1988)Nature 332:323-327;Verhoeyen等人, (1988)Science 239:1534-1536)之方法藉由以高變區序列取代人類抗體之相應序列進行人化。因此,該等"人化"抗體為嵌合抗體(美國專利第4,816,567號),其中大體上小於完整人類可變域之序列已由來自非人類物種之相應序列取代。實際上,人化抗體通常為其中某些高變區殘基及可能某些FR殘基經來自齧齒動物抗體之類似位點之殘基取代的人類抗體。The invention encompasses humanized antibodies. A variety of methods for humanizing non-human antibodies are known in the art. For example, a humanized antibody can have one or more amino acid residues introduced therein from a non-human source. Such non-human amino acid residues are often referred to as "input" residues, which are typically taken from the "input" variable domain. Basically according to Winter and colleagues (Jones et al., (1986) Nature 321:522-525; Riechmann et al ., (1988) Nature 332:323-327; Verhoeyen et al ., (1988) Science 239:1534-1536 The method is humanized by substituting the corresponding sequence of the human antibody with a hypervariable region sequence. Thus, such "humanized" antibodies are chimeric antibodies (U.S. Patent No. 4,816,567), wherein sequences substantially smaller than the entire human variable domain have been replaced by corresponding sequences from non-human species. In fact, humanized antibodies are typically human antibodies in which certain hypervariable region residues and possibly certain FR residues are substituted with residues from analogous sites in rodent antibodies.
對用於製造人化抗體之人類可變域(輕鏈與重鏈)的選擇對於降低抗原性而言為極為重要的。根據所謂之"最佳擬合"方法,對已知人類可變域序列篩檢齧齒動物抗體之可變域序列。隨後,將與齧齒動物序列最接近之人類序列接受為人化抗體之人類框架(Sims等人,(1993)J.Immunol. 151:2296;Chothia等人,(1987)J. Mol.Biol. 196:901)。另一方法使用得自具有特定輕鏈或重鏈亞群之所有人類抗體之一致序列的特定框架。同一框架可用於數種不同之人化抗體(Carter等人, (1992)Proc.Natl.Acad.Sci.USA ,89:4285;Presta等人, (1993)J.Immunol. ,151:2623)。The selection of human variable domains (light and heavy) for the production of humanized antibodies is extremely important to reduce antigenicity. The variable domain sequences of rodent antibodies are screened against known human variable domain sequences according to the so-called "best fit" method. Subsequently, the human sequence closest to the rodent sequence is accepted as the human framework for humanized antibodies (Sims et al., (1993) J. Immunol. 151:2296; Chothia et al., (1987) J. Mol. Biol. 196 :901). Another method uses a specific framework derived from a consensus sequence of all human antibodies with a particular light chain or heavy chain subpopulation. The same framework can be used for several different humanized antibodies (Carter et al , (1992) Proc. Natl. Acad. Sci. USA , 89: 4285; Presta et al , (1993) J. Immunol. , 151: 2623).
更重要的是,通常需要經人化而保持對抗原之高親和力及其他有利生物學特性的抗體。為達成此目標,根據一種方法,藉由使用親本序列及人化序列之三維模型來分析親本序列及各種概念上之人化產物的方法製備人化抗體。三維免疫球蛋白模型通常可用且為熟習此項技術者所熟知。可用描述且呈現所選擇之候選免疫球蛋白序列之大致三維構形結構的電腦程式。該等呈現之檢驗允許分析殘基對候選免疫球蛋白序列之功能可能起到的作用,亦即,分析會影響候選免疫球蛋白與其抗原結合之能力的殘基。以此方式,可自受體及輸入序列選擇FR殘基並使其組合,從而使所要抗體特徵(諸如對靶向抗原增加之親和力)得以達成。一般而言,對於抗原結合之影響直接且大體上完全涉及高變區殘基。More importantly, antibodies that are humanized to maintain high affinity for antigens and other beneficial biological properties are often required. To achieve this goal, humanized antibodies are prepared according to one method by analyzing the parental sequences and various conceptual humanized products using a three-dimensional model of the parental sequence and the humanized sequence. Three-dimensional immunoglobulin models are commonly available and are well known to those skilled in the art. A computer program describing and presenting the approximate three-dimensional configuration of the selected candidate immunoglobulin sequences can be used. Examination of such presentations allows analysis of the possible role of residues in the function of the candidate immunoglobulin sequence, i.e., analysis of residues that affect the ability of the candidate immunoglobulin to bind to its antigen. In this manner, FR residues can be selected from the receptor and input sequences and combined to achieve desired antibody characteristics, such as increased affinity for targeted antigens. In general, the effects on antigen binding are directly and substantially entirely related to hypervariable region residues.
本發明之人類抗EphB4抗體可藉由將選自人類來源之噬菌體呈現文庫的Fv純系可變域序列與如上所述之已知人類恆定域序列組合來建構。或者,可藉由融合瘤方法製得本發明之人類單株抗EphB4抗體。用於產生人類單株抗體之人類骨髓瘤及小鼠-人類雜交骨髓瘤細胞株已由下列文獻加以描述:例如,KozborJ.Immunol. ,133 :3001(1984);Brodeur等人,Monoclonal Antibody Production Techniques and Applications ,第51-63頁(Marcel Dekker,Inc.,New York,1987);及Boerner等人,J.Immunol. ,147 :86(1991)。The human anti-EphB4 antibody of the present invention can be constructed by combining an Fv pure line variable domain sequence selected from a human-derived phage display library with a known human constant domain sequence as described above. Alternatively, the human monoclonal anti-EphB4 antibody of the present invention can be produced by the fusion tumor method. Human myeloma and mouse-human hybrid myeloma cell lines for producing human monoclonal antibodies have been described by, for example, Kozbor J. Immunol. , 133 :3001 (1984); Brodeur et al ., Monoclonal Antibody Production Techniques and Applications, pp. 51-63 (Marcel Dekker, Inc., New York, 1987); and Boerner et al., J.Immunol, 147: 86 (1991 )..
現今有可能產生在免疫後隨即能夠在不產生內源免疫球蛋白之情形下產生全人類抗體譜系的轉殖基因動物(例如小鼠)。舉例而言,已描述嵌合及生殖系突變體小鼠中抗體重鏈連接區(JH)基因的純合子缺失會導致對於內源抗體產生之完全抑制。將人類生殖系免疫球蛋白基因陣列轉移至此等生殖系突變體小鼠中將會於抗原激發後引起人類抗體之產生。例如,參看Jakobovits等人,Proc.Natl.Acad.Sci USA, 90 :2551(1993);Jakobovits等人,Nature, 362 :255(1993);Bruggermann等人,Year in Immunol.,7: 33(1993)。It is now possible to produce a transgenic animal (e.g., a mouse) that is capable of producing a whole human antibody lineage immediately after immunization without producing endogenous immunoglobulin. For example, homozygous deletion of the antibody heavy chain joining region (JH) gene in chimeric and germline mutant mice has been described to result in complete inhibition of endogenous antibody production. Transfer of human germline immunoglobulin gene arrays into such germline mutant mice will result in the production of human antibodies following antigen challenge. See, for example, Jakobovits et al , Proc. Natl. Acad. Sci USA, 90 : 2551 (1993); Jakobovits et al , Nature, 362 : 255 (1993); Bruggermann et al , Year in Immunol., 7: 33 (1993). ).
亦可使用基因改組以自非人類(例如齧齒動物)抗體得到人類抗體,其中人類抗體具有與初始非人類抗體類似之親和力及特異性。根據此方法(亦稱為"抗原決定基印記(epitope imprinting)"),以人類V域基因譜系置換藉由如上文所述之噬菌體呈現技術獲得的非人類抗體片段之重鏈或輕鏈可變區,從而產生非人類鏈/人類鏈scFv或Fab嵌合體群體。以抗原進行選擇會導致非人類鏈/人類鏈嵌合scFv或Fab之分離,其中人類鏈會恢復移除原代噬菌體呈現純系中之相應非人類鏈時損壞的抗原結合位點,亦即抗原決定基決定(印記)對於人類鏈搭配物之選擇。當重複該過程以置換剩餘非人類鏈時,獲得人類抗體(參看1993年4月1日公開之PCT WO 93/06213)。與傳統藉由CDR移植來人化非人類抗體不同,此技術提供不具有非人類來源之FR或CDR殘基的完全人類抗體。Gene shuffling can also be used to obtain human antibodies from non-human (e.g., rodent) antibodies, wherein the human antibodies have similar affinities and specificities as the original non-human antibodies. According to this method (also referred to as "epitope imprinting"), the human V domain gene lineage is substituted for a heavy or light chain variable of a non-human antibody fragment obtained by the phage display technique as described above. Region, thereby producing a non-human chain/human chain scFv or Fab chimera population. Selection with an antigen results in the isolation of a non-human chain/human chain chimeric scFv or Fab, wherein the human chain restores the antigen binding site that is damaged when the primary phage exhibits the corresponding non-human chain in the pure line, ie, the antigen is determined. Base decision (imprint) for the choice of human chain collocation. Human antibodies are obtained when the process is repeated to replace the remaining non-human chains (see PCT WO 93/06213, published Apr. 1, 1993). Unlike traditional humanized non-human antibodies by CDR grafting, this technology provides fully human antibodies that do not have FR or CDR residues of non-human origin.
雙特異性抗體為對至少兩種不同抗原具有結合特異性之單株抗體,較佳地為人類或人化抗體。在本發明情形中,結合特異性之一為對於EphB4之結合特異性且另一者為對於任何其他抗原之結合特異性。例示性雙特異性抗體可結合至EphB4蛋白之兩種不同抗原決定基。雙特異性抗體亦可用於將細胞毒性劑定位於表現EphB4之細胞。此等抗體具有EphB4結合臂及結合細胞毒性劑(例如沙泊寧(saporin)、抗干擾素-α、長春鹼類、蓖麻毒蛋白(ricin)A鏈、甲胺喋呤或放射性同位素半抗原)之臂。雙特異性抗體可製備為全長抗體或抗體片段(例如F(ab')2 雙特異性抗體)。A bispecific antibody is a monoclonal antibody having binding specificity for at least two different antigens, preferably a human or humanized antibody. In the context of the present invention, one of the binding specificities is the binding specificity for EphB4 and the other is the binding specificity for any other antigen. An exemplary bispecific antibody can bind to two different epitopes of the EphB4 protein. Bispecific antibodies can also be used to localize cytotoxic agents to cells that express EphB4. These antibodies have an EphB4 binding arm and a binding cytotoxic agent (eg, saporin, anti-interferon-alpha, vinblastine, ricin A chain, methotrexate or radioisotope hapten) ) The arm. Bispecific antibodies can be prepared as full length antibodies or antibody fragments (eg, F(ab') 2 bispecific antibodies).
用於製造雙特異性抗體之方法已為此項技術中所知。傳統上,重組產生雙特異性抗體係基於兩個免疫球蛋白重鏈-輕鏈對之共同表現,其中該兩個重鏈具有不同特異性(Milstein及Cuello,Nature ,305 :537(1983))。由於免疫球蛋白重鏈及輕鏈之隨機分組,該等融合瘤(雜交瘤)產生10種不同抗體分子之潛在混合物,其中僅一種具有恰當之雙特異性結構。通常藉由親和層析步驟進行之恰當分子的純化相當繁瑣,且產物產率低。類似程序揭示於1993年5月13日公開之WO 93/08829及Traunecker等人,EMBO J., 10: 3655(1991)中。Methods for making bispecific antibodies are known in the art. Traditionally, recombinant production of bispecific anti-systems has been based on the co-expression of two immunoglobulin heavy chain-light chain pairs, where the two heavy chains have different specificities (Milstein and Cuello, Nature , 305 :537 (1983)). . Due to the random grouping of immunoglobulin heavy and light chains, these fusion tumors (hybridomas) produce a potential mixture of 10 different antibody molecules, of which only one has the appropriate bispecific structure. Purification of the appropriate molecule, usually by affinity chromatography steps, is quite cumbersome and the product yield is low. A similar procedure is disclosed in WO 93/08829, published May 13, 1993, and in Traunecker et al, EMBO J., 10: 3655 (1991).
根據一種不同且更佳之方法,將具有所要結合特異性(抗體抗原組合位點)之抗體可變域與免疫球蛋白恆定域序列融合。較佳地,與包含鉸鏈區、CH2及CH3區之至少部分之免疫球蛋白重鏈恆定域一起進行融合。含有輕鏈結合所必需之位點之第一重鏈恆定區(CH1)最好存在於至少一種融合體中。將編碼免疫球蛋白重鏈融合體及(若須要)免疫球蛋白輕鏈之DNA插入獨立表現載體中,且使其共轉染至適當之宿主有機體中。在建構時使用不等比率之三個多肽鏈來提供最佳產率之實施例中,此舉使對於三個多肽片段的相互比例之調節具有極大靈活性。然而,當至少兩個多肽鏈以相等比率表現會產生高產率或當該等比率並非特別重要時,有可能將兩個或所有三個多肽鏈之編碼序列插入一種表現載體中。The antibody variable domain having the desired binding specificity (antibody antigen binding site) is fused to an immunoglobulin constant domain sequence according to a different and better method. Preferably, the fusion is carried out with an immunoglobulin heavy chain constant domain comprising at least a portion of the hinge region, the CH2 and CH3 regions. Preferably, the first heavy chain constant region (CH1) comprising a site necessary for light chain binding is present in at least one of the fusions. The DNA encoding the immunoglobulin heavy chain fusion and, if desired, the immunoglobulin light chain is inserted into a separate expression vector and co-transfected into a suitable host organism. In the examples where three polypeptide chains of unequal ratios are used in construction to provide optimal yield, this provides great flexibility in the adjustment of the mutual ratio of the three polypeptide fragments. However, when at least two polypeptide chains are expressed in equal ratios to produce high yields or when such ratios are not of particular importance, it is possible to insert the coding sequences of two or all three polypeptide chains into one expression vector.
在此方法之一較佳實施例中,雙特異性抗體係由一臂中具有第一結合特異性之雜交免疫球蛋白重鏈及另一臂中之雜交免疫球蛋白重鏈-輕鏈對(提供第二結合特異性)構成。已發現,由於免疫球蛋白輕鏈僅存在於一半雙特異性分子中會提供一種簡便之分離方式,故此不對稱結構會促進所要雙特異性化合物與不良免疫球蛋白組合分離。此方法揭示於WO 94/04690中。有關產生雙特異性抗體之其他細節,參看(例如)Suresh等人,Methods in Enzymology ,121:210(1986)。In a preferred embodiment of the method, the bispecific anti-system consists of a hybrid immunoglobulin heavy chain having a first binding specificity in one arm and a hybrid immunoglobulin heavy chain-light chain pair in the other arm ( A second binding specificity is provided to constitute. It has been discovered that since the immunoglobulin light chain is only present in half of the bispecific molecule to provide a convenient means of isolation, the asymmetric structure promotes the separation of the desired bispecific compound from the undesirable immunoglobulin combination. This method is disclosed in WO 94/04690. For additional details regarding the production of bispecific antibodies, see, for example, Suresh et al, Methods in Enzymology , 121:210 (1986).
根據另一方法,可工程設計一對抗體分子之間之界面以使由重組細胞培養物回收的雜二聚體之百分比最大化。該較佳界面包含抗體恆定域之至少一部分CH 3域。以此方法,使來自第一抗體分子界面之一或多個小胺基酸側鏈經較大側鏈(例如,酪胺酸或色胺酸)置換。藉由用小胺基酸側鏈(例如,丙胺酸或蘇胺酸)置換大胺基酸側鏈而於第二抗體分子之界面上產生具有與大側鏈相同或類似的尺寸之補償性"空穴"。此舉提供一種使雜二聚體之產量增加超過其他不良最終產物(諸如均二聚體)之機制。According to another approach, the interface between a pair of antibody molecules can be engineered to maximize the percentage of heterodimers recovered from the recombinant cell culture. The preferred interface comprises at least a portion of the CH3 domain of the antibody constant domain. In this way, one or more of the small amino acid side chains from the first antibody molecule interface are replaced with a larger side chain (eg, tyrosine or tryptophan). Compensating for the same or similar size to the large side chain at the interface of the second antibody molecule by replacing the large amino acid side chain with a small amino acid side chain (eg, alanine or threonine) Hole". This provides a mechanism to increase the yield of heterodimers over other undesirable end products, such as homodimers.
雙特異性抗體包括交聯或"雜結合"抗體。舉例而言,雜結合物中之一抗體可與抗生蛋白偶聯,其他抗體與生物素偶聯。例如,已建議該等抗體靶向針對不良細胞之免疫系統細胞(美國專利第4,676,980號),且用於治療HIV感染(WO 91/00360、WO 92/00373及EP 03089)。可使用任何便利之交聯方法來製造雜結合抗體。適當之交聯劑已為此項技術中所熟知,且揭示於美國專利第4,676,980號以及大量交聯技術中。Bispecific antibodies include cross-linked or "heteroconjugate" antibodies. For example, one of the heteroconjugates can be conjugated to an antibiotic protein and the other antibody to biotin. For example, such antibodies have been suggested to target immune system cells against undesirable cells (U.S. Patent No. 4,676,980) and for the treatment of HIV infection (WO 91/00360, WO 92/00373 and EP 03089). Heteroconjugate antibodies can be made using any convenient cross-linking method. Suitable cross-linking agents are well known in the art and are disclosed in U.S. Patent No. 4,676,980 and the numerous cross-linking techniques.
自抗體片段產生雙特異性抗體之技術亦已描述於文獻中。舉例而言,可使用化學鍵製備雙特異性抗體。Brennan等人,Science ,229 :81(1985)中描述蛋白水解性裂解完整抗體以產生F(ab')2 片段之程序。在二硫醇錯合劑亞砷酸鈉存在下還原該等片段以穩定鄰近二硫醇且防止分子間二硫化物形成。隨後,將所產生之Fab'片段轉化為硫代硝基苯甲酸鹽(TNB)衍生物。隨後,藉由用巰基乙胺還原將一種Fab'-TNB衍生物再轉化為Fab'-硫醇,且使其與等莫耳量之另一種Fab'-TNB衍生物混合以形成雙特異性抗體。所產生之雙特異性抗體可用作用於選擇性固定酶之試劑。Techniques for generating bispecific antibodies from antibody fragments have also been described in the literature. For example, a bispecific antibody can be prepared using a chemical bond. The procedure for proteolytic cleavage of intact antibodies to produce F(ab') 2 fragments is described in Brennan et al, Science , 229 :81 (1985). The fragments are reduced in the presence of the dithiol conjugate sodium arsenite to stabilize the adjacent dithiol and prevent intermolecular disulfide formation. Subsequently, the resulting Fab' fragment is converted to a thionitrobenzoate (TNB) derivative. Subsequently, a Fab'-TNB derivative is reconverted to a Fab'-thiol by reduction with mercaptoethylamine and mixed with another Fab'-TNB derivative of the same molar amount to form a bispecific antibody. . The bispecific antibody produced can be used as an agent for selectively immobilizing an enzyme.
近期之發展已促進自大腸桿菌直接回收Fab'-SH片段,該等片段可化學偶聯以形成雙特異性抗體。Shalaby等人,J.Exp.Med. ,175 :217-225(1992)描述完全人化雙特異性抗體F(ab')2 分子之產生。由大腸桿菌單獨地分泌各Fab'片段且使其經受活體外定向化學偶聯以形成雙特異性抗體。因此所形成之雙特異性抗體能夠與過度表現HER2受體之細胞及正常人T細胞結合,且亦觸發人類細胞毒素淋巴細胞對人類乳腺腫瘤標靶之溶解活性。Recent developments have facilitated the direct recovery of Fab'-SH fragments from E. coli, which can be chemically coupled to form bispecific antibodies. Shalaby et al, J. Exp. Med. , 175 : 217-225 (1992) describe the production of a fully humanized bispecific antibody F(ab') 2 molecule. Each Fab' fragment was secreted separately by E. coli and subjected to in vitro directed chemical coupling to form a bispecific antibody. The bispecific antibody thus formed is capable of binding to cells overexpressing the HER2 receptor and normal human T cells, and also triggers the lytic activity of human cytotoxic lymphocytes on human breast tumor targets.
亦已描述各種直接由重組細胞培養物製造並分離雙特異性抗體片段之技術。舉例而言,已使用白胺酸拉鏈產生雙特異性抗體。Kostelny等人,J.Immunol. ,148(5): 1547-1553(1992)。藉由基因融合將來自Fos及Jun蛋白之白胺酸拉鏈肽與兩種不同抗體之Fab'部分連接。還原鉸鏈區之抗體均二聚體以形成單體,且隨後使其再氧化以形成抗體雜二聚體。此方法亦可用於產生抗體均二聚體。Hollinger等人,Proc.Natl.Acad.Sci.USA ,90 :6444-6448(1993)所述之"雙功能抗體"技術已提供一種用於製造雙特異性抗體片段之替代機制。該等片段包含藉由連接子連接至輕鏈可變域(VL)之重鏈可變域(VH),該連接子因過短而使得同一鏈上之兩個域無法配對。因此,迫使一片段之VH及VL域與另一片段之互補VL及VH域配對,藉此形成兩個抗原結合位點。亦已報導另一種藉由使用單鏈Fv(sFv)二聚體來製造雙特異性抗體片段之策略。參看Gruber等人,J.Immunol. ,152: 5368(1994)。Various techniques for making and isolating bispecific antibody fragments directly from recombinant cell culture have also been described. For example, leucine zippers have been used to generate bispecific antibodies. Kostelny et al., J. Immunol. , 148(5): 1547-1553 (1992). The leucine zipper peptide from the Fos and Jun proteins was ligated to the Fab' portion of two different antibodies by gene fusion. The antibody that restores the hinge region is homodimerized to form a monomer, and then reoxidized to form an antibody heterodimer. This method can also be used to generate antibody homodimers. The "bifunctional antibody" technique described by Hollinger et al, Proc. Natl. Acad. Sci. USA , 90 :6444-6448 (1993) has provided an alternative mechanism for making bispecific antibody fragments. The fragments comprise a heavy chain variable domain (VH) joined to the light chain variable domain (VL) by a linker which is too short to allow pairing of the two domains on the same chain. Thus, the VH and VL domains of one fragment are forced to pair with the complementary VL and VH domains of another fragment, thereby forming two antigen binding sites. Another strategy for making bispecific antibody fragments by using single-chain Fv (sFv) dimers has also been reported. See Gruber et al., J. Immunol. , 152: 5368 (1994).
涵蓋大於兩價之抗體。舉例而言,可製備三特異性抗體。Tutt等人,J.Immunol. 147 :60(1991)。Covers antibodies greater than two valences. For example, a trispecific antibody can be prepared. Tutt et al. , J. Immunol. 147 : 60 (1991).
可藉由表現與抗體結合的抗原之細胞比二價抗體快地內化(及/或異化)多價抗體。本發明抗體可為具有三個或三個以上抗原結合位點之多價抗體(其與IgM種類之抗體不同)(例如四價抗體),該等多價抗體可易於藉由重組表現編碼抗體多肽鏈之核酸來製造。多價抗體可包含二聚化域及三個或三個以上抗原結合位點。較佳之二聚化域包含(例如)Fc區或鉸鏈區(或由其組成)。在此情形下,抗體將包含Fc區及三個或三個以上在Fe區胺基末端之抗原結合位點。在本文中,較佳之多價抗體包含(例如)三至約八個但較佳四個抗原結合位點(或由其組成)。多價抗體包含至少一個多肽鏈(且較佳兩個多肽鏈),其中多肽鏈包含兩個或兩個以上可變域。舉例而言,多肽鏈可包含VD1-(X1)n-VD2-(X2)n-Fc,其中VD1為第一可變域,VD2為第二可變域,Fc為Fc區之一個多肽鏈,X1及X2表示胺基酸或多肽,且n為0或1。舉例而言,多肽鏈可包含:VH-CH1-彎曲連接子-VH-CH1-Fc區鏈或VH-CH1-VH-CH1-Fc區鏈。在本文中,多價抗體可另外包含至少兩個(且較佳四個)輕鏈可變域多肽。在本文中,多價抗體可(例如)包含約兩個至約八個輕鏈可變域多肽。本文所涵蓋之輕鏈可變域多肽包含輕鏈可變域且視情形另外包含CL域。The multivalent antibody can be internalized (and/or catabolized) by the cells expressing the antigen bound to the antibody faster than the bivalent antibody. The antibody of the present invention may be a multivalent antibody having three or more antigen binding sites (which is different from an antibody of the IgM species) (for example, a tetravalent antibody), which can easily encode an antibody polypeptide by recombinant expression. The nucleic acid of the chain is manufactured. A multivalent antibody can comprise a dimerization domain and three or more antigen binding sites. Preferred dimerization domains comprise (or consist of), for example, an Fc region or a hinge region. In this case, the antibody will comprise an Fc region and three or more antigen binding sites at the amino terminus of the Fe region. Preferred multivalent antibodies herein comprise, for example, from three to about eight but preferably four antigen binding sites (or consist of). A multivalent antibody comprises at least one polypeptide chain (and preferably two polypeptide chains), wherein the polypeptide chain comprises two or more variable domains. For example, the polypeptide chain can comprise VD1-(X1)n-VD2-(X2)n-Fc, wherein VD1 is the first variable domain, VD2 is the second variable domain, and Fc is a polypeptide chain of the Fc region, X1 and X2 represent an amino acid or a polypeptide, and n is 0 or 1. For example, the polypeptide chain can comprise: a VH-CH1-bend linker-VH-CH1-Fc region chain or a VH-CH1-VH-CH1-Fc region chain. Herein, the multivalent antibody may additionally comprise at least two (and preferably four) light chain variable domain polypeptides. Herein, a multivalent antibody can, for example, comprise from about two to about eight light chain variable domain polypeptides. A light chain variable domain polypeptide encompassed herein comprises a light chain variable domain and, as the case may be, additionally comprises a CL domain.
在某些實施例中,涵蓋本文所述之抗體的胺基酸序列修飾。舉例而言,可需要改良抗體之結合親和力及/或其他生物學特性。抗體之胺基酸序列變異體係藉由將適當之核苷酸改變引入抗體核酸中或藉由肽合成而製備。此等修飾包括(例如)抗體胺基酸序列內殘基之缺失及/或插入及/或取代。可進行缺失、插入及取代之任何組合以達成最終構築體,其限制條件在於最終構築體具有所要特徵。可在製造序列時將胺基酸變化引入標的抗體胺基酸序列中。In certain embodiments, amino acid sequence modifications of the antibodies described herein are contemplated. For example, it may be desirable to improve the binding affinity and/or other biological properties of the antibody. Amino acid sequence variants of antibodies are prepared by introducing appropriate nucleotide changes into the antibody nucleic acid or by peptide synthesis. Such modifications include, for example, deletions and/or insertions and/or substitutions of residues within the amino acid sequence of the antibody. Any combination of deletions, insertions, and substitutions can be made to achieve the final construct, with the proviso that the final construct has the desired characteristics. Amino acid changes can be introduced into the target antibody amino acid sequence at the time of manufacture of the sequence.
適用於識別抗體之某些殘基或區域(其為較佳突變誘發位置)之方法稱為"丙胺酸掃描突變誘發(alanine scanning mutagenesis)",如Cunningham及Wells(1989)Science ,244:1081-1085所述。由此,靶向殘基之殘基或基團得以識別(例如帶電殘基,諸如arg、his、lys及glu)且經帶中性電或負電胺基酸(大多數較佳為丙胺酸或聚丙胺酸)置換以影響胺基酸與抗原的相互作用。隨後,藉由在取代位點引入另外或其他變異體或引入另外或其他變異體作為取代位點來改進彼等證實對取代功能性敏感之胺基酸位置。因此,儘管已預定引入胺基酸序列變化之位點,但突變本身之性質無需預定。舉例而言,為分析指定位點處突變之效能,在靶向密碼子或區域處進行ala掃描或隨機突變誘發,並關於所要活性篩檢所表現之免疫球蛋白。A method suitable for recognizing certain residues or regions of an antibody, which is a preferred mutation-inducing position, is called "alanine scanning mutagenesis", such as Cunningham and Wells (1989) Science , 244:1081- Said 1085. Thus, residues or groups of the targeting residues are recognized (eg, charged residues such as arg, his, lys, and glu) and are neutralized with a neutral or negatively charged amino acid (most preferably alanine or Polyalanine) substitutions affect the interaction of the amino acid with the antigen. Subsequently, the position of the amino acid which is confirmed to be functionally sensitive to the substitution is improved by introducing additional or other variants at the substitution site or introducing additional or other variants as substitution sites. Therefore, although the site of the change in the amino acid sequence has been scheduled to be introduced, the nature of the mutation itself does not need to be predetermined. For example, to analyze the potency of a mutation at a given site, an ala scan or random mutation induction is performed at the targeting codon or region, and the immunoglobulin exhibited by the desired activity is screened.
胺基酸序列插入包括長度在一個殘基至含有一百個或更多殘基之多肽之範圍內的胺基末端及/或羧基末端融合,以及單一或多個胺基酸殘基之序列內插入。末端插入之實例包括具有N-末端甲硫胺醯基殘基之抗體或融合至細胞毒素多肽中之抗體。抗體分子之其他插入變異體包括抗體之N末端或C末端與酶(例如,用於ADEPT)之融合,或增加抗體的血清半衰期之多肽。Amino acid sequence insertions include amino terminus and/or carboxy terminus fusions ranging from one residue to a polypeptide containing one hundred or more residues, and sequences within single or multiple amino acid residues insert. Examples of terminal insertions include antibodies having N-terminal methionine residues or antibodies fused to cytotoxin polypeptides. Other insertion variants of the antibody molecule include fusions of the N-terminus or C-terminus of the antibody with an enzyme (eg, for ADEPT), or a polypeptide that increases the serum half-life of the antibody.
多肽糖基化通常為N-連接的或O-連接的。N-連接係指碳水化合物部分附著至天冬醯胺酸殘基之側鏈。三肽序列天冬醯胺酸-X-絲胺酸及天冬醯胺酸-X-蘇胺酸(其中X為除脯胺酸外的任何胺基酸)為碳水化合物部分酶促附著至天冬醯胺酸側鏈之識別序列。因此,多肽中此等三肽序列之任一者的存在均產生可能的糖基化位點。O-連接的糖基化係指糖類N-乙醯半乳胺糖、半乳糖或木糖中之一者附著至羥基胺基酸,該羥基胺基酸最常為絲胺酸或蘇胺酸,但亦可使用5-羥基脯胺酸或5-羥基離胺酸。Polypeptide glycosylation is typically N-linked or O-linked. N-linked refers to the attachment of a carbohydrate moiety to the side chain of an aspartic acid residue. Tripeptide sequence aspartic acid-X-serine and aspartic acid-X-threonine (where X is any amino acid other than proline) is enzymatically attached to the carbohydrate part The recognition sequence of the protamine side chain. Thus, the presence of any of these tripeptide sequences in a polypeptide results in a potential glycosylation site. O-linked glycosylation refers to the attachment of one of the sugars N-acetyl galactosamine, galactose or xylose to a hydroxyl amino acid, which is most often seric acid or sulphite However, 5-hydroxyproline or 5-hydroxy lysine may also be used.
改變胺基酸序列以使其含有一或多個上述三肽序列(對於N-連接糖基化位點而言),藉此便於將糖基化位點添加至抗體。亦可藉由將一或多個絲胺酸或蘇胺酸殘基添加至初始抗體序列或取代該等殘基(對於O-連接糖基化位點而言)而作出改變。The amino acid sequence is altered to contain one or more of the above-described tripeptide sequences (for N-linked glycosylation sites), thereby facilitating the addition of a glycosylation site to the antibody. Alterations can also be made by adding one or more serine or threonine residues to the original antibody sequence or substituting the residues (for O-linked glycosylation sites).
若抗體包含Fc區,則亦可修飾其上附著之碳水化合物。舉例而言,具有缺乏附著至抗體Fc區的海藻糖之成熟碳水化合物結構的抗體描述於美國專利申請案第2003/0157108號中(Presta,L.)。亦參見US 2004/0093621(Kyowa Hakko Kogyo Co.,Ltd)。在附著至抗體Fc區之碳水化合物中具有對分N-乙醯葡糖胺(GlcNAc)的抗體,可參考Jean-Mairet等人之WO 2003/011878及Umana等人之美國專利第6,602,684號。在附著至抗體Fc區之寡醣中具有至少一個半乳糖殘基的抗體報導於Patel等人之WO 1997/30087中。亦參見WO 1998/58964(Raju,S.)及WO 1999/22764(Raju,S.),其關注具有附著至抗體Fc區之經改變碳水化合物之抗體。亦參見US 2005/0123546(Umana等人),其 關於具有經修飾糖基化之抗原結合分子。If the antibody comprises an Fc region, the carbohydrate attached thereto can also be modified. For example, an antibody having a mature carbohydrate structure lacking trehalose attached to the Fc region of an antibody is described in US Patent Application No. 2003/0157108 (Presta, L.). See also US 2004/0093621 (Kyowa Hakko Kogyo Co., Ltd). </ RTI></RTI><RTIgt;</RTI><RTIgt;</RTI><RTIgt;</RTI><RTIgt;</RTI><RTIgt;</RTI><RTIgt; An antibody having at least one galactose residue in an oligosaccharide attached to the Fc region of an antibody is reported in WO 1997/30087 to Patel et al. See also WO 1998/58964 (Raju, S.) and WO 1999/22764 (Raju, S.), which focus on antibodies having altered carbohydrates attached to the Fc region of an antibody. See also US 2005/0123546 (Umana et al. ) for antigen binding molecules having modified glycosylation.
在本文中,較佳之糖基化變異體包含Fc區,其中附著至Fc區之碳水化合物結構缺乏海藻糖。該等變異體具有改良ADCC功能。視情況,Fc區其中另外包含一或多個進一步改良ADCC之胺基酸取代,例如於Fc區位置298、333及/或334處之取代(殘基之Eu編號)。關於"去海藻糖基化"或"海藻糖缺乏"抗體之公開案的實例包括:US 2003/0157108;WO 2000/61739;WO 2001/29246;US 2003/0115614;US 2002/0164328;US 2004/0093621;US 2004/0132140;US 2004/0110704;US 2004/0110282;US 2004/0109865;WO 2003/085119;WO 2003/084570;WO 2005/035586;WO 2005/035778;WO 2005/053742;Okazaki等人,J.Mol.Biol. 336:1239-1249(2004);Yamane-Ohnuki等人,Biotech.Bioeng. 87:614(2004)。產生去海藻糖基化抗體之細胞株的實例包括蛋白海藻糖基化缺乏之Lec13 CHO細胞(Ripka等人,Arch.Biochem.Biophys. 249:533-545(1986);美國專利申請案第US 2003/0157108 A1號,Presta,L;及WO 2004/056312 A1,Adams等人,尤其於實例11)及基因剔除細胞株,例如α-1,6-海藻糖基轉移酶基因、FUT8 、基因剔除CHO細胞(Yamane-Ohnuki等人,Biotech.Bioeng. 87:614(2004))。Preferred glycosylation variants herein comprise an Fc region in which the carbohydrate structure attached to the Fc region lacks trehalose. These variants have improved ADCC function. Optionally, the Fc region additionally comprises one or more amino acid substitutions that further modify ADCC, such as substitutions at positions 298, 333, and/or 334 of the Fc region (Eu numbering of residues). Examples of publications relating to "de-alcoholylation" or "trehalose-deficient" antibodies include: US 2003/0157108; WO 2000/61739; WO 2001/29246; US 2003/0115614; US 2002/0164328; US 2004/ 0093621; US 2004/0132140; US 2004/0110704; US 2004/0110282; US 2004/0109865; WO 2003/085119; WO 2003/084570; WO 2005/035586; WO 2005/035778; WO 2005/053742; Okazaki et al. J. Mol. Biol. 336:1239-1249 (2004); Yamane-Ohnuki et al, Biotech. Bioeng. 87:614 (2004). Examples of cell lines that produce de-fucosylated antibodies include Lec13 CHO cells lacking in protein trehalylation (Ripka et al, Arch. Biochem. Biophys. 249: 533-545 (1986); US Patent Application No. US 2003 /0157108 A1, Presta, L; and WO 2004/056312 A1, Adams et al, especially Example 11) and gene knockout cell lines, such as α-1,6- trehalyltransferase gene, FUT8 , gene knockout CHO cell (. Yamane-Ohnuki et al., Biotech.Bioeng 87: 614 (2004) ).
另一類型之變異體為胺基酸取代變異體。在此等變異體中,由一不同殘基置換抗體分子中之至少一個胺基酸殘基。取代性突變誘發之最關注位點包括高變區,但亦涵蓋FR改變。保守取代以"較佳取代"之標題顯示於表1中。若該等取代導致生物學活性改變,則可引入表1中稱為"例示性取代"或如下文參考胺基酸種類進一步描述之更實質性改變且篩檢產物。Another type of variant is an amino acid substitution variant. In these variants, at least one amino acid residue in the antibody molecule is replaced by a different residue. The most interesting sites for substitution mutation induction include hypervariable regions, but also cover FR changes. The conservative substitutions are shown in Table 1 under the heading "Better Replacement". If such substitutions result in a change in biological activity, a more substantial change referred to in Table 1 as "exemplary substitution" or as further described below with reference to the amino acid species can be introduced and the product screened.
對抗體生物學特性之實質修飾係藉由選擇取代來實現,該等取代顯著不同之處在於其對於維持下列各物之影響:(a)取代區域中多肽骨架之結構,例如,呈薄片或螺旋構形;(b)分子靶向位點處之電荷或疏水性;或(c)側鏈整體。可基於統統側鏈特性對天然存在之殘基分組:(1)疏水性殘基:正白胺酸、m et、ala、val、leu、ile;(2)中性親水性殘基:Cys、Ser、Thr、Asn、Gln;(3)酸性殘基:asp、glu;(4)鹼性殘基:his、lys、arg;(5)影響鏈定向之殘基:gly、pro;及(6)芳族殘基:trp、tyr、phe。Substantial modifications to the biological properties of an antibody are achieved by selective substitutions that differ significantly in their effect on the maintenance of: (a) the structure of the polypeptide backbone in the substitution region, for example, in the form of a sheet or a helix Configuration; (b) charge or hydrophobicity at the molecular targeting site; or (c) overall side chain. Naturally occurring residues can be grouped based on overall side chain properties: (1) hydrophobic residues: n-leucine, met, ala, val, leu, ile; (2) neutral hydrophilic residues: Cys, Ser, Thr, Asn, Gln; (3) acidic residues: asp, glu; (4) basic residues: his, lys, arg; (5) residues that affect chain orientation: gly, pro; and (6) ) aromatic residues: trp, tyr, phe.
非保守型取代將需要該等種類中之一者之成員與另一種類交換。Non-conservative substitutions will require members of one of these categories to be exchanged with another species.
一類取代變異體涉及取代親本抗體(例如,人化抗體或人類抗體)之一或多個高變區殘基。一般而言,選擇用於進一步研發之所得變異體應已相對於產生其之親本抗體具有改良生物學特性。一種用於產生此等取代變異體之便利方式涉及使用噬菌體呈現進行之親和力成熟。簡言之,使若干高變區位點(例如,6-7個位點)突變以於各位點處產生所有可能之胺基酸取代。當融合至包裝於各絲狀噬菌體顆粒內之M13基因III產物時,呈現因此由該等顆粒產生之抗體。隨後,關於如本文所揭示之抗體之生物學活性(例如,結合親和力)篩檢噬菌體呈現變異體。為識別用於修飾之候選高變區位點,可進行丙胺酸掃描突變誘發以識別顯著有助於抗原結合之高變區殘基。另外或其他,其可有益於分析抗原抗體複合物之晶體結構以識別抗體與抗原之間的接觸點。此等接觸殘基及相鄰殘基為根據本文詳細描述之技術進行取代之候選物。在產生此等變異體後,使變異體群體經受如本文所述之篩檢,且可在一或多個相關檢定中選擇具有優良特性之抗體以用於進一步發展。One type of substitution variant involves the substitution of one or more hypervariable region residues of a parent antibody (eg, a humanized antibody or a human antibody). In general, the resulting variants selected for further development should have improved biological properties relative to the parent antibody from which they are produced. A convenient way to generate such substitution variants involves affinity maturation using phage display. Briefly, several hypervariable region sites (e.g., 6-7 sites) are mutated to generate all possible amino acid substitutions at each point. When fused to the M13 gene III product packaged in each filamentous phage particle, the antibodies thus produced by the particles are presented. Subsequently, the phage display variants with respect to the biological activity (e.g., binding affinity) of the antibodies as disclosed herein. To identify candidate hypervariable region sites for modification, alanine scanning mutation induction can be performed to identify hypervariable region residues that contribute significantly to antigen binding. Additionally or alternatively, it may be useful to analyze the crystal structure of the antigen-antibody complex to recognize the point of contact between the antibody and the antigen. These contact residues and adjacent residues are candidates that are substituted according to the techniques described in detail herein. Following generation of such variants, the population of variants is subjected to screening as described herein, and antibodies with superior properties can be selected for further development in one or more relevant assays.
編碼抗體胺基酸序列變異體之核酸分子係藉由此項技術中已知之多種方法製備。該等方法包括(但不限於)自天然來源分離(在天然存在之胺基酸序列變異體情形下)或藉由先前製備之抗體變異體或非變異體型式的寡核苷酸介導(或定點)突變誘發、PCR突變誘發及盒式突變誘發(cassette mutagenesis)製備。Nucleic acid molecules encoding antibody amino acid sequence variants are prepared by a variety of methods known in the art. Such methods include, but are not limited to, isolation from natural sources (in the case of naturally occurring amino acid sequence variants) or mediated by previously prepared antibody variants or non-variant-type oligonucleotides (or Site-directed mutagenesis, PCR mutation induction, and cassette mutagenesis preparation.
可需要在本發明免疫球蛋白多肽之Fc區中引入一或多個胺基酸修飾,藉此產生Fc區變異體。Fc區變異體可包含在一或多個胺基酸位置處(包括鉸鏈半胱胺酸之位置)包含胺基酸修飾(例如,取代)之人類Fc區序列(例如,人類IgG1、IgG2、IgG3或IgG4 Fc區)。It may be desirable to introduce one or more amino acid modifications in the Fc region of an immunoglobulin polypeptide of the invention, thereby producing an Fc region variant. An Fc region variant may comprise a human Fc region sequence comprising an amino acid modification (eg, a substitution) at one or more amino acid positions (including the position of hinge cysteine) (eg, human IgGl, IgG2, IgG3) Or IgG4 Fc region).
根據此描述及此項技術之教示,預期在某些實施例中與野生型對應物抗體相比,用於本發明方法之抗體可包含一或多種改變,例如在Fc區中。然而,該等抗體將保持與其野生型對應物相比大體上相同之治療效用所需的特徵。舉例而言,認為可於Fc區中進行將引起C1q結合及/或補體依賴性細胞毒性(CDC)改變(亦即,改良或減小)之某些改變,例如,如WO 99/51642中所述。亦參看下列有關Fc區變異體之其他實例之文獻:Duncan & WinterNature 322:738-40(1988);美國專利第5,648,260號;美國專利第5,624,821號;及WO 94/29351。WO 00/42072(Presta)及WO 2004/056312(Lowman)描述對FcR具有改良或減小的結合之抗體變異體。此等專利公開案之內容以引用方式特定併入本文中。亦參見Shields等人,J.Biol.Chem. 9(2):6591-6604(2001)。具有增加的半壽期及對新生兒Fc受體(FcRn)具有改良結合(其為造成母體IgG轉移至胎兒(Guyer等人,J.Immunol. 117:587(1976)及Kim等人),J.Immunol. 24:249(1994)之原因)之抗體描述於US 2005/0014934A1(Hinton等人)中。此等抗體包含Fc區,其中一或多個取代會改良Fc區與FcRn之結合。具有改變的Fc區胺基酸序列及增加或降低的C1q結合能力之多肽變異體描述於美國專利第6,194,551B1號、WO 99/51642中。彼等專利公開案之內容以引用方式特定併入本文中。亦參見Idusogie等人,J.Immunol. 164:4178-4184(2000)。Based on this description and the teachings of the art, it is contemplated that in certain embodiments, an antibody for use in a method of the invention may comprise one or more alterations, such as in the Fc region, as compared to a wild-type counterpart antibody. However, such antibodies will retain the characteristics required for substantially the same therapeutic utility as their wild-type counterparts. For example, it is believed that certain changes that would result in C1q binding and/or complement dependent cytotoxicity (CDC) alteration (ie, improvement or reduction) can be made in the Fc region, eg, as described in WO 99/51642 Said. See also the following documents relating to other examples of Fc region variants: Duncan & Winter Nature 322: 738-40 (1988); U.S. Patent No. 5,648,260; U.S. Patent No. 5,624,821; and WO 94/29351. WO 00/42072 (Presta) and WO 2004/056312 (Lowman) describe antibody variants with improved or reduced binding to FcR. The contents of these patent publications are specifically incorporated herein by reference. See also Shields et al, J. Biol. Chem. 9(2): 6591-6604 (2001). Has an increased half-life and improved binding to the neonatal Fc receptor (FcRn) (which causes maternal IgG transfer to the fetus (Guyer et al, J. Immunol. 117:587 (1976) and Kim et al), J The antibody of Immunol. 24: 249 (1994) is described in US 2005/0014934 A1 (Hinton et al.). Such antibodies comprise an Fc region in which one or more substitutions modify the binding of the Fc region to FcRn. Polypeptide variants having altered Fc region amino acid sequences and increased or decreased C1q binding ability are described in U.S. Patent No. 6,194,551 B1, WO 99/51642. The contents of their patent publications are specifically incorporated herein by reference. See also Idusogie et al, J. Immunol. 164: 4178-4184 (2000).
可進一步修飾本發明抗體以使其含有此項技術中已知且可易於獲得之額外非蛋白部分。較佳地,適於衍生抗體之部分為水溶性聚合物。水溶性聚合物之非限制性實例包括(但不限於)聚乙二醇(PEG)、乙二醇/丙二醇共聚物、羧甲基纖維素、葡聚糖、聚乙烯醇、聚乙烯吡咯啶酮、聚-1,3-二氧戊環、聚-1,3,6-三噪烷、乙烯/順丁烯二酸酐共聚物、聚胺基酸(均聚物或無規共聚物)及葡聚糖或聚(n-乙烯吡咯啶酮)聚乙二醇、丙二醇均聚物、聚氧化丙烯/氧化乙烯共聚物、聚乙氧基化多元醇(例如甘油)、聚乙烯醇及其混合物。聚乙二醇丙醛可因其於水中之穩定性而於製造時具有優勢。聚合物可具有任何分子量,且可具支鏈或不具支鏈。附著於抗體之聚合物的數目可變化,且若附著一種以上聚合物,則該等聚合物可為相同或不同分子。一般而言,用於衍生作用之聚合物之數目及/或類型可基於包括(但不限於)待改良抗體之特定特性或功能、抗體衍生物是否將用於指定條件下之療法等考慮而確定。The antibodies of the invention may be further modified to contain additional non-protein portions known in the art and readily available. Preferably, the moiety suitable for derivatizing the antibody is a water soluble polymer. Non-limiting examples of water soluble polymers include, but are not limited to, polyethylene glycol (PEG), ethylene glycol/propylene glycol copolymers, carboxymethyl cellulose, dextran, polyvinyl alcohol, polyvinylpyrrolidone , poly-1,3-dioxolane, poly-1,3,6-trioxane, ethylene/maleic anhydride copolymer, polyamino acid (homopolymer or random copolymer) and Glycans or poly(n-vinylpyrrolidone) polyethylene glycols, propylene glycol homopolymers, polyoxypropylene/ethylene oxide copolymers, polyethoxylated polyols (such as glycerin), polyvinyl alcohols, and mixtures thereof. Polyethylene glycol propionaldehyde can be advantageous in manufacturing due to its stability in water. The polymer can have any molecular weight and can be branched or unbranched. The number of polymers attached to the antibody can vary, and if more than one polymer is attached, the polymers can be the same or different molecules. In general, the number and/or type of polymers used for derivatization can be determined based on considerations including, but not limited to, specific characteristics or functions of the antibody to be modified, whether the antibody derivative will be used in a given condition, and the like. .
可藉由此項技術中已知之各種檢定來表徵本發明抗體之物理/化學特性及生物學功能。在一些實施例中,關於降低或阻斷EphB4活化、降低或阻斷EphB4下游分子信號傳輸、降低或阻斷EphB4配位基活化、降低或阻斷EphB4配位基下游分子信號傳輸、破壞或阻斷配位基(例如ephrin-B1、ephrin-B2及/或ephrin-B3)結合至EphB4、EphB4磷酸化及/或EphB4多聚化及/或EphB4配位基磷酸化及/或治療及/或預防腫瘤、細胞增生性病症或癌及/或治療或預防與EphB4表現及/或活性(例如增加的EphB4表現及/或活性)相關的病症中之任一者或多者來表徵抗體。The physical/chemical properties and biological functions of the antibodies of the invention can be characterized by various assays known in the art. In some embodiments, reducing or blocking EphB4 activation, reducing or blocking EphB4 downstream molecular signaling, reducing or blocking EphB4 ligand activation, reducing or blocking EphB4 ligand downstream molecular signaling, disruption or resistance A mismatched group (eg, ephrin-B1, ephrin-B2, and/or ephrin-B3) binds to EphB4, EphB4 phosphorylation and/or EphB4 multimerization and/or EphB4 ligand phosphorylation and/or treatment and/or The prevention of a tumor, a cell proliferative disorder or cancer and/or treatment or prevention of any one or more of the conditions associated with EphB4 expression and/or activity (eg, increased EphB4 expression and/or activity) to characterize the antibody.
經純化抗體可由一系列檢定進一步表徵,該等檢定包括(但不限於)N-末端定序、胺基酸分析、不變性尺寸排除高壓液相層析(HPLC)、質譜、離子交換層析及木瓜酵素消化。Purified antibodies can be further characterized by a series of assays including, but not limited to, N-terminal sequencing, amino acid analysis, invariant size exclusion, high pressure liquid chromatography (HPLC), mass spectrometry, ion exchange chromatography, and Papaya enzyme digestion.
在本發明之某些實施例中,分析本文產生之該等抗體的生物學活性。在一些實施例中,測試本發明抗體之抗原結合活性。此項技術中已知且可用於本文中之抗原結合檢定包括(但不限於)使用諸如western墨點法、放射免疫檢定、ELISA(酶聯免疫吸附檢定)、"夾心"免疫檢定、免疫沉澱檢定、螢光免疫檢定及蛋白A免疫檢定之技術的任何直接或競爭性結合檢定。以下在實例部分提供說明性抗原結合檢定。In certain embodiments of the invention, the biological activities of the antibodies produced herein are analyzed. In some embodiments, the antigen binding activity of an antibody of the invention is tested. Antigen binding assays known in the art and useful herein include, but are not limited to, the use of, for example, western dot methods, radioimmunoassays, ELISA (enzyme-linked immunosorbent assay), "sandwich" immunoassays, immunoprecipitation assays , direct or competitive binding assays for fluorescein immunoassays and protein A immunoassays. An illustrative antigen binding assay is provided below in the Examples section.
在另一實施例中,本發明提供與30.35、30.35.1D2及/或30.35.2D8抗體競爭結合至EphB4之抗EphB4單株抗體。該等競爭抗體包括識別與由抗體30.35、30.35.1D2及/或30.35.2D8識別的EphB4抗原決定基相同或重疊之EphB4抗原決定基的抗體。可藉由篩檢抗EphB4融合瘤上清液而獲得該等競爭抗體,以與經標記30.35、30.35.1D2及/或30.35.2D8抗體競爭結合至固定化EphB4。與含有無關(或無)抗體之對照結合混合物中所偵測的經結合、經標記抗體量相比較,含有競爭抗體之融合瘤上清液將降低本發明競爭結合混合物中所偵測之經結合、經標記抗體之量。本文所述之任何競爭結合檢定均適用於前述程序中。In another embodiment, the invention provides an anti-EphB4 monoclonal antibody that competes for binding to EphB4 with a 30.35, 30.35.1D2 and/or 30.35.2D8 antibody. Such competing antibodies include antibodies that recognize the EphB4 epitope that is identical or overlapping with the EphB4 epitope recognized by antibodies 30.35, 30.35.1D2 and/or 30.35.2D8. The competing antibodies can be obtained by screening anti-EphB4 fusion tumor supernatants to compete for binding to the immobilized EphB4 with the labeled 30.35, 30.35.1D2 and/or 30.35.2D8 antibodies. The fusion antibody supernatant containing the competing antibody will reduce the binding detected in the competitive binding mixture of the present invention compared to the amount of bound, labeled antibody detected in the control binding mixture containing the unrelated (or no) antibody. The amount of labeled antibody. Any of the competitive binding assays described herein are applicable to the foregoing procedures.
在另一態樣中,本發明提供一種包含30.35、30.35.1D2或30.35.2D8抗體之一或多種(例如2、3、4、5及/或6種)HVR的抗EphB4單株抗體。將30.35、30.35.1D2或30.35.2D8之一或多種HVR移植至模板抗體序列(例如最接近親本抗體之對應鼠類序列的人類抗體序列,或親本抗體輕鏈或重鏈之特定亞群中的所有人類抗體之一致序列)上,且如本文所述在重組宿主細胞中表現具有或不具有伴隨恆定區序列之所得嵌合輕鏈及/或重鏈可變區序列,藉此可構造包含30.35、30.35.1D2或30.35.2D8之一或多種HVR的抗EphB4單株抗體。In another aspect, the invention provides an anti-EphB4 monoclonal antibody comprising one or more (eg, 2, 3, 4, 5, and/or 6) HVRs of 30.35, 30.35.1D2, or 30.35.2D8 antibodies. Porting one or more HVRs of 30.35, 30.35.1D2 or 30.35.2D8 to a template antibody sequence (eg, a human antibody sequence that corresponds to the corresponding murine sequence of the parent antibody, or a specific subpopulation of the parent antibody light or heavy chain) And the resulting chimeric light chain and/or heavy chain variable region sequences in the recombinant host cell, with or without accompanying constant region sequences, as described herein, thereby constructing An anti-EphB4 monoclonal antibody comprising one or more HVRs of 30.35, 30.35.1D2 or 30.35.2D8.
可藉由根據任何便利的方法篩檢具有所要特性之抗EphB4融合瘤純系而獲得具有本文所述的獨特特性之本發明抗EphB4抗體。舉例而言,若需要阻斷或不阻斷EphB4配位基結合至EphB4之抗EphB4單株抗體,則可在諸如競爭性結合ELISA之結合競爭檢定中測試候選抗體,其中以EphB4塗佈培養盤孔,且使相對於所關注Eph配位基過量的抗體溶液於經塗佈之培養盤上分層,且酶促偵測經結合抗體,例如使經結合抗體與結合HRP的抗Ig抗體或生物素化抗Ig抗體接觸且發展HRP顏色發應,舉例而言,藉由以抗生蛋白鏈菌素-HRP及/或過氧化氫使培養盤顯影且藉由使用ELISA盤讀取器以分光光度計於490 nm下偵測HRP顏色反應而達成。An anti-EphB4 antibody of the invention having the unique properties described herein can be obtained by screening a pure line of an anti-EphB4 fusion tumor having the desired properties according to any convenient method. For example, if it is desired to block or not block the EphB4 ligand binding to EphB4 against an EphB4 monoclonal antibody, the candidate antibody can be tested in a binding competition assay such as a competitive binding ELISA in which the plate is coated with EphB4 a well, and stratifying the antibody solution in excess relative to the Eph ligand of interest on the coated culture plate, and enzymatically detecting the bound antibody, eg, the bound antibody and the HRP-binding anti-Ig antibody or organism The anti-Ig antibody contacts and develops HRP color response, for example, by developing the culture disk with streptavidin-HRP and/or hydrogen peroxide and by spectrophotometer using an ELISA disk reader This was achieved by detecting the HRP color response at 490 nm.
若需要抑制或活化EphB4活化作用之抗EphB4抗體,則可以EphB4磷酸化檢定測試候選抗體。該等檢定為此項技術中已知的且一種此類檢定描述於實例部分中。If an anti-EphB4 antibody that inhibits or activates EphB4 activation is desired, the candidate antibody can be tested for EphB4 phosphorylation assay. Such assays are known in the art and one such assay is described in the Examples section.
若需要抑制細胞生長之抗EphB4抗體,則可在量測細胞生長之抑制作用的活體內及/或活體外檢定中測試候選抗體。該等檢定為此項技術中已知的且在本文中進一步描述及例示。If an anti-EphB4 antibody that inhibits cell growth is desired, the candidate antibody can be tested in an in vivo and/or in vitro assay for measuring inhibition of cell growth. Such assays are known in the art and are further described and exemplified herein.
在一實施例中,本發明涵蓋一種已改變之抗體,其具有某些但並非所有效應功能,此使其成為其中抗體在活體內之半衰期極其重要而某些效應功能(諸如補體及ADCC)卻並非必需或有害之多種應用中合乎需要之候選抗體。在某些實施例中,量測所產生之免疫球蛋白之Fc活性以確保僅所要特性得以保持。可進行活體外及/或活體內細胞毒性檢定以確定CDC及/或ADCC活性之降低/耗盡。舉例而言,可進行Fc受體(FcR)結合檢定以確保抗體缺乏FcγR結合(由此可能缺乏ADCC活性)但仍保持FcRn結合能力。介導ADCC之原生細胞(NK細胞)僅表現FcγRIII,而單核細胞表現FcγRI、FcγRII及FcγRIII。造血細胞中之FcR表現概述於Ravetch及Kinet,Annu.Rev.Immunol 9:457-92(1991)第464頁表3中。分析所關注分子之ADCC活性之活體外檢定的實例描述於美國專利第5,500,362號或第5,821,337號中。適用於此等檢定之效應細胞包括末梢血液單核細胞(PBMC)及自然殺手(NK)細胞。另外或其他,可(例如)在動物模型中(諸如Clynes等人,PNAS(USA) 95:652-656(1998)中所揭示者)於活體內評定所關注分子之ADCC活性。亦可進行C1q結合檢定以確定抗體無法與C1q結合且因此缺乏CDC活性。為分析補體活化,可進行CDC檢定,例如,如Gazzano-Santoro等人,J.Immunol.Methods 202:163(1996)中所述。亦可使用此項技術中已知之方法進行FcRn結合及活體內清除/半衰期測定。In one embodiment, the invention encompasses an altered antibody that has some, but not all, of the effector functions, which makes it possible that the half-life of the antibody in vivo is extremely important while certain effector functions (such as complement and ADCC) are Candidate antibodies that are not desirable in a variety of applications that are not necessary or harmful. In certain embodiments, the Fc activity of the produced immunoglobulin is measured to ensure that only the desired properties are maintained. In vitro and/or in vivo cytotoxicity assays can be performed to determine the reduction/depletion of CDC and/or ADCC activity. For example, an Fc receptor (FcR) binding assay can be performed to ensure that the antibody lacks FcyR binding (and thus may lack ADCC activity) but still retains FcRn binding ability. The primary cells (NK cells) that mediate ADCC exhibit only FcγRIII, while monocytes express FcγRI, FcγRII, and FcγRIII. The expression of FcR in hematopoietic cells is summarized in Table 3 on page 464 of Ravetch and Kinet, Annu . Rev. Immunol 9:457-92 (1991). An example of an in vitro assay to analyze the ADCC activity of a molecule of interest is described in U.S. Patent No. 5,500,362 or U.S. Patent No. 5,821,337. Effector cells suitable for such assays include peripheral blood mononuclear cells (PBMC) and natural killer (NK) cells. Additionally or alternatively, the ADCC activity of the molecule of interest can be assessed in vivo, for example, in an animal model (such as those disclosed in Clynes et al, PNAS (USA) 95:652-656 (1998)). A C1q binding assay can also be performed to determine that the antibody is unable to bind to C1q and thus lacks CDC activity. To analyze complement activation, a CDC assay can be performed, for example, as described in Gazzano-Santoro et al ., J. Immunol. Methods 202: 163 (1996). FcRn binding and in vivo clearance/half life assays can also be performed using methods known in the art.
為重組產生本發明抗體,分離編碼該抗體之核酸且將其插入可複製之載體中以用於進一步選殖(DNA之擴增)或表現。編碼該抗體之DNA易於分離,且易於使用習知程序(例如,藉由使用能夠與編碼該抗體之重鏈及輕鏈之基因特異性結合的寡核苷酸探針)進行定序。多種載體均可用。載體之選擇部分地視待使用之宿主細胞而定。較佳之宿主細胞一般為原核或真核(通常為哺乳動物)來源之細胞。應瞭解,為達成此目的可使用任何同型之恆定區,包括IgG、IgM、IgA、IgD及IgE恆定區,且此等恆定區可由任何人類或動物物種獲得。For recombinant production of an antibody of the invention, the nucleic acid encoding the antibody is isolated and inserted into a replicable vector for further selection (amplification of DNA) or expression. The DNA encoding the antibody is readily separable and can be readily sequenced using conventional procedures (e.g., by using oligonucleotide probes that are capable of specifically binding to genes encoding the heavy and light chains of the antibody). A variety of carriers are available. The choice of vector will depend, in part, on the host cell to be used. Preferred host cells are typically cells of prokaryotic or eukaryotic (usually mammalian) origin. It will be appreciated that any isotype constant region can be used for this purpose, including IgG, IgM, IgA, IgD and IgE constant regions, and such constant regions can be obtained from any human or animal species.
a.使用原核宿主細胞產生抗體:i.載體建構 可使用標準重組技術獲得編碼本發明抗體之多肽組份的聚核苷酸序列。可自產生抗體之細胞(諸如融合瘤細胞)中分離所要聚核苷酸序列並進行定序。或者,可使用核苷酸合成器或PCR技術合成聚核苷酸。在獲得編碼多肽之序列後,將其插入能夠在原核宿主中複製並表現異源聚核苷酸之重組載體中。可使用可用且為此項技術中所知之多種載體來達成本發明之目的。對於適當載體之選擇將主要視插入載體中之核酸的大小及經載體轉型之特定宿主細胞而定。各載體視其功能(異源聚核苷酸之擴增或表現,或二者)及其與其所滯留之特定宿主細胞的可相容性而含有多種組份。載體組份通常包括(但不限於):複製起點、選擇標記基因、啟動子、核糖體結合位點(RBS)、信號序列、異源核酸插入物及轉錄終止序列。a. Production of antibodies using prokaryotic host cells: i. Vector construction A polynucleotide sequence encoding a polypeptide component of an antibody of the invention can be obtained using standard recombinant techniques. The desired polynucleotide sequence can be isolated from the antibody-producing cells (such as fusion tumor cells) and sequenced. Alternatively, the polynucleotide can be synthesized using a nucleotide synthesizer or PCR technique. After obtaining the sequence encoding the polypeptide, it is inserted into a recombinant vector capable of replicating in a prokaryotic host and expressing the heterologous polynucleotide. The objects of the invention can be achieved using a variety of carriers that are available and known in the art. The choice of appropriate vector will depend primarily on the size of the nucleic acid inserted into the vector and the particular host cell into which the vector is transformed. Each vector contains multiple components depending on its function (amplification or expression of the heterologous polynucleotide, or both) and its compatibility with the particular host cell with which it is retained. Vector components typically include, but are not limited to, an origin of replication, a selectable marker gene, a promoter, a ribosome binding site (RBS), a signal sequence, a heterologous nucleic acid insert, and a transcription termination sequence.
一般而言,使用與該等宿主有關之含有複製子及得自可與宿主細胞相容的物種之控制序列的質體載體。載體一般具有複製位點,以及能夠於經轉型細胞中提供表型選擇之標記序列。舉例而言,通常使用pBR322(一種得自大腸桿菌物種之質體)使大腸桿菌轉型。pBR322含有編碼安比西林(ampicillin)(Amp)及四環素(tetracycline)(Tet)抗性之基因,且因此提供簡便的識別經轉型細胞之方式。pBR322、其衍生物或其他微生物質體或噬菌體亦可含有或經修飾而含有可由微生物有機體用於表現內源蛋白之啟動子。用於表現特定抗體之pBR322衍生物之實例詳細描述於Carter等人之美國專利第5,648,237號中。In general, plastid vectors containing replicons and control sequences derived from species compatible with the host cell are used in connection with such hosts. Vectors generally have a replication site and a marker sequence capable of providing phenotypic selection in transformed cells. For example, pBR322, a plastid derived from E. coli species, is typically used to transform E. coli. pBR322 contains genes encoding ampicillin (Amp) and tetracycline (Tet) resistance and thus provides a convenient means of identifying transformed cells. pBR322, its derivatives or other microbial plastids or phages may also contain or be modified to contain a promoter which can be used by a microbial organism to express an endogenous protein. An example of a pBR 322 derivative for the expression of a specific antibody is described in detail in U.S. Patent No. 5,648,237 to Carter et al.
此外,與該等宿主有關之含有複製子及可與宿主微生物相容之控制序列的噬菌體載體亦可用作轉型載體。舉例而言,諸如λGEM.TM.-11之噬菌體可用於製造可用於轉型易感宿主細胞(諸如大腸桿菌LE392)之重組載體。In addition, phage vectors containing replicons and control sequences compatible with the host microorganisms associated with such hosts can also be used as transformation vectors. For example, phage such as λGEM.TM.-11 can be used to make recombinant vectors useful for transformation of susceptible host cells, such as E. coli LE392.
本發明之表現載體可包含兩種或兩種以上編碼每一多肽組份之啟動子-順反子對。啟動子為一種位於調節其表現之順反子上游(5')之未經轉譯調節序列。原核啟動子通常分為兩類,亦即誘導型及組成型。誘導型啟動子係對培養條件之改變(例如養分之存在與否或溫度之改變)起反應而在其控制下起始順反子以增加之水準轉錄的啟動子。The expression vector of the present invention may comprise two or more promoter-cistronic pairs encoding each polypeptide component. A promoter is an untranslated regulatory sequence located upstream (5') of a cistron that regulates its expression. Prokaryotic promoters are generally divided into two categories, namely, inducible and constitutive. Inducible promoters are promoters that respond to changes in culture conditions (eg, the presence or absence of nutrients or changes in temperature) and, under their control, initiate cistron transcription at increased levels.
大量由多種潛在宿主細胞所識別之啟動子已為吾人所熟知。藉由經由限制酶消化將所選擇之啟動子自源DNA移除且將所分離之啟動子序列插入本發明之載體中可使該啟動子可操作性連接至編碼輕鏈或重鏈之順反子DNA。天然啟動子序列與多種異源啟動子可用於引導靶向基因之擴增及/或表現。在某些實施例中,因與天然靶向多肽啟動子相比,異源啟動子通常允許所表現之靶向基因較快地轉錄且具有較高之產量,所以利用異源啟動子。A large number of promoters recognized by a variety of potential host cells are well known. The promoter can be operably linked to the coding light or heavy chain by removing the selected promoter from the source DNA by restriction enzyme digestion and inserting the isolated promoter sequence into the vector of the present invention. Child DNA. Native promoter sequences and a variety of heterologous promoters can be used to direct amplification and/or expression of the targeted gene. In certain embodiments, a heterologous promoter is utilized because the heterologous promoter typically allows the expressed gene to be transcribed faster and has a higher yield than the native targeting polypeptide promoter.
適於與原核宿主一起使用之啟動子包括PhoA啟動子、β-半乳糖苷酶及乳糖啟動子系統、色胺酸(Trp)啟動子系統及雜合啟動子(諸如tac 或trc 啟動子)。然而,在細菌中起作用之其他啟動子(諸如其他已知之細菌或噬菌體啟動子)亦適用。其核苷酸序列已經公佈,由此使得熟習此項技術者能夠使用連接子或轉接子而使其可操作性與編碼靶向輕鏈及重鏈之順反子(Siebenlist等人,(1980)Cell 20:269)接合以供應任何所需之限制位點。Promoters suitable for use with prokaryotic hosts include the PhoA promoter, beta-galactosidase and lactose promoter systems, tryptophan (Trp) promoter systems, and hybrid promoters (such as the tac or trc promoter). However, other promoters that function in bacteria, such as other known bacterial or bacteriophage promoters, are also suitable. Nucleotide sequences have been published, thereby enabling those skilled in the art to use ligators or adaptors to operate and encode cistrons that target light and heavy chains (Siebenlist et al., 1980). ) Cell 20: 269) Engage to supply any desired restriction sites.
在本發明之一態樣中,重組載體內之各順反子均包含引導所表現之多肽跨膜轉位之分泌型信號序列組件。一般而言,信號序列可為載體之組件,或其可為插入載體中之部分靶向多肽DNA。為達成本發明目的而選擇之信號序列應為經宿主細胞識別及加工(亦即,由信號肽酶裂解)者。對於不識別及加工異源多肽之天然信號序列的原核宿主細胞而言,信號序列係經(例如)選自由以下物質組成之群之原核信號序列取代:鹼性磷酸酶、青黴素酶(penicillinase)、Ipp或熱穩定性腸毒素II(STII)前導序列、LamB、PhoE、PelB、OmpA及MBP。在本發明之一實施例中,用於表現系統之兩種順反子中之信號序列為STII信號序列或其變異體。In one aspect of the invention, each cistron in the recombinant vector comprises a secretory signal sequence component that directs transmembrane translocation of the expressed polypeptide. In general, the signal sequence can be a component of a vector, or it can be a portion of the targeted polypeptide DNA inserted into the vector. The signal sequence selected for the purposes of the present invention should be those which are recognized and processed by the host cell (i.e., cleaved by signal peptidase). For prokaryotic host cells that do not recognize and process the native signal sequence of the heterologous polypeptide, the signal sequence is replaced, for example, by a prokaryotic signal sequence selected from the group consisting of alkaline phosphatase, penicillinase, Ipp or heat stable enterotoxin II (STII) leader sequence, LamB, PhoE, PelB, OmpA and MBP. In one embodiment of the invention, the signal sequence used in the two cistrons of the expression system is the STII signal sequence or a variant thereof.
在另一態樣中,根據本發明之免疫球蛋白的產生可出現於宿主細胞之細胞質中,且因此無需各順反子內均存在分泌型信號序列。就此點而言,免疫球蛋白輕鏈及重鏈皆在細胞質內表現、折疊並經組裝以形成功能性免疫球蛋白。某些宿主菌株(例如,大腸桿菌trxB -菌株)提供易於形成雙硫鍵之細胞質條件,藉此允許適當折疊及組裝所表現之蛋白次單元。Proba及PluckthunGene ,159:203(1995)。In another aspect, the production of an immunoglobulin according to the present invention can occur in the cytoplasm of a host cell, and thus there is no need for a secretory signal sequence to be present in each cistron. In this regard, both the immunoglobulin light and heavy chains are expressed, folded, and assembled within the cytoplasm to form a functional immunoglobulin. Certain host strains (eg, E. coli trxB -strain) provide cytoplasmic conditions that readily form disulfide bonds, thereby allowing proper folding and assembly of the protein subunits represented. Proba and Pluckthun Gene , 159: 203 (1995).
適於表現本發明抗體之原核宿主細胞包括原始細菌(Archaebacteria)及真細菌(Eubacteria),諸如革蘭氏陰性(Gram-negative)或革蘭氏陽性有機體。有用細菌之實例包括埃希氏菌(Escherichia)(例如,大腸桿菌)、桿菌(Bacilli)(諸如枯草桿菌(B.subtilis))、腸內菌(Enterobacteria)、假單胞菌屬(Pseudomonas species)(例如綠膿桿菌(P.aeruginosa))、鼠傷寒沙門桿菌(Salmonella typhimurium)、黏質沙雷氏菌(Serratia marcescens)、克雷伯氏菌(Klebsiella)、變形桿菌屬(Proteus)、志賀桿菌屬(Shigella)、根瘤菌(Rhizobia)、透明顫菌(Vitreoscilla)或副球菌(Paracoccus)。在一實施例中,使用革蘭氏陰性細胞。在一實施例中,將大腸桿菌細胞用作本發明之宿主。大腸桿菌菌株之實例包括W3110菌株(Bachmann,Cellular and Molecular Biology,第2卷(Washington,D.C.:American Society for Microbiology,1987),第1190-1219頁;ATCC寄存號27,325)及其衍生物,包括具有基因型W3110 △fhuA( △tonA)ptr3 lac Iq lacL8 △ompT △(nmpc-fepE)degP41 kanR 之33D3菌株(美國專利第5,639,635號)。其他菌株及其衍生物(諸如大腸桿菌294(ATCC 31,446)、大腸桿菌B、大腸桿菌λ 1776(ATCC 31,537)及大腸桿菌RV308(ATCC 31,608))亦適用。該等實例係出於說明而非限制之目的。用於建構任何上文所提及的具有已定義基因型之細菌的衍生物之方法已為此項技術中所知,且描述於(例如)Bass等人,Proteins,8:309-314(1990)中。通常需要考慮複製子在細菌細胞中之可複製性來選擇適當細菌。舉例而言,當使用熟知質體(諸如pBR322、pBR325、pACYC177或pKN410)來供應複製子時,大腸桿菌、紅色桿菌屬(Serratia)或沙門氏菌屬(Salmonella)可適於用作宿主。通常,宿主細胞應分泌極少量蛋白水解酶,且可需要將額外蛋白酶抑制劑併入細胞培養物中。Prokaryotic host cells suitable for expression of the antibodies of the invention include Archaebacteria and Eubacteria, such as Gram-negative or Gram-positive organisms. Examples of useful bacteria include Escherichia (e.g., Escherichia coli), Bacilli (such as B. subtilis), Enterobacteria, Pseudomonas species. (eg P. aeruginosa), Salmonella typhimurium, Serratia marcescens, Klebsiella, Proteus, Shigella Genus (Shigella), Rhizobia, Vitreoscilla or Paracoccus. In one embodiment, Gram-negative cells are used. In one embodiment, E. coli cells are used as a host of the invention. Examples of E. coli strains include the W3110 strain (Bachmann, Cellular and Molecular Biology, Vol. 2 (Washington, DC: American Society for Microbiology, 1987), pages 1190-1219; ATCC Accession No. 27,325) and derivatives thereof, including Genotype W3110 Δ fhuA( Δ tonA)ptr3 lac Iq lacL8 Δ ompT Δ (nmpc-fepE) degP41 kanR 33D3 strain (U.S. Patent No. 5,639,635). Other strains and derivatives thereof (such as E. coli 294 (ATCC 31,446), E. coli B, E. coli λ 1776 (ATCC 31,537) and E. coli RV308 (ATCC 31, 608)) are also suitable. These examples are for purposes of illustration and not limitation. Methods for constructing derivatives of any of the above-mentioned bacteria having defined genotypes are known in the art and are described, for example, in Bass et al., Proteins, 8: 309-314 (1990). )in. It is often necessary to consider the replicability of the replicon in bacterial cells to select the appropriate bacteria. For example, when a replicon is supplied using a well-known plastid such as pBR322, pBR325, pACYC177 or pKN410, Escherichia coli, Serratia or Salmonella can be suitably used as a host. Generally, host cells should secrete very small amounts of proteolytic enzymes, and additional protease inhibitors may be required to be incorporated into the cell culture.
ii.抗體產生 用上述表現載體使宿主細胞轉型,並將其培養於經適當修飾之習知營養培養基中以用於誘導啟動子、選擇轉型物或擴增編碼所要序列之基因。 II. Transformation of the host cells to make antibody produced by the above-described expression vectors and cultured in the appropriately modified conventional nutrient medium to the gene for inducing promoters, selecting or transition to amplify the coding sequences.
轉型意謂將DNA引入原核宿主中,從而使DNA可作為染色體外元件或由染色體要素複製。視所用之宿主細胞而定,使用適於此等細胞之標準技術進行轉型。使用氯化鈣進行之鈣處理通常用於含有基本細胞壁障壁之細菌細胞。另一轉型方法採用聚乙二醇/DMSO。所用之又一技術為電穿孔。Transformation means introducing DNA into a prokaryotic host such that the DNA can be replicated as an extrachromosomal element or by a chromosomal element. Depending on the host cell used, transformation is performed using standard techniques appropriate for such cells. Calcium treatment with calcium chloride is commonly used for bacterial cells containing basic cell wall barriers. Another method of transformation uses polyethylene glycol/DMSO. Yet another technique used is electroporation.
用於產生本發明多肽之原核細胞係生長於此項技術中已知且適於培養所選宿主細胞之培養基中。適當培養基之實例包括加有必需養分補充物之luria肉湯(LB)。在某些實施例中,培養基亦含有基於表現載體之建構而選擇之選擇劑,用以選擇性地允許含有表現載體之原核細胞生長。舉例而言,將安比西林添加至培養基中以用於表現安比西林抗性基因之細胞的生長。Prokaryotic cell lines used to produce the polypeptides of the invention are grown in a medium known in the art and suitable for culturing selected host cells. Examples of suitable media include luria broth (LB) supplemented with essential nutrient supplements. In certain embodiments, the medium also contains a selection agent selected based on the construction of the expression vector to selectively allow growth of prokaryotic cells containing the expression vector. For example, ampicillin is added to the culture medium for growth of cells expressing the ampicillin resistance gene.
亦可包括單獨或作為與其他補充物或基質(諸如複合氮源)之混合物以適當濃度引入的除碳、氮及無機磷酸鹽來源外之任何必需補充物。視情況,培養基可含有一或多種選自由以下物質組成之群的還原劑:麩胱甘肽、半胱胺酸、胱胺、硫代乙醇酸酯、二硫赤藻糖醇及二硫蘇糖醇。Any necessary supplements other than carbon, nitrogen and inorganic phosphate sources, introduced alone or as a mixture with other supplements or matrices (such as a complex nitrogen source), may also be included. Optionally, the medium may contain one or more reducing agents selected from the group consisting of glutathione, cysteine, cystamine, thioglycolate, dithioerythritol, and dithiothreitol. alcohol.
原核宿主細胞係在適當溫度下培養。對於大腸桿菌生長而言,例如,較佳之溫度介於約20℃至約39℃、更佳約25℃至約37℃、甚至更佳約30℃之溫度範圍內。主要視宿主有機體而定,培養基之pH值可為介於約5至約9之範圍內的任何pH值。對於大腸桿菌而言,pH值較佳為約6.8至約7.4,且更佳為約7.0。The prokaryotic host cell line is cultured at an appropriate temperature. For E. coli growth, for example, a preferred temperature is in the range of from about 20 ° C to about 39 ° C, more preferably from about 25 ° C to about 37 ° C, even more preferably about 30 ° C. Depending on the host organism, the pH of the medium can be any pH in the range of from about 5 to about 9. For E. coli, the pH is preferably from about 6.8 to about 7.4, and more preferably about 7.0.
若將誘導型啟動子用於本發明之表現載體,則在適於活化啟動子之條件下誘導蛋白表現。在本發明之一態樣中,使用PhoA啟動子來控制多肽之轉錄。因此,將經轉型之宿主細胞培養於磷酸鹽限制性培養基中以用於誘導。較佳地,磷酸鹽限制性培養基為C.R.A.P培養基(例如,參看Simmons等人,J.Immunol.Methods (2002),263:133-147)。如此項技術中已知,可根據所用之載體構築體使用多種其他誘導子。If an inducible promoter is used in the expression vector of the present invention, protein expression is induced under conditions suitable for activating the promoter. In one aspect of the invention, the PhoA promoter is used to control transcription of the polypeptide. Thus, transformed host cells are cultured in phosphate-restricted media for induction. Preferably, the phosphate-limiting medium is CRAP medium (see, for example, Simmons et al, J. Immunol. Methods (2002), 263: 133-147). As is known in the art, a variety of other elicitors can be used depending on the vector construct used.
在一實施例中,將本發明之經表現多肽分泌至宿主細胞間質中且由該宿主細胞間質加以回收。蛋白回收通常涉及通常藉由諸如滲壓猝震(osmotic shock)、超音波處理或溶解之方式分裂微生物。分裂細胞後,可藉由離心或過濾來移除細胞碎片或全細胞。舉例而言,接著可藉由親和樹脂層析純化蛋白。或者,可將蛋白轉運至培養基中並於其中進行分離。可將細胞自培養物中移出,並過濾培養物上清液且濃縮以進一步純化所產生之蛋白。可進一步分離所表現之多肽且使用諸如聚丙烯醯胺凝膠電泳(PAGE)及西方墨點檢定之通常已知的方法加以識別。In one embodiment, the expressed polypeptide of the invention is secreted into the host cell stroma and recovered from the host cell stroma. Protein recovery typically involves splitting the microorganisms typically by means of osmotic shock, ultrasonic treatment or dissolution. After dividing the cells, cell debris or whole cells can be removed by centrifugation or filtration. For example, the protein can then be purified by affinity resin chromatography. Alternatively, the protein can be transported to the medium and isolated therein. The cells can be removed from the culture and the culture supernatant filtered and concentrated to further purify the resulting protein. The expressed polypeptide can be further isolated and identified using commonly known methods such as polyacrylamide gel electrophoresis (PAGE) and Western blot assays.
在本發明之一態樣中,藉由醱酵方法來進行大量抗體產生。多種大規模饋料分批醱酵程序可用於產生重組蛋白。大規模醱酵具有至少1000公升之容量,例如約1,000至100,000公升之容量。該等醱酵罐使用葉輪式攪拌器來分配氧氣及養分,尤其葡萄糖(較佳碳/能量源)。小規模醱酵通常係指在僅有約100公升之體積容量且可在約1公升至約100公升範圍內的醱酵罐中醱酵。In one aspect of the invention, a large amount of antibody production is carried out by a fermentation method. A variety of large-scale feed batch fermentation procedures can be used to produce recombinant proteins. Large-scale fermentation has a capacity of at least 1000 liters, for example, a capacity of about 1,000 to 100,000 liters. These fermenters use an impeller agitator to distribute oxygen and nutrients, especially glucose (preferably carbon/energy sources). Small-scale fermentation usually means fermenting in a fermenter that has a volume of only about 100 liters and can range from about 1 liter to about 100 liters.
在醱酵過程中,通常在細胞已於適當條件下生長至所要密度(例如,OD550為約180至220)後起始對於蛋白表現之誘導,在此階段內細胞處於穩定期早期。如此項技術中已知且如上文所述,可根據所用之載體構築體使用多種誘導子。可於誘導前使細胞生長較短時期。儘管可使用較長或較短之誘導時間,但通常誘導細胞歷經約12至50小時。During fermentation, the induction of protein expression is typically initiated after the cells have been grown to the desired density (eg, OD550 is about 180 to 220), during which the cells are in the early stationary phase. As is known in the art and as described above, a variety of elicitors can be used depending on the vector construct used. Cells can be grown for a short period of time prior to induction. Although longer or shorter induction times can be used, the cells are typically induced for about 12 to 50 hours.
為改良本發明多肽之產量及品質,可改變多種醱酵條件。舉例而言,為改良對於所分泌抗體多肽之適當組裝及折疊,可使用過度表現伴隨蛋白之額外載體以與宿主原核細胞共轉型,該等伴隨蛋白諸如Dsb蛋白(DsbA、DsbB、DsbC、DsbD及/或DsbG)或FkpA(具有伴隨活性之肽基脯胺醯順反異構酶)。已證明伴隨蛋白會促進細菌宿主細胞中產生的異種蛋白之適當折疊及溶解。Chen等人,(1999)J Bio Chem 274:19601-19605;Georgiou等人,美國專利第6,083,715號;Georgiou等人,美國專利第6,027,888號;Bothmann及Pluckthun(2000)J.Biol.Chem.275:17100-17105;Ramm及Pluckthun(2000)J.Biol.Chem.275:17106-17113;Arie等人,(2001)Mol.Microbiol.39:199-210。In order to improve the yield and quality of the polypeptide of the present invention, various fermentation conditions can be varied. For example, to improve the proper assembly and folding of the secreted antibody polypeptide, additional vectors overexpressing the accompanying protein can be used to co-transform with host prokaryotic cells such as DsbA (DsbA, DsbB, DsbC, DsbD and / or DsbG) or FkpA (peptidyl amidoxime cis-trans isomerase with concomitant activity). Concomitant proteins have been shown to promote proper folding and lysis of heterologous proteins produced in bacterial host cells. Chen et al., (1999) J Bio Chem 274: 19601-19605; Georgiou et al., U.S. Patent No. 6,083,715; Georgiou et al., U.S. Patent No. 6,027,888; Bothmann and Pluckthun (2000) J. Biol. Chem. 17100-17105; Ramm and Pluckthun (2000) J. Biol. Chem. 275: 17106-17113; Arie et al, (2001) Mol. Microbiol. 39:199-210.
為使所表現之異源蛋白(尤其對於蛋白水解敏感者)之蛋白水解減至最少,可將缺乏蛋白水解酶之某些宿主菌株用於本發明中。舉例而言,可修飾宿主細胞菌株以實現編碼已知細菌蛋白酶(諸如蛋白酶III、OmpT、DegP、Tsp、蛋白酶I、蛋白酶Mi、蛋白酶V、蛋白酶VI及其組合)之基因的基因突變。某些大腸桿菌蛋白酶缺乏菌株可用且描述於(例如)Joly等人,(1998),同上文;Georgiou等人,美國專利第5,264,365號;Georgiou等人,美國專利第5,508,192號;Hara等人,Microbial Drug Resistance,2:63-72(1996)中。To minimize the proteolysis of the heterologous proteins (especially for proteolytically sensitive), certain host strains lacking proteolytic enzymes can be used in the present invention. For example, host cell strains can be modified to effect gene mutations encoding genes of known bacterial proteases such as Protease III, OmpT, DegP, Tsp, Protease I, Protease Mi, Protease V, Protease VI, and combinations thereof. Certain E. coli protease deficient strains are available and are described, for example, in Joly et al., (1998), supra; Georgiou et al., U.S. Patent No. 5,264,365; Georgiou et al., U.S. Patent No. 5,508,192; Hara et al., Microbial Drug Resistance, 2: 63-72 (1996).
在一實施例中,將缺乏蛋白水解酶且經過度表現一或多種伴隨蛋白之質體轉型的大腸桿菌菌株用作本發明之表現系統中的宿主細胞。In one embodiment, an E. coli strain lacking a proteolytic enzyme and exhibiting a plastid transformation of one or more accompanying proteins is used as a host cell in the expression system of the invention.
iii.抗體純化 可使用此項方法中已知之標準蛋白純化方法。以下程序為適當之例示性純化程序:免疫親和管柱或離子交換管柱上之分級、乙醇沉澱、逆相HPLC、於矽石或陽離子交換樹脂(諸如DEAE)上進行之層析、色層聚集(chromatofocusing)、SDS-PAGE、硫酸銨沉澱及使用(例如)Sephadex G-75進行之凝膠過濾。 Iii. Antibody Purification Standard protein purification methods known in this method can be used. The following procedure is a suitable exemplary purification procedure: fractionation on an immunoaffinity column or ion exchange column, ethanol precipitation, reverse phase HPLC, chromatography on vermiculite or cation exchange resin (such as DEAE), chromatographic aggregation (chromatofocusing), SDS-PAGE, ammonium sulfate precipitation and gel filtration using, for example, Sephadex G-75.
在一態樣中,將固定於固相上之蛋白A用於本發明全長抗體產物之免疫親和純化。蛋白A為來自金黃色葡萄球菌(Staphylococcus aureas)之41 kD細胞壁蛋白,其以高親和力結合至抗體Fc區。Lindmark等人,(1983)J.Immunol.Meth.62:1-13。固定蛋白A之固相較佳為包含玻璃或矽石表面之管柱,更佳為受控微孔玻璃管柱或矽酸管柱。在一些應用中,管柱經諸如甘油之試劑塗佈,以嘗試預防污染物之非特異性附著。In one aspect, protein A immobilized on a solid phase is used for immunoaffinity purification of the full length antibody product of the invention. Protein A is a 41 kD cell wall protein from Staphylococcus aureas that binds to the antibody Fc region with high affinity. Lindmark et al. (1983) J. Immunol. Meth. 62: 1-13. The solid phase of the immobilized protein A is preferably a column comprising a glass or vermiculite surface, more preferably a controlled microporous glass column or a citrate column. In some applications, the tubing is coated with a reagent such as glycerin in an attempt to prevent non-specific attachment of contaminants.
作為純化之第一步驟,可將如上文所述來自細胞培養物之製劑塗佈於固定蛋白A之固相上以使所關注抗體特異性結合至蛋白A。接著洗滌固相以移除非特異性結合至固相之污染物。最終,藉由溶離自固相回收所關注抗體。As a first step of purification, a preparation derived from a cell culture as described above can be applied to the solid phase of immobilized protein A to specifically bind the antibody of interest to protein A. The solid phase is then washed to remove contaminants that are non-specifically bound to the solid phase. Finally, the antibody of interest is recovered from the solid phase by dissolution.
b.使用真核宿主細胞產生抗體:載體組件通常包括(但不限於)一或多種以下組件:信號序列、複製起點、一或多種標記基因、強化子元件、啟動子及轉錄終止序列。b. Production of antibodies using eukaryotic host cells: Vector components typically include, but are not limited to, one or more of the following components: a signal sequence, an origin of replication, one or more marker genes, a enhancer element, a promoter, and a transcription termination sequence.
(i)信號序列組件 用於真核宿主細胞中之載體亦可含有在所關注的成熟蛋白或多肽之N末端具有特定裂解位點之信號序列或其他多肽。所選異源信號序列較佳係由宿主細胞識別及加工(亦即,經信號肽酶裂解)者。在哺乳動物細胞表現中,可用哺乳動物信號序列以及病毒分泌前導序列,例如單純疱疹gD信號。 (i) Signal Sequence Component The vector used in a eukaryotic host cell may also contain a signal sequence or other polypeptide having a specific cleavage site at the N-terminus of the mature protein or polypeptide of interest. The selected heterologous signal sequence is preferably recognized and processed by the host cell (i.e., cleaved by signal peptidase). In mammalian cell expression, mammalian signal sequences can be used as well as viral secretion leader sequences, such as the herpes simplex gD signal.
此前驅體區之DNA係在閱讀框中與編碼抗體之DNA接合。The DNA of the precursor domain is ligated to the DNA encoding the antibody in the reading frame.
(ii)複製起點 通常,哺乳動物表現載體中無需複製起點組件。舉例而言,由於SV40起點含有早期啟動子,故通常可僅使用該起點。 (ii) Origin of replication Generally, no replication origin component is required in the mammalian expression vector. For example, since the SV40 origin contains an early promoter, it is usually only possible to use this starting point.
(iii)選擇基因組件 表現及選殖載體可含有選擇基因,亦稱為可選標記。典型選擇基因編碼滿足以下條件之蛋白:(a)賦予對於例如安比西林、新黴素(neomycin)、甲胺喋呤或四環素之抗生素及其他毒素之抗性;(b)若相關,則補充營養缺失;或(c)供應自複合培養基不可獲得的關鍵養分。 (iii) Selection of gene components The expression and selection vectors may contain a selection gene, also referred to as a selectable marker. A typical selection gene encodes a protein that satisfies the following conditions: (a) confers resistance to antibiotics and other toxins such as ampicillin, neomycin, methotrexate or tetracycline; (b) supplements if relevant Missing; or (c) critical nutrients that are not available from the complex medium.
選擇流程之一實例利用藥物使宿主細胞之生長停滯。以異種基因成功轉型之彼等細胞產生一種賦予藥物抗性之蛋白,且因此在選擇方案中存活。該等顯性選擇之實例使用藥物新黴素、黴酚酸及潮黴素(hygromycin)。An example of a selection procedure utilizes drugs to arrest the growth of host cells. The cells that have successfully transformed with the heterologous gene produce a protein that confers drug resistance and thus survives in the selection protocol. Examples of such dominant choices are the drugs neomycin, mycophenolic acid and hygromycin.
適用於哺乳動物細胞之可選標記的另一實例為致能識別能夠吸收抗體核酸之細胞者,諸如DHFR、胸苷激酶、金屬硫蛋白-I及-II(較佳地,靈長類動物金屬硫蛋白基因)、腺苷脫胺酶、鳥胺酸脫羧酶等。Another example of a selectable marker suitable for use in mammalian cells is one that is capable of recognizing cells capable of absorbing antibody nucleic acids, such as DHFR, thymidine kinase, metallothionein-I and -II (preferably, primate metals) Sulfur protein gene), adenosine deaminase, ornithine decarboxylase, and the like.
舉例而言,首先藉由在含有甲胺喋呤(Mtx)(DHFR之競爭性拮抗劑)之培養基中培養所有轉型物來識別經DHFR選擇基因轉型的細胞。當使用野生型DHFR時,適當宿主細胞為缺乏DHFR活性之中國倉鼠卵巢(CHO)細胞株(例如,ATCC CRL-9096)。For example, cells transformed with a DHFR selection gene are first identified by culturing all of the transformants in a medium containing methotrexate (Mtx) (a competitive antagonist of DHFR). When wild-type DHFR is used, a suitable host cell is a Chinese hamster ovary (CHO) cell line lacking DHFR activity (e.g., ATCC CRL-9096).
或者,可藉由在含有用於可選標記(諸如胺基糖苷抗生素,例如康黴素(kanamycin)、新黴素或G418)之選擇劑的培養基中進行細胞生長來選擇經編碼抗體(野生型DHFR蛋白)之DNA序列及另一可選標記(諸如胺基糖苷3'-磷酸轉移酶(APH))轉型或與其共轉型之宿主細胞(尤其含有內源DHFR之野生型宿主)。參看美國專利第4,965,199號。Alternatively, the encoded antibody can be selected by cell growth in a medium containing a selection agent for a selectable marker such as an aglycoside antibiotic such as kanamycin, neomycin or G418 (wild type) The DNA sequence of the DHFR protein) and another selectable marker (such as aminoglycoside 3'-phosphotransferase (APH)) are transformed or co-transformed with host cells (especially wild-type hosts containing endogenous DHFR). See U.S. Patent No. 4,965,199.
(iv)啟動子組件 表現及選殖載體通常含有由宿主有機體識別且可操作地連接至抗體多肽核酸之啟動子。已知真核生物之啟動子序列。事實上,所有真核基因均具有位於轉錄起始位點上游大約25至30個鹼基處之富AT區。另一見於多種基因之轉錄起始點上游70至80個鹼基處之序列為CNCAAT區,其中N可為任何核苷酸。在大多數真核基因之3'端為AATAAA序列,其可為將聚A尾添加至編碼序列之3'端的信號。所有該等序列均適於插入至真核表現載體中。 (iv) Promoter Components The expression and selection vectors typically contain a promoter that is recognized by the host organism and operably linked to the antibody polypeptide nucleic acid. Promoter sequences of eukaryotes are known. In fact, all eukaryotic genes have an AT-rich region located approximately 25 to 30 bases upstream of the transcription start site. Another sequence found 70 to 80 bases upstream of the transcription initiation point of a plurality of genes is the CNCAAT region, wherein N can be any nucleotide. At the 3' end of most eukaryotic genes is the AATAAA sequence, which can be a signal that adds a poly A tail to the 3' end of the coding sequence. All of these sequences are suitable for insertion into a eukaryotic expression vector.
舉例而言,藉由自病毒基因組(諸如多瘤性病毒(polyoma virus)、禽痘病毒(fowlpox virus)、腺病毒(諸如腺病毒2)、牛乳頭瘤病毒(bovine papilloma virus)、肉瘤病病毒(avian sarcoma virus)、巨細胞病毒(cytomegalovirus)、反轉錄病毒、B型肝炎病毒及猴病毒40(Simian Virus 40)(SV40))、自異源哺乳動物啟動子(例如,肌動蛋白啟動子或免疫球蛋白啟動子)、自熱休克啟動子獲得的啟動子來控制自哺乳動物宿主細胞中之載體進行之抗體多肽轉錄,其限制條件為該等啟動子可與宿主細胞系統相容。For example, by a viral genome (such as polyoma virus, fowlpox virus, adenovirus (such as adenovirus 2), bovine papilloma virus, sarcoma virus) (avian sarcoma virus), cytomegalovirus, retrovirus, hepatitis B virus and simian virus 40 (SV40), from a heterologous mammalian promoter (eg, actin promoter) Or an immunoglobulin promoter, a promoter obtained from a heat shock promoter to control transcription of an antibody polypeptide by a vector in a mammalian host cell, with the proviso that the promoter is compatible with the host cell system.
便利地獲得SV40病毒之早期及晚期啟動子,其為亦含有SV40病毒複製起點之SV40限制片段。便利地獲得人類巨細胞病毒之即刻早期啟動子,其為HindIII E限制片段。使用牛乳頭瘤病毒作為載體於哺乳動物宿主中表現DNA之系統係揭示於美國專利第4,419,446號中。對於此系統之修飾描述於美國專利第4,601,978號中。或者,可將勞斯肉瘤病毒(Rous Sarcoma Virus)之長末端重複序列用作啟動子。The early and late promoters of the SV40 virus are conveniently obtained, which are SV40 restriction fragments that also contain the SV40 viral origin of replication. An immediate early promoter of human cytomegalovirus, which is a HindIII E restriction fragment, is conveniently obtained. A system for expressing DNA in a mammalian host using bovine papillomavirus as a vector is disclosed in U.S. Patent No. 4,419,446. Modifications to this system are described in U.S. Patent No. 4,601,978. Alternatively, the long terminal repeat of Rous Sarcoma Virus can be used as a promoter.
(v)強化子元件組件 由較高級真核生物來轉錄編碼本發明抗體多肽之DNA通常可藉由將強化子序列插入載體中而得以增加。現已知來自哺乳動物基因(血球蛋白、彈性蛋白、白蛋白、α-胎蛋白及胰島素)之多種強化子序列。然而,吾人通常將使用來自真核細胞病毒之強化子。實例包括複製起點(100-270個bp)後側之SV40強化子、巨細胞病毒早期啟動子強化子、複製起點後側之多瘤性強化子及腺病毒強化子。亦參看Yaniv,Nature 297:17-18(1982),其關於用於活化真核啟動子之增強元件。可將強化子剪接至載體中編碼抗體多肽之序列的5'至3'位置處,但其通常位於啟動子之5'位置處。 (v) Enhancer element assembly The transcription of DNA encoding the antibody polypeptide of the present invention by higher eukaryotes can generally be increased by insertion of the enhancer sequence into the vector. A variety of enhancer sequences from mammalian genes (blood globulin, elastin, albumin, alpha-fetoprotein, and insulin) are known. However, we usually use enhancers from eukaryotic cells. Examples include the SV40 enhancer on the posterior side of the replication origin (100-270 bp), the cytomegalovirus early promoter enhancer, the polyomarous enhancer on the posterior side of the replication origin, and the adenovirus enhancer. See also Yaniv, Nature 297: 17-18 (1982) for enhanced elements for activation of eukaryotic promoters. The enhancer can be spliced to the 5' to 3' position of the sequence encoding the antibody polypeptide in the vector, but it is typically located 5' to the position of the promoter.
(vi)轉錄終止組件 用於真核宿主細胞中之表現載體通常亦應含有終止轉錄且穩定mRNA所必需之序列。此等序列通常可獲自真核或病毒DNA或cDNA之未經轉譯區的5'且有時為3'位置。該等區含有轉錄為編碼抗體之mRNA的未經轉譯部分之多聚腺嘌呤化片段的核苷酸區段。一種有用之轉錄終止組件為牛生長激素多聚腺嘌呤化區。參看WO 94/11026及其中所揭示之表現載體。 (vi) Transcription termination component in a eukaryotic host cell for the expression vector should usually contain termination of transcription and mRNA stabilizing sequences as are necessary. Such sequences are typically obtained from the 5' and sometimes the 3' positions of the untranslated region of eukaryotic or viral DNA or cDNA. The regions contain nucleotide segments transcribed as poly-adenylated fragments of the untranslated portion of the mRNA encoding the antibody. One useful transcription termination component is the bovine growth hormone polyadenylation region. See WO 94/11026 and the expression vectors disclosed therein.
(vii)宿主細胞之選擇及轉型 適用於在本文載體中選殖或表現DNA之宿主細胞包括本文所述之較高級真核生物細胞,包括脊椎動物宿主細胞。使脊椎動物細胞在培養物(組織培養物)中增殖已成為一種常規程序。有用的哺乳動物宿主細胞株之實例為經SV40(COS-7,ATCC CRL 1651)轉型之猴腎CV1株;人類胚腎細胞株(293或為在懸浮培養物中生長而經次選殖之293細胞,Graham等人,J.Gen Virol. 36:59(1977));幼倉鼠腎細胞(BHK,ATCC CCL 10);中國倉鼠卵巢細胞/-DHFR(CHO,Urlaub等人,Proc.Natl.Acad.Sci.USA 77:4216(1980));小鼠塞利特氏細胞(mouse sertoli cell)(TM4,Mather,Biol.Reprod. 23:243-251(1980));猴腎細胞(CV1 ATCC CCL 70);非洲綠猴腎細胞(African green monkey kidney cell)(VERO-76,ATCC CRL-1587);人類宮頸癌細胞(HELA,ATCC CCL 2);犬腎細胞(MDCK,ATCC CCL 34);布法羅大鼠肝細胞(buffalo ratliver cell)(BRL 3A,ATCC CRL 1442);人類肺細胞(W138,ATCC CCL 75);人類肝細胞(Hep G2,HB 8065);小鼠乳腺腫瘤(MMT 060562,ATCC CCL51);TRI細胞(Mather等人,Annals N.Y.Acad.Sci. 383:44-68(1982));MRC 5細胞;FS4細胞;及人類肝腫瘤細胞株(Hep G2)。 (vii) Selection and Transformation of Host Cells Host cells suitable for use in the selection or expression of DNA in the vectors herein include the higher eukaryotic cells described herein, including vertebrate host cells. It has become a routine procedure to propagate vertebrate cells in cultures (tissue cultures). Examples of useful mammalian host cell lines are monkey kidney CV1 strain transformed with SV40 (COS-7, ATCC CRL 1651); human embryonic kidney cell line (293 or 293 selected for growth in suspension culture) Cells, Graham et al, J. Gen Virol. 36:59 (1977)); baby hamster kidney cells (BHK, ATCC CCL 10); Chinese hamster ovary cells/-DHFR (CHO, Urlaub et al, Proc. Natl. Acad) .Sci. USA 77:4216 (1980)); mouse sertoli cell (TM4, Mather, Biol. Reprod. 23:243-251 (1980)); monkey kidney cell (CV1 ATCC CCL) 70); African green monkey kidney cell (VERO-76, ATCC CRL-1587); human cervical cancer cells (HELA, ATCC CCL 2); canine kidney cells (MDCK, ATCC CCL 34); Buffalo ratl cell (BRL 3A, ATCC CRL 1442); human lung cells (W138, ATCC CCL 75); human hepatocytes (Hep G2, HB 8065); mouse breast tumor (MMT 060562, ATCC CCL51); TRI cells (Mather et al, Annals NYAcad. Sci. 383:44-68 (1982)); MRC 5 cells; FS4 cells; and human liver tumor cell lines (Hep G2).
用上述用於產生抗體之表現或選殖載體使宿主細胞轉型,並將其培養於經適當修飾之習知營養培養基中以用於誘導啟動子、選擇轉型物或擴增編碼所要序列之基因。The host cell is transformed with the above-described expression or selection vector for antibody production and cultured in a suitably modified conventional nutrient medium for inducing a promoter, selecting a transformant or amplifying a gene encoding the desired sequence.
(viii)培養宿主細胞 可將用於產生本發明抗體之宿主細胞培養於多種培養基中。諸如Ham's F10(Sigma)、最小必需培養基(Minimal Essential Medium(MEM))(Sigma)、RPMI-1640(Sigma)及杜貝卡氏經修飾伊格氏培養基(Dulbecco's Modified Eagle's Medium(DMEM),Sigma)之常用培養基均適於培養宿主細胞。此外,可將下列文獻中所述之任何培養基用作宿主細胞之培養基:Ham等人,Meth.Enz. 58:44(1979);Barnes等人,Anal.Biochem. 102:255(1980);美國專利第4,767,704號、第4,657,866號、第4,927,762號、第4,560,655號或第5,122,469號;WO 90/03430;WO 87/00195;或美國專利綜述30,985。該等培養基中之任一者均可視需要補充激素及/或其他生長因子(諸如胰島素、運鐵蛋白或表皮生長因子)、鹽(諸如氯化鈉、鈣、鎂及磷酸鹽)、緩衝劑(諸如HEPES)、核苷酸(諸如腺苷及胸苷)、抗生素(諸如GENTAMYCINTM 藥物)、示蹤元素(定義為無機化合物,通常以在微莫耳範圍內之最終濃度存在)及葡萄糖或等效能源。亦可包括將為熟習此項技術者所知之適當濃度的任何其他必需補充物。培養條件(諸如溫度、pH值及其類似條件)為選擇用於表現之宿主細胞先前所用者,且對於一般技術者為顯而易見的。 (viii) Culturing Host Cells Host cells for producing the antibodies of the present invention can be cultured in a variety of media. Such as Ham's F10 (Sigma), Minimal Essential Medium (MEM) (Sigma), RPMI-1640 (Sigma) and Dulbecco's Modified Eagle's Medium (DMEM), Sigma The usual medium is suitable for culturing host cells. Furthermore, any of the media described in the following literature can be used as a medium for host cells: Ham et al, Meth. Enz . 58:44 (1979); Barnes et al, Anal. Biochem. 102:255 (1980); Patent Nos. 4,767,704, 4,657,866, 4,927,762, 4,560,655 or 5,122,469; WO 90/03430; WO 87/00195; or US Patent Overview 30,985. Any of these media may optionally supplement hormones and/or other growth factors (such as insulin, transferrin or epidermal growth factor), salts (such as sodium chloride, calcium, magnesium and phosphate), buffers ( such as HEPES), nucleotides (such as adenosine and thymidine), antibiotics (such as GENTAMYCIN TM drug), trace elements (defined as inorganic compounds usually present at final concentrations in the micromolar range), and glucose or the like Energy efficiency. Any other necessary supplements that will be of a suitable concentration known to those skilled in the art may also be included. Culture conditions, such as temperature, pH, and the like, are previously used by the host cell selected for expression and will be apparent to those of ordinary skill.
(ix)抗體純化 當使用重組技術時,可於細胞內產生抗體或直接將其分泌於培養基中。若以於細胞內產生抗體作為第一步驟,則通常(例如)藉由離心或超濾來移除宿主細胞或已溶解片段之微粒碎片。在將抗體分泌至培養基中之情形下,通常首先使用市售蛋白濃縮過濾器(例如Amicon或Millipore Pellicon超濾裝置)來濃縮來自該等表現系統之上清液。任何前述步驟中均可包括蛋白酶抑制劑(諸如PMSF)以抑制蛋白水解,且可包括抗生素以阻止外來污染物生長。 (ix) Antibody purification When recombinant techniques are used, antibodies can be produced intracellularly or secreted directly into the culture medium. If the antibody is produced intracellularly as the first step, the host cell or the fragment of the dissolved fragment is usually removed, for example, by centrifugation or ultrafiltration. In the case of secretion of antibodies into the culture medium, a commercially available protein concentration filter (such as an Amicon or Millipore Pellicon ultrafiltration device) is typically first used to concentrate the supernatant from the performance systems. Protease inhibitors (such as PMSF) can be included in any of the foregoing steps to inhibit proteolysis, and antibiotics can be included to prevent the growth of foreign contaminants.
可使用(例如)羥磷灰石層析、凝膠電泳、透析及親和層析來純化由細胞製備之抗體組合物,其中親和層析為較佳之純化技術。蛋白A作為親和配位基之適用性視物種及存在於抗體中之任何免疫球蛋白Fc域的同型而定。蛋白A可用於純化基於人類γ1、γ2或γ4重鏈之抗體(Lindmark等人,J.Immunol.Meth. 62:1-13(1983))。蛋白G係推薦用於所有小鼠同型及人類γ3(Guss等人,EMBO J. 5:15671575(1986))。親和配位基所附著之基質最常為瓊脂糖,但亦可用其他基質。諸如受控微孔玻璃或聚(苯乙烯二乙烯基)苯之機械穩定性基質允許比瓊脂糖可達成更快的流動速率及更短的加工時間。當抗體包含CH3域時,Bakerbond ABXTM 樹脂(J.T.Baker,Phillipsburg,NJ)適用於純化。視待回收之抗體而定,亦可使用其它用於蛋白純化的技術,諸如離子交換管柱分級分離、乙醇沉澱、逆相HPLC、矽石層析、陰離子或陽離子交換樹脂(諸如聚天冬胺酸管柱)上進行之肝素SEPHAROSETM 層析、色層聚集、SDS-PAGE及硫酸銨沉澱。The antibody composition prepared from the cells can be purified using, for example, hydroxyapatite chromatography, gel electrophoresis, dialysis, and affinity chromatography, wherein affinity chromatography is a preferred purification technique. The suitability of protein A as an affinity ligand depends on the species and the isotype of any immunoglobulin Fc domain present in the antibody. Protein A can be used to purify antibodies based on human gamma 1, gamma 2 or gamma 4 heavy chains (Lindmark et al, J. Immunol. Meth . 62: 1-13 (1983)). Protein G is recommended for all mouse isotypes and human gamma 3 (Guss et al, EMBO J. 5: 15671575 (1986)). The matrix to which the affinity ligand is attached is most often agarose, but other matrices may also be used. Mechanically stable matrices such as controlled microporous glass or poly(styrenedivinyl)benzene allow for faster flow rates and shorter processing times than agarose. Where the antibody comprises a CH3 domain, Bakerbond ABX TM resin (JTBaker, Phillipsburg, NJ) is suitable for purification. Depending on the antibody to be recovered, other techniques for protein purification, such as ion exchange column fractionation, ethanol precipitation, reverse phase HPLC, vermiculite chromatography, anion or cation exchange resins (such as polyaspartic amine), may also be used. the heparin SEPHAROSE TM chromatography on an acid column), aggregation chromatography, SDS-PAGE, and ammonium sulfate precipitation.
在任何初級純化步驟後,均可使包含所關注抗體及污染物之混合物經受使用pH值在約2.5-4.5之間的溶離緩衝劑、較佳在低鹽濃度(例如,約0-0.25 M鹽)下進行的低pH值疏水相互作用層析。After any primary purification step, the mixture comprising the antibody of interest and the contaminant can be subjected to a dissolution buffer having a pH between about 2.5 and 4.5, preferably at a low salt concentration (e.g., about 0-0.25 M salt). Low pH hydrophobic interaction chromatography performed under).
本發明亦提供免疫結合物(可交替稱為"抗體-藥物結合物"或"ADC"),其包含與細胞毒性劑(諸如化學治療劑)、藥物、生長抑制劑、毒素(例如,細菌、真菌、植物或動物來源之酶活性毒素,或其片段)或放射性同位素(亦即,放射結合物)結合之本文所述的任何抗OX40L抗體。The invention also provides immunoconjugates (alternatively referred to as "antibody-drug conjugates" or "ADCs") comprising cytotoxic agents (such as chemotherapeutic agents), drugs, growth inhibitors, toxins (eg, bacteria, Any of the anti-OX40L antibodies described herein are bound by an enzymatically active toxin of fungal, plant or animal origin, or a fragment thereof, or a radioisotope (ie, a radioconjugate).
抗體藥物結合物用於局部傳遞細胞毒性劑或細胞生長抑制劑(亦即,在治療癌時用於殺死或抑制腫瘤細胞的藥物(Syrigos及Epenetos(1999)Anticancer Research 19:605-614;Niculescu-Duvaz及Springer(1997)Adv.Drg Del.Rev.26:151-172;美國專利第4,975,278號))之用途允許將藥物部分靶向傳遞至腫瘤且於其中進行細胞內積累,其中該等非結合藥劑之全身投藥可於正常細胞以及意欲消除之腫瘤細胞中引起不可接受之毒性含量(Baldwin等人,(1986)Lancet,第(1986年3月15日):603-05頁;Thorpe,(1985)"Antibody Carriers Of Cytotoxic Agents In Cancer Therapy:A Review,"in Monoclonal Antibodies'84:Biological And Clinical Applications,A.Pinchera等人(編輯),第475-506頁)。因此,尋求最大效用及最小毒性。已報導將多株抗體與單株抗體用於該等策略中(Rowland等人,(1986)Cancer Immunol.Immunother.,21:183-87)。該等方法中所用之藥物包括道諾黴素、14-羥基柔紅黴素、甲胺喋呤及長春地辛(Rowland等人,(1986),同上文)。抗體-毒素結合物中所用之毒素包括細菌毒素,諸如白喉毒素(diphtheria toxin);植物毒素,諸如蓖麻毒素(ricin);小分子毒素,諸如苯醌安莎黴素(geldanamycin)(Mandler等人,(2000)Jour.of the Nat.Cancer Inst.92(19):1573-1581;Mandler等人,(2000)Bioorganic & Med.Chem.Letters 10:1025-1028;Mandler等人,(2002)Bioconjugate Chem.13:786-791);美登辛諾(EP 1391213;Liu等人,(1996)Proc.Natl.Acad.Sci.USA 93:8618-8623)及刺孢黴素(calicheamicin)(Lode等人,(1998)Cancer Res.58:2928;Hinman等人,(1993)Cancer Res.53:3336-3342)。該等毒素可藉由包括微管結合(tubulin binding)、DNA結合或拓撲異構酶抑制之機制來影響其細胞毒性及細胞生長抑制作用。當與大抗體或蛋白受體配位基結合時,某些細胞毒性藥物傾向於不具活性或具有較低活性。Antibody drug conjugates are used for the local delivery of cytotoxic agents or cytostatic agents (i.e., drugs used to kill or inhibit tumor cells in the treatment of cancer (Syrigos and Epenetos (1999) Anticancer Research 19: 605-614; Niculescu -Duvaz and Springer (1997) Adv. Dr. Del. Rev. 26: 151-172; U.S. Patent No. 4,975,278)) the use of which allows for the targeted delivery of a drug moiety to a tumor in which intracellular accumulation is performed, wherein Systemic administration of a combination agent can cause unacceptable toxic levels in normal cells as well as tumor cells intended to be eliminated (Baldwin et al., (1986) Lancet, pp. (March 15, 1986): 603-05; Thorpe, ( 1985) "Antibody Carriers Of Cytotoxic Agents In Cancer Therapy: A Review, "in Monoclonal Antibodies '84: Biological And Clinical Applications, A. Pinchera et al. (eds.), pp. 475-506). Therefore, seek maximum utility and minimal toxicity. Multiple strains of antibodies and monoclonal antibodies have been reported for use in such strategies (Rowland et al. (1986) Cancer Immunol. Immunother., 21: 183-87). The drugs used in these methods include daunorubicin, 14-hydroxydaunorubicin, methotrexate and vindesine (Rowland et al. (1986), supra). Toxins used in antibody-toxin conjugates include bacterial toxins such as diphtheria toxin; phytotoxins such as ricin; small molecule toxins such as geldanamycin (Mandler et al. (2000) Jour. of the Nat. Cancer Inst. 92 (19): 1573-1581; Mandler et al., (2000) Bioorganic & Med. Chem. Letters 10: 1025-1028; Mandler et al., (2002) Bioconjugate Chem. 13: 786-791); Medenzin (EP 1391213; Liu et al, (1996) Proc. Natl. Acad. Sci. USA 93: 8618-8623) and calicheamicin (Lode et al. (1998) Cancer Res. 58: 2928; Hinman et al. (1993) Cancer Res. 53: 3336-3342). These toxins can affect their cytotoxicity and cell growth inhibition by a mechanism including tubulin binding, DNA binding or topoisomerase inhibition. Certain cytotoxic drugs tend to be inactive or have lower activity when combined with large antibody or protein receptor ligands.
ZEVALIN(替伊莫單抗(ibritumomab tiuxetan),Biogen/Idec)為一種抗體-放射性同位素結合物,其係由針對見於正常及惡性B淋巴細胞表面上之CD20抗原的鼠類IgG1單株抗體及由硫脲連接子-螯合劑結合之111 In或90 Y放射性同位素構成(Wiseman等人,(2000)Eur.Jour.Nucl.Med.27(7):766-77;Wiseman等人,(2002)Blood 99(12):4336-42;Witzig等人,(2002)J.Clin.Oncol.20(10):2453-63;Witzig等人,(2002)J.Clin.Oncol.20(15):3262-69)。儘管ZEVALIN具有對抗B細胞非霍奇金氏淋巴瘤(NHL)之活性,但投藥在大多數患者體內引起嚴重且長期之血球減少。MYLOTARGTM (吉妥單抗(gemtuzumab ozogamicin),Wyeth Pharmaceuticals)是一種由連接至刺胞黴素之hu CD33抗體構成的抗體藥物結合物,其已於2000年批准用於注射治療急性骨髓白血病(Drugs of the Future(2000)25(7):686;美國專利第4970198號、第5079233號、第5585089號、第5606040號、第5693762號、第5739116號、第5767285號、第5773001號)。Cantuzumab mertansine(Immunogen,Inc.)是一種由經由二硫化物連接子SPP連接至美登辛諾藥物部分DMl之huC242抗體構成的抗體藥物結合物,其在II期試驗中用於治療表現CanAg之癌,諸如結腸癌、胰腺癌、胃癌及其他癌。MLN-2704(Millennium Pharm.,BZL Biologics,Immunogen Inc.)是一種由連接至美登辛諾藥物部分DM1之抗前列腺特異性膜抗原(PSMA)單株抗體構成之抗體藥物結合物,其已發展用於潛在治療前列腺腫瘤。將奧瑞他汀肽(auristatin peptide)(奧瑞他汀E(AE))及單甲基奧瑞他汀(MMAE)(海兔毒素(dolastatin)之合成類似物)與嵌合單株抗體cBR96(對癌之路易Y具特異性)及cAC10(對血液科惡性疾病之CD30具特異性)(Doronina等人,(2003)Nature Biotechnology 21(7):778-784)結合且用於治療發展。ZEVALIN (Ibritumomab tiuxetan, Biogen/Idec) is an antibody-radioisotope conjugate consisting of murine IgG1 against CD20 antigens found on the surface of normal and malignant B lymphocytes. Monoclonal antibodies and 111 In or 90 Y radioisotopes bound by a thiourea linker-chelator (Wiseman et al., (2000) Eur. Jour. Nucl. Med. 27(7): 766-77; Wiseman et al. (2002) Blood 99(12): 4336-42; Witzig et al., (2002) J. Clin. Oncol. 20(10): 2453-63; Witzig et al., (2002) J. Clin. Oncol. (15): 3262-69). Although ZEVALIN is active against B-cell non-Hodgkin's lymphoma (NHL), administration causes severe and long-term blood loss in most patients. MYLOTARG TM (gemtuzumab (gemtuzumab ozogamicin), Wyeth Pharmaceuticals) is a hu CD33 antibody by the antibody drug doxorubicin constitutes cnidarian connected to a conjugate, which was approved in 2000 for the treatment of acute myeloid leukemia injection (Drugs Of the Future (2000) 25(7): 686; U.S. Patent Nos. 4,970,198, 5,079,233, 5,558,089, 5,560,040, 5,693,762, 5,739,116, 5,767,285, 5,773,001. Cantuzumab mertansine (Immunogen, Inc.) is an antibody drug conjugate consisting of a huC242 antibody linked to the medenoxin drug moiety DM1 via a disulfide linker SPP, which is used in the phase II trial to treat cancers that exhibit CanAg , such as colon cancer, pancreatic cancer, stomach cancer and other cancers. MLN-2704 (Millennium Pharm., BZL Biologics, Immunogen Inc.) is an antibody drug conjugate composed of an anti-prostate specific membrane antigen (PSMA) monoclonal antibody linked to the Medincinol drug moiety DM1, which has been developed. Used for the potential treatment of prostate tumors. Aristatin peptide (auristatin E (AE)) and monomethyl auristatin (MMAE) (a synthetic analog of dolastatin) and chimeric monoclonal antibody cBR96 (for cancer) Luyi Y has specificity) and cAC10 (specific for CD30 in hematological malignancies) (Doronina et al. (2003) Nature Biotechnology 21(7): 778-784) combines and is used for therapeutic development.
適用於產生免疫結合物之化學治療劑已於本文(例如,上文)中得以描述。可使用之酶活性毒素及其片段包括白喉A鏈、白喉毒素之非結合活性片段、外毒素A鏈(來自綠膿桿菌)、蓖麻毒素A鏈、相思子毒素A鏈、蒴蓮根毒蛋白(modeccin)A鏈、帚麴菌素(α-sarcin)、桐油樹蛋白(Aleurites fordii protein)、康乃馨蛋白(dianthin protein)、垂商陸蛋白(Phytolacca americana protein)(PAPI、PAPII及PAP-S)、苦瓜(momordica charantia)抑制劑、麻楓樹蛋白(curcin)、巴豆素(crotin)、葡萄纈草(sapaonaria officinalis)抑制劑、天堂果蛋白(gelonin)、有絲分裂素(mitogellin)、侷限麴菌素(restrictocin)、酚黴索(phenomycin)、伊諾黴素(enomycin)及黴菌毒素(tricothecene)。例如,參看1993年10月28日公開之WO 93/21232。多種放射核種可用於產生放射結合之抗體。實例包括212 Bi、131 I、131 In、90 Y及186 Re。抗體與細胞毒性劑之結合物係使用多種雙功能蛋白偶聯劑製得,該等蛋白偶聯劑諸如N-琥珀醯亞胺基-3-(2-吡啶基二硫醇)丙酸酯(SPDP)、亞胺基硫雑環戊烷(IT)、醯亞胺酯(諸如己二亞胺酸二甲酯鹽酸鹽)之雙功能衍生物、活性酯(諸如辛二酸二琥珀醯亞胺酯)、醛類(諸如戊二醛)、雙-疊氮基化合物(諸如雙-(對疊氮基苯甲醯基)己二胺)、雙-重氮鹽衍生物(諸如雙-(對重氮鹽苯甲醯基)-乙二胺)、二異氰酸酯(諸如甲苯2,6-二異氰酸酯)及雙活性氟化合物(諸如1,5-二氟-2,4-二硝基苯)。舉例而言,蓖麻毒素免疫毒素可如Vitetta等人,Science,238:1098(1987)中所述來製備。碳14標記之1-異硫代氰基苄基-3-甲基二伸乙基三胺五乙酸(MX-DTPA)為一種用於使放射性核苷酸與抗體結合之例示性螯合劑。參看WO 94/11026。Chemotherapeutic agents suitable for use in generating immunoconjugates are described herein (eg, above). The enzyme-active toxins and fragments thereof can be used, including diphtheria A chain, non-binding active fragment of diphtheria toxin, exotoxin A chain (from Pseudomonas aeruginosa), ricin A chain, abrin toxin A chain, and radix erythropoietin ( Modeccin) A chain, α-sarcin, Aleurites fordii protein, dianthin protein, Phytolacca americana protein (PAPI, PAPII and PAP-S), Momordica charantia inhibitor, curcin, crotin, sapaonaria officinalis inhibitor, gelonin, mitogen (mitogellin), limited sputum ( Restrictocin), phenomycin, enomycin, and trichothecene. See, for example, WO 93/21232, published October 28, 1993. A variety of radionuclides can be used to generate radioconjugated antibodies. Examples include 212 Bi, 131 I, 131 In, 90 Y, and 186 Re. The combination of an antibody and a cytotoxic agent is prepared using a plurality of bifunctional protein coupling agents such as N-succinimide-3-(2-pyridyldithiol) propionate ( SPDP), iminothiolane pentane (IT), bismuth imidate (such as dimethyl dimethyl imidate hydrochloride), bifunctional derivative, active ester (such as diammonium suberate) Amines), aldehydes (such as glutaraldehyde), bis-azido compounds (such as bis-(p-azidobenzylidene) hexamethylenediamine), bis-diazonium derivatives (such as bis-( P-diazonium benzylidene)-ethylenediamine), diisocyanate (such as toluene 2,6-diisocyanate) and bis-active fluoro compound (such as 1,5-difluoro-2,4-dinitrobenzene) . For example, a ricin immunotoxin can be prepared as described in Vitetta et al, Science, 238: 1098 (1987). Carbon 14-labeled 1-isothiocyanobenzyl-3-methyldiethylidamine pentaacetic acid (MX-DTPA) is an exemplary chelating agent for binding radioactive nucleotides to antibodies. See WO 94/11026.
本文亦涵蓋抗體與一或多種小分子毒素(諸如刺胞黴素、美登辛諾、海兔毒素、奧瑞他汀、單端孢黴烯族毒素及CC1065)之結合物,以及具有毒素活性的該等毒素之衍生物。Also contemplated herein are combinations of antibodies with one or more small molecule toxins such as echinomycin, maytansinol, dolastatin, auristatin, trichothecenes, and CC1065, as well as toxin activity. Derivatives of such toxins.
i.美登素及美登辛諾在一些實施例中,該免疫結合物包含結合至一或多個美登辛諾分子之本發明抗體(全長或片段)。i. Maytansine and Medensinol In some embodiments, the immunoconjugate comprises an antibody (full length or fragment) of the invention that binds to one or more mayenoxin molecules.
美登辛諾為藉由抑制微管蛋白聚合而起效之有絲分裂抑制劑。美登素首先係自東非灌木齒葉美登木(east African shrub Maytenus serrata)分離(美國專利第3,896,111號)。隨後,發現某些微生物亦產生美登辛諾,諸如美登醇及C-3美登醇酯(美國專利第4,151,042號)。合成美登醇及其衍生物及類似物揭示於(例如)美國專利第4,137,2304號、第248,870號、第4,256,746號、第4,260,608號、第4,265,814號、第4,294,757號、第4,307,016號、第4,308,268號、第4,308,269號、第4,309,428號、第4,313,946號、第4,315,929號、第4,317,821號、第4,322,348號、第4,331,598號、第4,361,650號、第4,364,866號、第4,424,219號、第4,450,254號、第4,362,663號及第4,371,533號中。Medensinol is a mitotic inhibitor that works by inhibiting tubulin polymerization. Maytansine was first isolated from the East African shrub Maytenus serrata (U.S. Patent No. 3,896,111). Subsequently, it was discovered that certain microorganisms also produced maytansinol, such as maytansinol and C-3 maytansinol (U.S. Patent No. 4,151,042). Synthetic maytansinol and its derivatives and analogs are disclosed, for example, in U.S. Patent Nos. 4,137,2,304, 248,870, 4,256,746, 4,260,608, 4,265,814, 4,294,757, 4,307,016, 4,308,268. No. 4,308,269, 4,309,428, 4,313,946, 4,315,929, 4,317,821, 4,322,348, 4,331,598, 4,361,650, 4,364,866, 4,424,219, 4,450,254, 4,362,663 and No. 4,371,533.
美登辛諾藥物部分為抗體藥物結合物中最引人關注之藥物部分,此係因為其:(i)相對易於藉由醱酵或化學改質、醱酵產物之衍生作用製得;(ii)經受由適於經由非二硫化物連接子與抗體結合之官能基進行的衍生作用;(iii)在血漿中穩定;及(iv)有效對抗多種腫瘤細胞株。The Medensinol drug moiety is the most interesting part of the drug drug conjugate because it is: (i) relatively easy to obtain by fermentation or chemical modification, derivatization of the fermentation product; (ii) Subject to derivatization by a functional group suitable for binding to the antibody via a non-disulfide linker; (iii) stable in plasma; and (iv) effective against a variety of tumor cell lines.
含有美登辛諾之免疫結合物、其製造方法及其治療用途係揭示於(例如)美國專利第5,208,020號、第5,416,064號及歐洲專利EP 0 425 235 B1中,該等專利之揭示內容以引用的方式明確地併入本文中。Liu等人,Proc.Natl.Acad.Sci.USA 93:8618-8623(1996)描述包含連接至針對人類結腸直腸癌之單株抗體C242之美登辛諾(稱為DM1)的免疫結合物。發現結合物對於所培養之結腸癌細胞具有高細胞毒性,且其在活體內腫瘤生長檢定中展示抗腫瘤活性。Chari等人,Cancer Research 52:127-131(1992)描述免疫結合物,其中美登辛諾係經由二硫化物連接子與結合至人類結腸癌細胞株的抗原之鼠類抗體A7結合,或與結合HER-2/neu致癌基因之另一鼠類單株抗體TA.1結合。在活體外,於每個細胞表現3×105 個HER-2表面抗原之人類乳癌細胞株SK-BR-3中測試TA.1-美登辛諾結合物的細胞毒性。藥物結合物達成與游離美登辛諾藥物類似之細胞毒性程度,該細胞毒性程度可藉由增加每個抗體分子美登辛諾分子之數目而增加。A7-美登辛諾結合物在小鼠中展示低全身性細胞毒性。An immunoconjugate comprising a merinocin, a method for its manufacture, and a therapeutic use thereof are disclosed, for example, in U.S. Patent Nos. 5,208,020, 5,416, 064, and European Patent No. EP 0 425 235 B1, the disclosures of each of which are incorporated by reference. The manner of this is explicitly incorporated herein. Liu et al, Proc. Natl. Acad. Sci. USA 93: 8618-8623 (1996) describe immunoconjugates comprising Metadenol (referred to as DM1) linked to monoclonal antibody C242 against human colorectal cancer. The conjugate was found to be highly cytotoxic to the cultured colon cancer cells and it exhibited anti-tumor activity in an in vivo tumor growth assay. Chari et al, Cancer Research 52: 127-131 (1992) describe immunoconjugates in which the Mycensinocin binds to a murine antibody A7 that binds to an antigen of a human colon cancer cell line via a disulfide linker, or Another murine monoclonal antibody TA.1 binds to the HER-2/neu oncogene. The cytotoxicity of the TA.1-Medensin conjugate was tested in vitro in human breast cancer cell line SK-BR-3, which showed 3 x 10 5 HER-2 surface antigen per cell. The drug conjugate achieves a degree of cytotoxicity similar to that of the free medenoxin drug, which can be increased by increasing the number of mayonnino molecules per antibody molecule. The A7-Medensinol conjugate exhibited low systemic cytotoxicity in mice.
可藉由將抗體與美登辛諾分子化學連接來製備抗體-美登辛諾結合物,而不會顯著減小抗體或美登辛諾分子之生物學活性。例如,參看美國專利第5,208,020號(該專利之揭示內容係以引用的方式明確地併入本文中)。平均每個抗體分子結合3-4個美登辛諾分子已展示出增強靶向細胞的細胞毒性而對抗體功能或溶解性並無不利影響之效用,儘管預期甚至1分子毒素/抗體即可增強細胞毒性(優於使用純抗體)。美登辛諾已為此項技術中所熟知,且可藉由已知技術而合成或自天然來源分離。適當之美登辛諾揭示於(例如)美國專利第5,208,020號及上文提及之其他專利及非專利公開案中。較佳之美登辛諾為美登醇及在芳環中或美登素醇分子之其他位置處經修飾之美登醇類似物(諸如各種美登醇酯)。The antibody-Medensinol conjugate can be prepared by chemically linking the antibody to the Mycensino molecule without significantly reducing the biological activity of the antibody or the Mycensino molecule. For example, see U.S. Patent No. 5,208,020, the disclosure of which is expressly incorporated herein by reference. On average, binding of 3-4 Mydenoxin molecules per antibody molecule has demonstrated an effect of enhancing the cytotoxicity of the targeted cells without adversely affecting antibody function or solubility, although even one molecule of toxin/antibody is expected to be enhanced. Cytotoxicity (better than using pure antibodies). Medensinol is well known in the art and can be synthesized by known techniques or isolated from natural sources. A suitable US Patent No. 5,208,020 and other patents and non-patent publications mentioned above are hereby incorporated by reference. Preferably, Medensinol is a maytansinol and a modified maytansinoid analog (such as various maytansinol) in the aromatic ring or at other positions of the maytansinoid molecule.
此項技術中已知多種用於製造抗體-美登辛諾結合物之連接基,包括下列文獻中所揭示者:例如,美國專利第5,208,020號;或EP專利0 425 235 B1;Chari等人,Cancer Research 52:127-131(1992);及2004年10月8日公開之美國專利申請案第10/960,602號,該等專利之揭示內容係以引用的方式明確地併入本文中。可如2004年10月8日公開之美國專利申請案第10/960,602號中所揭示來製備包含連接子組份SMCC之抗體-美登辛諾結合物。連接基包括二硫化物基團、硫酯基團、酸不穩定基團、光不穩定基團、肽酶不穩定基團或酯酶不穩定基團,如上文所識別之專利中所揭示,二硫化物及硫酯基團為較佳的。額外連接基已於本文中得以描述且例示說明。A variety of linkers for the manufacture of antibody-Medensinol conjugates are known in the art, including those disclosed in, for example, U.S. Patent No. 5,208,020; or EP Patent No. 0 425 235 B1; Chari et al. Cancer Research 52: 127-131 (1992); and U.S. Patent Application Serial No. 10/960,602, the disclosure of which is incorporated herein by reference. The antibody-Medensinol conjugate comprising the linker component SMCC can be prepared as disclosed in U.S. Patent Application Serial No. 10/960,602, issued toK. The linker includes a disulfide group, a thioester group, an acid labile group, a photolabile group, a peptidase labile group, or an esterase labile group, as disclosed in the above identified patents, Disulfide and thioester groups are preferred. Additional linkers have been described and illustrated herein.
抗體與美登辛諾之結合物可使用多種雙功能蛋白偶聯劑製得,該等蛋白偶聯劑諸如N-琥珀醯亞胺基-3-(2-吡啶基二硫基)丙酸酯(SPDP)、琥珀醯亞胺基-4-(N-馬來醯亞胺基甲基)環己烷-1-羧酸酯(SMCC)、亞胺基硫雑環戊烷(IT)、醯亞胺酯(諸如己二亞胺酸二甲酯鹽酸鹽)之雙功能衍生物、活性酯(諸如辛二酸二號珀醯亞胺酯)、醛類(諸如戊二醛)、雙-疊氮基化合物(諸如雙-(對疊氮基苯甲醯基)己二胺)、雙-重氮鹽衍生物(諸如雙-(對重氮鹽苯甲醯基)-乙二胺)、二異氰酸酯(諸如甲苯2,6-二異氰酸酯)及雙活性氟化合物(諸如1,5-二氟-2,4-二硝基苯)。尤佳偶聯劑包括用於提供雙硫鍵之N-琥珀醯亞胺基-3-(2-吡啶基二硫基)丙酸酯(SPDP)(Carlsson等人,Biochem.J.173:723-737(1978))及4-(2-吡啶基硫基)戊酸N-琥珀醯亞胺酯(SPP)。The combination of an antibody and mayenoxin can be prepared using a variety of bifunctional protein coupling agents such as N-succinimide-3-(2-pyridyldithio)propionate. (SPDP), amber quinone imido-4-(N-maleimidomethyl)cyclohexane-1-carboxylate (SMCC), imidothioindole cyclopentane (IT), hydrazine Bifunctional derivatives of imidates (such as dimethyl dimethyl imidate hydrochloride), active esters (such as perylene dimerate), aldehydes (such as glutaraldehyde), double- An azido compound (such as bis-(p-azidobenzylidene) hexamethylenediamine), a bis-diazonium salt derivative (such as bis-(p-diazonium benzylidene)-ethylenediamine), Diisocyanate (such as toluene 2,6-diisocyanate) and bis-active fluorine compound (such as 1,5-difluoro-2,4-dinitrobenzene). A preferred coupling agent includes N-succinimide-3-(2-pyridyldithio)propionate (SPDP) for providing a disulfide bond (Carlsson et al., Biochem. J. 173:723). -737 (1978)) and 4-(2-pyridylthio)pentanoic acid N-succinimide (SPP).
視連接類型而定,可將連接子附著於美登辛諾分子之各位置處。舉例而言,可使用習知之偶聯技術藉由與羥基反應形成酯鍵。反應可發生於具有羥基之C-3位置、經羥甲基改質之C-14位置、經羥基改質之C-15位置及具有羥基之C-20位置。在一較佳實施例中,鍵結係形成於美登醇或美登醇類似物之C-3位置處。Depending on the type of attachment, the linker can be attached to each position of the Mindensinol molecule. For example, ester linkages can be formed by reaction with a hydroxyl group using conventional coupling techniques. The reaction can occur at the C-3 position with a hydroxyl group, at the C-14 position modified with a hydroxymethyl group, at the C-15 position modified with a hydroxy group, and at the C-20 position having a hydroxy group. In a preferred embodiment, the linkage is formed at the C-3 position of the maytansinol or maytansinol analog.
ii.奧瑞他汀及海兔毒素在一些實施例中,免疫結合物包含與海兔毒素或海兔毒素之肽類似物及衍生物奧瑞他汀結合之本發明抗體(美國專利第5635483號、第5780588號)。海兔毒素及奧瑞他汀已展示出會干擾微管動力學、GTP水解及核及細胞分裂(Woyke等人,(2001)Antimicrob.Agents and Chemother.45(12):3580-3584)且具有抗癌(U.S.5663149)及抗真菌活性(Pettit等人,(1998)Antimicrob.Agents Chemother.42:2961-2965)。可經由肽藥物部分之N(胺基)末端或C(羧基)末端使海兔毒素或奧瑞他汀藥物部分附著於抗體(WO 02/088172)。Ii. Auristatin and Dolastatin In some embodiments, the immunoconjugate comprises an antibody of the invention that binds to a peptide analog of a dolastatin or a rabbit toxin and a derivative of auristatin (U.S. Patent No. 5,563, 482, No. 5780588). Naptoxin and auristatin have been shown to interfere with microtubule dynamics, GTP hydrolysis, and nuclear and cell division (Woyke et al. (2001) Antimicrob. Agents and Chemother. 45(12): 3580-3584) and have resistance Cancer (US5663149) and antifungal activity (Pettit et al, (1998) Antimicrob. Agents Chemother. 42: 2961-2965). The dolastatin or auristatin drug moiety can be attached to the antibody via the N (amino) terminus or C (carboxyl) terminus of the peptide drug moiety (WO 02/088172).
例示性奧瑞他汀實施例包括連接N末端之單甲基奧瑞他汀藥物部分DE及DF,其揭示於"Monomethylvaline Compounds Capable of Conjugation to Ligands"中,2004年11月5日公開,美國序列號第10/983,340號,其揭示內容係以全文引用的方式明確地併入本文中。An exemplary auristatin embodiment comprises a N-terminal auristatin drug moiety DE and DF linked to the N-terminus, disclosed in "Monomethylvaline Compounds Capable of Conjugation to Ligands", published November 5, 2004, US Serial Number 10/983,340, the disclosure of which is expressly incorporated herein by reference in its entirety.
通常,基於肽之藥物部分可藉由在兩個或兩個以上胺基酸及/或肽片段之間形成肽鍵而製備。此等肽鍵可(例如)根據肽化學領域中熟知之液相合成方法(參看E.Schrder及K.Lbke,"The Peptides",第1卷.第76-136頁,1965,Academic Press)製備。奧瑞他汀/海兔毒素藥物部分可根據以下文獻之方法製備:U.S.5,635,483;U.S.5,780,588;Pettit等人,(1989)J.Am.Chem.Soc.111:5463-5465;Pettit等人,(1998)Anti-Cancer Drug Design 13:243-277;Pettit,G.R.等人,Synthesis,1996,719-725;及Pettit等人,(1996)J.Chem.Soc.Perkin Trans.15:859-863。亦參看Doronina(2003)Nat Biotechnol 21(7):778-784;"Monomethylvaline Compounds Capable of Conjugation to Ligands",2004年11月5日公開,美國序列號第10/983,340號,該文獻係以全文引用的方式併入本文(揭示(例如)連接子及用於製備與連接子結合的諸如MMAE及MMAF之單甲基纈胺酸化合物之方法)。Generally, a peptide-based drug moiety can be prepared by forming a peptide bond between two or more amino acids and/or peptide fragments. Such peptide bonds can, for example, be based on liquid phase synthesis methods well known in the art of peptide chemistry (see E. Schr Der and KL Bke, "The Peptides", Vol. 1, pp. 76-136, 1965, Academic Press). The auristatin/conne toxin drug moiety can be prepared according to the following literature: US 5,635,483; US 5,780,588; Pettit et al., (1989) J. Am. Chem. Soc. 111:5463-5465; Pettit et al. (1998) Anti-Cancer Drug Design 13: 243-277; Pettit, GR et al, Synthesis, 1996, 719-725; and Pettit et al, (1996) J. Chem. Soc. Perkin Trans. 15: 859-863 . See also Doronina (2003) Nat Biotechnol 21(7): 778-784; "Monomethylvaline Compounds Capable of Conjugation to Ligands", published November 5, 2004, U.S. Serial No. 10/983,340, which is incorporated by reference in its entirety. The manner of incorporation herein (discloses, for example, linkers and methods for preparing monomethylproline compounds such as MMAE and MMAF in combination with a linker).
iii.刺孢黴素在其他實施例中,免疫結合物包含與一或多個刺胞黴素分子結合之本發明抗體。抗生素之刺胞黴素家族能夠產生亞皮莫耳(sub-picomolar)濃度之雙鏈DNA斷裂。有關刺胞黴素家族結合物之製備,參看美國專利第5,712,374號、第5,714,586號、第5,739,116號、第5,767,285號、第5,770,701號、第5,770,710號、第5,773,001號及第5,877,296號(均讓渡於American Cyanamid Company)。可使用之刺胞黴素之結構類似物包括(但不限於)γ1 I 、α2 I 、α3 I 、N-乙醯基-γ1 I 、PSAG及θI 1 (Hinman等人,Cancer Research 53:3336-3342(1993);Lode等人,Cancer Research 58:2925-2928(1998);及上文所提及之讓渡於American Cyanamid的美國專利)。可與抗體結合之另一抗腫瘤藥物為QFA,其為抗葉酸物。刺胞黴素與QFA皆具有細胞內作用位點且不易於跨過質膜。因此,細胞經由抗體介導之內化作用攝取該等藥劑會顯著增強其細胞毒素作用。Iii. Gynostocin In other embodiments, the immunoconjugate comprises an antibody of the invention that binds to one or more echinomycin molecules. The echinomycin family of antibiotics is capable of producing double-stranded DNA breaks at sub-picomolar concentrations. For the preparation of the echinomycin family conjugates, see U.S. Patent Nos. 5,712,374, 5,714,586, 5,739,116, 5,767,285, 5,770,701, 5,770,710, 5,773,001 and 5,877,296 (both assigned) American Cyanamid Company). Structural analogs of echinomycin that may be used include, but are not limited to, γ 1 I , α 2 I , α 3 I , N-ethylindolyl-γ 1 I , PSAG, and θ I 1 (Hinman et al., Cancer Research 53: 3336-3342 (1993); Lode et al, Cancer Research 58: 2925-2928 (1998); and the above-mentioned U.S. patent to American Cyanamid). Another anti-tumor drug that can bind to antibodies is QFA, which is an anti-folate. Both echinomycin and QFA have intracellular sites of action and are not susceptible to crossing the plasma membrane. Thus, uptake of such agents via antibody-mediated internalization significantly enhances their cytotoxic effects.
iv.其他細胞毒性劑可與本發明抗體結合之其他抗腫瘤劑包括BCNU、鏈脲佐菌素(streptozoticin)、長春新鹼及5-氟尿嘧啶(美國專利第5,053,394號、第5,770,710號中所述之共同稱為LL-E33288複合物的藥劑家族),以及埃斯波黴素(esperamicin)(美國專利5,877,296)。Iv. Other cytotoxic agents Other anti-tumor agents that can bind to the antibodies of the invention include BCNU, streptozoticin, vincristine, and 5-fluorouracil (described in U.S. Patent Nos. 5,053,394, 5,770,710). A family of agents collectively referred to as the LL-E33288 complex, and esperamicin (U.S. Patent 5,877,296).
可使用之酶活性毒素及其片段包括白喉A鏈、白喉毒素之非結合活性片段、外毒素A鏈(來自綠膿桿菌)、蓖麻毒素A鏈、相思子毒素A鏈、蒴蓮根毒蛋白A鏈、帚麴菌素、桐油樹蛋白、康乃馨蛋白、垂商陸蛋白(PAPI、PAPII及PAP-S)、苦瓜抑制劑、麻楓樹蛋白、巴豆素、葡萄纈草抑制劑、天堂果蛋白、有絲分裂素、侷限麴菌素、酚黴索、伊諾黴素及黴菌毒素。例如,參看1993年10月28日公開之WO 93/21232。Enzyme-active toxins and fragments thereof which can be used include diphtheria A chain, non-binding active fragment of diphtheria toxin, exotoxin A chain (from Pseudomonas aeruginosa), ricin A chain, Acacia toxin A chain, and radix aurantiaxin A Chain, bacteriocin, tung tree protein, carnation protein, P. sinensis (PAPI, PAPII and PAP-S), bitter melon inhibitor, jatropha, crotonin, geranium inhibitor, paradise fruit protein, Mitogen, fentanin, phenolic mycomycin, INOmycin, and mycotoxins. See, for example, WO 93/21232, published October 28, 1993.
本發明另外涵蓋抗體與具有核分解活性之化合物(例如,核糖核酸酶或DNA內切酶,諸如脫氧核糖核酸酶;DNA酶)之間所形成的免疫結合物。The invention further encompasses immunoconjugates formed between an antibody and a compound having nuclear cleavage activity (e.g., ribonuclease or endonuclease, such as deoxyribonuclease; DNase).
為選擇性破壞腫瘤,抗體可包含高度放射性原子。多種放射性同位素可用於產生放射結合之抗體。實例包括At211 、I131 、I125 、Y90 、Re186 、Re188 、Sm153 、Bi212 、P32 、Pb212 及Lu之放射性同位素。當使用結合物進行偵測時,其可包含:用於閃爍攝影研究(scintigraphic study)之放射性原子,例如Tc99m 或I123 ;或用於核磁共振(NMR)成像(亦稱為磁共振成像,mri)之自旋標記,諸如碘-123及碘-131、銦-111、氟-19、碳-13、氮-15、氧-17、釓、錳或鐵。To selectively destroy a tumor, the antibody can comprise highly radioactive atoms. A variety of radioisotopes are available for the production of radioconjugated antibodies. Examples include radioisotopes of At 211 , I 131 , I 125 , Y 90 , Re 186 , Re 188 , Sm 153 , Bi 212 , P 32 , Pb 212 and Lu. When a conjugate is used for detection, it may comprise: a radioactive atom for scintigraphic studies, such as Tc 99m or I 123 ; or for nuclear magnetic resonance (NMR) imaging (also known as magnetic resonance imaging, Spin labeling of mri), such as iodine-123 and iodine-131, indium-111, fluorine-19, carbon-13, nitrogen-15, oxygen-17, cesium, manganese or iron.
可以已知方式將放射性標記或其他標記併入結合物中。舉例而言,可生物合成肽,或可藉由使用適當胺基酸前驅體進行化學胺基酸合成(例如,涉及以氟-19胺基酸替代氫)來合成肽。可經由半胱胺酸殘基將諸如Tc99m 或I123 、Re186 、Re188 及In111 之標記附著於肽中。可經由離胺酸殘基附著釔-90。IODOGEN方法(Fraker等人,(1978)Biochem.Biophys.Res.Commun.80:49-57)可用於併入碘-123。"Monoclonal Antibodies in Immunoscintigraphy"(Chatal,CRC Press 1989)詳細描述其他方法。Radioactive labels or other labels can be incorporated into the conjugate in a known manner. For example, the peptide can be biosynthesized, or the peptide can be synthesized by chemical amino acid synthesis using a suitable amino acid precursor (eg, involving the replacement of hydrogen with a fluorine-19 amino acid). A label such as Tc 99m or I 123 , Re 186 , Re 188 and In 111 can be attached to the peptide via a cysteine residue. The 钇-90 can be attached via an amine acid residue. The IODOGEN method (Fraker et al., (1978) Biochem. Biophys. Res. Commun. 80: 49-57) can be used to incorporate iodine-123. Other methods are described in detail in "Monoclonal Antibodies in Immunoscintigraphy" (Chatal, CRC Press 1989).
抗體與細胞毒性劑之結合物可使用多種雙功能蛋白偶聯劑製得,該等蛋白偶聯劑諸如N-琥珀醯亞胺基-3-(2-吡啶基二硫基)丙酸酯(SPDP)、琥珀醯亞胺基-4-(N-馬來醯亞胺基甲基)環己烷-1-羧酸酯(SMCC)、亞胺基硫雑環戊烷(IT)、醯亞胺酯(諸如己二亞胺酸二甲酯鹽酸鹽)之雙功能衍生物、活性酯(諸如辛二酸二琥珀醯亞胺酯)、醛類(諸如戊二醛)、雙-疊氮基化合物(諸如雙-(對疊氮基苯甲醯基)己二胺)、雙-重氮鹽衍生物(諸如雙-(對重氮鹽苯甲醯基)-乙二胺)、二異氰酸酯(諸如甲苯2,6-二異氰酸酯)及雙活性氟化合物(諸如1,5-二氟-2,4-二硝基苯)。舉例而言,蓖麻毒素免疫毒素可如Vitetta等人,Science,238:1098(1987)所述來製備。碳14標記之1-異硫代氰基苄基-3-甲基二伸乙基三胺五乙酸(MX-DTPA)為一種用於使放射性核苷酸與抗體結合之例示性螯合劑。參看WO 94/11026。連接子可為促進細胞中之細胞毒性藥物釋放的"可裂解連接子"。舉例而言,可使用酸不穩定連接子、肽酶敏感性連接子、光不穩定連接子、二甲基連接子或含二硫化物之連接子(Chari等人,Cancer Research 52:127-131(1992);美國專利第5,208,020號)。Combinations of antibodies and cytotoxic agents can be prepared using a variety of bifunctional protein coupling agents such as N-succinimide-3-(2-pyridyldithio)propionate ( SPDP), amber quinone imido-4-(N-maleimidomethyl)cyclohexane-1-carboxylate (SMCC), imidothioindole cyclopentane (IT), 醯亚Bifunctional derivatives of amine esters (such as dimethyl dimethyl imidate hydrochloride), active esters (such as dinonyl succinimide), aldehydes (such as glutaraldehyde), bis-azide Base compound (such as bis-(p-azidobenzylidene) hexamethylenediamine), bis-diazonium salt derivative (such as bis-(p-diazonium benzylidene)-ethylenediamine), diisocyanate (such as toluene 2,6-diisocyanate) and a double active fluorine compound (such as 1,5-difluoro-2,4-dinitrobenzene). For example, a ricin immunotoxin can be prepared as described by Vitetta et al., Science, 238: 1098 (1987). Carbon 14-labeled 1-isothiocyanobenzyl-3-methyldiethylidamine pentaacetic acid (MX-DTPA) is an exemplary chelating agent for binding radioactive nucleotides to antibodies. See WO 94/11026. A linker can be a "cleavable linker" that promotes the release of cytotoxic drugs in a cell. For example, an acid labile linker, a peptidase sensitive linker, a photolabile linker, a dimethyl linker or a disulfide containing linker can be used (Chari et al., Cancer Research 52: 127-131). (1992); U.S. Patent No. 5,208,020).
本發明化合物明確涵蓋(但不限於)用如下交聯劑試劑製備之ADC:BMPS、EMCS、GMBS、HBVS、LC-SMCC、MBS、MPBH、SBAP、SIA、SIAB、SMCC、SMPB、SMPH、磺酸基-EMCS、磺酸基-GMBS、磺酸基-KMUS、磺酸基-MBS、磺酸基-SIAB、磺酸基-SMCC及磺酸基-SMPB及SVSB(琥珀醯亞胺基-(4-乙烯基碸)苯甲酸酯),該等交聯劑試劑為市售的(例如,購自Pierce Biotechnology,Inc.,Rockford,IL.,U.S.A)。參看2003-2004 Applications Handbook and Catalog,第467-498頁。The compounds of the invention expressly encompass, but are not limited to, ADCs prepared using the following crosslinker reagents: BMPS, EMCS, GMBS, HBVS, LC-SMCC, MBS, MPBH, SBAP, SIA, SIAB, SMCC, SMPB, SMPH, sulfonic acid Base-EMCS, sulfonate-GMBS, sulfonate-KMUS, sulfonate-MBS, sulfonate-SIAB, sulfonate-SMCC and sulfonate-SMPB and SVSB (amber quinone imine-(4) - Vinyl hydrazide) benzoate), such crosslinker reagents are commercially available (for example, from Pierce Biotechnology, Inc., Rockford, IL., USA). See 2003-2004 Applications Handbook and Catalog, pp. 467-498.
v.抗體藥物結合物之製備在本發明之抗體藥物結合物(ADC)中,抗體(Ab)係經由連接子(L)與一或多種藥物部分(D)結合,例如每個抗體約1至約20種藥物部分。使用熟習此項技術者已知之有機化學反應、條件及試劑,可藉由若干途徑來製備式I之ADC,該等途徑包括:(1)使抗體之親核基團與二價連接子試劑反應以經由共價鍵形成Ab-L,隨後與藥物部分D反應;及(2)使藥物部分之親核基團與二價連接子試劑反應以經由共價鍵形成D-L,隨後與抗體之親核基團反應。用於製備ADC之額外方法已描述於本文中。v. Preparation of Antibody Drug Conjugates In the antibody drug conjugate (ADC) of the present invention, the antibody (Ab) binds to one or more drug moieties (D) via a linker (L), for example, about 1 to each antibody. About 20 drug parts. The ADC of Formula I can be prepared by several routes using organic chemical reactions, conditions, and reagents known to those skilled in the art, including: (1) reacting a nucleophilic group of an antibody with a divalent linker reagent. Forming Ab-L via a covalent bond, followed by reaction with drug moiety D; and (2) reacting a nucleophilic group of the drug moiety with a divalent linker reagent to form D-L via a covalent bond, followed by antibody Nucleophilic group reaction. Additional methods for preparing ADCs have been described herein.
Ab-(L-D)p IAb-(L-D) p I
連接子可由一或多種連接子組份構成。例示性連接子組份包括6-馬來醯亞胺基己醯基("MC")、馬來醯亞胺基丙醯基("MP")、纈胺酸-瓜胺酸("val-cit")、丙胺酸-苯丙胺酸("ala-phe")、對胺基苯甲氧基羰基("PAB")、4-(2-吡啶基硫基)戊酸N-琥珀醯亞胺酯("SPP")、4-(N-馬來醯亞胺基甲基)環己烷-1羧酸N-琥珀醯亞胺酯("SMCC")及(4-碘-乙醯基)胺基苯甲酸N-琥珀醯亞胺酯("SIAB")。額外之連接子組份已為此項技術所知且某些已於本文中描述。亦參看"Monomethylvaline Compounds Capable of Conjugation to Ligands",2004年11月5日公開,美國序列號第10/983,340號,其內容係以全文引用的方式併入本文中。A linker can be composed of one or more linker components. Exemplary linker components include 6-maleimido hexamethylene ("MC"), maleimide propyl ketone ("MP"), lysine- citrulline ("val- Cit"), alanine-phenylalanine ("ala-phe"), p-aminobenzyloxycarbonyl ("PAB"), 4-(2-pyridylthio)pentanoic acid N-succinimide ("SPP"), 4-(N-maleimidomethyl)cyclohexane-1carboxylic acid N-succinimide ("SMCC") and (4-iodo-ethenyl)amine N-Amber succinimide ("SIAB"). Additional linker components are known in the art and some are described herein. See also "Monomethylvaline Compounds Capable of Conjugation to Ligands", published November 5, 2004, U.S. Serial No. 10/983,340, the disclosure of which is incorporated herein in its entirety.
在一些實施例中,連接子可包含胺基酸殘基。例示性胺基酸連接子組份包括二肽、三肽、四肽或五肽。例示性三肽包括:纈胺酸-瓜胺酸(vc或val-cit)、丙胺酸-苯丙胺酸(af或ala-phe)。例示性三肽包括:甘胺酸-纈胺酸-瓜胺酸(gly-val-cit)及甘胺酸-甘胺酸-甘胺酸(gly-gly-gly)。包含胺基酸連接子組份之胺基酸殘基包括彼等天然存在者,以及少數胺基酸及非天然存在之胺基酸類似物,諸如瓜胺酸。可設計胺基酸連接子組份且優化其對由特定酶(例如,腫瘤相關蛋白酶、組織蛋白酶B、C及D或纖溶蛋白酶)進行的酶裂解之選擇性。In some embodiments, the linker can comprise an amino acid residue. Exemplary amino acid linker components include dipeptides, tripeptides, tetrapeptides or pentapeptides. Exemplary tripeptides include: valine-citrulline (vc or val-cit), alanine-phenylalanine (af or ala-phe). Exemplary tripeptides include: glycine-proline-glycine (gly-val-cit) and glycine-glycine-glycine. Amino acid residues comprising an amino acid linker component include those naturally occurring, as well as a small number of amino acids and non-naturally occurring amino acid analogs such as citrulline. The amino acid linker component can be designed and optimized for selectivity to enzymatic cleavage by specific enzymes (e.g., tumor associated proteases, cathepsins B, C and D or fibrinolytic enzymes).
抗體上之親核基團包括(但不限於):(i)N-末端胺基;(ii)側鏈胺基,例如離胺酸;(iii)側鏈硫醇基,例如半胱胺酸;及(iv)糖羥基或胺基,其中抗體經糖基化。胺基、硫醇基及羥基為親核基團且能夠反應以與連接子部分及連接子試劑之親電子基團形成共價鍵,該等親電子試劑包括:(i)活性酯,諸如NHS酯、HOBt酯、鹵基甲酸酯及酸鹵化物;(ii)烷基及苄基鹵化物,諸如鹵基乙醯胺;(iii)醛、酮、羧基及馬來醯亞胺基。某些抗體具有可還原之鏈內二硫化物,亦即半胱胺酸橋。可藉由用諸如DTT(二硫蘇糖醇)之還原劑進行處理而使抗體具有與連接子試劑結合之反應性。因此,理論上各半胱胺酸橋將形成兩個反應性硫醇親核試劑。可經由離胺酸與2-亞胺基硫雜環戊烷(Traut氏試劑)之反應將額外親核基團引入抗體中,從而使胺轉化為硫醇。可藉由引入一個、兩個、三個、四個或四個以上半胱胺酸殘基(例如,製備包含一或多個非天然半胱胺酸胺基酸殘基之突變體抗體)將反應性硫醇基團引入抗體(或其片段)中。Nucleophilic groups on the antibody include, but are not limited to, (i) an N-terminal amine group; (ii) a side chain amine group, such as an amine acid; (iii) a side chain thiol group, such as cysteine And (iv) a saccharide hydroxyl or amine group in which the antibody is glycosylated. The amine group, thiol group and hydroxyl group are nucleophilic groups and are capable of reacting to form a covalent bond with the linker moiety and the electrophilic group of the linker reagent, including: (i) an active ester such as NHS Esters, HOBt esters, haloformates and acid halides; (ii) alkyl and benzyl halides such as haloacetamide; (iii) aldehydes, ketones, carboxyl groups and maleimine groups. Certain antibodies have a reducible intrachain disulfide, a cysteine bridge. The antibody can be reacted with a linker reagent by treatment with a reducing agent such as DTT (dithiothreitol). Thus, in theory each cysteine bridge will form two reactive thiol nucleophiles. Additional nucleophilic groups can be introduced into the antibody via reaction of the amine acid with 2-iminothiolane (Traut's reagent) to convert the amine to a thiol. By introducing one, two, three, four or more cysteine residues (for example, preparing a mutant antibody comprising one or more non-natural cysteine amino acid residues) A reactive thiol group is introduced into the antibody (or a fragment thereof).
本發明之抗體藥物結合物亦可藉由修飾抗體以引入可與連接子試劑或藥物上的親核取代基反應之親電子部分而產生。糖基化抗體之糖可經(例如)過碘酸鹽氧化試劑氧化以形成可與連接子試劑或藥物部分之胺基反應的醛或酮基。所得亞胺希夫鹼(Schiff base)基團可形成穩定鍵,或可經(例如)硼氫化物試劑還原以形成穩定胺鍵。在一實施例中,糖基化抗體之碳水化合物部分與半乳糖氧化酶或偏高碘酸鈉的反應可於蛋白中得到可與藥物之適當基團反應的羰基(醛及酮)(Hermanson,Bioconjugate Techniques)。在另一實施例中,含有N-末端絲胺酸或蘇胺酸殘基之蛋白可與偏高碘酸鈉反應,導致產生替代第一胺基酸之醛(Geoghegan及Stroh,(1992)Bioconjugate Chem.3:138-146;U.S.5362852)。此類醛可與藥物部分或連接子親核試劑反應。The antibody drug conjugates of the invention can also be produced by modifying an antibody to introduce an electrophilic moiety that can react with a nucleophilic substituent on a linker reagent or drug. The sugar of the glycosylated antibody can be oxidized by, for example, a periodate oxidizing reagent to form an aldehyde or ketone group reactive with the linker reagent or the amine group of the drug moiety. The resulting imine Schiff base group can form a stable bond or can be reduced, for example, by a borohydride reagent to form a stable amine bond. In one embodiment, the reaction of the carbohydrate moiety of the glycosylated antibody with galactose oxidase or sodium metaperiodate provides a carbonyl (aldehyde and ketone) in the protein that reacts with a suitable group of the drug (Hermanson, Bioconjugate Techniques). In another embodiment, a protein containing an N-terminal serine acid or a threonine residue can be reacted with sodium metaperiodate to produce an aldehyde that replaces the first amino acid (Geoghegan and Stroh, (1992) Bioconjugate Chem. 3: 138-146; US5362852). Such aldehydes can be reacted with a drug moiety or a linker nucleophile.
同樣,藥物部分之親核基團包括(但不限於):胺、硫醇、羥基、醯肼、肟、肼、硫半卡(thiosemicarbazone)、羧酸肼及芳基醯肼基團,其能夠反應以與連接子部分及連接子試劑之親電子基團形成共價鍵,該等親電子試劑包括:(i)活性酯,諸如NHS酯、HOBt酯、鹵基甲酸酯及酸鹵化物;(ii)烷基及苄基鹵化物,諸如鹵基乙醯胺;(iii)醛、酮、羧基及馬來醯亞胺基。Likewise, the nucleophilic groups of the drug moiety include, but are not limited to, amines, thiols, hydroxyls, hydrazines, hydrazines, hydrazines, thiosemicarbazones, bismuth carboxylates, and aryl sulfonium groups, which are capable of The reaction forms a covalent bond with the electrophilic group of the linker moiety and the linker reagent, and the electrophile comprises: (i) an active ester such as an NHS ester, a HOBt ester, a haloformate, and an acid halide; (ii) an alkyl group and a benzyl halide such as haloacetamide; (iii) an aldehyde, a ketone, a carboxyl group and a maleimine group.
或者,包含抗體及細胞毒性劑之融合蛋白可(例如)藉由重組技術或肽合成製得。DNA之長度可包含編碼結合物之兩個部分的個別區域,該結合物之兩個部分彼此相鄰或由不損害結合物的所要特性之編碼連接子肽之區域分離。Alternatively, fusion proteins comprising antibodies and cytotoxic agents can be made, for example, by recombinant techniques or peptide synthesis. The length of the DNA may comprise individual regions encoding two portions of the conjugate, the two portions of the conjugate being adjacent to each other or separated by regions encoding the linker peptide that do not impair the desired properties of the conjugate.
在又一實施例中,抗體可與"受體"(諸如抗生蛋白鏈菌素)結合以用於預靶向腫瘤,其中將抗體-受體結合物投與至患者,隨後使用清除劑自循環中移除未結合之結合物,且接著投用與細胞毒性劑(例如,放射性核苷酸)結合之"配位基"(例如,抗生物素蛋白)。In yet another embodiment, the antibody can be combined with a "receptor" (such as streptavidin) for pretargeting the tumor, wherein the antibody-receptor conjugate is administered to the patient, followed by self-circulation using the scavenger The unbound conjugate is removed, and then a "coordinating group" (eg, avidin) that binds to a cytotoxic agent (eg, a radioactive nucleotide) is administered.
藉由將具有所要純度之抗體與生理學上可接受之可選載劑、賦形劑或穩定劑混合(Remington's:The Science and Practice of Pharmacy ,第20版,編輯(2000))來製備呈水溶液、凍乾或其他乾燥調配物形式之包含本發明抗體的治療調配物以供儲存。在所用之劑量及濃度下,可接受之載劑、賦形劑或穩定劑對受體無毒,且包括緩衝劑,諸如磷酸鹽、檸檬酸鹽、組胺酸及其他有機酸;抗氧化劑,包括抗壞血酸及甲硫胺酸;防腐劑(諸如十八基二甲基苄基氯化銨;氯化六羥季銨;氯化苯甲烴銨;苄索氯銨;酚、丁基醇或苄基醇;對羥基苯甲酸烷基酯,諸如對羥基苯甲酸甲酯或對羥基苯甲酸丙酯;兒茶酚;間苯二酚;環己醇;3-戊醇及間甲酚);低分子量(小於約10個殘基)多肽;蛋白,諸如血清白蛋白、明膠或免疫球蛋白;親水性聚合物,諸如聚乙烯吡咯啶酮;胺基酸,諸如甘胺酸、麩醯胺酸、天冬醯胺酸、組胺酸、精胺酸或離胺酸;單醣、雙醣及其他碳水化合物,包括葡萄糖、甘露糖或糊精;螯合劑,諸如EDTA;糖,諸如蔗糖、甘露糖醇、海藻糖或山梨糖醇;成鹽反離子,諸如鈉;金屬錯合物(例如Zn-蛋白錯合物);及/或非離子界面活性劑,諸如TWEENTM 、PLURONICSTM 或聚乙二醇(PEG)。Preparation of an aqueous solution by mixing an antibody of the desired purity with a physiologically acceptable optional carrier, excipient or stabilizer ( Remington's: The Science and Practice of Pharmacy , 20th Ed., ed. (2000)) A therapeutic formulation comprising an antibody of the invention in the form of a lyophilized or other dry formulation for storage. At the dosages and concentrations employed, acceptable carriers, excipients or stabilizers are non-toxic to the receptor and include buffers such as phosphates, citrates, histidines and other organic acids; antioxidants, including Ascorbic acid and methionine; preservatives (such as octadecyl dimethyl benzyl ammonium chloride; hexahydroxy quaternary ammonium chloride; benzalkonium chloride; benzethonium chloride; phenol, butyl alcohol or benzyl Alcohol; alkyl p-hydroxybenzoate, such as methyl or propyl p-hydroxybenzoate; catechol; resorcinol; cyclohexanol; 3-pentanol and m-cresol; low molecular weight (less than about 10 residues) polypeptide; protein, such as serum albumin, gelatin or immunoglobulin; hydrophilic polymer such as polyvinylpyrrolidone; amino acid, such as glycine, glutamic acid, day Aspartic acid, histidine, arginine or lysine; monosaccharides, disaccharides and other carbohydrates, including glucose, mannose or dextrin; chelating agents such as EDTA; sugars such as sucrose, mannitol , trehalose or sorbitol; salt-forming counterions, such as sodium; metal complexes (eg Zn) Protein complexes); and / or non-ionic surfactant, such as TWEEN TM, PLURONICS TM or polyethylene glycol (PEG).
本文之調配物亦可視需要含有一種以上活性化合物以用於所治療之特定適應症,較佳為具有彼此無不利影響之互補活性者。此等分子適於以有效用於達成預定目的之量存在於組合中。Formulations herein may also contain more than one active compound as needed for the particular indication being treated, preferably those having complementary effects that do not adversely affect each other. These molecules are suitable for being present in the combination in an amount effective to achieve the intended purpose.
亦可將活性成份截留於膠狀藥物傳遞系統(例如,脂質體、白蛋白微球體、微乳液、奈米顆粒及奈米膠囊)或巨乳液中(例如)藉由凝聚技術或界面聚合而製備之微膠囊(例如,分別為羥甲基纖維素或明膠-微膠囊及聚(甲基丙烯酸甲酯)微膠囊)中。此等技術揭示於Remington:The Science and Practice of Pharmacy,第 20版(2000)中。The active ingredient may also be entrapped in a gelled drug delivery system (eg, liposomes, albumin microspheres, microemulsions, nanoparticles, and nanocapsules) or macroemulsions (eg, by coacervation techniques or interfacial polymerization). The microcapsules (for example, hydroxymethylcellulose or gelatin-microcapsules and poly(methyl methacrylate) microcapsules, respectively). Such techniques are disclosed in Remington: The Science and Practice of Pharmacy, 20th Edition (2000).
待用於活體內投藥之調配物必須無菌。此易於藉由經由無菌濾膜進行過濾來實現。Formulations to be administered in vivo must be sterile. This is easily accomplished by filtration through a sterile filter.
可製備持續釋放製劑。持續釋放製劑之適當實例包括含有本發明免疫球蛋白之固體疏水性聚合物的半滲透基質,該等基質為成形物品之形式,例如薄膜或微膠囊。持續釋放基質之實例包括聚酯、水凝膠(例如,聚(2-羥基乙基-甲基丙烯酸酯)或聚(乙烯醇))、聚乳酸交酯(美國專利第3,773,919號)、L-麩胺酸及γ乙基-L-麩胺酸酯之共聚物、不可降解乙烯-乙酸乙烯酯、可降解乳酸-乙醇酸共聚物(諸如LUPRON DEPOTTM (由乳酸-乙醇酸共聚物及乙酸亮丙瑞林構成的可注射微球體))及聚-D-(-)-3-羥基丁酸。儘管諸如乙烯-乙酸乙烯酯及乳酸-乙醇酸之聚合物使得分子能夠釋放超過100天,但某些水凝膠卻於較短時間內釋放蛋白。當經封裝免疫球蛋白長時間保持於體內時,其可因在37℃下暴露至濕氣而變性或凝集,導致生物學活性之喪失及免疫原性之可能改變。視所涉及之機制而定,可關於穩定性來設計合理策略。舉例而言,若發現凝集機制為經由硫基-二硫化物互換形成分子間S-S鍵,則可藉由修飾氫硫基殘基、由酸性溶液凍乾、控制濕氣含量、使用適當添加劑且產生特定聚合物基質組合物來達成穩定性。Sustained release formulations can be prepared. Suitable examples of sustained release formulations include semipermeable matrices containing solid hydrophobic polymers of the immunoglobulins of the invention, which matrices are in the form of shaped articles, such as films or microcapsules. Examples of sustained release matrices include polyesters, hydrogels (e.g., poly(2-hydroxyethyl-methacrylate) or poly(vinyl alcohol)), polylactide (U.S. Patent No. 3,773,919), L- Copolymer of glutamic acid and γ-ethyl-L-glutamate, non-degradable ethylene-vinyl acetate, degradable lactic acid-glycolic acid copolymer (such as LUPRON DEPOT TM (lighted by lactic acid-glycolic acid copolymer and acetic acid) Injectable microspheres composed of pirarin) and poly-D-(-)-3-hydroxybutyric acid. Although polymers such as ethylene-vinyl acetate and lactic acid-glycolic acid enable the release of molecules for more than 100 days, some hydrogels release proteins in a relatively short period of time. When encapsulated immunoglobulins remain in the body for extended periods of time, they can denature or agglomerate upon exposure to moisture at 37 °C, resulting in loss of biological activity and possible alteration of immunogenicity. Depending on the mechanism involved, a reasonable strategy can be designed with regard to stability. For example, if the agglutination mechanism is found to form an intermolecular S-S bond via a thio-disulfide interchange, the thiol residue can be modified, lyophilized from an acidic solution, moisture content controlled, and appropriate additives used. A specific polymer matrix composition is produced to achieve stability.
本發明抗體可用於(例如)活體外、離體及活體內治療方法中。The antibodies of the invention are useful, for example, in in vitro, ex vivo and in vivo therapeutic methods.
在一態樣中,本發明提供用於治療或預防與EphB4之增加的表現及/或活性相關的腫瘤、癌及/或細胞增生性病症之方法,該方法包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides methods for treating or preventing a tumor, cancer, and/or cell proliferative disorder associated with increased performance and/or activity of EphB4, the method comprising administering to a patient in need of such treatment An effective amount of an anti-EphB4 antibody.
在一態樣中,本發明提供用於降低、抑制或預防腫瘤或癌生長之方法,該方法包含向需要此治療之患者投與有效量之抗EphB4抗體。In one aspect, the invention provides a method for reducing, inhibiting or preventing tumor or cancer growth, the method comprising administering to a patient in need of such treatment an effective amount of an anti-EphB4 antibody.
在胚胎發育之運動軸突導向及神經脊細胞遷移中涉及EphB4。因此,本發明抗體亦適用於治療(包括預防)病理學涉及細胞退化或機能失調之病症,例如治療各種(慢性)神經退化性病症及急性神經細胞損傷。該等神經退化性病症包括(但不限於)末梢神經病變;運動神經元病症,例如澱粉樣沉著側索硬化症(ALS,盧.格裏格症)、貝爾麻痹及各種涉及脊椎肌肉萎縮病或麻痹的病況;及其他人類神經退化性疾病,例如阿茲海默氏病、帕金森氏病、癲癇症、多發性硬化症、亨廷頓氏舞蹈病、唐氏症候群、神經性耳聾及梅尼爾氏病,以及因(例如)創傷或脊髓損傷而引起之急性神經細胞損傷。EphB4 is involved in motor axon guidance and neural ridge cell migration in embryonic development. Thus, the antibodies of the invention are also useful in the treatment (including prevention) of conditions involving pathology involving cell degeneration or dysfunction, such as treatment of various (chronic) neurodegenerative disorders and acute neuronal damage. Such neurodegenerative disorders include, but are not limited to, peripheral neuropathy; motor neuron disorders such as amyloidosis lateral sclerosis (ALS, Lug Grieg), Bell's palsy, and various disorders involving spinal muscular atrophy or paralysis Conditions; and other human neurodegenerative diseases such as Alzheimer's disease, Parkinson's disease, epilepsy, multiple sclerosis, Huntington's disease, Down's syndrome, neurological deafness, and Meniere's disease And acute neuronal damage caused by, for example, trauma or spinal cord injury.
本發明抗體亦適用於抑制血管生成。在一些實施例中,血管生成之位點為腫瘤或癌。The antibodies of the invention are also useful for inhibiting angiogenesis. In some embodiments, the site of angiogenesis is a tumor or cancer.
在一態樣中,本發明提供用於抑制血管生成之方法,其包含向需要此治療之患者投與有效量之抗EphB2抗體。In one aspect, the invention provides a method for inhibiting angiogenesis comprising administering to a patient in need of such treatment an effective amount of an anti-EphB2 antibody.
在一態樣中,本發明提供用於治療與血管生成相關的病理性病況之方法,其包含向需要此治療之患者投與有效量之抗EphB2抗體。在一些實施例中,與血管生成相關之病理性病況為腫瘤、癌及/或細胞增生性病症。在一些實施例中,與血管生成相關之病理性病況為眼內新生血管性疾病。In one aspect, the invention provides a method for treating a pathological condition associated with angiogenesis comprising administering to a patient in need of such treatment an effective amount of an anti-EphB2 antibody. In some embodiments, the pathological condition associated with angiogenesis is a tumor, cancer, and/or cell proliferative disorder. In some embodiments, the pathological condition associated with angiogenesis is an intraocular neovascular disorder.
此外,至少一些本發明抗體可結合來自其他物種之抗原。因此,本發明抗體可用於在(例如)含有抗原之細胞培養物中、人類患者體內或具有與本發明抗體交叉反應的抗原之其他哺乳動物患者(例如,猩猩、狒狒、狨猴、獼猴及恆河猴、豬或小鼠)中結合特異性抗原活性。在一實施例中,可藉由使本發明抗體與抗原接觸從而抑制抗原活性而將該抗體用於抑制抗原活性。較佳地,抗原為人類蛋白分子。Furthermore, at least some of the antibodies of the invention may bind antigens from other species. Thus, the antibodies of the invention can be used in, for example, cell cultures containing antigens, in human patients, or in other mammalian patients having antigens that cross-react with antibodies of the invention (e.g., orangutans, baboons, simians, macaques, and Binding specific antigen activity in rhesus, pig or mouse). In one embodiment, the antibody can be used to inhibit antigenic activity by contacting the antibody of the invention with an antigen to inhibit antigenic activity. Preferably, the antigen is a human protein molecule.
在一實施例中,本發明抗體可用於結合罹患與增加的抗原表現及/或活性有關之病症的患者體內之抗原之方法中,該方法包含向患者投與本發明抗體,從而結合患者體內之抗原。較佳地,抗原為人類蛋白分子且患者為人類患者。或者,患者可為表現與本發明抗體結合之抗原的哺乳動物。又,患者可為已引入(例如藉由投與抗原或藉由表現抗原轉殖基因)抗原之哺乳動物。可出於治療目的而將本發明抗體投與至人類患者。此外,可出於獸醫目的而將本發明抗體投與至表現與免疫球蛋白交叉反應之抗原的非人類哺乳動物(例如,靈長類動物、豬或小鼠)或將其作為人類疾病之動物模型。就後者而言,此等動物模型可用於分析本發明抗體之治療效用(例如,測試投藥劑量及時程)。In one embodiment, an antibody of the invention is for use in a method of binding an antigen in a patient suffering from a condition associated with increased antigenic expression and/or activity, the method comprising administering to the patient an antibody of the invention, thereby binding to the patient antigen. Preferably, the antigen is a human protein molecule and the patient is a human patient. Alternatively, the patient can be a mammal that exhibits an antigen that binds to an antibody of the invention. Also, the patient can be a mammal that has been introduced (e.g., by administering an antigen or by expressing an antigen-transforming gene) antigen. The antibodies of the invention can be administered to a human patient for therapeutic purposes. Furthermore, an antibody of the invention may be administered to a non-human mammal (eg, a primate, pig or mouse) that exhibits an antigen that cross-reacts with an immunoglobulin for veterinary purposes or as an animal of human disease. model. In the latter case, such animal models can be used to analyze the therapeutic utility of the antibodies of the invention (e.g., test dosing amount and time course).
本發明抗體可用於治療、抑制、延遲與一或多種抗原分子之表現及/或活性相關的疾病、病症或病況之進程、預防/延遲該等疾病、病症或病況復發、改善或預防該等疾病、病症或病況。The antibodies of the invention are useful for treating, inhibiting, delaying the progression of a disease, disorder or condition associated with the performance and/or activity of one or more antigenic molecules, preventing/delaying the recurrence, amelioration or prevention of such diseases, disorders or conditions. , illness or condition.
例示性病症包括癌、淋巴瘤、胚細胞瘤、肉瘤及白血病或淋巴惡性疾病。該等癌之更特定實例包括鱗狀細胞癌(例如上皮鱗狀細胞癌)、肺癌(包括小細胞肺癌、非小細胞肺癌、肺腺癌及肺部鱗狀癌)、腹膜癌、肝細胞癌、包括胃腸癌之胃癌、胰腺癌、神經膠母細胞瘤、子宮頸癌、卵巢癌、肝癌、膀胱癌、尿道癌、肝腫瘤、乳癌、結腸癌、直腸癌、結腸直腸癌、子宮內膜或子宮癌、唾液腺癌、腎癌、前列腺癌、陰門癌、甲狀腺癌、肝癌、肛門癌、陰莖癌、黑素瘤、多發性骨髓瘤及B-細胞淋巴瘤、腦部以及頭頸部癌及相關轉移。在一些實施例中,癌係選自由小細胞肺癌、神經母細胞瘤、黑素瘤、乳癌、胃癌、結腸直腸癌(CRC)及肝細胞癌組成之群。Exemplary conditions include cancer, lymphoma, blastoma, sarcoma, and leukemia or lymphoid malignancies. More specific examples of such cancers include squamous cell carcinoma (e.g., epithelial squamous cell carcinoma), lung cancer (including small cell lung cancer, non-small cell lung cancer, lung adenocarcinoma, and squamous cell carcinoma of the lung), peritoneal cancer, hepatocellular carcinoma. , including gastric cancer, pancreatic cancer, glioblastoma, cervical cancer, ovarian cancer, liver cancer, bladder cancer, urinary tract cancer, liver cancer, breast cancer, colon cancer, rectal cancer, colorectal cancer, endometrium or Uterine cancer, salivary gland cancer, kidney cancer, prostate cancer, genital cancer, thyroid cancer, liver cancer, anal cancer, penile cancer, melanoma, multiple myeloma and B-cell lymphoma, brain and head and neck cancer and related metastasis . In some embodiments, the cancer line is selected from the group consisting of small cell lung cancer, neuroblastoma, melanoma, breast cancer, gastric cancer, colorectal cancer (CRC), and hepatocellular carcinoma.
在某些實施例中,向患者投與包含與一或多種細胞毒性劑結合之抗體的免疫結合物。在一些實施例中,免疫結合物及/或與其結合之抗原經細胞內化,引起免疫結合物殺死其所結合之靶向細胞的治療效用增加。在一實施例中,細胞毒性劑靶向或干擾靶向細胞中之核酸。在一實施例中,細胞毒性劑靶向或干擾微管聚合。該等細胞毒素劑之實例包括本文所註釋之任何化學治療劑(例如美登辛諾、奧瑞他汀、海兔毒素或刺孢黴素)、放射性同位素或核糖核酸酶或DNA核酸內切酶。In certain embodiments, an immunoconjugate comprising an antibody that binds to one or more cytotoxic agents is administered to a patient. In some embodiments, the immunoconjugate and/or the antigen bound thereto are internalized by the cell, causing an increase in the therapeutic utility of the immunoconjugate to kill the targeted cell to which it binds. In one embodiment, the cytotoxic agent targets or interferes with the nucleic acid in the targeted cell. In one embodiment, the cytotoxic agent targets or interferes with microtubule polymerization. Examples of such cytotoxic agents include any of the chemotherapeutic agents noted herein (e.g., maytansinol, auristatin, dolastatin or calicheamicin), radioisotopes or ribonucleases or DNA endonucleases.
本發明抗體可單獨或與其他組合物組合用於療法中。例如,本發明抗體可與另一抗體、化學治療劑(包括化學治療劑之混合液)、其他細胞毒性劑、抗血管生成劑、細胞因子及/或生長抑制劑共投與。若本發明抗體抑制腫瘤生長,則尤其可需要將其與同樣抑制腫瘤生長之一或多種其他治療劑組合。另外或其他,患者可接受組合輻射療法(例如,外部射線照射或以諸如抗體之放射性標記藥劑治療)。以上註釋之該等組合療法包括組合投藥(其中相同或單獨調配物中包括兩種或兩種以上藥劑)及單獨投藥,在單獨投藥之情形下,投與本發明抗體可在投與佐劑療法之前及/或之後發生。The antibodies of the invention may be used in therapy alone or in combination with other compositions. For example, an antibody of the invention can be co-administered with another antibody, a chemotherapeutic agent (including a mixture of chemotherapeutic agents), other cytotoxic agents, anti-angiogenic agents, cytokines, and/or growth inhibitors. If the antibody of the invention inhibits tumor growth, it may in particular be desirable to combine it with one or more other therapeutic agents that also inhibit tumor growth. Additionally or alternatively, the patient may receive combined radiation therapy (e.g., external radiation or treatment with a radiolabeled agent such as an antibody). The combination therapies noted above include combination administration (in which two or more agents are included in the same or separate formulations) and administration alone, and administration of the antibody of the present invention may be administered adjuvant therapy in the case of administration alone. Occurs before and / or after.
組合療法如上所示,本發明提供其中將抗EphB4抗體與另一療法一起投與之組合療法。舉例而言,將抗EphB4抗體與抗癌治療劑或抗新血管生成治療劑組合使用以治療各種贅生性或非贅生性病況。在一實施例中,贅生性或非贅生性病況之特徵在於與異常或不良血管生成相關之病理學病症。抗EphB4抗體可連續或與有效達成彼等目的的另一治療劑組合以同一組合物形式或作為獨立組合物來投與。另外或其他,可投與多種EphB4抑制劑。Combination Therapy As indicated above, the present invention provides combination therapies in which an anti-EphB4 antibody is administered with another therapy. For example, an anti-EphB4 antibody is used in combination with an anti-cancer therapeutic or anti-angiogenic therapeutic to treat various neoplastic or non-neoplastic conditions. In one embodiment, the neoplastic or non-neoplastic condition is characterized by a pathological condition associated with abnormal or poor angiogenesis. The anti-EphB4 antibody can be administered in the same composition or as a separate composition, either continuously or in combination with another therapeutic agent effective to achieve the same. Additionally or alternatively, a variety of EphB4 inhibitors can be administered.
使用相同或不同投藥途徑,可同時完成抗EphB4抗體(例如)作為單一組合物或作為兩種或兩種以上截然不同的組合物之投藥。另外或其他,可以任何次序相繼完成投藥。在某些實施例中,在兩種或兩種以上組合物之投藥之間,可存在介於幾分鐘至幾天至幾週至幾個月範圍內之時間間隔。舉例而言,可首先投與抗癌劑,接著投與EphB4抑制劑。然而,亦涵蓋同時投藥或首先投與抗EphB4抗體。Administration of the anti-EphB4 antibody (for example) as a single composition or as two or more distinct compositions can be accomplished simultaneously using the same or different routes of administration. Alternatively or additionally, the administration may be completed in succession in any order. In certain embodiments, there may be a time interval ranging from a few minutes to a few days to weeks to months between administrations of two or more compositions. For example, an anticancer agent can be administered first, followed by an EphB4 inhibitor. However, it is also contemplated to administer the drug simultaneously or first to the anti-EphB4 antibody.
與抗EphB4抗體組合投與之治療劑的有效量將取決於醫師或獸醫的判斷。完成劑量投與及調節以達成待治療病況之最大處理。另外,劑量將視諸如待使用之治療劑類型及待治療的特定患者之因子而定。抗癌劑之適當劑量為目前使用之彼等劑量且可由於抗癌劑及抗EphB4抗體之組合作用(協同作用)而降低。在某些實施例中,抑制劑之組合會加強單一抑制劑之功效。術語"加強"係指常用或核準劑量之治療劑的功效改良。亦參見本文中標題為醫藥組合物之部分。The effective amount of the therapeutic agent administered in combination with the anti-EphB4 antibody will depend on the judgment of the physician or veterinarian. Dosing is administered and adjusted to achieve the maximum treatment of the condition to be treated. In addition, the dosage will depend on such factors as the type of therapeutic agent to be used and the particular patient to be treated. Suitable doses of the anticancer agent are those currently used and may be lowered by the combined action (synergy) of the anticancer agent and the anti-EphB4 antibody. In certain embodiments, the combination of inhibitors enhances the efficacy of a single inhibitor. The term "boosting" refers to an improvement in the efficacy of a therapeutic agent that is used in a conventional or approved dose. See also the section entitled Pharmaceutical Compositions herein.
通常,抗EphB4抗體及抗癌劑適用於相同或類似疾病以阻斷或降低諸如腫瘤生長或癌細胞生長之病理學病症。在一實施例中,抗癌劑為抗血管生成劑。In general, anti-EphB4 antibodies and anticancer agents are suitable for the same or similar diseases to block or reduce pathological conditions such as tumor growth or cancer cell growth. In one embodiment, the anticancer agent is an anti-angiogenic agent.
關於癌之抗血管生成療法係目標在於抑制提供養分以支持腫瘤生長所需要的腫瘤血管發育之癌治療策略。因為在原發性腫瘤生長及轉移中均涉及血管生成,所以本發明提供之抗血管生成治療能於原發性位點抑制腫瘤贅生性生長,且於繼發性位點預防腫瘤轉移,因此允許其他治療劑攻擊腫瘤。Anti-angiogenic therapies for cancer are aimed at inhibiting cancer treatment strategies that provide nutrients to support tumor vascular development required for tumor growth. Since angiogenesis is involved in both primary tumor growth and metastasis, the anti-angiogenic therapy provided by the present invention can inhibit tumor neoplastic growth at a primary site and prevent tumor metastasis at a secondary site, thus allowing Other therapeutic agents attack the tumor.
已經識別且此項技術中已知許多抗血管生成劑,包括本文所列出之彼等抗血管生成劑,例如在定義部分所列出及(例如)Carmeliet及Jain,Nature 407:249-257(2000);Ferrara等人,Nature Reviews:Drug Discovery,3:391-400(2004);及Sato Int.J.Clin.Oncol.,8:200-206(2003)所列出之彼等抗血管生成劑。亦參見美國專利申請案US 20030055006。在一實施例中,與包括(但不限於,例如)可溶性VEGF受體(例如VEGFR-1、VEGFR-2、VEGFR-3、神經纖毛蛋白(neuropillin,例如NRP1、NRP2))片段、能阻斷VEGF或VEGFR、中和抗VEGFR抗體之適體、VEGFR酪胺酸激酶(RTK)之低分子量抑制劑、VEGF之反義策略、對抗VEGF或VEGF受體之核糖核酸酶、VEGF之拮抗劑變異體及其組合之抗VEGF中和抗體(或片段)及/或另一種VEGF拮抗劑或VEGF受體拮抗劑組合使用抗EPHB4抗體。另外或其他,除VEGF拮抗劑及其他藥劑以外,亦可視情況向患者共投與兩種或兩種以上血管生成抑制劑。在某一實施例中,可與抗EphB4抗體、VEGF拮抗劑及抗血管生成劑組合投與一或多種額外治療劑,例如抗癌劑。Many anti-angiogenic agents have been identified and are known in the art, including those anti-angiogenic agents listed herein, such as those listed in the definitions section and, for example, Carmeliet and Jain, Nature 407:249-257 ( 2000); Ferrara et al, Nature Reviews: Drug Discovery, 3: 391-400 (2004); and Sato Int. J. Clin. Oncol., 8: 200-206 (2003) listed for their anti-angiogenesis Agent. See also U.S. Patent Application No. US 20030055006. In one embodiment, a fragment that includes, but is not limited to, a soluble VEGF receptor (eg, VEGFR-1, VEGFR-2, VEGFR-3, neuropilin (eg, NRP1, NRP2)) can be blocked VEGF or VEGFR, aptamers that neutralize anti-VEGFR antibodies, low molecular weight inhibitors of VEGFR tyrosine kinase (RTK), antisense strategies for VEGF, ribonuclease against VEGF or VEGF receptors, antagonist variants of VEGF An anti-EPHB4 antibody is used in combination with an anti-VEGF neutralizing antibody (or fragment) thereof and/or another VEGF antagonist or VEGF receptor antagonist. In addition or in addition to the VEGF antagonist and other agents, two or more angiogenesis inhibitors may be administered to the patient as appropriate. In one embodiment, one or more additional therapeutic agents, such as an anticancer agent, can be administered in combination with an anti-EphB4 antibody, a VEGF antagonist, and an anti-angiogenic agent.
在本發明之某些態樣中,可與抗EphB4抗體一起用於組合腫瘤療法之其他治療劑包括其他癌療法(例如手術、輻射治療(例如涉及照射或投與放射性物質)、化學療法、以本文所列出及此項技術中已知的抗癌劑治療或其組合)。另外或其他,可向患者共投與結合本文所揭示的相同抗原或兩種或兩種以上不同抗原之兩種或兩種以上抗體。有時,亦向患者投與一或多種細胞因子可為有益的。In certain aspects of the invention, other therapeutic agents that can be used in combination with anti-EphB4 antibodies for tumor therapy include other cancer therapies (eg, surgery, radiation therapy (eg, involving irradiation or administration of radioactive materials), chemotherapy, Anticancer agents or combinations thereof as listed herein and known in the art). Additionally or alternatively, two or more antibodies that bind to the same antigen or two or more different antigens disclosed herein can be co-administered to the patient. Sometimes it may be beneficial to also administer one or more cytokines to the patient.
化學治療劑在某些態樣中,本發明提供一種藉由向易患或經診斷患有癌之患者投與有效量之EphB4拮抗劑及/或血管生成抑制劑及一或多種化學治療劑來阻斷或降低腫瘤生長或癌細胞生長之方法。在本發明之組合治療方法中可使用各種化學治療劑。在本文中,"定義"部分提供所涵蓋化學治療劑之例示性及非限制性清單。Chemotherapeutic Agents In certain aspects, the present invention provides an effective amount of an EphB4 antagonist and/or angiogenesis inhibitor and one or more chemotherapeutic agents administered to a patient susceptible to or diagnosed with cancer. A method of blocking or reducing tumor growth or cancer cell growth. A variety of chemotherapeutic agents can be used in the combination therapies of the invention. In this document, the "Definitions" section provides an illustrative and non-limiting list of chemotherapeutic agents covered.
一般熟習此項技術者應瞭解,化學治療劑之適當劑量通常應約為其中單獨或與其他化學治療劑組合投與該等化學治療劑之臨床療法中已使用的彼等劑量。視所治療之病況而定,劑量可能存在變化。投與治療之醫師將能決定個別患者之適當劑量。It will be understood by those skilled in the art that the appropriate dosage of the chemotherapeutic agent will generally be about the doses that have been used in the clinical therapies in which the chemotherapeutic agents are administered alone or in combination with other chemotherapeutic agents. The dosage may vary depending on the condition being treated. The physician administering the treatment will be able to determine the appropriate dose for the individual patient.
本發明亦提供用於抑制或預防復發腫瘤生長或復發癌細胞生長之方法及組合物。復發腫瘤生長或復發癌細胞係用於描述其中患者經歷一或多種目前可獲得的療法(例如癌療法、例如化學療法、輻射療法、手術、激素療法及/或生物學療法/免疫療法、抗VEGF抗體療法,尤其用於特定癌之標準治療方案)或以其治療在臨床上並不足以治療患者或患者不再自該療法受益,因此使得此等患者需要額外有效療法之病況。如本文所用,該短語亦可指"非反應性/難治癒的"患者之病況,例如,其描述對療法作出反應但罹患副作用之患者、發展抗性之患者、並不對療法作出反應之患者、並不對療法作出令人滿意的反應之患者等。在各種實施例中,癌為癌細胞數目並未顯著減少或已增加或腫瘤尺寸並未顯著減少或已增加或尺寸或癌細胞數目不再進一步減小之復發腫瘤生長或復發癌細胞生長。使用上下文中之此項技術中已接受的"復發"或"難治癒的"或"非反應性的"之含義,藉由此項技術中已知的用於檢定癌細胞治療有效性之任何方法可於活體內或活體外判定癌細胞是否復發腫瘤生長或復發癌細胞生長。抗VEGF治療之抗性腫瘤為復發腫瘤生長之實例。The invention also provides methods and compositions for inhibiting or preventing the growth of recurrent tumors or the growth of recurrent cancer cells. Recurrent tumor growth or recurrence cancer cell lines are used to describe where the patient experiences one or more currently available therapies (eg, cancer therapy, eg, chemotherapy, radiation therapy, surgery, hormone therapy, and/or biological therapy/immunotherapy, anti-VEGF) Antibody therapy, especially for standard treatment regimens for specific cancers, or treatment with it is not clinically sufficient to treat patients or patients no longer benefit from the therapy, thus making such patients in need of additional effective therapies. As used herein, the phrase may also refer to a condition of a "non-reactive/refractory" patient, for example, a patient who is responsive to therapy but has side effects, a patient who develops resistance, and a patient who does not respond to therapy. Patients who do not respond satisfactorily to therapy. In various embodiments, the cancer is a recurring tumor growth or recurring cancer cell growth in which the number of cancer cells has not decreased significantly or has increased or the tumor size has not decreased significantly or has increased or the size or number of cancer cells is no longer further reduced. Use of any of the "relapsed" or "refractory" or "non-reactive" meanings accepted in the art in the context, by any method known in the art for determining the effectiveness of cancer cell treatment The cancer cells can be determined in vivo or in vitro for recurrence of tumor growth or recurrence of cancer cell growth. Anti-VEGF treated resistant tumors are examples of recurrent tumor growth.
本發明提供藉由投與一或多種抗EphB4抗體以阻斷或降低患者中復發腫瘤生長或復發癌細胞生長而在患者中阻斷或降低復發腫瘤生長或復發癌細胞生長之方法。在某些實施例中,可在癌治療劑後投與拮抗劑。在某些實施例中,抗EphB4抗體與癌療法同時投與。另外或其他,抗EphB4抗體療法與另一種癌療法交替,其可以任何次序執行。本發明亦涵蓋投與一或多種抑制性抗體以在傾向於患癌之患者中預防癌發作或復發之方法。一般而言,患者曾接受或正接受癌療法。在一實施例中,癌療法為用抗血管生成劑(例如VEGF拮抗劑)治療。抗血管生成劑包括此項技術中已知之彼等抗血管生成劑及在本文定義部分發現之彼等抗血管生成劑。在一實施例中,抗血管生成劑為抗VEGF中和抗體或片段(例如人化A4.6.1、AVASTIN(Genentech,South San Francisco,CA)、Y0317、M4、G6、B20、2C3等)。舉例而言,參見美國專利6,582,959、6,884,879、6,703,020;WO 98/45332;WO 96/30046;WO 94/10202;EP 0666868B1;美國專利申請案20030206899、20030190317、20030203409及20050112126;Popkov等人,Journal of Immunological Methods 288:149-164(2004);及WO 2005012359。可與VEGF拮抗劑及抗EphB4抗體組合投與額外藥劑,以阻斷或減少復發腫瘤生長或復發癌細胞生長,例如參見本文中標題為組合療法之部分。The present invention provides a method of blocking or reducing the growth of recurrent tumors or recurring cancer cells in a patient by administering one or more anti-EphB4 antibodies to block or reduce the growth of recurrent tumors or relapsed cancer cells in a patient. In certain embodiments, the antagonist can be administered after the cancer therapeutic. In certain embodiments, an anti-EphB4 antibody is administered concurrently with a cancer therapy. Additionally or alternatively, the anti-EphB4 antibody therapy alternates with another cancer therapy, which can be performed in any order. The invention also encompasses methods of administering one or more inhibitory antibodies to prevent cancer onset or relapse in a patient who is predisposed to having cancer. In general, patients have received or are receiving cancer therapy. In one embodiment, the cancer therapy is treatment with an anti-angiogenic agent (eg, a VEGF antagonist). Anti-angiogenic agents include those known in the art as anti-angiogenic agents and their anti-angiogenic agents found in the definitions herein. In one embodiment, the anti-angiogenic agent is an anti-VEGF neutralizing antibody or fragment (eg, humanized A4.6.1, AVASTIN) (Genentech, South San Francisco, CA), Y0317, M4, G6, B20, 2C3, etc.). For example, see U.S. Patent Nos. 6,582,959, 6,884,879, 6, 703, 020, WO 98/45332, WO 96/30046, WO 94/10202, EP 0 666 868 B1, U.S. Patent Application Nos. 20030206899, 20030190317, 20030203409, and 20050112126; Popkov et al., Journal of Immunological Methods 288: 149-164 (2004); and WO 2005012359. Additional agents can be administered in combination with VEGF antagonists and anti-EphB4 antibodies to block or reduce recurrence of tumor growth or recurrence of cancer cell growth, for example, see the section entitled Combination Therapy herein.
復發腫瘤生長本發明亦提供用於抑制或預防復發腫瘤生長或復發癌細胞生長之方法及組合物。復發腫瘤生長或復發癌細胞係用於描述患者經歷一或多種目前可獲得的療法(例如癌療法、例如化學療法、輻射療法、手術、激素療法及/或生物學療法/免疫療法、抗VEGF抗體療法,尤其用於特定癌之標準治療療法)或以其治療在臨床上並不足以治療患者或患者不再自該療法受益,因此使得此等患者需要額外有效療法之病況。如本文所用,該短語亦可指"非反應性/難治癒的"患者之病況,例如,其描述對療法作出反應但罹患副作用之患者、發展抗性之患者、並不對療法作出反應之患者、並不對療法作出令人滿意的反應之患者等。在各種實施例中,癌為癌細胞數目並未顯著減少或已增加或腫瘤尺寸並未顯著減少或已增加或尺寸或癌細胞數目不再進一步減小之復發腫瘤生長或復發癌細胞生長。使用上下文中之此項技術中已接受的"復發"或"難治癒的"或"非反應性的"之含義,藉由此項技術中已知的用於檢定癌細胞治療有效性之任何方法可於活體內或活體外判定癌細胞是否復發腫瘤生長或復發癌細胞生長。抗VEGF治療之抗性腫瘤為復發腫瘤生長之實例。Recurrent Tumor Growth The present invention also provides methods and compositions for inhibiting or preventing recurring tumor growth or recurring cancer cell growth. Recurrent tumor growth or recurrence cancer cell lines are used to describe a patient undergoing one or more currently available therapies (eg, cancer therapy, eg, chemotherapy, radiation therapy, surgery, hormone therapy, and/or biological therapy/immunotherapy, anti-VEGF antibodies) Therapies, especially for standard treatments for specific cancers, or treatments thereof are not clinically sufficient to treat patients or patients no longer benefit from the therapy, thus making such patients in need of additional effective therapies. As used herein, the phrase may also refer to a condition of a "non-reactive/refractory" patient, for example, a patient who is responsive to therapy but has side effects, a patient who develops resistance, and a patient who does not respond to therapy. Patients who do not respond satisfactorily to therapy. In various embodiments, the cancer is a recurring tumor growth or recurring cancer cell growth in which the number of cancer cells has not decreased significantly or has increased or the tumor size has not decreased significantly or has increased or the size or number of cancer cells is no longer further reduced. Use of any of the "relapsed" or "refractory" or "non-reactive" meanings accepted in the art in the context, by any method known in the art for determining the effectiveness of cancer cell treatment The cancer cells can be determined in vivo or in vitro for recurrence of tumor growth or recurrence of cancer cell growth. Anti-VEGF treated resistant tumors are examples of recurrent tumor growth.
本發明提供藉由投與一或多種抗EphB4抗體以阻斷或降低患者中復發腫瘤生長或復發癌細胞生長而在患者中阻斷或降低復發腫瘤生長或復發癌細胞生長之方法。在某些實施例中,可在癌治療劑後投與拮抗劑。在某些實施例中,抗EphB4抗體與癌療法同時投與。另外或其他,抗EphB4抗體療法與另一種癌療法交替,其可以任何次序執行。本發明亦涵蓋投與一或多種抑制性抗體以在傾向於患癌之患者中預防癌發作或復發之方法。一般而言,患者曾接受或正接受癌療法。在一實施例中,癌療法為用抗血管生成劑(例如VEGF拮抗劑)治療。抗血管生成劑包括此項技術中已知之彼等抗血管生成劑及在本文定義部分發現之彼等抗血管生成劑。在一實施例中,抗血管生成劑為抗VEGF中和抗體或片段(例如人化A4.6.1、AVASTIN(Genentech,South San Francisco,CA)、Y0317、M4、G6、B20、2C3等)。舉例而言,參見美國專利6,582,959、6,884,879、6,703,020;WO 98/45332;WO 96/30046;WO 94/10202;EP 0666868B1;美國專利申請案20030206899、20030190317、20030203409及20050112126;Popkov等人,Journal of Immunological Methods 288:149-164(2004);及WO 2005012359。可與VEGF拮抗劑及抗EphB4抗體組合投與額外藥劑,以阻斷或減少復發腫瘤生長或復發癌細胞生長,例如參見本文中標題為組合療法之部分。The present invention provides a method of blocking or reducing the growth of recurrent tumors or recurring cancer cells in a patient by administering one or more anti-EphB4 antibodies to block or reduce the growth of recurrent tumors or relapsed cancer cells in a patient. In certain embodiments, the antagonist can be administered after the cancer therapeutic. In certain embodiments, an anti-EphB4 antibody is administered concurrently with a cancer therapy. Additionally or alternatively, the anti-EphB4 antibody therapy alternates with another cancer therapy, which can be performed in any order. The invention also encompasses methods of administering one or more inhibitory antibodies to prevent cancer onset or relapse in a patient who is predisposed to having cancer. In general, patients have received or are receiving cancer therapy. In one embodiment, the cancer therapy is treatment with an anti-angiogenic agent (eg, a VEGF antagonist). Anti-angiogenic agents include those known in the art as anti-angiogenic agents and their anti-angiogenic agents found in the definitions herein. In one embodiment, the anti-angiogenic agent is an anti-VEGF neutralizing antibody or fragment (eg, humanized A4.6.1, AVASTIN) (Genentech, South San Francisco, CA), Y0317, M4, G6, B20, 2C3, etc.). For example, see U.S. Patent Nos. 6,582,959, 6,884,879, 6, 703, 020, WO 98/45332, WO 96/30046, WO 94/10202, EP 0 666 868 B1, U.S. Patent Application Nos. 20030206899, 20030190317, 20030203409, and 20050112126; Popkov et al., Journal of Immunological Methods 288: 149-164 (2004); and WO 2005012359. Additional agents can be administered in combination with VEGF antagonists and anti-EphB4 antibodies to block or reduce recurrence of tumor growth or recurrence of cancer cell growth, for example, see the section entitled Combination Therapy herein.
本發明抗體(及治療佐劑)可藉由任何適當之方式投與,包括非經腸、皮下、腹膜內、肺內及鼻內,且若有必要用於局部治療,則可於病灶內投藥。非經腸輸注包括肌肉內、靜脈內、動脈內、腹膜內或皮下投藥。此外,抗體亦適於藉由脈動輸注(pulse infusion)而投與,尤其以遞減劑量投與抗體。部分地視投藥之短期或長期性而定,可藉由任何適當途徑(例如,藉由注射,諸如靜脈內或皮下注射)給藥。The antibodies (and therapeutic adjuvants) of the invention may be administered by any suitable means, including parenteral, subcutaneous, intraperitoneal, intrapulmonary, and intranasal, and if necessary for topical treatment, may be administered intralesionally . Parenteral infusion includes intramuscular, intravenous, intraarterial, intraperitoneal or subcutaneous administration. Furthermore, antibodies are also suitable for administration by pulse infusion, in particular administration of antibodies in decreasing doses. Partially depending on the short-term or long-term nature of the administration, it can be administered by any suitable route (for example, by injection, such as intravenous or subcutaneous injection).
本發明之抗體組合物應以與良好醫藥規範相符之方式經調配、給藥及投藥。在此情形下需考慮之因子包括所治療之特定病症、所治療之特定哺乳動物、個別患者之臨床病況、病症之病因、藥劑之傳遞位點、投藥方法、投藥時程及醫藥從業者已知之其他因子。抗體並非必需但視情形與一或多種當前用於預防或治療所論及之病症之藥劑一起調配。此等其他藥劑之有效量視存在於調配物中之本發明抗體的量、病症或治療之類型及上文所討論之其他因子而定。該等藥劑通常係以與上文所述相同之劑量及投藥途徑使用,或為迄今所用劑量之約1至99%。The antibody compositions of the invention should be formulated, administered and administered in a manner consistent with good pharmaceutical practice. Factors to be considered in this context include the particular condition being treated, the particular mammal being treated, the clinical condition of the individual patient, the etiology of the condition, the delivery site of the agent, the method of administration, the time course of administration, and the medical practitioner's known Other factors. The antibody is not required but may be formulated with one or more agents currently used to prevent or treat the condition in question, as appropriate. The effective amount of such other agents will depend on the amount of the antibody of the invention present in the formulation, the type of disorder or treatment, and other factors discussed above. Such agents are usually administered in the same dosages and routes of administration as described above, or from about 1 to 99% of the doses hitherto used.
為預防或治療疾病,本發明抗體之適當劑量(當單獨使用或與諸如化學治療劑之其他藥劑組合使用時)將視待治療之疾病類型、抗體類型、疾病之嚴重程度及病程、是否出於預防或治療目的而投與抗體、先前療法、患者臨床病史及對抗體之反應以及主治醫師之判斷而定。抗體適於一次性或經一系列治療投與至患者。視疾病類型及嚴重程度而定,約1 μg/kg至15 mg/kg(例如,0.1 mg/kg-10 mg/kg)之抗體為(例如)藉由一或多次單獨投藥或藉由連續輸注而投與至患者之初始候選劑量。一種典型之每日劑量可在約1 μg/kg至100 mg/kg或更高劑量之範圍內,視上文所提及之因子而定。對於經數天或更長時間重複投藥而言,視病況而定,通常將持續治療直至出現對於疾病症狀之所要抑制作用。抗體之一例示性劑量將在約0.05 mg/kg至約10 mg/kg之範圍內。因此,可以約0.5 mg/kg、2.0 mg/kg、4.0 mg/kg或10 mg/kg(或其任何組合)之一或多個劑量向患者投藥。此等劑量可間歇投與,例如每週或每三週(例如,從而使患者接受約兩個劑量至約二十個劑量(例如約六個劑量)之抗體)。可以較高之初始負載劑量(loading dose),隨後以一或多種較低劑量投藥。例示性給藥方案包含投與約4 mg/kg初始負載劑量之抗體,隨後投與約2 mg/kg之每週維持劑量的抗體。然而,其他劑量方案亦可用。此療法之進步之處在於易於藉由習知技術及檢定進行監測。For the prevention or treatment of a disease, the appropriate dose of the antibody of the invention (when used alone or in combination with other agents such as chemotherapeutic agents) will depend on the type of disease being treated, the type of antibody, the severity and duration of the disease, whether or not Administration of antibodies, prior therapies, clinical history of the patient, response to antibodies, and judgment of the attending physician for prophylactic or therapeutic purposes. The antibody is suitable for administration to a patient once or via a series of treatments. Depending on the type and severity of the disease, antibodies from about 1 μg/kg to 15 mg/kg (eg, 0.1 mg/kg to 10 mg/kg) are, for example, administered by one or more separate doses or by continuous The initial candidate dose is administered to the patient upon infusion. A typical daily dose may range from about 1 μg/kg to 100 mg/kg or higher, depending on the factors mentioned above. For repeated administration over several days or longer, depending on the condition, treatment will usually be continued until the desired inhibitory effect on the symptoms of the disease occurs. An exemplary dosage of one of the antibodies will range from about 0.05 mg/kg to about 10 mg/kg. Thus, one or more doses of about 0.5 mg/kg, 2.0 mg/kg, 4.0 mg/kg, or 10 mg/kg (or any combination thereof) can be administered to a patient. Such doses can be administered intermittently, such as weekly or every three weeks (e.g., such that the patient receives about two doses to about twenty doses (e.g., about six doses) of antibody). A higher initial loading dose can be administered followed by one or more lower doses. An exemplary dosing regimen comprises administering an antibody at an initial loading dose of about 4 mg/kg followed by administration of a weekly maintenance dose of about 2 mg/kg of antibody. However, other dosage regimens are also available. The advancement of this therapy is that it is easy to monitor by conventional techniques and assays.
本發明之抗EphB4抗體可用於在特定細胞或組織中偵測EphB4表現之檢定中(例如診斷性或預後性檢定中),其中抗體如下所述經標記及/或固定於不溶性基質上。The anti-EphB4 antibodies of the invention can be used in assays for detecting EphB4 expression in a particular cell or tissue (e.g., in a diagnostic or prognostic assay) wherein the antibody is labeled and/or immobilized on an insoluble substrate as described below.
在另一態樣中,本發明提供用於偵測EphB4之方法,該方法包含在樣本中偵測EphB4-抗EphB4抗體複合物。如本文所用之術語"偵測"包括參考或不參考對照物進行之定性及/或定量偵測(量測含量)。In another aspect, the invention provides a method for detecting EphB4, the method comprising detecting an EphB4-anti-EphB4 antibody complex in a sample. The term "detecting" as used herein includes qualitative and/or quantitative detection (measurement content) with or without reference to a control.
在另一態樣中,本發明提供用於診斷與EphB4表現及/或活性相關的病症之方法,該方法包含在來自患有或懷疑患有該病症之患者的生物學樣本中偵測EphB4-抗EphB4抗體複合物。在一些實施例中,EphB4表現為增加的表現或異常(不良)表現。在一些實施例中,該病症為腫瘤、癌及/或細胞增生性病症。In another aspect, the invention provides a method for diagnosing a condition associated with EphB4 expression and/or activity, the method comprising detecting EphB4- in a biological sample from a patient having or suspected of having the condition Anti-EphB4 antibody complex. In some embodiments, EphB4 exhibits increased performance or abnormal (bad) performance. In some embodiments, the condition is a tumor, cancer, and/or a cell proliferative disorder.
在另一態樣中,本發明提供本文所述之任何抗EphB4抗體,其中抗EphB4抗體包含一可偵測標記。In another aspect, the invention provides any of the anti-EphB4 antibodies described herein, wherein the anti-EphB4 antibody comprises a detectable label.
在另一態樣中,本發明提供本文所述之任何抗EphB4抗體及EphB4之複合物。在一些實施例中,複合物在活體內或在活體外。在一些實施例中,複合物包含癌細胞。在一些實施例中,該抗EphB4抗體係經可偵測標記的。In another aspect, the invention provides a complex of any of the anti-EphB4 antibodies and EphB4 described herein. In some embodiments, the complex is in vivo or in vitro. In some embodiments, the complex comprises cancer cells. In some embodiments, the anti-EphB4 anti-system is detectably labeled.
抗EphB4抗體可在數種熟知偵測檢定方法之任一方法中用於偵測EphB4。舉例而言,自所要來源獲得樣本,將該樣本與抗EphB4抗體混雜以使抗體與存在於混合物中的任何EphB4形成抗體/EphB4複合物,且偵測存在於混合物中的任何抗體/EphB4複合物,藉此可檢定生物學樣本之EphB4。可藉由適用於特定樣本之此項技術中已知的方法製備用於檢定之生物學樣本。根據所用檢定之類型選擇使樣本與抗體混雜之方法及偵測抗體/EphB4複合物之方法。該等檢定包括免疫組織化學、競爭性及夾心檢定及立體抑制檢定。Anti-EphB4 antibodies can be used to detect EphB4 in any of several well known detection assays. For example, a sample is obtained from a desired source, the sample is mixed with an anti-EphB4 antibody to form an antibody/EphB4 complex with any EphB4 present in the mixture, and any antibody/EphB4 complex present in the mixture is detected. In this way, EphB4 of biological samples can be assayed. Biological samples for assays can be prepared by methods known in the art for use in a particular sample. The method of mixing the sample with the antibody and the method of detecting the antibody/EphB4 complex are selected depending on the type of assay used. Such assays include immunohistochemistry, competitive and sandwich assays, and stereosuppression assays.
EphB4之分析方法均使用一或多種以下試劑:經標記EphB4類似物、經固定EphB4類似物、經標記抗EphB4抗體、經固定抗EphB4抗體及立體結合物。經標記試劑亦稱為"示蹤劑"。EphB4 assays used one or more of the following reagents: labeled EphB4 analog, immobilized EphB4 analog, labeled anti-EphB4 antibody, immobilized anti-EphB4 antibody, and stereoconjugate. Labeled reagents are also known as "tracers."
所用標記為並不干擾EphB4與抗EphB4抗體之結合的任何可偵測官能基。已知各種用於免疫檢定之標記,實例包括諸如發色團、化學發光劑及放射性標記之可直接偵測的部分,以及諸如酶之必須經反應或衍生用於偵測的部分。該等標記之實例包括:放射性同位素32 P、14 C、125 I、3 H及131 I、螢光團(例如稀土金屬螯合劑或螢光素及其衍生物)、若丹明(rhodamine)及其衍生物、丹醯基(dansyl)、繖酮、螢光素酶(例如螢火蟲螢光素酶及細菌螢光素酶(美國專利第4,737,456號))、螢光素、2,3-二氫酞嗪二酮、辣根過氧化物酶(HRP)、鹼性磷酸酶、β-半乳糖苷酶、葡糖澱粉酶、溶菌酶、醣氧化酶(例如葡萄糖氧化酶、半乳糖氧化酶及葡萄糖-6-磷酸脫氫酶)、與利用過氧化氫以氧化染料前驅體(例如HRP、乳過氧化物酶或微過氧化物酶)之酶偶合的雜環氧化酶(諸如尿酸酶及黃嘌啉氧化酶)、生物素/抗生物素蛋白、自旋標記、噬菌體標記、穩定自由基及其類似物。The label used is any detectable functional group that does not interfere with the binding of EphB4 to an anti-EphB4 antibody. Various labels for immunoassays are known, examples include directly detectable moieties such as chromophores, chemiluminescent agents, and radioactive labels, as well as moieties such as enzymes that must be reacted or derivatized for detection. Examples of such labels include: radioisotopes 32 P, 14 C, 125 I, 3 H and 131 I, fluorophores (such as rare earth metal chelators or luciferins and derivatives thereof), rhodamine and Its derivatives, dansyl, ketone, luciferase (such as firefly luciferase and bacterial luciferase (U.S. Patent No. 4,737,456)), luciferin, 2,3-dihydrogen Pyridazinone, horseradish peroxidase (HRP), alkaline phosphatase, beta-galactosidase, glucoamylase, lysozyme, sugar oxidase (eg glucose oxidase, galactose oxidase and glucose) -6-phosphate dehydrogenase), heterocyclic oxidase (such as uricase and porphyrin oxidation) coupled with an enzyme that oxidizes a dye precursor (such as HRP, lactoperoxidase or microperoxidase) with hydrogen peroxide Enzymes), biotin/avidin, spin labeling, phage labeling, stable free radicals and the like.
可使用習知方法將此等標記共價結合至蛋白或多肽。舉例而言,可使用諸如二醛、碳化二醯亞胺、二馬來醯亞胺、雙醯亞胺酯、雙-重氮化聯苯胺及其類似物之偶合劑來標記具有上述螢光、化學發光及酶標記之抗體。舉例而言,參見美國專利第3,940,475號(螢光測定法)及第3,645,090號(酶);Hunter等人,Nature ,144 :945(1962);David等人,Biochemistry, 13 :1014-1021(1974);Pain等人,J.Immunol.Methods ,40 :219-230(1981);及Nygren,J.Histochem.及Cytochem. ,30 :407-412(1982)。本文中之較佳標記為諸如辣根過氧化物酶及鹼性磷酸酶之酶。將該標記(包括酶)結合至抗體為熟習免疫檢定技術者之標準操作程序。舉例而言,參見Methods in Enzymology, J.J.Langone及H.Van Vunakis編輯,第73卷(Academic Press,New York,New York,1981),第147-166頁中之O'Sullivan等人,"Methods for the Preparation of Enzyme-antibody Conjugates for Use in Enzyme Immunoassay"。These labels can be covalently bound to a protein or polypeptide using conventional methods. For example, a coupling agent such as dialdehyde, carbodiimide, dimaleimide, bis-imide, bis-diazoniumbenzidine, and the like can be used to label the above-mentioned fluorescent light, Chemiluminescent and enzymatically labeled antibodies. See, for example, U.S. Patent Nos. 3,940,475 (fluorescence assay) and 3,645,090 (enzyme); Hunter et al, Nature , 144 :945 (1962); David et al, Biochemistry, 13 : 1014-1021 (1974). Pain et al, J. Immunol. Methods , 40 : 219-230 (1981); and Nygren, J. Histochem . and Cytochem. , 30 : 407-412 (1982). Preferred labels herein are enzymes such as horseradish peroxidase and alkaline phosphatase. Binding of the marker (including the enzyme) to the antibody is a standard procedure for those skilled in the art of immunoassay. See, for example, Methods in Enzymology, JJ Langone and H. Van Vunakis, eds., Vol. 73 (Academic Press, New York, New York, 1981), pp. 147-166, O'Sullivan et al., "Methods for the Preparation of Enzyme-antibody Conjugates for Use in Enzyme Immunoassay".
某些檢定方法需要固化試劑。固化要求自於溶液中保持游離狀態之任何EphB4分離抗EphB4抗體。通常,藉由在檢定程序前使抗EphB4抗體或EphB4類似物不溶解(例如藉由吸附至水不溶性基質或表面(Bennich等人,U.S.3,720,760)、藉由共價共價偶合(例如,使用戊二醛交聯))或藉由之後使抗EphB4抗體或EphB4類似物不溶解(例如藉由免疫沉澱)來達成此目的。Some assay methods require a curing reagent. Curing requires isolation of any anti-EphB4 antibody from any EphB4 remaining in solution. Typically, the anti-EphB4 antibody or EphB4 analog is insoluble (eg, by adsorption to a water insoluble matrix or surface (Bennich et al., US 3,720,760) by covalent covalent coupling (eg, using pentane) prior to the assay procedure. The dialdehyde crosslinks)) or by subsequent insolubilization of the anti-EphB4 antibody or EphB4 analog (for example by immunoprecipitation).
可使用免疫組織化學及染色試驗方案來檢查樣本中蛋白之表現。組織切片之免疫組織化學染色已顯示為一種分析或偵測樣本中是否存在蛋白之可靠方法。免疫組織化學("IHC")技術通常根據發色或螢光方法而使用抗體原位探測及顯現細胞抗原。對於樣本製備而言,可使用來自哺乳動物(通常人類患者)之組織或細胞樣本。樣本之實例包括(但不限於)癌細胞,諸如結腸、乳腺、前列腺、卵巢、肺、胃、胰腺、淋巴瘤及白血病癌細胞。可藉由此項技術中已知之各種程序獲得樣本,該等程序包括(但不限於)外科切除術、吸入或活組織檢查。組織可為新鮮的或經冷凍的。在一實施例中,將樣本固定且埋入石蠟或其類似物中。可藉由習知方法固定(亦即保存)組織樣本。一般熟習此項技術者應瞭解,固定劑之選擇由樣本將經組織學染色或經分析之目的決定。一般熟習此項技術者亦應瞭解,固定長度將視組織樣本之尺寸及所用之固定劑而定。Immunohistochemistry and staining protocols can be used to examine the performance of the protein in the sample. Immunohistochemical staining of tissue sections has been shown to be a reliable method for analyzing or detecting the presence of proteins in a sample. Immunohistochemistry ("IHC") techniques typically detect and visualize cellular antigens in situ using antibodies based on chromogenic or fluorescent methods. For sample preparation, tissue or cell samples from mammals (usually human patients) can be used. Examples of samples include, but are not limited to, cancer cells such as colon, breast, prostate, ovary, lung, stomach, pancreas, lymphoma, and leukemia cancer cells. Samples may be obtained by various procedures known in the art including, but not limited to, surgical resection, inhalation, or biopsy. The tissue can be fresh or frozen. In one embodiment, the sample is fixed and embedded in paraffin or the like. Tissue samples can be fixed (i.e., preserved) by conventional methods. Those of ordinary skill in the art will appreciate that the choice of fixative will be determined by histological staining or analysis of the sample. It is also generally understood by those skilled in the art that the fixed length will depend on the size of the tissue sample and the fixative used.
可與諸如形態學染色及/或螢光原位雜交之額外技術組合來執行IHC。可獲得IHC之兩種通用方法;直接及間接檢定。根據第一檢定,直接測定抗體與靶向抗原(例如EphB4)之結合。此直接檢定使用諸如螢光標籤或酶標記的原發性抗體之標記試劑,其可不經進一步抗體相互作用而顯現。在一典型間接檢定中,未經結合之原發性抗體結合至抗原,且經標記之二級抗體接著結合至該原發性抗體。若二級抗體結合至酶促標記,則添加發色或螢光基質以提供抗原顯現。因為若干二級抗體可與原發性抗體上之不同抗原決定基反應,所以發生信號擴增。IHC can be performed in combination with additional techniques such as morphological staining and/or fluorescence in situ hybridization. Two general methods of IHC are available; direct and indirect assays. The binding of the antibody to a targeting antigen (e.g., EphB4) is determined directly according to the first assay. This direct assay uses a labeling reagent such as a fluorescent label or an enzymatically labeled primary antibody that can be visualized without further antibody interaction. In a typical indirect assay, an unbound primary antibody binds to an antigen and the labeled secondary antibody then binds to the primary antibody. If the secondary antibody binds to the enzymatic label, a chromogenic or fluorescent matrix is added to provide antigenic visualization. Signal amplification occurs because several secondary antibodies can react with different epitopes on the primary antibody.
用於免疫組織化學之原發性及/或二級抗體通常應以可偵測部分標記。可使用各種標記,其通常可分為以下類別:除以上討論之樣本製備程序外,可需要在IHC之前、期間或之後進一步處理組織切片。舉例而言,可執行抗原決定基提取方法,例如在檸檬酸鹽緩衝劑中加熱組織樣本(舉例而言,參見Leong等人,Appl.Immunohistochem. 4(3):201(1996))。Primary and/or secondary antibodies for immunohistochemistry should generally be labeled with a detectable moiety. Various markers can be used, which can generally be classified into the following categories: In addition to the sample preparation procedures discussed above, tissue sections may need to be further processed before, during, or after IHC. For example, an epitope-determining method can be performed, such as heating a tissue sample in a citrate buffer (see, for example, Leong et al, Appl. Immunohistochem. 4(3): 201 (1996)).
在可選之阻斷步驟後,於適當條件下將組織切片暴露於原發性抗體歷時充分時期,使得原發性抗體結合至組織樣本中之靶向蛋白抗原。可藉由常規試驗來測定用於達成此目的之適當條件。抗體結合至樣本之程度應藉由使用以上所討論之任一可偵測標記來測定。較佳地,該標記為催化諸如3,3'-二胺基聯苯胺發色團之發色基質的化學變化之酶促標記(例如HRPO)。酶促標記較佳應結合至特異性結合至原發性抗體之抗體(例如,原發性抗體為兔多株抗體且二級抗體為山羊抗兔抗體)。After an optional blocking step, the tissue sections are exposed to the primary antibody for a sufficient period of time under appropriate conditions such that the primary antibody binds to the targeted protein antigen in the tissue sample. Suitable conditions for achieving this can be determined by routine experimentation. The extent to which the antibody binds to the sample should be determined by using any of the detectable labels discussed above. Preferably, the label is an enzymatic label (e.g., HRPO) that catalyzes the chemical alteration of a chromonic substrate such as a 3,3'-diaminobenzidine chromophore. The enzymatic label preferably binds to an antibody that specifically binds to the primary antibody (eg, the primary antibody is a rabbit polyclonal antibody and the secondary antibody is a goat anti-rabbit antibody).
可安裝由此製備之標本且蓋上蓋玻片。接著,(例如)使用顯微鏡來測定載玻片分析,且可使用此項技術中常規使用之染色強度標準。可如下分析染色強度標準:
IHC檢定中之約2+或更高之染色圖案記分通常為診斷性及/或預後性的。在一些實施例中,約1+或更高之染色圖案記分為診斷性及/或預後性的。在其他實施例中,約3或更高之染色圖案記分為診斷性及/或預後性的。應瞭解當使用IHC檢查來自腫瘤或結腸腺瘤之細胞及/或組織時,通常在腫瘤細胞及/或組織中測定或分析染色(與可存在於樣本中之基質或周圍組織成對比)。A staining pattern score of about 2+ or higher in the IHC assay is usually diagnostic and/or prognostic. In some embodiments, a staining pattern of about 1+ or higher is scored as diagnostic and/or prognostic. In other embodiments, a staining pattern of about 3 or higher is scored as diagnostic and/or prognostic. It will be appreciated that when IHC is used to examine cells and/or tissues from tumor or colon adenomas, staining is typically determined or analyzed in tumor cells and/or tissues (as compared to the matrix or surrounding tissue that may be present in the sample).
稱為競爭性或夾心檢定之其他檢定方法已良好確立且廣泛用於商業診斷工業。Other assays known as competitive or sandwich assays are well established and widely used in the commercial diagnostic industry.
競爭性檢定取決於示蹤劑EphB4類似物與測試樣本EphB4競爭有限數目之抗EphB4抗體-抗原結合位點之能力。通常在競爭之前或之後使抗EphB4抗體不溶解,接著自未經結合示蹤劑及EphB4分離結合至抗EphB4抗體之示蹤劑及EphB4。藉由傾析(其中預先使結合搭配物不溶解)或藉由離心(其中在競爭反應後使結合搭配物沉澱)來達成此分離。如藉由標記物質之量所量測,測試樣本EphB4之量與經結合示蹤劑之量成反比。製備使用已知量的EphB4之劑量反應曲線,且將其與測試結果作比較以定量地確定存在於測試樣本中之EphB4的量。當將酶用作可偵測標記時,此等檢定稱為ELISA系統。The competitive assay relies on the ability of the tracer EphB4 analog to compete with the test sample EphB4 for a limited number of anti-EphB4 antibody-antigen binding sites. The anti-EphB4 antibody is typically insoluble before or after competition, followed by isolation from the unconjugated tracer and EphB4 to the anti-EphB4 antibody tracer and EphB4. This separation is achieved by decantation (wherein the binding partner is not dissolved in advance) or by centrifugation (where the binding partner is precipitated after a competitive reaction). The amount of test sample EphB4 is inversely proportional to the amount of bound tracer as measured by the amount of labeled material. A dose response curve using a known amount of EphB4 was prepared and compared to the test results to quantitatively determine the amount of EphB4 present in the test sample. When an enzyme is used as a detectable label, such assays are referred to as ELISA systems.
稱為"同源"檢定之另一種競爭性檢定並不需要相分離。因此,製備且使用酶與EphB4之結合物,使得當抗EphB4抗體結合至EphB4時,抗EphB4抗體之存在會改變酶活性。在此情形下,EphB4或其免疫學活性片段以一雙功能有機橋結合至諸如過氧化酶之酶。選擇結合物以與抗EphB4抗體一起使用,使得抗EphB4抗體之結合會抑制或加強標記之酶活性。此方法本身以EMIT之名稱經廣泛實踐。Another competitive assay called the "homologous" assay does not require phase separation. Therefore, a combination of the enzyme and EphB4 was prepared and used such that when the anti-EphB4 antibody binds to EphB4, the presence of the anti-EphB4 antibody changes the enzyme activity. In this case, EphB4 or an immunologically active fragment thereof is bound to an enzyme such as a peroxidase by a bifunctional organic bridge. The conjugate is selected for use with an anti-EphB4 antibody such that binding to the anti-EphB4 antibody inhibits or enhances the enzymatic activity of the label. This method is itself widely practiced under the name EMIT.
立體結合物用於同源檢定之位阻方法中。藉由將低分子量半抗原共價鍵聯至小EphB4片段而合成此等結合物,使得對抗半抗原之抗體大體上不能與抗EphB4抗體同時結合至結合物。在此檢定程序中,存在於測試樣本中之EphB4將結合抗EphB4抗體,藉此使抗半抗原結合該結合物,導致結合物半抗原之特徵改變,例如當半抗原為螢光團時存在螢光改變。Stereoconjugates are used in steric methods for homologous assays. These conjugates are synthesized by covalently linking a low molecular weight hapten to a small EphB4 fragment such that the antibody against the hapten is substantially incapable of binding to the conjugate simultaneously with the anti-EphB4 antibody. In this assay, EphB4 present in the test sample will bind to the anti-EphB4 antibody, thereby allowing the anti-hapten to bind to the conjugate, resulting in a change in the characteristics of the conjugate hapten, such as when the hapten is a fluorophore. Light changes.
夾心檢定尤其可用於測定EphB4或抗EphB4抗體。在連續夾心檢定中,將經固定之抗EphB4抗體用於吸附測試樣本EphB4,藉由洗滌來移除測試樣本,將經結合EphB4用於吸附二級、經標記抗EphB4抗體,且接著自殘餘示蹤劑中分離經結合材料。經結合示蹤劑之量與測試樣本EphB4直接成正比。在"同時"夾心檢定中,在添加經標記抗EphB4之前並不分離測試樣本。將抗EphB4單株抗體用作一種抗體且將多株抗EphB4抗體用作另一抗體之連續夾心檢定可用於測試樣本中之EphB4。Sandwich assays are especially useful for assaying EphB4 or anti-EphB4 antibodies. In a continuous sandwich assay, the immobilized anti-EphB4 antibody is used to adsorb the test sample EphB4, the test sample is removed by washing, and the bound EphB4 is used to adsorb the secondary, labeled anti-EphB4 antibody, and then self-residual The bound material is separated in the tracer. The amount of bound tracer is directly proportional to the test sample EphB4. In the "simultaneous" sandwich assay, the test sample was not separated prior to the addition of labeled anti-EphB4. A continuous sandwich assay using an anti-EphB4 monoclonal antibody as one antibody and multiple anti-EphB4 antibodies as another antibody can be used to test EphB4 in a sample.
前述僅為EphB4之例示性偵測檢定。現今或此後將發展的使用抗EphB4抗體來測定EphB4之其他方法包括於其範疇中,包括本文所描述之生物檢定。The foregoing is only an exemplary detection test for EphB4. Other methods of determining EphB4 using anti-EphB4 antibodies, which will be developed today or thereafter, are included in their scope, including the bioassays described herein.
在本發明之另一態樣中,提供一種含有可用於治療、預防及/或診斷上文所述病症之材料的製造物品。該製造物品包含容器及容器上或與容器相關聯之標記或包裝插頁。適當之容器包括(例如)瓶子、小瓶、注射器等。該等容器可由多種材料(諸如玻璃或塑料)形成。容器容納單獨或與有效治療、預防及/或診斷病況之其他組合物組合之組合物,且可具有無菌接取口(例如,容器可為靜脈內溶液袋或具有可由皮下注射針刺穿的塞子之小瓶)。組合物中之至少一種活性劑為本發明抗體。標記或包裝插頁指示組合物係用於治療所選擇之病況,諸如癌。此外,製造物品可包含:(a)其中含有組合物之第一容器,其中該組合物包含本發明抗體;及(b)其中含有組合物之第二容器,其中該組合物包含另一細胞毒性劑。在本發明之此實施例中,製造物品可另外包含應指示第一及第二組合物可用於治療特定病況(諸如癌)之包裝插頁。另外或其他,製造物品可另外包含第二(或第三)容器,其包含醫藥學上可接受之緩衝劑,諸如注射用抑菌水(BWFI)、經磷酸鹽緩衝之生理食鹽水、林格氏溶液(Ringer's solution)及右旋糖溶液。其可另外包括就商業及使用者之立場而言可要之其他材料,包括其他緩衝劑、稀釋劑、過濾器、針及注射器。In another aspect of the invention, an article of manufacture comprising a material useful for treating, preventing, and/or diagnosing a condition described above is provided. The article of manufacture comprises a container and a label or package insert on or associated with the container. Suitable containers include, for example, bottles, vials, syringes, and the like. The containers may be formed from a variety of materials such as glass or plastic. The container holds a composition, alone or in combination with other compositions effective to treat, prevent, and/or diagnose the condition, and may have a sterile access port (eg, the container may be an intravenous solution bag or have a stopper pierceable by a hypodermic needle) The vial). At least one active agent in the composition is an antibody of the invention. The marker or package insert indicates that the composition is used to treat a condition selected, such as cancer. Further, the article of manufacture may comprise: (a) a first container comprising the composition, wherein the composition comprises an antibody of the invention; and (b) a second container comprising the composition, wherein the composition comprises another cytotoxicity Agent. In this embodiment of the invention, the article of manufacture may additionally comprise a package insert that should indicate that the first and second compositions are useful for treating a particular condition, such as cancer. Additionally or alternatively, the article of manufacture may additionally comprise a second (or third) container comprising a pharmaceutically acceptable buffer, such as bacteriostatic water for injection (BWFI), phosphate buffered saline, Ringer Ringer's solution and dextrose solution. It may additionally include other materials that are desirable from a commercial and user standpoint, including other buffers, diluents, filters, needles, and syringes.
以下為本發明方法及組合物之實例。應瞭解,給定以上提供之一般描述,可實施各種其他實施例。The following are examples of the methods and compositions of the present invention. It will be appreciated that various other embodiments may be implemented, given the general description provided above.
使用噬菌體呈現,使用EphB4-His蛋白來選擇噬菌體以產生抗EphB4抗體。各種用於產生噬菌體呈現文庫之方法為此項技術中已知的,根據該等文庫可獲得所關注之抗體。一種產生所關注抗體之方法為如Lee等人,J.Mol.Biol.(2004),340(5):1073-93中所述使用噬菌體抗體文庫。使用噬菌體ELISA,相對於EphB4-His蛋白來篩檢使用噬菌體呈現所選擇之純系。選擇獨特純系以藉由噬菌體競爭ELISA及阻斷檢定進行進一步表徵,以確定噬菌體抗體純系是否可阻斷EphB4-ephrinB2相互作用。較佳地執行純系30.35且選擇其用於進一步分析。為改良純系30.35之親和力,在YW30.35背景中產生噬菌體呈現文庫,其各自靶向用於軟或硬隨機化之所選HVR。藉由噬菌體ELISA來篩檢所選純系,且接著使其表現為Fab蛋白且使用Biacore測定其親和力。將所選純系重組為全長IgG且使用Biacore測定其親和力。親本純系30.35及親和力成熟純系之序列顯示於圖1中。Phage display was used and EphB4-His protein was used to select phage to generate anti-EphB4 antibodies. A variety of methods for generating phage display libraries are known in the art, and antibodies of interest can be obtained from such libraries. One method of producing an antibody of interest is the use of a phage antibody library as described in Lee et al, J. Mol. Biol. (2004), 340(5): 1073-93. Phage display was used to screen the selected pure lines using phage ELISA relative to EphB4-His protein. The unique pure line was selected for further characterization by phage competition ELISA and blocking assay to determine if the phage antibody line could block the EphB4-ephrinB2 interaction. Pure line 30.35 is preferably performed and selected for further analysis. To improve the affinity of pure lineage 30.35, phage display libraries were generated in the YW30.35 background, each targeting a selected HVR for soft or hard randomization. Selected pure lines were screened by phage ELISA and then visualized as Fab proteins and their affinity was determined using Biacore. The selected pure lines were recombined into full length IgG and their affinity was determined using Biacore. The sequence of the parent pure line 30.35 and the affinity matured line is shown in Figure 1.
為測定抗EphB4 Mab之結合親和力,使用以BIAcoreTM -3000(BIAcore,Inc.,Piscataway,NJ)獲得之表面電漿共振(SRP)量測。簡言之,根據供應商說明書,以N-乙基-N'-(3-二甲基胺基丙基)-碳化二醯亞胺鹽酸鹽(EDC)及N-羥基琥珀醯亞胺(NHS)活化羧甲基化葡聚糖生物感應器晶片(CM5,BIAcore Inc.)。用10 mM乙酸鈉(pH 4.8)將抗EphB4抗體稀釋至5 μg/ml,接著以5微升每分鐘之流動速率注射以達成約500個反應單位(RU)之偶聯抗體。接著,注射1 M乙醇胺以阻斷未反應基團。對於動力學量測而言,在25℃下以25 μl/min之流動速率注射在具有0.05% Tween 20之PBS中兩倍連續稀釋之人類或鼠類EphB4-His分子(0.7 nM至500 nM)。使用簡易的一對一Langmuir結合模型(BIAcore Evaluation Software,3.2版),計算締合速率(kon )及解離速率(koff )。將平衡解離常數(Kd)計算為koff /kon 之比率。此試驗之結果顯示於圖3中。"NA"表示未執行量測。To determine the binding affinity of an anti-EphB4 Mab, using the surface plasmon resonance (SRP) BIAcore TM -3000 (BIAcore , Inc., Piscataway, NJ) to obtain the measurements. Briefly, according to the supplier's instructions, N-ethyl-N'-(3-dimethylaminopropyl)-carbodiimide hydrochloride (EDC) and N-hydroxysuccinimide ( NHS) Activated carboxymethylated dextran biosensor wafer (CM5, BIAcore Inc.). Anti-EphB4 antibody was diluted to 5 μg/ml with 10 mM sodium acetate (pH 4.8), followed by injection at a flow rate of 5 microliters per minute to achieve approximately 500 reaction units (RU) of conjugated antibody. Next, 1 M ethanolamine was injected to block unreacted groups. For kinetic measurements, human or murine EphB4-His molecules (0.7 nM to 500 nM) were injected in two-fold serial dilutions in PBS with 0.05% Tween 20 at 25 μl/min flow rate at 25 °C. . The association rate ( kon ) and dissociation rate ( koff ) were calculated using a simple one-to-one Langmuir binding model (BIAcore Evaluation Software, version 3.2). The equilibrium dissociation constant (Kd) was calculated as k off / k on the ratio. The results of this test are shown in Figure 3. "NA" indicates that the measurement was not performed.
在不同試驗中,相對於其他EphB受體來測試抗EphB4抗體純系30.35之交叉反應性。簡言之,以表現全長人類EphB1、人類EphB2、人類EphB4或人類EphB6之質體短暫轉染COS7細胞。轉染24小時後,使細胞經受FACS分析以由抗EphB4抗體偵測可能存在之結合。抗EphB4純系30.35並不與人類EphB1、人類EphB2、人類EphB3或人類EphB6交叉反應。The cross-reactivity of the anti-EphB4 antibody line 30.35 was tested relative to other EphB receptors in different assays. Briefly, COS7 cells were transiently transfected with plastids expressing full length human EphB1, human EphB2, human EphB4 or human EphB6. 24 hours after transfection, cells were subjected to FACS analysis to detect possible binding by anti-EphB4 antibodies. The anti-EphB4 pure line 30.35 does not cross-react with human EphB1, human EphB2, human EphB3 or human EphB6.
為證明抗EphB4抗體阻斷膜結合EphrinB2及EphB4的相互作用之能力,吾人執行基於細胞的檢定,其中EphB4及EphrinB2由不同細胞類型呈現。將過度表現人類EphrinB2之3T3細胞用於刺激表現高度EphB4及低度EphrinB2之HUVEC細胞,且測試抗EphB4抗體抑制EphB4活化之能力。To demonstrate the ability of anti-EphB4 antibodies to block membrane-bound interactions between EphrinB2 and EphB4, we performed cell-based assays in which EphB4 and EphrinB2 are presented by different cell types. 3T3 cells overexpressing human EphrinB2 were used to stimulate HUVEC cells expressing high EphB4 and low EphrinB2, and the ability of anti-EphB4 antibodies to inhibit EphB4 activation was tested.
如下製備過度表現人類EphrinB2之3T3細胞:根據製造商手冊,將人類全長EphrinB2選殖於pcDNA5/FRT載體(Invitrogen)中且隨後用於以3T3.Flp細胞(Invitrogen)產生穩定細胞株。3T3 cells overexpressing human EphrinB2 were prepared as follows: Human full length EphrinB2 was colonized in pcDNA5/FRT vector (Invitrogen) according to the manufacturer's manual and subsequently used to generate stable cell lines with 3T3.Flp cells (Invitrogen).
在抗EphB4抗體存在或不存在下,將過度表現人類EphrinB2之3T3細胞上覆於HUVEC細胞上歷時15或30分鐘。使EphB4蛋白免疫沉澱,接著使用抗磷醯基-酪胺酸抗體-(抗體4G10;Upstate),使用western墨點法偵測受體酪胺酸磷酸化存在與否,藉此分析EphB4受體之活化。簡言之,以RIPA緩衝劑溶解細胞。藉由離心對細胞溶胞物分類,且以每個樣本5 μg添加抗EphB4抗體35.2D8。於4℃下培育兩個小時後,使用蛋白A瓊脂糖拆分免疫複合物。使用濃度為1 μg/ml之抗磷醯基酪胺酸抗體4G10(Upstate),由Western墨點法分析EphB4磷酸化。3T3 cells overexpressing human EphrinB2 were overlaid on HUVEC cells for 15 or 30 minutes in the presence or absence of anti-EphB4 antibodies. EphB4 protein was immunoprecipitated, followed by anti-phospho- tyrosine antibody-(antibody 4G10; Upstate), using western dot method to detect the presence or absence of receptor tyrosine phosphorylation, thereby analyzing EphB4 receptor activation. Briefly, cells were lysed with RIPA buffer. Cell lysates were sorted by centrifugation and anti-EphB4 antibody 35.2D8 was added at 5 μg per sample. After incubation for two hours at 4 ° C, the immune complex was resolved using Protein A Sepharose. EphB4 phosphorylation was analyzed by Western blotting using an anti-phosphonium tyrosine antibody 4G10 (Upstate) at a concentration of 1 μg/ml.
此試驗之結果顯示於圖7中。將3T3細胞上覆於HUVEC細胞上會引起EphB4之急劇酪胺酸磷酸化(色帶4及5)。以抗EphB4抗體(純系35.2D8,5 μg/ml)預培育HUVEC歷時30分鐘,從而有效地消除由上覆3T3-EphrinB2細胞(色帶6)誘導的EphB4酪胺酸磷酸化。相反,以抗EphB4單獨處理HUVEC細胞並不會引起HUVEC中之EphB4活化(色帶2及3),且未經處理的HUVEC細胞並不能證明EphB4活化。此等結果確立:抗EphB4抗體在直接細胞-細胞接觸內容中阻斷配位基-受體相互作用。The results of this test are shown in Figure 7. Overlay of 3T3 cells on HUVEC cells causes a dramatic tyrosine phosphorylation of EphB4 (bands 4 and 5). HUVECs were pre-incubated with anti-EphB4 antibody (pure line 35.2D8, 5 μg/ml) for 30 minutes to effectively eliminate EphB4 tyrosine phosphorylation induced by overlying 3T3-EphrinB2 cells (ribbon 6). In contrast, HUVEC cells treated with anti-EphB4 alone did not cause EphB4 activation in HUVEC (ribbons 2 and 3), and untreated HUVEC cells did not demonstrate EphB4 activation. These results establish that anti-EphB4 antibodies block ligand-receptor interactions in direct cell-cell contact content.
雖然為清楚明白起見,已借助於說明及實例在一些細節中說明前述發明,但該等描述及實例不應理解為限制本發明之範疇。Although the foregoing invention has been described in some detail by way of illustration and example, the description and examples should not be construed as limiting the scope of the invention.
圖1:抗EphB4抗體之重鏈及輕鏈HVR環序列。該圖顯示重鏈HVR序列H1、H2及H3及輕鏈HVR序列L1、L2及L3。序列編號係如下:純系30.35(HVR-H1為SEQ ID NO:1;HVR-H2為SEQ ID NO:3;HVR-H3為SEQ ID NO:7;HVR-L1為SEQ ID NO:9;HVR-L2為SEQ ID NO:11;HVR-L3為SEQ ID NO:13);純系30.35.1D2(HVR-H1為SEQ ID NO:1;HVR-H2為SEQ ID NO:3;HVR-H3為SEQ ID NO:8;HVR-L1為SEQ ID NO:10;HVR-L2為SEQ ID NO:12;HVR-L3為SEQ ID NO:14);純系30.35.2D8(HVR-H1為SEQ ID NO:2;HVR-H2為SEQ ID NO:4;HVR-H3為SEQ ID NO:7;HVR-L1為SEQ ID NO:9;HVR-L2為SEQ ID NO:11;HVR-L3為SEQ ID NO:15);純系30.35.2D12(HVR-H1為SEQ ID NO:1;HVR-H2為SEQ ID NO:5;HVR-H3為SEQ ID NO:7;HVR-L1為SEQ ID NO:9;HVR-L2為SEQ ID NO:11;HVR-L3為SEQ ID NO:16);及純系30.35.2D13(HVR-H1為SEQ ID NO:1;HVR-H2為SEQ ID NO:6;HVR-H3為SEQ ID NO:7;HVR-L1為SEQ ID NO:9;HVR-L2為SEQ ID NO:11;HVR-L3為SEQ ID NO:17)。Figure 1: Heavy and light chain HVR loop sequences of anti-EphB4 antibodies. The figure shows heavy chain HVR sequences H1, H2 and H3 and light chain HVR sequences L1, L2 and L3. The sequence number is as follows: pure line 30.35 (HVR-H1 is SEQ ID NO: 1; HVR-H2 is SEQ ID NO: 3; HVR-H3 is SEQ ID NO: 7; HVR-L1 is SEQ ID NO: 9; HVR- L2 is SEQ ID NO: 11; HVR-L3 is SEQ ID NO: 13); pure line 30.35.1D2 (HVR-H1 is SEQ ID NO: 1; HVR-H2 is SEQ ID NO: 3; HVR-H3 is SEQ ID NO:8; HVR-L1 is SEQ ID NO: 10; HVR-L2 is SEQ ID NO: 12; HVR-L3 is SEQ ID NO: 14); pure line 30.35.2D8 (HVR-H1 is SEQ ID NO: 2; HVR-H2 is SEQ ID NO: 4; HVR-H3 is SEQ ID NO: 7; HVR-L1 is SEQ ID NO: 9; HVR-L2 is SEQ ID NO: 11; HVR-L3 is SEQ ID NO: 15) Pure line 30.35.2D12 (HVR-H1 is SEQ ID NO: 1; HVR-H2 is SEQ ID NO: 5; HVR-H3 is SEQ ID NO: 7; HVR-L1 is SEQ ID NO: 9; HVR-L2 is SEQ ID NO: 11; HVR-L3 is SEQ ID NO: 16); and pure line 30.35.2D13 (HVR-H1 is SEQ ID NO: 1; HVR-H2 is SEQ ID NO: 6; HVR-H3 is SEQ ID NO: :7; HVR-L1 is SEQ ID NO:9; HVR-L2 is SEQ ID NO:11; HVR-L3 is SEQ ID NO:17).
胺基酸位置根據如下所述之Kabat編號系統編號。The amino acid positions are numbered according to the Kabat numbering system as described below.
圖2A、2B及3描述用於實踐本發明之例示性受體人類一致框架序列,其中序列識別符如下:可變重鏈(VH)一致框架(圖2) 人類VH亞群I一致框架減去Kabat CDR(SEQ ID NO:19)人類VH亞群I一致框架減去延長高變區(SEQ ID NO:20-22)人類VH亞群II一致框架減去Kabat CDR(SEQ ID NO:23)人類VH亞群II一致框架減去延長高變區(SEQ ID NO:24-26)人類VH亞群III一致框架減去Kabat CDR(SEQ ID NO:27)人類VH亞群III一致框架減去延長高變區(SEQ ID NO:28-30)人類VH受體框架減去Kabat CDR(SEQ ID NO:31)人類VH受體框架減去延長高變區(SEQ ID NO:32-33)人類VH受體2框架減去Kabat CDR(SEQ ID NO:34)人類VH受體2框架減去延長高變區(SEQ ID NO:35-37)2A, 2B and 3 depict exemplary receptor human consensus framework sequences for practicing the invention, wherein the sequence identifiers are as follows: variable heavy chain (VH) consensus framework (Fig. 2) human VH subgroup I consensus framework minus Kabat CDR (SEQ ID NO: 19) human VH subgroup I consensus framework minus prolonged hypervariable regions (SEQ ID NO: 20-22) human VH subpopulation II consensus framework minus Kabat CDRs (SEQ ID NO: 23) human VH subgroup II consensus framework minus prolonged hypervariable regions (SEQ ID NO: 24-26) human VH subpopulation III consensus framework minus Kabat CDRs (SEQ ID NO: 27) human VH subpopulation III consensus framework minus prolonged Variable region (SEQ ID NO: 28-30) human VH receptor framework minus Kabat CDR (SEQ ID NO: 31) human VH receptor framework minus prolonged hypervariable region (SEQ ID NO: 32-33) human VH receptor The framework of the body 2 minus the Kabat CDR (SEQ ID NO: 34) human VH receptor 2 framework minus the prolonged hypervariable region (SEQ ID NO: 35-37)
可變輕鏈(VL)一致框架(圖3) 人類VL亞群I一致框架(SEQ ID NO:38)人類VL亞群II一致框架(SEQ ID NO:39)人類VL亞群III一致框架(SEQ ID NO:40)人類VL亞群IV一致框架(SEQ ID NO:41) Variable Light Chain (VL) Consistent Framework (Figure 3) Human VL Subgroup I Consistent Framework (SEQ ID NO: 38) Human VL Subgroup II Consistent Framework (SEQ ID NO: 39) Human VL Subgroup III Consistent Framework (SEQ ID NO: 40) Human VL Subgroup IV Consistent Framework (SEQ ID NO: 41)
圖4描述huMAb4D5-8輕鏈及重鏈之框架區序列。上標/粗體的數字指示根據Kabat之胺基酸位置。Figure 4 depicts the framework regions of the huMAb4D5-8 light and heavy chains. The superscript/bold numbers indicate the position of the amino acid according to Kabat.
圖5描述huMAb4D5-8輕鏈及重鏈之經修飾/變異的框架區序列。上標/粗體的數字指示根據Kabat之胺基酸位置。Figure 5 depicts the modified/variant framework region sequences of the huMAb4D5-8 light and heavy chains. The superscript/bold numbers indicate the position of the amino acid according to Kabat.
圖6描述抗體純系30.35、30.35.1D2、30.35.2D8、30.35.2D12及20.25.2D13之重鏈可變區及輕鏈可變區。Figure 6 depicts the heavy chain variable region and the light chain variable region of the antibody pure lines 30.35, 30.35.1D2, 30.35.2D8, 30.35.2D12 and 20.25.2D13.
圖7:在基於細胞之檢定中,抗EphB4單株抗體阻斷的EphB4受體信號傳輸。Figure 7: EphB4 receptor signaling blocked by anti-EphB4 monoclonal antibody in a cell-based assay.
<110> 美商建南德克公司<120> 抗EPHB4抗體及使用該抗體之方法<130> P2300R1 <140> 0961-00340 <141> 2007-01-04 <150> US 60/756,889 <151> 2006-01-05 <150> US 60/760,892 <151> 2006-01-20 <160> 62 <210> 1 <211> 10 <212> PRT <213> 人工序列<220> <223> HVR-H1 <400> 1<210> 2 <211> 10 <212> PRT <213> 人工序列<220> <223> HVR-H1 <400> 2<210> 3 <211> 18 <212> PRT <213> 人工序列<220> <223> HVR-H2 <400> 3<210> 4 <211> 18 <212> PRT <213> 人工序列<220> <223> HVR-H2 <400> 4<210> 5 <211> 18 <212> PRT <213> 人工序列<220> <223> HVR-H2 <400> 5<210> 6 <211> 18 <212> PRT <213> 人工序列<220> <223> HVR-H2 <400> 6<210> 7 <211> 17 <212> PRT <213> 人工序列<220> <223> HVR-H3 <400> 7<210> 8 <211> 17 <212> PRT <213> 人工序列<220> <223> HVR-H3 <400> 8<210> 9 <211> 11 <212> PRT <213> 人工序列<220> <223> HVR-L1 <400> 9<210> 10 <211> 11 <212> PRT <213> 人工序列<220> <223> HVR-L1 <400> 10<210> 11 <211> 7 <212> PRT <213> 人工序列<220> <223> HVR-L2 <400> 11<210> 12 <211> 7 <212> PRT <213> 人工序列<220> <223> HVR-L2 <400> 12<210> 13 <211> 9 <212> PRT <213> 人工序列<220> <223> HVR-L3 <400> 13<210> 14 <211> 9 <212> PRT <213> 人工序列<220> <223> HVR-L3 <400> 14<210> 15 <211> 9 <212> PRT <213> 人工序列<220> <223> HVR-L3 <400> 15<210> 16 <211> 9 <212> PRT <213> 人工序列<220> <223> HVR-L3 <400> 16 <210> 17 <211> 9 <212> PRT <213> 人工序列<220> <223> HVR-L3 <400> 17<210> 18 <211> 107 <212> PRT <213> 人工序列<220> <223> huMab4D5-8之輕鏈可變域<400> 18<210> 19 <211> 87 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 19<210> 20 <211> 81 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 20<210> 21 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 21<210> 22 <211> 79 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 22 <210> 23 <211> 87 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 23<210> 24 <211> 81 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 24<210> 25 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 25 <210> 26 <211> 79 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 26<210> 27 <211> 87 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 27<210> 28 <211> 81 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 28 <210> 29 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 29<210> 30 <211> 79 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 30<210> 31 <211> 87 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 31<210> 32 <211> 81 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 32<210> 33 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 33 <210> 34 <211> 87 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 34<210> 35 <211> 81 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 35<210> 36 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 36 <210> 37 <211> 79 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 37<210> 38 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 38<210> 39 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 39 <210> 40 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 40<210> 41 <211> 80 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 41<210> 42 <211> 23 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 42<210> 43 <211> 15 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 43<210> 44 <211> 32 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 44<210> 45 <211> 10 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 45<210> 46 <211> 25 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 46<210> 47 <211> 13 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 47 <210> 48 <211> 30 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 48<210> 49 <211> 11 <212> PRT <213> 人工序列 <220> <223> 序列為合成的<400> 49<210> 50 <211> 32 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 50<210> 51 <211> 30 <212> PRT <213> 人工序列<220> <223> 序列為合成的<400> 51<210> 52 <211> 107 <212> PRT<213> 人工序列<220> <223> 序列為合成的 <400> 52 <210> 53 <211> 128 <212> PRT <213> 人工序列<220> <223> Mab30.35之重鏈可變區<400> 53<210> 54 <211> 108 <212> PRT <213> 人工序列<220> <223> Mab30.35之輕鏈可變區<400> 54 <210> 55 <211> 128 <212> PRT <213> 人工序列<220> <223> Mab30.35.1D2之重鏈可變區<400> 55<210> 56 <211> 108 <212> PRT <213> 人工序列<220> <223> Mab30.35.1D2之輕鏈可變區<400> 56 <210> 57 <211> 128 <212> PRT <213> 人工序列<220> <223> Mab30.35.2D8之重鏈可變區<400> 57<210> 58 <211> 108 <212> PRT <213> 人工序列<220> <223> Mab30.35.2D8之輕鏈可變區<400> 58<210> 59 <211> 128 <212> PRT <213> 人工序列<220> <223> Mab30.35.2D12之重鏈可變區<400> 59<210> 60 <211> 108 <212> PRT <213> 人工序列<220> <223> Mab30.35.2D12之輕鏈可變區<400> 60<210> 61 <211> 128 <212> PRT <213> 人工序列<220> <223> Mab30.35.2D13之重鏈可變區<400> 61<210> 62 <211> 108 <212> PRT <213> 人工序列<220> <223> Mab30.35.2D13之輕鏈可變區<400> 62 <110> US-based Nandek <120> anti-EPHB4 antibody and method of using the same <130> P2300R1 <140> 0961-00340 <141> 2007-01-04 <150> US 60/756,889 <151> 2006-01-05 <150> US 60/760,892 <151> 2006-01-20 <160> 62 <210> 1 <211> 10 <212> PRT <213> Artificial sequence <220><223> HVR-H1 <400> 1 <210> 2 <211> 10 <212> PRT <213> Artificial sequence <220><223> HVR-H1 <400> 2 <210> 3 <211> 18 <212> PRT <213> Artificial sequence <220><223> HVR-H2 <400> 3 <210> 4 <211> 18 <212> PRT <213> Artificial sequence <220><223> HVR-H2 <400> 4 <210> 5 <211> 18 <212> PRT <213> Manual sequence <220><223> HVR-H2 <400> 5 <210> 6 <211> 18 <212> PRT <213> Artificial sequence <220><223> HVR-H2 <400> 6 <210> 7 <211> 17 <212> PRT <213> Manual sequence <220><223> HVR-H3 <400> 7 <210> 8 <211> 17 <212> PRT <213> Manual sequence <220><223> HVR-H3 <400> 8 <210> 9 <211> 11 <212> PRT <213> Manual sequence <220><223> HVR-L1 <400> 9 <210> 10 <211> 11 <212> PRT <213> Manual sequence <220><223> HVR-L1 <400> 10 <210> 11 <211> 7 <212> PRT <213> Manual sequence <220><223> HVR-L2 <400> 11 <210> 12 <211> 7 <212> PRT <213> Manual sequence <220><223> HVR-L2 <400> 12 <210> 13 <211> 9 <212> PRT <213> Manual sequence <220><223> HVR-L3 <400> 13 <210> 14 <211> 9 <212> PRT <213> Manual sequence <220><223> HVR-L3 <400> 14 <210> 15 <211> 9 <212> PRT <213> Manual sequence <220><223> HVR-L3 <400> 15 <210> 16 <211> 9 <212> PRT <213> Manual sequence <220><223> HVR-L3 <400> 16 <210> 17 <211> 9 <212> PRT <213> Manual sequence <220><223> HVR-L3 <400> 17 <210> 18 <211> 107 <212> PRT <213> Artificial sequence <220><223> Light chain variable domain of huMab4D5-8 <400> 18 <210> 19 <211> 87 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 19 <210> 20 <211> 81 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 20 <210> 21 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 21 <210> 22 <211> 79 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 22 <210> 23 <211> 87 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 23 <210> 24 <211> 81 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 24 <210> 25 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 25 <210> 26 <211> 79 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 26 <210> 27 <211> 87 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 27 <210> 28 <211> 81 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 28 <210> 29 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 29 <210> 30 <211> 79 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 30 <210> 31 <211> 87 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 31 <210> 32 <211> 81 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 32 <210> 33 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 33 <210> 34 <211> 87 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 34 <210> 35 <211> 81 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 35 <210> 36 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 36 <210> 37 <211> 79 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 37 <210> 38 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 38 <210> 39 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 39 <210> 40 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 40 <210> 41 <211> 80 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 41 <210> 42 <211> 23 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 42 <210> 43 <211> 15 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 43 <210> 44 <211> 32 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 44 <210> 45 <211> 10 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 45 <210> 46 <211> 25 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 46 <210> 47 <211> 13 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 47 <210> 48 <211> 30 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 48 <210> 49 <211> 11 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 49 <210> 50 <211> 32 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 50 <210> 51 <211> 30 <212> PRT <213> Artificial sequence <220><223> Sequence is synthesized <400> 51 <210> 52 <211> 107 <212>PRT<213> Artificial sequence <220><223> Sequence is synthesized <400> 52 <210> 53 <211> 128 <212> PRT <213> Artificial sequence <220><223> Heavy chain variable region of Mab30.35 <400> 53 <210> 54 <211> 108 <212> PRT <213> Artificial sequence <220><223> Light chain variable region of Mab30.35 <400> 54 <210> 55 <211> 128 <212> PRT <213> Artificial sequence <220><223> Heavy chain variable region of Mab30.35.1D2 <400> 55 <210> 56 <211> 108 <212> PRT <213> Artificial sequence <220><223> Light chain variable region of Mab30.35.1D2 <400> 56 <210> 57 <211> 128 <212> PRT <213> Artificial sequence <220><223> Heavy chain variable region of Mab30.35.2D8 <400> 57 <210> 58 <211> 108 <212> PRT <213> Artificial sequence <220><223> Light chain variable region of Mab30.35.2D8 <400> 58 <210> 59 <211> 128 <212> PRT <213> Artificial sequence <220><223> Heavy chain variable region of Mab30.35.2D12 <400> 59 <210> 60 <211> 108 <212> PRT <213> Artificial sequence <220><223> Light chain variable region of Mab30.35.2D12 <400> 60 <210> 61 <211> 128 <212> PRT <213> Artificial sequence <220><223> Heavy chain variable region of Mab30.35.2D13 <400> 61 <210> 62 <211> 108 <212> PRT <213> Artificial sequence <220><223> Light chain variable region of Mab30.35.2D13 <400> 62
Claims (40)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US75688906P | 2006-01-05 | 2006-01-05 | |
US76089206P | 2006-01-20 | 2006-01-20 | |
TH701000008A TH98479A (en) | 2007-01-03 | Anti-EPHB4 Antibodies and how to use them |
Publications (2)
Publication Number | Publication Date |
---|---|
TW200804421A TW200804421A (en) | 2008-01-16 |
TWI391402B true TWI391402B (en) | 2013-04-01 |
Family
ID=44765843
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
TW96100340A TWI391402B (en) | 2006-01-05 | 2007-01-04 | Anti-fphb4 antibodies and methods using same |
Country Status (1)
Country | Link |
---|---|
TW (1) | TWI391402B (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN103360496B (en) * | 2006-01-05 | 2015-11-18 | 健泰科生物技术公司 | Anti-ephb 4 antibodies and using method thereof |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1995027061A1 (en) * | 1994-04-04 | 1995-10-12 | Genentech, Inc. | Protein tyrosine kinase agonist antibodies |
WO2004024773A1 (en) * | 2002-09-16 | 2004-03-25 | The Queen Elizabeth Hospital Research Foundation Inc. | Methods for regulating cancer |
WO2005090406A2 (en) * | 2004-03-12 | 2005-09-29 | Vasgene Therapeutics, Inc. | Antibodies binding to ephb4 for inhibiting angiogenesis and tumor growth |
-
2007
- 2007-01-04 TW TW96100340A patent/TWI391402B/en not_active IP Right Cessation
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO1995027061A1 (en) * | 1994-04-04 | 1995-10-12 | Genentech, Inc. | Protein tyrosine kinase agonist antibodies |
WO2004024773A1 (en) * | 2002-09-16 | 2004-03-25 | The Queen Elizabeth Hospital Research Foundation Inc. | Methods for regulating cancer |
WO2005090406A2 (en) * | 2004-03-12 | 2005-09-29 | Vasgene Therapeutics, Inc. | Antibodies binding to ephb4 for inhibiting angiogenesis and tumor growth |
Non-Patent Citations (1)
Title |
---|
Kertesz et al., The soluble extracellular domain of EphB4 (sEphB4) antagonizes EphB4-EphrinB2 interaction, modulates angiogenesis, and inhibits tumor growth. BLOOD 107: 2330-2338,MARCH 2006 * |
Also Published As
Publication number | Publication date |
---|---|
TW200804421A (en) | 2008-01-16 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
TWI596111B (en) | Anti-ephb4 antibodies and methods using same | |
TWI458737B (en) | Anti-notch1 nrr antibodies and methods using same | |
JP5902130B2 (en) | Anti-ephrin B2 antibody and method of use thereof | |
TWI391402B (en) | Anti-fphb4 antibodies and methods using same | |
AU2013200383B2 (en) | Anti-EphB4 antibodies and methods using same | |
TWI429655B (en) | Antibodies to egfl7,composition comprising,polynucleotide encoding,and methods of making and using the same | |
AU2016213811A1 (en) | Anti-EphB4 antibodies and methods using same | |
HK1187352B (en) | Anti-ephrinb2 antibodies and methods using same | |
HK1161888A (en) | Anti-ephb4 antibodies and methods using same | |
HK1161888B (en) | Anti-ephb4 antibodies and methods using same | |
HK1121040A (en) | Anti-ephb4 antibodies and methods using the same | |
HK1121040B (en) | Anti-ephb4 antibodies and methods using the same |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
MM4A | Annulment or lapse of patent due to non-payment of fees |