WO2024055015A1 - Inflammasome antibody compositon and method for treating neurologic disorder - Google Patents
Inflammasome antibody compositon and method for treating neurologic disorder Download PDFInfo
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- A61P25/00—Drugs for disorders of the nervous system
- A61P25/28—Drugs for disorders of the nervous system for treating neurodegenerative disorders of the central nervous system, e.g. nootropic agents, cognition enhancers, drugs for treating Alzheimer's disease or other forms of dementia
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- C—CHEMISTRY; METALLURGY
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- C07K—PEPTIDES
- C07K16/00—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies
- C07K16/18—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from animals or humans
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- A61K39/00—Medicinal preparations containing antigens or antibodies
- A61K2039/505—Medicinal preparations containing antigens or antibodies comprising antibodies
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- C07K2317/20—Immunoglobulins specific features characterized by taxonomic origin
- C07K2317/24—Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
Definitions
- the invention relates generally to the fields of immunology and medicine. More particularly, the invention relates to compositions and methods for modulating ASC (Apoptosis-associated Specklike protein containing a Caspase Activating Recruitment Domain (CARD)) activity and Absent in Melanoma 2 (AIM2) inflammasome activity in the Central Nervous System (CNS) and/or lungs of a mammal as treatments for reducing inflammation in response to viral infections, injuries or conditions that produce inflammation in the CNS and/or lungs.
- ASC Apoptosis-associated Specklike protein containing a Caspase Activating Recruitment Domain (CARD)
- AIM2 Abent in Melanoma 2
- the invention also relates to monoclonal antibodies or fragments thereof that specifically bind ASC.
- AD Alzheimer's disease
- pTau extracellular amyloid-13 intracellular hyperphosphorylated tau
- the inflammasome is comprised of caspase-1, apoptosis-associated speck-like protein containing a caspase recruitment domain (ASC), and a sensor protein such as NOD-like receptorl (NLRP1) or NLRP3.
- ASC caspase recruitment domain
- NLRP1 NOD-like receptorl
- the sensor NLR protein binds to pathogen-associated molecular patterns (PAMPs) or danger-associated molecular patterns (DAM Ps) to activate the inflammasome.
- PAMPs pathogen-associated molecular patterns
- DAM Ps danger-associated molecular patterns
- Inflammasome activation is accompanied by oligomerization of the sensor that then recruits monomeric ASC which oligomerizes with an NOD-like receptor such as NLRP3 via homotypic interactions between the PYRIN domain (PYD) of ASC and the PYD of NLRP3.
- NLRP3 an NOD-like receptor
- PYD PYRIN domain
- pro-caspase-1 is recruited and binds to ASC via homotypic CARD-CARD interactions between the two proteins.
- the activated inflammasome leads to the cleavage of caspase-1 into its active form, leading to the production of mature interleukin (I L)-l(3 and IL-18.
- I L interleukin
- active caspase-1 also cleaves gasdermin-D (GSDM-D).
- GSDM-D gasdermin-D
- the N- terminus is inserted into the cell membrane to form a pore through which IL-1 ⁇ and IL-18 are released, resulting in pyroptosis.
- Pyroptosis leads to inflammasome proteins being released into the extracellular space, including the release of oligomerized ASC in the form of ASC specks that present prion-like properties.
- Extracellular ASC specks remain present for long periods of time, while retaining their ability to cleave pro-IL-1 ⁇ , and thus, perpetuating inflammation. Importantly, this prion-like propagation of inflammation by ASC specks contributes to a progressive inflammatory state that plays a central role in neurodegeneration.
- IC 100 a humanized and deimmunized monoclonal antibody (mAb) (lgG4k) against ASC, and in this study, we used IC100 and a commercially available anti-ASC antibody to determine the cell-type distribution of ASC in post-mortem brains from donors with AD.
- mAb monoclonal antibody
- Severe acute respiratory syndrome coronavirus SARS-CoV
- SARS-CoV Severe acute respiratory syndrome coronavirus
- ARDS acute respiratory distress syndrome
- ALI acute lung injury
- the fatality rate of SARS-CoV from November 2002 to July 2003 was 9.6% according to the World Health Organization.
- the fatality rate for CoV-2 is yet to be accurately determined, but it is anticipated that coronaviruses will occur cyclically, like the flu.
- a monoclonal antibody or an antibody fragment thereof that binds to Apoptosis-associated Speck-like protein containing a Caspase Activating Recruitment Domain (ASC), wherein the antibody or the antibody fragment binds specifically to an epitope of ASC, wherein the epitope comprises or consists of the amino acid sequence of SEQ ID NO: 5 or 5-10, 10-15 or 15-20 amino acids of SEQ. ID NO: 5.
- ASC Caspase Activating Recruitment Domain
- a monoclonal antibody or an antibody fragment thereof that binds specifically to ASC wherein the antibody or the antibody fragment comprises a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3.
- VH heavy chain variable
- VL light chain variable
- the VH region amino acid sequence comprises SEQ ID NO: 18, 19, 20, 21, 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18, 19, 20, 21, or 22.
- the ASC is human ASC protein.
- the antibody fragment is an Fab, an F(ab')2, an Fab', an scFv, a single domain antibody, a diabody or a single chain camelid antibody or a shark antibody.
- the monoclonal antibody or the antibody fragment thereof is human, humanized or chimeric.
- provided herein is an isolated nucleic acid molecule encoding the monoclonal antibody or the antibody fragment thereof.
- an expression vector comprising the nucleic acid molecule.
- the nucleic acid molecule is operatively linked to regulatory sequences suitable for expression of the nucleic acid segment in a host cell.
- a recombinant host cell comprising the expression vector.
- a method for producing an antibody or an antibody fragment that binds specifically to ASC comprising: culturing a recombinant host cell comprising the expression vector under conditions whereby the nucleic acid molecule is expressed, thereby producing the monoclonal antibody or the antibody fragment thereof that binds specifically to ASC.
- a pharmaceutical composition comprising the monoclonal antibody or the antibody fragment thereof, and a pharmaceutically acceptable carrier, diluent or excipient.
- a method of treating inflammation in a subject comprises administering to the subject a therapeutically effective amount of the monoclonal antibody or the antibody fragment thereof, thereby treating the inflammation in the subject.
- the administering the monoclonal antibody or the antibody fragment thereof reduces levels of at least inflammatory cytokine.
- the inflammation is an inflammasome-related inflammation.
- the inflammasome-related inflammation is associated with a viral infection, a central nervous system (CNS) injury, an autoimmune or neurodegenerative disease.
- the viral infection is caused by coronaviruses, such as SARS- CoV-2, MERS (Middle East Respiratory Virus) coronavirus, as well as an influenza virus, such as influenza A H5N1 (avian influenza) and influenza A H1N1 (swine flu).
- coronaviruses such as SARS- CoV-2, MERS (Middle East Respiratory Virus) coronavirus
- influenza virus such as influenza A H5N1 (avian influenza) and influenza A H1N1 (swine flu).
- the CNS injury selected from the group consisting of traumatic brain injury (TBI), stroke and spinal cord injury (SCI).
- TBI traumatic brain injury
- SCI spinal cord injury
- the autoimmune or neurodegenerative disease is amyotrophic lateral sclerosis (ALS), Alzheimer's disease, Parkinson's disease, muscular dystrophy (MD) or multiple sclerosis (MS).
- the administration of the monoclonal antibody or the antibody fragment thereof results in inhibition of inflammasome activation in the subject.
- the administration of the monoclonal antibody or the antibody fragment thereof results in a reduction in the activity of ASC as compared to a control.
- the control is an untreated subject.
- the administration is intracerebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- ARDS acute respiratory distress syndrome
- the administering the monoclonal antibody or the antibody fragment thereof reduces levels of at least inflammatory cytokine.
- the administration of the monoclonal antibody or the antibody fragment thereof results in inhibition of inflammasome activation in the subject.
- the administration of the monoclonal antibody or the antibody fragment thereof results in a reduction in the activity of ASC as compared to a control.
- the control is an untreated subject.
- the administration is intracerebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- a monoclonal antibody or an antibody fragment thereof that binds specifically to ASC wherein the antibody or the antibody fragment comprises a light chain variable (VL) region and a heavy chain variable (VH) region, wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- the VL region amino acid sequence comprises SEQ ID NO: 28, 29, 30, 31, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ.
- the ASC is human ASC protein.
- the antibody fragment is an Fab, an Ffab'h, an Fab', an scFv, a single domain antibody, a diabody or a single chain camelid antibody.
- the monoclonal antibody or the antibody fragment thereof is human, humanized or chimeric.
- provided herein is an isolated nucleic acid molecule encoding the monoclonal antibody or the antibody fragment thereof.
- provided herein is an expression vector comprising the nucleic acid molecule.
- the nucleic acid molecule is operatively linked to regulatory sequences suitable for expression of the nucleic acid segment in a host cell.
- a recombinant host cell comprising the expression vector.
- a method for producing an antibody or an antibody fragment that binds specifically to ASC comprising: culturing a recombinant host cell comprising the expression vector under conditions whereby the nucleic acid molecule is expressed, thereby producing the monoclonal antibody or the antibody fragment thereof that binds specifically to ASC.
- a pharmaceutical composition comprising the monoclonal antibody or the antibody fragment thereof, and a pharmaceutically acceptable carrier, diluent or excipient.
- a method of treating inflammation in a subject comprises administering to the subject a therapeutically effective amount of the monoclonal antibody or the antibody fragment thereof, thereby treating the inflammation in the subject.
- the administering the monoclonal antibody or the antibody fragment thereof reduces levels of at least inflammatory cytokine.
- the inflammation is an inflammasome- related inflammation.
- the inflammasome-related inflammation is associated with a central nervous system (CNS) injury, an autoimmune or neurodegenerative disease.
- the CNS injury selected from the group consisting of traumatic brain injury (TBI), stroke and spinal cord injury (SCI).
- the autoimmune or neurodegenerative disease is amyotrophic lateral sclerosis (ALS), Alzheimer's disease, Parkinson's disease, muscular dystrophy (MD) or multiple sclerosis (MS).
- ALS amyotrophic lateral sclerosis
- MD muscular dystrophy
- MS multiple sclerosis
- the administration of the monoclonal antibody or the antibody fragment thereof results in inhibition of inflammasome activation in the subject.
- the administration of the monoclonal antibody or the antibody fragment thereof results in a reduction in the activity of ASC as compared to a control.
- the control is an untreated subject.
- the administration is intracerebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- a method of treating virus-associated lung inflammation in a subject comprising administering to the subject a therapeutically effective amount of the monoclonal antibody or the antibody fragment thereof, thereby treating MS in the subject.
- the administering the monoclonal antibody or the antibody fragment thereof reduces levels of at least inflammatory cytokine.
- the administration of the monoclonal antibody or the antibody fragment thereof results in inhibition of inflammasome activation in the subject.
- the administration of the monoclonal antibody or the antibody fragment thereof results in a reduction in the activity of ASC as compared to a control.
- the control is an untreated subject.
- the administration is intracerebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- a monoclonal antibody or an antibody fragment thereof that binds specifically to ASC wherein the antibody or the antibody fragment comprises a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDRl of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3; and wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- VH heavy chain variable
- VL light chain variable
- the VH region amino acid sequence comprises SEQ ID NO: 18, 19, 20, 21, 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18, 19, 20, 21 or 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28, 29, 30, 31, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28, 29, 30 or 31.
- the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 31.
- the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ.
- the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- the ASC is human ASC protein.
- the antibody fragment is an Fab, an F(ab')2, an Fab', an scFv, a single domain antibody, a diabody or a single chain camelid antibody.
- the monoclonal antibody or the antibody fragment thereof is human, humanized or chimeric.
- an isolated nucleic acid molecule encoding the monoclonal antibody or the antibody fragment thereof.
- an expression vector comprising the nucleic acid molecule.
- the nucleic acid molecule is operatively linked to regulatory sequences suitable for expression of the nucleic acid segment in a host cell.
- a recombinant host cell comprising the expression vector.
- a method for producing an antibody or an antibody fragment that binds specifically to ASC comprising: culturing a recombinant host cell comprising the expression vector under conditions whereby the nucleic acid molecule is expressed, thereby producing the monoclonal antibody or the antibody fragment thereof that binds specifically to ASC.
- a pharmaceutical composition comprising the monoclonal antibody or the antibody fragment thereof, and a pharmaceutically acceptable carrier, diluent or excipient.
- a method of treating inflammation in a subject the method comprises administering to the subject a therapeutically effective amount of the monoclonal antibody or the antibody fragment thereof, thereby treating the inflammation in the subject.
- the administering the monoclonal antibody or the antibody fragment thereof reduces levels of at least inflammatory cytokine.
- the inflammation is an inflammasome-related inflammation.
- the inflammasome- related inflammation is associated with a viral infection, a central nervous system (CNS) injury, an autoimmune or neurodegenerative disease.
- the viral infection is caused by a coronavirus, such as SARS-CoV-2, or an influenza virus, such as influenza A H5N1 (avian influenza) and influenza A H1N1 (swine flu).
- the CNS injury selected from the group consisting of traumatic brain injury (TBI), stroke and spinal cord injury (SCI).
- the autoimmune or neurodegenerative disease is amyotrophic lateral sclerosis (ALS), Alzheimer's disease, Parkinson's disease, muscular dystrophy (MD) or multiple sclerosis (MS).
- ALS amyotrophic lateral sclerosis
- MD muscular dystrophy
- MS multiple sclerosis
- the administration of the monoclonal antibody or the antibody fragment thereof results in inhibition of inflammasome activation in the subject.
- the administration of the monoclonal antibody or the antibody fragment thereof results in a reduction in the activity of ASC as compared to a control.
- the control is an untreated subject.
- the administration is intracerebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- a method of treating multiple sclerosis (MS) in a subject comprises administering to the subject a therapeutically effective amount of the monoclonal antibody or the antibody fragment thereof, thereby treating MS in the subject.
- the administering the monoclonal antibody or the antibody fragment thereof reduces levels of at least inflammatory cytokine.
- the administration of the monoclonal antibody or the antibody fragment thereof results in inhibition of inflammasome activation in the subject.
- the administration of the monoclonal antibody or the antibody fragment thereof results in a reduction in the activity of ASC as compared to a control.
- the control is an untreated subject.
- the administration is intracerebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- samples from the hippocampus formation, the subiculum, and the entorhinal cortex brain from 17 donors with low-level AD pathology and 17 intermediate AD donors were assessed for expression of inflammasome proteins.
- NLRP NOD-like receptor proteins
- FIG. 1A-1N illustrate inflammasome activation in C57/BL6 mouse cortical and lung tissue post- TBI.
- FIG. 1A shows a representative immunoblot of active caspase-1, ASC, IL-18, IL-(3, HMGB1, and AIM2 after TBI.
- Active caspase-1 (FIG. IB), ASC (FIG. 1C), IL-18 (FIG. ID), HMGB1 (FIG. IE), AIM 2 (FIG. IF), and IL-(3, (FIG. 1G)
- FIG. 1A illustrate inflammasome activation in C57/BL6 mouse cortical and lung tissue post- TBI.
- FIG. 1A shows a representative immunoblot of active caspase-1, ASC, IL-18, IL-(3, HMGB1, and AIM2 after TBI.
- Active caspase-1 (FIG. IB), ASC (FIG. 1C), IL-18 (FIG. ID), HMGB1 (FI
- FIG. 1H shows a representative immunoblot of active caspase-1, ASC, IL-18, IL-0, HMGB1, and AIM2 in lung tissue.
- I, J, K, L, M, N Active caspase-1 (FIG. II), ASC (FIG. 1J), IL-18 (FIG. IK), HMGB1 (FIG. IL), AIM 2 (FIG. IM), and IL-3, (FIG. IN) are significantly elevated in lung tissue 4 and 24 h after TBI.
- Data presented as mean+/ _ SEM. N 4-5 per group, ****p ⁇ 0.001, ***p ⁇ 0.01, **p ⁇ 0.01, *p ⁇ 0.05 compared to sham.
- FIG. 2A-2C illustrates expression of inflammasome proteins in Type II alveolar epithelial cells.
- FIG. 2A shows AIM2
- FIG. 2B shows active Caspase-1
- FIG. 2C shows ASC immunoreactivity increases in lung tissue after CCI (4, 24 h) when compared to mice.
- Confocal images of AIM2, caspase- 1, and ASC green
- type II epithelial cells surfactant protein C, red).
- FIG. 3A-3E illustrates TBI increases nuclear and cytoplasmic HMGB1 expression in mice lung.
- FIG. 3A shows representative immunoblot of nuclear HMGB1 after TBI.
- FIG. 3B shows nuclear HMGB1 is significantly elevated in 4 hour injured animals compared to sham.
- FIG. 3C shows representative immunoblot of cytoplasmic HMGB1 after TBI.
- FIG. 3D shows cytoplasmic HMGB1 is significantly elevated in 4 hour injured animals compared to sham.
- Data presented as mean+/ _ SEM; *p ⁇ 0.05 compared to sham. N 4-5 per group.
- FIG. 3E shows HMGB1 immunoreactivity increased in lung tissue after CCI when compared to sham mice. Confocal images of HMGB1 and type II epithelial cells (surfactant protein C, red)
- FIG. 4A-4C illustrates Pyroptosome formation in mice lungs 4 hours post-TBI.
- FIG. 4A shows TBI induces laddering of ASC in lung tissue, indicating formation of the pyroptosome, an oligomerization of ASC dimers that leads to activation of caspase-1 and pyroptosis.
- FIG. 4B shows representative immunoblot and
- FIG. 5A-5B illustrates TBI induces alveolar morphological changes and acute lung injury in mice.
- FIG. 5A shows H&E staining of lung sections from sham and injured animals at 4 h and 24 h. Sections show evidence of neutrophil infiltration (arrow heads), changes in morphology of alveolar capillary membranes (asterisk, *), interstitial edema (short arrows), and evidence of thickening of the interstitium and the alveolar septum (pound, #).
- FIG. 6 illustrates expression of CD81 in serum-derived EV from control and TBI-injured mice. Representative immunoblot of CD81 in serum-derived EV from sham control and TBI-injured mice.
- FIG. 7A-7G illustrates adoptive transfer of EV from TBI animals induce caspase-1 and ASC in the lungs of uninjured mice.
- FIG. 7A illustrates a representative immunoblot showing that caspase-1 (FIG. 7B), ASC (FIG. 7C), IL-18 (FIG. 7D), AIM2 (FIG. 7E), HMGBl (FIG. 7F) are elevated in the lungs of animals that received EV isolated from TBI mice when compared to EV from sham animals.
- FIG. 8A-8F illustrates treatment with Enoxaparin (3 mg/kg) and IC 100 (5 mg/kg) reduces inflammasome expression in lungs of animals delivered EV from injured mice.
- FIG. 8A illustrates a representative immunoblot showing that caspase-1 (FIG. 8B), ASC (FIG. 8C), IL-1 ⁇ (FIG. 8D), AIM2 (FIG. 8E), HMGBl (FIG. 8F) are reduced in the lungs of animals that were treated with Enoxaparin and IC 100 when compared to untreated positive control animals.
- N 4 per group.
- FIG. 9A-9E illustrates treatment with Enoxaparin (3 mg/kg) and IC 100 (5 mg/kg) reduces ALI score in lungs of animals delivered EV from injured mice.
- FIG. 9A-9D illustrates H&E staining of lung sections from saline (FIG. 9A), untreated (FIG. 9B), Enoxaparin (FIG. 9C) and IC 100 (Anti-ASC; FIG. 9D) treated mice lungs delivered EV from injured animals. Sections show evidence of neutrophil infiltration, changes in morphology of alveolar capillary membranes, interstitial edema, and evidence of thickening of the interstitium and the alveolar septum.
- FIG. 10A-10F illustrates delivery of serum-derived EV from TBI patients results in increased inflammasome protein expression in pulmonary endothelial cells.
- FIG. 10A shows western blot representation of caspase-1, ASC, AIM2, HMGBl in PMVEC after incubation with TBI-EV and control- EV for 4 hours.
- FIG. 10A-10F illustrates delivery of serum-derived EV from TBI patients results in increased inflammasome protein expression in pulmonary endothelial cells.
- FIG. 10A shows western blot representation of caspase-1, ASC, AIM2, HMGBl in PMVEC after incubation with TBI-EV and control- EV for 4 hours.
- FIG. 10B-10E shows quantification of western blots
- FIG. 11A-11C illustrates delivery of TBI-EV to pulmonary endothelial cells increases immunoreactivity of active caspase-1 and cell death.
- FIG. 11A shows co-localization of Caspase-1 FLICA and PI staining and PMVEC incubated with TBI-EV for 4 hours.
- FIG. 11B shows caspsae-1 FLICA and PI staining in PMVEC incubated with control-EV for 4 hours.
- FIG. 12A-12E illustrates that treatment with a humanized anti-ASC monoclonal antibody (i.e., IC-100) improves functional outcome in EAE.
- FIG. 12A shows the clinical course of MOGas-ss-induced EAE in C57BL/6 mice treated with vehicle or increasing doses of IC-100.
- Administration of IC-100 (10, 30 and 45 mg/Kg i.p. every 4 days) was initiated at day 8, before the mice showed signs of paralysis. Results are expressed as daily mean clinical score +SEM of 9-10 mice/group. The 30 and 45 mg/Kg curves are significantly different than the vehicle curve; **p ⁇ 0.001 Mann-Whitney test.
- FIG. 12B shows a comparison of peak clinical scores (the highest disease score reached by a mouse) among groups; *p ⁇ 0.05, Student's t test.
- FIG. 12C shows a comparison of the Cumulative Disease Index (CDI) among groups. The CDI equals the sum of all scores from day of onset for each animal and is a measure of EAE severity; *p ⁇ 0.05, Student's t test.
- FIG. 12D shows a comparison of the onset day among groups. Day of onset is considered as the day a mouse showed the first EAE symptoms.
- FIG. 12E shows a comparison of the peak disease day among groups. Peak disease day is the day a mouse reached the highest disease score. Day of onset is considered as the day a mouse showed the first EAE symptoms.
- FIG. 13A-13B illustrates that IC-100 treatment reduces peripheral immune cell infiltration into the spinal cord following EAE.
- Results are expressed as average ⁇ SEM of 5 mice/group, *p ⁇ 0.05, **p ⁇ 0.001, Student's t test.
- FIG. 14 illustrates that IC-100 treatment reduces peripheral immune cell infiltration into the spinal cord following EAE.
- FIG. 15 illustrates how IC-100 inhibits inflammasome formation, blocking initiation of the immune response.
- FIG. 16 illustrates how IC 100 inhibits ASC in ASC specks, preventing perpetuation of inflammation.
- FIG. 17 illustrates a global view of the hippocampus, and strategy of the quantification of A ⁇ , ptau and the inflammasome components is shown in the diagram.
- A shows dotted lines represent the boundaries that were made in hippocampal regions of the Dentate Gyrus (DG); Cornu Ammonis Field 3 (CA3); Cornu Ammonis Field 2 (CA2); Cornu Ammonis Field 1 (CAI) and the subiculum (sub).
- FIG. 18 Illustrates AD neuropathological changes seen with A ⁇ and pTau.
- F Number of neurofibrillary tangles in hippocampal regions of the DG, CAI, CA2, CA3 and subiculum regions and in the entorhinal cortex between intermediate AD cases compared with low AD.
- AD Alzheimer's disease
- a ⁇ beta-Amyloid
- ptau hyperphosphorylated
- DG Dentate Gyrus
- CA3 Cornu Ammonis Field 3
- CA2 Cornu Ammonis Field 2
- CAI Cornu Ammonis Field 1
- Subiculum Sub
- entorhinal cortex EC
- FIG. 19 shows localization of NLRP3 in microglia. Immunoreactivity of NLRP3 in the CAI (A and C) and CA2 (B and D) hippocampal regions in a representative section of low (A and B) and in an intermediate AD (C and D) case. Expression of NLRP3 is seen mainly in the processes of the ramified microglia of low AD (A, Ai and B, Bi), whereas, in the intermediate AD the expression densely stains the processes of activated amoeboid-like microglia (C, Ci and D, Di).
- AD Alzheimer's disease
- NLRP NOD- like receptor proteins
- CA2 Cornu Ammonis Field 2
- CAI Cornu Ammonis Field 1
- Scale bar 60 ⁇ m
- insert scale bars 30 ⁇ m.
- Fig. 20 shows NLRP1 expression in hippocampal neurons. Immunoreactivity of NLRP1 in the CAI (A and C) and CA2 (B and D) hippocampal regions in low AD (A and B) and in intermediate AD (C and D) cases. Expression of NLRP1 is present in neurons and apical dendrites in the CAI region of low AD (A) more than in the CA2 (B) hippocampal region. In the intermediate AD, NLRP1 immunoreactivity is seen in numerous neurons and in parenchyma in the form of clusters (blue arrow) of the CAI (C) and CA2 (D).
- AD Alzheimer's disease
- NLRP NOD-like receptor proteins
- CA2 Cornu Ammonis Field 2
- CAI Cornu Ammonis Field 1
- Scale bar 60 ⁇ m.
- FIG. 21 illustrates differential expression of ASC in neurons and microglia.
- Mouse anti-ASC (A, C and E) cell type binding differs from IC10O's in the hippocampal formation and entorhinal cortex (B, D and F). Region-specific significant changes in cell counts between intermediate cases and low AD cases (E and F). Different morphologies of microglia are present in the CA1-CA2 boundary between low AD (A) and intermediate AD cases (C).
- Stereological analysis of cells stained with mouse anti-ASC was significant higher in intermediate AD cases in the DG, CA2, CAI and Sub regions, whereas IC100 stained mainly neurons in the DG, CA3, CA2 and CAI hippocampal regions of intermediate cases (D) compared with low AD ( B).
- Adaptor protein apoptosis-associated speck-like protein containing a caspase recruitment domain ASC
- Dentate Gyrus DG
- Cornu Ammonis Field 3 CA3
- Cornu Ammonis Field 2 CA2
- Cornu Ammonis Field 1 CAI
- Subiculum Sub
- entorhinal cortex EC
- Fig. 22 shows Caspase-1 protein expression in the CAI and CA2 hippocampal regions. Distribution of caspase-1 adjacent to neurons and in the tissue parenchyma in clusters that resemble amyloid deposits.
- the CAI (A) region of the of the low AD cases show a sparse cluster of caspase-1 in the vicinity of an A[3 plaque (B) and a neurofibrillary tangle and neuritic threads (C).
- B A[3 plaque
- C neurofibrillary tangle and neuritic threads
- D caspase-1 immunoreactivity defined
- E A ⁇ positive plaques
- F occasional neurofibrillary tangle present
- Fig. 23 provides Supplementary Data illustrating protein expression in tonsil and skin tissue.
- images A and B the NLRP3 expression is seen germinal center in tonsil (A) and the cells of the epidermis of the skin (B).
- the NLRP1 expression is need in lower levels of the germinal center in tonsil (C) and is seen mainly in the Langerhans cells of skin (D).
- Moderate expression of caspase-1 immunopositivity was seen in the tonsil (E) and in skin (F).
- protein and “polypeptide” are used synonymously to mean any peptide- linked chain of amino acids, regardless of length or post-translational modification, e.g., glycosylation or phosphorylation.
- the term "antibody” refers generally and broadly to immunoglobulins (Ig) molecules and immunologically active portions or fragments of immunoglobulin molecules, i.e., molecules that contain an antigen binding site that specifically binds (immunoreacts with) an antigen (e.g., ASC, NLRP1, AIM2, etc.)
- the antibodies provided herein can be polyclonal antibodies, monoclonal antibodies (mAbs), chimeric antibodies, humanized antibodies, anti-idiotypic (anti-ld) antibodies to antibodies that can be labeled in soluble or bound form, as well as active fragments, regions or derivatives thereof.
- the antibodies for use herein may be chimeric, humanized, or human.
- an antibody is said to specifically bind an antigen when it preferentially recognizes its target antigen in a complex mixture of proteins and/or macromolecules.
- the term “antibody” broadly refers to an immunoglobulin (Ig) molecule, generally comprising four polypeptide chains, two heavy (H) chains and two light (L) chains, or any functional fragment, mutant, variant, or derivative thereof, that retains the essential target binding features of an Ig molecule. Such mutant, variant, or derivative antibody formats are known in the art.
- Such anti-ASC and anti-NLRPl antibodies of the present invention are capable of binding portions of ASC and NLRP1, respectively, which interfere with caspase-1 activation.
- humanized antibody refers to an antibody in which minimal portions of a non-human antibody are introduced into an otherwise human antibody.
- human antibody refers to an antibody in which substantially every part of the protein is substantially non-immunogenic in humans, with only minor sequence changes or variations.
- each heavy chain comprises a heavy chain variable region (abbreviated herein as HCVR or VH) and a heavy chain constant region.
- the heavy chain constant region comprises three domains, CHI, CH2 and CH3.
- Each light chain comprises a light chain variable region (abbreviated herein as LCVR or VL) and a light chain constant region.
- the light chain constant region comprises one domain, CL.
- the VH and VL regions can be further subdivided into regions of hypervariability, termed complementarity determining regions (CDRs), interspersed with regions that are more conserved, termed framework regions (FRs).
- CDRs complementarity determining regions
- Each VH and VL is composed of three CDRs and four FRs, arranged from amino-terminus to carboxy-terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, FR4.
- Immunoglobulin molecules can be of any type (e.g., IgG, IgE, IgM, IgD, IgA and IgY) and class (e.g., IgGl, lgG2, lgG3, lgG4, IgAl and lgA2) or subclass.
- IgG, IgD, and IgE antibodies generally contain two identical heavy chains and two identical light chains and two antigen combining domains, each composed of a heavy chain variable region (VH) and a light chain variable region (VL).
- IgA antibodies are composed of two monomers, each monomer composed of two heavy chains and two light chains (as for IgG, IgD, and IgE antibodies); in this way the IgA molecule has four antigen binding domains, each again composed of a VH and a VL.
- Certain IgA antibodies are monomeric in that they are composed of two heavy chains and two light chains.
- Secreted IgM antibodies are generally composed of five monomers, each monomer composed of two heavy chains and two light chains (as for IgG and IgE antibodies); in this way the IgM molecule has ten antigen binding domains, each again composed of a VH and a VL.
- a cell surface form of IgM also exists and this has two heavy chain/two light chain structure similar to IgG, IgD, and IgE antibodies.
- binding fragment or “antigen binding portion” or “antigen binding site” or “binding domain” or “binding region”, as used herein, can refer to the domain, region, portion, or site of a protein, polypeptide, oligopeptide, or peptide or antibody or binding domain derived from an antibody that retains the ability to specifically bind to an antigen (e.g., ASC protein).
- exemplary binding domains include single-chain antibody variable regions (e.g., domain antibodies, sFv, scFv, scFab), fusion proteins comprising an antibody portion (e.g., a domain antibody), receptor ectodomains, and ligands (e.g., cytokines, chemokines).
- the fusion protein comprises one or more CDR(s). In another embodiment, the fusion protein comprises CDR H3 (VH CDR3) and/or CDR L3 (VL CDR3).
- a fusion protein contains one or more antibodies and additional amino acid sequence such as for example, a heterologous sequence or a homologous sequence from another region, attached to the N- or C-terminus of the antibody or antibody fragment thereof.
- exemplary heterologous sequences include but are not limited to a "tag" such as a FLAG tag or a 6His tag or an enzyme or a polypeptide which increases the half-life of the antibody in the blood. Tags are well known in the art.
- An antigen binding site can be generally formed by the heavy chain variable region (VH) and the light chain variable region (VL) immunoglobulin domains, with the antigen-binding interface formed by six surface polypeptide loops, termed complementarity determining regions (CDRs). There are three CDRs each in VH (HCDR1, HCDR2, HCDR3) and VL (LCDR1, LCDR2, LCDR3), together with framework regions (FRs).
- VH heavy chain variable region
- VL light chain variable region
- CDRs complementarity determining regions
- the binding domain comprises or consists of an antigen binding site (e.g., comprising a variable heavy chain sequence and variable light chain sequence or three light chain complementary determining regions (CDRs) and three heavy chain CDRs from an antibody placed into alternative framework regions (FRs) (e.g., human FRs optionally comprising one or more amino acid substitutions).
- an antigen binding site e.g., comprising a variable heavy chain sequence and variable light chain sequence or three light chain complementary determining regions (CDRs) and three heavy chain CDRs from an antibody placed into alternative framework regions (FRs) (e.g., human FRs optionally comprising one or more amino acid substitutions).
- FRs alternative framework regions
- CDR region can mean the hypervariable regions of the heavy or light chains of the immunoglobulin as defined by Kabat et al., 1991 (Kabat, E. A. et al., (1991) Sequences of Proteins of Immunological Interest, 5th Edition. US Department of Health and Human Services, Public Service, NIH, Washington), and later editions.
- An antibody typically contains 3 heavy chain CDRs and 3 light chain CDRs.
- antigen binding function of an antibody can be performed by fragments of a full-length antibody.
- Antibody and antibody fragment embodiments may also be bispecific, trispecific, dual specific, or multi-specific formats; specifically binding to two or more different antigens.
- binding fragments encompassed within the term "antigen binding fragment" of an antibody include: (i) an Fab fragment consisting of VL, VH, CL and CHI domains (Ward, E. S.
- the invention also encompasses an Fab' fragment.
- VL and VH are coded for by separate genes, they can be joined, using recombinant methods, by a synthetic linker that enables them to be made as a single protein chain in which the VL and VH regions pair to form monovalent molecules (known as single chain Fv (scFv).
- single chain Fv Single chain Fv
- scFv molecules may be incorporated into a fusion protein.
- the invention includes a single chain camelid antibody; (viii) bispecific single chain Fv dimers (PCT/U.S. Pat. No.
- Diabodies are bivalent, bispecific antibodies in which VH and VL domains are expressed on a single polypeptide chain, but using a linker that is too short to allow for pairing between the two domains on the same chain, thereby forcing the domains to pair with complementary domains of another chain and creatingtwo antigen binding sites (see e.g., Holliger, P., et al. (1993) Proc. Natl. Acad. Sci.
- the invention includes a single domain antibody.
- antibody when used herein encompasses an "antibody fragment.”
- An antibody fragment generally retains the antigen-binding properties of a full-length antibody.
- Fv, scFv or diabody molecules may be stabilized by incorporation of disulfide bridges linking the VH and VL domains (Reiter, Y. et aL, Nature Biotech, 14, 1239-1245, 1996).
- Minibodies comprising a scFv joined to a CH3 domain may also be made (Hu, S. et al., (1996) Cancer Res., 56, 3055-3061).
- binding fragments can be Fab', which differs from Fab fragments by the addition of a few residues at the carboxyl terminus of the heavy chain CHI domain, including one or more cysteines from the antibody hinge region, and Fab'-SH, which is a Fab' fragment in which the cysteine residue(s) of the constant domains bear a free thiol group.
- Fv when used herein can refer to the minimum fragment of an antibody that retains both antigen-recognition and antigen-binding sites.
- Fab when used herein can refer to a fragment of an antibody that comprises the constant domain of the light chain and the CHI domain of the heavy chain.
- mAb refers to monoclonal antibody.
- Fc region or “Fc domain” refers to a polypeptide sequence corresponding to or derived from the portion of a source antibody that is responsible for binding to antibody receptors on cells and the Clq component of complement.
- Fc stands for "fragment crystalline," the fragment of an antibody that will readily form a protein crystal. Distinct protein fragments, which were originally described by proteolytic digestion, can define the overall general structure of an immunoglobulin protein. As originally defined in the literature, the Fc fragment consists of the disulfide-linked heavy chain hinge regions, CH2, and CH3 domains.
- the term has been applied to a single chain consisting of CH3, CH2, and at least a portion of the hinge sufficient to form a disu Ifide-linked dimer with a second such chain.
- Fc includes variants of naturally occurring sequences.
- the antibodies or antibody fragments derived therefrom provided herein e.g., the anti- ASC monoclonal antibodies or antibody fragments thereof
- the modified Fc region or domain can confer increased thermal stability to the resultant antibody or antibody fragment derived therefrom.
- the increased thermal stability can result in increased serum half-life.
- the Fc region or domain can be modified as described in US20160193295, the contents of which are herein incorporated by reference. As described in US20160193295, the Fc region or domain can be modified to possess a deletion of one or more cysteine residues in the hinge region and substitution with a sulfhydryl-containing residue of one or more CH3-interface amino acids.
- the Fc region or domain of the antibodies or antibody fragments derived therefrom provided herein can be stabilized by engineering the Fc region to possess intradomain disulfide bonds as described in Wozniak-Knopp G, Stadlmann J, Ruker F (2012) Stabilisation of the Fc Fragment of Human IgGl by Engineered Intradomain Disulfide Bonds. PLoS ONE 7(1): e30083, the contents of which are herein incorporated by reference.
- the antibodies have Fc regions modified as described in WO 99/58572, which is herein incorporated by reference.
- the Fc region or domain can be modified as described in U.S. Pat. No. 9,574,010, the contents of which are herein incorporated by reference.
- Apoptosis-associated Speck-like protein containing a Caspase Activating Recruitment Domain is meant an expression product of an ASC gene or isoforms thereof, or a protein that shares at least 65%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99%) amino acid sequence identity with ASC (e.g., NP_037390 (Q.9ULZ3-1), NP_660183 (Q.9ULZ3-2) or Q9ULZ3-3 in human, NP_075747 in mouse or NP_758825 (BAC43754) in rat) and displays a functional activity of ASC.
- a "functional activity" of a protein is any activity associated with the physiological function of the protein. Functional activities of ASC include, for example, recruitment of proteins for activation of caspase-1 and initiation of cell death.
- ASC gene or "ASC nucleic acid” is meant a native ASC-encoding nucleic acid sequence, genomic sequences from which ASC cDNA can be transcribed, and/or allelic variants and homologues of the foregoing.
- the terms encompass double-stranded DNA, single-stranded DNA, and
- RNA RNA.
- inflammasome means a multi-protein (e.g., at least two proteins) complex that activates caspase-1. Further, the term “inflammasome” can refer to a multi-protein complex that activates caspase-1 activity, which in turn regulates IL-1 ⁇ , IL-18 and IL-33 processing and activation. See Arend et al. 2008; Li et al. 2008; and Martinon et al. 2002, each of which is incorporated by reference in their entireties.
- NLRP1 inflammasome mean a protein complex of at least caspase-1 and one adaptor protein, e.g., ASC.
- NLRP1 inflammasome and "NALP1 inflammasome” can mean a multiprotein complex containing NLRP1, ASC, caspase-1, caspase- 11, XIAP, and pannexin-1 for activation of caspase-1 and processing of interleukin-1 ⁇ , interleukin-18 and interleukin-33.
- NLRP2 inflammasome and NALP2 inflammasome can mean a multiprotein complex containing NLRP2 (aka NALP2), ASC and caspase-1
- NLRP3 inflammasome and NALP3 inflammasome can mean a multiprotein complex containing NLRP3 (aka NALP3)
- ASC and the terms “NLRC4 inflammasome” and “IPAF inflammasome” can mean a multiprotein complex containing NLRC4 (aka IPAF), ASC and caspase-1
- AIM2 Inflammasome can mean a multiprotein complex comprising AIM2, ASC and caspase-1.
- sequence identity means the percentage of identical subunits at corresponding positions in two sequences (e.g., nucleic acid sequences, amino acid sequences) when the two sequences are aligned to maximize subunit matching, i.e., taking into account gaps and insertions. Sequence identity can be measured using sequence analysis software (e.g., Sequence Analysis Software Package from Accelrys CGC, San Diego, Calif.).
- compositions described herein can be administered from one or more times per day to one or more times per week. The skilled artisan will appreciate that certain factors can influence the dosage and timing required to effectively treat a subject, including but not limited to, the severity of the disease or disorder, previous treatments, the general health and/or age of the subject, and other diseases present.
- treatment of a subject with a therapeutically effective amount of the compositions of the invention can include a single treatment or a series of treatments.
- treatment is defined as the application or administration of a therapeutic agent described herein, or identified by a method described herein, to a patient, or application or administration of the therapeutic agent to an isolated tissue or cell line from a patient, who has a disease, a symptom of disease or a predisposition toward a disease, with the purpose to cure, heal, alleviate, relieve, alter, remedy, ameliorate, improve or affect the disease, the symptoms of disease, or the predisposition toward disease.
- patient "subject” and “individual” are used interchangeably herein and mean a mammalian subject to be treated.
- the mammalian patient is human.
- the methods of the invention find use in experimental animals, in veterinary applications, and in the develo ⁇ ment of animal models for disease, including, but not limited to, rodents including mice, rats, and hamsters, as well as primates.
- “Absent in Melanoma 2” and “AIM2” can mean an expression product of an AIM2 gene or isoforms; or a protein that shares at least 65%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% amino acid sequence identity with AIM2 (e.g., accession number(s) NX 014862, NP004824, XP016858337, XP005245673, AAB81613, BAF84731, AAH10940) and displays a functional activity of AIM2.
- AIM2 accession number(s) NX 014862, NP004824, XP016858337, XP005245673, AAB81613, BAF84731, AAH10940
- accession number(s) AAH51787, NP_001028225, NP_127500, NP_127499, NP_127497, NP055737 displays a functional activity of NALP1.
- NALP2 and NLRP2 mean an expression product of an NALP2 or NLRP2 gene or isoforms; or a protein that shares at least 65%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% amino acid sequence identity with NALP2 (e.g., accession number(s) NP_001167552, NP_001167553, NP_001167554 or NP_060322) and displays a functional activity of NALP2.
- accession number(s) NP_001167552, NP_001167553, NP_001167554 or NP_060322 e.g., accession number(s) NP_001167552, NP_001167553, NP_001167554 or NP_060322
- NALP3 and NLRP3 mean an expression product of an NALP3 or NLRP3 gene or isoforms; or a protein that shares at least 65%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% amino acid sequence identity with NALP3 (e.g., accession number(s) NP_001073289, NP_001120933, NP_001120934, NP_001230062, NP_004886, NP_899632, XP_011542350, XP_016855670, XP_016855671, XP_016855672 or XP_016855673) and displays a functional activity of NALP3.
- NLRC4 and I PAF mean an expression product of an NLRC4 or IPAF gene or isoforms; or a protein that shares at least 65%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, or 99% amino acid sequence identity with NLRC4 (e.g., accession number(s) NP_001186067, NP001186068, NP_001289433 or NP_067032) and displays a functional activity of NLRC4.
- stroke and "ischemic stroke” is meant when blood flow is interrupted to part of the brain or spinal cord.
- traumatic injury to the CNS is meant any insult to the CNS from an external mechanical force, possibly leading to permanent or temporary impairments of CNS function.
- ASC Caspase Activating Recruitment Domain
- the monoclonal antibodies or fragments thereof can bind specifically to an antigenic fragment of ASC that comprises, consists of or consists essentially of an amino acid sequence of SEQ. ID NO. 5.
- the invention contemplates use of the monoclonal antibodies or antibody fragments thereof in a method for treating inflammation in a subject.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the monoclonal antibodies or antibody fragments thereof provided herein can be used in a method for reducing inflammation in a mammal as described in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in their entirety.
- the inflammation can be in the lungs and/or the central nervous system (CNS).
- the inflammation in the lungs and/or the CNS can be the result of an infection (viral or bacterial), an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- an infection viral or bacterial
- an injury e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)
- TBI traumatic brain injury
- SCI spinal cord injury
- the viral infection can be caused by a coronavirus, such as SARS-CoV-2, or an influenza virus, such as influenza A H5N1 (avian influenza) and influenza A H1N1 (swine flu).
- a coronavirus such as SARS-CoV-2
- influenza virus such as influenza A H5N1 (avian influenza) and influenza A H1N1 (swine flu).
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- the monoclonal antibodies and fragments thereof described herein may be used prophy
- the patients to be treated by the methods of the invention may be experiencing a hyperinflammatory response also known as cytokine storm syndrome.
- Cytokine storm syndrome is a secondary haemophagocytic lymphohistocytosis (sHLH) characterized by fulminant hypercytokemia that results in multiorgan failure (Mehta, McAuley et al. 2020).
- the antibodies, antibody fragments and methods of the invention may be used to treat or prevent hyperinflammation or cytokine storm syndrome associated with a viral infection, including hyperinflammation and cytokine storms associated with SARS-CoV-2 infections.
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the antibodies and fragments thereof employed in the methods described herein bind to and inhibit the ASC part of the inflammasome, thus preventing assembly of the multiprotein inflammasome required for initiation of the inflammatory response (FIG. 15).
- the antibodies and fragments thereof may also bind to and inhibit ASC in ASC specks or ASC monomers, both intracellularly and extracellularly. This inhibits propagation of the large filamentous signaling platform, preventing perpetuation of inflammation associated with chronic inflammatory diseases mediated by ASC-dependent inflammasomes (FIG. 16).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat lung inflammation associated with a viral infection by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from viral-associated lung inflammation, including ARDS and/or ALL
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NLRP1, NLRP3, AIM2, etc.)
- the other agents can be those having possible utility in treating viral infections or the body's hyper-response to viral infections, including hydroxychloroquine, chloroquine, and immunosuppressive drugs including but not limited to steroids, selective cytokine blockade (e.g., anakinra or tocilizumab), JAK inhibitors, interleukin inhibitors, including IL-1 ⁇ and IL-6 inhibitors, TNF inhibitors, and CSF inhibitors, as well as anti-coagulants such as low molecular weight heparin, tissue plasminogen activator or Enoxaparin.
- IL-18 e.g., caspase-1, NLRP1, NLRP3, AIM2, etc.
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NALP1, AIM2, etc.)
- the invention also encompasses monoclonal antibodies or antibody fragments thereof that binds specifically to ASC, wherein the antibody or the antibody fragment comprises a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDR1 of SEQ. ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3.
- the invention contemplates use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation in a subject.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the monoclonal antibodies or antibody fragments thereof provided herein can be used in a method for reducing inflammation in a mammal as described in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in their entirety.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method fortreating inflammation can reduce inflammation in the CNS and/or lungs of the patient.
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce innate immune or inflammasome-related inflammation in the patient.
- the reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat lung inflammation associated with a viral infection by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from viral-associated lung inflammation, including ARDS and/or ALL
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NLRP1, NLRP3, AIM2, etc.)
- the other agents can be those having possible utility in treating viral infections or the body's hyper-response to viral infections, including hydroxychloroquine, chloroquine, and immunosuppressive drugs including but not limited to steroids, selective cytokine blockade (e.g., anakinra or tocilizumab), JAK inhibitors, interleukin inhibitors, including IL-1 ⁇ and IL-6 inhibitors, TN F inhibitors, and CSF inhibitors as well as anticoagulants such as low molecular weight heparin, tissue plasminogen activator or Enoxaparin.
- IL-18 e.g., caspase-1, NLRP1, NLRP3, AIM2, etc.
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NALP1, AIM2, etc.)
- the invention provides monoclonal antibodies or an antibody fragments thereof that binds specifically to ASC, wherein the antibody or the antibody fragment comprises a light chain variable (VL) region and a heavy chain variable (VH) region, wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- the invention contemplates use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation in a subject.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the monoclonal antibodies or antibody fragments thereof provided herein can be used in a method for reducing inflammation in a mammal as described in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in their entirety.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient.
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce innate immune or inflammasome-related inflammation in the patient.
- the reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat lung inflammation associated with a viral infection by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from viral-associated lung inflammation, including ARDS and/or ALL
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NALP1, AIM2, etc.).
- the other agents can be those having possible utility in treating viral infections or the body's hyper-response to viral infections, including hydroxychloroquine, chloroquine, and immunosuppressive drugs including but not limited to steroids, selective cytokine blockade (e.g., anakinra or tocilizumab), JAK inhibitors, interleukin inhibitors, including IL-1 ⁇ and IL-6 inhibitors, TNF inhibitors, and CSF inhibitors as well as anti-coagulants such as low molecular weight heparin, tissue plasminogen activator or Enoxaparin.
- cytokine blockade e.g., anakinra or tocilizumab
- JAK inhibitors interleukin inhibitors, including
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NALP1, AIM2, etc.).
- the invention also provides monoclonal antibodies or an antibody fragments thereof that binds specifically to ASC, wherein the antibody or the antibody fragment comprises a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3; and wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- VH heavy chain variable
- VL light chain variable
- the invention contemplates use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation in a subject.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the monoclonal antibodies or antibody fragments thereof provided herein can be used in a method for reducing inflammation in a mammal as described in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in their entirety.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- an injury e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)
- disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient.
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce innate immune or inflammasome-related inflammation in the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat lung inflammation associated with a viral infection by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from viral-associated lung inflammation, including ARDS and/or ALL
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NLRP1, NLRP3, AIM2, etc.).
- agent provided herein e.g., EV uptake inhibitors
- antibodies or antibody fragments directed against other inflammasome components e.g., IL-18, caspase-1, NLRP1, NLRP3, AIM2, etc.
- the other agents can be those having possible utility in treating viral infections or the body's hyper-response to viral infections, including hydroxychloroquine, chloroquine, and immunosuppressive drugs including but not limited to steroids, selective cytokine blockade (e.g., anakinra or tocilizumab), JAK inhibitors, interleukin inhibitors, including IL-1 ⁇ and IL-6 inhibitors, TNF inhibitors, and CSF inhibitors as well as anti-coagulants such as low molecular weight heparin, tissue plasminogen activator or Enoxaparin.
- selective cytokine blockade e.g., anakinra or tocilizumab
- JAK inhibitors e.g., JAK inhibitors
- interleukin inhibitors including IL-1 ⁇ and IL-6 inhibitors
- TNF inhibitors IL-1 ⁇ and IL-6 inhibitors
- CSF inhibitors as well as anti-coagulants such as low molecular weight heparin, tissue
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or antibody fragment thereof of this embodiment can be present in a composition such as, for example, a pharmaceutical composition as provided herein.
- the monoclonal antibody or fragment thereof is used in combination with one or more other agents in the methods of treatment provided herein.
- the other agents can be any agent provided herein (e.g., EV uptake inhibitors) and/or antibodies or antibody fragments directed against other inflammasome components (e.g., IL-18, caspase-1, NALP1, AIM2, etc.)
- compositions and methods for reducing innate immune or inflammasome-related inflammation are provided herein.
- the inflammasome-related inflammation is in the CNS of a mammal that has been subjected to or is afflicted by a condition that results in or causes innate immune or inflammasome-related inflammation.
- the compositions and methods described herein can include antibodies or active fragments thereof as provided herein that specifically bind to at least one component (e.g., ASC) of a mammalian inflammasome and/or compounds that modulate (e.g., inhibit or reduce) extracellular vesicle (EV) uptake and have use as treatments for CNS inflammation in a mammal.
- ASC extracellular vesicle
- Examples of conditions that can lead to inflammation in the CNS include a viral infection, a CNS injury (e.g., spinal cord injury (SCI), traumatic brain injury (TBI) or stroke), a neurodegenerative disease, an autoimmune disease (e.g., MS), asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, interstitial lung disease or acute respiratory distress syndrome.
- the composition can be administered in a therapeutically effective amount.
- the therapeutically effective amount can be a dose as provided herein.
- the agent can be an extracellular vesicle (EV) uptake inhibitor and/or an antibody or an active fragment thereof as provided herein that binds to a component of an inflammasome or a combination thereof.
- the composition can be administered by any suitable route, e.g., by inhalation, intravenously, intraperitoneally, intranasally or intracerebroventricularly.
- the composition can further include at least one pharmaceutically acceptable carrier or diluent.
- compositions and methods for treating a viral infection or lung inflammation in a subject that is suffering from or is suspected of suffering from a viral infection including ARDS.
- the methods for treating viral-associated lung inflammation provided herein can entail administering a composition (e.g., a pharmaceutical composition) comprising an agent to the subject suffering from or suspected of suffering from lung inflammation.
- a composition e.g., a pharmaceutical composition
- the subject can present with clinical symptoms consistent with viral infection.
- the subject can be diagnosed with any type of virus known in the art.
- the virus can be a coronavirus, such as SARS-CoV-2, MERS coronavirus, Herpes viruses, such as herpes simplex virus (HSV) and cytomegalovirus (CMV), or an influenza virus, such as influenza A H5N1 (avian influenza) and influenza A H1N1 (swine flu).
- a coronavirus such as SARS-CoV-2, MERS coronavirus
- Herpes viruses such as herpes simplex virus (HSV) and cytomegalovirus (CMV)
- an influenza virus such as influenza A H5N1 (avian influenza) and influenza A H1N1 (swine flu).
- compositions and methods for treating Multiple Sclerosis (MS) in a subject that is suffering from or is suspected of suffering from MS can entail administering a composition (e.g., a pharmaceutical composition) comprising an agent to the subject suffering from or suspected of suffering from MS.
- Multiple sclerosis (MS) is an autoimmune disease that affects the brain and spinal cord.
- the subject can present with clinical symptoms consistent with MS.
- the subject can be diagnosed with any type of MS known in the art.
- the MS can be relapsing-remitting MS (RRMS), secondary-progressive MS (SPMS), primary-progressive MS (PPMS), or progressive-relapsing MS (PRMS).
- the MS diagnosis can be or can have been determined using any method known in the art.
- the subject has been diagnosed as having MS using the methods detail in U.S. 62/560,963, filed Sep. 20, 2017, the contents of which are herein incorporated by reference in their entirety.
- the agent can be a standard of care treatment known in the art for MS or viral infections, an EV uptake inhibitor (e.g., any EV uptake inhibitor from Table 1), an antibody or antibody fragment thereof as provided herein that binds to a component of an inflammasome (e.g., an anti-ASC monoclonal antibody or antibody fragment thereof) or any combination thereof.
- the composition can be administered by any suitable route, e.g., by inhalation, intravenously, intraperitoneally, intranasally or intracerebroventricularly.
- the composition can further include at least one pharmaceutically acceptable carrier or diluent.
- the standard of care treatment can be selected from therapies directed towards modifying disease outcome, managing relapses, managing symptoms or any combination thereof.
- the therapies directed toward modifying disease outcome can be selected from betainterferons, glatiramer acetate, fingolimod, teriflunomide, dimethyl fumarate, mitoxantrone, ocrelizumab, alemtuzumab, daclizumab and natalizumab.
- compositions and methods for reducing inflammation in the lungs of a mammal that has been subjected to or is afflicted by a condition that results in or causes lung inflammation.
- the compositions and methods described herein can include antibodies or active fragments thereof as provided herein that specifically bind to at least one component (e.g., ASC) of a mammalian inflammasome and/or compounds that modulate (e.g., inhibit or reduce) extracellular vesicle (EV) uptake and have use as treatments for lung inflammation in a mammal.
- ASC extracellular vesicle
- the method of treating inflammation in the lungs of a mammal comprises administering to the mammal a composition comprising an agent that inhibits inflammasome signaling.
- the mammal can be a patient or subject as provided herein.
- Examples of conditions that can lead to inflammation in the lungs include a central nervous system (CNS) injury (e.g., spinal cord injury (SCI), traumatic brain injury (TBI) or stroke), a neurodegenerative disease, an autoimmune disease (e.g., MS), asthma, chronic obstructive pulmonary disease (COPD), cystic fibrosis, interstitial lung disease or acute respiratory distress syndrome.
- the composition can be administered in a therapeutically effective amount.
- the therapeutically effective amount can be a dose as provided herein.
- the agent can be an extracellular vesicle (EV) uptake inhibitor, an antibody or an active fragment thereof as provided herein that binds to a component of an inflammasome or a combination thereof.
- the composition can be administered by any suitable route, e.g., by inhalation, intravenously, intraperitoneally, intranasally, or intracerebroventricularly.
- the composition can further include at least one pharmaceutically acceptable carrier or diluent.
- administration of an agent in the methods provided herein can result in a reduction in the activity and/or expression level of a component of a mammalian inflammasome in the CNS or lungs of the subject.
- the reduction can be in cells of the lung such as, for example, Type II alveolar cells.
- the reduction can be in comparison to a control.
- the control can be the subject prior to administration of the agent.
- the control can be the activity and/or expression level of the inflammasome component(s) in a subject not administered the agent.
- administration of the agent results in the reduction of caspase-1 activation in at least the CNS or CNS cells of the subject. In one embodiment, administration of the agent results in the reduction of caspase-1 activation in at least the lungs or lung cells of the subject. In one embodiment, administration of the agent results in the reduction of the expression level of one or more inflammasome components (e.g., ASC, AIM2, NALP1, NALP2, NALP2, NALP3 or NLRC4) in at least the CNS or CNS cells of the subject.
- one or more inflammasome components e.g., ASC, AIM2, NALP1, NALP2, NALP2, NALP3 or NLRC4
- administration of the agent results in the reduction of the expression level of one or more inflammasome components (e.g., ASC, AIM2, NALP1, NALP2, NALP2, NALP3 or NLRC4) in at least the lungs or lung cells of the subject.
- one or more inflammasome components e.g., ASC, AIM2, NALP1, NALP2, NALP2, NALP3 or NLRC4
- administration of the agent can result in a reduction in or elimination of acute lung injury (ALI).
- ALI acute lung injury
- the reduction in ALI is evidenced by a reduction in neutrophil infiltration into alveolar and/or interstitial space, reduced or absent alveolar septal thickening or a combination thereof.
- the reduction can be in comparison to a control.
- the control can be ALI in the subject prior to administration of the agent.
- the control can be ALI in a subject suffering from ALI not administered the agent.
- administration of the agent can result in a reduction in or elimination of pyroptosis in the CNS or lungs of the subject.
- Pyroptosis is a proinflammatory form of cell death that involves activation of caspase-1. Pyroptosis can be triggered by the caspase-1 mediated cleavage of gasdermin D (GSDMD).
- GSDMD gasdermin D
- the reduction in pyroptosis is evidenced by a reduction in or lack of cleavage of GSDMD in the lungs or lung cells (e.g., Type II alveolar cells) of the subject.
- the reduction or elimination of pyroptosis can be in comparison to a control.
- the reduction in or lack of cleavage of GSDMD can be in comparison to a control.
- the control can be the level of pyroptosis in the subject prior to administration of the agent.
- the control can be the level of pyroptosis in a subject suffering from pyroptosis not administered the agent.
- a method of treatment provided herein e.g., treating MS, innate immune or inflammasome-related inflammation, CNS inflammation and/or lung inflammation
- the methods of treating provided herein further comprise measuring the level of at least one inflammasome protein in a biological sample obtained from the subject following treatment, preparing a treatment inflammasome protein signature associated with a positive response to the treatment, wherein the treatment protein signature comprises a reduced level of at least one inflammasome protein, and identifying subjects exhibiting the presence of the treatment protein signature as responding positively to the treatment.
- a reduction in the level, abundance, or concentration of one or more inflammasome proteins is indicative of the efficacy of the treatment in the subject.
- the one or more inflammasome proteins measured in the sample obtained following treatment may be the same as or differentthan the inflammasome proteins measured in a sample obtained prior to treatment.
- the inflammasome protein levels may also be used to adjust dosage or frequency of a treatment.
- the inflammasome protein levels can be ascertained using the methods and techniques provided herein or as found in US WO 2019/060516, filed Sep. 20, 2018.
- the agent to be administered in the method of treatments provided herein is an EV uptake inhibitor.
- the EV uptake inhibitor can be a compound, antisense RNA, siRNA, peptide, antibody or an active fragment thereof as provided herein or a combination thereof.
- the compound or peptide can be one or more compounds selected from heparin, a- difluoromethylornithine (DFMO), Enoxaparin, Asialofetuin, Human receptor-associated protein (RAP), RGD (Arg-Gly-Asp) peptide, Cytochalasin D, Cytochalasin B, Ethylenediamine tetraacetic acid (EDTA), Latrunculin A, Latrunculin B, NSC23766, Dynasore, Chlorpromazine, 5-(N-Ethyl-N-isopropyl)amiloride (EIPA), Amiloride, Bafilomycin A Monensin and Chloroquine, Annexin-V, Wortmannin, LY294002, Methyl-
- the EV uptake inhibitor antibody or an active fragment thereof as provided herein can be one or more antibodies or active fragments thereof directed against protein targets listed in Table 1.
- a composition for treating and/or reducing inflammation in the CNS or lungs of a mammal using an EV uptake inhibitor can further include at least one pharmaceutically acceptable carrier or diluent.
- the agent to be administered is an antibody or an active fragment thereof as provided herein directed against a component of a mammalian inflammasome or an antigen or epitope derived therefrom.
- the agent to be administered is an antisense RNA or siRNA directed against a component of a mammalian inflammasome.
- the inflammasome component can be a component of any inflammasome known in the art, such as, for example, the NAPL1, NALP2, NALP3, NLRC4 or AIM2 inflammasome.
- the antibody specifically binds to ASC or an antigen or epitope derived therefrom.
- an antibody against any other component of a mammalian inflammasome may be used.
- An antibody as described herein can be a monoclonal or polyclonal antibody or active fragments thereof. Said antibodies or active fragments can be chimeric, human or humanized as described herein.
- any suitable antibody or an active fragment thereof as provided herein that specifically binds ASC can be used, e.g., an antibody that inhibits ASC activity in the CNS (e.g., CNS cells) or lung cells (e.g., Type II alveolar cells) of the subject.
- the antibody specifically binds to an amino acid sequence having at least 85% sequence identity with amino acid sequence SEQ ID NO:1 or SEQ ID NO:2.
- the antibody or fragment thereof binds to an amino acid sequence having at least 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity with amino acid sequence KKFKLKLLSVPLREGYGRIPR (SEQ. ID NO: 5).
- the antibody or fragment thereof binds to an amino acid sequence KKFKLKLLSVPLREGYGRIPR (SEQ ID NO: 5) or 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 amino acids of SEQ ID NO: 5.
- the antibody or fragment thereof binds to 2-5, 5-10, 10-15 or 15-20 amino acids of SEQ ID NO: 5.
- an epitope of ASC e.g., epitope with amino acid SEQ ID NO: 5 bound by an antibody or antibody fragment is continuous.
- an epitope of ASC e.g., epitope with amino acid SEQ ID NO: 5 bound by an antibody or antibody fragment is discontinuous.
- the monoclonal antibody or the antibody fragment thereof provided herein inhibits or reduces the activity of ASC.
- epitope includes any protein determinant capable of specific binding to an immunoglobulin or an immunoglobulin fragment. Epitopic determinants usually consist of chemically active surface groupings of molecules such as amino acids or sugar side chains and usually have specific three-dimensional structural characteristics, as well as specific charge characteristics.
- epitopic determinants also refers to a unit of structure conventionally bound by an immunoglobulin heavy chain variable (VH) region and a light chain variable (VL) region pair.
- VH immunoglobulin heavy chain variable
- VL light chain variable
- An epitope may define the minimum binding site for an antibody, and thus represent the target of specificity of an antibody.
- the inflammasome is the NALP1 inflammasome, and the at least one component is NALP1 (i.e., NLRP1).
- the antibody or an active fragment thereof as provided herein specifically binds to an amino acid sequence having at least 85% sequence identity with amino acid sequence SEQ. ID NO: 3 or SEQ ID NO: 4.
- the agent is one or more EV uptake inhibitors in combination with one or more antibodies or active fragments thereof as provided herein that bind a component of an inflammasome.
- the EV uptake inhibitor can be any EV uptake inhibitor as provided herein.
- the antibody that binds a component of an inflammasome can be any antibody that binds any inflammasome component as provided herein.
- the agent administered to a subject suffering from CNS or lung inflammation comprises a heparin (e.g., Enoxaparin) in combination with an antibody that binds a component of the AIM2 inflammasome (e.g., ASC).
- the method comprises: providing a therapeutically effective amount of a composition including an antibody or an active fragment thereof as provided herein that specifically binds to at least one component (e.g., ASC) of a mammalian inflammasome (e.g., AIM2 inflammasome); and administering the composition to the mammal suffering from CNS or lung inflammation or a viral infection or MS, wherein administering the composition to the mammal results in a reduction of caspase-1 activation in the CNS or lungs of the mammal.
- ASC an antibody or an active fragment thereof as provided herein that specifically binds to at least one component (e.g., ASC) of a mammalian inflammasome (e.g., AIM2 inflammasome)
- administering the composition results in a reduction of caspase-1 activation in the CNS or lungs of the mammal.
- the method comprises: providing a therapeutically effective amount of a composition including an antibody that specifically binds to at least one component (e.g., ASC) of a mammalian inflammasome (e.g., AIM2 inflammasome); and administering the composition to the mammal suffering from CNS or lung inflammation or MS, wherein administering the composition to the mammal results in a reduction in the levels of one or more inflammasome components (e.g., ASC).
- ASC mammalian inflammasome
- the method comprises: providing a therapeutically effective amount of a composition including an antibody that specifically binds to at least one component (e.g., ASC) of a mammalian inflammasome (e.g., AIM2 inflammasome); and administering the composition to the mammal suffering from CNS or lung inflammation or MS, wherein administering the composition to the mammal results in a reduction ALL
- the CNS or lung inflammation can be the result of a CNS injury (e.g., SCI or TBI), asthma, chronic obstructive pulmonary disorder (COPD), a neurodegenerative disease, or an autoimmune disease with an inflammatory component.
- lung inflammation is caused by a CNS injury such as TBI or SCI.
- the lung inflammation occurs as a result of viral infection, for example infection by a coronavirus or an influenza virus.
- the methods provided herein further entail detecting a level or activity of one or more components of a mammalian inflammasome in a sample from a subject suspected of suffering from CNS or lung inflammation or MS.
- the method of detecting the level or activity entails measuring the level of at least one inflammasome protein (e.g., ASC or AIM2) in the sample obtained from the subject; determining the presence or absence of an elevated level or activity of said at least one inflammasome protein (e.g., ASC or AIM2).
- the level or activity of said at least one inflammasome protein can be enhanced relative to the level of said at least one inflammasome protein in a control sample.
- the level or activity of said at least one inflammasome protein in the protein signature can be enhanced relative to a pre-determined reference value or range of reference values.
- the at least one inflammasome protein can be nucleotide-binding leucine-rich repeat pyrin domain containing protein 1 (N LRP1), NLRP2, NLRP3, NLRC4, AIM2, apoptosis-associated speck-like protein containing a caspase recruitment domain (ASC), caspase-1, or combinations thereof.
- the sample can be cerebrospinal fluid (CSF), saliva, blood, serum, plasma, urine or a lung aspirate.
- CSF cerebrospinal fluid
- Antibodies that Bind Specifically to at Least One Component of a Mammalian Inflammasome.
- compositions including an antibody or an active fragment thereof as provided herein that specifically binds to at least one component (e.g., ASC, AIM2) of a mammalian inflammasome (e.g., the AIM2 inflammasome).
- a composition for treating and/or reducing inflammation in the CNS and/or lungs of a mammal can further include at least one pharmaceutically acceptable carrier or diluent.
- Exemplary antibodies directed against components of a mammalian inflammasome for use in the methods herein can be those found in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in its entirety.
- Exemplary monoclonal antibodies or antibody fragments are also provided herein, such as, for example, the monoclonal antibody or antibody fragment comprising a VH region such that the VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, and a VL region such that the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14.
- a composition for treating and/or reducing inflammation in the CNS or lungs of a mammal includes an antibody or an active fragment thereof as provided herein that specifically binds to a domain or portion thereof of a mammalian ASC protein such as, for example, a human, mouse or rat ASC protein.
- a mammalian ASC protein such as, for example, a human, mouse or rat ASC protein.
- Any suitable anti-ASC antibody can be used, and several are commercially available. Examples of anti-ASC antibodies for use in the methods herein can be those found in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in its entirety.
- anti-ASC antibodies for use in the methods provided herein include, but are not limited to 04-147 Anti-ASC, clone 2EI-7 mouse monoclonal antibody from MilliporeSigma, AB3607— Anti-ASC Antibody from Millipore Sigma, orbl94021 Anti-ASC from Biorbyt, LS-C331318-50 Anti-ASC from LifeSpan Biosciences, AF3805 Anti-ASC from R & D Systems, NBP1-78977 Anti-ASC from Novus Biologicals, 600-401-Y67 Anti-ASC from Rockland Immunochemicals, D086-3 Anti-ASC from MBL International, AL177 anti-ASC from Adipogen, monoclonal anti-ASC (clone o93E9) antibody, anti-ASC antibody ( F-9) from Santa Cruz Biotechnology, anti-ASC antibody ( B-3) from Santa Cruz Biotechnology, ASC polyclonal antibody— ADI-905-173 from Enzo Life Sciences, or A161 AntiHu
- the human ASC protein can be accession number NP_037390.2 (Q9ULZ3-1), NP_660183 (Q9ULZ3-2) or Q9ULZ3-3.
- the rat ASC protein can be accession number NP_758825 (BAC43754).
- the mouse ASC protein can be accession number NP_075747.3.
- the antibody binds to a PYRIN-PAAD-DAPIN domain (PYD) or a portion or fragment thereof of a mammalian ASC protein (e.g., human, mouse or rat ASC).
- an antibody as described herein specifically binds to an amino acid sequence having at least 65% (e.g., 65, 70, 75, 80, 85%) sequence identity with a PYD domain or fragment thereof of human, mouse or rat ASC.
- the antibody binds to a C-terminal caspase-recruitment domain (CARD) or a portion or fragment thereof of a mammalian ASC protein (e.g., human, mouse or rat ASC).
- an antibody as described herein specifically binds to an amino acid sequence having at least 65% (e.g., 65, 70, 75, 80, 85%) sequence identity with a CARD domain or fragment thereof of human, mouse or rat ASC.
- the antibody binds to a portion or fragment thereof of a mammalian ASC protein sequence (e.g., human, mouse or rat ASC) located between the PYD and CARD domains.
- a composition for treating and/or reducing inflammation in the CNS and/or lungs of a mammal includes an antibody that specifically binds to a region of rat ASC, e.g., amino acid sequence ALRQTQPYLVTDLEQS (SEQ ID NO:1) (i.e., residues 178-193 of rat ASC, accession number BAC43754).
- an antibody as described herein specifically binds to an amino acid sequence having at least 65% (e.g., 65, 70, 75, 80, 85%) sequence identity with amino acid sequence ALRQTQPYLVTDLEQS (SEQ. ID NO:1) of rat ASC.
- a composition for treating and/or reducing inflammation in the CNS and/or lungs of a mammal includes an antibody that specifically binds to a region of human ASC, e.g., amino acid sequence RESQSYLVEDLERS (SEQ ID NO:2).
- a composition for treating and/or reducing inflammation in the CNS and/or lungs of a mammal includes an antibody that specifically binds to a region of human ASC, e.g., amino acid sequence KKFKLKLLSVPLREGYGRIPR (SEQ. ID NO: 5; i.e., residues 21-41 of human ASC) or 5-10, 10-15 or 15-20 amino acids of SEQ ID NO: 5.
- an antibody that binds to an ASC domain or fragment thereof as described herein inhibits ASC activity in lung cells, e.g., Type II alveolar cells of a mammal.
- an antibody that binds to an ASC domain or fragment thereof as described herein inhibits ASC activity in the CNS of a mammal suffering or suspected of suffering from a CNS injury or disorder.
- CNS injuries or disorders can include TBI, SCI, stroke, amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- the invention provides antibodies and antibody fragments that bind specifically to ASC and that comprise one or more amino acid sequences shown Table 2.
- isolated nucleic acid molecules encoding the monoclonal antibodies or the antibody fragments thereof that comprise nucleic acid sequences shown in Table 2.
- expression vectors comprising the nucleic acid molecules of Table 2.
- the expression vector can comprise heavy chain or light chain constant regions.
- An example of a light chain and heavy chain expression vector system for use in the compositions and methods provided herein is the Antitope pANT expression vector system for lgG4 (S241P) heavy and kappa light chain.
- the nucleic acid molecule for the heavy or light chain can be operatively linked to regulatory sequences suitable for expression of the nucleic acid segments in a host cell.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 18, 19, 20, 21, 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18, 19, 20, 21, or 22.
- VH region amino acid sequence comprises SEQ ID NO: 18, 19, 20, 21, 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18, 19, 20, 21, or 22.
- the monoclonal antibody or antibody fragment thereof in a method for treating inflammation in a subject.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VL region amino acid sequence comprises SEQ ID NO: 28, 29, 30, 31, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 28, 29, 30 or 31.
- VH heavy chain variable
- VL light or kappa chain variable
- the VL region amino acid sequence comprises SEQ ID NO: 28, 29, 30, 31, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 28, 29, 30 or 31.
- the monoclonal antibody or antibody fragment thereof in a method for treating inflammation in a subject.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 18, 19, 20, 21, 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome- related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI ) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- an injury e.g., traumatic brain injury (TBI ) or spinal cord injury (SCI)
- disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH heavy chain variable
- VL light or kappa chain variable
- a monoclonal antibody or an antibody fragment derived therefrom comprising a VH region amino acid sequence comprising SEQ ID NO: 19 and a VL region amino acid sequence comprising SEQ ID NO: 30 can be referred to as IC-100.
- IC-100 a monoclonal antibody or an antibody fragment derived therefrom comprising a VH region amino acid sequence comprising SEQ ID NO: 19 and a VL region amino acid sequence comprising SEQ ID NO: 30
- IC-100 a monoclonal antibody or antibody fragment thereof in a method for treating inflammation in a subject.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome- related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI ) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- an injury e.g., traumatic brain injury (TBI ) or spinal cord injury (SCI)
- disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH region amino acid sequence comprises SEQ ID NO: 20
- VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21
- the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- TBI traumatic brain injury
- SCI spinal cord injury
- the disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method for treating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a monoclonal antibody or an antibody fragment thereof that binds specifically ASC wherein the antibody or the antibody fragment thereof comprises a heavy chain variable (VH) region and a light or kappa chain variable (VL) region, wherein the VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH heavy chain variable
- VL light or kappa chain variable
- the inflammation can be an innate immune inflammation.
- the inflammation can be an inflammasome-related inflammation.
- the monoclonal antibodies or antibody fragments thereof provided herein can be used in a method for reducing inflammation in a mammal as described in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in their entirety.
- the inflammation can be in the lungs and/or the CNS.
- the inflammation in the lungs and/or the CNS can be the result of a viral infection, an injury (e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)) or disease, condition or affliction of the CNS or affecting the CNS.
- an injury e.g., traumatic brain injury (TBI) or spinal cord injury (SCI)
- disease, condition or affliction of the CNS or affecting the CNS can be stroke as well as autoimmune diseases and/or CNS diseases including amyotrophic lateral sclerosis (ALS) Lou Gehrig's, multiple sclerosis (MS), immune dysfunction muscular CNS breakdown, muscular dystrophy (MD), Alzheimer's disease (AD), Parkinson's disease (PD).
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- MD muscular dystrophy
- AD Alzheimer's disease
- PD Parkinson's disease
- Use of the monoclonal antibody or antibody fragment thereof in a method fortreating inflammation can reduce inflammation in the CNS and/or lungs of the patient. The reduction can be as compared to a control (e.g., untreated patient and/or patient prior to treatment).
- the monoclonal antibody or antibody fragment derived therefrom is used to treat MS by administering the monoclonal antibody or antibody fragment derived therefrom to a patient suffering from or suspected of suffering from MS.
- the monoclonal antibody or the antibody fragment thereof of this embodiment is present in a composition.
- the composition can be a pharmaceutical composition as provided herein.
- a composition for reducing inflammation in the CNS or lungs of a mammal includes an antibody or an active fragment thereof as provided herein that specifically binds to NLRP1 (e.g., anti-NLRPl chicken antibody) or a domain thereof.
- NLRP1 e.g., anti-NLRPl chicken antibody
- Any suitable anti-NLRPl antibody can be used, and several are commercially available. Examples of anti-NLRPl antibodies for use in the methods herein can be those found in U.S. Pat. No. 8,685,400, the contents of which are herein incorporated by reference in its entirety.
- anti-NLRPl antibodies for use in the methods provided herein include, but are not limited to human NLRP1 polyclonal antibody AF6788 from R&D Systems, EMD Millipore rabbit polyclonal anti-NLRPl ABF22, Novus Biologicals rabbit polyclonal anti-NLRPl NB100-56148, Sigma-Aldrich mouse polyclonal anti-NLRPl SAB1407151, Abeam rabbit polyclonal anti-NLRPl ab3683, Biorbyt rabbit polyclonal anti-NLRPl orb325922 mybiosource rabbit polyclonal anti-NLRPl MBS7001225, R&D systems sheep polyclonal AF6788, Aviva Systems mouse monoclonal anti-NLRPl oaed00344, Aviva Systems rabbit polyclonal anti-NLRPl ARO54478_P050, Origene rabbit polyclonal anti-NLRPl APO7775PU-N, Antibodies online rabbit polyclonal anti-NLRP1 polyclo
- the human NLRP1 protein can be accession number AAH51787, NP_001028225, NP_055737, NP_127497, NP_127499, or NP_127500.
- the antibody binds to a Pyrin, NACHT, LRR1-6, FUND or CARD domain or a portion or fragment thereof of a mammalian NLRP1 protein (e.g., human NLRP1).
- an antibody as described herein specifically binds to an amino acid sequence having at least 65% (e.g., 65, 70, 75, 80, 85%) sequence identity with a specific domain (e.g., Pyrin, NACHT, LRR1-6, FUND or CARD) or fragment thereof of human NLRP1.
- a specific domain e.g., Pyrin, NACHT, LRR1-6, FUND or CARD
- a chicken anti-NLRPl polyclonal that was custom-designed and produced by Ayes Laboratories is used for reducing lung inflammation.
- This antibody can be directed against the following amino acid sequence in human NLRP1: CEYYTEIREREREKSEKGR (SEQ ID NO: 3).
- an antibody that binds to a NLRP1 domain or fragment thereof as described herein inhibits NLRP1 activity in lung cells, e.g., Type II alveolar cells of a mammal.
- a composition for reducing inflammation in the CNS or lungs of a mammal includes an antibody or an active fragment thereof as provided herein that specifically binds to AIM2 or a domain thereof.
- Any suitable anti-AIM2 antibody can be used, and several are commercially available. Examples of commercially available anti-AIM2 antibodies for use in the methods provided herein include, but are not limited to, a rabbit polyclonal anti-AIM2 cat. Number 20590-1-AP from Proteintech, Abeam anti-AIMS antibody (abll9791), rabbit polyclonal anti-AIM2 (N- terminal region) Cat. Number AP3851 from ECM biosciences, rabbit polyclonal anti-ASC Cat.
- AIM2 Antibody 3C4G11
- AIM2 Antibody 3C4G11
- mouse monoclonal AIM2 antibody with catalog number TA324972 from Origene
- AIM2 monoclonal antibody (10M2B3) from ThermoFisher Scientific
- Biomatix coat anti-AIM2 polyclonal antibody with cat Number CAE02153.
- Anti- AIM2 polyclonal antibody (OABF01632) from Aviva Systems Biology, rabbit polyclonal anti-AIM2 antibody LS-C354127 from LSBio-C354127, rabbit monoclonal anti-AIM2 antibody from Cell Signaling Technology, with cat number MA5-16259. Rabbit polyclonal anti-AIM2 monoclonal antibody from Fab Gennix International Incorporated, Cat.
- AIM2 201AP MyBiosource rabbit polyclonal anti- AIM2 cat number MBS855320, Signalway rabbit polyclonal anti AIM2 catalog number 36253, Novus Biological rabbit polyclonal anti-AIM2 catalog number 43900002, GeneTex rabbit polyclonal anti-AIM2 GTX54910, Prosci, rabbit polyclonal anti-AIM2 26-540, Biorbyt mouse monoclonal anti-AIM2 orb333902, Abeam rabbit polyclonal anti-AIM2 ab93015), Abeam rabbit polyclonal anti-AIM2 ab76423, Sigma Aldrich mouse polyclonal anti-AIM2 SAB1406827, or Biolegend anti-AIM2 3B10.
- the human AIM2 protein can be accession number NX_014862, NP004824, XP016858337, XP005245673, AAB81613, BAF84731 or AAH10940.
- the antibody binds to a Pyrin or HIN-200 domain or a portion or fragment thereof of a mammalian AIM2 protein (e.g., human AIM2).
- an antibody as described herein specifically binds to an amino acid sequence having at least 65% (e.g., 65, 70, 75, 80, 85%) sequence identity with a specific domain (e.g., Pyrin or HIN-200) or fragment thereof of human AIM2.
- an antibody that binds to an AIM2 domain or fragment thereof as described herein inhibits AIM2 activity in lung cells, e.g., Type II alveolar cells of a mammal.
- Anti-inflammasome e.g., Anti-ASC, anti-NLRPl or anti-AI M2 antibodies as described herein include polyclonal and monoclonal rodent antibodies, polyclonal and monoclonal human antibodies, or any portions thereof, having at least one antigen binding region of an immunoglobulin variable region, which antibody specifically binds to a component of a mammalian inflammasome (e.g., AIM2 inflammasome) such as, for example, ASC or AIM2.
- AIM2 inflammasome e.g., AIM2 inflammasome
- the antibody is specific for ASC such that an antibody is specific for ASC if it is produced against an epitope of the polypeptide and binds to at least part of the natural or recombinant protein.
- an antibody provided herein comprises a polypeptide having one or more amino acid substitutions, deletions or insertions.
- an anti-ASC monoclonal antibody or an ASC binding antibody fragment comprises a polypeptide having one or more amino acid substitutions, deletions or insertions as compared to a polypeptide having an amino acid sequence of one or more of SEQ. ID NOs: 6-8, 12-14, 18-22 or 28-31.
- An antibody provided herein may have 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or more amino acid substitutions, deletions or insertions.
- an anti-ASC monoclonal antibody or an ASC binding antibody fragment may have 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or more amino acid substitutions, deletions or insertions.
- Substitutions, deletions or insertions may be introduced by standard techniques, such as site-directed mutagenesis or PCR-mediated mutagenesis of a nucleic acid molecule encoding a polypeptide of an anti-ASC antibody or an ASC-binding antibody fragment.
- conservative amino acid substitutions are made at one or more positions in the amino acid sequences of antibodies or antibody fragments disclosed herein.
- a "conservative amino acid substitution” is one in which the amino acid residue is replaced with an amino acid residue having a similar side chain.
- conservative amino acid substitutions are made only in the FR sequences and not in the CDR sequences of an antibody or antibody fragment.
- Families of amino acid residues having similar side chains have been defined in the art, including basic side chains (e.g., lysine, arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine), nonpolar side chains (e.g., alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan), beta-branched side chains (e.g., threonine, valine, isoleucine) and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan; histidine).
- basic side chains e.g., lysine, arginine, histidine
- acidic side chains e.g., aspartic acid
- an amino acid residue in a polypeptide of an anti-ASC monoclonal antibody or an ASC binding antibody fragment may be replaced with another amino acid residue from the same side chain family.
- a string of amino acids can be replaced with a structurally similar string that differs in order and/or composition of side chain family members.
- an anti-ASC monoclonal antibody or an ASC binding antibody fragment comprising a polypeptide having one or more amino acid substitutions, deletions or insertions as compared to a polypeptide having an amino acid sequence of one or more of SEQ ID NOs: 6-8, 12-14, 18-22 or 28-31 binds ASC protein by utilizing routine, art-recognized methods including, but not limited to, ELISAs, Western blots, phage display, etc.
- the sequences are aligned for optimal comparison purposes (e.g., gaps can be introduced in one or both of a first and a second amino acid or nucleic acid sequence for optimal alignment and non-homologous sequences can be disregarded for comparison purposes).
- the length of a reference sequence aligned for comparison purposes is at least 30%, 40%, 50%, 60%, 70%, 75%, 80%, 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, 89%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99%, or 100% of the length of the reference sequence.
- amino acid residues or nucleotides at corresponding amino acid positions or nucleotide positions are then compared.
- a position in the first sequence is occupied by the same amino acid residue or nucleotide as the corresponding position in the second sequence, then the molecules are identical at that position (as used herein amino acid or nucleic acid "identity” is equivalent to amino acid or nucleic acid "homology”).
- the percent identity between the two sequences is a function of the number of identical positions shared by the sequences, taking into account the number of gaps, and the length of each gap, which need to be introduced for optimal alignment of the two sequences.
- the comparison of sequences and determination of percent identity between two sequences can be accomplished using a mathematical algorithm.
- the percent identity between two amino acid sequences is determined using the Needleman et al. ((1970) J. Mol. Biol. 48:444-453) algorithm which has been incorporated into the GAP program in the GCG software package (available at www.gcg.com), using either a BLOSUM 62 matrix or a PAM250 matrix, and a gap weight of 16, 14, 12, 10, 8, 6, or 4 and a length weight of 1, 2, 3, 4, 5, or 6.
- the percent identity between two nucleotide sequences is determined using the GAP program in the GCG software package (available at www.gcg.com), using a NWSgapdna.CMP matrix and a gap weight of 40, 50, 60, 70, or 80 and a length weight of 1, 2, 3, 4, 5, or 6.
- One set of parameters (and the one that can be used if the practitioner is uncertain about what parameters should be applied to determine if a molecule is within a sequence identity or homology limitation of the invention) is a BLOSUM 62 scoring matrix with a gap penalty of 12, a gap extend penalty of 4, and a frameshift gap penalty of 5.
- the percent identity between two amino acid or nucleotide sequences can be determined using the algorithm of Meyers et al. ((1989) CABIOS 4:11-17) which has been incorporated into the ALIGN program (version 2.0), using a PAM 120 weight residue table, a gap length penalty of 12 and a gap penalty of 4.
- an antibody is a monoclonal antibody.
- an antibody is a polyclonal antibody.
- the term "monoclonal antibody” refers to a population of antibody molecules that contain only one species of an antigen binding site capable of immunoreacting with a particular epitope of an antigen. A monoclonal antibody composition thus typically displays a single binding affinity for a particular protein with which it immunoreacts.
- an antibody of the invention is humanized, chimeric or human.
- an antibody of the invention is a humanized antibody.
- Humanized antibody refers to an antibody that has been engineered to comprise one or more human framework regions in the variable region together with non-human (e.g., mouse, rat, or hamster) complementarity-determining regions (CDRs) of the heavy and/or light chain.
- CDRs complementarity-determining regions
- a humanized antibody comprises sequences that are entirely human except for the CDR regions.
- Fv framework region (FR) residues of the human immunoglobulin are replaced by corresponding non-human residues.
- the humanized antibody may comprise residues that are found neither in the human form of the antibody nor in the imported CDR or framework sequences but are included to further refine and optimize antibody performance.
- the humanized antibody will comprise substantially all of at least one, and typically two, variable domains, in which all or substantially all of the CDR regions correspond to those of a non-human immunoglobulin and all or substantially all of the FR regions are those of a human immunoglobulin consensus sequence.
- the FR region can be modified in any manner known in the art and/or provided herein. The modifications can confer desirable properties such as increased half-life and/or improved expression in host cells. In one embodiment, the FR region(s) can be modified or mutated as described in US20150232557, which is herein incorporated by reference.
- humanized antibodies can have one or more CDRs (CDR LI, CDR L2, CDR L3, CDR Hl, CDR H2, or CDR H3) which are altered with respect to the original antibody, which are also termed one or more CDRs "derived from” one or more CDRs from the original antibody.
- the humanized antibody optimally also will comprise at least a portion of an immunoglobulin constant region or domain (Fc), typically that of a human immunoglobulin.
- Humanized antibodies are typically less immunogenic to humans, relative to non-humanized antibodies, and thus offer therapeutic benefits in certain situations.
- the antibody constant region can be engineered such that it is immunologically inert (e.g., does not trigger complement lysis).
- PCT Publication No. PCT/GB99/01441; UK Patent Application No. 9809951.8 each of which is incorporated herein by reference in its entirety.
- Those skilled in the art will be aware of humanized antibodies and will also be aware of suitable techniques for their generation. See for example, Hwang, W. Y. K., et al., Methods 36:35, 2005; Queen et al., Proc. Natl. Acad. Sci.
- an anti-ASC antibody or anti-ASC antigen-binding fragment of the invention may comprise a VH region amino acid sequence that comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8; and a VL region amino acid sequence that comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14; and one or more human framework region sequences.
- an antibody of the invention is a chimeric antibody and binds, specifically ASC.
- the anti-ASC chimeric antibody reduces the activity of ASC.
- "Chimeric antibody” as the term is used herein refers to an antibody that has been engineered to comprise at least one human constant region.
- one or all the variable regions of the light chain(s) and/or one or all the variable regions of the heavy chain(s) of a mouse antibody may each be joined to a human constant region, such as, without limitation an IgGl human constant region.
- Chimeric antibodies are typically less immunogenic to humans, relative to non-chimeric antibodies, and thus offer therapeutic benefits in certain situations.
- an antibody or antigen-binding fragment of the invention may comprise a VH region comprising SEQ ID NO: 22; a VL region comprising SEQ ID NO: 31, and a human constant region.
- immunological binding refers to the non-covalent interactions of the type which occur between an immunoglobulin molecule (e.g., antibody) and an antigen for which the immunoglobulin is specific.
- the strength, or affinity of immunological binding interactions can be expressed in terms of the dissociation constant (Kd) of the interaction, wherein a smaller Kd represents a greater affinity.
- Immunological binding properties of selected polypeptides can be quantified using methods well known in the art.
- One such method entails measuring the rates of antigen-binding site/antigen complex formation and dissociation, wherein those rates depend on the concentrations of the complex partners, the affinity of the interaction, and geometric parameters that equally influence the rate in both directions.
- both the "on rate constant” (K on ) and the “off rate constant” (K off ) can be determined by calculation of the concentrations and the actual rates of association and dissociation.
- K on the "on rate constant”
- K off K off
- the ratio of K off / K on enables the cancellation of all parameters not related to affinity and is equal to the dissociation constant Kd. (See, generally, Davies et al. (1990) Annual Rev Biochem 59:439-473).
- An antibody of the present invention is said to specifically bind to an epitope (e.g., ASC fragment with amino acid SEQ ID NO: 5) when the equilibrium binding constant (Kd) is ⁇ 10 pM, ⁇ 10 nM, ⁇ 10 nM, and ⁇ 100 pM to about 1 pM, as measured by assays such as radioligand binding assays or similar assays known to those skilled in the art.
- an epitope e.g., ASC fragment with amino acid SEQ ID NO: 5
- Kd equilibrium binding constant
- an antibody of the invention is monovalent or bivalent and comprises a single or double chain.
- the binding affinity of an antibody may be within the range of 10 -5 M to 10 -12 M.
- the binding affinity of an antibody is from 10 -6 M to 10 -12 M, from 10 -7 M to 10 12 M, from 10 8 M to 10 12 M, from 10 9 M to 10 12 M, from 10 5 M to 10 11 M, from 10 6 M to 10 -11 M, from 10 -7 M to 10 -11 M, from 10 -1 M to 10 11 M, from 10 -9 M to 10 -11 M, from 10 -10 M to 10 -11 M, from 10 -5 M to 10 -10 M, from 10 -6 M to 10 -10 M, from 10 -7 M to 10 -10 M, from 10 -8 M to 10 -10 M, from 10 -9 M to 10 -10 M, from 10 -5 M to 10 -9 M, from 10 -6 M to 10 -9 M, from 10 -7 M to 10 -9 M, from 10 -9 M, from 10 -9 M,
- Anti-inflammasome e.g., Anti-ASC and anti-AIM2
- Anti-inflammasome antibodies of the present invention can be routinely made according to methods such as, but not limited to inoculation of an appropriate animal with the polypeptide or an antigenic fragment, in vitro stimulation of lymphocyte populations, synthetic methods, hybridomas, and/or recombinant cells expressing nucleic acid encoding such anti- ASC or anti-NLRl antibodies.
- Monoclonal antibodies that specifically bind ASC or NLRP1 may be obtained by methods known to those skilled in the art. See, for example Kohler and Milstein, Nature 256:495-497, 1975; U.S. Pat. No. 4,376,110; Ausubel et al., eds., Current Protocols in Molecular Biology, Greene Publishing Assoc, and Wiley Interscience, N.Y., (1987, 1992); Harlow and Lane ANTIBODIES: A Laboratory Manual Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., 1988; Colligan et al., eds., Current Protocols in Immunology, Greene Publishing Assoc, and Wiley Interscience, N.Y., (1992, 1993), the contents of which are incorporated entirely herein by reference.
- Such antibodies may be of any immunoglobulin class including IgG, IgM, IgE, IgA, GILD and any subclass thereof.
- a hybridoma producing a monoclonal antibody of the present invention may be cultivated in vitro, in situ or in vivo.
- a hybridoma producing an anti-ASC monoclonal antibody of the present disclosure is the ICCN1.OH hybridoma.
- a hybridoma producing an anti-ASC monoclonal antibody of the present disclosure produces monoclonal antibodies comprising a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3.
- VH heavy chain variable
- VL light chain variable
- a hybridoma producing an anti-ASC monoclonal antibody of the present disclosure produces monoclonal antibodies comprising a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- VH heavy chain variable
- VL light chain variable
- a hybridoma producing an anti-ASC monoclonal antibody of the present disclosure produces monoclonal antibodies comprising a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3 and wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2,
- compositions of the invention may be administered to mammals (e.g., rodents, humans) in any suitable formulation.
- anti-ASC antibodies may be formulated in pharmaceutically acceptable carriers or diluents such as physiological saline or a buffered salt solution.
- Suitable carriers and diluents can be selected on the basis of mode and route of administration and standard pharmaceutical practice.
- a description of exemplary pharmaceutically acceptable carriers and diluents, as well as pharmaceutical formulations, can be found in Remington's Pharmaceutical Sciences, a standard text in this field, and in USP/NF.
- Other substances may be added to the compositions to stabilize and/or preserve the compositions.
- compositions of the invention may be administered to mammals by any conventional technique. Typically, such administration will be by inhalation, intranasal or parenteral (e.g., intravenous, subcutaneous, intratumoral, intramuscular, intraperitoneal, or intrathecal introduction).
- the compositions may also be administered directly to a target site by, for example, surgical delivery to an internal or external target site, or by catheter to a site accessible by a blood vessel.
- the compositions may be administered in a single bolus, multiple injections, or by continuous infusion (e.g., intravenously, by peritoneal dialysis, pump infusion).
- the compositions may be administered using an inhaler, a nebulizer, or any suitable device.
- parenteral administration the compositions can be formulated in a sterilized pyrogen-free form.
- compositions described above can be administered to a mammal (e.g., a rat, human) in an effective amount, that is, an amount capable of producing a desirable result in a treated mammal (e.g., reducing inflammation in the CNS of a mammal subjected to a traumatic injury to the CNS or stroke or having an autoimmune or CNS disease).
- a mammal e.g., a rat, human
- an effective amount that is, an amount capable of producing a desirable result in a treated mammal (e.g., reducing inflammation in the CNS of a mammal subjected to a traumatic injury to the CNS or stroke or having an autoimmune or CNS disease).
- a therapeutically effective amount can be determined as described below.
- the therapeutically effective amount of a composition comprising an agent as provided herein can generally be about 0.001, 0.005, 0.01, 0.05, 0.1, 0.5, 1, 2, 4, 6, 8, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 125, 150, 175 or 200 mg/kg of patient body weight.
- an agent as provided herein e.g., a monoclonal antibody or antibody fragment derived therefrom as provided herein such as, for example, IC-100
- IC-100 can generally be about 0.001, 0.005, 0.01, 0.05, 0.1, 0.5, 1, 2, 4, 6, 8, 10, 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95, 100, 125, 150, 175 or 200 mg/kg of patient body weight.
- the therapeutically effective amount of a composition comprising an agent as provided herein can generally be about 0.001 to about 200 mg/kg of patient body weight.
- the therapeutically effective amount of a composition comprising an agent as provided herein can generally be about 0.001 mg/kg to about 0.01 mg/kg, about 0.01 mg/kg to about 0.1 mg/kg, about 0.1 mg/kg to about 1 mg/kg, about 1 mg/kg to about 10 mg/kg, about 10 mg/kg to about 25 mg/kg, about 25 mg/kg to about 50 mg/kg, about 50 mg/kg to about 75 mg/kg, about 75 mg/kg to about 100 mg/kg, about 100 mg/kg to about 125 mg/kg, about 125 mg/kg to about 150 mg/kg, about 150 mg/kg to about 175 mg/kg or about 175 mg/kg to about 200 mg/kg of the subject's body weight.
- the composition comprising an agent as provided herein e.g., a monoclonal antibody or antibody fragment derived therefrom as provided herein such as, for example
- Toxicity and therapeutic efficacy of the compositions utilized in methods of the invention can be determined by standard pharmaceutical procedures, using either cells in culture or experimental animals to determine the LD 50 (the dose lethal to 50% of the population).
- the dose ratio between toxic and therapeutic effects is the therapeutic index and it can be expressed as the ratio LD 50 /ED 50
- the compositions provided herein exhibit large therapeutic indices. While those that exhibit toxic side effects may be used, care should be taken to design a delivery system that minimizes the potential damage of such side effects.
- the dosage of compositions provided herein lies within a range that includes an ED50 with little or no toxicity. The dosage may vary within this range depending upon the dosage form employed and the route of administration utilized.
- dosage for any one subject depends on many factors, including the subject's size, body surface area, age, the particular composition to be administered, time and route of administration, general health, and other drugs being administered concurrently.
- HMGB1-RAGE ligand receptor pathway serves as central transduction mechanism for pulmonary dysfunction after TBI.
- HMGB1 induces AIM2 inflammasome activation.
- EV have become an area of interest in biomarker research for a several different types of diseases, including lung injury and TBI. It has been previously shown that in EV isolated from the cerebrospinal fluid of patient with TBI, there is an increase of inflammasome proteins when compared to control samples. In this Example, the contribution of EV mediated inflammasome signaling in the etiology of TBI-induced ALI was examined.
- mice were 8-12 weeks and 24 to 32 grams. Mice were prospectively randomized to experimental groups (sham, 4 h, 24) for TBI, experimental groups (naive, sham-saline, untreated, enoxaparin, anti-ASC) for adoptive transfer and treatment. For TBI experiment-groups, sham animals underwent surgical procedures but were not injured.
- mice were housed in the viral antigen free (VAF) animal facility at the Lois Pope Life Center at the University of Miami on 12-hour light/dark cycles and food and water were supplied ad libitum. The facility conducts husbandry procedures twice a week and checks on the conditions of the animals daily. Animals were observed post-op, where they were kept on a heating pad and body temperature was controlled with a rectal probe where it was maintained at 37° C., in our operation room and then transferred to the animal quarters.
- VAF viral antigen free
- mice lung tissue lysates were filtered through a 5 ⁇ m low-binding polyvinylidene difluoride (PVDF) membrane (Millipore). After filtration, the supernatant was centrifuged at 2,700xg for 8 minutes. The pellet was resuspended in 40 pl of 3[(3-cholamidopropyl) dimethylammonio]- propanesulfonic acid (CHAPS) buffer (20 mmol/L HEPES-KOH, pH 7.5, 5 mmol/L MgCI2, 0.5 mmol/L EGTA, 0.1 mmol/L phenylmethylsulfonyl fluoride, protease inhibitor cocktail, and 0.1% CHAPS).
- CHAPS 3[(3-cholamidopropyl) dimethylammonio]- propanesulfonic acid
- the pyroptosome was pelleted by centrifugation at 2,700xg for 8 minutes. The pellet was then resuspended and incubated in 27.8 pl of CHAPS buffer with 2.2 ⁇ l of disuccinimidyl substrate for 30 minutes at room temperature to cross-link ASC dimers. Lastly, an equal amount of 2x Laemmli buffer was added, and proteins were analyzed by immunoblotting using commercially available antibodies to ASC and Gasdermin D (GSD).
- GSD Gasdermin D
- Nuclear and Cytoplasmic fractions were extracted using the NE-PER Nuclear and Cytoplasmic Extraction Reagents (Thermo Scientific) according to manufacturer instructions. Briefly, mice lung tissue samples were cut into 20-100 mg pieces and centrifuged at 500xg for 5 minutes. Tissue pieces were then homogenized with the Cytoplasmic Extraction Reagent and centrifuged at 16,000xg for 5 minutes. Then the supernatant (cellular extract) was removed and the pellet was centrifuged with Nuclear Extraction Reagent (Thermo Scientific) at 16,000xg for 10 minutes. This supernatant corresponded to the nuclear fraction, which was removed and stored at -80° C.
- Lung and brain tissue samples were snap frozen in liquid nitrogen and stored in -80° C.
- 2-mm sections of right lower lung and right cortical tissue were homogenized in extraction buffer containing protease and phosphatase inhibitor cocktail (Sigma, St Louis, Mo., USA) and resolved in 4-20% Tris-TGX Criterion precast gels (Bio-Rad, Hercules, Calif., USA) as described in de Rivero Vaccari et al. 2015 using antibodies to caspase-1 (Novus Biologicals), ASC (Santa Cruz), IL-1 (Cell Signaling), IL-18 (Abeam) AIM2 (Santa Cruz) and HMGB1 (Millipore). Quantification of band density was performed using Image Lab and all data were normalized to 0-actin.
- Tissue sections were deparaffinized in xylene and then rehydrated using ethanol and Tris buffer saline. Immunohistochemical procedures were then carried out for double staining as previously described. Sections were incubated overnight at 4° C. with antibodies against Caspase-1 and ASC (Millipore), AIM2 (Santa Cruz), HMGB1 (Millipore) and SPC (Millipore). Immunostained lung sections of sham, 4-hour, and 24-hour mice were examined with a Zeiss laser scanning confocal microscope (Zeiss, Inc., Thornwood, N.Y., USA). Lung sections were analyzed by individuals who were blinded to the groups.
- EV were isolated from serum from TBI-injured mice and injury mice using the Total Exosome Isolation solution according to manufacturer's instructions (Invitrogen). Briefly, 100 pl of each sample were centrifuged at 2000xg for 30 minutes. The supernatant was then incubated with 20 pl of Total Exosome Isolation (TEI) reagent for 30 minutes at 4° C. followed by centrifugation at 10,000xg for 10 minutes at room temperature. Supernatants were discarded and the pellet was resuspended in 100 pl of PBS. EV were characterized by the expression of CD81 and by Nanosight tracking analysis (FIG. 6).
- TEI Total Exosome Isolation
- the following groups were used: 1) the naive group received no treatment, 2) the sham saline group was used as a negative control and underwent jugular vein injection of only saline, 3) the untreated group received EV from TBI mice without any treatment and was used as a positive control, 4) the ENOX group received EV from TBI mice and Enoxaparin, and 5) the Anti-ASC group received EV from TBI mice and Anti-ASC. The order of treatment was randomized. Lung and brain tissues were collected 24 hours after injection for analysis. It should be noted that the anti-ASC antibody used in the treatment experiments was a humanized monoclonal antibody against ASC and recognizes murine, human and swine ASC.
- Lung tissue sections were stained by a standard hematoxylin and eosin method for histology, morphometry and ALI scoring. Lung sections were scored by a blinded pathologist using the Lung Injury Scoring System from the American Thoracic Society Workshop Report. Twenty random high-power fields were chosen for scoring. Criteria for ALI scoring was based on number of neutrophils in the alveolar space, interstitial space, hyaline membranes, proteinaceous debris filling the airspaces and alveolar septal thickening. Based on these criteria a score between 0 (no injury) and 1 (severe injury) was given.
- FIGS. 1H, IL shows that HMGB1 expression increased at 4 and 24 hours after TBI, indicating that the Al M2 inflammasome and H MGB1 play a role in the inflammatory response in the lungs post-TBI.
- TBI Increases Immunoreactivity of Inflammasome Proteins in Type II Alveolar Epithelial Cells
- TBI may lead to capillary leak, resulting in increased vascular permeability and damage to specialized alveolar epithelial cells, called type II pneumocytes.
- immunohistochemical analysis was performed in lung sections of sham, 4 hour, and 24 hour injured animals.
- Type II alveolar epithelial cells are known to be the main type of lung cells injured in ALL Lung sections were stained with antibodies against AIM2, caspase-1, and ASC (green) and co-stained with Pro-surfactant protein C (Pro-SPC, red), a marker of type II epithelial cells, and DAPI nuclear staining (blue).
- Pro-surfactant protein C Pro-surfactant protein C
- FIG. 2A-2C active caspase-1 (FIG. 2A), ASC (FIG. 2B), as well as AIM2 (FIG. 2C) are present in SPC-positive cells (arrow). Immunoreactivity of these inflammasome proteins increased after TBI.
- ALI can be characterized by inflammatory processes, which lead to alveolar and interstitial edema as well as infiltration of inflammatory cells into the alveolar space.
- Histopathological analysis of lung tissue (FIG. 5A) indicate that severe TBI causes substantial changes in the lung architecture and morphology at 4 and 24 hours after injury. Sham animals showed a normal alveolar morphology, whereas injured animals showed acute changes in alveolar edema but decreased slightly by 24 hours after injury (long arrows).
- neutrophil infiltration arrow heads
- changes in morphology of alveolar capillary membranes *
- Injured animals showed signs of interstitial edema, which was more pronounced at 4 hours post-injury, but was still evident at 24 hours post injury (short arrows). Lastly, injured animals also showed evidence of thickening of the interstitial area and the alveolar septum (pound, #).
- exosome uptake blockade was attempted by treatment with either Enoxaparin or a monoclonal antibody against ASC after adoptive transfer of EV from injured to naive mice. Negative control animals received saline and positive control animals received no treatment.
- FIG. 8A-8F Caspase-1 (FIG. 8A, 8B), ASC (FIG. 8A, 8C), TL-1 ⁇ (FIG. 8A, 8D), AIM2 (FIG. 8A, 8E), and HMGB1 (FIG.
- TBI can be associated with higher rates of certain medical complications, especially pulmonary and central nervous system dysfunction.
- severe TBI was shown to increase HMGB1 and inflammasome expression (e.g., AIM2, caspase-1 and ASC expression) in cortical and lung tissue and induce changes in lung morphology consistent with ALI (e.g., infiltration of neutrophils into the alveolar and interstitial space, alveolar septal thickening, and alveolar edema and hemorrhage) and introduces the idea of a Neural Respiratory Inflammatory Axis.
- ALI e.g., infiltration of neutrophils into the alveolar and interstitial space, alveolar septal thickening, and alveolar edema and hemorrhage
- TBI resulted in pyroptosis in lung tissue (e.g., presence of GSDMD cleavage) and increased expression of inflammasome proteins in Type II alveolar epithelial cells.
- adoptive transfer of EV from TBI mice activated the inflammasome and induced ALI, indicating that brain injury induces the release of EV containing a cargo of inflammasome proteins that are then carried to the resulting in ALI.
- ALI inhibiting EV uptake
- anti-ASC antibody (IC 100) treatment there is a reduction in inflammasome protein expression and in the develo ⁇ ment of ALI.
- this Example showed that AIM2 inflammasome signaling plays a central role in the pathomechanism of lung injury after TBI and demonstrates a mechanism of TBI-induced ALI involving EV-mediated inflammasome signaling.
- EV-mediated inflammasome signaling can play a central role involving a Neuronal-Respiratory-Inflammatory Axis. Therefore, targeting this axis with antibodies against inflammasome proteins or drugs that block EV uptake may provide a therapeutic approach in Neurotrauma-induced ALI in all areas of critical care medicine.
- the disclosed therapeutic strategies may be useful for the treatment of inflammatory diseases of the lung in general.
- FIG. 10A-10F delivery of serum-derived EV from TBI patients increased inflammasome protein expression in pulmonary endothelial cells.
- FIG. 10A-10E showed that caspase- 1, ASC, AIM2, and HMGB1 were elevated in PMVEC incubated with TBI-EV for 4 hours as compared to PMVEC incubated with control-EV for 4 hours.
- Immunoassay results showed a significant increase in IL-lbeta expression using Ella simple plex assay (FIG. 10F).
- Example 3 Effect of Use of Humanized Anti-ASC Antibody in an Animal Model of Multiple Sclerosis
- EAE allergic encephalomyelitis
- EAE is an animal (i.e., rodent) model of MS as described in Hbftberger R, Leisser M, Bauer J, Lassmann H (December 2015). "Autoimmune encephalitis in humans: how closely does it reflect multiple sclerosis?". Acta Neuropathol. Commun. 3(1): 80 and Lassman Hans (February 2010). "Acute disseminated encephalomyelitis and multiple sclerosis.” Brain.
- mice received an intraperitoneal (i.p.) injection of pertussis toxin (dissolved in PBS (350 ng/mouse; day 0), followed by sub-cutaneous administration of MOG35-55 (300 ng/mouse; day 1) emulsified in Complete Freund's Adjuvant, and a second i.p. injection of pertussis toxin (350 ng/mouse; day 2).
- mice were administered vehicle (0.9% saline) or IC-100 at three different doses (10, 30 and 45 mg/kg) via i.p. injection every 4 days, starting at day 8 after induction of EAE.
- Clinical symptoms of EAE were assessed daily on a scale of 0 to 6 as follows: 0, no clinical signs; 1, loss of tail tone; 2, flaccid tail; 3, complete hind limb paralysis; 4, complete forelimb paralysis; 5, moribund; 6, dead.
- HBSS w/o cold Hanks' Balanced Salt Solution without Mg 2+ and Ca 2+
- Samples were manually dissociated into single cell suspensions through a 70-um strainer and washed in HBSS w/o.
- the spleen samples were spun at 1200 r ⁇ m for 10 min at 4° C., supernatants were removed, and red blood cells (RBCs) lysed in 2 ml RBC lysis buffer (eBioscience) according to the manufacturer's instructions. Spleen cells were then resuspended in PBS.
- RBCs red blood cells
- EAE EAE was induced with MOG35-55 peptide (Brambilla et al., 2014) on two months old female C57BL/6 mice and administered IC-100 or vehicle alone beginning at day 8 post-induction (dpi) of the disease. The administration was repeated every four days till sacrifice, which was set at 35 dpi. Three doses were tested, 10, 30 and 45 mg/Kg.
- IC-100 significantly improved functional recovery when used at the doses of 30 and 45 mg/Kg, with a robust reduction of the clinical disease scores throughout the duration of the experiment (FIG. 12A).
- Treatment reduced the average peak clinical scores (FIG. 12B) as well as the overall severity of EAE measured as a reduction in the cumulative disease index (CDI) (FIG. 12C).
- Mice treated with 30 and 45 mg/Kg IC-100 also showed a tendency to a delayed disease onset (FIG. 12D). No differences in the day the mice reached their peak disease score were observed (FIG. 12E).
- Microglia participate in the immune-inflammatory response to CNS disease. As their activation state increases, they proliferate and upregulate surface expression of MHCII. To assess whether IC-100 affected this response, we quantified by flow cytometry the number of total microglia and MHCII + activated microglia in the spinal cord. Both populations were significantly reduced by treatment with 30 mg/Kg IC-100 indicating that at this dose IC-100 is effective in suppressing microglia activation and microglia-mediated neuroinflammation (see FIG. 14).
- the murine coronavirus, mouse hepatitis virus strain A59 (MHV-A59) model is used to study the pathogenesis and the response of the host to coronavirus infections.
- This model virus has been shown to infect the lungs, liver, spleen, brain and spinal cord, among others.
- this model also shows demyelination consistent with a multiple sclerosis-like phenotype (Weiss and Leibowitz 2011).
- IC100 bind to ASC to inhibit inflammasome activation as a result of viral infection, resulting in increased survival and decreased production of pro-inflammatory cytokines, including IL- 1P, TNF and IL-6.
- Paraffin-embedded tissue sections were then taken from the hippocampus formation, which included the entorhinal cortex, the Cornu Ammonis (CA) regions CA1-CA3, the subiculum and the dentate gyrus (DG) and were used for immunohistochemical and histochemical staining as described below.
- Paraffin-embedded tissueblocks were sectioned at a 20- ⁇ m thickness with 20 retrieved serial sections using a Leica RM2245 microtome (Leica Microsystems Ltd.). Three sections based on a systematic sampling principle and a section-sampling fraction of 1/5 were selected from each block for further investigations.
- Sections were then blocked in 5% goat serum (Vector Laboratories, Burlingame, Calif., USA) for 20 min before being incubated overnight at 4°C in a solution of mouse anti-Phospho-Tau (Ser202, Thr205) Antibody (AT-8; 0.4 ⁇ g/mL; ThermoFisher Chemicals, Richmond, VA., USA), mouse anti- ⁇ -Amyloid (6E10; 1.0 ⁇ g/mL; Biolegend, San Diego, CA., USA), rabbit anti-NLRP3 (3.0 ⁇ g/mL; MilliporeSigma, St.
- mouse anti-NLRPl 1.0 ⁇ g/mL; Enzo Life Sciences, Farmingdale, NY., USA
- mouse anti-ASC B-3; Santa Cruz Biotechnology, Santa Cruz, CA., 0.4 ⁇ g/mL
- human anti-ASC IC100, 2 ⁇ g/mL; as described and rabbit anti-caspase 1 (0.6 ⁇ g/mL; MilliporeSigma) in PBS.
- H&E staining was used to evaluate the general morphology of the brain tissue and orientation of the brain regions as described previously.
- standard tissue paraffin block was sectioned at 20-ptn thickness and the slides were allowed to dry and heated at 60’ C for 30 minutes. Prior to staining, sections were deparaffinized in three changes of xylene and rehydrated through graded concentrations of ethanol. Sampling areas and the strategies for identifying regions of interest were shown using standard H&E-stained sections (Fig. 17A).
- Unbiased cell counts of AT-8 pTau positive neurons, ASC positive cells and A ⁇ clusters in 1 mm 2 of tissue were obtained using the extended Depth of Field (EDF) virtual tissue scan, which allowed for a series of Z-stack images to be transformed into a single image (EasyScan, Motic Microscopes).
- EDF Depth of Field
- Three contours from each region of interest (ROI) were taken from the CAI, CA2 CA3, the subiculum and the adjacent DG, which encompassed an average area of 3.2 mm 2 per region using the Image-Pro Premier (Media Cybernetics) program.
- ROIs were determined by the cellular architecture as described previously and sampled from the postmortem brains: CAI was sampled from regions anterior to the DG, CA2 was sampled from the region posterior to the DG and CA3 was sampled from regions that are adjacent to the opening of the DG. For each region, the CA scans encompassed all layers of the strata.
- N is the total number of cells or clusters per volume of brain region
- IQ.- is the number of counted cells
- V is the volume of regions of interest per sampling frame.
- the Braak score in the low AD group ranged from 0-11; none to low AD neuropathological change.
- the neuropathological score for the distribution of neurofibrillary tangles ranged from B0-B1 with a mode of Bl.
- causes of death were due to complications of cardiovascular disease (14 donors), renal failure (1 donors), cancer (1 donor) and liver failure (1 donor).
- Donors with intermediate AD had Braak Scores that ranged from lll-VI; intermediate neuropathological change.
- the neuropathological score for the distribution of neurofibrillary tangles ranged from B2-B3 with a mode of B2.
- the intermediate AD group had similar complications as the low AD group such as cardiovascular disease (10 donors), renal failure (4 donors), and cancer (1 donor) and liver failure (1 donor). Ages of the low AD donors were not significantly higher than that of donors with intermediate AD (p > 0.05). Additionally, the two groups were not significantly different with respect to PMI time (p > 0.05).
- any changes in cellular density in a CA region could result from shrinkage in the strata due to neuropil changes.
- a decrease in strata volume may be related to a difference in layer thickness.
- the hippocampal strata was measured between the gray/white matter interface and the alveus surface. There was no significant difference in hippocampal thickness between intermediate AD cases and low AD (Fig. 17B) when the hippocampal thickness was measured in the CAI, CA2 and CA3 regions (p>0.05), indicating that changes in cellular populations is not related to changes in hippocampal volume.
- the number of A ⁇ clusters do not differ between intermediate AD and low AD in the hippocampus
- the intermediate AD cases had an average Thai score of "A2” and an average CERAD (e.g., the extent of neuritic amyloid plaques or C score) score of "C2", whereas in the low AD group, the average Thai score was "Al” and the average CERAD was "CO".
- the increase of A ⁇ plaques in seen in the subiculum and the entorhinal cortex demonstrates that there are numerous regions that are prone to have a significant change in protein accumulation as the neural degeneration progresses.
- NLRP3 is mainly present in microglia-like structures
- ASC Differential expression of ASC in neurons and microglia is detected using antibodies raised against different epitopes of ASC
- IC100 identified increased ASC expression in neurons in the early stages of AD, whereas a commercially available antibody directed toward a different domain of the ASC protein (the CARD domain), primarily labeled microglia.
- CARD domain a different domain of the ASC protein
- NLRP3 may contribute to the chronic rieuroinflammation vfo the production of IL-1 ⁇ , resulting in reduced clearance of A ⁇ plaques.
- NLRP3 expression was seen in microglia adjacent to neurons or was present as clusters. It is possible that the cluster distribution of NLRP3 configuration may be mediated by TANK-binding kinase 1 (TBK1) that interacts with tau proteins.
- NLRP1 is expressed in the cytoplasm of hippocampal neurons, and is upregulated in cases with intermediate AD. This observation is consistent with our previous studies that show NLRP- 1 is present in motor neurons in the ventral horn of the human spinal cord and is upregulated after spinal cord injury, traumatic brain injury, stroke and the aging brain.
- Saresella et al. and Yap et al. reported that NLRP1 is primarily expressed by pyramidal neurons of the hippocampus and is activated by aggregated A ⁇ .
- the hippocampal formation cortical band did not differ in thickness between low AD and intermediate AD, indicating that neuronal death and atrophy were not evident in these cases.
- Two other studies examined hippocampal thickness and neuronal numbers in AD cases staged at different Braak stages V-VI and report hippocampal neuronal loss at Braak stages V-Vi, thus supporting our findings.
- the authors evaluated neuropathologicai changes between the low AD and the intermediate groups in all of the hippocampal CA regions and found that the number of A[3 plaques clusters did not significantly differ between the low and intermediate groups. However, here we found that the morphology of the plaques were more dense than those seen in low AD than in the intermediate group. In contrast, in the intermediate group, we saw a significant increase in the number of neurons labeled with pTau in the subiculum, CAI, CA2 and DG regions, consistent with previous studies on tau pathology in post-mortem AD cases.
- Protein aggregation has been connected to more than 30 proteinopathies, including many neurodegenerative diseases such as AD in which both A ⁇ and tau aggregates are present. Recent evidence indicates that heterotypic interactions of aggregated proteins occur in a wide range of amyloid processes and that these interactions modify fundamental aspects of amyloid aggregation including seeding, aggregation rates and toxicity. In this study, we examined expression of three protein aggregates, ASC, and p-tau. The expression of all three aggregated proteins were higher in intermediate AD compared to low AD, indicating increased deposition associated with disease progression.
- AD pathology it has been shown that ASC specks cross-seed with A ⁇ 1-42, in the extracellular space, which boosts A ⁇ 1-42 toxicity in microglia suggesting that disease-related protein aggregation may modulate the morphology or aggregation rate of amyloidogenic proteins.
- ASC specks cross-seed with A ⁇ 1-42, in the extracellular space, which boosts A ⁇ 1-42 toxicity in microglia suggesting that disease-related protein aggregation may modulate the morphology or aggregation rate of amyloidogenic proteins.
- inflammasome stimulation in microglia and neurons induces the oligomerizaticsn of ASC to form the inflammasome complex, and that this response is exacerbated by tauopathies.
- Our result that ASC specks are present in the brain of AD patients suggests that immunotherapies that target protein aggregates may be promising targets for the treatment of neurodegenerative diseases.
- the inflammasome adaptor ASC has different isoforms in addition to the canonical ASC. These other isoforms are referred to as ASCb, ASCc and ASCd , and they differ in amino acid composition. ASC and ASCb are very similar and both contain PYD and CARD domains. However, they differ in the length of the interdomain linker. ASCc contains a CARD domain and a fragment of the PYD, whereas ASCd has a partial PYD and no CARD domain. Full-length ASC and ASCb co-localize with the sensor NLRP-3 and procaspase-1 and activate the inflammasome.
- ASCb does not form typical ASC specks but rather forms filamentous aggregates of ASC resulting in lower levels of inflammasome activation as determined by IL-1 ⁇ release.
- ASC oligomerizes faster and is capable of assembling into oligomers of more uniform size, compared with ASCb.
- ASCc only colocalizes with caspase- 1, and it may inhibit the inflammasome in that it diminishes the release of I L-1 ⁇ in the presence of ASC.
- ASCd whose function is yet to be determined, does not colocalize with NLRP3 and cannot generate mature IL-1 ⁇ .
- ASC ASC splice variants
- Our results show that antibodies raised against two different epitopes of ASC (CARD vs. PYD) differentially identify neurons and microglia in early stages of AD, thus suggesting that ASC may either be present in different conformation states within different population of CNS cells or that there are different ratios of distinct ASC isoforms expressed in microglia and neurons that are differentially recognized by the two antibodies.
- the expression of ASC in the early stages of AD pathology is consistent with our previous work showing that ASC is elevated in the blood of patients with mild cognitive impairment and that ASC is a reliable biomarker of AD.
- ASC and IL-18 were both significantly elevated in the serum of MCI patients when compared to controls, whereas ASC protein levels were also higher in the serum of MCI patients when compared to AD patients. Furthermore, future studies are needed to understand the expression of different ratios of activating and inhibitory isoforms of ASC in cells and how they might promote inflammation at early stages of infections and tissue damage. [0217] This study compared the cell-specific staining characteristics of two ASC antibodies, one against the CARD of ASC and the other, IC100, against the PYD, and a panel of commercially available antibodies to identify AS, pTau and the inflammasome proteins NLRP1, NLRP3 and caspase-1.
- IC10G identified neurons in early stages of neurodegeneration in intermediate stages of AD.
- IC100 expression patterns were consistent with Affl and pTau staining in post-mortem AD brains, emphasizing a spatial and temporal relationship of this sensor molecule in the pathogenesis of AD neuropathology.
- the reported differential patterns of IC100 neuronal immunostaining in human AD specimens without evidence for cell loss may emphasize the importance of targeting this unique ASC configurational state for future molecular imaging and therapeutic approaches to reduce neuronal vulnerability and the subsequent release of ASC specks leading to continued disease progression.
- iC100 is a humanized monoclonal anti-body against the adaptor protein ASC that has therapeutic benefits in treating several experimental models for neurodegeneration, injury and aging, in this study, IC100 immunoreactivity demonstrated cell-specific labeling patterns based on regional specificity and AD pathological severity in contrast to the commercially available mouse anti-ASC antibody that was primarily immunoreactive for cells with microglial-like morphology.
- a method of treating inflammation in lungs of a patient in need thereof comprising: administering to the patient a composition comprising an agent that inhibits inflammasome signaling, whereby the inflammation in the lungs of the patient is treated.
- CNS injury is selected from the group consisting of traumatic brain injury (TBI), stroke and spinal cord injury (SCI).
- TBI traumatic brain injury
- SCI spinal cord injury
- neurodegenerative disease is selected from the group consisting of Alzheimer's disease (AD)/Dementia, amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS) and Parkinson's disease (PD).
- AD Alzheimer's disease
- ALS amyotrophic lateral sclerosis
- MS multiple sclerosis
- PD Parkinson's disease
- composition is administered intracerebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- a method of treating inflammation in lungs of a patient that has been subjected to a viral infection, a central nervous system (CNS) injury comprising: administering to the patient a composition comprising an agent that inhibits inflammasome signaling, whereby the inflammation in the lungs of the patient is treated.
- CNS central nervous system
- CNS injury is selected from the group consisting of traumatic brain injury (TBI), stroke and spinal cord injury (SCI).
- TBI traumatic brain injury
- SCI spinal cord injury
- [0261] 42 The method of any one of embodiments 23-41, wherein the composition is administered intrace rebroventricularly, intraperitoneally, intravenously, intranasally or by inhalation.
- 43 A monoclonal antibody or an antibody fragment thereof that binds to Apoptosis- associated Speck-like protein containing a Caspase Activating Recruitment Domain (ASC), wherein the antibody or the antibody fragment binds specifically to an epitope of ASC, wherein the epitope comprises or consists of the amino acid sequence of SEQ ID NO: 5 or 5-10, 10-15 or 15-20 amino acids of SEQ ID NO: 5.
- ASC Caspase Activating Recruitment Domain
- a monoclonal antibody or an antibody fragment thereof that binds specifically to ASC wherein the antibody or the antibody fragment comprises a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3.
- VH heavy chain variable
- VL light chain variable
- a monoclonal antibody or an antibody fragment thereof that binds specifically to ASC wherein the antibody or the antibody fragment comprises a light chain variable (VL) region and a heavy chain variable (VH) region, wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- VL light chain variable
- VH heavy chain variable
- a monoclonal antibody or an antibody fragment thereof that binds specifically to ASC wherein the antibody or the antibody fragment comprises a heavy chain variable (VH) region and a light chain variable (VL) region, wherein the VH region amino acid sequence comprises HCDR1 of SEQ ID NO: 6, HCDR2 of SEQ ID NO: 7 and HCDR3 of SEQ ID NO: 8, or a variant thereof having at least one amino acid substitution in HCDR1, HCDR2, and/or HCDR3; and wherein the VL region amino acid sequence comprises LCDR1 of SEQ ID NO: 12, LCDR2 of SEQ ID NO: 13 and LCDR3 of SEQ ID NO: 14, or a variant thereof having at least one amino acid substitution in LCDR1, LCDR2, and/or LCDR3.
- VH heavy chain variable
- VL light chain variable
- VH region amino acid sequence comprises SEQ ID NO: 18, 19, 20, 21, 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18, 19, 20, 21, or 22.
- VL region amino acid sequence comprises SEQ ID NO: 28, 29, 30, 31, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28, 29,
- VH region amino acid sequence comprises SEQ ID NO: 18, 19, 20, 21, 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 18, 19, 20, 21 or 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28, 29, 30, 31, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28, 29, 30 or 31.
- VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH region amino acid sequence comprises SEQ ID NO: 18, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 18; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ. ID NO: 28.
- VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH region amino acid sequence comprises SEQ ID NO: 19, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 19; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH region amino acid sequence comprises SEQ ID NO: 20, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 20; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH region amino acid sequence comprises SEQ ID NO: 21, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 21; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 28 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 28.
- VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 29 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 29.
- VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 30 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 30.
- VH region amino acid sequence comprises SEQ ID NO: 22, or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 22; and wherein the VL region amino acid sequence comprises SEQ ID NO: 31 or an amino acid sequence that is at least 95%, 96%, 97%, 98% or 99% identical to the amino acid sequence of SEQ ID NO: 31.
- a recombinant host cell comprising the expression vector of embodiment 74 or 75.
- a method for producing an antibody or an antibody fragment that binds specifically to ASC comprising: culturing a recombinant host cell comprising the expression vector of embodiment 74 or 75 under conditions whereby the nucleic acid molecule is expressed, thereby producing the monoclonal antibody or the antibody fragment thereof that binds specifically to ASC.
- a pharmaceutical composition comprising the monoclonal antibody or the antibody fragment thereof of any one of embodiments 44-72, and a pharmaceutically acceptable carrier, diluent or excipient.
- a method of treating inflammation in a subject comprises administering to the subject a therapeutically effective amount of the monoclonal antibody or the antibody fragment thereof of any one of embodiments 44-72, thereby treating the inflammation in the subject.
- CNS injury selected from the group consisting of traumatic brain injury (TBI), stroke and spinal cord injury (SCI).
- 84 The method of embodiment 82, wherein the autoimmune or neurodegenerative disease is amyotrophic lateral sclerosis (ALS), Alzheimer's disease, Parkinson's disease, muscular dystrophy (MD) or multiple sclerosis (MS).
- ALS amyotrophic lateral sclerosis
- MD muscular dystrophy
- MS multiple sclerosis
- 85 The method of any one of embodiments 79-84, wherein the administration of the monoclonal antibody or the antibody fragment thereof results in inhibition of inflammasome activation in the subject.
- a method of treating multiple sclerosis (MS) in a subject comprises administering to the subject a therapeutically effective amount of the monoclonal antibody or the antibody fragment thereof of any one of embodiments 44-72, thereby treating MS in the subject.
- influenza virus is a pandemic influenza.
- pandemic influenza virus is influenza A H5N1
- influenza avian influenza
- influenza A H1N1 swine flu
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