Patent Grant
9399672
Hepatitis C is an infectious disease affecting primarily the liver, caused by the hepatitis C virus (HCV). HCV is a major pathogen transmitted via infected blood that infects some 170 million people around the world. The infection can remain hidden without showing symptoms for years, and many people don't know they are infected.
A feature of HCV is that its course is unpredictable. The virus causes chronic (long-term) infections in 60% to 85% of infected individuals. From 20-50% of these infected individuals develop progressive liver disease, leading ultimately to liver cirrhosis, liver failure and/or hepatocellular carcinoma. Liver damage from chronic hepatitis C virus infection is now the most common cause of liver transplantation in the US. However, a small minority of infected individuals seem to have sufficient immunity that they clear the virus soon after infection.
HCV is a positive-sense RNA virus belonging to the Flaviviridae family. It encodes a single polyprotein of ˜3,000 amino acids (aa). Through the action of a combination of host and viral proteases, the polyprotein is cleaved into structural proteins (core, E1, E2, and p′7) and nonstructural proteins (NS2-NS5B). The two envelope glycoproteins, E1 and E2, are believed to form heterodimers/oligomers on the surface of HCV particles that participate in the process of cell entry (Bartosch, B. et al. 2003 J Exp Med 197:633-642).
HCV infection is treated with antiviral medications, e.g. pegylated interferon administered alone or in combination with ribavirin. Combination therapy with pegylated interferon and ribavirin is now successful in about half of the cases, but it is currently prohibitively expensive, requires long-term treatment, and is associated with serious side effects. In much of the world, such treatments are not economically feasible. New direct-acting antiviral drugs such as protease and polymerase inhibitors, either with or without interferon and/or ribavirin, have the potential to increase the response rate and to decrease the duration of treatment. However, these drugs may also have significant side effects and are extremely expensive. Two protease inhibitors are now licensed for use in combination with interferon and ribavirin although the treatment costs are between $26,000-$49,000 per patient depending on the treatment duration, in addition to the costs for pegylated interferon and ribavirin (Tungol, A. et al. J Manag Care Pharm 2011; 17:685-94).
There are at least six known genotypes and more than 50 subtypes of HCV. Specific genotypes are in general located in distinct geographical locations, while a small number of subtypes (1a, 1b, 2a and 3a) have recently become more widely distributed and are associated with modern practices such as medical injections, blood products and intravenous drug use. Knowing the genotype can help predict the likelihood of treatment response and, in many cases, determine the duration of treatment. Patients with genotypes 2 and 3 are almost three times more likely than patients with genotype 1 to respond to therapy with alpha interferon or the combination of alpha interferon and ribavirin. When using combination therapy, the recommended duration of treatment depends on the genotype. For patients with genotypes 2 and 3, a 24-week course of combination treatment is adequate, whereas for patients with genotype 1, a 48-week course is recommended
Although a vaccine that prevents and treats HCV infection is urgently required, no vaccine is currently available for HCV. A therapeutic vaccine would be an invaluable adjunct to current treatment options for HCV.
One of the major challenges facing the development of treatments or a vaccine for HCV is the high degree of genetic diversity that is exhibited by the virus, estimated to be 10 fold higher than that seen in HIV. Other factors that have hindered vaccine development for HCV include the lack of an accessible animal model and the fact that the virus cannot be easily grown in the laboratory. Although it may not be possible to develop a vaccine that targets all HCV genotypes, genotype specific vaccines that are administered in regions where specific genotypes dominate may be a realistic goal. Both T cell and antibody based vaccines to prevent and also to treat HCV infection are under development.
Further, a major challenge facing HCV infected patients that undergo liver transplants is recurrence of hepatitis C virus infection following otherwise technically successful liver transplantation. Recurrent HCV infection leads to diminished graft and patient survival. Although a number of predictors of severe recurrence have been identified, no definitive strategy has been developed to prevent recurrence. Although hepatitis B virus (HBV)-specific specific antibody products exist that are effective in preventing recurrence of HBV infection in liver transplant patients, no HCV-specific antibody is available yet for preventing recurrence of HCV infection in liver transplant patients. Currently, the only effective treatments for prevention of HCV recurrence after liver transplantation are interferon-based therapies, administered alone or in combination with ribavirin.
There remains a need in the art for more treatments of and vaccines to prevent HCV infection.
Disclosed herein is an HCV neutralizing antibody binding specifically to HCV E2 protein Epitope II (EPII).
In an embodiment, the antibody or fragment thereof comprises a heavy chain variable region comprising at least one heavy chain complementarity determining region (CDR) amino acid sequence selected from the group consisting of CDR1 comprising residues 25-32 (GYSFTNYY) of SEQ ID NO:2, CDR2 comprising residues 50-57 (IFPGGGNT) of SEQ ID NO:2, and CDR3 comprising residues 96-107 (SRDIY GDAWFAY) of SEQ ID NO:2. In an embodiment, the antibody or fragment thereof comprises a light chain variable region comprising at least one light chain CDR amino acid sequence selected from the group consisting of CDR1 comprising residues 27-37 (QNIVHRNGNTY) of SEQ ID NO:3, CDR2 comprising residues 55-57 (KVS) of SEQ ID NO:3, and CDR3 comprising residues 94-102 (FQGSHFPPT) of SEQ ID NO:3.
In an embodiment, the antibody or fragment thereof comprises a heavy chain variable region comprising a heavy chain third complementarity determining region (CDR3) amino acid sequence comprising residues 96-107 (SRDIYGDAWFAY) of SEQ ID NO:2. In an embodiment, the antibody or fragment thereof comprises a light chain variable region comprising a light chain CDR3 amino acid sequence comprising residues 94-102 (FQGSHFPPT) of SEQ ID NO:3.
In an embodiment, the antibody or fragment thereof binds specifically to hepatitis C virus (HCV) E2 protein Epitope II (EP II), and comprises a heavy chain variable region comprising an amino acid sequence consisting of SEQ ID NO:2 or a light chain variable region comprising an amino acid sequence consisting of SEQ ID NO:3.
In an embodiment, the isolated antibody or a fragment thereof binding specifically to hepatitis C virus (HCV) E2 protein Epitope II (EP II) comprises a heavy chain encoded by a polynucleotide consisting of SEQ ID NO: 4; and a light chain encoded by a polynucleotide consisting of SEQ ID NO: 5.
Compositions comprising the antibody or fragment thereof and methods of making and using the antibody or fragment thereof are also disclosed.
In an embodiment, a method of detecting HCV E2 protein Epitope II comprises contacting the antibody or fragment thereof with a sample under conditions such that the antibody binds an HCV E2 protein Epitope II (EP II) sequence comprising at least residues 434-446 of SEQ ID NO:1; and detecting antibody bound to EP II.
In an embodiment, a method of preventing HCV infection comprises contacting the antibody or fragment thereof to a cell that will be exposed to or infected with HCV.
In an embodiment, a method of treating or preventing HCV infection comprises administering the antibody or fragment thereof to a to a subject exposed to or infected with HCV
Hybridomas, polynucleotides encoding the antibody or fragment thereof, recombinant vectors, and host cells expressing the antibody or fragment thereof are also disclosed.
These and other advantages of the invention, as well as additional inventive features, will be apparent from the description of the invention provided herein.
Novel monoclonal antibodies that bind to HCV E2 protein Epitope II (HCV EPII) and inhibit HCV infection of cells are provided herein. In particular, the antibodies described herein are capable of neutralizing HCV genotype 1a infectivity in a cell culture system. Therefore, the antibodies of the present invention are useful for treating or preventing HCV infection.
In an embodiment, the isolated neutralizing antibody disclosed herein specifically binds HCV EPII. The antibody can be a monoclonal antibody. The antibody can be an intact antibody or an antigen-binding fragment of the antibody. The antibody can be a mouse, a goat, a sheep, a guinea pig, a rat, or a rabbit antibody. In some embodiments, the antibody can be a rodent antibody, specifically a mouse antibody. The antibody can be a chimeric antibody, specifically a humanized antibody. The HCV EPII epitope recognized can be the HCV 1a genotype EPII, comprising W437. In some embodiments, the HCV 1a genotype EPII recognized comprises W437 and L438
In an embodiment, the neutralizing antibody comprises a heavy chain variable region amino acid sequence comprising SEQ ID NO:2. In an embodiment, the heavy chain variable region amino acid sequence is SEQ ID NO:2.
In an embodiment, the neutralizing antibody comprises a light (kappa) chain variable region amino acid sequence comprising SEQ ID NO:3. In an embodiment, the light chain variable region amino acid sequence is SEQ ID NO:3.
In an embodiment, the neutralizing antibody comprises a heavy chain variable region encoded by SEQ ID NO:4. In an embodiment, the neutralizing antibody comprises a light (kappa) chain variable region encoded by SEQ ID NO:5.
The isolated neutralizing antibody or antigen-binding fragment thereof can comprise a heavy chain variable region comprising at least one heavy chain complementarity determining region (CDR) amino acid sequence selected from the group consisting of residues 25-32 (GYSFTNYY) of SEQ ID NO:2, 50-57 (IFPGGGNT) of SEQ ID NO:2, and 96-107 (SRDIY GDAWFAY) of SEQ ID NO:2. In an embodiment, the heavy chain variable region comprises CDR amino acid sequences consisting of residues 25-32 (GYSFTNYY) of SEQ ID NO:2, 50-57 (IFPGGGNT) of SEQ ID NO:2, and 96-107 (SRDIY GDAWFAY) of SEQ ID NO:2.
The isolated neutralizing antibody or antigen-binding fragment thereof can comprise a heavy chain variable region comprising a light chain variable region comprising at least one light chain CDR amino acid sequence selected from the group consisting of residues 27-37 (QNIVHRNGNTY) of SEQ ID NO:3, CDR2 comprising residues 55-57 (KVS) of SEQ ID NO:3, and CDR3 comprising residues 94-102 (FQGSHFPPT) of SEQ ID NO:3. In an embodiment, the light chain variable region comprises CDR amino acid sequences consisting of residues 27-37 (QNIVHRNGNTY) of SEQ ID NO:3, CDR2 comprising residues 55-57 (KVS) of SEQ ID NO:3, and CDR3 comprising residues 94-102 (FQGSHFPPT) of SEQ ID NO:3.
The term “neutralizing antibody” is an antibody that is capable of keeping an infectious agent, usually a virus, e.g., HCV, from infecting a cell by neutralizing or inhibiting its biological effect, for example by blocking the receptors on the cell or the virus. Neutralization can happen when antibodies bind to specific viral antigens, blocking the pathogen from entering their host cells.
The term “antibody” or “immunoglobulin,” as used interchangeably herein, includes whole antibodies and any antigen binding fragment (antigen-binding portion) or single chain cognates thereof. An “antibody” comprises at least one heavy (H) chain and one light (L) chain. In naturally occurring IgGs, for example, these heavy and light chains are inter-connected by disulfide bonds and there are two paired heavy and light chains, these two also inter-connected by disulfide bonds. Each heavy chain is comprised of a heavy chain variable region (abbreviated herein as VH) and a heavy chain constant region. The heavy chain constant region is comprised of three domains, CH1, CH2 and CH3. Each light chain is comprised of a light chain variable region (abbreviated herein as VL) and a light chain constant region. The light chain constant region is comprised of one domain, CL. The VH and VL regions can be further subdivided into regions of hypervariability, termed complementarity determining regions (CDR), interspersed with regions that are more conserved, termed framework regions (FR) or Joining (J) regions (JH or JL in heavy and light chains respectively). Each VH and VL is composed of three CDRs three FRs and a J domain, arranged from amino-terminus to carboxy-terminus in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3, J. The variable regions of the heavy and light chains bind with an antigen. The constant regions of the antibodies may mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system (e.g., effector cells) or humoral factors such as the first component (Clq) of the classical complement system.
The term “antigen-binding portion” or “antigen-binding fragment” of an antibody, as used herein, refers to one or more fragments of an antibody that retain the ability to specifically bind to an antigen (e.g., HVC E2 protein EPII). It has been shown that fragments of a full-length antibody can perform the antigen-binding function of an antibody. Examples of binding fragments denoted as an antigen-binding portion or fragment of an antibody include (i) a Fab fragment, a monovalent fragment consisting of the VL, VH, CL and CH1 domains; (ii) a F(ab')2 fragment, a bivalent fragment comprising two Fab fragments linked by a disulfide bridge at the hinge region; (iii) a Fd fragment consisting of the VH and CH1 domains; (iv) a Fv fragment consisting of the VL and VH domains of a single arm of an antibody, (v) a dAb including VH and VL domains; (vi) a dAb fragment (Ward et al. (1989) Nature 341, 544-546), which consists of a VH domain; (vii) a dAb which consists of a VH or a VL domain; and (viii) an isolated complementarity determining region (CDR) or (ix) a combination of two or more isolated CDRs which may optionally be joined by a synthetic linker. Furthermore, although the two domains of the Fv 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 are paired to form monovalent molecules (such a single chain cognate of an immunoglobulin fragment is known as a single chain Fv (scFv). Such single chain antibodies are also intended to be encompassed within the term “antibody fragment” . Antibody fragments are obtained using conventional techniques known to those with skill in the art, and the fragments are screened for utility in the same general manner as are intact antibodies. Antigen-binding fragments can be produced by recombinant DNA techniques, or by enzymatic or chemical cleavage of intact immunoglobulins.
The term “monoclonal antibody” as used herein refers to an antibody obtained from a population of substantially homogeneous antibodies, i.e., the individual antibodies comprising the population are identical except for possible naturally occurring mutations that may be present in minor amounts. In some embodiments, the term “monoclonal antibody” refers to an antibody derived from a single cell clone. Antigen binding fragments (including scFvs) of such immunoglobulins are also encompassed by the term “monoclonal antibody” as used herein. Monoclonal antibodies are highly specific, being directed against a single antigenic site. Furthermore, in contrast to conventional (polyclonal) antibody preparations, which typically include different antibodies, directed against different determinants (epitopes), each monoclonal antibody is directed against a single epitope on the antigen. Monoclonal antibodies can be prepared using any art recognized technique and those described herein such as, for example, a hybridoma method, a transgenic animal, recombinant DNA methods (see, e.g., U.S. Pat. No. 4,816,567), or using phage antibody libraries using the techniques described in, for example, US Patent No. 7,388,088 and US patent application Ser. No. 09/856,907 (PCT Int. Pub. No. WO 00/31246). Monoclonal antibodies include chimeric antibodies, human antibodies and humanized antibodies and may occur naturally or be produced recombinantly.The term “recombinant antibody,” refers to antibodies that are prepared, expressed, created or isolated by recombinant means, such as (a) antibodies isolated from an animal (e.g., a mouse) that is transgenic or transchromosomal for immunoglobulin genes (e.g., human immunoglobulin genes) or a hybridoma prepared therefrom, (b) antibodies isolated from a host cell transformed to express the antibody, e.g., from a transfectoma, (c) antibodies isolated from a recombinant, combinatorial antibody library (e.g., containing human antibody sequences) using phage display, and (d) antibodies prepared, expressed, created or isolated by any other means that involve splicing of immunoglobulin gene sequences (e.g., human immunoglobulin genes) to other DNA sequences. Such recombinant antibodies may have variable and constant regions derived from human germline immunoglobulin sequences. In certain embodiments, however, such recombinant human antibodies can be subjected to in vitro mutagenesis and thus the amino acid sequences of the VH and VL regions of the recombinant antibodies are sequences that, while derived from and related to human germline VH and VL sequences, may not naturally exist within the human antibody germline repertoire in vivo.
The term “chimeric immunoglobulin” or antibody refers to an immunoglobulin or antibody whose variable regions derive from a first species and whose constant regions derive from a second species. Chimeric immunoglobulins or antibodies can be constructed, for example by genetic engineering, from immunoglobulin gene segments belonging to different species.
The term “human antibody,” as used herein, is intended to include antibodies having variable regions in which both the framework and CDR regions are derived from human germline immunoglobulin sequences as described, for example, by Kabat et al. (See Kabat, et al. (1991) Sequences of proteins of Immunological Interest, Fifth Edition, U.S. Department of Health and Human Services, NIH Publication No. 91-3242). Furthermore, if the antibody contains a constant region, the constant region also is derived from human germline immunoglobulin sequences. The human antibodies may include amino acid residues not encoded by human germline immunoglobulin sequences (e.g., mutations introduced by random or site-specific mutagenesis in vitro or by somatic mutation in vivo). However, the term “human antibody”, as used herein, is not intended to include antibodies in which CDR sequences derived from the germline of another mammalian species, such as a mouse, have been grafted onto human framework sequences.
The human antibody can have at least one or more amino acids replaced with an amino acid residue, e.g., an activity enhancing amino acid residue that is not encoded by the human germline immunoglobulin sequence. Typically, the human antibody can have up to twenty positions replaced with amino acid residues that are not part of the human germline immunoglobulin sequence. In a particular embodiment, these replacements are within the CDR regions as described in detail below.
The term “humanized immunoglobulin” or “humanized antibody” refers to an immunoglobulin or antibody that includes at least one humanized immunoglobulin or antibody chain (i.e., at least one humanized light or heavy chain). The term “humanized immunoglobulin chain” or “humanized antibody chain” (i.e., a “humanized immunoglobulin light chain” or “humanized immunoglobulin heavy chain”) refers to an immunoglobulin or antibody chain (i.e., a light or heavy chain, respectively) having a variable region that includes a variable framework region substantially from a human immunoglobulin or antibody and complementarity determining regions (CDRs) (e.g., at least one CDR, two CDRs, or three CDRs) substantially from a non-human immunoglobulin or antibody, and further includes constant regions (e.g., one constant region or portion thereof, in the case of a light chain, and preferably three constant regions in the case of a heavy chain). The term “humanized variable region” (e.g., “humanized light chain variable region” or “humanized heavy chain variable region”) refers to a variable region that includes a variable framework region substantially from a human immunoglobulin or antibody and complementarity determining regions (CDRs) substantially from a non-human immunoglobulin or antibody.
A non-human antibody is humanized using a method known in the art. In general, a humanized antibody has at least one amino acid residue introduced from a non-human donor. The humanization of a non-human antibody may be performed by replacing CDR sequences of a human antibody with corresponding CDR sequences of a non-human species, e.g., a rodent such as a mouse, having the desired specificity and affinity. Thus, a humanized antibody is a chimeric antibody, and a region that is smaller than the variable region of a substantially intact human antibody may be replaced by the corresponding sequences from a non-human antibody. For example, a humanized antibody may be a human antibody in which some CDR residues and possibly some framework (FR) residues are replaced by residues from the analogous CDR and FR sites in antibodies of a rodent.
An “antigen” is an entity (e.g., a proteinaceous entity or peptide) to which an antibody binds. In various embodiments disclosed herein, an antigen is a peptide derived from the HCV E2 protein comprising Epitope II (“HCV EPII”) (a.a. 427-446 of the HCV polyprotein). For example, the antigen can be HCV E2 protein or a peptide comprising aa 427-446 of SEQ ID NO:1, such as Peptide A (
The term “epitope” or “antigenic determinant” refers to a site on an antigen to which an immunoglobulin or antibody specifically binds. Epitopes can be formed both from contiguous amino acids or noncontiguous amino acids juxtaposed by tertiary folding of a protein. Epitopes formed from contiguous amino acids are typically retained on exposure to denaturing solvents, whereas epitopes formed by tertiary folding are typically lost on treatment with denaturing solvents. An epitope typically includes at least 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14 or 15 amino acids, often contiguous amino acids, in a unique spatial conformation. An epitope herein is not limited to a polypeptide having the exact sequence of the portion of the parent protein from which it is derived. Thus the term “epitope” encompasses sequences identical to the native sequence, as well as modifications to the native sequence, such as deletions, additions and substitutions (generally conservative in nature) to which the antibody dislosed herein specifically binds. Methods for determining what epitopes are bound by a given antibody (i.e., epitope mapping) are well known in the art and include, for example, immunoblotting and immunoprecipitation assays, wherein overlapping or contiguous peptides from the antigen are tested for reactivity with the given antibody. The neutralizing monoclonal antibodies disclosed herein bind specifically to HCV EPII.
Methods of determining spatial conformation of epitopes are also well known in the art and include, for example, x-ray crystallography and 2- or more dimensional nuclear magnetic resonance.
The terms “specific binding,” “specifically binds,” “selective binding,” and “selectively binds” mean that an antibody exhibits appreciable affinity for a particular antigen or epitope and, generally, does not exhibit significant cross-reactivity with other antigens and epitopes. “Appreciable” binding affinity includes binding with an affinity of at least 106 M−1, specifically at least 107 M−1, more specifically at least 108 M−1, yet more specifically at least 109 M−1, or even yet more specifically at least 101° M−1. A binding affinity can also be indicated as a range of affinities, for example, 106 M−1 to 101° M−1, specifically 107 M−1 to 1010 M−1, more specifically 108 M−1 to 1010 M−1. An antibody that “does not exhibit significant crossreactivity” is one that will not appreciably bind to an undesirable entity (e.g., an undesirable proteinaceous entity). An antibody specific for a particular epitope will, for example, not significantly crossreact with other epitopes on the same protein or peptide. Specific binding can be determined according to any art-recognized means for determining such binding. In some embodiments, specific binding is determined according to Scatchard analysis and/or competitive binding assays.
The term “linked” used herein refers to a linkage of two entities, for example a labeling material and an antibody, by covalent or non-covalent bonding. A linkage mediated by a linker molecule or the like is also included.
The term “toxic material” used herein refers to a material which can be linked to an antibody or a fragment thereof and can exert toxic effects on a target, such as a cancer cell. For example, radioactive materials such as yttrium-90, iodine-131, etc. and cytotoxic materials such as calicheamicin are included among toxic materials.
The term “labeling material” used herein refers to a material which binds to an antibody or a fragment thereof and is detectable by a physical or chemical method to permit identification of the location or quantity of the antibody or the fragment thereof. The labeling material is used to label the antibody to make detection of bound or unbound antibody easy. Suitable detectable materials include a variety of enzymes, prosthetic groups, fluorescent materials, light-emitting materials and radioactive materials. Examples of suitable enzymes include horseradish peroxidase, alkaline phosphatase, β-galactosidase or acetylcholinesterase. Examples of suitable prosthetic groups include streptavidin/biotin and avidin/biotin. Examples of suitable fluorescent materials include umbelliferone, fluorescein, fluorescein isothiocyanate, rhodamine, dichlorotriazinylamine fluorescein, dansyl chloride or phycoerythrin. Examples of light-emitting materials include luminol, and examples of radioactive materials include 1251, 1311, 35S, and 3H. Detection of the labeling material can be performed by any appropriate method known in the art.
The term “isolated” refers to a nucleic acid, a polypeptide, or other component that is removed from components with which it is naturally associated. The term “isolated” can refer to a polypeptide that is separate and discrete from the whole organism with which the molecule is found in nature or is present in the substantial absence of other biological macro-molecules of the same type. The term “isolated” with respect to a polynucleotide can refer to a nucleic acid molecule devoid, in whole or part, of sequences normally associated with it in nature; or a sequence, as it exists in nature, but having heterologous sequences in association therewith; or a molecule disassociated from the chromosome.
The term “isolated nucleic acid molecule” or “isolated polynucleotide” as used herein in reference to nucleic acids encoding antibodies or antibody fragments (e.g., VH, VL, CDR3), is intended to refer to a nucleic acid molecule in which the nucleotide sequences are free of other genomic nucleotide sequences, e.g., those encoding antibodies that bind antigens other than HCV E2 protein EPII, which other sequences may naturally flank the nucleic acid in human genomic DNA.
The term “nucleic acid molecule” or “polynucleotide” as used herein, is intended to include DNA molecules and RNA molecules. A nucleic acid molecule may be single-stranded or double-stranded. A polynucleotide can be obtained by a suitable method known in the art, including isolation from natural sources, chemical synthesis, or enzymatic synthesis.
An isolated polynucleotide encoding an antibody heavy chain variable region having the amino acid sequence of SEQ ID NO: 2 is disclosed. The polynucleotide can comprise SEQ ID NO: 4.
An isolated polynucleotide encoding an antibody light chain variable region having the amino acid sequence of SEQ ID NO: 3. The polynucleotide can comprise SEQ ID NO: 5.
The term “vector” used herein refers to a nucleic acid sequence to express a target gene in a host cell. Examples include a plasmid vector, a cosmid vector, a bacteriophage vector, and a viral vector. Examples of viral vectors include a bacteriophage vector, an adenovirus vector, a retrovirus vector, and an adeno-associated virus vector.
For example, the vector may be an expression vector including a membrane targeting or secretion signaling sequence or a leader sequence, in addition to an expression control element such as promoter, operator, initiation codon, termination codon, polyadenylation signal, and enhancer. The vector may be manufactured in various ways known in the art depending on the purpose. An expression vector may include a selection marker for selecting a host cell containing the vector. Further, a replicable expression vector may include an origin of replication.
The term “recombinant vector” used herein refers to a vector operably linked to a heterologous nucleotide sequence for the purpose of expression, production and isolation of the heterologous nucleotide sequence. The heterologous nucleotide sequence can be a nucleotide sequence encoding all or part of the heavy chain or the light chain of an antibody disclosed herein.
The recombinant vector may be constructed for use in prokaryotic or eukaryotic host cells. For example, when a prokaryotic cell is used as a host cell, the expression vector used generally includes a strong promoter capable of initiating transcription (for example, pLλ promoter, trp promoter, lac promoter, tac promoter, T7 promoter), a ribosome binding site for initiating translation, and a transcription/translation termination sequence. When a eukaryotic cell is used as a host cell, the vector used generally includes the origin of replication acting in the eukaryotic cell, for example f1 origin of replication, SV40 origin of replication, pMB1 origin of replication, adeno origin of replication, AAV origin of replication, or BBV origin of replication, but is not limited thereto. A promoter in an expression vector for a eukaryotic host cell may be a promoter derived from the genomes of mammalian cells (for example, a metallothionein promoter) or a promoter derived from mammalian viruses (for example, an adenovirus late promoter, a vaccinia virus 7.5K promoter, a SV40 promoter, a cytomegalovirus promoter, and a tk promoter of HSV). A transcription termination sequence in an expression vector for a eukaryotic host cell may be, in general, a polyadenylation sequence.
The term “operably linked” refers to a nucleic acid sequence placed into a functional relationship with another nucleic acid sequence. For example, DNA for a presequence or secretory leader is operably linked to DNA for a polypeptide if it is expressed as a preprotein that participates in the secretion of the polypeptide; a promoter or enhancer is operably linked to a coding sequence if it affects the transcription of the sequence; or a ribosome binding site is operably linked to a coding sequence if it is positioned so as to facilitate translation. Generally, “operably linked” means that the DNA sequences being linked are contiguous, and, in the case of a secretory leader, contiguous and in reading phase. However, enhancers do not have to be contiguous. Linking is accomplished by ligation at convenient restriction sites. If such sites do not exist, the synthetic oligonucleotide adaptors or linkers are used in accordance with conventional practice. A nucleic acid is “operably linked” when it is placed into a functional relationship with another nucleic acid sequence. For instance, a promoter or enhancer is operably linked to a coding sequence if it affects the transcription of the sequence. With respect to transcription regulatory sequences, operably linked means that the DNA sequences being linked are contiguous and, where necessary to join two protein coding regions, contiguous and in reading frame. For switch sequences, operably linked indicates that the sequences are capable of effecting switch recombination.
A single vector can be used to simultaneously express both the heavy chain and the light chain of the antibody. Alternatively, the heavy chain and the light chain of the antibody can be expressed from two different vectors. In the latter case, the two vectors may be introduced into a single host cell by simultaneous transduction or targeted transduction.
The host cell of the vector may be any cell that can be practically utilized by the expression vector. For example, the host cell may be a higher eukaryotic cell, such as a mammalian cell, or a lower eukaryotic cell, such as a yeast cell. Further, the host cell may be a prokaryotic cell, such as a bacterial cell. A prokaryotic host cell may be a Bacillus genus bacterium, such as E. coli JM109, E. coli BL21, E. coli RR1, E. coli LE392, E. coli B, E. coli X 1776, E. coli W3110, Bacillus subtilis, and Bacillus thuringiensis; or an intestinal bacterium, such as Salmonella typhimurium, Serratia marcescens, and various Pseudomonas species. A eukaryotic host cell may be a yeast (e.g., Saccharomyces cerevisiae), an insect ell, a plant cell, or an animal cell, for example, mouse Sp2/0, CHO (Chinese hamster ovary) K1, CHO DG44, PER.C6, W138, BHK, COS-7, 293, HepG2, Huh7, 3T3, RIN, or a MDCK cell line.
The polynucleotide or recombinant vector including the polynucleotide may be transferred into the host cell using a method known in the art. For example, when a prokaryotic cell is used as the host cell, the transfer may be performed using a CaCl2 method or an electroporation method, and when a eukaryotic cell is used as the host cell, the transfer may be performed by microinjection, calcium phosphate precipitation, electroporation, liposome-mediated transfection, or gene bombardment, but is not limited thereto.
Disclosed herein is a recombinant vector comprising a polynucleotide consisting of SEQ ID NO: 4. Also disclosed is a recombinant vector comprising a polynucleotide consisting of SEQ ID NO: 5. A suitable host cell can be transformed with one or both of the recombinant vectors or one or both of the polynucleotides.
A method of isolating the antibody from the host cell is also disclosed. In an embodiment the method comprises culturing the host cell and isolating from the culture an antibody binding to HCV EPII. The method can further comprise screening the antibody in a cell culture system to determine that it is a neutralizing antibody. A genotype 1a HCV or a chimeric HCV including gentoype 1a EPII can be used in the screening assay to determine if the isolated antibody reduces infectivity of the HCV.
The term “patient” includes human and other mammalian subjects that receive either prophylactic or therapeutic treatment.
As used herein, the term “subject” includes any human or non-human animal. For example, the methods and compositions of the present invention can be used to treat a subject having cancer. In a particular embodiment, the subject is a human. The term “non-human animal” includes all vertebrates, e.g., mammals and non-mammals, such as non-human primates, sheep, dog, cow, chickens, amphibians, reptiles, etc.
The terms “treat” , “treating” and “treatment” mean implementation of therapy with the intention of reduction in severity or frequency of symptoms, elimination of symptoms or their underlying cause, prevention of the occurrence of symptoms or their underlying cause, or improvement or remediation of damage.
The term “sample” refers to tissue, body fluid, or a cell from a patient or a subject. Normally, the tissue or cell will be removed from the subject, but in vivo diagnosis is also contemplated.
The term “E2 polypeptide” is intended to refer to a molecule derived from an HCV E2 region. The mature E2 region of HCV-Ia begins at approximately amino acid 384, numbered relative to the full-length HCV-I polyprotein (SEQ ID NO:1). A signal peptide begins at approximately amino acid 364 of the polyprotein. The corresponding region for other HCV genotypes and subtypes are known and readily determined by comparison to the HCV-Ia polyprotein. For ease of discussion then, numbering herein is with reference to the HCV-Ia polyprotein, but it is to be understood that an “E2 polypeptide” also encompasses E2 polypeptides from any of the various HCV genotypes, such as HCV-I, HCV-2, HCV-3, HCV-4, HCV-5 and HCV-6 and subtypes thereof, such as HCV-Ia, HCV-2a, HCV-3a, HCV-4a, HCV-5a and HCV-6a. Thus, for example, the term “E2” polypeptide refers to native E2 sequences from any of the various HCV genotypes, unless specifically identified, as well as analogs, muteins and immunogenic fragments, as discussed further below. The complete genotypes of many of these strains are known. See, e.g., Simmonds et al. 2005 Hepatology 42:962-973.
Furthermore, an “E2 polypeptide” may not be limited to a polypeptide having the exact sequence depicted in the HCV databases. The HCV genome is in a state of constant flux in vivo and contains several variable domains which exhibit relatively high degrees of variability between isolates. A number of conserved and variable regions are known between these strains and, in general, the amino acid sequences of epitopes derived from these regions will have a high degree of sequence homology, e.g., amino acid sequence homology of more than 30%, preferably more than 40%, more than 60%, and even more than 80-90%, or at least 95% homology or identity, when the two sequences are aligned.
Additionally, the term “E2 polypeptide” may encompass proteins, which include modifications to the native sequence, such as internal deletions, additions and substitutions (generally conservative in nature), such as proteins substantially homologous to the parent sequence. These modifications may be deliberate, as through site-directed mutagenesis, or may be accidental, such as through naturally occurring mutational events. All of these modifications are encompassed in certain embodiments so long as the modified E2 polypeptides function for their intended purpose. Thus, for example, if the E2 polypeptides are to be used in immunogenic compositions, the modifications must be such that immunological activity (i.e., the ability to elicit a humoral or cellular immune response to the polypeptide) is not lost.
“Homology” refers to the percent identity between two polynucleotide or two polypeptide moieties. Two DNA, or two polypeptide sequences are “substantially homologous” to each other when the sequences exhibit at least about 50% , preferably at least about 75%, more preferably at least about 80%-85%, preferably at least about 90%, and most preferably at least about 95%-98% sequence identity over a defined length of the molecules. As used herein, substantially homologous also refers to sequences showing complete identity to the specified DNA or polypeptide sequence.
In general, “identity” refers to an exact nucleotide-to-nucleotide or amino acid-to-amino acid correspondence of two polynucleotides or polypeptide sequences, respectively. Percent identity can be determined by a direct comparison of the sequence information between two molecules by aligning the sequences, counting the exact number of matches between the two aligned sequences, dividing by the length of the shorter sequence, and multiplying the result by 100. Readily available computer programs can be used to aid in the analysis, such as ALIGN, Dayhoff, M. O. in Atlas of Protein Sequence and Structure M. O. Dayhoff ed., 5 Suppl. 3:353-358, National Biomedical Research Foundation, Washington, D.C., which adapts the local homology algorithm of Smith and Waterman 1981 Advances in Appl Math 2:482-489, for peptide analysis. Programs for determining nucleotide sequence identity are available in the Wisconsin Sequence Analysis Package, Version 8 (available from Genetics Computer Group, Madison, Wis.) for example, the BESTFIT, FASTA and GAP programs, which also rely on the Smith and Waterman algorithm. These programs are readily utilized with the default parameters recommended by the manufacturer and described in the Wisconsin Sequence Analysis Package referred to above. For example, percent identity of a particular nucleotide sequence to a reference sequence can be determined using the homology algorithm of Smith and Waterman with a default scoring table and a gap penalty of six nucleotide positions.
Alternatively, nucleotide homology can be determined by hybridization of polynucleotides under conditions which form stable duplexes between homologous regions, followed by digestion with single-stranded-specific nuclease(s), and size determination of the digested fragments. DNA sequences that are substantially homologous can be identified in a Southern hybridization experiment under, for example, stringent conditions, as defined for that particular system. Defining appropriate hybridization conditions is within the skill of the art. See, e.g., Sambrook et al. Molecular Cloning: A Laboratory Manual (2d ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N. Y. (1989).
Tthe term “recombinant” can be used to describe a nucleic acid molecule and refers to a polynucleotide of genomic, RNA, DNA, cDNA, viral, semisynthetic, or synthetic origin which, by virtue of its origin or manipulation is not associated with all or a portion of the polynucleotide with which it is associated in nature. The term “recombinant” as used with respect to a protein or polypeptide can refer to a polypeptide produced by expression of a recombinant polynucleotide. In general, the gene of interest is cloned and then expressed in transformed organisms, as described further below. The host organism expresses the foreign gene to produce the protein under expression conditions.
The terms “analog” and “mutein” can refer to biologically active derivatives of the reference molecule, such as E2 or an immunogenic fragment of E2, or fragments of such derivatives, that retain desired activity, such as immunoreactivity in assays described herein. In general, the term “analog” refers to compounds having a native polypeptide sequence and structure with one or more amino acid additions, substitutions (generally conservative in nature) and/or deletions, relative to the native molecule, so long as the modifications do not destroy immunogenic activity. The term “mutein” refers to polypeptides having one or more amino acid-like molecules including but not limited to compounds comprising only amino and/or imino molecules, polypeptides containing one or more analogs of an amino acid (including, for example, unnatural amino acids, etc.), polypeptides with substituted linkages, as well as other modifications known in the art, both naturally occurring and non-naturally occurring (e.g., synthetic), cyclized, branched molecules and the like. Preferably, the analog or mutein has at least the same immunoreactivity as the native molecule. Methods for making polypeptide analogs and muteins are known in the art.
A conservative amino acid substitution in a polypeptide sequence includes the substitution of an amino acid in one class by an amino acid of the same class, where a class is defined by common physicochemical amino acid side chain properties and high substitution frequencies in homologous proteins found in nature, as determined, for example, by a standard Dayhoff frequency exchange matrix or BLOSUM matrix. Six general classes of amino acid side chains have been categorized and include: Class I (Cys); Class II (Ser, Thr, Pro, Ala, Gly); Class III (Asn, Asp, Gln, Glu); Class IV (His, Arg, Lys); Class V (Ile, Leu, Val, Met); and Class VI (Phe, Tyr, Trp). For example, substitution of an Asp for another class III residue such as Asn, Gln, or Glu, is a conservative substitution. One of skill in the art can readily determine regions of the molecule of interest that can tolerate change by reference to Hopp/Woods and Kyte—Doolittle plots. With respect to substitutions in antibodies, methods of identifying nucleotide and amino acid conservative substitutions which do not eliminate antigen binding are well-known in the art (see, e.g., Brummell et al., Biochem. 32:1180-1187 (1993); Kobayashi et al. Protein Eng. 12(10):879-884 (1999); and Burks et al. Proc. Natl. Acad. Sci. USA 94:.412-417 (1997)).
An “immunogenic fragment” of a particular HCV protein will generally include at least about 5-10 contiguous amino acid residues of the full-length molecule, preferably at least about 15-25 contiguous amino acid residues of the full-length molecule, and most preferably at least about 20-50 or more contiguous amino acid residues of the full-length molecule, that define an epitope, or any integer between 5 amino acids and the full-length sequence, provided that the fragment in question retains the ability to elicit an immunological response as defined herein.
Monoclonal antibodies of the invention can be produced using a variety of known techniques, such as the standard somatic cell hybridization technique described by Kohler and Milstein (1975) Nature 256: 495, viral or oncogenic transformation of B lymphocytes or phage display technique using libraries of human antibody genes. In particular embodiments, the antibodies are humanized monoclonal antibodies.
Accordingly, in one embodiment, a hybridoma method is used for producing an antibody that binds HCV E2 protein EPII (“HCV EPII”). In this method, a mouse or other appropriate host animal can be immunized with a suitable antigen in order to elicit lymphocytes that produce or are capable of producing antibodies that will specifically bind to the antigen used for immunization. In some embodiments, the antigen is Peptide A, Peptide B, or Peptide B-short. Alternatively, lymphocytes may be immunized in vitro. Lymphocytes can then be fused with myeloma cells using a suitable fusing agent, such as polyethylene glycol, to form a hybridoma cell (Goding, Monoclonal Antibodies: Principles and Practice, pp. 59-103 (Academic Press, 1986)). Culture medium in which hybridoma cells are growing is assayed for production of monoclonal antibodies directed against the antigen. After hybridoma cells are identified that produce antibodies of the desired specificity, affinity, and/or activity, the clones may be subcloned by limiting dilution procedures and grown by standard methods (Goding, Monoclonal Antibodies:Principles and Practice, pp. 59-103 (Academic Press, 1986)). Suitable culture media for this purpose include, for example, D-MEM or RPMI-1640 medium. In addition, the hybridoma cells may be grown in vivo as ascites tumors in an animal. The monoclonal antibodies secreted by the subclones can be separated from the culture medium, ascites fluid, or serum by conventional immunoglobulin purification procedures such as, for example, protein A-Sepharose, hydroxylapatite chromatography, gel electrophoresis, dialysis, or affinity chromatography.
As discussed further below, a hybridoma cell producing monoclonal antibody #41 and a hybridoma cell producing monoclonal antibody #8 are disclosed herein.
The binding specificity to HCV E2 protein EPII of monoclonal antibodies, or fragments thereof, prepared using any technique including those disclosed herein, can be determined by immunoprecipitation or by an in vitro binding assay, such as radioimmunoassay (RIA) or enzyme-linked immunoabsorbent assay (ELISA). The binding affinity of a monoclonal antibody or portion thereof also can be determined by the Scatchard analysis of Munson et al., Anal. Biochem., 107:220 (1980).
In certain embodiments, an antibody binding HCV E2 protein EPII may be further altered or optimized to achieve a desired binding specificity and/or affinity using art recognized techniques, such as those described herein.
In one embodiment, partial antibody sequences derived from a given antibody may be used to produce structurally and functionally related antibodies. For example, antibodies interact with target antigens predominantly through amino acid residues that are located in the six heavy and light chain complementarity determining regions (CDRs). For this reason, the amino acid sequences within CDRs are more diverse between individual antibodies than sequences outside of CDRs. Because CDR sequences are responsible for most antibody-antigen interactions, it is possible to express recombinant antibodies that mimic the properties of specific naturally occurring antibodies by constructing expression vectors that include CDR sequences from the specific naturally occurring antibody grafted onto framework sequences from a different antibody with different properties (see, e.g., Riechmann, L. et al., 1998, Nature 332:323-327; Jones, P. et al., 1986, Nature 321:522-525; and Queen, C. et al., 1989, Proc. Natl. Acad. See. U.S.A. 86:10029-10033). Such framework sequences can be obtained from public DNA databases that include germline antibody gene sequences.
Thus, one or more structural features of an anti-HCV EPII antibody disclosed herein, such as the CDRs, can be used to create structurally related anti-HCV EPII antibodies that retain at least one functional property of the antibodies of the invention, e.g., inhibiting infection of cells exposed to HCV.
Antibody heavy and light chain CDR3 domains are known to play a particularly important role in the binding specificity/affinity of an antibody for an antigen. Accordingly, in certain embodiments, antibodies are generated that include the heavy and/or light chain CDR3s of the particular antibodies described herein. The antibodies can further include the heavy and/or light chain CDR1 and/or CDR2s of the antibodies disclosed herein.
The CDR 1, 2, and/or 3 regions of the engineered antibodies described above can comprise the exact amino acid sequence(s) as those disclosed herein. However, the ordinarily skilled artisan will appreciate that some deviation from the exact CDR sequences may be possible, particularly for CDR1 and CDR2 sequences, which can tolerate more variation than CDR3 sequences without altering epitope specificity (such deviations are, e.g., conservative amino acid substitutions). Accordingly, in another embodiment, the engineered antibody may be composed of one or more CDR1s and CDR2s that are, for example, 90%, 95%, 98%, 99% or 99.5% identical to the corresponding CDRs of an antibody named herein.
In another embodiment, one or more residues of a CDR may be altered to modify binding to achieve a more favored on-rate of binding. Using this strategy, an antibody having ultra high binding affinity of, for example, 1010 M−1 or more, can be achieved. Affinity maturation techniques, well known in the art and those described herein, can be used to alter the CDR region(s) followed by screening of the resultant binding molecules for the desired change in binding. Accordingly, as CDR(s) are altered, changes in binding affinity as well as immunogenicity can be monitored and scored such that an antibody optimized for the best combined binding and low immunogenicity are achieved.
Modifications can also be made within one or more of the framework or joining regions of the heavy and/or the light chain variable regions of an antibody, so long as antigen binding affinity subsequent to these modifications is better than 106 M−1.
In another embodiment, the antibody is further modified with respect to effector function, so as to enhance the effectiveness of the antibody in treating cancer, for example. For example cysteine residue(s) may be introduced in the Fc region, thereby allowing interchain disulfide bond formation in this region.
In another aspect, a composition, e.g., a pharmaceutical composition, is disclosed herein. The composition can contain one or a combination of monoclonal antibodies, (or antigen-binding fragments thereof), formulated together with a pharmaceutically acceptable carrier. In one embodiment, the composition includes an isolated antibody that binds HCV EPII. In an embodiment, the composition contains an isolated antibody or fragment thereof disclosed herein and at least one additional therapeutic agent. The therapeutic agent can be a small molecule drug, or a biological such as a hormone, a protein, or another antibody or fragment thereof. In some embodiments, the composition further comprises a pharmaceutically acceptable carrier. A “therapeutic agent” means a substance that when administered to a patient provides any therapeutic benefit. A therapeutic benefit may be an amelioration of symptoms of HCV infection or prevention of HCV infection.
As used herein, “pharmaceutically acceptable carrier” includes any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like that are physiologically compatible. Preferably, the carrier is suitable for intravenous, intramuscular, subcutaneous, parenteral, spinal or epidermal administration (e.g., by injection or infusion). Depending on the route of administration, the active compound, i.e., antibody, may be coated in a material to protect the compound from the action of acids and other natural conditions that may inactivate the compound.
Compositions can be administered alone or in combination therapy, i.e., combined with other agents. For example, the combination therapy can include a composition provided herein with at least one or more additional therapeutic agents, such as an anti-viral agent described herein, or another antibody.
Compositions can be administered by a variety of methods known in the art. As will be appreciated by the skilled artisan, the route and/or mode of administration will vary depending upon the desired results. The antibodies can be prepared with carriers that will protect the antibodies against rapid release, such as a controlled release formulation, including implants, transdermal patches, and microencapsulated delivery systems. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Many methods for the preparation of such formulations are patented or generally known to those skilled in the art. See, e.g., Sustained and Controlled Release Drug Delivery Systems, J.R. Robinson, ed., Marcel Dekker, Inc., New York, 1978.
To administer compositions by certain routes of administration, it may be necessary to coat the constituents, e.g., antibodies, with, or co-administer the compositions with, a material to prevent its inactivation. For example, the compositions may be administered to a subject in an appropriate carrier, for example, liposomes, or a diluent. Acceptable diluents include saline and aqueous buffer solutions. Liposomes include water-in-oil-in-water CGF emulsions as well as conventional liposomes (Strejan et al. (1984) J. Neuroimmunol. 7:27).
Acceptable carriers include sterile aqueous solutions or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. The use of such media and agents for pharmaceutically active substances is known in the art. Except insofar as any conventional media or agent is incompatible with the antibodies, use thereof in compositions provided herein is contemplated. Supplementary active constituents can also be incorporated into the compositions.
Therapeutic compositions typically must be sterile and stable under the conditions of manufacture and storage. The composition can be formulated as a solution, microemulsion, liposome, or other ordered structure suitable to high drug concentration. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, or sodium chloride in the composition. Including in the composition an agent that delays absorption, for example, monostearate salts and gelatin can bring about prolonged absorption of the injectable compositions.
Sterile injectable solutions can be prepared by incorporating the monoclonal antibodies in the required amount in an appropriate solvent with one or a combination of ingredients enumerated above, as required, followed by sterilization microfiltration. Generally, dispersions are prepared by incorporating the antibodies into a sterile vehicle that contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation are vacuum drying and freeze-drying (lyophilization) that yield a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.
Dosage regimens are adjusted to provide the optimum desired response (e.g., a therapeutic response). For example, a single bolus may be administered, several divided doses may be administered over time or the dose may be proportionally reduced or increased as indicated by the exigencies of the therapeutic situation. For example, human antibodies may be administered once or twice weekly by subcutaneous injection or once or twice monthly by subcutaneous injection.
It can be advantageous to formulate parenteral compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form as used herein refers to physically discrete units suited as unitary dosages for the subjects to be treated; each unit contains a predetermined quantity of antibodies calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. The specification for the dosage unit forms provided herein are dictated by and directly dependent on (a) the unique characteristics of the antibodies and the particular therapeutic effect to be achieved, and (b) the limitations inherent in the art of compounding such antibodies for the treatment of sensitivity in individuals.
Examples of pharmaceutically-acceptable antioxidants include: (1) water soluble antioxidants, such as ascorbic acid, cysteine hydrochloride, sodium bisulfate, sodium metabisulfite, sodium sulfite and the like; (2) oil-soluble antioxidants, such as ascorbyl palmitate, butylated hydroxyanisole (BHA), butylated hydroxytoluene (BHT), lecithin, propyl gallate, alpha-tocopherol, and the like; and (3) metal chelating agents, such as citric acid, ethylenediamine tetraacetic acid (EDTA), sorbitol, tartaric acid, phosphoric acid, and the like.
For the therapeutic compositions, formulations include those suitable for oral, nasal, topical (including buccal and sublingual), rectal, and parenteral administration. Parenteral administration is the most common route of administration for therapeutic compositions comprising antibodies. The formulations may conveniently be presented in unit dosage form and may be prepared by any methods known in the art of pharmacy. The amount of antibodies that can be combined with a carrier material to produce a single dosage form will vary depending upon the subject being treated, and the particular mode of administration. This amount of antibodies will generally be an amount sufficient to produce a therapeutic effect. Generally, out of one hundred per cent, this amount will range from about 0.001 per cent to about ninety percent of antibody by mass, preferably from about 0.005 per cent to about 70 per cent, most preferably from about 0.01 per cent to about 30 per cent.
The phrases “parenteral administration” and “administered parenterally” as used herein means modes of administration other than enteral and topical administration, usually by injection, and includes, without limitation, intravenous, intramuscular, intraarterial, intrathecal, intracapsular, intraorbital, intracardiac, intradermal, intraperitoneal, transtracheal, subcutaneous, subcuticular, intraarticular, subcapsular, subarachnoid, intraspinal, epidural and intrasternal injection and infusion.
Examples of suitable aqueous and nonaqueous carriers which may be employed in the pharmaceutical compositions provided herein include water, ethanol, polyols (such as glycerol, propylene glycol, polyethylene glycol, and the like), and suitable mixtures thereof, vegetable oils, such as olive oil, and injectable organic esters, such as ethyl oleate. Proper fluidity can be maintained, for example, by the use of coating materials, such as lecithin, by the maintenance of the required particle size in the case of dispersions, and by the use of surfactants.
These compositions may also contain adjuvants such as preservatives, wetting agents, emulsifying agents and dispersing agents. Particular examples of adjuvants which are well-known in the art include, for example, inorganic adjuvants (such as aluminum salts, e.g., aluminum phosphate and aluminumhydroxide), organic adjuvants (e.g., squalene), oil-based adjuvants, virosomes (e.g., virosomes which contain a membrane-bound heagglutinin and neuraminidase derived from the influenza virus).
Prevention of presence of microorganisms may be ensured both by sterilization procedures, supra, and by the inclusion of various antibacterial and antifungal agents, for example, paraben, chlorobutanol, phenol sorbic acid, and the like. It may also be desirable to include isotonic agents, such as sugars, sodium chloride, and the like into the compositions. In addition, prolonged absorption of the injectable pharmaceutical form may be brought about by the inclusion of agents that delay absorption such as aluminum monostearate and gelatin.
When compositions are administered as pharmaceuticals, to humans and animals, they can be given alone or as a pharmaceutical composition containing, for example, 0.001 to 90% (more preferably, 0.005 to 70%, such as 0.01 to 30%) of active ingredient in combination with a pharmaceutically acceptable carrier.
Regardless of the route of administration selected, compositions provided herein, may be used in a suitable hydrated form, and they may be formulated into pharmaceutically acceptable dosage forms by conventional methods known to those of skill in the art.
Actual dosage levels of the antibodies in the pharmaceutical compositions provided herein may be varied so as to obtain an amount of the active ingredient which is effective to achieve the desired therapeutic response for a particular patient, composition, and mode of administration, without being toxic to the patient. The selected dosage level will depend upon a variety of pharmacokinetic factors including the activity of the particular compositions employed, or the ester, salt or amide thereof, the route of administration, the time of administration, the rate of excretion of the particular compound being employed, the duration of the treatment, other drugs, compounds and/or materials used in combination with the particular compositions employed, the age, sex, weight, condition, general health and prior medical history of the patient being treated, and like factors well known in the medical arts. A physician or veterinarian having ordinary skill in the art can readily determine and prescribe the effective amount of the composition required. For example, the physician or veterinarian could start doses of the antibodies at levels lower than that required to achieve the desired therapeutic effect and gradually increasing the dosage until the desired effect is achieved. In general, a suitable daily dose of compositions provided herein will be that amount of the antibodies which is the lowest dose effective to produce a therapeutic effect. Such an effective dose will generally depend upon the factors described above. It is preferred that administration be intravenous, intramuscular, intraperitoneal, or subcutaneous, preferably administered proximal to the site of the target. If desired, the effective daily dose of a therapeutic composition may be administered as two, three, four, five, six or more sub-doses administered separately at appropriate intervals throughout the day, optionally, in unit dosage forms. While it is possible for antibodies to be administered alone, it is preferable to administer antibodies as a formulation (composition).
Therapeutic compositions can be administered with medical devices known in the art. For example, in a preferred embodiment, a therapeutic composition can be administered with a needleless hypodermic injection device, such as the devices disclosed in U.S. Pat. Nos. 5,399,163, 5,383,851, 5,312,335, 5,064,413, 4,941,880, 4,790,824, or 4,596,556. Examples of well-known implants and modules useful in methods disclosed herein include: U.S. Pat. No. 4,487,603, which discloses an implantable micro-infusion pump for dispensing medication at a controlled rate; U.S. Pat. No. 4.,486,194, which discloses a therapeutic device for administering medications through the skin; U.S. Pat. No. 4,447,233, which discloses a medication infusion pump for delivering medication at a precise infusion rate; U.S. Pat. No. 4,447,224, which discloses a variable flow implantable infusion apparatus for continuous drug delivery; U.S. Pat. No. 4,439,196, which discloses an osmotic drug delivery system having multi-chamber compartments; and U.S. Pat. No. 4,475,196, which discloses an osmotic drug delivery system. Many other such implants, delivery systems, and modules are known to those skilled in the art.
In certain embodiments, the monoclonal antibodies can be formulated to ensure proper distribution in vivo. For example, the therapeutic can be formulated in liposomes. Methods of manufacturing liposomes are known in the art. The liposomes may comprise one or more moieties that are selectively transported into specific cells or organs, thus enhance targeted drug delivery.
Also provided are methods of using antibodies (and antigen binding fragments thereof) that bind HCV EPII in a variety of ex vivo and in vivo diagnostic and therapeutic applications involving HCV.
Accordingly, in one embodiment, the antibody or a fragment thereof specifically binding HCV EPII can be used to detect HCV in a sample. In some embodiments, the antibody or a fragment thereof specifically binding HCV EPII can be used to detect HCV genotype 1a in a sample. In an embodiment, the method comprises contacting the antibody or fragment thereof with a sample under conditions such that the antibody binds HCV EPII; and detecting antibody bound to HCV EPII. Such a method could be a component of a diagnostic method for HCV infection or for a method of identifying the genotype of HCV infection, for example to optimize treatment. In one embodiment, a method is provided for treating or preventing HCV infection by administering to a subject an HCV neutralizing antibody disclosed herein. The HCV neutralizing antibody can be administered alone or in combination with one or more additional therapeutic agents. The HCV neutralizing antibody can be administered in an amount effective to treat or prevent HCV infection. In some embodiments, the subject can be a liver transplant patient, specifically the liver transplant patient can have chronic hepatitis C. A “liver transplant patient” is a patient in any stage associated with obtaining a liver transplant, including for example a patient with liver disease evaluated as needing a liver transplant, a patient scheduled for a liver transplant, or a patient post-liver transplant.
The term “effective amount,” as used herein, refers to that amount of an antibody or an antigen binding fragment thereof that binds HCV E2 protein EPII, which is sufficient to effect treatment or prevent HCV infection, as described herein, when administered to a subject. Therapeutically effective amounts of antibodies of the present invention will vary depending upon the relative activity of the antibodies (e.g., in inhibiting HCV infection of cells) and depending upon the subject and disease condition being treated, the weight and age of the subject, the severity of the disease condition, the manner of administration and the like, which can readily be determined by one of ordinary skill in the art. The dosages for administration can range from, for example, about 1 ng to about 10,000 mg, about 5 ng to about 9,500 mg, about 10 ng to about 9,000 mg, about 20 ng to about 8,500 mg, about 30 ng to about 7,500 mg, about 40 ng to about 7,000 mg, about 50 ng to about 6,500 mg, about 100 ng to about 6,000 mg, about 200 ng to about 5,500 mg, about 300 ng to about 5,000 mg, about 400 ng to about 4,500 mg, about 500 ng to about 4,000 mg, about 1 μg to about 3,500 mg, about 5 μg to about 3,000 mg, about 10 lig to about 2,600 mg, about 20 lig to about 2,575 mg, about 30 μg to about 2,550 mg, about 40 lig to about 2,500 mg, about 50 lig to about 2,475 mg, about 100 μpg to about 2,450 mg, about 200 μg to about 2,425 mg, about 300 μg to about 2,000, about 400 μg to about 1,175 mg, about 500 μg to about 1,150 mg, about 0.5 mg to about 1,125 mg, about 1 mg to about 1,100 mg, about 1.25 mg to about 1,075 mg, about 1.5 mg to about 1,050 mg, about 2.0 mg to about 1,025 mg, about 2.5 mg to about 1,000 mg, about 3.0 mg to about 975 mg, about 3.5 mg to about 950 mg, about 4.0 mg to about 925 mg, about 4.5 mg to about 900 mg, about 5 mg to about 875 mg, about 10 mg to about 850 mg, about 20 mg to about 825 mg, about 30 mg to about 800 mg, about 40 mg to about 775 mg, about 50 mg to about 750 mg, about 100 mg to about 725 mg, about 200 mg to about 700 mg, about 300 mg to about 675 mg, about 400 mg to about 650 mg, about 500 mg, or about 525 mg to about 625 mg, of an antibody or antigen binding portion thereof, according to the invention. Dosage regimens may be adjusted to provide the optimum therapeutic response. An effective amount is also one in which any toxic or detrimental effects (i.e., side effects) of an antibody or antigen binding fragment thereof are minimized and/or outweighed by the beneficial effects.
The antibody can be administered alone or with another therapeutic agent that acts in conjunction with or synergistically with the antibody to treat or prevent HCV infection. Such therapeutic agents include those described herein, for example, small organic molecules, monoclonal antibodies, and recombinantly engineered biologics.
Also provided are kits comprising one or more anti-HCV EPII antibodies (or antigen binding fragments thereof), optionally contained in a single vial, and include, e.g., instructions for use in treating or preventing HCV infection. The kits may include a label indicating the intended use of the contents of the kit. The term label includes any writing, marketing materials or recorded material supplied on or with the kit, or which otherwise accompanies the kit.
Other embodiments of the present invention are described in the following non-limiting Examples.
Materials and Methods
Peptide synthesis. All peptides were chemically synthesized by the Core Laboratory of the Center for Biologics Evaluation and Research at the US Food and Drug Administration, with an Applied Biosystems (Foster City, CA) Model 433A peptide synthesizer. Biotinylated peptides were synthesized with Fmoc-Lys (Biotin-LC)-Wang resin (AnaSpec, San Jose, CA) as described previously (Zhang P et al. 2007).
ELISA. Biotin-conjugated peptide (200 ng/well) was added to streptavidin-coated 96-well Maxisorp plates (Pierce) and incubated at room temperature for 1 hour (h) in Super Block Blocking Buffer (Thermo Scientific). The wells were blocked further in blocking buffer for another hour at 37° C. After washing the plate 4× with phosphate buffered saline (PBS) buffer pH 7.4 containing 0.05% Tween-20 to remove unbound peptides, serial dilutions of the test antibodies were added to the plate and incubated at 37° C. for 1 h. The plate was then washed 4× before the secondary monoclonal antibody, either a goat anti-mouse peroxidase-conjugated IgG or a goat anti-human peroxidase-conjugated IgG (Sigma-Aldrich) at a 1:5000 dilution, was added to the wells and incubated at 37° C. for lh. After 4 washes, the reaction was developed with ABTS peroxidase substrate (KPL, Gaithersburg, MD) and stopped by adding 100 μL of a 1% SDS solution, or the reaction was developed with 1-Step TMB-ELISA substrate solution (KPL, Gaithersburg, MD) and stopped by adding 100 μL 4N Sulfuric Acid. The absorbance of each well was measured at 405 nm and 450 nm, respectively, using a SpectraMax M2e microplate reader (Molecular Devices).
Neutralization assay. Virus stocks were prepared by transfecting full-length HCV RNA derived from an HCV genotype 2a clone, J6/JFH1 (a gift from Charles Rice, Rockefeller University), into Huh 7.5 cells as previously described (Duan H et al. 2010. Vaccine. 28:4138-4144, Zhang et al. 2007, Zhang P et al. 2009). An HCV genotype 1a/2a chimera virus was produced by replacing the structural genes of J6/JFH1 with that of the HCV H strain (H77), which is known to be genotype 1a. Briefly, Huh 7.5 cells were seeded at a density of 4-5×103 cells/well in 96-well plates to obtain approximately 60% confluence in 24 h. The virus stock was diluted in DMEM supplemented with 10% fetal bovine serum (FBS)/1% penicillin/streptomycin/2 mM glutamine to yield approximately 50 infected foci per well in the absence of antibodies. Viruses were mixed with a diluted antibody or with cell culture medium, incubated at 37° C. for 1 h, and then inoculated into Huh 7.5 cells. After 3 days in culture, virus foci were detected either by immunofluorescence or immunoperoxidase staining and then counted. Neutralization was determined by comparing the infectivity of the viruses incubated with the antibody to the infectivity of the viruses incubated with medium alone or with pre-immune plasma. The median 50% inhibitory dilution (ID5o) was determined according to the method of Reed and Muench (1938. Am. J. Hyg. 27:493-497). Statistical analysis was performed with GraphPad Prism 4 (GraphPad Software, La Jolla, CA) by using the unpaired t-test with two-tailed P value (P value <0.05). Error bars represent the standard deviation or the standard error of the mean.
Enrichment and removal of peptide-specific antibodies. 500 ng of biotinylated Peptide B, Peptide D or an unrelated peptide control (a pool of overlapping peptides representing the M2 protein from the Influenza virus) was mixed with 100 μL of streptavidin-coated Dynabeads (Invitrogen, Grand Island, N.Y.) and incubated at room temperature for 1 h. After washing with PBS (pH 7.4), the beads were mixed with an appropriate dilution of ascites fluid or plasma, which contained specific antibodies, and incubated at room temperature for 1 h. To enrich for peptide-specific antibodies, the beads were collected with a magnet stand. After washing the beads with PBS, the antibodies were eluted from the beads with Glycine-HCl solution (pH 2.2). The eluates were neutralized by mixing with an equal volume of Tris-HCl buffer (pH 9.2). In contrast, to remove the peptide-specific antibodies, the beads were pelleted with a magnet stand and the supernatant was collected for further analysis.
Phage display. The selection of peptides from random peptide phage display libraries (New England Biolabs, Beverly, Mass.) was described previously (Zhang P et al. 2007). Briefly, 1010 phages were incubated with individual monoclonal antibody/protein G mixtures at room temperature for 20 min. After 8 washes with 0.05 M Tris-HCl buffer (pH 7.5) containing 0.15 M NaCl and 0.05% Tween-20, the phages were eluted from the complexes with 0.1 M HCl and neutralized with 1 M Tris-HCl buffer (pH 9.0). The eluted phages were then amplified in the host strain ER2738 for 4-5 h. After three additional rounds of selection of amplified phages by the same monoclonal antibody, the DNA from each single-phage plaque was sequenced, and the corresponding peptide sequence was then deduced from the DNA sequence.
Statistical analysis: Statistical analysis was performed with GraphPad Prism 4 using unpaired t-test with two-tailed P value (P value<0.05). Error bars represent the standard deviation or the standard error of the mean.
Monoclonal antibodies were produced using the standard procedures of Harlan Bioproducts for Science (Indianapolis, Ind.). Briefly, Balb/c mice were injected intraperitoneally (i.p.) with a chemically synthesized Peptide A (amino acid residues 412-447 of the E2 protein from the HCV H strain (H77) (
A panel of hybridoma cell lines that produced monoclonal antibodies was obtained after immunizing the mice with Peptide A (a.a. 412-447) (
A similar ELISA was performed to detect specific binding of the panel of antibodies to Peptide B. Biotin-conjugated Peptide B (200 ng/well) was added to the streptavidin-coated 96-well plates. The ELISA conditions were similar to those in the Peptide A-specificity experiment. The data, shown in
The binding capacity toward Peptide A of the seven antibodies was comparable at a dilution of 1:1000 (
The monoclonal antibodies that were capable of binding to the Peptide B region of the E2 protein were tested for their capacity to neutralize HCV infection in a cell culture system. A genotype 1a/2a chimeric HCV was used for the neutralization assay because the peptide sequence of the genotype 1a virus was used to design the immunogen for generating these monoclonal antibodies.
Each antibody (ascites fluid, 1:200) was incubated with appropriately diluted genotype 1a/2a virus, before adding the mixture to Huh 7.5 cells. Cell culture medium (DMEM) was used as a negative control for the antibody. The results are shown in
As shown in
To ascertain whether the observed neutralization of the 1a/2a chimeric virus was Peptide B-specific, adsorption experiments were performed to deplete Peptide B-specific binding activity from the ascites fluid that contained neutralizing antibody #41. Antibody #41 was adsorbed with (+) or without (-) Peptide B prior to performing an ELISA to test its binding to Peptide B (left panel of
As demonstrated by the ELISA results shown in
The two Peptide B-binding antibodies showing neutralization of genotype 1a/2a were tested for their ability to neutralize other genotypes. Serially diluted antibodies were tested against J6/JFH1, a genotype 2a virus, 1a/2a, 1b/2a and 3a/2a genotypes in Huh 7.5 cells with the same procedure described above. The results are shown in
The ability of antibody #41 to neutralize genotype 1a/2a virus was measured in the presence or absence of non-neutralizing antibody #12 or #50. Neutralizing antibody #41 was diluted at 1:400 in DMEM, and then mixed with antibody #12 or #50 at ratios of 1:1 and 1:4 (v/v). The antibody mixture was subsequently incubated with genotype 1a/2a chimeric virus at 37° C. for 1 h before being added to Huh 7.5 cells. The results from 3 independent experiments are presented in
The residues involved in the binding of the four Peptide B-binding antibodies were mapped by screening random peptide phage display libraries. The amino acid sequences of phage clusters identified after at least 3 rounds of screening phage-display libraries (12-mer and 7-mer) with neutralizing antibodies #8 and #41 are shown in
To further determine the residue-specificity of these antibodies, each of the binding residues identified by the phage display analysis were substituted one at a time by an Alanine residue in a truncated version of Peptide B (“ B short” ; a.a. 434-446 of SEQ ID NO:1) (see
In the ELISA, biotin-conjugated B short peptide and its mutants were added to streptavidin-coated 96-well plates at 200 ng/well. The monoclonal antibody (ascites fluid) was diluted at 1:105 dilution, and applied as the primary antibody. Phosphate buffered saline (PBS) was included as the negative control. The results of the ELISA using antibody #41 are shown in
Residues determined to be involved in binding for each of the four antibodies are summarized in
All four antibodies tested in this study, irrespective of their neutralizing function, lost their binding to B short when W437 or L438 was replaced by an alanine residue, thus confirming that positions 437 and 438 were core contact residues recognized by these antibodies. Neutralizing antibodies #8 and #41 were less affected by the substitution at positions 441 and 442 in contrast to the effect on the binding capacities of the non-neutralizing antibodies #12 and #50.
HCV genotype 1a has a W437 in its E2 protein, whereas the other HCV genotypes often contain an F residue at the same position (
Biotin-conjugated peptide B, B short peptide, or a B short mutans was added to streptavidin-coated 96-well plates at 200 ng/well. Each monoclonal antibody (ascites fluid) was used at a 1:105 dilution as the primary antibody in the ELISA. Cell culture medium was used as the negative control of the antibody. The ELISA results are shown in
The W437F switch resulted in a loss of binding by neutralizing antibodies #41 and #8 to B short (
About 5×107 of #41 hybridoma cells were used to extract the mRNA with Trizol and chloroform. Reverse transcriptase (RT) reaction was performed with SUPERSCRIPT® III First-Strand Synthesis Supermix Kit (Life Technologies) and multiple primers for the kappa and heavy chains, respectively. PCR was performed using multiple sets of primers for the kappa and heavy chains. The PCR amplification products were confirmed and purified using 1% agarose and then sequenced. Sequence results from multiple primers were aligned and analyzed using IMGT/V-QUEST (Brochet, X., et al. Nucl. Acids Res, 36, W503-508 (2008)), available on the internet from IIMGT®, the International ImMunoGeneTics Information System® Lefranc, M.-P., et al. Nucl. Acids Res, 37, D1006-D1012 (2009)). Nucleotide sequences of the heavy chain and the light (kappa) chain are SEQ ID NOS: 4 and 5, respectively. Translation of SEQ ID NOS: 4 and 5 yield protein sequences of the heavy chain and the light (kappa) chain of SEQ ID NOS: 2 and 3, respectively.
The terms “a” and “an” do not denote a limitation of quantity, but rather denote the presence of at least one of the referenced item. The term “or” means “and/or” . The terms “comprising” , “having” , “including” , and “containing” are to be construed as open-ended terms (i.e., meaning “including, but not limited to”). The modifier “about” used in connection with a quantity is inclusive of the stated value and has the meaning dictated by the context (e.g., includes the degree of error associated with measurement of the particular quantity).
Recitation of ranges of values are merely intended to serve as a shorthand method of referring individually to each separate value falling within the range, unless otherwise indicated herein, and each separate value is incorporated into the specification as if it were individually recited herein. The endpoints of all ranges are included within the range and independently combinable.
Unless defined otherwise, technical and scientific terms used herein have the same meaning as is commonly understood by one of skill in the art to which this invention belongs.
Embodiments of this invention are described herein, including the best mode known to the inventors for carrying out the invention. Variations of these embodiments may become apparent to those of ordinary skill in the art upon reading the foregoing description. The inventors expect skilled artisans to employ such variations as appropriate, and the inventors intend for the invention to be practiced otherwise than as specifically described herein. Accordingly, this invention includes all modifications and equivalents of the subject matter recited in the claims appended hereto as permitted by applicable law. Moreover, any combination of the above-described elements in all possible variations thereof is encompassed by the invention unless otherwise indicated herein or otherwise clearly contradicted by context.
The present application is a 371 of PCT/US2013/041352 filed May 16, 2013, which claims the benefit of U.S. Provisional Application Ser. No. 61/648,386, filed May 17, 2012, under provisions of 35 U.S.C. 119 and the International Convention for the Protection of Industrial Property, which are incorporated by reference in their entirety.
This invention was made in part with government support from the National Institutes of Health. The government has certain rights in this invention.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/US2013/041352 | 5/16/2013 | WO | 00 |
| Publishing Document | Publishing Date | Country | Kind |
|---|---|---|---|
| WO2013/173582 | 11/21/2013 | WO | A |
| Number | Name | Date | Kind |
|---|---|---|---|
| 5053224 | Koprowski et al. | Oct 1991 | A |
| 6469143 | Sallberg | Oct 2002 | B2 |
| 6933366 | Sallberg et al. | Aug 2005 | B2 |
| 7019111 | Sallberg | Mar 2006 | B2 |
| 7318926 | Sallberg | Jan 2008 | B2 |
| 8603468 | Zhang et al. | Dec 2013 | B2 |
| Entry |
|---|
| Bowie et al. Deciphering the Message in Protein Sequences: Tolerance to Amino Acid Substitutions. Science, 1990; 247(4948): 1306-10. |
| Bartosch, et al.; “In Vitro Assay for Neutralizing Antibody to Hepatitis C Virus: Evidence for Broadly Conserved Neutralization Epitopes”; Proc Natl Acad Sci USA; 100; pp. 14199-14204; ( 2003). |
| Brown, et al.; Cross-Genotype Characterization of Genetic Diversity and Molecular Adaptation in Hepatitis C Virus Envelope Glycoprotein Genes; J Gen Virol; 88; pp. 458-469; (2007). |
| Clayton, et al.; “Analysis of Antigenicity and Topology of E2 Glycoprotein Present on Recombinant Hepatitis C Virus-Like Particles”; J Virol; 76; pp. 7672-7682; (2002). |
| Deng et al.; “Structural Evidence for a Bifurcated Mode of Action in the Antibody-mediated Neutralization of Hepatitis C Virus”; Proc Natl Acad Sci USA; 110(18); pp. 7418-7422; (2013). |
| Duan et al.; “Amino Acid Residue-Specific Neutralization and Nonneutralization of Hepatitis C Virus by Monoclonal Antibodies to the E2 Protein”; Journal of Virology; 86(23); pp. 12686-12694; (2012). |
| Eren, et al.; “Preclinical Evaluation of Two Neutralizing Human Monoclonal Antibodies Against Hepatitis C Virus (HCV): a Potential Treatment to Prevent HCV Reinfection in Liver Transplant Patients”; J Virol; 80; pp. 2654-2664; (2006). |
| Farci et al.; “Prevention of Hepatitis C Virus Infection in Chimpanzees by Hyperimmmune Serum Against the Hypervariable Region 1 of the Envelope 2 Protein”; Proc Natl Acad Sci USA; 93; pp. 15394-15399; (1996). |
| Flint,et al.; “Characterization of Hepatitis C Virus E2 Glycoprotein Interaction with a Putative Cellular Receptor, CD81”; J Virol; 73; pp. 6235-6244; (1999). |
| Hsu et al.; “Hepatitis C Virus Glycoproteins Mediate pH-dependent Cell Entry of Pseudotyped Retroviral Particles”; Proc Natl Acad Sci USA; 100(12); pp. 7271-7276; (2003). |
| International Search Report and Written Opinion; International Application No. PCT/US2013/041352; International Filing Date May 16, 2013; Date of Mailing Aug. 27, 2013; Applicant's File Reference NIH0065PCT; 13 pages. |
| Krey et al.; “Structural Basis of HCV Neutralization by Human Monoclonal Antibodies Resistant to Viral Neutralization Escape”; PLOS Pathogens; 9(5); p e1003364; 10 pages; (2013). |
| Law, et al.; “Broadly Neutralizing Antibodies Protect Against Hepatitis C Virus Quasispecies Challenge”; Nature Medicine; 14; pp. 25-27; 2008. |
| Logvinoff, et al.; Neutralizing Antibody Response During Acute and Chronic Hepatitis C Virus Infection; Proc Natl Acad Sci USA; 101; pp. 10149-10154; (2004). |
| Meunier, et al.; “Evidence for Cross-Genotype Neutralization of Hepatitis C Virus Pseudo-Particles and Enhancement of Infectivity by Apolipoprotein C1”; Proc Natl Acad Sci USA; 102; pp. 4560-4565; (2005). |
| Naicker et al.; Design and Synthesis of aGal-conjugated Peptide T20 as Novel Antiviral Agent for HIV-immunotargeting. Org. Biomol. Chem.; 2; pp. 660-664; (2004). |
| Owsianka, et al.; “Functional Analysis of Hepatitis C Virus E2 Glycoproteins and Virus-Like Particles Reveals Structural Dissimilarities Between Different Forms of E2”; J Gen Virol; 82; pp. 1877-1883; (2001). |
| Owsianka, et al.; “Identification of Conserved Residues in the E2 Envelope Glycoprotein of the Hepatitis C Virus That Are Critical for CD81 Binding”; J Virol; 80; pp. 8695-8704; (2006). |
| Owsianka, et al.; “Monoclonal Antibody AP33 Defines a Broadly Neutralizing Epitope on the Hepatitis C Virus E2 Envelope Glycoprotein”; J Virol; 79; pp. 11095-11104; (2005). |
| Perotti, et al.; “Identification of a Broadly Cross-Reacting and Neutralizing Human Monoclonal Antibody Directed Against the Hepatitis C Virus E2 Protein”; J Virol; 82; pp. 1047-1052; (2008). |
| Schofield, et al.; “Human Monoclonal Antibodies That React With the E2 Glycoprotein of Hepatitis C Virus and Possess Neutralizing Activity”; Hepatology; 42; pp. 1055-1062; (2005). |
| Tarr et al.; “Naturally Occurring Antibodies That Recognize Linear Epitopes in the Amino Terminus of the Hepatitis C Virus E2 Protein C onfer Noninterfering, Additive Neutralization”; Journal of Virology; 86(5); pp. 2739-2749; (2011). |
| Tarr, et al.; “Characterization of the Hepatitis C Virus E2 Epitope Defined by the Broadly Neutralizing Monoclonal Antibody AP33”; Hepatology; 43; pp. 592-601; (2006). |
| Tarr, et al.; “Determination of the Human Antibody Response to the Epitope Defined by the Hepatitis C Virus-Neutralizing Monoclonal Antibody AP33”; J Gen Virol; 88; pp. 2991-3001; (2007). |
| Triyatni, et al.; “Structural Features of Envelope Proteins on Hepatitis C Virus-like Particles as Determined by Anti-envelope Monoclonal Antibodies and CD81 Binding”; Virology; 298; pp. 124-132; (2002). |
| Yu, et al.; “Neutralizing Antibodies to Hepatitis C Virus (HCV) in Immune Globulins Derived from Anti-HCV-Positive Plastma”; Proc Natl Acad Sci USA; 101; pp. 7705-7710; (2004). |
| Zeisel, et al.; “Neutralizing Antibodies in Hepatitis C Virus Infection”; World Journal of Gastroenterology; 13; pp. 4824-4830; (2007). |
| Zhang et al.; “Depletion of Interfering Antibodies in Chronic Hepatitis C Patients and Vaccinated Chimpanzees Reveals Broad Cross-Genotype Neutralizing Activity”; Proc Natl Acad Sci USA; 105(18); pp. 7537-7541; (2009). |
| Zhang et al.; “Hepatitis C Virus Epitope-Specific Neutralizing Antibodies in IGS Prepared from Human Plasma”; Proc Natl Acad Sci USA; 104(20); pp. 8449-8454; (2007). |
| Zhen-Yong Keck et al.; “Human Monoclonal Antibodies to the Novel Cluster of Confrmational Epitopes on HCV E2 with Resistance to Neutralization Escape in a Genotype 2a Isolate”; PLOS Pathogens; 8(4); p e1002653; 12 pages; (2012). |
| Number | Date | Country | |
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| 20150118242 A1 | Apr 2015 | US |
| Number | Date | Country | |
|---|---|---|---|
| 61648386 | May 2012 | US |
