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*
Laboratory of Tumor Immunology and Biology, National Cancer Institute, and
Laboratory of Molecular Biology, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD 20892
| Abstract |
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| Introduction |
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Not all CDR residues are critical in the complementarity of Ag-Ab surfaces. An analysis of the known structures of the Ag-Ab complexes would suggest that only 2033% of CDR residues are involved in the Ag contact (2). A comprehensive analysis of the available sequence data and the three-dimensional structures of Ab-combining sites has helped identify the residues that may be most critical in the Ag-Ab interaction (3). These residues, designated as specificity determining residues (SDRs), are most commonly located at positions that display high variability. SDRs, which are likely to be unique to each Ab, could possibly be identified either by genetic manipulation of the Ag-binding site or by determination of its three-dimensional structure using x-ray crystallography.
An understanding of the structural correlates of the Ab-combining site has practical implications for the clinical utility of the xenogeneic Abs. Use of murine Abs for the diagnosis and therapy of human cancers and infectious diseases is limited because of the human anti-murine Ab (HAMA) response to both the murine variable and constant regions that these Abs elicit in patients (4, 5, 6). Many murine Abs have been humanized to obviate this impediment. The current procedure for the humanization of a murine Ab is based on grafting all the CDRs of a murine Ab onto the human Ab frameworks (for review, see Ref. 7). The humanized Ab is likely to be less immunogenic, except that its murine CDRs could still evoke an anti-variable region response (8, 9, 10). Humanization of an Ab by grafting only SDRs could further reduce the immunogenic potential of a murine Ab.
mAb CC49 (11), a second-generation Ab to B72.3, specifically recognizes a tumor-associated glycoprotein (TAG)-72, which is expressed on the majority of colorectal, gastric, pancreatic, breast, lung, and ovarian carcinomas (12, 13, 14, 15, 16, 17). mAb CC49 has higher affinity for TAG-72 than B72.3 (11). This Ab efficiently targets human colon carcinoma xenografts in nude mice and efficaciously reduces or eliminates the growth of the xenografts (18, 19, 20, 21, 22, 23, 24, 25, 26). CC49 is a potentially useful diagnostic and therapeutic reagent for carcinomas because radiolabeled CC49 has shown efficient tumor targeting of a variety of carcinomas in several clinical trials. Radiolabeled murine CC49 has now been shown to successfully target human colorectal (27, 28, 29, 30, 31, 32), breast (33, 34), prostate (31, 35, 36) and ovarian (37, 38, 39) carcinomas in phase I/II clinical trials. Objective responses have been observed in ovarian cancer patients receiving 177Lu-CC49 (murine) (37, 40); several patients with microscopic disease have remained disease-free >18 mo (37). The addition of IFN ± taxol resulted in more objective responses and also improved disease-free survival for small volume disease compared with 177Lu-CC49 (murine) alone (40). Minor or partial responses have also been observed with one or two doses of 131I-CC49 (murine) in patients with metastatic breast and prostate cancer (34, 41, 42). The administration of murine CC49, like that of any other murine Ab, has led to the generation of HAMA responses in many patients (29). To minimize HAMA responses in patients administered mAb CC49, a humanized CC49 (HuCC49) was previously developed by grafting the CDRs of mAb CC49 onto the variable light (VL) and variable heavy (VH) frameworks of the human mAbs LEN and 21/28'CL, respectively, while retaining those residues of the murine framework regions that are likely to be essential for preserving Ab reactivity to its Ag (21). To minimize any anti-variable region response that could still be evoked by a humanized Ab, a HuCC49 variant carrying only those murine CDRs absolutely essential for Ag binding has recently been developed (10). The dispensable CDRs of CC49 were identified by comparing the relative binding affinity of the parental HuCC49 with those of a panel of variant HuCC49 mAbs generated by replacing, in each of the variants, one or more murine CDRs of the VL or VH with the corresponding CDRs from the human mAbs LEN and 21/28'CL, respectively. The relative affinity constant (Ka) of the variant L2, which contained human LCDR2, was slightly higher than that of HuCC49. While L1 (the variant that has its LCDR1) and L1,2 (the doubly substituted variant that has both its LCDRs 1 and 2 derived from the human Ab LEN) showed only a 2-fold lower relative affinity than that of HuCC49, all other variants suffered a total or near-total loss of Ag-binding reactivity. Thus, LCDR1 and LCDR2 of HuCC49 could be replaced with the corresponding CDRs of the human Ab without a significant effect on the Ag-binding activity of the Ab. However, an analysis of the reactivity of variant HuCC49 mAbs with the serum from a patient who had received murine CC49 (29) showed that among the murine CDRs that are retained in this variant, the patients anti-variable region response is directed mainly against LCDR3 and moderately against HCDR1 and HCDR2 (10).
The anti-variable region response evoked by the CDRs of a humanized mAb could potentially be minimized by replacing, with the corresponding human CDR residues, those amino acid residues of the indispensable CDRs that are not involved in ligand contact (non-SDRs) and are different from those present in human CDRs. The potential SDRs and non-SDRs of the combining site of an Ab may be identified by examining the atomic coordinates of known structures of Ab-ligand complexes of 31 different Abs that are currently available from the Protein Data Bank (43, 44). The hypervariable domain sequences of a xenogeneic Ab could be compared with those of the human Ab whose VL and VH were used for the humanization of the xenogeneic Ab. This comparison, coupled with the knowledge of potential SDRs, would identify those residues of the CDRs of the xenogeneic Ab that are not involved in ligand contact and are different from those present at the corresponding positions in the human Ab CDRs.
With the dual aim of further defining the structural correlates of the combining site of an Ab and developing a variant Ab with minimal immunogenicity, we have used mAb CC49 as a prototype to identify, by genetic manipulation of its CDRs, the SDRs and those amino acid residues that make up the idiotopes that are recognized by patients sera. A panel of heavy- and light-chain variant constructs has been generated by replacing one or more residues of the CC49 CDRs with the corresponding residue(s) of human CDRs. The variant chains were expressed in insect cells, and the assembled Abs were evaluated for their relative Ag-binding affinity and immunoreactivity to sera from several patients who had been administered murine mAb CC49. The data presented in this report define the combining site of a mAb by identifying amino acid residues of different CDRs that are either involved in Ag contact and/or make up the idiotopes reactive with anti-variable region Abs present in the patients sera. Based on these results, a final variant of this humanized mAb was developed; this variant maintains moderate Ag reactivity and does not react, or reacts only minimally, with the anti-variable region Abs of sera from patients who were treated with the murine counterpart.
| Materials and Methods |
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The 20-nt-long end primers used for DNA amplification were supplied by Midland Certified Reagent (Midland, TX). The sequences of the primers that have been described earlier (21) are as follows: 5'VH, 5'-CTAAGCTTCCACCATGGAG-3'; 3'VH, 5'-ATGGGCCCGTAGTTTGGCG-3'; 5'VL, 5'-GCAAGCTTCCACCATGGATA-3'; 3'VL, 5'-AGCCGCGGCCCGTTTCAGTT-3'. Each of the primers carries a single restriction endonuclease site at its flank. The 5' primers carry a HindIII site, whereas the 3'VH primer carries an ApaI and the 3'VL primer has a SacII site. The restriction endonuclease recognition sequences are in italics.
The mutagenic oligonucleotide primers, ranging in size from 37 to 56 nt, were synthesized using a model 8700 DNA synthesizer (Milligen/Bioreseach, Burlington, VT). They were purified on oligo-Pak columns (Milligen/Bioreseach) according to the suppliers recommendation. The sequences of the mutagenic primers were as follows; the mutagenic changes are underlined: VL CDR3, 5'-GCCAGCGCCGAAGCTGAGGGGATAGCTATAATACTGCTGACA-3', 5'-GGTGCCAGCGCCGAAGCTGAGGGGGGTGCTATAATACTGCTGACA-3', 5'-GCCAGCGCCGAATGTGTAGGGATAGCTATAATACTGCTGACA-3', 5'-GCCGAATGTGAGGGGGGTGCTATAATACTGCTGACAATA-3'; VH CDR1, 5'-GTTTCACCCAGTGCATTGCATAATCAGTGAAGGTGTA-3'; VH CDR2, 5'-GTGGCCTTGCCCTGGAACTTCTGTGAGTACTTAAAATCATCGTTTCCGGGAGAGAA-3'.
PCR and primer-induced mutagenesis
The genes encoding the heavy and light chains of the variants
were synthesized by PCR, using the appropriate DNA constructs as
templates. The design of the variants was based on a comparison of the
amino acid sequences of the CDRs of mAb CC49 with those of human Abs
LEN and 21/28'CL (see Table I
) (10). Primer-induced
mutagenesis was conducted by a two-step PCR method that has been
described (45). For the first step of the PCR, a mutagenic
primer was used as a 3' primer, whereas a 20-nt-long end primer served
as a 5' primer. The product of the first PCR was gel purified and
utilized as a 5' primer for the second PCR in which a 20-nt-long end
primer was used as a 3' primer. The first PCR was conducted in a final
volume of 100 µl containing 10 ng of the template DNA, 20 pmol each
of the 3' and 5' primers, 100 µM dNTPs, and 5 U of Taq DNA
polymerase (Boehringer Mannheim, Indianapolis, IN). Twenty-five cycles
of a denaturing step at 94°C for 1 min, a primer annealing step at
50°C for 2 min, and a polymerization step at 70°C for 2 min were
followed by a final primer extension step for 15 min at 72°C. The
conditions for the second PCR were the same, except that the dNTP
concentration was increased to 200 µM. The PCR product was
phenol/chloroform-extracted, ethanol-precipitated, and gel-purified
before inserting the DNA in a vector.
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The PCR products obtained using the HuCC49 light- and
heavy-chain constructs as templates were treated with
HindIII/SacII and
HindIII/ApaI, respectively. They were subcloned
in pBluescript II S/K+ (pBSc) (Stratagene, La
Jolla, CA) after linearizing the plasmid with the respective
restriction endonucleases. Inserts were sequenced to check fidelity to
their templates. The 425-bp PCR product obtained using the HuCC49
light-chain construct as a template carried sequences encoding the
leader peptide, the CC49 VL domain and the amino
terminus of the
constant region, terminating in the
SacII site located 10 bp downstream of the
VL. Similarly, the 432-bp PCR product obtained
from the HuCC49 heavy-chain template encompassed sequences encoding the
leader, the VH, and the amino terminus of the CH1
domain including the ApaI site, which is located 17 bp
downstream from the start of the CH1 domain.
To assemble the variable and constant regions of the light chain, the
HindIII/SacII insert was released from the pBSc
construct, and a DNA fragment encoding the rest of the human
constant region was excised from the pre-existing construct
pLNCXHuCC49HuK (21) by SacII/ClaI
treatment. The HindIII/SacII and the
SacII/ClaI fragments were joined to the
HindIII/ClaI linearized pBSc by three-way
ligation. Taking advantage of an EcoRI site upstream of the
insert in pBSc and an EcoRI site located immediately 5' to
the 3' terminus of the insert, a DNA fragment encoding the entire light
chain was released by EcoRI digestion. The EcoRI
fragment was inserted into the baculovirus expression vector, pAcUW51
(PharMingen, San Diego, CA), at the EcoRI site located
downstream from the p10 promoter. Essentially, similar steps of DNA
manipulations were conducted to assemble the variable and the constant
regions of the heavy-chain genes and to generate their expression
construct in baculovirus vector. An ApaI/ClaI DNA
fragment carrying the human
1 constant region was excised from
pLgpCXHuCC49G1 (21) and was joined to the 432-bp
HindIII/ApaI-treated PCR product. The recombinant
was unidirectionally inserted by three-way ligation between the
HindIII and ClaI sites of the pBSc. The DNA
encoding the entire heavy chain was released from the pBSc by the
HindIII/ClaI treatment, and its termini were
filled in using Klenow fragment of the DNA polymerase. The insert was
subcloned in the light-chain construct of pAcUW51, at the blunt-ended
BamHI site located downstream of the polyhedrin promoter
(10).
Insect cell culture and production of recombinant Abs
Sf9 cells adapted for serum-free growth (Life Technologies/BRL, Gaithersburg, MD) were cultured at 27°C in Sf900-II medium (Life Technologies/BRL) without supplements (46), except for 50 µg/ml of the antibiotic gentamicin. To develop the recombinant baculovirus, Sf9 cells were cotransfected with the pAcUW51-derived baculovirus expression construct of the parental or variant HuCC49 heavy- and light-chain genes along with the linearized BACULOGOLD wild-type baculovirus DNA (PharMingen), using a cationic liposome-mediated transfection system (N-[1-(2,3-dioleoxyloxy)propyl]-N,N,N-trimethyl ammonium methylsulfate; DOTAP (Boehringer Mannheim)). Six days after transfection the infectious supernatants were harvested from the transfectants, and viral plaques were generated by infecting monolayers of Sf9 cells (2.0 x 106 cells/60-mm dish) with serially diluted infectious supernatant and overlaying the infected cells with 0.5% baculovirus agarose (Invitrogen, Carlsbad, CA), as previously described (47). The putative recombinant viral plaques were isolated, expanded, and screened for Ig expression and binding of the Ig to the Ag using ELISA (47). Viral plaques were expanded by three rounds of infection. In each round, a larger population of freshly seeded monolayers of Sf9 cells was infected, using the highest producing clone as a source of inoculum. Titers of the recombinant viruses were determined by plaque assay. To produce recombinant Abs, 6.0 x 108 Sf9 cells were infected with the infectious supernatant at a multiplicity of infection (MOI) of 5.
Purification of recombinant Abs
Three days after infection, the tissue culture supernatant was harvested and clarified by centrifugation at 2000 x g for 10 min. Tris buffer (pH 8.0) was added to the supernatant to a final concentration of 20 mM. Following incubation at 4°C for 23 h, any contaminating proteins were pelleted by centrifugation at 10,000 x g for 15 min. The supernatant was applied to a protein G agarose column (Life Technologies/BRL), and the bound protein was eluted from the column with 0.1 M glycine hydrochloride (pH 2.5). The pH of the eluted material was immediately adjusted to 7.0 with 1.0 M Tris buffer (pH 8.0). The protein was concentrated using a Centriplus 30 microconcentrator (Amicon, Beverly, MA), centrifuged at 3000 x g for 80 min, and the concentrated protein was recovered in PBS. The protein concentration was determined by the method of Lowry (48), and the purity of the Ab preparation was evaluated by electrophoresis on 412% SDS-PAGE under reducing and nonreducing conditions. The proteins were visualized by staining with Coomassie blue, as previously described.
ELISA and competition RIA
The tissue culture supernatants were assayed by ELISA for Ig expression and Ag-binding activity. Individual wells of the 96-well polyvinyl microtiter plates were coated with 0.1 µg of goat anti-human IgG or 1 µg of the TAG-72-positive bovine submaxillary mucin (BSM) (Type I-S; Sigma, St. Louis, MO). The remainder of the assay was performed as previously described (47).
Competition RIAs were performed to determine relative binding of the variant mAbs and the parental HuCC49 to BSM. Details of the procedure, including labeling of the HuCC49 with Na125I, have been described previously (10, 21). Briefly, 25 µl of serial dilutions of the purified variant mAbs or the parental HuCC49 in PBS containing 1% BSA were added to wells of the 96-well microtiter plates containing 10 ng of BSM. Following addition of 25 µl of 125I-labeled HuCC49 (125I-HuCC49) (50,000 cpm) to each well, the plates were incubated overnight at 4°C. The plates were washed before they were counted in a gamma-scintillation counter.
A modification of the Scatchard method (49) was used to calculate the Ka values. The final concentrations of each of the dilutions of the unlabeled Abs were determined using an approximation of the specific activity of the 125I-HuCC49. Calculations were performed as described previously (50). In each RIA, 125I-HuCC49 was used to compete with the unlabeled parental or the variant HuCC49 mAb for binding to the BSM coated on the plates. The competition RIA was conducted only once with all of the variants and multiple times with combinations of the HuCC49 mAb variants.
Immunoadsorption of patient serum
To determine any potential immunogenicity of the HuCC49 variants in patients, sera stored from a phase I clinical trial (29) was used. In this clinical trial, 177Lu-labeled murine mAb CC49 was administered to adenocarcinoma patients. Several patients were found to have anti-variable region Abs to mAb CC49 (10). Because the sera also contained circulating TAG-72 Ag and Abs to murine Fc, which could interfere with the binding of the CC49 variants with the sera anti-variable region Abs, it was pre-adsorbed with purified mAb CC92. mAb CC92, a second generation mAb, reacts with an epitope of TAG-72 distinct from the one recognized by CC49 (51). For immunoadsorption, the serum samples were added to an equivalent volume of the CC92 gel made by coupling the Ab to Reacti-gel (HW65F; Pierce, Rockford, IL) according to the method of Hearn et al. (52). The mixture was incubated overnight at 4°C with end-over-end rotation and centrifuged at 1000 x g for 5 min. The supernatants were then removed and stored at -20°C.
HPLC
The reactivity of the CC49 variants to the anti-variable
region Abs against mAb CC49 present in sera from patients who had been
administered radiolabeled murine CC49 (29) was tested by a
method that has been detailed earlier (10). The method,
essentially a competition assay, is a modification of a previously
reported procedure (6, 29) that is based on the ability of
the variants to inhibit complex formation of the anti-variable
region Abs in patients sera with radiolabeled HuCC49. Complex
formation is determined by an alteration in the retention time of the
125I-HuCC49 after it has been incubated with
patients sera before subjecting it to size exclusion HPLC. Inclusion
of a cold competitor in the mixture of the patients sera and
125I-HuCC49 would inhibit complex formation
between the 125I-HuCC49 and the sera
anti-variable region Abs. Thus, retention time of
125I-HuCC49 on the HPLC column would not be
altered. Briefly, patient serum (825 µl) that was pre-adsorbed to
remove TAG-72 and anti-murine Fc Abs, as described earlier, was
mixed with
0.3 µCi of 125I-HuCC49 and 5 µg
of the cold competitor (either purified HuCC49 or one of its variants).
The mixture was then brought to a final volume of 50 µl. Before the
HPLC assay, each serum sample was titrated to determine the half
maximal level of complex formation with
125I-HuCC49. A total of 25 µl of the final
reaction mixture was applied to a 7.8 mm x 30 cm TSK3000
size-exclusion column (Tosohaas, Montgomeryville, PA) and eluted at 0.5
ml/min with 100 mM KCl in 67 mM sodium phosphate (pH 6.8).
Radioactivity was monitored using a flow-through model 170
gamma-scintillation detector (Beckman, Fullerton, CA). The percent
inhibition of complex formation was calculated as: % inhibition =
{1 - [(% complex formation with HuCC49 or variant as
competitor)/(% complex formation without competitor)]} x 100.
To determine relative amounts of unlabeled competitor Abs required to achieve 50% competition of the binding of 125I-HuCC49 to the anti-variable region Abs present in serum from one of the patients, serial dilutions of the competitors were used. The percent inhibition of the complex formation was calculated and plotted vs ng of the competitor.
Biodistribution and pharmacokinetic studies
The procedures used for in vivo mAb biodistribution and pharmacokinetic studies have been described (21). To compare the ability of the variant and the parental HuCC49 to localize to human tumor xenografts in athymic mice, a mixture containing 1.4 µCi of 131I-HuCC49 and 4.4 µCi of 125I-labeled variant mAb 97L1,2/6062,64H was injected in the tail vein of each of the female athymic (nu/nu) mice bearing TAG-72-positive LS-174T tumors (53). For each time point, a group of five mice was sacrificed to collect and weigh blood, tumor samples and organs. Radioactivity was measured in a gamma-scintillation counter and was decay-corrected. The percentage of the injected dose per gram (%ID/g) and the SEM for each organ was determined. The radiolocalization indices (RIs) (%ID/g in tumor divided by the %ID/g in normal tissue) were also calculated.
For pharmacokinetic studies, five athymic mice bearing human tumor xenografts, as described above, were injected i.v. with 1.4 µCi of 131I-HuCC49 and 4.4 µCi of 125I-labeled variant mAb, 97L1,2/6062,64H. Blood samples were collected at various time points via the tail vein into 10 µl heparinized capillary tubes (Drummond, Broomall, PA). The amounts of 131I and 125I in the plasma were determined and decay-corrected. The % ID of each radionucleotide remaining in the plasma was then calculated for each time point.
| Results |
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The VL and VH of the
human mAbs LEN and 21/28'CL, respectively, were used in the initial
humanization protocol of mAb CC49. Table I
provides a comparison of the amino acid
sequences of the CDRs of mAb CC49 with those of LEN and 21/28'CL. This
table also indicates segments of mAb CC49 CDRs that contain putative
SDRs according to structures of ligand complexes of 31 different Abs.
Atomic coordinates for these complexes are available from the Protein
Data Bank (43, 44).
To minimize any anti-variable region response of patients to
HuCC49, studies were undertaken to identify which amino acid residues
of the indispensable murine CDRs are crucial for ligand contact and/or
elicit humoral response in patients. To this end, a panel of genes was
generated that encoded variant HuCC49 VH and
VL domains carrying an array of amino acid
substitutions in three of the indispensable CDRs (Table II
).
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Of the heavy-chain CDRs of CC49, HCDR3, which did not show reactivity to patients sera, was left out of consideration (10). In HCDR1, CC49 differs from 21/28'CL mAb at three positions. To test whether two of these residues are crucial for ligand contact and eliciting an anti-variable region response, a heavy-chain variant of HuCC49, 32,34H, was generated by replacing the residues at positions 32 and 34 of CC49 VH with their counterparts in 21/28'CL mAb. Also, the residues at positions 60, 61, 62, and 64 of the HCDR2 are probably not crucial for Ag binding because they were not found to be ligand contacting in any of the complexes of known structure (3). Therefore, these residues were the prime candidates for replacement. Accordingly, a heavy-chain variant of HuCC49, 6062,64H, was generated by replacing residues 60, 61, 62, and 64 of HuCC49 VH with their counterparts in human mAb 21/28'CL.
The genes encoding the heavy- and light-chain variants were synthesized by PCR as described in Materials and Methods. pLgpCXHuCC49HuG1 and pLNCXHuCC49HuK, the expression constructs of the parental HuCC49 heavy- and light-chain genes (21), were used as templates for the heavy (32,34H and 6062,64H)- and light (94L, 96L, 97L and 94,97L)-chain variant gene synthesis, respectively. For the synthesis of 94L1,2 and 94,97L1,2 genes, an expression construct of the CDR replacement variant of the HuCC49 light chain, L1,2, in a baculoviral expression construct, was used as a template (10).
Immunoreactivity of the variant HuCC49 mAbs expressed in insect cells
PCR products were cloned and sequenced, and the genes encoding the
variant VH and VL domains
were assembled with the respective human constant region genes (
1
for the heavy chain and
for the light chain). To test the ability
of the designed genes to express Ig molecules and assess the Ag
reactivity of the variant mAbs, each of the assembled genes encoding
the entire variant heavy (32,34H or
6062,64H) or variant light
(94L, 96L,
97L, 94, 97L,
97L1,2, and
94,97L1,2) chain was
subcloned in a dual expression baculovirus vector, pAcUW51. In each of
the resulting expression constructs, a gene encoding either the light
or the heavy chain of the parental HuCC49 was inserted downstream from
the promoter for the second target gene, so that in each construct a
variant heavy- or light-chain gene was paired with the parental HuCC49
light- or heavy-chain gene, respectively. Expression constructs were
introduced into Sf9 cells along with the baculovirus DNA. After the
infectious supernatants were harvested, viral plaques were generated,
isolated, expanded, and screened for Ig expression and Ag-binding
activity using ELISA, as described in Materials and Methods.
Insect cells transfected with each construct expressed Ig molecules as
detected by ELISA of their culture supernatants (data not shown).
However, not all variant Abs were positive for Ag-binding activity.
Results of the ELISA assay for binding activity to the BSM positive for
TAG-72 Ag showed that the variant Abs specified by expression
constructs carrying the variant genes 96L and
32,34H were not reactive with TAG-72. In
contrast, variant Abs expressed by 97L and
6062,64H constructs showed strong TAG-72
binding activity. While the Ig molecules expressed by
97L1,2 construct showed moderately positive
Ag-binding reactivity, those expressed by 94L,
94,97L, and
94,97L1,2 were only weakly
positive (Table II
).
SDS-PAGE analysis of the variant Abs
Partial or complete loss of Ag-binding activity of the variant Igs
might be attributed to the detrimental effect of the CDR residue
substitutions on the combining site of HuCC49. It is equally likely
that the plaques showed lower or no Ag-binding activity because some of
the expression constructs either failed to express, expressed at a
significantly lower level, or produced Abs that were not physically
normal. To examine these possibilities, variant Abs were produced and
purified from a larger batch of cells that were freshly infected with
inocula derived from the highest producing clone of each of the
constructs. The concentration of the secreted variant Abs in culture
supernatants ranged between 2 and 3 µg/ml. Purified Ig molecules were
characterized by SDS-PAGE analysis. Under reducing conditions, Ig
molecules expressed by each of the constructs yielded two bands that
comigrated with the heavy and light chains of HuCC49 mAb (Fig. 1
). Abs produced by insect cells
harboring expression constructs of the
97L1,2 or
94,97L1,2 gene, paired with
the HuCC49 heavy-chain gene, showed similar results (data not shown).
These results demonstrate that all constructs expressed and produced
comparable levels of Ig molecules of appropriate size. Therefore, a
total or partial loss of Ag-binding activity of any variant would be
due to an adverse effect of the amino acid substitution(s) in the
Ag-binding site of HuCC49.
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A solid-phase competition RIA was used to compare the relative
binding affinities of the variant mAbs to each other and to that of the
parental HuCC49. Serial dilutions of the purified unlabeled variant Abs
or the parental HuCC49 mAb were used to compete with radiolabeled
HuCC49 for binding to the TAG-72-positive BSM. The competition profiles
are presented in Fig. 2
; profiles of the
light-chain variants are shown in Fig. 2
A. As expected, the
variant 96L failed to compete, whereas all other
variant Abs competed with the parental HuCC49 completely and with
similar slopes. However, the competition curves of all variants except
97L were shifted significantly to the right. This shift was
notably less pronounced for
97L1,2. Similarly, it is
evident from the competition profiles of the heavy-chain variants (Fig. 2
B) that the variant mAb 32,34H, with
substitutions in HCDR1, did not inhibit binding of HuCC49 mAb to
TAG-72. However, 6062,64H, the variant with
substitutions in HCDR2, competed fully, and the competition profile was
almost identical to that of the parental HuCC49.
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2-fold to 3-fold less than the
Ka value of HuCC49 mAb.
Two new expression constructs were then generated and expressed in Sf9
cells. The gene encoding the variant heavy chain
6062,64H was paired with the gene encoding the
light-chain variant 97L or
97L1,2. Competition
profiles of the purified Abs (Fig. 2
C) show that these
variant mAbs competed completely with HuCC49 mAb for Ag binding,
yielding competition curves of the same slope as for the HuCC49. The
Ka value of the variant mAb
97L/6062,64H was
5.48 x 108 M-1, a
figure favorably comparable to that of HuCC49, while that of the
variant
97L1,2/6062,64H
was 1.15 x 108 M-1,
which is about 3-fold less than that of the parental HuCC49 mAb
(Table II
).
Reactivity of the HuCC49 variant mAbs to patient serum
Several adenocarcinoma patients administered 177Lu-labeled mAb CC49 in a phase I clinical trial were found to have anti-variable region Abs to mAb CC49 in their sera (10, 29). The stored sera from this clinical trial were used to identify epitopes of the CC49 combining site that have the potential to evoke anti-variable region responses in patients. This was accomplished by assessing reactivity of the variants with the patients sera. Size-exclusion HPLC was used to determine sera reactivity of the variants by monitoring complex formation between Abs in patients sera and the variant mAbs.
Before HPLC analysis, any free TAG-72 and HAMA other than
anti-variable region Abs to CC49 present in sera were adsorbed out
using mAb CC92 conjugated to a solid support, as described previously
in the Materials and Methods section. mAb CC92 is a murine
anti-TAG-72 Ab that has the same isotype as CC49 and recognizes an
epitope of TAG-72 other than that recognized by CC49. Patient serum
samples containing anti-variable region Abs to murine CC49 were
incubated with 125I-HuCC49 (
500,000 cpm) and 5
µg of the cold competitor (either HuCC49 or one of the variant mAbs).
Complex formation of the radiolabeled HuCC49 with the anti-variable
region Abs in patients sera reduced the retention time of the
radiolabel on the column. A variant containing an epitope recognized by
the sera would compete with the radiolabeled HuCC49 and inhibit its
complex formation with the sera Abs. Thus, the retention time of
125I-HuCC49 would not be reduced. Conversely,
complex formation would occur, and retention time of the radiolabel
would be altered if the variant did not contain an epitope recognized
by patients sera. Therefore, the variants ability to inhibit
complex formation of 125I-HuCC49 and sera
anti-variable region Abs was determined by applying a mixture of
sera and 125I-HuCC49 incubated with and without
the cold competitor to the column.
Table III
presents the percent inhibition
of complex formation when a mixture of
125I-HuCC49 and serum from each of the four
patients was incubated with 5 µg of cold competitor and subjected to
HPLC analysis. It is evident that the variant Abs
97L and 32,34H, like
HuCC49, inhibited complex formation. In contrast, variant mAbs
96L and
94,97L1,2, like the
nonspecific HuIgG, did not inhibit complex formation of HuCC49 with
serum from any patient except EA. Complex formation with EA serum was
partially inhibited by the two variants. The variant mAbs
94L, 94,97L,
97L1,2, and
6062,64H inhibited complex formation only
partially with sera from all patients tested. The variant
97L/6062,64H, whose
Ag-binding activity was comparable to that of parental HuCC49,
inhibited sera of three patients (DG, CP, and DS) only partially, but
completely inhibited the serum from patient EA from forming
complexes with HuCC49. More importantly, the variant
97L1,2/6062,64H did not compete
with HuCC49 to form complexes with anti-variable region Abs present
in sera from two patients (CP and DS), while showing only partial
competition with sera from two other patients (DG and EA).
|
250 ng of the parental
HuCC49 Ab to achieve 50% competition. In contrast, the variant
97L1,2/6062,64H,
designated HuCC49V10, inhibited binding of the radiolabeled HuCC49 to
the sera anti-variable region Abs only minimally; 1 µg of the
variant failed to achieve >25% of the competition that was achieved
by 60 ng of HuCC49. This variant, which retains moderate Ag-binding
activity and reacts with patients sera only minimally, was further
characterized in in vivo studies.
|
It has been shown that the plasma retention of HuCC49 in athymic
mice was virtually identical to that of chimeric CC49
(21). Because the rate of plasma clearance has a potential
bearing on in vivo tumor targeting, a comparison of the
pharmacokinetics of the variant to the parental HuCC49 was conducted.
Each athymic mouse bearing a TAG-72-positive LS-174T tumor was given
one i.v. injection containing a mixture of
131I-HuCC49 and
125I-labeled variant HuCC49V10. The amounts of
131I and 125I were
determined in the blood samples collected via the tail vein at
specified times. Results shown in Fig. 4
suggest that the blood clearance patterns of the two Abs are very
similar. By 24 h, the percentage of HuCC49 and the variant
remaining in the blood was 14.2 and 20.3, respectively.
|
Two criteria for the potential clinical utility of an antitumor Ab
are its tumor-targeting properties and its RI (ratio of mAb bound to
tumor vs mAb bound to normal tissue on a per gram basis) following in
vivo administration of the Ab. To investigate the ability of the
variant HuCC49V10 mAb to localize to human tumor xenografts and
determine RIs, a mixture of 131I-HuCC49 and
125I-HuCC49V10 was coinjected in athymic mice
bearing LS-174T human colon carcinoma xenografts. For the two Abs,
Table IV
shows the %ID/g of either tumor
or different normal tissues that were collected at different time
points. The biodistribution patterns of the two Abs were similar; both
Abs showed tumor localization by 24 h, peaking at 48 h, with
tumor uptake slightly higher with the variant HuCC49V10 than with
HuCC49 at all time points examined. These higher %ID/g may be a result
of the longer retention of the variant in the blood, which is evident
from the rate of the plasma clearance (Fig. 4
). The RIs (Table V
) were similar for the variant and
HuCC49. At 168 h, some differences are apparent (e.g., the variant
RIs are lower than those of HuCC49). Again, this may reflect the longer
retention of the variant in the blood compartment.
|
|
| Discussion |
|---|
|
|
|---|
A three-dimensional structure of the CC49 combining site has yet to be elucidated. In the absence of this information, the boundaries of the SDRs, as defined above, and the variability values of the residues at different positions could suggest which residues of the CC49 combining site are critical for Ag contact. Because ligand contact residues, or SDRs, are likely to be unique to each Ab, a more definitive identification of these residues may be made by studying the effect of site-specific mutations on the ligand-binding properties of the molecule. This database could facilitate a judicious selection of a limited number of sites that may feasibly be mutated to study their effect on Ag binding and immunogenicity of the Ab.
A comparison of the CDR sequences of CC49 with those of LEN and
21/28'CL, the human mAbs whose VL and
VH frameworks were used in the initial
humanization protocol of CC49, shows that in LCDR1, CC49 and LEN differ
in residues at positions 27f and 29 (Table I
). The residue at position
27f was found not to be directly involved in ligand contact
(3). However, the one at position 29 was found to interact
with ligand in two complexes (3). In one complex, the
interaction was by main chain atoms. Similarly, in LCDR2, CC49 and LEN
differ at position 53 only. This position was found to be involved in
ligand contact in only three of the 31 complexes of known structure
(3). Because the residue differences between the
light-chain CDRs 1 and 2 of CC49 and the corresponding LEN CDRs are so
inconsequential, the murine light-chain CDRs 1 and 2 could be replaced
with the corresponding human CDRs without any significant loss of
Ag-binding reactivity of CC49 mAb (10).
Of the three residue differences between the LCDR3 of CC49 and LEN, the one at position 97, a partly buried residue not found to be involved in ligand contact (3), was not expected to be significant for Ag-binding activity of CC49. This is the only residue which is not located within the suggested boundary of the SDRs of LCDR3. This expectation was borne out because the variant 97L did not show any loss, whereas 97L1,2 showed only insignificant loss of Ag-binding activity. An examination of the Ab-ligand complexes of known structures suggested that the differences between CC49 and LEN at positions 94 and 96 of the LCDR3 could have a very significant effect on ligand binding properties because they are involved in ligand contact in 19 and 22 cases, respectively (3). Accordingly, the variants 96L and 94L suffered a total and near-total loss of Ag-binding reactivity. When the mutation at position 94 was imposed on the variants 97L and 97L1,2, it destroyed their Ag-binding function.
In regard to the heavy chain, HCDR1 of CC49 and 21/28'CL differ at
three positions. The residue at position 31 was found to be directly
involved in ligand binding in 12 of the 31 complexes; in 5 of those,
only main chain atoms were involved (3). Because the
residue at position 31 is most likely ligand-contacting, no effort was
made to check the effect of mutation at this position on CC49
Ag-binding activity. Although the residue at position 34 is unlikely to
be an SDR, because this buried residue is not involved in ligand
contact in any of the known cases, the significance of the residue at
position 32 for Ag binding was doubtful (3). The latter
was found to be ligand-contacting in eight complexes, contributing only
main chain atoms in three cases (3). A total loss of
Ag-binding activity was found for variant 32,34H.
Because residue 34 has not been found to be involved in ligand contact
in any of the 31 complexes of known structure, whereas residue 32 has
been found to be involved occasionally, it is very likely that the
latter is crucial for the binding activity of CC49. Among the
differences in HCDR2, the effect of mutation was studied only on
residues at positions 60, 61, 62, and 64, which are located far from
the central portion of the Ab-combining site in the carboxyl-terminal
half of the CDR. A comparison of the Ag-binding activities of the
variant Abs 6062,64H,
97L/6062,64H, and
97L1,2/6062,64H
with that of the parental HuCC49 leaves no doubt that positions 60, 61,
62, and 64 of the CC49 heavy chain are not interacting with the ligand
and can be replaced with the corresponding residues of the human Ab
21/28'CL without any adverse effect on the structure of the CC49
combining site. This conforms with the fact that these residues are
located outside the proposed boundaries of the SDR (see Table I
). Most
of the residues in HCDR3 are close to the center of Ab-combining sites
and are found to interact with the ligand (2). These
observations suggest that for humanization of CC49, most of the
heavy-chain CDR residues should be retained, except possibly those that
are buried and those in the carboxyl-terminal segment of HCDR2.
An earlier analysis of the reactivity of serum from one patient immunized with murine CC49 to the CDR substitution variants of HuCC49 indicated that the patients anti-variable region responses were directed mainly against LCDR3 and also, to a degree, against LCDR1 and HCDR2 (10). In an attempt to delineate the structural features of the CC49 idiotopes in the immunogenic CDRs, sera reactivity of the residue substitution variants was analyzed. The complex formation of HuCC49 with sera anti-variable region Abs was inhibited completely by the variant 32,34H but only partially by the variant 6062,64H. This may suggest that the immunogenicity of HuCC49 may be reduced by substituting residues 60, 61, 62, and 64 with the residues at the corresponding positions in HCDR2 of 21/28'CL mAb. Among the LCDR3 variants, 97L inhibits complex formation completely, 94L inhibits it partially, and 96L fails to compete with HuCC49 for complex formation with anti-variable region Abs present in patients sera. Sera reactivity of the variant 97L suggests that the substitution of residue 97 alone may be inconsequential to the immunogenicity of HuCC49. However, partial inhibition of complex formation by the variants 94,97L and 97L1,2 suggests that the residue at position 97, in concert with other binding-site residues, influences the configuration of the HuCC49 idiotope(s) recognized by patients sera. It is interesting to note that the variant 97L/6062,64H inhibits complex formation of HuCC49 with anti-variable region Abs in the serum of patient EA, while the inhibition is only partial with the sera of three other patients (DG, CP, and DS). These observations also make it evident that the pattern of the anti-variable region response differed from patient to patient. Some patients may respond to certain idiotopes of HuCC49 more readily than other patients.
Based on the immunogenicity of the CC49 idiotopes discussed above, an attempt was made to construct a variant of HuCC49 with minimal immunogenicity in patients. The variant 97L1,2/6062,64H carries LCDR1 and LCDR2 of the human Ab LEN and the designated residue substitutions in LCDR3 and HCDR2. The variant mAb 97L1,2/6062,64H did not inhibit complex formation of HuCC49 with anti-variable region Abs present in the sera of two patients (CP and DS) and only partially inhibited complex formation with anti-variable regions of the sera from two other patients (DG and EA). The competition profile of the variant mAb 97L1,2/6062,64H for the binding of 125I-labeled HuCC49 to the anti-variable region Abs present in serum from one patient (CP) indicates that the designated residue substitutions have reduced, to a large degree, the potential immunogenicity of CC49 in patients. However, it should be pointed out that the genetic manipulation to develop the variant might have generated new idiotopes, and only clinical trials could evaluate their immunogenicity in patients.
For an assessment of the clinical utility of the variant mAb
97L1,2/6062,64H
(designated HuCC49V10), its pharmacokinetics of plasma clearance,
tumor-targeting property and RI in tumor-bearing mice were compared
with that of the parental HuCC49. The plasma clearance, biodistribution
patterns, and RIs of the two Abs were similar. Slightly more variant
than parental HuCC49 was retained in blood. Thus, the RI of the variant
is slightly lower for tumor:blood ratios. Nevertheless, targeting
properties of the two Abs are comparable. The clearance studies were
conducted in tumor-bearing mice, because any potential use of the
variant will be in a tumor-bearing host. It has been shown that the
Ka of the HuCC49V10 variant is about 3-fold less
than that of the parental HuCC49. This does not seem to be a
substantial loss because the variant retains the in vivo
tumor-targeting property of the parental HuCC49. The CDR and SDR
modifications of HuCC49V10 could also be employed to other genetic
forms of HuCC49. For example, a HuCC49 devoid of the CH2 domain
(
CH2) has been generated and characterized in vitro and in vivo
(22). HuCC49
CH2 has been shown to target human tumor
xenografts almost as efficiently as HuCC49 but clears both the blood
pool and whole body much more rapidly than HuCC49 in athymic mice and
SCID mice. This has resulted in higher tumor:normal tissue ratios
for HuCC49
CH2 than HuCC49. The results of the studies reported
here indicate that a HuCC49V10
CH2 construct may eventually be an
optimal reagent for clinical therapeutic applications. Recently, a
single-chain tetravalent Ab was derived from HuCC49 (56).
The tetravalent Ab, which consists of a HuCC49 diabody attached to
human Fc
1 via the hinge region, has
20-fold higher functional
binding affinity for TAG-72 than for HuCC49. The tetravalent Ab derived
from the HuCC49V10 variant may also be an efficacious clinical
reagent.
The current studies have examined the structural correlates of the CC49 combining site by identifying SDRs, the amino acid residues in the hypervariable regions that are most critical for Ag-binding activity. Using sera from patients administered murine mAb CC49 in earlier clinical trials, amino acid residues that contribute to the idiotope targets of the patients immune responses were identified. This analysis helped design a minimally immunogenic variant (HuCC49V10) with Ag-binding affinity. The variant mAb 97L1,2/6062,64H is the first humanized Ab developed by grafting SDRs rather than CDRs onto frameworks of a human Ab. These studies have provided the proof of concept that to humanize a xenogeneic Ab, grafting of SDRs onto the frameworks of a human Ab is sufficient to retain the Ag-binding properties of the target Ab, while retaining those non-hypervariable residues that may be essential for preserving the combining-site structure. This new approach to humanization may thus be employed to minimize the immunogenicity of a given humanized Ab.
| Acknowledgments |
|---|
| Footnotes |
|---|
2 Current Address: Wakayama Medical School, 27 Shichibancho, Wakayama, 640 Japan. ![]()
3 Address correspondence and reprint requests to Dr. Jeffrey Schlom, Laboratory of Tumor Immunology and Biology, National Cancer Institute, National Institutes of Health, Building 10, Room 8B07, Bethesda, MD 20892-1750. E-mail address: ![]()
4 Abbreviations used in this paper: CDRs, complementarity determining regions; SDRs, specificity determining residues; HAMA, human anti-murine Ab; TAG-72, tumor-associated glycoprotein-72; VL, variable light region/framework; VH, variable heavy region/framework; Ka, relative affinity constant; BSM, bovine submaxillary mucin; %ID/g, percentage of injected dose per gram; RIs, radiolocalization indices; 125I-HuCC49, 125I-labeled HuCC49; Hu, human. ![]()
Received for publication August 26, 1999. Accepted for publication November 17, 1999.
| References |
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. Cancer Res. 53:600.
R1-dependent killing of TAG-72-expressing tumor cells. Clin. Cancer Res. 4:2237.[Abstract]
-interferon treatment. Cancer Res. 55:5925s.
-interferon on pharmacokinetics, biodistribution, toxicity, and efficacy of 131I-labeled monoclonal antibody CC49 in breast cancer: a phase II trial. Clin. Cancer Res. 3:1547.[Abstract]
and monoclonal antibody 131I-labeled CC49: outcomes in patients with androgen-independent prostate cancer. Clin. Cancer Res. 4:643.[Abstract]
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