Specification
The present invention relates to engineered, humanized antibodies that have high
binding affinity for and neutralize human IL-21, methods of using the antibodies to treat
5 conditions in which antagonism or neutralization of the effects of IL-21 is warranted,
such as autoimmune conditions, compositions and methods for recombinantly producing
the antibodies, and pharmaceutical compositions comprising the antibodies.
W020101055366 discloses human antibodies derived from transgenic mice that
are said to bind and neutralize human IL-21. A particular antibody is one derived from
10 clone 362.78.
Maurer, M., et al. (Generation and characterization of human anti-human IL-21
neutralizing monoclonal antibodies, 4 MAbs 69 (2012)) describe the generation and
initial characterization of a panel of human anti-human IL-21 monoclonal antibodies
derived from human IgG transgenic mice, including the antibody derived from clone
15 362.78. Clinical studies of an anti-IL-21 antibody described in W020101055366, US
20130323259Al and in Maurer et al., namely "mAb 362.78," which is also referred as
NN8828 and NNC114-0006 or NNC-0000-0006, were carried out in patients having
Systemic Lupus Erythematosus (SLE) and Crohn's Disease.
W020121098113 states that a crystal structure of human IL-21 in complex with a
20 Fab fragment of monoclonal antibody 362.78 (NNC 0114-0005), which antibody had
previously been mentioned in W020101055366, had been formed and analyzed using Xray
methods.
The present invention disclosed herein seeks to provide alternatives to the anti-IL-
21 antibodies described above. The antibodies are potentially highly-suited to treatment
25 of autoimmune conditions or diseases such as primary Sjogren's Syndrome (pSS),
Sjogren's Syndrome (SS) and Systemic Lupus Erythematosus (SLE), Graves disease,
type 1 diabetes, and others, for which few treatments are available and a medical need
remains worldwide. There is a strong need for more efficacious treatments having better
safety profiles than the present standards of care for patients.
3 0 In particular, the present invention provides antibodies that have as heavy and
light chain variable domains the engineered and humanized heavy chain variable domain
and the light chain variable domain of the antibody referred to herein as Ab327.
The present invention provides antibodies that have one or more of the following
properties: 1) bind with high affinity to human IL-21 and to cynomolgous monkey IL-21
(KD = 0.8 f 0.5 x 10-l2 M and 0.3 f 0.1 x 10-l2 M, respectively, at 37 "C by KinExA
solution equilibrium binding); 2) bind with modest affinity to mouse and rat IL-21 (KD =
5 2.4 f 1.3 x 10-7 and 2.3 f 0.2 x 10-7 M; respectively, at 37 "C by KinExA solution
equilibrium binding); 3) do not substantially bind any other human y-common chain
family members (IL-2, IL-4, IL-7, IL-9, and IL-15); 4) neutralize human and
cynomolgous monkey IL-21 activity in a particular pan-STAT-IM9-Luciferase reporter
assay with an IC50 about 6-fold lower than the positive control, a hIL-21R-Fc construct
10 (-46.7 pM and -41pM vs. -271 pM, respectively); 5) neutralize human IL-21-induced
proliferation of primary human B cells in vitro with an IC50 of about 1.15 nM; 6)
neutralize human IL-21 induced plasma cell differentiation of primary human B cells in
vitro; 7) effectively block rapid and transient expansion of several cell types in the spleen
(including subpopulations of B and T cells) in mice injected with human IL-21; and / or
15 8) are sufficiently stable for pharmaceutical manufacturing, storage, and therapeutic use.
According to a first aspect of the present invention provides antibodies that bind
to human IL-21 comprising a heavy chain variable region (HCVR) and a light chain
variable region (LCVR) wherein the LCVR comprises SEQ ID NO: 7 at CDRLI, SEQ ID
NO: 8 at CDRL2 and SEQ ID NO: 9 at CDRL3 and wherein the HCVR comprises SEQ
20 ID NO: 10 at CDRHI, SEQ ID NO: 11 at CDRH2 and SEQ ID NO: 12 at CDRH3.
Preferably the antibody according to the present invention comprises an antibody
heavy chain and an antibody light chain, wherein the heavy chain comprises a HCVR
having the SEQ.ID.NO: 1 and wherein the light chain comprises a LCVR having the
SEQ.ID.N0:2.
25 The present invention further provides antibodies that bind to human IL-21
comprising two antibody heavy chains and two antibody light chains, in which each
heavy chain comprises a heavy chain variable domain, the amino acid sequence of which
is the sequence of SEQ ID NO: 1, and in which each light chain comprises a light chain
variable domain, the amino acid sequence of which is the sequence of SEQ ID NO:2.
3 0 Preferably, the antibody of the present invention antibodies consists of two
antibody heavy chains and two antibody light chains are provided, in which each heavy
chain comprises a heavy chain variable domain, the amino acid sequence of which is the
sequence of SEQ ID NO: 1, and in which each light chain comprises a light chain variable
domain, the amino acid sequence of which is the sequence of SEQ ID NO:2.
A particular embodiment is antibody Ab327, which is an engineered and
5 humanized antibody to human IL-21, the amino acid sequence of each heavy chain of
which is the sequence of SEQ ID NO:3 and the amino acid sequence of each light chain
of which is the sequence of SEQ ID NO:4.
The present invention also provides pharmaceutical compositions comprising the
antibodies of the invention and a pharmaceutically-acceptable excipient.
10 The present invention also includes DNA molecules encoding the heavy and light
chains of the antibodies of the present invention for expressing the antibodies of the
present invention. In particular, according to another aspect of the present invention there
is provided a DNA molecule comprising a polynucleotide that encodes the antibody
heavy chain whose amino acid sequence is the sequence of SEQ ID NO:3. The invention
15 also provides a DNA molecule comprising a polynucleotide whose sequence is the
sequence of SEQ ID NO:5. This polynucleotide sequence corresponds to the antibody
heavy chain.
According to a further aspect of the present invention there is provided a DNA
molecule comprising a polynucleotide that encodes the antibody light chain whose amino
20 acid sequence is the sequence of SEQ ID NO:4. The invention further provides a DNA
molecule comprising a polynucleotide whose sequence is the sequence of SEQ ID NO:6.
This polynucleotide sequence corresponds to the antibody light chain.
According to a further aspect of the present invention, there is provided a DNA
molecule comprising a polynucleotide that encodes the antibody heavy chain whose
25 amino acid sequence is the sequence of SEQ ID NO:3 and comprising a polynucleotide
that encodes the antibody light chain whose amino acid sequence is the sequence of SEQ
ID NO:4. The present invention further provides a DNA molecule comprising a
polynucleotide whose sequence is the sequence of SEQ ID NO:5 and comprising a
polynucleotide whose sequence is the sequence of SEQ ID NO:6.
30 The present invention includes mammalian cells for expressing the antibodies of
the invention by recombinant means. In particular, the present invention provides a
mammalian cell transformed with a DNA molecule of the invention described above.
Another aspect of the present invention includes a process for producing an
antibody, which antibody comprises two antibody heavy chains and two immunoglobulin
light chains, in which the amino sequence of each of the two heavy chains is the sequence
of SEQ ID NO:3 and the amino acid sequence of each of the two light chains is the
5 sequence of SEQ ID NO:4, and which process comprises: a) cultivating a mammalian cell
of the invention, as described above, under conditions such that the antibody is expressed,
and b) recovering the expressed antibody. The present invention includes an antibody
obtainable by the process of the invention as described immediately above.
The present invention includes methods of using the antibodies, particularly for
10 treating autoimmune (AI) conditions, especially primary Sj ogren' s syndrome (pSS),
Sjogren's Syndrome (SS), Systemic Lupus Erythematosus, Grave's disease, or type 1
diabetes, methods of preparing the antibodies, polynucleotides encoding the antibodies,
vectors comprising the nucleotides for transforming host cells and for expressing the
antibodies, host cells for expressing the antibodies, antibodies prepared by a process of
15 recombinant expression in mammalian host systems, and pharmaceutical compositions of
the antibodies that comprise the antibody and a pharmaceutically-acceptable excipient.
Particular uses envisioned for the antibodies are the treatment of A1 conditions, in
particular A1 conditions such as primary Sjogren's syndrome (pSS), Sjogren's Syndrome
(SS), systemic lupus erythematosus, Grave's disease, or type 1 diabetes. The present
20 invention includes antibodies for use in therapy, in treating autoimmune conditions, in
treating primary Sjogren's syndrome (pSS), Sjogren's Syndrome (SS), Systemic Lupus
Erythematosus, Grave's disease, or type 1 diabetes, and particularly in treating primary
Sjogren's syndrome (pSS), Sjogren's Syndrome (SS) or Systemic Lupus Erythematosus.
The present invention includes use of an antibody of the invention for the manufacture of
25 a medicament for use in treating an autoimmune condition; for use in treating primary
Sjogren's Syndrome (pSS), Sjogren's Syndrome (SS), Systemic Lupus Erythematosus,
Grave's disease, or type 1 diabetes; for treating primary Sjogren's Syndrome (pSS),
Sjogren's Syndrome (SS); or for treating Systemic Lupus Erythematosus. In particular,
the present invention includes the use of an antibody of the present invention in the
30 manufacture of a medicament for the treatment of an autoimmune condition; primary
Sjogren's Syndrome (pSS), Sjogren's Syndrome (pSS), Systemic Lupus Erythematosus,
Grave's disease, or type 1 diabetes; primary Sjogren's Syndrome (pSS), Sjogren's
Syndrome (SS); or Systemic Lupus Erythematosus.
Brief Description of the Figures
5 Figure 1. Binding of Ab327 to human IL-21 and other ligands that bind human
common-gamma chain receptor by ELISA is shown.
Figure 2. Ab327 is shown to neutralize human IL-21-induced proliferation of
primary human B cells in vitro.
Figure 3. Average percent of body weight change from baseline in severely
10 immuno-compromised NSG mice (NOD-scid IL-2Ry null) engrafted with human
peripheral blood mononuclear cells (PBMCs) treated with IL-21 antibody or isotype
control antibody for 42 days. Treatments occurred at points indicated by arrows.
Symbols: -.- Ab327 (10 mgkg); -- V-- Ab327 (1 mgkg); --0--; Isotype control (10
mgkg); - - non-engraftment.
15 Figure 4. Average percent of body weight change from baseline in severely
immuno-compromised NSG mice (NOD-scid IL-2Ry null) engrafted with human
peripheral blood mononuclear cells (PBMCs) treated with IL-21 antibody or isotype
control antibody. Treatments occurred at points indicated by arrows. Symbols:-.-
Ab327 (10 mglkg); -- q --; Isotype control (10 mglkg); - @ - non-engraftment.
20 Figures 5 and 6. Treatment with anti-mouse IL-21 antibody is shown to alleviate
lymphocytic infiltration in salivary glands of NOD mice by mRNA analysis (Figure 5)
and histological analysis (Figure 6, lymphocytes are outlined).
Figures 7A and 7B. Surrogate Antibody 728 is shown to prevent autoimmune
diabetes development in NOD mice. Treatment starts at 7 weeks of age (A) as prevention
25 or at 13 weeks of age (B) during pre-diabetic phase. Diabetic incidence is calculated per
group as two consecutive readings over 250 mgldl and displayed as percentage of diabetic
mice per group (A: mIgGl n=12; Ab728 n=12 and B: mIgGl n=8; Ab728 n=l I).
Diabetes incidence is scored as survival curve data and is different by log-rank test (A:
p=0.0007 and B: p=0.002).
3 0
Use of Antibodies of the Invention
Interleukin (1L)-21 is produced by various subsets of T cells and binds to a
composite receptor that consists of a specific receptor, termed IL-21 receptor (IL-21R)
5 and the common y-chain subunit. Human IL-21 is produced in vivo from a 162-amino
acid precursor molecule. Mature human IL-21 consists of residues 30- 162 (133 amino
acids) of the precursor protein. Typical of class I cytokines, IL-21 has a four-helix bundle
structure arranged in an up-up-down-down topology. Using the numbering of the
precursor 162-amino acid protein, the helices are thought to consist of the following
10 residues: A helix: 41-56, B helix: 69-84, C helix: 92-105, and D helix: 135-148. This
structure is closely related to that of other type 1 cytokine family members, most notably
IL-2, IL-4, and IL- 15.
Upon binding of IL-21 to the receptor complex and subsequent receptor
activation, signaling occurs through the Jak-STAT signaling pathway. The IL-21R chain
15 binds IL-21 with high affinity and provides the majority of the binding energy. However,
interaction with the common y-chain is required for signaling. The interaction between
IL-21 and IL-21R is mediated by residues present in the A and C helices and by a small
part of the CD loop immediately following the C helix of IL-21 (0. Hamming, et al.,
Crystal Structure of Interleukin-21 Receptor (IL-21R) Bound to IL-21 Reveals That
20 Sugar Chain Interacting with WSXWS Motif Is Integral Part of IL-21R, 287 J. Biol.
Chem. 9454-9460 (2012)).
IL-21 is a class I cytokine that has pleiotropic effects on both innate and adaptive
immune responses, such as stimulation of lymphocyte proliferation, promotion of CD8+
T cell and NK cell cytotoxicity, and differentiation of B cells into plasma cells. IL-21 is
25 secreted by activated CD4+ T cells, in particular Th17 and T follicular helper cells, as
well as natural killer cells. It plays an important role in promoting the development of
Th17 and T follicular helper cells by a feed-forward mechanism. Furthermore, IL-21
cooperates with other cytokines to increase the cytotoxicity of CD8+ T cells and
promotes proliferation of CD8+ cells in the presence of antigens. IL-21 also influences
30 antibody production by B cells. IL-21 has various actions, including augmenting the
proliferation of T cells, driving the differentiation of B cells into memory cells and
terminally differentiated plasma cells, and augmenting the activity of natural killer cells.
In certain human conditions and diseases it may be desirable to block the activity of IL-
21. In particular, an antibody that blocks binding of IL-21 to its receptor would be
desirable in treating such conditions and diseases.
Given their properties, the antibodies of the present invention are potentially
5 highly-suited to treatment of autoimmune conditions or diseases where T cell - B cell
interactions, Th17 cells, T follicular helper cells, plasma cells and activated CD8 and NK
cells play a predominant pathogenic role. Diseases that readily fit this category are
primary Sjogren' s Syndrome (pSS), Sjogren's Syndrome (SS) and Systemic Lupus
Erythematosus (SLE), for which few treatments are available and a large medical need
10 remains worldwide. Other potential indications include Grave's disease and type 1
diabetes.
Sjogren's Syndrome is a slowly progressing systemic autoimmune disease, seen in
0.5-1.0% of the population, which predominantly affects middle-aged women, although
it can occur at any age and in both men and women. Primary Sjogren's syndrome (pSS)
15 and Sjogren's Syndrome (SS) are characterized by chronic inflammation of the exocrine
glands, in particular the salivary and lacrimal glands. The main features of pSS are oral
and ocular dryness ("Sicca Syndrome") and the histological hallmark is focal
lymphocytic infiltration of the exocrine glands, which may be determined by minor labial
salivary gland biopsy. Sicca features affect the quality of life and cause local
20 complications in the mucosa involved. Severe dry mouth is an unpleasant and disabling
condition. However, extra-glandular manifestations occur in many patients and may
involve almost any organ. There are currently no disease-modifying agents approved to
treat pSS and SS. Medications address symptoms and provide supportive therapy. There
is a need for more efficacious therapies with better safety profiles for patients with pSS
25 and SS. Pharmacological intervention with the antibodies of the present invention may
affect several aspects of the dysregulated immune system that appear causally related to
pSS and SS pathogenesis and could thus provide significant clinical benefit to patients.
This therapy also may reduce the need for chronic (non-specific) immunosuppressive
agents, providing an improvement in quality of life for pSS and SS patients.
3 0
Treatment and Administration
The terms "treatment," "treating" or "to treat" and the like include restraining,
slowing, stopping, or reversing the progression or severity of an existing symptom,
condition, disease, or disorder in a patient. The term "patient" refers to a human. The
5 term "effective amount" refers to the amount or dose of an antibody of the invention
which, upon single or multiple dose administration to the patient, provides the desired
effect in the patient. An effective amount can be readily determined by the attending
diagnostician or health care professional, as one skilled in the art, by using known
techniques and by observing results. In determining the effective amount for a patient, a
10 number of factors may be considered, including, the patient's size, age, and general
health; the specific disease or disorder involved; the severity of the disease, condition, or
disorder; the response of the individual patient; the mode of administration; the
bioavailability characteristics of the preparation administered; the dose regimen selected;
the use of concomitant medication; and other relevant factors.
15 The antibodies of the invention are intended for parenteral administration to
humans to treat autoimmune conditions. Subcutaneous and intravenous routes are
preferred. The antibodies may be formulated into aqueous-based pharmaceutical
solutions prior to administration. A loading intravenous dose may be administered by a
health professional. Generally, administration is expected to occur by subcutaneous
20 injection, either self-administered by the patient or by another person, such as a health
care professional. For subcutaneous injections, an auto-injector or a pre-filled syringe
may be used. Doses may be either fixed - that is, the same mass of active antibody for
every patient - or may be based on body weight (mass). On a body weight (mass) basis,
doses will preferably be in the range of 0.01 to 30 mg antibody per kilogram of body
25 weight (mass) of the patient. More preferably, the dose will be in the range of 0.1 to 20
mg antibody per kilogram of body weight (mass) of the patient. Frequency of dosing is
expected to be weekly or less frequently, depending on actual pharmacokinetics and
pharmacodynamics in humans. Duration of treatment will vary depending on many
factors and it will be determined by the patient's diagnostician or treating health care
30 provider, based on experience and skill in the art. Frequency and duration of treatment
may vary by indication.
Structure of the Antibodies of the Invention
The antibodies of the invention have typical tertiary and quaternary structure for a
full-length human IgG antibody. When biosynthesized in a suitable mammalian host cell,
the antibodies of the invention will be secreted as molecules consisting of two heavy
5 chains and two light chains, which chains are covalently bound together by intra-chain
and inter-chain disulfide bonds in the usual manner, with the heavy chains bound to each
other and one light chain bound to each of the heavy chains. The positions of the intrachain
and inter-chain disulfide bonds are well-known.
Each heavy chain contains four domains: from N- to C-terminus, heavy chain
10 variable domain, IgG CHI, IgG CH2, and IgG CH3 domains. A hinge region between
CHI and CH2 contains an inter-chain disulfide bond or bonds that join the two heavy
chains. Each light chain contains two domains: from N- to C-terminus, light chain
variable domain and a light chain constant domain (CL) domain. It is preferred that the
heavy constant domains be human IgG4 or variants thereof. It is preferred that the light
15 constant domain be human kappa. The variable regions together are responsible for the
functional properties of binding to human IL-21 and neutralizing human IL-21 activity.
The amino acid sequences of the variable regions of the antibodies of the invention are
provided in SEQ ID NO: 1 and SEQ ID NO:2. The constant domains of one antibody of
the invention, Ab327, are given within SEQ ID NO:3 and SEQ ID NO:4. The N-linked
20 glycosylation site at Asn294 of SEQ ID NO:3 may be glycosylated.
The amino acid sequence of the heavy chain (HC) of the antibodies consists of the
heavy chain variable domain of the present invention, SEQ ID NO: 1, fused at its Cterminus
to appropriate human heavy chain constant domains (CHI, CH2, and CH3) or
structurally-similar variants of human heavy chain constant domains that may have a
25 well-known mutation or mutations for improving stability or reducing effector functions.
Variants of human IgG4 constant domains that have mutations related to stability and / or
reduced effector function, are preferred. SEQ ID NO:3 provides the amino acid sequence
of the heavy chain of Ab327.
The amino acid sequence of the light chain (LC) consists of the light chain
30 variable domain of the present invention, SEQ ID NO:2, fused at its C-terminus to an
appropriate human light chain constant domain (CL) or a structurally-similar variant
thereof. Human kappa light chain constant domain is preferred. SEQ ID NO:4 provides
the amino acid sequence of the light chain of Ab327. For expressing Ab327, the DNA
sequences given by SEQ ID NO:5 and SEQ ID NO:6 may be used for the HC and LC,
respectively.
CDRs Ll, L3, and H2 were assigned according to the Kabat convention and
5 CDRs L2, HI, and H3 were assigned according to the North convention. Kabat EA, et
al., Sequences of Proteins of Immunological Interest, Fifth Edition, U.S. Department of
Health and Human Services, NIH Publication No. 91-3242 (1991); North B, et al, J Mol
Biol2011 Feb 18; 406(2): 228-256.
10 Production of the Antibodies of the Invention
The antibodies of the present invention can be biosynthesized, purified, and
formulated for administration by well-known methods. An appropriate host cell, such as
HEK 293 or CHO, is either transiently or stably transfected with an expression system for
secreting antibodies using a predetermined HC:LC vector ratio if two vectors are used, or
15 a single vector system encoding both heavy chain and light chain. Vectors suitable for
expression and secretion of antibodies from these commonly-used host cells are wellknown.
Following expression and secretion of the antibody, the medium is clarified to
remove cells and the clarified media is purified using any of many commonly-used
20 techniques. For example, the medium may be applied to a Protein A column that has
been equilibrated with a buffer, such as phosphate buffered saline (pH 7.4). The column
is washed to remove nonspecific binding components. The bound antibody is eluted, for
example, by pH gradient (such as 0.1 M sodium phosphate buffer pH 6.8 to 0.1 M sodium
citrate buffer pH 2.5). Antibody fractions are detected, such as by SDS-PAGE, and then
25 are pooled. Further purification is optional, depending on the intended use. The antibody
may be concentrated and/or sterile filtered using common techniques. Other materials
than the antibody, such as host cell and growth medium components, and soluble
aggregates and multimers of the antibody, may be effectively reduced or removed by
common techniques, including size exclusion, hydrophobic interaction, cation exchange,
30 anion exchange, affinity, or hydroxyapatite chromatography. The purity of the antibody
after these chromatography steps is typically greater than 95%. The product may be
stored at 4 "C frozen at -70 "C or may be lyophilized.
Ab327 used in the studies described herein was expressed either transiently in
HEK293 cells after co-transfection of separate heavy chain and light chain expression
DNA vectors that incorporated the DNA sequences of SEQ ID NO:5 and SEQ ID NO:6,
respectively, or was expressed stably in CHO cells after transfection of a single DNA
5 vector that incorporated the DNA sequences of both SEQ ID NO:5 and SEQ ID NO:6,
which encode the heavy chain and light chain, respectively. Medium harvested from
either a 5-day HEK293 culture or a 14-day CHO bulk culture were clarified and the
resulting crude supernatant purified by Protein A chromatography. Ab327 bound to
Protein A resin and was eluted using low pH buffer. The eluted antibody was further
10 purified using either preparative size-exclusion chromatography (SEC), for material
produced from transient transfection of HEK293, or using multimodal anion-exchange
chromatography (Capto adhere 8 GE Healthcare Life Sciences) as a polishing step for
material produced from stable transfection of CHO. The final purity of Ab327 was
evaluated by SDS-PAGE, analytical SEC-HPLC, and LCIMS analysis. Endotoxin levels
15 were shown to be 2x10-7 M, respectively. The binding to rabbit IL-21 was estimated based on a binding
signal that was less than what was observed for equivalent samples of mouse and rat IL-
21. Based on these results, Ab327 has approximately picomolar level affinity for human
20 and cynomolgus monkey IL-21 but a relatively weak affinity for mouse, rat, and rabbit
IL-2 1.
IL-21 Species
Human
C ynomolgous
Monkey
Mouse
Rat
Rabbit
Number of
Independent
Determinations
3
3
3
3
1
Apparent Solution Equilibrium
Binding Affinity of Ab327 at 37 "C
KD (MI
0.8 * 0.5 x 10-l2
0.3 * 0.1 x 10-l2
2.4 * 1.3 x
2.3 * 0.2 x
>2 loJ
Ab327 inhibited Human and Cynomolgus Monkey IL-21 in an IM9 pan-STATLuciferase
reporter assay in vitro.
IL-21 activates the JAK-family protein tyrosine kinases which mediate the IL-21-
dependent activation of Signal Transducer and Activator of Transcription (STAT). The
5 ability of IL-21 to activate the STAT pathway was assessed using IM9 cells. IM9 cells,
which are an EBV-transformed B lymphoblastoid cell line derived from the blood of a
patient with multiple myeloma and which naturally express the IL-21 receptor (IL-21R)
and its co-receptor (yc), were stably transfected with a pan-STAT-luciferase reporter
construct. Using an IM9-panSTAT-luciferase reporter assay, the goal of this experiment
10 was to determine whether Ab327 could inhibit the IL-21-dependent activation of STAT.
IM9-panSTAT-luciferase cells (IM9 cells subclone 1B 10/3G2 with pan-STAT
luciferase reporter) were routinely cultured in medium (RPMI1640, 10% FBS, 1X
penlstrep, 100 pg/mL Zeocin for selection of the pan-STAT-luciferase reporter) in flasks.
For the assay, cells were seeded at 50,000 cells/50pL/well in TC-treated plates and
15 incubated overnight at 37OC. Then, the cells were treated with Ab327 in the presence of
recombinant IL-21 proteins from different species. A dose range of Ab327 from 0 to
6670 pM was evaluated (final concentration was based on MW of Ab327 = 150 kDa).
Recombinant IL-21 from different species were added to each well to a final
concentration of 66.67 pM (based on MW = 15 kDa). A human IL-21R:Fc chimera
20 (R&D Systems, cat#991-R2) was used as positive control and human IgG4 was used as a
negative control. A dose range for the positive and negative control from 0 to 47520 pM
was evaluated. Testing was carried out in triplicate. The 96-well plates were placed in a
tissue culture incubator (37 OC, 95% relative humidity, 5% C02) for 4 hours. 100
pLIwell of One-Glo Luciferase solution was added to stop the assay. A luminometer
25 (Perkin Elmer Victor3) was used to read the plates.
Results are expressed as IC50 (the half maximal inhibitory concentration) and
calculated using a 4-parameter sigmoidal fit of the data (Sigma plot). The average IC5Os
from three independent experiments and the standard deviations are reported in Table 4
below.
Table 4
Within the range tested, Ab327 completely inhibited human and cynomolgus
monkey IL-21-induced STAT activity in a dose-dependent manner. The inhibition by
5 Ab327 was greater than that observed with the positive control (hIL-2lR:Fc), with Ab327
having an IC50 of 46.7 f 2.4 versus 271 f 15.6 for the positive control. The isotype
control antibody (hIgG4) did not inhibit pan-STAT activity (data not shown). In
conclusion, Ab327 effectively neutralized human and cynomolgus monkey IL-21 activity
in vitro, but it did not neutralize mouse, rat, or rabbit IL-21 (sequences given above)
10 under these conditions (N.N.D. = neutralization not detected).
IC50 (pM)
Ab327
hIL21R-Fc
Ab327 neutralized human IL-21-induced proliferation of primary human B cells in
vitro .
The primary function of B cells is to produce antibodies that neutralize and clear
15 pathogens. Antibody-producing B cells are generated from na'ive B cells during germinal
center (GC) reactions. The GCs are established when B cells encounter specific antigens
and receive instructive signals from T follicular helper cells for growth, survival,
selection, and differentiation. Among those signals, B cells are stimulated by CD40 and
numerous cytokines, with IL-21 being a key factor in promoting proliferation, isotype
20 switching, plasma cell differentiation, and secretion of antibodies. The goal was to
determine whether Ab327 was able to inhibit IL-21-induced proliferation of primary
human B cells.
Buffy coats from five healthy donors were obtained from Indiana Blood Center.
PBMCs were isolated from buffy coats by Ficoll-Paque gradient separation and CD19+ B
25 cells were positively selected with anti-CDl9 magnetic beads (Miltenyi Biotec). The
purity of the recovered population was typically > 90%. To assess proliferative responses
of cultured cells, purified CD19+ cells were cultured at 0.5 million cellslmL (0.1 million
cellslwell) in 96-well flat-bottom culture plates with appropriate stimulators (RPMI-
1640110% FBS containing 1 mM sodium pyruvate, non-essential amino acids, 10 mM
Human
IL-21
46.7 f 2.4
271 f 15.6
Cyno
IL-2 1
48.3 f 5.9
3922 f 525
Mouse
IL-2 1
N.N.D.
3533 f 543
Rat
IL-21
N.N.D.
N.N.D.
Rabbit
IL-2 1
N.N.D.
321 f 76.2
HEPES pH 7.0, 100 U/mL penicillin and 100 yg/mL streptomycin) for 5 days at 37 "C
and 5% C02 Isolated B cells were incubated with a combination of human IL-21 at 3.33
nM (based on MW =15k Da) and 2 yg/mL anti-human CD40 (BD Pharmingen). A dose
range of Ab327 (from 0.1 nM to 26.7 nM), human IL-21R:Fc chimera (from 0.1 nM to
5 213.3 nM, R&D Systems) or human IgG4 (from 0.1 nM to 26.7 nM) were evaluated. All
stimuli and treatments were added at culture initiation. After 5 days of culture, [methyl-
3H] Thymidine uptake was measured using a liquid scintillation counter.
Results are expressed as percent of maximum proliferation, with IL-21-mediated
stimulation in the absence of antibody being 100%. The concentration where 50% of the
10 IL-21-induced response was inhibited (IC50) by Ab327 was calculated using a 4-
parameter sigmoidal fit of the data. Ab327 inhibited IL-21-induced proliferation of
primary human B cells in a dose-dependent manner. This inhibition was much greater
than that observed with the positive control, a human IL-21R-Fc construct, which, at the
highest concentration used (26.7 nM), was not able to completely inhibit IL-21-induced
15 proliferation (See Figure 2). The calculated IC50 for Ab327 was 1.15 f 0.25 nM
(average of 5 independent experiments f SD). The negative control antibody (isotype
control hIgG4) did not inhibit IL-21-induced proliferation of primary B cells. Table 5
shows Ab327 is able to neutralize human IL-21-induced proliferation of primary human
B cells in vitro. The numbers show the percentage of proliferating human B cells
20 +SDEV. In conclusion, Ab327 inhibited IL-21-induced proliferation of primary human
B cells in vitro.
Table 5
'Inhibitor concentration (nM)
IC*
53.3
**
% weight change for each treatment
Ab327 neutralized human IL-21-induced plasma cell differentiation of primary
5 human B cells in vitro.
B cell differentiation into plasmablasts is regulated by the integration of signals
provided by antigen and T cells (CD40-CD40L interaction and production of cytokines).
One of the cytokines important for human B cell differentiation is IL-21, which induces
plasma cell generation and antibody secretion from activated naive and memory B cells.
10 It has been shown that IL-21 induces CD25 (IL-2R) expression on activated B cells,
sensitizing those cells to the differentiation-promoting effects of IL-2, thereby enabling
co-operative interplay between IL-2 and IL-21 to amplify plasmablast generation and
antibody secretion. The goal was to determine whether Ab327 was able to inhibit IL-21-
induced differentiation of primary human B cells into plasma cells in vitro.
15 Buffy coats were obtained as described above. Purified B cells were cultured at
0.75 million cells/mL (0.15 million cells/well) in 96-well flat-bottom culture plates with
appropriate stimulators (RPMI-1640/10% FBS containing 1mM sodium pyruvate, nonessential
amino acids, 10 mM HEPES pH 7.0, lOOU/mL penicillin and 100yg/mL
streptomycin) for 6 days at 37OC and 5% C02. Isolated B cells were incubated with a
20 combination of 3.33 nM human IL-21, 1 yg/mL anti-human CD40 (BD Pharmingen), 100
U/mL of human IL-2 (Proleukin, Hanna's Pharmaceutical Supply Co.) and/or 26.7 nM
Ab327 or 26.7 nM of a human IgG4 antibody (negative control). Six days after culture,
cells were washed with staining buffer (2%FBS/PBS) and incubated with antibodies
specific for human CD38, IgD, CD19, CD27 (all from BD Biosciences) for 40 minutes at
25 4°C. Five-color flow cytometry analysis was performed using an FC-500 flow cytometer
(Beckman Coulter). Plasma cells were identified as cells expressing high levels of CD38
and low levels of IgD (See Table 6 below).
Since there is a high variability amongst donors, the results shown below are
expressed as fold increase of the relative number of plasma cells (CD38 high +IgD low
values**
hIgG4
Isotype
-
SDEV
-
values**
huIL-21
R:Fc
8 3
SDEV
6.2
values**
Ab327
-
SDEV
cells) induced by addition of IL-21, where the value for plasma cells derived from each
donor in medium + anti-CD40 + IL-2 is set to equal one (I). Data are shown as "fold
increase" for effects on primary human B cells from five healthy donors.
Table 6
Fresh B cells cultured with the combination of anti-CD40 and IL-2 contained few
CD38 high1IgD low plasma cells. In contrast, co-stimulation of purified B cells with anti-
10 CD40 and IL-2 in the presence of IL-21 resulted in substantial differentiation into plasma
cells. The negative control antibody (Isotype hIgG4) was not able to inhibit IL-21
activity. Ab327 inhibited IL-21-induced plasma cell differentiation of primary human B
cells (n=5 donors, p=0.008, Unpaired t-Test Ab327 vs. IgG4 isotype antibody). In
conclusion, Ab327 inhibited human IL-21-induced plasma cell differentiation in vitro.
15
Ab327 neutralized human IL-21 activity in mice.
Injection of IL-21 into mice leads to a rapid and transient expansion of several cell
types in the spleen (including subpopulations of B and T cells) clearly identified using
specific markers. The goal of this experiment was to investigate whether Ab327 was able
20 to inhibit the biological activity of human IL-21 in mice.
Eight to ten weeks old female C57B16 mice (n=5 per group) were injected
intraperitoneally (i.p.) with either Ab327 (1 mglmouse) or isotype (hIgG4, 1 mglmouse)
control antibody on day 1. On days 2 and 3 mice received i.p. injection of 50 pg of
recombinant human IL-21 per mouse per day or PBS. On day 4, a cell suspension of
25 spleen cells was prepared and the total number of cells was determined after lysing the
red blood cells. The relative percentage of IL-21-responsive cells was determined using
the cell surface markers Gr-1 and Sca-1 by flow cytometry. The total number of IL-21-
responsive cells per spleen was calculated by multiplying the percentage of IL-21-
responsive cells (Gr-llowSca-l+ cells) by the total number of cells in the spleen.
Results in Table 7 below are shown as total number of IL-21 responsive cells
(~106i)n the spleen of each of five mice.
5 Table 7
Injection of human IL-21 caused an increase of IL-21 responsive cells. The
presence of Ab327 reduced the number of those cells (p<0.0001, Unpaired t-Test Ab327
+ IL-21 vs. IgG4 + IL-21 and IgG4 + PBS vs. IgG4 + IL-21) relative to animals that
10 received a negative control antibody. Exposure to Ab327 and negative control antibodies
within each group was confirmed by quantitative ELISA. It is concluded that Ab327
effectively neutralized the biological activity of human IL-21 in vivo.
Number of hIL-2 1 responsive spleen cells
(XI 06)
Ab327 demonstrated efficacy in an in vivo model of human T cell activation in NGS
15 mice.
It has been previously shown that neutralizing human IL-21 prevents the
progression of disease in a human T-cell activation model in which human peripheral
blood mononuclear cells (PBMCs) are engrafted into severely immuno-compromised
NSG mice (NOD-scid IL-2Ry null; Hippen KL, et al. Blocking IL-21 signaling
20 ameliorates xenogeneic GVHD induced by human lymphocytes. Blood 2012; 1 19: 61 9).
NSG mice lack T, B and NK cells, and also have reduced function of macrophages and
dendritic cells. Transplantation of human PBMCs results in overt human T-cell
activation and their infiltration into mouse skin, liver, intestine, lungs and kidneys. This
is accompanied by a wasting syndrome that eventually leads to death (Hippen, 2012).
25 The advantage of this model is that the disease is driven by human immune cells and
PBS +
IgG4 isotype
1.72
1.73
2.59
2.64
2.36
hIL-21 +
IgG4 isotype
9.12
9.19
9.23
11.78
12.27
hIL-21 +
Ab327
2.26
2.32
3.49
2.34
5.25
human cytokines, thus allowing for in vivo interrogation of antibodies that lack crossreactivity
to other species. The purpose of this study was to demonstrate in vivo efficacy
and disease modifying activity of Ab327 in the human T-cell activation model when
administered in prevention mode (administered beginning at the time of engraftment) or
5 treatment mode (administered beginning at 21 days post engraftment).
Prior to engraftment, female NSG mice were divided into groups based on
baseline measurements of body weight (n=lO/group). On day 0, mice were injected
intravenously with 107 human PBMCs isolated from a buffy coat acquired from the San
Diego Blood bank. For prevention mode (Figure 3), mice were dosed subcutaneously
10 with 1 or 10 mgkg Ab327 or 10 mgkg hIgG4 isotype control antibody at time of
engraftment and once weekly thereafter. Body weight was measured and general
appearance and health was monitored 2-3 times per week. On day 19, blood was
obtained by tail snip and analyzed for engraftment of human CD45+ cells by flow
cytometry. For treatment mode (Figure 4), animals that did not receive any treatment
15 were re-assigned into matched cohort groups based on the flow cytometry data and body
weight. On day 21 after engraftment, mice were dosed subcutaneously with 10 mglkg
Ab327 or 10 mgkg hIgG4 isotype control antibody, and then once weekly thereafter.
Four non-engrafted mice were included as "untreated controls or non-engrafted" mice.
The body weight change was calculated as a percentage of baseline weight (Day (x)
20 weight/Day 0 weight * 100). Results are shown as percent body weight change from
baseline over time.
For prevention mode, mice treated with a human isotype control antibody (see
Figure 3, open squares) developed a wasting phenotype as early as 20 days after cell
transfer. On day 45 post transfer, the average weight loss in the isotype control group
25 was greater than 10% from baseline and the majority of mice were in distress, and thus
the study was terminated. Treatment with 10 mgkglweek Ab327 (Figure 3, closed
squares) initiated on the day of engraftment (prevention mode) completely abolished the
wasting phenotype. Mice continued to gain weight comparable to non-engrafted mice.
Their weights were statistically significantly different from the isotype control group
30 (p=0.000846 and p< 0.001 Ab327 versus isotype and non-engrafted mice versus isotype
respectively, 2-way ANOVA, repeated measures). The 1 mgkglweek dose of Ab327
(Figure 3, closed triangles) had a partial effect, in that it appeared to slow the progression
of weight loss. However, the weights of mice in this group were not statistically different
from the isotype control. Table 8 shows average +SDEV percent of body weight change
from baseline in severely immuno-compromised NSG mice (NOD-scid IL-2Ry null)
engrafted with human peripheral blood mononuclear cells (PBMC) treated with IL-21
5 antibody or isotype control antibody for 45 days. Treatment started at the same time as
engraftment of PBMC. There is a significant difference between the Ab327 10mgkg
group and the Isotype control group.
Table 8
10
***
days after engraftment
As noted above, human PBMCs administration resulted in a wasting disease starting
approximately 20 days after engraftment. To investigate if blockade of human IL-2lwas
able to halt the ongoing deteriorating disease (treatment mode), mice were treated with 10
15 mgkglweek Ab327 or hIgG4 isotype control starting on day 21 after engraftment. As
shown in Figure 4, mice dosed with the human IgG4 isotype control antibody (open
squares) continue losing weight. On the other hand, Ab327 treatment, initiated after onset
of disease (21 days post-engraftment, Figure 4, closed squares), was effective in
attenuating the wasting phenotype. The average weight in this group was statistically
20 significantly different from the isotype control group (p=0.042, 2-way ANOVA, repeated
measures). The difference in weight loss and severity of disease was not due to
differences in engraftment of human cells into the mice. Peripheral human CD45+ cell
numbers as well as human cells in the spleen at the end of the study were slightly higher
in the Ab327 treated mice compared to isotype control treated animals. In summary,
5 Ab327 demonstrated efficacy and disease modifying activity in a xenogeneic model of Tcell
activation in vivo. Table 9 shows the average +SDEV percent of body weight
change from day 21 in severely immuno-compromised NSG mice (NOD-scid IL-2Ry
null) engrafted with human peripheral blood mononuclear cells (PBMC) treated with IL-
21 antibody or isotype control antibody. Treatment started at day 21. There is a
10 significant difference between the Ab327 10mgkg group and the Isotype control group.
Table 9
**
% weight change for each treatment
~ a ~ s * * *
21
24
26
28
3 1
***
days after engraftment
Pharmacokinetics of Ab327
Values ** -
nonengraftment
100.0
104.0
103.4
103.7
103.5
Pharmacokinetics of Ab327 was characterized after a single intravenous or
subcutaneous 3 mgkg dose in male cynomolgus monkeys. Serum samples were
SDEV
0.0
4.7
1.8
3.0
2.9
collected out to 1008 hours post-dose (6 weeks). Concentration-time profiles were
generated after quantifying antibody using two ELISA methods (total human IgG or
Values ** -
isotype
lOmg/kg
100.0
98.2
96.0
94.8
93.5
antigen capture). The total human IgG method utilizes an ELISA format to measure the
concentration of anti-IL-21 antibody. Standards, controls and test samples were
SDEV
0.0
4.1
6.5
9.7
10.8
Values ** -
Ab327
lOmg/kg
100.0
100.8
102.1
103.7
101.9
SDEV
0.0
3.5
4.1
5.3
4.8
incubated with AffiniPure F(ab')2 Fragment Goat Anti-Human IgG (coating Ab) that had
been immobilized on a microtiter plate. After incubation, a mouse anti-human IgG4-HRP
(horseradish peroxidase) was added to the wells. Once unbound enzyme was washed
away, SureBlueB TMB (tetramethylbenzidine) substrate solution was added to the wells.
5 The color development was stopped by the addition of an acidic solution and the optical
density was measured at 450 nm with wavelength correction set to 650 nm.
The antigen capture method utilizes an ELISA format to measure the
concentration of anti-IL-21 antibody. Standards, controls and test samples were
incubated with human IL-21-biotin that had been immobilized on a streptavidin coated
10 microtiter plate. After incubation, a mouse anti-human IgG4-HRP (horseradish
peroxidase) was added to the wells. Once the unbound enzyme was washed away,
SureBlueB TMB (tetramethylbenzidine) substrate solution was added to the wells. The
color development was stopped by the addition of an acidic solution and the optical
density was measured at 450 nm with wavelength correction set to 650 nm. The assay
15 range was 5-500 ng/mL.
Pharmacokinetic results (means) are provided below in Table 10 and Table 11.
The number of animals in each group was 2.
Table 10
20 IV administration values
Abbreviations = t1/2 - half-life , AUCO-t - area under the curve from 0 to last
measurable concentration, AUCO-inf - area under the curve from 0 to infinity, AUC %
Extrapolated - Percentage of AUCO-inf due to extrapolation from last measurable
25 concentration to infinity, CLss - estimate of total body clearance, Vss - estimate of
volume of distribution at steady-state. "Terminal half-lives were calculated between 72-
168 hours.
Assay
Capture
Total
t112*
(h)
249
105
AUCO.~
(h* yg/mL)
6200
6170
AuCo-w~
(h* yg/mL)
6750
6220
%Extrap
AUC
(%I
7.36
0.823
CLss
(mIJhk)
0.430
0.484
Vss
(mIJkg)
47.2
52.0
Table 11
Subcutaneous administration values
Abbreviations = t1/2 - half-life , Tmax - time at maximal concentration, Cmax -
5 maximal concentration, AUCO-t - area under the curve from 0 to last measurable
concentration, AUCO-inf - area under the curve from 0 to infinity, AUC % Extrapolated -
percentage of AUCO-INF due to extrapolation from last measurable concentration to
infinity, CLss/F - clearance/bioavailability, F% - bioavailability using mean 3 mgkg i.v.
dose as reference = (AUCO-inf s.c./AUCO-inf i.v.)/(Dose-iv/Dose-s.c.)*100. "Terminal
10 half-lives were calculated between 96-336 hours.
After a single intravenous or subcutaneous administration of Ab327 to male
cynomolgus monkeys, concentration-time profiles were suggestive of anti-drug antibody
(ADA) formation and ADA was confirmed in 414 monkeys. The mean terminal half-life
was 105-249 hours and was calculated from the slope between 72-168 hours to avoid
15 significant impact of ADA. Mean clearance was 0.43-0.48 ml/h/kg which falls just
outside of a typical monoclonal antibody clearance range of 0.2-0.4 ml/h/kg.
After subcutaneous administration, bioavailability was 72-74% which falls in the
typical range for a monoclonal antibody (50-100%). Despite ADA formation, the
pharmacokinetics of Ab327 in monkeys was relatively similar to that expected for a
20 monoclonal antibody binding a soluble ligand with clearance being slightly higher than
normal.
On the basis of these studies, it is concluded that Ab327 will have
pharmacokinetics in humans within the expected range for a humanized IgG4 antibody.
Projected human clearance is 0.3 mL/hr/kg (0.02 Llh in a 70 kg human) based on
25 allometric scaling of monkey clearance and bioavailability is projected to be 50-75% in
humans.
Treatment with anti-mouse IL-21 antibody alleviated lymphocytic infiltration in
salivary glands of NOD mice.
Because Ab327 does not neutralize rodent IL-21, a surrogate molecule was
developed for use in preclinical disease models. Antibody Ab728 is a murine IgGl
5 monoclonal antibody that binds specifically to mouse IL-21. The binding affinity of
murine IL-21 to Ab728 is 1 pM. Ab728 was able to completely neutralize murine IL-21
in in vivo and in vitro assays.
The non-obese diabetic (NOD) mouse is widely used as a model of Sjogren's
Syndrome because it spontaneously develops lymphocytic infiltration in the salivary
10 glands. Previous work showed that local suppression of IL-21 levels in submandibular
glands of NOD mice with IL-21 shRNA lentivirus could retard the development of
Sjogren's Syndrome-like symptoms (Liu H, et al. Local suppression of IL-21 in
submandibular glands retards the development of Sjogren's syndrome in non-obese
diabetic mice. J Oral Path01 Med 2012; 41:728). The goal of this experiment was to
15 investigate whether systemic administration of Ab728, a surrogate for Ab327, was able to
prevent or attenuate Sjogren's Syndrome development in NOD mice.
Female NOD mice were treated with Ab728 or isotype control mIgGl (20
mgkglweek) starting at 7 weeks of age. Mice were sacrificed at 18 weeks of age and
salivary glands were harvested. A piece of salivary gland was fixed with 1.6% PFA 20%
20 sucrose at 4OC overnight, embedded in OCT and stored at -80°C until analysis by
immunofluorescence. Another piece was frozen in liquid nitrogen for mRNA studies.
In NOD mice, focal inflammation in the submandibular salivary glands and the
lacrimal glands develops from approximately 8 weeks of age onwards. The foci appear
comparable in structure and cellular composition with infiltrates found in some human
25 salivary glands, with presence of T and B cells. To investigate if anti-IL-21 treatment
alleviated lymphocytic infiltration in the NOD salivary gland, immunofluorescence
staining was performed. Briefly, 8 pm frozen sections of salivary glands were washed
with PBS and then incubated for 1 h at room temperature with purified primary
antibodies, followed by incubation with the appropriate labeled secondary antibodies for
30 30 min. Primary antibodies were anti-CD3 (T cells) and anti-B220 (B cells) from BD
Biosciences. Secondary antibodies were Alexa Fluor 488 goat anti-rat IgG and DyLight
594 goat anti-Armenian hamster from Jackson ImmunoResearch Laboratories. DAPI was
used to identify the nucleus of cells.
NOD mice treated with mIgGl control antibody showed the presence of typical
lymphomonocytic infiltrates arranged as periductal aggregates with T and B lymphocytes
5 (Figure 6) highly organized resembling lymphocytic foci found in Sjogren's Syndrome
patients. Ab728 treatment efficiently decreased not only the number but also the size of
foci observed.
The development of lymphoid aggregates in Sjogren's Syndrome is thought to be
regulated by the ectopic production of the lymphoid chemokine CXCL13 and its cognate
10 receptor CXCR5, which regulate the recirculation and positioning of B cells and CD4+ T
follicular helper (TFH) cells into the germinal center structures. It has been shown that
IL-21 is involved in the maintenance of TFH and germinal center structures. IL-21 also
controls the activation of CD8+ T lymphocytes, which are thought to destroy target cells
via perforin and granzymes. To investigate if anti-IL-21 treatment would decrease the
15 expression of those markers, total RNA was isolated from frozen salivary glands by
homogenization in Trizol followed by RNeasy Mini kit (Qiagen, Inc.). RNA
concentrations were determined from spectrophotometric absorption at 260 nm. RNA
was reverse-transcribed into cDNA using High-Capacity cDNA Reverse Transcription
Kit (PE Applied Biosystems). All reactions were performed in triplicate to determine the
20 relative abundance of assayed mRNAs. Primer probe sets for IL-21 (Mm00517640-ml),
CXCR5 (Mm00432086-ml), CXCL13 (Mm04214185-sl), CCR9 (Mm02620030-sl),
Granzyme B (Mm00442834-ml) and CD8 (Mm01182107-gl) were obtained from PE
Applied Biosystems. GusB (Mm00446956-ml) was measured as endogenous controls to
normalize variability in gene expression levels. Expression data were analyzed using
25 Delta Ct method. Individual Ct values were calculated as means of triplicate
measurements.
CXCL13, CXCR5, IL-21, CD8 and Granzyme B mRNA transcripts were
statistically significantly down-regulated in Ab728 treated mice, as compared with
mIgGl control antibody treated mice. Figure 5 shows the mRNA analysis in salivary
30 glands of mice. It can be seen that treatment modulates the expression of proteins
involved in the disease. In summary, administration of an anti-mouse IL-21 antibody
(Ab728) decreased lymphocytic infiltration into salivary glands and delayed the
development of SS-like symptoms of NOD mice.
Anti-mIL-21 (Ab728) treatment prevents diabetes in NOD mice.
5 Ab728 is a murine IgGl monoclonal antibody that binds specifically to mouse IL-
21. The binding affinity of murine IL-21 to surrogate Ab728 is 1 pM. Ab728 was able to
completely neutralize murine IL-21 in in vivo and in vitro assays.
Human type I diabetes is an autoimmune disease that results from the autoreactive
destruction of the insulin-producing-beta cells in the islets of Langerhans of the pancreas,
10 which leads to the subsequent loss of insulin production. The non-obese diabetic (NOD)
strain of mice develops a similar disease and also serves as a model system for studying
the mechanisms involved in the initiation and propagation of the autoimmune response.
Histological studies have shown that few immune cell infiltrates are noted in islets until
approximately 3 to 4 weeks of age, when both male and female mice begin to
15 demonstrate mononuclear infiltrates that surround the islet (peri-insulitis). These
infiltrate progress and invade the islets (insulitis) followed by hyperglycemia and fullblown
diabetes beginning approximate at 12 weeks of age.
Previous work showed that deletion of IL-21 signaling in NOD mice leads to
almost complete abrogation of disease development (Spolski R, et al. IL-21 signaling is
20 critical for the development of type I diabetes in the NOD mouse. Proc Natl Acad Sci
USA 2008; 105:14028, 2008). The aim of the experiment was to investigate whether
systemic administration of Ab728 was able to prevent or attenuate diabetes development
in NOD mice.
Female NOD mice were treated with Ab728 or isotype control mIgGl (20
25 mgkglweek) at different periods of time in the disease process. A group of mice started
treatment at 7 weeks of age (prevention study, Fig. 7A) and another group of animals
started treatment at 13 weeks of age (late preclinical stage, Fig. 7B). In both situations,
mice were followed for diabetes development until mice were 37 weeks of age. To track
the development of diabetes, blood glucose levels were monitored weekly and animals
30 were considered diabetic if blood glucose was above 250 mgldl in two consecutive
measurements. Exposure to Ab728 was confirmed by quantitative ELISA.
NOD mice treated with mIgGl control antibody started to develop diabetes when
they were between 13-15 weeks of age and 75% of mice progressed to overt diabetes by
37 weeks of age (9 of 12 mice for prevention and 6 of 8 mice for late preclinical stage -
see Figure 7A and Figure 7B). In contrast, anti-IL-21 treatment significantly delayed
5 diabetes progression. Only one out of 12 mice (8%, Figure 7A, p=0.0007) developed
diabetes when treatment began at 7 weeks of age and only one out of eleven mice (9%,
Figure 7B, p=0.002) progressed to overt diabetes when treatment began during the late
preclinical stage.
In summary, administration of an anti-mouse IL-21 antibody (Ab728) efficiently
10 prevented diabetes development in NOD mice.
Sequences
Ab327 Amino Acid Sequences
SEQ ID
NO:
1
2
3
Identity
Heavy Chain
Variable
Domain
Light Chain
Variable
Domain
Heavy Chain
Length
117
lo6
443
Sequence
QVQLVQSGAEVKKPGASVKVSCKASGY
TFTDYWMHWVRQAPGQGLEWMGLIDTS
DVYTIYNQKFKGRVTMTRDTSTSTVYME
LSSLRSEDTAVYYCARYGPLAMDYWGQ
GTLVTVSS
DIQMTQSPSSLSASVGDRVTITCRASQDIS
NYLNWYQQKPGKAPKLLIYYTSRLHSGV
PSRFSGSGSGTDFTLTISSLQPEDFATYYC
QQFHTLRTFGGGTKVEIK
QVQLVQSGAEVKKPGASVKVSCKASGY
TFTDYWMHWVRQAPGQGLEWMGLIDTS
DVYTIYNQKFKGRVTMTRDTSTSTVYME
LSSLRSEDTAVYYCARYGPLAMDYWGQ
GTLVTVSSASTKGPSVFPLAPCSRSTSEST
AALGCLVKDYFPEPVTVSWNSGALTSGV
HTFPAVLQSSGLYSLSSVVTVPSSSLGTKT
YTCNVDHKPSNTKVDKRVESKYGPPCPP
CPAPEAAGGPSVFLFPPKPKDTLMISRTPE
VTCVVVDVSQEDPEVQFNWYVDGVEVH
NAKTKPREEQFNSTYRVVSVLTVLHQDW
LNGKEYKCKVSNKGLPSSIEKTISKAKGQ
PREPQVYTLPPSQEEMTKNQVSLTCLVKG
EYPSDIAVEWESNGQPENNYKTTPPVLDS
DGSFFLYSRLTVDKSRWQEGNVFSCSVM
HEALHNHYTQKSLSLSLG
The following sequences were used in the Example and Assays.
HUMAN IL-21 - UniprotKBISwiss-Prot database entry#Q9HBE4
QDRHMIRMRQLIDIVDQLKNYVNDLVPEFLPAPEDVETNCEWSAFSCFQKAQLK
5 SANTGNNERIINVSIKKLKRKPPSTNAGRRQKHRLTCPSCDSYEKKPPKEFLERFK
SLLQKMIHQHLSSRTHGSEDS (SEQ ID NO: 13)
CYNO IL-21 - - Sequence was cloned in-house;n ot available in public database
QDRHMIRMRQLIDIVDQLKNYVNDLDPEFLPAPEDVETNCEWSAISCFQKAQLKS
ANTGNNERIINLSIKKLKRKSPSTGAERRQKHRLTCPSCDSYEKmPKEFLERFKSL
10 LQKMIHQHLSSRTHGSEDS (SEQ ID NO: 14)
MOUSE IL-21 - UniprotKBISwiss-Prot database entry#Q9ES17
HKSSPQGPDRLLIRLRHLIDIVEQLKIYENDLDPELLSAPQDVKGHCEHAAFACFQ
KAKLKPSNPGNNKTFIIDLVAQLRRRLPARRGGKKQKHIAKCPSCDSYEKRTPKE
FLERLKWLLQKMIHQHLS (SEQ ID NO: 15)
15 RAT IL-21 - UniprotKBISwiss-Prot database entry#A3QPB9
HKSSPQRPDHLLIRLRHLMDIVEQLKIYENDLDPELLTAPQDVKGQCEHEAFACF
QKAKLKPSNTGNNKTFINDLLAQLRRRLPAKRTGNKQRHMAKCPSCDLYEKKTP
KEFLERLKWLLQKMIHQHLS (SEQ ID NO: 16)
RABBIT IL-21- (COMMERCIAL REAGENT - R&D Systems, cat#7274-RBICF)
20 HKSSSKGQDRYMIRMHQLLDIVDQLQSDVNDLDPDFLPAPQDVQKGCEQSAFSC
FQKAQLKPANAGDNGKRISSLIKQLKRKLPSTKSKKTQKHRPTCPSCYSYEKKNL
KEFLERLKSLIQKMIHQHLLEHLR (SEQ ID NO: 17)
SEQ ID
NO:
4
7
8
9
10
11
12
Identity
Light Chain
LC- CDRl
LC- CDR2
LC- CDR3
HC-CDRl
HC-CDR2
HC-CDR3
Length
213
11
8
8
13
17
10
Sequence
DIQMTQSPSSLSASVGDRVTITCRASQDIS
NYLNWYQQKPGKAPKLLIYYTSRLHSGV
PSRFSGSGSGTDFTLTISSLQPEDFATYY C
QQFHTLRTFGGGTKVEIKRTVAAPSVFIFP
PSDEQLKSGTASVVCLLNNFYPREAKVQ
WKVDNALQSGNSQESVTEQDSKDSTYSL
SSTLTLSKADYEKHKVYACEVTHQGLSSP
VTKSFNRGEC
RASQDISNYLN
YYTSRLHS
QQFHTLRT
KASGYTFTDYWMH
LIDTSDVYTIYNQKFKG
ARYGPLAMDY
DNA for expressing Ab327
SEQ
ID
NO:
Identity
Heavy
Chain
Light
Chain
Length Sequence
caggtgcagctggtgcagtctggggctgaggtgaagaagcctggggcctca
gtgaaggtttcctgcaaggcatctggctacacattcactgactactggatgcac
tgggtgcgacaggcccctggacaagggcttgagtggatgggactgattgata
cttctgatgtttatactatctacaatcaaaagttcaagggcagagtcaccatgac
cagggacacgtccacgagcacagtctacatggagctgagcagcctgagatct
gaggacacggccgtgtattactgtgcaagatatgggcccctggctatggacta
ctggggccagggcaccctggtcaccgtctcctcagcctccaccaagggccc
atcggtcttcccgctagcgccctgctccaggagcacctccgagagcacagcc
gccctgggctgcctggtcaaggactacttccccgaaccggtgacggtgtcgt
ggaactcaggcgccctgaccagcggcgtgcacaccttcccggctgtcctaca
gtcctcaggactctactccctcagcagcgtggtgaccgtgccctccagcagct
tgggcacgaagacctacacctgcaacgtagatcacaagcccagcaacacca
aggtggacaagagagttgagtccaaatatggtcccccatgcccaccctgccc
agcacctgaggccgccgggggaccatcagtcttcctgttccccccaaaaccc
aaggacactctcatgatctcccggacccctgaggtcacgtgcgtggtggtgg
acgtgagccaggaagaccccgaggtccagttcaactggtacgtggatggcgt
ggaggtgcataatgccaagacaaagccgcgggaggagcagttcaacagca
cgtaccgtgtggtcagcgtcctcaccgtcctgcaccaggactggctgaacgg
caaggagtacaagtgcaaggtctccaacaaaggcctcccgtcctccatcgag
aaaaccatctccaaagccaaagggcagccccgagagccacaggtgtacacc
ctgcccccatcccaggaggagatgaccaagaaccaggtcagcctgacctgc
ctggtcaaaggcttctaccccagcgacatcgccgtggagtgggaaagcaatg
ggcagccggagaacaactacaagaccacgcctcccgtgctggactccgacg
gctccttcttcctctacagcaggctaaccgtggacaagagcaggtggcagga
ggggaatgtcttctcatgctccgtgatgcatgaggctctgcacaaccactacac
acagaagagcctctccctgtctctgggt
gacatccagatgacccagtctccatcctccctgtctgcatctgtaggagacaga
gtcaccatcacttgcagggcaagtcaggacattagcaattatttaaactggtatc
agcagaaaccagggaaagcccctaagctcctgatctattacacatcaagatta
cactcaggggtcccatcaaggttcagtggcagtggatctgggacagatttcac
tctcaccatcagcagtctgcaacctgaagattttgcaacttactactgtcaacagt
ttcacacgcttcggacgttcggcggagggaccaaggtggagatcaaaagaa
ctgtggcggcgccatctgtcttcatcttcccgccatctgatgagcagttgaaatc
cggaactgcctctgttgtgtgcctgctgaataacttctatcccagagaggccaa
agtacagtggaaggtggataacgccctccaatcgggtaactcccaggagagt
gtcacagagcaggacagcaaggacagcacctacagcctcagcagcaccct
gacgctgagcaaagcagactacgagaaacacaaagtctacgcctgcgaagt
cacccatcagggcctgagctcgcccgtcacaaagagcttcaacaggggaga
gtgc
CLAIMS
1. An antibody that binds to human IL-21 comprising a heavy chain variable
5 region (HCVR) and a light chain variable region (LCVR) wherein the LCVR comprises
SEQ.ID. NO:7 at CDRLI, SEQ. ID.N0:8 at CDRL2 and SEQ.ID.N0:9 at CDRL3 and
wherein the HCVR comprises SEQ.ID. NO: 10 at CDRHI, SEQ. 1D.NO: 11 at CDRH2
and SEQ.ID.NO: 12 at CDRH3.
2. An antibody according to claim 1 comprising an antibody heavy chain and
an antibody light chain, wherein the heavy chain comprises a HCVR having the
SEQ.ID.NO: 1 and wherein the light chain comprises a LCVR having the SEQ.ID.N0:2.
3. An antibody according to claim 1 or claim 2 consisting of two antibody
15 heavy chains and two antibody light chains, in which each heavy chain comprises a heavy
chain variable domain, the amino acid sequence of which is the sequence of SEQ ID
NO: 1, and in which each light chain comprises a light chain variable domain, the amino
acid sequence of which is the sequence of SEQ ID NO:2.
20 4. The antibody of any one of claims 1 to 3 in which the amino acid sequence
of each heavy chain is the sequence of SEQ ID NO:3 and the amino acid sequence of
each light chain is the sequence of SEQ ID NO:4.
5. A DNA molecule comprising a polynucleotide that encodes the antibody
25 heavy chain whose amino acid sequence is the sequence of SEQ ID NO:3.
6. The DNA molecule of claim 5 in which the sequence of the polynucleotide
that encodes the antibody heavy chain is the sequence of SEQ ID NO:5.
7. A DNA molecule comprising a polynucleotide that encodes the antibody
light chain whose amino acid sequence is the sequence of SEQ ID NO:4.
8. The DNA molecule of claim 7 in which the sequence of the polynucleotide
that encodes the antibody light chain is the sequence of SEQ ID NO:6.
9. A DNA molecule comprising a polynucleotide that encodes the antibody
5 heavy chain whose amino acid sequence is the sequence of SEQ ID NO:3 and comprising
a polynucleotide that encodes the antibody light chain whose amino acid sequence is the
sequence of SEQ ID NO:4.
10. The DNA molecule of claim 9, in which the sequence of the
10 polynucleotide that encodes the antibody heavy chain is the sequence of SEQ ID NO:5
and in which the sequence of the polynucleotide that encodes the antibody light chain is
the sequence of SEQ ID NO:6.
11. A mammalian cell transformed with the DNA molecule of claim 5 or
15 claim 6 and the DNA molecule of claim 7 or claim 9, which transformed mammalian cell
is capable of expressing an antibody comprising two antibody heavy chains and two
immunoglobulin light chains, in which the amino sequence of each of the two heavy
chains is the sequence of SEQ ID NO:3 and the amino acid sequence of each of the two
light chains is the sequence of SEQ ID NO:4.
12. A mammalian cell transformed with the DNA molecule of claim 9 or
claim 10, which transformed mammalian cell is capable of expressing an antibody
comprising two antibody heavy chains and two immunoglobulin light chains, in which
the amino sequence of each of the two heavy chains is the sequence of SEQ ID NO:3 and
25 the amino acid sequence of each of the two light chains is the sequence of SEQ ID NO:4.
13. A process for producing an antibody, which antibody comprises two
antibody heavy chains and two immunoglobulin light chains, in which the amino
sequence of each of the two heavy chains is the sequence of SEQ ID NO:3 and the amino
30 acid sequence of each of the two light chains is the sequence of SEQ ID NO:4, and which
process comprises:
a. cultivating the mammalian cell of claim 11 or the mammalian cell of claim
12 under conditions such that the antibody is expressed, and
b. recovering the expressed antibody.
14. An antibody obtainable by the process of claim 13.
15. A method of treating an autoimmune condition in a patient comprising
administering an effective dose of the antibody of any one of claims 1 to 4 or 14 to the
patient.
10
16. The method of claim 15 in which the autoimmune condition is primary
Sjogren's Syndrome, Sjogren's Syndrome, Systemic Lupus Erythematosus, Grave's
disease, or type 1 diabetes.
15 17. The method of claim 16 in which the autoimmune condition is primary
Sj ogren' s Syndrome or Sj ogren' s Syndrome .
18. The method of claim 16 in which the autoimmune condition is Systemic
Lupus Erythematosus.
20
19. The antibody of any one of claims 1 to 4 or 14 for use in therapy.
20. The antibody of Claim 19 for use in the treatment of an autoimmune
condition.
25
21. The antibody of Claim 19 for use in the treatment of primary Sjogren's
Syndrome, Sjogren's Syndrome , Systemic Lupus Erythematosus, Grave's disease, or
type 1 diabetes.
22. The antibody of Claim 19 for use in the treatment of primary Sjogren's
Syndrome or Sjogren's Syndrome.
23. The antibody of Claim 19 for use in the treatment of Systemic Lupus
Erythematosus.
24. A pharmaceutical composition comprising the antibody of any one of
5 Claims 1, 2, or 12 and a pharmaceutically-acceptable excipient.