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NZ762893B2 - Binding molecules specific for il-21 and uses thereof - Google Patents
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NZ762893B2 - Binding molecules specific for il-21 and uses thereof - Google Patents

Binding molecules specific for il-21 and uses thereof Download PDF

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Publication number
NZ762893B2
NZ762893B2 NZ762893A NZ76289315A NZ762893B2 NZ 762893 B2 NZ762893 B2 NZ 762893B2 NZ 762893 A NZ762893 A NZ 762893A NZ 76289315 A NZ76289315 A NZ 76289315A NZ 762893 B2 NZ762893 B2 NZ 762893B2
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New Zealand
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antibody
seq
antigen
binding
human
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NZ762893A
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NZ762893A (en
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Laura Carter
Partha Chowdhury
Melissa Damschroder
Stacey Drabic
Qun Du
Catherine Ettinger
Ronald Herbst
Jodi Karnell
Brian Michael Naiman
Ping Tsui
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Boston Pharmaceuticals Inc
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Publication of NZ762893A publication Critical patent/NZ762893A/en
Publication of NZ762893B2 publication Critical patent/NZ762893B2/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K2039/505Medicinal preparations containing antigens or antibodies comprising antibodies
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2121/00Preparations for use in therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K39/00Medicinal preparations containing antigens or antibodies
    • A61K39/395Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
    • A61K39/39533Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals
    • A61K39/3955Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum against materials from animals against proteinaceous materials, e.g. enzymes, hormones, lymphokines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K16/00Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies
    • C07K16/18Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies against material from animals or humans
    • C07K16/24Immunoglobulins [IG], e.g. monoclonal or polyclonal antibodies against material from animals or humans against cytokines, lymphokines or interferons
    • C07K16/244Interleukins [IL]
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/20Immunoglobulins specific features characterized by taxonomic origin
    • C07K2317/24Immunoglobulins specific features characterized by taxonomic origin containing regions, domains or residues from different species, e.g. chimeric, humanized or veneered
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/30Immunoglobulins specific features characterized by aspects of specificity or valency
    • C07K2317/33Crossreactivity, e.g. for species or epitope, or lack of said crossreactivity
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/565Complementarity determining region [CDR]
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/50Immunoglobulins specific features characterized by immunoglobulin fragments
    • C07K2317/56Immunoglobulins specific features characterized by immunoglobulin fragments variable (Fv) region, i.e. VH and/or VL
    • C07K2317/567Framework region [FR]
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/70Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/73Inducing cell death, e.g. apoptosis, necrosis or inhibition of cell proliferation
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/70Immunoglobulins specific features characterized by effect upon binding to a cell or to an antigen
    • C07K2317/76Antagonist effect on antigen, e.g. neutralization or inhibition of binding
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/90Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
    • C07K2317/92Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07KPEPTIDES
    • C07K2317/00Immunoglobulins specific features
    • C07K2317/90Immunoglobulins specific features characterized by (pharmaco)kinetic aspects or by stability of the immunoglobulin
    • C07K2317/94Stability, e.g. half-life, pH, temperature or enzyme-resistance
    • GPHYSICS
    • G01MEASURING; TESTING
    • G01NINVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
    • G01N33/00Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
    • G01N33/48Biological material, e.g. blood, urine; Haemocytometers
    • G01N33/50Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
    • G01N33/53Immunoassay; Biospecific binding assay; Materials therefor

Abstract

This disclosure provides IL-21 binding molecules, e.g., anti-IL-21 antibodies and antigen-binding fragments thereof. In certain aspects the anti-IL-21 antibodies and fragments thereof can be hybridoma-derived murine monoclonal antibodies, and humanized versions thereof. In certain aspects the binding molecules, e.g., anti-IL-21 antibodies and antigen-binding fragments thereof provided herein inhibit, suppress, or antagonize IL-21 activity. In addition, this disclosure provides compositions and methods for diagnosing and treating diseases or disorders, e.g., inflammatory, immune-mediated, or autoimmune diseases or disorders associated with IL-21 -mediated signal transduction. In a particular embodiment, the disclosure provides methods for treating or preventing Graft-versus-host disease (GVHD) using IL-21 binding molecules, e.g., anti-IL-21 antibodies and antigen-binding fragments thereof.

Description

BINDING MOLECULES SPECIFIC FOR IL—2l AND USES THEREOF CROSS-REFERENCE TO RELATED APPLICATIONS This application claims the benefit of priority of US. Provisional Patent Application No. 61/976,684, filed April 8, 2014, the contents of which are hereby incorporated by reference.
REFERENCE TO SEQUENCE LISTING SUBMITTED ELECTRONICALLY The content of the onically submitted sequence listing in ASCII text file (Name: IL2l_100Pl_seqlist.txt; Size: 55,898 bytes; and Date of Creation: April 7, 2014) filed with the application is incorporated herein by nce in its entirety.
BACKGROUND This disclosure provides compositions that specifically bind to IL-21 and s for the use of such compositions, e. g., for the treatment or tion of an in?ammatory or autoimmune disease or disorder.
IL-2l belongs to a family of cytokines that includes IL—2, IL-4, IL—7, IL-9 and IL- , all of which bind to private (or ) receptors in complex with the common ne receptor gamma-chain (yc). Most cytokines in this family are critically important for both the maintenance and function of T cells, B cells, and NK cells. The receptor for IL-21 is widely distributed on lympho-hematopoietic and non-hematopoietic cells, and IL-21 plays many roles.
For example, engagement of IL—2lR by IL-21 leads to activation of several signaling pathways, including the Jak/STAT pathway (Davis, ID, et al., (2007) Clin Cancer Res 13, 3630-3636; Fuqua, CF, et al., (2008) Cytokine 44, 101-107; Habib, T, et al., (2002) Biochemistry 41, 8725-8731). More specifically, IL-2l activates STATl, STAT3 and STAT5, indicated by increased phosphorylation of these molecules within the cell (Asao, H, et al., (2001) J Immunol 167, 1-5; Diehl, SA, et al., (2008) J Immunol 180, 4805-4815; Scheeren, FA, et al., (2008) Blood 1]], 715; Zeng, R, et al., (2007) Blood 109, 4135- 4142). tion of STAT3 in particular has been shown to play a critical role in regulating human B cell responses to IL-21 (Avery, DT, et al., (2008) J l 181, 779; Avery, DT, et al., JExp Med 207, 155-171).
Moreover, IL-21 contributes to maintenance and function of CD8+ memory T cells, and NK cells, promotes the generation of Th17 and T follicular helper (T?’l) cells in the mouse (and perhaps human), and inhibits regulatory T cells (Treg) cell generation. IL-21 has been shown to modulate the activity of NK cells including s on their maturation growth and cytolytic activity (Spolski, R, and Leonard, WJ, (2008) Curr Opin Immunol 20, 295-301). onally, IL-21 has been shown to promote IFNy tion by both primary NK cells as well as the human NK cell line, NK-92 (Kasaian, MT, et al., (2002) Immunity 16, 559-569; Strengell, M, et al., (2003) JImmunol 170, 5464-5469). IL-21 also has a variety of effects on non-hematopoietic cells, such as stromal cells where it induces in?ammation h matrix metalloproteinase (MMP) release (Monteleone et al., (2006) Gut 55, 1774-1780).
One principal non-redundant role of IL-21 is the promotion of B cell activation, differentiation or death during humoral immune responses. The effect of IL-21 on human B cells has been extensively studied. IL-21 has a profound impact on B cell survival, activation, and proliferation as well as on the differentiation of B cells into Ig secreting plasma cells (PCs) (Avery, DT, et al., (2008) J Immunol 181, 779; Avery, DT, et al., J Exp Med 207, 155-171); Bryant, VL, et al., (2007) J Immunol 179, 8180-8190; Ettinger, R, et al., (2005) J Immun01175, 7867-7879; Parrish-Novak, J, et al., (2000) Nature 408, 57-63; Pene, J, et al., (2004) J l 172, 157). Furthermore, increased IL-21 production is characteristic of certain mune es and is likely to contribute to autoantibody production as well as pathologic es of autoimmune disease. Activation of B cells in vivo can be driven by interactions with activated T cells that express costimulatory molecules such as CD40L and produce B cell tropic cytokines such as IL-21.
Overexpression of IL-21 is a feature of many in?ammatory, immune-mediated, or autoimmune diseases or disorders, and is likely to be an important driver of autoantibody production as well as pathologic features of autoimmune disease (Nakou et al., (2013) Clin.
Exp. Rheumatol. 31 , 172-179). The critical role of IL-21 in promoting humoral immune responses makes it an important focus of potential therapeutic interventions in conditions characterized by over-production of both IL-21 and enic autoantibodies (Dolff et al., (2011) Arthritis Res. Ther. 13, R157; Kang et al., (2011) Arthritis Res. Ther. 13, R179; McGuire et al., (2011) Immunity 34, 602-615; Liu et al., (2012) Arthritis Res. Ther. 14, R255; Terrier et al., (2012) Arthritis Rheum. 64, 2001-2011; Li Q et al., (2013) PLoS One 8, e68145; Li Y et al., (2014) . Sci. 35, 29-34). Neutralization of IL-21 in settings of autoimmunity is therefore expected to impact several cell populations believed to be ed in the pathogenesis of immune-mediated disease. Such diseases or disorders e, without limitation, itis, e.g., Anti-neutrophil cytoplasm antibodies (ANCA) or giant cell arteritis (GCA) vasculitis, SjOgren's syndrome, in?ammatory bowel disease, gus vulgaris, lupus nephritis, psoriasis, thyroiditis, Type I Diabetes, Idiopathic thrombocytopenic purpura (ITP), Ankylosing spondylitis, Multiple sclerosis, systemic lupus erythematosus, rheumatoid arthritis, Crohn's disease Myasthenia Gravis and Graft-versus- host disease (GVHD).
Anti-neutrophil cytoplasm dies (ANCA)-associated vasculitis (AAV) pathogenesis is typified by major autoantibodies to proteinase 3 (PR3) and myeloperoxidase (MPO). ILproducing CD4+ T cells are expanded in the blood (Abdulahad et al., (2013) Arth Res & Ther 15:R70). Elevated IL-21 is t in AAV serum relative to healthy controls, and exogenous IL-21 induces ANCA auto-antibody secretion in vitro from PBMCs isolated from AAV patients in vitro. AAV is made up of Granulomatosis with polyangiitis, formerly Wegener’s granulomatosis, (GPA), eosinophilic granulomatosis with polyangiitis, also known as the Churg-Strauss syndrome (CSS) and microscopic polyangiitis (MPA).
They are usually lumped together but epidemiologically the ence and distribution is different. Current treatments include corticosteroids, biological, e.g., rituximab, suppressive drugs, antibiotics, or plasmapheresis, but the prognosis for patients remains poor. There remains an unmet need to find treatments for AAV.
SjOgren's syndrome (SS) is an autoimmune disease characterized by autoantibodies such as toid factor (RF) as well as autoantibodies to several r antigens such as Ro/La. SS is the second most ent autoimmune condition after RA.
There are at least 1 million primary n’s patients in the US, of which 90% are female.
SS affects salivary glands, causing, e.g., dry mouth and eyes. Additionally, SS may affect other organs of the body, including the kidneys, blood vessels, lungs, liver, pancreas, eral s system and brain and is associated with other autoimmune diseases such as lupus and rheumatoid arthritis. Highly elevated serum IL—21 levels correlate with increased IgG1 and the presence of autoantibodies (Kang, 2011). Elevated IL-21 and IL- 21R levels can be found in ectopic les of salivary gland (Kang, 2011). Moreover, IL-21 is known to play a direct role in NK cell activation and cytotoxicity. Increased numbers of tissue-resident NK cells that overexpress the activating receptor NKp30 are found in salivary glands of primary Sj Ogren’s me patients, and correlate with focus score (Rusakiewicz et al., (2013) Sci. Transl. Med. 5, 195ra96). These NK cells are implicated in the pathogenesis of disease through direct NK cell-stromal cell cross talk resulting in tissue damage. IL-21 and its receptor are also expressed on ry gland infiltrates (Kang, 2011), and IL-21 producing memory CCR9+ CD4+ T?’l cells have been ed to be expanded in the circulation of most SS patients (McGuire, 2011). In addition, an increased level of T?’l cells in patients with elevated IL-21 is associated with extraglandular manifestations (Szabo et al., (2013) Clinical Immunol 147, 95—104). Preclinical animal models have demonstrated benefit from IL-21 inhibition (Liu et al. (2012) J Oral Pathol Med). There is no cure for SS; current treatments are of limited efficacy and none can be considered disease-modifying.
Mild to moderate disease is treated symptomatically by over the counter medications.
Severe disease is currently treated with hydroxychloroquine, steroids, methotrexate, azathioprine, or off-label rituximab. There remains an unmet need to find ive treatments for SS.
Neutralization of IL-21 has potential utility in several tions, including primary SS and vasculitis (Kang, 2011; Bae et al., (2012) Allergy Asthma Immunol Res. 4, 351-356; Terrier, 2012; Abdulahad, 2013; Szabo, 2013).
The effect of IL-21 on graft-vs-host disease (GVHD) has been extensively studied. When delivered by a hydrodynamic gene , IL-21 has been shown to greatly accelerate human to mouse xenogeneic GVHD and found to increase B cells, plasma cells and immunoglobulin (Wu et al., (2013) Protein Cell 4, 863-871). Conversely, blockade of IL-21 in this system was reported to decrease gastrointestinal track , splenic Th1 nes, and protect from lethality (Hippen et al., (2012) Blood 119, 619-628). Moreover, protection from GVHD was reported to be dependent on the generation of Tregs (Hippen et al., 2012).
This disclosure provides compositions that specifically bind to IL-21, and methods for the use of such compositions, e. g., for the treatment or tion of an in?ammatory, immune-mediated, or autoimmune disease or disorder.
In a particular , this disclosure es for the treatment or prevention of GVHD using a ition comprising an dy or nt thereof that specifically binds to IL-21. For instance, it has been shown in a xenogeneic mouse model of GVHD that an anti-IL-21 composition blocks de novo-produced human IL—21. This composition potently inhibits GVHD-induced wasting disease and lethality when given both lactically, as well as therapeutically.
BRIEF Y OF THE INVENTION Some of the main aspects of the present invention are summarized below. onal aspects are described in the Detailed Description of the Invention, Examples, Drawings, and Claims sections of this disclosure. The description in each section of this disclosure is intended to be read in conjunction with the other sections. Furthermore, the various embodiments described in each section of this disclosure can be combined in various different ways, and all such combinations are intended to fall within the scope of the t invention.
The disclosure es IL-21 binding molecules, e.g., anti-IL-21 antibodies or antigen-binding fragments thereof, e.g., monoclonal antibodies capable of inhibiting interaction of IL-21 and its receptor, and ting IL-21 activity.
In some instances, an isolated binding molecule or antigen-binding fragment thereof which specifically binds to an epitope of IL-21, wherein the binding molecule specifically binds to the same IL—21 epitope as an antibody or n-binding nt thereof comprises the heavy chain variable region (VH) and light chain le region (VL) of l9E3, 9Fll, 8B6, or 9H10.
In some instances, an isolated g molecule or antigen-binding fragment thereof which ically binds to IL-21, and competitively inhibits IL-21 binding by an antibody or antigen-binding fragment thereof comprises the VH and VL of l9E3, 9Fl l, 8B6, or 9H10. In some instances, the VH and VL of l9E3 comprise SEQ ID NOs: 6 and 11, respectively, the VH and VL of 9Fll comprise SEQ ID NOs: 28 and 33, respectively, the VH and VL of 8B6 comprise SEQ ID NOs: 42 and 47, respectively, and the VH and VL of 9H10 comprise SEQ ID NOs: 52 and 57, respectively.
In some instances, an isolated binding molecule or antigen-binding fragment thereof which specifically binds to IL-21 comprises an antibody VL, wherein the VL comprises VL—CDRl, VL-CDR2, and VL-CDR3 amino acid sequences identical to, or identical except for four, three, two, or one amino acid substitutions in one or more of the VL-CDRS to: SEQ ID NOs: 12, 13, and 14, SEQ ID NOs: 34, 35, and 36, SEQ ID NOs: 48, 49, and 50, or SEQ ID NOs: 58, 59, and 60, respectively.
In some instances, an isolated binding molecule or antigen-binding fragment thereof which specifically binds to IL-21 comprises an antibody VH, n the VH comprises VH-CDRl, VH-CDR2, and VH-CDR3 amino acid ces identical to, or cal except for four, three, two, or one amino acid substitutions in one or more of the VH-CDRS to: SEQ ID NOs: 7, 8, and 9, SEQ ID NOs: 29, 30, and 31, SEQ ID NOs: 43, 44, and 45, or SEQ ID NOs: 53, 54, and 55, respectively.
In some instances, an isolated binding molecule or antigen-binding fragment thereof which specifically binds to IL-21 comprises an antibody VL, wherein the VL comprises an amino acid sequence at least 85%, 90%, 95%, or 100% identical to a reference amino acid sequence ed from the group consisting of SEQ ID NO: 11, SEQ ID NO: 17, SEQ ID NO: 21, SEQ ID NO: 25, SEQ ID NO: 33, SEQ ID NO: 39, SEQ ID NO: 40, SEQ ID NO: 47, and SEQ ID NO: 57.
In some instances, an isolated binding le or antigen-binding nt thereof which specifically binds to IL-21 comprises an antibody VH, wherein the VH comprises an amino acid ce at least 85%, 90%, 95%, or 100% identical to a nce amino acid sequence selected from the group consisting of SEQ ID NO: 6, SEQ ID NO: 15, SEQ ID NO: 19, SEQ ID NO: 23, SEQ ID NO: 28, SEQ ID NO: 37, SEQ ID NO: 38, SEQ ID NO: 42 and SEQ ID NO: 52.
In some instances, the binding molecule or fragment thereof ses an antibody or antigen-binding fragment thereof.
In some instances, an ed antibody or antigen-binding fragment thereof which specifically binds to IL-21 comprises a VL and a VH comprising VL-CDRl, VL- CRD2, VL-CDR3, VH-CDRl, VH-CDR2, and VH-CDR3 amino acid ces identical or identical except for four, three, two, or one amino acid substitutions in one or more CDRs to: SEQ ID NOs: 12, 13, 14, 7, 8, and 9, SEQ ID NOs: 34, 35, 36, 29, 30, and 31, SEQ ID NOs: 48, 49, 50,43, 44, and 45, or SEQ ID NOs: 58, 59, 60, 53, 54, and 55, respectively.
In some instances, an isolated antibody or antigen-binding fragment thereof which specifically binds to IL-21, wherein the antibody or antigen-binding fragment comprises a VH and a VL, wherein the VH and VL comprise, respectively, amino acid sequences at least 85%, 90%, 95%, or 100% identical to reference amino acid sequences selected from the group consisting of SEQ ID NO: 6 and SEQ ID NO: 11, SEQ ID NO: 15 and SEQ ID NO: 17, SEQ ID NO: 19 and SEQ ID NO: 21, SEQ ID NO: 23 and SEQ ID NO: 25, SEQ ID NO: 28 and SEQ ID NO: 33, SEQ ID NO: 37 and SEQ ID NO: 39, SEQ ID NO: 38 and SEQ ID NO: 39, SEQ ID NO: 37 and 40, SEQ ID NO: 42 and SEQ ID NO: 47, and SEQ ID NO: 52 and SEQ ID NO: 57, respectively.
In some instances, the antibody or antigen-binding fragment ses a VH and a VL, wherein the VH comprises the amino acid sequence SEQ ID NO: 19 and the VL comprises the amino acid sequence SEQ ID NO: 21. In some instances, the antibody or antigen-binding fragment thereof comprises a heavy chain nt region or fragment thereof. In some ces, the heavy chain constant region or nt thereof is an IgG constant region. In some instances, the IgG constant domain comprises one or more amino acid substitutions relative to a wild-type IgG constant domain wherein the modified IgG has an increased half-life compared to the half-life of an IgG having the wild-type IgG constant domain. In some ces, the IgG constant domain comprises one or more amino acid substitutions of amino acid residues at positions 251-257, 285-290, 308-314, 385-389, and 428-43 6, wherein the amino acid position numbering is according to the EU index as set forth in Kabat. In some instances, at least one IgG constant domain amino acid substitution is selected from the group consisting of: (a) substitution of the amino acid at Kabat on 252 with Tyrosine (Y), Phenylalanine (F), Tryptophan (W), or Threonine (T), (b) substitution of the amino acid at Kabat position 254 with Threonine (T), (c) substitution of the amino acid at Kabat position 256 with Serine (S), Arginine (R), Glutamine (Q), ic acid (E), Aspartic acid (D), or Threonine (T), (d) substitution of the amino acid at Kabat position 257 with Leucine (L), (e) substitution of the amino acid at Kabat position 309 with Proline (P), (f) substitution of the amino acid at Kabat position 3 11 with Serine (S), (g) substitution of the amino acid at Kabat position 428 with Threonine (T), Leucine (L), Phenylalanine (F), or Serine (S), (h) substitution of the amino acid at Kabat position 433 with Arginine (R), Serine (S), Isoleucine (I), Proline (P), or Glutamine (Q), (i) substitution of the amino acid at Kabat position 434 with Tryptophan (W), nine (M), Serine (S), Histidine (H), Phenylalanine (F), or Tyrosine, and (j) a combination of two or more of the substitutions.
In some instances, the human IgG constant domain comprises amino acid substitutions relative to a ype human IgG constant domain at Kabat positions 252, 254, and 25 6, wherein (a) the amino acid at Kabat on 252 is substituted with Tyrosine (Y), (b) the amino acid at Kabat on 254 is substituted with Threonine (T), and (c) the amino acid at Kabat position 256 is substituted with Glutamic acid (E).
In some instances, the human IgG constant domain is a human IgG1 constant In some instances, the heavy chain comprises the amino acid sequence SEQ ID NO: 16, SEQ ID NO: 20, or SEQ ID NO: 24. In some instances, the light chain constant region is ed from the group consisting of a human kappa constant region and a human lambda constant region. In some instances, the light chain constant region is a human kappa constant region. In some instances, the heavy chain and light chain se the amino acid sequences SEQ ID NO: 16 and SEQ ID NO: 18, SEQ ID NO: 20 and SEQ ID NO: 22, or SEQ ID NO: 24 and SEQ ID NO: 26, tively.
In some instances, the antibody or antigen-binding fragment thereof is a murine antibody, a humanized antibody, a chimeric antibody, a monoclonal antibody, a polyclonal antibody, a recombinant antibody, a multispecific antibody, or an antigen-binding nt thereof. In some instances, the antigen-binding fragment is Fv, Fab, F(ab‘)2, Fab‘, dst, scFv, and 2.
In some instances, the antibody or antigen-binding fragment thereof can bind to human IL—21 and cynomolgus (cyno) monkey IL-2l.
In some instances, the antibody or fragment f does not specifically bind to human IL—2, IL-4, IL-7, IL-9, or IL-15.
In some instances, the antibody or fragment thereof inhibits IL-2l binding to the IL-2l receptor.
In some instances, the antibody or fragment thereof is an antagonist of IL-21 activity.
In some instances, the antibody or fragment thereof can t IL-2l-mediated phosphorylation of STAT3 in human peripheral blood clear cells (PBMC).
In some instances, the antibody or fragment thereof can inhibit human and cynomolgus monkey IL-2l-mediated phosphorylation of STAT3 in human peripheral blood mononuclear cells (PBMC) In some instances, the antibody or nt thereof can inhibit IL-2l-mediated interferon-gamma (IFN-y) production by NK cells.
In some instances, the antibody or fragment thereof can inhibit human and cynomolgus monkey IL-2l-mediated interferon-gamma (IFN-y) production by NK cells. In some instances, the NK cells are cultured NK-92 cells.
In some instances, the antibody or fragment thereof can inhibit ILmediated B-cell differentiation into plasma cells.
In some ces, the antibody or fragment thereof can inhibit human and cynomolgus monkey ILmediated differentiation of stimulated B cells into plasma cells.
In some instances, the antibody or fragment thereof can t CD4+ T cell- activated B cell differentiation into plasma cells.
In some instances, the antibody or antigen-binding fragment thereof specifically binds human IL-21 with an affinity characterized by a iation constant (KD) of about 100 pM to about 0.1 pM as measured on a Kinetic Exclusion Assay (KinExA) 3000 platform.
In some ces, the antibody or n-binding fragment thereof specifically binds cynomolgus monkey IL-21 with an affinity characterized by a dissociation constant (KD) of about 100 pM to about 0.1 pM as measured on a Kinetic Exclusion Assay (KinExA) 3000 platform.
In some instances, the antibody or antigen-binding fragment thereof wherein the KD for human IL-21 is about 0.515 pM and the KD for cynomolgus monkey IL-21 is about 0.352 pM.
In some instances, the antibody or fragment thereof is conjugated to an agent selected from the group consisting of an antimicrobial agent, a therapeutic agent, a g, a peptide, a protein, an enzyme, a lipid, a biological response modifier, a pharmaceutical agent, a lymphokine, a heterologous antibody or fragment thereof, a detectable label, a polyethylene glycol (PEG), and a combination of two or more of any said agents.
In some instances, a composition comprises the antibody or fragment f as described herein, and a carrier. Preferably, the carrier is a pharmaceutically able carrier.
In some instances, an isolated polynucleotide comprises a nucleic acid encoding an antibody VL, wherein the VL comprises VL-CDRl, VL-CDR2, and VL-CDR3 amino acid sequences identical to, or identical except for four, three, two, or one amino acid tutions in one or more of the VL-CDRS to: SEQ ID NOs: 12, 13, and 14, SEQ ID NOs: 34, 35 and 36, SEQ ID NOs: 48, 49, and 50, or SEQ ID NOs: 58, 59, and 60, respectively.
In some ces, an isolated polynucleotide ses a nucleic acid encoding an antibody VH, wherein the VH comprises VH-CDRl, VH-CDR2, and VH-CDR3 amino acid sequences identical to, or identical except for four, three, two, or one amino acid substitutions in one or more of the VH-CDRS to: SEQ ID NOs: 7, 8, and 9, SEQ ID NOs: 29, 30 and 31, SEQ ID NOs: 43, 44, and 45, or SEQ ID NOs: 53, 54, and 55, respectively.
In some instances, an isolated polynucleotide comprises a nucleic acid encoding an antibody VL, wherein the VL ses an amino acid ce at least 85%, 90%, 95%, or 100% cal to a reference amino acid sequence selected from the group ting of SEQ ID NO: 11, SEQ ID NO: 17, SEQ ID NO: 21, SEQ ID NO: 25, SEQ ID NO: 33, SEQ ID NO: 39, SEQ ID NO: 40, SEQ ID NO: 47, and SEQ ID NO: 57. In some instances, an isolated polynucleotide comprises a nucleic acid encoding an antibody VH, wherein the VH comprises an amino acid sequence at least 85%, 90%, 95%, or 100% cal to a reference amino acid sequence ed from the group consisting of SEQ ID NO: 6, SEQ ID NO: 15, SEQ ID NO: 19, SEQ ID NO: 23, SEQ ID NO: 28, SEQ ID NO: 37, SEQ ID NO: 38, SEQ ID NO: 42 and SEQ ID NO: 52.
In some instances, the polynucleotide described herein ses a nucleic acid that encodes an antibody or antigen-binding fragment thereof comprising the VH or the VL described herein that can specifically bind to IL-21. In some instances, the dy or antigen-binding fragment thereof specifically binds to the same epitope as an antibody or antigen-binding fragment thereof comprising the VH and VL of 19E3, 9F11, 8B6, or 9H10.
In some instances, the polynucleotide described herein comprises a nucleic acid that encodes an antibody or antigen-binding fragment thereof comprising the VH or the VL can bind to human and cynomolgus monkey IL-21.
In some instances, a vector comprising the polynucleotide described herein is provided.
In some instances, a composition comprising the polynucleotide bed herein or the vector described herein is provided.
In some instances, a polynucleotide or a combination of polynucleotides encoding the binding molecule or antigen-binding fragment thereof as described herein is provided.
In some instances, a polynucleotide or combination of polynucleotides encoding the antibody or antigen-binding fragment thereof described herein is provided.
In some instances, a composition ses a polynucleotide that comprises a nucleic acid encoding a VH, and a polynucleotide that comprises a nucleic acid encoding a VL, n the VL and VH comprise VL-CDRl, VL-CRD2, VL-CDR3, VH-CDRl, VH- CDR2, and VH-CDR3 amino acid sequences identical or identical except for four, three, two, or one amino acid substitutions in one or more CDRs to: SEQ ID NOs: 12, 13, 14, 7, 8, and 9, SEQ ID NOs: 34, 35, 36, 29, 30, and 31, SEQ ID NOs: 48, 49, 50, 43, 44, and 45, or SEQ ID NOs: 58, 59, 60, 53, 54, and 55, respectively.
In some instances, a composition comprises a cleotide that comprises a nucleic acid encoding a VH, and a cleotide that comprises a nucleic acid encoding a VL, wherein the VL and VH comprise, respectively, amino acid sequences at least 85%, 90%, 95%, or 100% identical to nce amino acid sequences ed from the group ting of SEQ ID NO: 6 and SEQ ID NO: 11, SEQ ID NO: 15 and SEQ ID NO: 17, SEQ ID NO: 19 and SEQ ID NO: 21, SEQ ID NO: 23 and SEQ ID NO: 25, SEQ ID NO: 28 and SEQ ID NO: 33, SEQ ID NO: 37 and SEQ ID NO: 39, SEQ ID NO: 38 and SEQ ID NO: 39, SEQ ID NO: 37 and 40, SEQ ID NO: 42 and SEQ ID NO: 47, and SEQ ID NO: 52 and SEQ ID NO: 57, respectively.
In some instances, the VH and VL are encoded by nucleic acid sequences at least 85%, 90%, 95%, or 100% identical to reference nucleic acid sequences selected from the group consisting SEQ ID NO:5 and SEQ ID NO:10, SEQ ID NO:27 and SEQ ID NO:32, SEQ ID NO: 41 and SEQ ID NO:46, or SEQ ID NO: 51 and SEQ ID NO:56, respectively.
In some instances, the polynucleotide comprising a nucleic acid encoding a VH and the cleotide comprising a nucleic acid encoding a VL are in the same vector. In some instances, the vector as described herein is provided.
In some instances, the polynucleotide comprising a c acid encoding a VH and the polynucleotide comprising a nucleic acid encoding a VL are in different vectors. In some instances, the vectors as described herein are provided.
In some instances, the compositions as described herein include an antibody or antigen-binding fragment thereof that comprises said VH and said VL which can specifically bind to IL-21. In some instances, the antibody or n-binding fragment f comprising the VH or the VL can bind to human and cynomolgus monkey IL-21. In some instances, the antibody or antigen-binding fragment thereof can specifically bind to the same epitope as an antibody or antigen-binding fragment thereof comprising the VH and VL of 19E3, 9F11, 8B6, or 9H10.
In some instances, host cells comprising polynucleotides as described herein, the compositions as described herein, or the vector or vectors as bed herein are provided.
In some instances, a method of making the antibody or antigen-binding fragment as described herein comprises (a) culturing the cell as described herein; and (b) isolating the antibody or antigen-binding fragment f.
In some instances, a diagnostic reagent or a kit sing the antibody or antigen-binding fragment described herein is provided.
In some instances, a method for decreasing ILinduced phosphorylation of STAT3 in an IL-21R-expressing cell, includes contacting the cell with the binding molecule or antigen-binding fragment thereof as described herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein.
In some instances, a method for decreasing mediated IFN y production by an NK cell, includes contacting the NK cell with the binding molecule or antigen-binding fragment thereof as bed herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein.
In some instances, a method for decreasing ILmediated differentiation of naive or memory B cells into plasma cells, includes contacting naive or memory B cells with the binding molecule or antigen-binding fragment thereof as bed herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein.
In some instances, the plasma cell differentiation is ted by CD4+ T cells.
In some instances, a method of treating an in?ammatory, immune-mediated, or autoimmune disease or disorder in a subject, es administering to a subject in need of ent an effective amount of the binding molecule or antigen-binding fragment thereof as described herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein.
In some instances, a method of preventing an in?ammatory, immune-mediated, or autoimmune disease or disorder in a subject, includes administering to a t susceptible to such disease or er an effective amount of the binding molecule or antigen-binding fragment f as described , the antibody or n-binding fragment thereof as described herein or the composition as bed herein.
In some ces, the autoimmune disease is SjOgren’s syndrome (SS), vasculitis (ANCA/GCA), ic lupus erythematosis or lupus nephritis, rheumatoid arthritis (RA) Crohn's disease, myasthenia gravis, or any combination thereof.
In some instances, the immune-mediated disease or disorder is GVHD.
In some instances, the method of preventing GVHD es reducing or ating the symptoms of GVHD.
In some instance, the symptoms of GVHD reduced or eliminated are rashes, blisters, nausea, loss of appetite, ng,, early fullness after eating, diarrhea, abdominal discomfort, abdominal ng, blood in the stool, ce, dark urine, upper abdominal discomfort, water weight gain (or swelling), arthritis-like symptoms, pain and stiffness, dry eyes, eye tion, mouth sores, persistent cough, shortness of breath, difficulty breathing.
In some instances, a method for ting weight loss due to GVHD, includes administering to a subject having GVHD or susceptible to GVHD, the binding molecule or antigen-binding fragment thereof as described herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein.
In some instances, a method for reducing anemia due to GVHD, includes administering to a subject having GVHD or susceptible to GVHD, the binding molecule or antigen-binding fragment thereof as described herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein.
In some ces, a method for inhibiting expansion of T cells, includes administering to a subject having GVHD or susceptible to GVHD, the binding molecule or antigen-binding fragment thereof as described herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein.
In some instances, a method for reducing cytokines in a subject having GVHD or susceptible to GVHD, includes administering to the t the g molecule or antigen- binding fragment thereof as described herein, the antibody or antigen-binding fragment f as described herein or the composition as described herein.
In some ces, a method for ing IL-21 expression levels in a sample includes (a) contacting said sample with the binding molecule or antigen-binding fragment thereof of as described herein, the antibody or antigen-binding fragment thereof as described herein or the composition as described herein and (b) detecting binding to IL-21 in said sample.
BRIEF DESCRIPTION OF THE DRAWINGS/FIGURES shows alignments of the le regions of murine monoclonal antibody 9Fll (VH: SEQ ID N028, VL: SEQ ID NO:33) and three humanized variants (VH-4 and VH-ll: SEQ ID NO:4l, VH-6: SEQ ID NO:42, VL-4 and VL-6: SEQ ID NO:43, VL-l l: SEQ ID NO:44). Residues that are different between human and murine in the framework regions are double underlined. The murine back ons in the framework s are bolded, and the CDR s are underlined. shows alignments of the variable regions of murine monoclonal antibody l9E3 (VH: SEQ ID NO:6, VL: SEQ ID NO:1 l) and three humanized VH ts (SEQ ID Nos 61, 62, and 63) and two humanized VL variants (SEQ ID NO:s 64 and 65). Residues that are different between human and murine in the framework regions are double underlined. The murine back mutations in the framework regions are bolded, and the CDR regions are underlined. and show KinEXA Dual Curve Fit of 500 fM and 50 pM concentrations of K44VHa-N56Q (MEDI7l69) IgG in solution phase competition with human () and cynomolgus monkey (FIG 2B) IL-21. shows the effect of human or cynomolgus monkey IL-21 on STAT3 orylation of human PBMCs. FIG 3B shows inhibition of human and cynomolgus monkey ILinduced upregulation of STAT3 phosphorylation of human PBMCs by anti- IL-21 antibodies K2Ha-N56Q (inverted triangles), K44VHa-N56Q (MEDI7l69) (diamonds), and 6-N56Q (circles). shows the inhibition of human () and cynomolgus monkey IL-21 () induced IFNy by NK-92 cells. shows the inhibition of ILinduced differentiation of human B cells into plasma cells by either human (FIG 5A) or logous monkey (FIG 5B) IL-21. The graphs show reduction in the level of IgD' CD38hi PCs as compared to controls. FIG 5C shows that under control conditions, ation with IL—21, anti-CD40 and anti-IgM ed in Ig production in the range of 30-40 [Lg/ml by day 6, and l9E3.l and 9Fl l.l inhibited Ig production. shows that co-culture of B cells with activated CD4+ T cells resulted in the emergence of an IgD' CD38hi PC population, with 68.5% of the CD19+ cells expressing this PC phenotype by day 7. FIGs. 6B and 6C show inhibition of PC differentiation by the addition of l9E3.l or 9Fll.l. shows that anti-IL21 antibody (l9E3.l) blocks IL-21 induced T Cell expansion. Human T cells were stimulated with recombinant human IL-21 in combination with D3. Antibody l9E3.l was added at the indicated concentrations and T-cell expansion was quantified on day four. All conditions were run in duplicate. The experiment was performed with two unique donors. One representative donor is shown. shows that K44VHa-N56Q (MEDI7169) blocks GVHD-induced wasting disease by limiting CD4+ T-cell expansion. Donor 1 PBMCs (12.71 x 10 ) or Donor 2 PBMCs (13.46 x 106) were transferred into NOD/SCID/yc mice on study Day 0. Mice received 200 ug of either Control mAb () or K44VHa-N56Q () given three times a week starting at Day -1. Mice were bled every other week and ed by ?ow cytometry to ine the number, and phenotype of human CD45+ cells. and show the percentage of human CD45+ cells collected from mice receiving the l mAB or K44VHa-N56Q, respectively, (from Day 21, Donor 1; n = 3 Control mAb, n = 5 K44VHa-N56Q). and show the percentage of CD4+ or CD8+ cells within the human CD45+ fraction in mice receiving the Control mAB or K44VHa-N56Q, respectively, (from Day 35, Donor 2; n = 10 Control mAb + PBS e/n = 5 K44VHa- N56Q). All conditions stained 100 uL of blood and were collected on a ?ow cytometer for the same length of time, thus the number of events displayed is re?ective of relative cell number. Average i standard error of absolute numbers of human CD45+ cells collected from blood on Day 21 were for Donor 1, Control mAb, n=3 (729,111 i 9) versus K44VHa—N56Q, n=5 (39,104 i 5,159), P<0.0357. For Donor 2, Control mAb and PBS combined, n=10 (237,294 i 35,628) versus K44VHa-N56Q, n=5, (14,980 i 2,275) P=0.0007. shows that K44VHa-N56Q reversibly inhibits human cell ion in recipient mice. Donor 2 PBMCs (13.46 x 106) were transferred into NOD/SCID/yc mice on study Day 0. Mice received 200 uL of PBS e (squares), or 200 ug of either K44VHa- N56Q (triangles) or Control mAb (circles) given three times a week starting at Day -1 until Day 44. Mice were bled every other week, and assessed by ?ow cytometry to ine the number of human CD45+ cells. Data indicates number of human cells collected. All conditions stained 100 uL of blood and the same volume was collected on a ?ow cytometer, thus the number of events displayed is ive of ve cell number. shows that K44VHa-N56Q protects from GVHD-induced weight loss and death. Donor 1 PBMCs (12.71 x 10 ) were transferred into NOD/SCID/yc mice on study Day 0 and mice were followed for body weight loss (A) and death (B).
Either K44VHa-N56Q gles) or Control mAb (filled circles) was given three times a week at 200 ug/mouse starting at Day -1 until Day 31. Naive (open circles) animals received no human cells and no mAb. Percent survival represents when either the mice died or reached 20% body weight loss and were sacrificed. One of two independent experiments from two different Donor PBMCs is shown. shows inhibition of cell proliferation and cytokine production by K44VHa-N56Q. Donor 2 PBMCs (13.46 x 106) were transferred into NOD/SCID/yc mice on study Day 0 and injected with either 200 ug of K44VHa-N56Q or Control mAb three times a week starting on Day -1. Mice were bled and the amount of cytokine in sera was evaluated for the presence of cytokines using the Millipore’s MILLIPLEX MAP system human Th17 kit. Serum levels (pg/mL) are shown for IL-21 (A), interferon gamma (B), tumor necrosis factor alpha (C), IL-9 (D), granulocyte hage colony-stimulating factor (E), IL—10 (F), and IL-5 (G). shows that inhibition of cell proliferation and cytokine production by anti-IL—21 is reversible. Donor 1 PBMCs (12.71 x 106) were transferred into NOD/SCID/yc mice a on Day 0 and injected with either 200 ug of K44VHa-N56Q (closed s) or l mAb (open symbols) three times a week starting on Day -1 until Day 31, when the K44VHa-N56Q was stopped. Mice were bled on Days 15, 28, 43, and 57, and the amount of interferon gamma (A), tumor necrosis factor alpha (B), and IL-10 (C) in sera at these times points was determined using the Millipore’s MILLIPLEX MAP system human Th17 kit. Mice were also bled on Days 7, 21, 35, 51, and 57, and the numbers of human CD45+ cells were determined (D). All mice that received control mAb died by study Day 28; thus, there is only one time point for nes for these animals. shows that therapeutic K44VHa-N56Q protects ts from GVHD.
Donor 1 PBMCs (12.0 x 106) were transferred into NOD/SCID/yc mice on study Day 0 and survival was monitored. Either l mAb ng on study Day 7 (circles), K44VHa- N56Q starting on study Day 7 (triangles), or K44VHa-N56Q starting on study Day 14 (inverse triangles), were given three times a week at 200 se. Mice were euthanized when they were determined to have lost 20% body weight or if the mouse was ted/moribund or otherwise in pain or distress. Death and humane euthanasia were used synonymously for the es of tracking survival. shows that K44VHa-N56Q can protect from GVHD-induced anemia.
Mice were injected and treated as described for . Mice were naive, i.e., given no cells (asterisks), or given human PBMC’s followed by Control mAb starting on study Day 7 (circles), -N56Q starting on study Day 7 (triangles), or K44VHa-N56Q starting on study Day 14 (inverse triangles), given three times a week at 200 ug/mouse. Heparinized whole blood samples collected from orbital sinus were diluted 1:10 prior to analysis with an automated hematology analyzer (Sysmex XT-2000iv). The resulting total white blood cell (A) and red blood cell counts (C), hematocrit (B), and hemoglobin (D) values were multiplied by a dilution factor of ten.
DETAILED DESCRIPTION OF THE INVENTION The present invention provides les and antigen-binding nts thereof that bind to IL-21. In some embodiments, such molecules are antibodies and antigen- binding nts thereof that specifically bind to IL-21. Related polynucleotides, compositions comprising the anti-IL—21 antibodies or antigen-binding fragments thereof, and methods of making the L-21 antibodies and antigen-binding fragments are also provided. Methods of using the novel anti-IL-21 antibodies, such as s of treating in?ammatory, immune-mediated, or autoimmune disease or disorders in a subject and diagnostic uses, are further provided.
In order that the t invention can be more readily understood, certain terms are first defined. onal definitions are set forth throughout the detailed ption. 1. Definitions As used in this specification and the appended claims, the singular forms a "an" and "the" e plural referents unless the context clearly dictates otherwise. The terms "a" (or "an"), as well as the terms "one or more," and "at least one" can be used interchangeably herein.
Furthermore, "and/or" is to be taken as specific disclosure of each of the two specified features or components with or without the other. Thus, the term and/or" as used in a phrase such as "A and/or B" is intended to include "A and B," "A or B," "A" (alone), and "B" ). Likewise, the term "and/or" as used in a phrase such as "A, B, and/or C" is intended to encompass each of the following embodiments: A, B, and C; A, B, or C; A or C; A or B; B or C; A and C; A and B; B and C; A (alone); B (alone); and C (alone).
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention is d. For example, the Concise Dictionary of Biomedicine and Molecular Biology, Juo, Pei-Show, 2nd ed., 2002, CRC Press; The Dictionary of Cell and Molecular Biology, 3rd ed., 1999, Academic Press; and the Oxford Dictionary Of Biochemistry And Molecular y, Revised, 2000, Oxford University Press, provide one of skill with a general dictionary of many of the terms used in this invention.
Units, prefixes, and symbols are denoted in their e International de Unites (SI) accepted form. Numeric ranges are inclusive of the numbers defining the range. Unless otherwise indicated, amino acid sequences are written left to right in amino to y orientation. The headings provided herein are not limitations of the various s or embodiments of the invention, which can be had by reference to the specification as a whole.
Accordingly, the terms d immediately below are more fully defined by reference to the specification in its entirety.
Wherever embodiments are described with the language "comprising," otherwise ous embodiments described in terms of "consisting of" and/or "consisting essentially of" are also provided.
Amino acids are referred to herein by their commonly known three letter symbols or by the one-letter symbols recommended by the IUPAC-IUB Biochemical Nomenclature Commission. Nucleotides, likewise, are referred to by their commonly accepted single-letter codes.
The term "IL-21" refers to the ne interleukin-21, and/or active fragments thereof. IL—21 binds to the IL-21 or on various ent cells of the immune system, inducing signal transduction in those cells as described elsewhere herein. IL-21 has been characterized in most common animal model systems. The cDNA and amino acid sequences of human IL—21 can be found, e.g., at GenBank Accession Numbers BC066260.1 (SEQ ID NO:1) and AAH69124.1 (SEQ ID NO:2). The cDNA and amino acid sequences of cynomolgus monkey (Macaca fascicularis) IL-21 can be found, e.g., as SEQ ID NOs: 3 (SEQ ID NO:3) and 4 (SEQ ID NO:4) of US Patent Application Publication No. 2008- 0267910 A1 (incorporated herein by reference in its entirety).
The terms "inhibit," ," and "suppress" are used interchangeably herein and refer to any statistically significant decrease in ical activity, ing full blocking of the activity. For example, ition" can refer to a decrease of about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or 100% in biological activity. Accordingly, when the terms "inhibition" or "suppression" are applied to describe, e.g., an effect on the IL-21 signal transduction pathway, e.g., on signal transduction in a cell expressing the IL-21 receptor (IL- 21R) in the presence of IL-21, (e.g., phosphorylation of STAT3, tion of interferon- gamma IFN-y in NK cells, B cell differentiation into plasma cells or inhibition of IL driven proliferation of human naive CD4+ T-cells), the terms refer to the ability of an IL-21 binding molecule, e. g., an anti-IL—21 antibody or antigen-binding fragment thereof, to statistically icantly decrease the ILinduced signal transduction through IL-21R relative to the signal transduction in an untreated (control) cell. The cell which expresses IL- 21R can be a naturally occurring cell or cell line (e.g., a T cell, a B cell, a natural killer (NK) cell, a dendritic cell or another type of lymphoid cell) or can be recombinantly produced by introducing a nucleic acid ng IL—21R into a host cell. In one embodiment, the IL-21 binding molecule, e. g., an anti-IL—21 antibody or antigen-binding fragment thereof can inhibit IL—21-mediated signal transduction in an -expressing cell by at least 10%, or at least 20%, or at least 30%, or at least 40%, or at least 50%, or at least 60%, or at least 70%, or at least 80%, or at least 90% or about 100%, as determined, for example, by ?ow cytometry, Western blotting, ELISA, or other assays as described in the Examples below.
The terms "antibody" or "immunoglobulin," as used interchangeably herein, include whole antibodies and any antigen-binding fragment or single chains thereof.
A typical antibody comprises at least two heavy (H) chains and two light (L) chains interconnected by disulfide bonds. Each heavy chain is comprised of a heavy chain variable region (abbreviated herein as VH) and a heavy chain constant region. The heavy chain nt region is comprised of three domains, CH1, CH2, and CH3. Each light chain is comprised of a light chain variable region (abbreviated herein as VL) and a light chain constant region. The light chain constant region is comprised of one , C1. The VH and VL regions can be further subdivided into regions of ariability, termed Complementarity Determining Regions (CDR), interspersed with regions that are more ved, termed framework regions (FW). Each VH and VL is composed of three CDRs and four FWs, arranged from terminus to carboxy-terminus in the following order: FWl, CDRl, FW2, CDR2, FW3, CDR3, FW4. The variable regions of the heavy and light chains contain a binding domain that interacts with an antigen. The nt regions of the antibodies can e the binding of the immunoglobulin to host s or factors, including various cells of the immune system (e. g., effector cells) and the first component (Clq) of the classical complement system. Exemplary antibodies of the present disclosure e the hybridoma-produced murine monoclonal antibodies 19E3, 9F11, 8H10, and 8B6, humanized, affinity optimized, germlined and/or other versions of these antibodies, and serum half-life-optimized anti-IL-21 YTE dies (e.g., -N56Q K44VHa6- N56Q, or K2Ha-N56Q).
The term "germlining" means that amino acids at specific positions in an antibody are mutated back to those in the germ line.
The term "antibody" can refer to an immunoglobulin molecule that izes and specifically binds to a target, such as a protein, polypeptide, peptide, carbohydrate, polynucleotide, lipid, or combinations of the foregoing through at least one n recognition site Within the variable region of the immunoglobulin molecule. As used herein, the term "antibody" encompasses intact polyclonal antibodies, intact monoclonal antibodies, antibody fragments (such as Fab, Fab‘, F(ab‘)2, and Fv fragments), single chain Fv (scFv) mutants, multispecific dies such as bispecific antibodies generated from at least two intact antibodies, chimeric antibodies, humanized antibodies, human dies, fusion proteins comprising an antigen determination portion of an antibody, and any other modified immunoglobulin molecule comprising an antigen recognition site so long as the antibodies exhibit the desired biological activity. An antibody can be of any the five major classes of globulins: IgA, IgD, IgE, IgG, and IgM, or subclasses (isotypes) thereof (e.g. IgGl, IgG2, IgG3, IgG4, IgAl and IgA2), based on the identity of their heavy-chain constant domains referred to as alpha, delta, epsilon, gamma, and mu, respectively. The different classes of immunoglobulins have different and well-known subunit ures and three- dimensionalconfigurations. dies can be naked or conjugated to other molecules such as toxins, radioisotopes, etc.
A "blocking" antibody or an "antagonist" dy is one that ts or reduces biological activity of the antigen it binds, such as IL-21. In certain aspects, blocking antibodies or antagonist antibodies substantially or tely inhibit the biological activity of the antigen. Desirably, the biological activity is reduced by 10%, 20%, 30%, 50%, 70%, 80%, 90%, 95%, or even 100%.
The term "IL-21 antibody" or "an antibody that binds to IL-21" or "anti-IL—21" refers to an antibody that is e of binding IL-21 with sufficient affinity such that the antibody is useful as a therapeutic agent or diagnostic t in targeting IL-21. The extent of binding of an L-21 antibody to an unrelated, non-IL—21 protein is less than about % of the binding of the antibody to IL-21 as measured, e. g., by a radioimmunoassay (RIA), BIACORE® (using recombinant IL-21 as the analyte and antibody as the ligand, or vice versa), KINEXA®, or other binding assays known in the art. In certain embodiments, an antibody that binds to IL-21 has a dissociation constant (KD) of :1 HM, 5100 nM, :10 nM, 51 nM, 50.1 nM, :10 pM, 51 pM, or 50.1 pM.
The term "antigen-binding fragment" refers to a portion of an intact antibody and refers to the complementarity determining variable regions of an intact antibody. Fragments of a full-length antibody can be an antigen-binding fragment of an antibody. es of antibody fragments include, but are not limited to Fab, Fab‘, F(ab‘)2, and Fv fragments, linear antibodies, single chain antibodies (e. g., ScFvs), and multispecific antibodies formed from antibody fragments.
A lonal antibody" (mAb) refers to a homogeneous antibody population ed in the highly specific recognition and binding of a single antigenic determinant, or epitope. This is in contrast to polyclonal antibodies that typically e different antibodies directed t different antigenic determinants. The term "monoclonal antibody" encompasses both intact and full-length monoclonal antibodies as well as antibody fragments (such as Fab, Fab‘, F(ab‘)2, Fv), single chain (scFv) mutants, fusion proteins comprising an antibody portion, and any other modified immunoglobulin molecule comprising an antigen recognition site. rmore, "monoclonal antibody" refers to such antibodies made in any number of ways including, but not limited to, by hybridoma, phage ion, recombinant expression, and transgenic animals.
The term "humanized antibody" refers to an antibody d from a non-human (e. g., murine) immunoglobulin, which has been engineered to contain minimal non-human (e. g., murine) sequences. Typically, humanized antibodies are human immunoglobulins in which residues from the mentary determining region (CDR) are replaced by es from the CDR of a non-human species (e.g., mouse, rat, rabbit, or hamster) that have the desired specificity, affinity, and capability (Jones et al., 1986, Nature, 321:522-525; Riechmann et al., 1988, Nature, 332:323-327; Verhoeyen et al., 1988, Science, 239:1534- 1536). In some instances, the Fv framework region (FW) residues of a human immunoglobulin are ed with the corresponding residues in an dy from a non- human species that has the desired specificity, affinity, and capability.
Humanized antibodies can be further modified by the substitution of additional es either in the Fv framework region and/or within the replaced non-human residues to refine and optimize antibody specificity, affinity, and/or capability. In general, humanized dies will comprise substantially all of at least one, and typically two or three, variable domains containing all or ntially all of the CDR regions that correspond to the non- human immunoglobulin whereas all or ntially all of the FR regions are those of a human immunoglobulin consensus sequence. Humanized antibody can also comprise at least a portion of an immunoglobulin constant region or domain (Fc), typically that of a human immunoglobulin. Examples of methods used to generate humanized antibodies are described in US. Pat. Nos. 5,225,539 or 5,639,641.
A "variable region" of an antibody refers to the variable region of the antibody light chain or the le region of the antibody heavy chain, either alone or in ation.
The variable regions of the heavy and light chain each consist of four framework regions (FW) connected by three complementarity-determining regions (CDRs) also known as hypervariable regions. The CDRs in each chain are held together in close proximity by the FW s and, with the CDRs from the other chain, contribute to the formation of the antigen-binding site of dies. There are at least two techniques for determining CDRs: (1) an approach based on cross-species sequence variability (i.e., Kabat et a1. Sequences of Proteins of Immunological Interest, (5th ed., 1991, National Institutes of Health, Bethesda Md.)); and (2) an approach based on crystallographic studies of antigen-antibody complexes (Al-lazikani et a1. (1997) J. Molec. Biol. 273:927-948)). In addition, combinations of these two ches are mes used in the art to determine CDRs.
] The Kabat numbering system is generally used when ing to a residue in the variable domain (approximately residues 1-107 of the light chain and residues 1-113 of the heavy chain) (e.g,, Kabat et al., Sequences of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, Md. (1991)).
] The amino acid position numbering as in Kabat, refers to the numbering system used for heavy chain variable domains or light chain variable domains of the compilation of antibodies in Kabat et al., Sequences of ns of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, Md. (1991). Using this numbering system, the actual linear amino acid sequence can contain fewer or additional amino acids corresponding to a shortening of, or insertion into, a FW or CDR of the variable domain. For example, a heavy chain le domain can include a single amino acid insert (residue 52a according to Kabat) after residue 52 of H2 and inserted residues (e.g., residues 82a, 82b, and 82c, etc. according to Kabat) after heavy chain FW residue 82.
TABLE 1 Loop Kabat. AbM Chothia Ll L24~L34 LL24~L34 L34 L2 1.50-1.56 150-15. 6 1.50-1.56 L3 [.89— L97 1.89—1.97 1.89197 H1 .HBl—H3SB H26—HESB H32..34 (Kab at Numbering) H1 H31—H35 H.25— H35 1126-1132.
{Chothia Numbering} HE [150— {-165 {-150— {-158 11524-156 H3- HS’S—HlUZ HQS—HlOZ HE’S—H102 ] The Kabat numbering of residues can be determined for a given antibody by alignment at regions of homology of the ce of the dy with a "standar " Kabat numbered sequence. Chothia refers instead to the location of the structural loops (Chothia and Lesk, J. Mol. Biol. 196:901-917 ). The end of the Chothia CDR-H1 loop when numbered using the Kabat numbering convention varies between H32 and H34 depending on the length of the loop (this is because the Kabat ing scheme places the insertions at H35A and H35B; if neither 35A nor 35B is present, the loop ends at 32; if only 35A is present, the loop ends at 33; if both 35A and 35B are present, the loop ends at 34). The AbM hypervariable regions represent a mise between the Kabat CDRs and Chothia structural loops, and are used by Oxford Molecular's AbM antibody modeling software. See Table 1.
IMGT oGeneTics) also provides a numbering system for the globulin variable regions, including the CDRs. See e.g., Lefranc, M.P. et (1]., Dev.
Comp. Immunol. 27: 55-77(2003), which is herein incorporated by reference. The IMGT numbering system was based on an alignment of more than 5,000 sequences, structural data, and characterization of hypervariable loops and allows for easy comparison of the variable and CDR regions for all species. ing to the IMGT numbering schema VH-CDRl is at positions 26 to 35, VH-CDR2 is at positions 51 to 57, VH-CDR3 is at positions 93 to 102, VL-CDRl is at positions 27 to 32, VL-CDR2 is at positions 50 to 52, and VL-CDR3 is at positions 89 to 97.
As used throughout the specification the VH CDRs sequences described correspond to the classical Kabat numbering locations, namely Kabat VH-CDRl is at positions 31-35, VH-CDR2 is a ons 50-65, and VH-CDR3 is at positions 95-102. VL- CDRl, VL-CDR2 and VL-CDR3 also correspond to classical Kabat numbering locations, namely positions 24-34, 50-56 and 89-97, respectively.
The term "human antibody" means an antibody ed by a human or an antibody having an amino acid sequence corresponding to an antibody ed by a human made using any technique known in the art. This definition of a human dy includes intact or full-length antibodies, fragments thereof, and/or antibodies comprising at least one human heavy and/or light chain polypeptide such as, for example, an antibody comprising murine light chain and human heavy chain polypeptides.
The term "chimeric antibodies" refers to antibodies wherein the amino acid sequence of the globulin molecule is derived from two or more species. lly, the variable region of both light and heavy chains corresponds to the variable region of antibodies derived from one species of mammals (e.g., mouse, rat, rabbit, etc.) with the desired icity, ty, and capability while the constant regions are homologous to the sequences in antibodies derived from another (usually human) to avoid eliciting an immune response in that species.
The terms "YTE" or "YTE mutant" refer to a mutation in IgGl PC that results in an increase in the binding to human FcRn and improves the serum half-life of the antibody having the on. A YTE mutant comprises a combination of three mutations, M252Y/8254T/T256E (EU numbering Kabat et a1. (1991) Sequences of Proteins of Immunological Interest, U.S. Public Health Service, National Institutes of Health, Washington, DC), introduced into the heavy chain of an IgGl. See U.S. Patent No. 7,658,921, which is incorporated by reference herein. The YTE mutant has been shown to increase the serum half-life of antibodies approximately four-times as compared to wild-type versions of the same antibody (Dall'Acqua et al., J. Biol. Chem. 281:23514-24 (2006); Robbie et al., (2013) Antimicrob. Agents Chemother. 57, 153). See also U.S. Patent No. 7,083,784, which is hereby incorporated by reference in its entirety.
"Binding affinity" generally refers to the strength of the sum total of non-covalent interactions n a single binding site of a le (e.g., an antibody) and its binding partner (e. g., an antigen). Unless indicated otherwise, as used herein, "binding ty" refers to intrinsic binding affinity which re?ects a 1:1 interaction n members of a binding pair (e.g., antibody and antigen). The affinity of a molecule X for its partner Y can generally be ented by the dissociation constant (KD). ty can be measured by common methods known in the art, including those described herein. Low-affinity antibodies generally bind antigen slowly and tend to dissociate readily, whereas high-affinity dies generally bind antigen faster and tend to remain bound longer. A variety of s of measuring binding affinity are known in the art, any of which can be used for purposes of the present invention.
"Potency" is normally expressed as an IC50 value, in nM or pM unless otherwise stated. IC50 is the median inhibitory concentration of an antibody molecule. In functional assays, IC50 is the concentration that reduces a biological response by 50% of its maximum.
In ligand-binding studies, IC50 is the concentration that reduces receptor binding by 50% of maximal specific binding level. IC50 can be calculated by any number of means known in the art.
The fold improvement in potency for the antibodies or polypeptides of the invention as compared to a reference antibody can be at least about 2-fold, at least about 4- fold, at least about 6-fold, at least about 8-fold, at least about 10-fold, at least about 20-fold, at least about 30-fold, at least about 40-fold, at least about 50-fold, at least about 60-fold, at least about d, at least about 80-fold, at least about 90-fold, at least about lOO-fold, at least about llO-fold, at least about 120-fold, at least about ld, at least about l40-fold, at least about 150-fold, at least about l60-fold, at least about l70-fold, or at least about 180- fold or more.
"Antibody-dependent cell-mediated cytotoxicity" or "ADCC" refers to a form of cytotoxicity in which secreted Ig bound onto Fc ors (FcRs) present on certain cytotoxic cells (e.g., Natural Killer (NK) cells, neutrophils, and macrophages) s these cytotoxic effector cells to bind specifically to an antigen-bearing target cell and subsequently kill the target cell with xins. Specific high-affinity IgG antibodies ed to the surface of target cells "arm" the xic cells and are absolutely required for such g.
Lysis of the target cell is extracellular, requires direct cell-to-cell contact, and does not involve complement. It is contemplated that, in addition to antibodies, other proteins comprising Fc regions, specifically Fc fusion proteins, having the capacity to bind specifically to an antigen-bearing target cell will be able to effect ediated cytotoxicity.
For simplicity, the cell-mediated cytotoxicity ing from the activity of an Fc fusion protein is also referred to herein as ADCC activity.
A ptide, antibody, polynucleotide, vector, cell, or composition that is "isolated" is a polypeptide, antibody, cleotide, vector, cell, or composition that is in a form not found in nature. Isolated polypeptides, antibodies, polynucleotides, vectors, cells or compositions include those which have been purified to a degree that they are no longer in a form in which they are found in nature. In some embodiments, an antibody, polynucleotide, vector, cell, or composition that is isolated is substantially pure.
] By "subject" or "individual" or "animal" or "patient" or "mammal," is meant any subject, ularly a mammalian subject, for whom sis, prognosis, or therapy is desired. Mammalian subjects include humans, domestic animals, farm animals, sports animals, and zoo animals including, e.g., humans, man primates, dogs, cats, guinea pigs, rabbits, rats, mice, horses, cattle, bears, and so on.
The term "pharmaceutical composition" refers to a preparation which is in such form as to permit the biological activity of the active ingredient to be effective, and which contains no additional components which are unacceptably toxic to a subject to which the composition would be stered. Such composition can be sterile.
An "effective amount" of an antibody as disclosed herein is an amount sufficient to carry out a specifically stated purpose. An "effective " can be determined empirically and in a routine manner, in relation to the stated purpose.
The word " when used herein refers to a detectable compound or composition that is conjugated directly or indirectly to the antibody so as to generate a "labeled" antibody. The label can be detectable by itself (6. g., radioisotope labels or cent ) or, in the case of an enzymatic label, can catalyze chemical alteration of a ate compound or ition that is detectable.
Terms such as ing" or "treatment" or "to treat" or iating" or "to alleviate" refer to therapeutic measures that cure, slow down, lessen symptoms of, and/or halt progression of a diagnosed pathologic condition or disorder. Thus, those in need of treatment include those already with the disorder. In certain embodiments, a subject is successfully "treated" for an in?ammatory, immune-mediated, or autoimmune disease or disorder according to the methods ed herein if the patient shows, e. g., total, partial, or transient alleviation or elimination of symptoms associated with the disease or disorder.
"Prevent" or "prevention" refer to prophylactic or preventative measures that prevent and/or slow the development of a targeted pathologic condition or disorder. Thus, those in need of prevention include those prone to have or tible to the er. In certain embodiments, an in?ammatory, immune-mediated, or autoimmune disease or er is successfully prevented according to the methods provided herein if the patient develops, e.g., transiently or permanently, fewer or less severe symptoms associated with the disease or disorder, or a later onset of symptoms associated with the disease or disorder, than a patient who has not been subject to the methods of the invention.
A "polynucleotide," as used herein can include one or more "nucleic acids," "nucleic acid les," or "nucleic acid sequences," and refers to a polymer of nucleotides of any length, and es DNA and RNA. The polynucleotides can be ibonucleotides, ribonucleotides, modified nucleotides or bases, and/or their s, or any substrate that can be incorporated into a polymer by DNA or RNA polymerase. A cleotide can comprise modified nucleotides, such as methylated nucleotides and their analogs. The preceding description applies to all polynucleotides referred to herein, including RNA and DNA.
The term "vector" means a construct, which is capable of delivering, and in some embodiments, expressing, one or more gene(s) or sequence(s) of interest in a host cell.
Examples of vectors include, but are not limited to, viral vectors, naked DNA or RNA sion vectors, plasmid, cosmid or phage vectors, DNA or RNA expression vectors associated with cationic condensing agents, DNA or RNA expression vectors encapsulated in mes, and certain otic cells, such as producer cells.
The terms "polypeptide," "peptide," and "protein" are used interchangeably herein to refer to polymers of amino acids of any . The polymer can be linear or branched, it can comprise modified amino acids, and ino acids can interrupt it. The terms also encompass an amino acid r that has been modified naturally or by intervention; for example, disulfide bond formation, glycosylation, lipidation, acetylation, orylation, or any other manipulation or modification, such as conjugation with a labeling component. Also included within the definition are, for example, polypeptides containing one or more analogs of an amino acid (including, for e, unnatural amino acids, etc.), as well as other modifications known in the art. It is understood that, because the polypeptides of this invention are based upon antibodies, in n embodiments, the polypeptides can occur as single chains or associated .
The terms "identical" or percent "identity" in the context of two or more nucleic acids or polypeptides, refer to two or more sequences or subsequences that are the same or have a specified percentage of tides or amino acid residues that are the same, when compared and aligned (introducing gaps, if necessary) for maximum correspondence, not considering any conservative amino acid substitutions as part of the sequence identity. The percent identity can be measured using sequence comparison re or algorithms or by visual inspection. Various algorithms and re are known in the art that can be used to obtain alignments of amino acid or nucleotide sequences.
One such non-limiting example of a sequence ent algorithm is the algorithm described in Karlin et al., 1990, Proc. Natl. Acad. Sci, 87:2264-2268, as modified in Karlin et al., 1993, Proc. Natl. Acad. Sci, 90:5873-5877, and incorporated into the NBLAST and XBLAST programs (Altschul et al., 1991, Nucleic Acids Res., 25:3389-3402).
In certain embodiments, Gapped BLAST can be used as bed in ul et al., 1997, Nucleic Acids Res. 25:3389-3402. BLAST-2, WU-BLAST-2 (Altschul et al., 1996, Methods in Enzymology, 266:460-480), ALIGN, ALIGN-2 (Genentech, South San Francisco, California) or Megalign (DNASTAR) are additional ly ble software programs that can be used to align sequences. In certain embodiments, the percent identity between two nucleotide sequences is determined using the GAP program in the GCG software package (e.g., using a NWSgapdna.CMP matrix and a gap weight of 40, 50, 60, 70, or 90 and a length weight of 1, 2, 3, 4, 5, or 6). In certain alternative ments, the GAP program in the GCG re package, which incorporates the algorithm of Needleman and Wunsch (J. Mol. Biol. (48):444-453 (1970)) can be used to determine the percent identity between two amino acid sequences (e. g., using either a BLOSUM 62 matrix or a PAM250 matrix, and a gap weight of 16, 14, 12, 10, 8, 6, or 4 and a length weight of 1, 2, 3, 4, 5).
Alternatively, in certain embodiments, the percent identity between nucleotide or amino acid sequences is determined using the algorithm of Myers and Miller (CABIOS, 4: 1 1-17 (1989)). For example, the percent identity can be ined using the ALIGN program (version 2.0) and using a PAM120 with residue table, a gap length penalty of 12 and a gap penalty of 4. One skilled in the art can determine appropriate parameters for maximal alignment by particular alignment software. In certain embodiments, the default parameters of the alignment software are used.
In certain embodiments, the tage identity "X" of a first amino acid sequence to a second sequence amino acid is calculated as 100 x (Y/Z), where Y is the number of amino acid residues scored as identical matches in the alignment of the first and second sequences (as aligned by visual inspection or a particular sequence ent program) and Z is the total number of residues in the second sequence. If the length of a first sequence is longer than the second ce, the percent identity of the first sequence to the second sequence will be higher than the percent identity of the second sequence to the first sequence.
A rvative amino acid substitution" is one in which one amino acid residue is replaced with another amino acid residue having a similar side chain. Families of amino acid residues having similar side chains have been d in the art, including basic side chains (e.g., , arginine, histidine), acidic side chains (e.g., aspartic acid, glutamic acid), uncharged polar side chains (e.g., asparagine, glutamine, serine, ine, tyrosine, cysteine), nonpolar side chains (e.g., glycine, alanine, valine, e, isoleucine, proline, phenylalanine, methionine, tryptophan), beta-branched side chains (e.g., threonine, valine, isoleucine) and ic side chains (e.g., tyrosine, phenylalanine, tryptophan, histidine).
For example, substitution of a phenylalanine for a ne is a conservative substitution. In certain embodiments, conservative substitutions in the sequences of the polypeptides and antibodies of the invention do not abrogate the binding of the polypeptide or antibody containing the amino acid sequence, to the antigen(s), i.e., the IL-21 to which the polypeptide or antibody binds. Methods of fying nucleotide and amino acid conservative substitutions which do not eliminate antigen-binding are well-known in the art (see, e.g., ll et (1]., Biochem. 32: 1180-1 187 (1993); Kobayashi et (11., Protein Eng. 12(10):879-884 (1999); and Burks et al., Proc. Natl. Acad. Sci. USA 94:.412-417 (1997)).
II. Anti-ILbinding molecules The present invention es IL-21 binding molecules, e.g., anti-IL—21 antibodies and antigen-binding fragments thereof that specifically bind IL-21. The full- length amino acid (aa) and nucleotide (nt) sequences for IL-21 are known in the art. See, e.g., GenBank Accession Nos. BC066260.1 (SEQ ID NO:1) and AAH69124.1 (SEQ ID NO:2), respectively, for human IL-21, or US Patent Application ation No. 2008- 0267910 A1 for cynomolgus monkey (Macaca fasciculari) IL—21 (SEQ ID NOs: 3 and 4, respectively). In some embodiments, IL—21 binding les, e.g., anti-IL-21 antibodies or antigen-binding fragments thereof provided herein are murine antibodies, humanized antibodies or human antibodies. In certain embodiments, the IL-21 binding molecules are dies or antigen-binding fragments thereof. In some embodiments, IL-21 binding molecules, e.g., anti-IL-21 antibodies or antigen-binding fragments thereof comprise a Fab, a Fab‘, a F(ab')2, a Fd, a single chain Fv or scFv, a disulfide linked Fv, a V-NAR domain, an IgNar, an intrabody, an Z, a minibody, a F(ab')3, a tetrabody, a triabody, a diabody, a single-domain antibody, DVD-Ig, Fcab, mAbz, a (scFv)2, or a scFv-Fc. In some embodiments, the antibody is of the IgGl subtype and comprises the triple mutant YTE, as dmckmedsupnihidk2De?n?nHmsec?on.(khahianu41r2landbodmsor?agnwnm thereof are provided in Table 2 in the examples section.
] In certain aspects, this disclosure provides an IL-2l binding le or antigen- binding nt thereof, e. g., an anti-IL-2l dy or antigen-binding fragment thereof, which can specifically bind to the same IL-2l epitope as an antibody or antigen-binding fragment thereof comprising the heavy chain variable region (VH) and light chain variable region (VL) of l9E3, 9Fll, 8B6, or 9H10. Also provide is an IL-2l binding molecule or antigen-binding fragment f, e. g., an anti-IL-2l antibody or antigen-binding nt thereof, which can competitively inhibit, or can bind to IL-21 with a greater affinity than an antibody or antigen-binding fragment thereof comprising the VH and VL of l9E3, 9Fl l, 8B6, or 9H10. As provided , the VH and VL of l9E3 comprise SEQ ID NOs: 6 and 11, respectively, the VH and VL of 9Fll comprise SEQ ID NOs: 28 and 33, respectively, the VH and VL of 8B6 comprise SEQ ID NOs: 42 and 47, respectively, and the VH and VL of 9H10 comprise SEQ ID NOs: 52 and 57, respectively.
The disclosure further provides an IL-2l binding molecule or antigen-binding fragment, e.g., an anti-IL-2l antibody or antigen-binding nt thereof, ing an antibody VL region. In certain aspects the VL region es one, two, or three VL-CDRs such as a VLCDRl identical to, or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions to SEQ ID NO: 12, SEQ ID NO: 34, SEQ ID NO: 48, or SEQ ID NO: 58, a VLCDR2 cal to or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions to SEQ ID NO: 13, SEQ ID NO: 35, SEQ ID NO: 49, or SEQ ID NO: 59, or a VLCDR3 identical to or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions to SEQ ID NO: 14, SEQ ID NO: 36, SEQ ID NO: 50, or SEQ ID NO: 60. In certain aspects the VL region contains VL- CDRl, VL-CDR2, and VL-CDR3 amino acid sequences identical to, or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions in one or more of the VL-CDRS to: SEQ ID NOs: l2, l3, and 14, SEQ ID NOs: 34, 35, and 36, SEQ ID NOs: 48, 49, and 50, or SEQ ID NOs: 58, 59, and 60, respectively. In certain aspects, the VL region connmisesanzunhu)acnlsequenceatleast7096,7596,8096,8596,9096,9596,or10096 identical to the reference amino acid sequence SEQ ID NO: 11, SEQ ID NO: 17, SEQ ID NO: 21, SEQ ID NO: 25, SEQ ID NO: 33, SEQ ID NO: 39, SEQ ID NO: 40, SEQ ID NO: 47, or SEQ ID NO: 57.
] Further provided is a binding le or antigen-binding fragment thereof that ically binds to IL—21, e. g., an anti-IL-21 antibody or antigen-binding fragment thereof including an antibody VH region. In certain aspects the VH region includes one, two, or three VH-CDRs such as a VHCDRl identical to, or identical except for eight, seven, six, ?wz?mndmw?wdormmammoaddmmm?mkmsmSEQHDNOKLSEQHDNO?N, SEQ ID NO: 43, or SEQ ID NO: 53, a VHCDR2 identical to or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions to SEQ ID NO: 8, SEQ ID NO: 30, SEQ ID NO: 44, or SEQ ID NO: 54, or a VHCDR3 cal to or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions to SEQ ID NO: 9, SEQ ID NO: 31, SEQ ID NO: 45, or SEQ ID NO: 55. In certain aspects the VH region contains VH-CDRl, VH-CDR2, and VH-CDR3 amino acid sequences identical to, or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions in one or more of the VH-CDRS to: SEQ ID NOs: 7, 8, and 9, SEQ ID NOs: 29, 30 and 31, SEQ ID NOs: 43, 44, and 45, or SEQ ID NOs: 53, 54, and 55, respectively. In certain aspects, the VH region comprises an amino acid ce at least 70%, 75%, 80%, 85%, 90%, 95%, or 100% identical to the reference amino acid sequence SEQ ID NO: 6, SEQ ID NO: 15, SEQ ID NO: 19, SEQ ID NO: 23, SEQ ID NO: 28, SEQ ID NO: 37, SEQ ID NO: 38, SEQ ID NO: 42 or SEQ ID NO: 52.
] In ular aspects, an IL-21 binding molecule ed herein comprises an anti-IL-21 antibody or antigen-binding fragment thereof. For example, the disclosure provides an isolated antibody or antigen-binding fragment thereof which specifically binds to IL-21 comprising a VL region and a VH , where the VL and VH collectively contain VL-CDRl, VL-CRD2, VL-CDR3, VH-CDRl, VH-CDR2, and VH-CDR3 amino acnlsequencesiden?caloriden?calexceptfortnght,seven,six,?ve,four,dnee,hvo,orone amino acid substitutions in one or more CDRs to: SEQ ID NOs: 12, 13, 14, 7, 8, and 9, SEQ :34,35,36,29,30,and31,SIKQII)NCB:48,49,50,43,44,and45,orSIKQID NEE:58,59,60,53,54,and55,nmpec?vebh For example, the disclosure provides an isolated antibody or antigen-binding fragment thereof which specifically binds to IL-21 comprising a VH and a VL, where the \fIIandTVIiconunn,respec?vely,annn()acnlsequencesatleast7096,7596,8096,8596,909b, 95%, or 100% identical to reference amino acid sequences SEQ ID NO: 6 and SEQ ID NO: 11, SEQ ID NO: 15 and SEQ ID NO: 17, SEQ ID NO: 19 and SEQ ID NO: 21, SEQ ID NO: 23 and SEQ ID NO: 25, SEQ ID NO: 28 and SEQ ID NO: 33, SEQ ID NO: 37 and SEQ ID NO: 39, SEQ ID NO: 38 and SEQ ID NO: 39, SEQ ID NO: 37 and 40, SEQ ID NO: 42 and SEQ ID NO: 47, or SEQ ID NO: 52 and SEQ ID NO: 57, respectively.
In one aspect, the disclosure provides an anti-IL-21 antibody or antigen-binding fragment thereof comprising the VH and VL of K44VHa-N56Q, VH amino acid sequence SEQ ID NO: 19 and the VL amino acid sequence SEQ ID NO: 21.
An anti-IL-21 antibody or antigen-binding fragment thereof provided herein, e.g., as described above can be, e.g., a murine dy, a humanized antibody, a chimeric dy, a monoclonal antibody, a polyclonal antibody, a recombinant antibody, a multispecific antibody, or any combination thereof. An anti-IL-21 antibody antigen-binding fragment can be an Fv fragment, an Fab nt, an F(ab')2 fragment, an Fab' fragment, a dst fragment, an scFv fragment, or an sc(Fv)2 fragment.
In one aspect, the disclosure provides an anti-IL-21 antibody or n-binding fragment thereof that can bind to IL-21 molecules across species, e.g., the antibody or fragment can bind to mouse IL-21, rat IL-21, rabbit, IL-21, human IL-21 and/or cynomolgus monkey IL-21. For e, the antibody or fragment can bind to human IL-21 and cynomolgus monkey IL-21. In a r example, the antibody or fragment can also bind to mouse IL-21.
The IL-21 receptor shares a common gamma chain with a number of other cytokine receptors, e.g., IL-2R, IL-4R, IL-7R, IL-9R, and IL-15R. In certain embodiments provided herein, an anti-IL-21 antibody or antigen binding fragment f can specifically bind to IL-21, e.g., human IL-21 and cynomolgus monkey IL-21, and mouse IL-21 but does not specifically bind to human IL-2, IL-4, IL-7, IL-9, or IL-15.
An anti-IL-21 antibody or antigen-binding nt thereof provided herein, e.g., as described above, can e, in addition to a VH and a VL, a heavy chain constant region or fragment thereof. In certain s the heavy chain constant region is a human heavy chain nt region, e.g., a human IgG nt region, e.g., a human IgG1 constant region. As described elsewhere herein, in certain aspects a heavy chain constant region or fragment thereof, e.g., a human IgG constant region or fragment thereof, can include one or more amino acid substitutions relative to a Wild-type IgG nt domain wherein the modified IgG has an increased half-life compared to the half-life of an IgG having the Wild- type IgG constant domain. For e, the IgG constant domain can contain one or more amino acid substitutions of amino acid residues at ons 251-257, 285-290, 308-314, 9, and 428-436, n the amino acid position numbering is according to the EU index as set forth in Kabat. In certain aspects the IgG nt domain can contain one or more of a substitution of the amino acid at Kabat position 252 with ne (Y), Phenylalanine (F), Tryptophan (W), or Threonine (T), a substitution of the amino acid at Kabat position 254 with Threonine (T), a substitution of the amino acid at Kabat position 256 with Serine (S), Arginine (R), Glutamine (Q), Glutamic acid (E), Aspartic acid (D), or Threonine (T), a substitution of the amino acid at Kabat position 257 with Leucine (L), a substitution of the amino acid at Kabat position 309 with e (P), a substitution of the amino acid at Kabat position 311 with Serine (S), a substitution of the amino acid at Kabat position 428 with Threonine (T), Leucine (L), Phenylalanine (F), or Serine (S), a substitution of the amino acid at Kabat position 433 with Arginine (R), Serine (S), Isoleucine (I), Proline (P), or Glutamine (Q), or a substitution of the amino acid at Kabat on 434 with Tryptophan (W), Methionine (M), Serine (S), Histidine (H), alanine (F), or Tyrosine.
More specifically, the IgG constant domain can contain amino acid substitutions relative to a Wild-type human IgG constant domain including as substitution of the amino acid at Kabat position 252 with Tyrosine (Y), a substitution of the amino acid at Kabat position 254 with Threonine (T), and a substitution of the amino acid at Kabat position 256 with Glutamic acid This disclosure provides an anti-IL-21 antibody or n-binding fragment f Where the heavy chain is a human IgG1 YTE mutant, e.g., the heavy chain can comprise a heavy chain amino acid sequence at least 70%, 75%, 80%, 85%, 90%, 95%, or 100% identical to the reference amino acid sequence SEQ ID NO: 16, SEQ ID NO: 20, or SEQ ID NO: 24.
An anti-IL-21 antibody or antigen-binding nt thereof provided herein, e.g., as bed above, can include, in addition to a VH and a VL, and optionally a heavy chain constant region or fragment thereof, a light chain constant region or nt thereof. In certain aspects the light chain constant region is a kappa lambda light chain constant region, e.g., a human kappa constant region or a human lambda constant region. In a specific aspect, the light chain constant region is a human kappa constant region.
This disclosure provides an anti-IL-21 antibody or antigen-binding fragment thereof Where the light chain contains a human kappa constant region, e.g., the light chain can comprise a light chain amino acid sequence at least 70%, 75%, 80%, 85%, 90%, 95%, or 100% identical to the reference amino acid sequence SEQ ID NO: 18, SEQ ID NO: 22, or SEQ ID NO: 26. In certain aspects the disclosure provides an anti-IL-21 antibody or antigen-binding nt thereof comprising a human IgG1 YTE heavy chain and a human kappa light chain, Where the antibody is composed of SEQ ID NO: 16 and SEQ ID NO: 18, SEQ ID NO: 20 and SEQ ID NO: 22, or SEQ ID NO: 24 and SEQ ID NO: 26, respectively, or any n-binding fragment thereof.
Anti-IL-21 antibodies or fragments thereof provided herein can have beneficial properties. For example, the antibody or fragment thereof can inhibit, suppress, or block IL- 21 from binding to an IL-21 receptor, e.g., expressed on a T cell, a B cell, an NK cell, an NKT cell, or a dendritic cell, or expressed recombinantly in a non-lymphoid cell. As a further example, the antibody or fragment can inhibit human or cynomolgus IL-21 binding to the human or lgus IL-21 receptor but does not inhibit binding of mouse IL-21 to mouse IL-21 receptor. Such an anti-IL-21 antibody or fragment thereof can further inhibit, suppress, or block various mediated activities, i.e., the antibody or fragment can be an antagonist of IL-21 activity. In certain aspects, an anti-IL-21 antibody or nt thereof provided herein can inhibit, suppress, or block ILmediated phosphorylation in the Jak/STAT pathway, e.g., inhibit, suppress or block phosphorylation of STAT3, in IL-21R- expressing cells, e.g., in human peripheral blood mononuclear cells (PBMC).
In certain aspects, an anti-IL-21 antibody or fragment thereof provided herein can inhibit, suppress, or block ILmediated eron-gamma (IFN-y) production by NK cells. Such tion can be from lly-occurring NK cells, e.g., human NK cells, or cultured NK cells, e.g., NK-92 cells.
In particular aspects, an anti-IL-21 antibody or fragment thereof provided herein can inhibit, suppress, or block IL—21-mediated B cell activation, entiation or death during a humoral immune response. For example, an anti-IL-21 antibody or fragment thereof provided herein can inhibit, suppress, or block ILmediated B cell differentiation of stimulated B cells into plasma cells. Certain dies provided herein can t, suppress or block human and cynomolgus monkey ILmediated differentiation of stimulated B cells into plasma cells. In certain s, the B cells can be isolated B cells to which IL—21 is exogenously added. In other aspects the B cells can be in contact with, either lly or through co-culture, activated CD4+ T cells that express IL—21. In other aspects the human B cells can be in contact with, either naturally or h co-culture, human activated CD4+ T cells that express IL-21.
In certain aspects, an antibody or antigen-binding fragment thereof as provided herein can bind to IL-21 with a binding affinity characterized by a dissociation constant (KD) of about 100 pM to about 0.1 pM as measured on a Kinetic Exclusion Assay (KinEXA) 3000 platform.
In certain s, an anti-IL-2l antibody or n-binding fragment thereof can specifically bind to IL-21, e. g., human IL-21 or cynomolgus monkey IL-21, and antigenic fragments thereof with a dissociation constant or KD of less than 10—6 M, or of less than 10—7 M, or of less than 10—8 M, or of less than 10—9 M, or of less than 10—10 M, or of less than —11 M, of less than 10—12 M, of less than 10—13 M, of less than 10—14 M, or of less than 10—15 M as measured, e.g., by KINEXA® or E®. In one , the humanized anti-IL- 21 antibody K44VHa-N56Q can bind to human IL-2l with a KD about 515 fM (515 X 10—15 M) and cynomolgus monkey IL-2l with a KD of about 352 fM (352 X 10—15 M) as measured by KINEXA®.
In another embodiment, an anti-IL-2l antibody or antigen-binding fragment thereof of the invention binds to IL—21 and/or antigenic fragments thereof with a Koff of less than l><10_3 S4, or less than 2><10_3 s‘l. In other embodiments, an anti-IL—2l antibody or antigen-binding fragment thereof binds to IL-21 and antigenic fragments thereof with a Koff of less than 10—3 s‘l, less than 3 s‘l, less than 10—4 s‘l, less than 5><10_4 s‘l, less than —5 S4, less than 5><10_5 s‘l, less than 10—6 S4, less than 6 s‘l, less than less than ><10_7 s‘l, less than 10—8 s‘l, less than 8 s‘l, less than 10—9 S4, less than 9 S4, or less than 10—10 s‘1 as measured, e.g., by KINEXA® or BIACORE®.
In another embodiment, an anti-IL-2l antibody or antigen-binding fragment thereof of the invention binds to IL—21 and/or antigenic fragments thereof with an association rate constant or kon rate of at least 105 M‘1 S4, at least 5><105 M‘1 s‘l, at least 106 M‘1 s‘l, at least 5><106 M‘1 s‘l, at least 107 M‘1 s‘l, at least 5><107 M‘1 s‘l, or at least 108 M—1 s‘l, or at least 109 M‘1 s‘1 as measured, e.g., by KINEXA® or E®.
As noted above, a VH and/or VL amino acid sequence can be, e.g., 85%, 90%, 95%, 96%, 97%, 98% or 99% similar to a sequence set forth herein, and/or se l, 2, 3, 4, 5 or more substitutions, e.g., conservative substitutions relative to a sequence set forth herein. An IL-2l antibody having VH and VL regions having a n percent similarity to a VH region or VL region, or having one or more tutions, e. g., conservative substitutions can be obtained by mutagenesis (e. g., site-directed or PCR-mediated mutagenesis) of nucleic acid molecules encoding VH and/or VL s described herein, followed by testing of the encoded altered antibody for binding to IL-21 and optionally testing for retained function using the functional assays described .
The affinity or avidity of an antibody for an n can be determined experimentally using any suitable method well known in the art, e.g., flow cytometry, enzyme-linked immunosorbent assay (ELISA), or radioimmunoassay (RIA), or kinetics (e.g., KINEXA® or BIACORETM analysis). Direct binding assays as well as competitive binding assay s can be readily employed. (See, for e, Berzofsky et al., "Antibody-Antigen Interactions," In Fundamental logy, Paul, W. E., Ed., Raven Press: New York, NY. (1984); Kuby, Immunology, W. H. Freeman and Company: New York, NY. (1992); and methods described herein.) The measured affinity of a particular antibody-antigen interaction can vary if measured under different conditions (e. g., salt concentration, pH, temperature). Thus, measurements of affinity and other antigen-binding parameters (e.g., KD or Kd, Kon, Koff) are made with standardized solutions of antibody and antigen, and a rdized buffer, as known in the art and such as the buffer described The disclosure further provides an anti-IL-21 dy or fragment thereof as bed above, where the antibody is conjugated to a heterologous agent. In certain aspects the agent can be an antimicrobial agent, a therapeutic agent, a prodrug, a e, a protein, an , a lipid, a biological response er, a pharmaceutical agent, a lymphokine, a heterologous antibody or fragment thereof, a detectable label, a hylene glycol (PEG), or a combination of two or more of any said agents. Heteroconjugate anti-IL- 21 antibodies are discussed in more detail elsewhere herein.
In certain embodiments, the ILbinding molecule is a polypeptide that is not an antibody. A variety of methods for identifying and producing non-antibody polypeptides that bind with high affinity to a protein target are known in the art. See, e.g., Skerra, Curr.
Opin. Biotechnol., 18:295-304 (2007), Hosse et (11., Protein Science, 15:14-27 (2006), Gill et al., Curr. Opin. Biotechnol., 17:653-658 (2006), Nygren, FEBS J., 275:2668-76 (2008), and Skerra, FEBS J., 77-83 (2008), each of which is incorporated by nce herein in its entirety. In certain embodiments, phage display technology can been used to identify/produce an ILbinding polypeptide. In certain embodiments, the polypeptide ses a protein scaffold of a type selected from the group consisting of protein A, a lipocalin, a fibronectin domain, an ankyrin consensus repeat domain, and thioredoxin. 111. Binding Molecules That Bind to the Same Epitope as Anti-IL-21 Antibodies and Antigen-Binding Fragments Thereof of the ion ] In certain embodiments this disclosure provides an ILbinding molecule, e. g., an anti-IL-21 antibody or n-binding fragment f that binds to the same epitope as do the various anti-IL-21 antibodies described herein. The term "epitope" as used herein refers to a target protein determinant capable of binding to an antibody of the invention. es y consist of chemically active surface groupings of molecules such as amino acids or sugar side chains and usually have specific three-dimensional structural characteristics, as well as specific charge characteristics. Conformational and non- conformational epitopes are distinguished in that the binding to the former but not the latter is lost in the presence of denaturing solvents. Such antibodies can be identified based on their ability to cross-compete (e. g., to competitively inhibit the binding of, in a statistically significant ) with antibodies such as 19E3, 9F11, 9H10, or 8B6, in standard IL-21 g or activity assays. Accordingly, in one embodiment, the invention provides anti-IL- 21 antibodies and antigen-binding fragments thereof, e.g., monoclonal antibodies, that compete for binding to IL-21 with another anti-IL-21 antibody or antigen-binding fragment f of the ion, such as murine monoclonal antibodies 19E3, 9F11, 9H10, or 8B6, or humanized variants as disclosed herein. The ability of a test antibody to inhibit the g of, e.g., 19E3, 9F11, 9H10, or 8B6 demonstrates that the test antibody can e with that antibody for binding to IL-21; such an antibody can, according to non-limiting theory, bind to the same or a related (e. g., a structurally r or spatially proximal) epitope on IL-21 as the anti-IL-21 antibody or n-binding fragment thereof with which it competes. In one embodiment, the anti-IL-21 antibody or antigen-binding fragment thereof that binds to the same epitope on IL-21 as, e.g., murine monoclonal antibodies 19E3, 9F11, 9H10, or 8B6.
IV. Activity of IL-21 Binding Molecules In some embodiments, an ILbinding molecule, e. g., an anti-IL-21 antibody or antigen-binding fragment thereof can suppress ILmediated signal transduction in IL- 21R-expressing cells. For e, an ILbinding molecule, e. g., an anti-IL-21 antibody or antigen-binding fragment thereof can suppress ILmediated phosphorylation of STAT3. In addition, an ILbinding molecule, e.g., an anti-IL-21 antibody or antigen- binding nt thereof can suppress IFNy production by NK cells. Moreover, an IL binding molecule, e. g., an anti-IL—21 antibody or antigen-binding fragment thereof can inhibit differentiation of stimulated B cells into plasma cells.
In some embodiments, an ILbinding molecule, e. g., an anti-IL-21 antibody or antigen-binding fragment f can suppress ILmediated phosphorylation of STAT3 in IL-21R-expressing cells (e.g., PBMCs) as measured by ?ow cytometry, with an IC50 lower than about 500 pM, lower than about 350 pM, lower than about 250 pM, lower than about 150 pM, lower than about 100 pM, lower than about 75 pM, lower than about 60 pM, lower than about 50 pM, lower than about 40 pM, lower than about 30 pM, lower than about 20 pM, lower than about 15 pM, lower than about 10 pM, or lower than about 5 pM. In certain aspects, an IL—21-binding molecule, e. g., an anti-IL-21 dy or antigen-binding fragment thereof can suppress human IL—21-mediated phosphorylation of STAT3 in IL-21R- expressing cells (e.g., PBMCs) as measured by ?ow cytometry, with an IC50 of about 22 pM, about 19 pM, about 17 pM, about 14 pM, about 13 pM, about 12 pM, about 6 pM, about 5 pM, or about 3 pM. In certain aspects, an ILbinding molecule, e.g., an anti-IL-21 antibody or antigen-binding fragment thereof can suppress cynomolgus monkey IL ed orylation of STAT3 in IL-21R-expressing cells (e.g., PBMCs) as measured byfknycyknneuy,"ddianICgoofabout52phd,about5lphd,about46ph4,aboutl9phl aboutl6phd,abouthph4,orabout6phI In some embodiments, an ILbinding molecule, e. g., an anti-IL-21 antibody or antigen-binding fragment f can suppress ILmediated IFNy production from NK cells as measured by the MSD human IFNy single-pleX assay with an IC50 lower than about 100 pM, lower than about 400 pM, lower than about 100 pM, lower than about 75 pM, lower than about 60 pM, lower than about 50 pM, lower than about 40 pM, lower than about 30 pM, lower than about 20 pM, lower than about 15 pM, lower than about 10 pM, or lower than about 5 pM. In certain s, an ILbinding molecule, e.g., an anti-IL-21 antibody or n-binding fragment thereof can suppress human IL—21-mediated IFNy tion from NK -92 cell line as measured by the MSD human IFNy single-pleX assay with an IC50 of about 99 pM, about 93 pM, about 55 pM, about 41 pM, or about 20 pM. In certain aspects, an binding molecule, e. g., an anti-IL-21 antibody or antigen-binding fragment thereof can suppress cynomolgus monkey ILmediated IFNy production from NK-92 cell line as measured by the MSD human IFNy single-pleX assay with an IC50 of about 83 pM, about8lphd,about60ph4,about37phd,orabout3ph& In some embodiments, an ILbinding molecule, e. g., an anti-IL—21 antibody or antigen-binding fragment f can suppress ILmediated differentiation of stimulated B cells, e.g., naive B cells and/or B memory cells stimulated with anti-CD40 and gM F(ab')2, into plasma cells, e.g., IgG ing plasma cells, as measured by ?ow try or ELISA with an IC50 lower than about 150 nM, lower than about 75 nM, lower than about 50 nM, lower than about 30 nM, lower than about 10 nM, lower than about 1,600 pM, lower than about 1,400 pM, lower than about 1000 pM, lower than about 800 pM, lower than about 700 pM, or lower than about 600 pM. In certain aspects, an ILbinding molecule, e.g., an L—21 antibody or n-binding fragment thereof can suppress human ILmediated differentiation of stimulated B cells, e.g., naive B cells and/or B memory cells ted with anti-CD40 and anti-IgM F(ab‘)2, into plasma cells, e.g., IgG producing plasma cells, as measured by ?ow cytometry or ELISA with an IC50 of about 115 nM, about 47 nM, about 1.5 nM, about 777 pM, about 618 pM, or about 573 pM. In certain aspects, an IL binding molecule, e. g., an anti-IL—21 antibody or antigen-binding fragment thereof can suppress cynomolgus monkey ILmediated differentiation of stimulated human B cells, e.g., naive B cells and/or B memory cells simulated with anti-CD40 and anti-IgM F(ab‘)2, into plasma cells, e.g., IgG producing plasma cells, as measured by ?ow cytometry or ELISA with an IC50 of about 74 nM, about 30 nM, about 9 nM, about 1.3 nM, about 1.0 nM, about 775 pM, or about 659 pM. In certain aspects, an ILbinding molecule, e.g., an anti- IL-21 antibody or antigen-binding fragment thereof can suppress cynomolgus monkey IL- 21-mediated differentiation of ated B cells into plasma cells, but not human IL mediated B cell entiation into plasma cells.
In certain aspects an ILbinding le, e.g., an anti-IL—21 antibody or antigen-binding fragment thereof can suppress B cell differentiation into plasma cells driven by ted CD4+ T cells which produce co-stimulatory molecules such as CD40L and B cell tropic cytokines such as IL-21. In other aspects, an ILbinding molecule, e.g., an anti-IL—21 antibody or antigen-binding fragment thereof can inhibit ILdriven proliferation of human naive CD4+ T-cells.
V. Preparation of Anti-IL-21 Antibodies and Antigen-binding Fragments Monoclonal anti-IL—21 antibodies can be prepared using hybridoma methods, such as those bed by Kohler and Milstein (1975) Nature 256:495. Using the hybridoma method, a mouse, hamster, or other appropriate host animal, is immunized as described above to elicit the tion by lymphocytes of antibodies that will specifically bind to an immunizing antigen. cytes can also be immunized in vitro. Following immunization, the lymphocytes are isolated and fused with a suitable myeloma cell line using, for example, polyethylene glycol, to form oma cells that can then be selected away from unfused lymphocytes and myeloma cells. omas that produce monoclonal antibodies directed specifically against a chosen antigen as determined by immunoprecipitation, immunoblotting, or by an in vitro binding assay (e. g. radioimmunoassay (RIA); enzyme-linked immunosorbent assay )) can then be propagated either in in vitro culture using standard methods (Goding, onal Antibodies: Principles and Practice, Academic Press, 1986) or in vivo as ascites tumors in an animal. The monoclonal dies can then be purified from the culture medium or ascites ?uid as described for onal antibodies above.
Alternatively anti-IL-21 monoclonal antibodies can also be made using recombinant DNA methods as described in U.S. Patent No. 4,816,567. The polynucleotides encoding a monoclonal antibody are isolated from mature B-cells or hybridoma cell, such as by RT-PCR using oligonucleotide primers that specifically amplify the genes encoding the heavy and light chains of the antibody, and their sequence is determined using conventional procedures. The isolated polynucleotides encoding the heavy and light chains are then cloned into suitable expression s, which when transfected into host cells such as E. coli cells, simian COS cells, Chinese hamster ovary (CHO) cells, or a cells that do not otherwise produce immunoglobulin protein, monoclonal antibodies are generated by the host cells. Also, recombinant anti-IL—21 monoclonal antibodies or antigen-binding fragments thereof of the desired species can be isolated from phage display libraries expressing CDRs of the desired s as described (McCafferty et al., 1990, Nature, 348:552-554; Clackson et al., 1991, Nature, 352:624-628; and Marks et al., 1991, J. Mol.
Biol., 222:581-597).
The polynucleotide(s) encoding an anti-IL-21 antibody or an antigen-binding fragment thereof can further be modified in a number of ent manners using recombinant DNA technology to te alternative antibodies. In some embodiments, the constant domains of the light and heavy chains of, for example, a mouse monoclonal dy can be substituted (1) for those regions of, for example, a human antibody to generate a chimeric antibody or (2) for a non-immunoglobulin polypeptide to generate a fusion dy. In some embodiments, the constant regions are truncated or removed to generate the desired antibody fragment of a monoclonal antibody. Site-directed or high- density mutagenesis of the variable region can be used to optimize specificity, affinity, etc. of a monoclonal dy.
In certain embodiments, the anti-IL-21 antibody or antigen-binding fragment thereof is a human antibody or antigen-binding fragment thereof. Human antibodies can be directly prepared using various techniques known in the art. Immortalized human B lymphocytes immunized in vitro or isolated from an immunized individual that produce an antibody directed against a target antigen can be generated (See, e.g., Cole et al., Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, p. 77 (1985); Boemer et al., 1991, J. Immunol., 147 (1):86-95; and U.S. Patent 5,750,373).
] Also, the L—21 human antibody or antigen-binding fragment thereof can be selected from a phage library, where that phage library expresses human dies, as described, for e, in Vaughan et al., 1996, Nat. h., 14:309-314, Sheets et al., 1998, Proc. Nat’l. Acad. Sci., 95:6157-6162, boom and Winter, 1991, J. Mol. Biol., 227381, and Marks et al., 1991, J. Mol. Biol., 222:581). Techniques for the tion and use of antibody phage libraries are also bed in U.S. Patent Nos. 5,969,108, 6,172,197, ,885,793, 6,521,404; 731; 6,555,313; 6,582,915; 6,593,081; 6,300,064; 6,653,068; 6,706,484; and 7,264,963; and Rothe et al., 2007, J. Mol. Bio., doi: 10. 1016/j.jmb.2007. 12.018 (each of which is incorporated by reference in its entirety).
Affinity maturation strategies and chain shuf?ing gies (Marks et al., 1992, Bio/Technology 10:779-783, incorporated by reference in its entirety) are known in the art and can be employed to generate high affinity human antibodies or antigen-binding fragments f.
In some embodiments, an anti-IL—21 monoclonal antibody can be a humanized antibody. Methods for engineering, humanizing or resurfacing non-human or human dies can also be used and are well known in the art. A humanized, resurfaced or similarly engineered antibody can have one or more amino acid residues from a source that is non-human, e. g., but not limited to, mouse, rat, rabbit, non-human primate or other mammal. These non-human amino acid residues are replaced by residues that are often referred to as t" es, which are typically taken from an "import" variable, constant or other domain of a known human sequence. Such imported sequences can be used to reduce immunogenicity or reduce, enhance or modify binding, ty, on-rate, off-rate, avidity, specificity, half-life, or any other suitable characteristic, as known in the art. In WO 57238 2015/024650 general, the CDR residues are directly and most substantially involved in in?uencing IL-21 binding. Accordingly, part or all of the non-human or human CDR ces are ined while the non-human sequences of the variable and constant regions can be replaced with human or other amino acids.
Antibodies can also optionally be humanized, aced, engineered or human antibodies engineered with retention of high affinity for the antigen IL-21 and other favorable biological properties. To achieve this goal, humanized (or human) or engineered anti-IL-21 antibodies and resurfaced antibodies can be optionally prepared by a process of analysis of the parental sequences and various conceptual humanized and engineered products using three-dimensional models of the parental, engineered, and humanized sequences. Three-dimensional immunoglobulin models are commonly available and are familiar to those skilled in the art. Computer programs are available which rate and display probable three-dimensional conformational ures of selected candidate immunoglobulin sequences. tion of these displays permits analysis of the likely role of the residues in the functioning of the candidate globulin sequence, i.e., the analysis of residues that in?uence the ability of the candidate immunoglobulin to bind its antigen, such as IL—21. In this way, framework (FW) residues can be selected and combined from the sus and import sequences so that the desired antibody characteristic, such as increased affinity for the target antigen(s), is achieved.
Humanization, resurfacing or engineering of anti-IL-21 antibodies or antigen- binding fragments thereof of the present invention can be performed using any known method, such as but not d to those described in, Jones et al., Nature 321:522 (1986); Riechmann et al., Nature 332:323 (1988); Verhoeyen et al., Science 239:1534 ), Sims et al., J. Immunol. 151: 2296 (1993); Chothia and Lesk, J. Mol. Biol. 196:901 (1987), Carter et al., Proc. Natl. Acad. Sci. USA. 89:4285 (1992); Presta et al., J. l. 151:2623 (1993), US. Pat. Nos. 5,639,641, 5,723,323; 5,976,862; 5,824,514; 483; 5,814,476; ,763,192; 5,723,323; 5,766,886; 5,714,352; 6,204,023; 6,180,370; 5,693,762; 5,530,101; ,585,089; 5,225,539; 4,816,567, 7,557,189; 195; and 7,342,110; International Application Nos. PCT/US98/16280; PCT/US96/18978; PCT/US91/09630; PCT/US91/05939; PCT/US94/01234; PCT/GB89/01334; PCT/GB91/01134; PCT/GB92/01755; International Patent Application Publication Nos. WO90/14443; WO90/14424; WO90/14430; and European Patent Publication No. EP 229246; each of which is ly orated herein by reference, including the references cited therein.
Anti-IL-21 humanized antibodies and antigen-binding fragments thereof can also be made in enic mice containing human immunoglobulin loci that are capable upon immunization of ing the full repertoire of human antibodies in the absence of endogenous immunoglobulin production. This approach is described in U.S. Patent Nos. ,545,807; 5,545,806; 5,569,825; 126; 5,633,425; and 016.
In certain embodiments an anti-IL—21 antibody fragment is provided. Various techniques are known for the production of antibody fragments. Traditionally, these fragments are derived via proteolytic ion of intact antibodies (for example Morimoto et al., 1993, l of Biochemical and Biophysical Methods 24:107-117; Brennan et al., 1985, Science, 229:81). In certain embodiments, anti-IL-21 antibody fragments are produced recombinantly. Fab, Fv, and scFv antibody fragments can all be expressed in and secreted from E. coli or other host cells, thus allowing the production of large amounts of these fragments. Such anti-IL—21 antibody nts can also be isolated from the dy phage libraries discussed above. The anti-IL-21 antibody fragments can also be linear antibodies as described in U.S. Patent No. 5,641,870. Other techniques for the production of antibody fragments will be apparent to the skilled practitioner.
According to the present invention, techniques can be adapted for the production of single-chain antibodies specific to IL-21 (see, e.g., U.S. Pat. No. 778). In addition, methods can be adapted for the construction of Fab expression libraries (see, e.g., Huse et al., Science 246: 281 (1989)) to allow rapid and effective identification of monoclonal Fab fragments with the desired specificity for IL-21, or derivatives, fragments, analogs or homologs f. dy nts can be produced by techniques in the art including, but not limited to: (a) a F(ab‘)2 fragment produced by pepsin digestion of an antibody molecule; (b) a Fab fragment generated by ng the disulfide bridges of an F(ab‘)2 fragment, (c) a Fab fragment generated by the treatment of the antibody molecule with papain and a reducing agent, and (d) Fv fragments.
In certain aspects, an anti-IL-21 dy or antigen-binding nt thereof can be modified in order to increase its serum half-life. This can be achieved, for e, by incorporation of a salvage receptor binding epitope into the antibody or antibody fragment by mutation of the appropriate region in the antibody or antibody fragment or by incorporating the epitope into a peptide tag that is then fused to the antibody or antibody fragment at either end or in the middle (e. g., by DNA or peptide synthesis), or by YTE mutation. Other methods to increase the serum ife of an antibody or antigen-binding fragment f, e.g., conjugation to a heterologous molecule such as PEG are known in the Heteroconjugate anti-IL-21 antibodies and antigen-binding nts thereof are also within the scope of the t invention. Heteroconjugate dies are composed of two covalently joined antibodies. Such antibodies have, for example, been proposed to target immune cells to ed cells (see, e.g., U.S. Pat. No. 980). It is contemplated that the heteroconjugate anti-IL-21 antibodies and antigen-binding fragments thereof can be prepared in vitro using known methods in synthetic protein chemistry, including those involving crosslinking agents. For example, toxins can be constructed using a disulfide exchange on or by forming a her bond. Examples of le reagents for this purpose include hiolate and mercaptobutyrimidate. ed anti-IL-21 antibodies or antigen-binding fragments thereof as provided herein can comprise any type of variable region that provides for the association of the antibody or polypeptide with IL-21. In this regard, the variable region can comprise or be derived from any type of mammal that can be induced to mount a humoral response and generate immunoglobulins against the desired antigen. As such, the variable region of an anti-IL-21 antibody or antigen-binding fragment thereof can be, for example, of human, murine, non-human primate (e.g., cynomolgus monkeys, macaques, etc.) or lupine origin. In some embodiments both the variable and constant regions of the modified anti-IL-21 antibodies or antigen-binding fragments thereof are human. In other embodiments the variable regions of compatible antibodies (usually derived from a non-human source) can be engineered or specifically ed to improve the binding properties or reduce the immunogenicity of the molecule. In this respect, variable regions useful in the present invention can be humanized or otherwise altered through the inclusion of imported amino acid ces.
In certain embodiments, the le domains in both the heavy and light chains of an anti-IL-21 antibody or antigen-binding fragment thereof are altered by at least partial replacement of one or more CDRs and/or by partial framework region replacement and sequence changing. Although the CDRs can be derived from an antibody of the same class or even subclass as the antibody from which the framework regions are derived, it is envisaged that the CDRs will be derived from an dy of different class and in certain embodiments from an antibody from a different species. It is not necessary to replace all of the CDRs with the complete CDRs from the donor variable region to transfer the antigen- binding capacity of one variable domain to another. Rather, it is only ary to er those residues that are necessary to in the activity of the antigen-binding site. Given the explanations set forth in U.S. Pat. Nos. 5,585,089, 5,693,761 and 5,693,762, it will be well within the competence of those skilled in the art, either by carrying out routine experimentation or by trial and error testing to obtain a onal dy with reduced immunogenicity.
Alterations to the variable region notwithstanding, those skilled in the art will appreciate that the modified anti-IL—21 dies or antigen-binding fragments thereof of this invention will comprise antibodies (e.g., full-length antibodies or antigen-binding fragments thereof) in which at least a fraction of one or more of the constant region domains has been deleted or otherwise altered so as to provide desired biochemical characteristics such as increased tumor localization or reduced serum half-life when compared with an antibody of approximately the same immunogenicity comprising a native or unaltered constant region. In some embodiments, the constant region of the modified antibodies will comprise a human constant . Modifications to the constant region compatible with this invention comprise ons, deletions or substitutions of one or more amino acids in one or more domains. That is, the modified antibodies disclosed herein can comprise alterations or modifications to one or more of the three heavy chain constant domains (CH1, CH2 or CH3) and/or to the light chain constant domain (CL). In some embodiments, modified constant regions wherein one or more domains are lly or entirely deleted are contemplated. In some embodiments, the modified antibodies will comprise domain deleted constructs or variants wherein the entire CH2 domain has been removed (ACH2 ucts).
In some embodiments, the omitted constant region domain can be ed by a short amino acid spacer (e. g., 10 residues) that es some of the lar ?exibility typically imparted by the absent constant region.
Besides their configuration, it is known in the art that the constant region mediates several effector ons. For example, binding of the C1 component of complement to antibodies activates the complement system. Activation of complement is important in the opsonisation and lysis of cell pathogens. The activation of complement also stimulates the in?ammatory response and can also be involved in autoimmune hypersensitivity. r, antibodies bind to cells via the Fc region, with an Fc receptor site on the antibody Fc region g to a PC receptor (FcR) on a cell. There are a number of Fc receptors that are specific for different classes of antibody, ing IgG (gamma receptors), IgE (eta ors), IgA (alpha receptors) and IgM (mu receptors). Binding of antibody to Fc receptors on cell surfaces triggers a number of ant and diverse biological responses including engulfment and destruction of antibody-coated particles, clearance of immune complexes, lysis of antibody-coated target cells by killer cells (called antibody-dependent cell-mediated cytotoxicity, or ADCC), release of atory ors, placental transfer and control of immunoglobulin production.
In certain embodiments, an anti-IL-21 antibody or an antigen-binding fragment thereof provides for altered effector functions that, in turn, affect the biological e of the administered antibody or antigen-binding nt thereof. For example, the deletion or inactivation (through point mutations or other means) of a constant region domain can reduce Fc receptor g of the circulating modified antibody. In other cases it can be that constant region modifications, consistent with this invention, moderate complement binding and thus reduce the serum half-life and nonspecific association of a conjugated xin.
Yet other modifications of the constant region can be used to eliminate disulfide linkages or oligosaccharide moieties that allow for enhanced localization due to increased antigen specificity or antibody ?exibility. Similarly, modifications to the constant region in accordance with this invention can easily be made using well-known biochemical or molecular engineering techniques well within the purview of the skilled artisan.
In certain embodiments, an -IL-21 binding molecule that is an antibody or antigen-binding fragment thereof does not have one or more effector ons. For instance, in some ments, the antibody or antigen-binding fragment thereof has no antibody- dependent cellular cytoxicity (ADCC) activity and/or no complement-dependent cytoxicity (CDC) activity. In certain embodiments, the anti-IL-21 antibody or antigen-binding fragment thereof does not bind to an Fc receptor and/or complement factors. In certain embodiments, the antibody or n-binding fragment thereof has no effector function.
] In certain embodiments, an anti-IL-21 antibody or antigen-binding nt f can be engineered to fuse the CH3 domain directly to the hinge region of the respective modified antibodies or fragments thereof. In other constructs a peptide spacer can be ed between the hinge region and the modified CH2 and/or CH3 domains. For example, compatible constructs can be expressed in which the CH2 domain has been deleted and the remaining CH3 domain (modified or unmodified) is joined to the hinge region with a -20 amino acid spacer. Such a spacer can be added, for instance, to ensure that the regulatory elements of the constant domain remain free and accessible or that the hinge region remains ?exible. Amino acid spacers can, in some cases, prove to be immunogenic and elicit an ed immune response against the construct. Accordingly, in certain embodiments, any spacer added to the construct can be relatively munogenic, or even omitted ther, so as to maintain the desired biochemical qualities of the modified antibodies.
Besides the deletion of whole constant region s, anti-IL—21 antibodies or antigen-binding fragments thereof provided herein can be modified by the partial deletion or tution of a few or even a single amino acid in a constant region. For example, the mutation of a single amino acid in selected areas of the CH2 domain can be enough to substantially reduce Fc binding and thereby increase tumor localization. Similarly one or more constant region domains that control the effector function (e.g., complement ClQ binding) can be fully or partially deleted. Such partial deletions of the constant regions can improve selected characteristics of the antibody or antigen-binding fragment thereof (e. g., serum half-life) while leaving other desirable functions associated with the subject constant region domain intact. er, the nt s of the disclosed anti-IL-21 antibodies and antigen-binding fragments thereof can be modified through the mutation or substitution of one or more amino acids that enhances the profile of the resulting construct. In this t it is possible to disrupt the activity provided by a conserved binding site (e.g., Fc binding) while substantially maintaining the configuration and immunogenic profile of the modified antibody or antigen-binding fragment thereof. Certain embodiments can comprise the addition of one or more amino acids to the constant region to enhance desirable characteristics such as decreasing or increasing effector function or provide for more cytotoxin or carbohydrate attachment. In such embodiments it can be desirable to insert or replicate specific sequences derived from selected constant region domains.
The present invention further embraces variants and equivalents that are substantially homologous to the murine, chimeric, humanized or human anti-IL-21 dies, or antigen-binding fragments thereof, set forth herein. These can n, for e, conservative tution mutations, i.e., the substitution of one or more amino acids by similar amino acids. For example, conservative substitution refers to the substitution of an amino acid with another within the same general class such as, for e, one acidic amino acid with r acidic amino acid, one basic amino acid with another basic amino acid or one neutral amino acid by r neutral amino acid. What is intended by a conservative amino acid substitution is well known in the art.
] An anti-IL-21 antibody or antigen-binding fragment thereof can be further modified to contain additional al moieties not normally part of the protein. Those derivatized moieties can improve the solubility, the biological half-life or tion of the protein. The moieties can also reduce or eliminate any desirable side effects of the proteins and the like. An overview for those moieties can be found in Remington's Pharmaceutical es, 20th ed., Mack Publishing Co., Easton, PA (2000).
VI. Polynucleotides Encoding ILBinding Molecules and Expression Thereof This disclosure provides polynucleotides comprising nucleic acid sequences that encode a polypeptide that specifically binds IL—21 or an antigen-binding fragment thereof.
For example, the invention provides a polynucleotide comprising a nucleic acid sequence that encodes an anti-IL-21 antibody or encodes an n-binding nt of such an antibody. The polynucleotides of the invention can be in the form of RNA or in the form of DNA. DNA includes cDNA, genomic DNA, and synthetic DNA; and can be double- stranded or single-stranded, and if single stranded can be the coding strand or ding (anti-sense) strand.
In certain ments, a polynucleotide can be isolated. In certain embodiments, a polynucleotide can be substantially pure. In n embodiments a polynucleotide can be cDNA or are derived from cDNA. In certain embodiments a polynucleotide can be recombinantly produced. In certain embodiments a polynucleotide can se the coding ce for the mature polypeptide fused in the same reading frame to a polynucleotide which aids, for example, in expression and secretion of a polypeptide from a host cell (e.g., a leader sequence which functions as a secretory sequence for controlling transport of a polypeptide from the cell). The polypeptide having a leader sequence is a preprotein and can have the leader sequence cleaved by the host cell to form the mature form of the polypeptide. The polynucleotides can also encode for an ILbinding proprotein which is the mature protein plus additional 5' amino acid residues.
] In certain aspects this disclosure provides an isolated polynucleotide sing a nucleic acid encoding an antibody VL, wherein the VL comprises VL-CDRl, VL-CDR2, and VL-CDR3 amino acid sequences cal to, or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions in one or more of the VL-CDRS to: SEQ ID NOs: 12, 13, and 14, SEQ ID NOs: 34, 35 and 36, SEQ ID NOs: 48, 49, and 50, or SEQ ID NOs: 58, 59, and 60, respectively.
The disclosure further provides an isolated polynucleotide comprising a nucleic acid encoding an antibody VH, wherein the VH comprises VH-CDRl, VH-CDR2, and VH- CDR3 amino acid sequences identical to, or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions in one or more of the VH-CDRS to: SEQ ID NOs: 7, 8, and 9, SEQ ID NOs: 29, 30 and 31, SEQ ID NOs: 43, 44, and 45, or SEQ ID NOs: 53, 54, and 55, respectively.
The disclosure further provides an isolated polynucleotide comprising a nucleic acid encoding an antibody VL, wherein the VL comprises an amino acid sequence at least 70%, 75%, 80%, 85%, 90%, 95%, or 100% identical to a reference amino acid sequence selected from the group consisting of SEQ ID NO: 11, SEQ ID NO: 17, SEQ ID NO: 21, SEQ ID NO: 25, SEQ ID NO: 33, SEQ ID NO: 39, SEQ ID NO: 40, SEQ ID NO: 47, and SEQ ID NO: 57.
Moreover, the disclosure es an isolated polynucleotide comprising a nucleic acid encoding an antibody VH, wherein the VH comprises an amino acid sequence at least 70%, 75%, 80%, 85%, 90%, 95%, or 100% identical to a reference amino acid sequence ed from the group consisting of SEQ ID NO: 6, SEQ ID NO: 15, SEQ ID NO: 19, SEQ ID NO: 23, SEQ ID NO: 28, SEQ ID NO: 40, SEQ ID NO: 37, SEQ ID NO: 38, SEQ ID NO: 42 and SEQ ID NO: 52.
In certain aspects, an dy or antigen-binding nt thereof comprising a VH or VL d by a polynucleotide as described above, can ically bind to IL-21, e.g., human or cynomolgus monkey IL-21. In certain cases such an antibody or n- binding fragment thereof can ically bind to the same epitope as an antibody or antigenbinding fragment thereof comprising the VH and VL of 19E3, 9F11, 8B6, or 9H10. In certain aspects the disclosure provides a polynucleotide or combination of polynucleotides encoding a binding molecule, e. g., an dy or antigen-binding fragment thereof, that specifically binds to IL—21.
Further provided is a vector comprising a polynucleotide as described above.
Suitable vectors are described elsewhere herein, and are known to those of ordinary skill in the art.
In certain aspects, the disclosure provides a composition, e.g., a ceutical composition, comprising a polynucleotide or vector of claim as described above, optionally further comprising one or more rs, ts, excipients, or other additives.
In certain aspects, the disclosure provides a polynucleotide composition comprising: a cleotide that comprises a nucleic acid encoding a VH, and polynucleotide that comprises a nucleic acid encoding a VL. According to this aspect, the VL and VH together can comprise l, VL-CRD2, VL-CDR3, VH-CDRl, VH- CDR2, and VH-CDR3 amino acid sequences cal or identical except for eight, seven, six, five, four, three, two, or one amino acid substitutions in one or more CDRs to: SEQ ID NOs: 12,13, 14, 7, 8, and 9, SEQ ID NOs: 34, 35, 36, 29, 30, and 31, SEQ ID NOs: 48, 49, 50, 43, 44, and 45, or SEQ ID NOs: 58, 59, 60, 53, 54, and 55, respectively.
In further aspects the disclosure es a polynucleotide composition comprising: a polynucleotide that comprises a nucleic acid encoding a VH and polynucleotide that comprises a nucleic acid encoding a VL, wherein the VL and VH comprise, respectively, amino acid sequences at least 70%, 75%, 80%, 85%, 90%, 95%, or 100% identical to reference amino acid sequences: SEQ ID NO: 6 and SEQ ID NO: 11, SEQ ID NO: 15 and SEQ ID NO: 17, SEQ ID NO: 19 and SEQ ID NO: 21, SEQ ID NO: 23 and SEQ ID NO: 25, SEQ ID NO: 28 and SEQ ID NO: 33, SEQ ID NO: 40 and SEQ ID NO: 39, SEQ ID NO: 37 and SEQ ID NO: 39, SEQ ID NO: 38 and SEQ ID NO: 39, SEQ ID NO: 37 and 40, SEQ ID NO: 42 and SEQ ID NO: 47, or SEQ ID NO: 52 and SEQ ID NO: 57, respectively.
In certain aspects, the VH and VL are encoded by nucleic acid sequences at least 70%, 75%, 80%, 85%, 90%, 95%, or 100% identical to reference nucleic acid sequences SEQ ID NO:5 and SEQ ID NO:10, SEQ ID NO:27 and SEQ ID NO:32, SEQ ID NO: 41 and SEQ ID NO:46, or SEQ ID NO: 51 and SEQ ID NO:56, respectively.
In a polynucleotide composition as described above the polynucleotide comprising a nucleic acid encoding a VH and the cleotide comprising a nucleic acid ng a VL can reside in a single vector, or can be on separate vectors. Accordingly the disclosure provides one or more vectors comprising the polynucleotide ition described above.
In some cases, a polynucleotide composition encoding a VH and VL as described above can encode an antibody or antigen-binding fragment thereof that can specifically bind to IL-21, e.g., human or cynomolgus monkey IL-21. In some aspects the polynucleotide composition encodes an dy or antigen-binding fragment thereof that can specifically bind to the same e as an antibody or n-binding fragment thereof comprising the VH and VL of 19E3, 9F11, 8B6, or 9H10.
This disclosure further provides a host cell comprising a polynucleotide, polynucleotide composition, or vector as provided above, where host cell can, in some instances, express an antibody or antigen-binding fragment thereof that ically binds to IL-21. Such a host cell can be utilized in a method of making an antibody or antigen- binding fragment thereof as provided herein, where the method es (a) culturing the host cell and (b) isolating the antibody or antigen-binding fragment thereof expressed from the host cell.
In certain embodiments the polynucleotides comprise the coding sequence for the mature ILbinding polypeptide, e. g., an anti-IL—21 dy or an antigen-binding fragment thereof fused in the same reading frame to a marker sequence that , for example, for purification of the encoded polypeptide. For e, the marker sequence can be a hexa-histidine tag supplied by a pQE-9 vector to provide for purification of the mature polypeptide fused to the marker in the case of a bacterial host, or the marker sequence can be a hemagglutinin (HA) tag derived from the in?uenza hemagglutinin protein when a mammalian host (e.g., COS-7 cells) is used.
Polynucleotide variants are also provided. cleotide variants can contain alterations in the coding regions, non-coding regions, or both. In some embodiments polynucleotide ts n alterations that produce silent substitutions, additions, or deletions, but do not alter the properties or activities of the encoded polypeptide. In some embodiments, polynucleotide ts are produced by silent substitutions due to the degeneracy of the genetic code. Polynucleotide variants can be produced for a variety of reasons, e. g., to optimize codon expression for a ular host (change codons in the human mRNA to those preferred by a ial host such as E. coli). Vectors and cells comprising the polynucleotides described herein are also provided.
] In some ments a DNA sequence encoding an ILbinding molecule, e.g., an anti-IL-21 antibody or an antigen-binding fragment thereof can be constructed by chemical synthesis using an oligonucleotide synthesizer. Such oligonucleotides can be designed based on the amino acid ce of the d polypeptide and selecting those codons that are favored in the host cell in which the recombinant polypeptide of interest will be produced. Standard methods can be applied to synthesize an isolated polynucleotide sequence encoding an isolated polypeptide of interest. For example, a te amino acid sequence can be used to construct a back-translated gene. Further, a DNA oligomer containing a nucleotide sequence coding for the particular isolated polypeptide can be synthesized. For example, several small oligonucleotides coding for portions of the desired polypeptide can be synthesized and then ligated. The individual oligonucleotides typically contain 5' or 3' overhangs for complementary assembly.
Once assembled (by synthesis, site-directed mutagenesis or another ), the polynucleotide sequences encoding a particular isolated polypeptide of interest can be inserted into an sion vector and operatively linked to an expression control sequence appropriate for expression of the protein in a desired host. Proper assembly can be confirmed, e.g., by nucleotide sequencing, ction mapping, and/or expression of a biologically active polypeptide in a suitable host. In order to obtain high sion levels of a transfected gene in a host, the gene can be ively linked to or ated with transcriptional and translational expression control sequences that are functional in the chosen expression host.
In certain embodiments, recombinant expression vectors are used to amplify and express DNA encoding L-21 antibodies or antigen-binding nts thereof. inant expression vectors are replicable DNA constructs which have synthetic or erived DNA nts encoding a polypeptide chain of an anti-IL-21 antibody or and antigen-binding fragment thereof, operatively linked to suitable transcriptional or translational regulatory elements derived from mammalian, microbial, viral or insect genes.
A transcriptional unit generally comprises an assembly of (l) a genetic element or elements having a regulatory role in gene sion, for example, transcriptional promoters or enhancers, (2) a structural or coding sequence which is transcribed into mRNA and translated into protein, and (3) appropriate transcription and translation initiation and termination ces, as bed in detail below. Such regulatory elements can include an or sequence to control transcription. The ability to replicate in a host, usually conferred by an origin of replication, and a selection gene to facilitate recognition of transformants can additionally be incorporated. DNA regions are operatively linked when they are functionally related to each other. For example, DNA for a signal peptide (secretory ) is operatively linked to DNA for a polypeptide if it is expressed as a precursor which participates in the secretion of the polypeptide; a promoter is operatively linked to a coding sequence if it controls the transcription of the ce; or a ribosome g site is operatively linked to a coding sequence if it is positioned so as to permit translation.
Structural elements intended for use in yeast expression systems include a leader sequence enabling extracellular secretion of translated protein by a host cell. Alternatively, where a WO 57238 2015/024650 recombinant protein is expressed without a leader or transport sequence, the protein can include an N-terminal methionine residue. This residue can optionally be subsequently cleaved from the expressed recombinant protein to e a final product.
The choice of expression control sequence and expression vector will depend upon the choice of host. A wide y of expression host/vector combinations can be employed. Useful expression vectors for eukaryotic hosts, include, for e, vectors comprising expression control sequences from SV40, bovine papilloma virus, adenovirus and cytomegalovirus. Useful expression vectors for bacterial hosts include known bacterial ds, such as plasmids from E. coli, ing pCR 1, , pMB9 and their derivatives, wider host range plasmids, such as M13 and filamentous single-stranded DNA phages.
] Suitable host cells for expression of an ILbinding le, e. g., an anti-IL- 21 antibody or antigen-binding fragment thereof include prokaryotes, yeast, insect or higher eukaryotic cells under the control of appropriate promoters. Prokaryotes include gram negative or gram positive organisms, for example E. coli or bacilli. Higher eukaryotic cells include established cell lines of mammalian origin as described below. Cell-free translation systems could also be employed. onal information regarding methods of protein production, including antibody production, can be found, e.g., in U.S. Patent Publication No. 187954, U.S. Patent Nos. 6,413,746 and 501, and ational Patent Publication No. WO 04009823, each of which is hereby incorporated by reference herein in its entirety.
Various mammalian or insect cell culture systems can also be advantageously employed to express recombinant ILbinding molecules, e.g., anti-IL-21 antibodies or antigen-binding fragments thereof. Expression of recombinant proteins in mammalian cells can be performed because such proteins are lly correctly , appropriately modified and completely functional. Examples of suitable mammalian host cell lines include HEK-293 and HEK-293T, the COS-7 lines of monkey kidney cells, described by Gluzman (Cell 23: 175, 1981), and other cell lines including, for example, L cells, C127, 3T3, Chinese hamster ovary (CHO), HeLa and BHK cell lines. Mammalian expression vectors can comprise nontranscribed elements such as an origin of replication, a suitable promoter and enhancer linked to the gene to be expressed, and other 5' or 3' ?anking nontranscribed sequences, and 5' or 3' nontranslated sequences, such as necessary ribosome binding sites, a polyadenylation site, splice donor and acceptor sites, and transcriptional termination sequences. Baculovirus systems for tion of heterologous proteins in insect cells are reviewed by Luckow and Summers, BioTechnology 6:47 .
ILbinding les, e.g., anti-IL-21 antibodies or n-binding fragments thereof produced by a transformed host can be purified ing to any le method.
Such standard methods include chromatography (e. g., ion exchange, ty and sizing column chromatography), centrifugation, differential lity, or by any other standard technique for protein purification. Affinity tags such as hexahistidine, maltose binding domain, in?uenza coat sequence and glutathione-S-transferase can be attached to the protein to allow easy purification by passage over an riate affinity column. Isolated proteins can also be physically characterized using such techniques as proteolysis, nuclear magnetic resonance and x-ray crystallography.
For example, supernatants from systems that e recombinant protein into culture media can be first concentrated using a commercially available protein concentration filter, for example, an Amicon or ore Pellicon ultrafiltration unit. Following the concentration step, the concentrate can be applied to a suitable purification matrix.
Alternatively, an anion exchange resin can be employed, for e, a matrix or ate having pendant diethylaminoethyl (DEAE) groups. The matrices can be mide, agarose, dextran, cellulose or other types commonly employed in protein purification.
Alternatively, a cation exchange step can be employed. Suitable cation exchangers include various ble matrices comprising ropyl or carboxymethyl groups. Finally, one or more reversed-phase high performance liquid chromatography (RP-HPLC) steps employing hydrophobic RP-HPLC media, e. g., silica gel having pendant methyl or other aliphatic , can be employed to further purify an ILbinding molecule. Some or all of the foregoing purification steps, in various combinations, can also be employed to provide a homogeneous recombinant protein.
A recombinant ILbinding protein, e. g., an anti-IL-21 antibody or antigen- binding fragment thereof produced in bacterial culture can be ed, for example, by initial extraction from cell pellets, followed by one or more concentration, salting-out, aqueous ion exchange or size exclusion chromatography steps. High performance liquid chromatography (HPLC) can be employed for final purification steps. Microbial cells employed in expression of a recombinant protein can be disrupted by any convenient method, including freeze-thaw cycling, sonication, mechanical disruption, or use of cell lysing agents.
Methods known in the art for purifying antibodies and other proteins also include, for e, those described in U.S. Patent Publication Nos. 2008/0312425, 2008/0177048, and 2009/0187005, each of which is hereby incorporated by reference herein in its entirety.
VI. Treatment Methods Using eutic Anti-IL-21 Antibodies Methods are provided for the use of IL-21 binding molecules, e. g., L-21 dies, including antigen-binding fragments, variants, and derivatives thereof, to treat patients having a disease associated with IL—21 expression or ILsecreting cells. By "IL- 21-secreting cells" is intended cells expressing IL-21, e.g., activated T-helper cells. Methods for detecting IL-21 expression are well known in the art and include, but are not limited to, PCR techniques, immunohistochemistry, ?ow cytometry, Western blot, ELISA, and the like.
The following discussion refers to diagnostic methods and methods of treatment of various es and disorders with an ILbinding molecule, e. g., an anti-IL-21 antibody or antigen-binding fragment, variant, or derivative that retains the desired ties of anti-IL-21 antibodies provided herein, e. g., capable of specifically binding IL- 21 and antagonizing IL-21 activity. In some embodiments, IL—21-binding les are murine, human, or humanized dies. In some embodiments, the ILantibody is identical to one of the murine monoclonal antibodies l9E3, 9Fl l, 9H10 or 8B6. In some embodiments, the ILantibody is d from one of the murine onal antibodies l9E3, 9Fll, 9H10 or 8B6. In certain embodiments the derived antibody is a humanized antibody. In other embodiments, the ILbinding molecule comprises a YTE-mutated human IgG1 constant region. In specific embodiments, the binding molecule is K44VHa-N56Q.
In one embodiment, treatment includes the application or administration of an IL- 21 binding molecules, e.g., an anti-IL-21 antibody or n-binding fragment, variant, or derivative thereof as provided herein to a subject or patient, or application or administration of the IL-21 binding molecule to an isolated tissue or cell line from a subject or patient, where the subject or patient has a disease, a symptom of a disease, or a predisposition toward a disease. In another embodiment, treatment can also include the ation or stration of a ceutical ition comprising an IL-21 binding molecule, e.g., an anti-IL-21 dy or antigen-binding fragment, variant, or derivative thereof as provided herein to a subject or patient, or application or administration of a pharmaceutical composition comprising an IL-21 binding molecule to an isolated tissue or cell line from a t or patient, who has a e, a symptom of a disease, or a predisposition toward a disease.
] IL-21 g molecules, e.g., anti-IL-21 antibodies or antigen-binding nts, variants, or derivatives thereof provided herein are useful for the treatment of various in?ammatory, immune-mediated, or autoimmune diseases or disorders. Such in?ammatory, immune-mediated, or autoimmune es or disorders may be a B-cell driven disease or a T-cell driven disease. In one embodiment, IL-21 binding molecules, e.g., anti-IL-21 antibodies or antigen-binding nts, variants, or derivatives thereof are provided for use in the treatment or prophylaxis of in?ammatory, immune-mediated, or autoimmune diseases or disorders. Examples of in?ammatory, immune-mediated, or autoimmune disease or disorders e, but are not limited to vasculitis, e. g., Anti- neutrophil cytoplasm antibodies (ANCA), ANCA-associated vasculitis (AAV) or giant cell arteritis (GCA) vasculitis, SjOgren's syndrome, in?ammatory bowel disease (IBD), Pemphigus vulgaris, lupus nephritis, psoriasis, thyroiditis, Type I Diabetes, Idiopathic thrombocytopenic purpura (ITP), Ankylosing spondylitis, Multiple sclerosis, systemic lupus erythematosus (SLE), rheumatoid arthritis, Crohn's disease, Myasthenia Gravis, neuromyelitis optica (NMO), IgG4-related disease, systemic sclerosis, insulin-dependent diabetes mellitus (IDDM), akylosing spondylitis, atopic dermatitis, uveitis, and Graft-versus- host disease (GVHD). In one embodiment, IL-21 binding les, e.g., anti-IL—21 dies or antigen-binding fragments, variants, or derivatives thereof are ed for use in the treatment or prophylaxis of B-cell driven diseases or malignancies. An example of a B-cell driven malignancy can include follicular lymphoma (FL), diffuse large B cell lymphoma ), Hodgkins lymphoma (HL), chronic lymphocytic leukemia (CLL), mantle cell lymphoma, Burkitt’s lymphoma, Waldenstrom macroglobulinemia and multiple myeloma (MM). In one embodiment, IL-21 binding molecules, e.g., anti-IL-21 antibodies or antigen-binding nts, variants, or derivatives thereof are provided for use in the treatment or prophylaxis of T-cell driven es or malignancies. An e of a T-cell driven malignancy can include angioimmunoblastic T cell lymphoma which is a malignancy derived from follicular helper T Cells , stic large cell ma, Adult T-cell leukemia, cutaneous T-cell lymphoma and Sezary syndrome In accordance with the methods of the present invention, at least one IL-21 binding molecule, e. g., an anti-IL—21 antibody or antigen-binding fragment, variant, or derivative thereof as defined elsewhere herein is used to promote a positive therapeutic response with respect to an autoimmune response. By "positive therapeutic response" with respect to autoimmune treatment is intended any improvement in the disease conditions associated with the ty of these g molecules, e. g., anti-IL-21 antibodies or antigen-binding fragments, variants, or derivatives thereof, and/or an improvement in the symptoms associated with the disease. Thus, for example, an improvement in the e can be characterized as a complete response. By "complete response" is intended an absence of clinically detectable disease with normalization of any usly test results. Such a response can in some cases persist, e.g., for at least one month ing treatment according to the methods of the invention. Alternatively, an improvement in the disease can be categorized as being a partial response.
Clinical response can be assessed using screening techniques such as magnetic resonance imaging (MRI) scan, x-radiographic imaging, computed tomographic (CT) scan, ?ow try or ?uorescence-activated cell sorter (FACS) analysis, histology, gross pathology, and blood chemistry, including but not limited to changes detectable by ELISA, ELISPOT, RIA, tography, and the like. In addition to these positive therapeutic responses, the subject oing therapy with the IL—21 binding molecule, e.g., an anti-IL- 21 antibody or antigen-binding fragment, variant, or derivative thereof, can experience the beneficial effect of an ement in the symptoms ated with the disease.
Also provided is the use of IL—21 g molecules, e.g., anti-IL-21 antibodies or antigen-binding fragments, variants, or derivatives thereof, for diagnostic monitoring of protein levels (e.g., IL—21 levels) in blood or tissue as part of a clinical testing procedure, e. g., to determine the efficacy of a given treatment n. For example, detection can be tated by coupling the dy to a detectable substance. Examples of detectable substances include various enzymes, prosthetic groups, ?uorescent materials, luminescent materials, bioluminescent materials, and radioactive materials. Examples of suitable enzymes include horseradish peroxidase, alkaline phosphatase, B-galactosidase, or acetylcholinesterase; examples of suitable prosthetic group complexes include avidin/biotin and avidin/biotin; examples of suitable ?uorescent materials include umbelliferone, ?uorescein, ?uorescein isothiocyanate, rhodamine, rotriazinylamine cein, dansyl chloride or phycoerythrin; an example of a luminescent material includes luminol; examples of bioluminescent materials include luciferase, luciferin, and aequorin; and es of suitable radioactive material include 125I, 131I, 358, or 3H.
VII. Pharmaceutical Compositions and Administration Methods Methods of preparing and administering IL-21 g molecules, e.g., anti-IL-21 antibodies, or antigen-binding fragments, variants, or derivatives f ed herein to a subject in need thereof are well known to or are readily determined by those skilled in the art. The route of administration of the IL-21 binding molecule, e. g., the anti-IL-21 antibody, or antigen-binding fragment, variant, or derivative thereof can be, for example, oral, eral, by inhalation or topical. The term parenteral as used herein includes, e. g., intravenous, intraarterial, intraperitoneal, intramuscular, subcutaneous, rectal, or vaginal administration. While all these forms of administration are clearly contemplated as being within the scope of the invention, another example of a form for stration would be a solution for injection, in particular for intravenous or intraarterial injection or drip. Usually, a suitable pharmaceutical composition can comprise a buffer (e. g. e, phosphate or citrate ), a surfactant (e. g. polysorbate), optionally a stabilizer agent (e. g. human albumin), etc. In other methods compatible with the teachings herein, IL-21 binding molecules, e.g., anti-IL-21 antibodies, or antigen-binding fragments, variants, or derivatives f as provided herein can be delivered directly to the site of the adverse cellular population thereby increasing the exposure of the diseased tissue to the therapeutic agent. In one embodiment, the administration is directly to the airway, e. g., by tion or intranasal administration.
As discussed herein, IL-21 binding molecules, e.g., anti-IL-21 antibodies, or antigen-binding fragments, variants, or derivatives thereof provided herein can be administered in a pharmaceutically effective amount for the in vivo treatment of IL mediated diseases such as in?ammatory, immune-mediated, or autoimmune diseases or disorders. In this regard, it will be appreciated that the disclosed binding molecules can be formulated so as to tate administration and promote stability of the active agent.
Pharmaceutical compositions in accordance with the present invention can comprise a pharmaceutically acceptable, non-toxic, sterile r such as physiological saline, non-toxic buffers, vatives and the like. For the purposes of the instant application, a pharmaceutically ive amount of an IL-21 binding molecule, e.g., an anti-IL-21 antibody, or n-binding fragment, variant, or derivative thereof, conjugated or unconjugated, means an amount sufficient to achieve effective binding to a target and to achieve a benefit, e. g., to rate symptoms of a disease or condition or to detect a substance or a cell. Suitable formulations for use in the therapeutic methods disclosed herein are described in Remington's Pharmaceutical Sciences (Mack Publishing Co.) 16th ed. (1980).
Certain pharmaceutical compositions provided herein can be orally administered in an acceptable dosage form including, e.g., capsules, tablets, aqueous sions or solutions. Certain pharmaceutical compositions also can be administered by nasal l or inhalation. Such compositions can be ed as solutions in saline, employing benzyl alcohol or other suitable preservatives, absorption promoters to e bioavailability, and/or other conventional solubilizing or dispersing agents.
The amount of an IL-21 binding molecule, e. g., an anti-IL—21 antibody, or fragment, variant, or derivative thereof, that can be combined with carrier als to produce a single dosage form will vary ing upon the subject treated and the particular mode of administration. The composition can be administered as a single dose, multiple doses or over an established period of time in an infusion. Dosage regimens also can be adjusted to provide the optimum desired response (e. g., a therapeutic or prophylactic response).
In keeping with the scope of the present disclosure, anti-IL-21 antibodies, or antigen-binding fragments, variants, or derivatives thereof can be administered to a human or other animal in accordance with the aforementioned methods of treatment in an amount sufficient to produce a eutic . The anti-IL-21 antibodies or antigen-binding fragments, variants, or derivatives f provided herein can be administered to such human or other animal in a conventional dosage form prepared by combining the antibody or antigen-binding fragment, variant, or derivative thereof of the invention with a conventional pharmaceutically acceptable carrier or diluent according to known techniques. The form and character of the pharmaceutically acceptable carrier or t can be dictated by the amount of active ingredient with which it is to be combined, the route of administration and other well-known variables. A cocktail comprising one or more species of IL-21 binding molecules, e. g., anti-IL-21 antibodies, or antigen-binding fragments, variants, or derivatives f, of the invention can also be used.
By "therapeutically ive dose or amount" or tive amount" is intended an amount of an IL-21 binding molecule, e. g., dy or antigen-binding fragment, variant, or derivative f, that when administered brings about a ve therapeutic response with respect to treatment of a patient with a disease or condition to be treated.
Therapeutically effective doses of the compositions of the present invention, for treatment of ILmediated diseases such as in?ammatory, immune-mediated, or autoimmune disease or disorders vary depending upon many different factors, including means of stration, target site, logical state of the patient, Whether the t is human or an , other medications administered, and Whether treatment is prophylactic or therapeutic. Usually, the patient is a human, but non-human mammals including transgenic mammals can also be treated. Treatment dosages can be titrated using routine methods known to those of skill in the art to optimize safety and efficacy.
The amount of at least one IL-21 binding molecule, e.g., antibody or binding nt, variant, or derivative thereof to be stered is readily determined by one of ordinary skill in the art Without undue experimentation given this sure. Factors cing the mode of administration and the respective amount of at least one IL-21 binding molecule, e. g., antibody, antigen-binding fragment, variant or derivative thereof include, but are not limited to, the severity of the disease, the history of the disease, and the age, height, weight, health, and physical condition of the individual undergoing therapy.
Similarly, the amount of an IL-21 binding molecule, e.g., antibody, or fragment, variant, or derivative thereof, to be stered will be dependent upon the mode of administration and Whether the t will undergo a single dose or multiple doses of this agent.
] This disclosure also provides for the use of an IL-21 binding molecule, e.g., an anti-IL-21 antibody or antigen-binding fragment, variant, or derivative thereof, for use in the treatment of an in?ammatory, immune-mediated, or autoimmune disease or disorder, e. g., vasculitis, e.g., ANCA or GCA vasculitis, SjOgren's syndrome, systemic lupus erythematosus and/or lupus nephritis, rheumatoid arthritis, Crohn's disease, Myasthenia Gravis, or GVHD.
This disclosure also provides for the use of an IL-21 binding molecule, e.g., an anti-IL-21 antibody or antigen-binding fragment, variant, or derivative f, in the manufacture of a medicament for treating an in?ammatory, immune-mediated or autoimmune e or disorder, e.g., vasculitis, e.g., ANCA or GCA vasculitis, SjOgren's syndrome, systemic lupus erythematosus and/or lupus nephritis, rheumatoid arthritis, s disease, Myasthenia Gravis, or GVHD.
VIII. Diagnostics This disclosure further provides a diagnostic method useful during diagnosis of ILmediated diseases such as certain in?ammatory, immune-mediated, or autoimmune diseases or disorders, which involves measuring the expression level of IL-21 protein tissue or body ?uid from an dual and comparing the measured expression level with a standard IL-21 expression level in normal tissue or body ?uid, whereby an increase in the expression level ed to the standard is indicative of a disorder treatable by an IL-21 binding molecule, e. g., an anti-IL—21 antibody or antigen-binding nt thereof as provided herein.
The anti-IL—21 antibodies and antigen-binding fragments, variants, and (h?vmhesdwnmfpmwkbdhmemrmnbeu??toa$ayH;21pn?dnlmmbinabmkgmw sample using classical immunohistological s known to those of skill in the art (e. g., see en, et al., J. Cell. Biol. [01:976-985 (1985); Jalkanen et al., J. Cell Biol. 87- 3096 (1987)). Other antibody-based methods useful for detecting IL-21 protein expression include assays, such as the enzyme linked immunosorbent assay (ELISA), immunoprecipitation, or Western blotting.
By "assaying the expression level of IL-21 polypeptide" is intended qualitatively or quantitatively measuring or estimating the level of IL—21 polypeptide in a first biological sample either ly (e. g., by determining or estimating absolute protein level) or relatively (e.g., by ing to the disease associated polypeptide level in a second biological smmb)Tm?LQMmemmbmmmmmnbwhnmemmbmbga?mm?ewnm measured or estimated and compared to a standard IL-21 ptide level, the rd being taken from a second biological sample obtained from an individual not having the disorder or being determined by averaging levels from a population of individuals not having the disorder. As will be appreciated in the art, once the "standar " IL-21 polypeptide level is known, it can be used repeatedly as a standard for comparison. [mun] By$bb§whmwbHmem?mde%mdmmmmmmmw?mnm dual, cell line, tissue culture, or other source of cells potentially expressing IL-21.
Methods for obtaining tissue biopsies and body ?uids from mammals are well known in the IX. Kits comprising ILbinding Molecules This disclosure further provides kits that comprise an IL-21 g molecule, e.g., an L-21 antibody or antigen-binding fragment thereof bed herein and that can be used to perform the methods described herein. In certain embodiments, a kit comprises at least one purified anti-IL-21 dy or an antigen-binding fragment thereof in one or more containers. In some embodiments, the kits contain all of the ents necessary and/or sufficient to perform a detection assay, including all controls, directions for performing assays, and any necessary software for analysis and presentation of results. One skilled in the art will readily recognize that the disclosed ILbinding molecules, e.g., anti- IL-21 antibodies or antigen-binding fragments f can be readily incorporated into one of the established kit formats which are well known in the art.
X. Immunoassays IL-21 binding molecules ed herein, e.g., anti-IL-21 antibodies or antigen- binding fragments, variants, or derivatives thereof of the les provided herein can be assayed for immunospecific binding by any method known in the art. The immunoassays that can be used include but are not limited to competitive and non-competitive assay systems using ques such as Western blots, radioimmunoassays, ELISA (enzyme linked immunosorbent assay), ELISPOT, "sandwich" assays, immunoprecipitation assays, precipitin reactions, gel diffusion precipitin reactions, immunodiffusion assays, agglutination assays, complement-fixation assays, immunoradiometric assays, ?uorescent immunoassays, n A immunoassays, to name but a few. Such assays are routine and well known in the art (see, e.g., Ausubel et al., eds, (1994) Current Protocols in Molecular Biology (John Wiley & Sons, Inc., NY) Vol. 1, which is incorporated by reference herein in its entirety).
ILbinding molecules, e.g., anti-IL-21 antibodies or antigen-binding fragments, variants, or derivatives thereof provided herein can be employed histologically, as in immuno?uorescence, immunoelectron microscopy or munological assays, for in situ detection of IL-21 or conserved variants or e fragments f. In situ detection can be accomplished by removing a histological specimen from a t, and applying thereto a labeled ILbinding molecule, e.g., an anti-IL-21 antibody or n-binding fragment thereof, variant, or derivative thereof, e. g., applied by overlaying the d IL g molecule (e.g., and antibody or fragment) onto a biological sample. Through the use of such a procedure, it is possible to determine not only the presence of IL-21, or conserved variants or peptide fragments, but also its distribution in the examined tissue. Using the present invention, those of ordinary skill will readily perceive that any of a wide y of ogical methods (such as staining procedures) can be modified in order to achieve such in situ detection.
The binding activity of a given lot of an ILbinding molecule, e. g., an anti-IL- 21 antibody or antigen-binding fragment, variant, or derivative thereof can be determined according to well-known methods. Those d in the art will be able to determine ive and optimal assay conditions for each ination by employing routine experimentation.
Methods and reagents suitable for determination of binding characteristics of an isolated ILbinding molecule, e. g., an L—21 antibody or antigen-binding fragment, variant, or an altered/mutant derivative thereof, are known in the art and/or are cially available. Equipment and software designed for such kinetic analyses are commercially available (e.g., BIAcore®, luation® software, GE Healthcare; KINEXA® Software, Sapidyne Instruments).
The practice of the present invention will employ, unless otherwise indicated, conventional techniques of cell biology, cell culture, molecular biology, transgenic y, microbiology, recombinant DNA, and immunology, which are within the skill of the art.
Such techniques are explained fully in the literature. See, for example, Sambrook et al., ed. (1989) lar Cloning A Laboratory Manual (2nd ed.; Cold Spring Harbor Laboratory Press); Sambrook et al., ed. (1992) lar Cloning: A Laboratory Manual, (Cold s Harbor Laboratory, NY); D. N. Glover ed., (1985) DNA Cloning, Volumes I and II; Gait, ed. (1984) Oligonucleotide Synthesis; Mullis et al. US. Pat. No. 4,683,195; Hames and Higgins, eds. (1984) Nucleic Acid Hybridization; Hames and Higgins, eds. (1984) Transcription And Translation; ey (1987) Culture Of Animal Cells (Alan R. Liss, Inc.); Immobilized Cells And Enzymes (IRL Press) (1986); Perbal (1984) A Practical Guide To Molecular Cloning; the treatise, Methods In Enzymology (Academic Press, Inc., NY); Miller and Calos eds. (1987) Gene er Vectors For Mammalian Cells, (Cold Spring Harbor Laboratory); Wu et al., eds., Methods In Enzymology, Vols. 154 and 155; Mayer and Walker, eds. (1987) chemical Methods In Cell And Molecular Biology (Academic Press, London); Weir and Blackwell, eds., (1986) Handbook Of mental Immunology, Volumes I-IV; Manipulating the Mouse Embryo, Cold Spring Harbor Laboratory Press, Cold Spring , N.Y., (1986); and in Ausubel et al. (1989) Current Protocols in Molecular Biology (John Wiley and Sons, Baltimore, Md.).
] General principles of antibody engineering are set forth in Borrebaeck, ed. (1995) Antibody Engineering (2nd ed.; Oxford UniV. Press). General principles of protein engineering are set forth in Rickwood et al., eds. (1995) Protein Engineering, A Practical Approach (IRL Press at Oxford UniV. Press, , Eng.). General principles of dies and antibody-hapten binding are set forth in: Nisonoff (1984) lar Immunology (2nd ed.; Sinauer Associates, Sunderland, Mass.); and Steward (1984) Antibodies, Their Structure and Function (Chapman and Hall, New York, NY). Additionally, standard methods in immunology known in the art and not specifically described are generally followed as in Current Protocols in Immunology, John Wiley & Sons, New York; Stites et al., eds. (1994) Basic and Clinical Immunology (8th ed; Appleton & Lange, Norwalk, Conn.) and l and Shiigi (eds) (1980) Selected Methods in Cellular Immunology (W.H. Freeman and Co., Standard nce works setting forth general principles of immunology include Current Protocols in Immunology, John Wiley & Sons, New York; Klein (1982) J., Immunology: The Science of onself Discrimination (John Wiley & Sons, NY); Kennett et al., eds. (1980) Monoclonal dies, Hybridoma: A New Dimension in Biological Analyses (Plenum Press, NY); Campbell (1984) "Monoclonal Antibody Technology" in Laboratory Techniques in Biochemistry and Molecular Biology, ed. Burden et al., (Elsevere, Amsterdam); Goldsby et al., eds. (2000) Kuby Immunology (4th ed.; H.
Freemand & Co.); Roitt et al. (2001) Immunology (6th ed.; London: Mosby); Abbas et al. (2005) ar and Molecular Immunology (5th ed.; ElseVier Health Sciences Division); Kontermann and Dubel (2001) Antibody Engineering (Springer Verlan); Sambrook and l (2001) Molecular Cloning: A Laboratory Manual (Cold Spring Harbor Press); Lewin (2003) Genes VIII (Prentice Hall 2003); Harlow and Lane (1988) Antibodies: A Laboratory Manual (Cold Spring Harbor Press); Dieffenbach and Dveksler (2003) PCR Primer (Cold Spring Harbor Press).
All of the references cited above, as well as all references cited herein, are incorporated herein by reference in their ties.
The following examples are offered by way of illustration and not by way of limitation.
EXAMPLES Embodiments of the present disclosure can be further defined by reference to the following non-limiting examples, which describe in detail preparation of certain antibodies of the present sure and s for using antibodies of the present disclosure. It will be nt to those skilled in the art that many modifications, both to materials and s, can be practiced without departing from the scope of the present disclosure.
Example 1. Production and Humanization of Anti-IL-21 Murine Monoclonal Antibodies Immunization of Mice and Anti-IL—21 Hybridoma Generation Six-week old female Balb/c mice received 8 rounds of intra-peritoneal (IP) and metatarsal injections of purified recombinant human IL—21 alternating with cynomolgus monkey IL-21 protein conjugated to BSA (Imject ide-Activated BSA Kit, Pierce).
Brie?y, starting on day 1 mice were immunized with 10 ug IP and 2.5 ug metatarsal of immunogen fied in Imj ect Alum (Thermo Scientific) as per manufacturer’s instructions. Immunization lasted 28 days at intervals of 4 days. Test bleeds were collected on days 15 and 28 via retro-orbital bleeds in serum separation tubes. Sera were assayed by ELISA for direct binding to IL-21 and competition with IL-21R. Based on neutralizing titers in the competition ELISA, mice were selected to receive a pre-fusion boost with 10 ug of human IL—21 conjugated to BSA and sacrificed on day 30. Splenocytes and lymph node cells were harvested and fused to P3-X63-Ag8.653 myeloma using PEG to generate hybridomas.
Anti-IL-21 specific hybridomas were fied by screening the hybridoma tants in direct g and competition ELISA as described before. Positive hybridomas were further tested for neutralization ty in a cell based assay using down modulation of STAT3 phosphorylation as a read out (IL-21 signals through STAT3). Neutralizing hybridomas were then limited dilution cloned and expanded for antibody purification.
Competition ELISA was used throughout the hybridoma campaign to identify the good responders of mice after IL-21 zation, followed by ing with the same method for neutralizing hybridomas. Brie?y, Maxisorp ELISA plate (NUNC) was coated with 2 ug/ml of IL-21R-Fc in phosphate-buffered saline (PBS) at 40 C overnight. The plate was then blocked with 3% BSA in PBST (PBS + 0.1% Tween) at room temperature for one hour. In parallel, test bleeds were serially diluted (to screen for good responders) or IgG trations of hybridoma culture supematants were normalized and pre-incubated with 2 nM biotinylated IL-21. After pre-incubation, the mixture was then added to each ELISA plate well and further incubated at room temperature for half an hour. After washing, streptavidin-HRP was added to each well to detect the level of bound IL-21 as a gauge of inhibition of IL-21/IL-21R-Fc interaction by test bleeds or hybridoma IgGs.
Isolation, g, Sequencing, Expression, and Purification of Anti-IL-21 Murine mAbs Hybridoma culture supernatants were ed for their inhibitory ability against IL-21/IL-21R-Fc interaction following the procedure described in competition ELISA.
Positive ones were put through limited dilution cloning (LDC) procedure to guarantee the clonality. After the functionalities of the subclones were confirmed, they were subjected to molecular cloning. mRNA from hybridomas was isolated using the Dynabeads mRNA Direct Kit according to the manufacturer’s ctions. The mRNA was then ted to cDNA by reverse transcriptase polymerase chain on using cript III Reverse Transcriptase.
Two sets of cDNA were sized to avoid PCR inaccuracies. The cDNAs were used as templates to amplify antibody variable regions of light chain and heavy chain (VL and VH).
The PCR was performed using the Invitrogen high fidelity Taq rase and the Novagen mouse Ig primer set, which included six VH primer sets and seven VL primer sets. The amplified VL and VH PCR products were purified and cloned into Invitrogen pCR 2.1 Topo vectors, which readily ligate DNA sequences with T-A compatible ends. The transformed E. coli was plated on X-gal/Carb agar plates. The bacteria colonies containing PCR inserts appeared white. Random white colonies were selected for PCR to further verify the insertion.
] Forty-eight white colonies from each transformation were selected for sequencing. Colonies were inoculated in 96-well plates with LB/Carb media and then d onto LB/Carb agar plates. The colonies which grew on the agar plates were sequenced using M13 forward primer. Based on the s of the sequences, primers were created that would allow PCR amplification of VL and VH adding restriction enzyme sites which are compatible to human IgG pOE expression vector. Restriction enzyme digestion and ligation were performed to clone VL and VH into the vector resulting in a chimeric antibody construct containing mouse variable region and human constant . The plasmid DNA was transfected into 293E cells using 293 transfectin t. The IgG expression levels in the cell supernatants were estimated by Octet. IgG in the supernatant was purified using Protein-A columns. The purified IgG was analyzed on SDS-PAGE.
ELISA was used to test cross vity of lead clones. Cytokines tested include Il-2, IL-4, IL-7, IL-9, and IL-15. Maxisorp ELISA plate (NUNC) was coated with 2 ug/ml of different cytokines in PBS at 40 C overnight. The plate was then blocked with 3% BSA in PBST (PBS + 0.1% Tween) at room temperature for one hour. Purified lead clone IgGs were serially diluted in PBST+3% BSA and the mixture was then added to each ELISA plate well and further incubated at room temperature for half an hour. After washing, secondary dy-HRP was added to each well for 1 hour. Wells were washed first with PBST and then with PBS and the TMB solution from Pierce was added to detect the ary dy. After 5' the reaction was stopped by the addition of 1N ic acid. The plates were then read in an ELISA reader at 450 nm to detect the binding.
Humanization of Various Anti-IL-21 Murine mAbs Murine mAb 9Fll was generated and characterized by MedImmune which shows desired biological activity with binding KD of 10 nM to IL-21. The zation work was conducted at Shanghai ChemPartner Co. using the CDR grafting technology.
Properties of the successfully humanized antibody candidates, 9Fl l-4, 9Fl 1-6 and 9Fl l-ll, were verified (results presented below). The V region sequences of 9Fll and the humanized 9Fll clones are shown in Figure 1A.
The humanization of murine mAb l9E3 was done by grafting the CDRs of l9E3 onto selected human germline frameworks. The sequences of the heavy chain variable region (VH) and the light chain variable region (VL) of murine mAb l9E3 were compared with the human antibody germline sequences available in the public NCBI databases.
Human acceptor frameworks were identified based on the t sequence homology.
When choosing an optimal acceptor framework, several other criteria were used, including matching of al residues (Vernier zone, canonical class es, and VH/VL interface residues), immunogenicity (germline frequency), stability, and expression. In this case, one germline family was identified as the acceptor framework for VH: VHl-46. The J-segment genes were compared to the parental sequences over Framework 4 and J-segments and JH4 was selected for the VH. This fully human germline acceptor template was named as Ha. To achieve the t homology VL acceptor sequence, dual framework region from three different human ne were combined to design an optimal hybrid germline or sequence. The human template chosen for the VL chain, named as K1, was a combination of 014 (Frameworkl), 018 (Framework2), L23 (Framework3) and JKl (Framework 4). The framework gy between the murine sequence and human template was about 71% for VH and 79% for VL.
Critical mouse framework residues that were thought to affect CDR loops, stabilize ure of the variable regions and affect VH and VL inter-chain packing and/or interaction were identified and selectively introduced back into the human germline frameworks to best preserve the l9E3 binding epitope and affinity. In this case, mouse residues at 44V and 87F were d back in the VL chain human te as a second acceptor ork template, named K2. Alignment of the parental VL chain to these acceptor frameworks is shown in Figure 1B.
Two additional human acceptor framework tes were designed for the VH chain as tools to identify the framework that could impact binding activity of l9E3 if the fully human acceptor template (Ha) lost binding affinity. One template, named Hb, was designed by fusing the murine framework 1 with the VHl-46/JH4 human template; another template, named Hc, was designed by fusing the murine framework 3 with the VHl-46/JH4 human template. Alignment of the al VH chain to these acceptor frameworks is shown in Figure 1B.
CDR es as defined by Kabat were fused into the designed acceptor frameworks for both VH and VL for generating the humanized antibody. In total, three humanized VH genes (Ha, Hb and Hc) and two VL genes (K1 and K2) were synthesized by GeneART, then cloned into an IgGl expression vector. A panel of humanized ts have been generated and characterized in biochemical and ical assays. HTRF epitope competition assay was ped to assess IL-21 g activities of the humanized variants. Fully humanized VH te Ha exhibited comparable IL—21 binding activity to the murine l9E3 VH, as well as hybrid variants Hb and Hc. K2, the humanized VL template with two mouse residues at position 44V and 87F exhibited better binding activity than the fully humanized Kl variant. The resultant humanized variant (K2Ha) was shown to possess antigen-binding affinity and epitope specificity similar to l9E3. To minimize the mouse residue content in the best behaved humanized variant (K2Ha), mouse residue at 87F was replaced with the comparable human residue but not the 44V which was critical for retaining the g activity to IL-21. A high risk N-linked glycosylation site (NYT) was identified in the l9E3 heavy chain at position 56 in CDR2 and was removed by replacing N with Q.
The final humanized antibody (K44VHaN56Q) with only one mouse residue displayed indistinguishable binding activity comparing to mouse 19E3 and showed biological activities within 2-3 fold of 19E3 in all tested biological assays.
Murine mAb 9Fll showed desired biological activity with binding KD of 10 nM to IL-21. The humanization work was conducted at ai rtner Co. using the CDR grafting technology. ties of the successfully humanized antibody candidates, 9Fl l-4, 9Fl 1-6 and 9Fl l-ll, were verified, showing that the antibodies fully retained binding affinity and biological activity to IL-21, compared to the parental murine 9Fll. The V region sequences of 9Fll and the humanized 9Fll clones are shown in Figure 1. ties of various anti-IL-21 dies provided herein are shown in Table 2.
TABLE 2: Exemplary Anti-IL-21 Antibodies Binding Kd Family X- Clone Format Description (ELISA) hu cy reactivity K44VHa-N56Q hIgGl zed variant of 19E3 - 0.515 pM 0.352 pM |L-21 only K44VHa6-N56Q hIgGl humanized variant of 19E3 _ 0.245 pM_ |L-21 only K2Ha-N56Q hlgGl zed variant of 19E3 _ 0.403 pM_ |L-21 only Murine Monoclonal 19E3 mIgGl Antibody Yes |L-21 only Murine Monoclonal 9F11 hIgGl Antibody Yes 9.99 pM |L-21 only —-—--—-I|_ —-—----Il_ —-—-——-Il_ --—----9H10 mIgGl Antibody Yes 108 pM |L-21 only --—----8B6 mIgGl Antibody Yes |L-21 only ND: Not Done Example 2. Binding Affinity of K44VHa-N56Q to Recombinant Human and Cynomolgus Monkey IL-21 This Example shows the determination of the solution-phase equilibrium g constants (KD) for the ction of K44VHa-N56Q with human and cynomolgus monkey IL-21 proteins. The equilibrium dissociation constant (KD) for the interaction of K44VHa- N56Q with recombinant human (hu) and cynomolgus monkey (cyno) IL-21 were measured using a KinExA (Kinetic Exclusion Assay) 3000 platform yne, Boise, ID). Separate 50 mg ties of Azlactone beads (Thermo Scientific, Rockford, IL) were coated with huIL-21 (obtained from Protein Sciences/ADPE) or cynoIL-21 (obtained from Protein Sciences/ADPE) at concentrations of 75 or 150 ug/mL according to the instrument manufacturer’s instructions. The beads were washed and blocked in 1 M Tris buffer, pH 8 (Invitrogen, Carlsbad, CA), containing 10 mg/mL bovine serum albumin (BSA, Sigma- Aldrich, St. Louis, MPO) and stored at 40 C until used. Batch s of K44VHa-N56Q were prepared at concentrations of 500 fM and 50 pM (500 fM and 50 pM K44VHa-N56Q series, respectively) in sample buffer (phosphate- buffered saline (PBS, Invitrogen), pH 7.4, 0.1% BSA, 0.02% sodium azide (NaN3, Sigma-Aldrich)); each was dispensed into 2 separate sets of 13 tubes (1 for each ). Human or lgus monkey IL-21 was added into 1 tube from each series at a concentration of either 4 nM (50 pM K44VHa-N56Q) or 100 pM (500 fM K44VHa-N56Q series), then serially diluted across 11 of the remaining tubes, leaving 1 sample tube in each series as the K44VHa-N56Q, receptor-only control. The final human or cynomolgus monkey IL-21 concentrations in the individual sample mixtures ranged from 1.95 fM to 100 pM (500 fM K44VHa-N56Q), and 78.1 fM to 4 nM (50 pM K44VHa-N56Q). These sample mixtures were equilibrated at room temperature for 2 to 7 days, and analyzed on the KinExA rm. The ILcoated Azlactone bead slurries were diluted to 30 mL with instrument buffer (PBS, pH 7.4, 0.02% NaN3) in a bead vial and affixed to the KinExA instrument. A user-defined timing program was used to tially transfer the IL\-21/Azlactone beads to a ary ?ow cell in the instrument, and individual sample mixtures were injected over the ILcoated beads. Unbound sample solution was removed by g the beads with instrument buffer. A 1- or 2-ug/mL solution of the DyLight649-labeled, nti-hngG(H+L) secondary reagent (Thermo Scientific) was passed over the beads to detect receptor (K44VHa-N56Q) that remained bound to the IL coated beads. The beads were again washed with instrument buffer to remove excess (unbound) label. The amount of ?uorescence that remained associated with the beads was measured, and the signal was converted to percent free receptor (K44VHa-N5 6Q). In between samples, the bead pack was flushed from the ?ow cell and ished with fresh ILcoated Azlactone beads in preparation for the next sample. Once the data had been collected for all samples in each series (500 fM and 50 pM K44VHa-N56Q), an isotherm was generated, which plotted the amount of free K44VHa-N56Q detected at each tration of IL—21. The resulting 2 binding curves were then evaluated in a dual curve analysis using the instrument’s evaluation software (KinExA Pro Software, V. 2.0.1.26, Sapidyne) from which individual KDs for each interaction were derived.
The binding of K44VHa-N56Q to human and cynomolgus monkey IL-21 was measured by KinExA. K44VHa-N56Q was ed in 2 concentration : 500 fM and 50 pM, and human IL-21 or cynomolgus monkey IL-21 protein were serially diluted across each series. Once equilibrium was reached, the KinExA instrument was used to measure the concentration of free K44VHa-N56Q that remained in each of the sample mixtures. This was done by recording the amount of ?uorescence that ed associated with ILcoated beads after samples of each mixture were passed over the beads, and then exposed to a ?uorescently labeled, anti- IgG reagent. A plot of the amount of free K44VHa-N56Q recorded versus 1 or cynoIL-21 protein concentration was made, and the KinExA platform’s evaluation software was used to fit each data set to a te affinity model. The KinExA software globally fit both binding curves (500 fM and 50 pM IgG) in a dual-curve is (Figures 2A and 2B, respectively, returning optimal solutions for several parameters simultaneously and calculating the true solution-phase binding constant. Under these conditions, the K1) for the binding of K44VHa-N56Q to huIL-21 protein was calculated to be 515 fM (95% CI for KD: 279 to 844 fM), while the g or K44VHa- N56Q to cynoIL-21 protein was calculated to be 352 fM (95% CI for KD: 134 to 685 fM).
K44VHa-N56Q was demonstrated to weakly bind to murine IL-21 with MM affinity, as measured on a KinExA platform.
Example 3. Mechanism of Action Studies for L-21 onal Antibodies Anti-IL-21 clones block IL-21 induced phosphorylation of STAT3 The ability of ed anti-IL-21 antibodies to inhibit human and cyno IL induced phosphorylation of STAT3 (pSTAT3) was ined as described below. , total human peripheral blood mononuclear cells (PBMCs) were isolated from CPT tubes (BD Vacutainer) following centrifugation according to the manufacturer’s instructions. Anti-IL-21 antibodies were pre-incubated with human or cyno IL-21 (20 pM) in 96-well round bottom plates for 60 minutes at 37 degrees. Following this incubation, PBMCs (0.4x106 per well) were quickly added to each well and were incubated with the IL- 21/IgG for 15 minutes at 37 degrees. After stimulation the cells were fixed for 10 minutes (at 37 degrees) with 100 ll pre-warmed Lyse/Fix Buffer (BD Phosflow) followed by permeabilization on ice for 30 minutes with 225 til/well Perm Buffer 111 (BD Phos?ow).
Cells were washed twice (PBS/2% BSA) and stained with anti-pSTAT3 (pY705, BD Phos?ow) for 30 minutes at room temperature. Cells were washed with stain buffer and were analyzed on an LSR II ?ow ter (BD Biosciences) using FACSDiva software.
Stimulation with human and cyno IL-21 as described induced a 3fold se in levels of pSTAT3 in total human PBMCs (Figure 3A). Representative graphs demonstrating inhibition of ILinduced lation of pSTAT3 by anti-IL-21 antibodies are shown in Figure 3B. All clones tested reached 100% inhibition in this assay. IC50 values of anti-IL-21 clones in the pSTAT3 assay are summarized in Table 3. These data show that the anti-IL—21 antibodies described are able to inhibit early signaling events downstream of the IL-21R.
Table 3: IC50 values of anti-IL-21 antibodies in the pSTAT3 assay £658 01‘ indicated clones in STAT3 assa WW........hamaancym?'m.........
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........................................................................................................................................... ............................................................................................................................................... ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ - \ ] K44VHa-N56Q has been shown to weakly bind to murine IL-21. ation of mouse splenocytes with murine IL—21 induced a 4-fold increase in intracellular levels of phosphorylated STAT3. K44VHa-N56Q was not able to inhibit phosphorylation of STAT3 induced by murine IL-21. These data t that K44VHa-N56Q does not neutralize the bioactivity of murine IL-21.
IL-21 is a member of the 70 receptor cytokine family which utilizes the common gamma chain in concert with a specific or(s) to mediate biologic activity. Human blood lymphocytes were stimulated with 70 chain utilizing IL-2, IL-4, IL-7, IL-15, or IL-21 cytokines in the presence or absence of K44VHa-N56Q or a control human IgGl-YTE antibody. ream signaling was measured by assessing the phosphorylation of STAT les appropriate for each cytokine. K44VHa-N56Q had no effect on downstream signaling of d IL-2, IL-4, IL-7, or IL-15 cytokines. These data show that K44VHa- N56Q acts specifically to neutralize the IL—21 y in human cells.
IL-21 signaling h its cognate receptor leads to the tion and phosphorylation of STAT3. Data described herein trate that K44VHa-N56Q can inhibit upregulation of pSTAT3 in response to both human and cyno IL—21, but not mouse IL-21. Furthermore, this inhibition is specific for IL-21, as K44VHa-N56Q did not affect activation of STAT les downstream of related 70 cytokine receptors such as receptors for IL-2, IL-4, IL-7, and IL-15. Accordingly, -N56Q is a potent and ic tor of IL-21R signaling events.
IL-21 blockade suppresses IFN’1 production by NK-92 cells The effect of purified anti-IL-21 antibodies on IL-21 induced IFNy production by NK-92 cells was assessed as follows.
NK-92 cells were grown in complete growth media which consisted of MEM alpha Glutamax base media supplemented with sodium bicarbonate (1.5 g/L), inositol (0.2 mM, Sigma Aldrich), 2-mercaptoethanol (0.1 mM), folic acid (0.02 mM, Sigma Aldrich), recombinant IL-2 (100 U/ml, R&D Systems), horse serum (12.5%), and fetal bovine serum (12.5%). All ts were purchased from Invitrogen unless otherwise indicated. Cells were washed and resuspended in media that did not contain IL-2 for 16-24 hours prior to stimulation with IL-21. To assess the potency of the anti-IL-21 clones, antibodies were pre- incubated with human or cyno IL-21 (200 pM) in 96-well ?at bottom plates for 60 minutes at 37 degrees. 0.5);105 NK-92 cells were then added to the plate and incubated at 37 degrees for 24 hours. IFNy production was quantified in the supernatant using an MSD human IFNy single-pleX assay according to the manufacturer’s instructions (Meso Scale Discovery).
The ability of anti-IL-21 clones to inhibit human and cyno IL-21 induced IFNy by NK-92 cells is represented in Figure 4. Clones K2Ha-N56Q, K(44V)Ha-N56Q, and K(44V)Ha6-N56Q were able to completely inhibit IFNy production in these cultures, with similar potency against human and cyno IL-21. A summary of IC50 values of clones assessed in the NK-92 cell assay is provided in Table 4. These data demonstrate that the anti-IL-21 dies tested modulate the activity of NK-92 cells as demonstrated by a te block in IFNy production at 24 hours.
Table 4 IC50 values of anti-IL-21 antibodies in the NK-92 assay £058 of indicated clones in NYC—92 cell 3333' human iL-m cyno 8:21 KQHaNS?Q KeiéWHa-NS?Q Plasma cell differentiation induced by exogenous IL-21 is ted by anti-IL-21 clones In order to determine the effect of the anti-IL-21 antibodies on B cell ty, a plasma cell differentiation assay was performed.
Human PBMCs were isolated from CPT tubes (BD Vacutainer) following centrifugation according to the manufacturer’s instructions. B cells were negatively selected using MACS cell separation reagents (Human B cell isolation kit 11, Miltenyi Biotec).
Routine purity for B cells using this technique was >97%. Of note, total B cell preparations isolated using this method contain populations of both naive and memory B cells, but PCs were excluded due to expression of CD43, which is targeted by the antibody selection cocktail of the MACS kit. Culture medium for these experiments was RPMI 1640 (Invitrogen) supplemented with 10% FCS, penicillin-streptomycin (100 units/ml penicillin, 100 [Lg/ml omycin), 2-mercaptoethanol (55 MM), L-glutamine (2 mM), and HEPES (5 mM). Anti-IL-21 antibodies were pre-incubated in 96-well round bottom plates with the ation cocktail which included human or cyno IL-21 (2 nM), anti-CD40 (0.1 [Lg/ml, goat IgG, R&D Systems), and anti-IgM F(ab’)2 (5.0 [Lg/ml, Jackson ImmunoResearch Laboratories) for 60 minutes at 37 s. 0.5-1.0 x 105 B cells were then added to the plate for a final volume of 150m.
Following 6 days of stimulation, the cells were stained and ed using ?ow cytometry to quantify the frequency of plasma cells in culture. Cells were washed (PBS/2% FBS) and d for 30 minutes at 4 degrees with anti-IgD (HTC or PE); anti-CD38 (allophycocyanin, clone HB7) (BD Pharmingen) and were analyzed on an LSRII ?ow cytometer using FACSDiva Software. Additionally, supematants were harvested and Ig production was quantified by ELISA. , 96-well ?at bottom plates were coated overnight at 4°C with 5 ug/ml of goat anti-human IgG diluted in PBS (Bethyl Laboratories).
Plates were washed and blocked with 0.2% BSA in PBS. Supernatants were diluted and incubated on plates overnight. Bound Ig was ed with goat anti-human IgG-alkaline phosphatase (0.2 ug/ml, Bethyl Laboratories) diluted in ng buffer. Plates were developed with SigmaFast p-Nitrophenyl phosphate tablets (Sigma Aldrich) and specific ance was measured at 405 nm using a SpectraMaX plate reader (Molecular Devices).
Stimulation of human B cells as described above with either human or cyno IL- 21 ed in the generation of an IgD' CD3 8hi PC population (Figures 5A and 5B). Several clones ing l9E3.l, 9Fl 1.1, and 9H10.l were able to completely inhibit PC differentiation under these conditions (Figures 5A and 5B). Clone 8B6.l inhibited PC differentiation induced by cyno but not human IL—21. IC50 values for anti-IL—21 clones are summarized in Table 5. Additionally, under control conditions, stimulation with IL—21, anti- CD40 and anti-IgM resulted in Ig production in the range of 30-40 ug/ml by day 6 (Figure 5C). Clones l9E3.l and 9Fll.l inhibit Ig secretion by human B cells in a dose ent manner (Figure 5C). Clone l9E3.l was able to inhibit IgG production in response to both human and cyno IL-21 by >99%, while 9Fl l.l inhibited IgG production by human and cyno IL-21 by 97% and 79% respectively. Cumulatively, these data suggest that the anti-IL—21 clones described are able to significantly inhibit human Plasma cell differentiation and Ig secretion d by exogenous human and cyno IL—21.
Table 5: IC50 values for anti-IL-21 antibodies in the plasma cell differentiation assay £850 of indicated clones in PC differentiation assa human it.»21 cyno it»?! KEHaNSSQ 132+..«u039 mm N‘SBQ f ‘i.08+f—Q,15 RM 6593+1249M....... ,,,,,,,,,,,,2'"rapid M+f~81 nM 115.5 Mi >200 nM Anti-IL-21 clones inhibit PC differentiation induced by activated CD4+ T cells Anti-IL-21 clones were tested for their ability to block plasma cell differentiation induced by activated CD4+ T cells in a co-culture assay as described below.
Human PBMCs were isolated from CPT tubes (BD Biosciences) following centrifugation. B cells and CD4+ T cells were negatively selected using MACS cell separation reagents (Miltenyi Biotec). e purity for total B cells and CD4+ T cells was >97%. CD4+ T cells were mitomycin-C treated (30 , Sigma Aldrich) for 30 s at 37°C then washed and rested in complete media at 37°C for an additional 30 minutes. 1.0 x 105 mitomycin-C treated CD4+ T cells and 0.5 x 105 purified B cells (per well) were co- cultured in a final volume of 200 [1.1 with anti-CD3/anti-CD28 beads (5:1 T cell to bead ratio). Culture medium for all experiments was RPMI 1640 (Invitrogen) supplemented with % FCS, penicillin-streptomycin (100 units/ml penicillin, 100 [Lg/ml streptomycin), 2- mercaptoethanol (55 MM), L-glutamine (2 mM), and HEPES (5 mM). Anti-IL-21 antibodies were added to the cultures at a concentration of 0-200 nM. Following 7 days of culture, plasma cells were quantified using ?ow cytometry. Cells were washed (PBS/2% FB S) and stained for 30 minutes at 4 degrees with gD (FITC or PE); anti-CD38 (allophycocyanin, clone HB7) (BD Pharmingen) and were analyzed on an LSRH ?ow cytometer using va Software. All ions were ted for the same time, thus the number of events displayed is re?ective of relative cell number. However, total cell numbers were determined using AccuCount Particles (Spherotech).
Co-culture of B cells with activated CD4+ T cells resulted in the emergence of an IgD' CD38hi PC population, with 68.5% of the CD19+ cells expressing this PC phenotype by day 7 (Figure 6A). Addition of 19E3.1 or 9F11.1 inhibited PC differentiation in a dose ent manner with each achieving a maximal inhibition of 80% and 78%, respectively (Figures 6B and 6C). These data suggest that anti-IL-21 clones can largely block plasma cell differentiation induced by de novo IL-21 production from activated T cells.
Anti IL-21 clone inhibits naive CD4+ T-cell Expansion IL-21 has been shown to t CD4+ T-cell proliferation under suboptimal priming conditions. Human naive CD4+ T cells were purified and stimulated in vitro with anti-CD3 and IL-21 in the presence or absence of parental antibody 19E3.1. eration was assessed by ing the accumulation of ATP after four days in e. As previously reported, the amount of ATP detected is directly proportional to the number of metabolically active cells in culture. 19E3.1 blunted ILinduced proliferation (average IC50 = 61.02 pM for two donors) in a dose-dependent manner. These data show that the K44VHa-N56Q (MEDI7169) parental antibody 19E3.1 inhibits ILdriven proliferation of human naive CD4+ T-cells (Figure 7).
Pharmacokinetics Pharmacokinetics (PK) of K44VHaN56Q, a YTE antibody, was evaluated in three s using monkeys as an animal model, which can predict human PK with able accuracy (Oitate et al, Drug Metab. Pharmacokinet. 26 (4): 423-430 (2011)).
Clearance is a major PK parameter for human PK prediction scaled from animal data; a r CL value suggests that a molecule can stay longer in the body. CL values for N56Q in monkeys range from 1.08 to 4.37 g. Typical therapeutic antibodies such as Bevacizumab (Avastin®), Daclizumab (Zenapax®), In?iximab (Remicade®), and Rituximab (Rituxan®) are associated with respective CL values as 5.78, 5.30, 11.5, and 17.0 (mL/d/kg) (Dong et al, Clin Pharmacokinet. 50(2):131-142 (2011). Monkey body weight was assumed to be 3 kg). These CL values are greater than the estimated for K44VHaN56Q. Therefore, K44VHaN56Q is expected to stay in body longer than a typical therapeutic dy.
Example 4. Prevention of Graft-Versus-Host Disease (GVHD) Using L-21 Monoclonal Antibodies Xenogeneic GVHD Mouse Model GVHD develops when transferred (donor) T cells perceive foreign antigens presented by host ient) A molecules. NOD/SCID/IL-2 receptor y chain deficient (NSG) mice lack mature T and B cells, functional NK cells, and macrophages.
These mice demonstrate decreased cytokine signaling due to loss of the yc receptor.
In a xenogenic model of GVHD, human PMBCs are transferred to NSG mouse recipients. Since the mice are immunocompromised, the human cells are not rejected by the mouse immune system. The human cells recognize the mouse environment as foreign and become activated and proliferate. The ted human cells e a "cytokine storm," leading to a severe immunoreactive e, affecting liver, gastrointestinal tract, and skin, ultimately resulting in death of the animal. A large number of cells capable of producing IL- 21 can be isolated from the blood of GVHD mice.
Thirty-five female NSG mice (NOD.Cg-Prkdcscid Il2rgtm1le/SzJ; The n Laboratories, Bar , ME) were used in the prophylactic study. Mice were 5-7 weeks old and weighed 2.4 grams at the start of the study.
Isolation of Human eral Blood Human blood was collected from two healthy donors into Cell Preparation Tubes (CPT) (Becton Dickinson, San Jose, CA) containing sodium heparin. Mononuclear cells were isolated from CPT tubes according to the cturer’s instructions. Brie?y, tubes were centrifuged at room temperature for 25 minutes at 1700 x g. Following centrifugation, mononuclear cells were harvested. Cells were washed twice in PBS by centrifuging for 10 minutes at a ve centrifugal force of 400 x g. The cells were then counted and resuspended in the appropriate amount of PBS and kept at room temperature until injections (immediately following final wash).
Antibodies A human IgGlK-YTE (NIPYTE; MedImmune, Cambridge, UK) was used as a Control mAb in this example. The control mAb was aliquoted and frozen as stock solution at -800C. Formulation buffer was 25 mM histidine, 7% sucrose, 0.02% (w/v) polysorbate 80, at pH 6.0. The dosing solution was prepared by diluting an aliquot of the stock solution (60.6 mg/mL) with phosphate-buffered saline PBS to 1 mg/mL. Working preparations were stored at 4-80C.
K44VHa—N56Q (MEDI7169) was stored at -800C as aliquoted and frozen stock solution. Formulation buffer was 25 mM ine, 205 mM sucrose, 0.02% (w/v) polysorbate 80, at pH 6.0. The dosing solution was prepared by diluting an aliquot of the stock solution (47.6 mg/mL) with PBS to 1 mg/mL. Working preparations were stored at 4- Injection of Human Cells, ents, and Assessment of GVHD Dosing was performed as shown in Table 6. Brie?y, 12.71 x 106 purified human PBMC’s from Donor 1 or 13.46 ><106 purified human PBMC’s from Donor 2 were injected IP into 5-7 week old female NSG mice on Day 0. Two hundred micrograms (in 200 uL volume) K44VHa-N56Q (MEDI7169), Control mAb, or an equal volume of PBS (vehicle) alone was administered IP, three times a week ng on Day -1, prior to injecting human PBMCs.
Table 6. Group Designation and Dose Levels in Prophylactic Study Donor PBMC and Days of dosing Treatment Vehicle Donor 1 (Donor 1) (12.71 x 106) Day- 1 to Day 31 and PBS l mAb Donor 1 Mo,W,Fr (Donor 1) (12.71 x 106) Day -1 to Day 31 and Control mAb K44VHa-N56Q Donor 1 Mo,W,Fr (MEDI7 169) (12.71 x106) and Day -1 to Day 31 (Donor 1) -N56Q (MEDI7169) Vehicle Donor 2 Mo,W,Fr (Donor 2) (13.46 x 106) Day -1 to Day 44 and PBS Control mAb Donor 2 Mo,W,Fr (Donor 2) (13.46 x 106) Day -1 to Day 44 and Control mAb -N56Q Donor 2 Mo,W,Fr (MEDI7 169) (13.46 x 106) and Day -1 to Day 44 (Donor 2) K44VHa-N56Q (MEDI7169) F = female; Fr = Friday; IP = intraperitoneal; mAb = monoclonal antibody; Mo= ; N/A = not applicable, as animals were not dosed; PBMC = eral blood mononuclear cells; PBS = phosphate- buffered ; ROA = route of administration; W = Wednesday; Body weight was individually measured throughout the study, at least once weekly. Mice were euthanized when they were determined to have lost 20% body weight or if the mouse was emaciated/moribund or otherwise in pain or distress. Death and humane euthanasia were used synonymously for the purposes of tracking survival.
Assessment of T-cell Number and Phenotype by Flow Cytometm Mice were bled from the retro-orbital sinus into heparin microtainer tubes. In all experiments at all time , 100 uL of blood was utilized. A red blood cell lysis step was performed using ACK lysing buffer (Life Technologies, Grand Island, NY), the remaining cells were incubated with TruStain Fc blocker gend, San Diego, CA), diluted 1:4, for minutes, then stained for 30 minutes at 4°C with the following antibody cocktail to Visualize CD4 and CD8 T cells: V500-conjugated anti-human CD45 (clone H1130; BioLegend, San Diego, CA), AF700-conjugated anti- human CD4 (clone RPA-T4; BioLegend, CA), and BV711-conjugated anti-human CD8 (clone RPA-T8; BioLegend, San Diego, CA). Samples were washed, fixed in 2% paraformaldehyde, and run on a Becton Dickinson LSR II ?ow cytometer using FACSDiva software. Samples were analyzed using FlowJo software (version 9). Human cells were identified by those that expressed the human CD45 antigen. d blood (100 uL) for all conditions were collected on LSRII for the same volume, thus the number of events displayed is re?ective of relative cell number for the different treatments.
Assessment of Human Cytokines in Serum from Treated Mice by Multiplex ELISA Longitudinal serum samples were collected and analyzed using a human Thl7 lex kit (magnetic bead, pre-mixed) (Merck Millipore, Billerica, MA) with a Luminex 200 analyzer; manufacturer’s instructions were followed.
] GraphPad Prism (version 6.0d for Mac OS X) was utilized. Serum cytokine results from K44VHa-N56Q (MEDI7l69) treated mice were compared to that of Control mAb treated mice (Donor l) or that of Control mAb and PBS le) treated mice combined (Donor 2). These data were analyzed using unpaired s with Welch’s correction, unless the variances were determined to be significantly different by F-test, and then Mann Whitney tests were performed. P < 0.05 for all significant differences.
K44VHa-N56 MEDI7l69 Inhibits Xeno eneic GVHD-induced Wastin and T-cell Expansion IL-21 has been reported to impact T-cell function. Thus, the ability of - N56Q (MEDI7l69) to inhibit xenogeneic GVHD, which is largely mediated by CD4+ T cells was investigated. Human PBMCs were ed into compromised NSG mice, as described above, and a wasting disease was noted by Day 21 in mice that received Control mAb (human IgG1 mAb) (Figure 8A) or PBS Vehicle. Mice that received 200 ug of K44VHa-N56Q l69) three times a week starting at Day -1 appeared healthy (Figure 8B) and could not be distinguished from l mice that received no human cells.
Analysis of the blood revealed that in mice who received Control mAb (or PBS), human CD45+ cells had expanded (Figure 8C). In comparison, mice that ed K44VHa-N56Q (MEDI7l69) had significantly reduced human CD45+ cells present in the blood (Figure 8D). In Control mAb (and PBS) treated mice, this expansion of human CD45+ cells consisted mostly of CD4 positive cells (Figure 8E), whereas the percent of CD4 positive cells was greatly reduced in K44VHa-N56Q l69) treated mice, such as noted on Day (Figure 8F). These results are tent with K44VHa-N56Q (MEDI7l69) inhibition of expansion of human CD4+ T cells following transplantation of human PBMCs into immunocompromised mice.
When mice were followed over time, animals that received PBS vehicle or l mAb were found to have a steady increase in the numbers of human CD45+ cells.
However, these cells did not expand in mice that received K44VHa-N56Q l69) (Figure 9). Importantly, approximately 3 weeks following -N56Q (MEDI7l69) withdrawal, human CD45+ cells were found to initiate expansion, which then again declined upon resuming treatment (Figure 9). These data demonstrate that K44VHa-N56Q (MEDI7l69) can significantly t T-cell expansion, which is reversible upon withdrawal.
GVHD-Induced Weight Loss and Death Are Prevented by K44VHa-N56Q 1692 Body weight loss and survival were monitored in mice that received either no human cells (naive), or that received human PBMCs with PBS e, Control mAb, or K44VHa—N56Q (MEDI7l69) started one day (Day -1) before the mice received human PBMCs. Mice that ed PBS or Control mAb were found to rapidly lose weight (Figure 10A) and either died or were euthanized when body weight declined by 20%. All mice (n=l6) that were injected with PBS or Control mAb in two separate s either died or were euthanized by study day 37 after receiving human PBMCs (Figure 10B). In contrast, all mice (n=10) that received K44VHa-N56Q (MEDI7l69) survived and remained healthy until K44VHa-N56Q (MEDI7l69) was withdrawn (Figure 10B). In one ment, mice remained healthy for approximately 20 days after K44VHa-N56Q (MEDI7l69) was withdrawn, and then rapidly declined and died or were euthanized shortly after study Day 31 e 10B). In a separate study utilizing a second donor’s human PBMCs, mice remained viable for approximately 40 days after K44VHa-N56Q (MEDI7l69) was stopped. These data demonstrate that K44VHa-N56Q (MEDI7l69) ts against lethality, which is reversible when -N56Q (MEDI7l69) is withdrawn.
K44VHa-N56Q 1MEDI7169) Inhibits Production of Several Cytokines and Is Reversible Sera from mice injected with Donor 2 e 11) or Donor 1 (Figure 12) cells, was collected at various time points, and analyzed for expression of 25 cytokines using Millipore’s MILLIPLEX MAP system. Over half of the cytokines examined were below the level of ion. For the cytokines that were detectable, K44VHa-N56Q (MEDI7l69) induced a significant decrease in GM-CSF, IL-10, and TNF in two separate experiments. In one experiment IFNy was significantly decreased and trended down in a second experiment.
IL-l7A and IL-9 were found to be significantly sed in one of two ments. In both experiments, IL-5 was found to be significantly increased (Figure 11). Complete blood counts (CBC) were performed using the Sysmex XT-2000iv hematology analyzer, and importantly, an increase of eosinophils was not noted in the mice with increased IL—5. IL-21 was found to be increased in both ments. Increased IL-21 is consistent with that obtained in a toxicity study in lgus monkeys in which the increased IL-21 was a re?ection of the amount of circulating drug that was binding to and lizing the cytokine.
As shown in Figure 9, K44VHa-N56Q (MEDI7l69) inhibited CD4+ T cell expansion, which was reversible when drug was withdrawn. This was confirmed in a second study (Figure 12). It is noteworthy that following cell expansion, several cytokines also increased, including TNF, IFNy, and IL-10 e 12). These data show that and anti-IL- 21 antibody, namely, K44VHa-N56Q (MEDI7l69) inhibits T- cell ion and cytokine production, which are both reversible when K44VHa-N56Q (MEDI7l69) is stopped.
Example 5. Treatment of Graft-Versus-Host Disease (GVHD) Using Anti-IL-21 Monoclonal Antibodies Experimental Design ] Twenty female NSG mice (NOD.Cg-Prkdcscid Iergtmlel/SZJ; The n Laboratories, Bar Harbor, ME) were used in the therapeutic study. Mice were 8 weeks old and weighed 18.0-22.3 grams at the start of the study.
Human blood was collected and prepared as described above in Example 4.
Control and test mAbs were obtained, handled, and stored as described above in Example 4.
Dosing was performed as shown in Table 7. Brie?y, 12 x 106 purified human PBMC’s from Donor l were ed IP into 8 week old female NSG mice on Day 0. Two hundred micrograms (in 200 uL volume) K44VHa-N56Q l69) or control mAb were injected IP three times a week starting on Day 7. Another group was injected with K44VHa- N56Q (MEDI7l69) (200 ug in 200 uL) IP three times a week starting on Day 14.
Table 7. Group Designation and Dose Levels in Therapeutic Study Donor PBMC and Days of dosing Dose (pg) Treatment _———— Control mAb 5 F Donor 1 Mo,W,Fr 200 IP (Day 7) (1200 x 106) Day 7 to at least Treatment __and Control mAb K44VHa-N56Q Donor 1 Mo,,WFr IP (MEDI7169) (12.00 x 106) and Day 7 to at least K44VHa-N56Q Donor 1 Mo,W,Fr (MEDI7169) (12.00 x 106) and Day 7 to at least (Day 14) K44VHa-N56Q Day 33 (MEDI7 169) F = female; Pr = Friday; IP = intraperitoneal; mAb = monoclonal antibody; Mo-— Monday; N/A-— not applicable, as s were not dosed; PBMC = peripheral blood mononuclear cells; PBS = phosphate- buffered saline; ROA = route of administration; W = day Assessment of GVHD, T-Cell number and phenotype, and human cytokines in serum were performed as bed above in Example 4.
Automated Assessment of Complete Blood Counts An Sysmex XT-2000iv automated hematology analyzer x America, ein, IL) was utilized to assess total white blood cell numbers, as well as red blood cell numbers, hematocrit and hemoglobin values. On Days 7, l4, and 21, mice were bled from the retro-orbital sinus into heparin microtainer tubes. A 1:10 dilution was made (20 uL of each whole blood sample were diluted in 180 uL PBS), the samples were then entered into the analyzer and the resulting data was multiplied by a dilution factor of ten.
Therapeutic Treatment with K44VHa-N56Q 1MEDI71692 Protects Mice from GVHD To determine whether -N56Q (MEDI7169) given therapeutically had the y to protect the mice from GVHD, human PBMC’s were injected as described above, and K44VHa-N56Q (MEDI7169) was given either after 7 or 14 days following injection of human cells. As shown in Figure 13, mice that received Control mAb started to die within two weeks after receiving human cells, and all died by Day 26. Mice that received K44VHa- N56Q (MEDI7169) on Day 7 were completely protected from GVHD-induced death. Mice that received K44VHa-N56Q (MEDI7169) on Day 14 (after the control mice started to die) were partially protected; 2 of the 5 mice in the Day 14 group ed past Day 26, when all the control mice had died. Mice that received human cells and Control mAb on Day 7 developed severe GVHD-induced anemia. Mice that received K44VHa-N56Q 169) ng on Day 7 were able to maintain higher normal red blood cells, hematocrit, and hemoglobin values, which were closer to those of the naive s that received no cells (Figure 14).
These data show that an L-21 antibody, , K44VHa-N56Q, protected mice from GVHD by reducing or eliminating symptoms associated with the disease. *>l<>l< ] The foregoing description of the specific embodiments will so fully reveal the general nature of the invention that others can, by applying knowledge within the skill of the art, readily modify and/or adapt for various applications such specific embodiments, t undue experimentation, without departing from the general concept of the present invention.
Therefore, such adaptations and modifications are intended to be within the meaning and range of equivalents of the disclosed embodiments, based on the teaching and guidance presented herein. It is to be understood that the phraseology or ology herein is for the purpose of description and not of limitation, such that the terminology or phraseology of the present specification is to be interpreted by the skilled artisan in light of the ngs and guidance. The present invention is further described by the following claims.

Claims (17)

1. An antibody or an antigen-binding fragment thereof comprising a heavy chain variable region (VH) and a light chain variable region (VL), wherein: (a) CDR1, CDR2, and CDR3 of the VH comprise SEQ ID NO: 29, SEQ ID NO: 30, and SEQ ID NO: 31, respectively; and (b) CDR1, CDR2, and CDR3 of the VL se SEQ ID NO: 34, SEQ ID NO: 35, and SEQ ID NO: 36 respectively; wherein the antibody or the antigen-binding fragment thereof specifically binds to IL-21.
2. The antibody or n-binding fragment of claim 1, n (a) the VH comprises the amino acid sequence of SEQ ID NO: 37; and (b) the VL comprises the amino acid sequence of SEQ ID NO: 39 or SEQ ID NO: 40.
3. The antibody or antigen-binding fragment of claim 1, wherein (a) the VH comprises the amino acid sequence of SEQ ID NO: 38; and (b) the VL comprises the amino acid sequence of SEQ ID NO: 39.
4. The antibody or antigen-binding fragment of claim 1, n the antibody or antigen-binding fragment comprises an IgG constant domain.
5. The antibody or n-binding fragment of claim 4, wherein the IgG constant domain comprises one or more amino acid substitutions that increase the antibody or antigen-binding nt half-life compared to that observed in the antibody or antigenbinding fragment having a wild-type IgG constant domain.
6. The antibody or antigen-binding fragment of claim 4, wherein the IgG constant domain is human IgG1.
7. The antibody of any one of claims 1 to 6, wherein the antibody is a murine antibody, a humanized antibody, a chimeric antibody, or a recombinant antibody.
8. The antigen-binding nt of claim 1, n the antigen-binding nt is Fv, Fab, F(ab')2, Fab', dsFv, scFv, and sc(Fv)2.
9. The antibody or antigen-binding fragment of any one of claims 1 to 8 wherein the antibody or antigen-binding fragment is conjugated to an agent selected from the group consisting of an antimicrobial agent, a therapeutic agent, a prodrug, a peptide, a protein, an enzyme, a lipid, a biological response modifier, a pharmaceutical agent, a kine, a heterologous antibody or nt thereof, a detectable label, a polyethylene glycol (PEG), and any combination thereof.
10. A pharmaceutical composition comprising the antibody or antigen-binding fragment of claim 1, and one or more of a pharmaceutically acceptable carrier, or a diluent.
11. A method for treating an autoimmune disease or disorder in a non-human t in need thereof comprising administering to the subject an effective amount of the antibody or antigen-binding fragment of claim 1, n the autoimmune disease is Sjögren's syndrome (SS), systemic sclerosis, ANCA-associated vasculitis (AAV), giant cell arteritis (GCA) vasculitis, systemic lupus erythematosus, lupus nephritis, rheumatoid arthritis (RA), Crohn's disease, myasthenia gravis, Pemphigus vulgaris, thic thrombocytopenic purpura (ITP), Type I Diabetes, IgG4-related disease, or any ation thereof.
12. The method of claim 11, wherein the autoimmune disease is systemic lupus erythematosus.
13. A method for detecting IL-21 expression levels in a sample sing (a) contacting said sample with the antibody or antigen-binding fragment of claim 1; and (b) detecting binding of the antibody to IL-21 in said sample.
14. A method for treating Graft-versus-host disease (GVHD) in a man subject in need thereof comprising administering to the subject an effective amount of the dy or antigen-binding fragment of claim 1.
15. Use of an effective amount of the antibody or n-binding fragment of claim 1 in the cture of a medicament for the treatment of an autoimmune disease or disorder in a human subject in need f, wherein the autoimmune disease is Sjögren's syndrome (SS), systemic sclerosis, ANCA-associated vasculitis (AAV), giant cell arteritis (GCA) vasculitis, systemic lupus erythematosus, lupus nephritis, rheumatoid arthritis (RA), Crohn's disease, myasthenia gravis, Pemphigus is, idiopathic thrombocytopenic purpura (ITP), Type I Diabetes, IgG4-related disease, or any combination thereof.
16. The use of claim 15, wherein the autoimmune disease is systemic lupus erythematosus.
17. Use of an effective amount of the antibody or antigen-binding fragment of claim 1 in the manufacture of a medicament for the treatment of a Graft-versus-host disease (GVHD) in a human subject in need thereof. ,UWbmm?w. C ..fr UQYRMTWMMM3M3MO mmV?m mm. .?irM Ww11 nyww?%;w?>mmz. .x.1n?CUk :?1..v1»; x. me?w?xwmm?mkw?mmmc»mh?az?dmv MT?Q? .,1: 2 ,3&m£wM?9?MQOmdmm?w Fma..- ... 11m“).1. 1&a??wwmQQ&Cw?.&??Q®3 mm«(a. HMN»RWQmme$>m?€QEEQQL m??whw?cf.0”fmf............A.x. MQQMEEQNMWU>WQW QQ.WQJ>EMENm»wwwm.G¥? ..... “.mwmm-%?wm Rah??waiww?nimUm !.i.||!.nmgii.ill 151.111.. run;Q19? EmUm thm??Cm wwmmmumw: 1 sUm MWMm 11....mr11..1 Am@ dM?w Amd .u.“Int 1|}.1u{|!1v« .1)va1.1119... "}; mt-\1¢ .1. 0.1....1.\.1..1\.} MAM«..
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