JP5544309B2 - サイトメガロウイルス感染の治療および診断のための組成物および方法 - Google Patents
サイトメガロウイルス感染の治療および診断のための組成物および方法 Download PDFInfo
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- C07K16/081—Immunoglobulins [IGs], e.g. monoclonal or polyclonal antibodies against material from viruses from DNA viruses
- C07K16/085—Herpetoviridae, e.g. pseudorabies virus, Epstein-Barr virus
- C07K16/088—Varicella-zoster virus
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- A61K39/395—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum
- A61K39/42—Antibodies; Immunoglobulins; Immune serum, e.g. antilymphocytic serum viral
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- C07K16/085—Herpetoviridae, e.g. pseudorabies virus, Epstein-Barr virus
- C07K16/089—Cytomegalovirus
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- G01N33/569—Immunoassay; Biospecific binding assay; Materials therefor for microorganisms, e.g. protozoa, bacteria, viruses
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- G01N2333/00—Assays involving biological materials from specific organisms or of a specific nature
- G01N2333/005—Assays involving biological materials from specific organisms or of a specific nature from viruses
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- G01N2333/03—Herpetoviridae, e.g. pseudorabies virus
- G01N2333/04—Varicella-zoster virus
- G01N2333/045—Cytomegalovirus
Description
この出願は、2009年3月10日に出願された仮出願US第61/068,798号(この内容は、その全体が参考として本明細書に援用される)の利益を主張する。
本発明は、一般に、サイトメガロウイルス(CMV)感染の治療、診断、およびモニタリングに関する。本発明は、より具体的には、ヒトCMV(HCMV)特異的抗体ならびにその製造および使用に関する。かかる抗体は、CMV感染の防止および治療ならびにCMV感染の診断およびモニタリングのための薬学的組成物で有用である。
CMVは、広範囲の罹患率および死亡率に関連する。サイトメガロウイルス(CMV)感染は一般的であり、アメリカ人の50%から85%の間で40歳までにCMVに感染すると見積もられている。CMV感染は一般に健康な成人では無症状であるにもかかわらず、高リスク群(免疫無防備状態の臓器移植レシピエントおよびHIV感染個体が含まれる)は、CMV関連疾患の発症リスクがある。さらに、CMVは、精神遅滞および発達障害を引き起こす先進国の先天性感染の重要な原因である。
本発明は、単離抗CMV抗体またはそのフラグメントであって、抗体が、I:(a)(i)アミノ酸配列SNHGIH(配列番号36)を含むVHCDR1領域;(ii)アミノ酸配列VISSDGDDDRYADSVKG(配列番号37)を含むVHCDR2領域;(iii)アミノ酸配列DGRCGEPKCYSGLPDY(配列番号38)を含むVHCDR3領域を含むVH領域;および(b)(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むVLCDR1領域;(ii)アミノ酸配列DASNRAT(配列番号44)を含むVLCDR2領域;(iii)アミノ酸配列LQRNTWPPLT(配列番号45)を含むVLCDR3領域を含むVL領域;II:(a)(i)アミノ酸配列SNYGMH(配列番号48)を含むVHCDR1領域;(ii)アミノ酸配列VISSDGSNEHYADSVKG(配列番号49)を含むVHCDR2領域;(iii)アミノ酸配列DGRCPDVNCYSGLIDY(配列番号50)を含むVHCDR3領域を含むVH領域;および(b)(i)アミノ酸配列RASQSVGRYLA(配列番号53)を含むVLCDR1領域;(ii)アミノ酸配列DASNRAT(配列番号44)を含むVLCDR2領域;(iii)アミノ酸配列QQRSNWPPLT(配列番号54)を含むVLCDR3領域を含むVL領域;III:(a)(i)アミノ酸配列SSNGIH(配列番号57)を含むVHCDR1領域;(ii)アミノ酸配列VISSDANDKQYADSVKG(配列番号58)を含むVHCDR2領域;(iii)アミノ酸配列DGTCSGGNCYSGLIDY(配列番号59)を含むVHCDR3領域を含むVH領域;および(b)(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むVLCDR1領域;(ii)アミノ酸配列ASIRAT(配列番号64)を含むVLCDR2領域;(iii)アミノ酸配列HQRSNWPPLT(配列番号65)を含むVLCDR3領域を含むVL領域;IV:(a)(i)アミノ酸配列SNHGIH(配列番号36)を含むVHCDR1領域;(ii)アミノ酸配列VISKDGTNAHYADSVRG(配列番号68)を含むVHCDR2領域;(iii)アミノ酸配列EGRCIEENCYSGQIDY(配列番号69)を含むVHCDR3領域を含むVH領域;および(b)(i)アミノ酸配列RASQSVGRYMA(配列番号74)を含むVLCDR1領域;(ii)アミノ酸配列DASIRAT(配列番号75)を含むVLCDR2領域;(iii)アミノ酸配列QQRSSWPPLT(配列番号76)を含むVLCDR3領域を含むVL領域;V:(a)(i)アミノ酸配列SNHGIH(配列番号36)を含むVHCDR1領域;(ii)アミノ酸配列VISKDGTNAHYADSVRGR(配列番号79)を含むVHCDR2領域;(iii)アミノ酸配列EGRCIEEKCYSGQIDY(配列番号80)を含むVHCDR3領域を含むVH領域;および(b)(i)アミノ酸配列RASQSVGRYMA(配列番号74)を含むVLCDR1領域;(ii)アミノ酸配列DASIRAT(配列番号75)を含むVLCDR2領域;(iii)アミノ酸配列QQRSSWPPLT(配列番号76)を含むVLCDR3領域を含むVL領域;VI:(a)(i)アミノ酸配列SDYGMH(配列番号85)を含むVHCDR1領域;(ii)アミノ酸配列VISKDGTNTHYADSVRG(配列番号86)を含むVHCDR2領域;(iii)アミノ酸配列DGKCPDLKCYSGLIDY(配列番号87)を含むVHCDR3領域を含むVH領域;および(b)(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むVLCDR1領域;(ii)アミノ酸配列DASKRAT(配列番号92)を含むVLCDR2領域;(iii)アミノ酸配列HQRSSWPPLT(配列番号93)を含むVLCDR3領域を含むVL領域;VII:(a)(i)アミノ酸配列SXXGXH(配列番号95)、SXXGIH(配列番号98)、またはSXYGMH(配列番号101)を含むVHCDR1領域;(ii)アミノ酸配列VISXDXXXXXYADSVRG(配列番号96)またはVISXDGXNXHYADSVXG(配列番号99)を含むVHCDR2領域;(iii)アミノ酸配列DGXCSXXXCYSGLXDY(配列番号100)、EGRCIEEXCYSGQIDY(配列番号102)、またはDGXCPDXXCYSGLIDY(配列番号103)を含むVHCDR3領域を含むVH領域;および(b)(i)アミノ酸配列RASQSVGXYXA(配列番号111)またはRASQSVGXYLA(配列番号114)を含むVLCDR1領域;(ii)アミノ酸配列XASXRAT(配列番号112)またはDASXRAT(配列番号115)を含むVLCDR2領域;(iii)アミノ酸配列XQRXXWPPLT(配列番号113)、HQRSXWPPLT(配列番号116)、またはQQRSXWPPLT(配列番号117)を含むVLCDR3領域を含むVL領域を含む、単離抗CMV抗体またはそのフラグメントを提供する。
したがって、本発明は、以下の項目を提供する:
(項目1)
単離抗CMV抗体またはそのフラグメントであって、該抗体は、以下:
I:
(a)以下、
(i)アミノ酸配列SNHGIH(配列番号36)を含むV H CDR1領域;
(ii)アミノ酸配列VISSDGDDDRYADSVKG(配列番号37)を含むV H CDR2領域;
(iii)アミノ酸配列DGRCGEPKCYSGLPDY(配列番号38)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むV L CDR1領域;(ii)アミノ酸配列DASNRAT(配列番号44)を含むV L CDR2領域;
(iii)アミノ酸配列LQRNTWPPLT(配列番号45)を含むV L CDR3領域;
を含むV L 領域、
II:
(a)以下:
(i)アミノ酸配列SNYGMH(配列番号48)を含むV H CDR1領域;
(ii)アミノ酸配列VISSDGSNEHYADSVKG(配列番号49)を含むV H CDR2領域;
(iii)アミノ酸配列DGRCPDVNCYSGLIDY(配列番号50)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGRYLA(配列番号53)を含むV L CDR1領域;(ii)アミノ酸配列DASNRAT(配列番号44)を含むV L CDR2領域;
(iii)アミノ酸配列QQRSNWPPLT (配列番号54)を含むV L CDR3領域;
を含むV L 領域、
III:
(a)以下:
(i)アミノ酸配列SSNGIH(配列番号57)を含むV H CDR1領域;
(ii)アミノ酸配列VISSDANDKQYADSVKG(配列番号58)を含むV H CDR2領域;
(iii)アミノ酸配列DGTCSGGNCYSGLIDY(配列番号59)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むV L CDR1領域;(ii)アミノ酸配列ASIRAT(配列番号64)を含むV L CDR2領域;
(iii)アミノ酸配列HQRSNWPPLT (配列番号65)を含むV L CDR3領域;
を含むV L 領域
IV:
(a)以下:
(i)アミノ酸配列SNHGIH(配列番号36)を含むV H CDR1領域;
(ii)アミノ酸配列VISKDGTNAHYADSVRG(配列番号68)を含むV H CDR2領域;
(iii)アミノ酸配列EGRCIEENCYSGQIDY(配列番号69)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGRYMA(配列番号74)を含むV L CDR1領域;(ii)アミノ酸配列DASIRAT(配列番号75)を含むV L CDR2領域;
(iii)アミノ酸配列QQRSSWPPLT(配列番号76)を含むV L CDR3領域;
を含むV L 領域、
V:
(a)以下:
(i)アミノ酸配列SNHGIH(配列番号36)を含むV H CDR1領域;
(ii)アミノ酸配列VISKDGTNAHYADSVRGR(配列番号79)を含むV H CDR2領域;
(iii)アミノ酸配列EGRCIEEKCYSGQIDY(配列番号80)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGRYMA(配列番号74)を含むV L CDR1領域;(ii)アミノ酸配列DASIRAT(配列番号75)を含むV L CDR2領域;
(iii)アミノ酸配列QQRSSWPPLT (配列番号76)を含むV L CDR3領域;
を含むV L 領域、
VI:
(a)以下:
(i)アミノ酸配列SDYGMH(配列番号85)を含むV H CDR1領域;
(ii)アミノ酸配列VISKDGTNTHYADSVRG(配列番号86)を含むV H CDR2領域;
(iii)アミノ酸配列DGKCPDLKCYSGLIDY(配列番号87)を含むV H CDR3領域;
を含むV H 領域、
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むV L CDR1領域;(ii)アミノ酸配列DASKRAT(配列番号92)を含むV L CDR2領域;
(iii)アミノ酸配列HQRSSWPPLT(配列番号93)を含むV L CDR3領域;
を含むV L 領域、
VII:
(a)以下:
(i)アミノ酸配列SXXGXH(配列番号95)、SXXGIH(配列番号98)、またはSXYGMH(配列番号101)を含むV H CDR1領域;
(ii)アミノ酸配列VISXDXXXXXYADSVRG(配列番号96)またはVISXDGXNXHYADSVXG(配列番号99)を含むV H CDR2領域;
(iii)アミノ酸配列DGXCSXXXCYSGLXDY(配列番号100)、EGRCIEEXCYSGQIDY (配列番号102)、またはDGXCPDXXCYSGLIDY(配列番号103)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGXYXA(配列番号111)またはRASQSVGXYLA(配列番号114)を含むV L CDR1領域;
(ii)アミノ酸配列XASXRAT(配列番号112)またはDASXRAT(配列番号115)を含むV L CDR2領域;
(iii)アミノ酸配列XQRXXWPPLT(配列番号113)、HQRSXWPPLT(配列番号116)、またはQQRSXWPPLT(配列番号117)を含むV L CDR3領域
を含むV L 領域
を含む、単離抗CMV抗体またはそのフラグメント。
(項目2)
単離抗CMV抗体またはそのフラグメントであって、該抗体は、
I:
(a)以下:
(i)アミノ酸配列GFTFSN(配列番号39)を含むV H CDR1領域;
(ii)アミノ酸配列VISSDGDDDR(配列番号40)を含むV H CDR2領域;(iii)アミノ酸配列DGRCGEPKCYSGLPDY(配列番号38)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むV L CDR1領域;(ii)アミノ酸配列DASNRAT(配列番号44)を含むV L CDR2領域;
(iii)アミノ酸配列LQRNTWPPLT(配列番号45)を含むV L CDR3領域;
を含むV L 領域、
II:
(a)以下:
(i)アミノ酸配列GLTFSN(配列番号118)を含むV H CDR1領域;
(ii)アミノ酸配列VISSDGSNEH(配列番号51)を含むV H CDR2領域;(iii)アミノ酸配列DGRCPDVNCYSGLIDY(配列番号50)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGRYLA(配列番号53)を含むV L CDR1領域;(ii)アミノ酸配列DASNRAT(配列番号44)を含むV L CDR2領域;
(iii)アミノ酸配列QQRSNWPPLT(配列番号54)を含むV L CDR3領域;
を含むV L 領域、
III:
(a)以下:
(i)アミノ酸配列GFTFSS(配列番号60)を含むV H CDR1領域;
(ii)アミノ酸配列VISSDANDKQ(配列番号61)を含むV H CDR2領域;(iii)アミノ酸配列DGTCSGGNCYSGLIDY(配列番号59)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むV L CDR1領域;(ii)アミノ酸配列ASIRAT(配列番号64)を含むV L CDR2領域;
(iii)アミノ酸配列HQRSNWPPLT(配列番号65)を含むV L CDR3領域;
を含むV L 領域、
IV:
(a)以下:
(i)アミノ酸配列KFIFSN(配列番号70)を含むV H CDR1領域;
(ii)アミノ酸配列VISKDGTNAH(配列番号71)を含むV H CDR2領域;(iii)アミノ酸配列EGRCIEENCYSGQIDY(配列番号69)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGRYMA(配列番号74)を含むV L CDR1領域;(ii)アミノ酸配列DASIRAT(配列番号75)を含むV L CDR2領域;
(iii)アミノ酸配列QQRSSWPPLT(配列番号76)を含むV L CDR3領域;
を含むV L 領域、
V:
(a)以下:
(i)アミノ酸配列KFIFSN(配列番号70)を含むV H CDR1領域;
(ii)アミノ酸配列VISKDGTNAH(配列番号71)を含むV H CDR2領域;(iii)アミノ酸配列EGRCIEEKCYSGQIDY(配列番号80)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGRYMA(配列番号74)を含むV L CDR1領域;(ii)アミノ酸配列DASIRAT(配列番号75)を含むV L CDR2領域;
(iii)アミノ酸配列QQRSSWPPLT(配列番号76)を含むV L CDR3領域;
を含むV L 領域、
VI:
(a)以下:
(i)アミノ酸配列GLTFSD(配列番号88)を含むV H CDR1領域;
(ii)アミノ酸配列VISKDGTNTH(配列番号89)を含むV H CDR2領域;(iii)アミノ酸配列DGKCPDLKCYSGLIDY(配列番号87)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むV L CDR1領域;(ii)アミノ酸配列DASKRAT(配列番号92)を含むV L CDR2領域;
(iii)アミノ酸配列HQRSSWPPLT (配列番号93)を含むV L CDR3領域;
を含むV L 領域、
VII:
(a)以下:
(i)アミノ酸配列XXXFSX(配列番号104)またはGXTFSX(配列番号107)を含むV H CDR1領域;
(ii)アミノ酸配列VISXDXXXXX(配列番号105)またはVISKDGTNXH(配列番号108)を含むV H CDR2領域;
(iii)アミノ酸配列XGXCXXXXCYSGXXDY(配列番号106)、DGXCXXXXCYSGLXDY(配列番号109)、またはEGRCIEEXCYSGQIDY(配列番号110)を含むV H CDR3領域;
を含むV H 領域、および
(b)以下:
(i)アミノ酸配列RASQSVGXYXA(配列番号111)またはRASQSVGXYLA(配列番号114)を含むV L CDR1領域;
(ii)アミノ酸配列XASXRAT(配列番号112)またはDASXRAT(配列番号115)を含むV L CDR2領域;
(iii)アミノ酸配列XQRXXWPPLT(配列番号113)、HQRSXWPPLT(配列番号116)、またはQQRSXWPPLT(配列番号117)を含むV L CDR3領域
を含むV L 領域
を含む、単離抗CMV抗体またはそのフラグメント。
(項目3)
a)配列番号35のアミノ酸配列を含む重鎖配列および配列番号42のアミノ酸配列を含む軽鎖配列;
b)配列番号47のアミノ酸配列を含む重鎖配列および配列番号52のアミノ酸配列を含む軽鎖配列;
c)配列番号56のアミノ酸配列を含む重鎖配列および配列番号63のアミノ酸配列を含む軽鎖配列;
d)配列番号67のアミノ酸配列を含む重鎖配列および配列番号73のアミノ酸配列を含む軽鎖配列;
e)配列番号78のアミノ酸配列を含む重鎖配列および配列番号82のアミノ酸配列を含む軽鎖配列;または
f)配列番号84のアミノ酸配列を含む重鎖配列および配列番号91のアミノ酸配列を含む軽鎖配列
を含む、単離抗CMV抗体。
(項目4)
上記抗体が、CMVウイルスの糖タンパク質b(gB)エンベロープタンパク質のエピトープに結合する、項目1、2、または3に記載の抗CMV抗体。
(項目5)
上記エピトープがgB、gp116の抗原決定基2部位1を含む、項目4に記載の抗CMV抗体。
(項目6)
項目1、2、3、4、または5に記載の抗体を含む組成物。
(項目7)
抗ウイルス治療薬をさらに含む、項目6に記載の組成物。
(項目8)
上記抗ウイルス治療薬が、ガンシクロビル、ホスカルネット、シドフォビル、バルガンシクロビル、および静脈内免疫グロブリン(IVIG)である、項目7に記載の組成物。
(項目9)
第2の抗CMV抗体をさらに含む、項目6に記載の組成物。
(項目10)
上記抗体が治療薬または検出可能な標識に作動可能に連結される、項目1、2、3,4、または5に記載の抗体。
(項目11)
項目6に記載の組成物を対象に投与する工程を含む、該対象のCMV感染を治療または防止するための方法。
(項目12)
上記方法が、抗ウイルス治療薬を投与する工程をさらに含む、項目11に記載の方法。
(項目13)
上記抗ウイルス治療薬が、ガンシクロビル、ホスカルネット、シドフォビル、バルガンシクロビル、および静脈内免疫グロブリン(IVIG)である、項目11に記載の方法。
(項目14)
上記抗体をCMVへの曝露前または曝露後に投与する、項目11に記載の方法。
(項目15)
上記抗体をCMV感染を中和するのに十分な用量で投与する、項目11に記載の方法。
(項目16)
患者のCMV感染の存在を決定するための方法であって、
(a)該患者から得た生物サンプルを項目1、2、3、4、または5に記載の抗体と接触させる工程、
(b)該生物サンプルに結合する抗体の量を検出する工程、および
(c)該生物サンプルに結合する抗体の量をコントロール値と比較し、それから該患者中のインフルエンザウイルスの存在を決定する工程、
を含む、方法。
(項目17)
項目1、2、3、4、または5に記載の抗体を含む診断キット。
本発明は、一般に、サイトメガロウイルス(CMV)感染の診断、防止、および療法での組成物およびその使用に関する。以下にさらに記載するように、本発明の例示的な組成物には、HCMV特異的抗体ならびにそのフラグメントおよび誘導体が含まれるが、これらに限定されない。
本発明はまた、CMVおよびCMV特異的抗体(本発明のポリペプチド(実施例1に記載のポリヌクレオチド配列によってコードされるポリペプチドが含まれる)、実施例1および図1に記載のアミノ酸配列、ならびにそのフラグメントおよびバリアントが含まれる)を提供する。1つの実施形態では、抗体は、本明細書中で2F10、2M16、2N9、3C21、4P12、5P9、または9C16と表した抗体である。これらの抗体は、好ましくは、同一細胞型の非感染コントロール細胞と比較してCMV感染細胞に結合するか特異的に結合する。好ましい実施形態では、これらの抗体は、CMVの糖タンパク質 B(gB)に結合する。特定の実施形態では、本発明の抗体は、アミノ酸配列SHRANETIYNTTLKYGDTTGTNTTK(配列番号31)を有するCMV gp116エピトープAD2部位Iに結合する。
本発明は、他の態様では、ポリヌクレオチド組成物を提供する。好ましい実施形態では、これらのポリヌクレオチドは、本発明のポリペプチド(例えば、CMVに結合する抗体の可変鎖領域)をコードする。当業者にも認識されるように、本発明のポリヌクレオチドは一本鎖(コード鎖またはアンチセンス鎖)または二本鎖であり、DNA分子(ゲノムDNA、cDNA、または合成DNA)またはRNA分子であり得る。RNA分子には、HnRNA分子(イントロンを含み、1対1様式でDNA分子に対応する)およびmRNA分子(イントロンを含まない)が含まれる。さらなるコード配列または非コード配列は本発明のポリヌクレオチド内に存在することができ(しかし、その必要はない)、ポリヌクレオチドは他の分子および/または支持材料に連結することができる(しかし、その必要はない)。本発明のポリヌクレオチドを、例えば、ハイブリッド形成アッセイで使用して、生物サンプルおよび本発明のポリペプチドの組換え産生物におけるCMV特異的抗体の存在を検出する。
本発明は、ベクターおよび宿主細胞(本発明の核酸が含まれる)ならびに本発明のポリペプチドの産生のための組換え技術を提供する。本発明のベクターには、任意の細胞型または生物型で複製することができるベクター(例えば、プラスミド、ファージ、コスミド、およびミニ染色体が含まれる)が含まれる。種々の実施形態では、ベクター(本発明のポリヌクレオチドが含まれる)は、ポリヌクレオチドの増殖または複製に適切なベクターまたは本発明のポリペプチドの発現に適切なベクターである。かかるベクターは当該分野で公知であり、市販されている。
Laboratory Manual,Cold Spring Harbor Press,Plainview,N.Y.,およびAusubel,F.M.ら、(1989)Current Protocols in Molecular Biology,John Wiley & Sons,New York.N.Yに記載されている。
また、昆虫系を使用して目的のポリペプチドを発現する。例えば、1つのかかる系では、Autographa californica核多核体病ウイルス(AcNPV)を、Spodoptera frugiperda細胞またはTrichoplusia幼虫中の外来遺伝子を発現するためのベクターとして使用する。ポリペプチドをコードする配列を、ウイルスの非必須領域(ポリヘドリン遺伝子など)にクローン化し、ポリヘドリンプロモーターの調節下におくことができる。ポリペプチドコード配列の首尾の良い挿入によってポリヘドリン遺伝子が不活性にされ、コートタンパク質を欠く組換えウイルスが産生される。次いで、組換えウイルスを使用して、例えば、S.frugiperda細胞またはTrichoplusia幼虫に感染させ、目的のポリペプチドを発現することができる(Engelhard,E.K.ら、(1994)Proc.Natl.Acad.Sci.91:3224−3227)。
本発明は、所望の純度の本発明のポリペプチド、抗体、またはモジュレーター、および薬学的に許容可能なキャリア、賦形剤、または安定剤を含む薬学的組成物をさらに含む(Remingion’s Pharmaceutical Sciences 16th edition,Osol,A.Ed.(1980))。一定の実施形態では、保存中のポリペプチドまたは抗体の安定性が強化されるように、例えば、凍結乾燥処方物または水溶液の形態で薬学的組成物を調製する。
本発明の抗体およびそのフラグメントは、正常なコントロール細胞および組織と比較してCMV感染細胞または組織に特異的に結合するか、優先的に結合する。したがって、本発明の抗体を使用して、種々の診断方法および予後診断法(本明細書中に記載のものが含まれる)のいずれかを使用して、患者、生物サンプル、または細胞集団中の感染細胞または組織を検出することができる。抗CMV抗体が感染細胞を検出する能力は、勿論、その結合特異性に依存するであろう。この結合特異性を、異なる患者および/または異なるCMV株に感染した患者から得た感染細胞または組織に結合する能力を試験することによって容易に決定することができる。
本発明のCMV特異的抗体およびそのフラグメントは、正常なコントロール非感染細胞および組織と比較して、感染細胞に特異的に結合するか、優先的に結合する。したがって、これらのCMV特異的抗体を使用して、患者中の感染細胞または組織、生物サンプル、または細胞集団を選択的にターゲティングすることができる。これらの抗体の感染特異的結合性を考慮して、本発明は、感染細胞の増殖を調節(例えば、阻害)する方法、感染細胞を死滅させる方法、および感染細胞のアポトーシスを誘導する方法を提供する。これらの方法は全て、感染細胞を本発明のCMV特異的抗体に接触させる工程を含む。これらの方法をin vitro、ex vivo、およびin vivoで実施することができる。
抗CMV抗体の産生
CMVに特異的なヒトモノクローナル抗体を、下記のように組換え的に産生した。
保存された抗体可変領域の同定
図1Aおよび1Bに示すように、実施例1に記載のように産生した7つの抗体のκ軽鎖およびγ重鎖可変領域のアミノ酸配列をアラインメントし、保存された領域および残基を同定した。
CMVへの組換え抗体の結合
組換え抗体2F10、2M16、2N9、3C21、3G7、4P12、および5J12を、293PEAK細胞における大量一過性トランスフェクションによってmg単位で産生し、ELISAによってプレート上にコーティングしたUV不活化CMVウイルスに結合する能力について試験した。抗体の結合能力を、競合CMV gp116エピトープAD2ペプチドの非存在下および存在下で試験し、CMV gp116エピトープAD2にも結合するコントロール抗体ITC88の結合とも比較した(Ohlin ら、1993,J Virol 67:703−710)。
組換え抗体によるCMVの中和
組換え抗体2F10、2M16、2N9、3C21、3G7、4P12を、hCMVウイルスと各抗体との混合およびその後の細胞に感染させるための混合物の使用によってhCMVを阻害する能力について試験した。次いで、総細胞に対する感染細胞の比を、抗体濃度の関数としてプロットした。総細胞核をYOYO−1での染色によって計数し、細胞の透過および1−K−10(マウスIgG2a;Meridian Life Science,Cincinnati,OH)と指定したモノクローナル抗体(これは、次いで、alexafluor(AF)647抗マウスIgG(H&L)(Invitrogen;Carlsbad,CA)を使用して検出される)とのCMV最初期抗原の結合の決定によってhCMV感染核を決定した。コントロール抗体ITC88も各実験で使用した。
HCMV抗体の中和能力および範囲:実験デザインおよび一般的方法
CMVは、広範なヒト細胞型に侵入することができる。最近、CMV糖タンパク質−宿主受容体相互作用は細胞型によって異なることが報告されている。しかし、CMVが全ての細胞型に侵入する能力に関する中心的課題は、糖タンパク質gB複合体(タンパク質gp58およびgp116から構成される)の宿主細胞受容体との相互作用である。
抗体
抗体2N9、5P9、2F10、4P12、2M16、およびITC88を、上記の方法を使用して得た。抗体gH(1)は、基準中和抗糖タンパク質H抗体である。Cytotect(商標)は、Chong Lap(H.K.)CO.LTD製の市販のCMV治療薬である。
HCMV VR1814株を、妊婦の頚部分泌物から得た。3つの臨床HCMV分離株8818、8819、および8824を、感染患者の痰,気管支肺胞洗浄物、および肺組織からそれぞれ単離し、内皮細胞株ARPE−19中で増殖させた。モルモットCMV V545/82株を、Mark Schleissから入手し、これはGFPレポーター遺伝子を含む(McGregor A.and Schleiss M.R.(2001)Molecular Genetics and Metabolism 72(1):15−26)。
これらのアッセイで使用した細胞株は、ヒト由来上皮細胞株ARPE−19(網膜色素上皮細胞、ATCCカタログ番号CRL−2302)、ヒト由来線維芽細胞株NN−NHDF(新生児正常ヒト皮膚線維芽細胞、Lonzaカタログ番号CC−2509)、ヒト由来内皮細胞株HUVEC(ヒト臍帯静脈内皮細胞、Lonzaカタログ番号CC−2517)、およびモルモット由来線維芽細胞株JH4(モルモット肺線維芽細胞ATCCカタログ番号CCL−158)である。
ARPE−19、NN−NHDF、HUVEC、およびJH4細胞を、8×l03細胞/ウェルの濃度で100μlの増殖培地を含む96ウェルプレートに播種した。ARPE−19細胞を完全DMEM/F−12培地で増殖させ、NN−NHDF細胞を完全DMEMで増殖させ、HUVEC細胞をEGM−2培地で増殖させ、JH4細胞をF−12K培地で増殖させた。細胞を、37℃および5%CO2で一晩インキュベートした。翌日、増殖培地を除去し、ウェルあたり100μlの無血清培地で各ウェルを3回洗浄することによって細胞を最初に感染させた。ARPE−19細胞をSF−DMEM/F−12で洗浄し、NN−NHDF細胞をSF−DMEMで洗浄し、HUVEC細胞をEBM−2で洗浄し、JH4細胞をSF−F−12K培地で洗浄した。抗体を、各細胞株(上記を参照のこと)について無血清培地で連続希釈し、96ウェル中で50%の細胞を感染させるのに十分なウイルスと混合し、37℃および5%CO2で1時間インキュベートした。ウェルを、3連の50μl/ウェルの体積のウイルス/抗体混合物の添加によって感染させた。ARPEおよびHUVECのプレートを、37℃および5%CO2で3時間インキュベートし、NN−NHDFおよびJH4のプレートを37℃および5%CO2で1時間インキュベートした。ウイルス/抗体含有培地を除去し、ウェルをウェルあたり100μlの適切な完全培地(上記を参照のこと)で3回洗浄した。最終洗浄液は除去されなかった。プレートを37℃および5%CO2で一晩インキュベートした。
培地を除去し、細胞を100μl/ウェルの4%パラホルムアルデヒドにて室温(RT)で20分間固定した。次いで、パラホルムアルデヒドを除去し、細胞を100μl/ウェルのPBSで3回洗浄した。各ウェルに0.1%Triton X−100を含むPBS−GCで2000倍希釈した50μlのマウス抗CMV IE抗体を添加し、RTで1時間インキュベートした。
培地を除去し、細胞を100μl/ウェルの4%パラホルムアルデヒドにてRTで20分間固定した。次いで、パラホルムアルデヒドを除去し、細胞を、100μl/ウェルのPBSで3回洗浄した。各ウェルに、PBS−GCで5000倍希釈した50μlのDAPIを添加した。プレートを、暗所にてRTで10分間インキュベートした。DAPIを除去し、ウェルを100μl/ウェルのPBSで3回洗浄した。3回目の洗浄液は除去されなかった。Cellomics ArrayScan(登録商標)VTIハイコンテント画像化プラットフォームにてプレートを読み取った。
中和アッセイ由来のデータを、Cellomics ArrayScan(登録商標)VTIハイコンテント画像化プラットフォームを使用して回収した。プレートを透明な粘着プレートシールでシールし、ロボットアームによってロードした。VR1814およびHCMV臨床分離株を感染させたプレートを、標的活性化プロトコールNB−TA−2CH(ウェルあたり1000個の対象物を計数)を使用して分析した。GPCMVを感染させたプレートを、分子移行プロトコールNB−MT−モルモットCMV(ウェルあたり1000個の対象物を計数)を使用して分析した。ウェルあたりのCMV陽性細胞数(ウイルスに応じてIEまたはGFPのいずれかによって検出)をウェルあたりの細胞数で割り、100を掛けることによって%感染性を計算した。各希釈物についての相対%感染性を、抗体を含まない(ウイルスのみ)ウェルの%感染性を取り、これを各抗体の各希釈物の%感染性で割り、これに100を掛けることによって計算した。相対%感染性をμg/ml単位の抗体濃度に対してグラフ化し、最大半量阻害濃度(IC50)を、ウイルスのみのコントロール中で認められた感染ウイルスの50%が中和される抗体濃度として決定する(50%相対感染性)。
ここに示したデータは、HCMV糖タンパク質B上のDLDのAD−2領域をターゲティングする6つの抗体がヒト由来線維芽細胞株、上皮細胞株、および内皮細胞株へのHCMVの侵入を中和することができることを示す。各抗体のIC50は、VR1814を感染させた3つ全ての細胞株の間で一致し、細胞株と無関係の侵入中和能力を示す。これらの抗体は3つの低継代数のHCMV臨床分離株のNN−NHDFへの侵入を中和することもでき、各抗体間で中和能力の相違はほとんど認められなかった。この効果は、HCMVの8819臨床分離株を感染させたHUVEC細胞およびARPE−19細胞でも認められる。試験した抗体は、モルモット線維芽細胞株JH4へのGPCMV侵入を中和することができなかった。しかし、GPCMV gBとHCMV gBとの間でこのタンパク質のAD−2領域の配列多様性が非常に高いので、これは予想外ではない。全ての抗HCMV gB抗体は、効力が有意に異なることなく3つ全てのヒト由来細胞株に対して試験した全てのHCMVウイルス株を一貫して中和した。
HCMV抗体はヒト上皮細胞(ARPE−19)、内皮細胞(HUVEC)、および線維芽細胞(NHDF)由来のVR1814感染を強く中和する
抗HCMV抗体を30〜0.003μg/mlの範囲の希釈度で試験し、この抗体は3つ全ての細胞型のHCMV VR1814感染を中和することができた(図15)。記録されたIC50は0.35〜1.73μg/mlであり、これはポジティブコントロールgH(1)に匹敵した。各抗体間で中和能力の相違はほとんど認められなかった。6つ全ての抗体は、IC50が有意に変動することなく、全ての細胞株において一貫したVR1814の中和を示した。
HCMV抗体はHCMV臨床分離株8818、8819、および8824の線維芽細胞感染を強く中和する
抗HCMV抗体を、30〜0.003μg/mlの範囲の希釈度で試験し、この抗体はHCMV臨床分離株8818、8819、および8824の線芽細胞感染を中和することができた(図16)。記録されたIC50は0.19〜0.83μg/mlであり、これは、gH(1)についてのIC50のシフト(より高い方向)を示した臨床分離株8824を除いてポジティブコントロールgH(1)に匹敵した。各抗体間で相違はほとんど認められなかった。6つ全ての抗体は、IC50が有意に変動することなく、線維芽細胞の3つ全ての臨床分離株感染の一貫した中和を示す。
HCMV抗体はHCMV臨床分離株8819の内皮(HUVEC)および上皮(ARPE−19)感染を強く中和する
臨床分離株8818および8824は内皮細胞および上皮細胞の感染に完全に適応しているわけではないので、現在、HUVEC細胞およびARPE−19細胞感染の統計的有意差を測定するには十分に高い力価ではない。したがって、8819のみをこれらの細胞型に対して使用した。抗HCMV抗体を30〜0.003μg/mlの範囲の希釈度で試験し、この抗体は、HCMV臨床分離株8819の上皮細胞(ARPE−19)および内皮細胞(HUVEC)感染を強く中和することができた(図17)。記録されたIC50は0.19〜0.83μg/mlであり、これはポジティブコントロールgH(1)に匹敵した。各抗体間で相違はほとんど認められなかった。6つ全ての抗体は、IC50が有意に変動することなく、両細胞株に関して8819臨床分離株を一貫して中和した。HUVEC細胞におけるいくつかのサンプルで認められた高い標準偏差は、少量の感染性ウイルスに原因がある。8819はHUVECに感染することができるにもかかわらず%感染性は低く、このことが相対%感染性をより変動しやすくしている。
HCMV抗体はJH4細胞へのGPCMV侵入を中和しない
抗HCMV抗体はJH4細胞においてGPCMVのV545/82株を中和することができなかった(図18)。抗HCMV抗体は、300μg/ml(試験した最高濃度であった)まででGPCMV侵入に対する効果は認められなかった。ヘパリンは、JH4細胞へのGPCMV侵入を阻害することができる唯一の化合物であった。これらの抗体のGPCMV侵入の遮断の失敗は、GPCMV gBと試験した他のHCMV分離株上のgB配列との間の配列変動性が高いことに原因がある(表3)。
Claims (14)
- 単離抗CMV抗体であって、該抗体は、以下:
(a)以下:
(i)アミノ酸配列SSNGIH(配列番号57)を含むVHCDR1領域;
(ii)アミノ酸配列VISSDANDKQYADSVKG(配列番号58)を含むVHCDR2領域;
(iii)アミノ酸配列DGTCSGGNCYSGLIDY(配列番号59)を含むVHCDR3領域;
を含むVH領域、および
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むVLCDR1領域;(ii)アミノ酸配列ASIRAT(配列番号64)を含むVLCDR2領域;
(iii)アミノ酸配列HQRSNWPPLT (配列番号65)を含むVLCDR3領域;
を含むVL領域
を含む、単離抗CMV抗体。 - 単離抗CMV抗体であって、該抗体は、
(a)以下:
(i)アミノ酸配列GFTFSS(配列番号60)を含むVHCDR1領域;
(ii)アミノ酸配列VISSDANDKQ(配列番号61)を含むVHCDR2領域;(iii)アミノ酸配列DGTCSGGNCYSGLIDY(配列番号59)を含むVHCDR3領域;
を含むVH領域、および
(b)以下:
(i)アミノ酸配列RASQSVGGYLA(配列番号43)を含むVLCDR1領域;(ii)アミノ酸配列ASIRAT(配列番号64)を含むVLCDR2領域;
(iii)アミノ酸配列HQRSNWPPLT(配列番号65)を含むVLCDR3領域;
を含むVL領域、
を含む、単離抗CMV抗体。 - 配列番号56のアミノ酸配列を含む重鎖配列および配列番号63のアミノ酸配列を含む軽鎖配列
を含む、単離抗CMV抗体。 - 前記抗体が、CMVウイルスの糖タンパク質b(gB)エンベロープタンパク質のエピトープに結合する、請求項1、2、または3に記載の抗CMV抗体。
- 請求項1、2、3、または4に記載の抗体を含む組成物。
- 抗ウイルス治療薬をさらに含む、請求項5に記載の組成物。
- 前記抗ウイルス治療薬が、ガンシクロビル、ホスカルネット、シドフォビル、バルガンシクロビル、および静脈内免疫グロブリン(IVIG)である、請求項6に記載の組成物。
- 第2の抗CMV抗体をさらに含む、請求項5に記載の組成物。
- 前記抗体が治療薬または検出可能な標識に作動可能に連結される、請求項1、2、3、または4に記載の抗体。
- 請求項5に記載の組成物を含む、対象のCMV感染を治療するための組成物。
- 前記組成物が、抗ウイルス治療薬とともに投与されることを特徴とする、請求項10記載の組成物。
- 前記抗ウイルス治療薬が、ガンシクロビル、ホスカルネット、シドフォビル、バルガンシクロビル、および静脈内免疫グロブリン(IVIG)である、請求項11に記載の組成物。
- 前記組成物をCMV感染を中和するのに十分な用量で投与することを特徴とする、請求項10に記載の組成物。
- 請求項1、2、3、または4に記載の抗体を含む診断キット。
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MX2010009885A (es) | 2010-11-30 |
US20120263734A1 (en) | 2012-10-18 |
US20150191531A1 (en) | 2015-07-09 |
US8268309B2 (en) | 2012-09-18 |
US20110305708A1 (en) | 2011-12-15 |
HK1151304A1 (en) | 2012-01-27 |
IL236601A0 (en) | 2015-02-26 |
CN102015766B (zh) | 2014-07-16 |
JP2011518123A (ja) | 2011-06-23 |
US8852594B2 (en) | 2014-10-07 |
JP2016034984A (ja) | 2016-03-17 |
WO2009114560A2 (en) | 2009-09-17 |
US7982012B2 (en) | 2011-07-19 |
CA2718878A1 (en) | 2009-09-17 |
JP2013199490A (ja) | 2013-10-03 |
AU2009223688A1 (en) | 2009-09-17 |
ES2542308T3 (es) | 2015-08-04 |
IL208086A0 (en) | 2010-12-30 |
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