Simultaneous targeting of TNF and Ang2 with a novel bispecific antibody enhances efficacy in an in vivo model of arthritis

被引:47
作者
Kanakaraj, Palanisamy [1 ]
Puffer, Bridget A. [1 ]
Yao, Xiao-Tao [1 ]
Kankanala, Spandana [1 ]
Boyd, Ernest [1 ]
Shah, Rutul R. [1 ]
Wang, Geping [1 ]
Patel, Dimki [1 ]
Krishnamurthy, Rajesh [1 ]
Kaithamana, Shashi [1 ]
Smith, Rodger G. [1 ]
LaFleur, David W. [1 ]
Barbas, Carlos F., III [2 ]
Hilbert, David M. [1 ]
Kiener, Peter A. [1 ]
Roschke, Viktor V. [1 ]
机构
[1] Zyngenia Inc, Gaithersburg, MD USA
[2] Scripps Res Inst, Dept Chem & Mol Biol, Skaggs Inst Chem Biol, La Jolla, CA 92037 USA
关键词
Adalimumab; arthritis; inflammation; bispecific antibody; Zybody; Ang2; TNF; TUMOR-NECROSIS-FACTOR; ENDOTHELIAL GROWTH-FACTOR; RHEUMATOID-ARTHRITIS; TIE2; RECEPTOR; MONOCLONAL-ANTIBODY; ANTITUMOR-ACTIVITY; TRANSGENIC MICE; AMG; 386; ANGIOPOIETIN-2; ALPHA;
D O I
10.4161/mabs.21227
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Despite the clinical success of anti-tumor necrosis factor (TNF) therapies in the treatment of inflammatory conditions such as rheumatoid arthritis, Crohn disease and psoriasis, full control of the diseases only occurs in a subset of patients and there is a need for new therapeutics with improved efficacy against broader patient populations. One possible approach is to combine biological therapeutics, but both the cost of the therapeutics and the potential for additional toxicities needs to be considered. In addition to the various mediators of immune and inflammatory pathways, angiogenesis is reported to contribute substantially to the overall pathogenesis of inflammatory diseases. The combination of an anti-angiogenic agent with anti-TNF into one molecule could be more efficacious without the risk of severe immunosuppression. To evaluate this approach with our Zybody technology, we generated bispecific antibodies that contain an Ang2 targeting peptide genetically fused to the anti-TNF antibody adalimumab (Humira (R)). The bispecific molecules retain the binding and functional characteristics of the anti-TNF antibody, but with additional activity that neutralizes Ang2. In a TNF transgenic mouse model of arthritis, the bispecific anti-TNF-Ang2 molecules showed a dose-dependent reduction in both clinical symptoms and histological scores that were significantly better than that achieved by adalimumab alone.
引用
收藏
页码:600 / 613
页数:14
相关论文
共 81 条
[21]   Growth factors acting via endothelial cell-specific receptor tyrosine kinases: VEGFs, angiopoietins, and ephrins in vascular development [J].
Gale, NW ;
Yancopoulos, GD .
GENES & DEVELOPMENT, 1999, 13 (09) :1055-1066
[22]   Angiopoietin-1 is an antipermeability and anti-inflammatory agent in vitro and targets cell junctions [J].
Gamble, JR ;
Drew, J ;
Trezise, L ;
Underwood, A ;
Parsons, M ;
Kasminkas, L ;
Rudge, J ;
Yancopoulos, G ;
Vadas, MA .
CIRCULATION RESEARCH, 2000, 87 (07) :603-607
[23]   Angiopoietin-2 in Experimental Colitis [J].
Ganta, Vijay C. ;
Cromer, Walter ;
Mills, Ginny L. ;
Traylor, James ;
Jennings, Merilyn ;
Daley, Sarah ;
Clark, Benjamin ;
Mathis, J. Michael ;
Bernas, Michael ;
Boktor, Moheb ;
Jordan, Paul ;
Witte, Marlys ;
Alexander, J. Steven .
INFLAMMATORY BOWEL DISEASES, 2010, 16 (06) :1029-1039
[24]   Combination therapy with etanercept and anakinra in the treatment of patients with rheumatoid arthritis who have been treated unsuccessfully with methotrexate [J].
Genovese, MC ;
Cohen, S ;
Moreland, L ;
Lium, D ;
Robbins, S ;
Newmark, R ;
Bekker, P .
ARTHRITIS AND RHEUMATISM, 2004, 50 (05) :1412-1419
[25]   Excess circulating angiopoietin-2 levels in sepsis: harbinger of death in the intensive care unit? [J].
Giuliano, John S., Jr. ;
Wheeler, Derek S. .
CRITICAL CARE, 2009, 13 (01)
[26]   Single-chain antibodies as diagnostic tools and therapeutic agents [J].
Hagemeyer, Christoph E. ;
von zur Muhlen, Constantin ;
von Elverfeldt, Dominik ;
Peter, Karlheinz .
THROMBOSIS AND HAEMOSTASIS, 2009, 101 (06) :1012-1019
[27]   Complementary Actions of Inhibitors of Angiopoietin-2 and VEGF on Tumor Angiogenesis and Growth [J].
Hashizume, Hiroya ;
Falcon, Beverly L. ;
Kuroda, Takashi ;
Baluk, Peter ;
Coxon, Angela ;
Yu, Dongyin ;
Bready, James V. ;
Oliner, Jonathan D. ;
McDonald, Donald M. .
CANCER RESEARCH, 2010, 70 (06) :2213-2223
[28]   Safety, Pharmacokinetics, and Antitumor Activity of AMG 386, a Selective Angiopoietin Inhibitor, in Adult Patients With Advanced Solid Tumors [J].
Herbst, Roy S. ;
Hong, David ;
Chap, Linnea ;
Kurzrock, Razelle ;
Jackson, Edward ;
Silverman, Jeffrey M. ;
Rasmussen, Erik ;
Sun, Yu-Nien ;
Zhong, Don ;
Hwang, Yuying C. ;
Evelhoch, Jeffrey L. ;
Oliner, Jonathan D. ;
Le, NgocDiep ;
Rosen, Lee S. .
JOURNAL OF CLINICAL ONCOLOGY, 2009, 27 (21) :3557-3565
[29]   Transmembrane TNF-α: structure, function and interaction with anti-TNF agents [J].
Horiuchi, Takahiko ;
Mitoma, Hiroki ;
Harashima, Shin-ichi ;
Tsukamoto, Hiroshi ;
Shimoda, Terufumi .
RHEUMATOLOGY, 2010, 49 (07) :1215-1228
[30]   Specifically Targeting Angiopoietin-2 Inhibits Angiogenesis, Tie2-Expressing Monocyte Infiltration, and Tumor Growth [J].
Huang, Hanhua ;
Lai, Jing-Yu ;
Do, Janet ;
Liu, Dingguo ;
Li, Lingna ;
Del Rosario, Joselyn ;
Doppalapudi, Venkata R. ;
Pirie-Shepherd, Steven ;
Levin, Nancy ;
Bradshaw, Curt ;
Woodnutt, Gary ;
Lappe, Rodney ;
Bhat, Abhijit .
CLINICAL CANCER RESEARCH, 2011, 17 (05) :1001-1011