Single-Chain Antibodies

单链抗体
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    文章类型: English Abstract
    目的验证间充质-上皮转化单链抗体(MetscFv)对裸鼠皮下移植瘤的抗肿瘤作用。方法皮下注射A549肺腺癌细胞在裸鼠体内建立肿瘤模型。一旦肿瘤形成,腹膜内施用IRDye680LTN-羟基琥珀酰亚胺(NHS)酯标记的MetscFv。使用小动物成像仪进行实时监测,以观察抗体在荷瘤小鼠中的动态分布。检测c-Met与肿瘤细胞中抗体的亲和力。在常规尾静脉注射MetscFv后观察肿瘤体积变化并绘制肿瘤生长曲线。免疫组织化学染色用于确定MetscFv是否可以有效结合肿瘤组织中的c-Met抗原。结果MetscFv在裸鼠中的分布显示,在最初3小时内主要位于腹膜腔。大约48小时后,荧光信号开始在肿瘤组织中积累。肿瘤的免疫组织化学染色显示c-Met在肿瘤组织中的高表达;定期尾静脉注射MetscFv可显着减慢小鼠肿瘤的生长。结论MetscFv在体内特异性识别肿瘤细胞,并表现出明显的抗肿瘤活性。
    Objective To verify the anti-tumor effect of the mesenchymal-epithelial transition single-chain antibody (Met scFv) on subcutaneously transplanted tumors in nude mice. Methods A tumor model was established in nude mice by subcutaneous injection of A549 lung adenocarcinoma cells. Once the tumors were formed, IRDye680 LT N-hydroxysuccinimide (NHS) ester-labeled Met scFv was administered intraperitoneally. Real-time monitoring was conducted using a small animal imager to observe the dynamic distribution of the antibody in tumor-bearing mice. The affinity between c-Met and the antibody in tumor cells was detected. Tumor volume changes were observed and the tumor growth curve were plotted following regular tail vein injections of Met scFv. Immunohistochemical staining was employed to determine whether Met scFv could effectively bind to the c-Met antigen in tumor tissues. Results The distribution of Met scFv in nude mice showed that it was primarily located in the peritoneal cavity within the first 3 hours. After approximately 48 hours, fluorescent signals began to accumulate in the tumor tissue. Immunohistochemical staining of the tumors revealed high expression of c-Met in the tumor tissues; regular tail vein injections of Met scFv significantly slowed down the growth of tumors in mice. Conclusion Met scFv specifically recognizes tumor cells in vivo and exhibites significant anti-tumor activity.
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  • 文章类型: Journal Article
    世界范围内都有寡妇蜘蛛(Latrodectus属)叮咬中毒。疾病,被称为拉丁主义,会导致严重和持续的疼痛,并导致肌肉僵硬,呼吸系统并发症,还有心脏问题.这是一个全球性的健康挑战,尤其是在发展中国家。马血清来源的多克隆抗血清是市售的,可作为治疗latrodness患者的药物。但是血清的使用会带来与其动物来源相关的潜在固有风险。治疗可能会引起人类的过敏反应(血清病),包括过敏性休克.此外,观察到马来源的抗蛇毒血清具有批次间的变异性和较差的特异性,因为它总是一个不确定的混合抗体。因为latrodotism可能非常痛苦,但很少致命,抗蛇毒血清的使用是有争议的,只有一小部分患者得到治疗.在这项工作中,通过噬菌体展示从原始抗体基因库中选择针对欧洲黑寡妇(Latrodectustedecimguttatus)的α-latrotoxin的重组人抗体。将结合α-Latrotoxin(α-LTX)的scFv重新克隆并产生为完全人IgG。开发了一种用于毒液中和的新型alamarBlue测定法,并用于选择中和IgG。人抗体显示出作为单一抗体和抗体组合的体外中和功效。这也通过细胞培养物中神经元活性的电生理测量得到证实。最佳的中和抗体显示纳摩尔亲和力。抗体MRU44-4-A1显示出出色的中和功效和对雷氏乳杆菌α-LTX的亲和力。有趣的是,只有两种中和抗体显示南黑寡妇(Latrodectusmactans)的毒液交叉中和。这是出乎意料的,因为在目前的文献中,α-拉特毒素被描述为高度保守。这里设计的抗体是未来发展的候选药物,作为潜在的治疗和诊断工具,因为他们将首次提供无限制供应的化学上完全定义的具有恒定质量和功效的药物,它也是在不使用动物的情况下制作的。
    Poisoning by widow-spider (genus Latrodectus) bites occurs worldwide. The illness, termed latrodectism, can cause severe and persistent pain and can lead to muscle rigidity, respiratory complications, and cardiac problems. It is a global health challenge especially in developing countries. Equine serum-derived polyclonal anti-sera are commercially available as a medication for patients with latrodectism, but the use of sera imposes potential inherent risks related to its animal origin. The treatment may cause allergic reactions in humans (serum sickness), including anaphylactic shock. Furthermore, equine-derived antivenom is observed to have batch-to-batch variability and poor specificity, as it is always an undefined mix of antibodies. Because latrodectism can be extremely painful but is rarely fatal, the use of antivenom is controversial and only a small fraction of patients is treated. In this work, recombinant human antibodies were selected against alpha-latrotoxin of the European black widow (Latrodectus tredecimguttatus) by phage display from a naïve antibody gene library. Alpha-Latrotoxin (α-LTX) binding scFv were recloned and produced as fully human IgG. A novel alamarBlue assay for venom neutralization was developed and used to select neutralizing IgGs. The human antibodies showed in vitro neutralization efficacy both as single antibodies and antibody combinations. This was also confirmed by electrophysiological measurements of neuronal activity in cell culture. The best neutralizing antibodies showed nanomolar affinities. Antibody MRU44-4-A1 showed outstanding neutralization efficacy and affinity to L. tredecimguttatus α-LTX. Interestingly, only two of the neutralizing antibodies showed cross-neutralization of the venom of the Southern black widow (Latrodectus mactans). This was unexpected, because in the current literature the alpha-latrotoxins are described as highly conserved. The here-engineered antibodies are candidates for future development as potential therapeutics and diagnostic tools, as they for the first time would provide unlimited supply of a chemically completely defined drug of constant quality and efficacy, which is also made without the use of animals.
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  • 文章类型: Journal Article
    小抗体片段最近在治疗应用中被用作全长单克隆抗体的替代物。最受欢迎的片段抗体之一是单链片段变量(scFvs),由通过柔性肽接头连接的可变重(VH)和可变轻(VL)结构域组成。scFvs具有小的分子尺寸,这使得良好的组织渗透性和低免疫原性。尽管有这些优势,使用scFvs,特别是为了治疗目的,由于难以调节结合活性和构象稳定性而仍然受到限制。在这项研究中,我们构建并分析了来自10个FDA批准的单克隆抗体代表的10个scFv片段,以评估其理化性质。差示扫描量热分析表明,scFvs表现出相对较高但变化的热稳定性,从50到70°C的熔化温度,和不同的合作展开。表面等离子体共振分析揭示显示高稳定性和协同解折叠的scFvs片段可能倾向于维持抗原结合。这项研究证明了来自FDA批准的抗体的scFvs的综合理化性质,提供对抗体设计和开发的见解。
    Small antibody fragments have recently been used as alternatives to full-length monoclonal antibodies in therapeutic applications. One of the most popular fragment antibodies is single-chain fragment variables (scFvs), consisting of variable heavy (VH) and variable light (VL) domains linked by a flexible peptide linker. scFvs have small molecular sizes, which enables good tissue penetration and low immunogenicity. Despite these advantages, the use of scFvs, especially for therapeutic purpose, is still limited because of the difficulty to regulate the binding activity and conformational stability. In this study, we constructed and analyzed 10 scFv fragments derived from 10 representatives of FDA-approved mAbs to evaluate their physicochemical properties. Differential scanning calorimetry analysis showed that scFvs exhibited relatively high but varied thermostability, from 50 to 70°C of melting temperatures, and different unfolding cooperativity. Surface plasmon resonance analysis revealed that scFvs fragments that exhibit high stability and cooperative unfolding likely tend to maintain antigen binding. This study demonstrated the comprehensive physicochemical properties of scFvs derived from FDA-approved antibodies, providing insights into antibody design and development.
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  • 文章类型: Journal Article
    单链片段变量(scFvs),由通过肽接头连接在一起的可变重链和轻链组成,可以使用具有成本效益的细菌表达系统生产,使它们成为制药应用的有希望的候选人。然而,监测重组蛋白生产的通用方法尚未开发。在这里,我们报道了一种新型的基于抗scFv适体的生物传感系统,具有高特异性和多功能性。首先,通过指数富集,使用配体的竞争性系统进化筛选抗scFv适体,专注于独特的scFv特异性肽接头。我们选择了两个适体,P1-12和P2-63,对于抗人表皮生长因子受体(EGFR)scFv,KD=2.1μM或KD=1.6μM,分别。这两种适体可以选择性地结合scFv,但不结合抗EGFFv。此外,选择的适体识别具有不同CDR的各种scFvs,如抗4-1BB和抗血红蛋白scFv,表明他们识别独特的肽接头区域。使用基于方波伏安法的抗scFv适体开发了用于抗EGFRscFv的电化学传感器。因此,构建的传感器可以在稀释的培养基中监测10-500nM范围内的抗EGFRscFv浓度,用于细菌培养,涵盖了重组生产scFvs的预期浓度范围。这些成就有望实现药物scFv的连续监测传感器,这将使大规模scFv生产的实时和通用监测。
    Single-chain fragment variables (scFvs), composed of variable heavy and light chains joined together by a peptide linker, can be produced using a cost-effective bacterial expression system, making them promising candidates for pharmaceutical applications. However, a versatile method for monitoring recombinant-protein production has not yet been developed. Herein, we report a novel anti-scFv aptamer-based biosensing system with high specificity and versatility. First, anti-scFv aptamers were screened using the competitive systematic evolution of ligands by exponential enrichment, focusing on a unique scFv-specific peptide linker. We selected two aptamers, P1-12 and P2-63, with KD = 2.1 μM or KD = 1.6 μM toward anti-human epidermal growth factor receptor (EGFR) scFv, respectively. These two aptamers can selectively bind to scFv but not to anti-EGFR Fv. Furthermore, the selected aptamers recognized various scFvs with different CDRs, such as anti-4-1BB and anti-hemoglobin scFv, indicating that they recognized a unique peptide linker region. An electrochemical sensor for anti-EGFR scFv was developed using anti-scFv aptamers based on square wave voltammetry. Thus, the constructed sensor could monitor anti-EGFR scFv concentrations in the range of 10-500 nM in a diluted medium for bacterial cultivation, which covered the expected concentration range for the recombinant production of scFvs. These achievements promise the realization of continuous monitoring sensors for pharmaceutical scFv, which will enable the real-time and versatile monitoring of large-scale scFv production.
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  • 文章类型: Journal Article
    工厂提供了一个具有成本效益和可扩展的制药平台,没有宿主来源的污染风险。然而,它们的医疗应用因对外部蛋白质的急性过敏反应而变得复杂。使用非侵入性治疗方式开发用于局部疾病的基于植物的蛋白质治疗剂可以利用植物蛋白的益处,同时避免其固有风险。Dupilumab,它对各种过敏性和自身免疫性疾病有效,但具有全身反应和注射相关的副作用,如果使用小的生物形式局部递送,可能更有益。在这项研究中,我们设计了dupilumab的单链可变片段(scFv),由烟草产生的Dup-scFv,并评价其在气-液界面培养的人鼻上皮细胞(HNECs)中的组织通透性和抗炎功效。尽管在表面等离子体共振测定和细胞结合测定中显示对IL-4Ra的结合亲和力降低了3.67和17倍,分别,Dup-scFv保留了dupilumab的大部分亲和力,最初很高,解离常数(KD)为4.76pM。在气液界面培养的HNECs中,在空气侧施用的Dup-scFv比dupilumab更有效地抑制难以到达的基底细胞中的炎性标志物CCL26。此外,与不可检测水平的dupilumab相比,Dup-scFv具有0.8%的跨细胞层的总体通透性。这些发现表明,植物产生的Dup-scFv可以非侵入性地传递给培养的HNESc以减轻炎症信号,提供了一种实用的方法来利用基于植物的蛋白质进行局部治疗应用。
    Plants offer a cost-effective and scalable pharmaceutical platform devoid of host-derived contamination risks. However, their medical application is complicated by the potential for acute allergic reactions to external proteins. Developing plant-based protein therapeutics for localized diseases with non-invasive treatment modalities may capitalize on the benefits of plant proteins while avoiding their inherent risks. Dupilumab, which is effective against a variety of allergic and autoimmune diseases but has systemic responses and injection-related side effects, may be more beneficial if delivered locally using a small biological form. In this study, we engineered a single-chain variable fragment (scFv) of dupilumab, termed Dup-scFv produced by Nicotiana benthamiana, and evaluated its tissue permeability and anti-inflammatory efficacy in air-liquid interface cultured human nasal epithelial cells (HNECs). Despite showing 3.67- and 17-fold lower binding affinity for IL-4Ra in surface plasmon resonance assays and cell binding assays, respectively, Dup-scFv retained most of the affinity of dupilumab, which was originally high, with a dissociation constant (KD) of 4.76 pM. In HNECs cultured at the air-liquid interface, Dup-scFv administered on the air side inhibited the inflammatory marker CCL26 in hard-to-reach basal cells more effectively than dupilumab. In addition, Dup-scFv had an overall permeability of 0.8% across cell layers compared to undetectable levels of dupilumab. These findings suggest that plant-produced Dup-scFv can be delivered non-invasively to cultured HNESc to alleviate inflammatory signaling, providing a practical approach to utilize plant-based proteins for topical therapeutic applications.
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  • 文章类型: Journal Article
    严重急性呼吸道综合症冠状病毒2(SARS-CoV-2)由于新的变异株的不断出现,延长了大流行的持续时间。这些突变株的出现使得用现有抗体检测病毒变得困难;因此,开发能够同时靶向变体和原始菌株的新型抗体是必要的。在这项研究中,我们产生了针对SARS-CoV-2刺突蛋白高度保守区的高亲和力单克隆抗体(5G2),以检测蛋白变体.此外,我们产生了它的单链可变抗体片段(sc5G2)。在哺乳动物和细菌细胞中表达的sc5G2检测到原始SARS-CoV-2和变体菌株的刺突蛋白。得到的sc5G2将是检测原始SARS-CoV-2和变异株的有用工具。
    Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has prolonged the duration of the pandemic because of the continuous emergence of new variant strains. The emergence of these mutant strains makes it difficult to detect the virus with the existing antibodies; thus, the development of novel antibodies that can target both the variants as well as the original strain is necessary. In this study, we generated a high-affinity monoclonal antibody (5G2) against the highly conserved region of the SARS-CoV-2 spike protein to detect the protein variants. Moreover, we generated its single-chain variable antibody fragment (sc5G2). The sc5G2 expressed in mammalian and bacterial cells detected the spike protein of the original SARS-CoV-2 and variant strains. The resulting sc5G2 will be a useful tool to detect the original SARS-CoV-2 and variant strains.
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  • 文章类型: Journal Article
    GPRC5D是一种非典型的C类孤儿G蛋白偶联受体。它在多发性骨髓瘤细胞表面的高表达使其成为治疗干预的有吸引力的靶标。包括单克隆抗体,CAR-T细胞,和T细胞衔接者。尽管具有治疗潜力,对受体结构和抗体识别机制的认识不足,阻碍了有效治疗的进展。这里,我们提出了与临床前阶段单链抗体(scFv)复合的GPRC5D的结构。我们的结构分析表明,GPRC5D与跨膜区的典型C类GPCR非常相似。我们确定了主要涉及TM4的独特的头对头同源二聚体排列和界面,将其与其他C类同二聚体或异源二聚体区分开。此外,我们阐明了GPRC5D上相当大的胞外结构域用于scFv识别的结合位点。这些见解不仅揭示了这种非常规C类GPCR的独特二聚体组织,而且还具有促进靶向GPRC5D治疗多发性骨髓瘤的药物开发的潜力。
    GPRC5D is an atypical Class C orphan G protein-coupled receptor. Its high expression on the surface of multiple myeloma cells has rendered it an attractive target for therapeutic interventions, including monoclonal antibodies, CAR-T cells, and T-cell engagers. Despite its therapeutic potential, the insufficient understanding regarding of the receptor\'s structure and antibody recognition mechanism has impeded the progress of effective therapeutic development. Here, we present the structure of GPRC5D in complex with a preclinical-stage single-chain antibody (scFv). Our structural analysis reveals that the GPRC5D presents a close resemblance to the typical Class C GPCRs in the transmembrane region. We identify a distinct head-to-head homodimer arrangement and interface mainly involving TM4, setting it apart from other Class C homo- or hetero-dimers. Furthermore, we elucidate the binding site engaging a sizable extracellular domain on GPRC5D for scFv recognition. These insights not only unveil the distinctive dimer organization of this unconventional Class C GPCR but also hold the potential to advance drug development targeting GPRC5D for the treatment of multiple myeloma.
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  • 文章类型: Journal Article
    CAR-T细胞疗法处于下一代多发性骨髓瘤(MM)管理的最前沿,最近批准了两种B细胞成熟抗原(BCMA)靶向产品。然而,这些产品无法打破臭名昭著的患者复发模式。两个促成因素是使用BCMA作为靶分子和负责抗原识别的人工scFv形式。解决本研究中的两个改进点,我们使用先前表征的VHH,其特异性靶向小鼠5T33MM细胞的独特型。这种独特型代表了最有前途但具有挑战性的MM靶抗原之一,因为它是高度癌症-但也有患者特异性。这些VHH被整合到基于VHH的CAR模块中,其形式与基于scFv的CAR相比具有优势。这允许并列比较靶向结构域对T细胞活化的影响。令人惊讶的是,先前选择作为靶向MM放射疗法的先导化合物的VHH不是最佳的(CAR-)T细胞激活剂。此外,大多数评估的VHH不能诱导任何T细胞活化。因此,我们强调了特定VHH选择的重要性,根据其预期用途,从而提出了当前常见的CAR开发方法的一个重要缺陷。
    CAR-T cell therapy is at the forefront of next-generation multiple myeloma (MM) management, with two B-cell maturation antigen (BCMA)-targeted products recently approved. However, these products are incapable of breaking the infamous pattern of patient relapse. Two contributing factors are the use of BCMA as a target molecule and the artificial scFv format that is responsible for antigen recognition. Tackling both points of improvement in the present study, we used previously characterized VHHs that specifically target the idiotype of murine 5T33 MM cells. This idiotype represents one of the most promising yet challenging MM target antigens, as it is highly cancer- but also patient-specific. These VHHs were incorporated into VHH-based CAR modules, the format of which has advantages compared to scFv-based CARs. This allowed a side-by-side comparison of the influence of the targeting domain on T cell activation. Surprisingly, VHHs previously selected as lead compounds for targeted MM radiotherapy are not the best (CAR-) T cell activators. Moreover, the majority of the evaluated VHHs are incapable of inducing any T cell activation. As such, we highlight the importance of specific VHH selection, depending on its intended use, and thereby raise an important shortcoming of current common CAR development approaches.
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  • 文章类型: Journal Article
    弓形虫具有重要的治疗潜力;然而,其非特异性侵袭性导致脱靶效应。这项研究的目的是评估弓形虫特异性是否可以通过表面展示针对树突状细胞的scFv来提高,DEC205和免疫检查点PD-L1。抗DEC205scFv直接经由糖基磷脂酰肌醇(GPI)或通过与SAG1蛋白融合而锚定至弓形虫表面。两个构建体都成功表达,但是结合结果表明,抗DEC-SAG1scFv对重组DEC蛋白和表达DEC205的MutuDC细胞具有更可靠的功能。开发了两种在HA标签的定位上不同的抗PD-L1scFv构建体。两种结构都得到了充分表达,但是HA标签的定位决定了与PD-L1蛋白结合的功能。显示抗PD-L1scFv的弓形虫与表达/显示不同水平的PD-L1的肿瘤细胞的共孵育显示强结合,这取决于可用生物标志物的水平。中和测定证实,结合是由于抗PD-L1scFv与其配体之间的特异性相互作用。混合细胞试验表明,表达抗PD-L1scFv的弓形虫主要靶向PD-L1阳性细胞,具有可忽略的脱靶结合。与亲本菌株相比,重组RH-PD-L1-C菌株对PD-L1肿瘤细胞系的杀伤能力增加。此外,靶肿瘤细胞和效应CD8+T细胞共培养试验表明,我们的模型可以抑制PD1/PD-L1相互作用并增强T细胞免疫应答.这些发现强调了抗体片段的表面展示作为靶向复制性弓形虫菌株同时最小化非特异性结合的有希望的策略。
    Toxoplasma gondii holds significant therapeutic potential; however, its nonspecific invasiveness results in off-target effects. The purpose of this study is to evaluate whether T. gondii specificity can be improved by surface display of scFv directed against dendritic cells\' endocytic receptor, DEC205, and immune checkpoint PD-L1. Anti-DEC205 scFv was anchored to the T. gondii surface either directly via glycosylphosphatidylinositol (GPI) or by fusion with the SAG1 protein. Both constructs were successfully expressed, but the binding results suggested that the anti-DEC-SAG1 scFv had more reliable functionality towards recombinant DEC protein and DEC205-expressing MutuDC cells. Two anti-PD-L1 scFv constructs were developed that differed in the localization of the HA tag. Both constructs were adequately expressed, but the localization of the HA tag determined the functionality by binding to PD-L1 protein. Co-incubation of T. gondii displaying anti-PD-L1 scFv with tumor cells expressing/displaying different levels of PD-L1 showed strong binding depending on the level of available biomarker. Neutralization assays confirmed that binding was due to the specific interaction between anti-PD-L1 scFv and its ligand. A mixed-cell assay showed that T. gondii expressing anti-PD-L1 scFv predominately targets the PD-L1-positive cells, with negligible off-target binding. The recombinant RH-PD-L1-C strain showed increased killing ability on PD-L1+ tumor cell lines compared to the parental strain. Moreover, a co-culture assay of target tumor cells and effector CD8+ T cells showed that our model could inhibit PD1/PD-L1 interaction and potentiate T-cell immune response. These findings highlight surface display of antibody fragments as a promising strategy of targeting replicative T. gondii strains while minimizing nonspecific binding.
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  • 文章类型: Journal Article
    背景:与动脉粥样硬化相关的急性血栓形成导致的心肌梗塞(MI)是全球死亡和残疾的主要原因。抗血小板和抗凝血药物是预防和治疗MI的标准疗法。然而,所有临床使用的药物都与出血并发症有关,这最终限制了它们在出血风险高的患者中的使用。我们开发了一种新的重组药物,targ-HSA-TAP,结合了活化血小板的靶向和特异性抑制以及抗凝。这种药物的设计和测试延长了循环半衰期,使独特的血栓预防没有出血并发症。方法:Targ-HSA-TAP结合了单链抗体(scFv),该抗体靶向活化血小板上的活化糖蛋白IIb/IIIa,人血清白蛋白(HSA)延长循环,和tick抗凝血肽(TAP)用于凝血FX抑制。非结合scFv用作非靶向对照(非targ-HSA-TAP)。使用急性血栓形成和心脏缺血再灌注(I/R)损伤的小鼠模型在体内研究了其功效。结果:我们的实验证实了targ-HSA-TAP对活化血小板的靶向特异性,并证明了有效预防血小板聚集和血栓形成。以及FXa体外抑制。与非targ-HSA-TAP和PBS对照处理的小鼠相比,小鼠皮下预防血栓施用targ-HSA-TAP可防止氯化铁损伤后颈动脉闭塞。通过比较targ-TAP和targ-HSA-TAP的治疗效果,我们证明了HSA融合在延长药物的半衰期和延长其治疗窗口方面带来的显着改善,直至给药后16小时。重要的是,与临床使用的抗凝血依诺肝素相比,targ-HSA-TAP并未延长尾部出血时间.此外,在小鼠心脏I/R损伤模型中,在损伤前10小时给予targ-HSA-TAP的小鼠表现出保留的心功能,具有明显更高的射血分数和缩短分数,与非targ-HSA-TAP和PBS对照组相比。高级应变分析显示,与对照组相比,targ-HSA-TAP治疗的小鼠的心肌变形减少,组织学证实梗塞面积减少。结论:HSA的纳入代表了设计用于血栓预防的靶向治疗剂的显着进步。我们的活化血小板靶向targ-HSA-TAP是一种高效的抗血栓药物,具有抗凝血和抗血小板作用,同时保持正常止血。targ-HSA-TAP的长半衰期为使用这种抗血栓药物提供了独特的机会,持久和更安全的抗血栓预防。如果发生MI,这种预防策略降低了血栓负担,并有效减少了心脏I/R损伤.
    Background: Myocardial infarction (MI) as a consequence of atherosclerosis-associated acute thrombosis is a leading cause of death and disability globally. Antiplatelet and anticoagulant drugs are standard therapies in preventing and treating MI. However, all clinically used drugs are associated with bleeding complications, which ultimately limits their use in patients with a high risk of bleeding. We have developed a new recombinant drug, targ-HSA-TAP, that combines targeting and specific inhibition of activated platelets as well as anticoagulation. This drug is designed and tested for a prolonged circulating half-life, enabling unique thromboprophylaxis without bleeding complications. Methods: Targ-HSA-TAP combines a single-chain antibody (scFv) that targets activated glycoprotein IIb/IIIa on activated platelets, human serum albumin (HSA) for prolonged circulation, and tick anticoagulant peptide (TAP) for coagulation FX inhibition. A non-binding scFv is employed as a non-targeting control (non-targ-HSA-TAP). Its efficacy was investigated in vivo using murine models of acute thrombosis and cardiac ischemia-reperfusion (I/R) injury. Results: Our experiments confirmed the targeting specificity of targ-HSA-TAP to activated platelets and demonstrated effective prevention of platelet aggregation and thrombus formation, as well as FXa inhibition in vitro. Thromboprophylactic administration of targ-HSA-TAP subcutaneously in mice prevented occlusion of the carotid artery after ferric chloride injury as compared to non-targ-HSA-TAP and PBS-control treated mice. By comparing the therapeutic outcomes between targ-TAP and targ-HSA-TAP, we demonstrate the significant improvements brought by the HSA fusion in extending the drug\'s half-life and enhancing its therapeutic window for up to 16 h post-administration. Importantly, tail bleeding time was not prolonged with targ-HSA-TAP in contrast to the clinically used anticoagulant enoxaparin. Furthermore, in a murine model of cardiac I/R injury, mice administered targ-HSA-TAP 10 h before injury demonstrated preserved cardiac function, with significantly higher ejection fraction and fractional shortening, as compared to the non-targ-HSA-TAP and PBS control groups. Advanced strain analysis revealed reduced myocardial deformation and histology confirmed a reduced infarct size in targ-HSA-TAP treated mice compared to control groups. Conclusion: The inclusion of HSA represents a significant advancement in the design of targeted therapeutic agents for thromboprophylaxis. Our activated platelet-targeted targ-HSA-TAP is a highly effective antithrombotic drug with both anticoagulant and antiplatelet effects while retaining normal hemostasis. The long half-life of targ-HSA-TAP provides the unique opportunity to use this antithrombotic drug for more effective, long-lasting and safer anti-thrombotic prophylaxis. In cases where MI occurs, this prophylactic strategy reduces thrombus burden and effectively reduces cardiac I/R injury.
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