Therapeutic monoclonal antibody

治疗性单克隆抗体
  • 文章类型: Journal Article
    治疗性单克隆抗体(mAb)在不同的临床适应症中显示出有希望的结果,包括但不限于移植排斥,癌症,和最近的自身免疫性疾病。认识到科学界迫切需要快速,轻松地获取有关单克隆抗体(mAb)的可靠信息,IMGT®,国际ImMunoGeneTics信息系统®,提供了独特而宝贵的资源:IMGT/mAb-DB,一个全面的治疗性单克隆抗体数据库,可通过用户友好的Web界面访问。然而,这种方法限制了更复杂的查询,并将信息与其他数据库隔离。
    要将IMGT/mAb-DB与其余IMGT数据库连接,我们创建了IMGT/mAb-KG,连接到IMGT结构和基因组学数据库的治疗性单克隆抗体的知识图谱。IMGT/mAb-KG使用最有效的语义网方法和标准开发,并从IMGT/mAb-DB获取数据。关于互操作性,IMGT/mAb-KG重复使用来自生物医学资源的术语,并连接到相关资源。
    2024年2月,IMGT/mAb-KG,包括总共139,629个三胞胎,提供对1,489单克隆抗体的访问,大约500个目标,和500多个临床适应症。它提供了对单克隆抗体作用机制的详细见解,他们的建筑,以及他们的各种产品和相关研究。链接到其他资源,如Thera-SAbDab(治疗性结构抗体数据库),PharmGKB(关于遗传变异对药物反应影响的综合资源管理知识),PubMed,和HGNC(HUGO基因命名委员会),IMGT/mAb-KG是mAb开发的重要资源。用户友好的Web界面有助于探索和分析IMGT/mAb-KG的内容。
    UNASSIGNED: Therapeutic monoclonal antibodies (mAbs) have demonstrated promising outcomes in diverse clinical indications, including but not limited to graft rejection, cancer, and autoimmune diseases lately.Recognizing the crucial need for the scientific community to quickly and easily access dependable information on monoclonal antibodies (mAbs), IMGT®, the international ImMunoGeneTics information system®, provides a unique and invaluable resource: IMGT/mAb-DB, a comprehensive database of therapeutic mAbs, accessible via a user-friendly web interface. However, this approach restricts more sophisticated queries and segregates information from other databases.
    UNASSIGNED: To connect IMGT/mAb-DB with the rest of the IMGT databases, we created IMGT/mAb-KG, a knowledge graph for therapeutic monoclonal antibodies connected to IMGT structures and genomics databases. IMGT/mAb-KG is developed using the most effective methodologies and standards of semantic web and acquires data from IMGT/mAb-DB. Concerning interoperability, IMGT/mAb-KG reuses terms from biomedical resources and is connected to related resources.
    UNASSIGNED: In February 2024, IMGT/mAb-KG, encompassing a total of 139,629 triplets, provides access to 1,489 mAbs, approximately 500 targets, and over 500 clinical indications. It offers detailed insights into the mechanisms of action of mAbs, their construction, and their various products and associated studies. Linked to other resources such as Thera-SAbDab (Therapeutic Structural Antibody Database), PharmGKB (a comprehensive resource curating knowledge on the impact of genetic variation on drug response), PubMed, and HGNC (HUGO Gene Nomenclature Committee), IMGT/mAb-KG is an essential resource for mAb development. A user-friendly web interface facilitates the exploration and analyse of the content of IMGT/mAb-KG.
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  • 文章类型: Journal Article
    本研究的主要目的是研究小鼠抗人磷脂酰肌醇蛋白聚糖-1(GPC1)单克隆抗体(mAb)对非小细胞肺癌(NSCLC)的抗肿瘤作用及其相关分子机制。
    在A549和H460NSCLC细胞和LL97A肺成纤维细胞中检测了抗GPC1mAb的抗增殖和抗迁移活性。在原位肺肿瘤模型中评价抗GPC1mAb对肿瘤生长的抑制作用。
    体外研究表明,抗GPC1mAb对A549和H460NSCLC细胞的锚定非依赖性生长有明显的抑制作用,对LL97A肺成纤维细胞表现出相对较高的细胞毒活性,A549/LL97A和H460/LL97A共培养球体。此外,抗GPC1单克隆抗体显著降低磷酸化Src(p-Src;Tyr416)的表达,p-Akt(Ser473)和β-catenin在共培养的LL97A肺成纤维细胞中,以及共培养的A549细胞中磷酸丝裂原活化蛋白激酶激酶(p-MEK;Ser217/221)和磷酸90kDa核糖体s6激酶(p-p90RSK;Ser380)的表达。当对荷瘤小鼠施用抗GPC1mAb时,抗GPC1mAb对原位肺癌生长的抑制作用无统计学意义。尽管如此,Westernblot分析结果表明,肿瘤组织中Tyr766的成纤维细胞生长因子受体1(FGFR1),Tyr416的Src,Thr202/Tyr204的细胞外信号调节激酶(ERK),90kDa核糖体S6激酶(RSK)的磷酸化显着降低Ser380,Ser21的糖原合酶激酶3α(GSK3α)和Ser9的GSK3β。这些数据暗示抗GPC1mAb治疗通过减弱旁分泌FGFR信号转导来削弱肿瘤细胞和肿瘤相关成纤维细胞之间的相互作用。
    抗GPC1mAb在肺成纤维细胞中的相对有效的细胞毒性及其对旁分泌FGFR信号转导的潜在抑制作用,需要进一步研究该mAb与靶向疗法的组合使用以改善肺癌的治疗结果。
    UNASSIGNED: The main objective of this study was to investigate the antitumor effect of a mouse anti-human glypican-1 (GPC1) monoclonal antibody (mAb) on non-small cell lung carcinoma (NSCLC) and associated molecular mechanisms.
    UNASSIGNED: The anti-proliferative and anti-migratory activities of anti-GPC1 mAb were examined in A549 and H460 NSCLC cells and LL97A lung fibroblasts. The inhibitory effect of anti-GPC1 mAb on tumor growth was evaluated in an orthotopic lung tumor model.
    UNASSIGNED: The in vitro study showed that anti-GPC1 mAb profoundly inhibited the anchorage-independent growth of A549 and H460 NSCLC cells and exhibited relatively high cytotoxic activities towards LL97A lung fibroblasts, A549/LL97A and H460/LL97A coculture spheroids. Moreover, anti-GPC1 mAb significantly decreased the expression of phospho-Src (p-Src; Tyr416), p-Akt (Ser473) and β-catenin in the co-cultured LL97A lung fibroblasts, and the expression of phospho-mitogen-activated protein kinase kinase (p-MEK; Ser217/221) and phospho-90 kDa ribosomal s6 kinase (p-p90RSK; Ser380) in co-cultured A549 cells. When anti-GPC1 mAb was administered to tumor-bearing mice, the inhibitory effect of anti-GPC1 mAb on the orthotopic lung tumor growth was not statistically significant. Nonetheless, results of Western blot analysis showed significant decrease in the phosphorylation of fibroblast growth factor receptor 1 (FGFR1) at Tyr766, Src at Tyr416, extracellular signal-regulated kinase (ERK) at Thr202/Tyr204, 90 kDa ribosomal S6 kinase (RSK) at Ser380, glycogen synthase kinases 3α (GSK3α) at Ser21 and GSK3β at Ser9 in tumor tissues. These data implicate that anti-GPC1 mAb treatment impairs the interaction between tumor cells and tumor associated fibroblasts by attenuating the paracrine FGFR signal transduction.
    UNASSIGNED: The relatively potent cytotoxicity of anti-GPC1 mAb in lung fibroblasts and its potential inhibitory effect on the paracrine FGFR signal transduction warrant further studies on the combined use of this mAb with targeted therapeutics to improve therapeutic outcomes in lung cancer.
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  • 文章类型: Journal Article
    我们开发了一种基于适体的荧光共振能量转移(FRET)测定,能够识别治疗性单克隆抗体贝伐单抗并仅通过一个混合步骤快速定量其浓度。在这个试验中,两种荧光染料(荧光素和四甲基罗丹明)标记的适体与贝伐单抗上的两个Fab区结合,和FRET荧光时观察到两种染料接近。我们以三种不同的形式优化了这个测定,满足广泛的分析需求。当应用于实际环境中的杂交瘤培养样品时,该测定显示出浓度依赖性的信号响应,在50-2000μg/mL范围内。测定系数(r2)范围为0.998~0.999,偏倚和精密度在±24.0%和20.3%以内,分别。此外,在热和UV应力测试期间,该测定证明了以与常规尺寸排阻色谱法相当的方式检测变性样品的能力。值得注意的是,它提供了额外的优点,即检测结合活性的降低而不改变分子量。与许多现有的过程分析技术工具相比,该试验不仅可以识别贝伐单抗,还可以直接测量与mAb功效相关的质量属性,例如绑定活动。因此,作为实时提供高度可靠的质量属性信息的有价值的平台,该检测具有巨大的潜力。我们认为这将在抗体生产的各个方面为高质量治疗性单克隆抗体的全球分布做出重大贡献。包括生产监控,质量控制,商业批量发布,和稳定性测试。
    We developed an aptamer-based fluorescence resonance energy transfer (FRET) assay capable of recognizing therapeutic monoclonal antibody bevacizumab and rapidly quantifying its concentration with just one mixing step. In this assay, two fluorescent dyes (fluorescein and tetramethylrhodamine) labeled aptamers bind to two Fab regions on bevacizumab, and FRET fluorescence is observed when both dyes come into close proximity. We optimized this assay in three different formats, catering to a wide range of analytical needs. When applied to hybridoma culture samples in practical settings, this assay exhibited a signal response that was concentration-dependent, falling within the range of 50-2000 μg/mL. The coefficients of determination (r2) ranged from 0.998 to 0.999, and bias and precision results were within ±24.0 % and 20.3 %, respectively. Additionally, during thermal and UV stress testing, this assay demonstrated the ability to detect denatured samples in a manner comparable to conventional Size Exclusion Chromatography. Notably, it offers the added advantage of detecting decreases in binding activity without changes in molecular weight. In contrast to many existing process analytical technology tools, this assay not only identifies bevacizumab but also directly measures the quality attributes related to mAb efficacy, such as the binding activity. As a result, this assay holds great potential as a valuable platform for providing highly reliable quality attribute information in real-time. We consider this will make a significant contribution to the worldwide distribution of high-quality therapeutic mAbs in various aspects of antibody manufacturing, including production monitoring, quality control, commercial lot release, and stability testing.
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  • 文章类型: Journal Article
    背景:单纯疱疹病毒(HSV)-1或-2感染通常表现为轻度慢性复发性疾病,然而,在极少数情况下,可能会导致危及生命的疾病与大范围的病理。单克隆抗体疗法具有巨大的潜力,尤其是在治疗对标准疗法具有抗性的病毒感染方面。HDIT101,一种靶向HSV-1/2gB的人源化IgG,先前在2期临床试验中进行了研究。这项研究的目的是通过结合不同的抗病毒单克隆抗体来开发下一代疗法。
    方法:针对来自单纯疱疹病毒(HSV)-1的重组gB筛选了淋巴结来源的噬菌体展示文库(LYNDAL),并使用生物层干涉法选择了HDIT102scFv的结合特性。HDIT102被进一步开发为完全人IgG,并单独或与HDIT101联合测试,HDIT101是一种经过临床测试的人源化抗HSVIgG,在体外和体内。使用原代人细胞分析用IgG-HSV免疫复合物处理的抗原呈递细胞的T细胞刺激活性。为了确定表位,与HSV-1F以及HSV-2GgB蛋白结合的HDIT101或HDIT102Fab的低温EM结构以<3.5的分辨率得到解决。
    结果:HDIT102Fab与HSV-1FgB强结合,Kd为8.95×10-11M,与HSV-2GgB强结合,Kd为3.29×10-11M。两种抗体通过结合gB的结构域I中的不同表位并竞争结合而诱导gB从细胞表面内化到酸性内体中。CryoEM分析揭示了形成由两个HDIT102和一个HDIT101Fab与一个gB三聚体分子结合组成的异源性免疫复合物的能力。两种抗体均通过刺激自体T细胞活化的抗原呈递细胞介导抗体依赖性吞噬作用。在体内,HDIT101和HDIT102的组合对免疫活性BALB/cOlaHsd小鼠的存活和临床结果具有协同作用。
    结论:这项生化和免疫学研究显示了两种单克隆抗gBIgG有效联合治疗HSV-1/2诱导的疾病的潜力。
    BACKGROUND: Infections with Herpes simplex virus (HSV)-1 or -2 usually present as mild chronic recurrent disease, however in rare cases can result in life-threatening conditions with a large spectrum of pathology. Monoclonal antibody therapy has great potential especially to treat infections with virus resistant to standard therapies. HDIT101, a humanized IgG targeting HSV-1/2 gB was previously investigated in phase 2 clinical trials. The aim of this study was to develop a next-generation therapy by combining different antiviral monoclonal antibodies.
    METHODS: A lymph-node derived phage display library (LYNDAL) was screened against recombinant gB from Herpes simplex virus (HSV) -1 and HDIT102 scFv was selected for its binding characteristics using bio-layer interferometry. HDIT102 was further developed as fully human IgG and tested alone or in combination with HDIT101, a clinically tested humanized anti-HSV IgG, in vitro and in vivo. T-cell stimulating activities by antigen-presenting cells treated with IgG-HSV immune complexes were analyzed using primary human cells. To determine the epitopes, the cryo-EM structures of HDIT101 or HDIT102 Fab bound to HSV-1F as well as HSV-2G gB protein were solved at resolutions < 3.5 Å.
    RESULTS: HDIT102 Fab showed strong binding to HSV-1F gB with Kd of 8.95 × 10-11 M and to HSV-2G gB with Kd of 3.29 × 10-11 M. Neutralization of cell-free virus and inhibition of cell-to-cell spread were comparable between HDIT101 and HDIT102. Both antibodies induced internalization of gB from the cell surface into acidic endosomes by binding distinct epitopes in domain I of gB and compete for binding. CryoEM analyses revealed the ability to form heterogenic immune complexes consisting of two HDIT102 and one HDIT101 Fab bound to one gB trimeric molecule. Both antibodies mediated antibody-dependent phagocytosis by antigen presenting cells which stimulated autologous T-cell activation. In vivo, the combination of HDIT101 and HDIT102 demonstrated synergistic effects on survival and clinical outcome in immunocompetent BALB/cOlaHsd mice.
    CONCLUSIONS: This biochemical and immunological study showcases the potential of an effective combination therapy with two monoclonal anti-gB IgGs for the treatment of HSV-1/2 induced disease conditions.
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  • 文章类型: Journal Article
    由于固定配体密度低,有限的结合能力,以及血清蛋白的严重干扰,开发理想的基于肽的生物材料以精确识别和体内分析生物制药仍然是一个巨大的挑战。在这项研究中,模拟表位肽修饰的绒球妈妈样仿生磁性微粒(MMPs,3.8μm)首次开发了模拟CD20在恶性B细胞上的特定功能。受益于绒球妈妈样MMP上的众多配体结合位点(Ni2),与以前报道的生物材料相比,这些新材料的肽配体密度(>2300mg/g)和抗体结合能力(1380mg/g)高10倍。利用模拟表位肽的高特异性,利妥昔单抗可以从细胞培养基或血清样品中精确识别和富集。我们还建立了使用MMP跟踪患者血清中利妥昔单抗生物转化的LC-MS/MS方法。有趣的是,在利妥昔单抗的关键互补决定区域观察到Asn55和Asn33的脱酰胺化以及Met81和Met34的氧化,这可能会影响抗体功能,需要仔细监测。总的来说,这些多才多艺的仿生MMPs展示了对靶抗体的卓越识别和富集能力,为患者血清中生物制药的生物转化分析提供了有趣的可能性。
    Due to low immobilized ligand density, limited binding capacity, and severe interference from serum proteins, developing ideal peptide-based biomaterials for precise recognition and in vivo analysis of biopharmaceuticals remains a huge challenge. In this study, mimotope peptide modified pompon mum-like biomimetic magnetic microparticles (MMPs, 3.8 μm) that mimic the specific functionalities of CD20 on malignant B cells were developed for the first time. Benefit from the numerous ligand binding sites (Ni2+) on the pompon mum-like MMPs, these novel materials achieved ≥10 times higher peptide ligand densities (>2300 mg/g) and antibody binding capacities (1380 mg/g) compared to previous reported biomaterials. Leveraging the high specificity of the mimotope peptide, rituximab can be precisely recognized and enriched from cell culture media or serum samples. We also established an LC‒MS/MS method using the MMPs for tracking rituximab biotransformation in patient serum. Intriguingly, deamidation of Asn55 and Asn33, as well as oxidation of Met81 and Met34 were observed at the key complementarity determining regions of rituximab, which could potentially influence antibody function and require careful monitoring. Overall, these versatile biomimetic MMPs demonstrate superior recognition and enrichment capabilities for target antibodies, offering interesting possibilities for biotransformation analysis of biopharmaceuticals in patient serum.
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  • 文章类型: Journal Article
    中国仓鼠卵巢(CHO)细胞广泛用于治疗性单克隆抗体(mAb)的工业生产。为了满足日益增长的市场需求,高生产率,和质量要求在细胞培养。单克隆抗体的关键属性之一,从安全的角度来看,是mAb片段化。然而,在CHO细胞培养物中防止mAb片段化的方法是有限的。在这项研究中,我们观察到,对于表达重组抗体的所有三种细胞系,在补料分批培养中,抗体片段含量随着滴度的增加而增加.在培养基中加入硫酸铜进一步增加了片段含量,表明活性氧(ROS)参与了碎裂过程。虽然抗氧化剂可能有助于清除ROS,据报道,几种抗氧化剂会降低CHO细胞的生产率。在检查的抗氧化剂中,我们观察到,在培养基中添加儿茶素或(-)-表没食子儿茶素没食子酸酯可防止片段化含量约20%,并增加活细胞密度和滴度30%和10%,分别。因此,儿茶素或具有等效功能的化合物的添加对于制备具有高滴度和良好质量之间的平衡的治疗性mAb将是有益的。
    Chinese hamster ovary (CHO) cells are widely used for the industrial production of therapeutic monoclonal antibodies (mAbs). To meet the increasing market demands, high productivity, and quality are required in cell culture. One of the critical attributes of mAbs, from a safety perspective, is mAb fragmentation. However, methods for preventing mAbs fragmentation in CHO cell culture are limited. In this study, we observed that the antibody fragment content increased with increasing titers in fed-batch cultures for all three cell lines expressing recombinant antibodies. Adding copper sulfate to the culture medium further increased the fragment content, suggesting the involvement of reactive oxygen species (ROS) in the fragmentation process. Though antioxidants may be helpful to scavenge ROS, several antioxidants are reported to decrease the productivity of CHO cells. Among the antioxidants examined, we observed that the addition of catechin or (-)-epigallocatechin gallate to the culture medium prevented fragmentation content by about 20% and increased viable cell density and titer by 30% and 10%, respectively. Thus, the addition of catechins or compounds of equivalent function would be beneficial for manufacturing therapeutic mAbs with a balance between high titers and good quality.
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  • 文章类型: Journal Article
    中性粒细胞胞外陷阱(NETs)有助于多种炎症和自身免疫性疾病的病理生理。靶向NETosis途径已在各种疾病模型中显示出显著的治疗效力。这里,我们描述了一种对瓜氨酸化组蛋白H2A和H4具有高亲和力的一流单克隆抗体(CIT-013),该抗体在体内抑制NETosis并降低组织NET负荷,具有显著的抗炎作用.我们提供了对CIT-013表位选择性的详细了解。类风湿关节炎(RA)滑膜中CIT-013表位的检测提供了证据,证明RA是一种自身免疫性疾病,具有可被CIT-013靶向的过度瓜氨酸化的NETs。我们证明CIT-013在NETosis的最后阶段起作用,当质膜完整性受损以防止NET释放时,结合其染色质表位。CIT-013的二价是NETosis抑制所必需的。此外,我们显示CIT-013与NETs的结合和嗜中性粒细胞以Fc依赖性方式增强巨噬细胞的吞噬作用。使用鼠嗜中性粒细胞气道炎症模型证实了这一点,其中CIT-013的小鼠变体降低了组织NET负担,并具有显着的抗炎后果。CIT-013的治疗活性为NET拮抗剂的开发提供了新的见解,并表明了新的新兴疗法对NET驱动的疾病具有未满足的治疗需求的重要性。
    Neutrophil extracellular traps (NETs) contribute to the pathophysiology of multiple inflammatory and autoimmune diseases. Targeting the NETosis pathway has demonstrated significant therapeutic potency in various disease models. Here, we describe a first-in-class monoclonal antibody (CIT-013) with high affinity for citrullinated histones H2A and H4, which inhibits NETosis and reduces tissue NET burden in vivo with significant anti-inflammatory consequences. We provide a detailed understanding of the epitope selectivity of CIT-013. Detection of CIT-013 epitopes in rheumatoid arthritis (RA) synovium provides evidence that RA is an autoimmune disease with excessive citrullinated NETs that can be targeted by CIT-013. We show that CIT-013 acts upon the final stage of NETosis, binding to its chromatin epitopes when plasma membrane integrity is compromised to prevent NET release. Bivalency of CIT-013 is necessary for NETosis inhibition. In addition, we show that CIT-013 binding to NETs and netting neutrophils enhance their phagocytosis by macrophages in an Fc-dependent manner. This is confirmed using a murine neutrophilic airway inflammation model where a mouse variant of CIT-013 reduced tissue NET burden with significant anti-inflammatory consequences. CIT-013\'s therapeutic activity provides new insights for the development of NET antagonists and indicates the importance of a new emerging therapy for NET-driven diseases with unmet therapeutic needs.
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  • 文章类型: Journal Article
    在使用中国仓鼠卵巢(CHO)细胞的大规模mAb生产过程中,单克隆抗体中的链间二硫键可以减少。该反应降低了mAb产物的产率和纯度;然而,它可以通过筛选对还原不敏感的细胞系并在mAb生产中使用它们来预防。抗体减少易感性可以是细胞系依赖性的。据我们所知,然而,以前没有报道过筛选减少-不敏感的CHO细胞系的有效方法.这里,我们报告了一种新的筛选方法,该方法可以同时检测和鉴定含有≤48个CHO细胞系的裂解物中的mAb减少敏感性。该评估系统同样有效,并在所有培养尺度上产生相似的结果,包括250毫升,3L,和1000L。此外,我们发现,还原敏感细胞系含有较高的总细胞内烟酰胺腺嘌呤二核苷酸磷酸(NADPH)和NADP+浓度比还原不敏感细胞系,无论他们是否表达免疫球蛋白(Ig)G4或IgG1。在还原-不敏感细胞的裂解物中补充NADPH或NADP+导致mAb减少。创新的CHO细胞系筛选方法的应用可以减轻或防止从CHO细胞产生大规模mAb的减少。
    Interchain disulfide bonds in monoclonal antibodies may be reduced during large-scale mAb production using Chinese hamster ovary (CHO) cells. This reaction lowers the mAb product yield and purity; however, it may be prevented by screening cell lines that are unsusceptible to reduction and using them in mAb production. Antibody reduction susceptibility may be cell line-dependent. To the best of our knowledge, however, an efficient method of screening reduction-unsusceptible CHO cell lines has not been previously reported. Here, we report a novel screening method that can simultaneously detect and identify mAb reduction susceptibility in lysates containing ≤ 48 CHO cell lines. This evaluation system was equally effective and generated similar results at all culture scales, including 250 mL, 3 L, and 1000 L. Furthermore, we discovered that reduction-susceptible cell lines contained higher total intracellular nicotinamide adenine dinucleotide phosphate (NADPH) and NADP+ concentrations than reduction-unsusceptible cell lines, regardless of whether they expressed immunoglobulin (Ig)G4 or IgG1. NADPH or NADP+ supplementation in the lysate of reduction-unsusceptible cells resulted in mAb reduction. Application of the innovative CHO cell line screening approach could mitigate or prevent reductions in large-scale mAb generation from CHO cells.
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  • 文章类型: Journal Article
    单克隆丙种球蛋白的特征在于存在单克隆免疫球蛋白,也称为M蛋白。治疗性单克隆抗体(t-mAb)可以干扰用于监测疾病状态的实验室测定,如血清蛋白电泳(SPE)和免疫固定电泳(IFE)。为了建立对IFE的正确解释,开发靶蛋白-碰撞免疫固定电泳反射测定(T-CIERA)以鉴定IFE中的t-mAb。在这里,我们证明T-CIERA适用于靶蛋白可商购获得的多种t-mAb。此外,观察到的变化是每种t-mAb的特征性变化,和T-CIERA能够鉴定共享一个共同靶蛋白的多种t-mAb。此外,检测下限(LLOD)是客观确定的,T-CIERA证明了所有测试的t-mAb的LLOD。此外,T-CIERA也成功地应用于从接受达雷妥单抗的患者获得的血清样本,伊沙妥昔单抗,elotuzumab,和durvalumab治疗。总之,T-CIERA是鉴定多种t-mAb的合适的反射测定法,包括那些没有商业试验来处理它们的干扰的。此外,CD38-CIERA可以作为市售Hydrashift测定试剂盒的替代或补充测试。T-CIERA将使没有质谱设备和该领域专业知识的实验室能够区分药物和疾病,以改善单克隆丙种球蛋白的临床反应监测和诊断。
    Monoclonal gammopathies are characterized by the presence of monoclonal immunoglobulins, also known as M-proteins. Therapeutic monoclonal antibodies (t-mAbs) can interfere in laboratory assays used to monitor the state of disease, such as serum protein electrophoresis (SPE) and immunofixation electrophoresis (IFE). To establish a correct interpretation of IFE, Target protein-Collision Immunofixation Electrophoresis Reflex Assay (T-CIERA) was developed to identify t-mAbs in IFE. Here we demonstrate that T-CIERA is applicable to a wide variety of t-mAbs for which the target protein is commercially available. Moreover, the shift observed was characteristic for each t-mAb, and T-CIERA enabled the identification of multiple t-mAbs sharing a common target protein. Additionally, the lower limit of detection (LLOD) was determined objectively, and T-CIERA demonstrated an adequate LLOD for all tested t-mAbs. Furthermore, T-CIERA was also successfully applied to serum samples obtained from patients receiving daratumumab, isatuximab, elotuzumab, and durvalumab treatment. In conclusion, T-CIERA is a suitable reflex assay for identifying a wide variety of t-mAbs, including those for which no commercial assay is available to deal with their interference. Moreover, CD38-CIERA could serve as an alternative or complementary test to the commercially available Hydrashift assay kits. T-CIERA would enable laboratories without mass spectrometry equipment and expertise in this area to distinguish between drug and disease to improve clinical response monitoring and diagnosis of monoclonal gammopathies.
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  • 文章类型: Journal Article
    单克隆抗体越来越多地用于癌症治疗。为了保证这些单克隆抗体从复合到患者给药的质量,需要表征方法(例如身份)。在临床环境中,这些方法必须快速和直接。出于这个原因,我们研究了图像毛细管等电聚焦(icIEF)结合主成分分析(PCA)和偏最小二乘判别分析(PLS-DA)的潜力。已对从单克隆抗体(mAb)分析获得的icIEF谱进行了预处理,并将数据提交给主成分分析(PCA)。这种预处理方法被设计为避免浓度和配方的影响。四种商业化单克隆抗体(英夫利昔单抗,Nivolumab,帕妥珠单抗,和阿达木单抗)通过icIEF-PCA导致形成对应于每个mAb的四个簇。应用于这些数据的偏最小二乘判别分析(PLS-DA)允许我们建立模型来预测分析哪种单克隆抗体。该模型的验证来自k折交叉验证和预测测试。通过获得的出色分类来评估模型性能参数的选择性和特异性。总之,我们确定icIEF和化学计量学方法的结合是在患者给药前明确鉴定复合治疗性单克隆抗体(mAb)的可靠方法.
    Monoclonal antibodies are increasingly used in cancer therapy. To guarantee the quality of these mAbs from compounding to patient administration, characterization methods are required (e.g. identity). In a clinical setting, these methods must be fast and straightforward. For this reason, we investigated the potential of image capillary isoelectric focusing (icIEF) combined with Principal Component Analysis (PCA) and Partial least squares-discriminant analysis (PLS-DA). icIEF profiles obtained from monoclonals antibodies (mAbs) analysis have been pre-processed and the data submitted to principal component analysis (PCA). This pre-processing method has been designed to avoid the impact of concentration and formulation. Analysis of four commercialized mAbs (Infliximab, Nivolumab, Pertuzumab, and Adalimumab) by icIEF-PCA led to the formation of four clusters corresponding to each mAb. Partial least squares-discriminant analysis (PLS-DA) applied to these data allowed us to build models to predict which monoclonal antibody is analyzed. The validation of this model was obtained from k-fold cross-validation and prediction tests. The selectivity and the specificity of the model performance parameters were assessed by the excellent classification obtained. In conclusion, we established that the combination of icIEF and chemometric approaches is a reliable approach for unambiguously identifying compounded therapeutic monoclonal antibodies (mAbs) before patient administration.
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