WO2006122797A2 - Anti-gm-csf antibodies and uses therefor - Google Patents
Anti-gm-csf antibodies and uses therefor Download PDFInfo
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- WO2006122797A2 WO2006122797A2 PCT/EP2006/004696 EP2006004696W WO2006122797A2 WO 2006122797 A2 WO2006122797 A2 WO 2006122797A2 EP 2006004696 W EP2006004696 W EP 2006004696W WO 2006122797 A2 WO2006122797 A2 WO 2006122797A2
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Definitions
- Granulocyte-macrophage colony stimulating factor was originally identified as a hemopoietic growth factor. It is produced by a number of cell types including lymphocytes, monocytes, endothelial cells, fibroblasts and some malignant cells (Metcalf et al., 1986; Clark and Kamen, 1987; Hart et al, 1988; Metcalf et al., 1986). In addition to having a function of growth stimulation and differentiation on hemopoietic precursor cells, GM-CSF also was discovered as having a variety of effects on cells of the immune system expressing the GM-CSF receptor (for review see: Hamilton, 2002; de Groot et al., 1998).
- Mature GM-CSF is a monomeric protein of 127 amino acids with two glycosylation sites. The variable degree of glycosylation results in a molecular weight range between 14kDa and 35kDa.
- Non-glycosylated and glycosylated GM-CSF show similar activity in vitro (Cebon et al., 1990).
- the crystallographic analysis of GM-CSF revealed a barrel- shaped structure composed of four short alpha helices (Diederichs et al., 1991). The overall folding is similar to other growth factors like growth hormone, interleukin-2 and in- terleukin-4.
- GM-CSF exerts its biological activity by binding to its receptor (Kastelein and Sha- nafelt, 1993; Sisson and Dinarello, 1988).
- the most important sites of GM-CSF receptor (GM-CSF-R) expression are on the cell surface of myeloid cells and endothelial cells, whereas lymphocytes are GM-CSF-R negative.
- the native receptor is composed of at least two subunits, alpha and beta. The alpha subunit imparts ligand specificity and binds GM-CSF with nanomolar affinity (Gearing et al., 1989; Gasson et al., 1986).
- the beta subunit is also part of the interleukin-3 and interleukin-5 receptor complexes and, in association with the GM-CSF receptor alpha subunit and GM-CSF, leads to the formation of a complex with picomolar binding affinity (Hayashida et al., 1990).
- the binding domains on GM-CSF for the receptor have been mapped: GM-CSF interacts with the beta subunit of its receptor via a very restricted region in the first alpha helix of GM-CSF (Shanafelt et al., 1991b; Shanafelt et al., 1991a; Lopez et al., 1991).
- Binding to the alpha subunit could be mapped to the third alpha helix, helix C, the initial residues of the loop joining helices C and D, and to the carboxyterminal tail of GM-CSF (Brown et al., 1994).
- GM-CSF trimeric receptor complex leads to the activation of com- plex signaling cascades involving molecules of the JAK/STAT families, She, Ras, Raf, the MAP kinases, phosphatidylinositol-3 -kinase and NFkB, finally leading to transcription of c-myc, c-fos and c-jun.
- Activation is mainly induced by the beta subunit of the receptor (Hayashida et al., 1990; Kitamura et al., 1991; Sato et al., 1993).
- the shared beta subunit is also responsible for the overlapping functions exerted by IL-3, IL-5 and GM- CSF (for review see: de Groot et al., 1998).
- GM-CSF functions especially as a proinflammatory cytokine. Macrophages and monocytes as well as neutrophils and eosinophils become activated by GM-CSF, resulting in the release of other cytokines and chemokines, matrix degrading proteases, increased HLA expression and increased expression of cell adhesion molecules or receptors for CC-chemokines.
- GM-CSF exerts its activity in synergy with other inflammatory stimulating factors like other cytokines or LPS, e.g. neutrophils treated with GM-CSF in combination with e.g. LPS will show increased oxidative burst (Kaufman et al., 1989; Rapoport et al., 1992).
- GM-CSF as target for anti-inflammatory therapy:
- GM-CSF can be con- sidered as a target for anti-inflammatory therapy.
- Chronic and acute inflammatory diseases like rheumatoid arthritis (RA), multiple sclerosis (MS), Crohn's disease, psoriasis, asthma, atopic dermatitis or shock may well benefit from the blocking of GM-CSF activity and subsequent reduction of harmful activities of GM-CSF responsive cells (Hamilton, 1993; Zhang et al., 1998; Hamilton, 2002).
- GM-CSF as well as its receptor, are present in the synovial joint of arthritis patients (Alvaro-Gracia et al., 1991; Xu et al., 1989; Haworth et al., 1991). Additionally, GM-CSF was shown to cause flares of rheumatoid arthritis in patients treated with GM-CSF for neutropenia in Felty's syndrome (Hazenberg et al., 1989) or after chemotherapy (de Vries et al., 1991).
- Blocking GM-CSF is expected to inhibit or reduce: a) the activation and number of mature monocytes, macrophages, and neutro- phils. Especially neutrophils and macrophages are abundant in synovial fluid and membrane. The macrophage number in the synovium has been shown to correlate with the degree of erosion in RA joints (Mulherin et al., 1996; Burmester et al., 1997). Macrophages are the source of a variety of other proinflammatory cytokines and matrix degrading proteases. Production of H 2 O 2 by neutrophils is part of the destructive processes taking place in the arthritic joints (Babior, 2000).
- DCs myeloid dendritic cells
- synovial DCs synovial DCs
- GM-CSF upregulates and maintains HLA class II expression on DCs and RA synoviocytes (Alvaro-Gracia JM et al., 1991).
- DCs are instructed within the joint to acquire functions associated with the selective activation of inflammatory T- cells.
- Specific HLA-DR alleles have been linked to susceptibility to RA, and activation of T-cells via antigen presentation of DCs may play a crucial role in this type of immune disease (Santiago-Schwarz et al., 2001).
- GM-CSF-/- mice In multiple sclerosis, elevated levels of GM-CSF correlate with the active phase of MS (Carried et al., 1998; McQualter et al., 2001) and GM-CSF-/- mice fail to develop disease in the model system for MS, experimental encephalomyelitis, EAE (McQualter et al., 2001).
- GM-CSF GM-CSF
- eosinophils are elevated, on which GM-CSF in synergy with interleukin-5 acts in three ways: i) it stimulates the differentiation from progenitor cells into eosinophils, ii) it stimulates their functional activation, and iii) it prolongs the survival of eosinophils in the lung (Broide et al., 1992; Yamashita et al., 2002).
- GM-CSF neutralizing antibodies was further shown in a model for murine asthma where the administration of such antibodies led to significant reduction of airway hyperresponsiveness and airway inflammation (Yamashita et al., 2002).
- GM-CSF granulocyte/macrophage colony-stimulating factor
- GM-CSF does not seem to be essential for the maintenance of normal levels of the major types of mature hematopoietic cells and their precursors in blood, marrow, and spleen. However, they implicate GM-CSF as being essential for normal vascular development, pulmonary physiology, and for resistance to local infection (Stanley et al., 1994; Dranoff et al., 1994; Plenz et al., 2003; Shibata et al., 2001). Recently, a strong association of auto-antibodies to GM-CSF with PAP has additionally implicated GM-CSF signaling abnormalities in the pathogenesis of PAP in humans.
- GM-CSF has a critical role in regulation of surfactant homeostasis and alveolar macrophage innate immune functions in the lung (Bonfield et al., 2002; Trapnell and Whitsett, 2002; Uchida et al., 2004; Kitamura et al., 1999).
- the compound E21R a modified form of GM-CSF that antagonizes the function of GM-CSF, had been evaluated in a phase I safety trial and was found to have a good safety profile in cancer patients (Olver et al., 2002).
- EP 0499161 Al describes an antibody gener- ated by immunization of mice with oligopeptides, the sequence of which is derived from a GM-CSF.
- the application discloses a method of alleviating in a mammal in need thereof an undesirable effect of GM-CSF, which comprises administering to said mammal a GM-CSF-inhibiting amount of an immunoglobulin.
- that antibody is a murine antibody, rendering it unsuitable for human administration.
- WO 03/068920 discloses an inhibitory chimeric mouse/human IgGl antibody.
- Antibodies that contain non-human sequences are likely to elicit an immune response in the human patient and are not appropriate for the therapeutic administration. For instance, in diseases where long-term treatment is required (e.g. chronic inflammatory diseases like rheumatoid arthritis, asthma and multiple sclerosis), continued administra- tion of a non-human therapeutic agent increases the likelihood of a severe inflammatory reaction and the production of human antibodies that may neutralize the therapeutic agent.
- diseases where long-term treatment is required e.g. chronic inflammatory diseases like rheumatoid arthritis, asthma and multiple sclerosis
- continued administra- tion of a non-human therapeutic agent increases the likelihood of a severe inflammatory reaction and the production of human antibodies that may neutralize the therapeutic agent.
- anti-GM-CSF antibody therapy there is a high need for human anti-GM-CSF antibodies with high affinity that effectively block the GM-CSF/GM-CSF receptor interaction.
- the present invention satisfies these and other needs by providing fully highly efficacious anti-GM-CSF antibodies, which are described below.
- the invention provides an antigen-binding region that is specific for human GM-CSF, where the isolated human or humanized antibody or functional fragment thereof is able (i) to block interaction of 0.5 ⁇ g/ml human GM-CSF with the alpha chain of human GM-CSF receptor expressed on about 2xlO 5 CHO-Kl cells by at least 50% under the following conditions: (a) the concentration of the human GM-CSF recep- tor alpha chain expressed on the CHO-Kl cells is similar to the concentration of human GM-CSF receptor alpha chain expressed on about 2x10 5 CHO-GMRa#l l cells, and (b) the concentration of the isolated human or humanized antibody or functional fragment thereof is about 5 ⁇ g/ml; and (ii) to neutralize 0.25 ng
- TF-I proliferation assay is defined as the assay essentially as described in Example 5B.
- the skilled worker can obtain CHO-Kl cells expressing human GM-CSF receptor alpha chain at a concentration similar to that which is expressed on about 2x10 5 CH0-GMRa#l 1 cells by following the teachings provided herein.
- the invention additionally provides an isolated human or humanized antibody or functional antibody fragment that contains an antigen-binding region as disclosed herein.
- Such an antibody or functional fragment thereof may contain an antigen-binding region that contains an H-CDR3 region depicted in SEQ ID NO: 11 , 12, 13, 14, 15, 16, 17, 18, 19, 20, 49, 50, 51 or 52; the antigen-binding region may further include an H-CDR2 re- gion depicted in SEQ ID NO: 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 49, 50, 51 or 52; and the antigen-binding region also may contain an H-CDRl region depicted in SEQ ID NO: 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 49, 50, 51 or 52.
- Such an antibody or functional fragment thereof may contain an antigen-binding region that contains a variable heavy chain depicted in SEQ ID NO: 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 49, 50, 51 or 52.
- a GM-CSF-specific antibody of the invention may contain an antigen-binding re-gion that contains an L-CDR3 region depicted in SEQ ID NO: 31 , 32, 33, 34, 35, 36, 37, 38, 39, 40, 58, 59, 60 or 61; the antigen-binding region may further include an L-CDR2 region depicted in SEQ ID NO: 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 58, 59, 60 or 61; and the antigen-binding region also may contain an L-CDRl region depicted in SEQ ID NO: 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 58, 59, 60 or 61.
- Such an antibody or functional fragment thereof may contain an anti
- the invention includes anti-GM-CSF antibodies having a heavy chain amino acid sequence with: at least 60 percent sequence identity in the CDR regions with the CDR regions depicted in SEQ ID NO: 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 49, 50, 51 or 52; and or at least 80 percent sequence homology in the CDR regions with the CDR regions depicted in SEQ ID NO: 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 49, 50, 51 or 52.
- anti-GM-CSF antibodies having a light chain amino acid sequence with: at least 60 percent sequence identity in the CDR regions with the CDR regions depicted in SEQ ID NO: 31 , 32, 33, 34, 35, 36, 37, 38, 39, 40, 58, 59, 60 or 61; and or at least 80 percent sequence homology in the CDR regions with the CDR regions depicted in SEQ ID NO: 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 58, 59, 60 or 61.
- An antibody of the invention may be an IgG (e.g., IgGi), while an antibody fragment may be a Fab or scFv, for example.
- An inventive antibody fragment accordingly, may be, or may contain, an antigen-binding region that behaves in one or more ways as described herein.
- the invention also is related to isolated nucleic acid sequences, each of which can encode an antigen-binding region of a human or humanized antibody or a functional antibody fragment that is specific for GM-CSF.
- a nucleic acid sequence may encode a variable heavy chain of an isolated human or humanized antibody or functional fragment thereof comprising SEQ ID NO: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 44, 45, 46, 47 or 48, or a nu- cleic acid sequence that hybridizes under high stringency conditions to the complementary strand of SEQ ID NO: 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 44, 45, 46, 47 or 48.
- the nucleic acid might encode a variable light chain of an isolated human or humanized antibody or functional fragment thereof comprising SEQ ID NO: 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 53, 54, 55, 56 or 57, or a nucleic acid sequence that hybridizes under high stringency conditions to the complementary strand of SEQ ID NO: 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 53, 54, 55, 56 or 57.
- the nucleic acid sequence might encode an antigen-binding region of a human or humanized antibody or a functional antibody fragment that is specific for human GM- CSF, where the antibody or functional fragment thereof is able (i) to block interaction of 0.5 ⁇ g/ml human GM-CSF with the alpha chain of human GM-CSF receptor expressed on 2x10 s CHO-Kl cells by at least 50% under the following conditions: (a) the concentration of said human GM-CSF receptor alpha chain expressed on said CHO-Kl cells is similar to the concentration of human GM-CSF receptor alpha chain expressed on 2x10 5 CHO-GMRa#l 1 cells and (b) the concentration of said isolated human or humanized antibody or functional fragment thereof is about 5 ⁇ g/ml, and (ii) to neutralize 0.25 ng/ml human GM-CSF in a TF-I proliferation assay with an at least five-fold lower IC 50 value than the reference antibody BVD2-21C11 and/or reference antibody MAB215.
- Nucleic acids of the invention are suitable for recombinant production.
- the invention also relates to vectors and host cells containing a nucleic acid sequence of the invention.
- host cells might be bacterial or eukaryotic cells.
- compositions of the invention may be used for therapeutic or prophylactic applications.
- the invention therefore, includes a pharmaceutical composition containing an inventive antibody (or functional antibody fragment) and a pharmaceutically acceptable carrier or excipient therefor.
- the invention provides a method for treating a disorder or condition associated with the undesired presence of GM-CSF or GM-CSF expressing cells.
- Such method contains the steps of administering to a subject in need thereof an effective amount of the pharmaceutical composition that contains an inventive antibody as described or contemplated herein.
- a disorder or condition might be an inflammatory disease, such as rheumatoid arthritis, multiple sclerosis, Crohn's disease, psoriasis, asthma, atopic dermatitis and shock.
- Human or humanized antibodies (and functional fragments thereof) of the present invention may be cross-reactive with rat and/or rhesus (macaca) GM-CSF, as determined by solution equilibrium titration (SET), and/or TFl proliferation assay.
- SET solution equilibrium titration
- Figure Ia provides nucleic acid sequences of various novel antibody variable heavy chain regions.
- Figure Ib provides amino acid sequences of various novel antibody variable heavy chain regions.
- CDR regions HCDRl, HCDR2 and HCDR3 are designated from N- to C- terminus in boldface.
- Figure 2a provides nucleic acid sequences of various novel antibody variable light chain regions.
- FIG. 2b provides amino acid sequences of various novel antibody variable light chain regions.
- CDR regions LCDRl, LCDR2 and LCDR3 are designated from N- to C- terminus in boldface.
- Figure 3 provides amino acid sequences of variable heavy chain regions of consensus-based HuC AL ® antibody master gene sequences.
- CDR regions HCDRl, HCDR2 and HCDR3 are designated from N- to C-terminus in boldface (SEQ ID NO: 41).
- Figure 4 provides amino acid sequences of variable light chain regions of consen : sus-based HuCAL ® antibody master gene sequences.
- CDR regions LCDRl , LCDR2 and LCDR3 are designated from N- to C-terminus in boldface (SEQ ID NO: 42).
- Figure 5 provides an example of a DNA sequence of pMORPH ® X9_MOR03929_FH expression vector (SEQ ID NO: 43).
- Figure 6 provides expression level of GM-CSF receptor alpha, as determined by
- CHO- GMRa#l 1 solid line
- CHO-Kl dotted line
- the x-axis represents the relative fluorescence value (RFL), measured in FL2 channel; the y-axis represents cell count.
- the present invention is based on the discovery of novel antibodies that are specific to or have a high affinity for GM-CSF and possess one or more other novel properties.
- an antibody of the invention can deliver a therapeutic benefit to a subject.
- the antibodies of the invention which may be human or humanized, can be used in many contexts, which are more fully described herein.
- a "human” antibody or functional human antibody fragment is hereby defined as one that is not chimeric (e.g., not “humanized”) and not from (either in whole or in part) a non-human species.
- a human antibody or functional antibody fragment can be derived from a human or can be a synthetic human antibody.
- a "synthetic human antibody” is defined herein as an antibody having a sequence derived, in whole or in part, in silico from synthetic sequences that are based on the analysis of known human antibody sequences. In silico design of a human antibody sequence or fragment thereof can be achieved, for example, by analyzing a database of human antibody or antibody fragment sequences and devising a polypeptide sequence utilizing the data obtained therefrom.
- Another example of a human antibody or functional antibody fragment is one that is encoded by a nucleic acid isolated from a library of antibody sequences of human origin (i.e., such library being based on antibodies taken from a human natural source).
- a “humanized antibody” or functional humanized antibody fragment is defined herein as one that is (i) derived from a non-human source (e.g., a transgenic mouse which bears a heterologous immune system), which antibody is based on a human germline sequence; or (ii) chimeric, wherein the variable domain is derived from a non-human origin and the constant domain is derived from a human origin or (iii) CDR-grafted, wherein the CDRs of the variable domain are from a non-human origin, while one or more frame- works of the variable domain are of human origin and the constant domain (if any) is of human origin.
- a non-human source e.g., a transgenic mouse which bears a heterologous immune system
- chimeric wherein the variable domain is derived from a non-human origin and the constant domain is derived from a human origin
- CDR-grafted wherein the CDRs of the variable domain are from a non-human origin, while one or more frame
- an antibody “binds specifically to,” is “specific to/for” or “specifically recognizes” an antigen (here, GM-CSF) if such antibody is able to discriminate between such antigen and one or more reference antigen(s), since binding specificity is not an absolute, but a relative property.
- antigen here, GM-CSF
- “specific binding” is referring to the ability of the antibody to dis- criminate between the antigen of interest and an unrelated antigen, as determined, for example, in accordance with one of the following methods. Such methods comprise, but are not limited to Western blots, ELISA-, RIA-,ECL-, IRMA-tests and peptide scans.
- a standard ELISA assay can be carried out.
- the scoring may be carried out by standard color development ⁇ e.g. secondary antibody with horseradish peroxide and tet- ramethyl benzidine with hydrogenperoxide).
- the reaction in certain wells is scored by the optical density, for example, at 450 nm.
- determination of binding specificity is performed by using not a single reference antigen, but a set of about three to five unrelated antigens, such as milk powder, BSA, transferrin or the like.
- binding also may refer to the ability of an antibody to discriminate between the target antigen and one or more closely related antigen(s), which are used as reference points, e.g. between GM-CSF and IL3, IL5, IL-4, IL13 or M-CSF.
- specifically binding may relate to the ability of an antibody to discriminate between different parts of its target antigen, e.g. different domains or regions of GM-CSF, or between one or more key amino acid residues or stretches of amino acid residues of GM- CSF.
- an “immunoglobulin” hereby is defined as a protein be- longing to the class IgG, IgM, IgE, IgA, or IgD (or any subclass thereof), and includes all conventionally known antibodies and functional fragments thereof.
- a "functional fragment" of an antibody/immunoglobulin hereby is defined as a fragment of an anti- body/immunoglobulin (e.g., a variable region of an IgG) that retains the antigen-binding region.
- an "antigen-binding region" of an antibody typically is found in one or more hypervariable region(s) of an antibody, i.e., the CDR-I, -2, and/or -3 regions; however, the variable "framework" regions can also play an important role in antigen binding, such as by providing a scaffold for the CDRs.
- the "antigen-binding region” comprises at least amino acid residues 4 to 103 of the variable light (VL) chain and 5 to 109 of the variable heavy (VH) chain, more preferably amino acid residues 3 to 107 of VL and 4 to 111 of VH, and particularly preferred are the complete VL and VH chains (amino acid positions 1 to 109 of VL and 1 to 113 of VH; numbering according to WO 97/08320).
- a preferred class of immunoglobulins for use in the present invention is IgG.
- “Functional fragments” of the invention include the domain of a F(ab') 2 fragment, a Fab fragment, scFv or constructs comprising single immunoglobulin variable domains or single domain antibody polypeptides, e.g. single heavy chain variable domains or single light chain variable domains.
- the F(ab') 2 or Fab may be engineered to minimize or completely remove the intermolecular disulphide interactions that occur between the CH I and CL domains.
- An antibody of the invention may be derived from a recombinant antibody library that is based on amino acid sequences that have been designed in silico and encoded by nucleic acids that are synthetically created.
- silico design of an antibody sequence is achieved, for example, by analyzing a database of human sequences and devising a polypeptide sequence utilizing the data obtained therefrom.
- Methods for designing and obtaining in silico-c ⁇ eated sequences are described, for example, in Knappik et ⁇ l., J. MoI. Biol. (2000) 296:57; Krebs et ⁇ l., J. Immunol. Methods. (2001) 254:67; and U.S. Patent No. 6,300,064 issued to Knappik et ⁇ l., which hereby are incorporated by reference in their entirety.
- MOR03684 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 1 (DNA)/SEQ ID NO: 1 1 (protein) and a variable light region corresponding to SEQ ID NO: 21 (DNA)/SEQ ID NO: 31 (protein).
- MOR04251 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 2 (DNA)/SEQ ID NO: 12 (protein) and a variable light region corresponding to SEQ ID NO: 22 (DNA)/SEQ ID NO: 32 (protein).
- MOR03929 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 3 (DNA)/SEQ ID NO: 13 (protein) and a variable light region corresponding to SEQ ID NO: 23 (DNA)/SEQ ID NO: 33 (protein).
- MOR04252 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 4 (DNA)/SEQ ID NO: 14 (protein) and a variable light region corresponding to SEQ ID NO: 24 (DNA)/SEQ ID NO: 34 (protein).
- MOR04287 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 5 (DNA)/SEQ ID NO: 15 (protein) and a variable light region corresponding to SEQ ID NO: 25 (DNA)/SEQ ID NO: 35 (protein).
- MOR04290 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 6 (DNA)/SEQ ID NO: 16 (protein) and a variable light region corresponding to SEQ ID NO: 26 (DNA)/SEQ ID NO: 36 (protein).
- MOR04302 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 7 (DNA)/SEQ ID NO: 17 (protein) and a variable light region corresponding to SEQ ID NO: 27 (DNA)/SEQ ID NO: 37 (protein).
- MOR04350 represents an antibody having a variable heavy region cor- responding to SEQ ID NO: 8 (DNA)/SEQ ID NO: 18 (protein) and a variable light region corresponding to SEQ ID NO: 28 (DNA)/SEQ ID NO: 38 (protein).
- MOR04354 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 9 (DNA)/SEQ ID NO: 19 (protein) and a variable light region corresponding to SEQ ID NO: 29 (DNA)/SEQ ID NO: 39 (protein).
- MOR04357 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 10 or 48 (DNA)/SEQ ID NO: 20 (protein) and a variable light region corresponding to SEQ ID NO: 30 or 57 (DNA)/SEQ ID NO: 40 (protein).
- MOR03682 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 44 (DNA)/SEQ ID NO: 49 (protein) and a variable light region corresponding to SEQ ID NO: 53 (DNA)/SEQ ID NO: 58 (protein).
- MOR04283 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 45 (DNA)/SEQ ID NO: 50 (protein) and a variable light region corresponding to SEQ ID NO: 54 (DNA)/SEQ ID NO: 59 (protein).
- MOR04297 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 46 (DNA)/SEQ ID NO: 51 (protein) and a variable light region corresponding to SEQ ID NO: 55 (DNA)/SEQ ID NO: 60 (protein).
- MOR04342 represents an antibody having a variable heavy region corresponding to SEQ ID NO: 47 (DNA)/SEQ ID NO: 52 (protein) and a variable light region corresponding to SEQ ID NO: 56 (DNA)/SEQ ID NO: 61 (protein).
- the invention provides antibodies having an antigen-binding region that can bind specifically to or has a high affinity for GM-CSF.
- An antibody is said to have a "high affinity" for an antigen if the affinity measurement is at least 100 nM
- An inventive antibody or antigen-binding region preferably can bind to GM-CSF with an affinity of about less than 100 nM, more preferably less than about 60 nM, and still more preferably less than about 30 nM. Further preferred are antibodies that bind to GM-CSF with an affinity of less than about 10 nM, and more preferably less than about 3 nM.
- the affinity of an antibody of the invention against GM-CSF may be about 10.0 nM or 1 pM (monovalent affinity of Fab fragment).
- Table 1 provides a summary of affinities of representative antibodies of the invention, as determined by surface plasmon resonance (Biacore) and Solution Equilibrium Titration (SET) analysis:
- 04290, 04302, 04350 and 04354 was measured by surface plasmon resonance (Biacore) on immobilized recombinant GM-CSF.
- the Fab format of MOR03684, 04251, 03929, 04252, 04357, 04290, 04302, 04350 and 04354 exhibit a monovalent affinity range between about 6420 and 7 pM.
- the Fab format was also used for the determination of the affinities by solution equilibrium titration (SET).
- SET solution equilibrium titration
- the right column of Table 1 denotes the binding strength of between about 16000 and 0.4 pM of the MORs in this method.
- An antibody of the invention preferably is species cross-reactive with humans and at least one other species, which may be a rodent species or a non-human primate.
- the non- human primate can be rhesus.
- the rodent species can be rat.
- An antibody that is cross reactive with at least one rodent species, for example, can provide greater flexibility and benefits over known anti-GM-CSF antibodies, for purposes of conducting in vivo studies in multiple species with the same antibody.
- an antibody of the invention not only is able to bind to GM-CSF, but also is able to block the interaction of human GM-CSF with the alpha chain of human GM-CSF receptor expressed on CHO-Kl cells by at least 25%, preferably by at least 50%, more preferably by at least 60%, more preferably by at least 70%, preferably by at least 85% and most preferably by at least 100%.
- an antibody of the invention is able to block interaction of 0.5 ⁇ g/ml human GM-CSF with the alpha chain of human GM-CSF receptor expressed on about 2x10 5 CHO-Kl cells by at least 50% under the following conditions: the concentration of the human GM-CSF receptor alpha chain expressed on the CHO-Kl cells is similar to the concentration of human GM- CSF receptor alpha chain expressed on about 2x10 5 CHO-GMRa#l 1 cells, and the concentration of the inventive antibody is about 5 ⁇ g/ml.
- the skilled worker can obtain CHO-Kl cells expressing human GM-
- CSF receptor alpha at a concentration similar to that which is expressed on about 2x10 5 CHO-GMRa#l l cells by, e.g., by transfecting a population of CHO-Kl cells with a suitable expression vector encoding GM-CSF receptor alpha to generate different stable cell lines expressing defined levels GM-CSF receptor alpha; then, the stable cell lines are analyzed in FACS analysis to determine GM-CSF receptor alpha expression levels according to the protocol essentially as described in Example 3C; a cell line that expresses human GM-CSF receptor alpha at a concentration similar to that which is expressed on about 2x10 5 CHO-GMRa#l l cells is identified by comparing the median fluorescence value (MFL) of such transfected cells to the MFL value set forth in Example 3C.
- MFL median fluorescence value
- a cell line is defined as expressing GM-CSF receptor alpha at a concentration "similar” to that which is expressed on about 2x10 s CHO-GMRa#l l cells" if the MFL value of the transfected cell line does not deviate by more than a two-fold factor from the MFL value for the CHO-GMRa#l 1 cell as set forth in Example 3C.
- an antibody of the invention is able to neutralize human GM-CSF in a TF-I proliferation assay with a lower IC 50 value than the reference antibody BVD2- 21Cl 1 and/or MAB215, preferably an at least five-fold lower IC 50 value, more preferably with an at least 10-fold lower IC 50 value than the reference antibody BVD2-21C1 1 and/or MAB215, more preferably with an at least 15-fold lower IC 50 value than the reference antibody BVD2-21C1 1 and/or MAB215, more preferably with an at least 20-fold lower IC 50 value than the reference antibody BVD2-21C11 and/or MAB215, more preferably with an at least 30-fold lower IC 50 value than the reference antibody BVD2-21C11 and/or MAB215, more preferably with an at least 50-fold lower IC 50 value than the reference antibody BVD2-21C11 and/or MAB215, more preferably with an at least 100-fold lower IC 50
- Antibodies of the invention are not limited to the specific peptide sequences provided herein. Rather, the invention also embodies variants of these polypeptides. With reference to the instant disclosure and conventionally available technologies and references, the skilled worker will be able to prepare, test and utilize functional variants of the antibodies disclosed herein, while appreciating that variants having the ability to block the interaction of GM-CSF to the alpha chain of the GM-CSF receptor fall within the scope of the present invention. As used in this context, "ability to block the interaction of GM- CSF to the alpha chain of the GM-CSF receptor" means a functional characteristic ascribed to an anti-GM-CSF antibody of the invention.
- a variant can include, for example, an antibody that has at least one altered complementarity determining region (CDR) (hyper-variable) and/or framework (FR) (variable) domain/position, vis-a-vis a peptide sequence disclosed herein.
- CDR complementarity determining region
- FR framework
- An antibody is composed of two peptide chains, each containing one (light chain) or three (heavy chain) constant domains and a variable region (VL, VH), the latter of which is in each case made up of four FR regions and three interspaced CDRs.
- the antigen- binding site is formed by one or more CDRs, yet the FR regions provide the structural framework for the CDRs and can also play an important role in antigen binding.
- the skilled worker routinely can generate mutated or diversified antibody sequences, which can be screened against the antigen, for new or improved properties, for example.
- Tables 2a (VH) and 2b (VL) delineate the CDR and FR regions for certain antibodies of the invention and compare amino acids at a given position to each other and to corresponding consensus or "master gene" sequences (as described in U.S. Patent No. 6,300,064):
- the original HuCAL ® master genes have been constructed with their authentic N-termini, e.g. VL lambda 3 contains the amino acids "SY” at position 1 and 2; and VH3 contains the amino acid "E” at position 1.
- VL lambda 3 contains the amino acids "SY” at position 1 and 2
- VH3 contains the amino acid "E” at position 1.
- the HuCAL ® Fab libraries including the HuCAL GOLD ® library, the first two amino acids have been changed to "DI” in the VL lambda 3 chain; and the first amino acid has been changed to "Q" in the VH3 chain.
- variants are constructed by changing amino acids within one or more CDR regions; a variant might also have one or more altered framework regions.
- candidate residues that can be changed include e.g. residues 27 or 51 of the variable light and e.g. residues 32 or 56 of the variable heavy chains of MOR04251, since these are positions of variance vis-a-vis each other.
- Alterations also may be made in the framework regions. For example, a peptide FR domain might be altered where there is a deviation in a residue compared to a germline sequence.
- candidate residues that can be changed include e.g. residues 27, 50 or 90 of the variable light chain of MOR04251 compared to VL ⁇ 3 and e.g. residues 33, 52 or 96 of the variable heavy chain of MOR04251 compared to VH3.
- residues 27, 50 or 90 of the variable light chain of MOR04251 compared to VL ⁇ 3 e.g. residues 33, 52 or 96 of the variable heavy chain of MOR04251 compared to VH3.
- the skilled worker could make the same analysis by comparing the amino acid sequences disclosed herein to known sequences of the same class of such antibodies, using, for example, the procedure described by Knappik et al. (2000), and U.S. Patent No. 6,300,064 issued to Knappik et al.
- variants may be obtained by using one MOR as starting point for optimiza- tion by diversifying one or more amino acid residues in the MOR, preferably amino acid residues in one or more CDRs, and by screening the resulting collection of antibody variants for variants with improved properties.
- Particularly preferred is diversification of one or more amino acid residues in CDR-3 of VL, CDR-3 of VH, CDR-I of VL and/or CDR- 2 of VH. Diversification can be done by synthesizing a collection of DNA molecules using trinucleotide mutagenesis (TRIM) technology (Virnekas et al., 1994).
- TAM trinucleotide mutagenesis
- Polypeptide variants may be made that conserve the overall molecular structure of an antibody peptide sequence described herein. Given the properties of the individual amino acids, some rational substitutions will be recognized by the skilled worker. Amino acid substitutions, i.e., "conservative substitutions,” may be made, for instance, on the basis of similarity in polarity, charge, solubility, hydrophobicity, hydrophilicity, and/or the amphipathic nature of the residues involved.
- nonpolar (hydrophobic) amino acids include alanine, leucine, iso- leucine, valine, proline, phenylalanine, tryptophan, and methionine;
- polar neutral amino acids include glycine, serine, threonine, cysteine, tyrosine, asparagine, and gluta- mine;
- positively charged (basic) amino acids include arginine, lysine, and histidine;
- negatively charged (acidic) amino acids include aspartic acid and glutamic acid. Substitutions typically may be made within groups (a)-(d).
- glycine and proline may be substituted for one another based on their ability to disrupt ⁇ -helices. Simi- larly, certain amino acids, such as alanine, cysteine, leucine, methionine, glutamic acid, glutamine, histidine and lysine are more commonly found in ⁇ -helices, while valine, iso- leucine, phenylalanine, tyrosine, tryptophan and threonine are more commonly found in ⁇ -pleated sheets. Glycine, serine, aspartic acid, asparagine, and proline are commonly found in turns.
- sequence identity indicates the percentage of amino acids that are identical between the sequences.
- Sequence ho- mology indicates the percentage of amino acids that either are identical or that represent conservative amino acid substitutions.
- Preferred polypeptide sequences of the invention have a sequence identity in the CDR regions of at least 60%, more preferably, at least 70% or 80%, still more preferably at least 90% and most preferably at least 95%.
- Preferred antibodies also have a sequence homology in the CDR regions of at least 80%, more preferably 90% and most preferably 95%.
- the present invention also relates to the DNA molecules that encode an antibody of the invention. These sequences include, but are not limited to, those DNA molecules set forth in Figures 1 a and 2a. DNA molecules of the invention are not limited to the sequences disclosed herein, but also include variants thereof. DNA variants within the invention may be described by reference to their physical properties in hybridization. The skilled worker will recognize that DNA can be used to identify its complement and, since DNA is double stranded, its equivalent or homolog, using nucleic acid hybridization techniques. It also will be recog- nized that hybridization can occur with less than 100% complementarity. However, given appropriate choice of conditions, hybridization techniques can be used to differentiate among DNA sequences based on their structural relatedness to a particular probe.
- Structural similarity between two polynucleotide sequences can be expressed as a function of "stringency" of the conditions under which the two sequences will hybridize with one another.
- stringency refers to the extent that the conditions disfavor hybridization. Stringent conditions strongly disfavor hybridization, and only the most structurally related molecules will hybridize to one another under such conditions. Conversely, non-stringent conditions favor hybridization of molecules displaying a lesser degree of structural relatedness.
- Hybridization stringency is a function of many factors, including overall DNA concentration, ionic strength, temperature, probe size and the presence of agents which disrupt hydrogen bonding. Factors promoting hybridization include high DNA concentrations, high ionic strengths, low temperatures, longer probe size and the absence of agents that disrupt hydrogen bonding. Hybridization typically is performed in two phases: the "binding" phase and the “washing” phase.
- the probe is bound to the target under conditions favoring hybridization.
- Stringency is usually controlled at this stage by altering the temperature.
- the temperature is usually between 65 0 C and 70°C, unless short ( ⁇ 20 nt) oligonucleotide probes are used.
- a representative hybridization solution com- prises 6X SSC, 0.5% SDS, 5X Denhardt's solution and 100 ⁇ g of nonspecific carrier DNA. See Ausubel et al, section 2.9, supplement 27 (1994). Of course, many different, yet functionally equivalent, buffer conditions are known. Where the degree of relatedness is lower, a lower temperature may be chosen.
- Low stringency binding temperatures are between about 25 0 C and 4O 0 C.
- Medium stringency is between at least about 4O 0 C to less than about 65°C.
- High stringency is at least about 65 0 C.
- washing solutions typically contain lower salt concentrations.
- One exemplary medium stringency solution contains 2X SSC and 0.1% SDS.
- a high stringency wash solution contains the equivalent (in ionic strength) of less than about 0.2X SSC, with a preferred stringent solution containing about 0.1 X SSC.
- the temperatures associated with various stringencies are the same as discussed above for "binding.”
- the washing solution also typically is replaced a number of times during washing. For example, typical high stringency washing conditions comprise washing twice for 30 minutes at 55° C and three times for 15 minutes at 60° C.
- the present invention includes nucleic acid molecules that hybridize to the molecules of set forth in Figures Ia and 2a under high stringency binding and washing conditions, where such nucleic molecules encode an antibody or functional fragment thereof having properties as described herein.
- Preferred molecules are those that have at least 75% or 80% (preferably at least 85%, more preferably at least 90% and most preferably at least 95%) homology or sequence identity with one of the DNA molecules described herein.
- variants of DNA molecules provided herein can be constructed in several different ways. For example, they may be constructed as completely synthetic DNAs. Methods of efficiently synthesizing oligonucleotides in the range of 20 to about 150 nucleotides are widely available. See Ausubel et al, section 2.11, Supplement 21 (1993). Overlapping oligonucleotides may be synthesized and assembled in a fashion first reported by Khorana et al, J. MoI. Biol. 72:209-217 (1971); see also Ausubel et al, supra, Section 8.2. Synthetic DNAs preferably are designed with convenient restriction sites engineered at the 5' and 3' ends of the gene to facilitate cloning into an appropriate vector.
- a method of generating variants is to start with one of the DNAs dis- closed herein and then to conduct site-directed mutagenesis. See Ausubel et al., supra, chapter 8, Supplement 37 (1997).
- a target DNA is cloned into a single-stranded DNA bacteriophage vehicle.
- Single-stranded DNA is isolated and hybridized with an oligonucleotide containing the desired nucleotide alter ation(s).
- the complementary strand is synthesized and the double stranded phage is introduced into a host.
- Some of the resulting progeny will contain the desired mutant, which can be confirmed using DNA sequencing.
- various methods are available that increase the probability that the progeny phage will be the desired mutant. These methods are well known to those in the field and kits are commercially available for generating such mutants.
- the present invention further provides recombinant DNA constructs comprising one or more of the nucleotide sequences of the present invention.
- the recombinant constructs of the present invention are used in connection with a vector, such as a plasmid, phagemid, phage or viral vector, into which a DNA molecule encoding an antibody of the invention is inserted.
- the encoded gene may be produced by techniques described in Sambrook et al., 1989, and Ausubel et al, 1989.
- the DNA sequences may be chemically synthesized using, for example, synthesizers. See, for example, the techniques described in OLIGONUCLEOTIDE SYNTHESIS (1984, Gait, ed., IRL Press, Oxford), which is incorporated by reference herein in its entirety.
- Recombinant constructs of the invention are comprised with expression vectors that are capable of expressing the RNA and/or protein products of the encoded DNA(s).
- the vector may further comprise regulatory sequences, including a promoter operably linked to the open reading frame (ORF).
- the vector may further comprise a selectable marker sequence. Specific initiation and bacterial secretory signals also may be required for efficient translation of inserted target gene coding sequences.
- the present invention further provides host cells containing at least one of the DNAs of the present invention.
- the host cell can be virtually any cell for which expres- sion vectors are available. It may be, for example, a higher eukaryotic host cell, such as a mammalian cell, a lower eukaryotic host cell, such as a yeast cell or a prokaryotic cell, such as a bacterial cell.
- Introduction of the recombinant construct into the host cell can be effected by calcium phosphate transfection, DEAE, dextran mediated transfection, elec- troporation or phage infection.
- Useful expression vectors for bacterial use are constructed by inserting a structural DNA sequence encoding a desired protein together with suitable translation initiation and termination signals in operable reading phase with a functional promoter.
- the vector will comprise one or more phenotypic selectable markers and an origin of replication to ensure maintenance of the vector and, if desirable, to provide amplification within the host.
- Suitable prokaryotic hosts for transformation include E. coli, Bacillus subtilis, Salmonella typhimurium and various species within the genera Pseudomonas, Streptomyces, and Staphylococcus.
- Bacterial vectors may be, for example, bacteriophage-, plasmid- or phagemid-based. These vectors can contain a selectable marker and bacterial origin of replication derived from commercially available plasmids typically containing elements of the well known cloning vector pBR322 (ATCC 37017). Following transformation of a suitable host strain and growth of the host strain to an appropriate cell density, the selected promoter is de-repressed/induced by appropriate means ⁇ e.g., temperature shift or chemical induction) and cells are cultured for an additional period. Cells are typically harvested by centrifu- gation, disrupted by physical or chemical means, and the resulting crude extract retained for further purification.
- appropriate means e.g., temperature shift or chemical induction
- a number of expression vectors may be advantageously selected depending upon the use intended for the protein being expressed. For example, when a large quantity of such a protein is to be produced, for the generation of antibodies or to screen peptide libraries, for example, vectors which direct the expression of high levels of fusion protein products that are readily purified may be desirable.
- Therapeutic methods involve administering to a subject in need of treatment a therapeutically effective amount of an antibody contemplated by the invention.
- a "therapeutically effective" amount hereby is defined as the amount of an antibody that is of suf- ficient quantity to effectively block the interaction between GM-CSF and its receptor in a treated area of a subject — either as a single dose or according to a multiple dose regimen, alone or in combination with other agents, which leads to the alleviation of an adverse condition, yet which amount is toxicologically tolerable.
- the subject may be a human or non-human animal ⁇ e.g., rat or rhesus).
- An antibody of the invention might be co-administered with known medicaments, and in some instances the antibody might itself be modified.
- an antibody could be conjugated to an immunotoxin or radioisotope to potentially further increase efficacy.
- inventive antibodies can be used as a therapeutic or a diagnostic tool in a variety of situations where GM-CSF is undesirably expressed or found.
- Disorders and conditions particularly suitable for treatment with an antibody of the inventions are inflammatory diseases such as rheumatoid arthritis (RA), multiple sclerosis, Crohn's disease, psoriasis, asthma, atopic dermatitis or shock.
- RA rheumatoid arthritis
- pharmaceutical compositions for use in accordance with the present invention may be formulated in a conventional manner using one or more physiologically acceptable carriers or excipients.
- An antibody of the invention can be administered by any suitable means, which can vary, depending on the type of disorder being treated. Possible administration routes include parenteral (e.g., intramus- cular, intravenous, intraarterial, intraperitoneal, or subcutaneous), intrapulmonary and intranasal, and, if desired for local immunosuppressive treatment, intralesional administration.
- an antibody of the invention might be administered by pulse infusion, with, e.g., declining doses of the antibody.
- the dosing is given by injections, most preferably intravenous or subcutaneous injections, depending in part on whether the administration is brief or chronic.
- the amount to be administered will depend on a variety of factors such as the clinical symptoms, weight of the individual, whether other drugs are administered. The skilled artisan will recognize that the route of administration will vary depending on the disorder or condition to be treated.
- Determining a therapeutically effective amount of the novel polypeptide largely will depend on particular patient characteristics, route of administration, and the nature of the disorder being treated. General guidance can be found, for example, in the publications of the International Conference on Harmonisation and in REMINGTON'S PHARMACEUTICAL SCIENCES, chapters 27 and 28, pp. 484-528 (18th ed., Alfonso R. Gennaro, Ed., Easton, Pa.: Mack Pub. Co., 1990). More specifically, deter- mining a therapeutically effective amount will depend on such factors as toxicity and efficacy of the medicament. Toxicity may be determined using methods well known in the art and found in the foregoing references. Efficacy may be determined utilizing the same guidance in conjunction with the methods described below in the Examples.
- GM-CSF is expressed by various cell types including lymphocytes, monocytes, endothelial cells, fibroblasts and some malignant cells; thus, an anti-GM-CSF antibody of the invention may be employed in order to image or visualize a site of possible accumulation of GM-CSF in different tissues in a patient.
- an antibody can be de- tectably labeled, through the use of radioisotopes, affinity labels (such as biotin, avidin, etc.) fluorescent labels, paramagnetic atoms, etc. Procedures for accomplishing such labeling are well known to the art. Clinical application of antibodies in diagnostic imaging are reviewed by Grossman, H. B., Urol. Clin. North Amer.
- the detection of foci of such detectably labeled antibodies might be indicative of a site of inflammation, for example.
- this examination is done by removing samples of tissue or blood and incubating such samples in the presence of the detectably labeled antibodies.
- this technique is done in a noninvasive manner through the use of magnetic imaging, fluorography, etc.
- Such a diagnos- tic test may be employed in monitoring the success of treatment of diseases, where presence or absence of GM-CSF is a relevant indicator.
- the invention also contemplates the use of an anti- GM-CSF antibody, as described herein for diagnostics in an ex vivo setting.
- the antibodies of the present invention can be formulated according to known methods to prepare pharmaceutically useful compositions, wherein an antibody of the invention (including any functional fragment thereof) is combined in a mixture with a pharmaceutically acceptable carrier vehicle.
- Suitable vehicles and their formulation are described, for example, in REMINGTON'S PHARMACEUTICAL SCIENCES (18th ed., Alfonso R. Gennaro, Ed., Easton, Pa.: Mack Pub. Co., 1990).
- REMINGTON'S PHARMACEUTICAL SCIENCES 18th ed., Alfonso R. Gennaro, Ed., Easton, Pa.: Mack Pub. Co., 1990.
- Such compositions will contain an effective amount of one or more of the antibodies of the present invention, to- gether with a suitable amount of carrier vehicle.
- Preparations may be suitably formulated to give controlled-release of the active compound.
- Controlled-release preparations may be achieved through the use of polymers to complex or absorb anti- GM-CSF antibody.
- the controlled delivery may be exercised by selecting appropriate macromolecules (for example polyesters, polyamino acids, poly- vinyl, pyrrolidone, ethylenevinyl-acetate, methylcellulose, carboxymethylcellulose, or protamine, sulfate) and the concentration of macromolecules as well as the methods of incorporation in order to control release.
- Another possible method to control the duration of action by controlled release preparations is to incorporate anti-GM-CSF antibody into particles of a polymeric material such as polyesters, polyamino acids, hydrogels, poly(lactic acid) or ethylene vinylacetate copolymers.
- a polymeric material such as polyesters, polyamino acids, hydrogels, poly(lactic acid) or ethylene vinylacetate copolymers.
- Such techniques are disclosed in Remington's Pharmaceutical Sciences (1980).
- the compounds may be formulated for parenteral administration by injection, e.g., by bolus injection or continuous infusion.
- Formulations for injection may be presented in unit dosage form, e.g., in ampules, or in multi-dose containers, with an added preservative.
- the compositions may take such forms as suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents.
- the active ingredient may be in powder form for constitution with a suitable vehicle, e.g., sterile pyrogen-free water, before use.
- the compositions may, if desired, be presented in a pack or dispenser device, which may contain one or more unit dosage forms containing the active ingredient.
- the pack may for example comprise metal or plastic foil, such as a blister pack.
- the pack or dispenser device may be accompanied by instructions for administration.
- HuCAL GOLD ® library was amplified in 2xYT medium containing 34 ⁇ g/ml chloramphenicol and 1 % glucose (2x YT-CG). After helper phage infection (VCSM 13) at an OD 6O0 of 0.5 (30 min at 37°C without shaking; 30 min at 37 0 C shaking at 250 rpm), cells were spun down (4120 g; 5 min; 4°C), resuspended in 2xYT / 34 ⁇ g/ml chloramphenicol / 50 ⁇ g/ml kanamycin / 0.25mM IPTG and grown overnight at 22 0 C.
- helper phage infection VCSM 13
- OD 6O0 OD 6O0
- Phages were PEG- precipitated from the supernatant, resuspended in PBS / 20 % glycerol and stored at -8O 0 C. Phage amplification between two panning rounds was conducted as follows: mid- log phase E. coli TGl cells were infected with eluted phages and plated onto LB-agar supplemented with 1 % of glucose and 34 ⁇ g/ml of chloramphenicol. After overnight incubation at 3O 0 C, colonies were scraped off and used to inoculate 2x YT-CG until an OD ⁇ oonm of 0.5 was reached and helper phage added as described above.
- HuCAL GOLD ® antibody-phages were divided into three pools comprising different VH master genes. These pools were individually subjected to either a) a solid phase panning on biotinylated human GM-CSF protein (custom made by R&D Systems, Minneapolis, MN) directly coated on neutravidin coated 96well plates (Pierce, Rockford, IL) as solid support for three rounds or b) a solution panning on biotinylated human GM-CSF protein captured onto streptavidin coated Dynabeads (Dynal, Oslo, Norway) for three rounds.
- HuCAL GOLD ® phages Prior to the selections, 100 ⁇ l of HuCAL GOLD ® phages were pre-adsorbed in lOO ⁇ l blocking buffer containing 0.4 ⁇ l 25% Tween20 for 0.5 h at RT. Blocked phages were transferred in lOO ⁇ l aliquots to wells of a neutravidin plate for 0.5 h at RT. This step was repeated twice for pre-absorption.
- Bound phages were eluted by adding 120 ⁇ l of 20 mM DTT in 10 mM Tris pH 8.0 per well for 10 min at RT. The eluate was removed and added to 14 ml E. coli TGl grown to an OD ⁇ oo nm of 0.6-0.8. Wells were additionally washed with 200 ⁇ l PBS and this solution was also added to the TGl cells. Phage infection of E. coli was allowed for 45 min at 37 0 C without shaking. Additionally, 200 ⁇ l of TGl cells grown to an OD 60 o nm of 0.6-0.8 were added to the selection wells for 45 minutes at 37 0 C without shaking.
- TG-I cells were added to the 14ml culture already containing the phages from the first elution step. After centrifugation for 10 min at 5000rpm, the bacterial pellets were each resus- pended in 500 ⁇ l 2xYT medium, plated on 2x YT-CG agar plates and incubated overnight at 3O 0 C. Colonies were then scraped from the plates and phages were rescued and amplified as described above.
- the second and third rounds of selection were performed in an identical way to the first round of selection with the only difference that the washing conditions after binding of phage were more stringent. Additionally, in the third round of selection, phages were submitted to an additional preadsorption step on streptavidin-coated beads (Dynabeads M-280; Dynal). Eppendorf tubes were blocked with Chemiblocker solution by incubation for 30 min at RT. Of each phage pool 0.3ml were mixed 1 : 1 with 2xChemiblocker solution containing 0.05% Tween20 and incubated for Ih at RT in the blocked Eppendorf tubes on a rotator.
- Blocked phages were then transferred to newly blocked Eppendorf tubes and 50 ⁇ l of Dynabeads M-280 were added for another 30min for preadsorption. Beads were removed using a magnetic device (Dynal MPC-E). Aliquots of 150 ⁇ l of phages were then transferred to neutravidin plates for further preadsorption as in round 1 and 2 (see above).
- Phages diluted in 500 ⁇ l PBS for each panning condition were mixed with 500 ⁇ l 2xChemiblocker / 0.1% Tween 1 h at RT (rotator). Preadsorption of phages was performed twice: 50 ⁇ l of blocked Streptavidin magnetic beads were added to the blocked phages and incubated for 30 min at RT on a rotator. After separation of beads via a magnetic device (Dynal MPC-E) the phage supernatant ( ⁇ lml) was trans- ferred to a new blocked tube and preadsorption was repeated on 50 ⁇ l blocked beads for 30 min.
- biotinylated hGM-CSF was added to blocked phages in a new blocked 1.5 ml tube and incubated for 1 h at RT on a rotator.
- 100 ⁇ l of blocked streptavidin magnetic beads were added to each panning phage pool and incubated 10 min at RT on a rotator.
- Phage bound to biotinylated GM-CSF and therefore immobilized to the magnetic beads were collected with a magnetic particle separator (Dynal MPC-E). Beads were then washed 7x in PBS/0.05% Tween using a rotator, followed by washing another three times with PBS.
- Elution of phage from the Dynabeads was performed adding 300 ⁇ l 2OmM DTT in 1 OmM Tris/HCl pH8 to each tube for 10 min. Dynabeads were removed by the magnetic particle separator and the supernatant was added to 14ml of a E.coli TG-I culture grown to OD 600 n m of 0.6-0.8. Beads were then washed once with 200 ⁇ l PBS and PBS containing additional removed phage was added to the 14 ml E.coli TG-I culture.
- the bacterial pellets were each resuspended in 500 ⁇ l 2xYT medium, plated on 2x YT-CG agar plates and incubated overnight at 30°C. Colonies were then scraped from the plates and phages were rescued and amplified as described above.
- the second and third rounds of the solution panning on biotinylated GM-CSF was performed according to the protocol of the first round except for increasing the stringency of the washing procedure.
- the Fab encoding inserts of the selected HuCAL GOLD ® phagemids were subcloned into the expression vector pMORPH ® X9_Fab_FH (Fig 5) to facilitate rapid expression of soluble Fab.
- the DNA of the selected clones was digested with Xbal and EcoKL, thereby cutting out the Fab encoding insert (ompA-VLCL and phoA-Fd), and cloned into the
- Fabs expressed in these vectors carry two C-terminal tags (FLAGTM and 6xHis, respectively) for detection and purification.
- BEL buffer (2xBBS/EDTA: 24.7 g/1 boric acid, 18.7 g NaCl/1, 1.49 g EDTA/1, pH8) was added containing 2.5 mg/ml lysozyme and incubated for 1 h at 22 0 C on a microtiter plate shaker (400 rpm).
- BEL extracts were used for binding analysis by ELISA or a BioVeris M-series ® 384 analyzer (see Example 2).
- Fab fragments encoded by pMORPH ® X9 Fab_FH in TG-I cells were carried out in shaker flask cultures with 1 1 of 2xYT medium supplemented with 34 ⁇ g/ml chloramphenicol. After induction with 0.5 mM IPTG, cells were grown at 22°C for 16 h. Whole cell extracts of cell pellets were prepared by French Press and Fab fragments isolated by nickel/NTA chromatography (Qiagen, Hilden, Germany). Concentrations were determined by UV-spectrophotometry (Krebs et al., 2001).
- BEL extracts of individual E. coli clones selected by the above mentioned panning strategies were analyzed by ELISA or BioVeris (BioVeris M-series ® 384 analyzer) in order to identify clones encoding hGM-CSF specific Fabs.
- BEL extract was diluted at least 1 :50 and maximally 1 :1000 in assay buffer (PBS/0,05%Tween20/0.5%BSA) for use in BioVeris screening.
- Biotinylated GM-CSF R&D Systems
- Dynabeads Dy- nal
- Per well of a 96 or 384 well plate 25 or 15 ⁇ l of a 1:25 dilution of the Dynabead-stock solution was used. Beads were washed three times with assay buffer before adding biotinylated GM-CSF for 30 min at RT on a shaker.
- Anti-human (Fab) ' 2 (Dianova) was ruthenium labelled using the BV-tagTM (BioVeris Europe, Witney, Oxfordshire, UK). This secondary antibody was added to the GM-CSF coupled beads at a concentration of 6 ⁇ g/ml immediately before use. lOO ⁇ l or 60 ⁇ l of diluted BEL extract (see above) of E.
- coli expression cultures containing Fab antibodies was filled into wells of a 96 or 384 well plate and, respectively, 25 or 15 ⁇ l of the GM-CSF coupled beads plus anti-Fab-BV-tagTM secondary antibody mix was added to each well and incubated for 2h at RT on a plate shaking device. The plates were analyzed in a BioVeris M-SERIES ® 384 Analyzer.
- Crossreactivity of the anti-hGM-CSF antibodies was determined to the following ana- lytes: rat and mouse GM-CSF, human IL-3, human IL-4, , human IL-5, , human IL-13, , human M-CSF (all from Peprotech, London, UK). This was performed in a capture set-up by surface plasmon resonance (Biacore 3000, Uppsala, Sweden).
- CM5 chips (Biacore, Sweden) were coated with 5000-6000RU anti-F(ab) 2 (Dianova, Af- finipure F(ab) 2 Fragment Goat Anti-Human IgG, F(ab) 2 Fragment specific); 80 ⁇ g/ml 1OmM acetate buffer, pH4 on all 4 flow cells, using standard EDC-NHS amine coupling chemistry.
- the analyte growth factor was injected (20 ⁇ l, flow rate 20 ⁇ l/min) at a concentration range between 15 and 200OnM for the determination of the specific signal. Afterwards the achieved buffer sensogram was manually subtracted from the specific one. After each cycle, the flow cells were regenerated with 10OmM HCl (5 ⁇ l).
- HuCAL ® anti-tiGM-CSF antibodies including MOR03684 and MOR03682 were tested and were specific for human GM-CSF and did not bind to any of the other cytoki- nes or mouse or rat GM-CSF .
- Fab MOR03929 showed significant cross reactivity to rat GM-CSF.
- Example 3 Identification of anti-human GM-CSF Fab candidates that inhibit the interaction between GM-CSF and the GM-CSF receptor alpha
- hGM-CSF specific antibodies which were selected from the HuCAL GOLD ® library were tested for the potency to inhibit the interaction between hGM-CSF and its receptor.
- the interaction was tested in two ways, (i) one being a proliferation assay using the GM-CSF dependent TF-I cell line (Kitamura et al., 1989) and (ii) the other being a FACS analysis with a recombinant CHO cell line expressing the alpha chain of the GM- CSF receptor.
- the TF-I proliferation assay the ability of the anti-GM-CSF antibodies to block the interaction of GM-CSF with the endogenous GM-CSF receptor consisting of the alpha and beta chain was analyzed leading to reduction in cell proliferation.
- the FACS assay the specific inhibition of the interaction between GM-CSF and the alpha chain of the GM-CSF receptor was determined.
- the cDNA of human GM-CSF (Genbank accession num- ber NP_000749 ) was cloned by RT-PCR technique from RNA isolated from 1x10e7 TF- 1 cells using the RNeasy kit from Qiagen (Hilden, Germany). Reverse transcription was performed with the SuperscriptII kit using random hexamers (Gibco) followed amplification of the GM-CSF cDNA by PCR. The obtained PCR-product was cloned into expression vector pcDNA3.1(+) yielding pcDNA-huGM-CSF.
- HEK293 cells were transiently transfected with these expression vectors respectively using lipofectamine (Stratagene, LaJoIIa, USA).
- lipofectamine Stratagene, LaJoIIa, USA.
- the medium containing the secreted recombinant macaca or human GM-CSF was harvested 4 days after transfection.
- TF-I (Kitamura et al., 1989) cells were grown according to the provider's protocol (DSMZ, Braunschweig, Germany; DSMZ No. ACC 334). TF-I cells were washed twice with RPMI 1640 medium (10% FCS) and then seeded at a concentration of 2 x 10 5 cells/ml in 50 ⁇ l per well of a flat bottom 96well cell culture dish.
- GM-CSF Human recombinant GM-CSF ("Leucomax", ESSEX Pharma, M ⁇ nchen) at 0.5ng/ml and HuCAL ® Fab antibodies (200ng/ml - 200 ⁇ g/ml diluted in RPMI 1640 medium, 10% FCS) were mixed for 30 min and 50 ⁇ l of the mix was added to the TF-I cells, so that the final concentration of GM-CSF was 0.25ng/ml. Maximal cell proliferation (0% inhibition) was measured incubating TF-I cells at a final GM-CSF of concentration of 0.25ng/ml, without the addition of antibody.
- TF-I proliferation 100% inhibition of TF-I proliferation was measured by omitting GM-CSF from the assay and keeping the cells in RPMI 1640 medium (10% FCS) only. TFl cells were then incubated for 72 hours at 37 0 C with 5% CO 2 in a humidified chamber. Cell vitality was measured by adding MTT or XTT reagent (Roche, Mannheim, Germany) according to the manufacturer's recommendation. Overall 19 Fab were identified that showed significant inhibition of TF-I proliferation.
- the binders MOR03682, MOR03684 and MOR03929 showed consistent inhibition of TFl cell proliferation of greater than 50% at a concentration of 2 ⁇ M.
- TF-I proliferation assay instead of adding purified human GM-CSF to the TF-I cells a supernatant of trans- fected HEK293 cells that secrete recombinant macaca GM-CSF into the medium was used. TF-I cells proliferated in the presence of macaca GM-CSF containing supernatant but not in the presence of supernatant from untransfected HEK293 cells.
- GM-CSF GM-CSF receptor alpha chain
- cDNA was cloned into an expression vector and stably transfected into CHO- Kl cells (DSMZ ACC 110).
- N-GCRa-plusSS TTCTCTGGATCCGCCACCATGCTTCTCCTGGTGACAAGCC
- C-flGCRa ACCCTCCAATTGTCAGGTAATTTCCTTCACGGTC.
- the PCR reaction yielded a product of ⁇ 1250bp which was digested with EcoRI and BamHl (New England BioLabs).
- the expression vector pcDNA3.1(+) (Invitrogen, Paisley, UK) was digested with the same enzymes. After purification of the digested vector and PCR product, the fragments were ligated and transformed by electroporation into E.coli DHlOB cells. Correct clones were identified after preparation of plasmid DNA and sequencing. Correct clones (pcDNA3.1(+)-GM-CSFRalpha) contained the full length human GM-CSF receptor alpha cDNA.
- CHO-Kl cells were grown according to the provider's protocol (DSZM, Braunschweig, Germany; DSMZ No. ACC 110).
- DSMZ No. ACC 110 For transfection cells were grown to 80% confluence in a 6- well plate and incubated with 5 ⁇ g DNA of pcDNA3.1(+)-GM-CSFRalpha mixed with lO ⁇ l of the Lipofectamine 2000 reagent (Invitrogen). After 48h cells were fed with lmg/ml G418 (Gibco) and after another 24h medium was replaced with such containing 2mg/ml G418. After two weeks single cells were seeded into wells of a 96-well culture dish.
- Single clones were grown up and 5x10 5 cells of each clone were tested for GM- CSFR-alpha expression by FACS analysis using murine IgG MAB 1006 (Chemicon International, Temecula, CA) as primary antibody at a concentration of l ⁇ g/ml and (R-PE- AffiniPure (Fab') 2 Goat-anti-mouse-IgG (Dianova) as secondary antibody at a 1 :200 dilution. Primary and secondary antibodies were incubated with the cells for Ih sequen- tially, while cells were washed in FACS buffer (PBS, 3%FCS) between these steps. Fluorescence of stained cells was quantified in the FL2 channel using a FACSCalibur system (Becton Dickinson).
- antibodies at increasing concentrations Prior to adding to cells, antibodies at increasing concentrations (0.1 to 100 ⁇ g/ml) were co-incubated with biotinylated GM-CSF (0.5 ⁇ g/ml) in FACS buffer (PBS/3%FBS/NaN 3 0,05%) for 30min at RT.
- Fab antibodies MOR03682, MOR03684 and MOR03929 showed significant inhibition of GM-CSF binding to the cell surface expressed GM-CSF receptor alpha.
- Example 4 Affinity maturation of selected Fab by stepwise exchange of CDR cassettes
- clones MOR03682, MOR03684 and MOR03929 were subjected to affinity maturation.
- CDR regions were optimized by cassette mutagenesis using trinucleotide directed mutagenesis (VirnekSs et ah, 1994; Nagy et al., 2002). Sequence analysis revealed no sequence homology between the CDRs of the three parental clones analyzed.
- Table 2a and 2b provide the six CDR peptide sequences for the parental clones MOR03682, MOR03684 and MOR03929.
- Fab fragments from expression vector pMORPH ® X9Fab_FH were cloned into a phagemid vector (US 6,753,136). Then, two different strategies were applied to optimize the affinity and effi- cacy of the parental Fabs.
- phage antibody Fab library was generated where the L-CDR3 of each parental was replaced by a repertoire of individual lambda light chain CDR3 sequences.
- H-CDR2 region was replaced by a repertoire of individual heavy chain CDR2 sequences.
- Affinity maturation libraries were generated by transforming the diversified clones into E. coli TOPlOF' (Invitrogen). Phages were prepared as described in Example IA.
- Electrochemilu- minescence (ECL) based affinity determination in solution and data evaluation were basically performed as described by Haenel et al., 2005: A constant amount of Fab was equilibrated with different concentrations (serial 5" dilutions) of human GM-CSF (Leu- comax) in solution.
- Biotinylated human GM-CSF R&D Systems coupled to paramag- netic beads (M-280 Streptavidin, Dynal) and BV -tagTM (BioVeris Europe, Witney, Ox- forfshire, UK) labeled anti-human (Fab)' 2 (Dianova) was added and incubated for 15 - 30 min. Subsequently, the concentration of unbound Fab was quantified via ECL detection using a M- SERIES ® 384 analyzer (BioVeris Europe).
- Association phase was set to 60 s and dissociation phase to 120 s (parental) or up to 600 s (affinity optimized).
- dissociation phase was set to 60 s and dissociation phase to 120 s (parental) or up to 600 s (affinity optimized).
- the following conditions basically according to Drake et al., (2004) were used: Fab was applied in a single concentration of 200 nM; flow rate was set to 100 ⁇ l/min and dis- sociation phase to 6000 - 18.000 s.
- affinities for the Fabs were estimated, which are shown in table 4.
- Table 4 Affinities of anti-hGM-CSF Fabs determined by Biacore and solution equilibrium titration (SET)
- Example 5 Characterization of optimized anti-human GM-CSF Fabs that inhibit the interaction between GM-CSF and the GM-CSF receptor alpha chain A. GM-CSF receptor alpha binding assay
- the GM-CSF receptor binding assay was performed as described above (Example 3C) using 0.5 ⁇ g/ml (35nM) of biotinylated GM-CSF. Maximal binding of GM-CSF to CHO- GMRa#l l cells (0% inhibition) was measured by incubating cells at a final GM-CSF concentration of 0.5 ⁇ g/ml of biotinylated GM-CSF, without the addition of antibody. 100% inhibition of GM-CSF binding was measured by omitting GM-CSF from the assay. IC5 0 values were determined from the dose response curves obtained using GraphPad
- This assay qualitatively showed that the Fabs obtained from affinity maturation and X- cloning prevent GM-CSF from binding to the GM-CSF receptor alpha chain and therefore retained the blocking mechanism of their parental Fabs.
- the assay needed to be performed with a concentration of 35nM (0.5 ⁇ g/ml) biotinylated GM-CSF in order to obtain a significant signal in FACS. Therefore 17.5 nM Fab (or 8.75 nM IgG) is theoretically needed to block 50% of the GM-CSF, thus setting a limit for determination of IC 50 values.
- TF-I proliferation assay was performed as described in Example 3B. Fab with improved affinities and the parental Fabs as well as monoclonal reference IgGs were analyzed. IC 50 values were determined from the dose response curves obtained using GraphPad Prism v3.03 software applying a non-linear regression curve fit. Table 6 summarizes the ICs 0 values obtained in these assays.
- Table 6 IC 50 values of anti-hGM-CSF Fabs and control IgGs in TF-I proliferation assay
- IC 50 values in the TF-I proliferation assay were determined for the parental Fab MOR03682, its affinity matured derivatives MOR04283, MOR04297 and the x-cloned variant MOR04342. Table 7 summarizes the IC 50 values obtained in these assays.
- Table 7 IC 50 values of anti-hGM-CSF Fabs in TF-I proliferation assay
- variable domain fragments of the gene optimized heavy (VH) and light chains (VL) were subcloned from the pPCR-Script vectors (Example5a) into the the pMORPH ® 2_h_Ig vector series for human IgGl.
- Codon-optimized VH of MOR04357 was isolated from 055906pPCR-Script via NheVBlpl digestion and inserted into pMorph2_h_IgG If master vector cut with the same restriction enzymes. This vector already contained a human gamma 1 constant region.
- the resulting expression plasmid was termed pMorph2_h_IgGlf_MOR04357_co.
- Codon-optimized VL of MOR04357 was isolated from 055907pPCR-Script via NheVHpal digestion and inserted into pMorph2_h_Iglambda2 master vector cut with the same restriction enzymes. This vector already contained a human lambda constant region. The resulting expression plasmid was termed pM2_h_Iglambda2_MOR04357_co.
- Eukaryotic HKBI l cells were transfected with an equimolar amount of IgG heavy and light chain expression vector DNA.
- Cell culture supernatant was harvested from 3 to 7 days post transfection. After adjusting the pH of the supernatant to 8.0 and sterile filtration, the solution was subjected to standard protein A affinity chromatography (rProteinA FF or MabSelect SURE, GE Healthcare). Buffer exchange was performed to 1 x Dulbcecco's PBS (pH 7,2, Invitrogen) and samples were sterile filtered (0,2 ⁇ m).
- MOR04357 IgGl was dialysed against 1 x Dulbcecco's PBS (pH 6,5, Invitrogen). Purity of IgG was analysed under denaturing, reducing conditions in SDS-PAGE or by using Agilent BioAnalyzer and in native state by SE- HPLC.
- Affinity determination to rat GM-CSF was done essentially as described in Example 4D using rat-GM-CSF (Peprotech) as analyte in solution instead of human GM-CSF. Affinities were calculated according to Haenel et al (2005). The K D value for the MOR04357 IgGl against rat recombinant GM-CSF was determined to be 130 pM.
- Example 7 Characterization of MOR04357 IgGl derived from optimized anti-human GM-CSF Fabs
- TF-I proliferation assay was performed as described in Example 3B. MOR04357 was analyzed in IgGl format and as control monoclonal reference IgGs were analyzed. IC50 values were determined from the dose response curves obtained using GraphPad Prism v3.03 software applying a non-linear regression curve fit. Table 8 summarizes the IC 5 0 values obtained in these assays. Three different variants of GM-CSF were used in this assay: Firstly, recombinant human GM-CSF at a concentration of 0.25 ng/ml, produced in E.
- coli secondly, culture supernatant from HEK293 which have been transiently transfected with pcDNA-huGM-CSF (see Example 3A), containing recombinant human GM-CSF and thirdly, culture supernatant from HEK293 cells which have been transiently transfected with pcDNA-macGM-CSF (see Example 3A), containing recombinant macaca mulatto (rhesus) GM-CSF.
- TF-I proliferation assays the HEK293 culture supernatants were used as a source of the respective GM- CSF in such dilutions that TF-I cells showed a similar proliferation as compared to prolifera- tion given at the defined concentration of 0.25 ng/ml purified recombinant human GM-CSF produced in E. coli.
- Table 8 IC 50 values of MOR04357 IgG and control IgGs in TF-I proliferation assay IC 50 (pM) human human macaca
- Eosinophils express interleukin 5 and granulocyte macrophage-colony-stimulating factor mRNA at sites of allergic inflammation in asthmatics. J Clin Invest 90, 1414-1424.
- Granulocyte- macrophage colony stimulating factor induces both HLA-DR expression and cytokine production by human monocytes. Cytokine 2, 60-67.
- Granulocyte- macrophage colony-stimulating factor is a chemoattractant cytokine for human neutrophils: involvement of the ribosomal p70 S6 kinase signaling pathway. J Immunol 171, 6846-6855.
- GM-CSF granulocyte-macrophage colony-stimulating factor
- GM-CSF Granulocyte-macrophage colony- stimulating factor
- G-CSF granulocyte colony-stimulating factor
- DCs Dendritic cells
- RA rheumatoid arthritis
- progenitor cells and soluble factors contained in RA synovial fluid yield a subset of myeloid DCs that preferentially activate ThI inflammatory-type responses.
- Signal transduction by the high-affinity GM-CSF receptor two distinct cytoplasmic regions of the common beta subunit responsible for different signaling.
- GM-CSF regulates alveolar macrophage differentiation and innate immunity in the lung through PU. Immunity 75, 557-567.
- GM-CSF regulates pulmonary surfactant homeostasis and alveolar macrophage-mediated innate host defense.
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US11/914,599 US7867495B2 (en) | 2005-05-18 | 2006-05-17 | Anti-GM-CSF antibodies and uses therefor |
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AU2006249062A AU2006249062B2 (en) | 2005-05-18 | 2006-05-17 | Anti-GM-CSF antibodies and uses therefor |
SI200631880T SI1888643T1 (en) | 2005-05-18 | 2006-05-17 | Anti-gm-csf antibodies and uses therefor |
PL06742970T PL1888643T3 (en) | 2005-05-18 | 2006-05-17 | Anti-gm-csf antibodies and uses therefor |
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US12/923,363 US9751939B2 (en) | 2005-05-18 | 2010-09-16 | Anti-GM-CSF antibodies |
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US16/442,779 US11028165B2 (en) | 2005-05-18 | 2019-06-17 | Nucleic acid encoding anti-GM-CSF antibodies |
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