PD-1/PD-L1免疫检查点抗体药物制剂稳定性开发

近年来抗体药物在生物医药领域发展迅速。随着抗体疗法种类的不断增加和PD-1/PD-L1靶点蛋白结构的确证,临床上,越来越多针对PD-1/PD-L1免疫检查点的单克隆抗体药物被不断开发并应用于治疗死亡率高、治愈率低的多种癌症中。但是抗体药物制剂开发水平还需进一步提高,一方面同一靶点的抗体产品同质化严重,另一方面抗体药物的理化性质比小分子药物复杂,因此需要针对不同单克隆抗体的药物特性,筛选出适应于临床应用的稳定蛋白制剂处方。概括了不同抗体药物制剂处方成分(缓冲液成分、药物辅料)的作用,结合PD-1/PD-L1靶点介绍了抗体药物制剂稳定性开发的一般策略以及CDE相关的审评要点。     

全球PD-1/PD-L1单克隆抗体市场竞争格局

目的:从产品开发角度分析PD-1/PD-L1单克隆抗体的发展现状和未来趋势。方法:检索科睿唯安(Clarivate Analytics)的Cortellis数据库的数据,利用定量分析法和对比分析法对检索结果进行分析。结果:目前已有5种PD-1/PD-L1单克隆抗体上市、4种PD-1/PD-L1单克隆抗体处于预注册及6种PD-1/PD-L1单克隆抗体处于临床Ⅲ期,未来市场上的PD-1/PD-L1单克隆抗体将呈现快速增长趋势。此外,PD-1/PD-L1单克隆抗体的商业交易也越来越多,目前共发生包括药物开发及商业化许可、专利资产出售及早期药物研发合作等10余起交易,其中药物开发及商业化许可是最主要的交易模式。结论:虽然PD-1/PD-L1单克隆抗体市场尚处于起步阶段,但随着未来技术的不断发展改进,相信未来有更多的PD-1/PD-L1单克隆抗体上市,为癌症及其他疾病的治疗提供新的契机。     

PD-1/PD-L1抗体在肿瘤临床治疗中的应用

PD-1是主要表达在活化T细胞上的免疫抑制性受体,与表达在肿瘤细胞表面的配体PD-L1结合,通过降低T细胞的免疫应答,使肿瘤免疫逃逸。靶向PD-1/PD-L1这一信号通路的单克隆抗体类药物的研发是当前抗肿瘤治疗领域的研究热点。目前,已有多项临床研究提示,PD-1及PD-L1抗体药物治疗肿瘤的疗效显著且不良反应较小,有望改善部分晚期肿瘤患者的预后。     

PD-1/PD-L1信号通路及相关抗体在宫颈癌免疫治疗中的应用

程序性死亡蛋白1(PD-1)是T细胞上主要存在的一种抑制性受体,其与程序性死亡配体1(PD-L1)相互作用,可抑制T细胞增殖、活化和细胞因子的分泌。在肿瘤进展中,PD-1/PD-L1信号通路能够抑制T细胞的免疫反应而促进肿瘤免疫逃逸的发生。PD-1及PD-L1作为一种免疫应答的关键调控蛋白,与宫颈癌的发生发展及预后密切相关,PD-1及PD-L1抗体的深入研究将为治疗宫颈癌提供新的分子靶标。本文就PD-1/PD-L1生物学结构功能、在肿瘤的发生发展中的作用及其抗体在宫颈癌免疫治疗中的应用前景作一简要综述。     

程序性死亡配体PD-L1在肿瘤中调控机制的研究进展

肿瘤新发病例逐年增长，严重影响居民身体健康并带来了沉重的医疗负担。肿瘤免疫治疗近年来异军突起，目前肿瘤免疫治疗的主要思路是通过抑制剂或对应抗体来干扰PD-1/PD-L1轴，从而解除对T细胞免疫状态的抑制，发挥杀伤肿瘤细胞的功能，因此以PD-1/PD-L1为靶点的免疫调节对抗肿瘤有重要意义。PD-L1通常在各种恶性肿瘤中表达上调，最新证据表明存在多种潜在机制或信号通路调控PD-L1表达，基于此开发特异的小分子抑制剂在抑制关键致癌信号通路的同时，还能抑制PD-L1表达，从而实现免疫检查点抑制剂联合靶向药物疗法的突破，发挥协同抗肿瘤效应。本文就癌症中PD-L1在基因突变、表观遗传修饰、转录和翻译后修饰水平的调控机制展开论述，为进一步开展联合靶向疗法提供理论基础。     

PD-1及其配体在非小细胞肺癌中的研究现状与展望

摘要：肺癌是全球最常见肿瘤之一,其中非小细胞肺癌（NSCLC）约占肺癌的85%。目前肺癌的治疗手段仍然有限,并且晚期肺癌的预后较差,严重影响患者的生命健康。程序性死亡受体1（PD-1）及其配体程序性死亡配体1（PD-L1）属于CD28/B7家族的共刺激分子,可负性调控T细胞免疫功能,使肿瘤细胞免于机体免疫系统的监视和清除。以PD-1/PD-L1单抗为代表的免疫治疗成为继手术治疗、化疗、放疗、分子靶向治疗之后的新焦点,针对PD-1/PD-L1通路的靶向治疗药物纳武单抗（Nivolumab）、派姆单抗（Pembrolizumab）已被食品药品管理局（FDA）批准投入临床使用,且已被国家综合癌症网络（NCCN）推荐为转移性肺癌的一线治疗药物。本文就PD-1/PD-L1的生物学结构及其在NSCLC中的作用机制、靶向药物、研究现状及展望展开综述。     

不同检测策略在预测非小细胞肺癌的PD1/PD-L1抑制剂临床疗效中的应用

近10年来,程序性死亡因子1(programmed death-1,PD-1)及其配体(programmed death ligand-1,PD-L1)的抑制剂在非小细胞肺癌(non-small cell lung cancer,NSCLC)的临床治疗中取得了重大突破,有望改变晚期NSCLC的治疗方式。然而,PD-1/PD-L1抑制剂在对NSCLC的治疗中需要借助有效的生物标志物以寻找受益人群(约20%～40%)。目前,临床上主要的判断标准是PD-L1的表达水平。本文综述了近年来在NSCLC中,与预测PD-1/PD-L1抑制剂疗效的PD-L1表达相关的检测方法,包括免疫组化、基于DNA/RNA水平检测、可溶性PD-L1的检测、正电子发射断层显像(positron emission tomography,PET)技术、多重免疫组化技术、流式细胞术和液体活检技术等,着重探讨了不同检测策略在评价PD-L1表达上的最新进展及应用前景,从而推动其在NSCLC免疫治疗中的临床应用。     

免疫检查点程序性细胞死亡蛋白配体-1翻译后修饰及其在免疫治疗中的应用前景

免疫检查点程序性细胞死亡蛋白配体-1（programmed cell death 1 ligand 1,PD-L1）是一种主要表达于肿瘤细胞表面的免疫抑制性分子,其可与T淋巴细胞表面的程序性细胞死亡蛋白-1（programmed cell death protein 1,PD-1）结合,抑制T淋巴细胞的激活,发挥免疫抑制性功能。基于这一原理所开发的PD-1/PD-L1免疫阻断疗法,已在临床广泛应用于多种实体瘤的治疗,使诸多病人受益。与此同时,随着对PD-L1调控机制研究的深入,PD-L1的多种翻译后修饰形式陆续得到了鉴定,包括糖基化、磷酸化、泛素化和棕榈酰化等。研究表明,这些翻译后修饰过程可影响PD-L1的蛋白质稳定性与生理功能。因此,翻译后修饰成了PD-L1研究新的切入点。目前,PD-L1翻译后修饰靶向药物已在免疫治疗中展现出良好的应用前景。通过靶向PD-L1翻译后修饰过程,进而调控由PD-L1介导的肿瘤免疫逃逸,成了提高免疫治疗应答率的新思路和新策略。本文将对PD-L1翻译后修饰的研究进行系统总结,并陈述其在免疫治疗领域中的应用前景,希望为未来针对PD-L1翻译后修饰的研究提供理论支持。     

PD-L1表达调控通路-治疗肿瘤潜在的新途径

癌细胞表面能表达多种免疫抑制蛋白,程序性死亡分子受体1配体(programmed death ligand-1,PD-L1)是关键蛋白之一,可与免疫细胞(如T细胞、B细胞、树突状细胞和自然杀伤性T细胞)表面的程序性死亡受体-1(programmed death ligand,PD-1)结合,激活PD-1的免疫抑制作用,通过RAS/Raf/MEK/ERK、磷脂酶C-γ(phospholipase C-γ,PLC-γ)、磷脂酰肌醇-3-激酶-蛋白激酶B(PI3K-AKT)等通路下调机体免疫细胞功能,协助癌细胞进行免疫逃逸。故近年来应用免疫检查点PD-1、PD-L1抑制剂成为治疗恶性肿瘤的新手段。研究表明,PD-L1的表达受多种信号通路、相关蛋白和转录因子的调控,故本文就PD-L1的表达调控进行综述,寻求PD-L1表达调控通路能否作为抗肿瘤治疗新的靶点。     

抗猪PD-L1单克隆抗体的制备与其生物学特性鉴定

本研究旨在制备抗猪PD-L1单克隆抗体(monoclonal antibody,m Ab),有助于阻断猪PD-1/PD-L1通路逆转免疫功能。免疫原为猪PD-L1胞外区重组蛋白,雌性BALB/c鼠为免疫动物,用淋巴细胞杂交瘤技术将鼠骨髓瘤细胞NS0和免疫BALB/c鼠脾细胞融合,ELISA法筛选及多次克隆化培养,筛选抗猪PD-L1 mAb的杂交瘤细胞株。成功制备1株能稳定分泌抗猪PD-L1的mAb的杂交瘤细胞株3B5,Ig亚型为IgG1,细胞上清和腹水效价分别为1:1×2~(10)和1:1.024×10~5,ELISA和Western-blotting结果表明该株单抗能特异性识别猪重组PD-L1蛋白,流式细胞术结果表明该单抗可以与猪PBMC上PD-L1蛋白有效结合,成功制备了1株分泌抗猪PD-L1单克隆抗体的杂交瘤细胞株3B5,为检测猪PD-L1蛋白表达水平及猪PD-1通路在猪传染性疾病中的致病机制提供有力的检测工具。     

细胞色素P450 1A1和1B1靶向抗肿瘤前药研究进展

细胞色素P450（CYP）能催化各种内源性及外源性化合物的代谢,与多种肿瘤发生有关。其中CYP1A1参与多种前致癌物和致突变物的代谢活化,CYP1B1被认为在许多人癌细胞中特异性表达,参与药物的氧化代谢和前药的活化。CYP1A1和181已成为靶向抗肿瘤前药研究的新靶点。相继有大量相关研究报道,本文就近年来文献报道的CYP1A1和1B1靶向抗肿瘤前药研究进展。     

NPC1L1:固醇脂质吸收的关键蛋白质

NPC1L1是最近发现的一种与NPC1同源的蛋白质。在体内的分布有物种差异性,其亚细胞定位存在很大争议。近些年发现NPC1L1在固醇类脂质代谢途径中起着重要作用,是肠道吸收固醇类脂质尤其是胆固醇的关键蛋白质,这项新发现使得人们对固醇类脂质的吸收机制有了了解。高胆固醇血症是心血管系统疾病的一个高危因子,因此,对NPC1L1的研究具有重大的实际意义,正逐渐成为研究的热点。     

Association of SULT1A1 and UGT1A1 polymorphisms with breast cancer risk and phenotypes in Russian women

Estrogens are critical for breast cancer initiation and development. Sulfotransferase 1A1 (SULT1A1) and UDP-glucuronosyltransferase 1A1 (UGT1A1) conjugate and inactivate both estrogens and their metabolites, thus preventing estrogen-mediated mitosis and mutagenesis. SULT1A1 and UGT1A1 are both polymorphic, and different alleles encode functionally different allozymes. We hypothesize that low-activity alleles SULT1A1*2 and UGT1A1*28 are associated with higher risk for breast cancer and more severe breast tumor phenotypes. We performed a case-control study, which included 119 women of Russian ancestry with breast cancer and 121 age-matched Russian female controls. We used PCR followed by pyrosequencing to determine the SULT1A1 and UGT1A1 genotypes. Allele UGT1A1*28 was present at a higher frequency than the wild-type UGT1A1*1 allele in breast cancer patients as compared to controls (P = 0.002, OR = 1.79, CI 1.23–2.63). Consistently, the frequency of genotypes that contain allele UGT1A1*28 in the homozygous or the heterozygous state was greater in breast cancer patients as compared with the frequency of the wild-type UGT1A1*1/*1 genotype (P = 0.003, OR = 4.00, CI 1.49–11.11 and P = 0.014, OR = 2.04, CI 1.14–3.57, respectively). Individuals carrying allele UGT1A1*28 in the homo-or heterozygous state had larger breast tumors (>2 cm) as compared to the group with high-activity genotypes (P = 0.011, IR = 3.44, CI 1.42–8.36). No association was observed between any of the SULT1A1 genotypes and breast cancer risk or phenotypes. Our data suggest that UGT1A1, but not SULT1A1, genotypes are important for breast cancer risk and phenotype in Russian women. Published in Russian in Molekulyarnaya Biologiya, 2006, Vol. 40, No. 2, pp. 263–270. The article was translated by the authors.     

Isolation and Characterization of Ubiquitin-activating Enzyme E1-domain Containing 1, UBE1DC1

Ubiquitin and other ubiquitin-like proteins play important roles in post-translational modification. They are phylogenetically well-conserved in eukaryotes. Activated by other proteins, ubiquitin and ubiquitin-like proteins can covalently modify target proteins. The enzymes responsible for the activation of this modification have been known to include UBA1, SAE2, UBA3, SAE1 and ULA1. Here we report a new ubiquitin activating enzyme like cDNA, named ubiquitin activating enzyme E1-domain containing 1 (UBE1DC1), whose cDNA is 2654 base pairs in length and contains an open reading frame encoding 404 amino acids. The UBE1DC1 gene consists of 12 exons and is located at human chromosome 3q22. The result of RT-PCR showed that UBE1DC1 is expressed in most of human tissues. These two authors contributed equally to this paper. The nucleotide sequence reported in this paper has been submitted to GenBank under accession number AY253672.     

Upregulation of MAPKAPK5-AS1, PXN-AS1 and URB1-AS1 lncRNAs in non-functioning pituitary adenoma

Long non-coding RNAs (lncRNAs) have been shown to be dysregulated in a variety of malignant and non-malignant lesions including non-functioning pituitary adenomas (NFPAs). In the current experimental study, we have selected six lncRNAs, namely MAPKAPK5-AS1, NUTM2B-AS1, ST7-AS1, LIFR-AS1, PXN-AS1 and URB1-AS1 to assess their expression in a cohort of Iranian patients with NFPA. MAPKAPK5-AS1, PXN-AS1 and URB1-AS1 were shown to be over-expressed in NFPA tissues compared with control samples (Expression ratios (95% CI) = 10 (3.94–25.36), 11.22 (4.3–28.8) and 9.33 (4.12–21.12); p values < 0.0001, respectively). The depicted ROC curves showed the AUC values of 0.73, 0.80 and 0.73 for MAPKAPK5-AS1, PXN-AS1 and URB1-AS1, respectively. Relative expression level of PXN-AS1 was associated with tumour subtype (p value = 0.49). Besides, relative expression levels of MAPKAPK5-AS1 and LIFR-AS1 were associated with gender of patients (p values = 0.043 and 0.01, respectively). Cumulatively, the current study indicates the possible role of MAPKAPK5-AS1, PXN-AS1 and URB1-AS1 lncRNAs in the pathogenesis of NFPAs.     

Bmi1 cooperates with Dnmt1-associated protein 1 in gene silencing

Polycomb group (PcG) proteins are involved in gene silencing through chromatin modifications. Among polycomb repressive complexes (PRCs), PRC1 exhibits H2A-K119 ubiquitin E3 ligase activity. However, the molecular mechanisms underlying PRC1-mediated gene silencing remain largely obscure. In this study, we found that Bmi1 directly interacts with Dnmt-associated protein 1 (Dmap1), which has been characterized to associate with the maintenance DNA methyltransferase, Dnmt1. Bmi1 was demonstrated to form a ternary complex with Dmap1 and Dnmt1 with Dmap1 in the central position. Chromatin immunoprecipitations confirmed the ternary complex formation within the context of the PRC1 at the Bmi1 target loci. Loss of Dmap1 binding to the Bmi1 target loci was tightly associated with derepressed gene expression in Bmi1-/- cells. Dmap1 knockdown exhibited the same impact as Bmi1 knockout did on the expression of Bmi1 targets, including Hox genes. Collectively, our findings suggest that Bmi1 incorporates Dmap1 in polycomb gene silencing.     

Acid-dependent Interleukin-1 (IL-1) Cleavage Limits Available Pro-IL-1β for Caspase-1 Cleavage

Noncommunicable diseases such as cardiovascular disease (stroke and heart attack), cancer, chronic respiratory disease, and diabetes are a leading cause of death and disability worldwide and are worsened by inflammation. IL-1 is a driver of inflammation and implicated in many noncommunicable diseases. Acidosis is also a key feature of the inflammatory microenvironment; therefore it is vital to explore IL-1 signaling under acidic conditions. A HEK-IL-1 reporter assay and brain endothelial cell line were used to explore activity of mature IL-1α and IL-1β at pH 7.4 and pH 6.2, an acidic pH that can be reached under inflammatory or ischemic conditions, alongside cathepsin D-cleaved 20-kDa IL-1β produced under acidic conditions. We report that mature IL-1 signaling at IL-1 receptor type 1 (IL-1R1) is maintained at pH 6.2, but the activity of the decoy receptor, IL-1R2, is reduced. Additionally, cathepsin D-cleaved 20-kDa IL-1β was minimally active at IL-1R1 and was not further cleaved to highly active 17-kDa IL-1β. Therefore formation of the 20-kDa form of IL-1β may prevent the generation of mature bioactive IL-1β and thus may limit inflammation.