抗体药物的发展与应用

早期抗体药物是鼠源单克隆抗体,存在免疫原性强、半衰期短等问题。历经数十年的发展,抗体药物从最初的鼠源单抗,逐步发展为人鼠嵌合抗体、人源化抗体及全人源化抗体。通过片段重组、位点修饰、药物偶联等方法,科研人员研发了包括抗体融合蛋白、抗体偶联药物、双特异性抗体、小分子抗体片段等形式多样的抗体药物。抗体药物在恶性肿瘤、自身免疫病、感染性疾病的治疗上发挥重要作用。通过对抗体药物人源化历程,不同类型的抗体结构和特点,以及抗体药物在新型冠状病毒肺炎治疗中的应用进行综述,并对抗体药物的发展前景进行展望,以期为我国抗体药物的研发提供参考。     

重组完整抗体研究进展

重组分子抗体是一类潜在的治疗用药物,约占目前进入临床试验的生物制品类药物的三分之一,FDA批准上市的抗体药物有近十种,其中多数为重组的完整人源抗体（包括人鼠嵌合抗体和人源化抗体）,本对基因工程完整抗体的有关实验研究进行了综述。     

治疗性单克隆抗体研究进展

杂交瘤技术使鼠源单克隆抗体（鼠单抗）被广泛用于人类疾病的诊断和研究,建立了治疗性抗体的第一个里程碑。但随后出现的人抗鼠抗体等副作用极大地限制了鼠单抗的临床应用。随着生物学技术的发展和抗体基因结构的阐明,应用DNA重组技术和抗体库技术对鼠单抗进行人源化改造,先后出现了嵌合抗体、改型抗体和全人抗体,同时也涌现了各种单抗衍生物,它们从不同角度克服了鼠单抗临床应用的不足,未人类疾病治疗带来新的曙光。我们就上述治疗性抗体人源化的研究进展做简要综述。     

重组抗体药物的研究进展

重组抗体药物发展历程为:鼠源单克隆抗体——人—鼠嵌合抗体——人源化抗体——全人抗体。抗体药物基因工程改造遵循了降低抗体的免疫原性以及保持和提高抗体的亲和力这两个原则。本文就当前重组抗体药物的主要问题、基本情况以及解决办法加以阐述。     

走向实用化的低分子化抗体药物——最大优势是成本低而且有利于获得激动剂活性

通过基因重组技术，利用小鼠免疫球蛋白（IgG）的片段代替人体免疫球蛋白的嵌合抗体开创了抗体药物走向实用化的进程。为降低对人体的抗原性，抗体药物不断发展，出现了以与抗原结合的最低限度必要部分以外的部分来代替人体IgG的人源化抗体，以及利用产生人体IgG的转基因动物制成的完全人源抗体等。     

表达人单克隆和多克隆抗体的转染色体动物

由于鼠单克隆抗体的免疫原性而需将它人源化。抗体人源化的过程已由人鼠嵌合抗体发展到了转基因动物表达完全人抗体阶段,建立表达完全人抗体的技术有两种：转基因和转染色体。该介绍了建立转染色体动物的原因、构建技术特点、动物种类及人单克隆抗体和人多克隆抗体的应用意义。     

人源化抗体制备及其应用研究进展

伴随着一系列重大生物技术(如PCR技术、抗体库技术、转基因动物技术等)的发展,抗体技术从最初的嵌合抗体、改型抗体逐渐发展为今天的人源化抗体。人源化抗体在治疗肿瘤、自身免疫性疾病和器官移植等方面已经显示出独特的优势和良好的应用前景。介绍了人源化抗体的构建及其表达系统,并对其临床应用进行了展望。     

嵌合抗体轻链基因在家蚕细胞中的重组与表达

用家蚕修饰型核多角体病毒为载体,在家蚕细胞获得人鼠嵌合的抗人小细胞肺癌抗体轻链基因的表达。ＰＣＲ和Ｓｏｕｔｈｅｒｎ杂交证明了抗体轻链基因已组建家蚕病毒基因组中。Ｗｅｓｔｅｒｎ ｂｌｏｔ和ＥＬＩＳＡ和分析都检测到在重组病毒感染的家蚕细胞中产生了人鼠嵌合的抗体轻链。     

抗人P185^erbB2嵌合抗体的CHO细胞中的高效表达及其活性分析

为降低人抗鼠抗体（HAMA）反应并在CHO细胞中高效表达抗人P185^erbB2人／鼠嵌合抗体,将抗人P185^erbB2单抗C25的轻、重链可变区基因分别克隆入具有人抗体恒定区基因组序列和弱化启动子驱地劝的选择标志基因的真核表达载体中,共转染CHO－dhfr^-细胞,经G418及氨甲喋呤（MTX）梯度加压筛选进行了嵌合抗体的高效表达,采用RT－PCR、ELISA、细胞ELISA、免疫荧光细胞化等实验证实了所表达的抗人P185^erbB2嵌合抗体的人源性及抗原特异性。培养上清中的抗体产量可达100mg/L,所表达的嵌合抗体具有抑制P185^erbB2高表达肿瘤细胞增殖的作用。     

抗乙肝病毒表面抗原嵌合抗体基因在昆虫细胞中的表达

应用杆状病毒表达系统在昆虫细胞中表达了抗乙肝病毒表面抗原（ＨＢｓＡｇ）人－鼠嵌合抗体重,轻链基因,鼠源单克隆抗体ＯＨ３重,轻链可变区（ＶＨ,ＶＬ）ｃＤＮＡ分别与人免疫球蛋白恒区γ３,ｋ,ｃＤＮＡ拼接成人－鼠嵌合抗体基因,含嵌合抗体的转移载体与线性化病毒ＤＮＡ共转染Ｓｆ９细胞,并通过点杂交ＰＣＲ扩增和Ｓｏｕｔｈｅｒｎｂｌｏｔ分析获得重组病毒。Ｗｅｓｔｅｒｎｂｌｏｔ和竞争ＥＬＩＳＡ表明以重组病毒感染的     

鼠单克隆抗体人源化

鼠源性单克隆抗体应用于临床由于HAMA反应的存在而受到阻碍。以CDR移植为核心,以同源分析及分子模建为辅助设计的人源化方案已成为克服HAMA反应的主要手段。本文结合单抗人源化的最新进展对该领域的工作作一综述。     

VH-VL orientation prediction for antibody humanization candidate selection: A case study

Antibody humanization describes the procedure of grafting a non-human antibody's complementarity-determining regions, i.e., the variable loop regions that mediate specific interactions with the antigen, onto a β-sheet framework that is representative of the human variable region germline repertoire, thus reducing the number of potentially antigenic epitopes that might trigger an anti-antibody response. The selection criterion for the so-called acceptor frameworks (one for the heavy and one for the light chain variable region) is traditionally based on sequence similarity. Here, we propose a novel approach that selects acceptor frameworks such that the relative orientation of the 2 variable domains in 3D space, and thereby the geometry of the antigen-binding site, is conserved throughout the process of humanization. The methodology relies on a machine learning-based predictor of antibody variable domain orientation that has recently been shown to improve the quality of antibody homology models. Using data from 3 humanization campaigns, we demonstrate that preselecting humanization variants based on the predicted difference in variable domain orientation with regard to the original antibody leads to subsets of variants with a significant improvement in binding affinity.     

鼠抗人纤维蛋白抗体单链Fv片段的人源化分子设计

产生免疫原性的残基都是位于蛋白表面的暴露残基,为了消除鼠抗体对人的免疫原性,利用表面再塑方法对本室克隆的鼠抗人纤维蛋白抗体单链Fv片断进行了人源化分子设计。首先确定了鼠及人Fv表面残基,在此基础上分析了鼠与人Fv间表面残基的差异,将有差异的鼠表面残基换成人的。提出了残基最高频率人源化及最相似链人源化两种人源化方案。人源化后鼠抗人纤维蛋白抗体单链Fv的结构经Profile-3D验证是合理的,置换的表面残基溶液可及性未变,且未影响CDRs的结构,应不会影响与纤维蛋白的亲和力,为鼠抗体人源化实验研究奠定了基础。     

Cloning and Expression of a Novel Murine Anti-human Fas Antibody

Agonistic anti-human Fas antibodies that can induce apoptosis are thought to have therapeutic effects for various diseases resulting from an abnormality of the Fas/FasL system. However, some anti-Fas antibodies show toxicity, and it is difficult to investigate their therapeutic and toxicological effect using animals because of their species specificity. We previously obtained a murine anti-human Fas mAb, HFE7A. HFE7A reacted with both human and murine Fas, and mitigated lymphadenopathy without any sign of hepatotoxicity in MRLgld/gld mice. It is suggested that humanized HFE7A would be a therapeutic treatment for various diseases resulting from an abnormality of the Fas/FasL system. Here we isolated the cDNAs that code for the heavy and light chains of HFE7A and identified the corresponding nucleotide sequences. The recombinant HFE7A was indistinguishable in binding and apoptosis-inducing activity to that from a hybridoma cell line. These data provide essential information for the humanization and clinical application of the humanized HFE7A.     

鼠抗人纤维蛋白抗体单链Fv片段的人源化分子设计

产生免疫原性的残基主要是位于蛋白表面的暴露残基,为了消除鼠抗体对人的免疫原性,利用表面再塑的方法对本室克隆的鼠抗人纤维蛋白抗体单链Ｆｖ片段进行了人源化分子设计．首先确定了鼠及人Ｆｖ片段的表面残基,在此基础上分析了鼠与人抗体Ｆｖ片段表面残基的差异,将存在差异的鼠抗体的表面残基换成人的,从而实现鼠抗体的人源化．提出了残基最高频率人源化及最相似链人源化两种分子设计方案．人源化的鼠抗人纤维蛋白抗体单链Ｆｖ片段的结构经Ｐｒｏｆｉｌｅｓ－３Ｄ检测证明合理,替换的表面残基的溶剂可及性未变,而且未对ＣＤＲｓ的空间构象产生明显影响,应不会影响与纤维蛋白的亲和力,为鼠抗体人源化实验研究奠定了基础．     

Generation of a high-fidelity antibody against nerve growth factor using library scanning mutagenesis and validation with structures of the initial and optimized Fab-antigen complexes

Nerve growth factor (NGF) is indispensable during normal embryonic development and critical for the amplification of pain signals in adults. Intervention in NGF signaling holds promise for the alleviation of pain resulting from human diseases such as osteoarthritis, cancer and chronic lower back disorders. We developed a fast, high-fidelity method to convert a hybridoma-derived NGF-targeted mouse antibody into a clinical candidate. This method, termed Library Scanning Mutagenesis (LSM), resulted in the ultra-high affinity antibody tanezumab, a first-in-class anti-hyperalgesic specific for an NGF epitope. Functional and structural comparisons between tanezumab and the mouse 911 precursor antibody using neurotrophin-specific cell survival assays and X-ray crystal structures of both Fab-antigen complexes illustrated high fidelity retention of the NGF epitope. These results suggest the potential for wide applicability of the LSM method for optimization of well-characterized antibodies during humanization.     

Generation of a high-fidelity antibody against nerve growth factor using library scanning mutagenesis and validation with structures of the initial and optimized Fab-antigen complexes

Nerve growth factor (NGF) is indispensable during normal embryonic development and critical for the amplification of pain signals in adults. Intervention in NGF signaling holds promise for the alleviation of pain resulting from human diseases such as osteoarthritis, cancer and chronic lower back disorders. We developed a fast, high-fidelity method to convert a hybridoma-derived NGF-targeted mouse antibody into a clinical candidate. This method, termed Library Scanning Mutagenesis (LSM), resulted in the ultra-high affinity antibody tanezumab, a first-in-class anti-hyperalgesic specific for an NGF epitope. Functional and structural comparisons between tanezumab and the mouse 911 precursor antibody using neurotrophin-specific cell survival assays and X-ray crystal structures of both Fab-antigen complexes illustrated high fidelity retention of the NGF epitope. These results suggest the potential for wide applicability of the LSM method for optimization of well-characterized antibodies during humanization.     

血管内皮生长因子特异性鼠源单链抗体的人源化

以抗体阻断血管生成信号来治疗实体肿瘤显示了很好的前景,但鼠源抗体首先必须经人源化改造以降低其免疫原性才能应用于人体。本研究以同源模建预测了一体人血管内皮生长因子（VEGF）特异性鼠源单链抗体E11的三维结构,以结构数据为基础并采取单个最相似框架区替代法对其进行人源化设计;合成并组装了人源化单链抗体基因并在大肠杆菌中表达,包含体形式的产物以凝胶柱色谱法复性,经ELISA检测表明,人源化后的单链抗体保持了与天然VEGF结合的活性,表明采取的人源化路线具有可行性。