Unusual Water-mediated Antigenic Recognition of the Proinflammatory Cytokine Interleukin-18

The unique cytokine interleukin-18 (IL-18) acts synergistically with IL-12 to regulate T-helper 1 and 2 lymphocytes and, as such, seems to underlie the pathogenesis of various autoimmune and allergic diseases. Several anti-IL-18 agents are in clinical development, including the recombinant human antibody ABT-325, which is entering trials for autoimmune diseases. Given competing cytokine/receptor and cytokine/receptor decoy interactions, understanding the structural basis for recognition is critical for effective development of anti-cytokine therapies. Here we report three crystal structures: the murine antibody 125-2H Fab fragment bound to human IL-18, at 1.5 Å resolution; the 125-2H Fab (2.3 Å); and the ABT-325 Fab (1.5 Å). These structures, along with human/mouse IL-18 chimera binding data, allow us to make three key observations relevant to the biology and antigenic recognition of IL-18 and related cytokines. First, several IL-18 residues shift dramatically (>10 Å) upon binding 125-2H, compared with unbound IL-18 (Kato, Z., Jee, J., Shikano, H., Mishima, M., Ohki, I., Ohnishi, H., Li, A., Hashimoto, K., Matsukuma, E., Omoya, K., Yamamoto, Y., Yoneda, T., Hara, T., Kondo, N., and Shirakawa, M. (2003) Nat. Struct. Biol. 10, 966–971). IL-18 thus exhibits plasticity that may be common to its interactions with other receptors. Related cytokines may exhibit similar plasticity. Second, ABT-325 and 125-2H differ significantly in combining site character and architecture, thus explaining their ability to bind IL-18 simultaneously at distinct epitopes. These data allow us to define the likely ABT-325 epitope and thereby explain the distinct neutralizing mechanisms of both antibodies. Third, given the high 125-2H potency, 10 well ordered water molecules are trapped upon complex formation in a cavity between two IL-18 loops and all six 125-2H complementarity-determining regions. Thus, counterintuitively, tight and specific antibody binding may in some cases be water-mediated.Interleukin (IL)³ -18 is a proinflammatory cytokine that participates in the regulation of innate and acquired immunity (2, 3). IL-18 acts alone or in concert with IL-12 to amplify the induction of proinflammatory and cytotoxic mediators, such as interferon-γ. For example, in IL-18 knock-out mice, levels of interferon-γ and cytotoxic T cells decrease despite the presence of IL-12. Inhibition of IL-18 activity has been found to be beneficial in several autoimmune disease animal models (e.g. collagen-induced arthritis (4) and colitis (5)). Furthermore, IL-18 expression is dramatically increased by the chronic inflammatory state extant in human autoimmune diseases, such as rheumatoid arthritis (6), multiple sclerosis (7, 8), and Crohn''s disease (9). These observations suggest that blockade of IL-18 may be a useful human therapeutic modality (10).Despite functional divergence from the IL-1 cytokine family, IL-18 shares many similarities with IL-1. First, human IL-18 is synthesized as a biologically inactive 24-kDa precursor. Like IL-1β, IL-18 is activated and secreted following cleavage by caspase-1 (and possibly other proteases) that generates the mature 18-kDa polypeptide. Despite low sequence homology to IL-1β (17%), the three-dimensional structure of IL-18 closely resembles the IL-1β β-trefoil fold, as shown by a recent IL-18 NMR structure determination (1). The IL-1 and IL-18 receptors are also homologous; IL-18 binds either to the IL-18Rα chain alone or to the heterodimeric IL-18Rα/IL-18Rβ receptor complex. IL-18 binds to IL-18Rα with ∼20 nm affinity, but signaling occurs only upon formation of the high affinity (0.2 nm) IL-18Rα·IL-18·IL-18Rβ ternary complex (11, 12). Surface mutational analysis has identified two sites for IL-18 binding to IL-18Rα that are similar to those observed in the IL-1β·IL-1Rα binary complex (13) as well as one site important for binding to IL-18Rβ (1).In a recent study, a potent (0.2 nm) IL-18-neutralizing murine monoclonal antibody (mAb), 125-2H, inhibited binding of IL-18 to IL-18Rα alone but not the heterodimeric IL-18Rα/IL-18Rβ receptor complex, despite rendering the ternary complex with IL-18 non-functional (14). The structural basis for the unusual properties of 125-2H are unclear; the authors suggested that conformational changes in IL-18Rα occur upon formation of the IL-18Rα/IL-18Rβ receptor, thereby altering the interactions with 125-2H (14).To understand the intricate interactions between IL-18 and this antibody, we have determined the co-crystal structure of human IL-18 and the 125-2H antigen-binding fragment (Fab) at 1.5 Å resolution. This structure rationalizes epitope mapping data, based on human/murine IL-18 chimeras (14), in which the primary antigenic recognition loop is located near the COOH terminus. A secondary loop bolsters the interactions between IL-18 and several 125-2H complementarity-determining regions (CDRs). Comparison of this complex structure with that of the unbound 125-2H Fab (2.3 Å resolution) shows that 125-2H is preorganized for antigen binding. Last, we also have determined the 1.5 Å resolution crystal structure of the Fab fragment of a fully human mAb, ABT-325, that binds a distinct IL-18 epitope, as confirmed by biochemical studies. ABT-325 is entering clinical trials for a variety of autoimmune disease indications.