Abstract

The broadly neutralizing anti-HIV antibody, 10-1074, is a highly somatically hypermutated IgG1 being developed for prophylaxis in sub-Saharan Africa. A series of algorithms were applied to identify potentially destabilizing residues in the framework of the Fv region. Of 17 residues defined, a variant was identified encompassing 1 light and 3 heavy chain residues, with significantly increased conformational stability while maintaining full neutralization activity. Central to the stabilization was the replacement of the heavy chain residue T108 with R108 at the base of the CDR3 loop which allowed for the formation of a nascent salt bridge with heavy chain residue D137. Three additional mutations were necessary to confer increased conformational stability as evidenced by differential scanning fluorimetry and isothermal chemical unfolding. In addition, we observed increased stability during low pH incubation in which 40% of the parental monomer aggregated while the combinatorial variant showed no increase in aggregation. Incubation of the variant at 100 mg/mL for 6 weeks at 40°C showed a 9-fold decrease in subvisible particles ≥2 μm relative to the parental molecule. Stability-based designs have also translated to improved pharmacokinetics. Together, these data show that increasing conformational stability of the Fab can have profound effects on the manufacturability and long-term stability of a monoclonal antibody.

Highlights

  • With more than 30 years of the HIV epidemic, there is still no cure or an effective vaccine for HIV

  • Conformational stability was assessed by multiple measures including thermal ramping by differential scanning fluorimetry (DSF), chemical unfolding with GndHCl, and low pH incubation followed by neutralization (Supplemental Table 5)

  • While this mutation appears to be a major driving force in the conformational stability, the other 4 mutations provide complementary effects. Those effects were differentiated for each of the 5 mutations on the 3 conformational stability measures and the 2 “detrimental” species seen by High-performance size exclusion chromatography (HP-SEC) using analysis of variance (ANOVA) testing looking only at first-order effects

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Summary

Introduction

With more than 30 years of the HIV epidemic, there is still no cure or an effective vaccine for HIV. Multiple strategies have been adopted to help reduce the rate of transmission including educational campaigns promoting safer sexual practices, expanded HIV testing, male circumcision, and prescribing antiretroviral drugs for preexposure prophylaxis.[3,4,5] Of these strategies, preexposure prophylaxis using the combination drug, tenofovir disoproxil fumarate creativecommons.org/licenses/by/4.0/)

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