Abstract

Despite the reasonably long half-life of immunoglogulin G (IgGs), market pressure for higher patient convenience while conserving efficacy continues to drive IgG half-life improvement. IgG half-life is dependent on the neonatal Fc receptor (FcRn), which among other functions, protects IgG from catabolism. FcRn binds the Fc domain of IgG at an acidic pH ensuring that endocytosed IgG will not be degraded in lysosomal compartments and will then be released into the bloodstream. Consistent with this mechanism of action, several Fc-engineered IgG with increased FcRn affinity and conserved pH dependency were designed and resulted in longer half-life in vivo in human FcRn-transgenic mice (hFcRn), cynomolgus monkeys, and recently in healthy humans. These IgG variants were usually obtained by in silico approaches or directed mutagenesis in the FcRn-binding site. Using random mutagenesis, combined with a pH-dependent phage display selection process, we isolated IgG variants with improved FcRn-binding, which exhibited longer in vivo half-life in hFcRn mice. Interestingly, many mutations enhancing Fc/FcRn interaction were located at a distance from the FcRn-binding site validating our random molecular approach. Directed mutagenesis was then applied to generate new variants to further characterize our IgG variants and the effect of the mutations selected. Since these mutations are distributed over the whole Fc sequence, binding to other Fc effectors, such as complement C1q and FcγRs, was dramatically modified, even by mutations distant from these effectors’ binding sites. Hence, we obtained numerous IgG variants with increased FcRn-binding and different binding patterns to other Fc effectors, including variants without any effector function, providing distinct “fit-for-purpose” Fc molecules. We therefore provide evidence that half-life and effector functions should be optimized simultaneously as mutations can have unexpected effects on all Fc receptors that are critical for IgG therapeutic efficacy.

Highlights

  • Therapeutic monoclonal antibodies have proven successful in the clinic and are in widespread use for the treatment of a variety of diseases including cancer, autoimmune, and infectious diseases

  • More favorable clinical responses were observed in patients homozygous for the higher-affinity allele of FcγRIIIA (V158) in various disorders: with the anti-CD20 rituximab in non-Hodgkin lymphomas [29], in immune thrombocytopenia [30], and in rheumatoid arthritis [31], with the anti-HER2 trastuzumab in metastatic breast cancer [32], with the anti-EGFR cetuximab in metastatic colorectal cancer [33], and with the anti-TNFα infliximab in Crohn’s disease [34]. These findings suggest a crucial role for FcγRIIIA in the in vivo activity of therapeutic monoclonal antibody (mAb) because the V158 polymorphic variant displays a higher affinity for IgG1 and increased antibody-dependent cellular cytotoxicity (ADCC)

  • neonatal Fc receptor (FcRn) binding and washing steps were performed at pH 6.0 whereas bound Fc-phages were eluted at pH 7.4 to preserve Fc/FcRn interaction pH dependency, which is crucial for its physiological role

Read more

Summary

Introduction

Therapeutic monoclonal antibodies (mAbs) have proven successful in the clinic and are in widespread use for the treatment of a variety of diseases including cancer, autoimmune, and infectious diseases. Due to the same mechanism, FcRn is involved in IgG transport across placental, fetomaternal, and polarized cellular barriers [2, 3]. This property has been successfully exploited for pulmonary delivery and intranasal immunization with Fc-fusion proteins [4, 5]. FcRn was shown to enable transepithelial transport of Fc-targeted nanoparticles delivered orally in mice. This innovative study paves the way for potential oral administration to treat chronic diseases [6].

Methods
Results
Conclusion

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call

Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.