Humanized complement 5A receptor 1 antibodies and methods of use thereof
Inventors
Viswanathan, Karthik • Booth, Brian • Ramakrishnan, Boopathy • Wollacott, Andrew • Babcock, Gregory • Shriver, Zachary • Olinski, Lauren
Assignees
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Abstract
The present disclosure provides, among other things, two different formats of humanized antibodies against human complement component 5a receptor I. The disclosure also provides a method of treating a subject having dysfunctions of C5a/C5aR1 axis pathway, including but not limited to ANCA-associated vasculitis, comprising administering to the subject in need thereof a an effective amount of antibody or a nucleic encoding an antibodies binding to C5aR1 described herein, and wherein administering results in a decrease in symptoms associated with C5a/C5aR1 associated dysfunction in the subject.
Core Innovation
The invention relates to humanized C5aR1 antagonist antibodies and antigen binding fragments that bind complement component 5a receptor 1 (C5aR1) and are used for treating C5a/C5aR1 mediated autoimmune disease. The disclosure also describes thermal-stability engineering of monospecific or biparatopic C5aR1 antibodies, including cysteine residue substitutions to increase thermal stability (Tm), and construction of biparatopic and crosslinked bispecific antibody formats comprising Site I and Site II binding domains.
The antibodies are defined by specific heavy chain variable region (VH) and light chain variable region (VL) structures, including three heavy chain complementarity determining regions (HCDRs) and three light chain complementarity determining regions (LCDRs) with SEQ ID NOs provided for the HCDRs and LCDRs. The disclosure further describes Fc-domain engineering to prevent Fab arm exchange and to reduce effector functions, including IgG4 Fc mutations such as S228P and additional Fc-silencing substitutions.
The antibodies are characterized by increased specificity, including low cross-reactivity to C5aR2 and other GPCRs, and are reported to have high binding affinity to C5aR1. Functional characterization includes inhibition of C5aR1 signaling and cellular responses, including inhibition of neutrophil chemotaxis, G and calcium signaling, CD11b expression, β-arrestin signaling, and ROS production.
Claims Coverage
The independent claim centers on treating a C5a/C5aR1 mediated autoimmune disease using a C5aR1-binding antibody or antigen binding fragment with specified VH and VL CDR SEQ ID NOs. Dependent and related features add signaling inhibition, disease selection, and Fc domain isotype selection, yielding multiple inventive-feature combinations built around the same C5aR1-binding antibody architecture.
C5a/C5aR1 autoimmune disease treatment via C5aR1-binding antibody with specified VH/VL CDR sequences
A method of treating a C5a/C5aR1 mediated autoimmune disease by administering an antibody or antigen binding fragment that binds C5aR1, where the antibody comprises a heavy chain variable region (VH) and a light chain variable region (VL) with HCDRs and LCDRs specified by SEQ ID NOs.
Inhibiting β-arrestin signaling by the C5aR1-binding antibody
The method further comprises using an antibody that binds C5aR1 and inhibits β-arrestin signaling.
Inhibiting C5a-mediated G signaling by the C5aR1-binding antibody
The method further comprises using an antibody that binds C5aR1 and inhibits C5a-mediated G signaling.
Treating ANCA vasculitis or lupus as the C5a/C5aR1 mediated autoimmune disease
The method further is limited to treating the disease when it is anti-neutrophilic cytoplasmic antibody vasculitis (ANCA vasculitis) or lupus.
Treating stroke as the C5a/C5aR1 mediated autoimmune disease
The method further is used to treat a disease that is stroke.
Selecting the antibody Fc domain isotype
The method is carried out using an antibody whose Fc domain is selected from IgG1, IgG2, or IgG4.
Claim coverage centers on administering a C5aR1-binding antibody or antigen binding fragment defined by particular VH and VL CDR SEQ ID NOs, with dependent claim refinements directed to downstream signaling inhibition, specific disease indications, and selection of an Fc domain isotype.
Stated Advantages
Increased specificity including low cross-reactivity to C5aR2 and other GPCRs.
High binding affinity to C5aR1.
Inhibition of C5aR1 signaling including neutrophil chemotaxis, G and calcium signaling, CD11b expression, β-arrestin signaling, and ROS production.
Reduced Fc effector functions (ADCC, ADCP, CDC) while retaining FcRn binding.
Increased thermal stability (Tm).
Prevention of Fab arm exchange.
Reduced effector functions mediated by FcγRs and support for Fc-silenced antibodies in the C5aR1 antagonist context.
Documented Applications
Therapeutic treatment of C5a/C5aR1 mediated autoimmune diseases, including ANCA-associated vasculitis and lupus.
Therapeutic treatment of stroke.
Preclinical evaluation using relevant disease or model settings.
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