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For this ready reference, the internationally renowned authority in the field, Roland Kontermann, has assembled a team of outstanding contributors from industry and academia to convey the worldwide knowledge on modifying therapeutic proteins in order to optimize their pharmacological potential. The result is a comprehensive work covering all approaches and aspects of the topic in one handy volume, making this indispensable reading for companies and research institutions working on the development of biopharmaceuticals.
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Veröffentlichungsjahr: 2012
Table of Contents
Cover
Related Titles
Title page
Copyright page
Preface
List of Contributors
Part One: General Information
1 Half-Life Modulating Strategies – An Introduction
1.1 Therapeutic Proteins
1.2 Renal Clearance and FcRn-Mediated Recycling
1.3 Strategies to Modulate Plasma Half-Life
1.4 Half-Life Extension Strategies Applied to a Bispecific Single-Chain Diabody – A Case Study
1.5 Conclusion
2 Pharmacokinetics and Half-Life of Protein Therapeutics
2.1 Introduction
2.2 Basic Principles of Pharmacokinetics
2.3 Pharmacokinetics of Protein Therapeutics
2.4 Summary and Conclusions
Part Two: Half-Life Extension through Chemical and Post-translational Modifications
3 Half-Life Extension through PEGylation
3.1 Introduction
3.2 Preparation and Physico-Chemical Characterization of PEGylated Proteins
3.3 Pharmacokinetic (PK) Behavior of PEGylated Proteins
3.4 Safety of PEGylated Proteins
3.5 Conclusions
4 Half-Life Extension of Therapeutic Proteins via Genetic Fusion to Recombinant PEG Mimetics
4.1 Introduction
4.2 Mechanisms to Retard Kidney Filtration Using Conjugates of Drugs with Polymers
4.3 Naturally Occurring Repetitive Amino Acid Sequences
4.4 Gelatin-Like Protein Polymers
4.5 Elastin-Like Polypeptides
4.6 Polyanionic Polymers
4.7 Genetic Polymers™
4.8 XTEN Polypeptides
4.9 Glycine-Rich Homo-Amino-Acid Polymers
4.10 PASylation® Technology
4.11 Conclusions and Outlook
5 Half-Life Extension through O-Glycosylation
5.1 Introduction
5.2 The Role of O-Linked Oligosaccharide Chains in Glycoprotein Function
5.3 Designing Long-Acting Agonists of Glycoprotein Hormones
5.4 Conclusions and Summary
6 Polysialic Acid and Polysialylation to Modulate Antibody Pharmacokinetics
6.1 Introduction
6.2 Polysialic Acid in Nature
6.3 PSA Biosynthesis and Biodegradation
6.4 Pharmacological Effects of PSA
6.5 PSA Conjugation: Polysialylation for Therapeutic Applications
6.6 Summary
7 Half-Life Extension through HESylation®
7.1 Introduction
7.2 Hydroxyethyl Starch (HES)
7.3 Clinical Use of HES
7.4 HES Metabolism and Toxicology
7.5 HESylation® – Conjugation of Hydroxyethyl Starch to Drug Substances
7.6 HES–Protein Conjugates – Two Case Studies
7.7 Summary and Conclusion
Part Three: Half-Life Modulation Involving Recycling by the Neonatal Fc Receptor
8 The Biology of the Neonatal Fc Receptor (FcRn)
8.1 Homeostasis of Albumin and Immunoglobulin
8.2 Neonatal Fc Receptor Biochemistry
8.3 FcRn Function: Recycling
8.4 FcRn Function: Transport
8.5 FcRn Function: Mucosal Immune
8.6 Therapeutic Implications of FcRn
8.7 Conclusions
9 Half-Life Extension by Fusion to the Fc Region
9.1 Introduction
9.2 Immunoglobulin G
9.3 Strategies to Increase Cytokine Serum Stability and Half-Life
9.4 Methods to Construct Fc-Fusion Dimeric Proteins
9.5 Choice of Host for Expression
9.6 Purification of Fc Fusion Proteins
9.7 Demonstration of Biological Activity in Fc Constructs In Vitro and In Vivo
9.8 Pharmacokinetics
9.9 Applications of Fc Fusion Proteins
9.10 Immunogenicity
9.11 Conclusion
10 Monomeric Fc Fusion Technology: An Approach to Create Long-Lasting Clotting Factors
10.1 Introduction
10.2 Neonatal Fc Receptor and Interaction with Immunoglobulin G
10.3 Traditional Fc Fusion Proteins
10.4 Monomeric Fc Fusion Proteins Show Improved Biologic Properties
10.5 Summary
Acknowledgments
11 The Diverse Roles of FcRn: Implications for Antibody Engineering
11.1 Introduction
11.2 FcRn: Early Characterization and Diverse Expression Patterns
11.3 The Molecular Details of FcRn–IgG Interactions
11.4 FcRn Is Expressed Ubiquitously throughout the Body Where It Serves Multiple Functions
11.5 The Cell Biology of FcRn and Its Intracellular Transport of IgG
11.6 The Molecular Determinants of FcRn Trafficking
11.7 Engineering IgG–FcRn Interactions
11.8 Inhibitors of FcRn Function
11.9 Engineering Mice with Altered FcRn Function
11.10 Concluding Remarks
Acknowledgments
12 Half-Life Extension by Fusion to Recombinant Albumin
12.1 Introduction
12.2 Recombinant Albumin Fusion Proteins
12.3 Albumin Fusion to Complex Proteins
12.4 Recombinant Albumin Fusion Technology
12.5 Technological Advantages and Challenges
12.6 Pharmacokinetics of Recombinant Albumin Fusion Proteins
12.7 Preclinical Efficacy
12.8 Clinical Efficacy
12.9 Future Perspectives
12.10 Conclusion
Acknowledgments
13 AlbudAb™ Technology Platform – Versatile Albumin Binding Domains for the Development of Therapeutics with Tunable Half-Lives
13.1 Introduction
13.2 The Domain Antibody
13.3 Key Considerations for AlbudAb™-Based Molecules
13.4 Challenges of Albumin as a Target
13.5 Interactions of Albumin with AlbudAbs™
13.6 Bio-Analytical Characterization of AlbudAb™ Leads
13.7 Production of AlbudAb™ Fusions
13.8 Purification of AlbudAbs™
13.9 Biodistribution of AlbudAbs™
13.10 Summary and Conclusion
14 Half-Life Extension by Binding to Albumin through an Albumin Binding Domain
14.1 Introduction
14.2 Albumin Binding Domains and Engineered Derivatives
14.3 Albumin Binding Domains and Half-Life Extension In Vivo
14.4 Albumin Binding Domains and Immunogenicity
14.5 Bispecific Albumin Binding Domains for Novel Target Binding and Long Half-Life
14.6 Conclusion
Acknowledgments
15 Half-Life Extension by Binding to Albumin through Small Molecules
15.1 Albumin and Albumin Binders
15.2 Albumin-Binding Insulin Derivatives
15.3 “Albu” Tagging Technology
15.4 Concluding Remarks
Part Four: Half-Life Extension with Pharmaceutical Formulations
16 Half-Life Extension with Pharmaceutical Formulations: Liposomes
16.1 Rationale
16.2 Prospects of Liposomes as Drug Carriers and Their Pharmacokinetic Properties
16.3 Entrapment of Therapeutically Relevant Proteins in PEGylated Liposomes
16.4 Noncovalent Complex Formation of Proteins and PEGylated Liposomes
16.5 Conclusions
17 Half-Life Extension with Pharmaceutical Formulations: Nanoparticles by the Miniemulsion Process
17.1 Introduction
17.2 Polymeric Nanoparticles
17.3 Particles Obtained by Radical Polymerization and Their Functionalization
17.4 Other Polyreactions in Miniemulsion
17.5 Formation of Nanocapsules and Their Functionalization
17.6 Encapsulation of Markers and Detection of Nanoparticles in Biological Systems
17.7 Release of Materials
17.8 Conclusion
Acknowledgment
Index
Related Titles
Wang, W., Roberts, C. J. (eds.)
Aggregation of Therapeutic Proteins
2010
ISBN: 978-0-470-41196-4
Dübel, S. (ed.)
Handbook of Therapeutic Antibodies
Technologies, Emerging Developments and Approved Therapeutics
2010
ISBN: 978-3-527-32902-1
Jorgenson, L., Nielson, H. M. (eds.)
Delivery Technologies for Biopharmaceuticals
Peptides, Proteins, Nucleic Acids and Vaccines
2010
ISBN: 978-0-470-72338-8
An, Z. (ed.)
Therapeutic Monoclonal Antibodies
From Bench to Clinic
2009
ISBN: 978-0-470-11791-0
Jensen, K. (ed.)
Peptide and Protein Design for Biopharmaceutical Applications
2009
ISBN: 978-0-470-31961-1
Walsh, G. (ed.)
Post-translational Modification of Protein Biopharmaceuticals
2009
ISBN: 978-3-527-32074-5
Behme, S.
Manufacturing of Pharmaceutical Proteins
From Technology to Economy
2009
ISBN: 978-3-527-32444-6
The Editor
Prof. Dr. Roland Kontermann
University of Stuttgart
Institute of Cell Biology and Immunology
Allmandring 31
70569 Stuttgart
Germany
Cover Syringe: Corbis Images
Limit of Liability/Disclaimer of Warranty: While the publisher and author have used their best efforts in preparing this book, they make no representations or warranties with respect to the accuracy or completeness of the contents of this book and specifically disclaim any implied warranties of merchantability or fitness for a particular purpose. No warranty can be created or extended by sales representatives or written sales materials. The Advice and strategies contained herein may not be suitable for your situation. You should consult with a professional where appropriate. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.
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© 2012 Wiley-VCH Verlag & Co. KGaA, Boschstr. 12, 69469 Weinheim, Germany
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Preface
At the end of 2011, roughly 200 biologics were approved for therapeutic applications and more than 600 were under clinical development. Many of these protein drugs, such as hormones, growth factors, cytokines, coagulation factors, and enzymes, are small in size and are rapidly cleared from circulation. Half-life extension strategies have therefore become increasingly important to improve the pharmacokinetic and pharmacodynamic properties of protein therapeutics, but also for reasons of compliance. Several half-life extension strategies are already utilized in approved drugs, including PEGylation, hyperglycosylation, binding to human serum albumin, and fusion to an immunoglobulin G (IgG) Fc region. However, there is a strong need for new strategies not only to further improve the pharmacokinetic properties but also to facilitate production and application of these half-life extended drugs. These strategies include those that increase the hydrodynamic radius of the drug, thus aiming at reducing the renal clearance, but also strategies that implement recycling by the neonatal Fc receptor (FcRn), which is responsible for the extraordinary long half-life of IgG molecules and serum albumin. In the past 5 to 10 years the field has experienced a rapid growth in the establishment of novel half-life extension strategies, including the application of novel hydrophilic polymers, the generation of recombinant PEG mimic polypeptide chains, and the development of various albumin-binding molecules. Furthermore, the half-life of IgG molecules was altered by engineering of the Fc region, which opens new opportunities for the development of next-generation antibody drugs.
This book is written by renowned experts in the field and is intended to provide a comprehensive overview of the various established but also emerging half-life extension strategies. It can be expected that in the near future many of these technologies will be evaluated in clinical trials and become established strategies to prolong the half-life and thus to improve the pharmacokinetic and pharmacodynamic properties of therapeutic proteins.
Stuttgart, October 2011
Roland Kontermann
List of Contributors
Gerd Bendas
University of Bonn
Pharmaceutical Department
Pharmaceutical Chemistry
An der Immenburg 4
53121 Bonn
Germany
Uli Binder
XL-protein GmbH
Lise-Meitner-Strasse 30
85354 Freising
Germany
Alan J. Bitonti
Biogen Idec Hemophilia
9 Fourth Avenue
Waltham, MA 02451
USA
Graeme J. Carroll
University of Notre Dame
Australia (Fremantle)
Department of Rheumatology
Fremantle Hospital and University of Western Australia
Perth, WA 6959
Australia
Chen Chen
Imperial College London
Department of Life Sciences
Exhibition Road
London SW7 2AZ
UK
Antony Constantinou
Imperial College London
Department of Life Sciences
Exhibition Road
London SW7 2AZ
UK
Mahendra P. Deonarain
Imperial College London
Department of Life Sciences
Exhibition Road
London SW7 2AZ
UK
Jennifer A. Dumont
Biogen Idec Hemophilia
9 Fourth Avenue
Waltham, MA 02451
USA
Fuad Fares
Department of Biology and Human Biology
Faculty of Natural Sciences
University of Haifa
Mount Carmel, Haifa 31095
Israel
Fredrik Y. Frejd
Affibody AB
Gunnar Asplunds Allé 24
SE-17163 Solna
Sweden
and
Uppsala University
Unit for Biomedical Radiation Sciences
Department of Oncology
Radiology and Clinical Immunology
Rudbeck Laboratory
75185 Uppsala
Sweden
Astrid Hartung
University of Bonn
Pharmaceutical Department
Pharmaceutical Chemistry
An der Immenburg 4
53121 Bonn
Germany
Christopher Herring
Biopharm Research and Development
GlaxoSmithKline
Thomas Hey
Fresenius Kabi Deutschland GmbH
Pfingstweide 53
61169 Friedberg
Germany
Jalal A. Jazayeri
School of Biomedical Sciences
Charles Sturt University
Wagga Wagga, NSW 2678
Australia
Simona Jevševar
Sandoz Biopharmaceuticals
Lek Pharmaceuticals d.d.
Kolodvorska 27
SI-1234 Menges
Slovenia
Xiaomei Jin
Biogen Idec Hemophilia
9 Fourth Avenue
Waltham, MA 02451
USA
Jonghan Kim
Harvard School of Public Health
Department of Genetics and Complex Diseases
665 Huntington Avenue
Boston, MA 02115
USA
Helmut Knoller
Fresenius Kabi Deutschland GmbH
Pfingstweide 53
61169 Friedberg
Germany
Roland E. Kontermann
University of Stuttgart
Institute of Cell Biology and Immunology
Allmandring 31
70569 Stuttgart
Germany
Meni Kunstelj
Sandoz Biopharmaceuticals
Lek Pharmaceuticals d.d.
Kolodvorska 27
SI-1234 Menges
Slovenia
Katharina Landfester
Max Planck Institute for Polymer Research
Ackermannweg 10
55128 Mainz
Germany
Alvin Luk
Biogen Idec Hemophilia
9 Fourth Avenue
Waltham, MA 02451
USA
Volker Mailänder
Max Planck Institute for Polymer Research
Ackermannweg 10
55128 Mainz
Germany
Bernd Meibohm
University of Tennessee Health Science Center
College of Pharmacy
Departments of Pharmaceutical Sciences
874 Union Avenue
Suite 5p
Memphis, TN 38163
USA
Hubert J. Metzner
CSL Behring GmbH
Preclinical Research and Development Department
Emil-von-Behring-Str. 76
35041 Marburg
Germany
Anna Musyanovych
Max Planck Institute for Polymer Research
Ackermannweg 10
55128 Mainz
Germany
Dario Neri
Swiss Federal Institute of Technology (ETH)
Institute of Pharmaceutical Sciences
Department of Chemistry and Applied Biosciences
Wolfgang-Pauli-Strasse 10
8093 Zurich
Switzerland
Raimund J. Ober
University of Texas Southwestern Medical Center
Department of Immunology
6000 Harry Hines Blvd.
Dallas, TX 75390
USA
University of Texas at Dallas
Department of Electrical Engineering
Richardson, TX 75083
USA
Robert T. Peters
Biogen Idec Hemophilia
9 Fourth Avenue
Waltham, MA 02451
USA
Glenn F. Pierce
Biogen Idec Hemophilia
9 Fourth Avenue
Waltham, MA 02451
USA
Joerg Scheuermann
Swiss Federal Institute of Technology (ETH)
Institute of Pharmaceutical Sciences
Department of Chemistry and Applied Biosciences
Wolfgang-Pauli-Strasse 10
8093 Zurich
Switzerland
Oliver Schon
Biopharm Research and Development
GlaxoSmithKline
Stefan Schulte
CSL Behring GmbH
Preclinical Research and Development Department
Emil-von-Behring-Str. 76
35041 Marburg
Germany
Arne Skerra
XL-protein GmbH
Lise-Meitner-Strasse 30
85354 Freising
Germany
and
Technische Universität München
Lehrstuhl für Biologische Chemie
Emil-Erlenmeyer-Forum 5 85350 Freising-Weihenstephan
Germany
Sabrina Trüssel
Swiss Federal Institute of Technology (ETH)
Institute of Pharmaceutical Sciences
Department of Chemistry and Applied Biosciences
Wolfgang-Pauli-Strasse 10
8093 Zurich
Switzerland
Peter Vorstheim
Fresenius Kabi Deutschland GmbH
Pfingstweide 53
61169 Friedberg
Germany
E. Sally Ward
University of Texas Southwestern Medical Center
Department of Immunology
6000 Harry Hines Blvd.
Dallas, TX 75390
USA
Thomas Weimer
CSL Behring GmbH
Preclinical Research and Development Department
Emil-von-Behring-Str. 76
35041 Marburg
Germany
Part One: General Information
1
Half-Life Modulating Strategies – An Introduction
Roland E. Kontermann
1.1 Therapeutic Proteins
With roughly 200 biologics approved for therapeutic applications and more than 600 under clinical development [1], biotechnology products cover an increased proportion of all therapeutic drugs. Besides monoclonal antibodies and vaccines, which account for more than two-thirds of these produces, hormones, growth factors, cytokines, fusion proteins, coagulation factors, enzymes and other proteins are listed. An overview of the different classes of currently approved protein therapeutics is shown in Table 1.1. Except for antibodies and Fc fusion proteins, many of these proteins possess a molecular mass below 50 kDa and a rather short terminal half-life in the range of minutes to hours. In order to maintain a therapeutically effective concentration over a prolonged period of time, infusions or frequent administrations are performed, or the drug is applied loco-regional or subcutaneously utilizing a slow adsorption into the blood stream. These limitations of small size protein drugs has led to the development and implementation of half-life extension strategies to prolong circulation of these recombinant antibodies in the blood and thus improve administration and pharmacokinetic as well as pharmacodynamic properties.
Table 1.1 Proteins used as therapeutics.
1.2 Renal Clearance and FcRn-Mediated Recycling
The efficacy of protein therapeutics is strongly determined by their pharmacokinetic properties, including their plasma half-lives, which influence distribution and excretion. Although a small size facilitates tissue penetration, these molecules are often rapidly cleared from circulation. Thus, they have to be administered as infusion or repeated intravenous (i.v.) or subcutaneous (s.c.) bolus injections in order to maintain a therapeutically effective dose over a prolonged period of time, or are restricted to loco-regional treatment. The rapid elimination of these small molecules mainly occurs by renal filtration and degradation [2] (see also Chapter 2). A comparison of the half-lives of plasma proteins reveals the threshold for rapid excretion to be in the range of approximately 40–50 kDa, demonstrating that the size of the molecules is one of the determining factors (Figure 1.1). The glomerular filtration barrier is formed by the fenestrated endothelium, the glomerular basement membrane (GBM) and the slit diaphragm located between the podocyte foot processes [3]. The fenestrae between the glomerular endothelial cells have diameters between 50–100 nm, thus, allowing free diffusion of molecules. It was suggested that the slit diaphragm represents the ultimate macromolecular barrier, forming an isoporous, zipper-like filter structure with numerous small, 4–5 nm diameter pores and a lower number of 8–10 nm diameter pores [4–6]. In addition to size, the charge of a protein contributes to renal filtration. It has been suggested the proteoglycans of the endothelial cells and the GBM contribute to an anionic barrier, which partially prevents the passage of plasma macromolecules [3]. Consequently, the size of a protein therapeutic, that is, its hydrodynamic radius, and also its physiochemical properties, that is, charge, represent starting points in order to improve half-life. Interestingly, two kinds of molecules, serum albumin and IgGs, exhibit an extraordinary long half-life in humans. Thus, human serum albumin (HSA) has a half-life of 19 days and immunoglobulins (IgG1, IgG2 and IgG4) have half-lives in the range of 3 to 4 weeks [7, 8]. These long half-lives, which clearly set albumin and IgG apart from the other plasma proteins (Figure 1.1), are caused by a recycling process mediated by the neonatal Fc receptor (FcRn) [9–11] (see also Chapters 8 and 11). FcRn, expressed for example by endothelial cells, is capable of binding albumin and IgGs in a pH-dependent manner. Thus, after cellular uptake of plasma proteins through macropinocytosis, albumin and IgG will bind to FcRn in the acidic environment of the endosomes. This binding diverges albumin and IgG from degradation in the lysosomal compartment and redirects them to the plasma membrane, where they are released back into the blood plasma because of the neutral pH. This offers additional opportunities to extend or modulate the half-life of proteins, for example, through fusion to albumin or the Fc region of IgG [12].
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