Tumour necrosis factor binding ligands

0001The present invention relates to ligands which bind to human tumour necrosis factor alpha (TNF) in a manner such that upon binding the biological activity of TNF is modified. The type of modification shown here is distinct from previous descriptions of antibodies which bind to TNF alpha and inhibit all TNF alpha activity The new discovery shows how the different activities of TNF alpha can be selectively inhibited or enhanced. In addition, the present invention relates to a composition comprising a molecule bound to TNF and to methods of therapy utilising TNF and molecules active against TNF.

0002Tumor necrosis factor alpha (TNF) is a product of activated macrophages first observed in the serum of experimental animals presensitized with <u>Bacillus Calmette-Guerin</u> or <u>Corynebacterium parvum</u> and challenged with endotoxin (LPS). Following the systematic administration of TNF haemorrhagic necrosis was observed in some transplantable tumours of mice while <u>in vitro</u> TNF caused cytolytic or cytostatic effects on tumour cell lines

0003In addition to its host-protective effect, TNF has been implicated as the causative agent of pathological changes in septicemia, cachexia and cerebral malaria. Passive immunization of mice with a polyclonal rabbit serum against TNF has been shown to protect mice against the lethal effects of LPS endotoxin, the initiating agent of toxic shock, when administered prior to infection.

0004The gene encoding TNF has been cloned allowing the usefulness of this monokine as a potential cancer therapy agent to be assessed. While TNF infusion into cancer patients in stage 1 clinical trials has resulted in tumour regression, side-effects such as thrombocytopaenia, lymphocytopaenia, hepatotoxicity, renal impairment and hypertension have also been reported These quite significant side-effects associated with the clinical use of TNF are predictable in view of the many known effects of TNF. some of which are listed in Table 1. <tables id="tabl0001" num="0001"><table frame="none"><title>TABLE 1</title><tgroup cols="1" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="157.50mm" /><thead valign="top"><row><entry namest="col1" nameend="col1" align="left">BIOLOGICAL ACTIVITIES OF TNF</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">- ANTI-TUMOUR</entry></row><row><entry namest="col1" nameend="col1" align="left">- ANTI-VIRAL</entry></row><row rowsep="0"><entry namest="col1" nameend="col1" align="left">- ANTI-PARASITE</entry></row></tbody></tgroup></table></tables>

FUNCTION

0005<ul id="ul0001" list-style="none" compact="compact"><li>cytotoxic action on tumour cells</li><li>pyrogenic activity</li><li>angiogenic activity</li><li>inhibition of lipoprotein lipase</li><li>activation of neutrophils</li><li>osteoclast activation</li><li>induction of endothelial, monocyte and tumour cell procoagulant activity</li><li>induction of surface antigens on endothelial cells</li><li>induction of IL-6</li><li>induction of c-myc and c-fos</li><li>induction of EGF receptor</li><li>induction of IL-1</li><li>induction of TNF synthesis</li><li>induction of GM-CSF synthesis</li><li>increased prostaglandin and collagenase synthesis</li><li>induction of acute phase protein C3</li></ul>

0006Of particular importance is the activation of coagulation which occurs as a consequence of TNF activation of endothelium and also peripheral blood monocytes. Disseminated intravascular coagulation is associated with toxic shock and many cancers including gastro-intestinal cancer, cancer of the pancreas, prostate, lung, breast and ovary, melanoma, acute leukaemia, myeloma, myeloproliferative syndrome and myeloblastic leukaemia Clearly modifications of TNF activity such that tumour regression activity remains intact but other undesirable effects such as activation of coagulation are removed or masked would lead to a more advantageous cancer therapy. while complete abrogation of TNF activity is sought for successful treatment of toxic shock.

0007Segregation of hormonal activity through the use of site-specific antibodies (both polyclonal and monoclonal) can result in enhanced hormonal activity (Aston et al, 1989, Mol. Immunol. <u>26</u>, 435). To date few attempts have been made to assign antigenicity or function to particular regions of the TNF molecule for which the three-dimensional structure is now known. Assignment of function to such regions would permit the development of MAbs and other ligands of therapeutic use. Polyclonal antibodies to amino acids 1 to 15 have been reported to block Hela R19 cell receptor binding by TNF (Socher et al, 1987, PNAS <u>84</u>, 8829) whilst monoclonal antibodies recognising undefined conformational epitopes on TNF have been shown to inhibit TNF cytotoxicity <u>in vitro</u> (Bringman and Aggarwal, 1987, Hybridoma <u>6</u>. 489). However, the effects of these antibodies on other TNF activities is unknown.

0008EP-A-0288088 discloses a limited number of monoclonal antibodies which are said to bind to particular epitopes of human TNF These epitopes are contained in the 68th to 97th, 7th to 37th. and 113th to 127th amino acids of human TNF.

0009EP-A-0260610 discloses monoclonal antibodies binding to human TNF including AM-195 secreted by cell line ECACC 87050801, which neutralises cylotoxic activity of human TNF.

0010The present inventors have produced panels of monoclonal antibodies active against human TNF and have characterised them with respect to their effects on the anti-tumour effect of TNF (both <i>in vitro</i> and <i>in vivo</i>), TNF receptor binding, activation of coagulation (both <i>in vitro</i> and <i>in vivo</i>) and defined their topographic specificities. This approach has led the inventors to show that different topographic regions of TNF alpha are associated with different activities. Therefore the inventors enable the identification of antibodies or ligands which selectively enhance or inhibit TNF alpha activity, thereby providing for improved therapeutic agents and regimes including TNF alpha.

0011According to a first embodiment of the present invention, there is provided an antibody or antibody fragment capable of binding to TNF, the antibody or antibody fragment being characterised in that when it binds to TNF the induction of endothelial procoagulant activity of the TNF is inhibited, the antibody or antibody fragment binding to the TNF such that the epitope of the TNF defined by the topographic region of 1-18, 58-65, 115-125 and 138-149, or the topographic region of residues 1-18 and 108-128, or the topographic region of residues 56-79, 110-127 and 135-155 or the topographic region of residues 1-30, 117-128 and 141-153, or the topographic region of residues 1-18, or the topographic region of residues 22-40, 49-97, 110-127 and 136-153, or the topographic region of residues 1-20 and 76-90. or the topographic region of residues 22-40, 69-97, 105-128 and 135-155 is substantially prevented from binding to naturally occurring biologically active ligands.

0012According to a second embodiment of the present invention there is provided an antibody or antibody fragment capable of binding to human TNF. such that when it binds to TNF the tumour fibrin deposition activity of the TNF is enhanced; the induction of endothelial procoagulant activity of the TNF is unaffected and the cytotoxicity. tumour regression and receptor binding activities of the TNF are inhibited, characterised in that when the antibody or antibody fragment binds to the TNF, the epitope of the TNF defined by the topographic regions of residues 12-22, 36-45, 96-105 and 132-157 is substantially prevented from binding to naturally occurring biologically active ligands, and/or the antibody or antibody fragment binds to human TNF in the topographic regions of residues 12-22, 36-45, 96-105 and 132-157.

0013According to a third embodiment of the present invention, there is provided an antibody or antibody fragment capable of binding to human TNF, such that the tumour fibrin deposition, the induction of endothelial procoagulant, cytotoxicity, tumour regression and receptor binding activities of the TNF are unaffected, characterised in that when the antibody or antibody fragment binds to the TNF, the epitope of the TNF defined by the topographic regions of residues 22-31 and 146-157 is substantially prevented from binding to naturally occurring biologically active ligands, and/or the antibody or antibody fragment binds to human TNF in the topographic regions of residues 22-31 and 146-157.

0014According to a fourth embodiment of the present invention, there is provided an antibody capable of binding to human TNF, such that the induction of endothelial procoagulant activity of the TNF is unaffected and the cytotoxicity, tumour regression, tumour fibrin deposition and receptor binding activities of the TNF are inhibited characterised in that when the antibody or antibody fragment binds to the TNF, the epitope of the TNF defined by the topographic regions of residues 22-40 and either 49-98 or 70-87 is substantially prevented from binding to naturally occurring biologically active ligands and/or the antibody or antibody fragment binds to human TNF in the topographic region of residues 22-40 and either 49-98 or 70-87, wherein the antibody is not antibody AM-195 secreted by cell line ECACC 87050801.

0015Preferred aspects of the present invention are given in the dependent claims.

0016The antibody or antibody fragment can be selected from the group consisting F(ab) fragments, restructured anti-bodies (CDR grafted humanised antibodies) single domain antibodies (dAbs) and single chain antibodies. However it is presently preferred that the antibody or antibody fragment is a monoclonal antibody or F(ab) fragment thereof.

0017The present invention includes particular monoclonal antibodies or fragments thereof. These antibodies are listed below : <ul id="ul0002" list-style="none" compact="compact"><li>A) A monoclonal antibody selected from the group consisting of the monoclonal antibodies designated MAb 1, MAb 47 and MAb 54 (see claim 3). Samples of the hybridoma cell lines which produce MAb 1, MAb 54 and MAb 47 have been deposited with the European Collection of Animal Cell Cultures (ECACC), Vaccine Research and Production Laboratory, Public Health Laboratory Service, Centre for Applied Microbiology and Research, Porton Down, Salisbury, Wiltshire SP4 OJG, United Kingdom, MAb 1 was deposited on 3 August 1989 and accorded accession No. 89080301; MAb 54 was deposited on 31 August 1989 and accorded accession No. 89083103; MAb 47 was deposited on 14 December 1989 and accorded accession No. 89121402.</li><li>B) The monoclonal antibody designated MAb 42 (see claim 10). A sample of the hybridoma cell line producing MAb 42 was deposited with the European Collection of Animal Cell Cultures (ECACC), Vaccine Research and Production Laboratory, Public Health Laboratory Service, Centre for Applied Microbiology and Research, Porton Down, Salisbury, Wiltshire SP4 OJG, United Kingdom on 3 August 1989 and was accorded accession No. 89080304.</li><li>C) The monoclonal antibody designed MAb 25 (see claim 21). A sample of the hybridoma cell line producing MAb 25 was deposited with the European Collection of Animal Cell Cultures (ECACC), Vaccine Research and Production Laboratory, Public Health Laboratory Service, Centre for Applied Microbiology and Research, Porton Down, Salisbury, Wiltshire SP4 OJG, United Kingdom on 14 December 1989 and was accorded accession No.89121401.</li><li>D) The monoclonal antibody designated MAb 21 (see claim 17). A sample of the hybridoma cell line producing MAb 21 was deposited with the European Collection of Animal Cell Cultures (ECACC), Vaccine Research and Production Laboratory, Public Health Laboratory Service, Centre for Applied Microbiology and Research, Porton Down, Salisbury, Wiltshire SP4 OJG, United Kingdom on 25 January 1990 and was accorded accession No. 90012432.</li><li>E) The monoclonal antibody designated MAb 53 (see claim 19). A sample of the hybridoma cell line producing MAb 53 was deposited with the European Collection of Animal Cell Cultures (ECACC), Vaccine Research and Production Laboratory, Public Health Laboratory Service, Centre for Applied Microbiology and Research, Porton Down, Salisbury, Wiltshire SP4 OJG, United Kingdom on 25 January 1990 and was accorded accession No. 90012433.</li><li>F) The monoclonal antibody designated MAb 37 (see claim 23). A sample of the hybridoma cell line producing MAb 37 was deposited with the European Collection of Animal Cell Cultures (ECACC), Vaccine Research and Production Laboratory, Public Health Laboratory Service, Centre for Applied Microbiology and Research, Porton Down, Salisbury, Wiltshire SP4 OJG, United Kingdom on 3 August 1989 and was accorded accession No. 89080303.</li></ul>

0018The biological activities of TNF referred to herein by the terms "Tumour Regression", "Induction of Endothelial Procoagulant", "Induction of Tumour Fibrin Deposition", "Cytotoxicity" and "Receptor Binding" are to be determined by the methods described below.

0019The term "single domain antibodies" as used herein is used to denote those antibody fragments such as described in Ward et al <i>(Nature,</i><b>341</b>, 544-546 (1989)) as suggested by these authors.

0020In order that the nature of the present invention may be more clearly understood, preferred forms thereof will now be described with reference to the following example and accompanying figures in which:- <ul id="ul0003" list-style="none" compact="compact"><li>Fig. 1 shows the results of a titration assay with MAb 1 against TNF;</li><li>Fig. 2 shows TNF MAb 1 scatchard plot and affinity determination;</li><li>Fig. 3 shows the effect of anti-TNF monoclonal antibodies 1 and 32 on TNF cytotoxicity in WEHI-164 cells;</li><li>Fig. 4 shows the effect of MAb 1 on TNF-induced regression of a Meth A solid tumour;</li><li>Fig. 5 shows the effect of MAbs 1 and 25 on TNF-induced Meth A Ascites tumour regression;</li><li>Fig. 6 shows the effect of anti-TNF MAbs on induction of endothelial cell procoagulant activity by TNF;</li><li>Fig. 7 shows incorporation of labelled fibrinogen into tumours of tumour-bearing mice and the effect of anti-TNF MAbs:</li><li>Fig. 8 is a schematic representation of epitopes on TNF;</li><li>Fig. 9 shows the effect of anti-TNF MAbs on TNF-induced regression of WEHI-164 tumours;</li><li>Fig. 10 shows the enhancement of TNF regression activity by MAb 32 in two experiments:</li><li>Fig. 11 shows the enhancement of TNF-induced tumour regression by MAb 32 - dose response at day 1 and day 2:</li><li>Fig. 12 shows binding of radio labelled TNF to receptors on bovine aortic endothelial cells;</li><li>Fig. 13 shows receptor binding studies of TNF complexed with MAb 32 (<img file="EP0486526B2_D0001.tif" /> ), control antibody (<img file="EP0486526B2_D0002.tif" /> ) and MAb 47 ( <img file="EP0486526B2_D0003.tif" /> ) on melanoma cell line MM418E:</li><li>Fig. 14 shows receptor binding studies of TNF complexed with MAb 32 ( <img file="EP0486526B2_D0004.tif" />), control antibody (<img file="EP0486526B2_D0005.tif" />) and MAb 47 ( <img file="EP0486526B2_D0006.tif" />) on melanoma cell line IGR3:</li><li>Fig. 15 shows receptor binding studies of TNF complexed with MAb 32 (<img file="EP0486526B2_D0007.tif" /> ), control antibody (<img file="EP0486526B2_D0008.tif" /> ) and MAb 47 ( <img file="EP0486526B2_D0009.tif" />) on bladder carcinoma cell line 5637;</li><li>Fig. 16 shows receptor binding studies of TNF complexed with MAb 32 ( <img file="EP0486526B2_D0010.tif" /> ), control antibody (<img file="EP0486526B2_D0011.tif" /> ) and MAb 47 ( <img file="EP0486526B2_D0012.tif" /> ) on breast carcinoma cell line MCF7;</li><li>Fig. 17 shows receptor binding studies of TNF complexed with MAb 32 ( <img file="EP0486526B2_D0013.tif" />), control antibody (<img file="EP0486526B2_D0014.tif" />) and MAb 47 ( <img file="EP0486526B2_D0015.tif" />) on colon carcinoma cell line B10:</li><li>Fig. 18 shows the effect on TNF-mediated tumour regression <u>in vivo</u> by MAb 32 ( <img file="EP0486526B2_D0016.tif" /> ) control MAb ( <img file="EP0486526B2_D0017.tif" /> ) and MAb 47 (*):</li><li>Fig. 19 shows the effect on TNF-mediated tumour regression <u>in vivo</u> by control MAb, MAb 32 and univalent FAb' fragments of MAb 32;</li><li>Fig. 20 shows the effect on TNF induced tumour regression by control MAb ( <img file="EP0486526B2_D0018.tif" /> ), MAb 32 ( <img file="EP0486526B2_D0019.tif" /> ) and peptide 301 antiserum ( <img file="EP0486526B2_D0020.tif" />);</li><li>Fig. 21 shows MAb.32 reactivity with overlapping peptides of 10 AA length; and</li><li>Fig. 22 shows a schematic three dimensional representation of the TNF molecule.</li><li>Fig. 23 shows topographically the region of residues 1 - 20, 56 - 77, 108 - 127 and 138 - 149:</li><li>Fig. 24 shows topographically the region of residues 1 - 18 and 108..-128:</li><li>Fig. 25 shows topographically the region of residues 56-79, 110 - 127 and 136 - 155;</li><li>Fig. 26 shows topographically the region of residues 1 - 26, 117 - 128 and 141 - 153;</li><li>Fig. 27 shows topographically the region of residues 22 - 40, 49 - 97, 110 - 127 and 136 - 153;</li><li>Fig. 28 shows topographically the region of residues 12 - 22, 36 - 45, 96 - 105 and 132 - 157;</li><li>Fig. 29 shows topographically the region of residues 1 - 20 and 76 - 90;</li><li>Fig. 30 shows topographically the region of residues 22 - 40, 69 - 97, 105 - 128 and 135 - 155;</li><li>Fig. 31 shows topographically the region of residues 22 - 31 and 146 - 157;</li><li>Fig. 32 shows topographically the region of residues 49 - 98; and</li><li>Fig. 33 shows topographically the region of residues 22-40 and 70-87.</li></ul>

Animals and Tumour Cell Lines

0021In all experiments BALB/C female mice aged 10-12 weeks obtained from the CSIRO animal facility were used. Meth A solid tumour and Meth A ascites tumour cell lines were obtained from the laboratory of Dr. Lloyd J. Old (Sloan Kettering Cancer Centre) and the WEHI-164 fibrosarcoma line was obtained from Dr. Geeta Chauhdri (John Curtin School of Medical Research, Australian National University).

Fusions and Production of Hybridomas

0022Mice were immunised with 10 ug human recombinant TNF intra-peritoneally in Freund's complete adjuvant. One month later 10 ug TNF in Freund's incomplete adjuvant was administered. Six weeks later and four days prior to fusion selected mice were boosted with 10 ug TNF in PBS. Spleen cells from immune mice were fused with the myeloma Sp2/0 according to the procedure of Rathjen and Underwood (1986, Mol. Immunol. <u>23</u>, 441). Cell lines found to secrete anti-TNF antibodies by radioimmunoassay were subcloned by limiting dilution on a feeder layer of mouse peritoneal macrophages. Antibody subclasses were determined by ELISA (Misotest, Commonwealth Serum Laboratories).

Radioimmunoassay

0023TNF was iodinated using lactoperoxidase according to standard procedures. Culture supematants from hybridomas (50 ul) were incubated with 1251 TNF (20,000 cpm in 50 ul) overnight at 4°C before the addition of 100 ul Sac-Cel (donkey anti-mouse/rat immunoglobulins coated cellulose, Wellcome Diagnostics) and incubated for a further 20 minutes at room temperature (20°C). Following this incubation 1 ml of PBS was added and the tubes centrifuged at 2,500 rpm for 5 minutes. The supernatant was decanted and the pellet counted for bound radioactivity.

Antibody-Antibody Competition Assays

0024The comparative specificites of the monoclonal antibodies were determined in competition assays using either immobilized antigen (LACT) or antibody (PACT) (Aston and Ivanyi, 1985, Pharmac. Therapeut. 27, 403).

PACT

0025Flexible microtitre trays were coated with monoclonal antibody (sodium sulphate precipitated globulins from mouse ascites fluid, 100 micrograms per ml in sodium bicarbonate buffer, 0.05M, pH 9.6) overnight at 4°C prior to blocking non-specific binding sites with 1% bovine serum albumin in PBS (BSA/PBS). The binding of 1251 TNF to immobilised antibody was determined in the presence of varying concentrations of a second anti-TN F monoclonal antibody. Antibody and TNF were added simultaneously and incubated for 24 hours prior to washing with PBS (4 times) and counting wells for bound radioactivity. 100% binding was determined in the absence of heterologous moncclonal antibody while 100% competition was determined in the presence of excess homologous monoclonal antibody. All dilutions were prepared in BSA/PBS.

LACT

0026The binding of protein A purified, radiolabelled monoclonal antibodies to TNF coated microtitre wells was determined in the presence of varying concentrations of a second monoclonal antibody. Microtitre plates were coated with TNF (50 micrograms per ml) as described above. Quantities of competing antibodies (50 microlitres) were pre-incubated on plates for 4 hour at 4°C prior to addition of 1251 monoclonal antibody (30,000 cpm) for a further 24 hours. Binding of counts to wells was determined after four washes with PBS. 100% binding was determined in the absence of competing antibody while 100% competition was determined in the presence of excess unlabelled monoclonal antibody.

WEHI-164 Cytotoxicity Assay

0027Bioassay of recombinant TNF activity was performed according to Espevik and Nissen-Meyer (1986, J. Immunol. Methods <u>95</u>, 99). The effect of the monoclonal antibody on TNF activity was determined by the addition of the monoclonal antibody to cell cultures at ABT90.

Tumour Regression Experiments

0028Modulation of TNF-induced tumour regression activity by monoclonal antibodies was assessed in three tumour models: the subcutaneous tumours WEHI-164 and Meth A sarcoma and the ascitic Meth A tumour. Subcutaneous tumours were induced by the injection of approximately 5 x 105 cells. This produced tumours of between 10 - 15 mm approximately 14 days later. Mice were injected intra-peritoneally with human recombinant TNF (10 micrograms) plus monoclonal antibody (200 microlitres ascites globulin) for four consecutive days. Control groups received injections of PBS alone or TNF plus monoclonal antibody against bovine growth hormone. At the commencement of each experiment tumour size was measured with calipers in the case of solid tumours or tumour-bearing animals weighed in the case of ascites mice. These measurements were taken daily throughout the course of the experiment.

Radio-Receptor Assays

0029WEHI-164 cells grown to confluency were scrape harvested and washed once with 1% BSA in Hank's balanced salt solution (HBSS, Gibco). 100 ul of unlabelled TNF (1-10,000 ng/tube) or monoclonal antibody (10 fold dilutions commencing 1 in 10 to 1 in 100,000 of ascitic globulin) was added to 50ul 125l TNF (50,000 cpm). WEHI cells were then added (200 microlitres containing 2 x 106 cells). This mixture was incubated in a shaking water bath at 37°C for 3 hours. At the completion of this incubation 1 ml of HBSS was added and the cells spun at 16,000 rpm for 30 seconds. The supernatant was discarded and bound 1251 TNF in the cell pellet counted. All dilutions were prepared in HBSS containing 1% BSA.

Procoagulant Induction by TNF on Endothelial Cells

0030Bovine aortic endothelial cells (passage 10) were grown in RPMI-1640 containing 10% foetal calf serum (FCS), penicillin, streptomycin, and 2-mercaptoethanol at 37°C in 5% CO₂. For induction of procoagulant activity by TNF the cells were trypsinised and plated into 24-well Costar trays according. to the protocol of Bevilacqua <u>et al</u>., 1986 (PNAS <u>83</u>, 4533). TNF (0-500 units/culture) and monoclonal antibody (1 in 250 dilution of ascitic globulin) was added after washing of the confluent cell monolayer with HBSS. After 4 hours the cells were scrape harvested, frozen and sonicated. Total cellular procoagulant activity was determined by the recalcification time of normal donor platelet-poor plasma performed at 37°C, 100 microlitres of citrated platelet-poor plasma was added to 100 ul of cell lysate and 100 ul of calcium chloride (30mM) and the time taken for clot formation recorded. In some experiments tumour cell culture supernatant was added to endothelial cells treated with TNF and/or monoclonal antibody (final concentration of 1 in 2).

Incorporation of 1251 Fibrinogen into Tumours of Mice Treated with TNF and Monoclonal Antibody

0031In order to examine the effect of TNF and monoclonal antibodies on fibrin formation <u>in vivo,</u> BALB/c mice were injected subcutaneously with WEHI-164 cells (10⁵ cells/animal). After 7 - 14 days, when tumours reached a size of approximately 1 cm in diameter, animals were injected intra-peritoneally with TNF (10 ug/animal) and 125l human fibrinogen (7.5ug/animal, 122uCi/mg Amersham) either alone or in the presence of monoclonal antibody to human TNF (200ul/animal ascitic globulin). Monoclonal antibody against bovine growth hormone was used as control monoclonal antibody. Two hours after TNF infusion incorporation of 125l fibrinogen into mouse tissue was determined by removing a piece of tissue, weighing it and counting the sample in a gamma counter.

0032In all 13 monoclonal antibodies reacting with human TNF were isolated. These monoclonal antibodies were designated MAb 1, MAb 11, MAb12, MAb 20, MAb 21, MAb 25, MAb 31, MAb 32, MAb 37, MAb 42, MAb 47, MAb 53 and MAb 54. The effect of these monoclonal antibodies on the bioactivity of human TNF is set out in Table 2.

0033As can be seen from Table 2, whilst some monoclonal antibodies inhibit both anti-tumour activity and activation of coagulation by human TNF (MAb 1, 47 and 54) not all antibodies which inhibit the anti-tumour activity inhibit activation of coagulation either <u>in vitro</u> or <u>in vivo</u> (MAb 11, 12, 25 and 53). Indeed MAb 21 which inhibited tumour regression enhanced the activation of coagulation <u>in vivo.</u><tables id="tabl0002" num="0002"><table frame="all"><title>TABLE 2</title><tgroup cols="14" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="11.25mm" /><colspec colnum="2" colname="col2" colwidth="11.25mm" /><colspec colnum="3" colname="col3" colwidth="11.25mm" /><colspec colnum="4" colname="col4" colwidth="11.25mm" /><colspec colnum="5" colname="col5" colwidth="11.25mm" /><colspec colnum="6" colname="col6" colwidth="11.25mm" /><colspec colnum="7" colname="col7" colwidth="11.25mm" /><colspec colnum="8" colname="col8" colwidth="11.25mm" /><colspec colnum="9" colname="col9" colwidth="11.25mm" /><colspec colnum="10" colname="col10" colwidth="11.25mm" /><colspec colnum="11" colname="col11" colwidth="11.25mm" /><colspec colnum="12" colname="col12" colwidth="11.25mm" /><colspec colnum="13" colname="col13" colwidth="11.25mm" /><colspec colnum="14" colname="col14" colwidth="11.25mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col14" align="center">EFFECT OF MONOCLONAL ANTIBODIES ON TNF BIOACTIVITY</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col14" align="center">MONOCLONAL ANTIBODY</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">TNF BIOACTIVITY</entry><entry namest="col2" nameend="col2" align="center">1</entry><entry namest="col3" nameend="col3" align="center">11</entry><entry namest="col4" nameend="col4" align="center">12</entry><entry namest="col5" nameend="col5" align="center">20</entry><entry namest="col6" nameend="col6" align="center">21</entry><entry namest="col7" nameend="col7" align="center">25</entry><entry namest="col8" nameend="col8" align="center">31</entry><entry namest="col9" nameend="col9" align="center">32</entry><entry namest="col10" nameend="col10" align="center">37</entry><entry namest="col11" nameend="col11" align="center">42</entry><entry namest="col12" nameend="col12" align="center">47</entry><entry namest="col13" nameend="col13" align="center">53</entry><entry namest="col14" nameend="col14" align="center">54</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Cytotoxicity</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="center">-</entry><entry namest="col4" nameend="col4" align="center">-</entry><entry namest="col5" nameend="col5" align="center">0</entry><entry namest="col6" nameend="col6" align="center">-</entry><entry namest="col7" nameend="col7" align="center">-</entry><entry namest="col8" nameend="col8" align="center">0</entry><entry namest="col9" nameend="col9" align="center">0</entry><entry namest="col10" nameend="col10" align="center">0</entry><entry namest="col11" nameend="col11" align="center">0</entry><entry namest="col12" nameend="col12" align="center">-</entry><entry namest="col13" nameend="col13" align="center">-</entry><entry namest="col14" nameend="col14" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Tumour Regression</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="center">-</entry><entry namest="col4" nameend="col4" align="center">-</entry><entry namest="col5" nameend="col5" align="center">0</entry><entry namest="col6" nameend="col6" align="center">-</entry><entry namest="col7" nameend="col7" align="center">-</entry><entry namest="col8" nameend="col8" align="center">0</entry><entry namest="col9" nameend="col9" align="center">+</entry><entry namest="col10" nameend="col10" align="center">0</entry><entry namest="col11" nameend="col11" align="center">0</entry><entry namest="col12" nameend="col12" align="center">-</entry><entry namest="col13" nameend="col13" align="center">-</entry><entry namest="col14" nameend="col14" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Induction of</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="center">0</entry><entry namest="col4" nameend="col4" align="center">0</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="center">-</entry><entry namest="col7" nameend="col7" align="center">0</entry><entry namest="col8" nameend="col8" align="center">0</entry><entry namest="col9" nameend="col9" align="center">-</entry><entry namest="col10" nameend="col10" align="center">0</entry><entry namest="col11" nameend="col11" align="center">-</entry><entry namest="col12" nameend="col12" align="center">-</entry><entry namest="col13" nameend="col13" align="center">-</entry><entry namest="col14" nameend="col14" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">Procoagulant</entry><entry namest="col2" nameend="col2" /><entry namest="col3" nameend="col3" /><entry namest="col4" nameend="col4" /><entry namest="col5" nameend="col5" /><entry namest="col6" nameend="col6" /><entry namest="col7" nameend="col7" /><entry namest="col8" nameend="col8" /><entry namest="col9" nameend="col9" /><entry namest="col10" nameend="col10" /><entry namest="col11" nameend="col11" /><entry namest="col12" nameend="col12" /><entry namest="col13" nameend="col13" /><entry namest="col14" nameend="col14" /></row><row><entry namest="col1" nameend="col1" align="left">(Endothelial)</entry><entry namest="col2" nameend="col2" /><entry namest="col3" nameend="col3" /><entry namest="col4" nameend="col4" /><entry namest="col5" nameend="col5" /><entry namest="col6" nameend="col6" /><entry namest="col7" nameend="col7" /><entry namest="col8" nameend="col8" /><entry namest="col9" nameend="col9" /><entry namest="col10" nameend="col10" /><entry namest="col11" nameend="col11" /><entry namest="col12" nameend="col12" /><entry namest="col13" nameend="col13" /><entry namest="col14" nameend="col14" /></row><row><entry namest="col1" nameend="col1" align="left">Fibrin Deposition</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="center">-</entry><entry namest="col4" nameend="col4" align="center">-</entry><entry namest="col5" nameend="col5" align="center">+</entry><entry namest="col6" nameend="col6" align="center">+</entry><entry namest="col7" nameend="col7" align="center">+</entry><entry namest="col8" nameend="col8" align="center">+</entry><entry namest="col9" nameend="col9" align="center">+</entry><entry namest="col10" nameend="col10" align="center">0</entry><entry namest="col11" nameend="col11" align="center">-</entry><entry namest="col12" nameend="col12" align="center">-</entry><entry namest="col13" nameend="col13" align="center">0</entry><entry namest="col14" nameend="col14" align="center">-</entry></row><row><entry namest="col1" nameend="col1" align="left">(tumour)</entry><entry namest="col2" nameend="col2" /><entry namest="col3" nameend="col3" /><entry namest="col4" nameend="col4" /><entry namest="col5" nameend="col5" /><entry namest="col6" nameend="col6" /><entry namest="col7" nameend="col7" /><entry namest="col8" nameend="col8" /><entry namest="col9" nameend="col9" /><entry namest="col10" nameend="col10" /><entry namest="col11" nameend="col11" /><entry namest="col12" nameend="col12" /><entry namest="col13" nameend="col13" /><entry namest="col14" nameend="col14" /></row><row><entry namest="col1" nameend="col1" align="left">Receptor Binding</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="center">-</entry><entry namest="col4" nameend="col4" align="center">-</entry><entry namest="col5" nameend="col5" align="center">0</entry><entry namest="col6" nameend="col6" align="center">-</entry><entry namest="col7" nameend="col7" align="center">-</entry><entry namest="col8" nameend="col8" align="center">0</entry><entry namest="col9" nameend="col9" align="center">+/0*</entry><entry namest="col10" nameend="col10" align="center">0</entry><entry namest="col11" nameend="col11" align="center">0</entry><entry namest="col12" nameend="col12" align="center">-</entry><entry namest="col13" nameend="col13" align="center">-</entry><entry namest="col14" nameend="col14" align="center">-</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">(WEHI-164)</entry><entry namest="col2" nameend="col2" /><entry namest="col3" nameend="col3" /><entry namest="col4" nameend="col4" /><entry namest="col5" nameend="col5" /><entry namest="col6" nameend="col6" /><entry namest="col7" nameend="col7" /><entry namest="col8" nameend="col8" /><entry namest="col9" nameend="col9" /><entry namest="col10" nameend="col10" /><entry namest="col11" nameend="col11" /><entry namest="col12" nameend="col12" /><entry namest="col13" nameend="col13" /><entry namest="col14" nameend="col14" /></row></tbody></tgroup><tgroup cols="14" colsep="0" rowsep="0"><colspec colnum="1" colname="col1" colwidth="11.25mm" /><colspec colnum="2" colname="col2" colwidth="11.25mm" /><colspec colnum="3" colname="col3" colwidth="11.25mm" /><colspec colnum="4" colname="col4" colwidth="11.25mm" /><colspec colnum="5" colname="col5" colwidth="11.25mm" /><colspec colnum="6" colname="col6" colwidth="11.25mm" /><colspec colnum="7" colname="col7" colwidth="11.25mm" /><colspec colnum="8" colname="col8" colwidth="11.25mm" /><colspec colnum="9" colname="col9" colwidth="11.25mm" /><colspec colnum="10" colname="col10" colwidth="11.25mm" /><colspec colnum="11" colname="col11" colwidth="11.25mm" /><colspec colnum="12" colname="col12" colwidth="11.25mm" /><colspec colnum="13" colname="col13" colwidth="11.25mm" /><colspec colnum="14" colname="col14" colwidth="11.25mm" /><tbody valign="top"><row><entry namest="col1" nameend="col14" align="justify"> + Enhancement 0 No effect - Inhibition * Depending on MAb concentration in the case of WEHI-164 tumour cells and tumour type (see Figs. 3,13-17).</entry></row></tbody></tgroup></table></tables>

0034MAbs 1, 47 and 54, which have been shown in competition binding studies to share an epitope on TNF. can be seen to have highly desirable characteristics in treatment of toxic shock and other conditions of bacterial, viral and parasitic infection where TNF levels are high requiring complete neutralisation of TNF. Other monoclonal antibodies such as MAb 32 are more appropriate as agents for coadministration with TNF during cancer therapy since they do not inhibit tumour regression but do inhibit activation of coagulation. This form of therapy is particularly indicated in conjunction with cytotoxic drugs used in cancer therapy which may potentiate activation of coagulation by TNF (e.g. vinblastin, acyclovir, IFN alpha, IL-2, actinomycin D, AZT, radiotherapy, adriamycin, mytomycin C, cytosine arabinoside, dounorubicin, cis-platin, vincristine, 5-flurouracil, bleomycin, (Watanabe N et al 1988 5 Immunopharmacol. Immuno-toxicol. <u>10</u> 117-127) or in diseases where at certain stages TNF levels are low (e.g. AIDS) and where individuals may have AIDS associated cancer e.g. Kaposi sarcoma, non-Hodgkins lymphoma and squamous cell carcinoma.

0035Monoclonal antibody MAb 1 has been found to have the following characteristics:- <ul id="ul0004" list-style="none" compact="compact"><li>1. Binds human recombinant TNF alpha, but not human lymphotoxin (TNF beta) or human interferon. Similarly MAb 1 does not cross-react with recombinant murine TNF (Fig.1).</li><li>2. MAb 1 is of the immunoglobulin type lgG1, K with an apparent affinity of 4.4 x 10^-9 moles/litre (Fig. 2).</li><li>3. MAb neutralises the cytotoxic effect of recombinant human TNF on WEHI-164 mouse fibrosarcoma cells in culture. One microgram of MAb 1 neutralizes approximately 156.25 units of TNF <u>in vitro</u> (Fig. 3).</li><li>4. MAb 1 neutralises the tumour regression activity of TNF in the following mouse tumour models <u>in vivo;</u> WEHI-164 subcutaneous solid tumour, the Meth A subcutaneous solid tumour and the Meth A ascites tumour (Figs. 4, 5 and 9).</li><li>5. MAb1 prevents cerebral damage caused by human TNF in mice infected with malarial parasites.</li><li>6. In radioreceptor assays MAb 1 prevents binding of TNF to receptors on WEHI-164 cells (Table 3).</li><li>7. MAb 1 inhibits the induction of procoagulant activity (tissue factor) on cultured bovine aortic endothelial cells (Fig 6).</li><li>8. MAb 1 reduces the uptake of 1251 fibrinogen into tumours of mice treated with TNF (Fig. 7).</li><li>9. MAb 1 competes for binding of 1251 TNF and thus shares an overlapping epitope with the following monoclonal antibodies: 21, 25, 32, 47, 54 and 37.</li><li>10 MAb 1 does not compete for binding of 1251 TNF with the following monoclonal antibodies: 11, 12, 42, 53, 31 and 20 (Fig. 8).</li></ul><tables id="tabl0003" num="0003"><table frame="all"><title>TABLE 3</title><tgroup cols="3" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col3" align="left">RADIORECEPTOR ASSAY: INHIBITION OF TNF BINDING TO WEHI-164 CELLS BY MAb 1</entry></row><row rowsep="1"><entry namest="col1" nameend="col2" align="left">TREATMENT</entry><entry namest="col3" nameend="col3" align="left">% SPECIFIC BINDING</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">MAb 1</entry><entry namest="col2" nameend="col2" align="left">1/10</entry><entry namest="col3" nameend="col3" align="left">0</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">1/100</entry><entry namest="col3" nameend="col3" align="left">21</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">1/1,000</entry><entry namest="col3" nameend="col3" align="left">49</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">1/10,000</entry><entry namest="col3" nameend="col3" align="left">73</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">1/100,000</entry><entry namest="col3" nameend="col3" align="left">105</entry></row><row><entry namest="col1" nameend="col1" align="left">cold TNF (ng/tube)</entry><entry namest="col2" nameend="col2" /><entry namest="col3" nameend="col3" /></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">10,000</entry><entry namest="col3" nameend="col3" align="left">0</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">5,000</entry><entry namest="col3" nameend="col3" align="left">0</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">1,000</entry><entry namest="col3" nameend="col3" align="left">0</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">500</entry><entry namest="col3" nameend="col3" align="left">10</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">100</entry><entry namest="col3" nameend="col3" align="left">11</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">10</entry><entry namest="col3" nameend="col3" align="left">64</entry></row><row><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">1</entry><entry namest="col3" nameend="col3" align="left">108</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">0</entry><entry namest="col3" nameend="col3" align="left">100</entry></row></tbody></tgroup></table></tables>

0036Mab 32 is an IgG2b,K antibody with an affinity for human TNF alpha of 8.77 ×10^-9moles/litre as determined by Scatchard analysis. This monoclonal antibody does not react with either human TNF beta (lymphotoxin) or mouse TNF alpha.

0037As shown in Figure 3 MAb 32 does not inhibit TNF cytoxicity <u>in vitro</u> as determined in the WEHI-164 assay.

0038Monoclonal antibody 32 variably enhances TNF-induced tumour regression activity against WEHI-164 fibrosarma tumours implanted subcutaneously into BALB/c mice at a TNF dose of 10µg/day (see Figs. 10 and 11). This feature is not common to all monoclonal antibodies directed against TNF (Fig. 9) but resides within the binding site specificity of MAb 32 (Fig. 8) which may allow greater receptor mediated uptake of TNF into tumour cells (see Table 4). <tables id="tabl0004" num="0004"><table frame="all"><title>TABLE 4</title><tgroup cols="3" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col3" align="center">BINDING OF TNF TO RECEPTORS ON WEHI-164 CELLS IN THE PRESENCE OF MAb 32</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col3" align="center">% BINDING¹²⁵ I-TNF</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">MAB DILUTION</entry><entry namest="col2" nameend="col2" align="left">CONTROL MAB</entry><entry namest="col3" nameend="col3" align="left">MAB 32</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">1/10</entry><entry namest="col2" nameend="col2" align="right">36</entry><entry namest="col3" nameend="col3" align="right">141</entry></row><row><entry namest="col1" nameend="col1" align="left">1/100</entry><entry namest="col2" nameend="col2" align="right">74</entry><entry namest="col3" nameend="col3" align="right">88</entry></row><row><entry namest="col1" nameend="col1" align="left">1/1000</entry><entry namest="col2" nameend="col2" align="right">101</entry><entry namest="col3" nameend="col3" align="right">83</entry></row><row><entry namest="col1" nameend="col1" align="left">1/10,000</entry><entry namest="col2" nameend="col2" align="right">92</entry><entry namest="col3" nameend="col3" align="right">82</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">1/100,000</entry><entry namest="col2" nameend="col2" align="right">97</entry><entry namest="col3" nameend="col3" align="right">93</entry></row></tbody></tgroup></table></tables>

0039Enhancement of TNF activity-by MAb 32 at lower doses of TNF is such that at least tenfold less TNF is required to achieve the same degree of tumour regression (see Fig. 11 and 18). The results for day 1, 2.5ug and lug TNF and day 2, 5ug, 2.5ug and lug are statistically significant in a t-test at p &lt;.01 level. This level of enhancement also increases the survival rate of recipients since the lower dose of TNF used is not toxic. Fig. 19 shows that univalent Fab fragments of MAb 32 also cause enhancement of TNF-induced tumour regression in the same manner as whole MAb 32 (see below).

0040MAb 32 inhibits the expression of clotting factors on endothelial cells normally induced by incubation of the cultured cells with TNF (see Fig. 6). This response may be mediated by a previously unidentified TNF receptor which is distinct to the receptor found on other cells.

0041Conversely, MAb 32 enhances the <u>in vivo</u> activation of coagulation within the tumour bed as shown by the incorporation of radiolabelled fibrinogen (Fig. 7). This may be due to activation of monocytes/macrophage procoagulant and may provide further insight into the mechanism of TNF-induced tumour regression.

0042The results obtained with MAb 32 are shown in comparison to other anti-TNF MAbs in Table 2.

0043The ability of MAb 32 and MAb 47 to inhibit the binding of TNF to endothelial cells was also assessed. Bovine aortic endothelial (BAE) cells (passage 11) were plated in 24-well culture dishes (Corning) which had been pre-coated with gelatin (0.2%) and grown to confluence in McCoys 5A (modified) medium supplemented with 20% foetal calf serum. For the radio-receptor assay all dilutions (of cold TNF and MAbs) were made in this medium. The BAE cells were incubated for one hour in the presence of either cold TNF (0 to 100ng) or MAb (ascites globulins diluted 1/100 to 1/100,000) and iodinated TNF (50,000 cpm). At the end of this time the medium was withdrawn and the cells washed before being lysed with 1 M sodium hydroxide. The cell lysate was then counted for bound radioactive TNF. Specific binding of labelled TNF to the cells was then determined.

0044The results obtained in this assay with MAb 32, MAb 47 and a control MAb are set out in Figure 12.

0045The results obtained in the clotting assay using BAE cells cultured in the presence of TNF and anti-TNF MAb correlate with the results obtained in the BAE radioreceptor assay i.e. MAbs which inhibit the induction of clotting factors on the surface of endothelial cells (as shown by the increase in clotting time compared to TNF alone) also inhibit the binding of TNF to its receptor. This is exemplified by MAbs 32 and 47.

0046MAb 32, which does not inhibit TNF binding to WEHI-164 cells, does inhibit binding of TNF to endothelial cells. This result provides support for the hypothesis that distinct functional sites exist on the TNF molecule and that these sites interact with distinct receptor subpopulations on different cell types. Thus ligands which bind to defined regions of TNF are able to modify the biological effects of TNF by limiting its binding to particular receptor subtypes.

0047As shown in Figure 12 MAb 47 is a particularly potent inhibitor of TNF interaction with endothelial cells, the percentage specific binding at a dilution of 1/100 to 1/10,000 being effectively zero

RECEPTOR BINDING STUDIES OF HUMAN TNF COMPLEXED WITH MAB 32 ON HUMAN CARCINOMA CELL LINES IN VITRO

0048MAb 32 has been shown to enhance the anti-tumour activity of human TNF. The mechanisms behind the enhancement may include restriction of TNF binding to particular (tumour) receptor subtypes but not others (endothelial) with subsequent decrease in TNF toxicity to non-tumour cells. This mechanism does not require enhanced uptake of TNF by tumour cells in <u>in vitro</u> assays. In addition, MAb 32 also potentiates the binding of human TNF directly to TNF receptors on certain human carcinoma cell lines.

MATERIALS AND METHODS

0049The following human carcinoma cell lines have been assayed for enhanced receptor-mediated uptake of TNF in the presence of MAb 32: B10, CaCo, HT 29, SKC01 (all colon carcinomas), 5637 (Bladder carcinoma), MM418E (melanoma), IGR3 (melanoma), MCF 7 (breast carcinoma). The cells were propogated in either RPMI-1640 (MM418E) DMEM (CaCo and IGR 3) or Iscoves modified DMEM (B10, HT 29, SK01, S637, MCF 7) supplemented with 10% foetal calf serum, penecillin/streptomycin and L-glutamine. Receptor assays were performed as previously described for endothelial cells except that the incubation time with iodinated TNF was extended to 3 hours for all but the B10 cells for which the radiolabel was incubated for 1 hour.

RESULTS

0050Enhanced TNF uptake was observed in the presence of MAb32 by the melanoma cell lines tested MM418E and IGR 3 (Figs. 13 and 14), the bladder carcinoma 5637 (Fig. 15), and the breast carcinoma MCF 7 (Fig. 16). MAb 32 did not affect TNF-receptor interaction in any of the other cell lines as shown by B 10 (Fig. 17) MAb 47, which has been shown to inhibit TNF binding to WEHI-164 cells and endothelial cells, and which also inhibits TNF-mediated tumour regression was found to markedly inhibit TNF binding to all the cell lines tested (Figs. 13-17).

CONCLUSIONS

0051Receptor binding analyses have indicated a second mechanism whereby MAb 32 may potentiate the anti-tumour activity of TNF This second pathway for enhancement of TNF results from increased uptake of TNF by tumour all receptors in the presence of MAb 32.

ENHANCEMENT OF TNF-MEDIATED TUMOUR REGRESSION IN VIVO BY MAB 32 OR UNIVALENT FAB' FRAGMENTS OF MAB 32

0052Tumour regression studies were carried out as described above in mice carrying WEHI-164 subcutaneous tumours (N = 5 animals/group). Tumour size was determined daily during the course of the experiment. The results obtained using MAb 32 are set out in Fig. 22 and show the mean +/- SD% change in tumour area at the completion of treatment (day 2) (<img file="EP0486526B2_D0021.tif" /> MAb 32 <img file="EP0486526B2_D0022.tif" /> control MAb: *MAb 47). Differences observed between control MAb-TNF and MAb 32-TNF treated groups are statistically significant in a T-test at the p- &lt; .01 level.

0053The results using the univalent FAb' fragments of MAb 32 are shown in Fig. 19. Tumour size was determined daily during the course of the experiment. The results show the mean SD% change in tumour area at the completion of treatment (day 2). Differences between the control MAb-1 OF and MAb 32-TNF treated groups are statistically significant in a T-test at the P- &lt;.01 level.

TNF INDUCED TUMOUR REGRESSION : EFFECT OF ANTI-PEPTIDE 301 SERA

0054Fig. 20 shows the percent change in tumour area in tumour-bearing mice treated for three days with TNF plus control MAb (antibody against bovine growth hormone), TNF plus MAb 32 or TNF plus antiserum (globulin fraction) against peptide 301 In an unpaired T-test the control group is significantly different from both of the test groups (MAb 32, antiserum 301) while the MAb 32 and peptide antiserum 301 groups are not significantly different from each other. (control vs MAb 32, p &lt;.002; control vs antipeptide 301, p &lt;.025). Thus antisera raised using a peptide which comprises part of the MAb 32 specificity, also causes TNF enhancement of tumour regression.

0055As shown in Fig. 9 competition binding studies has shown that the thirteen monoclonal antibodies can be subdivided into two main groups, namely MAbs 1, 21, 47, 54, 37, 32 and 25 and MAbs 11, 12, 53 and 42. Experiments were then conducted to identify the regions on human TNF recognised by these monoclonal antibodies.

IDENTIFICATION OF REGIONS ON HUMAN TNF RECOGNISED BY MONOCLONAL ANTIBODIES

Methods

0056<ul id="ul0005" list-style="none" compact="compact"><li>1. Overlapping peptides of 7 and 10 amino acid residues long were synthesized on polypropylene pins according to the method of Geysen et al.,1984, PNAS 81, 3998-4002. The overlap was of 6 and 9 residues respectively and collectively the peptides covered the entire TNF amino acid sequence. The peptides were tested for reactivity with the MAbs by ELISA. MAbs which had TNF reactivity absorbed from them by prior incubation with whole TNF were also tested for reactivity with the peptides and acted as a negative control.</li><li>2. Longer peptides of TNF were synthesized as described below. These peptides were used to raise antisera in sheep using the following protocol. Merino sheep were primed with TNF peptide conjugated to ovalbumin and emulsified in Freunds Complete adjuvant and boosted at 4 weekly intervals with peptide-ovalbumin and sera assayed for the presence of anti-TNF antibody by radioimmunoassay. Of the peptides shown only peptides 275, 301, 305, 306 and 307 elicited sera reacting with whole TNF. The positive sera were then used in competitive binding assays (PACT assays) with the MAbs.</li></ul>

0057The following peptides were synthesised and are described using the conventional three letter code for each amino acid with the TNF sequence region indicated in brackets.

Peptide 275

0058<img file="EP0486526B2_D0023.tif" />

Peptide 301

0059<img file="EP0486526B2_D0024.tif" />

Peptide 302

0060<img file="EP0486526B2_D0025.tif" />

Peptide 304

0061<img file="EP0486526B2_D0026.tif" />

Peptide 305

0062<img file="EP0486526B2_D0027.tif" />

Peptide 306

0063<img file="EP0486526B2_D0028.tif" />

Peptide 307

0064<img file="EP0486526B2_D0029.tif" />

Peptide 308

0065<img file="EP0486526B2_D0030.tif" />

Peptide 309

0066<img file="EP0486526B2_D0031.tif" />

Peptide 323

0067<img file="EP0486526B2_D0032.tif" />

0068These peptides were synthesised using the following general protocol. All peptide were synthesised using the Fmoc-polyamide method of solid phase peptide synthesis (Atherton et al, 1978, J.Chem.Soc.Chem.Commun., <u>13</u>, 537-539). The solid resin used was PepSyn KA which is a polydimethylacrylamide gel on Kieselguhr support with 4-hydroxymethylphenoxyacetic acid as the functionalised linker (Atherton et al., 1975, J.Am.Chem. Soc. <u>97</u>, 6584-6585).

0069The carboxy terminal amino acid was attached to the solid support by a DCC/DMAP-mediated symmetrical-anhydride esterification.

0070All Fmoc-groups were removed by piperidine/DMF wash and peptide bonds were formed either via pentafluorophenyl active esters or directly by BOP/NMM/HOBt (Castro's reagent) (Fournier et al, 1989, Int.J.Peptide Protein Res., <u>33</u>, 133-139) except for certain amino acids as specified in Table 5.

0071Side chain protection chosen for the amino acids was removed concomittantly during cleavage with the exception of Acm on cysteine which was left on after synthesis. <tables id="tabl0005" num="0005"><table frame="all"><title>TABLE 5</title><tgroup cols="3" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="52.50mm" /><colspec colnum="2" colname="col2" colwidth="52.50mm" /><colspec colnum="3" colname="col3" colwidth="52.50mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col1" align="center">Amino Acid</entry><entry namest="col2" nameend="col2" align="center">Protecting Group</entry><entry namest="col3" nameend="col3" align="center">Coupling Method</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">Arg</entry><entry namest="col2" nameend="col2" align="left">Mtr or Pmc</entry><entry namest="col3" nameend="col3" align="left">Either</entry></row><row><entry namest="col1" nameend="col1" align="left">Asp</entry><entry namest="col2" nameend="col2" align="left">OBut</entry><entry namest="col3" nameend="col3" align="left">Either</entry></row><row><entry namest="col1" nameend="col1" align="left">Cys</entry><entry namest="col2" nameend="col2" align="left">Acm (permanent)</entry><entry namest="col3" nameend="col3" align="left">Either</entry></row><row><entry namest="col1" nameend="col1" align="left">Glu</entry><entry namest="col2" nameend="col2" align="left">OBut</entry><entry namest="col3" nameend="col3" align="left">Either</entry></row><row><entry namest="col1" nameend="col1" align="left">His</entry><entry namest="col2" nameend="col2" align="left">Boc</entry><entry namest="col3" nameend="col3" align="left">OPfp only</entry></row><row><entry namest="col1" nameend="col1" align="left">Lys</entry><entry namest="col2" nameend="col2" align="left">Boc</entry><entry namest="col3" nameend="col3" align="left">Either</entry></row><row><entry namest="col1" nameend="col1" align="left">Ser</entry><entry namest="col2" nameend="col2" align="left">But</entry><entry namest="col3" nameend="col3" align="left">BOP only</entry></row><row><entry namest="col1" nameend="col1" align="left">Thr</entry><entry namest="col2" nameend="col2" align="left">But</entry><entry namest="col3" nameend="col3" align="left">BOP only</entry></row><row><entry namest="col1" nameend="col1" align="left">Tyr</entry><entry namest="col2" nameend="col2" align="left">But</entry><entry namest="col3" nameend="col3" align="left">Either</entry></row><row><entry namest="col1" nameend="col1" align="left">Trp</entry><entry namest="col2" nameend="col2" align="left">none</entry><entry namest="col3" nameend="col3" align="left">Either</entry></row><row><entry namest="col1" nameend="col1" align="left">Asn</entry><entry namest="col2" nameend="col2" align="left">none</entry><entry namest="col3" nameend="col3" align="left">OPfp only</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">Gln</entry><entry namest="col2" nameend="col2" align="left">none</entry><entry namest="col3" nameend="col3" align="left">OPfp only</entry></row></tbody></tgroup></table></tables>

Cleavage and Purification

0072Peptide 301, 302, 305 are cleaved form the resin with 95% TFA and 5% thioanisole (1.5 h) and purified on reverse phase C4 column, (Buffer A - 0.1% aqueous TFA, Buffer B - 80% ACN 20% A).

0073Peptide 303, 304 are cleaved from the resin with 95% TFA and 5% phenol (5-6 h) and purified on reverse phase C4 column. (Buffers as above).

0074Peptide 306, 308 are cleaved from the resin with 95% TFA and 5% water (1.5 h) and purified on reverse phase C4 column. (Buffers as above).

0075Peptide 309 Peptide was cleaved from the resin with 95% TFA and 5% thioanisole and purified on reverse phase C4 column. (Buffers as above).

0076Peptide 307 Peptide was cleaved from the resin with a mixture of 93% TFA, 3.1% Anisole, 2.97% Ethylmethylsulfide and 0.95% Ethanedithiol (3 h) and purified on reverse phase C4 column. (Buffers as above).

RESULTS

0077Typical results of MAb ELISA using the 7 and 10 mers are shown in Fig. 21. Together with the results of PACT assays using the sheep anti-peptide sera (shown in Table 6) the following regions of TNF contain the binding sites of the anti-TNF MAbs. <dl id="dl0001" compact="compact"><dt>MAb 1:</dt><dd>residues 1-18, 58-65, 115-125, 138-149</dd><dt>MAb 11:</dt><dd>residues 49-98</dd><dt>MAb 12:</dt><dd>residues 22-40, 70-87</dd><dt>MAb 21:</dt><dd>residues 1-18, 76-90</dd><dt>MAb 25:</dt><dd>residues 12-22, 36-45, 96-105, 132-157</dd><dt>MAb 32:</dt><dd>residues 1-26, 117-128, 141-153</dd><dt>MAb 37:</dt><dd>residues 22-31, 146-157</dd><dt>MAb 42:</dt><dd>residues 22-40, 49-96, 110-127, 136-153</dd><dt>MAb 47:</dt><dd>residues 1-18, 108-128</dd><dt>MAb 53:</dt><dd>residues 22-40, 69-97, 105-128, 135-155</dd><dt>MAb 54:</dt><dd>residues 56-79, 110-127, 136-155</dd></dl><tables id="tabl0006" num="0006"><table frame="all"><title>TABLE 6</title><tgroup cols="6" colsep="1" rowsep="0"><colspec colnum="1" colname="col1" colwidth="26.25mm" /><colspec colnum="2" colname="col2" colwidth="26.25mm" /><colspec colnum="3" colname="col3" colwidth="26.25mm" /><colspec colnum="4" colname="col4" colwidth="26.25mm" /><colspec colnum="5" colname="col5" colwidth="26.25mm" /><colspec colnum="6" colname="col6" colwidth="26.25mm" /><thead valign="top"><row rowsep="1"><entry namest="col1" nameend="col6" align="left">COMPETITIVE BINDING OF TNF BY ANTI-TNF MONOCLONES IN THE PRESENCE OF ANTI PEPTIDE SERA</entry></row><row rowsep="1"><entry namest="col1" nameend="col6" align="left">MAB/PEPTIDE SERA</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" /><entry namest="col2" nameend="col2" align="left">275</entry><entry namest="col3" nameend="col3" align="left">301</entry><entry namest="col4" nameend="col4" align="left">305</entry><entry namest="col5" nameend="col5" align="left">306</entry><entry namest="col6" nameend="col6" align="left">307</entry></row></thead><tbody valign="top"><row><entry namest="col1" nameend="col1" align="left">1</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">-</entry></row><row><entry namest="col1" nameend="col1" align="left">11</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+/-</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">-</entry></row><row><entry namest="col1" nameend="col1" align="left">12</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">+ +</entry></row><row><entry namest="col1" nameend="col1" align="left">21</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">++</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">-</entry></row><row><entry namest="col1" nameend="col1" align="left">25</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">-</entry></row><row><entry namest="col1" nameend="col1" align="left">32</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">++++</entry><entry namest="col4" nameend="col4" align="left">+</entry><entry namest="col5" nameend="col5" align="center">+</entry><entry namest="col6" nameend="col6" align="left">-</entry></row><row><entry namest="col1" nameend="col1" align="left">37</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">+/-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">+</entry></row><row><entry namest="col1" nameend="col1" align="left">47</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">-</entry></row><row><entry namest="col1" nameend="col1" align="left">53</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">+</entry></row><row><entry namest="col1" nameend="col1" align="left">54</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">-</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">-</entry></row><row rowsep="1"><entry namest="col1" nameend="col1" align="left">42</entry><entry namest="col2" nameend="col2" align="center">-</entry><entry namest="col3" nameend="col3" align="left">+</entry><entry namest="col4" nameend="col4" align="left">+</entry><entry namest="col5" nameend="col5" align="center">-</entry><entry namest="col6" nameend="col6" align="left">+</entry></row><row><entry namest="col1" nameend="col6" align="left"> Note 1: - indicates no competition, + indicates slight competititon at high concentration of anti-peptide antisera</entry></row><row><entry namest="col1" nameend="col6" align="left">(1/50), ++++ indicates trong competition by anti-peptide sera equal to that of the homologous MAb.</entry></row><row rowsep="1"><entry namest="col1" nameend="col6" align="left">Note 2: Only peptide which elicited sera recognising whole TNF were used in this assay.</entry></row></tbody></tgroup></table></tables>

CONCLUSIONS

0078Mapping of the regions recognised by each of the MAbs has indicated that MAbs in group I (MAbs 1, 21, 47, 54, 37, 32 and 25) as shown. on the schematic diagram bind TNF in the region of residues 1-18 with the exception of MAbs 37 and 54, while MAbs in group II of the schematic diagram (MAbs 11,12, 53 and 42) bind TNF in the region of residues 70-96 which encompasses a so-called pallendromic loop on the TNF 3-D structure. MAbs which inhibit the induction of endothelial cell procoagulant activity (MAbs 1, 32, 42, 47, 54 and 53) all bind in the region of residues 108-128 which again contains a loop structure in the 3-D model and may indicate that this region interacts with TNF receptors which are found on endothelial cells but not tumour cells MAb 32 which potentiates the in vivo tumour regression and antiviral activity of TNF is the only antibody which binds all the loop regions associated with residues 1-26, 117-128, and 141-153 and hence binding of these regions is crucial for enhanced TNF bioactivity with concommittant reduction of toxicity for normal cells.

0079As is apparent from Table 2 MAb 1, 47 and 54 have the same effect on the bioactivity of TNF From the results presented above it is noted that these three monoclonals bind to similar regions of the TNF molecule. Accordingly, it is believed that a ligand which binds to TNF in at least two regions selected from the group consisting predominately of the region of residues 1-20, the region of residues 56-77, the region of residues 108-128 and the region of residues 138-149 will effect the bioactivity of TNF in a manner similar to that of MAbs 1, 47 and 54. Similarly, it is believed that a ligand which binds to TNF predominately in the regions of residues 1-20 and 76-90 will have the same effect on the bioactivity of TNF as MAb 21. A ligand which binds to TNF predominately in the regions of residues 22-40 and 69-97 will have the same effect on bioactivity of TNF as MAb 12. A ligand which binds to TNF predominately in the regions of residues 1-30, 117-128, and 141-153 would be expected to have the same effect on the bioactivity of TNF as MAb 32 and a ligand which binds to TNF predominately in the regions of residues 22-40, 49-97,110-127 and 136-153 would be expected to have the same effect on the bioactivity of TNF as MAb 42. A ligand which binds to TNF predominately in the regions of residues 22-31 and 146-157 would be expected to have the same effect on the bioactivity of TNF as MAb 37 and a ligand which binds to TNF predominately in the regions of residues 22-40, 69-97, 105-128 and 135-155 would be expected to have the same effect on the bioactivity of TNF as MAb 53

0080The present inventors have quite clearly shown that the bioactivity of TNF can be altered by the binding of a ligand to the TNF, and that the effect on the bioactivity is a function of the specificity of the ligand. For example, the binding of MAb 32 to TNF in the regions of residues 1-26, 117-128 and 141-153 results in the induction of endothelial procoagulant activity of the TNF and binding of TNF to receptors on endothelial cells being inhibited; the induction of tumour fibrin deposition and tumour regression activities of the TNF being enhanced; the cytotoxicity being unaffected and the tumour receptor binding activities of the TNF being unaffected or enhanced. It is believed that this effect on the bioactivity of the TNF may be due to the prevention of the binding of the epitope of the TNF recognised by MAb 32 to naturally occurring biologically active ligands. Accordingly, it is believed that a similar effect to that produced by MAb 32 could also be produced by a ligand which binds to a region of TNF in a manner such that the epitope recognised by MAb 32 is prevented from binding to naturally occurring biologically active ligands. This prevention of binding may be due to steric hindrance or other mechanisms.

0081Accordingly, it is intended that the prevention of the binding of epitopes recognised by the various monoclonal antibodies described herein to naturally occurring biologically active ligands is within the scope of the present invention.