Delivery of pharmaceutical agents via the human insulin receptor

Description of equivalent WO 2004050016 A2

DELIVERY OF PHARMACEUTICAL AGENTS VIA THE HUMAN INUSLIN RECEPTOR

BACKGROUND OF THE INVENTION

1. Field of the Invention

[0001] The present invention relates generally to the delivery of pharmaceutical agents from the blood stream to the human brain and other organs or tissues that express the human insulin receptor. More particularly, the present invention involves the development of "humanized" monoclonal antibodies (MAb) that may be attached to pharmaceutical agents to form compounds that are able to readily bind to the human insulin receptor (HIR). The compounds are able to cross the human blood brain barrier (BBB) by way of insulin receptors located on the brain capillary endothelium. Once across the BBB, the humanized monoclonal antibody/pharmaceutical agent compounds are also capable of undergoing receptor mediated endocytosis into brain cells via insulin receptors located on the brain cells.

2. Description of Related Art

[0002] The publications and other reference materials refeπed to herein to describe the background of the invention and to provide additional detail regarding its practice are hereby incorporated by reference. For convenience, the reference materials are identified by author and date and grouped in the appended bibliography.

[0003] The BBB is a system-wide membrane barrier that prevents the brain uptake of circulating drugs, protein therapeutics, antisense drugs, and gene medicines. Drugs or genes can be delivered to the human brain for the treatment of serious brain disease either (a) by injecting the drug or gene directly into the brain, thus bypassing the BBB, or (b) by injecting the drug or gene into the bloodstream so that the drug or gene enters the brain via the transvascular route across the BBB. With intra-cerebral administration of the drug, it is necessary to drill a hole in the head and perform a procedure called craniotomy. In addition to being expensive and highly invasive, this craniotomy based drug delivery to the brain approach is ineffective, because the drug or gene is only delivered to a tiny volume of the brain at the tip of the injection needle. The only way the drug or gene can be distributed widely in the brain is the transvascular route following injection into the bloodstream. However, this latter approach requires the ability to undergo transport across the BBB. The BBB has proven to be a very difficult and stubborn barrier to traverse safely. [0004] Prior work has shown that drugs or gene medicines can be ferried across the BBB using molecular Trojan horses that bind to BBB receptor/transport systems. These Trojan horses may be modified proteins, endogenous peptides, or peptidomimetic monoclonal antibodies (MAb's). For example, HIR MAb 83-14 is a murine MAb that binds to the human insulin receptor (HIR). This binding triggers transport across the BBB of MAb 83-14 (Pardridge et al, 1995), and any drug or gene payload attached to the MAb (Wu et al., 1997).

[0005] The use of molecular Trojan horses to ferry drugs or genes across the BBB is described in United States Patents Nos. 4,801,575 and 6,372,250. The linking of drugs to MAb transport vectors is facilitated with use of avidin-biotin technology. In this approach, the drug or protein therapeutic is monobiotinylated and bound to a conjugate of the antibody vector and avidin or streptavidin. The use of avidin-biotin technology to facilitate linking of drugs to antibody-based transport vectors is described in United States Patent No. 6,287,792. Fusion proteins have also been used where a drug is genetically fused to the MAb transport vector. [0006] HIRMAb 83-14 has been shown to rapidly undergo transport across the BBB of a living Rhesus monkey, and to bind avidly to isolated human brain capillaries, which are the anatomical substrate of the human BBB (see Pardridge et al., 1995). In either case, the activity of the HIRMAb 83-14 with respect to binding and transport at the primate or human BBB is more than 10-fold greater than the binding or transport of other peptidomimetic MAb's that may target other BBB receptors such as the transferrin receptor (Pardridge, 1997). To date, HIRMAb 83-14 is the most active BBB transport vector known (Pardridge, 1997). On this basis, the HIRMAb 83-14 has proven to be a very useful agent for the delivery of drugs to the primate brain in vivo, and would also be highly active for brain drug or gene delivery to the brain in humans. [0007] HIRMAb 83-14 cannot be used in humans because this mouse protein will be immunogenic. Genetically engineered forms of HIRMAb 83-14 might be used in humans in either the form of a chimeric antibody or a genetically engineered "humanized" HIRMAb. However, in order to perform the genetic engineering and production of either a chimeric or a humanized antibody, it is necessary to first clone the variable region of the antibody heavy chain (NH) and the variable region of the antibody light chain (NL). Following cloning of the NH and NL genes, the genes must be sequenced and the amino acid sequence deduced from the nucleotide sequence. With this amino acid sequence, using technologies known to those skilled in the art (Foote et al., 1992), it may be possible to perform humanization of the murine HIRMAb 83-14. However, HIRMAb 83-14 may lose biological activity following the humanization (Pichla et al., 1997). Therefore, it is uncertain as to whether the murine HIRMAb can be humanized with retention of biological activity. [0008] A chimeric form of the HIRMAb 83-14 has been genetically engineered, and the chimeric antibody binds to the HIR and is transported into the primate brain (Coloma et al., 2000). However, a chimeric antibody retains the entire mouse FR for both the NH and the NL, and because of this, chimeric antibodies are still immunogenic in humans (Bruggemann et al., 1989). In contrast to the chimeric antibody, a humanized antibody would use the human FR amino acid sequences for both the NH and the NL and retain only the murine amino acids for the 3 complementarity determining regions (CDRs) of the NH and 3 CDRs of the NL. Not all murine MAb's can be humanized, because there is a loss of biological activity when the murine FR's are replaced by human FR sequences (Pichla et al., 1997). The biological activity of the antibody can be restored by substituting back certain mouse FR amino acids (see U.S. Patent No. 5,585,089). Nevertheless, even with FR amino acid back-substitution, certain antibodies cannot be humanized with retention of biological activity (Pichla et al., 1997). Therefore, there is no certainty that the murine HIRMAb 83-14 can be humanized even once the key murine CDR and FR amino acid sequences are known. SUMMARY OF THE INVENTION [0009] In accordance with the present invention, it was discovered that the murine HIRMAb 83-14 antibody can be humanized to provide a biologically active humanized insulin receptor (HIR) antibody that may be used in combination with drugs and diagnostic agents to treat human beings in vivo. The HIR antibody may be conjugated to the drug or diagnostic agent using avidin-biotin conjugation or the HIR antibody/drug combination may be prepared as a fusion protein using genetic engineering techniques. The HIR antibody is especially well suited for delivering neuropharmaceutical agents to the human brain across the BBB. The humanized character of the HIR antibody significantly reduces immunogenic reactions in humans.

[0010] The humanized murine antibody of the present invention is capable of binding to the HIR and includes a heavy chain (HC) of amino acids and a light chain (LC) of amino acids which both include variable and constant regions. The variable regions of the HC and LC include complementarity determining regions (CDRs) that are interspersed between framework regions (FRs).

[0011] The HC includes a first CDR located at the amino end of the variable region, a third CDR located at the carboxyl end of the HC variable region and a second CDR located between said first and third CDRs. The amino acid sequences for the first CDR, the second CDR, and the third CDR are SEQ. ID. NOS. 31 , 33 and 35, respectively, and combined equivalents thereof. The HC framework regions include a first FR located adjacent to the amino end of the first CDR, a second FR located between said first and second CDRs, a third FR located between said second and third CDRs and a fourth FR located adjacent to the carboxyl end of said third CDR. In accordance with the present invention, the four FRs of the HC are humanized such that the overall antibody retains biological activity with respect to the HIR and is not immunogenic in humans.

[0012] The LC also includes a first CDR located at the amino end of the variable region, a third CDR located at the carboxyl end of the variable region and a second CDR located between said first and third CDRs. The amino acid sequences for the first CDR, the second CDR, and the third CDR are SEQ. ID. NOS. 38, 40, and 42, respectively, and combined equivalents thereof. The LC framework regions include a first FR located adjacent to the amino end of said first CDR, a second FR located between said first and second CDRs, a third FR located between said second and third CDRs and a fourth FR located adjacent to the carboxyl end of said third CDR. Pursuant to the present invention, the four FRs of the LC are humanized such that the overall antibody retains biological activity with respect to the HIR and has minimal immunogenicity in humans.

[0013] The constant regions of the murine antibody are also modified to minimize immunogenicity in humans. The murine HC constant region is replaced with the HC constant region from a human immunoglobulin such as IgGl . The murine LC constant region is replaced with a constant region from the LC of a human immunoglobulin such as a kappa (K) LC constant region. Replacement of the murine HC and LC constant regions with human constant regions was found to not adversely affect the biological activity of the humanized antibody with respect to HIR binding.

[0014] The present invention not only covers the humanized murine antibodies themselves, but also covers pharmaceutical compositions that are composed of the humanized antibody linked to a drug or diagnostic agent. The humanized antibody is effective in delivering the drug or diagnostic agent to the HIR in vivo to provide transport across the BBB and/or endocytosis into cells via the HIR. The compositions are especially well suited for intra venous (iv) injection into humans for delivery of neuropharmaceutical agents to the brain.

[0015] The above discussed and many other features and attendant advantages of the present invention will become better understood by reference to the detailed description when taken in conjunction with the accompanying drawings.

BRIEF DESCRIPTION OF THE DRAWINGS [0016] FIG. 1 shows the nucleotide sequence for the murine NH (SEQ. ID. NO. 1) and murine NL (SEQ. ID. NO. 2) and deduced amino acid sequence of the murine NH (SEQ. ID. NO. 3) and the murine NL (SEQ. ID. NO. 4), which shows the 3 framework (FR) regions and the 4 complementarity determining regions (CDRs) of both the heavy chain (HC) and the light chain (LC) of the 83-14 murine HIRMAb. The amino acids denoted by an asterisk (*) were confirmed by amino acid sequencing of either the intact murine LC or tryptic peptides of the intact murine HC; for amino acid sequencing, the intact murine HC or LC were purified from gels following purification of the intact murine IgG from the hybridoma conditioned medium.

[0017] FIGS. 2A and 2B graphically show the results of a radio-receptor assay on isolated human brain capillaries that were obtained with a mechanical homogenization procedure from human autopsy brain. These capillaries were incubated with [¹²⁵I]-labeled chimeric HIRMAb (Coloma et al., 2000) (FIG. 2A) or [¹²⁵I]-version 5 humanized HIRMAb (FIG. 2B). The data show that both antibodies bind equally well to human brain capillaries, which form the anatomical basis of the BBB in humans.

[0018] FIG. 3 shows the brain scan of a Rhesus monkey treated with a humanized monoclonal antibody in accordance with the present invention. The [¹²⁵I]-labeled version 5 HIRMAb was injected intravenously in an anesthetized rhesus monkey, and the animal was euthanized 120 minutes later. The brain was rapidly removed and cut into coronal hemispheric slabs, which were immediately frozen. Cryostat sections (20 μm) were cut and exposed to x-ray film. The film was scanned to yield the image shown in FIG. 3. This image shows the clear demarcations between the gray matter and white matter of the primate brain. Owing to the higher vascular density in gray matter, there is a greater uptake of the humanized HIRMAb, relative to white matter.

[0019] FIG. 4 shows a comparison of the amino acid sequence for the 3 FRs and 3 CDRs of both the heavy chain and the light chain for the following: (a) the version 5 humanized HIRMAb, (v) the original murine 83-14 HIRMAb, and (c) the NH of the B43 human IgG or the VL of the REI human IgG.

[0020] FIG. 5 shows the amino acid sequence of a fusion protein of human α-L- iduronidase (IDUA) (SEQ. ID. NO. 48), which is fused to the carboxyl terminus of the heavy chain (HC) of the humanized monoclonal antibody to the human insulin receptor (HIRMAb). The HC is comprised of a variable region (VH) and a constant region (CH); the CH is further comprised of 3 sub-regions, CHI (SEQ. ID. NO. 44), CH2 (SEQ. ID. NO. 45), and CH3 (SEQ. ID NO. 46); the CHI and CH2 regions are connected by a 12 amino acid hinge region (SEQ. ID. NO. 47). The VH is comprised of 4 framework regions (FR1 = SEQ. ID. NO. 30; FR2 = SEQ. ID. NO. 32; FR3 = SEQ. ID. NO. 34; and FR4 = SEQ. ID. NO. 36) and 3 complementarity determining regions (CDR) (CDR1 = SEQ. ID. NO. 31; CDR2 = SEQ. ID. NO. 33; and CDR3 = SEQ. ID. NO. 35). The amino acid sequence shown for the CH is well known in existing databases and coπesponds to the CH sequence of human IgGl . There is a single N-linked glycosylation site on the asparagine (N) residue within the CH2 region of the CH, and there are 6 potential N-linked glycosylation sites within the IDUA sequence, as indicated by the underline.

DETAILED DESCRIPTION OF THE INVENTION [0021] The present invention involves the humanization of the murine monoclonal antibody identified as MAb 83-14 so that it can be used in vivo in humans. As previously mentioned, MAb 83-14 has a high affinity for the human insulin receptor at the human or rhesus monkey blood-brain barrier (Pardridge, et al. 1995) and is a candidate for use as a Trojan horse to transport neuropharmaceutical agents across the BBB. As used herein, the term "pharmaceutical agents" is intended to include any drug, gene or chemical that is used to treat or diagnose disease in humans. The term "neuropharmaceutical agent" covers pharmaceutical agents that are used to treat brain disease. The present humanized antibody Trojan horses are especially well suited for transporting neuropharmaceutical agents from the blood stream to the brain across the BBB.

[0022] The complete amino acid sequence for the variable region of the HC and LC of murine Mab 83-14 was determined as described in Example 1. The nucleotide sequence for the gene that expresses the murine VH (SEQ. ID. NO. 1) and the murine VL (SEQ. ID. NO. 2) is set forth in FIG. 1. The amino acid sequence for the murine VH (SEQ. ID. NO. 3) and murine VL (SEQ. ID. NO. 4) is also set forth in FIG 1. The amino acid sequences for the variable regions of the murine MAb 83-14 VH and VL are also set forth in FIG. 4 (SEQ. ID. NOS. 3 AND 4, respectively). The humanized murine antibodies of the present invention are prepared by modifying the amino acid sequences of the variable regions of the murine antibody to more closely resemble human antibody without destroying the ability of the antibody to strongly bind to the HIR. In addition, the humanized antibody includes constant regions that also correspond to human antibody.

[0023] The humanized murine antibodies include a heavy chain of amino acids (HC) that is composed of a constant region (CH) and a variable region (VH). The variable region of the HC has an amino end and a carboxyl end and includes three CDRs interspersed between four FRs. The first CDR (CDR1) is located towards the amino end of the VH with the third CDR (CDR3) being located towards the carboxyl end of the HC. The amino acid sequences for murine MAb 83-14 HC CDR1, CDR2, and CDR3 are set forth in SEQ. ID. NOS. 31, 33 and 35, respectively. Since the HC CDRs are essential for antibody binding to the HIR, it is prefeπed that the humanized antibodies have HC CDRs with amino acid sequences that are identical to SEQ. ID. NOS. 31 , 33 and 35. However, the humanized antibodies may include CDRs in the HC that have amino acid sequences which are "individually equivalent" to SEQ. ID. NOS. 31, 33 and 35. "Individually equivalent" amino acid sequences are those that have at least 75 percent sequence identity and which do not adversely affect the binding of the antibody to the HIR. Preferably, individually equivalent amino acid sequences will have at least 85 percent sequence identity with SEQ. ID. NOS. 31, 33 or 35. Even more preferred are individually equivalent amino acid sequences having at least 95 percent sequence identity.

[0024] The three VH CDR amino acid sequences may also be viewed as a combined group of amino acid sequences (VH CDR1, VH CDR2 and VH CDR3). The present invention also covers equivalents of the combined group of VH CDR sequences. Such "combined equivalents" are those that have at least 75 percent sequence identity with the combined amino acid sequences SEQ. ID. NOS. 31, 32 and 35 and which do not adversely affect the binding of the antibody to the HIR. Preferably, combined equivalent amino acid sequences will have at least 85 percent sequence identity with the combined sequences found in SEQ. ID. NOS. 31,33 and 35. Even more prefeπed are combined equivalent amino acid sequences that have at least 95 percent sequence identity with the combined amino acid sequences (SEQ. ID. NOS. 31, 33 and 35).

[0025] It is prefeπed that the VH CDR amino acid sequences meet both the individual equivalency and combined equivalency requirements set forth above. However, there are certain situations, especially for the shorter CDRs, where one or more of the CDRs may not meet the criteria for individual equivalence even though the criteria for combined equivalence is met. In such situations, the individual equivalency requirements are waived provided that the combined equivalency requirements are met. For example, VH CDR3 (SEQ. ID. NO. 35) is only 4 amino acids long. If two amino acids are changed, then the individual sequence identity is only 50% which is below the 75% floor for individual equivalence set forth above. However, this particular sequence is still suitable for use as part of a combined equivalent VH CDR group provided that the sequence identity of the combined CDR1, CDR2 and CDR3 sequences meet the group equivalency requirements. [0026] The humanized murine antibodies also include a light chain (LC) of amino acids that is composed of a constant region (CL) and a variable region (VL). The variable region of the LC has an amino end and a carboxyl end and includes three CDRs interspersed between four FRs. The first CDR (CDR1) is located towards the amino end of the VL with the third CDR (CDR3) being located towards the carboxyl end of the VL. The amino acid sequences for murine MAb 83-14 LC CDR1, CDR2, and CDR3 are set forth in SEQ. ID. NOS. 38, 40 and 42, respectively. Since the VL CDRs are also important for antibody binding to the HIR, it is prefeπed that the humanized antibodies have LC CDRs with amino acid sequences that are identical to SEQ. ID. NOS. 38, 40 and 42. However, the humanized antibodies may include CDRs in the VL that have amino acid sequences which are "individually equivalent" to SEQ. ID. NOS. 38, 40 or 42. "Individually equivalent" amino acid sequences are those that have at least 75 percent sequence identity and which do not adversely affect the binding of the antibody to the HIR. Preferably, individually equivalent amino acid sequences will have at least 85 percent sequence identity with SEQ. ID. NOS. 38, 40 or 42. Even more prefeπed are individually equivalent amino acid sequences having at least 95 percent sequence identity. [0027] The three VL CDR amino acid sequences may also be viewed as a combined group of amino acid sequences (VL CDR1, VL CDR2 and VL CDR3). The present invention also covers equivalents of the combined group of VL CDR sequences. Such "combined equivalents" are those that have at least 75 percent sequence identity with the combined amino acid sequences SEQ. ID. NOS. 38, 40 and 42 and which do not adversely affect the binding of the antibody to the HIR. Preferably, combined equivalent amino acid sequences will have at least 85 percent sequence identity with the combined sequences found in SEQ. ID. NOS. 38, 40 and 42. Even more prefeπed are combined equivalent amino acid sequences that have at least 95 percent sequence identity with the combined amino acid sequences (SEQ. ID. NOS. 38, 40 and 42).

[0028] It is prefeπed that the VL CDR amino acid sequences meet both the individual equivalency and combined equivalency requirements set forth above. However, there are certain situations, especially for the shorter CDRs, where one or more of the CDRs may not meet the criteria for individual equivalence even though the criteria for combined equivalence is met. In such situations, the individual equivalency requirements are waived provided that the combined equivalency requirements are met. For example, VH CDR3 (SEQ. ID. NO. 42) is only 9 amino acids long. If three amino acids are changed, then the individual sequence identity is only 66% which is below the 75% floor for individual equivalence set forth above. However, this particular sequence is still suitable for use as part of a combined equivalent VL CDR group provided that the sequence identity of the combined CDR1, CDR2 and CDR3 sequences meet the group equivalency requirements. [0029] The first framework region (FRl) of the VH is located at the amino end of the humanized antibody. The fourth framework region (FR4) is located towards the carboxyl end of the humanized antibody. Exemplary prefeπed amino acid sequences for the humanized VH FRl, FR2, FR3 and FR4 are set forth in SEQ. ID. NOS. 30, 32, 34 and 36, respectively, and these prefeπed sequences coπespond to version 5 humanized HIRMAb (Table 3). The amino acid sequence for FR2 (SEQ. ID. NO. 32) is identical to the amino acid sequence of murine MAb 83-14 VH FR2 or the human IgG, B43 (See FIG. 4). The amino acid sequences for VH FRl and FR4 (SEQ. ID. NOS. 30 and 36) coπespond to the B43 human antibody framework regions that have amino acid sequences that differ from murine MAb 83-14 (FIG. 4). The amino acid sequences for the VH FR3 (SEQ. ID. No. 34) of the version 5 humanized HIRMAb coπesponds to the VH FR3 of the murine 83-14 antibody (Table 3). It is possible to modify the prefeπed VH FR sequences without destroying the biological activity of the antibody. Suitable alternate or equivalent FRs include those that have at least 70 percent individual sequence identity with SEQ. ID. NOS. 30, 32, 34 or 36 and do not destroy the resulting antibodies ability to bind the HIR. Preferably, the alternate FRs will have at least 80 percent sequence identity with the prefeπed VH FR that is being replaced. Even more prefeπed are alternate FRs that have at least 90 percent sequence identity with the prefeπed VH FR that is being replaced.

[0030] The four VH FR amino acid sequences may also be viewed as a combined group of amino acid sequences (VH FRl, VH FR2, VH FR3 and VH FR4). The present invention also covers alternates or equivalents of the combined group of VH FR sequences. Such "combined equivalents" are those that have at least 70 percent sequence identity with the combined amino acid sequences SEQ. ID. NOS. 30, 32, 34 and 36 and which do not adversely affect the binding of the antibody to the HIR. Preferably, combined equivalent amino acid sequences will have at least 80 percent sequence identity with the combined sequences found in SEQ. ID. NOS. 30, 32, 34 and 36. Even more prefeπed are combined equivalent amino acid sequences that have at least 90 percent sequence identity with the combined amino acid sequences (SEQ. ID. NOS. 30, 32, 34 and 36).

[0031] It is prefeπed that the alternate VH FR amino acid sequences meet both the individual equivalency and combined equivalency requirements set forth above. However, there are certain situations, especially for the shorter FRs, where one or more of the FRs may not meet the criteria for individual equivalence even though the criteria for combined equivalence is met. In such situations, the individual equivalency requirements are waived provided that the combined equivalency requirements are met.

[0032] The first framework region (FRl) of the LC is located at the amino end of the VL of the humanized antibody. The fourth framework region (FR4) is located towards the carboxyl end of the VL of the humanized antibody. Exemplary prefeπed amino acid sequences for the humanized VL FRl, FR2, FR3 and FR4 are set forth in SEQ. ID. NOS. 37, 39, 41 and 43, respectively. The amino acid sequences for VL FRl, FR2, FR3 and FR4 (SEQ. ID. NOS. 37, 39, 41 and 43) coπespond to the REI human antibody framework regions that have amino acid sequences that differ from murine MAb 83-14 (See FIG. 4). It is possible to modify the prefeπed VL FR sequences without destroying the biological activity of the antibody. Suitable alternate or equivalent FRs include those that have at least 70 percent sequence identity with SEQ. ID. NOS. 37, 39, 41 and 43 and do not destroy the resulting antibodies ability to bind the HIR. Preferably, the equivalent or alternate FRs will have at least 80 percent sequence identity with the prefeπed VL FR that is being replaced. Even more prefeπed are alternate FRs that have at least 90 percent sequence identity with the prefeπed VL FR that is being replaced. [0033] The four VL FR amino acid sequences may also be viewed as a combined group of amino acid sequences (VL FRl, VL FR2, VL FR3 and VL FR4). The present invention also covers alternates or equivalents of the combined group of VL FR sequences. Such "combined equivalents" are those that have at least 70 percent sequence identity with the combined amino acid sequences SEQ. ID. NOS. 37, 39, 41 and 43 and which do not adversely affect the binding of the antibody to the HIR. Preferably, combined equivalent amino acid sequences will have at least 80 percent sequence identity with the combined sequences found in SEQ. ID. NOS. 37, 39, 41 and 43. Even more prefeπed are combined equivalent amino acid sequences that have at least 90 percent sequence identity with the combined amino acid sequences (SEQ. ID. NOS. 37, 39, 41 and 43).

[0034] It is prefeπed that the alternate VL FR amino acid sequences meet both the individual equivalency and combined equivalency requirements set forth above. However, there are certain situations, especially for the shorter FRs, where one or more of the FRs may not meet the criteria for individual equivalence even though the criteria for combined equivalence is met. In such situations, the individual equivalency requirements are waived provided that the combined equivalency requirements are met.

[0035] Version 5 is a prefeπed humanized antibody in accordance with the present invention. The amino acid sequences for the VH and VL of Version 5 are set forth in SEQ. ID. NOS. 5 and 6, respectively. The preparation and identification of Version 5 is set forth in more detail in Example 2, Table 3 and FIG. 4. The amino acid sequences for the VH FRs of Version 5 coπespond to the prefeπed VH FR sequences set forth above (SEQ. ID. NOS. 30, 32, 34 and 36). In addition, the amino acid sequences for the VL FRs of Version 5 coπespond to the prefeπed VL FR sequences set forth above (SEQ. ID. NOS. 37, 39, 41, 43). The VH and VL FRs of Version 5 are a prefeπed example of VH and VL LC FRs that have been "humanized". "Humanized" means that the four framework regions in either the HC or LC have been matched as closely as possible with the FRs from a human antibody (HAb) without destroying the ability of the resulting antibody to bind the HIR. The model human antibody used for the HC is the B43 antibody, and the model human antibody used for the LC is the REI antibody, and both the B43 and REI antibody sequences are well known and available in public databases. When the HC or LC FRs are humanized, it is possible that one or more of the FRs will not coπespond identically with the chosen HAb template and may retain identity or similarity to the murine antibody. The degree to which murine amino acid sequences are left in the humanized FRs should be kept as low as possible in order to reduce the possibility of an immunogenic reaction in humans.

[0036] Examples of FRs that have been humanized are set forth in Example 2 and Table 3. Framework regions from human antibodies that coπespond closely to the FRs of murine MAb 84-13 are chosen. The human FRs are then substituted into the MAb 84-13 in place of the murine FRs. The resulting antibody is then tested. The FRs, as a group, are only considered to be humanized if the modified antibody still binds strongly to the HIR receptor and has reduced immunogenicity in humans. If the first test is not successful, then the human FRs are modified slightly and the resulting antibody tested. Exemplary human antibodies that have HC FRs that may be used to humanize the HC FRs of MAb 84-13 include B43 human IgG (SEQ. ID. NO. 12), which is deposited in Genbank (accession number S78322), and other human IgG molecules with a VH homologous to the murine 83-14 VH may be found by searching public databases, such as the Kabat Database of immunoglobulin sequences. Exemplary human antibodies that have LC FRs that may be used to humanize the LC FRs of MAb 84-13 include human REI antibody (SEQ. ID. NO. 13), which is deposited in Genbank (accession number 1WTLB), and other human IgG molecules with a VL homologous to the murine 83-14 VL may be found by searching public databases, such as the Kabat Database of immunoglobulin sequences.

[0037] In order for the humanized antibody to function properly, the HC and LC should each include a constant region. Any number of different human antibody constant regions may be incorporated into the humanized antibody provided that they do not destroy the ability of the antibody to bind the HIR. Suitable human antibody HC constant regions include human IgGl, IgG2, IgG3, or IgG4. The prefeπed HC constant region is human IgGl. Suitable human antibody LC constant regions include kappa (K) or lambda. Human K LC constant regions are prefeπed. [0038] The humanized antibody may be used in the same manner as any of the other antibody targeting agents (Trojan Horses) that have previously been used to deliver genes, drugs and diagnostic agents to cells by accessing the HIR. The humanized antibody is typically linked to a drug or diagnostic compound (pharmaceutical agent) and combined with a suitable pharmaceutical caπier and administered intravenously (iv). With suitable carriers, the drug/humanized antibody complex could also be administered subcutaneously, intra-muscularly, intra-nasally, intra- thecally, or orally. There are a number of ways that the humanized antibody may be linked to the pharmaceutical agent. The humanized antibody may be fused to either avidin or streptavidin and conjugated to a pharmaceutical agent that has been mono- biotinylated in accordance with known procedures that use the avidin-biotin linkage to conjugate antibody Trojan Horses and pharmaceutical agents together. Alternatively, the humanized antibody and pharmaceutical agent may be expressed as a single fusion protein using known genetic engineering procedures. [0039] Exemplary pharmaceutical agents to which the humanized antibody may be linked include small molecules, recombinant proteins, synthetic peptides, antisense agents or nanocontainers for gene delivery. Exemplary recombinant proteins include basic fϊbroblast growth factor (bFGF), human α-L-iduronidase (IDUA), or other neurotrophins, such as brain derived neurotrophic factor, or other lysosomal enzymes. The use of Trojan Horses, such as the present humanized antibody, for transporting bFGF across the BBB is described in a co-pending United States Patent Application (UC Case 2002-094-1, Attorney Docket 0180-0027) that is owned by the same assignee as the present application and which was filed on the same day as the present application)

[0040] Once the humanized antibody is linked to a pharmaceutical agent, it is administered to the patient in the same manner as other known conjugates or fusion proteins. The particular dose or treatment regimen will vary widely depending upon the pharmaceutical agent being delivered and the condition being treated. The prefeπed route of administration is intravenous (iv). Suitable carriers include saline or water buffered with acetate, phosphate, TRIS or a variety of other buffers, with or without low concentrations of mild detergents, such as one from the Tween series of detergents. The humanized antibody/pharmaceutical agent Trojan horse compound is preferably used to deliver neuropharmaceutical agents across the BBB. However, the humanized Trojan horse may also be used to deliver pharmaceutical agents, in general, to any organ or tissue that carries the HIR.

[0041] The following examples describe how the humanized monoclonal antibodies in accordance with the present invention were discovered and additional details regarding their fabrication and use.

EXAMPLE 1 Cloning of murine 83-14 VH and VL genes

[0042] Poly A+ RNA was isolated from the 83-14 hybridoma cell line (Soos et al, 1986), and used to produce complementary DNA (cDNA) with reverse transcriptase. The cDNA was used with polymerase chain reaction (PCR) amplification of either the 83-14 VH or 83-14 VL gene using oligodeoxynucleotide (ODN) primers that specifically amplify the VH and VL of murine antibody genes, and similar methods are well known (Li et al., 1999). The sequences of PCR ODNs suitable for PCR amplification of these gene fragments are well known (Li., 1999). The PCR products were isolated from 1% agarose gels and the expected 0.4 Kb VH and VL gene products were isolated. The VH and VL gene fragments were sequentially subcloned into a bacterial expression plasmid so as to encode a single chain Fv (ScFv) antibody. The ScFv expression plasmid was then used to transform E. Coli.

Individual colonies were identifier! r»n an r nl tot. I;„,.:,I ~. -ι< ^J * in LB medium. This medium was used in immunocytochemistry of Rhesus monkey brain to identify clones producing antibody that bound avidly to the Rhesus monkey brain micro vasculature or BBB. This immunocytochemistry test identified those colonies secreting the functional 83-14 ScFv. Following identification of the 83-14 VH and VL genes, the nucleotide sequence was determined in both directions using automatic DNA sequencing methods. The nucleotide sequence of the murine 83-14 VH (SEQ. ID. NO. 1) and the murine VL (SEQ. ID. NO. 2) gives the deduced amino acid sequence for the murine VH (SEQ. ID. NO. 3) and the murine VL (SEQ. ID. NO. 4). The amino acid sequence is given for all 3 CDRs and all 4 FRs of both the HC and the LC of the murine 83-14 HIRMAb. The variable region of the LC is designated VL, and the variable region of the HC is designated VH in FIG. 1.

EXAMPLE 2 Iterative humanization of the 83-14 HIRMAb: Version 1 through Version 5 [0043] Humanization of the 83-14 MAb was performed by CDR/FR grafting wherein the mouse FRs in the 83-14 MAb are replaced by suitable human FR regions in the variable regions of both the LC and HC. The Kabat database was screened using the Match program. Either the murine 83-14 VH or the VL amino acid sequence was compared with human IgG VH or human K light chain VL databases. Using the minimal mismatch possible, several human IgG molecules were identified that contained FR amino sequences highly homologous to the amino acid sequences of the murine 83-14 VH and VL. The framework regions of the B43 human IgGl heavy chain and the REI human light chain were finally selected for CDR/FR grafting of the murine 83-14 HIRMAb.

[0044] Sets of 6 ODN primers, of 69-94 nucleotides in length, were designed to amplify the synthetic humanized 83-14 VL and VH genes (Tables 1 and 2). The ODN primers overlapped 24 nucleotides in both the 5'- and 3'- ends, and secondary structure was analyzed with standard software. Stable secondary structure producing T_m of >46°C was coπected by replacement of first, second, or third letter codons to reduce the melting point of these structures to 32-46°C. In addition, primers coπesponding to both 5' and 3' ends were also designed, and these allowed for PCR amplification of the artificial genes. These new sequences lack any consensus N-glycosylation sites at asparagine residues.

TABLE 1 Oligodeoxynucleotides for CDR/FR grafting of VL

Primer 1 FWD

5'TAGGATATCCACCATGGAGACCCCCGCCCAGCTGCTGTTCCTGTTGCTG CTTTGGCTTCCAGATACTACCGGTGACATCCAGATGACCCAG-3' (SEQ. ID. NO. 14)

Primer 2 reverse

5'GTCCTGACTAGCCCGACAAGTAATGGTCACTCTGTCACCCACGCTGGCG CTCAGGCTGCTTGGGCTCTGGGTCATCTGGATGTCGCCGGT-3' (SEQ. ID. NO. 15)

Primer 3 FWD

5'ATTACTTGTCGGGCTAGTCAGGACATTGGAGGAAACTTATATTGGTACC AACAAAAGCCAGGTAAAGCTCCAAAGTTACTGATCTACGCC-3' (SEQ. ID. NO.16)

Primer 4 reverse

5'GGTGTAGTCGGTACCGCTACCACTACCACTGAATCTGCTTGGCACACCA GAATCTAAACTAGATGTGGCGTAGATCAGTAACTTTGGAGC-3' (SEQ. ID. NO.17)

Primer 5 FWD

5'AGTGGTAGCGGTACCGACTACACCTTCACCATCAGCAGCTTACAGCCA GAGGACATCGCCACCTACTATTGCCTACAGTATTCTAGTTCT-3' (SEQ. ID. NO. 18)

Primer 6 reverse

5'CCCGTCGACTTCAGCCTTTTGATTTCCACCTTGGTCCCTTGTCCGAACGT CCATGGAGAACTAGAATACTGTAGGC AATA-3 ' (SEQ. ID. NO. 19)

5-PCR primer FWD 5TAGGATATCCACCATGGAGACCCC-3' (SEQ. ID. NO. 20)

3 -PCR primer reverse 5'CCCGTCGACTTCAGCCTTTTGATT-3' (SEQ. ID. NO. 21) TABLE 2 Oligodeoxynucleotides for CDR/FR grafting of VH

PRIMER 1 FWD

5 AGGATATCCACCATGGACTGGACCTGGAGGGTGTTATGCCTGCTTGCA GTGGCCCCCGGAGCCCACAGCCAAGTGCAGCTGCTCGAGTCTGGG-3' (SEQ. ID. NO. 22)

PRIMER 2 REVERSE

5'GTTTGTGAAGGTGTAACCAGAAGCCTTGCAGGAAATCTTCACTGAGGA CCCAGGCCTCACCAGCTCAGCCCCAGACTCGAGCAGCTGCACTTG-3' (SEQ. ID. NO. 23)

PRIMER 3FWD

5'GCTTCTGGTTACACCTTCACAAACTACGATATACACTGGGTGAAGCAG AGGCCTGGACAGGGTCTTGAGTGGATTGGATGGATTTATCCTGGA-3 ' (SEQ. ID. NO. 24)

PRIMER 4 REVERSE

5'GCTGGAGGATTCGTCTGCAGTCAGAGTGGCTTTGCCCTTGAATTTCTCA TTGTACTTAGTACTACCATCTCCAGGATAAATCCATCCAATCCA-3' (SEQ. ID. NO. 25)

PRIMER 5 FWD

5'CTGACTGCAGACGAATCCTCCAGCACAGCCTACATGCAACTAAGCAGC CTACGATCTGAGGACTCTGCGGTCTATTCTTGTGCAAGAGAGTGG-3' (SEQ. ID. NO. 26)

PRIMER 6 REVERSE

5'CATGCTAGCAGAGACGGTGACTGTGGTCCCTTGTCCCCAGTAAGCCCA CTCTCTTGCACAAGAATAGAC-3¹ (SEQ. ID. NO. 27)

5'-PCR PRIMER FWD 5'TAGGATATCCACCATGGACTGGACCTG-3' (SEQ. ID. NO. 28)

3'-PRC PRIMER REV 5'CATGCTAGCAGAGACGGTGACTGTG-3' (SEQ. ID. NO. 29) [0045] The PCR was performed in a total volume of 100 μL containing 5 pmole each of 6 overlapping ODNs, nucleotides, and Taq and Taq extender DNA polymerases. Following PCR, the humanized VH and VL genes were individually ligated in a bacterial expression plasmid and E. coli was transformed. Several clones were isolated, individually sequenced, and clones containing no PCR- introduced sequence eπors were subsequently produced.

[0046] The humanized VH insert was released from the bacterial expression plasmid with restriction endonucleases and ligated into eukaryotic expression vectors described previously (Coloma et al, 1992; U.S. Patent No. 5,624,659). A similar procedure was performed for the humanized VL synthetic gene. Myeloma cells were transfected with the humanized light chain gene, and this cell line was subsequently transfected with version 1 of the humanized heavy chain gene (Table 3). The transfected myeloma cells were screened in a 96-well ELISA to identify clones secreting intact human IgG. After multiple attempts, no cell lines producing human IgG could be identified. Conversely, Northern blot analysis indicated the transfected cell lines produced the expected humanized 83-14 mRNA, which proved the transfection of the cell line was successful. These results indicated that version 1 of the humanized HIRMAb, which contains no FR amino acid substitutions, was not secreted from the cell, and suggested the humanized HC did not properly assemble with the humanized LC. Version 1 was derived from a synthetic HC gene containing FR amino acids coπesponding to the 25C1 O antibody (Bejcek et al, 1995). Therefore, a new HC artificial gene was prepared, which contained HC FR amino acids derived from a different human IgG sequence, that of the B43 human IgG (Bejcek et al, 1995), and this yielded version 2 of the humanized HIRMAb (Table 3). However, the version 2 humanized HIRMAb was not secreted by the transfected myeloma cell. Both versions 1 and 2 contain the same HC signal peptide (Table 3), which is derived from Rechavi et al (1983). In order to evaluate the effect of the signal peptide on IgG secretion, the signal peptide sequence was changed to that used for production of the chimeric HIRMAb (Coloma et al, 2000), and the sequence of this signal peptide is given in Table 3. Versions 2 and 3 of the humanized HIRMAb differed only with respect to the signal peptide (Table 3). 04/050016

-20-

However, version 3 was not secreted from the myeloma cell, indicating the signal peptide was not responsible for the lack of secretion of the humanized HIRMAb. [0047] The above findings showed that simply grafting the murine 83-14 CDRs on to human FR regions produced a protein that could not be properly assembled and secreted. Prior work had shown that the chimeric form of the HIRMAb was appropriately processed and secreted in transfected myeloma lines (Coloma et al, 2000). This suggested that certain amino acid sequences within the FRs of the humanized HC or LC prevented the proper assembly and secretion of the humanized HIRMAb. Therefore, chimeric/humanized hybrid molecules were engineered. Version 4a contained the murine FRl and the humanized FR2, FR3, and FR4; version 4b contained the murine FR 3, and FR4 and the humanized FRl and FR2 (Table 3). Both versions 4a and 4b were secreted, although version 4b was more active than version 4a. These findings indicated amino acids within either FR3 or FR4 were responsible for the lack of secretion of the humanized HIRMAb. The human and murine FR4 differed by only 1 amino acid (Table 3); therefore, the sequence of FR4 was altered by site-directed mutagenesis to coπespond to the human sequence, and this version was designated version 5 (Table 3). The version 5 HIRMAb coπesponded to the original CDR-grated antibody sequence with substitution of the human sequence in FR3 of the VH with the original murine sequence for the FR3 in the VH. The same CDR-grafted LC, without any FR substitutions, was used in production of all versions of the humanized HIRMAb. This coπesponds with other work showing no FR changes in the LC may be required (Graziano et al, 1995).

TABLE 3 Iterations of Genetic Engineering of Humanized HIRMAb Heavy Chain

FRl CDRl FR2

Version 5 QVQLLESGAELVRPGSSVKISCKAS GYTFTNYDIH WVKQRPGQGLEWIG Version 4b QVQLLESGAELVRPGSSVKISCKAS GYTFTNYDIH WVKQRPGQGLEWIG Version 4a QVQLQESGPELVKPGALVKISCKAS GYTFTNYDIH WVKQRPGQGLEWIG Version 3 QVQLLESGAELVRPGSSVKISCKAS GYTFTNYDIH WVKQRPGQGLEWIG Version 2 QVQLLESGAELVRPGSSVKISCKAS GYTFTNYDIH WVKQRPGQGLEWIG Version 1 QVQLLESGAELVRPGSSVKISCKAS GYTFTNYDIH WVKQRPGQGLEWIG murine QVQLQESGPELVKPGALVKISCKAS GYTFTNYDIH WVKQRPGQGLEWIG human B43 QVQLLESGAELVRPGSSVKISCKAS GYAFSSYWMN WVKQRPGQGLEWIG 1 26 36

CDR2 FR3

Version 5 WIYPGDGSTKYNEKFKG KATLTADKSSSTAY HLSSLTSEKSAVYFCAR Version 4b WIYPGDGSTKYNEKFKG KATLTADKSSSTAYMHLSSLTSEKSAVYFCAR Version 4a WIYPGDGSTKYNEKFKG KATLTADESSSTAYMQLSSLRSEDSAVYSCAR Version 3 WIYPGDGSTKYNEKFKG KATLTADESSSTAYMQLSSLRSEDSAVYSCAR Version 2 WIYPGDGSTKYNEKFKG KATLTADESSSTAYMQLSSLRSEDSAVYSCAR Version 1 WIYPGDGSTKYNEKFKG QATLTADKSSSTAYMQLSSLTSEDSAVYSCAR murine WIYPGDGSTKYNEKFKG KATLTADKSSSTAYMHLSSLTSEKSAVYFCAR human B43 QIWPGDGDTNYNGKFKG KATLTADESSSTAYMQLSSLRSEDSAVYSCAR 50 67

CDR3 FR4

Version 5 EWAY WGQGTTVTVSA (SEQ. ID. NO. 5) Version 4b EWAY WGQGTLVTVSA (SEQ. ID. NO. 11) Version 4a _EWAγ WGQGTTVTVSA (SEQ. ID. NO. 10) Version 3 EWAY WGQGTTVTVSA (SEQ. ID. NO. 9) Version 2 EWAY WGQGTTVTVSA (SEQ. ID. NO. 8) Version 1 _EWAγ WGQGTTVTVSA (SEQ. ID. NO. 7) murine EWAY WGQGTLVTVSA (SEQ. ID. NO. 3) human B43 RETTTVGRYYYAMDY WGQGTTVT (SEQ. ID. NO. 12) 99 99 103 113

[0048] Version 1 was designed using the FRs of the human 25C1C1 IgG heavy chain (HC) variable region (VH). Version 1 did not produce secreted hlgG from the transfected myeloma cells despite high abundance of the HC mRNA determined by Northern blot analysis.

[0049] Version 2 was re-designed using the FRs of the human B43 IgG HC variable region.The peptide signal #1 (MDWTWRVLCLLAVAPGAHS) (SEQ. ID. NO. 49)in versions 1 and 2 was replaced by signal peptide #2 (MGWSWVMLFLLSVTAGKGL) (SEQ. ID. NO. 50) in version 3. The FRs and CDRs in version 2 and 3 are identical. The signal peptide #2 was used for versions 4a, 4b and 5. [0050] Verson 4a has human FRs 2, 3 and 4 and murine FRl. [0051] Version 4b has human FRs 1 and 2, and murine FRs 3 and 4 [0052] Version 5 was produced using the human FRs 1, 2 and 4 and the murine FR3.

[0053] Versions 4a, 4b and 5 produced secreted hlgG, whereas version 1 , 2, and 3 did not secrete IgG. Among versions 4a, 4b, and 5, version 5 contains fewer murine framework amino acid substitutions and is prefeπed.

[0054] The version 5 form of the protein was secreted intact from the transfected myeloma lines. The secreted version 5 humanized HIRMAb was purified by protein A affinity chromatography and the affinity of this antibody for the HIR was tested with an immunoradiometric assay (IRMA), which used [¹²⁵I]-labeled murine 83-14 MAb as the ligand as described previously (Coloma et al, 2000). These results showed that the affinity of the antibody for the HIR was retained. In the IRMA, the antigen was the extracellular domain of the HIR, which was produced from transfected CHO cells and purified by lectin affinity chromatography of CHO cell conditioned medium. The dissociation constant (K_D) of the murine and Version 5 humanized 83-14 HIRMAb was 2.7 ± 0.4 nM and 3.7 ± 0.4 nM, respectively. These results show that the 83-14 HIRMAb has been successfully humanized using methods that (a) obtain the FR regions of the HC and of the LC from different human immunoglobulin molecules, and (b) do not require the use of molecular modeling of the antibody structure, as taught in U.S. Pat. No. 5,585,089. Similar to other applications (Graziano et al., 1995), no FR amino acid changes in the LC of the antibody were required.

EXAMPLE 3 Binding of the Humanized HIRMAb to the Human BBB

[0055] Prior work has reported that the radiolabelled murine HIRMAb avidly binds to human brain capillaries with percent binding approximately 400% per mg protein at 60-120 minutes of incubation (Pardridge et al., 1995). Similar findings were recorded with radiolabelled Version 5 humanized HIRMAb in this example. When human brain capillaries were incubated in a radioreceptor assay with [¹²⁵I] Version 5 humanized HIRMAb, the percent binding approximated 400% per mg protein by 60 minutes of incubation at room temperature, and approximated the binding to the human brain capillary of the [¹²⁵I-chimeric HIRMAb (see FIG. 2A and 2B). In contrast, the binding of a nonspecific IgG to human brain capillaries is less than 5% per mg protein during a comparable incubation period Pardridge et al., 1995). This example shows that the Version 5 humanized HIRMAb was avidly bound and endocytosed by the human brain capillary, which forms the BBB in vivo.

EXAMPLE 4 Transport of Humanized HIRMAb Across the Primate BBB In Vivo

[0056] The humanized Version 5 HIRMAb was radiolabelled with 125-Iodine and injected intravenously into the adult Rhesus monkey. The animal was sacrificed 2 hours later and the brain was removed and frozen. Cryostat sections (20 micron) were cut and applied to X-ray film. Scanning of the film yielded an image of the primate brain uptake of the humanized HIRMAb (FIG. 3). The white matter and gray matter tracts of the primate brain are clearly delineated, with a greater uptake in the gray matter as compared with the white matter. The higher uptake of the human HIRMAb in the gray matter, as compared with the white matter, is consistent with the 3-fold higher vascular density in gray matter, and 3-fold higher nonspecific IgG is injected into Rhesus monkeys there is no brain uptake of the antibody (Pardridge et al., 1995). These film autoradiography studies show that the humanized HIRMAb is able to carry a drug (iodine) across the primate BBB in vivo. Based on the high binding of the humanized HIRMAb to the human BBB (FIG. 2), similar findings of high brain uptake in vivo would be recorded in humans.

EXAMPLE 5 Affinity Maturation of the Antibody by CDR or FR Amino Acid Substitution

[0057] The amino acid sequences of the VH of the HC and of the VL of the LC are given in FIG. 4 for the Version 5 humanized HIRMAb, the murine 83-14 HIRMAb, and either the B43 HC or the REI LC antibodies. Given the CDR amino sequences in FIG. 4, those skilled in the art of antibody engineering (Schier et al., 1996) may make certain amino acid substitutions in the 83-14 HC or LC CDR sequences in a process called "affinity maturation" or molecular evolution. This may be performed either randomly or guided by x-ray diffraction models of immunoglobulin structure, similar to single amino acid changes made in the FR regions of either the HC or the LC of an antibody (U.S. Pat. No. 5,585,089). Similarly, given the FR amino acid sequences in FIG. 4, those skilled in the art can make certain amino acid substitutions in the HC or LC FR regions to further optimize the affinity of the HIRMAb for the target HIR antigen. The substitutions should be made keeping in mind the sequence identity limitations set forth prviously for both the FR and CDR regions. These changes may lead to either increased binding or increased endocytosis or both.

EXAMPLE 6 Humanized HIRMAb/ -L-iduronidase Fusion Protein

[0058] α-L-iduronidase (IDUA) is the enzyme missing in patients with Hurler syndrome or type I mucopolysaccharidosis (MPS), which adversely affects the brain. The brain pathology ultimately results in early death for children carrying this genetic disease. IDUA enzyme replacement therapy (ERT) for patients with MPS type I is not effective for the brain disease, because the enzyme does not cross the BBB. This is a serious problem and means the children with this disease will die early even though they are on ERT. The enzyme could be delivered across the human BBB following peripheral administration providing the enzyme is attached to a molecular Trojan horse such as the humanized HIRMAb. The IDUA may be attached to the humanized HIRMAb with avidin-biotin technology. In this approach, the IDUA enzyme is mono-biotinylated in parallel with the production of a fusion protein of the humanized HIRMAb and avidin. In addition, the IDUA could be attached to the humanized HIRMAb not with avidin-biotin technology, but with genetic engineering that avoids the need for biotinylation or the use of foreign proteins such as avidin. In this approach, the gene encoding for IDUA is fused to the region of the humanized HIRMAb heavy chain or light chain gene coπesponding to the amino or carboxyl terminus of the HIRMAb heavy or light chain protein. Following construction of the fusion gene and insertion into an appropriate prokaryotic or eukaryotic expression vector, the HIRMAb/IDUA fusion protein is mass produced for purification and manufacturing. The amino acid sequence and general structure of a typical MAb/IDUA fusion protein is shown in FIG. 5 (SEQ. ID. NO. 48). In this construct, the enzyme is fused to the carboxy terminus of the heavy chain (HC) of the humanized HIRMAb. The amino acid sequence for the IDUA shown in FIG. 5 is that of the mature, processed enzyme. Alternatively, the enzyme could be fused to the amino terminus of the HIRMAb HC or the amino or carboxyl termini of the humanized HIRMAb light chain (LC). In addition, one or more amino acids within the IDUA sequence could be modified with retention of the biological activity of the enzyme. Fusion proteins of lysosomal enzymes and antibodies have been prepared and these fusion proteins retain biological activity (Haisma et al, 1998). The fusion gene encoding the fusion protein can be inserted in one of several commercially available permanent expression vectors, such as pCEP4, and cell lines can be permanently transfected and selected with hygromycin or other selection agents. The conditioned medium may be concentrated for purification of the recombinant humanized HIRMAb/IDUA fusion protein.

EXAMPLE 7 Role of light chain (LC) in binding of HIRMAb to the human insulin receptor [0059] Myeloma cells (NSO) were transfected with a plasmid encoding the either the humanized HIRMAb light chain or "suπogate light chain", which was an anti- dansyl MAb light chain (Shin and Morrison, 1990). The anti-dansyl light chain is derived from the anti-dansyl IgG, where dansyl is a common hapten used in antibody generation. Both the myeloma line transfected with the humanized HIRMAb light chain, and the myleoma line transfected with the suπogate light chain were subsequently transfected with a plasmid encoding the heavy chain of the chimeric HIRMAb. One cell line secreted an IgG comprised of the anti-HIRMAb chimeric heavy chain and the anti-HIRMAb humanized light chain, and this IgG is designated chimeric HIRMAb heavy chain/humanized HIRMAb light chain IgG. The other cell line secreted an IgG comprised of a chimeric HIRMAb heavy chain and the anti-dansyl light chain, and this IgG is designated chimeric HIRMAb HC/dansyl LC IgG. Both cells lines secreted IgG processed with either the humanized HIRMAb light chain or the anti-dansyl light chain, as determined with a human IgG ELISA on the myeloma supernatants. These data indicated the chimeric HIRMAb heavy chain could be processed and secreted by myeloma cells producing a non-specific or suπogate light chain. The reactivity of these chimeric antibodies with the soluble extracellular domain (ECD) of the HIR was determined by ELISA. The HIR ECD was purified by lectin affinity chromatography of the conditioned medium of CHO cells transfected with the HIR ECD as described previously (Coloma et al, 2000). In the HIR ECD ELISA, the murine 83-14 HIRMAb was used as a positive control and mouse IgG2a was used as a negative control. The negative control produced negligible ELISA signals; the standard curve with the murine 83- 14 MAb gave a linear increase in absorbance that reached saturation at 1 μg/ml murine 83-14 MAb. The immune reaction in the ELISA was quantified with a spectrophotometer and maximum absorbance at 405 nm (A405) in this assay was 0.9. All isolated myeloma clones secreting the chimeric HIRMAb heavy chain/humanized HIRMAb light chain IgG were positive in the HIR ECD ELISA with immuno-reactive levels that maximized the standard curve. In addition, the myeloma clones secreting the chimeric HIRMAb HC/dansyl LC IgG also produced positive signals in the HIR ECD ELISA, and the A405 levels were approximately 50% of the A405 levels obtained with the chimeric HIRMAb heavy chain/humanized HIRMAb light chain IgG. These findings indicate the light chain plays a minor role in binding of the HIRMAb to its target antigen, which is the extracellular domain of the human insulin receptor. This interpretation is supported by the finding that no FR substitutions in the humanized LC were required to enable active binding of the humanized HIRMAb to the HIR ECD (see Example 2). These findings show that large variations in the amino acid sequence of the HIRMAb light chain (50% and more) can be made with minimal loss of binding of the intact humanized HIRMAb to the target HIR antigen. Accordingly, a wide variety of LC's may be used to prepare humanized antibodies in accordance with the present invention provided that they are compatible with the HC. The LC is considered to be "compatible" with the HC if the LC can be combined with the HC and not destroy the ability of the resulting antibody to bind to the HIR. In additition, the LC must be human or sufficiently humanized so that any immunogenic reaction in humans is minimized. Routine experimentation can be used to determine whether a selected human or humanized LC sequence is compatible with the HC. [0060] Having thus described exemplary embodiments of the present invention, it should be noted by those skilled in the art that the within disclosures are exemplary only and that various other alternatives, adaptations and modifications may be made within the scope of the present invention. Accordingly, the present invention is not limited to the above prefeπed embodiments and examples, but is only limited by the following claims.

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