Konstantinos Beis - Antibodies + Drug Design Flashcards
What are antibodies?
An immunoglobulin protein produced by the immune system as an defense against foreign agents (known as antigens) any foreign molecule, virus, bacteria etc.
Each antibody has a region that binds specifically to a particular antigen which it neutralizes – can have a variety of different targets
It is typically made up of large heavy chains and small light chains
What is a catalytic antibody?
Catalytic Antibodies (abzyme) - Antibodies that behave like enzymes
Generally speaking how do humans produce antibodies? What are the two main systems at play?
- Humoral (antibody-mediated) immune system - antibodies produced in response to freely circulating pathogens - direct recognition of antigen by B cells which produces plasma cells (produce antibody) and memory cells
- Cellular (cell-mediated) immune system – antibodies produced in response to intracellular pathogens –> cell exposes antigen on surface (MHC – membrane protein complexed with antigen), which is recognized by T-Cell which activates/helps transform B cells into antibody providing plasma cells
What are the different immunoglobulin/antibody classifications?
5 different groups – IgG, IgA, IgM, IgD, IgE
Fakts:
- IgM - is the first antibody to appear in response to initial exposure to antigen
- IgE associated with allergic response
- They exist in different states – monomers, dimer, pentamer
Outline the general structure of the IgG protein
IgG structure – Best characterized
Characteristic Y-shape – usually homodimeric - the two monomers are connected by disulphide bridges which connect the heavy chains together
Note - Disulphide bridges also exist between the Heavy and Light chain
Each monomer consists of a Heavy and Light chain
a) Heavy Chain – High Mw
b) Light Chain – Low Mw
Antibody is heavily glycosylated – meaning that the Fc region can itself initiate a immune response but this is not common
What are the different regions within the immunoglobulins e.g. IgG?
Constant region (denoted by C) – high degree of A.A. conservation
Hyper/Variable region (Denoted by V & HV) - when antigens bind + lower A.A. Conservation
The antibody can be further divided into the Fab and FC region
FC - easily crystallized
Fab - Antigen binding site
Breakdown the different parts of the IgG light chain
Breakdown the different parts of the IgG Heavy chain
Why is IgG normally used in the formation of catalytic antibodies?
Easily modified and the most common immunoglobulin, which is distributed between the blood and extravascular fluid.
What is the structure of the Immunoglobulin fold?
Two Beta sheets (built from anti-parallel Beta-strands) that are sandwiched together
Image - Loop region holds together the Variable and constant chain
In the variable domain you can see blue loop regions corresponds to the amino acid sequence that varies, providing specificity –> These loops are known as the complementary-determining regions (CDR) or Hypervariable Loops
How many CDRs/hyper-variable loops do the light and heavy chains have?
Each Light and Heavy chain variable domain will have 3 CDRs or hypervariable regions – CDR L1-3 or H1-3
All these CDR loops are all used to recognize an epitope/antigen
Across antibody species there is no conserved conformation within these regions –> Insertions, deletions and Amino acid sequence differ.
What does the following crystal structure show?
Example Crystal Structure of a Fab
Shows CDR H3 from the Heavy chain which extends significantly out – stabilized by a range of hydrogen bonds
Note - for high specificity we normally get the contribution of both Heavy and light chains CDRs
Why do we want to use catalytic antibodies and why do we not just use enzymes?
On a chemical level whats the benefit of using catalytic antibodies/abzymes?
Abzymes – Use antibodies to catalyze reactions
- Already present in body – doesn’t produce an immune response
- High affinity & specificity –> favours desired reaction coupled with less side reactions/effects
How do they act?
- They have structural complementarity for the transition state –> reduce the activation energy to reach TS
- Consequence? - strong binding of TS with high association constant, enhances the rate of reaction
- Abzymes also reduce rotational entropy
What is a problem associated with using an catalytic antibody that has a high specificity for the subtrate?
High affinity for substrate, hence it will help stabilize the Enzyme substrate complex (ES) (lower in energy) – increasing the energetic barrier to reach the TS.
Solution - We select antibodies for our transition state - Helps to stabilizes that rather than ES
Definition of antigen and hapten?
What is Cocaine?
Alkaloid from the coca plant
Cocaine acts as a serotonin–norepinephrine–dopamine reuptake inhibitor –> leads to increased extracellular concentrations of these neurotransmitters – keeps the neurons firing
How does cocaine acts as a serotonin–norepinephrine–dopamine reuptake inhibitor in the brain?
Normal Processing
- Dopamine released by vesicle into the synaptic cleft
- Binds to the dopamine receptor on the post-synaptic membrane – inducing a signal
- Dopamine is released
- Re-uptake transporter transports dopamine back into the pre-synaptic neuron where it is degraded by MAO to form monoamines which are no longer active
Cocaine action
- Cocaine Binds to the dopamine re-uptake transporter –> preventing dopamine reuptake. Hence, it remains in the synaptic cleft where it can continuously stimulates the action of dopamine receptor
Outline how cocaine is normally degraded in the body
Cocaine Degradation –> Slow process performed by enzymes in the body (can be degraded prior to crossing BBB) - involves hydrolysis the benzoyl ester and the methyl ester
Different methods of degradation normally found in the body
- Enzyme found in the N.S. (Butyrylcholinesterase) – forms ecgonine methyl ester + Benzoic acid –> benzoyl ester hydrolysis
- Enzyme found in liver (liver carboxylesterase) –> methyl ester hydrolysis forming forming benzoylecgonine + methanol
- Enzyme found in the N.S –> Demethylation by N-demethylase followed by Butyrylcholinesterase action (benzoyl ester hydrolysis) to form Norecgonine methyl ester + benzoic acid
All of the products from Cocaine breakdown are harmless which can be secreted out of the body
What is the role of Butyrylcholinesterase?
Butyrylcholinesterase (BChE) – Main enzyme involved in degradation
BChE hydrolyses butyrylcholine BUT It can also hydrolyse toxic compounds that contain an ester – Cocaine is one as well
Human esterases are slow to degrade cocaine
- > 11 isoforms found in liver, brain, heart
Outline Butyrylcholinestarase mechanism of action on butyrylcholine.
Acid-based catalysis with a glutamate, Histidine and serine
- Glutamate hydrogen bonds the histidine, allowing histidine to act as base to remove serine -OH hydrogen - driving nucleophilic attack to the ester bond (Carbonyl carbon)
- Formation of Transition state
- Collapse of the negative charges - histidine is now acting as a acid (donating it’s hydrogen)
- Incoming water displace choline
- Histidine acts a base removing a proton from water, allowing for the -OH to nucleophilically attack the carbonyl
- 2nd Tetrahedral intermediate formed followed by it’s collapse (collapse of negative charge)
- Release of the final product & active site returned to starting state
Outline mechanism of Butyrylcholinestarase degradation of cocaine - general sequence of events
- Activation of serine to perform initial nucleophilic attack on carbonyl carbon
- Tetrahedral intermediate
- Collapse of negative charges
- Release of Ecgonine
- Incoming water molecule – activated by histidine
- -OH nucleophilically attack modified serine
- Tetrahedral intermediate
- Collapse of negative charge
- Release of benzoic acid a regeneration of active site
When designing the catalytic Abs against cocaine, what are some things to think about/take into consideration? What are we doing in practise?
Objective –> Ab recognizes, binds, and catalyzes cocaine. The products must be released so the Ab is recycled and free (unlike naturally occurring antibodies)
What do we have to do in practise?
- Predict transition states, from which we create TS analogs that match TS
- Produce a Hapten that is stable and mimic structural and electronic properties
- Epitope must be large enough to bind well with Abs
- Design and choice of Linker and carrier protein
- Hapten + carrier elicits immune response producing desried Abs which stabilize the TS of the reaction
What is the transition state produced in cocaine hydrolysis which we can use for Abzyme production?
Transition state – Tetrahedral intermediate
In order to create an antibody that targets cocaine we need an antibody that binds and stabilizes a T.S. analogue
Basically need to re-create the T.S. so that an antibody against it can be created (we can’t capture the exact molecule – educational guess)
Example of an analog for Tetrahedral intermediate is replacing the carbon in the tetrahedral intermediate to a phosphate - cannot be attack nucleophilically by H2O – stable
What are some examples of groups that can be used to re-create tetrahedral intermediates of transition states?
Once you have identified your TS analog, what do we do next?
Once we have identified T.S. analog we have our Hapten which can bind an antibody
BUT haptens are too small to illicit an immune response
Thus, in order to overcome this problem we design a linker to join our hapten to a carrier protein - big enough to illicit an immune response
Things to consider when designing a linker?
Apart from the linker design and carrier type, what other thing must you consider before conjugation?
What are the two methods we use to produce our desired catalytic antibodies?
Once we have our hapten conjugated to a carrier protein it is time to immunize
Conventional Antibody production
Inject/immunise mice with compound –> illicits an immune response –> kill the mice and remove spleen (B-cells located) –> isolate antibodies (using antiserum?) that can catalyze the reaction
Problem – Killed source - if you are successful in obtaining an antibody you can not make more
Monoclonal Antibody Production
Immunize mice –> kill mice –> remove spleen –> mix spleen cells and myeloma cells (M.C. LACK HGPRT – important for nucleic acid synthesis) in HAT medium –> unless fusion has taken place the cells will not survive –> isolate different clones –> test and identify clones that have catalytic activity
Useful technique as we retain a source of the antibodies –> immortal cell line
After isolating catalytic antibodies/abzymes, what is done next?
Determine kinetic parameters of the antibodies - assess which antibodiy is most catalytically active
Examine parameters such as…
Km – Antibodies binding Hapten – affinity
Kcat – reaction per unit time
Kcat/ Km – catalytic efficiency at low concentration
From the parameters we can identify 15A10 as having significant activity
After identifying succesful abzymes, how are toxicity assays performed?
Toxicity assays - Cocaine Toxicity in the Rat
Question we are trying to answer - Do these antibodies help with survival rates?
Examine rats’ survival after infusion of an LD90 (lethal dose to kill 90% of mice) (16 mg/kg) cocaine with abzyme
The effect of mAb 15A10 on survival was significant at -
Graph shows that at higher concentrations of mAb 15A10 there was a higher survival rate
What did the crystal structure of reveal show about the binding of cocaine and TS analog with the abzyme?
Both cocaine and TS analog were crystallized in presence of eitehr cocaine and TS analog –> both cases they bound in the hypervariable regions - binding to CDR loops
Interestingly, they also allowed the antibody to react with cocaine for a few minutes before capturing X-ray diffraction data and they were able to show…
The crystal structure with the product – Ecgonine methyl ester and benzoate in the active site - breakdown products of cocaine
What was the proposed mechanism by which the abzyme degraded cocaine?
Examining active site of antibody there was a lack of normal residues associated with acid-base catalysis – instead replaced by tyrosine residues that form hydrogen bonds
Mechanism
- Cocaine enters active site - stabilized by hydrogen bonds
- Activated Water molecule performs nucleophilic attack on carbonyl carbon
- Tetrahedral intermediate formed – -ive charge is stabilized by tyrosine
- Followed by its collapse –> release of two products
Simpler mechanism than normal acid-base
What is a prodrug and why is it beneficial to use?
Prodrug – Precusor molecule is introduced into the body which only forms the active drug once it is metabolised
- Useful as drug itself can be highly toxic itself - limit side effects
- Able to deliver high concentrations of active drug - protects against rapid metabolism and clearance
- Improve targetting of drug to specific regions
How can we combine both pro-drugs and catalytic antibodies?
Basic idea –> is that you introduce prodrug and catalytic antibody into patient –> the catalytic antibody is targeted towards a specific tissue, hence when the prodrug enters it can become metabolized by the catalytic antibody into the active form
Benefits?
- Minimizes toxicity
- Allows for drug targeting
- More complex chemistry to be performed (harder to do with normal chemistry) - more verstaile tool
In this case we would have to design a abzyme against the prodrug TS –> to favour formation of active drug
What are the limitations of catalytic Abs?
- Haptens fail to generate antibodies that catalyse the desired reaction
- Haptens may closely resemble the final product (stabilize it) - slow product release or inhibition – preventing the antibody for catalyzing more reactions
- It might be difficult to synthesize the desired hapten (chemistry)
- The catalytic efficiency depends on the solvent exposed binding site?
- Introduction of foreign antibody might elicit immune response
How can we create therapeutic/catalytic Abs that don’t elicit an immune response in the host?
Use chimeric or humanized antibodies
- Chimeric consist of variable regions (VL and VH) derived from a mouse and constant regions derived from human. ~65% human
- Humanized therapeutic mAbs are predominantly derived from a human source except for the CDRs, which are murine. >90% human
Apart from acting as a catalytic antibody, what other useful functions can antibodies perform?
Summary of Catalytic antibody lecture content?
- Catalytic Abs can be raised against specific haptens
- Catalyse desired reactions
- Consider different analogues, linkers and carrier proteins
- Catalytic Abs have the potential to treat addictions
What are antibody-drug conjugates?
Antibody–Drug Conjugates (ADC) –> Antibodies used to deliver a drug to a specific site
What are the current treatments of cancer and is the recurring problem?
Cancers (many different types!) can be treated by:
- Surgery
- Chemotherapy – several side effects and resistance to anticancer drugs
- Radiotherapy
- Hormone therapy
- Combination of therapies is usually required
Recurring problem - target/impact healthy cells – leads to side effects
Why do antibody-drug conjugates provide a useful solution to treating cancer?
Antibody–Drug Conjugates (ADCs) are monoclonal antibodies or antibody fragments attached to biologically active molecules through chemical linkers with labile bonds
Advantage
Deliver highly cytotoxic agents directly to tumour cells without affecting other dividing cells in the body – targeting antigens on Tumour cells
When the drug is bound to the antibody, the chemotherapeutic ‘‘payload’’ no longer circulates systemically and is therefore doesn’t negatively impact healthy cells
What is the general concept behind using antibody-drug conjugates?
Regular antibody conjugated to a drug with a linker
Antibody binds to cell surface receptor –> internalization –> release of payload –> block cellular process in nucleus or cytosol leading to apoptosis of cancer cells
What are some examples of ADCs that have already been approved?
General mechanism, requirements and componenets of a ADC?
Mechanism
An ADC binds to an antigen on the surface of a cancer cell and then internalises, after which the highly cytotoxic payload molecule is released, typically by lysosomal cleavage
Requirements
ADC needs to retain the selectivity of the original monoclonal antibody (bind to the specific antigen) while being able to release the attached cytotoxic payload in concentrations high enough to kill the targeted tumour cells.
Componenets
Three key components to an ADC: the antibody (which antigen will it bind), the linker (Cleaved/non-cleaved) and the payload (Pathway you desire to inhibit?)
Outline the steps by which ADCs target cells and become internalized
- ADCs are designed to directly target and kill cancer cells, and so the antibody has to be able to recognise and bind to its corresponding antigen localized on the tumour cell.
- Once bound to the antigen, the entire antigen–ADC complex is then internalized through receptor-mediated endocytosis.
- The internalization process proceeds with the formation of a clathrin-coated early endosome, containing the ADC–antigen complex –> release of the ADC from the receptor which is recycled
- Once inside the lysosome, the ADC is degraded and free cytotoxic payload released into the cell, leading to cell death.
- The mechanism of cell death will depend on the type of cytotoxic payload.
Why is it important to choose a payload that is sufficiently cytotoxic?
Another crucial requirement is to ensure that a sufficient concentration of payload reaches the interior of the cancer cells to guarantee their death
It is estimated that, even if the overall mechanism of action of an ADC works at an efficiency of 50%, only 1–2% of the administered payload will reach the tumour cells - a lot of it will be degraded
Therefore, it is important that the chosen payload is sufficiently cytotoxic to exert an effect at very low concentrations
Benefits of using ADCs relative to chemotherapy?
- Wider therapeutic windown –> less likley to be toxic as there is a higher maximum tolerated dose and lower minimum effective dose
What are the three main things to consider when designing an ADC?
What are the major challenges that face researchers when designing ADCs?
When designing a ADC linker what do we have to consider?
- Antigen Selection
- Cleavable linker
- Non-cleavable linker
- Site of conjugation
Why does the selection of target antigen potentially pose problems?
What is the relationship between DAR and the rate of degradation? What can we learn from this?
A/B) Shows relationship between the DAR and rate of degradation –> the more drugs we conjugate to the antibody – the quicker the rate of clearance (more susceptible to protease) but the more drug we attach the greater the payload –> trade-off
Hence, there is an optimal mid-point which yields that highest efficacy (DAR 3.5-4)
What are cleavable linkers? What are the different types?
Cleavable linkers
Cleavable linkers utilise the differences in conditions between the bloodstream and the cytoplasm within tumour cells
Take advantage of the change in environment once the ADC–antigen complex has internalized it triggers cleavage of the linker and release of the active payload
Cleavable linkers are divided into three main sub-categories:
(1) Acid-labile (e.g., hydrazones)
(2) Reducible (e.g., disulphides)
(3) Enzyme-cleavable (e.g., peptides).
How do acid-labile linkers work? What problems are associated with it?
How do reducible linkers work? What problems are associated with it?
How do enzyme-cleavable linkers work? What problems are associated with it?
Apart from rely on Cathepsin, what other enzyme is used for Enzyme-cleavable linkers?
Outline the general mode of action of ADC’s with cleavable linkers, starting from antigen binding to apoptosis
Why are non-cleavable linker used for ADCs?
Non-cleavable linkers – Why are they used?
- Drug (usually) remains attached to mAB - not effected by pH, reducing environment or enzymes
- In the lysosome – mAB is degraded by compound + linker is not!
- Increased plasma stability
- Lower risk of systemic toxicity due to premature release of the payload
- Better therapeutic window, with improved stability and tolerability
Outline the mode of action of ADCs with non-cleavable linkers
Example of a Non-cleavable Linker
When conjugating our drug to the antibody what do we have to consider?
- Prevent modifying antibody to the point where they induce an immune response
- DAR –> typical average DAR of 3.5 or 4
- Species that have a DAR of more than 4 have been shown to lead to lower tolerability, higher plasma clearance rates and decreased efficacy in vivo - Retaining antibody selectivity (antigen binding)
Conjugation Example:
What are two examples of functional groups on our antibody which we tend to use for conjugation?
- Thiosuccinimide linkage, which is formed through the reaction of thiols and alkyl maleimides –> thiosuccinimide formation is slowly reversible under physiological conditions
- Conjugation to the terminal amines of lysine residues using an amide ester
How is conjugation with thiol groups performed?
What is one possible solution to thiol conjugations lack of DAR control?
How is site-specific conjugation performed with THIOMAB technology?
How is conjugation with lysine residues performed? What problems are associated with this form of conjugation?
What are some further potential strategies that could improve conjugation?
- Engineered Cys – Thiomab
- Insertion of unnatural amino acids – tight regulation of our payload with a specific amino acid that is not found naturally
- Enzyme-assisted ligation
- Glycan remodelling and glycoconjugation - remember that antibodies are glycosylated
- Amino‑terminal engineered serine –> problem may change overall properties of antibody
- Native cysteine rebridging
- Highly loaded ADCs at specific sites
What is the toxic payload/warhead? What properties are we looking for? What cellular structures/organelles are we targetting?
What is the largest group of ADCs currently being trialed?
What are some other examples of drugs that are being used for ADCs?
What is the Bystander effect?
What are the 4 different forms of ADC toxicity (think good & bad)?