Partridge L13-15 Flashcards

1
Q

What are useful properties of antibodies when being used in research?

A
  • Diverse
  • Specific with high affinity
  • Domain structure = stable, facilitates protein engineering
  • Multivalent = improved binding, cross-linking can be useful
  • Effector properties = useful in some techniques, therapeutics
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2
Q

What are epitopes?

A

Areas recognised by antibodies. linear – adjacent in sequence (non-conformational) or discontinuous – non adjacent (conformational). Most antigens have several epitopes - these may be different or repeated. Antibodies can bind mono-valently to single epitopes on an antigen or multi-valently to repeated epitopes.

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3
Q

What is immunogenicity?

A

Ability of an antigen to induce an immune response.

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4
Q

What do we have to consider when looking at immunogenicity?

A
  1. Foreignness – sequence homology between antigen and equivalent protein in recipient
  2. Molecular size - <1000 Da CARRIER PROTEINS
  3. Chemical composition – aromatic groups, charged residues
  4. Ability to provoke T cell responses CARRIER PROTEINS
  5. Use of adjuvants – induce inflammation, “Danger signals”
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5
Q

What are polyclonal antibodies?

A

Antiserum is product of several B cell clones due to a mixture of antibodies specific to different “epitopes.”
Advantages include it being relatively cheap and being robust (may recognise partially denatured/unfolded antigen). Disadvantages include specific for multiple epitopes, need pure antigen to immunise, can be difficult to standardise.
Antiserum specific for Antigen 1 CROSS-REACTS with Antigen 2.

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6
Q

What are monoclonal antibodies?

A

Specific for a single epitope, derived from single B lymphocytes.

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7
Q

How are monoclonal antibodies made?

A

Spleen cells producing antibody from mouse immunized with antigen A are mixed with myeloma cells lacking antibody secretion and HGPRT. Mix and fuse cells with PEG. Transfer to HAT medium. Immortal hybridomas proliferate; mortal spleen cells and unfused HGPRT myeloma cells die. Select hybridoma that makes antibody specific for antigen A. Clone selected hybridoma.

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8
Q

What are the advantages and disadvantages of monoclonal antibodies?

A

Advantages: highly specific, can be standardised, pure antigen not needed for immunisation. Disadvantages: often conformation sensitive, expensive.

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9
Q

What is a major use of monoclonal antibodies?

A

defining cell surface molecules e.g. human leukocytes → CD (cluster of differentiation) classification system. Can also identify cell types using monoclonal antibodies.
Rodent antibodies induce immune responses in human patients e.g. HAMA (Human Anti Mouse Antibody), “serum sickness.”

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10
Q

What is the difference between antibody chimeras and humanised antibodies?

A

Antibody chimeras = Splice mouse V region genes to human C region genes. Mouse V regions still immunogenic.
Humanised antibodies = Splice human framework region genes and mouse CDR region genes a.k.a CDR grafting (facilitated by immunoglobulin domain structure). May lose affinity/specificity. Time-consuming.

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11
Q

What are strategies for generating fully human antibodies?

A
  1. TRANSGENIC mice expressing human immunoglobulin genes. Mouse antibody genes replaced by human antibody genes (“Xenomouse”). Mice can be immunized to generate human antibodies by conventional monoclonal techniques.
  2. ANTIBODY GENE LIBRARIES Antibody V genes are cloned from naïve/immune B cells using a suitable vector and used to make a large “library”. The antibodies in the library can be expressed in bacteria or on the surface of bacteriophage. Antibodies against the desired antigen are selected from the library, usually using phage display techniques.
    a. Isolate mRNA from antibody producing cells – blood, lymphoid tissue, bone marrow
    b. Reverse transcribe mRNA. Amplify Fab or Fv cDNA by PCR
    c. Clone and express Fab or Fv cDNA in bacteria/phage -> antibody library. Phagemid vectors – express soluble protein in bacteria or on surface of filamentous phage particles (M13)
    d. Screen antibody phage display library vs solid phase antigen “panning”
  3. Single B cell antibodies. Single antigen-specific B cells from patient blood or lymphoid tissues are isolated using e.g. fluorescent antigen and fluorescence activated cell sorting (FACS). Expressed antibody V genes are amplified and cloned. Useful for generating antibodies against emerging pathogens.
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12
Q

What are nano-bodies?

A

Single domain antibodies. These are chemically very stable and easily expressed in bacteria and yeast. They are humanisation feasible

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13
Q

What are the four formats of monoclonal antibodies used for therapy?

A

Fully mouse. Chimeric. Humanized. Fully human.

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14
Q

How are antibodies used as magic bullets to target tumour cells?

A
  1. Anti-CD52 antibodies (CAMPATH).
    a. recognises leukocytes, good activator of complement and ADCC
    b. Use in leukaemias, lymphomas.
    c. First humanised (IgG1) antibody used in a clinical trial
  2. Anti-CD20 antibodies (Rituximab).
    a. recognises B cells, good activator of complement and ADCC
    b. use in leukaemias, lymphomas
    c. chimeric antibody
  3. Anti-Her2 antibodies (Herceptin)
    a. recognise Her2 (receptor tyrosine kinase, expressed at high levels in ~25% breast tumours)
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15
Q

How are antibodies used in cancer therapy?

A

Modulation of immune responses – non-infectious disease, cancer.
Depletion of leukocytes e.g. antibodies to CD52, CD3, CD4. Organ transplantation, graft versus host disease, autoimmune disease.
Blocking of cytokines, cytokine receptor, and soluble mediators e.g. antibodies to TNF-α, IL-1, IL-6, complement protein C5 (or their receptors). Inflammatory/autoimmune disease, allergy and over-reactive response to some infections.
Immune checkpoint inhibitors e.g. antibodies to CTLA-4, PD-1.

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16
Q

What are CTLA-4 and PD-1?

A

Immune checkpoints. CTLA-4 is induced on activated T cells with higher avidity for B7 than CD28 but induces inhibition. PD-1 (transiently expressed on activated T cells) interaction with ligand PD-L, also induces inhibition.

17
Q

What can inhibitory immune checkpoint blocking antibodies do?

A

Reverse immunosuppression. Shown beneficial effects in metastatic melanoma and some types of lung cancer.

18
Q

How can glycosylation affect antibodies?

A

Glyco-engineering.” PEGylation especially important for antibody fragements. May reduce immunogenicity. Removal of fucose improves IgG interaction with FcγRIII (the FcR on NK cells) and so improves interaction with FcgammaRIII (NK cell ADCC).

19
Q

What are the two outcomes of glycosylation of antibodies?

A
  • Antibody engineering to improve half-life (FcRn interaction), improve or remove effector functions (e.g. ADCC, complement activation).
  • Alterations to the glycosylation of IgG can improve interaction with FcRn (increases half-life) and interaction with FcR on NK cells (enhances ADCC)
20
Q

What are future prospects for monoclonal antibodies?

A
  • antibodies to conserved epitopes
  • “cocktails” of antibodies to different targets or bi-specifics
21
Q

What are CAR-T cells?

A

T cells “engineered” to recognise a tumour antigen. CAR-T therapy is beneficial in treating some forms of leukaemia. Recently also used to treat systemic lupus erythematosus (SLE). CAR-T cells attack self-reactive B cells .

22
Q

What are applications for immunotherapy in the future?

A
  • Soluble T cell receptors
  • Cancer vaccines
  • Tumour infiltrating lymphocyte therapy (TIL)
  • Gene editing of antibody genes in vivo (CRISPR-Cas9)
  • Modulating innate immune cells
  • Use of γδ T cells for cancer
23
Q

What are soluble T cell receptors?

A

Soluble “affinity matured” TCR that recognises peptide from a tumour antigen (gp100) highly expressed by melanoma cells fused to a scFv anti-CD3 antibody.
This does not require engineering of patient’s cells and permits targeting of intracellular antigens.

24
Q

What was drug TGN1412?

A

Developed by Tegenero for treating autoimmune disease. Volunteers developed a violent reaction within hours of drug administration and ultimately multiple organ failure.

25
Q

What were the problems with drug TGN1412?

A

Most immunosupressive antibodies block activity, whereas TGN1412 binds to CD28 on naïve T cells, inducing stimulation. Animal studies indicated selectivity for naïve suppressor T cells but in humans memory effector T cells in tissues also express CD28. This creates “cytokine storm.” TGN1412 was also an IgG4 antibody, assumed not to interact with FcR.