Efficient preparation of site-specific antibody–drug conjugates using cysteine insertion

N Dimasi, R Fleming, H Zhong, B Bezabeh… - Molecular …, 2017 - ACS Publications
N Dimasi, R Fleming, H Zhong, B Bezabeh, K Kinneer, RJ Christie, C Fazenbaker, H Wu…
Molecular pharmaceutics, 2017ACS Publications
Antibody–drug conjugates (ADCs) are a class of biopharmaceuticals that combine the
specificity of antibodies with the high-potency of cytotoxic drugs. Engineering cysteine
residues in the antibodies using mutagenesis is a common method to prepare site-specific
ADCs. With this approach, solvent accessible amino acids in the antibody have been
selected for substitution with cysteine for conjugating maleimide-bearing cytotoxic drugs,
resulting in homogeneous and stable site-specific ADCs. Here we describe a cysteine …
Antibody–drug conjugates (ADCs) are a class of biopharmaceuticals that combine the specificity of antibodies with the high-potency of cytotoxic drugs. Engineering cysteine residues in the antibodies using mutagenesis is a common method to prepare site-specific ADCs. With this approach, solvent accessible amino acids in the antibody have been selected for substitution with cysteine for conjugating maleimide-bearing cytotoxic drugs, resulting in homogeneous and stable site-specific ADCs. Here we describe a cysteine engineering approach based on the insertion of cysteines before and after selected sites in the antibody, which can be used for site-specific preparation of ADCs. Cysteine-inserted antibodies have expression level and monomeric content similar to the native antibodies. Conjugation to a pyrrolobenzodiazepine dimer (SG3249) resulted in comparable efficiency of site-specific conjugation between cysteine-inserted and cysteine-substituted antibodies. Cysteine-inserted ADCs were shown to have biophysical properties, FcRn, and antigen binding affinity similar to the cysteine-substituted ADCs. These ADCs were comparable for serum stability to the ADCs prepared using cysteine-mutagenesis and had selective and potent cytotoxicity against human prostate cancer cells. Two of the cysteine-inserted variants abolish binding of the resulting ADCs to FcγRs in vitro, thereby potentially preventing non-target mediated uptake of the ADCs by cells of the innate immune system that express FcγRs, which may result in mitigating off-target toxicities. A selected cysteine-inserted ADC demonstrated potent dose-dependent anti-tumor activity in a xenograph tumor mouse model of human breast adenocarcinoma expressing the oncofetal antigen 5T4.
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