Department of Pharmacokinetics and Pharmacodynamics Sciences, Genentech Inc., South San Francisco, CA 94080, USA.
Drug Metab Dispos. 2010 Apr;38(4):600-5. doi: 10.1124/dmd.109.031310. Epub 2010 Jan 13.
The neonatal Fc receptor (FcRn) plays a critical role in maintaining homeostasis of IgG antibodies. Recent studies have shown that the FcRn-IgG interaction can be modulated to alter the pharmacokinetics of the antibody. This has been achieved by altering amino acid residues in the FcRn-binding domain of the antibody, resulting in a change in the pH-dependent binding affinity of the antibody to FcRn. The purpose of this study was to examine the impact of the pH-dependent FcRn binding affinity on the pharmacokinetics of the antibody with changes in the Asn434 residue. Two anti-tumor necrosis factor-alpha monoclonal antibody (mAb) FcRn variants (N434A and N434H) were engineered, and pharmacokinetic studies of the two FcRn variants together with the wild type (WT) were conducted in mice and cynomolgus monkeys. N434A, which had binding properties to murine FcRn similar to those of the WT, had the same pharmacokinetic profile as the WT in mice. N434H, with the highest binding affinity to murine FcRn at pH 7.4, had a faster clearance (16.1 ml/day/kg) and a lower bioavailability (61.3%) compared with the WT (5.07 ml/day/kg, 73.2%) and N434A (5.90 ml/day/kg, 72.4%) in mice. N434A and N434H, which had higher binding affinity at pH 6.0 to monkey FcRn with comparable affinity at pH 7.4, had significantly higher areas under the serum concentration-time curve from time 0 to day 7 than the WT (749 +/- 71.9 and 819 +/- 81.5 versus 592 +/- 56.8 microg/ml . day) in monkeys. Thus, increasing the binding affinity of mAbs to FcRn at pH 6.0 while keeping a low binding affinity at pH 7.4 improves the pharmacokinetics of these molecules.
新生儿 Fc 受体 (FcRn) 在维持 IgG 抗体的内环境稳定中发挥着关键作用。最近的研究表明,FcRn-IgG 相互作用可以通过改变抗体的 FcRn 结合域中的氨基酸残基来调节,从而改变抗体与 FcRn 的 pH 依赖性结合亲和力。本研究旨在研究改变 Asn434 残基对抗体 pH 依赖性 FcRn 结合亲和力对抗体药代动力学的影响。构建了两种抗肿瘤坏死因子-α单克隆抗体 (mAb) FcRn 变体 (N434A 和 N434H),并在小鼠和食蟹猴中进行了两种 FcRn 变体与野生型 (WT) 的药代动力学研究。N434A 对鼠 FcRn 的结合特性与 WT 相似,在小鼠中的药代动力学特征与 WT 相同。N434H 在 pH7.4 时对鼠 FcRn 的结合亲和力最高,其清除率 (16.1ml/天/公斤) 比 WT (5.07ml/天/公斤,73.2%) 和 N434A (5.90ml/天/公斤,72.4%) 更快,生物利用度 (61.3%) 更低。N434A 和 N434H 在 pH6.0 时对猴 FcRn 的结合亲和力较高,在 pH7.4 时的亲和力相当,在猴中,血清浓度-时间曲线下面积从 0 到第 7 天明显高于 WT (749 +/- 71.9 和 819 +/- 81.5 比 592 +/- 56.8 microg/ml. day)。因此,在保持 pH7.4 时低结合亲和力的同时,增加 mAb 与 FcRn 的结合亲和力可改善这些分子的药代动力学特性。
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