Division of Endocrinology and Metabolism, Keenan Research Centre in the Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Ontario, Canada.
J Gene Med. 2011 Sep;13(9):470-7. doi: 10.1002/jgm.1598.
Therapeutic xenoproteins are immunogenic and can induce neutralizing antibodies. When delivered by intramuscular injection of a plasmid vector, this mimics classical DNA vaccination. To demonstrate this, we chose Exendin-4 (Ex4), which is a glucagon-like peptide-1 mimetic xenoprotein in clinical use for treating type 2 diabetes. We constructed an Ex4 and mouse immunoglobulin (Ig)G1-Fc fusion fragment (Ex4/Fc), and hypothesized that it would have minimal immunogenicity as a result of its capacity to bind the inhibitory Fc receptor FcγRIIb expressed by B lymphocytes.
Plasmid vectors encoding Ex4/Fc constructs, with wild-type or mutant Fc, were injected intramuscularly into mice, and local electroporation was applied to enhance gene transfer. Gene transfer was performed in both wild-type and FcγRIIb knockout mice. Antibody production was detected in serum by an enzyme-linked immunosorbent assay.
Recombinant Ex4/Fc bound only to B cells expressing FcγRIIb. This binding was dependent on a motif in the Fc region, which we mutated to abolish binding (Ex4/Fcmut). Ex4 antibody was detected in mice treated with Ex4, as well as Ex4/Fcmut, but not in those treated with Ex4/Fc. Thus, wild-type Fc was associated with reduced immunogenicity. To confirm this was related to the presence of inhibitory Fc receptors, we also performed experiments in FcγRIIb-null mice. Mice lacking this receptor produced antibodies against all Ex4 constructs, including the wild-type Fc (Ex4/Fc).
The present study shows that inhibitory FcγRIIb receptors interacting with the wild-type IgG1-Fc reduce immunity against Ex4/Fc, suggesting an approach for reducing the immunogenicity of therapeutic proteins in the context of gene therapy.
治疗性异种蛋白具有免疫原性,并能诱导中和抗体。当通过肌肉内注射质粒载体来递送时,这模拟了经典的 DNA 疫苗接种。为了证明这一点,我们选择了 Exendin-4(Ex4),它是一种用于治疗 2 型糖尿病的临床应用的胰高血糖素样肽-1 类似物异种蛋白。我们构建了 Ex4 和小鼠免疫球蛋白(Ig)G1-Fc 融合片段(Ex4/Fc),并假设由于其能够结合 B 淋巴细胞表达的抑制性 Fc 受体 FcγRIIb,它将具有最小的免疫原性。
编码 Ex4/Fc 构建体的质粒载体,具有野生型或突变型 Fc,被肌肉内注射到小鼠中,并应用局部电穿孔增强基因转移。在野生型和 FcγRIIb 敲除小鼠中进行基因转移。通过酶联免疫吸附试验检测血清中的抗体产生情况。
重组 Ex4/Fc 仅与表达 FcγRIIb 的 B 细胞结合。这种结合依赖于 Fc 区的一个基序,我们将其突变以消除结合(Ex4/Fcmut)。用 Ex4、Ex4/Fcmut 处理的小鼠中检测到 Ex4 抗体,但用 Ex4/Fc 处理的小鼠中未检测到。因此,野生型 Fc 与降低的免疫原性相关。为了证实这与抑制性 Fc 受体的存在有关,我们还在 FcγRIIb 敲除小鼠中进行了实验。缺乏这种受体的小鼠产生针对所有 Ex4 构建体的抗体,包括野生型 Fc(Ex4/Fc)。
本研究表明,与野生型 IgG1-Fc 相互作用的抑制性 FcγRIIb 受体降低了对 Ex4/Fc 的免疫反应,提示在基因治疗的背景下降低治疗性蛋白免疫原性的一种方法。