Kovaleva Marina, Ferguson Laura, Steven John, Porter Andrew, Barelle Caroline
University of Aberdeen, Institute of Medical Sciences, College of Life Sciences and Medicine , Foresterhill, Aberdeen, AB25 2ZD , UK +012 2443 8545 ;
Expert Opin Biol Ther. 2014 Oct;14(10):1527-39. doi: 10.1517/14712598.2014.937701. Epub 2014 Aug 4.
Biologics drugs have succeeded in achieving a commercial dominance in the global market for new therapies and large pharmaceutical companies' interest remains strong through a continued commitment to pipeline development. It is not surprising, therefore, that next-generation biologics, particularly antibody-like scaffolds that offer many of the advantages of the original biologic drugs but in simplified formats, have entered the clinic as competing substitute therapeutic products, to capture market share.
Specifically, this paper will position shark-derived variable new antigen receptors (VNARs) within an overview of the existing biologics landscape including the growth, diversity and success to date of alternative scaffolds. The intention is not to provide a comprehensive review of biologics as a whole but to discuss the main competing single-domain technologies and the exciting therapeutic potential of VNAR domains as clinical candidates within this context.
The inherent ability to specifically bind target and intervene in disease-related biological processes, while reducing off-site toxicity, makes mAbs an effective, potent and now proven class of therapeutics. There are, however, limitations to these 'magic bullets'. Their size and complexity can restrict their utility in certain diseases types and disease locations. In contrast, a number of so-called alternative scaffolds, derived from both immunoglobulin- and non-immunoglobulin-based sources have been developed with real potential to overcome many of the shortcomings documented for mAb treatments. Unlike competing approaches such as Darpins and Affibodies, we now know that shark VNAR domains (like camel VHH nanobody domains), are an integral part of the adaptive immune system of these animals and have evolved naturally (but from very different starting molecules) to exhibit high affinity and selectivity for target. In addition, and again influenced by the environment in which they have evolved naturally, their small size, simple architecture, high solubility and stability, deliver additional flexibility compared to classical antibodies (and many non-natural alternative scaffolds), thereby providing an attractive basis for particular clinical indications where these attributes may offer advantages.
生物制剂药物已在全球新疗法市场中取得商业主导地位,大型制药公司通过持续致力于研发管线,对此的兴趣依然浓厚。因此,下一代生物制剂,尤其是具有原始生物制剂药物诸多优点但形式更为简化的抗体样支架,已作为竞争性替代治疗产品进入临床,以获取市场份额。
具体而言,本文将在现有生物制剂格局概述中介绍鲨鱼源可变新抗原受体(VNAR),包括替代支架的发展、多样性及迄今取得的成功。目的并非对生物制剂进行全面综述,而是在此背景下讨论主要的竞争性单域技术以及VNAR结构域作为临床候选药物令人兴奋的治疗潜力。
单克隆抗体(mAb)具有特异性结合靶点并干预疾病相关生物学过程的内在能力,同时能降低非靶向毒性,使其成为一类有效、强效且已得到验证的治疗药物。然而,这些“神奇子弹”存在局限性。其大小和复杂性可能限制其在某些疾病类型和疾病部位的应用。相比之下,已开发出多种源自免疫球蛋白和非免疫球蛋白的所谓替代支架,它们具有克服许多mAb治疗中所记录缺点的真正潜力。与Darpins和Affibodies等竞争方法不同,我们现在知道鲨鱼VNAR结构域(如骆驼VHH纳米抗体结构域)是这些动物适应性免疫系统的一个组成部分,并且已经自然进化(但起始分子非常不同)以对靶点表现出高亲和力和选择性。此外,同样受其自然进化环境的影响,它们体积小、结构简单、溶解度高且稳定性好,与传统抗体(以及许多非天然替代支架)相比具有更大的灵活性,从而为这些特性可能具有优势的特定临床适应症提供了有吸引力的基础。