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CSL311,一种新型、强效的治疗性单克隆抗体,用于治疗由白细胞介素-3、粒细胞-巨噬细胞集落刺激因子和白细胞介素-5受体的共同β链介导的疾病。

CSL311, a novel, potent, therapeutic monoclonal antibody for the treatment of diseases mediated by the common β chain of the IL-3, GM-CSF and IL-5 receptors.

作者信息

Panousis Con, Dhagat Urmi, Edwards Kirsten M, Rayzman Veronika, Hardy Matthew P, Braley Hal, Gauvreau Gail M, Hercus Timothy R, Smith Steven, Sehmi Roma, McMillan Laura, Dottore Mara, McClure Barbara J, Fabri Louis J, Vairo Gino, Lopez Angel F, Parker Michael W, Nash Andrew D, Wilson Nicholas J, Wilson Michael J, Owczarek Catherine M

机构信息

a Research and Development, CSL Limited; Bio21 Molecular Science and Biotechnology Institute , Parkville Victoria , 3010 , Australia.

b Australian Cancer Research Foundation Rational Drug Discovery Center, St. Vincent's Institute of Medical Research , Fitzroy , Victoria , 3065 , Australia.

出版信息

MAbs. 2016;8(3):436-53. doi: 10.1080/19420862.2015.1119352. Epub 2015 Dec 14.

Abstract

The β common-signaling cytokines interleukin (IL)-3, granulocyte-macrophage colony stimulating factor (GM-CSF) and IL-5 stimulate pro-inflammatory activities of haematopoietic cells via a receptor complex incorporating cytokine-specific α and shared β common (βc, CD131) receptor. Evidence from animal models and recent clinical trials demonstrate that these cytokines are critical mediators of the pathogenesis of inflammatory airway disease such as asthma. However, no therapeutic agents, other than steroids, that specifically and effectively target inflammation mediated by all 3 of these cytokines exist. We employed phage display technology to identify and optimize a novel, human monoclonal antibody (CSL311) that binds to a unique epitope that is specific to the cytokine-binding site of the human βc receptor. The binding epitope of CSL311 on the βc receptor was defined by X-ray crystallography and site-directed mutagenesis. CSL311 has picomolar binding affinity for the human βc receptor, and at therapeutic concentrations is a highly potent antagonist of the combined activities of IL-3, GM-CSF and IL-5 on primary eosinophil survival in vitro. Importantly, CSL311 inhibited the survival of inflammatory cells present in induced sputum from human allergic asthmatic subjects undergoing allergen bronchoprovocation. Due to its high potency and ability to simultaneously suppress the activity of all 3 β common cytokines, CSL311 may provide a new strategy for the treatment of chronic inflammatory diseases where the human βc receptor is central to pathogenesis. The coordinates for the βc/CSL311 Fab complex structure have been deposited with the RCSB Protein Data Bank (PDB 5DWU).

摘要

β共同信号细胞因子白细胞介素(IL)-3、粒细胞-巨噬细胞集落刺激因子(GM-CSF)和IL-5通过一种受体复合物刺激造血细胞的促炎活性,该受体复合物包含细胞因子特异性α链和共同的β链(βc,CD131)受体。来自动物模型和近期临床试验的证据表明,这些细胞因子是哮喘等炎症性气道疾病发病机制的关键介质。然而,除了类固醇之外,不存在能特异性且有效地靶向由这三种细胞因子介导的炎症的治疗药物。我们利用噬菌体展示技术鉴定并优化了一种新型人单克隆抗体(CSL311),它能结合人βc受体细胞因子结合位点特有的一个独特表位。通过X射线晶体学和定点诱变确定了CSL311在βc受体上的结合表位。CSL311对人βc受体具有皮摩尔级的结合亲和力,在治疗浓度下,它是IL-3、GM-CSF和IL-5联合作用于原代嗜酸性粒细胞体外存活的高效拮抗剂。重要的是,CSL311抑制了接受变应原支气管激发试验的人类过敏性哮喘患者诱导痰中炎症细胞的存活。由于其高效性以及能够同时抑制所有三种β共同细胞因子的活性,CSL311可能为治疗慢性炎症性疾病提供一种新策略,在这些疾病中,人βc受体在发病机制中起核心作用。βc/CSL311 Fab复合物结构的坐标已存入RCSB蛋白质数据库(PDB 5DWU)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e88c/4966837/8d3e22836254/kmab-08-03-1119352-g001.jpg

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