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双特异性TfR/BACE1抗体用于优化脑内抗体摄取的数学药代动力学/药效学及安全性模型。

Mathematical PKPD and safety model of bispecific TfR/BACE1 antibodies for the optimization of antibody uptake in brain.

作者信息

Gadkar Kapil, Yadav Daniela Bumbaca, Zuchero Joy Yu, Couch Jessica A, Kanodia Jitendra, Kenrick Margaret K, Atwal Jasvinder K, Dennis Mark S, Prabhu Saileta, Watts Ryan J, Joseph Sean B, Ramanujan Saroja

机构信息

Preclinical and Translational Pharmacokinetics Department, Genentech, Inc., 1 DNA Way, South San Francisco, CA 94080, USA.

Department of Neuroscience, Genentech, Inc., 1 DNA Way, South San Francisco, CA 94080, USA.

出版信息

Eur J Pharm Biopharm. 2016 Apr;101:53-61. doi: 10.1016/j.ejpb.2016.01.009. Epub 2016 Jan 25.

Abstract

Treatment of diseases of the central nervous system by monoclonal antibodies may be limited by the restricted uptake of antibodies across the blood-brain barrier (BBB). An antibody targeting transferrin receptor (TfR) has been shown to take advantage of the receptor-mediated transcytosis properties of TfR in order to cross the BBB in mice, with the uptake in the brain being dependent on the affinity to TfR. In the bispecific format with arms targeting both TfR and β-secretase 1 (BACE1), altering the affinity to TfR has been shown to impact systemic exposure and safety profiles. In this work, a mathematical model incorporating pharmacokinetic/pharmacodynamic (PKPD) and safety profiles is developed for bispecific TfR/BACE1 antibodies with a range of affinities to TfR in order to guide candidate selection. The model captures the dependence of both systemic and brain exposure on TfR affinity and the subsequent impact on brain Aβ40 lowering and circulating reticulocyte levels. Model simulations identify the optimal affinity for the TfR arm of the bispecific to maximize Aβ reduction while maintaining reticulocyte levels. The model serves as a useful tool to prioritize and optimize preclinical studies and has been used to support the selection of additional candidates for further development.

摘要

单克隆抗体对中枢神经系统疾病的治疗可能会受到抗体通过血脑屏障(BBB)摄取受限的限制。一种靶向转铁蛋白受体(TfR)的抗体已被证明可利用TfR的受体介导转胞吞特性穿越小鼠的血脑屏障,脑内摄取取决于对TfR的亲和力。在具有靶向TfR和β-分泌酶1(BACE1)两条臂的双特异性形式中,改变对TfR的亲和力已被证明会影响全身暴露和安全性。在这项工作中,针对对TfR具有一系列亲和力的双特异性TfR/BACE1抗体,建立了一个结合药代动力学/药效学(PKPD)和安全性的数学模型,以指导候选药物的选择。该模型捕捉了全身和脑暴露对TfR亲和力的依赖性以及随后对脑Aβ40降低和循环网织红细胞水平的影响。模型模拟确定了双特异性抗体TfR臂的最佳亲和力,以在维持网织红细胞水平的同时最大限度地降低Aβ。该模型是优先考虑和优化临床前研究的有用工具,并已用于支持选择更多候选药物进行进一步开发。

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