使用微透析法测定大鼠体内抗转铁蛋白受体抗体亲和变体的脑药代动力学。

Brain pharmacokinetics of anti-transferrin receptor antibody affinity variants in rats determined using microdialysis.

作者信息

Chang Hsueh-Yuan, Wu Shengjia, Li Yingyi, Zhang Wanying, Burrell Matthew, Webster Carl I, Shah Dhaval K

机构信息

Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, The State University of New York at Buffalo , Buffalo, NY, USA.

Antibody Discovery and Protein Engineering, R&D, AstraZeneca , Cambridge, UK.

出版信息

MAbs. 2021 Jan-Dec;13(1):1874121. doi: 10.1080/19420862.2021.1874121.

Abstract

Receptor-mediated transcytosis (RMT) is used to enhance the delivery of monoclonal antibodies (mAb) into the central nervous system (CNS). While the binding to endogenous receptors on the brain capillary endothelial cells (BCECs) may facilitate the uptake of mAbs in the brain, a strong affinity for the receptor may hinder the efficiency of transcytosis. To quantitatively investigate the effect of binding affinity on the pharmacokinetics (PK) of anti-transferrin receptor (TfR) mAbs in different regions of the rat brain, we conducted a microdialysis study to directly measure the concentration of free mAbs at different sites of interest. Our results confirmed that bivalent anti-TfR mAb with an optimal dissociation constant (K) value (76 nM) among four affinity variants can have up to 10-fold higher transcytosed free mAb exposure in the brain interstitial fluid (bISF) compared to lower and higher affinity mAbs (5 and 174 nM). This bell-shaped relationship between K values and the increased brain exposure of mAbs was also visible when using whole-brain PK data. However, we found that mAb concentrations in postvascular brain supernatant (obtained after capillary depletion) were almost always higher than the concentrations measured in bISF using microdialysis. We also observed that the increase in mAb area under the concentration curve in CSF compartments was less significant, which highlights the challenge in using CSF measurement as a surrogate for estimating the efficiency of RMT delivery. Our results also suggest that the determination of mAb concentrations in the brain using microdialysis may be necessary to accurately measure the PK of CNS-targeted antibodies at the site-of-actions in the brain.

摘要

受体介导的转胞吞作用(RMT)用于增强单克隆抗体(mAb)向中枢神经系统(CNS)的递送。虽然与脑毛细血管内皮细胞(BCEC)上的内源性受体结合可能有助于mAb在脑中的摄取,但对受体的强亲和力可能会阻碍转胞吞作用的效率。为了定量研究结合亲和力对大鼠脑不同区域抗转铁蛋白受体(TfR)mAb药代动力学(PK)的影响,我们进行了一项微透析研究,以直接测量不同感兴趣部位的游离mAb浓度。我们的结果证实,在四种亲和力变体中,具有最佳解离常数(K)值(76 nM)的二价抗TfR mAb在脑海马间质液(bISF)中的转胞吞游离mAb暴露量比亲和力较低和较高的mAb(5和174 nM)高出多达10倍。当使用全脑PK数据时,K值与mAb脑暴露增加之间的这种钟形关系也很明显。然而,我们发现血管后脑海马上清液(毛细血管耗竭后获得)中的mAb浓度几乎总是高于使用微透析在bISF中测量的浓度。我们还观察到,脑脊液隔室中mAb浓度曲线下面积的增加不太显著,这突出了使用脑脊液测量作为估计RMT递送效率替代指标的挑战。我们的结果还表明,使用微透析测定脑中mAb浓度可能是准确测量中枢神经系统靶向抗体在脑作用部位PK的必要条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c15e/7849817/c6298f55d028/KMAB_A_1874121_F0001_B.jpg

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