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治疗性免疫球蛋白 G 糖基化的重要性和监测。

Importance and Monitoring of Therapeutic Immunoglobulin G Glycosylation.

机构信息

Department of Clinical Research, National Hospital Organization Yamaguchi Ube Medical Center, Ube, Japan.

NIBRT GlycoScience Group, National Institute for Bioprocessing Research and Training, Mount Merrion, Blackrock, Dublin, Ireland.

出版信息

Exp Suppl. 2021;112:481-517. doi: 10.1007/978-3-030-76912-3_15.

Abstract

The complex diantennary-type oligosaccharides at Asn297 residues of the IgG heavy chains have a profound impact on the safety and efficacy of therapeutic IgG monoclonal antibodies (mAbs). Fc glycosylation of a mAb is an established critical quality attribute (CQA), and its oligosaccharide profile is required to be thoroughly characterized by state-of-the-art analytical methods. The Fc oligosaccharides are highly heterogeneous, and the differentially glycosylated species (glycoforms) of IgG express unique biological activities. Glycoengineering is a promising approach for the production of selected mAb glycoforms with improved effector functions, and non- and low-fucosylated mAbs exhibiting enhanced antibody-dependent cellular cytotoxicity activity have been approved or are under clinical evaluation for treatment of cancers, autoimmune/chronic inflammatory diseases, and infection. Recently, the chemoenzymatic glycoengineering method that allows for the transfer of structurally defined oligosaccharides to Asn-linked GlcNAc residues with glycosynthase has been developed for remodeling of IgG-Fc oligosaccharides with high efficiency and flexibility. Additionally, various glycoengineering methods have been developed that utilize the Fc oligosaccharides of IgG as reaction handles to conjugate cytotoxic agents by "click chemistry", providing new routes to the design of antibody-drug conjugates (ADCs) with tightly controlled drug-antibody ratios (DARs) and homogeneity. This review focuses on current understanding of the biological relevance of individual IgG glycoforms and advances in the development of next-generation antibody therapeutics with improved efficacy and safety through glycoengineering.

摘要

IgG 重链 N297 残基上复杂的二天线型寡糖对治疗性 IgG 单克隆抗体(mAb)的安全性和疗效有深远影响。mAb 的 Fc 糖基化是已确立的关键质量属性(CQA),需要通过最先进的分析方法彻底表征其寡糖谱。Fc 寡糖高度不均一,并且 IgG 的不同糖基化物种(糖型)表达独特的生物学活性。糖工程是生产具有改善的效应功能的选定 mAb 糖型的有前途的方法,并且非和低岩藻糖基化 mAb 表现出增强的抗体依赖性细胞毒性活性,已被批准或正在临床评估用于治疗癌症、自身免疫/慢性炎症性疾病和感染。最近,已经开发出化学酶糖工程方法,该方法允许使用糖基合成酶将结构定义的寡糖转移到 Asn 连接的 GlcNAc 残基上,用于高效和灵活地重塑 IgG-Fc 寡糖。此外,已经开发了各种糖工程方法,这些方法利用 IgG 的 Fc 寡糖作为反应柄,通过“点击化学”将细胞毒性剂缀合,为设计具有严格控制的药物-抗体比(DAR)和均一性的抗体药物偶联物(ADC)提供了新途径。本综述重点介绍了对单个 IgG 糖型的生物学相关性的当前理解,以及通过糖工程开发具有改善的疗效和安全性的下一代抗体治疗药物的进展。

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