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人血清中游离型和结合型 atacicept 的药代动力学。

Kinetics of free and ligand-bound atacicept in human serum.

机构信息

Department of Immunobiology, University of Lausanne, Epalinges, Switzerland.

Clinical Pharmacology, Translational Medicine, Merck Healthcare KGaA, Darmstadt, Germany.

出版信息

Front Immunol. 2022 Dec 2;13:1035556. doi: 10.3389/fimmu.2022.1035556. eCollection 2022.

Abstract

BAFF (B cell activation factor of the TNF family/B lymphocyte stimulator, BLyS) and APRIL (a proliferation-inducing ligand) are targeted by atacicept, a decoy receptor consisting of the extracellular domain of TACI (transmembrane activator and calcium-modulator and cyclophilin (CAML) interactor) fused to the Fc portion of human IgG1. The purpose of the study was to characterize free and ligand-bound atacicept in humans. Total and active atacicept in serum of healthy volunteers receiving a single dose of subcutaneous atacicept or in patients treated weekly for one year were measured by ELISA, Western blot, or cell-based assays. Pharmacokinetics of free and bound atacicept were predicted based on total atacicept ELISA results. Persistence of complexes of purified atacicept bound to recombinant ligands was also monitored in mice. Results show that unbound or active atacicept in human serum exceeded 0.1 µg/ml for one week post administration, or throughout a 1-year treatment with weekly administrations. After a single administration of atacicept, endogenous BAFF bound to atacicept was detected after 8 h then increased about 100-fold within 2 to 4 weeks. Endogenous heteromers of BAFF and APRIL bound to atacicept also accumulated, but atacicept-APRIL complexes were not detected. In mice receiving intravenous injections of purified complexes pre-formed , atacicept-BAFF persisted longer (more than a week) than atacicept-APRIL (less than a day). Thus, only biologically inactive BAFF and BAFF-APRIL heteromers accumulate on atacicept . The measure of active atacicept provides further support for the once-weekly dosing regimen implemented in the clinical development of atacicept.

摘要

BAFF(肿瘤坏死因子家族中的 B 细胞激活因子/B 淋巴细胞刺激因子,BLyS)和 APRIL(增殖诱导配体)是 atacicept 的作用靶点,atacicept 是一种诱饵受体,由跨膜激活剂和钙调节剂及亲环素(CAML)相互作用物(TACI)的细胞外结构域与人类 IgG1 的 Fc 部分融合而成。该研究的目的是表征人类中游离和配体结合的 atacicept。通过 ELISA、Western blot 或基于细胞的测定法,检测接受单次皮下 atacicept 给药的健康志愿者或接受为期一年每周治疗的患者的血清中的总 atacicept 和活性 atacicept。根据总 atacicept ELISA 结果预测游离和结合的 atacicept 的药代动力学。还在小鼠中监测与重组配体结合的纯化 atacicept 复合物的持久性。结果表明,给药后一周或每周给药 1 年的治疗过程中,人血清中未结合或活性 atacicept 超过 0.1 µg/ml。单次给药后,在 8 小时后检测到内源性 BAFF 与 atacicept 结合,然后在 2 至 4 周内增加约 100 倍。内源性 BAFF 和 APRIL 结合的异源二聚体也会积累,但未检测到 atacicept-APRIL 复合物。在接受预先形成的静脉内注射纯化复合物的小鼠中,atacicept-BAFF 比 atacicept-APRIL(不到一天)持续时间更长(超过一周)。因此,只有无生物活性的 BAFF 和 BAFF-APRIL 异源二聚体在 atacicept 上积累。活性 atacicept 的测量结果为 atacicept 的每周一次给药方案在临床开发中的实施提供了进一步的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5b6/9756848/f75176da96a0/fimmu-13-1035556-g001.jpg

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