Laboratory of Animal Models for Human Diseases, National Institutes of Biomedical Innovation, Health and Nutrition (NIBIOHN), 7-6-8 Saito-Asagi, Ibaraki City, Osaka, Japan.
Department of Research and Development, A-CLIP Institute, Chyuo-ku, Chiba City, Chiba, Japan.
Clin Exp Immunol. 2024 Mar 12;216(1):55-67. doi: 10.1093/cei/uxad140.
Based on the efficacy of intravenous immunoglobulin (IVIg) for the treatment of antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), we developed a recombinant single-chain-fragment variable clone, VasSF, therapeutic against AAV in a mouse model (SCG/Kj mice). VasSF is thought to bind to vasculitis-associated apolipoprotein A-II (APOA2) as a target molecule. VasSF is a promising new drug against AAV, but difficulties in the yield and purification of VasSF remain unresolved. We produced monomers of new VasSF molecules by modifying the plasmid structure for VasSF expression and simplifying the purification method using high-performance liquid chromatography. We compared the therapeutic effects between 5-day continuous administration of the monomers, as in IVIg treatment, and single shots of 5-day-equivalent doses. We also evaluated the life-prolonging effect of the single-shot treatment. Two-dimensional western blots were used to examine the binding of VasSF to APOA2. Our improved manufacturing method resulted in a 100-fold higher yield of VasSF than in our previous study. Monomerization of VasSF stabilized its efficacy. Single shots of a small amount (1/80 000 of IVIg) produced sufficient therapeutic effects, including decreased glomerular crescent formation, a decreasing trend of serum ANCA against myeloperoxidase (MPO-ANCA), decreases in multiple proinflammatory cytokines, and a trend toward prolonged survival. Two-dimensional western blots confirmed the binding of VasSF to APOA2. The newly produced pure VasSF monomers are stable and therapeutic for AAV with a single low-dose injection, possibly by removing vasculitis-associated APOA2. Thus, the new VasSF described herein is a promising drug against AAV.
基于静脉注射免疫球蛋白(IVIg)治疗抗中性粒细胞胞质抗体(ANCA)相关性血管炎(AAV)的疗效,我们开发了一种重组单链片段可变克隆体 VasSF,用于治疗小鼠模型中的 AAV(SCG/Kj 小鼠)。VasSF 被认为作为靶分子结合血管炎相关载脂蛋白 A-II(APOA2)。VasSF 是一种有前途的治疗 AAV 的新药,但在 VasSF 的产量和纯化方面仍存在困难。我们通过修改 VasSF 表达的质粒结构并简化使用高效液相色谱的纯化方法来生产新 VasSF 分子的单体。我们比较了单体的 5 天连续给药(如 IVIg 治疗)与 5 天等效剂量的单次注射之间的治疗效果。我们还评估了单次治疗的延长寿命效果。二维 Western 印迹用于检查 VasSF 与 APOA2 的结合。我们改进的制造方法使 VasSF 的产量比我们之前的研究提高了 100 倍。VasSF 的单体化为其疗效提供了稳定性。少量(IVIg 的 1/80000)的单次注射即可产生足够的治疗效果,包括减少肾小球新月体形成、血清髓过氧化物酶(MPO-ANCA)针对 ANCA 的趋势下降、多种促炎细胞因子的减少以及生存时间延长的趋势。二维 Western 印迹证实了 VasSF 与 APOA2 的结合。新生产的纯 VasSF 单体稳定且可治疗 AAV,单次低剂量注射即可,可能通过去除与血管炎相关的 APOA2。因此,本文所述的新型 VasSF 是一种有前途的治疗 AAV 的药物。
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