Understanding the effects of disulfide bond reduction on the structure, function and stability of monoclonal antibodies used in therapy

Lead Research Organisation: University College London
Department Name: Biochemical Engineering

Abstract

State of the art biotherapeutics such as monoclonal antibodies (mAbs) contain disulfide bonds. MAbs are manufactured using recombinant cellular expression systems, which can secrete thiol reductase enzymes into the culture medium. These enzymes can reduce disulfide bonds in the antibodies, causing structural and functional changes during manufacturing. Furthermore, diseases such as cancer and inflammatory disorders that are commonly treated by such antibodies also secrete large amounts of reductases, meaning the antibodies can be modified in vivo after administration of the formulated drug.

The aim of this project is to characterise the effects of disulfide bond reduction on the structure, function and stability after formulation of mAbs. A combination of state-of-the-art biophysical analysis by mass spectrometry, and bioassays for function, will elucidate the impact of reduction on both structure and function. This will provide fundamental structural knowledge to improve safety and efficacy of biotherapeutics in general and
will inform routes to improve the manufacturing process and the formulation of antibody-based products. This work aligns to the EPSRC Manufacturing the Future theme, and is a strategic fit to the challenge of developing healthcare for an ageing population.

The project involves expertise and collaboration with the National Institute of Biological Standards and Control (NIBSC), and also LGC, to complement the analytical, structural, computational and formulation expertise of the UCL Department of Biochemical Engineering.

Planned Impact

The benefits of the proposed EPSRC Centre for Doctoral Training (CDT) aligned to the EPSRC Centre for Innovative Manufacture of Emergent Macromolecular Therapies will be significant. The CDT will address an acute skills storage of trained manpower, needed to take this industry forward for the benefit of the UK, and ultimately to improve the levels of healthcare provision nationally. This is a radical new opportunity for the industry which suffers from a lack of joined up thinking and hence tends to operate in discrete silos of expertise. The integrated approach offered by the CDT would pay high dividends. UK companies will benefit from access to highly skilled doctorates who will each have benefited from a wide and interdisciplinary research approach created by the CDT. Macromolecular medicines are complex and labile so that bioprocess development times and costs tend to be high due to unforeseen issues that occur during scale-up of the manufacturing process. Currently there is little scope to alter a manufacturing process because the effect of changes cannot be readily predicted. This is compounded by lack of individuals skilled in the methods needed. Our transformative CDT research training agenda will allow for the first time engineers and scientists to create the methods and approaches needed for UK companies to genuinely understand and control directly, for the first time, the quality of output during manufacture, in spite of biological variability. By creating and then testing manufacturing models and methods for whole bioprocesses using the resources of a national EPSRC Centre we shall gain fundamental engineering insights crucial for the more effective direction of acquisitions of experimental data and also the improved design and operation of whole bioprocesses. Manufacturing efficiencies will be raised and waste reduced. Such a vision is consistent with recent efforts by the regulatory authorities, and in particular the Quality by Design (QbD) initiative of the International Committee on Harmonisation (ICH), to develop science-based regulatory submissions for approval to manufacture new biological products. The CDT will create a network to provide a conduit for effective knowledge exchange from the very best academic groups in the UK. A key metric of success will be retention of CDT graduates within the industry where they will be effective in the application of Centre concepts with industrial practice and the adoption of the methods created. Potential patients will benefit as the innovations created by the CDT research will significantly aid reduction in development times of macromolecular medicines, which is particularly crucial for those addressing previously unmet clinical needs and the treatment of severe conditions such as arthritis, cardiovascular disease, viral infections and cancers. By providing industry the capabilities and tools to achieve changes to manufacturing processes we shall open up possibilities for major improvements to processes during production and hence reduce costs to the NHS. The capacity to treat conditions such as rheumatoid arthritis much more effectively in ageing populations is vital but it still poses a problem with respect to stretched NHS budgets. A significantly greater number of drugs will be capable of meeting NICE's thresholds and thus benefit extended patient populations. The UK economy will benefit because the academic research and training offered by the CDT will complement the country's strength in bioscience discovery. Collaboration between bioprocess engineers, process modellers manufacturing experts, regulators and physical scientists will ensure effective knowledge and skills transfer between the science and engineering base and UK industry and the regulating agencies. This will strengthen the UK position in the global healthcare market and attract further R&D investment from global business which recognises the UK as a good place to conduct these activities.

Publications

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Description Many treatments for inflammatory diseases, such as rheumatoid arthritis, involve a group of biologic drugs called therapeutic monoclonal antibodies (mAbs). There are 5 types of these mAbs that all target the same molecule in the body, called TNF, to decrease inflammation. For many of these drugs, their efficacy decreases dramatically over time for some patients, and in other patients, they may not be effective at all. It is also well documented that at local sites of inflammation, the body over produces an enyzme called thioredoxin (Trx). It is postulated that the Trx system within the human body reduces bonds within mAbs, altering their structure and preventing them from functioning effectively as a drug.
Research within the therapeutics division at NIBSC has replicated the disulfide bond reduction of two of these mAbs (infliximab and adalimumab) with thioredoxin. The antibody structures remain intact as a whole, but their binding to TNF increases 10 to 100 fold, whilst recognition of the drug by human Fc receptors is knocked out.

The funding of this award has built on the above research in the following ways:
1) An additional anti-TNF mAb therapeutic has also been investigated, golimumab. As well as infliximab and adalimumab, the same trends are observed whereby the disulfide-reduced mAb has a higher TNF neutralisation potency, meaning it can bind to more TNF molecules compared to the drug in its normal state. The recognition of golimumab by the Fc-mediated pathway has not yet been investigated.
2) The interchain disulfide bond reduction has been replicated using a simple and cheaper chemical denaturant, TCEP. Tests have been conducted to prove TCEP produces the same altered structure of each mAb as the thioredoxin system. Experiments include non-reducing SDS PAGE with fluorescent maleimide labelling to show complete reduction is achieved, SE-HPLC to show the mAbs remain intact, and quantitative mass spectrometry to identify where the disulfide reduction occurrs.
3) Through a collaboration with LGC, hydrogen deuterium exchange-mass spectrometry (HDX-MS) has given insight into where the structural changes occur on the surface of the mAb. Using infliximab, the standard drug has been compared to the disulfide-reduced drug to highlight one region of significant structural change, on the CH2 domain in the Fc region of the antibody. The hinge region of the antibody remained unresolved, so it is not possible to conclude what structural changes occur in this region. The rest of the antibody structure showed no significant structural change. This work is currently being repeated with infliximab-TNF immune complexes.
4) SE-HPLC has been used to study the complexes formed between infliximab and TNF. A larger volume of complexes are formed between disulfide-reduced (TCEP treated) infliximab compared to the regular infliximab drug. This is in agreement with all other investigative studies, showing that these disulfide-reduced mAbs can bind to more molecules of TNF than their untreated counterparts.
5) We have developed an assay using a nanobody produced at NIBSC as a diagnostic probe. This nanobody specifically binds to disulfide-reduced mAbs, and not the normal mAbs. The next stage of this project is to run serum samples from patients on courses of anti-TNF mAb through this assay at NIBSC, to test for presence of reduced mAbs. We are currently setting up a collaboration to UCLH to obtain these samples from patients with inflammatory diseases such as rheumatoid arthritis.
Exploitation Route Once we have a better understanding of how the structure/function of the therapeutics is altered following the disulfide bond reduction, we can improve production, use of, and design of the mAbs in the following ways:
1) Research - design of ELISA and bioassay-based tests to evaluate the efficacy of the altered mAbs in a more clinical setting, using patient sera.
2) Pharmaceutical design - evaluate whether the changes bought on by the thioredoxin system are primarily a hindrance, or partial benefit to the course of treatment, or somewhere in-between.
3) Pharmaceutical design - potential to re-design the protein structure i.e. create a new drug, that is either more or less susceptible to the disulfide bond reduction, depending on the outcomes of 1 and 2.
4) Manufacture - implementation of more robust production methods to reduce/eliminate the effects of the thioredoxin system on large scale mAb culture from mammalian cells e.g. CHO
5) Personalised medicine - backed up by scientific evidence that the mAbs do not function as expected, tailor the dosage per person according to individual expression levels of TNF and thioredoxin, ensuring sufficient mAb is present to neutralise TNF, whilst no excess causes aggregation/clearance by generation of anti-drug antibodies.
Sectors Healthcare,Manufacturing, including Industrial Biotechology,Pharmaceuticals and Medical Biotechnology

 
Description NIBSC-UCL-LGC studentship: HDX-MS studies on the structure of disulfide-reduced infliximab, adalimumab, and infliximab complexes with TNF. 
Organisation Laboratory of the Government Chemist (LGC) Ltd
Country United Kingdom 
Sector Private 
PI Contribution Three-way studentship collaboration between UCL (source of funding), NIBSC (project originator and source of materials) and LGC (source of equipment). The relationship with LGC was established by UCL PhD supervisor Paul Dalby owing to a previous PhD student also making use of their specialist HDX-MS equipment. All samples for HDX-MS were prepared at NIBSC under the expertise of Clive Metcalfe, who is the overall project leader, and transferred to LGC.
Collaborator Contribution LGC has contributed use of their HDX-MS equipment for running of experiments, usage of PLGS and DynamX software for data processing, and expertise of former and current employees in how to design experiments, use the equipment, and analyse the data.
Impact As detailed in the research outcomes section, this research has identified only one region of significant structural change on the mAb infliximab following interchain disulfide bond reduction, on the CH2 domain of the protein (HC 244-255). Despite an increased potency to the cytokine TNF, no regions of structural change were observed anywhere on the Fab region of the protein, where TNF binds.
Start Year 2017