Evaluation of plant-produced humanized anti-ricin antibody Wei-Gang Hu Sarah Hayward DRDC – Suffield Research Centre Junfei Yin Canada West Biosciences Inc. Defence Research and Development Canada Scientific Report DRDC-RDDC-2016-R235 November 2016 IMPORTANT INFORMATIVE STATEMENTS This research has been done in collaboration between Defence Research and Development Canada and Canada West Biosciences Inc. In conducting the research described in this report, the investigators adhered to the ‘Guide to the Care and Use of Experimental Animals, Vol. I, 2nd Ed.’ published by the Canadian Council on Animal Care. Template in use: (2010) SR Advanced Template_EN (051115).dotm © Her Majesty the Queen in Right of Canada, as represented by the Minister of National Defence, 2016 © Sa Majesté la Reine (en droit du Canada), telle que représentée par le ministre de la Défense nationale, 2016 Abstract Therapeutic antibodies can provide specific, instant, and consistent protection against infectious agents/toxins and therefore offer great value for the Canadian Armed Forces as an effective medical countermeasure (MedCM) against biological warfare agents. Unfortunately, therapeutic antibodies are among the most expensive drugs with an average cost of $300/gram when produced in mammalian cell lines. This production cost significantly impacts the development of antibodies as therapeutics. DRDC Suffield Research Centre has developed a highly effective humanized anti-ricin antibody, hD9. To reduce the manufacturing cost, the production of hD9 was explored in plants and purified hD9 was produced in the genetically engineered tobacco-like plants by PlantForm Corporation. In this report, plant-produced hD9 (PhD9) was compared to its mammalian cell-produced counterpart, hD9 to investigate whether the plant manufacturing process would affect the antibody’s ricin-binding affinity and anti-ricin potency. In a ricin-binding affinity assay, a cell-based ricin neutralization assay and in a systemic ricin intoxication mouse model, PhD9 demonstrated its ricin-binding affinity and anti-ricin potency to be comparable to hD9, indicating that plants can be used as bioreactors for cost-effective and large-scale production of functional PhD9. Additionally, PhD9 was further compared both in vitro and in vivo with the UK Defence Science and Technology Laboratory (Dstl)-developed sheep anti-ricin polyclonal antibodies, DV057/29-2 (IgG) and P37501A [F(ab´)2]. PhD9 was not as effective as the Dstl polyclonal antibodies in a cell based ricin neutralization assay; however, in terms of therapeutic potency against ricin in an intranasal ricin intoxication mouse model, PhD9 outperformed the Dstl polyclonal antibodies by about 100 times. Overall, PhD9 has great potential to be developed as a potent MedCM against ricin intoxication. Significance to defence and security Ricin is a deadly toxin, which in 2014 was ranked by the North Atlantic Treaty Organization Biological Medical Advisory Council as the top future biothreat on a list of 32 potential biothreat agents due to its high morbidity and mortality, ease of large-scale production and storage, aerosol stability, ease of dispersal, etc. Ricin has the potential to pose a severe threat to public health and safety and a ricin crisis could occur at any time throughout the world. Unfortunately, there are currently no approved anti-ricin therapeutic medical countermeasures (MedCMs) available. The development of potent MedCMs against ricin intoxication will provide important protection in the event of attack for both biodefence and public health. DRDC-RDDC-2016-R235 i Résumé Les anticorps thérapeutiques peuvent conférer une protection spécifique, immédiate et uniforme contre les agents infectieux et les toxines. De ce fait, ils présentent un intérêt majeur pour les Forces armées canadiennes en tant que contre-mesure médicale efficace contre les agents de guerre biologique. Malheureusement, les anticorps thérapeutiques figurent parmi les médicaments les plus chers : leur coût atteint, en moyenne, 300 $ par gramme lorsqu’ils sont produits au moyen de lignées cellulaires de mammifères. Ce coût de production influence considérablement l’élaboration d’anticorps à des fins thérapeutiques. Le Centre de recherches de Suffield de Recherche et développement pour la défense Canada (RDDC) a mis au point un anticorps anti-ricine humanisé très efficace, le hD9. Afin de réduire le coût de fabrication, on a étudié la production d’anticorps hD9 à l’aide de végétaux Ainsi, le hD9 purifié a été produit à partir de plantes proches du tabac modifiées génétiquement par PlantForm Corporation. Dans ce rapport, on a comparé l’anticorps hD9 d’origine végétale (PhD9) à son équivalent produit au moyen de cellules de mammifères afin de déterminer si le procédé de fabrication grâce aux plantes influait sur l’affinité de l’anticorps avec la ricine et sur son efficacité contre la ricine. Lors d’un test d’affinité, d’une réaction cellulaire de neutralisation et de l’utilisation d’un modèle d’intoxication générale à la ricine chez la souris, le PhD9 a présenté une affinité et une efficacité comparables à celles du hD9, ce qui indique que les plantes étudiées peuvent servir de bioréacteurs en vue d’une production rentable et à grande échelle de PhD9 fonctionnel. En outre, on a également fait la comparaison in vitro et in vivo du PhD9 avec les anticorps polyclonaux de moutons mis au point par le Defence Science and Technology Laboratory (Dstl) au Royaume-Uni, les DV057/29-2 (IgG) et P37501A [F(ab´)2]. Le PhD9 ne s’est pas révélé aussi efficace que les anticorps polyclonaux du Dstl lors d’une réaction cellulaire de neutralisation de la ricine. Cependant, en ce qui concerne l’efficacité thérapeutique selon un modèle d’intoxication intranasale chez la souris, le PhD9 a surpassé les anticorps polyclonaux du Dstl par un facteur d’environ 100. Globalement, le PhD9 a un potentiel considérable pour la mise au point d’une contre-mesure médicale efficace contre l’intoxication à la ricine. Importance pour la défense et la sécurité La ricine est une toxine mortelle. En 2014, le Comité consultatif de l’OTAN sur la défense biomédicale considérait que la ricine était la menace biologique future figurant en tête de liste parmi 32 agents potentiels, notamment en raison de ses taux élevés de morbidité et de mortalité, de sa facilité de production et d’entreposage à grande échelle, de la stabilité des aérosols et de sa facilité de diffusion. La ricine peut représenter une grave menace pour la santé et la sécurité publiques, et son utilisation pourrait entraîner une crise à n’importe quel moment, n’importe où dans le monde. Malheureusement, il n’existe actuellement aucune contre-mesure médicale approuvée pour le traitement de l’intoxication à la ricine. La mise au point d’une contre-mesure médicale efficace contre l’intoxication à la ricine offrira une protection importante en cas d’attaque, tant pour la défense biochimique que la santé publique. ii DRDC-RDDC-2016-R235 Table of contents Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i Significance to defence and security . . . . . . . . . . . . . . . . . . . . . . i Résumé . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii Importance pour la défense et la sécurité . . . . . . . . . . . . . . . . . . . . Table of contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . ii iii List of figures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv List of tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . vi 1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Materials and methods . . . . . . . . . . . . . . . . . . . . . . . . . 2.1 Preparation of ricin stock . . . . . . . . . . . . . . . . . . . . . . 2.2 Antibodies . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.3 Affinity analysis . . . . . . . . . . . . . . . . . . . . . . . . . 2.4 In vitro neutralization assay . . . . . . . . . . . . . . . . . . . . . 2.5 In vivo protection assay . . . . . . . . . . . . . . . . . . . . . . Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.1 Ricin-binding affinity and anti-ricin potency comparison between PhD9 and hD9 . 3.1.1 Evaluation in vitro . . . . . . . . . . . . . . . . . . . . . 3.1.2 Evaluation in vivo . . . . . . . . . . . . . . . . . . . . . . 3.2 Ricin-binding affinity and anti-ricin potency comparison between PhD9 and Dstl polyclonal anti-ricin antibodies . . . . . . . . . . . . . . . . . . . 3.2.1 Evaluation in vitro . . . . . . . . . . . . . . . . . . . . . 3.2.2 Evaluation in vivo . . . . . . . . . . . . . . . . . . . . . . Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 2 2 3 3 4 4 4 5 6 6 7 10 5 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 3 4 DRDC-RDDC-2016-R235 iii List of figures Figure 1: Kinetic constants of PhD9 and hD9 binding to ricin. . . . . . . . . . . . 4 Figure 2: In vitro neutralization assay. . . . . . . . . . . . . . . . . . . . . . 5 Figure 3: In vivo protection assay. . . . . . . . . . . . . . . . . . . . . . . 5 Figure 4: Kinetic constants of Dstl polyclonal antibodies binding to ricin. . . . . . . 6 Figure 5: Anti-ricin neutralization potency comparison in vitro. . . . . . . . . . . 7 Figure 6: In vivo protection assay. . . . . . . . . . . . . . . . . . . . . . . 9 iv DRDC-RDDC-2016-R235 List of tables Table 1: Anti-ricin potency comparison between PhD9 and Dstl polyclonal anti-ricin antibodies, Dstl IgG, and Dstl F(ab´)2 in vivo. . . . . . . . . . . . . . DRDC-RDDC-2016-R235 8 v Acknowledgements The authors wish to acknowledge the retired Defence Scientist, Dr. John Cherwonogrodzky for his endeavors in initial setup of intranasal ricin intoxication mouse model. The technical assistance of the animal care support group at DRDC – Suffield Research Centre to the project is also greatly appreciated. vi DRDC-RDDC-2016-R235 1 Introduction Ricin is a 60–65 kDa glycoprotein derived from beans of the castor plant [1]. It consists of a ricin toxin A (RTA) protein and a ricin toxin B (RTB) protein linked by a disulfide bond. RTB binds to galactose residues on the mammalian cell surfaces to trigger cellular uptake of ricin. RTA enzymatically cleaves ribosomal RNA to stop protein synthesis [2]. Ricin can be lethal when injected, inhaled, or ingested and is therefore regarded as a high terrorist risk for the public [3, 4]. Currently, there are no vaccines or antidotes available against ricin. Therapeutic antibodies have the capacity to play a critical role in the emergency management of deadly infectious diseases/intoxications. For example, the use of antibodies was proven effective in both of the 2010 and 2012 outbreaks of Hendra virus in Australia [5] and in the 2014 largest recorded outbreak of Ebola virus in Africa [6]. Therefore, therapeutic antibodies can offer great value for the Canadian Armed Forces (CAF) as an effective medical countermeasure (MedCM) against biothreat agents and are in line with Canadian Forces Health Services’ (CFHS) demands. With the support of the Canadian Safety and Security Program (CSSP), a highly potent anti-ricin humanized antibody, hD9 has been developed at Defence Research and Development Canada (DRDC) Suffield Research Centre [7–9]. To advance this antibody to the preclinical stage of development, large-scale production of this antibody was required. Therapeutic antibodies are among the most expensive drugs to produce, with an average cost of $300/gram when produced in mammalian cell lines [10]; this production cost significantly impacts the development of antibodies as therapeutics. The manufacturing cost can potentially be reduced by novel technologies such as plant-based antibody production. Plants can be used as bioreactors for large-scale production of therapeutic antibodies at a low cost [11]. The lowest reported cost for the production and purification of antibodies in a transgenic crop is estimated at $12–15/gram [12], although there is no approved antibody product to validate this estimate. To reduce the manufacturing cost, the production of hD9 was explored in plants by a Canadian industrial contract with PlantForm Corporation, supported by the CFHS Biological Warfare Threat Medical Countermeasure (BWTMCM) project. In the first production run, a total of 350 mg of purified hD9 was produced in genetically engineered tobacco-like plants by PlantForm Corporation. In this report, the study was designed to investigate whether the plant manufacturing process would affect the ricin-binding and anti-ricin potency of the hD9. Additionally, plant-produced hD9 (PhD9) was further evaluated in terms of ricin-binding affinity and anti-ricin potency in comparison to the UK Defence Science and Technology Laboratory (Dstl)-developed sheep anti-ricin polyclonal antibodies, IgG and F(ab´)2 under the Memorandum of Understanding Concerning the Research, Development, and Acquisition of Chemical, Biological and Radiological Defense Material (CBR MOU) MedCM Consortium Working Group (MCMC) Task 6-Ricin MedCMs. DRDC-RDDC-2016-R235 1 2 2.1 Materials and methods Preparation of ricin stock Ricin was prepared from castor beans at DRDC Suffield Research Centre [8] and the toxicity of this ricin stock was also determined. For the systemic ricin intoxication mouse model via the intraperitoneal (i.p.) route, 0.215 µg of ricin was equivalent to 1×LD50 and with 5×LD50 (1.09 µg) all mice died within two days. For the intranasal (i.n.) instillation ricin intoxication mouse model, 0.09 µg of ricin was equivalent to 1×LD50; with 2.2×LD50 (0.2 µg) the mean time to death was 7 days. All research with ricin was conducted in a secure Containment Level 2 area and under the purview of Organisation for the Prohibition of Chemical Weapons. 2.2 Antibodies HD9 was produced in HEK 293 mammalian cells (Thermo Fisher Scientific, Burlington, ON) transfected with a recombinant adenovirus expressing hD9. The expressed recombinant hD9 was purified using ImmunoPure Protein (L) agarose gel (Pierce, Brockville, ON) [7]. PhD9 was produced by PlantForm Corporation [13, 14]. Briefly, hD9 gene was transiently expressed, along with human galactosyl transferase, in a line of Nicotiana benthamiana (ΔFX) with suppressed expression of the plant-specific glycosyltransferases (xylosyl-fucosyl-transferases) to mimic human glycosylation patterns on the produced protein. The PhD9 was successfully purified and polished and the formulated product was 97% pure and contained ≤1 endotoxin unit per mg of PhD9. The UK Dstl polyclonal anti-ricin antibodies, DV057/29-2 (IgG) and P37501A [F(ab´)2] were raised in sheep following a series of immunizations with ricin toxoid plus incomplete Freund’s adjuvants; they were prepared and provided by Dstl [15]. 2.3 Affinity analysis The binding affinity of PhD9, hD9, and Dstl polyclonal antibodies (DV057/29-2, P37501A) for ricin was determined using a Surface Plasmon Resonance (SPR) biosensor, SensiQ Pioneer (ICx Technologies, Oklahoma, OK). Briefly, ricin (10 μg/mL) diluted in 10 mM acetate buffer pH 4.5 was first immobilized onto the COOH1 chip following the standard 1-ethyl-3-(3-dimethylpropyl)-carbodiimide (EDC) plus N-hydroxysuccinimide (NHS) (Sigma-Aldrich, Oakville, ON) coupling chemistry and 350 response units (RU) of ricin were immobilized. The system was operated at 25 °C. Kinetic measurements were made using a two minute injection at a flow rate of 25 μL/min of serial dilutions of antibodies in 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES, Sigma-Aldrich)-buffered saline containing 3 mM ethylenediaminetetraacetic acid (EDTA, Sigma-Aldrich), 150 mM NaCl and 0.005% Tween-20 followed by a dissociation for ten minutes. The ricin-immobilized chip surface was regenerated by injection of 10 mM phosphoric acid for 120 seconds after each cycle. The data of dissociation (koff) and association (kon) rate constants were obtained with the SensiQ Qdat software, corrected by subtraction of the zero antibody concentration flow cell as well as zero ricin flow cell; values for the apparent equilibrium dissociation constant (Kd) were calculated from the ratio of koff and kon. 2 DRDC-RDDC-2016-R235 2.4 In vitro neutralization assay A Vero cell-based (ATCC, Burlington, ON) ricin toxicity neutralization assay was performed utilizing Alamar blue (TREK Diagnostic System, Cleveland, OH) as a cell viability indicator [8]. Ricin was incubated with a serial dilution of anti-ricin antibodies for two hours at 37 °C in 96-well plates. Ten thousand Vero cells cultured in 50 µL of DMEM medium (Thermo Fisher Scientific) with 10% fetal bovine serum (Hyclone, Fisher Canada) were added into the mixture. The final volume of the cell mixture was 200 µL with the ricin concentration of 7.5 ng/mL and antibody concentrations from 0.14 to 33.33 nM, or 0.26 to 33.33 nM. After incubation at 37 °C, 5% CO2 in a humidified incubator for two days, 20 µL of Alamar blue was added to each well and the plate was then incubated for 6–7 hours. On a plate reader (Molecular Devices, Sunnyvale, CA), the plate was read at an absorbance of 570 nm with 600 nm as a reference wavelength. Readings were normalized by subtracting the absorbance reading of wells without cells. Cell viability is expressed as cell survival rate relative to the control without ricin (Vero cells plus antibodies). 2.5 In vivo protection assay Female Balb/c mice (18–20 g) were obtained from the pathogen-free mouse-breeding colony from Charles River Canada (St Constant, QC). All animal experiments were performed in strict accordance with the guidelines set out by the Canadian Council on Animal Care. The animal care protocol was reviewed and approved by the Committee on the Ethics of Animal Experiments of DRDC, Suffield Research Centre. All efforts were made to minimize suffering. For post-exposure therapeutic potency study in a systemic ricin intoxication mouse model, groups of eight mice were given 5×LD50 of ricin i.p. per mouse and then 5 μg per mouse of either the antibody (PhD9 or hD9) or Hank’s Balanced Salt Solution (HBSS) (Thermo Fisher Scientific) was administered i.p. at 1, 2, 4, or 6 hours after ricin exposure. The mice were observed for morbidity and mortality over one week. For the post-exposure therapeutic potency study using an i.n. instillation ricin intoxication mouse model, groups of four or twelve mice were anesthetized with metophane in a sealed chamber until the mice were unconscious. The mice were then given 0.2 µg/50 µL of ricin per mouse by i.n. instillation and a series of doses of antibodies were administered by either the intramuscular (i.m.) or intravenous (i.v.) route at different hours (therapeutic windows) following ricin exposure. The mice were observed for morbidity and mortality over 14 days. 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Ricin (7.5 ng/mL) was pre-incubated with a serial dilution of different antibodies and then exposed to 104 Vero cells/well for two days before evaluation of cell viability using Alamar blue staining. The cell viability is expressed as cell survival rate relative to the control without ricin. 3.2.2 Evaluation in vivo An i.n. ricin intoxication mouse model was used in order to compare the protective potency between PhD9 and the Dstl polyclonal antibodies. Mice were challenged i.n. with ricin at a dose of 2.2×LD50. A series of doses of different antibodies were then administered by either i.m. or i.v. route to the mice at different hours (therapeutic windows) after ricin challenge. The results are shown in Table 1. The data for a dose of 1 mg of Dstl IgG or F(ab´)2, or 100 µg of PhD9 administered by the i.m. route at 16 hours post-exposure are plotted in Figure 6. PhD9 was able to rescue 100% of the mice, while the Dstl IgG and F(ab´)2 polyclonal antibodies were able to rescue only 33% and 67% of the animals. DRDC-RDDC-2016-R235 7 Table 1: Anti-ricin potency comparison between PhD9 and Dstl polyclonal anti-ricin antibodies, Dstl IgG, and Dstl F(ab´)2 in vivo. Abs Therapeutic Window (hours post-exposure) Route i.v. 16 i.m. PhD9 i.m. 20 i.v. 24 Dstl IgG 16 20 Dstl F(ab´)2 16 20 i.v. i.m. i.m. i.v. i.m. i.m. i.v. i.m. Dose (µg) Survival mice/ total mice % Survival 30 50 100 10 30 6/8 6/8 4/4 13/16 8/8 75% 75% 100% 81% 100% 100 12/12 100% 100 150 150 200 100 200 1,000 1,000 2,500 1,000 1,000 1,000 2,500 1,000 3/4 3/4 3/4 8/8 3/4 7/8 4/12 4/8 8/8 2/4 8/12 6/8 8/8 2/4 75% 75% 75% 100% 75% 88% 33% 50% 100% 50% 67% 75% 100% 50% Notes: Ricin was given at the dose of 2.2×LD50 to mice by the i.n. route. A series of doses of different antibodies were administered by either i.m. or i.v. route to the mice at different hours (therapeutic windows) after ricin exposure. The mean time to death of the control mice was 7 days post-exposure. 8 DRDC-RDDC-2016-R235 Survival rate (%) Days Figure 6: In vivo protection assay. Groups of twelve mice were challenged with 2.2×LD50 ricin via the i.n. route. PhD9 (100 µg), Dstl IgG (1 mg), Dstl F(ab´)2 (1 mg), or HBSS (control) were then administered to the animals at 16 hour post-exposure via the i.m. route. The mice were observed for morbidity and mortality over a two week period. DRDC-RDDC-2016-R235 9 4 Discussion Therapeutic antibodies are among the most expensive drugs. The current production of therapeutic antibodies involves the use of very large cultures of mammalian cells followed by extensive purification steps, under good manufacturing practice conditions, leading to extremely high production costs [10]. The high cost has dramatically affected the development of antibodies as therapeutics. The cost could potentially be reduced by certain novel technologies, such as plant-based antibody production. As such, hD9 was produced in plants. In this study, the PhD9 was evaluated against its mammalian cell-produced counterpart, hD9. The results demonstrated that PhD9 was comparable to hD9 in terms of ricin-binding affinity and anti-ricin potency both in vitro and in vivo, indicating plants can be used as bioreactors for large-scale production of therapeutics at reduced cost. Meanwhile, the plant production system is fast, efficient, highly versatile (for new product development), easily scalable for production, and free from contamination by mammalian pathogens. Furthermore, development of this production platform would provide DRDC the capability for cost-effective and large-scale production of any protein-based MedCM against biothreat agents in the future. Currently there are only a few Food and Drug Administration-approved plant-produced biologics on the market and none of these are antibody-related. Before the plant-based therapeutic antibodies come to the market, some major challenges still remain to be addressed, including non-mammalian glycosylation, genetic instability, few available contract manufacturing organizations, and the rigorous regulatory requirements and standards for plant-based pharmaceutical products [16, 17]. There are many anti-ricin neutralizing antibodies being developed worldwide. Some of these anti-ricin antibodies have been evaluated in either inhalation or intranasal instillation ricin intoxication mouse models, since aerosol is the most likely route of dissemination of biological select agents and toxins in a bioterrorist attack, regardless of the natural route of exposure to the agent [18]. Ricin acts rapidly and therefore leaves a very short therapeutic window (effective timing of administration of therapeutic antibodies) for post-exposure MedCMs. For post-exposure therapeutic potency study in inhalation/intranasal instillation ricin intoxication mouse models, currently the best result reported in the literature has been the Dstl polyclonal antibodies, which demonstrated that the therapeutic window could be pushed up to 16 hours post exposure when given an i.v. injection of 2.5 mg IgG and F(ab´)2 in an inhalational mouse model with intoxication of 3 ×LD50 ricin [15]. In this report, PhD9 was compared to the Dstl polyclonal antibodies. In a ricin-binding affinity assay, the affinity of PhD9 binding to ricin was around nine times higher than Dstl polyclonal antibodies. The result is understandable since polyclonal antibodies consist of various monoclonal antibodies, which have different antigen-binding affinities. As such, the Kd of a polyclonal antibody is an average of various monoclonal antibody Kds. Therefore, this result only indicates that the monoclonal PhD9 ricin-binding affinity is around nine times higher than the average. PhD9 was further compared with Dstl polyclonal antibodies in a Vero cell-based anti-ricin neutralization assay. When the antibody molar concentrations were ≥1.04 nM, PhD9 anti-ricin potency was not as high as Dstl polyclonal antibodies, but when the antibody molar concentrations were <1.04 nM, PhD9 anti-ricin potency was better than Dstl polyclonal antibodies, indicating the anti-ricin neutralization mechanism might be different between PhD9 and Dstl polyclonal antibodies in vitro, or Dstl polyclonal antibodies might contain a subset of high potency neutralizing antibodies that could neutralize ricin more efficiently than PhD9 at high 10 DRDC-RDDC-2016-R235 concentrations, but at low concentrations, the number of the high potency neutralizing antibodies might not be enough to be effective to neutralize ricin. When PhD9 was compared with the Dstl polyclonal antibodies in an i.n. instillation mouse model with intoxication of 2.2×LD50 ricin, PhD9 outperformed the Dstl polyclonal antibodies when antibodies were administered by an i.m. route in which PhD9 (30 µg per mouse) was able to rescue 100% of the mice, while Dstl IgG and F(ab´)2 polyclonal antibodies were able to rescue only 33% and 67% of the mice at an even higher dose of 1 mg per mouse. Since the molecular weight of F(ab´)2 is around two thirds of IgG, the anti-ricin protective potency of PhD9 at molar basis is around 100 times better than Dstl anti-ricin IgG and F(ab´)2. Taken together, although PhD9 was not as efficient as Dstl polyclonal antibodies in the in vitro ricin neutralization assay, PhD9 outperformed the polyclonal antibodies in the in vivo rescue study using a ricin-intoxicated mouse model. The antibody functions against pathogens or toxins involve a series of mechanisms that include direct binding to specific epitopes to neutralize toxins or inhibit microbial attachment [19] and indirect antibody-mediated events primarily consisting of antibody-dependent cellular cytotoxicity, antibody-dependent cell phagocytosis, and complement-dependent cytotoxicity [20]. Unlike in vivo studies, an in vitro neutralization test is only able to examine the antibody direct function and unable to examine the antibody indirect functions. Our results indicate that the indirect functions of PhD9 might also play a pivotal role against ricin intoxication in vivo. Furthermore, PhD9, as a humanized monoclonal antibody, does not have the animal polyclonal antibody’s drawbacks, such as serious side effects in humans mainly due to foreignness to humans [21] (serum sickness, low efficacy resulting from rapid clearance of antibodies from humans, and potentially lethal allergic response), batch-to-batch variation, uncertain dosing, and a risk of infection from animal serum. DRDC-RDDC-2016-R235 11 5 Conclusion The ricin-binding affinity and anti-ricin potency of PhD9 were confirmed to be comparable to those of hD9 both in vitro and in vivo, indicating that plants can be used as bioreactors for cost-effective and large-scale production of functional hD9. In addition, the in vivo anti-ricin efficacy study also demonstrated that PhD9 performed substantially better than the Dstl polyclonal anti-ricin antibodies, the most efficacious antidote against ricin intoxication in mouse models reported in the literature. Overall, PhD9 has great potential to be developed as a potent MedCM against ricin intoxication. 12 DRDC-RDDC-2016-R235 References [1] Montanaro L, Sperti S, Stirpe F: Inhibition by ricin of protein synthesis in vitro. Ribosomes as the target of the toxin. Biochem J 1973, 136(3):677–683. [2] Endo Y, Mitsui K, Motizuki M, Tsurugi K: The mechanism of action of ricin and related toxic lectins on eukaryotic ribosomes. The site and the characteristics of the modification in 28 S ribosomal RNA caused by the toxins. J Biol Chem 1987, 262(12):5908–5912. [3] Audi J, Belson M, Patel M, Schier J, Osterloh J: Ricin poisoning: a comprehensive review. JAMA 2005, 294(18):2342–2351. [4] Cieslak TJ, Kortepeter MG, Wojtyk RC, Reyes RA, Smith JO: Council tNBMA: Beyond the Dirty Dozen: A Matrix Methodology for Assessing Future Biowarfare Threats. NATO Science and Technology Organization-Human Factors and Medicine Panel HFM-239-Symposium on “State-of-the-Art in Research on Medical Countermeasures against Biological Agents” 2014, (STO-MP-HFM-239):1–11. [5] Pollard E: Mother, daughter taking experimental hendra virus drugs. In: ABC News. 2010. [6] Hampton T: Largest-ever outbreak of Ebola virus disease thrusts experimental therapies, vaccines into spotlight. JAMA 2014, 312(10):987–989. [7] Hu W-G, Yin J, Chau D, Negrych LM, Cherwonogrodzky JW: Humanization and characterization of an anti-ricin neutralization monoclonal antibody. PLoS One 2012, 7(9):e45595. [8] Hu W-G, Yin J, Chau D, Hu CC, Lillico D, Yu J, Negrych LM, Cherwonogrodzky JW: Conformation-dependent high-affinity potent ricin-neutralizing monoclonal antibodies. BioMed research international 2013, 2013:471346. [9] Hu W-G, Negrych LM, Chau D, Yin JF, Jager SJ, Cherwonogrodzky JW: Anti-ricin antibodies and uses thereof. In: online. Edited by Office UP. USA; 2016, http://www.freepatentsonline.com/y2016/0280773.html (Access date: 01 Apr 2016). [10] Werner RG: Economic aspects of commercial manufacture of biopharmaceuticals. J Biotechnol 2004, 113(1–3):171–182. [11] Giritch A, Marillonnet S, Engler C, van Eldik G, Botterman J, Klimyuk V, Gleba Y: Rapid high-yield expression of full-size IgG antibodies in plants coinfected with noncompeting viral vectors. Proceedings of the National Academy of Sciences of the United States of America 2006, 103(40):14701–14706. [12] Crosby C: Commercial production of transgenic crops genetically engineered to produce pharmaceuticals. BioPharm International 2002 April 15(4):60–67. DRDC-RDDC-2016-R235 13 [13] Hall JC, Meyers A: Plant-Produced Humanized Antibodies DRDC Contract Report 2016, Defence Research and Development Canada, DRDC-RDDC-2016-C022. [14] Meyer A: Anti-ricin (hD9) antibody-Final Report. DRDC Contract Report 2016, Defence Research and Development Canada, DRDC-RDDC-2016-C293. [15] Holley JL, Poole SJC, Cooper CE, Griffiths GD, Simpson AJ: The production and evaluation of ricin antitoxins. RTO-MP-HFM-149 2007, 12:1–8. [16] Leidos-Health: BP-011 Feasibility Assessment: Anti-Ricin hD9 Manufacturing and Related Activity. NIH-Supported Contract Report 2014:78. [17] Shih SM, Doran PM: Foreign protein production using plant cell and organ cultures: Advantages and limitations. Biotechnology advances 2009, 27(6):1036–1042. [18] Kortepeter MG, Cieslak TJ, Eitzen EM: Bioterrorism. Journal of environmental health 2001, 63(6):21–24. [19] Casadevall A, Pirofski LA: New concepts in antibody-mediated immunity. Infection and immunity 2004, 72(11):6191–6196. [20] Raghavan M, Bjorkman PJ: Fc receptors and their interactions with immunoglobulins. Annu Rev Cell Dev Biol 1996, 12:181–220. [21] Khazaeli MB, Conry RM, LoBuglio AF: Human immune response to monoclonal antibodies. J Immunother 1994, 15(1):42–52. 14 DRDC-RDDC-2016-R235 DOCUMENT CONTROL DATA (Security markings for the title, abstract and indexing annotation must be entered when the document is Classified or Designated) 1. ORIGINATOR (The name and address of the organization preparing the document. Organizations for whom the document was prepared, e.g., Centre sponsoring a contractor's report, or tasking agency, are entered in Section 8.) DRDC – Suffield Research Centre Defence Research and Development Canada P.O. Box 4000, Station Main Medicine Hat, Alberta T1A 8K6 Canada 3. 2a. SECURITY MARKING (Overall security marking of the document including special supplemental markings if applicable.) UNCLASSIFIED 2b. CONTROLLED GOODS (NON-CONTROLLED GOODS) DMC A REVIEW: GCEC DECEMBER 2013 TITLE (The complete document title as indicated on the title page. Its classification should be indicated by the appropriate abbreviation (S, C or U) in parentheses after the title.) Evaluation of plant-produced humanized anti-ricin antibody 4. AUTHORS (last name, followed by initials – ranks, titles, etc., not to be used) Hu, W.-G.; Hayward, S.; Yin, J. 5. DATE OF PUBLICATION (Month and year of publication of document.) November 2016 7. 6a. NO. OF PAGES (Total containing information, including Annexes, Appendices, etc.) 25 6b. NO. OF REFS (Total cited in document.) 21 DESCRIPTIVE NOTES (The category of the document, e.g., technical report, technical note or memorandum. If appropriate, enter the type of report, e.g., interim, progress, summary, annual or final. Give the inclusive dates when a specific reporting period is covered.) Scientific Report 8. SPONSORING ACTIVITY (The name of the department project office or laboratory sponsoring the research and development – include address.) DRDC – Suffield Research Centre Defence Research and Development Canada P.O. Box 4000, Station Main Medicine Hat, Alberta T1A 8K6 Canada 9a. PROJECT OR GRANT NO. (If appropriate, the applicable research and development project or grant number under which the document was written. Please specify whether project or grant.) 9b. CONTRACT NO. (If appropriate, the applicable number under which the document was written.) 10a. ORIGINATOR’S DOCUMENT NUMBER (The official document number by which the document is identified by the originating activity. This number must be unique to this document.) 10b. OTHER DOCUMENT NO(s). (Any other numbers which may be assigned this document either by the originator or by the sponsor.) DRDC-RDDC-2016-R235 11. DOCUMENT AVAILABILITY (Any limitations on further dissemination of the document, other than those imposed by security classification.) Unlimited 12. DOCUMENT ANNOUNCEMENT (Any limitation to the bibliographic announcement of this document. This will normally correspond to the Document Availability (11). However, where further distribution (beyond the audience specified in (11) is possible, a wider announcement audience may be selected.)) Unlimited 13. ABSTRACT (A brief and factual summary of the document. It may also appear elsewhere in the body of the document itself. It is highly desirable that the abstract of classified documents be unclassified. Each paragraph of the abstract shall begin with an indication of the security classification of the information in the paragraph (unless the document itself is unclassified) represented as (S), (C), (R), or (U). It is not necessary to include here abstracts in both official languages unless the text is bilingual.) Therapeutic antibodies can provide specific, instant, and consistent protection against infectious agents/toxins and therefore offer great value for the Canadian Armed Forces as an effective medical countermeasure (MedCM) against biological warfare agents. Unfortunately, therapeutic antibodies are among the most expensive drugs with an average cost of $300/gram when produced in mammalian cell lines. This production cost significantly impacts the development of antibodies as therapeutics. DRDC Suffield Research Centre has developed a highly effective humanized anti-ricin antibody, hD9. To reduce the manufacturing cost, the production of hD9 was explored in plants and purified hD9 was produced in the genetically engineered tobacco-like plants by PlantForm Corporation. In this report, plant-produced hD9 (PhD9) was compared to its mammalian cell-produced counterpart, hD9 to investigate whether the plant manufacturing process would affect the antibody’s ricin-binding affinity and anti-ricin potency. In a ricin-binding affinity assay, a cell-based ricin neutralization assay and in a systemic ricin intoxication mouse model, PhD9 demonstrated its ricin-binding affinity and anti-ricin potency to be comparable to hD9, indicating that plants can be used as bioreactors for cost-effective and large-scale production of functional PhD9. Additionally, PhD9 was further compared both in vitro and in vivo with the UK Defence Science and Technology Laboratory (Dstl)-developed sheep anti-ricin polyclonal antibodies, DV057/29-2 (IgG) and P37501A [F(ab´)2]. PhD9 was not as effective as the Dstl polyclonal antibodies in a cell based ricin neutralization assay; however, in terms of therapeutic potency against ricin in an intranasal ricin intoxication mouse model, PhD9 outperformed the Dstl polyclonal antibodies by about 100 times. Overall, PhD9 has great potential to be developed as a potent MedCM against ricin intoxication. --------------------------------------------------------------------------------------------------------------Les anticorps thérapeutiques peuvent conférer une protection spécifique, immédiate et uniforme contre les agents infectieux et les toxines. De ce fait, ils présentent un intérêt majeur pour les Forces armées canadiennes en tant que contre-mesure médicale efficace contre les agents de guerre biologique. Malheureusement, les anticorps thérapeutiques figurent parmi les médicaments les plus chers : leur coût atteint, en moyenne, 300 $ par gramme lorsqu’ils sont produits au moyen de lignées cellulaires de mammifères. Ce coût de production influence considérablement l’élaboration d’anticorps à des fins thérapeutiques. Le Centre de recherches de Suffield de Recherche et développement pour la défense Canada (RDDC) a mis au point un anticorps anti-ricine humanisé très efficace, le hD9. Afin de réduire le coût de fabrication, on a étudié la production d’anticorps hD9 à l’aide de végétaux Ainsi, le hD9 purifié a été produit à partir de plantes proches du tabac modifiées génétiquement par PlantForm Corporation. Dans ce rapport, on a comparé l’anticorps hD9 d’origine végétale (PhD9) à son équivalent produit au moyen de cellules de mammifères afin de déterminer si le procédé de fabrication grâce aux plantes influait sur l’affinité de l’anticorps avec la ricine et sur son efficacité contre la ricine. Lors d’un test d’affinité, d’une réaction cellulaire de neutralisation et de l’utilisation d’un modèle d’intoxication générale à la ricine chez la souris, le PhD9 a présenté une affinité et une efficacité comparables à celles du hD9, ce qui indique que les plantes étudiées peuvent servir de bioréacteurs en vue d’une production rentable et à grande échelle de PhD9 fonctionnel. En outre, on a également fait la comparaison in vitro et in vivo du PhD9 avec les anticorps polyclonaux de moutons mis au point par le Defence Science and Technology Laboratory (Dstl) au Royaume-Uni, les DV057/29-2 (IgG) et P37501A [F(ab´)2]. Le PhD9 ne s’est pas révélé aussi efficace que les anticorps polyclonaux du Dstl lors d’une réaction cellulaire de neutralisation de la ricine. Cependant, en ce qui concerne l’efficacité thérapeutique selon un modèle d’intoxication intranasale chez la souris, le PhD9 a surpassé les anticorps polyclonaux du Dstl par un facteur d’environ 100. Globalement, le PhD9 a un potentiel considérable pour la mise au point d’une contre-mesure médicale efficace contre l’intoxication à la ricine. 14. KEYWORDS, DESCRIPTORS or IDENTIFIERS (Technically meaningful terms or short phrases that characterize a document and could be helpful in cataloguing the document. They should be selected so that no security classification is required. Identifiers, such as equipment model designation, trade name, military project code name, geographic location may also be included. If possible keywords should be selected from a published thesaurus, e.g., Thesaurus of Engineering and Scientific Terms (TEST) and that thesaurus identified. If it is not possible to select indexing terms which are Unclassified, the classification of each should be indicated as with the title.) therapeutic antibodies; anti-ricin; plant-produced; efficacy
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