阅读说明：本技术 Cd47抗体及其使用方法 (CD47 antibodies and methods of use thereof ) 是由 B·埃克尔曼 J·蒂莫 A·拉扎伊 Q·德福罗 K·琼斯 P·L·恩古 于 2013-02-06 设计创作，主要内容包括：本发明一般涉及识别CD47的单克隆抗体,更具体地涉及不引起显著的细胞凝集的CD47抗体、制备这些抗体的方法以及使用这些单克隆抗体作为治疗物质的方法。(The present invention relates generally to monoclonal antibodies that recognize CD47, and more particularly to CD47 antibodies that do not cause significant cell aggregation, methods of making these antibodies, and methods of using these monoclonal antibodies as therapeutic substances.)

1. An isolated monoclonal antibody that binds to CD47 or an immunologically active fragment thereof, wherein the antibody does not cause significant cell aggregation after administration.

2. The antibody of claim 1, which is chimeric, humanized or fully human.

3. The antibody of claim 1, wherein the CD47 is human CD 47.

4. The antibody of claim 1, which antibody or immunologically active fragment thereof prevents interaction of CD47 with signal-regulated protein a (SIRPa).

5. The antibody of claim 4, which antibody or immunologically active fragment thereof promotes macrophage-mediated phagocytosis of CD 47-expressing cells.

6. The antibody of claim 1, wherein the antibody or immunologically active fragment thereof is an IgG isotype selected from the group consisting of: IgG1 isotype, IgG2 isotype, IgG3 isotype, and IgG4 isotype.

7. The antibody of claim 1, wherein the antibody or immunologically active fragment thereof comprises a Variable Heavy (VH) chain region selected from SEQ ID NOS 5-30.

8. The antibody of claim 1, wherein the antibody or immunologically active fragment thereof comprises a Variable Light (VL) chain region selected from the group consisting of SEQ ID NOS: 31-47.

9. The antibody of claim 1, wherein the antibody or immunologically active fragment thereof comprises a VH region provided by any one of SEQ ID Nos 5-30 and a VL region provided by any one of SEQ ID Nos 31-47.

10. The antibody of claim 9, wherein the antibody or immunologically active fragment thereof comprises a VH region provided by any one of SEQ ID NOs 5,7, 8, 11, 12, 15-17, 20-22, and 27-30 paired with a VL region provided by any one of SEQ ID NOs 31, 32, 35, 40, 41, 42, 43, 44, and 47.

11. The antibody of claim 9, comprising a combination of VH and VL chain regions selected from the combinations listed in table 1.

12. The antibody of claim 1, which antibody or immunologically active fragment thereof comprises the VH complementarity determining region 1(CDR1) sequence set forth in SEQ ID NO 50, 57, 58, 59, 60, 61, 62, 63, 64, 65 or 66, the VH CDR2 sequence set forth in SEQ ID NO 51, 72, 73, 74, 75 or 76, the VH CDR 3526 sequence set forth in SEQ ID NO 52 or 77, the VH CDR3 sequence set forth in SEQ ID NO 53, 67 or 68, the VL CDR1 sequence set forth in SEQ ID NO 54, 69, The VL CDR2 sequence set forth in SEQ ID NO. 70 or SEQ ID NO. 71 and the VLCDR3 sequence set forth in SEQ ID NO. 55.

13. The antibody of claim 12, which antibody or immunologically active fragment thereof comprises the VH CDR1 sequence set forth in SEQ ID No. 50, the VH CDR2 sequence set forth in SEQ ID No. 51, the VH CDR3 sequence set forth in SEQ ID No. 52, the VL CDR1 sequence set forth in SEQ ID No. 53, the VL CDR2 sequence set forth in SEQ ID No. 54, and the VL CDR3 sequence set forth in SEQ ID No. 55.

14. The antibody of claim 12, which antibody or immunologically active fragment thereof comprises the VH CDR1 sequence set forth in SEQ ID No. 50, the VH CDR2 sequence set forth in SEQ ID No. 72, the VH CDR3 sequence set forth in SEQ ID No. 52, the VL CDR1 sequence set forth in SEQ ID No. 53, the VL CDR2 sequence set forth in SEQ ID No. 71, and the VL CDR3 sequence set forth in SEQ ID No. 55.

15. The antibody of claim 1, which binds to CD47 in a head-to-side orientation, the VH chain of the antibody being proximal to the cell membrane of a cell expressing CD47, and the VL chain of the antibody blocking the sirpa binding site on CD 47.

16. The antibody of claim 1, which binds to CD47 in a head-to-side orientation, the VL chain of the antibody being proximal to the cell membrane of a cell expressing CD47, and the VH chain of the antibody blocking the sirpa binding site on CD 47.

17. The antibody of claim 1, which binds to a discontinuous epitope on CD 47.

18. The antibody of claim 17, which binds to loop CD47 comprising SEQ ID NO 56.

19. The antibody of claim 17, wherein the discontinuous epitope comprises a discontinuous epitope of amino acid residues Y37, K39, K41, K43, G44, R45, D46, D51, H90, N93, E97, T99, E104, or E106 of CD47, numbered according to SEQ ID NO: 147.

20. The antibody of claim 1, which does not cause significant hemagglutination of red blood cells after administration.

21. The antibody of claim 1, which is an IgG isotype selected from IgG4P and IgGPE.

22. An isolated antibody or immunologically active fragment thereof, that competes with the antibody of any one of the preceding claims for preventing CD47 from interacting with sirpa.

23. A polypeptide comprising the polypeptides of amino acid residues Y37, K39, K41, K43, G44, R45, D46, D51, H90, N93, E97, T99, E104 and E106 of CD47, numbered according to SEQ ID NO: 147.

24. A pharmaceutical composition comprising the antibody or immunologically active fragment of claim 1 and a carrier.

25. A method of alleviating a symptom of a cancer or other neoplastic disorder, the method comprising administering the antibody or immunologically active fragment thereof of claim 1 to a subject in need thereof in an amount sufficient to alleviate the symptom of the cancer or other neoplastic disorder in the subject.

26. The method of claim 25, wherein the subject is a human.

27. The method of claim 25, wherein the antibody is chimeric, humanized, or fully human.

28. The method of claim 25, wherein the CD47 is human CD 47.

29. The method of claim 25, wherein the antibody or immunologically active fragment thereof prevents the interaction of CD47 with sirpa.

30. The method of claim 25, wherein the antibody or immunologically active fragment thereof is an IgG isotype selected from the group consisting of: IgG1 isotype, IgG2 isotype, IgG3 isotype, and IgG4 isotype.

31. The method of claim 25, wherein the antibody or immunologically active fragment thereof is an IgG isotype selected from IgG4P and IgGPE.

32. The method of claim 25, further comprising performing chemotherapy.

33. The method of claim 32, wherein the chemotherapy is radiation therapy.

Technical Field

The present invention relates generally to monoclonal antibodies that recognize CD47, and more particularly to CD47 antibodies that do not cause significant hemagglutination of human erythrocytes, methods of making these antibodies, and methods of using these monoclonal antibodies as therapeutic substances.

Background

CD47, also known as integrin-associated protein (IAP), ovarian cancer antigen OA3, Rh-associated antigen and MER6, is a multi-transmembrane receptor belonging to the immunoglobulin superfamily. The expression and/or activity of CD47 is implicated in a number of diseases and disorders. Thus, there is a need for therapies targeting CD 47.

Disclosure of Invention

The present invention provides monoclonal antibodies that recognize and bind to CD47, particularly human CD 47. The antibodies of the invention are capable of modulating (e.g., blocking, inhibiting, reducing, antagonizing, neutralizing, or interfering with) the expression, activity, and/or signaling of CD47, and these antibodies do not cause significant hemagglutination of human blood red cells (also referred to herein as erythrocytes). However, the ability of the antibodies of the present invention to bind to CD47 on the cell surface and not produce the phenomenon of cell agglutination is not limited to red blood cells. The antibodies of the invention specifically bind to CD47 in a manner that does not promote CD 47-positive cell aggregation. The antibodies and derivatives thereof of the present invention are capable of modulating (e.g., blocking, inhibiting, reducing, antagonizing, neutralizing or interfering with) the interaction between CD47 and sirpa (signal-regulated protein α), and these antibodies do not cause significant hemagglutination of human erythrocytes. The antibodies provided herein are collectively referred to as "CD 47 antibodies". The CD47 antibody of the invention is a significant improvement over the existing CD47 antibody, the existing CD47 antibody causes hemagglutination of human erythrocytes (see, for example, Kikuchi Y, Uno S, Yoshimura Y, etc., A bivalent single-chain Fv fragment against CD47 antibodies against leukemia cells for leukemia cells), Biochem Biophys Res Commun 2004; 315: 912-8). For example, the CD47 antibodies of the invention are a significant improvement over the existing CD47 antibodies, B6H12, BRC126 and CC2C6, each of which block sirpa but cause hemagglutination of RBCs, as described in detail below. The whole IgG CD47 antibodies of the invention (e.g., 2a1 and humanized derivatives thereof, including the antibodies provided in table 1) do not agglutinate cells at significant levels. For example, the CD47 antibodies of the invention do not agglutinate Red Blood Cells (RBCs). Described herein is a first class of CD47 antibody in a full IgG format that blocks sirpa but does not cause significant hemagglutination.

The CD47 antibodies of the invention exhibit a number of desirable properties, such as by way of non-limiting example, effectively blocking the interaction of CD47 with its ligand sirpa, while not causing significant hemagglutination of red blood cells, as well as potent anti-tumor activity. For example, the CD47 antibodies of the invention block at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 95%, or at least 99% of the interaction between CD47 and sirpa as compared to the level of interaction between CD47 and sirpa in the absence of the CD47 antibodies described herein.

The CD47 antibodies of the invention do not cause significant agglutination of cells, e.g., the CD47 antibodies of the invention do not cause significant hemagglutination of red blood cells. In some cases, significant cell agglutination refers to the level of agglutination in the presence of the existing CD47 antibody. In one aspect, the level of agglutination in the presence of a CD47 antibody of the invention is reduced by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 99% compared to the level of agglutination in the presence of an existing CD47 antibody. In some embodiments, a CD47 antibody of the invention does not result in a significant level of agglutination if the level of agglutination in the presence of the CD47 antibody of the invention is reduced by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 99% compared to the level of agglutination in the presence of the existing CD47 antibody. In other embodiments, a CD47 antibody of the invention does not result in a significant level of agglutination if the level of agglutination in the presence of the CD47 antibody of the invention is reduced by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 99% compared to the level of agglutination in the presence of the existing CD47 antibody 1B4 (including the variable heavy and variable light chain sequences provided by SEQ ID NOs 80 and 81, respectively). Preferably, the CD47 antibodies of the invention do not cause significant cell aggregation at antibody concentrations between 10pM and 10 μ M (e.g., antibody concentrations of 50pM, 100pM, 1nM, 10nM, 50nM, 100nM, 1 μ M, or 5 μ M).

The antibodies of the invention are also significantly effective in tumor models compared to antibodies known in the art. For example, the ability of a macrophage to phagocytose a tumor cell in the presence of a CD47 antibody of the invention is increased by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 99% as compared to the ability of a macrophage to phagocytose a tumor cell in the presence of an existing CD47 antibody.

One skilled in the art will recognize that one can quantify the level of agglutination, such as hemagglutination of RBCs, without undue experimentation. For example, one skilled in the art will recognize that a hemagglutination assay can be performed in the presence of the CD47 antibody of the invention, followed by measuring the area of the RBC spot to determine the level of hemagglutination, as described in the examples below. In some cases, the RBC spot area in the presence of the CD47 antibody of the invention was compared to the RBC spot area in the absence of the CD47 antibody of the invention (i.e., under zero hemagglutination conditions). In this manner, hemagglutination was quantified relative to a baseline control. A larger area of RBC spot indicates a higher level of hemagglutination. Alternatively, hemagglutination can also be quantified using densitometry of the RBC spots.

The CD47 antibodies described herein are useful for treating, delaying the progression of, preventing the recurrence of, or alleviating the symptoms of cancer or other neoplastic disorders. For example, the CD47 antibodies described herein can be used to treat hematological malignancies and/or tumors, e.g., hematological malignancies and/or tumors. For example, the CD47 antibodies described herein can be used to treat CD47+ tumors. As a non-limiting example, the CD47 antibodies described herein can be used to treat non-hodgkin's lymphoma (NHL), Acute Lymphocytic Leukemia (ALL), Acute Myelogenous Leukemia (AML), Chronic Lymphocytic Leukemia (CLL), Chronic Myelogenous Leukemia (CML), Multiple Myeloma (MM), breast cancer, ovarian cancer, head and neck cancer, bladder cancer, melanoma, colorectal cancer, pancreatic cancer, lung cancer, leiomyoma, leiomyosarcoma, glioma, glioblastoma, and the like. Solid tumors include, for example, breast, ovarian, lung, prostate, melanoma, colorectal, lung, head and neck, bladder, esophageal, liver, and kidney cancers.

Herein, "hematological cancer" means cancer of the blood, including leukemia, lymphoma, myeloma, and the like. "leukemia" refers to a hematologic cancer in which too many white blood cells are produced to be effective against infection, thereby displacing other parts of the blood that make up the blood, such as platelets and red blood cells. It is understood that cases of leukemia can be classified as acute or chronic. By way of non-limiting example, certain forms of leukemia include Acute Lymphocytic Leukemia (ALL); acute Myeloid Leukemia (AML); chronic Lymphocytic Leukemia (CLL); chronic Myelogenous Leukemia (CML); myeloproliferative disease/tumor (MPDS); and myelodysplastic syndrome. "lymphoma" may mean hodgkin's lymphoma, indolent and aggressive non-hodgkin's lymphoma, burkitt's lymphoma, and follicular lymphoma (both small and large cells), among others. Myeloma may represent Multiple Myeloma (MM), giant cell myeloma, heavy chain myeloma and light chain or bense-jones myeloma.

Exemplary monoclonal antibodies of the invention include, for example, the antibodies described herein. Exemplary antibodies include antibodies having a variable heavy chain selected from SEQ ID NOS: 5-30 and a variable light chain selected from SEQ ID NOS: 31-47. The antibodies also include antibodies having a variable heavy chain at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or more identical to at least one of SEQ ID NO 5-30 and a variable light chain at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or more identical to at least one of SEQ ID NO 31-47. Preferably, the antibody recognizes and binds to human CD47 and does not cause significant hemagglutination of human erythrocytes. These antibodies are referred to herein as the CD47 antibodies, respectively. The CD47 antibodies include fully human monoclonal antibodies, as well as humanized monoclonal antibodies and chimeric antibodies. These antibodies exhibit specificity for human CD47 and are capable of modulating (e.g., blocking, inhibiting, reducing, antagonizing, neutralizing, or interfering with) the expression, activity, and/or signaling of CD47 without causing significant hemagglutination of red blood cells.

The CD47 antibodies provided herein exhibit inhibitory activity, for example, inhibiting expression of CD47 (e.g., inhibiting expression of CD47 on the cell surface), activity and/or signaling, or interfering with the interaction between CD47 and sirpa. The CD47 antibodies provided herein fully or partially reduce or modulate the expression or activity of CD47 upon binding to or interacting with CD47 (e.g., human CD 47). The reduction or modulation of CD47 biological function is complete, significant or partial upon interaction between the antibody and human CD47 polypeptide and/or peptide. An antibody is considered to be capable of completely inhibiting the expression or activity of CD47 when the level of expression or activity of CD47 is reduced by at least 95% (e.g., by 96%, 97%, 98%, 99%, or 100%) in the presence of the antibody as compared to the level of expression or activity of CD47 in the absence of interaction (e.g., binding) with the antibody described herein. The CD47 antibody is said to be capable of significantly inhibiting the expression or activity of CD47 when the expression or activity level of CD47 is reduced by at least 50% (e.g., 55%, 60%, 75%, 80%, 85%, or 90%) in the presence of the CD47 antibody as compared to the expression or activity level of CD47 in the absence of binding to the CD47 antibody described herein. The expression or activity level of CD47 is reduced by less than 95% (e.g., by 10%, 20%, 25%, 30%, 40%, 50%, 60%, 75%, 80%, 85%, or 90%) in the presence of the antibody when compared to the expression or activity level of CD47 in the absence of interaction (e.g., binding) with the antibody described herein, when the antibody is considered to be capable of partially inhibiting the expression or activity of CD 47.

The antibodies of the invention also include monoclonal antibodies that specifically bind to CD47, which do not result in significant levels of agglutination, such as red blood cell hemagglutination ("RBC hemagglutination"). The antibodies of the invention specifically bind to CD47 in a manner that does not promote CD 47-positive cell agglutination, but the ability of the antibodies of the invention to bind CD47 on the cell surface without causing the phenomenon of cell agglutination is not limited to red blood cells.

The pharmaceutical compositions of the invention may comprise an antibody of the invention and a carrier. These pharmaceutical compositions may be included in a kit, such as a diagnostic kit.

The present invention provides monoclonal antibodies that bind CD47 or an immunologically active fragment thereof, which antibodies do not cause significant cell agglutination after administration, e.g., the antibodies do not cause significant hemagglutination of red blood cells after administration. In some embodiments, the antibody is chimeric, humanized, or fully human. In some embodiments, the antibody binds to human CD 47. In some embodiments, the antibody or immunologically active fragment thereof prevents CD47 from interacting with sirpa. The level of CD 47/sirpa interaction in the presence of the antibody is reduced by at least 95% (e.g., by 96%, 97%, 98%, 99% or 100%) when compared to the level of CD 47/sirpa interaction in the absence of interaction with (e.g., binding to) the antibody, at which point the antibody is thought to be capable of completely inhibiting the interaction between CD47 and sirpa. The level of CD 47/sirpa interaction in the presence of the antibody is reduced by less than 95% (e.g., by 10%, 20%, 25%, 30%, 40%, 50%, 60%, 75%, 80%, 85%, or 90%) when compared to the level of CD 47/sirpa interaction in the absence of interaction with (e.g., binding to) the antibody described herein, at which point the antibody is believed to be capable of partially inhibiting the CD 47/sirpa interaction.

An amount of an antibody sufficient for treating or preventing cancer in a subject is, for example, an amount sufficient to reduce CD47 signal (see, e.g., Yamauchi et al, 2013 Blood, Jan 4.[ electronic publication prior to print publication ]; Soto-Pantoja et al, 2013 ExtOpin Targets,17: 89-103; Irandoust et al, 2013 PLoS One, Epub Jan 8; Chano et al, 2012Curr Opin Immunol,24: 225-32; Theocharides et al, 2012J Exp Med,209(10): 1883-99; Cs nyi et al, 2012 Arterioscsco Val Biol,32: 2966-73; Maxhimer et al, 2009 Scitl Med, SansTra 541, 1:3ra 7; Garfai et al, Tarrg Targets,9: 842-2001; Blshit et al, Brown J3975; Cell J855, Cell 99; Cell 99, Cell J35, Cell 99, FranzoJ 2001, 23, Mitsu J2001; Cell 99, Cell J, Cell 99, III, 2001, Cell III, 2001, 2000 Science,288: 2051-; and Gao et al, 1996J Biol Chem,271: 21-24). For example, the amount of antibody sufficient to treat or prevent cancer in a subject is an amount of antibody sufficient to reduce phagocyte inhibitory signals in macrophages generated by the CD 47/sirpa interaction on the CD 47/sirpa signaling axis, i.e., the antibodies of the invention promote macrophage-mediated phagocytosis of CD 47-expressing cells. The term "decreased" as used herein means decreased CD47 signaling in the presence of an antibody of the invention. A decrease in CD 47-mediated signaling refers to a decrease in CD47 signaling levels in the presence of a CD47 antibody of the invention by an amount greater than or equal to 5%, 10%, 20%, 25%, 30%, 40%, 50%, 60%, 70%, 75%, 80%, 90%, 95%, 99%, or 100% below the control level of CD47 (i.e., the level of CD47 signaling in the absence of the antibody). The level of CD47 signaling can be measured using a variety of standard techniques, such as, by way of non-limiting example, measuring downstream gene activation and/or luciferase reporter assays in response to CD47 activation. One skilled in the art will appreciate that the level of CD47 signaling can be measured using a variety of assays, including, for example, commercially available kits.

In some embodiments, the antibody or immunologically active fragment thereof is an IgG isotype. In some embodiments, the constant region of the antibody is a human IgG1 isotype having the following amino acid sequence:

in some embodiments, amino acid Asn297 (boxed, Kabat numbering) on the constant region of human IgG1 is modified to avoid glycosylation of the antibody, e.g., Asn297Ala (N297A). In some embodiments, amino acid Leu235(Kabat numbering) on the antibody constant region is modified to alter Fc receptor interactions, e.g., Leu235Glu (L235E) or Leu235Ala (L235A). In some embodiments, amino acid Leu234(Kabat numbering) on the antibody constant region is modified to alter Fc receptor interactions, e.g., Leu234Ala (L234A). In some embodiments, amino acids 234 and 235 on the antibody constant region are modified simultaneously, for example, Leu234Ala and Leu235Ala (L234A/L235A) (Kabat et al, 1991, Sequences of Proteins of Immunological Interest (EU index).

In some embodiments, the constant region of the antibody is a human IgG2 isotype having the following amino acid sequence:

in some embodiments, amino acid Asn297 (boxed, Kabat numbering) on the constant region of human IgG2 is modified to avoid glycosylation of the antibody, e.g., Asn297Ala (N297A).

In some embodiments, the constant region of the antibody is a human IgG3 isotype having the following amino acid sequence:

in some embodiments, amino acid Asn297 (boxed, Kabat numbering) on the constant region of human IgG3 is modified to avoid glycosylation of the antibody, e.g., Asn297Ala (N297A). In some embodiments, amino acid 435 on the constant region of human IgG3 is modified to increase half-life, for example, Arg435His (R435H) (Kabat et al, 1991, Sequences of proteins of Immunological Interest sequence).

In some embodiments, the constant region of the antibody is a human IgG4 isotype having the following amino acid sequence:

in some embodiments, the hinge region within the constant region of human IgG4 is modified to avoid or reduce chain exchange, e.g., Ser228Pro (S228P). In other embodiments, amino acid 235 on the human IgG4 constant region is modified to alter Fc receptor interactions, e.g., Leu235Glu (L235E). In some embodiments, the hinge region and amino acids 235 within the constant region of human IgG4 are modified, e.g., Ser228Pro and Leu235Glu (S228P/L235E). In some embodiments, amino acid Asn297 (boxed, Kabat numbering) on the constant region of human IgG4 is modified to avoid glycosylation of the antibody, e.g., Asn297Ala (N297A). (Kabat et al, 1991, EU index in Sequences of Proteins of immunological interest).

In some embodiments, the human IgG constant region is modified to enhance FcRn binding. Examples of Fc mutations that enhance binding to FcRn are Met252Tyr, Ser254Thr, Thr256Glu (M252Y, S254T, T256E, respectively) (Kabat numbering, Dall' Acqua et al, 2006, J.biol Chem Vol 281(33) 23514-. (Kabat et al, 1991, EU index in Sequences of Proteins of Immunological Interest). In some embodiments, the human IgG constant region is modified to alter antibody-dependent cellular cytotoxicity (ADCC) and/or complement-dependent cytotoxicity (CDC), such as amino acid modifications described in the following references: natsume et al, 2008 Cancer Res,68(10): 3863-72; idusogene et al, 2001J Immunol,166(4): 2571-5; 2010 mAbs,2(2): 181-189; lazar et al, 2006 PNAS,103(11) 4005-; shields et al, 2001 JBC,276(9) 6591-6604; stavenhagen et al, 2007 Cancer Res,67(18): 8882-; stavenhagen et al, 2008 Advan. enzyme Regul, 48: 152-; alegre et al, 1992J Immunol,148: 3461-; reviewed in Kaneko and Niwa,2011 Biodrugs,25(1): 1-11.

In some embodiments, the human IgG constant region is modified to induce heterodimerization. For example, for amino acid modifications at Thr366 in the CH3 domain, which can preferentially pair with the second CH3 domain when replaced by a bulky amino acid (e.g., Try (T366W)), the Thr366, Leu368, and Tyr407 positions of the second CH3 domain are replaced by less bulky amino acids (e.g., Ser, Ala, and Val, respectively (T366S/L368A/Y407V)). Heterodimerization, modified by CH3, can be further stabilized by the introduction of disulfide bonds, for example, Ser354 to Cys (S354C) and Y349 to Cys (Y349C) on the opposite CH3 domain (reviewed in Carter,2001 Journal of Immunological Methods,248: 7-15).

The present invention also provides pharmaceutical compositions comprising one or more monoclonal antibodies that bind CD47 or an immunologically active fragment thereof, which antibodies do not cause significant hemagglutination of red blood cells after administration.

Hemagglutination is an example of a homotypic interaction in which treatment with a bivalent CD47 binding entity causes the aggregation or agglutination of cells expressing CD 47. The ability of the antibodies of the invention to bind to CD47 on the cell surface without producing the phenomenon of cell agglutination is not limited to red blood cells. We observed that the antibodies of the invention specifically bind to CD47 in a manner that does not promote agglutination of CD47 positive cell lines (e.g., duydi cells).

In some cases, the antibody comprises a variable heavy chain region (VH) selected from the group consisting of SEQ ID NOS: 5-30. Optionally, the antibody comprises a variable light chain region (VL) selected from the group consisting of SEQ ID NOS: 31-47. In some cases, the antibody comprises a variable heavy chain region (VH) selected from the group consisting of SEQ ID NOs: 5-30 and a variable light chain region (VL) selected from the group consisting of SEQ ID NOs: 31-47. The antibodies of the invention also include antibodies to variable heavy chains having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or more identity to at least one of SEQ ID NO's 5-30 and variable light chains having at least 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, 99% or more identity to at least one of SEQ ID NO's 31-47. In other aspects, the antibody comprises a VH region provided by any one of SEQ ID Nos 5,7, 8, 11, 15-17, 20-22, and 27-30 paired with a VL region provided by any one of SEQ ID Nos 31-39, 42, 43, 44, and 47. In another embodiment, the antibody comprises a VH domain provided by any one of SEQ ID Nos. 5,7, 8, 11, 12, 15-17, 20-22, and 27-30 paired with a VL domain provided by any one of SEQ ID Nos. 31, 32, 35, 40, 41, 42, 43, 44, and 47. In yet another aspect, the antibody comprises a combination of a VH chain region and a VL chain region selected from the combinations listed in table 1.

In some embodiments, the CD47 antibody or immunologically active fragment thereof comprises a light chain variable region of SEQ ID NO: 50. SEQ ID NO: 57. SEQ ID NO: 58. SEQ ID NO: 59. SEQ ID NO: 60. SEQ ID NO: 61. SEQ ID NO: 62. SEQ ID NO: 63. SEQ ID NO: 64. SEQ ID NO:65 or SEQ ID NO:66 (CDR1), SEQ ID NO: 51. SEQ ID NO: 72. SEQ ID NO: 73. SEQ ID NO: 74. SEQ ID NO:75 or SEQ ID NO:76, VH CDR2 of SEQ ID NO:52 or SEQ ID NO:77, the sequence of the VH CDR3 is SEQ ID NO: 53. SEQ ID NO:67 or SEQ ID NO:68, VL CDR1 of SEQ ID NO: 54. SEQ ID NO: 69. SEQ ID NO:70 or SEQ ID NO:71 and VL CDR2 of SEQ ID NO: VL CDR3 of 55. For example, the antibody or immunologically active fragment thereof includes VH CDR1 of SEQ ID NO. 50, VH CDR2 of SEQ ID NO. 51, VH CDR3 of SEQ ID NO. 52, VL CDR1 of SEQ ID NO. 53, VLCDR2 of SEQ ID NO. 54, and VL CDR3 of SEQ ID NO. 55. In another embodiment, the antibody or immunologically active fragment thereof includes a VH CDR1 of sequence SEQ ID NO. 50, a VH CDR2 of sequence SEQ ID NO. 72, a VH CDR3 of sequence SEQ ID NO. 52, a VL CDR1 of sequence SEQ ID NO. 53, a VL CDR2 of sequence SEQ ID NO. 71, and a VL CDR3 of sequence SEQ ID NO. 55.

In one embodiment, the antibodies of the invention bind CD47 in a head to side orientation that places the heavy chain close to the cell membrane of a cell expressing CD47, while the light chain blocks the sirpa binding site on CD 47. In another embodiment, the antibodies of the invention bind CD47 in a head to side orientation that places the light chain near the cell membrane of a cell expressing CD47, while the heavy chain blocks the sirpa binding site on CD 47.

The CD47 antibody can bind to an epitope including any one of amino acid residues 1-116 of CD47, encoding according to SEQ ID NO:147 (i.e., SEQ ID NO:48 excluding the signal sequence (amino acids 1-18)). For example, an antibody of the invention may bind to an epitope comprising one or more of amino acid residues Q, N, T, E, V, Y, V, K, W, K, G, R, D, I, Y, T, F, D, G, A, L, N, K, S, T, V, P, T, D, F, S, A, K, I, E, V, S, Q, L, K, G, D, A, S, L, K, M, D, K, S, D, A, V, S, H, T, G, N, Y, T, C, E, V, T, E100, L101, T102, R103, E104, G105, E106, T107, I108, I109, and E110 of CD, encoding an amino acid residue according to SEQ ID NO: 147.

In some cases, an antibody of the invention may bind a discontinuous epitope comprising one or more of amino acid residues Y37, V38, K39, W40, K41, F42, K43, G44, R45, D46, I47, Y48, T49, F50, and D51 of CD47, encoding according to SEQ ID NO: 147. For example, an antibody of the invention may bind a discontinuous epitope comprising amino acid residues Y37, K39, K41, K43, G44, R45, D46, D51, H90, N93, E97, T99, E104 or E106 of CD47, encoding according to SEQ ID NO: 147. For example, an antibody of the invention can bind to a discontinuous epitope comprising at least the amino acid residue KGRD (SEQ ID NO:56) loop (residues 43-46) of CD47, encoding according to SEQ ID NO: 147. For example, an antibody of the invention may bind to a discontinuous epitope comprising at least amino acid residues Y37, K39, K41, KGRD (SEQ ID NO:56) loop (residues 43-46), D51, H90, N93, E97, T99, E104 and E106 of CD47, encoding according to SEQ ID NO: 147. For example, an antibody of the invention may bind to a discontinuous epitope comprising amino acid residues Y37, K39, K41, KGRD (SEQ ID NO:56) loop (residues 43-46), D51, H90, N93, E97, T99, E104 and E106 of CD47, encoding according to SEQ ID NO: 147.

The VH domain of the CD47 antibody described herein is primarily involved in binding the KGRD (SEQ ID NO:56) loop of CD 47. Thus, the specific epitope to which the antibodies of the invention bind is flanked by CD 47. In contrast to existing CD47 antibodies known in the art, the orientation of the VH domain of the CD47 antibodies described herein in the proximal position of the cell membrane is a key feature of these antibodies in preventing cell agglutination (e.g., red blood cell hemagglutination) by restricting the antibody from bridging to the CD47 molecule on adjacent cells. Furthermore, since the VK domain of the CD47 antibodies described herein interacts with the top residues involved in sirpa binding (e.g., Y37, T102, and E104), it is primarily the VK domain that physically prevents sirpa binding to CD 47.

The invention also provides an isolated antibody or immunologically active fragment thereof that competes with a CD47 antibody described herein to prevent the interaction of CD47 with sirpa.

The invention provides polypeptides comprising amino acid residues Y37, K39, K41, K43, G44, R45, D46, D51, H90, N93, E97, T99, E104 and E106 of CD47, encoding a polypeptide according to SEQ ID NO: 147. Also provided is a polypeptide comprising any one of amino acid residues 1-116 of CD47, encoding a polypeptide according to SEQ ID NO: 147. For example, the polypeptide may comprise one or more of amino acid residues Q, N, T, E, V, Y, V, K, W, K, F, K, G, R, D, I, Y, T, F, D, G, A, L, N, K, S, T, V, P, T, D, F, S, A, K, I, E, V, S, Q, L, K, G, D, A, S, L, K, M, D, K, S, D, A, V, S, H, T, G, N, Y, T, C, E, V, T, E100, L101, T102, R103, E104, G105, E106, T107, I108, I109, and E110 of CD, encoding according to SEQ ID NO: 147. The invention also provides methods of using the polypeptides as antigens (e.g., antigens that bind to CD47 antibodies).

The present invention also provides methods of alleviating the symptoms of cancer or other neoplastic conditions by administering to a subject in need thereof one or more monoclonal antibodies that bind CD47 or an immunologically active fragment thereof, which antibodies do not cause significant hemagglutination of red blood cells following administration. The antibody should be administered at a dose sufficient to alleviate symptoms of the cancer or other neoplastic disorder in the subject. In some embodiments, the subject is a human. In some embodiments, the antibody is chimeric, humanized, or fully human. In some embodiments, the antibody binds to human CD 47. In some embodiments, the antibody or immunologically active fragment thereof prevents CD47 from interacting with sirpa. In some embodiments, the antibody or immunologically active fragment thereof is an IgG isotype selected from the group consisting of IgG1 isotype, IgG2 isotype, IgG3 isotype, and IgG4 isotype. In some embodiments, the antibody or immunologically active fragment thereof is an IgG isotype selected from IgG4P and IgGPE.

In some embodiments, the CD47 antibodies described herein are used in combination with one or more additional agents or combinations of additional agents. Suitable additional agents include existing drugs and/or surgical therapies for specific applications, such as cancer. For example, the CD47 antibody is used in combination with one or more other chemotherapeutic or anti-tumor agents. Alternatively, the other chemotherapeutic agent is radiation therapy. In some embodiments, the chemotherapeutic agent is a cell death inducing agent. In some embodiments, the chemotherapeutic agent induces an asymmetric deletion of phospholipids across the plasma membrane, e.g., causing cell surface exposure of Phosphatidylserine (PS). In some embodiments, the chemotherapeutic agent induces Endoplasmic Reticulum (ER) stress. In some embodiments, the chemotherapeutic agent is a proteasome inhibitor. In some embodiments, the chemotherapeutic agent induces translocation of the ER protein to the cell surface. In some embodiments, the chemotherapeutic agent induces translocation of calreticulin and cell surface exposure.

In some embodiments, the CD47 antibody and the other agent are prepared as a single therapeutic composition and the CD47 antibody and the other agent are administered simultaneously. Alternatively, the CD47 antibody and other agent are independent of each other, e.g., prepared separately as separate therapeutic compositions, and the CD47 antibody and other agent are administered simultaneously, or the CD47 antibody and other agent are administered at different times during a treatment regimen. For example, the CD47 antibody is administered before the other agent is administered, the CD47 antibody is administered after the other agent is administered, or the CD47 antibody and the other agent are administered in an alternating manner. Herein, the CD47 antibody and other agent are administered in a single dose or in multiple doses.

One skilled in the art will appreciate that the antibodies of the invention have a variety of uses. For example, the antibodies of the invention can be used as therapeutic agents, as reagents in diagnostic kits or as diagnostic tools, or as reagents in competitive assays to produce therapeutic agents.

Brief description of the drawings

Figure 1A depicts binding of antibodies in hybridoma supernatants to CD47 on duydi cells assessed by flow cytometry. Figure 1B shows the ability of some C47 antibodies in hybridoma supernatants to block binding of recombinant human sirpa to recombinant human CD47 as determined by ELISA.

FIG. 2 is a set of panels depicting the binding of purified murine CD47 antibody by flow cytometry analysis to (A) Ragi cells, a post-culture lymphoblastoid cell line derived from Burkitt's lymphoma, and (B) CCRF-CEM cells, a CD47 positive human T cell lymphoblastoid cell line. This experiment compares the binding of the murine antibody of the invention to the commercially available CD47 antibodies B6H12 and 2D 3.

FIG. 3 is a set of graphs depicting the ability of CD47 antibodies to block SIRPa binding using (A) ELISA and recombinant human protein, or (B) by flow cytometry using CCRF-CEM cells and recombinant human SIRPa protein, respectively.

Fig. 4 is a series of photographs, pictures and a table showing RBC hemagglutination by the CD47 antibody. A blurry appearance of the sample well indicates that RBC hemagglutination occurred, while non-agglutinated RBCs appeared as a dot. Figure 4A shows that 2a1 antibody did not show hemagglutination at all concentrations tested. Hemagglutination indicators are depicted in the figure. Fig. 4B shows that 2a1 is rare among many CD47 antibodies because it fails to agglutinate RBCs. The human chimeric form of 2A1(2A1-xi) was also shown to lack agglutinative activity. Figure 4C shows that the CD47 monoclonal antibody 2D3, which does not block sirpa, does not cause hemagglutination. FIG. 4D shows a high concentration range of CD47 antibody in hemagglutination assay and demonstrates a prozone effect (pro-zone effect). Hemagglutination indicators are depicted in the figure. Fig. 4E shows that CD47 antibody 1B4 caused a narrower concentration range for hemagglutination, and that this effect disappeared after 2a1 binding. Figure 4F shows that 2a1, chimeric 2a1(2a1-xi), and humanized variants do not cause hemagglutination. The 9E4 antibody and the commercial B6H12 antibody were used as positive controls for hemagglutination in most experiments. Other commercially available antibodies used in these assays are the SIRP α blocking antibodies BRC126 and CC2C6 and the non-SIRP α blocking antibody 2D 3.

Figure 5 shows the binding of 2a1 and B6H12 to cynomolgus (cyno) monkey B cells and langat cells assessed by flow cytometry. 2a1 binds with the same affinity as human and cynomolgus CD47, as does B6H12, but with a lower affinity than 2a1 for human and cynomolgus CD 47.

FIG. 6 depicts 2A1, 2A1-xi, and B6H12 binding to Ragi cells as assessed by flow cytometry. Importantly, it can be seen from this figure that the variable region sequences of the heavy (VH) and light (VL) chains are correctly elucidated in the chimeric version of 2a 1.

FIGS. 7A-7J are set forth graphs showing the binding of humanized variants of 2A1 to Ragi cells. Most of the figures used 2A1-xi as an internal control. Various heavy and light chain combinations were tested as described in example 8.

Fig. 8A is a picture of traces from exclusion chromatography obtained using AKTA FLPC with superdex200 column. IgG1, IgG4P, and IgGPE variants of AB6.12 antibody are shown. All three variants were over 97% monomer. FIG. 8B is a photograph of Coomassie blue stained SDS-PAGE gels of various humanized variants of 2A1 under reducing (R) and non-reducing (NR) conditions.

Figure 9 is a set of graphs depicting the ability of the CD47 antibody to promote phagocytosis of human tumor cell lines by human monocyte-derived macrophages (MDM). Fig. 9A shows the phagocytosis index, wherein the antibodies used were the commercial antibody B6H12, the murine 2a1 antibody, the humanized variant AB2.05 antibody, and the non-blocking commercial antibody 2D 3. Fig. 9B shows the phagocytic index, wherein the antibodies used were commercial antibody B6H12, humanized antibody AB2.05 (human IgG1), and IgG1, IgG4P, and IgG4PE variants of humanized antibody AB 6.12. CCRF-CEM cells were used as the CD47 target cell line in these experiments.

FIG. 10 is a set of graphs showing the anti-tumor effect of CD47 antibody in a Raji tumor model. Fig. 10A shows the effect of murine antibodies 9E4, 1B4, 2a1 and the commercial antibody B6H12. Figure 10B shows the effect of IgG1, IgG4P, and IgG4PE isotypes of humanized antibody AB6.12 along with murine 2a1 antibody. In both models, mice were treated with 200 μ g antibody dose three times a week.

FIG. 11 is a co-crystal complex of CD47-IgV with SIRP α -IgV domain (A) (protein database number 2JJS), B6H12(B), and 2A1 (C). 2a1 and B6H12 bound and bound different epitopes on CD47 in very different directions, both overlapping the sirpa binding site. The 2a1 antibody binds to the CD47 protein in the direction of the head to side.

Detailed Description

The present invention provides monoclonal antibodies that specifically bind to CD47, including human CD 47. These antibodies are collectively referred to herein as CD47 antibodies.

CD47 is a multiple transmembrane receptor belonging to the immunoglobulin superfamily that interacts with sirpa (signal-regulatory protein a) on macrophages to limit phagocytosis. Cancer cells entering this pathway evade phagocytosis. As described in detail below, this is a novel tumor immune evasion mechanism, and the therapeutic targeting of CD47 has broad application in a variety of cancers.

Expression of CD47 is associated with poor clinical outcomes in a variety of different malignancies, including non-hodgkin's lymphoma (NHL), Acute Lymphocytic Leukemia (ALL), Acute Myeloid Leukemia (AML), ovarian cancer, glioma, and the like. In addition, CD47 has been identified as a cancer stem Cell marker in leukemias and solid tumors (Jaiswal et al, 2009Cell,138(2): 271-85; Chan et al, 2009 Proc Natl Acad Sci USA,106(33): 14016-21; Chan et al, 2010 Curr Opin Urol,20(5): 393-7; Majeti R et al, 2011 Oncogene,30(9): 1009-19).

The CD47 blocking antibody exhibits anti-tumor activity in a variety of in vivo tumor models. In addition, these antibodies have been shown to react with other therapeutic antibodies (includingAnd) Blockade of CD47 interaction with SIRP α can promote macrophage phagocytosis of CD47 expressing cells (reviewed in Chao et al, 2012Curr Opin Immunol,24(2): 225-32.) CD 47-deleted mice are significantly resistant to radiation therapy, suggesting a link between targeting CD47 and radiation therapy (Isenberg et al, 2008 Am J Pathol,173(4): 1100-1112; Maxhimer et al, 2009 Sci TranslMed,1(3):3ra 7.) furthermore, homologous tumor models in these mice show lower bone metastasis than wild type mice (3: (1)Etc., 2009 Cancer Res,69(7): 3196-.

Importantly, most CD47 antibodies are reported to cause hemagglutination of human erythrocytes. Hemagglutination is an example of a homotypic interaction in which treatment with a bivalent CD47 binding entity causes two CD47 expressing cells to aggregate or agglutinate. For example, as a whole IgG or F (ab')₂The CD47 antibody MABL was reported to cause hemagglutination of erythrocytes, and this effect was attenuated only when MABL was changed to scFv or bivalent scFv. (see, e.g., Uno S, Kinoshita Y, Azuma Y, et al, anti activity of a monoclonal anti-body aginst CD47 in xenogenic model of human leukemia anti-tumor activity of anti-CD 47 monoclonal antibody, OncolRep 2007; 17: 1189-94; Kikuchi Y, Uno S, Yoshimura Y, et al, A bivalent single-chain FV fragment aginst CD47 antibodies against CD47 induces apoptosis of leukemia cells), Biochem Biophys Res commune 2004; 912: 315-8). Other known CD47 antibodies (including B6H12, BRC126, and CC2C6) also cause hemagglutination of RBCs, as described in detail below. Therefore, agglutination of cells is a major limitation of using existing whole IgG antibodies to therapeutically target CD 47.

In addition, an important feature of the CD47 antibody is the ability to block the interaction of CD47 with sirpa to promote phagocytosis of CD47 expressing cells by macrophages. Many existing CD47 antibodies block sirpa; prior to the present invention, however, existing blocking SIRP α antibodies resulted in undesirable side effects of hemagglutination as described above. Other existing antibodies (e.g., 2D3) do not cause hemagglutination; however, these antibodies also do not block sirpa, making it ineffective in promoting phagocytosis. Therefore, prior to the present invention, there was an urgent need to identify CD47 antibodies that were capable of blocking sirpa while not causing cell aggregation.

The CD47 antibodies of the invention avoid unwanted hemagglutination, thereby increasing the effectiveness of therapeutically targeting CD47 and maintaining the ability to block the interaction of CD47 with sirpa, thereby promoting phagocytosis of CD47 expressing cells. In particular, the whole IgG CD47 antibodies of the invention (e.g., 2a1 and humanized derivatives thereof, including the antibodies provided in table 1) do not agglutinate cells at significant levels. For example, the CD47 antibodies of the invention do not agglutinate RBCs at significant levels. Described herein is the first CD47 antibody in the whole IgG format that blocks sirpa but does not cause significant hemagglutination. In summary, among the existing CD47 antibodies, the antibodies of the invention (e.g., the 2a1 antibody and humanized derivatives thereof) are unique in their ability to block sirpa without causing significant hemagglutination.

The CD47 antibodies of the invention exhibit a number of desirable properties, such as by way of non-limiting example, effectively blocking the interaction of CD47 with its ligand sirpa, while not causing or modulating significant levels of erythrocyte agglutination, as well as potent anti-tumor activity. For example, the CD47 antibodies of the invention block at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 95%, or at least 99% of the interaction between CD47 and sirpa as compared to the level of interaction between CD47 and sirpa in the absence of the CD47 antibodies described herein. The CD47 antibodies of the invention do not cause significant levels of agglutination of cells, e.g., the CD47 antibodies of the invention do not cause significant levels of agglutination of red blood cells. For example, the level of agglutination in the presence of a CD47 antibody of the invention is reduced by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90% or at least 99% compared to the level of agglutination in the presence of an existing CD47 antibody. In some embodiments, a CD47 antibody of the invention does not result in a significant level of agglutination if the level of agglutination in the presence of the CD47 antibody of the invention is reduced by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 99% compared to the level of agglutination in the presence of the existing CD47 antibody 1B4 (including the variable heavy and variable light chain sequences provided by SEQ ID NOs 80 and 81, respectively). The antibodies of the invention are also significantly effective in tumor models compared to antibodies known in the art. For example, the ability of a macrophage to phagocytose a tumor cell in the presence of a CD47 antibody of the invention is increased by at least 5%, at least 10%, at least 20%, at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, at least 90%, or at least 99% as compared to the ability of a macrophage to phagocytose a tumor cell in the presence of an existing CD47 antibody.

One skilled in the art will recognize that one can quantify the level of agglutination, such as hemagglutination of RBCs, without undue experimentation. For example, one skilled in the art will recognize that a hemagglutination assay can be performed in the presence of the CD47 antibody of the invention, followed by measuring the area of the RBC spot to determine the level of hemagglutination, as described in the examples below. In some cases, the RBC spot area in the presence of the CD47 antibody of the invention was compared to the RBC spot area in the absence of the CD47 antibody of the invention (i.e., under zero hemagglutination conditions). In this manner, hemagglutination was quantified relative to a baseline control. A larger area of RBC spot indicates a higher level of hemagglutination. Alternatively, hemagglutination can also be quantified using densitometry of the RBC spots.

The CD47 antibodies of the invention bind to human CD47 and block its interaction with sirpa (fig. 1B, 3 and 7J). These antibodies did not cause significant hemagglutination of human erythrocytes (fig. 4). These antibodies were able to promote phagocytosis of tumor cells by macrophages (fig. 9). In addition, these CD47 antibodies showed potent anti-tumor activity in a mouse model of human leukemia (fig. 10). Thus, the CD47 antibodies of the invention overcome one of the major limitations for therapeutically targeting CD 47. Thus, the CD47 antibodies of the invention are of great importance in the treatment of a number of cancers.

The antibodies of the invention specifically bind to human CD47, blocking, inhibiting, disrupting or modulating the interaction of human CD47 with human sirpa, while not causing or modulating significant hemagglutination of erythrocytes.

Equilibrium binding constant (K) for binding of an antibody of the invention to a CD47 epitope_d) Less than or equal to 1. mu.M, for example less than or equal to 100nM, preferably less than or equal to 10nM, more preferably less than or equal to 1 nM. For example, the CD47 antibodies provided herein exhibit a K ranging approximately from ≦ 1nM to about 1pM_dThe value is obtained.

The CD47 antibodies of the invention are useful for modulating, blocking, inhibiting, reducing, antagonizing, neutralizing, or interfering with the functional activity of a widespread distribution of CD 47. Functional activities of CD47 include, for example, signaling through interaction with sirpa, modulating (e.g., increasing) intracellular calcium ion concentration after cell adhesion to the extracellular matrix, interacting with the C-terminal cell binding domain of thrombospondin, interacting with fibrinogen, and interacting with various integrins. For example, the CD47 antibody completely or partially inhibits the functional activity of CD47 by partially or completely modulating, blocking, inhibiting, reducing, antagonizing, neutralizing, or interfering with the binding of CD47 to sirpa.

Functional activity of CD47 in the presence of CD47 antibody is reduced by at least 95% (e.g., by 96%, 97%, 98%, 99% or 100%) compared to functional activity of CD47 when not bound to a CD47 antibody described herein, at which point the CD47 antibody is considered to be capable of fully modulating, blocking, inhibiting, reducing, antagonizing, neutralizing or interfering with the functional activity of CD 47. The activity of CD47 in the presence of CD47 antibody is reduced by at least 50% (e.g., by 55%, 60%, 75%, 80%, 85%, or 90%) when compared to the activity of CD47 when not bound to the CD47 antibody described herein, at which point the CD47 antibody is said to be capable of significantly blocking, inhibiting, reducing, antagonizing, neutralizing, or interfering with the functional activity of CD 47. A CD47 antibody is considered to be capable of partially modulating, blocking, inhibiting, reducing, antagonizing, neutralizing, or interfering with the functional activity of CD47 when the activity of CD47 is reduced by less than 95% (e.g., by 10%, 20%, 25%, 30%, 40%, 50%, 60%, 75%, 80%, 85%, or 90%) in the presence of the CD47 antibody as compared to the activity of CD47 when not bound to the CD47 antibody described herein.

Definition of

Unless defined otherwise, the meaning of scientific and technical terms used in the present invention is that which is commonly understood by those skilled in the art. Furthermore, unless otherwise provided herein, singular terms shall include the plural and plural terms shall include the singular. Generally, the nomenclature and techniques used in cell and tissue culture, molecular biology, and protein and oligo-or polynucleotide chemistry and hybridization described herein are those well known and commonly employed in the art. For recombinant DNA, oligonucleotide synthesis, and tissue culture and transformation (e.g., electroporation, lipofection), standard techniques are used. Enzymatic reactions and purification techniques were performed according to the manufacturer's instructions or methods commonly used in the art or described herein. The foregoing techniques and methods are generally used as described in various comprehensive and more specific documents that are well known in the art and that are cited and discussed in this specification. See, for example, Sambrook et al, molecular cloning: A Laboratory Manual (molecular cloning: A Laboratory Manual) (2 nd edition, Cold Spring Harbor Laboratory Press, Cold Spring Harbor (1989)). Nomenclature used in analytical chemistry, synthetic organic chemistry, and medical and pharmaceutical chemistry, and laboratory methods and techniques described herein are those well known and commonly used in the art. Standard techniques are used for chemical synthesis, chemical analysis, drug preparation, formulation and delivery, and treatment of patients.

As used in this disclosure, unless otherwise indicated, the following terms are to be understood to have the following meanings: the terms CD47, integrin-associated protein (IAP), ovarian cancer antigen OA3, Rh-associated antigen and MER6 are used synonymously and interchangeably herein.

The terms red blood cell and red blood cell are synonymous and used interchangeably.

The term agglutination refers to clumping of cells, while the term hemagglutination refers to clumping of a particular type of cells (i.e., red blood cells). Therefore, hemagglutination is a type of agglutination.

The term "antibody" as used herein refers to immunoglobulin molecules and immunologically active portions of immunoglobulin (Ig) molecules, i.e., molecules that contain an antigen binding site that specifically binds to (immunoreacts with) an antigen. By "specifically binds" or "immunoreacts with … …" or "against" is meant that the antibody reacts with one or more antigenic determinants of the desired antigen without reacting with other polypeptides or with very low affinity (K)_d>10^-6) Binding to other polypeptides. Antibodies include, but are not limited to, polyclonal, monoclonal, chimeric, dAb (domain antibody), single chain, Fab 'and F (ab')₂Fragment, F_vscFvs and Fab expression libraries.

The structural unit of the basic antibody is known to comprise a tetramer. Each tetramer is composed of two identical pairs of polypeptide chains, each pair having one "light chain" (about 25kDa) and one "heavy chain" (about 50-70 kDa). The amino-terminal portion of each chain comprises a variable region of about 100-110 or more amino acids, primarily responsible for antigen recognition. The carboxy-terminal portion of each chain is defined as the constant region primarily responsible for effector function. In general, antibody molecules obtained from humans relate to any species of IgG, IgM, IgA, IgE and IgD, the difference between which lies in the nature of the heavy chain in the molecule. Certain classes also include subclasses, such as IgG1, IgG2, and others. Furthermore, in humans, the light chain may be a kappa chain or a lambda chain.

The term "monoclonal antibody" (MAb) or "monoclonal antibody composition" as used herein refers to a population of antibody molecules comprising only one molecular species of antibody molecules consisting of a unique light chain gene product and a unique heavy chain gene product. Specifically, the Complementarity Determining Regions (CDRs) of a monoclonal antibody are identical in all molecules of the population. Mabs comprise an antigen binding site that is capable of immunoreacting with a particular epitope of an antigen, characterized by a unique binding affinity thereto.

In general, antibody molecules obtained from humans relate to any species of IgG, IgM, IgA, IgE and IgD, the difference between which lies in the nature of the heavy chain in the molecule. Certain classes also include subclasses, such as IgG1, IgG2, and others. Furthermore, in humans, the light chain may be a kappa chain or a lambda chain.

The term "antigen binding site" or "binding portion" refers to a portion of an immunoglobulin molecule that is involved in binding to an antigen. The antigen binding site is formed by amino acid residues of the N-terminal variable ("V") region of the heavy ("H") chain and the light ("L") chain. The three highly differentiated branches in the V regions of the heavy and light chains (referred to as "hypervariable regions") are located between the more conserved flanking branches (referred to as "framework regions" or "FRs"). Thus, the term "FR" denotes an amino acid sequence of an immunoglobulin that is naturally present between or adjacent to hypervariable regions. In an antibody molecule, the three hypervariable regions of the light chain and the three hypervariable regions of the heavy chain are arranged in a three-dimensional space in positions relative to each other to form an antigen-binding surface. The antigen binding surface is complementary to the three-dimensional surface of the bound antigen, and the three hypervariable regions of each heavy and light chain are referred to as "complementarity determining regions" or "CDRs". The assignment of amino acids to each domain is defined according to Kabat "sequences of proteins of immunological interest" (national institute of health, Bessesda, Md., 1987 and 1991) or Chothia and Lesk, J.mol.biol.196:901-917(1987), Chothia et al, Nature342:878-883 (1989).

The term "epitope" as used herein includes any protein determinant capable of specifically binding to an immunoglobulin or a fragment thereof or a T cell receptor. The term "epitope" includes any protein determinant capable of specifically binding to an immunoglobulin or T cell receptor. Epitopic determinants are typically composed of chemically active surface groups of molecules (e.g., amino acids or sugar side chains) and typically have specific three-dimensional structural properties as well as specific charge properties. An antibody is said to specifically bind an antigen when the dissociation constant is ≦ 1M (e.g., ≦ 100nM, preferably ≦ 10nM, and more preferably ≦ 1 nM).

The terms "immunological binding" and "immunological binding characteristics" as used herein mean that it occurs in an immunoglobulin molecule and an antibody specific for the immunoglobulin moleculeThe type of non-covalent interaction between the sources. The strength or affinity of an immunological binding interaction may be termed the dissociation constant (K) of the interaction_d) Is represented by the formula, wherein K_dThe smaller the surface affinity is higher. The immunological binding properties of the selected polypeptide may be quantified using methods well known in the art. One such method entails measuring the rate of antigen binding site/antigen complex formation and dissociation, where the rate depends on the concentration of the complex participants, the affinity and geometric parameters of the interaction, which are equally the rates in both directions. Thus "binding Rate constant (k)_on) "and" dissociation rate constant (k)_off) "can be determined by calculation of concentration and actual rates of binding and dissociation. (see Nature 361:186-87 (1993)). k is a radical of_off/k_onIs able to filter out all parameters not related to affinity and is equal to the dissociation constant K_d. (see generally Davies et al (1990) Annual Rev Biochem 59: 439-. The antibodies of the invention are said to be capable of specifically binding to CD47, balancing the binding constant (K)_d) Less than or equal to 1 μ M, preferably less than or equal to 100nM, more preferably less than or equal to 10nM and most preferably less than or equal to 100pM to about 1pM as measured by an assay such as a radioligand binding assay, Surface Plasmon Resonance (SPR), a flow cytometric binding assay or similar assay known to those skilled in the art.

The term "isolated polynucleotide" as used herein means a genomic polynucleotide, cDNA, or synthetic source, or some combination thereof, in the sense that an "isolated polynucleotide" (1) is not related to an "isolated polynucleotide" that is found in whole or in part in nature, (2) is operably linked to a polynucleotide that is not related to nature, or (3) does not occur in nature as part of a longer sequence.

The term "isolated protein" as used herein refers to a protein of cDNA, recombinant RNA, or synthetic origin, or some combination thereof, in the sense of meaning or derivation that "isolated protein" (1) is not related to proteins found in nature, (2) does not contain other proteins of the same origin (e.g., does not contain marine proteins), (3) is expressed by cells from other species, or (4) is not found in nature.

The term "polypeptide" is used herein as a generic term to refer to analogs of a native protein, fragment, or polypeptide sequence. Thus, natural protein fragments and analogs are species within the genus Polypeptides.

The term "naturally occurring" is used herein to describe an object, indicating the fact that an object is found in nature. For example, a polypeptide or polynucleotide sequence that may be isolated from a natural source and that is not already present in an organism (including viruses) that has been intentionally modified by humans in the laboratory or otherwise is naturally occurring.

The term "operably linked" as used herein refers to a position of a component wherein the relationship of the components so described allows them to function in a desired manner. A control sequence "operably linked" to a coding sequence is ligated in such a way that expression of the coding sequence is achieved under conditions compatible with the control sequences.

The term "control sequences" as used herein refers to polynucleotide sequences necessary to affect the expression and processing of the coding sequences to which they are ligated. The nature of such control sequences varies depending on the host organism, and in prokaryotic cells such control sequences typically include a promoter, a ribosome binding site and a transcription termination sequence, and in eukaryotic cells such control sequences typically include a promoter and a transcription termination sequence. The term "control sequences" is intended to include, at a minimum, all components whose presence is necessary for expression and processing, and may also include other components whose presence is beneficial, such as leader sequences and fusion partner sequences. The term "polynucleotide" as used herein denotes a polynucleotide of at least 10 bases in length, including ribonucleotides or deoxyribonucleotides or modified forms of both types of nucleotides. The term includes both single-stranded and double-stranded forms of DNA.

The term "oligonucleotide" herein includes naturally occurring nucleotides and modified nucleotides linked by linkages of naturally occurring and non-naturally occurring oligonucleotides. Oligonucleotides are a subset of polynucleotides, typically comprising 200 bases in length or less. The length of the oligonucleotide is preferably from 10 to 60 bases, most preferably from 12, 13, 14, 15, 16, 17, 18, 19 or 20 to 40 bases. Oligonucleotides are typically single stranded (e.g., for probes), but oligonucleotides may also be double stranded (e.g., for construction of gene mutants). The oligonucleotides of the invention are sense or antisense oligonucleotides.

The term "naturally occurring nucleotide" as used herein includes deoxyribonucleotides and ribonucleotides. The term "modified nucleotide" herein includes nucleotides with modified or substituted sugar groups, and the like. The term "oligonucleotide linkage" as used herein includes phosphorothioate, phosphorodithioate, phosphoroselenoate, phosphorodiselenoate, phosphoranilide phosphorothioate, phosphoranilide, phosphoroamidate, and the like oligonucleotide linkages. See, e.g., LaPlanche et al, Nucl. acids Res.14:9081 (1986); stec et al, J.Am.chem.Soc.106:6077 (1984); stein et al, Nucl. acids Res.16:3209 (1988); zon et al, Anti Cancer Drug Design 6:539 (1991); zon et al, Oligonucleotides and antigens: analytical Approach (Oligonucleotides and analogs: practical methods), pp 87-108 (F. Eckstein, Oxford University Press, Oxford (1991)); stec et al, U.S. patent No. 5,151,510; uhlmann and Peyman, Chemical Reviews 90:543 (1990). The oligonucleotide may include a label for detection, if desired.

The term "selectively hybridize" herein means to detectably and specifically bind. Polynucleotides, oligonucleotides, and fragments thereof of the present invention selectively hybridize to a nucleic acid strand under hybridization and wash conditions that minimize the amount of detectably bound non-specific nucleic acids. High stringency conditions can be used to achieve selective hybridization conditions, as are known in the art and discussed herein. Typically, the nucleic acid sequence homology between the polynucleotides, oligonucleotides and fragments thereof of the invention and the nucleic acid sequence of interest is at least 80%, more generally, it is preferred to increase the homology to at least 85%, 90%, 95%, 99% and 100%. Two nucleic acid sequences are homologous if there is partial or complete identity between the two sequences. For example, 85% homology means that 85% of the amino acids are identical when the two sequences are aligned in maximum pairing. Gaps are allowed (in either of the two sequences being paired) with a pairing gap length of up to 5, preferably down to 2, more preferably less. Alternatively, and preferably, if the alignment score of two protein sequences is greater than 5 (standard deviation units) using the program ALIGN with a mutation data matrix and a gap penalty of 6 or greater, the term "homologous" can be used to describe the two protein sequences (or polypeptide sequences derived from the two protein sequences that are at least 30 amino acids in length). See Dayhoff, M.O., Atlas of Protein sequences and Structure, pages 101-110 (Vol.5, National Biomedical Research Foundation (1972)) and pages 1-10 of appendix 2 of this volume. Two sequences or portions thereof are more preferably homologous if they are more than or equal to 50% identical in amino acids when optimally aligned using ALIGN. The term "corresponding to" as used herein means that the polynucleotide sequence is homologous (i.e., identical rather than strictly evolutionarily related) to all or part of the reference polynucleotide sequence, or that the polypeptide sequence is identical to the reference polypeptide sequence. Conversely, the term "complementary to … …" as used herein means that the complementary sequence is homologous to all or part of the reference sequence. Illustratively, the nucleotide sequence "TATAC" corresponds to the reference sequence "TATAC" and is complementary to the reference sequence "GTATA".

The following terms are used to describe the sequence relationship between two or more polynucleotide or amino acid sequences: "reference sequence", "window of comparison", "sequence identity", "percent sequence identity", and "substantial identity". A "reference sequence" is a defined sequence that serves as a basis for sequence comparison, and a reference sequence may be a subset of a longer sequence, e.g., as a fragment of a full-length cDNA or a gene sequence provided in a sequence listing or may include the entire cDNA or gene sequence. Typically, the reference sequence is at least 18 nucleotides or 6 amino acids in length, often at least 24 nucleotides or 8 amino acids, and often at least 48 nucleotides or 16 amino acids in length. Since two polynucleotide or amino acid sequences may each (1) include a sequence that is similar between the two molecules (i.e., a portion of the complete polynucleotide or amino acid sequence), and (2) may also include sequences that differentiate between the two polynucleotide and amino acid sequences, sequence comparisons between two (or more) molecules are typically performed by comparing the sequences of the two molecules over a "comparison window" to identify and compare local regions of sequence similarity. The term "comparison window" as used herein means a conceptual fragment of at least 18 contiguous nucleotide positions or 6 amino acids in which a polynucleotide sequence or amino acid sequence can be compared to a sequence of at least 18 contiguous nucleotides or 6 amino acids, and a portion of the polynucleotide sequence in the comparison window can include 20% or less additions, deletions, substitutions, and the like (i.e., gaps) as compared to a reference sequence (which does not include additions or deletions) for optimal alignment of the two sequences. Optimal sequence comparisons for comparison windows can be made, for example, by the local homology algorithm of Smith and Waterman, adv.appl.math.2:482(1981), by the homology comparison algorithm of Needleman and Wunsch, j.mol.biol.48:443(1970), by the similarity search method of Pearson and Lipman, proc.nat' l.acad.sci.usa 85:2444(1988), by Computer execution of these algorithms (the wisconsin Genetics software package (Genetics Computer Group), scientific major 575 No. (575 Science Dr.), release version 7.0 of madison, wisconsin), or by visual inspection of GAP, bestfata, FASTA and TFASTA, Geneworks or MacVector software packages, and selection of the optimal alignment generated by various methods (i.e. the highest percentage homology is formed in the comparison window).

The term "sequence identity" means that two polynucleotide or amino acid sequences are identical (i.e., on a nucleotide-by-nucleotide or residue-by-residue basis) over a comparison window. The term "percent sequence identity" is calculated by comparing two optimally aligned sequences over a comparison window, determining the number of positions of the same nucleobase (e.g., A, T, C, G, U or I) or residue present on the two sequences to yield the number of matching positions, dividing the number of matching positions by the total number of positions in the comparison window (i.e., the window size), and multiplying the result by 100 to yield the percent sequence identity. The term "substantial identity" as used herein denotes a characteristic of a polynucleotide or amino acid sequence, wherein the polynucleotide or amino acid sequence comprises a sequence having at least 85% sequence identity, preferably at least 90% to 95% sequence identity, more often at least 99% sequence identity to a reference sequence over a comparison window comprising at least 18 nucleotide (6 amino acid) positions, typically at least 24-48 nucleotide (8-16 amino acid) positions, wherein the percentage of sequence identity is calculated by comparing the reference sequence to sequences comprising deletions or additions which together amount to 20% or less of the reference sequence over the comparison window. The reference sequence may be a subset of a longer sequence.

The 20 conventional amino acids and their abbreviations used herein follow conventional usage. See Immunology-ASynthesis (Immunology-Synthesis) (2 nd edition, ed.s. Golub and D.R.Gren, Union of Sinauess (1991), Morderland, Mass.). Stereoisomers of 20 conventional amino acids (e.g., D-amino acids), unnatural amino acids (e.g., α -disubstituted amino acids), N-alkyl amino acids, lactic acid, and other unconventional amino acids may also be suitable components of the polypeptides of the invention. Examples of unconventional amino acids include: 4-hydroxyproline, gamma-carboxyglutamic acid, -N, N, N-trimethyllysine, -N-acetyl lysine, O-phosphoserine, N-acetyl serine, N-formylmethionine, 3-methylhistidine, 5-hydroxylysine, sigma-N-methylarginine and other similar amino acids and imino acids (e.g., 4-hydroxyproline). In the polypeptide notation used herein, the left-hand direction is the amino-terminal direction and the right-hand direction is the carboxy-terminal direction, in accordance with standard usage and convention.

Similarly, unless otherwise indicated, the left-hand end of a single-stranded polynucleotide sequence is the 5 'end, and the left-hand end of a double-stranded polynucleotide sequence is referred to as the 5' orientation. The 5 'to 3' direction of the nascent RNA transcript is referred to as the direction of transcription, the region of sequence on the DNA strand that is identical to the RNA sequence and is 5 'to the 5' end of the RNA transcript is referred to as the "upstream sequence", and the region of sequence on the DNA strand that is identical to the RNA sequence and is 3 'to the 3' end of the RNA transcript is referred to as the "downstream sequence".

The term "substantial identity" as applied to polypeptides means that two polypeptide sequences have at least 80% sequence identity, preferably at least 90% sequence identity, more preferably at least 95% sequence identity, and most preferably at least 99% sequence identity when optimally aligned (e.g., by the programs GAP or BESTFIT, using default GAP weights).

Preferably, residue positions that are not identical are due to conservative amino acid substitutions.

Conservative amino acid substitutions indicate substitutions using residues with similar side chains. For example, the group of amino acids with aliphatic side chains is glycine, alanine, valine, leucine, and isoleucine; the group of amino acids with aliphatic-hydroxy side chains are serine and threonine; the group of amino acids with amide-containing side chains is asparagine and glutamine; the group of amino acids with aromatic side chains are phenylalanine, tyrosine and tryptophan; the group of amino acids with basic side chains are lysine, arginine and histidine; and the group of amino acids with sulfur-containing side chains are cysteine and methionine. Preferred conservative amino acid substitution groups are: valine-leucine-isoleucine, phenylalanine-tyrosine, lysine-arginine, alanine valine, glutamic acid-aspartic acid and asparagine-glutamine.

As described herein, minor variations in the amino acid sequence of an antibody or immunoglobulin molecule can be considered to be encompassed by the present invention, provided that the variation in the amino acid sequence remains at least 75%, more preferably at least 80%, 90%, 95%, and most preferably 99%. In particular, conservative amino acid substitutions are contemplated. Conservative substitutions are those that occur within a family of amino acids that are related in side chain. Genetically encoded amino acids are generally divided into several families: (1) the acidic amino acid is aspartic acid or glutamic acid; (2) the basic amino acid is lysine, arginine, histidine; (3) the nonpolar amino acid is alanine, valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan; and (4) the amino acids without electrical polarity are glycine, asparagine, glutamine, cysteine, serine, threonine, tyrosine. Hydrophilic amino acids include arginine, asparagine, aspartic acid, glutamine, glutamic acid, histidine, lysine, serine and threonine. Hydrophobic amino acids include alanine, cysteine, isoleucine, leucine, methionine, phenylalanine, proline, tryptophan, tyrosine, and valine. Other amino acid families include (i) serine and threonine, belonging to the aliphatic-hydroxy family; (ii) asparagine and glutamine, belonging to the amide-containing family; (iii) alanine, valine, leucine, and isoleucine, belonging to the aliphatic family; and (iv) phenylalanine, tryptophan, and tyrosine, belonging to the aromatic family. For example, it is reasonable to expect that the substitution of isoleucine or valine for leucine, glutamic for aspartic acids, serine for threonine, or a structurally related amino acid, respectively, will not have a major effect on the binding function or the properties of the resulting molecule, particularly if the substitution does not involve an amino acid within a framework site. Whether an amino acid change results in a functional peptide can be readily determined by determining the specific activity of the polypeptide derivative. The experiments are described in detail herein. Fragments or analogs of the antibodies or immunoglobulin molecules can be readily prepared by techniques common in the art. Preferably, the amino and carboxyl termini of the fragment or analog occur near the boundaries of the functional domain. Structural and functional domains can be identified by comparing nucleotide and/or amino acid sequence data to public or proprietary sequence databases. Computer comparison methods are preferably used to identify sequence motifs or predict protein conformation domains that occur on other proteins of known structure and/or function. Methods for identifying protein sequences that fold into known three-dimensional structures are known. Bowie et al, Science 253:164 (1991). Thus, the above examples demonstrate that one skilled in the art can identify sequence motifs and structural configurations useful for defining structural and functional domains according to the present invention.

Preferred amino acid substitutions have the following properties: (1) reduced susceptibility to proteolysis, (2) reduced susceptibility to oxidation, (3) altered binding affinity for formation of protein complexes, (4) altered binding affinity, and (4) administration or modification of other physicochemical or functional properties of such analogs. Analogs can include a variety of sequence muteins that differ from the naturally occurring peptide sequence. For example, single or multiple amino acid substitutions (preferably conservative amino acid substitutions) may be made in the naturally occurring sequence (preferably in the portion of the polypeptide outside the domains forming intermolecular contacts). Conservative amino acid substitutions should not significantly alter the structural characteristics of the parent sequence (e.g., a substituted amino acid should not disrupt the helix present in the parent sequence or disrupt other secondary structure types that characterize the parent sequence). Examples of art-recognized secondary and tertiary structures are described in Proteins, structures and Molecular Principles (Creighton, ed., W.H. Fremann, Inc. (W.H. Freeman and Company), New York (1984)); introduction to Protein Structure (eds.) (C.Branden and J.Tooze, Calif., Publishing Co., Garland Publishing, N.Y. (1991)); and Thornton et al, Nature 354:105 (1991).

The term "polypeptide fragment" as used herein refers to a polypeptide with amino-terminal and/or carboxy-terminal deletions, but with the remaining amino acid sequence being identical to the corresponding position in the deduced naturally occurring sequence of the full-length cDNA sequence. Fragments are typically at least 5,6, 8 or 10 amino acids in length, preferably at least 14 amino acids, more preferably at least 20 amino acids, usually at least 50 amino acids, and more preferably at least 70 amino acids. The term "analog" as used herein denotes a polypeptide consisting of a fragment of at least 25 amino acids which is substantially identical to a portion of the deduced amino acid sequence and which specifically binds CD47 under appropriate binding conditions. Typically, polypeptide analogs include conservative amino acid substitutions (or additions or deletions) relative to the naturally-occurring sequence. Analogs are typically at least 20 amino acids, preferably at least 50 amino acids or longer in length, and often as long as the full-length naturally-occurring polypeptide.

Peptide analogs are commonly used in the pharmaceutical industry as non-peptide drugs with properties similar to those of the template peptide. These types of non-peptide compounds are referred to as "peptidomimetics". Fauchere, J.Adv.drug Res.15:29 (1986); veber and Freidinger, TINS p.392 (1985); and Evans et al, J.Med.chem.30:1229 (1987). Such compounds are often developed with the aid of computerized molecular modeling. Peptidomimetics structurally similar to therapeutically useful peptides can be used to produce the same therapeutic or prophylactic effect. In general, peptide analogsStructurally similar to exemplary polypeptides (i.e., polypeptides having biochemical or pharmaceutical activity), such as human antibodies, but wherein one or more peptide linkages are replaced by linkages selected from the group consisting of: - - -CH₂NH--、--CH₂S-、--CH₂-CH₂-, - -CH- - - - (cis and trans) - -, - -COCH₂--、CH(OH)CH₂- - -and- -CH₂SO- -. Systematic substitution of one or more amino acids of the consensus sequence with the same type of D-amino acid (e.g., D-lysine for L-lysine) can be used to generate more stable peptides. In addition, constrained peptides comprising a consensus sequence or substantially identical consensus sequence variants can be prepared using methods known in the art (Rizo and Gierasch, Ann. Rev. biochem.61:387 (1992)); for example by adding internal cysteine residues capable of forming intermolecular disulfide bridges which cyclize the peptide.

The term "agent" as used herein means a chemical compound, a mixture of chemical compounds, a biological macromolecule, or an extract made from biological material.

The term "label" or "labeled" as used herein means the incorporation of a detectable label, e.g., by incorporating a radiolabeled amino acid or linking a polypeptide to a biotin moiety capable of being detected by a labeled avidin (e.g., streptavidin containing a fluorescent label or enzymatic activity that is detectable by optical or calorimetric methods). In some cases, the marker or indicia may also be therapeutic. A variety of methods for labeling polypeptides and glycoproteins are known in the art and can be used. Examples of polypeptide tags include, but are not limited to, the following: radioisotopes or radionuclides (e.g. of the type³H、¹⁴C、¹⁵N、³⁵S、⁹⁰Y、⁹⁹Tc、¹¹¹In、¹²⁵I、¹³¹I) A fluorescent label (e.g., FITC, rhodamine, lanthanide phosphors), an enzyme label (e.g., horseradish peroxidase, p-galactosidase, luciferase, alkaline phosphatase), a chemiluminescent substance, a biotin group, a predetermined polypeptide epitope recognized by the second reporter (e.g., leucine zipper pair sequence, binding site for a secondary antibody, metal binding domain, epitope label). In thatIn some embodiments, the labels are linked by spacer arms of varying lengths to reduce potential steric hindrance. The term "agent or drug" as used herein means a chemical compound or composition that is capable of inducing a desired therapeutic effect when properly administered to a patient.

The term "antineoplastic agent" as used herein means an agent having functional properties that inhibit the development or progression of a human tumor, particularly a malignant (cancerous) lesion, such as a carcinoma, sarcoma, lymphoma or leukemia. Inhibition of metastasis is often a property of antineoplastic agents.

Other Chemical Terms herein are used according to conventional usage in The art, such as The McGraw-Hilldictionary of Chemical terminologies (McGraw-Hill Chemical terminology dictionary) (Parker, S. eds., Grou-Hill Co., Ltd., McGraw-Hill, san Francisco (1985)).

As used herein, "substantially pure" means that the substance of interest is the predominant substance present (i.e., on a molar basis greater than any other individual substance in the composition), and preferably the substantially pure fraction is the composition in which the substance of interest constitutes at least about 50% (on a molar basis) of all macromolecular species present.

Generally, a substantially pure composition may comprise greater than about 80%, more preferably greater than about 85%, 90%, 95%, and 99% of all macromolecular species present in the composition. Most preferably, the target species is purified to be substantially homogeneous (contaminant species are not detectable in the composition by conventional detection methods), wherein the composition consists essentially of a single macromolecular species.

CD47 antibody

The monoclonal antibodies of the invention have the ability to bind CD47 to inhibit the binding of sirpa to CD47, reduce CD 47-sirpa-mediated signaling, promote phagocytosis, and inhibit tumor growth and/or metastasis. For example, inhibition can be determined using the cellular assays described in the examples herein.

Exemplary antibodies of the invention include the 2a1 antibody, a chimeric version of 2a1, and a humanized variant of 2a 1. Exemplary antibodies of the invention include antibodies comprising a Variable Heavy (VH) chain having a sequence selected from SEQ ID NOS: 5-30 and a variable light chain (VL) having a sequence selected from SEQ ID NOS: 31-47. In particular, exemplary antibodies include those provided in table 1.

TABLE 1

The invention also includes antibodies that bind to the same epitope as the CD47 antibodies described herein. For example, an antibody of the invention specifically binds to an epitope comprising one or more amino acid residues on human CD47 (see, e.g., GenBank accession No. Q08722.1).

The amino acid sequence of an exemplary human CD47 is provided below (GenBank accession No. Q08722.1(GI:1171879), which is incorporated herein by reference). The signal sequence (amino acids 1-18) is underlined.

For clarity, the amino acid sequence of an exemplary human CD47 excluding the signal sequence is provided below.

The amino acid sequence of an exemplary human CD47-IgV domain is provided below:

exemplary monoclonal antibodies of the invention include, for example, humanized antibodies comprising Variable Heavy (VH) chain regions and/or Variable Light (VL) chain regions as set forth in the following sequences.

The Variable Heavy (VH) chain regions of the CD47 antibody are provided below. The Complementarity Determining Regions (CDRs) of the VH chain of the CD47 antibody are highlighted below. In some embodiments, the amino acid sequence of VH CDR1 is GFNIKDYYLH (SEQ ID NO:50), GYTFTYYYLH (SEQ ID NO:57), GFTFTYYYLH (SEQ ID NO:58), GYNFTYYYLH (SEQ ID NO:59), GYTITYYYLH (SEQ ID NO:60), GYTFKYYYLH (SEQ ID NO:61), GYTFTDYYLH (SEQ ID NO:62), GFTFTDYYLH (SEQ ID NO:63), GFTITDYYLH (SEQ ID NO:64), GYTFKDYYLH (SEQ ID NO:65), or GFTFKDYYLH (SEQ ID NO: 66). In some embodiments, the amino acid sequence of VH CDR2 is WIDPDNGDTE (SEQ ID NO:51), WIDPDQGDTE (SEQ ID NO:72), WIDPDYGDTE (SEQ ID NO:73), WIDPDSGDTE (SEQ ID NO:74), WIDPDNADTE (SEQ ID NO:75), or WIDPDNTDTE (SEQ ID NO: 76). In some embodiments, the amino acid sequence of VHCDR3 is NAAYGSSSYPMDY (SEQ ID NO:52) or NAAYGSSPYPMDY (SEQ ID NO: 77).

EVQLQQSGAELVRSGASVKLSCTASGFNIKDYYLHWVKQRPEQGLEWIGWIDPDNGDTEFAPKFQGKATMTADTSSNTAYLQLSSLTSEDTAVYYCNAAYGSSSYPMDYWGQGTSVTV(SEQ ID NO:5)

EVQLVQSGAEVKKPGATVKISCKVSGFNIKDYYLHWVQQAPGKGLEWMGWIDPDNGDTEYAEKFQGRVTITADTSTDTAYMELSSLRSEDTAVYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:6)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:7)

EVQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:8)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQGRVTMTADTSSNTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:9)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQGRVTMTEDTSTDTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:10)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDQGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:11)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDYGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:12)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDSGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:13)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNADTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:14)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNTDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:15)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSPYPMDYWGQGTTVTV(SEQ ID NO:16)

QMQLVQSGAEVKKTGSSVKVSCKASGYTFTYYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:17)

QMQLVQSGAEVKKTGSSVKVSCKASGFTFTYYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:18)

QMQLVQSGAEVKKTGSSVKVSCKASGYNFTYYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:19)

QMQLVQSGAEVKKTGSSVKVSCKASGYTITYYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:20)

QMQLVQSGAEVKKTGSSVKVSCKASGYTFKYYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:21)

QMQLVQSGAEVKKTGSSVKVSCKASGYTFTDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:22)

QMQLVQSGAEVKKTGSSVKVSCKASGFTFTDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:23)

QMQLVQSGAEVKKTGSSVKVSCKASGFTITDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:24)

QMQLVQSGAEVKKTGSSVKVSCKASGYTFKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:25)

QMQLVQSGAEVKKTGSSVKVSCKASGFTFKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:26)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYLQLSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:27)

QMQLVQSGAEVKKTGSSVKVSCKASGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLTSEDTAVYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:28)

EVQLVQSGAEVKKPGATVKISCKVSGFNIKDYYLHWVRQAPGQALEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:29)

EVQLVQSGAEVKKPGATVKISCKVSGFNIKDYYLHWVQQAPGKGLEWMGWIDPDNGDTEYAQKFQDRVTITRDRSMSTAYMELSSLRSEDTAMYYCNAAYGSSSYPMDYWGQGTTVTV(SEQ ID NO:30)

The Variable Light (VL) chain region of the CD47 antibody is provided below. The CDRs of the VL chain of the CD47 antibody are highlighted below. In some embodiments, the amino acid sequence of VL CDR1 is KASQDIHRYLS (SEQ ID NO:53), RASQDIHRYLA (SEQ ID NO:67), or RARQGIHRYLS (SEQ ID NO: 68). In some embodiments, the amino acid sequence of VL CDR2 is RANRLVD (SEQ ID NO:54), RANRLQS (SEQ ID NO:69), RANRRAT (SEQ ID NO:70), or RANRLVS (SEQ ID NO: 71). In some embodiments, the amino acid sequence of VL CDR3 is LQYDEFPYT (SEQ ID NO: 55).

DIKMTQSPSSLYASLGERVTITCKASQDIHRYLSWFQQKPGKSPKILIYRANRLVDGVPSRFSGSGSGQDYSLTISSLEYEDMGIYYCLQYDEFPYTFGGGTKLEMK(SEQ ID NO:31)

DIKMTQSPSSLYASLGERVTITCKASQDIHRYLSWFQQKPGKSPKILIYRANRLVDGVPSRFSGSGSGQDYSLTISSLEYEDMGIYYCLQYDEFPYTFGGGTKLEIK(SEQ ID NO:32)

DIQMTQSPSSLSASVGDRVTITCKASQDIHRYLSWYQQKPGKAPKLLIYRANRLVDGVPSRFSGSGSGTDFTFTISSLQPEDIATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:33)

DIQMTQSPSSLSASVGDRVTITCKASQDIHRYLSWFQQKPGKAPKSLIYRANRLVDGVPSRFSGSGSGTDFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:34)

NIQMTQSPSAMSASVGDRVTITCKASQDIHRYLSWFQQKPGKVPKHLIYRANRLVDGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:35)

DIQMTQSPSSLSASVGDRVTITCKASQDIHRYLSWYQQKPGKAPKRLIYRANRLVDGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:36)

DIQMTQSPSSLSASVGDRVTITCRASQDIHRYLAWYQQKPGKVPKLLIYRANRLQSGVPSRFSGSGSGTDFTLTISSLQPEDVATYYCLQYDEFPYTFGQGTKVEIK(SEQ ID NO:37)

EIVLTQSPATLSLSPGERATLSCRASQDIHRYLAWYQQKPGQAPRLLIYRANRRATGIPARFSGSGSGTDFTLTISSLEPEDFAVYYCLQYDEFPYTGFQGTRLEIK(SEQ ID NO:38)

DIQMTQSPSAMSASVGDRVTITCKASQDIHRYLSWFQQKPGKVPKHLIYRANRLVDGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:39)

NIQMTQSPSAMSASVGDRVTITCRARQGIHRYLSWFQQKPGKVPKHLIYRANRLVDGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:40)

NIQMTQSPSAMSASVGDRVTITCKASQDIHRYLSWFQQKPGKVPKILIYRANRLVDGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:41)

NIQMTQSPSAMSASVGDRVTITCKASQDIHRYLSWFQQKPGKVPKHLIYRANRLVSGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:42)

NIQMTQSPSAMSASVGDRVTITCRARQGIHRYLSWFQQKPGKVPKILIYRANRLVDGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:43)

NIQMTQSPSAMSASVGDRVTITCRARQGIHRYLSWFQQKPGKVPKHLIYRANRLVSGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:44)

NIQMTQSPSAMSASVGDRVTITCKASQDIHRYLSWFQQKPGKVPKLLIYRANRLVDGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:45)

NIQMTQSPSAMSASVGDRVTITCKASQDIHRYLSWFQQKPGKVPKLLIYRANRLVSGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:46)

NIQMTQSPSAMSASVGDRVTITCRARQGIHRYLSWFQQKPGKVPKLLIYRANRLVSGVPSRFSGSGSGTEFTLTISSLQPEDFATYYCLQYDEFPYTFGGGTKVEIK(SEQ ID NO:47)

In some cases, the CD47 antibody described herein comprises a variable heavy chain region selected from the group consisting of SEQ ID NOS: 5-30 and a variable light chain region selected from the group consisting of SEQ ID NOS: 31-47. An exemplary CD47 antibody includes a variable heavy chain region having the sequence SEQ ID No. 5 and a variable light chain region having the sequence SEQ ID No. 31; a variable heavy chain region having the sequence SEQ ID NO. 7 and a variable light chain region having the sequence SEQ ID NO. 35; a variable heavy chain region having the sequence SEQ ID NO. 11 and a variable light chain region having the sequence SEQ ID NO. 42; a variable heavy chain region having a sequence of SEQ ID NO. 5 and a variable light chain region having a sequence of SEQ ID NO. 32; the variable heavy chain region having the sequence of SEQ ID NO. 7 and the variable light chain region having the sequence of SEQ ID NO. 33, the variable heavy chain region having the sequence of SEQ ID NO. 7 and the variable light chain region having the sequence of SEQ ID NO. 34, the variable heavy chain region having the sequence of SEQ ID NO. 7 and the variable light chain region having the sequence of SEQ ID NO. 36, the variable heavy chain region having the sequence of SEQ ID NO. 7 and the variable light chain region having the sequence of SEQ ID NO. 37, the variable heavy chain region having the sequence of SEQ ID NO. 7 and the variable light chain region having the sequence of SEQ ID NO. 38, the variable heavy chain region having the sequence of SEQ ID NO. 29 and the variable light chain region having the sequence of SEQ ID NO. 35, the variable heavy chain region having the sequence of SEQ ID NO. 30 and the variable light chain region having the sequence of SEQ ID NO. 35, the variable heavy chain region having the sequence of SEQ ID NO. 7 and the variable light chain region having the sequence of SEQ ID NO. 43, the variable heavy chain region having the sequence of SEQ ID NO. 11 and the variable light chain region having the sequence of SEQ ID NO. 43, the variable heavy chain region having the sequence of SEQ ID NO. 11 and the variable light chain region having the sequence of SEQ ID NO. 47, the variable heavy chain region having the sequence of SEQ ID NO. 15 and the variable light chain region having the sequence of SEQ ID NO. 43, the variable heavy chain region having the sequence of SEQ ID NO. 15 and the variable light chain region having the sequence of SEQ ID NO. 44, the variable heavy chain region having the sequence of SEQ ID NO. 11 and the variable light chain region having the sequence of SEQ ID NO. 44, the variable heavy chain region having the sequence of SEQ ID NO. 22 and the variable light chain region having the sequence of SEQ ID NO. 35, the variable heavy chain region having the sequence of SEQ ID NO. 7 and the variable light chain region having the sequence of SEQ ID NO. 39, the variable heavy chain region having the sequence of SEQ ID NO. 8 and the variable light chain region having the sequence of SEQ ID NO. 39, the variable heavy chain region having the sequence of SEQ ID NO 16 and the variable light chain region having the sequence of SEQ ID NO 35, the variable heavy chain region having the sequence of SEQ ID NO 20 and the variable light chain region having the sequence of SEQ ID NO 35, the variable heavy chain region having the sequence of SEQ ID NO 21 and the variable light chain region having the sequence of SEQ ID NO 35, the variable heavy chain region having the sequence of SEQ ID NO 17 and the variable light chain region having the sequence of SEQ ID NO 35, the variable heavy chain region having the sequence of SEQ ID NO 28 and the variable light chain region having the sequence of SEQ ID NO 35, or the variable heavy chain region having the sequence of SEQ ID NO 27 and the variable light chain region having the sequence of SEQ ID NO 35.

The CD47 antibody described herein includes a VH domain provided by any one of SEQ ID NOs 5-30 and a VL domain provided by any one of SEQ ID NOs 31-47 paired therewith. In particular, the CD47 antibodies described herein include the VH domain provided by any one of SEQ ID NOs 5,7, 8, 11, 15-17, 20-22 and 27-30 paired with the VL domain provided by any one of SEQ ID NOs 31-39, 42, 43, 44 and 47.

The CD47 antibody described herein includes the VH CDR1 region provided by any one of SEQ ID NO 50, SEQ ID NO 57, SEQ ID NO 58, SEQ ID NO 59, SEQ ID NO 60, SEQ ID NO 61, SEQ ID NO 62, SEQ ID NO 63, SEQ ID NO 64, SEQ ID NO 65 and SEQ ID NO 66, the VH CDR2 region provided by any one of SEQ ID NO 51, SEQ ID NO 72, SEQ ID NO 73, SEQ ID NO 74, SEQ ID NO 75 and SEQ ID NO 76, the CDR3 region provided by any one of SEQ ID NO 52 and SEQ ID NO 77, the VL CDR1 region provided by any one of SEQ ID NO 53, SEQ ID NO 67 and SEQ ID NO 68, the VL CDR2 region provided by any one of SEQ ID NO 69, SEQ ID NO 70 and SEQ ID NO 71, and the VL CDR3 region provided by SEQ ID NO. 55.

One skilled in the art will recognize that it is possible without undue experimentation to determine whether a monoclonal antibody has the same specificity as a monoclonal antibody of the invention (e.g., the 2A1 antibody or an antibody comprising a variable heavy chain region selected from SEQ ID NOS: 5-31 and a variable light chain region selected from SEQ ID NOS: 31-47) by determining whether the former prevents the latter from binding to CD 47. If the monoclonal antibody to be tested competes with the monoclonal antibody of the invention, as indicated by a decrease in binding of the monoclonal antibody of the invention, both monoclonal antibodies bind to the same or closely related epitope.

An alternative method of determining whether a monoclonal antibody has the specificity of a monoclonal antibody of the invention is to pre-incubate an antibody of the invention with soluble CD47 protein (which is normally active) and then add the monoclonal antibody to be tested to determine whether the monoclonal antibody to be tested is inhibited in its ability to bind CD 47. If the monoclonal antibody to be tested is inhibited, it is likely that it has the same or functionally equivalent epitope specificity as the monoclonal antibody of the invention.

Antibodies of the invention

Screening of monoclonal antibodies of the invention may also be performed, for example, by measuring CD 47-and/or CD 47/sirpa-mediated signaling, and determining whether the monoclonal antibody tested is capable of modulating, blocking, inhibiting, reducing, antagonizing, neutralizing or interfering with CD 47-and/or CD 47/sirpa-mediated signaling. These assays may include competitive binding assays. In addition, these assays can measure biological readings, such as the ability to promote phagocytosis of CD47 expressing cells by macrophages, as described in example 9 (fig. 9).

A variety of methods known in the art can be used to generate monoclonal antibodies against CD47 or against derivatives, fragments, analogs, homologs or orthologs thereof. (see, e.g., Antibodies: A Laboratory Manual (Antibodies: A Laboratory Manual), Harlow E, and Lane D,1998, Cold Spring harbor Laboratory Press, Cold Spring harbor, N.Y., which is incorporated herein by reference). A fully human antibody refers to an antibody molecule in which all of the sequences (including CDRs) of the light and heavy chains are derived from human genes. Such antibodies are referred to herein as "human antibodies" or "fully human antibodies". For example, human monoclonal antibodies can be prepared using the methods described in the examples below. Human monoclonal antibodies can also be prepared using hybridoma technology, human B cell hybridoma technology (see Kozbor et al, 1983 immunological Today 4: 72); and the use of EBV hybridoma technology to produce human MONOCLONAL ANTIBODIES (see Cole et al, 1985, MONOCLONAL ANTIBODIES AND CANCERTHERAPY (MONOCLONAL ANTIBODIES and cancer therapies), ARL Inc. (Alan R.Liss, Inc.), pages 77-96). Human MONOCLONAL ANTIBODIES can be used and can be generated by in vitro transformation of human B cells using human hybridomas (see Cote et al, 1983.Proc Natl Acad Sci USA 80: 2026-.

Antibodies can be purified by well-known techniques, such as affinity chromatography using protein a or protein G which provides primarily the IgG fraction of the immune serum. Subsequently or alternatively, a specific antigen or epitope thereof targeted by the immunoglobulin may be immobilized on a column to purify the immunospecific antibody by immunoaffinity chromatography. Wilkinson, for example, discusses purification of immunoglobulins (published by The Scientist, Scientist press, Inc., philadelphia, pennsylvania, volume 14, phase 8 (4/17/2000), pages 25-28).

The CD47 antibody of the invention is a monoclonal antibody. Monoclonal antibodies are generated that are capable of modulating, blocking, inhibiting, reducing, antagonizing, neutralizing, or interfering with CD 47-and/or CD 47/sirpa-mediated cell signaling, for example, by immunizing an animal with membrane-bound and/or soluble CD47 (e.g., human CD47 or an immunogenic fragment, derivative, or variant thereof). Alternatively, an animal is immunized with cells transfected with a vector comprising a nucleic acid molecule encoding CD47 such that CD47 is expressed and associated with the surface of the transfected cells. Alternatively, the antibody is obtained by screening a library comprising antibodies or antigen binding domain sequences for binding to CD 47. The library is prepared, for example, in a phage, the proteins or peptides are fused to phage coat proteins expressed on the surface of the assembled phage particle, and the encoded DNA sequences are contained within the phage particle (i.e., a "phage display library"). Hybridomas derived from myeloma/B cell fusions were then screened for responsiveness to CD 47.

For example, monoclonal antibodies can be prepared using a hybridoma method, such as those described by Kohler and Milstein, Nature 256:495 (1975). In the hybridoma method, a mouse, hamster, or other suitable host animal, is typically immunized with an immunizing agent to elicit lymphocytes that produce or are capable of producing antibodies that will specifically bind to the immunizing agent. Alternatively, lymphocytes may be immunized in vitro.

The immunizing agent typically includes a protein antigen, fragment thereof, or fusion protein thereof. Typically, peripheral blood lymphocytes are used if cells of human origin are desired, and spleen cells or lymph node cells are used if non-human mammalian sources are desired. The lymphocytes are then fused with an immortalized cell line using a suitable fusing agent, such as polyethylene glycol, to form hybridoma cells (Goding,Monoclonal Antibodies:Principles and Practice(monoclonal antibodies: principles and practice), Academic Press (Academic Press), (1986) pp 59-103). Immortalized cell lines are typically transfected mammalian cells, particularly myeloma cells of rodent, bovine and human origin. Myeloma cells from rat or mouse are often used. The hybridoma cells may be cultured in a suitable medium preferably containing one or more substances capable of inhibiting the growth or survival of unfused, immortalized cells. For example, if the parental cells lack hypoxanthine guanine phosphoribosyl transferase (HGPRT or HPRT), the hybridoma culture medium typically contains hypoxanthine, aminopterin, and thymidine ("HAT medium"), which substances prevent the growth of HGPRT-deficient cells.

Preferred immortalized cell lines are those that fuse efficiently, support stable high level expression of antibody by the selected antibody-producing cells, and are sensitive to a medium (e.g., HAT medium). More preferred immortalized cell lines are murine myeloma cell lines, available, for example, from the Solker cell distribution Center (Salk Institute cell distribution Center) of san Diego, Calif. and the American type Culture Collection (American type Culture Collection) of Marnsas, Vaginia. Human myeloma and murine-human heteromyeloma cell lines are also described for the production of monoclonal antibodies. (see Kozbor, J.Immunol.,133:3001 (1984); Brodeur et al, Monoclonal antibody production Techniques and Applications (Monoclonal antibody production Techniques and Applications), Marcel Dekker, Inc., New York, (1987) pp. 51-63).

The culture medium in which the hybridoma cells are cultured can then be assayed for the presence of monoclonal antibodies directed against the antigen. Preferably, the binding specificity of monoclonal antibodies produced by hybridoma cells is determined using immunoprecipitation or an in vitro binding assay, such as Radioimmunoassay (RIA) or enzyme-linked immunosorbent assay (ELISA). Such techniques and assays are known in the art. The binding affinity of monoclonal antibodies can be determined by Scatchard (Scatchard) analysis, e.g., of Munson and Pollard, anal. biochem.,107:220 (1980). Furthermore, in the therapeutic application of monoclonal antibodies, it is important to identify antibodies with high specificity and high affinity for the target antigen.

After the desired hybridoma cells are identified, the clones are subcloned by limiting dilution and grown by standard methods. (see also the Goding of the fact that,Monoclonal Antibodies:Principles and Practice(monoclonal antibodies: principles and practice), Academic Press (Academic Press), (1986) pp 59-103). Suitable media for this purpose include, for example, Dulbecco's Modified Eagles Medium and RPMI-1640 Medium. Alternatively, the hybridoma cells may be grown in vivo as ascites in a mammal.

The monoclonal antibodies secreted by the subclones can be isolated or purified from the culture medium or ascites fluid by conventional immunoglobulin purification methods, such as protein A-agarose, hydroxyapatite chromatography, gel electrophoresis, dialysis or affinity chromatography.

Monoclonal antibodies can also be prepared by recombinant DNA methods, as described in U.S. patent No. 4,816,567. DNA encoding the monoclonal antibodies of the invention can be readily isolated and sequenced using conventional procedures (e.g., using oligonucleotide probes that specifically bind to genes encoding the heavy and light chains of murine antibodies). The hybridoma cells of the invention can be used as a preferred source of such DNA. Once isolated, the DNA may be placed in an expression vector and transferred to a host cell (e.g., Chinese Hamster Ovary (CHO), human embryonic kidney (HEK293) cells, simian COS cells, recombinant DNA, and recombinant DNA,NS0 cells, SP2/0, YB2/0, or non-immunoglobulin producing myeloma cells), thereby completing the synthesis of monoclonal antibodies in the recombinant host cells. The DNA may also be modified, for example, using human heavy and light chainsThe coding sequence for the chain constant region is substituted for the homologous murine sequence (see U.S. Pat. No. 4,816,567; Morrison, Nature 368,812-13(1994)), or by covalently linking all or part of the coding sequence for a non-immunoglobulin polypeptide to the immunoglobulin coding sequence. Such non-immunoglobulin polypeptides may be substituted with a constant region of an antibody of the invention, or with a variable region of an antigen-binding site of an antibody of the invention to produce a chimeric bivalent antibody.

Human antibodies and antibody humanization

The monoclonal antibodies of the invention include fully human antibodies or humanized antibodies. These antibodies are suitable for administration to humans without eliciting an immune response due to human resistance to the administered immunoglobulin.

For example, the CD47 antibody can be prepared using the methods described in the examples below. For example, the CD47 antibodies of the invention can be identified in mice and subsequently in hybridomas using a modified RIMMS (multiple site repeat immunization) immunization strategy.

In other alternative methods, the CD47 antibody is developed, for example, using phage display methods that use antibodies that contain only human sequences. Such methods are well known in the art, for example in WO92/01047 and U.S. Pat. No. 6,521,404, which are incorporated herein by reference. In this method, a combinatorial phage combinatorial library carrying random light and heavy chain pairs is screened using cd47 of natural or recombinant origin, or a fragment thereof. In another method, the CD47 antibody can be produced by a process, wherein at least one step of the process comprises immunizing a transgenic non-human animal with human CD47 protein. In this method, some of the endogenous heavy and or kappa light chain loci of the xenogeneic non-human animal are inactivated and unable to undergo the rearrangement required to prepare genes encoding immunoglobulins that respond to antigens. In addition, at least one human heavy chain locus and at least one human light chain locus have been stably transfected into an animal. Thus, in response to an administered antigen, the human site rearrangement has provided genes encoding human variable regions that are immunospecific for the antigen. Thus, after immunization, transgenic mice produce B cells that secrete fully human immunoglobulins.

A variety of techniques for producing xenogenic non-human animals are well known in the art. See, for example, U.S. patent nos. 6,075,181 and 6,150,584, which are incorporated herein by reference in their entirety. As published in 1994, the general strategy is demonstrated along with the first XenoMouse^TMGeneration of germline lines. See Green et al, Nature Genetics 7:13-21(1994), which is incorporated herein by reference in its entirety. See also U.S. patent nos. 6,162,963; 6,150,584; 6,114,598, respectively; 6,075,181; and 5,939,598 and japanese patent nos. 3068180B 2, 3068506B 2 and 3068507B 2 and european patent No. EP 0463151B 1 and international patent application nos. WO 94/02602, WO 96/34096, WO98/24893, WO 00/76310 and related family patents.

In an alternative approach, others have utilized a "minilocus" approach, in which the foreign Ig locus is mimicked by the inclusion of fragments (individual genes) from the Ig locus. Thus, one or more VH genes, one or more D_HGenes, one or more J_HThe gene, mu constant region and second constant region (preferably gamma constant region) form a construct for insertion into an animal. See, for example, U.S. Pat. nos. 5,545,806; 5,545,807, respectively; 5,591,669, respectively; 5,612,205; 5,625,825, respectively; 5,625,126, respectively; 5,633,425, respectively; 5,643,763, respectively; 5,661,016, respectively; 5,721,367, respectively; 5,770,429, respectively; 5,789,215; 5,789,650, respectively; 5,814, 318; 5,877, respectively; 397; 5,874,299, respectively; 6,023,010; and No. 6,255,458; and european patent No. 0546073B 1; and international patent application numbers WO 92/03918, WO 92/22645, WO 92/22647, WO 92/22670, WO 93/12227, WO 94/00569, WO 94/25585, WO 96/14436, WO 97/13852 and WO 98/24884 and related family patents.

The generation of human antibodies from mice, in which large fragment chromosomes or whole chromosomes are introduced by minicell (minicell) fusion, has also been demonstrated. See european patent application nos. 773,288 and 843,961.

Human anti-mouse antibody (HAMA) reactions have led to the industry of making chimeric or humanized antibodies. Chimeric antibodies have human constant and immuovariable regions, and it is expected that certain human anti-chimeric antibody (HACA) responses will be observed, particularly in chronic or multi-dose use of the antibody. It would therefore be desirable to provide fully human antibodies against CD47 to attenuate or mitigate concerns and/or effects on HAMA or HACA responses.

The production of low immunogenic antibodies can also be achieved by humanization, chimerization and display techniques using appropriate libraries. It is understood that murine antibodies or antibodies from other species may be humanized or primatized using techniques well known in the art. References are, for example, Winter and Harris, Immunol Today 14: 4346 (1993) and Wright et al, Crit, reviews in Immunol.12125-168 (1992). Antibodies of interest can be engineered by recombinant DNA techniques to replace CH1, CH2, CH3, the hinge domain and/or the framework domain with the corresponding human sequences (see WO 92102190 and U.S. Pat. nos. 5,530,101; 5,585,089; 5,693,761; 5,693,792; 5,714,350; and 5,777,085). The use of Ig cDNAs to construct chimeric immunoglobulin genes is also known in the art (Liu et al, P.N.A.S.84:3439(1987) and J.Immunol.139:3521 (1987)). mRNA is isolated from hybridomas or other cells that produce antibodies and are used to produce cDNA. The cDNA of interest can be amplified by polymerase chain reaction using specific primers (U.S. Pat. nos. 4,683,195 and 4,683,202). Alternatively, libraries are prepared and screened to isolate sequences of interest. The DNA sequence encoding the variable region of the antibody is then fused to the human constant region sequence. The sequence of the human constant region genes can be found in Kabat et al (1991) Sequences of proteins of immunological Interest (sequence of the immunoprotein of Interest), N.I.H. Pub. Nos. 91-3242. The human C region gene can be readily obtained from known clones. The choice of isotype can be guided by desired effector functions (e.g., complement fixation) or activity in antibody-dependent cellular cytotoxicity. Preferred isotypes are IgG1, IgG2, IgG3 and IgG 4. Human light chain constant regions, κ or λ may be used. The chimeric, humanized antibody is then expressed using conventional methods.

Antibody fragments can be prepared by cleavage of intact proteins, e.g., by protease or chemical cleavage (e.g., Fv, F (ab')₂And Fab). Alternatively, truncated genes are designed. For example, a part of F (ab')₂The chimeric gene of the fragment comprises a DNA sequence encoding the CH1 domain and the H-strand hinge region, followed by a translation stop codon to produce a truncated molecule.

The consensus sequence of regions H and L J can be used to design oligonucleotides for use as primers to introduce useful restriction sites into the J region for subsequent ligation of V region fragments with human C region fragments. Site-directed mutagenesis can be used to modify the C region cDNA to place restriction sites at similar positions in the human sequence.

Expression vectors include plasmids, retroviruses, YACs, EBV-derived episomes, and the like. A convenient vector is one which encodes a functionally complete human CH or CL immunoglobulin sequence with appropriate restriction sites, and which is adapted to allow for easy insertion and expression of any VH or VL sequence. In such vectors, splicing typically occurs between the splice donor site in the inserted J region and the splice acceptor site preceding the human C region, as well as on the splice region in the human CH exon. Polyadenylation and transcription termination occur at natural chromosomal sites downstream of the coding region. The chimeric antibodies produced may be linked to any strong promoter, including retroviral LTRs, such as the SV-40 early promoter (Okayama et al, mol. Cell. Bio.3:280(1983)), Rous sarcoma virus LTR (Gorman et al, P.N.A.S.79:6777(1982)), and Moloney murine leukemia virus LTR (Grosschedl et al, Cell 41:885 (1985)). It is also understood that native Ig promoters and the like may be used.

In addition, human antibodies or antibodies from other species can be prepared by display-type techniques, including but not limited to phage display, retroviral display, ribosome display, and other techniques, using techniques well known in the art and allowing additional maturation (e.g., affinity maturation) of the resulting molecule, such techniques being well known in the art. Wright et al, Crit, reviews in immunol.12125-168(1992), Hanes and Pl ü ckthun, PNAS USA 94: 4937-; 10:80-8A (1992) and U.S. Pat. No. 5,733,743. If non-human antibodies are generated using display technology, such antibodies can be humanized as described above.

Antibodies directed to cells expressing CD47, soluble forms of CD47, epitopes or peptides thereof, and expression libraries thereof can be prepared using these techniques (see, e.g., U.S. patent No. 5,703,057), and these antibodies can then be screened for activity as described herein above.

The CD47 antibody of the invention can be expressed by a vector comprising a DNA fragment encoding a single chain antibody as described above.

These may include vectors, liposomes, naked DNA, adjuvant-assisted DNA, gene guns, catheters, and the like. Vectors include chemical conjugates (as described in WO 93/64701) having a targeting moiety (e.g., a ligand for a cell surface receptor) and a nucleic acid binding moiety (e.g., polylysine), viral vectors (e.g., a DNA or RNA viral vector), fusion proteins (as described in PCT/US95/02140(WO 95/22618), a fusion protein comprising a targeting moiety (e.g., an antibody specific for a target cell) and a nucleic acid binding moiety (e.g., protamine)), plasmids, phages, and the like. The vector may be chromosomal, non-chromosomal or synthetic.

Preferred vectors include viral vectors, fusion proteins and chemical conjugates. Retroviral vectors include Moloney murine leukemia virus. DNA viral vectors are preferred. These include poxvirus vectors (e.g., orthopoxvirus or fowlpox virus vectors), herpesvirus vectors (e.g., herpes simplex virus type I (HSV) vectors) (see Geller, A.I. et al, J.Neurochem,64:487 (1995); Lim, F. et al, in DNA Cloning: Mammarian Systems (DNA Cloning: Mammalian Systems, D.Glover, eds. (Oxford Univ.Press, Oxford), Ojohn Ox.N.J.) (1995); Geller, A.I. et al, Proc Natl.Acad.Sci.: U.S.A.90:7603 (1993); Geller, A.I. et al, Proc Natl.Acad.Sci.USA 87:1149 (1990); adenovirus vectors (see LeGal LaSalle et al, Science (259: 988; 1993); Davidon et al, Nat virus 3:219, J.1994, Nat J.J. J. 148 (1995); see adenovirus vectors (1995) (see adenovirus et al, Nat J. 148, J.) (1995).

Poxvirus vectors introduce genes into the cytoplasm. Fowlpox viral vectors result in only short-term expression of nucleic acids. Adenovirus vectors, adeno-associated virus vectors and Herpes Simplex Virus (HSV) vectors are preferably used for introducing nucleic acids into nerve cellsIn (1). The short term expression (about 2 months) caused by adenoviral vectors is shorter than that of adeno-associated virus (about 4 months), which is shorter than HSV vectors. The particular vector chosen will depend on the target cell and the condition being treated. Introduction can be accomplished by standard techniques, such as infection, transfection, transduction, or transformation. Examples of gene transfer patterns include, for example, naked DNA, CaPO₄Precipitation, DEAE dextran, electroporation, protoplast fusion, lipofection, cellular microinjection, and viral vectors.

These vectors can be used to target any desired target cell. For example, stereotactic injection can be used to localize a vector (e.g., adenovirus, HSV) to a desired location. In addition, particles may be delivered by intraventricular (icv) infusion using a micro-pump infusion system, such as the cisco loume (syncromed) infusion system. A bulk flow (termed convection) based approach has also been shown to be effective in delivering macromolecules to extended regions of the brain and can be used to deliver vectors to target cells. (see Bobo et al, Proc. Natl. Acad. Sci. USA 91:2076-2080 (1994); Morrison et al, am. J. Physiol.266:292-305 (1994)). Other methods that may be used include catheters, intravenous, parenteral, intraperitoneal, and subcutaneous injections, as well as oral or other known routes of administration.

These vectors can be used to express large quantities of antibodies that can be used in a variety of ways. For example, the presence or absence of CD47 in the sample is detected. The antibodies may also be used to attempt to bind to and disrupt CD 47-and/or CD 47/SIRPa interactions as well as CD 47/SIRPa mediated signaling.

Techniques can be adapted to the production of single chain antibodies specific for the antigenic proteins of the invention (see, e.g., U.S. Pat. No. 4,946,778). Furthermore, the methods can be adapted to the construction of Fab expression libraries (see, e.g., Huse et al, 1989 Science 246: 1275-. Antibody fragments comprising an isotype to a protein antigen can be generated using techniques known in the art, including but not limited to: (i) f (ab') produced by pepsin digestion of antibody molecules₂A fragment; (ii) by reduction of F_(ab’)2A Fab fragment generated by the disulfide bridge of (1); (iii) fab fragments generated by treating antibody molecules with papain and a reducing agent; and (iv) F_vAnd (3) fragment.

The invention also includes F_vFab, Fab 'and F (ab')₂A CD47 fragment, a single chain CD47 antibody, a single domain antibody (such as a nanobody or a VHH), a bispecific CD47 antibody, and a heteroconjugate CD47 antibody.

Bispecific antibodies are antibodies that have binding specificities for at least two different antigens. In this example, one of the binding specificities is for CD 47. The second binding target is any other antigen, preferably a cell surface protein or receptor subunit.

Methods of making bispecific antibodies are known in the art. Typically, recombinant production of bispecific antibodies is based on the co-expression of two immunoglobulin heavy/light chain pairs, where the two heavy chains have different specificities (Millstein and Cuello, Nature, 305:537-539 (1983)). Due to the random assignment of immunoglobulin heavy and light chains, these hybridomas (quadromas) may produce a potential mixture of 10 different antibody molecules, only one of which has the correct bispecific structure. The correct molecule must usually be purified using an affinity chromatography step. A similar approach is disclosed in WO 93/08829 and Traunecker et al, EMBO J.,10:3655-3659(1991), 5, 13, 1993.

Antibody variable domains with the desired binding specificity (antibody-antigen binding site) can be fused to immunoglobulin constant region sequences. Preferably to an immunoglobulin heavy chain constant region comprising at least part of the hinge region, CH2 and CH3 regions. Preferably, the first heavy chain constant region (CH1) containing the site necessary for binding to the light chain is present in at least one of the fusions. The DNA encoding the immunoglobulin heavy chain fusion and, if desired, the immunoglobulin light chain, is inserted into separate expression vectors and co-transfected into a suitable host organism. For further details on the generation of bispecific antibodies see, e.g., Suresh et al, Methods in Enzymology,121:210 (1986).

According to another approach described in WO 96/27011, the interface between a pair of antibody molecules can be engineered to maximize the percentage of heterodimers recovered from recombinant cell culture. Preferably the interface comprises at least part of the CH3 region of the antibody constant domain. In this approach, one or more smaller amino acid side chains at the interface of the first antibody molecule are replaced with larger side chains (e.g., tyrosine or tryptophan). By substituting a larger amino acid side chain with a smaller amino acid side chain (e.g., alanine or threonine), a compensatory "hole" of the same or similar size to the larger side chain is created at the interface of the second antibody molecule. This provides a mechanism to increase the yield of heterodimers relative to undesired end products like homodimers.

Bispecific antibodies can be prepared as full length antibodies or antibody fragments (e.g., F (ab')₂Bispecific antibodies). Techniques for generating bispecific antibodies from antibody fragments are described in the literature. For example, bispecific antibodies can be prepared using chemical ligation. Brennan et al, Science 229:81(1985) describe a method in which intact antibodies are proteolytically cleaved to yield F (ab')₂And (3) fragment. Reduction of these fragments in the presence of the dithiol complexing agent sodium arsenite stabilizes the adjacent dithiols and prevents intermolecular disulfide bond formation. The resulting Fab' fragments are then converted to mercaptonitrobenzoate (TNB) derivatives. One of the Fab ' -TNB derivatives is then converted back to the Fab ' -thiol by reduction with mercaptoethylamine and mixed with an equimolar amount of the other Fab ' -TNB derivative to form the bispecific antibody. The bispecific antibodies produced can be used as selective immunological reagents for enzymes.

In addition, Fab' fragments can be recovered directly from E.coli and chemically coupled to form bispecific antibodies. Shalaby et al, J.Exp.Med.175:217-225(1992) describe a fully humanized bispecific antibody F (ab')₂The generation of molecules. Each Fab' fragment was secreted separately from E.coli and chemically coupled in vitro to form a bispecific antibody. The bispecific antibody thus formed was able to bind to the overexpressed ErbB2 receptor and normal human T cells and initiate the lytic activity of human cytotoxic lymphocytes against human breast tumor targets.

Various techniques for the direct preparation and isolation of bispecific antibody fragments from recombinant cell cultures have also been described. For example, bispecific antibodies are generated using leucine zippers. Kostelny et al, J.Immunol.148(5):1547-1553 (1992). The leucine zipper peptides of the Fos and Jun proteins were linked to the Fab' portions of two different antibodies by gene fusion. The homodimeric antibody is reduced in the hinge region to form monomers, which are then oxidized to form heterodimeric antibodies. Antibody homodimers can also be produced using this method. The "bispecific antibody" technology described by Hollinger et al, Proc. Natl. Acad. Sci. USA,90: 6444-. These fragments comprise a heavy chain variable region (VH) linked to a light chain variable region (VL) by a linker that is short enough not to allow pairing between the two domains on the same chain. Thus, the VH and VL domains of one fragment are forced to pair with the complementary VL and VH domains of another fragment, thereby forming two antigen binding sites. Another strategy for making bispecific antibody fragments using single chain fv (sFv) dimers has also been reported. See Gruber et al, J.Immunol.152:5368 (1994).

Antibodies with valency greater than two are contemplated. For example, trispecific antibodies can be prepared. Tutt et al, J.Immunol.147:60 (1991).

An exemplary bispecific antibody can bind two different epitopes, at least one of which is derived from a protein antigen of the invention. Alternatively, the anti-antigenic arms of an immunoglobulin molecule can be combined with arms that bind to a priming molecule on a leukocyte, such as an Fc receptor (FcyR, such as FcyRI (CD64), FcyRII (CD32), and FcyRIII (CD16)) of a T cell receptor molecule (such as CD2, CD3, CD28, or B7) or IgG, to focus the cellular defense mechanism on cells expressing a particular antigen.

Heteroconjugate antibodies are also within the scope of the invention. Heteroconjugate antibodies consist of two covalently linked antibodies. For example, such antibodies are intended to target immune system cells to undesirable cells (see U.S. Pat. No. 4,676,980), and are useful in the treatment of HIV infection (see WO 91/00360, WO 92/200373, and EP 03089). It is contemplated that the antibodies can be prepared by known methods of synthetic protein chemistry, including those using cross-linking agents. For example, immunotoxins may be constructed using a disulfide exchange reaction or by forming a thioether bond. Examples of suitable reagents for this purpose include iminothiolate and methyl-4-mercaptobutyrimidate and those disclosed, for example, in U.S. Pat. No. 4,676,980.

It is desirable to modify the antibodies of the invention with respect to effector function, thereby enhancing, for example, the effectiveness of the antibodies in treating diseases and disorders associated with aberrant CD47 signaling. For example, cysteine residues may be introduced into the Fc region, thereby forming interchain disulfide bonds in this region. The homodimeric antibody so produced may have improved internalization capacity and/or increased complement-mediated cell killing and antibody-dependent cellular cytotoxicity (ADCC). (see Caron et al, J.Exp. Med.,176: 1191-. Alternatively, antibodies with dual Fc regions can be engineered to have improved complement lysis and ADCC capabilities. (see Stevenson et al, Anti-Cancer drug design,3:219-230 (1989)).

The invention also relates to immunoconjugates comprising an antibody conjugated to a cytotoxic agent such as a toxin (e.g., an enzymatically active toxin of bacterial, fungal, plant or animal origin or a fragment thereof) or a radioisotope (i.e., a radioconjugate).

Enzymatically active toxins and fragments thereof that may be used include diphtheria A chain, unbound active fragments of diphtheria toxin, exotoxin A chain (from Pseudomonas aeruginosa), ricin A chain, abrin A chain, modeccin A chain, a-sarcin, Aleurites fordii protein, dianthin protein, Phytolacca americana protein (PAPI, PAPII and PAP-S), Momordica charantia (Momordica charrantia) inhibitor, curcin, crotin, Saponaria officinalis (Saponaria officinalis) inhibitor, Saponaria officinalis, and other active fragments thereofis), inhibitors, gelonin, mitogellin, restrictocin, phenomycin, enomycin and trichothecenes. A variety of radionuclides are available for the production of radioconjugated antibodies. Examples include²¹²Bi、¹³¹I、¹³¹In、⁹⁰Y and¹⁸⁶Re。

conjugation of the antibody to the cytotoxic agent may be accomplished using a variety of bifunctional protein-coupling agents, such as N-succinimidyl-3- (2-pyridinedithiol) propionate (SPDP), Iminothiolane (IT), bifunctional derivatives of imidoesters (such as dimethyl adipimidate HCl), active esters (such as disuccinimidyl suberate), aldehydes (such as glutaraldehyde), bis-azido compounds (such as bis (p-azidobenzoyl) hexanediamine), bis-diazonium derivatives (such as bis- (p-diazoniumbenzoyl) -ethylenediamine), diisocyanates (such as toluene 2, 6-diisocyanate), and bis-active fluorine compounds (such as 1, 5-difluoro-2, 4-dinitrobenzene). For example, ricin immunotoxins may be prepared as described in Vitetta et al, Science 238:1098 (1987). Carbon-14-labeled 1-isothiocyanatobenzyl-3-methylenedioxytriaminepentaacetic acid (MX-DTPA) is an exemplary chelator for coupling radionuclides to antibodies. (see WO 94/11026).

One of ordinary skill in the art will recognize that a large number of possible moieties may be conjugated to the resulting antibodies of the invention. (see, e.g., "Conjugate Vaccines", Contributions to Microbiology and Immunology), J.M.Cruse and R.E.Lewis, eds., Kagill Press, New York, (1989), the entire contents of which are incorporated herein by reference).

The coupling may be accomplished by any chemical reaction that is capable of binding two molecules, provided that the antibody and the other moiety retain their respective activities. The linkage may include a number of chemical mechanisms, such as covalent bonding, affinity bonding, intercalation, cooperative bonding, and complexation. But preferably the binding is covalent. Covalent bonding can be accomplished by direct condensation of existing side chains or by integration of external bridging molecules. Many bivalent or multivalent linking agents can be used to couple protein molecules (such as the antibodies of the invention) to other molecules. For example, representative coupling agents may include organic compounds such as thioesters, carbodiimides, succinimidyl esters, diisocyanates, glutaraldehyde, diazobenzenes, and 1, 6-hexanediamine. This list is not intended to be exhaustive of the various classes of coupling agents known in the art, but rather is exemplary of the more commonly used coupling agents. (see Killen and Lindstrom, journal.Immun.133: 1335-2549 (1984); Jansen et al, Immunological Reviews 62:185-216 (1982); and Vitetta et al, Science 238:1098 (1987)).

Preferred linkers are described in the literature. (see, e.g., Ramakrishan, S. et al, Cancer Res.44:201-208(1984), which describes MBS (m-maleimidobenzoyl-N-hydroxysuccinimide ester) usage). See also U.S. Pat. No. 5,030,719, which describes coupling halogenated acethydrazide derivatives to antibodies via oligopeptide linkers. Specifically, the preferred joint comprises: (i) EDC (1-ethyl-3- (3-dimethylamino-propyl) carbodiimide, (ii) SMPT (4-succinimidyloxycarbonyl- α -methyl- α - (2-pyridyldithio) -toluene (Pierce chem. Co., catalog No. 21558G), (iii) SPDP (Ethyl succinimidyl-6 [3- (2-pyridyldithio) propionamido ] hexanoate, Pierce chem. Co., catalog No. 21651G), (iv) sulfo-LC-SPDP (Ethyl 3- (2-pyridyldithio) propionamido ] hexanoate, Pierce chem. Co., catalog No. 2165-G), and (v) sulfo-NHS (N-hydroxysulfo-succinimide: Pierce. chem. Co., Ltd.) (EDC) Pierce chem. co.), catalog No. 2451).

The linkers described above comprise components with different properties, resulting in conjugates with different physicochemical properties. For example, sulfo-NHS esters of alkyl carboxylates are more stable than sulfo-NHS esters of aromatic carboxylates. The NHS-ester containing linker is less soluble than the sulfo-NHS ester. In addition, the linker SMPT comprises a sterically hindered disulfide bond and may form a conjugate of increased stability. Disulfide linkers are generally less stable than other linkers because disulfide linkers are cleaved in vitro, resulting in fewer conjugates being available. sulfo-NHS is particularly capable of enhancing the stability of carbodiimide coupling. In combination with sulfo-NHS, carbodiimide coupling (e.g., EDC) forms esters that are more resistant to hydrolysis than the carbodiimide coupling reaction alone.

The antibodies disclosed herein can also be formulated as immunoliposomes. Antibody-containing liposomes can be prepared by methods known in the art, e.g., Epstein et al, Proc.Natl.Acad.Sci.USA,82:3688 (1985); hwang et al, Proc.Natl Acad.Sci.USA,77:4030 (1980); and U.S. patent nos. 4,485,045 and 4,544,545. Liposomes with extended circulation time are disclosed in U.S. patent No. 5,013,556.

Particularly useful liposomes can be produced by reverse phase evaporation methods using lipid compositions comprising phosphatidylcholine, cholesterol and PEG-derivatized phosphatidylethanolamine (PEG-PE). Liposomes are extruded through a pore-sized filter to obtain liposomes having a desired diameter. Fab' fragments of the antibodies of the invention can be coupled to liposomes by disulfide interchange as described in Martin et al, J.biol.chem.,257:286-288 (1982).

Use of anti-CD 47 antibodies

It is to be understood that the therapeutic entities of the present invention may be administered in combination with suitable carriers, excipients and other agents incorporated into the formulation to provide improved transfer, delivery, tolerance, etc. Many suitable formulations can be found among those known to all medicinal chemists: remington's Pharmaceutical Sciences (Remington Pharmaceutical Sciences) (15 th edition, Mark Publishing Company (Mack Publishing Company), Iston, Pennsylvania, (1975)), particularly chapter 87, authored by Blaug, Seymour, among others. These include, for example, powders, pastes, salves, gels, waxes, oils, lipids, lipid-containing (cationic or anionic) vesicles (e.g., lipofectins)^TM) DNA conjugates, anhydrous absorbent pastes, oil-in-water and water-in-oil emulsions, emulsion carbowax (polyethylene glycol of different molecular weights), semi-solid gels, and semi-solid mixtures containing carbowax. Any of the foregoing mixtures are suitable for use in the treatments and therapies according to the present invention, provided that the active ingredients in the formulation are not inactivated by the formulation and the formulation is physiologically compatible and tolerated by the route of administration. See also Baldrick P. "Pharmaceutical excipient concentrationThe need for clinical guidance for the development of pharmaceutical excipients "Regul. Toxicol Pharmacol.32(2):210-8(2000), WangW." Lyophilization and depletion of solid protein drugs "Lyophilization and development of solid protein drugs" int. J. Pharm.203(1-2):1-60(2000), Charman WN "Lipids, lipophilicdrivers, and oral drug delivery-some emerging concepts" J phase Sci.89(8):967-78(2000), Powell et al "excipients for parenteral formulations PDA" (J. Sci.S. for parenteral formulations) and other excipients are well known in the literature and include technical excipients: 1998 and technical excipients for pharmaceutical excipients).

In one embodiment, an antibody of the invention comprising a monoclonal antibody of the invention is useful as a therapeutic agent. Such agents are generally useful for diagnosing, prognosing, monitoring, treating, ameliorating and/or preventing a disease or disorder associated with aberrant CD47 expression, activity and/or signaling in a subject. A treatment regimen may be carried out by identifying a subject (e.g., a human patient) having a disease or disorder associated with aberrant CD47 expression, activity, and/or signaling (e.g., cancer or other neoplastic disorder, or at risk of developing a disease) using standard methods. An antibody preparation, preferably one having high specificity and high affinity for its target antigen, is administered to a subject, which is generally effective due to its binding to the target. Administration of the antibody may abolish or inhibit or interfere with the expression, activity and/or signaling function of the target (e.g., CD 47). Administration of the antibody may abrogate or inhibit or interfere with the binding of the target (e.g., CD47) to its naturally bound endogenous ligand (e.g., sirpa). For example, the antibody binds to the target and modulates, blocks, inhibits, reduces, antagonizes, neutralizes, or interferes with the expression, activity, and/or signaling of CD 47.

As a non-limiting example, diseases or disorders involving aberrant CD47 expression, activity, and/or signaling include hematologic cancers and/or solid tumors. Hematologic cancers include, for example, leukemia, lymphoma, and myeloma. As non-limiting examples, certain forms of leukemia include Acute Lymphocytic Leukemia (ALL); acute Myeloid Leukemia (AML); chronic Lymphocytic Leukemia (CLL); chronic Myelogenous Leukemia (CML); myeloproliferative disease/tumor (MPDS); and myelodysplastic syndrome. As non-limiting examples, certain forms of lymphoma include hodgkin's lymphoma, indolent and aggressive non-hodgkin's lymphoma, burkitt's lymphoma, and follicular lymphoma (both small and large). By way of non-limiting example, some forms of myeloma include Multiple Myeloma (MM), giant cell myeloma, heavy chain myeloma, and light chain or bense-jones myeloma. Solid tumors include, for example, breast, ovarian, lung, pancreatic, prostate, melanoma, colorectal, lung, head and neck, bladder, esophageal, liver, and kidney cancers.

Symptoms associated with cancer and other neoplastic conditions include, for example, inflammation, fever, general malaise, fever, pain, frequent inflammation of local areas (soft to the inflamed area), decreased appetite, decreased body weight, edema, headache, fatigue, rash, anemia, muscle weakness, muscle fatigue, and abdominal symptoms (e.g., abdominal pain, diarrhea, or constipation).

A therapeutically effective amount of an antibody of the invention generally relates to the amount needed to achieve a therapeutic target. As described above, in some cases, the interaction between an antibody and its target antigen can interfere with the function of the target. The amount required for administration further depends on the binding affinity of the antibody for its specific antigen and also on the rate at which the administered antibody is depleted from free volume in the subject receiving the administration. By way of non-limiting example, a typical range of therapeutically effective doses of an antibody or antibody fragment of the invention is from about 0.1mg/kg body weight to about 100mg/kg body weight. Common dosage frequency ranges are, for example, from twice daily to once weekly.

The effectiveness of the treatment can be determined in conjunction with any known method for diagnosing or treating a particular inflammation-related disorder. Alleviation of the symptoms of one or more inflammation-related disorders indicates that the antibody has clinical benefit.

Methods for screening for antibodies with the desired specificity include, but are not limited to, enzyme-linked immunosorbent assays (ELISAs) and other immune-mediated techniques known in the art.

In another embodiment, antibodies to CD47 may be used in methods known in the art relating to CD47 localization and/or quantification (e.g., for measuring levels of CD47 and/or CD47 and sirpa in a suitable physiological sample, for diagnostic methods, for protein imaging, etc.). In a particular embodiment, an antibody specific for CD47 comprising an antigen binding domain derived from an antibody or a derivative, fragment, analogue or homologue thereof is used as a pharmaceutically active compound (hereinafter referred to as "treatment").

In another embodiment, CD47 polypeptide can be isolated using antibodies specific for CD47 by standard methods (e.g., immunoaffinity, chromatography, or immunoprecipitation). Antibodies to CD47 protein (or fragments thereof) can be used in diagnostics as part of a clinical testing procedure to monitor protein levels in tissues, for example, to determine the effectiveness of a particular treatment regimen. Coupling (i.e., physically linking) the antibody to a detectable substance may facilitate detection. Examples of detectable substances include various enzymes, prosthetic groups, fluorescent materials, luminescent materials, bioluminescent materials, and radioactive materials. Examples of suitable enzymes include horseradish peroxidase, alkaline phosphatase, -galactosidase, or acetylcholinesterase; examples of suitable prosthetic group complexes include streptavidin/biotin and avidin/biotin; examples of suitable fluorescent materials include: umbelliferone, fluorescein isothiocyanate, rhodamine, dichlorotriazinylamine fluorescein, dansyl chloride or phycoerythrin; examples of luminescent materials include luminol; examples of bioluminescent materials include: luciferase, luciferin and photoprotein; examples of suitable radioactive materials include¹²⁵I、¹³¹I、³⁵S or³H。

In yet another embodiment, the antibodies of the invention may be used as reagents to detect the presence of CD47 and/or CD47 and SIRP α protein (or protein fragments thereof) in a sample₂). About exploringThe term "label" of a needle or antibody is intended to encompass direct labeling of the probe or antibody by coupling (i.e., physically linking) a detectable substance to the probe or antibody, and indirect labeling of the probe or antibody by reaction with another reagent that is directly labeled. Examples of indirect labeling include detection of a primary antibody using a fluorescently labeled secondary antibody and labeling of the ends of the DNA probes with biotin such that they can be detected using fluorescently labeled streptavidin. The term "biological sample" is intended to include tissues, cells and biological fluids isolated from a subject, as well as tissues, cells and biological fluids present in a subject. Thus, blood and blood fractions or components (including serum, plasma or lymph) are included in the use of the term "biological sample". In other words, the detection method of the present invention can be used to detect analyte mRNA, protein or genomic DNA in a biological sample in vitro as well as in vivo. For example, techniques for detecting analyte mRNA in vitro include Northern hybridization and in situ hybridization. Techniques for in vitro detection of analyte proteins include enzyme-linked immunosorbent assays (ELISA), Western blots, immunoprecipitations, and immunofluorescence. Techniques for in vitro detection of genomic DNA of an analyte include Southern hybridization. Methods for performing immunoassays can be found, for example, in "ELISA: Theory and Practice: Methods in Molecular Biology (ELISA: Methods in Theory and Practice: Methods in Molecular Biology)", Vol.42, J.R.Crowther, Human Press, Towa, N.J., 1995; "Immunoassay" (Immunoisay) ", E.Diamandis and T.Christopous, Academic Press Inc. (Academic Press Inc.), san Diego, Calif., 1996; and "Practice and theory of Enzyme Immunoassays", p.tijssen, Elsevier Science, amsterdam, 1985. In addition, techniques for in vivo detection of analyte proteins include introducing labeled anti-analyte protein antibodies into a subject. For example, the presence and location of a radiolabel in a subject may be detected by standard imaging techniques using a radiolabelled antibody.

Therapeutic administration and formulation of CD47 antibodies

The antibodies of the invention (also referred to herein as "active compounds") and derivatives, fragments, analogs and homologs thereof can be incorporated into pharmaceutical compositions suitable for administration. Guidance concerning The principles And considerations for preparing such compositions And The selection of components is found, for example, in Remington's Pharmaceutical Sciences: The Science And Practice of pharmacy (Lemington's Pharmaceutical Sciences: Science And Practice of medicine) 19 th edition (ed. by Alfonso R.Gennaro et al), Mark publishing company (Mack pub. Co., Ltd.), easton, Pa., 1995; drug Absorption Enhancement, Concepts, Limitations, And Trends, Limitations, And Red Trends (Harwood Academic publishers), Lanhan, Pa.1994; and Peptide And Protein Drug Delivery (advanced InParerter Sciences, Vol.4), 1991, M.Dekker, N.Y..

These compositions generally include an antibody and a pharmaceutically acceptable carrier. When antibody fragments are used, the smallest inhibitory fragment that is capable of specifically binding to the binding domain of the target protein is preferred. For example, based on the variable region sequence of an antibody, a peptide molecule can be designed to retain the ability to bind to a target protein sequence. Such peptides may be chemically synthesized and/or produced by recombinant DNA techniques. (see, e.g., Marasco et al, Proc. Natl. Acad. Sci. USA,90: 7889-.

The term "pharmaceutically acceptable carrier" as used herein is intended to include any and all solvents, dispersion media, coatings, antibacterial and antifungal agents, isotonic and absorption delaying agents, and the like, compatible with pharmaceutical administration. Suitable carriers are described in the latest version of the Remington pharmaceutical sciences, which is a standard reference in the art and is incorporated herein by reference. Preferred examples of such carriers or diluents include, but are not limited to, water, saline, ringer's solution, dextrose solution, and 5% human serum albumin. Liposomes and non-aqueous carriers, such as fixed oils, may also be used. The use of such media and agents with pharmaceutically active substances is well known in the art. Except insofar as any conventional media or agent is incompatible with the active compound, its use in the compositions is contemplated.

Formulations for in vivo administration must be sterile. This can be easily achieved by filtration through sterile filtration membranes.

The pharmaceutical compositions of the present invention are formulated to be compatible with their intended route of administration. Examples of routes of administration include parenteral administration, e.g., intravenous, intradermal, subcutaneous, oral (e.g., inhalation), transdermal (i.e., topical), transmucosal, and rectal administration. Solutions or suspensions for parenteral, intradermal, or subcutaneous application may include the following components: sterile diluents such as water for injection, saline solution, fixed oils, polyethylene glycols, glycerine, propylene glycol or other synthetic solvents; antibacterial agents such as benzyl alcohol or methyl paraben; antioxidants such as ascorbic acid or sodium bisulfite; chelating agents such as ethylenediaminetetraacetic acid (EDTA); buffers such as acetate, citrate or phosphate; and tonicity adjusting substances such as sodium chloride or dextrose. The pH can be adjusted with acids or bases, for example hydrochloric acid or sodium hydroxide. Parenteral formulations may be enclosed in ampoules, disposable syringes or multiple dose vials made of glass or plastic.

Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, cremophor EM^TM(BASF, pasippanni, new jersey) or Phosphate Buffered Saline (PBS). In all cases, the composition must be sterile and should be fluid to the extent that easy syringability (easy syringability) is present. It must be stable under the conditions of manufacture and storage and must remain resistant to the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing water, ethanol, polyol (e.g., glycerol, propylene glycol, and liquid polyethylene glycol, and the like), and suitable mixtures thereof. Suitable fluidity can be maintained, for example, by the use of coating materials such as lecithin, by the maintenance of the required particle size in the case of dispersions and by the use of surfactants. Can also be used as various antibacterial and antifungal agents, such as parabens, chlorobutanolPhenol, ascorbic acid, thimerosal, and the like. In many cases, it is preferred to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.

Sterile injectable solutions can be prepared by incorporating the active compound and one or a combination of the foregoing in the appropriate solvent and filter sterilizing as required. Generally, the active activator is incorporated into a sterile vehicle containing a basic dispersion medium and the other desired ingredients described above to prepare a dispersion. In the case of sterile powders for the preparation of sterile injectable solutions, the methods of preparation are vacuum drying and freeze-drying which yields a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.

Oral compositions typically include an inert diluent or an edible carrier. They may be encapsulated in gel capsules or compressed into tablets. For the purpose of oral therapeutic administration, the active compounds may be incorporated with excipients and used in the form of tablets, troches or capsules. Oral compositions can also be prepared using a liquid carrier for use as a mouthwash, wherein the compound in the liquid carrier is used orally and is rinsed and expectorated or swallowed. Pharmaceutically compatible binding agents and/or adjuvant materials may be included as part of the composition. Tablets, pills, capsules, lozenges, and the like may contain any of the following ingredients or compounds with similar properties: a binder such as microcrystalline cellulose, gum tragacanth or gelatin; excipients such as starch or lactose, disintegrants such as alginic acid, carboxymethyl starch (Primogel) or corn starch; lubricants such as magnesium stearate or fully hydrogenated vegetable oils (Sterotes); glidants such as colloidal silicon dioxide; sweetening agents such as sucrose or saccharin; or a flavoring agent such as peppermint, methyl salicylate, orange flavoring.

For administration by inhalation, the compounds are delivered in the form of an aerosol spray from a pressurized container or dispenser containing a suitable propellant (e.g., such as carbon dioxide gas) or spray.

Systemic administration can also be by transmucosal or transdermal means. For transmucosal or transdermal administration, penetrants appropriate to the barrier to be permeated are used in the formulation. Such penetrants are generally known in the art, and include, for example, for transmucosal administration, detergents, bile salts, and fusidic acid derivatives. Transmucosal administration can be accomplished through the use of nasal sprays or suppositories. For transdermal administration, the active compounds are formulated in ointments, salves, gels, or creams, as is generally known in the art.

The compounds may also be prepared for rectal delivery in the form of suppositories (e.g., using conventional suppository bases such as cocoa butter or other glycerides) or retention enemas.

In one embodiment, the active compound may be prepared using a carrier that protects the compound from rapid clearance by the body, such as a slow/controlled release formulation, including implants and microencapsulated delivery systems. Biodegradable, biocompatible polymers may be utilized, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparing such formulations will be apparent to those skilled in the art.

For example, the active ingredient may be encapsulated in microcapsules prepared, for example, by coacervation techniques or interfacial polymerization, such as hydroxymethylcellulose or gelatin-microcapsules and poly- (methylmethacylate) microcapsules, respectively, or in colloidal drug delivery systems (such as liposomes, albumin microspheres, microemulsions, nanoparticles and nanocapsules) or in emulsions (macroemulsions).

Can be prepared into sustained release preparation. Suitable examples of sustained release formulations include semipermeable matrices of solid hydrophobic polymers containing the antibody, wherein the matrices are in the form of shaped articles, e.g., films, or microcapsules. Examples of sustained release matrices include polyesters, hydrogels (e.g., poly (2-hydroxyethyl-methacrylate) or poly (vinyl alcohol)), polylactide (U.S. Pat. No. 3,773,919), copolymers of L-glutamic acid and γ -ethyl-L-glutamic acid, non-degradable ethylene-vinyl acetate, degradable lactic acid-glycolic acid copolymers (e.g., LUPRON DEPOT)^TM(injectable microspheres consisting of lactic acid-glycolic acid copolymer and leuprolide acetate) And poly-D- (-) -3-hydroxybutyric acid. While polymers such as ethylene-vinyl acetate and lactic acid-glycolic acid are capable of releasing molecules over 100 days, certain hydrogels are capable of releasing proteins in a shorter period of time.

The materials are also available from Alza Corporation and Nova Pharmaceuticals, Inc. Liposomal suspensions (including liposomes targeted to infected cells with monoclonal antibodies to viral antigens) can also be used as pharmaceutically acceptable carriers. These can be prepared by methods known to those skilled in the art, for example, as described in U.S. Pat. No. 4,522,811.

It is particularly advantageous to formulate oral or parenteral compositions in unit dosage form for ease of administration and uniformity of dosage. Unit dosage forms, as used herein, refer to physically discrete units serving as unitary dosages for the subject to be treated, each unit containing a predetermined quantity of active compound calculated to produce the desired therapeutic effect, in association with the required pharmaceutical carrier. The specific specifications for the unit dosage forms of the present invention are dictated by and directly dependent upon the unique characteristics of the active compounds and the specific therapeutic effects to be achieved, as well as limitations inherent in the art of compounding such active compounds for individual treatment.

The pharmaceutical composition may be included in a container, package or dispenser together with instructions for administration.

The formulations may also contain more than one active compound, preferably compounds with complementary activity that do not adversely affect each other, as required for the particular indication being treated. Alternatively or additionally, the composition may include an agent that enhances its function, such as a cytotoxic agent, cytokine, chemotherapeutic agent, or growth inhibitory agent. Such molecules are suitably present in combination in an amount effective for the desired purpose.

In one embodiment, the active compound is administered in conjunction with therapy, i.e., in combination with other agents (e.g., therapeutic agents) for treating pathological diseases or conditions, such as various types of cancer, autoimmune diseases, and inflammatory diseases. The term "in conjunction with" in this context means that the agents are administered substantially simultaneously, either simultaneously or sequentially. If administered sequentially, the first of the two compounds preferably remains present at a therapeutically effective concentration at the treatment site at the beginning of administration of the second compound.

For example, a combination therapy may include one or more antibodies of the invention and be co-formulated and/or co-administered with one or more other therapeutic agents, such as one or more cytokines and growth factor inhibitors, immunosuppressive agents, anti-inflammatory agents, metabolic inhibitors, enzyme inhibitors, and/or cytotoxic or cytostatic agents, as described in more detail below. Such combination therapies preferably enable the use of lower doses of the administered therapeutic agents, thereby avoiding the potential toxicity or complications associated with multiple monotherapies.

Preferred therapeutic agents for use in combination with the antibodies of the invention are those that interfere at different stages of the inflammatory response. In one embodiment, one or more of the antibodies described herein can be co-formulated and/or co-administered with one or more other agents, such as cytokine or growth factor antagonists (e.g., soluble receptors, peptide inhibitors, small molecules, ligand fusions); or antibodies or antigen-binding fragments thereof that bind other targets (e.g., antibodies that bind other cytokines or growth factors, receptors thereof, or other cell surface molecules); and an anti-inflammatory cytokine or agonist thereof.

In other embodiments, the antibodies of the invention are used as vaccine adjuvants against autoimmune diseases, inflammatory diseases, and the like. Adjuvant combinations for the treatment of these types of diseases are suitable for use in combination with multiple antigens from targeted autoantigens (i.e., autoantigens) involved in autoimmunity, such as myelin basic protein; inflammatory self-antigens (e.g., amyloid peptide proteins) or transplantation antigens (e.g., alloantigens). The antigen may include peptides or polypeptides derived from proteins, as well as fragments of any of: polysaccharides, proteins, polynucleotides or oligonucleotides, autoantigens, amyloid peptide proteins, transplantation antigens, allergens or other macromolecular components. In some cases, more than one antigen is included in the antigen composition.

Design and Generation of other therapies

Other forms of treatment beyond the antibody portion are readily designed according to the invention and based on the activity of the antibodies produced and identified herein for CD 47. Such formats include, but are not limited to, advanced antibody therapies (such as bispecific antibodies, immunotoxins, and radiolabeled therapies), peptide therapies, gene therapies, particularly intrabodies, antisense therapies, and the preparation of small molecules.

For example, with respect to bispecific antibodies, bispecific antibodies can be prepared to include (i) two antibodies, one specific for CD47 and the other specific for a second molecule coupled together, (ii) a single antibody, one chain specific for CD47 and the second chain specific for the second molecule, or (iii) a single chain antibody specific for CD47 and the second molecule. Such bispecific antibodies can be prepared using well known techniques, for example, see, e.g., Fanger et al, immunological Methods 4:72-81(1994) and Wright et al, Crit, Reviews in immunological.12125-168 (1992), and for (iii) see, e.g., Traunecker et al, int.J.cancer (Suppl.)7:51-52 (1992).

With respect to immunotoxins, the antibodies can be modified to function as immunotoxins using techniques well known in the art. See, e.g., Vitetta Immunol Today 14:252 (1993). See also U.S. Pat. No. 5,194,594. With respect to the preparation of radiolabeled antibodies, such modified antibodies can also be readily prepared using techniques well known in the art. See, e.g., Junghans et al, Cancer chemotherapeutics and biotherapies (Cancer Chemotherapy and Biotherapy), 655-686 (second edition, Chafner and Longo eds., Linpocketed Rev publishers (Lippincott-Raven), (1996)). See also U.S. patent nos. 4,681,581, 4,735,210, 5,101,827, 5,102,990(RE35,500), 5,648,471 and 5,697,902. Each immunotoxin and radiolabeled molecule may kill cells expressing CD 47.

With respect to the generation of therapeutic peptides, by using structural information relating to CD47 and its antibodies (e.g., a scan of an antibody or peptide library of the invention), therapeutic peptides directed to CD47 can be prepared. Peptide therapy design and screening is described in Houghten et al, Biotechniques 13: 412-. Similar methods can also be used to prepare immunotoxins and radiolabeled molecules, which are related to the peptide portions discussed above with respect to antibodies. Given that the CD47 molecule (or a form, such as a splice variant or alternative form) has functional activity in the course of disease, it is possible to design its gene and antisense therapies by conventional techniques. Such forms may be used to modulate the function of CD 47. The antibodies of the invention in this connection facilitate the design and use of functional assays related thereto. The design and strategy of antisense therapy is discussed in detail in International patent application No. WO 94/29444. The design and strategy of gene therapy is well known. However, in particular, the use of gene therapy techniques involving intrabodies has proven particularly effective. See, e.g., Chen et al, Human Gene Therapy 5: 595-. The general design and considerations associated with gene therapy are also discussed in International patent application No. WO 97/38137.

Knowledge gained from the structure of the CD47 molecule and its interaction with other molecules of the invention (e.g., sirpa and/or antibodies of the invention) and other aspects can be used to rationally design other therapeutic modalities. In this regard, rational drug design techniques such as X-ray crystallization, computer-aided (or assisted) molecular modeling (CAMM), quantitative or Qualitative Structure Activity Relationships (QSAR), and the like may be used to focus drug discovery efforts. Rational design can predict proteins or synthetic structures that can interact with molecules or their particular forms that can be used to modify or modulate the activity of IL-6 Rc. Such structures can be chemically synthesized or expressed in biological systems. This method is reviewed in Capsey et al, genetic Engineered Human Therapeutic Drugs (Stockton Press, New York, 1988). In addition, combinatorial libraries can be designed and synthesized and used in screening programs, such as high throughput screening efforts.

Screening method

The present invention provides methods (also referred to herein as "screening assays") for identifying regulatory substances (i.e., candidate or test compounds or agents (e.g., peptides, peptidomimetics, small molecules, or other drugs)) that modulate or interfere with the binding of CD47 to sirpa or candidate or test substances or agents that modulate or interfere with the function of CD47 and/or CD 47-sirpa signaling. Also provided are methods of identifying compounds useful for treating diseases associated with aberrant CD47 and/or CD 47-SIRPa expression, activity, and/or signaling. The screening methods may include those known or used in the art or described herein. For example, CD47 may be immobilized on a microtiter plate and incubated with a candidate or test compound (e.g., CD47 antibody) in the presence of sirpa. The bound sirpa is then detected using a secondary antibody, and absorbance can be detected on a plate reader.

Also provided are methods of identifying compounds that promote phagocytosis of tumor cells by macrophages. These methods may include those known or used in the art or described herein. For example, macrophages are incubated with labeled tumor cells in the presence of a candidate compound (e.g., a CD47 antibody). After a period of time, the internalization of the tumor marker by macrophages can be observed to identify phagocytosis. Additional details regarding these methods are provided in the examples, such as sirpa blockade assays and phagocytosis assays.

The invention also includes compounds identified in the screening assays described herein.

In one embodiment, the invention provides an assay for screening candidate or test compounds that modulate the signaling function of CD 47. Test compounds of the invention can be obtained using any of a variety of methods known in the art for combinatorial library approaches, including: a biological library; spatially addressable parallel solid or solution phase libraries; synthetic library methods that require convolution; "one-bead one-compound" library method; and synthetic library methods using affinity chromatography selection. The biological library approach is limited to peptide libraries, while the other four approaches are applicable to peptide, non-peptide oligomer or small molecule compound libraries. (see, e.g., Lam,1997.Anticancer Drug Design 12: 145).

As used herein, "small molecule" means a composition having a molecular weight of less than about 5kD and most preferably less than about 4 kD. Small molecules can be, for example, nucleic acids, peptides, polypeptides, peptidomimetics, carbohydrates, lipids, or other organic or inorganic molecules. Libraries of chemical and/or biological mixtures (e.g., fungal, bacterial or algal extracts) are known in the art and can be screened using any of the assays of the present invention.

Examples of methods for synthesis of molecular libraries can be found in the art, for example: DeWitt et al, 1993, Proc.Natl.Acad.Sci.U.S.A.90: 6909; erb et al, 1994, Proc. Natl.Acad.Sci.U.S.A.91: 11422; zuckermann et al, 1994.J.Med.chem.37: 2678; cho et al, 1993, Science 261: 1303; carrell et al, 1994, angelw, chem, int, ed, engl.33: 2059; carell et al, 1994, Angew. chem. int.Ed. Engl.33: 2061; and Gallop et al, 1994.J.Med.chem.37: 1233.

Libraries of compounds can be present in solution (see, e.g., Houghten,1992, Biotechniques 13: 412-.

In one embodiment, a candidate compound is introduced into an antibody-antigen complex and it is determined whether the candidate compound disrupts the antibody-antigen complex, wherein disruption of the complex indicates that the candidate compound modulates the signaling function of CD47 and/or the interaction between CD47 and sirpa. In another embodiment, the soluble CD47 and/or CD47 and sirpa proteins of the invention are provided and exposed to at least one neutralizing monoclonal antibody. The formation of antibody-antigen complexes is detected and one or more candidate compounds are introduced into the complexes. If one or more of the candidate compounds is disrupted after introduction, the candidate compound can be used to treat a disease associated with aberrant CD47 and/or CD 47-SIRPa signaling.

A method of determining the ability of a test compound to interfere with or disrupt an antibody-antigen complex can be, for example, coupling the test compound to a radioisotope or enzymatic label such that binding of the test compound to the antigen or biologically active portion thereof can be determined by detecting the labeled compound in the complex. For example, available¹²⁵I、³⁵S、¹⁴C or³H labels the test compound directly or indirectly and is detected by direct counting of radioactive emissions or by scintillation counting. Alternatively, the test compound may be enzymatically labeled using, for example, horseradish peroxidase, alkaline phosphatase, or luciferase, and the enzymatic label detected by determining the conversion of the appropriate substrate to product.

In one embodiment, the assay comprises contacting a test compound with an antibody-antigen complex and determining the ability of the test compound to interact with the antigen or disrupt an existing antibody-antigen complex. In this embodiment, determining the ability of the test compound to interact with the antigen and/or disrupt the antibody-antigen complex comprises determining the ability of the test compound to preferentially bind to the antigen or biologically active portion thereof as compared to the antibody.

In another embodiment, the assay comprises contacting a test compound with an antibody-antigen complex and determining the ability of the test compound to modulate the antibody-antigen complex. The ability of a test compound to modulate an antibody-antigen complex can be determined, for example, by determining the ability of the antigen to bind to or interact with the antibody in the presence of the test compound.

One skilled in the art will recognize that in any of the screening methods disclosed herein, the antibody can be a neutralizing antibody that modulates or interferes with CD47 activity and/or signaling.

The screening methods disclosed herein can be performed in a cell-based assay or a cell-free assay format. The cell-free assay of the present invention is applicable to soluble or membrane-bound forms of CD47 and fragments thereof. In cell-free assays involving the membrane-bound form of CD47, it is desirable to maintain the membrane-bound form of the protein in solution using a solubilizing agent. Examples of such solubilizersIncluding nonionic detergents such as N-octyl glucoside, N-dodecyl maltoside, caprylyl-N-methylglucamide, Triton X-100, Triton X-114, and mixtures thereof,Isotridecyl poly (ethylene glycol ester)_nN-dodecyl- -N, N-dimethyl-3-amino-1-propanesulfonate, 3- (3-cholamidopropyl) dimethylamino-1-propanesulfonate (CHAPS) or 3- (3-cholamidopropyl) dimethylamino-2-hydroxy-1-propanesulfonate (CHAPSO).

In more than one embodiment, immobilization of the antibody or antigen is desirable to facilitate separation of one or both complexed and uncomplexed forms following introduction of the candidate compound, as well as to accommodate automation of the assay. The observation of the antibody-antigen complex in the presence or absence of the candidate compound can be accomplished in any vessel suitable for containing the reactants. Examples of such containers include microtiter plates, test tubes, and microcentrifuge tubes. In one embodiment, fusion proteins are provided that add a domain that allows one or both proteins to bind to a substrate. For example, a GST-antibody fusion protein or a GST-antigen fusion protein can be adsorbed to glutathione agarose beads (Sigma Chemical, st louis, missouri) or glutathione-derived microtiter plates, which are then mixed with a test compound and the mixture incubated under conditions conducive to complex formation (e.g., under physiological salt and pH conditions). After incubation, the beads or microtiter plate wells are washed to remove any unbound components, and the matrix is immobilized in the presence of the beads, i.e., the complex can be determined directly or indirectly. Alternatively, the complex may be dissociated from the matrix and the level of antibody-antigen complex formation may be determined using standard techniques.

Other techniques for immobilizing proteins on a substrate may also be used in the screening assays of the invention. For example, an antibody (e.g., the 2A1 antibody, or an antibody having a variable heavy chain selected from SEQ ID NOS: 5-30 and a variable light chain selected from SEQ ID NOS: 31-47) or an antigen (e.g., the CD47 protein) can be immobilized using a biotin-streptavidin conjugate. Biotinylated antibody or antigen molecules can be prepared from biotin-NHS (N-hydroxy-succinimide) using techniques well known in the art (e.g., biotinylation kit from Pierce Chemicals, Rockford, il) and immobilized in wells of streptavidin-coated 96-well plates (Pierce Chemicals). Alternatively, other antibodies reactive with the antibody or antigen of interest but which do not interfere with the formation of the antibody-antigen complex of interest can be derivatized into the wells of the plate and the unbound antibody or antigen trapped in the wells by antibody coupling. In addition to the methods described above for GST-immobilized complexes, methods for detecting such complexes include immunodetection of the complexes using other antibodies reactive with the antibody or antigen.

The invention also relates to novel agents identified in any of the aforementioned screening assays and the use of these agents in therapy as described herein.

Diagnostic and prophylactic formulations

The CD47MAb of the present invention is useful in diagnostic and prophylactic formulations. In one embodiment, the CD47 mabs of the invention are administered to a patient at risk of developing one or more of the foregoing diseases, including but not limited to cancer or other neoplastic disorders. The predisposition of a patient or tissue to the aforementioned cancer or other neoplastic disorder can be determined using genotype, serum or biochemical markers.

In another embodiment of the invention, the CD47 antibody is administered to a human individual diagnosed with clinical symptoms associated with one or more of the aforementioned diseases, including but not limited to cancer or other neoplastic disorders. Following diagnosis, the CD47 antibody is administered to reduce or reverse the effects of one or more of the clinical symptoms associated with the aforementioned diseases.

The antibodies of the invention are also useful for detecting CD47 and/or sirpa in patient samples and are therefore useful for diagnosis. For example, the CD47 antibodies of the invention are used in vitro assays (e.g., ELISA) to detect CD47 and/or sirpa levels in patient samples.

In one embodiment, the CD47 antibodies of the invention are immobilized on a solid support (e.g., a well of a microtiter plate). The immobilized antibody acts as a capture antibody, capturing any CD47 and/or sirpa that may be present in the test sample. Prior to contacting the immobilized antibody with the patient sample, the solid support is washed and treated with a blocking reagent (e.g., milk protein or albumin) to avoid non-specific adsorption of the analyte.

The wells are then treated with a test sample that may contain antigen or with a solution containing a standard amount of antigen. Such samples are, for example, serum samples from a subject, which may have circulating antigen levels that are considered diagnostic for a certain pathology. After washing away the test sample or standard, the solid support is treated with a detectably labeled secondary antibody. The labeled secondary antibody was used as a detection antibody. The level of detectable label is measured and the concentration of CD47 and/or sirpa in the test sample is determined by comparison to a standard curve established for a standard sample.

It will be appreciated that based on the results obtained in vitro diagnostic assays using the CD47 antibodies of the invention, it is possible to stratify a subject's disease (e.g., clinical symptoms associated with ischemia, autoimmune or inflammatory disease) based on the expression levels of CD47 and/or sirpa. For a particular disease, blood samples are taken from subjects diagnosed at multiple stages of disease progression and/or at multiple points of disease treatment. The range of antigen concentrations considered characteristic of each stage is determined using a population of samples that provides statistically significant results for each stage of development or therapy.

All publications and patent documents cited herein are incorporated by reference to the same extent as if each such publication or document were specifically and individually indicated to be incorporated by reference. Citation of the above publications and patent documents is not an admission that any of the foregoing is pertinent prior art, nor does it indicate admission as to the contents or date thereof. Having now described the invention in the written description, those skilled in the art will recognize that the invention can be practiced in a variety of embodiments, and that the foregoing description and the following examples are intended to be illustrative and not limiting of the claims of the invention.

Examples

The following examples, including the experiments performed and results obtained, are provided for illustrative purposes only and are not to be construed as limiting the invention.