The potential clinical utility of antisera (a polyclonal mixture of antibodies) in the treatment of human diseases has been recognized for more than a century. However, the difficulty of isolating specific antibodies against the antigen from antisera in a reproducible manner was a major hurdle to their clinical exploitation. With the advent of murine monoclonal antibody technology, it seemed that the antibody’s therapeutic promise would be finally fulfilled. However, mouse monoclonal antibodies are foreign to human and provoke a strong immune response when administered to patients. The Human Anti-Mouse Antibody (HAMA) response limited both the dose and the number of times that could be repeated. Other important factors such as short serum half-life and poor recruitment of human immune effector functions also set back the clinical application of murine antibodies.
Therapeutic Antibody Development
The 1st attempt to engineer mouse antibodies to facilitate therapeutic use was chimerization. This involves genetically replacing mouse constant regions with the corresponding human constant regions, while retaining the mouse variable regions responsible for antigen binding. Antibody humanization (also known as CDR-grafting or reshaping) was invented as a more elegant solution to the immunogenicity problem of murine antibodies. Antibody humanization involves the design and synthesis of composite variable regions, which contain the amino acids of mouse CDRs integrated into the FWRs of a human antibody variant. The resulting antibody retains both the specificity and binding affinity of the original mouse antibody, and is sufficiently human to deceive the patient’s immune system. Both chimerization and humanization strategies have been proven successful in clinic.
A schematic diagram of mouse (top left), chimeric (top right), humanized (bottom left), and fully human (bottom right) antibodies are shown above. Human parts are shown in red, while non-human parts in blue. The International Nonproprietary Names (INN) recommends to name murine antibodies to end in “–omab”, chimeric antibodies to end in “-ximab”, humanized antibodies to end in “–zumab”, and fully human antibodies with end in “–umab”.
There are ~300 monoclonal antibodies currently in clinic and on market for various therapeutic, diagnostic, and preventive applications. Among them, about 40% (114) are humanized antibodies, 34% (99) are fully human antibodies, and 10% (30) are chimeric antibodies (see the pie chart below).
Click here to see "a complete list of monoclonal antibodies for clinical use" (that includes therapeutic, diagnostic and preventive monoclonal antibodies that are approved, investigational drugs, and those withdrawn from the market.)
Antibody Humanization & Engineering
The antibody humanization process usually includes the creation of a mouse-human chimera in an initial step. Thereafter the chimera is further humanized by the selective alteration of the sequence of amino acids in the variable region of the molecule. The process must be "selective" to retain the specificity for which the antibody was originally developed. It normally involves the design and synthesis of composite variable regions which contain mouse CDRs integrated into human framework regions, whose role is to support CDRs in the same orientation as that of a corresponding human antibody variant. Ideally a humanized antibody should be essentially identical to that of a human variant, containing the only non-human origin of CDRs responsible for antigen binding. In reality the mouse sequences make up 5-10% of the humanized antibody (for more information and examples, please visit our "Antibody Services").
The feasibility of this process is, to a large extent, due to the inter-species conserved nature of antibody variable region genes between animals and humans. Within any species, variable region gene sequences can be grouped into a number of families according to amino acid or nucleotide sequence homology. In some cases inter-species homology can be higher than intra-species homology. For example, inter-species homologies can range from 40% to 80% between mouse and human variable region sequences. Moreover the highly conserved and well defined CDR loop structures seen in mouse antibodies are also observed across the species. It is thus the sequence and structural conservation throughout the variable regions of antibodies from different species that makes antibody humanization feasible.
Success Hallmarks of Therapeutic Antibody
Over the last decade, Biotechnology & Biopharmaceutical industry has concentrated on developing new technologies for antibody production and engineering with the aims to optimize or enhance its manufacturability and therapeutic efficacy. Several key “success hallmarks” have been proposed for an effective antibody-based therapeutic for human conditions such as cancers, inflammatory and infectious diseases:
All approved antibody drugs are thought to work through a Fab-mediated or the combination of Fab- and Fc-mediated action. However the proposed mechanisms are largely based upon data generated in vitro or in animal models. The clinical mechanisms of action of many approved antibody drugs are in actuality complicated and remain poorly understood. In addition, antibodies frequently fail to activate ADCC or CDC and show little or no efficacy even with optimal binding to the target antigen or recruiting immune effectors. This suggests that the clinical outcome is driven by a more complex interplay between the antibody, the cognate antigen that for example is expressed on stromal or tumor cells, and our immune system (see the figure below). In addition there are many approaches to improving the clinical performance for antibody-based therapeutics, including antibody-drug conjugate (ADC) and bispecific antibody.
Therapeutic Antibodies Discovery
There are technologies that completely avoid the use of mice or other animals in the discovery of antibodies for human therapeutic applications. Examples include various "display" methods that employ the selective principles of specific antibody production but exploit microorganisms (such as in phage display and yeast display) or even cell free extracts (as in ribosome display). These systems rely on the creation of antibody gene "libraries", which are usually derived from RNA of human peripheral blood. Each antibody gene is linked to a product (e.g., antibody fragment Fab or scFv) displayed by the system, allowing rapid screening for antigen-specific binders. Adalimumab (Humira) is an example of an antibody approved for human therapy that was created through phage display.
Antibody and Immunomodulation
The immune system has the intrinsic power to detect and eliminate abnormal cells, such as those derived from tumors. This process, commonly referred to as immune surveillance, takes advantage of numerous biological features that distinguish tumor cells from their normal counterparts. For example, tumor cells display aberrant functional behaviors and an altered surface antigen composition, typically resulting from a myriad of genetic and epigenetic changes. Abnormal cytokine and growth factor expression patterns are also common hallmarks of certain types of cancer, eliciting to either support growth or counteract local inflammation, particularly during cellular invasion and metastasis. With more advanced disease, tumor cells eventually develop active mechanisms to escape immune surveillance and induce tolerance. There is ample evidence that B cell-driven antibody responses can trigger autologous tumor regression in animals and humans.
Approved Antibody-based Therapeutics for Cancer and Target Antigens.
The antigens are in black while the approved antibody therapeutics are in red.
See the list of "monoclonal antibodies for clinical use" for more details and examples.
Therapeutic Antibodies from Humans
It is possible to exploit human immune response in the discovery of truly human antibodies for therapeutic applications. Human immune response works essentially in the same way as that in a mouse. Therefore, persons experiencing a challenge to their immune system, such as an infectious virus, a passive vaccination, or abnormal tumor cells are a potential source of discovering antibodies directed against that challenge. This approach seems especially useful for the development of anti-viral and anti-cancer (of particular types) therapies that exploit the principles of passive immunity. Variants of this approach have been demonstrated with proof-of-principle in preclinical studies and several are finding way into clinical development.
Antibody R&D Capability at G&P Biosciences
We offer a range of antibody production and engineering services that may complement your research and accelerate the progress of development towards clinical use. Our services are offered as stand-alone services and also as part of a complete suite of antibody custom solution package. We offer a proprietary antibody humanization service. Using our technology, the sequences of the antibody variable domains, which determine its binding specificity, are incorporated into human donor sequences properly, thus creating a panel of humanized antibodies for expression. We also provide bundled services, starting from antigen preparation, hybridoma screening, recombinant antibody generation, affinity determination, antibody humanization and engineering to custom-scale production. We can drive your antibody R&D from any stage to the delivery of a 100% royalty free drug candidate that can be moved into clinical development rapidly (please visit our "Antibody Services" to learn more and request a quote).
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The International Nonproprietary Names (INN) recommends to name murine antibodies to end in “–omab”, chimeric antibodies to end in “-ximab”, humanized antibodies to end in “–zumab”, and fully human antibodies with end in “–umab”. The list includes therapeutic, diagnostic, and preventive monoclonal antibodies that are approved, investigational drugs, and drugs that have been withdrawn from the market.
List of Monoclonal Antibodies for Clinical Use
Name | Trade Name | Type | Source | Target Antigen | Clinical Use |
Abagovomab | mab | mouse | CA-125 (imitation) | ovarian cancer | |
Abciximab | ReoPro® | Fab | chimeric | CD41 (integrin α-IIb) | platelet aggregation inhibitor |
Actoxumab | mab | human | Clostridium difficile | Clostridium difficile infection | |
Adalimumab | Humira® | mab | human | TNF-α | rheumatoid arthritis, Crohn's Disease, Plaque Psoriasis, Psoriatic Arthritis, Ankylosing Spondylitis, Juvenile Idiopathic Arthritis |
Adecatumumab | mab | human | EpCAM | prostate and breast cancer | |
Ado-trastuzumab emtansine | Kadcyla® |
mab (ADC) |
humanized | HER2/neu | breast cancer |
Afelimomab | F(ab')2 | mouse | TNF-α | sepsis | |
Afutuzumab | mab | humanized | CD20 | lymphoma | |
Alacizumab pegol | F(ab')2 | humanized | VEGFR2 | cancer | |
Alemtuzumab | Campath-1H®, MabCampath® | mab | humanized | CD52 | CLL, CTCL |
Alirocumab | mab | human | NARP-1 | hypercholesterolemia | |
Altumomab pentetate | Hybri-ceaker® | mab | mouse | CEA | colorectal cancer (diagnosis) |
Amatuximab | mab | chimeric | Mesothelin | cancer | |
Anatumomab mafenatox | Fab | mouse | TAG-72 | non-small cell lung carcinoma | |
Anifrolumab | mab | human | Interferon α/β receptor | systemic lupus erythematosus | |
Anrukinzumab | mab | humanized | IL-13 | ? | |
Apolizumab | mab | humanized | HLA-DR | hematological cancers | |
Arcitumomab | CEA-Scan® | Fab' | mouse | CEA | gastrointestinal cancers (diagnosis) |
Aselizumab | mab | humanized | L-selectin (CD62L) | severely injured patients | |
Atezolizumab | Tecentriq® | mab | humanized | PD-L1 | lung cancer, bladder cancer |
Atinumab | mab | human | RTN4 | ? | |
Atlizumab (Tocilizumab) | Actemra®, RoActemra® | mab | humanized | IL-6 receptor | rheumatoid arthritis |
Atorolimumab | mab | human | Rhesus factor | hemolytic disease of the newborn | |
Bapineuzumab | mab | humanized | β-amyloid | Alzheimer's disease | |
Basiliximab | Simulect® | mab | chimeric | CD25 | prevention of organ transplant rejections |
Bavituximab | mab | chimeric | Phosphatidylserine | cancer, viral infections | |
Bectumomab | LymphoScan® | Fab' | mouse | CD22 | non-Hodgkin's lymphoma (detection) |
Belimumab | Benlysta®, LymphoStat-B | mab | human | BAFF | SLE, non-Hodgkin lymphoma |
Benralizumab | mab | humanized | CD125 | asthma | |
Bertilimumab | mab | human | CCL11 (eotaxin-1) | severe allergic disorders | |
Besilesomab | Scintimun® | mab | mouse | CEA-related antigen | inflammatory lesions and metastases (detection) |
Bevacizumab | Avastin® | mab | humanized | VEGF-A | metastatic cancer |
Bezlotoxumab | mab | human | Clostridium difficile | Clostridium difficile infection | |
Biciromab | FibriScint® | Fab' | mouse | Fibrin II, β chain | thromboembolism (diagnosis) |
Bimagrumab | mab | human | ACVRIIB | myostatin inhibitor | |
Bivatuzumab mertansine | mab | humanized | CD44 v6 | squamous cell carcinoma | |
Blinatumomab | Blincyto® | scFv (BiTE) | mouse | CD19, CD3 | cancer |
Blosozumab | mab | humanized | SOST | osteoporosis | |
Bococizumab | mab | humanized | PCSK9 | hypocholesterolemia | |
Brentuximab vedotin | Adcetris® | mab (ADC) | chimeric | CD30 (TNFRSF8) | hematologic cancers (Hodgkin lymphoma) |
Briakinumab | mab | human | IL-12, IL-23 | psoriasis, rheumatoid arthritis, inflammatory bowel diseases, multiple sclerosis | |
Brodalumab | mab | human | IL-17 | inflammatory diseases | |
Canakinumab | Ilaris® | mab | human | IL-1 | rheumatoid arthritis |
Cantuzumab mertansine | mab | humanized | Mucin CanAg | colorectal cancer etc. | |
Cantuzumab ravtansine | mab | humanized | MUC1 | cancers | |
Caplacizumab | mab | humanized | VWF | ? | |
Capromab pendetide | Prostascint® | mab | mouse | PMSA | prostate cancer (detection) |
Carlumab | mab | human | MCP-1 | oncology/immune indications | |
Catumaxomab | Removab® | 3funct | rat/mouse hybrid | EpCAM, CD3 | ovarian cancer, malignant ascites, gastric cancer |
Cedelizumab | mab | humanized | CD4 | prevention of organ transplant rejections, treatment of autoimmune diseases | |
Certolizumab pegol | Cimzia® | Fab' | humanized | TNF-α | Crohn's disease |
Cetuximab | Erbitux® | mab | chimeric | EGFR | metastatic colorectal cancer and head and neck cancer |
Citatuzumab bogatox | Fab | humanized | EpCAM | ovarian cancer and other solid tumors | |
Cixutumumab | mab | human | IGF1R | solid tumors | |
Clazakizumab | mab | humanized | Oryctolagus cuniculus | rheumatoid arthritis | |
Clenoliximab | mab | chimeric | CD4 | rheumatoid arthritis | |
Clivatuzumab tetraxetan | hPAM4-Cide | mab | humanized | MUC1 | pancreatic cancer |
Conatumumab | mab | human | TRAIL-R2 | cancer | |
Concizumab | mab | humanized | TFPI | bleeding | |
Crenezumab | mab | humanized | 1-40-β-amyloid | Alzheimer's disease | |
Dacetuzumab | mab | humanized | CD40 | hematologic cancers | |
Daclizumab | Zenapax® | mab | humanized | CD25 | prevention of organ transplant rejections |
Dalotuzumab | mab | humanized | IGF1R | cancer etc. | |
Daratumumab | Darzalex® | mab | human | CD38 | multiple myeloma |
Demcizumab | mab | humanized | DLL4 | cancer | |
Denosumab | Prolia®/Xgeva® | mab | human | RANKL | osteoporosis, bone metastases etc. |
Detumomab | mab | mouse | B-lymphoma cell | lymphoma | |
Dorlimomab aritox | F(ab')2 | mouse | ? | ? | |
Drozitumab | mab | human | DR5 | cancer etc. | |
Duligotumab | mab | human | HER3 | ? | |
Dupilumab | mab | human | IL4 | atopic diseases | |
Dusigitumab | mab | human | ILGF2 | cancer | |
Ecromeximab | mab | chimeric | GD3 ganglioside | malignant melanoma | |
Eculizumab | Soliris® | mab | humanized | C5 | paroxysmal nocturnal hemoglobinuria |
Edobacomab | mab | mouse | Endotoxin | sepsis caused by Gram-negative bacteria | |
Edrecolomab | Panorex® | mab | mouse | EpCAM | colorectal carcinoma |
Efalizumab | Raptiva® | mab | humanized | LFA-1 (CD11a) | psoriasis (blocks T-cell migration) |
Efungumab | Mycograb® | scFv | human | Hsp90 | invasive Candida infection |
Eldelumab | mab | human | Interferon γ-induced protein | Crohn's disease, ulcerative colitis | |
Elotuzumab | Elmplicit® | mab | humanized | SLAMF7 | multiple myeloma |
Elsilimomab | mab | mouse | IL-6 | ? | |
Enavatuzumab | mab | humanized | TWEAK receptor | cancer etc. | |
Enlimomab pegol | mab | mouse | ICAM-1 (CD54) | ? | |
Enokizumab | mab | humanized | IL9 | asthma | |
Enoticumab | mab | human | DLL4 | ? | |
Ensituximab | mab | chimeric | 5AC | cancer | |
Epitumomab cituxetan | mab | mouse | Episialin | ? | |
Epratuzumab | mab | humanized | CD22 | cancer, SLE | |
Erlizumab | F(ab')2 | humanized | ITGB2 (CD18) | heart attack, stroke, traumatic shock | |
Ertumaxomab | Rexomun® | 3funct | rat/mouse hybrid | HER2/neu, CD3 | breast cancer etc. |
Etaracizumab | Abegrin® | mab | humanized | Integrin αvβ3 | melanoma, prostate cancer, ovarian cancer etc. |
Etrolizumab | mab | humanized | Integrin α7 β7 | inflammatory bowel disease | |
Evolocumab | mab | human | PCSK9 | hypocholesterolemia | |
Exbivirumab | mab | human | Hepatitis B surface antigen | hepatitis B | |
Fanolesomab | NeutroSpec® | mab | mouse | CD15 | appendicitis (diagnosis) |
Faralimomab | mab | mouse | Interferon receptor | ? | |
Farletuzumab | mab | humanized | Folate receptor 1 | ovarian cancer | |
Fasinumab | mab | human | HNGF | ? | |
Felvizumab | mab | humanized | Respiratory syncytial virus | respiratory syncytial virus infection | |
Fezakinumab | mab | human | IL-22 | rheumatoid arthritis, psoriasis | |
Ficlatuzumab | mab | humanized | HGF | cancer etc. | |
Figitumumab | mab | human | IGF-1 receptor | adrenocortical carcinoma, non-small cell lung carcinoma etc. | |
Flanvotumab | mab | human | Glycoprotein 75 | melanoma | |
Fontolizumab | HuZAF® | mab | humanized | IFN-γ | Crohn's disease etc. |
Foralumab | mab | human | CD3ε | ? | |
Foravirumab | mab | human | Rabies virus glycoprotein | rabies (prophylaxis) | |
Fresolimumab | mab | human | TGF-β | idiopathic pulmonary fibrosis, focal segmental glomerulosclerosis, cancer | |
Fulranumab | mab | human | NGF | pain | |
Futuximab | mab | chimeric | EGFR | ? | |
Galiximab | mab | chimeric | CD80 | B-cell lymphoma | |
Ganitumab | mab | human | IGF-I | cancer | |
Gantenerumab | mab | human | β-amyloid | Alzheimer's disease | |
Gavilimomab | mab | mouse | CD147 (basigin) | graft versus host disease | |
Gemtuzumab ozogamicin | Mylotarg® | mab (ADC) | humanized | CD33 | acute myelogenous leukemia (withdrawn from the market) |
Gevokizumab | mab | humanized | IL-1β | diabetes etc. | |
Girentuximab | Rencarex® | mab | chimeric | Carbonic anhydrase 9 (CA-IX) | clear cell renal cell carcinoma |
Glembatumumab vedotin | mab | human | GPNMB | melanoma, breast cancer | |
Golimumab | Simponi® | mab | human | TNF-α | rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis |
Gomiliximab | mab | chimeric | CD23 (IgE receptor) | allergic asthma | |
Guselkumab | mab | human | IL23p19 | psoriasis | |
Ibalizumab | mab | humanized | CD4 | HIV infection | |
Ibritumomab tiuxetan | Zevalin® | mab | mouse | CD20 | non-Hodgkin's lymphoma |
Icrucumab | mab | human | VEGFR-1 | cancer etc. | |
Igovomab | Indimacis-125® | F(ab')2 | mouse | CA-125 | ovarian cancer (diagnosis) |
Imciromab | Myoscint® | mab | mouse | Cardiac myosin | cardiac imaging |
Imgatuzumab | mab | humanized | EGFR | cancer | |
Inclacumab | mab | human | Selectin P | ? | |
Indatuximab ravtansine | mab | chimeric | SDC1 | cancer | |
Infliximab | Remicade® | mab | chimeric | TNF-α | rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, psoriasis, Crohn's disease, ulcerative colitis |
Intetumumab | mab | human | CD51 | solid tumors (prostate cancer, melanoma) | |
Inolimomab | mab | mouse | CD25 | graft versus host disease | |
Inotuzumab ozogamicin | mab | humanized | CD22 | cancer | |
Ipilimumab | Yervoy® | mab | human | CD152 | melanoma |
Iratumumab | mab | human | CD30 (TNFRSF8) | Hodgkin's lymphoma | |
Itolizumab | mab | humanized | CD6 | ? | |
Ixekizumab | mab | humanized | IL-17A | autoimmune diseases | |
Keliximab | mab | chimeric | CD4 | chronic asthma | |
Labetuzumab | CEA-Cide® | mab | humanized | CEA | colorectal cancer |
Lambrolizumab (Pembrolizumab) | Keytruda® | mab | humanized | PD-1 | antineoplastic agent |
Lampalizumab | mab | humanized | CFD | ? | |
Lebrikizumab | mab | humanized | IL-13 | asthma | |
Lemalesomab | mab | mouse | NCA-90 (granulocyte antigen) | diagnostic agent | |
Lerdelimumab | mab | human | TGFβ2 | reduction of scarring after glaucoma surgery | |
Lexatumumab | mab | human | TRAIL-R2 | cancer | |
Libivirumab | mab | human | Hepatitis B surface antigen | hepatitis B | |
Ligelizumab | mab | humanized | IGHE | ? | |
Lintuzumab | mab | humanized | CD33 | cancer | |
Lirilumab | mab | human | KIR2D | ? | |
Lodelcizumab | mab | humanized | PCSK9 | hypercholesterolemia | |
Lorvotuzumab mertansine | mab | humanized | CD56 | cancer | |
Lucatumumab | mab | human | CD40 | multiple myeloma, non-Hodgkin's lymphoma, Hodgkin's lymphoma | |
Lumiliximab | mab | chimeric | CD23 (IgE receptor) | chronic lymphocytic leukemia | |
Mapatumumab | mab | human | TRAIL-R1 | cancer | |
Margetuximab | mab | humanized | ch4D5 | cancer | |
Maslimomab | ? | mouse | T-cell receptor | ? | |
Mavrilimumab | mab | human | GMCSF receptor α-chain | rheumatoid arthritis | |
Matuzumab | mab | humanized | EGFR | colorectal, lung and stomach cancer | |
Mepolizumab | Bosatria® | mab | humanized | IL-5 | asthma and white blood cell diseases |
Metelimumab | mab | human | TGF beta 1 | systemic scleroderma | |
Milatuzumab | mab | humanized | CD74 | multiple myeloma and other hematological malignancies | |
Minretumomab | mab | mouse | TAG-72 | ? | |
Mitumomab | mab | mouse | GD3 ganglioside | small cell lung carcinoma | |
Mogamulizumab | mab | humanized | CCR4 | cancer | |
Morolimumab | mab | human | Rhesus factor | ? | |
Motavizumab | Numax® | mab | humanized | Respiratory syncytial virus | respiratory syncytial virus (prevention) |
Moxetumomab pasudotox | mab | mouse | CD22 | cancer | |
Muromonab-CD3 | Orthoclone OKT3 | mab | mouse | CD3 | prevention of organ transplant rejections |
Nacolomab tafenatox | Fab | mouse | C242 antigen | colorectal cancer | |
Namilumab | mab | human | CSF2 | ? | |
Naptumomab estafenatox | Fab | mouse | 5T4 | non-small cell lung carcinoma, renal cell carcinoma | |
Narnatumab | mab | human | RON | cancer | |
Natalizumab | Tysabri® | mab | humanized | Integrin α4 | multiple sclerosis, Crohn's disease |
Nebacumab | mab | human | Endotoxin | sepsis | |
Necitumumab | Portrazza® | mab | human | EGFR | non-small cell lung carcinoma |
Nerelimomab | mab | mouse | TNF-α | ? | |
Nesvacumab | mab | human | Angiopoietin 2 | cancer | |
Nimotuzumab | Theracim®, Theraloc® | mab | humanized | EGFR | squamous cell carcinoma, head and neck cancer, nasopharyngeal cancer, glioma |
Nivolumab | Opdivo® | mab | human | PD-1 | melanoma, lung cancer, kidney cancer |
Nofetumomab merpentan | Verluma® | Fab | mouse | ? | cancer (diagnosis) |
Obinutuzumab | Gazyva® | mab | humanized | CD20 | B-CLL, lymphoma |
Ocaratuzumab | mab | humanized | CD20 | cancer | |
Ocrelizumab | mab | humanized | CD20 | rheumatoid arthritis, lupus erythematosus etc. | |
Odulimomab | mab | mouse | LFA-1 (CD11a) | prevention of organ transplant rejections, immunological diseases | |
Ofatumumab | Arzerra® | mab | human | CD20 | chronic lymphocytic leukemia etc. |
Olaratumab | Lartruvo® | mab | human | PDGF-Rα | cancer |
Olokizumab | mab | humanized | IL6 | ? | |
Omalizumab | Xolair® | mab | humanized | IgE Fc region | allergic asthma |
Onartuzumab | mab | humanized (monovalent) | MET, c-Met, HGF/SF-R | cancer | |
Ontuxizumab | mab | chimeric/humanized | TEM1 | cancer | |
Oportuzumab monatox | scFv | humanized | EpCAM | cancer | |
Oregovomab | OvaRex® | mab | mouse | CA-125 | ovarian cancer |
Orticumab | mab | human | oxLDL | ? | |
Otelixizumab | mab | chimeric/humanized | CD3 | diabetes mellitus type 1 | |
Oxelumab | mab | human | OX-40 | asthma | |
Ozanezumab | mab | humanized | NOGO-A | ALS and multiple sclerosis | |
Ozoralizumab | mab | humanized | TNF-α | inflammation | |
Pagibaximab | mab | chimeric | Lipoteichoic acid | sepsis (Staphylococcus) | |
Palivizumab | Synagis®, Abbosynagis® | mab | humanized | F protein of respiratory syncytial virus | respiratory syncytial virus (prevention) |
Panitumumab | Vectibix® | mab | human | EGFR | colorectal cancer |
Panobacumab | mab | human | Pseudomonas aeruginosa | Pseudomonas aeruginosa infection | |
Parsatuzumab | mab | human | EGFL7 | cancer | |
Pascolizumab | mab | humanized | IL-4 | asthma | |
Pateclizumab | mab | humanized | LTA | ? | |
Patritumab | mab | human | HER3 | cancer | |
Pembrolizumab | Keytruda® | mab | humanized | PD-1 | Melanoma, lung cancer |
Pemtumomab | Theragyn® | ? | mouse | MUC1 | cancer |
Perakizumab | mab | humanized | IL17A | arthritis | |
Pertuzumab | Omnitarg/Perjeta® | mab | humanized | HER2/neu | cancer |
Pexelizumab | scFv | humanized | C5 | reduction of side effects of cardiac surgery | |
Pidilizumab | mab | humanized | PD-1 | cancer and infectious diseases | |
Pinatuzumab vedotin | mab | humanized | CD22 | cancer | |
Pintumomab | mab | mouse | Adenocarcinoma antigen | adenocarcinoma (imaging) | |
Placulumab | mab | human | TNF | ? | |
Polatuzumab vedotin | mab | humanized | CD79B | ? | |
Ponezumab | mab | humanized | β-amyloid | Alzheimer's disease | |
Priliximab | mab | chimeric | CD4 | Crohn's disease, multiple sclerosis | |
Pritoxaximab | mab | chimeric | E. coli shiga toxin type-1 | ? | |
Pritumumab | mab | human | Vimentin | brain cancer | |
Quilizumab | mab | humanized | IGHE | ? | |
Racotumomab | mab | mouse | N-glycolylneuraminic acid | cancer | |
Radretumab | mab | human | Fibronectin extra domain-B | cancer | |
Rafivirumab | mab | human | Rabies virus glycoprotein | rabies (prophylaxis) | |
Ramucirumab | Cyramza® | mab | human | VEGFR2 | solid tumors (NSCLC, gastric) |
Ranibizumab | Lucentis® | Fab | humanized | VEGF-A | macular degeneration (wet form) |
Raxibacumab | mab | human | Anthrax toxin, protective antigen | anthrax (prophylaxis and treatment) | |
Regavirumab | mab | human | Cytomegalovirus glycoprotein B | cytomegalovirus infection | |
Reslizumab | mab | humanized | IL-5 | inflammations of the airways, skin and gastrointestinal tract | |
Rilotumumab | mab | human | HGF | solid tumors | |
Rituximab | MabThera, Rituxan® | mab | chimeric | CD20 | lymphomas, leukemias, some autoimmune disorders |
Robatumumab | mab | human | IGF-1 receptor | cancer | |
Roledumab | mab | human | RHD | ? | |
Romosozumab | mab | humanized | Scleroscin | osteoporosis | |
Rontalizumab | mab | humanized | IFN-α | systemic lupus erythematosus | |
Rovelizumab | LeukArrest® | mab | humanized | CD11, CD18 | haemorrhagic shock etc. |
Ruplizumab | Antova® | mab | humanized | CD154 (CD40L) | rheumatic diseases |
Samalizumab | mab | humanized | CD200 | cancer | |
Sarilumab | mab | human | IL6 | rheumatoid arthritis, ankylosing spondylitis | |
Satumomab pendetide | mab | mouse | TAG-72 | cancer (diagnosis) | |
Secukinumab | mab | human | IL-17A | uveitis, rheumatoid arthritis psoriasis | |
Seribantumab | mab | human | ERBB3, HER3 | cancer | |
Setoxaximab | mab | chimeric | E. coli shiga toxin type-1 | ? | |
Sevirumab | ? | human | Cytomegalovirus | cytomegalovirus infection | |
Sibrotuzumab | mab | humanized | FAP | cancer | |
Sifalimumab | mab | humanized | IFN-α | SLE, dermatomyositis, polymyositis | |
Siltuximab | Sylvant® | mab | chimeric | IL-6 | Multicentric Castleman's disease, cancer |
Simtuzumab | mab | humanized | LOXL2 | ? | |
Siplizumab | mab | humanized | CD2 | psoriasis, graft-versus-host disease (prevention) | |
Sirukumab | mab | human | IL-6 | rheumatoid arthritis | |
Solanezumab | mab | humanized | β-amyloid | Alzheimer's disease | |
Solitomab | mab | mouse | EpCAM | ? | |
Sonepcizumab | ? | humanized | Sphingosine-1-phosphate | choroidal and retinal neovascularization | |
Sontuzumab | mab | humanized | Episialin | ? | |
Stamulumab | mab | human | Myostatin | muscular dystrophy | |
Sulesomab | LeukoScan® | Fab' | mouse | NCA-90 (granulocyte antigen) | osteomyelitis (imaging) |
Suvizumab | mab | humanized | HIV-1 | viral infections | |
Tabalumab | mab | human | BAFF | B-cell cancers | |
Tacatuzumab tetraxetan | AFP-Cide® | mab | humanized | α-fetoprotein | cancer |
Tadocizumab | Fab | humanized | Integrin αIIbβ3 | percutaneous coronary intervention | |
Talizumab | mab | humanized | IgE | allergic reaction | |
Tanezumab | mab | humanized | NGF | pain | |
Taplitumomab paptox | mab | mouse | CD19 | cancer[citation needed] | |
Tefibazumab | Aurexis® | mab | humanized | Clumping factor A | Staphylococcus aureus infection |
Telimomab aritox | Fab | mouse | ? | ? | |
Tenatumomab | mab | mouse | Tenascin C | cancer | |
Teneliximab | mab | chimeric | CD40 | ? | |
Teplizumab | mab | humanized | CD3 | diabetes mellitus type 1 | |
Teprotumumab | mab | human | CD221 | hematologic tumors | |
Ticilimumab (Tremelimumab) | mab | human | CTLA-4 | cancer | |
Tildrakizumab | mab | humanized | IL23 | immunologically mediated inflammatory disorders | |
Tigatuzumab | mab | humanized | TRAIL-R2 | cancer | |
Tocilizumab (Atlizumab) | Actemra®, RoActemra® | mab | humanized | IL-6 receptor | rheumatoid arthritis |
Toralizumab | mab | humanized | CD154 (CD40L) | rheumatoid arthritis, lupus nephritis etc. | |
Tositumomab | Bexxar® | mab | mouse | CD20 | follicular lymphoma |
Tovetumab | mab | human | CD140a | cancer | |
Tralokinumab | mab | human | IL-13 | asthma etc. | |
Trastuzumab | Herceptin® | mab | humanized | HER2/neu | breast cancer |
Tregalizumab | mab | humanized | CD4 | ? | |
Tremelimumab | mab | human | CTLA-4 | cancer | |
Tucotuzumab celmoleukin | mab | humanized | EpCAM | cancer | |
Tuvirumab | ? | human | Hepatitis B virus | chronic hepatitis B | |
Ublituximab | mab | chimeric | MS4A1 | cancer | |
Urelumab | mab | human | 4-1BB | cancer etc. | |
Urtoxazumab | mab | humanized | Escherichia coli | diarrhoea caused by E. coli | |
Ustekinumab | Stelara® | mab | human | IL-12, IL-23 | multiple sclerosis, psoriasis, psoriatic arthritis |
Vantictumab | mab | human | Frizzled receptor | cancer | |
Vapaliximab | mab | chimeric | AOC3 (VAP-1) | ? | |
Vatelizumab | mab | humanized | ITGA2 | ? | |
Vedolizumab | Entyvio® |
mab | humanized | Integrin α4β7 | Crohn's disease, ulcerative colitis |
Veltuzumab | mab | humanized | CD20 | non-Hodgkin's lymphoma | |
Vepalimomab | mab | mouse | AOC3 (VAP-1) | inflammation | |
Vesencumab | mab | human | NRP1 | ? | |
Visilizumab | Nuvion® | mab | humanized | CD3 | Crohn's disease, ulcerative colitis |
Volociximab | mab | chimeric | Integrin α5β1 | solid tumors | |
Vorsetuzumab mafodotin | mab | humanized | CD70 | cancer | |
Votumumab | HumaSPECT® | mab | human | Tumor antigen CTAA16.88 | colorectal tumors |
Zalutumumab | HuMax-EGFr | mab | human | EGFR | squamous cell carcinoma of the head and neck |
Zanolimumab | HuMax-CD4 | mab | human | CD4 | rheumatoid arthritis, psoriasis, T-cell lymphoma |
Zatuximab | mab | chimeric | EGFR, HER1 | cancer | |
Ziralimumab | mab | human | CD147 (basigin) | ? | |
Zolimomab aritox | mab | mouse | CD5 | systemic lupus erythematosus, graft-versus-host disease |
» Return to the previous topic: Therapeutic Antibodu Discovery & Development
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Antibodies or immunoglobulins are a group of structurally & functionally similar glycoproteins that confer humoral immunity in humans and animals. In 1975, Köhler and Milstein developed mouse hybridoma technology to immortalize individual B cell clones producing a single (monoclonal) antibody. Since then, antibody structure and function have been studied extensively. The antibody backbone typically consists of two identical heavy chains and two identical light chains. Five antibody classes or isotypes (IgG, IgA, IgM, IgD, IgE) are recognized in mice and humans on the basis of different constant regions in the heavy chains. In the following sections, we will focus on the IgG subclasses (using human IgGs as examples), which are widely utilized for research, diagnostic and therapeutic applications.
Antibody Structure and Fucntion
Human IgG is a tetrameric protein comprising two identical 50-kDa heavy chains and two identical 25-kDa light chains. Each light chain is covalently linked to the N-terminal region of one heavy chain, while the two heavy chains associate covalently via disulfide bridges located in the hinge region, endowing an IgG with a characteristic Y-shaped structure. In addition intra-chain disulfide bonds are responsible for the formation of loops, leading to the compact, discrete folding of Ig domain-like structure of ~110 amino acids (see the domain structure of human IgG1 below).
Each light chain or heavy contains a variable region (VL, VH) and one or three constant regions (CL, CH1-3). The amino acid sequences of these N-terminal regions are much more variable than the constant regions, which make up the rest of the IgG molecule. The variable regions and first constant region form the so-called fragment for antigen binding (Fab), while the remainder of the molecule constitutes the fragment crystalline (Fc), a region displaying little subclass variability.
IgG is a truly “bifunctional” molecule, working through the coordinated actions of their two arms, Fab (or Fv) and Fc:
Antibody Variable Regions
The coding sequences for the variable regions are assembled from a number of mini-gene families (V and J for the light chain; V, D and J for the heavy chain), which are present in multiple variant copies in our genome. The DNA sequence of these mini-genes is modified further during the recombination and hypermutation events ("somatic hypermutation"), which occur during the development of antibody-producing B cells. The combination of heavy and light chain variable regions (VH+VL) at each N-terminal arm of a whole IgG is also known as Fv.
Within each variable region, there are three non-contiguous regions, which are exceptionally variable and thus referred to as "complementarity determining regions" (CDRs). CDRs provide the repertoire of complementary surfaces for recognizing different antigens or epitopes. The binding affinity is essentially mediated via the six CDRs, which fold as independent loops and together form the large surface patch making direct contact with the antigen. The variable region residues that are not part of the CDR's constitute the "framework" regions (FWRs) and generally do not interact with the antigen. However certain residues in FWRS are key to positioning CDRs and therefore contribute to the binding affinity and specificity of an antibody.
Human IgG Subclasses & Properties
There are four subclasses of human IgG (IgG1-4), which can be distinguished by their heavy chain’s constant regions. The primary sequences of these constant regions are >95% homologous. Major differences are found in the hinge region in terms of the numbers of residues and interchain disulfide bonds (see the table below). The hinge region is the most diverse structural feature of different IgGs. It connects two heavy chains through disulfide bonds in the middle. It also links the two Fab arms to the Fc portion and provides flexibilities to the IgG molecules. The flexibility is important for the Fab arm to interact with differently spaced epitopes and for Fc to adopt different conformations to induce immune effector functions.
Human IgG Subclass |
IgG1 |
IgG2 |
IgG3 |
IgG4 |
Heavy Chain (HC) |
γ1 |
γ2 |
γ3 |
γ4 |
Light Chain (LC) |
κ, λ |
κ, λ |
κ, λ |
κ, λ |
Light Chain (κ:λ) Ratio |
2.4 |
1.1 |
1.4 |
8.0 |
Calculated M.W. (kDa) |
146 |
146 |
170 |
146 |
Functional Valency |
2 |
2 |
2 |
2 |
Hinge Region Amino Acid# |
15 |
12 |
62 |
12 |
Interchain Disulfide Bonds# |
2 |
4 |
11 |
2 |
pI range (mean±SD) |
8.6±0.4 |
7.4±0.6 |
8.3±0.7 |
7.2±0.8 |
Average Serum Conc. (mg/ml) |
8 |
4 |
0.8 |
0.4 |
Circulating B Cell Distribution (%) |
40 |
48 |
8 |
1 |
Plasma Cell Distribution (%) |
64 |
26 |
8 |
1 |
Half-Life (days) |
21-23 |
20-23 |
7-8 |
21-23 |
Complement Fixation (classic) |
++ |
+ |
++ |
- |
ADCC Activation |
++ |
+/- |
++ |
- |
Binding to Protein A |
++ |
++ |
+/- |
++ |
Binding to Protein G |
++ |
++ |
++ |
++ |
There are two types of light chains termed kappa (κ) and lambda (λ) chains. The ratio of kappa and lambda light chain varies from species to species (e.g., 20:1 in mice vs. 2:1 in humans) and is also a characteristic of different IgG subclass (e.g., 2.4:1 for human IgG1 vs. 8:1 for IgG4). In addition, the point of light chain attachment to the heavy chain also differ among the IgG subclasses. For example, IgG1 light chain and heavy chain are bound through a disulfide bond near the midpoint of heavy chain (i.e., near the end of CH1). In contrast, IgG2, IgG3 and IgG4 are joined at one quarter the distance from the heavy chain amino termini (i.e., near the end of VH).
Different human IgG subclasses have varying abilities to activate immune effector functions. For example, the Fc portion of human IgG1 and IgG3 (but nor IgG2 or IgG4) is capable of binding to C1q, leading to the activation of the classical complement (CDC) cascade. IgG1 and IgG3 can also bind Fcg receptors (FcgRs) on immune effector cells, such as natural killer (NK) cells and macrophages, and recruit them to induce strong ADCC. Over the last decade, many technologies have emerged to improve antibody-directed immune effector functions. They include altering the glycosylation pattern or sequence of the Fc region with the aim to enhance its binding to C1q or FcgRs, and constructing bispecific antibodies or fragments (e.g., BiTE) that engage target cells and immune effector components simultaneously (see the text and graph below).
Mouse Antibody Classes and Subclasses
Ther are five Ig classes or isotypes (IgA, IgD, IgE, IgG, and IgM) from mice, same as humans. Each isotype has a different heavy chain. The mouse IgG subclasses include IgG1, IgG2a, IgG2b, IgG2c, and IgG3. For IgG2a and IgG2c, however, inbred mouse strains with the Igh1-b allele have IgG2c instead of IgG2a. The murine heavy chain locus has only one of these two subclass genes in addition to the others. Like human, mouse IgG subclasses are very important in immune effector function. For example, mouse IgGs display remarkable differences in anti-bacterial responses (IgG3 >> IgG2b > IgG2a >> IgG1) and opsonophagocytic activities (IgG3 > IgG2b = IgG2a >> IgG1).
Antibody Applications
Conventional antibodies have been utilized in research for protein detection through Western blot, immunohistochemistry (IHC) and enzyme-linked immunosorbent assays (ELISA) for decades. Antibodies have also been developed for diagnostic applications such as pregnancy tests and detection of the viruses in the blood, such as an ELISA that detects HIV. Moreover, antibodies are used commonly in therapeutic applications. For example, Infliximab (Humira) is a human antibody that recognizes tumor necrosis factor alpha (TNFα) and is used in the treatment of Crohn's disease and rheumatoid arthritis. Trastuzumab, or Herceptin, is an antibody used in the treatment of metastatic breast cancer that binds to the epidermal growth factor receptor 2 (EGFR2 or Her2).
Typical antibody applications include:
• Therapeutic use (cancers, infectious diseases & inflammation)
Recombinant Antibody Production
Antibodies are unique in their high affinity and specificity for recognizing a target antigen, a quality that has made them one of the most useful macromolecules in Life Sciences, Biotechnology and Biomedical applications. Modern biotechnology has facilitated the large-scale production of recombinant antibodies. To date, almost all therapeutic antibodies in the clinic and on the market are expressed recombinantly in mammalian cells.
Recombinant antibodies have the highest standards of quality and purity in terms of the composition and specificity of antigen-binding. They are able to target specific epitopes, recruit the immune system where appropriate, maintain long serum half-lives, and deliver clinical benefits in patients. The generation of antibody-producing stable cell lines is an important component of the therapeutic antibody development process. CHO has become the industry “workhorse” for the production of therapeutic antibodies. However, the industry relies on several proprietary expression systems and selection methods (e.g., DHFR and GS) for antibody cell line generation, which is a time and resource consuming process (typically 6 to 18 months).
Recombinant Antibodies for Research Use
Antibodies are highly sensitive and specific for particular epitopes, which makes them ideal reagents for research, in particular in antigen detection and quantification. Currently, most research antibodies are produced in animals as monoclonal (with homogenous isotype and antigen specificity) and polyclonal (heterogeneous isotype and antigen specificity) antibodies. A polyclonal antibody supply is dependent on the source animal, and thus no two batches against a particular antigen will be identical. In contrast, monoclonal antibodies are grown from hybridomas, which can produce a continuous supply of homogenous antibody and are the current standard for research antibody production.
There are growing interests in using recombinant antibodies for research due to the homogeneity and reproducibility for a recombinant product with defined sequence and composition. It also allows a continuous supply of homogenous antibody (homogeneous composition and antigen specificity) and will probably replace hybridoma to become the future standard for research antibody production. In addition genetic engineering enable the quick switching of isotype, species, and/or subclass of a specific antibody, thus making it possible to generate a complete set of monoclonal antibody from all classes and subclasses with an identical antigen-binding specificity. This is particularly useful for the applications that classes/subclasses matter, e..g., immunostaining and flow cytometry analysis involving the use of secondary antibody as well as in vivo functional studies.
Antibody Fragments and Derivatives
Antibody fragments can be produced through chemical or genetic mechanisms. Chemical fragmentation utilizes reducing agents to break the disulfide bonds and digests the antibody with proteases such as pepsin and papain. For example, chemical and protease digestion of full size antibodies yield antigen binding fragments (Fab) from the variable regions of IgGor IgM. Although biochemical methods are able to generate antibody fragments, it is quite laborious and requires a large quantity of purified antibody starting material. In contrast, genetic engineering and construction of fragments offers the ability to create a multitude of fragment containing molecules, each with unique binding and functional characteristics.
The abbreviations in the graph above are as follows:
Genetic engineering allows the production of a single chain variable fragment (scFv) , which is Fv fragment (VH and VL) linked by a flexible peptide. Manipulation of the orientation of V-domains and the linker length creates different forms of Fv molecules. For example, when the linker is at least 12 amino acids long, the scFv fragment is primarily a monomer. Linkers of 3-11 amino acid long yield a dimeric scFv, which thus creates a bivalent “diabody”. If the linker length is less than three amino acids, scFv molecules associate into “triabody” or “tetrabody”, a multivalent form of scFv with greater binding avidity to the target antigen than a monmeric form. scFv fragments can be generated with two different variable domains, yielding a bispecific molecule to bind to two different epitopes. “Minibodies” are scFv-CH3 fusion proteins that assemble into bivalent dimers. Genetic engineering can also be used to create bispecific (Fab’)2 and trifunctional antibody (see the graph above).
Disadvantages of full size antibodies include their inability to penetrate into certain tissues due to their relatively large size. The Fc region will frequently elicit an immune response, which may be detrimental in certain patients. For research, the Fc domain often causes nonspecific binding, which may impair detection specificity. Fragments offer advantages over a full size antibody for some applications. For example, antibody fragments are small enough to infiltrate into some tissues that full size antibodies are unable, which may help in both therapeutic and immunostaining procedures. However, these fragments lacking Fc are degraded in the body much more rapidly than the full length antibodies.
G&P Biosciences Antibody Production Capability
G&P Biosciences has developed unique mammalian expression systems for recombinant antibody production in a high throughput and time effective manner, especially suitable for research laboratory needs. We have exploited a large panel of expression vectors and selection methods for stable antibody cell line generation. Our expression vectors are designed to allow high throughput cloning of immunoglobulin genes and subsequent expression as whole antibodies or fragments. We can express a variety of different class and subclasses of IgG (e.g., human IgG1-4 including some allotypic variants) from many species, including human, mouse and rabbit. We can also produce many Fv and Fab fragment-derived molecules, such as Fab, Fab’, F(ab)’2, “minibody”, scFv-Fc and bispecific antibodies (visit our "Antidoy Products" and “Antibody Services” to learn more and order).
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