Tomoyoshi Doki1, Tomomi Takano, Tsutomu Hohdatsu. 1. Laboratory of Veterinary Infectious Disease, School of Veterinary Medicine, Kitasato University, Towada, Aomori 034-8628, Japan.
Abstract
Feline infectious peritonitis (FIP) is a fatal inflammatory disease caused by FIP virus infection. Feline tumor necrosis factor (fTNF)-alpha is closely involved in the aggravation of FIP pathology. We previously described the preparation of neutralizing mouse anti-fTNF-alpha monoclonal antibody (mAb 2-4) and clarified its role in the clinical condition of cats with FIP using in vitro systems. However, administration of mouse mAb 2-4 to cat may lead to a production of feline anti-mouse antibodies. In the present study, we prepared a mouse-feline chimeric mAb (chimeric mAb 2-4) by fusing the variable region of mouse mAb 2-4 to the constant region of feline antibody. The chimeric mAb 2-4 was confirmed to have fTNF-alpha neutralization activity. Purified mouse mAb 2-4 and chimeric mAb 2-4 were repeatedly administered to cats, and the changes in the ability to induce feline anti-mouse antibody response were investigated. In the serum of cats treated with mouse mAb 2-4, feline anti-mouse antibody production was induced, and the fTNF-alpha neutralization effect of mouse mAb 2-4 was reduced. In contrast, in cats treated with chimeric mAb 2-4, the feline anti-mouse antibody response was decreased compared to that of mouse mAb 2-4-treated cats.
Feline infectious peritonitis (FIP) is a fatal inflammatory disease caused by FIP virus infection. Feline tumor necrosis factor (fTNF)-alpha is closely involved in the aggravation of FIP pathology. We previously described the preparation of neutralizing mouse anti-fTNF-alpha monoclonal antibody (mAb 2-4) and clarified its role in the clinical condition of cats with FIP using in vitro systems. However, administration of mousemAb 2-4 to cat may lead to a production of feline anti-mouse antibodies. In the present study, we prepared a mouse-feline chimeric mAb (chimeric mAb 2-4) by fusing the variable region of mousemAb 2-4 to the constant region of feline antibody. The chimeric mAb 2-4 was confirmed to have fTNF-alpha neutralization activity. Purified mousemAb 2-4 and chimeric mAb 2-4 were repeatedly administered to cats, and the changes in the ability to induce feline anti-mouse antibody response were investigated. In the serum of cats treated with mousemAb 2-4, feline anti-mouse antibody production was induced, and the fTNF-alpha neutralization effect of mousemAb 2-4 was reduced. In contrast, in cats treated with chimeric mAb 2-4, the feline anti-mouse antibody response was decreased compared to that of mousemAb 2-4-treated cats.
Feline infectious peritonitis virus (FIP virus: FIPV), a feline coronavirus (FCoV) of the
family Coronaviridae, causes a fatal disease called FIP in wild and domestic
cat species. Several organs, including the liver, lungs, spleen and central nervous system,
are affected in cats that develop FIP, and the formation of lesions in these organs is
accompanied by necrosis and pyogenic granulomatous inflammation [13]. Pleural effusion and ascitic fluid were reported to accumulate in some
cats. Macrophages/monocytes play an important role in the pathogenesis of FIP. For example,
differences in the proliferation of macrophages/monocytes were shown to be related to
differences in pathogenicity between feline enteric coronavirus (FECV) and FIPV [2, 16]. FECV and FIPV
cannot be serologically or genetically distinguished from each other; however, FECV infection
is normally asymptomatic in cats.We previously reported that tumor necrosis factor (TNF)-alpha is involved in the aggravation
of FIP [17,18,19]. TNF-alpha binds to cell surface TNF
receptors and induces various physiological activities [15, 23]. TNF-alpha plays a critical role in
many aspects of immunity. However, the excessive production of TNF-alpha can lead to acute
inflammation and immune system abnormalities in human and other animals. The involvement of
TNF-alpha in aggravating the symptoms of rheumatoid arthritis, psoriasis and inflammatory
bowel disease has been reported [1, 9, 24]. Moreover,
previous studies have described aggravation of the pathologies of viral infections (such as
human immunodeficiency virus, influenza A virus, herpes simplex virus (HSV) and dengue virus
infections) due to increased TNF-alpha production [5,
12, 14, 21, 25]. TNF-alpha
was produced excessively by FIPV-infected macrophages. TNF-alpha was involved in lymphopenia
and increase in the level of the cellular receptor of serotype II FIPV, aminopeptidase N (APN)
[18, 19]. It
is also reported that neutrophil apoptosis in cats with FIP was inhibited by TNF-alpha. This
finding suggests neutrophilia in cats with FIP due to TNF-alpha-induced neutrophil survival
[17].Anti-TNF-alpha agents are expected to improve the symptoms of FIP caused by viral infection.
We previously described the preparation of a feline TNF-alpha (fTNF-alpha)-neutralizing mouse
monoclonal antibody (anti-fTNF-alpha mAb, mAb 2–4). This mAb 2–4 exhibited high neutralizing
activity against recombinant and natural TNF-alpha, and was confirmed to inhibit the following
fTNF-alpha-induced conditions in vitro: i) an increase in the survival rate
of neutrophils from cats with FIP, ii) APN mRNA expression in macrophages and iii) apoptosis
of a feline T-lymphocyte cell line [4]. These findings
strongly suggested that mAb 2–4 is applicable as a therapeutic drug against FIP. We are also
investigating that mouse mAb 2–4 administration to SPF cats experimentally infected with FIPV
alleviated the clinical condition of cat with FIP [3].
However, because this is a mouse-derived antibody and is a xenogeneic protein for cats,
induction of feline anti-mouse antibodies may reduce the reactivity of mouse mAb 2–4 against
fTNF-alpha.In humans, infliximab is used as a therapeutic drug for rheumatoid arthritis (RA). In
addition to neutralizing humanTNF-alpha, which is a factor aggravating the pathology of RA,
infliximab directly injures TNF-alpha-producing cells expressing TNF-alpha on the cell surface
through antibody-dependent cellular cytotoxicity and complement–dependent cytotoxicity.
Infliximab exhibits its treatment effect against RA through these actions. Infliximab is
repeatedly administered at 4- or 8-week intervals until RA remission is observed. Accordingly,
to reduce antigenicity for humans, infliximab is expressed in mammalian cells as a mouse-human
chimeric antibody prepared by fusing the variable region of mouse mAb and the constant region
of human antibody [20]. Human anti-mouse antibody
response to the mouse-human chimeric mAb was reduced compared to that of the mouse mAb
response, and the adverse reactions after administration were also reduced. Based on these
findings, it was hypothesized that the feline anti-mouse antibody response and the development
of adverse reactions after administration may be reduced by substituting the amino acid
sequence of the feline antibody constant region for that of the mAb 2–4 constant region.In the present study, we prepared mouse-feline chimeric mAb (chimeric mAb 2–4), in which the
variable region of the previously reported anti-fTNF-alpha mAb 2–4 was fused to the feline
antibody constant region, and confirmed its fTNF-alpha neutralization activity. In addition,
purified mouse mAb 2–4 and chimeric mAb 2–4 were repeatedly administered to cats to
investigate the changes in ability to induce a feline anti-mouse antibody response.
MATERIALS AND METHODS
Cell cultures: FO mousemyeloma cells (ATCC CRL-1646) and WEHI-164 murinesarcoma cells (ATCC CRL1751) were obtained from the American Type Culture Collection. The
hybridoma mAb 2–4 cell was developed in our laboratory [4]. FO cells and hybridoma mAb 2–4 cell producing the antibody to feline TNF-alpha
were maintained in Dulbecco’s modified Eagle’s minimum essential medium supplemented with
10% FCS and antibiotics. WEHI-164 cells were maintained in RPMI 1640 growth medium
supplemented with 10% FCS, antibiotics, 50 µM 2-mercaptoethanol and 2
µg/ml of polybrene.Cloning of variable regions of heavy chain and light chain of mAb 2–4 and constant
regions of heavy chain and light chain of feline immunoglobulin: RNA isolation
from cells and cDNA preparation were performed employing the method of [18]. The variable region genes of the mAb 2–4
(VH and VL) were amplified by PCR from cDNA of hybridoma mAb 2–4
mRNA. The constant region gene of feline immunoglobulin heavy chain (CH) was
amplified from cDNA of feline peripheral blood mononuclear cell mRNA. The constant region
gene of feline immunoglobulin light chain (CL) was artificially synthesized by
Life Technologies (Carlsbad, CA, U.S.A.) based on a published nucleotide sequence (Genbank
AF198257.1) and inserted into the pMA-T plasmid. The primer sequences used for PCR are shown
in Table 1. VH, VL, CH and CL
were individually cloned in pCR-blunt II-TOPO vectors using the Zero Blunt TOPO PCR cloning
kit (Life Technologies).
Table 1. Sequence of PCR primers for variable region of mAb 2-4
and constant region of feline IgG
Orientation
Sequence
HV
Forward
5’-AAGCTTGCCGCCACCATGGCCTGGCTGTGGAACTT-3’
Reverse
5’-GGATCCACTCACCTGAGGAGACGGTGACCGT-3’
LV
Forward
5’-AAGCTTGCCGCCACCATGGCCCCGTCTATTCAGTT-3’
Reverse
5’-GGATCCACTTATTGATTTCCAGCTT-3’
CH
Forward
5’-GGTGAGTGGATCCAGACCACGGCCCCATCG-3’
Reverse
5’-TGCTCATTTACCCGGAGA-3’
CL
Forward
5’-AAGTGGATCCAGAGTGATGCTCAGCCATCT-3’
Reverse
5’-CTACTCTCTCTGACACTCGCTCCT-3’
Construction and expression of chimeric mAb 2–4: The CH and
CL genes and VH and VL fragments inserted in the
pCR-bluntII-TOPO vectors were connected using a Bam HI linker to prepare chimeric H and L
chains (Fig. S1), respectively. The chimeric H chain fragment was inserted into the EcoRI
site of the pCDNA3.1 (+)/Neo expression vector. The chimeric L chain fragment was inserted
into the HindIII/EcoRV site of the pCDNA3.1 (+)/Hygro expression vector. FO cells were
co-transfected with the H- and L-chain expression vectors with Lipofectamine 2000 (Life
Technologies). The transfected FO cells were cultured in medium containing G418 (Roche
Diagnostics, Basel, Switzerland) and hygromycyn B (Roche Diagnostics), to acquire a stably
expressing cell line (FOCM24). FOCM24 cells were cloned twice employing the limiting
dilution method.Purification of mouse mAb 2–4 and chimeric mAb 2–4: Mouse mAb 2–4 was
purified from the hybridoma mAb 2–4 culture supernatant with Protein G Sepharose (GE
Healthcare, Chicago, IL, U.S.A.) according to the product manual. Chimeric mAb 2–4 was
purified from the FOCM24 culture supernatant with Protein A Sepharose (GE Healthcare). After
purification, the buffer of mAbs was exchanged to PBS (pH 7.4) by Amicon Ultra-15
centrifugal filter devices (NMWL 30,000; Millipore, Billerica, MA, U.S.A.). The
concentrations of purified mAbs were assayed by the Bradford method.Western immunoblotting assay: Purified mouse mAb 2–4 and chimeric mAb 2–4
were incubated without 2-mercaptoethanol at RT for 5 min (non-reducing condition). mAbs were
incubated with 2-mercaptoethanol at 100°C for 10 min (reducing condition). mAbs were run
using 15% sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) and a
transferred nitrocellulose membrane. The blot was blocked with 5% nonfat dry milk powder in
TBST (20 mM Tris-HCl, pH 8.0, 0.88% NaCl and 0.05% Tween-20) for 1 hr at 37°C. Following
washing, the membrane was incubated with horseradish peroxidase conjugated goat anti-mouseIgG (H+L chain specific) (Southern Biotechnology Associates Inc., Birmingham, AL, U.S.A.) or
horseradish peroxidase conjugated goat anti-feline IgG (whole molecular) (MP Biomedicals,
Santa Ana, CA, U.S.A.) for 1 hr at 37°C and then visualized in the substrate for 10 min.Neutralization test of mouse mAb 2–4 and chimeric mAb 2–4 against feline TNF-alpha
using WEHI-164 cells: Neutralization test was performed as described previously
[4]. Briefly, WEHI-164 cells were suspended at 1 ×
106 cells/ml in the dilution medium containing 1
µg/ml of Actinomycin D (Sigma Aldrich, St. Louis, MO,
U.S.A.) and pre-incubated at 37°C for 3 hr. Serially diluted mouse mAb 2–4, chimeric mAb 2–4
or anti feline APN mAb (mAb R-G-4, as a control for mAb 2–4) was mixed with 40
ng/ml recombinant fTNF-alpha (R&D systems,
Minneapolis, MN, U.S.A., 75% cytotoxic activity against WEHI-164 cells) or ascites of cats
with FIP that were used as natural feline TNF-alpha samples (final concentration of 1:8, 80%
cytotoxic activity against WEHI-164 cells). The mixture was incubated at 37°C for 1 hr.
Pre-incubated cells were seeded in a volume of 50 µl in the wells of a
96-well plate. Fifty microliters of the mixture was then added into each well. After
incubation at 37°C for 24 hr, 10 µl of WST-8 solution (WST-8 cell
proliferation assay kit; Kishida Chemical Co., Ltd., Osaka, Japan) was added, and the cells
were returned to the incubator for 1 hr. The absorbance of formazan produced was measured at
450 nm with a 96-well spectrophotometric plate reader, as described by the manufacturer. The
percent neutralization was calculated by the following formula: Neutralization (%)=(O.D. of
wells containing mAb and samples −O.D. of wells containing samples alone)/O.D. of wells
without mAb and samples × 100.Repeated-dose test in cats: The mAb repeated-dose test was performed
referring to the method reported by Umehashi et al. [22]. Purified mouse mAb 2–4, chimeric mAb 2–4 or PBS as a control was
administered to 5 specific pathogen free (SPF) cats aged 2 months. After sedation with
Medetomidine (Domitor, Orion Corporation, Espoo, Finland), the SPF cats received low- (1
mg/kg) or high-dose (5 mg/kg) mAb injection into the cervical vein 5 times at 2- or 4-week
intervals. Serum was collected immediately before administration. Blood pressure and pulse
were measured at the forearm or root of the tail before mAb administration and 10 min after
administration, using a fully automatic electronic sphygmomanometer (Pettrust, Aster
Electric Co., Yokohama, Japan). The measurements were performed in triplicate. This animal
experiment was performed in accordance with the Guidelines for Animal Experiments of
Kitasato University (the number of approval is 14–045). SPF cats were maintained in a
temperature-controlled isolated facility.Changes in anti-mouse antibody in mouse mAb 2–4- or chimeric mAb 2–4-injected cat
serum: Immulon 4HBX ELISA plates (Thermo Fisher Scientific Inc., Waltham, MA,
U.S.A.) were coated overnight at 4°C with purified mouse mAb 2–4 (500
ng/100 µl/well) diluted with carbonate buffer (0.05 M, pH
9.6). After washing with phosphate buffered saline (PBS) containing 0.02% Tween-20, the
plates were blocked with a blocking buffer containing 0.5% skim milk in PBS at 37°C for 60
min. Each well of the plates then received 100 µl of 200-fold diluted serum
collected from mAb treated cats. After 60 min incubation at 37°C, the plates were washed,
and horseradish peroxidase conjugated goat anti-feline IgG (whole molecular) was diluted to
the optimal concentrations, and then, 100 µl of the dilution was added to
each well of the plates. After incubation at 37°C for 30 min, the plates were washed, and
each well received 100 µl of substrate solution and was incubated at 25°C
for 10 min in the dark. The substrate solution was prepared by dissolving o-phenylenediamine
dihydrochloride at a concentration of 0.4 mg/ml in 0.1 M citric acid and
0.2 M Na2HPO4 buffer (pH 4.8) and adding 0.2
µl/ml of 30% H2O2. The reaction
was stopped with 3 N H2SO4 solution, and the optical density (OD) at
492 nm was determined.Changes in neutralization activity of mouse mAb 2–4 and chimeric mAb 2–4 reacted
with mouse mAb 2–4- or chimeric mAb 2–4-injected cat serum: Sera collected from
the mAb-treated cats were diluted 10-fold with medium. The diluted sera were reacted for one
hour with mouse mAb 2–4 or chimeric mAb 2–4 at the minimum concentration necessary for 80%
or higher neutralization of 10 ng/ml recombinant
fTNF-alpha. The reactant was then combined with recombinant fTNF-alpha (final concentration:
10 ng/ml). One hour later, the reactants were administered
to WEHI-164 cells. The level of TNF-alpha-induced cytotoxicity was measured after 24 hr.
RESULTS
Cloning of the variable regions of the heavy and light chains of mAb 2–4 and the
constant regions of heavy and light chains of feline immunoglobulin: The
VH (414 bp) and VL (378 bp) genes were amplified from cDNA derived
from hybridoma mAb 2–4 (Fig. S2), and the CH gene (1005 bp) was amplified from
cDNA derived from feline PBMCs. The CL gene (330 bp) was amplified using a
plasmid containing a known CL gene as a template. Each PCR product was cloned
into the pCR-blunt II-TOPO vector and sequenced. The VH and CH genes
were ligated, inserted into the pCDNA 3.1 (+)/Neo expression vector and sequenced (Fig. S3).
The amino acid sequence deduced from the base sequence was confirmed to show the
characteristics of the variable region of mAb 2–4 and the constant region of the feline
immunoglobulin heavy chain. Similarly, the amino acid sequences of the VL and
CL genes were deduced from the base sequences, and it was confirmed that the
recombinant protein had the characteristics of the variable region of mAb 2–4 and the
constant region of the feline immunoglobulin kappa light chain (Fig. S4).Western immunoblotting assay of mouse mAb 2–4 and chimeric mAb 2–4: FO
cells harboring the expression vector were cultured, and chimeric mAb 2–4 in the culture
supernatant was collected. Chimeric mAb 2–4 and mouse mAb 2–4 were individually purified
using a protein A or protein G column. The purified mAbs were subjected to SDS-PAGE, and
their purities were confirmed by CBB staining. No protein band other than those of mAbs was
detected by SDS-PAGE. The purified chimeric mAb 2–4 was western blotted with mouse mAb 2–4.
When non-reduced mouse mAb 2–4 and chimeric mAb 2–4 were electrophoresed, smear-like bands
were detected at 135-kDa and higher (Fig. 1A). When the blot was reacted with anti-mouseIgG antibody, bands were detected in the
lane applied with mouse mAb 2–4, but no band was detected in the lane applied with chimeric
mAb 2–4. When the blot was reacted with anti-feline IgG antibody, bands were detected in the
lane applied with chimeric mAb 2–4, but not in the lane with mouse mAb 2–4.
Fig. 1.
Western blot analysis of purified mAb 2–4 and chimeric mAb 2–4. Mouse mAb 2–4 and
chimeric mAb 2–4 were electrophoresed on 12.5% polyacrylamide gel under reducing and
non-reducing conditions. Mouse mAb 2–4 and chimeric mAb 2–4 were detected by western
blotting with anti-mouse IgG antibody and anti-feline IgG antibody. Lanes 1 and 4;
marker, Lanes 2 and 5; mouse mAb 2–4, Lanes 3 and 6; chimeric mAb 2–4. (A)
Non-reducing condition. (B) Reducing condition.
Western blot analysis of purified mAb 2–4 and chimeric mAb 2–4. Mouse mAb 2–4 and
chimeric mAb 2–4 were electrophoresed on 12.5% polyacrylamide gel under reducing and
non-reducing conditions. Mouse mAb 2–4 and chimeric mAb 2–4 were detected by western
blotting with anti-mouseIgG antibody and anti-feline IgG antibody. Lanes 1 and 4;
marker, Lanes 2 and 5; mouse mAb 2–4, Lanes 3 and 6; chimeric mAb 2–4. (A)
Non-reducing condition. (B) Reducing condition.When reduced mouse mAb 2–4 and chimeric mAb 2–4 were electrophoresed, approximately 25-kDa
and 50-kDa bands were visible (Fig. 1B). When the
blot was reacted with anti-mouseIgG antibody, 50- and 25-kDa bands were detected in the
lane applied with mouse mAb 2–4, but no band was observed in the lane with chimeric mAb 2–4.
When reacted with anti-feline IgG antibody, a band approximately 25-kDa was detected in the
lane with mouse mAb 2–4, and 50- and 25-kDa bands were detected in the lane with chimeric
mAb 2–4.Neutralizing activity of mAbs against feline TNF-alpha: Mouse mAb 2–4 and
chimeric mAb 2–4 were tested for their neutralization activity against recombinant fTNF-α
using the WEHI-164 cytotoxicity assay system. Mouse mAb 2–4 and chimeric mAb 2–4 neutralized
the cytotoxic activity of recombinant fTNF-alpha on WEHI-164 cells in a
concentration-dependent manner (Fig. 2A). Similarly, the neutralization activity of mouse mAb 2–4 and chimeric mAb 2–4
against endogenous fTNF-alpha contained in ascites of cats with FIP was confirmed. Mouse mAb
2–4 and chimeric mAb 2–4 neutralized the cytotoxic activity of ascites from cats with FIP on
WEHI-164 cells in a concentration-dependent manner (Fig.
2B). mAb R-G-4 (as a control for mAb 2–4) did not neutralize the cytotoxic activity
of both recombinant fTNF-alpha and ascites of cats with FIP (Fig. 2A and 2B).
Fig. 2.
Neutralization dose-response curve of mAb 2–4 and chimeric mAb 2–4 against
fTNF-alpha. The neutralizing activities of mAbs against fTNF-alpha-induced
cytotoxicity on WEHI-164 cells were measured. WEHI-164 cells were treated with
mixtures of serial dilutions of mAbs and fTNF-alpha, and the level of
TNF-alpha-induced cytotoxicity was measured after 24 hr. Experiments were performed in
triplicate, and the figure shows mean ± standard errors. (A) The neutralizing
activities of mAbs against recombinant fTNF-alpha. (B) The neutralizing activities of
mAbs against natural fTNF-alpha.
Neutralization dose-response curve of mAb 2–4 and chimeric mAb 2–4 against
fTNF-alpha. The neutralizing activities of mAbs against fTNF-alpha-induced
cytotoxicity on WEHI-164 cells were measured. WEHI-164 cells were treated with
mixtures of serial dilutions of mAbs and fTNF-alpha, and the level of
TNF-alpha-induced cytotoxicity was measured after 24 hr. Experiments were performed in
triplicate, and the figure shows mean ± standard errors. (A) The neutralizing
activities of mAbs against recombinant fTNF-alpha. (B) The neutralizing activities of
mAbs against natural fTNF-alpha.Repeated-dose test in cats: Purified mouse mAb 2–4 and chimeric mAb 2–4
were repeatedly administered to SPF cats at 2- or 4-week intervals, and the blood pressure
and pulse were measured before and after administration (Table 2). Body temperature tended to decrease after administration of PBS, mouse mAb
2–4 and chimeric mAb 2–4 throughout the period with 5 administrations, but no significant
difference was observed among the 3 groups. Neither were there any differences in blood
pressure or pulse between the groups or due to dosing frequency.
Table 2.
Blood pressure, body tempreture and heart rate of mAb injected cats
a) Immediately before administration of PBS or mAb. b) 10 min after administration of
PBS or mAb.
a) Immediately before administration of PBS or mAb. b) 10 min after administration of
PBS or mAb.Changes in anti-mouse antibody in mouse mAb 2–4- or chimeric mAb 2–4-injected cat
serum: Serum was collected at various time points from cats treated with PBS,
mouse mAb 2–4 and chimeric mAb 2–4. The feline anti-mouse antibodies in mAb-injected cat
serum were detected using ELISA against mouse mAb 2–4 (Fig. 3). Feline anti-mouse antibodies were detected in mAb-injected cat serum.
Fig. 3.
Changes in anti-mouse antibody in mouse mAb 2–4- or chimeric mAb 2–4-injected cat
serum. The ELISA plates were coated with purified mouse mAb 2–4. Each well of the
plates received serum collected from mAb treated cats. After incubation, the feline
anti-mouse antibody was detected with anti-feline IgG antibody.
Changes in anti-mouse antibody in mouse mAb 2–4- or chimeric mAb 2–4-injected cat
serum. The ELISA plates were coated with purified mouse mAb 2–4. Each well of the
plates received serum collected from mAb treated cats. After incubation, the feline
anti-mouse antibody was detected with anti-feline IgG antibody.To investigate whether there were neutralizing antibodies against mouse and chimeric mAb
2–4 in mAb treated cat serum, the collected sera were reacted with mouse mAb 2–4 or chimeric
mAb 2–4, and changes in the fTNF-alpha neutralization activities of these antibodies were
measured. When mouse mAb 2–4 was reacted with sera from cats treated with 1 or 5 mg/kg mouse
mAb 2–4, its neutralizing activity was decreased (Fig.
4A), but when it was reacted with serum from PBS-treated cats, no decrease in the
neutralizing activity was observed.
Fig. 4.
The changes of neutralization activity of mouse mAb 2–4 and chimeric mAb 2–4 reacted
with mouse mAb 2–4 or chimeric mAb 2–4 injected cat serum. Sera were collected from
mAb-treated cats at various time points and reacted for one hour with mouse mAb 2–4 or
chimeric mAb 2–4 at the minimum concentration neutralizing 80% or more of 10
ng/ml recombinant fTNF-alpha. Each reactant was
then combined with recombinant fTNF-alpha (final concentration: 10
ng/ml). One hour later, the reactant was
administered to WEHI-164 cells. The level of TNF-alpha-induced cytotoxicity was
measured after 24 hr. Experiments were performed in triplicate, and the figure shows
mean ± standard errors. (A) The rates of recombinant fTNF-alpha neutralization by sera
from cats treated with PBS or mAb 2–4 following reaction with mAb 2–4. (B) The rates
of recombinant fTNF-alpha neutralization by sera from cats treated with PBS or
chimeric mAb 2-4 following reaction with chimeric mAb 2–4.
The changes of neutralization activity of mouse mAb 2–4 and chimeric mAb 2–4 reacted
with mouse mAb 2–4 or chimeric mAb 2–4 injected cat serum. Sera were collected from
mAb-treated cats at various time points and reacted for one hour with mouse mAb 2–4 or
chimeric mAb 2–4 at the minimum concentration neutralizing 80% or more of 10
ng/ml recombinant fTNF-alpha. Each reactant was
then combined with recombinant fTNF-alpha (final concentration: 10
ng/ml). One hour later, the reactant was
administered to WEHI-164 cells. The level of TNF-alpha-induced cytotoxicity was
measured after 24 hr. Experiments were performed in triplicate, and the figure shows
mean ± standard errors. (A) The rates of recombinant fTNF-alpha neutralization by sera
from cats treated with PBS or mAb 2–4 following reaction with mAb 2–4. (B) The rates
of recombinant fTNF-alpha neutralization by sera from cats treated with PBS or
chimeric mAb 2-4 following reaction with chimeric mAb 2–4.When chimeric mAb 2–4 was reacted with serum from cats treated with 1 mg/kg chimeric mAb
2–4, no decrease in the neutralizing activity of chimeric mAb 2–4 was observed, similarly to
that observed when reacted with serum of PBS-treated cats (Fig. 4B). Regarding serum from cats treated with 5 mg/kg of chimeric
mAb 2–4, the neutralizing activity of chimeric mAb 2–4 decreased when it was reacted with
sera collected after the 3rd administration and thereafter (28 days after the initial
administration) (Fig. 4B).
DISCUSSION
FIP is a fatal inflammatory disease caused by FIPV. Treatment of FIP-induced systemic
inflammation with anti-inflammatory drugs, such as steroids, has been investigated, but
existing anti-inflammatory drugs only transiently improves FIP symptoms, and the survival
time and quality of life remain unable to be improved [6]. We previously reported that progression to the FIP was prevented by inhibition
of the physiological activity of an inflammatory cytokine, TNF-alpha. When anti-fTNF-alpha
mouse mAb was administered to cats with FIP, their survival time and quality of life were
improved [3]. However, administration of mouse mAb to
xenogeneic animals may cause adverse reactions. We prepared mouse-feline chimeric mAb
(chimeric mAb 2–4) by modifying the mouse anti-fTNF-alpha mAb 2–4 and investigated its
fTNF-alpha neutralization activity. In addition, changes in the feline anti-mouse antibody
response-inducing ability induced by repeated administration of purified mouse mAb 2–4 and
chimeric mAb 2–4 in cats were investigated.Chimeric mAb 2–4 was prepared by fusion of the variable region of anti-fTNF-alpha mouse mAb
2–4 and the feline antibody constant region and expressed in FO cells. Mouse mAb 2–4 and
chimeric mAb 2–4 were purified and analyzed using western blotting. Anti-mouseIgG antibody
reacted with mouse mAb 2–4 but did not react with chimeric mAb 2–4, whereas anti-feline IgG
antibody did not react with mouse mAb 2–4 but reacted with chimeric mAb 2–4, confirming that
the antigenicity of chimeric mAb 2–4 is similar to that of feline IgG. When neutralization
of fTNF-alpha by purified chimeric mAb 2–4 was investigated, chimeric mAb 2–4 neutralized
recombinant and natural fTNF-alpha, similarly to mouse mAb 2–4. Based on these findings,
chimeric mAb 2–4 possesses fTNF-alpha neutralization activity similar to that of mouse mAb
2–4 while maintaining the characteristics of feline IgG.Purified mouse mAb 2–4 and chimeric mAb 2–4 were administered to cats. Five administrations
of the mAb did not cause any anaphylactic reaction in either group. Umehashi et
al. reported the relationship between repeated administration of mouse mAb and
mouse-feline chimeric mAb and the induction of anaphylactic reactions, in which several
administrations of 10 mg/kg mouse mAb or chimeric mAb did not cause any anaphylactic
reaction in cats, whereas 50 mg/kg mouse mAb did [22]. Based on this finding, the antibody dose and dosing frequency adopted in our
study were within the range shown not to induce anaphylactic reaction. Because a human-mouse
chimeric mAb, infliximab, is repeatedly administered to humans at doses of 3 or 5 mg/kg, and
mouse mAb 2–4 exhibited a therapeutic effect at 3 mg/kg in FIP cats, the doses used in the
present study were set based on these findings [8,
10, 11].
Experiments to confirm whether or not an anaphylactic reaction is induced by high-dose
repeated administration are warranted.Single administration of mouse mAb 2–4 improved the survival time and quality of life of
cats with FIP [4]; however, single administration did
not exhibit a therapeutic effect in some cats. It is known that single administration of an
anti-fTNF-alpha drug is unlikely to exhibit a therapeutic effect on cats with FIP; thus,
several administrations of mAb 2–4 are necessary for treatment. However, several
administrations of mouse mAb may induce anaphylactic reactions, as described above.
Moreover, mouse mAb is a xenogeneic protein for cats, suggesting that a feline anti-mouse
antibody response is induced in cats treated with mouse mAb 2–4, decreasing the reactivity
against fTNF-alpha and thus reducing the therapeutic effect. The possibility of feline
anti-chimeric antibody production similar to the production of anti-mouse mAb 2–4 antibody
cannot be ruled out due to the variable region of chimeric mAb 2–4 being derived from mouse
protein. Thus, the induction of feline anti-mouse antibodies in cats treated with mouse and
chimeric mAb was investigated. As the feline anti-mouse antibody was increased in serum, the
fTNF-alpha neutralization effect of mAb 2–4 was reduced in cats treated with mouse mAb 2–4
and 5 mg/kg chimeric mAb 2–4. That is, no neutralizing antibody against chimeric mAb 2–4
induction was observed in cats treated with 1 mg/kg chimeric mAb 2–4, suggesting that feline
anti-mouse antibody induction was prevented by modifying mouse mAb 2–4 to chimeric mAb 2–4.
Accordingly, repeated administration of chimeric mAb 2–4 may not decrease the therapeutic
effect in cats. However, in cats receiving 5 mg/kg chimeric mAb 2–4 administration, the
neutralizing antibody against chimeric mAb 2–4 was induced after the 2nd administration,
strongly suggesting that chimeric mAb 2–4 also induces production of neutralizing antibody
against chimeric mAb 2–4 when administered at a high dose. A decrease in the therapeutic
effect of infliximab due to production of neutralizing antibody against chimeric mAb has
similarly been reported [7]. However, neutralizing
antibody against chimeric mAb production can be inhibited by concomitant administration of
an anti-inflammatory drug, methotrexate (MTX). MTX suppresses the humoral immune response
and is thought to reduce production of antibody against chimeric mAb after infliximab
administration [10, 11]. Concomitant MTX administration with chimeric mAb 2–4 may also inhibit
production of neutralizing antibody against chimeric mAb. Future studies are necessary to
investigate the applicability of concomitant MTX administration with chimeric mAb 2–4 in
cats with FIP.In conclusion, we prepared mouse-feline chimeric mAb 2–4 by fusing the variable region of
anti-fTNF-alpha mAb 2–4 to the feline antibody constant region and confirmed that it
maintained fTNF-alpha neutralization activity. When the chimeric mAb 2–4 was administered to
cats, the induction of feline anti-mouse antibody response was decreased compared to that
after mouse mAb 2–4 administration. These results warrant further investigation on the dose
and dosing frequency of chimeric mAb 2–4 appropriate for effective treatment of cats with
FIP.
Authors: P E Lipsky; D M van der Heijde; E W St Clair; D E Furst; F C Breedveld; J R Kalden; J S Smolen; M Weisman; P Emery; M Feldmann; G R Harriman; R N Maini Journal: N Engl J Med Date: 2000-11-30 Impact factor: 91.245
Authors: R Maini; E W St Clair; F Breedveld; D Furst; J Kalden; M Weisman; J Smolen; P Emery; G Harriman; M Feldmann; P Lipsky Journal: Lancet Date: 1999-12-04 Impact factor: 79.321
Authors: Stephen B Hanauer; Brian G Feagan; Gary R Lichtenstein; Lloyd F Mayer; S Schreiber; Jean Frederic Colombel; Daniel Rachmilewitz; Douglas C Wolf; Allan Olson; Weihang Bao; Paul Rutgeerts Journal: Lancet Date: 2002-05-04 Impact factor: 79.321