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Trends in the Development of Antibody-Drug Conjugates for Cancer Therapy 用于癌症治疗的抗体-药物偶联物的发展趋势
Q3 IMMUNOLOGY Pub Date : 2023-11-03 DOI: 10.3390/antib12040072
Chi Hun Song, Minchan Jeong, Hyukmin In, Ji Hoe Kim, Chih-Wei Lin, Kyung Ho Han
In cancer treatment, the first-generation, cytotoxic drugs, though effective against cancer cells, also harmed healthy ones. The second-generation targeted cancer cells precisely to inhibit their growth. Enter the third-generation, consisting of immuno-oncology drugs, designed to combat drug resistance and bolster the immune system’s defenses. These advanced therapies operate by obstructing the uncontrolled growth and spread of cancer cells through the body, ultimately eliminating them effectively. Within the arsenal of cancer treatment, monoclonal antibodies offer several advantages, including inducing cancer cell apoptosis, precise targeting, prolonged presence in the body, and minimal side effects. A recent development in cancer therapy is Antibody-Drug Conjugates (ADCs), initially developed in the mid-20th century. The second generation of ADCs addressed this issue through innovative antibody modification techniques, such as DAR regulation, amino acid substitutions, incorporation of non-natural amino acids, and enzymatic drug attachment. Currently, a third generation of ADCs is in development. This study presents an overview of 12 available ADCs, reviews 71 recent research papers, and analyzes 128 clinical trial reports. The overarching objective is to gain insights into the prevailing trends in ADC research and development, with a particular focus on emerging frontiers like potential targets, linkers, and drug payloads within the realm of cancer treatment.
在癌症治疗中,第一代细胞毒性药物虽然对癌细胞有效,但也会损害健康细胞。第二代药物精确地靶向癌细胞以抑制它们的生长。进入第三代,由免疫肿瘤药物组成,旨在对抗耐药性并增强免疫系统的防御。这些先进的疗法通过阻止癌细胞在体内不受控制的生长和扩散,最终有效地消灭它们。在癌症治疗中,单克隆抗体具有诱导癌细胞凋亡、精确靶向、在体内存在时间长、副作用小等优点。癌症治疗的最新发展是抗体-药物偶联物(adc),最初是在20世纪中期发展起来的。第二代adc通过创新的抗体修饰技术解决了这一问题,如DAR调节、氨基酸取代、非天然氨基酸的掺入和酶促药物附着。目前,第三代adc正在开发中。本研究概述了12种可用adc,回顾了71篇最近的研究论文,并分析了128份临床试验报告。总体目标是深入了解ADC研究和开发的流行趋势,特别关注癌症治疗领域的潜在靶点、连接物和药物有效载荷等新兴领域。
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引用次数: 1
When Autoantibodies Are Missing: The Challenge of Seronegative Rheumatoid Arthritis 当自身抗体缺失:血清阴性类风湿性关节炎的挑战
Q3 IMMUNOLOGY Pub Date : 2023-10-31 DOI: 10.3390/antib12040069
Marino Paroli, Maria Isabella Sirinian
Seronegative rheumatoid arthritis (SNRA) is characterized by the absence of both rheumatoid factor (RF) and antibodies against the cyclic citrullinated protein (ACPA) in serum. However, the differences between the two forms of RA are more complex and have not yet been definitively characterized. Several lines of evidences support the idea that there are specific elements of the two forms, including genetic background, epidemiology, pathogenesis, severity of progression over time, and response to therapy. Clinical features that may differentiate SNRA from SPRA are also suggested by data obtained from classical radiology and newer imaging techniques. Although new evidence seems to provide additional help in differentiating the two forms of RA, their distinguishing features remain largely elusive. It should also be emphasized that the distinctive features of RA forms, if not properly recognized, can lead to the underdiagnosis of SNRA, potentially missing the period called the “window of opportunity” that is critical for early diagnosis, timely treatment, and better prognosis. This review aims to summarize the data provided in the scientific literature with the goal of helping clinicians diagnose SNRA as accurately as possible, with emphasis on the most recent findings available.
血清阴性类风湿性关节炎(SNRA)的特点是血清中缺乏类风湿因子(RF)和抗环瓜氨酸蛋白(ACPA)的抗体。然而,两种形式的RA之间的差异更为复杂,尚未明确表征。有几条证据支持这一观点,即两种形式有特定的因素,包括遗传背景、流行病学、发病机制、随时间进展的严重程度以及对治疗的反应。从经典放射学和较新的影像学技术获得的数据也提示了可能区分SNRA和SPRA的临床特征。尽管新的证据似乎为区分两种类型的类风湿性关节炎提供了额外的帮助,但它们的区别特征在很大程度上仍然难以捉摸。还应该强调的是,如果不能正确认识RA形式的独特特征,可能导致SNRA的诊断不足,可能错过被称为“机会之窗”的时期,这对早期诊断、及时治疗和更好的预后至关重要。本综述旨在总结科学文献中提供的数据,以帮助临床医生尽可能准确地诊断SNRA,重点是最新的发现。
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引用次数: 0
Atypical Asparagine Deamidation of NW Motif Significantly Attenuates the Biological Activities of an Antibody Drug Conjugate NW基序的非典型天冬酰胺脱酰胺显著降低了抗体药物偶联物的生物活性
Q3 IMMUNOLOGY Pub Date : 2023-10-24 DOI: 10.3390/antib12040068
Mingyan Cao, G. Patrick Hussmann, Yeqing Tao, Ellen O’Connor, Conner Parthemore, Diana Zhang-Hulsey, Dengfeng Liu, Yang Jiao, Niluka de Mel, Meagan Prophet, Samuel Korman, Jaytee Sonawane, Christina Grigoriadou, Yue Huang, Scott Umlauf, Xiaoyu Chen
Asparagine deamidation is a post-translational modification (PTM) that converts asparagine residues into iso-aspartate and/or aspartate. Non-enzymatic asparagine deamidation is observed frequently during the manufacturing, processing, and/or storage of biotherapeutic proteins. Depending on the site of deamidation, this PTM can significantly impact the therapeutic’s potency, stability, and/or immunogenicity. Thus, deamidation is routinely monitored as a potential critical quality attribute. The initial evaluation of an asparagine’s potential to deamidate begins with identifying sequence liabilities, in which the n + 1 amino acid is of particular interest. NW is one motif that occurs frequently within the complementarity-determining region (CDR) of therapeutic antibodies, but according to the published literature, has a very low risk of deamidating. Here we report an unusual case of this NW motif readily deamidating within the CDR of an antibody drug conjugate (ADC), which greatly impacts the ADC’s biological activities. Furthermore, this NW motif solely deamidates into iso-aspartate, rather than the typical mixture of iso-aspartate and aspartate. Interestingly, biological activities are more severely impacted by the conversion of asparagine into iso-aspartate via deamidation than by conversion into aspartate via mutagenesis. Here, we detail the discovery of this unusual NW deamidation occurrence, characterize its impact on biological activities, and utilize structural data and modeling to explain why conversion to iso-aspartate is favored and impacts biological activities more severely.
天冬酰胺脱酰胺是一种翻译后修饰(PTM),将天冬酰胺残基转化为异天冬氨酸和/或天冬氨酸。在生物治疗蛋白的制造、加工和/或储存过程中经常观察到非酶解天冬酰胺脱酰胺。根据脱酰胺部位的不同,这种PTM可以显著影响治疗的效力、稳定性和/或免疫原性。因此,脱酰胺是常规监测的一个潜在的关键质量属性。对天冬酰胺脱酰胺潜力的初步评估始于确定序列负性,其中n + 1氨基酸特别感兴趣。NW是在治疗性抗体的互补决定区(CDR)中经常出现的一个基序,但根据已发表的文献,其失贞风险非常低。在这里,我们报告了一个罕见的案例,该NW基序在抗体药物偶联物(ADC)的CDR内容易脱酰胺,这极大地影响了ADC的生物活性。此外,这个NW基序完全脱酰胺成异天冬氨酸,而不是典型的异天冬氨酸和天冬氨酸的混合物。有趣的是,通过脱酰胺将天冬酰胺转化为异天冬氨酸对生物活性的影响比通过诱变将天冬氨酸转化为异天冬氨酸更严重。在这里,我们详细介绍了这种不寻常的NW脱酰胺现象的发现,描述了它对生物活性的影响,并利用结构数据和模型来解释为什么转化为异天冬氨酸更受欢迎,并且对生物活性的影响更严重。
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引用次数: 0
A New Method to Characterize Conformation-Specific Antibody by a Combination of Agarose Native Gel Electrophoresis and Contact Blotting 琼脂糖天然凝胶电泳与接触印迹相结合的构象特异性抗体鉴定新方法
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-05-12 DOI: 10.3390/antib11020036
T. Akuta, T. Maruyama, Chiaki Sakuma, Masataka Nakagawa, Yui Tomioka, Kevin C Entzminger, J. Fleming, Ryo Sato, Takashi Shibata, Y. Kurosawa, C. Okumura, T. Arakawa
In this study, we review the agarose native gel electrophoresis that separates proteins and macromolecular complexes in their native state and transfer of the separated proteins from the agarose gel to membranes by contact blotting which retains the native state of these structures. Green fluorescent protein showed functional state both on agarose gel and blotted membrane. Based on the combined procedures, we discovered conformation-specific monoclonal antibodies against PLXDC2 and SARS-CoV-2 spike protein.
在这项研究中,我们回顾了琼脂糖天然凝胶电泳,该电泳分离天然状态的蛋白质和大分子复合物,并通过接触印迹将分离的蛋白质从琼脂糖凝胶转移到膜上,从而保留这些结构的天然状态。绿色荧光蛋白在琼脂糖凝胶和印迹膜上均表现出功能状态。基于联合程序,我们发现了针对PLXDC2和严重急性呼吸系统综合征冠状病毒2型刺突蛋白的构象特异性单克隆抗体。
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引用次数: 4
Mammalian Display Platform for the Maturation of Bispecific TCR-Based Molecules 基于双特异性tcr分子成熟的哺乳动物展示平台
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-05-10 DOI: 10.3390/antib11020034
Janine Dilchert, M. Hofmann, F. Unverdorben, R. Kontermann, S. Bunk
Bispecific T cell receptor (TCR)-based molecules capable of redirecting and activating T cells towards tumor cells represent a novel and promising class of biotherapeutics for the treatment of cancer. Usage of TCRs allows for targeting of intracellularly expressed and highly selective cancer antigens, but also requires a complex maturation process to increase the naturally low affinity and stability of TCRs. Even though TCR domains can be matured via phage and yeast display, these techniques share the disadvantages of non-human glycosylation patterns and the need for a later reformatting into the final bispecific format. Here, we describe the development and application of a Chinese Hamster Ovary (CHO) display for affinity engineering of TCRs in the context of the final bispecific TCR format. The recombinase-mediated cassette exchange (RCME)-based system allows for stable, single-copy integration of bispecific TCR molecules with high efficiency into a defined genetic locus of CHO cells. We used the system to isolate affinity-increased variants of bispecific T cell engaging receptor (TCER) molecules from a library encoding different CDR variants of a model TCR targeting preferentially expressed antigen in melanoma (PRAME). When expressed as a soluble protein, the selected TCER molecules exhibited strong reactivity against PRAME-positive tumor cells associated with a pronounced cytokine release from activated T cells. The obtained data support the usage of the CHO display-based maturation system for TCR affinity maturation in the context of the final bispecific TCER format.
基于双特异性T细胞受体(TCR)的分子能够将T细胞重定向和激活到肿瘤细胞中,这是一种新的、有前途的癌症生物治疗药物。TCRs的使用允许靶向细胞内表达和高选择性的癌症抗原,但也需要一个复杂的成熟过程来增加TCRs的天然低亲和力和稳定性。尽管TCR结构域可以通过噬菌体和酵母的展示来成熟,但这些技术都有非人类糖基化模式的缺点,并且需要稍后重新格式化为最终的双特异性格式。在此,我们描述了在最终双特异性TCR格式的背景下,中国仓鼠卵巢(CHO)显示器用于TCR亲和工程的开发和应用。基于重组酶介导的盒式交换(RCME)系统允许稳定的,双特异性TCR分子的单拷贝整合,高效地进入CHO细胞的特定遗传位点。我们使用该系统从编码针对黑色素瘤中优先表达抗原(PRAME)的模型TCR的不同CDR变体的文库中分离出双特异性T细胞接合受体(TCER)分子的亲和增加变体。当作为可溶性蛋白表达时,所选择的TCER分子对prame阳性肿瘤细胞表现出强烈的反应性,并与活化T细胞释放的细胞因子显著相关。获得的数据支持在最终双特异性TCER格式的背景下使用基于CHO显示的TCR亲和成熟系统。
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引用次数: 2
Immune Cell Metabolic Fitness for Life 免疫细胞代谢适应生活
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-30 DOI: 10.3390/antib11020032
K. Bittman
Adoptive cell therapy holds great promise for treating a myriad of diseases, especially cancer. Within the last decade, immunotherapy has provided a significant leap in the successful treatment of leukemia. The research conducted throughout this period to understand the interrelationships between cancer cells and infiltrating immune cells winds up having one very common feature, bioenergetics. Cancer cells and immune cells both need ATP to perform their individual functions and cancer cells have adopted means to limit immune cell activity via changes in immune cell bioenergetics that redirect immune cell behavior to encourage tumor growth. Current leading strategies for cancer treatment super-charge an individual’s own immune cells against cancer. Successful Chimeric Antigen Receptor T Cells (CAR T) target pathways that ultimately influence bioenergetics. In the last decade, scientists identified that mitochondria play a crucial role in T cell physiology. When modifying T cells to create chimeras, a unique mitochondrial fitness emerges that establishes stemness and persistence. This review highlights many of the key findings leading to this generation’s CAR T treatments and the work currently being done to advance immunotherapy, to empower not just T cells but other immune cells as well against a variety of cancers.
过继细胞疗法在治疗多种疾病,尤其是癌症方面有着巨大的前景。在过去的十年里,免疫疗法为白血病的成功治疗提供了一个重大飞跃。在此期间进行的研究旨在了解癌细胞和浸润性免疫细胞之间的相互关系,结果发现有一个非常共同的特征,即生物能量学。癌细胞和免疫细胞都需要ATP来完成各自的功能,而癌细胞通过改变免疫细胞的生物能量来限制免疫细胞的活性,从而改变免疫细胞的行为,促进肿瘤的生长。目前癌症治疗的主要策略是增强个体自身的免疫细胞对抗癌症。成功的嵌合抗原受体T细胞(CAR - T)最终影响生物能量学的目标途径。在过去的十年里,科学家们发现线粒体在T细胞生理学中起着至关重要的作用。当修改T细胞以产生嵌合体时,一种独特的线粒体适应性出现,建立了干细胞和持久性。这篇综述强调了许多导致这一代CAR - T治疗的关键发现,以及目前正在进行的推进免疫治疗的工作,不仅赋予T细胞,而且赋予其他免疫细胞对抗各种癌症的能力。
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引用次数: 0
Advances in Chimeric Antigen Receptor (CAR) T-Cell Therapies for the Treatment of Primary Brain Tumors 嵌合抗原受体(CAR) t细胞治疗原发性脑肿瘤的研究进展
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-27 DOI: 10.3390/antib11020031
Christopher W. Mount, L. G. Gonzalez Castro
Immunotherapy has revolutionized the care of cancer patients. A diverse set of strategies to overcome cancer immunosuppression and enhance the tumor-directed immune response are in clinical use, but have not achieved transformative benefits for brain tumor patients. Adoptive cell therapies, which employ a patient’s own immune cells to generate directed anti-tumor activity, are emerging technologies that hold promise to improve the treatment of primary brain tumors in children and adults. Here, we review recent advances in chimeric antigen receptor (CAR) T-cell therapies for the treatment of aggressive primary brain tumors, including glioblastoma and diffuse midline glioma, H3 K27M-mutant. We highlight current approaches, discuss encouraging investigational data, and describe key challenges in the development and implementation of these types of therapies in the neuro-oncology setting.
免疫疗法彻底改变了对癌症患者的护理。克服肿瘤免疫抑制和增强肿瘤定向免疫反应的多种策略已在临床应用,但尚未为脑肿瘤患者带来变革性益处。过继细胞疗法是利用患者自身免疫细胞产生定向抗肿瘤活性的新兴技术,有望改善儿童和成人原发性脑肿瘤的治疗。在这里,我们回顾了CAR - t细胞治疗侵袭性原发性脑肿瘤的最新进展,包括胶质母细胞瘤和弥漫性中线胶质瘤,H3 k27m突变体。我们强调了当前的方法,讨论了令人鼓舞的研究数据,并描述了在神经肿瘤学环境中开发和实施这些类型疗法的关键挑战。
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引用次数: 4
Persistent Hyper IgA as a Marker of Immune Deficiency: A Case Report 持续高IgA作为免疫缺陷的标志:1例报告
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-25 DOI: 10.3390/antib11020030
R. Hopp, H. Niebur
An elevated IgA level obtained in a 10-year-old male a year after an episode of pneumococcal sepsis led to the discovery of a broad-based IgG-specific antibody deficiency syndrome. The specifics of the case and pertinent literature are presented, including a discussion of the hyper-IgD syndrome. An elevated IgA, greater than two standard deviations above the expected age range should prompt a complete workup for selective antibody deficiency syndrome and adds an additional associated marker of an indolent hyper-IgD syndrome in a different clinical circumstance, although the lack of antibody response to vaccines is atypical of the hyper-IgD syndrome.
一名10岁男性在肺炎球菌败血症发作一年后IgA水平升高,导致发现广泛的igg特异性抗体缺乏综合征。具体的情况和相关文献提出,包括高igd综合征的讨论。IgA升高,高于预期年龄范围大于两个标准差,应提示对选择性抗体缺乏综合征进行全面检查,并在不同的临床情况下增加惰性高igd综合征的额外相关标记,尽管缺乏对疫苗的抗体反应是非典型的高igd综合征。
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引用次数: 1
A Physiologically Based Pharmacokinetic Framework for Quantifying Antibody Distribution Gradients from Tumors to Tumor-Draining Lymph Nodes 基于生理学的药物动力学框架用于量化从肿瘤到肿瘤引流淋巴结的抗体分布梯度
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-14 DOI: 10.3390/antib11020028
Eric Salgado, Yanguang Cao
Immune checkpoint blockades prescribed in the neoadjuvant setting are now under active investigation for many types of tumors, and many have shown early success. The primary tumor (PT) and tumor-draining lymph node (TDLN) immune factors, along with adequate therapeutic antibody distributions to the PT and TDLN, are critical for optimal immune activation and anti-tumor efficacy in neoadjuvant immunotherapy. However, it remains largely unknown how much of the antibody can be distributed into the PT-TDLN axis at different clinical scenarios. The goal of the current work is to build a physiologically based pharmacokinetic (PBPK) model framework capable of characterizing antibody distribution gradients in the PT-TDLN axis across various clinical and pathophysiological scenarios. The model was calibrated using clinical data from immuno-PET antibody-imaging studies quantifying antibody pharmacokinetics (PK) in the blood, PTs, and TDLNs. The effects of metastatic lesion location, tumor-induced compression, and inflammation, as well as surgery, on antibody concentration gradients in the PT-TDLN axis were characterized. The PBPK model serves as a valuable tool to predict antibody exposures in various types of tumors, metastases, and the associated lymph node, supporting effective immunotherapy.
在新佐剂环境中开出的免疫检查点阻断剂目前正在对许多类型的肿瘤进行积极研究,许多肿瘤已显示出早期成功。原发性肿瘤(PT)和肿瘤引流淋巴结(TDLN)免疫因子,以及PT和TDLN的足够治疗性抗体分布,对于新辅助免疫疗法中的最佳免疫激活和抗肿瘤疗效至关重要。然而,在不同的临床情况下,有多少抗体可以分布到PT-TDLN轴中,这在很大程度上仍然是未知的。当前工作的目标是建立一个基于生理学的药代动力学(PBPK)模型框架,该框架能够在各种临床和病理生理场景中表征PT-TDLN轴上的抗体分布梯度。该模型使用免疫PET抗体成像研究的临床数据进行校准,这些研究量化了血液、PT和TDLNs中的抗体药代动力学(PK)。表征了转移性病变位置、肿瘤诱导的压迫、炎症以及手术对PT-TDLN轴上抗体浓度梯度的影响。PBPK模型是预测各种类型肿瘤、转移和相关淋巴结中抗体暴露的有价值工具,支持有效的免疫治疗。
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引用次数: 0
MALDI-TOF-MS-Based Identification of Monoclonal Murine Anti-SARS-CoV-2 Antibodies within One Hour 基于maldi - tof - ms的小鼠抗sars - cov -2单克隆抗体1小时内鉴定
IF 4.7 Q3 IMMUNOLOGY Pub Date : 2022-04-14 DOI: 10.3390/antib11020027
Georg Tscheuschner, M. Kaiser, J. Lisec, Denis Beslic, T. Muth, Maren Krüger, H. Mages, B. Dorner, Julia Knospe, J. Schenk, F. Sellrie, M. Weller
During the SARS-CoV-2 pandemic, many virus-binding monoclonal antibodies have been developed for clinical and diagnostic purposes. This underlines the importance of antibodies as universal bioanalytical reagents. However, little attention is given to the reproducibility crisis that scientific studies are still facing to date. In a recent study, not even half of all research antibodies mentioned in publications could be identified at all. This should spark more efforts in the search for practical solutions for the traceability of antibodies. For this purpose, we used 35 monoclonal antibodies against SARS-CoV-2 to demonstrate how sequence-independent antibody identification can be achieved by simple means applied to the protein. First, we examined the intact and light chain masses of the antibodies relative to the reference material NIST-mAb 8671. Already half of the antibodies could be identified based solely on these two parameters. In addition, we developed two complementary peptide mass fingerprinting methods with MALDI-TOF-MS that can be performed in 60 min and had a combined sequence coverage of over 80%. One method is based on the partial acidic hydrolysis of the protein by 5 mM of sulfuric acid at 99 °C. Furthermore, we established a fast way for a tryptic digest without an alkylation step. We were able to show that the distinction of clones is possible simply by a brief visual comparison of the mass spectra. In this work, two clones originating from the same immunization gave the same fingerprints. Later, a hybridoma sequencing confirmed the sequence identity of these sister clones. In order to automate the spectral comparison for larger libraries of antibodies, we developed the online software ABID 2.0. This open-source software determines the number of matching peptides in the fingerprint spectra. We propose that publications and other documents critically relying on monoclonal antibodies with unknown amino acid sequences should include at least one antibody fingerprint. By fingerprinting an antibody in question, its identity can be confirmed by comparison with a library spectrum at any time and context.
在SARS-CoV-2大流行期间,已开发出许多用于临床和诊断目的的病毒结合单克隆抗体。这强调了抗体作为通用生物分析试剂的重要性。然而,迄今为止,人们对科学研究仍面临的可重复性危机的关注很少。在最近的一项研究中,出版物中提到的所有研究抗体中,甚至没有一半能被识别出来。这应该会激发更多的努力来寻找抗体可追溯性的实际解决方案。为此,我们使用了35种针对SARS-CoV-2的单克隆抗体,以证明如何通过简单的方法应用于蛋白质来实现序列无关的抗体鉴定。首先,我们检测了相对于参考物质NIST-mAb 8671的抗体的完整和轻链质量。已经有一半的抗体可以仅根据这两个参数来识别。此外,我们利用MALDI-TOF-MS开发了两种互补的肽质量指纹图谱方法,可以在60分钟内完成,组合序列覆盖率超过80%。一种方法是在99°C下用5 mM硫酸对蛋白质进行部分酸性水解。此外,我们还建立了一种无需烷基化步骤的快速胰酶消化方法。我们能够证明,克隆的区别是可能的,简单地通过一个简短的视觉比较质谱。在这项工作中,来自同一免疫的两个克隆给出了相同的指纹。后来,一个杂交瘤测序证实了这些姐妹克隆的序列一致性。为了对较大的抗体库进行自动化的光谱比较,我们开发了在线软件ABID 2.0。这个开源软件确定指纹光谱中匹配肽的数量。我们建议,出版物和其他严重依赖于具有未知氨基酸序列的单克隆抗体的文献应包括至少一个抗体指纹。通过指纹鉴定抗体,可以在任何时间和环境下通过与库谱的比较来确认其身份。
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引用次数: 3
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Antibodies
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