BETA-1,4 GALACTOSYLATION OF PROTEINS
20230399671 · 2023-12-14
Assignee
Inventors
Cpc classification
C07K2317/41
CHEMISTRY; METALLURGY
C12Y204/01122
CHEMISTRY; METALLURGY
C12Y204/01038
CHEMISTRY; METALLURGY
C07K2317/14
CHEMISTRY; METALLURGY
C07K16/00
CHEMISTRY; METALLURGY
C07K2317/94
CHEMISTRY; METALLURGY
International classification
Abstract
The present invention relates to a cell, wherein the cell is modified to: reduce O-GalNAc galactosylation activity in the cell by reduction of functional COSMC molecular chaperone in the cell and/or by reduction of functional T-synthase in the cell; and overexpress β1,4-galactosyltransferase in the cell; and associated methods, kits and uses.
Claims
1. A cell, wherein the cell is modified to: reduce O-GalNAc galactosylation activity in the cell by reduction of functional COSMC molecular chaperone in the cell and/or by reduction of functional T-synthase in the cell; and overexpress β1,4-galactosyltransferase in the cell.
2. The cell according to claim 1, wherein the modification comprises a knockout of the COSMC molecular chaperone or wherein translation from the COSMC molecular chaperone gene is supressed.
3. The cell according to claim 1, wherein the modification comprises a knockout of functional T-synthase in the cell or wherein translation from the T-synthase gene is supressed.
4. The cell according to claim 1, wherein the cell is transformed with nucleic acid encoding β1,4-galactosyltransferase.
5. The cell according to claim 1, wherein the β1,4-galactosyltransferase comprises human β4GalT1.
6. The cell according to claim 1, wherein the cell is selected from CHO, HEK, NS0, SP2/0, PER.C6, Sf9, VERY, BH, HeLa, COS, MDCK, 293, 293T, 3T3, WI38, BT483, Hs578T, HTB2, BT20, T47D, CRL7030 and Hs578Bst.
7. The cell according to claim 1, wherein the cell is modified to express a polypeptide product, wherein the polypeptide product is a heterologous polypeptide.
8. (canceled)
9. The cell according to claim 1, wherein the cell is modified to express a polypeptide product, wherein the polypeptide product comprises one or more, or all the peptides of a therapeutic selected from the group comprising [fam-]trastuzumab deruxtecan, Leronlimab, Narsoplimab, REGNEB3, Sacituzumab govitecan, Tafasitamab, Inebilizumab, Satralizumab, Eptinezumab, Isatuximab, Teprotumumab, Crizanlizumab, Enfortumab vedotin, Polatuzumab vedotin, Risankizumab, Romosozumab, Burosumab, Cemiplimab, Emapalumab, emapalumab-lzsg, Erenumab, Fremanezumab, Galcanezumab, Gemtuzumab ozogamicin, Ibalizumab, ibalizumab-uiyk, Lanadelumab, Mogamulizumab, Ravulizumab (ALXN1210), Tildrakizumab, Avelumab, Benralizumab, Brodalumab, Dupilumab, Durvalumab, Emicizumab, Guselkumab, lnotuzumab ozogamicin, Ocrelizumab, Sarilumab, Atezolizumab, Bezlotoxumab, Ixekizumab, Obiltoxaximab, Olaratumab, Reslizumab, Alirocumab, Daratumumab, Dinutuximab, Elotuzumab, Evolocumab, Mepolizumab, Necitumumab, Secukinumab, Nivolumab, Pembrolizumab, Ramucirumab, Siltuximab, Vedolizumab, Alemtuzumab, Obinutuzumab, Ado-trastuzumab emtansine, Pertuzumab, Raxibacumab, Belimumab, Brentuximab vedotin, Ipilimumab, Denosumab, Canakinumab, Golimumab, Ofatumumab, Tocilizumab, Ustekinumab, Eculizumab, Panitumumab, Bevacizumab, Cetuximab, Natalizumab, Omalizumab, Adalimumab, Ibritumomab tiuxetan, Basiliximab, Infliximab, Palivizumab, Trastuzumab, Rituximab, and Abciximab.
10. The cell according to claim 1, wherein the cell is modified to express a polypeptide product, wherein the polypeptide product comprises a component of a viral vector such as rAAV.
11. A method of modifying a cell, wherein the cell is modified to enhance β-1,4 galactosylation of a polypeptide product, the modifications comprising: reducing O-GalNAc galactosylation activity in the cell by reduction of functional COSMC molecular chaperone in the cell and/or by reduction of functional T-synthase in the cell; and modification of the cell to provide overexpression of β1,4-galactosyltransferase in the cell.
12. The method according to claim 11, wherein the method comprises the step of transforming the cell with nucleic acid encoding the β1,4-galactosyltransferase.
13. The method according to claim 11, wherein the method comprises modifying the gene(s) encoding the COSMC molecular chaperone and/or T-synthase, or modifying regulatory elements thereof in order to knockout the expression thereof.
14. The method according to claim 11, wherein the method further comprises modifying the cell to express a polypeptide product.
15. A method of producing a polypeptide product, the method comprising providing a cell according to claim 1, or obtaining a modified cell according to claim 11, and culturing the cell for expression of the polypeptide product.
16. The method according to claim 15, wherein the polypeptide product is produced to have at least 80% β-1,4 galactosylation and/or at least 50% bi-galactosylated; or wherein the polypeptide product is produced to have at least a 0.5 fold increased β-1,4 galactosylation and/or at least 0.5 fold increased bi-galactosylation.
17. The method according to any of claim 15 or 16, wherein the cells are cultured with a UMG feeding strategy comprising or consisting of the addition of uridine, manganese and galactose in the cell culture media.
18-20. (canceled)
21. A plasmid encoding: a genetic modification element(s) that is targeted to knock-out or reduce functional COSMC molecular chaperone and/or T-synthase expression in a cell; b4GalT for expression in the cell; and optionally a selection marker, such as an antibiotic resistance gene.
22. A kit comprising: a first plasmid encoding: a genetic modification element(s) that is targeted to knock-out or reduce functional COSMC molecular chaperone and/or T-synthase expression in a cell; and a second plasmid encoding b4GalT for expression in a cell and optionally a selection marker, such as an antibiotic resistance gene.
23. The kit according to claim 22, further comprising a plasmid encoding a polypeptide product for expression.
24. The kit according to claim 22, wherein the genetic modification element(s) comprise zinc finger nuclease, TALEN (transcription activator-like effector nuclease), guide RNA (gRNA) and Cas9 (for CRISPR modification), silencing RNAs, or homologous recombination cassettes with antibiotic resistance genes.
Description
[0103]
[0104]
[0105]
[0106]
[0107]
[0108]
[0109]
Example 1—GalMAX—Maximising Therapeutic Protein Galactosylation: Simultaneous Removal of Metabolic and Cellular Machinery Bottlenecks
SUMMARY
[0110] The positive impact of β-1,4 galactosylation on therapeutic protein efficacy has only been reported recently. Table 1 summarises the effects of various glycan modifications on mAb cancer killing ability, and highlights the positive impact galactosylation on safety, CDC, ADCC and PK/PD.
TABLE-US-00001 TABLE 1 mAb cancer killing ability. (1,4)-Galactosylation is the source of therapeutic protein variability. Galactosylation increases efficacy and reduces heterogeneity (see Raju et al (2012) mAbs 4(3): 385-391 Planinc et al. (2017) Eur. J. Hosp. Pharm. Sci. Pract. 24(5): 286-292, which is herein incorporated by reference). Glycan Safety CDC ADCC PK/PD Oligomannose — Negative Positive and Negative impact negative impact No impact Fucose — No impact Highly No impact negative impact Galactose Positive Positive Positive Positive impact impact impact impact Bisected — — Positive — impact NANA Positive — Negative Positive sialylated impact impact impact NGNA Highly negative — — Positive sialylated impact impact αGal epitope Highly negative — — Negative impact impact
[0111] The invention maximises the β-1,4 galactosylation of asparagine(N)-linked glycans of therapeutic monoclonal antibodies (mAbs) produced in cells (such as Chinese Hamster Ovary cells, CHO). The invention combines two genetic modifications to simultaneously eliminate metabolic bottlenecks (by increasing the intracellular availability of UDP-Gal, which is the co-substrate required for β-1,4 galactosylation) and cellular machinery bottlenecks (by increasing the amount of β4GalT1 expressed by the cells). The invention comprises the following two genetic engineering events, which can be performed sequentially or simultaneously:
[0112] 1. Genetic knockout of Core 1 β3GalT specific molecular chaperone (COSMC).
[0113] The first genetic engineering event involves eliminating the expression of COSMC, using a specific zinc finger nuclease [1] or CRISPR-Cas9 technology [2]. Abrogation of COSMC expression eliminates threonine/serine(O)-linked β-1,3 galactosylation, thus yielding cellular glycoproteins bearing the so-called Tn antigen. Eliminating O-linked galactosylation greatly reduces (by approximately 30% [3]) the consumption of uridine diphosphate galactose (UDP-Gal), the donor metabolite required for all galactosylation reactions, towards cellular galactosylation and increases UDP-Gal availability towards N-linked β-1,4 galactosylation of the therapeutic protein product.
[0114] 2. Genetic overexpression of the β-1,4 galactosyltransferase (β4GalT) enzyme.
[0115] The second genetic engineering event involves stably transfecting cells with the gene for β4GalT, which can be of any isotype (1 through 7) and sourced from different organisms (Homo sapiens, Mus musculus, Rattus novergicus, Pan troglodytes, Bos taurus, etc.). Preference is given to human β4GalT1 (UniProtKB protein P15291), as this particular enzyme has been reported to achieve the highest levels of β-1,4 galactosylation in CHO-derived glycoproteins [4].
[0116] Ectopic expression of the β4GalT enzyme increases the capacity and rate with which the cells add β-1,4-linked galactose residues to glycoprotein N-linked glycans.
[0117] Materials
[0118] The CHO DP-12 clone #1934 [aIL8.92 NB 28605/14] (ATCC® CRL-12445™) producing an anti-IL-8 IgG1κ was used for our preliminary studies. This cell line was adapted to grow in suspension using Ex-Cell® 302 serum-free media (Sigma-Aldrich, Cat. No. 14324C) with 4 mM of L-glutamine and 200 nM of MTX. Fed-batch culture was performed by supplementing the basal media (Sigma-Aldrich, Cat. No. 14324C) with 6.25% v/v of Ex-Cell Advanced CHO feed with glucose (Sigma-Aldrich, Cat. No. 24367C) every 48 hours, starting from day 3. The feed was further supplemented with 45% w/v glucose to maintain residual glucose concentration above 4 g/L after feeding. A second CHO cell line (VRC01), which is derived from CHO-K1 and produces a human IgG1κ, was used to confirm the GalMAX strategy. This cell line was adapted for suspension growth in serum-free ActiPro culture media (HyClone Cat. No. SH31039.02) supplemented with 4 mM L-glutamine and 100 nM MTX.
[0119] Ectopic expression of human β4GalT1 was performed by transfecting the DP-12 and VRC01 CHO cells with the pUNO1 plasmid bearing the coding sequence of human β4GalT1 (Invivogen Cat. Code puno1-hb4galt1) using an Amaxa® CLB-Transfection Device and an Amaxa® CLB-Transfection Kit (Lonza, Cat. No. VECA-1001), as per the manufacturer's instructions. The pUNO1 scaffold also contains the coding sequence for a blasticidin resistance gene, which was used to select successfully transfected cells.
[0120] Knocking out of COSMC was performed using the CRISPR-Cas9 genome editing system using an all-in-one pX458 plasmid (pSpCas9(BB)-2A-GFP) obtained from Addgene (plasmid #48138) [8]. The gRNA sequence (GAATATGTGAGTGTGGATGGAGG) targeting the C1GalT1C1 gene (Gene ID: 2375260) was designed using the CHO Cas9 Target Finder (http://staff.biosustain.dtu.dk/laeb/crispy, target ID 2375260) [6].
[0121] Cells successfully transfected with the pX458+sgRNA plasmid were selected for eGFP fluorescence using a FACSAria III Cell Sorter (Beckton-Dickinson) with a 488 nm (blue) excitation laser. Homogeneous populations were gated using forward and side scatter criteria to select singlets. Fluorescent-positive cells were identified using non-transfected cells as the auto-fluorescence control. Cell pools were recovered and cultured. After two weeks, the population of GFP-negative cells were isolated and cultured for an additional three days, after which, cells bearing the COSMC knockout phenotype (bearing only exposed GalNAc residues—the Tn antigen—on their surface O-linked glycans) were identified and isolated through lectin-aided cell sorting using the FACSAria III instrument.
[0122] The FITC-labelled Vicia villosa lectin (Vector Labs, Cat. No. B-1235), which is specific for the Tn antigen, was used for COSMC knockout cell sorting. A similar procedure was performed for cells transfected with human β4GalT1, but the lectin used was (fluorescein labelled lectin from Erythrina cristagalli, Vector Labs, Cat. No. FL-1141) to select cells presenting enhanced cell surface β-1,4-galactosylated glycans.
[0123] mAb glycan analysis was performed using a recently-developed method that has been optimised for quantification of glycopeptides (Carillo et al. Journal of Pharmaceutical Analysis. Volume 10, Issue 1, February 2020, Pages 23-34. https://doi.org/10.1016/j.jpha.2019.11.008, which is herein incorporated by reference).
[0124] Study Results
[0125] We have performed proof-of-concept studies in mAb-producing CHO cells where the invention yielded an increase in product β-1,4 galactosylation from 55.2% to 96.2% (CHO DP12) and from 45% to 97.6% (CHO VRC01), including a substantial increase in bi-galactosylated species from 8.4% to 79.4% (CHO DP12) and 5.2% to 80.3% (CHO VRC01) (Table 8 and
[0126] To confirm the advantages of the technology, CHO-DP12 was cultured under fed-batch operation where the invention yielded an increase in product β-1,4 galactosylation from 47.7% to 91.8%, including a substantial increase in bi-galactosylated species from 7.2% to 80.0% (Table 9 and
[0127] This invention provides a simple and robust solution for key Quality Assurance challenges that arise during the manufacture of recombinant therapeutic glycoproteins, including monoclonal antibodies (mAbs). The key challenges tackled by the invention are those associated (1) the heterogeneity, (2) the therapeutic efficacy (pharmacodynamics) and (3) the serum half-life (pharmacokinetics) of therapeutic glycoproteins, as outlined below.
[0128] 1. Maximising β-1,4 Galactosylation Reduces the Heterogeneity of Therapeutic Proteins.
[0129] β-1,4 galactosylation is the major source of therapeutic protein variability [10, 11] and arises from even subtle process deviations during manufacturing operations [12]. Nutrient availability, metabolite accumulation, temperature, pH and other bioprocess conditions vary during the large-scale cell culture processes whereby therapeutic proteins are manufactured. Variations in bioprocess conditions are widely known to heavily influence glycosylation, in particular, β-1,4 galactosylation [13]. Reducing product heterogeneity is key to ensuring the safety and therapeutic efficacy of therapeutic proteins and is, thus, a fundamental aim of biopharmaceutical manufacturing operations.
[0130] The invention neutralises the negative effects of varying bioprocess conditions on product β-1,4 galactosylation, thus reducing product heterogeneity: [0131] The nutrient availability issues are addressed by eliminating the consumption of UDP-Gal towards mAb-irrelevant cellular O-linked galactosylation, which accounts for approximately 30% of all UDP-Gal consumed in non-engineered CHO cells [7]. When cellular O-galactosylation is eliminated, more UDP-Gal is made available and product N-galactosylation becomes less dependent on fluctuations in nutrient availability. [0132] The invention reduces the negative impact of metabolite accumulation (e.g. ammonia) or pH shifts/excursions, both of which reduce β4GalT activity, through genetic overexpression of the enzyme. This reduces the sensitivity to changes in the cell culture environment and, in consequence, also reduces product heterogeneity.
[0133] 2. Increased β-1,4 Galactosylation Enhances the Efficacy of Both Anti-Cancer and Anti-Inflammatory Monoclonal Antibodies (mAbs).
[0134] High levels of β-1,4 galactosylated mAb glycans increases antibody-dependent cellular cytotoxicity (ADCC) by up to 30% [14] and complement-dependent cellular cytotoxicity (CDC) by up to 26% [15]. In many commercial products, both cytotoxic mechanisms (ADCC and CDC) define the therapeutic efficacy of anti-cancer mAbs [16, 17].
[0135] The invention achieves unprecedented levels of β-1,4 galactosylation on the Fc of mAbs produced by CHO cells—up to 98% β4-galactosylated N-glycans (Table 8 and
[0136] The presence of α-2,6-N-acetylneuraminic acid (α6Neu5Ac) residues on the glycans of antibody therapies have been reported to enhance immune modulation and, thus, increase the efficacy of anti-inflammatory mAbs. Because the addition of α6Neu5Ac requires β-1,4 galactose residues as acceptors, high levels of β-1,4 galactosylation enable increased presence of α6Neu5Ac [19-21]; therefore, the increased levels of product β-1,4 galactosylation achieved by the invention may positively contribute to enhanced efficacy of anti-inflammatory mAbs.
[0137] 3. Increased β-1,4 Galactosylation Contributes to Enhancing the Serum Half-Life of Therapeutic Proteins.
[0138] Therapeutic glycoproteins with higher Neu5Ac content (sialylation) require reduced doses or less frequent dosing because increased sialylation extends the half-life of therapeutic glycoproteins in the patient's serum [22, 23]. Increased sialylation may therefore reduce treatment costs for healthcare providers and patients. Again, β-1,4 galactosylation is intrinsically necessary for the addition of Neu5Ac residues. Therefore, increased levels of β-1,4 galactosylation are required to achieve enhanced serum half-life and, thereby, to improved therapeutic efficacy of therapeutic glycoproteins.
[0139] CHO DP12 Cell Line
[0140] Referring to
[0141]
[0148]
[0149] Four major glycoforms are observed: [0150] (i) A2G0F: biantennary, non galactosylated and fucosylated. [0151] (ii) A2G1F: biantennary, mono-galactosylated and fucosylated. [0152] (iii) A2G2F: biantennary, bi-galactosylated and fucosylated. [0153] (iv) A2S1G2F: biantennary, mono-sialylated, bi-galactosylated and fucosylated.
[0154] There are no statistically significant differences (two-tailed t-test) among the mAb Fc glycoprofiles produced by the CHO DP12 Parental, CHO DP12 mCOSMC−, CHO DP12 COSMC−, and CHO DP12 mGalT+ cell lines, where the average relative abundances of A2G0F, A2G1F and A2G2F are 47.8%±5%, 43.8%±4.1%, and 8.3%±1.4%, respectively (averages and standard deviations across all replicate cultures for the four cell lines).
[0155] The cell lines expressing hβ4GalT1 present a substantial decrease in A2G0F and a concomitant increase in A2G2F. For the CHO DP12 GalT+ cell line, A2G0F is reduced to 7.5%±0.3% and A2G2F increases to 77.9%±1.5%. For the CHO DP12 GalMAX (COSMC−/GalT+) cell line, A2G0F is reduced to 3.8%±0.4% and A2G2F increases to 79.4%±1.8%. Although no statistically significant difference is observed in the bi-galactosylated A2G2F glycoform produced by the GalT+ and GalMAX cell lines, CHO DP12 GalMAX cells produce approximately half of the non-galactosylated A2G0F glycoform generated by GalT+ cells (p<0.01), thus indicating that the knockout of COSMC contributes to increased mAb galactosylation and overall glycan homogeneity.
[0156]
[0157] Table 2 provides numerical values for
TABLE-US-00002 Relative abundance ± S.D. (%) A2G0F A2G1F A2G2F DP12 Parental 44.7 ± 3.1 46.8 ± 2.6 8.4 ± 0.8 DP12 mCOSMC− 49.6 ± 4.2 43.0 ± 2.2 7.1 ± 1.7 DP12 COSMC− 45.0 ± 6.3 45.8 ± 5.5 9.1 ± 0.9 DP12 mGalT+ 51.2 ± 2.4 40.6 ± 1.3 8.1 ± 1.5 Average 47.8 ± 5.0 43.8 ± 4.1 8.3 ± 1.4 DP12 GalT+ 7.5 ± 0.3 12.8 ± 0.2 77.9 ± 1.5 DP12 3.8 ± 0.4 15.5 ± 1.9 79.4 ± 1.8 GalMAX 12-fold reduction 9.4-fold increase
[0158] Table 3 provides numerical values for
TABLE-US-00003 Relative abundance ± S.D. (%) Non-galactosylated Galactosylated DP12 Parental 44.7 ± 3.1 55.2 ± 3.2 DP12 mCOSMC− 49.6 ± 4.2 50.2 ± 4.1 DP12 COSMC− .sup. 45 ± 6.3 55.2 ± 6.3 DP12 mGalT+ 51.2 ± 2.4 48.8 ± 2.4 Average 47.8 ± 5.0 52.2 ± 5.0 DP12 GalT+ 7.5 ± 0.3 92.5 ± 0.3 DP12 3.8 ± 0.4 96.2 ± 0.6 GalMAX 12-fold reduction 74.1% increase
[0159] CHO VRC01 Cell Line
[0160] Referring to
[0161]
[0162]
[0163] The same major glycoforms produced by CHO DP12-derived cell lines are also observed for the CHO VRC01 cell lines (A2G0F, A2G1F, A2G2F, and A2S1G2F). Little or no statistically significant differences (two-tailed t-test) were observed among the mAb Fc glycoprofiles produced by the VRC01 Parental, VRC01 mCOSMC−, VRC01 COSMC−, and VRC01 mGalT+ cell lines, where the average relative abundances of A2G0F, A2G1F and A2G2F are 58.0%±37.4%±4.7%, and 4.6%±1.1%, respectively (averages and standard deviations across all replicate cultures for the four cell lines).
[0164] The cell lines expressing hβ4GalT1 present a substantial decrease in A2G0F and a concomitant increase in A2G2F. For the VRC01 GalT+ cell line, A2G0F is reduced to 8.6%±5.0% and A2G2F increases to 72.0%±5.8%. In the VRC01 GalMAX cell line, A2G0F is reduced to 2.4%±0.4% and A2G2F increases to 80.3%±0.6%. The VRC01 GalMAX cell line produces 3.6±2.2-fold less A2G0F than the VRC01 GalT+ cell line, thus indicating that the knockout of COSMC contributes to increased mAb galactosylation and overall glycan homogeneity.
[0165]
[0166] Table 4 provides numerical values for
TABLE-US-00004 Relative abundance ± S.D. (%) A2G0F A2G1F A2G2F VRC01 Parental 55.0 ± 2.6 39.8 ± 2.1 5.2 ± 0.7 VRC01 mCOSMC− 59.9 35.8 4.3 VRC01 COSMC− 58.3 ± 8.3 37.2 ± 5.7 4.5 ± 1.1 VRC01 mGalT+ 63.9 ± 1.9 32.6 ± 1.6 3.5 ± 0.3 Average 58.0 ± 5.7 37.4 ± 4.7 4.6 ± 1.1 VRC01 GalT+ 8.6 ± 5.0 18.5 ± 1.6 72.0 ± 5.8 VRC01 GalMAX 2.4 ± 0.4 16.3 ± 1.1 80.3 ± 0.6 23-fold reduction 15.5-fold increase
[0167] Table 5 provides numerical values for
TABLE-US-00005 Relative abundance ± S.D. (%) Non-galactosylated Galactosylated VRC01 Parental 55.0 ± 2.6 45.0 ± 2.6 VRC01 mCOSMC− 59.9 40.1 VRC01 COSMC− 58.3 ± 8.3 41.7 ± 8.3 VRC01 mGalT+ 63.9 ± 1.9 36.1 ± 1.9 Average 58.0 ± 5.7 42.0 ± 5.5 VRC01 GalT+ 8.6 ± 5.0 91.4 ± 5.0 VRC01 GalMAX 2.4 ± 0.4 97.6 ± 0.4 23-fold reduction 2.2-fold increase
[0168] The results obtained for the CHO DP-12 and VRC01 cell lines are consistent with the mechanisms governing galactosylation. The two key bottlenecks which limit galactosylation are (i) UDP-Gal availability and (ii) β4GalT availability/activity. If there is sufficient UDP-Gal, but β4GalT availability/activity is reduced, then low levels of galactosylation will be observed. Conversely, if β4GalT availability/activity is in excess but there is insufficient UDP-Gal availability, low levels of galactosylation will also be observed. Our overall results indicate that β4GalT availability limits galactosylation in the cell lines where hβ4GalT1 is not expressed (Parental, mCOSMC−, COSMC−, and mGalT+). This bottleneck is alleviated when hβ4GalT1 is ectopically expressed (GalT+ and the GalMAX cell lines), and the increase in overall galactosylation between the GalT+ and GalMAX cell lines is due to the gain in UDP-Gal availability afforded by the COSMC knockout. Therefore, both cell engineering interventions (COSMC knockout and ectopic h(34GalT1 expression) are required to maximise mAb Fc galactosylation and, thus, the GalMAX invention is validated.
[0169] Table 6 provides a comparison of Integral of Viable Cells (IVC), specific productivity (q.sub.p) and product titre for batch cultures of CHO DP12 and CHO VRC01.
TABLE-US-00006 IVC q.sub.p (10.sup.6 cells (pg cell.sup.−1 Titre mL.sup.−1 day) day.sup.−1) (mg L.sup.−1) DP12 Parental 14.3 ± 0.2 6.2 ± 0.2 123.1 ± 0.1 DP12 COSMC− 16.1 ± 0.1 5.9 ± 0.0 128.9 ± 1.7 DP12 GalT+ 16.5 ± 0.3 4.3 ± 0.0 104.8 ± 1.2 DP12 GalMAX 19.5 ± 1.0 4.0 ± 0.0 133.5 ± 0.2 VRC01 Parental 48.3 ± 0.9 5.0 ± 0.3 297.4 ± 3.8 VRC01 COSMC− 46.5 ± 0.8 5.8 ± 0.6 314.4 ± 5.2 VRC01 GalT+ 49.5 ± 0.1 5.6 ± 0.4 327.5 ± 2.0 VRC01 GalMAX 47.4 ± 1.1 6.4 ± 0.7 333.6 ± 5.3
[0170] Table 7 provides a comparison of Integral of Viable Cells (IVC), specific productivity (q.sub.p) and product titre for fed-batch cultures of CHO DP12.
TABLE-US-00007 IVC q.sub.p Titre (10.sup.6 cells mL.sup.−1 d) (pg cell.sup.−1 day.sup.−1) (mg L.sup.−1) DP12 Parental 43.6 ± 1.2 2.1 ± 0.0 155.6 ± 1.5 DP12 COSMC− 43.0 ± 0.4 2.7 ± 0.0 182.6 ± 0.6 DP12 GalT+ 37.4 ± 0.4 1.4 ± 0.1 109.0 ± 5.0 DP12 GalMAX 37.7 ± 0.1 2.5 ± 0.1 157.6 ± 3.8
[0171] Tables 6 and 7 present a comparison of cell culture KPIs to demonstrate that the GalMAX technology has no negative impact on the productivity of the CHO DP12 and CHO VRC01 cell lines used for the study. Table 6 presents data corresponding to batch cultivation, where DP12 GalMAX presents an increase in integral of viable cells (IVC) from 14.3±0.22 to 19.5±0.95 10.sup.6 cells mL.sup.−1 day when compared with the parental cell line. This increase in IVC results in a reduction in specific productivity (q.sub.p) from 6.21±0.16 to 4.04±0.02 pg cell.sup.−1 day.sup.−1, when compared with parental CHO DP12. These changes in IVC and q.sub.p offset to yield similar titres. DP12 GalMAX achieves a mAb titre of 133.5±0.2 mg L.sup.−1, which is slightly higher than the 123.1±0.1 mg L.sup.−1 produced by Parental CHO DP12.
[0172] The VRC01 GalMAX cell line yield no statistically significant difference in values for IVC when compared with the VRC01 Parental (47.4±1.1 10.sup.6 cells mL.sup.−1 day and 48.3±0.9 10.sup.6 cells mL.sup.−1 day, respectively). Interestingly, VRC01 GalMAX presents an increased q.sub.p (6.4±0.7 pg cell.sup.−1 day.sup.−1), when compared with parental CHO DP12 (5.0±0.3 pg cell.sup.−1 day.sup.−1). The increase in q.sub.p alongside the similar IVC yields a slight increase in product titre achieved by the VRC01 GalMAX cell line, when compared to the VRC01 parental (333.6±5.3 mg L.sup.−1 vs. 297.4±3.8 mg L.sup.−1, respectively).
[0173] Table 7 compares IVC, q.sub.p and titre across four CHO DP12-derived cell lines (DP12 Parental, DP12 COSMC−, DP12 GalT+, and DP12 GalMAX) when cultured under fed-batch mode. DP12 GalMAX achieves a slightly lower IVC of 37.7±0.1 10.sup.6 cells mL.sup.−1 day when compared to the 43.6±1.2 10.sup.6 cells mL.sup.−1 day achieved by DP12 Parental. This decreased IVC results in a slightly increased q.sub.p of 2.5±0.1 pg cell.sup.−1 day.sup.−1 when compared to the 2.1±0.0 pg cell.sup.−1 day.sup.−1 of the DP12 parental cell line. These differences in IVC and q.sub.p offset to yield similar titres of 157.6±3.8 mg L.sup.−1 (DP12 GalMAX) and 155.6±1.5 mg L.sup.−1 (DP12 Parental).
[0174] Overall, Tables 6 and 7 demonstrate that the GalMAX technology has no negative impact on cell culture KPIs—in all cases, the GalMAX technology yielded titres that are higher than the parental cell lines.
[0175] Comparison of GalMAX with Other Technologies
[0176] Referring to
[0177]
[0178] The GalMAX invention delivers between 96.2% and 97.6% overall galactosylation (DP12 and VRC01 cell lines, respectively). These values are comparable with the 98% total galactosylation achieved by the cell engineering strategy of Schulz et al. [25] and the in vitro methods of Thomann et al. [14] and Tayi & Butler [4]. GalMAX considerably outperforms the cell engineering strategies by Raymond et al. and Chang et al. [24], which yield values of 73% and 87%, respectively. GalMAX also outperforms UMG feeding strategies, which report between 48% and 67% total mAb Fc galactosylation [1, 2].
[0179] The GalMAX invention yields up to 80% bi-galactosylated mAb Fc glycans, which is comparable with the value of 83% obtained by Thomann et al. [14] (in vitro). The levels of mAb Fc bi-galactosylation obtained by Schulz et al. [25] (cell engineering) and Tayi & Butler (in vitro) are slightly higher than those achieved by the GalMAX invention. GalMAX produces a considerably larger fraction of bi-galactosylated mAb Fc glycans than those reported for UMG feeding [1, 2], and other cell engineering strategies [19, 24].
[0180] Table 8 compares the performance of GalMAX with existing technologies.
TABLE-US-00008 Total galactosylation Total bi-galactosylation After Fold After Fold Titre Initial Treatment Increase Initial Treatment Increase (g/L) Refs. UMG feeding 9.4% 48.1% 5.1 0.5% 9.7% 19.4 3.20 [1] 35.6% 67.1% 1.9 4.5% 19.1% 4.2 0.32 [2] β4GalT 37.4% 72.9% 2.0 5.1% 48.8% 9.6 0.02 [19] expression 10.2% 86.7% 8.5 1.4% 62.3% 44.5 0.05 [24] 45.1% 97.9% 2.2 6.8% 87.2% 12.8 0.30 [25] Enzymatic 40.3% 98.2% 2.4 4.4% 82.8% 18.8 N/A [14] remodelling 39.0% 98.0% 2.5 5.0% 92.5% 18.5 N/A [4] DP12 GalMAX 55.2% 96.2% 1.7 8.4% 79.4% 9.4 0.13 VRC01 GalMAX 45.0% 97.6% 2.2 5.2% 80.3% 15.5 0.33
[0181] Fed-Batch Culture of CHO DP12
[0182] Referring to
[0183]
[0184]
[0185]
[0186]
[0187] Table 9 provides numerical values for
TABLE-US-00009 Relative abundance ± S.D. (%) A2G0F A2G1F A2G2F DP12 Parental 51.4 ± 1.2 40.5 ± 0.9 7.2 ± 0.3 DP12 COSMC− 48.0 ± 0.9 43.2 ± 0.6 7.5 ± 0.8 DP12 GalT+ 11.8 ± 2.0 18.9 ± 1.4 57.5 ± 8.6 DP12 GalMAX 1.7 ± 0.2 11.1 ± 0.2 80.0 ± 0.6 12-fold 3.6-fold 11-fold reduction reduction increase
DISCUSSION
[0188] The key aspect that sets the proposed invention aside from other cell glycoengineering strategies is the combination of knocking out COSMC expression and ectopically expressing β4GalT1.
[0189] Knocking out COSMC provides additional UDP-Gal co-substrate required for product β-1,4 galactosylation without additional manipulations or feeding strategies that are known to negatively impact cell growth and productivity. Computational studies from our group indicate that cellular O-linked galactosylation is the largest sink for UDP-Gal consumption in CHO cells—over 30% of all UDP-Gal is consumed goes towards cellular O-linked galactosylation [7].
[0190] Simultaneously overexpressing the β4GalT1 enzyme provides additional cellular machinery to catalyse the reaction whereby β-1,4 galactose is added to product N-linked glycans. The baseline levels of endogenous β4GalTs in CHO cells are insufficient to perform extensive product β-1,4 galactosylation. Alongside this, commonly observed variations in cell culture conditions (e g ammonia accumulation or pH shifts) may negatively impact the activity of endogenous β4GalTs. Therefore, ectopically expressing β4GalT1 provides additional machinery to achieve higher product β-1,4 galactosylation and simultaneously limits the negative impacts varying cell culture conditions have on enzymatic activity.
[0191] β-1,4 galactosylation has only been recently identified as a key determining factor of the therapeutic efficacy of mAb products. Thus, there are great opportunities to enhance the pharmacokinetics and pharmacodynamics of these products by maximising this glycan motif. This invention presents an entirely novel and facile genetic engineering strategy that maximises the β-1,4 galactosylation of mAbs. In the context of biopharmaceutical manufacturing, the invention has broad scope of implementation and could rapidly contribute to enhancing the safety and efficacy of life-saving medicines that are the highest-grossing class of pharmaceutical products.
TABLE-US-00010 Sequences β1,4-galactosyltransferase I isoform 1 amino acid sequence >NP_001488.2 beta-1,4-galactosyltransferase 1 isoform 1 [Homo sapiens] (SEQ ID NO: 1) MRLREPLLSGSAAMPGASLQRACRLLVAVCALHLGVTLVY YLAGRDLSRLPQLVGVSTPLQGGSNSAAAIGQSSGELRTG GARPPPPLGASSQPRPGGDSSPVVDSGPGPASNLTSVPVP HTTALSLPACPEESPLLVGPMLIEFNMPVDLELVAKQNPN VKMGGRYAPRDCVSPHKVAIIIPFRNRQEHLKYWLYYLHP VLQRQQLDYGIYVINQAGDTIFNRAKLLNVGFQEALKDYD YTCFVFSDVDLIPMNDHNAYRCFSQPRHISVAMDKFGFSL PYVQYFGGVSALSKQQFLTINGFPNNYWGWGGEDDDIFNR LVFRGMSISRPNAVVGRCRMIRHSRDKKNEPNPQRFDRIA HTKETMLSDGLNSLTYQVLDVQRYPLYTQITVDIGTPS β1,4-galactosyltransferase I DNA/encoding sequence >NM_001497.4 Homo sapiens beta-1,4-galactosyltransferase 1 (B4GALT1), transcript variant 1, mRNA (SEQ ID NO: 2) GCTCCCAGGTCTGGCTGGCTGGAGGAGTCTCAGCTCTCAG CCGCTCGCCCGCCCCCGCTCCGGGCCCTCCCCTAGTCGCC GCTGTGGGGCAGCGCCTGGCGGGCGGCCCGCGGGCGGGTC GCCTCCCCTCCTGTAGCCCACACCCTTCTTAAAGCGGCGG CGGGAAGATGAGGCTTCGGGAGCCGCTCCTGAGCGGCAGC GCCGCGATGCCAGGCGCGTCCCTACAGCGGGCCTGCCGCC TGCTCGTGGCCGTCTGCGCTCTGCACCTTGGCGTCACCCT CGTTTACTACCTGGCTGGCCGCGACCTGAGCCGCCTGCCC CAACTGGTCGGAGTCTCCACACCGCTGCAGGGCGGCTCGA ACAGTGCCGCCGCCATCGGGCAGTCCTCCGGGGAGCTCCG GACCGGAGGGGCCCGGCCGCCGCCTCCTCTAGGCGCCTCC TCCCAGCCGCGCCCGGGTGGCGACTCCAGCCCAGTCGTGG ATTCTGGCCCTGGCCCCGCTAGCAACTTGACCTCGGTCCC AGTGCCCCACACCACCGCACTGTCGCTGCCCGCCTGCCCT GAGGAGTCCCCGCTGCTTGTGGGCCCCATGCTGATTGAGT TTAACATGCCTGTGGACCTGGAGCTCGTGGCAAAGCAGAA CCCAAATGTGAAGATGGGCGGCCGCTATGCCCCCAGGGAC TGCGTCTCTCCTCACAAGGTGGCCATCATCATTCCATTCC GCAACCGGCAGGAGCACCTCAAGTACTGGCTATATTATTT GCACCCAGTCCTGCAGCGCCAGCAGCTGGACTATGGCATC TATGTTATCAACCAGGCGGGAGACACTATATTCAATCGTG CTAAGCTCCTCAATGTTGGCTTTCAAGAAGCCTTGAAGGA CTATGACTACACCTGCTTTGTGTTTAGTGACGTGGACCTC ATTCCAATGAATGACCATAATGCGTACAGGTGTTTTTCAC AGCCACGGCACATTTCCGTTGCAATGGATAAGTTTGGATT CAGCCTACCTTATGTTCAGTATTTTGGAGGTGTCTCTGCT CTAAGTAAACAACAGTTTCTAACCATCAATGGATTTCCTA ATAATTATTGGGGCTGGGGAGGAGAAGATGATGACATTTT TAACAGATTAGTTTTTAGAGGCATGTCTATATCTCGCCCA AATGCTGTGGTCGGGAGGTGTCGCATGATCCGCCACTCAA GAGACAAGAAAAATGAACCCAATCCTCAGAGGTTTGACCG AATTGCACACACAAAGGAGACAATGCTCTCTGATGGTTTG AACTCACTCACCTACCAGGTGCTGGATGTACAGAGATACC CATTGTATACCCAAATCACAGTGGACATCGGGACACCGAG CTAGCGTTTTGGTACACGGATAAGAGACCTGAAATTAGCC AGGGACCTCTGCTGTGTGTCTCTGCCAATCTGCTGGGCTG GTCCCTCTCATTTTTACCAGTCTGAGTGACAGGTCCCCTT CGCTCATCATTCAGATGGCTTTCCAGATGACCAGGACGAG TGGGATATTTTGCCCCCAACTTGGCTCGGCATGTGAATTC TTAGCTCTGCAAGGTGTTTATGCCTTTGCGGGTTTCTTGA TGTGTTCGCAGTGTCACCCCAGAGTCAGAACTGTACACAT CCCAAAATTTGGTGGCCGTGGAACACATTCCCGGTGATAG AATTGCTAAATTGTCGTGAAATAGGTTAGAATTTTTCTTT AAATTATGGTTTTCTTATTCGTGAAAATTCGGAGAGTGCT GCTAAAATTGGATTGGTGTGATCTTTTTGGTAGTTGTAAT TTAACAGAAAAACACAAAATTTCAACCATTCTTAATGTTA CGTCCTCCCCCCACCCCCTTCTTTCAGTGGTATGCAACCA CTGCAATCACTGTGCATATGTCTTTTCTTAGCAAAAGGAT TTTAAAACTTGAGCCCTGGACCTTTTGTCCTATGTGTGTG GATTCCAGGGCAACTCTAGCATCAGAGCAAAAGCCTTGGG TTTCTCGCATTCAGTGGCCTATCTCCAGATTGTCTGATTT CTGAATGTAAAGTTGTTGTGTTTTTTTTTAAATAGTAGTT TGTAGTATTTTAAAGAAAGAACAGATCGAGTTCTAATTAT GATCTAGCTTGATTTTGTGTTGATCCAAATTTGCATAGCT GTTTAATGTTAAGTCATGACAATTTATTTTTCTTGGCATG CTATGTAAACTTGAATTTCCTATGTATTTTTATTGTGGTG TTTTAAATATGGGGAGGGGTATTGAGCATTTTTTAGGGAG AAAAATAAATATATGCTGTAGTGGCCACAAATAGGCCTAT GATTTAGCTGGCAGGCCAGGTTTTCTCAAGAGCAAAATCA CCCTCTGGCCCCTTGGCAGGTAAGGCCTCCCGGTCAGCAT TATCCTGCCAGACCTCGGGGAGGATACCTGGGAGACAGAA GCCTCTGCACCTACTGTGCAGAACTCTCCACTTCCCCAAC CCTCCCCAGGTGGGCAGGGCGGAGGGAGCCTCAGCCTCCT TAGACTGACCCCTCAGGCCCCTAGGCTGGGGGGTTGTAAA TAACAGCAGTCAGGTTGTTTACCAGCCCTTTGCACCTCCC CAGGCAGAGGGAGCCTCTGTTCTGGTGGGGGCCACCTCCC TCAGAGGCTCTGCTAGCCACACTCCGTGGCCCACCCTTTG TTACCAGTTCTTCCTCCTTCCTCTTTTCCCCTGCCTTTCT CATTCCTTCCTTCGTCTCCCTTTTTGTTCCTTTGCCTCTT GCCTGTCCCCTAAAACTTGACTGTGGCACTCAGGGTCAAA CAGACTATCCATTCCCCAGCATGAATGTGCCTTTTAATTA GTGATCTAGAAAGAAGTTCAGCCGAACCCACACCCCAACT CCCTCCCAAGAACTTCGGTGCCTAAAGCCTCCTGTTCCAC CTCAGGTTTTCACAGGTGCTCCCACCCCAGTTGAGGCTCC CACCCACAGGGCTGTCTGTCACAAACCCACCTCTGTTGGG AGCTATTGAGCCACCTGGGATGAGATGACACAAGGCACTC CTACCACTGAGCGCCTTTGCCAGGTCCAGCCTGGGCTCAG GTTCCAAGACTCAGCTGCCTAATCCCAGGGTTGAGCCTTG TGCTCGTGGCGGACCCCAAACCACTGCCCTCCTGGGTACC AGCCCTCAGTGTGGAGGCTGAGCTGGTGCCTGGCCCCAGT CTTATCTGTGCCTTTACTGCTTTGCGCATCTCAGATGCTA ACTTGGTTCTTTTTCCAGAAGCCTTTGTATTGGTTAAAAA TTATTTTCCATTGCAGAAGCAGCTGGACTATGCAAAAAGT ATTTCTCTGTCAGTTCCCCACTCTATACCAAGGATATTAT TAAAACTAGAAATGACTGCATTGAGAGGGAGTTGTGGGAA ATAAGAAGAATGAAAGCCTCTCTTTCTGTCCGCAGATCCT GACTTTTCCAAAGTGCCTTAAAAGAAATCAGACAAATGCC CTGAGTGGTAACTTCTGTGTTATTTTACTCTTAAAACCAA ACTCTACCTTTTCTTGTTGTTTTTTTTTTTTTTTTTTTTT TTTTTTTGGTTACCTTCTCATTCATGTCAAGTATGTGGTT CATTCTTAGAACCAAGGGAAATACTGCTCCCCCCATTTGC TGACGTAGTGCTCTCATGGGCTCACCTGGGCCCAAGGCAC AGCCAGGGCACAGTTAGGCCTGGATGTTTGCCTGGTCCGT GAGATGCCGCGGGTCCTGTTTCCTTACTGGGGATTTCAGG GCTGGGGGTTCAGGGAGCATTTCCTTTTCCTGGGAGTTAT GACCGCGAAGTTGTCATGTGCCGTGCCCTTTTCTGTTTCT GTGTATCCTATTGCTGGTGACTCTGTGTGAACTGGCCTTT GGGAAAGATCAGAGAGGGCAGAGGTGGCACAGGACAGTAA AGGAGATGCTGTGCTGGCCTTCAGCCTGGACAGGGTCTCT GCTGACTGCCAGGGGCGGGGGCTCTGCATAGCCAGGATGA CGGCTTTCATGTCCCAGAGACCTGTTGTGCTGTGTATTTT GATTTCCTGTGTATGCAAATGTGTGTATTTACCATTGTGT AGGGGGCTGTGTCTGATCTTGGTGTTCAAAACAGAACTGT ATTTTTGCCTTTAAAATTAAATAATATAACGTGAATAAAT GACCCTATCTTTGTAA
REFERENCES
[0192] All references herein are incorporated by reference. [0193] 1. Gramer, M. J., et al., Modulation of antibody galactosylation through feeding of uridine, manganese chloride, and galactose. Biotechnol Bioeng, 2011. 108(7): p. 1591-602. [0194] 2. Grainger, R. K. and D. C. James, CHO cell line specific prediction and control of recombinant monoclonal antibody N-glycosylation. Biotechnol Bioeng, 2013. 110(11): p. 2970-83. [0195] 3. Dekkers, G., et al., Multi-level glyco-engineering techniques to generate IgG with defined Fc-glycans. Sci Rep, 2016. 6: p. 36964. [0196] 4. Tayi, V. S. and M. Butler, Solid-Phase Enzymatic Remodeling Produces High Yields of Single Glycoform Antibodies. Biotechnol J, 2018. 13(4): p. e1700381. [0197] 5. Yang, Z., et al., The GalNAc-type O-Glycoproteome of CHO cells characterized by the SimpleCell strategy. Mol Cell Proteomics, 2014. 13(12): p. 3224-35. [0198] 6. Ronda, C., et al., Accelerating genome editing in CHO cells using CRISPR Cas9 and CRISPy, a web-based target finding tool. Biotechnol Bioeng, 2014. 111(8): p. 1604-16. [0199] 7. del Val, I. J., K. M. Polizzi, and C. Kontoravdi, A theoretical estimate for nucleotide sugar demand towards Chinese Hamster Ovary cellular glycosylation. Sci Rep, 2016. 6: p. 28547. [0200] 8. Ran, F. A., et al., Genome engineering using the CRISPR-Cas9 system. Nat Protoc, 2013. 8(11): p. 2281-2308. [0201] 9. Farrell, A., et al., Monoclonal antibody sequence assessment using a hybrid quadrupole-Orbitrap mass spectrometer. Analytical Methods, 2018. 10(25): p. 3100-3109. [0202] 10. Raju, T. S. and R. E. Jordan, Galactosylation variations in marketed therapeutic antibodies. MAbs, 2012. 4(3): p. 385-91. [0203] 11. Planinc, A., et al., Batch-to-batch N-glycosylation study of infliximab, trastuzumab and bevacizumab, and stability study of bevacizumab. Eur J Hosp Pharm, 2017. 24(5): p. 286-292. [0204] 12. Fournier, J., A Review of Glycan Analysis Requirements. Biopharm International, 2015. 28(10): p. 32-37. [0205] 13. Bossier, P., S. F. Khattak, and Z. J. Li, Optimal and consistent protein glycosylation in mammalian cell culture. Glycobiology, 2009. 19(9): p. 936-49. [0206] 14. Thomann, M., et al., Fc-galactosylation modulates antibody-dependent cellular cytotoxicity of therapeutic antibodies. Mol Immunol, 2016. 73: p. 69-75. [0207] 15. Peschke, B., et al., Fc-Galactosylation of Human Immunoglobulin Gamma Isotypes Improves C1 q Binding and Enhances Complement-Dependent Cytotoxicity. Front Immunol, 2017. 8: p. 646. [0208] 16. Natsume, A., R. Niwa, and M. Satoh, Improving effector functions of antibodies for cancer treatment: Enhancing ADCC and CDC. Drug Des Devel Ther, 2009. 3: p. 7-16. [0209] 17. Rogers, L. M., S. Veeramani, and G. J. Weiner, Complement in monoclonal antibody therapy of cancer. Immunol Res, 2014. 59(1-3): p. 203-10. [0210] 18. Anthony, R. M., et al., Recapitulation of IVIG anti-inflammatory activity with a recombinant IgG Fc. Science, 2008. 320(5874): p. 373-6. [0211] 19. Raymond, C., et al., Production of alpha2,6-sialylated IgG1 in CHO cells. MAbs, 2015. 7(3): p. 571-83. [0212] 20. Weikert, S., et al., Engineering Chinese hamster ovary cells to maximize sialic acid content of recombinant glycoproteins. Nat Biotechnol, 1999. 17(11): p. 1116-21. [0213] 21. Fukuta, K., et al., The widespread effect of beta 1,4-galactosyltransferase on N-glycan processing. Arch Biochem Biophys, 2001. 392(1): p. 79-86. [0214] 22. Kontermann, R. E., Half-life extended biotherapeutics. Expert Opin Biol Ther, 2016. 16(7): p. 903-15. [0215] 23. Bas, M., et al., Fc Sialylation Prolongs Serum Half-Life of Therapeutic Antibodies. J Immunol, 2019. 202(5): p. 1582-1594. [0216] 24. Chang, M. M., et al., Small-molecule control of antibody N-glycosylation in engineered mammalian cells. Nat Chem Biol, 2019. 15(7): p. 730-736. [0217] 25. Schulz, M. A., et al., Glycoengineering design options for IgG1 in CHO cells using precise gene editing. Glycobiology, 2018. 28(7): p. 542-549.