BINDING MOLECULES BINDING PD-L1 AND LAG-3
20190256602 ยท 2019-08-22
Assignee
Inventors
- Jamie Campbell (Cambridge, GB)
- Nikole Sandy (Cambridge, GB)
- Mihriban Tuna (Cambridge, GB)
- Francisca Wollerton Van Horck (Cambridge, GB)
- Katy Louise Everett (Cambridge, GB)
- Miguel Gaspar (Cambridge, GB)
- Matthew Kraman (Cambridge, GB)
- Katarzyna Kmiecik (Cambridge, GB)
- Mustapha Faroudi (Cambridge, GB)
- Natalie Fosh (Cambridge, GB)
- Barbara Hebeis (Cambridge, GB)
Cpc classification
A61K39/4611
HUMAN NECESSITIES
A61K45/06
HUMAN NECESSITIES
C07K2317/33
CHEMISTRY; METALLURGY
A61K2039/507
HUMAN NECESSITIES
C07K2317/732
CHEMISTRY; METALLURGY
C07K2317/76
CHEMISTRY; METALLURGY
C07K2318/20
CHEMISTRY; METALLURGY
C07K2317/92
CHEMISTRY; METALLURGY
C07K16/44
CHEMISTRY; METALLURGY
C07K2317/71
CHEMISTRY; METALLURGY
A61P35/00
HUMAN NECESSITIES
International classification
C07K16/28
CHEMISTRY; METALLURGY
A61K39/395
HUMAN NECESSITIES
A61K39/00
HUMAN NECESSITIES
A61P35/00
HUMAN NECESSITIES
Abstract
The present invention relates to antibody molecules which bind to programmed death-ligand 1 (PD-L1) and lymphocyte-activation gene 3 (LAG-3). The antibody molecules preferably comprise a CDR-based antigen binding site for PD-L1, and a LAG-3 antigen binding site which may be located in two or more structural loops of a CH3 domain of the antibody molecule. The antibody molecules of the invention find application, for example, in cancer therapy.
Claims
1. An antibody molecule which binds to programmed death-ligand 1 (PD-L1) and lymphocyte-activation gene 3 (LAG-3), wherein the antibody molecule comprises: (i) a CDR-based antigen binding site for PD-L1; and (ii) a LAG-3 antigen binding site located in a CH3 domain of the antibody molecule, wherein the LAG-3 binding site comprises the amino acid sequences WDEPWGED (SEQ ID NO: 1) and PYDRWVWPDE (SEQ ID NO: 3), and wherein the amino acid sequence WDEPWGED is located in a first structural loop of the CH3 domain and the amino acid sequence PYDRWVWPDE is located in a second structural loop of the CH3 domain.
2. An antibody molecule according to claim 1, wherein the LAG-3 antigen binding site comprises the amino acid sequence set forth in SEQ ID NO: 1 in the AB loop, and the amino acid sequence set forth in SEQ ID NO: 3 in the EF loop of the CH3 domain.
3. An antibody molecule according to claim 1 or 2, wherein: (i) the amino acid sequence set forth in SEQ ID NO: 1 is located at residues 11 to 18 of the CH3 domain; and/or (ii) the amino acid sequence set forth in SEQ ID NO: 3 is located at residues 92 to 101 of the CH3 domain; wherein the amino acid residue numbering is according to the ImMunoGeneTics IMGT) numbering scheme.
4. An antibody molecule according to any one of claims 1 to 3, wherein the LAG-3 antigen binding site further comprises one of the following sequences: TABLE-US-00021 (i) (SEQ ID NOS 2, 8 and 18) SNGQPENNY; (ii) (SEQ ID NO: 13) SNGQPEDNY; (iii) (SEQ ID NO: 23) SNGYPEIEF; (iv) (SEQ ID NO: 28) SNGIPEWNY; (v) (SEQ ID NO: 33) SNGYAEYNY; (vi) (SEQ ID NO: 38) SNGYKEENY; (vii) (SEQ ID NO: 43) SNGVPELNV; or (viii) (SEQ ID NO: 48) SNGYQEDNY.
5. An antibody molecule according to claim 4, wherein the LAG-3 antigen binding site comprises the amino acid sequence set forth in SEQ ID NO: 2, 8, 13, 18, 23, 28, 33, 38, 43, or 48 in the CD loop of the CH3 domain.
6. An antibody molecule according to claim 4, wherein the LAG-3 antigen binding site comprises the amino acid sequence set forth in SEQ ID NO: 2, 28, or 38 in the CD loop of the CH3 domain.
7. An antibody molecule according to claim 4, wherein the LAG-3 antigen binding site comprises the amino acid sequence set forth in SEQ ID NO: 2 in the CD loop of the CH3 domain.
8. An antibody molecule according to any one of claims 4 to 7, wherein the amino acid sequence set forth in SEQ ID NO: 2, 8, 13, 18, 23, 28, 33, 38, 43, or 48 is located at residues 43 to 78 of the CH3 domain of the antibody molecule, wherein the residues are numbered according to the IMGT numbering scheme.
9. An antibody molecule according to any one of claims 1 to 8, wherein the antibody molecule is an immunoglobulin G molecule.
10. An antibody molecule according to claim 9, wherein the antibody molecule is an IgG1, IgG2, IgG3, or IgG4 molecule.
11. An antibody molecule according to claim 10, wherein the antibody molecule is an IgG1 molecule.
12. An antibody molecule according to any one of claims 1 to 11, wherein the antibody molecule comprises the CH3 domain set forth in SEQ ID NO: 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50.
13. An antibody molecule according to claim 12, wherein the antibody molecule comprises the CH3 domain set forth in SEQ ID NO: 5, 30, or 40.
14. An antibody molecule according to claim 13, wherein the antibody molecule comprises the CH3 domain set forth in SEQ ID NO: 5.
15. An antibody molecule according to any one of claims 1 to 14, wherein the antibody molecule comprises a CH2 domain and the CH2 domain has the sequence set forth in SEQ ID NO: 53 or SEQ ID NO: 54.
16. An antibody molecule according to any one of claims 1 to 15, wherein the antibody molecule comprises the sequence set forth in SEQ ID NO: 6, 7, 11, 12, 16, 17, 21, 22, 26, 27, 31, 32, 36, 37, 41, 42, 46, 47, 51, or 52.
17. An antibody molecule according to claim 16, wherein the antibody molecule comprises the sequence set forth in SEQ ID NO: 6, 7, 31, 32, 41, or 42.
18. An antibody molecule according to claim 17, wherein the antibody molecule comprises the sequence set forth in SEQ ID NO: 6 or 7.
19. An antibody molecule according to any one of claims 1 to 18, comprising the complementarity determining regions (CDRs) set forth in SEQ ID NOs 86 to 91.
20. An antibody molecule according to claim 19, wherein the antibody molecule comprises the VH and/or VL domains set forth in SEQ ID NOs 92 and 93.
21. An antibody molecule according to any one of claims 19 to 20, wherein the antibody molecule comprises the heavy chain sequence set forth in any one of SEQ ID NOs: 94 to 113.
22. An antibody molecule according to claim 21, wherein the antibody molecule comprises the heavy chain sequence set forth in SEQ ID NO: 94, 95, 104, 105, 108, or 109.
23. An antibody molecule according to claim 22, wherein the antibody molecule comprises the heavy chain sequence set forth in SEQ ID NO: 94 or 95.
24. An antibody molecule according to any one of claims 19 to 23, wherein the antibody molecule comprises the light chain sequence set forth in SEQ ID NO: 116.
25. An antibody molecule according to any one of claims 1 to 24, wherein the antibody is capable of simultaneously binding to PD-L1 and LAG-3.
26. An antibody molecule according to claim 25, wherein the PD-L1 and LAG-3 are present on two different cells.
27. An antibody molecule according to any one of claims 1 to 26, wherein the antibody molecule is conjugated to an immune system modulator, cytotoxic molecule, radioisotope, or detectable label.
28. An antibody molecule according to claim 27, wherein the immune system modulator or cytotoxic molecule is a cytokine.
29. A nucleic acid encoding a antibody molecule according to any one of claims 1 to 28.
30. A vector comprising the nucleic acid of claim 29.
31. A recombinant host cell comprising the nucleic acid of claim 29, or the vector of claim 30.
32. A method of producing an antibody molecule according to any one of claims 1 to 28, comprising culturing the recombinant host cell of claim 31 under conditions for production of the antibody molecule.
33. The method of claim 32 further comprising isolating and/or purifying the antibody molecule.
34. A pharmaceutical composition comprising an antibody molecule according to any one of claims 1 to 28 and a pharmaceutically acceptable excipient.
35. An antibody molecule according to any one of claims 1 to 28, for use in a method of treating cancer in a patient.
36. A method of treating cancer in a patient, wherein the method comprises administering to the patient a therapeutically effective amount of an antibody molecule according to any one of claims 1 to 28.
37. An antibody molecule for use according to claim 35, or a method according to claim 36, wherein the cancer is selected from the group consisting of: Hodgkin's lymphoma, non-Hodgkin's lymphoma, ovarian cancer, prostate cancer, colorectal cancer, fibrosarcoma, renal cell carcinoma, melanoma, pancreatic cancer, breast cancer, glioblastoma multiforme, lung cancer, head and neck cancer, stomach cancer, bladder cancer, cervical cancer, uterine cancer, vulvar cancer, testicular cancer, penile cancer, leukemia, multiple myeloma, squamous cell cancer, testicular cancer, esophageal cancer, Kaposi's sarcoma, and central nervous system (CNS) lymphoma, hepatocellular carcinoma, Merkel cell carcinoma, nasopharyngeal cancer, and mesothelioma.
38. An antibody molecule for use, or a method, according to any one of claims 35 to 37, wherein the method further comprises administering an anti-tumour vaccine to the patient.
39. An antibody molecule for use, or a method, according to any one of claims 35 to 37, wherein the method further comprises administering a chemotherapeutic agent to the patient.
Description
BRIEF DESCRIPTION OF THE FICIURES
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DETAILED DESCRIPTION
[0095] The present invention relates to antibody molecules which bind both to PD-L1 and LAG-3. Specifically, the antibody molecules of the present invention comprise a CDR-based antigen binding site for PD-L1 and a LAG-3 antigen binding site located in a constant domain of the antibody molecule. The terms PD-L1 and LAG-3 may refer to human PD-L1 and human LAG-3, murine PD-L1 and murine LAG-3, and/or cynomologus monkey PD-L1 and cynomologus monkey LAG-3, unless the context requires otherwise. Preferably the terms PD-L1 and LAG-3 refer to human PD-L1 and human LAG-3, unless the context requires otherwise.
[0096] The term antibody molecule describes an immunoglobulin whether natural or partly or wholly synthetically produced. The antibody molecule may be human or humanised. The antibody molecule is preferably a monoclonal antibody molecule. Examples of antibodies are the immunoglobulin isotypes, such as immunoglobulin G, and their isotypic subclasses, such as IgG1, IgG2, IgG3 and IgG4, as well as fragments thereof.
[0097] The term antibody molecule, as used herein, thus includes antibody fragments, provided said fragments comprise a CDR-based antigen binding site for PD-L1 and a LAG-3 antigen binding site located in a constant domain, such as a CH1, CH2, or CH3 domain, preferably a CH3 domain, of the antibody molecule. Unless the context requires otherwise, the term antibody molecule, as used herein, is thus equivalent to antibody molecule or fragment thereof.
[0098] It is possible to take monoclonal and other antibodies and use techniques of recombinant DNA technology to produce other antibodies or chimeric molecules which retain the specificity of the original antibody. Such techniques may involve introducing the CDRs, or variable regions, and/or the constant domain sequences providing the LAG-3 antigen binding site, into a different immunoglobulin. Introduction of the CDRs of one immunoglobulin into another immunoglobulin is described for example in EP-A-184187, GB 2188638A or EP-A-239400. Similar techniques could be employed for the relevant constant domain sequences. Alternatively, a hybridoma or other cell producing an antibody molecule may be subject to genetic mutation or other changes, which may or may not alter the binding specificity of antibodies produced.
[0099] As antibodies can be modified in a number of ways, the term antibody molecule should be construed as covering antibody fragments, derivatives, functional equivalents and homologues of antibodies, including any polypeptide comprising an immunoglobulin binding domain, whether natural or wholly or partially synthetic. Chimeric molecules comprising an immunoglobulin binding domain, or equivalent, fused to another polypeptide are therefore included. Cloning and expression of chimeric antibodies are described in EP-A-0120694 and EP-A-0125023.
[0100] An example of an antibody fragment comprising both CDR sequences and CH3 domain is a minibody, which comprises an scFv joined to a CH3 domain (Hu et al. (1996), Cancer Res., 56(13):3055-61).
[0101] The antibody molecule of the present invention binds to PD-L1 and LAG-3. Binding in this context may refer to specific binding. The term specific may refer to the situation in which the antibody molecule will not show any significant binding to molecules other than its specific binding partner(s), here PD-L1 and LAG-3. The term specific is also applicable where the antibody molecule is specific for particular epitopes, such as epitopes on PD-L1 and LAG-3, that are carried by a number of antigens in which case the antibody molecule will be able to bind to the various antigens carrying the epitope.
[0102] LAG-3 shares 40% sequence identity with CD4, its most closely related protein. The present inventors tested the FS18-7-9 Fcab, which comprises the amino acid sequences set forth in SEQ ID NOs 1 to 3, for binding to CD4. The FS18-7-9 Fcab showed no binding to CD4, demonstrating that this molecule binds LAG-3 specifically. Thus, in a preferred embodiment, the LAG-3 binding site of an antibody molecule of the present invention does not bind, or does not show any significant binding, to CD4.
[0103] An antibody molecule of the invention preferably comprises a LAG-3 antigen binding site. The LAG-3 antigen binding site is located in a constant domain of the antibody molecule, such as a CH1, CH2, CH3 or CH4 domain. Preferably, the LAG-3 antigen binding site is located in the CH3 domain of the antibody molecule. The LAG-3 binding site preferably comprises the amino acid sequences WDEPWGED (SEQ ID NO: 1) and PYDRWVWPDE. (SEQ ID NO: 3). These sequences were present in all of the lead anti-LAG-3 Fcab clones identified by the present inventors following an extensive screening and characterisation program as described in the examples.
[0104] The amino acid sequences set forth in SEQ ID NOs 1 and 2 are preferably located in structural loops of the constant domain of the antibody molecule. The introduction of sequences into the structural loop regions of antibody constant domains to create new antigen-binding sites is described, for example, in WO2006/072620 and WO2009/132876.
[0105] The structural loops of antibody constant domains include the AB, CD and EF loops. In the CH3 domain, the AB, CD, and EF loops are located at residues 11-18, 43-78 and 92-101 of the CH3 domain, where the amino acid residue numbering is according to the ImMunoGeneTics (IMGT) numbering scheme. The amino acid sequence set forth in SEQ ID NO: 1 is preferably located in the AB loop of the constant domain. The amino acid sequence set forth in SEQ ID NO: 3 is preferably located in the EF loop of the constant domain. More preferably, the amino acid sequence set forth in SEQ ID NO: 1 is located at residues 11 to 18 of the CH3 domain; and/or the amino acid sequence set forth in SEQ ID NO: 3 is located at residues 92 to 101 of the CH3 domain, wherein the amino acid residue numbering is according to the IMGT numbering scheme.
[0106] In addition, the antibody molecule preferably comprises the amino acid sequence set forth in SEQ ID NO: 2, 8, 13, 18, 23, 28, 33, 38, 43, or 48, more preferably SEQ ID NO: 2, 28, or 38, yet more preferably SEQ ID NO: 2, in a structural loop of a constant domain of the antibody molecule. The structural loop is preferably the CD loop and the constant domain is preferably the CH3 domain. The amino acid sequence set forth in SEQ ID NO: 2, 8, 13, 18, 23, 28, 33, 38, 43, or 48 is preferably located at residues 43 to 78 of the CH3 domain, wherein the amino acid residue numbering is according to the IMGT numbering scheme.
[0107] An antibody molecule of the invention may further comprise a glutamic acid residue (E) at position 36 and/or a tyrosine residue (Y) at position 85.2 of the CH3 domain (as shown in
[0108] In a preferred embodiment, the antibody molecule of the invention comprises a CH3 domain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50, preferably a CH3 domain with the sequence set forth in SEQ ID NO: 5, 30, or 40, more preferably, a CH3 domain with the sequence set forth in SEQ ID NO: 5.
[0109] The antibody molecule of the invention may comprise a CH3 domain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50, wherein the CH3 domain sequence further comprises a lysine residue (K) at the immediate C-terminus of the sequence shown in SEQ ID NO: 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50. Thus, for example, the antibody molecule of the invention may comprise a CH3 domain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 5 with a lysine residue at the C-terminus of the sequence shown in SEQ ID NO: 5. The sequence of such a CH3 domain would then be as follows:
TABLE-US-00002 (SEQ ID NO: 135) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPEN NYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQ KSLSLSPGK
[0110] In addition, the antibody molecule of the invention may comprise a CH2 domain of an immunoglobulin G molecule, such as a CH2 domain of an IgG1, IgG2, IgG3, or IgG4 molecule. Preferably the antibody molecule of the invention comprises a CH2 domain of an IgG1 molecule. The CH2 domain may have the sequence set forth in SEQ ID NO: 53.
[0111] The CH2 domain of the antibody molecule may comprise a mutation to reduce or abrogate binding of the CH2 domain to one or more Fc ? receptors, such as Fc?RI, Fc?RIIa, Fc?RIIb, Fc?RIII and/or to complement. CH2 domains of human IgG domains normally bind to Fc ? receptors and complement and the inventors postulate that reduced binding to Fc ? receptors will reduce the antibody-dependent cell-mediated cytotoxicity (ADCC) and reduced binding to complement will reduce the complement-dependent cytotoxicity (CDC) activity of the antibody molecule. Mutations for reduce or abrogate binding of the CH2 domain to one or more Fc ? receptors and complement are known and include the LALA mutation described in Bruhns, et al. (2009) and Xu et al. (2000). Thus, the antibody molecule may comprise a CH2 domain, wherein the CH2 domain comprises alanine residues at positions 4 and 5 of the CH2 domain, wherein the numbering is according to the IMGT numbering scheme. For example, the antibody molecule comprises an IgG1 CH2 domain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 54.
[0112] The antibody molecule of the present invention comprises a CDR-based antigen binding site for PD-L1. The term CDR-based antigen binding site refers to the antigen-binding site of an antibody molecule variable region which is composed of six CDRs. The preparation of antibody molecules against PD-L1, and determination of the CDR sequences of such antibody molecules, is well within the capabilities of the skilled person and many suitable techniques are known in the art.
[0113] Preferably, the antibody molecule of the invention comprises the HCDR3 of antibody 84G09. The HCDR3 is known to play a role in determining the specificity of an antibody molecule (Segal et al., (1974), PNAS, 71:4298-4302; Amit et al., (1986), Science, 233:747-753; Chothia et al., (1987), J. Mol. Biol., 196:901-917; Chothia et al., (1989), Nature, 342:877-883; Caton et al., (1990), J. Immunol., 144:1965-1968; Sharon et al., (1990a), PNAS, 87:4814-4817; Sharon et al., (1990b), J. Immunol., 144:4863-4869; Kabat et al., (1991b), J. Immunol., 147:1709-1719).
[0114] The antibody molecule may further comprise the HCDR1, HCDR2, LCDR1, LCDR2 and/or LCDR3 of antibody 84G09. The skilled person would have no difficulty in determining the sequences of the CDRs from the VH and VL domain sequences of antibody 84G09 shown in SEQ ID NOs 92 and 93, respectively. The CDR sequences may, for example, be determined according to Kabat (Kabat, E. A. et al., (1991)) or the IMGT numbering scheme.
[0115] The sequences of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 and LCDR3 of antibody 84G09, according to the IMGT numbering scheme, are set out in SEQ ID NOs 86, 87, 88, 89, 90, and 91, respectively.
[0116] The sequences of the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 and LCDR3 of antibody 84G09, according to Kabat, are set out in SEQ ID NOs 136, 137, 138, 139, 140, and 141, respectively.
[0117] The antibody may also comprise the VH and/or VL domain of antibody 84G09. The VH and VL domain sequences of antibody 84G09 shown in SEQ ID NOs 92 and 93, respectively.
[0118] In a preferred embodiment, the antibody molecule of the invention comprises (i) a CDR-based antigen binding site for PD-L1 comprising the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 and LCDR3 sequences of antibody 84G09, and (ii) a LAG-3 antigen binding site located in a CH3 domain of the antibody molecule, wherein the LAG-3 binding site comprises the amino acid sequences set forth in SEQ ID NOs 1 and 3, and an amino acid sequence selected from the group consisting of: SEQ ID NOs 2, 8, 13, 18, 23, 28, 33, 38, 43, and 48.
[0119] More preferably, the antibody molecule of the invention comprises (i) a CDR-based antigen binding site for PD-L1 comprising the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 and LCDR3 sequences of antibody 84G09, and (ii) a LAG-3 antigen binding site located in a CH3 domain of the antibody molecule, wherein the LAG-3 binding site comprises the amino acid sequences set forth in SEQ ID NOs 1 and 3, and an amino acid sequence selected from the group consisting of: SEQ ID NOs 2, 28, and 38.
[0120] Yet more preferably, the antibody molecule of the invention comprises (i) a CDR-based antigen binding site for PD-L1 comprising the HCDR1, HCDR2, HCDR3, LCDR1, LCDR2 and LCDR3 sequences of antibody 84G09, and (ii) a LAG-3 antigen binding site located in a CH3 domain of the antibody molecule, wherein the LAG-3 binding site comprises the amino acid sequences set forth in SEQ ID NOs 1, 2 and 3.
[0121] In a preferred embodiment, the antibody molecule of the invention comprises a VH domain and a VL domain which comprises, has, or consists of the sequence set forth in SEQ ID NOs 92 and 93, respectively, and a CH3 domain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 5, 10, 15, 20, 25, 30, 35, 40, 45, or 50, preferably a CH3 which comprises, has, or consists of the sequence set forth in SEQ ID NO: 5, 30, or 40, more preferably, a CH3 domain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 5.
[0122] In a further preferred embodiment, the antibody molecule comprises a heavy chain which comprises, has, or consists of the sequence set forth in SEQ ID NOs: 94 to 113 and a light chain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 116. More preferably, the antibody molecule comprises a heavy chain which comprises, has, or consists of the sequence set forth in SEQ ID NOs: 94, 95, 104, 105, 108, and 109 and a light chain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 116. Most preferably, the antibody molecule comprises a heavy chain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 94 or 95 and a light chain which comprises, has, or consists of the sequence set forth in SEQ ID NO: 116.
[0123] The antibody molecules of the present invention may also comprise variants of the structural loop, CH3 domain, CH2 domain, CH2 and CH3 domain, light chain or heavy chain sequences disclosed herein, provided the VL and VH domains of the light and heavy chain sequences, respectively, remain unchanged. Suitable variants can be obtained by means of methods of sequence alteration, or mutation, and screening. In a preferred embodiment, an antibody molecule comprising one or more variant sequences retains one or more of the functional characteristics of the parent antibody molecule, such as binding specificity and/or binding affinity for LAG-3 and PD-L1. For example, an antibody molecule comprising one or more variant sequences preferably binds to LAG-3 and/or PD-L1 with the same affinity, or a higher affinity, than the (parent) antibody molecule. The parent antibody molecule is an antibody molecule which does not comprise the amino acid substitution(s), deletion(s), and/or insertion(s) which have been incorporated into the variant antibody molecule.
[0124] For example, an antibody molecule of the invention may comprise a structural loop, CH3 domain, CH2 domain, CH2 and CH3 domain, light chain or heavy chain sequence which has at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, at least 99.1%, at least 99.2%, at least 99.3%, at least 99.4%, at least 99.5%, at least 99.6%, at least 99.7%, at least 99.8%, or at least 99.9% sequence identity to a structural loop, CH3 domain, CH2 domain, CH2 and CH3 domain, light chain or heavy chain sequence disclosed herein, provided the VL and VH domains of the light and heavy chain sequences, respectively, remain unchanged.
[0125] In a preferred embodiment, the antibody molecule of the invention comprises a CH3 domain sequence which has at least 97%, at least 98%, at least 99%, at least 99.1%, at least 99.2%, at least 99.3%, at least 99.4%, at least 99.5%, at least 99.6%, at least 99.7%, at least 99.8%, or at least 99.9% sequence identity to the CH3 domain sequence set forth in SEQ ID NO: 4, 5, or 135.
[0126] In a further preferred embodiment, the antibody molecule of the invention comprises a CH3 and CH2 domain sequence, which has at least 97%, at least 98%, at least 99%, at least 99.1%, at least 99.2%, at least 99.3%, at least 99.4%, at least 99.5%, at least 99.6%, at least 99.7%, at least 99.8%, or at least 99.9% sequence identity to the CH2 and CH3 domain sequence set forth in SEQ ID NO: 6 or 7.
[0127] Sequence identity is commonly defined with reference to the algorithm GAP (Wisconsin GCG package, Accelerys Inc, San Diego USA). GAP uses the Needleman and Wunsch algorithm to align two complete sequences that maximizes the number of matches and minimizes the number of gaps. Generally, default parameters are used, with a gap creation penalty=12 and gap extension penalty=4. Use of GAP may be preferred but other algorithms may be used, e.g. BLAST (which uses the method of Altschul et al. (1990) J. Mol. Biol. 215: 405-410), FASTA (which uses the method of Pearson and Lipman (1988) PNAS USA 85: 2444-2448), or the Smith-Waterman algorithm (Smith and Waterman (1981) J. Mol Biol. 147: 195-197), or the TBLASTN program, of Altschul et al. (1990) supra, generally employing default parameters. In particular, the psi-Blast algorithm (Nucl. Acids Res. (1997) 25 3389-3402) may be used.
[0128] An antibody molecule of the invention may also comprise a structural loop, CH3 domain, CH2 domain, CH2 and CH3 domain, light chain or heavy chain sequence which has one or more amino acid sequence alterations (addition, deletion, substitution and/or insertion of an amino acid residue), preferably 20 alterations or fewer, 15 alterations or fewer, 10 alterations or fewer, 5 alterations or fewer, 4 alterations or fewer, 3 alterations or fewer, 2 alterations or fewer, or 1 alteration compared with a structural loop, CH3 domain, CH2 domain, CH2 and CH3 domain, light chain or heavy chain sequence disclosed herein, provided the VL and VH domains of the light and heavy chain sequences, respectively, remain unchanged. In particular, alterations may be made in one or more framework regions of the antibody molecule outside the VH and VL domain sequences.
[0129] In a preferred embodiment, the antibody molecule of the invention may comprise a CH3 domain sequence with one or more amino acid sequence alterations (addition, deletion, substitution and/or insertion of an amino acid residue), preferably 20 alterations or fewer, 15 alterations or fewer, 10 alterations or fewer, 5 alterations or fewer, 4 alterations or fewer, 3 alterations or fewer, 2 alterations or fewer, or 1 alteration compared with the CH3 domain sequence set forth in SEQ ID NO: 4, 5, or 135.
[0130] In a further preferred embodiment, the antibody molecule of the invention comprises a CH3 and CH2 domain sequence, with one or more amino acid sequence alterations (addition, deletion, substitution and/or insertion of an amino acid residue), preferably 20 alterations or fewer, 15 alterations or fewer, 10 alterations or fewer, 5 alterations or fewer, 4 alterations or fewer, 3 alterations or fewer, 2 alterations or fewer, or 1 alteration compared with the CH2 and CH3 domain sequence set forth in SEQ ID NO: 6 or 7.
[0131] Also contemplated is an antibody molecule which competes with an antibody molecule of the invention for binding to LAG-3 and/or PD-L1, or which binds to the same epitope on LAG-3 and/or PD-L1 as an antibody molecule of the invention, wherein the antibody molecule comprises both a CDR-based antigen binding site for PD-L1 and a LAG-3 antigen binding site located in a CH3 domain of the antibody molecule. Methods for determining competition for an antigen by two antibodies are known in the art. For example, competition of binding to an antigen by two antibodies can be determined using BIAcore. Methods for mapping the epitope bound by an antibody are similarly known in the art.
[0132] The antibody molecule of the invention preferably binds to LAG-3 with an affinity (Kc) of 1?10.sup.?9 M or an affinity which is greater. For example, the antibody molecule of the invention may bind to LAG-3 with an affinity (K.sub.D) of 8?10.sup.?10 M, or an affinity which is greater.
[0133] Fcabs have a smaller binding interface than monoclonal antibodies as the binding sites of Fcabs form a relatively compact antibody fragment with two binding sites situated in close proximity. In contrast, the Fab arms of a typical mAb are separated by a flexible hinge region. The two antigen binding sites of an Fcab are also spatially close to each other, as compared with those of a typical mAb. Based on this smaller binding interface and reduced flexibility of the two binding sites it was surprising that the anti-LAG-3 Fcabs were able to bind to and inhibit LAG-3 with similar affinity and potency as a monoclonal antibody benchmark.
[0134] The antibody molecule of the invention preferably binds to PD-L1 with an affinity (K.sub.D) of 1?10.sup.?9 M or an affinity which is greater.
[0135] The binding affinity of an antibody molecule to a cognate antigen, such as LAG-3 or PD-L1 can be determined by surface plasmon resonance (SPR), for example. The binding affinity of an antibody molecule to a cognate antigen, such as LAG-3 or PD-L1, expressed on a cell surface can be determined by flow cytometry.
[0136] The antibody molecule of the present invention is preferably capable of binding to LAG-3 and PD-L1 expressed on the surface of a cell. The cell is preferably a cancer cell.
[0137] The antibody molecule of the present invention is preferably capable of simultaneously binding to LAG-3 and PD-L1. In a preferred embodiment, the antibody molecule of the present invention is capable of simultaneously binding to LAG-3 and PD-L1, wherein the LAG-3 and PD-L1 are expressed on the surface of a single cell, or on the surface of two separate cells.
[0138] The antibody molecule of the invention may bind to human LAG-3, murine LAG-3, and/or cynomolgus monkey LAG-3. Preferably, the antibody molecule of the invention binds to human LAG-3. Most preferably, the antibody molecule of the invention binds to human LAG-3 and human PD-L1.
[0139] The antibody molecule of the invention comprises (i) a CDR-based antigen binding site for PD-L1; and (ii) a LAG-3 antigen binding site located in a constant domain of the antibody molecule. Antibody molecules which do not comprise a LAG-3 antigen binding site located in a constant domain, such as a CH3 domain, of the antibody molecule thus do not form part of the present invention. Similarly, a molecule which does not comprise a CDR-based antigen binding site for PD-L1 does not form part of the present invention.
[0140] The antibody molecule of the present invention may be conjugated to a therapeutic agent or detectable label. In this case, the antibody molecule may be referred to as a conjugate. For example, the antibody molecule may be conjugated to an immune system modulator, cytotoxic molecule, radioisotope, or detectable label. The immune system modulator or cytotoxic molecule may be a cytokine. The detectable label may be a radioisotope, e.g. a non-therapeutic radioisotope.
[0141] The antibody molecule may be conjugated to the therapeutic agent or detectable label, by means of a peptide bond or linker, i.e. within a fusion polypeptide comprising said therapeutic agent or detectable label and the antibody molecule or a polypeptide chain component thereof. Other means for conjugation include chemical conjugation, especially cross-linking using a bifunctional reagent (e.g. employing DOUBLE-REAGENTS? Cross-linking Reagents Selection Guide, Pierce).
[0142] The antibody molecule and the therapeutic agent or detectable label may thus be connected to each other directly, for example through any suitable chemical bond or through a linker, for example a peptide linker.
[0143] The peptide linker may be a short (2-20, preferably 2-15, residue stretch of amino acids). Suitable examples of peptide linker sequences are known in the art. One or more different linkers may be used. The linker may be about 5 amino acids in length.
[0144] The chemical bond may be, for example, a covalent or ionic bond. Examples of covalent bonds include peptide bonds (amide bonds) and disulphide bonds. For example the antibody molecule and therapeutic or diagnostic agent may be covalently linked. For example by peptide bonds (amide bonds). Thus, the antibody molecule and therapeutic or diagnostic agent may be produced (secreted) as a single chain polypeptide.
[0145] The invention also provides isolated nucleic acids encoding the antibodies molecules of the invention. The skilled person would have no difficulty in preparing such nucleic acids using methods well-known in the art. An isolated nucleic acid may be used to express the antibody molecule of the invention, for example, by expression in a bacterial, yeast, insect or mammalian host cell. A preferred host cell is a mammalian cell such as a CHO, HEK or NSO cell. The nucleic acid will generally be provided in the form of a recombinant vector for expression.
[0146] The isolated nucleic acid may, for example, comprise the sequence set forth in SEQ ID NO: 142, 4, 9, 14, 19, 24, 29, 34, 39, 44, or 49, which encode the CH3 domains of FS18-7-9 (CHO codon optimised nucleotide sequence), FS18-7-9 (HEK293-expressed nucleotide sequence), FS18-7-32, FS18-7-33, FS18-7-36, FS18-7-58, FS18-7-62, FS18-7-65, FS18-7-78, FS18-7-88, and FS18-7-95, respectively.
[0147] In vitro host cells comprising such nucleic acids and vectors are part of the invention, as is their use for expressing the antibody molecules of the invention, which may subsequently be purified from cell culture and optionally formulated into a pharmaceutical composition. The present invention thus further provides a method of producing the antibody molecule of the invention, comprising culturing the recombinant host cell of the invention under conditions for production of the antibody molecule. Methods for culturing suitable host cells as mentioned above are well-known in the art. The method may further comprise isolating and/or purifying the antibody molecule. The method may also comprise formulating the antibody molecule into a pharmaceutical composition, optionally with a pharmaceutically acceptable excipient or other substance as described below.
[0148] PD-L1 is known to be expressed on many cancer cells, while expression of LAG-3 on cancer cells is more limited. Both are expressed on cells of the immune system. In particular, LAG-3 is known to be expressed on exhausted T cells within the tumour environment. In addition, the present inventors have shown that the use of an antibody molecule which binds to both LAG-3 and PD-L1 is effective in suppressing tumour growth in syngeneic mouse models of cancer, and that such antibody molecules are more effective than the administration of two binding molecules which bind LAG-3 and PD-L1, respectively.
[0149] Thus, an antibody molecule of the invention may be used in a method of treating cancer in a patient. The patient is preferably a human patient.
[0150] Cells of the cancer to be treated using the antibody molecule of the invention may express LAG-3, e.g. on their cell surface. In one embodiment, cells of the cancer to be treated may have been determined to express LAG-3, e.g. on their cell surface. For example, B cell lymphomas have been shown to express LAG-3 on their cell surface. Methods for determining the expression of an antigen on a cell surface are known in the art and include, for example, flow cytometry.
[0151] Example 4 below shows that the antibody molecules of the present invention can be used to treat tumours with high levels of LAG-3-expressing immune cells, such as LAG-3-expressing TI Ls, in mice. Thus, in addition, or alternatively, tumours of the cancer to be treated using the antibody molecule of the invention may comprise LAG-3 expressing immune cells. LAG-3 expressing immune cells, such as LAG-3 expressing TI Ls, are present between tumour cells in many cancers. In one embodiment, tumours of the cancer to be treated using the antibody molecule of the invention have been determined to contain LAG-3 expressing immune cells. Methods for determining the presence of LAG-3 expressing immune cells in a tumour or in the periphery of the tumour are known in the art.
[0152] Example 4 below also shows that the antibody molecules of the present invention can be used to treat tumours which express PD-L1 on their cell surface. Thus, in addition, or alternatively, cells of the cancer to be treated using the antibody molecule of the invention may express PD-L1, e.g. on their cell surface. In addition, or alternatively, tumours of the cancer to be treated may comprise immune cells, such as TILs, that express PD-L1. Cells of the cancer to be treated may have been determined to express PD-L1, e.g. on their cell surface. In addition, or alternatively, tumours of the cancer to be treated may have been determined to contain immune cells, such as TI Ls, that express PD-L1.
[0153] Cell surface expression of LAG-3 and PD-L1 is expected to allow the antibody molecule to bind to LAG-3 and PD-L1 expressed on the surface of the immune cell and/or the cancer cell. This is thought to result in directed therapy, bridging, and localisation of cancer cells and immune cells.
[0154] A cancer to be treated using an antibody molecule of the invention may be selected from the group consisting of Hodgkin's lymphoma, non-Hodgkin's lymphoma (such as diffuse large B-cell lymphoma, indolent non-Hodgkin's lymphoma, mantle cell lymphoma, ovarian cancer, prostate cancer, colorectal cancer, fibrosarcoma, renal cell carcinoma, melanoma, pancreatic cancer, breast cancer, glioblastoma multiforme, lung cancer (such as non-small cell lung cancer), head and neck cancer (such as head and neck squamous cell carcinoma), stomach cancer (gastric cancer), bladder cancer, cervical cancer, uterine cancer, vulvar cancer, testicular cancer, penile cancer, leukemia (such as chronic lymphocytic leukemia, myeloid leukemia, acute lymphoblastoid leukaemia, or chronic lymphoblastoid leukaemia), multiple myeloma, squamous cell cancer, testicular cancer, esophageal cancer (such as adenocarcinoma of the gastroesophageal junction), Kaposi's sarcoma, and central nervous system (CNS) lymphoma, hepatocellular carcinoma, nasopharyngeal cancer, Merkel cell carcinoma, and mesothelioma. Tumours of these cancers are known, or expected, to express PD-L1 on their cell surface and/or contain immune cells, such as TI Ls, expressing PD-L1 and/or LAG-3.
[0155] Treatment of renal cell carcinoma, lung cancer (such as non-small cell lung cancer), nasopharyngeal cancer, colorectal cancer, melanoma, stomach cancer (gastric cancer), esophageal cancer (such as adenocarcinoma of the gastroesophageal junction), ovarian cancer, cervical cancer, bladder cancer, head and neck cancer (such as head and neck squamous cell carcinoma), leukemia (such as chronic lymphocytic leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma (such as diffuse large B-cell lymphoma, indolent non-Hodgkin's lymphoma, mantle cell lymphoma), and multiple myeloma using anti-LAG-3 antibodies has been investigated in clinical trials and shown promising results. Thus, the cancer to be treated using the antibody molecules of the present invention may be a renal cell carcinoma, lung cancer (such as non-small cell lung cancer), nasopharyngeal cancer, colorectal cancer, melanoma, stomach cancer (gastric cancer), esophageal cancer (such as adenocarcinoma of the gastroesophageal junction), ovarian cancer, cervical cancer, bladder cancer, head and neck cancer (such as head and neck squamous cell carcinoma), leukemia (such as chronic lymphocytic leukemia, Hodgkin's lymphoma, non-Hodgkin's lymphoma (such as diffuse large B-cell lymphoma, indolent non-Hodgkin's lymphoma, mantle cell lymphoma), or multiple myeloma.
[0156] Treatment of melanoma, colorectal cancer, breast cancer, bladder cancer, renal cell carcinoma, bladder cancer, gastric cancer, head and neck cancer (such as squamous cell carcinoma of the head and neck), mesothelioma, lung cancer (such as non-small-cell lung cancer), ovarian cancer, Merkel-cell carcinoma, pancreatic cancer, melanoma and hepatocellular carcinoma using anti-PD-L1 antibodies has also been investigated in clinical trials and shown promising results. Thus, the cancer to be treated using the antibody molecules of the present invention may be a melanoma, colorectal cancer, breast cancer, bladder cancer, renal cell carcinoma, bladder cancer, gastric cancer, head and neck cancer (such as squamous cell carcinoma of the head and neck), mesothelioma, lung cancer (such as non-small-cell lung cancer), ovarian cancer, Merkel-cell carcinoma, pancreatic cancer, melanoma, or hepatocellular carcinoma.
[0157] Preferred cancers for treatment using the antibody molecules of the present invention are lung cancer (such as non-small-cell lung cancer), bladder cancer, head and neck cancer (squamous cell carcinoma of the head and neck), diffuse large B cell lymphoma, gastric cancer, pancreatic cancer and hepatocellular carcinoma. Tumours of these cancers are known to comprise LAG-3 expressing immune cells and to express PD-L1 either on their cell surface or to comprise immune cells expressing PD-L1.
[0158] Where the application refers to a particular type of cancer, such as breast cancer, this refers to a malignant transformation of the relevant tissue, in this case a breast tissue. A cancer which originates from malignant transformation of a different tissue, e.g. ovarian tissue, may result in metastatic lesions in another location in the body, such as the breast, but is not thereby a breast cancer as referred to herein but an ovarian cancer.
[0159] The cancer may be a primary or secondary cancer. Thus, the antibody molecule of the present invention may be for use in a method of treating cancer in a patient, wherein the cancer is a primary tumour and/or a tumour metastasis.
[0160] The antibody molecules of the invention are designed to be used in methods of treatment of patients, preferably human patients. Antibody molecules will usually be administered in the form of a pharmaceutical composition, which may comprise at least one component in addition to the antibody molecule, such as a pharmaceutically acceptable excipient. For example, a pharmaceutical composition of the present invention, may comprise, in addition to active ingredient, a pharmaceutically acceptable excipient, carrier, buffer, stabilizer or other materials well known to those skilled in the art. Such materials should be non-toxic and should not interfere with the efficacy of the active ingredient. The precise nature of the carrier or other material will depend on the route of administration, which may be by injection, e.g. intravenous or subcutaneous. The antibody molecule may be administered intravenously, or subcutaneously.
[0161] Liquid pharmaceutical compositions generally comprise a liquid carrier such as water, petroleum, animal or vegetable oils, mineral oil or synthetic oil. Physiological saline solution, dextrose or other saccharide solution or glycols such as ethylene glycol, propylene glycol or polyethylene glycol may be included.
[0162] For intravenous injection, or injection at the site of affliction, the antibody molecule, or pharmaceutical composition comprising the antibody molecule, is preferably in the form of a parenterally acceptable aqueous solution which is pyrogen-free and has suitable pH, isotonicity and stability. Those of relevant skill in the art are well able to prepare suitable solutions using, for example, isotonic vehicles such as Sodium Chloride Injection, Ringer's Injection, Lactated Ringer's Injection. Preservatives, stabilizers, buffers, antioxidants and/or other additives may be employed, as required. Many methods for the preparation of pharmaceutical formulations are known to those skilled in the art. See e.g. Robinson ed., Sustained and Controlled Release Drug Delivery Systems, Marcel Dekker, Inc., New York, 1978.
[0163] A composition comprising an antibody molecules according to the present invention may be administered alone or in combination with other treatments, concurrently or sequentially or as a combined preparation with another therapeutic agent or agents, dependent upon the condition to be treated. For example, an antibody molecule of the invention may be administered in combination with an existing therapeutic agent for the disease to be treated, e.g. a cancer as mentioned above. For example, an antibody molecule of the present invention may be administered to the patient in combination with a second anti-cancer therapy, such as chemotherapy, anti-tumour vaccination (also referred to as a cancer vaccination), radiotherapy, immunotherapy, an oncolytic virus, chimeric antigen receptor (CAR) T-cell therapy, or hormone therapy.
[0164] It is expected that the antibody molecule of the invention may act as an adjuvant in anti-cancer therapy, such as chemotherapy, anti-tumour vaccination, or radiotherapy. Without wishing to be bound by theory, it is thought that administration of the antibody molecule to the patient as part of chemotherapy, anti-tumour vaccination, or radiotherapy will trigger a greater immune response against the cancer associated antigens LAG-3 and PD-L1, than is achieved with chemotherapy, anti-tumour vaccination, or radiotherapy alone. For example, anti-LAG-3 therapies have shown good efficacy in treating viral based pathologies in mice (Blackburn S D, et al., 2009).
[0165] A method of treating cancer in a patient may thus comprise administering to the patient a therapeutically effective amount of an antibody molecule according to the present invention in combination with a chemotherapeutic agent, anti-tumour vaccine, radionuclide, immunotherapeutic agent, oncolytic viruses, CAR-T cells, or agent for hormone therapy. The chemotherapeutic agent, anti-tumour vaccine, radionuclide, immunotherapeutic agent, oncolytic viruses, CAR-T cells, or agent for hormone therapy is preferably a chemotherapeutic agent, anti-tumour vaccine, radionuclide, immunotherapeutic agent, oncolytic viruses, CAR-T cells, or agent for hormone therapy for the cancer in question, i.e. a chemotherapeutic agent, anti-tumour vaccine, radionuclide, immunotherapeutic agent, oncolytic viruses, CAR-T cells, or agent for hormone therapy which has been shown to be effective in the treatment of the cancer in question. The selection of a suitable chemotherapeutic agent, anti-tumour vaccine, radionuclide, immunotherapeutic agent, oncolytic viruses, CAR-T cells, or agent for hormone therapy which have been shown to be effective for the cancer in question is well within the capabilities of the skilled practitioner.
[0166] For example, where the method comprises administering to the patient a therapeutically effective amount of an antibody molecule according to the present invention in combination with a chemotherapeutic agent, the chemotherapeutic agent from the group consisting of: taxanes, cyctotoxic antibiotics, tyrosine kinase inhibitors, PARP inhibitors, B_RAF enzyme inhibitors, alkylating agents, platinum analogs, nucleoside analogs, thalidomide derivatives, antineoplastic chemotherapeutic agents and others. Taxanes include docetaxel, paclitaxel and nab-paclitaxel; cytotoxic antibiotics include actinomycin, bleomycin, anthracyclines, doxorubicin and valrubicin; tyrosine kinase inhibitors include erlotinib, gefitinib, axitinib, PLX3397, imatinib, cobemitinib and trametinib; PARP inhibitors include piraparib; B-Raf enzyme inhibitors include vemurafenib and dabrafenib; alkylating agents include dacarbazine, cyclophosphamide, temozolomide; platinum analogs include carboplatin, cisplatin and oxaliplatin; nucleoside analogs include gemcitabine and azacitidine; antineoplastics include fludarabine. Other chemotherapeutic agents suitable for use in the present invention include methotrexate, defactinib, entinostat, pemetrexed, capecitabine, eribulin, irinotecan, fluorouracil, and vinblastine.
[0167] Vaccination strategies for the treatment of cancers has been both implemented in the clinic and discussed in detail within scientific literature (such as Rosenberg, S. 2000 Development of Cancer Vaccines). This mainly involves strategies to prompt the immune system to respond to various cellular markers expressed by autologous or allogenic cancer cells by using those cells as a vaccination method, both with or without granulocyte-macrophage colony-stimulating factor (GM-CSF). GM-CSF provokes a strong response in antigen presentation and works particularly well when employed with said strategies.
[0168] Administration may be in a therapeutically effective amount, this being sufficient to show benefit to a patient. Such benefit may be at least amelioration of at least one symptom. Thus treatment of a specified disease refers to amelioration of at least one symptom. The actual amount administered, and rate and time-course of administration, will depend on the nature and severity of what is being treated, the particular patient being treated, the clinical condition of the individual patient, the cause of the disorder, the site of delivery of the composition, the type of antibody molecule, the method of administration, the scheduling of administration and other factors known to medical practitioners. Prescription of treatment, e.g. decisions on dosage etc., is within the responsibility of general practitioners and other medical doctors, and may depend on the severity of the symptoms and/or progression of a disease being treated. Appropriate doses of antibody molecules are well known in the art (Ledermann et al. (1991) Int. J. Cancer 47: 659-664; and Bagshawe et al. (1991) Antibody, Immunoconjugates and Radiopharmaceuticals 4: 915-922). Specific dosages indicated herein, or in the Physician's Desk Reference (2003) as appropriate for an antibody molecule being administered, may be used. A therapeutically effective amount or suitable dose of an antibody molecule can be determined by comparing it's in vitro activity and in vivo activity in an animal model. Methods for extrapolation of effective dosages in mice and other test animals to humans are known. The precise dose will depend upon a number of factors, including whether the size and location of the area to be treated, and the precise nature of the antibody molecule. Treatments may be repeated at daily, twice-weekly, weekly or monthly intervals, at the discretion of the physician. Treatment may be given before, and/or after surgery, and may be administered or applied directly at the anatomical site of surgical treatment.
[0169] Further aspects and embodiments of the invention will be apparent to those skilled in the art given the present disclosure including the following experimental exemplification.
[0170] All documents mentioned in this specification are incorporated herein by reference in their entirety.
[0171] and/or where used herein is to be taken as specific disclosure of each of the two specified features or components with or without the other. For example A and/or B is to be taken as specific disclosure of each of (i) A, (ii) B and (iii) A and B, just as if each is set out individually herein.
[0172] Unless context dictates otherwise, the descriptions and definitions of the features set out above are not limited to any particular aspect or embodiment of the invention and apply equally to all aspects and embodiments which are described.
[0173] Certain aspects and embodiments of the invention will now be illustrated by way of example and with reference to the figures described above.
EXAMPLES
Example 1Selection and Characterisation of Fcab Molecules
[0174] 1.1 Na?ve Selection and Affinity Maturation of Anti-Human LAG-3 Fcabs
[0175] 1.1.1 Na?ve Selection
[0176] Na?ve phage libraries displaying the CH3 domain of human IgG1 (IMGT numbering 1.4-130) with randomisation within the AB (residues 14-18) and EF (residues 92-101) loops were used for selection with recombinant Fc-tagged human LAG-3 (LAG-3 Fc) antigen (R&D systems, 2319-L3-050). The libraries were selected in three rounds using antigen captured on Protein A (Life Technologies, 10002D) or Protein G (Life Technologies, 10004D) beads. The outputs were screened by ELISA and positive binders sub-cloned and expressed as soluble Fcabs (containing a truncated hinge) in Pichia pastoris using EasySelect Pichia Expression Kit (Life Technologies, K1740-01). The Fcabs were then screened for binding to recombinant human LAG-3 Fc on the Biacore 3000 (GE Healthcare). Briefly, LAG-3 Fc (R&D systems, 2319-L3-050) was coupled at a density of 7200 RU to a CM5 chip (GE Healthcare, BR-100012) using amine coupling (GE Healthcare, BR-1000-50). Fcabs were diluted in HBS-P (GE Healthcare, BR100368) buffer and injected at 250 nM, 500 nM and 1000 nM for 3 min and then allowed to dissociate in buffer for 5 min. Reference subtracted data (LAG-3 Fc flow cell 2blank flow cell) was analyzed using BIAevaluation 3.2 software to identify binding. Fcabs were then tested for binding to HEK cell-expressed human LAG-3 (LAG-3 cloned into pcDNA5FRT vector [Life Technologies, V6010-20] [See section 1.4.5 for methodology]). Briefly, HEK 293 cells overexpressing human LAG-3 grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) and 1 ?g/ml Doxycyclin (Sigma, D9891) were detached from tissue culture flasks using cell dissociation buffer (Life Technologies, 13151-014) and seeded in V-bottom 96-well plates at 2?10.sup.5 cells/well. Fcabs were incubated with the cells at 5 ?M in a 100 ?l volume for 1 h at 4? C. The plates were washed the secondary antibody (Anti-human Fc-488, Jackson ImmunoResearch, 109-546-098) was diluted 1:1000 in PBS and 100 ?l was added to the cells and incubated for 30 min at 4? C. The plates were washed and the cells were resuspended in 100 ?l PBS containing 1 ?g/ml DAPI (Biotium, 40043). The plate was read on a BD FACSCanto II cytometer (BD Biosciences) and the data analysed using FlowJoX. The Fcabs were then expressed in mammalian cells by transformation using lipofectamine (Life Technologies, 11668-019) into Flp-In T-Rex 293 cells (Life Technologies, R780-07). The LAG-3 binding Fcabs were tested for inhibition of binding of human MHC class II on A375 cells (ATCC, CRL-1619) to recombinant LAG-3 Fc (using the methodology in example 1.6). 54 unique Fcab sequences were identified from three rounds of phage selection, and 12 of these Fcabs were determined to bind to LAG-3 Fc by BIAcore analysis and/or bind to LAG-3 expressing HEK cells. Three of the selected Fcabs were also able to inhibit the interaction of LAG-3 with MHC class II and were selected for affinity maturation. The three Fcabs were termed FS18-3, FS18-7 and FS18-21.
[0177] 1.1.2 Affinity Maturation
[0178] First Affinity Maturation
[0179] Six phage display affinity maturation libraries were constructed by randomising five residues in the AB loop (residues 14-18) and either five (residues 92-94 and 97-98) or eight (residues 92-94 and 97-101) residues in the EF loop of each of the three Fcabs identified using the na?ve selection process described above.
[0180] The affinity maturation libraries were selected using recombinant human LAG-3 Fc (R&D systems, 2319-L3-050) and HEK cells expressing human LAG-3 (as described above). The outputs were screened by phage ELISA, the positive binders were subcloned and expressed as soluble Fcabs (containing a truncated hinge) in HEK Expi293 cells (Fcabs cloned into pTT5 vector [National Research Council of Canada] transfected using ExpiFectamine 293 Transfection kit [Life Technologies, A14524] into Expi293F cells [Life technologies, A14527]). The HEK expressed soluble Fcabs were then screened for binding to cell expressed human LAG-3, binding to cell expressed cynomolgus LAG-3 (methodology as example 1.4.3), and the ability to block MHC class II binding to recombinant LAG-3 Fc (methodology as in example 1.6). The blocking Fcabs were further tested to determine whether they were able to reverse LAG-3 induced inhibition of IL-2 secretion in a T cell activation assay (methodology as in example 2.1). 61 unique anti-LAG-3 Fcabs were identified from the six affinity maturation libraries using these screening methods. Affinity matured Fcabs from the FS18-7 lineage were shown to have the highest level of cross-reactivity with cynomolgus monkey LAG-3. The three Fcabs from this lineage with the strongest binding to cynomolgus monkey LAG-3 Fc and the highest activity in the T cell activation assay (termed FS18-7-7, FS18-7-9, and FS18-7-11) were selected for further affinity maturation. These three Fcabs were also shown to block the interaction of LAG-3 Fc with cell expressed MHC class II.
[0181] Second Affinity Maturation
[0182] A pool of the three Fcabs (FS18-7-7, FS18-7-9, and FS18-7-11) from the first affinity maturation was used to create further affinity maturation libraries. The CD loop was hard randomized using randomized primers from ELLA Biotech. A portion of amino acid positions in the CD loop (residues 45.1-78) was randomized using an equimolar distribution of amino acids excluding cysteine. Error prone PCR was also carried out across the entire CH3 domain sequence to introduce additional mutations that might enhance binding.
[0183] The affinity maturation libraries were generated in phage and selections performed against biotinylated recombinant LAG-3 avi-Fc (BPS Bioscience, 71147) and HEK hLAG-3 cells and screened for binding to recombinant LAG-3 Fc (R&D systems, 2319-L3-050) by phage ELISA. 86 unique Fcabs (containing a truncated hinge) were expressed in HEK293F cells. Selected Fcabs were also screened for activity in a T cell activation assay as described above. The nine Fcabs identified during the second affinity maturation with the highest activity in the T cell activation assay (FS18-7-32; FS18-7-33; FS18-7-36; FS18-7-58; FS18-7-62; FS18-7-65; FS18-7-78; FS18-7-88; and FS18-7-95), as well as the parental Fcab clone, FS18-7-9, were then further characterised as described below. A sequence alignment of these nine Fcabs against the parental Fcab clone, FS18-7-9, is shown in
[0184] 1.2 Selection of Surrogate Fcab Specific for Mouse LAG-3
[0185] Fcab FS18-7, which was selected using the na?ve selection protocol described above, was used to generate phage libraries to select against mouse LAG-3. Two rounds of affinity maturation were performed, and Fcab clones FS18-7-108-29 and FS18-7-108-35, which showed high-affinity, specific binding to mouse LAG-3 were selected following affinity maturation. The ability of FS18-7-108-29 and FS18-7-108-35 to inhibit mouse LAG-3 in a T cell activation assay was confirmed. Epitope mapping using the Octet (Forteo Bio) showed that the anti-mouse LAG-3 Fcabs compete with the anti-human LAG-3 Fcabs (selected following the second affinity maturation as described above) for binding to human LAG-3. There are between 4 and 8 residue differences between the anti-human LAG-3 and anti-mouse LAG-3 Fcabs. It is therefore expected that the anti-mouse LAG-3 Fcabs represent suitable surrogates for the binding and function of the anti-human LAG-3 Fcabs in mice.
[0186] 1.3 Construction and Expression of Mock mAb.sup.2
[0187] mock mAb.sup.2 comprising the lead anti-human LAG-3 and anti-mouse LAG-3 Fcabs identified in 1.1 and 1.2 above were prepared in order to allow the characterisation of these Fcabs in mAb.sup.2 format. These mock mAb.sup.2 were prepared from the anti-LAG-3 Fcabs and the variable regions of anti-FITC antibody 4420 (see SEQ ID NO: 83, SEQ ID NO: 84, and SEQ ID NO: 85 for details) (Bedzyk, W. D., et al. 1989 and Bedzyk, W. D., et al. 1989). The mock mAb.sup.2 were prepared both with (SEQ ID NO: 63, 65, 67, 69, 71, 73, 75, 77, 79, and 81) and without (SEQ ID NO: 64, 66, 68, 70, 72, 74, 76, 78, 80, and 82) the LALA mutation in the CH2 domain of the heavy chain (see section 1.5 below for details) and further comprised the light chain of the anti-FITC mAb 4420 (SEQ ID NO: 85). The mock mAb.sup.2 were produced by transient expression in HEK293-6E cells and purified using mAb Select SuRe protein A columns.
[0188] 1.4 Binding Affinity of Fcabs to LAG-3
[0189] 1.4.1 Binding Affinity of Fcabs to Human LAG-3 as Determined by Surface Plasmon Resonance (SPR)
[0190] A BIAcore T200 (GE Healthcare) was used to measure the affinity of the anti-human LAG-3 Fcabs in the mock mAb.sup.2 format for human LAG-3. Flow cell 4 of a CM5 sensor chip (GE Healthcare, BR1005-30) was immobilised with human LAG-3-Fc (R&D Systems, 2319-L3-050), and flow cell 3 was immobilised with buffer for reference using the amine coupling kit (GE Healthcare, BR-1000-50). LAG-3-Fc was diluted to 5 ?g/ml in sodium acetate pH5 (ForteoBio, 18-1069) and injected at a flow rate of 10 ?l/min for 12 seconds followed by deactivation of the surface by injection of ethanolamine for 420 sec. The Immobilisation level was 158 RU. The mock mAb.sup.2 (or control anti-human LAG-3 mAb, 25F7) were diluted in HBS-P buffer (GE Healthcare, BR-1003-68) in a 2-fold dilution series from 4 ?g/ml. The control mAb/mock mAb.sup.2 were injected with an association time of 240 seconds at 30 ?l/min, and a dissociation time 300 seconds at 30 ?l/min. The surface was regenerated using 25 mM NaOH for 30 seconds at 100 ?l/min. The data was double reference subtracted and analysed using the BIAevaluation 3.2 software to calculate kinetic constants. The Fcabs in mock mAb.sup.2 format had affinities for human LAG-3 in the range of 0.8-1.1 nM (Table 1), which is similar to the affinity of the benchmark anti-human LAG-3 mAb 25F7. This was surprising because Fcabs have a smaller binding interface than monoclonal antibodies as the binding sites of Fcabs form a relatively compact antibody fragment with two binding sites situated in close proximity. In contrast, the Fab arms of a typical mAb are separated by a flexible hinge region. Based on this smaller binding interface and the associated reduced flexibility of the two binding sites in the Fc region, it was unexpected that the anti-LAG-3 Fcabs were able to bind to and inhibit LAG-3 with similar affinity and potency as the benchmark antibody 25F7.
TABLE-US-00003 TABLE 1 Binding affinity of LAG-3 specific Fcabs in mock mAb.sup.2 format to human LAG-3 Anti-human LAG-3 Fcab in mock mAb.sup.2 format and benchmark anti-human LAG-3 mAb, 25F7 K.sub.D (M) FS18-7-9 8.3 ? 10.sup.?10 FS18-7-62 9.5 ? 10.sup.?10 FS18-7-78 8.4 ? 10.sup.?10 FS 18-7-32 8.6 ? 10.sup.?10 FS 18-7-36 8.9 ? 10.sup.?10 FS 18-7-65 1.1 ? 10.sup.?9 25F7 3.2 ? 10.sup.?10
[0191] 1.4.2 Binding Affinity of Surrogate Fcab Specific for Mouse LAG-3 to Mouse LAG-3 as Determined by SPR
[0192] A Biacore 3000 (GE Healthcare) was used to measure the affinity of the surrogate Fcabs specific for mouse LAG-3 to mouse LAG-3. Amine coupling (amine coupling kit, GE Healthcare, BR-1000-50) was used to coat mLAG-3 Fc (R&D Systems, 3328-L3-050) diluted in 10 mM sodium acetate pH 5.0 (ForteBio, 18-1069) directly to a CM5 chip (GE Healthcare, BR-1000-12). Flow cell 1 was coated with Mouse Fc (SinoBiological, 51094-MNAH), and flow cell 2 was coated with mLAG-3 Fc at 950 RU. Fcabs were diluted in HBS-P buffer (GE Healthcare, BR-1003-68) and injected at various concentrations (fourfold dilutions from 100 nM) for 3 min at 20 ?l/min and then allowed to dissociate in buffer for 12 min. The chip was regenerated by injection of 10 mM glycine pH 2.5 for 30 s at 30 ?l/min. Data was double reference subtracted and analyzed using BIAevaluation 3.2 software to calculate kinetic constants. The tested surrogate Fcabs bound to mouse LAG-3 with single digit nanomolar affinity as set out in Table 2.
TABLE-US-00004 TABLE 2 Binding affinity (K.sub.D) of surrogate LAG-3 specific Fcabs to mouse LAG-3 Surrogate Fcabs specific for mouse LAG-3 Affinity K.sub.D (nM) FS18-7-108-29 1.5 FS18-7-108-35 2.1
[0193] 1.4.3 Binding Affinity of Fcabs to Human LAG-3 Expressed on Cells as Determined by Flow Cytometry
[0194] Production of Cell Lines Over-Expressing LAG-3
[0195] Lentiviral transduction methodology was used to generate DO11.10 cells (National Jewish Health) over-expressing human, cynomolgus or mouse LAG-3 using the Lenti-X HTX Packaging System (Clontech, Cat. No 631249). Lenti-X expression vector (pLVX) (Clontech, Cat. No 631253), containing the mouse LAG-3 cDNA (SEQ ID NO: 96), human LAG-3 cDNA (SEQ ID NO: 95) or cynomolgus LAG-3 cDNA (SEQ ID NO: 97), was co-transfected with a Lenti-X HTX Packaging Mix into the Lenti-X 293T Cell Line (Clontech, Cat. No 632180) to generate virus. The DO11.10 cell line was transduced using the lentiviral vectors produced with the Lenti-X HTX Packaging System.
[0196] The affinity of the anti-human LAG-3 Fcabs in mock mAb.sup.2 format to cells expressing human LAG-3 (DO11.10 cell line transfected with human LAG-3) was measured using flow cytometry. mAb.sup.2 and control mAb dilutions (2? final concentration) were prepared in triplicate in 1?DPBS (Gibco, 14190-094). DO11.10:LAG-3 cell suspensions were prepared in PBS+2% BSA (Sigma, A7906) and seeded at 4?10.sup.?6 cell/ml with 50 ?l/well in V-bottomed 96-well plates (Costar, 3897). 50 ?l of the mAb.sup.2 or control mAb (anti human LAG-3 mAb, 25F7) dilutions were added to the wells containing cells (final volume 100 ?l) and incubated at 4? C. for 1 hour. The plates were washed and 100 ?l/well of secondary antibody (anti-human Fc-488 antibody, Jackson ImmunoResearch, 109-546-098) diluted 1:1000 in PBS+2% BSA was then added and incubated for 30 mins at 4? C. in the dark. The plates were washed and resuspended in 100 ?l of PBS containing DAPI (Biotium, 40043) at 1 mg/ml. The plates were read using Canto II flow cytometer (BD Bioscience). Dead cells were excluded and the fluorescence in the FITC channel (488 nm/530/30) was measured. The data was fitted using log (agonist) vs response in GraphPad Prism Software. All tested Fcabs in mock mAb.sup.2 format and the benchmark anti-human LAG-3 mAb, 25F7, bound human LAG-3 with similar affinity (EC.sub.50), in the range of 1.2-2.1 nM as set out in Table 3.
TABLE-US-00005 TABLE 3 Binding affinity of anti-human LAG-3 Fcabs in mock mAb.sup.2 format to DO11.10 cells expressing human LAG-3 as determined by flow cytometry Anti-human LAG-3 Fcab in mock mAb.sup.2 format and benchmark anti-human LAG-3 mAb, 25F7 EC.sub.50 (nM) FS18-7-9 1.2 FS18-7-32 1.6 FS18-7-33 1.5 FS18-7-36 1.5 FS18-7-62 2.1 FS18-7-65 1.6 FS18-7-78 1.7 25F7 2.1
[0197] 1.4.4 Binding Affinity of Fcabs to Cynomolgus LAG-3 Expressed on Cells as Determined by Flow Cytometry
[0198] The affinity of the anti-human LAG-3 Fcabs in mock mAb.sup.2 format to cells expressing cynomolgus LAG-3 (DO11.10 cell line transfected with cynomolgus LAG-3) was measured using flow cytometry. mAb.sup.2 and control mAb dilutions (2? final concentration) were prepared in triplicate in 1?DPBS (Gibco, 14190-094). DO11.10:LAG-3 cell suspensions were prepared in PBS+2% BSA (Sigma, A7906) and seeded at 4?10.sup.?6 cell/ml with 50 ?l/well in V-bottomed 96-well plates (Costar, 3897). 50 ?l of the mAb.sup.2 or control mAb (anti human LAG-3 mAb, 25F7) dilutions were added to the wells containing cells (final volume 100 ?l) and incubated at 4? C. for 1 hour. The plates were washed and 100 ?l/well of secondary antibody (anti-human Fc-488 antibody, Jackson ImmunoResearch, 109-546-098) diluted 1:1000 in PBS+2% BSA was then added and incubated for 30 mins at 4? C. in the dark. The plates were washed and resuspended in 100 ?l of PBS containing DAPI (Biotium, 40043) at 1 mg/ml. The plates were read using Canto II flow cytometer (BD Bioscience). The dead cells were excluded and the fluorescence in the FITC channel (488 nm/530/30) was measured. The data was fit using log (agonist) vs response in GraphPad Prism Software. The tested Fcabs in mock mAb.sup.2 format bound to cynomolgus LAG-3 with 0.5-0.6 nM affinity indicating that toxicology studies in cynomolgus monkeys would be expected to be predictive of effects seen in humans (see Table 4). The benchmark anti-human LAG-3 mAb, 25F7, binds cynomolgus LAG-3 with a 15-fold poorer affinity (EC.sub.50) (Table 4).
TABLE-US-00006 TABLE 4 Binding affinity of anti-LAG-3 Fcabs to DO11.10 cells expressing cynomolgus LAG-3 by flow cytometry Anti-human LAG-3 Fcab in mock mAb.sup.2 format and benchmark anti-human LAG-3 mAb, 25F7 EC.sub.50 (nM) FS18-7-9 0.6 FS18-7-62 0.5 FS18-7-78 0.5 25F7 9.0
[0199] 1.4.5 Binding Affinity of Surrogate Anti-Mouse LAG-3 Fcabs and Anti-Human LAG-3 Fcab to Mouse LAG-3 Expressed on Cells as Determined by Flow Cytometry
[0200] Production of HEK Cells Over-Expressing mLAG-3
[0201] The mouse LAG-3 sequence (SEQ ID NO: 96) was subcloned into pcDNA5FRT vector (Life Technologies, V6010-20) using Kpnl (NEB, R0142) and Notl (NEB, R0146) restriction digestion. The vector was then transformed into Flp-In T-REx 293 HEK cell line (Life Technologies, R780-07) using Lipofectamine 2000 (Life Technologies, 11668-019). Transformed Flp-In T-REx 293 cells were grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) for 3-4 weeks until colonies of stably transformed cells were apparent. These colonies were amplified in the presence of 1 ?g/ml Doxycyclin (Sigma, D9891) and tested for mouse LAG-3 expression using PE conjugated anti-mouse LAG-3 (clone C9B7W, BD Biosciences, 552380).
[0202] The affinity of the surrogate anti-mouse LAG-3 Fcabs (containing the truncated hinge; SEQ ID NO: 58) to cell-expressed mouse LAG-3 was determined using flow cytometry. HEK cells expressing mLAG-3 grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) and 1 ?g/ml Doxycyclin (Sigma, D9891) were detached from tissue culture flasks using cell dissociation buffer (Life Technologies, 13151-014) and seeded in V-bottom 96-well plates (Costar, 3897) at 2?10.sup.5 cells/well. The plates were centrifuged at 1500 rpm for 3 min at 4? C. to pellet the cells. A dilution series of the Fcabs (or control mAb) were incubated with the cells in a 100 ?l volume for 1 h at 4? C. The plates were washed and secondary antibody (Anti-human Fc-488, Jackson ImmunoResearch, 109-546-098 for Fcabs or Anti-Rat IgG (H+L), Alexa Fluor 488 Conjugate, ThermoFisher, A-11006 for C9B7W) was diluted 1:1000 in PBS and 100 ?l was added to the cells for 30 min at 4? C. (plates were kept in the dark). The plates were then washed and the cells resuspended in 100 ?l PBS containing 1 ?g/ml DAPI (Biotium, 40043). The plates were read using Canto II flow cytometer (BD Bioscience). Dead cells were excluded and the fluorescence in the FITC channel (488 nm/530/30) was measured. The data was fit using log (agonist) vs response in GraphPad Prism Software. The tested Fcabs bound to mouse LAG-3 with similar affinity (see Table 5). The benchmark LAG-3 mAb, C9B7W (2B Scientific, BE0174-50MG), binds mouse LAG-3 with 17-fold poorer affinity (EC.sub.50) than the Fcabs (Table 5).
TABLE-US-00007 TABLE 5 Binding affinity of surrogate anti-mouse LAG-3 Fcabs to HEK cells expressing mouse LAG-3 by flow cytometry Anti-mouse LAG-3 Fcabs and benchmark anti-mouse LAG-3 mAb, C9B7W EC.sub.50 (nM) FS18-7-108-29 4.5 FS18-7-108-35 4.5 C9B7W 79
[0203] The affinity of the anti-human LAG-3 Fcab FS18-7-9 in mock mAb.sup.2 format to cell-expressed mouse LAG-3 was determined using flow cytometry. HEK cells expressing mLAG-3 grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) and 1 ?g/ml Doxycyclin (Sigma, D9891) were detached from tissue culture flasks using cell dissociation buffer (Life Technologies, 13151-014). Cells were collected by centrifuged at 1500 rpm for 3 min at 4? C. to pellet the cells and then resuspended in 1?DPBS then seeded in V-bottom 96-well plates (Costar, 3897) at 1.2?10.sup.5 cells/well in 30 ?l. A 1:1 volume of a dilution series of the mAb.sup.2 (or control mAb) was added and incubated with the cells for 1 h at 4? C. The plates were washed and secondary antibody (Anti-human Fc-488, Jackson ImmunoResearch, 109-546-098) was diluted 1:1000 in PBS and 60 ?l was added to the cells for 30 min at 4? C. (plates were kept in the dark). The plates were then washed and the cells resuspended in 60 ?l PBS containing 1 ?g/ml DAPI (Biotium, 40043). The plates were read using Canto II flow cytometer (BD Bioscience). Dead cells were excluded and the fluorescence in the FITC channel (488 nm/530/30) was measured. The data was fitted using log (agonist) vs response in GraphPad Prism Software. The anti-human LAG-3 Fcab FS18-7-9 in mock mAb.sup.2 format bound to mouse LAG-3 with an EC.sub.50 of 19 nM compared to an EC.sub.50 of 2.6 nM for the surrogate anti-mouse LAG-3 Fcab FS18-7-9-108 (Table 6). The human mAb, 25F7 does not show any detectable binding to mouse LAG-3, indicating that the human LAG-3 Fcab, FS18-7-9, has a different binding epitope on LAG-3 than that of 25F7.
TABLE-US-00008 TABLE 6 Binding affinity of human anti-LAG-3 Fcab FS18-7-9 to HEK cells expressing mouse LAG-3 by flow cytometry Anti-human LAG-3 Fcab, anti-mouse LAG-3 Fcab and benchmark anti-human LAG-3 mAb, 25F7 EC.sub.50 (nM) FS18-7-108-29 2.6 FS18-7-9 19 25F7 No binding
[0204] 1.5 Binding Affinity of Fcabs to Fc Receptors
[0205] The introduction of the LALA mutation in the CH2 domain of human IgG1 is known to reduce Fc ? receptor binding (Bruhns, P., et al. (2009); and Xu, D. et al. (2000)). BIAcore was used to confirm that the LALA mutation had reduced the binding affinity of the Fcabs (in mock mAb.sup.2 format) to Fc? receptors. The human Fc?R binding assay was performed on a Biacore T200 instrument (GE Healthcare) using the Fcabs in the mock mAb.sup.2 format. Human Fc?Rs (R&D Systems, 1257-FC, 1330-CD, 1875-CD, 4325-FC) were immobilized using amine coupling (amine coupling kit, GE Healthcare, BR-1000-50) onto a Series S CM5 chip (GE Healthcare, BR-1005-30) to a surface density of 370 RU for Fc?RI, 264 RU for Fc?RIII (high affinity human Fc?Rs) and 500 RU for Fc?RIIa and Fc?RIIb (low affinity human Fc?Rs). For each immobilized chip a flow cell was left blank for background subtraction. Fc?R were immobilized using a concentration of 5 ?g/ml in sodium acetate pH5 (ForteBio, 18-1069) and injected at a flow rate of 10 ?l/min in 15 second cycles until the required immobilization level was reached.
[0206] For the high affinity Fc?RI and Fc?RIII, 200 ?g/ml of mAbs or mock mAb.sup.2 were flowed across the chip for 3 min at a flow rate of 30 ?l/min and the dissociation was followed for 5 min. Running buffer was HBS-P (0.01 M HEPES pH 7.4, 0.15 M NaCl, 0.005% v/v Surfactant P20, GE Healthcare, BR-1003-68). For the low affinity Fc?RIIa and Fc?RIIb the concentration of mock mAb.sup.2 was increased to 500 ?g/ml.
[0207] The positive control was a wild type IgG1 isotype mAb, which was compared to controls LALA IgG1 mAb and monoclonal IgG2 and IgG4 isotype mAbs to irrelevant targets. The flow cells were regenerated by injecting 10 mM sodium hydroxide (VWR, 28244.262) at a flow rate of 100 ?l/min for 30 seconds. The data analysis was performed with BiaEvaluation software version 3.2 RC1 by double referencing against the blank flow cell (without immobilized Fc?R) and subtracting a buffer cycle from test mAb.sup.2. The results are shown in Table 7.
TABLE-US-00009 TABLE 7 Binding response of anti-human LAG-3 Fcabs in mock mAb.sup.2 format (comprising LALA mutation as detailed above) to human Fc? receptors by SPR Binding response at end of association (RU) mAb/mock mAb.sup.2 Fc?RI Fc?RIII Fc?RIIa Fc?RIIb FS18-7-9 1.4 6.6 ?9.8 ?8.5 FS18-7-62 ?0.9 0.7 ?10 ?8.5 FS18-7-78 ?0.3 4.0 ?10.7 ?9.2 mock mAb LALA 2 8.0 ?12.7 ?9.6 IgG2 0 1.9 9.7 7.4 IgG4 9 3.1 4.3 15.1 mock mAb IgG1 26 44 13 17.7
[0208] All mock mAb.sup.2 tested (all comprising the LALA mutation as set out above) showed significantly reduced binding to the tested Fc? receptors compared to the control antibody (mock mAb IgG1) without the LALA mutation, indicating that the LALA mutation has reduced Fc? receptor binding by these mock mAb.sup.2 and therefore is expected to reduce ADCC activity of the mAb.sup.2.
[0209] 1.6 Blocking of MHC Class II Binding to LAG-3
[0210] The ability of the Fcabs (containing the truncated hinge; SEQ ID NO: 58) to block the interaction between recombinant human or mouse LAG-3 Fc and human MHC Class II was studied by measuring binding of LAG-3 Fc to A375 cells, a melanoma cell line that expresses human MHC Class II. A375 (ATCC, CRL-1619) cells grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-106) were detached from cell culture flasks using cell dissociation buffer (Life Technologies, 13151-014) and seeded in V-bottom 96-well plates (Costar, 3897) at 2?10.sup.5 cells/well. The plates were centrifuged at 1500 rpm for 3 min at 4? C. to pellet the cells. The relevant concentrations of Fcab or control mAb were incubated with 1 ?g/ml LAG-3 Fc (human LAG-3-Fc R&D Systems, 2319-L3-050 or mouse LAG-3 Fc R&D Systems, 3328-L3-050) in 100 ?l DMEM containing 10% FBS for 1 h at 4? C. LAG-3/Fcab mix was added to the A375 cells and incubated for 1 h at 4? C. Cells were washed. Secondary antibody (Alexa Fluor 488 conjugated goat anti-human Fc F(ab).sub.2, Jackson Immunoresearch, 109-546-098 or Goat anti-mouse IgG (H+L) 488 conjugate, Life Technologies, A-1101) was diluted 1:1000 in PBS and 100 ?l was added to the cells for 30 min at 4? C. (plates were kept in the dark). Cells were washed once in PBS and resuspended in 100 ?l PBS+1 ?g/ml DAPI (Biotium, 40043). The plates were read on a BD FACSCanto II cytometer (BD Biosciences) and the data analysed using FlowJo software.
[0211] Both anti-mouse LAG-3 Fcabs were able to inhibit the interaction of human MHC class II with mouse LAG-3, whereas the control anti-mouse LAG-3 mAb (C9B7W, 2B Scientific, BE0174-50MG) was not (see Table 8).
TABLE-US-00010 TABLE 8 Surrogate anti-mouse LAG-3 Fcabs inhibit binding of mouse LAG-3 to MHC class II Surrogate anti-mouse LAG-3 Fcabs and control anti-mouse LAG-3 mAb C9B7W IC.sub.50 (nM) FS18-7-108-29 0.6 FS18-7-108-35 0.7 C9B7W No blocking
[0212] The anti-human LAG-3 Fcabs tested were also able to inhibit the interaction of human MHC class II with human LAG-3 with a similar potency as the control anti-human LAG-3 mAb (25F7).
TABLE-US-00011 TABLE 9 Anti-human LAG-3 Fcabs inhibit binding of human LAG-3 to MHC class II Anti-human LAG-3 Fcabs and control anti-human LAG-3 mAb 25F7 IC.sub.50 (nM) FS18-7-108-33 2.6 FS18-7-108-78 2.4 25F7 3.6
Example 2: Preparation and Characterisation of mAb and mAb.SUP.2 .Molecules
[0213] 2.1 Preparation of mAb 84G09
[0214] 2.1.1 DNA Construct Generation
[0215] DNA inserts encoding variable heavy and light chain regions of 84G09 were codon optimised for mammalian expression and synthesised by DNA2.0 (Menlo Park, Calif., USA). The inserts supplied in pJ-Amp-high host vector were sub-cloned into expression vectors pFS-hHC2.1-G1m17(z) LALA (IgG heavy chain containing LALA mutation) or pFS-hHC2.1-G1m17(z) (IgG heavy chain without LALA mutation) and pFShK1.0 (IgG kappa light chain) via EcoRI and NheI restriction digest.
[0216] Fidelity of cloning was verified by colony PCR and subsequent nucleotide sequencing analysis by a third party (GATC Biotech).
[0217] 2.1.2 Cell Maintenance
[0218] HEK293-6E cells (NRCC), were sub-cultured in pre-warmed F17 medium (Invitrogen, A13835-01) supplemented with 4 mM of GlutaMAX-1 (Invitrogen, 35050-038), 0.1% of Pluronic F-68 (Invitrogen A13835-01) and 25 ?g/ml of geneticin (Invitrogen, 10131-027). Cells were incubated at 37? C., 140 rpm, 5% CO.sub.2 and subcultured at 0.3?10.sup.6 cells/ml on a three then four day regime.
[0219] 2.1.3 Transient Transfection
[0220] HEK293-6E cells were transfected transiently using PEIpro at 1 mg/ml (Polyplus, PPLU115). 24 hours prior transfection cells were seeded at 0.8?10.sup.6 cells/ml in culture medium. For each 200 ml of cell culture, a DNA mixture was prepared by mixing 10 ml of warmed Opti-MEMI (Invitrogen, 11058-021), 100 ?g endotoxin-free DNA encoding the heavy chain and 100 ?g endotoxin-free DNA encoding the light chain. PEI mixture was prepared by mixing 10 ml of warmed Opti-MEMI and 200 ?l of PEIpro and vortexing. The DNA mixture was quickly added to the vortexed PEI mixture, mixed by vortex pulsing 3 times for 1 s, incubated 3 min at room temperature and added drop by drop to the cells. 48 hours after transfection 20 ml of F17 plus supplements with 0.5% Tryptone N1 (TekniScience Inc., 19553) was added to each flask.
[0221] 6 days after transfection cells were harvested by centrifugation at 4500 rpm for 40 min. Supernatant was then filtered with 0.22 ?m polyethersulfone filter unit (Millipore, SCGPU01RE, SCGPU02RE, SCGPU05RE, SCGPU11 RE) and stored at +4? C. until purification.
[0222] 2.1.4 Protein a Chromatography
[0223] Clarified supernatants were purified using pre-packed 5 ml HiTrap MabSelect SuRe columns (GE Healthcare, 11-0034-95) on an ?KTAexplorer or ?KTAxpress. Briefly, the columns were equilibrated with 50 mM Tris-HCl, 250 mM NaCl at pH 7.0, unbound material washed with the same buffer at 5 ml/min. The products were eluted with 10 mM sodium formate pH 3.0 at 5 ml/min. Eluted samples were immediately buffer exchange into PBS pH 7.4 using PD-10 columns (GE Healthcare, 17-0851-01) pre-equilibrated with PBS pH 7.4 according to the manufacturer recommendations.
[0224] 2.1.5 Product Concentration Measurement by Spectrometry
[0225] Absorbance at 280 nm of each purified product was measured using LabChip DS (PerkinElmer, 133089) with DropPlate 96 D+ (PerkinElmer, CLS135136). The product concentration was calculated using extinction coefficient (A280 of 1 mg/ml) calculated using VectorNTI Advance v11.5.4 software (Thermofisher Scientific, A13784)
[0226] 2.1.6 Product Concentration
[0227] When necessary, purified fractions were concentrated using Amicon Ultra-4 Centrifugal Filter Unit 30K (Millipore, UFC803024). After equilibration of the Ultracel regenerated cellulose membrane with PBS pH 7.4 by centrifugation 10 min at 3000 rpm, samples were loaded to the 4 ml unit and centrifuged at 3000 rpm until desired protein concentration was reached.
[0228] 2.1.6 Filter Sterilisation
[0229] Final samples were filtered using pre-wet Millex-GV PVDF syringe filters (Millipore, SLGV013SL).
[0230] 2.2 Preparation of Human LAG-3/PD-L1 mAb.sup.2
[0231] The heavy chains of the mAb.sup.2 molecules FS18-7-9/84G09 (SEQ ID NOs 94 and 95), FS18-7-32/84G09 (SEQ ID NOs 96 and 97), FS18-7-33/84G09 (SEQ ID NOs 98 and 99), FS18-7-36/84G09 (SEQ ID NOs 100 and 101), FS18-7-58/84G09 (SEQ ID NOs 102 and 103), FS18-7-62/84G09 (SEQ ID NOs 104 and 105), FS18-7-65/84G09 (SEQ ID NOs 106 and 107), FS18-7-78/84G09 (SEQ ID NOs 108 and 109), FS18-7-88/84G09 (SEQ ID NOs 110 and 111) and FS18-7-95/84G09 (SEQ ID NOs 112 and 113) were prepared by replacing the CH3 domains of the monoclonal antibodies 84G09 (with and without the LALA mutation) with the CH3 domains of the human LAG-3 specific Fcabs FS18-7-9, FS18-7-32, FS18-7-33, FS18-7-36, FS18-7-58, FS18-7-62, FS18-7-65, FS18-7-78, FS18-7-88 and FS18-7-95 within XhoI and BamHI sites present in the sequence of the unmodified CH3 domain of human IgG1. The heavy chain of the mAb.sup.2 were co-transfected with the light chain of 84G09 (SEQ ID NO: 116) as described for mAb 84G09 in section 2.1 above. The mAb.sup.2 were then expressed and purified as described for mAb 84G09 in section 2.1 above.
[0232] 2.3 Preparation of Human LAG-3/Mock mAb.sup.2
[0233] The anti-FITC mAb (with and without LALA mutation) was prepared as described for mAb 84G09 in section 2.1 above using the heavy chains (SEQ ID NOs 83 and 84; with and without LALA mutation) and light chain (SEQ ID NO: 85) of mAb 4420.
[0234] The heavy chains of the mAb.sup.2 molecules FS18-7-9/4420 (SEQ ID NOs 63 and 64), FS18-7-32/4420 (SEQ ID NOs 65 and 66), FS18-7-33/4420 (SEQ ID NOs 67 and 68, FS18-7-36/4420 (SEQ ID NOs 69 and 70), FS18-7-58/4420 (SEQ ID NOs 71 and 72), FS18-7-62/4420 (SEQ ID NOs 73 and 74), FS18-7-65/4420 (SEQ ID NOs 75 and 76), FS18-7-78/4420 (SEQ ID NOs 77 and 78), FS18-7-88/4420 (SEQ ID NOs 79 and 80) and FS18-7-95/4420 (SEQ ID NOs 81 and 82) were prepared by replacing the CH3 domains of the monoclonal antibodies 4420 (with and without the LALA mutation) with the CH3 domains of the human LAG-3 specific Fcabs FS18-7-9, FS18-7-32, FS18-7-33, FS18-7-36, FS18-7-58, FS18-7-62, FS18-7-65, FS18-7-78, FS18-7-88 and FS18-7-95 within XhoI and BamHI sites present in the sequence of the unmodified CH3 domain of human IgG1. The heavy chains of the mAb.sup.2 were co-transfected with the light chain of mAb 4420 as described for mAb 84G09 in section 2.1 above. The proteins were then expressed and purified as described for mAb 84G09 in section 2.1 above.
[0235] 2.4 Preparation of Mouse LAG-3/PD-L1 mAb.sup.2
[0236] The mouse anti-PD-L1 mAb (with and without LALA mutation) was prepared as described for mAb 84G09 in section 2.1 above using the heavy chain (SEQ ID NOs 122 and 123) and light chain (SEQ ID NO: 119) of mAb S1.
[0237] The heavy chain of the mAb.sup.2 molecules FS18-7-108-29/S1 (SEQ ID NOs 117 and 118) and FS18-7-108-35/S1 (SEQ ID NOs 120 and 121) were prepared by replacing the CH3 domains of the monoclonal antibodies S1 (with and without the LALA mutation) with the CH3 domains of the mouse LAG-3 specific Fcabs FS18-7-108-29 and FS18-7-108-35 within XhoI and BamHI sites present in the sequence of the unmodified CH3 domain of human IgG1. The heavy chain of the mAb.sup.2 were co-transfected with the light chain of S1 as described for mAb 84G09 in section 2.1 above. The proteins were then expressed and purified as described for mAb 84G09 in section 2.1 above.
[0238] 2.5 Binding Affinity and Kinetics of mAb.sup.2 for Human LAG-3 and Human PD-L1
[0239] Protein L (Thermo, 21189) was immobilized on flow cells 1 and 2 of a Series S CM5 chip (GE Healthcare, BR-1005-30) by amine coupling (GE Healthcare, BR-1000-50) to a surface density of 2000 RU by following the manufacturer's instructions for the BIAcore T200 instrument. For LAG-3 binding, the mAb.sup.2 samples (all containing the LALA mutation) were captured on flow cell 2 only and human LAG-3Fc (R&D Systems, 2319-L3) at 4 concentrations in a two-fold dilution series starting at 0.5 nM were flowed across both flow cell 1 and 2 at a flow rate of 30 ?l/min. The association time was 3 min and the dissociation time was 6 min. Running buffer was HBS-P (GE Healthcare, BR-1003-68). Both flow cells were regenerated by injecting 10 mM sodium hydroxide (NaOH) at a flow rate of 100 ?l/min for 20 seconds. The data were analysed by double referencing against the blank flow cell.
[0240] For PD-L1 binding, four concentrations in a two-fold dilution series of PD-L1 Fc (R&D Systems, 156-B7), starting at 40 nM, were flowed across mAb.sup.2 captured on the same Protein L chip. All others conditions were the same as for LAG-3 binding (see above).
[0241] The binding kinetics were fit with a 1:1 Langmuir model to generate binding association (k.sub.a) and dissociation (k.sub.d) rates. Equilibrium binding constants (K.sub.D) were calculated by dividing the dissociation rate by the association rate for each sample. Data analysis was performed with BiaEvaluation software version 3.2. The results are shown in Tables 10 and 11.
TABLE-US-00012 TABLE 10 Binding affinity and kinetics of mAb.sup.2 to human LAG-3 as determined by SPR mAb.sup.2 K.sub.D (pM) k.sub.a (1/Ms) ? 10.sup.6 k.sub.d (1/s) ? 10.sup.?4 84G09LALA No binding FS18-7-09/84G09LALA 56 6.3 3.5 FS18-7-32/84G09LALA 49 5.6 2.8 FS18-7-33/84G09LALA 43 4.2 1.8 FS18-7-36/84G09LALA 38 4.4 1.7 FS18-7-62/84G09LALA 36 5.4 2.0 FS18-7-65/84G09 LALA 39 5.9 2.3 FS18-7-78/84G09 LALA 29 4.8 1.4
TABLE-US-00013 TABLE 11 Binding affinity and kinetics of mAb.sup.2 to human PD-L1 as determined by SPR mAb.sup.2 K.sub.D (nM) k.sub.a (1/Ms) ? 10.sup.5 k.sub.d (1/s) ? 10.sup.?4 84G09LALA 1.2 3.8 4.6 FS18-7-09/84G09LALA 1.0 3.8 3.9 FS18-7-32/84G09LALA 1.0 3.4 3.2 FS18-7-33/84G09LALA 1.1 3.7 4.2 FS18-7-36/84G09LALA 3.5 1.6 5.6 FS18-7-62/84G09LALA 1.3 1.7 2.2 FS18-7-65/84G09 LALA 1.1 1.3 1.4 FS18-7-78/84G09 LALA 1.0 1.0 1.0
[0242] The binding affinities for human PD-L1 and human LAG-3 were comparable for all the mAb.sup.2 tested. The mAb.sup.2 binding affinities for human PD-L1 were comparable to 84G09, indicating that introduction of the LAG-3 binding site into the CH3 domain did not affect PD-L1 binding.
[0243] 2.6 Simultaneous Binding of mAb.sup.2 to Human LAG-3 and Human PD-L1
[0244] The ability of mAb.sup.2 (FS18-7-09/84G09, FS18-7-32/84G09, FS18-7-33/84G09, FS18-7-36/84G09, FS18-7-62/84G09, FS18-7-65/84G09, and FS18-7-78/84G09 all with the LALA mutation) to bind simultaneously to LAG-3 and PD-L1 was tested by SPR. Human PD-L1Fc (R&D Systems, 156-B7) was immobilized on flow cell 2 of a Series S CM5 chip (GE Healthcare, BR-1005-30) to a surface density of 150 RU by following the manufacturer's instructions. Flow cell 1 was activated and deactivated without any protein immobilised for background subtraction. For each sample, 10 ?g/ml of mAb.sup.2 was flowed across flow cells 1 and 2, at a flow rate of 10 ?l/min for 3 min. Subsequently, 40 nM of LAG-3Fc (R&D Systems, 2319-L3) was flowed across both flow cell 1 and 2 at a flow rate of 10 ?l/min for 3 min. For each binding step dissociation was followed for 3 min. Sensor chip was regenerated after each cycle with a 15 s injection of 25 mM NaOH at a flow rate of 100 ?l/min.
[0245] All mAb.sup.2 tested were capable of simultaneously binding to LAG-3 and PD-L1. The parental anti-PD-L1 mAb, 84G09, only binds to PD-L1.
[0246] 2.7. Simultaneous Binding of Surrogate mAb.sup.2 to Murine LAG-3 and Murine PD-L1
[0247] The ability of the two surrogate mouse mAb.sup.2 (FS18-7-108-29/S1 and FS18-7-108-35/S1, both containing the LALA mutation) to bind simultaneously to murine LAG-3 and murine PD-L1 was tested by SPR on a BIAcore 3000 (GE Healthcare). Murine PD-L1Fc (R&D Systems, 1019-B7-100) was immobilized on flow cell 4 of a CM5 chip to a surface density of 830 RU according to the manufacturer's instructions. Flow cell 3 was immobilised with 820 RU of human-Fc (R&D system, 110-HG) for background subtraction. For each sample, 50 nM of mAb.sup.2 was flowed across flow cells 1 and 2, at a flow rate of 20 ?l/min for 150 sec. Subsequently, 50 nM of murine LAG-3Fc (R&D Systems, 3328-L3-050) was flowed across both flow cell 3 and 4 at a flow rate of 20 ?l/min for 150 sec. For each binding step dissociation was followed for 3 min. Sensor chip was regenerated after each cycle with 2?10 ?l of 50 mM NaOH. Both mAb.sup.2 tested were capable of simultaneously binding to murine LAG-3 and murine PD-L1 and are therefore suitable surrogates for the human LAG-3/PD-L1 mAb.sup.2.
[0248] 2.8 Binding to Human Fc? Receptors by mAb.sup.2 Comprising LALA Mutation
[0249] Human Fc? receptors were immobilized on a CM5 chip to a surface density of approximately 200 RU for Fc? RI (R&D Systems, 1257-FC) and Fc? RIIIa (R&D Systems, 4325-FC) and approximately 500 RU for Fc? RIIa (R&D Systems, 1330-CD) and Fc? RIIb/c (R&D Systems, 1875-CD), according to the manufacturer's instruction for the BIAcore3000 instrument. For Fc? RI and Fc? RIIIa, 100 ?g/ml of mAbs or mAb.sup.2 were flowed across the chip for 3 min at a flow rate of 10 ?l/min and the dissociation was followed for 5 min. Running buffer was PBS (Lonza, BE17-516F)+0.05% (v/v) P20 surfactant (GE Healthcare, BR-1000-54). The positive control was wild-type IgG1 4420-mAb. Monoclonal IgG2 and IgG4 mAbs to irrelevant targets (20H4 and MOR7490) and mouse IgG1 (Sigma, P5305) were included as reference points. No regeneration was required due to the fast dissociation rates of the binding complexes. For Fc? RIIa and Fc? RIIb/c testing the concentration of mAb.sup.2 was increased to 500 ?g/ml to compensate for the weaker binding to these two receptors. The results are shown in Table 12.
TABLE-US-00014 TABLE 12 Binding response of anti-LAG-3/PD-L1 mAb.sup.2 to human Fc? receptors as determined by SPR Binding response at end of association (RU) mAb/mAb.sup.2 Fc?RI Fc?RIII Fc?RIIa Fc?RIIb/c FS18-7-9/84G09 LALA <1 <5 <1 <2 FS18-7-33/84G09 LALA <1 <5 <1 <2 FS18-7-62/84G09 LALA <1 <5 <1 <2 FS18-7-78/84G09 LALA <1 <5 <1 <2 84G09 mAb LALA <1 <5 <1 <2 IgG2 <1 <5 9 <2 IgG4 8 <5 8 9 4420 mAb IgG1 30 28 29 18 Mouse IgG1 <1 <5 7 <2
[0250] As expected, the LALA variant introduced into the mAb or mAb.sup.2 reduces the ability of these molecules to bind human Fc? receptors.
[0251] 2.9 Binding of mAb.sup.2 to Cells Expressing Human and Cynomolgus LAG-3
[0252] The human LAG-3 sequence (SEQ ID NO: 126) or cynomolgus LAG-3 sequence (SEQ ID NO: 128) were subcloned into pcDNA5FRT vector (Life Technologies, V6010-20) using Kpnl (NEB, R0142) and Notl (NEB, R0146) restriction digestion. The vector was then transformed into Flp-In T-REx 293 HEK cell line (Life Technologies, R780-07) using Lipofectamine 2000 (Life Technologies, 11668-019). Transformed Flp-In T-REx 293 cells were grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) for 3-4 weeks until colonies of stably transformed cells were apparent. These colonies were amplified in the presence of 1 ?g/ml Doxycyclin (Sigma, D9891) and tested for LAG-3 expression was confirmed by flow cytometry.
[0253] The affinity of the mAb.sup.2 (all containing the LALA mutation) for cell expressed human or cynomolgus LAG-3 was determined using flow cytometry. HEK cells expressing human or cynomolgus LAG-3 grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) and 1 ?g/ml Doxycyclin (Sigma, D9891) were detached from tissue culture flasks using cell dissociation buffer (Life Technologies, 13151-014) and seeded in V-bottom 96-well plates (Costar, 3897) at 2?10.sup.5 cells/well. The plates were centrifuged at 1500 rpm for 3 min at 4? C. to pellet the cells. A dilution series of the mAb.sup.2 (or control mAb) were incubated with the cells in a 100 ?l volume for 1 h at 4? C. The plates were washed and secondary antibody (Anti-human Fc-488, Jackson ImmunoResearch, 109-546-098) was diluted 1:1000 in PBS and 100 ?l was added to the cells for 30 min at 4? C. (plates were kept in the dark). The plates were washed and then cells were resuspended in 100 ?l PBS containing 1 ?g/ml DAPI (Biotium, 40043). The plates were read using Canto II flow cytometer (BD Bioscience). Dead cells were excluded and the fluorescence in the FITC channel (488 nm/530/30) was measured. The data was fit using log (agonist) vs response in GraphPad Prism Software. The plates were read on a BD FACSCanto II cytometer (BD Biosciences) and the data analysed using FlowJo. The results are shown in Table 13.
TABLE-US-00015 TABLE 13 Binding affinity of anti-LAG-3/PD-L1 mAb.sup.2 to HEK cells expressing human or cynomolgus LAG-3 as determined by flow cytometry human LAG-3 cyno LAG-3 EC.sub.50 EC.sub.50 (nM) 95% Conf. Int. (nM) 95% Conf. Int. FS18-7-09/84G09LALA 3.179 2.311 to 4.372 29.9 22.16 to 40.35 FS18-7-62/84G09LALA 4.079 2.736 to 6.083 26.37 15.80 to 44.02 FS18-7-78/84G09LALA 2.526 1.474 to 4.329 24.75 19.31 to 31.73 25F7 4.192 2.791 to 6.297 156.5 107.3 to 228.2
[0254] The results confirm mAb.sup.2 binding to human and cynomologus LAG-3 expressed on HEK cells. Regarding the calculated EC.sub.50 values, tested mAb.sup.2 show better or equal binding to the human LAG-3 and at least two times better binding to the cynomologus LAG-3 when compared with control anti-LAG-3 antibody 25F7. No cross-reactivity with other proteins expressed on the surface of the HEK cell line was observed.
[0255] 2.10 Binding of mAb.sup.2 to Cells Expressing Human and Cynomolgus PD-L1
[0256] The human PD-L1 sequence (SEQ ID NO: 129) or cynomolgus PD-L1 sequence (SEQ ID NO: 131) were subcloned into pcDNA5FRT vector (Life Technologies, V6010-20) using Kpnl (NEB, R0142) and Notl (NEB, R0146) restriction digestion. The vector was then transformed into Flp-In T-REx 293 HEK cell line (Life Technologies, R780-07) using Lipofectamine 2000 (Life Technologies, 11668-019). Transformed Flp-In T-REx 293 cells were grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) for 3-4 weeks until colonies of stably transformed cells were apparent. These colonies were amplified in the presence of 1 ?g/ml Doxycyclin (Sigma, D9891) and LAG-3 expression was confirmed by flow cytometry.
[0257] The affinity of the mAb.sup.2 (all containing the LALA mutation) binding to cell expressed human or cynomolgus PD-L1 or to parental (untransformed cells) was determined using flow cytometry. HEK cells expressing human or cynomolgus PD-L1 grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) and 1 ?g/ml Doxycyclin (Sigma, D9891) were detached from tissue culture flasks using cell dissociation buffer (Life Technologies, 13151-014) and seeded in V-bottom 96-well plates (Costar, 3897) at 2?10.sup.5 cells/well. The plates were centrifuged at 1500 rpm for 3 min at 4? C. to pellet the cells. A dilution series of the mAb.sup.2 (or control mAb) was incubated with the cells in a 100 ?l volume for 1 h at 4? C. The plates were washed and secondary antibody (Anti-human Fc-488, Jackson ImmunoResearch, 109-546-098) was diluted 1:1000 in PBS and 100 ?l was added to the cells for 30 min at 4? C. (plates were kept in the dark). The plates were washed then cells were resuspended in 100 ?l PBS containing 1 ?g/mI DAPI (Biotium, 40043). The plates were read using Canto II flow cytometer (BD Bioscience). Dead cells were excluded and the fluorescence in the FITC channel (488 nm/530/30) was measured. The data was fit using log (agonist) vs response in GraphPad Prism Software. The plates were read on a BD FACSCanto II cytometer (BD Biosciences) and the data analysed using FlowJo. The results are shown in Table 14.
TABLE-US-00016 TABLE 14 Binding affinity of anti-LAG-3/PD-L1 mAb.sup.2 to HEK cells expressing human or cynomolgus PD-L1 as measured by flow cytometry human PD-L1 HEK cynomolgus PD-L1 EC.sub.50 EC.sub.50 (nM) 95% Conf. Int. (nM) 95% Conf. Int. 84G09 3.107 2.230 to 4.331 1.641 1.244 to 2.164 FS18-7-09/84G09 3.19 2.208 to 4.610 1.674 1.393 to 2.012 FS18-7-09/84G09 3.51 2.570 to 4.794 1.814 1.503 to 2.189 FS18-7-33/84G09 3.448 2.436 to 4.881 1.895 1.566 to 2.292 FS18-7-32/84G09 3.816 2.749 to 5.298 1.984 1.644 to 2.393 FS18-7-58/84G09 3.775 2.957 to 4.820 1.861 1.541 to 2.247 FS18-7-33/84G09 3.225 2.214 to 4.700 1.733 1.397 to 2.150 FS18-7-65/84G09 3.999 2.782 to 5.750 1.845 1.455 to 2.339 FS18-7-36/84G09 3.907 2.844 to 5.367 1.999 1.580 to 2.528 FS18-7-88/84G09 3.492 2.541 to 4.800 1.814 1.464 to 2.247 FS18-7-58/84G09 3.907 2.998 to 5.093 2.033 1.622 to 2.550 84G09 (parental) 3.051 2.181 to 4.267 1.959 1.515 to 2.533
[0258] All of the tested LAG-3/PD-L1 mAb.sup.2 bound to human PD-L1 and cyno PD-L1 with an EC.sub.50 close to that of the 84G09 mAb, demonstrating that the PD-L1 binding affinity was not affected by the introduction of the LAG-3 binding site into the CH3 domain of the mAb.sup.2.
[0259] 2.11 Binding of Surrogate Mouse mAb.sup.2 to Cells Expressing Mouse LAG-3 or Mouse PD-L1
[0260] The murine LAG-3 sequence (SEQ ID NO: 127) or murine PD-L1 sequence (SEQ ID NO: 130) were subcloned into pcDNA5FRT vector (Life Technologies, V6010-20) using Kpnl (NEB, R0142) and Notl (NEB, R0146) restriction digestion. The vector was then transformed into Flp-In T-REx 293 HEK cell line (Life Technologies, R780-07) using Lipofectamine 2000 (Life Technologies, 11668-019). Transformed Flp-In T-REx 293 cells were grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) for 3-4 weeks until colonies of stably transformed cells were apparent. These colonies were amplified in the presence of 1 ?g/ml Doxycyclin (Sigma, D9891) and LAG-3 or PD-L1 expression was confirmed by flow cytometry.
[0261] The affinity of the mAb.sup.2 (all containing the LALA mutations) binding to cell expressed murine LAG-3 or murine PD-L1 was determined using flow cytometry. HEK cells expressing murine LAG-3 or murine PD-L1 grown in DMEM (Life Technologies, 61965-026) containing 10% FBS (Life Technologies, 10270-1-6), 100 ?g/ml Hygromycin B (Melford Laboratories Ltd, Z2475), 15 ?g/ml Blasticidin (Melford Laboratories Ltd, B1105) and 1 ?g/ml Doxycyclin (Sigma, D9891) were detached from tissue culture flasks using cell dissociation buffer (Life Technologies, 13151-014) and seeded in V-bottom 96-well plates (Costar, 3897) at 2?10.sup.5 cells/well. The plates were centrifuged at 1500 rpm for 3 min at 4? C. to pellet the cells. A dilution series of the mAb.sup.2 (or control mAb) were incubated with the cells in a 60 ?l volume for 1 h at 4? C. The plates were washed and secondary antibody (Anti-human Fc-488, Jackson ImmunoResearch, 109-546-098 for mAb.sup.2 or Anti-Rat IgG (H+L), Alexa Fluor 488, ThermoFisher, A-11006 for anti-LAG-3 control, C9B7W) was diluted 1:1000 in PBS and 50 ?l was added to the cells for 30 min at 4? C. (plates were kept in the dark). The plates were washed then cells were resuspended in 50 ?l FACS Cell Fix (BD Bioscience, 340181) for 15 minutes, then washed and resuspended in 100 ?l PBS containing 1 ?g/ml DAPI (Biotium, 40043). The plates were read using Canto II flow cytometer (BD Bioscience). Dead cells were excluded and the fluorescence in the FITC channel (488 nm/530/30) was measured. The data was fit using log (agonist) vs response in GraphPad Prism Software. The plates were read on a BD FACSCanto II cytometer (BD Biosciences) and the data analysed using FlowJo. The results are shown in Table 15.
TABLE-US-00017 TABLE 15 Binding affinity of surrogate anti-mouse LAG- 3/PD-L1 mAb.sup.2 to HEK cells expressing murine LAG-3 or murine PD-L1 by flow cytometry murine LAG-3 HEK murine PD-L1 HEK EC.sub.50 EC.sub.50 (nM) 95% Conf. Int. (nM) 95% Conf. Int. C9B7W 27 12.27 to 58.04 N/A FS18-7-108-29/S1 2.27 1.064 to 4.857 11.9 7.627 to 18.68 FS18-7-108-29/4420 2.29 1.256 to 4.164 N/A FS18-7-108-35/S1 3.84 2.126 to 6.926 12.3 8.873 to 17.16 FS18-7-108-35/4420 2.38 0.7819 to 7.239 N/A
[0262] The surrogate mAb.sup.2 were able to bind to cell-expressed murine LAG-3 and to cell expressed murine PD-L1. The binding affinity of the surrogate mAb.sup.2 to cell expressed murine LAG-3 is approximately the same as the affinity of the anti-human LAG-3/PD-L1 mAb.sup.2 to human LAG-3 (2.3-3.8 nM compared to 2.5-4.2 nM) and the binding affinity of the surrogate mAb.sup.2 to cell-expressed murine PD-L1 is within 3-fold the affinity of the anti-human LAG-3/PD-L1 mAb.sup.2 to human PD-L1 (11.9-12.3 nM compared to 3.1-4.0 nM), demonstrating that these mAb.sup.2 are suitable surrogates for the anti-human LAG-3/PD-L1 mAb.sup.2 for use in vivo studies in mice.
Example 3: Activity of mAb.SUP.2 .Molecules in T Cell Activation Assays and an SEB Assay
[0263] 3.1 T Cell Activation Assay
[0264] An IL-2 release assay based on the DO11.10 OVA T-lymphocyte and LK35.2 B-lymphocyte hybridoma cell lines was used for functional screening of the mAb.sup.2. IL-2 release is a marker of T cell activation. T cells, expressing endogenous murine PD-1, were transfected with either empty vector (pLVX) or human LAG-3 construct. B-cells were transfected with empty vector (pLVX) or human PD-L1 construct.
[0265] Three combinations of these four cell lines were used side by side for testing T cell activation by the mAb.sup.2: [0266] DO11.10 pLVX+LK35.2 hPD-L1 for anti-PD-L1 activity; [0267] DO11.10 hLAG-3+LK35.2 pLVX for anti-LAG-3 activity; [0268] DO11.10 hLAG-3+LK35.2 hPD-L1 for simultaneous anti-LAG-3/anti-PD-L1 activity.
[0269] All mAb.sup.2 (all containing the LALA mutation) were tested twice in this T cell activation assay. Cross-reactivity with cynomolgus LAG-3 and PD-L1 was tested in a functional T cell activation assay using cells which overexpress cynomolgus targets (cPD-L1 and cLAG-3).
[0270] Production of T Cell Lines Over-Expressing LAG-3
[0271] Lentiviral transduction methodology was used to generate DO11.10 cells (National Jewish Health) overexpressing human, cynomolgus or mouse LAG-3 using the Lenti-X HTX Packaging System (Cat. No 631249). Lenti-X expression vector (pLVX) (Cat. No 631253), containing the mouse LAG-3 cDNA (SEQ ID NO: 127), human LAG-3 cDNA (SEQ ID NO: 126) or cynomolgus LAG-3 cDNA (SEQ ID NO: 128), was co-transfected with a Lenti-X HTX Packaging Mix into the Lenti-X 293T Cell Line (Cat. No 632180) to generate virus. The DO11.10 cell line was transduced using the lentiviral vectors produced with the Lenti-X HTX Packaging System.
[0272] Production of Antigen Presenting Cells Over-Expressing PD-L1
[0273] Lentiviral transduction methodology was used to generate LK35.2 B cell lymphoma (ATCC, HB-98) overexpressing human, cynomolgus or mouse PD-L1 using the Lenti-X HTX Packaging System (Cat. No 631249). Lenti-X expression vector (pLVX) (Cat. No 631253), containing the mouse PD-L1 cDNA (SEQ ID NO: 130), human PD-L1 cDNA (SEQ ID NO: 129 or cynomolgus PD-L1 cDNA (SEQ ID NO: 131), was co-transfected with a Lenti-X HTX Packaging Mix into the Lenti-X 293T Cell Line (Cat. No 632180) to generate virus. The LK35.2 cell line was transduced using the lentiviral vectors produced with the Lenti-X HTX Packaging System.
[0274] Media and Peptide
[0275] Cell culture medium: DMEM (Gibco, 61965-026) 10% FBS (Gibco, 10270-106), 1 mM Sodium Pyruvate (Gibco, 11360-070), 1 ?g/ml puromycin (Gibco, A11138-03) Experimental medium: complete DO11.10 culture medium without puromycin. OVA peptide (MW=1773.9 Da): H-ISQAVHAAHAEINEAGR-OH (Pepscan)
[0276] Cells: [0277] DO11.10 hLAG-3: DO11.10 T cell hybridoma transduced with a lentiviral vector to overexpress human LAG-3; [0278] DO11.10 pLVX: DO11.10 T cell hybridoma transduced with an empty lentiviral vector; [0279] DO11.10 cLAG-3: DO11.10 T cell hybridoma transduced with a lentiviral vector to overexpress cynomolgus LAG-3. [0280] LK 35.2 hPD-L1: B cell hybridoma transduced with a lentiviral vector containing hPD-L1 to overexpress human PD-L1; [0281] LK 35.2 PLVX: B cell hybridoma transduced with an empty lentiviral (pLVX) vector; [0282] LK 35.2 cPD-L1: B cell hybridoma transduced with a lentiviral vector to overexpress cynomolgus PD-L1.
[0283] DO11.10 cells (either DO11.10 pLVX cells or DO11.10 hLAG-3 cells) at 0.3?10.sup.6 cells/ml were mixed at a 1:1 ratio with antibodies at 3? final concentration. Antibodies and DO11.10 cells were incubated at 37? C., 5% CO.sub.2 for 1 hour. LK 35.2 cells (both pLVX and PD-L1-pLVX) were incubated at 3?10.sup.6 cells/ml experimental media with the OVA peptide at 1.5 ?M for 30 min. LK 35.2 cells+ OVA were added to DO11.10 cells/treatment mix at a 1:2 ratio in the following combinations:
[0284] Human Functional Screen
[0285] DO11.10 pLVX+LK35.2 hPD-L1,
[0286] DO11.10 hLAG-3+LK35.2 pLVX,
[0287] DO11.10 hLAG-3+LK35.2 hPD-L1;
[0288] Cynomolgus Cross Reactivity Screen
[0289] DO11.10 pLVX+LK35.2 cPD-L1,
[0290] DO11.10 cLAG-3+LK35.2 pLVX,
[0291] DO11.10 cLAG-3+LK35.2 cPD-L1;
[0292] Cells were incubated at 37? C., 5% CO.sub.2 for 24 hours. Supernatants were collected and assayed with mouse IL-2 ELISA kit (eBioscience, 88-7024-88 or R&D systems, SM2000) following the manufacturer's instructions. Plates were read at 450 nm using the plate reader with the Gen5 Software, BioTek. Absorbance values of 570 nm were subtracted from those of 450 nm (Correction). The standard curve for calculation of cytokine concentration was based on four parameter logistic curve fit (Gen5 Software, BioTek). The concentration of mIL-2 was plotted vs the log concentration of Fcab or mAb and the resulting curves were fitted using the log (agonist) vs response equation in GraphPad Prism. Table 16 shows the EC.sub.50 values and the maximal IL-2 release of the mAb.sup.2 and control mAbs, calculated as a percentage of the control (84G09+25F7).
TABLE-US-00018 TABLE 16 EC.sub.50 and maximal IL2 release (as calculated by percentage of IL2 release compared to control - 84G09 + 25F7) for nine mAb.sup.2 AVERAGE SD Maximal IL2 release AVERAGE SD calculated as % ctrl mAb.sup.2/control mAbs EC.sub.50 (84G09 + 25F7) FS18-7-09/84G09LALA 0.75 0.20 65.89 24.04 FS18-7-33/84G09LALA 0.82 0.35 63.95 36.56 FS18-7-78/84G09LALA 0.82 0.38 64.39 39.28 FS18-7-62/84G09LALA 0.65 0.02 58.97 18.13 FS18-7-65/84G09LALA 0.81 0.20 70.25 2.22 FS18-7-95/84G09LALA 1.10 79.77 FS18-7-32/84G09LALA 1.19 0.00 82.94 14.67 FS18-7-36/84G09LALA 1.05 0.32 71.56 8.83 FS18-7-58/84G09LALA 1.16 0.21 79.40 0.10 84G09LALA + 25F7 1.32 0.25 100.00
[0293] One of the mAb.sup.2 (FS18-7-9/84G09 containing the LALA mutation) was tested for cynomolgus functional cross reactivity in the DO11.1-/LK35.2 T cell activation assay.
[0294] 3.2 Staphylococcal Enterotoxin B Assay
[0295] Three mAb.sup.2 (all containing the LALA mutation) were tested in the human-PBMC based Staphylococcal Enterotoxin B assay (SEB assay). Staphylococcal Enterotoxin B is a superantigen, and binds to MHC class II molecules on antigen presenting cells (APCs) and the v? chain of the T cell receptor (TCR), causing non-specific activation of T cells and cytokine release. There is no requirement for antigen to be present to see T cell activation. The SEB assay uses stimulated human cells (PBMCs) with physiological levels of checkpoint inhibitors, and can be used to confirm that T cell activation is enhanced by the mAb.sup.2 in a human system. Three mAb.sup.2 were tested in the SEB system with cells coming from four different donors.
[0296] Generation of Expanded T Cells
[0297] PMBCs were isolated from leukocyte cones by Ficoll gradient seperation. CD4+ T cells were isolated using human CD4+ T Cell Isolation Kit (Miltenyi Biotec Ltd, 130-096-533) according to the manufacturer's instruction. Human T-Activator CD3/CD28 Dynabeads (Life technologies, 11131D) were resuspended by vortexing. Beads were transferred to a sterile 15 ml tube and 10 ml RPMI (Life Technologies, 61870044) with 10% FBS (Life Technologies, 10270106) and 1? Penicillin Streptomycin (Life Technologies, 15140122) was added to wash Dynabeads. The supernatant was discarded. The required amount of CD4+ T cells at 1.0?10.sup.6 cells/ml in RPMI with 10% FBS and 1? Penicillin Streptomycin Solution and 50 IU/ml recombinant human 1L2 (Peprotech, 200-02-50 ?g) with 3:1 bead to cell ratio were transferred to T75 flask (Greiner Bio-one, 690195) and incubated at 37? C.+5% CO.sub.2. After 3 days the cells were gently resuspended and counted. The cell density was maintained between 0.8-1?10.sup.6 cells/ml by adding fresh media (RPMI-10% FBS+ Penicillin Streptomycin Solution 1X+50 IU/ml rhulL2) as needed. On day 7 or 8, the CD3/28 beads were removed and CD4+ T cells were rested overnight at 1?10.sup.6 cells/ml fresh media RPMI-10% FBS+ Penicillin Streptomycin Solution 1X with reduced 10 IU/ml rhulL2. The cells were stored frozen until required.
[0298] Generation of MoiDCs
[0299] Untouched monocytes were isolated from human PBMCs using human Pan Monocyte Isolation Kit, (Miltenyi Biotec Ltd, 130-096-537) following the manufacturer's instructions. Monocytes were differentiated to iDCs using human Mo-DC Differentiation Medium (Miltenyi Biotec Ltd, 130-094-812) following the manufacturer's instructions.
[0300] SEB Assay
[0301] Expanded T cells were thawed one day before the experiment, washed with AIM medium (Gibco, 12055-091) and incubated at 37? C., 5% CO.sub.2 overnight at 1?10.sup.6 cells/ml in AIM medium. 2 ?M concentration of each antibody/mixture was prepared in DPBS (Gibco, 14190-169) and diluted 1:10 in medium (30 ?l+270 ?l) to obtain 200 nM. In a 96 well plate, serial dilutions were carried out at 1:10 (30 ?l+270 ?l experimental medium; 2? final conc.). MoiDCs were thawed, washed with AIM medium and mixed with T cells from the same donor at a 1:10 ratio (5 ml of iDCs at 2?10.sup.5 cells/ml were combined with 5 ml of T cells at 2?10.sup.6 cells/ml). 20 ?l of SEB (Sigma, S4881) at 0.1 ?g/ml was added to 10 ml of the cells. In a round bottom 96 well plate, 100 ?l of the cell/SEB mixture was added to 100 ?l of the antibody dilution, giving a ratio of 10.sup.4 iDC cells to 10.sup.5 T cells with 0.1 ng/ml SEB in 200 ?l of AIM media per well with final antibody concentrations of 100, 10, 1, 0.1, 0.01, 0.001 nM. Cells were incubated at 37? C., 5% CO2 for 3 days. Supernatants were collected and assayed immediately with human IFN.sub.? ELISA kit (R&D Systems, PDIF50) or frozen down at ?20? C. for further analysis. The assay was performed according to the kit manufacturer's instructions using supernatants diluted 1:30 with PBA (DPBS, 2% BSA (Sigma, A7906-100G)). The concentration of human IFN.sub.? was plotted vs the log concentration of mAb.sup.2 or mAb and the resulting curves were fitted using the log (agonist) vs response equation in GraphPad Prism software. Table 17 shows the EC.sub.50 values and the span of the IFN.sub.7 release in the SEB assay with cells from four different cell donors (Donors A to D).
TABLE-US-00019 TABLE 17 EC.sub.50 values calculated for six mAb.sup.2 based on six SEB assays with 4 different cell donors. EC.sub.50 (nM) 95% Conf. Int. SPAN 95% Conf. Int. Assay 1 Donor A FS18-7-09/84G09LALA 0.1551 0.08521 to 0.2824 12280 10802 to 13758 FS18-7-62/84G09LALA 0.1424 0.08665 to 0.2340 12120 10897 to 13342 FS18-7-78/84G09LALA 0.2774 0.1220 to 0.6310 14156 11970 to 16341 84G09 LALA 0.1884 0.08960 to 0.3962 10077 8612 to 11542 FS18-7-09/4420LALA 1010 384.8 to 1635 FS18-7-62/4420LALA 416.1 ?443.1 to 1275.sup. FS 18-7-78/4420LALA 411 ?1103 to 1925 84G09 LALA + FS18-7- 0.2455 0.1030 to 0.5850 11836 9888 to 13785 09/4420LAL 84G09 LALA + FS18-7- 0.1601 0.05399 to 0.4750 11448 8958 to 13937 62/4420LAL 84G09 LALA + FS18-7- 0.1774 0.06863 to 0.4587 12250 9955 to 14544 78/4420LAL 4420 LALA 218.6 ?35.91 to 473.1 Assay 1 Donor B FS18-7-09/84G09LALA 0.07316 0.02255 to 0.2374 11825 8919 to 14730 FS18-7-62/84G09LALA 0.03236 0.007146 to 0.1465 12170 8419 to 15921 FS18-7-78/84G09LALA 0.09718 0.03128 to 0.3019 15198 11594 to 18802 84G09 LALA 0.08562 0.03403 to 0.2154 12343 9957 to 14730 FS18-7-09/4420LALA 1337 ?195.8 to 2870.sup. FS18-7-62/4420LALA 2508 ?2118 to 7133 FS 18-7-78/4420LALA 1425 ?58.52 to 2908.sup. 84G09 LALA + FS18-7- 0.2861 0.1005 to 0.8143 16037 12890 to 19184 09/4420LAL 84G09 LALA + FS18-7- 0.1431 0.02857 to 0.7172 13907 9358 to 18455 62/4420LAL 84G09 LALA + FS18-7- 0.3775 0.08929 to 1.596 14418 10502 to 18334 78/4420LAL 4420 LALA 2293 1028 to 3558 Assay 2 Donor A FS18-7-09/84G09LALA 0.2761 0.1654 to 0.4611 20727 18729 to 22724 FS18-7-33/84G09LALA 0.1934 0.07990 to 0.4681 171 03 14156 to 20049 FS18-7-78/84G09LALA 0.2384 0.1596 to 0.3560 19822 18311 to 21333 84G09 LALA 0.3788 0.1166 to 1.230 11745 9138 to 14352 FS 18-7-09/4420LALA 1991 ?1927 to 5909 FS 18-7-33/4420LALA ~1.053e+006 (Very wide) FS 18-7-78/4420LALA ~72657 (Very wide) 84G09 LALA + FS18-7- 0.5202 0.2624 to 1.031 23346 20230 to 26462 09/4420LALA 84G09 LALA + FS18-7- 0.2881 0.1529 to 0.5428 22529 19853 to 25205 33/4420LALA 84G09 LALA + FS18-7- 0.4335 0.2089 to 0.8996 20955 18038 to 23873 78/4420LALA Assay 2 Donor B FS18-7-09/84G09LALA 0.139 0.04157 to 0.4646 21572 16269 to 26874 FS18-7-33/84G09LALA 0.07278 0.01615 to 0.3280 19554 13408 to 25699 FS18-7-78/84G09LALA 0.1356 0.03552 to 0.5178 22319 16212 to 28426 84G09 LALA 0.1959 0.03365 to 1.140 12077 7938 to 16216 FS18-7-09/4420LALA 1272 ?963.4 to 3507.sup. FS18-7-33/4420LALA 2272 ?190.8 to 4735.sup. FS18-7-78/4420LALA 1960 ?1287 to 5207 84G09 LALA + FS18-7- 0.2889 0.07772 to 1.074 23661 17835 to 29488 09/4420LALA 84G09 LALA + FS18-7- 0.3 0.06936 to 1.298 26145 18971 to 33320 33/4420LALA 84G09 LALA + FS18-7- 0.271 0.03980 to 1.845 25489 16292 to 34686 78/4420LALA Assay 1 Donor C FS18-7-09/84G09LALA 0.06739 0.01933 to 0.2349 2987 15107 to 27710 84G09 LALA 0.08347 0.0331 to 0.2105 1509 11046 to 17414 84G09 LALA + FS18-7- 0.1618 0.06635 to 0.3944 1744 13346 to 20704 09/4420LALA Assay 1 Donor D FS18-7-09/84G09LALA 0.04373 0.01797 to 0.1064 1850 15995 to 23799 84G09 LALA 0.07043 0.03483 to 0.1424 1045 10996 to 15405 84G09 LALA + FS18-7- 0.1351 0.08359 to 0.2182 968 15318 to 19403 09/4420LALA
Example 4: In Vivo Activity of mAb.SUP.2 .Molecules in Murine Tumour Models
[0302] 4.1 Activity of mAb.sup.2 Molecules in a MC38 Non-Established Tumour Model
[0303] The MC38 syngeneic tumour model was used in this experiment as MC38 tumours are known to express PD-L1 on their cell surface and to be highly immunogenic resulting in increased LAG-3 expression on immune cells in the tumour and tumour periphery.
[0304] The surrogate mouse mAb.sup.2 FS18-7-108-29/S1 containing the LALA mutation (SEQ ID NO: 117 and 119) referred to as FS18-29/S1 was tested for in vivo activity using a MC38 syngeneic mouse tumour growth model. The ability of the mAb.sup.2 to inhibit tumour growth was compared to that of the LAG-3/mock mAb.sup.2, FS18-7-108-29/4420 containing the LALA mutation (SEQ ID NO: 132 and 85) referred to as FS18-29/4420, the benchmark anti-LAG-3 mAb C9B7W (2B scientific; Catalogue Number BE0174-50MG), the benchmark anti-PD-L1 mAb S1 containing the LALA mutation (SEQ ID NO: 122 and 119) and to a combination of mAbs C9B7W and S1.
[0305] C57BL/6 female mice (Charles River) aged 8-10 weeks and weighing 20-25 g each were rested for one week prior to the study start. All animals were micro-chipped and given a unique identifier. Each cohort had 10 mice. The MC38 colon carcinoma cell line (S. Rosenberg, NIH) was initially expanded, stored, and then pre-screened by IDEXX Bioresearch for pathogens using the IMPACT I protocol and shown to be pathogen free. MC38 cells were thawed from ?150? C. storage and added to 20 ml DMEM (Gibco, 61965-026) with 10% FCS (Gibco, 10270-106) in a T175 tissue culture flask. Mice were anaesthetised using isoflurane (Abbott Laboratories) and each animal received 2?10.sup.6 cells injected subcutaneously in the left flank. 7-8 days following tumour cell inoculation, mice which did not have tumours at this point were removed from the study.
[0306] All of the mAb.sup.2 molecules and the control antibodies were analysed within 24 hours prior to injection by SEC-HPLC profiling and checked for impurities. Antibodies were prepared at a final concentration of 10 mg/kg in PBS and combined with a second antibody in the combination studies. The mAb.sup.2 molecules and the control antibodies were administered to the mice by intraperitoneal (IP) injection on days 8, 11, and 14 following tumour inoculation. Accurate measurements of tumours were taken, any drug dosing due on the day in question was performed, and the mice subjected to close observation for the remainder of the trial. Tumour volume measurements were taken with callipers to determine the longest axis and the shortest axis of the tumour. The following formula was used to calculate the tumour volume:
L?(S.sup.2)/2
Where L=longest axis; S=shortest axis
[0307] The trial was halted at day 20 when the tumour burden was considered close to restrictions. All mice were humanely sacrificed and the tumours were excised and weighed.
[0308] The results are shown in
[0309] The surrogate mAb.sup.2 FS18-29/S1 also had a marked effect on tumour growth preventing the establishment in 6 of 8 growing MC38 tumours, and slowing the growth of the remaining 2. Administration of the benchmark anti-LAG-3 and PD-L1 antibodies in combination slowed tumour growth in 7 animals with no animals being tumour free.
[0310] FS18-29/4420 alone had no marked effect on tumour growth, indicating that for maximal efficacy, the mAb.sup.2 requires the anti-PD-L1 Fab. The benchmark anti-mouse LAG-3 antibody alone had little or no effect on resulting tumour growth while the benchmark anti-mouse PD-L1 prevented establishment of 1 of 7 tumours in this cohort, and had some overall effect of slowing tumour growth.
[0311] Syngeneic mouse models are accepted as appropriate murine systems for testing the anti-tumour effect of inhibiting therapeutic targets and have been used extensively to validate development of human therapeutics.
[0312] 4.2 Activity of mAb2 Molecules in a MC38 Established Tumour Model
[0313] The surrogate mouse mAb.sup.2 FS18-7-108-29/S1 containing the LALA mutation, (SEQ ID NO: 117 and 119) referred to as FS18-29/S1, was tested for in vivo activity in a MC38 syngeneic mouse tumour growth model. The ability of the mAb.sup.2 to inhibit tumour growth was compared to that of the LAG-3/mock mAb.sup.2, FS18-7-108-29/4420 containing the LALA mutation (SEQ ID NO: 132 and 85), referred to as FS18-29/4420, the benchmark LAG-3 mAb C9B7W, the benchmark PD-L1 mAb S1 containing the LALA mutation (SEQ ID NO: 122 and 119) and to a combination of C9B7W and S1.
[0314] C57BL/6 female mice (Charles River) aged 8-10 weeks and weighing 20-25 g each were rested for one week prior to the study start. All animals were micro-chipped and given a unique identifier. Each cohort had 10 mice. The MC38 colon carcinoma cell line (S. Rosenberg, NIH) was initially expanded, stored, and then pre-screened by IDEXX Bioresearch for pathogens using the IMPACT I protocol and shown to be pathogen free. MC38 cells (approximately 3-5?10.sup.6) was thawed from ?150? C. storage and added to 20 ml DMEM (Gibco, 61965-026) with 10% FCS (Gibco, 10270-106) in a T175 tissue culture flask. Mice were anaesthetised using isofluorane (Abbot Laboratories) and 2?10.sup.6 cells in 100 ?l were injected subcutaneously into the left flank of each mouse. 7-8 days following tumour cell inoculation, mice were routinely monitored for health and tumour growth appropriate for initiation of the study. When the majority of mice exhibited tumours of 5-10 mm diameter, they were sorted and randomised back into study cohorts. Any mice which did not have appropriately sized tumours at this point were removed from the study.
[0315] All of the mAb.sup.2 molecules and the control antibodies were analysed within 24 hours prior to injection by SEC-HPLC profiling and checked for impurities. Antibodies were prepared at a final concentration of 10 mg/kg in PBS and combined with the second antibody for the combination studies. The mAb.sup.2 molecules and the control antibodies were administered to the mice on days 15, 18, and 21 following tumour inoculation by IP injection. Animals were health screened under anaesthesia three times a week in a blinded fashion, during which time accurate measurements of tumours were taken. Tumour volume measurements were taken with callipers to determine the longest axis and the shortest axis of the tumour. The formula used to calculate the tumour volume was as set out in section 4.1 above.
[0316] The trial was halted at day 24 when the tumour burden was considered close to restrictions. All mice were humanely sacrificed and the tumours were excised and weighed. The results are shown in
[0317] Effective control or suppression of tumour growth in syngeneic tumour models in mice is best accomplished through therapeutic intervention at early time points (starting tumour volumes of less than 40 mm.sup.3). The later the intervention is administered, the more difficult it is to observe positive effects with respect to tumour growth, though perhaps this is more akin to the situation in the human clinical setting.
[0318] FS18-29/S1 had a positive effect in both suppressing tumour growth and preventing the establishment of MC38 colon carcinoma in immune competent mice when given at early time points in C57BL/6 mice. When administered at later time points (starting tumour volumes of 50-125 mm.sup.3), FS18-29/S1 was just as effective in suppressing tumour growth as the combination of benchmark antibodies. FS18-29/4420 alone had no noticeable impact on tumour growth and S1 and C9B7W both had a mild effect on resulting tumour growth.
[0319] 4.3 Activity of mAb.sup.2 Molecules in a CT26 Non-Established Tumour Model
[0320] The CT26 syngeneic tumour model was used in this experiment as CT26 tumours are known to express PD-L1 on their cell surface and to be highly immunogenic resulting in increased LAG-3 expression on immune cells in the tumour and periphery.
[0321] The surrogate mouse mAb.sup.2 FS18-7-108-29/S1 containing the LALA mutation (SEQ ID NO: 117 and 119), referred to as FS18-29/S1, and FS18-7-108-35/S1 containing the LALA mutation (SEQ ID NO: 120 and 119), referred to as FS18-35/S1, were tested for in vivo activity in a CT26 syngeneic mouse tumour growth model. The ability of the mAb.sup.2 to inhibit tumour growth was compared to that of the LAG-3/mock mAb.sup.2, FS18-7-108-29/4420 containing the LALA mutation (SEQ ID NO: 132 and 85), referred to as FS18-29/4420, and FS18-7-108-35/4420 containing the LALA mutation (SEQ ID NO: 133 and 85), referred to as FS18-35/4420, the benchmark LAG-3 mAb C9B7W, the benchmark PD-L1 mAb containing the LALA mutation (SEQ ID NO: 122 and 119) and to a combination of C9B7W and S1.
[0322] BALB/c female mice (Charles River) aged 8-10 weeks and weighing 20-25 g each were rested for one week prior to the study start. All animals were micro-chipped and given a unique identifier. Each cohort had 10 mice. The CT26 colon carcinoma cell line (ATCC, CRL-2638) was initially expanded, stored, and then pre-screened by IDEXX Bioresearch for pathogens using the IMPACT I protocol and shown to be pathogen free. CT26 cells (approximately 3-5?10.sup.6) were thawed from ?150? C. storage and added to 20 ml DMEM (Gibco, 61965-026) with 10% FCS (Gibco, 10270-106) in a T175 tissue culture flask. 7-8 days following tumour cell inoculation, mice were routinely monitored for health and tumour growth appropriate for initiation of the study. When the majority of mice exhibited tumours with a diameter of 3-5 mm.sup.3, they were sorted and randomised back into study cohorts. Any mice which did not have tumours at this point were removed from the study.
[0323] All of the mAb.sup.2 molecules and the control antibodies were analysed within 24 hours of injection by SEC-HPLC profiling and checked for impurities. Antibodies were prepared at a final concentration of 10 mg/kg in PBS and combined with a second antibody in the combination studies. The mAb.sup.2 molecules and the control antibodies were administered to the mice on days 8, 11, and 14 following tumour inoculation. Animals were health screened during which time accurate measurements of tumours were taken. Tumour volume measurements were taken with callipers to determine the longest axis and the shortest axis of the tumour. The formula used to calculate the tumour volume was as set out in section 4.1 above:
[0324] The trial was halted at day 20 when the tumour burden was considered close to restrictions. All mice were humanely sacrificed and the tumours were excised and weighed. The results are shown in
[0325] Statistical analysis of the end tumour weights was performed using a two tailed Student's t-test within the GraphPad Prism software package. Statistical analysis of the tumour growth curves was determined using compare Growth Curves function from the Statistical Modeling package, statmod (Elso et al., 2004 and Baldwin et al., 2007), available from the R Project for Statistical Computing.
[0326] There was a demonstrated statistical significant difference between FS18-35/S1 mAb.sup.2 and IgG control (normal growth) in suppressing tumour growth. Such a statistically significant difference was not observed with either the combination of benchmark antibodies, or FS18-29/S1 mAb.sup.2 versus the IgG control group, or versus any other cohort in this trial.
[0327] The CT26 tumour model is an aggressive, fast growing tumour model, one that is inherently prone to mice developing intestinal metastasis, and as a result has a very limited therapeutic window.
[0328] Surprisingly the combination of benchmark LAG-3 and PD-L1 antibodies did not significantly suppress tumour growth compared to the IgG control cohort. However, the FS18-35/S1 treated cohort did reveal a significant suppression of growth compared to IgG control. FS18-29/S1, while it did suppress tumour growth as well compared to IgG control, it was not statistically significant. This trial shows a second tumour model in which the mouse reactive LAG-3/PD-L1 mAb.sup.2 has demonstrated a positive effect in slowing tumour growth at least to the same degree as administration of a combination of benchmark monoclonal antibodies.
[0329] 4.4 Effect of LALA Mutation on Tumour Growth Inhibition in the MC38 Non-Established Tumour Model
[0330] Two mAb.sup.2 (FS18-7-108-29/S1 LALA and FS18-7-108-29/S1) were tested to examine potential differences in anti-tumour activity of these mAb.sup.2 with and without the LALA mutation in the Fc region. The surrogate mouse mAb.sup.2 FS18-7-108-29/S1 referred to as FS18-29/S1 with (SEQ ID NO: 117 and 119) and without LALA mutation (SEQ ID NO: 118 and 119) were tested for in vivo activity using a MC38 syngeneic mouse tumour growth model. The ability of the mAb.sup.2 to inhibit tumour growth was compared to that of the LAG-3/mock mAb.sup.2, FS18-7-108-29/4420 with (SEQ ID NO: 132 and 85) and without LALA mutation (SEQ ID NO: 134 and 85) referred to as FS18-29/4420LALA and FS18-29/4420 and a combination of the LAG-3/mock mAb.sup.2 with and without LALA mutation with the benchmark PD-L1 mAb S1 with (SEQ ID NO: 122 and 119) and without the LALA mutation (SEQ ID NO: 123 and 119).
[0331] C57BL/6 female mice (Charles River) aged 8-10 weeks and weighing 20-25 g each were rested for one week prior to the study start. All animals were micro-chipped and given a unique identifier. Each cohort had 10 mice. The MC38 colon carcinoma cell line (S. Rosenberg, NIH) was initially expanded, stored, and then pre-screened by IDEXX Bioresearch for pathogens using the IMPACT I protocol and shown to be pathogen free. MC38 cells (approximately 3-5?10.sup.6) were thawed from ?150? C. storage and added to 20 ml DMEM (Gibco, 61965-026) with 10% FCS (Gibco, 10270-106) in a T175 tissue culture flask. Mice were anaesthetised using isofluorane (Abbot Laboratories) and 2?10.sup.6 cells in 100 ?l were injected subcutaneously into the left flank of each mouse. Mice were allowed to recover under observation and the inoculation date noted as Day 0. 7-8 days following tumour cell inoculation, mice were routinely monitored for health and tumour growth appropriate for initiation of the study. Any mice which did not have tumours at this point were removed from the study.
[0332] All of the mAb.sup.2 molecules and the control antibodies were analysed within 24 hours prior to injection by SEC-HPLC profiling and checked for impurities. Antibodies were prepared at a final concentration of 10 mg/kg in PBS and combined with a second antibody in the combination studies. The mAb.sup.2 molecules and the control antibodies were administered to the mice on days 8, 11, and 14 following tumour inoculation by IP injection. Animals were health screened under anaesthesia three times a week in a blinded fashion, during which time accurate measurements of tumours were taken. Tumour volume measurements were taken with callipers to determine the longest axis and the shortest axis of the tumour. The formula used to calculate the tumour volume was as set out in section 4.1.
[0333] All mice were humanely sacrificed and the tumours were excised and weighed. The results are shown in
[0334] This trial confirms that the presence or absence of the LALA mutation, which abrogates ADCC activity, has no statistically significant effect on tumour growth in the MC38 colon carcinoma model, however those mAb.sup.2 which included the LALA mutation tended to result in increased tumour growth suppression. Nevertheless, the rationale for including the mutation to potentially inhibit ADCC activity against T cells expressing LAG-3 or PD-L1 is justified as the LALA mutation has no detrimental effect on the anti-tumour activity of LAG-3/PD-L1 mAb.sup.2. There was some evidence to suggest that inclusion of the LALA mutation was only critical for the PD-L1 antibody.
[0335] This trial also examined whether the LAG-3/PD-L1 mAb.sup.2 may have increased efficacy over administration of the individual antibodies (LAG-3 LALA+PD-L1 LALA). In this case there was no significant difference between these two cohorts. Both groups suppressed growth in the MC38 colon carcinoma model.
[0336] 4.5 Conclusion
[0337] Overall, it is clear from the above results that there is a synergistic effect on tumour growth suppression when a mAb.sup.2 molecule comprising binding sites for both LAG-3 and PD-L1 is administered to mice in the mouse models tested. Based on these results, it is expected that the antibody molecules of the invention will show a superior effect in the treatment of cancer in human patients, in particular in suppressing tumour growth, than administration of two separate molecules which bind LAG-3 and PD-L1, respectively.
Example 5: Effect of mAb2 Treatment on T Cell LAG-3 Expression
[0338] The mechanism by which the surrogate mouse mAb.sup.2 FS18-7-108-29/S1 containing the LALA mutation, (SEQ ID NOs: 117 and 119) referred to as FS18-29/S1 led to decreased tumour burden was tested in a MC38 syngeneic mouse tumour growth model expressing ovalbumin (MC38.OVA). The effect of FS18-29/S1 was compared to that of the LAG-3/mock mAb.sup.2, FS18-7-108-29/4420 containing the LALA mutation (SEQ ID NOs: 132 and 85), referred to as FS18-29/4420, the benchmark PD-L1 mAb S1 containing the LALA mutation (SEQ ID NOs: 122 and 119) and to a combination of FS18-29/4420 and S1.
[0339] On the day of implant, cultured MC38.OVA cells were harvested during log phase growth (Confluency ?75%) and resuspended in PBS at a concentration of 1?10.sup.7 cells/mL. Tumours were initiated by first anesthetizing each animal with isoflurane, then subcutaneously implanting 1?10.sup.6 MC38.OVA cells (0.1 mL suspension) into the left flank of each test animal. Eleven days after tumour cell implantation animals were randomised, using a deterministic randomisation method, into five groups with individual tumour volumes of 32 to 62.5 mm.sup.3. Animals were dosed at 10 mg/kg antibody or mAb.sup.2 on day 12, 14 and 16 after tumour inoculation, and tumours collected from three animals/group at days 19 and 23 after tumour inoculation. GentleMACS? Dissociator was used to dissociate the tumour with cells subsequently sieved through a 70 ?m cell strainer to obtain a single cell suspension. 1?10.sup.6 cells/well on a 96-well plate were resuspended in FACS buffer with 1:3000 viability stain and Fc block (anti-CD16/32 antibody). Cells for FACS analysis were stained using a Master Mix that included labelled antibodies against CD43, CD8a, CD4, FoxP3, and LAG-3. For the FoxP3 intracellular staining cells were fixed and permeabilized prior to staining with the FoxP3 antibody. Samples were run on the Canto II flow cytometer with a compensation matrix and a minimum of 500,000 events counted.
[0340] In this experiment, TILs were examined for LAG-3 expression after the third dose of antibody/mAb.sup.2 had been administered, when a separation in the growth of the tumour between control and mAb.sup.2 treatments is seen but before there is a large difference between tumour sizes which might skew results. At this time point, LAG-3 expression on TILs was found to be markedly decreased in animals treated with the mAb.sup.2 FS18-29/S1 or with the combination of FS18-29/4420 and S1. Specifically, as shown in
[0341] These results show that dual inhibition of LAG-3 and PD-L1 is required for a decrease in LAG-3 expression by TILs, as this phenomenon was not seen in animals treated with single agents against LAG-3 or PD-L1. Without wishing to be bound by theory, it is thought that dual anti-LAG-3 and anti-PD-L1 treatment leads to a decrease in LAG-3 expression on TILS, thereby reducing the inhibitory effect of LAG-3 and allowing the TILs to overcome exhaustion. Once the TI Ls become activated, they are able to recognise neo-antigens expressed by the tumour and mount a response against it. This is therefore thought to be the mechanism by which treatment with anti-LAG3/PD-L1 mAb.sup.2 results in a reduction in the tumour burden.
Example 6: Antibody Dependent Cellular Cytotoxicity and Complement Dependent Cytotoxicity Activity of mAb.SUP.2
[0342] IgG1 antibodies usually exhibit effector functions via conserved interaction sites within the constant region of the molecule. These include Antibody Dependent Cellular Cytotoxicity (ADCC), mediated by binding to Fc?R expressed on Monocytes/Macrophages, dendritic cells, NK cells, neutrophils and other granulocytes, and Complement Dependent Cytotoxicity (CDC), mediated by induction of the complements cascade initiated by binding to C1q complement component. Since LAG-3 is predominantly expressed on activated T cells and PD-L1 is expressed on these but also on tumour cells at high levels, the ability of mAb.sup.2 FS18-7-9/84G09 (SEQ ID NOs 94 and 116) to induce ADCC and CDC was investigated.
[0343] Specifically, it was tested whether FS18-7-9/84G09 treatment of LAG-3 or PD-L1 expressing cells, followed by incubation with either NK cells or complement, induces lysis of the respective target cells. In addition, since FS18-7-9/84G09 is a bispecific antibody, it was also tested whether target engagement on one of the specificities affects effector function towards cells expressing the target for the other specificity.
[0344] Understanding the effector functions of mAb.sup.2 FS18-7-9/84G09 is useful for a number of reasons, including determining whether a mutation which reduces effector functions, such as the LALA mutation, should be included in the molecule to protect LAG-3 expressing effector T cells engaged in tumour killing from FS18-7-9/84G09-mediated ADCC and/or CDC.
[0345] 6.1 Study Design
[0346] Raji cells recombinantly expressing LAG-3 or PD-L1 were used for all assays, using their endogenous expression of CD20 as a control for targeting with a generic version of Rituximab to demonstrate functional activity of the added complement and NK cell preparations independent of the recombinant expression of the target proteins. Target expression was confirmed prior to these experiments.
[0347] To determine the basic CDC activity towards LAG-3 or PD-L1 expressing cells, this activity was measured using LDH release, measured by conversion of a substrate into a fluorescent dye (CytoTox-ONE? by Promega). To measure which target cells in a cell mixture comprising both LAG-3 expressing cells and PD-L1 expressing cells were being lysed, differential CDC was measured by flow cytometry of differentially fluorescently labelled target cells after incubation with the mAb.sup.2/antibody, detecting dead cells using a fluorescent dye excluded from live cells.
[0348] In order to determine ADCC activity towards LAG-3 or PD-L1 expressing cells, this activity was measured using NK cells isolated from frozen PBMC and LDH release measured colourimetrically (CytoTox 96 by Promega). For all these studies, Rituximab in various isotypes and Fc configurations was used as a control. No reliable method for measuring ADCC differentially is known, so differential ADCC activity was not measured.
[0349] In all experiments, the PD-L1 specific mAb (84G09) and the LAG-3 specific mAb (25F7) were used as controls. An IgG isotype control (4420) which was either used as negative control or to generate the CDC background activity was also used. The LALA versions of the respective antibodies and mAb.sup.2 (excluding 25F7) were also compared to the IgG1 wild-type versions in the CDC and ADCC assays to determine the effect of this mutation on these effector functions.
[0350] 6.2 Materials and Methods
[0351] 6.2.1 CDC Assays
[0352] All antibodies/mAb.sup.2, including Rituximab, were diluted in 10 point 1 in 2 serial dilutions. Control wells containing the IgG (4420 LALA) at the highest concentration used were also prepared. Cell suspensions of Raji cells recombinantly expressing LAG-3 or PD-L1 respectively, were prepared in serum free medium for the LDH release assay and added to an equal volume of the prepared antibodies/mAb.sup.2.
[0353] For the Flow Cytometry based CDC assay, cell suspensions of 5?10.sup.7 cells were prepared and resuspended in either 0.5 ?M CellTracker deep red (CellTracker? Deep Red, Thermo Fisher, #C34565) or 5 ?M for CellTracker Green (CellTracker? Green CMFDA (5-chloromethylfluorescein diacetate, Thermo Fisher, # C7025) in serum free medium. After a 30 min incubation at 37? C., cells were washed in serum free medium and either added to the prepared antibody/mAb.sup.2-containing wells directly, or combined with the other differentially stained cell line at equal volumes and then added to the antibody/mAb.sup.2-containing wells as described above. For both assays, after a 30 min incubation under cell culture conditions, wells were topped up with an equal volume of baby rabbit complement, 10% in serum free medium (Baby Rabbit Complement, TEBU-bio, #CL3441). Plates were incubated for 4 hrs in cell culture conditions. For the LDH release CDC assay, 100% lysis controls were generated by adding Triton X 100 to half of the 4420 LALA treated wells and the Cytotox assay was performed according to manufacturer's instructions (CytotoxOne, Promega, G7891). After obtaining the reads, the signal from the 100% lysis controls was set to 100% and the signals from the sample wells were calculated as a percentage of that level.
[0354] For the Flow Cytometry based CDC assay, at the end of the incubation period, the dead cell dye (SYTOX? Blue Dead Cell Stain, Thermo Fisher, #S34857) was diluted 1 in 500 in PBS and wells were topped up with an equal volume. Flow Cytometry was performed on a Cytoflex flow cytometer gating on the intact cell populations based on FSC and SSC and detecting the percentage of Sytox positive cells (channel PB450) of both the CellTracker? Deep Red positive and the CellTracker? Green CM FDA positive cell populations.
[0355] 6.3.2 ADCC Assay
[0356] ADCC was measured as described previously (Broussas, Matthieu; Broyer, Lucile; and Goetsch, Liliane. (2013) Evaluation of Antibody-Dependent Cell Cytotoxicity Using Lactate Dehydrogenase (LDH) Measurement in Glycosylation Engineering of Biopharmaceuticals: Methods and Protocols, Methods in Molecular Biology. New York: Springer Science+ Business Media. Volume 988, pp 305-317). Briefly, target cells were pre-incubated with the antibodies before adding primary NK cells isolated from human PBMCs (NK cell isolation kit, Miltenyi Biotec, 130-092-657) at a ratio of 20 to 1 for 4 hrs. The cytotoxicity assay was performed following manufacturer's instructions (CytoTox 96 Non-Radioactive Cytotoxicity Assay, Promega, G1780). % lysis was calculated based on 100% target cell lysis, taking into account spontaneous lysis of effector and target cells.
[0357] 6.3 Results and Conclusions
[0358] 6.3.1 CDC Assay
[0359] PD-L1 expressing Raji cells were targeted by the anti-CD20 antibody Rituximab, which resulted in a maximum lysis of <60% when measuring CDC by generic LDH release. Anti-PD-L1 antibody 84G09 (which comprises the F(ab).sub.2 portion of mAb.sup.2 FS18-7-9/84G09), and FS18-7-9/84G09 in IgG1 format, showed higher maximum lysis and also higher lysis potency, with estimated half maximal doses of about half of that required by Rituximab in IgG1 format. This shows that the introduction of the LAG-3 binding site into the 84G09 antibody did not change its PD-L1 targeting activity with respect to potency or max response, as both were very similar when 84G09 and FS18-7-9/84G09 were compared. The introduction of the LALA mutation resulted in a reduced max response for Rituximab, 84G09 and FS18-7-9/84G09, however, the potency was only reduced for 84G09 and FS18-7-9/84G09. As expected, the anti-LAG-3 antibody 25F7 had no effect on cell viability of the PD-L1 expressing Raji cells, as these cells did not express human LAG-3. These results are shown in
[0360] LAG-3 expressing Raji cells were targeted for CDC by the anti-CD20 antibody Rituximab, however, the LAG-3 antibody 25F7 showed even better potency with an estimated half maximal dose of about half of that required for Rituximab. None of the other antibodies showed any CDC activity against LAG-3 expressing Raji cells, including FS18-7-9/84G09. The introduction of the LALA mutation had very limited effect on the CDC activity of Rituximab (
[0361] 6.3.2 Differential CDC Assay
[0362] A differential CDC assay, employing flow cytometry, was developed by the inventors to distinguish which target expressing cells were lysed when treated with FS18-7-9/84G09 or control antibodies. This assay was used to confirm the results from the basic LDH release CDC assay described above. Compared to the IgG isotype control antibody (4420), which had no effect on the percentage of live cells, Rituximab mediated a reduction of live cells and an increase of dead cells, both of PD-L1 and LAG-3 expressing cells. However, FS18-7-9/84G09 had no effect on LAG-3 expressing cells, but very efficiently lysed PD-L1 expressing cells. Similarly, the mixture of the LAG-3 specific antibody 25F7 and the PD-L1 antibody 84G09 also showed a dose-dependent decrease in live cells and a reciprocal increase in dead cells, however, the maximal lysis of LAG-3 expressing cells was only just over 50% of cells, but was reached already at a concentration around 1 nM, the lowest dose to achieve maximal lysis of all antibodies tested. This confirms the previous finding that the LAG-3 binding site in the CH3 domain of FS18-7-9/84G09 does not induce CDC mediated lysis of LAG-3 expressing target cells. In addition, this experiment shows that the presence of LAG-3 expressing cells has no effect on the CDC activity of FS18-7-9/84G09 towards PD-L1 expressing cells. The results are shown in
[0363] 6.3.3 ADCC Assay
[0364] PD-L1 expressing Raji cells were targeted for ADCC by the anti-CD20 antibody Rituximab, FS18-7-9/84G09, and 84G09 with very similar efficacy and potency, resulting in a maximum lysis of around 40% of cells. Rituximab and 84G09 containing the LALA mutation showed no ADCC-mediated lysis and FS18-7-9/84G09 containing the LALA mutation showed no or very low ADCC-meditated lysis of PD-L1 expressing target cells. The LAG-3 specific antibody 25F7 and the isotype control 4420 with and without the LALA mutation showed no activity in this assay.
[0365] These results show that the introduction of the LAG-3 binding site into antibody 84G09 did not change its PD-L1 targeted ADCC activity in potency or max response, since both were very similar to the PD-L1 specific antibody 84G09. The introduction of the LALA mutation resulted in abrogation of ADCC activity (
[0366] LAG-3 expressing Raji cells were targeted by Rituximab and 25F7 for ADCC-mediated lysis, resulting in maximum lysis of about 40%. FS18-7-9/84G09 also mediated lysis of LAG-3 expressing cells by ADCC, be it with a much lower potency and efficacy, only reaching just under 20% lysis at 2.5 nM concentration. The introduction of the LALA mutation abrogated all ADCC activity of Rituximab and FS18-7-9/84G09. 84G09 and the isotype control 4420 with and without the LALA mutation showed no ADCC activity in this assay as expected, as these antibodies do not bind LAG-3 (
TABLE-US-00020 Sequence listing Amino acid sequences of Fcab FS18-7-9 loop regions FS18-7-9 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-9 CD loop - SNGQPENNY (SEQ ID NO: 2) FS18-7-9 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-9 CH3 domain (SEQ ID NO: 4) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCC TTCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT CHO codon optimised nucleotide sequence of Fcab FS18-7-9 CH3 domain (SEQ ID NO: 142) GGCCAGCCCCGGGAACCCCAGGTGTACACACTGCCTCCATCCTGGGATGAGCCCTGGGGCGA GGATGTGTCTCTGACCTGTCTCGTGAAAGGCTTCTACCCCTCCGATATCGCCGTGGAATGGGAG AGCAACGGCCAGCCCGAGAACAACTACAAGACCACCCCCCCTGTGCTGGACTCCGACGGCTCA TTCTTCCTGTACAGCAAGCTGACAGTGCCCTACGACAGATGGGTGTGGCCCGACGAGTTCTCCT GCTCCGTGATGCACGAGGCCCTGCACAACCACTACACCCAGAAGTCCCTGTCCCTGAGCCCCG GC Amino acid sequence of Fcab FS18-7-9 CH3 domain (SEQ ID NO: 5) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-9 CH3 domain comprising C-terminal lysine (SEQ ID NO: 135) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPGK Amino acid sequence of Fcab FS18-7-9 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 6) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVM HEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-9 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 7) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHE ALHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-32 loop regions FS18-7-32 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-32 CD loop - SNGQPENNY (SEQ ID NO: 8) FS18-7-32 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-32 CH3 domain (SEQ ID NO: 9) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGAAATCGCCGTGGAGTGGGAG AGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCC TTCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-32 CH3 domain (SEQ ID NO: 10) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSEIAVEWESNGQPENNYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-32 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 11) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSEIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVM HEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-32 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 12) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSEIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHE ALHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-33 loop regions FS18-7-33 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-33 CD loop - SNGQPEDNY (SEQ ID NO: 13) FS18-7-33 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-33 CH3 domain (SEQ ID NO: 14) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGCAGCCGGAGGACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCC TTCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-33 CH3 domain (SEQ ID NO: 15) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPEDNYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-33 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 16) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGQPEDNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVM HEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-33 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 17) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGQPEDNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHE ALHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-36 loop regions FS18-7-36 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-36 CD loop - SNGQPENNY (SEQ ID NO: 18) FS18-7-36 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-36 CH3 domain (SEQ ID NO: 19) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGCAGCCGGAGAACAACTACAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCC TACTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCAT GCTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-36 CH3 domain (SEQ ID NO: 20) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSYFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of CH2 +CH3 of Fcab FS18-7-36 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 21) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSYFLYSKLTVPYDRWVWPDEFSCSVM HEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-36 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 22) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSYFLYSKLTVPYDRWVWPDEFSCSVMHE ALHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-58 loop regions FS18-7-58 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-58 CD loop - SNGYPEIEF (SEQ ID NO: 23) FS18-7-58 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-58 CH3 domain (SEQ ID NO: 24) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGTATCCAGAAATCGAATTCAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCT TCTTCCTCTACAGCAAGCTCACCGTGCCTTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATGC TCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-58 CH3 domain (SEQ ID NO: 25) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYPEIEFKTTPPVLDSDGSFFLY SKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-58 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 26) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGYPEIEFKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMH EALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-58 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 27) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGYPEIEFKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEA LHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-62 loop regions FS18-7-62 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-62 CD loop - SNGIPEWNY (SEQ ID NO: 28) FS18-7-62 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-62 CH3 domain (SEQ ID NO: 29) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGATCCCAGAATGGAACTATAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCT TCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-62 CH3 domain (SEQ ID NO: 30) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGIPEWNYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-62 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 31) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGIPEWNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMH EALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-62 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 32) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGIPEWNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEA LHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-65 loop regions FS18-7-65 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-65 CD loop - SNGYAEYNY (SEQ ID NO: 33) FS18-7-65 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-65 CH3 domain (SEQ ID NO: 34) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGTATGCAGAATATAACTATAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCT TCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-65 CH3 domain (SEQ ID NO: 35) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYAEYNYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-65 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 36) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGYAEYNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVM HEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-65 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 37) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGYAEYNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHE ALHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-78 loop regions FS18-7-78 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-78 CD loop - SNGYKEENY (SEQ ID NO: 38) FS18-7-78 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-78 CH3 domain (SEQ ID NO: 39) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGTATAAAGAAGAAAACTATAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCT TCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-78 CH3 domain (SEQ ID NO: 40) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYKEENYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-78 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 41) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGYKEENYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVM HEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-78 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 42) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGYKEENYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHE ALHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-88 loop regions FS18-7-88 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-88 CD loop - SNGVPELNV (SEQ ID NO: 43) FS18-7-88 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-88 CH3 domain (SEQ ID NO: 44) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGGTTCCAGAACTGAACGTTAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCT TCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-88 CH3 domain (SEQ ID NO: 45) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGVPELNVKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-88 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 46) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGVPELNVKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMH EALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-88 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 47) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGVPELNVKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEA LHNHYTQKSLSLSPG Amino acid sequences of Fcab FS18-7-95 loop regions FS18-7-95 AB loop - WDEPWGED (SEQ ID NO: 1) FS18-7-95 CD loop - SNGYQEDNY (SEQ ID NO: 48) FS18-7-95 EF loop - PYDRWVWPDE (SEQ ID NO: 3) Nucleotide sequence of Fcab FS18-7-95 CH3 domain (SEQ ID NO: 49) GGCCAGCCTCGAGAACCACAGGTGTACACCCTGCCCCCATCCTGGGATGAGCCGTGGGGTGAA GACGTCAGCCTGACCTGCCTGGTCAAAGGCTTCTATCCCAGCGACATCGCCGTGGAGTGGGAG AGCAATGGGTATCAGGAAGATAACTATAAGACCACGCCTCCCGTGCTGGACTCCGACGGCTCCT TCTTCCTCTACAGCAAGCTCACCGTGCCGTATGATAGGTGGGTTTGGCCGGATGAGTTCTCATG CTCCGTGATGCATGAGGCTCTGCACAACCACTACACACAGAAGAGCCTCTCCCTGTCTCCGGGT Amino acid sequence of Fcab FS18-7-95 CH3 domain (SEQ ID NO: 50) GQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYQEDNYKTTPPVLDSDGSFFL YSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-95 CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 51) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGED VSLTCLVKGFYPSDIAVEWESNGYQEDNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVM HEALHNHYTQKSLSLSPG Amino acid sequence of Fcab FS18-7-95 CH2 and CH3 domains without LALA mutation (SEQ ID NO: 52) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVS LTCLVKGFYPSDIAVEWESNGYQEDNYKTTPPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHE ALHNHYTQKSLSLSPG Amino acid sequence of the wild-type human IgG1 CH2 domain (SEQ ID NO: 53) APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAK Amino acid sequence of the human IgG1 CH2 domain comprising the LALA mutation (underlined) (SEQ ID NO: 54) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAK Amino acid sequence of wild-typeFcab CH2 and CH3 domains without LALA mutation (SEQ ID NO: 55). APELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYN STYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSL TCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEA LHNHYTQKSLSLSPG Amino acid sequence of wild-typeFcab CH2 and CH3 domains, comprising LALA mutation (underlined) (SEQ ID NO: 56) APEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQY NSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQV SLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMH EALHNHYTQKSLSLSPG Amino acid sequence of the human IgG1 hinge region (SEQ ID NO: 57) EPKSCDKTHTCPPCP Amino acid sequence of the human IgG1 truncated hinge region (SEQ ID NO: 58) TCPPCP Amino acid sequence anti-mouse LAG-3 Fcab FS18-7-108-29, comprising LALA mutation (underlined) (SEQ ID NO: 59) The CH3 domain is shown in italics. The AB, CD and EF loops of the CH3 domain are shown in bold and underlined. TCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKP REEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPS
VSLTCLVKGFYPSDIVVEWE
KTTPPVLDSDGSFFLYSKLTV
FS CSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-mouse LAG-3 Fcab FS18-7-108-29 without LALA mutation (SEQ ID NO: 60) The CH3 domain is shown in italics. The AB, CD and EF loops of the CH3 domain are shown in bold and underlined. TCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKP REEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPS
VSLTCLVKGFYPSDIVVEWE
KTTPPVLDSDGSFFLYSKLTV
FS CSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-mouse LAG-3 Fcab FS18-7-108-35, comprising LALA mutation (underlined) (SEQ ID NO: 61) The CH3 domain is shown in italics. The AB, CD and EF loop regions are shown in bold and underlined. TCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKP REEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPS
VSLTCLVKGFYPSDISVEWE
KTTPPVLDSDGSFFLYSKLTV
FS CSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-mouse LAG-3 Fcab FS18-7-108-35 without LALA mutation (SEQ ID NO: 62) The CH3 domain is shown in italics. The AB, CD and EF loop regions are shown in bold and underlined. TCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKP REEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPS
VSLTCLVKGFYPSDISVEWE
KTTPPVLDSDGSFFLYSKLTV
FS CSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-9/4420 comprising LALA mutation (SEQ ID NO: 63) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-9/4420 without LALA mutation (SEQ ID NO: 64) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-32/4420 comprising LALA mutation (SEQ ID NO: 65) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSEIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7- 32/without LALA mutation (SEQ ID NO: 66) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSEIAVEWESNGQPENNYKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-33/4420 comprising LALA mutation (SEQ ID NO: 67) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPEDNYKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-33/4420 without LALA mutation (SEQ ID NO: 68) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPEDNYKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-36/4420 comprising LALA mutation (SEQ ID NO: 69) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSYFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-36/4420 without LALA mutation (SEQ ID NO: 70) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVL DSDGSYFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-58/4420 comprising LALA mutation (SEQ ID NO: 71) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYPEIEFKTTPPV LDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-58/4420 without LALA mutation (SEQ ID NO: 72) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYPEIEFKTTPPVLD SDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-62/4420 comprising LALA mutation (SEQ ID NO: 73) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGIPEWNYKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-62/4420 without LALA mutation (SEQ ID NO: 74) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGIPEWNYKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-65/4420 comprising LALA mutation (SEQ ID NO: 75) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYAEYNYKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-65/4420 without LALA mutation (SEQ ID NO: 76) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYAEYNYKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-78/4420 comprising LALA mutation (SEQ ID NO: 77) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYKEENYKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-78/4420 without LALA mutation (SEQ ID NO: 78) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYKEENYKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-88/4420 comprising LALA mutation (SEQ ID NO: 79) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGVPELNVKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-88/4420 without LALA mutation (SEQ ID NO: 80) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGVPELNVKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-95/4420 comprising LALA mutation (SEQ ID NO: 81) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYQEDNYKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-human LAG-3/FITC mAb.sup.2 FS18-7-95/4420 without LALA mutation (SEQ ID NO: 82) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYQEDNYKTTPPVL DSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-FITC mAb 4420 comprising LALA mutation (SEQ ID NO: 83) Position of the CDRs are underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-FITC mAb 4420 without LALA mutation (SEQ ID NO: 84) Position of the CDRs are underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSDS VKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLD SDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-FITC mAb 4420 light chain (SEQ ID NO: 85) Position of the CDRs are underlined. DVVMTQTPLSLPVSLGDQASISCRSSQSLVHSNGNTYLRWYLQKPGQSPKVLIYKVSNRFSGVPDRF SGSGSGTDFTLKISRVEAEDLGVYFCSQSTHVPWTFGGGTKLEIKRTVAAPSVFIFPPSDEQLKSGTA SVVCLLNNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEV THQGLSSPVTKSFNRGEC Amino acid sequences of the CDRs of anti-PD-L1 antibody 84G09 (according to IMGT) HCDR1 GFTFDDYA (SEQ ID NO: 86) HCDR2 ISWKSNII (SEQ ID NO: 87) HCDR3 ARDITGSGSYGWFDP (SEQ ID NO: 88) LCDR1 QSISSY (SEQ ID NO: 89) LCDR2 VAS (SEQ ID NO: 90) LCDR3 QQSYSNPIT (SEQ ID NO: 91) Amino acid sequences of the CDRs of anti-PD-L1 antibody 84G09 (according to Kabat) HCDR1 DYAMH (SEQ ID NO: 136) HCDR2 GISWKSNIIGYADSVKG (SEQ ID NO: 137) HCDR3 DITGSGSYGWFDP (SEQ ID NO: 138) LCDR1 RASQSISSYLN (SEQ ID NO: 139) LCDR2 VASSLQS (SEQ ID NO: 140) LCDR3 QQSYSNPIT (SEQ ID NO: 141) Amino acid sequence of the anti-PD-L1 antibody 84G09 VH domain (SEQ ID NO: 92) EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSS Amino acid sequence of the anti-PD-L1 antibody 84G09 VL domain (SEQ ID NO: 93) DIQMTQSPSSLSASVGDRVTITCRASQSISSYLNWYQQKPGKAPKPLIYVASSLQSGVPSSFSGSGS GTDFTLTISSLQPEDFATYYCQQSYSNPITFGQGTRLEIK Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-9/84G09 with LALA mutation heavy chain (SEQ ID NO: 94) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTT PPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-9/84G09 heavy chain (SEQ ID NO: 95) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-32/84G09 with LALA mutation heavy chain (SEQ ID NO: 96) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSEIAVEWESNGQPENNYKTT PPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-32/84G09 heavy chain (SEQ ID NO: 97) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSEIAVEWESNGQPENNYKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-33/84G09 with LALA mutation heavy chain (SEQ ID NO: 98) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPEDNYKTT PPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-33/84G09 heavy chain (SEQ ID NO: 99) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPEDNYKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-36/84G09 with LALA mutation heavy chain (SEQ ID NO: 100) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTT PPVLDSDGSYFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-36/84G09 heavy chain (SEQ ID NO: 101) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTP PVLDSDGSYFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-58/84G09 with LALA mutation heavy chain (SEQ ID NO: 102) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYPEIEFKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-58/84G09 heavy chain (SEQ ID NO: 103) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYPEIEFKTTPP VLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-62/84G09 with LALA mutation heavy chain (SEQ ID NO: 104) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGIPEWNYKTT PPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-62/84G09 heavy chain (SEQ ID NO: 105) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGIPEWNYKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-65/84G09 with LALA mutation heavy chain (SEQ ID NO: 106) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYAEYNYKTT PPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-65/84G09 heavy chain (SEQ ID NO: 107) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYAEYNYKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-78/84G09 with LALA mutation heavy chain (SEQ ID NO: 108) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYKEENYKTT PPVLDSDGSFFLYSKLTV
FSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-78/84G09 heavy chain (SEQ ID NO: 109) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYKEENYKTTP PVLDSDGSFFLYSKLTV
FSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-88/84G09 with LALA mutation heavy chain (SEQ ID NO: 110) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGVPELNVKTT PPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-88/84G09 heavy chain (SEQ ID NO: 111) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGVPELNVKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-95/84G09 with LALA mutation heavy chain (SEQ ID NO: 112) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYQEDNYKTT PPVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human LAG-3/PD-L1 mAb.sup.2 FS18-7-95/84G09 heavy chain (SEQ ID NO: 113) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIAVEWESNGYQEDNYKTTP PVLDSDGSFFLYSKLTVPYDRWVWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human PD-L1 mAb 84G09 with LALA heavy chain (SEQ ID NO: 114) Position of the CDRs are underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCV VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA LPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTP PVLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human PD-L1 mAb 84G09 heavy chain (SEQ ID NO: 115) Position of the CDRs are underlined. EVQLVESGGGLVQPGRSLRLSCAASGFTFDDYAMHWVRQTPGKGLEWVSGISWKSNIIGYADSVKG RFTISRDNAKNSLYLQMNSLRAEDTALYYCARDITGSGSYGWFDPWGQGTLVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGT QTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVV VDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL PAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-human PD-L1 mAb 84G09 light chain (SEQ ID NO: 116) Position of the CDRs are underlined. DIQMTQSPSSLSASVGDRVTITCRASQSISSYLNWYQQKPGKAPKPLIYVASSLQSGVPSSFSGSGS GTDFTLTISSLQPEDFATYYCQQSYSNPITFGQGTRLEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLL NNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLS SPVTKSFNRGEC Amino acid sequence of the anti-mouse LAG-3/PD-L1 mAb.sup.2 FS18-7-108-29/S1 with LALA mutation heavy chain (SEQ ID NO: 117) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGGSLRLSCAASGFTFSDSWIHWVRQAPGKGLEWVAWISPYGGSTYYADSVK GRFTISADTSKNTAYLQMNSLRAEDTAVYYCARRHWPGGFDYWGQGTLVTVSAASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIVVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVPFERWMWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-mouse LAG-3/PD-L1 mAb.sup.2 FS18-7-108-29/S1 heavy chain (SEQ ID NO: 118) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGGSLRLSCAASGFTFSDSWIHWVRQAPGKGLEWVAWISPYGGSTYYADSVK GRFTISADTSKNTAYLQMNSLRAEDTAVYYCARRHWPGGFDYWGQGTLVTVSAASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIVVEWESNGQPENNYKTTPPVL DSDGSFFLYSKLTVPFERWMWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-mouse PD-L1 mAb S1 light chain (SEQ ID NO: 119) Position of the CDRs are underlined. DIQMTQSPSSLSASVGDRVTITCRASQDVSTAVAWYQQKPGKAPKLLIYSASFLYSGVPSRFSGSGS GTDFTLTISSLQPEDFATYYCQQYLFTPPTFGQGTKVEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLL NNFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLS SPVTKSFNRGEC Amino acid sequence of the anti-mouse LAG-3/PD-L1 mAb.sup.2 FS18-7-108-35/S1 with LALA mutation heavy chain (SEQ ID NO: 120) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGGSLRLSCAASGFTFSDSWIHWVRQAPGKGLEWVAWISPYGGSTYYADSVK GRFTISADTSKNTAYLQMNSLRAEDTAVYYCARRHWPGGFDYWGQGTLVTVSAASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDISVEWESNGQPENNYKTTPP VLDSDGSFFLYSKLTVPFERWMWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the anti-mouse LAG-3/PD-L1 mAb.sup.2 FS18-7-108-35/S1 heavy chain (SEQ ID NO: 121) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVQLVESGGGLVQPGGSLRLSCAASGFTFSDSWIHWVRQAPGKGLEWVAWISPYGGSTYYADSVK GRFTISADTSKNTAYLQMNSLRAEDTAVYYCARRHWPGGFDYWGQGTLVTVSAASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDISVEWESNGQPENNYKTTPPVL DSDGSFFLYSKLTVPFERWMWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the control PD-L1 mAb S1 with LALA mutation heavy chain (SEQ ID NO: 122) Position of the CDRs are underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGGSLRLSCAASGFTFSDSWIHWVRQAPGKGLEWVAWISPYGGSTYYADSVK GRFTISADTSKNTAYLQMNSLRAEDTAVYYCARRHWPGGFDYWGQGTLVTVSAASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVV DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALP APIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPV LDSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the control PD-L1 mAb S1 heavy chain (SEQ ID NO: 123) Position of the CDRs are underlined. Position of LALA mutation is in bold. EVQLVESGGGLVQPGGSLRLSCAASGFTFSDSWIHWVRQAPGKGLEWVAWISPYGGSTYYADSVK GRFTISADTSKNTAYLQMNSLRAEDTAVYYCARRHWPGGFDYWGQGTLVTVSAASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLD SDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the control anti-human LAG-3 mAb 25F7 heavy chain (SEQ ID NO: 124) Position of the CDRs are underlined. QVQLQQWGAGLLKPSETLSLTCAVYGGSFSDYYWNWIRQPPGKGLEWIGEINHRGSTNSNPSLKSR VTLSLDTSKNQFSLKLRSVTAADTAVYYCAFGYSDYEYNWFDPWGQGTLVTVSSASTKGPSVFPLAP SSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLGTQT YICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVTCVVVD VSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAP IEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLD SDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the control anti-human LAG-3 mAb 25F7 light chain (SEQ ID NO: 125) Position of the CDRs are underlined. EIVLTQSPATLSLSPGERATLSCRASQSISSYLAWYQQKPGQAPRLLIYDASNRATGIPARFSGSGSG TDFTLTISSLEPEDFAVYYCQQRSNWPLTFGQGTNLEIKRTVAAPSVFIFPPSDEQLKSGTASVVCLLN NFYPREAKVQWKVDNALQSGNSQESVTEQDSKDSTYSLSSTLTLSKADYEKHKVYACEVTHQGLSS PVTKSFNRGEC Amino acid sequence of human LAG-3 (SEQ ID NO: 126) MWEAQFLGLLFLQPLWVAPVKPLQPGAEVPVVWAQEGAPAQLPCSPTIPLQDLSLLRRAGVTWQHQ PDSGPPAAAPGHPLAPGPHPAAPSSWGPRPRRYTVLSVGPGGLRSGRLPLQPRVQLDERGRQRGD FSLWLRPARRADAGEYRAAVHLRDRALSCRLRLRLGQASMTASPPGSLRASDWVILNCSFSRPDRP ASVHWFRNRGQGRVPVRESPHHHLAESFLFLPQVSPMDSGPWGCILTYRDGFNVSIMYNLTVLGLE PPTPLTVYAGAGSRVGLPCRLPAGVGTRSFLTAKWTPPGGGPDLLVTGDNGDFTLRLEDVSQAQAG TYTCHIHLQEQQLNATVTLAIITVTPKSFGSPGSLGKLLCEVTPVSGQERFVWSSLDTPSQRSFSGPW LEAQEAQLLSQPWQCQLYQGERLLGAAVYFTELSSPGAQRSGRAPGALPAGHLLLFLILGVLSLLLLV TGAFGFHLWRRQWRPRRFSALEQGIHPPQAQSKIEELEQEPEPEPEPEPEPEPEPEPEQL Amino acid sequence of mouse LAG-3 (SEQ ID NO: 127) MREDLLLGFLLLGLLWEAPVVSSGPGKELPVVWAQEGAPVHLPCSLKSPNLDPNFLRRGGVIWQHQ PDSGQPTPIPALDLHQGMPSPRQPAPGRYTVLSVAPGGLRSGRQPLHPHVQLEERGLQRGDFSLWL RPALRTDAGEYHATVRLPNRALSCSLRLRVGQASMIASPSGVLKLSDWVLLNCSFSRPDRPVSVHW FQGQNRVPVYNSPRHFLAETFLLLPQVSPLDSGTWGCVLTYRDGFNVSITYNLKVLGLEPVAPLTVYA AEGSRVELPCHLPPGVGTPSLLIAKWTPPGGGPELPVAGKSGNFTLHLEAVGLAQAGTYTCSIHLQG QQLNATVTLAVITVTPKSFGLPGSRGKLLCEVTPASGKERFVWRPLNNLSRSCPGPVLEIQEARLLAE RWQCQLYEGQRLLGATVYAAESSSGAHSARRISGDLKGGHLVLVLILGALSLFLLVAGAFGFHVWVRK QLLLRRFSALEHGIQPFPAQRKIEELERELETEMGQEPEPEPEPQLEPEPRQL Amino acid sequence of cynomolgus LAG-3 (SEQ ID NO: 128) MWEAQFLGLLFLQPLWVAPVKPPQPGAEISVVWAQEGAPAQLPCSPTIPLQDLSLLRRAGVTWQHQ PDSGPPAAAPGHPPVPGHRPAAPYSWGPRPRRYTVLSVGPGGLRSGRLPLQPRVQLDERGRQRG DFSLWLRPARRADAGEYRATVHLRDRALSCRLRLRVGQASMTASPPGSLRTSDWVILNCSFSRPDR PASVHWFRSRGQGRVPVQGSPHHHLAESFLFLPHVGPMDSGLWGCILTYRDGFNVSIMYNLTVLGL EPATPLTVYAGAGSRVELPCRLPPAVGTQSFLTAKWAPPGGGPDLLVAGDNGDFTLRLEDVSQAQA GTYICHIRLQGQQLNATVTLAIITVTPKSFGSPGSLGKLLCEVTPASGQEHFVWSPLNTPSQRSFSGP WLEAQEAQLLSQPWQCQLHQGERLLGAAVYFTELSSPGAQRSGRAPGALRAGHLPLFLILGVLFLLL LVTGAFGFHLWRRQWRPRRFSALEQGIHPPQAQSKIEELEQEPELEPEPELERELGPEPEPGPEPEP EQL Amino acid sequence of human PD-L1 (SEQ ID NO: 129) MRIFAVFIFMTYWHLLNAFTVTVPKDLYVVEYGSNMTIECKFPVEKQLDLAALIVYWEMEDKNIIQFV HGEEDLKVQHSSYRQRARLLKDQLSLGNAALQITDVKLQDAGVYRCMISYGGADYKRITVKVNAPY NKINQRILVVDPVTSEHELTCQAEGYPKAEVIWTSSDHQVLSGKTTTTNSKREEKLFNVTSTLRINTT TNEIFYCTFRRLDPEENHTAELVIPELPLAHPPNERTHLVILGAILLCLGVALTFIFRLRKGRMMDVKK CGIQDTNSKKQSDTHLEET Amino acid sequence of murine PD-L1 (SEQ ID NO: 130) MRIFAGIIFTACCHLLRAFTITAPKDLYVVEYGSNVTMECRFPVERELDLLALVVYWEKEDEQVIQFV AGEEDLKPQHSNFRGRASLPKDQLLKGNAALQITDVKLQDAGVYCCIISYGGADYKRITLKVNAPYR KINQRISVDPATSEHELICQAEGYPEAEVIWTNSDHQPVSGKRSVTTSRTEGMLLNVTSSLRVNATA NDVFYCTFWRSQPGQNHTAELIIPELPATHPPQNRTHWVLLGSILLFLIVVSTVLLFLRKQVRMLDVE KCGVEDTSSKNRNDTQFEET Amino acid sequence of cynomolgus PD-L1 (SEQ ID NO: 131) MRIFAVFIFTIYWHLLNAFTVTVPKDLYVVEYGSNMTIECKFPVEKQLDLTSLIVYWEMEDKNIIQFVH GEEDLKVQHSNYRQRAQLLKDQLSLGNAALRITDVKLQDAGVYRCMISYGGADYKRITVKVNAPYN KINQRILVVDPVTSEHELTCQAEGYPKAEVIWTSSDHQVLSGKTTTTNSKREEKLLNVTSTLRINTTA NEIFYCIFRRLDPEENHTAELVIPELPLALPPNERTHLVILGAIFLLLGVALTFIFYLRKGRMMDMKKCG IRVTNSKKQRDTQLEET Amino acid sequence of the heavy chain of anti-mouse LAG-3/FITC mAb.sup.2 FS18-7-108- 29/4420 comprising LALA mutation (SEQ ID NO: 132) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSD SVKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLG TQTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVT CVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVS NKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIVVEWESNGQPENN YKTTPPVLDSDGSFFLYSKLTVPFERWMWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-mouse LAG-3/FITC mAb.sup.2 FS18-7-108- 35/4420 comprising LALA mutation (SEQ ID NO: 133) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. Position of LALA mutation is in bold. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSD SVKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLG TQTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPEAAGGPSVFLFPPKPKDTLMISRTPEVT CVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVS NKALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDISVEWESNGQPENN YKTTPPVLDSDGSFFLYSKLTVPFERWMWPDEFSCSVMHEALHNHYTQKSLSLSPG Amino acid sequence of the heavy chain of anti-mouse LAG-3/FITC mAb.sup.2 FS18-7-108- 29/4420 (SEQ ID NO: 134) Position of the CDRs are underlined, and the AB, CD, and EF loop sequences are in bold and underlined. EVKLDETGGGLVQPGRPMKLSCVASGFTFSDYWMNWVRQSPEKGLEWVAQIRNKPYNYETYYSD SVKGRFTISRDDSKSSVYLQMNNLRVEDMGIYYCTGSYYGMDYWGQGTSVTVSSASTKGPSVFPL APSSKSTSGGTAALGCLVKDYFPEPVTVSWNSGALTSGVHTFPAVLQSSGLYSLSSVVTVPSSSLG TQTYICNVNHKPSNTKVDKKVEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTC VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSN KALPAPIEKTISKAKGQPREPQVYTLPPSWDEPWGEDVSLTCLVKGFYPSDIVVEWESNGQPENNY KTTPPVLDSDGSFFLYSKLTVPFERWMWPDEFSCSVMHEALHNHYTQKSLSLSPG
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