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To study the influence of protein aggregation on the immunogenicity of recombinant human interferon beta (rhIFNβ) in wild-type mice and transgenic, immune-tolerant mice, and to evaluate the induction of immunological memory.
RhIFNβ-1b and three rhIFNβ-1a preparations with different aggregate levels were injected intraperitoneally in mice 15× during 3 weeks, and the mice were rechallenged with rhIFNβ-1a. The formation of binding (BABs) and neutralizing antibodies (NABs) was monitored.
Bulk rhIFNβ-1a contained large, mainly non-covalent aggregates and stressed rhIFNβ-1a mainly covalent, homogeneous (ca. 100 nm) aggregates. Reformulated rhIFNβ-1a was essentially aggregate-free. All products induced BABs and NABs in wild-type mice. Immunogenicity in the transgenic mice was product dependent. RhIFNβ-1b showed the highest and reformulated rhIFNβ-1a the lowest immunogenicity. In contrast with wild-type mice, transgenic mice did not show NABs, nor did they respond to the rechallenge.
The immunogenicity of the products in transgenic mice, unlike in wild-type mice, varied. In the transgenic mice, neither NABs nor immunological memory developed. The immunogenicity of rhIFNβ in a model reflecting the human immune system depends on the presence and the characteristics of aggregates.
The ability of biopharmaceuticals to elicit an undesirable immune response in patients is a major concern. Despite the development of recombinant therapeutic homologues to human proteins, antibodies are still frequently observed in patients (1,2). In general, antibodies against recombinant human therapeutic products only appear after prolonged treatment. They can have an effect on the clearance of the drug, decrease its therapeutic efficacy, or may lead to immune complex-related diseases such as anaphylaxis and serum sickness (3). Occasionally, antibodies cross-react with the endogenous homologous protein, leading to severe clinical consequences, e.g. in the case of epoetin (4). An example of a therapeutic protein with high clinical immunogenicity is recombinant human interferon beta-1b (rhIFNβ-1b).
The rhIFNβs are considered first-line disease-modifying therapies of relapsing-remitting forms of multiple sclerosis. They reduce relapse rates and brain lesions. A substantial proportion of relapsing-remitting multiple sclerosis (RR-MS) patients shows a decline in response over time, which can be attributed to the formation of neutralizing antibodies (NABs). This immunological response generally starts with the appearance of BABs after approximately 9 to 18 months of treatment, followed by NABs (5). Neutralizing antibodies against rhIFNβ are tested in assays based on the inhibition of a cellular response to human interferon beta.
All four commercial rhIFNβ products, Betaferon/Betaseron® (Schering, Berlin, Germany and Berlex Laboratories, Montville, New Jersey, USA), Avonex® (Biogen Idec, Cambridge, Massachusetts, USA), Rebif® (Serono, Geneva, Switzerland) and Extavia® (Novartis, Basel, Switzerland), show immunogenicity in patients, but the level of BABs and NABs varies among the products (6). The products differ with respect to formulation, and route and frequency of administration. Moreover, Avonex® and Rebif® (both rhIFNβ-1a) are glycosylated, produced in CHO cells and have amino acid sequences corresponding to that of natural hIFNβ, whereas Extavia® and Betaferon® (both rhIFNβ-1b) are produced in E. coli, are not glycosylated and have a slightly different amino acid sequence (Cys-17 is mutated to Ser-17, and the N-terminal methionine is deleted (7)). These product differences apparently affect immunogenicity. Likely, the lower solubility due to the lack of glycosylation results in aggregation causing a high immunogenicity of rhIFNβ-1b (6,7). Whether the relatively low immunogenicity of rhIFNβ-1a products is also associated with aggregates is unknown.
Structure and formulation of the protein as well as degree of aggregation and aggregate characteristics are generally recognized as important factors influencing the immunogenicity of therapeutic proteins (1,8,9). The immunogenicity of recombinant human interferon alpha was related to the level of aggregation (10). Also, clinical data with other therapeutic proteins, such as intravenous immune globulin, human growth hormone and interleukin-2, strongly suggest a direct correlation between aggregate levels and immunogenicity (11).
Transgenic, immune-tolerant mouse models are valuable tools to study the influence of product-related factors such as aggregation on immunogenicity (8,12,13). Wild-type mice recognize recombinant human proteins as foreign and consequently exhibit a classical immune response. Mice transgenic for a specific human protein are, like humans, immune tolerant for this protein and provide the opportunity to study the factors that break immune tolerance. In addition, these mice enable us to study the immunological mechanism by which the antibodies to therapeutic proteins are induced. A classical immune response against a foreign protein leads to immunological memory, resulting in an enhanced response after rechallenge with that protein (14). Observations in patients producing antibodies to therapeutic proteins, who are retreated after a washout period, suggest a low level or even lack of memory response (15,16).
In this work, rhIFNβ-1a samples with different aggregate levels were prepared and characterized. The immunogenicity of these samples was compared with that of rhIFNβ-1b. We tested immunogenicity by measuring BAB and NAB levels after repetitive administration and a rechallenge with rhIFNβ-1a in our hybrid hIFNβ transgenic, immune-tolerant mouse model (17). The aims of this study were to investigate the influence of aggregation on the immunogenicity of rhIFNβ-1a and to evaluate the formation of antibodies and the induction of immunological memory for the protein in wild-type mice and transgenic, immune-tolerant mice.
Bulk rhIFNβ-1a was supplied by Biogen Idec Inc. (Cambridge, MA, USA) as a 0.27 mg/ml solution in 100 mM sodium phosphate buffer and 200 mM sodium chloride at pH 7.2. Reformulated rhIFNβ-1a was produced by dialysis of bulk rhIFNβ-1a with a 3.5 kDa MWCO Slide-A-Lyzer Cassette (Perbio Science, Etten-Leur, the Netherlands) against a commercially used formulation containing 20 mM sodium acetate buffer, 150 mM L-arginine monohydrochloride and 0.04 mM Tween 20 (Sigma Aldrich, Zwijndrecht, the Netherlands) at pH 4.8 (18), and subsequent filtration through a 0.22 μm polyethersulfone membrane (Millipore, Amsterdam, the Netherlands). The resulting protein concentration was determined by UV absorbance measurements at λ = 280 nm with an extinction coefficient () of 1.5. This value was calculated from the molar mass of rhIFNβ-1a (20,027.78 Da) without carbohydrate chain and its molar extinction coefficient (29,990 Lmol−1cm−1) based on amino acid (Trp, Tyr, Phe and disulfide) composition (19). Biogen Idec Inc. supplied stressed rhIFNβ-1a produced by incubating 1.4 mg/ml monomeric rhIFNβ-1a (< 1% of aggregates) for one hour at pH 2.1 in the presence of 1 M sodium chloride. After incubation, the solution had been neutralized to pH 7.1 and run over a Superose 12 size-exclusion column to isolate soluble aggregates. This resulted in 0.109 mg/ml stressed rhIFNβ-1a in a buffer of 8 mM dibasic sodium phosphate, 1.5 mM monobasic potassium phosphate, 137 mM sodium chloride and 2.7 mM potassium chloride at pH 7.1. Betaferon® (Schering, Berlin, Germany) was obtained from local hospitals and contained 0.25 mg/ml rhIFNβ-1b with human serum albumin (HSA), mannitol and sodium chloride after reconstitution of the lyophilized powder according to the manufacturer’s instructions.
Samples were inspected visually at the lab bench against a black background and compared with water as a control.
UV spectra (λ = 190–1,100 nm) of the samples were recorded at 25°C on an Agilent 8453 UV/VIS spectrophotometer in quartz cuvettes with a path length of 1 cm. Samples were diluted with the corresponding buffer to a concentration of 100 μg/ml rhIFNβ-1a and measured in the presence or absence of 0.01% (w/v) sodium dodecyl sulfate (SDS). The corresponding sample buffer was used as a blank.
Samples were analyzed with dynamic light scattering (DLS) to obtain an average diameter of the particles (Z-ave) and their polydispersity index (PDI). A Malvern Zetasizer Nano ZS apparatus equipped with a red laser (λ = 633 nm), a detector at 173° and Dispersion Technology Software version 4.20 was used. Samples were diluted with the corresponding buffer to a concentration of 100 μg/ml rhIFNβ-1a and measured in the presence or absence of 0.01% (w/v) SDS.
Particulate matter in 50 μg/ml rhIFNβ-1a samples and the corresponding buffers was measured with a Micro-Flow Imaging instrument type DPA4100 (Brightwell Technologies, Inc., Canada). A high magnification setting allowed the detection of particles in the range of 0.75 to 70 μm with an analysis field depth of 100 μm. Prior to each run, Milli-Q water filtered through a 0.22 μm filter was flushed through the system to provide a clean background and to optimize illumination. To equilibrate the system, 0.2 ml of sample was dispensed before analysis. Samples were drawn from a 1 ml pipette tip at a flow rate of 100 μL/min using a peristaltic pump and analyzed for 5 minutes. Particle size was measured as the equivalent circular diameter (ECD) representing the diameter of a circle occupying the same projection area as the particle. Aspect ratios (the ratio of the longest dimension to the perpendicular dimension at the midpoint) were derived from 200 images stored during one run.
Fluorescence emission spectra of 50 μg/ml samples were measured at 25°C from 310 to 410 nm with 1 nm steps in quartz cuvettes with a path length of 1 cm while stirring. An Edinburgh Instruments Steady State FS 920 fluorimeter was used. Samples were excited at 295 nm, and slits were set at 3 nm. Dwell time per data point was 0.5 s, and the sum of three scans was taken. The corresponding buffer spectra were subtracted. Emission maxima were determined with the FS 900 fluorescence spectrometer software.
Samples (100 μg/ml) were analyzed with a TSKgel Super SW2000 column and Super SW guard column (Sigma Aldrich), and chromatograms were recorded with a Shimadzu SPD-6AV UV detector. A Waters 515 HPLC pump and 717 Plus autosampler were operated at a flow rate of 0.35 ml/min. The mobile phase consisted of 100 mM sodium phosphate buffer, 200 mM sodium chloride, 0.05% (w/v) sodium azide and 0.1% (w/v) SDS at a pH of 7.2 and was filtered through a 0.2 μm filter prior to use.
Pre-cast gels (Ready Gels, Tris-HCl, linear gradient 4–20%, Biorad, Veenendaal, the Netherlands) were run under non-reducing and reducing (sample buffer containing 5% (v/v) β-mercaptoethanol) conditions at 200 V at room temperature. Samples analyzed under reducing conditions were heated at 99°C for five minutes before applying to the gel. A volume of 10 μl of undiluted sample with 10 μl of sample buffer was applied to each well. Sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) was performed with a Biorad Mini-Protean 3 module. The electrophoresis buffer was 25 mM tris (hydroxymethyl) aminomethane, 192 mM glycine and 0.1% (w/v) SDS. Pre-stained broad range molecular weight markers (Biorad) were included for molecular weight determination, and a Silver Stain Plus kit (Biorad) was used to visualize the protein bands. The gels were scanned with a Biorad GS-800 densitometer and Quantity One software.
SDS-PAGE gels were blotted onto a nitrocellulose sheet (VWR International, Amsterdam, the Netherlands) with a Biorad Mini Trans-Blot electrophoretic transfer cell and a transfer buffer containing 10 mM sodium hydrogen carbonate, 3 mM sodium carbonate, 20% (v/v) methanol and 0.1% SDS (w/v) at pH 10.0. Blots were blocked overnight at 4°C with 8% (w/v) non-fat milk powder (ELK, Campina Melkunie, Eindhoven, the Netherlands) in 0.005% (w/v) Tween 20 in phosphate-buffered saline (PBS, consisting of 3.6 mM KH2PO4, 6.4 mM Na2HPO4 and 145 mM NaCl at pH 7.2) with constant orbital shaking. After washing with 0.005% (w/v) Tween 20 in PBS, the blots were incubated with 0.2 μg/ml polyclonal rabbit anti-rhIFNβ antibody (Acris Antibodies, Hiddenhausen, Germany) in 0.1% (w/v) non-fat milk powder and 0.005% (w/v) Tween 20 in PBS for one hour at room temperature with constant orbital shaking. Blots were washed with 0.005% (w/v) Tween 20 in PBS. Blots were incubated with peroxidase-labeled goat anti-rabbit immunoglobulin G (IgG) (Sigma Aldrich), diluted 1000-fold in PBS containing 0.1% (w/v) non-fat milk powder and 0.005% (w/v) Tween 20, for one hour at room temperature with constant orbital shaking. Blots were washed with 0.005% (w/v) Tween 20 in PBS and incubated in a solution of 0.05% (w/v) 4-chloro-1-naphtol (Sigma-Aldrich) in 17% (v/v) methanol and 0.0125% (v/v) H2O2. After color development, the blots were stored overnight in the dark in water to increase the intensity of the bands.
Heterozygous C57Bl/6 transgenic mice immune tolerant for hIFNβ, developed by Hermeling et al. (20), were bred at the Central Laboratory Animal Institute (Utrecht University, the Netherlands). The strain was maintained by crossing the transgenics with wild-type C57Bl/6 mice obtained from Janvier (Bioservices, Uden, the Netherlands). The genotype of the offspring was determined by PCR showing the presence or absence of the hIFNβ gene in chromosomal DNA isolated from ear tissue. Transgenic C57Bl/6 mice were crossed with wild-type FVB/N mice obtained from Janvier (BioServices), and their C57Bl/6 × FVB/N hybrid offspring were genotyped using PCR. Both transgenic C57Bl/6 × FVB/N hybrid mice and their non-transgenic (wild-type) littermates, evaluated previously as a mouse model for human interferon beta (17), were used.
The animal experiments were approved by the Institutional Ethical Committee. Food (Hope Farms, Woerden, the Netherlands) and water (acidified) were available ad libitum. Blood was drawn from the cheek pouches (submandibularly) of 32 wild-type and 32 transgenic mice before starting the treatment (17,20). Eight mice per group were injected intraperitoneally (i.p.) with 5 μg of bulk, reformulated or stressed rhIFNβ-1a, or 5 μg of Betaferon®-rhIFNβ-1b on days 0 to 4, days 7 to 11 and days 14 to 18. After an injection-free period of 6 weeks, all mice were rechallenged with 5 μg of reformulated rhIFNβ-1a i.p. on days 63 and 64. Blood was collected submandibularly from two out of eight mice per group per time point, just before treatment with rhIFNβ, on days 4, 7, 11, 14, 18, 21, 28, 43, 53, 56, 58, 60, 64, 65, 66 and 67. If administered rhIFNβ is not completely cleared from the circulation before blood drawing, remaining rhIFNβ levels could interfere with the BAB assay. Therefore, we performed an additional study following rhIFNβ blood levels in time with ELISA after a single i.p. injection of 5 μg of Betaferon®-rhIFNβ-1b or bulk rhIFNβ-1a in wild-type hybrid mice. From this study, we estimated that the half-lives of rhIFNβ-1b and rhIFNβ-1a in the mice were 2.5 and 4.5 hours, respectively. Since the time interval between the previous dose and the blood sampling on days 4, 11, 18, 64 and 65 was relatively short (i.e. 20 to 24 hours), low levels of rhIFNβ-1a may have remained in the plasma samples of these days. For the other blood sampling days and for rhIFNβ-1b, most likely sufficient time passed after the previous dose to allow for clearance of the protein from the circulation. On day 77, all mice were sacrificed by bleeding through cardiac punction under isofluran anesthesia. Blood samples were collected in lithium heparin gel tubes and centrifuged for 10 min at 3,000 g, and the obtained plasma was stored at −80°C until analysis.
Titers of BABs against rhIFNβ were measured in the plasma by direct ELISA according to the protocol described in detail by Hermeling et al. (20) with minor changes. Plates were coated with bulk rhIFNβ-1a and blocked with 4% milk powder and 0.1% Tween 20 in PBS at room temperature for two hours. Plasma samples and the secondary antibody (horseradish peroxidase coupled anti-mouse IgG from Invitrogen, Zymed) were diluted in the blocking buffer described above in a ratio of 1:100 and 1:4000, respectively. Color conversion was initiated by adding 100 μl of 3,3′,5,5′-tetramethylbenzidine (Roche) and stopped by adding 100 μl of 0.18 M sulfuric acid. Absorbance values were measured with an immuno plate reader (Novopath, Biorad) at a wavelength of 450 nm. The 100-fold diluted plasma samples were screened and defined positive if their mean absorbance values were at least three times higher than the 95th percentile value of negative control plasma. The titer of anti-hIFNβ IgG in positive plasma was determined by plotting the absorbance values of a 2-fold serial dilution against log dilution. The plots were fitted to a sigmoidal dose-response curve using GraphPad Prism version 4.0 for Windows (GraphPad Software, San Diego CA, USA). The reciprocal of the dilution of the EC50 value was defined as the BAB titer.
NAB levels in the plasma samples of day 77 were assessed in a bioassay based on inhibition of induction of myxovirus resistance protein A (MxA) gene expression in an A549 cell line as previously described (21). The type of rhIFNβ (−1a or −1b) used in the assay was the same as the type used for injecting the animal. Both MxA and a control household gene-derived mRNA (eukaryotic 18S rRNA) were detected with a real-time RT-PCR multiplex assay. Neutralizing activity was expressed in ten-fold reduction units per ml (TRU/ml). Plasma samples with a neutralizing activity below 130 TRU/ml were considered negative. Positive samples showed neutralizing activities ranging from 1143 TRU/ml to more than 5120 TRU/ml.
The three rhIFNβ-1a solutions were colorless and transparent, and visual inspection did no reveal visible aggregation or precipitation.
All UV spectra showed broad absorbance peaks around the wavelength of 280 nm, indicating tryptophan, tyrosine or phenylalanine residues or disulfide bonds in the rhIFNβ-1a samples (Fig. 1A) (22,23). Protein aggregates cause scattering of light that can be observed as an increase in optical density (OD) (23). The wavelength-dependent light scattering intensity is influenced by several factors, such as aggregate size, shape and amount. As a measure for aggregation, the OD at 350 nm (OD350) and the ratio between the OD at 280 nm and 260 nm (OD280/OD260) were used (Table I). As compared with reformulated rhIFNβ-1a (OD350=0.02; OD280/OD260 = 1.67), bulk and stressed rhIFNβ-1a showed a high OD350 (0.11 and 0.08, respectively) and a low OD280/OD260 (1.12 and 1.01), indicating the presence of aggregates (Table I). Light scattering at high wavelengths was most pronounced in bulk rhIFNβ-1a, which suggests the presence of large aggregates. Stressed rhIFNβ-1a showed the lowest OD280/OD260, most likely caused by absorption flattening due to extensive aggregation of the sample (23).
Aggregates of rhIFNβ formed by non-covalent protein bonds can be disassembled by SDS (24). Adding 0.01% SDS changed the UV spectrum of bulk rhIFNβ-1a drastically (Fig. 1A). Its OD350 and A280/A260 became similar to those of reformulated rhIFNβ-1a with SDS (Table I), indicating non-covalently bound aggregates. In contrast, the UV spectrum of stressed rhIFNβ-1a changed only slightly after adding SDS, suggesting the presence of a considerable amount of covalent aggregates. The initial OD350 and OD280/OD260 values, together with the marginal decrease in OD350 and increase in OD280/OD260 following the addition of SDS suggest a low level of non-covalent aggregates in reformulated rhIFNβ-1a.
According to studies on rhIFNβ-1a crystals performed by Karpusas et al., the protein has a cylindrical shape of roughly 2×3×4 nm (25). Bulk rhIFNβ-1a showed a large Z-ave (2,300 nm) and a large PDI (0.9), indicating that the sample contained aggregates heterogeneous in size (Table I). As the light scattering intensity is proportional to the sixth power of the particle radius, the size average of the protein sample is overestimated (26,27). The strong light scattering of the aggregates inhibits the detection of the rhIFNβ-1a monomer, which may represent a much larger fraction by weight than the aggregated material (27). As the size distributions varied considerably between repeated measurements, only Z-ave and PDI results are presented. The Z-ave and PDI of reformulated rhIFNβ-1a could not be determined due to the small size of the monomer, the low protein concentration and light-scattering components in the formulation buffer (i.e. arginine and Tween 20). Stressed rhIFNβ-1a also contained aggregates, which were smaller (95 nm) and more homogeneous (PDI=0.3) in size than the aggregates in bulk rhIFNβ-1a. In concordance with our observations from UV spectroscopy, the addition of 0.01% SDS resulted in a large decrease in Z-ave (from 2,300 to 27 nm) and PDI (from 0.9 to 0.3) of bulk rhIFNβ-1a, reflecting the dissociation of non-covalent protein complexes, whereas the mainly covalently bound aggregates in stressed rhIFNβ-1a stayed intact.
Flow microscopy enables the detection of protein particulates larger than 0.75 μm that are difficult to study with more conventional techniques such as UV, DLS, HP-SEC and SDS-PAGE. Reformulated rhIFNβ-1a showed a low particle count that was slightly higher than the particle count of the buffer control, which was 0.32 × 103 particles/ml, whereas the particle counts of bulk and stressed rhIFNβ-1a were two orders of magnitude higher (Fig. 1B and Table I). Particle contents of bulk and stressed rhIFNβ-1a were in the same range, and both samples had similar size distributions, mean sizes and mean aspect ratios. Thus, the aggregates larger than 0.75 μm in bulk and stressed rhIFNβ-1a were comparable in size, quantity and shape, while such aggregates were practically absent in reformulated rhIFNβ-1a.
At a wavelength of 295 nm the tryptophans of rhIFNβ-1a were excited, and a typical emission maximum around 350 nm was observed (Fig. 1C). The wavelength of the fluorescence peak and its intensity provide information on the environment of the tryptophan at position 22 (Trp22), which is close to the receptor binding site and relatively exposed to the solvent (28,29), and of the tryptophans at positions 79 and 143, which are both inside the hydrophobic core of the protein that is stabilized through several hydrogen bonds and one disulfide bridge (25,28,29). The maximum fluorescence intensity of bulk rhIFNβ-1a (at 349 nm) was arbitrarily set at 1, and the fluorescence intensities of the other samples were calculated relative to this value (Table I). The fluorescence emission peak of reformulated rhIFNβ-1a showed a 3 nm red-shift and 14% increase in intensity in comparison with bulk rhIFNβ-1a, which may be attributed to the lower degree of aggregation and more exposed tryptophans (30,31). For comparison, the spectrum of rhIFNβ-1a unfolded in 6 M guanidine hydrochloride showed a considerably larger red-shift of 8 nm (Fig. 1C). Stressed rhIFNβ-1a showed a 4 nm blue-shift and an 8% intensity decrease in the fluorescence emission maximum, indicating a higher degree of aggregation. The same effect was observed previously by Fan et al. during heat-induced aggregation of rhIFNβ-1a (32). Nevertheless, Trp22 in stressed rhIFNβ-1a seems to be more accessible than a rhIFNβ-1a sample that was denatured by heating for 10 min beyond its transition temperature (Fig. 1C). Contrary to the heated sample, stressed rhIFNβ-1a probably retained most of its native tertiary structure.
Runkel et al. described the use of a TSKgel SW2000 HP-SEC column with a mobile phase of 100 mM sodium phosphate and 200 mM NaCl at pH 7.2 to analyze rhIFNβ-1a and rhIFNβ-1b products with large amounts of human serum albumin (HSA) (7). HSA is commonly used in formulations to prevent adsorption of hydrophobic protein products (7,33,34). The absence of HSA in our rhIFNβ-1a formulations may explain the low protein recovery of our samples in this HP-SEC procedure, i.e. 42% for bulk, 81% for reformulated and 61% for stressed rhIFNβ-1a (data not shown). Therefore, to inhibit adsorption of the protein to the solid phase and increase resolution, we added 0.1% SDS to our mobile phase (35,36). This resulted in improved recoveries of 87% for bulk, 93% for reformulated and 71% for stressed rhIFNβ-1a. The SDS in our elution buffer disrupts non-covalently bound protein complexes, and it hinders molecular weight calibration with standard proteins, so we numbered the different peaks as Peak 1–4 in order of elution (Fig. 1D). Most bulk rhIFNβ-1a eluted in Peak 3 (50%), which is most likely the rhIFNβ-1a monomer (Table I). Another significant amount eluted in Peak 4 (19%), probably consisting of monomeric proteins of which the hydrophobic cores are slightly exposed, causing interactions with the column material. Peak 1 (8%) of the bulk sample eluted in the void volume of the column corresponding to soluble protein aggregates with a molecular weight higher than 150 kDa. The protein fraction in Peak 2 (10%) is probably a dimer, which has been reported before (7,25). The non-recovered fraction comprised 13% of the bulk sample and probably contained covalent aggregates too large to enter the column or unfolded protein irreversibly attached to the column material. The reformulated sample contained 83% monomers, and its total sample recovery was high (93%). The majority of the stressed sample eluted in the higher molecular weight regions (31% in Peak 1 and 21% in Peak 2) and contained a non-recovered fraction of 29%.
We applied denaturing polyacrylamide gel electrophoresis to assess the relative molecular masses of rhIFNβ-1a monomer, fragments, and covalent aggregates (37). Under non-reducing conditions, bulk rhIFNβ-1a contained monomer, dimer, trimer and larger aggregates (Fig. 2A, lane B). The additional band at approximately 19.5 kDa most likely corresponds with a deglycosylated, monomeric form of rhIFNβ-1a (7,38). Under reducing conditions, the monomer and dimer showed a slight increase in apparent mass, which is probably due to the breaking of the intramolecular disulfide bridge of rhIFNβ-1a (Fig. 2B, lane B). The decreased intensity of the dimer band observed under these conditions indicates that at least some of the dimers in bulk rhIFNβ-1a were formed through disulfide bonds. The covalent trimers and larger aggregates were non-disulfide mediated.
For reformulated rhIFNβ-1a, non-reducing SDS-PAGE showed monomers and dimers without any trimers or larger aggregates, similar to what was seen by HP-SEC (cf. Fig. 1D and Fig. 2A, lane R). Reducing SDS-PAGE showed that the dimers in reformulated rhIFNβ-1a were mainly formed through disulfide bridges (Fig. 2B, lane R).
Under non-reducing conditions, stressed rhIFNβ-1a was hardly able to enter the gel due to its high percentage of covalent aggregates (Fig. 2A, lane S). Reducing SDS-PAGE showed that the aggregates contained reducible bonds, as is clear from the monomers, dimers and trimers observed (Fig. 2B, lane S). Non-reducing SDS-PAGE (Fig. 2A) confirms the proposed nature of the various peaks observed during HP-SEC (Fig. 1D).
The polyclonal anti-rhIFNβ-1a antibodies used for Western blotting reacted with the monomeric bands in all three rhIFNβ-1a products under both non-reducing and reducing conditions, including the barely visible monomeric band of stressed rhIFNβ-1a under non-reducing conditions (Figs. 2C and 2D). Also, dimers, trimers and larger aggregates in bulk rhIFNβ-1a and dimers in reformulated rhIFNβ-1a were recognized by the antibodies under non-reducing conditions (Fig. 2C). In contrast, none of the non-reducible covalent protein complexes in bulk, reformulated or stressed rhIFNβ-1a were recognized by the antibodies (Fig. 2D), suggesting the destruction of specific epitopes upon formation of covalent links between monomers.
Bulk rhIFNβ-1a was shown to contain monomeric protein and a low amount of heterodisperse rhIFNβ-1a aggregates with sizes ranging from dimers to aggregates of several micrometers. The aggregates were mainly formed through non-covalent bonds and disulfide linkages, and contained intact epitopes. In addition, some covalent, non-reducible aggregates were present that were not recognized by the polyclonal antibody used for Western blotting.
Reformulated rhIFNβ-1a showed low aggregate levels, mainly dimers containing intact epitopes.
Stressed rhIFNβ-1a contained a high percentage of rather homogeneously sized covalent aggregates with a size of approximately 100 nm. Importantly, the covalent non-reducible aggregates did not contain detectable native epitopes.
In order to test the immunogenicity of the three rhIFNβ-1a samples, the same schedule of injections was used as before (8,10,17,20). Fig. 3 shows the levels of IgG antibodies in wild-type and transgenic mice injected with the three different products. Please note that the presented BAB titers on days 4, 11 and 18 in the mice treated with bulk, reformulated and stressed rhIFNβ-1a might be underestimated due to low levels of rhIFNβ-1a in these samples. In general, the wild-type mice started to produce BABs between day 4 and day 11 and developed high IgG titers against all products. These high BAB levels persisted in the wild-types. With the exception of two mice that did not respond to reformulated rhIFNβ-1a, the wild-type mice also developed NABs against the products (Fig. 3A, C, E, and G). The formation of both BABs and NABs in these animals indicated that the native protein conformation in all preparations was at least partly intact.
Transgenic mice, on the other hand, did not develop NABs against any of the products (Fig. 3B, D, F, H). Betaferon®, used as a positive control, broke the immune tolerance of the transgenics but did not induce NAB formation (Fig. 3B), in keeping with previous observations (17,20). Three out of seven transgenic mice treated with bulk rhIFNβ-1a showed low IgG titers at a single time point (Fig. 3D), indicating a low immunogenicity of this material in transgenic mice. Reformulated rhIFNβ-1a did not break the immune tolerance of any of the transgenic mice (Fig. 3F). From the low, transient IgG titers in only two out of six transgenic mice treated with stressed rhIFNβ-1a, it followed that the stressed product was hardly immunogenic (Fig. 3H).
Some of the transgenic mice showed a wild-type-like immune response, including NABs and high, persistent IgG titers. Although they possessed the transgene (as detected by PCR), they were not expressing hIFNβ and lacked immune tolerance, as was discussed in our previous publication describing the hybrid transgenic mouse model (17). The hIFNβ gene of the transgenic mice is situated behind the promoter of murine IFNβ, and its expression can be stimulated upon injection with polyICLC (20). Without polyICLC injection, hIFNβ expression levels are not measurably different between wild-type and transgenic mice. The mice need to be naïve for immunogenicity testing and therefore cannot be treated with polyICLC beforehand. Instead, we analyzed the results of individual transgenic mice for the presence of both (i) NABs and (ii) IgG titers exceeding 2,000 up to 8 weeks after the first injection. Based on these two selection criteria, the data of five transgenic mice (with ID numbers 13, 29, 42, 50 and 54) that showed a wild-type-like immune response were left out, as they would distort our conclusions on the ability of the rhIFNβ-1a samples to break immune tolerance. Generally, we observe about 10–20% hybrid hIFNβ transgenic mice in our studies exhibiting a wild-type-like immune response independent of the type of treatment. In the current study, we identified five outliers out of 32 transgenic mice (16%), i.e. 1/8 rhIFNβ-1b, 1/8 bulk rhIFNβ-1a, 1/8 reformulated rhIFNβ-1a and 2/8 stressed rhIFNβ-1a treated transgenic mice. All outliers showed high persistent levels of BABs, and they produced NABs while the other transgenics did not. The equal distribution of the outliers among the treatment groups clearly indicates that the effect is not product-related.
Before the rechallenge with reformulated rhIFNβ-1a at day 63, wild-type mice showed high IgG titers (Fig. 4). After the rechallenge, the wild-type mice showed IgG titers at day 70 that were higher than before the rechallenge, independent of the treatment group (Fig. 4A–D). Such an enhanced secondary immune response is characteristic for a T-cell-dependent immune response typically observed after vaccination with foreign protein (14,39). Transgenic mice treated with Betaferon®, however, showed a slight decrease in BAB level after the rechallenge with reformulated rhIFNβ-1a, indicating that they had not developed immunological memory for rhIFNβ (Fig. 4A). Also bulk, reformulated and stressed rhIFNβ-1a-treated transgenics did not show any BABs after the rechallenge, indicating the absence of memory (Fig. 4B–D).
These results comply with the lack of antibody response observed in patients who, after a wash-out period, switched to Avonex®-rhIFNβ-1a treatment after having developed high levels of anti-rhIFNβ-1b antibodies following Betaferon® treatment (15). Despite the cross-reactivity of anti-rhIFNβ antibodies, levels of pre-occurring BABs or NABs in patients did not increase after switching the treatment from Betaferon® to Avonex® (15,40), from rhIFNβ-1a to high-dose intravenous rhIFNβ-1b (41), and from 1.6 to 8 million international units of rhIFNβ-1b (42), without a wash-out period. Especially patients with low titers may even reconvert to antibody negativity while treatment continues, independent of the type of rhIFNβ that is administered (40,43–46). The observed lack of immunological memory in immune-tolerant mice as well as in RR-MS patients may be characteristic for the breakage of B-cell tolerance for recombinant human therapeutic proteins.
Bulk rhIFNβ-1a, which contained mainly non-covalently bound aggregates, induced a transient immune response in approximately 40% of the transgenic mice. Filtration of the bulk product reduced the aggregation level, and reformulation in another buffer prevented the formation of new aggregates, thereby completely abolishing its potency to break immune tolerance. Despite the high percentage of aggregates in stressed rhIFNβ-1a, only about 30% of the transgenic mice receiving this product showed antibodies against rhIFNβ-1a. This is possibly explained by the absence of native epitopes in the covalent non-reducible aggregates as shown by Western blotting. Preservation of the native structure of the protein is a prerequisite for aggregates to break the tolerance of transgenic, immune-tolerant mice (8). In addition to BABs, the wild-type mice formed NABs and immunological memory for the protein after 3-week administration of any of the rhIFNβ-1a samples or Betaferon®. This study confirms that wild-type animals cannot be used to study the immunogenicity of human therapeutic proteins, and immune-tolerant animal models are needed (47). In this paper, transgenic mouse models showed that protein aggregates are able to break the immune tolerance for rhIFNβ. The potency of the aggregates to break tolerance not only depends on aggregate percentage but also largely on their physical properties such as degree of denaturation, molecular orientation and size. Moreover, we demonstrated that the breaking of immune tolerance for rhIFNβ in transgenic mice is characterized by the absence of NABs and immunological memory and thereby differs substantially from a classical T-cell-dependent immune response.
This research was financially supported by the European Community under its 6th Framework (project NABINMS, contract number 018926). Biogen Idec Inc. is acknowledged for kindly providing test products. We thank Susan Goelz for her valuable suggestions and discussions.
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