Incorporating a cyclopropene derivative of lysine into antibodies allows the site-specific, rapid and efficient linkage of tetrazine-bearing molecules to generate antibody-drug conjugates.
Antibody-drug conjugates (ADCs) used nowadays in clinical practice are mixtures of antibody molecules linked to a varying number of toxins at different positions. Preclinical studies have shown that the therapeutic index of these traditional ADCs can be improved by the site-specific linkage of toxins. However, current approaches to produce homogeneous ADCs have several limitations, such as low protein expression and slow reaction kinetics. In this protocol we describe how to set up an expression system to incorporate a cyclopropene derivative of lysine (CypK) into antibodies using genetic code expansion. This minimal bioorthogonal handle allows rapid conjugation of tetrazine derivatives through an inverse-demand Diels-Alder cycloaddition. The expression system here reported enables the facile production and purification of trastuzumab bearing CypK in each of the heavy chains. We explain how to link the antibody to the toxin monomethyl auristatin E and characterize the immunoconjugate by hydrophobic interaction chromatography and mass spectrometry. Finally, we describe assays to assess the stability in human serum of the dihydropyridazine linkage resulting from the conjugation and to test the selective cytotoxicity of the ADC for breast cancer cells with high levels of HER2 receptor.
Antibody-drug conjugates (ADCs) combine the selectivity of biotherapeutics and the potency of small cytotoxic molecules. Most ADCs aim to decrease the side effects of traditional chemotherapy by targeting drugs that affect DNA or microtubule polymerization to cancer cells1. First-generation ADCs approved by the Food and Drug Administration (FDA) rely on the modification of lysines and cysteines, which generates mixtures of molecules modified at different positions with decreased pharmacokinetic properties2. By contrast, site-specific conjugation of drugs to the antibodies can generate compounds with improved therapeutic indeces3,4. Seeking to address the challenge of producing homogeneous ADCs, several selective chemical and enzymatic modifications have been reported1,5. However, current methods can target only certain position on the antibody, suffer from low protein expression, provide linkers with low stability, or rely on slow and low-yielding reactions.
Incorporation of non-canonical amino acids (ncAA) through genetic code expansion enables the site-specific installation of a plethora of bioorthogonal reactive groups into proteins, potentially overcoming the limitations of other methods used to generate ADCs. Encoding ncAAs in response to a target (stop) codon relies on aminoacyl-tRNA synthetase/tRNA pairs that are orthogonal to the endogenous pairs that incorporate canonical amino acids6. Several ncAAs have been incorporated into antibodies to generate ADCs. However, most suffer from various liabilities for applications in therapeutic drug conjugation. p-acetylphenylalanine (pAcF)7,8 is not fully bioorthogonal, requires low pH (4.5) and long reaction times (> 60 h), while azides such as p-azidophenylalanine (pAzF)7,9,10, p-azidomethylphenylalanine (pAMF)11, and an azide derivative of lysine (AzK)12,13 may be reduced in the cell14, and the copper used to catalyze Huisgen cycloadditions can induce oxidative damage15.
Although alternative ncAAs based on trans-cyclooctene (TCO), cyclooctyne (SCO) and bicyclo[6.1.0]nonene (BCN) have recently been encoded in an antibody for bio-imaging purposes, the expression system suffers from very low yields (0.5 mg/L)16. Moreover, cyclooctenes and cyclooctynes are large and hydrophobic handles that may increase the susceptibility of the ADC for aggregation -ADC payloads are traditionally hydrophobic and the physicochemical properties of the linker have been shown to greatly impact pharmacokinetics and therapeutic index17. By contrast, 1,3-disubstitued cyclopropenes are small reactive groups that should cause minimal alteration in the protein structure and physichochemical properties18. Cyclopropenes selectively and rapidly react with tetrazines via an inverse electron-demand Diels-Alder cycloaddition19. In this protocol we make use of a derivative of lysine (CypK, Figure 1b) bearing a methyl-cyclopropene that is less affected by steric hindrance than larger strained unsaturated cycles and has a reaction rate constant in the order of 1-30 M-1s-1 in aqueous media18,20.
We recently reported how to incorporate CypK into antibodies to generate ADCs by reacting this minimal bioorthogonal handle with tetrazine-bearing molecules21. Here we describe the ADC preparation procedure in more detail with emphasis on the most challenging steps. The incorporation of CypK is directed using a pyrrolysyl-tRNA synthetase(PylRS)/tRNACUA(PylT) pair in response to an amber codon introduced in the antibody heavy chain (HC)22. Here we use two plasmids for transient transfection (Figure 1a), one encoding the heavy chain of the antibody and the other one encoding the light chain (LC), both containing the PylRS/PylT cassette. Alternatively, a stable cell line that enables higher antibody yields can be generated through a more laborious procedure21.
The aforementioned expression systems can produce the therapeutic anti-HER2 immunoglobulin 1 (IgG1) trastuzumab with CypK at similar levels to the wild type antibody. We selected the first position of the CH1 domain on the heavy chain to encode the ncAA (HC-118TAG). This is the most commonly modified site in ADCs23 and is known as HC-118 (EU numbering) but has also been referred to as HC-121 (sequence position) and HC-114 (Kabat numbering)24. Since this position is conserved throughout all IgG1s, these expression systems should be amenable to most therapeutic antibodies.
We show trastuzumab(CypK)2 can be easily purified by protein A followed by fast protein liquid chromatography with a hydrophobic interaction column (FPLC-HIC). Subsequently the antibody is covalently linked within 3 h to the microtubule polymerization inhibitor monomethyl auristatin E (MMAE), which is used in the FDA-approved ADC Adcetris. Here we use a benzyl-tetrazine derivative of MMAE (tetrazine-vcMMAE) with a linker comprising a glutarate spacer and a valine-citrulline protease-labile component followed by a p-aminobenzylalcohol self-immolative unit; this linker is cleaved by Cathepsin B in the lysosome upon internalization of the ADC resulting in the traceless release of the toxin25. In order to show the broad scope of the reaction, the antibody is also linked to the fluorophore tetramethylrhodamine (TAMRA). We explain how to verify the identity of the conjugate by liquid chromatography coupled to mass spectrometry (LC-MS) and to calculate the drug-to-antibody ratio (DAR) using high performance liquid chromatography with a hydrophobic interaction column (HPLC-HIC).
As part of the characterization of the antibody performance, we describe how to test the stability of the dihydropyridazine linkage in human serum. This parameter is more easily assessed in trastuzumab-TAMRA because it can be quantified by a simple ELISA and the interpretation of the results is not complicated by the protease labile component of trastuzumab(MMAE)2. Finally, the selectivity and potency of trastuzumab(MMAE)2 is assessed by comparing the cytoxicity of the ADC across cell lines expressing different levels of HER2. This assay also provides a functional proof of the ADC stability when performed after incubating the immunoconjugate in human serum.
1. Produce and Characterize the Antibody
2. Conjugate the Antibody and Characterize the ADC
3. Assay Stability of the Dihydropyridazine Linkage in Trastuzumab(TAMRA)2 in Serum
4. Assess the Cytotoxicity of the ADC
Note: This protocol is based on previously reported assays23,26 with some modifications.
The reported transient expression system (Figure 1a) yields 22 ± 2 mg of trastuzumab(CypK)2 per liter of culture medium, which represents 2/3 of the wild type antibody produced under the same conditions (Figure 1c). The stable cell line can increase this yield up to 31 ± 2 mg/L21.
Trastuzumab(CypK)2 can be conjugated with tetrazine-vcMMAE, which yields quasi homogeneous trastuzumab(MMAE)2 within 3 h at 25 °C (Figure 2). The high hydrophobicity of this cytotoxin requires addition of 10% acetonitrile when 5 or more molar equivalents of toxin per CypK are used. Alternatively, the cycloaddition is also completed within 20 h using 2 equivalents of tetrazine-vcMMAE without acetonitrile (Figure 2c). Trastuzumab(CypK)2 reacts with tetrazine-TAMRA within 2 h at 25 °C and 3-6 h are required when the temperature is decreased to 4 °C (Figure 3c).
The expected DAR for trastuzumab(MMAE)2 measured by HPLC-HIC is 1.9 (Figure 2b). The peak initially observed in the chromatogram at 8.0 min represents the unconjugated antibody (DAR 0) and should have completely disappeared when the reaction is completed. The species with DAR 1 elutes at 9.1-9.6 min and should have an area < 10% after 3 h; and the target product with DAR 2 has a retention time of 10.5-11.0 with an expected area > 90%. The mobility shift and fluorescence in SDS-PAGE gels confirms the incorporation of TAMRA (Figure 3b) and the identity of the immunoconjugates is verified by LC-MS (Figure 2d-e and Figure 3d).
Incubation of trastuzumab(TAMRA)2 for 5 days in human serum and subsequent analysis by ELISA confirms that the payload remains attached to the antibody (Figure 4b). Regarding the cytotoxicity assay, trastuzumab(MMAE)2 shows high potency in SK-BR-3 (HER2 high) breast cancer cells, with a half maximal effective concentration (EC50) of 55 ± 10 pM (Figure 4d). Trastuzumab(MMAE)2 maintains the cytotoxicity after 5 days of incubation in human serum (Figure 4c). Conversely, when the ADC is assayed on MCF-7 (HER2 low) the EC50 is 200-fold lower (Figure 4d). The wild type antibody, trastuzumab(CypK)2 and tetrazine-vcMMAE show extremely low toxicity (Figures 4d and 4e), whereas MMAE displays high non-selective cytotoxicity in both cell lines (Figure 4e).
Figure 1: Transient expression system. A. Relevant regions of the plasmids used for transient transfection in HEK293 cells. CMV: cytomegalovirus promoter, WPRE: Woodchuck Hepatitis Virus Posttranscriptional Regulatory Element, PylT: pyrrolysyl tRNA, U6: specific promoter, PylRS: pyrrolysil tRNA synthetase, > and <: direction of transcription. B. Nε-[((2-methylcycloprop-2-en-1-yl)methoxy)carbonyl]-L-lysine (CypK). C. Expression yields of wild type (WT) trastuzumab and trastuzumab(CypK)2 as measured in a western blot after protein A purification. Error bars represent the standard deviation of biological triplicates. This figure has been modified with permission from Oller-Salvia et al. 201821. Please click here to view a larger version of this figure.
Figure 2: Conjugation of trastuzumab(CypK)2 with tetrazine-vcMMAE. A. Inverse electron-demand Diels-Alder cycloaddition between the CypK residue in the antibody and the tetrazine derivative of MMAE. The reacting groups are highlighted in red, p-aminobenzylalcohol is depicted in green and the valine-citrulline dipeptide in blue. B. HPLC-HIC chromatograms showing the progress of the conjugation of antibody. C. Degree of conversion with respect to the maximum DAR of 1.9 using different reagent concentrations. D-E. Deconvoluted mass spectra of the full-length antibody before and after the conjugation. Trastuzumab(CypK)2 was obtained using the stable cell line. This figure has been modified with permission from Oller-Salvia et al. 201821. Please click here to view a larger version of this figure.
Figure 3: Conjugation of trastuzumab(CypK)2 with tetrazine-TAMRA. A. Inverse electron-demand Diels-Alder cycloaddition between the CypK residue in the antibody and the tetrazine derivative of TAMRA. B. SDS-PAGE gels showing the mobility shift and the in-gel fluorescence originated by the conjugation of TAMRA. C. Conjugation kinetics at two different temperatures. D. Deconvoluted mass spectrum of trastuzumab(TAMRA)2. Trastuzumab(CypK)2 was obtained using the stable cell line. This figure has been modified with permission from Oller-Salvia et al. 201821. Please click here to view a larger version of this figure.
Figure 4: Stability in serum and cytotoxicity of trastuzumab conjugates. A. Cartoon highlighting the features desired in an internalizing ADC. B. Stability of trastuzumab(TAMRA)2 in human serum as measured in ELISA. C. Cell viability assay with trastuzumab(MMAE)2 after 5 days in human serum (+ serum, black). A control sample incubated in PBS instead of serum (- serum, red) was included in the same assay. D. Cell viability assay with freshly diluted antibody samples. E. Cell viability assay with freshly diluted MMAE derivatives. Error bars represent the standard error of the mean of 3 independent experiments. This figure has been modified with permission from Oller-Salvia et al. 201821. Please click here to view a larger version of this figure.
The transient expression procedure to produce trastuzumab(CypK)2 described in this protocol is simple and allows for high modularity. The yields obtained are within the ones expected in an academic setting27 and stable cell lines can be generated to further boost the production yield21. During expression, concentrations of CypK lower than 5 mM may result into lower ncAA incorporation, and higher amounts may affect cell growth and decrease antibody yields. CypK as a free amino acid has low water solubility, thus it should be first dissolved at 100 mM in 0.1 M NaOH and then added to the culture medium. After diluting CypK in the medium and before adding it to cells, it is critical to neutralize the medium with HCl and filter to sterilize. Subsequently, using the transfection reagents specified in this protocol and following the incubation times recommended by the manufacturer is important for a high-yielding expression. For further details on transient expression of human antibodies, the reader is referred to other published protocols31,32.
When the antibody is purified, a high excess of protein A resin is required as indicated to ensure full antibody pull down from the supernatant. In order to prevent the precipitation of trastuzumab during elution, it is recommendable to use a solution with high buffering capacity, dilute immediately with PBS and exchange the buffer avoiding excessive concentration. Always keep the antibody <5 mg/mL.
The conjugation of trastuzumab(CypK)2 with tetrazine-vcMMAE is faster than most reactions reported with other bioorthogonal handles for ADCs. Moreover, this cycladdition occurs under very mild conditions: room temperature or lower and physiological pH. It is important to dilute the DMSO stock solutions of the reactants with acetonitrile prior to addition of PBS and the antibody; otherwise the tetrazine derivatives will precipitate. Acetonitrile is required only due to the high hydrophobicity of MMAE and TAMRA, but less hydrophobic molecules may not need the addition of a co-solvent. Alternatively, tetrazine-vcMMAE can be conjugated without acetonitrile and only 2 molar equivalents of tetrazine-vcMMAE within 20 h. This little amount of toxin could involve a substantial decrease in the manufacturing cost of ADC when compared to current ncAA-based technologies. Trastuzumab(CypK)2 is fully reactive for at least 4 months when preserved at 4 °C.
HPLC-HIC enables an accurate determination of DAR since MMAE is highly hydrophobic and provides an excellent resolution of the peaks corresponding to antibody conjugates with 0, 1 and 2 toxins. Unreacted tetrazine-vcMMAE elutes around 13.7 min and is detected at 280 nm. This technique requires a starting material with high purity. Moreover, it is not recommendable to quench the reaction with other tetrazine-reactive molecules such as BCN-OH since they can alter the retention times and the shape of the peaks. It is essential that the salt concentration of the samples matches the one in the mobile phase at the start of the gradient in order to obtain a good separation, especially if more than 10-20 µL are injected.
Regarding the LC-MS analysis, deglycosylation of the antibody samples is required to obtain a single peak upon deconvolution of the raw spectrum. The accuracy of the total antibody and ADC masses may vary depending on the callibration of the instrument. Hence, in order to calculate the mass for the modification, subtract the mass obtained for the unmodified antibodies from the one obtained for the ADC. Modern high-resolution mass spectrometers should provide a relative error below 1:10000. Although LC-MS can also be used to calculate the ratio between the different species, this value is usually an overestimation because the modification may affect the ionization capacity of the species generated and low amounts of impurities may not be detected.
The stability of the linker in ADCs is critical because the premature release of the drug results in higher toxicity and lower efficacy; the free cytotoxin damages healthy tissues and the naked antibody competes with the armed one for the target binding sites on diseased cells. A release below 5%, which is within the variability of the stability assay, should be expected.
Finally, the selectivity of an ADC targeting HER2 such as trastuzumab(MMAE)2 can be assessed by comparing the cytotoxicity in SK-BR-3 cells (HER2 high) and MCF-7 cells (HER2 low) since the latter express 15-fold less HER2 receptors than the former28. The immunoconjugate is expected to result into a cell viability at least 2 orders of magnitude lower in SK-BR-3 when compared to MCF-7. The EC50 in SK-BR-3 should be in the two-digit nanomolar range reflecting the high potency of this ADC29,30. The unmodified antibody, either trastuzumab(MMAE)2 or trastuzumab, should show no toxicity in this assay. Tetrazine-vcMMAE should have an effect 3 orders of magnitude lower than the ADC since the linker removes the activity of the peptidomimetic toxin. Conversely, because MMAE is able to permeate the cell membrane30, it should have a similar toxicity to the ADC but display no discrimination between HER2 high and HER2 low cell lines. Moreover, if this assay is performed after a 5-day incubation of the ADC in serum, it can be used to provide a functional proof of the stability of the linker: a release of the toxin would result into either a decrease in ADC efficiency in SK-BR-3 if MMAE was released with part of the linker or a decrease in the selectivity if the linker was cleaved in a traceless fashion.
The ADC technology described herein allows the efficient and site-specific incorporation of a cyclopropene derivative of lysine into IgG1s. Following a facile purification, antibodies can be rapidly conjugated with tetrazine-containing molecules, yielding homogenous products. Due to the small size and high reactivity of the cyclopropene minimal handle, this method should enable the conjugation of sterically hindered payloads. The resulting immunoconjugates are stable in serum and are highly potent and selective. Overall, CypK enables a fast, site-specific and stable bioorthogonal linkage for antibody and other protein conjugates to be used in therapy or diagnosis.
The authors have nothing to disclose.
This work was supported by the Medical Research Council, UK. B.O.-S. holds an EMBO fellowship (ATLF 158-2016) and is grateful to H. Pelham and J.W. Chin for support, and to G. Kym, C. W. Morgan, and O. Perisic for help and advice.
Expi293F | ThermoFisher Scientific | A14527 | HEK suspension cells |
Expi293 Expression Medium | ThermoFisher Scientific | A1435101 | Expression medium |
Antibiotic-antimycotic | ThermoFisher Scientific | 15240062 | Penicillin-streptomycin-amphotericin B |
125mL Polycarbonate Erlenmeyer Flask with Vent Cap | Corning | 431143 | Shake flasks |
Brunswick S41i incubator | Eppendorf | S41I230011 | CO2 incubator with a shaker |
Sodium hydroxide 4 mol/l (4 N) in aqueous solution | VWR | 191373M | |
Cyclopropene lysine | Sichem | SC-8017 | In this study it was synthesized as described by Elliot et al. 2014 |
Steriflip-GP, 0.22 µm, polyethersulfone, gamma irradiated | Merck Millipore | SCGP00525 | |
Opti-MEM, Reduced Serum Medium | ThermoFisher Scientific | 31985070 | Reduced serum medium |
ExpiFectamine 293 Transfection Kit | ThermoFisher Scientific | A14525 | Transfection reagent |
5810 R centrifuge | Eppendorf | 5811000460 | |
Millex-GP Syringe Filter Unit, 0.22 µm, polyethersulfone, 33 mm, gamma sterilized | Merck Millipore | SLGP033RS | |
Protein A resin | Sino Biological | 10600-P07E-RN-25 | |
Poly-Prep Chromatography Columns, Pkg of 50 | Bio-Rad | 7311550 | Polypropylene chromatography column |
Econo-Column Funnel | Bio-Rad | 7310003 | |
Sodium citrate | Fluka | 71635 | |
ÄKTA explorer FPLC | GE Healthcare | ||
HiTrap HIC Selection Kit | GE Healthcare | 28-4110-07 | Includes HiTrap 1 mL Butyl HP |
Ammonium sulfate | VWR | 2133.296 | |
Isopropanol | Honywell | 34863-2.5L | |
Dymethyl sulfoxide | Sigma-Aldrich | D8418-50ML | |
Tetrazine-vcMMAE | ChemPartner | – | Costum synthesized |
Tetrazine-5-TAMRA | Jena Bioscience | CLK-017-05 | |
NuPAGE 4-12% Bis-Tris Gel 1.0mm x 10 well | ThermoFisherScientific | NP0321BOX | |
Xcell SureLock Mini-Cell | ThermoFisherScientific | EI0001 | |
UltiMate 3000 HPLC | ThermoFisherScientific | ||
Thermo Scientific MAbPac, HIC-20, 4.6 x 100 mm, 5 µm | ThermoFisherScientific | 088553 | |
PNGase F | New England BioLabs | P0704S | |
NanoAcquity | Waters | ||
C4 BEH 1-5 µm 1.0 x 100 mm UPLC column | Waters | ||
96-well microplates for cell culture | ThermoFisherScientific | 156545 | |
Human serum | Sigma-Aldrich | H4522-20mL | |
CO2 incubator | Panasonic | ||
HER2 ECD | Sino Biological | 10004-HCCH | |
Anti-TAMRA | Abcam | an171120 | |
Anti-mouse HRP | Santa Cruz | sc-2005 | |
TMB | BioLengend | 421101 | |
Sulfuric acid | Sigma-Aldrich | 84727-500ML | |
PHERAstar FS | BMG Labtech | Plate reader | |
DMEM | Sigma-Aldrich | D5671-500ML | |
SK-BR-3 | ATCC | HTB-30 | |
MCF-7 | ATCC | HTB-22 | |
CellTiterGlo 2.0 Assay | Promega | G9242 | Cell viability assay based on the measurement of ATP released after cell lysis. The output signal is luminscence. |
Monomethyl Auristatin E | Cayman Chemical | 16267 | |
NanoDrop 2000 | ThermoFisherScientific | Microvolume spectrophotometer | |
Human IgG ELISA Quantificaiton Set | Bethyl | E80-104 | |
MaxEnt1 in MassLynx | Waters | Software application for mass spectrum deconvolution | |
IntantBlue | Expedeon | ISB1L | Coomassie-based stain |
Intact MMAE-ADC ELISA Kit (Sandwich Assay) | Epitope Diagnostics, Inc. | KTR 782 | |
Tube 50 mL, 114x28mm, PP | Sarstedt | 62.547.254 | Conical tube |
Amicon Ultra-15 Centrifugal Filter Units 50,000 NMWL | Merck | UFC905024 | Centrifugal filtration concentrator (after protein A pull down) |
Amicon Ultra-4 Centrifugal Filter Units 50,000 NMWL | Merck | UFC805024 | Centrifugal filtration concentrators (after FPLC or HPLC purification) |
Zeba Spin Desalting Columns, 7K MWCO, 0.5 mL | ThermoFisherScientific | 89882 | Size exclusion spin columns |
Tube PCR 0.2ml Flat Cap | Thistle Scientific Ltd | AX-PCR-02-C-CS | PCR tubes |
Nunc MaxiSorpª flat-bottom | ThermoFisherScientific | 44-2404-21 | Plates for ELISA |