Regula, JT;
von Leithner, PL;
Foxton, R;
Barathi, VA;
Cheung, CMG;
Tun, SBB;
Wey, YS;
... Hartmann, G; + view all
(2016)
Targeting key angiogenic pathways with a bispecific CrossMAb optimized for neovascular eye diseases.
EMBO Molecular Medicine
, 8
(11)
pp. 1265-1288.
10.15252/emmm.201505889.
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Abstract
Anti‐angiogenic therapies using biological molecules that neutralize vascular endothelial growth factor‐A (VEGF‐A) have revolutionized treatment of retinal vascular diseases including age‐related macular degeneration (AMD). This study reports preclinical assessment of a strategy to enhance anti‐VEGF‐A monotherapy efficacy by targeting both VEGF‐A and angiopoietin‐2 (ANG‐2), a factor strongly upregulated in vitreous fluids of patients with retinal vascular disease and exerting some of its activities in concert with VEGF‐A. Simultaneous VEGF‐A and ANG‐2 inhibition was found to reduce vessel lesion number, permeability, retinal edema, and neuron loss more effectively than either agent alone in a spontaneous choroidal neovascularization (CNV) model. We describe the generation of a bispecific domain‐exchanged (crossed) monoclonal antibody (CrossMAb; RG7716) capable of binding, neutralizing, and depleting VEGF‐A and ANG‐2. RG7716 showed greater efficacy than anti‐VEGF‐A alone in a non‐human primate laser‐induced CNV model after intravitreal delivery. Modification of RG7716's FcRn and FcγR binding sites disabled the antibodies' Fc‐mediated effector functions. This resulted in increased systemic, but not ocular, clearance. These properties make RG7716 a potential next‐generation therapy for neovascular indications of the eye.
| Type: | Article |
|---|---|
| Title: | Targeting key angiogenic pathways with a bispecific CrossMAb optimized for neovascular eye diseases |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.15252/emmm.201505889 |
| Publisher version: | http://dx.doi.org/10.15252/emmm.201505889 |
| Language: | English |
| Additional information: | Copyright © 2016 F. Hoffmann‐La Roche Ltd. This is an open access article under the terms of the Creative Commons Attribution 4.0 License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
| Keywords: | Age‐Related Macular Degeneration, Angiogenesis, Angiopoietin‐2Fc Receptor, Vascular Endothelial Growth Factor |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Institute of Ophthalmology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/1524825 |
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