A major limitation of biopharmaceutical proteins is their fast clearance from
circulation via kidney filtration, which strongly hampers efficacy both in
animal studies and in human therapy. We have developed conformationally
disordered polypeptide chains with expanded hydrodynamic volume comprising the
small residues Pro, Ala and Ser (PAS). PAS sequences are hydrophilic, uncharged
biological polymers with biophysical properties very similar to poly-ethylene
glycol (PEG), whose chemical conjugation to drugs is an established method for
plasma half-life extension. In contrast, PAS polypeptides offer fusion to a
therapeutic protein on the genetic level, permitting Escherichia
coli production of fully active proteins and obviating in
vitro coupling or modification steps. Furthermore, they are
biodegradable, thus avoiding organ accumulation, while showing stability in
serum and lacking toxicity or immunogenicity in mice. We demonstrate that
PASylation bestows typical biologics, such as interferon, growth hormone or Fab
fragments, with considerably prolonged circulation and boosts bioactivity
in vivo.
Idiopathic pulmonary fibrosis (IPF) is a chronic fibrotic lung disease that is prevalent in individuals >50 years of age, with a median survival of 3–5 years and limited therapeutic options. The disease is characterized by collagen deposition and remodeling of the lung parenchyma in a process that is thought to be driven by collagen-expressing immune and structural cells. The G-protein coupled C-X-C chemokine receptor 4, CXCR4, is a candidate therapeutic target for IPF owing to its role in the recruitment of CXCR4+ fibrocytes from the bone marrow to fibrotic lung tissue and its increased expression levels by structural cells in fibrotic lung tissue. We have engineered a novel fully human single domain antibody “i-body” called AD-114 that binds with high affinity to human CXCR4. We demonstrate here that AD-114 inhibits invasive wound healing and collagen 1 secretion by human IPF fibroblasts but not non-diseased control lung fibroblasts. Furthermore, in a murine bleomycin model of pulmonary fibrosis, AD-114 reduced the accumulation of fibrocytes (CXCR4+/Col1+/CD45+) in fibrotic murine lungs and ameliorated the degree of lung injury. Collectively, these studies demonstrate that AD-114 holds promise as a new biological therapeutic for the treatment of IPF.
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