WO2019183131A1 - Periostin antibodies and methods of using the same - Google Patents

Abstract

The present inventors have developed antigen-binding reagents and antigen-binding conjugates that recognize a cancer-specific glycan (carbohydrate) modification on the human Periostin protein. Various in vitro and in vivo diagnostic and/or therapeutic methods using these compositions are also disclosed herein specifically for treating cancers that have amplification of the Mgat3 gene.

Description

PERIOSTIN ANTIBODIES AND METHODS OF USING THE SAME

CROSS REFERENCE TO RELATED APPLICATIONS

This application claims priority to United States Provisional Application No. 62/644,681, filed March 19, 2018 and United States Provisional Application No. 62/727,915, filed September 6, 2018, both of which are incorporated herein by reference in their entireties.

STATEMENT REGARDING FEDERALLY SPONSORED RESEARCH

This invention was made with United States government support awarded by the United States National Institute of Health (“NIH”) grant number UOlCAl 68870-01. The United States has certain rights in this invention.

SEQUENCE LISTING

A Sequence Listing accompanies this application. The sequences are listed by SEQ ID NO: in the specification and the corresponding sequences are found in the Sequence Listing filred herewith which is incorporated herein by reference.

INTRODUCTION

Antibody-based therapy and diagnosis of cancer has become an important strategy for treating and diagnosing cancer patients. Cell surface antigens that are selectively expressed by cancer cells as compared to normal cells provide an attractive means of developing targeted cancer therapies and diagnostic tools. A key challenge in the field, however, has been to identify antigens that may be used to selectively target cancer cells. Peptide antigens are commonly used to develop cancer cell-specific antibodies although the applicability of such antigens may be limited in certain contexts, for example, when the expression of the peptide antigen is similar in normal and cancer cells.

Cancer-specific glycosylation changes in proteins are another attractive group of antigens that may be able to distinguish cancer cells from normal cells and may be useful in the development of both diagnostic and therapeutic applications. Few antibodies, however, have been developed that specficially target the carbohydrate moieties that are selectively expressed on cancer cells. Thus, there remains a need in the art for new antibodies that specifically target glycosylation differences between cancer cells and normal cells.

SUMMARY

In one aspect of the present invention, antigen-binding reagents are provided. The antigen-binding reagents may specifically bind to a human Periostin glycoprotein, preferably, a glycan epitope of the human Periostin glycoprotein. In some embodiments, the antigen-binding reagent may include the following complementarity-determining regions (CDRs): CDR Hl, GFIFDDYAMH (SEQ ID NO: 1), CDR H2, NSGHIDYADSVEGRFT (SEQ ID NO: 2), CDR H3, VSYLSTASSLDY (SEQ ID NO: 3), CDR L3, QRYNRAPYT (SEQ ID NO: 4) or a heavy chain variable region comprising SEQ ID NO: 5 and a light chain variable region comprising SEQ ID NO: 6.

In another aspect, antigen-binding conjugates are provided. The antigen-binding conjugates may include any one of the antigen-binding reagents described herein linked to an agent.

In a further aspect, cells are provided. The cells may include any of the antigen-binding reagents or any of the antigen-binding conjugates described herein.

In another aspect, pharmaceutical compositions are provided. The pharmaceutical compositions may include any of the antigen-binding reagents, any of the antigen-binding conjugates, or any of the cells disclosed herein and a pharmaceutical carrier, excipient, or diluent.

In another aspect, the present invention relates to methods for imaging cancer cells in a subject. The methods may include administering in an effective amount any of the antigen binding reagents, any of the antigen-binding conjugates, or any of the pharmaceutical compositions described herein to the subject, and generating an image of at least a portion of the subject using an imaging modality. Preferably in these method embodiments, the imaging of cells bound to the antigen-binding reagent, antigen-binding conjugate, or pharmaceutical composition is indicative of the cells being cancer cells.

In a further aspect, the present invention relates to methods of detecting cancer cells in a subject sample. The methods may include obtaining a sample from the subject, contacting the sample with any of the antigen-binding reagents or any of the antigen-binding conjugates disclosed herein, and detecting binding of the antigen-binding reagent or antigen-binding conjugate to cells in the sample. Suitably, binding of the antigen-binding reagent or the antigen binding conjugate to the cells is indicative of the cells being cancer cells.

In a still further aspect, the present invention relates to methods of treating cancer cells in a subject. The methods may include administering to the subject an effective amount any of the antigen-binding reagents, any of the antigen-binding conjugates, any of the cells, or any of the pharmaceutical compositions disclosed herein to treat the cancer in the subject.

BRIEF DESCRIPTION OF DRAWINGS

Figure 1A-1C shows the Periostin domain structure and location of complex N- linked glycosylation. Fig. 1 A shows the Domain map of the human periostin protein with the glycosylation site in the last FAS1 domain marked. Fig. 1B shows the NMR structure (PDB 5WT7) of the FAS4 domain showing the unstructured loop where asparagine 599 is located ³⁵. Crystal structure (PDB 5YJG) of the FAS1-FAS4 domains for human periostin with the N599 solvent exposed ³⁴. Fig. 1C is a Western blot analysis of periostin protein purified from culture supernatant on anti-Flag resin. The top cropped image is detected using the lectin E-PHA (Vector Labs) and the bottom cropped image is the detection of the same blot with periostin antibody (Santa Cruz Biotechmologies). Examples of previously detected glycan structures for each cell line are shown above each lane ^{3 39}.

Figure 2 shows a schematic flow of the selection, purification, and validation approach. The ovarian cancer yeast-display scFv library was first subtracted using 6 rounds each on the non-malignant Pro5-PN and Lec4-PN cells. Non-binders were grown and added to OVCAR3-PN cells for multiple rounds of selection. Clonal populations of binders were evaluated using yeast-cell ELISA and yeast that had binding specificity for bisecting glycans were made into secreted scFv. Clone 9 was converted to a biotin labeled antibody known as a biobody with the indicated tags and evaluated using cell lines and xenograft tumor models.

Figure 3 shows representative yeast-cell ELISA results. Differential binding of candidate clonal yeast populations were measured on Pro5-PN (blue), Lec4-PN (red) , and OVCAR3-PN (green) cells plated at 90% confluence on 24-well plates. Bound yeast (labeled with Calcofluor) were measured before and after washes. Representative data shown reflect the percentage of yeast bound after each wash for each cell line for the indicated clones. Figure 4A-Fig. 4E shows the specificity, cellular localization and antibody- dependent cytotoxicity for scFvC9 biobody. Fig. 4A shows Flow cytometry analysis of OVCAR3-PN Control ShRNA and OVCAR3-PN GnT-III ShRNA cells stained with scFvC9 biobody premixed with streptavidin APC (red lines) or streptavidin APC onlty (blue lines). Fig. 4B shows representative images of scFvC9 biobody binding and internalization into OVCA26 cells, bar 10 pm. Fig. 4C shows functional analysis of cell cytotoxicity using a cell titer glow luminescence viability assay. ScFvC9 biobody was premixed with anti-myc mAb and serial dilutions were added to cell for 48 hr at 37°C. The results shown are representative of 3 independent experiments. Fig. 4D and Fig. 4E shows scFvC9 cell binding and specificity in human glioblastoma cells. Fig. 4D shows Crispr/Cas9 KO of the Mgat3 gene in single cell isolated LN18 clone known as C2 is confirmed by the absenceof E-PHA binding indicating a loss of bisecting N-glycan. The non-targeted single cell isolated clone known as control Al has Mgat3 expression confirmed by the binding of E-PHA lectin, bar 20 pm. Fig. 4E shows the scFv C9 biobody binds to LN18 Control Al clone and has nno binding to the LN18 Crispr/Cas9 Mgat3 KO clone C2.

Figure 5 shows the IVIS imaging of ovarian tumors. Top panel: immune compromised NSG female mice with 6 wk subcutaneous xenograft tumor from A1847 human ovarian cancer cells were imaged before and after retro-orbital injection of scFvC9/IRB680W complexes or negative control (IRB680W only). Middle panel: immune competent C57B1/6 female mice with 8 wk intraovary Luc-ID8 murine ovarian cancer cells were imaged before and after injection of scFvC9/IRB680W complexes or negative control 9IRB680W only). Lower panel: immune competent C57B1/6 female mice with 8 wk intraperitoneal Luc-ID8 murine ovarian cancer cells were imaged before and after scFvC9/IRB680W complex injection or IRB680W only.

Figure 6 shows the detection of scFvC9 biobody in tumors and tissues at the 24 hr time point. Immune compromised female NSG mice with subcutaneous A1847 xenograft tumors were injected with scFvC9 biobody IV 24 hr before necropsy and tissue collection.

Sections were stained with Streptavidin Qdot (1 :50 in IX PBS) prior to counterstain with DAPI. White arrows mark regions of interest discussed in the text, Bar 100 pm.

Figure 7A and Figure 7B shows the MR studies with scFvC9 biobody. Fig. 7A shows the phantom tubes layered with cells only, anti-flag magnetic bead only, or cells with scFvC9 biobody and anti-flag magnetic beads were MR imaged. Representative image shown and results in graph to the right represent mean decreased signal intensity from 3 independent experiments, ±SEM P< 0001. Fig. 7B shows Immune compromised NSG female mice with A1847 subcutaneous tumor were injected with scFvC9 coupled 1 :2 with magnetic avidin beads. Representative 1 hour images are shown and cumulative normalized (SI tumor/SI muscle for given ROI) signal intensity for each time point are graphed to the right.

Figure 8 shows a mouse mesothelin^Int Luc-ID8 mouse ovarian cancer model 8 weeks after intraperitoneal injection and in vivo imaging with luciferin.

Figure 9 shows a mouse mesothelin^Int Luc-ID8 ovarian cancer in C57B1/6 female mice (8 weeks after IP injection) and in vivo imaging with a biotinylated anti-mesothelin nanobody (MN) or an anti-N-glycosylated periostin (C9) coupled to labeled streptavidin (SA). Negative control (SA only): C57B1/6 mouse, injected with labeled streptavidin only.

Figure 10 shows a human mesothelin¹¹¹ EKVX lung cancer in NSG female mice (4 weeks after IV injection) and in vivo imaging with a biotinylated anti-mesothelin nanobody (MN) or an anti-N-glycosylated periostin (C9) coupled to labeled streptavidin (SA). Negative control (SA): tumor-bearing NSG mouse, injected with labeled streptavidin only.

Figure 11 shows a human mesothelin^mt H460 lung cancer in NSG female mice (IV injection, 4 weeks) and in vivo imaging with a biotinylated anti-mesothelin nanobody (MN) or an anti-N-glycosylated periostin (C9) coupled to labeled streptavidin (SA). Negative control (SA): tumor-bearing NSG mouse, injected with labeled streptavidin only.

Figure 12 shows a human mesothelin¹⁰ A549 lung cancer in NSG female mice (4 weeeks after IV injection) and in vivo imaging with a biotinylated anti-mesothelin nanobody (MN) or an anti-N-glycosylated periostin (C9) coupled to labeled streptavidin (SA). Negative control (SA only): tumor-bearing NSG mouse, injected with labeled streptavidin only.

DETAILED DESCRIPTION

Here, the present inventors have developed antigen-binding reagents that recognize a cancer-specific glycan (carbohydrate) modification on the human Periostin protein. In a previous study, the present inventors discovered an unusual bisecting N-linked glycan structure on the human Periostin protein that is specifically expressed in cancer cells such as ovarian cancer cells. See Abbott et ak, Proteomics 10(3): 470-481 (2010). The N-linked glycan structure is unusual due to the lack of galactose capping and sialic acid extensions and has been described, for example, in Allam, Heba et al.“Glycomic Analysis of Membrane Glycoproteins with Bisecting Glycosylation from Ovarian Cancer Tissues Reveals Novel Structures and Functions.” Journal of Proteome Research 14.1 (2015): 434-446. PMC.

Tumor cells typically display tumor-specific changes in glycosylation on surface glycoproteins and glycolipids that can serve as biomarkers for diagnosis as well as candidates for immunotherapy ^lA. Such changes in glycosylation are due to altered expression levels of unique glycosyltransferases and glycoproteins that lead to their surface expression and potential secretion from tumor cells. However, this area of research has been hampered by having only a few specific anti-carbohydrate antibodies useful for targeting tumor cell-specific changes in glycosylation.

One approach to develop such specific anti-carbohydrate antibodies is yeast display. These technologies can improve the affinity and specificity of recognition reagents ^{5 7}. In this method, recombinant antibodies are displayed on the yeast surface as a fusion protein to a cell wall component (Aga-2) and library generation is facilitated by the homologous recombination system inherent in yeast ⁸ _’ ⁹. Coupling flow cytometry with cell surface display of recombinant antibodies expressed as single chain Fragment variables (scFv) permits the monitoring of both scFv expression at the yeast surface and scFv binding to the antigen ¹⁰. Yeast display has also proven to be highly effective for various directed evolution applications ^{u 15}. These methods translate into time-and cost-efficient production and screening of scFvs that have enabled the identification of many functional scFvs directed toward numerous medically relevant proteins, including scFv directed against mesothelin ¹⁶, TEM1 ¹⁷ , mannose receptor ¹⁸, glypican ¹⁹, and B7-H4 ²⁰.

We have utilized the powerful advantages of the yeast display method to isolate scFv that recognize the tumor-specific bisecting glycan structures discovered in ovarian cancer ³. These glycans are generated in part by a unique glycosyltransferase GnT-III, encoded by the Mga/3 gene, which creates bisecting complex-type N-glycans by addition of a b 1 -4-linked GlcNAc to the core b-mannose of N-glycans ²¹. We previously discovered that the Mga/3 gene was highly amplified in ovarian cancer ²². The Mgat3 gene is amplified in several human cancers due to hypom ethylation changes in the promoter near the transcription start site ²³. The structures of bisecting N-glycans in ovarian cancer are different than those bisecting N-glycans found in non- malignant cells. Unexpectedly, the bisecting N-glycans from ovarian cancers show reduced branching, lack of galactose and sialic acid, with or without core fucose making this glycan structure a biomarker for ovarian cancer and possibly several other human cancers ³.

Our laboratory has used a targeted glycoproteomic approach to identify glycoproteins that carry tumor-associated bisecting glycan structures in ovarian cancer. Our analysis of secreted and membrane proteins from primary ovarian cancer tissues led to the discovery of periostin, also known as osteoblast-specific factor 2 (OSF-2) as a potential biomarker ^{3 24}.

Periostin is a secreted glycoprotein that is present in circulation and also associates with the cell membranes evidenced by the presence of periostin in membrane fractions by proteomic analysis ³. The likely mechanism of cell surface binding is due to presence of FAS1 domains that have been demonstrated to interact with the membrane in the protein fasciclin ²⁵. Despite the elevated levels of periostin in human cancers, this glycoprotein has not been utilized as a biomarker due to variable expression in inflammatory conditions ^{26 28}. This complicates the use of the protein itself as a biomarker for cancer because detection of the periostin protein levels may not correlate with the disease burden. The ability to detect the cancer-specific bisecting glycoform on periostin would be a superior biomarker for diagnostic applications and may lead to the development of new therapeutic approaches. Here, we describe our subtraction/selection process to identify a yeast-displayed scFv (scFvC9) and characterization of its specificity for tumor-specific bisecting glycan structures. We further validate the use of scFvC9 to target ovarian cancer xenograft tumors in vivo. Together these finding suggest the potential use for this antibody in diagnostic and therapeutic applications for cancers that have amplification of the Mgat3 gene.

Briefly, the present inventors produced cell lines that eliminate the enzyme that adds the bisecting glycan as well as control cell lines that produce this enzyme. They also produced a mutant version of the human periostin protein that is missing the N-linked glycosylation site. Using these cell lines, they developed a selective panning strategy for use with a scFv yeast display library derived from B cells of ovarian cancer patients. To subtract scFvs that interact with the peptide portion of the human periostin protein or interact with other glycan structures, they first panned with the cell lines that do not express the bisecting glycans yet express the periostin protein. Next, they panned with cell lines that express bisecting glycans and express the periostin protein to select scFvs that bind to the N-linked glycosylation moiety. These binders were then further screened to select clones that specifically bind to the glycan. One of the positive clones, known as C9, was further characterized and shown to specifically target the cancer-specific N-linked glycan structure on the human periostin protein and to specifically target human xenograft ovarian and lung tumors growing in several mouse cancer models. Based on this data, it becomes readily apparent that the C9 scFv may serve as the basis for the antigen-binding reagents disclosed herein, which may futher be used in a variety of compositions and methods.

Antigen-binding Reagents

In one aspect of the present invention, antigen-binding reagents are provided. As used herein, the term“antigen-binding reagent(s)” is used in the broadest sense to refer to polypeptide affinity agents based on antibodies. For example, the antigen-binding reagent may include, without limitation, a single chain antibody (e.g., single-chain Fvs (scFvs), biobodies, disulfide- linked Fvs (sdFvs), etc.) monoclonal antibody, or antibody fragments such as Fab, Fab', F(ab')2, Fv fragments, diabodies, linear antibodies, or multispecific antibodies (e.g., bispecific antibodies) formed from antibody fragments. The antigen-binding reagent may be a chimeric, a humanized, or a fully human polypeptide sequence. The antigen-binding reagent may be any one of the known major classes of immunoglobulins including IgA, IgD, IgE, IgG, IgY, and IgM, any class (e.g., IgGl, IgG2, IgG3, IgG4, IgAl and IgA2), or any subclass (e.g., IgG2a and IgG2b) of immunoglobulin molecules. In some embodiments, the antigen-binding reagent may be a scFv, a Fab, or an IgG monoclonal antibody.

The antigen-binding reagents include amino acid residues that interact with an“antigen” such as the human Periostin protein and confer on the antigen-binding reagent the capability of specifically binding to the antigen. An“antigen” is a molecule or a portion of a molecule capable of being bound by an antibody. An antigen may have one or more than one epitope. An “epitope” refers to that portion of any molecule capable of being recognized by, and bound by, an antigen-binding reagent. Generally, epitopes include a surface grouping of molecules, for example, amino acids or carbohydrate moeities that form a specific three-dimensional structure recognized by the antigen-binding reagent.

The antigen-binding reagents further may include the“framework” amino acid residues necessary to maintain the proper conformation of the antigen-binding amino acid residues and/or amino acid residues commonly found in some types of antibodies that modulate the immune system (e.g., Fc effector functions such as complement-dependent cytotoxicity (CDC), antibody- dependent cellular cytotoxicity (ADCC), and/or antibody-dependent cell phagocytosis (ADCP)).

The antigen-binding amino acid residues of the antigen-binding reagents are commonly known as the“complementarity determining regions” or“CDR” regions. These CDR regions account for the basic specificity of the antigen-binding reagent for a particular antigenic determinant structure. The CDRs are non-contiguous stretches of amino acids within the variable regions of antibodies. The variable heavy and light chains of some antibodies each have three CDR regions, each non-contiguous with the others (termed Ll, L2, L3, Hl, H2, H3) for the respective light (L) and heavy (H) chains. Surprisingly, the present inventors have found that the C9 biobody disclosed in the Examples contains three heavy chain CDR regions (Hl, H2, H3) and only a single light chain CDR region (L3).

The antigen-binding reagent may be capable of specifically binding to a human Periostin glycoprotein. Periostin (also known as POSTN, PN, or osteoblast-specific factor OSF-2) is a human glycoprotein that functions as a ligand for alpha-V/beta-3 and alpha-V/beta-5 integrins to control cell motility. Periostin is also known to be glycosylated and, in a previous study, the present inventors discovered an unusual bisecting N-linked glycan structure on the human Periostin protein that is specifically expressed in cancer cells such as ovarian cancer cells. See Abbott et ak, Proteomics 10(3): 470-481 (2010). An exemplary protein sequence of human Periostin including an N-terminal sequence peptide is provided as SEQ ID NO: 9.

Optionally, the antigen-binding reagent may specifically bind to a human Periostin glycoprotein with an affinity of at least 10 ⁶ M, 10 ⁷ M, 10 ⁸ M, 10 ⁹ M, 10 ¹⁰ M, or 10 ¹¹ M. Methods for determining the affinity of an antigen-binding reagent are known by those of ordinary skill in the art. See, e.g., Antibodies: A Lab. Manual (Harlow et ak, eds., Cold Spring Harbor Lab. Press, Cold Spring Harbor, N.Y., 1988).

The antigen-binding reagent may specifically bind to a glycan epitope of the human Periostin glycoprotein. The glycan epitope may be specifically present on Periostin glycoproteins present on cancer cells. In some embodiments, the glycan epitope includes an N- linked glycan structure.

In accordance with the present invention, cancer cells may include, without limitation, epithelial cancer cells, ovarian cancer cells, lung cancer cells, breast cancer cells, pancreatic cancer cells, prostate cancer cells, bladder cancer cells, gastric cancer cells, esophagealcancer cells, colon cancer cells, skin cancer cells, testicular cancer cells, colorectal cancer cells, urothelial cancer cells, renal cancer cells, hepatocellular cancer cells, leukemia cancer cells, lymphoma cancer cells, multiple myeloma cancer cells, and central nervous system cancer cells.

The antigen-binding reagent may include the following complementarity-determining regions (CDRs): CDR Hl, GFIFDDYAMH (SEQ ID NO: 1), CDR H2, NSGHIDYADSVEGRFT (SEQ ID NO: 2), CDR H3, VSYLSTASSLDY (SEQ ID NO: 3), CDR L3, QRYNRAPYT (SEQ ID NO: 4). In some embodiments, the antigen-binding reagent may include a heavy chain variable region including SEQ ID NO: 5 and a light chain variable region including SEQ ID NO: 6. In some embodiments, the antigen-binding reagent may include SEQ ID NO: 7 (C9 scFv protein sequence).

Antigen-binding conjugates

In another aspect of the present invention, antigen-binding conjugates are provided. The antigen-binding conjugates may include any one of the antigen-binding reagents described herein linked to an agent. An“agent” may be any substance that provides additional functionality to the antigen-binding reagents. Suitable agents include, without limitation, detectable imaging agents, therapeutic agents, immunoprotein domains, or combinations thereof.

A“detectable imaging agent” may be any suitable chemical or substance that may be detected as a signal or contrast using imaging techniques. Suitable detectable imaging agents may be, without limitation, a fluorophore moiety, an enzyme moiety, an optical moiety, a magnetic moiety, a radiolabel moiety, an X-ray moiety, an ultrasound imaging moiety, a nanoparticle-based moiety, or a combination of two or more of the listed moieties.

A“fluorophore moeity” may include any molecule capable of generating a fluorescent signal. Various fluorophore moieties are well-known in the art and/or commercially available. Exemplary fluorophore moeities include, without limitation, fluorescein, FITC, Alexa Fluor 488, Alexa Fluor 660, Alexa Fluor 680, Alexa Fluor 750, and Alexa Fluor 790 (Life Technologies); Cy2, Cy3, Cy3.5, Cy5, Cy5.5 and Cy7 (GE Healthcare); DyLight 350, DyLight 488, DyLight 594, DyLight 650, DyLight 680, DyLight 755 (Life Technologies); IRDye 800CW, IRDye 800RS, and IRDye 700DX (Li-Cor); VivoTag680, VivoTag-S680, and VivoTag-S750 (PerkinElmer). An“enzyme moiety” refers to polypetides that catalyze the production of a detectable signal. Exemplary enzyme moieties may include, without limitation, horseradish peroxidase (HRP), alkaline phosphatase (AP), glucose oxidase, or b-galactosidase.

“Optical moieties” may include, for example, any agents that may be used to produce contrast or signal using optical imaging such as luminescence or acousto-optical moieties.

“Magnetic moieties” may include, for example, a chelating agent for magnetic resonance agents. Chelators for magnetic resonance agents can be selected to form stable complexes with paramagnetic metal ions, such as Gd(III), Dy(III), Fe(III), and Mn(II).

Other exemplary detectable imaging agents may include radiolabel moieties. Exemplary radioactive labels may include, without limitation, "Mo, ^99mTc, ⁶⁴Cu, ⁶⁷Ga, ¹⁸⁶Re, ¹⁸⁸Re, ¹⁵³Sm, ¹⁷⁷LU, ⁶⁷CU, ¹²³I, ¹²⁴I, ¹²⁵I, ⁿC, ^X3N, ¹⁵0, and ¹⁸F.

“X-ray moieties” may include, for example, any agents that may be used to produce contrast or signal using X-ray imaging such as iodinated organic molecules or chelates of heavy metal ions.

ETltrasound imaging moieties may include, for example, any agents that may be used to produce contrast or signal using ultrasound imaging such as Levovist, Albunex, or Echovist.

A detectable imaging agent may also be a nanoparticle-based moiety. A nanoparticle- based moiety is a nanoparticle that is capable of generating a signal. For example, silicon containing nanoparticles may be used to produce fluoresecence, luminescence, or another type of signal. Other exemplary nanoparticle-based moieties include, without limitation, nanospheres such as Kodak X-SIGHT 650, Kodak X-SIGHT 691, Kodak X-SIGHT 751 (Fisher Scientific); metal oxide nanoparticles; and quantum dots such as EviTags (Evident Technologies) or Qdot probes (Life Technologies). Nanoparticles may also be used to link or conjugate the antigen binding reagents to a toxin or other cytotoxic agent or cytotoxic compound.

A“therapeutic agent” may be any substance that provides a therapeutic functionality when conjugated to an antigen-binding reagent. For example, antibody-drug conjugates including the antigen-binding reagents disclosed herein are contemplated. Suitable therapeutic agents may include, without limitation, cytotoxic compounds, and particularly those shown to be effective in other antibody-drug conjugates. As used herein, a“cytotoxic compound” refers to any substance that disrupts the functioning of cells and/or causes the death of cells. Various therapeutic cytotoxic compounds are known in the art and may include, without limitation, DNA damaging agents, anti-metabolites, natural products and their analogs. Exemplary classes of cytotoxic compounds include enzyme inhibitors such as dihydrofolate reductase inhibitors, and thymidylate synthase inhibitors, tubulin inhibitors, DNA intercalators, DNA cleavers, topoisom erase inhibitors, the anthracy cline family of drugs, the vinca drugs, the mitomycins, the bleomycins, the cytotoxic nucleosides, the pteridine family of drugs, diynenes, the podophyllotoxins, dolastatins, auristatins, maytansinoids, differentiation inducers, and taxols.

More specifically, suitable cytoxic compounds may include 5-fluorouracil, aclacinomycin, activated cytoxan, bisantrene, bleomycin, carmofur, CCNU, cis-platinum, daunorubicin, doxorubicin, DTIC, melphalan, methotrexate, mithromycin, mitomycin, mitomycin C, peplomycin pipobroman, plicamycin, procarbazine, retinoic acid, tamoxifen, taxol, tegafur, VP16, VM25, diphtheria toxin, botulinum toxin, geldanamycin, maytansinoids (including DM1), monomethylauristatin E (MMAE), monomethylauri statin F (MMAF), and maytansinoids (DM4) and their analogues.

Exemplary cyotoxic compounds may also include therapeutic radiopharmaceuticals including, without limitation, ¹⁸⁶Re, ¹⁸⁸Re, ¹⁵³ Sm, ⁶⁷Cu, ¹⁰⁵Rh, ^mAg, and ¹⁹²Ir.

In one embodiment the antigen-binding reagents may be used to initiate antibody- dependent cellular cytotoxicity (ADCC) and may thus be used to kill the cancer cells. The ADCC data in the examples demonstrates that when the scFvC9 is linked to full length IgG (such as the anti-cmyc used int eh Examples), it can initiaite an effective ADCC response. The V5 tag antibody described herein may perform similarly.

Preparation of antibody-drug conjugates is generally known in the art and can be performed by conventional methods analogous to those described in, for example, Doronina et ak, Bioconjugate Chem. 2006, 17, 114-124. See also for example ET.S. Pat. Nos. 8,067,546,

8,039,273, 7,989,434, 7,851,437, 7,837,980, 7,829,531, 7,705,045 8,034,959, 8,034,787,

7,968,586, 7,847,105, and 7,223,837.

An“immunopolypeptide” may be any polypeptide that facilitates an immune function. For example, the antigen-binding reagents disclosed herein may be combined with further immunopolypeptides to produce new chimeric antigen receptors (CARs) specific for Periostin. CARs may include a targeting moiety such as any of the antigen-binding reagents disclosed herein, and additional“immunopolypeptides” such as a transmembrane domain, and intracellular signaling/activation domain(s). Intracellular signaling/activation domain(s) suitable as immunopolypeptides include, without limitation, OP)3z signaling domains, 41BB -signaling domains, CD28-signaling domains, or combinations thereof. The immunopolypeptide may also be immunoglobulin domains important in developing dendritic based vaccines.

The antigen-binding reagent and agent may be linked directly by a covalent bond or may be linked using a linker or spacer moiety. Useful linker or spacer moieties include peptides, amino acids, nucleic acids, as well as homofunctional linkers or heterofunctional linkers. Particularly useful conjugation reagents that can facilitate formation of a covalent bond between an antigen-binding reagent and agent may include a N-hydroxysuccinimide (NHS) ester and/or a maleimide. In some embodiments, the antigen-binding reagent and agent are linked at the N- terminal end of the antigen-binding reagent. In some embodiments, the antigen-binding reagent and are are linked at the C-terminal end of the antigen-binding reagent. In some embodiments, the linker is at least 2, 3, 4, 5, 6, 7, 8, or more amino acids long.

In embodiments covering antibody-drug conjugates, the linker may be cleavable under intracellular or extracellular conditions, such that cleavage of the linker releases the therapeutic agent from the antigen -binding reagent in the appropriate environment. For example, the linker may be cleavable by extracellular or intracellular proteases including, without limitation, lysosomal or endosomal proteases. Suitable linkers cleavable by an intracellular protease may include a Val-Cit linker or a Phe-Lys linker. See, e.g., U.S. Pat. No. 6,214,345.

In some embodiments, the therapeutic agent may be released after degradation of the antigen-binding reagent and/or linker in, for example, lysosomes. See, e.g. , U.S. Publication No. 2005/0238649.

The linker may be cleavable by a cleaving agent that is present in the intracellular environment (e.g., within a lysosome or endosome or caveolea).

In some embodiments, the linker may be cleavable by cathepsins B and D and plasmin, all of which are known to hydrolyze dipeptide drug derivatives resulting in the release of active drug inside target cells.

The linker may be pH-sensitive, for example, sensitive to hydrolysis at certain pH values. Typically, a pH-sensitive linker is hydrolyzable under acidic conditions. For example, an acid- labile linker that is hydrolyzable in the lysosome (for example, a hydrazone, semicarbazone, thiosemicarbazone, cis-aconitic amide, orthoester, acetal, ketal, thioether, or the like) may be used. See, e.g. , U.S. Pat. Nos. 5,122,368; 5,824,805; 5,622,929. Such linkers are relatively stable under neutral pH conditions, like in the blood, but are unstable at below pH 5.5, the approximate pH of the lysosome.

In some embodiments, the linker may be cleavable under reducing conditions (e.g., a disulfide linker). A variety of disulfide linkers are known in the art, including, for example, those that can be formed using SATA (N-succinimidyl-5-acetylthioacetate) and SPDB (N- succinimidyl-3-(2-pyridyldithio)butyrate).

In some embodiments, the linker is self-immolative. See, e.g., WO 2007059404A2, W006110476A2, W005112919A2, W02010/062171, W009/017394, W007/089149, WO 07/018431, WO04/043493 and W002/083180.

A variety of exemplary linkers that can be used with the present invention are described in WO 2004010957, U.S. Publication No. 2006/0074008, U.S. Publication No. 20050238649, and U.S. Publication No. 2006/0024317.

In some embodiments, the antigen-binding reagent and the agent are linked by a tag system. A tag system includes any group of agents capable of binding one another with a high affinity. Several tag systems are well-known in the art and include, without limitation, biotin/avidin, biotin/streptavidin, or digoxigenin (DIG) systems. In some embodiments, the tag system includes biotin/avidin or biotin/streptavidin. In such embodiments, the antigen-binding reagent may be modified at either the N-terminus or C-terminus to include biotin while the agent may be modified to include streptavidin or avidin. Alternatively, the antigen-binding reagent may be modified at either the N-terminus or C-terminus end to include streptavidin or avidin while the agent may be modified to include biotin.

Cells

In a further aspect of the present invention, cells are provided. The cells may include any one of the antigen-binding reagents or any one of the antigen-binding conjugates described herein. The cells may be mammalian cells such as, without limitation, human cells.

In some embodiments, the cells may be cancerous cells such as, without limitation, ovarian cancer cells or lung cancer cells.

In some embodiments, the cells may be immune cells such as, without limitation, T cells or Natural Killer (NK) cells. For example, the immune cells may be engineered immune cells, such as T cells or NK cells, including the chimeric antigen receptors (CARs) described herein.

Pharmaceutical Compositions In a still further aspect of the present invention, pharmaceutical compositions are provided. The pharmaceutical compositions may include any of the antigen-binding reagents, any of the antigen-binding conjugates, or any of the cells disclosed herein and a pharmaceutical carrier, excipient, or diluent, which are nontoxic to the cell or subject being exposed thereto at the dosages and concentrations employed. Often a pharmaceutical diluent is in an aqueous pH buffered solution. Examples of pharmaceutical carriers include buffers such as phosphate, citrate, and other organic acids; antioxidants including ascorbic acid; low molecular weight (less than about 10 residues) polypeptide; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, arginine or lysine; monosaccharides, di saccharides, and other carbohydrates including glucose, mannose, or dextrins; chelating agents such as EDTA; sugar alcohols such as mannitol or sorbitol; salt-forming counterions such as sodium; and/or nonionic surfactants such as TWEEN™ brand surfactant, polyethylene glycol (PEG), and PLEIRONICS™ surfactant.

Methods

Various in vitro and in vivo diagnostic and/or therapeutic methods using the compositions disclosed herein are contemplated.

In a further aspect, the present invention relates to methods for imaging cancer cells in a subject. The methods may include administering in an effective amount any of the antigen binding reagents, any of the antigen-binding conjugates, or any of the pharmaceutical compositions described herein to the subject, and generating an image of at least a portion of the subject using an imaging modality. Preferably in these method embodiments, the imaging of cells bound to the antigen-binding reagent, antigen-binding conjugate, or pharmaceutical composition is indicative of the cells being cancer cells.

As used herein, the term“subject” refers to both human and non-human animals. The term“non-human animals” of the disclosure includes all vertebrates, e.g ., mammals and non mammals, such as non-human primates, sheep, dog, cat, horse, cow, chickens, amphibians, reptiles, and the like. Suitably, the subject is a human patient.

As used herein,“imaging modality” may include any technology capable of generating an image of a subject. In some embodiments, the imaging modality may be selected from the group consisting of ultrasound, positron-emission tomography (PET), photon emission computed tomography (SPECT), nuclear magnetic resonance imaging (NMRI), optical imaging (01) and computed tomography (CT). For example, in some embodiments of the present methods, the present inventors contemplate that some of the compositions disclosed herein may be used in conjunction with ultrasound technologies to image pelvic masses in a subject to determine whether such masses are benign or cancerous. Such diagnostic imaging methods would be useful prior to removal of the pelvic mass because the prognosis of the subject after removal of the pelvic mass is directly related to the type of surgeon that performs the surgery. If the imaging methods indicate that the pelvic mass is cancerous, the subject may be directed to a surgeon specializing in removing cancerous tissue. On the other hand, if the imaging methods indicate that the pelvic mass is benign, the subject may be directed to a general surgeon whom may remove the mass and may not have any particular experience in removing cancerous tissue. In some embodiments of such methods, antigen-binding conjugates disclosed herein including one or more ultrasound imaging moieties may be administered to the subject and then ultrasound images may generated of the pelvic region of the subject using, for example, transvaginal or other ultrasound imaging technologies. If the ultrasound image shows significant detectable signal from the ultrasound imaging moiety in or around the pelvic mass this would indicate that the pelvic mass is cancerous.

In another aspect, the present invention relates to methods of detecting cancer cells in a subject sample. The methods may include obtaining a sample from the subject, contacting the sample with any of the antigen-binding reagents or any of the antigen-binding conjugates disclosed herein, and detecting binding of the antigen-binding reagent or antigen-binding conjugate to cells in the sample. Suitably, binding of the antigen-binding reagent or the antigen binding conjugate to the cells is indicative of the cells being cancer cells. Alternatively, the methods may include admininstering an imaging or other detectable agent linked to the antigen binding reagents provided herein to the subject and then detecting binding of the antigen-binding reagent or antigen-binding conjugate to cells in the subject. The ability of the antigen-binding reagent to bind cells in the subject and produce a detectable signal is indicative of the subject having cancer. The administration can be carried out by any means available to those skilled in the art and will vary depending on the type of cancer suspected.

The“sample” may include cells. In particular, the methods described herein may be performed without requiring a tissue sample or biopsy. “Sample” is intended to include any sampling of cells, tissues, or bodily fluids in which cancer cells may be detected. Examples of such samples include, without limitation, blood, serum, urine, synovial fluid, saliva, or any other bodily secretion or derivative thereof. Blood can include whole blood, plasma (citrate, EDTA, heparin), serum, or any derivative of blood. Samples may be obtained from a subject by a variety of techniques available to those skilled in the art. Methods for collecting various samples are well known in the art. In some embodiments, the sample is serum or plasma.

As used herein,“contacting” may be carried out through any of the variety of procedures used to apply compositions to samples that will be apparent to the skilled artisan including, without limitation, simple addition of the composition to the sample.

Methods suitable for“detecting” the binding of the antigen-binding reagent or antigen binding conjugate to cells in the sample are known to those of skill in the art and may include, without limitation, ELISA, immunofluorescence, FACS analysis, Western blot, magnetic immunoassays, and antibody-based microarrays. In the past, the gold standard for detection of cells in blood was the use of ELISAs; however, liquid biopsy technologoies offer an attractive alternative approach for cellular analysis.

In a further aspect, the present invention relates to methods of treating cancer cells in a subject. The methods may include administering to the subject an effective amount any of the antigen-binding reagents, any of the antigen-binding conjugates, any of the cells, or any of the pharmaceutical compositions disclosed herein to treat the cancer in the subject. The cancer and cancer cells include cancers and cancer cells with increased expression of the Mgat3 gene. These cancers include, but are not limited to, ovarian, lung, glioblastoma, kidney clear cell, uterine corpus endometriroid, rectum adenocarcinoma, colon, and adenocarcinoma. In lung cancers lung squamous cell and lung adenocarcinoma are reported to have increased Mgat3 expression and thus would be candidates for the methods provided herein. Several cancers have been identified (see ref. 23) and the inventors expect additional cancers will be identified that have epigenetic hypomethylation changes to Mgat3.

Treating cancer cells includes, without limitation, reducing the number of cancer cells or the size of a tumor in the subject, reducing progression of a cancer to a more aggressive form, reducing proliferation of cancer cells or reducing the speed of tumor growth, killing of cancer cells, reducing metastasis of cancer cells or reducing the likelihood of recurrence of a cancer in a subject. Treating a subject as used herein refers to any type of treatment that imparts a benefit to a subject afflicted with cancer or at risk of developing cancer or facing a cancer recurrence. Treatment includes improvement in the condition of the subject (e.g., in one or more symptoms), delay in the progression of the disease, delay in the onset of symptoms or slowing the progression of symptoms, etc.

In some embodiments of the present methods, the methods may further include administering an effective amount of an anti-cancer therapeutic agent to the subject.

The“anti-cancer therapeutic agent” may be any therapeutic agent that is used to treat cancer in a subject. Suitable anti-cancer therapeutic agents may include, without limitation, radiation, chemotherapy agents, anti-cancer biologies, or immunotherapy agents. Chemotherapy agents are chemotherapeutic compounds that may be used to treat cancer. Suitable chemotherapy agents may include, without limitation, 5-fluorouracil, aclacinomycin, activated cytoxan, bisantrene, bleomycin, carmofur, CCNU, cis-platinum, daunorubicin, doxorubicin, DTIC, melphalan, methotrexate, mithromycin, mitomycin, mitomycin C, peplomycin pipobroman, plicamycin, procarbazine, retinoic acid, tamoxifen, taxol, tegafur, VP 16, or VM25.

Anti-cancer biologies are biomolecules (e.g., polynucleotides, polypeptides, lipids, or carbohydrates) that may be used to treat cancer. Anti-cancer biologies may include, without limitation, hormones, cytokines such as IL-la, IL-2, IL-2P, IL-3, IL-4, CTLA-2, IFN-a, IFN-g, granulocyte-macrophage colony stimulating factor (GM-CSF), IL-12, IL-23, IL-15, IL-7, or any combination thereof; or anti-cancer antibodies such as Rituximab, Trastuzumab, Gemtuzumab, Alemtuzumab, Ibritumomab tiuxetan, Tositumomab, Cetuximab, Bevacizumab, Panitumumab, Ofatumumab, Brentuximab Vedotin, Pertuzumab, Adotrastuzumab emtansine, and Obinutuzumab.

The term“immunotherapy agent(s)” refers to any therapeutic that is used to treat cancer in a subject by inducing and/or enhancing an immune response in that subject. Immunotherapy agents may include, without limitation, checkpoint inhibitors, cancer vaccines, immune cells such as engineered T cells, anti-cancer viruses, or bispecific antibodies.

Checkpoint inhibitors are therapeutics, such as antibodies, that block the immune checkpoint pathways in immune cells that are responsible for maintaining self-tolerance and modulating the degree of an immune response. Tumors often exploit certain immune checkpoint pathways as a major mechanism of immune resistance against T cells that are specific for tumor antigens. Many of the immune checkpoints are initiated by receptor-ligand interactions and thus may be blocked by antibodies to either the ligand or receptor or may be modulated by soluble recombinant forms of the ligands or receptors. Such immune checkpoint blockade allows tumor- specific T cells to continue to function in an otherwise immunosuppressive tumor microenvironment. Exemplary checkpoint inhibitors include, without limitation, antibodies or other therapeutics targeting programmed cell death protein 1 (PD1, also known as CD279), programmed cell death 1 ligand 1 (PD-L1, also known as CD274), PD-L2, cytotoxic T- lymphocyte antigen 4 (CTLA4, also known as CD 152), A2AR, CD27, CD28, CD40, CD80, CD86, CD 122, CD137, 0X40, GITR, ICOS, TIM-3, LAG3, B7-H3, B7-H4, BTLA, IDO, KIR, or VISTA. Suitable anti -PD 1 antibodies include, without limitation, lambrolizumab (Merck MK-3475), nivolumab (Bristol-Myers Squibb BMS-936558), AMP-224 (Merck), and pidilizumab (CureTech CT-011). Suitable anti-PD-Ll antibodies include, without limitation, MDX-1105 (Medarex), MEDI4736 (Medimmune) MPDL3280A (Genentech/Roche) and BMS- 936559 (Bristol-Myers Squibb). Exemplary anti-CTLA4 antibodies include, without limitation, ipilimumab (Bristol-Myers Squibb) and tremelimumab (Pfizer).

Cancer vaccines stimulate the body’s immune system to attack cancer cells. Cancer vaccines generally include a tumor antigen in an immunogenic formulation that activates tumor antigen-specific helper T cells and/or cytotoxic T cells and B cells. Vaccines can be in a variety of formulations, including, without limitation, dendritic cells, monocytes, viral, liposomal and DNA vaccines. Suitably, the dendritic cells are autologous and transfected with tumor cells or tumor antigens. Dendritic cells are immune cells that present antigens to T cells, which prompted their application in therapeutic cancer vaccines. Following the loading of dendritic cells with tumor antigens ex vivo , the dendritic cells may be administered as a cellular vaccine which has been found to induce protective and therapeutic anti-tumor immunity. Exemplary cancer vaccines include, without limitation, Sipuleucel-T (Provenge®, or APC8015). Sipuleucel-T is an FDA-approved cancer vaccine developed from autologous dendritic cells (DC) loaded with engineered fusion protein of prostatic acid phosphatase (PAP) and granulocyte-macrophage colony-stimulating factor (GM-CSF).

An immunotherapy agent may include immune cells (i.e., T cells or B cells) that are adoptively transferred into a subject to attack or reduce cancer cells or cancer cell growth. The immune cells may be autologous or derived from a subject that is different from the subject receiving the immune cells and modified to reduce rejection. The immune cells may also have a natural or genetically engineered reactivity to a subject’s cancer. For example, natural autologous T cells have been shown to be effective in treating metastatic cancers. See, e.g ., Rosenberg SA et al., Nat. Rev. Cancer 8 (4): 299-308 (2008). Natural autologous T cells may be found within a resected subject’s tumor. Such T cells can be induced to multiply in vitro using high concentrations of IL-2, anti-CD3 and allo-reactive feeder cells. These T cells are then transferred back into the subject along with, for example, exogenous administration of IL-2 to further boost their anti-cancer activity.

The T cells may also include engineered T cells. Engineered T cells are T cells that have been genetically modified so as to direct T cells to specifically destroy a subject’s cancer cells. Engineered T cells may, for example, include T cells that have been genetically modified to express chimeric antigen receptor (CAR) proteins or“CAR T cells.”

An immunotherapy agent may include an oncolytic virus. As used herein, an“oncolytic virus” refers to any virus that may be used to treat cancer. Exemplary oncolytic viruses include, without limitation, PVS-RIPO, T-VEC, and Onyx-0l5. PVS-RIPO is a genetically modified oral poliovirus that has been fast-tracked by the FDA for the treatment of recurrent glioblastoma multiforme (GBM). T-VEC (Imlygic) is an FDA-approved oncolytic virus for the treatment of melanoma in patients with inoperable tumors. Onyx-015 is an oncolytic adenovirus.

Bispecific antibodies may also be used as an immunotherapy agent in accordance with the present invention. A bispecific antibody is an antibody having binding sites for a tumor- associated antigen and for a T-cell surface receptor that can direct the lysis of specific tumor cells by T cells. Bispecific antibodies have been used, for example, to successfully treat brain tumors in human patients. See, e.g., Nitta et al., Lancet 355:368-371 (1990). Numerous methods to produce bispecific antibodies are known in art including, without limitation, the quadroma method {See, e.g., Milstein and Cuello, Nature, 305:537-540 (1983)), use of heterobifunctional cross-linkers to chemically tether two different antibodies or antibody fragments {See, e.g, Staerz et al., Nature 314:628-631 (1985); European Patent Application 0453082), or DOCK-AND-LOCK methods {See, e.g, U.S. Patent Numbers 7,550,143; 7,521,056; 7,534,866; 7,527,787 and 7,666,400).

A bispecific antibody may include a trifunctional antibody that includes two heavy and two light chains, one each from two different antibodies. The two Fab regions are directed against two antigens while the Fc region is made up from the two heavy chains and forms the third binding site, which typically may elicit effector functions. A bispecific antibody may include chemically linked Fab regions, various types of bivalent and trivalent single-chain variable fragments (scFvs), or fusion proteins mimicking the variable domains of two antibodies. Suitable bispecific antibodies include, without limitation, Removab (Trion Pharma), Blincyto (Amgen), AMG-110 (Amgen), ABT-122 (Abbvie), ABT-981 (Abbvie), AFM13 (Affimed Therapeutics), MM-l l l (Merrimack Pharmaceuticals), SAR156597 (Sanofi), RG7221 (Roche), RG6013 (Roche), RG7597 (Roche), ALX-0761 (Ablynx), MCLA-128 (Merus), MEDI-565 (AMG-211), MGD006 (Macrogenics), and REGN1979 (Regeneron).

An“effective amount” or a“therapeutically effective amount” as used herein means the amount of a composition (e.g. antigen-binding reagents, antigen-binding conjugates, cells, pharmaceutical compositions or anti-cancer therapeutic agents) that, when administered to a subject for treating a state, disorder or condition is sufficient to effect a treatment (as defined above). The therapeutically effective amount will vary depending on the compound, formulation or composition, the disease and its severity and the age, weight, physical condition and responsiveness of the subject to be treated.

In accordance with the present methods, the compositions (e.g., antigen-binding reagents, antigen-binding conjugates, cells, or anti-cancer therapeutic agents) and pharmaceutical compositions described herein may be“administered” by any means known to those skilled in the art, including, without limitation, intravenously, intra-tumoral, intra-lesional, intradermal, topical, intraperitoneal, intramuscular, parenteral, subcutaneous and topical administration Thus the compositions may be formulated as an injectable, topical or ingestible, suppository formulation. Administration of the compositions and pharmaceutical compositions to a subject in accordance with the present invention may exhibit beneficial effects (e.g., therapeutically or diagnostically) in a dose-dependent manner. Thus, within broad limits, administration of larger quantities of the compositions is expected to achieve increased beneficial biological effects than administration of a smaller amount. Moreover, efficacy is also contemplated at dosages below the level at which toxicity is seen.

It will be appreciated that the specific dosage of a composition (e.g. antigen-binding reagents, antigen-binding conjugates, cells, pharmaceutical compositions or anti-cancer therapeutic agents) administered in any given case will be adjusted in accordance with the composition or compositions being administered, the volume of the composition that can be effectively delivered to the site of administration, the disease to be treated or inhibited, the condition of the subject, and other relevant medical factors that may modify the activity of the compositions or the response of the subject, as is well known by those skilled in the art. For example, the specific dose of a composition (e.g. antigen-binding reagents, antigen-binding conjugates, cells, pharmaceutical compositions or anti-cancer therapeutic agents) for a particular subject depends on age, body weight, general state of health, diet, the timing and mode of administration, the rate of excretion, medicaments used in combination and the severity of the particular disorder to which the therapy is applied. Dosages for a given patient can be determined using conventional considerations, e.g., by customary comparison of the differential activities of the compositions described herein and of a known agent, such as by means of an appropriate conventional pharmacological protocol. The compositions can be given in a single dose schedule, or in a multiple dose schedule.

The maximal dosage of a (e.g. antigen-binding reagents, antigen-binding conjugates, cells, pharmaceutical compositions or anti-cancer therapeutic agents) for a subject is the highest dosage that does not cause undesirable or intolerable side effects. The number of variables in regard to an individual treatment regimen is large, and a considerable range of doses is expected. The route of administration will also impact the dosage requirements. It is anticipated that dosages of the compositions will treat cancer by, for example, by reducing tumor size or decreasing the rate of tumor growth by least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100% or more as compared to no treatment.

The effective dosage amounts of a (e.g. antigen-binding reagents, antigen-binding conjugates, cells, pharmaceutical compositions or anti-cancer therapeutic agents) herein refer to total amounts administered, that is, if more than one composition is administered, the effective dosage amounts of a composition corresponds to the total amount administered. The compositions can be administered as a single dose or as divided doses. For example, the composition may be administered two or more times separated by 4 hours, 6 hours, 8 hours, 12 hours, a day, two days, three days, four days, one week, two weeks, or by three or more weeks.

The compositions (e.g. antigen-binding reagents, antigen-binding conjugates, cells, pharmaceutical compositions or anti-cancer therapeutic agents) described herein may be administered one time or more than one time to the subject to effectively treat cancer. Suitable dosage ranges for a composition may be of the order of several hundred micrograms of the inhibitor and/or agent with a range from about 0.001 to 10 mg/kg/day, preferably in the range from about 0.01 to 1 mg/kg/day. Precise amounts of a composition required to be administered depend on the judgment of the practitioner and may be peculiar to each subject. It will be apparent to those of skill in the art that the therapeutically effective amount of the compositions and pharmaceutical compositions described herein will depend, inter alia, upon the administration schedule, the unit dose of agent administered, whether the composition is administered in combination with other therapeutic agents, the status and health of the recipient, and the therapeutic activity of the particular composition.

The effectiveness of an anti-cancer therapeutic agent may be enhanced by at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95%, or at least 100% when combined with a composition (e.g. antigen-binding reagents, antigen-binding conjugates, cells, pharmaceutical compositions) disclosed herein and relative to a control treated with the anti-cancer therapeutic agent alone. Suitably, the compositions and methods described herein may reduce the size of a tumor or the spread of a tumor in a subject by at least 5%, preferably at least 10%, at least 15%, at least 20%, at least 25%, at least 30%, at least 35%, at least 40%, at least 45%, at least 50%, at least 55%, at least 60%, at least 65%, at least 70%, at least 75%, at least 80%, at least 85%, at least 90%, at least 95% or at least 99% relative to a control such as saline or relative to administration of the anti-cancer therapeutic agent alone.

The present disclosure is not limited to the specific details of construction, arrangement of components, or method steps set forth herein. The compositions and methods disclosed herein are capable of being made, practiced, used, carried out and/or formed in various ways that will be apparent to one of skill in the art in light of the disclosure that follows. The phraseology and terminology used herein is for the purpose of description only and should not be regarded as limiting to the scope of the claims. Ordinal indicators, such as first, second, and third, as used in the description and the claims to refer to various structures or method steps, are not meant to be construed to indicate any specific structures or steps, or any particular order or configuration to such structures or steps. All methods described herein can be performed in any suitable order unless otherwise indicated herein or otherwise clearly contradicted by context. The use of any and all examples, or exemplary language (e.g.,“such as”) provided herein, is intended merely to facilitate the disclosure and does not imply any limitation on the scope of the disclosure unless otherwise claimed. No language in the specification, and no structures shown in the drawings, should be construed as indicating that any non-claimed element is essential to the practice of the disclosed subject matter. The use herein of the terms“including,”“comprising,” or“having,” and variations thereof, is meant to encompass the elements listed thereafter and equivalents thereof, as well as additional elements. Embodiments recited as“including,”“comprising,” or “having” certain elements are also contemplated as“consisting essentially of’ and“consisting of’ those certain elements.

Recitation of ranges of values herein are merely intended to serve as a shorthand method of referring individually to each separate value falling within the range, unless otherwise indicated herein, and each separate value is incorporated into the specification as if it were individually recited herein. For example, if a concentration range is stated as 1% to 50%, it is intended that values such as 2% to 40%, 10% to 30%, or 1% to 3%, etc., are expressly enumerated in this specification. These are only examples of what is specifically intended, and all possible combinations of numerical values between and including the lowest value and the highest value enumerated are to be considered to be expressly stated in this disclosure. Use of the word“about” to describe a particular recited amount or range of amounts is meant to indicate that values very near to the recited amount are included in that amount, such as values that could or naturally would be accounted for due to manufacturing tolerances, instrument and human error in forming measurements, and the like. All percentages referring to amounts are by weight unless indicated otherwise.

No admission is made that any reference, including any non-patent or patent document cited in this specification, constitutes prior art. In particular, it will be understood that, unless otherwise stated, reference to any document herein does not constitute an admission that any of these documents forms part of the common general knowledge in the art in the United States or in any other country. Any discussion of the references states what their authors assert, and the applicant reserves the right to challenge the accuracy and pertinence of any of the documents cited herein. All references cited herein are fully incorporated by reference in their entirety, unless explicitly indicated otherwise. The present disclosure shall control in the event there are any disparities between any definitions and/or description found in the cited references. Unless otherwise specified or indicated by context, the terms“a”,“an”, and“the” mean “one or more.” For example,“a protein” or“an RNA” should be interpreted to mean“one or more proteins” or“one or more RNAs,” respectively.

The following examples are meant only to be illustrative and are not meant as limitations on the scope of the invention or of the appended claims.

EXAMPLES

Example 1 - Selection and Characterization of a Novel scFv Antibody that Targets Tumor- Specific N-linked Glycans

MATERIALS AND METHODS

Cell lines

Periostin cDNA cloned into a retroviral vector was a gift from Dr. Xiao-Fan Wang (Duke University, Durham, NC). Virus was produced using 293-GP2 packaging cells and the VSV-G envelope prior to transduction into recipient cells (Lec4, Pro5, OVCAR3 ) to create periostin (PN) expressing cell lines used for depletions and enrichments. The CHO cell lines Lec4 and Pro5 were gifts from Dr. Pamela Stanley (Albert Einstein College of Medicine, Bronx, NY). The OVCAR3 and OVCA26 control and GnT-III shRNA cell lines have previously been described ^{3 ,29}. Human mesothelin A1847, C30, and human mesothelin Luc-ID8 cell lines were generated by Dr. Scholler (SRI International, Menlo Park, CA).

Western blot analysis

Cell culture supernatant (50 mL) was collected from OVCAR3-PN, Pro5-PN, and Lec4- PN cells with the addition of protease inhibitors. Periostin was purified on anti-Flag resin (Sigma-Aldrich) according to the manufacturer instructions. Proteins were separated on NuPage 4-12 % BisTris gel using IX MES buffer prior to transfer to PVDF membrane. Blots were blocked in 3% BSA/1X TBST before detection of bisecting glycans using (1 :5,000) dilution of biotin labeled E-PHA (Vector Labs) and (1 : 10,000) dilution of streptavidin HRP (Vector Labs) followed by enhanced chemiluminescent detection. The blot was stripped in Pierce (Thermo) stripping buffer, blocked in 5% nonfat milk 1XTBST and detected using (1 :250) dilution of antibody to periostin (Santa Cruz Biotechnologies).

Selection of bisecting glycan-selective scFv by screening a yeast-display scFv library

A yeast display library of scFvs isolated from infiltrating B cells and PBMCs derived from 11 ovarian cancer patients has been previously described ³⁰. This library was grown in SD- CAA ( 0.67% yeast nitrogen base, and 0.5% Casamino acids) and the induction of cell surface display of scFv was induced as previously described ³¹. Multiple rounds of library depletion were performed as follows: 1 xlO⁸ induced yeast-display scFv in phosphate buffered saline (PBS) were added to PBS rinsed adherent Lec4-PN cells (95% confluent T175 flask). Non-adherent yeast after 30 min of incubation were taken to another T175 flask of Lec4-PN cells and this process was repeated for a total of 6 flasks. This process was repeated using Pro5-PN flasks. Next, this new depleted sub-library was grown and induced again and used to enrich for scFv binding to the tumor-specific glycosylation on periostin using the OVCAR3-PN cells. Following 6 rounds of enrichment with manual selection of bound yeast using a cell selector probe the level of enrichment was monitored using yeast-cell ELISA as follows: Yeast in the scFv enriched pool were spread on SD-CAA plates and allowed to grow for 2-3 days to allow colonies to develop. Individual colonies were streaked onto separate SD-CAA plates and induced with SGR-CAA to allow scFv expression on the yeast cell surface. Yeast scFv were labeled using fluorescent brightener 28 (Sigma- Aldrich, calcofluor) lmg/mL in FFO/NaOH. Briefly, yeast with scFv on the cell surface were resuspended at 1 x 10⁷ in calcofluor solution (10% final) for 5 min at room temperature followed by washes in PBS. Labeled yeast were panned on Lec4- PN/Pro5-PN/OVCAR3-PN cells at 90% confluence on 24-well plates for 30 min at room temperature. Differential yeast binding to cells were measured with an Envision 2104 multilabel reader at (Ex355/Em405) before and after each 5 minutes wash with gentle shaking. Post wash readings were made following removal of wash buffer and addition of fresh PBS.

Transformation of yeast-display scFv into soluble scFv

ScFv DNA was PCR amplified from lysed yeast. Briefly, 5 pL of yeast grown at saturation were suspended in 20 pL of 20 mM NaOH and microwaved 3 min, to lyse yeast.

DNA corresponding to the scFv fragment was amplified by PCR using Phire DNA polymerase and gel purified prior to cotransformation with linearlized p4l6BCCP vector into the VYH10 yeast strain by electroporation ¹⁷. Yeast were grown overnight in SD CAA media supplemented with tryptophan (TRP) and further induced in 1 mL of SGR CAA/TRP as previously described ⁶. Soluble scFv were confirmed using an ELISA assay using the HIS and V5 tags for detection. Soluble scFv clones were transformed into site-specific biotinylated soluble antibodies

(biobodies) as described previously ³².

ADCC Assay OVCAR5 cells (3 wells per condition) were plated at 0.8 x 10⁴ cells/well 48 hrs prior to addition of scFvC9 antibody alone, anti-myc antibody alone, or serial dilutions of scFvC9 mixed with anti-myc antibody. Complexes with scFvC9 at 0.5 mg/mL and anti-myc antibody at 1 mg/mL were formed at 4°C for 30 min. prior to addition to cells. Serial dilutions of complexes and control scFvC9 alone (0.5 mg/mL or anti-myc antibody alone (1 mg/mL) were added to cells for 48 hrs. Equal volume of CellTiter-Glo Reagent (Promega) was added to each well. The plate was shaken on an orbital shaker for 2 minutes and placed at room temperature for 10 minutes prior to recording luminescence. The resulting cell lysis generates luminescent signal proportional to ATP present in the number of viable cells. Three independent experiments were performed.

Immunochemistry Cell Staining

Ovarian cancer cells were plated on poly L-lysine coverslips and grown to 50 % confluence prior to immunofluorescent staining. scFvC9 biobody antibody (50 pg/mL) in PBS was added to cells for 5 min. or 30 min. time points. Cells were washed with PBS before fixation in ice cold methanol for 5 min. Cells were blocked with PBS/l% BSA for 10 min. before detection of scFvC9 biobody using streptavidin conjugated Alexa Fluor 594. Nuclei were counterstained with a 1 : 10,000 solution of DAPI for 10 seconds before mounting in Vectashield media.

Xenograft scFvC9 Imaging

Immune compromised NSG female mice were injected subcutaneously with 1.0 x 10⁶ A1847 human ovarian cancer cells six wk before imaging studies. Immune competent C57B1/6 female mice were injected intraovary or intraperitoneal with 1.0 x 10⁶ luciferase transduced ID8 murine ovarian cancer cells 8 wk prior to imaging ³³. Luc-ID8 tumors were monitored with luciferin injections prior to the imaging study. Mice were anesthetized with isoflurane and imaged prior to antibody injection for baseline and then at the 2 min., 5 min., 30 min., 60 min., 4 hr, 24 hr, and 48 hr time points after injection of antibody complexes. The scFvC9 complexes included 30 pg scFvC9 biobody pre-incubated with 1 : 1 fluorescently labeled streptavidin IRB680W for 30 min at 4°C to form complexes. IV injection of complexes was performed retro orbitally for all mice.

Immunofluorescence Localization of scFvC9 in Tissues NSG mice bearing subcutaneous A1847 tumors were injected with 30 pg scFvC9 biobody and sacrificed 24 hr later to harvest tumor, kidney, spleen, lung, and liver. All tissues were immediately fixed in formalin and stored in 70% ethanol until tissue section. Slides were deparaffmized by sequentially dipping in xylene and grated ethanol series. Tissue was incubated with Streptavidin-Qdot 800 (diluted 1 :50) in PBS for 1 hr at room temperature in the dark.

Slides were washed 3 times in PBS/0.05% tween 20 and counterstain was performed with DAPI at 1 : 10,000 for 15 min. Slides were washed 2X in PBS and fluorsave reagent was used to mount the slides.

Magnetic Resonance Imaging

In Vitro Analysis— MRI imaging was performed on a 1.5 T MR system (Bruker

PharmaScan 70/16). Phantom tubes were generated with A1847, C30, or ID8 cells (0.4-1 x 10⁶ cells) layered between spacers of agarose gel before or after incubation with 25 pg/mL or 50 pg/mL of scFvC9 coupled to anti-flag magnetic beads. The scFvC9/magnetic bead complexes were incubated with the cells for 30 min at 4°C before washing and fixing with 2%

paraformaldehyde for 20 minutes at 4°C. Fixed cells and scFvC9/magnetic complexes were then resuspended in 100 pL in 1% agarose gel and finally layered between spacers of 2% ultralow gel temperature agarose to generate phantom tubes. Optimal Tl and T2 weighted sequences were determined and regions of interest for each cell layer were measured for control cells only and control magnetic beads only for comparison with cells incubated with C9/magnetic beads.

Results from three separate experiments were calculated and the ±SEM for normalized signal intensities were calculated.

In Vivo Analysis— MRI imaging was performed on a 1.5T MR system. NSG mice bearing 6 wk subcutaneous A1847 xenograft tumors were injected with avi din-coated magnetic beads only or scFvC9 biobody coupled 1 :2 with avidin-coated magnetic beads in 100 pL of PBS for 30 minutes at 4°C. Regions of interest were calculated for tumor and control (muscle) across each 2 mm slice. The temperature during MR imaging was 28°C and the time of acquisition was 30 min. Signal intensity (SI) values of tumor were divided by control (muscle) to yield the normalized signal intensity. Normalized signal intensities were calculated before and 1 hr, 4 hr, or 24 hr following magnetic bead only or C9/magnetic bead injections via retro orbital injection. Animal Study Ethics All animal studies and procedures were conducted under a protocol approved by the SRI International Institutional Animal Care and Use Committee. All methods were performed in accordance to guidelines and regulations at SRI International. SRI International maintains a centralized animal care and use program registered with the U.S. Department of Agriculture (USD A), accredited by the Associatiion for Assessment and Accreditation of Laboratory Animal Care International (AAALAC) and has an assurance on file with the Office of Laboratory Animal Welfare (OLAW).

RESULTS

Selection of human scFvs binding with tumor-specific glycans

Periostin has one highly conserved N-linked glycosylation site located in the last FAS1 domain near the C-terminus of the protein (Fig. 1 A). The functions of the glycosylation present on periostin are not known; however, this site is highly conserved in sequence implying its potential importance, and this site is present in all known isoforms of periostin. The

conservation and location of the N-glycosylation site in an unstructured, solvent exposed region ^34,35 _Fig iB) led us to the hypothesis that we could use the perostin protein as a scaffold to display different glycoforms of periostin allowing subtraction and enrichment of specific scFv antibodies to glycoforms of periostin. The top image displays the NMR structure of the last FAS1 domain of human periostin (Fig. 1B) indicates that asparagine 599 (the amino acid that is glycosylated) is located in the unstructured loop. The location of this region within the crystal structure of all FAS1 domains is shown in the bottom image further validating the exposure of the N-glycosylation site. There are three main forms of N-glycans: high mannose-type, hybrid- type, or complex-type. Typical glycoproteins have several N-glycosylation sites that can consist of any of these three forms. It is not yet well understood why certain sites have a tendency to be high mannose and other sites are hybrid or complex. However, prior research studies indicate there is site specificity for these glycan forms within glycoproteins ³⁶. We have determined that the single N-glycosylation site in periostin displays complex N-glycans due to the glycosylation pattern changes in different cancers. Our previous glycoproteomic analysis of breast cancer tissues indicates that periostin displays tetra-antennary sialylated complex N-linked glycans ³⁷.

In ovarian cancer tissues our previous studies indicate that periostin displays truncated, agalactosylated, asialylated N-glycan structures with or without core fucose ³’²⁴. Despite the high expression in human cancer tissues, human cancer cell lines grown under adherent growth conditions do not express periostin. Cell lines that are grown under non-adherent conditions permit the formation of spheroids that begin to express periostin. We created stable periostin expression in the ovarian cancer cell line OVCAR3 as well as the non-malignant Chinese hamster ovary (CHO) cell lines Pro5 (parental) and Lec4 (lacking GnT-V expression) to allow expression under adherent growth conditions. As shown in Fig. 1C, periostin isolated using a Flag tag antibody bound to the lectin E-PHA, a lectin known to recognize bisecting N-glycans ³⁸, only for the OVCAR3-PN cell line indicating the presence of bisecting glycans. There are additional higher molecular weight bands reacting bound by E-PHA indicating that other glycoproteins were isolated with periostin that also carry this form of glycosylation in ovarian cancer cells. The Pro5-PN and Lec4-PN flag tag pull downs are negative for E-PHA binding reflecting an absence of bisecting glycosylation in these cell lines (Fig. 1C). Previously published mass spectrometry analysis of N-glycosylated glycoforms found on glycoproteins isolated from Pro5 and Lec4 cells lines suggests that tetra-antennary and tri-antennary complex- type N-glycans are prominent in these cell lines ³⁹. All cell lines express similar levels of periostin protein (Fig. 1C). These results confirm that periostin is expressed in these cell lines with different forms of complex-type N-glycans enabling us to use these for the subtraction and selection of scFv antibodies.

The scFv yeast-display library used was isolated from the B cells of ovarian cancer patients. Our enrichment strategy described in Fig. 2 consists of multiple rounds of subtraction using the Pro5-PN and Lec4-PN cell lines to create a new sub-library that is then added to OVCAR3-PN cells to select binding yeast clones. Yeast-display binding clonal populations (n=2l) were further screened by panning onto adherent OVCAR3-PN, Lec4-PN, and Pro5-PN cells using a yeast cell-ELISA procedure. Figure 3 shows a representative analysis of scFv binding clones using these cell lines. Certain clones such as #1, #4, and #7 bound with similar affinity to all cell lines following sequential washes suggesting that these clones do not demonstrate specificity and affinity for any cell line; other clones such as #13, #15, and #18 bound best to Lec4-PN and OVCAR3-PN (#13 and #15) or Pro5-PN (#18) indicating these scFv clones show affinity to protein elements or glycan elements that are not ovarian cancer specific. However, other clones such as #9, #11, and #12 differentially bound with affinity to OVCAR3- PN cells following each sequential wash indicating specificity for ovarian cancer. Clone #9,

#11, and #12 were transformed into soluble scFv antibody as previously described ¹⁷. In vitro analysis of scFvC9 binding specificity, distribution, and antibody-initiated cytotoxicity Clone #9 had the optimal yields of soluble biotin labeled scFv antibody production and was further analyzed for binding specificity to bisecting N-glycans using OVCAR3 cells. We established stable periostin expression in OVCAR3 cells that have stable expression of control ShRNA not targeting any gene or ShRNA targeting GnT-III ( Mgat3 gene )^3,29 . Flow cytometry data shown in Fig. 4A show that scFvC9 has increased binding to control OVCAR3-PN cells compared with GnT-III ShRNA OVCAR3-PN cells indicating binding specificity for bisecting N-glycans. OVCAR3-PN Control ShRNA and OVACR3-PN GnT-III ShRNA both express periostin protein indicating that the binding is specific to the bisecting N-glycan and not the protein. Next, to evaluate the potential targeting and internalization of scFvC9 we used microscopy to track the binding and distribution of scFvC9 in ovarian cancer cells using the patient-derived cell line OVCA26 previously described ²⁹. Cell staining of OVCA26 Control ShRNA cells at 5 min indicates an accumulation of scFvC9 at the cell surface (Fig. 4B). The antibody is fully internalized at the 30 min time point. We observed no binding of scFvC9 to OVCA26 GnT-III ShRNA cells further validating the specificity for bisecting N-glycans. We have further evaluated the binding of scFvC9 to glioblastoma cells since this tumor type also has elevated levels of GnT-III expression. Our 30 minute binding data shown in Fig. 4D and Fig. 4E shows that scFvC9 binds to control LN18 cells that display bisecting glycans and there is no binding to LN18 Crispr/Cas9 KO of Mgat3 (Fig. 4E). These data confirm that scFvC9 requires the bisecting glycan for binding and that bisecting structures from other cancers can be targeted. The accumulation of scFvC9 at the cell surface suggests that scFvC9 may be capable of functional in initiating antibody-dependent cell cytotoxicity. The scFvC9 biobody contains a myc tag (Fig. 2) allowing us to expose cells to scFvC9/anti-myc ab complexes to evaluate cytotoxicity. The ovarian cancer cell line OVCAR5 was premixed with serial dilutions of antibody complexes for 48 hrs before cell viability was measured using a luminescent viability assay. The results indicate that scFvC9 alone or anti-myc ab alone did not induce cytotoxicity (Fig. 4C). However, exposure of the cells to the first two serial dilutions of the complex (2.5 pg/mL and 1.25 pg/mL) had cytotoxic activity.

Targeting, stability, and specificity of scFvC9 for tumors in vivo We used in vivo imaging (IVIS) to evaluate the ability of scFvC9 to target tumors in vivo using both human xenograft and syngeneic mouse models. The top panel of Fig. 5 shows the localization and accumulation of scFvC9 complexed 1 : 1 with fluorescent-labeled streptavidin in NOD/Scid mice with human A1847 ovarian cancer subcutaneous xenograft tumors established 6 wk prior. The scFvC9 antibody targets the tumor and accumulates in the tumor with a peak at 24 hrs and a gradual decline beginning at 48 hrs. Next, we evaluated the ability of scFvC9 to target luciferase transduced ID8 murine ovarian cancer cells (Luc-ID8) in the immune competent C57B1/6 female mice. Cells were injected intraovary or intraperitoneal 8 wk prior to IVIS imaging. The scFvC9 antibody complexed 1 : 1 with fluorescent-labeled streptavidin was injected retro orbitally at the indicated times prior to imaging. The intraovary injections (Fig. 5 middle panel) accumulated at the maximum in the 24 hr time point as observed for the human subcutaneous xenograft injections (Fig. 5, top panel). However, the decline at 48 hr was more substantial. The syngeneic intraperitoneal model reached a maximum accumulation of scFvC9/fluorescent streptavidin complexes at the 4 hr time point. These results confirm that scFvC9 can target both human and mouse ovarian tumors in vivo by retro orbital injection.

To evaluate the specificity of the scFvC9 antibody for tumor tissues and not normal tissues we evaluated antibody localization following injection. NSG mice bearing A1847 subcutaneous tumors were injected with scFvC9 biobody or vehicle only. Mice were sacrificed 24 hr later and tissues were harvested for immunofluorescent staining with streptavidin Qdot 800 to localize the scFvC9 biobody. We observed very punctate signals localized to the periphery of the nuclei in the tumor cells indicative of endosomal compartment localization (Fig. 6 first image lower panel white arrow marks examples). The kidney, an organ known to express non- malignant bisecting N-glycans was negative for the punctate epithelial cell staining of scFvC9 seen in the tumor. While we do observe staining in the blood vessel of the kidney, the epithelial cells of the kidney tissue were negative. Some background staining could be seen in the spleen; but this staining can be observed in areas between nuclei suggesting possible extracellular localization (Fig. 6 third image lower panel arrows show examples) rather than accumulation of the antibody perinuclear as observed with tumor cells (Fig.4B) and tumor tissue (Fig. 6 first image lower panel). We also notice some accumulation of scFvC9 in the extracellular spaces in the lung. Overall, the scFvC9 antibody demonstrates the ability to preferentially target malignant epithelial cells in vivo via the vasculature. Magnetic resonance imaging (MRJ) validation studies

Due to the successful targeting of tumors with scFvC9 we tested whether the scFvC9 biobody could target magnetic beads to the tumor for amplification of signal by magnetic resonance imaging studies. Successful development of scFvC9 as a targeted MR imaging probe would require specificity, magnitude of accumulation, and stability. We started the evaluation of scFvC9 as an MR imaging probe by measuring the ability to detect scFvC9 magnetic bead complexes in ovarian cancer cells in vitro by MRI using phantom tubes. A1847, ID8, and C30 cells were embedded in agarose and layered. Layers of cells only (washed and fixed), anti-flag tag magnetic beads only, or cells (incubated with scFvC9/ anti-flag tag magnetic beads prior to wash and fix) were measured using MRI. The results demonstrated a significant reduction of normalized signal intensity was detectable in the layers containing cells with scFvC9/ magnetic bead versus cells alone (Fig. 7A). These results illustrate the accumulation of signal

amplification.

Next, we initiated subcutaneous A1847 xenograft tumors in NSG mice to test the ability of scFvC9/magnetic bead complexes to target tumors in vivo. Avidin-coated magnetic beads alone or complexed 1 :2 with site-specific biotinylated scFv (C9 biobody) were injected IV retro- orbitally. Animals were MR imaged before and at 1 hr, 4 hr, or 24 hr post injection. Regions of interest (ROI) for tumor and control (muscle) were measured across a 2 mm slice. The normalized signal intensity differences between magnetic beads alone and scFvC9/magnetic bead complexes were highly significant at all post injection time points (Fig. 7B). Representative images from the 1 hr post injection time point are shown (Fig. 7B). These data illustrate that scFvC9/magnetic bead complexes have specificity to target tumor and show signal amplification, specificity, and stability as the reduction in MRI signal for the tumor was consistent from the 1 hr to 24 hr time points.

DISCUSSION

Our results indicate the successful development of an effective screening platform that led to the isolation and purification of a fully human scFv antibody scFvC9 that targets a prominent tumor-specific glycosylation change. We characterized the binding specificity and targeting of this antibody for ovarian cancer and our initial microscopy data using the LN18 glioblastoma cell line indicate that scFvC9 should bind other tumors that exhibit amplification of the Mgat3 gene ²³. We have developed the scFvC9 clone into a biobody allowing large scale purification and demonstrated the specificity of scFvC9 biobody for tumor glycans in vitro and in vivo. The cell surface binding and internalization of the antibody with enhanced stability in vivo are qualities that should enable future development of diverse imaging and therapeutic applications. The scFvC9 biobody could be conjugated to diverse therapeutic molecules such as immune-conjugates, toxins, or drug-conjugates. In addition to these potential therapeutic innovations; the biobody can be useful for tumor imaging and potentially pairing of imaging and therapy options.

Most antibodies developed against tumor antigens target protein despite the fact that there are numerous well-known tumor carbohydrate antigens such as the Tn, sialyl-Tn, Thomsen- Friedenreich (TF), LeX, sialyl-LeX, and LeY ⁴⁰. Antibodies that have been isolated to many of these tumor-glycan epitopes are IgM leading to limited applications in clinical use. The isolation of antibodies against membrane protein glycoforms or secreted protein glycoforms from human patient-derived antibody libraries has been limited and this may be due to lower abundance of antibodies that target these antigens within the libraries. Therefore, we employed new strategies in this study to overcome this limitation allowing the isolation of a fully human scFv that targets a prominent tumor-glycan (scFvC9). The repeated subtractions of a patient-derived library with an intact glycoprotein expressing non-tumor glycoforms prior to antigen enrichment using the intact glycoprotein expressing tumor-glycoforms is a key component of our strategy. Our use of mammalian cells to screen the library rather than purified glycoprotein or synthetic synthesized glycopeptides is also unique. To our knowledge, this is the first isolation and description of a human scFv that targets a complex-type N-linked tumor glycan.

Single-chain antibodies have been utilized previously to select for antibodies against glycans. Most of the previously published studies utilized phage-display rather than yeast- display. Yeast antibody libraries display posttranslational modifications similar to mammalian cells and this may offer advantages in solubility and folding. Phage-display was used to isolate human single-chain antibodies toward the glycolipid carbohydrate antigen G(M3) with specificity for melanoma and breast cancer cells in vitro ⁴¹. Another study using phage-display demonstrated that human single-chain antibodies that target sialyl-LeX and LeX could be isolated from a patient-derived library ⁴². The most famous tumor carbohydrate antigens, Tn and STn, present a challenge due to the smaller size of these carbohydrate antigens. Single-chain antibodies that target the Tn antigen were isolated due to a strategy that included construction of a mouse scFv library from mice immunized with Jurkat cells that display prominent Tn and STn antigens along with a coordinated subtraction and enrichment strategy led to the isolation of scFv targeting the Tn antigen ⁴³. Our strategy builds on these studies utilizing the following features: (i) we have screened a patient-derived scFv library developed from the B cells of 11 different ovarian cancer patients (from peripheral blood lymphocytes and ascites) increasing the depth of the library, (ii) we have panned our library using mammalian cells expressing a glycoprotein that displays the tumor-glycans allowing optimal presentation of the tumor glycan, (iii) we utilized multiple rounds of subtraction and enrichment , and (iv) our method uses complementary yeast systems that permit the production of cell surface scFv and secreted scFv with similar conformations minimizing changes in antibody binding specificity.

We are confident that scFvC9 binds tumor-specific bisecting N-glycoforms and is not dependent on periostin protein expression due to our yeast cell-ELISA data, flow cytometry analysis, and cell staining; however, we do not know at this time the exact structures of the N- glycoforms that scFvC9 is binding. The antibody was isolated using a human ovarian cancer cell line that may express differences in the bisecting N-glycoforms from the structures we have previously determined from primary ovarian cancer tissues ³. Our validation analysis using human ovarian cancer cell lines (OVCA26, C30, A1847), murine ovarian cancer cells (ID8-Luc), and human glioblastoma cells (LN18) that are each distinct from the OVCAR3 cell line that was used to isolate the antibody add confidence that scFvC9 recognizes a broad range of tumor bisecting N-glycans.

There are powerful advantages for antibodies that recognize tumor-glycans. Patients make antibodies against tumor-associated antigens, including glycans. It is known that tumor- specific glycoforms on proteins can overcome immune tolerance ⁴⁴. Attempts to elicit humoral immune response to MUC1 peptides failed; yet chemoenzymatically synthesized MUC1 peptide with cancer associated O-glycan Tn and STn epitopes elicited a cancer-specific humoral response ⁴⁴. Antibodies that target tumor-glycans may work with checkpoint inhibitors to improve strategies to overcome the immune suppression for solid tumors. Antibodies that target tumor-glycans could improve targeted chemotherapy strategies due to the abundance of the tumor carbohydrate antigen on multiple proteins. Single-chain antibodies to tumor glycans, due to the small size, can be developed into novel therapeutics for glycoproteins that may not have been thought of as traditional drug targets. In summary, our results demonstrate a new approach useful for the isolation of human antibodies that target tumor-specific glycans.

Sequencing of biobody #C9 (Bb #C9)

We sequenced two clones (El l and Fl l) of Biobody #C9. DNA fragments encoding Bb #C9 from El l and Fl l clones were PCR amplified and sequenced. Clones were identical at the protein and DNA level as expected.

The final DNA and protein sequences of biobody #C9 is disclosed in the sequence listing provided herewith. The C9 biobody included a heavy chain with the following heavy chain complementarity-determining regions (CDRs): CDR Hl, GFIFDDYAMH (SEQ ID NO: 1), CDR H2, NSGHIDYADSVEGRFT (SEQ ID NO: 2), CDR H3, VSYLSTASSLDY (SEQ ID NO: 3). Surprisingly, the C9 biobody included a truncated light chain with a single light chain CDR - CDR L3, QRYNRAPYT (SEQ ID NO: 4). The sequence of the C9 biobody heavy chain variable region is provided as SEQ ID NO: 5 and the C9 biobody light chain variable region is provided as SEQ ID NO: 6. The protein and DNA sequences of the full-length C9 biobody, including linkers and the V5 tag, are provided as SEQ ID NO: 7 and SEQ ID NO: 8, respectively.

Example 2 - In vivo Imaging Studies Methods

Model Systems

Several lung cancer models were imaged using a labeled anti-mesothelin nanobody(MN) or an anti-N-glycan scFv (C9) antibody. The models included:

• WT C57B1/6 mice with intra peritoneal mouse mesothelinint Luc-ID8 mouse ovarian cancer (FIGS. 8-9)

• NSG mice with orthotopic human mesothelinlo A549 human lung cancer (FIG. 10)

• NSG mice with orthotopic human mesothelinint H460 human lung cancer (FIG. 11)

• NSG mice with orthotopic human mesothelinhi EKVX human lung cancer (FIG. 12)

Injections Retro-ocular injections were performed in the models with 1) biotinylated anti- mesothelin nanobody (MN, 30 pg) coupled to labeled streptavidin IRB680W, 2) biotinylated anti-N-glycan scFv (C9, 30 pg) coupled to labeled streptavidin IRB680W, and 3) labeled streptavidin IRB680W only (negative control).

Image Normalization

• Luc-ID8 Ortho ovary meso^Int Min: l.25e9 Max:5e9

• Luc-ID8 IP ovary meso^Int Min:2e9 Max:9e9

• NSG SC ovary meso¹¹¹ Min: l.5el0 Max:8e9

• NSG SC lung meso^hl/lnt/l° Min: l.89e9 Max:4e9

Results The Anti-mesothelin nanobody detected both human and mouse mesothelin expressed by ovary and lung cancers injected intra ovary, IV, IP or SC. Sensitivity was high. Tumors that were barely visualized by luciferin (FIG. 8) or not visible at all (FIG. 10) were detected by the anti-mesothelin nanobody, supporting suitability for cancer early detection. Specificity was high. Large lung tumors that did not express mesothelin were not detected (FIG. 12).

Anti -N-gly can periostine scFv detected both human and mouse ovarian cancers injected intra ovary, IP or SC. C9 biodistribution was faster than mesonano biodistribution, with earlier increase and decrease of signal after injection in all 3 ovarian cancer models tested.

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Claims

CLAIMS We claim:

1. An antigen-binding reagent comprising at least one of the following complementarity determining regions (CDRs):

CDR Hl, GFIFDDYAMH (SEQ ID NO: 1),

CDR H2, NSGFQDYADSVEGRFT (SEQ ID NO: 2),

CDR H3, VSYLSTASSLDY (SEQ ID NO: 3),

CDR L3, QRYNRAPYT (SEQ ID NO: 4).

2. The antigen-binding reagent of claim 1, wherein the reagent is capable of specifically binding to a human Periostin glycoprotein.

3. The antigen-binding reagent of claim 2, wherein antigen-binding reagent specifically binds to a glycan epitope of the human Periostin glycoprotein.

4. The antigen-binding reagent of claim 3, wherein the glycan epitope is specifically present on a cancer cell.

5. The antigen-binding reagent of claim 4, wherein the cancer cell comprises a cancer cell from a cancer selected rom the group consisting of ovarian, glioblastoma, kidney, uterine, rectal, colon, adenocarcinoma and lung.

6. The antigen-binding reagent of claim 4, wherein the cancer cell has increased expression of the Mgat3 gene.

7. The antigen-binding reagent of any one of claims 3-6, wherein the glycan epitope

comprises an N-linked glycan structure.

8. The antigen-binding reagent of any one of the preceding claims, wherein the antigen binding reagent comprises all the following complementarity-determining regions (CDRs):

CDR Hl, GFIFDDYAMH (SEQ ID NO: 1),

CDR H2, NSGHIDYADSVEGRFT (SEQ ID NO: 2),

CDR H3, VSYLSTASSLDY (SEQ ID NO: 3),

CDR L3, QRYNRAPYT (SEQ ID NO: 4).

9. The antigen-binding reagent of any one of the preceding claims, wherein the antigen binding reagent comprises a heavy chain variable region comprising SEQ ID NO: 5 and a light chain variable region comprising SEQ ID NO: 6.

10. The antigen-binding reagent of any one of the preceding claims, wherein the antigen binding reagent is selected from the group consisting of a scFv, a Fab, and an IgG monoclonal antibody.

11. The antigen-binding reagent of any one of the preceding claims, wherein the antigen binding reagent comprises SEQ ID NO: 7.

12. An antigen-binding conjugate comprising any one of the antigen-binding reagents of claims 1-11 linked to an agent.

13. The antigen-binding conjugate of claim 12, wherein the agent comprises a detectable imaging agent.

14. The antigen-binding conjugate of any one of claims 12-13, wherein the detectable

imaging agent is selected from the group consisting of a f!uorophore moiety, an enzyme moiety, an optical moiety, a magnetic moiety, a radiolabel moiety, an X-ray moiety, an ultrasound imaging moiety, a nanoparticle-based moiety, and combinations thereof.

15. The antigen-binding conjugate of claim 12, wherein the agent comprises a therapeutic agent.

16. The antigen-binding conjugate of claim 15, wherein the therapeutic agent comprises a cytotoxic compound.

17. The antigen-binding conjugate of claim 12, wherein the agent comprises an

immunopolypeptide.

18. The antigen-binding conjugate of any one of claims 12-17, wherein the antigen-binding reagent and the agent are linked by a covalent bond.

19. The antigen-binding conjugate of any one of claims 12-17, wherein the antigen-binding reagent and the agent are linked by a tag system.

20. The antigen-binding conjugate of claim 19, wherein the tag system comprises

biotin/avidin or biotin/streptavidin.

21. A cell comprising any one of the antigen-binding reagents of claims 1-11, or any one of the antigen-binding conjugates of claims 12-20.

22. The cell of claim 21, wherein the cell is a human immune cell.

23. A pharmaceutical composition comprising any one of the antigen-binding reagents of claims 1-11, any one of the antigen-binding conjugates of claims 12-20, or any one of the cells of claims 21-22 and a pharmaceutical carrier.

24. A method for imaging cancer cells in a subject comprising administering in an effective amount any one of the antigen-binding reagents of claims 1-11, any one of the antigen binding conjugates of claims 12-20, or the pharmaceutical composition of claim 23 to the subject, and generating an image of at least a portion of the subject using an imaging modality.

25. The method of claim 24, wherein the imaging of cells bound to the antigen-binding

reagent, antigen-binding conjugate, or pharmaceutical composition is indicative of the cells being cancer cells.

26. The method of any one of claims 24-25, wherein the imaging modality is selected from the group consisting of ultrasound, positron-emission tomography (PET), photon emission computed tomography (SPECT), nuclear magnetic resonance imaging (NMRI), optical imaging (OI) and computed tomography (CT).

27. A method of detecting cancer cells in a subject sample comprising obtaining a sample from the subject, and contacting the sample with any one of the antigen-binding reagents of claims 1-11 or any one of the antigen-binding conjugates of claims 12-20, and detecting binding of the antigen-binding reagent or antigen-binding conjugate to cells in the sample.

28. The method of claim 27, wherein the binding of the antigen-binding reagent or the

antigen-binding conjugate to the cells is indicative of the cells being cancer cells.

29. A method of treating cancer cells in a subject comprising administering to the subject an effective amount any one of the antigen-binding reagents of claims 1-11, any one of the antigen-binding conjugates of claims 12-20, any one of the cells of claims 21-22, or the pharamceutical composition of claim 23, to treat the cancer in the subject.

30. The method of any one of claims 24-29, further comprising administering an effective amount of a cancer therapeutic to the subject.

31. The method of any one of claims 24-30, wherein the cancer cells comprise cells from a cancer selected from the group consisting of ovarian, glioblastoma, kidney, uterine, rectal, colon, adenocarcinoma and lung cancer.

32. The method of any one of claims 24-30, wherein the cancer has increased expression of the Mgal3 gene.

33. The method of any one of claims 24-32, wherein the subject is a human patient.