ppk9 Antibody

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Description

Introduction to PCSK9 Antibody

The PCSK9 (Proprotein Convertase Subtilisin/Kexin Type 9) antibody represents a class of therapeutic monoclonal antibodies (mAbs) designed to inhibit the PCSK9 protein, a key regulator of low-density lipoprotein cholesterol (LDL-C) levels. By binding to PCSK9, these antibodies prevent its interaction with LDL receptors in the liver, thereby increasing receptor density and enhancing LDL-C clearance from the bloodstream . This mechanism is critical for treating hypercholesterolemia, particularly in patients with familial hypercholesterolemia (FH) or clinical atherosclerotic cardiovascular disease (ASCVD).

Pharmacokinetic Profile of PCSK9 Antibodies

Key Parameters:

  • Volume of Distribution (Vd): 40–50 L/kg, indicating extensive distribution into tissues .

  • Clearance (CL): 3–7 days, suggesting moderate elimination rates .

  • Half-Life: 17–20 days, enabling bi-weekly dosing regimens .

  • Bioavailability: 4.8%, reflecting subcutaneous administration .

These pharmacokinetic properties are derived from population pharmacokinetic (PPK) models, which integrate patient-specific covariates such as age, weight, and renal function to optimize dosing . For example, studies using nonlinear mixed-effects modeling (NONMEM) have shown that body weight significantly influences clearance, necessitating weight-adjusted dosing .

Clinical Applications

Approved Indications:

  • Familial Hypercholesterolemia (FH): PCSK9 antibodies (e.g., alirocumab, evolocumab) reduce LDL-C by 50–60% when added to statins .

  • Clinical ASCVD: Subcutaneous injections every 2–4 weeks are standard, with efficacy demonstrated in reducing major adverse cardiovascular events (MACE) .

Dosage Regimens:

  • Initial doses: 300 mg every 2 weeks (e.g., alirocumab).

  • Maintenance: Adjusted based on LDL-C levels, with some regimens allowing every-4-week administration .

Research and Development Insights

Next-Generation Designs:

  • Bispecific Antibodies: Combining PCSK9 inhibition with other targets (e.g., angiopoietin-like protein 3) to enhance lipid-lowering efficacy .

  • Engineered Half-Life: Modifications such as Fc domain engineering to extend half-life, potentially enabling less frequent dosing .

Pharmacokinetic Modeling:
Recent PPK analyses highlight the role of patient-specific factors (e.g., renal impairment, obesity) in modulating antibody exposure. For instance, a study of 6,468 patients revealed that renal impairment reduces clearance by 20–30%, necessitating dose adjustments . These models are critical for personalizing therapy and minimizing adverse effects .

Product Specs

Buffer
**Preservative:** 0.03% Proclin 300
**Constituents:** 50% Glycerol, 0.01M PBS, pH 7.4
Form
Liquid
Lead Time
Made-to-order (14-16 weeks)
Synonyms
ppk9 antibody; SPAC23H4.02 antibody; Protein kinase domain-containing protein ppk9 antibody
Target Names
ppk9
Uniprot No.

Target Background

Database Links
Subcellular Location
Cytoplasm. Nucleus. Cytoplasm, cytoskeleton, microtubule organizing center, spindle pole body.

Q&A

What is PG9 antibody and why is it significant in HIV research?

PG9 is a broadly neutralizing antibody isolated from an African donor that demonstrates exceptional potency against HIV-1. Its significance lies in its ability to neutralize 127 out of 162 viruses tested across multiple HIV-1 clades, often with significantly greater potency than previous bNAbs . PG9 targets a previously undescribed epitope that is preferentially expressed on trimeric Envelope protein, spanning conserved regions of the variable loops of the gp120 subunit . The median IC50 and IC90 values for PG9 across all clades are an order of magnitude lower than existing bNAbs like b12, 2G12, 2F5, and 4E10, making it a valuable template for vaccine design .

How does the epitope specificity of PG9 differ from other bNAbs?

PG9 primarily targets conserved regions of the V2 and V3 loops of gp120, distinguishing it from other bNAbs that target different epitopes . Competition experiments and mutagenesis studies have confirmed that PG9 recognition is particularly affected by substitutions in these regions . Interestingly, while PG9 doesn't bind to wild-type HIV-1 JR-FL transfected cells, a single E to K mutation at position 168 in the V2 loop generates high-affinity recognition . This epitope specificity explains why PG9 can neutralize viruses resistant to other bNAbs, including one virus (IAVI-C18) that exhibits resistance to all four previously characterized bNAbs .

What methodological approaches were used to isolate PG9 and related antibodies?

The isolation of PG9 involved a systematic, high-throughput approach:

  • Screening of approximately 1,800 HIV-1 infected individuals' sera for neutralization breadth

  • Selection of donors showing broad neutralization activity

  • High-throughput neutralization screening of antibody-containing culture supernatants from approximately 30,000 activated memory B cells

  • Isolation and characterization of antibodies with broad neutralizing activity

This methodological framework highlights the importance of large-scale screening when searching for rare broadly neutralizing antibodies, as only a small fraction of memory B cells from selected donors produced antibodies with the desired properties .

How should researchers interpret differences in neutralization potency between PG9 and its somatic variant PG16?

Despite being somatic variants, PG9 and PG16 exhibit different degrees of potency against various viruses, requiring careful experimental design and interpretation:

  • Conduct parallel testing against diverse viral panels to identify variant-specific strengths

  • Quantify differences using IC50 and IC90 values (for example, PG9 neutralized HIV-1 6535.30 approximately 185 times more potently than PG16)

  • Examine neutralization breadth differences (PG9 neutralized nine viruses not sensitive to PG16, while PG16 neutralized two viruses not sensitive to PG9)

  • Correlate differences with epitope specificity (PG16 was more sensitive to V3 loop substitutions than PG9)

These differences underscore the importance of characterizing multiple somatic variants when studying antibody responses.

What is a minimal PBPK (mPBPK) model and how does it apply to antibody research?

A minimal PBPK (mPBPK) model is a simplified physiologically-based pharmacokinetic model that retains key physiological mechanisms while reducing computational complexity. For antibodies, mPBPK models typically:

  • Divide the body into two or three compartments (plasma, tight binding tissues, and leaky binding tissues)

  • Incorporate physiological parameters like vascular reflection coefficients (σ1 and σ2)

  • Account for size-based transport mechanisms through the two-pore hypothesis

  • Model key elimination pathways including FcRn-mediated recycling

These models can predict size-based clearance and exposure of both full-length antibodies (150 kDa) and antibody fragments (50-100 kDa) within a onefold error , providing valuable insights for drug development with substantially less complexity than full PBPK models.

What key parameters must be included in PBPK models for accurate antibody pharmacokinetic predictions?

Effective PBPK modeling for antibodies requires integration of multiple parameters:

  • Molecular properties:

    • Molecular weight

    • Molecular size (Stoke's radius)

    • Molecular charge

    • Binding affinity to FcRn receptor

    • Specific antigen affinity

  • Physiological parameters:

    • Vascular reflection coefficients for tissues with tight (σ1) or leaky endothelium (σ2)

    • Systemic clearance rates

    • Tissue volumes and blood flows

  • Target-related parameters:

    • Target expression levels

    • Target turnover rates

    • Antibody-target binding kinetics

Properly integrating these parameters allows models to capture both the linear and nonlinear aspects of antibody pharmacokinetics .

How can researchers scale antibody pharmacokinetics across species using mPBPK models?

Cross-species scaling of antibody pharmacokinetics using mPBPK models involves:

  • Joint analysis approach:

    • Assume consistent vascular reflection coefficients (σ1 and σ2) across species

    • Apply allometric scaling to systemic clearance (CL = a·BWᵇ)

    • Estimate key parameters through simultaneous fitting of data from multiple species

  • Parameter estimation for each species:

    ParameterRange (Average)
    σ1 (tight endothelium)0.690-0.999 (0.908)
    σ2 (leaky endothelium)0.258-0.841 (0.579)
    b (allometric exponent)0.695-1.27 (0.91)

This approach has successfully predicted human PK for antibodies like erlizumab and canakinumab using parameters obtained from animal data , demonstrating its value in translational research.

How should researchers account for the influence of antibody charge on pharmacokinetics in PBPK models?

Accounting for antibody charge effects requires:

  • Quantitative relationships between charge and key PK parameters:

    • Uptake rates into tissues

    • Non-specific binding affinity

    • Volume of distribution

  • Differential modeling approaches for:

    • Positively charged antibodies (faster clearance)

    • Negatively charged antibodies (slower clearance)

  • Validation against observed data showing that positively charged mAbs clear more rapidly than negatively charged mAbs

Incorporating these charge-specific parameters enables prediction of terminal plasma clearance within a onefold error for both slightly positive and negative antibodies in humans .

What are the current limitations in PBPK modeling for antibodies and how can they be addressed?

Despite recent advances, PBPK modeling for antibodies faces several challenges:

  • Parameter uncertainty:

    • Limited data on target-mediated disposition (TMD)

    • Uncertainties in FcRn-mediated recycling pathway parameters

    • Reliance on "best guess" approximations from literature

  • Model complexity trade-offs:

    • Early models included FcRn only in skin and muscle

    • Later models incorporated FcRn in all tissues but increased complexity

    • Minimal PBPK models offer balance but may sacrifice mechanistic details

  • Improvement strategies:

    • Develop standardized parameter estimation workflows

    • Create comprehensive databases of antibody properties and PK observations

    • Implement sensitivity analyses to identify critical parameters

    • Incorporate emerging experimental data on antibody-tissue interactions

The field has progressed from low confidence in predictions to models that can achieve predictions within onefold error for many parameters , but continued refinement is needed.

How can discrepancies between predicted and observed antibody disposition be systematically analyzed?

When investigating prediction-observation discrepancies:

  • Evaluate model assumptions:

    • Two-pore hypothesis adequacy for specific antibody size/structure

    • Appropriateness of allometric scaling factors (a and b)

    • Validity of consistent vascular reflection coefficients across species

  • Perform parameter sensitivity analysis:

    • Identify parameters with greatest impact on model predictions

    • Assess parameter uncertainty ranges and their effects

    • Refine estimates of critical parameters using additional experimental data

  • Consider antibody-specific factors:

    • Unusual charge distribution or glycosylation patterns

    • Off-target binding

    • Unexpected immunogenicity

    • Target expression differences between predicted and observed systems

This systematic approach helps refine models and improves understanding of antibody PK mechanisms.

How might PG9-like antibodies inform HIV vaccine design strategies?

The exceptional neutralization potency and breadth of PG9 offers several vaccine design implications:

  • Epitope-focused immunogen design:

    • Target conserved regions of V2 and V3 loops in the context of trimeric Envelope protein

    • Design immunogens that present the epitope in its native conformation

    • Utilize the E168K mutation identified in the V2 loop that enhances PG9 binding

  • Somatic variant considerations:

    • Design strategies to elicit families of related antibodies like PG9/PG16

    • Target common precursors that could develop into different variants

    • Leverage understanding of how somatic hypermutation enhances breadth

The neutralization breadth of PG9, particularly against non-clade B isolates, suggests that vaccine-induced antibodies of similar specificity might provide protection against diverse HIV-1 isolates worldwide .

What advancements are needed to improve the integration of antibody physicochemical properties in PBPK models?

Future advancements should focus on:

  • Comprehensive property-PK relationships:

    • Develop multivariate quantitative relationships between physicochemical parameters and ADME properties

    • Create databases linking molecular characteristics to observed PK behavior

    • Establish standardized methods to measure relevant physicochemical properties

  • Mechanistic refinement:

    • Better characterize the combined effects of antibody weight, size, charge, FcRn binding, and antigen interactions

    • Improve modeling of tissue-specific uptake and elimination processes

    • Incorporate emerging understanding of the role of lymphatic system in antibody distribution

  • Early development applications:

    • Apply models earlier in discovery to optimize antibody properties

    • Develop platforms for rapid PK prediction based on in vitro measurements

    • Create tools for rational design of antibodies with desired PK characteristics

These advancements would transform PBPK from primarily an analytical tool to a prospective design tool for antibody therapeutics.

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