Thromb Haemost 2000; 84(06): 1072-1081
DOI: 10.1055/s-0037-1614173
Review Article
Schattauer GmbH

Epitope Location on Tissue Factor Determines the Anticoagulant Potency of Monoclonal Anti-tissue Factor Antibodies

Daniel Kirchhofer
1   From the Department of Cardiovascular Research South San Francisco, CA, USA
,
Paul Moran
1   From the Department of Cardiovascular Research South San Francisco, CA, USA
,
Nancy Chiang
2   The Department of Antibody Technologies South San Francisco, CA, USA
,
Jin Kim
2   The Department of Antibody Technologies South San Francisco, CA, USA
,
Markus A. Riederer
4   The Department of Preclinical Research Department, F. Hoffmann-La Roche, Basel, Switzerland
,
Charles Eigenbrot
3   The Department of Protein Engineering, Genentech Inc, South San Francisco, CA, USA
,
Robert F. Kelley
3   The Department of Protein Engineering, Genentech Inc, South San Francisco, CA, USA
› Author Affiliations
Further Information

Publication History

Received 20 January 2000

Accepted after revision 16 March 2000

Publication Date:
13 December 2017 (online)

Summary

Tissue factor (TF), the cellular cofactor for the serine protease factor VIIa (F. VIIa), triggers blood coagulation and is involved in the pathogenesis of various thrombosis-related disorders. Therefore, agents which specifically target tissue factor, such as monoclonal antibodies, may provide promising new antithrombotic therapy. We mapped the epitopes of several anti-TF antibodies using a panel of soluble TF mutants. They bound to three distinct TF regions. The epitope of the 7G11 antibody included Phe50 and overlapped with a TF-F. VIIa light chain contact area. The common epitope of the antibodies 6B4 and HTF1 included residues Tyr94 and Phe76 both of which make critical contacts to the catalytic domain of F. VIIa. The antibodies D3 and 5G6 had a common epitope outside the TF-F. VIIa contact region. It included residues Lys165, Lys166, Asn199, Arg200 and Lys201 and thus overlapped with the substrate interaction region of tissue factor. The antibodies 5G6 and D3 were potent anticoagulants when infused to flowing human blood in an ex-vivo thrombosis model. Plasma fibrinopeptide A levels and fibrin deposition were completely inhibited. In contrast, 6B4 was a weak inhibitor in this ex-vivo thrombosis model, and HTF1 displayed no inhibition at all. These disparate activities were also reflected in TF-dependent F. X activation assays performed with human plasma. The potency differences could neither be explained by the determined binding affinities nor by the on-rates of antibodies. Therefore, the results suggest that antibody binding epitope and hence the particular mechanism of inhibition, is the main determinative factor of anticoagulant potency of anti-TF antibodies.

 
  • References

  • 1 Mann KG. Biochemistry and physiology of blood coagulation. Thromb Haemost 1999; 82: 165-74.
  • 2 Rapaport SI, Rao LVM. The tissue factor pathway: how it has become a “Prima Ballerina”. Thromb Haemost 1995; 74: 7-17.
  • 3 Wilcox JN, Smith KM, Schwartz SM, Gordon D. Localization of tissue factor in the normal vessel wall and in the atherosclerotic plaque. Proc Natl Acad Sci USA 1989; 86: 2839-43.
  • 4 Moreno PR, Bernardi VH, Lopez-Cuellar J, Murcia AM, Palacios IF, Gold HK, Mehran R, Sharma SK, Nemerson Y, Fuster V, Fallon JT. Macrophages, smooth muscle cells, and tissue factor in unstable angina. Circulation 1996; 94: 3090-7.
  • 5 Annex BH, Denning SM, Channon KM, Sketch Jr MH, Stack RS, Morrissey JH, Peters KG. Differential expression of tissue factor protein in directional atherectomy specimens from patients with stable and unstable coronary syndromes. Circulation 1995; 91: 619-22.
  • 6 Marmur JD, Thiruvikraman SV, Fyfe BS, Guha A, Sharma SK, Ambrose JA, Fallon JT, Nemerson Y, Taubmann MB. Identification of active tissue factor in human coronary atheroma. Circulation 1996; 94: 1226-32.
  • 7 Badimon JJ, Lettino M, Toschi V, Fuster V, Berrozpe M, Chesebro JH, Badimon L. Local inhibition of tissue factor reduces the thrombogenicity of disrupted human atherosclerotic plaques. Circulation 1999; 99: 1780-7.
  • 8 Wakefield TW, Strieter RM, Prince MR, Downing LJ, Greenfield LJ. Pathogenesis of venous thrombosis: a new insight. Cardiovasc Surg 1997; 05: 6-15.
  • 9 Nygaard ØP, Unneberg K, Reikerås O, Østerud B. Thromboplastin activity of blood monocytes after total hip replacement. Scand J Clin Lab Invest 1990; 50: 183-6.
  • 10 Blakowski SA, Zacharski LR, Beck JR. Postoperative elevation of human peripheral blood monocyte tissue factor coagulant activity. J Lab Clin Med 1986; 108: 117-20.
  • 11 Ollivier V, Sheibani A, Chollet-Martin S, Vie P, Benacerraf R, Duparc J, de Prost D. Monocyte procoagulant activity and membrane-associated D-dimer after knee replacement surgery. Thromb Res 1989; 55: 179-85.
  • 12 Kappelmayer J, Bernabei A, Edmunds Jr. H, Edgington TS, Colman RW Tissue factor is expressed on monocytes during simulated extracorporeal circulation. Circulation Res 1993; 72: 1075-81.
  • 13 Vaswani SK, Hamilton RG. Humanized antibodies as potential therapeutic drugs. Ann Allergy Asthma Immunol 1998; 81: 105-9.
  • 14 Vaughan TJ, Osbourn JK, Tempest PR. Human antibodies by design. Nature Biotechnol 1998; 16: 535-9.
  • 15 Levi M, ten Cate H, Bauer KA, van der Poll T, Edgington TS, Buller HR, van Deventer SJH, Hack CE, ten Cate JW, Rosenberg RD. Inhibition of endotoxin-induced activation of coagulation and fibrinolysis by pentoxifylline or by a monoclonal anti-tissue factor antibody in chimpanzees. J Clin Invest 1994; 93: 114-20.
  • 16 Taylor Jr. FB, Chang A, Ruf W, Morrissey JH, Hinshaw L, Catlett R, Blick K, Edgington TS. Lethal E. coli septic shock is prevented by blocking tissue factor with monoclonal antibody. Circulatory Shock 1991; 33: 127-34.
  • 17 Himber J, Kirchhofer D, Riederer M, Tschopp TB, Steiner B, Roux SP. Dissociation of antithrombotic effect and bleeding time prolongation in rabbits by inhibiting tissue factor function. Thromb Haemost 1997; 78: 1142-9.
  • 18 Pawashe AB, Golino P, Ambrosio G, Migliaccio F, Ragni M, Pascucci I, Chiariello M, Bach R, Garen A, Konigsberg WK, Ezekowitz MD. A monoclonal antibody against rabbit tissue factor inhibits thrombus formation in stenotic injured rabbit carotid arteries. Circulation Res 1994; 74: 56-63.
  • 19 Ragni M, Cirillo P, Pascucci I, Scognamiglio A, D’Andrea D, Eramo N, Ezekowitz MD, Pawashe AB, Chiariello M, Golino P. Monoclonal antibody against tissue factor shortens tissue plasminogen activator lysis time and prevents reocclusion in a rabbit model of carotid artery thrombosis. Circulation 1996; 93: 1913-8.
  • 20 Jang I-K, Gold HK, Leinbach RC, Fallon JT, Collen D, Wilcox JN. Antithrombotic effect of a monoclonal antibody against tissue factor in a rabbit model of platelet-mediated arterial thrombosis. Arterioscler Thromb 1992; 12: 948-54.
  • 21 Thomas WS, Mori E, Copeland BR, Yu J-Q, Morrissey JH, del Zoppo GJ. Tissue factor contributes to microvascular defects after focal cerebral ischemia. Stroke 1993; 24: 847-54.
  • 22 Golino P, Ragni M, Cirillo P, Avvedimento VE, Feliciello A, Esposito N, Scognamiglio A, Trimarco B, Iaccarino G, Condorelli M, Chiariello M, Ambrosio G. Effects of tissue factor induced by oxygen free radicals on coronary flow during reperfusion. Nature Med 1996; 02: 35-40.
  • 23 Waxman E, Laws WR, Laue TM, Nemerson Y, Ross JBA. Human factor VIIa and its complex with soluble tissue factor: evaluation of asymmetry and conformational dynamics by ultracentrifugation and fluorescence anisotropy decay methods. Biochemistry 1993; 32: 3005-12.
  • 24 McCallum CD, Su B, Neuenschwander PF, Morrissey JH, Johnson AE. Tissue factor positions and maintains the factor VIIa active site far above the membrane surface even in the absence of the factor VIIa Gla domain. J Biol Chem 1997; 272: 30160-6.
  • 25 Banner DW, D’Arcy A, Chene C, Winkler FK, Guha A, Konigsberg WH, Nemerson Y, Kirchhofer D. The crystal structure of the complex of blood coagulation factor VIIa with soluble tissue factor. Nature 1996; 380: 41-6.
  • 26 Dickinson CD, Kelly CR, Ruf W. Identification of surface residues mediating tissue factor binding and catalytic function of the serine protease factor VIIa. Proc Natl Acad Sci USA 1996; 93: 14379-84.
  • 27 Dickinson CD, Ruf W. Active site modification of factor VIIa affects interactions of the protease domain with tissue factor. J Biol Chem 1997; 272: 19875-9.
  • 28 Huang Q, Neuenschwander PF, Rezaie AR, Morrissey JH. Substrate recognition by tissue factor-factor VIIa Evidence for interaction of residues Lys165 and Lys166 of tissue factor with the 4-carboxyglutamate-rich domain of factor X. J Biol Chem 1996; 271: 21752-7.
  • 29 Ruf W, Miles DJ, Rehemtulla A, Edgington TS. Cofactor residues lysine 165 and 166 are critical for protein substrate recognition by the tissue factor-factor VIIa protease complex. J Biol Chem 1992; 267: 6375-81.
  • 30 Roy S, Hass PE, Bourell JH, Henzel WJ, Vehar GA. Lysine residues 165 and 166 are essential for the cofactor function of tissue factor. J Biol Chem 1991; 266: 22063-6.
  • 31 Kelley RF, Costas KE, O’Connell MP, Lazarus RA. Analysis of the factor VIIa binding site on human tissue factor: effects of tissue factor mutations on the kinetics and thermodynamics of binding. Biochemistry 1995; 34: 10383-92.
  • 32 Ruf W, Miles DJ, Rehemtulla A, Edgington TS. Tissue factor residues 157-167 are required for efficient proteolytic activation of factor X and factor VII. J Biol Chem 1992; 267: 22206-10.
  • 33 Ruf W, Kalnik MW, Lund-Hansen T, Edgington TS. Characterization of factor VII association with tissue factor in solution. J Biol Chem 1991; 266: 15719-25.
  • 34 Martin DMA, O’Brien DP, Tuddenham EGD, Byfield PGH. Synthesis and characterization of wild-type and variant γ-carboxyglutamic acidcontaining domains of factor VII. Biochemistry 1993; 32: 13949-55.
  • 35 Ruf W, Shobe J, Rao SM, Dickinson CD, Olson A, Edgington TS. Importance of factor VIIa Gla-domain residues Arg-36 for recognition of the macromolecular substrate factor X Gla-domain. Biochemistry 1999; 38: 1957-66.
  • 36 Carson SD, Bach R, Carson SM. Monoclonal antibodies against bovine tissue factor, which block interaction with factor VIIa. Blood 1985; 66: 152-6.
  • 37 Carson SD, Ross SE, Bach R, Guha A. An inhibitory monoclonal antibody against human tissue factor. Blood 1987; 70: 490-3.
  • 38 Morrissey JH, Fair DS, Edgington TS. Monoclonal antibody analysis of purified and cell-associated tissue factor. Thromb Res 1988; 52: 247-61.
  • 39 Ruf W, Edgington TS. An anti-tissue factor monoclonal antibody which inhibits TF·VIIa complex is a potent anticoagulant in plasma. Thromb Haemost 1991; 66: 529-33.
  • 40 Ruf W, Rehemtulla A, Edgington TS. Antibody mapping of tissue factor implicates two different exon-encoded regions in function. Biochem J 1991; 278: 729-33.
  • 41 Magdolen V, Albrecht S, Kotzsch M, Haller C, Buergle M, Jacob U, Grosser M, Kessler H, Graeff H, Mueller M, Schmitt M, Luther T. Immunological and functional analyses of the extracellular domain of human tissue factor. Biol Chem 1998; 379: 157-65.
  • 42 Ito T, Hiraiwa J, Nishioka J, Iino M, Suzuki K. Characterization of functionally important regions of tissue factor by using monoclonal antibodies. J Biochem 1993; 114: 691-6.
  • 43 Maekawa Y, Suzuki Y, Ku Y, Saitoh Y. Complement-dependent immunosuppressive anti-tissue factor monoclonal antibody: the establishment of monoclonal antibodies and their effect on mixed lymphocyte reaction. Transplant Proc 1993; 25: 2713-5.
  • 44 Huang M, Syed R, Stura EA, Stone MJ, Stefanko RS, Ruf W, Edgington TS, Wilson IA. The mechanism of an inhibitory antibody on TF-initiated blood coagulation revealed by the crystal structures of human tissue factor, Fab 5G9 and TF·5G9 complex. J Mol Biol 1998; 275: 873-94.
  • 45 Fiore MM, Neuenschwander PF, Morrissey JH. An unusual antibody that blocks tissue factor/factor VIIa function by inhibiting cleavage only of macromolecular substrates. Blood 1992; 80: 3127-34.
  • 46 Mueller BM, Reisfeld RA, Edgington TS, Ruf W. Expression of tissue factor by melanoma cells promotes efficient hematogenous metastasis. Proc Natl Acad Sci USA 1992; 89: 11832-6.
  • 47 Kelley RF, Refino CJ, O’Connell MP, Modi N, Sehl P, Lowe D, Pater C, Bunting S. A soluble tissue factor mutant is a selective anticoagulant and antithrombotic agent. Blood 1997; 89: 3219-27.
  • 48 Refino CJ, Himber J, Burcklen L, Moran P, Peek M, Suggett S, Devaux B, Kirchhofer D. A human antibody that binds to the γ-carboxyglutamic acid domain of factor IX is a potent antithrombotic in vivo. Thromb Haemost 1999; 82: 1188-95.
  • 49 Yelton DE, Diamond BA, Kwan SP, Scharff MD. Fusion of mouse myeloma and spleen cells. Curr Top Microbiol Immunol 1978; 81: 1-7.
  • 50 Chuntharapai A, Kim KJ. Generation of monoclonal antibodies to chemokine receptors. Methods Enzymol 1997; 288: 15-27.
  • 51 Paborksy LR, Fendly BM, Fisher KL, Lawn RM, Marks BJ, McCray G, Tate KM, Vehar GA, Gorman CM. Mammalian cell transient expression of tissue factor for the production of antigen. Prot Engineering 1990; 03: 547-53.
  • 52 Hilpert K, Ackermann J, Banner DW, Gast A, Gubernator K, Hadvary P, Labler L, Muller K, Schmid G, Tschopp TB, van de Waterbeemd H. Design and synthesis of potent and highly selective thrombin inhibitors. J Med Chem 1994; 37: 3889-901.
  • 53 Gast A, Tschopp TB. Inhibition of extrinsic and intrinsic thrombin generation by a novel synthetic thrombin inhibitor (Ro 46-6240), recombinant hirudin and heparin in human plasma. Blood Coag Fibrinol 1995; 06: 533-60.
  • 54 Kirchhofer D, Tschopp TB, Baumgartner HR. Active site-blocked factors VIIa and IXa differentially inhibit fibrin formation in a human ex vivo thrombosis model. Arterioscler Thromb Vasc Biol 1995; 15: 1098-106.
  • 55 Kirchhofer D, Tschopp TB, Hadvary P, Baumgartner HR. Endothelial cells stimulated with tumor necrosis factor-α express varying amounts of tissue factor resulting in inhomogenous fibrin deposition in a native blood flow system. J Clin Invest 1994; 93: 2073-83.
  • 56 Kirchhofer D, Lipari MT, Moran P, Eigenbrot C, Kelley RF. The tissue factor region that interacts with substrates of factor IX and factor X. Biochemistry 2000; 39: 7380-7.
  • 57 Dittmar S, Ruf W, Edgington TS. Influence of mutations in tissue factor on the fine specificity of macromolecular substrate activation. Biochem J 1997; 321: 787-93.
  • 58 Sakai T, Lund-Hansen T, Paborksy L, Pedersen AH, Kisiel W. Binding of human factors VII and VIIa to a human bladder carcinoma cell line (J82). J Biol Chem 1989; 264: 9980-8.
  • 59 Zhang E, Charles RS, Tulinsky A. Structure of extracellular tissue factor complexed with factor VIIa inhibited with a BPTI mutant. J Mol Biol 1999; 285: 2089-104.
  • 60 Ruf W, Kelly CR, Schullek JR, Martin DMA, Polikarpov I, Boys CWG, Tuddenham EGD, Edgington TS. Energetic contributions and topographical organization of ligand binding residues of tissue factor. Biochemistry 1995; 34: 6310-5.