ALK7 BINDING PROTEINS AND USES THEREOF

Abstract

The present disclosure provides ALK7 binding proteins, such as anti-ALK7 antibodies, as well as compositions and methods for producing the ALK7 binding proteins. In certain embodiments, the ALK7 binding proteins inhibit or antagonize ALK7 activity. Furthermore, the present disclosure provides compositions and methods for diagnosing and treating overweight, obesity, diabetes, overweight, obesity, type 2 diabetes, and conditions related thereto; metabolic disorders, and other diseases or conditions that can be treated, prevented, or ameliorated by targeting ALK7.

Description

[Technical field]

[0001] Related Applications This patent application claims priority to U.S. Provisional Patent Application No. 62 / 854,619, filed May 30, 2019, which is incorporated by reference in its entirety.

[0002] Sequence Listing This application contains a Sequence Listing that has been submitted electronically in ASCII format and is incorporated by reference in its entirety. The ASCII copy, created on April 10, 2020, is named APH-00725_SL.txt and is 46,595 bytes in size. [Background technology]

[0003] Overweight and obesity are epidemic in the United States and in several countries around the world, increasing among both men and women across all age, racial and ethnic groups. Overweight and obesity are also associated with other diseases or conditions that impair vital activities and lifestyle habits. Obesity is recognized as a risk factor for other serious diseases and conditions, such as type 2 diabetes, inflammation, and cardiovascular disease, pulmonary disease, fatty liver disease, neurological disease, and hepatic and renal disease.

[0004] Type 2 diabetes is a chronic progressive disease that is similarly widespread. Although there is no established cure for type II diabetes, there are a number of recognized treatments to delay or mitigate the inevitable outcomes of the disease. Type 2 diabetes is initially mostly treated by adjustments of diet and exercise, and by weight loss, especially in obese subjects. The amount of weight loss that improves the clinical picture is sometimes small (e.g., 4.4-11 pounds), likely due to poorly understood aspects of adipose tissue activity, e.g., chemical signaling, particularly in the visceral adipose tissue in and around the abdominal organs.

[0005] In view of the above, new therapeutic agents are needed to control and treat the epidemic of overweight, obesity, and type 2 diabetes. Additional ALK7 binding proteins and uses thereof would be useful in the diagnosis and treatment, prevention, and / or amelioration of overweight, obesity, type 2 diabetes, and conditions associated therewith; metabolic disorders, and other diseases or conditions that can be treated, prevented, or ameliorated by targeting ALK7. Summary of the Invention

[0006] The present disclosure provides ALK7 binding proteins and methods of using such ALK7 binding proteins. In certain embodiments, the ALK7 binding proteins are capable of inhibiting or preventing ALK7 from binding to one or more cognate ALK7 ligands and / or one or more cognate ActRI receptors. In some embodiments, the ALK7 binding proteins are capable of inhibiting or preventing the multimerization of ALK7 and ActRII receptors (ActRIIA or ActRIIB) and GDF1, GDF3, GDF8, activin B, activin A / B, or Nodal. The disclosure also provides methods of using ALK7 binding proteins for the diagnosis, or treatment, prevention, and / or amelioration of diseases or conditions associated with increased ALK7 expression and / or ALK7-mediated signaling. Such diseases or conditions include overweight, obesity (e.g., abdominal obesity); insulin resistance; metabolic syndrome and other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g., high LDL and hypercholesterolemia); heart disease including coronary heart disease, congestive heart failure, stroke, peripheral vascular disease, fibrinolysis disorders, cardiovascular disease such as atherosclerosis; arteriosclerosis, and hypertension; syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative disease; endothelial dysfunction, respiratory dysfunction, renal disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome; elevated uric acid levels; hemochromatosis (iron overload); acanthosis nigricans (dark patches on the skin); and cancer (e.g., myeloma (e.g., multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or ovarian, breast, colon, endometrial, liver, kidney, pancreatic, stomach, uterine, or colon cancer); and one or more of the above diseases or conditions, or excess weight (e.g., body mass index (BMI) of ≥ 25 kg / m 2) or other disorders / conditions associated with body adiposity. The present disclosure also provides methods for reducing weight (e.g., promoting weight loss) and reducing weight gain (e.g., preventing weight gain) using antagonist ALK7 binding proteins, such as, but not limited to, antibodies.

[0007] In some embodiments, the ALK7 binding protein specifically binds to ALK7. In further embodiments, the ALK7 binding protein provided specifically binds to ALK7 and (a) reduces the formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and the ActRII receptor in the presence of one or more TGF-beta superfamily ligands, (b) competes with ActRIIA or ActRIIB) for binding to ALK7, and (c) inhibits the binding of one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) to ALK7. (d) reducing phosphorylation of ALK7 in cells expressing ALK7 and type II receptors (e.g., ActRIIA or ActRIIB) in the presence of one or more TGF-beta superfamily ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (e) reducing phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and type II receptors (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (f) reducing phosphorylation of ALK7 with a K of 1 nM or less and 1 pM or more. D(e.g., as determined by BIACORE® analysis), and (g) reducing the formation of a complex containing ALK7, a co-receptor (e.g., cripto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal). In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the ALK7 binding protein has two, three, or four of the above characteristics. In some embodiments, the ALK7 binding protein has at least two, at least three, or at least four of the above characteristics. In further embodiments, the ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein. In further embodiments, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment.

[0008] In some embodiments, the ALK7 binding protein comprises a set of complementarity determining regions (CDRs), i.e., heavy chain variable region (VH)-CDR1, VH-CDR2, VH-CDR3, light chain variable region (VL)-CDR1, VL-CDR2 and VL-CDR3, which CDRs are present in a pair of heavy chain variable region (VH) and light chain variable region (VL) disclosed in Table 1. In some embodiments, the ALK7 binding protein comprises a set of CDRs present in a pair of VH and VL selected from (a) the VH sequence of SEQ ID NO: 4 and the VL sequence of SEQ ID NO: 13, (b) the VH sequence of SEQ ID NO: 22 and the VL sequence of SEQ ID NO: 31, (c) the VH sequence of SEQ ID NO: 40 and the VL sequence of SEQ ID NO: 49, and (d) the VH sequence of SEQ ID NO: 58 and the VL sequence of SEQ ID NO: 67.

[0009] In additional embodiments, the ALK7 binding protein specifically binds to ALK7 and comprises a set of CDRs, namely, VH-CDR1, VH-CDR2, VH-CDR3, VL-CDR1, VL-CDR2, and VL-CDR3, wherein the set of CDRs is a reference set of CDRs, namely, (a)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 1, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 2, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 3, and (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: or (b) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 19, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 20, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 21, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 28, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 29, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 30. or (c) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 37, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 38, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 39, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 46, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 47, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 48, or (d) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 55, and (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO:57, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO:64, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO:65, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO:66, or has a total of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or less than 10 amino acid substitutions, deletions, and / or insertions therein, and such proteins bind to ALK7.

[0010] In some embodiments, the ALK7 binding protein specifically binds to ALK7 and comprises a set of CDRs, i.e., (a)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 1, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 2, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 3, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 10, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 11, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 12; or (b)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 19, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 20, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 21, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 28, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 29, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 30. or (c) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 37, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 38, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 39, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 46, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 47, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 48; or (d) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 55, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 56, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 57, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 64, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 65, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 66, and such protein binds to ALK7.

[0011] In some embodiments, the ALK7 binding protein comprises a set of antigen binding regions (ABRs), i.e., heavy chain variable region (VH)-ABR1, VH-ABR2, VH-ABR3, light chain variable region (VL)-ABR1, VL-ABR2, and VL-ABR3, where such ABRs are present in a heavy chain variable region (VH) and light chain variable region (VL) pair disclosed in Table 1. In some embodiments, the ALK7 binding protein comprises a set of ABRs present in a VH and VL pair selected from (a) the VH sequence of SEQ ID NO: 4 and the VL sequence of SEQ ID NO: 13, (b) the VH sequence of SEQ ID NO: 22 and the VL sequence of SEQ ID NO: 31, (c) the VH sequence of SEQ ID NO: 40 and the VL sequence of SEQ ID NO: 49, and (d) the VH sequence of SEQ ID NO: 58 and the VL sequence of SEQ ID NO: 67.

[0012] In additional embodiments, the ALK7 binding protein specifically binds ALK7 and comprises a set of ABRs, i.e., VH-ABR1, VH-ABR2, VH-ABR3, VL-ABR1, VL-ABR2, and VL-ABR3, wherein the set of ABRs is a reference set of ABRs, i.e., (a) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 73, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 74 or 69, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 75 or 70, and (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 76, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 77 or 88, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 89, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 90, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 91, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 92. or (c) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 79, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97; or (d) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 82, and (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 83. or 98 amino acid sequence, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 84 or 99, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 100, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 101, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 102, and such proteins bind to ALK7.

[0013] In some embodiments, the ALK7 binding protein specifically binds to ALK7 and comprises a set of ABRs, i.e., (a) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 73, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 74 or 69, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 75 or 70, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 71, and (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 72. (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 76, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 77 or 88, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 89, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 90, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 91, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 92. (c) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 79, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97, or (d) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 79, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 83 or 98, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 84 or 99, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 100, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 101, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 102, and such proteins bind to ALK7.

[0014] In some embodiments, the ALK7 binding protein specifically binds ALK7 and comprises a VH and VL pair, namely: (a) (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:4; and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:13; (b) (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:22; and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:31; (c) a pair selected from: (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 40 and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 49; and (d) (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 58 and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 67, wherein such proteins bind to ALK7.

[0015] In some embodiments, the ALK7 binding protein comprises a VH and VL pair, i.e., (a) a VH sequence having (i) a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence selected from SEQ ID NO: 4, and (ii) a VL sequence having (i) a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 13. (b) (i) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 22; and (ii) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 31. (c)(i) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 40; and (ii) a VL sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 49; and (d)(i) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 50. and (ii) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 67, and a VL sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 67, wherein such a protein binds to ALK7.

[0016] In some embodiments, the ALK7 binding protein is an antibody that specifically binds to ALK7. In additional embodiments, the antibody is a monoclonal antibody, a recombinant antibody, a human antibody, a humanized antibody, a chimeric antibody, a bispecific antibody, or a multispecific antibody. In some embodiments, the ALK7 binding protein is an ALK7 binding antibody fragment. In some embodiments, the antibody is an antibody fragment selected from Fab, Fab', F(ab')2, Fv, diabody, DART, and single chain antibody molecule (e.g., BiTE).

[0017] Nucleic acids and sets of nucleic acids that code for ALK7 binding proteins are also provided.Vectors and sets of vectors containing the nucleic acids and sets of nucleic acids, as well as host cells transformed with the nucleic acids and vectors are further provided.In some embodiments, the host cells are mammalian host cells, such as hybridomas or NS0 mouse myeloma cells, PER.C6® human cells, or Chinese hamster ovary (CHO) cells.Host cells, including mammalian host cells and hybridomas, that produce ALK7 binding proteins are also provided.

[0018] Also provided is a method for producing ALK7 binding protein.In some embodiments, the method comprises culturing a host cell capable of expressing ALK7 binding protein under suitable conditions for expressing such protein, and optionally isolating the expressed ALK7 binding protein.Also provided is ALK7 binding protein prepared and / or isolated using the method disclosed herein or other methods known in the art.

[0019] Further provided is a pharmaceutical composition comprising an ALK7 binding protein and a pharma- ceutically acceptable carrier.In some embodiments, the disclosure provides a method for treating and / or ameliorating a condition in a subject that is associated with elevated ALK7 expression or ALK7-mediated signaling, or that can be treated and / or ameliorated by reducing ALK7 signaling.In some embodiments, the method reduces ALK7-mediated signaling in the subject.

[0020] Conditions that may be treated and / or ameliorated in a subject using the provided methods include, but are not limited to, obesity (e.g., abdominal obesity); overweight; insulin resistance; metabolic syndrome and other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia, or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g., high LDL and hypercholesterolemia); heart disease, including coronary heart disease, congestive heart failure, stroke, peripheral blood cardiovascular diseases such as vascular disease, fibrinolytic disorders, atherosclerosis; arteriosclerosis, and hypertension; syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative diseases; endothelial dysfunction, respiratory dysfunction, renal disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome; elevated uric acid levels; hemochromatosis (iron overload); acanthosis nigricans (dark patches on the skin); and cancer (e.g., myeloma (multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or ovarian, breast, colon, endometrial, liver, kidney, pancreatic, stomach, uterine, and / or colon cancer); and associated with one or more of the above diseases or conditions or being overweight (e.g., BMI > 25 kg / m 2 ) or other disorders / conditions associated with excess body fat.

[0021] In some embodiments, the disclosed methods include administering to a subject in need thereof a pharmaceutical composition comprising an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody). In some embodiments, the ALK7 binding protein is administered alone. In other embodiments, the ALK7 binding protein is administered as a combination therapy. In further embodiments, the ALK7 binding protein is administered as a combination therapy to a standard of care / treatment.

[0022] Methods of inhibiting or reducing ALK7 activity (e.g., ligand binding and / or signaling) are also provided. In some embodiments, the methods include contacting an ALK7 binding protein with a cell expressing ALK7 (e.g., a differentiated white or brown adipocyte). In some cases, the methods include contacting an ALK7 binding protein with a cell expressing ALK7 in the presence of GDF1, GDF3, GDF8, activin B, activin A / B, and / or Nodal. In some embodiments, the methods are performed in vivo. In other embodiments, the methods are performed in vitro. In some embodiments, the ALK7 activity that is inhibited or reduced is phosphorylation of ALK7. In additional embodiments, the ALK7 activity that is inhibited or reduced is phosphorylation of Smad (e.g., Smad2 and / or Smad3). In some embodiments, the disclosure provides a method of inhibiting or reducing ALK7 activity in a subject, comprising administering an effective amount of an ALK7 binding protein to a subject in need thereof.

[0023] Also provided are methods of blocking or reducing ALK7 activity in pathological conditions associated with ALK7 expression and / or ALK7 signaling, or pathological conditions that can be treated and / or ameliorated by reducing or inhibiting the activity of ALK7 ligand. In some cases, the method comprises administering an ALK7 binding protein to a subject with increased expression of ALK7 or an ALK7 ligand. In some embodiments, the pathological condition is obesity, diabetes, metabolic disease, dyslipidemia; cardiovascular disease, type 2 diabetes, inflammation, or pulmonary disease, fatty liver disease, neurological disease, and hepatic disease, or renal disease.

[0024] In another aspect, the disclosure provides a method of treating or ameliorating overweight or a condition associated with being overweight, comprising administering to an overweight subject an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody). In certain embodiments, the condition treated or ameliorated is obesity. In other embodiments, the condition treated or ameliorated is a member selected from dyslipidemia, hyperlipidemia, hypercholesterolemia, low serum HDL, high serum LDL (e.g., LDL-C ≧100 mg / dL, ≧130 mg / dL, ≧160 mg / dL), and hypertriglyceridemia (e.g., TG ≧150 mg / dL, ≧160 mg / dL, ≧170 mg / dL). In yet another embodiment, the condition treated or ameliorated is hypertension. In a further embodiment, the condition treated or ameliorated is diabetes. In certain such embodiments, the administered ALK7 binding protein is an ALK7 antagonist, such as an anti-ALK7 antibody or an ALK7-binding antibody fragment. In certain such embodiments, the administered antagonist ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment disclosed herein. In certain embodiments, the administered ALK7 binding protein comprises a VH and VL pair disclosed in Table 1. In related embodiments, the administered ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1. In yet another embodiment, the administered ALK7 binding protein comprises a VH and VL pair disclosed in Table 1. In related embodiments, the administered ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1.

[0025] In another aspect, the disclosure provides a method of treating or ameliorating obesity or a condition associated with obesity, comprising administering to an obese subject an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody). In certain such embodiments, the condition treated or ameliorated is hypertension, dyslipidemia (e.g., high total cholesterol or high triglycerides), type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep disorders, respiratory problems, cancer (e.g., myeloma (multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or ovarian, breast, colon, endometrial, liver, kidney, pancreatic, stomach, uterine, and / or colon cancer), obesity-associated gallbladder disease, obesity-associated inflammation, obesity-induced sleep apnea, steatosis (fatty liver), glucagonoma, arteriosclerosis, or heart failure. In some embodiments, the subject to whom the ALK7 binding protein is administered is at risk of developing hypertension, dyslipidemia (e.g., high total cholesterol or high triglycerides), type 2 diabetes, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep disorders, respiratory problems, cancer (e.g., myeloma (multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or ovarian, breast, colon, endometrial, liver, kidney, pancreatic, stomach, uterine, or colon cancer), obesity-associated gallbladder disease, obesity-associated inflammation, obesity-induced sleep apnea, steatosis, glucagonoma, arteriosclerosis, or heart failure. In certain embodiments, the ALK7 binding protein administered is an ALK7 antagonist, such as an anti-ALK7 antibody or an ALK7-binding antibody fragment. In certain such embodiments, the administered antagonist ALK7 binding protein is an anti-ALK7 antibody or ALK7-binding antibody fragment disclosed herein. In certain embodiments, the administered ALK7 binding protein comprises a VH and VL pair disclosed in Table 1. In related embodiments, the administered ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1.

[0026] In another aspect, the disclosure provides a method of treating or ameliorating type II diabetes or a condition associated with type II diabetes, comprising administering to a diabetic subject an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody). In a related embodiment, the disclosure provides a method of treating or ameliorating a condition associated with type II diabetes, such as eye disease (e.g., glaucoma, cataracts, and retinopathy), cardiovascular disease (e.g., hypertension, atherosclerosis, myocardial infarction, and stroke), hyperglycemia, peripheral neuropathy, and renal disease (e.g., nephropathy). In certain embodiments, the subject is at risk of developing type II diabetes or a condition associated with type II diabetes, such as eye disease (e.g., glaucoma, cataracts, and retinopathy), cardiovascular disease (e.g., hypertension, atherosclerosis, myocardial infarction, fibrinolytic disorders, and stroke), hyperglycemia, peripheral neuropathy, or renal disease (e.g., nephropathy). In certain embodiments, the ALK7 binding protein administered is an ALK7 antagonist, such as an anti-ALK7 antibody or an ALK7-binding antibody fragment. In certain such embodiments, the antagonist ALK7 binding protein administered is an anti-ALK7 antibody or an ALK7-binding antibody fragment disclosed herein. In certain embodiments, the ALK7 binding protein administered comprises a VH and VL pair disclosed in Table 1. In related embodiments, the ALK7 binding protein administered cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1.

[0027] In another aspect, the disclosure provides a method of treating or ameliorating a metabolic disease or disorder or a condition associated with a metabolic disease or disorder, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody) to a subject in need thereof. In certain such embodiments, the condition treated or ameliorated is an alteration in lipid, lipoprotein, or apolipoprotein metabolism. In other such embodiments, the metabolic condition is high plasma triglycerides, high blood pressure, dyslipidemia, high fasting glucose, low HDL cholesterol. In yet another embodiment, the condition treated or ameliorated is atherosclerosis, arteriosclerosis, or endothelial dysfunction. In yet another embodiment, the condition treated or ameliorated is chronic inflammation. In a further embodiment, the condition treated or ameliorated is non-alcoholic fatty liver disease (e.g., fatty liver and / or NASH). In certain embodiments, the ALK7 binding protein administered is an ALK7 antagonist, such as an anti-ALK7 antibody or an ALK7-binding antibody fragment. In certain such embodiments, the antagonist ALK7 binding protein administered is an anti-ALK7 antibody or an ALK7-binding antibody fragment disclosed herein. In certain embodiments, the ALK7 binding protein administered comprises a VH and VL pair disclosed in Table 1. In related embodiments, the ALK7 binding protein administered cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1.

[0028] In yet another aspect, the disclosure provides a method of treating or ameliorating insulin resistance or a condition associated with insulin resistance, comprising administering to a subject in need thereof an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody). In certain such embodiments, the condition treated or ameliorated is associated with impaired glucose tolerance or hyperglycemia. In other such embodiments, the condition treated or ameliorated is associated with hypertension or atherosclerosis. In yet another embodiment, the condition treated or ameliorated is a member selected from dyslipidemia, hyperlipidemia, hypercholesterolemia, low serum HDL, high serum LDL (e.g., LDL-C ≧100 mg / dL, ≧130 mg / dL, ≧160 mg / dL), and hypertriglyceridemia (e.g., TG ≧150 mg / dL, ≧160 mg / dL, ≧170 mg / dL). In certain embodiments, the ALK7 binding protein administered is an ALK7 antagonist, such as an anti-ALK7 antibody or an ALK7-binding antibody fragment. In certain such embodiments, the antagonist ALK7 binding protein administered is an anti-ALK7 antibody or an ALK7-binding antibody fragment disclosed herein. In certain embodiments, the ALK7 binding protein administered comprises a VH and VL pair disclosed in Table 1. In related embodiments, the ALK7 binding protein administered cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1.

[0029] In yet another aspect, the disclosure provides a method of treating or ameliorating a disease or disorder of the eye, nervous system, kidney, lung, and / or liver, or an associated condition, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody) to a subject in need thereof. In certain such embodiments, the condition treated or ameliorated is inflammation. In other such embodiments, the condition treated or ameliorated is nephropathy (e.g., diabetic nephropathy), arteriosclerosis of the renal artery), or renal failure. In yet other embodiments, the condition treated or ameliorated is chronic inflammation. In yet another embodiment, the condition treated or ameliorated is inflammation of adipose tissue. In a further embodiment, the condition treated or ameliorated is inflammation of the liver. In still other embodiments, the condition treated or ameliorated is NAFLD (e.g., fatty liver and / or NASH). In some embodiments, the subject to whom the ALK7 binding protein is administered is at risk of developing a disease or disorder of the kidney, lung, or liver. In some embodiments, the subject to whom the ALK7 binding protein is administered is at risk of developing nephropathy. In some embodiments, the subject to whom the ALK7 binding protein is administered is at risk of developing nephropathy. In certain embodiments, the subject is at risk of developing chronic inflammation. In other embodiments, the subject is at risk of developing adipose tissue inflammation. In yet other embodiments, the subject is at risk of developing liver inflammation. In certain embodiments, the ALK7 binding protein administered is an ALK7 antagonist, such as an anti-ALK7 antibody or an ALK7 binding antibody fragment. In certain such embodiments, the antagonist ALK7 binding protein administered is an anti-ALK7 antibody or an ALK7 binding antibody fragment disclosed herein. In certain embodiments, the ALK7 binding protein administered comprises a VH and VL pair disclosed in Table 1. In related embodiments, the ALK7 binding protein administered cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1.

[0030] In another aspect, the present disclosure provides a method for treating or ameliorating cardiovascular disease or disorder or a condition associated with cardiovascular disease or disorder, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist ALK7 binding protein, such as an antagonist anti-ALK7 antibody) to a subject in need thereof.In certain such embodiments, the condition to be treated or ameliorated is coronary heart disease, congestive heart failure, vascular restenosis, stroke, peripheral vascular disease, microvascular disease, fibrinolytic disorder, or arteriosclerosis.In other embodiments, the subject to whom the ALK7 binding protein is administered is at risk of developing coronary heart disease, congestive heart failure, vascular restenosis, stroke, peripheral vascular disease, microvascular disease, or arteriosclerosis.In certain embodiments, the condition to be treated or ameliorated is hypertension (e.g., blood pressure is greater than 130 / 80 mmHg at rest).In certain embodiments, the subject to whom the ALK7 binding protein is administered is at risk of developing hypertension. In other embodiments, the condition to be treated or improved is atherosclerosis. In certain embodiments, the subject to whom the ALK7 binding protein is administered is at risk of developing atherosclerosis. In certain embodiments, the ALK7 binding protein administered is an ALK7 antagonist, such as an anti-ALK7 antibody or an ALK7 binding antibody fragment. In certain such embodiments, the antagonist ALK7 binding protein administered is an anti-ALK7 antibody or an ALK7 binding antibody fragment disclosed herein. In certain embodiments, the ALK7 binding protein administered comprises a VH and VL pair disclosed in Table 1. In related embodiments, the ALK7 binding protein administered cross-blocks or competes for binding to ALK7 with an antibody comprising a VH and VL sequence pair disclosed in Table 1. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0031] The present disclosure provides isolated and / or recombinant ALK7 binding proteins. In certain embodiments, the ALK7 binding proteins specifically bind to ALK7. In further embodiments, the ALK7 binding proteins are anti-ALK7 antibodies.

[0032] Nucleic acids encoding ALK7 binding proteins, vectors and host cells containing the nucleic acids, and methods of making and using the ALK7 binding proteins are also provided. The provided ALK7 binding proteins are used in the diagnosis, treatment, and / or amelioration of diseases and conditions associated with ALK7 expression and / or signaling. Such uses include, but are not limited to, obesity (e.g., abdominal obesity); overweight; insulin resistance; metabolic syndrome and other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia, or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g., high LDL and hypercholesterolemia); heart disease, including coronary heart disease, congestive heart failure, stroke, peripheral vascular disease, atheroma, and the like. cardiovascular disease such as atherosclerosis; arteriosclerosis, and hypertension; syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative disease; endothelial dysfunction, respiratory dysfunction, renal disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome; elevated uric acid levels; hemochromatosis (iron overload); acanthosis nigricans (dark patches on the skin); and cancer (e.g., myeloma (multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or ovarian, breast, colon, endometrial, liver, kidney, pancreatic, stomach, uterine, and / or colon cancer); and associated with one or more of the above diseases or conditions or being overweight (e.g., BMI of 25 kg / m 2 ) or other disorders / conditions associated with excess body fat.

[0033] definition Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by those skilled in the art to which this disclosure pertains. For example, Concise Dictionary of Biomedicine and Molecular Biology, Juo, Pei-Show, 2nd ed., 2002, CRC Press, The Dictionary of Cell and Molecular Biology, 3rd ed., 1999, Academic Press, and Oxford Dictionary Of Biochemistry And Molecular Biology, Revised, 2000, Oxford University Press provide those skilled in the art with a general dictionary of many of the terms used in this disclosure. The headings set forth herein are not intended to be limitations on the various embodiments, but may be used generally by reference to the specification. Additionally, the terms defined immediately below are more fully defined by reference to the specification as a whole.

[0034] The terms "a," "an," and "the" include plural referents unless the context in which the term is used clearly dictates otherwise. The terms "a" (or "an"), as well as "one or more," and "at least one" are used interchangeably herein. Furthermore, when "and / or" is used herein, it should be construed as specifically disclosing two or more specified features or components, one with or without the other. Thus, the term "and / or" when used in phrases such as "A and / or B" is intended to include "A and B," "A or B," "A" (single), and "B" (single). Similarly, the term "and / or" when used in phrases such as "A, B, and / or C" is intended to encompass each of the following embodiments: A, B, and C; A, B, or C; A or C; A or B; B or C; A and C; A and B; B and C; A (single); B (single); and C (single).

[0035] The term "comprise" is generally used in the sense of include, i.e., permitting the presence of one or more features or components. Wherever in this specification an embodiment is described using the word "comprising," other similar embodiments described with the terms "consisting of" and / or "consisting essentially of" are also provided.

[0036] The terms "about" and "approximately" as used in connection with numerical values ​​throughout the specification and claims refer to intervals of accuracy familiar and acceptable to those skilled in the art. Typically, such intervals of accuracy are ±10%. Alternatively, particularly in biological systems, the terms "about" and "approximately" can refer to values ​​that are within an order of magnitude of a given value, preferably within 5-fold, and more preferably within 2-fold.

[0037] Numeric ranges are inclusive of the numbers defining the range.

[0038] An ALK7-binding protein refers to a protein that specifically binds to ALK7, preferably to the extracellular domain of ALK7.

[0039] The terms "ALK7" and "ALK7 receptor" are used interchangeably and refer to ALK7 (also referred to in the literature as ACVRLK7, activin A receptor, type IC, ACVR-1C, activin receptor-like kinase 7, and EC2.7.11). A reference sequence for human ALK7 is provided in NCBI reference sequence NP_001104501.1. The provided ALK7 binding proteins bind to the extracellular domain of human ALK7 corresponding to the amino acid sequence of SEQ ID NO:85. A reference sequence for rat ALK7 is provided in NCBI reference sequence P70539. In some embodiments, the provided ALK7 binding proteins bind to the extracellular domain of rat ALK7 corresponding to the amino acid sequence of SEQ ID NO:86.

[0040] The term "compete" when used in the context of an ALK7 binding protein (e.g., a neutralizing antibody) means competition between the antigen-binding proteins as determined by an assay in which a test antigen-binding protein (e.g., an anti-ALK7 antibody or an ALK7-binding fragment thereof) prevents or inhibits a reference antigen-binding protein (e.g., a ligand, or reference antibody) from specifically binding to a common antigen (e.g., the ALK7 extracellular domain or a fragment thereof). Numerous types of competitive binding assays can be used, such as direct or indirect solid-phase radioimmunoassays (RIA) (see, e.g., Moldenhauer et al., Scand. J. Immunol. 32:77-82 (1990) and Morel et al., Molec. Immunol. 25:7-15 (1988)), direct or indirect solid-phase enzyme immunoassays (EIA), direct solid-phase biotin-avidin EIA (see, e.g., Cheung, et al., Virology 176:546-552 (1990) and Kirkland et al., J. Immunol. 137:3614-3619 (1986)), and sandwich competition assays (see, e.g., Stahli et al., Methods in Enzymology 92:242-253 (1983)). Typically, such assays involve the use of purified antigen bound to a solid surface or cells carrying either of these, an unlabeled test antigen binding protein, and a labeled reference antigen binding protein.

[0041] Competitive inhibition can be measured by determining the amount of label bound to a solid surface or cell in the presence of a test antigen-binding protein. Typically, the test antigen-binding protein is present in excess. Antigen-binding proteins identified in a competitive assay (competitor antigen-binding proteins) include ALK7-binding proteins that bind to the same epitope as the reference ALK7-binding protein, as well as ALK7-binding proteins that bind to adjacent epitopes that are sufficiently close to the epitope bound by the reference ALK7-binding protein such that steric hindrance occurs. Typically, when a competing ALK7-binding protein is present in excess, the specific binding of the reference ALK7-binding protein to ALK7 is inhibited by at least 40%, 45%, 50%, 55%, 60%, 65%, 70% or 75%. In some cases, the competing antigen binding protein inhibits specific binding of the reference ALK7 binding protein by at least 80%, 85%, 90%, 91%, 92%, 93%, 94%, 95%, 96%, 97% 98%, or 99%.

[0042] The term "epitope" when used in relation to ALK7 protein refers to an ALK7 (e.g., human ALK7 or mouse ALK7) protein determinant capable of binding to the ALK7 binding protein (e.g., antibody) of the present disclosure. Epitopes usually consist of chemically active surface groups of molecules such as amino acids or sugar side chains, and usually have specific three-dimensional structural characteristics and specific charge characteristics. Conformational epitopes and non-conformational epitopes are distinguished in that the binding to the former is lost in the presence of denaturing solvents, but the binding to the latter is not lost. The epitope of ALK7 bound by ALK7 binding protein can be easily determined using techniques known in the art.

[0043] Antigen binding proteins, such as anti-ALK7 binding antibodies and ALK7 binding fragments, variants, or derivatives thereof disclosed herein, can be described or specified in terms of the epitope(s) or portion(s) of the antigen they recognize or specifically bind, e.g., target polypeptide. For example, a portion of ALK7 that specifically interacts with the antigen binding domain of an ALK7 binding protein disclosed herein is an "epitope". Epitopes can be formed either from contiguous amino acids or non-contiguous amino acids juxtaposed by tertiary folding of a protein. Epitopes formed from contiguous amino acids are typically retained upon exposure to denaturing solvents, whereas epitopes formed by tertiary folding are typically lost upon treatment with denaturing solvents. Epitope determinants can include chemically active surface groups such as amino acids, sugar side chains, phosphoryl or sulfonyl groups, and can have specific three-dimensional structural characteristics, and / or specific charge characteristics. An epitope typically includes at least 3, 4, 5, 6, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 25, 30, 35 amino acids in a unique spatial conformation. Epitopes can be routinely determined using methods known in the art.

[0044] The terms "inhibit," "block," "reduce," "reduce," "suppress," "antagonize," and "neutralize" are used interchangeably and refer to any statistically significant decrease in activity (e.g., ALK7 ligand binding and / or ALK7 signaling), including complete prevention of activity. For example, "inhibition," "suppression," or "antagonize" can refer to about a 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90% or 100% decrease in activity compared to a control.

[0045] In some embodiments, the terms "reduce," "inhibit," or "antagonize" may refer to the ability of an ALK7-binding protein, such as an antibody or ALK7-binding fragment thereof, to statistically significantly (e.g., p-value of 0.05 or less) reduce phosphorylation of one or more Smads (e.g., Smad2 and / or Smad3) induced by contact of cells expressing ALK7 and ActrIIA / B with an ALK7 ligand, such as GDF1, GDF3, GDF8, activin B, activin A / B, and / or Nodal, compared to the degree of Smad phosphorylation in cells not contacted with the ALK7-binding protein. Cells expressing ALK7 can be naturally occurring cells or cell lines, or can be recombinantly produced by introducing a nucleic acid encoding ALK7 into a host cell. In certain embodiments, the ALK7 binding protein, for example, the ALK7 antibody or its ALK7 binding fragment, antagonizes (reduces) ALK7 ligand-mediated phosphorylation of one or more Smads (for example, Smad2 and / or Smad3) by at least 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined by using the techniques described herein or other techniques known in the art, for example, by Western blotting followed by probing with anti-phosphotyrosine antibodies, or by ELISA (for example, P-Smad ELISA) or Smad-dependent reporter gene assay. In some embodiments, the ALK7 binding protein antagonizes (reduces) ALK7-mediated inhibition of lipolysis in adipocytes. In certain embodiments, the ALK7 binding protein is an ALK7 antagonist and antagonizes ALK7-mediated inhibition of lipolysis in white adipocytes by 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% as determined in a lipolysis assay.In other embodiments, the ALK7 binding protein inhibits or reduces ALK7-mediated inhibition of lipolysis in white adipocytes by at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined by a lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal).

[0046] In certain embodiments, the ALK7 binding protein is an ALK7 antagonist and antagonizes ALK7-mediated inhibition of lipolysis in white and / or brown adipocytes by 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% as determined by a lipolysis assay. In certain embodiments, the ALK7 binding protein inhibits or reduces ALK7-mediated inhibition of lipolysis in white and / or brown adipocytes by at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined by a lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal.

[0047] The terms "enhance," "promote," and "agonist" are used interchangeably and refer to any statistically significant increase in activity (e.g., ALK7 ligand binding and / or ALK7 signaling). For example, "enhance" or "promote" can refer to an increase in activity of about 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 100% compared to a control.

[0048] In some embodiments, the ALK7 binding protein increases lipolysis in cells. In some embodiments, the ALK7 binding protein increases lipolysis in cells by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% as determined by a lipolysis assay. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% as determined by a lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the ALK7 binding protein increases lipolysis in white or brown adipocytes.

[0049] In some embodiments, the ALK7 binding protein increases lipolysis in white adipocytes. In some embodiments, the ALK7 binding protein increases lipolysis in white adipocytes by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45%, as determined by a lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal.

[0050] In some embodiments, the ALK7 binding protein increases lipolysis in brown adipocytes. In some embodiments, the ALK7 binding protein increases lipolysis in brown adipocytes by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45%, as determined by a lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal.

[0051] In some embodiments, the ALK7 binding protein increases lipolysis in white and brown adipocytes. In some embodiments, the ALK7 binding protein increases lipolysis in white and brown adipocytes by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% as determined by a lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal.

[0052] In additional embodiments, the ALK7 binding protein increases lipolysis in white adipocytes by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% when determined using standard techniques and conditions (e.g., as described in the examples herein) in a lipolysis assay performed in the presence of activin B (50 ng / ml). In certain embodiments, the ALK7 binding protein suppresses or reduces ALK7-mediated lipolysis inhibition in white adipocytes by at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined using standard techniques and conditions in a lipolysis inhibition assay. In certain such embodiments, the lipolysis assay is performed in the presence of activin B (50 ng / ml) (e.g., as described in the examples herein).

[0053] In further embodiments, the ALK7 binding protein increases lipolysis in white and / or brown adipocytes by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% when determined using standard techniques and conditions (e.g., as described in the Examples herein) in a lipolysis assay performed in the presence of activin B (50 ng / ml). In yet other embodiments, the ALK7 binding protein suppresses or reduces ALK7-mediated inhibition of lipolysis in white adipocytes by at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined using standard techniques and conditions in a lipolysis inhibition assay. In certain such embodiments, the lipolysis assay is performed in the presence of activin B (50 ng / ml) (e.g., as described in the examples herein).

[0054] In some embodiments, the ALK7 binding protein increases glycerol production in adipocytes. In some embodiments, the ALK7 binding protein increases glycerol production in adipocytes by at least 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45%, as determined by a lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the ALK7 binding protein increases glycerol production in white or brown adipocytes.

[0055] The terms "antibody" and "immunoglobulin" are used interchangeably herein and include whole (full-length) antibodies and antigen-binding fragments or single chains thereof. A typical antibody comprises at least two heavy (H) chains and two light (L) chains interconnected by disulfide bonds. Each heavy chain is composed of a heavy chain variable region (abbreviated herein as VH) and a heavy chain constant region. The heavy chain constant region is composed of three domains, CHI, CH2, and CH3. Each light chain is composed of a light chain variable region (abbreviated herein as VL) and a light chain constant region. The light chain constant region is composed of one domain, CL. The VH and VL regions can be further subdivided into regions of hypervariability called complementarity determining regions (CDRs), interspersed with more conserved regions called framework regions (FWs). Each VH and VL is composed of three CDRs and four FWs, arranged in the following order from amino-terminus to carboxy-terminus: FW1, CDR1, FW2, CDR2, FW3, CDR3, FW4. The variable regions of the heavy and light chains contain binding domains that interact with antigens. The constant regions of the antibody can mediate the binding of the immunoglobulin to host tissues or factors, including various cells of the immune system (e.g., effector cells) and the first component (Clq) of the classical complement system. Exemplary antibodies include classical antibodies, scFvs, and combinations thereof, where, for example, the scFvs are covalently linked (e.g., via a peptide bond or chemical linker) to the N-terminus or C-terminus of either the heavy and / or light chains of the classical antibody, or are interposed within the heavy and / or light chains of the classical antibody.

[0056] The terms "antibody" and "immunoglobulin" encompass intact polyclonal antibodies, intact monoclonal antibodies, antibody fragments (such as Fab, Fab', F(ab')2, and Fv fragments), derivatives and variants of single-chain Fv (scFv), multispecific antibodies such as bispecific antibodies, chimeric antibodies, humanized antibodies, human antibodies, fusion proteins containing an antigenic determining portion of an antibody, and any other modified immunoglobulin molecule containing an antigen recognition site, so long as the antibody exhibits the desired binding activity. Antibodies can be any of the five major classes of immunoglobulins, IgA, IgD, IgE, IgG, and IgM, based on the identity of the heavy chain constant domains, called alpha, delta, epsilon, gamma, and mu, respectively, or their subclasses (isotypes) (e.g., IgG1, IgG2, IgG3, IgG4, IgAl, and IgA2). The different classes of immunoglobulins have distinct and well-known subunit structures and three-dimensional configurations. Antibodies may be naked or conjugated to other molecules, such as toxins, radioisotopes, etc. The term "IgG" refers to a polypeptide belonging to a class of antibodies substantially encoded by the recognized immunoglobulin gamma gene. In humans, this class includes IgG1, IgG2, IgG3, and IgG4. In mice, this class includes IgG1, IgG2a, IgG2b, and IgG3.

[0057] The terms "ALK7 antibody," "antibody that binds to ALK7," or "anti-ALK7 antibody" refer to an antibody that is capable of binding to ALK7 with sufficient affinity, respectively, such that the antibody is useful in targeting ALK7 as a therapeutic or diagnostic reagent.

[0058] "Specifically binds" when used in the context of ALK7 protein generally refers to the ability of a binding protein, such as an antibody, to bind to ALK7 (e.g., human ALK7, preferably the extracellular domain of ALK7) with greater affinity than the binding protein binds to an unrelated control protein. In some embodiments, the control protein is hen egg white lysozyme. Preferably, the binding protein binds to ALK7 with an affinity that is at least 100-fold, 500-fold, or 1000-fold greater than the affinity for the control protein. Preferably, the binding protein has a binding affinity for human ALK7 of 1×10 or greater as measured using binding assays known in the art. -7 M or less or 1×10 -8 In some embodiments, binding affinity is measured using a radioimmunoassay (RIA) or BIACORE® (e.g., using ALK7 as the analyte and an ALK7 binding protein as the ligand, or vice versa).

[0059] In some embodiments, the extent of binding of an ALK7 binding protein (e.g., an anti-ALK7 antibody) to an unrelated, non-ALK7 protein is less than about 10% of the binding of that ALK7 binding protein to ALK7, as measured, for example, by radioimmunoassay (RIA), BIACORE® (using recombinant ALK7 as the analyte and the ALK7 binding protein as the ligand, or vice versa), equilibrium exclusion assay (KINEXA®), or other binding assays known in the art. In certain embodiments, the ALK7 binding protein has a dissociation constant (K D ) is a full-length antibody or an ALK7-binding antibody fragment having a concentration of 1 μM or less, 100 nM or less, 10 nM or less, 1 nM or less, 0.1 nM or less, 10 pM or less, 1 pM or less, or 0.1 pM or less.

[0060] The term "antigen-binding antibody fragment" (e.g., "ALK7-binding antibody fragment") refers to a fragment containing all or a portion of the antigen-binding variable region (e.g., CDR3) of an intact antibody. It is known that the antigen-binding function of an antibody can be performed by fragments of a full-length antibody. Examples of antibody fragments include, but are not limited to, Fab fragments, Fab' fragments, F(ab')2 fragments, and Fv fragments, linear antibodies, single-chain antibodies, and multispecific antibodies formed from one or more antibody fragments. In some embodiments, the disclosure provides an ALK7-binding antibody fragment, where the antibody fragment is a Fab fragment, a Fab' fragment, a F(ab')2 fragment, an Fv fragment, a diabody, or a single-chain antibody molecule.

[0061] The Fc region includes polypeptides that include the antibody constant region other than the first constant region immunoglobulin domain. Thus, Fc refers to the last two constant region immunoglobulin domains for IgA, IgD, and IgG, and the last three constant region immunoglobulin domains for IgE and IgM, and the flexible hinge N-terminal to these domains. For IgA and IgM, Fc may include the J chain. For IgG, Fc includes immunoglobulin domains Cγ2 and Cγ3, and the hinge between Cγ1 and Cγ2. Although the boundaries of the Fc region may vary, the heavy chain Fc region of human IgG is usually defined to include residues C226 or P230 at its carboxyl terminus, where numbering is done according to the EU index as set forth in Kabat (Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, NIH, Bethesda, Md. (1991)). Fc may refer to this region alone or in the context of a whole antibody, an antibody fragment, or an Fc fusion protein. Polymorphisms have been observed at several different Fc positions, including but not limited to, positions 270, 272, 312, 315, 356, and 358 as numbered in the EU index, so there may be slight differences between the presented sequence and prior art sequences.

[0062] A "monoclonal antibody" refers to a homogeneous antibody population involved in highly specific recognition and binding of a single antigenic determinant or epitope. This is in contrast to a polyclonal antibody, which typically contains different antibodies directed against different antigenic determinants. The term "monoclonal antibody" encompasses both intact and full-length monoclonal antibodies, as well as antibody fragments that contain antibody portions (such as Fab, Fab', F(ab')2, and Fv), single chain (scFv) variants, and fusion proteins), and any other modified immunoglobulin molecule that contains an antigen recognition site. Monoclonal antibodies may be produced in any number of ways, including, but not limited to, hybridoma, phage selection, recombinant expression, and transgenic animals.

[0063] The term "chimeric antibody" refers to an antibody in which the amino acid sequences of the immunoglobulin molecule are derived from more than one species. Typically, the variable regions of both the light and heavy chains correspond to the variable regions of antibodies derived from one species of mammal (e.g., mouse, rat, rabbit, etc.) having the desired specificity, affinity, and / or ability to bind to an antigen, while the constant regions are homologous to the sequences of antibodies derived from that species to avoid eliciting an immune response in another species (usually human).

[0064] The term "humanized antibody" refers to an antibody derived from a non-human (e.g., murine) immunoglobulin that has been engineered to contain few, preferably minimal, non-human (e.g., murine) sequences. Typically, humanized antibodies are human immunoglobulins in which residues from the CDRs are replaced with residues from the CDRs of a non-human species (e.g., mouse, rat, rabbit, or hamster) that has the desired specificity, affinity, and / or ability to bind to the antigen (Jones, Nature 321:522-525 (1986); Riechmann, Nature 332:323-327 (1988); Verhoeyen, Science 239:1534-1536 (1988)). In some cases, Fv framework region (FW) residues of the human immunoglobulin are replaced with the corresponding residues in an antibody from a non-human species that has the desired specificity, affinity, and / or ability to bind to the antigen. Humanized antibodies can be further modified by substitution of additional residues, either in the Fv framework regions and / or within the replaced non-human residues, to refine and optimize the specificity, affinity, and / or potency of the antibody. Generally, a humanized antibody contains substantially all of at least one variable domain, typically two or three variable domains, that contain all or substantially all of the CDR regions corresponding to a non-human immunoglobulin, but all or substantially all of the FR regions are of the consensus sequence of a human immunoglobulin. A humanized antibody can also contain at least a portion of an immunoglobulin constant region or domain, typically a human immunoglobulin constant region or domain. Examples of methods used to make humanized antibodies are described in U.S. Patent Nos. 5,225,539 and 5,639,641.

[0065] The term "human antibody" refers to an antibody produced by a human or an antibody having an amino acid sequence corresponding to an antibody produced by a human, made using any technique known in the art. The term "human antibody" includes intact (full-length) antibodies, fragments thereof, and / or antibodies that contain at least one human heavy and / or light chain polypeptide, such as an antibody that contains a murine light chain polypeptide and a human heavy chain polypeptide.

[0066] An "antagonist," "blocking," or "neutralizing" binding protein is one that inhibits or reduces the activity of an antigen, such as ALK7, to which it binds. In some embodiments, the antagonist ALK7 binding protein reduces or inhibits the multimerization of ALK7 with an ActRII receptor (e.g., ActRIIA or ActRIIB), GDF1, GDF3, GDF8, activin B, activin A / B, and / or Nodal. In certain embodiments, the antagonist ALK7 binding protein substantially or completely inhibits the activity of ALK7. In some embodiments, ALK7 activity is reduced by 10%, 20%, 30%, 50%, 70%, 80%, 90%, 95%, or 100%. In certain embodiments, the antagonist ALK7 binding protein is an anti-ALK7 antibody, such as a full-length antibody or an ALK7-binding antibody fragment. In further embodiments, the antagonist anti-ALK7 antibody inhibits or reduces the activity of ALK7 by at least 10%, 20%, 30%, 50%, 70%, 80%, 90%, 95%, or even 100%.

[0067] "Binding affinity" generally refers to the overall strength of non-covalent interactions between a single binding site of a molecule (e.g., an antibody) and its binding partner (e.g., an antigen). Unless otherwise indicated, "binding affinity" refers to the intrinsic binding affinity that reflects a 1:1 interaction between members of a binding pair (e.g., an antibody and an antigen). The affinity of a molecule X for its partner Y is generally determined by the dissociation constant (K DAffinity can be measured by common methods known in the art, including those described herein, and can be used for the purposes of this disclosure.

[0068] "Potency" is a measure of a compound's pharmacological activity expressed in terms of the amount of compound required to produce an effect of a given strength. It refers to the amount of compound required to achieve a defined biological effect; the lower the dose required, the more potent the drug. Potency is usually expressed in terms of the IC unless otherwise stated. 50 The IC values ​​are expressed as nM. 50 is the median inhibitory concentration of an ALK7 binding protein (e.g., an anti-ALK7 antibody). In functional assays, the IC 50 is the concentration that reduces a biological response by 50% of its maximum. In ligand-receptor binding studies, the IC 50 is the concentration that reduces ligand-receptor binding by 50% of the maximum specific binding level. 50 can be calculated by any number of means known in the art. The fold improvement in potency of an antibody or other binding protein provided herein can be at least 2-fold, 4-fold, 6-fold, 8-fold, 10-fold, 20-fold, 30-fold, 40-fold, 50-fold, 60-fold, 70-fold, 80-fold, 90-fold, 100-fold, 110-fold, 120-fold, 130-fold, 140-fold, 150-fold, 160-fold, 170-fold, or at least 180-fold when compared to a reference anti-ALK7 antibody or other ALK7 binding protein.

[0069] "Antibody-dependent cell-mediated cytotoxicity" or "ADCC" is a form of cytotoxicity in which secreted Ig bound to Fc receptors (FcR) present on certain cytotoxic cells (e.g., natural killer (NK) cells, neutrophils, and macrophages) allows these cytotoxic effector cells to specifically bind to antigen-bearing target cells and subsequently kill the target cells with cytotoxins. Specific high-affinity IgG antibodies directed to the surface of the target cells are absolutely required for such killing, since they "arm" the cytotoxic cells. Lysis of the target cells is extracellular, requires direct cell-cell contact, and does not involve complement. In addition to antibodies, it is contemplated that other proteins containing an Fc region, particularly Fc fusion proteins, capable of specific binding to target cells bearing ALK7, can effect cell-mediated cytotoxicity. For simplicity, cell-mediated cytotoxicity resulting from the activity of Fc fusion proteins is also referred to herein as ADCC activity.

[0070] An "isolated" ALK7-binding protein (e.g., an ALK7 antibody, including its ALK7-binding fragments, variants, and derivatives), polynucleotide, vector, cell, or composition is a protein (e.g., an antibody), polynucleotide, vector, cell, or composition that is in a form not found in nature. Isolated proteins, polynucleotides, vectors, cells, or compositions include those that have been purified to the extent that they are no longer in a form found in nature. In some embodiments, an isolated protein, polynucleotide, vector, cell, or composition is substantially pure. Isolated proteins and isolated nucleic acids are free or substantially free from materials with which they are naturally associated, such as other polypeptides or nucleic acids found with them in their natural environment or in the preparation environment (e.g., cell culture) when they are prepared by recombinant DNA techniques practiced in vitro or in vivo. Proteins and nucleic acids may be formulated with a diluent or adjuvant, and may even be isolated for practical purposes; for example, proteins are usually mixed with gelatin or other carriers when used to coat microtiter plates for use in immunoassays, or with a pharma- ceutically acceptable carrier or diluent when used diagnostically or therapeutically.

[0071] The terms "subject," "individual," "animal," "patient," and "mammal" refer to any subject for which diagnosis, prognosis, or treatment is desired, particularly a mammalian subject. Mammalian subjects include, but are not limited to, humans, non-human primates, domestic animals, livestock, rodents, etc., who are the intended recipient of a particular treatment.

[0072] The term "pharmaceutical composition" refers to a preparation in which the biological activity of the active ingredient is in a form such that it can be effective, and which does not contain any additional components at concentrations that are unacceptably toxic to the subject to which the composition is intended to be administered. Such compositions may be sterile.

[0073] An "effective amount" of a polypeptide, e.g., an antigen binding protein, such as an antibody, as disclosed herein, is an amount sufficient to carry out a specifically described purpose. An "effective amount" can be determined empirically and in a routine manner in relation to the described purpose. The term "therapeutically effective amount" refers to an amount of a polypeptide, e.g., an antigen binding protein, such as an antibody, or other drug, that is effective to "treat" a disease or condition in a subject (e.g., a mammal, such as a human), and that provides some improvement or benefit to a subject having such disease or condition. Thus, a "therapeutically effective" amount is an amount that provides some relief, alleviation, and / or reduction of at least one clinical symptom of an ALK7-mediated disease or condition. The clinical symptoms associated with diseases or conditions that can be treated by the methods of the present disclosure are well known. Moreover, the therapeutic effect need not be complete or curative, so long as some benefit is provided to the subject. In some embodiments, the term "therapeutically effective" refers to an amount of a therapeutic agent that is capable of reducing ALK7 activity in a subject in need thereof. The actual amount administered, and the rate and time-course of administration, will vary depending on the nature and severity of what is being treated. Prescribing treatment, e.g., determining dosage, etc., is within the responsibility of general practitioners and other physicians. Appropriate doses of antibodies and antigen-binding fragments thereof are generally known, see Ledermann et al., Int. J. Cancer 47:659-664 (1991); Bagshawe et al., Ant. Immun. and Radiopharm. 4:915-922 (1991).

[0074] An "amount sufficient" or "amount sufficient" to achieve a particular result in a subject having an ALK7-mediated disease or condition refers to an amount of a therapeutic agent (e.g., an antigen binding protein, such as an antibody, as disclosed herein) that is effective (i.e., by administration of a therapeutically effective amount) to produce a desired effect, optionally a therapeutic effect. In some embodiments, such a particular result is a reduction in ALK7 activity in a subject in need thereof.

[0075] The term "label" refers to a detectable compound or composition that is attached directly or indirectly to a moiety, such as an anti-ALK7 antibody, to produce a "labeled" moiety. The label may be itself detectable (e.g., a radioisotope label or a fluorescent label) or, in the case of an enzymatic label, may catalyze chemical alteration of a substrate compound or composition that is detectable.

[0076] The terms "treating", "treatment", "treat" or "ameliorating" and "ameliorate" refer to both (a) therapeutic measures that cure, slow, alleviate, and / or halt the progression of a diagnosed pathological condition or disorder, and (b) prophylactic or preventative measures that prevent and / or slow the onset of the targeted disease or condition. Thus, subjects in need of treatment include those already suffering from a disease or condition, those at risk of developing a disease or condition, and those in whom a disease or condition is to be prevented. In certain embodiments, a subject has been successfully "treated" according to the methods provided herein, for example, when the subject shows a total, partial, or transient improvement or disappearance of symptoms associated with the disease or condition. In some embodiments, the present disclosure provides a method for treating obesity (e.g., abdominal obesity); insulin resistance; metabolic syndrome and other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia, or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g., high LDL and hypercholesterolemia); heart disease including coronary heart disease, congestive heart failure, stroke, peripheral vascular disease, atherosclerosis, and the like. cardiovascular disease such as atherosclerosis; arteriosclerosis, and hypertension; syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative disease; endothelial dysfunction, respiratory dysfunction, renal disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome; elevated uric acid levels; hemochromatosis (iron overload); acanthosis nigricans (dark patches on the skin); and cancer (e.g., myeloma (multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or ovarian cancer (e.g., epithelial ovarian cancer), breast cancer, colon cancer, endometrial cancer, liver cancer, kidney cancer, pancreatic cancer, stomach cancer, uterine cancer, or colon cancer); and one or more of the above diseases or conditions, or being overweight (e.g., BMI of 25 kg / m 2 The present invention provides a method for treating a disease, disorder or condition selected from the group consisting of those associated with inflammatory bowel disease (IGF) and other disorders / conditions associated with body adiposity.

[0077] As used herein, "in combination with" or "combination therapy" refers to any form of administration in which an additional therapy (e.g., second, third, fourth, etc.) is more effective in the body (e.g., multiple compounds are effective in a subject simultaneously, which may include synergistic effects of the compounds). Efficacy may not correlate with measurable concentrations of the agents in blood, serum, or plasma. For example, different therapeutic compounds can be administered in the same formulation or in separate formulations, simultaneously or sequentially, on different schedules. Thus, subjects receiving such treatment can benefit from the combined effects of the different therapies. One or more ALK7 binding proteins provided herein can be administered simultaneously with, prior to, or after one or more other additional agents and / or supportive therapies. In general, each therapeutic agent is administered at a dose and / or time schedule determined for that particular agent. The particular combination to be used in the regimen takes into account the compatibility of the antagonists of the present disclosure with the treatment and / or desired outcome.

[0078] The methods and techniques of the present disclosure are generally carried out according to known conventional methods, unless otherwise indicated, as described in various general and more detailed references cited and discussed throughout this disclosure.See, for example, Sambrook et al., Molecular Cloning: A Laboratory Manual, 3rd ed., Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY (2001) and Ausubel et al., Current Protocols in Molecular Biology, Greene Publishing Associates (1992), and Harlow and Lane Antibodies: A Laboratory Manual Cold Spring Harbor Laboratory Press, Cold Spring Harbor, NY (1990), all of which are incorporated herein by reference.

[0079] The terms "cancer," "tumor," "cancerous," and "malignant" refer to or describe the physiological condition in mammals that is typically characterized by unregulated cell growth. Examples of cancer include, but are not limited to, carcinomas such as adenocarcinoma, lymphoma, blastoma, melanoma, sarcoma, and leukemia. More specific examples of such cancers include squamous cell carcinoma, small cell lung cancer, non-small cell lung cancer, gastrointestinal cancer, Hodgkin's lymphoma and non-Hodgkin's lymphoma, pancreatic cancer, glioblastoma, glioma, cervical cancer, ovarian cancer, liver cancer such as hepatic carcinoma and hepatoma, bladder cancer, breast cancer (including hormonally-induced breast cancer; see, for example, Innes et al., Br. J. Cancer 94:1057-1065 (2006)), colon cancer, colorectal cancer, endometrial cancer, myeloma (multiple myeloma, etc.), salivary gland cancer, kidney cancer such as renal cell carcinoma and Wilms' tumor, basal cell carcinoma, melanoma, prostate cancer, vulvar cancer, thyroid cancer, testicular cancer, esophageal cancer, various head and neck cancers, and cancers that originate from mucus, such as mucinous ovarian cancer, bile duct cancer (liver) and papillary renal cancer. In certain embodiments, the cancer is breast cancer, endometrial cancer, or uterine cancer. In other embodiments, the cancer is myeloma (e.g., multiple myeloma, plasmacytoma, localized myeloma, and extramedullary myeloma), or endometrial cancer, gastric cancer, liver cancer, colon cancer, kidney cancer, or pancreatic cancer.

[0080] The terms "polynucleotide" and "nucleic acid" are used interchangeably and are intended to encompass single and multiple nucleic acids, and refer to isolated nucleic acid molecules or constructs, such as messenger RNA (mRNA), complementary DNA (cDNA), or plasmid DNA (pDNA). In certain embodiments, polynucleotides contain normal phosphodiester bonds or non-normal bonds (e.g., amide bonds as found in peptide nucleic acids (PNAs)). The term "nucleic acid" refers to any one or more nucleic acid segments present in a polynucleotide, such as DNA, cDNA, or RNA fragments. When applied to a nucleic acid or polynucleotide, the term "isolated" refers to a nucleic acid molecule, DNA or RNA, that has been removed from its natural environment, e.g., a recombinant polynucleotide encoding an antigen-binding protein contained within a vector is considered isolated for purposes of this disclosure. Further examples of isolated polynucleotides include recombinant polynucleotides maintained in heterologous host cells or in solution purified (partially or substantially) from other polynucleotides. Isolated RNA molecules include in vivo or in vitro RNA transcripts of the polynucleotides of the disclosure. Isolated polynucleotides or nucleic acids according to the present disclosure further include such molecules produced synthetically.In addition, a polynucleotide or nucleic acid can include regulatory elements, such as a promoter, enhancer, ribosomal binding site, or transcription termination signals.

[0081] The term "vector" refers to a construct capable of delivering, and in some embodiments, expressing, one or more gene(s) or sequence(s) of interest into a host cell. Examples of vectors include, but are not limited to, viral vectors, naked DNA or RNA expression vectors, plasmid, cosmid, or phage vectors, DNA or RNA expression vectors associated with cationic condensing agents, DNA or RNA expression vectors encapsulated in liposomes, and certain eukaryotic cells such as producer cells.

[0082] The term "host cell" refers to a cell or population of cells that contains or is capable of containing a recombinant nucleic acid. Host cells can be prokaryotic (e.g., E. coli) or eukaryotic. Host cells can be fungal cells, including yeasts such as Saccharomyces cerevisiae, Pichia pastoris, or Schizosaccharomyces pombe. Host cells can also be any of a variety of animal cells, such as insect cells (e.g., Sf-9) or mammalian cells (e.g., HEK293F, CHO, COS-7, NIH-3T3, NS0, PER.C6®, and hybridoma). In further embodiments, the host cell is a CHO-K, CHO-0, CHO-Lec10, CHO-Lec13, CHO-Lec1, CHOPro ... - 5, and CHOdhfr - In certain embodiments, the host cell is a hybridoma.

[0083] The terms "polypeptide", "peptide" and "protein" are used interchangeably herein to refer to amino acid polymers of any length. The polymers may be linear or branched, may contain modified amino acids, and may be interrupted by non-amino acids. Such terms also include amino acid polymers that are naturally or interveningly modified, such as by disulfide bond formation, glycosylation, lipidation, acetylation, phosphorylation, or any other manipulation or modification, such as conjugation with a labeling component. Also included within this definition are polypeptides that contain, for example, one or more analogs of an amino acid (including, for example, unnatural amino acids, etc.) and other modifications known in the art. In some embodiments, the ALK7 binding proteins provided are based on antibodies, and therefore it is understood that the ALK7 binding proteins can occur as single chains or linked chains.

[0084] A "recombinant" polypeptide, protein, or antibody refers to a polypeptide, protein, or antibody produced by recombinant DNA technology. Recombinantly produced, host cell-expressed polypeptides, proteins, and antibodies are considered isolated for the purposes of this disclosure, as are naturally occurring or recombinant polypeptides that have been separated, fractionated, or partially or substantially purified by any suitable technique.

[0085] The present disclosure also includes fragments, variants, or derivatives of polypeptides, and any combination thereof. The term "fragment" when referring to polypeptides and proteins includes any polypeptide or protein that retains at least some of the properties of the reference polypeptide or protein. Polypeptide fragments include proteolytic fragments and deletion fragments.

[0086] The term "variant" refers to an antibody or polypeptide sequence that differs from that of a parent antibody or polypeptide due to at least one amino acid modification. Antibody or polypeptide variants include fragments, as well as antibodies or polypeptides in which the amino acid sequence has been altered due to amino acid substitution, deletion, or insertion. Variants may be naturally occurring or non-naturally occurring. Non-naturally occurring variants can be made using any suitable mutagenesis technique. Variant polypeptides may include conservative or non-conservative amino acid substitutions, deletions, or additions.

[0087] The term "derivative" when applied to an antibody or polypeptide refers to an antibody or polypeptide that has been modified so as to exhibit additional characteristics not found in the native antibody or polypeptide. One example of a "derivative" antibody is a fusion or conjugate with a second polypeptide or another molecule (e.g., a polymer such as PEG, a chromophore, or a fluorophore) or atom (e.g., a radioisotope).

[0088] The term "amino acid substitution" refers to the replacement of an amino acid residue present in a parent sequence with another amino acid residue. The amino acid can be replaced in the parent sequence, for example, by chemical peptide synthesis or by known recombinant methods. Thus, a reference to a "substitution at position X" or a "substitution at position X" refers to the replacement of the amino acid residue present at position X with an alternative amino acid residue. In some embodiments, the substitution pattern can be represented according to the scheme AXY, where A is the one-letter code corresponding to the amino acid residue naturally present at position X, and Y is the replacement amino acid residue. In other embodiments, the substitution pattern can be represented according to the scheme XY, where Y is the one-letter code corresponding to the amino acid residue that replaces the amino acid residue naturally present at position X.

[0089] A "conservative amino acid substitution" is one in which the amino acid residue is replaced with an amino acid residue having a similar side chain. Families of amino acid residues with similar side chains have been previously defined, and include basic side chains (e.g., Lys, Arg, His), acidic side chains (e.g., Asp, Glu), uncharged polar side chains (e.g., Gly, Asp, Gln, Ser, Thr, Tyr, Cys), non-polar side chains (e.g., Ala, Val, Leu, Ile, Pro, Phe, Met, Trp), beta-branched side chains (e.g., Thr, Val, Ile), and aromatic side chains (e.g., Tyr, Phe, Trp, His). Thus, if an amino acid residue in a polypeptide is replaced with another amino acid residue from the same side chain family, the substitution is considered conservative. Alternatively, a set of amino acid residues can be conservatively replaced with a set of structurally similar side chain family members that differ in order and / or composition.

[0090] Non-conservative substitutions include (a) a residue having a positively charged side chain (e.g., Arg, His, or Lys) is substituted for or substituted with a negatively charged residue (e.g., Glu or Asp); (b) a hydrophilic residue (e.g., Ser or Thr) is substituted for or substituted with a hydrophobic residue (e.g., Ala, Leu, Ile, Phe, or Val); (c) Cys or Pro is substituted for or substituted with any other residue; or (d) a residue having a bulky hydrophobic or aromatic side chain (e.g., Val, His, Ile, or Trp) is substituted for or substituted with a residue having a smaller side chain (e.g., Ala or Ser) or no side chain (e.g., Gly).

[0091] Other substitutions can be easily identified. For example, for the amino acid alanine, the substitution can be any one of D-Ala, Gly, beta-Ala, L-Cys, and D-Cys. For lysine, the substitution can be any one of D-Lys, Arg, D-Arg, homo-Arg, Met, D-Met, ornithine, or D-ornithine. In general, substitutions in functionally important regions that may be expected to induce changes in the properties of the isolated polypeptide are: (a) a polar residue (e.g., Ser or Thr) substituted for (or substituted by) a hydrophobic residue (e.g., Leu, Ile, Phe, or Ala); (b) a Cys residue substituted for (or substituted by) any other residue; (c) a residue with a positively charged side chain (e.g., Lys, Arg, or His) substituted for (or substituted by) a residue with a negatively charged side chain (e.g., Glu or Asp); or (d) a residue with a bulky side chain (e.g., Phe) substituted for (or substituted by) one that does not have such a side chain (e.g., Gly). The likelihood that one of the aforementioned non-conservative substitutions may change the functional properties of a protein also correlates with the position of the substitution with respect to the functionally important regions of the protein, such that some non-conservative substitutions may have little or no effect on biological properties.

[0092] The term "amino acid insertion" refers to the introduction of a new amino acid residue between two amino acid residues present in a parent sequence. The amino acid residue can be inserted into the parent sequence, for example, by chemical peptide synthesis or by recombinant methods known in the art. Thus, in the phrase "insertion between positions X and Y" or "insertion between positions X and Y according to Kabat", X and Y correspond to the position of the amino acid residue (e.g., insertion between positions 239 and 240 of the cysteine ​​amino acid residues), and such phrase refers to the insertion of an amino acid residue between positions X and Y, and also to the insertion of a codon encoding an amino acid residue in a nucleic acid sequence between the codon encoding the amino acid residue at position X and the codon encoding the amino acid residue at position Y.

[0093] The term "percent sequence identity" or "percent identity" between two sequences of polynucleotides or polypeptides refers to the number of identical matching positions shared by the sequences over the entire comparison window, taking into account additions or deletions (i.e., gaps) that must be introduced for optimal alignment between the two sequences. A matching position is any position where an identical nucleotide or amino acid is presented in both the target sequence and the reference sequence. Gaps are not counted in the target sequence, since gaps are neither nucleotides nor amino acids. Similarly, gaps are not counted in the reference sequence, since nucleotides or amino acids of the target sequence are counted, not nucleotides or amino acids from the reference sequence. The percentage of sequence identity can be calculated by determining the number of positions where identical amino acid residues or nucleic acid bases occur in both sequences to obtain the number of matching positions, dividing the number of matching positions by the total number of positions in the comparison window, and multiplying the result by 100 to obtain the percentage of sequence identity. Sequence comparison and determination of the percent identity between two sequences can be accomplished using readily available software programs. Suitable software programs are available from a variety of sources and are available for both protein and nucleotide sequences. One suitable program for determining percent sequence identity is bl2seq, which is part of the BLAST package of programs available from the US government's National Center for Biotechnology Information's BLAST website (blast.ncbi.nlm.nih.gov). Bl2seq uses the BLASTN or BLASTP algorithm to perform a comparison between two sequences. BLASTN is used to compare nucleic acid sequences, while BLASTP is used to compare amino acid sequences. Other suitable programs are, for example, Needle, Stretcher, Water, or Matcher, which are part of the EMBOSS package of bioinformatics programs, also available from the European Bioinformatics Institute (EBI) at www.ebi.ac.uk / Tools / psa.

[0094] The structure for carrying the CDR or set of CDRs is generally that of an antibody heavy or light chain sequence or a substantial portion thereof, with the CDR or set of CDRs located at a position corresponding to the CDR or set of CDRs of naturally occurring VH and VL antibody variable domains encoded by rearranged immunoglobulin genes. The structure and position of immunoglobulin variable domains and their CDRs can be readily determined by those skilled in the art using programs and known variable domain residue numbering systems such as Chothia, Chothia+, and Kabat, which can be routinely determined by reference to Kabat (Kabat et al., Sequences of Proteins of Immunological Interest. 4th Edition. USDHHS. 1987, which is incorporated herein by reference in its entirety, and tools available on the Internet (e.g., at bioinf.org.uk / abysis / sequence_input / key_annotation / key_annotation.html, and immuno.bme.nwu.edu).

[0095] The CDRs can also be carried by other scaffolds, such as fibronectin, cytochrome B, albumin (e.g., ALBUdAb (Domantis / GSK) and ALB-Kunitz (Dyax)), unstructured repeat sequences of three or six amino acids (e.g., PASylation® technology and XTEN® technology), and sequences containing elastin-like repeat domains (see, e.g., U.S. Patent Application No. 61 / 442,106, which is incorporated by reference in its entirety).

[0096] The CDR amino acid sequences substantially as set out herein may be retained as a CDR in a human variable domain or a substantial portion thereof. The HCDR3 sequences substantially as set out herein represent embodiments of the present disclosure, each of which may be retained as an HCDR3 in a human heavy chain variable domain or a substantial portion thereof.

[0097] The variable domains used in this disclosure can be derived from any germline or rearranged human variable domain, or can be synthetic variable domains based on consensus sequences of known human variable domains. CDR sequences (e.g., CDR3) can be introduced into a repertoire of variable domains lacking a CDR (e.g., CDR3) using recombinant DNA techniques.

[0098] For example, Marks et al. (Bio / Technology 10:779-783 (1992), incorporated herein by reference in its entirety) provide a method for generating a repertoire of antibody variable domains in which a consensus primer directed at or adjacent to the 5' end of the variable domain region is used in conjunction with a consensus primer to the third framework region of the human VH gene to obtain a repertoire of VH variable domains lacking CDR3. Marks et al. further describe how this repertoire can be combined with the CDR3 of a particular antibody. Using similar techniques, the CDR3-derived sequences of the present disclosure can be shuffled with a repertoire of VH or VL domains lacking CDR3, and the completed shuffled VH or VL domains can be combined with cognate VL or VH domains to obtain an antigen-binding protein. The repertoire can then be displayed in a suitable host system, such as any of the phage display systems described in International Publication No. WO 92 / 01047, or the plethora of subsequent publications, such as Kay et al., (1996) Phage Display of Peptides and Proteins: A Laboratory Manual, San Diego: Academic Press, so that suitable antigen-binding proteins can be selected. The repertoire can be displayed in a suitable host system, such as any of the phage display systems described in International Publication No. WO 92 / 01047, or the plethora of subsequent publications, such as Kay et al., (1996) Phage Display of Peptides and Proteins: A Laboratory Manual, San Diego: Academic Press, so that suitable antigen-binding proteins can be selected. 4 From the above members, for example, 10 6 ~10 8 , or 10 10The host cell may be any of the members of the family. Other suitable host systems include yeast display, bacterial display, T7 display, and ribosome display. For a review of ribosome display, see Lowe et al., Curr. Pharm. Biotech. 517-527 (2004) and International Publication No. WO92 / 01047, both of which are incorporated herein by reference in their entireties. A similar shuffling or combinatorial technique has also been disclosed by Stemmer (Nature 370:389-391 (1994)), who describes the technique in the context of a β-lactamase gene, but observes that the technique can be used to generate antibodies.

[0099] The term "antigen-binding region" or "ABR" refers to the paratope, which is the residue within an antibody that recognizes and binds an antigen (Ag). The ABR or set of ABRs is generally of an antibody heavy or light chain sequence or a substantial portion thereof, and the ABR or set of ABRs is located at a position corresponding to the ABR or set of ABRs of naturally occurring VH and VL antibody variable domains encoded by rearranged immunoglobulin genes. The structure and location of immunoglobulin variable domains and their ABRs can be readily determined by one of skill in the art using programs and known variable domain residue numbering systems and tools available on the internet, which are incorporated herein by reference in their entirety (e.g., Kunik V., et al., Nucleic Acids Res. 2012 July; 40).

[0100] An ALK7-binding protein (e.g., an anti-ALK7 antibody) is said to "compete" with a reference molecule for binding to ALK7 if it binds to ALK7 to such an extent that it inhibits the binding of the reference molecule to ALK7 to some extent.The ability of proteins to compete for binding to ALK7 and thus prevent, inhibit, or "cross-block" each other's binding to ALK7 can be determined by any standard competitive binding assay known in the art, including, for example, competitive ELISA assay, surface plasmon resonance (SPR; BIACORE®, Biosensor, Piscataway, NJ) or according to the method described by Scatchard et al. (Ann. NY Acad. Sci. 51:660-672 (1949)).An ALK7-binding protein can be said to competitively inhibit the binding of a reference molecule to ALK7 by, for example, at least 90%, at least 80%, at least 70%, at least 60%, or at least 50%. According to some embodiments, the ALK7 binding protein competitively inhibits binding of a reference molecule to ALK7 by at least 90%, at least 80%, at least 70%, at least 60%, or at least 50%. According to other embodiments, the ALK7 binding protein competitively inhibits binding of a reference molecule to ALK7 by at least 90%, at least 80%, at least 70%, at least 60%, or at least 50%.

[0101] ALK7-binding proteins Provided is a protein that specifically binds to ALK7. In some embodiments, provided is an antagonistic ALK7 binding protein. In some embodiments, the ALK7 binding protein is an antibody. In further embodiments, the antibody is an antagonistic anti-ALK7 antibody.

[0102] As used herein, the term "ALK7" refers to a family of activin receptor-like kinase-7 proteins from any species and variants derived from such ALK7 proteins by mutagenesis or other modifications. Reference to ALK7 herein is understood to be a reference to any one of the currently identified forms. Members of the ALK7 family are generally transmembrane proteins, composed of a ligand-binding extracellular domain with a cysteine-rich region, a transmembrane domain, and a cytoplasmic domain with predicted serine / threonine kinase activity. There are various naturally occurring isoforms of human ALK7. The sequence of the standard human ALK7 isoform 1 precursor protein (NCBI reference NP_660302.2) is as follows: TIFF0007617036000001.tif62170 (SEQ ID NO: 85). The signal peptide is shown in single underline and the extracellular domain is shown in bold font.

[0103] The sequence of the standard rat ALK7 precursor protein (NCBI reference sequence P70539.1) is as follows: TIFF0007617036000002.tif64169 (SEQ ID NO: 86). The signal peptide is shown in single underline and the extracellular domain is shown in bold font.

[0104] In some embodiments, the ALK7 binding protein binds to ALK7 with an affinity that is at least 100-fold, 500-fold, or 1000-fold greater than the affinity of the ALK7 binding protein for a control protein that is not a TGF-beta receptor family member. In certain embodiments, the ALK7 binding protein binds to ALK7 with a dissociation constant (K D ) is less than 1 μM, less than 100 nM, less than 10 nM, less than 1 nM, less than 0.1 nM, less than 10 pM, less than 1 pM, or less than 0.1 pM. In some embodiments, the ALK7 binding protein has a K D is within the range of 1 μM or less and 0.1 pM or more, 100 μM or less and 0.1 pM or more, or 100 μM or less and 1 pM or more.

[0105] In some embodiments, BIACORE® analysis is used to determine the ability of an ALK7 binding protein (e.g., an anti-ALK7 antibody) to compete / block binding to ALK7 protein by a reference ALK7 binding protein (e.g., an anti-ALK7 antibody). In a further embodiment, where a BIACORE® instrument (e.g., a BIACORE® 3000) is operated according to the manufacturer's recommendations, ALK7-Fc fusion protein is captured on a CM5 BIACORE® chip with pre-bound anti-niFc IgG to generate an ALK7-coated surface. Typically, 200-800 resonance units of ALK7-Fc (dimer) will be coupled to the chip (an amount that readily provides measurable levels of binding, but is readily saturable by the concentration of test reagents used).

[0106] Two ALK7-binding proteins (A * and B. * A) are mixed in a suitable buffer at a 1:1 molar ratio of binding sites to form a test mixture. When calculating concentrations based on binding sites, the molecular weight of the ALK7 binding protein is assumed to be the total molecular weight of the ALK7 binding protein divided by the number of ALK7 binding sites on that ALK7 binding protein. * and B. * The concentration of ALK7-binding protein in the mixture should be high enough to easily saturate the binding sites for that ALK7-binding protein on the ALK7-Fc molecules captured on the BIACORE® chip. * and B. * are at the same molar concentration (based on binding), which would typically be 1.00-1.5 micromolar (based on binding sites). * Alone and with ALK7-binding protein B *Separate solutions containing the ALK7 binding protein A alone are also prepared. * and ALK7 binding protein B * should be at the same concentration in the same buffer as in the test mixture. The test mixture is passed over a BIACORE® chip coated with ALK7-Fc and the total amount bound is recorded. The chip is then treated to remove the bound ALK7 binding protein without damaging the ALK7-Fc bound to the chip. Typically, this is done by treating the chip with 30 mM HC1 for 60 seconds. The ALK7 binding protein A is then removed. * A single solution is passed over the ALK7-Fc coated surface and the amount of binding is recorded. The chip is treated again to remove bound antibody without damaging the chip-bound ALK7-Fc. ALK7-binding protein B is then * A single solution is passed over the ALK7-Fc coated surface and the amount of binding is recorded. ALK7-binding protein A * and ALK7-binding protein B * The theoretical maximum binding of the mixture is then calculated, which is the sum of the binding of each ALK7 binding protein when passed alone over the ALK7 surface. If the actual recorded binding of the mixture is less than this theoretical maximum, then the two ALK7 binding proteins compete / block each other. Thus, in general, an inhibitory ALK7 binding protein is one that binds to ALK7 in the BIACORE® inhibition assay described above such that the recorded binding during the assay and in the presence of a second ALK7 binding protein is between 80% and 0.1% (e.g., less than 80% to 4%) of the theoretical maximum binding (as defined above) of the two ALK7 binding proteins combined, specifically between 75% and 0.1% (e.g., 75% to 4%) of the theoretical maximum binding, more specifically between 70% and 0.1% (e.g., 70% to 4%) of the theoretical maximum binding.

[0107] The BIACORE® assay described above is an exemplary assay used to determine whether two ALK7 binding proteins, such as anti-ALK7 antibodies, compete / block each other for binding to ALK7. In rare cases, a particular ALK7 binding protein may not bind to ALK7-Fc that is bound to a CM5 BIACORE® chip via anti-Fc IgG (this can occur when the relevant binding site on ALK7 is masked or destroyed by the linkage of ALK7 to Fc). In such cases, blocking can be determined using a tagged version of ALK7, for example, C-terminal His-tagged ALK7. In this particular format, an anti-His antibody is bound to the BIACORE® chip, and then the His-tagged ALK7 is passed over the chip surface and captured by the anti-His antibody. The cross-blocking analysis is essentially performed as described above, except that after each chip regeneration cycle, the anti-His antibody-coated surface is again loaded with fresh His-tagged ALK7. Additionally, various other known tag and tag binding protein combinations can be used in such blocking assays (e.g., HA tag and anti-HA antibody; FLAG tag and anti-FLAG antibody; biotin tag and streptavidin).Outlined below is an ELISA assay for determining whether an ALK7 binding protein blocks or is capable of blocking the binding of a reference ALK7 binding protein to ALK7.

[0108] In some embodiments, ELISA is used to determine the ability of an ALK7 binding protein (e.g., an anti-ALK7 antibody) to compete with a reference ALK7 binding protein (e.g., an anti-ALK7 antibody or an ALK7 ligand) for binding to ALK7. The general principle of such an assay is to coat a reference ALK7 binding protein (e.g., an anti-ALK7 antibody) onto the wells of an ELISA plate. An excess of a potentially inhibitory second test ALK7 binding protein is added in solution (i.e., not bound to the ELISA plate). A limited amount of ALK7 (or alternatively, ALK7-Fc) is then added to the wells. The coated reference ALK7 binding protein and the test ALK7 binding protein in solution compete for the binding of a limited number of ALK7 (or ALK7-Fc) molecules. The plate is washed to remove the ALK7 that is not bound by the coated reference ALK7 binding protein, and also removes the liquid-phase test ALK7 binding protein and the complex formed between the liquid-phase test ALK7 binding protein and ALK7.The amount of bound ALK7 is then measured using a suitable ALK7 detection reagent.The test ALK7 binding protein in solution that can block the binding of the coated reference ALK7 binding protein to ALK7 can cause a decrease in the number of ALK7 molecules that the coated reference ALK7 binding protein can bind to, compared to the number of ALK7 molecules that the coated reference ALK7 binding protein can bind to in the absence of a second liquid-phase test ALK7 binding protein.The background signal of the assay is defined as the signal obtained in the well that contains the coated reference ALK7 binding protein, the liquid-phase test ALK7 binding protein, ALK7 buffer only (i.e., no ALK7) and the ALK7 detection reagent. The positive control signal for the assay is defined as the signal obtained in wells containing coated reference ALK7 binding protein, solution-phase test ALK7 binding protein buffer only (i.e., no solution-phase test ALK7 binding protein), ALK7 and ActRII receptor (e.g., ActRIIA or ActRIIB) detection reagents.ELISA assays are performed to obtain a positive control signal at least 3 times the background signal. As a control for methodological artifacts, cross-blocking assays can be performed in the format described above, or vice versa, using the test ALK7 binding protein as the coated antibody and the reference ALK7 binding protein as the solution phase antibody.

[0109] In some embodiments, the ALK7 binding protein binds to ALK7 with an affinity that is at least 100-fold, 500-fold, or 1000-fold greater than the affinity of the ALK7 binding protein for a control protein that is not a TGF-beta receptor family member. In additional embodiments, the ALK7 binding protein binds to ALK7 with an affinity that is at least 100-fold, 500-fold, or 1000-fold greater than the affinity of the ALK7 binding protein for a control protein that is not a TGF-beta receptor family member. In certain embodiments, the ALK7 binding protein binds to ALK7 with a dissociation constant (K D ) is less than 1 μM, less than 100 nM, less than 10 nM, less than 1 nM, less than 0.1 nM, less than 10 pM, less than 1 pM, or less than 0.1 pM. In some embodiments, the ALK7 binding protein has a K D is within the range of 1 μM or less and 0.1 pM or more, 100 μM or less and 0.1 pM or more, or 100 μM or less and 1 pM or more.

[0110] In some embodiments, cell-based lipolysis inhibition assays are used to determine the ability of ALK7 binding proteins (e.g., antagonistic anti-ALK7 antibodies) to reduce (inhibit) ALK7-mediated lipolysis inhibition in mammalian white adipocytes. In some embodiments, lipolysis inhibition assays are performed using mature white adipocytes (e.g., human, mouse, or rat) to determine the ability of ALK7 binding proteins (e.g., anti-ALK7 antibodies) to reduce ALK7 activity. Kits, reagents, and methods for performing lipolysis assays are commercially available and known in the art. In certain embodiments, lipolysis inhibition assays are performed as provided in the Examples herein. In other embodiments, the assay is performed according to the instructions and reagents provided in a commercially available lipolysis assay kit (e.g., BioAssay Systems, EnzyChrom™ Adipolysis Assay Kit, catalog number EAPL-200; Abcam catalog number ab185433; Zen-Bio, catalog number LIP-1-NCL1; BioVision, catalog number K577-100; Sigma-Aldrich, catalog number MAK211; and AdipoLyze™ Lipolysis Detection Assay, Lonza, catalog number 193339).

[0111] In some embodiments, the ALK7 binding protein is an ALK7 antagonist and increases lipolysis by 5%-100%, 10%-80%, or 10%-60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5%-100%, 10%-80%, or 10%-60%. In some embodiments, the ALK7 binding protein increases lipolysis in mature white adipocytes by 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-65%, 10-60%, 10-55%, 10-50%, or 10-45% as determined using standard techniques and conditions (e.g., as described in the Examples herein) in a lipolysis inhibition assay performed in the presence of activin B (50 ng / ml). In other embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in mature white adipocytes by at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined using standard techniques and conditions (e.g., as described in the Examples herein) in a lipolysis inhibition assay performed in the presence of activin B (50 ng / ml).

[0112] Pharmacodynamic parameters that depend on ALK7 signal transduction can be measured as the end point of the in vivo test of ALK7 binding protein to identify the binding protein that can neutralize ALK7 and provide therapeutic benefit.ALK7 neutralizing binding substances are defined as those that can produce statistically significant changes in such pharmacodynamic parameters compared to vehicle-treated animals.Such in vivo tests can be carried out in any suitable mammal (e.g., mouse, rat, or monkey).

[0113] In some embodiments, the ALK7 binding protein is an antibody that specifically binds to ALK7.In additional embodiments, the ALK7 binding protein is a full-length anti-ALK7 antibody.In additional embodiments, the antibody is a monoclonal antibody, a recombinant antibody, a human antibody, a humanized antibody, a chimeric antibody, a bispecific antibody, a multispecific antibody, or an ALK7 binding antibody fragment thereof.

[0114] In some embodiments, the anti-ALK7 antibody is an ALK7-binding antibody fragment. In some embodiments, the ALK7-binding antibody fragment is a Fab, Fab', F(ab')2, Fv fragment, diabody, or single chain antibody molecule. In additional embodiments, the ALK7 antibody is an Fd, single chain Fv (scFv), disulfide-linked Fv, V-NAR domain, IgNar, intrabody, IgGΔCH2, minibody, F(ab')3, tetrabody, triabody, diabody, single domain antibody, DVD-Ig, Fcab, mAb 2 , (scFv)2, scFv-Fc or bis-scFv.

[0115] In additional embodiments, the ALK7 binding protein is an antibody comprising a VH and a VL. In some embodiments, the anti-ALK7 antibody further comprises a heavy chain constant region or a fragment thereof. In some embodiments, the antibody comprises a heavy chain immunoglobulin constant region selected from: (a) a human IgA constant region or a fragment thereof, (b) a human IgD constant region or a fragment thereof, (c) a human IgE constant domain or a fragment thereof; (d) a human IgG1 constant region or a fragment thereof, (e) a human IgG2 constant region or a fragment thereof, (f) a human IgG3 constant region or a fragment thereof, (g) a human IgG4 constant region or a fragment thereof, and (h) a human IgM constant region or a fragment thereof. In certain embodiments, the ALK7 binding protein comprises a heavy chain constant region or a fragment thereof, for example, a human IgG constant region or a fragment thereof. In further embodiments, the ALK7 binding protein comprises a heavy chain immunoglobulin constant domain that has been altered or mutated to alter effector function and / or half-life.

[0116] In certain embodiments, the ALK7 binding protein is an antibody that comprises an IgG1 heavy chain constant region that contains a mutation that reduces effector function (see, e.g., Idusogie et al., J. Immunol. 166:2571-2575 (2001); Sazinsky et al., PNAS USA 105:20167-20172 (2008); Davis et al., J. Rheumatol. 34:2204-2210 (2007); Bolt et al., Eur. J. Immunol. 23:403-411 (1993); Alegre et al., Transplantation 57:1537-1543 (1994); Xu et al., Cell Immunol. 200:16-26 (2000); Cole et al., J. Immunol. 20:16-26 (2000); each of which is incorporated by reference in its entirety. (see, for example, Hutchins et al., PNAS USA 92:11980-11984 (1995), Reddy et al., J. Immunol. 164:1925-1933 (2000), WO 97 / 11971, and WO 07 / 106585, U.S. Application Publication No. 2007 / 0148167 A1, McEarchern et al., Blood 109:1185-1192 (2007), Strohl, Curr. Op. Biotechnol. 20:685-691 (2009), and Kumagai et al., J. Clin. Pharmacol. 47:1489-1497 (2007)).

[0117] In some embodiments, the heavy chain constant region or fragment thereof includes one or more amino acid substitutions relative to a wild-type IgG constant domain, such that the modified IgG has reduced ADCC compared to the half-life of an IgG having a wild-type IgG constant domain. Examples of Fc sequence engineering modifications contained within the provided antibodies that reduce ADCC include IgG1-K326W, E333S; IgG2-E333S; IgG1-N297A; IgG1-L234A, L235A; IgG2-V234A, G237A; IgG4-L235A, G237A, E318A; IgG4-S228P, L236E; IgG2-EU sequence 118-260; IgG4-EU sequence 118-260; and IgG1-L234F, L235E, P331S, where the numbering of the positions is according to the EU index, as in Kabat.

[0118] In certain embodiments, the ALK7 binding protein comprises a heavy chain immunoglobulin constant domain that has reduced or been mutated to reduce CDC activity. In certain embodiments, the ALK7 binding protein is an antibody that comprises an IgG1 heavy chain constant region that contains a mutation that reduces CDC activity (see, e.g., WO 97 / 11971 and WO 07 / 106585, U.S. Patent Publication No. 2007 / 0148167 A1, McEarchern et al., Blood 109:1185-1192 (2007); Hayden-Ledbetter et al., Clin. Cancer 15:2739-2746 (2009), Lazar et al., PNAS USA 103:4005-4010 (2006), Bruckheimer et al., Neoplasia 103:4005-4010 (2006), each of which is incorporated by reference in its entirety). 11:509-517 (2009); Strohl, Curr. Op. Biotechnol. 20:685-691 (2009); and Sazinsky et al., PNAS USA 105:20167-20172 (2008). Examples of Fc sequence engineering modifications contained within anti-ALK7 antibodies that reduce CDC include one or more modifications corresponding to IgG1-S239D, A330L, I332E; IgG2 EU sequence 118-260; IgG4-EU sequence 261-447; IgG2-H268Q, V309L, A330S, A331S; IgG1-C226S, C229S, E233P, L234V, L235A; IgG1-L234F, L235E, P331S; and IgG1-C226S, P230S.

[0119] In further embodiments, the heavy chain constant region or fragment thereof comprises one or more amino acid substitutions relative to a wild-type IgG constant domain, such that the modified IgG has an increased half-life compared to the half-life of an IgG having a wild-type IgG constant domain. For example, the IgG constant domain can contain one or more amino acid substitutions of amino acid residues at positions 251-257, 285-290, 308-314, 385-389, and 428-436, where the numbering of the amino acid positions is according to the EU index as set forth in Kabat. In certain embodiments, an IgG constant domain can contain one or more of the following: a substitution of the amino acid at Kabat position 252 with Tyr, Phe, Trp, or Thr; a substitution of the amino acid at Kabat position 254 with Thr; a substitution of the amino acid at Kabat position 256 with Ser, Arg, Gln, Glu, Asp, or Thr; a substitution of the amino acid at Kabat position 257 with Leu; a substitution of the amino acid at Kabat position 309 with Pro; a substitution of the amino acid at Kabat position 311 with Ser; a substitution of the amino acid at Kabat position 428 with Thr, Leu, Phe, or Ser; a substitution of the amino acid at Kabat position 433 with Arg, Ser, Iso, Pro, or Gln; or a substitution of the amino acid at Kabat position 434 with Trp, Met, Ser, His, Phe, or Tyr. Specifically, the IgG constant domain can contain amino acid substitutions relative to the wild-type human IgG constant domain, including substitution of the amino acid at Kabat position 252 with Tyr, substitution of the amino acid at Kabat position 254 with Thr, and substitution of the amino acid at Kabat position 256 with Glu.

[0120] In additional embodiments, the ALK7 binding protein is an antibody that comprises a light chain immunoglobulin constant region. In further embodiments, the antibody comprises a human Ig kappa constant region or a human Ig lambda constant region.

[0121] In some embodiments, the ALK7 binding protein comprises a set of complementarity determining regions (CDRs), i.e., heavy chain variable region (VH)-CDR1, VH-CDR2, VH-CDR3, light chain variable region (VL)-CDR1, VL-CDR2 and VL-CDR3, which CDRs are present in a pair of heavy chain variable region (VH) and light chain variable region (VL) disclosed in Table 1. In some embodiments, the ALK7 binding protein comprises a set of CDRs present in a pair of VH and VL selected from (a) the VH sequence of SEQ ID NO: 4 and the VL sequence of SEQ ID NO: 13, (b) the VH sequence of SEQ ID NO: 22 and the VL sequence of SEQ ID NO: 31, (c) the VH sequence of SEQ ID NO: 40 and the VL sequence of SEQ ID NO: 49, and (d) the VH sequence of SEQ ID NO: 58 and the VL sequence of SEQ ID NO: 67.

[0122] In additional embodiments, the ALK7 binding protein specifically binds to ALK7 and comprises a set of CDRs, namely, VH-CDR1, VH-CDR2, VH-CDR3, VL-CDR1, VL-CDR2, and VL-CDR3, wherein the set of CDRs is a reference set of CDRs, namely, (a)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 1, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 2, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 3, and (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: or (b) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 19, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 20, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 21, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 28, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 29, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 30. or (c) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 37, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 38, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 39, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 46, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 47, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 48, or (d) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 55, and (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO:57, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO:64, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO:65, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO:66, or has a total of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or less than 10 amino acid substitutions, deletions, and / or insertions therein, and such proteins bind to ALK7.

[0123] In some embodiments, the ALK7 binding protein specifically binds to ALK7 and comprises a set of CDRs, i.e., (a)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 1, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 2, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 3, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 10, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 11, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 12; or (b)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 19, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 20, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 21, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 28, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 29, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 30. or (c) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 37, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 38, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 39, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 46, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 47, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 48; or (d) (i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 55, (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 56, (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 57, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 64, (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 65, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 66, and such protein binds to ALK7.

[0124] In some embodiments, the ALK7 binding protein comprises a set of antigen binding regions (ABRs), i.e., heavy chain variable region (VH)-ABR1, VH-ABR2, VH-ABR3, light chain variable region (VL)-ABR1, VL-ABR2, and VL-ABR3, where such ABRs are present in a heavy chain variable region (VH) and light chain variable region (VL) pair disclosed in Table 1. In some embodiments, the ALK7 binding protein comprises a set of ABRs present in a VH and VL pair selected from (a) the VH sequence of SEQ ID NO: 4 and the VL sequence of SEQ ID NO: 13, (b) the VH sequence of SEQ ID NO: 22 and the VL sequence of SEQ ID NO: 31, (c) the VH sequence of SEQ ID NO: 40 and the VL sequence of SEQ ID NO: 49, and (d) the VH sequence of SEQ ID NO: 58 and the VL sequence of SEQ ID NO: 67.

[0125] In additional embodiments, the ALK7 binding protein specifically binds ALK7 and comprises a set of ABRs, i.e., VH-ABR1, VH-ABR2, VH-ABR3, VL-ABR1, VL-ABR2, and VL-ABR3, wherein the set of ABRs is a reference set of ABRs, i.e., (a) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 73, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 74 or 69, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 75 or 70, and (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 76, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 77 or 88, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 89, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 90, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 91, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 92. or (c) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 79, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97; or (d) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 82, and (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 83. or 98 amino acid sequence, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 84 or 99, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 100, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 101, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 102, and such proteins bind to ALK7.

[0126] In some embodiments, the ALK7 binding protein specifically binds to ALK7 and comprises a set of ABRs, i.e., (a) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 73, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 74 or 69, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 75 or 70, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 71, and (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 72. (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 76, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 77 or 88, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 89, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 90, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 91, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 92. (c) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 79, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97, or (d) (i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 79, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97, (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 83 or 98, (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 84 or 99, (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 100, (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 101, and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 102, and such proteins bind to ALK7.

[0127] In some embodiments, the ALK7 binding protein specifically binds ALK7 and comprises a VH and VL pair, namely: (a) (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:4; and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:13; (b) (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:22; and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99%, or 100% sequence identity to SEQ ID NO:31; (c) a pair selected from: (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 40 and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 49; and (d) (i) a VH having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 58 and (ii) a VL having at least 90%, 95%, 96%, 97%, 98%, 99% or 100% sequence identity to SEQ ID NO: 67, wherein such proteins bind to ALK7.

[0128] In some embodiments, the ALK7 binding protein comprises a VH and VL pair, i.e., (a) a VH sequence having (i) a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence selected from SEQ ID NO: 4, and (ii) a VL sequence having (i) a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 13. (b) (i) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 22; and (ii) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 31. (c)(i) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 40; and (ii) a VL sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 49; and (d)(i) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than fifteen, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 50. and (ii) a VH sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 67, and a VL sequence having a total of one, two, three, four, five, six, seven, eight, nine, ten, less than 15, or zero amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 67, wherein such a protein binds to ALK7.

[0129] In some embodiments, the ALK7 binding protein is an antibody that specifically binds to ALK7. In additional embodiments, the antibody is a monoclonal antibody, a recombinant antibody, a human antibody, a humanized antibody, a chimeric antibody, a bispecific antibody, or a multispecific antibody. In some embodiments, the ALK7 binding protein is an ALK7 binding antibody fragment. In some embodiments, the antibody is an antibody fragment selected from Fab, Fab', F(ab')2, Fv, diabody, DART, and single chain antibody molecule (e.g., BiTE).

[0130] In further embodiments, the ALK7 binding protein (a) reduces the formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and a type II receptor in the presence of one or more TGF-beta superfamily ligands; (b) competes with one or more type II receptors for binding to ALK7; and (c) inhibits the formation of one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and a type II receptor. ), (d) reduces phosphorylation of ALK7 in cells expressing ALK7 and a type II receptor (e.g., ActRIIA or ActRIIB) in the presence of one or more TGF-beta superfamily ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (e) reduces phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and a type II receptor (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (f) reduces phosphorylation of ALK7 and a type II receptor (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); Dand (g) reducing the formation of a complex containing ALK7, a co-receptor (e.g., cripto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal) (e.g., as determined by BIACORE® analysis). In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the ALK7 binding protein has two, three, or four of the above characteristics. In some embodiments, the ALK7 binding protein has at least two, at least three, or at least four of the above characteristics.

[0131] In some embodiments, the ALK7 binding protein comprises at least one mutation, modification, and / or substitution, e.g., a mutation in the Fc region or Fab region. Such mutation and / or substitution may, for example, increase or improve the expression level, post-translational modification, stability / half-life, and / or activity of the ALK7 binding protein. In certain embodiments, the ALK7 binding protein (e.g., an anti-ALK7 antibody) comprises at least one mutation, modification, and / or substitution in its Fc region to, for example, reduce effector activity and / or toxicity in a host, and / or reduce complement binding and fixation, reduce Fc-g-dependent antibody-dependent cell-mediated cytotoxicity (ADCC), reduce complement-dependent cytotoxicity (CDC), and / or improve bioavailability and / or stability / half-life.

[0132] Examples of Fc sequence engineering modifications that reduce ADCC, one or more of which may be included in a provided antibody, include IgG1-K326W, E333S; IgG2-E333S; IgG1-N297A; IgG1-L234A, L235A; IgG2-V234A, G237A; IgG4-L235A, G237A, E318A; IgG4-S228P, L236E; IgG2-EU sequence 118-260; IgG4 -modifications corresponding to 261 to 447 of the EU sequence; IgG2-H268Q, V309L, A330S, A331S; IgG1-C220S, C226S, C229S, P238S; IgG1-C226S, C229S, E233P, L234V, L235A; and IgG1-L234F, L235E, P331S, where the numbering of the positions is according to the EU index as in Kabat.

[0133] Examples of Fc sequence engineering modifications that reduce CDC activity, one or more of which may be included in a provided antibody, include those described, for example, in WO 97 / 11971 and WO 07 / 106585, U.S. Patent Publication No. 2007 / 0148167A1, McEarchern et al., Blood 109:1185-1192 (2007); Hayden-Ledbetter et al., Clin. Cancer 15:2739-2746 (2009), Lazar et al., PNAS USA 103:4005-4010 (2006), Bruckheimer et al., Neoplasia 11:509-517 (2009), Strohl, Curr. Op. Biotechnol. 20:685-691 (2009), and Sazinsky et al., PNAS USA 105:20167-20172 (2008), each of which is incorporated herein by reference in its entirety. Particular such modifications include those corresponding to IgG1-S239D, A330L, I332E, 118-260 of the IgG2 EU sequence, 261-447 of the IgG4-EU sequence, IgG2-H268Q, V309L, A330S, A331S, IgG1-C226S, C229S, E233P, L234V, L235A, IgG1-L234F, L235E, P331S, and IgG1-C226S, P230S.

[0134] Examples of Fc sequence engineering modifications that improve half-life, one or more of which may be included in a provided antibody, include substitutions of amino acid residues at positions 251-257, 285-290, 308-314, 385-389, and 428-436, where the numbering of amino acid positions is according to the EU index as set forth in Kabat. In certain embodiments, the IgG constant domain contains one or more of: a substitution of the amino acid at Kabat position 252 with Tyr, Phe, Trp, or Thr; a substitution of the amino acid at Kabat position 254 with Thr; a substitution of the amino acid at Kabat position 256 with Ser, Arg, Gln, Glu, Asp, or Thr; a substitution of the amino acid at Kabat position 257 with Leu; a substitution of the amino acid at Kabat position 309 with Pro; a substitution of the amino acid at Kabat position 311 with Ser; a substitution of the amino acid at Kabat position 428 with Thr, Leu, Phe, or Ser; a substitution of the amino acid at Kabat position 433 with Arg, Ser, Iso, Pro, or Gln; or a substitution of the amino acid at Kabat position 434 with Trp, Met, Ser, His, Phe, or Tyr. Specifically, the IgG constant domain can contain one or more amino acid substitutions relative to the wild-type human IgG constant domain, including a substitution of the amino acid at Kabat position 252 with Tyr, a substitution of the amino acid at Kabat position 254 with Thr, and a substitution of the amino acid at Kabat position 256 with Glu.

[0135] In some embodiments, the ALK7 binding proteins described herein comprise at least one mutation, modification, and / or substitution, e.g., a mutation in the Fc region or Fab region disclosed herein to reduce ADCC and / or CDC activity and / or improve half-life, hi other embodiments, the ALK7 binding proteins described herein comprise at least two, three, four, five, six, seven, eight, nine, ten, or more substitutions, e.g., mutations in the Fc region or Fab region disclosed herein.

[0136] Certain specific mutation(s), modification(s), and / or substitution(s) may be introduced into the ALK7 binding proteins described herein alone or in combination with at least one of the above mutations, modifications, and / or substitutions. For example, to reduce antibody cytotoxicity, residues N 297 N-linked glycosylation in 297 can be eliminated by substituting N with alanine, glycine, or aspartic acid (Tao and Morrison (1989) J Immunol 143:2595-2601; Hristodorov et al. (2013) Mol Biotechnol 54:1056-1068). Similarly, the serine / threonine residue at position 299 can be modified (Sazinsky et al. (2008) Proc Natl Acad Sci USA 105:20167-20172). 297 The mutation in D 265 A mutation (Lund et al. (1996) J Immunol 157:4963-4969), e.g., DANA (D 265 A, N 297 A) or DANG(D 265 A, N 297 There are two commonly used pairs of amino acid changes, represented as L and G. Alternative mutations to reduce antibody effector function include 234 A and L 235These include substitutions of residues in the lower hinge of the antibody, such as A (LALA, Kabat positions) (Chappel et al. (1991) Proc Natl Acad Sci USA 88:9036-9040). These residues form part of the Fc-gamma receptor binding site on the CH2 domain, and exchange of these residues between antibody isotypes of higher or lower effector function confirmed their importance in ADCC. Alanine substitutions at these sites are effective in reducing ADCC in both human and mouse antibodies, but these substitutions are less effective in reducing CDC activity. Another single variant, P, identified by random mutagenesis to map the C1q binding site of Fc 329 A is highly effective at reducing CDC activity while retaining ADCC activity. 234 A, L 235 A and P 329 A combination of substitutions at LALA-PG, Kabat positions, has been shown to effectively silence effector functions of human IgG1 antibodies. For a detailed discussion of LALA, LALA-PG, and other mutations, see Lo et al. (2017) J.Biol.Chem.292:3900-3908, the contents of which are incorporated herein by reference in their entirety. The ALK7 binding proteins described herein can have at least one, two, three, or more of the mutations described herein.

[0137] In certain preferred embodiments, the ALK7 binding protein (e.g., an anti-ALK7 antibody) comprises an ALK7-binding domain in the Fc region of the heavy chain (LALA HC). 234 A mutation and L 235 In another preferred embodiment, the ALK7 binding protein (e.g., an anti-ALK7 antibody) comprises an L A mutation (LALA, Kabat position) in the Fc region of the heavy chain. 234 A mutation, L 235 A mutation, and P 329 Contains a G mutation (LALA-PG; Kabat positions).

[0138] In some embodiments, the ALK7 binding protein is an antibody that specifically binds to ALK7.In some embodiments, the anti-ALK7 antibody is a mouse antibody, a humanized antibody, a chimeric antibody, a monoclonal antibody, a polyclonal antibody, a recombinant antibody, a multispecific antibody, or any combination thereof.In some embodiments, the anti-ALK7 antibody is an Fv fragment, a Fab fragment, a F(ab')2 fragment, a Fab' fragment, a dsFv fragment, a scFv fragment, or a sc(Fv)2 fragment.

[0139] In some embodiments, the ALK7 binding protein specifically binds to ALK7 and blocks the activity of an ALK7 ligand (e.g., GDF1, GDF3, GDF8, activin B, activin A / B, or Nodal). In some embodiments, the ALK7 binding protein specifically binds to ALK7 and blocks the activity of a co-receptor (e.g., cripto). In some embodiments, the ALK7 binding protein specifically binds to ALK7 and reduces adipogenesis associated with the activity of an ALK7 ligand (e.g., GDF1, GDF3, GDF8, activin B, activin A / B, or Nodal). In some embodiments, the ALK7 binding protein specifically binds to ALK7 and treats or ameliorates one or more diseases or conditions associated with overweight, obesity, or metabolic disorders. In some embodiments, the disease or condition is type II diabetes. In some embodiments, the disease or condition is hypertension. In some embodiments, the metabolic disorder is dyslipidemia, insulin resistance, hyperinsulinemia, or hyperglycemia.

[0140] In certain embodiments, the ALK7 binding protein (e.g., an anti-ALK7 antibody) reduces ALK7-mediated Smad signaling. In other embodiments, the ALK7 binding protein antagonizes ALK7-mediated inhibition of lipolysis in white and / or brown adipocytes by 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45% as determined by a lipolysis assay. In other embodiments, the ALK7 binding protein suppresses or reduces ALK7-mediated inhibition of lipolysis in white and / or brown adipocytes by at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined by lipolysis assay. In some embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the ALK7 binding protein binds to ALK7 and inhibits or reduces one or more conditions associated with overweight, obesity, insulin resistance, diabetes, atherosclerosis, hypertension, inflammation, and / or NAFLD (e.g., fatty liver and / or NASH).

[0141] In certain embodiments, the ALK7 binding protein (e.g., an anti-ALK7 antibody) reduces ALK7-mediated Smad signaling. In other embodiments, the ALK7 binding protein inhibits ALK7-mediated lipolysis inhibition in white adipocytes by 5%-100%, 10%-95%, 10-90%, 10-85%, 10-80%, 10-75%, 10-70%, 10-75%, 10-70%, 10-60%, 10-55%, 10-50%, or 10-45%, as determined using standard techniques and conditions (e.g., as described in the Examples herein) in a lipolysis inhibition assay performed in the presence of activin B (50 ng / ml). In other embodiments, the ALK7 binding protein suppresses or reduces ALK7-mediated inhibition of lipolysis in white adipocytes by at least 5%, 10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, or 95%, or about 100%, as determined using standard techniques and conditions (e.g., as described in the Examples herein) in a lipolysis inhibition assay performed in the presence of activin B (50 ng / ml). In some embodiments, the ALK7 binding protein binds to ALK7 and inhibits or reduces one or more conditions associated with overweight, obesity, insulin resistance, diabetes, atherosclerosis, hypertension, inflammation, and / or NAFLD (e.g., fatty liver and / or NASH).

[0142] In certain embodiments, blocking ALK7 activity with the ALK7 binding protein (e.g., anti-ALK7 antibody) described herein inhibits or reduces one or more conditions associated with overweight, insulin resistance, obesity or diabetes, such as hypertension, cancer, and neuropathy, retinopathy, and cardiovascular, pulmonary and renal disease. In further embodiments, blocking ALK7 inhibits or reduces one or more conditions associated with metabolic disease. In certain embodiments, the ALK7 binding protein (e.g., anti-ALK7 antibody) inhibits or reduces the binding of activin B, GDF8, or Nodal to ALK7. In other embodiments, the ALK7 binding protein inhibits or reduces the inhibition of lipolysis by the Smad-dependent pathway.

[0143] As noted above, in some embodiments, anti-ALK7 antibodies (e.g., full-length ALK7 antibodies and ALK7-binding antibody fragments, as well as variants and derivatives thereof) that contain a VH and / or VL amino acid sequence that binds ALK7 may have at least 85%, 90%, 95%, 96%, 97%, 98% 99%, or 100% sequence identity to the sequences described herein. In some embodiments, the VH and / or VL amino acid sequence(s) that bind ALK7 include 8, 7, 6, 5, 4, 3, 2, 1 amino acid additions, substitutions (e.g., conservative substitutions), or deletions relative to the sequences described herein. In additional embodiments, the ALK7 binding VH and / or VL amino acid sequences include 1, 2, 3, 4, 5, or more amino acid additions, substitutions (e.g., conservative substitutions), or deletions relative to the sequences described herein. Anti-ALK7 antibodies containing VH and VL regions that have a certain percentage of similarity to the VH or VL regions, or VH and VL regions that have one or more substitutions, deletions and / or insertions (e.g., conservative substitutions), can be obtained by mutagenesis (e.g., site-directed or PCR-mediated mutagenesis) of nucleic acid molecules encoding the VH and / or VL regions described herein, followed by testing the encoded modified antibodies for binding to ALK7, and optionally testing for retained function using the functional analyses described herein or using assays known in the art that can be routinely modified to test for retained function.

[0144] The affinity or avidity of ALK7-binding proteins, such as anti-ALK7 antibodies (e.g., full-length ALK7 antibodies and ALK7-binding antibody fragments, as well as variants and derivatives thereof) for hALK7 or murALK7 can be determined experimentally using any suitable method known in the art, such as flow cytometry, enzyme-linked immunosorbent assay (ELISA), or radioimmunoassay (RIA), or kinetics (e.g., BIACORE® or KINEXA® analysis). Direct binding assay and competitive binding assay formats can be readily used. (See, e.g., Berzofsky et al., "Antibody-Antigen Interactions," In Fundamental Immunology, Paul, WE, Ed., Raven Press: New York, NY (1984); Kuby, Immunology, WH Freeman and Company: New York, NY (1992), and the methods described herein). The measured affinity of a particular antibody-antigen interaction may vary when measured under different conditions (e.g., salt concentration, pH, temperature). Thus, affinity and other ALK7 binding parameters (e.g., K D or Kd, K on , K off ) is measured using standard solutions of ALK7 binding protein and ALK7, and the measurements are performed using other standardized conditions and methods described herein or known in the art.

[0145] The present disclosure further provides ALK7 binding protein, such as the anti-ALK7 antibody described herein, wherein the ALK7 binding protein is bound to heterologous material.In certain embodiments, the heterologous material is an antibacterial agent, a therapeutic agent, a prodrug, a peptide, a protein, an enzyme, a lipid, a biological response modifier, a pharmaceutical agent, a lymphokine, a heterologous antibody or antibody fragment, a detectable label, or polyethylene glycol (PEG).Heterocomplex ALK7 binding protein is discussed in more detail elsewhere herein.

[0146] In certain embodiments, the ALK7 binding protein is not an anti-ALK7 antibody.Various methods are known in the art for identifying and generating non-antibody polypeptides that bind to protein targets with high affinity.See, for example, Skerra, Curr.Opin.Biotech.18:295-304(2007); Hosse et al., Protein Science 15:14-27(2006); Gill et al., Curr.Opin.Biotechnol.17:653-658(2006); Nygren, FEBS J.275:2668-2676(2008); and Skerra, FEBS J.275:2677-2683(2008), each of which is incorporated herein by reference in its entirety.In some embodiments, phage display technology can be used to identify / generate ALK7 binding proteins. In some embodiments, the ALK7 binding protein comprises a protein scaffold based on a species selected from a VASP polypeptide, avian pancreatic polypeptide (aPP), tetranectin (based on CTLD3), affilin (based on gamma B-crystallin / ubiquitin), knottin, an SH3 domain, a PDZ domain, tendamistat, transferrin, a consensus ankyrin repeat domain (e.g., DARPin), a lipocalin protein fold (e.g., anticalins and duocalins), a protein epitope mimetic (PEM), a maxybody / avimer, a domain antibody fibronectin domain (e.g., 10 Fn3, see, e.g., U.S. Patent Publication Nos. 2003 / 0170753 and 20090155275, both of which are incorporated by reference in their entireties), a domain of Protein A (e.g., an affibody), and thioredoxin.

[0147] In some embodiments, the present disclosure provides ALK7 binding proteins (e.g., anti-ALK7 antibodies, such as full-length anti-ALK7 antibodies and ALK7-binding antibody fragments) that cross-block or compete for binding to ALK7 with the anti-ALK7 antibodies provided herein. In some embodiments, the present disclosure provides ALK7 binding proteins that bind to the same epitope of ALK7 as the ALK7 binding proteins provided herein. The ability of a test ALK7 binding protein to inhibit the binding of a reference binding protein to ALK7, such as an antibody comprising, for example, a VH sequence of SEQ ID NO: 4 and a VL sequence of SEQ ID NO: 13, a VH sequence of SEQ ID NO: 22 and a VL sequence of SEQ ID NO: 31, a VH sequence of SEQ ID NO: 40 and a VL sequence of SEQ ID NO: 49, or a VH sequence of SEQ ID NO: 58 and a VL sequence of SEQ ID NO: 67, demonstrates that the test ALK7 binding protein can compete with the reference antibody for binding to ALK7. Such an ALK7 binding protein may, according to non-limiting theory, bind to the same or related (e.g., structurally similar or spatially proximal) epitope on ALK7 as the ALK7 reference antibody with which it competes. In certain embodiments, the ALK7 binding protein binds to the same epitope on ALK7 as the respective antibody comprising the VH sequence of SEQ ID NO: 4 and the VL sequence of SEQ ID NO: 13, the VH sequence of SEQ ID NO: 22 and the VL sequence of SEQ ID NO: 31, the VH sequence of SEQ ID NO: 40 and the VL sequence of SEQ ID NO: 49, or the VH sequence of SEQ ID NO: 58 and the VL sequence of SEQ ID NO: 67.

[0148] In general, it is known that type 1 TGF-beta receptor family members such as ALK7 are phosphorylated by type II receptors (e.g., ActRIIA and ActRIIB) and signal through phosphorylation of Smads (e.g., Smad2 and / or Smad3). In some embodiments, an ALK7 binding protein (e.g., an anti-ALK7 antibody) can reduce phosphorylation of ALK7 by one or more type II receptors (e.g., ActRIIA and / or ActRIIB) in cells expressing ALK7 and type II receptors (e.g., adipocytes). In some embodiments, an ALK7 binding protein (e.g., an anti-ALK7 antibody) can reduce ALK7-mediated phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and type II receptors (e.g., adipocytes). In some embodiments, the ALK7 receptor-expressing cell is a mouse cell. In some embodiments, the ALK7 receptor-expressing cell is a human cell. In some embodiments, the ALK7 receptor-expressing cell is an adipocyte.

[0149] In some embodiments, the ALK7 binding protein (a) reduces the formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) at the surface of a cell expressing ALK7 and an ActRII receptor in the presence of one or more TGF-beta superfamily ligands; (b) competes with one or more type II receptors for binding to ALK7; (c) inhibits the formation of one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) at the surface of a cell expressing ALK7 and an ActRII receptor; F8); (d) reducing phosphorylation of ALK7 in cells expressing ALK7 and a type II receptor (e.g., ActRIIA or ActRIIB) in the presence of one or more TGF-beta superfamily ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (e) reducing phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and a type II receptor (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (f) reducing phosphorylation of ALK7 with a K of 1 nM or less and 1 pM or more. D(e.g., as determined by BIACORE® analysis), and (g) reducing the formation of a complex containing ALK7, a co-receptor (e.g., cripto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal). In some embodiments, the ALK7 binding protein has two, three, or four of the above properties. In some embodiments, the ALK7 binding protein has at least two, at least three, or at least four of the above properties. In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In further embodiments, the ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein. In further embodiments, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment.

[0150] In some embodiments, the ALK7 binding protein reduces the formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of a cell expressing ALK7 and an ActRII receptor in the presence of one or more of the TGF-beta superfamily ligands. In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In further embodiments, the ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein. In further embodiments, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment.

[0151] In some embodiments, ALK7 binding competes with one or more type II receptors for binding to ALK7. In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In further embodiments, the ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein, hi further embodiments, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment.

[0152] In some embodiments, the ALK7 binding protein (e.g., an anti-ALK7 antibody) reduces phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and a type II receptor (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal). In some embodiments, the ALK7 binding protein reduces phosphorylation of Smads as measured using a cell-based assay. In some embodiments, the ALK7 binding protein inhibits ALK7-mediated phosphorylation with an IC of less than 500 pM, less than 350 pM, less than 250 pM, less than 150 pM, less than 100 pM, less than 75 pM, less than 60 pM, less than 50 pM, less than 40 pM, less than 30 pM, less than 20 pM, less than 15 pM, less than 10 pM, or less than 5 pM, as measured using a cell-based assay. 50 In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In further embodiments, the ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein, hi further embodiments, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment.

[0153] In some embodiments, the ALK7 binding protein has a K for ALK7 of greater than or equal to 1 nM and less than 1 pM. D (e.g., as determined by BIACORE® analysis). In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In further embodiments, the ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein. In further embodiments, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment.

[0154] In some embodiments, the ALK7 binding protein reduces the formation of a complex containing ALK7, a co-receptor (e.g., cripto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal). In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In a further embodiment, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In a further embodiment, the ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein. In a further embodiment, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding antibody fragment.

[0155] Preparation of ALK7-binding proteins In some embodiments, the ALK7 binding protein binds to the extracellular domain of ALK7. In further embodiments, the ALK7 binding protein is an anti-ALK7 antibody, such as a full-length anti-ALK7 antibody or an ALK7-binding antibody fragment, and variants and derivatives thereof.

[0156] ALK7 binding protein can be easily prepared using known techniques. Monoclonal anti-ALK7 antibodies can be prepared using techniques known in the art, including hybridoma methods, such as those described by Kohler and Milstein, Nature 256:495-497 (1975). Using hybridoma methods, mice, hamsters, or other suitable host animals are immunized as described above to induce lymphocytes to produce antibodies that specifically bind to immunizing antigens. Lymphocytes can be immunized in vitro. After immunization, lymphocytes are isolated and fused with a suitable myeloma cell line to form hybridoma cells, which can then be selected and separated from unfused lymphocytes and myeloma cells. Hybridomas producing monoclonal antibodies specifically directed against ALK7, such as hALK7, as determined by immunoprecipitation, immunoblotting, or in vitro binding assays (e.g., radioimmunoassay (RIA), enzyme-linked immunosorbent assay (ELISA)), can then be grown in vitro in culture or in vivo as ascites tumors in animals using standard methods (see, e.g., Goding, Monoclonal Antibodies: Principles and Practice, Academic Press, 1986). Monoclonal antibodies can then be purified from the culture medium or ascites fluid as for polyclonal antibodies described above.

[0157] The monoclonal antibodies provided can also be made using recombinant DNA methods such as those described in U.S. Patent No. 4,816,567, where polynucleotides encoding the monoclonal antibody are isolated from mature B cells or hybridoma cells and their sequences determined using known procedures, such as by RT-PCR using oligonucleotide primers that specifically amplify genes encoding the heavy and light chains of the antibody. The isolated polynucleotides encoding the heavy and light chains are then cloned into appropriate expression vectors and transfected into host cells that do not otherwise produce immunoglobulin proteins, such as E. coli cells, Simian COS cells, Chinese hamster ovary (CHO) cells, Per.C6 cells, or myeloma cells (e.g., NS0 cells), which produce the monoclonal antibody by the host cells. Recombinant anti-ALK7 monoclonal antibodies can also be readily isolated from phage display libraries expressing the CDRs of the desired species using known techniques (see, e.g., McCafferty et al., Nature 348:552-554 (1990); Clackson et al., Nature 352:624-628 (1991); and Marks et al., J. Mol. Biol. 222:581-597 (1991)).

[0158] Anti-ALK7 antibodies can optionally be humanized, resurfaced, and engineered to exhibit high affinity for the ALK7 antigen and other favorable biological properties. For example, humanized (or human) anti-ALK7 antibodies can be readily designed and prepared using commonly available three-dimensional immunoglobulin modeling and known procedures for selecting framework (FW) residues, consensus sequences, and germline sequences to obtain desired antibody properties, such as increased affinity for ALK7.

[0159] Affinity maturation and chain shuffling strategies are known in the art and can be utilized to generate derivatives and variants of the high affinity anti-ALK7 antibodies and ALK7 binding proteins disclosed herein. See, for example, Marks et al., Bio / Technology 10:779-783 (1992), which is incorporated herein by reference in its entirety. An additional strategy for generating derivatives and variants of the high affinity anti-ALK7 antibodies and ALK7 binding proteins disclosed herein is to use random mutagenesis of one or more selected VH and / or VL genes to generate mutations within the entire variable domain to generate novel VH or VL regions that retain the CDR-derived sequences of the present disclosure. Such a technique using error-prone PCR is described by Gram et al. (PNAS USA 89:3576-3580 (1992)). In some embodiments, one or two amino acid substitutions are made within a set of VH and / or VL CDRs. A further strategy used direct mutagenesis of the CDR regions of the VH or VL genes encoding the anti-ALK7 antibodies disclosed herein. Examples of such techniques are disclosed by Barbas et al. (PNAS USA 91:3809-3813 (1994)) and Schier et al. (J. Mol. Biol. 263:551-567 (1996)).

[0160] Humanization, resurfacing or engineering of the anti-ALK7 antibodies of the disclosure can be carried out using any known method, including those described in Jones et al., Nature 321:522 (1986); Riechmann et al., Nature 332:323 (1988); Verhoeyen et al., Science 239:1534 (1988); Sims et al., J. Immunol. 151: 2296 (1993); Chothia et al., J. Mol. Biol. 196:901 (1987); Carter et al., PNAS USA 89:4285 (1992); Presta et al., J. Immunol. 199: 2296 (1993); al., J. Immunol. 151:2623 (1993), U.S. Patent No. 5,639,641, U.S. Patent No. 5,723,323, U.S. Patent No. 5,976, No. 862, No. 5,824,514, No. 5,817,483, No. 5,814,476, No. 5,763,192, No. 5,723,3 No. 23, No. 5,766,886, No. 5,714,352, No. 6,204,023, No. 6,180,370, No. 5,693,76 No. 2, No. 5,530,101, No. 5,585,089, No. 5,225,539, No. 4,816,567, No. 7,557,189 , 7,538,195, and 7,342,110, International Application Nos. PCT / US98 / 16280, PCT / US96 / 18978, PCT / US91 / 09630, PCT / US91 / 05939, PCT / US94 / 01234, PCT / GB89 / 01334, PCT / GB91 / 01134, PCT / GB92 / 01755, International Application Publication Nos. WO90 / 14443, WO90 / 14424, WO90 / 14430, and European Patent Publication No. EP229246.Similarly, known assays are available to easily select anti-ALK7 antibodies that exhibit desirable characteristics (e.g., assays to determine binding affinity to ALK7, cross-blocking assays such as the human ALK7 binding protein competitive binding assay using BIACORE® described herein).

[0161] Methods for engineering, humanizing, or resurfacing non-human or human antibodies can also be used and are known in the art. Humanized, resurfaced, or similarly engineered antibodies can have one or more amino acid residues from a non-human source, such as, but not limited to, mouse, rat, rabbit, non-human primate, or other mammalian source. These non-human amino acid residues are typically replaced by residues taken from an "imported" variable, constant, or other domain of a known human sequence, often referred to as "import" residues. Such imported sequences can be used to reduce immunogenicity or to suppress, enhance, or modify binding, affinity, association rate, dissociation rate, avidity, specificity, half-life, or any other suitable property, as known in the art. Preferably, some or all of the non-human or human CDR sequences are maintained, but the non-human sequences of the variable and constant regions can be replaced with human amino acids or other amino acids.

[0162] The nucleic acid(s) encoding an ALK7 binding protein, such as a full-length anti-ALK7 antibody, can be further modified in several different ways using recombinant DNA technology to generate alternative antibodies. In some embodiments, the nucleic acid(s) encoding the constant domains of the light and heavy chains, for example, of a murine monoclonal antibody, can (a) replace the coding regions of, for example, a human antibody, to generate a chimeric antibody, or (b) replace the nucleic acid(s) encoding a non-immunoglobulin to generate a fusion antibody. In some embodiments, the constant region is truncated or removed to generate the desired antibody fragment of the monoclonal antibody. Site-directed mutagenesis or high-density mutagenesis of the variable region coding sequence can be used to optimize the specificity, affinity, etc., of the monoclonal antibody.

[0163] Anti-ALK7 human antibodies can be prepared directly using any of a number of techniques known in the art. (See, for example, Cole et al., Monoclonal Antibodies and Cancer Therapy, Alan R. Liss, p. 77 (1985); Boemer et al., J. Immunol. 147(1): 86-95 (1991); and U.S. Patent No. 5,750,373.) Similarly, human anti-ALK7 antibodies can be easily obtained from immortalized human B lymphocytes immunized in vitro, or can be easily isolated from immunized individuals that produce antibodies directed against ALK7.

[0164] Human anti-ALK7 antibodies can also be selected from phage libraries expressing human antibodies, as described, for example, in Vaughan et al., Nat. Biotech. 14:309-314 (1996), Sheets et al., PNAS 95:6157-6162 (1998), Hoogenboom and Winter, J. Mol. Biol. 227:381 (1991), and Marks et al., J. Mol. Biol. 222:581 (1991). Techniques for generating and screening antibody phage libraries are also described in U.S. Pat. Nos. 5,969,108, 6,172,197, 5,885,793, 6,521,404, 6,544,731, 6,555,313, 6,582,915, 6,593,081, 6,300,064, 6,653,068, 6,706,484, and 7,264,963, as well as Rothe et al., J. Mol. Biol. 376(4):1182-1200 (2008), each of which is incorporated by reference in its entirety.

[0165] Human anti-ALK7 antibodies can also be made in transgenic mice containing human immunoglobulin loci capable of producing human antibodies upon immunization in the absence of endogenous production of immunoglobulins, as described, for example, in U.S. Patent Nos. 5,545,807, 5,545,806, 5,569,825, 5,625,126, 5,633,425, and 5,661,016.

[0166] Human anti-ALK7 antibodies can also be selected and / or isolated from yeast-based antibody display libraries, e.g., as disclosed in WO012 / 009568, WO09 / 036379, WO10 / 105256, WO03 / 074679, and U.S. Application Publication No. US2002 / 0177170, the contents of each of which are incorporated herein by reference in their entireties. Such libraries are designed in silico to reflect the diversity provided by the human pre-immune repertoire.

[0167] Alternatively, anti-ALK7 antibodies can be selected from yeast-displayed antibody libraries, see, e.g., Blaise et al., Gene 342(2):211-218(2004); Boder et al., Nat Biotechnol. 15(6):553-557(1997); Kuroda et al., Biotechnol. Lett. 33(1):1-9(2011). Review; Lauer et al., J. Pharm. Sci. 101(1):102-15(2012); Orcutt KD and Wittrup KD Antibody Engineering, yeast display and selection(2010),207-233; Rakestraw et al., Protein Engineering, 1999, 11, 141-145 (2012); See Eng. Des. Sel. 24(6):525-30 (2011), and U.S. Pat. Nos. 6,423,538, 6,696,251, and 6,699,658.

[0168] Various techniques are known for the production of antigen-binding antibody fragments. Traditionally, these fragments are derived through proteolytic digestion of intact antibodies (see, for example, Morimoto et al., J. Biochem. Biophys. Meth. 24:107-117 (1993), and Brennan et al., Science 229:81 (1985)). In certain embodiments, ALK7-binding antibody fragments are recombinantly produced. Fab, Fv, and scFv antibody fragments can all be expressed in and secreted from E. coli or other host cells, allowing for the production of large amounts of these fragments. Such ALK7-binding antibody fragments can also be isolated from the antibody phage libraries described above. In some embodiments, the ALK7-binding antibody fragments are linear antibodies, as described in U.S. Pat. No. 5,641,870. Other techniques for the production of antigen-binding antibody fragments are known in the art.

[0169] Known techniques can be readily adapted to generate single chain antibodies that bind to ALK7 (see, e.g., U.S. Patent No. 4,946,778). In addition, known methods can be routinely adapted to construct Fab expression libraries (see, e.g., Huse et al., Science 246:1275-1281 (1989)), allowing for rapid and efficient identification of monoclonal Fab fragments with the desired specificity for ALK7. ALK7-binding antibody fragments can be generated by techniques known in the art, including, but not limited to, (a) F(ab')2 fragments generated by pepsin digestion of antibodies, (b) Fab fragments generated by reducing disulfide bridges of F(ab')2 fragments, (c) Fab fragments generated by treating anti-ALK7 antibodies with papain and a reducing agent, and (d) Fv fragments.

[0170] In certain embodiments, ALK7 binding protein (e.g., anti-ALK7 antibody) can be modified to increase its serum half-life.This can be achieved by, for example, incorporating salvage receptor binding epitopes into ALK7 binding protein by mutation of appropriate regions of ALK7 binding protein, or by incorporating salvage receptor epitopes into peptide tags and then fusing them to either end or the middle of ALK7 binding protein (e.g., by DNA or peptide synthesis).Other methods for extending the serum half-life of ALK7 binding protein, such as binding to heterologous molecules such as PEG, are known in the art.

[0171] Heterocomplex ALK7 binding proteins (e.g., anti-ALK7 antibodies, such as full-length anti-ALK7 antibodies and ALK7 binding antibody fragments, and variants and derivatives thereof) are also within the scope of the disclosure. Heterocomplex ALK7 binding proteins are composed of two proteins that are covalently linked. It is contemplated that heterocomplex ALK7 binding proteins can be prepared in vitro using known methods of synthetic protein chemistry, including methods involving crosslinking agents. For example, immunotoxins can be constructed using disulfide exchange reactions or by forming thioether bonds. Examples of suitable reagents for this purpose include iminothiolate and methyl-4-mercaptobutyrimidate.

[0172] ALK7 binding proteins can include any type of variable region that provides for the association of the antibody with ALK7. Such variable regions can be included in or derived from any mammal that can be induced to mount a humoral response to the ALK7 antigen and generate immunoglobulins. The variable regions of the anti-ALK7 antibody can be derived, for example, from human, mouse, non-human primate (e.g., cynomolgus monkey, macaque monkey, etc.) or wolf. In some embodiments, both the variable and constant regions of the modified anti-ALK7 antibody are human. In other embodiments, the variable regions of a compatible antibody (usually derived from a non-human source) can be engineered or specifically tailored to improve binding characteristics or reduce the immunogenicity of the molecule. In this regard, the variable regions useful according to the disclosure can be humanized or otherwise altered by including imported amino acid sequences using affinity maturation, mutagenesis procedures, chain shuffling strategies, and / or other methods described herein or known in the art.

[0173] In certain embodiments, both the heavy and light chain variable domains of the anti-ALK7 antibody are modified by at least partial replacement of one or more CDRs and / or by replacement and sequence changes of partial framework regions. The CDRs may be derived from antibodies of the same class, or even subclass, as the antibody from which the framework regions are derived, but it is expected that the CDRs will be derived from antibodies of a different class, or in certain embodiments, from a different species. To transfer the antigen-binding capacity of one variable domain to another, it is not necessary to replace all of the CDRs with the complete CDRs from the donor variable region. Rather, only the residues necessary to maintain the activity of the antigen-binding site need to be transferred. It is well within the capabilities of one of ordinary skill in the art to routinely obtain functional antibodies with low immunogenicity. See, for example, U.S. Patent Nos. 5,585,089, 5,693,761 and 5,693,762.

[0174] Notwithstanding the modifications to the variable region, one of skill in the art will understand that the disclosed modified anti-ALK7 antibodies include antibodies in which at least a small portion of one or more of the constant region domains have been deleted or otherwise altered to obtain desired biochemical properties, such as reduced ADCC or increased serum half-life, when compared to antibodies of similar immunogenicity that contain a native or unaltered constant region. In some embodiments, the constant region of the modified anti-ALK7 antibody comprises a human constant region. Modifications to the constant region may include the addition, deletion, or substitution of one or more amino acids in one or more domains. The modified anti-ALK7 antibodies disclosed herein may include modifications or modifications to one or more of the three heavy chain constant domains (CH1, CH2, or CH3) and / or modifications or modifications to the light chain constant domain (CL). In some embodiments, it is contemplated that the modified anti-ALK7 antibodies include a constant region in which one or more domains are partially or completely deleted. In some embodiments, modified anti-ALK7 antibodies include domain deleted constructs or variants in which the entire CH2 domain has been removed (ΔCH2 constructs). In some embodiments, the deleted constant region domain can be replaced with a short amino acid spacer (e.g., 10 residues) that provides some of the molecular flexibility typically imparted by the missing constant region.

[0175] It is generally understood that the constant region mediates several effector functions. For example, the binding of the C1 component of complement to an antibody activates the complement system. Complement activation is important for opsonization and lysis of cellular pathogens. Complement activation also stimulates inflammatory responses and may be involved in autoimmune hypersensitivity. Furthermore, antibodies bind to cells via the Fc region, and Fc receptor sites on the antibody Fc region bind to Fc receptors (FcRs) on the cells. There are several Fc receptors specific for different classes of antibodies, including IgG (gamma receptors), IgE (eta receptors), IgA (alpha receptors), and IgM (mu receptors). Binding of antibodies to cell surface Fc receptors induces several important and diverse biological responses, including phagocytosis and destruction of antibody-coated particles, immune complex removal, lysis of antibody-coated target cells by killer cells (called antibody-dependent cell-mediated cytotoxicity, or ADCC), release of inflammatory mediators, placental transfer, and regulation of immunoglobulin production.

[0176] In certain embodiments, the anti-ALK7 antibody has modified effector functions, which affect the biological profile of the administered anti-ALK7 antibody. For example, deletion or inactivation (by point mutation or other means) of the constant region domain may reduce Fc receptor binding of the circulating modified antibody. In other cases, constant region modifications may reduce complement binding, thereby reducing serum half-life and non-specific association of the bound cytotoxin. Still other modifications of the constant region may be used to eliminate disulfide bonds or oligosaccharide moieties, which may allow for improved localization due to increased antigen specificity or antibody flexibility. Similarly, modifications to the constant region according to the present disclosure may be readily made using biochemical or molecular engineering techniques known to those skilled in the art.

[0177] In some embodiments, the ALK7 binding protein provided herein is an ALK7 antibody that does not have one or more effector functions. For example, in some embodiments, the anti-ALK7 antibody does not have antibody-dependent cellular cytotoxicity (ADCC) activity and / or does not have complement-dependent cytotoxicity (CDC) activity. In certain embodiments, the anti-ALK7 antibody does not bind to Fc receptors and / or complement factors. In certain embodiments, the anti-ALK7 antibody does not have effector functions. Examples of Fc sequence engineering modifications that reduce or eliminate ADCC and / or CDC activity and Fc receptor and / or complement factor binding are described herein or otherwise known in the art, as are assays and procedures for testing them.

[0178] In some embodiments, anti-ALK7 antibodies are engineered to fuse the CH3 domain directly to the hinge region of the respective modified antibody. In other constructs, a peptide spacer is inserted between the hinge region and the modified CH2 and / or CH3 domains. For example, compatible constructs can be expressed in which the CH2 domain has been deleted and the remaining CH3 domain (modified or unmodified) is linked to the hinge region by a 5-20 amino acid spacer. Such a spacer can be added, for example, to ensure that the regulatory elements of the constant domain are free and accessible or that the hinge region is flexible. Amino acid spacers have been shown to be immunogenic in some cases and may induce undesirable immune responses against the construct. Thus, in certain embodiments, any spacer added to the construct can be relatively non-immunogenic or can be removed entirely to maintain the desired biochemical qualities of the modified anti-ALK7 antibody.

[0179] In additional embodiments, the anti-ALK7 antibody is modified by partial deletion or substitution of a few or even single amino acids in the constant region. For example, a single amino acid mutation in a selected region of the CH2 domain may be sufficient to substantially reduce Fc binding. Similarly, one or more constant region domains that control effector functions (e.g., complement C1Q binding) may be deleted in whole or in part. Such partial deletion of the constant region may improve selected properties of the anti-ALK7 antibody (e.g., serum half-life) while leaving other desirable functions associated with the corresponding constant region domain intact. In some embodiments, the constant region of the anti-ALK7 antibody is modified through the mutation or substitution of one or more amino acids that enhance the profile of the resulting construct. In this regard, it is possible to disrupt the activity provided by a conserved binding site (e.g., Fc binding) while substantially maintaining the configuration and immunogenicity profile of the modified anti-ALK7 antibody. The disclosure also provides anti-ALK7 antibodies that contain one or more amino acid additions to the constant region to enhance desirable characteristics, such as increasing or decreasing effector function, or providing a binding site for one or more cytotoxins, labels, or carbohydrate moieties, In such embodiments, it may be desirable to insert or duplicate specific sequences from selected constant region domains.

[0180] The present disclosure also provides ALK7 binding proteins that are variants to the ALK7 binding proteins provided herein (e.g., murine, chimeric, humanized, and human ALK7 binding proteins). In certain embodiments, the variant ALK7 binding proteins (a) reduce the formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and the ActRII receptor in the presence of one or more TGF-beta superfamily ligands, (b) compete with one or more type II receptors for binding to ALK7, (c) inhibit the formation of a complex containing one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and the ActRII receptor in the presence of one or more TGF-beta superfamily ligands, (d) inhibit the formation of a complex containing one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and the ActRII receptor in the presence of one or more TGF-beta superfamily ligands, (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing the ALK7 and ... (d) reduces phosphorylation of ALK7 in cells expressing ALK7 and a type II receptor (e.g., ActRIIA or ActRIIB) in the presence of one or more TGF-beta superfamily ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (e) reduces phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and a type II receptor (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (f) reduces phosphorylation of ALK7 and a type II receptor (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); D(e.g., as determined by BIACORE® analysis), and (g) reducing the formation of a complex containing ALK7, a co-receptor (e.g., cripto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal). In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the ALK7 binding protein has two, three, or four of the above characteristics. In some embodiments, the ALK7 binding protein has at least two, at least three, or at least four of the above characteristics.

[0181] The provided ALK7 binding proteins, such as anti-ALK7 antibodies, can be derivatized to contain additional chemical moieties known in the art to improve, for example, the solubility, biological half-life, bioavailability of the ALK7 binding protein, and to otherwise improve its stability, formulation and / or therapeutic properties. A non-exhaustive review of such moieties can be found, for example, in Remington's Pharmaceutical Sciences, 20th ed., Mack Publishing Co., Easton, PA (2000).

[0182] Nucleic acids encoding ALK7 binding proteins and their expression Nucleic acid molecules and combinations of nucleic acid molecules encoding ALK7 binding proteins are also provided. In some embodiments, the nucleic acid molecules encode anti-ALK7 antibodies, such as full-length anti-ALK7 antibodies and ALK7-binding antibody fragments. In further embodiments, the present disclosure provides nucleic acid molecules encoding variants or derivatives of the full-length anti-ALK7 antibodies or ALK7-binding antibody fragments provided herein.

[0183] The nucleic acid molecules disclosed herein may be in the form of RNA or in the form of DNA. DNA includes cDNA, genomic DNA, and synthetic DNA, which may be double-stranded or single-stranded, and if single-stranded, may be the coding strand or the non-coding (antisense) strand. In certain embodiments, the nucleic acid molecule is isolated. In additional embodiments, the nucleic acid molecule is substantially pure. In some embodiments, the nucleic acid is cDNA or derived from cDNA. In some embodiments, the nucleic acid is recombinantly produced.

[0184] In some embodiments, the nucleic acid molecule comprises ALK7 binding protein coding sequence functionally linked to the control sequence that controls the expression of the coding sequence in host cell or in vitro.In certain embodiments, the coding sequence is cDNA.The disclosure also relates to the vector that contains the nucleic acid molecule that comprises ALK7 binding protein coding sequence functionally linked to the control sequence that controls the expression of the coding sequence in host cell or in vitro.

[0185] In some embodiments, the nucleic acid molecule comprises a coding sequence for a mature ALK7 binding protein fused to a heterologous polynucleotide sequence in the same reading frame. In some embodiments, the heterologous polynucleotide sequence encodes a leader peptide sequence that facilitates secretion of the expressed protein from a host cell transformed with a nucleic acid molecule(s) encoding the ALK7 binding protein. Proteins containing a leader sequence are called precursor proteins, and the leader sequence can be cleaved by the host cell to form the mature form of the ALK7 binding protein. Such leader peptide sequences and their use to facilitate secretion of recombinant proteins in host cells are generally known in the art. In additional embodiments, the heterologous polynucleotide sequence encodes additional 5' amino acid residues that can function, for example, to facilitate purification of the recombinantly expressed ALK7 binding protein, to add or improve the stability and / or therapeutic or diagnostic properties of the protein.

[0186] In some embodiments, the disclosure provides isolated nucleic acids, such as cDNA fragments encoding ALK7 binding proteins, that are sufficient for use as hybridization probes, PCR primers or sequencing primers.

[0187] In some embodiments, the variant ALK7 binding protein (a) reduces formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and the ActRII receptor in the presence of one or more TGF-beta superfamily ligands; (b) competes with one or more type II receptors for binding to ALK7; (c) inhibits the formation of a complex containing one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of cells expressing ALK7 and the ActRII receptor; (d) reduces phosphorylation of ALK7 in cells expressing ALK7 and type II receptors (e.g., ActRIIA or ActRIIB) in the presence of one or more TGF-beta superfamily ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (e) reduces phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and type II receptors (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (f) reduces phosphorylation of ALK7 and type II receptors (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); D(e.g., as determined by BIACORE® analysis), and (g) reducing the formation of a complex containing ALK7, a co-receptor (e.g., cripto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal). In some embodiments, the encoded ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the encoded ALK7 binding protein increases lipolysis in adipocytes expressing ALK7. In some embodiments, the encoded ALK7 binding protein has two, three, or four of the above properties. In some embodiments, the encoded ALK7 binding protein has at least two, at least three, or at least four of the above properties. In some embodiments, the encoded ALK7 binding protein cross-blocks or competes for binding to ALK7 with an antibody having an ALK7-binding VH and VL pair disclosed herein. In additional embodiments, the encoded ALK7 binding protein binds to the same epitope of ALK7 as the antibody disclosed herein. In some embodiments, the encoded ALK7 binding protein cross-blocks or competes for binding to ALK7 with an ALK7 binding antibody having a VH and VL pair disclosed herein. In additional embodiments, the encoded ALK7 binding protein binds to the same epitope of ALK7 as the antibody disclosed herein. In further embodiments, the nucleic acid molecule encodes an ALK7 binding protein that specifically binds to ALK7 and comprises a VH and a VL.

[0188] In some embodiments, the present disclosure provides vectors and sets of vectors containing nucleic acids and sets of nucleic acids encoding the ALK7 binding proteins provided herein. Host cells transformed with these nucleic acids, sets of nucleic acids, vectors, and sets of vectors are also provided, as are methods of making and using the ALK7 binding proteins.

[0189] In some embodiments, the present disclosure provides a host cell comprising a nucleic acid molecule or a combination of nucleic acid molecules or a vector as provided above, where the host cell can optionally express an ALK7 binding protein that specifically binds to ALK7 (e.g., an anti-ALK7 antibody, such as a full-length ALK7 antibody and an ALK7 binding antibody fragment). In further embodiments, the present disclosure provides a host cell transformed with a nucleic acid molecule or a combination of nucleic acid molecules or a vector as provided above, where the host cell can optionally express an ALK7 binding protein that specifically binds to ALK7. Such a host cell can be utilized in a method of making an ALK7 binding protein as provided herein, where the method includes (a) culturing the host cell, and (b) isolating the ALK7 binding protein from the host cell.

[0190] The disclosure also provides a method of making an ALK7 binding protein, comprising culturing a host cell (e.g., a hybridoma or a transformed mammalian host cell) capable of expressing the ALK7 binding protein under suitable conditions, and optionally provides a method for isolating the secreted ALK7 binding protein from the host cell. The disclosure also further provides an ALK7 binding protein isolated using the disclosed method.

[0191] In certain embodiments, the polynucleotide comprises a coding sequence(s) for a mature ALK7 binding protein(s) (e.g., ALK7 antibodies, such as full length antibodies and ALK7 binding antibody fragments) fused in the same reading frame to a marker sequence that allows for purification of the encoded polypeptide. For example, the marker sequence can be a hexa-histidine tag (SEQ ID NO: 103) provided by the pQE-9 vector to provide for purification of the mature polypeptide fused to the marker in the case of a bacterial host, or a hemagglutinin (HA) tag derived from influenza hemagglutinin protein when a mammalian host (e.g., COS-7 cells) is used.

[0192] Nucleic acid variants encoding ALK7 binding proteins, such as anti-ALK7 antibodies and ALK7 binding antibody fragments, are also provided. Nucleic acid variants can contain modifications in coding regions, non-coding regions, or both. In some embodiments, nucleic acid variants contain modifications that produce silent substitutions, additions, or deletions, but do not change the properties or activities of the encoded polypeptide. In some embodiments, nucleic acid variants are generated by silent substitutions due to the degeneracy of the genetic code. Nucleic acid variants can be generated for a variety of reasons, such as, for example, to optimize codon expression for a particular host (changing codons in human mRNA to those preferred by bacterial hosts, such as E. coli). Vectors and cells containing the nucleic acids described herein are also provided.

[0193] In some embodiments, nucleic acid sequences encoding ALK7 binding proteins (e.g., anti-ALK7 antibodies, such as full-length antibodies and ALK7 binding antibody fragments) are constructed by chemical synthesis using an oligonucleotide synthesizer. Such oligonucleotides can be designed based on codon optimization based on the amino acid sequence of the desired polypeptide and host cell preferences. Standard methods can be routinely applied to synthesize isolated polynucleotide sequences encoding ALK7 binding proteins.

[0194] Once constructed (by synthesis, site-directed mutagenesis or otherwise), the nucleic acid sequence encoding the ALK7 binding protein can be routinely operably linked to a control sequence suitable for expression of the ALK7 binding protein in a desired host. In some embodiments, the nucleic acid sequence(s) encoding the ALK7 binding protein are inserted into one or more expression vectors and operably linked to a control sequence(s) suitable for expression of the protein in a desired host. To obtain high expression levels of the transfected coding sequence in the host, the coding sequence can be operably linked or associated with transcriptional and translational expression control sequences functional in the selected expression host.

[0195] In certain embodiments, recombinant expression vectors are used to amplify and express DNA encoding an ALK7 binding protein, such as an anti-ALK7 antibody or an ALK7 binding antibody fragment. A recombinant expression vector is a replicable DNA construct having a synthetic or cDNA-derived DNA fragment encoding a polypeptide chain of an ALK7 binding protein operably linked to suitable transcriptional or translational regulatory elements derived from mammalian, microbial, viral or insect genes. A transcription unit generally includes a construct of (1) a genetic element(s) that plays a regulatory role in gene expression, such as a transcriptional promoter or enhancer, (2) a structural or coding sequence that is transcribed into mRNA and translated into protein, and (3) appropriate transcriptional and translational initiation and termination sequences, as detailed below. Such regulatory elements may include an operator sequence that controls transcription. The ability to replicate in a host, usually conferred by an origin of replication, and a selection gene that facilitates recognition of transformants can further be incorporated. DNA regions are operably linked when they are functionally related to each other. For example, DNA for a signal peptide (secretory leader) is operably linked to DNA for a polypeptide if it is expressed as a precursor involved in the secretion of that polypeptide, a promoter is operably linked to a coding sequence if it controls the transcription of that sequence, or a ribosome binding site is operably linked to a coding sequence if it is positioned to allow translation. Structural elements intended for use in yeast expression systems include leader sequences that allow extracellular secretion of the translated protein by the host cell. Alternatively, if the recombinant protein is expressed without a leader or transport sequence, the protein may include an N-terminal methionine residue. This residue may optionally be subsequently cleaved from the expressed recombinant protein to provide a final protein. In certain embodiments, the disclosure provides compositions, e.g., pharmaceutical compositions, that include a nucleic acid or vector as described above or elsewhere herein, and optionally further include one or more carriers, diluents, additives, or other additives.

[0196] Also provided are host cells transformed with the nucleic acid molecules or cDNA molecules and / or vectors disclosed herein. The disclosure also provides host cells transformed with the disclosed nucleic acid molecules or molecules operably linked to a control sequence and optionally inserted into a vector. In some embodiments, the host cell is a mammalian host cell. In further embodiments, the mammalian host cell is an NS0 mouse myeloma cell, a PER.C6® human cell, or a Chinese Hamster Ovary (CHO) cell. In other embodiments, the host cell is a hybridoma.

[0197] In additional embodiments, the disclosure provides a method for making the ALK7 binding proteins provided herein (e.g., anti-ALK7 antibodies, such as full-length ALK7 antibodies and ALK7-binding antibody fragments, and variants and derivatives thereof), comprising culturing a transformed host cell or hybridoma disclosed herein under suitable conditions to produce the ALK7 binding protein. The disclosure optionally provides for isolating the ALK7 binding protein secreted from the host cell. The disclosure also optionally provides the ALK7 binding protein produced using this method, as well as pharmaceutical compositions comprising the ALK7 binding protein and a pharma- ceutically acceptable carrier.

[0198] The choice of expression control sequences and expression vectors will vary depending on the choice of host. A wide variety of expression host / vector combinations can be utilized. Expression vectors useful for eukaryotic hosts include, for example, vectors containing expression control sequences from SV40, bovine papilloma virus, adenovirus, and cytomegalovirus. Expression vectors useful for bacterial hosts include known bacterial plasmids such as E. coli derived plasmids including pCR1, pBR322, pMB9 and their derivatives, as well as broad host range plasmids such as M13 and other filamentous single-stranded DNA phages.

[0199] Suitable host cells for expressing ALK7 binding protein include prokaryotic, yeast, insect or higher eukaryotic cells under suitable promoter control. Prokaryotic organisms include gram-negative or gram-positive organisms, such as E. coli or bacillus. Higher eukaryotic cells include established cell lines of mammalian origin as described below. Cell-free translation systems can also be used. Additional information on protein production methods, including antibody production, can be found, for example, in U.S. Patent Publication No. 2008 / 0187954, U.S. Patent Nos. 6,413,746 and 6,660,501, and International Patent Publication No. WO04 / 009823, each of which is incorporated herein by reference in its entirety.

[0200] Various mammalian or insect cell culture systems can also be advantageously used to express recombinant ALK7 binding proteins (e.g., anti-ALK7 antibodies, such as full-length ALK7 antibodies and ALK7 binding antibody fragments, and variants and derivatives thereof). Expression of recombinant ALK7 binding proteins in mammalian cells is feasible, since such proteins are generally correctly folded, appropriately modified, and fully functional. Examples of suitable mammalian host cell lines include HEK-293 and HEK-293T, the COS-7 line of monkey kidney cells described by Gluzman (Cell 23:175 (1981)), and other cell lines, such as, for example, L cells, C127, 3T3, Chinese hamster ovary (CHO), HeLa, and BHK cell lines. Mammalian expression vectors can include nontranscribed elements, such as an origin of replication, a suitable promoter and enhancer linked to the gene to be expressed, and other nontranscribed sequences flanking the 5' or 3', as well as 5' or 3' nontranslated sequences, such as necessary ribosome binding sites, polyadenylation sites, splice donor and acceptor sites, and transcription termination sequences. Baculovirus systems for production of heterologous proteins in cells are reviewed in Luckow and Summers, BioTechnology 6:47 (1988).

[0201] The ALK7 binding protein produced by transformed host cells or hybridomas can be purified according to any suitable method. Such standard methods include chromatography (e.g., ion exchange chromatography, affinity chromatography, and size-control column chromatography), centrifugation, differential lysis, or any other standard protein purification technique. Affinity tags such as hexahistidine (SEQ ID NO: 103), maltose binding domain, influenza coat sequence, and glutathione-S-transferase can be attached to the protein so that it can be easily purified by passing through a suitable affinity column. ALK7 binding protein can also be physically characterized using techniques such as proteolysis, nuclear magnetic resonance, and X-ray crystallography.

[0202] For example, supernatants from systems that secrete recombinant ALK7 binding protein into the medium can be first concentrated using commercially available protein concentration filters, e.g., Amicon or Millipore Pellicon ultrafiltration units. Following the concentration step, the concentrate can be applied to a suitable purification matrix. Alternatively, an anion exchange resin can be used, e.g., a matrix or substrate with pendant diethylaminoethyl (DEAE) groups. The matrix can be acrylamide, agarose, dextran, cellulose, or other types of matrices commonly used in protein purification. Alternatively, a cation exchange step can be used. Suitable cation exchangers include a variety of insoluble matrices that contain sulfopropyl or carboxymethyl groups. Finally, the ALK7 binding protein can be further purified using one or more reversed-phase high performance liquid chromatography (RP-HPLC) steps using hydrophobic RP-HPLC media, e.g., silica gel with pendant methyl or other aliphatic groups. Some or all of the above purification steps, in various combinations, can also be routinely used to obtain homogeneous recombinant ALK7 binding protein.

[0203] Recombinant ALK7 binding proteins (e.g., anti-ALK7 antibodies, such as full-length ALK7 antibodies and ALK7 binding antibody fragments, and variants and derivatives thereof) produced in bacterial culture can be isolated, for example, by initial extraction from a cell pellet, followed by one or more concentration, salting out, aqueous ion exchange or size exclusion chromatography steps. High performance liquid chromatography (HPLC) can be used in a final purification step. Microbial cells used in expression of recombinant proteins can be disrupted in any convenient manner, including freeze-thaw cycling, sonication, mechanical disruption, or use of cell lysing agents.

[0204] Methods known in the art for purifying target binding proteins, such as full-length antibodies and antigen-binding antibody fragments, include, for example, those described in U.S. Application Publication Nos. 2008 / 0312425, 2008 / 0177048, and 2009 / 0187005, each of which is incorporated herein by reference in its entirety.

[0205] In certain embodiments, the ALK7 binding protein is not an antibody.Various methods are known for identifying and generating non-antibody polypeptides that bind to protein targets with high affinity.See, for example, Skerra, Curr.Opin.Biotechnol.18:295-304(2007); Hosse et al., Protein Science 15:14-27(2006); Gill et al., Curr.Opin.Biotechnol.17:653-658(2006); Nygren, FEBS J.275:2668-2676(2008); and Skerra, FEBS J.275:2677-2683(2008), each of which is incorporated herein by reference in its entirety.In certain embodiments, phage display technology is used to identify / generate ALK7 binding proteins. In certain embodiments, the polypeptide comprises a type of protein scaffold selected from protein A, lipocalin, a fibronectin domain (e.g., fibronectin type III (Fn3)), a consensus ankyrin repeat domain, and thioredoxin.

[0206] Methods of Use and Pharmaceutical Compositions The provided ALK7 binding proteins (including antibodies, immunoconjugates, and polypeptides) are useful in a variety of applications, including, but not limited to, methods of diagnosing and treating and / or ameliorating various diseases and conditions using ALK7 binding proteins (e.g., anti-ALK7 antibodies). Methods are provided for the use of ALK7 binding proteins (e.g., anti-ALK7 antibodies, such as full-length antibodies and ALK7-binding antibody fragments that specifically bind ALK7, and variants and derivatives thereof) to treat subjects with diseases or conditions associated with ALK7 signaling, altered ALK7 expression, and / or diseases or conditions that can be ameliorated by reduced ALK7 signaling. In additional embodiments, the present disclosure provides pharmaceutical compositions containing the ALK7 binding proteins provided herein and a pharma- ceutical acceptable carrier. In some embodiments, the present disclosure provides pharmaceutical compositions containing the ALK7 binding proteins provided herein and a pharma-ceutical acceptable carrier for use as a medicament. The present disclosure also provides uses of the pharmaceutical compositions disclosed herein for treating and / or ameliorating a disease or condition associated with ALK7 signaling, altered ALK7 expression, and / or a disease or condition that may be ameliorated by reducing ALK7 signaling.In some embodiments, the disease or condition treated using the pharmaceutical compositions provided herein includes obesity (e.g., abdominal obesity); overweight; insulin resistance; metabolic syndrome and other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia, or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g., high LDL and hypercholesterolemia); Cardiovascular diseases, such as heart disease, including coronary heart disease, congestive heart failure, stroke, peripheral vascular disease, atherosclerosis; arteriosclerosis, and hypertension; syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative diseases; endothelial dysfunction, respiratory dysfunction, kidney disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome; elevated uric acid levels; hemochromatosis (iron overload); acanthosis nigricans (dark spots on the skin); or cancer, such as myeloma (e.g., multiple myeloma, plasmacytoma, localized myeloma, and extramedullary myeloma), ovarian cancer, breast cancer, endometrial cancer, and colon cancer); or another disorder / condition associated with one or more of the above diseases or conditions. In some embodiments, the disease or condition treated using the pharmaceutical compositions provided herein is overweight (e.g., BMI≧25 kg / m. 2 ) or is associated with excess body fat.

[0207] In some embodiments, the pharmaceutical composition contains an ALK7 binding protein (e.g., an anti-ALK7 antagonist antibody) and a pharma- ceutically acceptable carrier, and the ALK7 binding protein further comprises a labeling group or an effector group. A "label" refers to one or more elements, isotopes, or chemicals that are attached to allow detection in screening. Labels are generally classified into three classes: (a) isotopic labels, which may be radioactive or heavy isotopes; (b) small molecule labels, which may include molecules such as biotin that allow fluorescent and colorimetric dyes or other labeling methods; and (c) immunolabels, which may be epitopes incorporated as fusion partners recognized by antibodies; a "labeling group" refers to any detectable label. In some embodiments, the labeling group is attached to the ALK7 binding protein via a spacer (e.g., a peptide spacer) to reduce potential steric hindrance. The label may be incorporated into the compound at any position, and may be incorporated either in vitro or in vivo during protein expression. Various methods for labeling proteins are known in the art and may be used in practicing the provided methods. In additional embodiments, the labeling group is selected from an isotopic label, a magnetic label, a redox-active moiety, an optical dye, a biotinylation group, and a polypeptide epitope recognized by a secondary reporter. In some embodiments, the labeling group is a fluorescent protein, such as green fluorescent protein or a derivative thereof (e.g., enhanced GFP, blue fluorescent protein or a derivative thereof (e.g., EBFP (enhanced blue fluorescent protein), EBFP2, Azurite, mKalama1, cyan fluorescent protein or a derivative thereof (e.g., ECFP (enhanced cyan fluorescent protein), Cerulean, CyPet), yellow fluorescent protein or a derivative thereof (e.g., YFP, Citrine, Venus, YPet). In some embodiments, the polypeptide epitope is a member selected from biotin signaling peptide, histidine peptide (his), hemagglutinin (HA), Flag, gold binding peptide.In additional embodiments, the effector group is selected from a radioisotope, a radionucleotide, a toxin, a therapeutic agent, and a chemotherapeutic agent.

[0208] The ALK7 binding protein of the present disclosure is applied in in vitro and in vivo diagnostic and therapeutic utility.For example, the ALK7 binding protein can be administered to, for example, cells in culture in vitro or in vivo or to cells of a subject to treat, prevent or diagnose various diseases or conditions.In some embodiments, the ALK7 binding protein is a human antibody, a mouse antibody, or a humanized antibody.

[0209] Also provided is a method of blocking ALK7 activity. In some embodiments, the method comprises contacting ALK7 with an antagonist ALK7 binding protein. In further embodiments, the antagonist ALK7 binding protein is an anti-ALK7 antibody. In some examples, the method is performed in vivo. In other cases, the method is performed in vitro. In some embodiments, blocking ALK7 activity involves (a) reducing the formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) on the surface of a cell expressing ALK7 and an ActRII receptor in the presence of one or more TGF-beta superfamily ligands; (b) competing with one or more type II receptors for binding to ALK7; and (c) inhibiting one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) for binding to ALK7. (d) reducing phosphorylation of ALK7 in cells expressing ALK7 and a type II receptor (e.g., ActRIIA or ActRIIB) in the presence of one or more TGF-beta superfamily ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (e) reducing phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and a type II receptor (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (f) reducing phosphorylation of ALK7 with a K of 1 nM or less and 1 pM or more. D(e.g., as determined by BIACORE® analysis), and (g) reducing the formation of a complex containing ALK7, a co-receptor (e.g., cripto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal). In some embodiments, the ALK7 binding protein is an ALK7 antagonist (e.g., an anti-ALK7 neutralizing antibody). In further embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5% to 100%, 10% to 80%, or 10% to 60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5% to 100%, 10% to 80%, or 10% to 60% in a lipolysis assay using adipocytes (e.g., white adipocytes). In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the ALK7 binding protein has two, three, or four of the above characteristics. In some embodiments, the ALK7 binding protein has at least two, at least three, or at least four of the above characteristics.

[0210] In certain embodiments, the disclosure provides treatment, prevention and / or amelioration of a disease or condition comprising administering an ALK7 binding protein (e.g., an anti-ALK7 antagonist antibody) to a subject having or at risk of developing a disease or condition associated with ALK7 signaling, altered ALK7 expression, and / or a disease or condition that can be ameliorated by reducing ALK7 signaling. In other embodiments, treatment comprises administration of an ALK7 binding protein to isolated tissue or cells from a subject, where the subject has or is at risk of developing a disease or condition associated with ALK7 expression or ALK7 signaling.

[0211] The present disclosure provides a pharmaceutical composition comprising an ALK7 binding protein and a pharma- ceutically acceptable carrier. Also provided is a method for treating and / or ameliorating a condition associated with ALK7-mediated activity in a subject, comprising administering to a subject in need thereof an effective amount of a pharmaceutical composition comprising an ALK7 binding protein provided herein. In some embodiments, the ALK7 binding protein is administered alone. In other embodiments, the ALK7 binding protein is administered as a combination therapy. Also provided is a method for reducing ALK7 activity in a subject, comprising administering to a subject in need thereof an effective amount of an ALK7 binding protein.

[0212] As provided herein, an effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7-binding antibody fragment that specifically binds to ALK7) can be administered to reduce weight (e.g., promote weight loss), reduce weight gain (e.g., prevent weight gain), and / or treat obesity. In some embodiments, the ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an ALK7 antagonist antibody. In some embodiments, the administered anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In certain cases, the subject has type 2 diabetes.

[0213] In certain embodiments, the disclosure provides a method for reducing weight, comprising administering to a subject desiring or in need of weight loss an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7-binding antibody fragment that specifically binds ALK7). In some embodiments, the ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an ALK7 antagonist antibody. In some embodiments, the administered antagonist anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the subject is overweight (e.g., pre-obese). In some embodiments, the subject is overweight (e.g., pre-obese). In some embodiments, the subject is overweight (e.g., pre-obese). In some embodiments, the subject is overweight (e.g., pre-obese). In some embodiments, the subject is overweight (e.g., pre-obese). In some embodiments, the subject is overweight (e.g., pre-obese). 2 In a further embodiment, the subject has a BMI of 25 kg / m or greater. 2 ~29.9kg / m 2 , 30kg / m 2 ~39.9mkg / m 2 , 25kg / m 2 ~39.9kg / m 2 , or 25 kg / m 2 ~50kg / m 2 In some embodiments, the subject is obese. In some embodiments, the subject has a BMI of 30 kg / m 2 or more (e.g., 30 to 39.9 kg / m 2 or 30kg / m 2 ~50kg / m 2 In some embodiments, the subject is morbidly obese. In some embodiments, the subject has a BMI of 40 kg / m 2 In a further embodiment, the subject has a BMI of 40 kg / m or greater. 2 ~45kg / m 2 , or 40 kg / m 2 ~50kg / m 2In some embodiments, the subject has central obesity (e.g., excess adiposity in the abdominal area, such as abdominal fat and / or visceral fat). In some embodiments, the subject has a waist / hip circumference ratio (WHR) of 0.85 or greater. In some embodiments, the subject has peripheral obesity (e.g., excess adiposity in the hips). In some embodiments, the subject has type 2 diabetes. The ALK7 binding protein is administered alone or as a combination therapy. In some embodiments, administration is adjunctive to diet and / or exercise.

[0214] In certain embodiments, the disclosure provides a method of reducing weight gain, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7-binding antibody fragment that specifically binds ALK7) to a subject desiring or in need of reduced weight gain. In some embodiments, the ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an ALK7 antagonist antibody. In some embodiments, the administered antagonist anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the subject is overweight (e.g., pre-obese). In some embodiments, the subject has a BMI of 25 kg / m 2 In a further embodiment, the subject has a BMI of 25 kg / m or greater. 2 ~29.9kg / m 2 , 30kg / m 2 ~39.9mkg / m 2 , 25kg / m 2 ~39.9kg / m 2 , or 25 kg / m 2 ~50kg / m 2 In some embodiments, the subject is obese. In some embodiments, the subject has a BMI of 30 kg / m2 or more (e.g., 30 to 39.9 kg / m 2 or 30kg / m 2 ~50kg / m 2 In some embodiments, the subject is morbidly obese. In some embodiments, the subject has a BMI of 40 kg / m 2 In a further embodiment, the subject has a BMI of 40 kg / m or greater. 2 ~45kg / m 2 , or 40 kg / m 2 ~50kg / m 2 In some embodiments, the subject has type 2 diabetes.

[0215] Also provided is a method for treating or preventing a disease or condition associated with overweight, comprising administering to a subject in need of treatment or prevention an effective amount of an ALK7 binding protein (e.g., an antagonistic antibody or an antagonistic ALK7-binding antibody fragment that specifically binds to ALK7). In some embodiments, the administered ALK7 binding protein (e.g., an antagonistic antibody) binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In certain embodiments, the disease or condition to be treated or prevented is obesity. In certain embodiments, the disease or condition to be treated or prevented is insulin resistance. In certain embodiments, the disease or condition to be treated or prevented is dyslipidemia, hyperlipidemia (total cholesterol levels greater than 240 mg / dL), hypercholesterolemia (e.g., total cholesterol levels greater than 200 mg / dL, 220 mg / dL, 240 mg / dL, 250 mg / dL, or 275 mg / dL), low serum HDL levels (e.g., less than 40 mg / dL, less than 45 mg / dL, or less than 50 mg / dL), or low serum HDL levels (e.g., less than 40 mg / dL, less than 45 mg / dL, or less than 50 mg / dL). <50 mg / dL), high serum LDL (e.g., ≥100 mg / dL, ≥130 mg / dL, ≥160 mg / dL, or ≥190 mg / dL), and hypertriglyceridemia (e.g., fasting TG levels ≥150 mg / dL, ≥175 mg / dL, ≥200 mg / dL, ≥300 mg / dL, ≥400 mg / dL, or ≥499 mg / dL). In certain instances, administration is an adjunct to diet and / or exercise.

[0216] In other embodiments, the present disclosure provides a method for reducing weight in a subject who is overweight. The method includes administering to the overweight subject an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7). In some embodiments, the ALK7 binding protein (e.g., an antagonist antibody) administered cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the ALK7 binding protein (e.g., an antagonist antibody) administered cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the ALK7 binding protein (e.g., an antagonist antibody) administered binds to the same epitope of ALK7 as the antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the subject has a body mass index (BMI) of 25 kg / m 2 In a further embodiment, the subject has a BMI of 25 kg / m or greater. 2 ~29.9kg / m 2 , 30kg / m 2 ~39.9mkg / m 2 , 25kg / m 2 ~39.9kg / m 2 , or 25 kg / m 2 ~50kg / m 2 , or 27-40 kg / m 2 In some embodiments, the subject is obese. In some embodiments, the subject has a BMI of 30 kg / m 2 or more (e.g., 30 to 39.9 kg / m 2 or 30kg / m 2 ~50kg / m 2 ). The ALK7 binding protein is administered alone or as a combination therapy. In some embodiments, administration is an adjunct to diet and / or exercise.

[0217] In certain embodiments, the present disclosure provides a method for reducing weight in an obese subject. The method includes administering to the subject an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7-binding antibody fragment that specifically binds to ALK7). In some embodiments, the administered ALK7 binding protein (e.g., an antagonist antibody) cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered ALK7 binding protein (e.g., an antagonist antibody) binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the subject has a BMI of 30 kg / m 2 or more (e.g., 30 to 39.9 kg / m 2 or 30kg / m 2 ~50kg / m 2 In some embodiments, the subject has a BMI of 40 kg / m 2 or greater. In some embodiments, the subject has central obesity (e.g., excess adiposity in the abdominal area, such as abdominal fat and / or visceral fat). In some embodiments, the subject has a waist / hip circumference ratio (WHR) of 0.85 or greater. In some embodiments, the subject has peripheral obesity (e.g., excess adiposity in the hips). The ALK7 binding protein is administered alone or as a combination therapy. In some embodiments, administration is adjunctive to diet and / or exercise.

[0218] In other embodiments, the disclosure provides a method of treating and / or ameliorating obesity or a disease or condition associated with obesity, comprising administering to an obese subject an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7 binding antibody fragment that specifically binds ALK7). In some embodiments, the antagonist ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an ALK7 antagonist antibody. In some embodiments, the administered antagonist anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the subject has a BMI of 30 kg / m 2 In a further embodiment, the subject has a BMI of 30 to 39.9 kg / m 2 or 30kg / m 2 ~50kg / m 2 In some embodiments, the subject is morbidly obese. In some embodiments, the subject has a body mass index (BMI) of 40 kg / m 2 In a further embodiment, the subject has a BMI of 40 kg / m or greater. 2 ~45kg / m 2 , or 40 kg / m 2 ~50kg / m 2 and in some embodiments the subject has type 2 diabetes. In some embodiments the subject has a BMI of 30 kg / m 2 or more (e.g., 30 to 39.9 kg / m 2 In some embodiments, the subject has a BMI of at least 40 kg / m 2In some embodiments, the subject has central obesity (e.g., excess adiposity in the abdominal area, such as abdominal fat and / or visceral fat). In some embodiments, the subject has a waist / hip circumference ratio (WHR) of 0.85 or greater. In some embodiments, the subject has peripheral obesity (e.g., excess adiposity in the hips). The ALK7 binding protein is administered alone or as a combination therapy. In some embodiments, administration is adjunctive to diet and / or exercise.

[0219] Also provided are methods of treating or preventing a disease or condition associated with obesity, comprising administering to a subject in need of treatment or prevention an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7-binding antibody fragment that specifically binds to ALK7). In some embodiments, the administered ALK7 binding protein (e.g., an antagonist antibody) cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered ALK7 binding protein (e.g., an antagonist antibody) binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In certain embodiments, the disease or condition to be treated or prevented is dyslipidemia, hyperlipidemia (total cholesterol level greater than 240 mg / dL), hypercholesterolemia (e.g., total cholesterol level greater than 200 mg / dL, 220 mg / dL, 240 mg / dL, 250 mg / dL, or 275 mg / dL), low serum HDL level (e.g., less than 40 mg / dL, less than 45 mg / dL, or less than 50 mg / dL), or g / dL), high serum LDL (e.g., ≥100 mg / dL, ≥130 mg / dL, ≥160 mg / dL, or ≥190 mg / dL), and hypertriglyceridemia (e.g., fasting TG levels ≥150 mg / dL, ≥175 mg / dL, ≥200 mg / dL, ≥300 mg / dL, ≥400 mg / dL, or ≥499 mg / dL). In certain embodiments, the disease or condition being treated or prevented is cardiovascular disease. In additional embodiments, the disease or condition being treated or prevented is hypertension, myocardial infarction, stroke, peripheral arterial disease, blood pressure regulation dysfunction, arteriosclerosis congestive heart failure, atherosclerosis, coronary heart disease, or microvascular disease. In certain embodiments, the disease or condition being treated or prevented is inflammation. In other embodiments, the disease or condition being treated or prevented is a member selected from the group: retinopathy, bowel disease, ulcerative colitis, and asthma, inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue).In other embodiments, the disease or condition to be treated or prevented is a member selected from the group of retinopathy, intestinal disease, ulcerative colitis, and asthma, inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue). In certain embodiments, the disease or condition to be treated or prevented is liver disease. In certain embodiments, the liver disease or condition to be treated or prevented is NAFLD. In certain embodiments, the liver disease is fatty liver. In certain embodiments, the liver disease is NASH. In other embodiments, the disease or condition to be treated or prevented is a member selected from the group of steatohepatitis, steatosis, fibrosis, and / or cirrhosis. In certain embodiments, the disease or condition being treated or prevented is a member selected from cataracts, macular degeneration, obstructive sleep apnea, phlebitis, gout, osteoarthritis, gallbladder disease, kidney disease, lung disease (e.g., asthma, hypoventilation syndrome, or respiratory dysfunction), and / or cancer (e.g., ovarian cancer, breast cancer, endometrial cancer, liver cancer, kidney cancer, and / or colon cancer, and / or cancer metastasis (e.g., lymphatic metastasis, bloodstream metastasis, and / or tumor growth and invasion). In certain embodiments, the disease or condition being treated or prevented is an infectious disease. In certain embodiments, the disease or condition being treated or prevented is slow or non-healing wounds. In certain cases, administration is an adjunct to diet and / or exercise.

[0220] In certain embodiments, the disclosure provides a method of reducing liver fat, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7) to a subject in need thereof. In some embodiments, the ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an ALK7 antagonist antibody. In some embodiments, the administered antagonist anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the subject is overweight (e.g., pre-obese). ... 2 In a further embodiment, the subject has a BMI of 25 kg / m or greater. 2 ~29.9kg / m 2 , 30kg / m 2 ~39.9mkg / m 2 , 25kg / m 2 ~39.9kg / m 2 , or 25 kg / m 2 ~50kg / m 2 In some embodiments, the subject is obese. In some embodiments, the subject has a BMI of 30 kg / m 2 or more (e.g., 30 to 39.9 kg / m 2 or 30kg / m 2 ~50kg / m 2 In some embodiments, the subject is morbidly obese. In some embodiments, the subject has a BMI of 40 kg / m 2 In a further embodiment, the subject has a BMI of 40 kg / m or greater. 2 ~45kg / m 2 , or 40 kg / m 2 ~50kg / m 2In some embodiments, the subject has central obesity (e.g., excess adiposity in the abdominal area, such as abdominal fat and / or visceral fat). In some embodiments, the subject has a waist / hip circumference ratio (WHR) of 0.85 or greater. In some embodiments, the subject has peripheral obesity (e.g., excess adiposity in the hips). In some embodiments, the subject has type 2 diabetes. The ALK7 binding protein is administered alone or as a combination therapy. In some embodiments, administration is adjunctive to diet and / or exercise.

[0221] In other embodiments, the disclosure provides a method of treating, ameliorating, and / or preventing type 2 diabetes or a disease or condition associated with diabetes, comprising administering to a subject having type 2 diabetes or at risk of developing type 2 diabetes an effective amount of an ALK7 binding protein (e.g., an antagonistic antibody or an antagonistic ALK7-binding antibody fragment that specifically binds ALK7). In some embodiments, the ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an ALK7 antagonistic antibody. In some embodiments, the administered antagonistic anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonistic anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the subject has a body mass index BMI of 30 kg / m 2 or more (e.g., 30 to 39.9 kg / m 2 In some embodiments, the subject has a BMI of at least 40 kg / m 2In some embodiments, the subject has central obesity (e.g., excess adiposity in the abdomen, such as abdominal fat and / or visceral fat). In some embodiments, the subject has a WHR of 0.85 or greater. In some embodiments, the subject has peripheral obesity (e.g., excess adiposity in the hips). The ALK7 binding protein is administered alone or as a combination therapy. In some embodiments, administration is adjunctive to diet and / or exercise.

[0222] Also provided are methods of treating, ameliorating, or preventing a disease or condition associated with diabetes, comprising administering to a subject with diabetes an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7-binding antibody fragment that specifically binds to ALK7). In some embodiments, the administered ALK7 binding protein (e.g., an antagonist antibody) cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered ALK7 binding protein (e.g., an antagonist antibody) binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In certain embodiments, the disease or condition to be treated or prevented is dyslipidemia, hyperlipidemia (total cholesterol level >240 mg / dL), hypercholesterolemia (e.g., total cholesterol level >200 mg / dL, >220 mg / dL, >240 mg / dL, >250 mg / dL, or >275 mg / dL), low serum HDL level (e.g., less than 40 mg / dL, less than 45 mg / dL, or less than 50 mg / dL), or mg / dL), high serum LDL (e.g., ≥100 mg / dL, ≥130 mg / dL, ≥160 mg / dL, or ≥190 mg / dL), and hypertriglyceridemia (e.g., fasting TG levels ≥150 mg / dL, ≥175 mg / dL, ≥200 mg / dL, ≥300 mg / dL, ≥400 mg / dL, or ≥499 mg / dL). In certain embodiments, the disease or condition being treated or prevented is cardiovascular disease. In additional embodiments, the disease or condition being treated or prevented is hypertension, myocardial infarction, stroke, peripheral arterial disease, blood pressure regulation dysfunction, or arteriosclerosis. In certain embodiments, the disease or condition being treated or prevented is inflammation (e.g., systemic inflammation, liver inflammation, and adipose tissue inflammation). In other embodiments, the disease or condition being treated or prevented is a member selected from the group: atherosclerosis, retinopathy, bowel disease, ulcerative colitis, asthma, inflammation of the liver, and / or inflammation of adipose tissue. In certain embodiments, the disease or condition being treated or prevented is liver disease.In other embodiments, the disease or condition to be treated or prevented is a member selected from the group of fatty liver disease, steatohepatitis, steatosis, and / or cirrhosis. In certain embodiments, the disease or condition to be treated or prevented is a member selected from cataracts, macular degeneration, obstructive sleep apnea, phlebitis, gout, osteoarthritis, gallbladder disease, high cholesterol, lung disease (e.g., asthma, and / or hypoventilation syndrome), neuropathy, retinopathy, vascular disease, microangiopathy, nephropathy, renal failure, and / or cancer (e.g., ovarian cancer, breast cancer, endometrial cancer, liver cancer, kidney cancer, pancreatic cancer, and / or colon cancer), and cancer metastasis (e.g., lymphatic metastasis, bloodstream metastasis, and / or tumor growth and invasion). In certain embodiments, the disease or condition to be treated or prevented is an infection or a non-healing wound. In certain cases, administration is a supplement to diet and / or exercise.

[0223] The present disclosure also provides a method for improving blood lipid profile in a subject, comprising administering to a subject in need of such treatment an effective amount of an ALK7 binding protein (e.g., an antagonist (neutralizing) antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7). In some embodiments, the antagonist ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an antibody disclosed herein. In some embodiments, the ALK7 binding protein is an ALK7 antagonist antibody. In some embodiments, the administered antagonist anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the ALK7 binding protein is an ALK7 antagonist antibody. In some embodiments, the disclosure provides a method for lowering LDL cholesterol levels or increasing HDL cholesterol levels. In certain embodiments, the subject has dyslipidemia. In other embodiments, the subject has elevated serum lipids (e.g., cholesterol (hypercholesterolemia) and / or elevated triglycerides (e.g., hypertriglyceridemia)). In certain embodiments, the subject has LDL-C of 100 mg / dL or more, 130 mg / dL or more, or 160 mg / dL or more. In certain embodiments, the subject has TG of 150 mg / dL or more, 160 mg / dL or more, 170 mg / dL or more. In certain embodiments, the subject has elevated plasma insulin levels (hyperinsulinemia; e.g., fasting insulin levels of more than 20 μg / ml may exceed 100). In some embodiments, the subject has type II diabetes.

[0224] According to certain embodiments, the disclosure provides a method of treating or preventing a metabolic disease or disorder or a condition associated with a metabolic disease or disorder, comprising administering an ALK7 binding protein (e.g., an antagonistic antibody or an antagonistic ALK7-binding antibody fragment that specifically binds ALK7) to a subject in need thereof. In certain embodiments, the metabolic disease, disorder, or condition being treated is hyperglycemia (e.g., greater than 130 mg / dL during an oral glucose tolerance test, fasting or after glucose administration). In certain embodiments, the metabolic disease, disorder, or condition being treated is a disease, disorder, or condition of lipid metabolism. In certain embodiments, the metabolic disease, disorder, or condition being treated is dyslipidemia. In further embodiments, the disease, disorder, or condition of lipid metabolism is a member selected from low HDL, high LDL, high triglyceride levels, hyperlipidemia, and lipoprotein abnormalities. In certain embodiments, the subject to whom ALK7 binding protein is administered has a total cholesterol level of more than 200mg / dL, more than 220mg / dL, more than 240mg / dL, more than 250mg / dL, or more than 275mg / dL.In certain embodiments, the subject to whom ALK7 binding protein is administered has a serum HDL level of less than 40mg / dL, less than 45mg / dL, or less than 50mg / dL.In certain embodiments, the subject to whom ALK7 binding protein is administered has a serum LDL level of 100mg / dL or more, 130mg / dL or more, 160mg / dL or more, or 190mg / dL or more. In certain embodiments, the subject who is administered ALK7 binding protein has fasting TG level of 150mg / dL or more, 175mg / dL or more, 200mg / dL or more, 300mg / dL or more, 400mg / dL or more, or 499mg / dL or more.In certain embodiments, the metabolic disease, disorder, or condition that is treated is a glucose metabolism disease, disorder, or condition.In further embodiments, the glucose metabolism disease, disorder, or condition is a member selected from impaired glucose tolerance, insulin resistance, impaired glucose tolerance (IGT), and impaired fasting glucose (IFG).In certain embodiments, the metabolic disease, disorder, or condition being treated is a member selected from high uric acid, NAFLD, fatty liver, NASH, and polycystic ovarian syndrome. In certain embodiments, the subject being treated has hyperinsulinemia. In certain embodiments, the subject being treated is obese (e.g., the subject has visceral or abdominal obesity). In other embodiments, the subject being treated has type II diabetes.

[0225] Metabolic syndrome is a condition involving a series of disorders that increase the risk of heart disease. The main components of metabolic syndrome are overweight, cardiovascular parameters (hypertension, dyslipidemia, high blood triglycerides and / or low HDL), atherosclerosis, diabetes, and / or insulin resistance. Subjects with several of these components, i.e., metabolic syndrome, are highly susceptible to heart disease, but each component is a risk factor. The disclosure also provides a method for treating or preventing one, two, three, or more of the above metabolic syndrome components, comprising administering to a subject in need of treatment an effective amount of an ALK7 binding protein (e.g., an antagonist antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7).

[0226] The disclosure also provides compositions and methods for treating, preventing, or ameliorating Prader-Willi syndrome or conditions associated with Prader-Willi syndrome in a subject, comprising administering to a subject in need of such treatment an effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds ALK7). Prader-Willi syndrome, also known as Labhardt-Willi syndrome, Prader syndrome, and Prader-Labhardt-Willi-Fanconi syndrome, is a complex genetic disorder that affects many parts of the body. In infancy, the condition is characterized by weak muscle tone (hypotonia), feeding difficulties, poor growth, and developmental delays. Beginning in childhood, affected individuals develop an insatiable appetite, which leads to chronic overeating (bulimia) and obesity. People with Prader-Willi syndrome, especially those who are obese, may also develop type 2 diabetes, the most common form of diabetes. People with Prader-Willi syndrome typically have mild to moderate intellectual disability and learning disabilities. Behavioral problems are common, including emotional outbursts, stubbornness, and compulsive behaviors such as skin picking. Sleep disorders may also occur. Additional features of the condition include distinctive facial features such as a narrow forehead, almond-shaped eyes, and a triangular mouth; short stature; and small hands and feet. People with Prader-Willi syndrome may have abnormally pale skin and light-colored hair. Affected males and females have underdeveloped genitalia. Puberty is delayed or incomplete, and most affected individuals are unable to have children (infertility). Other associated symptoms range from hypotonia in infancy to behavioral problems in early childhood and symptoms in infancy such as poor eye coordination, almond-shaped eyes from birth, strong sucking reflex (due to hypotonia), weak cry, difficulty waking, and thin upper lip. Symptoms in adulthood include, for example, infertility, hypogonadism, sparse pubic hair, obesity, hypotonia (poor muscle tone), learning disabilities / borderline intellectual functioning, susceptibility to diabetes, extreme flexibility, etc. Currently, diagnosis is by genetic testing (for the paternal PWS / AS region deletion) as well as clinical findings.

[0227] Prader-Willi syndrome is commonly caused by the absence of part of paternal chromosome 15 (about 70% of patients) or by two copies of maternal chromosome 15 (maternal uniparental disomy; about 25% of patients). Rarely, Prader-Willi syndrome can also be caused by a chromosomal rearrangement called a translocation or by a mutation or other defect that causes a gene on paternal chromosome 15 to be abnormally interrupted (inactivated). The portion of chromosome 15 responsible for Prader-Willi syndrome, the 15q11-13 region (the so-called PWS / AS region), contains at least the genes small nuclear ribonucleoprotein-related protein N (SNRPN) and necdin (NDN), as well as clusters of small nucleolar RNAs (snoRNAs), such as SNORD64, SNORD107, SNORD108, and two copies of SNORD109, 29 copies of SNORD116 (HBII-85), and 48 copies of SNORD115 (HBII-52). Deletion of the same region on the maternal chromosome causes Angelman syndrome (AS). PWS and AS are the first reported examples of imprinting abnormalities in humans.

[0228] Prader-Willi syndrome has no cure. However, several treatments are available to reduce the symptoms of the condition. During infancy, subjects should undergo therapy to improve muscle strength, such as growth hormone (GH) therapy (e.g., daily GH injections). Speech and occupational therapy are also indicated. Positive airway devices are often required for obstructive sleep apnea due to severe obesity. In some cases, surgical procedures may be used. Serotonin agonists have shown the most efficacy in reducing tantrums and improving compulsivity.

[0229] In some embodiments, the ALK7 binding proteins described herein are used to treat, prevent, or ameliorate Prader-Willi syndrome or conditions associated with Prader-Willi syndrome. In some embodiments, the ALK7 binding protein is an antagonist anti-ALK7 protein, such as an antagonist anti-ALK7 antibody or an ALK7-binding fragment thereof, for example, an antagonist anti-ALK7 antibody or an ALK7-binding fragment thereof disclosed herein.

[0230] Further provided is a method of treating, preventing or ameliorating a cardiovascular disease or condition, comprising administering an ALK7 binding protein (e.g., an antagonistic antibody or an antagonistic ALK7-binding antibody fragment that specifically binds to ALK7) to a subject in need thereof. In certain embodiments, the cardiovascular disease or condition to be treated, prevented or ameliorated is atherosclerosis. In certain embodiments, the cardiovascular disease or condition to be treated, prevented or ameliorated is hypertension (e.g., resting blood pressure above 130 / 80 mmHg or above 140 / 90 mmHg). In certain embodiments, the cardiovascular disease or condition is peripheral vascular disease, microvascular or microvascular complications, stroke, and / or retinopathy. In certain embodiments, the cardiovascular disease is atherosclerosis (coronary heart disease).

[0231] In certain embodiments, the disclosure provides a method for treating and / or ameliorating an inflammatory disease or condition, comprising administering an ALK7 binding protein (e.g., an antagonist antibody or antagonist ALK7-binding antibody fragment that specifically binds ALK7) to a subject in need thereof. In certain embodiments, the inflammatory disease or condition is chronic inflammation. In other embodiments, the inflammatory disease or condition is inflammation of adipose tissue. In other embodiments, the disease or condition is inflammation of the liver. In certain embodiments, the disease or condition is NAFLD. In further embodiments, the disease or condition is fatty liver. In further embodiments, the disease or condition is steatosis (e.g., non-alcoholic steatohepatitis (NASH).

[0232] The present disclosure also provides a method of improving glycemic control, comprising administering to a subject in need of treatment an effective amount of an ALK7 binding protein (e.g., an antagonistic antibody or an antagonistic ALK7 binding antibody fragment that specifically binds to ALK7). In certain embodiments, the subject to whom the ALK7 binding protein is administered has a fasting blood glucose level of more than 130 mg / dL, more than 135 mg / dL, more than 140 mg / dL, more than 145 mg / dL, or more than 150 mg / dL. In certain embodiments, the subject to whom the ALK7 binding protein is administered has a postprandial blood glucose level of more than 180 mg / dL, more than 185 mg / dL, more than 190 mg / dL, more than 195 mg / dL, or more than 200 mg / dL, two hours after a meal. In certain cases, administration is a supplement to diet and / or exercise. Administration can also reduce weight or treat obesity. In certain cases, the subject has type 2 diabetes. In certain cases, the subject has a BMI between 27 and 40 kg / m 2 In certain cases, the subject has a BMI between 30 and 39.9 kg / m 2 In certain cases, the subject has a BMI of at least 40. In certain cases, the subject is overweight. In certain cases, the subject is obese. The improvement of glycemic control can be evaluated using techniques known in the art, such as a mixed meal test.

[0233] The present disclosure also provides compositions and methods for treating, preventing or ameliorating hyperglycemia or conditions associated with hyperglycemia in a subject, comprising administering to a subject in need of such treatment an effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7-binding antibody fragment that specifically binds to ALK7). In certain embodiments, the subject to whom the ALK7 binding protein is administered has a fasting blood glucose level of more than 130 mg / dL, more than 135 mg / dL, more than 140 mg / dL, more than 145 mg / dL, or more than 150 mg / dL. In certain embodiments, the subject to whom the ALK7 binding protein is administered has a postprandial blood glucose level of more than 180 mg / dL, more than 185 mg / dL, more than 190 mg / dL, more than 195 mg / dL, or more than 200 mg / dL 2 hours after a meal. In certain embodiments, the result of the treatment, prevention or amelioration is a member selected from a lowered serum glucose level, a lowered serum triglyceride level, a lowered serum insulin level, and / or a lowered serum concentration of free fatty acids, as compared to the serum levels in the subject prior to treatment. In certain embodiments, the result of the treatment, prevention or amelioration is an increase in body temperature of about 0.4°C to 1°C, as compared to the body temperature in the subject prior to treatment. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 protein. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7-binding fragment thereof. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7-binding fragment thereof disclosed herein. In some embodiments, the antagonistic anti-ALK7 antibody administered cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, administration also reduces the subject's body weight.

[0234] In other embodiments, the disclosure provides a method of lowering plasma insulin levels in a subject, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7) to a subject in need of such treatment. In certain embodiments, the subject to whom the ALK7 binding protein is administered has a fasting blood glucose level of more than 130 mg / dL, more than 135 mg / dL, more than 140 mg / dL, more than 145 mg / dL, or more than 150 mg / dL. In certain embodiments, the subject to whom the ALK7 binding protein is administered has a postprandial blood glucose level of more than >180 mg / dL, more than 185 mg / dL, more than 190 mg / dL, more than 195 mg / dL, or more than 200 mg / dL 2 hours after a meal. In certain embodiments, the subject is overweight. In certain embodiments, the subject is obese. In other embodiments, the subject has type 2 diabetes. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 protein. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7 binding fragment thereof. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7 binding fragment thereof disclosed herein. In some embodiments, the administered antagonistic anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonistic anti-ALK7 antibody binds to the same epitope of ALK7 as the antibody having a VH and VL pair disclosed in Table 1.

[0235] The present disclosure also provides compositions and methods for treating, preventing or ameliorating hyperglycemia or conditions associated with hyperglycemia in a subject, comprising administering to a subject in need of such treatment an effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7-binding antibody fragment that specifically binds to ALK7). In certain embodiments, the subject to whom the ALK7 binding protein is administered has a fasting blood glucose level of more than 130 mg / dL, more than 135 mg / dL, more than 140 mg / dL, more than 145 mg / dL, or more than 150 mg / dL. In certain embodiments, the subject to whom the ALK7 binding protein is administered has a postprandial blood glucose level of more than 180 mg / dL, more than 185 mg / dL, more than 190 mg / dL, more than 195 mg / dL, or more than 200 mg / dL 2 hours after a meal. In certain embodiments, the result of the treatment, prevention or amelioration is a member selected from a lowered serum glucose level, a lowered serum triglyceride level, a lowered serum insulin level, and / or a lowered serum concentration of free fatty acids, as compared to the serum levels in the subject prior to treatment. In certain embodiments, the result of the treatment, prevention or amelioration is an increase in body temperature of about 0.4°C to 1°C, as compared to the body temperature in the subject prior to treatment. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 protein. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7-binding fragment thereof. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7-binding fragment thereof disclosed herein. In some embodiments, the antagonistic anti-ALK7 antibody administered cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, administration also reduces the subject's body weight.

[0236] In other embodiments, the disclosure provides a method of lowering plasma insulin levels in a subject, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7) to a subject in need of such treatment. In certain embodiments, the subject to whom the ALK7 binding protein is administered has a fasting blood glucose level of more than 130 mg / dL, more than 135 mg / dL, more than 140 mg / dL, more than 145 mg / dL, or more than 150 mg / dL. In certain embodiments, the subject to whom the ALK7 binding protein is administered has a postprandial blood glucose level of more than 180 mg / dL, more than 185 mg / dL, more than 190 mg / dL, more than 195 mg / dL, or more than 200 mg / dL 2 hours after a meal. In certain embodiments, the subject is overweight. In certain embodiments, the subject is obese. In other embodiments, the subject has type 2 diabetes. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 protein. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7 binding fragment thereof. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7 binding fragment thereof disclosed herein. In some embodiments, the administered antagonistic anti-ALK7 antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonistic anti-ALK7 antibody binds to the same epitope of ALK7 as the antibody having a VH and VL pair disclosed in Table 1.

[0237] In other embodiments, the disclosure provides a method of treating, preventing, or ameliorating liver disease in a subject, comprising administering an effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7-binding antibody fragment that specifically binds to ALK7) to a subject having liver disease. In certain embodiments, the subject has liver inflammation. In certain embodiments, the subject has NAFLD. In some embodiments, the subject has fatty liver. In other embodiments, the subject has NASH. In certain embodiments, the liver disease treated, prevented, or ameliorated is fibrosis, scarring, cirrhosis, or liver failure. In other embodiments, the liver disease treated, prevented, or ameliorated is liver cancer. In certain embodiments, the subject is overweight. In other embodiments, the subject is obese. In other embodiments, the subject has type 2 diabetes. In some embodiments, the ALK7 binding protein is an antagonist anti-ALK7 protein. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7 binding fragment thereof. In some embodiments, the ALK7 binding protein is an antagonistic anti-ALK7 antibody or an ALK7 binding fragment thereof disclosed herein. In some embodiments, the administered antagonistic anti-ALK7 antibody cross-blocks or competes for ALK7 binding with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the administered antagonistic anti-ALK7 antibody binds to the same epitope of ALK7 as the antibody having a VH and VL pair disclosed in Table 1.

[0238] In additional embodiments, the disclosure provides a method of treating and / or ameliorating cancer or a condition associated with cancer, comprising administering an ALK7 binding protein (e.g., an anti-ALK7 antibody or an ALK7-binding fragment thereof) to a subject in need thereof. In some embodiments, the ALK7 binding protein is an anti-ALK7 antibody or an ALK7-binding fragment thereof. In some embodiments, the subject has a myeloma (e.g., multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or a cancer selected from ovarian cancer, breast cancer, colon cancer, endometrial cancer, liver cancer, renal cancer, pancreatic cancer, gastric cancer, uterine cancer, or colon cancer. In some embodiments, the ALK7 binding protein is administered to treat or prevent lymphatic metastasis, bloodstream metastasis, tumor growth, or tumor invasion.

[0239] In certain embodiments, the disclosure provides a method of treating cancer, comprising contacting an ALK7-expressing cancer cell, tumor-associated stromal cell, or endothelial cell with an ALK7-binding protein (e.g., an antagonistic anti-ALK7 antibody or an antagonistic ALK7-binding antibody fragment that specifically binds to ALK7). In additional embodiments, the cancer cell is a myeloma (e.g., multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), ovarian cancer, breast cancer, colon cancer, endometrial cancer, liver cancer, renal cancer, pancreatic cancer, gastric cancer, uterine cancer, and / or colon cancer cell. In some embodiments, the contacted cell is from a cancer line. In some embodiments, the cancer cell is contacted in vivo.

[0240] In certain embodiments, the disclosure provides a method of increasing lipolysis comprising contacting white adipocytes or adipose tissue with an antagonist ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds ALK7). In some embodiments, the ALK7 binding protein increases lipolysis by 5%-100%, 10%-80%, or 10%-60%. In some embodiments, the ALK7 binding protein increases lipolysis in adipocytes by 5%-100%, 10%-80%, or 10%-60%. In some embodiments, the ALK7 binding protein increases lipolysis by 5%-100%, 10%-80%, or 10%-60% in a lipolysis assay. In further embodiments, the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal. In some embodiments, the antagonist ALK7 binding protein is an antibody. In some embodiments, the antagonist anti-ALK7 antibody comprises an antibody provided herein. In some embodiments, the antagonist antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the white adipocytes or adipose tissue are contacted in vitro. In some embodiments, the differentiated white adipocytes or adipose tissue are contacted in vivo. In certain embodiments, the method is performed in vivo, for example, in a mammalian subject (e.g., an animal model). In further embodiments, the subject is a human. In some embodiments, the method results in increased glycerol production. In further embodiments, the method results in increased glycerol and / or free fatty acids in cultured adipocytes. In some embodiments, the method results in decreased triglyceride (TG) content in adipocytes or adipose tissue.In some embodiments, the methods result in a reduction in plasma TG levels in the subject.

[0241] In other embodiments, the present disclosure provides a method for increasing adrenergic receptor-β (ADRB) signaling in adipocytes or adipose tissue. The method includes contacting differentiated white adipocytes or adipose tissue with an antagonist ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7) in an amount sufficient to increase ADRB signaling. In some embodiments, the antagonist ALK7 binding protein is an antibody. In some embodiments, the antagonist anti-ALK7 antibody comprises an antibody provided herein. In some embodiments, the antagonist antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the differentiated white adipocytes or adipose tissue are contacted in vitro. In some embodiments, the differentiated white adipocytes or adipose tissue are contacted in vivo. In certain embodiments, the method is performed in vivo, e.g., in a mammalian subject (e.g., an animal model). In further embodiments, the subject is a human. In some embodiments, the method results in increased glycerol production. In further embodiments, the method results in increased glycerol and / or free fatty acids in cultured adipocytes. In some embodiments, the method results in decreased TG content in adipocytes or adipose tissue. In some embodiments, the method results in reduced plasma TG levels in the subject. In some embodiments, the method results in increased ADRB signaling in adipocytes or adipose tissue during nutrient overload.

[0242] In other embodiments, the present disclosure provides a method for decreasing peroxisome proliferator-activated receptor gamma (PPAR gamma) signaling in adipocytes or adipose tissue (e.g., differentiated white adipocytes). The method includes contacting differentiated white adipocytes or adipose tissue with an antagonist ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7) in an effective amount to reduce PPAR gamma activity. In some embodiments, the antagonist ALK7 binding protein is an antibody. In some embodiments, the antagonist anti-ALK7 antibody comprises an antibody provided herein. In some embodiments, the antagonist antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the differentiated white adipocytes or adipose tissue are contacted in vitro. In some embodiments, the differentiated white adipocytes or adipose tissue are contacted in vivo. In certain embodiments, the method is performed in vivo, e.g., in a mammalian subject (e.g., an animal model). In further embodiments, the subject is a human. In some embodiments, the method results in increased glycerol production. In further embodiments, the method results in increased glycerol and / or free fatty acids in cultured adipocytes. In some embodiments, the method results in a decrease in TG content in adipocytes or adipose tissue. In some embodiments, the method results in a decrease in plasma TG levels in the subject.

[0243] In other embodiments, the disclosure provides a method of reducing insulin resistance in adipocytes or adipose tissue (e.g., differentiated white adipocytes). The method includes contacting the adipocytes or adipose tissue with an antagonist ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7) in an effective amount to reduce insulin resistance. In some embodiments, the antagonist ALK7 binding protein is an antibody. In some embodiments, the antagonist anti-ALK7 antibody comprises an antibody provided herein. In some embodiments, the antagonist antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the differentiated white adipocytes or adipose tissue is contacted in vitro. In some embodiments, the differentiated white adipocyte or adipose tissue is contacted in vivo. In certain embodiments, the method is carried out in vivo, for example, in a mammalian subject (e.g., an animal model). In further embodiments, the subject is a human.

[0244] In other embodiments, the disclosure provides a method for increasing the metabolic rate in adipocytes or adipose tissue. The method includes contacting adipocytes or adipose tissue with an antagonist ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7 binding antibody fragment that specifically binds to ALK7) in an effective amount to increase the metabolism of the adipocytes or adipose tissue. In some embodiments, the antagonist ALK7 binding protein is an antibody. In some embodiments, the antagonist anti-ALK7 antibody comprises an antibody provided herein. In some embodiments, the antagonist antibody cross-blocks or competes for binding to ALK7 with an antibody having a VH and VL pair disclosed in Table 1, and in some embodiments, the antagonist anti-ALK7 antibody binds to the same epitope of ALK7 as an antibody having a VH and VL pair disclosed in Table 1. In some embodiments, the differentiated white adipocytes or adipose tissue are contacted in vitro. In some embodiments, the differentiated white adipocyte or adipose tissue is contacted in vivo. In certain embodiments, the method is carried out in vivo, for example, in a mammalian subject (e.g., an animal model). In further embodiments, the subject is a human.

[0245] The present disclosure relates to a method for treating ALK7-mediated diseases and / or conditions, such as, for example, obesity (e.g., abdominal or visceral obesity); overweight; insulin resistance; metabolic syndrome and other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia, or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g., high LDL and / or hypercholesterolemia); heart disease, including coronary heart disease, congestive heart failure, stroke, peripheral blood cardiovascular disease such as vascular disease, atherosclerosis; arteriosclerosis, and / or hypertension; syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative disease; endothelial dysfunction, respiratory dysfunction, renal disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome; elevated uric acid levels; hemochromatosis (iron overload); acanthosis nigricans (dark patches on the skin); and / or cancer (e.g., myeloma (e.g., multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), ovarian cancer, breast cancer, colon cancer, endometrial cancer, liver cancer, kidney cancer, pancreatic cancer, stomach cancer, uterine cancer, or colon cancer); and / or associated with one or more of the above diseases or conditions, and / or being overweight (e.g., BMI > 25 kg / m 2 The present invention provides methods for treating ALK7-related disorders, including those associated with ALK7-related leukemia (ALK7-related myelopathy), including administering a therapeutically effective amount of an ALK7 binding protein (e.g., an antagonist anti-ALK7 antibody or an antagonist ALK7-binding antibody fragment that specifically binds ALK7), alone or in combination with one or more additional therapies (e.g., one or more additional therapeutic agents), to a subject having or at risk of developing an ALK7-related myelopathy (ALK7-related myelopathy), or other disorder / condition associated with body adiposity.

[0246] Also provided is the use of the ALK7 binding proteins provided herein for diagnostic monitoring of protein concentrations (e.g., ALK7 concentrations) in blood or tissue as part of a clinical testing procedure, for example to determine the effectiveness of a given treatment regimen. For example, detection can be facilitated by binding the ALK7 binding protein to a detectable substance. Examples of detectable substances include various enzymes, prosthetic groups, fluorescent substances, luminescent substances, bioluminescent substances, and / or radioactive substances. Examples of suitable enzymes include horseradish peroxidase, alkaline phosphatase, β-galactosidase, or acetylcholinesterase; suitable examples of prosthetic group complexes include streptavidin / biotin and avidin / biotin; suitable examples of fluorescent substances include umbelliferone, fluorescein, fluorescein isothiocyanate, rhodamine, dichlorotriazinylamine fluorescein, dansyl chloride, or phycoerythrin; an example of a luminescent substance is luminol; examples of bioluminescent substances include luciferase, luciferin, and aequorin; suitable examples of radioactive substances include 125 I, 131 I, 35 S, or 3 Examples include H.

[0247] Pharmaceutical Compositions and Methods of Administration Methods for preparing and administering ALK7 binding proteins to subjects in need thereof are known or easily determined by those skilled in the art. The route of administration of ALK7 binding proteins can be, for example, oral, parenteral, by inhalation or topical. The term parenteral includes, for example, intravenous, intraarterial, intraperitoneal, intramuscular, intraocular, subcutaneous, rectal, or vaginal administration. Although any of these administration forms are expressly contemplated within the scope of the disclosure, another example of a form for administration would be a solution for injection, particularly an intravenous or intraarterial injection or infusion. In general, suitable pharmaceutical compositions can include buffers (e.g., acetate, phosphate, or citrate buffers), surfactants (e.g., polysorbates), optionally stabilizers (e.g., human albumin), and the like. In another method compatible with the teachings of the present specification, the ALK7 binding proteins provided herein can be delivered directly to organs and / or sites of fibrosis or tumors, thereby increasing the exposure of affected tissues to therapeutic agents. In certain embodiments, administration is directly to the airways, for example by inhalation or intranasal administration.

[0248] As discussed herein, the ALK7 binding protein can be administered in a pharmacologic effective amount for the in vivo treatment of ALK7-mediated diseases and conditions, such as obesity, diabetes, metabolic disease, dyslipidemia; cardiovascular disease, type 2 diabetes, inflammation, or cardiovascular disease, pulmonary disease, fatty liver disease, neurological disease, and hepatic or renal disease, and cancer. In this regard, it will be recognized that the disclosed ALK7 binding protein can be formulated to facilitate administration and promote stability of the active agent. Pharmaceutical compositions according to the present disclosure can include pharmacologic acceptable non-toxic sterile carriers, such as saline, non-toxic buffers, preservatives, and the like. For purposes of this application, a pharmacologic effective amount of an ALK7 binding protein, whether bound or unbound, means an amount sufficient to achieve effective binding to ALK7 and achieve a benefit, such as ameliorating the symptoms of a disease or condition, or to detect a substance or cell. Suitable formulations for use in the therapeutic methods disclosed herein are described in Remington's Pharmaceutical Sciences (Mack Publishing Co.) 16th ed. (1980).

[0249] Certain pharmaceutical compositions provided herein can be orally administered in acceptable dosage forms, including, for example, capsules, tablets, aqueous suspensions or solutions.Certain pharmaceutical compositions can also be administered by nasal aerosol or inhalation.Such compositions can be prepared as solutions in saline using benzyl alcohol or other suitable preservatives, absorption enhancers that enhance bioavailability, and / or other conventional solubilizing or dispersing agents.

[0250] The amount of ALK7 binding protein (e.g., an antibody that specifically binds to ALK7) that can be combined with the carrier materials to produce a single dosage form will vary depending on the subject being treated and the particular method of administration. The composition can be administered as a single dose, multiple doses, or as an infusion over a set period of time. Dosage regimens can also be adjusted to provide the optimum desired response (e.g., a therapeutic or prophylactic response).

[0251] The ALK7 binding protein provided herein can be administered to humans or other subjects in an amount sufficient to produce a therapeutic effect according to the above-mentioned treatment method.The ALK7 binding protein provided herein can be administered to such humans or other animals in a conventional dosage form prepared by combining the ALK7 binding protein with a conventional pharmacologic acceptable carrier or diluent according to known techniques.The form and characteristics of the pharmacologic acceptable carrier or diluent can be determined by the amount of active ingredient to be combined therewith, the route of administration and other known variables.A cocktail containing one or more different ALK7 binding proteins can also be used.

[0252] The therapeutically effective dose of an ALK7-binding composition for treating an ALK7-mediated disease or condition, such as obesity, diabetes, metabolic disease, dyslipidemia; cardiovascular disease, type 2 diabetes, inflammation, or cardiovascular disease, pulmonary disease, fatty liver disease, neurological disease, and liver or renal disease and / or cancer, will vary depending on many different factors, such as the means of administration, the target site, the physiological state of the subject, whether the subject is human or animal, other administered drugs, and whether the treatment is prophylactic or therapeutic. Typically, the subject is a human, but non-human mammals, such as transgenic mammals, can also be treated. Therapeutic dosages can be adjusted using routine methods known to those skilled in the art to optimize safety and efficacy.

[0253] Ameliorating the symptoms of a particular disease or condition by administration of an ALK7 binding protein refers to any relief, whether permanent or temporary, persistent or transient, that can be attributed to or associated with administration of the ALK7 binding protein.

[0254] The disclosure also provides the use of an ALK7 binding protein, such as an anti-ALK7 antibody, in the manufacture of a medicament for treating, preventing or ameliorating, for example, obesity, diabetes, metabolic disease, dyslipidemia; cardiovascular disease, type 2 diabetes, inflammation, or cardiovascular disease, pulmonary disease, fatty liver disease, neurological disease, and liver disease, or renal disease, and / or cancer.

[0255] Combination therapy In some embodiments, the ALK7 binding protein (e.g., an anti-ALK7 antibody, such as a full-length ALK7 antibody and an ALK7 binding antibody fragment, or a variant or derivative thereof) is administered in combination with one or more other therapies. Such therapies include additional therapeutic agents and other medical interventions. Exemplary therapeutic agents that may be administered in combination with the ALK7 binding protein provided herein include, but are not limited to, anti-SDI fibrotic agents, corticosteroids, anti-inflammatory agents, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, diuretics, antidiabetic agents, immunosuppressants, chemotherapeutic agents, antimetabolites, and / or immunomodulatory agents. In various embodiments, the ALK7 binding protein is administered to the subject before, during, and / or after a surgical resection / removal procedure.

[0256] In some embodiments, the ALK7 binding protein (e.g., anti-ALK7 antibodies, such as full-length ALK7 antibodies and ALK7-binding antibody fragments, or variants or derivatives thereof) is administered in combination with one or more of (a) biguanides (e.g., buformin, metformin, phenformin), (b) insulin, (c) somatostatin, (d) alpha-glucosidase inhibitors (e.g., voglibose, miglitol, acarbose), (e) DPP-IV inhibitors, such as sitagliptin, vildagliptin, alogliptin, saxagliptin (e.g., as disclosed in U.S. Pat. No. 6,699,871 B1), (f) LXR modulators, (g) insulin secretagogues (e.g., acetohexamide, carbutamide, chlorpropamide, glibornuride, gliclazide, glimelpiride ( glimerpiride), glipizide, gliquidine, glisoxepide, glyburide, glyhexamide, glipinamide, phenbutamide, tolazamide, tolbutamide, tolcyclamide, nateglinide and / or repaglinide), (k) a CB1 inhibitor such as rimonabant, taranabant, and the compounds disclosed in International Application Publication Nos. WO 03 / 077847 A2 and WO 05 / 000809 A1, or (i) sibutramine, topiramate, orlistat, Qnexa, mevastatin, simvastatin, ezetimibe, atorvastatin, naltrexone, bupriopion, phentermine, hydrochlorothiazide, or losartan.

[0257] Diagnostics The disclosure also relates to the treatment of ALK7-mediated diseases and conditions, including but not limited to obesity (e.g., abdominal or visceral obesity); overweight; insulin resistance; metabolic syndrome and / or other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g., inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g., high LDL and / or hypercholesterolemia); cardiovascular disease, such as heart disease, including coronary heart disease, congestive heart failure, stroke, peripheral vascular disease, atherosclerosis; arteriosclerosis, and / or hypertension; Syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative disease; endothelial dysfunction, respiratory dysfunction, renal disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome. Also provided are diagnostic methods useful in diagnosing ALK7 protein tissue or body fluid expression levels from an individual and comparing the measured expression levels to standard ALK7 expression levels in normal tissues or body fluids, whereby an increase in ALK7 expression levels compared to the standard is indicative of a disorder treatable by the ALK7 binding proteins provided herein, such as the full-length anti-ALK7 antibodies and ALK7 binding antibody fragments provided herein.

[0258] The ALK7 binding proteins provided herein, such as anti-ALK7 antibodies (e.g., full-length ALK7 antibodies and ALK7-binding antibody fragments, as well as variants and derivatives thereof), can be used to assess ALK7 levels in biological samples using classical immunohistological methods known to those skilled in the art (see, e.g., Jalkanen, et al., J. Cell. Biol. 101:976-985 (1985); Jalkanen et al., J. Cell Biol. 105:3087-3096 (1987)). Other antibody-based methods useful for detecting the expression of ALK7 protein include immunoassays such as enzyme-linked immunosorbent assay (ELISA), immunoprecipitation, or Western blotting.

[0259] "Assessing the expression level of ALK7 protein" refers to measuring or estimating the ALK7 protein concentration in a first biological sample, either directly (e.g., by determining or estimating absolute protein concentration) or relatively (e.g., by comparing with the disease-related polypeptide concentration in a second biological sample), qualitatively or quantitatively. The expression level of ALK7 protein in a first biological sample can be measured or estimated and compared with a standard ALK7 protein concentration, which is measured from a second biological sample obtained from an individual without the disorder or determined by averaging the concentration from a population of individuals without the disorder. As is understood in the art, once the "standard" ALK7 protein concentration is known, it can be used repeatedly as a comparison standard.

[0260] By "biological sample" is intended any biological sample obtained from an individual, cell line, tissue culture, or other cell source that may express ALK7. Methods for obtaining tissue biopsies and body fluids from mammals are known in the art.

[0261] Kits containing ALK7 binding proteins The present disclosure further provides kits that can be used to practice the methods described herein, including an ALK7 binding protein (e.g., an antibody that specifically binds to ALK7, such as a full-length ALK7 antibody and an ALK7 binding antibody fragment, and variants and derivatives thereof) in suitable packaging, and informational material. The informational material can include any of the following information: instructions for use, discussion of clinical trials, a list of side effects, scientific references, package insert information, clinical trial results, and / or summaries thereof. The informational material can demonstrate or demonstrate the activity and / or benefits of the composition, and / or describe dosing, administration, side effects, drug interactions, or other information useful to health care providers. Such information can be based on the results of various studies, for example, studies using laboratory animals involving in vivo models and / or studies based on human clinical trials. The kit can further include informational material as described above that serves to provide information regarding alternative therapies (e.g., other drugs) and / or other therapies (e.g., other drugs).

[0262] In certain embodiments, the kit comprises at least one purified ALK7 binding protein in one or more containers, hi some embodiments, the kit contains all of the components necessary and / or sufficient to perform a detection assay, including all controls, instructions for performing the assay, and / or any software necessary for analyzing and presenting the results.

[0263] Immunoassays ALK7 binding proteins (e.g., antibodies that specifically bind to ALK7 and ACTRIIA / B binding fragments of antibodies that specifically bind to ALK7, as well as variants or derivatives thereof) can be assessed for immunospecific binding by any method known in the art. Immunoassays that can be used include, but are not limited to, competitive and non-competitive assay systems using techniques such as Western blot, radioimmunoassay (REA), ELISA (enzyme-linked immunosorbent assay), "sandwich" immunoassay, immunoprecipitation assay, precipitation reaction, gel diffusion precipitation reaction, immunodiffusion assay, agglutination assay, complement fixation assay, immunoradiometric assay, fluorescent immunoassay, or protein A immunoassay. Such assays are routine and known in the art (see, for example, Ausubel et al., eds, (1994) Current Protocols in Molecular Biology (John Wiley & Sons, Inc., NY) Vol. 1, which is incorporated herein by reference in its entirety).

[0264] The ALK7 binding proteins provided herein (e.g., antibodies that specifically bind to ALK7 and ActRII receptor (e.g., ActRIIA or ActRIIB) binding fragments of antibodies that specifically bind to ALK7, as well as variants, or derivatives thereof) can be used histologically, as in immunofluorescence, immunoelectron microscopy, or non-immunological assays, for in situ detection of ALK7 or conserved variants or peptide fragments thereof. In situ detection can be achieved according to methods known in the art. Those skilled in the art can determine effective and optimal assay conditions for each determination by using routine experimentation. Methods suitable for determining the binding properties of ALK7 binding proteins are described herein or are otherwise known in the art. Devices and software designed for such kinetic analysis are commercially available (e.g., BIACORE®, BIAevaluation® Software, GE Healthcare; KINEXA® Software, Sapidyne Instruments).

[0265] Unless otherwise indicated, the practice of the present disclosure will employ conventional techniques of cell biology, cell culture, molecular biology, transgenic biology, microbiology, recombinant DNA, and immunology, which are within the skill of those in the art. The present invention also provides the following aspects. [1] An ALK7-binding protein comprising a set of CDRs, VH-CDR1, VH-CDR2, VH-CDR3, VL-CDR1, VL-CDR2 and VL-CDR3, and / or a set of ABRs, VH-ABR1, VH-ABR2, VH-ABR3, VL-ABR1, VL-ABR2 and VL-ABR3, The CDRs and / or ABRs are (a)(i) a VH sequence of SEQ ID NO: 4; (ii) the VL sequence of SEQ ID NO: 13, (b)(i) a VH sequence of SEQ ID NO: 22; and (ii) the VL sequence of SEQ ID NO: 31; (c)(i) a VH sequence of SEQ ID NO: 40; and (ii) the VL sequence of SEQ ID NO: 49, or (d)(i) a VH sequence of SEQ ID NO: 58; and (ii) the VL sequence of SEQ ID NO: 67 The ALK7-binding protein is from a pair of heavy chain variable region (VH) and light chain variable region (VL) selected from the following: [2] A set of CDRs, VH-CDR1, VH-CDR2, VH-CDR3, VL-CDR1, VL-CDR2 and VL-CDR3, wherein the set of CDRs is a reference set of CDRs, i.e. (a)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO:1; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO:2; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 3; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 10; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 11, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 12; (b)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 19; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 20; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 21; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 28; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 29, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 30; (c)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 37; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 38; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 39, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 46; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 47, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 48; or (d)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 55; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 56; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 57; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 64; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 65; and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 66; The ALK7 binding protein described in [1] has a total of one, two, three, four, five, six, seven, eight, nine, ten, less than ten, or zero amino acid substitutions, deletions, and / or insertions from the set: [3] A set of CDRs, i.e. (a)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO:1; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO:2; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 3; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 10; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 11, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 12; (b)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 19; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 20; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 21; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 28; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 29, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 30; (c)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 37; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 38; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 39, (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 46; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 47, and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 48; or (d)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 55; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 56; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 57; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 64; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 65; and (vi) VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 66; The ALK7-binding protein according to [1] or [2], comprising a set of: [4] A set of ABRs, namely, VH-ABR1, VH-ABR2, VH-ABR3, VL-ABR1, VL-ABR2 and VL-ABR3, wherein the set of ABRs is a reference set of ABRs, namely, (a)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 73; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 74 or 69; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 75 or 70; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 71; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 72; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 87; (b)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 76; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 77 or 88; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 78 or 89; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 90; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 91; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 92; (c)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 79; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97; or (d)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 82; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 83 or 98; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 84 or 99; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 100; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 101; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 102; The ALK7 binding protein described in any of [1] to [3] has a total of one, two, three, four, five, six, seven, eight, nine, ten, less than ten, or zero amino acid substitutions, deletions, and / or insertions from the set: [5] The...

Claims

1. An ALK7-binding protein, the ALK7-binding protein being an antibody that specifically binds to ALK7 and comprises a set of CDRs, VH-CDR1, VH-CDR2, VH-CDR3, VL-CDR1, VL-CDR2 and VL-CDR3; (a)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO:1; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO:2; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO:3; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 10; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 11; and (vi) the VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 12; (b)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 19; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 20; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 21; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO:28; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO:29; and (vi) the VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 30; (c)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO: 37; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO: 38; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO: 39; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO: 46; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 47; and (vi) the VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 48; or (d)(i) VH-CDR1 comprises the amino acid sequence of SEQ ID NO:55; (ii) VH-CDR2 comprises the amino acid sequence of SEQ ID NO:56; (iii) VH-CDR3 comprises the amino acid sequence of SEQ ID NO:57; (iv) VL-CDR1 comprises the amino acid sequence of SEQ ID NO:64; (v) VL-CDR2 comprises the amino acid sequence of SEQ ID NO: 65; and (vi) the VL-CDR3 comprises the amino acid sequence of SEQ ID NO: 66; ALK7 binding protein.

2. An ALK7-binding protein, the ALK7-binding protein being an antibody that specifically binds to ALK7 and includes a set of antigen-binding regions (ABRs): VH-ABR1, VH-ABR2, VH-ABR3, VL-ABR1, VL-ABR2 and VL-ABR3; (a)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO:73; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 74 or 69; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 75 or 70; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 71; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 72; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 87; (b)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 76; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 77 or 88; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 78 or 89; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 90; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 91; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 92; (c)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO:79; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 80 or 93; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 81 or 94; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 95; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 96; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 97; or (d)(i) VH-ABR1 comprises the amino acid sequence of SEQ ID NO: 82; (ii) VH-ABR2 comprises the amino acid sequence of SEQ ID NO: 83 or 98; (iii) VH-ABR3 comprises the amino acid sequence of SEQ ID NO: 84 or 99; (iv) VL-ABR1 comprises the amino acid sequence of SEQ ID NO: 100; (v) VL-ABR2 comprises the amino acid sequence of SEQ ID NO: 101; and (vi) VL-ABR3 comprises the amino acid sequence of SEQ ID NO: 102; ALK7 binding protein.

3. (a)(i) a VH having at least 90% sequence identity to SEQ ID NO:4; (ii) a VL having at least 90% sequence identity to SEQ ID NO: 13; (b)(i) a VH having at least 90% sequence identity to SEQ ID NO:22; and (ii) a VL having at least 90% sequence identity to SEQ ID NO: 31; (c) (i) a VH having at least 90% sequence identity to SEQ ID NO: 40; and (ii) a VL having at least 90% sequence identity to SEQ ID NO: 49; or (d)(i) a VH having at least 90% sequence identity to SEQ ID NO:58; and (ii) a VL having at least 90% sequence identity to SEQ ID NO:67 3. The ALK7 binding protein of claim 1 or 2, comprising a VH and VL pair selected from the following:

4. (a) (i) a VH sequence having a total of 0 to 12 amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 4; (ii) a VL sequence having a total of 0 to 10 amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 13; (b)(i) a VH sequence having a total of 0 to 12 amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 22; (ii) a VL sequence having a total of 0 to 10 amino acid substitutions, deletions, and / or insertions from the reference VL sequence of SEQ ID NO: 31; (c) (i) a VH sequence having a total of 0 to 12 amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 40; (ii) a VL sequence having a total of 0 to 10 amino acid substitutions, deletions, and / or insertions from a reference VL sequence of SEQ ID NO: 49; or (d) (i) a VH sequence having a total of 0 to 12 amino acid substitutions, deletions, and / or insertions from a reference VH sequence of SEQ ID NO: 58; (ii) An ALK7 binding protein according to claim 1 or 2, comprising a VH and VL pair selected from a total of 0 to 10 of the reference VL sequences of SEQ ID NO: 67, wherein the protein binds to ALK7.

5. The VH and VL pair is (a) a VH sequence of SEQ ID NO: 4 and a VL sequence of SEQ ID NO: 13; (b) the VH sequence of SEQ ID NO: 22 and the VL sequence of SEQ ID NO: 31; (c) the VH sequence of SEQ ID NO: 40 and the VL sequence of SEQ ID NO: 49; or (d) the VH sequence of SEQ ID NO: 58 and the VL sequence of SEQ ID NO: 67 5. The ALK7 binding protein of claim 3 or 4, wherein the protein binds to ALK7.

6. An ALK7-binding protein that cross-blocks or competes for binding to ALK7 with the ALK7-binding protein according to any one of claims 1 to 5.

7. 7. An ALK7 binding protein according to any one of claims 1 to 6, capable of antagonising ALK7 activity.

8. 8. An ALK7 binding protein according to any one of claims 1 to 7, which is capable of increasing lipolysis in adipocytes.

9. The ALK7 binding protein of claim 8 , which is capable of increasing lipolysis in white or brown adipocytes.

10. 10. An ALK7 binding protein according to any one of claims 6 to 9, capable of antagonising ALK7-mediated inhibition of lipolysis in adipocytes.

11. 11. An ALK7 binding protein according to any one of claims 6 to 10, capable of antagonising ALK7-mediated inhibition of lipolysis in white or brown adipocytes.

12. 10. The ALK7 binding protein of claim 8 or 9, which is capable of increasing lipolysis in adipocytes by at least 5% to 100%.

13. 10. The ALK7 binding protein of claim 8 or 9, wherein lipolysis is determined in a lipolysis assay performed in the presence of one or more ALK7 ligands.

14. 14. The ALK7 binding protein of claim 13, wherein the lipolysis assay is performed in the presence of one or more ALK7 ligands selected from GDF1, GDF3, GDF8, activin B, activin A / B, and Nodal.

15. The binding protein is (a) reducing the formation of a complex containing ALK7, a type II receptor (e.g., ActRIIA or ActRIIB), and one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3 and / or GDF8) on the surface of cells expressing ALK7 and the ActRII receptor in the presence of one or more TGF-beta superfamily ligands; (b) competes with one or more type II receptors for binding to ALK7; (c) competes with one or more TGF-beta superfamily ligands (e.g., activin B, activin AB, Nodal, GDF1, GDF3, and / or GDF8) for binding to ALK7; (d) decreasing phosphorylation of ALK7 in cells expressing ALK7 and a type II receptor (e.g., ActRIIA or ActRIIB) in the presence of one or more TGF-beta superfamily ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (e) decreasing phosphorylation of Smads (e.g., Smad2 and / or Smad3) in cells expressing ALK7 and type II receptors (e.g., ActRIIA and / or ActRIIB) in the presence of one or more TGF-beta ligands (e.g., GDF1, GDF3, GDF8, activin B, activin AB, and / or Nodal); (f) a K of 1 nM or less and 1 pM or more for ALK7; Ｄ (e.g., as determined by BIACORE® analysis), and (g) reducing the formation of a complex containing ALK7, a co-receptor (e.g., crypto and / or cryptic), and one or more TGF-beta superfamily ligands (e.g., Nodal); The ALK7 binding protein according to any one of claims 1 to 14, having at least one characteristic selected from the following characteristics:

16. The ALK7 binding protein of any one of claims 1 to 15, wherein the ALK7 binding protein increases glycerol production in adipocytes.

17. 17. The ALK7 binding protein according to any one of claims 1 to 16, further comprising a LALA mutation or a LALA-PG mutation in its heavy chain constant region.

18. The ALK7 binding protein of any one of claims 1 to 17, wherein the antibody is a monoclonal antibody, a recombinant antibody, a human antibody, a humanized antibody, a chimeric antibody, a bispecific antibody, a multispecific antibody, or an ALK7-binding antibody fragment.

19. The ALK7-binding antibody fragment may be a Fab fragment, a Fab' fragment, or an F(ab') ２ 20. The ALK7 binding protein of claim 18 which is a fragment, an Fv fragment, a diabody, or a single chain antibody molecule.

20. The antibody further comprises (a) a human IgA constant domain; (b) a human IgD constant domain; (c) a human IgE constant domain; (d) a human IgG1 constant domain; (e) a human IgG2 constant domain, (f) a human IgG3 constant domain, (g) a human IgG4 constant domain, and (h) human IgM constant domain 20. The ALK7 binding protein of any one of claims 1 to 19, comprising a heavy chain immunoglobulin constant domain selected from:

21. The antibody further comprises (a) a human Ig kappa constant domain, and (b) human Ig lambda constant domain 21. The ALK7 binding protein of any one of claims 1 to 20, comprising a light chain immunoglobulin constant domain selected from:

22. The ALK7 binding protein of any one of claims 1 to 21, wherein the antibody further comprises a human IgG1 heavy chain constant domain and a human kappa light chain constant domain.

23. The ALK7 binding protein of any one of claims 1 to 22, wherein the antibody further comprises a mutation, substitution or modification in its heavy chain constant domain.

24. A nucleic acid molecule or a set of nucleic acid molecules encoding an ALK7 binding protein according to any one of claims 1 to 23.

25. 25. The nucleic acid molecule or set of nucleic acid molecules of claim 24 which is cDNA.

26. A vector comprising the nucleic acid molecule of claim 24 or 25.

27. 27. A host cell comprising a nucleic acid molecule according to claim 24 or 25, or a vector according to claim 26.

28. The host cell of claim 27 , wherein the host cell is a mammalian host cell.

29. 28. The host cell of claim 27, wherein the host cell is an NSO mouse myeloma cell, a PER.C6® human cell, or a Chinese Hamster Ovary (CHO) cell.

30. A method for producing an ALK7 binding protein according to any one of claims 1 to 23, comprising culturing a host cell according to any one of claims 27 to 29 under suitable conditions for producing said ALK7 binding protein.

31. 31. The method of claim 30, further comprising isolating the ALK7 binding protein secreted from the host cell.

32. 32. An ALK7 binding protein produced using the method of claim 30 or 31.

33. A pharmaceutical composition comprising an ALK7 binding protein according to any one of claims 1 to 23 and a pharma- ceutically acceptable carrier.

34. 34. A pharmaceutical composition according to claim 33 for use as a medicament.

35. 35. A pharmaceutical composition according to claim 34 for use as a medicament for treating and / or ameliorating a disease or condition associated with ALK7 expression or ALK7 signalling.

36. 36. The pharmaceutical composition of claim 35, wherein the disease or condition is associated with increased ALK7-mediated signaling.

37. The diseases or conditions include, but are not limited to, obesity (e.g. abdominal or visceral obesity); overweight; insulin resistance; metabolic syndrome and other metabolic diseases or conditions; lipid disorders such as low HDL, high LDL, hyperlipidemia, hypertriglyceridemia or dyslipidemia; lipoprotein abnormalities; triglyceride reduction; inflammation (e.g. inflammation of the liver and / or inflammation of adipose tissue), fatty liver disease; non-alcoholic fatty liver disease; hyperglycemia; impaired glucose tolerance (IGT); hyperinsulinemia; high cholesterol (e.g. high LDL and hypercholesterolemia); cardiovascular disease such as heart disease including coronary heart disease, congestive heart failure, stroke, peripheral vascular disease, atherosclerosis; arteriosclerosis.

37. The pharmaceutical composition of claim 35 or 36, wherein the therapeutic agent is a member selected from: chronic obstructive pulmonary disease, chronic myelopathy, and hypertension; syndrome X; vascular restenosis; neuropathy; retinopathy; neurodegenerative diseases; endothelial dysfunction, respiratory dysfunction, renal disease (e.g., nephropathy); pancreatitis; polycystic ovary syndrome; elevated uric acid levels; hemochromatosis (iron overload); acanthosis nigricans (dark patches on the skin); and cancer (e.g., myeloma (e.g., multiple myeloma, plasmacytoma, localized myeloma, or extramedullary myeloma), or ovarian, breast, colon, endometrial, liver, kidney, pancreatic, stomach, uterine, or colon cancer); and / or other disorders / conditions associated with one or more of the above diseases or conditions or associated with excess body fat.

38. The pharmaceutical composition of any one of claims 33 to 37, wherein the ALK7 binding protein further comprises a labeling group or an effector group.

39. 39. The pharmaceutical composition of claim 38, wherein the effector group is selected from a radioisotope, a radionuclide, a toxin, a therapeutic agent, and a chemotherapeutic agent.

40. The pharmaceutical composition of any one of claims 33 to 39, wherein the pharmaceutical composition is administered alone or as a combination therapy.

41. A pharmaceutical composition according to any one of claims 33 to 39 for use as a medicament for reducing ALK7 activity in a subject.

42. A pharmaceutical composition according to any one of claims 33 to 39 for use as a medicament for treating and / or ameliorating Prader-Willi syndrome.

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