Ceacam5 binding protein and use thereof
CEACAM5-targeting antibodies with enhanced specificity and reduced toxicity are developed to treat CEACAM5-expressing cancers, addressing limitations of current drugs by minimizing plasma protein interference and improving clinical efficacy.
Patent Information
- Application Number
- PCT/CN2025/088542
- Authority / Receiving Office
- WO · WO
- Patent Type
- Applications
- Current Assignee / Owner
- Priority Date
- 2025-03-28
- Filing Date
- 2025-04-11
- Publication Date
- 2025-10-16
AI Technical Summary
Current CEACAM5-targeting antibody drugs lack specificity, have high toxicity and side effects, and are inconvenient for administration, limiting treatment options for patients with CEACAM5-expressing cancers.
Development of CEACAM5-targeting mouse and humanized antibodies with high affinity for membrane-bound CEACAM5 and minimal binding to soluble CEACAM5, reducing interference from plasma proteins, and incorporating modifications to enhance specificity and reduce toxicity.
The antibodies effectively target CEACAM5-expressing cancers with improved specificity, reduced toxicity, and convenient administration, offering better clinical efficacy and patient options.
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Figure CN2025088542_16102025_PF_FP_ABST
Abstract
Description
CEACAM5 BINDING PROTEIN AND USE THEREOFCross Reference To Related Applications
[0001] This application claims the benefit of Chinese Application No. 2024104407218, filed April 12, 2024 and Chinese Application No. 2025103863716, filed March 28, 2025, the disclosures of each of which are incorporated herein by reference in their entireties. Sequence Listing
[0002] This application contains a computer readable Sequence Listing which has been submitted in XML file format with this application, the entire content of which is incorporated by reference herein in its entirety. The Sequence Listing XML file submitted with this application is entitled “14463-662-228_SEQ_LISTING. xml” , was created on March 20, 2025, and is 40,234 bytes in size.Technical Field
[0003] The present disclosure belongs to the field of therapeutic monoclonal antibodies, and more specifically, the present disclosure relates to an antibody specific to CEACAM5; and further relates to use of the antibody in the treatment and diagnosis of a disease.Background
[0004] CEACAM5 (Carcinoembryonic antigen-related cell adhesion molecule 5) , also known as CD66e, belongs to a large CEACAM subfamily of an immunoglobulin superfamily, is a cell adhesion molecule that may, when expressed at a high level, affect tumor genesis and development. The CEACAM subfamily includes 12 glycoprotein members (CEACAM1, CEACAM3, CEACAM4, CEACAM5, CEACAM6, CEACAM7, CEACAM8, CEACAM16, CEACAM18, CEACAM19, CEACAM20, and CEACAM21) . The CEACAM5 is mainly expressed on cytomembranes in a GPI-anchored manner, can be enzymatically hydrolyzed by GPI-PLD (glycosylphosphatidylinositol phospholipase D) , and is then shed to form the CEACAM5 free in blood. The CEACAM5 glycoprotein comprises 1 Ig-like V-type (IgV) domain at the N-terminus, followed by 6 Ig-like C2-type (IgC2) domains and a GPI anchor. Its main function is adhesion to epithelial cells in embryonic intestinal and colon tumors. In addition, it also plays an important role in inhibiting colonic cell differentiation and apoptosis. The CEACAM5 can prevent tumor cells from anoikis.
[0005] CEACAM 5 expression is limited in normal adult tissues. In normal tissues, the CEACAM5 expression can be detected in kidney, bladder, larynx, epiglottis, skin, submaxillary gland, colon, esophagus, duodenum, parotid gland, and sublingual gland tissues. In contrast, the CEACAM5 expression is not detected in stomach, pancreas, and many other normal tissues. The CEACAM 5 mainly serves as a cell adhesion molecule in normal tissues, to mediate homogeneous and heterogeneous adhesion. The CEACAM5 is expressed in gastric cancer, colon adenocarcinoma, rectal adenocarcinoma, lung squamous cell carcinoma, bladder epithelial carcinoma, breast ductal carcinoma, ovarian endometriosis carcinoma, prostate transitional cell carcinoma, pancreatic adenocarcinoma, and cervical squamous cell carcinoma. The CEACAM5 is found to be distributed throughout the cell surface and cytoplasm of cancer cells. CEA is a well-known biomarker for many types of malignancies, such as colorectal cancer and non-small cell lung cancer. High CEACAM5 expression, detectable by IHC (immunohistochemistry) , is also found in approximately 25%of patients with advanced non-squamous (NSq) non-small cell lung cancer (NSCLC) . In addition to the increase of the CEACAM5 shown in tumor cells, some articles show changes of the level of free CEACAM5 in plasma, and some literatures show that sCEA levels in 64.7% (101 / 156) of CRC patients are higher than the normal range. Among drugs targeting the CEACAM5, ADCs currently in clinical stages include an antibody SAR408701. In previously published clinical studies on lung cancer treatment, the SAR408701 has good efficacy for NSCLC (non-small cell lung cancer) , with an ORR between 20-30%.
[0006] At present, no CEACAM5-targeting antibody drugs are available on the market. Therefore, it is urgent and necessary to develop a CEACAM5-targeting antibody with higher specificity, lower toxicity and side effects, better clinical efficacy, and more convenient administration mode, which can provide patients with more drug use options.Summary of the Invention
[0007] In the present disclosure, the inventors developed CEACAM5-targeting mouse antibody and humanized antibody with excellent properties, which can specifically recognize / bind to CEACAM5 and can be used to treat a CEACAM5-expressing cancer. In particular, the antibody of the present disclosure can bind to membrane-bound CEACAM5 with high affinity while avoiding binding to soluble native CEACAM5 proteins in plasma, thereby possibly avoiding interference of plasma proteins with functions of the antibody. Antibody of the present disclosure
[0008] In an aspect, the present disclosure provides an antibody specifically binding to CEACAM5 or an antigen-binding fragment thereof, the antibody or the antigen-binding fragment thereof comprising complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) as shown in SEQ ID NO: 3 or 1; and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) as shown in SEQ ID NO: 4 or 2; or (b) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below, wherein at least one CDR in the heavy chain variable region (VH) and / or the light chain variable region (VL) comprises a mutation, compared to the heavy chain variable region and / or the light chain variable region in (a) , the mutation is substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0009] In some embodiments, the antibody or the antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (i) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) as shown in the SEQ ID NO: 3; and / or, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) as shown in the SEQ ID NO: 4; (ii) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) as shown in the SEQ ID NO: 1; and / or, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) as shown in the SEQ ID NO: 2; (iii) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below, wherein at least one CDR in the heavy chain variable region (VH) and / or the light chain variable region (VL) comprises a mutation, compared to the heavy chain variable region and / or the light chain variable region according to any one of (i) or (ii) , and the mutation is substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) .
[0010] In some embodiments, the substitution is conservative substitution.
[0011] In some embodiments, the CDRs are defined based on an IMGT, Kabat, Chothia, or AbM numbering system.
[0012] In some embodiments, an antibody specifically binding to CEACAM5 or an antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) as shown in the SEQ ID NO: 3; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) as shown in the SEQ ID NO: 4; or (b) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) as shown in the SEQ ID NO: 1; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) as shown in the SEQ ID NO: 2.
[0013] In some embodiments, the CEACAM5 comprises human CEACAM5 and / or monkey CEACAM5. In some embodiments, the monkey is Macaca fascicularis.
[0014] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 24 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 16 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 18 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (1b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 15 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 16 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 18 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; wherein the variant according to any one of (1a) or (1b) , compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0015] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 25 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (2b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 20 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; wherein the variant according to any one of (2a) or (2b) , compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0016] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 26 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (3b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 22 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; wherein the variant according to any one of (3a) or (3b) , compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0017] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 23 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (4b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 9 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; wherein the variant according to any one of (4a) or (4b) , compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0018] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14; CDR-H2 with a sequence of SEQ ID NO: 24; and CDR-H3 with a sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17; CDR-L2 with a sequence of SEQ ID NO: 18; and CDR-L3 with a sequence of SEQ ID NO: 27; or (1b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14; CDR-H2 with a sequence of SEQ ID NO: 15; and CDR-H3 with a sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17; CDR-L2 with a sequence of SEQ ID NO: 18; and CDR-L3 with a sequence of SEQ ID NO: 13.
[0019] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19; CDR-H2 with a sequence of SEQ ID NO: 25; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 27; or (2b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19; CDR-H2 with a sequence of SEQ ID NO: 20; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13.
[0020] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21; CDR-H2 with a sequence of SEQ ID NO: 26; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 27; or (3b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21; CDR-H2 with a sequence of SEQ ID NO: 22; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13.
[0021] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8; CDR-H2 with a sequence of SEQ ID NO: 23; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 27; or (4b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8; CDR-H2 with a sequence of SEQ ID NO: 9; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13.
[0022] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (a) the VH comprising the sequence as shown in the SEQ ID NO: 3 or a variant thereof and / or the VL comprising the sequence as shown in the SEQ ID NO: 4 or a variant thereof; or (b) the VH comprising the sequence as shown in the SEQ ID NO: 1 or a variant thereof and / or the VL comprising the sequence as shown in the SEQ ID NO: 2 or a variant thereof; wherein the variant, compared to a sequence from which the variant is derived, has at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100%sequence identity, or, compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, 3, 4, or 5 amino acids) ; and preferably, the substitution is conservative substitution.
[0023] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (a) the VH comprising the sequence as shown in the SEQ ID NO: 3 and the VL comprising the sequence as shown in the SEQ ID NO: 4; or (b) the VH comprising the sequence as shown in the SEQ ID NO: 1 and the VL comprising the sequence as shown in the SEQ ID NO: 2.
[0024] In the antibody or the antigen-binding fragment disclosed herein in some embodiments, a heavy chain constant domain may comprise a C-terminal lysine or may lack a C-terminal lysine or a C-terminal glycine-lysine dipeptide. In the antibody or the antigen-binding fragment thereof of some embodiments, an N-terminal amino acid of the antibody or the antigen-binding fragment thereof may be cyclized into pyroglutamic acid. In the antibody or the antigen-binding fragment thereof of some embodiments, an N-terminal amino acid of the antibody or the antigen-binding fragment thereof may be cyclized into pyroglutamate.
[0025] As is known to those skilled in the art, pyroglutamic acid is a conjugate acid of pyroglutamate, and is in mutual equilibrium with pyroglutamate in a solution.
[0026] In some embodiments, provided herein is a composition comprising the antibody or the antigen-binding fragment disclosed herein, wherein each antibody or antigen-binding fragment may independently comprise a C-terminal lysine, lack a C-terminal lysine, lack a C-terminal glycine-lysine dipeptide, and / or comprise an N-terminal glutamine or glutamic acid, the N-terminal amino acid being cyclized into pyroglutamic acid, or the N-terminal amino acid being cyclized into pyroglutamate.
[0027] In some embodiments, the antibody or the antigen-binding fragment disclosed herein comprises an antibody or an antigen-binding fragment specifically binding to an antigen, and may comprise a post-translational modification thereof (e.g., C-terminal lysine cleavage in a heavy chain, conversion of an N-terminal glutamine or glutamic acid in a heavy chain or a light chain into pyroglutamic acid or pyroglutamate) , which may occur during recombinant expression in a host cell (e.g., a CHO cell) or during purification / storage.
[0028] In some embodiments, an N-terminal glutamine of the VH comprising the sequence as shown in the SEQ ID NO: 3 or 1 or a variant thereof is cyclized to form pyroglutamic acid or pyroglutamate.
[0029] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments further has characteristics selected from: (1) specifically binding to membrane-bound CEACAM5 (e.g., human or monkey CEACAM5) and / or an extracellular domain (ECD) of CEACAM5 (e.g., human or monkey CEACAM5) , for example, as determined by flow cytometry or biolayer interferometry (BLI) (e.g., ForteBio ) ; (2) non-binding or substantially non-binding to native CEACAM5, particularly soluble native CEACAM5, for example, as determined by biolayer interferometry (BLI) (e.g., ForteBio ) ; (3) non-binding or substantially non-binding to CEACAM1, CEACAM3, CEACAM7, and CEACAM8, for example, as determined by flow cytometry; (4) having no or having reduced ADCC activity; (5) inducing CEACAM5 internalization, for example, as determined by flow cytometry; (6) inhibiting proliferation of a cell (e.g., a tumor cell) ; and / or (7) inhibiting tumor growth.
[0030] In some embodiments, the Native CEACAM5 may be CEACAM5 proteins shed from surfaces of tumor cells of a tumor patient. These proteins may be shed into tumor tissues or may enter plasma or other tissues.
[0031] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments may comprise a constant region derived from a human immunoglobulin.
[0032] In some embodiments, the heavy chain of the antibody or the antigen-binding fragment thereof comprises a heavy chain constant region derived from a human immunoglobulin (e.g., IgG1, IgG2, IgG3, or IgG4) . In some embodiments, the heavy chain of the antibody or the antigen-binding fragment thereof comprises a wild-type Fc region, or comprises a mutated or chemically modified Fc region, and has altered effector function (e.g., reduced ADCC activity) compared to the wild-type Fc region. In some exemplary embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a variant of a human IgG1 heavy chain constant region, the variant having substitutions below, compared to a wild-type sequence from which the variant is derived: Leu234Ala, Leu235Ala, and Gly237Ala (based on positions in a EU numbering system) . In such embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure has reduced ADCC activity. In some embodiments, the antibody or the antigen-binding fragment thereof comprises a variant of the human IgG1 heavy chain constant region as shown in SEQ ID NO: 7. In some embodiments, the heavy chain constant region (CH) as shown in the SEQ ID NO: 7 or a variant thereof lacks a C-terminal lysine. In some embodiments, the heavy chain of the antibody or the antigen-binding fragment thereof comprises a sequence as shown in SEQ ID NO: 5 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids (for example, conservative substitutions of at most 15, at most 10, or at most 5 amino acids; for example, conservative substitution of 1, 2, 3, 4, or 5 amino acids) , compared to the sequence. In some embodiments, the heavy chain constant region (CH) as shown in the SEQ ID NO: 5 or a variant thereof lacks a C-terminal lysine.
[0033] In some embodiments, the light chain of the antibody or the antigen-binding fragment thereof comprises a light chain (e.g., κ or λ chain) constant region derived from a human immunoglobulin. In some embodiments, the light chain of the antibody or the antigen-binding fragment thereof comprises a sequence as shown in SEQ ID NO: 6 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids (for example, conservative substitutions of at most 15, at most 10, or at most 5 amino acids; for example, conservative substitution of 1, 2, 3, 4, or 5 amino acids) , compared to the sequence.
[0034] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (1) a heavy chain comprising the VH as shown in the SEQ ID NO: 3 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 7, and, a light chain comprising the VL as shown in the SEQ ID NO: 4 and the light chain constant region (CL) as shown in the SEQ ID NO: 6; (2) a heavy chain comprising the VH as shown in the SEQ ID NO: 3 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 5, and, a light chain comprising the VL as shown in the SEQ ID NO: 4 and the light chain constant region (CL) as shown in the SEQ ID NO: 6; (3) a heavy chain comprising the VH as shown in the SEQ ID NO: 1 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 5, and, a light chain comprising the VL as shown in the SEQ ID NO: 2 and the light chain constant region (CL) as shown in the SEQ ID NO: 6; or (4) a heavy chain comprising the VH as shown in the SEQ ID NO: 1 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 7, and, a light chain comprising the VL as shown in the SEQ ID NO: 2 and the light chain constant region (CL) as shown in the SEQ ID NO: 6.
[0035] In some embodiments, the antibody of the present disclosure comprises: a heavy chain having a sequence as shown in SEQ ID NO: 28 and a light chain having a sequence as shown in SEQ ID NO: 29.
[0036] In some embodiments, an N-terminal glutamine of the heavy chain having the sequence as shown in the SEQ ID NO: 28 is cyclized to form pyroglutamic acid or pyroglutamate.
[0037] In some embodiments, the heavy chain having the sequence as shown in the SEQ ID NO: 28 lacks a C-terminal lysine.
[0038] In some embodiments, the N-terminal glutamine in the sequence of SEQ ID NO: 28 is cyclized to form pyroglutamic acid or pyroglutamate, and the heavy chain having the sequence as shown in the SEQ ID NO: 28 lacks the C-terminal lysine.
[0039] In some embodiments, the antibody of the present disclosure comprises: a heavy chain having a sequence as shown in SEQ ID NO: 30 and the light chain having the sequence as shown in the SEQ ID NO: 29.
[0040] In some embodiments, the antibody of the present disclosure comprises: a heavy chain having a sequence as shown in SEQ ID NO: 31 and the light chain having the sequence as shown in the SEQ ID NO: 29.
[0041] In some embodiments, the antibody of the present disclosure comprises: a heavy chain having a sequence as shown in SEQ ID NO: 32 and the light chain having the sequence as shown in the SEQ ID NO: 29.
[0042] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is a murine antibody, a chimeric antibody, or a humanized antibody.
[0043] In some embodiments, a variable region of the antibody or the antigen-binding fragment thereof in any one of the above embodiments is humanized.
[0044] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is selected from ScFv, Fab, Fab', F (ab') 2, Fab'-SH, Fv fragment, disulfide-linked Fv (dsFv) , diabody, bispecific antibody, and multispecific antibody.
[0045] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is tagged. In some embodiments, the antibody or the antigen-binding fragment thereof is detectably tagged with, for example, an enzyme (for example, horseradish peroxidase) , a radionuclide, a fluorescent dye, a luminescent substance (for example, a chemiluminescent substance) , or a biotin.
[0046] The present disclosure further provides use of the antibody or the antigen-binding fragment provided herein, or a pharmaceutical composition thereof in the treatment of a tumor. Derived antibody
[0047] The antibody or the antigen-binding fragment thereof of the present disclosure may be derivatized, e.g., linked to another molecule (e.g., another polypeptide or protein) . Generally, derivatization (e.g., tagging) of an antibody or an antigen-binding fragment thereof cannot adversely affect its binding to CEACAM5 (particularly human CEACAM5) . Therefore, the antibody or the antigen-binding fragment thereof of the present disclosure is further intended to include such derivatized forms. For example, the antibody or the antigen-binding fragment thereof of the present disclosure may be functionally linked (by chemical coupling, genetic fusion, non-covalent linkage, or otherwise) to one or more other molecular groups, such as another antibody (e.g., forming a bispecific antibody) , a detection reagent, a pharmaceutical reagent, and / or a protein or polypeptide capable of mediating the binding of the antibody or the antigen-binding fragment to another molecule (e.g., an avidin or a polyhistidine tag) .
[0048] As one of the derivatives of the antibody, the present disclosure provides a conjugate, comprising the antibody or the antigen-binding fragment thereof of the present disclosure and a conjugation moiety.
[0049] In some embodiments, the conjugation moiety is selected from a detectable tag. The detectable tag of the present disclosure may be any substance detectable by fluorescent, spectral, photochemical, biochemical, immunological, electrical, optical, or chemical means. Such a tag is well known in the art, and examples thereof include, but are not limited to, an enzyme (e.g., horseradish peroxidase, alkaline phosphatase, β-galactosidase, urease, or glucose oxidase) , a radionuclide (e.g., 3H, 125I, 35S, 14C, or 32P) , a fluorescent dye (e.g., fluorescein isothiocyanate (FITC) , fluorescein, tetramethylrhodamine isothiocyanate (TRITC) , phycoerythrin (PE) , texas red, rhodamine, a quantum dot or cyanine dye derivative (e.g., Cy7 or Alexa 750) ) , an acridinium ester compound, a magnetic bead (e.g., ) , a calorimetric marker such as colloidal gold or colored glass or plastic (e.g., polystyrene, polypropylene, or latex) bead, and a biotin for binding to an avidin (e.g., streptavidin) modified with the above marker. In some embodiments, such a tag may be adapted for immunological detection (e.g., enzymoimmunoassay, radioimmunoassay, fluorescent immunoassay, or chemiluminescent immunoassay) . In some embodiments, the detectable tag is selected from a radioactive isotope, a fluorescent substance, a luminescent substance, a colored substance, or an enzyme. In some embodiments, the detectable tag as described above may be linked to the antibody or the antigen-binding fragment thereof of the present disclosure via linkers of different lengths to reduce potential steric hindrance.
[0050] In some embodiments, the conjugation moiety is selected from a therapeutic agent. In some embodiments, the therapeutic agent is preferably an anti-tumor agent, such as a cytotoxic agent, a cytokine, a toxin, or a radionuclide.
[0051] In some embodiments, the conjugation moiety is selected from a substance capable of improving biological properties of the antibody (e.g., increasing serum half-life) , for example, may be a chemical group, such as polyethylene glycol (PEG) , methyl, or ethyl, or a glycosyl.
[0052] As one of the derivatives of the antibody, the present disclosure provides a multispecific antibody, comprising the antibody or the antigen-binding fragment thereof of the present disclosure.
[0053] In some embodiments, the multispecific antibody comprises the antibody or the antigen-binding fragment thereof of the present disclosure as a first antigen-binding domain, and further comprises at least one second antigen-binding domain specific to other targets.
[0054] In some embodiments, each antigen-binding domain of the multispecific antibody retains its respective original binding specificity.
[0055] In some embodiments, the multispecific antibody is a bispecific antibody, or a trispecific antibody, or a tetraspecific antibody.
[0056] As one of the derivatives of the antibody, the present disclosure provides a chimeric antigen receptor, comprising the antibody or the antigen-binding fragment thereof of the present disclosure. In some embodiments, the chimeric antigen receptor comprises the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure as an extracellular antigen-binding domain specifically binding to CEACAM5, a transmembrane domain, and one or more intracellular T cell signaling domains. The present disclosure further provides a host cell (e.g., an immune cell, such as a T lymphocyte, an NK cell, a DC, or a macrophage) comprising or expressing the chimeric antigen receptor. Preparation of the antibody
[0057] The antibody of the present disclosure can be prepared by various methods known in the art, such as by genetic engineering and recombinant technology. For example, a DNA molecule encoding heavy chain and light chain genes of the antibody of the present disclosure is obtained by chemical synthesis or PCR amplification. The resulting DNA molecule is inserted into an expression vector and then transfected into the host cell. Then, the transfected host cell is cultured under particular conditions to express the antibody of the present disclosure.
[0058] The antigen-binding fragment of the present disclosure can be obtained by hydrolyzing an intact antibody molecule (see Morimoto et al., J. Biochem. Biophys. Methods 24: 107-117 (1992) and Brennan et al., Science 229: 81 (1985) ) . Further, these antigen-binding fragments may also be produced directly by recombinant host cells (reviewed in Hudson, Curr. Opin. Immunol. 11: 548-557 (1999) ; Little et al., Immunol. Today, 21: 364-370 (2000) ) . For example, Fab'fragments may be obtained directly from host cells; Fab'fragments may be chemically conjugated to form F (ab') 2 fragments (Carter et al., Bio / Technology, 10: 163-167 (1992) ) . Further, Fv, Fab, or F (ab’ ) 2 fragments may also be directly isolated from culture fluid of the recombinant host cells. Those of ordinary skills in the art fully know about other techniques for preparing such antigen-binding fragments.
[0059] Therefore, in another aspect, the present disclosure provides an isolated nucleic acid molecule, comprising a nucleotide sequence encoding the antibody or the antigen-binding fragment thereof of the present disclosure, or a heavy chain variable region and / or a light chain variable region thereof. According to codon degeneracy in the art, in some embodiments, the nucleotide sequence is replaceable based on the codon degeneracy. In some embodiments, the nucleotide sequence is codon-optimized.
[0060] In another aspect of the present disclosure, the present disclosure provides a vector (e.g., a cloning vector or an expression vector) , comprising the isolated nucleic acid molecule of the present disclosure. In some embodiments, the vector of the present disclosure is, for example, plasmid, cosmid, phage, or lentivirus. In some embodiments, the vector is capable of expressing the antibody or the antigen-binding fragment thereof of the present disclosure in a subject (e.g., a mammal, such as a human) .
[0061] In some embodiments, the vector comprises a first nucleotide sequence encoding a heavy chain or a heavy chain variable region of the antibody or the antigen-binding fragment thereof of the present disclosure and a second nucleotide sequence encoding a light chain or a light chain variable region thereof, wherein the first nucleotide sequence and the second nucleotide sequence are present on same or different vectors. When the first nucleotide sequence and the second nucleotide sequence are present on different vectors, the vector of the present disclosure comprises a first vector comprising the first nucleotide sequence and a second vector comprising the second nucleotide sequence.
[0062] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure can be used to construct a chimeric antigen receptor (CAR) that comprises an extracellular antigen-binding domain (e.g., ScFv) specifically binding to CEACAM5, a transmembrane domain, and one or more intracellular T cell signaling domains. In such embodiments, the isolated nucleic acid molecule of the present disclosure may comprise a nucleotide sequence encoding a chimeric antigen receptor. The nucleotide sequence encoding a chimeric antigen receptor further comprises the nucleotide sequence encoding the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure. In some embodiments, the isolated nucleic acid molecule of the present disclosure encodes the chimeric antigen receptor comprising the antigen-binding fragment (e.g., ScFv) of the antibody of the present disclosure.
[0063] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure can be used to construct a chimeric antigen receptor-modified immune cell, comprising a chimeric antigen receptor (CAR) and an immune cell (such as a T lymphocyte, an NK cell, a DC, or a macrophage) .
[0064] In another aspect of the present disclosure, the present disclosure provides a host cell, comprising the isolated nucleic acid molecule of the present disclosure or the vector of the present disclosure. The host cell may be a eukaryotic cell (e.g., a mammalian cell, an insect cell, or a yeast cell) or a prokaryotic cell (e.g., E. coli) . An appropriate eukaryotic cell includes, but is not limited to, an NS0 cell, a Vero cell, a HeLa cell, a COS cell, a CHO cell, an ExpiCHO cell, a HEK293 cell, an Expi293 cell, a BHK cell, and an MDCKII cell. An appropriate insect cell includes, but is not limited to, an Sf9 cell. In some embodiments, the host cell of the present disclosure is a mammalian cell, such as CHO (e.g., CHO-K1, CHO-S, CHO DXB11, ExpiCHO, CHO DG44, or CHO-EBNA) .
[0065] In some embodiments, the host cell of the present disclosure may be a chimeric antigen receptor T cell (CAR-T) . In such embodiments, the isolated nucleic acid molecule comprised in the host cell may comprise a nucleotide sequence encoding a chimeric antigen receptor. The nucleotide sequence encoding a chimeric antigen receptor further comprises the nucleotide sequence encoding the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure. In some embodiments, the isolated nucleic acid molecule comprised in the host cell encodes the chimeric antigen receptor comprising the antigen-binding fragment (e.g., ScFv) of the antibody of the present disclosure.
[0066] In another aspect, the present disclosure provides a method for preparing the antibody or the antigen-binding fragment thereof of the present disclosure, comprising culturing the host cell of the present disclosure under a condition allowing expression of the antibody or the antigen-binding fragment thereof, and recycling the antibody or the antigen-binding fragment thereof from cultured host cell culture.
[0067] In some embodiments, the host cell used in the preparation method is a Chinese hamster ovary cell.
[0068] In some embodiments, the present disclosure provides the antibody or the antigen-binding fragment thereof obtainable through the aforementioned preparation method. Therapeutic applications
[0069] In another aspect, the present disclosure provides a pharmaceutical composition, comprising the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor of the present disclosure, and a pharmaceutically acceptable carrier and / or excipient.
[0070] In some embodiments, the pharmaceutical composition of the present disclosure comprises the antibody or the antigen-binding fragment thereof of the present disclosure, and a pharmaceutically acceptable carrier and / or excipient.
[0071] In some embodiments, the pharmaceutical composition of the present disclosure comprises the vector or the host cell of the present disclosure, and a pharmaceutically acceptable carrier and / or excipient. In such embodiments, the isolated nucleic acid molecule comprised in the vector comprises a nucleotide sequence encoding a chimeric antigen receptor. The nucleotide sequence encoding a chimeric antigen receptor further comprises the nucleotide sequence encoding the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure; and the host cell comprises the isolated nucleic acid molecule or the vector as described above. In some embodiments, the isolated nucleic acid molecule encodes the chimeric antigen receptor comprising the antigen-binding fragment (e.g., ScFv) of the antibody of the present disclosure. In some embodiments, the host cell is an immune cell, such as a T cell. In some embodiments, the host cell is a chimeric antigen receptor T cell (CAR-T) .
[0072] In some embodiments, the pharmaceutical compositions may further comprise an additional pharmaceutically active agent. In some embodiments, the additional pharmaceutically active agent is a drug with anti-tumor activity. In some embodiments, the additional pharmaceutically active agent is selected from a CEACAM5 inhibitor, a CEACAM6 inhibitor, a TROP2 inhibitor, a B7H3 inhibitor, a PTK7 inhibitor, a PD-1 inhibitor, a PD-L1 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof. In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure and the additional pharmaceutically active agent are provided as separate ingredients or as mixed ingredients. Therefore, the antibody or the antigen-binding fragment thereof of the present disclosure and the additional pharmaceutically active agent may be administered concurrently, separately, or consecutively.
[0073] In some embodiments, the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor in the pharmaceutical composition of the present disclosure is sufficient (e.g., in a subject) to: (a) inhibit proliferation of a cell (e.g., a tumor cell) ; (b) inhibit tumor growth; (c) inhibit CEACAM5-mediated signal transduction; (d) induce CEACAM5 internalization; (e) treat CEACAM5-mediated disease / condition; or (f) any combination of (a) - (e) .
[0074] In some embodiments, the CEACAM5-mediated disease / condition is a tumor, e.g., a CEACAM5-expressing tumor. In some embodiments, the tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof.
[0075] In another aspect, the present disclosure provides use of the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure in the preparation of a drug for treating and / or adjuvantly treating a tumor.
[0076] In another aspect, the present disclosure provides a method for inhibiting proliferation of a cell, comprising contacting the cell with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure. In some embodiments, the cell is a CEACAM5-expressing cell, for example, a tumor cell. In some embodiments, the method is implemented in vitro.
[0077] In another aspect, the present disclosure provides a method for treating and / or adjuvantly treating a tumor in a subject, comprising administering to a subject in need thereof an effective amount of the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure.
[0078] In some embodiments, the method further comprises administering to the subject a second therapy selected from surgery, chemotherapy, radiotherapy, immunotherapy, gene therapy, DNA therapy, RNA therapy, nanotherapy, viral therapy, adjuvant therapy, and any combination thereof. In some embodiments, the second therapy may be administered concurrently, separately, or consecutively with the above method.
[0079] In any one of the above embodiments, the tumor associated with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure may be any tumor type. In some embodiments, the tumor associated with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure is a CEACAM5-positive tumor. In some embodiments, the tumor associated with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof.
[0080] The antibody or the antigen-binding fragment thereof of the present disclosure and the pharmaceutical composition of the present disclosure can be formulated into any dosage form known in the medical field, for example, a tablet, a pill, a suspension, an emulsion, a solution, a gel, a capsule, a powder, a granule, an elixir, a lozenge, a suppository, an injection (including an injectable solution, a sterile powder for injection and a concentrated solution for injection) , an inhalant, or a spray. A preferred dosage form depends on an intended administration mode and therapeutic use. The pharmaceutical composition of the present disclosure should be sterile and be stable under production and storage conditions. A preferred dosage form is an injection. Such an injection may be a sterile injectable solution. For example, the sterile injectable solution may be prepared by: doping a requisite dosage of the antibody of the present disclosure into an appropriate solvent, optionally concurrently doping other desired ingredients (including, but not limited to, a pH regulator, a surfactant, an adjuvant, an ionic strength enhancer, an isotonic agent, a preservative, a diluent, or any combination thereof) , and then sterilization by filtration. Further, the sterile injectable solution may be prepared into a sterile lyophilized powder (for example, by vacuum drying or lyophilization) , to facilitate storage and use. Such a sterile lyophilized powder may be dispersed in an appropriate carrier, such as sterile pyrogen-free water, before use.
[0081] Further, the antibody or the antigen-binding fragment thereof of the present disclosure may be present in the pharmaceutical composition in unit dosage form, to facilitate administration.
[0082] The antibody or the antigen-binding fragment thereof, and the pharmaceutical composition of the present disclosure may be administered by any suitable method known in the art, including but not limited to, oral, buccal, sublingual, intraocular, topical, parenteral, rectal, intrathecal, intracisternal, inguinal, intravesical, topical (e.g., powder, ointment, or drop) , or nasal route. However, for many therapeutic uses, a preferred administration route / mode is parenteral administration (e.g., intravenous injection, subcutaneous injection, intraperitoneal injection, or intramuscular injection) . The skilled persons should understand that the administration route and / or mode may vary depending on the intended purpose. In a preferred embodiment, the antibody or the antigen-binding fragment thereof, and the pharmaceutical composition of the present disclosure is administered by intravenous infusion or injection.
[0083] The pharmaceutical composition of the present disclosure may comprise a "therapeutically effective amount" of the antibody or the antigen-binding fragment thereof of the present disclosure. The "therapeutically effective amount" refers to an amount sufficient to cure or at least partially restrain a disease and complications thereof in a patient who has suffered from the disease. The therapeutically effective amount of the antibody or the antigen-binding fragment thereof of the present disclosure may vary depending on factors such as: a severity of a to-be-treated disease, an overall state of patient's own immune system, patient's general conditions such as age, body weight, and gender, a drug administration mode, and other concurrently administered treatments.
[0084] In the present disclosure, a dosage regimen can be adjusted to obtain an optimal desired response (e.g., therapeutic response) . For example, the dosage may be administered as a single dose, may be administered multiple times over a period of time, or may be proportionally reduced or increased based on exigencies of treatment condition.
[0085] In the present disclosure, the subject may be a mammal, such as a human. Use for detection
[0086] The antibody or the antigen-binding fragment thereof of the present disclosure can specifically bind to CEACAM5, and thus can be used to detect the presence or level of the CEACAM5 in a sample.
[0087] Therefore, in another aspect, the present disclosure provides a kit, comprising the antibody or the antigen-binding fragment thereof of the present disclosure. In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure is detectably tagged. In a preferred embodiment, the kit further comprises a second antibody specifically recognizing the antibody or the antigen-binding fragment thereof of the present disclosure. Preferably, the second antibody further comprises a detectable tag.
[0088] In the present disclosure, the detectable tag may be any substance detectable by fluorescent, spectral, photochemical, biochemical, immunological, electrical, optical, or chemical means. Particularly preferably, such a tag may be adapted for immunological detection (e.g., enzymoimmunoassay, radioimmunoassay, fluorescent immunoassay, or chemiluminescent immunoassay) . Such a tag is well known in the art, including but not limited to, an enzyme (e.g., horseradish peroxidase, alkaline phosphatase, β-galactosidase, urease, or glucose oxidase) , a radionuclide (e.g., 3H, 125I, 35S, 14C, or 32P) , a fluorescent dye (e.g., fluorescein isothiocyanate (FITC) , fluorescein, tetramethylrhodamine isothiocyanate (TRITC) , phycoerythrin (PE) , texas red, rhodamine, a quantum dot or cyanine dye derivative (e.g., Cy7 or Alexa 750) ) , an acridinium ester compound, a magnetic bead (e.g., ) , a calorimetric marker such as colloidal gold or colored glass or plastic (e.g., polystyrene, polypropylene, or latex) bead, and a biotin for binding to an avidin (e.g., streptavidin) modified with the above marker. In some embodiments, the detectable tag as described above may be linked to the antibody of the present disclosure via linkers of different lengths to reduce potential steric hindrance.
[0089] In another aspect, the present disclosure provides a method of detecting the presence or level of CEACAM5 in a sample, including a step of using the antibody or the antigen-binding fragment thereof of the present disclosure. In a preferred embodiment, the antibody or the antigen-binding fragment thereof of the present disclosure is further detectably tagged. In another preferred embodiment, the method further includes detecting the antibody or the antigen-binding fragment thereof of the present disclosure using a detectably tagged reagent. The method may be used for diagnostic purposes, or for non-diagnostic purposes (e.g., the sample is a cell sample rather than a sample from a patient) .
[0090] In some embodiments, the method includes contacting the sample with the antibody or the antigen-binding fragment thereof of the present disclosure under a condition allowing formation of a complex between the antibody or the antigen-binding fragment thereof and CEACAM5, and detecting the formation of the complex.
[0091] In view of low expression or no expression of the CEACAM5 in normal tissues and expression or high expression thereof in some cancers, a tumor may be diagnosed by detecting the presence or level of the CEACAM5 in the sample. Therefore, in some embodiments, the method is used to diagnose a tumor, for example, a CEACAM5-positive tumor, such as colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof.
[0092] In some embodiments, the method includes detecting an expression level of the CEACAM5 in a to-be-tested sample from a subject, and comparing the expression level with a reference value (e.g., a healthy control) , wherein an increase of the expression level compared to the reference value is an indication of a tumor.
[0093] In another aspect, use of the antibody or the antigen-binding fragment thereof of the present disclosure in the preparation of a kit for detecting the presence or level of CEACAM5 in a sample and / or diagnosing a tumor is provided.
[0094] In another aspect, the present disclosure provides a diagnostic or therapeutic kit, comprising the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, or the multispecific antibody of the present disclosure, and an operation manual. The kit may further comprise a drug administration apparatus for topical administration. The drug administration apparatus comprises a prefilled syringe or a needle-free apparatus.
[0095] The antibody of the present disclosure can bind to the CEACAM5 with high affinity and extremely strong specificity, but does not bind to members CEACAM1, CEACAM3, CEACAM7, and CEACAM8 of the same family. In particular, the antibody of the present disclosure specifically binds to membrane-bound CEACAM5 while avoiding binding to soluble native CEACAM5 proteins in plasma, thereby possibly avoiding interference of plasma proteins with functions of the antibody. The antibody of the present disclosure further has favorable endocytic activity. Therefore, the antibody of the present disclosure has the potential to be used to treat a tumor, and has significant clinical values.Description of Drawings
[0096] FIG. 1A: Affinity of an anti-human CEACAM5 antibody to cells MKN45.
[0097] FIG. 1B: Affinity of an anti-human CEACAM5 antibody to cells LS1714T.
[0098] FIG. 2: Binding of an anti-human CEACAM5 antibody to different domains of CEACAM5.Detailed Description
[0099] Abbreviations CDR Complementarity determining region in immunoglobulin variable region FR Antibody framework region: amino acid residues except for CDR residues in antibody variable region VH Antibody heavy chain variable region VL Antibody light chain variable region IgG Immunoglobulin G IMGT The numbering system based on the international ImMunoGeneTics information system (IMGT) initiated by Lefranc et al. can be found in Lefranc et al., Dev. Comparat. Immunol. 27: 55-77, 2003. Kabat Immunoglobulin comparison and numbering system presented by Elvin A. Kabat (see, e.g., Kabat et al., Sequences of Proteins of Immunological Interest, 5th Ed. Public Health Service, National Institutes of Health, Bethesda, Md., 1991) . Chothia Immunoglobulin numbering system presented by Chothia et al. is a classic rule for identifying CDR region boundaries based on a position of a structural loop region (see, e.g., Chothia &Lesk (1987) J. Mol. Biol. 196: 901-917; Chothia et al. (1989) Nature 342: 878-883) . AbM The definition scheme of AbM CDR comes from Martin's related research (Martin ACR, Cheetham JC, Rees AR (1989) Modelling antibody hypervariable loops: A combined algorithm. Proc Natl Acad Sci USA 86: 9268-9272) . mAb Monoclonal antibody EC50 Concentration that produces 50%efficacy or binding IC50 Concentration that produces 50%inhibition ELISA Enzyme-linked immunosorbent assay PCR Polymerase chain reaction HRP Horseradish peroxidase KD Equilibrium dissociation constant Ka Binding rate constant Kd Dissociation rate constant ADCC Antibody-dependent cytotoxicity FACS Flow cytometer technology CDR-H1 Complementarity determining region 1 in immunoglobulin heavy chain variable region CDR-H2 Complementarity determining region 2 in immunoglobulin heavy chain variable region CDR-H3 Complementarity determining region 3 in immunoglobulin heavy chain variable region CDR-L1 Complementarity determining region 1 in immunoglobulin light chain variable region CDR-L2 Complementarity determining region 2 in immunoglobulin light chain variable region CDR-L3 Complementarity determining region 3 in immunoglobulin light chain variable region Definitions
[0100] In the present disclosure, scientific and technological nouns used herein have the meanings as commonly understood by those skilled in the art, unless otherwise stated. Further, operating procedures of cell culture, biochemistry, nucleic acid chemistry, immunological laboratory, and the like used herein are routine procedures widely used in the corresponding art. Moreover, in order to better understand the present disclosure, the definitions and interpretations of related terms are provided below.
[0101] As used herein, the term "antibody" is used in a broadest sense and includes various antibody structures, including but not limited to a monoclonal antibody, a polyclonal antibody, a multispecific antibody (e.g., a bispecific antibody) , and an antibody fragment, as long as they exhibit desired antigen-binding activity. For example, an immunoglobulin molecule may be composed of two pairs of polypeptide chains, each pair having a light chain (LC) and a heavy chain (HC) . The antibody light chain can be classified as a κ (kappa) light chain and a λ (lambda) light chain. The heavy chain can be classified as μ, δ, γ, α or ε, and the isotypes of the antibody are defined as IgM, IgD, IgG, IgA, and IgE, respectively. In the light chain and heavy chain, the variable regions and the constant regions are linked by a “J” region having about 12 or more amino acids, and the heavy chain further comprises a “D” region having about 3 or more amino acids. Each heavy chain is composed of a heavy chain variable region (VH) and a heavy chain constant region (CH) . The heavy chain constant region is composed of 3 domains (CH1, CH2, and CH3) . Each light chain comprises the light chain variable region (VL) and the light chain constant region (CL) . The light chain constant region is composed of a domain CL. The constant domains do not directly participate in the binding between the antibody and the antigen, but show a variety of effector functions, such as mediating the binding of immunoglobulins to host tissues or factors, including various cells of the immune system (like effector cells) and a first component (C1q) of a classical complement system. The VH and VL regions may be further subclassified as regions of hypervariability, termed complementarity determining regions (CDRs) , interspersed with regions that are more conserved, termed framework regions (FRs) . Each VH and each VL are composed of 3 CDRs and 4 FRs arranged in the following order: FR1, CDR1, FR2, CDR2, FR3, CDR3 and FR4 from the amino terminus to the carboxy terminus. The variable regions (VH and VL) of each heavy chain / light chain pair respectively form an antigen-binding site. The assignment of amino acids to each region or domain can follow definitions in Kabat, Sequences of Proteins of Immunological Interest (National Institutes of Health, Bethesda, Md. (1987 and 1991) ) , or Chothia & Lesk (1987) J. Mol. Biol. 196: 901-917; Chothia et al. (1989) Nature 342: 878-883.
[0102] As used herein, when the term "antibody" is mentioned, it includes not only an intact antibody, but also an antigen-binding fragment of the antibody, unless the context explicitly indicates otherwise.
[0103] The term "antibody" further includes an embodiment in which the heavy chain constant region comprises a C-terminal lysine, or lacks a C-terminal lysine or a C-terminal glycine-lysine dipeptide. The term further includes an embodiment in which an N-terminal amino acid of the antibody variable region has been cyclized into pyroglutamic acid or pyroglutamate. Therefore, in a composition comprising the antibody disclosed herein, each antibody therein may independently comprise a C-terminal lysine, lack a C-terminal lysine, lack a C-terminal glycine-lysine dipeptide, and / or comprise an N-terminal glutamine or glutamic acid, or an N-terminal amino acid is cyclized into pyroglutamic acid or pyroglutamate.
[0104] As used herein, the term "complementary determining region" or "CDR" refers to an amino acid residue in an antibody variable region responsible for antigen binding. Precise boundaries of these amino acid residues can be defined based on various numbering systems known in the art, for example, based on the definition in the AbM numbering system (Martin ACR, Cheetham JC, Rees AR (1989) Modeling antibody hypervariable loops: A combined algorithm. Proc Natl Acad Sci USA 86: 9268–9272) or the IMGT numbering system (Lefranc et al., Dev. Comparat. Immunol. 27: 55-77, 2003) . For a given antibody, those skilled in the art can readily identify CDRs defined by each numbering system. Further, a corresponding relationship between different numbering systems is well known to those skilled in the art (for example, see Lefranc et al., Dev. Comparat. Immunol. 27: 55-77, 2003) .
[0105] In the present disclosure, the CDRs comprised in the antibody or the antigen-binding fragment thereof of the present disclosure can be determined based on various numbering systems known in the art. In some embodiments, the CDRs comprised in the antibody or the antigen-binding fragment thereof of the present disclosure are preferably determined based on the IMGT, Kabat, Chothia, or AbM numbering system.
[0106] The following general rules (published at www. bioinf. org. uk: research group of professor Andrew C. R. Martin) can be used to define CDRs in an antibody sequence, comprising an amino acid that specifically interacts with an amino acid that makes up an epitope binding to the antibody. In a very few cases, these general constant features do not occur; but a Cys residue is a most conservative feature.
[0107] The whole amino acid sequence of the VH is generally numbered based on the Kabat, while the three CDRs within the variable region can be defined based on any one of the above numbering systems. In some embodiments, amino acid sites in the VH may be numbered successively from amino acid site 1 until the terminus of the sequence, or may be numbered based on the Kabat. Unless otherwise stated, the amino acid sites in the VH and the VL herein are defined based on sequence numbering.
[0108] The numbering of the amino acid sites in the heavy chain constant region may be numbered successively from amino acid site 1 until the terminus of the sequence, or may be numbered based on the Eu. The amino acid sequence of the IgG1 heavy chain constant region includes 330 amino acids numbered successively from 1 to 330. The corresponding sequence based on the Eu numbering starts from site 118 and ends at site 447. Unless otherwise stated, the amino acid sites of the heavy and light chains herein are defined based on sequence numbering.
[0109] As used herein, the term "framework region" or "FR" residues refer to those amino acid residues in an antibody variable region other than the CDR residues as defined above.
[0110] The term "antibody" is not limited to any particular antibody production method, and includes, for example, a recombinant antibody, a monoclonal antibody, and a polyclonal antibody. The antibodies may be of different isotypes, for example, IgG (e.g., IgG1, IgG2, IgG3, or IgG4 subtypes) , IgA1, IgA2, IgD, IgE, or IgM antibodies.
[0111] As used herein, the term "antigen-binding fragment" of an antibody refers to a molecule other than an intact antibody, includes a portion of an intact antibody, and binds to an antigen to which the intact antibody binds. For example, an antigen-binding fragment may be a polypeptide that is a fragment of a full-length antibody, retains an ability to specifically bind to the same antigen to which the full-length antibody binds, and / or competes with the full-length antibody for specific binding to the antigen, and is also referred to as an "antigen-binding portion" . See generally, Fundamental Immunology, Ch. 7 (Paul, W., ed., 2nd ed., Raven Press, N. Y. (1989) ) , which is incorporated herein by reference in its entirety for all purposes. An antigen-binding fragment of an antibody may be produced by a recombinant DNA technique or by enzymatic or chemical cleavage of an intact antibody. Non-limiting examples of antigen-binding fragments include Fab, Fab', Fab'-SH, F (ab') 2, Fd, Fv, dAb and complementarity determining region (CDR) fragment, single chain antibody (for example, scFv) , chimeric antibody, diabody, linear antibody, nanobody (technology from Domantis) , domain antibody (technology from Ablynx) , and polypeptide that comprises at least a portion of an antibody sufficient to confer the polypeptide an ability to specifically bind to an antigen. Engineered antibody variants are summarized in Holliger et al., 2005; Nat Biotechnol, 23: 1126-1136.
[0112] As used herein, the term "full-length antibody" refers to an antibody composed of two "full-length heavy chains" or "heavy chains" and two "full-length light chains" or "light chains" . The "full-length heavy chain" or "heavy chain" refers to a polypeptide chain composed of a heavy chain variable region (VH) , a heavy chain constant region CH1 domain, a hinge region (HR) , a heavy chain constant region CH2 domain, and a heavy chain constant region CH3 domain; and optionally further comprises, when the full-length antibody is of IgE isotype, a heavy chain constant region CH4 domain. Preferably, a "full-length heavy chain" is a polypeptide chain composed of VH, CH1, HR, CH2, and CH3 in a direction from an N-terminus to a C-terminus. A "full-length light chain" or "light chain" is a polypeptide chain composed of a light chain variable region (VL) and a light chain constant region (CL) in a direction from an N-terminus to a C-terminus. The two pairs of full-length antibody chains are linked together by a disulfide bond between the CL and the CH1 and a disulfide bond between HRs of the two full-length heavy chains. The full-length antibody of the present disclosure may be derived from a single species, such as a human; or may be a chimeric antibody or a humanized antibody. The full-length antibody of the present disclosure comprises two antigen-binding sites formed by VH and VL pairs respectively, and the two antigen-binding sites specifically recognize / bind to a same antigen.
[0113] As used herein, the term "Fab fragment" means an antibody fragment composed of VL, VH, CL, and CH1 domains; the term "F (ab') 2 fragment" means an antibody fragment comprising two Fab fragments connected through a disulfide bridge in a hinge region; the term "Fab'fragment" means a fragment obtained by reducing a disulfide bond connecting two heavy chain fragments in the F (ab') 2 fragment, and is composed of complete light chain and heavy chain Fd fragments (composed of VH and CH1 domains) ; and the term "Fab'-SH" refers to a Fab fragment comprising a free sulfhydryl.
[0114] As used herein, the term "Fv fragment" means an antibody fragment composed of single-armed VL and VH domains of an antibody. The Fv fragment is generally considered to be a smallest antibody fragment that can form a complete antigen-binding site. It is generally believed that six CDRs confer antigen-binding specificity of an antibody. However, even if a variable region (such as a Fd fragment, which only comprises three antigen-specific CDRs) can recognize and bind to an antigen, its affinity may be lower than that of an intact binding site.
[0115] As used herein, the term "Fc fragment" refers to an antibody fragment formed by disulfide bonding of second and third constant regions of a first heavy chain of an antibody to second and third constant regions of a second heavy chain of the antibody. The Fc fragment of the antibody has many different functions, but is not involved in antigen binding.
[0116] As used herein, the term "scFv" refers to a single polypeptide chain comprising VL and VH domains, wherein the VL and the VH are connected via a linker (see, e.g., Bird et al., Science 242: 423-426 (1988) ; Huston et al., Proc. Natl. Acad. Sci. USA 85: 5879-5883 (1988) ; and Pluckthun, The Pharmacology of Monoclonal Antibodies, Vol. 113, edited by Roseburg and Moore, Springer-Verlag, New York, Pages 269-315 (1994) ) . Such scFv molecules may have general structure: NH2-VL-linker-VH-COOH or NH2-VH-linker-VL-COOH. Suitable linker in the prior art comprises repeated amino acid sequences of GGGGS (SEQ ID NO: 33) or variants thereof. For example, a linker having the amino acid sequence (GGGGS) 4 (SEQ ID NO: 34) can be used, and the variants thereof can also be used (Holliger, et al. (1993) , Proc. Natl. Acad. Sci. USA 90: 6444-6448) . Other linkers useful in the present disclosure are described by Alfthan et al. (1995) , Protein Eng. 8: 725-731, Choi et al. (2001) , Eur. J. Immunol. 31: 94-106, Hu et al. (1996) , Cancer Res. 56: 3055-3061, Kipriyanov et al. (1999) , J. Mol. Biol. 293: 41-56, and Roovers et al. (2001) , Cancer Immunol. In some cases, a disulfide bond may also exist between VH and VL of scFv.
[0117] As used herein, the term "diabody" refers to an antibody in which VH and VL domains are expressed on a single polypeptide chain, but by using a linker that is too short to allow pairing between the two domains on the same chain, the domains are forced to pair with the complementary domains of another chain and create two antigen-binding sites (see, e.g., Holliger P. et al., Proc. Natl. Acad. Sci. USA 90: 6444-6448 (1993) , and Poljak R. J. et al., Structure 2: 1121-1123 (1994) ) .
[0118] Each of the above antibody fragments retains an ability to specifically bind to the same antigen to which the full-length antibody binds, and / or competes with the full-length antibody for specific binding to the antigen. Herein, those skilled in the art can use known routine techniques to obtain an antigen-binding fragment (e.g., the above-mentioned antibody fragment) of an antibody from a given antibody (e.g., the antibody provided in the present disclosure) , and specifically screen the antigen-binding fragment of the antibody in the same manner as that for an intact antibody.
[0119] As used herein, the term "multispecific antibody" refers to an antibody with multiple different antigen-binding specificities, including, for example, a bispecific antibody, a trispecific antibody, and a tetraspecific antibody. The "bispecific antibody" refers to an antibody with two different antigen-binding specificities, and is a conjugate formed by a first antibody (or a fragment thereof) and a second antibody (or a fragment thereof) or an antibody analog through a conjugation arm by a conjugation method, including but not limited to chemical reaction, gene fusion, and enzymatic conjugation. The "multispecific antibody" includes, for example, a trispecific antibody with three different antigen-binding specificities and a tetraspecific antibody with four different antigen-binding specificities.
[0120] As used herein, the terms "monoclonal antibody" and "mAb" have the same meaning, and are interchangeably used to refer to an antibody or a fragment of an antibody from a group of highly homologous antibody molecules, that is, a group of identical antibody molecules except for natural mutations that may occur spontaneously. A monoclonal antibody is highly specific to a single epitope on an antigen. A polyclonal antibody, relative to a monoclonal antibody, generally comprises at least 2 or more different antibodies, and these different antibodies generally recognize different epitopes on an antigen. Further, the modifier "monoclonal" merely indicates that the antibody is characterized as being obtained from a group of highly homologous antibodies and should not be construed as requiring to prepare the antibody by any particular method.
[0121] As used herein, the term "chimeric antibody" refers to such an antibody with a portion of light chain and / or heavy chain thereof derived from an antibody (which may be derived from a particular species or belong to a particular antibody category or subcategory) , and another portion of light chain or / and heavy chain thereof derived from another antibody (which may be derived from the same or different species or belong to the same or different antibody category or subcategory) , but, in any case, still retains binding activity to a target antigen. For example, the term "chimeric antibody" may include such an antibody with heavy and light chain variable regions thereof derived from a first antibody (e.g., murine) and heavy and light chain constant regions thereof derived from a second antibody (e.g., human) .
[0122] As used herein, the term "humanized antibody" refers to an antibody that can be prepared by replacing a portion of a human antibody with a portion of a non-human antibody prepared by immunizing a mammal other than a human. Typically, all or a portion of CDR regions of a humanized antibody are derived from a non-human antibody (donor antibody) , and all or a portion of non-CDR regions (e.g., variable region FRs and / or constant regions) are derived from a human immunoglobulin (receptor antibody) . For example, a humanized antibody may be prepared by grafting a CDR sequence derived from a germline of other mammalian species onto a human framework sequence.
[0123] As used herein, the term "variant" , in a context of polypeptide (including polypeptide) , further refers to a polypeptide or peptide comprising an amino acid sequence that has been altered by introducing a substitution, a deletion, or an addition of an amino acid residue. In some cases, the term "variant" further refers to a polypeptide or peptide that has been modified (i.e., by covalently linking any type of molecule to the polypeptide or peptide) . For example, however, non-restrictively, a polypeptide may be modified, e.g., by glycosylation, acetylation, PEGylation, phosphorylation, amidation, derivatization by a known protecting / blocking group, proteolytic cleavage, linkage to a cellular ligand or other proteins, etc. A derivatized polypeptide or peptide may be produced by chemical modification using a technique known to those skilled in the art, including but not limited to specific chemical cleavage, acetylation, formylation, metabolic synthesis of tunicamycin, and the like. Further, a variant has a similar, identical, or improved function to a polypeptide or peptide from which the variant is derived.
[0124] As used herein, the term "specific binding" refers to a non-random binding reaction between two molecules, such as a reaction between an antibody and an antigen to which it is specific. The strength or affinity of a specific binding interaction may be expressed as an equilibrium dissociation constant (KD) or half-maximal effective concentration (EC50) of the interaction.
[0125] The specific binding properties between two molecules may be determined using a method known in the art. A method involves determination of formation and dissociation rates of an antigen-binding site / antigen complex. An "association rate constant" (Ka or Kon) and a "dissociation rate constant" (Kdis or Koff) can each be calculated from the concentration and actual association and dissociation rates (see Malmqvist M, Nature, 1993, 361: 186-187) . A ratio of Kdis / Kon is equal to the dissociation constant KD (see Davies et al., Annual Rev Biochem, 1990; 59: 439-473) . KD, Kon, and Kdis values may be determined by any effective method. In some embodiments, the dissociation constant may be determined by bioluminescent interferometry (e.g., ForteBio Octet) . Besides, the dissociation constant may be determined using a surface plasmon resonance technique (e.g., Biacore) or Kinexa.
[0126] As used herein, the term "vector" refers to a nucleic acid carrier into which a polynucleotide may be inserted. When a vector can express a protein encoded by the inserted polynucleotide, the vector is called an expression vector. The vector can be introduced into a host cell by transformation, transduction, or transfection, so that a genetic material element carried thereon is expressed in the host cell. The vector is well known to those skilled in the art, including but not limited to: a plasmid; a phagemid; a cosmid; an artificial chromosome, such as a yeast artificial chromosome (YAC) , a bacterial artificial chromosome (BAC) , or a P1-derived artificial chromosome (PAC) ; a phage such as a λ phage or an M13 phage and an animal virus, etc. An animal virus that can be used as a vector includes, but is not limited to, a retrovirus (including a lentivirus) , an adenovirus, an adeno-associated virus, a herpesvirus (such as a simplex virus) , a poxvirus, a baculovirus, a papillomavirus, and a papovavirus (such as SV40) . A vector may comprise various expression control elements, including but not limited to a promoter sequence, a transcription initiation sequence, an enhancer sequence, a selection element, and a reporter gene. In addition, the vector may further comprise a replication origin.
[0127] An expression vector and a cloning vector comprise a nucleic acid sequence that enables the vectors to be replicated in one or more selected host cells. In general, in the cloning vector, this sequence is one that enables the vector to be replicated independently of the host chromosomal DNA, and includes a replication origin or an autonomously replicating sequence. The term "expression vector" as used herein refers to a vector comprising a recombinant polynucleotide that comprises an expression control sequence effectively linked to a to-be-expressed nucleotide sequence. The expression vector comprises sufficient cis-acting elements for expression; and other elements for expression may be provided by the host cell or an in vitro expression system. The expression vector includes all those known in the art, such as a cosmid, a plasmid (e.g., naked or comprised in a liposome) , and a virus (e.g., a lentivirus, a retrovirus, an adenovirus, and an adeno-associated virus) .
[0128] As used herein, the term "host cell" refers to a cell that can be used to introduce a vector, and includes, but is not limited to, prokaryotic cells such as E. coli or Bacillus subtilis, fungal cells such as yeast cells or Aspergillus, insect cells such as S2 Drosophila cells or Sf9, or animal cells such as fibroblasts, NS0 cells, Vero cells, Hela cells, COS cells, CHO cells (such as CHO-K1, CHO-S, CHO DXB11, ExpiCHO, CHO DG44, or CHO-EBNA cells) , ExpiCHO cells, HEK293 cells, Expi293 cells, BHK cells, and MDCKII cells.
[0129] As used herein, the term "identity" is used to refer to the matching of sequences between two polypeptides or between two nucleic acids. When a position in two to-be-compared sequences is occupied by a same base or an amino acid monomer subunit (for instance, if a position in each of two DNA molecules is occupied by adenine, or a position in each of two polypeptides is occupied by a lysine) , the respective molecules are identical at that position. The “percentage identity” between the two sequences refers to a function obtained by the formula: the number of matched positions common to the two sequences / the number of to-be-compared positions x 100. For example, if there are 6 matches in the 10 positions of the two sequences, the two sequences have 60%identity. For example, DNA sequences CTGACT and CAGGTT have 50%identity in total (3 matches in the total of 6 positions) . Typically, comparison is performed when two sequences are aligned to achieve the maximum identity. Such alignment can be achieved by using, for example, a method proposed by Needleman et al. (1970) J. Mol. Biol. 48: 443-453 and conveniently performed by a computer program, such as an Align program (DNAstar, Inc. ) . The percentage identity between two amino acid sequences can also be determined through E. Meyers and W. Miller (Comput. Appl Biosci., 4: 11-17 (1988) ) algorithms that are integrated into an ALIGN program (Version 2.0) by using a PAM120 weight residue table, a gap length penalty of 12, and a gap penalty of 4. Further, the percentage identity between two amino acid sequences can be determined using an algorithm of Needleman and Wunsch (J. Mol Biol. 48: 444-453 (1970) ) in a GAP program integrated into a GCG software package (available at www. gcg. com) and using Blossum 62 matrix or PAM250 matrix with a gap weight of 16, 14, 12, 10, 8, 6, or 4 and a length weight of 1, 2, 3, 4, 5, or 6.
[0130] As used herein, the term "conservative substitution" means an amino acid substitution that cannot adversely affect or alter expected properties of a protein / polypeptide comprising an amino acid sequence. For example, a conservative substitution may be introduced by a standard technique known in the art, such as site-directed mutagenesis and PCR-mediated mutagenesis. The conservative amino acid substitution includes a substitution by which an amino acid residue is substituted with an amino acid residue having a similar side chain, e.g., a substitution by which a residue is substituted with a physically or functionally similar corresponding amino acid residue (e.g., having similar size, shape, charge, and chemical properties, including an ability to form a covalent bond or a hydrogen bond) . Families of the amino acid residues having similar side chains have been defined in the art. These families include amino acids having basic side chains (e.g., lysine, arginine, and histidine) , acidic side chains (e.g., aspartic acid, and glutamic acid) , uncharged polar side chains (e.g., glycine, asparagine, glutamine, serine, threonine, tyrosine, cysteine, and tryptophan) , non-polar side chains (such as alanine, valine, leucine, isoleucine, proline, phenylalanine, and methionine) , β-branched side chains (e.g., threonine, valine, and isoleucine) , and aromatic side chains (e.g., tyrosine, phenylalanine, tryptophan, and histidine) . Therefore, a corresponding amino acid residue is preferably substituted with another amino acid residue from a same side chain family. A method for identifying a conservative amino acid substitution is well known in the art (see, e.g., Brummell et al., Biochem. 32: 1180-1187 (1993) ; Kobayashi et al., Protein Eng. 12 (10) : 879-884 (1999) ; and Burks et al. Proc. Natl Acad. Set USA 94: 412-417 (1997) , which is incorporated herein by reference) .
[0131] Twenty conventional amino acids involved herein are written following conventional usage. See, e.g., Immunology-ASynthesis (2nd Edition, E.S. Golub and D.R. Gren, Eds., Sinauer Associates, Sunderland, Mass. (1991) ) , which is incorporated herein by reference. In the present disclosure, the terms "polypeptide" and "protein" have the same meaning, and are used interchangeably. Further, in the present disclosure, amino acids are generally expressed as one-letter and three-letter abbreviations well known in the art. For example, alanine may be expressed as A or Ala.
[0132] As used herein, the term "pharmaceutically acceptable carrier and / or excipient" refers to a carrier and / or excipient that is pharmacologically and / or physiologically compatible with a subject and an active ingredient, is well known in the art (see, e.g., Remington's Pharmaceutical Sciences. Edited by Gennaro AR, 19th ed. Pennsylvania: Mack Publishing Company, 1995) , and includes, but is not limited to: a pH regulator, a surfactant, an adjuvant, an ionic strength enhancer, a diluent, an osmotic pressure maintaining reagent, an absorption delaying reagent, and a preservative. For example, the pH regulator includes, but is not limited to, a phosphate buffer. The surfactant includes, but is not limited to, a cationic, anionic, or nonionic surfactant, such as Tween-80. The ionic strength enhancer includes, but is not limited to, sodium chloride. The preservative includes, but is not limited to, various antibacterial and antifungal reagents, such as paraben, chlorobutanol, phenol, or sorbic acid. The osmotic pressure maintaining reagent includes, but is not limited to, sugar, NaCl, and analogs thereof. The absorption delaying reagent includes, but is not limited to, monostearate and gelatin. The diluent includes, but is not limited to, water, aqueous buffer (such as buffered brine) , alcohol, polyol (such as glycerol) , and the like. A stabilizer has the meaning commonly understood by those skilled in the art, can stabilize desired activity of an active ingredient in a drug, and includes, but is not limited to, sodium glutamate, gelatin, SPGA, sugars (such as sorbitol, mannitol, starch, sucrose, lactose, glucan, or glucose) , amino acids (such as glutamic acid or glycine) , proteins (such as dry whey, albumin, or casein) , or degradation products (such as lactalbumin hydrolyzates) thereof, etc.
[0133] As used herein, the term "prevention" refers to a method implemented to restrain or delay the occurrence of a disease or condition or symptom (e.g., a tumor) in a subject. As used herein, the term "treatment" refers to a method implemented to obtain a beneficial or desired clinical outcome. For the purposes of the present disclosure, the beneficial or desired clinical outcome includes, but is not limited to, alleviating symptoms, reducing a disease extent, stabilizing (i.e., no longer worsening) a disease state, delaying or slowing down disease progression, ameliorating or alleviating a disease state, and relieving symptoms (whether partial or complete) , whether detectable or undetectable. In addition, the "treatment" may further refer to prolonging survival period compared to expected survival period (if no treatment is received) .
[0134] As used herein, the term "subject" refers to a mammal, for example, a primate mammal, such as a human. In some embodiments, the subject (e.g., a human) suffers from a tumor, or is at risk of suffering from a disease described above.
[0135] As used herein, the term "effective amount" refers to an amount sufficient to achieve, or at least partially achieve, a desired effect. For example, a prophylactically effective amount for a disease (e.g., a tumor) refers to an amount sufficient to prevent, restrain, or delay the occurrence of the disease (e.g., the tumor) ; and a therapeutically effective amount for a disease refers to an amount sufficient to cure or at least partially restrain the disease and complications thereof in a patient who has suffered from the disease. Determining such effective amounts is completely within capabilities of those skilled in the art. For example, an effective amount for therapeutic use will depend on a severity of a to-be-treated disease, an overall state of patient's own immune system, patient's general conditions such as age, body weight, and gender, a drug administration mode, other concurrently administered treatments, and the like.
[0136] As used herein, the term "effector function" refers to those biological activities attributable to a Fc region (anative sequence Fc region or amino acid sequence variant Fc region) of an antibody, and vary with the antibody isotype. Examples of antibody effector functions include, but are not limited to: Fc receptor binding affinity; antibody-dependent cell-mediated cytotoxicity (ADCC) ; complement-dependent cytotoxicity (CDC) , antibody-dependent cellular phagocytosis (ADCP) , downregulation of cell surface receptors (e.g., B cell receptors) , B cell activation, cytokine secretion, half-life / clearance rate of an antibody and an antigen-antibody complex, etc. A method for altering the antibody effector function is known in the art, and is accomplished by, for example, introducing a mutation into a Fc region.
[0137] As used herein, the term "antibody-dependent cell-mediated cytotoxicity (ADCC) " refers to a form of cytotoxicity in which Ig binds to Fc receptors (FcRs) present on cytotoxic cells (e.g., natural killer (NK) cells, neutrophils, or macrophages) , so that these cytotoxic effector cells specifically bind to an antigen-bearing target cell and subsequently kill the target cell by secreting cytotoxins.
[0138] As used herein, the term "complement-dependent cytotoxicity (CDC) " refers to a complement-involved cytotoxic effect, that is, a specific antibody binds to a corresponding antigen on the cell membrane surface to form a complex that activates a classical complement pathway. The resulting membrane attack complex has a lytic effect on the target cell.
[0139] As used herein, the "combination" comprises therapies that may be administered separately, for example, therapies that may be formulated separately for separate administration (e.g., may be provided in a kit) , and may be administered together in a single formulation (i.e., a "co-formulation" ) . In some embodiments, anti-CEACAM5 antibodies or antigen-binding fragments thereof of the present disclosure may be administered sequentially. In other embodiments, the anti-CEACAM5 antibodies or the antigen-binding fragments thereof may be administered concurrently. The anti-antibody or the antigen-binding fragment thereof of the present disclosure may be used in any combination with at least one other (active) drug.
[0140] In such a combination therapy, various active agents often have different complementary mechanisms of action, and the combination therapy may result in synergistic effects. The combination therapy includes a therapeutic agent that affects immunoreaction (e.g., enhances or activates a reaction) and a therapeutic agent that affects (e.g., inhibits or kills) tumor / cancer cells. The combination therapy can reduce the likelihood of occurrence of drug-resistant cancer cells. The combination therapy may allow for dose reduction of one or more of the reagents to reduce or eliminate adverse effects associated with the one or more of the reagents. Such a combination therapy may have a synergistic therapeutic or preventive effect on an underlying disease, condition, or symptom.
[0141] CEACAM5 positivity herein is obtained through immunohistochemical and staining intensity evaluation by a professional clinical pathologist.
[0142] The terms "cancer" and "tumor" are used interchangeably to refer to a large category of diseases characterized by uncontrolled growth of abnormal cells in vivo. Uncontrolled cell division may lead to the formation of malignancies or cells that invade adjacent tissues, and may metastasize to a distant site of a body through lymphatic system or bloodstream. Cancers include benign and malignant cancers as well as dormant tumors or micrometastases. Cancers further include hematological malignancies.
[0143] Embodiments of the present disclosure will be described in detail below with reference to examples. However, those skilled in the art will understand that the following examples are only used to illustrate the present disclosure, and do not limit the scope of the present disclosure. Various objects and advantageous aspects of the present disclosure will become implementable to those skilled in the art from the following detailed description of drawings and preferred embodiments.
[0144] In certain embodiments, provided herein is a CEACAM5-targeting mouse antibody and humanized antibody that specifically recognizes / binds to CEACAM5. In certain embodiments, the CEACAM5-targeting antibody provided herein is used to treat a CEACAM5-expressing cancer. In one embodiment, the antibody provided herein binds to membrane-bound CEACAM5 with high affinity while avoiding binding to soluble native CEACAM5 proteins in plasma, thereby possibly avoiding interference of plasma proteins with functions of the antibody.
[0145] In an aspect, provided herein is an antibody that specifically binds to CEACAM5 or an antigen-binding fragment thereof, the antibody or the antigen-binding fragment thereof comprising complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3 or 1; and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4 or 2; or (b) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below, wherein at least one CDR in the heavy chain variable region (VH) and / or the light chain variable region (VL) comprises a mutation, compared to the heavy chain variable region and / or the light chain variable region in (a) , the mutation is substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0146] In an aspect, provided herein is an antibody that specifically binds to CEACAM5 or an antigen-binding fragment thereof, the antibody or the antigen-binding fragment thereof comprising complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3 or 1; and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4 or 2.
[0147] In one embodiment, provided herein is an antibody that specifically binds to CEACAM5 or an antigen-binding fragment thereof, the antibody or the antigen-binding fragment thereof comprising complementarity determining regions (CDRs) of: a CDR-H1, a CDR-H2, and a CDR-H3 comprising the amino acid sequences of the CDR-H1, the CDR-H2, and the CDR-H3, respectively, as set forth in a VH comprising the amino acid sequence of SEQ ID NO: 3 or 1, and a CDR-L1, a CDR-L2, and a CDR-L3 comprising the amino acid sequences of the CDR-L1, the CDR-L2, and the CDR-L3, respectively, as set forth in a VL comprising the amino acid sequence of SEQ ID NO: 4 or 2.
[0148] In one embodiment, provided herein is an antibody that specifically binds to CEACAM5 or an antigen-binding fragment thereof, the antibody or the antigen-binding fragment thereof comprising complementarity determining regions (CDRs) of: a CDR-H1, a CDR-H2, and a CDR-H3 comprising the amino acid sequences of the CDR-H1, the CDR-H2, and the CDR-H3, respectively, as set forth in a VH comprising the amino acid sequence of SEQ ID NO: 3, and a CDR-L1, a CDR-L2, and a CDR-L3 comprising the amino acid sequences of the CDR-L1, the CDR-L2, and the CDR-L3, respectively, as set forth in a VL comprising the amino acid sequence of SEQ ID NO: 4.
[0149] In one embodiment, provided herein is an antibody that specifically binds to CEACAM5 or an antigen-binding fragment thereof, the antibody or the antigen-binding fragment thereof comprising complementarity determining regions (CDRs) of: a CDR-H1, a CDR-H2, and a CDR-H3 comprising the amino acid sequences of the CDR-H1, the CDR-H2, and the CDR-H3, respectively, as set forth in a VH comprising the amino acid sequence of SEQ ID NO: 1, and a CDR-L1, a CDR-L2, and a CDR-L3 comprising the amino acid sequences of the CDR-L1, the CDR-L2, and the CDR-L3, respectively, as set forth in a VL comprising the amino acid sequence of SEQ ID NO: 2.
[0150] In an aspect, provided herein is an antibody that specifically binds to CEACAM5 or an antigen-binding fragment thereof, the antibody or the antigen-binding fragment thereof comprising complementarity determining regions (CDRs) of: (b) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below, wherein at least one CDR in the heavy chain variable region (VH) and / or the light chain variable region (VL) comprises a mutation, compared to the heavy chain variable region and / or the light chain variable region in (a) , the mutation is substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0151] In some embodiments, the antibody or the antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (i) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3; and / or, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4; (ii) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising amino acid sequence of SEQ ID NO: 1; and / or, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of the SEQ ID NO: 2; (iii) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below, wherein at least one CDR in the heavy chain variable region (VH) and / or the light chain variable region (VL) comprises a mutation, compared to the heavy chain variable region and / or the light chain variable region according to any one of (i) or (ii) , and the mutation is substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) .
[0152] In some embodiments, the antibody or the antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (i) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3; and / or, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4.
[0153] In some embodiments, the antibody or the antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (ii) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 1; and / or, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 2.
[0154] In some embodiments, the antibody or the antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (iii) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below, wherein at least one CDR in the heavy chain variable region (VH) and / or the light chain variable region (VL) comprises a mutation, compared to the heavy chain variable region and / or the light chain variable region according to any one of (i) or (ii) , and the mutation is substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) .
[0155] In some embodiments, the substitution is conservative substitution.
[0156] In some embodiments, the CDRs are defined based on an IMGT, Kabat, Chothia, or AbM numbering system. In one embodiment, the CDRs are defined based on an IMGT numbering system. In one embodiment, the CDRs are defined based on a Kabat numbering system. In one embodiment, the CDRs are defined based on a Chothia numbering system. In one embodiment, the CDRs are defined based on an AbM numbering system.
[0157] In some embodiments, an antibody specifically binding to CEACAM5 or an antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4; or (b) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 1; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 2.
[0158] In some embodiments, an antibody specifically binding to CEACAM5 or an antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4.
[0159] In some embodiments, an antibody specifically binding to CEACAM5 or an antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (b) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 1; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 2.
[0160] In some embodiments, the CEACAM5 comprises human CEACAM5 and / or monkey CEACAM5. In some embodiments, the CEACAM5 comprises human CEACAM5. In some embodiments, the CEACAM5 comprises monkey CEACAM5. In some embodiments, the monkey is Macaca fascicularis.
[0161] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 24; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (1b) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 15; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0162] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 24; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0163] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the IMGT numbering system: (1b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 15; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0164] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 25; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (2b) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 20; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0165] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 25; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0166] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Chothia numbering system: (2b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 20; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0167] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 26; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (3b) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 22; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0168] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 26; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0169] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the Kabat numbering system: (3b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 22; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0170] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (4b) a heavy chain variable region (VH) comprising: a CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; a CDR-H2 comprising the amino acid sequence of SEQ ID NO: 9; and a CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: a CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; a CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and a CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0171] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0172] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a heavy chain variable region (VH) and / or a light chain variable region (VL) , wherein the CDRs are defined based on the AbM numbering system: (4b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 9; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0173] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 24; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (1b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 15; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0174] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 24; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0175] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system: (1b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 15; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0176] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 25; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (2b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 20; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0177] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 25; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0178] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system: (2b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 20; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0179] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 26; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (3b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 22; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0180] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 26; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0181] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system: (3b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 22; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0182] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or (4b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 9; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0183] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27.
[0184] In some embodiments, the antibody or the antigen-binding fragment thereof comprises a heavy chain variable region (VH) or a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system: (4b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 9; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.
[0185] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (a) the VH comprising the amino acid sequence of SEQ ID NO: 3 or a variant thereof and / or the VL comprising the amino acid sequence of SEQ ID NO: 4 or a variant thereof; or (b) the VH comprising the amino acid sequence of SEQ ID NO: 1 or a variant thereof and / or the VL comprising the amino acid sequence of SEQ ID NO: 2 or a variant thereof; wherein the variant, compared to a sequence from which the variant is derived, has at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100%sequence identity, or, compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, 3, 4, or 5 amino acids) ; and preferably, the substitution is conservative substitution.
[0186] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (a) the VH comprising the amino acid sequence of SEQ ID NO: 3 or a variant thereof and / or the VL comprising the amino acid sequence of SEQ ID NO: 4 or a variant thereof; wherein the variant, compared to a sequence from which the variant is derived, has at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100%sequence identity, or, compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, 3, 4, or 5 amino acids) ; and preferably, the substitution is conservative substitution.
[0187] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (b) the VH comprising the amino acid sequence of SEQ ID NO: 1 or a variant thereof and / or the VL comprising the amino acid sequence of SEQ ID NO: 2 or a variant thereof; wherein the variant, compared to a sequence from which the variant is derived, has at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100%sequence identity, or, compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, 3, 4, or 5 amino acids) ; and preferably, the substitution is conservative substitution.
[0188] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (a) the VH comprising the amino acid sequence of SEQ ID NO: 3 and the VL comprising the amino acid sequence of SEQ ID NO: 4; or (b) the VH comprising the amino acid sequence of SEQ ID NO: 1 and the VL comprising the amino acid sequence of SEQ ID NO: 2.
[0189] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (a) the VH comprising the amino acid sequence of SEQ ID NO: 3 and the VL comprising the amino acid sequence of SEQ ID NO: 4.
[0190] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (b) the VH comprising the amino acid sequence of SEQ ID NO: 1 and the VL comprising the amino acid sequence of SEQ ID NO: 2.
[0191] In the antibody or the antigen-binding fragment disclosed herein in some embodiments, a heavy chain constant domain may comprise a C-terminal lysine or may lack a C-terminal lysine or a C-terminal glycine-lysine dipeptide. In the antibody or the antigen-binding fragment thereof of some embodiments, an N-terminal amino acid of the antibody or the antigen-binding fragment thereof may be cyclized into pyroglutamic acid. In the antibody or the antigen-binding fragment thereof of some embodiments, an N-terminal amino acid of the antibody or the antigen-binding fragment thereof may be cyclized into pyroglutamate.
[0192] As is known to those skilled in the art, pyroglutamic acid is a conjugate acid of pyroglutamate, and is in mutual equilibrium with pyroglutamate in a solution.
[0193] In some embodiments, provided herein is a composition comprising the antibody or the antigen-binding fragment disclosed herein, wherein each antibody or antigen-binding fragment may independently comprise a C-terminal lysine, lack a C-terminal lysine, lack a C-terminal glycine-lysine dipeptide, and / or comprise an N-terminal glutamine or glutamic acid, the N-terminal amino acid is cyclized into pyroglutamic acid, or the N-terminal amino acid is cyclized into pyroglutamate.
[0194] In some embodiments, the antibody or the antigen-binding fragment disclosed herein comprises an antibody or an antigen-binding fragment specifically binding to an antigen, and may comprise a post-translational modification thereof (e.g., C-terminal lysine cleavage in a heavy chain, conversion of an N-terminal glutamine or glutamic acid in a heavy chain or a light chain into pyroglutamic acid or pyroglutamate) , which may occur during recombinant expression in a host cell (e.g., a CHO cell) or during purification / storage.
[0195] In some embodiments, an N-terminal glutamine of the VH comprising the amino acid sequence of SEQ ID NO: 3 or 1 or a variant thereof is cyclized to form pyroglutamic acid or pyroglutamate.
[0196] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments further has characteristics selected from: (1) specifically binding to membrane-bound CEACAM5 (e.g., human or monkey CEACAM5) and / or an extracellular domain (ECD) of CEACAM5 (e.g., human or monkey CEACAM5) , for example, as determined by flow cytometry or biolayer interferometry (BLI) (e.g., ForteBio ) ; (2) non-binding or substantially non-binding to native CEACAM5, particularly soluble native CEACAM5, for example, as determined by biolayer interferometry (BLI) (e.g., ForteBio ) ; (3) non-binding or substantially non-binding to CEACAM1, CEACAM3, CEACAM7, and CEACAM8, for example, as determined by flow cytometry; (4) having no or having reduced ADCC activity; (5) inducing CEACAM5 internalization, for example, as determined by flow cytometry; (6) inhibiting proliferation of a cell (e.g., a tumor cell) ; and / or (7) inhibiting tumor growth.
[0197] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments specifically binds to membrane-bound CEACAM5 (e.g., human or monkey CEACAM5) and / or an extracellular domain (ECD) of CEACAM5 (e.g., human or monkey CEACAM5) , for example, as determined by flow cytometry or biolayer interferometry (BLI) (e.g., ForteBio ) .
[0198] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is non-binding or substantially non-binding to native CEACAM5, particularly soluble native CEACAM5, for example, as determined by biolayer interferometry (BLI) (e.g., ForteBio ) .
[0199] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is non-binding or substantially non-binding to CEACAM1, CEACAM3, CEACAM7, and CEACAM8, for example, as determined by flow cytometry.
[0200] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments has no or has reduced ADCC activity.
[0201] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments induces CEACAM5 internalization, for example, as determined by flow cytometry
[0202] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments inhibits proliferation of a cell (e.g., a tumor cell) .
[0203] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments inhibits tumor growth.
[0204] In some embodiments, the Native CEACAM5 may be CEACAM5 proteins shed from surfaces of tumor cells of a tumor patient. These proteins may be shed into tumor tissues or may enter plasma or other tissues.
[0205] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments may comprise a constant region derived from a human immunoglobulin.
[0206] In some embodiments, the heavy chain of the antibody or the antigen-binding fragment thereof comprises a heavy chain constant region derived from a human immunoglobulin (e.g., IgG1, IgG2, IgG3, or IgG4) . In some embodiments, the heavy chain of the antibody or the antigen-binding fragment thereof comprises a wild-type Fc region, or comprises a mutated or chemically modified Fc region, and has altered effector function (e.g., reduced ADCC activity) compared to the wild-type Fc region. In some exemplary embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises a variant of a human IgG1 heavy chain constant region, the variant having substitutions below, compared to a wild-type sequence from which the variant is derived: Leu234Ala, Leu235Ala, and Gly237Ala (based on positions in a EU numbering system) . In such embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure has reduced ADCC activity. In some embodiments, the antibody or the antigen-binding fragment thereof comprises a variant of the human IgG1 heavy chain constant region comprising the amino acid sequence of SEQ ID NO: 7. In some embodiments, the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 7 or a variant thereof lacks a C-terminal lysine. In some embodiments, the heavy chain of the antibody or the antigen-binding fragment thereof comprises the amino acid sequence of SEQ ID NO: 5 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids (for example, conservative substitutions of at most 15, at most 10, or at most 5 amino acids; for example, conservative substitution of 1, 2, 3, 4, or 5 amino acids) , compared to the sequence. In some embodiments, the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5 or a variant thereof lacks a C-terminal lysine.
[0207] In some embodiments, the light chain of the antibody or the antigen-binding fragment thereof comprises a light chain (e.g., κ or λ chain) constant region derived from a human immunoglobulin. In some embodiments, the light chain of the antibody or the antigen-binding fragment thereof comprises the amino acid sequence of SEQ ID NO: 6 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids (for example, conservative substitutions of at most 15, at most 10, or at most 5 amino acids; for example, conservative substitution of 1, 2, 3, 4, or 5 amino acids) , compared to the sequence.
[0208] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (1) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 3 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 7, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 4 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6; (2) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 3 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 4 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6; (3) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 1 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 2 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6; or (4) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 1 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 7, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 2 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6.
[0209] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (1) a heavy chain comprising the VH comprising the amino acid sequence of the SEQ ID NO: 3 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 7, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 4 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6.
[0210] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (2) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 3 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 4 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6.
[0211] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (3) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 1 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 2 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6.
[0212] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure comprises: (4) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 1 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 7, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 2 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6.
[0213] In some embodiments, the antibody of the present disclosure comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 28 and a light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0214] In some embodiments, an N-terminal glutamine of the heavy chain comprising the amino acid sequence of SEQ ID NO: 28 is cyclized to form pyroglutamic acid or pyroglutamate.
[0215] In some embodiments, the heavy chain comprising the amino acid sequence of SEQ ID NO: 28 lacks a C-terminal lysine.
[0216] In some embodiments, the N-terminal glutamine in the amino acid sequence of SEQ ID NO: 28 is cyclized to form pyroglutamic acid or pyroglutamate, and the heavy chain comprising the amino acid sequence of SEQ ID NO: 28 lacks the C-terminal lysine.
[0217] In some embodiments, the antibody of the present disclosure comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 30 and the light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0218] In some embodiments, the antibody of the present disclosure comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 31 and the light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0219] In some embodiments, the antibody of the present disclosure comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 32 and the light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0220] In some embodiments, the antibody of the present disclosure comprises: (i) a first heavy chain comprising the amino acid sequence of SEQ ID NO: 28; (ii) a first light chain comprising the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain comprising the amino acid sequence of SEQ ID NO: 28; and (iv) a second light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0221] In some embodiments, the antibody of the present disclosure comprises: (i) a first heavy chain comprising the amino acid sequence of SEQ ID NO: 30; (ii) a first light chain comprising the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain comprising the amino acid sequence of SEQ ID NO: 30; and (iv) a second light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0222] In some embodiments, the antibody of the present disclosure comprises: (i) a first heavy chain comprising the amino acid sequence of SEQ ID NO: 31; (ii) a first light chain comprising the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain comprising the amino acid sequence of SEQ ID NO: 31; and (iv) a second light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0223] In some embodiments, the antibody of the present disclosure comprises: (i) a first heavy chain comprising the amino acid sequence of SEQ ID NO: 32; (ii) a first light chain comprising the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain comprising the amino acid sequence of SEQ ID NO: 32; and (iv) a second light chain comprising the amino acid sequence of SEQ ID NO: 29.
[0224] In some embodiments, the monoclonal antibody of the present disclosure comprises: (i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 28; (ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 28; and (iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.
[0225] In some embodiments, the monoclonal antibody of the present disclosure comprises: (i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 30; (ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 30; and (iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.
[0226] In some embodiments, the monoclonal antibody of the present disclosure comprises: (i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 31; (ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 31; and (iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.
[0227] In some embodiments, the monoclonal antibody of the present disclosure comprises: (i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 32; (ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29; (iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 32; and (iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.
[0228] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is a murine antibody, a chimeric antibody, or a humanized antibody.
[0229] In some embodiments, a variable region of the antibody or the antigen-binding fragment thereof in any one of the above embodiments is humanized.
[0230] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is selected from ScFv, Fab, Fab', F (ab') 2, Fab'-SH, Fv fragment, disulfide-linked Fv (dsFv) , diabody, bispecific antibody, and multispecific antibody.
[0231] In some embodiments, the antibody or the antigen-binding fragment thereof in any one of the above embodiments is tagged. In some embodiments, the antibody or the antigen-binding fragment thereof is detectably tagged with, for example, an enzyme (for example, horseradish peroxidase) , a radionuclide, a fluorescent dye, a luminescent substance (for example, a chemiluminescent substance) , or a biotin.
[0232] The present disclosure further provides use of the antibody or the antigen-binding fragment provided herein, or a pharmaceutical composition thereof in the treatment of a tumor. Derived antibody
[0233] The antibody or the antigen-binding fragment thereof of the present disclosure may be derivatized, e.g., linked to another molecule (e.g., another polypeptide or protein) . Generally, derivatization (e.g., tagging) of an antibody or an antigen-binding fragment thereof cannot adversely affect its binding to CEACAM5 (particularly human CEACAM5) . Therefore, the antibody or the antigen-binding fragment thereof of the present disclosure is further intended to include such derivatized forms. For example, the antibody or the antigen-binding fragment thereof of the present disclosure may be functionally linked (by chemical coupling, genetic fusion, non-covalent linkage, or otherwise) to one or more other molecular groups, such as another antibody (e.g., forming a bispecific antibody) , a detection reagent, a pharmaceutical reagent, and / or a protein or polypeptide capable of mediating the binding of the antibody or the antigen-binding fragment to another molecule (e.g., an avidin or a polyhistidine tag) .
[0234] As one of the derivatives of the antibody, the present disclosure provides a conjugate, comprising the antibody or the antigen-binding fragment thereof of the present disclosure and a conjugation moiety.
[0235] In some embodiments, the conjugation moiety is selected from a detectable tag. The detectable tag of the present disclosure may be any substance detectable by fluorescent, spectral, photochemical, biochemical, immunological, electrical, optical, or chemical means. Such a tag is well known in the art, and examples thereof include, but are not limited to, an enzyme (e.g., horseradish peroxidase, alkaline phosphatase, β-galactosidase, urease, or glucose oxidase) , a radionuclide (e.g., 3H, 125I, 35S, 14C, or 32P) , a fluorescent dye (e.g., fluorescein isothiocyanate (FITC) , fluorescein, tetramethylrhodamine isothiocyanate (TRITC) , phycoerythrin (PE) , texas red, rhodamine, a quantum dot or cyanine dye derivative (e.g., Cy7 or Alexa 750) ) , an acridinium ester compound, a magnetic bead (e.g., ) , a calorimetric marker such as colloidal gold or colored glass or plastic (e.g., polystyrene, polypropylene, or latex) bead, and a biotin for binding to an avidin (e.g., streptavidin) modified with the above marker. In some embodiments, such a tag may be adapted for immunological detection (e.g., enzymoimmunoassay, radioimmunoassay, fluorescent immunoassay, or chemiluminescent immunoassay) . In some embodiments, the detectable tag is selected from a radioactive isotope, a fluorescent substance, a luminescent substance, a colored substance, or an enzyme. In some embodiments, the detectable tag as described above may be linked to the antibody or the antigen-binding fragment thereof of the present disclosure via linkers of different lengths to reduce potential steric hindrance.
[0236] In some embodiments, the conjugation moiety is selected from a therapeutic agent. In some embodiments, the therapeutic agent is preferably an anti-tumor agent, such as a cytotoxic agent, a cytokine, a toxin, or a radionuclide.
[0237] In some embodiments, the conjugation moiety is selected from a substance capable of improving biological properties of the antibody (e.g., increasing serum half-life) , for example, may be a chemical group, such as polyethylene glycol (PEG) , methyl, or ethyl, or a glycosyl.
[0238] As one of the derivatives of the antibody, the present disclosure provides a multispecific antibody, comprising the antibody or the antigen-binding fragment thereof of the present disclosure.
[0239] In some embodiments, the multispecific antibody comprises the antibody or the antigen-binding fragment thereof of the present disclosure as a first antigen-binding domain, and further comprises at least one second antigen-binding domain specific to other targets.
[0240] In some embodiments, each antigen-binding domain of the multispecific antibody retains its respective original binding specificity.
[0241] In some embodiments, the multispecific antibody is a bispecific antibody, or a trispecific antibody, or a tetraspecific antibody.
[0242] As one of the derivatives of the antibody, the present disclosure provides a chimeric antigen receptor, comprising the antibody or the antigen-binding fragment thereof of the present disclosure. In some embodiments, the chimeric antigen receptor comprises the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure as an extracellular antigen-binding domain specifically binding to CEACAM5, a transmembrane domain, and one or more intracellular T cell signaling domains. The present disclosure further provides a host cell (e.g., an immune cell, such as a T lymphocyte, an NK cell, a DC, or a macrophage) comprising or expressing the chimeric antigen receptor. Preparation of the antibody
[0243] The antibody of the present disclosure can be prepared by various methods known in the art, such as by genetic engineering and recombinant technology. For example, a DNA molecule encoding heavy chain and light chain genes of the antibody of the present disclosure is obtained by chemical synthesis or PCR amplification. The resulting DNA molecule is inserted into an expression vector and then transfected into the host cell. Then, the transfected host cell is cultured under particular conditions to express the antibody of the present disclosure.
[0244] The antigen-binding fragment of the present disclosure can be obtained by hydrolyzing an intact antibody molecule (see Morimoto et al., J. Biochem. Biophys. Methods 24: 107-117 (1992) and Brennan et al., Science 229: 81 (1985) ) . Further, these antigen-binding fragments may also be produced directly by recombinant host cells (reviewed in Hudson, Curr. Opin. Immunol. 11: 548-557 (1999) ; Little et al., Immunol. Today, 21: 364-370 (2000) ) . For example, Fab'fragments may be obtained directly from host cells; Fab'fragments may be chemically conjugated to form F (ab') 2 fragments (Carter et al., Bio / Technology, 10: 163-167 (1992) ) . Further, Fv, Fab, or F (ab’ ) 2 fragments may also be directly isolated from culture fluid of the recombinant host cells. Those of ordinary skill in the art fully know about other techniques for preparing such antigen-binding fragments.
[0245] Therefore, in another aspect, the present disclosure provides an isolated nucleic acid molecule, comprising a nucleotide sequence encoding the antibody or the antigen-binding fragment thereof of the present disclosure, or a heavy chain variable region and / or a light chain variable region thereof. According to codon degeneracy in the art, in some embodiments, the nucleotide sequence is replaceable based on the codon degeneracy. In some embodiments, the nucleotide sequence is codon-optimized.
[0246] In another aspect of the present disclosure, the present disclosure provides a vector (e.g., a cloning vector or an expression vector) , comprising the isolated nucleic acid molecule of the present disclosure. In some embodiments, the vector of the present disclosure is, for example, plasmid, cosmid, phage, or lentivirus. In some embodiments, the vector is capable of expressing the antibody or the antigen-binding fragment thereof of the present disclosure in a subject (e.g., a mammal, such as a human) .
[0247] In some embodiments, the vector comprises a first nucleotide sequence encoding a heavy chain or a heavy chain variable region of the antibody or the antigen-binding fragment thereof of the present disclosure and a second nucleotide sequence encoding a light chain or a light chain variable region thereof, wherein the first nucleotide sequence and the second nucleotide sequence are present on same or different vectors. When the first nucleotide sequence and the second nucleotide sequence are present on different vectors, the vector of the present disclosure comprises a first vector comprising the first nucleotide sequence and a second vector comprising the second nucleotide sequence.
[0248] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure can be used to construct a chimeric antigen receptor (CAR) that comprises an extracellular antigen-binding domain (e.g., ScFv) specifically binding to CEACAM5, a transmembrane domain, and one or more intracellular T cell signaling domains. In such embodiments, the isolated nucleic acid molecule of the present disclosure may comprise a nucleotide sequence encoding a chimeric antigen receptor. The nucleotide sequence encoding a chimeric antigen receptor further comprises the nucleotide sequence encoding the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure. In some embodiments, the isolated nucleic acid molecule of the present disclosure encodes the chimeric antigen receptor comprising the antigen-binding fragment (e.g., ScFv) of the antibody of the present disclosure.
[0249] In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure can be used to construct a chimeric antigen receptor-modified immune cell, comprising a chimeric antigen receptor (CAR) and an immune cell (such as a T lymphocyte, an NK cell, a DC, or a macrophage) .
[0250] In another aspect of the present disclosure, the present disclosure provides a host cell, comprising the isolated nucleic acid molecule of the present disclosure or the vector of the present disclosure. The host cell may be a eukaryotic cell (e.g., a mammalian cell, an insect cell, or a yeast cell) or a prokaryotic cell (e.g., E. coli) . An appropriate eukaryotic cell includes, but is not limited to, an NS0 cell, a Vero cell, a HeLa cell, a COS cell, a CHO cell, an ExpiCHO cell, a HEK293 cell, an Expi293 cell, a BHK cell, and an MDCKII cell. An appropriate insect cell includes, but is not limited to, an Sf9 cell. In some embodiments, the host cell of the present disclosure is a mammalian cell, such as CHO (e.g., CHO-K1, CHO-S, CHO DXB11, ExpiCHO, CHO DG44, or CHO-EBNA) .
[0251] In some embodiments, the host cell of the present disclosure may be a chimeric antigen receptor T cell (CAR-T) . In such embodiments, the isolated nucleic acid molecule comprised in the host cell may comprise a nucleotide sequence encoding a chimeric antigen receptor. The nucleotide sequence encoding a chimeric antigen receptor further comprises the nucleotide sequence encoding the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure. In some embodiments, the isolated nucleic acid molecule comprised in the host cell encodes the chimeric antigen receptor comprising the antigen-binding fragment (e.g., ScFv) of the antibody of the present disclosure.
[0252] In another aspect, the present disclosure provides a method for preparing the antibody or the antigen-binding fragment thereof of the present disclosure, comprising culturing the host cell of the present disclosure under a condition allowing expression of the antibody or the antigen-binding fragment thereof, and recycling the antibody or the antigen-binding fragment thereof from cultured host cell culture.
[0253] In some embodiments, the host cell used in the preparation method is a Chinese hamster ovary cell.
[0254] In some embodiments, the present disclosure provides the antibody or the antigen-binding fragment thereof obtainable through the aforementioned preparation method. Therapeutic applications
[0255] In another aspect, the present disclosure provides a pharmaceutical composition, comprising the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor of the present disclosure, and a pharmaceutically acceptable carrier and / or excipient.
[0256] In some embodiments, the pharmaceutical composition of the present disclosure comprises the antibody or the antigen-binding fragment thereof of the present disclosure, and a pharmaceutically acceptable carrier and / or excipient.
[0257] In some embodiments, the pharmaceutical composition of the present disclosure comprises the vector or the host cell of the present disclosure, and a pharmaceutically acceptable carrier and / or excipient. In such embodiments, the isolated nucleic acid molecule comprised in the vector comprises a nucleotide sequence encoding a chimeric antigen receptor. The nucleotide sequence encoding a chimeric antigen receptor further comprises the nucleotide sequence encoding the antibody or the antigen-binding fragment thereof (e.g., ScFv) of the present disclosure; and the host cell comprises the isolated nucleic acid molecule or the vector as described above. In some embodiments, the isolated nucleic acid molecule encodes the chimeric antigen receptor comprising the antigen-binding fragment (e.g., ScFv) of the antibody of the present disclosure. In some embodiments, the host cell is an immune cell, such as a T cell. In some embodiments, the host cell is a chimeric antigen receptor T cell (CAR-T) .
[0258] In some embodiments, the pharmaceutical compositions may further comprise an additional pharmaceutically active agent. In some embodiments, the additional pharmaceutically active agent is a drug with anti-tumor activity. In some embodiments, the additional pharmaceutically active agent is selected from a CEACAM5 inhibitor, a CEACAM6 inhibitor, a TROP2 inhibitor, a B7H3 inhibitor, a PTK7 inhibitor, a PD-1 inhibitor, a PD-L1 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof. In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure and the additional pharmaceutically active agent are provided as separate ingredients or as mixed ingredients. Therefore, the antibody or the antigen-binding fragment thereof of the present disclosure and the additional pharmaceutically active agent may be administered concurrently, separately, or consecutively.
[0259] In some embodiments, the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor in the pharmaceutical composition of the present disclosure is sufficient (e.g., in a subject) to: (a) inhibit proliferation of a cell (e.g., a tumor cell) ; (b) inhibit tumor growth; (c) inhibit CEACAM5-mediated signal transduction; (d) induce CEACAM5 internalization; (e) treat CEACAM5-mediated disease / condition; or (f) any combination of (a) - (e) .
[0260] In some embodiments, the CEACAM5-mediated disease / condition is a tumor, e.g., a CEACAM5-expressing tumor. In some embodiments, the tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof.
[0261] In another aspect, the present disclosure provides use of the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure in the preparation of a drug for treating and / or adjuvantly treating a tumor.
[0262] In another aspect, the present disclosure provides a method for inhibiting proliferation of a cell, comprising contacting the cell with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure. In some embodiments, the cell is a CEACAM5-expressing cell, for example, a tumor cell. In some embodiments, the method is implemented in vitro.
[0263] In another aspect, the present disclosure provides a method for treating and / or adjuvantly treating a tumor in a subject, comprising administering to a subject in need thereof an effective amount of the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure.
[0264] In another aspect, the present disclosure provides the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure for use in treating and / or adjuvantly treating a tumor.
[0265] In some embodiments, the method further comprises administering to the subject a second therapy selected from surgery, chemotherapy, radiotherapy, immunotherapy, gene therapy, DNA therapy, RNA therapy, nanotherapy, viral therapy, adjuvant therapy, and any combination thereof. In some embodiments, the second therapy may be administered concurrently, separately, or consecutively with the above method.
[0266] In any one of the above embodiments, the tumor associated with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure may be any tumor type. In some embodiments, the tumor associated with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure is a CEACAM5-positive tumor. In some embodiments, the tumor associated with the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, the chimeric antigen receptor, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition of the present disclosure is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof.
[0267] The antibody or the antigen-binding fragment thereof of the present disclosure and the pharmaceutical composition of the present disclosure can be formulated into any dosage form known in the medical field, for example, a tablet, a pill, a suspension, an emulsion, a solution, a gel, a capsule, a powder, a granule, an elixir, a lozenge, a suppository, an injection (including an injectable solution, a sterile powder for injection and a concentrated solution for injection) , an inhalant, or a spray. A preferred dosage form depends on an intended administration mode and therapeutic use. The pharmaceutical composition of the present disclosure should be sterile and be stable under production and storage conditions. A preferred dosage form is an injection. Such an injection may be a sterile injectable solution. For example, the sterile injectable solution may be prepared by: doping a requisite dosage of the antibody of the present disclosure into an appropriate solvent, optionally concurrently doping other desired ingredients (including, but not limited to, a pH regulator, a surfactant, an adjuvant, an ionic strength enhancer, an isotonic agent, a preservative, a diluent, or any combination thereof) , and then sterilization by filtration. Further, the sterile injectable solution may be prepared into a sterile lyophilized powder (for example, by vacuum drying or lyophilization) , to facilitate storage and use. Such a sterile lyophilized powder may be dispersed in an appropriate carrier, such as sterile pyrogen-free water, before use.
[0268] Further, the antibody or the antigen-binding fragment thereof of the present disclosure may be present in the pharmaceutical composition in unit dosage form, to facilitate administration.
[0269] The antibody or the antigen-binding fragment thereof, and the pharmaceutical composition of the present disclosure may be administered by any suitable method known in the art, including but not limited to, oral, buccal, sublingual, intraocular, topical, parenteral, rectal, intrathecal, intracisternal, inguinal, intravesical, topical (e.g., powder, ointment, or drop) , or nasal route. However, for many therapeutic uses, a preferred administration route / mode is parenteral administration (e.g., intravenous injection, subcutaneous injection, intraperitoneal injection, or intramuscular injection) . The skilled persons should understand that the administration route and / or mode may vary depending on the intended purpose. In a preferred embodiment, the antibody or the antigen-binding fragment thereof, and the pharmaceutical composition of the present disclosure is administered by intravenous infusion or injection.
[0270] The pharmaceutical composition of the present disclosure may comprise a "therapeutically effective amount" of the antibody or the antigen-binding fragment thereof of the present disclosure. The "therapeutically effective amount" refers to an amount sufficient to cure or at least partially restrain a disease and complications thereof in a patient who has suffered from the disease. The therapeutically effective amount of the antibody or the antigen-binding fragment thereof of the present disclosure may vary depending on factors such as: a severity of a to-be-treated disease, an overall state of patient's own immune system, patient's general conditions such as age, body weight, and gender, a drug administration mode, and other concurrently administered treatments.
[0271] In the present disclosure, a dosage regimen can be adjusted to obtain an optimal desired response (e.g., therapeutic response) . For example, the dosage may be administered as a single dose, may be administered multiple times over a period of time, or may be proportionally reduced or increased based on exigencies of treatment condition.
[0272] In the present disclosure, the subject may be a mammal, such as a human. Use for detection
[0273] The antibody or the antigen-binding fragment thereof of the present disclosure can specifically bind to CEACAM5, and thus can be used to detect the presence or level of the CEACAM5 in a sample.
[0274] Therefore, in another aspect, the present disclosure provides a kit, comprising the antibody or the antigen-binding fragment thereof of the present disclosure. In some embodiments, the antibody or the antigen-binding fragment thereof of the present disclosure is detectably tagged. In a preferred embodiment, the kit further comprises a second antibody specifically recognizing the antibody or the antigen-binding fragment thereof of the present disclosure. Preferably, the second antibody further comprises a detectable tag.
[0275] In the present disclosure, the detectable tag may be any substance detectable by fluorescent, spectral, photochemical, biochemical, immunological, electrical, optical, or chemical means. Particularly preferably, such a tag may be adapted for immunological detection (e.g., enzymoimmunoassay, radioimmunoassay, fluorescent immunoassay, or chemiluminescent immunoassay) . Such a tag is well known in the art, including but not limited to, an enzyme (e.g., horseradish peroxidase, alkaline phosphatase, β-galactosidase, urease, or glucose oxidase) , a radionuclide (e.g., 3H, 125I, 35S, 14C, or 32P) , a fluorescent dye (e.g., fluorescein isothiocyanate (FITC) , fluorescein, tetramethylrhodamine isothiocyanate (TRITC) , phycoerythrin (PE) , texas red, rhodamine, a quantum dot or cyanine dye derivative (e.g., Cy7 or Alexa 750) ) , an acridinium ester compound, a magnetic bead (e.g., ) , a calorimetric marker such as colloidal gold or colored glass or plastic (e.g., polystyrene, polypropylene, or latex) bead, and a biotin for binding to an avidin (e.g., streptavidin) modified with the above marker. In some embodiments, the detectable tag as described above may be linked to the antibody of the present disclosure via linkers of different lengths to reduce potential steric hindrance.
[0276] In another aspect, the present disclosure provides a method of detecting the presence or level of CEACAM5 in a sample, including a step of using the antibody or the antigen-binding fragment thereof of the present disclosure. In a preferred embodiment, the antibody or the antigen-binding fragment thereof of the present disclosure is further detectably tagged. In another preferred embodiment, the method further includes detecting the antibody or the antigen-binding fragment thereof of the present disclosure using a detectably tagged reagent. The method may be used for diagnostic purposes, or for non-diagnostic purposes (e.g., the sample is a cell sample rather than a sample from a patient) .
[0277] In some embodiments, the method includes contacting the sample with the antibody or the antigen-binding fragment thereof of the present disclosure under a condition allowing formation of a complex between the antibody or the antigen-binding fragment thereof and CEACAM5, and detecting the formation of the complex.
[0278] In view of low expression or no expression of the CEACAM5 in normal tissues and expression or high expression thereof in some cancers, a tumor may be diagnosed by detecting the presence or level of the CEACAM5 in the sample. Therefore, in some embodiments, the method is used to diagnose a tumor, for example, a CEACAM5-positive tumor, such as colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof.
[0279] In some embodiments, the method includes detecting an expression level of the CEACAM5 in a to-be-tested sample from a subject, and comparing the expression level with a reference value (e.g., a healthy control) , wherein an increase of the expression level compared to the reference value is an indication of a tumor.
[0280] In another aspect, use of the antibody or the antigen-binding fragment thereof of the present disclosure in the preparation of a kit for detecting the presence or level of CEACAM5 in a sample and / or diagnosing a tumor is provided.
[0281] In another aspect, the present disclosure provides a diagnostic or therapeutic kit, comprising the antibody or the antigen-binding fragment thereof, the nucleic acid molecule, the vector, the host cell, the conjugate, or the multispecific antibody of the present disclosure, and an operation manual. The kit may further comprise a drug administration apparatus for topical administration. The drug administration apparatus comprises a prefilled syringe or a needle-free apparatus.
[0282] The antibody of the present disclosure can bind to the CEACAM5 with high affinity and extremely strong specificity, but does not bind to members CEACAM1, CEACAM3, CEACAM7, and CEACAM8 of the same family. In particular, the antibody of the present disclosure specifically binds to membrane-bound CEACAM5 while avoiding binding to soluble native CEACAM5 proteins in plasma, thereby possibly avoiding interference of plasma proteins with functions of the antibody. The antibody of the present disclosure further has favorable endocytic activity. Therefore, the antibody of the present disclosure has the potential to be used to treat a tumor, and has significant clinical values. Embodiments of Invention
[0283] Embodiment 1. An antibody specifically binding to CEACAM5 or an antigen-binding fragment thereof, comprising complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) as shown in SEQ ID NO: 3 or 1; and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) as shown in SEQ ID NO: 4 or 2; or (b) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below, wherein at least one CDR in the heavy chain variable region (VH) and / or the light chain variable region (VL) comprises a mutation, compared to the heavy chain variable region and / or the light chain variable region in (a) , the mutation is substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; preferably, the substitution is conservative substitution; and preferably, the CDRs are defined based on an IMGT, Kabat, Chothia, or AbM numbering system.
[0284] Embodiment 2. The antibody specifically binding to CEACAM5 or the antigen-binding fragment thereof according to embodiment 1, wherein the antibody or the antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of: (a) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) as shown in the SEQ ID NO: 3; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) as shown in the SEQ ID NO: 4; or (b) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) as shown in the SEQ ID NO: 1; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) as shown in the SEQ ID NO: 2.
[0285] Embodiment 3. The antibody or the antigen-binding fragment thereof according to embodiment 1, wherein the antibody or the antigen-binding fragment thereof comprises: (1) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 24 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 16 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 18 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (1b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 15 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 16 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 18 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; or, (2) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 25 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (2b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 20 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; or, (3) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 26 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (3b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 22 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; or, (4) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 23 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 27 or a variant thereof; or (4b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8 or a variant thereof; CDR-H2 with a sequence of SEQ ID NO: 9 or a variant thereof; and CDR-H3 with a sequence of SEQ ID NO: 10 or a variant thereof; and / or, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11 or a variant thereof; CDR-L2 with a sequence of SEQ ID NO: 12 or a variant thereof; and CDR-L3 with a sequence of SEQ ID NO: 13 or a variant thereof; wherein the variant according to any one of (1a) , (1b) , (2a) , (2b) , (3a) , (3b) , (4a) , and (4b) , compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, or 3 amino acids) ; and preferably, the substitution is conservative substitution.
[0286] Embodiment 4. The antibody or the antigen-binding fragment thereof according to embodiment 1, wherein the antibody or the antigen-binding fragment thereof comprises: (1) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system: (1a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14; CDR-H2 with a sequence of SEQ ID NO: 24; and CDR-H3 with a sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17; CDR-L2 with a sequence of SEQ ID NO: 18; and CDR-L3 with a sequence of SEQ ID NO: 27; or (1b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 14; CDR-H2 with a sequence of SEQ ID NO: 15; and CDR-H3 with a sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 17; CDR-L2 with a sequence of SEQ ID NO: 18; and CDR-L3 with a sequence of SEQ ID NO: 13; or, (2) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system: (2a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19; CDR-H2 with a sequence of SEQ ID NO: 25; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 27; or (2b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 19; CDR-H2 with a sequence of SEQ ID NO: 20; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13; or, (3) a heavy chain variable region (VH) and a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system: (3a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21; CDR-H2 with a sequence of SEQ ID NO: 26; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 27; or (3b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 21; CDR-H2 with a sequence of SEQ ID NO: 22; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13; or, (4) a heavy chain variable region (VH) and a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system: (4a) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8; CDR-H2 with a sequence of SEQ ID NO: 23; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 27; or (4b) a heavy chain variable region (VH) comprising 3 CDRs below: CDR-H1 with a sequence of SEQ ID NO: 8; CDR-H2 with a sequence of SEQ ID NO: 9; and CDR-H3 with a sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising 3 CDRs below: CDR-L1 with a sequence of SEQ ID NO: 11; CDR-L2 with a sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13.
[0287] Embodiment 5. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-4, wherein the antibody or the antigen-binding fragment thereof comprises: (a) the VH comprising the sequence as shown in the SEQ ID NO: 3 or a variant thereof and / or the VL comprising the sequence as shown in the SEQ ID NO: 4 or a variant thereof; or (b) the VH comprising the sequence as shown in the SEQ ID NO: 1 or a variant thereof and / or the VL comprising the sequence as shown in the SEQ ID NO: 2 or a variant thereof; wherein the variant, compared to a sequence from which the variant is derived, has at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100%sequence identity, or, compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids (for example, substitution, deletion, or addition of 1, 2, 3, 4, or 5 amino acids) ; and preferably, the substitution is conservative substitution.
[0288] Embodiment 6. The antibody or the antigen-binding fragment thereof according to embodiment 5, wherein the antibody or the antigen-binding fragment thereof comprises: (a) the VH comprising the sequence as shown in the SEQ ID NO: 3 and the VL comprising the sequence as shown in the SEQ ID NO: 4; or (b) the VH comprising the sequence as shown in the SEQ ID NO: 1 and the VL comprising the sequence as shown in the SEQ ID NO: 2.
[0289] Embodiment 7. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-6, wherein the antibody or the antigen-binding fragment thereof is a murine antibody, a chimeric antibody, or a humanized antibody.
[0290] Embodiment 8. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-7, wherein the antibody or the antigen-binding fragment thereof further comprises a constant region derived from a human immunoglobulin; preferably, the heavy chain of the antibody or the antigen-binding fragment thereof comprises a heavy chain constant region derived from a human immunoglobulin (e.g., IgG1, IgG2, IgG3, or IgG4) ; preferably, the antibody or the antigen-binding fragment thereof comprises a wild-type Fc region, or comprises a mutated or chemically modified Fc region, and has altered effector function compared to the wild-type Fc region; preferably, the antibody or the antigen-binding fragment thereof comprises a variant of a human IgG1 heavy chain constant region, the variant having substitutions below, compared to a wild-type sequence from which the variant is derived: Leu234Ala, Leu235Ala, and Gly237Ala (based on positions in a EU numbering system) ; preferably, the light chain of the antibody or the antigen-binding fragment thereof comprises a light chain constant region derived from a human immunoglobulin (e.g., κor λ) ; preferably, the antibody or the antigen-binding fragment thereof comprises a heavy chain constant region (CH) as shown in SEQ ID NO: 5 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids (for example, conservative substitutions of at most 15, at most 10, or at most 5 amino acids; for example, conservative substitution of 1, 2, 3, 4, or 5 amino acids) , compared to the SEQ ID NO: 5; preferably, the antibody or the antigen-binding fragment thereof comprises a light chain constant region (CL) as shown in SEQ ID NO: 6 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids (for example, conservative substitutions of at most 15, at most 10, or at most 5 amino acids; for example, conservative substitution of 1, 2, 3, 4, or 5 amino acids) , compared to the SEQ ID NO: 6; preferably, the antibody or the antigen-binding fragment thereof comprises a variant of the human IgG1 heavy chain constant region as shown in SEQ ID NO: 7; and more preferably, the antibody or the antigen-binding fragment thereof comprises a heavy chain constant region (CH) as shown in the SEQ ID NO: 5 or 7 and a light chain constant region (CL) as shown in the SEQ ID NO: 6.
[0291] Embodiment 9. The antibody or the antigen-binding fragment thereof according to embodiment 8, wherein the heavy chain constant region (CH) as shown in the SEQ ID NO: 5 or 7 or a variant thereof lacks a C-terminal lysine.
[0292] Embodiment 10. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-9, wherein the antibody or the antigen-binding fragment thereof comprises: (1) a heavy chain comprising the VH as shown in the SEQ ID NO: 3 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 7, and, a light chain comprising the VL as shown in the SEQ ID NO: 4 and the light chain constant region (CL) as shown in the SEQ ID NO: 6; (2) a heavy chain comprising the VH as shown in the SEQ ID NO: 3 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 5, and, a light chain comprising the VL as shown in the SEQ ID NO: 4 and the light chain constant region (CL) as shown in the SEQ ID NO: 6; (3) a heavy chain comprising the VH as shown in the SEQ ID NO: 1 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 5, and, a light chain comprising the VL as shown in the SEQ ID NO: 2 and the light chain constant region (CL) as shown in the SEQ ID NO: 6; or (4) a heavy chain comprising the VH as shown in the SEQ ID NO: 1 and the heavy chain constant region (CH) as shown in the SEQ ID NO: 7, and, a light chain comprising the VL as shown in the SEQ ID NO: 2 and the light chain constant region (CL) as shown in the SEQ ID NO: 6.
[0293] Embodiment 11. The antibody or the antigen-binding fragment thereof according to embodiment 5, 6, or 10, wherein an N-terminal glutamine of the VH comprising the sequence as shown in the SEQ ID NO: 3 or 1 or a variant thereof is cyclized to form pyroglutamic acid or pyroglutamate.
[0294] Embodiment 12. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-11, wherein the antibody comprises: a heavy chain having a sequence as shown in SEQ ID NO: 28 and a light chain having a sequence as shown in SEQ ID NO: 29.
[0295] Embodiment 13. The antibody or the antigen-binding fragment thereof according to embodiment 12, wherein an N-terminal glutamine of the heavy chain having the sequence as shown in the SEQ ID NO: 28 is cyclized to form pyroglutamic acid or pyroglutamate; and / or the heavy chain having the sequence as shown in the SEQ ID NO: 28 lacks a C-terminal lysine.
[0296] Embodiment 14. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-13, wherein the antibody comprises: a heavy chain having a sequence as shown in SEQ ID NO: 30 and the light chain having the sequence as shown in the SEQ ID NO: 29.
[0297] Embodiment 15. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-13, wherein the antibody comprises: a heavy chain having a sequence as shown in SEQ ID NO: 31 and the light chain having the sequence as shown in the SEQ ID NO: 29.
[0298] Embodiment 16. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-13, wherein the antibody comprises: a heavy chain having a sequence as shown in SEQ ID NO: 32 and the light chain having the sequence as shown in the SEQ ID NO: 29.
[0299] Embodiment 17. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-16, wherein the antibody or the antigen-binding fragment thereof is selected from ScFv, Fab, Fab', Fab'-SH, F (ab') 2, Fv fragment, disulfide-linked Fv (dsFv) , diabody, bispecific antibody, and multispecific antibody.
[0300] Embodiment 18. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-17, wherein the antibody or the antigen-binding fragment thereof is tagged; preferably, the antibody or the antigen-binding fragment thereof is detectably tagged with, for example, an enzyme (for example, horseradish peroxidase) , a radionuclide, a fluorescent dye, a luminescent substance (for example, a chemiluminescent substance) , or a biotin.
[0301] Embodiment 19. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-18, wherein the antibody or the antigen-binding fragment thereof has one or more characteristics selected from: (1) specifically binding to membrane-bound CEACAM5 and / or an extracellular domain (ECD) of CEACAM5, for example, as determined by flow cytometry or biolayer interferometry (BLI) (e.g., ForteBio ) ; (2) non-binding or substantially non-binding to native CEACAM5, particularly soluble native CEACAM5, for example, as determined by biolayer interferometry (BLI) (e.g., ForteBio ) ; (3) non-binding or substantially non-binding to CEACAM1, CEACAM3, CEACAM7, and CEACAM8, for example, as determined by flow cytometry; (4) having reduced or eliminated ADCC activity; (5) inducing CEACAM5 internalization, for example, as determined by flow cytometry; (6) inhibiting proliferation of a cell (e.g., a tumor cell) ; and / or (7) inhibiting tumor growth.
[0302] Embodiment 20. An isolated nucleic acid molecule, comprising a nucleotide sequence encoding the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, a heavy chain and / or a light chain thereof, or a heavy chain variable region and / or a light chain variable region thereof.
[0303] Embodiment 21. A vector, comprising the nucleic acid molecule according to embodiment 20; preferably, the vector being a cloning vector or an expression vector.
[0304] Embodiment 22. A host cell, comprising the nucleic acid molecule according to embodiment 20 or the vector according to embodiment 21.
[0305] Embodiment 23. A method for preparing the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, comprising culturing the host cell according to embodiment 22 under a condition allowing expression of the antibody or the antigen-binding fragment thereof, and recycling the antibody or the antigen-binding fragment thereof from cultured host cell culture.
[0306] Embodiment 24. The method according to embodiment 23, wherein the host cell is a Chinese hamster ovary cell.
[0307] Embodiment 25. The antibody or the antigen-binding fragment thereof obtainable through the method according to embodiment 23 or 24.
[0308] Embodiment 26. A conjugate, comprising the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19 and a conjugation moiety connected thereto; preferably, the conjugation moiety being selected from a detectable tag (for example, a radioisotope, a fluorescent substance, a luminescent substance, a colored substance, or an enzyme) or a therapeutic agent (for example, a cytotoxic agent, a cytokine, a toxin, or a radionuclide) .
[0309] Embodiment 27. A multispecific antibody, comprising the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19; wherein, preferably, the multispecific antibody comprises the antibody or the antigen- binding fragment thereof according to any one of embodiments 1-19 as a first antigen-binding domain, and further comprises at least one second antigen-binding domain specific to other targets; and preferably, the multispecific antibody is a bispecific antibody, a trispecific antibody, or a tetraspecific antibody.
[0310] Embodiment 28. A chimeric antigen receptor, comprising the antibody or the antigen-binding fragment thereof (for example, ScFv) according to any one of embodiments 1-19, a transmembrane domain, and one or more intracellular T cell signaling domains.
[0311] Embodiment 29. A pharmaceutical composition, comprising the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, or the isolated nucleic acid molecule according to embodiment 20, or the vector according to embodiment 21, or the host cell according to embodiment 22, or the conjugate according to embodiment 26, or the multispecific antibody according to embodiment 27, or the chimeric antigen receptor according to embodiment 28, or a host cell expressing the chimeric antigen receptor, and a pharmaceutically acceptable carrier and / or excipient; wherein, preferably, the pharmaceutical composition further comprises an additional pharmaceutically active agent; preferably, the additional pharmaceutically active agent is a drug with anti-tumor activity; preferably, the additional pharmaceutically active agent is selected from: a CEACAM5 inhibitor, a CEACAM6 inhibitor, a TROP2 inhibitor, a B7H3 inhibitor, a PTK7 inhibitor, a PD-1 inhibitor, a PD-L1 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof; and preferably, the antibody or the antigen-binding fragment thereof and the additional pharmaceutically active agent are provided as separate ingredients or as mixed ingredients.
[0312] Embodiment 30. A diagnostic or therapeutic kit, comprising the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, or the isolated nucleic acid molecule according to embodiment 20, or the vector according to embodiment 21, or the host cell according to embodiment 22, or the conjugate according to embodiment 26, or the multispecific antibody according to embodiment 27, or the chimeric antigen receptor according to embodiment 28, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to embodiment 29, and optionally an operation manual and / or a drug administration apparatus.
[0313] Embodiment 31. Use of the antibody or the antigen-binding fragment thereof according to any one of cembodiments 1-19, or the isolated nucleic acid molecule according to embodiment 20, or the vector according to embodiment 21, or the host cell according to embodiment 22, or the conjugate according to embodiment 26, or the multispecific antibody according to embodiment 27, or the chimeric antigen receptor according to embodiment 28, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to embodiment 29 in the preparation of a drug for treating and / or adjuvantly treating a tumor; preferably, the antibody or the antigen-binding fragment thereof, the isolated nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the pharmaceutical composition is administered, for example, concurrently, separately, or consecutively administered, in combination with an additional pharmaceutically active agent; preferably, the additional pharmaceutically active agent is a drug with anti-tumor activity; and preferably, the additional pharmaceutically active agent is selected from: a CEACAM5 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof.
[0314] Embodiment 32. The use according to embodiment 31, wherein the tumor is a CEACAM5-positive tumor; and preferably, the tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer.
[0315] Embodiment 33. A method for inhibiting proliferation of a cell, comprising contacting the cell with the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, or the isolated nucleic acid molecule according to embodiment 20, or the vector according to embodiment 21, or the host cell according to embodiment 22, or the conjugate according to embodiment 26, or the multispecific antibody according to embodiment 27, or the chimeric antigen receptor according to embodiment 28, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to embodiment 29; wherein, preferably, the cell is a CEACAM5-expressing cell, for example, a tumor cell; and preferably, the tumor cell overexpresses CEACAM5.
[0316] Embodiment 34. A method for treating and / or adjuvantly treating a tumor in a subject, comprising administering to a subject in need thereof an effective amount of the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, or the isolated nucleic acid molecule according to embodiment 20, or the vector according to embodiment 21, or the host cell according to embodiment 22, or the conjugate according to embodiment 26, or the multispecific antibody according to embodiment 27, or the chimeric antigen receptor according to embodiment 28, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to embodiment 29.
[0317] Embodiment 35. The method according to embodiment 34, further comprising administering to the subject a second therapy selected from surgery, chemotherapy, radiotherapy, immunotherapy, gene therapy, DNA therapy, RNA therapy, nanotherapy, viral therapy, adjuvant therapy, and any combination thereof; and optionally, the second therapy may be administered concurrently, separately, or consecutively with the method according to embodiment 34.
[0318] Embodiment 36. The method according to embodiment 34 or 35, wherein the tumor is a CEACAM5-positive tumor; and preferably, the tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer.
[0319] Embodiment 37. A method for detecting presence or level of CEACAM5 in a sample, comprising contacting the sample with the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19 under a condition allowing formation of a complex between the antibody or the antigen-binding fragment thereof and the CEACAM5, and detecting the formation of the complex; wherein, preferably, the method is used to diagnose a tumor, for example, a CEACAM5-positive tumor, such as colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof; and preferably, the method comprises detecting an expression level of the CEACAM5 in a to-be-tested sample from a subject, and comparing the expression level with a reference value, wherein an increase of the expression level compared to the reference value is an indication of a tumor.
[0320] Embodiment 38. Use of the antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, or the isolated nucleic acid molecule according to embodiment 20, or the vector according to embodiment 21, or the host cell according to embodiment 22, or the conjugate according to embodiment 26, or the multispecific antibody according to embodiment 27 in the preparation of a detection kit for detecting presence or level of CEACAM5 in a sample and / or diagnosing a tumor; wherein, preferably, the tumor is a CEACAM5-positive tumor; and preferably, the tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, or skin cancer, or any combination thereof.
[0321] Embodiment 39. The antibody or the antigen-binding fragment thereof according to any one of embodiments 1-19, or the isolated nucleic acid molecule according to embodiment 20, or the vector according to embodiment 21, or the host cell according to embodiment 22, or the conjugate according to embodiment 26, or the multispecific antibody according to embodiment 27, or the chimeric antigen receptor according to embodiment 28, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to embodiment 29 for use in treating and / or adjuvantly treating a tumor; wherein: optionally the antibody or the antigen-binding fragment thereof, the isolated nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the pharmaceutical composition is administered concurrently, separately, or consecutively administered, in combination with an additional pharmaceutically active agent; optionally the additional pharmaceutically active agent is a drug with anti-tumor activity; and / or optionally the additional pharmaceutically active agent is selected from: a CEACAM5 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof. Sequence information
[0322] Information on sequences involved in the present disclosure is described in the following table:
[0323] The present disclosure will now be described with reference to the following examples which are intended to illustrate, but not to limit, the present disclosure.
[0324] Unless otherwise specified, the experimental methods of molecular biology and the immunoassay methods used in the present disclosure are implemented substantially with reference to J. Sambrook et al., Molecular Cloning: Laboratory Manual, 2nd ed., Cold Spring Harbor Laboratory Press, 1989, and F. M. Ausubel et al., Short Protocols in Molecular Biology, 3rd Edition, John Wiley &Sons, Inc., 1995. Those skilled in the art know that the examples describe the present disclosure by way of example, and are not intended to limit the scope to be claimed in the present disclosure. Example 1: Preparation of CEACAM5, isoantigens, and control antibody proteins a. Preparation of proteins and cell lines for CEACAM5 antigen and isoantigens
[0325] Full-length sequences of human CEACAM1 (Uniprot: P13688-1) , human CEACAM3 (Uniprot: P40198-1) , human CEACAM5 (Uniprot: P06731-1) , human CEACAM7 (Uniprot: Q14002-1) , human CEACAM8 (Uniprot: P31997) , and Macaca fascicularis CEACAM5 (NCBI: XP_005589491.1) were genetically synthesized in GenScript, and constructed onto a pLVX vector. After plasmid extraction, the virus was packaged for constructing 293T and CHOS overexpressing cell lines. Nucleic acid sequences of extracellular fragments of human and monkey antigens were constructed onto a pTT5 vector respectively. 6 histidine tags were introduced at a C-terminus of each of the extracellular fragments. The recombinant plasmids were extracted, and transiently transfected into HEK293-EBNA cells for expression. The cell supernatants were collected on day 6, and purified respectively to provide human CEACAM5-ECD-His and monkey CEACAM5-ECD-His proteins. b. Expression of CEACAM5 control antibody
[0326] As reported in the database, sequence of the CEACAM5 control antibody tusamitamab was codon optimized by GenScript, and the antibody heavy and light chain nucleotide sequences were synthesized and cloned onto the pTT5 vector respectively. After plasmid extraction, pTT5 plasmids corresponding to the antibody heavy and light chains were concurrently transfected into CHOS-EBNA cells. The cell supernatant was collected by centrifugation, and then purified using Protein A (MabSelect SuRe, GE) , to provide internally prepared control antibody protein tusamitamab. The sequence of another CEACAM5 control antibody so8G4 (also referred to herein as mAb1) was obtained from WO 2022048883 (Anderl Jan., March 10, 2022) , and the control antibody mAb1 was prepared by a similar method. c. Mouse immunization
[0327] Female BALB / c mice aged 6-8 weeks were immunized alternately with human CEACAM5-ECD-his and Macaca fascicularis CEACAM5-ECD-his proteins every 7 days, and received four rounds of immunization with each protein. Footpad, subcutaneous, tail root, and intraperitoneal immunizations were performed using complete Freund's adjuvant and Adjuvant system (Sigma) or using Titermax Gold Adjuvant (Sigma) and Imject Alum (Thermo) . In the immunization period, the serum titer of anti-CEACAM5-ECD-his was monitored by ELISA every two weeks. Further, mouse hybridoma with an optimal titer was generated using the following solution. d. Hybridoma fusion and screening i. Binding activity screening of CEACAM5-ECD His and Native CEACAM5 proteins
[0328] Human CEACAM5-ECD-His, Macaca fascicularis CEACAM5-ECD-His protein, and native CEACAM5 protein (Abcam, Ab742) were used as capture antigens in enzyme-linked immunosorbent assay (ELISA) . The native CEACAM5 protein in this example was purified from plasma of a tumor patient. For ELISA screening: 1 μg / ml human CEACAM5-ECD-His, Macaca fascicularis CEACAM5-ECD-His, and native CEACAM5 protein were diluted respectively with CBS buffer to 100 μl / well, and coated with an ELISA plate (BIOFIL) at 4℃ overnight. 300 μl of PBST (0.05%Tween-20) was used for washing once, 100 μl of 2%BSA in PBS was added into each well, and the hybridoma was incubated at 37℃ for 1 h. 20 μl of the hybridoma supernatant was directly added into the ELISA plate, and incubated at 37℃ for 2 h. The solution was discarded, and the ELISA plate was washed 3 times with 320 μl of PBST (0.05%Tween-20) per well. The ELISA plate was dried, and 100 μl (1: 10000) of HRP conjugated Goat anti-Mouse IgG (Thermo Fisher) diluted with PBST was added into each well for incubation at 37℃ for 1 h. The solution was discarded, and the ELISA plate was washed 5 times with 320 μl of PBST (0.05%Tween-20) per well. The ELISA plate was dried, 100 μl of TMB was added into each well, the plate was protected from light for color development, and then 50 μl of 2M H2SO4 was added to stop the color reaction. The absorbance value was read at 450 nm with a microplate reader. Hybridoma clones that bind to human CEACAM5-ECD-his and monkey CEACAM5-ECD-his, but weakly bind or do not bind to native CEACAM5 were selected. ii. Screening of affinity binding activity of antigen CEACAM5-positive cells
[0329] The screening was implemented by flow cytometry using overexpressed cells of human gastric cancer cells MKN45 (obtained from Nanjing Cobier Biosciences Co., Ltd) , human colorectal adenocarcinoma cells LS174T (obtained from Nanjing Cobier Biosciences Co., Ltd) , 293T-hCEACAM5 (human) , and 293T-cCEACAM5 (monkey) . CEACAM5 overexpressing cells were prepared as follows: the full-length sequence of human CEACAM5 (Uniprot: P06731-1) or Macaca fascicularis CEACAM5 (NCBI: XP_005589491.1) was constructed onto a lentiviral vector. Then, the virus was packaged, and infected into 293T cells (obtained from ATCC) , which were subjected to pressure screening and flow cytometric verification to obtain overexpressed cells stably expressing human or monkey CEACAM5. For flow cytometric screening: the cells were diluted with PBS+2%BSA to a density of 2x10^6 / ml, and 50 μl of the mixture was spread on a 96-well PCR pointed bottom plate (1x105 cells / well) . 50 μl of the hybridoma supernatant was fully mixed with the cells in the well plate. The mixture was incubated at 4℃ for 1 h, and washed 3 times with PBS+2%BSA. PE Goat Anti-Mouse IgG secondary antibody (Biolegend) diluted with PBS+2%BSA was added at 50 μl / well at 4℃. The cells were resuspended, incubated at 4℃ for 30 min, washed 3 times with PBS+2%BSA, and centrifuged. PBS+2%BSA was added at 300 μl / well to resuspend the cells. The binding affinity of the antibody to cells was evaluated using a flow cytometer (Beckman, Cytoflex) . Positive clones that bind to human cells MKN45, cells LS174T, 293T-hCEACAM5, and 293T-cCEACAM5 were selected. iii. Evaluation of anti-CEACAM5 antibody for non-specific screening of members of CEACAM family
[0330] Other members of the same family (including human CEACAM1, human CEACAM3, human CEACAM7, and human CEACAM8) were overexpressed in CHOS cells (obtained from Thermo Fisher) to obtain corresponding stable overexpressed cells, and the binding of the overexpressed cells to the hybridoma supernatant was screened by flow cytometry to investigate the non-specific binding of the antibody. For flow cytometric binding and screening: the cells were diluted with PBS+2%BSA to a density of 2x10^6 / ml, and 50 μl of the mixture was spread on a 96-well PCR pointed bottom plate (1x10^5 cells / well) . 50 μl of the hybridoma supernatant was fully mixed with the cells in the well plate. The mixture was incubated at 4℃ for 1 h, and washed 3 times with PBS+2%BSA. PE Goat Anti-Mouse IgG secondary antibody (Biolegend) diluted with PBS+2%BSA was added at 50 μl / well at 4℃. The cells were resuspended, incubated at 4℃ for 30 min, washed 3 times with PBS+2%BSA, and centrifuged. PBS+2%BSA was added at 200 μl / well to resuspend the cells. The binding specificity of the antibody to members of the CEACAM family was evaluated using a flow cytometer (Beckman, Cytoflex) . Hybridoma clones that do not bind to CEACAM1, CEACAM3, CEACAM7, or CEACAM8 were selected.
[0331] To sum up, mother clones that bind to human CEACAM5-ECD-His, Macaca fascicularis CEACAM5-ECD-His proteins, and human gastric cancer cells MKN45, and weakly bind to native CEACAM5 proteins, but do not bind to other members of the same family, were selected for subcloning. Subclones were screened using a similar method, and an optimal monoclone was selected for amplified culture. Example 2: Evaluation of anti-human CEACAM5 murine antibody 2.1 Evaluation of binding activity of anti-human CEACAM5 mouse antibody to cells
[0332] All preferred monoclones were amplified for serum-free culture. 5-10 ml of the culture supernatant was affinity purified with Protein-Abeads. The antibody protein concentration was quantified with a UV spectrophotometer for candidate evaluation.
[0333] Flow cytometric affinity screening was performed using human gastric cancer cells MKN45 and CHOS-Macaca fascicularis CEACAM5 overexpressing cells. The cells were diluted with PBS+2%BSA to a density of 2x10^6 / ml, and 50 μl of the mixture was spread on a 96-well PCR pointed bottom plate (1x10^5 cells / well) . Gradiently diluted monoclonal antibody or tusamitamab was fully mixed with the cells in the well plate. The mixture was incubated at 4℃ for 1 h, and washed 3 times with PBS+2%BSA. Diluted PE Goat Anti-Mouse IgG secondary antibody (Biolegend) or PE Goat Anti-human IgG secondary antibody (Biolegend) was added at 50 μl / well at 4℃. The cells were resuspended by pipetting, incubated at 4℃ for 30 min, washed 3 times with PBS+2%BSA, and centrifuged. PBS+2%BSA was added at 200 μl / well to resuspend the cells. The binding affinity of the antibody to cells was evaluated using a flow cytometer. Data processing: The median fluorescence intensity value was outputted, and then inputted into software for nonlinear curve fitting, to compute EC50. The result shows that the affinity of the Ab-C8 mouse antibody of the present disclosure to monkey CEACAM5 is about 6 times stronger than that of the antibody tusamitamab (as shown in Table 1) . The EC50 value of the binding of the Ab-C8 mouse antibody of the present disclosure to cells MKN45 is 2516 ng / ml. Table 1: Binding affinity of mouse antibody to CHOS-cCEACAM5 overexpressing cells 2.2 Evaluation of binding activity of anti-human CEACAM5 mouse antibody to cells
[0334] The screening was implemented by flow cytometric screening using stable CHOS cells overexpressing human CEACAM1, human CEACAM3, human CEACAM7, and human CEACAM8 of the same family. The remaining operating steps are the same as 2.1. The result is shown in Table 2. The above result shows that the antibody of the present disclosure does not bind to human CEACAM1, human CEACAM3, human CEACAM7, or human CEACAM8. The control antibody tusamitamab has certain non-specific binding to human CEACAM8 of the same family. Table 2: Result of cross-binding of subclonal antibody of anti-human CEACAM5 hybridoma to the same family 2.3 Evaluation of binding activity of anti-human CEACAM5 mouse antibody to proteins by ELISA
[0335] The protein binding ability of the antibody was detected using human CEACAM5-ECD-his and monkey CEACAM5-ECD-his. The result is shown in Table 3. The candidate antibody Ab-C8 can bind to human and monkey CEACAM5-ECD-His proteins. Table 3: Affinity detection of binding of anti-CEACAM5 antibody to CEACAM5 proteins by ELISA 2.4 Sequencing of anti-human CEACAM5 mouse antibody and construction of chimeric antibody
[0336] Ab-C8 hybridoma cells were cultured to about 8, 000 cells, which were lysed, and first-strand cDNA was synthesized using a cDNA reverse transcription kit (Thermo Fisher) . VH and VL genes were amplified from the cDNA by PCR using a primer. The PCR product was purified through a DNA purification kit (MACHEREY-NAGEL) , and homologously recombined into a pTT5 vector expressing human heavy chain constant region of IgG1 and light chain constant region CL, to construct a chimeric antibody expression vector. After PCR verification, positive clones were picked for sequencing. Sequences were analyzed through IMGT and Abysis websites. The resulting variable region sequence and CDR sequence of the anti-human CEACAM5 antibody are shown in Table 4. Example 3: Humanization and evaluation of anti-human CEACAM5 antibody 3.1 Humanization and expression of anti-human CEACAM5 antibody
[0337] The mouse antibody Ab-C8 was humanized using an antibody humanization method of CDR-transplantation. In short, the humanization involves the following steps: comparing an amino acid sequence of a mouse monoclonal antibody with an amino acid sequence of a human germline antibody to find a highly homologous sequence with better physical and chemical properties for use as a human germline framework sequence; analyzing and investigating HLA-DR affinity, to select a human germline framework sequence with low affinity; and then transplanting six CDRs of the mouse antibody to selected heavy chain and light chain framework sequences respectively.
[0338] The variable region and a surrounding framework amino acid sequence thereof were analyzed by molecular docking further using a computer analog technology, to investigate the spatial three-dimensional binding mode thereof. Key amino acids in the amino acid sequence of the mouse antibody that can interact with the CEACAM5 protein and maintain the spatial structure were analyzed by computing the electrostatic force, Van der Waals force, hydrophilicity, hydrophobicity, and entropy value, and these mouse amino acids were retained in the transplanted antibody. That was, a series of back mutations were performed on amino acid residues in the FR region of the above-mentioned humanized template, so that the humanized antibody retained the antigen-binding ability of the mouse antibody as much as possible. In addition, in order to reduce deamidation risks, isomerization risks, and fragmentation risks, the sites, such as NS, DS, and DP, in the sequence were sequence-modified to obtain the final variable region sequence of the humanized antibody.
[0339] Based on the above method, a humanized antibody named Ab-hzDP was constructed based on the CDR of the mouse antibody Ab-C8; wherein the heavy chain constant regions of the antibody were all human IgG1 heavy chain constant regions (SEQ ID NO: 5) , and the light chain constant regions of the antibody were all human Kappa light chain constant regions (SEQ ID NO: 6) . In addition, based on the above method, the human IgG1 heavy chain constant region of Ab-hzDP (SEQ ID NO: 5) was replaced with the mutant human heavy chain constant region IgG1m (SEQ ID NO: 7) , and the expressed antibody was named Ab -hzDPmut, of which the variable region and CDR sequence are shown in Table 4.
[0340] Nanjing GenScript Biotechnology Co., Ltd was entrusted to perform codon optimization of the above chimeric and humanized antibodies, and synthesize cDNA for linkage into the expression plasmid pTT5. Humanized antibody heavy chain and light chain expression plasmids were concurrently transfected into CHO-Scells. After 7 days of expression, the supernatant was collected by centrifugation. The recombinant antibody in the supernatant was purified using Protein A (MabSelect SuRe, GE) , to provide chimeric and humanized antibodies against human CEACAM5. Table 4: Variable region and CDR amino acid sequence of anti-human CEACAM5 antibody 3.2 Detection of affinity of anti-CEACAM5 antibody to tumor cells
[0341] The screening was implemented by flow cytometry using overexpressed cells of human gastric cancer cells MKN45 and human colorectal adenocarcinoma cells LS174T. The cells were diluted with PBS+2%BSA to a density of 2x10^6 / ml, and 50 μl of the mixture was spread on a 96-well PCR pointed bottom plate (1x10^5 cells / well) . Gradiently diluted antibody was fully mixed with the cells in the well plate, and incubated at 4℃ for 1 h. The cells were washed twice with PBS, and then 50 μl of diluted secondary antibody was added into each well. The mixture was fully mixed, and incubated at 4℃ for 30 min. The cells were washed twice with PBS, then resuspended in 200 μl of PBS, and detected by flow cytometry. Data processing: The median fluorescence intensity value was outputted, and then inputted into data analysis software, to compute EC50. The result is as shown in Table 5, and FIGS. 1A and 1B. Table 5: Result of affinity of humanized anti-CEACAM5 antibody to cells 3.3 Affinity detection of binding of anti-CEACAM5 antibody to CEA family members
[0342] There are many members in the CEACAM5 family, but based on sequence similarity, sequences with relatively high similarity to CEACAM5 include members, such as CEACAM1, CEACAM3, CEACAM7, and CEACAM8. Therefore, it is necessary to detect binding activity of the antibody to members of the same family.
[0343] The specificity of the antibody was detected by flow cytometry using CHOS cells overexpressing CEA1, CEA3, CEA7, CEA8 and other genes. The cells were diluted with PBS+2%BSA to a density of 2x10^6 / ml, and 50 μl of the mixture was spread on a 96-well PCR pointed bottom plate (1x10^5 cells / well) . 10 μg / ml antibody was fully mixed with the cells in the well plate, and incubated at 4℃ for 1 h. The cells were washed twice with PBS+2%BSA, and then 50 μl of diluted secondary antibody was added into each well. The mixture was fully mixed, and incubated at 4℃ for 30 min. The cells were washed twice with PBS+2%BSA, then resuspended in 200 μl of PBS, and detected by flow cytometry. Data processing: The median fluorescence intensity and the positive rate were outputted. The result is as shown in Table 6. The result shows that the antibody Ab-hzDPmut of the present disclosure substantially does not bind to hCEA1, hCEA3, hCEA7, or hCEA8, while the antibody tusamitamab has certain non-specific binding activity to CEA8. Table 6: Affinity detection of binding of anti-CEACAM5 antibody to CEA family members 3.4 Cross-species detection of binding of anti-human CEACAM5 antibody to CEACAM5 proteins
[0344] A ForteBio (Pall life sciences) instrument was used to detect the kinetic affinity of the anti-human CEACAM5 antibody to human CEACAM5-ECD-his, monkey CEACAM5-ECD-his, and mouse CEACAM5-ECD (ACRO) . The specific method is as follows: the to-be-tested antibody was diluted with PBST (0.02%Tween-20) to 5 μg / ml, and each antigen protein was gradiently diluted to 200 nM, 100 nM, 50 nM, 25 nM, 12.50 nM, 6.25 nM, 3.125 nM, and 0 nM. Then, the to-be-tested antibody was captured with a Protein A Sensor (Pall life sciences) in a PBST (0.02%Tween-20) solution for 60 s respectively, equilibrated in a buffer for 30 s, then bound to the above proteins for 60 s respectively, and then dissociated for 180 s. The test result was opened in Data Analysis 11.0 software, and analyzed by global fitting in 1: 1 mode, to obtain an affinity constant. The result is as shown in Table 7. The result shows that both Ab-hzDPmut and Tusamitamab bind to human and monkey CEACAM5-ECD-His, Ab-hzDPmut has a stronger binding activity to monkey protein, and neither of the antibodies binds to mouse CEACAM5-ECD-his. Table 7: Result of kinetic affinity of humanized anti-human CEACAM5 antibody to antigen proteins 3.5 Binding detection of binding of anti-human CEACAM5 antibody to native CEACAM5 proteins
[0345] The native CEACAM5 proteins were at a high concentration in plasma of the tumor patient. If the antibody can bind to the native CEACAM5 in the plasma, the binding of the antibody to target tumor cells may be affected. Therefore, it is necessary to detect the binding effect of the antibody to free native CEACAM5 present in the plasma.
[0346] The ForteBio (Pall life sciences) instrument was used to detect the kinetic affinity of the anti-human CEACAM5 antibody to human native CEACAM5 proteins (Abcam, Ab742) . The specific method is as follows: the to-be-tested antibody was diluted with PBST (0.02%Tween-20) to 5 μg / ml, and the antigen protein was gradiently diluted to 200 nM, 100 nM, 50 nM, 25 nM, 12.50 nM, 6.25 nM, 3.125 nM, and 0 nM. Then, the to-be-tested antibody was captured with a Protein A Sensor (Pall life sciences) in a PBST (0.02%Tween-20) solution for 60 s respectively, equilibrated in a buffer for 30 s, then bound to the above proteins for 60 s respectively, and then dissociated for 180 s. The test result was opened in Data Analysis 11.0 software, and analyzed by global fitting in 1: 1 mode, to obtain an affinity constant. The result is as shown in Table 8. The result shows that Ab-hzDPmut does not bind to the native CEACAM5 proteins, but the antibodies mAb1 and TUSAMITAMAB obviously bind to the native CEACAM5 with a kinetic affinity up to 27.7 nM and 3.9 nM, respectively. These results show that the antibody Ab-hzDPmut can avoid binding to the soluble native CEACAM5 proteins in the plasma, thereby avoiding the impact of plasma proteins on the binding of the antibody to target cells. Table 8: Result of kinetic affinity of anti-human CEACAM5 antibody to antigen proteins 3.6 Detection of endocytic activity of anti-human CEACAM5 antibody
[0347] To evaluate the endocytic activity of the anti-CEACAM5 antibody in the human gastric cancer cells MKN45, the cells were adjusted with a complete medium to a density of 1×105 cells / ml. 100 μl of the cell suspension was added into each well of a 96-well plate, and cultured in a thermostatic incubator with CO2 at 37℃ for 24 h. The culture medium was discarded, and 50 μl of a fresh complete medium was added. The to-be-tested antibody and the negative control antibody hIgG1 were diluted with the complete medium, starting with a concentration of 4.8 μg / ml, by 3-fold gradient dilution to 8 concentration points. A pHrodo reagent (Thermo, Cat#Z25612) was diluted with the complete medium to a concentration of 12 μg / ml; the to-be-tested antibody was mixed with the pHrodo reagent at a ratio of 1: 1 (30 μl: 30 μl) , and incubated away from light at room temperature for 30 min; 50 μl of the mixture of the to-be-tested antibody and the pHrodo reagent was added into the cells, which were incubated with 5%CO2 at 37℃ for 24 h; and the cells were detected on a flow cytometer (Thermo, model Attune NxT) . Data processing: The median fluorescence intensity value was outputted, and then inputted into data analysis software, to compute EC50. The result is as shown in Table 9. The above result shows that the endocytic activity of the antibody Ab-hzDPmut of the present disclosure is better than that of the control antibody tusamitamab. Table 9: Endocytosis EC50 of anti-human CEACAM5 antibody in MKN45 3.7 Analysis of antigen-binding epitope of humanized anti-human CEACAM5 antibody
[0348] In order to determine the binding site of the binding of the antibodies Ab-hzDPmut and tusamitamab to CEACAM5 antigen, The binding domain of the binding of the anti-CEACAM5 antibody to the CEACAM5 proteins was determined by ELISA. A 96-well plate was coated with N-A1-B1 (35-315) , A1-B1 (145-315) , A2-B2 (323-495) , and A3-B3(501-675) domains of the human CEACAM5 proteins under the same coating conditions as previously described at 4℃ overnight. The plate was washed once with 300 μl of PBST (0.05%Tween-20) , 300 μl of 2%BSA blocking solution was added into each well, the mixture was incubated at 37℃ for 1 h, and an ELISA plate was dried. The humanized antibody and the control antibody were diluted with 2%BSA to 10 μg / ml respectively, 100 μl was added into the ELISA plate, and the mixture was incubated at 37℃ for 1 h. The solution was discarded, and the ELISA plate was washed 3 times with 320 μl of PBST (0.05%Tween-20) per well. The ELISA plate was dried, and 100 μl (1: 10000) of HRP conjugated Goat anti-Mouse IgG (H+L) (Jackson) diluted with PBST was added into each well for incubation at 37℃ for 1 h. The solution was discarded, and the ELISA plate was washed 5 times with 320 μl of PBST (0.05%Tween-20) per well. The ELISA plate was dried, 100 μl of TMB was added into each well, the plate was protected from light for color development, and then 50 μl of 2M H2SO4 was added to stop the color reaction. The absorbance value was read at 450 nm with a microplate reader. The raw data was inputted into data analysis software for analysis. As shown in FIG. 2, the humanized anti-human CEACAM5 antibody Ab-hzDPmut specifically binds to the A1-B1 domain of the CEACAM5 proteins. The antibody tusamitamab mainly binds to A3-B3-his region of the CEACAM5 proteins. 3.8 Hydrophilicity detection of humanized anti-human CEACAM5 antibody
[0349] The antibody hydrophilicity was detected through Agilent 1260 analytical column TSKgel Butyl-NPR; at a column temperature of 30℃, at a detection wavelength of 280 nm, at a flow rate: 0.5 ml / min, with mobile phase A: 1.5 mol / L (NH4) 2SO4; with mobile phase B: 25 mmol / L Na2HPO4, at a pH=7.0, with 25%IPA. An appropriate amount of the test sample was diluted with a diluent (0.75 mol / L (NH4) 2SO4) to prepare 1.0 mg / ml solution for use as the test solution. Control antibodies (hydrophilic control Tagitanlimab and hydrophobic control Sacituzumab, both produced by Sichuan Kelun-Biotech Biopharmaceutical Co., Ltd) were diluted with a diluent respectively to prepare 1 mg / ml solution for use as a system suitability solution. About 40 μg of sample was injected, and analyzed by gradient elution for 0-3 min, wherein mobile phase A 95%and mobile phase B 5%were maintained; 3-40 min later, mobile phase B was increased from 5%to 100%; and 40-45 min later, mobile phase A 95%and mobile phase B 5%were maintained. After testing, hydrophobic value of the test sample was computed based on the control sample as per the computation formula of: (retention time of test sample-retention time of hydrophilic control) / (retention time of hydrophobic control-retention time of hydrophilic control) . The smaller the retention time and the hydrophobic value are, the better the antibody hydrophilicity is. The result is shown in Table 10. The candidate humanized antibody Ab-hzDPmut has better hydrophilicity than the control tusamitamab. The good hydrophilicity can be beneficial to antibody production, quality control or small molecule conjugation, etc., while improving in vivo efficacy and improving drug metabolism. Table 10: Hydrophilicity testing of humanized anti-human CEACAM5 antibody
[0350] While the specific embodiments of the present disclosure have been described in detail, those skilled in the art will understand that various modifications and alterations can be made to the details based on all teachings that have been published, and these changes are all encompassed within the scope of protection of the present disclosure. The full scope of the present disclosure is given by the appended claims and any equivalents thereof.
Claims
1.An antibody specifically binding to CEACAM5 or an antigen-binding fragment thereof, comprising complementarity determining regions (CDRs) of:(a) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3 or 1; and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4 or 2; or(b) CDR-H1, CDR-H2, and CDR-H3 comprised in a heavy chain variable region (VH) below, and / or CDR-L1, CDR-L2, and CDR-L3 comprised in a light chain variable region (VL) below,(1) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system:(1a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 24; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(1b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 15; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(2) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system:(2a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 25; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(2b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 20; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(3) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system:(3a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 26; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(3b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 22; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(4) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system:(4a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(4b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 9; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13.2.The antibody specifically binding to CEACAM5 or the antigen-binding fragment thereof according to claim 1, wherein the antibody or the antigen-binding fragment thereof comprises complementarity determining regions (CDRs) of:(a) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 3; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 4; or(b) CDR-H1, CDR-H2, and CDR-H3 comprised in the heavy chain variable region (VH) comprising the amino acid sequence of SEQ ID NO: 1; and, CDR-L1, CDR-L2, and CDR-L3 comprised in the light chain variable region (VL) comprising the amino acid sequence of SEQ ID NO: 2.3.The antibody or the antigen-binding fragment thereof according to claim 1, wherein the antibody or the antigen-binding fragment thereof comprises:(1) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system:(1a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 24; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(1b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 15; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(2) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system:(2a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 25; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(2b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 20; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(3) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system:(3a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 26; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(3b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 22; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(4) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system:(4a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(4b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 9; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and / or, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 with a sequence of SEQ ID NO: 13.4.The antibody or the antigen-binding fragment thereof according to claim 1, wherein the antibody or the antigen-binding fragment thereof comprises:(1) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the IMGT numbering system:(1a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2comprising the amino acid sequence of SEQ ID NO: 24; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(1b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 14; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 15; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 16; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 17; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 18; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(2) a heavy chain variable region (VH) and / or a light chain variable region (VL) below, wherein the CDRs are defined based on the Chothia numbering system:(2a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 25; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(2b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 19; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 20; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(3) a heavy chain variable region (VH) and a light chain variable region (VL) below, wherein the CDRs are defined based on the Kabat numbering system:(3a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 26; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(3b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 21; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 22; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13;or,(4) a heavy chain variable region (VH) and a light chain variable region (VL) below, wherein the CDRs are defined based on the AbM numbering system:(4a) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 23; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 27; or(4b) a heavy chain variable region (VH) comprising: CDR-H1 comprising the amino acid sequence of SEQ ID NO: 8; CDR-H2 comprising the amino acid sequence of SEQ ID NO: 9; and CDR-H3 comprising the amino acid sequence of SEQ ID NO: 10; and, a light chain variable region (VL) comprising: CDR-L1 comprising the amino acid sequence of SEQ ID NO: 11; CDR-L2 comprising the amino acid sequence of SEQ ID NO: 12; and CDR-L3 comprising the amino acid sequence of SEQ ID NO: 13.5.The antibody or the antigen-binding fragment thereof according to any one of claims 1-4, wherein the antibody or the antigen-binding fragment thereof comprises:(a) the VH comprising the amino acid sequence of SEQ ID NO: 3 or a variant thereof and / or the VL comprising the amino acid sequence of SEQ ID NO: 4 or a variant thereof; or(b) the VH comprising the amino acid sequence of SEQ ID NO: 1 or a variant thereof and / or the VL comprising the amino acid sequence of SEQ ID NO: 2 or a variant thereof;wherein the variant, compared to a sequence from which the variant is derived, has at least 80%, at least 85%, at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95%, at least 96%, at least 97%, at least 98%, at least 99%, or 100%sequence identity, or, compared to a sequence from which the variant is derived, has substitution, deletion, or addition of one or several amino acids.6.The antibody or the antigen-binding fragment thereof according to claim 5, wherein the antibody or the antigen-binding fragment thereof comprises:(a) the VH comprising the amino acid sequence of SEQ ID NO: 3 and the VL comprising the amino acid sequence of SEQ ID NO: 4; or(b) the VH comprising the amino acid sequence of SEQ ID NO: 1 and the VL comprising the amino acid sequence of SEQ ID NO: 2.7.The antibody or the antigen-binding fragment thereof according to any one of claims 1-6, wherein the antibody or the antigen-binding fragment thereof is a murine antibody, a chimeric antibody, or a humanized antibody.8.The antibody or the antigen-binding fragment thereof according to any one of claims 1-7, wherein the antibody or the antigen-binding fragment thereof further comprises a constant region derived from a human immunoglobulin, optionally wherein:the heavy chain of the antibody or the antigen-binding fragment thereof comprises a heavy chain constant region IgG1, IgG2, IgG3 or IgG4 derived from a human immunoglobulin;the antibody or the antigen-binding fragment thereof comprises a wild-type Fc region, or comprises a mutated or chemically modified Fc region, and has altered effector function compared to the wild-type Fc region;the antibody or the antigen-binding fragment thereof comprises a variant of a human IgG1 heavy chain constant region, the variant having substitutions below, compared to a wild-type sequence from which the variant is derived: Leu234Ala, Leu235Ala, and Gly237Ala (based on positions in a EU numbering system) ;the light chain of the antibody or the antigen-binding fragment thereof comprises a light chain κ or λ chain constant region derived from a human immunoglobulin;the antibody or the antigen-binding fragment thereof comprises a heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids, compared to the SEQ ID NO: 5;the antibody or the antigen-binding fragment thereof comprises a light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6 or a variant thereof, the variant having conservative substitutions of at most 20 amino acids, compared to the SEQ ID NO: 6;the antibody or the antigen-binding fragment thereof comprises a variant of the human IgG1 heavy chain constant region comprising the amino acid sequence of SEQ ID NO: 7; and / orthe antibody or the antigen-binding fragment thereof comprises a heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5 or 7 and a light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6.9.The antibody or the antigen-binding fragment thereof according to claim 8, wherein the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5 or 7 or a variant thereof lacks a C-terminal lysine.10.The antibody or the antigen-binding fragment thereof according to any one of claims 1-9, wherein the antibody or the antigen-binding fragment thereof comprises:(1) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 3 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 7, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 4 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6;(2) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 3 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 4 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6;(3) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 1 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 5, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 2 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6; or(4) a heavy chain comprising the VH comprising the amino acid sequence of SEQ ID NO: 1 and the heavy chain constant region (CH) comprising the amino acid sequence of SEQ ID NO: 7, and, a light chain comprising the VL comprising the amino acid sequence of SEQ ID NO: 2 and the light chain constant region (CL) comprising the amino acid sequence of SEQ ID NO: 6.11.The antibody or the antigen-binding fragment thereof according to claim 5, 6, or 10, wherein an N-terminal glutamine of the VH comprising the sequence of SEQ ID NO: 3 or 1 or a variant thereof is cyclized to form pyroglutamic acid or pyroglutamate.12.The antibody or the antigen-binding fragment thereof according to any one of claims 1-11, wherein the antibody comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 28 and a light chain comprising the amino acid sequence of SEQ ID NO: 29.13.The antibody or the antigen-binding fragment thereof according to claim 12, wherein an N-terminal glutamine of the heavy chain comprising the amino acid sequence of SEQ ID NO: 28 is cyclized to form pyroglutamic acid or pyroglutamate; and / orthe heavy chain comprising the amino acid sequence of SEQ ID NO: 28 lacks a C-terminal lysine.14.The antibody or the antigen-binding fragment thereof according to any one of claims 1-13, wherein the antibody comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 30 and a light chain comprising the amino acid sequence of SEQ ID NO: 29.15.The antibody or the antigen-binding fragment thereof according to any one of claims 1-13, wherein the antibody comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 31 and the light chain comprising the amino acid sequence of SEQ ID NO: 29.16.The antibody or the antigen-binding fragment thereof according to any one of claims 1-13, wherein the antibody comprises: a heavy chain comprising the amino acid sequence of SEQ ID NO: 32 and the light chain comprising the amino acid sequence of SEQ ID NO: 29.17.A monoclonal antibody comprising:(i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 28;(ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29;(iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 28; and(iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.18.A monoclonal antibody comprising:(i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 30;(ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29;(iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 30; and(iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.19.A monoclonal antibody comprising:(i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 31;(ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29;(iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 31; and(iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.20.A monoclonal antibody comprising:(i) a first heavy chain consisting of the amino acid sequence of SEQ ID NO: 32;(ii) a first light chain consisting of the amino acid sequence of SEQ ID NO: 29;(iii) a second heavy chain consisting of the amino acid sequence of SEQ ID NO: 32; and(iv) a second light chain consisting of the amino acid sequence of SEQ ID NO: 29.21.The antibody or the antigen-binding fragment thereof according to any one of claims 1-20, wherein the antibody or the antigen-binding fragment thereof is selected from ScFv, Fab, Fab', Fab'-SH, F (ab') 2, Fv fragment, disulfide-linked Fv (dsFv) , diabody, bispecific antibody, and multispecific antibody.22.The antibody or the antigen-binding fragment thereof according to any one of claims 1-21, wherein the antibody or the antigen-binding fragment thereof is tagged; optionallythe antibody or the antigen-binding fragment thereof is detectably tagged with an enzyme, a radionuclide, a fluorescent dye, a luminescent substance, or a biotin.23.The antibody or the antigen-binding fragment thereof according to any one of claims 1-22, wherein the antibody or the antigen-binding fragment thereof has one or more characteristics selected from:(1) specifically binding to membrane-bound CEACAM5 and / or an extracellular domain (ECD) of CEACAM5;(2) non-binding or substantially non-binding to native CEACAM5;(3) non-binding or substantially non-binding to CEACAM1, CEACAM3, CEACAM7, and CEACAM8;(4) having reduced or eliminated ADCC activity;(5) inducing CEACAM5 internalization;(6) inhibiting proliferation of a cell; and / or(7) inhibiting tumor growth.24.An isolated nucleic acid molecule, comprising a nucleotide sequence encoding the antibody or the antigen-binding fragment thereof according to any one of claims 1-23 and , a heavy chain and / or a light chain thereof, or a heavy chain variable region and / or a light chain variable region thereof.25.A vector, comprising the nucleic acid molecule according to claim 24; optionally wherein the vector is a cloning vector or an expression vector.26.A host cell, comprising the nucleic acid molecule according to claim 24 or the vector according to claim 25.27.A method for preparing the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, comprising culturing the host cell according to claim 26 under a condition allowing expression of the antibody or the antigen-binding fragment thereof, and recycling the antibody or the antigen-binding fragment thereof from cultured host cell culture.28.The method according to claim 27, wherein the host cell is a Chinese hamster ovary cell.29.An antibody or an antigen-binding fragment thereof obtainable through the method according to claim 27 or 28.30.A conjugate, comprising the antibody or the antigen-binding fragment thereof according to any one of claims 1-23 and a conjugation moiety connected thereto; optionally whereinthe conjugation moiety is selected from a detectable tag and a therapeutic agent.31.A multispecific antibody, comprising the antibody or the antigen-binding fragment thereof according to any one of claims 1-23;optionally wherein:the multispecific antibody comprises the antibody or the antigen-binding fragment thereof according to any one of claims 1-23 as a first antigen-binding domain, and further comprises at least one second antigen-binding domain specific to other targets; and / orthe multispecific antibody is a bispecific antibody, a trispecific antibody, or a tetraspecific antibody.32.A chimeric antigen receptor, comprising the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, a transmembrane domain, and one or more intracellular T cell signaling domains.33.A pharmaceutical composition, comprising the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, or the isolated nucleic acid molecule according to claim 24, or the vector according to claim 25, or the host cell according to claim 26, or the conjugate according to claim 30, or the multispecific antibody according to claim 31, or the chimeric antigen receptor according to claim 32, or a host cell expressing the chimeric antigen receptor, and a pharmaceutically acceptable carrier and / or excipient;wherein:optionally the pharmaceutical composition further comprises an additional pharmaceutically active agent;optionally the additional pharmaceutically active agent is a drug with anti-tumor activity;optionally the additional pharmaceutically active agent is selected from: a CEACAM5 inhibitor, a CEACAM6 inhibitor, a TROP2 inhibitor, a B7H3 inhibitor, a PTK7 inhibitor, a PD-1 inhibitor, a PD-L1 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof; and / oroptionally the antibody or the antigen-binding fragment thereof and the additional pharmaceutically active agent are provided as separate ingredients or as mixed ingredients.34.A diagnostic or therapeutic kit, comprising the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, or the isolated nucleic acid molecule according to claim 24, or the vector according to claim 25, or the host cell according to claim 26, or the conjugate according to claim 30, or the multispecific antibody according to claim 31, or the chimeric antigen receptor according to claim 32, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to claim 33, and optionally an operation manual and / or a drug administration apparatus.35.Use of the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, or the isolated nucleic acid molecule according to claim 24, or the vector according to claim 25, or the host cell according to claim 26, or the conjugate according to claim 30, or the multispecific antibody according to claim 31, or the chimeric antigen receptor according to claim 32, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to claim 33 in the preparation of a drug for treating and / or adjuvantly treating a tumor; wherein:optionally the antibody or the antigen-binding fragment thereof, the isolated nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the pharmaceutical composition is administered concurrently, separately, or consecutively administered, in combination with an additional pharmaceutically active agent;optionally the additional pharmaceutically active agent is a drug with anti-tumor activity; and / oroptionally the additional pharmaceutically active agent is selected from: a CEACAM5 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof.36.The use according to claim 35, wherein:the tumor is a CEACAM5-positive tumor; and / orthe tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, and skin cancer.37.A method for inhibiting proliferation of a cell, comprising contacting the cell with the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, or the isolated nucleic acid molecule according to claim 24, or the vector according to claim 25, or the host cell according to claim 26, or the conjugate according to claim 30, or the multispecific antibody according to claim 31, or the chimeric antigen receptor according to claim 32, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to claim 33;wherein:the cell is a CEACAM5-expressing cell; and / orthe cell is a tumor cell overexpressing CEACAM5.38.A method for treating and / or adjuvantly treating a tumor in a subject, comprising administering to a subject in need thereof an effective amount of the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, or the isolated nucleic acid molecule according to claim 24, or the vector according to claim 25, or the host cell according to claim 26, or the conjugate according to claim 30, or the multispecific antibody according to claim 31, or the chimeric antigen receptor according to claim 32, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to claim 33.39.The method according to claim 38, further comprising administering to the subject a second therapy selected from surgery, chemotherapy, radiotherapy, immunotherapy, gene therapy, DNA therapy, RNA therapy, nanotherapy, viral therapy, adjuvant therapy, and any combination thereof; andoptionally, the second therapy is administered concurrently, separately, or consecutively with the method according to claim 38.40.The method according to claim 38 or 39, wherein the tumor is a CEACAM5-positive tumor; and / orthe tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, and skin cancer.41.A method for detecting presence or level of CEACAM5 in a sample, comprising contacting the sample with the antibody or the antigen-binding fragment thereof according to any one of claims 1-23 under a condition allowing formation of a complex between the antibody or the antigen-binding fragment thereof and the CEACAM5, and detecting the formation of the complex;optionally wherein:the method is used to diagnose a tumor selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, and skin cancer, or any combination thereof; and / orthe method comprises detecting an expression level of the CEACAM5 in a to-be-tested sample from a subject, and comparing the expression level with a reference value, wherein an increase of the expression level compared to the reference value is an indication of a tumor.42.Use of the antibody or the antigen-binding fragment thereof according to any one of claims 1-23, or the isolated nucleic acid molecule according to claim 24, or the vector according to claim 25, or the host cell according to claim 26, or the conjugate according to claim 30, or the multispecific antibody according to claim 31 in the preparation of a detection kit for detecting presence or level of CEACAM5 in a sample and / or diagnosing a tumor;wherein: the tumor is a CEACAM5-positive tumor; and / orthe tumor is selected from colorectal cancer, gastric cancer, lung cancer, cervical cancer, pancreatic cancer, esophageal cancer, ovarian cancer, thyroid cancer, bladder cancer, endometrial cancer, breast cancer, liver cancer, prostate cancer, and skin cancer, or any combination thereof.43.The antibody or the antigen-binding fragment thereof according to any one of claims 1-23, or the isolated nucleic acid molecule according to claim 24, or the vector according to claim 25, or the host cell according to claim 26, or the conjugate according to claim 30, or the multispecific antibody according to claim 31, or the chimeric antigen receptor according to claim 32, or a host cell expressing the chimeric antigen receptor, or the pharmaceutical composition according to claim 33 for use in treating and / or adjuvantly treating a tumor; wherein:optionally the antibody or the antigen-binding fragment thereof, the isolated nucleic acid molecule, the vector, the host cell, the conjugate, the multispecific antibody, or the pharmaceutical composition is administered concurrently, separately, or consecutively administered, in combination with an additional pharmaceutically active agent;optionally the additional pharmaceutically active agent is a drug with anti-tumor activity; and / oroptionally the additional pharmaceutically active agent is selected from: a CEACAM5 inhibitor, an EGFR inhibitor, a HER2 Inhibitor, a HER3 inhibitor, a HER4 inhibitor, an IGFR-1 inhibitor, an mTOR inhibitor, a PI3 kinase inhibitor, a c-met or VEGF inhibitor, a chemotherapic drug, or any combination thereof.
Citation Information
Patent Citations
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