Discovery and Characterization of a Potent Interleukin-6 Binding Peptide with Neutralizing Activity In Vivo

  • PLoS One. 2015 Nov 10;10(11):e0141330. doi: 10.1371/journal.pone.0141330.
Sheila Ranganath  1 Ashok Bhandari  2 Nicole Avitahl-Curtis  3 Jaimee McMahon  4 Derek Wachtel  5 Jenny Zhang  4 Christopher Leitheiser  6 Sylvie G Bernier  1 Guang Liu  1 Tran T Tran  7 Herodion Celino  2 Jenny Tobin  3 Joon Jung  8 Hong Zhao  6 Katie E Glen  4 Chris Graul  3 Aliesha Griffin  4 Wayne C Schairer  6 Carolyn Higgins  5 Tammi L Reza  9 Eva Mowe  4 Sam Rivers  3 Sonya Scott  4 Alex Monreal  1 Courtney Shea  3 Greg Bourne  4  7 Casey Coons  6 Adaline Smith  9 Kim Tang  3 Ramya A Mandyam  4 Jaime Masferrer  3 David Liu  10 Dinesh V Patel  2 Angelika Fretzen  6 Craig A Murphy  4  7 G Todd Milne  1 Mark L Smythe  4  7 Kenneth E Carlson  1
Affiliations
  • 1. Discovery Biology, Ironwood Pharmaceuticals, Cambridge, MA, United States of America.
  • 2. Chemistry, Protagonist Therapeutics, Milpitas, CA, United States of America.
  • 3. Discovery Pharmacology, Ironwood Pharmaceuticals, Cambridge, MA, United States of America.
  • 4. Institute for Molecular Biosciences, The University of Queensland, Brisbane, Australia.
  • 5. DMPK, Ironwood Pharmaceuticals, Cambridge, MA, United States of America.
  • 6. Pharmaceutical Development, Ironwood Pharmaceuticals, Cambridge, MA, United States of America.
  • 7. Protagonist Pty Ltd, Therapeutics Pty Ltd, Brisbane, Australia.
  • 8. Chemistry, Ironwood Pharmaceuticals, Cambridge, MA, United States of America.
  • 9. Discovery Toxicology, Ironwood Pharmaceuticals, Cambridge, MA, United States of America.
  • 10. Biology, Protagonist Therapeutics, Milpitas, CA, United States of America.
Abstract

Interleukin-6 (IL-6) is an important member of the cytokine superfamily, exerting pleiotropic actions on many physiological processes. Over-production of IL-6 is a hallmark of immune-mediated inflammatory diseases such as Castleman's Disease (CD) and rheumatoid arthritis (RA). Antagonism of the interleukin IL-6/IL-6 receptor (IL-6R)/gp130 signaling complex continues to show promise as a therapeutic target. Monoclonal antibodies (mAbs) directed against components of this complex have been approved as therapeutics for both CD and RA. To potentially provide an additional modality to antagonize IL-6 induced pathophysiology, a peptide-based antagonist approach was undertaken. Using a combination of molecular design, phage-display, and medicinal chemistry, disulfide-rich peptides (DRPs) directed against IL-6 were developed with low nanomolar potency in inhibiting IL-6-induced pSTAT3 in U937 monocytic cells. Targeted PEGylation of IL-6 binding peptides resulted in molecules that retained their potency against IL-6 and had a prolongation of their pharmacokinetic (PK) profiles in rodents and monkeys. One such peptide, PN-2921, contained a 40 kDa polyethylene glycol (PEG) moiety and inhibited IL-6-induced pSTAT3 in U937 cells with sub-nM potency and possessed 23, 36, and 59 h PK half-life values in mice, rats, and cynomolgus monkeys, respectively. Parenteral administration of PN-2921 to mice and cynomolgus monkeys potently inhibited IL-6-induced biomarker responses, with significant reductions in the acute inflammatory phase proteins, serum amyloid A (SAA) and C-reactive protein (CRP). This potent, PEGylated IL-6 binding peptide offers a new approach to antagonize IL-6-induced signaling and associated pathophysiology.