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1.
J Biol Chem ; 298(3): 101689, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-35143837

RESUMO

Cocaine addiction remains a serious problem lacking an effective pharmacological treatment. Thus, we have developed a high-affinity anti-cocaine monoclonal antibody (mAb), h2E2, for the treatment of cocaine use disorders. We show that selective tryptophan (Trp) oxidation by 2,2'-azobis(2-amidinopropane) dihydrochloride (AAPH) resulted in a loss of high-affinity binding of cocaine to this mAb. The newly developed use of excess methionine (Met) to protect mAb met residues from AAPH oxidation did not substantially attenuate the effects of oxidation on cocaine binding but greatly decreased the modification of met residues in the mAb. Similar large decreases in ligand affinity (5000-10,000-fold) upon oxidation were observed using cocaine and two cocaine metabolites, cocaethylene and benzoylecgonine, which also bind with nanomolar affinity to this h2E2 mAb. The decrease in binding affinity was accompanied by a decrease of approximately 50% in Trp fluorescence, and increases in mAb 310 to 370 nm absorbance were consistent with the presence of oxidized forms of Trp. Finally, mass spectral analysis of peptides derived from control and AAPH-oxidized mAb indicated that excess free met did effectively protect mAb met residues from oxidation, and that AAPH-oxidized mAb heavy-chain Trp33 and light-chain Trp91 residues are important for cocaine binding, consistent with a recently derived h2E2 Fab fragment crystal structure containing bound benzoylecgonine. Thus, protection of the anti-cocaine h2E2 mAb from Trp oxidation prior to its clinical administration is critical for its proposed therapeutic use in the treatment of cocaine use disorders.


Assuntos
Anticorpos Monoclonais Humanizados , Cocaína , Triptofano , Anticorpos Monoclonais Humanizados/imunologia , Cocaína/imunologia , Cocaína/metabolismo , Fragmentos Fab das Imunoglobulinas/química , Fragmentos Fab das Imunoglobulinas/imunologia , Fragmentos Fab das Imunoglobulinas/metabolismo , Oxirredução , Triptofano/química
2.
Retrovirology ; 18(1): 26, 2021 09 16.
Artigo em Inglês | MEDLINE | ID: mdl-34530855

RESUMO

BACKGROUND: Extracellular Vesicles (EV) recently have been implicated in the pathogenesis of HIV-1 syndromes, including neuroinflammation and HIV-1 associated neurological disorder (HAND). Cocaine, an illicit stimulant drug used worldwide is known to exacerbate these HIV-1 associated neurological syndromes. However, the effects of cocaine on EV biogenesis and roles of EVs in enhancing HIV-1 pathogenesis are not yet well defined. RESULTS: Here, we investigated the effects of cocaine on EV biogenesis and release in HIV-1 infected immune cells and explored their roles in elicitation of neuroinflammation. We found that cocaine significantly augmented the release of EVs from uninfected and HIV-1 infected T-cells, DCs and macrophages. Further analysis of the molecular components of EVs revealed enhanced expression of adhesion molecules integrin ß1 and LFA-1 in those EVs derived from cocaine treated cells. Intriguingly, in EVs derived from HIV-1 infected cells, cocaine treatment significantly increased the levels of viral genes in EVs released from macrophages and DCs, but not in T-cells. Exploring the molecular mechanism to account for this, we found that DCs and macrophages showed enhanced expression of the cocaine receptor Sigma 1-Receptor compared to T-cells. In addition, we found that cocaine significantly altered the integrity of the RNA-induced silencing complex (RISC) in HIV-1 infected macrophages and DCs compared to untreated HIV-1 infected cells. Characterizing further the molecular mechanisms involved in how cocaine increased EV release, we found that cocaine decreased the expression of the interferon-inducible protein BST-2; this resulted in altered trafficking of intracellular virus containing vesicles and EV biogenesis and release. We also observed EVs released from cocaine treated HIV-1 infected macrophages and DCs enhanced HIV-1 trans-infection to T-cells compared to those from untreated and HIV-1 infected cells. These EVs triggered release of proinflammatory cytokines in human brain microvascular endothelial cells (HBMECs) and altered monolayer integrity. CONCLUSIONS: Taken together, our results provide a novel mechanism which helps to elucidate the enhanced prevalence of neurological disorders in cocaine using HIV-1 infected individuals and offers insights into developing novel therapeutic strategies against HAND in these hosts.


Assuntos
Cocaína/efeitos adversos , Cocaína/imunologia , Células Dendríticas/efeitos dos fármacos , Vesículas Extracelulares/efeitos dos fármacos , HIV-1/imunologia , Macrófagos/efeitos dos fármacos , Doenças Neuroinflamatórias/complicações , Encéfalo/citologia , Cocaína/farmacologia , Citocinas/imunologia , Células Dendríticas/virologia , Células Endoteliais/efeitos dos fármacos , Células Endoteliais/imunologia , Células Endoteliais/virologia , Vesículas Extracelulares/imunologia , Vesículas Extracelulares/virologia , HIV-1/efeitos dos fármacos , HIV-1/patogenicidade , Humanos , Inflamação , Macrófagos/imunologia , Macrófagos/virologia , Biogênese de Organelas
3.
Biochem Biophys Res Commun ; 535: 93-98, 2021 01 08.
Artigo em Inglês | MEDLINE | ID: mdl-33348081

RESUMO

Here we demonstrate that the antigen binding function of a humanized anti-cocaine mAb (h2E2) can be directly and easily determined using simple and inexpensive absorption spectroscopy and dyes commonly used for differential scanning fluorimetry, such as DASPMI and SYPRO Orange. Therapeutic monoclonal antibodies are commonly formulated in buffers which can interfere with necessary functional assays, containing additives and excipients such as mild detergents. Using the undiluted therapeutic product h2E2 mAb in its formulation buffer containing 0.01% polysorbate 80, the number of antigen/cocaine binding sites can be determined by the increase in absorbance (for DASPMI dye) or by the decrease in absorbance maximum wavelength (for SYPRO Orange dye), confirming proper function of the therapeutic mAb product. This ligand-induced visible dye absorption change can also be used to qualitatively evaluate the relative affinities of various metabolites of cocaine. These results are confirmed and extended by binding data obtained in the same formulation buffer using intrinsic tyrosine and tryptophan fluorescence quenching by cocaine, as well as by differential scanning fluorimetry. Interestingly, the binding of the cocaine metabolite norcocaine was demonstrated to be differentially affected by the pH 6 formulation buffer used for this mAb, presumably due to the differential ionizability of the demethylated norcocaine tropane ring nitrogen. This simple, direct, and inexpensive technique should prove useful for evaluation of other small molecule binding mAbs directly in their formulation buffers containing detergent, allowing rapid functional assessment of the produced therapeutic proteins.


Assuntos
Anticorpos Monoclonais/metabolismo , Cocaína/análogos & derivados , Corantes/química , Análise Espectral , Cocaína/imunologia , Fluorometria , Humanos , Ligantes
4.
Biochem Biophys Res Commun ; 533(3): 580-585, 2020 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-32988582

RESUMO

Monoclonal antibodies and their fragments are widely used for research and therapy. Fab fragments are useful since they retain antigen binding specificity, but being smaller proteins, are better able to penetrate biological compartments and tumors, and do not induce Fc-dependent immunological system activation. Our laboratory developed an anti-cocaine mAb (named h2E2) for the treatment of cocaine use disorders, which is currently in advanced pre-clinical development. We are also interested in the Fab fragment of this mAb for potential therapy of acute cocaine overdose. Previously, we showed that this mAb and its F(ab')2 and Fab fragments undergo discrete domain unfolding, as detected by non-reducing SDS-PAGE, and that ligand-induced protein thermal stabilization can be quantitated utilizing differential scanning fluorimetry in the absence of SDS. Here, we demonstrate that multiple Fab protein gel bands observed using non-reducing SDS-PAGE in the presence and absence of cocaine and its metabolites can be explained and interpreted based on the differential stabilization of two unfolding domains in the Fab fragment. The variable domain is stabilized by ligands against SDS unfolding, while the constant domain is not. This data and its interpretation are also supported by differential scanning fluorimetry data for the Fab fragment in SDS. It is likely that these non-reducing SDS-PAGE results and the gel band domain unfolding model will be applicable to other small molecule binding antibodies. Thus, non-reducing SDS-PAGE is a widely available and simple method for assessing domain stability and multi-step unfolding of Fab fragments.


Assuntos
Anticorpos Monoclonais Humanizados/química , Cocaína/imunologia , Fragmentos Fab das Imunoglobulinas/química , Eletroforese em Gel de Poliacrilamida Nativa , Domínios Proteicos , Desdobramento de Proteína
5.
Mikrochim Acta ; 186(8): 523, 2019 07 10.
Artigo em Inglês | MEDLINE | ID: mdl-31292788

RESUMO

Heroin, marijuana and cocaine are widely abused drugs. Their use can be readily detected by analyzing urine for the metabolites morphine (MOR), tetrahydrocannabinol (THC) or benzoylecgonine (BZC). A multiplex immunosensor is described here for detection of MOR, THC and BZC using screen printed carbon array electrodes modified with gold nanoparticles. Antibodies against MOR, THC and BZC were immobilized on eight electrodes in a sensor array simultaneously, and a competitive assay was used for the detection. The free analytes in the sample compete with bovine serum albumin-conjugated analytes for the immobilized antibodies on the sensor surface. The array is capable of detecting the three drugs simultaneously within 20-40 min. The method has a high sensitivity, with detection limits as low as 1.2, 7.0, and 8.0 pg.mL-1 for MOR, THC and BZC, respectively. Cross reactivity testing was preformed to monitor any nonspecific binding. The results revealed good selectivity. Urine samples were spiked with the 3 drugs and tested with the multiplexed immunosensor. Recovery percentages ranged between 88 to 115%. Graphical abstract Schematic presentation of the multiplexed immunosensor for drugs of abuse,viz. tetrahydrocannabinol (THC), morphine (MOR), and benzoylecgonine (BZC)) by using an array of modified electrodes.


Assuntos
Cocaína/análogos & derivados , Dronabinol/urina , Drogas Ilícitas/urina , Morfina/urina , Anticorpos/química , Anticorpos/imunologia , Cocaína/imunologia , Cocaína/urina , Dronabinol/imunologia , Técnicas Eletroquímicas , Ouro/química , Humanos , Proteínas Imobilizadas/química , Proteínas Imobilizadas/imunologia , Imunoensaio , Limite de Detecção , Nanopartículas Metálicas/química , Morfina/imunologia , Detecção do Abuso de Substâncias
6.
Biochem Biophys Res Commun ; 503(2): 944-949, 2018 09 05.
Artigo em Inglês | MEDLINE | ID: mdl-29932917

RESUMO

Monoclonal antibodies are very important in modern therapeutics and constitute a substantial percentage of newly approved drugs. Every therapeutic monoclonal antibody must be analyzed for structural and functional integrity, and all protein heterogeneities need to be identified and quantified. The conformational stabilities of the monoclonal antibodies are also important for antibody storage and handling stabilities. One of the first and simplest of the structural analysis techniques utilized is SDS-PAGE, which can be performed both with and without prior reduction to break disulfide bonds. This permits sizing of both heavy and light chains in the reduced condition, and sizing of the intact antibody and any disulfide aggregates in the non-reduced condition. Analyzing our human anti-cocaine monoclonal antibody, we noted unexpectedly larger apparent molecular weights and apparent protein size heterogeneities using non-reducing SDS-PAGE. These apparent molecular weight heterogeneities are not consistent with other analysis techniques. Heterogeneities were noted using several heating and pre-electrophoretic sample preparation protocols, and are modified by the inclusion of small concentrations of certain alcohols such as propanol and butanol. All of these unexpected results were also observed for a commercial human IgG1 antibody, suggesting that these observations are applicable to IgGs in general. Thus, careful attention must be paid to the interpretation of non-reducing SDS-PAGE results for IgGs. It is hypothesized that differential thermal unfolding of the Fab, CH2 and CH3 domains of the IgGs in SDS give rise to the stable, discrete bands observed using different heating protocols prior to non-reducing SDS-PAGE.


Assuntos
Anticorpos Monoclonais/química , Eletroforese em Gel de Poliacrilamida , Imunoglobulina G/química , Desdobramento de Proteína , Anticorpos Monoclonais/imunologia , Cocaína/imunologia , Eletroforese em Gel de Poliacrilamida/métodos , Calefação , Humanos , Peso Molecular , Domínios Proteicos
7.
Bioorg Med Chem Lett ; 28(16): 2779-2783, 2018 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-29317163

RESUMO

Although cocaine addiction remains a serious health and societal problem in the United States, no FDA-approved treatment has been developed. Vaccines offer an exciting strategy for the treatment of cocaine addiction; however, vaccine formulations need to be optimized to improve efficacy. Herein, we examine the effectiveness of a tricomponent cocaine vaccine, defined as having its hapten (GNE) and adjuvant (cytosine-guanine oligodeoxynucleotide 1826, CpG ODN 1826) covalently linked via the immunogenic protein ovalbumin (OVA). The tricomponent vaccine (GNE-OVA-CpG 1826) and a vaccine of analogous, individual components (GNE-OVA+CpG ODN 1826) were found to similarly induce highly specific anticocaine antibody production in mice and block cocaine's stimulant effects in hyperlocomotor testing.


Assuntos
Adjuvantes Imunológicos , Cocaína/imunologia , Ovalbumina/imunologia , Vacinas/imunologia , Animais , Reações Antígeno-Anticorpo , Cocaína/antagonistas & inibidores , Cocaína/farmacologia , Injeções Intraperitoneais , Locomoção/efeitos dos fármacos , Camundongos , Estrutura Molecular , Vacinas/administração & dosagem , Vacinas/biossíntese
8.
Biochem Biophys Res Commun ; 487(3): 690-694, 2017 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-28442345

RESUMO

We have generated a humanized anti-cocaine monoclonal antibody (mAb), which is at an advanced stage of pre-clinical development. We report here in vitro binding affinity studies, and in vivo pharmacokinetic and efficacy studies of the recombinant mAb. The overall aim was to characterize the recombinant antibody from each of the three highest producing transfected clones and to select one to establish a master cell bank. In mAb pharmacokinetic studies, after injection with h2E2 (120 mg/kg iv) blood was collected from the tail tip of mice over 28 days. Antibody concentrations were quantified using ELISA. The h2E2 concentration as a function of time was fit using a two-compartment pharmacokinetic model. To test in vivo efficacy, mice were injected with h2E2 (120 mg/kg iv), then one hour later injected with an equimolar dose of cocaine. Blood and brain were collected 5 min after cocaine administration. Cocaine concentrations were quantified using LC/MS. The affinity of the antibody for cocaine was determined using a [3H] cocaine binding assay. All three antibodies had long elimination half-lives, 2-5 nM Kd for cocaine, and prevented cocaine's entry into the brain by sequestering it in the plasma. Pharmacokinetic and radioligand binding assays supported designation of the highest producing clone 85 as the master cell bank candidate. Overall, the recombinant h2E2 showed favorable binding properties, pharmacokinetics, and in vivo efficacy.


Assuntos
Anticorpos Monoclonais/química , Anticorpos Monoclonais/imunologia , Encéfalo/imunologia , Cocaína/química , Cocaína/imunologia , Bancos de Tecidos , Anticorpos Monoclonais/genética , Clonagem Molecular/métodos , Desenho de Fármacos , Taxa de Depuração Metabólica , Ligação Proteica , Engenharia de Proteínas/métodos , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/imunologia , Distribuição Tecidual
9.
Rheumatology (Oxford) ; 56(4): 638-643, 2017 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-27354687

RESUMO

Objective: Exposure to illicit cocaine and its frequent adulterant, levamisole, is associated with ANCAs targeting neutrophil elastase (NE), neutropenia and vasculitic/thrombotic skin purpura. The mechanisms of cocaine/levamisole-associated autoimmunity (CLAA) are unknown. The aim of this study was to assess the ability of cocaine and levamisole to induce the release of neutrophil extracellular traps (NETs), a potential source of autoantigen and tissue injury. Methods: We performed quantitative and qualitative assessment of NET formation in neutrophils from healthy donors exposed to either drug in vitro . In addition, IgG from sera of individuals with CLAA (CLAA-IgG) was assessed for its ability to enhance formation of, and to bind to, drug-induced NETs. Results: Both cocaine and levamisole could induce formation of NETs enriched in NE and, potentially, inflammatory mitochondrial DNA. Both drugs could also augment simultaneous release of B cell-activating factor belonging to the TNF family (BAFF). CLAA-IgG, but not IgG from healthy individuals, could potentiate drug-induced NETosis. Furthermore, CLAA-IgG, but not ANCA + control IgG, bound to drug-induced NETs in a pattern consistent with NE targeting. Conclusion: Both cocaine and levamisole may contribute to the development of ANCAs by inducing release of potentially inflammatory NETs in association with NE autoantigen and BAFF. Enhancement of drug-induced NET release by CLAA-IgG provides a potential mechanism linking vasculitis/pupuric skin disease to acute drug exposure in patients with CLAA. Further study of this under-recognized form of autoimmunity will be likely to provide mechanistic insight into ANCA-associated vasculitis and other diseases associated with NETosis.


Assuntos
Autoimunidade/efeitos dos fármacos , Cocaína/imunologia , Inibidores da Captação de Dopamina/imunologia , Armadilhas Extracelulares/efeitos dos fármacos , Levamisol/imunologia , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/induzido quimicamente , Vasculite Associada a Anticorpo Anticitoplasma de Neutrófilos/imunologia , Autoantígenos/efeitos dos fármacos , Autoantígenos/imunologia , Autoimunidade/imunologia , Estudos de Casos e Controles , Cocaína/efeitos adversos , Transtornos Relacionados ao Uso de Cocaína/imunologia , Inibidores da Captação de Dopamina/efeitos adversos , Ensaio de Imunoadsorção Enzimática , Armadilhas Extracelulares/imunologia , Armadilhas Extracelulares/metabolismo , Humanos , Imunoglobulina G/metabolismo , Levamisol/efeitos adversos , Neutrófilos/efeitos dos fármacos , Neutrófilos/imunologia , Neutrófilos/metabolismo
10.
Bioorg Med Chem Lett ; 27(16): 3666-3668, 2017 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-28709828

RESUMO

Given the need for further improvements in anti-cocaine vaccination strategies, a chimeric hapten (GNET) was developed that combines chemically-stable structural features from steady-state haptens with the hydrolytic functionality present in transition-state mimetic haptens. Additionally, as a further investigation into the generation of an improved bifunctional antibody pool, sequential vaccination with steady-state and transition-state mimetic haptens was undertaken. While GNET induced the formation of catalytically-active antibodies, it did not improve overall behavioral efficacy. In contrast, the resulting pool of antibodies from GNE/GNT co-administration demonstrated intermediate efficacy as compared to antibodies developed from either hapten alone. Overall, improved antibody catalytic efficiency appears necessary to achieve the synergistic benefits of combining cocaine hydrolysis with peripheral sequestration.


Assuntos
Anticorpos Catalíticos/imunologia , Cocaína/imunologia , Haptenos/imunologia , Animais , Anticorpos Catalíticos/sangue , Anticorpos Catalíticos/metabolismo , Catálise , Cocaína/química , Cocaína/farmacologia , Ensaio de Imunoadsorção Enzimática , Haptenos/química , Imunoglobulina G/sangue , Locomoção/efeitos dos fármacos , Radioimunoensaio , Vacinação
11.
Mol Pharm ; 13(11): 3884-3890, 2016 11 07.
Artigo em Inglês | MEDLINE | ID: mdl-27717287

RESUMO

Although cocaine abuse and addiction continue to cause serious health and societal problems, an FDA-approved medication to treat cocaine addiction has yet to be developed. Employing a pharmacokinetic strategy, an anticocaine vaccine provides an attractive avenue to address these issues; however, current vaccines have shown varying degrees of efficacy, indicating that further formulation is necessary. As a means to improve vaccine efficacy, we examined the effects of varying anticocaine vaccine formulations by combining a Toll-like receptor 9 (TLR9) agonist with a TLR5 agonist in the presence of alum. The TLR9 agonist used was cytosine-guanine oligodeoxynucleotide 1826 (CpG 1826), while the TLR5 agonist was flagellin (FliC). Formulations with the TLR9 agonist elicited superior anticocaine antibody titers and blockade of hyperlocomotor effects compared to vaccines without CpG 1826. This improvement was seen regardless of whether the TLR5 agonist, FliC, or the nonadjuvanting Tetanus Toxoid (TT) was used as the carrier protein. Additional insights into the value of FliC as a carrier versus adjuvant was also investigated by generating two unique formats of the protein, wild-type and mutated flagellin (mFliC). While the mFliC conjugate retained its ability to stimulate mTLR5, it yielded reduced cocaine sequestration and functional blockade relative to FliC and TT. Overall, this work indicates that activation of TLR9 can improve the function of cocaine vaccines in the presence of TLR5 activation by FliC, with any potential additive effects limited by the inefficiency of FliC as a carrier protein as compared to TT.


Assuntos
Cocaína/imunologia , Animais , Cocaína/metabolismo , Ensaio de Imunoadsorção Enzimática , Flagelina/metabolismo , Masculino , Espectrometria de Massas , Radioimunoensaio , Receptor 5 Toll-Like/metabolismo , Receptor Toll-Like 9/metabolismo , Receptores Toll-Like/metabolismo , Vacinas/imunologia , Vacinas/metabolismo
12.
Bioorg Med Chem Lett ; 26(20): 5078-5081, 2016 10 15.
Artigo em Inglês | MEDLINE | ID: mdl-27599743

RESUMO

There is currently no clinically-approved antidote for cocaine overdose. Efforts to develop a therapy via passive immunization have resulted in a human monoclonal antibody, GNCgzk, with a high affinity for cocaine (Kd=0.18nM). Efforts to improve the production of antibody manifolds based on this antibody are disclosed. The engineering of an HRV 3C protease cleavage site into the GNCgzk IgG has allowed for increased production of a F(ab')2 with a 20% superior capacity to reduce mortality for cocaine overdose in mice.


Assuntos
Anticorpos Monoclonais/imunologia , Cocaína/imunologia , Overdose de Drogas/terapia , Doença Aguda , Animais , Meia-Vida , Masculino , Camundongos
13.
Mol Pharm ; 12(2): 653-62, 2015 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-25531528

RESUMO

Cocaine abuse is problematic, directly and indirectly impacting the lives of millions, and yet existing therapies are inadequate and usually ineffective. A cocaine vaccine would be a promising alternative therapeutic option, but efficacy is hampered by variable production of anticocaine antibodies. Thus, new tactics and strategies for boosting cocaine vaccine immunogenicity must be explored. Flagellin is a bacterial protein that stimulates the innate immune response via binding to extracellular Toll-like receptor 5 (TLR5) and also via interaction with intracellular NOD-like receptor C4 (NLRC4), leading to production of pro-inflammatory cytokines. Reasoning that flagellin could serve as both carrier and adjuvant, we modified recombinant flagellin protein to display a cocaine hapten termed GNE. The resulting conjugates exhibited dose-dependent stimulation of anti-GNE antibody production. Moreover, when adjuvanted with alum, but not with liposomal MPLA, GNE-FliC was found to be better than our benchmark GNE-KLH. This work represents a new avenue for exploration in the use of hapten-flagellin conjugates to elicit antihapten immune responses.


Assuntos
Cocaína/imunologia , Flagelina/química , Haptenos/química , Vacinas/imunologia , Adjuvantes Imunológicos/química , Compostos de Alúmen/química , Animais , Peso Corporal , Ensaio de Imunoadsorção Enzimática , Flagelina/imunologia , Haptenos/imunologia , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Radioimunoensaio
14.
Drug Metab Dispos ; 42(7): 1125-31, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24733787

RESUMO

The monoclonal antibody (mAb), h2E2, is a humanized version of the chimeric human/murine anti-cocaine mAb 2E2. The recombinant h2E2 protein was produced in vitro from a transfected mammalian cell line and retained high affinity (4 nM Kd) and specificity for cocaine over its inactive metabolites benzoylecgonine (BE) and ecgonine methyl ester. In rats, pharmacokinetic studies of h2E2 (120 mg/kg i.v.) showed a long terminal elimination half-life of 9.0 days and a low volume of distribution at steady state (Vdss) of 0.3 l/kg. Pretreatment with h2E2 produced a dramatic 8.8-fold increase in the area under the plasma cocaine concentration-time curve (AUC) and in brain a concomitant decrease of 68% of cocaine's AUC following an i.v. injection of an equimolar cocaine dose. Sequestration of cocaine in plasma by h2E2, shown via reduction of cocaine's Vdss, indicates potential clinical efficacy. Although the binding of cocaine to h2E2 in plasma should inhibit distribution and metabolism, the elimination of cocaine remained multicompartmental and was still rapidly eliminated from plasma despite the presence of h2E2. BE was the major cocaine metabolite, and brain BE concentrations were sixfold higher than in plasma, indicating that cocaine is normally metabolized in the brain. In the presence of h2E2, brain BE concentrations were decreased and plasma BE was increased, consistent with the observed h2E2-induced changes in cocaine disposition. The inhibition of cocaine distribution to the brain confirms the humanized mAb, h2E2, as a lead candidate for development as an immunotherapy for cocaine abuse.


Assuntos
Anticorpos Monoclonais/imunologia , Encéfalo/metabolismo , Cocaína/imunologia , Animais , Células CHO , Cocaína/sangue , Cocaína/farmacocinética , Cricetinae , Cricetulus , Humanos , Masculino , Ratos , Ratos Sprague-Dawley
15.
Br J Clin Pharmacol ; 77(2): 368-74, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23509915

RESUMO

While the worldwide prevalence of cocaine use remains significant, medications, or small molecule approaches, to treat drug addictions have met with limited success. Anti-addiction vaccines, on the other hand, have demonstrated great potential for treating drug abuse using a distinctly different mechanism of eliciting an antibody response that blocks the pharmacological effects of drugs. We provide a review of vaccine-based approaches to treating stimulant addictions; specifically and cocaine addictions. This selective review article focuses on the one cocaine vaccine that has been into clinical trials and presents new data related to pre-clinical development of a methamphetamine (MA) vaccine. We also review the mechanism of action for vaccine induced antibodies to abused drugs, which involves kinetic slowing of brain entry as well as simple blocking properties. We present pre-clinical innovations for MA vaccines including hapten design, linkage to carrier proteins and new adjuvants beyond alum. We provide some new information on hapten structures and linkers and variations in protein carriers. We consider a carrier, outer membrance polysaccharide coat protein (OMPC), that provides some self-adjuvant through lipopolysaccharide components and provide new results with a monophosopholipid adjuvant for the more standard carrier proteins with cocaine and MA. The review then covers the clinical trials with the cocaine vaccine TA-CD. The clinical prospects for advances in this field over the next few years include a multi-site cocaine vaccine clinical trial to be reported in 2013 and phase 1 clinical trials of a MA vaccine in 2014.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/reabilitação , Transtornos Relacionados ao Uso de Cocaína/reabilitação , Vacinas/administração & dosagem , Transtornos Relacionados ao Uso de Anfetaminas/imunologia , Animais , Ensaios Clínicos como Assunto , Cocaína/imunologia , Transtornos Relacionados ao Uso de Cocaína/imunologia , Haptenos/imunologia , Humanos , Imunoterapia/métodos , Metanfetamina/imunologia
16.
Bioorg Med Chem Lett ; 24(19): 4664-4666, 2014 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-25205191

RESUMO

Cocaine abuse remains prevalent worldwide and continues to be a major health concern; nonetheless, there is no effective therapy. Immunopharmacotherapy has emerged as a promising treatment strategy by which anti-cocaine antibodies bind to the drug blunting its effects. Previous passive immunization studies using our human monoclonal antibody, GNCgzk, resulted in protection against cocaine overdose and acute toxicity. To further realize the clinical potential of this antibody, a recombinant IgG form of the antibody has been produced in mammalian cells. This antibody displayed a high binding affinity for cocaine (low nanomolar) in line with the superior attributes of the GNCgzk antibody and reduced cocaine-induced ataxia in a cocaine overdose model.


Assuntos
Anticorpos Monoclonais/imunologia , Ataxia/tratamento farmacológico , Cocaína/imunologia , Animais , Ataxia/induzido quimicamente , Cocaína/antagonistas & inibidores , Modelos Animais de Doenças , Humanos , Imunoterapia , Camundongos , Conformação Molecular , Proteínas Recombinantes/imunologia
17.
Am J Addict ; 23(6): 604-7, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25251469

RESUMO

BACKGROUND AND OBJECTIVES: Immunotherapy for drug addiction is being investigated in several laboratories but most studies are conducted in animals of one sex. Yet, women show heightened immune responses and are more likely to develop autoimmune diseases than men. The purpose of this study was to compare the effects of an active anti-cocaine vaccine, succinyl-norcocaine conjugated to keyhole limpet hemocyanin, for its ability to elicit antibodies and alter cocaine-induced ambulatory activity in male versus female mice. METHODS: Male and female BALB/c mice were vaccinated (n = 44) or served as non-vaccinated controls (n = 34). Three weeks after initial vaccination, a booster was given. Ambulatory activity induced by cocaine (20 mg/kg) was assessed at 7 weeks and plasma obtained at 8 weeks to assess antibody levels. RESULTS: High antibody titers were produced in mice of both sexes. The vaccine reduced ambulatory activity cocaine-induced but this effect was greater in female compared to male mice. DISCUSSION AND CONCLUSIONS: The efficacy of this anti-cocaine vaccine is demonstrated in mice of both sexes but its functional consequences are greater in females than males. SCIENTIFIC SIGNIFICANCE: Results point to the importance of testing animals of both sexes in studies of immunotherapies for addiction.


Assuntos
Adjuvantes Imunológicos/farmacologia , Cocaína/análogos & derivados , Cocaína/farmacologia , Inibidores da Captação de Dopamina/farmacologia , Hemocianinas/farmacologia , Atividade Motora/efeitos dos fármacos , Vacinas/farmacologia , Animais , Anticorpos/imunologia , Cocaína/imunologia , Feminino , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Fatores Sexuais , Vacinação
18.
J Am Chem Soc ; 135(8): 2971-4, 2013 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-23398531

RESUMO

Cocaine addiction is a long-lasting relapsing illness characterized by cycles of abuse, abstinence, and reinstatement, and antibody-based therapies could be a powerful therapeutic approach. Herein, we explored the possibility of using halogenated cocaine haptens to enhance the immunological properties of anti-cocaine vaccines. Three fluorine-containing cocaine haptens (GNF, GNCF and GN5F) and one chlorine-containing cocaine hapten (GNCl) were designed and synthesized, based upon the chemical scaffold of the only hapten that has reached clinical trials, succinyl norcocaine (SNC). Hapten GNF was found to retain potent cocaine affinity, and also elicit antibodies in a higher concentration than the parent structure SNC. Our data suggests that not only could strategic hapten fluorination be useful for improving upon the current cocaine vaccine undergoing clinical trials, but it may also be a valuable new approach, with application to any of the vaccines being developed for the treatment of drugs of abuse.


Assuntos
Cocaína/imunologia , Flúor/química , Haptenos , Vacinas/imunologia
19.
J Pharmacol Exp Ther ; 347(2): 251-7, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23978563

RESUMO

Cocaine is a commonly abused illicit drug that causes significant morbidity and mortality. Although there is no true antidote to cocaine toxicity, current management strategies address the life-threatening systemic effects, namely hyperthermia, vasospasm, and severe hypertension. Clinicians rely on rapid cooling, benzodiazepines, and α-adrenergic antagonists for management, with years of proven benefit. Experimental agents have been developed to more effectively treat acute toxicity. Pharmacodynamic approaches include antipsychotics that are thought to interfere with cocaine's actions at several neurotransmitter receptors. However, these medications may worsen the consequences of cocaine toxicity as they can interfere with heat dissipation, cause arrhythmias, and lower the seizure threshold. Pharmacokinetic approaches use cocaine-metabolizing enzymes, such as butyrylcholinesterase (BChE), cocaine hydrolase (CocH), and bacterial cocaine esterase (CocE). Experimental models with these therapies improve survival, primarily when administered before cocaine, although newer evidence demonstrates beneficial effects shortly after cocaine toxicity has manifested. CocE, a foreign protein, can induce an immune response with antibody formation. When enzyme administration was combined with vaccination against the cocaine molecule, improvement in cocaine-induced locomotor activity was observed. Finally, lipid emulsion rescue has been described in human case reports as an effective treatment in patients with hemodynamic compromise because of cocaine, which correlates well with its documented benefit in toxicity due to other local anesthetics. A pharmaceutical developed from these concepts will need to be expedient in onset and effective with minimal adverse effects while at the same time being economical.


Assuntos
Transtornos Relacionados ao Uso de Cocaína/terapia , Cocaína/toxicidade , Antagonistas Adrenérgicos/administração & dosagem , Antagonistas Adrenérgicos/uso terapêutico , Animais , Antídotos/administração & dosagem , Antídotos/uso terapêutico , Antipsicóticos/administração & dosagem , Antipsicóticos/uso terapêutico , Benzodiazepinas/administração & dosagem , Benzodiazepinas/uso terapêutico , Ensaios Clínicos como Assunto , Cocaína/imunologia , Cocaína/farmacocinética , Transtornos Relacionados ao Uso de Cocaína/tratamento farmacológico , Transtornos Relacionados ao Uso de Cocaína/enzimologia , Humanos , Hipotermia Induzida/métodos , Vacinação
20.
Mol Pharm ; 10(11): 4176-84, 2013 Nov 04.
Artigo em Inglês | MEDLINE | ID: mdl-23927436

RESUMO

Judicious hapten design has been shown to be of importance when trying to generate a viable vaccine against a drug of abuse. Hapten design has typically been predicated upon faithfully emulating the unique chemical architecture that each drug presents. However, the need for drug-hapten congruency may also compromise vaccine immunogenicity if the drug-hapten conjugate possesses chemical epitope instability. There has been no systematic study on the impact of hapten stability as it relates to vaccine immunogenicity. As a starting point, we have probed the stability of a series of cocaine haptens through varying several of its structural elements, including functionality at the C2-position, the nature of the linker, and its site of attachment. Accordingly, a hydrolytic stability profile of four cocaine haptens (GNNA, GNNS, GNE, and GNC) was produced, and these results were compared through each hapten's immunological properties, which were generated via active vaccination. From this group of four, three of the haptens, GNE, GNNA, and GNC, were further examined in an animal behavioral model, and findings here were again measured in relationship to hapten stability. We demonstrate a corresponding relationship between the half-life of the hapten and its immunogenicity, wherein haptens presenting a fully representative cocaine framework elicited higher concentrations of cocaine-specific IgG in sera and also conferred better protection against cocaine-induced locomotor activity. Our results indicate that hapten half-life plays an important role in vaccine immunogenicity and this in turn can impact animal behavioral effects when challenged with a drug of abuse.


Assuntos
Cocaína/química , Cocaína/imunologia , Haptenos/química , Haptenos/imunologia , Vacinas/química , Vacinas/imunologia , Animais , Cocaína/análogos & derivados , Estabilidade de Medicamentos , Camundongos , Estrutura Molecular
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