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Friday, March 27, 2015 Co-sponsored by the ASU Biodesign Institute and the Arizona Farm Bureau Charles J. Arntzen [email protected] After the 9/11/2001 Terrorist Attack on the World Trade Center in New York, and the Pentagon, military funding of counterterrorism increased in the U.S. In 2002 the Army funded a project for Mapp and ASU. • Title: Plant Production of Vaccines and Antibodies for Protection Against Biowarfare Agents. Co-Principle Investigators: C. Arntzen and L. Zeitlin • Goal – determine if viral expression vectors could be used for production of either subunit vaccines or monoclonal antibodies (mAbs) in tobacco. • In our 2005 final report we said: “we have demonstrated that Ebola virus-specific ‘humanized’ monoclonal antibodies can be produced using plant biotechnology”. August 4, 2014 – Bloomberg News broke the story in the U.S. Ebola Drug Made From Tobacco Plant Saves U.S. Aid Workers August 4, 2014 7:52pm MT Two American Missionaries received ZMapp – A “cocktail” of three anti-ebola antibodies. The “tiny” company is Mapp BioPharmaceuticals – a collaborator of ASU for the last 12 years. Larry Zeitlin (President) and Kevin Whaley (CEO) are adjunct ASU faculty via the Biodesign Institute. Zmapp worked quickly and dramatically. The media was fascinated by ZMapp No countermeasures currently exist for the prevention or treatment of the severe sequelae of Filovirus (such as Ebola virus; EBOV) infection. To overcome this limitation in our biodefense preparedness, we have desig ned monoclonal antibodies (mAbs) which could be used in humans as immunoprotectants for EBOV, starting with a murine mAb (13F6) that recognizes the heavily glycosylated mucin-like domain of the virion-attached glycoprotein (GP). Point mutations were introduced into the variable region of the murine mAb to remove predicted human T-cell epitopes, and the variable regions joined to human constant regions to generate a mAb (h-13F6) appropriate for development for human use. We have evaluated the efficacy of three variants of h-13F6 carrying different glycosylation patterns in a lethal mouse EBOV challenge model. The pattern of glycosylation of the various mAbs was found to correlate to level of protection, with aglycosylated h-13F6 providing the least potent efficacy (ED50 = 33 μg). A version with typical heterogenous mammalian glycoforms (ED50 = 11 μg) had similar potency to the original murine mAb. However, h-13F6 carrying complex N-glycosylation lacking core fucose exhibited superior potency (ED50 = 3 μg). Binding studies using Fcγ receptors revealed enhanced binding of nonfucosylated h-13F6 to mouse and human FcγRIII. Together the results indicate the presence of Fc N-glycans enhances the protective efficacy of h-13F6, and that mAbs manufactu The stories were: • How is ZMapp made? • Why tobacco? • When will more ZMapp be available? • Who will pay for it? • Who will decide who gets it? Let me give you a personal history of the work leading up to Zmapp. This starts over 20 years ago with our work on Plant-Made Pharmaceuticals. 1992. Mason, H.D., M.-K. Lam and C. J. Arntzen. Expression of hepatitis B surface antigen in transgenic plants. Proc. Natl. Acad. Sci. USA 89:11745-749. 1st Generation Human Clinical Trials (The “Edible Vaccine” Concept; Vaccine in Food) Milli-International units (anti-HBsAg) • Pre-clinical studies with mice • Volunteers eat diced, raw potato expressing HBsAg Weeks: 0 HBsAg boosting trial Average mean IgG serum antibody titres for all volunteers 1 2 3 4 5 6 7 Virus-based pharmaceutical production – the key innovation after 2005 1. Convert RNA virus to DNA sequence, and reengineer it to express new gene(s). 2. Inject genetic construct into cellular spaces within the leaf. 3. Allow the “reconstructed virus” to replicate for 4-10 days. 4. Extract and purify the protein drug. Let me return to how I became involved in Ebola therapy.. Transgenic plants; minimal processing, oral delivery Viral (transient) expression, GMP processing 2001 was a turning point for research funding in the U.S. Terrorism had become real. After the Sept. 11, 2011 attack on the World Trade Center, Bioterrorism became a stronger military interest. The U. S. Military asked: “Do we have the technology to respond quickly?” Back to back papers published in 2011: December 20, 2011 • Mapp’s antibody protection • ASU’s vaccine protection Both with a mouse model of disease Animal studies conducted with US AMRIID PNAS 2011 108 (51) 20690-20694 PNAS 2011 108 (51) 20695-20700 By 2009, there were multiple research centers providing key elements of the Ebola Antibody Project. Creation of a plant molecular toolbox (for engineering plant viruses, controlling protein production, etc.) Host plant (tobacco) engineering for human glycoslyation Collaboratio n among groups was essential Antibody engineering (creating mAbs with human primary structure) What was missing? Scale-up manufacturing expertise. Accelerating Critical Therapeutics By 2009, the US Military (DARPA) had recognized that plant-made Angel Project pharmaceutical production was limited The Blue Col. Alan McGill, MD. by manufacturing capacity. Project Mngr. Nine member They invested over $80 Million in “bricks Scientific Advisory and mortar” in three U.S. companies to Board build non-redundant capacity. How to make monoclonal antibodies (mAbs) at industrial scale Genes encoding light and heavy chains “Redesigned” plant virus Infect plants Viral “infection” (mAb production) for several days; then harvest. Purify mAbs In 2012-present, KBP has worked to optimize manufacture of anti-Ebola mAbs under cGMP. These were used in preclinical drug characterization. 18 monkeys were infected with high doses of Ebola virus. All survived when treated with Mapp’s anti-Ebola mAbs. Dr. Anthony Fauci, Director of NIH Treatment could be given up to 5 days after initial Ebola infection WSJ January 16, 2015