Department of Pharmacy Analytical Biochemistry Bioanalysis of therapeutic proteins and biomarkers by LC-MS/MS – beyond ligand binding assays Rainer Bischoff www.biomac.nl DKML-Mannheim, September 29, 2016 Overview • Protein bioanalysis: LBAs and LC-MS/MS • In vivo biotransformation of Trastuzumab • Determination of anti-drug antibodies against alpha-Glucosidase 1. Bults, P.; Bischoff, R.; Bakker, H.; Gietema, J. A.; van de Merbel, N. C. LC-MS/MS-based monitoring of in vivo protein biotransformation: quantitative determination of trastuzumab and its deamidation products in human plasma. Anal Chem 2016, 88, 1871-1877. 2. Bronsema, K. J.; Bischoff, R.; Pijnappel, W. W. M. P.; van der Ploeg, A. T.; van de Merbel, N. C. Absolute Quantification of the Total and Antidrug AntibodyBound Concentrations of Recombinant Human α-Glucosidase in Human Plasma Using Protein G Extraction and LC-MS/MS. Anal Chem 2015, 87, 43944401. 3. Bults, P.; Van De Merbel, N. C.; Bischoff, R. Quantification of biopharmaceuticals and biomarkers in complex biological matrices: A comparison of liquid chromatography coupled to tandem mass spectrometry and ligand binding assays. Expert Review of Proteomics 2015, 12, 355-374. Protein Bioanalysis: LBAs and LC-MS/MS • Ligand Binding Assays (LBAs) have been the only option to measure proteins in complex, protein-rich biological matrices until recently. • Accuracy and Precision of LBAs depend on the specificity of the antibodies (or other kinds of affinity binders), the level of non-specific binding and the level of interference from other binders. • The read-out from LBAs is indirect (e.g. color, fluorescence, chemoluminescence), so the assay provides no direct chemical information about the analyte that led to the observed signal. • Recent developments in LC-MS/MS provide an alternative to LBAs. 3 Developments in LC-MS/MS • Introduction of high-speed, high-resolution and high-sensitivity mass spectrometers • Introduction of high-speed, high-resolution LC columns and instruments with the option for miniaturization • Introduction of LC-MS/MS assays (SRM and PRM) in proteomics • Introduction of LC-MS/MS in clinical biomarker analysis • Introduction of LC-MS/MS in regulated bioanalysis of therapeutic proteins 4 LBAs and LC-MS/MS • There are only a few comparisons between LBAs and LC-MS/MS assays for protein bioanalysis in the literature. • Quite often the results from LBAs and LC-MS/MS differ. 5 Proteins are no Single Species Modifications: CH3 S CH3 S C=O OH C=O NH2 native CH3 S C=O NH2 deamidation CH3 S=O proteolysis CH3 S C=O NH2 oxidation C=O NH2 3D change 6 Protein Binding may Interfere with LBAs Binding: CH3 S CH3 S C=O NH2 C=O NH2 unbound CH3 S target-bound CH3 S CH3 S C=O NH2 aggregated C=O NH2 C=O NH2 ADA-bound 7 Measurement Principles Differ LBA LC-MS/MS 8 LBA versus LBA Influence of capturing antibody: monoclonal vs polyclonal Example: ocrelizumab Concentrations in patient plasma ± 2–fold lower with mAB than with pAB pAB mAB Fischer et al, mAbs, 4 (2012) 623-631 Reproduced with permission, copyright Taylor & Francis, 2012 9 LBA versus LBA Pharmacological target CD20 and monoclonal capturing antibody bind to the same epitope of ocrelizumab • no (or reduced) analyte recognition by ELISA when target-bound Polyclonal capturing antibody binds to multiple epitopes • also (partial) analyte recognition by ELISA when target-bound 10 In vivo Biotransformation of Trastuzumab Asn55 11 LC-MS/MS Assay to follow Biotransformations Influence of signature peptide: stable vs unstable Asn55 Trastuzumab heavy chain 1 61 121 181 241 301 361 421 EVQLVESGGG ADSVKGR FTI ASTKGPSVFP GLYSLSSVVT GPSVFLFPPK NSTYRVVSVL ELTKNQVSLT WQQGNVFSCS LVQPGGSLRL SADTSK NTAY LAPSSKSTSG VPSSSLGTQT PKDTLMISRT TVLHQDWLNG CLVKGFYPSD VMHEALHNHY PGKGLEWVAR GDGFYAMDYW WNSGALTSGV PKSCDKTHTC WYVDGVEVHN SKAKGQPREP VLDSDGSFFL IYPT NGYTR Y GQGTLVTVSS HTFPAVLQSS PPCPAPELLG AKTKPREEQY QVYTLPPSRD YSKLTVDKSR SCAASGFNIK LQMNSLRAED GTAALGCLVK YICNVNHKPS PEVTCVVVDV KEYKCKVSNK IAVEWESNGQ TQKSLSLSPG DTYIHWVRQA TAVYYCSRWG DYFPEPVTVS NTKVDKKVEP SHEDPEVKFN ALPAPIEKTI PENNYKTTPP K ITCRASQDVN EDFATYYCQQ PREAKVQWKV LSSPVTKSFN TAVAWYQQKP GKAPKLLIYS ASFLYSGVPS HYTT PPTFGQ GTKVEIKRTV AAPSVFIFPP DNALQSGNSQ ESVTEQDSKD STYSLSSTLT RGEC Trastuzumab light chain 1 61 121 181 DIQMTQSPSS RFSGSRSGTD SDEQLKSGTA LSKADYEKHK LSASVGDRVT FTLTISSLQP SVVCLLNNFY VYACEVTHQG 12 Deamidation Mechanism L Asn peptide O NH2 O H N - a - r- roV l Ty P Ala O NH3 O O O - O O O H N O L Asp peptide N H +H2O +H2O N O L Imide peptide - O O O L isoAsp peptide 13 Bischoff & Kolbe, J. Chrom. B, 662, 261-278 (1994) Probing Deamidation at Asn55 FTISADTSK IYPTNGYTR IYPTNGYTR IYPTsuccGYTR IYPTisoDGYTR IYPTDGYTR 14 Stability Study in Plasma 15 In vivo Biotransformation 160 Concentration (µg/mL) 140 120 100 FTISATDSK IYPTNGYTR 80 ELISA 60 IYPTisoDGYTR IYPTDGYTR 40 20 0 0 200 400 600 Time after first dose (days) 800 16 Determination of Antibodies against Alpha-Glucosidase (ADAs) • Virtually all biopharmaceutical proteins illicit an immune response • Anti-drug antibodies (ADAs) may • Interfere with activity • Affect in vivo half-life • Reduce therapeutic efficacy 17 Enrichment of ADA-bound Alpha-Glucosidase Protein-G binds IgGs along with the bound antigens ADA-bound glucosidase is recovered in an elution step at low pH and quantified by SRM 18 Control of the Enrichment Procedure A signature peptide of IgG-1 was monitored • IgG-1 capture is always above 99% (specific binding) A signature peptide of human serum albumin (HAS) was monitored • HAS capture is always below 5% (non-specific binding) 19 Effect of ADA Levels LOW ADA level HIGH ADA level total rhGAA ADA-bound rhGAA 20 Application to Patient Samples Patient with reduced response to therapy High Patient with normal response to therapy Low Closed symbols: total concentration rhGAA Open symbols: ADA-bound concentration rhGAA 21 Conclusions • Systematic differences of results obtained by LBAs and LC-MS/MS are often due to interference of anti-drug antibodies or other ligands that compete for binding with the ELISA antibodies • Biotransformation of biopharmaceuticals may affect the response in LBAs and/or LC-MS/MS differently • The level of anti-drug antibodies correlates with therapeutic efficacy of alpha-glucosidase during long-term replacement therapy • LC-MS/MS without the use of antibodies can rival ELISA in terms of sensitivity 22 Acknowledgements University of Groningen Trastuzumab Peter Bults Nico C. van de Merbel Hilde Bakker Jourik A. Gietema Alpha-Glucosidase Kees Bronsema Nico C. van de Merbel Pim Pijnappel Ans T. van der Ploeg Grant T3041 Date 1/28/2014 | 24 Thank you for your attention