# Patent

## Title
Antibodies to phosphorylated tau aggregates

## Abstract

This invention concerns affinity tools for oligomeric forms of tau protein. It relates to the field of neurodegeneration, more particularly to the field of tau-related diseases and tauopathy. The invention provides novel tau antibodies and antibody fragments, nucleic acids encoding such antibodies and antibody fragments, cell lines producing such antibodies and antibody fragments, antibody compositions, and kits for the detection of aggregated tau and for the diagnosis of diseases involving aggregated tau. The invention further provides methods for the detection of aggregated tau, for the diagnosis of diseases involving aggregated tau, and for the identification of compositions interfering with the formation and/or stability of tau aggregates.

## Background
CROSS-REFERENCE TO RELATED APPLICATIONS
This application is a U.S. national stage entry under 35 U.S.C. §371 of PCT International Patent Application No. PCT/EP2012/63924, filed Jul. 16, 2012, which claims priority to Great Britain Patent Application No. 1112056.5, filed Jul. 14, 2011, the contents of which are incorporated herein by reference in their entirety.
FIELD OF THE INVENTION
This invention concerns affinity tools for oligomeric forms of tau protein. It relates to the field of neurodegeneration, more particularly to the field of tau-related diseases and tauopathies. The invention provides novel tau antibodies and antibody fragments, nucleic acids encoding such antibodies and antibody fragments, cell lines producing such antibodies and antibody fragments, antibody compositions, and kits for the detection of aggregated tau and for the diagnosis of in diseases involving aggregated tau. The invention further provides methods for the detection of aggregated tau, for the diagnosis of diseases involving aggregated tau, and for the identification of compositions interfering with the formation and/or stability of tau aggregates.
BACKGROUND OF THE INVENTION
Alzheimer's dementia (AD) is the most prevalent neurodegenerative disorder, affecting about 2-5% of the population by the age of 65 years and more than 35% by the age of 85. The disease comprises more than 75% of all dementia cases. Worldwide there are an estimated 18 million AD patients and this number is expected to double in the next 20 years. Besides therapy, early and objective diagnosis remains the major clinical problem. Diagnosis of AD is only definite and certain by post-mortem pathological analysis of the brain for the presence of extracellular deposits of beta-amyloid (Aβ) peptides, known as amyloid plaques, and intracellular aggregates of hyperphosphorylated protein tau in the form of paired helical filaments (PHF) and neurofibrillary tangles (NFT). Based on clinical examination and on cognition tests, the diagnosis evolves from mild-cognitive impairment (MCI) to possible AD and probable AD. In the late stages, trained clinicians can only diagnose AD with 80-85% certainty, leaving a high number of false positive and false negative cases. Hence, there is an urgent need for early and accurate diagnosis as this would allow for proper and effective treatment. Such treatment is not yet available, in part due to the fact that experimental drugs must be tested in early stage of AD before the brain suffers from irreversible damage (Tarditi et al., 2009). Diagnosis based on the imaging of brain, such as MRI or PET, has improved enormously during the last decade but, nonetheless, also these diagnostic systems are only accurate at the later phases of AD and therefore are not useful for the recognition of early stage AD cases (van Berckel and Scheltens, 2007). Therefore, enormous efforts are put in searching for biomarkers that could allow for an objective differentiating measurement in body fluids such as blood plasma or cerebrospinal fluid (CSF).
For the latter, Innogenetics NV (INNX) provides diagnostic kits for clinical practice based on measurement of total tau protein, phosphorylated tau protein, and the amyloid peptide Aβ42 in the form of ELISA-kits INNOTEST® hTau, INNOTEST® phospho-Tau (P-Thr181) and INNOTEST® β-amyloid(1-42), respectively, as well as the multi-parametric immunotest INNO-BIA AlzBio3. These kits give satisfactory results when it comes to discriminate AD patients from healthy persons based on CSF measurements, with an accuracy up to 83%. However, they fall short when it comes to discriminate AD, especially early stage, from other types of dementia or to measure the biomarkers in plasma samples.
To date, there are no effective therapeutic drugs available for AD and the current treatment is limited to the administration of drugs that temporarily suppress the symptoms, such as the cholinesterase inhibitor Reminyl® or the NMDA antagonist Memantine®. For therapeutic intervention, research of the last decades placed a major focus on the prevention or clearance of Aβ deposits. However, more and more data are indicating that this may not be the best approach. Not only is there a poor correlation between Aβ plaque pathology and the clinical progression of AD, but several reports demonstrated the lack of a significant clinical benefit upon immunological clearance of Aβ deposits in the brain of transgenic (Tg) mice and AD patients (Weiner and Frenkel, 2006; Josephs et al., 2008; Tarawneh and Holtzman, 2009). In contrast, the accumulation of paired helical filaments (PHF or PHFtau) and neurofibrillary tangles (NFTs) in the AD brain is highly correlated with disease progression and it is commonly used to stage AD by post-mortem histopathology (Braak and Braak, 1991). Furthermore, the suppression of protein tau in Tg mice models, either genetically or by means of immunological interference, led to reduction of the brain pathology and functional improvement (Santacruz et al., 2005; Oddo et al., 2006; Asuni et al., 2007; Sigurdsson, 2008). Hence, it appears that protein tau might be a good target for therapeutic intervention, either alone or in combination with clearance of toxic Aβ peptides. Unfortunately, there is only limited knowledge about the pathways and molecular mechanisms that drive protein tau to form PHF and NFT, neither is there a profound insight in the structure of the actual toxic tau agent(s), which could be conformer(s), oligomers, paired helical filaments (PHF) and neurofibrillary tangles (NFT).
In contrast to small proteins such as prion, synuclein and peptides such as Aβ where relatively few post-translational modifications and pathological mutations are associated with disease and oligomerization, the microtubule-associated protein tau is a challenge. Many different post-translational modifications, alternative splicing and many different mutations define a wide range of disease associations ranging from Parkinson's disease over frontotemporal lobe dementia to Alzheimer's disease. To study the biochemistry and pathogenicity of protein tau, several model systems have been developed, which include flies and worms as well as cell lines, besides Tg mice.
Yeast is a well-characterized simple system in which the cellular biology is well-described in molecular terms and which can be used to express, purify and characterize specific molecular forms of specific proteins in a timely manner. Recently, so-called humanized yeast models were developed that recapitulated important aspects of a tauopathy. These yeast models displayed tau (hyper)phosphorylation, tau conformational changes and tau self-aggregation. Importantly, creation of the major pathogenic phospho-epitopes on human tau, such as the AD2 (P-Ser396/P-Ser404) and the PG5 (P-Ser409) epitopes, were found to be modulated by Mds1 and Pho85, the yeast orthologues of the two most important mammalian tau kinases, i.e. glycogen synthase kinase 3β (GSK-3β) and cyclin-dependent kinase 5 (cdk5), respectively. Negative and positive modulation of the phosphorylation status of protein tau by expression in the MDS1 and PHO85 deletion strains, respectively, allowed to confirm that hyperphosphorylation correlated with the immunoreactivity of tau to the conformation-dependent antibody MC1 and with the amount of sarkosyl-insoluble tau (Vandebroek et al., 2005). An inverse correlation between hyperphosphorylation of tau and the ability of tau to perform its normal physiological function, i.e. to bind and stabilize microtubuli, could also be demonstrated (Vandebroek et al., 2006).
A detailed analysis of several clinical tau mutants produced in these humanized yeast models demonstrated that the mutants tau-P301L and tau-R406W were less phosphorylated at Ser409 and that this coincided with a markedly lower level of the sarkosyl-insoluble fraction, suggesting that the PG5 epitope is an important determinant for tau aggregation. This finding was substantiated by the observation that the synthetic tau-S409A mutant failed to produce significant amounts of sarcosyl-insoluble tau, while its pseudo-phosphorylated counterpart tau-S409E yielded more or comparable sarkosyl-insoluble tau as wild-type tau. It was further shown that oxidative stress and mitochondrial dysfunction strongly induced tau-insolubility independent of the phosphorylation status (Vanhelmont et al., 2010).
In addition, the humanized yeast strains also allowed to further elucidate the role of the peptidyl-prolyl cis/trans isomerase Pin1 in the pathophysiology of protein tau. Reminiscent of data recently obtained with mammalian systems (Hamdane et al., 2006), it was found that Pin1 and its yeast orthologue Ess1 lower phosphorylation of tau at Thr231 and reduce the level of the in pathologic tau-conformation detectable by MC1 (De Vos et al., International Journal of Alzheimer's Disease Volume 2011 (2011), Article ID 428970, 16 pages).
In order to specifically detect pathogenic forms of tau, several strategies have been attempted. Specific detection of (hyper)phosphorylated tau is one of the approaches developed. These antibodies only recognize their epitopes in their phosphorylated state. Examples of antibodies specific for (hyper)phosphorylated tau are AT8, specific for P-Ser202/P-Ser205 (WO 1993/008302)(Mercken et al., 1992), AT100, specific for P-Thr212/P-Ser214 (Zheng-Fischhofer et al., 1998), AT180, specific for P-Thr231/P-Ser235 (WO 1995/017429), AT270, specific for P-Thr181 (WO 1995/017429), AD2, specific for P-Ser396/P-Ser404 (Buée-Scherrer et al., 1996), and PG5, specific for P-Ser409 (Jicha et al., 1999), anti-Tau pS422 specific for P-Ser422 (WO2012/142423),
An alternative approach is the detection of pathogenic tau species with antibodies recognizing a conformational epitope of pathogenic tau. Examples of such antibodies are A1z50, whose conformational epitope encompasses the N-terminus and one or more microtubule-binding repeats of a single tau molecule (Carmel et al., 1996), and MC1 having a conformational epitope comprising amino acids 5-15 and 312-322 (Jicha et al., 1997). Conformational epitopes may be continuous or not, but typically, they are destroyed by denaturation, e.g. during SDS-PAGE.
Still another strategy has been the detection of processed tau by specific antibodies. Examples of such antibodies include mAb 423, which recognizes tau truncated at G1u391 (Novak et al., 1993), and DC11, which specifically binds to tau truncated at both the N- and C-terminal ends present in AD brains but not in normal brains (Vechterova et al., 2003).
In still a further approach, antibodies have been generated against tau-liposomal vaccines and were shown to specifically bind to phosphorylated tau peptides (WO2010/115843 and WO2012/045882).
In the case of Aβ, antibodies have been developed that preferentially recognize oligomers and/or aggregates, such as protofibrillar aggregates (WO 2004/024090; WO 2005/123775; (Kayed et al., 2010)), amylospheroids (WO 2006/016644), dimeric and higher order oligomeric Aβ (WO 2007/062088), dimers (WO 2008/084402) oligomers and fibrils (WO 2007/096076), and small soluble oligomers called Aβ-derived diffusible ligands (ADDLs; WO 2003/104437; WO 2006/014478; WO 2006/055178). Also for α-synuclein, aggregation of which in neuronal cytoplasmic inclusions known as Lewy bodies is a hallmark for Parkinson's Disease, antibodies have been disclosed that specifically detect oligomeric forms (Emadi et al., 2007; Emadi et al., 2009).
To date, despite several years of research on tau aggregation, no antibodies preferentially binding aggregated tau are available. The present invention provides tau antibodies or antibody fragments preferentially binding to phosphorylated tau aggregates, compositions comprising such antibodies or antibody fragments, nucleic acids encoding such antibodies or antibody fragments, and cell lines and hybridomas secreting such antibodies or antibody fragments. Also provided are methods to induce an immune response towards phosphorylated tau aggregates in an animal, as well as methods to obtain the antibodies or antibody fragments of the invention. The invention further provides methods and kits for the detection of aggregated tau and for the in vitro diagnosis of tauopathies using these antibodies or antibody fragments. Further provided are methods to identify compositions which interfere with formation or stability of such tau aggregates. Also provided are prophylactic or therapeutic compositions for the prevention or treatment of a tauopathy, comprising the antibody or antibody fragment of the invention.
SUMMARY OF THE INVENTION
The present invention relates to improved methods and/or assays for measuring phosphorylated tau and phosphorylated tau aggregates and/or tau fragments. The present invention further relates to certain types of therapy based on the treatment of patients identified as expressing or developing phosphorylated tau and phosphorylated tau aggregates in their body parts. The invention hereto provides for monoclonal antibodies binding to phosphorylated tau and/or phosphorylated tau aggregates and/or tau fragments, and for hybridoma's producing such monoclonal antibodies. The invention also provides for epitopes binding to the monoclonal antibodies of the present invention. Some embodiments of the invention are set forth in claim format directly below:

    One embodiment (1) relates to an isolated tau antibody, antibody-like scaffold or antibody fragment, characterized in that it binds to phosphorylated tau aggregates.
    One embodiment (2) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, wherein the light chain variable region further comprises in a CDR1 region an amino acid sequence as set out in SEQ ID NO: 9, in a CDR2 region an amino acid sequence as set out in SEQ ID NO: 10 and in a CDR3 region an amino acid sequence as set out in SEQ ID NO: 11; and wherein a heavy chain variable region comprises in a CDR1 region an amino acid sequence as set out in SEQ ID NO: 12, in a CDR2 region an amino acid sequence as set out in SEQ ID NO: 13 and in a CDR3 region an amino acid sequence as set out in SEQ ID NO: 14.
    One embodiment (3) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one complementarity determining region (CDR) having an amino acid sequence selected from the group consisting of SEQ ID NO. 12 to SEQ ID NO. 14 and SEQ ID NO. 9 to SEQ ID NO. 11, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 11 and SEQ ID NO. 12 to SEQ ID NO. 14.
    One embodiment (4) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one complementarity determining region (CDR) having an amino acid sequence selected from the group consisting of SEQ ID NO. 12 to SEQ ID NO. 14 and SEQ ID NO. 9 to SEQ ID NO. 11, or an amino acid sequence which has at least 90% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 11 and SEQ ID NO. 12 to SEQ ID NO. 14.
    One embodiment (5) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18.
    One embodiment (6) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one variable domain having an amino acid sequence which has at least 90% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18.
    One embodiment (7) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one variable domain having an amino acid sequence which has at least 95% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18.
    One embodiment (8) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one heavy chain variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 17, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 17.
    One embodiment (9) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one light chain variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 16 and 18, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 16 and 18
    One embodiment (10) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one heavy chain variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 17, or an amino acid sequence which has at least 90% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 17.
    One embodiment (11) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one light chain variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 16 and 18, or an amino acid sequence which has at least 90% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 16 and 18
    One embodiment (12) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, wherein the light chain variable region further comprises in a CDR1 region an amino acid sequence as set out in SEQ ID NO: 22, in a CDR2 region an amino acid sequence as set out in SEQ ID NO: 23 and in a CDR3 region an amino acid sequence as set out in SEQ ID NO: 24; and wherein a heavy chain variable region comprises in a CDR1 region an amino acid sequence as set out in SEQ ID NO: 19, in a CDR2 region an amino acid sequence as set out in SEQ ID NO: 20 and in a CDR3 region an amino acid sequence as set out in SEQ ID NO: 21.
    One embodiment (13) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one complementarity determining region (CDR) having an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 21 and SEQ ID NO. 22 to SEQ ID NO. 24, or an amino acid sequence which has at least 80% or 90% or 95% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 21 and SEQ ID NO. 22 to SEQ ID NO. 24.
    One embodiment (14) relates to an antibody, antibody-like scaffold or antibody fragment according to embodiment 1, further characterized in that it comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and SEQ ID NO. 26, or an amino acid sequence which has at least 80% or 90% or 95% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and SEQ ID NO. 26.
    One embodiment (15) relates to an antibody, antibody-like scaffold or antibody fragment according to any one of the embodiments 1 to 14, which is a monoclonal antibody.
    One embodiment (16) relates to an antibody, antibody-like scaffold or antibody fragment according to any one of the embodiments 1 to 14, which is a mouse monoclonal IgG1 subtype.
    One embodiment (17) relates to an antibody, antibody-like scaffold or antibody fragment according to any one of the embodiments 1 to 14, which is a humanized antibody or fragment thereof of for instance a single-chain antibody, Fv′′ fragment, a Fab fragment (e.g. Fab′ fragment or a F(ab′) fragment) or a single domain antibodies.
    One embodiment (18) relates to an antibody, antibody-like scaffold or antibody fragment according to any one of the embodiments 1 to 14, which is a human antibody or fragment thereof.
    One embodiment (19) relates to an isolated tau antibody, antibody-like scaffold or antibody according to embodiment 1, characterized in that it preferentially binds to phosphorylated tau aggregate.
    One embodiment (20) relates to an isolated tau antibody, antibody-like scaffold or antibody according to embodiment 1, characterized in that it binds to phosphorylated tau aggregate and to unphosphorylated tau.
    One embodiment (21) relates to an antibody or antibody fragment of embodiment 1, further characterized in that it is secreted by the cell line selected from the group consisting of
    
        hybridoma cell line ADx210 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8347CB (name of depositor: Dr Eugeen Vanmechelen; address of the depositor at the time of deposit (7 Apr. 2011): Innogenetics N.V., Industriepark 7, box 4, B-9052 Zwijnaarde; current address of the depositor: ADx NeuroSciences, Industriepark Zwijnaarde 4, 9052 Gent-Zwijnaarde), and
        hybridoma cell line ADx211 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8348CB (name of depositor: Dr Eugeen Vanmechelen; address of the depositor at the time of deposit (7 Apr. 2011): Innogenetics N.V., Industriepark 7, box 4, B-9052 Zwijnaarde; current address of the depositor: ADx NeuroSciences, Industriepark Zwijnaarde 4, 9052 Gent-Zwijnaarde), and
        hybridoma cell line ADx215 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 9679CB.
        Deposit No. LMBP 9679CB was made on May 31, 2012 at the Belgian Coordinated Collections of Micro-organisms (BCCM) LMBP PLASMID COLLECTION, Ghent University—Department of Biomedical Molecular Biology, Technologiepark 927, 9052 Gent-Zwijnaarde, Belgium, under the Budapest Treaty on the International Recognition of the Deposit of Micro-Organisms for the Purposes of Patent Procedure.
    
    
    One embodiment (22) relates to an antibody or antibody fragment according to any one of the embodiments 1 to 19, further characterized in that it is secreted by the hybridoma cell line ADx210 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8347CB.
    One embodiment (23) relates to an antibody or antibody fragment according to embodiments 1 to 19, further characterized in that it is secreted by the hybridoma cell line ADx211 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8348CB.
    One embodiment (24) relates to an antibody or antibody fragment according to embodiments 12 to 18 and 20, further characterized in that it is secreted by the hybridoma cell line ADx215 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 9679CB
    One embodiment (25) relates to a tau antibody, antibody-like scaffold or antibody fragment according to any one of the previous embodiments 1 to 24, further comprising a protein-transduction domain (PTD).
    One embodiment (26) relates to a tau antibody, antibody-like scaffold or antibody fragment according to any one of the previous embodiments 1 to 24, further comprising protein delivery system, for instance a peptide or protein motif crosses the cell plasma membrane, to deliver the tau antibody, tau antibody-like scaffold or tau antibody fragment intracellular.
    One embodiment (27) relates to a tau antibody, antibody-like scaffold or antibody fragment according to any one of the previous embodiments 1 to 24, further comprising a protein-transduction domains (PTDs) to mediate delivery of said tau antibody, tau antibody-like scaffold or tau antibody fragment into cells.
    One embodiment (28) relates to a tau antibody, antibody-like scaffold or antibody fragment according to any one of the previous embodiments 1 to 24, further comprising a carrier reagent such as lipid liposomes or the like that can complex with the tau antibody, tau antibody-like scaffold or tau antibody fragment for promoting delivery of said tau antibody, tau antibody-like scaffold or tau antibody fragment into cells.
    One embodiment (29) relates to a tau antibody, antibody-like scaffold or antibody fragment according to any one of the previous embodiments 1 to 24, further comprising a carrier reagent to promote the delivery of the tau antibody, tau antibody-like scaffold or tau antibody fragment into the cell, thus transfecting the cells for instance the carrier reagent being a bioactive cell membrane-permeable reagent, or other peptides containing protein-transduction domains (PTDs) (i.e., single peptide sequences comprising about 15 to about 30 residues) and such membrane-transducing peptides being of the group consisting of Trojan peptides, human immuodeficiency virus (HIV)-1 transcriptional activator (TAT) protein or its functional domain peptides, and other peptides containing protein-transduction domains (PTDs) derived from translocation proteins such as Drosophilia homeotic transcription factor Antennapedia (Antp) and herpes simplex virus DNA-binding protein, VP22, and the like.
    One embodiment (30) relates to a tau antibody, antibody-like scaffold or antibody fragment according to any one of the previous embodiments 1 to 24, further comprising a carrier reagent to promote the delivery of the tau antibody, tau antibody-like scaffold or tau antibody fragment into the cell, thus transfecting the cells for instance the carrier reagent being a bioactive cell membrane-permeable reagent, or other peptides containing protein-transduction domains (PTDs) (i.e., single peptide sequences comprising about 15 to about 30 residues) and such membrane-transducing peptides being of the group consisting of penetratin 1, Pep-1 (Chariot reagent, Active Motif Inc., CA) and HIV GP41 fragment (519-541).
    One embodiment (31) relates to a tau antibody, antibody-like scaffold or antibody fragment according to any one of the previous embodiments 1 to 24, further comprising a helper reagent to enhance the efficiency of delivery of said tau antibody, tau antibody-like scaffold or tau antibody fragment into the cells for instance such helper reagent such as DEAE-dextran, dextran, polylysine, polyethylamine, polyethylene glycol, acrylamide, a RGD peptide, such as Arg-Gly-Asp-Ser (SEQ ID NO. 52), Arg-Gly-Asp-Ser-Pro-Ala-Ser-Ser-Lys-Pro (SEQ ID NO. 53), and a mixture of a hydrogel and a RGD peptide.
    One embodiment (32) relates to an isolated nucleic acid comprising a polynucleotide encoding the antibody or antibody fragment according to any one of the embodiments 1 to 24.
    One embodiment (33) relates to an isolated cell line producing the antibody or antibody fragment according to any one of embodiments 1 to 24.
    One embodiment (34) relates to a cell line of embodiment 33, selected from the group consisting of
    
        hybridoma cell line ADx210 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8347CB, and
        hybridoma cell line ADx211 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8348CB, and
        hybridoma cell line ADx215 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 9679CB.
    
    
    One embodiment (35) relates to a method for inducing an immune response towards phosphorylated tau aggregates in an animal, comprising administering to said animal phosphorylated tau aggregates, obtainable by a method comprising expression of tau in a pho85Δ yeast strain.
    One embodiment (36) relates to a method of embodiment 35 for obtaining a tau-specific antibody or antibody fragment binding to phosphorylated tau aggregates.
    One embodiment (37) relates to a use of the antibody or antibody fragment a according to any one of embodiments 1 to 24 in the detection of phosphorylated tau aggregates or in the in vitro diagnosis of a tauopathy.
    One embodiment (38) relates to a method for detecting phosphorylated tau aggregates in a sample or for the in vitro diagnosis or monitoring of a tauopathy in a subject, comprising the following steps:
    
        contacting an antibody or antibody fragment according to any one of embodiments 1 to 24 with a sample under conditions suitable for producing an antigen-antibody complex; and
        detecting the formation of said antigen-antibody complex.
    
    
    One embodiment (39) relates to a kit for the detection of phosphorylated tau aggregates or for the in vitro diagnosis or monitoring of a tauopathy in a subject, comprising the antibody or antibody fragment according to any one of embodiments 1 to 24.
    One embodiment (40) relates to a kit to discriminate early stage Alzheimer's dementia, especially from other types of dementia in a subject, comprising the antibody or antibody fragment according to any one of embodiments 1 to 24.
    One embodiment (41) relates to a kit comprising the antibody or antibody fragment according to any one of embodiments 1 to 24 to identify compositions which interfere with formation or stability of such phosphorylated tau aggregates.
    One embodiment (42) relates to a kit comprising the antibody or antibody fragment according to any one of embodiments 1 to 24 for the detection of phosphorylated aggregated tau and for the diagnosis of diseases involving phoshorylated aggregated tau.
    One embodiment (43) relates to a method for the identification of a composition that interferes with the formation or stability of phosphorylated tau aggregates, comprising the following steps:
    
        incubating tau in the presence of a test composition under conditions known to allow the formation of phosphorylated tau aggregates, or incubating phosphorylated tau aggregates in the presence of a test composition;
        detecting phosphorylated tau aggregates according to the method of embodiment 38;
        comparing the amount of phosphorylated tau aggregates detected in the previous step to the amount of phosphorylated tau aggregates detected after incubation in the absence of a test composition;
        concluding from the comparison of the previous step whether said test composition interferes with the formation or stability of phosphorylated tau aggregates.
    
    
    One embodiment (44) relates to an antibody or antibody fragment according to any one of embodiments 1 to 24, for use in the treatment of a disease.
    One embodiment (40) relates to phosphorylated tau aggregates, for instance obtainable by a method comprising expression of tau in a pho85Δ yeast strain, for use in the treatment of a disease.
    One embodiment (45) relates to a prophylactic or therapeutic composition for the prevention or treatment of a tauopathy, comprising the antibody, antibody like fragment or antibody fragment according to any one of embodiments 1 to 31.
    One embodiment (46) relates to a prophylactic or therapeutic composition for the prevention or treatment of a tauopathy, comprising phosphorylated tau aggregates for instance such obtainable by a method comprising expression of tau in a pho85Δ yeast strain.
    One embodiment (47) relates to a prophylactic or therapeutic composition for the prevention or treatment of a tauopathy, comprising the antibody, antibody like fragment or antibody fragment according to any one of embodiments 1 to 31, for use in a treatment of a tau-related diseases or a tauopathies
    One embodiment (48) relates to a nucleic acid encoding such antibodies, antibody like fragments or antibody fragments according to 1 to 24
    One embodiment (49) relates to a peptide representing an epitope of the tau protein, which epitope is recognized by an antibody according to any one of the embodiments 1 to 24
    One embodiment (50) relates to a peptide according to embodiment 49 comprising, consisting essentially of, or consisting of the sequence represented by SEQ ID NO. 27.
    One embodiment (51) relates to a peptide according to embodiment 49 comprising, consisting essentially of, or consisting of the sequence represented by SEQ ID NO. 29.
    One embodiment (52) relates to a peptide according to embodiment 49, which peptide is 9 to 19 amino acids in length.
    One embodiment (53) relates to a peptide according to embodiment 49 consisting of the sequence represented by SEQ ID NO. 27 or 28, which peptide is specifically recognized by an antibody binding to phosphorylated tau aggregates.
    One embodiment (54) relates to a peptide according to embodiment 49 consisting of the sequence represented by SEQ ID NO. 27 or 28, which peptide is specifically recognized by the antibody ADx215.


DETAILED DESCRIPTION OF THE INVENTION
The invention relates in generally to phosphorylated tau and antibodies directed towards phosphorylated tau and phosphorylated tau aggregates. The invention can be implemented in a number of ways, including as a method, an assay, a kit and a composition of matter. In general, the order of the steps of disclosed methods may be altered within the scope of the invention. Embodiments will be discussed with reference to the accompanying figures, which depict one or more exemplary embodiments. Embodiments may be embodied in many different forms and should not be construed as limited to the embodiments set forth herein, shown in the figures and/or described below. Rather, these exemplary embodiments are provided to allow a complete disclosure that conveys the principles of the invention, as set forth in the claim, to those skilled in the art. For the purpose of clarity, technical material that is known in the technical fields related to the invention has not been described in detail so that the invention is not unnecessarily obscured. Unless indicated or defined otherwise, all terms used have their usual meaning in the art, which will be clear to the skilled person. Reference is further made to the standard handbooks, such as (1994; Sambrook and Russell, 2001; Delves et al., 2006; Krebs et al., 2009), as well as to the general background art cited herein.
As used in the specification and the attached claims, the use of “a,” “an” and “the” include references to plural subject matter referred to unless the context clearly dictates otherwise. Thus, for example, reference to “a protein” includes a single catalyst as well as a combination or mixture of two or more proteins, reference to “an antigen” encompasses a combination or mixture of different antigens as well as a single antigen, and the like.
A term which is subsumed under another term may be embraced by the broader term or by the more narrow specific term as appropriate within the context of the use of that term. All terms used to describe the present invention are used within context
The present invention provides isolated tau antibodies and antibody fragments, characterized in that they preferentially bind to phosphorylated tau aggregates. The invention provides isolated tau antibodies and antibody fragments characterized in that they bind phosphorylated tau aggregates but not unphosphorylated tau. The invention also provides isolated tau antibodies and antibody fragments characterized in that they bind phosphorylated tau aggregates and unphosphorylated tau. The invention further provides epitopes recognized by the isolated tau antibodies and antibody fragments.
As used herein, “tau”, “tau protein”, “tau isoform”, “tau molecule”, “tau variant”, “tau mutant”, “tau homologue” and “tau isoform” are used interchangeable to denote a polypeptide or protein that is encoded by at least one exon of a tau gene, irrespective of whether post-translational modifications are present or not. Such gene can encode a protein of the tau protein family mentioned above and derivatives thereof. Such proteins are characterised as one family among a larger number of protein families which co-purify with microtubules during repeated cycles of assembly and disassembly (Shelanski et al., 1973), and known as microtubule-associated-proteins (MAPs). The tau family in addition is characterised by the presence of a characteristic N-terminal segment which is shared by all members of the family, sequences of  ̃50 amino acids inserted in the N-terminal segment, which are developmentally regulated in the brain, a characteristic tandem repeat region consisting of 3 or 4 tandem repeats of 31-32 amino acids, and a C-terminal tail. A tau protein can in an embodiment comprise the amino acid sequence of “T40” with the sequence described in Goedert et al., 1989.
The terms “tau gene”, “tau nucleic acid”, “tau polynucleotide”, “tau gene construct”, “tau gene variant”, “tau gene homologue”, are used interchangeably and mean a naturally occurring tau gene, an allelic variant thereof, a homologue thereof, a mutated variant thereof, a transcript thereof, a part thereof, or a recombinant derivative thereof, including but not limited to single strand DNA (ssDNA), complementary DNA (cDNA), synthetic DNA, messenger RNA, encoding for tau, a tau isoform, a tau variant, a tau homologue, a tau mutant, or a part thereof.
Tau is a microtubule-associated protein (MAP) synthesized in neurons. Six major isoforms of tau having different physiological roles are derived from a single gene by alternative splicing (Goedert et al., 1989). The isoforms can contain 0, 1, or 2 N-terminal insertions (denoted as 0N, 1N and 2N iso forms, respectively) encoded by exons 2 and 3, and further 0 or 1 extra C-terminal microtubule-binding domain encoded by exon 10 (denoted as 3R and 4R, respectively). As such, the isoforms are denoted as 0N/3R, 0N/4R, 1N/3R, 1N/4R, 2N/3R, and 2N/4R. For instance in an embodiment of present invention the iso form is microtubule-associated protein tau iso form 1 [Homo sapiens] with the NCBI Reference Sequence: NP_058519.3 as deposited with accession number NP_058519 w on 26 Jun. 2011 (SEQ ID NO: 1 in this application). For instance in another embodiment of present invention the isoform is microtubule-associated protein tau isoform 2 [Homo sapiens] with NCBI Reference Sequence: NP_005901.2 as deposited under accession number NP_005901 NP_776088 date 26 Jun. 2011 (SEQ ID NO: 2 in this application). For instance in another embodiment of present invention the iso form is microtubule-associated protein tau isoform 3 [Homo sapiens] with the NCBI Reference Sequence: NP_058518.1 date 26 Jun. 2011 as deposited with the accession number NP_058518, version NP_058518.1 GI:8400711 (SEQ ID NO: 3 in this application). For instance in another embodiment of present invention the iso form is microtubule-associated protein tau isoform 4 [Homo sapiens] with NCBI Reference Sequence: NP_058525.1 date 26 Jun. 2011 as deposited with the accession number NP_058525, version NP_058525.1 GI:8400715 (SEQ ID NO: 4 in this application). For instance in another embodiment of present invention the iso form is microtubule-associated protein tau isoform 5 [Homo sapiens] with NCBI Reference Sequence: NP_001116539.1 date 26 Jun. 2011 as deposited with the accession number NP_001116539 version NP_001116539.1 GI:178557736 (Ref ID: 5 in this application). For instance in another embodiment of present invention the iso form is microtubule-associated protein tau isoform 6 [Homo sapiens] with NCBI Reference Sequence: NP_001116538.2 date 26 Jun. 2011 as deposited with the accession number NP_001116538 version NP_001116538.2 GI:294862258 (SEQ ID NO: 6 in this application). For instance in another embodiment of present invention the iso form is microtubule-associated protein tau isoform 7 [Homo sapiens] with NCBI Reference Sequence: NP_001190180.1 date 26 Jun. 2011 as deposited with accession number NP_001190180 version NP_001190180.1 GI:322303720 (SEQ ID NO: 7 in this application). For instance in another embodiment of present invention the iso form is microtubule-associated protein tau isoform 8 [Homo sapiens] with NCBI Reference Sequence: NP_001190181.1 date 26 Jun. 2011 as deposited with accession number NP_001190181 version NP_001190181.1 GI:322303747 (SEQ ID NO: 8 in this application)
The physiological function of tau is further regulated by phosphorylation. The longest isoform, tau-2N/4R, is 441 amino acids long and has 85 putative phosphorylation sites, the majority of which are located in and adjacent to the microtubule-binding domains. In tauopathies, hyperphosphorylation and aggregation of tau are observed, leading to the formation of intraneuronal deposits of tau aggregates such as paired helical filaments (PHF or PHFtau) and neurofibrillary tangles (NFT) (Mandelkow et al., 2003; Drewes, 2004).
As used herein, “phosphorylated tau” and “phospho-tau” are used interchangeably to denote tau protein of which at least one amino acid is phosphorylated. By “hyperphosphorylated tau” is meant tau protein of which at least two amino acids are phosphorylated.
“Tau aggregate”, “aggregated tau”, “tau oligomer”, “oligomeric tau”, “oligomeric form of tau”, and “tau conformer” are used interchangeably to denote protein structures comprising more than one tau molecule, as opposed to “monomeric tau” and “tau monomers”. As such, these terms include but are not limited to dimers, trimers, tetramers, pentamers, hexamers, heptamers, octamers, enneamers, decamers, dodecamers, icosamers, triacontamers, tetracontamers, or higher-order oligomers and multimers of tau, non-limiting examples of which are granular aggregates, PHF, straight filaments and NFT. The monomers in tau aggregates can be in any form of tau, as described above. Individual monomers in tau aggregates may be homogenous, in that all monomers of an aggregate are alike, or heterogenous, in that individual aggregates comprise different forms of tau. The monomers in tau aggregates may be covalently linked to each other, or non-covalently by weak intermolecular forces, including but not limited to hydrophobic or hydrophylic interactions, hydrogen bonding, salt bridges, or van der Waals forces. A population of aggregates can be homogenous, in that all individual aggregates in that population are alike, or heterogenous, in that individual aggregates in the population may differ from others.
By “phosphorylated tau aggregates” is meant aggregates of phosphorylated tau.
Tau aggregates may be soluble or insoluble. In a particular embodiment, the phosphorylated tau aggregates are soluble. By “soluble” is meant that the tau aggregates will dissolve in fluid. The term “fluid” includes bodily fluids like CSF, blood, plasma, serum, urine, etc., physiological solutions, know to those skilled in the art and including but not limited to physiological salt solutions, and may comprise additional agents like buffering agents, detergents, surfactants, sugars, chelating agents, enzyme inhibitors, reducing agents, oxidizing agents, etc. By “insoluble” is meant that the tau aggregates will precipitate out of the fluid.
The solubility of tau aggregates can therefore be determined under physiological conditions, or for example in the presence of detergents like sarkosyl (synonyms: N-lauroylsarcosine sodium salt and N-dodecanoyl-N-methylglycine sodium salt) or SDS (synonym: lauryl sulfate sodium salt). The skilled person is aware of the existing protocols to determine solubility of tau aggregates in sarkosyl-containing fluids, and to isolate sarkosyl-soluble and -insoluble tau aggregates. Examples of such protocols are found in the Examples and in (Greenberg and Davies, 1990; Vandebroek et al., 2005).
Further, tau aggregates may be stable in the presence of SDS and/or reducing agents like β-mercaptoethanol (β-ME), or they may disintegrate into lower order oligomers or monomers and/or solubilize in the presence of SDS and/or β-ME. Disintegration and/or solubilization of tau aggregates may occur at a range between 0.1 to 10%, or more, SDS in the presence or absence of reducing agent. Preferably, it occurs at 0.1, 0.2, 0.4, 0.6, 0.8, 1.0, 1.2, 1.5, 2.0, 2.5, 3.0, 4.0, 5.0, 7.5, 10%, or more SDS in the presence or absence of reducing agent. Disintegration and/or solubilization of tau aggregates may occur at 0.1, 0.2, 0.4, 0.6, 0.8, 1.0, 1.2, 1.5, 2.0, 2.5, 3.0, 4.0, 5.0, 7.5, 10 mM, or more reducing agent in the presence or absence of SDS. Disintegration and/or solubilization of tau aggregates may occur without boiling or after boiling.
In a particular embodiment of the invention, the phosphorylated tau aggregates are obtainable by production of tau in a yeast strain in which the PHO85 gene has been deleted (pho85Δ strain). Phosphorylated tau aggregates may be used in total extracts of the producing yeast, or after purification. A possible protocol for purification of phosphorylated tau aggregates has been described in (Vandebroek et al., 2005), and is further described in the Examples. In a more preferred embodiment, tau being produced is human tau. In an even more preferred embodiment, tau being produced is the 2N/4R iso form of human tau.
In a particular embodiment, the phosphorylated tau aggregates have an apparent molecular weight which is greater than that of monomeric tau, as estimated by electrophoretic mobility. In a more preferred embodiment, the phosphorylated tau aggregates comprise dimers and/or trimers of phosphorylated tau. In an even more preferred embodiment, tau is the 2N/4R isoform of human tau and the phosphorylated tau aggregates have an apparent molecular weight which is greater than 75 kDa, more preferably greater than 80, 90, 100, 110, 120, 130, or 140 kDa.
Tauopathy is a class of degenerative diseases resulting from the pathological aggregation of tau protein cells in case of neurodegenation cells of the human brain, and in case of type 2 diabetes taupathy in the β-cells. Frequent concomitant manifestation of type 2 diabetes mellitus (T2DM) and Alzheimer's disease (AD) has been recently demonstrated by epidemiological studies. There are functional similarities between β-cells and neurons, such as secretion on demand of highly specific molecules in a tightly controlled fashion. An additional similarity represents the age-related alteration of hyperphosphorylated tau in AD patients. Similarly, alterations have been identified in β-cells of T2DM patients. The islet amyloid polypeptide has been associated with β-cell apoptosis. As a consequence of increasing age, the accumulation of highly modified proteins together with decreased regenerative potential might lead to increasing rates of apoptosis. Moreover, reduction of β-cell replication capabilities results in reduction of β-cell mass in mammals, simultaneously with impaired glucose tolerance. The new challenge is to learn much more about age-related protein modifications. This can lead to new treatment strategies for reducing the incidence of T2DM and AD (Maj et al., 2011). The best known thauopaty is Alzheimer's disease (AD), where tau protein is deposited within neurons in the form of neurofibrillary tangles (NFTs). They were first described by the eponymous Alois Alzheimer in one of his patients suffering from the disorder. Tangles are formed by hyperphosphorylation of a microtubule-associated protein known as tau, causing it to aggregate in an insoluble form. The precise mechanism of tangle formation is not completely understood, and it is still controversial whether tangles are a primary causative factor in the disease or play a more peripheral role. AD is also classified as an amyloidosis because of the presence of senile plaques. The degree of aggregations of hyperphosphorylated tau protein (PHF), or “paired helical filaments”) involvement in AD is defined by Braak stages. Braak stages I and II are used when NFT involvement is confined mainly to the transentorhinal region of the brain, stages III and IV when there's also involvement of limbic regions such as the hippocampus, and V and VI when there's extensive neocortical involvement. This should not be confused with the degree of senile plaque involvement, which progresses differently. Other conditions in which neurofibrillary tangles are commonly observed include: Dementia pugilistica (chronic traumatic encephalopathy), Frontotemporal dementia and parkinsonism linked to chromosome 17 however without detectable β-amyloid plaques, Lytico-Bodig disease (Parkinson-dementia complex of Guam), Tangle-predominant dementia, with NFTs similar to AD, but without plaques, tends to appear in the very old, Ganglioglioma and gangliocytoma, Meningioangiomatosis, Subacute sclerosing panencephalitis. As well as lead encephalopathy, tuberous sclerosis, Hallervorden-Spatz disease, and lipofuscinosis. In Pick's disease and corticobasal degeneration tau proteins are deposited in the form of inclusion bodies within swollen or “ballooned” neurons. Argyrophilic grain disease (AGD), another type of dementia, is marked by the presence of abundant argyrophilic grains and coiled bodies on microscopic examination of brain tissue. Some consider it to be a type of Alzheimer disease. It may co-exist with other tauopathies such as progressive supranuclear palsy and corticobasal degeneration. Some other tauopathies include: Frontotemporal dementia, Frontotemporal lobar degeneration, The non-Alzheimer's tauopathies are sometimes grouped together as “Pick's complex”.
The terms “antibody” and “antibodies” are recognized in the art and refer to proteins also known as immunoglobulins that bind to antigens. It is to be understood that these terms encompass conventional vertebrate antibodies like IgA, IgD, IgE, IgG, IgM, IgT, IgX and IgY, composed of at least two heavy and two light chains, as well as antibodies only composed of two heavy chains (VHH antibodies, IgNAR, heavy-chain antibodies, single-domain antibodies or nanobodies), and single-chain antibodies. In the case of conventional antibodies, the antigen-binding sites are contributed to by the variable domains of both the heavy and light chains (VH and VL). The term “variable domain” refers to the part or domain of an antibody which is partially or fully responsible for antigen binding. Generally, variable domains will be amino acid sequences that essentially consist of 4 framework regions (FR1 to FR4 respectively) and 3 complementarity determining regions (CDR1 to CDR3 respectively), or any suitable fragment of such an amino acid sequence which usually contains at least some of the amino acid residues that form at least one of the CDR's. Such variable domains and fragments are most preferably such that they comprise an immunoglobulin fold or are capable for forming, under suitable conditions, an immunoglobulin fold. Each CDR may contribute to a greater or lesser extent to antigen binding by the antibody. Single domain antibodies or heavy-chain antibodies can be found in camelids and sharks, and each of the antigen-binding sites of these antibodies is formed by a single heavy chain variable domain (VHH) only. Therefore, only three CDRs contribute to a greater or lesser extent to each antigen-binding site. Single chain antibodies (scFv) are derived from conventional antibodies by translational fusion of the VH and VL domains, separated by a flexible linker, into a single antigen-binding domain. Framework sequences of an antibody may be altered without altering the antigenic specificity of the antibody, or in order to change the binding affinity of the antibody. Furthermore, conventional antibodies may switch classes or isotypes without substantially affecting antigen-binding characteristics.
By the term “antibody fragment” is meant a fragment of an antibody that largely retains antigen-binding capacity of the antibody from which it is derived. Therefore, a tau-specific antibody fragment of the invention is capable of preferentially binding to phosphorylated tau aggregates. Antigen-binding capacity is determined by the variable domain or domains, more particularly by 1, 2, 3, 4, 5 or 6 CDRs located in the VH and/or VL domains in the case of conventional and single-chain antibodies, and 1, 2 or 3 CDRs in the case of single-domain antibodies. Preferred antibody fragments of the invention therefore comprise antigen-binding sites comprising 1, 2, 3, 4, 5 or 6 CDRs. Two or more CDRs may be physically separated from each other by connecting regions to provide a framework structure for the CDRs. More preferred antibody fragments of the invention comprise antigen-binding sites comprising 1 or 2 variable domains. Examples of antibody fragments are well-known to the skilled person and include the monovalent antigen-binding fragments (Fab), bivalent F(ab′)2 fragments, Fv fragments (e.g. single chain antibodies scFv), miniaturized antibodies, single-domain antibody fragments like nanobodies (Nelson, 2010). Antibody fragments of the invention may be obtained by enzymatic or chemical proteolysis, or by recombinant DNA technology techniques well known to the skilled person.
Antibodies and antibody fragments of the invention may be further chemically conjugated, non-covalently bound, or translationally fused to other proteins. Single chain antibodies scFv are an example of translational fusion between a VH and a VL domain. Further examples are albumin-conjugated antibodies or antibody fragments, bivalent diabodies, and monospecific and bispecific tandem svFcs (Nelson, 2010).
Antibodies and antibody fragments of the invention may be further modified. Examples of such modifications include the addition of detectable enzymatic, fluorescent, luminescent, or radioactive marker groups or molecules that act in detection such as streptavidin. Other examples include the chemical modification to alter the half-life of antibodies and antibody fragments, such as PEGylation. Still other examples add effector moieties to antibodies and antibody fragments, such as toxins, radioisotopes, enzymes, cytokines, and antigens (Nelson, 2010).
Antibodies or antibody fragments may be further modified into an antibody-derived scaffold or antibody-like scaffolds that largely retains antigen-binding capacity of the antibody or antibody fragments from which it is derived. Examples of antibody-derived scaffolds or antibody-like scaffolds are for domain antibody (dAb) that selectively or preferentially bind the same epitope as a natural antibody for instance dAb with fully human frameworks, for instance dAb fused to a human Fc domain or for instance nanobodies engineered in a molecule that has an IgG-like circulating half-life in humans or antibody fragments with retained antigen-binding capacity or domain antibody with active scaffolds for controlled and cell delivery.
In one embodiment, the antibodies and antibody fragments of the invention are humanized. Antibody fragments derived from an antibody of the invention can be fused to the Fc region of a human antibody, in order to obtain humanized antibodies and antibody fragments. Humanized antibodies or antibody fragments can also be obtained by grafting of one or more CDRs or only their specificity-determining residues (SDRs), optionally together with one or more framework residues important for optimal CDR functionality, of a non-human antibody having the desired antigen-binding specificity, into framework polypeptide sequences of a human antibody or antibody fragment, or even into a universal humanized nanobody scaffold. Methods to humanize antibodies are well known to those skilled in the art (see e.g. (De Pascalis et al., 2002; Kashmiri et al., 2005; Almagro and Fransson, 2008; Vincke et al., 2009; Borras et al., 2010; Harding et al., 2010)).
The antibody fragments of the present invention can also be generated using various phage display methods known in the art. In phage display methods, functional antibody domains are displayed on the surface of phage particles which carry the polynucleotide sequences encoding them. In particular, such phage can be utilized to display epitope-binding domains expressed from a repertoire or combinatorial antibody library (e.g., human or murine). Phage expressing an epitope-binding domain that binds the antigen of interest can be selected or identified with antigen, e.g., using labeled antigen bound or captured to a solid surface or bead. Phages used in these methods are typically filamentous phage including fd and M13 binding domains expressed from phage with antigen-binding antibody domains recombinantly fused to either the phage gene III or gene VIII protein. Examples of phage display methods that can be used to make the antibodies or antibody fragments of the present invention include those disclosed in (Kettleborough et al., 1994; Burton and Barbas, III, 1994; Brinkmann et al., 1995; Ames et al., 1995; Persic et al., 1997); WO/1992/001047; WO 5 90102809; WO 91/10737; WO 92/01047; WO 92/18619; WO 93/11236; WO 95/15982; WO 95/20401; and U.S. Pat. Nos. 5,698,426; 5,223,409; 5,403,484; 5,580,717; 5,427,908; 5,750,753; 5,821,047; 5,571,698; 5,427,908; 5,516,637; 5,780,225; 5,658,727; 5,733,743 and 5,969,108.
After phage selection, the regions of the phage encoding the fragments can be isolated and used to generate the epitope-binding fragments through expression in a chosen host, including mammalian cells, insect cells, plant cells, yeast, and bacteria, using recombinant DNA technology. For example, techniques to recombinantly produce antigen-binding fragments can also be employed using methods known in the art such as those disclosed in WO 92/22324; (Better et al., 1988; Mullinax et al., 1992; Sawai et al., 1995). Examples of techniques which can be used to produce single-chain Fvs and antibodies include those described in U.S. Pat. Nos. 4,946,778 and 5,258,498; (Skerra and Pluckthun, 1988; Huston et al., 1991; Shu et al., 1993).
Changes may be made to the residues that comprise the CDRs without interfering with the ability of the antibody to recognize and bind its cognate epitope. For example, changes that do not affect epitope recognition, yet increase the binding affinity of the antibody for the epitope may be made. Several studies have surveyed the effects of introducing one or more ammo acid changes at various positions in the sequence of an antibody, based on the knowledge of the primary antibody sequence, on its properties such as binding and level of expression (Yang et al., 1995; Vaughan et al., 1998; Rader et al., 1998). In these studies (so called affinity maturation techniques), altered versions of the antibody have been generated by changing the sequences of the encoding genes in the CDR1, CDR2, CDR3, or framework regions, using methods such as oligonucleotide-mediated site-directed mutagenesis, cassette mutagenesis, error-prone PCR, DNA shuffling, or mutator-strains of E. coli (Vaughan et al., 1998). These methods of changing the sequence of the antibody have resulted in improved affinities of the resulting antibodies (Gram et al., 1992; Davies and Riechmann, 1996; Thompson et al., 1996; Boder et al., 2000; Furukawa et al., 2001; Short et al., 2002).
By “tau antibody” and “tau antibody fragment” are meant an antibody and antibody fragment, respectively, that binds to tau. The tau antibodies and tau antibody fragments of the invention are thus antibodies and antibody fragments that bind tau and preferentially bind to phosphorylated tau aggregates. As the skilled person will appreciate, this does not necessarily imply that the antibodies or antibody fragments of the invention bind phosphorylated tau aggregates through a phosphorylated epitope of tau in these aggregates.
The phrase “preferably bind(s)” or “specifically bind(s)” or “bind(s) specifically” when referring to a peptide refers to a peptide molecule which has intermediate or high binding affinity, exclusively or predominately, to a target molecule. The phrases “preferably bind(s) to” or “specifically binds to” refers to a binding reaction which is determinative of the presence of a target protein in the presence of a heterogeneous population of proteins and other biologics. Thus, under designated assay conditions, the specified binding moieties bind preferentially to a particular target protein and do not bind in a significant amount to other components present in a test sample. Specific binding to a target protein under such conditions may require a binding moiety that is selected for its specificity for a particular target antigen. A variety of assay formats may be used to select ligands that are specifically reactive with a particular protein. For example, solid-phase ELISA immunoassays, immunoprecipitation, Typically a specific or selective reaction will be at least twice background signal or noise and more typically more than 10 times background. For instance an antibodies and antibody fragments of the invention preferentially bind to phosphorylated tau aggregates, whereby by “preferentially binding”, “preferentially recognizing” or “preferentially reacting with” is meant that the antibodies or antibody fragments show greater binding capacity for phosphorylated tau aggregates as compared to any other antigen, including phosphorylated and non-phosphorylated tau monomers. The binding capacity of an antibody or antibody fragment to an antigen is reflective of its affinity and/or avidity for that antigen.
In a preferred embodiment of the invention, the antibody of the invention is monoclonal. The term “monoclonal antibody” is well recognized in the art and refers to an antibody or a homogenous population of antibodies that is derived from a single clone. Individual antibodies from a monoclonal antibody population are essentially identical, in that minor naturally occurring mutations may be present. Antibodies from a monoclonal antibody population show a homogenous binding specificity and affinity for a particular epitope.
The term “naturally-occurring” as applied to an object refers to the fact that an object can be found in nature. For example, a polypeptide or polynucleotide sequence that is present in an organism (including viruses) that can be isolated from a source in nature and which has not been intentionally modified by man in the laboratory is naturally-occurring.
The term “rearranged” refers to a configuration of a heavy chain or light chain immunoglobulin locus wherein a V segment is positioned immediately adjacent to a D-J or J segment in a conformation encoding essentially a complete VH or VL domain, respectively. A rearranged immunoglobulin gene locus can be identified by comparison to germline DNA; a rearranged locus has at least one recombined heptamer/nonamer homology element.
The term “unrearranged” or “germline configuration” in reference to a V segment refers to the configuration wherein the V segment is not recombined so as to be immediately adjacent to a D or J segment.
Manuals are available for the many skilled in the art for achieving such antibodies or rearranged antibodies. An overview is provided in the recent work, Handbook of Therapeutic Antibodies Edited by Stefan Dübel, Wiley-VCH Verlag GmBH & Co, KGaA.
The term “nucleic acid” is intended to include DNA molecules and RNA molecules. A nucleic acid can be single-stranded or double-stranded.
The term “substantially identical,” in the context of two nucleic acids or polypeptides refers to two or more sequences or subsequences that have at least about 80%, about 90, about 95% or higher nucleotide or amino acid residue identity, when compared and aligned for maximum correspondence, as measured using the following sequence comparison method and/or by visual inspection. Such “substantially identical” sequences are typically considered to be homologous. The “substantial identity” can exist over a region of sequence that is at least about 50 residues in length, over a region of at least about 100 residues, or over a region at least about 150 residues, or over the full length of the two sequences to be compared. In case of antibodies, any two antibody sequences can only be aligned in one way, by using the numbering scheme in Kabat (see hereunder). Therefore, for antibodies, percent identity has a unique and well-defined meaning.
Amino acids from the variable regions of the mature heavy and light chains of immunoglobulins are designated Hx and Lx respectively, where x is a number designating the position of an amino acid according to the scheme of Kabat, Sequences of Proteins of Immunological Interest (National Institutes of Health, Bethesda, Md., 1987 and 1991). Kabat lists many amino acid sequences for antibodies for each subgroup, and lists the most commonly occurring amino acid for each residue position in that subgroup to generate a consensus sequence. Kabat uses a method for assigning a residue number to each amino acid in a listed sequence, and this method for assigning residue numbers has become standard in the field. Kabat's scheme is extendible to other antibodies not included in his compendium by aligning the antibody in question with one of the consensus sequences in Kabat by reference to conserved amino acids. The use of the Kabat numbering system readily identifies amino acids at equivalent positions in different antibodies. For example, an amino acid at the L50 position of a human antibody occupies the equivalent position to an amino acid position L50 of a mouse antibody. Likewise, nucleic acids encoding antibody chains are aligned when the amino acid sequences encoded by the respective nucleic acids are aligned according to the Kabat numbering convention.
The phrase “selectively (or specifically) hybridizes to” refers to the binding, duplexing, or hybridizing of a molecule to a particular nucleotide sequence under stringent hybridization conditions when that sequence is present in a complex mixture (e.g., total cellular or library DNA or RNA), wherein the particular nucleotide sequence is detected at least at about 10 times background. In one embodiment, a nucleic acid can be determined to be within the scope of the invention by its ability to hybridize under stringent conditions to a nucleic acid otherwise determined to be within the scope of the invention (such as the exemplary sequences described herein).
The phrase “stringent hybridization conditions” refers to conditions under which a probe will hybridize to its target subsequence, typically in a complex mixture of nucleic acid, but not to other sequences in significant amounts (a positive signal (e.g., identification of a nucleic acid of the invention) is about 10 times background hybridization). Stringent conditions are sequence-dependent and will be different in different circumstances. Longer sequences hybridize specifically at higher temperatures. An extensive guide to the hybridization of nucleic acids is found An extensive guide to the hybridization of nucleic acids is found in e.g., Sambrook, ed., MOLECULAR CLONING: A LABORATORY MANUAL (2ND ED.), Vols. 1-3, Cold Spring Harbor Laboratory, (1989); CURRENT PROTOCOLS IN MOLECULAR BIOLOGY, Ausubel, ed. John Wiley & Sons, Inc., New York (1997); LABORATORY TECHNIQUES IN BIOCHEMISTRY AND MOLECULAR BIOLOGY: HYBRIDIZATION WITH NUCLEIC ACID P ROBES, Part I. Theory and Nucleic Acid Preparation, Tijssen, ed. Elsevier, N.Y. (1993).
Generally, stringent conditions are selected to be about 5-10° C. lower than the thermal melting point (Tm) for the specific sequence at a defined ionic strength pH. The Tm is the temperature (under defined ionic strength, pH, and nucleic concentration) at which 50% of the probes complementary to the target hybridize to the target sequence at equilibrium (as the target sequences are present in excess, at Tm, 50% of the probes are occupied at equilibrium). Stringent conditions will be those in which the salt concentration is less than about 1.0 M sodium ion, typically about 0.01 to 1.0 M sodium ion concentration (or other salts) at pH 7.0 to 8.3 and the temperature is at least about 30° C. for short probes (e.g., 10 to 50 nucleotides) and at least about 60° C. for long probes (e.g., greater than 50 nucleotides). Stringent conditions may also be achieved with the addition of destabilizing agents such as formamide as described in Sambrook (cited below). For high stringency hybridization, a positive signal is at least two times background, preferably 10 times background hybridization. Exemplary high stringency or stringent hybridization conditions include: 50% formamide, 5×SSC and 1% SDS incubated at 42° C. or 5×SSC and 1% SDS incubated at 65° C., with a wash in 0.2×SSC and 0.1% SDS at 65° C. For selective or specific hybridization, a positive signal (e.g., identification of a nucleic acid of the invention) is about 10 times background hybridization. Stringent hybridization conditions that are used to identify nucleic acids within the scope of the invention include, e.g., hybridization in a buffer comprising 50% formamide, 5×SSC, and 1% SDS at 42° C., or hybridization in a buffer comprising 5×SSC and 1% SDS at 65° C., both with a wash of 0.2×SSC and 0.1% SDS at 65° C. In the present invention, genomic DNA or cDNA comprising nucleic acids of the invention can be identified in standard Southern blots under stringent conditions using the nucleic acid sequences disclosed here. Additional stringent conditions for such hybridizations (to identify nucleic acids within the scope of the invention) are those which include hybridization in a buffer of 40% formamide, 1 M NaCl, 1% SDS at 37° C.
However, the selection of a hybridization format is not critical—it is the stringency of the wash conditions that set forth the conditions which determine whether a nucleic acid is within the scope of the invention. Wash conditions used to identify nucleic acids within the scope of the invention include, e.g.: a salt concentration of about 0.02 molar at pH 7 and a temperature of at least about 50° C. or about 55° C. to about 60° C.; or, a salt concentration of about 0.15 M NaCl at 72° C. for about 15 minutes; or, a salt concentration of about 0.2×SSC at a temperature of at least about 50° C. or about 55° C. to about 60° C. for about 15 to about 20 minutes; or, the hybridization complex is washed twice with a solution with a salt concentration of about 2×SSC containing 0.1% SDS at room temperature for 15 minutes and then washed twice by 0. 1×SSC containing 0.1% SDS at 68° C. for 15 minutes; or, equivalent conditions. See Sambrook, Tijssen and Ausubel for a description of SSC buffer and equivalent conditions.
The nucleic acids of the invention are present in whole cells, in a cell lysate, or in a partially purified or substantially pure form. A nucleic acid is “isolated” or “rendered substantially pure” when purified away from other cellular components or other contaminants, e.g., other cellular nucleic acids or proteins, by standard techniques, including alkaline/SDS treatment, CsCl banding, column chromatography, agarose gel electrophoresis and others well known in the art. see, e.g., Sambrook, Tijssen and Ausubel. The nucleic acid sequences of the invention and other nucleic acids used to practice this invention, whether RNA, cDNA, genomic DNA, or hybrids thereof, may be isolated from a variety of sources, genetically engineered, amplified, and/or expressed recombinantly. Any recombinant expression system can be used, including, in addition to bacterial, e.g., yeast, insect or mammalian systems. Alternatively, these nucleic acids can be chemically synthesized in vitro. Techniques for the manipulation of nucleic acids, such as, e.g., subcloning into expression vectors, labeling probes, sequencing, and hybridization are well described in the scientific and patent literature, see, e.g., Sambrook, Tijssen and Ausubel. Nucleic acids can be analyzed and quantified by any of a number of general means well known to those of skill in the art. These include, e.g., analytical biochemical methods such as NMR, spectrophotometry, radiography, electrophoresis, capillary electrophoresis, high performance liquid chromatography (HPLC), thin layer chromatography (TLC), and hyperdiffusion chromatography, various immunological methods, such as fluid or gel precipitin reactions, immunodiffusion (single or double), immunoelectrophoresis, radioimmunoassays (RIAs), enzyme-linked immunosorbent assays (ELISAs), immunofluorescent assays, Southern analysis, Northern analysis, dot-blot analysis, gel electrophoresis (e.g., SDS-PAGE), RT-PCR, quantitative PCR, other nucleic acid or target or signal amplification methods, radio labeling, scintillation counting, and affinity chromatography.
The nucleic acid compositions of the present invention, while often in a native sequence (except for modified restriction sites and the like), from either cDNA, genomic or mixtures may be mutated, thereof in accordance with standard techniques to provide gene sequences. For coding sequences, these mutations, may affect amino acid sequence as desired. In particular, DNA sequences substantially homologous to or derived from such sequences described herein are contemplated (where “derived” indicates that a sequence is identical or modified from another sequence).
A nucleic acid is “operably linked” when it is placed into a functional relationship with another nucleic acid sequence. For instance, a promoter or enhancer is operably linked to a coding sequence if it affects the transcription of the sequence. With respect to transcription regulatory sequences, operably linked means that the DNA sequences being linked are contiguous and, where necessary to join two protein coding regions, contiguous and in reading frame. For switch sequences, operably linked indicates that the sequences are capable of effecting switch recombination.
The term “vector” is intended to refer to a nucleic acid molecule capable of transporting another nucleic acid to which it has been linked. One type of vector is a “plasmid”, which refers to a circular double stranded DNA loop into which additional DNA segments may be ligated. Another type of vector is a viral vector, wherein additional DNA segments may be ligated into the viral genome. Certain vectors are capable of autonomous replication in a host cell into which they are introduced (e.g., bacterial vectors having a bacterial origin of replication and episomal mammalian vectors). Other vectors (e.g., non-episomal mammalian vectors) can be integrated into the genome of a host cell upon introduction into the host cell, and thereby are replicated along with the host genome. Moreover, certain vectors are capable of directing the expression of genes to which they are operatively linked. Such vectors are referred to herein as “recombinant expression vectors” (or simply, “expression vectors”). In general, expression vectors of utility in recombinant DNA techniques are often in the form of plasmids. In the present specification, “plasmid” and “vector” may be used interchangeably as the plasmid is the most commonly used form of vector. However, the invention is intended to include such other forms of expression vectors, such as viral vectors (e.g., replication defective retroviruses, adenoviruses and adeno-associated viruses), which serve equivalent functions.
The term “recombinant host cell” (or simply “host cell”) refers to a cell into which a recombinant expression vector has been introduced. It should be understood that such terms are intended to refer not only to the particular subject cell but to the progeny of such a cell. Because certain modifications may occur in succeeding generations due to either mutation or environmental influences, such progeny may not, in fact, be identical to the parent cell, but are still included within the scope of the term “host cell” as used herein.
The term “minilocus transgene” refers to a transgene that comprises a portion of the genomic immunoglobulin locus or on the locus of the selected disease antigen having at least one internal (i.e., not at a terminus of the portion) deletion of a non-essential DNA portion (e.g., intervening sequence; intron or portion thereof) as compared to the naturally-occurring germline Ig locus.
A “label” is a composition detectable by spectroscopic, photochemical, biochemical, immunochemical, or chemical means. For example, useful labels include 32P, fluorescent dyes, electron-dense reagents, enzymes (e.g., as commonly used in an ELISA), biotin, digoxigenin, or haptens and proteins for which antisera or monoclonal antibodies are available (e.g., the polypeptides of the invention can be made detectable, e.g., by incorporating a radiolabel into the peptide, and used to detect antibodies specifically reactive with the peptide).
The term “sorting” in the context of cells as used herein to refers to both physical sorting of the cells, as can be accomplished using, e.g., a fluorescence activated cell sorter, as well as to analysis of cells based on expression of cell surface markers, e.g., FACS analysis in the absence of sorting.
Except when noted, the terms “patient” or “subject” are used interchangeably and refer to a human patients.
The terms “treating” or “treatment” include the administration of the compounds or agents of the present invention to prevent or delay the onset of the symptoms, complications, or biochemical indicia of a disease, alleviating the symptoms or arresting or inhibiting further development of the disease, condition, or disorder (e.g., autoimmune disease). Treatment may be prophylactic (to prevent or delay the onset of the disease, or to prevent the manifestation of clinical or subclinical symptoms thereof) or therapeutic suppression or alleviation of symptoms after the manifestation of the disease.
“Gene delivery vehicle” refers to a recombinant vehicle, such as a recombinant viral vector, a nucleic acid vector (such as plasmid), a naked nucleic acid molecule such as genes, a nucleic acid molecule complexed to a polycationic molecule capable of neutralizing the negative charge on the nucleic acid molecule and condensing the nucleic acid molecule into a compact molecule, a nucleic acid associated with a liposome (Wang et al., PNAS 84: 7851, 1987), a bacterium, and certain eukaryotic cells such as a producer cell, that are capable of delivering a nucleic acid molecule having one or more desirable properties to host cells in an organism.
The term “humanized antibody” as used herein means a human immunoglobulin (a recipient antibody) in which at least part of the residues of complementary-determining region (CDR) is replaced with residues derived from the CDR of a non-human animal antibody (a donor antibody) that has a desired specificity, affinity and capability, such as those of mouse, rat, and rabbit. In some cases, the residue(s) of a Fv framework (FR) in the human immunoglobulin is replaced with residue(s) of the corresponding non-human antibody. The humanized antibody may further comprise a residue that is not found in the recipient antibody or the introduced CDR or framework. These changes are made in order to optimize or improve the properties of the resulting antibody. More detailed information on these changes are referred to Jones et al., 1986; Reichmann et al., 1988; EP-B-239400; Presta, 1992; and EP-B-451216.
A single-chain antibody (also referred to as “scFv”) can be prepared by linking a heavy chain V region and a light chain V region of an antibody (for a review of scFv see Pluckthun “The Pharmacology of Monoclonal Antibodies” Vol. 113, eds. Rosenburg and Moore, Springer Verlag, New York, pp. 269-315 (1994)). Methods for preparing single-chain antibodies are known in the art (see, for example, U.S. Pat. Nos. 4,946,778, 5,260,203, 5,091,513, and 5,455,030). In such scFvs, the heavy chain V region and the light chain V region are linked together via a linker, preferably, a polypeptide linker (Huston, 1988). The heavy chain V region and the light chain V region in a scFv may be derived from the same antibody, or from different antibodies.
An “Fv” fragment is the smallest antibody fragment, and contains a complete antigen recognition site and a binding site. This region is a dimer (VH-VL dimer) wherein the variable regions of each of the heavy chain and light chain are strongly connected by a noncovalent bond. The three CDRs of each of the variable regions interact with each other to form an antigen-binding site on the surface of the VH-VL dimer. In other words, a total of six CDRs from the heavy and light chains function together as an antibody's antigen-binding site. However, a variable region (or a half Fv, which contains only three antigen-specific CDRs) alone is also known to be able to recognize and bind to an antigen, although its affinity is lower than the affinity of the entire binding site. Thus, a preferred antibody fragment of the present invention is an Fv fragment, but is not limited thereto.
Such an antibody fragment may be a polypeptide which comprises an antibody fragment of heavy or light chain CDRs which are conserved, and which can recognize and bind its antigen.
A Fab fragment (also referred to as F(ab)) also contains a light chain constant region and heavy chain constant region (CH1). For example, papain digestion of an antibody produces the two kinds of fragments: an antigen-binding fragment, called a Fab fragment, containing the variable regions of a heavy chain and light chain, which serve as a single antigen-binding domain; and the remaining portion, which is called an “Fc” because it is readily crystallized. A Fab′ fragment is different from a Fab fragment in that a Fab′ fragment also has several residues derived from the carboxyl terminus of a heavy chain CH1 region, which contains one or more cysteine residues from the hinge region of an antibody.
A Fab′ fragment is, however, structurally equivalent to Fab in that both are antigen-binding fragments which comprise the variable regions of a heavy chain and light chain, which serve as a single antigen-binding domain. Herein, an antigen-binding fragment comprising the variable regions of a heavy chain and light chain which serve as a single antigen-binding domain, and which is equivalent to that obtained by papain digestion, is referred to as a “Fab-like antibody”, even when it is not identical to an antibody fragment produced by protease digestion. Fab′-SH is Fab′ with one or more cysteine residues having free thiol groups in its constant region. A F(ab′) fragment is produced by cleaving the disulfide bond between the cysteine residues in the hinge region of F(ab′)2. Other chemically crosslinked antibody fragments are also known to those skilled in the art.
Pepsin digestion of an antibody yields two fragments; one is a F(ab′)2fragment which comprises two antigen-binding domains and can cross-react with antigens, and the other is the remaining fragment (referred to as pFc′). Herein, an antibody fragment equivalent to that obtained by pepsin digestion is referred to as a “F(ab′)2-like antibody” when it comprises two antigen-binding domains and can crossreact with antigens. Such antibody fragments can also be produced, for example, by genetic engineering. Such antibody fragments can also be isolated, for example, from the antibody phage library described above. Alternatively, F(ab′)2-SH fragments can be recovered directly from hosts, such as E. coli, and then allowed to form F(ab′)2 fragments by chemical crosslinking (Carter et al., Bio/Technology 10:163-167 (1992)).
Single domain antibodies can be engineered into antibody like fragments. Single domain antibodies are antibodies whose complementary determining regions are part of a single domain polypeptide. Examples include, but are not limited to, heavy chain antibodies, antibodies naturally devoid of light chains, single domain antibodies derived from conventional 4-chain antibodies, engineered antibodies and single domain scaffolds other than those derived from antibodies. Single domain antibodies may be any of the art, or any future single domain antibodies. Single domain antibodies may be derived from any species including, but not limited to mouse, human, camel, llama, goat, rabbit, bovine. According to one aspect of the invention, a single domain antibody as used herein is a naturally occurring single domain antibody known as heavy chain antibody devoid of light chains. Such single domain antibodies are disclosed in WO 9404678 for example. For clarity reasons, this variable domain derived from a heavy chain antibody naturally devoid of light chain is known herein as a VHH or nanobody to distinguish it from the conventional VH of four chain immunoglobulins. Such a VHH molecule can be derived from antibodies raised in Camelidae species, for example in camel, llama, dromedary, alpaca and guanaco or Elasmobranchii species for instance skates, rays (batoidea), and sharks (selachii). Other species besides Camelidae may produce heavy chain antibodies naturally devoid of light chain; such VHHs are within the scope of the invention. The single-chain polypeptide may be produced by various methods well known in the art such as genetic engineering technique and chemical synthesis. The genetic engineering technique includes constructing a replicable cloning vector or expression vector, transforming the host cell with the vector, culturing the transformed host cell to express the nucleic acid in it, collecting and purifying the single-chain polypeptide. The vector usually comprises the nucleic acid encoding one of the two single-chain polypeptides constituting the diabody-type bispecific antibody according to the present invention. In such case, the resulting two kinds of the vectors are preferably introduced into the same host cell. Alternatively, the two kinds of nucleic acid encoding the different single-chin polypeptide from each other may be comprised in the same vector.
The term “replicable expression vector” or “expression vector” as used herein refers to a piece of DNA (usually double-stranded) that may comprise a fragment of a foreign DNA fragment inserted therein. The foreign DNA is also defined as a “heterologous DNA”, which can not be found naturally in a host cell in interest. The vector is used to carry or convey the foreign or heterologous DNA into an appropriate host cell. Once the vector is introduced into the host cell, it may be replicated independently from a chromosomal DNA of the host cell to produce copies of the vector and foreign DNA inserted therein. The vector also comprises elements essential for translating the foreign DNA into a polypeptide so that the polypeptide molecules encoded by the foreign DNA will be synthesized very quickly.
The above vector means a DNA construct comprising an appropriate control sequence and DNA sequence that are operably linked together (i.e., linked together so that the foreign DNA can be expressed). The control sequence includes a promoter for transcription, an optional operator sequence to regulate the transcription, a sequence encoding an appropriate mRNA ribosome-biding site, an enhancer, a polyadenylation sequence, and a sequence controlling the termination of transcription and translation. The vector may further comprise various sequences known in the art, such as a restriction enzyme cleaving site, a marker gene (selection gene) such as a drug-resistant gene, a signal sequence, and a leader sequence. These sequences and elements may be optionally selected by those skilled in the art depending on the kinds of the foreign DNA and host cell, and conditions of culture medium.
The vector may be in any form such as a plasmid, phage particle, or just simply genomic insert. Once the appropriate host cell is transformed with the vector, the vector will be replicated or function independently from the genome of the host cell, or the vector will alternatively be integrated into the genome of the cell.
Any cell known in the art may be used as the host cell, for example, there may be mentioned procaryotic cells such as including E. coli, eucaryotic cells such as mammalian cells such Chinese hamster ovary (CHO) cell and human cells, yeast, and insect cells.
Although the single-chain polypeptide obtained by the expression in the host cell is usually secreted and collected from the culture medium, it may be also collected from cell lysate when it is directly expressed without a secretion signal. In case the single-chain polypeptide has a membrane-binding property, it may be released from the membrane with an appropriate surfactant such as Triton-X100.
Purification of the polypeptide may be carried out by any method known to those skilled in the art such as centrifugation, hydroxyapatite chromatography, gel electrophoresis, dialysis, separation on ion-exchange chromatography, ethanol precipitation, reverse phase HPLC, silica chromatography, heparin-sepharose chromatography, anion- or cation-resin chromatography such as polyaspartic acid column, chromato-focusing, SDS-PAGE, precipitation with ammonium sulfate, and affinity chromatography. The affinity chromatography, which utilizes affinity with a peptide tag of the single-chain polypeptide, is one of the preferred purification techniques with a high efficiency.
Since the collected single-chain polypeptide may be often included in an insoluble fraction, the polypeptide is preferably purified after being solubilized and denatured. The solubilization treatment may be carried out with the use of any agent known in the art, including alcohol such ethanol, a dissolving agent such as guanidine hydrochloride and urea.
The antibody like fragments according to the present invention is produced by assembling the single-chain polypeptides, eventually on a scaffold, and separating and collecting the thus formed antibody like fragments.
Assembling treatment brings the single-chain polypeptide back in an appropriate spatial arrangement in which a desired biological activity is shown. Thus, since this treatment brings the polypeptides or domains back into an assembling state, it may be considered “re-assembling.” It may be also called “re-constitution” or “refolding” in view of gaining the desired biological activity.
The assembling treatment may be carried out by any method known in the art preferably by gradually lowering the concentration of a denaturing agent such as guanidine hydrochloride in a solution comprising the single-chain polypeptide by means of dialysis. During these processes, an anti-coagulant or oxidizing agent may be optionally added in a reaction system in order to promote the oxidation. The separation and collection of the formed antibody like fragment may be done by any method known in the art as well.
VHHs, according to the present invention, and as known to the skilled addressee are heavy chain variable domains derived from immunoglobulins naturally devoid of light chains such as those derived from Camelidae as described in WO9404678 (and referred to hereinafter as VHH domains or nanobodies). VHH molecules are about 10× smaller than IgG molecules. They are single polypeptides and very stable, resisting extreme pH and temperature conditions. Moreover, they are resistant to the action of proteases which is not the case for conventional antibodies. Furthermore, in vitro expression of VHHs produces high yield, properly folded functional VHHs. In addition, antibodies generated in Camelids will recognize epitopes other than those recognised by antibodies generated in vitro through the use of antibody libraries or via immunisation of mammals other than Camelids or Elasmobranchii species (WO 9749805). As such, anti-albumin VHH's may interact in a more efficient way with serum albumin which is known to be a carrier protein. As a carrier protein some of the epitopes of serum albumin may be inaccessible by bound proteins, peptides and small chemical compounds. Since VHH's are known to bind into ‘unusual’ or non-conventional epitopes such as cavities (WO9749805), the affinity of such VHH's to circulating albumin may be increased.
In one embodiment, the antibody or antibody fragment of present invention comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14.
In an alternative embodiment, the antibody or antibody fragment comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence chosen from SEQ ID NO. 12 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 12, H2 has an amino acid sequence chosen from SEQ ID NO. 13 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 13, H3 has an amino acid sequence chosen from SEQ ID NO. 14 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 14, L1 has an amino acid sequence chosen from SEQ ID NO. 9 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 9, L2 has an amino acid sequence chosen from SEQ ID NO. 10 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 10, and L3 has an amino acid sequence chosen from SEQ ID NO. 11 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 11.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 11.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 11.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 11.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 11.
In a particular embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18 or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 15.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 16.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 15.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 16.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 15.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 16.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 15.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 16.
In an alternative embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 16, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 16.
In one embodiment, the antibody or antibody fragment comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14, characterized in that it preferentially binds to phosphorylated tau aggregates.
In an alternative embodiment, the antibody or antibody fragment comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 9 to SEQ ID NO. 14, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence chosen from SEQ ID NO. 12 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 12, H2 has an amino acid sequence chosen from SEQ ID NO. 13 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 13, H3 has an amino acid sequence chosen from SEQ ID NO. 14 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 14, L1 has an amino acid sequence chosen from SEQ ID NO. 9 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 9, L2 has an amino acid sequence chosen from SEQ ID NO. 10 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 10, and L3 has an amino acid sequence chosen from SEQ ID NO. 11 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 11, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 11, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 11, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 11, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 13, H3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 14, L1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 9, L2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 10, and L3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 11, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18 or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15, 16, 17 and 18, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 15, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 16, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 15, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 16, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 15, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 16, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 15, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 15, characterized in that it preferentially binds to phosphorylated tau aggregates.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 16, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 16, characterized in that it preferentially binds to phosphorylated tau aggregates.
In an alternative embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 16, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 15 and 16, characterized in that it preferentially binds to phosphorylated tau aggregates.
In one embodiment, the antibody or antibody fragment comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24.
In an alternative embodiment, the antibody or antibody fragment comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence chosen from SEQ ID NO. 19 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 19, H2 has an amino acid sequence chosen from SEQ ID NO. 20 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 20, H3 has an amino acid sequence chosen from SEQ ID NO. 21 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 21, L1 has an amino acid sequence chosen from SEQ ID NO. 22 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 22, L2 has an amino acid sequence chosen from SEQ ID NO. 23 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 23, and L3 has an amino acid sequence chosen from SEQ ID NO. 24 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 24.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 19, H2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 20, H3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 21, L1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 22, L2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 23, and L3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 24.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 19, H2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 20, H3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 21, L1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 22, L2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 23, and L3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 24.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 19, H2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 20, H3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 21, L1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 22, L2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 23, and L3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 24.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 19, H2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 20, H3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 21, L1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 22, L2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 23, and L3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 24.
In a particular embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26 or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 25.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 26.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 25.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 26.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 25.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 26.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 25.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 26.
In an alternative embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26.
In one embodiment, the antibody or antibody fragment comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24, or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a (high molecular weight tau complex) characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said antibody or fragment has a binding affinity for the SEQ ID NO 27 epitope or the SEQ ID NO. 27 epitope on a (high molecular weight tau complex) characterized by a Kd of a value between 10 nM to 1 nM.
In an alternative embodiment, the antibody or antibody fragment comprises at least one CDR having an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 19 to SEQ ID NO. 24 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence chosen from SEQ ID NO. 19 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 19, H2 has an amino acid sequence chosen from SEQ ID NO. 20 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 20, H3 has an amino acid sequence chosen from SEQ ID NO. 21 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 21, L1 has an amino acid sequence chosen from SEQ ID NO. 22 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 22, L2 has an amino acid sequence chosen from SEQ ID NO. 23 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 23, and L3 has an amino acid sequence chosen from SEQ ID NO. 24 or an amino acid sequence which has at least 80% identity to SEQ ID NO. 24 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a (high molecular weight tau complex) characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 19, H2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 20, H3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 21, L1 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 22, L2 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 23, and L3 has an amino acid sequence which has at least 85% identity to SEQ ID NO. 24 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 19, H2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 20, H3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 21, L1 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 22, L2 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 23, and L3 has an amino acid sequence which has at least 90% identity to SEQ ID NO. 24 and it is characterized in that it recognizes high molecular weight tau complexes and -epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215); This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 12, H2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 19, H3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 20, L1 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 21, L2 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 22, and L3 has an amino acid sequence which has at least 95% identity to SEQ ID NO. 23 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment as a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises at least one CDR triplet selected from the group consisting of

    
    
        a CDR triplet H1/H2/H3; and
        a CDR triplet L1/L2/L3;
    
    


wherein H1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 19, H2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 20, H3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 21, L1 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 22, L2 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 23, and L3 has an amino acid sequence which has at least 98% identity to SEQ ID NO. 24 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215. This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26 or an amino acid sequence which has at least 80% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a (high molecular weight tau complex) characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 25 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 80% identity to an amino acid sequence of SEQ ID NO. 26 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 25 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 90% identity to an amino acid sequence of SEQ ID NO. 26 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 25 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 95% identity to an amino acid sequence of SEQ ID NO. 26 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a heavy chain variable region having an amino acid sequence of SEQ ID NO. 25, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 25 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In a particular embodiment, the antibody or antibody fragment comprises a light chain variable region having an amino acid sequence of SEQ ID NO. 26, or an amino acid sequence which has at least 98% identity to an amino acid sequence of SEQ ID NO. 26 and it is characterized in that it recognizes high molecular weight tau complexes and epitope 16-GTYGLGDRK-24 (SEQ ID NO. 27) for instance of human Tau isotope hTAU40 (Such antibody can hereafter be referred to as or ADx215). This has further been characterized that it has a much higher affinity (reduced exposure time). This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of 30 nM or less, preferably at a Kd of 10 nM or less, and yet more preferably at a Kd of less than 3 nM. This can be characterized that said the antibody or fragment has a binding affinity for the SEQ ID NO. 27 epitope or the SEQ ID NO. 27 epitope on a high molecular weight tau complex characterized by a Kd of a value between 10 nM to 1 nM.
In an alternative embodiment, the antibody or antibody fragment comprises at least one variable domain having an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26, or an amino acid sequence which has at least 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% identity to an amino acid sequence selected from the group consisting of SEQ ID NO. 25 and 26.
The term “complementarity determining region” or “CDR” refers to variable regions of either H (heavy) or L (light) chains (abbreviated as VH and VL, respectively) and contains the amino acid sequences capable of specifically binding to antigenic targets. These CDR regions account for the specificity of the antibody for a particular antigenic determinant structure. Such regions are also referred to as “hypervariable regions.” The CDRs represent non-contiguous stretches of amino acids within the variable regions but, regardless of species, the positional locations of these critical amino acid sequences within the variable heavy and light chain regions have been found to have similar locations within the amino acid sequences of the variable chains. The accepted CDR regions and variable domains of an antibody are known to the skilled person and have been described by (Kabat et al., 1991) and (Padlan et al., 1995).
The skilled person is familiar with the concept that, upon alignment of corresponding CDRs of different antibodies with similar antigen specificity, the positions in the alignment which are conserved, i.e. identical in all sequences in the alignment, are critical for the antigen specificity of the antibodies. The residues of a particular CDR at these critical positions are known as “specificity-determining residues” or “SDRs”. As a consequence, positions which are not conserved contribute less to the specificity of the antibodies and can be substituted without substantially affecting the antigen specificity of an antibody. Therefore, the skilled person is able to determine which residues could be substituted without substantially affecting antigen specificity of the antibody or antibody fragment. In the same way, the skilled person is able to determine the minimum sequence identity between a particular CDR of an antibody and the corresponding CDR of an antibody of the present invention which is required for the particular CDR to have a similar antigen specificity as the corresponding CDR of an antibody of the present invention. The same holds true for the variable regions.
As used herein, “percentage identity” or “% identity” between two or more amino acid sequences or two or more nucleotide sequences refers to the ratio, expressed in %, of:

    
    
        the number of amino acids or nucleotides in an optimal alignment of the amino acid sequences or nucleotide sequences that are identical in both sequences (i.e. match) to
        the length of the alignment, i.e. the number of aligned positions, including gaps if any.
    
    


In a preferred embodiment, the antibody of the invention is secreted by the hybridoma cell line deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8347CB. This hybridoma cell line and the secreted monoclonal antibody will hereinafter be referred to as ADx210, IGH-593 and/or 7G1G3. Another preferred monoclonal antibody of the invention is secreted by the hybridoma cell line deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8348CB. This hybridoma cell line and the secreted monoclonal antibody will hereinafter be referred to as ADx211, IGH-603 and/or 23H5G11. Another preferred antibody of the invention is secreted by the hybridoma cell line ADx215 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 9679CB. This hybridoma cell line and the secreted monoclonal antibody will hereinafter be referred to as ADx210. The term “hybridoma” is well recognized in the art and refers to a cell line resulting from the fusion of a single antibody-producing cell clone and an immortal cell or tumor cell. As used throughout the text, the term ADx and ADX are used interchangeably.
Protein delivery can be used to deliver the tau antibody, tau antibody-like scaffold or tau antibody fragment of present invention intracellular. Protein delivery, i.e., protein transduction is the process by which a peptide or protein motif crosses the cell plasma membrane. The delivery protein may include an intracellular protein, cell-surface protein, biologically active peptide, protein-nucleic acid conjugate, peptide-nucleic acid conjugate, fusion protein, synthetic peptide, protein-nanoparticle conjugate, protein-polymer conjugate, conjugate between a protein-organic chemical entity or protein-inorganic chemical entity, multi-protein complexes, or any amino-acid containing moiety. Researchers have developed a number of protein-transduction domains (PTDs) that mediate protein delivery into cells. These PTDs or signal peptide sequences are naturally occurring polypeptides of 15 to 30 amino acids, which normally mediate protein secretion in the cells. They are composed of a positively charged amino terminus, a central hydrophobic core and a carboxyl-terminal cleavage site recognized by a signal peptidase. Recently, researchers have shown that a number of membrane-translocating peptides can successfully mediate delivery of polypeptides, protein domains, and full-length protein, including antibodies into cells using solution-based protein transfection protocols. Recently, researchers have also demonstrated the use of lipid liposomes or the like for protein delivery. These technologies are useful to the deliver the tau antibody, tau antibody-like scaffold or tau antibody fragment op present invention into cells.
The invention also discloses a method for transfecting living cells with tau antibody, tau antibody-like scaffold or tau antibody fragment of present invention using surface-mediated delivery. According to an embodiment of the method, a substrate surface having a tau antibody, tau antibody-like scaffold or tau antibody fragment of present to be introduced into cells, is used for culturing cells. The tau antibody, tau antibody-like scaffold or tau antibody fragment of present to be introduced into cells is pre-complexed with a carrier reagent before being applied to the surface. Cells are then overlaid onto the prepared surface. The carrier reagents promote the delivery of the protein of interest into the cell, thus transfecting the cells. Alternatively, tau antibody, tau antibody-like scaffold or tau antibody fragment of present are attached on a suitable substrate surface, then a carrier reagent is added to the proteins to form complexes on the surface. In another embodiment, a fusion protein is used directly. The fusion protein contains a tau antibody, tau antibody-like scaffold or tau antibody fragment of present, fused covalently with any kind of protein or peptide that exhibits properties for spontaneous intracellular penetration (e.g., a herpes simplex protein, VP22). Preferably, a mixture containing a tau antibody, tau antibody-like scaffold or tau antibody fragment of present and a carrier reagent includes a helper reagent to enhance the protein delivery efficiencies. The present method produces a greater than 90% efficiency under optimized conditions for cell uptake of proteins. The present surface-mediated protein delivery technique is also referred to as a “reverse protein delivery.” Such delivery may be used in vivo or in vitro.
The particular embodiments of the invention are described in terms of a carrier reagent. Carrier reagents may comprise a variety of species. In one embodiment, the carrier reagent is a bioactive cell membrane-permeable reagent, or other peptides containing protein-transduction domains (PTDs) (i.e., single peptide sequences comprising about 15 to about 30 residues). Protein-transduction domains (PTDs) mediate protein secretion, and are composed of a positively charged amino terminus, a central hydrophobic core and a carboxyl-terminal cleavage site recognized by a single peptidase. Examples of such membrane-transducing peptides include Trojan peptides, human immuodeficiency virus (HIV)-1 transcriptional activator (TAT) protein or its functional domain peptides, and other peptides containing protein-transduction domains (PTDs) derived from translocation proteins such as Drosophilia homeotic transcription factor Antennapedia (Antp) and herpes simplex virus DNA-binding protein, VP22, and the like. Some commerically available peptides, for example, penetratin 1, Pep-1 (Chariot reagent, Active Motif Inc., CA) and HIV GP41 fragment (519-541), can be used. Other carrier reagents include signal sequences, which have been used efficiently to target proteins to specific locations in both prokaryotic and eukaryotic cells, and a number of membrane-translocating peptides. Membrane-translocating peptides have been applied successfully to mediate membrane-translocation and the importation of a polpeptide, protein domain, full-length protein, or antibody into a cell using standard solution-based transfection protocols. The carrier reagent is a bioactive peptide or ligand that can specifically bind to and activate cell surface receptors. After binding to the cell surface receptors, the receptor and bound carrier-tau antibody complex, carrier-tau antibody-like scaffold complex or carrier-tau antibody fragment complex will undergo internalization, delivering ligand-antibody, ligand-antibody fragment or ligand-antibody-like scaffold complexes into cells. The proteins may be complexed with the ligand beforehand or in situ. The ligand can be complexed with the tau antibody, tau antibody-like scaffold or tau antibody fragment to be introduced into cells by means of non-covalent interaction such as hydrophobic interaction or electrostatic interaction or both, or coupled covalently to the protein, or by means of a ligand-receptor binding interaction. For example, a carrier reagent can be modified with a ligand that can bind specifically to the protein of interest. To illustrate, a synthetic ligand termed “Streptaphage” has efficiently delivered streptavidin to mammalian cells by promoting non-covalent interactions with cholesterol and sphingolipid-rich lipid raft subdomains of cell plasma membranes (Hussey, S. L. & Peterson, B. R., J. Am. Chem. Soc., 124, 6265-6273 (2002)).
In another embodiment, the carrier reagent is a lipid liposome or the like that can complex with the tau antibody, tau antibody-like scaffold or tau antibody fragment of present invention and promote the delivery of the protein into the cell. For example, the protein encapsulated in the formulation binds to the negatively vehicle for delivery (O. Zelphati et al., J. Bio. Chem., 276, 35103-19 (2001)). Products available commercially can be used, such as BioPORTER (Gene Therapy Systems), or ProVectin (Imgenex, San Diego, Calif.).
Protein delivery reagents (e.g., ChariotTM by Active Motif, or BioPORTER® by Gene Therapy Systems) can help save time by bypassing the traditional DNA transfection, transcription and protein translation processes associated with gene expression. Depending on the nature of the particular reagent employed, fusion proteins or chemical coupling in some embodiments would not be needed. The reagent forms a complex with the protein, stabilizes the macromolecule and protects it from degradation during delivery. Once internalized in a cell, the complex can dissociate, leaving the macromolecule biologically active and free to proceed to its target organelle. This is an alternative system to deliver the tau antibody, tau antibody-like scaffold or tau antibody fragment of present invention into a target cell.
The particular embodiments of the invention are described in terms of a helper reagents: The particular embodiments of the invention are described in terms of a helper reagent. In one embodiment, the helper reagent is a polymer such as DEAE-dextran, dextran, polylysine, and polyethylamine. In another embodiment, a helper reagent can also be a cell adherent-enhancing protein, such as fibronectin and gelatin. The helper reagent can be a sugar-based gelatin (e.g., polyethylene glycol) or a synthetic or chemical-based gelatin, such as acrylamide. In a further embodiment, the helper reagent can be a RGD peptide, such as Arg-Gly-Asp-Ser (SEQ ID NO. 52), Arg-Gly-Asp-Ser-Pro-Ala-Ser-Ser-Lys-Pro (SEQ ID NO. 53), and the like. Alternatively, the helper reagent can be a mixture of a hydrogel and a RGD peptide, and combination of any the aforementioned molecules. The use of helper reagents enhances the efficiency of protein delivery into the cells.
Also provided are isolated cell lines producing the antibody or antibody fragments of the present invention. Under “cell line” is to be understood a homogenous population of eukaryotic cells which is genetically stable and can be cultured. Preferably, the cell line is of animal origin. More preferably, the cell line is immortalized. Alternatively, the cell line is of plant or fungal origin. In one embodiment, the cell line of the invention is obtained by genetic transformation with a nucleic acid comprising a polynucleotide encoding the antibody or antibody fragment of the invention under suitable transcriptional and translational control elements, which are known to those skilled in the art, to allow efficient production of the antibody or antibody fragment. In another embodiment, the cell line is a hybridoma cell line selected from the group consisting of

    
    
        hybridoma cell line ADX210 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8347CB, and
        hybridoma cell line ADX211 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 8348CB, and
        hybridoma cell line ADx215 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 9679CB
    
    


Further provided are isolated nucleic acids comprising a polynucleotide encoding the antibody or antibody fragment of the invention. In a preferred embodiment, said polynucleotide comprises or consists essentially of or consists of a nucleotide sequence encoding an antibody fragment of SEQ ID NO. 15 to SEQ ID NO. 18 and SEQ ID NO. 19 to SEQ ID NO. 26. In a more preferred embodiment, said polynucleotide comprises or consists essentially of or consists of the nucleotide sequences encoding the antibody fragment of SEQ ID NO 15 to SEQ ID NO. 18 or SEQ ID NO 25 to SEQ ID NO 26 or SEQ ID NO. 9 to SEQ ID NO. 14 or from of SEQ ID NO. 19 to SEQ ID 24 or from SEQ ID NO 25 to SEQ ID NO. 26. In an even more preferred embodiment, said polynucleotide comprises or consists essentially of or consists of a nucleotide sequence encoding the antibody fragment selected from the group consisting of SEQ ID NO. 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25 and 26.
For conventional antibodies composed of heavy and light chains, the polynucleotides encoding the individual chains may be isolated from mature B-cells or hybridomas producing the antibody of the invention, e.g. by polymerase chain reaction (PCR) or reverse transcription (RT)-PCR, using primers, known to the person skilled in the art, that are suitable for amplification of the heavy and light chain genes or cDNAs. For heavy chain antibodies, the polynucleotide encoding the single chain may be isolated from mature B-cells or hybridomas producing the antibody of the invention, e.g. by polymerase chain reaction (PCR) or reverse transcription (RT)-RPC using primers that are suitable for amplification of the heavy chain gene or cDNA.
It is clear to the person skilled in the art that the obtained polynucleotides can be further manipulated to obtain alternative polynucleotides encoding the antibody fragments of the present invention, or to generate recombinant gene constructs encoding the antibodies and antibody fragments of the invention, as described herein. The polynucleotides of the invention can be further altered by random or site-directed mutagenesis to improve specificity or affinity of the encoded antibody or antibody fragment. The skilled person is also sufficiently acquainted with recombinant DNA technology in order to obtain gene constructs suitable for prokaryotic and eukaryotic expression, i.e. by the addition of transcriptional control elements such as promoters and terminators to the gene construct, and translational control elements such as ribosome entry sites. Thus the nucleic acids of the invention can be introduced into prokaryotic or eukaryotic host cells such as cell lines or germ line cells in order to obtain heterologous production of the antibodies and antibody fragments of the invention.
Further provided are isolated nucleic acids comprising a polynucleotide encoding the tau antigen fragment binding to of one of the antibodies of the present invention. In a preferred embodiment, said polynucleotide comprises a nucleotide sequence encoding the tau antigen fragment binding to the antibody produced by cell line ADx215 deposited under the Budapest Treaty at the Belgian Coordinated Collections of Microorganisms BCCMTM/LMBP Collection under No. LMBP 9679CB. Preferrably the polynucleotide comprises or consists essentially of or consists of a nucleotide sequence encoding the tau antigen fragment of SEQ ID NO. 27. Preferably the polynucleotide comprises or consists essentially of or consists of a nucleotide sequence encoding the tau antigen fragment of SEQ ID NO. 28.
Also provided by the present invention are methods to induce an immune response towards phosphorylated tau aggregates in an animal, comprising administering to said animal phosphorylated tau aggregates. In a preferred embodiment, the phosphorylated tau aggregates are obtainable by production of 2N/4R tau in a yeast strain in which the PHO85 gene has been deleted (pho85Δ strain), as described in (Vandebroek et al., 2005) and in the Examples. In a more preferred embodiment, the phosphorylated tau aggregates are soluble. In an even more preferred embodiment, the phosphorylated tau aggregates comprise dimers and/or trimers of phosphorylated tau.
The immunogenic phosphorylated tau aggregates can be administered alone or in combination with a suitable adjuvant. Suitable adjuvants can be administered before, after, or concurrent with administration of the immunogenic phosphorylated tau aggregates. Preferred adjuvants are aluminum salts (alum), such as aluminum hydroxide, aluminum phosphate, and aluminum sulfate. Adjuvants can be used with or without other specific immunostimulating agents, such as 3-de-O-acetylated monophosphoryl lipid A (3-DMP), polymeric or monomeric amino acids, such as polyglutamic acid or polylysine. Such adjuvants can be used with or without other specific immunostimulating agents, such as muramyl peptides (e.g., N-acetylmuramyl-L-threonyl-D-isoglutamine (thr-MDP), N-acetyl-normuramyl-L-alanyl-D-isoglutamine (nor-MDP), liposomal muramyl tripeptide phosphatidyl ethanolamine (MTP-PE), N-acetylglucsaminyl-N-acetylmuramyl-L-Ala-D-isoGlu-L-Ala-dipalmitoxy propylamide (DTP-DPP, TheramideTM), or other bacterial cell wall components. Oil-in-water emulsions include MF59 (see WO 90/14837 to Van Nest et al., which is hereby incorporated by reference in its entirety), containing 5% Squalene, 0.5% Tween 80, and 0.5% Span 85 (optionally containing various amounts of MTP-PE) formulated into submicron particles using a micro fluidizer; SAF, containing 10% Squalene, 0.4% Tween 80, 5% pluronic-blocked polymer L121, and thr-MDP, either micro fluidized into a submicron emulsion or vortexed to generate a larger particle size emulsion; and the RibiTM adjuvant system (RAS) (Ribi ImmunoChem, Hamilton, Mont.) containing 2% squalene, 0.2% Tween 80, and one or more bacterial cell wall components selected from the group consisting of monophosphoryllipid A (MPLA), trehalose dimycolate (TDM), and cell wall skeleton (CWS), preferably MPL+CWS (DetoxTM). Other adjuvants include Complete Freund's Adjuvant (CFA), Incomplete Freund's Adjuvant (IFA), and cytokines, such as interleukins (IL-I, IL-2, and IL-12), macrophage colony stimulating factor (M-CSF), and tumor necrosis factor (TNF). The choice of an adjuvant depends on the stability of the immunogenic formulation containing the adjuvant, the route of administration, the dosing schedule, the efficacy of the adjuvant for the species being vaccinated, and, in humans, a pharmaceutically acceptable adjuvant is one that has been approved or is approvable for human administration by pertinent regulatory bodies. For example, alum, MPL or Incomplete Freund's adjuvant (Chang et al, Advanced Drug Delivery Reviews 32:173-186 (1998), which is hereby incorporated by reference in its entirety) alone or optionally all combinations thereof are suitable for human administration.
In a preferred embodiment, the method to induce an immune response towards phosphorylated tau aggregates is for obtaining a tau-specific antibody or antibody fragment preferentially binding to phosphorylated tau aggregates. Methods for obtaining antibodies after immunization are known to the skilled person.
As an alternative, antibodies and antibody fragments of the invention can be obtained using various phage display methods known in the art. In phage display methods, functional antibody domains are displayed on the surface of phage particles which carry the polynucleotide sequences encoding them. In particular, such phage can be utilized to display epitope-binding domains expressed from a repertoire or combinatorial antibody library (e.g., human or murine). Phage expressing an epitope-binding domain that binds the antigen of interest can be selected or identified with antigen, e.g., using labeled antigen bound or captured to a solid surface or bead. Phages used in these methods are typically filamentous phage including fd and M13 binding domains expressed from phage with antigen-binding antibody domains recombinantly fused to either the phage gene III or gene VIII protein. Examples of phage display methods that can be used to make the antibodies or antibody fragments of the present invention include those disclosed in (Kettleborough et al., 1994; Burton and Barbas, III, 1994; Brinkmann et al., 1995; Ames et al., 1995; Persic et al., 1997); WO/1992/001047; WO 5 90102809; WO 91/10737; WO 92/01047; WO 92/18619; WO 93/11236; WO 95/15982; WO 95/20401; and U.S. Pat. Nos. 5,698,426; 5,223,409; 5,403,484; 5,580,717; 5,427,908; 5,750,753; 5,821,047; 5,571,698; 5,427,908; 5,516,637; 5,780,225; 5,658,727; 5,733,743 and 5,969,108.
After phage selection, the regions of the phage encoding the fragments can be isolated and used to generate the epitope-binding fragments through expression in a chosen host, including mammalian cells, insect cells, plant cells, yeast, and bacteria, using recombinant DNA technology. For example, techniques to recombinantly produce antigen-binding fragments can also be employed using methods known in the art such as those disclosed in WO 92/22324; (Better et al., 1988; Mullinax et al., 1992; Sawai et al., 1995). Examples of techniques which can be used to produce single-chain Fvs and antibodies include those described in U.S. Pat. Nos. 4,946,778 and 5,258,498; (Skerra and Pluckthun, 1988; Huston et al., 1991; Shu et al., 1993).
The antibody of the present invention can be used in a method for diagnosis or detection of a neurological disorder, such as Alzheimer's disease, by detecting phoshorylated Tau polypeptide or functional parts thereof and/or phoshorylated Tau polypeptide in an oligomeric form.
Diagnosis or detection of a tau-associated disease or condition or of a predisposition to a tau-associated disease or condition in an individual may be achieved by detecting the immunospecific binding of a monoclonal antibody or a functional fragment thereof to an epitope of the tau protein in a sample or in situ, which includes bringing the sample or a specific body part or body area suspected to contain the tau antigen into contact with an antibody which binds an epitope of the tau protein, allowing the antibody to bind to the tau antigen to form an immunological complex, detecting the formation of the immunological complex and correlating the presence or absence of the immunological complex with the presence or absence of the tau antigen in the sample or specific body part or body area, optionally comparing the amount of said immunological complex to a normal control value, wherein an increase in the amount of said complex compared to a normal control value indicates that said individual is suffering from or is at risk of developing a tau-associated disease or condition. In a preferred embodiment, diagnosis or detection of a tau-associated disease or condition or of a predisposition to a tau-associated disease or condition in an individual is be achieved by detecting the immunospecific binding of a monoclonal antibody of the present invention to aggregated tau. Preferably, the antibody for use in the method of detection is ADX210 or a functional fragment thereof. Preferably, the antibody for use in the method of detection is ADX215 or a functional fragment thereof.
“Diagnosis” is defined herein to include monitoring the state and progression of the disease, checking for recurrence of disease following treatment and monitoring the success of a particular treatment. The test may also have prognostic value. The prognostic value of the tests may be used as a marker of potential susceptibility to tauopathy. Thus patients at risk may be identified before the disease has a chance to manifest itself in terms of symptoms identifiable in the patient.
Thus, the invention provides for methods for the detection of phosphorylated tau aggregates in which the antibodies and antibody fragments of the present invention are used. In one embodiment, the method comprises the following steps:

    
    
        contacting an antibody or antibody fragment of the invention with a sample under conditions suitable for producing an antigen-antibody complex; and
        detecting the formation of said antigen-antibody complex.
    
    


Immunological methods for detecting immunospecific binding include but are not limited to fluid or gel precipitation reactions, immuno diffusion (single or double), agglutination assays, immuno-electrophoresis, radio-immunoassays (RIA), enzyme-linked immunosorbent assays (ELISA), Western blots, dot blots, slot blots, liposome immunoassays, line immunoassays (LIA), complement-fixation assays, fluorescent immunoassays, LuminexTM xMAPTM, immunofluorescent flow cytometry, protein A immunoassays, or immuno PCR. An overview of different immunoassays is given in (Wild D. (2001), The Immunoassay Handbook 2nd edition. Nature Pr., London, UK) and (Ghindilis A. L., Pavlov A. R., Atanassov P. B. (eds.) (2002) Immunoassay Methods and Protocols. Humana Press, Totowa, N.J., US). Immunological detection methods further comprise immunohistochemistry, immunofluoromicroscopy and immuno-electron microscopy.
In one embodiment, the antibody or antibody fragment of the invention is used as a capture antibody and may be bound (e.g., covalently or non-covalently, via hydrophobic or hydrophilic interactions, hydrogen bonding, or van der Waals forces) to a solid phase, such as a bead, a plate, a membrane or a chip. Methods of coupling biomolecules, such as antibodies or antigens, to a solid phase are well known in the art. They can employ, for example, bifunctional linking agents, or the solid phase can be treated with a reactive group, such as an epoxide or an imidizole, that will bind the molecule on contact. It is to be understood that more than one antibody or antibody fragment of the invention can be used concomitantly to capture the phosphorylated tau aggregates. The immobilized antibody or antibody fragment of the invention is then brought into contact with the sample to be tested for phosphorylated tau aggregates. Samples to be tested may include bodily samples such as CSF, blood, plasma, serum, urine, etc., but also in vitro generated samples. After removal of unbound sample, the antigen-antibody complex can be detected by detection of the bound phosphorylated tau aggregates. This detection can be performed by using an antibody able to bind to aggregated tau, phosphorylated tau, or tau. Alternatively, the whole antibody-antigen complex is detected.
In an alternative embodiment, the capturing is done with an antibody able to bind to aggregated tau, phosphorylated tau, or tau, and the detection is performed by using an antibody or antibody fragment of the invention. In any case, specificity of the assay for phosphorylated tau aggregates is obtained by using an antibody or antibody fragment of the invention for either capturing or detection.
Detection of the antigen-antibody complex can be performed by various methods known to the skilled person.
The particular label or detectable group used in the assay is generally not a critical aspect of the invention, as long as it does not significantly interfere with the specific binding of the antibody or antibody fragment to the antigen. The detectable group can be any material having a detectable physical or chemical property. Such detectable labels have been well developed in the field of immunoassays and, in general, almost any label useful in such methods can be applied to the method of the present invention. Thus, a label is any composition detectable by spectroscopic, photochemical, biochemical, immunochemical, electrical, optical, radiological or chemical means. Useful labels in the present invention include but are not limited to magnetic beads (e.g. DynabeadsTM), fluorescent dyes (e.g. fluorescein isothiocyanate, texas red, rhodamine), radiolables (e.g. 3R, 1251, 35S, 14C, or 32p), enzymes (e.g. horseradish peroxidase, alkaline phosphatase, luciferase, and others commonly used in an ELISA), and colorimetric labels such as colloidal gold, colored glass or plastic (e.g. polystyrene, polypropylene, latex, etc.) beads. As indicated above, a wide variety of labels may be used, with the choice of label depending on the sensitivity required, the ease of conjugation with the compound, stability requirements, the available instrumentation and disposal provisions. Non-radioactive labels are often attached by indirect means. Generally, a ligand molecule (e.g. biotin) is covalently bound to the antibody. The ligand then binds to an anti-ligand (e.g. streptavidin) molecule, which is either inherently detectable or covalently bound to a signal system, such as a detectable enzyme, a fluorescent compound, or a chemiluminescent compound. A number of ligands and anti-ligands can be used. Where a ligand has a natural anti-ligand, for example, biotin, thyroxine, and cortisol, it can be used in conjunction with the labeled, naturally occurring anti-ligands. Alternatively, a haptenic or antigenic compound can be used in combination with an antibody. The antibodies can also be conjugated directly to signal-generating compounds, for example, by conjugation with an enzyme or fluorophore. Enzymes of interest will primarily be hydrolases, particularly phosphatases, esterases and glycosidases, or oxidoreductases, particularly peroxidases. Fluorescent compounds include fluorescein and its derivatives, rhodamine and its derivatives, dansyl, umbelliferone, etc. Chemiluminescent compounds include luciferin, and 2,3-dihydrophtalazinediones, for example, luminol. A review of other labeling or signal producing systems is available in U.S. Pat. No. 4,391,904. Means for detecting labels are well known in the art. Thus, for example, where the label is a radioactive label, means for detection include a scintillation counter or photographic film as in autoradiography. Where the label is a fluorescent label, it may be detected by exciting the fluorophore with the appropriate wavelength of light and detecting the resulting fluorescence. The fluorescence may be detected visually, by means of a photographic film, by the use of electronic detectors such as charge coupled devices (CCDs) or photomultipliers and the like. Similarly, enzyme labels may be detected by providing the appropriate substrates for the enzyme and detecting the resulting reaction product. Finally simple colorimetric labels may be detected simply by observing the color associated with the label.
As used herein a “tauopathy” or “tau-associated disease” encompasses any neurodegenerative disease that involves the pathological aggregation of the microtubule protein tau within the brain. Accordingly, in addition to both familial and sporadic Alzheimer's disease, other tauopathies that can be treated using the methods of the present invention include, without limitation, frontotemporal dementia, parkinsonism linked to chromosome 17 (FTDP-17), progressive supranuclear palsy, corticobasal degeneration, Pick's disease, progressive subcortical gliosis, tangle only dementia, diffuse neurofibrillary tangles with calcification, argyrophilic grain dementia, amyotrophic lateral sclerosis parkinsonism-dementia complex, dementia pugilistica, Down syndrome, Gerstmann-Straussler-Scheinker disease, Hallerworden-Spatzdisease, inclusion body myositis, Creutzfeld-Jakob disease, multiple system atropy, Niemann-Pick disease type C, prion protein cerebral amyloid angiopathy, subacute sclerosing panencephalitis, myotonic dystrophy, non-guanamian motor neuron disease with neurofibrillary tangles, postencephalitic parkinsonism, and chronic traumatic encephalopathy.
The antibody of the present invention can be used in a method for monitoring residual disease, such as Alzheimer's disease, following treatment with a vaccine composition. Monitoring minimal residual disease in an individual following treatment with a vaccine composition may be achieved by detecting the immunospecific binding of a monoclonal antibody or a functional fragment thereof to an epitope of the tau protein in a sample or in situ, which includes bringing the sample or a specific body part or body area suspected to contain the tau antigen into contact with an antibody which binds an epitope of the tau protein, allowing the antibody to bind to the tau antigen to form an immunological complex, detecting the formation of the immunological complex and correlating the presence or absence of the immunological complex with the presence or absence of the tau antigen in the sample or specific body part or body area, optionally comparing the amount of said immunological complex to a normal control value, wherein an increase in the amount of said aggregate compared to a normal control value indicates that said individual is still suffering from a minimal residual disease. In a preferred embodiment, Monitoring minimal residual disease in an individual following treatment with a vaccine composition is achieved by detecting the immunospecific binding of a monoclonal antibody of the present invention to aggregated tau. Preferably, the antibody for use in the method of detection is ADX210 or a functional fragment thereof. Preferably, the antibody for use in the method of detection is ADX215 or a functional fragment thereof.
The antibody of the present invention can also be used in a method for predicting responsiveness of a patient to a treatment with a vaccine composition. Predicting responsiveness of a patient to a treatment with a vaccine composition may be achieved by detecting the immunospecific binding of a monoclonal antibody or a functional fragment thereof to an epitope of the tau protein in a sample or in situ, which includes bringing the sample or a specific body part or body area suspected to contain the tau antigen into contact with an antibody which binds an epitope of the tau protein, allowing the antibody to bind to the tau antigen to form an immunological complex, detecting the formation of the immunological complex and correlating the presence or absence of the immunological complex with the presence or absence of the tau antigen in the sample or specific body part or body area, optionally comparing the amount of said immunological complex before and after onset of the treatment, wherein a decrease in the amount of said complex indicates that said individual has a high potential of being responsive to the treatment. In the alternative, the method for predicting responsiveness of a patient to a treatment with a vaccine composition may detect that there is no decrease in the amount of the immunological complex before and after onset of the treatment and thus indicate that the individual has low potential of being responsive to the treatment. In a preferred embodiment, predicting responsiveness to a treatment with a vaccine composition in an idividual is be achieved by detecting the immunospecific binding of a monoclonal antibody of the present invention to aggregated tau. Preferably, the antibody for use in the method of detection is ADx210 or a functional fragment thereof. Preferably, the antibody for use in the method of detection is ADx215 or a functional fragment thereof.
The invention also provides peptides representing an epitope of the tau protein, which epitope is recognized by an antibody according the present invention. In a preferred embodiment, the peptide comprises, consists essentially of, or consists of the amino acid sequence represented by SEQ ID NO. 27. Suitable additional amino acid sequences may need to be added in order to improve immunoreactivity. Indeed, as shown in the Experimental part, for optimal recognition of minimal epitope represented by SEQ ID NO; 27, a N-terminal part of tau predicted to form an α-helix (DeLeys, R. et al., 1995) as represented by SEQ ID NO. 28 is required. Thus, the sequence needed in a synthetic peptide to serve as epitope for YT1.15 as a calibrator is E7FEVMEDHAG16TYGLGDRK24 (SEQ ID NO. 29.) Accordingly, in one embodiment, the peptide comprises the amino acid sequence represented by SEQ ID NO. 27 and is 9 to 19 amino acids in length. Preferably, the peptide is 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22 or 23 amino acids in length and comprises or consists essentially or consists of the amino acid sequence represented by SEQ ID NO. 27. In a preferred embodiment, the peptide consists essentially of, or consists of the sequence represented by SEQ ID NO. 29.
The peptides of the present invention find their application in various methods and tests, such as but not limited to methods for diagnosis or the detection of a tau-associated disease or condition or of a predisposition to a tau-associated disease or condition in an individual, methods for monitoring residual disease, such as Alzheimer's disease, following treatment with a vaccine composition, or methods for predicting responsiveness of a patient to a treatment with a vaccine composition. The peptides may be used as suitable controls to ensure that the methods and tests are working properly. The peptides may for instance be used as positive controls, as internal standards, as calibrators, or for quantification purpose.
The invention also provides kits which may be used in order to carry out the methods of the invention. The kits may incorporate any of the preferred features mentioned in connection to the various methods and uses of the invention described herein. Thus, the invention provides a kit for detecting a tau-associated disease or condition or of a predisposition to a tau-associated disease or condition in a body sample of an individual, and comprises at least one or more antibodies of the present invention, preferably the antibody ADx210 and/or ADx215. In particular, the test kit comprises a container holding a packaged combination of reagents in predetermined amounts, such as one or more antibodies according to the present invention, with in instructions for performing the diagnostic assay. Where the antibody is labeled with an enzyme, the kit will include substrates and co-factors required by the enzyme. Further additives may be included such as stabilizers, buffers and the like. The kit comprising one or more antibodies of the present invention may be used to discriminate for instance early stage Alzheimer's dementia form other types of dementia in an individual. The kit comprising one or more antibodies of the present invention may be used to identify compositions which interfere with formation or stability of phosphorylated tau aggregates. The kit may incorporate suitable controls to ensure that the method and test is working properly. The kit may for that purpose incorporate one or more peptides of the present invention. Preferably, the kit incorporates a peptide Characteristics of the one or more antibodies and of the one or more peptides are summarized elsewhere in the detailed description and in the experimental part below.



FIGURES
FIG. 1: Accumulation of oligomeric tau is dependent on the yeast growth characteristics. A pho85Δ yeast strain transformed with a HIS6-PG-TEV-hTau (2N/4R) plasmid was inoculated in SD-URA medium. Subsequent sampling at different OD's was followed by protein extraction and non-reducing SDS-PAGE. Tau was detected with the ADx215 monoclonal antibody. Besides monomeric tau ( ̃75 kDa), higher weight dimeric and higher oligomeric species of tau can be detected.
FIG. 2: Selectivity for tau aggregates and phosphorylation dependency of anti-tau mAbs of the invention. A) Western blot analysis of recombinant HIS-tagged tau obtained from E. coli and protein extracts obtained from control and humanized yeast strains using the commercial pan-tau antibody Tau-5 and ADx210 mAb as indicated. The number between brackets refers to the exposure time. The solid bar refers to high molecular weight and oligomeric tau and the small arrow in the picture of ADx210 to a presumable tau dimer. B) Western blot analysis of purified tau obtained from the pho85Δ strain before and after treatment with shrimp alkaline phosphatase (SAP) following different time intervals as indicated. Recombinant HIS-tagged tau obtained from E. coli served as control. The pan-tau antibody Tau-5, the phosphorylation-specific antibody AT270, and the antibody BT2 recognizing non-phosphorylated tau, were used in addition to the novel mAbs ADx215 and ADx210.
FIG. 3: Analysis of the novel mAbs on samples of transgenic mice and human brain. A) Western blot analysis of brain extracts from control mice (FVB), knock-out mice and transgenic (Tg) mice expressing a clinical mutant of human tau (Tau-P301L). The age of the mice is indicated between brackets. The arrow on the second blot indicates high molecular weight tau complexes. The antibodies used are ADx215 (YT1.15), ADx210 (YT1.10) and the commercial phosphorylation-specific antibody AT100 (exposure time of 30 min for ADx210 (YT1.10) and AT100, and 30 sec for ADx215 (YT1.15)). B) Tau epitope sequence recognized by ADx201 (YT1.1) and ADx215 (YT1.15). C) Immunohistochemical analysis of different regions of the Tau-P301L Tg mouse using ADx215 (YT1.15) and ADX210 (YT1.10) for immunodetection.
FIG. 4: Immunodetection of aggregated tau from pho85d yeast in ELISA with the pan-tau antibody ADx201 and the antibody ADx210.
FIG. 5: Epitope mapping of the monoclonal antibody ADx215. A) Visualization of the epitopes relative to different tau constructs based on Western Blot results. B) Minimal epitope recognized by the monoclonal antibody ADx215 following Pepscan.
FIG. 6 (sheets 6/11 to 11/11 of Drawings): Sequences SEQ ID NO. 1 to SEQ ID NO. 29 as referred to throughout this specification.



EXAMPLES
1. Humanized Tau Models
When purified from the humanized yeast strains, protein tau maintains its (hyper)phosphorylation status and its propensity to seed the formation of tau filaments as shown (Vandebroek et al., 2005). Mass spectrometry study confirmed 13 different phosphorylation sites in yeast-purified human tau, all of which were previously reported in AD brain (data provided by J. Gobom, U. Goteborg, Sweden; data not shown).
2. Generation of Antibodies Specific for Aggregated Tau.
Yeast-purified tau was used for the immunization of BALB/C mice. After fusion and screening of monoclonal antibodies (mAbs), 15 clones were selected based on the difference in immunoreactivity toward recombinant non-phosphorylated tau purified from bacteria and tau isolated from yeast.
3. Phosphorylation Specificity of Antibodies Specific for Aggregated Tau.
The phosphorylation specificity was initially tested on extracts obtained from the humanized wild type yeast strain and its congenic mds1Δ and pho85Δ mutants that display reduced and increased tau phosphorylation. Recombinant tau produced by E. coli served as control.
As shown in FIG. 2A, mAbs such as ADX210 showed an increased affinity for hyperphosphorylated tau as present in the pho85Δ mutant, where it specifically recognized high molecular weight and presumably oligomeric tau complexes. The antibody did not react with E. coli-produced recombinant tau, indicative for its phosphorylation dependency. In contrast, ADx215 detected both tau obtained from yeast and E. coli and as such this mAb displayed a similar immunoreactivity as that obtained with the commercial pan-tau mAb Tau-5, known to be phosphorylation-independent. Note, however, that ADx215 has a much higher affinity (reduced exposure time) and that it clearly recognized some of the high molecular weight tau complexes in the yeast samples.
Confirmation of the phosphorylation specificity of the novel mAbs was obtained by analysis of humanized yeast extracts treated with alkaline phosphatase as shown in FIG. 2B. The results obtained for ADX210 demonstrate that dephosphorylation leads to disassembly of the tau complexes back to the monomeric form, corroborating the hypothesis that tau (hyper)phosphorylation is required for tau aggregation.
4. Detection of Oligomeric Tau in Human Brain and Human Tau Transgenic Mice Models.
Human tau must acquire the phosphorylation epitopes and the conformational change required to drive the formation of higher order oligomeric complexes in an AD brain. Such selected Mabs, i.e ADX210 and ADx 215 can be used to stain hyperphosphorylated TAU protein neurofibrillary tangles brain regions and the high affinity mAb ADx215 can specifically detected high molecular weight tau complexes from brain extracts from late stage AD patient.
Western blot analysis of brain extracts obtained from control mice (wild type, i.e. FVB, and tau-KO) and transgenics expressing human tau-P301L demonstrated that Mabs ADx215 (YT1.15), ADx210 (YT1.10) and AT100 specifically recognized human tau and not endogenous mouse tau (data provided by F. Van Leuven, K.U.Leuven; FIG. 3A). For ADx215 (YT1.15) this result was confirmed by epitope mapping as shown in FIG. 3B. Immunohistochemical analysis revealed that two of the selected Mabs, i.e ADx210 (YT1.10) and ADx215 (YT1.15), stained tangles in different regions of the brain in aged Tg mice (data provided by F. Van Leuven, K.U.Leuven; FIG. 3C). Furthermore, the high affinity Mab ADx215 (YT1.15) specifically detected high molecular weight tau complexes in brain extracts of Tg mice (FIG. 3A) Combined these data confirmed that, when expressed in yeast, human tau must acquire the phosphorylation epitopes and the conformational change required to drive the formation of higher order oligomeric complexes as seen in AD brain.
5. Immunodetection of Aggregated Tau in ELISA.
For the preparation of an aggregated tau-specific ELISA, plates are coated with one or more different capturing antibodies specific for aggregated tau.
To perform the ELISA test, the sample to be tested is added to the plates. Optionally, as a positive control, purified aggregated tau is added to separate wells of the ELISA plate. Optionally, as a standard, known amounts of purified aggregated tau are added to separate wells of the ELISA plate. Next, after washing of the plates, bound aggregated tau is detected using a secondary antibody capable of binding to aggregated tau. This can be an antibody which recognizes total tau, such as tau-5 or HT-7, a phosphorylation-specific anti-tau antibody, such as AT270, or a second aggregated tau-specific antibody, or a combination of two or more such antibodies.
Alternatively, the capturing antibodies used to coat the plates are an antibody which recognizes total tau, such as tau-5 or HT-7, a phosphorylation-specific anti-tau antibody such as AT270, or an aggregated tau-specific antibody, or a combination of two or more such antibodies, and bound aggregated tau is detected using an aggregated tau-specific antibody or a combination of two or more such antibodies.
Binding of the secondary antibodies can be visualized by measuring activity of an enzyme coupled directly or indirectly (e.g. via streptavidin-biotin binding) to the secondary antibodies, such as alkaline phosphatase or luciferase. Alternatively, binding of the secondary antibodies can be visualized by measuring fluorescence emitted by a fluorochrome such as phycoerythrin or a fluorescent protein coupled directly or indirectly to the secondary antibodies. Also, binding of the secondary antibodies can be visualized indirectly by using tertiary antibodies binding specifically to the secondary antibodies, followed by visualization of binding of these tertiary antibodies to the secondary antibodies.
The sample to be tested can be cerebrospinal fluid (CSF), whole blood, plasma or serum, or any other sample.
A Nunc ELISA plate was coated with 100 μl/well of 5 μg/ml ADx215 for 1 hour at 37° C. Subsequently, the coatings medium was replaced with 0.5% casein in PBS for blocking (300 μl/well) at 37° C. for one hour. Meanwhile, a dilution series of pho85d yeast tau extract was prepared from 5000 ng/ml till 320 pg/ml, which was placed on the ADx215 coated plate for 1 hour at 37° C. After washing three times with 0.05% Tween20-PBS, biotinylated detection antibody (ADx201-bio or ADx210-bio, ADx201 is a pan-tau antibody) was added for 1 hour at 37° C. After three rounds of washing, streptavidine-HRP conjugate (Jackson) was placed on the plate for 30 min at 37° C. Subsequent to washing (3 times), the amount of peroxidase was measured using a H2O2/TMB substrate solution for 30 min at room temperature. Finally, the reaction was stopped with 100 μl of 1N H2SO4 and read at 450 nm.
Interpretation: This preparation of pho85d yeast tau extract did not contain enough oligomeric tau to be detected by AD210-bio.
6. Immunodetection of Aggregated Tau Using xMAP Technology.
As an alternative to ELISA, immunodetection of aggregated tau can be performed in a bead-based assay like the Luminex® xMAP® technology, allowing for simultaneous multiparametric analysis like described for the INNO-BIA AlzBio3 (Olsson et al., 2005).
For the preparation of an aggregated tau-specific xMAP® assay, beads are coated with one or more different capturing antibodies specific for aggregated tau.
To perform the xMAP® assay, the sample to be tested is added to the antibody-coated beads. Next, after washing of the beads, bound aggregated tau is detected using a secondary antibody capable of binding to aggregated tau. This can be an antibody which recognizes total tau, such as tau-5 or HT-7, a phosphorylation-specific anti-tau antibody, such as AT270, or a second aggregated tau-specific antibody, or a combination of two or more antibodies.
Alternatively, the capturing antibodies used to coat the beads are an antibody which recognizes total tau, such as tau-5 or HT-7, a phosphorylation-specific anti-tau antibody such as AT270, or an aggregated tau-specific antibody, or a combination of two or more such antibodies, and bound aggregated tau is detected using an aggregated tau-specific antibody or a combination of two or more such antibodies.
Binding of the secondary antibodies can be visualized by measuring fluorescence emitted by a fluorochrome such as phycoerythrin or a fluorescent protein coupled directly or indirectly to the secondary antibodies. Also, binding of the secondary antibodies can be visualized indirectly by using tertiary antibodies binding to the secondary antibodies, followed by visualization of binding of these tertiary antibodies.
The sample to be tested can be cerebrospinal fluid (CSF), whole blood, plasma or serum, or any other sample.
7. Diagnosis of Tauopathies Using Antibodies Specific for Aggregated Tau.
Samples of patients suffering from a tauopathy and control subjects are tested for the presence or absence of aggregated tau using the aggregated tau-specific antibodies of the invention. Aggregated tau is detected by any of the methods described above, or any other method making use of the aggregated tau-specific antibodies of the invention.
Aggregated tau can be detected in a majority x % of samples of patients suffering from a tauopathy, but only in a minority y % of samples from control subjects. The sensitivity of a diagnostic test for a tauopathy, based upon the aggregated tau as a disease marker is then x/100, while the specificity of the diagnostic test is then (100−y)/100.
As an alternative, samples of patients suffering from a tauopathy and control subjects are tested for the amount of aggregated tau using the aggregated tau-specific antibodies of the invention. Aggregated tau is quantified by any of the methods described above, or any other method making use of the aggregated tau-specific antibodies of the invention.
On average, more aggregated tau is present in samples of patients suffering from a tauopathy than in samples of control subjects. Therefore, careful selection of a threshold value above which a subject is classified as suffering from a tauopathy allows to obtain the desired sensitivity and/or specificity of the diagnostic test.
For each amount of aggregated tau measured, the sensitivity and 1-specificity is calculated for a test in which this value is the threshold value, above which a subject is classified as suffering from a tauopathy. The curve wherein for each amount of aggregated tau measured, sensitivity (Y-axis) is plotted versus 1-specificity (X-axis) is the receiver operating characteristic (ROC) curve. The threshold value for which specificity2+sensitivity2 is closest to 1 might be considered as the best threshold value for the test. Alternatively, higher sensitivity or specificity might be desired, which is obtained by decreasing or increasing the threshold value, respectively.
8. Identification of Compositions Interfering with Tau Aggregation.
The antibodies of the present invention allow for the detection, qualification and/or quantification of aggregated tau in a sample, and thus allow to identify compositions which interfere with aggregation of tau and/or with stability of aggregated tau.
Aggregated tau can be obtained by purification from a humanized yeast model as described before (Vandebroek et al., 2005). Aggregated tau is then incubated with the composition to be tested. After incubation, the amount of aggregated tau in the incubated sample is determined using the antibodies of the invention, and compared with the amount of aggregated tau in a sample that has not been incubated with the composition. If the amount of aggregated tau in the incubated sample is different from the amount of aggregated tau in a sample that has not been incubated with the composition, it can be concluded that the tested composition has interfered with the stability of aggregated tau. An example of such composition is alkaline phosphatase, as is shown in FIG. 2B.
Tau aggregates can be formed in vitro by incubation of tau purified from a humanized yeast model as described before (Vandebroek et al., 2005). During this in vitro aggregate formation, the composition to be tested is added. After incubation, the amount of aggregated tau is determined using the antibodies of the invention, and compared with the amount of in vitro aggregated tau which was not exposed to the composition. If the amount of aggregated tau in the exposed sample is different from the amount of aggregated tau in a sample that has not been exposed to the composition, it can be concluded that the tested composition has interfered with the formation of aggregated tau.
9. Epitope Mapping of Tau Monoclonal Antibodies.
Standard techniques were used to express full size human tau, two N-terminal mutants, and one C-terminal mutant in E. coli. All constructs were mTNF-His6 fusions permitting control on expression by an anti-his monoclonal. Cell supernatant was run on gel and western blotted. For some of the monoclonals the epitope or region was already known (BT2, AT120 & BT3) and these monoclonals were used to control and optimize the method. Table 1 provides an overview of the location of the epitope in human Tau (full size Tau, N-terminal short Tau, N-terminal long Tau, C-terminal Tau) recognized by the monoclonal antibodies tested.







TABLE 1







Location of the epitope in recognized by the


monoclonal antibodies tested













mab
full size
N-term short
N-term long
C-term







His6
+
+
+
+



BT2
+
−
+
+



YT1.1
+
−
+
+



YT1.15
+
+
+
−



AT120
+
−
+
+



BT3
+
+
+
−










From these experiments we could conclude that (FIG. 5A). To further refine the epitope-mapping we conducted a Pepscan to further delineate the epitopes by testing antibodies on small overlapping peptides
The amino acid sequence covering the first 163 aa of the short version of human tau were communicated to Pepscan. The sequence contains one known epitope, HT7 (Vanmechelen, E. et al., 2000) and epitopes of three antibodies, which were mapped to the N-terminus of tau, including YT 1.15, all IgG1 subtype monoclonal antibodies. Using miniPEPSCAN cards with overlapping 15-mers, epitope mapping was performed as described in Slootstra et al, 1995. As remark we have to point that for the Pepscan 10 μg/ml of the monoclonal had to be used to obtain a signal, where usually 1 ng/ml is enough. This could be due to presentation of the peptides on a fixed carrier, or can have to do with the (short) length of the peptide missing the correct conformation. The results are shown in FIG. 5B.
ADx215 (YT1.15) was identified as being aa 16-24 or GTYGLGDRK (SEQ ID NO. 27). This is a new epitope not yet described in literature. Minimal epitope requirements were confirmed on newly synthesized peptides from a source different from Pepscan. Similar to other tau antibodies (Gamblin, T. C., 2005), for optimal recognition of minimal epitope G16-K18, a N-terminal part of tau predicted to form an α-helix (DeLeys, R. et al., 1995) is required and thus the sequence needed in a synthetic peptide to serve as epitope for YT1.15 as a calibrator is E7FEVMEDHAG16TYGLGDRK24 (SEQ ID NO. 29).
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Sequence Listing Free Text
















SEQ ID NO. 10
ADx210 CDR of the light chain variable region


SEQ ID NO. 11
ADx210 CDR of the light chain variable region


SEQ ID NO. 12
ADx210 CDR of the light chain variable region


SEQ ID NO. 13
ADx210 CDR of the light chain variable region


SEQ ID NO. 14
ADx210 CDR of the light chain variable region


SEQ ID NO. 15
Heavy chain variable region of ADx210


SEQ ID NO. 16
Light chain variable region of ADx210


SEQ ID NO. 17
subpart of the Heavy chain variable region of ADx210


SEQ ID NO. 18
Light chain variable region of an isoform of ADx210


SEQ ID NO. 19
ADx215 CDR of the heavy chain variable region


SEQ ID NO. 20
ADx215 CDR of the heavy chain variable region


SEQ ID NO. 21
ADx215 CDR of the heavy chain variable region


SEQ ID NO. 22
ADx215 CDR of the light chain variable region


SEQ ID NO. 23
ADx215 CDR of the light chain variable region


SEQ ID NO. 24
ADx215 CDR of the light chain variable region


SEQ ID NO. 25
ADx215 CDR of the light chain variable region


SEQ ID NO. 26
ADx215 CDR of the light chain variable region


SEQ ID NO. 27
Tau epitope recognized by ADx215


SEQ ID NO. 28
Tau epitope recognized by ADx215


SEQ ID NO. 29
Tau epitope recognized by ADx215


SEQ ID NO. 30
Tau epitope recognized by ADx201


SEQ ID NO. 31
Tau epitope


SEQ ID NO. 32
Tau epitope


SEQ ID NO. 33
Tau epitope


SEQ ID NO. 34
Tau epitope


SEQ ID NO. 35
Tau epitope


SEQ ID NO. 36
Tau epitope


SEQ ID NO. 37
Tau epitope


SEQ ID NO. 38
Tau epitope


SEQ ID NO. 39
Tau epitope


SEQ ID NO. 40
Tau epitope


SEQ ID NO. 41
Tau epitope


SEQ ID NO. 42
Tau epitope


SEQ ID NO. 43
Tau epitope


SEQ ID NO. 44
Tau epitope


SEQ ID NO. 45
Tau epitope


SEQ ID NO. 46
Tau epitope


SEQ ID NO. 47
Tau epitope


SEQ ID NO. 48
Tau epitope


SEQ ID NO. 49
Tau epitope


SEQ ID NO. 50
Tau epitope


SEQ ID NO. 51
Tau epitope


SEQ ID NO. 52
RGD peptide


SEQ ID NO. 53
RGD peptide

## Claims

1. An isolated tau antibody, antibody-like scaffold or antibody fragment comprising a light chain variable region that comprises in a CDR1 region an amino acid sequence as set out in SEQ ID NO: 22, in a CDR2 region an amino acid sequence as set out in SEQ ID NO: 23, and in a CDR3 region an amino acid sequence as set out in SEQ ID NO: 24; and a heavy chain variable region that comprises in a CDR1 region an amino acid sequence as set out in SEQ ID NO: 19, in a CDR2 region an amino acid sequence as set out in SEQ ID NO: 20 and in a CDR3 region an amino acid sequence as set out in SEQ ID NO: 21.