Methods and materials for identifying and treating membranous nephropathy
US-2024353404-A1 · Oct 24, 2024 · US
US10160813B2 · US · B2
| Field | Value |
|---|---|
| Publication number | US-10160813-B2 |
| Application number | US-201414762601-A |
| Country | US |
| Kind code | B2 |
| Filing date | Jan 22, 2014 |
| Priority date | Jan 22, 2013 |
| Publication date | Dec 25, 2018 |
| Grant date | Dec 25, 2018 |
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A molecule that binds specifically to a human tissue plasminogen activator (TPA) or a TPA mutant is provided. The molecule having sub-nanomolar affinity to inhibit fibrin-dependent plasminogen activation with an IC50<5 nM, to inhibit degradation of human fibrin clots without affecting TPA amidolytic activity or non-fibrin-dependent activation, and the amino acid sequence of the TPA mutant is at least 65% identical to SEQ ID NO: 1 or SEQ ID NO: 2. Further provided is a method for treating systemic bleeding and brain hemorrhage after TPA treatment in a patient in need of such treatment. The method comprises administering to said patient an effective amount of the molecule, wherein the molecule selectively inhibits fibrin-augmented plasminogen activation in the patient.
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What is claimed is: 1. An antibody that binds specifically to a human tissue plasminogen activator (TPA) or a TPA mutant to inhibit degradation of human fibrin clots, wherein said antibody having sub-nanomolar affinity to inhibit fibrin-dependent plasminogen activation with an IC50<5 nM, and wherein the amino acid sequence of said TPA mutant has at least 65% identity to SEQ ID NO: 1 or SEQ ID NO: 2; and wherein said antibody is a monoclonal antibody identified as TPAi-14 (ECACC accession number 18042001) or TPAi-23 (ECACC accession number 18042002) that selectively inhibits fibrin-augmented plasminogen activation. 2. The antibody of claim 1 , wherein the antibody does not affect TPA amidolytic activity or non-fibrin-dependent activation. 3. The antibody of claim 1 wherein the amino acid sequence of human TPA is SEQ ID NO: 1 or SEQ ID NO: 2. 4. The antibody of claim 1 , wherein monoclonal antibody TPAi-14 and TPAi-23 bind to different epitopes of the TPA. 5. A monoclonal antibody identified as TPAi-14 (ECACC accession number 18042001) or TPAi-23 (ECACC accession number 18042002) that selectively inhibits fibrin-augmented plasminogen activation. 6. A method for treating TPA-induced hemorrhage in a patient in need of such treatment, which comprises administering to said patient an effective amount of the antibody of claim 1 , wherein said antibody selectively inhibits fibrin-augmented plasminogen activation in said patient. 7. The method of claim 6 , wherein the patient suffers from ischemic stroke. 8. The method of claim 6 , wherein the patient suffers from acute myocardial infarction. 9. The method of claim 6 , wherein the antibody reduces TPA-induced cerebral hemorrhage and surgical bleeding. 10. The method of claim 6 , wherein the antibody inhibits fibrinolysis induced by TPA. 11. The method of claim 10 , wherein said antibody inhibits the initiation of fibrinolysis. 12. The method of claim 6 , wherein said antibody is identified as TPAi-14. 13. The method of claim 6 , wherein said antibody is identified as TPAi-23. 14. The method of claim 6 , wherein TPAi-14 and TPAi23 are used together and synergistically inhibit fibrinolysis induced by TPA. 15. The method of claim 6 , wherein the TPA-induced hemorrhage comprises systemic bleeding, brain hemorrhage, and/or stroke.
Antihaemorrhagics; Procoagulants; Haemostatic agents; Antifibrinolytic agents · CPC title
Affinity (KD), association rate (Ka), dissociation rate (Kd) or EC50 value · CPC title
for enzymes or isoenzymes · CPC title
against enzymes · CPC title
Crossreactivity, e.g. for species or epitope, or lack of said crossreactivity · CPC title
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