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J. Biol. Chem., Vol. 282, Issue 20, 15073-15080, May 18, 2007
Structural Basis for Recognition of CD20 by Therapeutic Antibody Rituximab*
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| ABSTRACT |
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| INTRODUCTION |
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The CD20-targeted chimeric monoclonal antibody (mAb)3 Rituximab (Rituxan,® IDEC-C2B8) was the first Food and Drug Administration approved mAb drug for the treatment of malignancy. Although it was originally used for treating low-grade non-Hodgkin lymphoma, Rituximab has been proven to be also effective against other types of lymphomas (9, 10) and some autoimmune diseases (11-13). Multiple mechanisms have been proposed for the action of Rituximab in the depletion of B cells including its ability to mediate complement-dependent cytotoxicity and antibody-dependent cellular cytotoxicity, and to induce cell apoptosis (reviewed in Refs. 14 and 15). With the expansion of the clinical application of Rituximab in the treatment of lymphoproliferative diseases, it has been noticed that intensity of CD20 expression on B cells varies in patients that may affect the binding and efficacy of Rituximab therapy (16, 17). Therefore, it is rational to expect that new antibodies with higher affinity and better specificity developed based on Rituximab might be beneficial in clinical use, especially for patients who have low expression levels of CD20.
Besides Rituximab and Zevalin® (the prototype of Rituximab 2B8 attached by a radioactive substance 90Y), another mAb specific to human CD20, namely B1, in both native and radioderivative forms (Bexxar,® Tositumomab and 131I-Tositumomab), was approved by the Food and Drug Administration for the treatment of non-Hodgkin lymphoma in 2003 (18). These antibody drugs along with some other mAbs against CD20 such as 1F5, AT80, and 2H7 were suggested to most likely recognize the same region (Tyr165 to Tyr182) of the large extracellular loop of human CD20 with fine specificities (2, 19). However, these antibodies vary considerably in their functional activities. For example, treatment of B cells with most mAbs promotes segregation of CD20 into detergent-insoluble lipid raft, whereas B1 is the exception. This property seems to be correlated with the ability of the antibodies to mediate complement-dependent cytotoxicity but irrespective of activation of cell apoptosis pathways (20-22).
To understand the functional diversity of CD20 mAbs and the underlying mechanisms, identification of the epitope of CD20 recognized by Rituximab and other CD20-targeted mAbs has raised great interest in recent years. Sequence comparison of human and murine CD20 reveals that although the two species share 73% sequence identity, the large extracellular loop is less conserved as 16 of the approximate 43 amino acids are different (19). Mutagenesis studies by exchanging variant residues of the large extracellular loop between human CD20 and mouse CD20 at the equivalent position indicate that residues Ala170 and Pro172 of human CD20 are critical determinants for the CD20 epitope (19). Using a process of biopanning of a phage display peptide library consisting of randomized 7-mer cyclic peptides, it has been shown that an NPS motif corresponding to 171NPS173 of human CD20 is essential for Rituximab binding and Ala170 can be substituted by Ser (4). Similar studies have also defined a discontinuous epitope that comprises 170ANPS173 and 182YCYSI185 of CD20 joined together spatially by a disulfide bond between Cys167 and Cys183 (23). However, the underlying mechanism of the recognition and binding of Rituximab with the CD20 epitope remains unclear.
We report here the crystal structure of the Rituximab Fab fragment in complex with an epitope peptide of the large extracellular loop (residues 163-187) of CD20 that provides the molecular basis for the antigen-antibody recognition and binding. Analysis of the complex structure explains very well biochemical data from the epitope-mapping studies and provides useful hints for the design and development of improved antibody drugs.
| EXPERIMENTAL PROCEDURES |
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A 25-mer cyclic peptide (NIYNCEPANPSEKNSPSTQYCYSIQ) corresponding to residues 163-187 of the large extracellular loop of human CD20 was synthesized in which an intra-chain disulfide bond was introduced between Cys167 and Cys183 (Shanghai Science Peptide Biological Technology). The quality of the peptide was determined by analytical reverse-phase chromatography and mass spectral analysis with a purity of greater than 95%.
Crystallization and Diffraction Data CollectionInitial crystallization trials of the Rituximab Fab fragment itself yielded large crystals that, however, did not diffract x-ray beyond 7-Å resolution and could not be used for structure determination. For co-crystallization experiments, the purified Rituximab Fab and the epitope peptide were mixed at a molar ratio of 1:5 at 4 °C for 12 h. Co-crystallization was carried out using the hanging drop vapor diffusion method by mixing equal volumes of the protein/peptide mixture solution and a reservoir solution (0.2 M calcium acetate, 0.1 M sodium cacodylate, pH 6.5, and 18% PEG8000). Square shaped crystals grew to a maximum size of 0.1 x 0.1 x 0.2 mm3 at 4 °C in 2 weeks. For diffraction data collection, crystals were cryostabilized by Paratone-N (Hampton Research) and then flash-cooled to -170 °C. Diffraction data were collected to 2.6-Å resolution at beamline NW12 of Photon Factory, Japan, and processed using suite HKL2000 (24). Statistics for diffraction data are summarized in Table 1.
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| RESULTS AND DISCUSSION |
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The CD20 epitope peptide was co-crystallized in complex with the Rituximab Fab fragment. The structure of the complex was solved using molecular replacement and refined to a resolution of 2.6 Å with an R factor of 23.9% and a free R factor of 29.6% (Table 1). There are two Fab-peptide complexes (A and B) in the crystallographic asymmetric unit. The two complexes adopt very similar conformation (root mean square deviation of 0.96 Å for 449 C
atoms) except that the heavy chain in complex A contains three more residues at the C terminus than in complex B and two extra residues can be visualized at the N terminus of the peptide chain in complex B than in complex A. Due to the better electron density quality, the structure model of complex A will be used for further structural analysis and discussion. Chain identifiers L, H, and P are designated to identify the light chain and heavy chain of the Fab fragment and the epitope peptide, respectively (Fig. 1).
Overall the Rituximab Fab has very good electron density, except residues from SerH135 to GlyH141 of a loop in the constant region that have high B factors above 80 Å2 compared with the average B factor of 49 Å2 for the whole model. The Rituximab Fab has a canonical immunoglobulin fold consisting of four
-barrel domains (Fig. 1A). The light chain comprises residues Leu1 to Leu213 that fold into the VL and CL domains, and heavy chain residues His1 to His224 that fold into the VH and CH domains. The elbow angle made by the two pseudo 2-fold axes that define the relative disposition of VH to VL and CH to CL is about 139°. There are four intra-domain disulfide bonds between CysL23 and CysL87, CysL133 and CysL193, CysH22 and CysH96, and CysH148 and CysH204, and one inter-domain disulfide bond between CysL213 and CysH224. Like other Fab structures, residue Thr50 of the light chain (ThrL50) lies in the disallowed region of the Ramachandran plot and forms part of the classic
-turn (34). The complementarity determining regions (CDRs) of the Rituximab Fab have ordinary length without unusual residues according to Kabat sequence data base searching (35). The CDR loops L1, L2, L3, H1, and H2 belong to Chothia canonical classes (34) 1, 1, 1, 1, and 2, respectively. The CDR loops L3, H1, H2, and H3 together form a large, deep pocket to accommodate the epitope peptide, whereas loops L1 and L2 are located behind loops L3 and H3 (Fig. 1A).
The electron density for the bound epitope peptide is well defined without ambiguity in the positioning of the main chains and side chains (Fig. 1B). Residues CysP167 and CysP183 of the peptide form a disulfide bond that drags the termini of the peptide together covalently and makes the peptide to adopt a unique cyclic conformation (Fig. 1C). The N-terminal part of the peptide (CysP167 to AsnP171) forms a short coil that is stabilized by the tense restraints of the disulfide bond and the hydrogen-bonding interactions between residues of the coil and the CDRs of the Rituximab Fab. The middle part of the peptide forms a short 310 helix (ProP172 to GluP174) and a small loop (LysP175 to SerP177) that are stabilized by hydrogen-bonding interactions with the other regions (Table 2 and Fig. 1C). The C-terminal part of the peptide (ProP178 to TyrP184) forms a short
-helix of hydrophobic nature (TyrP182, TyrP184, and IleP186). Considering it is at the end of the extracellular loop and must be close to the cell membrane, this short
-helix might be the extension of a long transmembrane
-helix of CD20 as predicted by PredictProtein Server (36).
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The CDR loops L3, H1, H2, and H3 of the Fab participate in interactions primarily with four residues, 170ANPS173, of the epitope peptide that have been shown to be a critical motif on the CD20 surface for antibody recognition (2, 4, 23). Residues of the motif form a network of hydrogen bonds with residues of the surrounding CDR loops (Table 3 and Fig. 2, C and D). Specifically, the side chain of AsnP171 forms two hydrogen bonds with the side chains of SerH99 and TrpH106 of the H3 loop, respectively. The main chain carbonyl of ProP172 forms a hydrogen bond with the side chain of AsnH55 of loop H2 via a water molecule; and the main chain amide and side chain O
of SerP173 make two hydrogen bonds with the side chain of AsnH33 of loop H1, respectively. Moreover, the residues flanking the motif including GluP168, ProP169, and LysP175 also contribute to the interactions of the peptide with the Fab by forming hydrogen bonds with AsnL93, SerH59, and ThrH58, respectively (Table 3 and Fig. 2, C and D). In addition to these hydrogen-bonding interactions, extensive van der Waals contacts are observed between residues 168 and 179 of the peptide and the Fab (Table 4). In particular, the 170ANPS173 motif contributes 79 of the 97 van der Waals contacts between the peptide and the Fab (Table 4). These interactions can partially explain the high affinity of Rituximab with human CD20.
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Structural Basis for the Specificity of RituximabHuman CD20 is an important drug target for the treatment of lymphomas. Rituximab is the first Food and Drug Administration approved mAb drug against CD20 for the treatment of B cell non-Hodgkin lymphoma, and now has been used to treat autoimmune diseases and reduce the alloreaction in organic transplantations. Our crystal structure of the Rituximab Fab in complex with a 25-mer peptide mimicking the epitope on the large extracellular loop of human CD20 has provided a molecular basis for understanding the underlying mechanisms of the recognition and binding of CD20 with its antibodies and will be valuable in the modification of Rituximab for development of more effective mAb drugs against non-Hodgkin lymphoma and other diseases.
Screenings of phage display peptide libraries that can express 7-mer cyclic and 7-/12-mer linear peptides have shown that the sequence motif A(S)NPS corresponding to 170ANPS173 of the large extracellular loop of human CD20 is the most important region for Rituximab recognition and binding (4, 23). In particular, Ala170 and Pro172 are the most critical ones determined by means of phage display, mutagenesis, and peptide scanning (2, 4, 19). In our structure of the Rituximab Fab-CD20 epitope-peptide complex, four residues 170ANPS173 of the motif are deeply buried in the pocket formed by four CDR loops (L3, H1, H2, and H3). Ala170 is located in a hydrophobic cavity formed by TrpL47, TrpL90, AsnL93, and ProL95 of the Fab. The space of the cavity is too narrow to accommodate other residues with a large side chain except serine due to steric conflict (Fig. 2B), providing an explanation for the result that only serine is interchangeable with Ala170 (4). Similarly, Pro172 is positioned at the tip of the 310 helix and is bound at the bottom of the CDR pocket (Fig. 2B). Modeling study indicates that a serine residue could fit at the same site. However, the relaxation of the rigid conformation of Pro172 might disrupt the conformational constraint of the 310 helix and hence reduce the specificity and binding affinity, which explains the result that when Pro172 was substituted by serine in the cyclic 7-mer peptide, the mutant peptide could not bind to Rituximab (4).
The importance and requirement of the two other residues, Asn171 and Ser173, of the motif are also supported by our crystal structure showing that each residue makes two of total eight hydrogen bonds as well as extensive van der Waals contacts with the Rituximab Fab. In the structure model, six residues (Glu168, Pro169, Asn171, Pro172, Ser173, and Lys175) of the epitope peptide make hydrogen-bonding interactions, and additionally Ala170, Glu174, Asn176, and Ser179 make van der Waals contacts with the Rituximab Fab. Although only 170ANPS173 of CD20 were documented to be involved in the Rituximab binding, the other residues might also play some roles in the recognition and binding of CD20 by Rituximab.
Based on phage display results, it was suggested that fragment 182YCYSI186 at the C terminus of the large extracellular loop of CD20 is also involved in Rituximab binding (23). In our structure, this region forms part of the C-terminal
-helix and has no direct interaction with the Fab. However, residues CysP183 and CysP167 of the epitope peptide form a disulfide bond that makes the peptide adopt a unique cyclic conformation. In search for the epitope of CD20 with phage display peptide libraries, a series of cyclic and linear peptides were obtained; however, only the cyclic peptides match the sequence of human CD20 (4). Biochemical data have shown that disruption of the disulfide bond on the large extracellular loop of CD20 completely ablates the binding of CD20 with Rituximab (33). It is very likely that the involvement of the C-terminal 182YCYSI186 fragment of the large extracellular loop in the recognition and binding of Rituximab is through the formation of the disulfide bond and the constraint and stabilization of the cyclic conformation of the epitope rather than direct interaction with the antibody.
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In summary, we report here the crystal structure of the Fab fragment of therapeutic antibody Rituximab in complex with its epitope peptide of human CD20. Structural analysis reveals the molecular basis of the specific recognition and binding of CD20 by Rituximab. Specifically, the most important epitope region 170ANPS173 on the large extracellular loop of CD20 is bound at a pocket formed by four CDR loops of the Rituximab Fab and recognized by residues of the CDR loops through a network of hydrogen-bonding interactions and extensive van der Waals contacts. The unique cyclic conformation of the epitope peptide, which is attributed to the formation of a disulfide bond between CysP167 and CysP183 and the presence of a rigid ProP172, forms the basis of the specificity of Rituximab. Our structural results also provide useful hints for the development of new therapeutic antibodies with higher binding affinity and better specificity for the treatment of non-Hodgkin lymphoma.
| FOOTNOTES |
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* This work was supported by Ministry of Science and Technology of China Grants 2004CB720102, 2004CB720101, 2006CB806501, and 2006AA02Z112 and National Natural Science Foundation of China Grant 30570379. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. ![]()
The on-line version of this article (available at http://www.jbc.org) contains supplemental Fig. S1. ![]()
1 To whom correspondence may be addressed: 800 Xiang-Yin Rd., Shanghai 200433, China. Tel.: 086-21-2507-0241; Fax: 086-21-2507-4349; E-mail: yjguo{at}smmu.edu.cn. 2 To whom correspondence may be addressed: 320 Yue-Yang Rd., Shanghai 200031, China. Tel.: 086-21-5492-1619; Fax: 086-21-5492-1116; E-mail: jpding{at}sibs.ac.cn.
3 The abbreviations used are: mAb, monoclonal antibody; CDRs, complementarity determining regions; H, heavy chain; L, light chain. ![]()
| ACKNOWLEDGMENTS |
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