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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5886_Библиотеки_им_академика_М_И_Перельмана.pdf
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R. Pranomphon etal.
Increasing sialic acid content in the cytoplasm or CMP-SA in the nucleus by dif­ferent strategies increases sialylation by varying amounts. Overexpression of CMP­SAT in CHO cells expressing recombinant human interferon gamma (IFN-γ) increased IFN-γ sialylation by 4–16% [88]. Similarly, a modest increase in sialylation (10–20%) was observed upon supplementation with ManNAc, which led to a 12-fold increase in the intracellular pool of CMP-sialic acid [89]. In another study, supplementation with 1,3,4-O-Bu3ManNAc, a chemical analog of the sialic acid precursor ManNAc increased the nal sialic acid content of rhEPO >40% in CHO cells at a 100-fold lower concentration than natural ManNAc [90].
Co-overexpressing several genes together enhanced sialylation more signi­cantly than overexpressing single genes individually. CHO cells expressing CMP­SAS in combination with CMP-SAT and human α-2,3-SiaT exhibited greater rhEPO sialylation compared with CHO cells overexpressing α-2,3-SiaT or CMP­SAS individually [91]. GNE, catalyzing the rst two steps in the synthesis of sialic acid, is a rate-limiting enzyme, and its activity is regulated by feedback inhibition from free cytoplasmic CMP-Neu5Ac [71, 87]. Coexpressing a mutant version of GNE lacking feedback regulation with CMP-SAS enhanced the sialylation mod­estly, but when the mutant version of GNE was coexpressed with CMP-SAT and human α-2,3-SiaT, CHO cells produced rhEPO having 43% increased sialylation. Coexpression experiments involving CMP-SAT clearly indicated that endogenous CMP-SAT is insufcient, and its overexpression was essential for increasing the sialylation [92]. Recently, epigenetic modulators have been employed to turn on the silenced α-2,6-SiaT in CHO cells by demethylating its promoter using a CRISPR­based approach [93].
Sialidases are enzymes that catalyze the removal of sialic acid residues from glycoproteins and glycolipids. CHO cells contain four different sialidases (Neu1-4) distributed in the lysosome (Neu1 and Neu4), cytosol (Neu2), and plasma mem­brane (Neu3) [94]. During glycoprotein biologic manufacture, lowering the activity of these enzymes is desirable, but not completely, due to their important roles in crucial biological functions [9597]. The cytosolic sialidase, Neu2, is released into the supernatant during cell lysis and preferentially removes α-2,3-linked sialic acids from the glycoprotein products [98]. RNA-mediated suppression of Neu2 [99] and plasma membrane-bound Neu3 [74] activities by 40 and 98%, respectively, increased sialic acid content (up to 33% in model proteins), but the effect of Neu2 suppression was observed in the death phase only.
6.5.3 Manipulating Fucosylation
Core Fuc residues on IgG antibodies have a negative effect on their effector function [51]. Effector function is essential in IgGs designed for use in tumor therapy; after binding to antigens on cancer cells, the IgG Fc region binds strongly to FcγRIIIa receptors present on natural killer cells, causing cancer cell death by lysis via the ADCC mechanism [48, 51]. Fucose-containing N-glycans present at Asn-297in the
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IgG adversely affect the Fc-FcɣRIII interaction [100]. Multiple studies have suc­cessfully demonstrated that removal of the core Fuc residue from the N-glycan in human IgG1increases the binding afnity of Fc toward FcɣRIII, which, in turn, enhances the invivo ADCC signicantly [48, 51]. Such fucose-free antibodies can be benecial to patients as their higher potency enables lower dosage administration [101, 102].
In mammals, fut8 is the only gene encoding for a fucosyltransferase capable of adding Fuc to N-glycans [103]. Inhibition or knockout of fut8 and interference with transport and synthesis of donor substrate GDP-Fuc are two approaches for reduc­ing or inhibiting Fuc addition to N-glycans in CHO cells [33]. Knockout of fut8in CHO cells using zinc nger nucleases and homologous recombination produced fully afucosylated antibodies, showing enhanced ADCC [104, 105]. Further, Chan etal. showed that inactivating Slc35c1, encoding for GDP-fucose transporter, also generated CHO cells producing fucose-free glycans [106].
Alternatively, antibodies devoid of core Fuc can also be produced by CHO cells overexpressing the GnT-III enzyme, which catalyzes bisecting GlcNAc addition onto the common core structure (Man3GlcNAc2) in N-glycans [107]. Upon addi­tion of bisecting GlcNAc, the oligosaccharide cannot act as a suitable substrate for subsequent glycosylation enzymes, especially Golgi-mannosidase II (Man-II), GalT, and FucT [108], leading to the production of fucose-free mAbs showing increased ADCC, but decreased complement-dependent cytotoxicity. The decreased CDC is due to hybrid N-linked oligosaccharide structures, resulting from incom­plete mannose cleavage [109].
6.5.4 Manipulating Branching
In mammals, branching in N-glycans occurs in the medial Golgi and is carried out by GnT-I, -II, -IV, and –V enzymes, which control GlcNAc addition at the branch point in a stepwise manner [108]. Branching produces bi-, tri-, and tetra-antennary structures, which can be extended by enzymes in the trans-Golgi capable of adding Gal, Fuc, and sialic acids (Fig.6.2) [110]. GnT-I and GnT-II control the formation of bi-antennary structures; tri-antennary structure formation is controlled by GnT-IV or GnT-V, and the tetra-antennary structure formation is controlled by the combined action of GnT-IV and GnT-V (Fig.6.2). Higher branching (tri and tetra) provides additional sites for the attachment of sialic acid residues, which enhance biological activity and circulatory lifetime. Increased branching of therapeutic glycoproteins is thus of signicant clinical as well as commercial interest.
Multiple studies have shown that branching can be increased by overexpression of GnT-IV and/or GnT-V enzymes. Tri-antennary structures were signicantly increased (over 50%) by overexpression of GnT-IV or GnT-V individually in CHO cells producing IFN-γ with predominantly bi-antennary sugar chains [111]. In the same study, tetra-antennary structures were increased up to 56% of the total sugar chains when GnT-IV and GnT-V enzymes were coexpressed. However, compared
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to observed increases in tri- and tetra-antennary structures, the corresponding increase in sialylation was insignicant. Inadequate sialylation was attributed to insufcient intracellular sialyltransferase or CMP-SAS activity. The reduced sialic acid capping on tri- and tetra-antennary structures in rhEPO was solved by Yin and coworkers by additionally expressing human α-2,6-SiaT [112]. They showed that coexpression of α-2,6-SiaT with GnT-IV and GnT-V produced rhEPO containing approximately 92% tri- and tetra-antennary N-glycans with a 45% increase in the sialic acid content compared with rhEPO obtained from wild-type CHO-K1 cells.
R. Pranomphon etal.
6.6 Effects ofBioprocess Conditions
A variety of bioprocess strategies have been employed to alter glycosylation pro­les, sometimes individually, but often in combination. Here, we group the studies based on the predominant manipulation while recognizing that more than one parameter may have been varied in these studies.
6.6.1 Temperature
Mellahi and colleagues investigated the effect of various feeding regimes and tem­perature shift strategies to improve antibody productivity and ensure product quality of an inducible CHO cell line (cumate gene switch) expressing rituximab [113,
114]. Experiments were performed in both shake asks and bioreactors, with induc-
tion performed at cell densities ranging from 1×106 to 10×106 cells/mL.While the cell density at induction had a signicant impact on product titer, it had little effect on the glycan distribution. In contrast, the culture duration signicantly affected glycosylation with a signicant decrease in galactosylation observed as the culture proceeded. They further explored temperature shifts from 37°C to either 34°C or 30°C and from 34°C to 30°C, coinciding with induction of production at either 4×106 or 10×106 cells/mL.Induction at high cell density combined with a tem­perature shift from 37 °C to 30 °C led to the highest antibody concentrations. Growth at 37°C before induction yielded slightly higher percentages of galactosyl­ation, sialylation, and fucosylation, compared to cultures started at 34°C, but the differences were not statistically signicant. Slightly lower galactosylation was seen later in culture, an effect that was less pronounced for cultures grown at 34°C before induction.
McHugh and colleagues examined the effects of a temperature shift on therapeu­tic protein production, charge variants, N-linked glycosylation, and protein aggrega­tion [115]. In this study, two CHO-K1 GS cell lines expressing different human mAbs (IgG1 mAb1 and IgG4 mAb2, respectively) exhibited differential responses to a temperature shift. They observed that the nal mAb1 titer with a temperature shift to 32°C was about 25% greater than unshifted cultures. Shift temperatures of
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Δ1.5°C increments signicantly affected nal titer and charge variants. Furthermore, lower shift temperature decreased acidic charge variants for both cell lines. Signicant differences in G0 and Man5 of about 1% and a slight decrease in galac­tosylation were observed between shifted and unshifted conditions for mAb1 pro­duction. In addition, an early shift temperature on Day 3 signicantly reduced mAb2 galactosylation similarly to mAb1 such that G1F was reduced by 5% and G2F was reduced by 0.8 with a 3% increase in G0F.
6.6.2 pH
Ivarsson and colleagues investigated the impact of chemical stress parameters (pH, dissolved oxygen tension (DOT) and osmolarity) and mechanical stress parameters (sparging) on cell growth, productivity, and N-linked glycosylation of a murine hybridoma cell line producing an IgG1 antibody, using a shift-experiment method­ology in batch cultures [116]. A shift in one or more of the process parameters was performed during the early exponential growth phase. They observed that cell growth was dependent on pH, followed by osmolarity. mAb productivity was dependent on DOT, followed by pH. In contrast, sparging had little effect on the specic growth rate or production rate in a range of 0.05–0.2vvm. Increasing pH between 6.8 and 8.0 monotonically decreased galactosylation and sialylation indi­ces, with a maximum decrease of 50% between pH6.8 and 8.0. The reduction in galactosylation was due to decreases in both G1F and G2F glycans with an increase in G0F glycans from 16 to 35% of total glycans. A slight decrease in fucosylation (from 99% to 94%) was also observed over that pH range. Compared with 50% of air saturation, DOT of 10% and 90% air saturation showed small increases in both galactosylation and sialylation. Increases in osmolarity from 320 to 420mOsm/kg at the control pH of 7.2 did not affect glycosylation; however, at elevated pH (>7.2), osmotically stressed cultures showed increased galactosylation and sialylation, off­setting the decreases caused by increased pH.
Seo and coworkers evaluated the effects of different cultivation pH (6.8, 7.0, 7.2,
7.4, and 7.6) and temperature (33.0°C and 37.0°C) on a novel human cell line, F2N78, established by somatic fusion of HEK293 and Namalwa lymphoma cells, producing an antibody against rabies virus. The maximum antibody concentration was observed at 37°C and pH6.8. Regardless of temperature, the highest specic growth rate occurred at a pH range of 7.0–7.4. The dominant glycan form was G1F, followed by G2F and then G0F, a signicant increase in galactosylation compared with antibody production in CHO cells. Increasing pH decreased G2F glycans and increased G0F glycans while culture temperature had little effect on the glycan distribution. Notably, a signicant fraction of the antibody obtained from the sta­tionary phase and later points in culture was aglycosylated, particularly at pH values between 7.0 and 7.4, which they attributed to glucose depletion [117].
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Jiang and colleagues investigated the impact of pH excursions on cell culture performance and N-linked glycosylation for three mAb-producing Chinese hamster ovary cell lines [118]. Antibody galactosylation (G1F+G2F) was greater at higher pH values in the range of 6.90–7.10 while cell-specic productivity decreased with the increased pH for one cell line, suggesting that the impact of pH excursions on antibody N-linked glycosylation is cell-line specic.
Zheng and coworkers investigated the effect of a pH shift during the expression phase on a CHO cell line producing anti-CD52 mAbs in perfusion culture and com­pared the production process, CQAs and the biological potency invitro [119]. In this study, they shifted the culture pH from 7.15±0.05 to 6.85±0.05 at day 9 and maintained a control group at 7.15±0.05in a 15-L bioreactor. Under pH shift con­ditions, the cell density and viability were stable and high throughout the perfusion culture. In addition, the qGlc and qLac were higher in the pH-shifted conditions than in the pH control conditions. Even though the specic productivity was lower under pH shift, the volumetric productivity remained high. Conversely, the charge and size variants of mAbs were similar in both pH conditions. Interestingly, six major glycoforms (G0, G0F, G1, G1F, G2F, and Man5) were observed under the two pH conditions. All forms were signicantly different except Man5 and G1. The galactosylation (G1+G1F+G2F) increased signicantly upon pH shift, due pri­marily to a decrease in G0F and increases in G1F and G2F.However, a signicant increase in G0 was also observed, leading to an overall decrease in fucosylation. CDC and ADCC efcacy were improved signicantly in the antibodies derived from the pH-shifted cultures, which can be attributed to the increased galactosyl­ation and decreased fucosylation, respectively.
6.6.3 Feeding Strategies andOther Bioprocess Manipulations
Reinhart and coworkers examined cell growth and product formation in batch, fed­batch, and semicontinuous perfusion cultures of three CHO cell lines (CHO-K1, CHO-S, and CHO DG44) producing the same monoclonal antibody in an isogenic format by transfection with the same bacterial articial chromosome (BAC) con­structs [120]. Additionally, two different cell culture media were used to investigate the effects on the bioprocess and mAb quality. Noticeably, fucosylated, mannosyl­ated and aglycosylated glycans were less inuenced by the media but were primar­ily inuenced by the host cell line. Generally, there were core-fucosylated, complex biantennary Fc glycans with predominantly G0F, G1F, and G2F glycoforms present in all three CHO cell lines. Mannosylation was highest in CHO DG44 (11–13%) followed by CHO-K1 (5–9%), and then CHO-S (2–3%). Fucosylation was lowest in CHO DG44 (71–83%) followed by CHO-K1 (82–84%) and CHO-S (94–96%). The light chain region also had a glycosylation site containing sialic acid residues. CHO-K1 cells had the highest amount of sialylated mAb (21–36%) followed by CHO DG44 (15–19%) and CHO-S cultures (6–15%). Generally, CHO-S cells
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showed greater biomass synthesis while CHO-K1 showed the highest mAb production.
Wang and coworkers investigated the effects of different media compositions, EX-CELL (EX) medium and immediate advantage (IA) medium from Millipore­Sigma- Aldrich, on the glycan prole of a recombinant protein, EPO-Fc, secreted from a CHO-GS cell line using an intact glycopeptide analysis method [121]. In this study, the culture supernatant containing recombinant EPO-Fc protein was har­vested on day 5 and day 8 of a batch culture. The three EPO N-glycosylation sites exhibited bi-, tri-, and tetra-branched glycan structures with various fucosylation and sialylation levels at each site, while the Fc N-glycosylation site exhibited mainly fully fucosylated, asialylated bi-antennary N-glycans as expected. Noticeably, EPO-Fc protein in the EX medium produced a more complex tetra- antennary N-glycan prole on the three EPO N-glycosylation sites than IA medium, while IA medium produced more bi- and tri-antennary structures at these same sites. The EPO-Fc exhibited about 25% sialylation, predominantly monosialylation on the EPO N-glycosylation sites. No sialylation was seen on the Fc site, as expected. While sialylation remained relativelyconstant between day 5 and day 8in the EX medium, it decreased somewhat in the IA medium, particularly at the rst N-glycosylation site. Furthermore, small amounts of the immunogenic Neu5Gc (2–6%) were detected in this study, and the content signicantly increased on day 8 compared to cultures on day 5in both media.
Wang and coworkers investigated the effect of ultralow carbon dioxide partial pressure (pCO2) on mAb N-glycosylation in CHO cell culture [122]. In fed-batch bioreactor cultures, they decreased the medium pCO2 to an ultralow value (<25mmHg) by increasing the headspace aeration rate and observed that cell viabil­ity and mAb production decreased. In addition, low pCO2 increased the percentage of galactosylation to 27.45 ± 2.13% compared to the normal pCO2 condition (21.36 ± 1.66%), while the fucosylation percentage was not affected. They sug­gested that the increased mAb galactosylation under low pCO2 conditions may be caused by the upregulated transcription levels of relevant glycosyltransferases (GnT-1 and B4galt1) and nucleotide sugar transporters (UDP-GlcNAcT and UDP-GalT).
6.6.3.1 Glucose andOther Glycosylation Precursors
Zhang and coworkers investigated the effect of glycosylation precursors on the gly­cosylation proles of IgG expressed in CHO cells [123]. In this study, when glucose was depleted, leaving lactate as a complementary carbon source, different sugar combinations of fructose, fucose, mannose, and galactose were fed into the culture to study their effects on glycosylation. They observed that feeding with mannose or glucose lowered HM glycans by 3–7% compared to feeding without mannose or glucose. Feeding galactose increased G1 glycans by 8–20% with a 2–6% increase in G2 glycans compared to feeding without galactose or glucose. Furthermore, feeding fucose signicantly increased concentrations of intracellular GDP-Fuc.
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However, as the afucosylated fraction (other than high mannose glycans) was very small, fucose feeding had no effect on fucosylation.
6.6.3.2 Amino Acids
Ghaffari and coworkers investigated the effect of limiting cysteine, asparagine, or glutamine on batch and fed-batch cultures for three antibody-producing Chinese hamster ovary cell lines (CHO-DXB11, CHO-K1SV, and CHO-S) [124]. They found that cysteine limitation had a negative impact on CHO cell growth, mAb productivity, and the glycosylation pattern of all three cell lines. Glutamine limita­tion reduced cell growth but not specic productivity. In contrast to glutamine, asparagine limitation did not signicantly affect either specic productivity or cell growth. Under the limiting conditions, there were minor differences in the glycosyl­ation proles of the EG2-hFc antibody produced in the CHO-DXB11 cell line. In the case of cysteine limitation in the CHO-K1SV cells, the fucosylated glycans were reduced by 16% and the antennarity index by 15%. For the CHO-S cells, the fucosylated glycans were reduced by 12% and in the antennarity index by 16%. Restoring the cysteine levels after 1day of cysteine limitation resulted in partial recovery of cell growth and productivity in CHO-DXB11 culture. Interestingly, they observed that supplementing cultures with cysteine resulted in similar cell­specic productivity as using commercial feeds.
6.6.3.3 Glycosaminoglycan Production
In an effort to improve the glycan structures for the bioengineered heparin described above, Baik etal. evaluated the effects of bioprocess conditions on productivity, structure, and anticoagulant activity. Supplementing the cultures with a chemically dened feed medium increased IVCD approximately twofold and product titer nearly threefold. However, the glycan compositions were largely unchanged. Adding a bolus of cysteine increased the anticoagulant activity approximately two­fold, but this was not sufcient to obtain pharmacological anticoagulant activ­ity [125].
6.6.4 Culture Additives
Dang and coworkers investigated the effects of carbon dioxide partial pressure, media hold duration (at 37 °C), manganese, and high-temperature short-time (HTST) treatment of culture media on afucosylation of mAb (IgG1) produced in CHO cells [126]. Afucosylation level was highest (~7.1%) in the low pCO2 model employing the other process parameters (i.e., media HTST treatment, Mn, and media hold), while the lowest afucosylation level (~2.5%) was observed for the
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condition without these three factors. Moreover, they observed that HTST treatment may not be associated with the higher afucosylation in the condition with Mn sup­plementation and media HTST.Noticeably, G0F was reduced in conditions with Mn supplementation, whereas Man5 was ~1% lower in all the conditions tested. Interestingly, there was a synergistic effect of these three independent parameters (pCO2, Mn, and media hold) on afucosylation. Afucosylation increased (~4%) with increasing these process parameters. In addition, they investigated the effects of high pCO2, Na+, and osmolality on afucosylation. They found that afucosylation increased with increasing Na+ resulting from Na2CO3 addition to maintain pH in the high pCO2 model.
Zhou and coworkers investigated the effects of different components, in particu­lar bovine serum albumin (BSA), on IgG N-glycoforms in hybridoma culture media [15]. They found that small molecule additives including glucose, glutamine, pyru­vate, and sodium bicarbonate caused minor changes in glycan species. Noticeably, glutamine addition decreased galactosylation and sialylation, presumably due to ammonia accumulation. On the other hand, BSA addition increased galactosylation and sialylation levels, with a decrease in fucosylation level. Furthermore, two new species of IgG N-glycans in the BSA+ conditions were discovered, afucosylated sialylated N-glycans and Neu5Ac-containing N-glycans, rather than the Neu5Gc­containing glycans commonly seen in rodent species.
The effects of deoxymannojirimycin (DMJ), an α-D-mannosidase inhibitor, on high mannose and core fucose levels were studied during IgG1 production in two different CHO cell lines (CHO-DXB-11 and CHO-K1SV) by Schwarz etal. (2020) [127]. DMJ at concentrations of 500 μM signicantly decreased the levels of complex- type glycans and core-fucosylated complex glycans by 15- and 14-fold, respectively, and signicantly increased the HM glycan level by 21-fold. However, they observed that the relative fucosylated complex and fucosylated bi-antennary levels were not affected by DMJ, demonstrating that DMJ had no effect on fucosyl­transferase activity. Therefore, they suggest that the decrease in core-fucosylated glycans upon DMJ feeding resulted from increased HM glycans rather than an increase in afucosylated complex glycoforms.
The effect of rafnose supplementation on high mannose species was studied in high-throughput systems using two cell lines (CHO-K1 and CHO-S) expressing humanized and human IgG1 antibodies (cell line 1 and cell line 2) by Bruhlmann etal. [128]. Cultures supplemented with rafnose at constant medium osmolality (315mOsm/kg) exhibited up to sixfold increased HM species with increasing raf­nose. Interestingly, cell line 1 predominantly expressed Man5 and Man6 glycans, while Man7 was not detected, and small amounts of Man8 were observed. In addi­tion, cell line 2 exhibited mainly Man5 glycans. They highlighted that rafnose mainly favored Man5 glycans. Supplementing the culture with 30mM rafnose at three different osmolalities signicantly increased HM glycans. Notably, culture supplementation with rafnose inuenced the expression levels of glycosylation­related genes. In particular, sialyltransferase gene expression was highly upregu­lated, whereas galactosyltransferase gene expression was downregulated.
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Ehret and coworkers investigated the impact of cell culture media additives on glycosylation proles of recombinant IgG1 produced in Chinese hamster ovary cells (CHO-K1and CHO DG44) [129]{Prabhu, 2019 #157}. Addition of 15μM kifunensine into the feed medium increased HM species by 85.8%. Moreover, sup­plementing the culture with 800μM 2-F-peracetyl fucose lowered fucosylation by
76.1%. Notably, the combination of 24μM uridine, 48μM manganese, and 120mM galactose increased total galactosylation by 40.9%. In addition, the presence of 30 μM dexamethasone in combination with galactose (120 mM), manganese (48μM), and uridine (24μM) increased sialylation by 6.9%.
Yin and coworkers examined the impact of the butyrated N-acetylmannosamine analog, 1,3,4-O-Bu3ManNAc on recombinant protein expression in CHO cell cul­ture [90, 130]. Addition of 1,3,4-O-Bu3ManNAc increased protein expression of EPO- and human IgG-expressing CHO cell lines with negligible impact on cell growth, viability, glucose consumption, and lactate production. Conversely, sodium butyrate (NaBu) addition decreased viable cell density and viability by 20 and 30%, respectively, compared to untreated or 1,3,4-O-Bu3ManNAc treated cells for both products. NaBu-treated cells exhibited lower sialylation levels on puried EPO compared to the untreated control while the addition of 1,3,4-O-Bu3ManNAc increased sialylation levels compared to both the NaBu-treated and untreated con­trol cultures. They concluded that, at the same butyrate concentration, supplementa­tion with 1,3,4-O-Bu3ManNAc has a negligible impact on cell viability, cytotoxicity, and apoptosis while also enhancing protein sialylation, compared to NaBu in CHO cell culture.
Wells and colleagues investigated the effects of galactose, uridine, and 2-F-peracetyl fucose (2FP) on cell growth, titer, and gene expression of a CHO cell line producing an IgG1 antibody in a batch culture [131]. Supplementation with 200μM uridine increased galactosylation by 2% and decreased fucosylation by 6% compared with unsupplemented controls. Furthermore, the mRNA levels of mgat1–2, B4galt1–6, and the sugar transporter Slc35a3 were upregulated compared with controls on day 4. Cells grown in the presence of 100mM galactose exhibited up to 21% decreased G0 glycans with increased G1 or G2 glycans compared to unsupplemented cultures on day 7. In addition, this supplementation increased fucosylation by about 5%. Interestingly, galactose addition upregulated mgat2, mgat5, and B4galt3–4 by Day 4 of the cultures. Supplementing cultures with 50μM 2FP decreased relative fucosylation by 48%. Moreover, 2FP supplementation sig­nicantly decreased the expression of fut8 and nucleotide sugar transporter gene expression (Slc35a3, Slc35a1, and Slc35c1). They observed that galactose and 2FP had no negative effects on cell growth, metabolism, or titer. In addition, the uridine­supplemented cells demonstrated 23% increased viable cell density and ∼30% decreased mAb titer.
Prabhu and coworkers investigated the effects of nickel and cobalt on glycosyl­ation of a recombinant IgG produced in CHO cells [132]. Nickel concentrations greater than 500 μM signicantly reduced galactosylation, while concentrations lower than 500μM had no signicant impact on glycosylation. In addition, fucosyl­ation was not impacted at any nickel concentration tested. 50μM cobalt slightly
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increased G1F glycans, whereas higher concentrations increased G0F glycans. Interestingly, uridine and galactose supplementation into cultures containing either Ni2+ or Co2+ may alleviate the effect of Ni2+ and Co2+ on galactosylation due to the increased availability of UDP-Gal.
Pande and colleagues investigated the effect of a small molecule ionophore, monensin, on high mannose glycans in different IgG-producing CHO cell lines [133]. Noticeably, monensin addition increased HM glycans, particularly Man5. Furthermore, no negative impacts on HM or cell culture parameters were observed at monensin concentrations between 0.1 to 10 nM. However, 50 nM monensin greatly increased HM glycans with negative effects on cell growth, viability, and titer. Interestingly, when monensin was added as a 25 nM bolus into the culture, total HM glycans on IgG increased without negative impacts on cell culture param­eters. They next tested the effect of monensin on different production cell lines in a 10-day mock perfusion assay designed to mimic the conditions in a perfusion bio­reactor. Three production cell lines producing mAbs with low levels of HM glycans (less than 10%) and one production cell line that consistently produced mAbs with high levels of HM glycans (more than 10%) were used. Monensin was added at 25nM to all cultures on day 3. After that, cultures were subjected to daily partial medium exchanges with perfusion medium containing either 25nM monensin or increasing monensin concentrations. They observed that monensin increased HM glycans on all four antibodies in a dose-dependent manner though the magnitude of the response was cell-line specic.
6.7 Perspectives andFuture Directions
CHO cells have been successfully used to express complex and efcacious bio­therapeutics at signicant scales. One cannot overstate the progress in the eld made possible by complex cellular engineering [134] and process engineering [1], which has been vital to large-scale manufacturing. Indeed, the examples of the highly complicated glycoproteins erythropoietin [135] and abatacept (Orencia®) [136] produced and marketed as therapeutics are an indication of how CHO cells can achieve reproducible CQAs without immunogenic glycans. While signicant process development is required for successful production of a biosimilar, including cell line screening, manipulation of process conditions, and possibly cell line glyco­engineering, the regulatory approval of over 60 biosimilars in Europe and over 30in the United States demonstrates that matching CQAs without the innovator cell line or knowledge of proprietary bioprocess conditions is achievable. This success is a testament to the plasticity of CHO cells and a growing understanding of the effects of process conditions on glycan distributions.
Still, monoclonal antibodies, the dominant class of recombinant therapeutic pro­teins, have relatively straightforward glycosylation patterns with typically one gly­cosylation site on each heavy chain and biantennary, asialylated glycans [137]. As more challenging structures such as heparin, bispecic antibodies, complicated