The effect of the neonatal Fc receptor on human IgG biodistribution in mice

Abstract

The neonatal Fc receptor (FcRn) plays a pivotal role in IgG homeostasis, i.e., it salvages IgG antibodies from lysosomal degradation following fluid-phase pinocytosis, thus preventing rapid systemic elimination of IgG. Recombinant therapeutic antibodies are typically composed of human or humanized sequences, and their biodistribution, or tissue distribution, is often studied in murine models, although, the effect of FcRn on tissue distribution of human IgG in rodents has not been investigated. In this report, an ¹²⁵I-labeled human IgG1 antibody was studied in both wild type C57BL/6 (WT) and FcRn knockout (KO) mice. Total radioactivity in both plasma and tissues (0–96hr post-dose) was measured by gamma-counting. Plasma exposure of human IgG1 were significantly lower in FcRn KO mice, which is consistent with the primary function of FcRn. Differences in biodistribution of human IgG to selected tissues were also observed. Among the tissue examined, the fat, skin and muscle showed a decrease in tissue-to-blood (T/B) exposure ratio of human IgG1 in FcRn KO mice comparing to the WT mice, while the liver, spleen, kidney, and lung showed an increase in the T/B exposure ratio in FcRn KO mice. A time-dependent change in the T/B ratios of human IgG1 was also observed for many tissues in FcRn KO mice. These results suggest that, in addition to its role in IgG elimination, FcRn may also play a role in antibody biodistribution.

Keywords: :

• FcRn
• pharmacokinetics
• biodistribution
• tissue distribution
• monoclonal antibody
• IgG

Introduction

Increased understanding of factors that may influence biodistribution could enable the design and development of antibody therapeutic candidates with either increased target tissue localization or decreased off-target tissue distribution, both of which can influence the efficacy or safety of antibody products. However, unlike their small molecule counterparts, factors that can affect the tissue distribution process of therapeutic antibodies are not well-understood.¹ Convection is believed to be the primary mechanism responsible for the transport of antibodies from blood to tissues.² This process depends highly on the vascular permeability, which largely determines the rate of antibody movement from blood to different tissues. For example, the discontinuous capillaries typically found in liver, spleen and bone marrow allow the highest distribution of antibodies to these tissues. In contrast, the capillary endothelium and the underlying basement membrane in the brain are composed of tight junctions, precluding convective distribution of antibodies to the brain.

In addition to variables that affect the processes of both extravasation and interstitial distribution, the neonatal Fc receptor (FcRn), whose role has been well established in IgG homeostasis,^3,4 has also been shown to mediate transcytosis of IgG in in vitro systems.^5,6 A previous study by Garg et al. investigated the effect of FcRn in biodistribution via comparison of a murine IgG antibody biodistribution in FcRn knockout (KO) mice and WT mice.⁷ They reported a significant decrease in the tissue-to-blood area under the curve (T/B AUC) ratio in the muscle and skin in FcRn KO mice comparing to WT mice, while the T/B AUC ratio remained similar in other tissues. This suggested that FcRn plays a role in antibody tissue distribution. Garg et al. further proposed that the muscle and skin^8,9 are among the major sites of IgG catabolism, where FcRn-mediated transport from blood to tissue contributes significantly to IgG extravasation in these two tissues.

FcRn is expressed in many other organs and has been proposed to have additional functions. For example, in the kidney, it had been shown that podocyte FcRn could promote IgG immune complexes clearance through glomerulus, and, at the proximal tubule, FcRn may partly reclaim IgG back into the systemic circulation.¹⁰ FcRn is also expressed at the vascular endothelial cells of the central nervous system (blood-brain barrier).¹¹ There have been controversial reports on whether FcRn behaves as an efflux receptor that can transport antibodies across the blood-brain barrier back into systemic circulation in mouse models.^12-14

Importantly, interspecies differences in IgG-FcRn interaction have been reported where human IgG binds to mouse FcRn with a higher affinity than human IgG to human FcRn and mouse IgG to mouse FcRn at pH 6.0.¹⁵ It was further shown that the pH 6.0 binding affinity of human IgG1 for mouse FcRn was ~10-fold higher than mouse IgG1 and IgG2b, but comparable to mouse IgG2a.¹⁶ The therapeutic antibodies currently being developed by biopharmaceutical companies are usually human or humanized, and biodistribution is often evaluated in murine models. In this study, we examined the potential effect of FcRn on tissue distribution of a human IgG1 antibody using WT and FcRn KO mouse models. Our results were also compared with the results previously reported by Garg et al., using a murine IgG to examine potential interspecies differences in IgG tissue distribution.

Results

Pharmacokinetics of an ¹²⁵I-labeled human IgG1 molecule (Compound A) in FcRn KO and WT mice

Human IgG1 Compound A, in an unlabeled form, exhibited linear pharmacokinetics in mice, which is typical of a human IgG with no known target in the studied species (data not shown). The pharmacokinetics of ¹²⁵I-labeled Compound A was first characterized in FcRn KO mice and WT mice. Following a single intravenous (IV) dose of 3 mg/kg, the plasma clearance of ¹²⁵I-labeled Compound A in FcRn KO mice was about ~8-fold higher than that of WT mice (7.2 ± 0.57 vs 0.91 ± 0.2 mL/hr/kg) (Fig. 1). This is consistent with the known function of FcRn IgG salvation. The plasma PK profile of ¹²⁵I-labeled Compound A as determined from total radioactivity measurements was compared with that of unlabeled compound as determined by a Compound A-specific ELISA. The results showed similar plasma PK profiles in both FcRn KO and WT mice (Fig. 1). This suggests that the ¹²⁵I-radiotracer remained associated with systemically circulating Compound A over the 0–96 h time course evaluated, and that radiolabeling did not change the pharmacokinetics behavior of Compound A.

Figure 1. The effect of iodination on plasma pharmacokinetics of Compound A in wild type C57BL/6 (WT) and FcRn knockout (KO) mice, following a 3 mg/kg intravenous bolus administration. Terminal plasma samples were collected for radiolabeled Compound A (dotted line), as measured by gamma counting and each time point is the mean ± SD (n = 3). Serial plasma samples were collected for unlabeled Compound A (solid line), as measured by ELISA, and each data set is mean ± SD (n = 3).

Tissue-to-blood ratios from FcRn KO mice and WT mice

Next, the tissue distribution of Compound A in FcRn KO and WT mice was characterized. Since FcRn is known to affect the clearance of antibodies, the T/B ratio and T/B AUC ratio of Compound A from individual organs was compared between the WT and FcRn KO groups to discern whether FcRn plays any additional role in tissue distribution.

The tissue radioactivity with or without residue blood correction were evaluated for all tissues. For most of the tissues with relatively high T/B ratio, including skin and muscle, the residue blood correction had very limited effect on the overall tissue radioactivity. Notably, brain was an organ where ¹²⁵I radioactivity from residue blood contributed significantly to the total tissue ¹²⁵I radioactivity. The only other organs where residue blood correction would make a difference were spleen and kidney, but these residue blood corrections would likely lead to deviations from the actual Compound A tissue levels due to the anticipated red blood cell (RBC) turnover in spleen and kidney. Therefore, only tissue ¹²⁵I radioactivity in the brain was reported with residue blood correction, and all other tissue radioactivity was reported without residue blood correction (Fig. 2).

Figure 2. Tissue to blood ratio time course of all collected tissues in wild type (WT) and FcRn knockout (KO) mice. Each time point is a terminal collection of 3 animals from each strain. Each time point is presented as the mean ± SD.

As shown in Figure 2, following a single IV dose of 3 mg/kg Compound A, the organs with more permeable blood capillaries¹⁷ showed higher T/B ratios in both FcRn KO and WT mice. The brain was found to have the lowest T/B ratio, consistent with its least permeable blood capillary. With residue blood correction, the T/B ratio for the brain agreed well with the reported value between 0.1–1% in the literature.^13,14

When T/B ratios were compared between FcRn KO and WT mice, the liver and spleen showed a substantially higher T/B ratio in FcRn KO mice than WT mice across the 0–96 h time course (Fig. 2). On the other hand, the fat exhibited lower T/B ratio in FcRn KO mice than WT mice at most of the time points. For most of the other tissues, the T/B ratios were similar between FcRn KO and WT mice at earlier time points, but the ratios increased significantly in FcRn KO mice than WT mice by 96 h (Fig. 2).

To better assess the overall effect of FcRn on tissue distribution, the T/B AUC ratio, i.e., tissue exposure (Tissue_AUC_0–96hr)/blood exposure (Blood_AUC_0–96hr) were compared between FcRn KO and WT mice (Fig. 3). Comparing the T/B AUC ratio in FcRn KO mice to that in WT mice, a significant increase was observed in the liver (124%) and spleen (67%), followed by a mild increase in kidney (24%) and lung (30%), a slight decrease in skin (26%), the lymph node (32%), muscle (25%), and the greatest decrease with fat (102%) (Fig. 3).

Figure 3. Percentage change of tissue-to-blood area under the curve (T/B AUC) ratio (0–96 h) in FcRn knockout (KO) mice relative to wild-type (WT) mice. The percentage of change was calculated as either an increase or a decrease of T/B AUC_KO/T/B AUC_WT ratio relative to T/B AUC_WT. Values are presented as mean ± s.e.mean. n = 18. *P < 0.05, **P < 0.001, ***P < 0.0001 compared with wild-type mice.

Analysis of tissue radioactivities

Given the known function of FcRn in IgG salvation, we next examined whether there is any differences in the nature of tissue radioactivity in FcRn KO and WT mice. Trichloroacetic acid (TCA) precipitation was a crude method to assess the nature of observed tissue radioactivity, and it was first conducted with collected liver and kidney samples from both FcRn KO and WT mice. The results showed that the percentage of TCA-precipitable radioactivity from WT mice liver and kidney samples were >90% across all time points. In comparison, the percentage of TCA-precipitable radioactivity from FcRn KO mice tissue samples were >75% across the time course (Fig. 4). The slightly lower % TCA recovery with FcRn KO mice liver and kidney samples were consistent with the anticipated higher IgG catabolism in FcRn KO mice liver and kidney. But these results suggested it is unlikely that the observed higher T/B ratios in FcRn KO mice can all be attributed to the differences in IgG catabolism. In addition, western blot analysis with polyclonal anti-human Fc antibody was also conducted to look for the presence of break-down IgG fragments in liver and kidney tissue samples, and no small fragments were detected in either FcRn KO mice or WT mice (data not shown).

Figure 4. Percentage of post-TCA precipitation of the kidney and liver samples in C57BL/6 wild-type (WT) and FcRn knockout (KO) mice. Each time point is a terminal collection of 3 animals from each strain. Each time point is presented as the mean ± SD.

Discussion

Our study used a human IgG1 antibody in a murine animal model to further understand the potential role of FcRn in antibody tissue distribution. Given the well-established role of FcRn in IgG homeostasis, we examined the potential role of FcRn in antibody distribution via comparison of the T/B ratio and T/B AUC ratio of a human IgG1 molecule between WT and FcRn KO mice. Compared with WT mice, human IgG1 exhibited different T/B ratios across many organs examined in FcRn KO mice. Among them, the liver and spleen exhibited the most significant differences, with the T/B AUC ratios in FcRn KO mice being 124 ± 15.3% and 67 ± 8.2% higher than that in WT mice, respectively. The increase of T/B ratio of IgG1 in the liver and spleen appeared to increase with time. In fact, an apparent higher T/B ratio of IgG1 at 96hr was observed in many other organs. On the other hand, T/B AUC ratios showed a mild to moderate decrease in the skin, muscle and fat in FcRn KO mice compared with that in WT mice. Together the results suggested that FcRn may have a broad effect on tissue selectivity of IgG.

The role of FcRn in protection of IgG from intracellular catabolism indeed could have affected tissue distribution of human IgG, considering the significant higher systemic clearance of IgG in FcRn KO mice and relatively slow elimination of IgG from the tissues. We analyzed the liver and kidneys samples from both FcRn KO mice and WT mice with TCA precipitation and western blot. Despite the caveats of both technologies, the results from both experiments suggested that catabolism was not likely a major contributing factor for the observed differences in T/B ratio between FcRn KO and WT mice. Based on our current results, and the observed various tissue distribution pattern changes in FcRn KO mice, we believe it is more likely that FcRn also play roles in transporting antibody into, or out of, specific organs. This is consistent with the reported widespread expression of FcRn in tissues, including the liver,¹⁸ bone marrow,^19,20 lungs,²¹ kidneys,^10,22 skin,^23,24 and spleen.²⁵ For example, the T/B ratios of IgG1 in the liver and spleen were higher in FcRn KO mice across all time points. FcRn in the liver or spleen may serve as a transcytosis mechanism that transports the IgG out of the tissue. It was previously shown that many types of cells within the liver and spleen express FcRn, e.g., hepatocytes, Kupffer cells, sinusoidal endothelial cells,^18,26 and monocytes, macrophages, and lymphocytes.^20,28 The extent of recycling and transcytosis by FcRn may vary within each of these cell types. Tzaban et al. demonstrated that, in polarized epithelial cells, FcRn traffics IgG from either apical or basolateral membranes into the recycling endosome, where it is a critical sorting station, distinguishing between the recycling and transcytotic pathways.²⁷ The T/B ratios of IgG1 in the kidney were similar between FcRn KO mice and WT mice at earlier time points, but were much higher at 72 and 96 h in FcRn KO mice than that in WT mice. It had been suggested that FcRn expressed in the kidney serves in immune surveillance, preventing the accumulation of IgG immune complexes during the filtration process.^22,29 It was demonstrated previously in FcRn KO mice that FcRn in the podocytes promote IgG clearance and the ones in the proximal tubule epithelial cells reclaim IgG back into the systemic circulation.³⁰ Our data supports the potential IgG secretion role of FcRn in the kidney.

Our data are consistent with the previous report that showed skin and muscles exhibited lower T/B AUC ratio in FcRn KO mice,⁷ which suggests that FcRn may play a role in transporting IgGs from blood circulation to these tissues. The differences we observed were to a less extent, i.e., ~25% vs. ~53%, comparing to the findings from Garg et al. A more pronounced decrease in T/B AUC ratio was found with fat in our study, and it was not studied by Garg et al. Similar to what was reported by Garg et al.¹³ and Abuqayyas and Balthasar,¹⁴ we showed there was no T/B AUC ratio difference between FcRn KO mice and WT mice in the brain, and no T/B ratio difference except the last time point (96 h), which suggested that FcRn has little effect on distribution of IgG in the brain.

Notably, we found tissue selectivity of IgG biodistribution in the liver, spleen and kidney, which was not found by Garg et al. One possible explanation could be the use of the α chain FcRn KO mouse model in our study compared with the β2-microglubulin FcRn KO mouse model used by Garg et al. The α chain KO model is more specific to FcRn; β2-microglubulin is a component of all MHC class I molecule and knocking out β2-microglubulin may affect the function of other proteins.³¹ Another important difference is that human IgG was used in the current study whereas Garg et al. used a murine IgG antibody. Based on our in-house data and data in the literature, differences up to 10-fold in FcRn binding affinity across species were observed.¹⁵ The potential inter-species differences in the role of FcRn in IgG biodistribution clearly warrant more studies in the future.

In summary, FcRn KO mice exhibit notable changes in human IgG biodistribution compared with WT mice, and the direction and extent of the effect varies from organ to organ. These results suggested a possible role of FcRn in IgG biodistribution, in addition to its well-established role in protecting IgG from intracellular catabolism.

Materials and Methods

Radiolabeling of Compound A with Iodine-125 (¹²⁵I) for tissue distribution

Compound A is a human IgG1 monoclonal antibody developed in-house by Merck and Co. It has no known biological binding target in mice. It binds to both human and murine FcRn receptor with ~10-fold higher affinity than that of murine IgG1 antibody (data not shown). Compound A was labeled with ¹²⁵NaI (Perkin Elmer) using modified Pierce Iodobeads iodination method (Thermo Scientific). Briefly, 100 µg of protein dialyzed into phosphate buffered saline was incubated with 1 mCi of Iodine-125 (¹²⁵I) (Perkin Elmer) and two Iodobeads for 15 min at room temperature. The labeled protein was purified with a Zeba column (Pierce), and stored at 4 °C. The radiochemical concentration was determined by gamma counting using Wallac 1470 automated gamma counter (Perkin Elmer). The purity of labeled proteins was determined by size-exclusion high-performance liquid chromatography with a gamma detector. The percentage of free ¹²⁵I was less than 2% in all preparations. The integrity of labeled proteins was also analyzed with a product-specific immunoassay (Quantikine IVD human erythropoietin kits, R&D System) and the labeled Compound A showed comparable concentration-response curves to corresponding unlabeled materials.

Radiolabeling of RBCs with chromium-51 (⁵¹Cr)

To determine the contribution of residual blood in overall tissue radioactivity, ⁵¹Cr-labeled of RBCs were prepared and co-injected with ¹²⁵I-labeled Compound A. The RBC labeling procedure was modified from the method proposed by the International Committee for Standardization in Hematology (ICSH, 1973).³² Briefly, about 2.5 mL of fresh sterile blood was collected in EDTA tubes from untreated C57BL/6 mice. Blood was centrifuged at 1500 rpm for 5 min at room temperature. The supernatant was discarded and the pellet was washed three times with sterile isotonic sodium chloride. The cell pellet was reconstituted with 0.5 mL of sterile saline. One millicurie of Na₂⁵¹CrO₄ was added to the newly reconstituted cell suspension. The mixture was incubated for 45 min at room temperature with intermittent gentle pipetting. The supernatant was removed after the cell suspension was centrifuged at 1500 rpm for 5 min. The pellet was washed 4–5 times (5 × volume of RBCs) with sterile saline until most of the free ⁵¹Cr was removed (~0.01% of total radiolabeled RBC activity). Lastly the pellet was reconstituted with desired volume of sterile saline to achieved required concentration of ⁵¹Cr-labed RBCs.

Pharmacokinetics study of ¹²⁵I-labeled and unlabeled Compound A in FcRn KO and C57BL/6 mice

There were two strains of mice used in our studies: B6.129X1-Fcgrt^tm1Dcr/DcrJ, the homozygous FcRn α-chain knockout mice (KO), and C57BL/6 wild type mice (WT), the parental strain of the FcRn KO mice. Both strains were obtained from The Jackson Laboratory (Bar Harbor, ME). All animal studies were approved by, and conducted according to, the Merck Institutional Animal Care and Use Committee.

Two days before the experiment, mice were given Lugol's solution (potassium iodide) in drinking water to block excess uptake of free iodide into thyroid. ¹²⁵I-labeled Compound A, at a dose of 3 mg/kg (400 μCi/kg ¹²⁵I activity, ~8 µCi per mouse), was mixed with 600 µCi/kg of ⁵¹Cr-labeled RBCs (~12 µCi per mouse). The mixture was dosed intravenously (IV) via the tail vein to the FcRn KO and C57BL/6 WT mice, respectively. At various time points (i.e., 1, 6, 24, 48, 72, and 96 h), three animals from each group at each time point were sacrificed. Blood, bone, brain, fat, heart, kidney, liver, lung, lymph node (mesenteric), muscle, pancreas, skin, spleen, stomach and thymus were collected and weighed in polypropylene tubes. ¹²⁵I and ⁵¹Cr activities were measured by Wizard 1470 automated gamma counter (Perkin Elmer). Radioactivity was corrected for background and decay. Total tissue radioactivity with and without residual blood correction were measured for all tissues collected. The amount of residual blood in a tissue was calculated from the ⁵¹Cr activity in tissue over ⁵¹Cr activity in blood, which in turn was used to correct tissue Compound A radioactivity (total ¹²⁵I radioactivity - ¹²⁵I radioactivity from residue blood).

The plasma concentrations of unlabeled Compound A were determined by an enzyme-linked immunosorbent assay (ELISA). In brief, a biotinylated mouse anti-human κ chain monoclonal antibody (BD PharMingen) was used for capture, and a mouse anti-human IgG (Fc)-conjugated with HRP was used for detection. The antibody concentration was extrapolated from the standard curve with the lower limit of quantitation of 100 ng/ml. Standard non-compartmental analyses were performed to determine the clearance and AUC of labeled and unlabeled Compound A using WinNonlin (Enterprise Version 5.2.1, Pharsight Corp).

Tissue sample analysis

Each tissue was previously weighed and its radioactive concentration was determined by using a Wallac 1470 automated gamma counter (Perkin Elmer). Protein dilution factor, radioisotope decay factor and specific activity were taken into account for drug concentration calculation in each tissue. TCA precipitation of tissue homogenate was performed after homogenizing the kidneys and liver.³³ The tissue homogenate was centrifuged at 5000 rpm for 20 min at 4 °C and the supernatant was collected. Two hundred uL of the collected matrix was added to 200 uL of 10% ice cold TCA. The samples were shaken at 1200 rpm for 10 min at 4 °C and then centrifuged at 14 000 rcf for 5 min at 4 °C. The supernatant was aspirated and the TCA-precipitable radioactivity in the pellet was measured by the gamma counter. Tissue drug levels were calculated from post-TCA radioactivity and the specific activity of dosing solutions with the correction of ¹²⁵I decay (ng-eq/ml). The %TCA of a sample was calculated as post-TCA/pre-TCA (%), which is an indication of the integrity of the labeled protein, i.e., the % of radioactivity that remains protein-associated. The AUC of tissue-to-blood (T/B) ratios over the 0–96 h period were compared between WT and FcRn KO mice to evaluate the effect of FcRn on tissue distribution of human IgG1. The variance of AUC ratio was calculated using the formula of propagation of error:³⁴ SE_ratio = AUC _ratio (T/B) * Square Root [(SEM_tissue/AUC_tissue)² + (SEM_blood/AUC_blood)²]. Tissue-to-blood AUC ratios between WT and FcRn KO mice were compared by using one-way ANOVA test. Analysis was performed using GraphPad InStat 6.0.

Abbreviations:
pharmacokinetics	=	PK
intravenous	=	IV
Trichloroacetic acid	=	TCA
immunoglobulin G	=	IgG
neonatal Fc receptor	=	FcRn
tissue to blood ratio	=	T/B ratio
area under the curve	=	AUC
knockout	=	KO
red blood cell	=	RBC
Chromium 51	=	51Cr
Iodine 125	=	125I
wild type	=	WT
enzyme-linked immunosorbent assay	=	ELISA

Disclosure of Potential Conflicts of Interest

Chen N, Wang W, Fauty S, Fang Y, Hamuro L, Hussain A, and Prueksaritonant T are employees of Merck Research Laboratories, which supported the study financially.

Acknowledgments

We would like to thank Ken Koeplinger and Brian Carr for their insightful comments and helpful suggestions for the manuscript.

10.4161/mabs.27765