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      Preclinical toxicological assessment of a novel monoclonal antibody targeting human platelet-derived growth factor CC (PDGF-CC) in PDGF-CC hum mice

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          Abstract

          Platelet-derived growth factor CC (PDGF-CC) is important during foetal development but also in pathogenesis of neurologic diseases, cancer and fibrosis. We have previously demonstrated that blocking the PDGF-CC/PDGF receptor alpha (PDGFRα) axis resulted in reduction of stroke volume and cerebrovascular permeability after experimentally induced stroke. Recently, we could translate these findings into the clinic showing that imatinib, a small tyrosine kinase inhibitor targeting PDGF receptors, can significantly improve neurological outcome after ischemic stroke in human. Herein we report preclinical toxicological analyses of our newly generated monoclonal anti-human PDGF-CC antibody 6B3 (mAb 6B3) in PDGF-CC humanized mice. Beside histological organ assessment, we also analysed serum, urine, haematological parameters and the general health status of the treated mice. We could not find any indications that mAb 6B3 is toxic or has other significant side effects neither in short, nor in long treatment regimens. Our results indicate that mAb 6B3 can be further developed for clinical use. This opens up the possibility to assess the therapeutic potential of blocking PDGF-CC in diverse pathological conditions such as neurologic diseases, cancer and fibrosis.

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          Most cited references29

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          The blood-brain barrier in health and disease.

          The blood-brain barrier (BBB) is a term used to describe a series of properties possessed by the vasculature of the central nervous system (CNS) that tightly regulate the movement of ions, molecules, and cells between the blood and the CNS. This barrier is crucial to provide the appropriate environment to allow for proper neural function, as well as protect the CNS from injury and disease. In this review, I discuss the cellular and molecular composition of the BBB and how the development and function of the BBB is regulated by interactions with the CNS microenvironment. I further discuss what is known about BBB dysfunction during CNS injury and disease, as well as methodology used to deliver drugs across the BBB to the CNS. Copyright © 2012 American Neurological Association.
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            Activation of PDGF-CC by tissue plasminogen activator impairs blood-brain barrier integrity during ischemic stroke.

            Thrombolytic treatment of ischemic stroke with tissue plasminogen activator (tPA) is markedly limited owing to concerns about hemorrhagic complications and the requirement that tPA be administered within 3 h of symptoms. Here we report that tPA activation of latent platelet-derived growth factor-CC (PDGF-CC) may explain these limitations. Intraventricular injection of tPA or active PDGF-CC, in the absence of ischemia, leads to significant increases in cerebrovascular permeability. In contrast, co-injection of neutralizing antibodies to PDGF-CC with tPA blocks this increased permeability, indicating that PDGF-CC is a downstream substrate of tPA within the neurovascular unit. These effects are mediated through activation of PDGF-alpha receptors (PDGFR-alpha) on perivascular astrocytes, and treatment of mice with the PDGFR-alpha antagonist imatinib after ischemic stroke reduces both cerebrovascular permeability and hemorrhagic complications associated with late administration of thrombolytic tPA. These data demonstrate that PDGF signaling regulates blood-brain barrier permeability and suggest potential new strategies for stroke treatment.
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              PDGF-C is a new protease-activated ligand for the PDGF alpha-receptor.

              Platelet-derived growth factors (PDGFs) are important in many types of mesenchymal cell. Here we identify a new PDGF, PDGF-C, which binds to and activates the PDGF alpha-receptor. PDGF-C is activated by proteolysis and induces proliferation of fibroblasts when overexpressed in transgenic mice. In situ hybridization analysis in the murine embryonic kidney shows preferential expression of PDGF-C messenger RNA in the metanephric mesenchyme during epithelial conversion. Analysis of kidneys lacking the PDGF alpha-receptor shows selective loss of mesenchymal cells adjacent to sites of expression of PDGF-C mRNA; this is not found in kidneys from animals lacking PDGF-A or both PDGF-A and PDGF-B, indicating that PDGF-C may have a unique function.
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                Author and article information

                Contributors
                Role: InvestigationRole: Writing – original draft
                Role: InvestigationRole: Writing – original draft
                Role: Investigation
                Role: Investigation
                Role: Investigation
                Role: SupervisionRole: Writing – review & editing
                Role: ConceptualizationRole: SupervisionRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS ONE
                plos
                plosone
                PLoS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                18 July 2018
                2018
                : 13
                : 7
                : e0200649
                Affiliations
                [1 ] Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden
                [2 ] Olivia Newton-John Cancer Research Institute, and School of Cancer Medicine, La Trobe University, Melbourne, Australia
                Duke University School of Medicine, UNITED STATES
                Author notes

                Competing Interests: H.L., A.M.S. and U.E. have submitted a patent application (Methods and compositions for PDGF-CC inhibition, PCT/US2017/040170) on these antibodies. A.M.S. and U.E. are shareholders of a company (Paracrine Therapeutics AB) developing these antibodies. This does not alter our adherence to PLOS ONE policies on sharing data and materials.

                Author information
                http://orcid.org/0000-0002-4439-3980
                Article
                PONE-D-18-06318
                10.1371/journal.pone.0200649
                6051635
                30021009
                86f852fc-ac0e-4793-ab89-c63fb8a2ebc9
                © 2018 Zeitelhofer et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 27 February 2018
                : 30 June 2018
                Page count
                Figures: 4, Tables: 2, Pages: 16
                Funding
                Funded by: Australian National Health and Medical Research Council (NHMRC)
                Award ID: 1038334 and 1075898
                Award Recipient :
                Funded by: The Swedish Heart and Lung Foundation
                Award ID: 20110451, 20120077
                Award Recipient :
                Funded by: The Swedish Research Council
                Award ID: 2011-03861,2016-02593,2017-00691
                Award Recipient :
                Funded by: The Swedish Cancer Foundation
                Award ID: CAN2016/633,CAN2014/630
                Award Recipient :
                Funded by: funder-id http://dx.doi.org/10.13039/501100004047, Karolinska Institutet;
                Award Recipient :
                This study was supported by the Swedish Heart and Lung Foundation (20110451 and 20120077, U.E.), the Swedish Research Council (2011-03861, 2016-02593, 2017-00691, U.E.), Cancerfonden (CAN 2016/633, CAN 2014/630, U.E.), Karolinska Institutet, the Australian National Health and Medical Research Council (NHMRC) Development Grants (1038334 and 1075898, A.M.S.), the Practitioner Fellowship (A.M.S.) and funds from the Operational Infrastructure Support Program provided by the Victorian Government, Australia. The funders provided support in the form of salaries for authors [HL, MZ, IN, LM, AMS and UE], but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Research and Analysis Methods
                Experimental Organism Systems
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                Research and Analysis Methods
                Model Organisms
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                Research and Analysis Methods
                Experimental Organism Systems
                Animal Models
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                Medicine and Health Sciences
                Hematology
                Medicine and Health Sciences
                Neurology
                Cerebrovascular Diseases
                Stroke
                Ischemic Stroke
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                Vascular Medicine
                Stroke
                Ischemic Stroke
                Biology and Life Sciences
                Toxicology
                Medicine and Health Sciences
                Pathology and Laboratory Medicine
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                Biology and Life Sciences
                Genetics
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                Point Mutation
                Biology and Life Sciences
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                Anatomy
                Renal System
                Kidneys
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                Medicine and Health Sciences
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