throbber
The Story of César Milstein and Monoclonal Antibodies: Introduction
`
`Page 1 of 3
`
`A HEALTHCARE REVOLUTION IN THE MAKING
`The Story of César Milstein and Monoclonal Antibodies
`Collated and written by Dr Lara Marks
`Today six out of ten of the best selling drugs in the world are monoclonal antibody therapeutics. One of these, Humira®, which is a
`treatment for rheumatoid arthritis and other autoimmune conditions, was listed as the top selling drug across the globe in 2012 with a
`revenue of US$9.3 billion. Based on its current performance many predict the annual sales of the drug will surpass the peak sales of Lipitor,
`a treatment for lowering cholesterol, that is the best selling therapeutic of all time. Currently monoclonal antibody drugs make up a third
`of all new medicines introduced worldwide.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 1 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies: Introduction
`
`Page 2 of 3
`
`Portrait of César Milstein.
`Photo credit: Godfrey Argent Studio
`
`Monoclonal antibodies are not only successful drugs, but are powerful tools for a wide range of medical applications. On the research front
`they are essential probes for determining the pathological pathway and cause of diseases like cancer and autoimmune and neurological
`disorders. They are also used for typing blood and tissue, a process that is vital to blood transfusion and organ transplants. In addition,
`monoclonal antibodies are critical components in diagnostics, having increased the speed and accuracy of tests. Today the antibodies are
`used for the detection of multiple conditions, ranging from pregnancy and heart attacks, to pandemic flu, AIDS and diseases like anthrax
`and smallpox released by biological weapons. Beyond human healthcare, monoclonal antibodies help detect viruses in animal livestock or
`plants, prevent food poisoning and investigations into environmental pollution.
`
`Monoclonal antibodies are indispensable in so many walks of daily life thanks to their ability to target a single type of cell. Produced in the
`laboratory, these antibodies are derived from naturally occurring proteins made by the body's immune system to recognise and fight foreign
`invaders, such as bacteria and viruses. The antibodies are generated through the fusion of a myeloma cancer cell with spleen cells taken
`from an immunised animal.
`
`Yet the story of how these unsung microscopic heroes came into the world and helped change healthcare remains largely untold. Moreover,
`their significance was largely overlooked at the time of their creation. The journey of monoclonal antibodies all started when an
`Argentinian émigré called César Milstein arrived at the Laboratory of Molecular Biology in Cambridge, the same laboratory where Francis
`Crick and James Watson discovered the structure of DNA in 1953. It was to be here that Milstein, together with Georges Köhler, pioneered
`the seminal technique for the production of monoclonal antibodies in 1975 and showed their clinical application for the first time.
`
`This exhibition of the life and work of César Milstein provides a window into the world where monoclonal antibodies were first developed.
`Showing Milstein's notebooks and writings for the first time, this exhibition provides first-hand the complexities that were involved in the
`creation of monoclonal antibodies and brings to life the many challenges scientists face in devising a viable biotechnological tool and its
`application in healthcare. Transforming monoclonal antibodies, which started life as a laboratory tool into something that could be of use in
`the outside world was neither straightforward nor inevitable.
`
`From Milstein's papers we learn first-hand how the newly-created monoclonal antibodies spread from the confines of Milstein's laboratory in
`Cambridge to scientists across the world and were then adapted for clinical applications. They highlight the logistical difficulties Milstein
`and his team faced in transporting monoclonal antibodies to other laboratories, and the fact that other scientists initially had little idea
`about how to grow and maintain the antibodies, let alone any idea what purpose they might serve.
`
`Strikingly, initially Milstein had very few requests for monoclonal antibodies. By 1977, however, he was being inundated with requests for
`samples and had to search for outside support in the distribution process. This was to pave the way to the earliest commercialisation of the
`technology with the help of Sera-Lab, a small British company set up to supply animal serum reagents to the scientific community. The
`relationship between Milstein and Sera-Lab illustrates the process of technology transfer in biotechnology during its formative years. All of
`this was done with little public fanfare and no venture capital or government support. Yet, the collaboration between Milstein and Sera-Lab
`laid the foundation for the wide-scale commercialisation of monoclonal antibodies.
`
`The exhibition also offers a way of understanding why the original technology developed by Milstein and Köhler was not patented in Britain
`and instead formed the basis of patents taken out by the Polish-American virologist, Hilary Koprowski, and his team based at the Wistar
`Institute in Philadelphia. The latter were thus the first scientists to be granted patents for monoclonal antibodies. Generating major
`controversy in the late 1970s, the patent story told in this exhibition reveals some of messy business of patenting research science and the
`implications this holds for those working in both the laboratory and the commercial world.
`
`It also provides some insight into Milstein's very early efforts to demonstrate the practical application of monoclonal antibodies. He and his
`colleagues paved the way for the use of monoclonal antibodies as tools for the purification of natural compounds for drugs and as reagents
`for blood typing. Their work also demonstrated the use of monoclonal antibodies as probes to investigate the pathological pathway of
`neurological conditions and a wide range of other diseases. This paved the way to the adoption of monoclonal antibodies as diagnostic tools
`and an invaluable platform in the move towards personalised medicine. The final part of the exhibition shows how Milstein encouraged the
`use of genetic engineering to improve the safety and efficacy of monoclonal antibodies thereby enabling their use as therapeutics on a large
`scale.
`
`Milstein's early life and work >>
`
`http://www.whatisbiotechnology.org/exhibitions/milstein
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 2 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies: Introduction
`
`Page 3 of 3
`
`Sponsored by the Medical Research Council as part of its Centenary Programme.
`
`Supported by the Department of Social Science,
`Health & Medicine, King's College, London
`
`About What is Biotechnology | Advisory Board | Contact us | Terms and Conditions
`
`Website design by Silico Research the creative minds behind BioPartnering.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 3 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies:Milstein's early life
`
`Page 1of 5
`
`Milstein's early life
`
`The journey from Argentina
`
`The son of Jewish im m igrants, César Milstein grew up in Bahía Blanca, a port town located by the Atlantic ocean som e 500 m iles south of
`Buenos Aires. Jews had begun to settle in Bahía Blanca from around 1900, m any of them com ing from central and eastern Europe.
`
`Family background
`
`Milstein's father, Lazaro, was born in a village in the Ukraine and m igrated
`to Argentina in 1913 at the age of 14 with his aged aunt and uncle. For m any
`years he lived in Jewish settlem ents near Bahía Blanca trying his hand at
`different trades, including farm labour, carpentry and railway work. During
`this tim e he taught him self Spanish and was an enthusiastic reader. He was
`also active in social and cultural activities, helping to preserve Yiddish
`literature and working for non-religious Jewish organisations, som e with
`anarcho-syndicalist connections.
`
`Lazaro m et Maxim a, his wife-to be, in Bahía Blanca. Maxim a was born in
`Argentina. She was the daughter of poor Ukrainian im m igrants who m ade
`great sacrifices to ensure she had a secondary school education and went to
`college. At the tim e Lazaro m et Maxim a she was a school teacher. Soon
`after their m eeting, Maxim a rose to becom e a head m istress. From 1926 to
`1933, Maxim a directed School No.3, the first co-educational school
`established in Bahía Blanca. Milstein, the m iddle of three brothers, was born
`at the fam ily hom e on this school's prem ises. He also attended the school in
`his early childhood. Both of Milstein's parents spoke Yiddish at hom e, but
`Milstein was raised speaking only Spanish.
`
`During his early childhood Milstein preferred playing with other children in
`the streets to reading books. W ith his m other's encouragem ent, however, he
`soon began to find pleasure in books, particularly adventure stories such as
`Rudyard Kipling's Jungle Book. Milstein developed a desire to pursue science
`at the early age of 8. This was prom pted by a discussion he had with one of
`his cousins who had just com pleted her degree in Chem istry and was then
`working as a biochem ist at the Instituto Malbran. Milstein was particularly
`fascinated by his cousin's description of her attem pts to extract snake
`venom to treat snake bite victim s. Milstein's interest in science deepened when on his ninth birthday he was given a Spanish translation of
`Paul de Kruif's Microbe H unters by his m other. This book awakened his desire to have the sam e type of adventurous life like that of the
`scientists Antoni van Leeuwenhoek and Louis Pasteur described in the book.
`
`This photograph was taken when Milstein was a young
`m an.
`
`Photograph credit: Celia Milstein.
`
`Milstein grew up in a fam ily which prized knowledge and education. Until his last year of school, Milstein attended schools close to hom e in
`Bahía Blanca, including the Colegio Nacional. In his final year, however, he m oved to a secondary school in Buenos Aires to prepare for the
`entrance exam of the University of Buenos Aires.
`
`Milstein's parents always supported his research, his m other helping to type up his first PhD thesis and his father offering him econom ic
`assistance so that he could dedicate him self to his doctoral research. Fiercely independent, Milstein declined his father's financial support.
`
`Education
`
`In 1945 Milstein started to study chem istry at the University of Buenos
`Aires. His undergraduate studies, however, were interrupted when,
`
`http://www.whatisbiotechnology.org/exhibitions/milstein/early
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 4 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies:Milstein's early life
`
`Page 2of 5
`
`Bahía Blanca
`Ba hía Bl a nc a ,Buenos A ir es P r ovinc e,
`A r g entina S a ve
`V iew l a r g er
`m
`a p
`
`Sign in
`
`during a faculty picnic, he suffered severe injuries to his pancreas when
`he hit a log while diving into a shallow pool and had to take off som e
`tim e off to recover. He finally received his BSc in chem istry in 1952.
`
`During his undergraduate years Milstein was active in cam paigns against
`the Peronist governm ent's policies aim ed at privatising education and
`their m ore general im positions on universities and student life and rose
`to be President of the Student Union. At the tim e the governm ent was
`clam ping down on any political activity, and the atm osphere was
`particularly tense. In 1951, for exam ple, a chem istry student, Ernesto
`Mario Bravo, was arrested and tortured for 20 days as a result of
`protesting against the governm ent. His arrest sparked a m ajor student
`strike. More than 150 strikers were arrested and university
`adm inistrators expelled the m ore prom inent leaders of the student
`m ovem ent. In the end, however, Bravo was released. The student
`m ovem ent considered this a m ajor achievem ent.
`
`Three years later student unrest erupted once again when the Peronist
`regim e im posed even greater control over the m edia, education system ,
`trade unions and the legislative and the judiciary. In October 1954
`students joined workers striking against the then deep econom ic and
`
`M a p da ta © 2015 G oog l e
`Google Map showing the location of Bahia Blanca in Argentina.
`The town is a m ajor trans-shipping and com m ercial centre,
`known for its large export trade of grains, wool, oil and fruit.
`Click to view a larger m ap.
`
`social crisis and increasing unem ploym ent.
`
`Shortly after Milstein returned to the University of Buenos Aires from his several m onths of convalescence, Milstein m et Celia Prilleltensky,
`a fellow chem istry undergraduate. Their first encounter was at the laboratory bench, where they found them selves working alongside each
`other. Celia not only shared Milstein's scientific interests, but was sim ilarly an ardent student cam paigner for free education. A year after
`their graduation in 1952, Milstein and Celia m arried.
`
`At the sam e tim e as getting m arried, Milstein began to look for a suitable doctoral supervisor. Initially he sought to work with Professor Luis
`Leloir, a distinguished Argentinian enzym ologist. To this end he visited Leloir's workplace, an old house in Buenos Aires. On arrival he m et
`what seem ed to him an unassum ing m an carrying a basket. This turned out to be Leloir. Having no space to take Milstein on, Leloir instead
`referred him to the Argentinian biochem ist Professor Andrés Stoppani.
`
`Milstein recalled that Stoppani was 'one of the few and perhaps
`the only full-tim e Professor of the Faculty of Medicine in the
`University of Buenos Aires, perhaps the m ost im portant universities
`in Latin Am erica, a full tim e professor who probably had a salary
`of about the sam e order of m agnitude as a janitor, trying to do
`serious and honest research in a laboratory with no funds at all'.
`
`Stoppani advised Milstein to take som e tim e off before he started
`his doctorate in view of the tense political clim ate which was
`hostile to students such as Milstein who had actively cam paigned
`against the Peronist governm ent's policies in education. His advice
`encouraged Milstein to take a year long honeym oon with Celia
`exploring Europe.
`
`By 1954 the political environm ent had begun to im prove and
`Milstein began researching enzym es for a doctorate in
`biochem istry although he had no funding as there was none for
`students in this period. He was forced to support his studies by
`working half-days in the Laboratorios Liebeschutz, a clinical
`biochem istry laboratory. In later years Milstein argued that this
`part-tim e job had taught him the value of organising his tim e.
`
`During his doctoral research Milstein had access to only the m ost
`basic equipm ent. Som e idea of how poor the facilities were at the
`tim e can be seen from his recollections that Stoppani had 'to pay,
`from his own m eagre salary, for the pound of yeast … needed from
`tim e to tim e in order to prepare … [the enzym e] aldehyde
`dehydrogenase.'He recalled, 'W e survived on what was inherited
`from the golden days … from the Medical School and with reagents
`justified by teaching requirem ents'. The m ost precious piece of equipm ent in the departm ent was a W arburg apparatus, which Stoppani did
`not allow anyone but him self to use.
`
`This photograph shows Milstein early on in his courtship with Celia
`Prilleltensky.
`
`Photograph credit: Celia Milstein.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein/early
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 5 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies:Milstein's early life
`
`Page 3of 5
`
`Click here to see the
`additional photographs from
`Milstein's early life.
`
`By 1955, the political situation in Argentina had im proved still further and with this the conditions in
`Stoppani's departm ent becam e slightly easier. This m eant, for exam ple, that the departm ent was able to
`purchase a refrigerated centrifuge. The centrifuge proved useful to Milstein in his enzym e preparations.
`Nonetheless, problem s rem ained. The nearest spectrophotom eter, an instrum ent that Milstein needed for
`m easuring enzym e activity, was located three blocks away from his departm ent and Milstein had to trek every day between departm ents
`carrying reagents and enzym e preparations. Early on in his doctoral studies he cam e close to losing his position in the departm ent when, in
`the process of m aking his enzym e preparation, he succeeded in consecutively breaking three of the departm ent's five very expensive 5-litre
`flasks.
`
`Despite these hurdles, Milstein com pleted his doctoral research and was awarded a prize in 1957 by the Associación Q uim ica Argentina for
`the best thesis in chem istry that year. His doctorate was an investigation of the enzym e dehydrogenase. He had focussed his research on
`one of the enzym e chem ical bonds, known as a disulphide bridge. Between 1957 and 1959 Milstein would publish several papers with
`Stoppani arising from his doctoral research.
`
`The relationship with Cambridge begins
`
`In 1958, funded by a British Council scholarship, Milstein joined Malcolm Dixon and Edwin W ebb at the Sir W illiam Dunn School of
`Biochem istry in Cam bridge. In part the decision was influenced by the fact that Stoppani had worked with Dixon before the Second W orld
`W ar.
`
`Initially, Milstein had difficulty understanding what Dixon and W ebb were
`saying because he lacked fluency in English, but with their advice he set out
`to study the kinetics and heavy m etal activation of the enzym e
`phosphoglucom utase. This was inspired by Dixon's suggestion that Milstein
`follow up an odd observation m ade som e years earlier in the departm ent
`that phosphoglucom utase required two m etals for full activity, m agnesium
`and a trivalent m etal like chrom ium .
`
`Milstein was left to pursue his research on his own within Cam bridge. The
`work was not without its pitfalls. Milstein lost his first large-scale enzym e
`preparation in an electric cold bath. According to Milstein this was caused
`by the distraction of attending a cham pagne party to celebrate the awarding
`of a Nobel Prize to Fred Sanger in 1958. Sanger had been awarded the Prize
`two weeks after Milstein's arrival in Cam bridge. A central figure in the
`Cam bridge Biochem istry Departm ent, Sanger's achievem ent had been to
`show that proteins have a defined chem ical com position.
`
`Despite his early disaster with his enzym e preparation, within a year
`Milstein's experim ents on phosphoglucom utase had provided sufficient data
`for him to write up his research. This led to the award of a second
`doctorate, this tim e from Cam bridge University. Based on this research he
`published three papers. Contrary to contem porary opinion, Milstein
`discovered that the activation of phosphoglucom utase was caused by the
`displacement of heavy m etals by m agnesium . Prior to Milstein's finding,
`scientists believed the enzym e was activated by the heavy m etals
`them selves.
`
`During his British Council fellowship in Cam bridge, Milstein form ed a strong
`bond with Sanger. At the tim e Sanger was a pivotal figure in the Departm ent
`of Biochem istry, as he possessed the only functional pH m eter. W hile an
`unassum ing figure, Sanger was a dom inant influence within the departm ent.
`Milstein, for exam ple, rem em bered a warning sign to the entrance of the
`departm ent's high-voltage electrophoresis room reading 'Danger – High
`Power'which was altered by som eone in the departm ent to read 'Sanger –
`High Power'.
`
`Malcolm Dixon, the biochem ist who supervised Milstein at
`the Sir W illiam Dunn School of Biochem istry, Cam bridge
`University.
`
`Milstein was quickly drawn to Sanger not only because of the equipm ent he
`possessed but also by the fact that they shared the sam e research interests.
`They soon collaborated to define the active site of phosphoglucom utase and
`published a joint paper on this research. It appeared as C. Milstein, F. Sanger, 'An am ino acid sequence in the active centre of
`phosphoglucom utase', Biochemistry Journal, 79 (1960), 456-69.
`
`Photo credit: Sir W illiam Dunn School of Biochem istry,
`Cam bridge.
`
`W hen it cam e tim e for Milstein to return to Argentina, Sanger offered to secure Medical Research Council m oney for him to extend his tim e
`in Cam bridge. Milstein, however, decided to return to Argentina to take up a position he had been offered prior to com ing to Cam bridge.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein/early
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 6 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies:Milstein's early life
`
`Page 4of 5
`
`This photograph was taken around 1980. It shows Milstein together with Fred Sanger.
`
`Photo credit MRC, Laboratory of Molecular Biology.
`
`A new chapter in molecular biology in Argentina
`
`In 1961 Milstein departed from Cam bridge for the Instituto Malbran, where he headed up a newly-created Departm ent of Molecular Biology
`in the National Institute of Microbiology. Celia also had a post in the departm ent. The return of the Milsteins to Argentina coincided with a
`period of reform in the country following the fall of Peron, when m any academ ic scientists who had been sidelined (or expelled) during
`Peron's rule returned; they included Bernardo Houssay, a physiologist who won the Nobel Prize in 1947, and Leloir who would go on to win
`the Nobel Prize in Chem istry in 1970.
`
`As head of the Departm ent of Molecular Biology, Milstein had a wide range of responsibilities, from em ploying his carpentry skills to install a
`laboratory to acting as m entor to 25 young scientists and bringing bacterial genetics into the research orbit of the departm ent. In addition
`to his day-to-day to m anagem ent of the departm ent, he continued the research he had begun in Cam bridge around phosphoglucom utase,
`developing techniques for studying the sequence of the enzym e and m arking its active centres. He also started investigating another
`enzym e: alkaline phosphatase of bacteria. Much of this work was focused on understanding the enzym e's m echanism of action. His notable
`achievem ent at this tim e was elucidating the sequence around the active site of alkaline phosphate of bacteria with Noé Zwaig. This they
`accom plished ahead of scientists in the USA. They published their results in N. Zwaig, C. Milstein, 'On the nature of the phosphoenzym e
`interm ediate in the phosphoglycerom utase reaction', Biochimica et Biophysica Acta, 73 (1963), 676-9.
`
`In 1962 Milstein's life, like that of m any other Argentinians, was thrown into turm oil as a result of a m ilitary coup. Most disturbingly for
`Milstein, Ignacio Pirosky, the director of his institute, was dism issed, as were m any colleagues in Milstein's departm ent who had defended
`Pirosky. W ith the coup, persecution began to m ount against both political dissenters and Jews in Argentina. This had m ajor im plications for
`Milstein. Bearing a Jewish nam e, authorities im m ediately associated him with com m unist activists. W hen four of his own staff were
`expelled from his departm ent, he found him self no longer able to concentrate on his own scientific research and he decided to resign from
`his position and return to Cam bridge. He was just one am ongst the m any tens of thousands of intellectuals and scientists who left Argentina
`during the m ilitary regim e.
`
`More historical background can be found on Milstein and the rise and fall of m olecular biology in Argentina in the late 1950s and late 1960s
`in P. Kreim er and M. Lugones, 'Pioneers and Victim s: The Birth and Death of Argentina's First Molecular Biology Laboratory', Minerva, 41/1
`(2003), 47-69.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein/early
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 7 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies:Milstein's early life
`
`Page 5of 5
`
`Milstein's career begins at the Laboratory of Molecular Biology
`
`Milstein departure from Argentina was facilitated by Fred Sanger. On hearing of Milstein's difficulties in Argentina, Sanger invited him to
`join him at the Medical Research Council (MRC) Laboratory of Molecular Biology, where he now headed the Protein Chem istry division.
`Milstein arrived at the Laboratory in 1963 on a three year contract paid for by the MRC. This was one year after the Laboratory had m oved
`into its own prem ises.
`
`For m ore on Milstein's recollections of his early days see C. Milstein, 'Messing about with isotopes and enzym es and antibodies', Lynen
`Lecture, Miam i W inter Sym posium Proceedings, in W . W helan, ed., From G ene to Protein: Translation into Biotechnology (New York and
`London, 1982).
`
`<< Introduction to the exhibition
`
`Milstein's early antibody research >>
`
`Sponsored by the Medical Research Council as part of its Centenary Programme.
`
`Supported by the Department of Social Science,
`Health & Medicine, King's College, London
`
`About W hat is Biotechnology | Advisory Board | Contact us | Term s and Conditions
`
`Website design by Silico Research the creative minds behind BioPartnering.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein/early
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 8 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies: Milstein's early antibody research
`
`Page 1 of 5
`
`Early antibody research
`
`The quest to understand antibodies diversity
`
`Soon after arriving at the Laboratory of Molecular Biology (LMB) Milstein began an investigation into the Bence-Jones protein. His prim e
`objective was to understand the m olecular structure behind the form ation and diversity of antibodies.
`
`This photograph
`shows a crystal of a
`Bence-Jones
`protein.
`
`Photo credit: Alex
`McPherson,
`University of
`California, Irvine;
`National Institutes
`of General Medical
`Sciences, ID 2399.
`
`The Bence-Jones protein is a substance found in the urine and blood of patients suffering from m ultiple m yelom a, a cancer that results in
`the softening of bones. The protein was first described by the English physician Henry Bence-Jones in 1847 and its physical characteristics
`were determ ined during the 1950s. By the early 1960s, scientists had discovered that the Bence-Jones protein possessed the sam e structure
`as a light-chain, a sub-unit of an antibody m olecule. Thereafter scientists began to use the protein as a tool for investigating the structure
`and function of norm al antibodies. One of the advantages in exploring the Bence-Jones protein was that it was easily available. Scientists
`could gain access to the protein collected from the urine and blood of patients in hospitals.
`
`Milstein's decision to investigate Bence-Jones proteins for the purposes of investigating antibodies was prom pted in part by his supervision
`of a doctoral student working on antibodies when in Argentina and in part by discussions he had with Sanger on arriving at the LMB.
`
`At the start of his research into Bence-Jones proteins, Milstein was one of m any scientists then trying to understand the body's im m une
`system by unravelling the structure and function of the billions of antibodies m ade by the body every day to fight off infections.
`
`An antibody works by specifically targeting a foreign
`intruder, known as an antigen. Such antigens can range
`from bacteria, viruses and fungi, to pollen, dust, or food
`proteins that cause allergic reactions. Not all antigens are
`foreign bodies, however; they can also be cancer cells
`m ade in the body itself.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein/antibodies
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 9 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies: Milstein's early antibody research
`
`Page 2 of 5
`
`Once an antibody recognises a particular antigen it will
`attach itself to a specific m arker on the cell surface of the
`antigen so that the latter can be targeted for destruction.
`In m any ways the binding of an antibody to an antigen can
`be likened to the insertion of a key in a lock.
`
`By the tim e that Milstein began his research into
`antibodies, scientists were beginning to unravel the basic
`structure of an antibody. This they viewed as a Y-shaped
`form ation com posed of two protein sub-units, labelled as
`light and heavy chains (appearing as red and blue in the
`diagram ), held together by disulphide bonds (indicated by
`green lines). They believed the antibody structure was
`divided into two regions, one that was constant, form ing
`the stem of the Y, and one that was variable on the tip of
`the arm s of the Y.
`
`Nonetheless, while the basic m olecular structure of
`antibodies was beginning to be solved, what rem ained a
`puzzle was how such an apparently alm ost identical group
`of proteins could specifically target sim ultaneously any
`one of a m ultiple of antigens. This specificity as well as the diversity of antibodies was a question that had intrigued scientists ever since
`the late 19th century when antibodies were first observed.
`
`This shows the basic structure of an antibody.
`
`W hat lay behind the heterogeneity of antibody m olecules would be a recurrent subject for m ost of Milstein's laboratory investigations from
`the 1960s onwards. One of the attractions of this research for Milstein was that it could be achieved through very sim ple experim ents,
`essentially com paring prim ary DNA sequences of two different antibodies. This gave Milstein the m eans to elucidate the diversity of
`antibodies at the level of their am ino acid sequences.
`
`Dissecting the antibody structure
`
`Having decided upon his topic of research, Milstein began investigating different chem ical techniques to dissect the structure of antibodies.
`He was assisted by John Jarvis, a biochem istry technician who had joined the LMB when he did. Jarvis would work as Milstein's research
`assistant until Milstein retired.
`
`One of the first experim ents Milstein conducted was to determ ine the am ino acid sequence of the Bence-Jones protein in order to unravel
`the function of the disulphide linkages within the overall m olecular structure of the antibody. He published his first results in C. Milstein,
`'Disulphide bridges and dim ers of Bence-Jones Protein', Journal of Molecular Biology, 9 (1964), 836-8. The paper provided the first sequence
`data for the Bence-Jones protein and was the first of the m any papers that Milstein would write on antibodies over the next forty years.
`
`Having analysed the dilsulphide bridges of antibodies, Milstein began to explore the differences in am ino-acid sequences, the positions of
`carbohydrate attachm ents and m utations. All of this work was directed towards understanding the nature of the diversity of antibodies at
`the DNA level.
`
`One of the tools that proved vital to Milstein's work in determ ining the structure of antibodies was the chrom atography colum n. In colum n
`chrom atography a sam ple is put through a glass tube filled with a liquid known to separate the different com ponents within the sam ple.
`Because of m olecule size and polarity, different com ponents in the sam ple travel through the colum n at different speeds.
`
`In Milstein's experim ents, the chrom atography colum n was used to
`separate out the subunits of light and heavy chains and other
`com ponents of the antibody protein. Once put through the colum n,
`the separated com ponents of the antibody were then collected and
`purified. After this, an enzym e was added to the collected sam ple in
`preparation for sequencing. This enabled digestion of the sam ple to
`separate its constituent elem ents. After being treated with an
`enzym e, the sam ple was run again through a chrom atography
`colum n. Together these steps enabled Milstein to begin to determ ine
`the sequence of individual genes and larger genetic regions within
`the antibody.
`
`Overall the sequencing of an antibody's am ino acids was a laborious
`and tim e-consum ing process. The procedure would becom e m uch
`easier and faster with the developm ent of new sequencing m ethods
`in the early 1970s.
`
`http://www.whatisbiotechnology.org/exhibitions/milstein/antibodies
`
`9/8/2015
`
`PETITIONER'S EXHIBITS
`
`Exhibit 1024 Page 10 of 63
`
`

`
`The Story of César Milstein and Monoclonal Antibodies: Milstein's early antibody research
`
`Page 3 of 5
`
`In his elucidation of antibody diversity at the level of am ino acid
`sequences, Milstein was aided by Richard Pink, his first English
`graduate student, and Blas Frangione, an Am erican postdoctoral
`scientist. He was also helped by his wife Celia, with whom he
`published a joint paper in the Journal of Molecular Biology in 1970.
`
`By the early 19

This document is available on Docket Alarm but you must sign up to view it.


Or .

Accessing this document will incur an additional charge of $.

After purchase, you can access this document again without charge.

Accept $ Charge
throbber

Still Working On It

This document is taking longer than usual to download. This can happen if we need to contact the court directly to obtain the document and their servers are running slowly.

Give it another minute or two to complete, and then try the refresh button.

throbber

A few More Minutes ... Still Working

It can take up to 5 minutes for us to download a document if the court servers are running slowly.

Thank you for your continued patience.

This document could not be displayed.

We could not find this document within its docket. Please go back to the docket page and check the link. If that does not work, go back to the docket and refresh it to pull the newest information.

Your account does not support viewing this document.

You need a Paid Account to view this document. Click here to change your account type.

Your account does not support viewing this document.

Set your membership status to view this document.

With a Docket Alarm membership, you'll get a whole lot more, including:

  • Up-to-date information for this case.
  • Email alerts whenever there is an update.
  • Full text search for other cases.
  • Get email alerts whenever a new case matches your search.

Become a Member

One Moment Please

The filing “” is large (MB) and is being downloaded.

Please refresh this page in a few minutes to see if the filing has been downloaded. The filing will also be emailed to you when the download completes.

Your document is on its way!

If you do not receive the document in five minutes, contact support at support@docketalarm.com.

Sealed Document

We are unable to display this document, it may be under a court ordered seal.

If you have proper credentials to access the file, you may proceed directly to the court's system using your government issued username and password.


Access Government Site

We are redirecting you
to a mobile optimized page.





Document Unreadable or Corrupt

Refresh this Document
Go to the Docket

We are unable to display this document.

Refresh this Document
Go to the Docket