throbber
8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`lnt. Arch Allergy 43: 252-268 (1972)
`
`Minimal Molecular Size of Dextran Required to Elicit
`Heterologous Passive Cutaneous Anaphylaxis in Guinea Pigs
`
`W. Richter
`
`The Research Division, Pharmacia AB, Uppsala
`
`Abstract. 1. Isomaltohcxaose and smaller molecular fragments of dextran were found
`incapable of eliciting passive cutaneous anaphylaxis (PCA) in guinea pigs maximally
`sensitized with rabbit antidextrans.
`2. Isomaltodecaose elicited PCA in maximally, but not in submaximally sensitized
`animals. This indicates that monovalency or bivalency is not always expression of a
`physical characteristic of an anaphylaxis elicitor, but may be considered a functional
`property, dependent on the density of cell-fixed antibody populations.
`3. The PCA-eliciting effect of isomaltodecaose could be inhibited by admixture of
`isomaltohcxaose.
`4. The finding that, among the oligosaccharides tested, isomaltodecaose is the smallest
`molecular fragment of dextran capable of eliciting PCA, is in accord with literature data
`on the dimensions of the antidextran-binding site.
`5. PCA titers of 60 samples of rabbit antidextran antisera, estimated in guinea pigs,
`showed a range from 500 to 1,800, with a precipitating antidextran content of 0.8-3.6
`mg/ml in 9 of these sera. The smallest amount of antidextran, detectable by PCA, and
`producing lesions in 50% of sites injected, was found to be 0.02-0.09 //g. An approximately
`linear relationship between diameter of PCA lesions and log dose of antidextran was
`obtained.
`
`Introduction
`
`The dextran-antidextran system shows some physicochemical properties
`differing from those of protein antigen-antibody systems. One of these is the
`simple structure of dextran and the repetitive arrangement of identical anti­
`genic determinants along its threadlike molecules. This permits reduction of
`the molecular size of dextran to a varying extent without loss of immuno­
`logical specificity. In this way, the minimal molecular size required to elicit
`anaphylaxis in guinea pigs sensitized with antidextrans can be studied.
`
`Received: April 19, 1972.
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 1
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`R ichter
`
`253
`
`In earlier work on hapten inhibition of passive dextran-antidextran
`anaphylaxis, it was found that the minimal molecular size of dextran re­
`quired to elicit systemic anaphylaxis in guinea pigs sensitized with large
`doses of rabbit antidextrans corresponded to a weight average molecular
`weight (Mw) of about 3,000. Larger molecular size dextran was required to
`elicit anaphylaxis in animals sensitized with smaller amounts of antidextrans
`[Richter, 1971 b].
`To study this problem further, passive cutaneous anaphylaxis (PCA) has
`been chosen as a model. PCA is more sensitive, allows better quantitation
`and requires less animals than systemic passive anaphylaxis. A series of
`isomaltose oligosaccharides (10) of increasing molecular size and some
`dextran fractions have therefore been tested as to their capability to elicit
`PCA in animals sensitized with varying amounts of antidextrans. The
`molecular properties of antigens or haptens, necessary for the elicitation of
`anaphylaxis, will also be discussed.
`
`Materials and Methods
`
`Animals. Albino guinea pigs of both sexes, 250-350 g, and albino rabbits of the ‘vit
`landras’ strain, 3-5 kg, were used.
`Antidextran antisera. Antisera were raised in rabbits by repeated immunization with
`soluble dextran-protcin conjugates, emulsified in complete Freund’s adjuvant, as described
`earlier [Richter, 1970, 1971a, b]. Preparation of the dextran-protein conjugates by the
`cyanogen bromide method has been described recently [Richter and Kagedal, 1972],
`Passive cutaneous anaphylaxis. The method was used as introduced and described by
`Ovary [1952, 1958], with some minor modifications [Richter, 1970]. A time of 3 h was
`allowed between passive sensitization with 0.1-ml volumes of suitably diluted rabbit anti­
`dextran antisera and i.v. challenge. Eight intradermal sites of abdominal skin were
`sensitized in each animal. Before clipping of hair and intradermal sensitization, animals
`were slightly anesthetized with 25 mg/kg of nembutal sodium i.p. Challenging injections
`were given in volumes of 0.5-1.0 ml into an ear vein using a thin polyethylene catheter
`with attached, cut off intradermal injection needle [see also Hint and R ichter, 1958].
`Prior to inserting the needle, 0.02 ml of 2% lidocain solution are injected at the base of the
`ear, to produce vcnular dilation and analgesia. The injection of the dextran or oligo­
`saccharide solution was immediately followed by a dose of 10 mg/kg of Evan’s blue,
`dissolved in saline. 30 min after challenge, animals were sacrificed, the skin reflected and
`excised and the size of PCA lesions measured. Colour intensity of lesions was assessed by
`inspection, using an arbitrary scale of 0, 1, 2, 3, 4.
`PCA titer. Serial twofold dilutions of rabbit antidextran antiserum were injected into
`3-4 sites in 3-4 animals per dilution step. PCA lesions with diameters smaller and larger
`than 10 mm were produced and the PCA titer was defined as the reciprocal of the extra
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 2
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`254
`
`Richter
`
`Table 1. Examples of PCA liter estimations of some rabbit antidextran antisera showing
`relationship between dilutions of antisera of varying strength used for sensitization and
`size of PCA lesions. Each figure in the table represents the average diameter (mm) of
`PCA lesions, calculated from 6-8 spots in a group of 3-4 guinea pigs. Figures in brackets
`are serum dilutions. Serial twofold serum dilutions have always been employed. For
`challenge, dextran M„ 71.000 in a dose of 0.15 mg/kg i.v. was used
`
`Column
`
`A
`
`Dilution step No. 1
`
`B
`
`2
`
`C
`
`3
`
`D
`
`4
`
`E
`
`5
`
`F
`
`PCA
`titer
`
`Antiserum A
`Antiserum B
`Antiserum C
`Antiserum D
`Antiserum E
`
`21 (1:160)
`17(1:10)
`16(1:40)
`19(1:160)
`-
`
`13 (1:320)
`16(1:20)
`15 (1:80)
`15 (1:320)
`14(1:640)
`
`6(1:1.280)
`10(1:640)
`3(1:80)
`11 (1:40)
`6(1:320)
`12(1:160)
`8 (1:640)
`4(1:1,280)
`8 (1:1,280) 6(1:2,560)
`
`2 (1:2,560)
`
`640
`40
`200
`600
`3 (1:5,120) 1,000
`
`Average diameter
`of lesions, mm
`Total number of
`lesions
`
`18
`
`28
`
`15
`
`38
`
`10
`
`38
`
`5
`
`40
`
`3
`
`8
`
`To make results from PCA titer estimations of antisera of different strength compar­
`able, the following procedure was adopted. For every titration, average lesion diameters
`from each dilution step were calculated and grouped according to size. Thereafter, PCA
`lesions with average diameters nearest to 10 mm were allotted to column C above. Finally,
`lesions with average smaller or larger diameters from adjacent dilution steps were allotted
`to columns D and E, or B and A, respectively.
`
`polated dilution of antiserum, producing lesions with a diameter nearest to 10 mm, on
`challenge with a dose of 150 /tg/kg of dextran Mw 71,000.
`Dextran Fractions and Oligosaccharides o f the Isomaitosc Scries. Dextran fractions.
`After hydrolysis of native dextran produced by Leuconostoc mesenteroides NRRL B 512,
`fractions were prepared cither by repeated fractionation with ethanol or by preparative gel
`filtration on Sephadex columns [Granath, 1964]. M,v was determined by light scattering
`and number average molecular weight (M n) by end group analysis [Isbell et al., 1953].
`Molecular weights of the fractions used are given in tables V, VI and VII.
`Oligosaccharides. These were prepared from a hydrolysate of dextran B 512 by carbon
`column chromatography. The purity was checked by paper chromatography, using
`Whatman No. I paper, and ethyl acetate-pyridine-water (10-5-5 v/v) as eluent. Each oligo­
`saccharide produced a single spot. The spots were visualized by the silver nitrate sodium
`hydroxide reagent. IO composed of up to 12 glucose residues were prepared.
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 3
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`Molecular Size of Dextran Eliciting PCA in Guinea Pigs
`
`255
`
`Table II. Relation between amount of sensitizing antibody per skin site, percentage of
`sensitized sites giving PCA lesions upon antigen challenge, and average size of PCA lesions
`(figures in brackets are approximate amounts of antidcxtran [//g] injected per site, re­
`presenting average from 9 antisera titrations). Data arc taken from 60 titer estimations of
`PCA-reactive rabbit antidcxtran antisera in guinea pigs. For i.v. challenge, dcxtran M,v
`71,000 was used in a dose of 0.15 mg/kg
`
`Column
`
`A
`
`B
`
`C
`
`D
`
`E
`
`Serum dilution step No.
`Percentage of sites
`sensitized resulting
`in PCA lesions1
`Total number of
`PCA lesions
`Average diameter of lesion,
`mm (m eaniSD)
`Average area per lesion
`(diameter, mm-)
`
`1 (0.70)
`
`2 (0.35)
`
`3 (0.18)
`
`4 (0.09)
`
`5 (0.05)
`
`100
`
`210
`
`100
`
`371
`
`98
`
`420
`
`70
`
`360
`
`52
`
`84
`
`18 ± 1.8
`
`15 ±2.4
`
`12 ± 2.4
`
`6± 1.9
`
`3± 1.5
`
`324
`
`225
`
`144
`
`36
`
`9
`
`' Upon i.v. challenge with dextran M* 71,000, 0.15 mg/kg.
`Serial twofold dilutions of antisera were used and 0.1-ml volumes were injected per
`skin site. For each dilution step, 6-8 sites in 3-4 guinea pigs were injected. To make
`titration results of antisera of different strength comparable, PCA lesions from each dilu­
`tion step were grouped according to size. At first, lesions of average diameters nearest to
`10 mm were allotted to column C above. Thereafter, lesions with average smaller or larger
`diameters from adjacent dilution steps were allotted to columns D and E, or B and A,
`respectively.
`
`Results
`
`Data from a total of 60 PCA titer estimations of rabbit antidextran
`antisera in guinea pigs are presented in tables I—III. In these experiments-
`animals were challenged i.v. with dextran Mw 71,000. using a dose of
`150 /tg/kg. The effective challenging dose range of dextran has been de‘
`termined earlier [R ichter, 1970], using a large dose of sensitizing antif
`dextran. Comparable experiments with a second rabbit antiserum o-
`known antidextran content (ODX3 = 1.3 mg/ml) gave similar results and are
`summarized in table IV. It is evident that a dose of 150 /tg/kg must be con­
`sidered large, exceeding the minimal dose necessary to elicit PCA in animals
`sensitized with a large dose of antidextran about 100 times. A tenfold reduc-
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 4
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`256
`
`R ichter
`
`Table III. PCA titer estimations of some rabbit antidextran antisera. Relation between
`amount of antidextran injected per skin site and size of PCA lesion upon challenge with
`a large antigen dose. Code designations of antisera within the first series of brackets.
`Figures in the second series of brackets are serum dilutions corresponding to serum
`dilution step No. 1. Challenge with dextran M« 71.000 i.v.. 0.15 mg/kg
`
`Column
`
`Scrum dilution step No.
`
`/ig of precipitating antidextran
`injected per site
`Titration No. 1 (ODX3) (1 200)
`(1 100)
`Titration No. 2 (KPX)
`Titration No. 3 (HDX1) (1 500)
`(1 125)
`Titration No. 4 (PD4A)
`(1 300)
`Titration No. 5 (PD4B)
`(1 300)
`Titration No. 6 (K.P8)
`(1 300)
`Titration No. 7 (KP7)
`Titration No. 8 (KP6)
`(1 150)
`Titration No. 9 (KP5)
`(1 150)
`
`Average
`
`Average diameter of lesion. mm
`
`A
`
`1
`
`1.30
`0.92
`0.72
`0.96
`0.40
`0.32
`0.40
`0.80
`0.52
`
`0.70
`
`21
`
`B
`
`2
`
`0.65
`0.46
`0.36
`0.48
`0.20
`0.16
`0.20
`0.40
`0.26
`
`0.35
`
`17
`
`C
`
`3
`
`0.33
`0.23
`0.18
`0.24
`0.10
`0.08
`0.10
`0.20
`0.13
`
`0.18
`
`12
`
`D
`
`4
`
`0.16
`0.12
`0.09
`0.12
`0.05
`0.04
`0.05
`0.10
`0.06
`
`0.09
`
`3
`
`E
`
`5
`
`0.08
`0.06
`0.05
`0.06
`0.03
`0.02
`0.03
`0.05
`0.03
`
`0.05
`
`2
`
`The amount of precipitating antidextran in the sera above (ODX3 to KP5), estimated
`either by quantitative precipitation or reversed single radial immunodiffusion, was as
`follows (mg/ml): ODX3=1.3, KPX = 0.9, HDX1=3.6. PD4A=1.2, PD4B=I.2, KP8 =
`0.9, KP7 = 1.2, KP6 = 1.2, KP5=0.8. PCA titers for the same sera were as follows: 600,
`600, 1,500, 800, 1,200, 1,800, 1,200, 800, 600. * l
`
`tion of antigen dose to 15 /rg/kg still produces lesions in 100% of sites
`sensitized, the average area per lesion being only moderately smaller. A
`further tenfold reduction of dextran dose to 1.5 //g/kg still produced lesions
`in 25-50% of sites sensitized, and the average area per lesion was about
`lh t0 Va of that produced by 150 ¿tg/kg of dextran.
`The PCA titrations of the antidextran antisera shown in table 1 exemplify
`how antisera of different strength were compared. By grouping equipotent
`dilutions of different antisera into five PCA size categories, a large number of
`titrations became comparable. It is seen, that the average PCA lesion dia­
`meters from 5 to 9 titrations (tab. I, III) do not deviate markedly from those
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 5
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`Molecular Size of Dextran Eliciting PCA in Guinea Pigs
`
`257
`
`Table IV. Lowest i.v. challenging dose of dextran Mw 70,000 required to elicit hetero­
`logous PCA in guinea pigs sensitized with a large dose of rabbit antidextran
`
`Code of antiserum Challenging dose Number of Average spot % of sites injected
`(dilution used)
`of dextran, fig/kg PCA spots
`area, mm2
`resulting in blueing
`lesions1
`
`ODX3 (1:500)
`ODX3 (1:500)
`ODX3 (1:500)
`A5-1 (1 :100)2
`A5-1 (1:100)
`A5-1 (1:100)
`A5-1 (1:100)
`
`150
`15
`1.5
`150
`15
`1.5
`0.15
`
`128
`32
`32
`296
`32
`32
`32
`
`324
`289
`144
`280
`227
`113
`0
`
`100
`100
`25
`100
`100
`53
`0
`
`1 Percentages given are approximations.
`2 These data are taken for comparison from R ichter [1970].
`For antiserum ODX3, the amount of antidextran injected per skin site, was 0.26 fig.
`
`of the 60 titrations summarized in table II. The latter table also shows that,
`with serum dilutions which produce PCA lesions of about 10 mm diameter
`or more, 100% of sensitized sites resulted in blueing lesions. With weaker
`serum dilutions, producing PCA lesions of average diameter 3 mm, only
`about 50% of sensitized sites resulted in lesions.
`PCA titrations of antisera with known content of precipitating antidex­
`tran are shown in table III. The amount of antidextran injected per skin site
`in the various dilution steps, comprising the ‘useful dose range’ for PCA,
`averaged from 0.05 to 0.70 fig. The smallest amount of antidextran detected
`was 0.02 fig (antiserum KP8).
`Figure 1 demonstrates that an approximately linear relationship was
`obtained between the diameter of PCA lesions and the logarithm of anti­
`dextran concentration.
`In tables V-VII, results from six series of PCA experiments in guinea
`pigs are presented, showing the activity of various IO and dextran fractions
`as elicitors of cutaneous anaphylaxis in passively sensitized animals. For
`sensitization, three rabbit antidextran antisera (HDX1, ODX3, and KPX)
`were injected i.d. in two dilutions each. The corresponding amounts of
`antidextran injected per site were 0.26-0.36 fig for the lower, and 0.87-1.20
`fig for the higher dose. The potential elicitors were all given i.v. at a dose
`level of 150 fig/kg.
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 6
`
`

`

`258
`
`R ichter
`
`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`Relative antidextran concentration
`
`Fig. 1. Relationship between log concentration of sensitizing antidextran and diameter
`(mm) of PCA lesions on challenge with 150 //g/kg of dextran Mw 71.000. Each point in
`the graph is the average from 84 to 420 individual PCA lesions.
`
`Dextran Mw 71,000 was included as reference polyvalent elicitor and
`provoked large PCA lesions in 100% of sites sensitized with either of the
`three antisera.
`As all potential elicitors were given at the same dose of 150 /¿g/kg, this
`meant a larger dose in moles for the small molecular oligosaccharides as
`compared to the large molecular reference dextran with Mw 71,000-Mn
`57,200. The relative number of moles of the IO and dextran fractions are
`given at the bottom of table V.
`With the large dose of 150 /¿g/kg of the polyvalent dextran Mw 71,000,
`the size of PCA lesions is determined mainly by the amount of sensitizing
`antibody, as shown in tables II and III. It can be seen from the data of
`tables V-VII that the amount of antidextran injected for sensitization, cor­
`responds to the medium to high useful dose range for PCA, resulting in
`lesions with average areas of 289-441 mm2 (17-21 mm diameter) on chal­
`lenge with dextran Mw 71,000.
`Among the different oligosaccharides, it is apparent, that isomaltohexaose
`and IO of smaller molecular size were devoid of anaphylactogenic effect on
`challenge in animals sensitized with either of the three antisera injected at
`both the lower and the higher antidextran dose level.
`In contrast, isomaltodecaose proved non-anaphylactogenic in animals
`sensitized with the smaller dose of antidextran, but was clearly anaphylacto-
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 7
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`Molecular Size of Dextran Eliciting PCA in Guinea Pigs
`
`259
`
`Table V. Molecular size and capability of 10 and dextran B 512 fractions to elicit PCA on
`i.v. challenge in guinea pigs, sensitized with varying amounts of rabbit antidextran anti­
`serum HDX1. A fixed challenging dose of 150 //g/kg of 10 or dextran fractions was given
`
`Sensitizing Carbohydrate Mw
`antiserum
`tested
`dilution
`HDX1
`
`Mn
`
`Relative PCA
`Number PCA lesions
`reactivity1
`of spots area) coiour
`mm2 intensity dextran Mw
`0,1,2,3,4 71,000 = 100
`
`1:1,000
`1:1,000
`1:1,000
`1:1,000
`1:1,000
`1:1,000
`1:300
`1:300
`1:300
`1:300
`
`828 24
`isomaltopentaose 828
`1,152 24
`isomaltoheptaose 1,152
`1,638 24
`isomaltodecaose 1,638
`2,670 48
`dextran fraction 3,100
`6,100 24
`dextran fraction 10,500
`dextran fraction 71,000 57,200 48
`isomaltohexaose
`990
`990 24
`1,638 24
`isomaltodecaose 1,638
`dextran fraction 3,100
`2,670 24
`dextran fraction 71,000 57,200 24
`
`9
`25
`49
`225
`289
`361
`36
`289
`256
`441
`
`0.3
`0.8
`1.2
`2.5
`2.8
`2.9
`0.8
`2.5
`2.9
`2.8
`
`2
`7
`14
`62
`80
`100
`8
`66
`58
`100
`
`1 Calculated from the area of PCA lesions.
`Antiserum HDX1 contained 3.6 mg/ml of precipitating antidextran. When injected
`i.c. (0.1 ml) in dilutions of 1:1,000 and 1:300, this corresponds to an antidextran dose of
`0.36 and 1.20 /¿g/site.
`If the challenging dose of various elicitors shall be expressed on a molar base, Mn has
`to be used instead of M,v for calculations with dextran fractions. Compared on a weight/
`weight base, the relative molarities of reference dextran Mw 71,000-Mn 57,200 and that
`of the other elicitors are as follows (Mn in brackets) : dextran (57,200) = 1, dextran (33,900)
`= 1.7, dextran (6,100)=9.4, dextran (2,670)=21, dextran (1,135) = 50; isomaltose oligo­
`saccharides: dodecaose ( 1,962)=29, decaose (1,638) = 35, octaose (1,314)=44, heptaose
`(1,152) = 50, hexaosc (990) = 58, pentaose (828)=69, triose (504)= 113, D-glucose (180) =
`318.
`
`genic at the larger antidextran dose level. The same pattern could be observ­
`ed with all three rabbit antidextran antisera: HDX1, ODX3, and KPX.
`All oligosaccharides or dextran fractions of a molecular size exceeding
`that of isomaltodecaose gave strong PCA lesions, with areas larger than
`100 mm2 on challenge in guinea pigs sensitized either with the smaller or
`larger dose of antidextran. An exception was antiserum ODX3 which, when
`used for sensitization at the lower dose of 0.26 ¿zg/site, required a dextran
`fraction of a minimal size of Mw 10,500-Mn 6,100 for elicitation of a strong
`PCA response.
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 8
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`260
`
`R ichter
`
`Table VI. Molecular size and capability of 10 and dextran B 512 fractions to elicit PCAon
`i.v. challenge in guinea pigs, sensitized with varying amounts of rabbit antidextran anti­
`serum ODX3. A fixed challenging dose of 150 tig/kg of 10 or dextran fractions was given
`
`Carbohydrate
`tested
`
`M ,
`
`Mn
`
`Sensitizing
`antiserum
`ODX3,
`dilution
`
`Number
`of spots
`
`PCA lesions
`area, colour
`mm2 intensity
`0,1,2,3,4
`
`Relative PCA
`reactivity,1
`dextran Mw
`71,000=100
`
`1:500
`1:500
`1:500
`1:500
`1:500
`1:500
`1:500
`1:500
`1:500
`1:150
`1:150
`1:150
`1:150
`1:150
`1:150
`1:150
`1:150
`
`180 32
`180
`D-glucose
`504 24
`504
`isomaltotriose
`990 32
`990
`isomaltohexaose
`1,314 32
`1,314
`isomaltooctaose
`1,135 32
`1,430
`dextran fraction
`2,670 32
`3,100
`dextran fraction
`6,100 32
`10,500
`dextran fraction
`40,200 33,900 32
`dextran fraction
`71,000
`57,200 64
`dextran fraction
`180
`180 24
`D-glucose
`666 24
`666
`isomaltotetraose
`990
`990 24
`isomaltohexaose
`1,430
`1,135 24
`dextran fraction
`1,638
`1,638 48
`isomaltodecaose
`1,962 48
`isomaltododecaose 1,962
`dextran fraction
`3,100
`2,670 48
`71,000
`57,200 48
`dextran fraction
`
`0
`0
`0
`9
`36
`49
`289
`361
`324
`16
`9
`0
`256
`225
`256
`256
`324
`
`0
`0
`0
`0.4
`0.5
`0.8
`2.8
`3.0
`3.0
`0.4
`0.3
`0
`2.8
`2.3
`2.7
`2.1
`2.3
`
`0
`0
`0
`3
`11
`15
`89
`111
`100
`5
`3
`0
`79
`79
`79
`79
`100
`
`1 Calculated from the area of PCA lesions.
`Antiserum ODX3 contained 1.3 mg of precipitating antidextran per ml. When in­
`jected into the skin (0.1 ml) in dilutions of 1:500 or 1:150, this corresponds to an anti­
`dextran dose of 0.26 and 0.87 /rg/site.
`
`In table VIII, some hapten inhibition experiments of PCA are sum­
`marized, using isomaltohexaose as inhibitor. Tt is evident that isomalto-
`hexaose per se is incapable of eliciting PCA, whereas isomaltodecaose elicits
`strong PCA reactions with lesion areas from 225-289 mm2. When a mixture
`of both oligosaccharides was used for challenge, inhibition of PCA was
`obtained in animals sensitized with either of the three antisera KPX, ODX3,
`and HDX1. In animals sensitized with ODX3, 100% inhibition of PCA was
`seen on challenge with a mixture of 1.5 mg/kg of hexaose + 0.15 mg/kg of
`decaose. Using the same mixture and dosage of the two oligosaccharides for
`challenge, complete inhibition was seen in animals sensitized with antiserum
`KPX. When the dose of the admixed isomaltoheaose was reduced to
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 9
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`Molecular Size of Dextran Eliciting PCA in Guinea Pigs
`
`261
`
`Table VII. Molecular size and capability of IO and dextran B 512 fractions to elicit PCA
`on i.v. challenge in guinea pigs, sensitized with varying amounts of rabbit antidextran
`antiserum KPX. A fixed challenging dose of 150 /rg/kg of 10 or dextran fractions was given
`
`Sensitizing
`antiserum
`KPX,
`dilution
`
`1 300
`1 300
`1 300
`1 300
`1 300
`1 100
`1 100
`1 100
`1 100
`
`Carbohydrate
`tested
`
`M ,
`
`Mn
`
`Number
`of spots
`
`PCA lesions
`area, colour
`mm2 intensity
`0,1,2,3,4
`
`Relative PCA
`reactivity,1
`dextran Mw
`71,000=100
`
`isomaltohexaose
`990 24
`990
`1,638 24
`1,638
`isomaltodecaose
`3,100
`2,670 24
`dextran fraction
`6,100 24
`dextran fraction 10,500
`dextran fraction 71,000 57,200 24
`isomaltohexaose
`990
`990 24
`isomaltodecaose
`1,638
`1,638 24
`dextran fraction
`3,100
`2,670 24
`dextran fraction 71,000 57,200 24
`
`0
`0
`121
`121
`289
`0
`225
`196
`361
`
`0
`0
`1.7
`1.2
`2.6
`0
`2.5
`2.2
`2.5
`
`0
`0
`42
`42
`100
`0
`62
`54
`100
`
`1 Calculated from the area of PCA lesions.
`The content of precipitating antidextran in antiserum KPX was 0.9 mg/ml. When
`injected i.d. in dilutions of 1:300 and 1:100 (0.1 ml), this corresponds to an antidextran
`dose of 0.30 and 0.9 /rg/site.
`
`0.19 mg/kg, there still occurred an approximately 50-percent reduction in
`size of PCA lesions. The molar ratio between hexaose and decaose in the
`latter experiment was 2.1:1.
`In contrast, the PCA-eliciting effect of isomaltodecaose in animals
`sensitized with HDX1 was more difficult to inhibit and a much larger molar
`excess of the isomaltohexaose was required. A mixture with a molar ratio of
`8.3:1 reduced the size of PCA lesions only insignificantly. In a second
`experiment, a significant reduction of PCA area of about 50% was attained
`with a molar ratio of 83:1.
`
`Discussion
`
`Simplicity and high sensitivity make PCA a most valuable tool for in vivo
`studies of the mechanisms of immediate-type allergic reactions. This proce­
`dure has been named, introduced and developed by O vary [1952, 1958,
`1964] and has been extensively employed by O vary and coworkers [Bena-
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 10
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`262
`
`R ichter
`
`Table VIII. Inhibition of the anaphylactogenic effect of isomaltodecaose by isomaltohexaose
`admixture on challenge in guinea pigs sensitized i.d. with rabbit antidextran antisera
`
`Sensitizing
`antiserum
`code
`dilution
`
`Oligosaccharide used
`for challenge (mg/kg)
`
`Number
`of spots
`
`PCA lesions1
`area, colour
`mm2
`intensity
`0,1,2,3,4
`
`Relative PCA
`reactivity,2
`isomalto­
`decaose = 100
`
`KPX
`KPX
`KPX
`
`KPX
`
`1:100
`1:100
`1:100
`
`1:100
`
`KPX
`
`1:100
`
`KPX
`
`1:100
`
`ODX3
`ODX3
`ODX3
`
`HDX1
`HDX1
`HDX1
`
`1:150
`1:150
`1:150
`
`1:300
`1:300
`1:300
`
`HDX1
`
`1:300
`
`(0.15)
`isomaltohexaose
`isomaltodecaose
`(0.15)
`isomaltohexaose
`(1.5)
`+ isomaltodecaose (0.15)
`isomaltohexaose
`(0.75)
`+ isomaltodecaose (0.15)
`isomaltohexaose
`(0.38)
`+ isomaltodecaose (0.15)
`isomaltohexaose
`(0.19)
`+ isomaltodecaose (0.15)
`isomaltohexaose
`(0.15)
`isomaltodecaose
`(0.15)
`isomaltohexaose
`(1.5)
`+ isomaltodecaose (0.15)
`isomaltohexaose
`(0.15)
`isomaltodecaose
`(0.15)
`isomaltohexaose
`(0.75)
`+ isomaltodecaose (0.15)
`isomaltohexaose
`(7.5)
`+ isomaltodecaose (0.15)
`
`24
`48
`
`48
`
`48
`
`24
`
`48
`24
`48
`
`32
`24
`24
`
`48
`
`48
`
`0
`225
`
`9
`
`25
`
`0
`
`100
`0
`225
`
`0
`36
`289
`
`225
`
`121
`
`0
`1.9
`
`0.4
`
`0.5
`
`0
`
`1.2
`0
`2.3
`
`0
`0.8
`2.5
`
`2.2
`
`1.5
`
`0
`100
`
`4
`
`11
`
`0
`
`44
`0
`100
`
`0
`12
`100
`
`78
`
`42
`
`1 Average from all sites injected.
`2 Calculated from area of PCA lesions.
`At the dilutions used above, the amount of precipitating antidextran injected per site
`Gug) was as follows: KPX=0.90, ODX3=0.87, HDX1 = 1.20.
`
`cerraf et at., 1963; Ovary et al., 1963] in elucidating the homocytotropic
`properties of guinea pig antibodies. Ovary and Karush [1960] also first
`obtained hapten inhibition of PCA in guinea pigs. In humans, specific
`inhibition of wheal and erythema responses with univalent hapten has been
`reported by Farah et al. [I960].
`With the strong rabbit antidextran antisera used in this study, and
`employing a fixed large dose of antigen, the smallest amount of sensitizing
`antidextran, still producing a positive reaction in about 50% of sites in­
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 11
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`Molecular Size of Dextran Eliciting PCA in Guinea Pigs
`
`263
`
`jected, was found to be 0.02-0.09 fig. This corresponds in order of magnitude
`to the figures given by O vary and Briot [1951] for rabbit anti-ovalbumin.
`When using a large dose of multivalent antigen (dextran Mw 71,000) for
`challenge, an approximately linear relationship was obtained between dia­
`meter of PCA lesions and log dose of sensitizing rabbit antidextran. Such a
`relationship is also mentioned by Brocklehurst [1967] in a description and
`discussion of the PCA procedure.
`The aim of this study was to elucidate the smallest molecular size species
`of dextran and of purified oligosaccharides of the isomaltose series required
`to elicit PCA in sensitized guinea pigs. To facilitate experimentation and
`interpretation of results, it was decided to use a large fixed amount of sen­
`sitizing antidextran, and a large dose of the potential elicitor for challenge.
`The antidextran amount was such that it produced large PCA lesions in
`100% of animals, upon challenge with 150 fig/kg of the multivalent reference
`dextran fraction of Mw 71,000. The latter dextran dose was about 100 times
`larger than that required to give PCA lesions in 25-50% of sites sensitized
`with a large antidextran dose. It has been shown earlier, that an excessive
`dose of challenging dextran of Mw 71,000 (150,000 fig/kg) does not diminish
`the size of PCA lesions in sensitized guinea pigs [R ichter, 1970], Thus, when
`no PCA lesions are obtained with a potential elicitor under the conditions
`chosen in this study, the activity of that elicitor is at least 100 times weaker
`than that of the multivalent reference dextran.
`On testing IO of increasing molecular size for their ability to produce
`PCA lesions, negative results were always obtained up to the isomalto-
`hexaose. Isomaltodecaose, on the other hand, gave strong PCA lesions with
`all three antisera at the higher, but negative results at the lower antidextran
`concentration. From the extensive studies of R abat and coworkers [R abat,
`1954, 1956, 1960; M age, 1963; M age and R abat, 1963], it is known, that
`the binding site of rabbit and human antidextrans is complementary to a
`sequence of 3-6 glucose residues on the dextran molecule.
`Further evidence for this size of the antibody-binding site is provided
`by the findings of A rakatsu et al. [1966]. These workers found that iso-
`maltotrionic acid, when covalently coupled to a protein carrier, upon im­
`munization of rabbits, elicits formation of antibodies, cross-reacting with
`large molecular size dextran. Isomaltonic acid, similarly coupled to a carrier,
`produced antibodies specific for isomaltose, but no cross-reactivity with
`dextran was observed.
`The results obtained with isomaltodecaose in this study are in accordance
`with the above findings, regarding the size of the antidextran-binding site.
`
`PGR2020-00009
`Pharmacosmos A/S v. American Regent, Inc.
`Petitioner Ex. 1070 - Page 12
`
`

`

`8.39.136.249 - 4/29/2019 10:05:50 PM
`Downloaded by: S. Lahey - 530037
`
`264
`
`R ichter
`
`In the presence of a high local concentration of cell-fixed antidextrans,
`isomaltodecaose is capable of bridging two binding sites of two adjacent
`antidextran molecules, thus triggering the subsequent steps which finally
`lead to release of vasoactive mediators. Regarding mechanisms of elicitation
`of immediate-type reactions see e.g. O vary and K arush [1960], Stan-
`w o rth [1963, 1970], Levine [1965], L evine and F ellner [1965], O vary
`[1965], de W eck [1968], de W eck and Schneider [1969], Ishizaka and
`Ishizaka [1969], I shizaka et al. [1964],
`As isomaltohexaose never produced PCA lesions, and also has been
`shown to inhibit precipitation of antidextran by large molecular size dextran
`[see e.g. M age, 1963; R ichter, 1971a], it was thought interesting to study
`whether the PCA lesions induced by isomaltodecaose could be inhibited by
`isomaltohexaose, admixed to the challenging solution. This proved to be
`the case, and the ease with which the hexaose inhibited PCA reactivity of
`the decaose in some antisera, indicated that the binding forces between
`decaose and antidextran were relatively similar to those between hexaose
`and antidextran. However, the important difference between the two oligo­
`saccharides was the ability of the decaose to bridge two binding sites between
`two adjacent antidextran molecules, and the lack of this ability in the
`hexaose. A molar ratio of 2:1 between hexaose and decaose was sufficient
`to produce reduction of average PCA area with 50%, using antidextran
`antiserum KPX. With the same antiserum, higher hexaose concentrations
`when admixed to isomaltodecaose, completely inhibited PCA.
`On sensitization with the antiserum HDX1, a much higher dose of hexa­
`ose was required to inhibit PCA lesions provoked by the decaose. With a
`molar ratio of 83:1, the average area of lesions was reduced with 50%. It is
`probable that the higher dose of hexaose required for inhibition of PCA in
`this case, reflects a higher affinity of antidextran antibody populations in
`antiserum HDX1, which was raised by immunizing rabbits with a hemo-
`cyanin-dextran conjugate.
`From the fact that isomaltohexaose and isomaltoheptaose have been
`shown to inhibit precipitation of antidextran by large molecular size dextran
`in vitro [K abat, 1962; R ichter 1971a] and from the demonstrated PCA
`reactivity of the isomaltodecaose in this study, it is evident that the transi­
`tion from non-elicitor to elicitor molecules is rather abrupt. This may imply
`that the majority of subpopulations of antidextran antibodies have binding
`sites complementary to at least 3-6 residues, and that the decaose is the
`smallest molecule capable of bridging a critical number of antidextran
`molecules, sufficient to trigger the subsequent disturbances in the membrane,
`
`PGR2020-00009
`Pharmacosmos A/S v. American R

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