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Generation of Anti-CD133 Human Synthetic Antibodies as Tools for Exploring CD133 Function by Rashida Williams A thesis submitted in conformity with the requirements for the degree of Master of Science Department of Molecular Genetics University of Toronto © Copyright by Rashida Williams 2013

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Page 1: Generation of Anti-CD133 Human Synthetic Antibodies as Tools … · 2013. 12. 11. · exciting ones and for always being an ear to talk to and a shoulder to cry on and a smile to

Generation of Anti-CD133 Human Synthetic Antibodies as Tools for Exploring CD133 Function

by

Rashida Williams

A thesis submitted in conformity with the requirements for the degree of Master of Science Department of Molecular Genetics

University of Toronto

© Copyright by Rashida Williams 2013

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Generation of Anti-CD133 Human Synthetic Antibodies as Tools for

Exploring CD133 Function

Rashida Williams

Master of Science

Department of Molecular Genetics University of Toronto

2013

Abstract

Two synthetic human antibody fragments against the human pentaspan membrane protein

CD133 were isolated using a novel selection method involving direct selections on cells coupled

with Illumina deep sequencing. The antibody fragments were isolated through a PCR-based

recovery strategy developed in the lab and subsequently converted to full length IgGs. Termed

RW01 and RW03, the antibodies bind separate epitopes on CD133 and are able to detect the

protein using various molecular techniques. Finally, experiments have shown that RW01 and

RW03 treatment affect the stability of CD133 on live cells. Additional experiments are required

to reveal the specific epitope recognized by each antibody, which organelles they are targeted to

when internalized and whether they have an effect on cellular differentiation or cellular viability.

In addition to the therapeutic potential of these antibodies, they will have many applications

towards expanding our knowledge concerning the CD133 protein and its role in cancer.

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Acknowledgments

I want to thank God for sending me down this path of self-discovery. I would like to thank my

supervisors, Jason Moffat and Sachdev Sidhu for all of their help, guidance and encouragement

throughout my Masters degree. I would like to thank my Committee Members Stephane Angers

and Jim Dennis for their guidance, and advice throughout this process. I would like to thank

Sarav Rajan as my mentor when I first began in the lab. Although he has moved on, he played an

instrumental role in getting my project off the ground and helping me to be a better scientist and

researcher. I want to thank Amandeep Gakhal and Nish Patel for mentoring me after Sarav;

without their guidance, my project would not have come as far as it has. I want to thank Anthony

Mak for pioneering the way for my project and providing me with publication opportunities

throughout my time in the lab. I would like to thank my parents and my boyfriend for always

encouraging me when I was discouraged and helping me through major milestones in my life

while I undertook my Masters degree. I would like to give an enormous thank you to Esther Lau

for being the tic to my tac, for being my support system through the rough research days and the

exciting ones and for always being an ear to talk to and a shoulder to cry on and a smile to count

on both inside and outside of the lab. I want to thank everyone in the lab for your input that

helped my project turn into something that I never thought it could and I want to thank the

Genome Canada and GL2 funding agencies for funding.

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Table of Contents

Table  of  Contents  

ACKNOWLEDGMENTS  ..................................................................................................................................  III  

TABLE OF CONTENTS  ....................................................................................................................................  IV  

LIST OF FIGURES  .............................................................................................................................................  VI  

LIST OF APPENDICES  ...................................................................................................................................  VII  

  INTRODUCTION  ..........................................................................................................................................  1  1

1.1   IDENTIFICATION  .............................................................................................................................................................  2  1.2   GENOMIC  ORGANIZATION  AND  GENE  REGULATION  .................................................................................................  2  1.3   PROTEIN  FEATURES,  GLYCOFORMS  AND  EPITOPES  .................................................................................................  3  1.4   CELLULAR  FEATURES  .....................................................................................................................................................  5  1.5   PRESENCE  ON  DIFFERENTIATED  AND  STEM  CELLS  .................................................................................................  5  1.6   FUNCTION  AND  ROLE  OF  CD133  IN  CANCER  ...........................................................................................................  6  1.7   ANTIBODIES  ....................................................................................................................................................................  8  

  METHODS  ....................................................................................................................................................  13  2

2.1   CELLECTSEQ  SELECTIONS  ..........................................................................................................................................  13  2.2   ILLUMINA  SEQUENCING  PREPARATION  AND  ANALYSIS  .......................................................................................  15  2.3   CELLECTSEQ  RESCUE  ..................................................................................................................................................  16  2.4   CONVERSION  TO  IGG  ...................................................................................................................................................  18  2.5   CELL-­‐BASED  ELISA  ....................................................................................................................................................  19  2.6   IPTG-­‐INDUCIBLE  PROTEIN  EXPRESSION  .................................................................................................................  20  2.7   IMMUNOFLUORESCENCE  ............................................................................................................................................  20  2.8   FLOW  CYTOMETRY  .....................................................................................................................................................  21  2.9   WESTERN  BLOT  ..........................................................................................................................................................  22  2.10   IMMUNOPRECIPITATION-­‐MASS  SPECTROMETRY  ...............................................................................................  22  

  RESULTS  ........................................................................................................................................................  24  3

3.1   CELL  SELECTIONS  AND  SEQUENCING  DATA  ...........................................................................................................  24  3.2   FAB  RESCUE  AND  VALIDATION  .................................................................................................................................  27  3.3   SCFV  RESCUE  AND  IGG  CONVERSION  .......................................................................................................................  29  3.4   IGG  VALIDATION  .........................................................................................................................................................  29  

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3.5   IGG  APPLICATIONS  ......................................................................................................................................................  32  3.6   EPITOPES  ......................................................................................................................................................................  34  3.7   FUNCTIONAL  DATA  .....................................................................................................................................................  35  

  SUMMARY AND FUTURE DIRECTIONS  .........................................................................................  40  4

4.1   SUMMARY  ...................................................................................................................................................................  40  4.2   FUTURE DIRECTIONS  ...............................................................................................................................................  41  

  APPENDICES  .................................................................................................................................................  44  5

  REFERENCES  .............................................................................................................................................  58  6

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List of Figures

Figure 1: CD133: A Five-pass Transmembrane Domain Protein. (pg. 4)

Figure 2: IgG Schematic. (pg. 10)

Figure 3: The Cellectseq Method. (pg. 14)

Figure 4: Cellectseq Rescue strategy. (pg. 18)

Figure 5: Phage-Fab and Phage-scFv Cell-based ELISAs (p. 26)

Figure 6: RW03 Phage-Fab is specific to CD133 Overexpressing Cells. (pg. 27)

Figure 7: Purified RW03 binds to CD133 Expressing Cells. (pg. 28)

Figure 8: EC50 Measurements for RW01 IgG and RW03 IgG. (pg. 30)

Figure 9: RW01 and RW03 IgGs Identify Endogenously Expressed CD133 by Flow Cytometry.

(pg. 31)

Figure 10: RW01 and RW03 IgGs can localize CD133 by Immunofluorescence. (pg. 32)

Figure 11: RW01 and RW03 can be used in Western Blotting. (pg. 33)

Figure 12: RW01 and RW03 bind separate epitopes on CD133. (pg. 35)

Figure 13: RW01 and RW03 IgGs reduce CD133 in Caco-2 cells after 24-hours. (pg. 37)

Figure 14: RW01 and RW03 IgGs destabilize surface CD133 in SEM cells. (pg. 38)

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List of Appendices

Appendix A: Library F Illumina Sequencing Data

Appendix B: Library G Illumina Sequencing Data

Appendix C: IP-MS data

Appendix D: SEM Time Course: All data points

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Introduction 1Cancer is a complex disease that has become the focus of many research laboratories over

the past century. Due to the range of tissues, aggressive or benign forms, typologies of the

disease and its emergence as a leading cause of mortality across the globe, cancer research has

made its way to the forefront of our attention in medical fields. The focus of this research for

many groups has turned to elucidating the cells of origin of the disease, the mechanisms which

lead to their transformation and the pathways involved in the maintenance of the disease state.

Perhaps the most important step in this process is the identification of the cells of origin of the

disease. From the discovery of the existence of somatic stem cells that replenish tissues within

organs, emerged the idea of Cancer Stem Cells (CSCs): cells of stem cell phenotype that can

maintain and propagate the tumor (Lobo, Shimono, Qian, & Clarke, 2007). The theories as to

how CSCs arise abound and there is evidence to support many of them.

The initial school of thought, based on observations of Leukemic cells, suggested that

tumor initiating cells may be stem cells that acquire mutations in the correct pathways to become

cancerous thus explaining the stem-like phenotype that distinguish such cells (Bonnet & Dick,

1997; Lapidot et al., 1994). Other evidence suggests that a progenitor cell may have gained the

ability to self-renew through multiple oncogenic mutations (Cozzio, 2003; Huntly et al., 2004;

Krivtsov et al., 2006; Lavau, 1997; Wagner, 2006). Despite a lack of definitive answers into the

origin of these cells, a picture of their characteristics has emerged. CSCs have been shown to

remain in a quiescent stage of the cell cycle, which allows them to evade conventional

chemotherapies that generally target highly proliferative cells (L. Li & Bhatia, 2011). They have

also been shown to overexpress membrane transporters, allowing these cells to become drug

resistant by expelling chemotherapeutic drugs (Dean, Fojo, & Bates, 2005). Finally, they have

been shown to evade radiotherapy due to their increased DNA damage repair and reactive

oxygen scavenging abilities (Bao et al., 2006; Diehn et al., 2009). Due to this emerging and

evolving description of the CSC’s ability to evade current methods of treatment, there is a need

for a better understanding of the way in which these cells propagate.

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Many surface proteins have been identified as markers of these cells and this has greatly

increased our abilities to isolate and study their behavior and characteristics. In many cases

however, the role of these markers in the maintenance of the disease phenotype is not fully

understood. One such marker is the cellular surface protein Prominin-1 (CD133).

1.1 Identification

The CD133 protein was identified in 1997 through the characterization of novel

monoclonal antibodies (mAbs) by groups searching for novel markers of mouse neural and

human hematopoietic stem and progenitor cells (Weigmann, Corbeil, Hellwig, & Huttner, 1997;

Yin et al., 1997). The protein was immediately interesting due to several initial observations.

First, the AC133 antibody was determined to bind an epitope on the protein referred to as the

AC133 antigen. This epitope originally appeared to be restricted to CD34-positive cells (Yin

1997), however, there were some contradictions concerning the detection of the AC133 antigen.

This included mRNA data that contradicted with the detection of the AC133 epitope (i.e. a

strong mRNA signal was detected in kidneys, despite lack of AC133 immunoreactivity in the

tissue) (Miraglia et al., 1997; Yin et al., 1997). Also, some groups have observed the

disappearance of AC133 immunoreactivity upon Caco-2 differentiation although mRNA levels

appear to increase (Corbeil et al., 2000). These observations led to the indication that expression

of the AC133 antigen may be more restricted than general expression of the CD133 protein

(Fargeas, 2003) and that the reactivity of the protein with this particular antibody may depend

on specific protein conformations or glycosylation patterns.

1.2 Genomic organization and Gene regulation

Located on Chromosome 4 in humans, CD133 has five alternative promoters (Shmelkov,

2004). Of these, promoters 1-3 are located within a CpG island and partially regulated by

methylation (PLESHKAN, VINOGRADOVA, & SVERDLOV, 2008; Shmelkov, 2004). There

are up to 10 alternative promoters located in the 5’ untranslated region (Shmelkov, 2004). In

addition, the protein has been found to be subject to alternative splicing (Corbeil et al., 2009;

Jászai et al., 2011; Miraglia, Godfrey, & Buck, 1998; Shmelkov, 2004), where 12 alternative

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splicing variants have been identified in mammalian prominin-1 (Fargeas, 2004; Fargeas,

Huttner, & Corbeil, 2007) and 10 alternative exons have been identified for exon 1 alone. The

regulation and expression of these variants may be tissue specific (Fargeas, 2004; Yu, 2002).

In keeping with the complexity of the splicing associated with the protein, the regulation

of the expression of CD133 is also complex and incudes many factors. DNA hypomethylation

contributes to tumorigenesis by inducing oncogene activation and genomic instability (Gaudet,

2003). Abnormal hypomethylation of the first three promoters of CD133 has been positively

correlated with increased expression of the protein in cancer stem cells of various backgrounds

(Baba et al., 2008; Tabu et al., 2008; Yi et al., 2008). In addition to the epigenetic regulation,

three different transcription factors have been shown to regulate expression of CD133: Sox17

regulates CD133 in gastric epithelial tumors (Fukamachi, Shimada, Ito, Ito, & Yuasa, 2011),

while AF4 knockdown decreased CD133 expression in AML cells (Mak, Nixon, & Moffat,

2012a). Finally, through ETS binding sites in one of the CD133 promoters, the RAS/ERK

pathway regulates expression of the protein (Tabu et al., 2010). Other factors affecting CD133

expression stem from the extracellular environment and include upregulation of CD133 in

hypoxic states (McCord, Jamal, Williams, Camphausen, & Tofilon, 2009), decreased expression

of CD133 in low iron conditions in colon cancer cells (Gilbertson & Rich, 2007) and an increase

in CD133 and CSC properties associated with low mitochondrial activity (Griguer et al., 2008).

1.3 Protein features, Glycoforms and Epitopes

CD133 is a transmembrane protein that has an extracellular N-terminal region, five

transmembrane domains with alternating short and long intra- and extracellular domains,

respectively, and an intracellular C-terminal region (Figure 1). The total protein contains

approximately 850 amino acids, depending on the splice variant, and the two large extracellular

loops contain eight N-glycosylation sites (Corbeil, Fargeas, & Huttner, 2001a; Fargeas, 2004;

Han & Papermaster, 2011; Miraglia et al., 1997; Weigmann et al., 1997). The amino acid

sequence of the protein is poorly conserved across species with only 60% identity between

primates and rodents (Corbeil et al., 2001a), less conservation between mammalian sequences

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and fish, amphibian and bird (45%) and only 25% between mammalian and invertebrate

sequences (Fargeas, 2003; Han & Papermaster, 2011; Jászai et al., 2011; Zelhof, Hardy, Becker,

& Zuker, 2006). While the amino acid sequence varies among species, the protein sequences

share common features. There are six conserved cysteines in the EC2 and EC3 domains, which

may form disulfide bridges, as well as a cysteine rich domain between TM1 and IC1.

Additionally, there is a consensus core sequence between the EC3 and TM5 regions of the

protein (Zelhof et al., 2006). Post-translational modifications to the protein include N-

glycosylation, which accounts for 15-20% of the molecular weight of the protein (Corbeil et al.,

2000; Miraglia et al., 1997; Visvader & Lindeman, 2008; Weigmann et al., 1997) and sialylation

(F. Zhou et al., 2010a), however, no O-linked glycans have been detected (Sgambato et al.,

2010). Researchers have discovered that while individual glycosylation sites are not required for

surface expression of the protein, these sites are collectively required for proper expression of

CD133 on the surface of cells (Mak et al., 2011). While researchers have made great strides in

characterizing the protein, a crystal structure has yet to be determined for CD133. Additionally,

there is currently no known ligand for the protein.

Figure 1: CD133: A Five-pass Transmembrane Domain Protein. The membrane protein CD133 is

depicted. The protein has an extracellular N-terminal region, and an intracellular C-terminal region. It

contains five transmembrane domains, and alternating short and long intracellular and extracellular loops.

The two large extracellular loops contain eight N-glycosylation sites (indicated as red branched

structures).

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1.4 Cellular features

In the cellular context, CD133 has been associated with membrane protrusions (Visvader

& Lindeman, 2008; Weigmann et al., 1997) and has been found to interact directly with

membrane bound cholesterol (Corbeil, Marzesco, Fargeas, & Huttner, 2010; Florek et al., 2006;

W. B. Huttner, Röper, & Corbeil, 2000). The protein is also released in body fluids in association

with small membranous vesicles (Marzesco, 2005) and has been detected in CSF, seminal fluid,

urine and saliva (Florek et al., 2006; H. B. Huttner et al., 2008; Marzesco, 2005).

1.5 Presence on Differentiated and Stem Cells

While the main function of the CD133 protein has been as a marker of cancer stem cells

and hematopoietic progenitor cells, the protein has been shown to be expressed at all stages of

development. Expression of the protein has been detected in kidneys (Corbeil et al., 2000;

Fargeas, 2003; Florek et al., 2006), colon (Horst, Kriegl, Engel, Kirchner, & Jung, 2008; Horst et

al., 2009; Kojima et al., 2008; C.-Y. Li et al., 2009), prostate (Mizrak, Brittan, & Alison, 2007),

pancreas (Koblas et al., 2008; Sugiyama, Rodriguez, McLean, & Kim, 2007), liver (Karbanova

et al., 2008), mammary glands (Florek et al., 2006; Immervoll, Hoem, Sakariassen, Steffensen, &

Molven, 2008), the epithelium of the epididymal duct (Gashaw et al., 2007) and in cephalic

exocrine glands (Karbanova et al., 2008). Furthermore, CD133 potentially labels progenitor cells

in a number of tissues including muscle (Alessandri et al., 2004), skin (Belicchi et al., 2004), and

intestines (Zhu et al., 2008). Additionally, CD133-expressing cells with self-renewal capacity

have been identified in many of the aforementioned differentiated tissues, as well as in the brain

(Hemmati, 2003; Singh et al., 2003), lung (Chen et al., 2008; Eramo et al., 2007), and ovary

(Curley et al., 2009). Due to the widespread expression of the protein in tissues ranging from

differentiated types to cells with self-renewal capacities, it comes as no surprise that CD133 is

expressed broadly in human differentiated tumors (Visvader & Lindeman, 2008).

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1.6 Function and Role of CD133 in Cancer

Despite the vast array of data concerning the various aspects of the protein, the function

of CD133 has yet to be elucidated. Due to the membrane localization of the protein and the

association with membrane protrusions, CD133 is widely thought to be a scaffolding protein or

involved in the organization or remodeling of membrane protrusions. Additionally, due to the

association of the protein with membrane lipids and cholesterol, it has been suggested that the

protein is involved in maintaining the dynamics of the plasma membrane (Corbeil, Röper,

Fargeas, Joester, & Huttner, 2001b; W. B. Huttner et al., 2000). Mutations in the protein have

been shown to lead to photoreceptor degeneration in humans and CD133 knockout mice display

macular photoreceptor degeneration (Maw et al., 2000; Zacchigna et al., 2009). Other evidence

has emerged that indicates that the extracellular release of CD133 occurs in conjunction with

progenitor cell differentiation (Bauer et al., 2011).

The concept of a role for CD133 in cancer has begun to be investigated in a wide array of

cancer types by assessing the usefulness of CD133 as a marker of CSCs in these various cancer

types. In 2003, Singh and colleagues identified CD133 as a marker for CSCs in brain tumors

(Singh et al., 2003) and subsequently demonstrated that as few as 100 CD133+ cells from brain

tumor fractions were required to generate a tumor in NOD/SCID mice (Singh et al., 2004).

Additionally, CD133+ glioma cells were shown to have increased resistance to radiation in a

DNA checkpoint dependent manner as compared with CD133- cells (Bao et al., 2006).

In pancreatic cancer cells, Hermann and colleagues were able to isolate pancreatic CSCs

using anti-CD133 antibodies and demonstrated that these cells were tumorigenic and highly

resistant to standard chemotherapy (Hermann et al., 2007). Corroborating this evidence, other

groups have linked cues in the tumor environment to induce CD133+ pancreatic cancer cells to

have a more aggressive nature including increased migration and invasion and heightened tumor

aggressiveness (Moriyama et al., 2010). In spite of this, the ultimate test of CD133+ pancreatic

cancer cells possessing stem-cell like properties will be the ability of these cells to reconstitute

the heterogeneity of a pancreatic tumor upon engraftment of a single cell.

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In prostate cancer, Collins et al. identified the first stem-like cells from prostate cancer

tissues (Collins, 2005). Since this observation, several groups have demonstrated stem cell

features in CD133+ cells isolated from prostate cancer tissues and in an immortalized prostate

cancer cell line (Miki et al., 2007; Wei, Guomin, Yujun, & Ruizhe, 2007), however other groups

have failed to confirm the presence of stem-cell properties in prostate cancer samples (Missol-

Kolka et al., 2010) and do not observe the stem-cell characteristics others attribute to pancreatic

cancer lines like the DU145 line (Pfeiffer & Schalken, 2010).

Another cancer type for which CD133 is used as a CSC marker is colorectal carcinoma.

CD133 was identified by two separate groups as a marker of CSCs in colon cancer (O'Brien,

Pollett, Gallinger, & Dick, 2006; Ricci-Vitiani et al., 2006) and both groups demonstrated that

CD133+ cells readily recapitulated tumors in SCID mice (Ricci-Vitiani et al., 2006), and that

there was an enrichment of colon cancer initiating cells in the CD133+ suspension of cells

compared to the unfractionated tumor cells (O'Brien et al., 2006). However, Shmelkov and

colleagues demonstrated that both CD133+ and CD133- expressing cells from colon metastases

were able to form colon-spheres and recapitulate tumors in NOD/SCID mice (Shmelkov, 2004).

Additionally, several groups have concluded that CD133 is associated with worse clinical

prognosis, risk of disease progression and metastasis and that the protein can be used as an

independent prognostic marker for colorectal cancer patients (Horst et al., 2009). However, other

groups have failed to find a relationship between CD133 and disease progression or survival in

colon cancer patients but have instead found a relationship between the expression of the protein

and tumor stage (Lugli et al., 2010). In each case, there is conflicting data concerning the role of

CD133 as a marker of CSCs as well as some discrepancy as to the clinical usefulness of the

protein as a diagnostic tool.

There is however, the case of metastatic melanoma, which provides promising insights

into the role of CD133 in a diseased state. In 2008, Rappa and colleagues demonstrated that

downregulation of CD133 in a metastatic melanoma cell line, FEMX-I, resulted in slower cell

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growth, decreased cell motility, decreased ability to form spheres in stem-cell growth conditions

and a reduced metastatic capacity of tumor xenografts (Rappa, Fodstad, & Lorico, 2008). Based

on reports that AC133 conjugated to monomethyl auristatin F inhibited the growth of

hepatocellular and gastric cancer cells in vitro (Smith et al., 2008), they were able to show that

secondary antibody conjugated to saporin in the presence of AC133 was toxic to FEMX-I cells

but not control human fibroblasts (Rappa et al., 2008). Additionally, AC133 directly conjugated

to saporin was more effective against FEMX-I cells than FEMX-I cells with CD133 expression

knocked down (Rappa et al., 2008). To add to their conclusions, they noted that in cells in which

CD133 is knocked down, genes that became upregulated coded for wnt inhibitors, a result

corroborated by Mak et al. (Mak, Nixon, & Moffat, 2012a). These results provide exciting

insights and implications into the value of pursuing the discovery of the role of CD133 in cancer

as well as targeting the protein for effective therapeutic development.

The results of the metastatic melanoma studies along with those of the brain, prostate,

pancreatic and colon cancer studies have demonstrated that while there is indeed the promise of

therapeutic development of CD133 antibodies, there is still much to be discovered concerning

the function of the protein, its potential role in the maintenance of a stem-like phenotype and its

role in tumor aggressiveness. Thus, the development of tools to continue to investigate this

aspect of CD133 function is paramount.

1.7 Antibodies

In recent decades antibodies have proven invaluable as tools and therapeutics. As

reagents, antibodies are widely used in many common molecular and cellular techniques. As

therapeutics, the FDA has approved 35 antibody-based therapies with 17 of those targeting cell-

surface receptors (Scott, Wolchok, & Old, 2012; Y. Zhou, Zhao, & Marks, 2012). Indeed,

proteins at the cell surface prove to be important targets due to their inter- and intracellular

signaling capabilities as well as their involvement in cancer and tumor maintenance and

recognition (Adams & Weiner, 2005; Weiner, Surana, & Wang, 2010). Hybridoma technology

has been largely employed as the production methodology for antibody development however,

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limitations and challenges relating specifically to cell surface proteins have become evident.

Examples of such limitations include the need for purified proteins for animal injection, as cell-

surface proteins are not easily purified and usually require the membrane environment for proper

folding and epitope display. Additionally, the humanization of antibodies requires an extra step

that is a lengthy and costly process. As well, for evolutionarily conserved proteins, selection of

antibodies proves difficult, as animals will not make antibodies to native epitopes.

In order to circumvent these issues, phage and yeast displayed libraries have been

developed and employed in antibody selection methods. In antibody phage-display technology,

genes that encode antibody fragment proteins are fused to coat proteins on the M13 filamentous

bacteriophage. In this way, the antibody fragments are “displayed” on the bacteriophage surface

(Sidhu, 2001). The expression of these fusion proteins and subsequent assembly of the M13

bacteriophage occurs inside its host, the bacterium Escherichia coli. The most common form of

antibody is the Immunoglobulin G (IgG) (Fellouse & Sidhu, 2007; Sidhu & Fellouse, 2006).

IgGs are heterotetrameric proteins consisting of two heavy chains and two light chains. To add to

this complexity, the protein contains both inter- and intra-molecular disulfide bonds and is

glycosylated on the heavy chain (Sidhu & Fellouse, 2006). This level of complexity proves

difficult to maintain in bacterial hosts, however, the entire protein is not required for antigen

recognition (Fellouse & Sidhu, 2007). The antigen-binding site of an IgG is contained in the

antigen binding fragment (Fab) portion of the protein, which amounts to a single unglycosylated

arm of the IgG molecule. Smaller still is the single-chain variable fragment (scFv) of the Fab, in

which the constant heavy and light chain regions are eliminated and solely the variable heavy

and light chain regions persist, connected by a linker sequence (Figure 2) (Rader & Barbas,

1997). The specific regions that primarily mediate antigen recognition are the complimentarity

determining regions (CDRs), of which there are six: three contained in the variable region of the

light chain (CDRL1-3) and three contained in the variable region of the heavy chain (CDRH1-3)

(Hoogenboom, 2005). Thus, due to the location of the CDRs in the variable heavy and light

regions of the antibody fragments, both Fabs and scFvs are able to mediate antigen binding and

are employed in the Sidhu and Moffat labs in the form of phage-displayed libraries. These

libraries vary in their levels of diversity with the Fab library (termed Library F) containing amino

acid diversity in CDRs H1 and H2 and amino acid as well as length diversity in CDRL3 and H3.

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In contrast, the scFv library (termed Library G) contains solely amino acid diversity in CDRs L2

and H2 and amino acid diversity coupled with length diversity in the remaining CDRs (Library

G, manuscript in preparation). These libraries are non-immunogenic naïve libraries, which are

able to target a broader range of epitopes including those unable to be targeted through animal

immunization. Additionally, synthetic libraries can reach diversities 10 to 100 times greater than

that which is covered by the human immune system let alone animal systems (Persson, 2009).

Finally, these libraries allow for the production of human proteins and thus the likelihood of the

resultant proteins showing high immunogenicity is reduced (Sidhu & Fellouse, 2006).

Figure 2: IgG schematic. A common IgG molecule is depicted. The protein contains two heavy and two

light chains connected by a series of disulfide bridges (four shown for simplicity). Fab and scFv portions

of the IgG are indicated. The CDRs are contained within the variable heavy and variable light portions of

the protein.

Great strides have been made in the development of methods to by-pass the need for

purified proteins during the antibody selection process. Notably, yeast-displayed antigens have

been incorporated in the selection process (Y. Zhou, Zou, Zhang, & Marks, 2010b) as well as

VH VH

VL

CL

CH1 CH1

VL

CL

CH2CH2

CH3 CH3

-s-s--s-s-

-s-s- -s-s-

Fab

Fc

scFv

Heavy chain

Light chain

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direct selections on blood cells (Huie et al., 2001) and cancer cell lines (Conrad et al., 2009;

Heitner et al., 2001; Poul, Becerril, Nielsen, Morisson, & Marks, 2000). While these processes

have shown success, one issue that remains difficult to remedy concerns the high level of phage

binding to background proteins on cells. Many methods have emerged to reduce these

background phage including multiple rounds of pre-selection or depletion on cell types related to

the positive line used (Ridgway et al., 1999; Van Ewijk et al., 1997) in addition to techniques

such as centrifugation and solvent separation (Giordano, Cardó-Vila, Lahdenranta, Pasqualini, &

Arap, 2001; B. R. B. Williams & Sharon, 2002). Phage-displayed libraries have also been used

to select for antibodies that can be internalized and thus may have the potential to deliver

cytotoxic substances upon endocytosis (Abraham et al., 2007; Nielsen & Marks, 2000). Finally,

many of the methods described result in a panel of antibodies against antigens specific to a cell

type but the antigen identities are unknown to the researcher. In these cases, laborious protocols

involving immunoprecipitation coupled with mass spectrometry (Poul et al., 2000) or antibody

screening on multiple cells lines in tandem with screening on yeast-displayed antigen libraries to

narrow down or identify the potential antigen are required (Y. Zhou et al., 2010b).

While antibody development using phage-displayed libraries has seen many

improvements for the isolation of high affinity antibodies specific to target cell types and

antigens, a more high-throughput method for identification of larger numbers of antibodies

would provide an ideal avenue for development of a panel of antibodies against a panel of

epitopes. In the Sidhu and Moffat labs such a method was developed and incorporated many of

the recent methodological advancements in phage-display technology with a high-throughput

approach to identify high-affinity binders to specific antigens and avoid isolation of non-specific

antibody binders. The method, termed Cellectseq, employed phage-displayed antibody libraries

in whole cell selections on both negative and positive cells coupled to Illumina sequencing to

provide the sequencing depth needed to recover sequences occurring at as low as 0.3% of the

output phage pool. A PCR based recovery strategy was developed to rescue desired clones and

antibody fragments (Cellectseq Manuscript, in preparation).

With a promising target and the technology to develop tools to be able to study this

target, the stage is set for the goal of my project. The aim of my project is to use Cellectseq to

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develop a panel of human antibodies against CD133 that target distinct epitopes on the protein.

Upon generation of these antibodies, the affinity and specificity for the target will be assessed as

well as the usefulness in applications in molecular biology techniques that will aid in the

investigation of the function of the protein in future experiments. Finally, the beginnings of a

functional analysis of the antibodies will compare the effect of the antibodies with CD133

knockdown experiments.

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Chapter 2

Methods 2

2.1 Cellectseq Selections

Library F (phage-Fab) and Library G (phage-scFv) were used to perform the Cellectseq

selections. At the time that the selections were performed, the preparation of Library F had a

diversity of 3 x 1010 and the stock used was diluted to 8 x 1012 cfu/mL (colony forming units).

After precipitation and resuspension of Library F, it was calculated that each cell line was

exposed to 100x the diversity of the library. Similarly, the preparation of Library G had a

diversity of 1 x 1011 and the stock was diluted to 4.6 x 1012 cfu/mL. After precipitation and

resuspension of Library G, it was calculated that each cell line was exposed to 46x the diversity

of Library G.

Prior to the selection process, the libraries were precipitated by adding 4 mL of the

library F stock to 26 mL PBS and 7 mL of the Library G stock to 23 mL PBS and precipitating

with 7.5 mL PEG/NaCl. This mixture was incubated on ice for 20 minutes, centrifuged for 20

minutes at 20,000g and resuspended in binding buffer (DMEM containing 10% FBS, 50 mM

HEPES, 2 mM EDTA).

Libraries F and G were subjected to four rounds of selection with each round consisting

of a pre-absorption step followed by a positive selection step (figure 3). For the pre-absorption

step, HEK293 cells were washed once with PBS and lifted with an EDTA solution (0.3 g/L

disodium EDTA, 8 g/L NaCl, 0.56 g/L sodium bicarbonate, 1 g/L D-glucose, 0.4 g/L KCl) and

resuspended in DMEM with 10% heat inactivated fetal bovine serum (IFS). Ten million cells

were then resuspended with approximately 1012 cfu of either library F or Library G phage in a

cell-binding buffer. The cells were incubated with the library for 1.5 hours at 4°C with gentle

rocking. The cells were then centrifuged for 5 minutes at 1500 rpm and the supernatant

containing unbound phage was used for the positive selection.

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Figure 3: The Cellectseq Method. Cell selections were performed with Library F (phage-Fab) or Library

G (Phage-scFv) (Library F depicted here). The libraries are subjected to a pre-adsorption step in which

the libraries are incubated with cells that do not express the protein of interest to reduce non-specific

binders. Following pre-adsorption, the cells and any bound phage are pelleted and the supernatant is used

in a positive selection step. In this step pre-adsorbed libraries are incubated on cells over-expressing the

protein of interest. After several washing steps the phage are eluted and re-infected into E. coli for

amplification in further rounds of selection. Output phagemids are extracted and prepared for Illumina

sequencing by adding barcode sequences through PCR.

In the positive selection, HEK293 cells stably overexpressing CD133 were harvested in

the same manner as cells in the pre-absorption step and 5 million cells were resuspended with

either pre-adsorbed Library F or G. Cells were incubated with the libraries for 2 hours at 4°C

with gentle rocking. Following incubation, cells were centrifuged for 5 minutes at 1500 rpm. The

supernatant was removed and the cells were washed with 10 mL cold PBS and transferred to a

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new tube after which the cells were again centrifuged for 5 minutes at 1500 rpm. This washing

process was repeated three times. After the last wash cells were pelleted and wash buffer was

completely removed. The cell pellets were incubated with 0.1N HCL for 5 minutes at room

temperature to elute the phage particles. The eluate was neutralized with 1M Tris-HCl. Half of

the elution was used to infect actively growing XL1-blue E. coli cells for 30 minutes at 37°C.

After the initial infection, XL1-blue cells were co-infected with M13K07 at a final concentration

of 1010 pfu and incubated for 45 minutes at 37°C. After the co-infection period, infected cells

were transferred to a 25 mL flask of 2YT culture medium with 100 µg/mL carbenicillan and 25

µg/mL kanamycin and grown overnight. The next day, the cells were pelleted, and the phage was

precipitated from the supernatant using PEG/NaCl. This phage was used in a second round of

pre-absorption and positive selection after which the entire process was repeated for two more

rounds of selection.

In parallel, a negative selection was performed on parental HEK293 cells by eluting the

phage from the pre-adsorption step, neutralizing this phage and infecting XL1-blue cells with a

portion of this eluate. This process was started at selection round 2.

2.2 Illumina Sequencing Preparation and Analysis

The output phage was infected into XL1 blue cells and grown overnight in 2YT culture

media with 100 µg/mL carbenicillin. Cultures were miniprepped using a Qiagen kit to obtain

phagemid DNA to use as the template for PCR with individual forward primers. Each primer

consisted of an adaptor sequence

(5’AATGATACGGCGACCACCGAGATCTACACTCTTTCCCTACACGACGCTCTTCCGA

TCT-3’), a five base pair barcode sequence specific to the positive or negative pool (positive

pool: 5’-GAGTA-’3; negative pool: 5’-CCAAA-‘3), and an annealing site to the third antibody

framework region of the heavy chain (5’-GTCTATTATTGTGCTCGC-3’). For all phage pools,

a reverse primer containing a second Illumina-compatible adaptor region (5’-

CAAGCAGAAGACGGCATACGAGCTCTTC-3’) and an annealing site to the phagemid vector

(5’-TCCTTGACCCCAGTAGTC-3’) was used. The output amplicons extended from CDR L3 to

CDR H3 so that a paired-read strategy could be used for the sequencing analysis. Determining

both major CDR sequences as a pair facilitated the use of a modified PCR recovery strategy

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designed to rescue all six CDR sequences. PCR reactions were performed with the high fidelity

polymerase Phusion (Finnzyme) and 400 to 600 ng of template DNA. Reactions were subjected

to 15 cycles of annealing and extension, consisting of 30 s at 57°C and 45 s at 72°C. PCR

products were digested with ExoI (USB), SAP (USB), and Dpn1 (NEB) and then purified on a

PCR purification column (Qiagen). Successful amplification of the correct DNA fragment from

each phage pool was verified by agarose gel electrophoresis. The amplified DNA fragments were

pooled and subjected to Illumina DNA sequencing on an Illimina GAII, with 72 base pair reads,

using the GAII chemistry V3 and SCS (Sequencing Control Software) version 2.4. Each

sequencing read was assigned to its correct pool on the basis of its unique barcode sequence. The

reads were filtered according to their Phred score (Cock, Fields, Goto, Heuer, & Rice, 2010).

Since a constant aligner region was sequenced, these regions were used to optimize the Phred

score cutoffs. Briefly, all sequences with Phred scores of 20 and higher for every base were kept.

A tolerance number (Cock et al., 2010) of medium quality (Phred score higher than 15) was

allowed. DNA sequences were translated to decode the sequence of the light chain CDRL3 and

the heavy chain CDRH3.

2.3 Cellectseq Rescue

The output phage was infected into XL1 blue cells and grown overnight in 2YT culture

media with 100 µg/mL carbenicillin. Cultures were miniprepped using a Qiagen kit to obtain

phagemid DNA to use as the template for the recovery strategy. A region of the output phage

DNA was amplified with a nested PCR that amplified the scFv encoding region. Primers used

were specific to the phagemid backbone and lay upstream of the variable light chain and

downstream of the variable heavy chain regions. The product was PCR purified with a Qiagen

PCR purification kit, quantified, normalized to 25 ng/ul and served as the template for three

parallel nested PCR reactions. The first reaction rescued the VL region, including CDR L1, L2

and L3 sequences using a forward primer (termed ss149) specific to a region upstream of the VL

framework and encompassing an NsiI restriction site and a reverse primer (termed p3) specific to

the CDRL3. The second reaction generated a fragment encompassing the linker region between

the heavy and light chains and the heavy chain variable domain, rescuing CDR H1, H2, and H3

sequences. Here the forward primer (termed p1) was specific to the CDRL3 and the reverse

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primer (termed p2) annealed to the CDRH3. The third reaction amplified from a region in the

VH framework (primer termed ss147) to a constant region of the vector containing an NheI

restriction site (primer termed ss148). Each reaction was subjected to 27 cycles of annealing and

extension consisting of 30s at 98°C, 10s at 98°C, 30s at 55°C, 1 minute 30s at 72°C, and 10

minutes at 72°C. The products of the three reactions were cleaned up using ExoI and SAP (37°C

for 15 minutes, 80°C for 15 minutes) and combined together with the high fidelity polymerase

Phusion (NEB) and annealed and subjected to extension PCR without primers for 10 cycles (30s

at 98°C, 10s at 98°C, 1 minutes at 55°C, 1 minute at 72°C and 10 minutes at 72°C). A solution

containing primers was added as well as more Phusion, dNTPs resulting in a double stranded

fragment containing all six CDR regions and subcloned into an expression vector (Figure 4).

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Figure 4: Cellectseq Rescue strategy. A Nested PCR amplifies a region encompassing the heavy and

light variable regions. Parallel PCR reactions are set up using primers specific to the CDRL3 and CDRH3

regions. The CDR-specific products are amplified, digested and ligated into an expression vector.

2.4 Conversion to IgG

Upon rescue and sequence verification of the anti-CD133 scFv, a PCR-based strategy

was used to convert the scFv into an IgG. The heavy and light chains were cloned into separate

vectors to be co-transfected into mammalian cells for expression. Four PCR reactions were

Restriction digest and subclone

dsDNA poolA

B

(1) PCR ampli!cation ofVL to VH regions

12

3

(5) Extension PCR

12

3

(2) Parallel PCRs(3) ExoI, SAP clean up(4) Anneal products

Adapted from Cellectseq Manuscript

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setup, two for the heavy chain and two for the light chain, which was followed by a PCR clean

up using Qiagen PCR purification columns. Equal amounts of the two PCR reactions were mixed

per heavy chain or light chain and re-annealed, and the re-annealed products were

phosphorylated in preparation for ligation. The phosphorylated products were cloned into the

pFUSE series of expression vectors from Invivogen. The vectors containing the scFv heavy and

light chains were transformed and single colonies were picked, miniprepped using a Qiagen

miniprep kit and sent for sequencing to confirm heavy and light chain sequences.

2.5 Cell-based ELISA

Single colonies of phage-fab or phage-scFv-infected XL1-blue cells were picked,

inoculated into 350ul 2YT containing 100 µg/mL carbenicillan and 25 µg/mL kanamycin and

allowed to grow overnight at 37°C. The same day, two 96-well tissue culture treated Costar

plates were treated with 50 µg/mL poly-L-lysine (Sigma) for 10 minutes at Room temperature in

the tissue culture hood. Coated wells were washed once with PBS and 50,000 HEK293 or

HEK293-CD133 cells were seeded per well and allowed attach to the plate overnight. After 24

hours, the bacterial cultures were spun down and 50ul of culture supernatant was added to a

HEK293/HEK293-CD133 pair of wells (each clone picked was added to a well with HEK293

cells as a control and a HEK293-CD133 well to test for binding). Cells were incubated with the

phage for 1.5 hours at 37°C. After the incubation period, the media was removed and the cells

were washed twice with PBS. The cells were subsequently fixed with 3.2% Paraformaldehyde

(PFA, Electron Microscopy Sciences) for 20 minutes at room temperature. The cells were then

washed and blocked with a PB buffer (0.2%BSA in PBS) and incubated with anti-M13

conjugated to Horseradish peroxidase (anti-M13-HRP) at a 1:5000 dilution for 30 minutes at

room temperature. After the incubation period, the cells were washed three times with PBS with

five-minute incubations between each wash. The plate was developed by adding 50 µL of a 1:1

mixture of TMB Peroxidase substrate and Peroxidase substrate solution B (KPL) and incubating

at room temperature for 5-10 minutes. The reaction was stopped with 50 µL 1M Phosphoric acid.

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2.6 IPTG-inducible Protein Expression

A stop codon was introduced between the variable heavy chain and the p3 phage protein

through an oligo-directed process (Kunkel 1985). The phagemid containing the stop codon was

digested with NsiI and SalI to obtain an insert containing the RW03 Fab sequence, and the insert

was ligated into the IPTG-inducible expression vector. Once sequence verified, the vector was

transformed into BL21 E. coli cells for protein expression. Cultures were grown in 2YT

supplemented with 100 µg/mL carbenicillin to an optical density of 0.6-0.8 and IPTG was added

to a final concentration of 1mM to induce protein expression. The cells were spun down, frozen

to promote lysis, thawed and resuspended in lysis buffer (containing Triton X-100, benzonase,

Magnesium chloride, PMSF, lysozyme and PBS). The pellets were lysed for 1hr (with shaking at

4°C) and lysed pellets were spun down for 40 minutes at 12,000 rpm. The supernatant was

transferred to a new tube and 1 mL of protein A Sepharose beads (GE Healthcare) was added

and allowed to mix for 30 minutes at 4°C. The beads were spun down at 500 rpm for 2 minutes,

and using a transfer pipette, were packed into a 10 mL column. The column containing the beads

was washed with a total 25 ml PBS and the Fab was eluted from the column in 2 ml fractions

using elution buffer and neutralized with 0.5 mL 1M Tris pH 8.0.

2.7 Immunofluorescence

Immunofluorescence was performed on intact CD133 overexpressing HEK293 cells and

parental HEK293 cells. Cells were seeded onto poly-L-Lysine coated glass coverslips in 12-well

plates. Forty-eight hours post-seeding, the cells were washed with cold PBS+ (containing 1 mM

MgCl2 and 1 mM CaCl2) and incubated on ice. The cells were then fixed for 20 minutes (5

minutes on ice and 15 minutes at room temperature) with 4% PFA and then washed three times

with PBS+. Cells were blocked for 10 minutes at room temperature with 1% BSA in PBS+. The

blocking solution was aspirated and the RW01 or RW03 antibodies were added at 5 µg/ml in

blocking solution and incubated for 1 hour. Cells were washed twice with cold PBS+ and

incubated with an APC-conjugated anti-human secondary in blocking solution at a dilution of

1:1000 and incubated for 30 minutes. The cells were washed five times with PBS+ and the nuclei

were stained with a 1:1000 dilution of Hoechst. Cells were washed twice with cold PBS+ and

mounted on slides with Prolong anti-fade reagent (Invitrogen). The images were acquired using

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the WaveFX spinning disk confocal microscope by Quorom Technologies Inc. Composite

images of the ‘xy’ and ‘yz’ planes are represented (scale bar, 16 µm).

Immunofluorescence to assess induction of internalization of the IgGs was performed

similarly with the following changes: After a 30 minute incubation with RW01 or RW03, cells

were washed in cold Hank’s Buffered Saline Solution (HBSS) and moved to 37°C to promote

antibody internalization, for 30 minutes. Cells were subsequently returned to ice and washed

twice with cold HBSS. Alexa-647 conjugated anti-human secondary was added in HBSS plus

5% donkey serum at a dilution of 1:50 and incubated on ice for 10 minutes with a goat-anti-

transferrin antibody at a dilution of 1:1000. Cells were washed twice with cold HBSS and fixed

at room temperature with 4% PFA in PBS for 20 minutes. Cells were washed and permeabilized

with ice-cold methanol for 10 minutes at -20°C. Methanol was removed and cells were washed

with HBSS. Alexa-594 conjugated anti-human secondary was added in HBSS plus 5% donkey

serum at a dilution of 1:50 and incubated for 10 minutes with a 1:1000 dilution of Hoechst for

nuclear staining. Cells were washed three times with HBSS and mounted on slides with DAKO.

The images were acquired using the WaveFX spinning disk confocal microscope by Quorom

Technologies Inc. Composite images of the ‘xy’ and ‘yz’ planes are represented (scale bar, 16

µm).

2.8 Flow Cytometry

Cells were lifted from 10-cm tissue culture treated dishes with an EDTA solution and

resuspended in PBS supplemented with 2% FBS. Cells were counted and seeded at 200,000 cells

per well in a deep 96-well plate. The cells were blocked for 30 minutes on ice in 2% FBS-PBS.

The plate was spun down at 1500 rpm for 5 minutes and excess blocking solution was removed.

The cells were incubated with 5 µg/ml primary antibody solution on ice for one hour and washed

three times with 2% FBS-PBS. An anti-Fab’2-APC conjugated secondary antibody (Jackson

Immunoresearch) was added to the cells at a 1:1000 dilution in blocking solution and incubated

on ice for 30 minutes. The cells were washed three times, resuspended in 1% PFA and analyzed

on a FACScalibur.

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2.9 Western Blot

Cells were seeded in 10-cm dishes and allowed to reach 80% confluency. The media was

aspirated and the cells were washed twice with ice-cold PBS. One hundred microliters of cell

lysis buffer (10% glycerol, 50 mM Hepes KOH pH 8.0, 100 mM KCl, 2 mM EDTA, 0.1% NP-

40, 2 mM DTT, 10 mM NaF, 0.25 mM NaOVO3) was added to the cells and the cells were

scraped with a cell scraper (Costar). The lysates were incubated on ice for 15 minutes, spun

down at 13,000 rpm for 10 minutes and transferred to a new tube. Lysates were normalized to 1

µg/ul and 10 µg of lysates were loaded on a 4-15% Mini-PROTEAN TGX Tris-Glycine gel (Bio-

Rad). Gels were run for 1 hour and 10 minutes at 100 V and transferred to ethanol-activated

PVDF membranes (GE Healthcare) using a Bio-Rad transfer box for 1 hour at 100 V on ice. The

membranes were washed once with Tris Buffered Saline with 0.1% Tween-20 (TBST) wash

buffer and blocked for 30 minutes in 5% skim milk in TBST. The membranes were washed once

with TBST for 5 minutes and membranes were incubated with RW01 or RW03 IgGs as primary

antibodies at 5 µg/ml diluted in 5% BSA at 4°C overnight. The membranes were washed three

times for 5 minutes per wash and an anti-human HRP conjugated secondary antibody (Jackson

Immunoresearch) was added at 1:1000 diluted in 5% BSA. Membranes were incubated with

secondary antibody for one hour at room temperature and washed three times for 10 minutes per

wash. Membranes were then bathed in developing solution (SuperSignal, Thermo Scientific) for

one minute before exposing the membranes on film (Blue. Other antibodies including β-actin

(Sigma) and AC133 (Millipore) were diluted in 5% skim milk and the secondary antibody used

was an anti-mouse HRP conjugated antibody from (Santa Cruz).

2.10 Immunoprecipitation-Mass Spectrometry

Immunoprecipitation was performed as follows: Caco-2 cells were seeded in twelve 15-

cm dishes and allowed to grow to ~80% confluency. Cells were scraped using cell scrapers,

collected in one 50 mL falcon tube and frozen at -20°C. The thawed cells were resuspended in 10

mL lysis buffer. Lysed cells were spun down for 10 minutes at 20,000g and the resulting

supernatant was spun again for 1 hour at 4°C to reduce ribosomal proteins. Lysates were

quantified using the Pierce BCA assay (Thermo Scientific) and 10 µg of precipitating antibodies

were added to 10 mg lysate. After the overnight incubation, 50 µL of beads were added to the

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antibody-lysate suspension and incubated for two hours at 4°C. The beads were spun down at

1600 rpm and the supernatant was aspirated. The beads were washed three times with cell lysis

buffer and subsequently twice with ultrapure sterile water (Invitrogen). Following the washes, 40

µL of 0.15% Trifluoroacetic acid (TFA) was added to the beads to elute the protein. The beads

were spun down, the elution was removed and this was repeated twice more with 30 uL of 0.15%

TFA added in subsequent elutions. The elutions were combined and 10 µL of 1 M NH4HCO3

was added in order to adjust the pH to 8. This was followed by the addition of 10 µL of 45 mM

DTT and incubation for 20 minutes at 60°C. The suspensions were spun down, cooled to room

temperature and 10 ul of 100 mM Iodoacetamide (Bioshop) was added and incubated at room

temperature for 15 minutes in the dark. Finally, 1 µL of trypsin was added and samples were

incubated at room temperature overnight with gentle rocking. C18 StageTip (Thermo Scientific)

filters were used to purify the peptides before analysis by mass spectrometry.

Mass Spectrometry for the identification of immunoprecipitated proteins was performed

at the Toronto Mars Discovery Tower Mass Spectrometry Facility. Analysis was performed on a

Q-Exactive hybrid quadrupole-orbitrap mass spectrometer. Data was acquired using Xcalibur

software. The SEQUEST and X!Tandem search engines were used to analyze spectrometric data

and compare hits to the human Uniprot database. Results were viewed using the Scaffold4

viewer.

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Chapter 3

Results 3

3.1 Cell Selections and Sequencing Data

In order to develop antibodies against CD133, I employed the Cellectseq method

developed in the Sidhu and Moffat labs. I used two phage-display libraries in the selections:

Library F and Library G. Library F is a Fab library with diversity in the third light chain CDR

(L3) and all three of the heavy chain CDRs (H1, H2 and H3). Library G is an scFv library with

diversity in all six CDR regions. The cells used for the selections included HEK293 cells

engineered to overexpress CD133 for the positive selection and the parental HEK293 cells were

used for the negative selection.

After four rounds of positive and negative selection, I made serial dilutions of the round

four output phage (10-1 to 10-3) for each library, infected XL1-blue cells and plated the infected

cells for single colonies to use in a clonal cell-based ELISA to isolate CD133-specific binders.

Clones that bound to the CD133 expressing cells and generated an ELISA signal that was greater

than 1.5 fold above binding to background HEK293 cells were considered to be CD133-specific

binders. As shown in Figure 5a, none of the library G clones picked displayed any specificity

towards CD133 expressing cells. In contrast, 77 of 94 clones picked from the Library F output

showed binding above background (>1.5 fold). All 94 library F phage-fab clones picked for the

ELISA were sent for sequencing by amplifying the VL and VH regions with M13-tagged

sequencing primers. The sequencing results indicated that 89 of 94 clones shared the same

sequence and two other individual clones had unique sequences. Three clones were unable to be

sequenced. Figure 5b shows the representative ELISA results for the three unique phage-Fab

binders. In parallel, the Library F and G round three and four positive and negative outputs were

prepared and sent for Illumina sequencing.

I proceeded to test the three unique phage-Fab binders from the Library F output in an

immunofluorescence (IF) assay, the results of which are shown in figure 6. The IF showed that

phage-Fab clones C12 and F5 bound non-specifically to both the CD133 overexpressing line as

well as the parental line. However, the RW03 phage-Fab demonstrated highly specific binding to

the CD133 over-expressing line with very little binding to the parental background line. These

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results were consistent with the Illumina sequencing results in which the sequences

corresponding to phage-Fab clones C12 and F5 appeared in both the positive as well as the

negative selection output pools whereas the sequence of RW03 appears in only the positive

selection pool (Appendix A). Additionally, the RW03 sequence was the most abundant sequence

in both the round 3 and 4 output pools, which is also consistent with the results of the small scale

cell-based ELISA in which 94% of the sequences were that of RW03.

A direct consequence of the Cellectseq method of coupling of cell selections with

Illumina deep sequencing is the bank of sequences that are identified and that can be specifically

rescued from the output pool. Thus, while the small-scale rescue of Library G binders did not

yield any CD133-specific scFv binders, the Illumina sequencing data provided a list of sequences

that could be chosen for rescue from the selection output pools.

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Figure 5: Phage-Fab and Phage-scFv Cell-based ELISAs. Following cell selections, round four output

phage for each library was plated for single colonies. These colonies were grown up in an overnight

culture and tested for binding to cells by cell-based ELISA. The plates were read and OD 450 nm was

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detected and recorded. In (a) the results of the Library F and Library G cell-based ELISAs are shown.

Seventy-seven clones showed binding 1.5 times above background binding. All clones were sequenced

and in (b) the ELISA data for the three unique clones are shown.

Figure 6: RW03 Phage-Fab is specific to CD133 Overexpressing Cells. The three clones with unique

sequences obtained from the Library F cell-based ELISA were used in an immunofluorescence assay. The

C12 and F5 Phage-Fab clones are shown to bind to the HEK293 parental cell line non-specifically

whereas the RW03 clone binds to the HEK293-CD133 overexpressing line specifically with little

background binding to the HEK293 cell line.

3.2 Fab Rescue and Validation

The IF data prompted the purification of the RW03 fab for further testing. This was

accomplished by introducing the Fab sequence into an IPTG-inducible vector for protein

expression. Once purified, I tested the Fab for binding by cell based ELISA and found that the

purified Fab bound to the CD133 overexpressing cells ~8 fold greater than to the parental cells

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(figure 7a). I also tested the RW03 Fab for binding to the CD133 overexpressing HEK293 cells,

the parental HEK293 cells and a CD133 overexpressing colon cancer cell line, Caco-2 by

immunofluorescence (figure 7b). I found that the RW03 Fab readily stained both the CD133

overexpressing line as well as Caco-2 cell line, with no staining of the parental HEK293 line

detected.

Figure 7: Purified RW03 binds to CD133 Expressing Cells. The RW03 Fab was purified and tested for

binding by (a) cell-based ELISA and (b) Immunofluorescence assays.

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3.3 scFv rescue and IgG conversion

In addition to isolating binders from Library F, I also analyzed the Library G Illumina

sequencing data and chose fourteen scFvs to rescue (Appendix B) using the PCR-based rescue

strategy described above (section 2.3). The primers designated p1, p2 and p3 were specific to

each scFv rescued. Of the fourteen scFvs chosen for rescue, twelve were successfully rescued,

sequence verified and immediately cloned into vectors for IgG expression using the conversion

to IgG protocol described above (section 2.4). Of the twelve scFv sequences obtained, one IgG

(RW01) validated for binding to cells by flow cytometry analysis. Similarly, I converted the

RW03 Fab into an IgG and both RW01 as well as RW03 were tested in parallel.

3.4 IgG Validation

I began testing the RW01 and RW03 IgGs by obtaining an effective binding

concentration measurement (EC50) for each antibody. Due to the inability to obtain stable,

purified recombinant CD133 protein, I used flow cytometry to estimate the half maximal binding

concentration of each antibody on cells. I incubated CD133 overexpressing cells with serial

dilutions of each antibody, detected binding with an anti-human Fab’2 secondary antibody and fit

the data to a line of best fit using the Sigma Plot graphing program. Figure 8 shows the EC50

curve for RW01, which had a calculated EC50 of 2.5nM and the curve for RW03, which had a

calculated EC50 of 0.5 nM.

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Figure 8: EC50 Measurements for RW01 IgG and RW03 IgG. Cells were incubated with stepwise

dilutions of either RW01 or RW03 IgG to determine a half-maximal binding curve for the antibodies.

Using the SigmaPlot graphing software the EC50 for RW01 (a) was calculated as 2.5 nM and the EC50 for

RW03 (b) was calculated as 0.5 nM.

Both IgGs were tested for binding to the cell surface by flow cytometry. The antibodies

were assessed for binding to CD133 overexpressing cells, Caco-2 cells, a cancer cell line shown

to highly express CD133, and a number of pancreatic cell lines that exhibit differing levels of

CD133 expression. The parental HEK293 cells were used as a negative control. As shown in

figure 9, both antibodies, at 5 µg/ml, bind CD133 expressing cells to varying degrees which may

be due to varying levels of expression of CD133 in the different cell lines. Interesting patterns of

staining are observed in the HPAC and PL45 populations, with the emergence of bimodal peaks

in these cell types. Broader peaks such as those observed for the engineered cell line HEK293-

CD133 are most likely a result of a heterogeneously expressing population of cells, contrasted

with the narrow peak observed with RWP-1 cells indicating a more homogeneously expressing

cell population.

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Figure 9: RW01 and RW03 IgGs can Identify Endogenously Expressed CD133 by Flow Cytometry.

Either RW01 (Green trace) or RW03 (blue trace) was incubated on various cancer cell lines including a

number of pancreatic cell lines. Red traces indicate secondary only binding.

Both IgGs were tested for binding in an immunofluorescence assay to assess localization

of CD133 by IF. Figure 10a and b show the results of RW01 and RW03 binding to CD133

overexpressing cells and parental HEK293 cells which were used as a negative control. The

assay was repeated with Caco-2 cells to assess the capacity of the IgGs to induce internalization

of CD133 by permeabilizing and co-staining the cells with transferrin, an endosomal marker. As

shown in figure 10c, after a 30-minute incubation period to allow for internalization, there was

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very little colocalization of transferrin with RW03 and RW01 IgGs. This may be a result of an

insufficient internalization period, as the internalization of AC133 was detected after 72 hours

(Rappa et al., 2008).

Figure 10: RW01 and RW03 IgGs can localize CD133 by Immunofluorescence. IgGs were tested for

binding by Immunofluorescence to (a) HEK293 parental cells (b) HEK293-CD133 cells and (c) Caco-2

cells. The IgGs were incubated on Caco-2 cells at 37°C for 30 minutes to allow internalization and

costained with transferrin, an endosomal vesicle marker. Nuclei are stained in Blue and an anti-human

APC-conjugated or 647-conjugated secondary antibody was used. Transferrin staining is shown in green.

3.5 IgG Applications

I tested the RW01 and RW03 IgGs for their application in various molecular assays. The

ability of the antibodies to be used for detection of CD133 by flow cytometry was previously

demonstrated in figure 8, when I used the antibodies to determine EC50 measurements and in

figure 9, as they were able to bind CD133 expressed by various cancer cell lines.

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Another assay widely used in molecular biology is western blotting, in which proteins are

denatured and run on a gel in order to separate them based on molecular weight. As a

consequence of the selection process, the IgGs were enriched for binding to CD133 in its native

conformation. Therefore, I assessed the ability of the IgGs to detect the protein in a denatured

configuration. The IgGs were used as primary antibodies to detect CD133 from whole cell

lysates of CD133 overexpressing HEK293 cells, Caco-2 cells and the parental HEK293 cells as a

negative control. Figure 11 shows that both IgGs were able to detect CD133 in the two highly

expressing lines, while no CD133 was detected in the HEK293 negative control cell line.

Additionally, both IgGs were used in an immunoprecipitation coupled to Mass Spectrometry (IP-

MS) assay to assess whether the antibodies could pull down CD133 in this context. Appendix C

shows an excerpt from the IP-MS data in which both IgGs were able to pull down CD133 as

demonstrated by the high number of spectral counts for peptides composing the Prominin-1

protein. This preliminary data will be repeated to confirm the results. Additionally, replicates can

be compared to identify true binding partners of CD133 and eliminate ubiquitously expressed

“sticky” proteins that appear in the output. In addition, a comparison of the lists of proteins

pulled down by the two IgGs may distinguish differing functional epitopes bound by the two

antibodies and further shed light onto a functional distinction between epitopes of the protein.

Figure 11: RW01 and RW03 can be used in Western Blotting. The IgGs were tested for their ability to

bind the denatured form of CD133 by western blot. Whole cell lysates of HEK293, HEK293-CD133 and

Caco-2 cells were probed with RW01 and RW03 and binding was detected with an anti-human HRP-

conjugated secondary antibody. Beta-actin was used as a loading control.

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3.6 Epitopes

When developing tools to study a protein, it is crucial to note that protein domains and

epitopes can have important functional implications. In addition, while protein sequences can

vary greatly from protein to protein, antibodies with similar amino acid side chains can bind

similar epitopes. In order to determine whether the RW01 and RW03 IgGs bound similar

epitopes on the CD133 protein, I co-stained CD133 over expressing cells with the antibodies,

initially incubating the cells with a saturating concentration (25 nM) of one antibody and adding

the second antibody in serial dilutions. The results for each antibody can be seen in figure 12 and

indicate that RW01 can bind the cells in the presence of saturating RW03 and RW03 can bind in

the presence of saturating RW01. The ability of each antibody to bind in the presence of

saturating concentrations of the other indicates that the antibodies bind different epitopes of

CD133. This can also be inferred from the CDR L3 and H3 sequences that have very different

side chain composition. This has implications for the effect each antibody may have on the

function of the protein.

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Figure 12: RW01 and RW03 bind separate epitopes on CD133. RW01 and RW03 were tested for

binding to CD133 in a competitive flow cytometry experiment. In (a) cells were incubated with stepwise

dilutions of RW01 (blue trace) or RW01 in the presence of RW03 (red trace). Similarly, in (b) cells were

incubated stepwise with dilutions of RW03 (blue trace) or RW03 in the presence of RW01 (red trace).

3.7 Functional data

Although CD133 is mainly used as a marker of tumor initiating cells, the functional role

of the protein in maintaining this primitive phenotype has yet to be elucidated. Mak et al. used

shRNA to show that CD133 function may be linked to regulation of β-catenin in the Wnt

signaling pathway (Mak, Nixon, & Moffat, 2012a). To investigate the effect that the RW01 and

RW03 IgGs had on stability of CD133 in vitro, I incubated Caco-2 cells with either RW01 or

RW03 IgGs for 24 hours, harvested the cells and made whole cell lysates to evaluate the status of

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CD133 by western blot. I included an anti-human (H+L) antibody (Jackson Immunoreseach)

treated condition and an untreated condition as controls and CD133 status was assessed with the

AC133 antibody (Miltenyi Biotec). As figure 13 shows, after a 24-hour incubation with the

RW01 and RW03 IgGs, CD133 protein levels are- significantly decreased in Caco-2 cells as

compared with the untreated and anti-human control treatments. To assess the effect of the

observed CD133 destabilization on Wnt signaling in the cells, I also probed for β-catenin,

however there were no observed differences on β-catenin protein stability between control and

IgG treated samples. Due to the observed loss of AC133 reactivity upon Caco-2 differentiation

(Marzesco, 2005), it is possible that treatment with the RW01 and RW03 IgGs may be inducing

differentiation in the cells rather than having an affect on a proliferative signaling pathway. This

will be examined in future studies.

Mak et al. have also demonstrated through shRNA knockdown of CD133 that the protein

is essential in an AML cell line, SEM-k2 (Mak et al., 2011). In order to investigate the effect of

the RW01 and RW03 IgGs on protein stability and cell viability in SEM cells, I performed a time

course in which SEM cells were treated with 5ug/ml of either RW01 or RW03 everyday for 7

days. The cells were then stained with AC133 conjugated to APC as well as SYTOX green and

Annexin-V to assess CD133 status at the cell surface as well as stage of apoptosis, respectively.

In apoptotic cells phosphatidylserine, which is normally located on the cytoplasmic side of the

cell membrane, translocates to the outer leaf of the plasma membrane (van Engeland, Nieland,

Ramaekers, Schutte, & Reutelingsperger, 1998). This allows Annexin V, a phospholipid-binding

protein with high affinity for phosphatidylserine, to label and identify apoptotic cells (Koopman

et al., 1994). The SYTOX Green dye is impermeable to live and apoptotic cells, but binds to

nucleic acids of dead cells, staining them an intense green. Figure 14 shows the results for days

1, 3 and 7 of the time course (all time points analyzed are presented in Appendix D). As seen in

Figure 14a, the anti-human IgG treatments did not have an effect on CD133 status or cell

viability. RW03 had a profound effect on CD133 by reducing detection of the protein by AC133.

RW01 appears to have an effect on CD133 stability, although not as dramatic as RW03. In

addition, there is a population of cells that retain the expression of CD133 but can be categorized

as undergoing apoptosis. This population however diminishes over time. The staining patterns of

these antibodies are very different from those seen for knockdown of CD133 with shRNA

(Figure 15b). However, the shProm1-1 hairpin was more effective than that of the shProm1-2,

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and the significance of the level of cell death caused by the shProm1-1 will have to be re-

evaluated especially in light of the high level of cell death in the uninfected sample at Day 7 (See

appendix D).

Figure 13. RW01 and RW03 IgGs reduce CD133 in Caco-2 cells after 24-hours. IgGs were incubated

on Caco-2 cells for 24-hours at 37°C. Whole cell lysates were made and CD133 and beta-catenin levels

were assessed. GAPDH was used as a loading control.

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Figure 14: RW01 and RW03 IgGs destabilize surface CD133 in SEM cells. (a) IgGs were tested for

their effect on SEM cells in a time course experiment. Cells were incubated with 5ug/ml IgG everyday for

7 days. CD133 status at the surface and apoptosis/cell death were assessed at the time points indicated. (b)

Cells were infected with shRNA against CD133 and CD133 as well as apoptosis/cell death were assessed

at day 7 as controls. APC on the x-axis indicates level of AC133 staining. Alexa-488 on the y-axis

indicates level of Annexin V (low) or SYTOX Green (high) staining.

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Chapter 4

Summary and Future Directions 4

4.1 Summary

By employing the Cellectseq method, I was able to develop specific, high affinity

antibodies against the CD133 protein while in its native conformation. The antibodies were

isolated from two different phage-display libraries, which displayed different types of antibody

fragments and were engineered with different degrees of variation in the complementarity

determining regions.

The RW03 antibody was selected from a phage-Fab library, Library F with four of the six

CDRs diversified. RW03 was rescued through a small-scale approach and cloned first into a Fab

expression vector and subsequently into vectors for IgG expression. The Fab form of RW03 was

tested for binding by immunofluorescence as well as by flow cytometry and was able to detect

CD133 expression in both cases. Similarly, the IgG form of RW03 was tested by IF and flow

cytometry, demonstrating the ability of the IgG to detect CD133 in both assays. The applications

of the antibody were extended to western blotting and IP-MS, where the RW03 antibody was

able to detect the denatured form of CD133 and able to pull down the protein from whole cell

lysates. Moreover, I demonstrated the ability of the RW03 IgG to induce the turnover of the

protein in Caco-2 cells after a 24-hour incubation period and I was able to test the effectiveness

of the IgG over a longer time period through a time course experiment involving SEM-k2 cells.

While effectively decreasing the surface level of CD133 as assessed by AC133, RW03 treatment

resulted in 8-10% cell death by 24-hours post-incubation. Lastly, I demonstrated that the RW03

antibody has an EC50 of 0.5 nM and that it binds to an epitope different from the other antibody

developed, RW01.

The RW01 antibody was developed in a similar manner to the RW03 antibody with a few

very distinct differences. The RW01 antibody was selected from Library G, a phage-scFv library

in which all six CDRs were diversified. The antibody was rescued using a PCR-based strategy

from the round four output pool using the Illumina sequencing data obtained through the

Cellectseq protocol. The RW01 antibody was specifically isolated and cloned directly into

vectors for IgG expression. In parallel with the RW03 antibody, the RW01 IgG was tested by IF

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and flow cytometry and found to successfully detect CD133 in both assays. The antibody was

also tested by western blot as well as IP-MS and found to detect the denatured form of CD133 as

well as complex with CD133 peptides in whole cell lysates. The RW01 antibody was also found

to induce a heightened rate of turnover of CD133 upon incubation of Caco-2 cells with the IgG

for 24 hours. Finally, when tested over a longer period of time in a time course to assess the

effect of the antibody on viability of CD133 in SEM-k2 cells, the RW01 antibody was shown to

be slow to knockdown CD133 but have an early effect on cell viability.

The development of the RW01 and RW03 human IgGs against the CD133 protein

represents another step in our ability to identify the function and molecular mechanisms of

CD133. These already “humanized” synthetic antibodies will have lower immunogenicity in vivo

and later in clinic if shown to be as effective as the AC133 antibody. Now that the antibodies

have been isolated, expressed and validated for binding to CD133, there are a number of

experiments that can be used to expand our understanding of CD133 function.

4.2 Future Directions

As mentioned previously, the epitopes targeted on a protein are paramount in the

investigation of protein function as well as the assessment of the therapeutic value of the protein.

From this study, the IgGs developed have been shown to bind distinct separate epitopes on the

protein, although those epitopes remain unknown. There are a number of methods that can be

employed to determine these epitopes. One such method involves using a peptide phage display

library to perform selections on the IgGs and once the peptide sequences that bind the IgGs have

been confirmed, they can be aligned with the CD133 protein sequence to determine potential

epitopes bound by the antibodies. Another method that can be used is to make tagged truncation

mutants of the protein, specifically truncations of the extracellular loops. These mutants can be

expressed in cells and their expression can be confirmed by western blot or by flow cytometry

using an antibody against the tag. Following confirmation of the expression of the mutants, the

RW01 and RW03 antibodies can be tested for binding to these mutants by western blotting or by

flow cytometry as both antibodies are able to detect CD133 by both of these molecular

techniques.

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In addition to the finding that the IgGs bind separate epitopes on CD133, the ability of

both antibodies to induce a dramatic reduction of the protein was an intriguing result and lead to

a number of other questions that include whether the IgGs are causing an internalization of the

protein through the endocytic pathway or whether the protein is being reduced in other ways.

Additionally, does this loss of CD133 result in a phenotypic change in the cells that can be

assessed in a tangible way? In order to answer these questions, several experiments can be

performed. First, if incubation with the IgGs is resulting in an internalization of the protein, what

compartment or compartments is the protein being targeted to? This can be resolved by using the

fluorophore-conjugated form of the IgGs and incubating cells at 37°C to promote internalization.

Live-cell imaging can then be used to track the cells as internalization progresses. The cells can

be co-incubated with antibodies against markers of early- and late-endocytic compartments such

as CD63 and transferrin or with markers of other organelles such as EBAG9 for the golgi (Wolf

et al., 2010). The cellular compartment(s) to which the antibodies are targeted could have major

implications for the use of the antibodies in a clinical/ therapeutic context.

Furthermore, it is known that CD133 is released into bodily fluids via external vesicles

termed exosomes (Florek et al., 2006; H. B. Huttner et al., 2008; Marzesco, 2005). This process

may also be induced by the RW01 and RW03 IgGs and this can be assessed by incubation of

Caco-2 cells (known to display membrane pearling) with the IgGs and using transmission

electron microscopy to evaluate whether these structures are present. Finally, it is known that

differentiation of Caco-2 cells results in a loss of AC133 immunoreactivity (Corbeil et al., 2000).

Due to the observation that AC133 detection diminished upon incubation with RW01 and RW03

but not with an irrelevant human IgG, it is possible that the IgGs are causing the cells to

differentiate. In order to assess this, lysates obtained from cells incubated with the IgGs for 24

hours can be probed for markers of epithelial differentiation such as MUC2, CK20 and FABP2,

or markers of enterocytic differentiation such as alkaline phosphatase (Mak, Nixon, Kittanakom,

Stewart, et al., 2012b). Upregulation of genes involved in colon specific differentiation including

sucrase isomaltase or glucose transporter 5 can also be investigated. Finally, as demonstrated by

Mak et al. (Mak, Nixon, Kittanakom, Stewart, et al., 2012b), loss of CD133 caused Caco-2 cells

to differentiate into cells resembling the colon brush border as demonstrated by upregulation of

alanyl aminopeptidase, mucin13 and myosin-1, therefore these genes can also be analyzed for

upregulation.

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To a similar effect, the reported connection between knockdown of CD133 and increased

expression of wnt inhibitors (Mak, Nixon, Kittanakom, Stewart, et al., 2012b; Rappa et al., 2008)

can also be explored further. In Caco-2 cells, the cells used to interrogate the effect of 24-hour

incubation with the antibody on beta-catenin levels, there is a mutation in APC that results in

decreased degradation of beta-catenin. This mutation may effectively mask the true effect, if any,

that the antibodies may have with regards to an influence on beta-catenin/wnt signaling. Another

approach currently being optimized in the lab is the luciferase-based TopFlash assay in the

context of the TCF/LEF binding sites to investigate the effect of incubation with the antibodies

on the functional role beta-catenin plays in wnt signaling. One other approach to assess effects

on Wnt signaling would be to look for upregulation of Wnt inhibitors such as those discovered to

be upregulated with knockdown of CD133 by (Rappa et al., 2008) including DKK1.

Finally, the results of the IP-MS experiment are much more valuable than simply a

measure of the ability of the IgGs to interact with CD133. There were over 400 other protein hits

identified in the experiment and any one of those hits could be a participant in the ultimate

function of CD133. Additionally, as the experiment was performed with both IgGs, one can

compare the proteins pulled down by the two antibodies to investigate whether there is functional

relevance to the respective epitopes targeted by the proteins. This principal can also be extended

to other cell lines to investigate whether expression of the epitopes targeted by the IgGs is

important to the function of the protein in a particular cellular background.

In summary, two human IgGs against CD133 were isolated using a novel selection

method involving direct selections on cells coupled with deep sequencing. These antibodies are

able to identify the CD133 protein both on the cell surface as well as in various molecular

techniques. Finally, the antibodies have preliminarily been shown to effect stability of the protein

on live cells. Further testing of these antibodies will reveal the specific epitope they bind, which

organelles they are targeted to when internalized and whether they have an effect on cellular

differentiation or cellular viability. Regardless of the therapeutic potential of these antibodies,

they will have many applications towards furthering our knowledge about CD133 and its role in

cancer.

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Appendices 5Appendix A: Library F Illumina Data

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Appendix B: Library G Illumina Data

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Appendix C: IP-MS Data

RW01 and RW03 IgGs can Immunoprecipitate CD133 Peptides. IgGs were tested for their ability to

precipitate CD133 by immunoprecipitation coupled to mass spectrometry. The samples were injected in

the following order in order to reduce carry over into experimental samples: Beads only 1, RW01-1,

Beads only 2, RW01-2, Beads only 3, RW03, Beads only 4, AC133. The total spectral counts for the

antibody treatments as well as control beads only treatments are shown. Color legend is shown with green

indicating the probability of positive identification of a peptide immunoprecipitated in a treatment.

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Appendix D: SEM Time Course

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References 6 Abraham, S., Guo, F., Li, L. S., Rader, C., Liu, C., Barbas, C. F., et al. (2007). Synthesis of the

next-generation therapeutic antibodies that combine cell targeting and antibody-catalyzed prodrug activation. Proceedings of the National Academy of Sciences, 104(13), 5584–5589. doi:10.1073/pnas.0700223104

Adams, G. P., & Weiner, L. M. (2005). Monoclonal antibody therapy of cancer. Nature Biotechnology, 23(9), 1147–1157. doi:10.1038/nbt1137

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