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DIFFERENTIAL BIOLOGICAL PROPERTIES OF CONSENSUS INTERFERON COMPARED TO INTERFERON [alpha] 2 MAY LEAD TO DIFFERENTIAL CLINICAL RESPONSES IN THE TREATMENT OF CHRONIC HCV INFECTION

LM Blatt, SB Klein, MW Taylor and M Tong, Amgen Inc., Boulder, CO, Indiana University, Bloomington, IN and Huntington Memorial Hospital, Pasadena, CA

Type I interferons (IFN) are a class of natural cytokines that includes a family of greater than 25 IFN[alpha]'s as well as IFN-ß, and IFN-[omega]. Characterization of type 1 IFN's demonstrates many differences in the primary sequence of these molecules, implying an evolutionary divergence in biological activity. Although type 1 IFN's have shown success in the treatment of chronic HCV infection, most clinical use of type interferon has been limited to the alpha 2 subtype. The mechanism of action of type 1 IFN in the treatment of chronic HCV infection has yet to be elucidated but may involve the antiviral, antiproliferative, immunomodulatory, and cytokine/gene regulation activities of these pleotropic molecules. In order to assess the potential for clinical differences in the treatment of chronic HCV infection between IFN [alpha] 2 and CIFN, a novel non-naturally occurring type 1 IFN, we examined the in vitro antiviral, antiproliferative, NK cell activation activity, cytokine induction and interferon stimulated gene-induction activity of these two different IFN's. For all comparisons, when compared on a equal mass basis, CIFN displayed between five and one hundred times higher activity. In order to elucidate the potential mechanism for the higher activity of CIFN compared to IFN [alpha] 2, we studied the receptor binding characteristics of the two IFN's by Scatchard analysis. The results of the Scatchard analysis demonstrated a 10-fold higher binding affinity for the IFN type 1 receptor for CIFN compared to IFN-[alpha] 2. These unique biological properties of CIFN may lead to a favorable clinical benefit in the treatment of chronic HCV infection for CIFN when compared to the IFN [alpha] 2 due to the increased biologic effects and higher receptor affinity of this new molecule.
This research was funded by Amgen Inc., Boulder, CO.

Source: American Association for the Study of Liver Diseases - 1996 Annual Meeting


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