Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-4264, USA.
Laboratory of Molecular Biology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892-4264, USA.
Cell Immunol. 2018 Dec;334:38-41. doi: 10.1016/j.cellimm.2018.08.016. Epub 2018 Aug 28.
LMB-100 is a recombinant immunotoxin being developed for cancer treatment that is composed of a Fab that binds to mesothelin and a portion of Pseudomonas exotoxin A. LMB-100 is in clinical trials for the treatment of mesothelioma and pancreatic cancer. To determine if check point modulating antibodies enhance the formation of anti-drug antibodies (ADA) against LMB-100, we treated mice with LMB-100 and four different immune modulating monoclonal antibodies that have different mechanisms of action; anti-CTLA4, anti-OX40, anti-PD-1 and anti-PDL-1. We found that anti-PD-1 and anti PDL-1 do not increase the formation of ADA, but anti-CTLA-4 and anti-OX-40 do increase the onset of ADA. These results indicate that combining anti-CTLA-4 and anti-OX-40 with antibodies and other protein-based therapeutics may enhance ADA formation in humans.
LMB-100 是一种正在开发用于癌症治疗的重组免疫毒素,由与间皮素结合的 Fab 和部分绿脓杆菌外毒素 A 组成。LMB-100 正在进行治疗间皮瘤和胰腺癌的临床试验。为了确定检查点调节抗体是否增强了针对 LMB-100 的抗药物抗体 (ADA) 的形成,我们用 LMB-100 和四种不同的免疫调节单克隆抗体治疗小鼠,这些抗体具有不同的作用机制;抗 CTLA4、抗 OX40、抗 PD-1 和抗 PDL-1。我们发现抗 PD-1 和抗 PDL-1 不会增加 ADA 的形成,但抗 CTLA-4 和抗 OX-40 确实会增加 ADA 的发病。这些结果表明,将抗 CTLA-4 和抗 OX-40 与抗体和其他基于蛋白质的治疗药物联合使用,可能会增强人类的 ADA 形成。