Department of Antibody Engineering, Leadartis SL, 28008, Madrid, Spain.
Immunotherapy and Cell Engineering Laboratory, Department of Engineering, Aarhus University, 8000C, Aarhus, Denmark.
Nat Commun. 2018 Nov 15;9(1):4809. doi: 10.1038/s41467-018-07195-w.
The costimulation of immune cells using first-generation anti-4-1BB monoclonal antibodies (mAbs) has demonstrated anti-tumor activity in human trials. Further clinical development, however, is restricted by significant off-tumor toxicities associated with FcγR interactions. Here, we have designed an Fc-free tumor-targeted 4-1BB-agonistic trimerbody, 1D8EGa1, consisting of three anti-4-1BB single-chain variable fragments and three anti-EGFR single-domain antibodies positioned in an extended hexagonal conformation around the collagen XVIII homotrimerization domain. The1D8EGa1 trimerbody demonstrated high-avidity binding to 4-1BB and EGFR and a potent in vitro costimulatory capacity in the presence of EGFR. The trimerbody rapidly accumulates in EGFR-positive tumors and exhibits anti-tumor activity similar to IgG-based 4-1BB-agonistic mAbs. Importantly, treatment with 1D8EGa1 does not induce systemic inflammatory cytokine production or hepatotoxicity associated with IgG-based 4-1BB agonists. These results implicate FcγR interactions in the 4-1BB-agonist-associated immune abnormalities, and promote the use of the non-canonical antibody presented in this work for safe and effective costimulatory strategies in cancer immunotherapy.
使用第一代抗 4-1BB 单克隆抗体(mAb)对免疫细胞进行共刺激,在人体试验中显示出抗肿瘤活性。然而,由于与 FcγR 相互作用相关的明显脱靶毒性,其进一步的临床开发受到限制。在这里,我们设计了一种无 Fc 的肿瘤靶向 4-1BB 激动性三聚体 1D8EGa1,由三个抗 4-1BB 的单链可变片段和三个抗 EGFR 的单域抗体组成,以扩展的六边形构象定位在胶原 XVIII 三聚化结构域周围。1D8EGa1 三聚体对 4-1BB 和 EGFR 表现出高亲和力结合,并在存在 EGFR 的情况下具有强大的体外共刺激能力。该三聚体在 EGFR 阳性肿瘤中快速积累,并表现出与基于 IgG 的 4-1BB 激动剂相似的抗肿瘤活性。重要的是,1D8EGa1 的治疗不会引起与 IgG 基 4-1BB 激动剂相关的全身炎症细胞因子产生或肝毒性。这些结果表明 FcγR 相互作用与 4-1BB 激动剂相关的免疫异常有关,并促进使用本工作中提出的非典型抗体用于癌症免疫治疗中的安全有效的共刺激策略。
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