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激动剂重定向检查点,PD1-Fc-OX40L,用于癌症免疫治疗。

Agonist redirected checkpoint, PD1-Fc-OX40L, for cancer immunotherapy.

机构信息

Shattuck Labs, Inc, 21 Parmer Way, Suite 200, Durham, NC, 27703, USA.

出版信息

J Immunother Cancer. 2018 Dec 18;6(1):149. doi: 10.1186/s40425-018-0454-3.

Abstract

Simultaneous blockade of immune checkpoint molecules and co-stimulation of the TNF receptor superfamily (TNFRSF) is predicted to improve overall survival in human cancer. TNFRSF co-stimulation depends upon coordinated antigen recognition through the T cell receptor followed by homotrimerization of the TNFRSF, and is most effective when these functions occur simultaneously. To address this mechanism, we developed a two-sided human fusion protein incorporating the extracellular domains (ECD) of PD-1 and OX40L, adjoined by a central Fc domain, termed PD1-Fc-OX40L. The PD-1 end of the fusion protein binds PD-L1 and PD-L2 with affinities of 2.08 and 1.76 nM, respectively, and the OX40L end binds OX40 with an affinity of 246 pM. High binding affinity on both sides of the construct translated to potent stimulation of OX40 signaling and PD1:PD-L1/L2 blockade, in multiple in vitro assays, including improved potency as compared to pembrolizumab, nivolumab, tavolixizumab and combinations of those antibodies. Furthermore, when activated human T cells were co-cultured with PD-L1 positive human tumor cells, PD1-Fc-OX40L was observed to concentrate to the immune synapse, which enhanced proliferation of T cells and production of IL-2, IFNγ and TNFα, and led to efficient killing of tumor cells. The therapeutic activity of PD1-Fc-OX40L in established murine tumors was significantly superior to either PD1 blocking, OX40 agonist, or combination antibody therapy; and required CD4+ T cells for maximum response. Importantly, all agonist functions of PD1-Fc-OX40L are independent of Fc receptor cross-linking. Collectively, these data demonstrate a highly potent fusion protein that is part of a platform, capable of providing checkpoint blockade and TNFRSF costimulation in a single molecule, which uniquely localizes TNFRSF costimulation to checkpoint ligand positive tumor cells.

摘要

同时阻断免疫检查点分子和共刺激肿瘤坏死因子受体超家族(TNFRSF)被预测可改善人类癌症的总生存期。TNFRSF 的共刺激依赖于 T 细胞受体的协调抗原识别,随后是 TNFRSF 的同源三聚体化,并且当这些功能同时发生时效果最佳。为了解决这个问题,我们开发了一种两面人源融合蛋白,其中包含 PD-1 和 OX40L 的细胞外结构域(ECD),中间由一个 Fc 结构域连接,称为 PD1-Fc-OX40L。融合蛋白的 PD-1 端与 PD-L1 和 PD-L2 的亲和力分别为 2.08 和 1.76 nM,而 OX40L 端与 OX40 的亲和力为 246 pM。该构建体两侧的高结合亲和力转化为对 OX40 信号和 PD1:PD-L1/L2 阻断的有效刺激,在多种体外测定中,包括与 pembrolizumab、nivolumab、tavolixizumab 和这些抗体的组合相比提高了效力。此外,当激活的人 T 细胞与 PD-L1 阳性的人类肿瘤细胞共培养时,观察到 PD1-Fc-OX40L 集中到免疫突触,这增强了 T 细胞的增殖和 IL-2、IFNγ 和 TNFα 的产生,并导致肿瘤细胞的有效杀伤。在已建立的小鼠肿瘤中,PD1-Fc-OX40L 的治疗活性明显优于 PD1 阻断、OX40 激动剂或组合抗体治疗;并且需要 CD4+T 细胞来获得最大反应。重要的是,PD1-Fc-OX40L 的所有激动剂功能都独立于 Fc 受体交联。总之,这些数据表明,这是一种具有高度效力的融合蛋白,它是一种平台的一部分,能够在单个分子中提供检查点阻断和 TNFRSF 共刺激,并且将 TNFRSF 共刺激独特地定位到检查点配体阳性的肿瘤细胞上。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9dd/6299665/949d9343fc7e/40425_2018_454_Fig1_HTML.jpg

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