Department of Clinical Sciences and Advanced Medicine, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Department of Pathobiology, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Vet Pathol. 2020 Mar;57(2):241-252. doi: 10.1177/0300985819900352. Epub 2020 Feb 21.
The B-cell coreceptor, CD19 is a transmembrane protein expressed throughout B-cell ontogeny from pro-B cell to plasmablast. It plays an important role in B-cell development and function and is an attractive target for antibody-directed immunotherapies against B-cell malignancies, including acute lymphoblastic leukemia (ALL), chronic lymphocytic leukemia (CLL), and non-Hodgkin lymphoma (B-NHL) in humans. With the rapid development of next-generation immunotherapies aimed at improving therapeutic efficacy, there is a pressing need for a clinically relevant, immune-competent, spontaneous animal model to derisk these new approaches and inform human immunotherapy clinical trials. Pet dogs develop spontaneous B-cell malignancies, including B-NHL and leukemias that share comparable oncogenic pathways and similar immunosuppressive features to human B-cell malignancies. Despite treatment with multiagent chemotherapy, durable remissions in canine B-NHL are rare and most dogs succumb to their disease within 1 year of diagnosis. Here we report the development and validation of an anti-canine CD19-targeting monoclonal antibody and its single-chain derivatives, which enable next-generation CD19-targeted immunotherapies to be developed and evaluated in client-owned dogs with spontaneous B-NHL. These future in vivo studies aim to provide important information regarding the safety and therapeutic efficacy of CD19-targeted mono- and combination therapies and identify correlative biomarkers of response that will help to inform human clinical trial design. In addition, development of canine CD19-targeted immunotherapies aims to provide better therapeutic options for pet dogs diagnosed with B-cell malignancies.
B 细胞核心受体 CD19 是一种跨膜蛋白,在 B 细胞的整个发育过程中从前 B 细胞到浆母细胞都有表达。它在 B 细胞的发育和功能中起着重要作用,是针对包括人类急性淋巴细胞白血病 (ALL)、慢性淋巴细胞白血病 (CLL) 和非霍奇金淋巴瘤 (B-NHL) 在内的 B 细胞恶性肿瘤的抗体导向免疫疗法的一个有吸引力的靶点。随着旨在提高治疗效果的下一代免疫疗法的快速发展,迫切需要一种具有临床相关性、免疫功能健全的自发性动物模型,以降低这些新方法的风险,并为人类免疫疗法临床试验提供信息。宠物犬会自发患上 B 细胞恶性肿瘤,包括 B-NHL 和白血病,这些肿瘤与人类 B 细胞恶性肿瘤具有相似的致癌途径和类似的免疫抑制特征。尽管采用了多药化疗,但犬 B-NHL 的持久缓解仍然很少见,大多数犬在诊断后 1 年内死于该病。在这里,我们报告了一种抗犬 CD19 靶向单克隆抗体及其单链衍生物的开发和验证,这使得能够开发和评估针对具有自发性 B-NHL 的宠物犬的新一代 CD19 靶向免疫疗法。这些未来的体内研究旨在提供关于 CD19 靶向单药和联合治疗的安全性和治疗效果的重要信息,并确定反应的相关生物标志物,这将有助于为人类临床试验设计提供信息。此外,开发犬 CD19 靶向免疫疗法旨在为被诊断患有 B 细胞恶性肿瘤的宠物犬提供更好的治疗选择。