Department of Chemistry and Applied Biosciences, Swiss Federal Institute of Technology (ETH Zürich), CH-8093 Zürich, Switzerland.
Antibody Research, Philochem AG, CH-8112 Otelfingen, Switzerland.
Proc Natl Acad Sci U S A. 2020 Dec 15;117(50):31780-31788. doi: 10.1073/pnas.2013615117. Epub 2020 Nov 25.
Engineered cytokines are gaining importance in cancer therapy, but these products are often limited by toxicity, especially at early time points after intravenous administration. 4-1BB is a member of the tumor necrosis factor receptor superfamily, which has been considered as a target for therapeutic strategies with agonistic antibodies or using its cognate cytokine ligand, 4-1BBL. Here we describe the engineering of an antibody fusion protein, termed F8-4-1BBL, that does not exhibit cytokine activity in solution but regains biological activity on antigen binding. F8-4-1BBL bound specifically to its cognate antigen, the alternatively spliced EDA domain of fibronectin, and selectively localized to tumors in vivo, as evidenced by quantitative biodistribution experiments. The product promoted a potent antitumor activity in various mouse models of cancer without apparent toxicity at the doses used. F8-4-1BBL represents a prototype for antibody-cytokine fusion proteins, which conditionally display "activity on demand" properties at the site of disease on antigen binding and reduce toxicity to normal tissues.
工程细胞因子在癌症治疗中越来越重要,但这些产品往往受到毒性的限制,尤其是在静脉给药后的早期。4-1BB 是肿瘤坏死因子受体超家族的成员,已被认为是使用激动性抗体或其同源细胞因子配体 4-1BBL 的治疗策略的靶点。在这里,我们描述了一种抗体融合蛋白的工程设计,称为 F8-4-1BBL,它在溶液中不表现细胞因子活性,但在抗原结合时恢复生物活性。F8-4-1BBL 特异性结合其同源抗原,即纤连蛋白的交替剪接 EDA 结构域,并通过定量生物分布实验证明其在体内选择性定位于肿瘤。该产品在各种癌症的小鼠模型中表现出强大的抗肿瘤活性,在使用的剂量下没有明显的毒性。F8-4-1BBL 代表了抗体-细胞因子融合蛋白的原型,它在抗原结合时在疾病部位具有“按需活性”的特性,并降低对正常组织的毒性。