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抗 LYPD1/CD3 T 细胞依赖双特异性抗体治疗卵巢癌。

Anti-LYPD1/CD3 T-Cell-Dependent Bispecific Antibody for the Treatment of Ovarian Cancer.

机构信息

Genentech Inc., South San Francisco, California.

出版信息

Mol Cancer Ther. 2021 Apr;20(4):716-725. doi: 10.1158/1535-7163.MCT-20-0490. Epub 2021 Feb 3.

Abstract

Ovarian cancer is a diverse class of tumors with very few effective treatment options and suboptimal response rates in early clinical studies using immunotherapies. Here we describe LY6/PLAUR domain containing 1 (LYPD1) as a novel target for therapeutic antibodies for the treatment of ovarian cancer. LYPD1 is broadly expressed in both primary and metastatic ovarian cancer with ∼70% prevalence in the serous cancer subset. Bispecific antibodies targeting CD3 on T cells and a tumor antigen on cancer cells have demonstrated significant clinical activity in hematologic cancers. We have developed an anti-LYPD1/CD3 T-cell-dependent bispecific antibody (TDB) to redirect T-cell responses to LYPD1 expressing ovarian cancer. Here we characterize the nonclinical pharmacology of anti-LYPD1/CD3 TDB and show induction of a robust polyclonal T-cell activation and target dependent killing of LYPD1 expressing ovarian cancer cells resulting in efficient antitumor responses in PBMC reconstituted immune-deficient mice and human CD3 transgenic mouse models. Anti-LYPD1/CD3 TDB is generally well tolerated at high-dose levels in mice, a pharmacologically relevant species, and showed no evidence of toxicity or damage to LYPD1 expressing tissues.

摘要

卵巢癌是一类具有高度异质性的肿瘤,在早期临床研究中使用免疫疗法时,可供选择的有效治疗方案非常有限,且应答率也不理想。在此,我们将 LY6/PLAUR 结构域包含蛋白 1(LYPD1)描述为一种新型治疗性抗体靶点,用于治疗卵巢癌。LYPD1 在原发性和转移性卵巢癌中广泛表达,在浆液性癌症亚组中约有 70%的存在率。靶向 T 细胞上的 CD3 和癌细胞上的肿瘤抗原的双特异性抗体在血液系统恶性肿瘤中显示出显著的临床活性。我们已经开发了一种针对 LYPD1/CD3 T 细胞的双特异性抗体(TDB),用于将 T 细胞反应重新定向至表达 LYPD1 的卵巢癌。在此,我们对抗 LYPD1/CD3 TDB 的非临床药理学进行了表征,并证明了其能够诱导强大的多克隆 T 细胞活化,并能靶向杀伤表达 LYPD1 的卵巢癌细胞,从而在 PBMC 重建免疫缺陷小鼠和人 CD3 转基因小鼠模型中产生有效的抗肿瘤反应。在具有药理学相关性的小鼠中,抗 LYPD1/CD3 TDB 在高剂量水平下通常具有良好的耐受性,且未显示出对表达 LYPD1 的组织有任何毒性或损伤的迹象。

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