Iurlaro Raffaella, Waldhauer Inja, Planas-Rigol Ester, Bonfill-Teixidor Ester, Arias Alexandra, Nicolini Valeria, Freimoser-Grundschober Anne, Cuartas Isabel, Martínez-Moreno Alba, Martínez-Ricarte Francisco, Cordero Esteban, Cicuendez Marta, Casalino Simona, Guardia-Reyes Xavier, Fahrni Linda, Pöschinger Thomas, Steinhart Virginie, Richard Marine, Briner Stefanie, Mueller Joerg, Osl Franz, Sam Johannes, Colombetti Sara, Bacac Marina, Klein Christian, Pineda Estela, Reyes-Figueroa Luis, Di Somma Alberto, González Josep, Nuciforo Paolo, Carles Joan, Vieito Maria, Tabernero Josep, Umaña Pablo, Seoane Joan
Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Roche Innovation Center Zurich (RICZ), Roche Pharma Research and Early Development (pRED), Schlieren, Switzerland.
Mol Cancer Ther. 2022 Oct 7;21(10):1499-1509. doi: 10.1158/1535-7163.MCT-22-0201.
T-cell bispecific antibodies (TCB) are engineered molecules that bind both the T-cell receptor and tumor-specific antigens. Epidermal growth factor receptor variant III (EGFRvIII) mutation is a common event in glioblastoma (GBM) and is characterized by the deletion of exons 2-7, resulting in a constitutively active receptor that promotes cell proliferation, angiogenesis, and invasion. EGFRvIII is expressed on the surface of tumor cells and is not expressed in normal tissues, making EGFRvIII an ideal neoantigen target for TCBs. We designed and developed a novel 2+1 EGFRvIII-TCB with optimal pharmacologic characteristics and potent antitumor activity. EGFRvIII-TCB showed specificity for EGFRvIII and promoted tumor cell killing as well as T-cell activation and cytokine secretion only in patient-derived models expressing EGFRvIII. Moreover, EGFRvIII-TCB promoted T-cell recruitment into intracranial tumors. EGFRvIII-TCB induced tumor regression in GBM animal models, including humanized orthotopic GBM patient-derived xenograft models. Our results warrant the clinical testing of EGFRvIII-TCB for the treatment of EGFRvIII-expressing GBMs.
T细胞双特异性抗体(TCB)是一种经过工程改造的分子,它能同时结合T细胞受体和肿瘤特异性抗原。表皮生长因子受体III型变体(EGFRvIII)突变在胶质母细胞瘤(GBM)中很常见,其特征是外显子2-7缺失,导致产生一种组成型激活受体,促进细胞增殖、血管生成和侵袭。EGFRvIII在肿瘤细胞表面表达,而在正常组织中不表达,这使得EGFRvIII成为TCB理想的新抗原靶点。我们设计并开发了一种具有最佳药理学特性和强大抗肿瘤活性的新型2+1 EGFRvIII-TCB。EGFRvIII-TCB对EGFRvIII具有特异性,并且仅在表达EGFRvIII的患者来源模型中促进肿瘤细胞杀伤以及T细胞激活和细胞因子分泌。此外,EGFRvIII-TCB促进T细胞募集到颅内肿瘤中。EGFRvIII-TCB在GBM动物模型中诱导肿瘤消退,包括人源化原位GBM患者来源的异种移植模型。我们的结果为EGFRvIII-TCB用于治疗表达EGFRvIII的GBM的临床试验提供了依据。