Department of Microbial Pathogenesis and Immunology, Texas A&M University Health Science Center, Bryan, Texas, USA.
Br J Haematol. 2022 Nov;199(4):560-571. doi: 10.1111/bjh.18438. Epub 2022 Aug 30.
We report four novel anti-human CD20 (hCD20) monoclonal antibodies (mAbs) discovered from a phylogenetically distant species-chickens. The chicken-human chimaeric antibodies exhibit at least 10-fold enhanced antibody-dependent cellular cytotoxicity (ADCC) and 4-8-fold stronger complement-dependent cytotoxicity (CDC) relative to the clinically used mouse-human chimaeric anti-hCD20 antibody rituximab (RTX). Thus, to our knowledge these mAbs are the first to significantly outperform RTX in both Fc-mediated mechanisms of action. The antibodies show 20-100-fold superior depletion of B cells in whole blood from healthy humans relative to RTX and retain efficacy in vivo. One of the mAbs, AC1, can bind mouse CD20, indicating specificity for a novel hCD20 epitope inaccessible to current (mouse-derived) anti-hCD20 mAbs. A humanized version of one antibody, hAC11-10, was created by complementarity-determining region (CDR) grafting into a human variable region framework and this molecule retained the ADCC, in vitro human whole-blood B-cell depletion, and in vivo lymphoma cell depletion activities of the parent. These mAbs represent promising monotherapy candidates for improving upon current less-than-ideal clinical outcomes in lymphoid malignancies and provide an arsenal of biologically relevant molecules for the development of next-generation CD20-mediated immunotherapies including bispecific T-cell engagers (BiTE), antibody-drug conjugates (ADC) and chimaeric antigen receptor-engineered T (CAR-T) cells.
我们报告了四种从亲缘关系较远的物种——鸡中发现的新型抗人 CD20(hCD20)单克隆抗体(mAb)。与临床上使用的鼠-人嵌合抗 hCD20 抗体利妥昔单抗(RTX)相比,鸡-人嵌合抗体至少表现出 10 倍增强的抗体依赖性细胞毒性(ADCC)和 4-8 倍更强的补体依赖性细胞毒性(CDC)。因此,据我们所知,这些 mAb 是首批在 Fc 介导的作用机制中明显优于 RTX 的抗体。这些抗体在健康人全血中的 B 细胞耗竭作用比 RTX 强 20-100 倍,并且在体内仍保持疗效。其中一种 mAb,AC1,可以结合小鼠 CD20,表明其特异性针对目前(鼠源)抗 hCD20 mAb 无法结合的新型 hCD20 表位。通过互补决定区(CDR)移植到人可变区框架中,创建了一种抗体的人源化版本,hAC11-10,该分子保留了 ADCC、体外人全血 B 细胞耗竭和体内淋巴瘤细胞耗竭的活性。这些 mAb 代表了改善淋巴恶性肿瘤目前不太理想的临床疗效的有前途的单药治疗候选物,并为开发下一代 CD20 介导的免疫疗法提供了一系列具有生物学相关性的分子,包括双特异性 T 细胞衔接子(BiTE)、抗体药物偶联物(ADC)和嵌合抗原受体工程 T(CAR-T)细胞。