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HX009,一种新型的双抗 PD1xCD47,在临床前模型中显示出强大的抗淋巴瘤活性。

HX009, a novel BsAb dual targeting PD1 x CD47, demonstrates potent anti-lymphoma activity in preclinical models.

机构信息

Hanx Pharmaceuticals, Inc., Hangzhou, China.

Crown Bioscience, Inc., San Diego, USA.

出版信息

Sci Rep. 2023 Apr 3;13(1):5419. doi: 10.1038/s41598-023-32547-y.

Abstract

Both PD1/PD-L1 and CD47 blockades have demonstrated limited activity in most subtypes of NHL save NK/T-cell lymphoma. The hemotoxicity with anti-CD47 agents in the clinic has been speculated to account for their limitations. Herein we describe a first-in-class and rationally designed bispecific antibody (BsAb), HX009, targeting PD1 and CD47 but with weakened CD47 binding, which selectively hones the BsAb for tumor microenvironment through PD1 interaction, potentially reducing toxicity. In vitro characterization confirmed: (1) Both receptor binding/ligand blockade, with lowered CD47 affinity; (2) functional PD1/CD47 blockades by reporter assays; (3) T-cell activation in Staphylococcal-enterotoxin-B-pretreated PBMC and mixed-lymphocyte-reaction. In vivo modeling demonstrated antitumor activity in Raji-B and Karpass-229-T xenograft lymphomas. In the humanized mouse syngeneic A20 B-lymphoma (huCD47-A20) HuGEMM model, which has quadruple knocked-in hPD1xhPD-L1xhCD47xhSIRPα genes and an intact autologous immune-system, a contribution of effect is demonstrated for each targeted biologic (HX008 targeting PD1 and SIRPα-Fc targeting CD47), which is clearly augmented by the dual targeting with HX009. Lastly, the expression of the immune-checkpoints PD-L1/L2 and CD47 seemed co-regulated among a panel of lymphoma-derived-xenografts, where HX009 maybe more effective in those with upregulated CD47. Our data warrants HX009's further clinical development for treating NHLs.

摘要

PD1/PD-L1 和 CD47 阻断剂在大多数 NHL 亚型中除 NK/T 细胞淋巴瘤外均表现出有限的活性。临床中抗 CD47 药物的血液毒性被认为是其作用受限的原因。在此,我们描述了一种首创的、经过合理设计的双特异性抗体(BsAb)HX009,该抗体靶向 PD1 和 CD47,但与 CD47 的结合力减弱,通过 PD1 相互作用选择性地针对肿瘤微环境,从而潜在降低毒性。体外特征鉴定证实:(1)双重受体结合/配体阻断,同时降低 CD47 亲和力;(2)通过报告基因检测的功能性 PD1/CD47 阻断;(3)在葡萄球菌肠毒素 B 预处理的 PBMC 和混合淋巴细胞反应中的 T 细胞激活。体内建模证明了 Raji-B 和 Karpass-229-T 异种移植淋巴瘤中的抗肿瘤活性。在人源化 CD47-A20 淋巴瘤 HuGEMM 模型中(huCD47-A20),该模型四重敲入了 hPD1xhPD-L1xhCD47xhSIRPα 基因,并具有完整的自体免疫系,每种靶向生物(HX008 靶向 PD1 和 SIRPα-Fc 靶向 CD47)都显示出治疗效果,而 HX009 的双重靶向作用则明显增强了这种效果。最后,在一组淋巴瘤衍生的异种移植瘤中,免疫检查点 PD-L1/L2 和 CD47 的表达似乎是共同调节的,HX009 可能对 CD47 上调的肿瘤更有效。我们的数据支持进一步开发 HX009 用于治疗 NHL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8289/10070465/a6291fe08cda/41598_2023_32547_Fig1_HTML.jpg

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