Chakraborty Anirban, Onda Masanori, O'Shea Tara, Wei Junxia, Liu Xiufen, Bera Tapan K, Pastan Ira
National Cancer Institute, Bethesda, MD, United States.
Mol Cancer Ther. 2024 Apr 22. doi: 10.1158/1535-7163.MCT-23-0233.
Mesothelin (MSLN) is a cell-surface protein that is expressed on many cancers, which makes it a popular target for antibody-based cancer therapy. However, MSLN is shed from cancer cells at high levels via proteases that cleave at its membrane-proximal C-terminal region. Shed MSLN accumulates in patient fluids and tumors and can block antibody-based MSLN-targeting drugs from killing cancer cells. A previously established monoclonal antibody (mAb), 15B6, binds MSLN at its protease-sensitive C-terminal region and does not bind shed MSLN. 15B6 variable fragment (Fv)-derived chimeric antigen receptor (CAR) T cells are not inhibited by shed MSLN and kill tumors in mice more effectively than mAb SS1 Fv-derived CAR T cells, which bind an epitope retained in shed MSLN. Here, we have established 15B6 Fv-derived MSLN x CD3 bispecific antibodies (BsAbs) that target MSLN-expressing cancers. We identified our lead candidate, BsAb 5, after screening multiple 15B6-derived BsAb formats in vitro for cytotoxic activity. BsAb 5 activates T cells to kill various cancer cell lines in a MSLN-specific manner. MSLN 296-591 His, a recombinant protein mimicking shed MSLN, does not inhibit 15B6-derived BsAb 5 but completely inhibits humanized SS1-derived BsAb 7. Furthermore, BsAb 5 inhibits and delays tumor growth and is not inhibited by MSLN 296-585 His in mice. Our findings indicate that by targeting the protease-sensitive region of MSLN, BsAb 5 has high MSLN-specific anticancer activity that is not inhibited by shed MSLN. BsAb 5 may be a promising immunotherapy candidate for MSLN-expressing cancers.
间皮素(MSLN)是一种细胞表面蛋白,在多种癌症中表达,这使其成为基于抗体的癌症治疗的热门靶点。然而,MSLN通过在其膜近端C末端区域切割的蛋白酶以高水平从癌细胞中脱落。脱落的MSLN在患者体液和肿瘤中积累,并可阻止基于抗体的MSLN靶向药物杀死癌细胞。先前建立的单克隆抗体(mAb)15B6在其蛋白酶敏感的C末端区域结合MSLN,不结合脱落的MSLN。15B6可变片段(Fv)衍生的嵌合抗原受体(CAR)T细胞不受脱落的MSLN抑制,并且在小鼠中比结合脱落的MSLN中保留的表位的mAb SS1 Fv衍生的CAR T细胞更有效地杀死肿瘤。在这里,我们建立了靶向表达MSLN的癌症的15B6 Fv衍生的MSLN x CD3双特异性抗体(BsAbs)。在体外筛选多种15B6衍生的BsAb形式的细胞毒性活性后,我们确定了主要候选物BsAb 5。BsAb 5以MSLN特异性方式激活T细胞以杀死各种癌细胞系。模拟脱落的MSLN的重组蛋白MSLN 296 - 591 His不抑制15B6衍生的BsAb 5,但完全抑制人源化SS1衍生的BsAb 7。此外,BsAb 5在小鼠中抑制并延迟肿瘤生长,并且不受MSLN 296 - 585 His抑制。我们的研究结果表明,通过靶向MSLN的蛋白酶敏感区域,BsAb 5具有高MSLN特异性抗癌活性,不受脱落的MSLN抑制。BsAb 5可能是表达MSLN的癌症的有前途的免疫治疗候选物。
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