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MB2033,一种抗 PD-L1 × IL-2 变异体融合蛋白,具有强大的抗肿瘤疗效,同时外周毒性最小。

MB2033, an anti-PD-L1 × IL-2 variant fusion protein, demonstrates robust anti-tumor efficacy with minimal peripheral toxicity.

机构信息

Research center, Mustbio, 102 Edu town-ro, Yeongtong-gu, Suwon-si, Gyeonggi-do, 16509, Republic of Korea.

Department of Global Innovative Drugs, Graduate School of Chung-Ang University, 84 Heukseok-ro, Dongjak-gu, Seoul, 06974, Republic of Korea.

出版信息

Cancer Immunol Immunother. 2024 Jun 4;73(8):157. doi: 10.1007/s00262-024-03742-1.


DOI:10.1007/s00262-024-03742-1
PMID:38834889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11150458/
Abstract

Interleukin-2 (IL-2), a cytokine with pleiotropic immune effects, was the first approved cancer immunotherapy agent. However, IL-2 is associated with systemic toxicity due to binding with its ligand IL-2Rα, such as vascular leakage syndrome, limiting its clinical applications. Despite efforts to extend the half-life of IL-2 and abolish IL-2Rα interactions, the risk of toxicity remains unresolved. In this study, we developed the bispecific fusion protein MB2033, comprising a novel IL-2 variant (IL-2v) connected to anti-programmed death ligand 1 (PD-L1) via a silenced Fc domain. The IL-2v of MB2033 exhibits attenuated affinity for IL-2Rβγ without binding to IL-2Rα. The binding affinity of MB2033 for PD-L1 is greater than that for IL-2Rβγ, indicating its preferential targeting of PD-L1 tumor cells to induce tumor-specific immune activation. Accordingly, MB2033 exhibited significantly reduced regulatory T cell activation, while inducing comparable CD8 T cell activation to recombinant human IL-2 (rhIL-2). MB2033 induced lower immune cell expansion and reduced cytokine levels compared with rhIL-2 in human peripheral blood mononuclear cells, indicating a decreased risk of peripheral toxicity. MB2033 exhibited superior anti-tumor efficacy, including tumor growth inhibition and complete responses, compared with avelumab monotherapy in an MC38 syngeneic mouse model. In normal mice, MB2033 was safer than non-α IL-2v and tolerable up to 30 mg/kg. These preclinical results provide evidence of the dual advantages of MB2033 with an enhanced safety and potent clinical efficacy for cancer treatment.

摘要

白细胞介素-2 (IL-2) 是一种具有多种免疫效应的细胞因子,是第一个获得批准的癌症免疫治疗药物。然而,由于与配体 IL-2Rα 的结合,IL-2 会引起血管渗漏综合征等全身性毒性,限制了其临床应用。尽管人们努力延长 IL-2 的半衰期并消除 IL-2Rα 的相互作用,但毒性风险仍未得到解决。在本研究中,我们开发了一种双特异性融合蛋白 MB2033,它由一种新型的 IL-2 变体 (IL-2v) 通过沉默的 Fc 结构域与抗程序性死亡配体 1 (PD-L1) 连接而成。MB2033 的 IL-2v 对 IL-2Rβγ 的亲和力减弱,而不与 IL-2Rα 结合。MB2033 与 PD-L1 的结合亲和力大于与 IL-2Rβγ 的结合亲和力,表明其优先靶向 PD-L1 肿瘤细胞,以诱导肿瘤特异性免疫激活。因此,MB2033 表现出显著降低的调节性 T 细胞激活,同时诱导与重组人白细胞介素-2 (rhIL-2) 相当的 CD8 T 细胞激活。与 rhIL-2 相比,MB2033 在人外周血单核细胞中引起的免疫细胞扩增和细胞因子水平降低,表明外周毒性的风险降低。与 avelumab 单药治疗相比,MB2033 在 MC38 同基因小鼠模型中表现出更好的抗肿瘤疗效,包括肿瘤生长抑制和完全反应。在正常小鼠中,MB2033 比非-α IL-2v 更安全,耐受剂量可达 30 mg/kg。这些临床前结果为 MB2033 提供了双重优势的证据,即增强安全性和强大的临床疗效,用于癌症治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/f790518dbd47/262_2024_3742_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/b75c0e96bfbd/262_2024_3742_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/5b2a6b33e501/262_2024_3742_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/6bb087739827/262_2024_3742_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/a37ef56fae78/262_2024_3742_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/a44008db32c7/262_2024_3742_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/31590a1b0fb8/262_2024_3742_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/a765a3bc9a33/262_2024_3742_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/f790518dbd47/262_2024_3742_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/b75c0e96bfbd/262_2024_3742_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/5b2a6b33e501/262_2024_3742_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/6bb087739827/262_2024_3742_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/a37ef56fae78/262_2024_3742_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/a44008db32c7/262_2024_3742_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/31590a1b0fb8/262_2024_3742_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/a765a3bc9a33/262_2024_3742_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/deeb/11150458/f790518dbd47/262_2024_3742_Fig8_HTML.jpg

相似文献

[1]
MB2033, an anti-PD-L1 × IL-2 variant fusion protein, demonstrates robust anti-tumor efficacy with minimal peripheral toxicity.

Cancer Immunol Immunother. 2024-6-4

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[5]
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[6]
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[7]
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[8]
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[10]
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本文引用的文献

[1]
Nemvaleukin alfa, a novel engineered IL-2 fusion protein, drives antitumor immunity and inhibits tumor growth in small cell lung cancer.

J Immunother Cancer. 2022-9

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Cancer Discov. 2022-7-6

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Int J Mol Sci. 2022-3-5

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N Engl J Med. 2020-10-1

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Nat Commun. 2019-8-28

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Mol Cancer. 2019-1-15

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Nat Rev Immunol. 2018-10

[9]
Signaling and Function of Interleukin-2 in T Lymphocytes.

Annu Rev Immunol. 2018-4-26

[10]
PD-L1 expression on malignant cells is no prerequisite for checkpoint therapy.

Oncoimmunology. 2017-2-21

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