Department of Chemical Engineering, University of Michigan, 2800 Plymouth Rd., Ann Arbor, Michigan, 48109, USA.
Crescendo Biologics, Cambridge, UK.
AAPS J. 2024 Jun 11;26(4):68. doi: 10.1208/s12248-024-00937-3.
Bispecific and multispecific agents have become increasingly utilized in cancer treatment and immunotherapy, yet their complex design parameters present a challenge in developing successful therapeutics. Bispecifics that crosslink receptors on two opposing cells can provide specific activation of a receptor only when these cells are in close spatial proximity, such as an immune cell and cancer cell in a tumor. These agents, including T cell activating bispecifics, can avoid off-tumor toxicity through activation only in the tumor microenvironment by utilizing a tumor target to cluster T-cell receptors for a selective costimulatory signal. Here, we investigate a panel of PD-1/CD137 targeted Humabody V domains to determine the key factors for T cell activation, such as affinity, valency, expression level, domain orientation, and epitope location. Target expression is a dominant factor determining both specificity and potency of T cell activation. Given an intrinsic expression level, the affinity can be tuned to modulate the level of activation and IC and achieve specificity between low and high expression levels. Changing the epitope location and linker length showed minor improvements to activation at low expression levels, but increasing the valency for the target decreased activation at all expression levels. By combining non-overlapping epitopes for the target, we achieved higher receptor activation at low expression levels. A kinetic model was able to capture these trends, offering support for the mechanistic interpretation. This work provides a framework to quantify factors for T cell activation by cell-crosslinking bispecific agents and guiding principles for the design of new agents.
双特异性和多特异性药物在癌症治疗和免疫疗法中的应用越来越广泛,但它们复杂的设计参数给成功治疗药物的开发带来了挑战。交联两个相反细胞上受体的双特异性药物只有在这些细胞空间上非常接近时,例如肿瘤中的免疫细胞和癌细胞,才能特异性地激活受体。这些药物,包括 T 细胞激活双特异性药物,可以通过利用肿瘤靶标来聚集 T 细胞受体以获得选择性共刺激信号,从而仅在肿瘤微环境中激活,避免肿瘤外毒性。在这里,我们研究了一组针对 PD-1/CD137 的靶向 Humabody V 结构域,以确定 T 细胞激活的关键因素,如亲和力、价态、表达水平、结构域取向和表位位置。靶标表达是决定 T 细胞激活特异性和效力的主要因素。在给定固有表达水平的情况下,可以调整亲和力来调节激活水平和 IC,从而在低表达和高表达水平之间实现特异性。改变表位位置和连接子长度在低表达水平下对激活的改善较小,但增加靶标的价态会降低所有表达水平的激活。通过结合针对靶标的非重叠表位,我们在低表达水平下实现了更高的受体激活。动力学模型能够捕捉到这些趋势,为机制解释提供了支持。这项工作为量化细胞交联双特异性药物激活 T 细胞的因素提供了框架,并为新型药物的设计提供了指导原则。