Lal Shruti, Sallets Adrienne, Bandi Srinivasa R, Adusumilli Gowrisudha, Liu Weiqun, Low Ray, Ferry Kimmy, MacDonough Chris, ElAzzouny Mahmoud, Haabeth Ole A W, McKinlay Colin J, Hsu Pei-Ken, Sharma Anushtha, Dhungel Pragyesh, Triplett Jenna, Leong Meredith, McCartney-Melstad Evan, Deutsch Samuel, Gunasekaran Kannan
Research and Early Development, Nutcracker Therapeutics, Emeryville, CA 94608, USA.
Mol Ther Nucleic Acids. 2025 Apr 29;36(2):102550. doi: 10.1016/j.omtn.2025.102550. eCollection 2025 Jun 10.
The expression of proteins by mRNA therapeutics is a transformative approach to medicine that involves expressing highly complex and therapeutically relevant molecules utilizing patients' own body. In this study, we engineered complex molecules targeting CD47 with multivalent SIRPα-Fc fusion proteins with a goal to enhance tumor specificity via formulated mRNA administration. Valency allows us to exploit antigen expression level differences between cancer and healthy cells. analysis showed that NK-mediated cytotoxicity of Tetravalent and Octavalent SIRPα was comparable to a 50,000-fold affinity-improved SIRPα molecule. However, unlike the affinity-improved SIRPα and known anti-CD47 antibodies, the Tetravalent and Octavalent SIRPα showed low to no binding to red blood cells, which also express CD47 albeit at a low level. In addition, we demonstrated efficacy of mRNAs encoding Tetravalent and Octavalent SIRPα-Fc fusion proteins and observed the complete eradication of established subcutaneous tumors in Raji mice xenograft. Further evaluation of the -expressed proteins showed high purity, like that of the recombinant production. Differential scanning fluorimetry analysis revealed excellent thermal stability and resistance to aggregation. These results demonstrate that a significant enhancement in therapeutic window and efficacy could be achieved by engineering complex multivalent molecules.
通过信使核糖核酸(mRNA)疗法表达蛋白质是一种变革性的医学方法,它涉及利用患者自身身体来表达高度复杂且与治疗相关的分子。在本研究中,我们构建了靶向CD47的复杂分子,即多价信号调节蛋白α(SIRPα)-Fc融合蛋白,目的是通过经配方的mRNA给药来增强肿瘤特异性。价态使我们能够利用癌症细胞与健康细胞之间的抗原表达水平差异。分析表明,四价和八价SIRPα的自然杀伤细胞(NK)介导的细胞毒性与亲和力提高50000倍的SIRPα分子相当。然而,与亲和力提高的SIRPα和已知的抗CD47抗体不同,四价和八价SIRPα与红细胞的结合很低或几乎没有结合,红细胞也表达CD47,尽管表达水平很低。此外,我们证明了编码四价和八价SIRPα-Fc融合蛋白的mRNA的疗效,并观察到在Raji小鼠异种移植模型中已建立的皮下肿瘤被完全根除。对表达的蛋白质进行的进一步评估显示其纯度很高,与重组生产的蛋白质纯度相似。差示扫描荧光法分析显示其具有出色的热稳定性和抗聚集性。这些结果表明,通过构建复杂的多价分子可以显著提高治疗窗口和疗效。