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Tumor targeted 4-1BB agonist antibody-albumin fusions with high affinity to FcRn induce anti-tumor immunity without toxicity

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  • Oana Hangiu, Hospital Universitario 12 de Octubre, Leadartis S.L.
  • ,
  • Marta Compte, Leadartis S.L.
  • ,
  • Anders Dinesen
  • Rocio Navarro, Leadartis S.L.
  • ,
  • Antonio Tapia-Galisteo, Hospital Universitario 12 de Octubre
  • ,
  • Ole A. Mandrup
  • Ainhoa Erce-Llamazares, Hospital Universitario 12 de Octubre
  • ,
  • Rodrigo Lázaro-Gorines, Hospital Universitario 12 de Octubre
  • ,
  • Daniel Nehme-Álvarez, Hospital Universitario 12 de Octubre
  • ,
  • Carmen Domínguez-Alonso, Hospital Universitario 12 de Octubre
  • ,
  • Seandean L. Harwood
  • Carlos Alfonso, CSIC - Biological Research Center
  • ,
  • Belen Blanco, Hospital Universitario 12 de Octubre
  • ,
  • Laura Rubio-Pérez, Hospital Universitario 12 de Octubre, Francisco de Vitoria University
  • ,
  • Anaïs Jiménez-Reinoso, Hospital Universitario 12 de Octubre
  • ,
  • Laura Díez-Alonso, Hospital Universitario 12 de Octubre
  • ,
  • Francisco J. Blanco, CSIC - Biological Research Center
  • ,
  • Laura Sanz, Universidad Autónoma de Madrid
  • ,
  • Kenneth A. Howard
  • Luis Álvarez-Vallina, Hospital Universitario 12 de Octubre, Francisco de Vitoria University, Instituto de Salud Carlos III

Costimulation of tumor-infiltrating T lymphocytes by anti-4-1BB monoclonal antibodies (mAbs) has shown anti-tumor activity in human trials, but can be associated with significant off-tumor toxicities involving FcγR interactions. Here, we introduce albumin-fused mouse and human bispecific antibodies with clinically favorable pharmacokinetics designed to confine 4-1BB costimulation to the tumor microenvironment. These Fc-free 4-1BB agonists consist of an EGFR-specific VHH antibody, a 4-1BB-specific scFv, and a human albumin sequence engineered for high FcRn binding connected in tandem (LiTCo-Albu). We demonstrate in vitro cognate target engagement, EGFR-specific costimulatory activity, and FcRn-driven cellular recycling similar to non-fused FcRn high-binding albumin. The mouse LiTCo-Albu exhibited a prolonged circulatory half-life and in vivo tumor inhibition, with no indication of 4-1BB mAb-associated toxicity. Furthermore, we show a greater therapeutic effect when used in combination with PD-1-blocking mAbs. These findings demonstrate the feasibility of tumor-specific LiTCo-Albu antibodies for safe and effective costimulatory strategies in cancer immunotherapy.

OriginalsprogEngelsk
Artikelnummer104958
TidsskriftiScience
Vol/bind25
Nummer9
ISSN2589-0042
DOI
StatusUdgivet - 16 sep. 2022

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