Carcinoembryonic Antigen (CEA)-Specific 4-1BB-Costimulation Induced by CEA-Targeted 4-1BB-Agonistic Trimerbodies

Kasper Mikkelsen, Seandean Lykke Harwood, Marta Compte, Nekane Merino, Kasper Molgaard, Simon Lykkemark, Ana Alvarez-Mendez, Francisco J. Blanco, Luis Alvarez-Vallina*

*Corresponding author for this work

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    Abstract

    4-1BB (CD137) is an inducible costimulatory receptor that promotes expansion and survival of activated T cells; and IgG-based 4-1BB-agonistic monoclonal antibodies exhibited potent antitumor activity in clinical trials. However, the clinical development of those antibodies is restricted by major off-tumor toxicities associated with FcγR interactions. We have recently generated an EGFR-targeted 4-1BB-agonistic trimerbody that demonstrated strong antitumor activity and did not induce systemic inflammatory cytokine secretion and hepatotoxicity associated with first-generation 4-1BB agonists. Here, we generate a bispecific 4-1BB-agonistic trimerbody targeting the carcinoembryonic antigen (CEA) that is highly expressed in cancers of diverse origins. The CEA-targeted anti-4-1BB-agonistic trimerbody consists of three 4-1BB-specific single-chain fragment variable antibodies and three anti-CEA single-domain antibodies positioned around a murine collagen XVIII-derived homotrimerization domain. The trimerbody was produced as a homogenous, non-aggregating, soluble protein purifiable by standard affinity chromatographic methods. The purified trimerbody was found to be trimeric in solution, very efficient at recognizing 4-1BB and CEA, and potently costimulating T cells in vitro in the presence of CEA. Therefore, trimerbody-based tumor-targeted 4-1BB costimulation is a broadly applicable and clinically feasible approach to enhance the costimulatory environment of disseminated tumor lesions.

    Original languageEnglish
    Article number1791
    JournalFrontiers in Immunology
    Volume10
    Pages (from-to)1791
    Number of pages10
    ISSN1664-3224
    DOIs
    Publication statusPublished - Jul 2019

    Keywords

    • cancer immunotherapy
    • immunostimulatory antibodies
    • costimulation
    • 4-1BB
    • 4-1BB agonists
    • trimerbodies
    • CEA
    • CEA-targeted 4-1BB agonists
    • T-CELL COSTIMULATION
    • MONOCLONAL-ANTIBODIES
    • INTERNALIZATION
    • CD137

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