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Structural analysis of light chain-driven bispecific antibodies targeting CD47 and PD-L1. 针对 CD47 和 PD-L1 的轻链驱动双特异性抗体的结构分析。
IF 5.3 2区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2024-06-07 DOI: 10.1080/19420862.2024.2362432
Pauline Malinge, Xavier Chauchet, Jérémie Bourguignon, Nicolas Bosson, Sébastien Calloud, Tereza Bautzova, Marie Borlet, Mette Laursen, Vinardas Kelpsas, Nadia Rose, Franck Gueneau, Ulla Ravn, Giovanni Magistrelli, Nicolas Fischer

In contrast to natural antibodies that rely mainly on the heavy chain to establish contacts with their cognate antigen, we have developed a bispecific antibody format in which the light chain (LC) drives antigen binding and specificity. To better understand epitope-paratope interactions in this context, we determined the X-ray crystallographic structures of an antigen binding fragment (Fab) in complex with human CD47 and another Fab in complex with human PD-L1. These Fabs contain a κ-LC and a λ-LC, respectively, which are paired with an identical heavy chain (HC). The structural analysis of these complexes revealed the dominant contribution of the LCs to antigen binding, but also that the common HC provides some contacts in both CD47 and PD-L1 Fab complexes. The anti-CD47 Fab was affinity optimized by diversifying complementary-determining regions of the LC followed by phage display selections. Using homology modeling, the contributions of the amino acid modification to the affinity increase were analyzed. Our results demonstrate that, despite a less prominent role in natural antibodies, the LC can mediate high affinity binding to different antigens and neutralize their biological function. Importantly, Fabs containing a common variable heavy (VH) domain enable the generation of bispecific antibodies retaining a truly native structure, maximizing their therapeutic potential.

与主要依靠重链与其同源抗原建立联系的天然抗体不同,我们开发了一种双特异性抗体形式,其中轻链(LC)驱动抗原结合和特异性。为了更好地理解这种情况下表位与配位体之间的相互作用,我们测定了与人类 CD47 复合物结合的抗原结合片段(Fab)和与人类 PD-L1 复合物结合的另一种 Fab 的 X 射线晶体学结构。这些 Fab 分别含有一个 κ-LC 和一个 λ-LC,它们与一个相同的重链(HC)配对。对这些复合物的结构分析表明,LC 对抗原的结合起着主导作用,但在 CD47 和 PD-L1 Fab 复合物中,共同的 HC 也提供了一些接触点。通过噬菌体展示选择,对 LC 的互补决定区进行了多样化,从而优化了抗 CD47 Fab 的亲和力。通过同源建模,分析了氨基酸修饰对亲和力提高的贡献。我们的研究结果表明,尽管 LC 在天然抗体中的作用并不突出,但它可以介导与不同抗原的高亲和力结合,并中和它们的生物功能。重要的是,含有共同可变重(VH)结构域的 Fabs 能够生成保留真正原生结构的双特异性抗体,最大限度地发挥其治疗潜力。
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引用次数: 0
Evaluation of the impact of antibody fragments on aggregation of intact molecules via size exclusion chromatography coupled with native mass spectrometry. 通过尺寸排阻色谱法和原生质谱法评估抗体片段对完整分子聚集的影响。
IF 5.3 2区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2024-03-27 DOI: 10.1080/19420862.2024.2334783
Jing Xu, John E Coughlin, Malgorzata Szyjka, Serene Jabary, Sonal Saluja, Zoran Sosic, Yunqiu Chen, Chong-Feng Xu

Aggregates are recognized as one of the most critical product-related impurities in monoclonal antibody (mAb)-based therapeutics due to their negative impact on the stability and safety of the drugs. So far, investigational efforts have primarily focused on understanding the causes and effects of mAb self-aggregation, including both internal and external factors. In this study, we focused on understanding mAb stability in the presence of its monovalent fragment, formed through hinge cleavage and loss of one Fab unit (referred to as "Fab/c"), a commonly observed impurity during manufacturing and stability. The Fab/c fragments were generated using a limited IgdE digestion that specifically cleaves above the IgG1 mAb hinge region, followed by hydrophobic interaction chromatographic (HIC) enrichment. Two IgG1 mAbs containing different levels of Fab/c fragments were incubated under thermally accelerated conditions. A method based on size exclusion chromatography coupled with native mass spectrometry (SEC-UV-native MS) was developed and used to characterize the stability samples and identified the formation of heterogeneous dimers, including intact dimer, mAb-Fab/c dimer, Fab/c-Fab/c dimer, and mAb-Fab dimer. Quantitative analyses on the aggregation kinetics suggested that the impact of Fab/c fragment on the aggregation rate of individual dimer differs between a glycosylated mAb (mAb1) and a non-glycosylated mAb (mAb2). An additional study of deglycosylated mAb1 under 25°C accelerated stability conditions suggests no significant impact of the N-glycan on mAb1 total aggregation rate. This study also highlighted the power of SEC-UV-native MS method in the characterization of mAb samples with regard to separating, identifying, and quantifying mAb aggregates and fragments.

聚集物被认为是单克隆抗体(mAb)治疗药物中最关键的产品相关杂质之一,因为它们会对药物的稳定性和安全性产生负面影响。迄今为止,研究工作主要集中于了解 mAb 自身聚集的原因和影响,包括内部和外部因素。在本研究中,我们重点了解通过铰链裂解和损失一个 Fab 单元(简称为 "Fab/c")形成的单价片段在 mAb 存在的情况下的稳定性。Fab/c 片段是通过有限的 IgdE 消化产生的,这种消化能特异性地裂解 IgG1 mAb 铰链区上方,然后进行疏水相互作用色谱 (HIC) 富集。在热加速条件下孵育两种含有不同程度 Fab/c 片段的 IgG1 mAb。开发并使用了一种基于尺寸排阻色谱结合原位质谱(SEC-UV-native MS)的方法来表征稳定性样品,并确定了异质二聚体的形成,包括完整二聚体、mAb-Fab/c 二聚体、Fab/c-Fab/c 二聚体和 mAb-Fab 二聚体。对聚集动力学的定量分析表明,糖基化 mAb(mAb1)和非糖基化 mAb(mAb2)之间,Fab/c 片段对单个二聚体聚集率的影响是不同的。在 25°C 加速稳定条件下对脱糖 mAb1 进行的另一项研究表明,N-聚糖对 mAb1 的总聚集率没有显著影响。这项研究还凸显了 SEC-UV-native MS 方法在表征 mAb 样品中分离、鉴定和量化 mAb 聚集体和片段方面的能力。
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引用次数: 0
Correction. 更正。
IF 5.3 2区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2024-05-12 DOI: 10.1080/19420862.2024.2354626
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引用次数: 0
Assessment and incorporation of in vitro correlates to pharmacokinetic outcomes in antibody developability workflows. 评估体外相关药代动力学结果并将其纳入抗体可开发性工作流程。
IF 5.6 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-01-01 Epub Date: 2024-07-31 DOI: 10.1080/19420862.2024.2384104
Tushar Jain, Bianka Prinz, Alexander Marker, Alexander Michel, Katrin Reichel, Valerie Czepczor, Sylvie Klieber, Wei Sun, Sagar Kathuria, Sevim Oezguer Bruederle, Christian Lange, Lena Wahl, Charles Starr, Alessandro Masiero, Lindsay Avery

In vitro assessments for the prediction of pharmacokinetic (PK) behavior of biotherapeutics can help identify corresponding liabilities significantly earlier in the discovery timeline. This can minimize the need for extensive early in vivo PK characterization, thereby reducing animal usage and optimizing resources. In this study, we recommend bolstering classical developability workflows with in vitro measures correlated with PK. In agreement with current literature, in vitro measures assessing nonspecific interactions, self-interaction, and FcRn interaction are demonstrated to have the highest correlations to clearance in hFcRn Tg32 mice. Crucially, the dataset used in this study has broad sequence diversity and a range of physicochemical properties, adding robustness to our recommendations. Finally, we demonstrate a computational approach that combines multiple in vitro measurements with a multivariate regression model to improve the correlation to PK compared to any individual assessment. Our work demonstrates that a judicious choice of high throughput in vitro measurements and computational predictions enables the prioritization of candidate molecules with desired PK properties.

对生物治疗药物的药代动力学(PK)行为进行体外评估预测,有助于在发现新药的时间轴上更早地确定相应的责任。这可以最大限度地减少对大量早期体内 PK 表征的需求,从而减少动物用量并优化资源。在这项研究中,我们建议利用与 PK 相关的体外测量来加强经典的可开发性工作流程。与目前的文献一致,评估非特异性相互作用、自身相互作用和 FcRn 相互作用的体外测量方法被证明与 hFcRn Tg32 小鼠的清除率具有最高的相关性。最重要的是,本研究中使用的数据集具有广泛的序列多样性和一系列理化特性,这为我们的建议增添了稳健性。最后,我们展示了一种将多种体外测量与多元回归模型相结合的计算方法,与任何单独的评估相比,这种方法都能提高与 PK 的相关性。我们的工作表明,明智地选择高通量体外测量和计算预测,可以优先选择具有理想 PK 特性的候选分子。
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引用次数: 0
Discovery and development of ANV419, an IL-2/anti-IL-2 antibody fusion protein with potent CD8+ T and natural killer cell-stimulating capacity for cancer immunotherapy. 发现并开发用于癌症免疫疗法的 IL-2/anti-IL-2 抗体融合蛋白 ANV419,它具有强大的 CD8+ T 细胞和自然杀伤细胞刺激能力。
IF 5.6 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-01-01 Epub Date: 2024-07-23 DOI: 10.1080/19420862.2024.2381891
Patrizia Murer, Barbara Brannetti, Jean-Michel Rondeau, Laetitia Petersen, Nicole Egli, Simone Popp, Catherine Regnier, Kirsten Richter, Andreas Katopodis, Christoph Huber

Novel engineered IL-2 agonists strive to increase the therapeutic window of aldesleukin (human IL-2) by increasing selectivity toward effector over regulatory T cells and reducing dose-limiting toxicities. Here we describe ANV419, an IL-2/anti-IL2 antibody fusion protein designed for selective IL-2 receptor βγ (IL-2 Rβγ) activation by sterically hindering IL-2 from binding to IL-2 Rα. The fusion protein has an IL-2 connected to the light chain complementarity-determining region (CDR) domain of a humanized antibody that binds to IL-2 at the same epitope as IL-2 Rα. Optimization of the selectivity and pharmacological properties led to the selection of ANV419. ANV419 preferentially expands CD8+ T cells and natural killer (NK) cells over Tregs and can be safely administered at doses that elicit strong pharmacodynamic effects and efficacy in mouse tumor models. Its anti-tumor efficacy was enhanced when combined with programmed cell death protein 1 (PD-1) or cytotoxic T-lymphocyte-associated protein 4 (CTLA-4) checkpoint inhibitors. ANV419 also enhances the NK cell killing capacity and increases tumor growth inhibition when used alongside trastuzumab in a Her-2+ xenograft mouse model. In cynomolgus monkeys, the estimated half-life of ANV419 is 24 h, and doses that induced sustained expansion of effector cells were well tolerated without the severe toxicities typically observed with high-dose IL-2. These data support the clinical development of ANV419 in solid tumors and hematological malignancies as monotherapy and in combination with checkpoint inhibitors or agents that induce antibody-dependent cellular cytotoxicity. ANV419 is currently in Phase 1/2 clinical development and may provide cancer patients with a wider therapeutic window than aldesleukin.

新型工程IL-2激动剂通过提高对效应T细胞而非调节性T细胞的选择性并减少剂量限制性毒性,努力扩大醛白细胞介素(人IL-2)的治疗窗口期。我们在此介绍一种 IL-2/ 抗 IL2 抗体融合蛋白 ANV419,它通过立体阻碍 IL-2 与 IL-2 Rα 结合,设计用于选择性激活 IL-2 受体 βγ(IL-2 Rβγ)。融合蛋白中的 IL-2 与人源化抗体的轻链互补决定区(CDR)结构域相连,后者与 IL-2 Rα 在相同的表位上与 IL-2 结合。通过优化选择性和药理特性,最终选择了 ANV419。与Tregs相比,ANV419能优先扩增CD8+ T细胞和自然杀伤(NK)细胞,而且给药剂量安全,能在小鼠肿瘤模型中产生强烈的药效学效应和疗效。当与程序性细胞死亡蛋白1(PD-1)或细胞毒性T淋巴细胞相关蛋白4(CTLA-4)检查点抑制剂联合使用时,ANV419的抗肿瘤疗效会增强。在Her-2+异种移植小鼠模型中,ANV419与曲妥珠单抗同时使用时,还能增强NK细胞的杀伤能力并增加对肿瘤生长的抑制。在猴体内,ANV419的半衰期估计为24小时,而且诱导效应细胞持续扩增的剂量耐受性良好,不会出现高剂量IL-2通常会出现的严重毒性反应。这些数据支持ANV419作为单药或与检查点抑制剂或诱导抗体依赖性细胞毒性的药物联合用于实体瘤和血液恶性肿瘤的临床开发。ANV419目前正处于1/2期临床开发阶段,与醛固酮相比,它可以为癌症患者提供更广阔的治疗窗口。
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引用次数: 0
A next-generation Fab library platform directly yielding drug-like antibodies with high affinity, diversity, and developability. 下一代 Fab 库平台可直接产生具有高亲和力、多样性和可开发性的类药物抗体。
IF 5.6 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-01-01 Epub Date: 2024-08-27 DOI: 10.1080/19420862.2024.2394230
Fortunato Ferrara, Adeline Fanni, Andre A R Teixeira, Esteban Molina, Camila Leal-Lopes, Ashley DeAguero, Sara D'Angelo, M Frank Erasmus, Laura Spector, Luis Antonio Rodriguez Carnero, Jianquan Li, Thomas J Pohl, Nikolai Suslov, Klervi Desrumeaux, Conor McMahon, Sagar Kathuria, Andrew R M Bradbury

We previously described an in vitro single-chain fragment (scFv) library platform originally designed to generate antibodies with excellent developability properties. The platform design was based on the use of clinical antibodies as scaffolds into which replicated natural complementarity-determining regions purged of sequence liabilities were inserted, and the use of phage and yeast display to carry out antibody selection. In addition to being developable, antibodies generated using our platform were extremely diverse, with most campaigns yielding sub-nanomolar binders. Here, we describe a platform advancement that incorporates Fab phage display followed by single-chain antibody-binding fragment Fab (scFab) yeast display. The scFab single-gene format provides balanced expression of light and heavy chains, with enhanced conversion to IgG, thereby combining the advantages of scFvs and Fabs. A meticulously engineered, quality-controlled Fab phage library was created using design principles similar to those used to create the scFv library. A diverse panel of binding scFabs, with high conversion efficiency to IgG, was isolated against two targets. This study highlights the compatibility of phage and yeast display with a Fab semi-synthetic library design, offering an efficient approach to generate drug-like antibodies directly, facilitating their conversion to potential therapeutic candidates.

我们以前曾描述过一种体外单链片段(scFv)文库平台,该平台最初是为了产生具有优良开发特性的抗体而设计的。该平台设计的基础是使用临床抗体作为支架,在支架上插入复制的天然互补决定区,并清除序列负债,然后使用噬菌体和酵母展示来进行抗体筛选。除了可开发外,利用我们的平台生成的抗体也极为多样化,大多数活动都能产生亚纳莫尔结合剂。在这里,我们描述了一种平台的进步,它结合了 Fab 噬菌体展示和单链抗体结合片段 Fab(scFab)酵母展示。scFab 单基因格式提供了轻链和重链的平衡表达,增强了向 IgG 的转化,从而结合了 scFv 和 Fab 的优势。我们采用与创建 scFv 文库类似的设计原则,创建了一个精心设计、质量受控的 Fab 噬菌体文库。针对两个靶点分离出了多种具有高IgG转化效率的结合scFabs。这项研究强调了噬菌体和酵母展示与 Fab 半合成文库设计的兼容性,为直接生成药物样抗体提供了一种有效的方法,有助于将其转化为潜在的候选治疗药物。
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引用次数: 0
The emergence of cell-based protein arrays to test for polyspecific off-target binding of antibody therapeutics. 基于细胞的蛋白质阵列用于检测抗体疗法的多特异性脱靶结合。
IF 5.6 2区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2024-01-01 Epub Date: 2024-08-24 DOI: 10.1080/19420862.2024.2393785
Diana M Norden, Carmen T Navia, Jonathan T Sullivan, Benjamin J Doranz

Specificity profiling is a requirement for monoclonal antibodies (mAbs) and antibody-directed biotherapeutics such as CAR-T cells prior to initiating human trials. However, traditional approaches to assess the specificity of mAbs, primarily tissue cross-reactivity studies, have been unreliable, leading to off-target binding going undetected. Here, we review the emergence of cell-based protein arrays as an alternative and improved assessment of mAb specificity. Cell-based protein arrays assess binding across the full human membrane proteome, ~6,000 membrane proteins each individually expressed in their native structural configuration within live or unfixed cells. Our own profiling indicates a surprisingly high off-target rate across the industry, with 33% of lead candidates displaying off-target binding. Moreover, about 20% of therapeutic mAbs in clinical development and currently on the market display off-target binding. Case studies and off-target rates at different phases of biotherapeutic drug approval suggest that off-target binding is likely a major cause of adverse events and drug attrition.

特异性分析是单克隆抗体(mAbs)和抗体定向生物疗法(如 CAR-T 细胞)在开始人体试验前的一项要求。然而,评估 mAbs 特异性的传统方法(主要是组织交叉反应研究)并不可靠,导致脱靶结合未被发现。在此,我们回顾了基于细胞的蛋白质阵列作为一种替代方法的出现,并对 mAb 特异性评估进行了改进。基于细胞的蛋白质阵列可评估全人类膜蛋白质组的结合情况,约有 6,000 种膜蛋白,每种蛋白都在活细胞或未固定细胞内以其原生结构构型单独表达。我们自己的分析表明,整个行业的脱靶率高得惊人,33% 的先导候选药物显示出脱靶结合。此外,在临床开发和目前上市的治疗用 mAbs 中,约有 20% 显示出脱靶现象。生物治疗药物审批不同阶段的案例研究和脱靶率表明,脱靶结合可能是不良事件和药物损耗的主要原因。
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引用次数: 0
Electrostatic properties of human germlines and biodistribution of small biologics. 人类种系的静电特性与小型生物制剂的生物分布。
IF 5.3 2区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.1080/19420862.2024.2311991
Leticia Maria De Souza Cordeiro, Kelley Christine Atkinson, Argin Aivazian, Patrick Frank Joyce, Fang Jia, Alessandro Mascioni

Off-target biodistribution of biologics bears important toxicological consequences. Antibody fragments intended for use as vectors of cytotoxic payloads (e.g. antibody-drug conjugates, radiotherapy) can accumulate at clearance organs like kidneys and liver, where they can cause dose-limiting toxicities. Renal and hepatic uptakes are known to be affected by protein electrostatics, which promote protein internalization through pinocytosis. Using minibodies as a model of an antibody fragment lacking FcRn recycling, we compared the biodistributions of leads with different degrees of accumulation at the kidney and liver. We identified a positive electrostatic patch highly conserved in a germline family very commonly used in the humanization of approved biologics. Neutralization of this patch led to a drastic reduction in the kidney uptake, leading to a biodistribution more favorable to the delivery of highly cytotoxic payloads. Next, we conducted a high throughput study of the electrostatic properties for all combinations of VH and VL germlines. This analysis shows how different VH/VL combinations exhibit varying tendencies to create electrostatic patches, resulting in Fv variants with different isoelectric points. Our work emphasizes the importance of carefully selecting germlines for humanization with optimal electrostatic properties in order to control the unspecific tissue uptake of low molecular weight biologics.

生物制剂的脱靶生物分布具有重要的毒理学后果。用作细胞毒性有效载荷载体的抗体片段(如抗体-药物共轭物、放射治疗)可能会在肾脏和肝脏等清除器官积聚,从而导致剂量限制性毒性。众所周知,肾脏和肝脏的吸收会受到蛋白质静电的影响,静电会通过针吞作用促进蛋白质内化。我们以缺乏 FcRn 循环的抗体片段迷你体为模型,比较了在肾脏和肝脏有不同程度蓄积的引线的生物分布。我们在一个种系家族中发现了一个高度保守的正静电补丁,该家族常用于已获批准的生物制剂的人源化。中和这一补丁可大幅减少肾脏的吸收,从而使生物分布更有利于高细胞毒性有效载荷的递送。接下来,我们对所有 VH 和 VL 种系组合的静电特性进行了高通量研究。这项分析表明,不同的 VH/VL 组合在产生静电斑块方面表现出不同的倾向,从而导致 Fv 变体具有不同的等电点。我们的工作强调了为控制低分子量生物制剂的非特异性组织吸收,精心选择具有最佳静电特性的种系进行人源化的重要性。
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引用次数: 0
Molecular surface descriptors to predict antibody developability: sensitivity to parameters, structure models, and conformational sampling. 预测抗体可开发性的分子表面描述符:对参数、结构模型和构象取样的敏感性。
IF 5.3 2区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2024-06-10 DOI: 10.1080/19420862.2024.2362788
Eliott Park, Saeed Izadi

In silico assessment of antibody developability during early lead candidate selection and optimization is of paramount importance, offering a rapid and material-free screening approach. However, the predictive power and reproducibility of such methods depend heavily on the selection of molecular descriptors, model parameters, accuracy of predicted structure models, and conformational sampling techniques. Here, we present a set of molecular surface descriptors specifically designed for predicting antibody developability. We assess the performance of these descriptors by benchmarking their correlations with an extensive array of experimentally determined biophysical properties, including viscosity, aggregation, hydrophobic interaction chromatography, human pharmacokinetic clearance, heparin retention time, and polyspecificity. Further, we investigate the sensitivity of these surface descriptors to methodological nuances, such as the choice of interior dielectric constant, hydrophobicity scales, structure prediction methods, and the impact of conformational sampling. Notably, we observe systematic shifts in the distribution of surface descriptors depending on the structure prediction method used, driving weak correlations of surface descriptors across structure models. Averaging the descriptor values over conformational distributions from molecular dynamics mitigates the systematic shifts and improves the consistency across different structure prediction methods, albeit with inconsistent improvements in correlations with biophysical data. Based on our benchmarking analysis, we propose six in silico developability risk flags and assess their effectiveness in predicting potential developability issues for a set of case study molecules.

在早期候选先导药物的筛选和优化过程中,对抗体可开发性的硅学评估至关重要,它提供了一种快速且无需材料的筛选方法。然而,此类方法的预测能力和可重复性在很大程度上取决于分子描述符的选择、模型参数、预测结构模型的准确性以及构象取样技术。在此,我们介绍了一套专门用于预测抗体可开发性的分子表面描述符。我们评估了这些描述符的性能,将其与一系列实验确定的生物物理特性(包括粘度、聚集性、疏水相互作用色谱、人体药代动力学清除率、肝素保留时间和多特异性)进行了基准对比。此外,我们还研究了这些表面描述因子对方法学细微差别的敏感性,如内部介电常数的选择、疏水性尺度、结构预测方法以及构象取样的影响。值得注意的是,我们观察到表面描述符的分布随所使用的结构预测方法的不同而发生系统性变化,从而导致不同结构模型的表面描述符之间存在微弱的相关性。对分子动力学构象分布的描述符值进行平均,可以减轻系统性偏移,提高不同结构预测方法之间的一致性,尽管与生物物理数据的相关性改善不一致。根据我们的基准分析,我们提出了六个硅学可开发性风险标志,并评估了它们在预测一组案例研究分子的潜在可开发性问题方面的有效性。
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引用次数: 0
A novel conditional active biologic anti-EpCAM x anti-CD3 bispecific antibody with synergistic tumor selectivity for cancer immunotherapy. 一种新型条件活性生物抗 EpCAM x 抗 CD3 双特异性抗体,具有用于癌症免疫疗法的协同肿瘤选择性。
IF 5.3 2区 医学 Q1 Medicine Pub Date : 2024-01-01 Epub Date: 2024-03-06 DOI: 10.1080/19420862.2024.2322562
Gerhard Frey, Ana Paula G Cugnetti, Haizhen Liu, Charles Xing, Christina Wheeler, Hwai Wen Chang, William J Boyle, Jay M Short

Epithelial cell adhesion molecule (EpCAM) is a transmembrane glycoprotein that plays several roles in cancer biology. EpCAM is an attractive therapeutic target because of its expression in most solid tumors. However, targeting EpCAM has been challenging because it is also highly expressed in normal epithelial tissues. Initial attempts to develop EpCAM-specific T-cell engagers were unsuccessful due to severe cytokine release effects, as well as serious on-target, off-tumor drug-related toxicities. We developed novel, conditionally active biological (CAB) bispecific antibodies that bind to both EpCAM and CD3 in an acidic tumor microenvironment. In healthy tissues, binding to EpCAM and CD3 is greatly reduced by a novel, dual CAB selection, where each binding domain is independently blocked by the presence of physiological chemicals known as Protein-associated Chemical Switches (PaCS). The CAB anti-EpCAM T-cell engagers displayed the anticipated bispecific binding properties and mediated the potent lysis of EpCAM-positive cancer cell lines through the recruitment of T cells in the tumor microenvironment. Xenograft studies showed that the efficacy of CAB bispecific antibodies is similar to that of a non-CAB anti-EpCAM bispecific antibody, but they have markedly reduced toxicity in non-human primates, indicating an unprecedentedly widened therapeutic index of over 100-fold. These preclinical results indicate that the dual CAB bispecific antibody is potentially both a powerful and safe therapeutic platform and a promising T cell-engaging treatment for patients with EpCAM-expressing tumors.

上皮细胞粘附分子(EpCAM)是一种跨膜糖蛋白,在癌症生物学中发挥着多种作用。EpCAM 在大多数实体瘤中都有表达,因此是一个极具吸引力的治疗靶点。然而,由于 EpCAM 在正常上皮组织中也高度表达,因此靶向 EpCAM 的研究一直具有挑战性。由于严重的细胞因子释放效应,以及严重的靶上、瘤外药物相关毒性,开发 EpCAM 特异性 T 细胞吸引剂的最初尝试并不成功。我们开发了新型条件活性生物(CAB)双特异性抗体,能在酸性肿瘤微环境中与 EpCAM 和 CD3 结合。在健康组织中,EpCAM 和 CD3 的结合会因一种新型的双 CAB 选择而大大降低,在这种选择中,每个结合域都会因被称为蛋白质相关化学开关(PaCS)的生理化学物质的存在而被独立阻断。CAB 抗 EpCAM T 细胞吞噬因子显示了预期的双特异性结合特性,并通过在肿瘤微环境中招募 T 细胞,介导了对 EpCAM 阳性癌细胞株的强效裂解。异种移植研究表明,CAB 双特异性抗体的疗效与非 CAB 抗 EpCAM 双特异性抗体相似,但它们在非人灵长类动物体内的毒性明显降低,表明治疗指数空前扩大了 100 倍以上。这些临床前研究结果表明,双 CAB 双特异性抗体既可能是一种强大而安全的治疗平台,也可能是一种针对表达 EpCAM 的肿瘤患者的 T 细胞诱导疗法。
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引用次数: 0
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