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POTENT AND SELECTIVE A2AR MONOCLONAL ANTIBODY ANTAGONIST FOR THE TREATMENT OF CANCER 强效选择性A2AR单克隆抗体拮抗剂治疗肿瘤
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.010
Changyun Hu, Yanyan Wang, Xiqian Lan, Jiandong Zhang, Xinyan Zhao
Abstract Background and significance The presence of adenosine at abnormally high concentrations in tumor microenvironment leads to the activation of adenosine receptor 2A (A2aR) and represents one of the mechanisms for cancer patients to be resistance to immune checkpoint blockade therapies. CD39 and CD73 play an important role in converting ATP to adenosine. Currently antibodies or small molecule inhibitors (SMIs) targeting CD39 and CD73, as well as SMIs targeting adenosine receptors, are under preclinical investigation and early clinical development. However, effective biologics targeting adenosine receptors has not been reported. Here we demonstrated that humanized anti-A2aR antibodies represent promising novel therapeutic candidates for developing immunotherapy to restore anti-tumor responses in solid tumors that only partially respond or are completely resistance to ICB therapies. Methods Humanized anti-human A2aR monoclonal antibodies (mAbs) were generated from mouse hybridoma antibody via classic CDR grafting method. The A2aR binding and non-human primate cross-reactivity were measured by FACS using human A2aR-expressing HEK293 cells as well as human and cynomolgus monkey PBMCs. Internalizing properties were determined by FACS and immunofluorescent method. The cellular potency of these mAbs was assessed by their capability of inhibiting cAMP production induced by A2aR agonist adenosine and NECA in hA2aR-overexpressing HEK293 cells. The ability of lead candidates to reverse adenosine-mediated suppression of human effector cell function was determined using standard CD3/CD28 activation conditions in the presence of A2aR agonist NECA. Results and Conclusion We successfully humanized anti-A2aR antibody discovered via hybridoma technology. Humanized anti-A2aR antibodies maintain binding, cross-reactivity to human and cynomolgus monkey A2aR, as well as internalizing property and A2aR-antagonizing potency, in comparison with parental antibody. Humanized antibodies are 5~10 fold more potent than clinical stage small molecule inhibitors CPI-444 and AB928 in inhibiting cAMP production. Blockade of A2aR with humanized antibody can restore activation and cytokine production of human T and NK cells suppressed by A2aR agonist adenosine or NECA. Thus, antibody-mediated blockade of A2aR pathway represents a novel strategy to mitigate adenosine-mediated tumor resistance to immune checkpoint blockade therapies.
背景与意义肿瘤微环境中异常高浓度的腺苷导致腺苷受体2A (adenosine receptor 2A, A2aR)激活,是癌症患者对免疫检查点阻断疗法产生耐药性的机制之一。CD39和CD73在ATP转化为腺苷的过程中起重要作用。目前,靶向CD39和CD73的抗体或小分子抑制剂(SMIs)以及靶向腺苷受体的SMIs正处于临床前研究和早期临床开发阶段。然而,针对腺苷受体的有效生物制剂尚未见报道。在这里,我们证明了人源化抗a2ar抗体代表了开发免疫疗法以恢复对ICB治疗仅部分反应或完全耐药的实体肿瘤的抗肿瘤反应的有希望的新治疗候选物。方法以小鼠杂交瘤抗体为基础,采用经典CDR法,制备人源化抗人A2aR单克隆抗体(mab)。利用表达A2aR的人HEK293细胞以及人和食蟹猴PBMCs,通过流式细胞仪检测A2aR结合和非人灵长类动物的交叉反应性。采用流式细胞仪和免疫荧光法测定内化性质。这些单抗通过抑制过表达ha2ar的HEK293细胞中A2aR激动剂腺苷和NECA诱导的cAMP产生的能力来评估细胞效力。在A2aR激动剂NECA存在的条件下,使用标准CD3/CD28激活条件来确定先导候选物逆转腺苷介导的人效应细胞功能抑制的能力。结果与结论通过杂交瘤技术成功人源化了发现的抗a2ar抗体。与亲本抗体相比,人源化抗A2aR抗体保持与人和食蟹猴A2aR的结合性、交叉反应性、内化性和A2aR拮抗能力。人源化抗体对cAMP的抑制作用是临床小分子抑制剂CPI-444和AB928的5~10倍。人源化抗体阻断A2aR可恢复被A2aR激动剂腺苷或NECA抑制的人T细胞和NK细胞的活化和细胞因子的产生。因此,抗体介导的A2aR通路阻断代表了一种减轻腺苷介导的肿瘤对免疫检查点阻断疗法耐药的新策略。
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引用次数: 0
PRELIMINARY SAFETY, EFFICACY AND PHARMACOKINETICS (PK) RESULTS OF KN026 (A HER2 BISPECIFIC ANTIBODY) MONOTHERAPY IN ADVANCED SOLID TUMOR PATIENTS WITH HER2 EXPRESSION KN026(一种HER2双特异性抗体)单药治疗HER2表达的晚期实体瘤患者的初步安全性、有效性和药代动力学(PK)结果
Q2 Medicine Pub Date : 2023-07-01 DOI: 10.1093/abt/tbad014.006
T. Xu, Yuan-Fei Lv, Jie Sun, Jianjian Peng, Jingqiu Li, Xionghui Li, B. Guo
Abstract Background KN026 is a novel bispecific antibody and simultaneously binds to two distinct HER2 epitopes which are the same domains as trastuzumab (ECD4) and pertuzumab (ECD2). It showed higher maximal binding than monospecific HER2 antibodies and favors that crosslinking of HER2 receptors could enhance the receptors internalization in preclinical studies. KN026 significantly inhibited the growth of human cancer cell lines and demonstrated obviously antitumor activity against different xenografts models. The encouraging efficacy and manageable safety of KN026 were reported in Chinese cancer patients (pts) with HER2 expression and ph3 study is ongoing in gastric cancer (NCT05427383). Methods The late line solid tumor pts with HER2 expression who were refractory to or ineligible for standard therapy were recruited in this phase I dose-escalation study in US (NCT03847168). All pts intravenously received KN026 monotherapy at ascending dose of 10 mg/kg (QW), 20 mg/kg (Q2W) or 30 mg/kg (Q3W). Dose escalation followed standard “3 + 3” design. Expansion was determined by Safety Monitoring Committee (SMC). The primary objectives were to evaluate safety and tolerability of KN026 and determine the MTD and/or RP2D. Safety was evaluated according to CTCAE v 5.0, and efficacy was assessed by RECIST 1.1. Results A total of 22 pts with median 4 lines prior treatment were enrolled, including 5 breast cancer pts, 3 gastric or gastroesophageal junction cancer pts and 14 other solid tumor pts. 21 pts were included in the efficacy analysis. The median age was 57.0 (47-79), with 8 males and 14 females and most of pts were Caucasian (72.7%). 3, 10 (7 at expansion phase), and 9 (6 at expansion phase) pts were treated at 10mg/kg, 20mg/kg, 30mg/kg, respectively. No dose-limiting toxicities (DLTs) were observed and MTD wasn’t reached. 20 pts (90.9%) occurred TRAEs and the common (≥20%) TRAEs were diarrhea (45.5%), fatigue (40.9%), chills (36.4%) and nausea (27.3%). Most of TRAE were Gr 1-2, and only 3 pts (13.6%) experienced ≥ Gr3 TRAE (anemia, fatigue and pneumonitis) without treatment discontinuation and death caused by KN026. 4 of 21 pts (1 at 10mg/kg, 2 at 20 mg/kg, 1 at 30mg/kg) achieved objective response (ORR 19.0%, 95% CI: 5.5, 41.9), and DCR was 61.9% (95% CI: 38.4, 81.9). The exposure of KN026 and T1/2 increased with dose escalation. Accumulation ratio of Cmax and AUC was 1.18-1.42 and 1.14-1.71. The concentration of Ctrough was over 20μM at all dose levels. There was only one positive ADA sample in 20 mg/kg group in C1D1. And the RP2D was 20mg/kg Q2W or 30mg/kg Q3W. Conclusion KN026 was well tolerated and showed the promising anti-tumor activity in US pts with HER2 expression. Besides, KN026 has well pharmacokinetic profile and favorable immunogenicity.
摘要背景KN026是一种新型双特异性抗体,同时与两个不同的HER2表位结合,这两个表位与曲妥珠单抗(ECD4)和帕妥珠单抗(经合2)是相同的结构域。在临床前研究中,它显示出比单特异性HER2抗体更高的最大结合,并有利于HER2受体的交联可以增强受体的内化。KN026能显著抑制人癌症细胞系的生长,并对不同的异种移植物模型表现出明显的抗肿瘤活性。据报道,KN026在具有HER2表达的中国癌症患者(pts)中具有令人鼓舞的疗效和可管理的安全性,并且正在对癌症进行ph3研究(NCT05427383)。方法在美国进行的I期剂量递增研究(NCT03847168)中,招募了对标准治疗无效或不合格的HER2表达的晚期实体瘤患者。所有患者静脉注射KN026单药治疗,递增剂量为10 mg/kg(QW)、20 mg/kg(Q2W)或30 mg/kg(Q3W)。剂量递增遵循标准的“3+3”设计。扩建由安全监测委员会(SMC)决定。主要目的是评估KN026的安全性和耐受性,并确定MTD和/或RP2D。安全性根据CTCAE v5.0进行评估,疗效通过RECIST 1.1进行评估。结果共有22例患者在治疗前平均有4条线,其中5例为癌症患者,3例为胃或胃食管交界癌症患者,14例为其他实体瘤患者。疗效分析包括21例患者。中位年龄为57.0岁(47-79岁),其中8名男性和14名女性,大多数患者为高加索人(72.7%)。3名、10名(扩张期7名)和9名(扩张阶段6名)患者分别接受10mg/kg、20mg/kg和30mg/kg的治疗。未观察到剂量限制性毒性(DLTs),也未达到MTD。20例(90.9%)发生TRAE,常见(≥20%)的TRAE为腹泻(45.5%)、疲劳(40.9%)、发冷(36.4%)和恶心(27.3%)。大多数TRAE为Gr 1-2,只有3例(13.6%)出现≥Gr 3 TRAE(贫血、疲劳和肺炎),未停药和KN026引起的死亡。21例患者中有4例(1例10mg/kg,2例20mg/kg,1例30mg/kg)达到了客观反应(ORR 19.0%,95%CI:5.5,41.9),DCR为61.9%(95%CI:38.4,81.9)。KN026和T1/2的暴露量随着剂量的增加而增加。Cmax和AUC的累积比分别为1.18-1.42和1.14-1.71。在所有剂量水平下,Ctrough的浓度均超过20μM。在20 mg/kg组中,C1D1中只有一个ADA阳性样本。RP2D为20mg/kg Q2W或30mg/kg Q3W。结论KN026对HER2表达的US患者具有良好的耐受性和良好的抗肿瘤活性。此外,KN026具有良好的药代动力学特性和良好的免疫原性。
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引用次数: 0
A mammalian cell display platform based on scFab transposition. 基于 scFab 转座的哺乳动物细胞展示平台。
Q2 Medicine Pub Date : 2023-05-26 eCollection Date: 2023-07-01 DOI: 10.1093/abt/tbad009
Jing Chang, Christoph Rader, Haiyong Peng

In vitro display technologies have been successfully utilized for the discovery and evolution of monoclonal antibodies (mAbs) for diagnostic and therapeutic applications, with phage display and yeast display being the most commonly used platforms due to their simplicity and high efficiency. As their prokaryotic or lower eukaryotic host organisms typically have no or different post-translational modifications, several mammalian cell-based display and screening technologies for isolation and optimization of mAbs have emerged and are being developed. We report here a novel and useful mammalian cell display platform based on the PiggyBac transposon system to display mAbs in a single-chain Fab (scFab) format on the surface of HEK293F cells. Immune rabbit antibody libraries encompassing ~7 × 107 independent clones were generated in an all-in-one transposon vector, stably delivered into HEK293F cells and displayed as an scFab with rabbit variable and human constant domains. After one round of magnetic activated cell sorting and two rounds of fluorescence activated cell sorting, mAbs with high affinity in the subnanomolar range and cross-reactivity to the corresponding human and mouse antigens were identified, demonstrating the power of this platform for antibody discovery. We developed a highly efficient mammalian cell display platform based on the PiggyBac transposon system for antibody discovery, which could be further utilized for humanization as well as affinity and specificity maturation.

体外展示技术已成功用于诊断和治疗用单克隆抗体(mAbs)的发现和进化,其中噬菌体展示和酵母展示因其简单高效而成为最常用的平台。由于其原核或低等真核宿主生物通常没有或有不同的翻译后修饰,一些基于哺乳动物细胞的展示和筛选技术已经出现并正在开发中,用于分离和优化 mAbs。我们在此报告一种基于 PiggyBac 转座子系统的新颖实用的哺乳动物细胞展示平台,该平台可在 HEK293F 细胞表面以单链 Fab(scFab)格式展示 mAbs。免疫兔抗体文库包括约 7 × 107 个独立克隆,由一体化转座子载体生成,稳定地传递到 HEK293F 细胞中,并显示为具有兔可变结构域和人恒定结构域的 scFab。经过一轮磁激活细胞分选和两轮荧光激活细胞分选后,鉴定出了亚纳摩尔范围内亲和力高且与相应的人和小鼠抗原有交叉反应的 mAbs,证明了这一平台在抗体发现方面的强大功能。我们开发了一种基于 PiggyBac 转座子系统的高效哺乳动物细胞展示平台,用于发现抗体,并可进一步用于人源化以及亲和性和特异性成熟。
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引用次数: 0
TransMHCII: a novel MHC-II binding prediction model built using a protein language model and an image classifier. TransMHCII:利用蛋白质语言模型和图像分类器建立的新型 MHC-II 结合预测模型。
Q2 Medicine Pub Date : 2023-05-14 eCollection Date: 2023-04-01 DOI: 10.1093/abt/tbad011
Xin Yu, Christopher Negron, Lili Huang, Geertruida Veldman

The emergence of deep learning models such as AlphaFold2 has revolutionized the structure prediction of proteins. Nevertheless, much remains unexplored, especially on how we utilize structure models to predict biological properties. Herein, we present a method using features extracted from protein language models (PLMs) to predict the major histocompatibility complex class II (MHC-II) binding affinity of peptides. Specifically, we evaluated a novel transfer learning approach where the backbone of our model was interchanged with architectures designed for image classification tasks. Features extracted from several PLMs (ESM1b, ProtXLNet or ProtT5-XL-UniRef) were passed into image models (EfficientNet v2b0, EfficientNet v2m or ViT-16). The optimal pairing of the PLM and image classifier resulted in the final model TransMHCII, outperforming NetMHCIIpan 3.2 and NetMHCIIpan 4.0-BA on the receiver operating characteristic area under the curve, balanced accuracy and Jaccard scores. The architecture innovation may facilitate the development of other deep learning models for biological problems.

AlphaFold2 等深度学习模型的出现彻底改变了蛋白质的结构预测。尽管如此,仍有许多问题有待探索,尤其是如何利用结构模型预测生物特性。在本文中,我们介绍了一种利用从蛋白质语言模型(PLM)中提取的特征来预测肽的主要组织相容性复合体 II 类(MHC-II)结合亲和力的方法。具体来说,我们评估了一种新颖的迁移学习方法,在这种方法中,我们模型的主干与为图像分类任务设计的架构进行了互换。从多个 PLM(ESM1b、ProtXLNet 或 ProtT5-XL-UniRef)中提取的特征被传递到图像模型(EfficientNet v2b0、EfficientNet v2m 或 ViT-16)中。PLM 和图像分类器的最佳配对产生了最终的 TransMHCII 模型,该模型在接收器工作特征曲线下面积、平衡准确度和 Jaccard 分数方面优于 NetMHCIIpan 3.2 和 NetMHCIIpan 4.0-BA。这一架构创新可能会促进针对生物问题的其他深度学习模型的开发。
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引用次数: 0
Characterization of HZ0412a, a novel potent humanized anti-IL-6 receptor antibody that blocks IL-6R binding to gp130. 阻断IL-6R与gp130结合的新型强效人源抗il -6受体抗体HZ0412a的鉴定
Q2 Medicine Pub Date : 2023-04-01 DOI: 10.1093/abt/tbad008
Jianzhong Han, Xiaolei Liu, Yue Xu, Qian Wang, Li Li, Kehe Du, Chenchen Li, Hongjun Liu, Yu Chen, Jian Huang

Dysregulated elevation of interleukin-6 (IL-6) signaling is implicated in the pathogenesis of multiple pathophysiological states, and the functional neutralization of the IL-6 pathway with monoclonal antibodies has been proven an effective therapeutic method in treating various diseases with abnormally enhanced IL-6 signaling, and its clinical indications are expanding. Here, we report that by using the conventional hybridoma technology and humanization mutation method, we develop a novel humanized anti-IL-6 receptor (IL-6R) antibody-namely, HZ0412a. In our study, we found that HZ0412a exhibits higher binding affinity to soluble recombinant human IL-6R than tocilizumab. Importantly, in contrast to tocilizumab-a humanized anti-IL-6R antibody approved by the US Food and Drug Administration for the treatment of rheumatoid arthritis, juvenile idiopathic arthritis, giant cell arteritis and Castleman's disease-HZ0412a does not significantly affect the binding of IL-6 to IL-6R. Further analysis revealed that HZ0412a prevents IL-6R from binding to gp130 in vitro, while tocilizumab has a minimal effect under the same condition. Using various cell-based assays, we demonstrate that HZ0412a is noninferior to tocilizumab in inhibiting IL-6 signaling. Finally, we showed that HZ0412a is well tolerated in cynomolgus monkeys after a single subcutaneous injection at a dose of 1 or 5 mg/kg. Taken together, our results indicated that HZ0412a targets an epitope on human IL-6R that is different from that of tocilizumab, and the epitope region is essential for the interaction between IL-6R and gp130. This distinctive mode of action plus its high affinity to IL-6R led to the high potency of HZ0412a in suppressing in vitro IL-6 signaling.

白细胞介素-6 (IL-6)信号异常升高参与多种病理生理状态的发病机制,单克隆抗体功能性中和IL-6通路已被证明是治疗多种IL-6信号异常增强疾病的有效方法,其临床适应症正在扩大。本研究利用传统杂交瘤技术和人源化突变方法,开发了一种新的人源化抗il -6受体(IL-6R)抗体HZ0412a。在我们的研究中,我们发现HZ0412a比tocilizumab对可溶性重组人IL-6R具有更高的结合亲和力。重要的是,与tocilizumab(一种被美国食品和药物管理局批准用于治疗类风湿关节炎、青少年特发性关节炎、巨细胞动脉炎和Castleman病的人源化抗IL-6R抗体)相比,hz0412a对IL-6与IL-6R的结合没有显著影响。进一步分析显示,HZ0412a在体外可阻止IL-6R与gp130结合,而tocilizumab在相同条件下的作用很小。通过各种基于细胞的实验,我们证明HZ0412a在抑制IL-6信号传导方面不逊于托珠单抗。最后,我们发现,单次皮下注射剂量为1或5 mg/kg的HZ0412a后,食蟹猴对HZ0412a具有良好的耐受性。综上所述,我们的研究结果表明,HZ0412a靶向的人IL-6R的表位与托珠单抗不同,并且该表位区域对于IL-6R与gp130的相互作用至关重要。这种独特的作用模式加上其对IL-6R的高亲和力导致HZ0412a在体外抑制IL-6信号传导方面具有很高的效力。
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引用次数: 1
Thanks to Our Reviewers in 2022. 感谢我们2022年的审稿人。
Q2 Medicine Pub Date : 2023-04-01 DOI: 10.1093/abt/tbad005
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引用次数: 0
Current status of drug development for patients with multiple myeloma: a review of comparison in China and the rest of world. 多发性骨髓瘤药物开发现状:中国与世界比较综述
Q2 Medicine Pub Date : 2023-04-01 DOI: 10.1093/abt/tbad010
Lei Huang, Jingyu Zhang, Elizabeth Punnoose, Zhenyu Xiao, Wenjin Li

Multiple myeloma (MM) is a highly heterogeneous malignancy. The treatment of MM has been significantly advanced in recent years. B cell maturation antigen (BCMA)-targeted immunotherapy and chimeric antigen receptor T (CAR-T) cell therapy have been approved for the treatment of relapsed and refractory MM (RRMM), which will be launched in China shortly. The CD38 (cluster of differentiation 38) antibody, daratumumab, improves the clinical outcomes both RRMM and newly diagnosed MM patients. The combination of daratumumab, bortezomib and dexamethasone achieved favorable outcomes as the first-line therapy in China. However, high-risk patients have limited benefits from these advanced therapeutics, and usually relapse early, progressing into aggressive end-stage MM. Therefore, novel therapies are sought to improve the cancer prognosis in these patients. This review furnishes an overview of the recent clinical developments of these novel drugs and compares the drug candidates under development in China to the rest of the world.

多发性骨髓瘤(MM)是一种高度异质性的恶性肿瘤。近年来,多发性骨髓瘤的治疗取得了显著进展。B细胞成熟抗原(BCMA)靶向免疫疗法和嵌合抗原受体T (CAR-T)细胞疗法已被批准用于治疗复发和难治性MM (RRMM),即将在中国上市。CD38 (cluster of differentiation 38)抗体daratumumab可改善RRMM和新诊断MM患者的临床预后。达拉单抗联合硼替佐米和地塞米松作为一线治疗在中国取得了良好的效果。然而,高风险患者从这些先进的治疗方法中获益有限,并且通常早期复发,进展为侵袭性终末期MM。因此,寻求新的治疗方法来改善这些患者的癌症预后。本综述概述了这些新药的近期临床发展,并将中国正在开发的候选药物与世界其他地区进行了比较。
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引用次数: 0
Preclinical evaluation of ISH0339, a tetravalent broadly neutralizing bispecific antibody against SARS-CoV-2 with long-term protection. 具有长期保护作用的抗SARS-CoV-2四价宽中和双特异性抗体ISH0339的临床前评价
Q2 Medicine Pub Date : 2023-04-01 DOI: 10.1093/abt/tbad003
Huabing Yang, Yuxin Chen, Dongcheng Jiang, Xiaoli Feng, Ying Xu, Jiayu Wei, Qingcui Zou, Qiaojiang Yang, Jihong Chen, Xiaoling Jiang, Chunling Qin, Zhenzhen Huang, Chongbing Wu, Ying Zhou, Minghua Li, Liusong Yin

Background: Ending the global COVID-19 pandemic requires efficacious therapies against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Nevertheless, the emerging Omicron sublineages largely escaped the neutralization of current authorized monoclonal antibody therapies. Here we report a tetravalent bispecific antibody ISH0339, as a potential candidate for long-term and broad protection against COVID-19.

Methods: We report here the making of ISH0339, a novel tetravalent bispecific antibody composed of a pair of non-competing neutralizing antibodies that binds specifically to two different neutralizing epitopes of SARS-CoV-2 receptor-binding domain (RBD) and contains an engineered Fc region for prolonged antibody half-life. We describe the preclinical characterization of ISH0339 and discuss its potential as a novel agent for both prophylactic and therapeutic purposes against SARS-CoV-2 infection.

Results: ISH0339 bound to SARS-CoV-2 RBD specifically with high affinity and potently blocked the binding of RBD to the host receptor hACE2. ISH0339 demonstrated greater binding, blocking and neutralizing efficiency than its parental monoclonal antibodies, and retained neutralizing ability to all tested SARS-CoV-2 variants of concern. Single dosing of ISH0339 showed potent neutralizing activity for treatment via intravenous injection and for prophylaxis via nasal spray. Preclinical studies following single dosing of ISH0339 showed favorable pharmacokinetics and well-tolerated toxicology profile.

Conclusion: ISH0339 has demonstrated a favorable safety profile and potent anti-SARS-CoV-2 activities against all current variants of concern. Furthermore, prophylactic and therapeutic application of ISH0339 significantly reduced the viral titer in lungs. Investigational New Drug studies to evaluate the safety, tolerability and preliminary efficacy of ISH0339 for both prophylactic and therapeutic purposes against SARS-CoV-2 infection have been filed.

背景:结束全球COVID-19大流行需要针对严重急性呼吸综合征冠状病毒2 (SARS-CoV-2)的有效治疗。然而,新出现的Omicron亚谱系在很大程度上逃脱了当前授权的单克隆抗体治疗的中和。在这里,我们报告了一种四价双特异性抗体ISH0339,作为长期和广泛保护COVID-19的潜在候选抗体。方法:我们在此报道了ISH0339的制备,ISH0339是一种新型四价双特异性抗体,由一对非竞争性中和抗体组成,可特异性结合SARS-CoV-2受体结合域(RBD)的两个不同中和表位,并含有一个工程Fc区,可延长抗体半衰期。我们描述了ISH0339的临床前特征,并讨论了其作为预防和治疗SARS-CoV-2感染的新型药物的潜力。结果:ISH0339以高亲和力特异性结合SARS-CoV-2 RBD,有效阻断RBD与宿主受体hACE2的结合。ISH0339表现出比亲本单克隆抗体更高的结合、阻断和中和效率,并保留了对所有检测的SARS-CoV-2变体的中和能力。单次给药ISH0339在静脉注射治疗和鼻喷剂预防中显示出有效的中和活性。单次给药ISH0339后的临床前研究显示出良好的药代动力学和耐受性良好的毒理学特征。结论:ISH0339已显示出良好的安全性和对所有当前关注的sars - cov -2变体的有效抗活性。此外,预防性和治疗性应用ISH0339可显著降低肺部病毒滴度。用于评估ISH0339预防和治疗SARS-CoV-2感染的安全性、耐受性和初步疗效的研究性新药研究已经提交。
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引用次数: 0
Development of neutralizing antibodies against SARS-CoV-2, using a high-throughput single-B-cell cloning method. 利用高通量单b细胞克隆方法制备抗SARS-CoV-2的中和抗体。
Q2 Medicine Pub Date : 2023-04-01 DOI: 10.1093/abt/tbad002
Yang Dou, Ke Xu, Yong-Qiang Deng, Zijing Jia, Jun Lan, Xiaoyu Xu, Guorui Zhang, Tianshu Cao, Pan Liu, Xiangxi Wang, Xinquan Wang, Lingjie Xu, Pan Du, Cheng-Feng Qin, Hong Liu, Yafeng Li, Guizhen Wu, Kang Wang, Bai Lu

Background: Rapid and efficient strategies are needed to discover neutralizing antibodies (nAbs) from B cells derived from virus-infected patients.

Methods: Here, we report a high-throughput single-B-cell cloning method for high-throughput isolation of nAbs targeting diverse epitopes on the SARS-CoV-2-RBD (receptor binding domain) from convalescent COVID-19 patients. This method is simple, fast and highly efficient in generating SARS-CoV-2-neutralizing antibodies from COVID-19 patients' B cells.

Results: Using this method, we have developed multiple nAbs against distinct SARS-CoV-2-RBD epitopes. CryoEM and crystallography revealed precisely how they bind RBD. In live virus assay, these nAbs are effective in blocking viral entry to the host cells.

Conclusion: This simple and efficient method may be useful in developing human therapeutic antibodies for other diseases and next pandemic.

背景:需要快速有效的策略从病毒感染患者的B细胞中发现中和抗体(nab)。方法:本文报道了一种高通量单b细胞克隆方法,用于高通量分离针对COVID-19恢复期患者SARS-CoV-2-RBD(受体结合域)不同表位的nab。该方法简单、快速、高效地从COVID-19患者的B细胞中生成sars - cov -2中和抗体。结果:利用该方法,我们开发了针对不同SARS-CoV-2-RBD表位的多个nab。低温电镜和晶体学精确地揭示了它们是如何结合RBD的。在活病毒实验中,这些nab能有效阻断病毒进入宿主细胞。结论:该方法简便有效,可用于其它疾病和下一次大流行的人类治疗性抗体的研制。
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引用次数: 0
Beyond antibody fucosylation: α-(1,6)-fucosyltransferase (Fut8) as a potential new therapeutic target for cancer immunotherapy. 超越抗体聚焦化:α-(1,6)-聚焦转移酶(Fut8)作为癌症免疫治疗的潜在新靶点。
Q2 Medicine Pub Date : 2023-04-01 DOI: 10.1093/abt/tbad004
Changchuin Mao, Jun Li, Lili Feng, Wenda Gao

Aberrant post-translational glycosylation is a well-established hallmark of cancer. Altered core fucosylation mediated by α-(1,6)-fucosyltransferase (Fut8) is one of the key changes in tumor glycan patterns that contributes to neoplastic transformation, tumor metastasis, and immune evasion. Increased Fut8 expression and activity are associated with many types of human cancers, including lung, breast, melanoma, liver, colorectal, ovarian, prostate, thyroid, and pancreatic cancer. In animal models, inhibition of Fut8 activity by gene knockout, RNA interference, and small analogue inhibitors led to reduced tumor growth/metastasis, downregulation of immune checkpoint molecules PD-1, PD-L1/2, and B7-H3, and reversal of the suppressive state of tumor microenvironment. Although the biologics field has long benefited tremendously from using FUT8 -/- Chinese hamster ovary cells to manufacture IgGs with greatly enhanced effector function of antibody-dependent cellular cytotoxicity for therapy, it is only in recent years that the roles of Fut8 itself in cancer biology have been studied. Here, we summarize the pro-oncogenic mechanisms involved in cancer development that are regulated by Fut8-mediated core fucosylation, and call for more research in this area where modifying the activity of this sole enzyme responsible for core fucosylation could potentially bring rewarding surprises in fighting cancer, infections, and other immune-related diseases.

异常的翻译后糖基化是癌症的一个公认的标志。α-(1,6)-聚焦转移酶(Fut8)介导的核心聚焦化改变是肿瘤聚糖模式的关键变化之一,有助于肿瘤转化、肿瘤转移和免疫逃避。Fut8表达和活性的增加与许多类型的人类癌症有关,包括肺癌、乳腺癌、黑色素瘤、肝癌、结肠直肠癌、卵巢癌、前列腺癌、甲状腺癌和胰腺癌。在动物模型中,通过基因敲除、RNA干扰和小型类似物抑制剂抑制Fut8活性导致肿瘤生长/转移减少,免疫检查点分子PD-1、PD-L1/2和B7-H3下调,肿瘤微环境抑制状态逆转。长期以来,利用FUT8 -/-中国仓鼠卵巢细胞制造具有抗体依赖性细胞毒性效应功能的igg用于治疗,使生物制剂领域受益匪浅,但FUT8本身在癌症生物学中的作用直到近年才得到研究。在这里,我们总结了由fut8介导的核心聚焦化调节的癌症发展的促癌机制,并呼吁在这一领域进行更多的研究,修改这种负责核心聚焦化的唯一酶的活性可能会在对抗癌症、感染和其他免疫相关疾病方面带来惊喜。
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引用次数: 0
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Antibody Therapeutics
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