Abstract

Simple SummaryHaematological malignancies show a constantly growing incidence, accounting for 6.5% of new cancer cases worldwide. Among them, B-cell neoplasms often show resistance to conventional chemotherapy that is also associated with numerous adverse effects. Therefore, in order for the treatment outcome to be improved, the development of new safe and effective targeted therapeutic approaches represents a main challenge. In this regard, nucleic acid aptamers are very attractive molecules. Indeed, they show high affinity and specificity for their target, increased tumour penetration, and low toxicity. Recently, CD19 has emerged as a key surface marker of malignant B cells, suitable for the development of new compounds for malignant B-cell targeting. Here, we isolated an RNA aptamer targeting the human CD19 antigen on malignant B cells that was able to rapidly internalise into target cells. Therefore, it represents a useful carrier for secondary reagents and a promising tool for the development of new safe and effective targeted therapies for B-cell malignancy treatment.The transmembrane glycoprotein cluster of differentiation 19 (CD19) is a B cell–specific surface marker, expressed on the majority of neoplastic B cells, and has recently emerged as a very attractive biomarker and therapeutic target for B-cell malignancies. The development of safe and effective ligands for CD19 has become an important need for the development of targeted conventional and immunotherapies. In this regard, aptamers represent a very interesting class of molecules. Additionally referred to as ‘chemical antibodies’, they show many advantages as therapeutics, including low toxicity and immunogenicity. Here, we isolated a nuclease-resistant RNA aptamer binding to the human CD19 glycoprotein. In order to develop an aptamer also useful as a carrier for secondary reagents, we adopted a cell-based SELEX (Systematic Evolution of Ligands by EXponential Enrichment) protocol adapted to isolate aptamers able to internalise upon binding to their cell surface target. We describe a 2′-fluoro pyrimidine modified aptamer, named B85.T2, which specifically binds to CD19 and shows an exquisite stability in human serum. The aptamer showed an estimated dissociation constant (KD) of 49.9 ± 13 nM on purified human recombinant CD19 (rhCD19) glycoprotein, a good binding activity on human B-cell chronic lymphocytic leukaemia cells expressing CD19, and also an effective and rapid cell internalisation, thus representing a promising molecule for CD19 targeting, as well as for the development of new B-cell malignancy-targeted therapies.

Highlights

  • cluster of differentiation 19 (CD19) is a B cell-specific type I transmembrane glycoprotein, belonging to the immunoglobulin (Ig) superfamily, which functions as a major co-stimulatory molecule for the amplification of the B-cell receptor (BCR)-dependent responses

  • For the selection of RNA aptamers binding to human CD19 glycoprotein, we adopted a variant of the conventional cell-SELEX procedure, enriching for aptamers undergoing rapid intracellular uptake (‘cell-internalising SELEX’) [17]

  • In order to enrich for cell-internalising aptamers, we fulfilled two additional rounds in which, downstream of the positive selection step, we introduced a treatment with proteinase K (PK), depleting for aptamers bound to

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Summary

Introduction

CD19 is a B cell-specific type I transmembrane glycoprotein, belonging to the immunoglobulin (Ig) superfamily, which functions as a major co-stimulatory molecule for the amplification of the B-cell receptor (BCR)-dependent responses. The expression of CD19 is maintained during malignant transformation of B cells, and it is found highly expressed in the majority of B cell-derived malignancies [4,5,6], but not in other normal body tissues or cells. Given the restricted lineage expression, CD19 has emerged as an attractive targetable marker for B-cell malignancy diagnosis and treatment [7,8]. CD19 is, for instance, the target antigen of blinatumomab (Blincyto), a CD19-CD3 bispecific antibody, and of Tisagenlecleucel (CTL019), a CAR-T product, both approved by the FDA for the treatment of relapsed and refractory B cell acute lymphocytic leukaemia (B-ALL) by immunotherapy [9,10,11]. Given the capacity to induce ligand internalisation, CD19 is a suitable target for the development of innovative molecules for the targeted delivery of secondary reagents for diagnostic or therapeutic purposes

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