Specific Tumor-associated Antigens Research Articles

T-cell engagers: model interrogation as a tool to quantify the interplay of relative affinity and target expression on trimer formation.

T-cell engagers (TCEs) represent a promising therapeutic strategy for various cancers and autoimmune disorders. These bispecific antibodies act as bridges, connecting T-cell receptors (TCRs) to target cells (either malignant or autoreactive) via interactions with specific tumour-associated antigens (TAAs) or autoantigens to form trimeric synapses, or trimers, that co-localise T-cells with target cells and stimulate their cytotoxic function. Bispecific TCEs are expected to exhibit a bell-shaped dose-response curve, with a defined optimal TCE exposure for maximizing trimer formation. The shape of the dose-response is determined by a non-trivial interplay of binding affinities, exposure and antigens expression levels. Furthermore, excessively low binding to the TCR may reduce efficacy, but mitigate risk of over-stimulating cytokine secretion or induce effector cell exhaustion. These inevitable trade-off highlights the importance of quantitatively understanding the relationship between TCE concentration, target expression, binding affinities, and trimer formation. We utilized a mechanistic target engagement model to show that, if the TCE design parameters are close to the recommended ranges found in the literature, relative affinities for TCR, TAA and target expression levels have qualitatively different, but predictable, effects on the resulting dose-response curve: higher expression levels shift the curve upwards, higher antigen affinity shifts the curve to the left, and higher TCR affinity shifts the curve upwards and to the left.

Current Status and Future Perspectives of Antibody-Drug Conjugates in Hormone Receptor-Positive Breast Cancer.

Breast cancer is the most common cancer type in women. The vast majority of breast cancer patients have hormone receptor-positive (HR+) tumors. In advanced HR+ breast cancer, the combination of endocrine therapy with cyclin-dependent kinase 4/6 (CDK4/6) inhibitors is considered the standard of care in the front-line setting. Nevertheless, resistance to hormonal therapy and CDK4/6 inhibitors eventually occurs, leading to progression of the disease. Antibody-drug conjugates (ADCs) comprise a promising therapeutic choice with significant efficacy in patients with HR+ breast cancer, which is resistant to endocrine treatment. ADCs typically consist of a cytotoxic payload attached by a linker to a monoclonal antibody that targets a specific tumor-associated antigen, offering the advantage of a more selective delivery of chemotherapy to cancer cells. In this review, we focus on the ADC mechanisms of action, their toxicity profile and therapeutic uses as well as on related biomarkers and future perspectives in advanced HR+ breast cancer.

Abstract LB063: Anti-tumor activity in preclinical models utilizing a conditional bispecific redirected activation molecule (COBRA) targeting Her2

Abstract Among strategies to recruit cytotoxic T-cells into the tumor micro-environment (TME) are the use of T-cell engager molecules. One such therapeutic modality are molecules that recognize specific tumor associated antigens (TAA) but are activated preferentially in the TME. Conditional Bispecific Redirected Activation molecules (COBRA) are designed to be administered as a prodrug, and cleaved via matrix metalloproteinase to engage with both a tumor TAA and CD3 (Panachi, et.al. MAbs 2020 12(1) 1792130). In this study, we sought to determine the preclinical efficacy of a COBRA molecule targeting the Her2 receptor. Sub-cutaneous xenograft models (SCID mice using adoptive T-cell transfer) were utilized representing various levels of the TAA (HT-55, SNU-16, JIMT-1, and HCC827) to measure both efficacy and mechanism of action (T-cell extravasation). The COBRA molecule was dosed at 0.03, 0.1, 0.3, and 1 mg/kg using a Q3dx7 schedule. A non-cleavable COBRA molecule with the Her2 TAA was included as a control at 1 mg/kg. Efficacy was determined by caliper measurements of sub-cutaneous tumor size twice per week after dosing, and T-cell extravasation into the TME was measured by immunohistochemistry (IHC) at days 10, 19, and termination. IHC data was quantified using HALO imaging software. In our study, we measured dose-dependent tumor regression and/or stasis in all models tested. No anti-tumor activity was measured after dosing with the non-cleavable COBRA molecule. T-cell extravasation as measured by IHC and Halo analysis followed a dose and time dependent course. Comparison of Day 19 T-cell extravasation (one day after the last dose) showed a linear relationship to TAA expression. Our data indicate that treatment with a COBRA molecule in preclinical models with a Her2 TAA results in anti-tumor activity as measured by tumor stasis/regression, and exhibit the expected mechanism of action as evaluated by T-cell extravasation into the TME. Citation Format: Bradley Stringer, Johara Chouitar, Jacqualine Cerbone, Sarah Fortin, Alina Ainbinder, Cassie Kysilovsky, Brittany Scott, Antara Banerjee. Anti-tumor activity in preclinical models utilizing a conditional bispecific redirected activation molecule (COBRA) targeting Her2 [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 2 (Late-Breaking, Clinical Trial, and Invited Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(7_Suppl):Abstract nr LB063.

Abstract 6748: Intramuscular delivery of tumor associated antigen DNA vaccines elicits strong cellular immune response, delays tumor growth and prolongs survival

Abstract The development of effective cancer vaccines that can trigger strong and enduring memory T cell responses against specific tumor associated antigens (TAAs) is crucial for advancing immunotherapy. DNA-based cancer vaccines have shown promise in generating precise and long-lasting immune responses. In particular DNA vaccines are capable of inducing both humoral and cellular immune responses. In this study, we aimed to investigate the effectiveness of DNA vaccines targeting the mouse Tyrosine-related protein-2 (Trp2) and human New York esophageal squamous cell carcinoma 1 (NY-ESO-1) TAAs in mouse melanoma model. These DNA vaccines were formulated with a functionalized polymer designed to protect DNA from degradation and improve its bioavailability. DNA vaccines targeting both mouse Trp2 (pVACTR) and human NYESO-1 (pVACNY) were constructed. A mouse melanoma cell line (B16F10-NY) overexpressing human NYESO-1 was also generated and demonstrated to induce tumors in C57BL/6 mice. Female C57BL/6 mice received two doses of intramuscular (i.m.) injection of formulated pVACTR or pVACNY or a combination thereof, formulated with the synthetic functionalized polymer, with a 3-week interval. The DNA vaccination induced a potent T cell response, as evidenced by ELISPOT assays showing strong IFN-γ secreting T cells against NYESO-1 and Trp2. Flow cytometry analysis of spleenocytes showed strong IFN-γ and TNF-α secreting CD4 T cells against NYESO-1. We further evaluated the prophylactic and therapeutic efficacy of DNA vaccines targeting both Trp2 and NYESO-1 using a murine syngeneic model. Animals were challenged with a lethal dose of B16F10-NY two weeks after the second immunization exhibited a significant (p<0.0001) delay in tumor progression and a substantial increase in survival compared to the mock control group. In the therapeutic testing, animals challenged with B16F10-NY and subsequently vaccinated at 4, 11, and 25 days also demonstrated delayed tumor growth and prolonged survival. These findings indicate that formulated DNA vaccine delivered via i.m. triggers robust T cell responses and exhibit both prophylactic and therapeutic efficacy, leading to significantly prolonged survival and delayed tumor growth. A DNA-based vaccine independent of viral vector or device has potential to elicit potent anti-tumor responses with better safety and compliance. Citation Format: Kempaiah Rayavara, John Henderson, Meredyth Kinsella, Jessica Kim, Majed Matar, Subeena Sood, Olivia Signer, Chelsey Bellmon, Corinne Le Goff, Khursheed Anwer, Jean Boyer. Intramuscular delivery of tumor associated antigen DNA vaccines elicits strong cellular immune response, delays tumor growth and prolongs survival [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2024; Part 1 (Regular Abstracts); 2024 Apr 5-10; San Diego, CA. Philadelphia (PA): AACR; Cancer Res 2024;84(6_Suppl):Abstract nr 6748.

Antigen Self-Presented Personalized Nanovaccines Boost the Immunotherapy of Highly Invasive and Metastatic Tumors.

Dendritic cell (DC)-based vaccines have shown promise in adoptive cell therapy for enhancing the antigen-specific response of antitumor immunity. However, their clinical efficacy is limited by the less-presented tumor-associated antigens (TAAs) through MHC I and low lymph node homing efficiency. Herein, to address these issues, we rationally design and fabricate DC-based nanovaccines by coating Cu2-xSe nanoparticles (CS NPs) with the membrane of matured DCs (named as DCNV(CSD) nanovaccines). We reveal the important roles of CS NPs in the DCNV(CSD) nanovaccines from three aspects: (1) inducing the immunogenic cell death of tumor cells to expose abundant TAAs; (2) promoting the escape of TAAs from the lysosomes of DCs during the antigen presenting process through MHC I; (3) sustainably releasing traces of copper ions to promote the proliferation of T cells. Our DCNV(CSD) nanovaccines are characterized with high expressions of MHC I, CD80, CD86, CCR7, and ICAM-1 proteins, which not only endow them with abundantly processed specific TAAs, but also a strong capability of homing to the lymph nodes. The homing capability of our small DCNV(CSD) nanovaccines is better than that of matured DCs. More importantly, they can elicit the strong response of potent antispecific CD8+ T cells for antitumor immunotherapy, as tested in the treatment of highly invasive glioblastoma and highly metastatic melanoma. Additionally, DCNV(CSD) nanovaccines can generate memory T cells (TEM) in the spleen of mice to effectively prevent the recurrence of treated tumors. This work demonstrates a universal approach to fabricate high-performance DC-based nanovaccines for tumor immunotherapy by using versatile CS NPs.

CAR-T Cell Therapy: Revolutionizing Cancer Treatment with Engineered Immune Cells

CAR-T cell therapy, a revolutionary immunotherapy approach utilizes gene-engineered T cells to recognize and eliminate cancer cells. The CAR is engineered to recognize specific tumor-associated antigens, enabling T cells to effectively recognize and destroy cancer cells. Mostly, the cell for CAR-T cell therapy is collected from the patient which lead to a high individual. Then, the artificially engineered cells which express CAR, expand and culture in the laboratory. Finally, the CAR-T cells are sent back into the patient. This personalized therapy has shown remarkable success in treating hematological malignancies. Till now, there are shortages remaining in extending solid tumor application of it, since the potential side effects, including CRS and neurotoxicity. These challenges limit clinical usage and more waiting to be solved. In this paper, we aim to introduce CAR-T therapy and optimize CAR design, improve manufacturing processes, and explore combination therapies to enhance the efficacy and safety of it.

Application And Research Progress of T Cells in Immunotherapy in Cancer Treatment

Chimeric Antigen Receptor T-cell therapy (CAR-T) has emerged as a revolutionary approach in cancer treatment, offering hope to patients with previously untreatable malignancies. This review paper provides a comprehensive overview of CART therapy, covering its structure, working mechanism, clinical applications, and strategies to mitigate adverse effects. Firstly, we delve into the structural intricacies of CAR-T cells, exploring how they are genetically engineered to express chimeric antigen receptors that enable them to target specific tumor-associated antigens. The paper elucidates the mechanisms by which CAR-T cells recognize and eliminate cancer cells, including the activation of immune responses and the production of cytokines. Next, we present an in-depth analysis of CAR-T cell therapy in clinical practice, highlighting its remarkable successes in treating various hematological malignancies and solid tumors. The review discusses the challenges associated with manufacturing, patient selection, and long-term persistence of CAR-T cells in vivo. Finally, we address the adverse effects associated with CAR-T therapy, such as cytokine release syndrome and neurotoxicity, and propose strategies to mitigate these side effects. These include the use of pharmacological interventions, patient monitoring, and the development of novel CAR-T cell constructs with improved safety profiles. In summary, this review paper provides a comprehensive and up-to-date perspective on CAR-T cell therapy, emphasizing its potential to transform the landscape of cancer treatment while addressing the challenges and risks that accompany this groundbreaking approach.

Identifying Tumor-Specific Immune Response and Biomarkers of High-Risk Hodgkin Lymphoma Patients Treated with and without Brentuximab on Children's Oncology Group Trial AHOD1331

Introduction: There is an unmet need to examine anti-tumor immune responses and predictive biomarkers in the peripheral blood to guide effective combination immunotherapies in classic Hodgkin Lymphoma (cHL). We hypothesized that treatment with the anti-CD30 antibody drug conjugate brentuximab vedotin (Bv) in combination with chemotherapy will have dual therapeutic effects in HL, with direct antiproliferative effects and a restoration of favorable tumor specific cytotoxic T cell immune response. We evaluated tumor-specific cytotoxic T cell response, cytokine and chemokine milieu in the peripheral blood of pediatric patients with HL before and after treatment with either standard chemotherapy or chemotherapy + Bv. Methods: Children's Oncology Group clinical trial AHOD1331 was a randomized phase III trial for newly diagnosed high risk cHL ages ≥2 to 22 years which compared standard chemotherapy with doxorubicin, bleomycin, etoposide, prednisone and cyclophosphamide (ABVE-PC) to Bv + AVE-PC with response adapted radiation. Peripheral blood samples were collected at diagnosis (pre) and following completion of treatment (post). Peripheral blood mononuclear cells and plasma were isolated using Ficoll Density gradient. Plasma was cryopreserved for batch testing of Th1/Th2 cytokines, sCD30, sCD163 and TARC by Luminex assay. Cytotoxic T cell responses to non-EBV HL specific tumor associated antigens (TAAs) MAGEA4, PRAME, and survivin pre and post treatment were tested using the interferon-γ ELISPOT assay after ex vivo expansion. TAA-T cell specificity was reported as spot forming count (SFC per 10 5 T cells). Changes in cytokine levels and T cell responses pre versus post treatment were compared using paired t-tests and blinded to treatment arm.Levels of sCD30, sCD163 and TARC were compared both pre and post treatment. Thecox model was used to evaluate association between levels and event free survival (EFS) across both arms. Results There was no difference in patient or disease characteristics between the entire study cohort (n=587) and patients analyzed (n=216). There were 184 patients with pre and post cytokine data, 71 patients with pre and post ELISPOT-T cell data, 147 patients with pre and post sCD30/sCD163 data, and 146 with pre and post TARC data. Compared to pre-treatment levels, there was a significant reduction in the immunosuppressive cytokines IL-13 (p=0.004) and increase in pro-inflammatory cytokines IL17a (p=0.03), Interferon-γ (p=0.0008), GCSF(p=0.0012) and MCP1(p=0.02). This change in cytokine levels from baseline to post-treatment was similar for both treatment arms except a higher increase in IL17a(p=0.015) was noted in the standard chemotherapy arm compared to the Bv arm (Table 1). Among 147 paired samples evaluated, sCD30, sCD163 and TARC all were significantly lower post treatment (Figure 1), but did not differ across arms. Pre treatment sCD163 and TARC values were significantly associated with EFS (p = 0.005 and 0.045), as was the degree of change in sCD163 post-treatment levels as compared to pre-treatment levels (p = 0.0156). Among 71 patients with pre and post ELISPOT-T cell data, there was a significant increase in the T cell responses specific to PRAME(p=0.04) post treatment and a trend for increased MAGEA4, but no association with EFS. Conclusions Treatment results in an increased T cell response to HL-specific antigen PRAME post therapy in both treatment arms suggesting that recovery post anti-HL treatment can promote tumor antigen specific T cell immunity in vivo. Further, reduction in immunosuppressive cytokines IL-13 and changes in proinflammatory cytokines Interferon-γ following treatment suggest a favorable milieu for T cell expansion. Pre-treatment levels of soluble CD163 and TARC are associated with EFS and may present a potential predictive biomarker, as well as degree of change of CD163 post treatment, irrespective of addition of immunotherapy. Our results have implications for identifying immune markers of response to guide future immunotherapies and cytotoxic T cell therapy in cHL. (NCT02166463)

Signal conversion as tumor micro environment (TME) specifically activated cytokine

Targeted cytokine delivery has been gaining popularity in cancer immunotherapy since systemic recombinant cytokine treatment has not been successful due to low response rate and systemic toxicities in the clinical studies. In order to address these issues, we propose a new concept that cytokine signal is specifically activated at tumor-micro-environment (TME) by delivering two protein subunits of heterodimeric cytokine fused with a tumor targeting antibody respectively to TME and by bridging the two subunits into active heterodimeric form.Interleukin-12 (IL-12) is one of the major cytokines which can induce immune activation. IL-12 consists of two protein subunits which are p35 and p40. IL-12 signaling is initiated when it forms as the heterodimeric protein and binds to IL-12 receptor complex. We made fusion proteins of both IL-12p35 and IL-12p40 targeting specific tumor associated antigens (TAAs) and demonstrated the formation of bioactive IL12p70 with TME targeting antibody toward both p35 and p40 to form as the active molecule. We describe our concept validation in an in vitro based functional assay.

Potential Antigen Targets of CAR T-cell Therapy in Gastric Cancer

Gastric cancer, or stomach cancer, is one of the most common and deadliest forms of cancer, killing approximately 770,000 people in the world annually. The efficacies of traditional cancer therapies, such as surgical treatment, radiation therapy and chemotherapy, are limited: however, chimeric antigen receptor (CAR) T-cell immunotherapy was recently developed as a groundbreaking approach to cancer treatment, genetically modifying a patient’s own T cells to express a CAR on the T cell surface in order to recognize specific tumor-associated antigens present on cancer cells. Significant efforts have been made to develop CAR T-cell therapies to treat solid tumors including gastric cancer in recent years. In this review, we summarize recent progress on CAR T-cell therapies for gastric cancer and focus on the most important targets for CAR T-cell immunotherapy in the context of gastric cancer. Finally, we discuss future directions of CAR T-cell therapies for gastric cancer.

Abstract LB180: SPOC, A highly multiplexed platform to study the kinetics of hundreds of biomolecular interactions: applications for early cancer detection

Abstract Tissue specific tumor neo-antigens and tumor associated antigens (TAAs) play a pivotal role in immune system interaction with cancer cells. Mutated, alternately spliced, over-expressed, mis-folded and abnormally post-translationally modified proteins may elicit immune responses that suppress tumor development. As these cancer specific proteins are distinct from normal self-proteins they offer the possibility of serving as highly-specific cancer biomarkers for early detection. TAAs are increasingly being targeted for priming the immune response to immunotherapies and cancer vaccines. Consequently, there has been an exponential increase in research on neo-antigen profiling using sequencing and multi-omic technologies. However, proteomic tools capable of studying and profiling the cancer proteome are limited. To contribute to this, we are developing a novel proteomic screening platform termed Sensor-integrated Proteome on Chip (SPOC) that enables high-throughput (HTP) screening of cancer proteins for loss or gain of function analysis, and humoral immune response profiling. SPOC platform enables use of surface plasmon resonance (SPR) biosensing for kinetic interaction profiling of 100s to 1000s of proteins at once, which can be applied to discovery and characterization of autoantibodies and neoantigens. SPOC uses human cell-free in vitro transcription and translation to express fusion capture-tagged proteins of interest from DNA plasmids printed in nanowells etched into a silicon slide. As proteins are expressed, they are captured covalently onto an overlaid gold-coated surface in individual spots via the capture ligand. The capture ligand requires the tag to be properly folded for binding, thus proteins on the surface are presumed to be fully folded when captured. When SPOC chips are analyzed using SPR, kinetic measurements of protein interactions can be obtained for each protein spot over time (RMax, Kon, Koff, etc.). SPOC arrays may be probed with a variety of biological molecules including small molecule drugs, antibodies, and other proteins. Data can be analyzed using bioinformatics and machine learning for neo-antigen discovery and to generate distinct signatures of disease. To demonstrate SPOC utility for neo-antigen discovery and characterization, a serum sample with known anti-p53 autoantibodies was analyzed on a SPOC SPR chip containing expressed p53 protein spots distributed throughout the array. Increases in SPR signals were observed for each p53 spot on the array as anticipated. Citation Format: Rebecca Cook, Chidozie Victor Agu, William Martelly, Peter A. Bell, Mukilan Mohan, Bharath Takulapalli. SPOC, A highly multiplexed platform to study the kinetics of hundreds of biomolecular interactions: applications for early cancer detection [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 2 (Clinical Trials and Late-Breaking Research); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(8_Suppl):Abstract nr LB180.

P53 and p63 Proteoforms Derived from Alternative Splicing Possess Differential Seroreactivity in Colorectal Cancer with Distinct Diagnostic Ability from the Canonical Proteins

Colorectal cancer (CRC) is the third most common cancer and the second most frequent cause of cancer-related death worldwide. The detection in plasma samples of autoantibodies against specific tumor-associated antigens has been demonstrated to be useful for the early diagnosis of CRC by liquid biopsy. However, new studies related to the humoral immune response in cancer are needed to enable blood-based diagnosis of the disease. Here, our aim was to characterize the humoral immune response associated with the different p53 and p63 proteoforms derived from alternative splicing and previously described as aberrantly expressed in CRC. Thus, here we investigated the diagnostic ability of the twelve p53 proteoforms and the eight p63 proteoforms described to date, and their specific N-terminal and C-terminal end peptides, by means of luminescence HaloTag beads immunoassays. Full-length proteoforms or specific peptides were cloned as HaloTag fusion proteins and their seroreactivity analyzed using plasma from CRC patients at stages I-IV (n = 31), individuals with premalignant lesions (n = 31), and healthy individuals (n = 48). p53γ, Δ40p53β, Δ40p53γ, Δ133p53γ, Δ160p53γ, TAp63α, TAp63δ, ΔNp63α, and ΔNp63δ, together with the specific C-terminal end α and δ p63 peptides, were found to be more seroreactive against plasma from CRC patients and/or individuals with premalignant lesions than from healthy individuals. In addition, ROC (receiver operating characteristic) curves revealed a high diagnostic ability of those p53 and p63 proteoforms to detect CRC and premalignant individuals (AUC higher than 85%). Finally, electrochemical biosensing platforms were employed in POC-like devices to investigate their usefulness for CRC detection using selected p53 and p63 proteoforms. Our results demonstrate not only the potential of these biosensors for the simultaneous analysis of proteoforms' seroreactivity, but also their convenience and versatility for the clinical detection of CRC by liquid biopsy. In conclusion, we here show that p53 and p63 proteoforms possess differential seroreactivity in CRC patients in comparison to controls, distinctive from canonical proteins, which should improve the diagnostic panels for obtaining a blood-based biomarker signature for CRC detection.

Canine melanoma: A review of diagnostics and comparative mechanisms of disease and immunotolerance in the era of the immunotherapies.

Melanomas in humans and dogs are highly malignant and resistant to therapy. Since the first development of immunotherapies, interest in how the immune system interacts within the tumor microenvironment and plays a role in tumor development, progression, or remission has increased. Of major importance are tumor-infiltrating lymphocytes (TILs) where distribution and cell frequencies correlate with survival and therapeutic outcomes. Additionally, efforts have been made to identify subsets of TILs populations that can contribute to a tumor-promoting or tumor-inhibiting environment, such as the case with T regulatory cells versus CD8 T cells. Furthermore, cancerous cells have the capacity to express certain inhibitory checkpoint molecules, including CTLA-4, PD-L1, PD-L2, that can suppress the immune system, a property associated with poor prognosis, a high rate of recurrence, and metastasis. Comparative oncology brings insights to comprehend the mechanisms of tumorigenesis and immunotolerance in humans and dogs, contributing to the development of new therapeutic agents that can modulate the immune response against the tumor. Therapies that target signaling pathways such as mTOR and MEK/ERK that are upregulated in cancer, or immunotherapies with different approaches such as CAR-T cells engineered for specific tumor-associated antigens, DNA vaccines using human tyrosinase or CGSP-4 antigen, anti-PD-1 or -PD-L1 monoclonal antibodies that intercept their binding inhibiting the suppression of the T cells, and lymphokine-activated killer cells are already in development for treating canine tumors. This review provides concise and recent information about diagnosis, comparative mechanisms of tumor development and progression, and the current status of immunotherapies directed toward canine melanoma.

Current status and progress of the development of prostate cancer vaccines.

At present, common treatments of prostate cancer mainly include surgery, radiotherapy, chemotherapy and hormone therapy. However, patients have high recurrence rate after treatment, and are prone to castration-resistant prostate cancer. Tumor vaccine is based on tumor specific antigen (TSA) and tumor associated antigen (TAA) to activate specific immune response of the body to cancer cells. With continuous maturity of tumor vaccine technology, different forms of prostate cancer vaccines have been developed, such as cellular vaccines, extracellular-based anti-tumor vaccines, polypeptide vaccines, and nucleic acid vaccines. In this review, we summarize current status and progress in the development of prostate cancer vaccines.

MP0533: A Multispecific Darpin CD3 Engager Targeting CD33, CD123, and CD70 for the Treatment of AML and MDS Designed to Selectively Target Leukemic Stem Cells

Introduction: Acute myeloid leukemia (AML) is driven by leukemia stem cells (LSCs) that resist conventional chemotherapy and are the major cause of relapse. Newer therapies, including chimeric antigen receptor (CAR) T cells and T cell engagers (TCE) that target specific tumor associated antigens (TAAs) overexpressed on stem cells and leukemic blasts, are promising options for AML. We postulated that a TCE able to simultaneously target multiple TAAs could allow highly efficient and specific T cell-mediated killing of AML LSCs and circulating blast cells while minimally affecting healthy cells. Moreover, the simultaneous targeting of different TAAs has the potential to address tumor heterogeneity, allowing targeting of AML cells with different co-expression patterns and/or expression levels of each TAA. Methods: Our DARPin (Designed Ankyrin Repeat Protein) libraries contain trillions of molecules allowing the generation of highly diverse binders against target proteins that can be easily combined into multi-specific DARPins to elicit desired biological effects. We leveraged this proprietary platform to screen multi-specific CD3 engaging DARPin molecules, including serum albumin binding DARPins for systemic half-life extension, to generate MP0533, the first half-life extended avidity-engineered CD3 engaging DARPin capable of targeting CD33, CD123, and CD70 simultaneously. Efficacy and safety of MP0533 was extensively tested in vitro and ex vivo, with cell lines and primary cells in both allogenic and autologous settings, and in vivo in different cell line-derived xenograft mouse models. Results: We demonstrated the avidity effect of the multi-targeting MP0533 in co-culture assays with genetically engineered Molm-13 cells and allogenic T cells, where MP0533 induced up to 10-fold higher T cell mediated killing of cells expressing any combination of at least 2 of the 3 targeted TAAs vs. cells expressing a single TAA. Overall, an EC50 potency ranging from 5 to 25 pM was measured on multiple cell lines showing different levels of expression and co-expression of all TAAs (Molm-13, THP-1, RPMI8226). Efficacy was additionally assessed on primary unsorted AML bone marrow samples: MP0533 demonstrated the ability to induce autologous T cell activation and killing of AML cells in samples from newly diagnosed and previously treated patients with different TAA expression/co-expression levels and E:T ratios ranging from 10:1 to 1:28. MP0533-induced killing of LSC and selectivity over healthy hematopoietic stem cells (HSCs) was analyzed in clonogenic assays in co-cultures of sorted CD34+ cells with allogenic T cells. After 4 days initial killing assay, and 2 weeks colony culture in semi-solid media, MP0533 was able to show depletion of LSC at doses where HSC where only minimally affected. While T-cell activation, proliferation, and cytotoxicity were not affected, the multi-specific TCE format of MP0533 resulted in a significant decrease in cytokine release in both tumor cell killing assays and whole blood test systems when compared to other mono-targeting TCEs, indicating potential for improved safety. Moreover, the avidity approach and the safer profile on single-TAA expressing cells was confirmed by the absence of toxicity measured on CD123-expressing endothelial cells, indicating a low risk of capillary leak syndrome induced by MP0533. Also, potential T cell fratricide induced by CD70 expression on activated T cells was not observed. Finally, efficacy and safety profiles were also confirmed in in vivo xenograft models in human PBMC- or CD34-reconstituted mice. In such models MP0533 induced T cell infiltration in s.c. implanted tumors, leading to anti-tumor activity. Importantly, activation of T cells and release of cytokines were only localized in the tumors, indicating absence of potential systemic on-target off-tumor toxicities induced by MP0533. Conclusion: We generated a multi-specific avidity-driven CD3 engaging DARPin molecule with tailored affinities towards different TAAs showing high efficacy and with the potential for better LSC selectivity and lower cytokine release compared with mono-specific TCE approaches. Further, our approach to achieve systemic half-life extension could ensure a more convenient Q1W IV therapy. A Phase I clinical trial to evaluate safety and dose of MP0533 in humans is imminent.

B7-H3 targeted CAR-T cells show highly efficient anti-tumor function against osteosarcoma both in vitro and in vivo

BackgroundOsteosarcoma (OS) mainly happens in children and youths. Surgery, radiotherapy and chemotherapy are the common therapies for osteosarcoma treatment but all their anti-tumor effects are limited. In recent years, a new cellular therapy, CAR-T, a cellular immunotherapy with genetically engineered T cells bearing chimeric antigen receptor targeting specific tumor-associated antigen, has been proved to be an effective therapy against acute lymphoblastic leukemia. Thus, CAR-T is a potentially effective therapy for osteosarcoma treatment.MethodsA CAR gene targeting B7-H3 antigen was constructed into lentiviral vector through molecular biology techniques. Then, the CAR gene was transferred to T cells through lentiviral delivery system, and the CAR-T cells were largely expanded using in vitro culture technology. The in vitro anti-tumor effect of CAR-T cells was evaluated through Real Time Cell Analysis system (RTCA) and ELISA assay. The in vivo anti-tumor capabilities of CAR-T cells were evaluated using the patient-derived xenografts (PDX) model of osteosarcoma.ResultsThe third-generation CAR-T cells we constructed could target the B7-H3 antigen, and the phenotype of CAR-T cells was consistent with normal T cells; The CAR-T cells showed superior antitumor effects both in vitro and in vivo.ConclusionOur study showed that B7-H3 targeted CAR-T cells had high anti-tumor efficacy against osteosarcoma both in vitro and in vivo, which proved that B7-H3 targeted CAR-T therapy is potentially effective for osteosarcoma treatment.

Nanocarriers as a Delivery Platform for Anticancer Treatment: Biological Limits and Perspectives in B-Cell Malignancies.

Nanoparticle-based therapies have been proposed in oncology research using various delivery methods to increase selectivity toward tumor tissues. Enhanced drug delivery through nanoparticle-based therapies could improve anti-tumor efficacy and also prevent drug resistance. However, there are still problems to overcome, such as the main biological interactions of nanocarriers. Among the various nanostructures for drug delivery, drug delivery based on polymeric nanoparticles has numerous advantages for controlling the release of biological factors, such as the ability to add a selective targeting mechanism, controlled release, protection of administered drugs, and prolonging the circulation time in the body. In addition, the functionalization of nanoparticles helps to achieve the best possible outcome. One of the most promising applications for nanoparticle-based drug delivery is in the field of onco-hematology, where there are many already approved targeted therapies, such as immunotherapies with monoclonal antibodies targeting specific tumor-associated antigens; however, several patients have experienced relapsed or refractory disease. This review describes the major nanocarriers proposed as new treatments for hematologic cancer, describing the main biological interactions of these nanocarriers and the related limitations of their use as drug delivery strategies.

The Proteoglycan Glypican-1 as a Possible Candidate for Innovative Targeted Therapeutic Strategies for Pancreatic Ductal Adenocarcinoma.

Pancreatic ductal adenocarcinoma (PDAC) accounts for 90% of all pancreatic cancers, with a 5-year survival rate of 7% and 80% of patients diagnosed with advanced or metastatic malignancies. Despite recent advances in diagnostic testing, surgical techniques, and systemic therapies, there remain limited options for the effective treatment of PDAC. There is an urgent need to develop targeted therapies that are able to differentiate between cancerous and non-cancerous cells to reduce side effects and better inhibit tumor growth. Antibody-targeted strategies are a potentially effective option for introducing innovative therapies. Antibody-based immunotherapies and antibody-conjugated nanoparticle-based targeted therapies with antibodies targeting specific tumor-associated antigens (TAA) can be proposed. In this context, glypican-1 (GPC1), which is highly expressed in PDAC and not expressed or expressed at very low levels in non-malignant lesions and healthy pancreatic tissues, is a useful TAA that can be achieved by a specific antibody-based immunotherapy and antibody-conjugated nanoparticle-based targeted therapy. In this review, we describe the main clinical features of PDAC. We propose the proteoglycan GPC1 as a useful TAA for PDAC-targeted therapies. We also provide a digression on the main developed approaches of antibody-based immunotherapy and antibody-conjugated nanoparticle-based targeted therapy, which can be used to target GPC1.

Novel Nanotechnology Approaches to Overcome Drug Resistance in the Treatment of Hepatocellular Carcinoma: Glypican 3 as a Useful Target for Innovative Therapies.

Hepatocellular carcinoma (HCC) is the second most lethal tumor, with a 5-year survival rate of 18%. Early stage HCC is potentially treatable by therapies with curative intent, whereas chemoembolization/radioembolization and systemic therapies are the only therapeutic options for intermediate or advanced HCC. Drug resistance is a critical obstacle in the treatment of HCC that could be overcome by the use of targeted nanoparticle-based therapies directed towards specific tumor-associated antigens (TAAs) to improve drug delivery. Glypican 3 (GPC3) is a member of the glypican family, heparan sulfate proteoglycans bound to the cell surface via a glycosylphosphatidylinositol anchor. The high levels of GPC3 detected in HCC and the absence or very low levels in normal and non-malignant liver make GPC3 a promising TAA candidate for targeted nanoparticle-based therapies. The use of nanoparticles conjugated with anti-GPC3 agents may improve drug delivery, leading to a reduction in severe side effects caused by chemotherapy and increased drug release at the tumor site. In this review, we describe the main clinical features of HCC and the common treatment approaches. We propose the proteoglycan GPC3 as a useful TAA for targeted therapies. Finally, we describe nanotechnology approaches for anti-GPC3 drug delivery systems based on NPs for HCC treatment.

Advances and challenges of CAR T therapy and suitability of animal models (Review).

Chimeric antigen receptors (CARs) recently gained momentum in cancer treatment due to their ability to promote T-cell mediated responses to a specific tumor-associated antigen. CARs are part of the adoptive cell transfer (ACT) strategies that utilize patients' T lymphocytes, genetically engineered to kill cancer cells. However, despite the therapy's success against blood-related malignancies, treating solid tumors has not reached its fullest potential yet. The reasons include the complex suppressive tumor microenvironment, mutations on cancer cells' target receptors, lethal side-effects, restricted trafficking into the tumor, suboptimal persistence in vivo and the lack of animal models that faithfully resemble human tumor's immunological responses. Currently, rodent models are used to investigate the safety and efficacy of CAR therapies. However, these models are limited in representing the human disease faithfully, fail to predict the adverse treatment events and overestimate the efficacy of the therapy. On the other hand, spontaneously developed tumors in dogs are more suited in CAR research and their efficacy has been demonstrated in a number of diseases, including lymphoma, osteosarcoma and mammary tumors. The present review discusses the design and evolution of CARs, challenges of CAR in solid tumors, human and canine clinical trials and advantages of the canine model.