1. Activation of distinct antiviral T-cell immunity: A comparison of bi- and trispecific T-cell engager antibodies with a chimeric antigen receptor targeting HBV envelope proteins
- Author
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Debelec-Butuner, B., Quitt, O., Schreiber, S., Momburg, F., Wisskirchen, K., and Protzer, U.
- Subjects
Expansion ,Virus-Replication ,Hepatitis B virus ,T-Lymphocytes ,Immunology ,T-cell engager antibody ,Expression ,Antiviral Agents ,Cccdna ,Viral Envelope Proteins ,CD28 Antigens ,Antibodies, Bispecific ,Immunology and Allergy ,Humans ,chronic hepatitis B ,Cancer ,HBV cure ,adoptive T-cell therapy ,drug development ,immunotherapy ,chimeric antigen receptor ,Receptors, Chimeric Antigen ,Dna ,Adoptive T-cell Therapy ,Chimeric Antigen Receptor ,Chronic Hepatitis B ,Drug Development ,Hbv Cure ,Immunotherapy ,T-cell Engager Antibody ,ddc ,Hepatocytes ,Leukocytes, Mononuclear ,Cytokines ,Therapy ,DNA, Circular - Abstract
Despite the availability of an effective prophylactic vaccine, 820,000 people die annually of hepatitis B virus (HBV)-related liver disease according to WHO. Since current antiviral therapies do not provide a curative treatment for the 296 million HBV carriers around the globe, novel strategies to cure HBV are urgently needed. A promising approach is the redirection of T cells towards HBV-infected hepatocytes employing chimeric antigen receptors or T-cell engager antibodies. We recently described the effective redirection of T cells employing a second-generation chimeric antigen receptor directed against the envelope protein of hepatitis B virus on the surface of infected cells (S-CAR) as well as bispecific antibodies that engage CD3 or CD28 on T cells employing the identical HBV envelope protein (HBVenv) binder. In this study, we added a trispecific antibody comprising all three moieties to the tool-box. Cytotoxic and non-cytolytic antiviral activities of these bi- and trispecific T-cell engager antibodies were assessed in co-cultures of human PBMC with HBV-positive hepatoma cells, and compared to that of S-CAR-grafted T cells. Activation of T cells via the S-CAR or by either a combination of the CD3- and CD28-targeting bispecific antibodies or the trispecific antibody allowed for specific elimination of HBV-positive target cells. While S-CAR-grafted effector T cells displayed faster killing kinetics, combinatory treatment with the bispecific antibodies or single treatment with the trispecific antibody was associated with a more pronounced cytokine release. Clearance of viral antigens and elimination of the HBV persistence form, the covalently closed circular (ccc) DNA, through cytolytic as well as cytokine-mediated activity was observed in all three settings with the combination of bispecific antibodies showing the strongest non-cytolytic, cytokine-mediated antiviral effect. Taken together, we demonstrate that bi- and trispecific T-cell engager antibodies can serve as a potent, off-the-shelf alternative to S-CAR-grafted T cells to cure HBV., Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) [SFB-TRR 338/1 2021-452881907, SFB-TRR 179/2 2020 -272983813]; Scientific and Technological Research Council of Turkey 2219 Postdoctoral fellowship program; SCG Cell Therapy., The study was supported by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) - SFB-TRR 338/1 2021-452881907 and SFB-TRR 179/2 2020 -272983813 and by a research collaboration with SCG Cell Therapy. The funders had no influence on the content of the manuscript. BDB was supported by The Scientific and Technological Research Council of Turkey 2219 Postdoctoral fellowship program.
- Published
- 2021