1. Selective Blockade of the Ubiquitous Checkpoint Receptor CD47 Is Enabled by Dual-Targeting Bispecific Antibodies
- Author
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Laura Cons, Marie Kosco-Vilbois, Walter Ferlin, Valéry Moine, Sébastien Calloud, Stefano Majocchi, Elie Dheilly, Zoë Johnson, Lucile Broyer, François Rousseau, Krzysztof Masternak, Anne Papaioannou, Nicolas Fischer, Robert Nelson, and Susana Salgado-Pires
- Subjects
0301 basic medicine ,medicine.medical_treatment ,Antineoplastic Agents ,CD47 Antigen ,Mice, SCID ,macrophage ,Biology ,CD19 ,03 medical and health sciences ,Mice ,Immune system ,Cancer immunotherapy ,Antigen ,Phagocytosis ,Antigens, Neoplasm ,Mice, Inbred NOD ,Cell Line, Tumor ,Neoplasms ,Antibodies, Bispecific ,Drug Discovery ,medicine ,Genetics ,Animals ,Humans ,Molecular Targeted Therapy ,CD47 ,immune checkpoint ,Molecular Biology ,Pharmacology ,cancer immunotherapy ,Antibody-Dependent Cell Cytotoxicity ,mesothelin ,Xenograft Model Antitumor Assays ,Immune checkpoint ,Disease Models, Animal ,bispecific antibody ,030104 developmental biology ,Cancer cell ,Cancer research ,biology.protein ,Molecular Medicine ,Female ,Original Article ,Antibody ,pharmacokinetics ,Protein Binding - Abstract
CD47 is a ubiquitously expressed immune checkpoint receptor that is often upregulated in cancer. CD47 interacts with its counter-receptor SIRPα on macrophages and other myeloid cells to inhibit cancer cell phagocytosis and drive immune evasion. To overcome tolerability and “antigen sink” issues arising from widespread CD47 expression, we generated dual-targeting bispecific antibodies that selectively block the CD47-SIRPα interaction on malignant cells expressing a specific tumor-associated antigen; e.g., CD19 or mesothelin. These bispecific κλ bodies are fully human, native IgG1 molecules, combining tumor targeting and selective CD47 blockade with immune activating mechanisms mediated by the Fc portion of the antibody. CD47-neutralizing κλ bodies efficiently kill cancer cells in vitro and in vivo but interact only weakly with healthy cells expressing physiological levels of CD47. Accordingly, a κλ body administered to non-human primates showed a typical IgG pharmacokinetic profile and was well tolerated. Importantly, κλ bodies preserve their tumoricidal capabilities in the presence of a CD47 antigen sink. Thus, dual-targeting κλ bodies allow for efficacious yet safe targeting of CD47 in cancer. Such a bispecific design could be applied to limit the extent of neutralization of other ubiquitously expressed therapeutic targets., Graphical Abstract, CD47 is a widely expressed anti-phagocytic “don’t eat me” signal. Cancer cells upregulate CD47 expression to escape phagocytic clearance and immune surveillance. Dheilly et al. show how bispecific antibodies can be used as an efficient and safe means for therapeutic targeting of CD47 in cancer.
- Published
- 2017
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