1. Membrane-Proximal Epitope Facilitates Efficient T Cell Synapse Formation by Anti-FcRH5/CD3 and Is a Requirement for Myeloma Cell Killing
- Author
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Li, J, Stagg, NJ, Johnston, J, Harris, MJ, Menzies, SA, DiCara, D, Clark, V, Hristopoulos, M, Cook, R, Slaga, D, Nakamura, R, McCarty, L, Sukumaran, S, Luis, E, Ye, Z, Wu, TD, Sumiyoshi, T, Danilenko, D, Lee, GY, Totpal, K, Ellerman, D, Hötzel, I, James, JR, Junttila, TT, James, John [0000-0003-1452-7578], and Apollo - University of Cambridge Repository
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B-Lymphocytes ,Cancer Research ,Plasma Cells ,T cell ,Antibodies, Monoclonal ,Cell Biology ,CD3 ,Article ,Antibodies ,FcRH5 ,multiple myeloma ,bispecific antibody ,Oncology ,QR180 ,Humans ,B-Cell Maturation Antigen ,FCRL5 ,health care economics and organizations - Abstract
Summary The anti-FcRH5/CD3 T cell-dependent bispecific antibody (TDB) targets the B cell lineage marker FcRH5 expressed in multiple myeloma (MM) tumor cells. We demonstrate that TDBs trigger T cell receptor activation by inducing target clustering and exclusion of CD45 phosphatase from the synapse. The dimensions of the target molecule play a key role in the efficiency of the synapse formation. The anti-FcRH5/CD3 TDB kills human plasma cells and patient-derived myeloma cells at picomolar concentrations and results in complete depletion of B cells and bone marrow plasma cells in cynomolgus monkeys. These data demonstrate the potential for the anti-FcRH5/CD3 TDB, alone or in combination with inhibition of PD-1/PD-L1 signaling, in the treatment of MM and other B cell malignancies., Highlights • Prevalence of FcRH5 expression in multiple myeloma is 100% • Anti-FcRH5/CD3 TDB redirects T cells to kill myeloma cells • Target clustering and CD45 exclusion activate T cells • Anti-FcRH5/CD3 TDB is a highly efficacious immunotherapy for myeloma, Li et al. report that the size and epitope location of the target play a key role in the efficiency of T cell activation induced by T cell-dependent bispecific antibodies (TDBs). They develop a TDB targeting FcRH5 expressed in all multiple myeloma tumor cells and show its potential in treating this disease.
- Published
- 2017
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