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Fc-engineered CD54 antibody MSH-TP15 for myeloma therapy
ies not only triggered phagocytosis with human macrophages but also significantly triggered ADCC by human NK cells in vitro this might suggest that although in the mouse model myeloid immune effector cells play a dominant role. In patients, together with macrophages also NK cells may constitute a powerful additional effec- tor cell population, which can be recruited for tumor cell killing. Nevertheless, in the subcutaneous model, cure of the mice was not achieved. This leaves room for further improvement and allows testing of combinations of our novel anti-ICAM-1 antibodies with various established anti-myeloma treatment regimen, including proteasome inhibitors, immunomodulatory drugs and chemothera- peutic substances. Systematic testing in our model sys- tem may allow the identification of optimal combination partners for potential clinical application.
Taken together, our data indicate that predominantly Fc-mediated effector functions account for the anti-myelo- ma activity of MSH-TP15 and that by Fc protein-engineer- ing a significant improvement of the antibody’s in vitro and in vivo activity was achieved. Particularly for myeloma ther- apy, where in the post-transplant setting NK cells are among the first immune cells to be present, targeting resid-
ual tumor cells in the patients BM with an Fc-eng. anti- ICAM-1 antibody like MSH-TP15 Fc-eng. might be a promising strategy to improve clinical outcome.
Disclosures
No conflicts of interest to disclose.
Contributions
KK, MC, CK, TR, AO, SK and AL performed the research; KK and MP wrote the manuscript; CK, FN, TR, TV and MG contributed to writing of the manuscript; MG and MP supervised the study
Acknowledgments
The authors would like to thank Kathrin Richter, Jan Brdon, Britta von Below and Anja Muskulus for excellent technical assistance.
Funding
This study was supported by a research grant from the Deutsche Krebshilfe e.V. (Mildred-Scheel-Professorship pro- gram) to MP and Else Kröner-Fresenius-Stiftung (2015_A166) to KK.
References
1. Jakubowiak A, Offidani M, Pegourie B, et al. Randomized phase 2 study: elotuzumab plus bortezomib/dexamethasone vs borte- zomib/dexamethasone for relapsed/refrac- tory MM. Blood. 2016;127(23):2833-2840.
2. Nijhof IS, Casneuf T, van Velzen J, et al. CD38 expression and complement inhibitors affect response and resistance to daratumumab therapy in myeloma. Blood. 2016;128(7):959-970.
3. Markovina S, Callander NS, O'Connor SL, et al. Bone marrow stromal cells from mul- tiple myeloma patients uniquely induce bortezomib resistant NF-kappaB activity in myeloma cells. Mol Cancer. 2010;9:176.
4. Meads MB, Gatenby RA, Dalton WS. Environment-mediated drug resistance: a major contributor to minimal residual dis- ease. Nat Rev Cancer. 2009;9(9):665-674.
5. Kawano Y, Moschetta M, Manier S, et al. Targeting the bone marrow microenviron- ment in multiple myeloma. Immunol Rev. 2015;263(1):160-172.
6. Veitonmaki N, Hansson M, Zhan F, et al. A human ICAM-1 antibody isolated by a function-first approach has potent macrophage-dependent antimyeloma activity in vivo. Cancer Cell. 2013; 23(4):502-515.
7. Schmidmaier R, Morsdorf K, Baumann P, Emmerich B, Meinhardt G. Evidence for cell adhesion-mediated drug resistance of multiple myeloma cells in vivo. Int J Biol Markers. 2006;21(4):218-222.
8. Zheng Y, Yang J, Qian J, et al. PSGL- 1/selectin and ICAM-1/CD18 interactions are involved in macrophage-induced drug resistance in myeloma. Leukemia. 2013;27(3):702-710.
9. Dustin ML, Rothlein R, Bhan AK, Dinarello CA, Springer TA. Induction by IL 1 and interferon-gamma: tissue distribution, bio- chemistry, and function of a natural adher- ence molecule (ICAM-1). J Immunol. 1986;137(1):245-254.
10. Hansson M, Gimsing P, Badros A, et al. A
Phase I dose-escalation study of antibody BI-505 in relapsed/refractory multiple myeloma. Clin Cancer Res. 2015; 21(12):2730-2736.
11. Haug CE, Colvin RB, Delmonico FL, et al. A phase I trial of immunosuppression with anti-ICAM-1 (CD54) mAb in renal allograft recipients. Transplantation. 1993;55(4):766- 773.
12. Kavanaugh AF, Davis LS, Jain RI, et al. A phase I/II open label study of the safety and efficacy of an anti-ICAM-1 (intercellular adhesion molecule-1; CD54) monoclonal antibody in early rheumatoid arthritis. J Rheumatol. 1996;23(8):1338-1344.
13. Schneider D, Berrouschot J, Brandt T, et al. Safety, pharmacokinetics and biological activity of enlimomab (anti-ICAM-1 anti- body): an open-label, dose escalation study in patients hospitalized for acute stroke. Eur Neurol. 1998;40(2):78-83.
14. Scott AM, Wolchok JD, Old LJ. Antibody therapy of cancer. Nat Rev Cancer. 2012;12(4):278-287.
15.Lazar GA, Dang W, Karki S, et al. Engineered antibody Fc variants with enhanced effector function. Proc Natl Acad Sci U S A. 2006;103(11):4005-4010.
16.Moore GL, Chen H, Karki S, Lazar GA. Engineered Fc variant antibodies with enhanced ability to recruit complement and mediate effector functions. MAbs. 2010;2(2):181-189.
17. Richards JO, Karki S, Lazar GA, et al. Optimization of antibody binding to FcγRIIa enhances macrophage phagocyto- sis of tumor cells. Mol Cancer Ther. 2008; 7(8):2517-2527.
18. de Jong RN, Beurskens FJ, Verploegen S, et al. A novel platform for the potentiation of therapeutic antibodies based on antigen- dependent formation of IgG hexamers at the cell surface. PLoS Biol. 2016;14(1): e1002344.
19. Kellner C, Otte A, Cappuzzello E, Klausz K, Peipp M. Modulating cytotoxic effector functions by Fc engineering to improve cancer therapy. Transfus Med Hemother.
2017;44(5):327-336.
20. Jurczak W, Zinzani PL, Gaidano G, et al.
Phase IIa study of the CD19 antibody MOR208 in patients with relapsed or refractory B-cell non-Hodgkin's lym- phoma. Ann Oncol. 2018;29(5):1266- 1272.
21. Bang YJ, Giaccone G, Im SA, et al. First-in- human phase 1 study of margetuximab (MGAH22), an Fc-modified chimeric mon- oclonal antibody, in patients with HER2- positive advanced solid tumors. Ann Oncol. 2017;28(4):855-861.
22. Klausz K, Cieker M, Kellner C, et al. A novel Fc-engineered human ICAM-1/CD54 antibody with potent anti-myeloma activi- ty developed by cellular panning of phage display libraries. Oncotarget. 2017; 8(44):77552-77566.
23. Peipp M, Lammerts van Bueren JJ, Schneider-Merck T, et al. Antibody fucosy- lation differentially impacts cytotoxicity mediated by NK and PMN effector cells. Blood. 2008;112(6):2390-2399.
24. Lux A, Yu X, Scanlan CN, Nimmerjahn F. Impact of immune complex size and glyco- sylation on IgG binding to human FcgammaRs. J Immunol. 2013;190(8):4315- 4323.
25.Burger R, Guenther A, Bakker F, et al. Gp130 and ras mediated signaling in human plasma cell line INA-6: a cytokine- regulated tumor model for plasmacytoma. Hematol J. 2001;2(1):42-53.
26. Glorius P, Baerenwaldt A, Kellner C, et al. The novel tribody [(CD20)(2)xCD16] effi- ciently triggers effector cell-mediated lysis of malignant B cells. Leukemia. 2013; 27(1):190-201.
27. Hansson MFB, inventor; The use of anti- bodies against ICAM-1 in the treatment of patients with relapsed cancer. 2012 Intl. Cl. C07K 16/28 (2006.01). Appl. No.: PCT/EP2011/061983.
28. Kellner C, Derer S, Klausz K, et al. Fc glyco- and Fc orotein-engineering: design of anti- body variants with improved ADCC and CDC activity. Methods Mol Biol. 2018;
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