Application of dual affinity retargeting molecules to achieve optimal redirected T-cell killing of B-cell lymphoma

PA Moore, W Zhang, GJ Rainey, S Burke… - Blood, The Journal …, 2011 - ashpublications.org
PA Moore, W Zhang, GJ Rainey, S Burke, H Li, L Huang, S Gorlatov, MC Veri, S Aggarwal…
Blood, The Journal of the American Society of Hematology, 2011ashpublications.org
We describe the application of a novel, bispecific antibody platform termed dual affinity
retargeting (DART) to eradicate B-cell lymphoma through coengagement of the B cell–
specific antigen CD19 and the TCR/CD3 complex on effector T cells. Comparison with a
single-chain, bispecific antibody bearing identical CD19 and CD3 antibody Fv sequences
revealed DART molecules to be more potent in directing B-cell lysis. The enhanced activity
with the CD19xCD3 DART molecules was observed on all CD19-expressing target B cells …
Abstract
We describe the application of a novel, bispecific antibody platform termed dual affinity retargeting (DART) to eradicate B-cell lymphoma through coengagement of the B cell–specific antigen CD19 and the TCR/CD3 complex on effector T cells. Comparison with a single-chain, bispecific antibody bearing identical CD19 and CD3 antibody Fv sequences revealed DART molecules to be more potent in directing B-cell lysis. The enhanced activity with the CD19xCD3 DART molecules was observed on all CD19-expressing target B cells evaluated using resting and prestimulated human PBMCs or purified effector T-cell populations. Characterization of a CD19xTCR bispecific DART molecule revealed equivalent potency with the CD19xCD3 DART molecule, demonstrating flexibility of the DART structure to support T-cell/B-cell associations for redirected T cell–killing applications. The enhanced level of killing mediated by DART molecules was not accompanied by any increase in nonspecific T-cell activation or lysis of CD19 cells. Cell-association studies indicated that the DART architecture is well suited for maintaining cell-to-cell contact, apparently contributing to the high level of target cell killing. Finally, the ability of the CD19xTCR DART to inhibit B-cell lymphoma in NOD/SCID mice when coadministered with human PBMCs supports further evaluation of DART molecules for the treatment of B-cell malignancies.
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