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

Blood. 2011 Apr 28;117(17):4542-51. doi: 10.1182/blood-2010-09-306449. Epub 2011 Feb 7.

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.

MeSH terms

  • Animals
  • Antibodies, Bispecific / immunology*
  • Antibodies, Bispecific / pharmacology*
  • Antigens, CD19 / immunology
  • Antigens, CD19 / metabolism
  • B-Lymphocytes / cytology
  • B-Lymphocytes / immunology*
  • CD3 Complex / immunology
  • CD3 Complex / metabolism
  • Cell Communication / immunology
  • Cell Line, Tumor
  • Female
  • Humans
  • Lymphokines / immunology
  • Lymphoma, B-Cell* / drug therapy
  • Lymphoma, B-Cell* / immunology
  • Lymphoma, B-Cell* / pathology
  • Mice
  • Mice, Inbred NOD
  • Mice, SCID
  • Receptors, Antigen, T-Cell / immunology
  • Receptors, Antigen, T-Cell / metabolism
  • Sialoglycoproteins / immunology
  • T-Lymphocytes / cytology
  • T-Lymphocytes / immunology*
  • Xenograft Model Antitumor Assays

Substances

  • Antibodies, Bispecific
  • Antigens, CD19
  • CD3 Complex
  • Fv protein, human
  • Lymphokines
  • Receptors, Antigen, T-Cell
  • Sialoglycoproteins