Remodeling of anti-tumor immunity with antibodies targeting a p53 mutant

J Hematol Oncol. 2024 Jun 18;17(1):45. doi: 10.1186/s13045-024-01566-1.

Abstract

Background: p53, the most frequently mutated gene in cancer, lacks effective targeted drugs.

Methods: We developed monoclonal antibodies (mAbs) that target a p53 hotspot mutation E285K without cross-reactivity with wild-type p53. They were delivered using lipid nanoparticles (LNPs) that encapsulate DNA plasmids. Western blot, BLI, flow cytometry, single-cell sequencing (scRNA-seq), and other methods were employed to assess the function of mAbs in vitro and in vivo.

Results: These LNP-pE285K-mAbs in the IgG1 format exhibited a robust anti-tumor effect, facilitating the infiltration of immune cells, including CD8+ T, B, and NK cells. scRNA-seq revealed that IgG1 reduces immune inhibitory signaling, increases MHC signaling from B cells to CD8+ T cells, and enriches anti-tumor T cell and B cell receptor profiles. The E285K-mAbs were also produced in the dimeric IgA (dIgA) format, whose anti-tumor activity depended on the polymeric immunoglobulin receptor (PIGR), a membrane Ig receptor, whereas that of IgG1 relied on TRIM21, an intracellular IgG receptor.

Conclusions: Targeting specific mutant epitopes using DNA-encoded and LNP-delivered mAbs represents a potential precision medicine strategy against p53 mutants in TRIM21- or PIGR-positive cancers.

Keywords: E285K; IgG1; Monoclonal antibody; Mutant p53; dIgA.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, N.I.H., Extramural

MeSH terms

  • Animals
  • Antibodies, Monoclonal* / immunology
  • Antibodies, Monoclonal* / pharmacology
  • Antibodies, Monoclonal* / therapeutic use
  • CD8-Positive T-Lymphocytes / immunology
  • Cell Line, Tumor
  • Humans
  • Mice
  • Mutation*
  • Nanoparticles / chemistry
  • Neoplasms / drug therapy
  • Neoplasms / genetics
  • Neoplasms / immunology
  • Neoplasms / therapy
  • Tumor Suppressor Protein p53* / genetics
  • Tumor Suppressor Protein p53* / immunology

Substances

  • Tumor Suppressor Protein p53
  • Antibodies, Monoclonal
  • TP53 protein, human