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Updated: Mar 18, 2026

Tracking Bispecific Antibody-Induced T Cell Trafficking Using Luciferase-Transduced Human T Cells
Published on: May 12, 2023
A bispecific anti-ErbB2 antibody potently induces ErbB2 internalization and suppresses ErbB2-overexpressing tumor
Yajun Zhang1, Lingfei Wang1, Xiaodan Chong1
1International Joint Cancer Institute, The Second Military Medical University, Shanghai, 200433, People's Republic of China.
Abstract:
The anti-ErbB2 humanized antibody trastuzumab was approved for ErbB2-positive metastatic gastric and gastro-esophageal junction cancer in 2010. Despite the effectiveness of trastuzumab, its efficacy remains variable and often modest. Thus, there is an urgent need to improve ErbB2-targeting therapy. Down-regulation of surface receptors induced by monoclonal antibody (mAb) contributes to its antitumor efficacy. Previous studies have demonstrated that if two anti-ErbB2 mAbs did not compete with each other for binding to ErbB2, the combination of them can enhance ErbB2 internalization. In the present study, we investigated ErbB2 internalization-inducing ability of non-competitive anti-ErbB2 mAb combinations and surprisingly found that most of the mAb combinations tested did not down-regulate ErbB2. Only 4 of 18 non-competitive mAb pairs efficiently induced ErbB2 internalization. Interestingly, although the non-competitive anti-ErbB2 mAbs trastuzumab and pertuzumab, either alone or in combination, were ineffective at inducing ErbB2 internalization, TPL, a bispecific antibody engineered from trastuzumab and pertuzumab, potently down-regulated the ErbB2 molecule. Importantly, TPL exhibited a far greater antitumor effect on ErbB2-overexpressing gastric cancer cell line than trastuzumab plus pertuzumab, suggesting that it may be a promising agent for the treatment of gastric cancer.
Insights
A novel bispecific antibody, TPL, effectively targets ErbB2-positive gastric cancer by potently down-regulating ErbB2. This antibody shows greater antitumor effects than combined therapies, offering a promising new treatment strategy.
Area of Science:
- Oncology
- Immunotherapy
- Molecular Biology
Background:
- Trastuzumab is approved for ErbB2-positive gastric cancer, but its efficacy is variable.
- Improving ErbB2-targeting therapy is crucial due to modest efficacy of current treatments.
- Monoclonal antibody-induced receptor down-regulation enhances antitumor effects.
Purpose of the Study:
- To investigate the ErbB2 internalization-inducing ability of non-competitive anti-ErbB2 monoclonal antibody (mAb) combinations.
- To evaluate the efficacy of a novel bispecific antibody (TPL) engineered from trastuzumab and pertuzumab.
- To assess TPL's potential as a treatment for ErbB2-overexpressing gastric cancer.
Main Methods:
- Screening of 18 non-competitive anti-ErbB2 mAb pairs for ErbB2 internalization.
- Evaluating ErbB2 down-regulation by trastuzumab, pertuzumab, and the bispecific antibody TPL.
- Comparing the antitumor effects of TPL versus trastuzumab plus pertuzumab on gastric cancer cell lines.
Main Results:
- Most non-competitive anti-ErbB2 mAb combinations did not induce significant ErbB2 down-regulation.
- Only 4 out of 18 non-competitive mAb pairs efficiently induced ErbB2 internalization.
- TPL potently down-regulated ErbB2 and showed superior antitumor activity compared to trastuzumab plus pertuzumab.
Conclusions:
- The bispecific antibody TPL demonstrates potent ErbB2 down-regulation and significant antitumor efficacy in gastric cancer models.
- TPL represents a promising therapeutic agent for ErbB2-overexpressing gastric cancer, potentially overcoming limitations of existing therapies.
- Targeted ErbB2 internalization via bispecific antibodies offers a novel strategy for enhancing cancer treatment.
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