Mesothelin/CD3 Half-Life-Extended Bispecific T-Cell Engager Molecule Shows Specific Tumor Uptake and Distributes to

Frans V Suurs1, Grit Lorenczewski2, Julie M Bailis3

  • 1Department of Medical Oncology, University Medical Center Groningen, Groningen, The Netherlands.

Insights

A novel mesothelin-targeted bispecific T-cell engager (BiTE) molecule fused to an Fc-domain demonstrated specific tumor uptake in mice. This bispecific T-cell engager molecule shows potential for clinical translation.

Area of Science:

  • Immunology
  • Oncology
  • Biotechnology

Background:

  • Bispecific T-cell engager (BiTE) molecules activate T-cells against tumors by targeting CD3 and tumor antigens.
  • Mesothelin (MSLN) is a tumor-associated antigen, making it a target for cancer therapy.
  • Fc-domain fusion extends the half-life of BiTE molecules, potentially improving their efficacy.

Purpose of the Study:

  • To evaluate the biodistribution and tumor targeting of a novel zirconium-89 (89Zr)-labeled mesothelin-targeted half-life extended (HLE) BiTE molecule.
  • To assess the impact of different protein doses on the biodistribution and tumor targeting of the 89Zr-MSLN HLE BiTE.
  • To investigate the contribution of both arms of the BiTE molecule to its biodistribution profile.

Main Methods:

  • Generation of a fully mouse cross-reactive MSLN-targeted BiTE molecule genetically fused to an Fc-domain.
  • Radiolabeling of the MSLN HLE BiTE molecule with zirconium-89 (89Zr).
  • Positron emission tomography (PET) imaging to study biodistribution and tumor targeting in 4T1 breast cancer-bearing syngeneic mice.

Main Results:

  • The 89Zr-MSLN HLE BiTE showed specific uptake in tumors and lymphoid tissues, with an elimination half-life of 63.4 hours.
  • Compared to a non-targeting control, the MSLN HLE BiTE exhibited a 2-fold higher tumor uptake.
  • Tumor uptake colocalized with MSLN expression, and spleen uptake colocalized with CD3 expression, indicating specific targeting.
  • Spleen uptake was faster than tumor uptake across all tested doses (10 µg, 50 µg, 200 µg).
  • Tumor uptake was consistent across all doses, while the lowest dose showed faster blood clearance and higher spleen uptake.

Conclusions:

  • The MSLN HLE BiTE molecule demonstrates specific tumor targeting and biodistribution influenced by both its CD3 and MSLN-binding arms.
  • These preclinical findings support the potential clinical translatability of half-life extended BiTE molecules for cancer therapy.

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