Targeting MICA/B with cytotoxic therapeutic antibodies leads to tumor control
Mathieu Bléry1, Manel Mrabet-Kraiem1, Ariane Morel1
1Innate Pharma, Marseille, France.
Abstract:
Background: MICA and MICB are tightly regulated stress-induced proteins that trigger the immune system by binding to the activating receptor NKG2D on cytotoxic lymphocytes. MICA and MICB are highly polymorphic molecules with prevalent expression on several types of solid tumors and limited expression in normal/healthy tissues, making them attractive targets for therapeutic intervention. Methods: We have generated a series of anti-MICA and MICB cross-reactive antibodies with the unique feature of binding to the most prevalent isoforms of both these molecules. Results: The anti-MICA and MICB antibody MICAB1, a human IgG1 Fc-engineered monoclonal antibody (mAb), displayed potent antibody-dependent cellular cytotoxicity (ADCC) and antibody-dependent cellular phagocytosis (ADCP) of MICA/B-expressing tumor cells in vitro. However, it showed insufficient efficiency against solid tumors in vivo, which prompted the development of antibody-drug conjugates (ADC). Indeed, optimal tumor control was achieved with MICAB1-ADC format in several solid tumor models, including patient-derived xenografts (PDX) and carcinogen-induced tumors in immunocompetent MICAgen transgenic mice. Conclusions: These data indicate that MICA and MICB are promising targets for cytotoxic immunotherapy.
Insights
Researchers developed MICAB1 antibody-drug conjugates (ADCs) targeting MICA and MICB proteins. These ADCs demonstrated significant control over solid tumors in preclinical models, highlighting MICA and MICB as promising targets for cancer immunotherapy.
Area of Science:
- Immunology
- Oncology
- Biotechnology
Background:
- MICA and MICB are stress-induced proteins expressed on solid tumors, binding to the NKG2D receptor on cytotoxic lymphocytes.
- Their tumor-specific expression and immunogenicity make MICA and MICB attractive targets for cancer therapy.
- High polymorphism in MICA and MICB necessitates cross-reactive therapeutic agents.
Purpose of the Study:
- To develop novel therapeutic antibodies targeting MICA and MICB.
- To evaluate the efficacy of antibody-drug conjugates (ADCs) for solid tumor treatment.
Main Methods:
- Generation of cross-reactive anti-MICA and MICB monoclonal antibodies (mAbs).
- Engineering of a human IgG1 Fc variant antibody, MICAB1.
- In vitro assessment of antibody-dependent cellular cytotoxicity (ADCC) and phagocytosis (ADCP).
- In vivo efficacy studies using solid tumor models, including patient-derived xenografts (PDX) and MICAgen transgenic mice.
Main Results:
- The MICAB1 mAb showed potent in vitro ADCC and ADCP against MICA/B-expressing tumor cells.
- MICAB1-ADC demonstrated optimal tumor control in various solid tumor models.
- Effective targeting was observed in both PDX and carcinogen-induced tumors in immunocompetent mice.
Conclusions:
- MICA and MICB are validated as promising targets for antibody-drug conjugate-based cancer immunotherapy.
- MICAB1-ADC represents a potential therapeutic strategy for solid tumors expressing MICA/B.
- Further development of MICA/B-targeted ADCs warrants investigation.
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