TRBC2-targeting antibody-drug conjugates for the treatment of T cell cancers

Jiaxin Ge1,2,3, Joshua Urban1,2, Sarah R DiNapoli1,2

  • 1Ludwig Center and Lustgarten Laboratory, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Nature Cancer
|December 22, 2025
PubMed

Insights

Researchers developed a novel antibody-drug conjugate (ADC) targeting T cell receptor constant 2 (TRBC2) positive cancers. This targeted therapy selectively eliminates cancer cells while preserving essential normal T cells, offering a promising new treatment option.

Area of Science:

  • Oncology
  • Immunology
  • Biotechnology

Background:

  • Antibody-drug conjugates (ADCs) are effective cancer therapies.
  • Targeting T cell malignancies with ADCs is challenging due to the need to spare normal T cells.
  • T cells express either TRBC1 or TRBC2, with malignancies showing clonal expression of one allele.

Purpose of the Study:

  • To develop a targeted therapy for T cell cancers expressing the TRBC2 allele.
  • To create a high-affinity antibody specific for TRBC2.

Main Methods:

  • Development of a high-affinity anti-TRBC2 antibody.
  • Generation of an ADC using the anti-TRBC2 antibody and a pyrrolobenzodiazepine dimer payload.
  • In vitro and in vivo testing in mouse models of TRBC2+ cancers.

Main Results:

  • The anti-TRBC2 ADC demonstrated specific killing of TRBC2+ cancer cells.
  • The ADC was effective in both in vitro and mouse model studies.
  • Selective targeting preserves a significant population of normal T cells.

Conclusions:

  • The developed anti-TRBC2 ADC is a promising therapeutic strategy for TRBC2+ T cell cancers.
  • This ADC offers a potential off-the-shelf treatment option.
  • Selective targeting of TRBC2 provides a method to spare normal T cells during cancer treatment.

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