Molecular Therapy: Methods & Clinical Development (Sep 2021)

Formatting and gene-based delivery of a human PD-L1 single domain antibody for immune checkpoint blockade

  • Robin Maximilian Awad,
  • Quentin Lecocq,
  • Katty Zeven,
  • Thomas Ertveldt,
  • Lien De Beck,
  • Hannelore Ceuppens,
  • Katrijn Broos,
  • Yannick De Vlaeminck,
  • Cleo Goyvaerts,
  • Magali Verdonck,
  • Geert Raes,
  • Alexander Van Parys,
  • Anje Cauwels,
  • Marleen Keyaerts,
  • Nick Devoogdt,
  • Karine Breckpot

Journal volume & issue
Vol. 22
pp. 172 – 182

Abstract

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Monoclonal antibodies that target the inhibitory immune checkpoint axis consisting of programmed cell death protein 1 (PD-1) and its ligand, PD-L1, have changed the immune-oncology field. We identified K2, an anti-human PD-L1 single-domain antibody fragment, that can enhance T cell activation and tumor cell killing. In this study, the potential of different K2 formats as immune checkpoint blocking medicines was evaluated using a gene-based delivery approach. We showed that 2K2 and 3K2, a bivalent and trivalent K2 format generated using a 12 GS (glycine-serine) linker, were 313- and 135-fold more potent in enhancing T cell receptor (TCR) signaling in PD-1POS cells than was monovalent K2. We further showed that bivalent constructs generated using a 30 GS linker or disulfide bond were 169- and 35-fold less potent in enhancing TCR signaling than was 2K2. 2K2 enhanced tumor cell killing in a 3D melanoma model, albeit to a lesser extent than avelumab. Therefore, an immunoglobulin (Ig)G1 antibody-like fusion protein was generated, referred to as K2-Fc. K2-Fc was significantly better than avelumab in enhancing tumor cell killing in the 3D melanoma model. Overall, this study describes K2-based immune checkpoint medicines, and it highlights the benefit of an IgG1 Fc fusion to K2 that gains bivalency, effector functions, and efficacy.

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