RNF43 p.G659fs 通过 PI3K/AKT/mTOR 信号通路和 HLA-E 上调导致 MSI-high 结直肠癌中 NK 细胞功能障碍
RNF43 p.G659fs leads to natural killer cell dysfunction in MSI-high colorectal cancer through PI3K/AKT/mTOR signaling and HLA-E up-regulation.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:SON-1010: an albumin-binding IL-12 fusion protein that improves cytokine half-life, targets tumors, and enhances therapeutic efficacy.
SON-1010: an albumin-binding IL-12 fusion protein that improves cytokine half-life, targets tumors, and enhances therapeutic efficacy.
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我们鉴定并开发了一种具有延长半衰期的平台技术,可将 IL-12 及其他免疫调节剂靶向至 TME。目前正在研究 SON-1010 作为单药治疗以及与检查点阻断策略联合使用的安全性和有效性。
细胞因子作为癌症免疫治疗药物已有数十年的前景,但迄今为止仅有两种获得许可。白细胞介素-12(IL-12)是细胞介导免疫的有效调节因子,可激活NK细胞和干扰素-γ(IFNγ)的产生。它在多种可增强癌细胞死亡和改变肿瘤微环境(TME)的途径中发挥核心作用。对rIL-12进行剂量递增的尝试最初是成功的,但20世纪90年代后期,Phase 2中IFNγ的毒性使进一步开发变得复杂。此后,更好的给药策略被开发出来,但没有任何一种达到临床前模型中观察到的癌症控制水平。我们着手开发一种新策略,通过结合白蛋白,将完全功能的IL-12和其他生物制剂递送至TME,利用其在肿瘤中富集和滞留的能力。
从人类噬菌体展示库中鉴定出单链可变片段(scFv),这些片段在生理和酸性条件下均能结合人、小鼠和食蟹猴血清白蛋白。这些片段经过一系列步骤筛选,以鉴定出强结合分子,这些分子不干扰白蛋白结合 FcRn 的正常生理功能,从而使其在血清中具有延长的半衰期,同时也不干扰 SPARC/GP60,后者使白蛋白能够靶向 TME。最终选定了一个分子,并进行了单突变以最小化免疫原性潜力。对这一全人源白蛋白结合(F H AB ®)结构域进行了表征,并开发了生产工艺,以将首个药物候选物推向临床。
一旦确定,对mIL12-F H AB的小鼠形式进行了临床前研究,以了解其作用机制和生物分布。发现与小鼠IL-12相比,它在阻断肿瘤生长方面更为有效,同时刺激显著的IFNγ产生且毒性最小。使用人类IL-12序列的SON-1010通过了所有表征和必要的毒理学测试,目前正在临床研究中。
Cytokines have been promising cancer immunotherapeutics for decades, yet only two are licensed to date. Interleukin-12 (IL-12) is a potent regulator of cell-mediated immunity that activates NK cells and interferon-γ (IFNγ) production. It plays a central role in multiple pathways that can enhance cancer cell death and modify the tumor microenvironment (TME). Attempts to dose rIL-12 were initially successful but IFNγ toxicity in Phase 2 complicated further development in the late 1990s. Since then, better dosing strategies have been developed, but none have achieved the level of cancer control seen in preclinical models. We set out to develop a novel strategy to deliver fully functional IL-12 and other biologics to the TME by binding albumin, taking advantage of its ability to be concentrated and retained in the tumor.
Single-chain variable fragments (scFv) were identified from a human phage display library that bound human, mouse, and cynomolgus macaque serum albumin, both at physiologic and acidic conditions. These were taken through a series of steps to identify strongly binding molecules that don't interfere with the normal physiology of albumin to bind FcRn, giving it prolonged half-life in serum, along with SPARC/GP60, which allows albumin to target the TME. A final molecule was chosen and a single mutation was made that minimizes the potential for immunogenicity. This fully human albumin-binding (F H AB ® ) domain was characterized and manufacturing processes were developed to bring the first drug candidate into the clinic.
Once identified, the murine form of mIL12-F H AB was studied preclinically to understand its mechanism of action and biodistribution. It was found to be much more efficient at blocking tumor growth compared to murine IL-12, while stimulating significant IFNγ production with minimal toxicity. SON-1010, which uses the human IL-12 sequence, passed through all of the characterization and required toxicology and is currently being studied in the clinic.
We identified and developed a platform technology with prolonged half-life that can target IL-12 and other immune modulators to the TME. Safety and efficacy are being studied using SON-1010 as monotherapy and in combination with checkpoint blockade strategies.
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