Abstract
Purpose
Globally, cancer is a critical illness which seriously threatens human health. T-cell-based cancer immunotherapy for some patients has demonstrated impressive achievements including chimeric antigen receptor T cells, immune checkpoint inhibitors and T cell-redirecting bispecific antibodies (TRBAs). TRBAs recruit T cells to lyse cancer cells bypassing the antigen presentation through the major histocompatibility complex pathways. In this review we summarized the TRBAs formats, biophysical characteristics, the preclinical and clinical trial results, as well as the challenges faced by TRBAs in tumour therapy.
Methods
Herein the relevant literature and clinical trials from the PubMed and ClinicalTrials.gov database.
Results
The advances in protein engineering technology have generated diverse TRBAs format which can be classified into two categories: IgG-like TRBAs and non-IgG-like TRBAs. Multiple applications of TRBAs showed encouraging curative effect and entered clinical trials for lymphoid malignancy and solid tumour.
Conclusions
TRBA is a powerful tool for the cancer treatment and the clinical studies showed potent anti-tumour efficacy in hematologic malignancies. Although the clinical outcomes of TRBAs in solid tumours are less satisfied than hematologic malignancies, many preclinical antibodies and combination therapies are being evaluated
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Abbreviations
- ADCC:
-
Antibody-dependent cell-mediated cytotoxicity
- ALL:
-
Acute lymphoblastic leukemia
- AML:
-
Acute myelocytic leukemia
- APCs:
-
Antigen-presenting cells
- ATC:
-
Activated T cells
- BiTE:
-
Bispecific T-cell engagers
- BsAb:
-
Bispecific antibody
- CAR-T:
-
Chimeric antigen receptor T cells
- CDC:
-
Complement-dependent cytotoxicity
- CEA:
-
Carcinoembryonic antigen
- CLL:
-
Chronic lymphocytic leukemia
- CR:
-
Complete response
- CRh:
-
Complete response with partial hematopoietic recovery
- DART:
-
Dual-affinity re-targeting
- DLBCL:
-
Diffuse large B-cell lymphoma
- EpCAM:
-
Epithelial cell adhesion molecule
- FAE:
-
Fab-arm exchange
- Fab:
-
Fragment of antigen binding
- FcγR:
-
Fc-gamma receptors
- Fv:
-
Variable fragments
- HER:
-
Human epidermal growth factor receptor
- ImmTAC:
-
Immune-mobilising monoclonal T cell receptors against cancer
- KiH:
-
Knobs-into-holes
- mCR:
-
Macroscopic complete remission
- MDS:
-
Myelodysplastic syndrome
- MHC:
-
Major histocompatibility complex
- MM:
-
Multiple myeloma
- MRD:
-
Minimal residual disease
- MTD:
-
Maximum tolerated dose
- NETs:
-
Neuroendocrine tumours
- NHL:
-
Non-Hodgkin lymphoma
- ORR:
-
Overall response rate
- OS:
-
Overall survival
- Ph−:
-
Philadelphia chromosome negative
- Ph+:
-
Philadelphia chromosome positive
- PSMA:
-
Prostate-specific membrane antigen
- ScFv:
-
Single chain antibody variable fragments
- SSTR2:
-
Somatostatin receptor 2
- SOC:
-
Standard of care chemotherapy
- TCR:
-
T cell receptor
- TRBAs:
-
T cell-redirecting bispecific antibodies
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Acknowledgements
This work was supported by the National Key Scientific Instrument and Equipment Development Project (No. 21827812) and the Foundation and Advanced Research Project of CQ CSTC (cstc2018jscx-mszd0280, cstc2017shms-xdny0033, cstc2013jjB0011).
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Yu, L., Wang, J. T cell-redirecting bispecific antibodies in cancer immunotherapy: recent advances. J Cancer Res Clin Oncol 145, 941–956 (2019). https://doi.org/10.1007/s00432-019-02867-6
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DOI: https://doi.org/10.1007/s00432-019-02867-6