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2016 ; 29
(10
): 467-475
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gab.com Text
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English Wikipedia
TetraMabs: simultaneous targeting of four oncogenic receptor tyrosine kinases for
tumor growth inhibition in heterogeneous tumor cell populations
#MMPMID27578890
Castoldi R
; Schanzer J
; Panke C
; Jucknischke U
; Neubert NJ
; Croasdale R
; Scheuer W
; Auer J
; Klein C
; Niederfellner G
; Kobold S
; Sustmann C
Protein Eng Des Sel
2016[Oct]; 29
(10
): 467-475
PMID27578890
show ga
Monoclonal antibody-based targeted tumor therapy has greatly improved treatment
options for patients. Antibodies against oncogenic receptor tyrosine kinases
(RTKs), especially the ErbB receptor family, are prominent examples. However,
long-term efficacy of such antibodies is limited by resistance mechanisms. Tumor
evasion by a priori or acquired activation of other kinases is often causative
for this phenomenon. These findings led to an increasing number of combination
approaches either within a protein family, e.g. the ErbB family or by targeting
RTKs of different phylogenetic origin like HER1 and cMet or HER1 and IGF1R.
Progress in antibody engineering technology enabled generation of clinical grade
bispecific antibodies (BsAbs) to design drugs inherently addressing such
resistance mechanisms. Limited data are available on multi-specific antibodies
targeting three or more RTKs. In the present study, we have evaluated the
cloning, eukaryotic expression and purification of tetraspecific, tetravalent
Fc-containing antibodies targeting HER3, cMet, HER1 and IGF1R. The antibodies are
based on the combination of single-chain Fab and Fv fragments in an IgG1 antibody
format enhanced by the knob-into-hole technology. They are non-agonistic and
inhibit tumor cell growth comparable to the combination of four parental
antibodies. Importantly, TetraMabs show improved apoptosis induction and tumor
growth inhibition over individual monospecific or BsAbs in cellular assays. In
addition, a mimicry assay to reflect heterogeneous expression of antigens in a
tumor mass was established. With this novel in vitro assay, we can demonstrate
the superiority of a tetraspecific antibody to bispecific tumor antigen-binding
antibodies in early pre-clinical development.