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AASLD2020[79]新型HLA-E专用IMMTAV®分子 乙型肝炎的治疗 [复制链接]

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发表于 2020-10-19 12:11 |只看该作者 |倒序浏览 |打印
79
NOVEL HLA-E SPECIFIC IMMTAV® MOLECULES FOR THE
TREATMENT OF HEPATITIS B
Sarah Leonard, Rachel Paterson, Luis Godinho, Dawn Howe,
Mauro Monteiro, Ruth Martinez Hague, Kate Atkin, Anshuk
Sarkar, Richard Suckling, Wilawan Bunjobpol, Daniel Kay,
Tressan Grant, Carole Perot and Andrew Knox, Immunocore
Ltd.
Background: ImmTAV molecules are bispecific fusion
proteins consisting of an affinity enhanced TCR targeting
domain and an anti-CD3 scFv effector that mediates T cell
redirection to eliminate virally infected cells IMC-I109V,
an HBV specific ImmTAV that can eliminate HBV infected
cells in vitro, is currently undergoing first in human studies
in chronic Hepatitis B Similar to all current TCR-based
therapeutics, IMC-I109V is restricted to targeting an allele
from the highly polymorphic HLA class I complex Therefore,
to overcome HLA-restriction and enable ImmTAV molecules
to reach all patient populations, we further developed our
platform to generate the first HBV-specific ImmTAV that
targets HLA-E, a universally expressed, highly conserved
MHC molecule with only two functional alleles Methods:
Bioinformatic tools, biochemical peptide binding assays
and HLA-E surface stability assays were used to identify
HBV-derived peptides that bind HLA-E. Affinity, potency
and specificity of ImmTAV molecules was tested with SPR,
and Incucyte and IFN-g ELISpot assays using HBV antigen
positive and negative cells PBMCs obtained from healthy
donors were used as effectors in both experimental set ups
Results: Using a range of HLA-E binding assays, we have
shown for the first time that peptides derived from HBsAg and
Core proteins can bind to HLA-E and that the most stable
peptides bind to both HLA-E alleles, HLA-E*01:01 and 01:03
Here, we have demonstrated the ability to isolate and affinity
enhance HBV-HLA-E specific TCRs to generate bispecific
ImmTAV molecules. An HBV-specific ImmTAV mediated the
elimination of cells containing HBV DNA in vitro, without killing
antigen negative cells Furthermore, ImmTAV molecules were
specific for target peptide presented by both HLA-E alleles
and did not recognize non-target self-peptide complexes
(Figure 1) Conclusion: We have successfully engineered
an HBV-specific ImmTAV that targets a virus-derived peptide
presented by the universally expressed HLA-E molecule,
regardless of polymorphism This allows universal application
of the ImmTAV platform to eliminate HBV-antigen positive
cells.

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发表于 2020-10-19 12:11 |只看该作者
79
新型HLA-E专用IMMTAV®分子
乙型肝炎的治疗
莎拉·伦纳德(Sarah Leonard),蕾切尔·帕特森(Rachel Paterson),路易斯·戈迪尼奥(Luis Godinho),黎明·豪(Dawn Howe),
Mauro Monteiro,Ruth Martinez Hague,Kate Atkin,Anshuk
Sarkar,Richard Suckling,Wilawan Bunjobpol,Daniel Kay,
Tressan Grant,Carole Perot和Andrew Knox,Immunocore
有限公司
背景:ImmTAV分子是双特异性融合
由亲和力增强的TCR靶向组成的蛋白质
域和介导T细胞的抗CD3 scFv效应子
重定向以消除病毒感染的细胞IMC-I109V,
可以消除HBV感染的HBV特异性ImmTAV
体外细胞,目前正在人类研究中首次
在慢性乙型肝炎中的治疗与目前所有基于TCR的治疗类似
治疗药物,IMC-I109V仅限于靶向等位基因
来自高度多态的HLA I类复合物因此,
克服HLA限制并启用ImmTAV分子
为了覆盖所有患者人群,我们进一步发展了我们的
平台来生成第一个特定于HBV的ImmTAV
针对HLA-E,这是一种普遍表达且高度保守的
仅具有两个功能等位基因的MHC分子方法:
生物信息学工具,生化肽结合测定
和HLA-E表面稳定性试验用于鉴定
结合HLA-E的HBV衍生肽。亲和力
用SPR检测了ImmTAV分子的特异性,
HBV抗原进行Incucyte和IFN-g ELISpot分析
从健康获得的阳性和阴性细胞PBMC
在两个实验设置中都使用了供体作为效应子
结果:通过一系列HLA-E结合测定,我们得到了
首次显示源自HBsAg和
核心蛋白可以与HLA-E结合,并且最稳定
肽结合两个HLA-E等位基因,HLA-E * 01:01和01:03
在这里,我们展示了分离和亲和力的能力
增强HBV-HLA-E特异性TCR产生双特异性
ImmTAV分子。乙肝病毒特异性的ImmTAV介导了
体外消除含有HBV DNA的细胞而不会杀死
抗原阴性细胞此外,ImmTAV分子是
对两个HLA-E等位基因均呈递的靶肽具有特异性
并且不识别非靶标自身肽复合物
(图1)结论:我们已经成功设计了
靶向病毒衍生肽的HBV特异性ImmTAV
由普遍表达的HLA-E分子呈现
不管多态性如何,都可以通用
ImmTAV平台消除HBV抗原阳性
细胞。
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