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Fc-Binding Antibody-Recruiting Molecules Targeting Prostate-Specific Membrane Antigen: Defucosylation of Antibody for Efficacy Improvement**
Authors:Dr Koichi Sasaki  Minori Harada  Dr Takuma Yoshikawa  Hiroshi Tagawa  Prof Dr Yui Harada  Prof Dr Yoshikazu Yonemitsu  Takaaki Ryujin  Prof Dr Akihiro Kishimura  Prof Dr Takeshi Mori  Prof Dr Yoshiki Katayama
Affiliation:1. Department of Applied Chemistry, Graduate School of Engineering, Kyushu University, 744 Motooka, Nishiku, Fukuoka, 819-0395 Japan;2. Graduate School of Systems Life Sciences, Kyushu University, Fukuoka, 819-0395 Japan

These authors contributed equally to this work.;3. Graduate School of Systems Life Sciences, Kyushu University, Fukuoka, 819-0395 Japan;4. Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, 812-8582 Japan

Abstract:Synthetic small molecules that redirect endogenous antibodies to target cells are promising drug candidates because they overcome the potential shortcomings of therapeutic antibodies, such as immunogenicity and the need for intravenous delivery. Previously, we reported a novel class of bispecific molecules targeting the antibody Fc region and folate receptor, named Fc-binding antibody-recruiting molecules (Fc-ARMs). Fc-ARMs can theoretically recruit most endogenous antibodies, inducing antibody-dependent cell-mediated cytotoxicity (ADCC) to eliminate cancer cells. Herein, we describe new Fc-ARMs that target prostate cancer (Fc-ARM-Ps). Fc-ARM-Ps recruited antibodies to cancer cells expressing prostate-specific membrane antigen but did so with lower efficiency compared with Fc-ARMs targeting the folate receptor. Upon recruitment by Fc-ARM-P, defucosylated antibodies efficiently activated natural killer cells and induced ADCC, whereas antibodies with intact N-glycans did not. The results suggest that the affinity between recruited antibodies and CD16a, a type of Fc receptor expressed on immune cells, could be a key factor controlling immune activation in the Fc-ARM strategy.
Keywords:antibody-recruiting small molecules  cancer immunotherapy  cytotoxicity  defucosylation  prostate-specific membrane antigen  
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