MACROPHAGE SPECIFIC ENGAGER COMPOSITIONS AND METHODS OF USE THEREOF

Abstract
Compositions and methods for making and using therapeutic agents comprising myeloid cell specific engagers, used for immunotherapy of cancer or infection.
Description
SEQUENCE LISTING

This application contains a Sequence Listing which has been submitted electronically in XML format having the file name 56371-725_601_SL.xml created on Nov. 30, 2022 and is 246826 bytes in size.


BACKGROUND

Cellular immunotherapy is a promising new technology for fighting difficult to treat diseases, such as cancer, persistent infections and diseases that are refractory to other forms of treatment. Macrophages represent the dominant cell type present in a tumor or an infection site and possess several strategic advantages such that they can be potentially utilized to treat the disease most effectively. As natural sentinels of the immune system, these cells can sense and eliminate aberrant and non-healthy cell types, including cancer cells. However, potential use of macrophages for immunotherapy has not been fully explored. Newer avenues are sought for using these cell types towards development of improved therapeutics, including but not limited to T cell malignancies.


SUMMARY

The present disclosure relates to new compositions and methods that initiate a target cell destruction pathway through phagocytosis. This application is based on an unexpected finding that when a phagocytic receptor is triggered with at least a second concurrent or subsequent activation signal in addition to binding to its classical ligand, the second or additional signal(s) can lead to efficient destruction of a target cell by phagocytosis. Presented herein are chimeric receptors, and chimeric receptor-binding extracellular elements designed for enhancing phagocytosis of a cell, such as a myeloid cell, or a monocyte or macrophage. Careful design and/or manipulation of the at least second concurrent or subsequent signal is useful for successful activation of a chimeric phagocytic receptor such as those described herein, such that the target cell is effectively destroyed thereafter. For example, the first signal (signal 1) can be mediated via phagocytosis/tethering receptors and the second signal (signal 2) can by mediated danger signals such as pathogen-associated molecular patterns (DAMPs), or cytokines that trigger nuclear factor-κB (NF-κB)-mediated upregulation of inflammatory genes. As described in the following section, triggering phagocytosis alone may be insufficient to activate monocytes or macrophages in the context of harnessing the phagocytic ability of monocytes or macrophages to kill cancer cells, and to drive an effective anti-tumor response.


One of the specific advantages of the inventions described here is that the compositions for effective cellular immunotherapy disclosed herein are cost-effective and efficient.


In some aspects, provided herein are new chimeric cell surface binding elements or “engagers” that bind to an extracellular portion of a chimeric phagocytic receptor, and bind additionally to at least a cell surface component on a target cell such as a cancer cell.


In one embodiment, the new chimeric engagers can bind to an extracellular portion of a chimeric phagocytic receptor, and additionally bind to one or more cell surface components, at least one of which is on a target cancer cell. Accordingly, an engager may be a bi-specific monocyte or macrophage engager (BiME) and have two binding portions, wherein one binding portion binds to an extracellular portion of a chimeric phagocytic receptor, and the other binds to the cell surface component on a target cell. Likewise, an engager may be a trispecific monocyte or macrophage engager (TriME) and have three binding portions, wherein one binding portion binds to an extracellular portion of a chimeric phagocytic receptor, another binding portion binds to the cell surface component on a target cell and the third binding portion binds to the cell surface component on the phagocytic cell.


In one aspect, the engager is a synthetic protein or a peptide, a conjugated protein or conjugated peptide. Provided herein is a composition comprising: a first therapeutic agent, wherein the therapeutic agent comprises: (a) a first binding domain, wherein the first binding domain is a first antibody or functional fragment thereof that specifically interacts with an antigen of a target cell, and (b) a second binding domain, wherein the second binding domain is a second antibody or functional fragment thereof that specifically interacts with a myeloid cell; wherein, (i) the first therapeutic agent is coupled to a first component, wherein the first component is an additional therapeutic agent or a third binding domain, or (ii) the composition comprises an additional therapeutic agent.


Provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising a first binding domain operatively linked to a first ligand, wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand, wherein the first binding domain specifically interacts with an antigen of a target cell, and wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell.


In some embodiments, the first polypeptide chain further comprises a first immunoglobulin (Ig) domain operatively linked to the first binding domain and the first ligand.


Provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a first ligand or functional fragment thereof, and (c) an additional binding domain that specifically interacts with a first extracellular protein of a myeloid cell; wherein the first binding domain, the first ligand or functional fragment thereof, and the additional binding domain are operatively linked.


In some embodiments, the first polypeptide chain further comprises a first immunoglobulin (Ig) domain operatively linked to the first binding domain, the first ligand or functional fragment thereof, and the additional binding domain.


Provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a first ligand or functional fragment thereof; and (c) a first immunoglobulin (Ig) domain; wherein the first binding domain, the first ligand or functional fragment thereof, and the first Ig domain are operatively linked.


In some embodiments, the first polypeptide chain further comprises an additional binding domain that specifically interacts with a first extracellular protein of a myeloid cell.


The composition of claim 1-6, wherein the first ligand or functional fragment thereof is a TNFR ligand or functional fragment thereof.


In some embodiments, the anti-TNFR binding domain interacts with a TNFR expressed on the myeloid cell.


In some embodiments, the first ligand or functional fragment thereof is not an anti-GITR binding domain.


In some embodiments, the first ligand or functional fragment thereof comprises CD40 or functional fragment thereof.


In some embodiments, the first ligand or functional fragment thereof is a modified ligand or functional fragment thereof.


The composition of claim 10 or 11, wherein the CD40 or functional fragment thereof comprises a circular permutated CD40 or functional fragment thereof.


In some embodiments, the recombinant polynucleic acid further comprises a sequence encoding a second polypeptide chain comprising a second binding domain operatively linked to a second ligand.


In some embodiments, the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand.


In some embodiments, the second binding domain specifically interacts with a first extracellular protein of a myeloid cell.


In some embodiments, the second ligand is configured to form a multimer with the first ligand.


In some embodiments, the second ligand interacts with a second extracellular protein of a myeloid cell, wherein the second extracellular protein is different than the first extracellular protein to which the second binding domain specifically interacts.


In some embodiments, the second ligand or functional fragment thereof is a TNFR ligand or functional fragment thereof.


In some embodiments, the second ligand or functional fragment thereof is CD40 or a functional fragment thereof.


In some embodiments, the second ligand or functional fragment thereof is a modified ligand or functional fragment thereof.


In some embodiments, the second ligand or functional fragment thereof does not specifically interact with GITR.


In some embodiments, the first ligand interacts with a second extracellular protein of a myeloid cell.


In some embodiments, the first ligand interacts with a second extracellular protein of a myeloid cell, wherein the second extracellular protein is different than the first extracellular protein to which the second binding domain specifically interacts.


In some embodiments, the second polypeptide chain further comprises an additional binding domain that specifically interacts with an antigen of the target cell.


In some embodiments, the additional binding domain of the second polypeptide chain specifically interacts with the antigen of the target cell to which the first binding domain specifically interacts.


In some embodiments, the second polypeptide chain further comprises a second Ig domain.


In some embodiments, the second Ig domain is operatively linked to the second binding domain and the second ligand.


In some embodiments, the additional binding domain of the first polypeptide chain specifically interacts with the first extracellular protein to which the second binding domain specifically interacts.


In some embodiments, the first Ig domain and/or the second Ig domain comprises an Fc domain.


In some embodiments, the first Ig domain and/or the second Ig domain is an IgG domain.


In some embodiments, the IgG domain is selected from the group consisting of IgG1, IgG4 and IgGA.


In some embodiments, the first Ig domain comprises a knob.


In some embodiments, the knob comprises IgG1 Fc (F409R).


In some embodiments, the second Ig domain comprises a hole.


In some embodiments, the hole comprises IgG1 Fc (K405L).


In some embodiments, the first polypeptide chain and the second polypeptide chain are configured to form a multimer with a third polypeptide chain comprising a third ligand.


In some embodiments, the third ligand is configured to form a multimer with the first ligand and second ligands.


In some embodiments, the third ligand is a TNFR ligand or functional fragment thereof.


In some embodiments, the third ligand is CD40 or a functional fragment thereof.


In some embodiments, the third ligand or functional fragment thereof does not specifically interact with GITR.


In some embodiments, the third polypeptide chain further comprises a third binding domain that specifically interacts with an extracellular protein of the myeloid cell.


In some embodiments, the extracellular protein to which the third binding specifically interacts is the first extracellular protein to which the additional binding domain of the first polypeptide chain specifically interacts.


In some embodiments, the extracellular protein to which the third binding specifically interacts is the extracellular protein to which the second binding domain specifically interacts.


In some embodiments, the third polypeptide chain further comprises an additional binding domain that specifically interacts with an antigen of a target cell.


In some embodiments, the additional binding domain of the third polypeptide chain specifically interacts with the antigen of a target cell to which the first binding domain specifically interacts.


In some embodiments, the additional binding domain of the third polypeptide chain specifically interacts with the antigen of a target cell to which the additional binding domain of the second polypeptide chain specifically interacts.


Provided herein is a composition comprising a polypeptide encoded by the recombinant polynucleic acid of the composition of any one of embodiments described herein.


In some embodiments, the composition comprises the second polypeptide chain.


In some embodiments, the composition comprises the third polypeptide chain.


In some embodiments, the composition comprises a multimer comprising the first polypeptide chain and the second polypeptide chain.


In some embodiments, the composition comprises a multimer comprising the first polypeptide chain, the second polypeptide chain and the third polypeptide chain.


In some embodiments, the first Ig domain is complexed with the second Ig domain in the multimer.


In some embodiments, the first ligand is complexed with the second ligand in the multimer.


In some embodiments, the first ligand, the second ligand and the third ligand are complexed in the multimer.


In some embodiments, the multimer is a dimer.


In some embodiments, the dimer is a homodimer.


In some embodiments, the dimer is a heterodimer.


In some embodiments, the multimer is a hexamer.


In some embodiments, the multimer is a trimer.


In some embodiments, the trimer is a homotrimer.


Provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: (a) a first binding domain that specifically interacts with an antigen of a target cell (b) a TLR agonist sequence, wherein the TLR agonist sequence comprises two or more TLR sequences in tandem, and (c) an additional binding domain that specifically interacts with an extracellular protein of a myeloid cell, wherein the first binding domain, the TLR agonist sequence and the additional binding domain are operatively linked.


In some embodiments, the first polypeptide chain further comprises a linker between the first binding domain and the additional binding domain.


In some embodiments, the linker is a functional polypeptide.


In some embodiments, the linker is a ligand for a receptor.


In some embodiments, the linker activates the receptor upon binding to the receptor.


In some embodiments, the receptor is expressed by the myeloid cell.


In some embodiments, the receptor is a Toll-like receptor (TLR).


In some embodiments, the TLR is TLR4.


In some embodiments, the linker is a ligand for a TLR.


In some embodiments, the linker comprises the TLR agonist sequence. In some embodiments, the linker comprises one, two or three or more repeats of the TLR agonist sequence. In some embodiments, the TLR agonist sequence is APPHALS (SEQ ID NO: 137).


In some embodiments, the antigen of the target cell is a cancer antigen, a pathogenic antigen or an autoimmune antigen.


In some embodiments, the antigen of the target cell is HER2, TROP2, GPC3, or CD70.


In some embodiments, first or second extracellular protein of the myeloid cell is a phagocytic receptor or tethering receptor.


In some embodiments, first or second extracellular protein of the myeloid cell is CD16, CD64, CD89, CD351, or FCER1A.


In some embodiments, the first binding domain, the second binding domain, the third binding domain, the additional binding domain of the first polypeptide chain, the additional binding domain of the second polypeptide chain and/or the additional binding domain of the third polypeptide chain comprises an antibody or binding fragment thereof.


In some embodiments, the first binding domain, the second binding domain, the third binding domain, the additional binding domain of the first polypeptide chain, the additional binding domain of the second polypeptide chain and/or the additional binding domain of the third polypeptide chain comprises a VH domain, a VL domain, a VNAR domain, a Vhh domain, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody or a diabody.


In some embodiments, the antigen on the target cell is an extracellular antigen.


In some embodiments, the antigen on the target cell is an epitope of an intracellular antigen that is presented by the target cell.


In some embodiments, the antigen on the target cell is a T-lymphocyte antigen.


In some embodiments, the myeloid cell is a monocyte or a macrophage.


Provided herein is a pharmaceutical composition comprising the composition of any one of the embodiments described herein; and a pharmaceutically acceptable excipient.


In some embodiments, comprising a second therapeutic agent.


Provided herein is a method of treating a disease or condition in a subject in need thereof, the method comprising administering to the subject the pharmaceutical composition of the embodiment above.


In one embodiment, administering the pharmaceutical composition comprises administering the pharmaceutical composition subcutaneously or intravenously.


In some embodiments, the method further comprises administering a second therapeutic agent.


In some embodiments, the disease or condition is a cancer.


In some embodiments, the cancer is a T-cell lymphoma or a HER2-associated cancer.


In some embodiments, the subject is human.


In some embodiments, the subject has been treated for the disease or condition previously.


In some embodiments, the first polypeptide chain or the second polypeptide chain comprises a sequence ARGGFGSSYWYFDV (SEQ ID NO: 184).


In some embodiments, the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 185 or 186.


In some embodiments, the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 187, or a sequence that is at least 85% identical to SEQ ID NO: 187.


In some embodiments, the first polypeptide chain or the second polypeptide chain comprises a sequence QQHYITPLTF (SEQ ID NO: 188).


In some embodiments, the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 189 or 190.


In some embodiments, the method of any one of the claims 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 191, or a sequence that is at least 85% identical to SEQ ID NO: 191.


In some embodiments, the method of any one of the claims 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence FYSYTY (SEQ ID NO: 194).


In some embodiments, the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 195 or 196.


In some embodiments, the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 197, or a sequence that is at least 85% identical to SEQ ID NO: 197.


In some embodiments, the first polypeptide chain or the second polypeptide chain comprises a sequence SQNTHVPPT (SEQ ID NO: 198).


In some embodiments, the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 199 or 200.


In some embodiments, the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 201, or a sequence that is at least 85% identical to SEQ ID NO: 201.


Provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising a first binding domain operatively linked to a first ligand, wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand, wherein the first binding domain comprises a sequence of SEQ ID NO: 184, and wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell.


Provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising a first binding domain operatively linked to a first ligand, wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand, wherein the first binding domain comprises a sequence of SEQ ID NO: 194, and wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell.


In one aspect, provided herein is a composition comprising: a therapeutic agent, wherein the therapeutic agent is an engager that comprises: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a second binding domain that specifically interacts with a myeloid cell, and (c) a third binding domain that specifically interacts with the myeloid cell.


In one aspect, provided herein is a composition comprising: a therapeutic agent, wherein the therapeutic agent is an engager that comprises: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a second binding domain, wherein the second binding domain: (i) specifically interacts with a myeloid cell (e.g., a monocyte or macrophage, or a dendritic cell) and promotes phagocytosis activity of the myeloid cell, or, (ii) specifically interacts with a myeloid cell and promotes inflammatory signaling of the myeloid cell, or (iii) specifically interacts with a myeloid cell or an adhesion molecule and promotes adhesion of the myeloid cell to the target cell, and (c) a third binding domain, wherein the third binding domain (i) specifically interacts with the myeloid cell and promotes phagocytic activity of the myeloid cell, or, (ii) specifically interacts with the myeloid cell and promotes inflammatory signaling of the myeloid cell, or, (iii) specifically interacts with the myeloid cell and promotes adhesion of the myeloid cell to the target cell, or, (iv) specifically interacts with the myeloid cell and inhibits anti-phagocytic activity of the myeloid cell mediated by the target cell, or (v) specifically interacts with the myeloid cell and inhibits anti-inflammatory activity of the myeloid cell mediated by the target cell.


In some embodiments, the myeloid cell is a monocyte or macrophage cell.


In some embodiments, the target cell is a cancer cell.


In some embodiments, the second binding domain that specifically interacts with a myeloid cell interacts with a phagocytic or tethering receptor of the myeloid cell or monocyte or macrophage cell.


In some embodiments, the third binding domain that specifically interacts with a myeloid cell interacts with an extracellular region of a first phagocytic or tethering receptor of the myeloid cell or monocyte or macrophage cell.


The composition of any one of the preceding claims wherein any one of binding domains of the therapeutic agent comprises the binding domain of an antibody, a functional fragment of an antibody, a variable domain thereof, a VH domain, a VL domain, a VNAR domain, a Vhh domain, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody, a diabody, or a functional fragment or a combination thereof.


In some embodiments, the therapeutic agent is a recombinant protein or more than one recombinant proteins.


In some embodiments, the therapeutic agent comprises recombinant proteins comprising one or more fusion proteins.


In some embodiments, the therapeutic agent is a recombinant protein comprising an antibody, a functional fragment of an antibody, a variable domain thereof, a VH domain, a VL domain, a VNAR domain, a Vhh domain, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody, a diabody, or a functional fragment or a combination thereof. In some embodiments, the therapeutic agent is a recombinant protein or more than one recombinant proteins, each comprising multiple binding fragments, each binding fragment constituting a functional fragment of an antibody, a variable domain thereof, a VH domain, a VL domain, a VNAR domain, a Vhh domain, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody, a diabody, or a functional fragment or a combination thereof.


In some embodiments, the therapeutic agent is a recombinant protein (the engager) comprising multiple binding domains, each having individual binding specificities, that are each linked together by linkers (e.g., peptide linkers) that exhibit complementary binding with each other. For example, one binding domain of the recombinant protein is fused with the first of a pair of linker peptides, and the other binding domain is fused with the second of the pair of linker peptides, wherein, the pair of linker peptides exhibit complementary binding with each other, wherein the pair of linker peptides comprise: (a) leucine zipper domains that exhibit complementary binding with each other; for example, leucine zippers in naturally occurring protein-protein interactions, such as the zipper sequences within the binding regions of c-Fos and c-Jun proteins, (b) synthetic peptides designed to specifically bind to each other via designed affinities, such as synthetic clasps.


In some embodiments, the therapeutic agent is a recombinant protein comprising multiple binding fragments configured to facilitate accelerated association with each other by means of leucine zipper peptide pairs comprised in the recombinant proteins.


In some embodiments, the therapeutic agent is a recombinant protein comprising multiple binding fragments configured to facilitate accelerated association with each other by means of c-Fos/c-Jun binding domains in the peptide pairs comprised within the recombinant proteins.


In some embodiments, the therapeutic agent is a recombinant protein comprising multiple binding fragments configured to facilitate accelerated association with each other by means of synthetic clasps.


In some embodiments, the antigen on the target cell to which the first binding domain binds, is a cancer antigen or a pathogenic antigen on the target cell or an autoimmune antigen.


In some embodiments, the antigen on the target cell to which the first binding domain binds, is a viral antigen.


In some embodiments, the antigen on the target cell to which the first binding domain binds is a T-lymphocyte antigen.


In some embodiments, the antigen on the target cell to which the first binding domain binds is an extracellular antigen.


In some embodiments, the antigen on the target cell to which the first binding domain binds is an intracellular antigen.


In some embodiments, the antigen on the target cell to which the first binding domain binds is selected from the group consisting of Thymidine Kinase (TK1), Hypoxanthine-Guanine Phosphoribosyltransferase (HPRT), Receptor Tyrosine Kinase-Like Orphan Receptor 1 (ROR1), Mucin-1, Mucin-16 (MUC16), MUC1, Epidermal Growth Factor Receptor vIII (EGFRvIII), Mesothelin, Human Epidermal Growth Factor Receptor 2 (HER2), Mesothelin, EBNA-1, LEMD1, Phosphatidyl Serine, Carcinoembryonic Antigen (CEA), B-Cell Maturation Antigen (BCMA), Glypican 3 (GPC3), Follicular Stimulating Hormone receptor, Fibroblast Activation Protein (FAP), Erythropoietin-Producing Hepatocellular Carcinoma A2 (EphA2), EphB2, a Natural Killer Group 2D (NKG2D) ligand, Disialoganglioside 2 (GD2), CD2, CD3, CD4, CD5, CD7, CD8, CD19, CD20, CD22, CD24, CD30, CD33, CD38, CD44v6, CD45, CD56CD79b, CD97, CD117, CD123, CD133, CD138, CD171, CD179a, CD213A2, CD248, CD276, PSCA, CS-1, CLECL1, GD3, PSMA, FLT3, TAG72, EPCAM, IL-1, an integrin receptor, PRSS21, VEGFR2, PDGFR-beta, SSEA-4, EGFR, NCAM, prostase, PAP, ELF2M, GM3, TEM7R, CLDN6, TSHR, GPRC5D, ALK, IGLL1 and combinations thereof.


In some embodiments, the antigen on the target cell to which the first binding domain binds is selected from the group consisting of CD2, CD3, CD4, CD5, CD7, CCR4, CD8, CD30, CD45, CD56.


In some embodiments, the antigen on the target cell to which the first binding domain binds is an ovarian cancer antigen or a T lymphoma antigen.


In some embodiments, the antigen on the target cell to which the first binding domain binds is an integrin receptor.


In some embodiments, the second binding domain or the third binding domain binds to an integrin receptor.


In some embodiments, the second binding domain or the third binding domain binds to an integrin receptor selected from the group consisting of α1, α2, αIIb, α3, α4, α5, α6, α7, α8, α9, α10, α11, αD, αE, αL, αM, αV, αX, β1, β2, β3, β4, β5, β6, β7, and β8.


In some embodiments, the therapeutic agent binds to a phagocytic or tethering receptor that comprises a phagocytosis activation domain.


In some embodiments, the therapeutic agent binds to a receptor or a protein selected from the group consisting the receptors listed in Table 2A and Table 2B, or a fragment thereof.


In some embodiments, the therapeutic agent binds to a phagocytic receptor selected from the group consisting of lectin, dectin 1, CD206, scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD64, F4/80, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), CD64, CD32a, CD16a, CD89, Fc-alpha receptor I, CR1, CD35, CR3, CR4, Tim-1, Tim-4 and CD169.


In some embodiments, the therapeutic agent binds to a receptor comprising an intracellular signaling domain that comprises a pro-inflammatory signaling domain.


In some embodiments, the first therapeutic agent comprises a polypeptide that is less than 1000 amino acids or 1000 nm in length or 1000 nm.


In some embodiments, the first therapeutic agent comprises a polypeptide that is less than 500 amino acids or 500 nm in length.


In some embodiments, the first therapeutic agent comprises a polypeptide that is 200-1000 amino acids or 200-1000 nm in length.


In some embodiments, engagement of the binding domains of the first therapeutic agent contacts the cancer cell to the myeloid cell.


In some embodiments, the second binding domain specifically interacts with a myeloid cell and promotes phagocytosis activity of the myeloid cell.


In some embodiments, the second binding domain specifically interacts with a myeloid cell and promotes inflammatory signaling of the myeloid cell.


In some embodiments, the second binding domain specifically interacts with a myeloid cell or an adhesion molecule and promotes adhesion of the myeloid cell to the target cell.


In some embodiments, the second binding domain specifically interacts with a myeloid cell and inhibits anti-phagocytic activity of the myeloid cell mediated by the target cell.


In some embodiments, the second binding domain specifically interacts with a myeloid cell and inhibits anti-inflammatory activity of the myeloid cell mediated by the target cell.


In some embodiments, the second and/or the third binding domain promotes phagocytic activity of the myeloid cell.


In some embodiments, the second and/or the third binding domain promotes inflammatory signaling of the myeloid cell.


In some embodiments, the second and/or the third binding domain specifically interacts with a myeloid cell or an adhesion molecule and promotes adhesion of the myeloid cell to the target cell.


In some embodiments, the second and/or the third binding domain inhibits anti-phagocytic activity of the myeloid cell mediated by the target cell.


In some embodiments, the second and/or the third binding domain inhibits anti-inflammatory activity of the myeloid cell mediated by the target cell.


In some embodiments, the therapeutic agent comprises a therapeutic polypeptide.


In some embodiments, the therapeutic agent comprises a recombinant nucleic acid encoding the therapeutic polypeptide.


In some embodiments, the third binding domain or the additional therapeutic agent comprises a CD47 antagonist, a CD47 blocker, an antibody, a chimeric CD47 receptor, a sialidase, a cytokine, a proinflammatory gene, a procaspase, or an anti-cancer agent.


In some embodiments, the first binding domain, the second binding domain and the third binding domain bind to distinct non-identical target antigens.


In some embodiments, the first binding domain, the second binding domain or the third binding domain is a ligand binding domain.


In some embodiments, the first, the second or the third binding domains are operably linked by one or more linkers.


In some embodiments, the linker is a polypeptide. In some embodiments, the linker is a functional peptide. In some embodiments, the linker is a ligand for a receptor. In some embodiments, the linker is a ligand for a monocyte or macrophage receptor. In some embodiments, the linker activates the receptor. In some embodiments, the linker inhibits the receptor. In some embodiments, the linker is a ligand for a M2 monocyte or macrophage. In some embodiments, the linker is a ligand for a TLR receptor. In some embodiments, the linker activates the TLR receptor.


In some embodiments, the first, the second and/or the third binding domains are associated with a mask that binds to the binding domain.


In some embodiments, the mask is an inhibitor that inhibits the interaction of binding domain to its target when the mask remains associated with the respective binding domain.


In some embodiments, the mask is associated with the binding domain via a peptide linker.


In some embodiments, the peptide linker comprises a cleavable moiety.


In some embodiments, the cleavable moiety is cleaved by a protein or an enzyme selectively abundant in the site of the cancer or tumor.


In some embodiments, the third binding domain that specifically interacts with an extracellular region of a second receptor of the monocyte or macrophage activates the monocyte or macrophage.


In some embodiments, upon binding of the therapeutic agent to the myeloid cell, the killing or phagocytosis activity of the myeloid cell is increased by at least 10%, or 20%, or 30%, or 40%, or 50%, or 60%, or 70% or 90% or 100% compared to a myeloid cell not bound by the therapeutic agent, as measured by a particle uptake assay.


In some embodiments, engagement of the binding domains of first therapeutic agent triggers phagocytosis of the cancer cell by the myeloid cell.


In some embodiments, engagement of the second therapeutic agent potentiates or increases the phagocytic killing of the cancer cell by the myeloid cell.


In some embodiments, the second or third binding domain binds to an extracellular of IgA, IgD, IgE, IgG, IgM, FcγRI, FcγRIIA, FcγRIIB, FcγRIIC, FcγRIIIA, FcγRIIIB, FcRn, TRIM21, FcRL5.


In some embodiments, the second or the third binding domain comprises an M2 domain.


In some embodiments, the second or the third binding domain comprises a LIGHT domain or an HVEM binding domain.


In some embodiments, the second or the third binding domain comprises a HVEM binding domain.


In some embodiments, the second or the third binding domain comprises a GITR binding domain.


In some embodiments, the first binding domain comprises a sequence having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to a sequence selected from the group consisting of SEQ ID NOs: 27, 28, 111, 112, 113, 115, 143 and 144.


In some embodiments, the second binding domain comprises a sequence having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to a sequence selected from the group 141 and 142.


In some embodiments, the first component comprises an amino acid sequence GGQEINSSYGG (SEQ ID NO: 105) or QEINSSY (SEQ ID NO: 129).


In some embodiments, the first component comprises an amino acid sequence GGAPPHALSGG (SEQ ID NO: 109) or APPHALS (SEQ ID NO: 137).


In some embodiments, the linker comprises an amino acid sequence GGQEINSSYGG (SEQ ID NO: 105), or QEINSSY (SEQ ID NO: 129) or GGAPPHALSGG (SEQ ID NO: 109) or APPHALS (SEQ ID NO: 137).


In some embodiments, the linker comprises an amino acid sequence











(SEQ ID NO: 204)



GSTGGGTGGAGGGAGSGGGSGGSGT.






In some embodiments, the linker comprises an amino acid sequence











(SEQ ID NO: 206)



GSGGAPPHALSGGGAPPHALSGGGAPPHALSGGST.






In some embodiments, provided herein are compositions, sequences, method of making and method of using any one of the bispecific or trispecific engagers described in Tables 3-5. Contemplated herein are any combinations of any of the sequences with any other disclosed herein, to prepare an engager polypeptide with the functions described, and as is easily understood by one of skill in the art.


In some embodiments, provided herein is a bispecific or trispecific engager, comprising a sequence having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 151.


In some embodiments, provided herein is a bispecific or trispecific engager, comprising a sequence having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 152.


In some embodiments, provided herein is a tri-specific engager CD16-CD40L_CS5-HER2 TriME comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 203.


In some embodiments, provided herein is a tri-specific engager CD16-CD40L_CS4-HER2 TriME comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 202.


In some embodiments, provided herein is a tri-specific engager comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 205.


In some embodiments, provided herein is a tri-specific engager comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 207.


In some embodiments, provided herein is a tri-specific engager comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 208.


In some embodiments, provided herein is a tri-specific engager comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 209.


In some embodiments, provided herein is a tri-specific engager comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 210.


In some embodiments, provided herein is a tri-specific engager comprising a polypeptide having an amino acid sequence with at least 80%, 85%, 90%, 95% or 100% sequence identity to SEQ ID NO: 211.


Provided herein is a pharmaceutical composition comprising: a first therapeutic agent, wherein the therapeutic agent comprises one or more polypeptides or recombinant nucleic acids encoding the one or more polypeptides, wherein the one or more polypeptides comprise: a first binding domain, wherein the first binding domain is a first antibody or functional fragment thereof that specifically interacts with an antigen of a target cell, and a second binding domain, wherein the second binding domain is a second antibody or functional fragment thereof that specifically interacts with a myeloid cell; wherein, (i) the first therapeutic agent is coupled to a first component, wherein the first component is an additional therapeutic agent or a third binding domain, or (ii) the composition comprises an additional therapeutic agent; and an acceptable pharmaceutical salt or excipient.


In some embodiments, the first therapeutic agent of the pharmaceutical composition comprises a single polypeptide. In some embodiments, the first therapeutic agent of the pharmaceutical composition comprises multiple polypeptides. In some embodiments, the first therapeutic agent of the pharmaceutical composition is a recombinant nucleic acid encoding the one or more polypeptides. In some embodiments, the pharmaceutical composition further comprises a second therapeutic agent.


Provided herein is a method of treatment, comprising: administering to the subject in need thereof, a pharmaceutical composition, comprising: a first therapeutic agent, wherein the therapeutic agent comprises one or more polypeptides or recombinant nucleic acids encoding the one or more polypeptides, wherein the one or more polypeptides comprise: a first binding domain, wherein the first binding domain is a first antibody or functional fragment thereof that specifically interacts with an antigen of a target cell, and a second binding domain, wherein the second binding domain is a second antibody or functional fragment thereof that specifically interacts with a myeloid cell; wherein, (i) the first therapeutic agent is coupled to a first component, wherein the first component is an additional therapeutic agent or a third binding domain, or (ii) the composition comprises an additional therapeutic agent; and an acceptable pharmaceutical salt or excipient.


In some embodiments, the method of treatment further comprises administering a second therapeutic agent. In some embodiments, the method of treatment further comprises administering the pharmaceutical composition comprises administering the pharmaceutical composition intravenously.


In some embodiments, the method of treatment further comprises the administering the pharmaceutical composition comprises administering the pharmaceutical composition subcutaneously. In some embodiments, the method of treatment further comprises administering the pharmaceutical composition comprises injecting the pharmaceutical composition.


In some embodiments, the target cell is a cancer cell.


In some embodiments, the target cell is a cancer cell that is a lymphocyte.


In some embodiments, the target cell is a cancer cell that is an ovarian cancer cell.


In some embodiments, the target cell is a cancer cell that is an ovarian pancreatic cell.


In some embodiments, the target cell is a cancer cell that is a glioblastoma cell.


In some embodiments, the recombinant nucleic acid is DNA.


In some embodiments, the recombinant nucleic acid is RNA.


In some embodiments, the recombinant nucleic acid is mRNA.


In some embodiments, the recombinant nucleic acid is a circRNA.


In some embodiments, the recombinant nucleic acid is a tRNA.


In some embodiments, the recombinant nucleic acid is a microRNA.


Provided herein is a vector, comprising the composition described above.


In some embodiments, vector is viral vector. In some embodiments, the viral vector is retroviral vector or a lentiviral vector. In some embodiments, the vector further comprises a promoter operably linked to at least one nucleic acid sequence encoding one or more polypeptides. In some embodiments, the vector is polycistronic. In some embodiments, each of the at least one nucleic acid sequence is operably linked to a separate promoter. In some embodiments, the vector further comprises one or more internal ribosome entry sites (IRESs). In some embodiments, the vector further comprises a 5′UTR and/or a 3′UTR flanking the at least one nucleic acid sequence encoding one or more polypeptides. In some embodiments, the vector further comprises one or more regulatory regions.


Provided herein is a polypeptide encoded by the recombinant nucleic acid of the composition described above.


Provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: a first binding domain, a second binding domain, a third binding domain, a fourth binding domain, and an Fc region; wherein at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with a first antigen of a target cell, wherein at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with a first extracellular protein of a myeloid cell, and wherein the Fc region, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked.


In some embodiments, at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with specifically interacts with the first antigen of the target cell, a second antigen of the target cell, an antigen of a T cell, a checkpoint inhibitor, the first extracellular protein of a myeloid cell or a second extracellular protein of a myeloid cell.


In some embodiments, at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with the first antigen of the target cell, a second antigen of the target cell, an antigen of a T cell, a checkpoint inhibitor, the first extracellular protein of a myeloid cell or a second extracellular protein of a myeloid cell.


In some embodiments, the Fc region is an IgGA Fc region. In some embodiments, the Fc region comprises a chimeric CH2 domain comprising a mammalian IgG Fc CH2 domain having a α1 loop of a mammalian IgA Fc CH2 domain In some embodiments, the Fc region comprises a mammalian IgA Fc CH3 domain. In some embodiments, the Fc region comprises a mammalian IgG Fc CH1 domain. In some embodiments, the α1 loop of a mammalian IgA is defined as a mammalian α1 loop corresponding to amino acids 245-257 of a human IgA Fc, according to the Kabat numbering scheme. In some embodiments, the α1 loop of a mammalian IgA Fc CH2 domain comprises the sequence PALEDLLLGSEAN (SEQ ID NO: 216). In some embodiments, the chimeric CH2 domain comprises the sequence PALEDLLLGSEANG (SEQ ID NO: 217). In some embodiments, the mammalian IgA Fc CH3 domain is defined as that mammalian IgA Fc CH3 domain corresponding to amino acids 336-443 of human IgA, according to the Kabat numbering scheme. In some embodiments, the mammalian IgA Fc CH3 domain comprises an amino acid sequence with at least 90% sequence identity to the amino acid sequence of SGNTFRPEVHLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQELPREKYLTWASRQ EPSQGTTTFAVTSILRVAAEDWKKGDTFSCMVGHEALPLAFTQKTIDR (SEQ ID NO: 218). In some embodiments, the chimeric CH2 domain comprises one, two or three amino acid positions from the α2 loop of a mammalian IgA Fc CH2 domain.


In some embodiments, the first and/or second antigen of the target cell is HER2, TROP2, GPC3, or CD70.


In some embodiments, first or second extracellular protein of the myeloid cell is a phagocytic receptor or tethering receptor or CD16, CD64, CD89, CD351, or FCER1A.


In some embodiments, the antigen of a T cell is CD3, CD4, CD5, CD7 and/or CD8.


In some embodiments, the checkpoint inhibitor is PD-L1, PD-L2, PD1, CTLA4, B7-1, B7-2, BTLA, VISTA, TIM-3, LAG3, and/or CD47.


In some embodiments, the first polypeptide chain is aglycosylated.


In some embodiments, the first polypeptide chain is coupled to a therapeutic, a reporter, or a targeting moiety. In some embodiments, the therapeutic is a nucleotide, a peptide, a small molecule, a therapeutic radionuclide, a chemotherapeutic, a tumor suppressor, an apoptosis inducer, an enzyme, a second antibody, an siRNA, a hormone, a prodrug, or an immunostimulant.


In some embodiments, the composition or the first polypeptide chain further comprises a FcRn-binding peptide.


In some embodiments, the first polypeptide chain comprises one or more of the following: (a) decreased affinity for FcγRIIb relative to a wild type IgG antibody; (b) increased affinity for FcγRIIa relative to a wild type IgA antibody; (c) increased affinity for FcγRI relative to a wild type IgA antibody; and (d) increased affinity for FcαRI relative to a wild type IgG antibody.


In some embodiments, each of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain is an scFv or an sdAb. In some embodiments, each of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain is an sdAb.


In some embodiments, the Fc region, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked in the following order: [first binding domain]-[second binding domain]-[Fc region]-[third binding domain]-[fourth binding domain].


In some embodiments, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked in the following order [second binding domain]-[first binding domain]-[Fc region]-[third binding domain]-[fourth binding domain].


In some embodiments, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked in the following order [second binding domain]-[first binding domain]-[Fc region]-[fourth binding domain]-[third binding domain].


In some embodiments, it is contemplated herein that the binding domains can be interchangeably arranged with respect to a linker or another domain on the recombinant polypeptide.


In some embodiments, the first polypeptide chain forms a dimer. In some embodiments, the first polypeptide chain forms a homodimer.


Also provided herein polypeptide or multimer thereof encoded by a recombinant polynucleic acid of a composition described herein.


In one aspect, provided herein is a multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 211.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 211.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 211.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 209.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 209.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 209.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 210.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 210.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 210.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis, comprising a polypeptide having an amino acid sequence that has at least 80% identity to SEQ ID NO: 209, or a polypeptide having an amino acid sequence that has at least 80% identity to SEQ ID NO: 210.


In some embodiments, the polypeptide of the multimeric engager that has at least 80% identity to SEQ ID NO: 209 associates with the polypeptide of the multimeric engager that has at least 80% identity to SEQ ID NO: 210 in a complex. A multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 208. In some embodiments, a multimeric engager is disclosed herein for use in cancer cell lysis, comprising a polypeptide having an amino acid sequence that has at least 80% identity to SEQ ID NO: 212, or a polypeptide having an amino acid sequence that has at least 80% identity to SEQ ID NO: 213. In some embodiments, the multimeric engager comprising polypeptide that has at least 80% identity to SEQ ID NO: 212 associates with the polypeptide that has at least 80% identity to SEQ ID NO: 213 in a complex.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 202.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 202.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 202.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 203.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 203.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 203.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 205.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 205.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 205.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 207.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 207.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 207.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 208.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 208.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 208.


In one aspect, provided herein is recombinant polynucleic acid, encoding any one of the bispecific or trispecific engagers having a polypeptide as denoted in SEQ ID NOs: 202, 203, 205, 207, 208, 209, 210 or 211.


In one embodiment, the recombinant polynucleic acid is mRNA.


In one aspect, provided herein is cell comprising a polynucleic acid of any one of embodiments disclosed and described herein.


In one aspect, provided herein is pharmaceutical composition for use in treating cancer, comprising any one of the recombinant polynucleic acids, recombinant polypeptides or a cell of any one of embodiments disclosed and described herein.


Also provided herein is a pharmaceutical composition comprising a composition of described herein; and a pharmaceutically acceptable excipient.


Also provided herein is a method of treating a disease or condition in a subject in need thereof, the method comprising administering to the subject a pharmaceutical composition described herein. In some embodiments, the disease or condition is cancer.


Additional aspects and advantages of the present disclosure will become readily apparent to those skilled in this art from the following detailed description, wherein only illustrative embodiments of the present disclosure are shown and described. As will be realized, the present disclosure is capable of other and different embodiments, and its several details are capable of modifications in various obvious respects, all without departing from the disclosure. Accordingly, the drawings and description are to be regarded as illustrative in nature, and not as restrictive.


INCORPORATION BY REFERENCE

All publications, patents, and patent applications mentioned in this specification are herein incorporated by reference to the same extent as if each individual publication, patent, or patent application was specifically and individually indicated to be incorporated by reference. To the extent publications and patents or patent applications incorporated by reference contradict the disclosure contained in the specification, the specification is intended to supersede and/or take precedence over any such contradictory material.





BRIEF DESCRIPTION OF THE DRAWINGS

The novel features of the invention are set forth with particularity in the appended claims. A better understanding of the features and advantages of the present invention will be obtained by reference to the following detailed description that sets forth illustrative embodiments, in which the principles of the invention are utilized, and the accompanying drawings (also “FIG.” herein), of which:



FIG. 1A is a graphical representation of the exemplary extracellular stimulants, receptors and pathways generating a dual signal for a myeloid cell: a signal 1 and a signal 2.



FIG. 1B is a graphical representation of a simplified engager construct with a binder A, a linker L and a second binder B. In this simplified diagram, binder A binds to a cell surface biomolecule on a target cell; binder B binds to a cell surface biomolecule on a myeloid cell.



FIG. 2A is a graphical representation of bispecific scFv engager with protease cleavable masked site, that are the antigen binding domains.



FIG. 2B is a graphical representation of bispecific Vhh engager with protease cleavable masked antigen binding domains.



FIG. 3A is a graphical representation of an exemplary bispecific scFv engager with protease cleavable masked site, and a peptide linker connecting the two scFv engagers that are the antigen binding domains; in this case, the peptide linker is an additional therapeutic agent or a third binding domain, specifically a TLR4 ligand peptide.



FIG. 3B is a graphical representation of an exemplary bispecific Vhh engager with protease cleavable masked antigen binding domains, and a peptide linker connecting the two protease cleavable masked antigen binding domains; in this case, the peptide linker is an additional therapeutic agent or a third binding domain, specifically a TLR4 ligand peptide.



FIG. 3C is a graphical representation of an exemplary bispecific scFv engager with protease cleavable masked site, and a peptide linker connecting the two scFv engagers that are the antigen binding domains; in this case, the peptide linker is an additional therapeutic agent or a third binding domain, specifically a M2 targeting peptide.



FIG. 3D is a graphical representation of an exemplary bispecific Vhh engager with protease cleavable masked antigen binding domains, and a peptide linker connecting the two protease cleavable masked antigen binding domains; in this case, the peptide linker is an additional therapeutic agent or a third binding domain, specifically a M2 targeting peptide.



FIG. 3E depicts data indicating cytokine production by monocytes cultured overnight in the presence of each TLR peptide indicated.



FIG. 3F shows a graphical illustration of the protein structure of a bispecific binder construct CD5-RS01-CD16, having two scFv binders specific for CD5 and CD16 respectively, and a TLR4 synthetic peptide linker (RS01).



FIG. 3G shows expression data of the CD5-RS01-CD16 demonstrated in FIG. 3F. Lanes M1 and M2, Commercially available protein molecular weight marker from TaKaRa, Cat No. 3452 and GenScript, Cat No. M00521 respectively. Lanes 1 and 2 are SDS PAGE results or western blot results as indicated, under reducing and non-reducing conditions respectively. Lane P, positive control (Multiple tag, Gene Script, Cat No. M0101). Primary Antibody used for Western Blot: Mouse anti-His mAb (GenScripts, Cat. No. A00186).



FIG. 3H shows a graphical illustration of a protein structure of bispecific binder construct CD5-RS09-CD16, having two scFv binders specific for CD5 and CD16 respectively, and a TLR4 synthetic peptide linker (RS09).



FIG. 3I depicts data representing protein expression and detection of the CD5-RS09-CD16 demonstrated in FIG. 3H. Lane annotation and indices are as indicated in description for FIG. 3G. Left, SDS-PAGE gel electrophoresis of the isolated protein. Right, western blot detection of the protein using anti-His monoclonal antibody (mAb).



FIG. 4A is a graphical representation of an exemplary trispecific scFv engager. One arm or engager can engage with a first macrophage signaling domain (Signal 1 domain); another arm or engager can engage with a second macrophage signaling domain (Signal 2 domain); and yet another arm or engager can engage with a tumor recognition domain.



FIG. 4B is a graphical representation of an exemplary trispecific Vhh engager.



FIG. 4C is a graphical representation of an exemplary mode of action of a trispecific engager.



FIG. 5Ai depicts a graphical representation of the structural configuration of a recombinant bispecific scFv engager, where each of the binding domains is masked by an agent (a mask, represented graphically in the schematic diagram as a cap or dome), that prevents interaction of the binding domain with its cognate substrate. The mask is attached with the terminal section of each light chain by a cleavable linker, in the example a metalloprotease (MMP2) substrate. Arrows point to the structural components of the recombinant bispecific scFv engager, which are as follows: 1, mask; 2, MMP2 substrate linker; 3, ABD1 (antigen binding domain 1)-light chain; 3′, ABD2 (antigen binding domain 2)-light chain; 4, a linker connecting the binding domain light chain and the binding domain heavy chain; 5, ABD1 (antigen binding domain 1) heavy chain; 5′, ABD2 (antigen binding domain 2) heavy chain.


FIG. 5Aii depicts a graphical representation of the structural configuration of a recombinant bispecific diabody engager, where each of the binding domains is masked by an agent (a mask), that prevents interaction of the binding domain with its cognate substrate. The mask is attached with the terminal section of each light chain by a cleavable linker, in the example a metalloprotease (MMP2) substrate. Arrows point to the structural components of the recombinant bispecific diabody engager, which are as follows: 1, mask; 2, MMP2 substrate linker; 3, ABD1 (antigen binding domain 1)-light chain; 3′, ABD2 (antigen binding domain 2)-light chain; 4, linker connecting the ABD1 light chain and the ABD1 heavy chain; 4′, linker connecting the ABD2 light chain and the ABD2 heavy chain; 5, ABD2 heavy chain; 5′, ABD1 heavy chain.



FIG. 5B depicts a graphical representation of the linear nucleic acid construct for a single chain of the bispecific scFv. The parts are corresponding to FIG. 5Ai or FIG. 5Aii are depicted within the linearized diagram from N-terminal to C-terminal.



FIG. 6 depicts exemplary modular constructs comprising two or three binding domains to utilize as bispecific and trispecific engagers.



FIG. 7A upper panel is a graphical representation of MD2 mediated dimerization of TLR4 receptor, which leads to TLR activation. FIG. 7A lower panel is an exemplary design of a monocyte or macrophage specific engager, where one binding domain can bind to a tumor cell associated molecule (tumor antigen), another binding domain can bind to a monocyte or macrophage receptor, in this case an FcR. The third domain is an MD2 domain, which can bind to and dimerize TLR4 receptors, to activate them.



FIG. 7B is a graphical representation that shows the mode of action of the monocyte or macrophage specific engager of FIG. 7A.



FIG. 8A is an exemplary design of a monocyte or macrophage specific engager, where one binding domain can bind to a tumor cell associated molecule (tumor antigen), a second binding domain can bind to a monocyte or macrophage receptor, in this case an FcR. The third domain is an LIGHT domain, which can engage with monocyte or macrophage HVEM and activate an inflammatory signal in the monocyte or macrophage.



FIG. 8B is a graphical representation that shows the mode of action of the monocyte or macrophage specific engager of FIG. 8A.



FIG. 9A is an exemplary design of a monocyte or macrophage specific engager, where one binding domain can bind to a tumor cell associated molecule (tumor antigen), and a second binding domain can bind to a monocyte or macrophage receptor, in this case an FcR. The third domain is a GIRT ligand (GIRTL) domain or alternatively an antigen binding domain of anti-GITR antibody that can activate monocyte or macrophage receptor GITR, and can induce an inflammatory signal in the monocyte or macrophage.



FIG. 9B is a graphical representation that shows the mode of action of the monocyte or macrophage specific engager of FIG. 9A.



FIG. 10A shows exemplary heterodimeric antibody-based engager molecule designs, comprising peptides with leucine zipper domains. L1, L2 indicate ligands.



FIG. 10B shows exemplary heteromultimeric antibody-based engager molecule designs, comprising peptides with leucine zipper domains. L1-L4 indicate ligands.



FIG. 10C shows exemplary heterodimeric antibody-based engager molecule designs, comprising peptides having synthetic anchoring design. L1, L2 indicate ligands, and ‘in’ and ‘n’ indicate synthetic binding designs.



FIG. 11A shows HER2xCD16 BiME designs and expression. Upper left, structure of designed bispecific engager having one binder, an anti-HER2 Vhh, and another binder with Anti-CD16 Vhh, joined by a GGGGS linker (SEQ ID NO: 146). Lower left, structure of designed bispecific engager having one binder, an anti-HER2 Vhh, and another binder with anti-CD16 Vhh, joined by a RS09 linker with TLR agonist peptide. Right, gel electrophoresis showing purified protein exhibiting a single band for each of the constructs. Figure discloses SEQ ID NO: 146.



FIG. 11B shows resolution in a gel electrophoresis of the different polypeptide constructs as indicated after being expressed in 293Expi cells and purified. Protein loading was 1 μg protein per well on a 4-12% Bis-Tris precast gel. The gel is stained with Coomassie for 1 hour and destained for 2 hours.



FIG. 12A shows binding confirmation of the polypeptide constructs to SKOV3 cells, which are HER2+ ovarian cancer cell line.



FIG. 12B shows binding confirmation of the polypeptide constructs to CD16 conjugated beads.



FIG. 13 shows data demonstrating HER2xCD16 BiME induces strong ADCC. Figure discloses SEQ ID NO: 146.



FIGS. 14A, 14B and 14C show data demonstrating expression of cytokines in PBMCs in presence of target tumor cells (SKOV3) and the HER2xCD16 BiME polypeptide constructs having TLR linker or without the TLR linker.



FIGS. 15A and 15B show data confirming of binding of the HER2xCD16 BiME or CD16 Vhh or HER2 Vhh alone to targets, SKOV3 cells, a HER2+ ovarian cancer cell line, and CD16 coated beads.



FIG. 16 shows data indicating target cell killing by BiMEs in a SKOV3+PBMC co-culture assay.



FIG. 17 shows data indicating both BiME polypeptide constructs demonstrate higher target cell killing than Trastuzumab (Tras).



FIG. 18 graphically represents a trispecific engager (TRiME) design that is capable of multimerization and its mode of action. Upper left, exemplary monomer TRiME having three target specific binding domains, a HER2 Vhh domain that can bind to a HER2 antigen expressed on a cancer cell, a TNF ligand domain that can engage with a TNF receptor, and a CD16-binding domain. Lower left, trimerization of the monomers via TNF-receptor engagement. Right, graphical representation of engagement of the trimerized TRiME, engaging a cancer cell, and two membrane components on a phagocytic (e.g., myeloid cell) cell and thereby activating the myeloid cell.



FIG. 19 graphically represents a trispecific engager with a CD40 ligand as one of the three binding domains (binders), with IgG Fc domains that connect at on end the CD40 ligand and at the other end the Vhh1 and Vhh2 domains.



FIG. 20A graphically represents a trispecific engager with a CD40 ligand as one of the three binding domains (binders), with IgGA Fc domains that connect at one end of the CD40 ligand and at the other end the Vhh1 and Vhh2 domains. This is often referred to as PS002 construct in the disclosure.



FIG. 20B is an annotated amino acid sequence displaying the different structural elements of the exemplary TRiME depicted in FIG. 20A. Figure discloses SEQ ID NO: 239.



FIG. 21A graphically represents a trispecific engager having a CD40 ligand as one of the engagers, where IgG Fc domains are modified to incorporate a knob-and-hole structure for increased structural stabilization; the trispecific engager is a heterodimer, each with a CD40L at one end, and either a Vhh1, or a Vhh2 at the other end, where Vhh1 and Vhh2 bind to two different targets, e.g. CD16 and HER2. Representative member is a PS003/4 construct. CD40 in the figures denote CD40L.



FIG. 21B shows annotated amino acid sequence of construct PS003/4 displaying the different structural elements of the exemplary TRiME depicted in FIG. 21A. Figure discloses SEQ ID NOS 240-241, respectively, in order of appearance.



FIG. 22 shows representative data for binding of PS002 to the indicated target molecules as determined by flow cytometry. CD40 in the figures denote CD40L.



FIG. 23 shows representative data for binding of PS003/4 to the indicated target molecules as determined by flow cytometry.



FIG. 24 shows representative data from comparison study of target cell killing efficiency by human PBMCs cultured in the presence of PS002 and PS003/4 TRiMEs and Trastuzumab, incubated with SKOV3 tumor cells expressing GFP.



FIG. 25 shows representative data of anti-tumor chemokine and cytokine release by human PBMCs in a head to head comparison of PS002 and PS003 TRiMEs and Trastuzumab action.



FIG. 26A shows three dimensional structural configuration of a CD40 ligand (CD40L) trimer, in which the N and C termini of the CD40L are marked as N and C respectively, indicating that the N and C termini are too close for fusion with Vhh in this native state.



FIG. 26B shows circular permutated CD40 proteins to which Vhh1 and Vhh2 could both be fused, one at each terminus (top), giving rise to the effective trimer with six binder domains, three Vhh1, and three Vhh2.



FIG. 26C shows graphical representation of the CD40 trimerization and its mode of action. CD40 in the figures denote CD40L.



FIG. 27A displays graphically the suitable cut sites in a CD40L amino acid sequence, and sites critical for bindings as indicated. Also the structural elements that confer the three dimensional structure are indicated in boxes. An enlarged view of a portion is provided in the lower panel. Figure discloses SEQ ID NOS 242-243, respectively, in order of appearance.



FIG. 27B shows three dimensional structure showing highlighted regions for each cut site.



FIG. 28A shows annotated amino acid sequence for CD40-CP TRiME polypeptide constructs MLDA4-1 (CD16-CD40L_CS1-HER2) and MLDA4-2 (CD16-CD40L_CS2-HER2). Figure discloses SEQ ID NOS 244-245, respectively, in order of appearance.



FIG. 28B shows annotated amino acid sequence for CD40-CP TRiME polypeptide constructs MLDA4-3 (CD16-CD40L_CS3-HER2). Figure discloses SEQ ID NO: 246.



FIG. 28C shows annotated amino acid sequence for CD40-CP TRiME polypeptide constructs MLDA4-4 (CD16-CD40L_CS4-HER2) and MLDA4-5 (CD16-CD40L_CS5-HER2). Figure discloses SEQ ID NOS 247-248, respectively, in order of appearance.



FIG. 29 shows protein expression data of the CD40-CP TRiME polypeptide constructs MLDA4-1, 2, 3, 4, 5. Total proteins isolated from in reduced (upper panel) and non-reduced (lower panel) gel electrophoresis.



FIG. 30 shows resolution of two polypeptide constructs in non-denaturing gel electrophoresis, testing the purity of the protein preparations. Samples run: Left band (second lane from left), CD16-CD40L_CS4-HER2; Right band, third lane from left, CD16-CD40L_CS5-HER2.



FIG. 31 shows target antigen binding data of two CD40-CP TRiME polypeptides.



FIG. 32 shows data comparing target cell (SKOV3 cells) killing by PBMCs in presence of CD40-CP TRiME polypeptides versus in presence of Trastuzumab.



FIG. 33 shows data comparing antitumor cytokine release by PBMCs with CD40-CP TRiME polypeptides and with Trastuzumab in presence of tumor (SKOV3) cells.



FIG. 34 depicts a schematic representing a tetra-specific engager design with four antigen binding domains, such as Vhh domains (Vhh1, Vhh2, Vhh3 and Vhh4) that allows binding of multiple cancer antigens or same antigen/different epitopes, and engagement of multiple immune cell types to deliver a combination of anti-tumor activities. The exemplary depicted IgGA Fc is an engineered IgG/IgA cross-isotype human Fc domain (see, e.g., US20150266960A1 and Kelton et al., Chemistry and Biology (2014) each of which is incorporated by reference in its entirety). Vhh1, Vhh2, Vhh3 and Vhh4 can be a combination of tumor antigen targeting Vhh domain(s) (e.g. anti-HER2, anti-TROP2, anti-GPC3, anti-CD70), myeloid cell targeting Vhh domain(s) (e.g. anti-CD16, anti-CD64, anti-CD47) and/or checkpoint blockade Vhh domain(s) (e.g. anti-PDL1).



FIG. 35 shows data demonstrating cross-reactivity of the human CD40L construct with mouse CD40. Cross reactivity of the hCD40L in engager constructs described in this disclosure with mouse CD40 allows testing of CD40L function in mice.





DETAILED DESCRIPTION

All terms are intended to be understood as they would be understood by a person skilled in the art. Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which the disclosure pertains.


The section headings used herein are for organizational purposes only and are not to be construed as limiting the subject matter described.


Although various features of the present disclosure can be described in the context of a single embodiment, the features can also be provided separately or in any suitable combination. Conversely, although the present disclosure can be described herein in the context of separate embodiments for clarity, the disclosure can also be implemented in a single embodiment.


As used in this specification and claim(s), the words “comprising” (and any form of comprising, such as “comprise” and “comprises”), “having” (and any form of having, such as “have” and “has”), “including” (and any form of including, such as “includes” and “include”) or “containing” (and any form of containing, such as “contains” and “contain”) are inclusive or open-ended and do not exclude additional, unrecited elements or method steps. It is contemplated that any embodiment discussed in this specification can be implemented with respect to any method or composition of the disclosure, and vice versa. Furthermore, compositions of the disclosure can be used to achieve methods of the disclosure.


The term “about” or “approximately” as used herein when referring to a measurable value such as a parameter, an amount, a temporal duration, and the like, is meant to encompass variations of +/−20% or less, +/−10% or less, +/−5% or less, or +/−1% or less of and from the specified value, insofar such variations are appropriate to perform in the present disclosure. It is to be understood that the value to which the modifier “about” or “approximately” refers is itself also specifically disclosed.


An “agent” can include any type of molecule and includes, but is not limited to, an antibody, a peptide, a protein, a polynucleotide (e.g., an oligonucleotide, RNA, or DNA), a small molecule, derivatives thereof and analogs thereof.


A “biologic sample” is any tissue, cell, fluid, or other material derived from an organism. As used herein, the term “sample” includes a biologic sample such as any tissue, cell, fluid, or other material derived from an organism.


“Specifically binds” refers to a condition in which a compound (e.g., peptide) recognizes and binds to a molecule (e.g., peptide or polypeptide), but does not substantially recognize and bind other molecules in a sample, for example, a biological sample, that is, the compound exhibits a selective binding to a molecule. A “binder” as described herein includes, but is not limited to, a protein, a polypeptide or fragments thereof, that exhibits specific binding to a cognate molecule. A binder may refer to an antigen binding domain, such as the first binding domain of a bispecific or trispecific engager, or the second antigen binding domain of a bispecific or trispecific engager, and so on. In some cases, a binder may be any biomolecule or fragment thereof, such as a peptide or conjugated peptide or a ligand that can specifically bind to a receptor on a cell and therefore exhibits specific binding of one portion of an exemplary engager.


The term “immune response” includes T cell mediated and/or B cell mediated immune responses that are influenced by modulation of T cell costimulation. Exemplary immune responses include T cell responses, e.g., cytokine production, and cellular cytotoxicity. In addition, the term immune response includes immune responses that are indirectly affected by T cell activation, e.g., antibody production (humoral responses) and activation of cytokine responsive cells, e.g., monocytes or macrophages.


A “functional derivative” of a native sequence polypeptide is a compound having a qualitative biological property in common with a native sequence polypeptide. “Functional derivatives” include, but are not limited to, fragments of a native sequence and derivatives of a native sequence polypeptide and its fragments, provided that they have a biological activity in common with a corresponding native sequence polypeptide. The term “derivative” encompasses both amino acid sequence variants of polypeptide and covalent modifications thereof.


The terms “phagocytic cells” and “phagocytes” are used interchangeably herein to refer to a cell that is capable of phagocytosis. There are three main categories of phagocytes: macrophages, mononuclear cells (histiocytes and monocytes); polymorphonuclear leukocytes (neutrophils) and dendritic cells.


The term “biological sample” encompasses a variety of sample types obtained from an organism and can be used in a diagnostic or monitoring assay. The term encompasses blood and other liquid samples of biological origin, solid tissue samples, such as a biopsy specimen or tissue cultures or cells derived therefrom and the progeny thereof. The term encompasses samples that have been manipulated in any way after their procurement, such as by treatment with reagents, solubilization, or enrichment for certain components. The term encompasses a clinical sample, and also includes cells in cell culture, cell supernatants, cell lysates, serum, plasma, biological fluids, and tissue samples.


As used herein, the term “antigen-presenting cell” or “antigen-presenting cells” or its abbreviation “APC” or “APCs” refers to a cell or cells capable of endocytosis adsorption, processing and presenting of an antigen. The term includes professional antigen presenting cells for example; B lymphocytes, monocytes, dendritic cells (DCs) and Langerhans cells, as well as other antigen presenting cells such as keratinocytes, endothelial cells, glial cells, fibroblasts and oligodendrocytes. The term “antigen presenting” means the display of antigen as peptide fragments bound to MHC molecules, on the cell surface. Many different kinds of cells may function as APCs including, for example, monocytes or macrophages, B cells, follicular dendritic cells and dendritic cells. APCs can also cross-present peptide antigens by processing exogenous antigens and presenting the processed antigens on class I MHC molecules. Antigens that give rise to proteins that are recognized in association with class I MHC molecules are generally proteins that are produced within the cells, and these antigens are processed and associate with class I MHC molecules.


An “epitope” refers to a portion of an antigen or other macromolecule capable of forming a binding interaction with the variable region binding pocket of an antibody or TCR. The term includes any protein determinant capable of specific binding to an antibody, antibody peptide, and/or antibody-like molecule (including but not limited to a T cell receptor) as defined herein. Epitopic determinants typically consist of chemically active surface groups of molecules such as amino acids or sugar side chains and generally have specific three dimensional structural characteristics as well as specific charge characteristics.


In some embodiments, the phagocytic receptor fusion protein (PFP) comprises an extracellular antigen binding domain specific to an antigen of a target cell, fused to the phagocytic receptor. A target cell is, for example, a cancer cell. In some embodiments, the phagocytic cell, after engulfment of the cancer cell may present the cancer antigen on its cell surface to activate a T cell.


As used herein the term “antigen” is any organic or inorganic molecule capable of stimulating an immune response. The term “antigen” as used herein extends to any molecule such as, but not limited, to a peptide, polypeptide, protein, nucleic acid molecule, carbohydrate molecule, organic or inorganic molecule capable of stimulating an immune response.


In some embodiments, the phagocytic receptor fusion protein may comprise an extracellular domain, which comprises an antibody domain or a antigen binding portion thereof that can bind to a cancer antigen or a cell surface molecule on a cancer cell. The term “antibody” or “antibody moiety” is includes, but is not limited to any polypeptide chain-containing molecular structure that recognizes an epitope. Antibodies utilized in the present invention may be polyclonal antibodies, although monoclonal antibodies are preferred because they may be reproduced by cell culture or recombinantly, and can be modified to reduce their antigenicity. The term includes IgG (including IgG1, IgG2, IgG3, and IgG4), IgA (including IgA1 and IgA2), IgD, IgE, IgM, and IgY, and is meant to include whole antibodies, including single-chain whole antibodies, and antigen-binding (Fab) fragments thereof. Antigen-binding antibody fragments include, but are not limited to, Fab, Fab′ and F(ab′)2, Fd (consisting of VH and CH1), single-chain variable fragment (scFv), single-chain antibodies, disulfide-linked variable fragment (dsFv) and fragments comprising either a VL or VH domain. The antibodies can be from any animal origin. Antigen-binding antibody fragments, including single-chain antibodies, can comprise the variable region(s) alone or in combination with the entire or partial of the following: hinge region, CH1, CH2, and CH3 domains. Also included are any combinations of variable region(s) and hinge region, CH1, CH2, and CH3 domains. Antibodies can be monoclonal, polyclonal, chimeric, humanized, and human monoclonal and polyclonal antibodies which, e.g., specifically bind an HLA-associated polypeptide or an HLA-peptide complex. A person of skill in the art will recognize that a variety of immunoaffinity techniques are suitable to enrich soluble proteins, such as soluble HLA-peptide complexes or membrane bound HLA-associated polypeptides, e.g., which have been proteolytically cleaved from the membrane. These include techniques in which (1) one or more antibodies capable of specifically binding to the soluble protein are immobilized to a fixed or mobile substrate (e.g., plastic wells or resin, latex or paramagnetic beads), and (2) a solution containing the soluble protein from a biological sample is passed over the antibody coated substrate, allowing the soluble protein to bind to the antibodies. The substrate with the antibody and bound soluble protein is separated from the solution, and optionally the antibody and soluble protein are disassociated, for example by varying the pH and/or the ionic strength and/or ionic composition of the solution bathing the antibodies. Alternatively, immunoprecipitation techniques in which the antibody and soluble protein are combined and allowed to form macromolecular aggregates can be used. The macromolecular aggregates can be separated from the solution by size exclusion techniques or by centrifugation.


The adaptive immune system reacts to molecular structures, referred to as antigens, of the intruding organism. Unlike the innate immune system, the adaptive immune system is highly specific to a pathogen. Adaptive immunity can also provide long-lasting protection; for example, someone who recovers from measles is now protected against measles for their lifetime. There are two types of adaptive immune reactions, which include the humoral immune reaction and the cell-mediated immune reaction. In the humoral immune reaction, antibodies secreted by B cells into bodily fluids bind to pathogen-derived antigens, leading to the elimination of the pathogen through a variety of mechanisms, e.g. complement-mediated lysis. In the cell-mediated immune reaction, T cells capable of destroying other cells are activated. For example, if proteins associated with a disease are present in a cell, they are fragmented proteolytically to peptides within the cell. Specific cell proteins then attach themselves to the antigen or peptide formed in this manner and transport them to the surface of the cell, where they are presented to the molecular defense mechanisms, in T cells, of the body. Cytotoxic T cells recognize these antigens and kill the cells that harbor the antigens.


The term “major histocompatibility complex (MHC)”, “MHC molecules”, or “MHC proteins” refers to proteins capable of binding antigenic peptides resulting from the proteolytic cleavage of protein antigens inside phagocytes or antigen presenting cells and for the purpose of presentation to and activation of T lymphocytes. Such antigenic peptides represent T cell epitopes. The human MHC is also called the HLA complex. Thus, the term “human leukocyte antigen (HLA) system”, “HLA molecules” or “HLA proteins” refers to a gene complex encoding the MHC proteins in humans. The term MHC is referred as the “H-2” complex in murine species. Those of ordinary skill in the art will recognize that the terms “major histocompatibility complex (MHC)”, “MHC molecules”, “MHC proteins” and “human leukocyte antigen (HLA) system”, “HLA molecules”, “HLA proteins” are used interchangeably herein.


HLA proteins are typically classified into two types, referred to as HLA class I and HLA class II. The structures of the proteins of the two HLA classes are very similar; however, they can have different functions. Class I HLA proteins are present on the surface of almost all cells of the body, including most tumor cells. Class I HLA proteins are loaded with antigens that usually originate from endogenous proteins or from pathogens present inside cells, and are then presented to naïve or cytotoxic T-lymphocytes (CTLs). HLA class II proteins are present on antigen presenting cells (APCs), including but not limited to dendritic cells, B cells, and monocytes or macrophages. They mainly present peptides, which are processed from external antigen sources, e.g. outside of the cells, to helper T cells. Most of the peptides bound by the HLA class I proteins originate from cytoplasmic proteins produced in the healthy host cells of an organism itself, and do not normally stimulate an immune reaction.


In HLA class II system, phagocytes such as monocytes or macrophages and immature dendritic cells take up entities by phagocytosis into phagosomes—though B cells exhibit the more general endocytosis into endosomes—which fuse with lysosomes whose acidic enzymes cleave the uptaken protein into many different peptides. Autophagy is a source of HLA class II peptides. Via physicochemical dynamics in molecular interaction with the HLA class II variants borne by the host, encoded in the host's genome, a particular peptide exhibits immunodominance and loads onto HLA class II molecules. These are trafficked to and externalized on the cell surface. The most studied subclass II HLA genes are: HLA-DPA1, HLA-DPB1, HLA-DQA1, HLA-DQB1, HLA-DRA, and HLA-DRB1.


Presentation of peptides by HLA class II molecules to CD4+ helper T cells is required for immune responses to foreign antigens. Once activated, CD4+ T cells promote B cell differentiation and antibody production, as well as CD8+ T cell (CTL) responses. CD4+ T cells also secrete cytokines and chemokines that activate and induce differentiation of other immune cells. HLA class II molecules are heterodimers of a- and 0-chains that interact to form a peptide-binding groove that is more open than class I peptide-binding grooves. Peptides bound to HLA class II molecules are believed to have a 9-amino acid binding core with flanking residues on either N- or C-terminal side that overhang from the groove. These peptides are usually 12-16 amino acids in length and often contain 3-4 anchor residues at positions P1, P4, P6/7 and P9 of the binding register (Rossjohn et al., 2015).


HLA alleles are expressed in codominant fashion, meaning that the alleles (variants) inherited from both parents are expressed equally. For example, each person carries 2 alleles of each of the 3 class I genes, (HLA-A, HLA-B and HLA-C) and so can express six different types of class II HLA. In the class II HLA locus, each person inherits a pair of HLA-DP genes (DPA1 and DPB1, which encode a and 0 chains), HLA-DQ (DQA1 and DQB1, for a and 0 chains), one gene HLA-DRα (DRA1), and one or more genes HLA-DRβ (DRB1 and DRB3, -4 or -5). HLA-DRB1, for example, has more than nearly 400 known alleles. That means that one heterozygous individual can inherit six or eight functioning class II HLA alleles: three or more from each parent. Thus, the HLA genes are highly polymorphic; many different alleles exist in the different individuals inside a population. Genes encoding HLA proteins have many possible variations, allowing each person's immune system to react to a wide range of foreign invaders. Some HLA genes have hundreds of identified versions (alleles), each of which is given a particular number. In some embodiments, the class I HLA alleles are HLA-A*02:01, HLA-B*14:02, HLA-A*23:01, HLA-E*01:01 (non-classical). In some embodiments, class II HLA alleles are HLA-DRB*01:01, HLA-DRB*01:02, HLA-DRB*11:01, HLA-DRB*15:01, and HLA-DRB*07:01.


In some embodiments, the phagocytic cell is administered to a patient or a subject. A cell administered to a human subject must be immunocompatible to the subject, having a matching HLA subtype that is naturally expressed in the subject. Subject specific HLA alleles or HLA genotype of a subject can be determined by any method known in the art. In exemplary embodiments, the methods include determining polymorphic gene types that can comprise generating an alignment of reads extracted from a sequencing data set to a gene reference set comprising allele variants of the polymorphic gene, determining a first posterior probability or a posterior probability derived score for each allele variant in the alignment, identifying the allele variant with a maximum first posterior probability or posterior probability derived score as a first allele variant, identifying one or more overlapping reads that aligned with the first allele variant and one or more other allele variants, determining a second posterior probability or posterior probability derived score for the one or more other allele variants using a weighting factor, identifying a second allele variant by selecting the allele variant with a maximum second posterior probability or posterior probability derived score, the first and second allele variant defining the gene type for the polymorphic gene, and providing an output of the first and second allele variant. The expression “amino acid” as used herein is intended to include both natural and synthetic amino acids, and both D and L amino acids. A synthetic amino acid also encompasses chemically modified amino acids, including, but not limited to salts, and amino acid derivatives such as amides. Amino acids present within the polypeptides of the present invention can be modified by methylation, amidation, acetylation or substitution with other chemical groups which can change the circulating half-life without adversely affecting their biological activity.


The terms “peptide”, “polypeptide” and “protein” are used herein interchangeably to describe a series of at least two amino acids covalently linked by peptide bonds or modified peptide bonds such as isosteres. No limitation is placed on the maximum number of amino acids which may comprise a peptide or protein. The terms “oligomer” and “oligopeptide” are also intended to mean a peptide as described herein. Furthermore, the term polypeptide extends to fragments, analogues and derivatives of a peptide, wherein said fragment, analogue or derivative retains the same biological functional activity as the peptide from which the fragment, derivative or analogue is derived.


A polypeptide as used herein can be a “protein”, including but not limited to a glycoprotein, a lipoprotein, a cellular protein or a membrane protein. A polypeptide may comprise one or more subunits of a protein. A polypeptide may be encoded by a recombinant nucleic acid. In some embodiments, polypeptide may comprise more than one peptides in a single amino acid chain, which may be separated by a spacer, a linker or peptide cleavage sequence. A polypeptide may be a fused polypeptide. A polypeptide or a protein may comprise one or more domains. A domain is a structural portion of a protein with a defined function, a polypeptide or a protein may comprise one or more modules. A module is domain or a portion of the domain or portion of a protein with a specific function. A module may be a structural module of a protein, designated by its structural embodiments. A moiety is a portion of polypeptide, a protein or a nucleic acid, having a specific structure or perform a specific function. For example, a signaling moiety is a specific unit within the larger structure of the polypeptide or protein or a recombinant nucleic acid, which (or the protein portion encoded by it in case of a nucleic acid) engages in a signal transduction process, for example a phosphorylation. A module, a domain and a moiety, as used herein, can be used interchangeably, unless a specific structural or functional orientation is otherwise defined in the text. A motif is a structural entity in a biomolecule. A signaling motif in a protein or polypeptide, for example, refers to a stretch of amino acids on the protein or polypeptide which contain an amino acid which may be phosphorylated, dephosphorylated or can serve as a binding site of another signaling molecule. Similarly, in case of nucleic acids, for example, TNF mRNA has a conserved motif, UUAUUUAUU, in the 3′UTR to which mRNA destabilizing enzymes such as zinc-finger binding protein 36 family members bind.


The term “pro-antibody” as used herein may refer to an antibody, an scFv, a Vhh, single domain antibody, or a protein or polypeptide that comprises an inactive antigen binding domain; wherein the antigen binding capability is designed to be blocked or inactive e.g. by binding a cleavable antigen domain binding polypeptide, until an active step is performed to convert the pro-antibody to its active form. In some embodiments, the active step involves a protease cleavage of the entity that block the antigen binding domain.


As used herein, the term “recombinant nucleic acid molecule” refers to a recombinant DNA molecule or a recombinant RNA molecule. A recombinant nucleic acid molecule is any nucleic acid molecule containing joined nucleic acid molecules from different original sources and not naturally attached together. A recombinant nucleic acid may be synthesized in the laboratory. A recombinant nucleic acid can be prepared by using recombinant DNA technology by using enzymatic modification of DNA, such as enzymatic restriction digestion, ligation, and DNA cloning. A recombinant nucleic acid as used herein can be DNA, or RNA. A recombinant DNA may be transcribed in vitro, to generate a messenger RNA (mRNA), the recombinant mRNA may be isolated, purified and used to transfect a cell. A recombinant nucleic acid may encode a protein or a polypeptide. A recombinant nucleic acid, under suitable conditions, can be incorporated into a living cell, and can be expressed inside the living cell. As used herein, “expression” of a nucleic acid usually refers to transcription and/or translation of the nucleic acid. The product of a nucleic acid expression is usually a protein but can also be an mRNA. Detection of an mRNA encoded by a recombinant nucleic acid in a cell that has incorporated the recombinant nucleic acid, is considered positive proof that the nucleic acid is “expressed” in the cell.


The process of inserting or incorporating a nucleic acid into a cell can be via transformation, transfection or transduction. Transformation is the process of uptake of foreign nucleic acid by a bacterial cell. This process is adapted for propagation of plasmid DNA, protein production, and other applications. Transformation introduces recombinant plasmid DNA into competent bacterial cells that take up extracellular DNA from the environment. Some bacterial species are naturally competent under certain environmental conditions, but competence is artificially induced in a laboratory setting. Transfection is the forced introduction of small molecules such as DNA, RNA, or antibodies into eukaryotic cells. Just to make life confusing, ‘transfection’ also refers to the introduction of bacteriophage into bacterial cells. ‘Transduction’ is mostly used to describe the introduction of recombinant viral vector particles into target cells, while ‘infection’ refers to natural infections of humans or animals with wild-type viruses.


As used herein, the term “vector” means any genetic construct, such as a plasmid, phage, transposon, cosmid, chromosome, virus, virion, etc., which is capable transferring nucleic acids between cells. Vectors may be capable of one or more of replication, expression, recombination, insertion or integration, but need not possess each of these capabilities. A plasmid is a species of the genus encompassed by the term “vector.” A vector typically refers to a nucleic acid sequence containing an origin of replication and other entities necessary for replication and/or maintenance in a host cell. Vectors capable of directing the expression of genes and/or nucleic acid sequence to which they are operatively linked are referred to herein as “expression vectors”. In general, expression vectors of utility are often in the form of “plasmids” which refer to circular double stranded DNA molecules which, in their vector form are not bound to the chromosome, and typically comprise entities for stable or transient expression or the encoded DNA. Other expression vectors that can be used in the methods as disclosed herein include, but are not limited to plasmids, episomes, bacterial artificial chromosomes, yeast artificial chromosomes, bacteriophages or viral vectors, and such vectors can integrate into the host's genome or replicate autonomously in the cell. A vector can be a DNA or RNA vector. Other forms of expression vectors known by those skilled in the art which serve the equivalent functions can also be used, for example, self-replicating extrachromosomal vectors or vectors capable of integrating into a host genome. Exemplary vectors are those capable of autonomous replication and/or expression of nucleic acids to which they are linked.


The terms “spacer” or “linker” as used in reference to a fusion protein refers to a peptide that joins the proteins comprising a fusion protein. In some embodiments, the constituent amino acids of a spacer can be selected to influence some property of the molecule such as the folding, net charge, or hydrophobicity of the molecule. Suitable linkers for use in an embodiment of the present disclosure are well known to those of skill in the art and include, but are not limited to, straight or branched-chain carbon linkers, heterocyclic carbon linkers, or peptide linkers. The linker is used to separate two antigenic peptides by a distance sufficient to ensure that, in some embodiments, each antigenic peptide properly folds. Exemplary peptide linker sequences adopt a flexible extended conformation and do not exhibit a propensity for developing an ordered secondary structure. Typical amino acids in flexible protein regions include Gly, Asn and Ser. Virtually any permutation of amino acid sequences containing Gly, Asn and Ser would be expected to satisfy the above criteria for a linker sequence. Other near neutral amino acids, such as Thr and Ala, also can be used in the linker sequence.


In some embodiments, the peptide linkers have more than one functional properties, such as the ones described herein. For example, the peptide linker links two or more functional domains, such as binding domains. Additionally, the peptide linker may be a specific signal inducer when the linker contacts an extracellular portion of a cell, such as a receptor or a ligand binding protein.


The term “immunopurification (IP)” (or immunoaffinity purification or immunoprecipitation) is a process well known in the art and is widely used for the isolation of a desired antigen from a sample. In general, the process involves contacting a sample containing a desired antigen with an affinity matrix comprising an antibody to the antigen covalently attached to a solid phase. The antigen in the sample becomes bound to the affinity matrix through an immunochemical bond. The affinity matrix is then washed to remove any unbound species. The antigen is removed from the affinity matrix by altering the chemical composition of a solution in contact with the affinity matrix. The immunopurification can be conducted on a column containing the affinity matrix, in which case the solution is an eluent. Alternatively, the immunopurification can be in a batch process, in which case the affinity matrix is maintained as a suspension in the solution. An important step in the process is the removal of antigen from the matrix. This is commonly achieved by increasing the ionic strength of the solution in contact with the affinity matrix, for example, by the addition of an inorganic salt. An alteration of pH can also be effective to dissociate the immunochemical bond between antigen and the affinity matrix.


As used herein, the terms “determining”, “assessing”, “assaying”, “measuring”, “detecting” and their grammatical equivalents refer to both quantitative and qualitative determinations, and as such, the term “determining” is used interchangeably herein with “assaying,” “measuring,” and the like. Where a quantitative determination is intended, the phrase “determining an amount” of an analyte and the like is used. Where a qualitative and/or quantitative determination is intended, the phrase “determining a level” of an analyte or “detecting” an analyte is used.


A “fragment” is a portion of a protein or nucleic acid that is substantially identical to a reference protein or nucleic acid. In some embodiments, the portion retains at least 50%, 75%, or 80%, or 90%, 95%, or even 99% of the biological activity of the reference protein or nucleic acid described herein.


The terms “isolated,” “purified”, “biologically pure” and their grammatical equivalents refer to material that is free to varying degrees from components which normally accompany it as found in its native state. “Isolate” denotes a degree of separation from original source or surroundings. “Purify” denotes a degree of separation that is higher than isolation. A “purified” or “biologically pure” protein is sufficiently free of other materials such that any impurities do not materially affect the biological properties of the protein or cause other adverse consequences. That is, a nucleic acid or peptide of the present disclosure is purified if it is substantially free of cellular material, viral material, or culture medium when produced by recombinant DNA techniques, or chemical precursors or other chemicals when chemically synthesized. Purity and homogeneity are typically determined using analytical chemistry techniques, for example, polyacrylamide gel electrophoresis or high performance liquid chromatography. The term “purified” can denote that a nucleic acid or protein gives rise to essentially one band in an electrophoretic gel. For a protein that can be subjected to modifications, for example, phosphorylation or glycosylation, different modifications can give rise to different isolated proteins, which can be separately purified.


The terms “neoplasia” and “cancer” refers to any disease that is caused by or results in inappropriately high levels of cell division, inappropriately low levels of apoptosis, or both. Glioblastoma is one non-limiting example of a neoplasia or cancer. The terms “cancer” or “tumor” or “hyperproliferative disorder” refer to the presence of cells possessing characteristics typical of cancer-causing cells, such as uncontrolled proliferation, immortality, metastatic potential, rapid growth and proliferation rate, and certain characteristic morphological features. Cancer cells are often in the form of a tumor, but such cells can exist alone within an animal, or can be a non-tumorigenic cancer cell, such as a leukemia cell.


The term “vaccine” is to be understood as meaning a composition for generating immunity for the prophylaxis and/or treatment of diseases (e.g., neoplasia/tumor/infectious agents/autoimmune diseases). Accordingly, vaccines as used herein are medicaments which comprise recombinant nucleic acids, or cells comprising and expressing a recombinant nucleic acid and are intended to be used in humans or animals for generating specific defense and protective substance by vaccination. A “vaccine composition” can include a pharmaceutically acceptable excipient, carrier or diluent. Aspects of the present disclosure relate to use of the technology in preparing a phagocytic cell-based vaccine.


The term “pharmaceutically acceptable” refers to approved or approvable by a regulatory agency of the Federal or a state government or listed in the U.S. Pharmacopeia or other generally recognized pharmacopeia for use in animals, including humans. A “pharmaceutically acceptable excipient, carrier or diluent” refers to an excipient, carrier or diluent that can be administered to a subject, together with an agent, and which does not destroy the pharmacological activity thereof and is nontoxic when administered in doses sufficient to deliver a therapeutic amount of the agent. A “pharmaceutically acceptable salt” of pooled disease specific antigens as recited herein can be an acid or base salt that is generally considered in the art to be suitable for use in contact with the tissues of human beings or animals without excessive toxicity, irritation, allergic response, or other problem or complication. Such salts include mineral and organic acid salts of basic residues such as amines, as well as alkali or organic salts of acidic residues such as carboxylic acids. Specific pharmaceutical salts include, but are not limited to, salts of acids such as hydrochloric, phosphoric, hydrobromic, malic, glycolic, fumaric, sulfuric, sulfamic, sulfanilic, formic, toluene sulfonic, methane sulfonic, benzene sulfonic, ethane disulfonic, 2-hydroxyethylsulfonic, nitric, benzoic, 2-acetoxybenzoic, citric, tartaric, lactic, stearic, salicylic, glutamic, ascorbic, pamoic, succinic, fumaric, maleic, propionic, hydroxymaleic, hydroiodic, phenylacetic, alkanoic such as acetic, HOOC-(CH2)n-COOH where n is 0-4, and the like. Similarly, pharmaceutically acceptable cations include, but are not limited to sodium, potassium, calcium, aluminum, lithium and ammonium. Those of ordinary skill in the art will recognize from this disclosure and the knowledge in the art that further pharmaceutically acceptable salts for the pooled disease specific antigens provided herein, including those listed by Remington's Pharmaceutical Sciences, 17th ed., Mack Publishing Company, Easton, PA, p. 1418 (1985).


Nucleic acid molecules useful in the methods of the disclosure include any nucleic acid molecule that encodes a polypeptide of the disclosure or a fragment thereof. Such nucleic acid molecules need not be 100% identical with an endogenous nucleic acid sequence, but will typically exhibit substantial identity. Polynucleotides having substantial identity to an endogenous sequence are typically capable of hybridizing with at least one strand of a double-stranded nucleic acid molecule. “Hybridize” refers to when nucleic acid molecules pair to form a double-stranded molecule between complementary polynucleotide sequences, or portions thereof, under various conditions of stringency. For example, stringent salt concentration can ordinarily be less than about 750 mM NaCl and 75 mM trisodium citrate, less than about 500 mM NaCl and 50 mM trisodium citrate, or less than about 250 mM NaCl and 25 mM trisodium citrate. Low stringency hybridization can be obtained in the absence of organic solvent, e.g., formamide, while high stringency hybridization can be obtained in the presence of at least about 35% formamide, or at least about 50% formamide. Stringent temperature conditions can ordinarily include temperatures of at least about 30° C., at least about 37° C., or at least about 42° C. Varying additional parameters, such as hybridization time, the concentration of detergent, e.g., sodium dodecyl sulfate (SDS), and the inclusion or exclusion of carrier DNA, are well known to those skilled in the art. Various levels of stringency are accomplished by combining these various conditions as needed. In an exemplary embodiment, hybridization can occur at 30° C. in 750 mM NaCl, 75 mM trisodium citrate, and 1% SDS. In another exemplary embodiment, hybridization can occur at 37° C. in 500 mM NaCl, 50 mM trisodium citrate, 1% SDS, 35% formamide, and 100 μg/ml denatured salmon sperm DNA (ssDNA). In another exemplary embodiment, hybridization can occur at 42° C. in 250 mM NaCl, 25 mM trisodium citrate, 1% SDS, 50% formamide, and 200 μg/ml ssDNA. Useful variations on these conditions will be readily apparent to those skilled in the art. For most applications, washing steps that follow hybridization can also vary in stringency. Wash stringency conditions can be defined by salt concentration and by temperature. As above, wash stringency can be increased by decreasing salt concentration or by increasing temperature. For example, stringent salt concentration for the wash steps can be less than about 30 mM NaCl and 3 mM trisodium citrate, or less than about 15 mM NaCl and 1.5 mM trisodium citrate. Stringent temperature conditions for the wash steps can include a temperature of at least about 25° C., of at least about 42° C., or at least about 68° C. In exemplary embodiments, wash steps can occur at 25° C. in 30 mM NaCl, 3 mM trisodium citrate, and 0.1% SDS. In other exemplary embodiments, wash steps can occur at 42° C. in 15 mM NaCl, 1.5 mM trisodium citrate, and 0.1% SDS. In another exemplary embodiment, wash steps can occur at 68° C. in 15 mM NaCl, 1.5 mM trisodium citrate, and 0.1% SDS. Additional variations on these conditions will be readily apparent to those skilled in the art. Hybridization techniques are well known to those skilled in the art and are described, for example, in Benton and Davis (Science 196:180, 1977); Grunstein and Hogness (Proc. Natl. Acad. Sci., USA 72:3961, 1975); Ausubel et al. (Current Protocols in Molecular Biology, Wiley Interscience, New York, 2001); Berger and Kimmel (Guide to Molecular Cloning Techniques, 1987, Academic Press, New York); and Sambrook et al., Molecular Cloning: A Laboratory Manual, Cold Spring Harbor Laboratory Press, New York.


“Substantially identical” refers to a polypeptide or nucleic acid molecule exhibiting at least 50% identity to a reference amino acid sequence (for example, any one of the amino acid sequences described herein) or nucleic acid sequence (for example, any one of the nucleic acid sequences described herein). Such a sequence can be at least 60%, 80% or 85%, 90%, 95%, 96%, 97%, 98%, or even 99% or more identical at the amino acid level or nucleic acid to the sequence used for comparison. Sequence identity is typically measured using sequence analysis software (for example, Sequence Analysis Software Package of the Genetics Computer Group, University of Wisconsin Biotechnology Center, 1710 University Avenue, Madison, Wis. 53705, BLAST, BESTFIT, GAP, or PILEUP/PRETTYBOX programs). Such software matches identical or similar sequences by assigning degrees of homology to various substitutions, deletions, and/or other modifications. Conservative substitutions typically include substitutions within the following groups: glycine, alanine; valine, isoleucine, leucine; aspartic acid, glutamic acid, asparagine, glutamine; serine, threonine; lysine, arginine; and phenylalanine, tyrosine. In an exemplary approach to determining the degree of identity, a BLAST program can be used, with a probability score between e-3 and e-m° indicating a closely related sequence. A “reference” is a standard of comparison.


The term “subject” or “patient” refers to an animal which is the object of treatment, observation, or experiment. By way of example only, a subject includes, but is not limited to, a mammal, including, but not limited to, a human or a non-human mammal, such as a non-human primate, murine, bovine, equine, canine, ovine, or feline.


The terms “treat,” “treated,” “treating,” “treatment,” and the like are meant to refer to reducing, preventing, or ameliorating a disorder and/or symptoms associated therewith (e.g., a neoplasia or tumor or infectious agent or an autoimmune disease). “Treating” can refer to administration of the therapy to a subject after the onset, or suspected onset, of a disease (e.g., cancer or infection by an infectious agent or an autoimmune disease). “Treating” includes the concepts of “alleviating”, which refers to lessening the frequency of occurrence or recurrence, or the severity, of any symptoms or other ill effects related to the disease and/or the side effects associated with therapy. The term “treating” also encompasses the concept of “managing” which refers to reducing the severity of a disease or disorder in a patient, e.g., extending the life or prolonging the survivability of a patient with the disease, or delaying its recurrence, e.g., lengthening the period of remission in a patient who had suffered from the disease. It is appreciated that, although not precluded, treating a disorder or condition does not require that the disorder, condition, or symptoms associated therewith be completely eliminated.


The term “prevent”, “preventing”, “prevention” and their grammatical equivalents as used herein, means avoiding or delaying the onset of symptoms associated with a disease or condition in a subject that has not developed such symptoms at the time the administering of an agent or compound commences.


The term “therapeutic effect” refers to some extent of relief of one or more of the symptoms of a disorder (e.g., a neoplasia, tumor, or infection by an infectious agent or an autoimmune disease) or its associated pathology. “Therapeutically effective amount” as used herein refers to an amount of an agent which is effective, upon single or multiple dose administration to the cell or subject, in prolonging the survivability of the patient with such a disorder, reducing one or more signs or symptoms of the disorder, preventing or delaying, and the like beyond that expected in the absence of such treatment. “Therapeutically effective amount” is intended to qualify the amount required to achieve a therapeutic effect. A physician or veterinarian having ordinary skill in the art can readily determine and prescribe the “therapeutically effective amount” (e.g., ED50) of the pharmaceutical composition required.


As used herein, the term “affinity molecule” refers to a molecule or a ligand that binds with chemical specificity to an affinity acceptor peptide. Chemical specificity is the ability of a protein's binding site to bind specific ligands. The fewer ligands a protein can bind, the greater its specificity. Specificity describes the strength of binding between a given protein and ligand. This relationship can be described by a first scFv specific to a cell surface component on a dissociation constant (KD), which characterizes the balance between bound and unbound states for the protein-ligand system.


Reference in the specification to “some embodiments,” “an embodiment,” “one embodiment” or “other embodiments” means that a feature, structure, or characteristic described in connection with the embodiments is included in at least some embodiments, but not necessarily all embodiments, of the present disclosure.


The term “myeloid cells” refers to normal or neoplastic cells found in the blood, bone marrow, other hematopoietic or other non-hematopoietic compartments of the body. In particular, the term “myeloid cells” is used herein to mean the cell lineage originating from the bone marrow that includes polymorphonuclear neutrophils, eosinophils, basophils, and mast cells, as well as the monocyte/macrophage lineage and different dendritic cell lineages. Myeloid cells are not capable of differentiating into lymphoid cells (e.g., NK-, B- and T-lymphocytes). The term refers to cells of the myeloid lineages in all stages of their differentiation and therefore includes hematopoietic blast cells, i.e., hematopoietic cells that are committed to the myeloid cell lineage, but that are in early stages of differentiation. When stimulated with appropriate growth factors, hematopoietic blast cells divide to produce a large number of cells that are more differentiated than the blast stage of differentiation. Examples are inter alia myeloblasts. Although monocytes or macrophages are exemplified throughout the specification, the compositions and methods described here are applicable to cells of a myeloid cell lineage, such as a dendritic cell. Minor optimizations and changes are envisioned on a cell to cell basis as is known to one of skill in the art, and is contemplated within the scope of the invention. The term “myeloid cells” may also include myeloid progenitor cells, i.e., cell lineages, e.g., in the bone marrow, that are capable of differentiating in cells such as myelomonocytic progenitor cells, proerythroblasts or immature megakaryoblasts. Myeloid progenitor cells are not capable of giving rise to lymphoid cells. In some embodiments, the term “myeloid cells” may not include lympho-hematopoietic stem cells. Lympho-hematopoietic stem cells are defined as those cells that are capable of both self-renewal and differentiation into the two principle precursor components, the myeloid and lymphoid lines. Such stem cells are said to be totipotent. Stem cells that are less general but that can still differentiate into several lines are called pluripotent. In some embodiments, cells that are more differentiated than blasts but not yet fully differentiated are appended with the prefix “pro” and are also intended to fall under the definition of “myeloid cells.” Examples are promyelocytes.


The term “monocyte or macrophage specific engagers” may apply to not only monocyte or macrophage cells, but to all myeloid cells, and therefore a monocyte or macrophage specific engager is similar to a “myeloid cell specific engager.”


Phagocytes are typically known as the natural sentinels of the immune system and form the first line of defense in the body. They usually engulf a pathogen, a pathogen infected cell a foreign body or a cancerous cell and remove it from the body. Most potential pathogens may be rapidly neutralized by this system before they can cause, for example, a noticeable infection. This may involve receptor-mediated uptake through the clathrin-coated pit system, pinocytosis, particularly macropinocytosis as a consequence of membrane ruffling and phagocytosis. The phagocytes therefore may be activated by a variety of non-self (and self) elements and exhibit a level of plasticity in recognition of their “targets”. Most phagocytes may express scavenger receptors on their surface which are pattern recognition molecules and can bind to a wide range of foreign particles as well as dead cell, debris and unwanted particles within the body.


Myeloid cells, such as, monocytes and macrophages may also be one of the most abundant cell types in the site of an infection, inflammation or in a tumor. Therefore, monocytes or macrophages can be attractive cell therapy vehicles. Provided herein are mechanisms to modify a monocyte or macrophage or a phagocytic cell to enhance phagocytic killing of a diseased cell, such as a tumor or an infected cell.


Although a monocyte/macrophage may be described in detail in the disclosure the composition and methods can be applicable for use in any phagocytic cell type, or applicable towards myeloid cell types including and not limited to neutrophil and dendritic cells with minor optimizations if applicable, as is known to one of skill in the art. Likewise, although cancer is described in detail as the indication for a myeloid cell therapy in the disclosure, the composition and methods can be made applicable to infections and autoimmune conditions, with minor modifications as deemed necessary by a person of skill in the art.


Phagocytosis, defined as the cellular uptake of particulates (>0.5 m (micrometer)) within a plasma-membrane envelope, is closely relate to and partly overlaps the endocytosis of soluble ligands by fluid-phase macropinocytic and receptor pathways. Variants associated with the uptake of apoptotic cells, also known as efferocytosis, and that of necrotic cells arising from infection and inflammation (necroptosis and pyroptosis). The uptake of exogenous particles (heterophagy) has features in common with autophagy, an endogenous process of sequestration and lysosomal disposal of damaged intracellular organelles. Uptake mechanisms vary depending on the particle size, multiplicity of receptor-ligand interactions, and involvement of the cytoskeleton. Once internalized, the phagosome vacuole can fuse selectively with primary lysosomes, or the product of the endoplasmic reticulum (ER) and Golgi complex, to form a secondary phagolysosome. This pathway is dynamic in that it undergoes fusion and fission with endocytic and secretory vesicles, macrophages, DCs, osteoclasts, and eosinophils. Anti-microbe phagocytosis clears and degrades disease-causing microbes, induces pro-inflammatory signaling through cytokine and chemokine secretion, and recruits immune cells to mount an effective inflammatory response. This type of phagocytosis is often referred to as “inflammatory phagocytosis” (or “immunogenic phagocytosis”). However, in some instances, such as with certain persistent infections, anti-inflammatory responses may follow microbial uptake. Anti-microbe phagocytosis may be commonly performed by professional phagocytes of the myeloid lineage, such as immature dendritic cells (DCs) and monocytes or macrophages and by tissue-resident immune cells. Phagocytosis of damaged, self-derived apoptotic cells or cell debris (e.g., efferocytosis), in contrast, is typically a non-inflammatory (also referred to as a “nonimmunogenic”) process. Billions of damaged, dying, and unwanted cells undergo apoptosis each day. Unwanted cells include, for example, excess cells generated during development, senescent cells, infected cells (intracellular bacteria or viruses), transformed or malignant cells, and cells irreversibly damaged by cytotoxic agents.


An scFv domain may refer to single chain variable fragment, a recombinant polypeptide that comprise two variable fragments of an antibody linked by a short linker, forming a single polypeptide chain. A single domain antigen binding may be an antibody comprising a single monomeric variable domain. In some embodiments, a Vhh domain or a Vhh antibody can refer to a domain antibody having a heavy chain variable domain fraction of an antibody alone. In some embodiments, a Vhh can comprise more than one heavy chain variable domains.


The bone marrow can be the source of circulating neutrophils and monocytes that will replace selected tissue-resident monocytes or macrophages and amplify tissue myeloid populations during inflammation and infection. After phagocytosis, newly recruited monocytes and tissue macrophages secrete their products by generating them from pre-existing phospholipids and arachidonates in the plasma membrane and by releasing radicals generated by activation of a respiratory burst or induction of inducible nitric oxide synthesis; apart from being achieved by synthesis of the low-molecular-weight products (arachidonate metabolites, superoxide anions, and nitric oxide) generated as above, secretion induced by phagocytosis in monocytes or macrophages is mainly achieved by new synthesis of RNA and changes in pH, resulting in progressive acidification. Highly phagocytic macrophages appear to be MARCO+ SignR1+ and are found in the outer marginal zone rapidly clear capsulated bacteria. Similar CD169+ F4/80-macrophages line the subcapsular sinus in lymph nodes and have been implicated in virus infection. It was noted that endothelial macrophages, including Kupffer cells in the liver, clear microbial and antigenic ligands from blood and lymph nodes to provide a sinusoidal immune function comparable to but distinct from mucosal immunity. Not all tissue macrophages are constitutively phagocytic, even though they still express typical macrophage markers. In the marginal zone of the rodent spleen, metallophilic macrophages, which lack F4/80, strongly express CD169, sialic acid-binding immunoglobulin (Ig)-like lectin 1 (SIGLEC1 [sialoadhesin]), but are poorly phagocytic. Non-professional phagocytes include epithelial cells, and fibroblasts. Fibroblasts are “working-class phagocytes” clear apoptotic debris by using integrins other than CD11b-CD18 through adhesion molecules ICAM and vitronectin receptors. Astrocytes have also been reported to engulf, even if not efficiently degrade, apoptotic corpses. Plasma-membrane receptors relevant to phagocytosis can be opsonic, FcRs (activating or inhibitory) for mainly the conserved domain of IgG antibodies, and complement receptors, such as CR3 for iC3b deposited by classical (IgM or IgG) or alternative lectin pathways of complement activation. CR3 can also mediate recognition in the absence of opsonins, perhaps by depositing macrophage-derived complement. Anti-microbe phagocytosis is commonly performed by professional phagocytes of the myeloid lineage, such as immature dendritic cells (DCs) and macrophages and by tissue-resident immune cells.


In cancer, monocytes, attracted by numerous factors including CCL2, ATP, etc., migrate into the tumor microenvironment. However, a majority of these monocytes can then differentiate into tumor associated monocytes or macrophages and or myeloid suppressor cells. In order to generate monocytes or macrophages and myeloid cells that are potent in killing tumor cells, as opposed to being myeloid suppressor cells and tumor associated monocytes or macrophages, the present composition provide means for enhancing phagocytosis of the tumor cells by resident monocytes or macrophages, and also mount a successful and stable immune response.


Investigations on monocyte or macrophage function in a tumor environment indicated that at least two signals are required for the activation of monocytes or macrophages. The first signal (signal 1) is mediated via phagocytosis/tethering receptors and the second signal (signal 2) by danger signals such as pathogen-associated molecular patterns (DAMPs), or cytokines that trigger nuclear factor-κB (NF-κB)-mediated upregulation of inflammatory genes (FIG. 1A) (Adapted, Nakayama et al., 2018, Vol. 9: 103, pages 1-8). Triggering phagocytosis alone may be insufficient to activate monocytes or macrophages and in the context of harnessing macrophages to kill cancer, as it is insufficient to drive an anti-tumor response with a phagocytosis triggering signal alone generated by binding to a cancer cell.


Whereas a cancer cell or a tumor cell is repeatedly referred here as the target cell, the concepts described here are suitable for any type of a target cell, such as an infected cell, or a specific disease cell type that needs to be eliminated by phagocytosis, as long as the binding domain for a cell surface component of a cancer cell is suitably replaced by a binding domain for a cell surface component of the specific for the target cell.


The present disclosure is based on a number of endeavors that address effective ways to trigger a myeloid cell to mount a strong response to a target cell, for example, a cancer cell or tumor cell, such that the myeloid cell destroys the target upon contact, as well as trigger an immune response that activates other immune cells, for example, T lymphocytes, B lymphocytes and NK cells. One aspect of the endeavor is to generate therapeutically effective myeloid cells in the patient, in situ. In another aspect, therapeutic myeloid cells are generated ex vivo, and introduced into a patient in need thereof.


In one aspect, the disclosure provides one or more synthetic or recombinant biomolecules, such as proteins or polypeptides, that are capable of binding to and activating a myeloid cell to trigger phagocytic killing and immune response against a target cell, such as a tumor cell. In some embodiments, the synthetic or recombinant biomolecule can bind (a) on one hand, a cell surface molecule (i.e. and antigen) on a myeloid cell, and on the other hand (b) a cell surface molecule (i.e. and antigen) on a target cell, thereby effectively, at least, bringing the two cells (an effector and a target), in close proximity, such that other cellular receptors and membrane components on either cell can interact and the effector myeloid cell can thereby trigger engulfment of the target cell. A simplified graphical representation is depicted in FIG. 1B. Structurally, such a molecule would have two arms, one specific for each cell surface molecule, for example, a first binding domain (e.g., A), and a second binding domain (e.g., B) connected by a linker (e.g. L) (FIG. 1B). Such synthetic or recombinant biomolecules can be called bispecific engagers, or, bispecific myeloid cell engagers, or BiMEs. In one or more embodiments, the bispecific engagers comprise two antigen binding domains (“binders”). At least one of the two binders is designed to bind to an antigen on the surface of an effector myeloid cell; and at least one of the two binders is designed to bind to an antigen on a target cell. In some embodiments the antigen binding domains are antibodies or fragments thereof. In some embodiments, a binder may be a ligand, binding to a receptor on a cell surface, such as a receptor on a myeloid cell or on a target cell.


In one aspect, the present disclosure provides a therapeutic composition comprising one or more synthetic or recombinant biomolecules, such as proteins or polypeptides, that are capable of binding to and activating a myeloid cell to trigger phagocytic killing and immune response against a target cell, such as a cancer cell, and the synthetic or recombinant biomolecule comprises more than two binders. Accordingly, in some embodiments, provided herein is a first therapeutic agent, wherein the therapeutic agent comprises: a first binding domain (or, a first binder), wherein the first binding domain may be a first antibody or functional fragment thereof that specifically interacts with an antigen or a surface molecule on a target cell, and a second binding domain (or, a second binder), wherein the second binding domain may a second antibody or functional fragment thereof that specifically interacts with a myeloid cell. In one or more embodiments, the first therapeutic agent is coupled to a first component such as a linker or another bioactive peptide that may offer a third binding domain; or an activator molecule, or an additional therapeutic agent. In some embodiments, the composition comprises an additional therapeutic agent.


In one aspect, the disclosure provides one or more synthetic or recombinant biomolecules, such as proteins or polypeptides, that are capable of binding to and activating a myeloid cell to trigger phagocytic killing and immune response against a target cell, such as a cancer cell, and the synthetic or recombinant biomolecule comprises more than two binders. In one embodiment, the recombinant biomolecule comprises three binders each of exhibit specific binding to a surface molecule, and therefore the recombinant biomolecule can exhibit binding to three elements on two or more cells. In one embodiment, the recombinant biomolecule having three binders is capable of binding to more than one antigens on a myeloid cell or on a target cell. A recombinant biomolecule as described here, having three binders is termed a trispecific myeloid cell engager (TriME). In some embodiments, a TriME may bind to, or engage three different cells, for example, a myeloid cell, a target cell such as a cancer cell, and a third cell, or a target. In some embodiments, the BiME or TriME may engage more than one antigens or surface molecules on either a myeloid cell or on a cancer cell that either activates the myeloid cell or inhibits a function of a cancer cell, such as engaging to and inducing tolerance or immunosuppression on a myeloid cell. In some embodiments, a bispecific, trispecific or a multispecific engager may comprise a second trigger, i.e., a second signal that not only induces phagocytosis of the target cell by the myeloid cell, but also initiates an immune response or inflammatory response that activates other immune cells for a prolonged response and generation of immunological memory. In some embodiments, a bispecific, trispecific or a multispecific engager is a chimeric molecule. Accordingly, provided herein is a composition comprising a therapeutic agent, wherein the therapeutic agent comprises: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a second binding domain that specifically interacts with a myeloid cell, and (c) a third binding domain that specifically interacts with the myeloid cell. In some embodiments, the composition comprises an additional therapeutic agent. In some embodiments, a binder may also be an activator of a receptor, such as a scavenger receptor, or a TLR receptor. In some embodiments, a binder may be an inhibitor or blocker of a virulent agent on a pathogenic target, or an immune suppressor molecule on a pathogen cell or a tumor cell. In some embodiments, a binding domain or a binder or any part of an engager that may perform a function as described above may be a therapeutic element of the binder. In some embodiments, the engager may comprise one or more therapeutic agents. In some embodiments, the therapeutic composition may comprise one or more engagers, and one or more therapeutic agents, such as a separate recombinant protein, or nucleic acid encoding the same, a pharmaceutical product or a small molecule.


In some aspects as described herein, a second therapeutic agent may be required. A second therapeutic agent may be a second recombinant protein. In some embodiments, the second therapeutic agent can suppress a tumor-mediated immunosuppressor. In some embodiments, the second therapeutic agent is necessary for evading a myeloid cell suppressor function, or a tolerogenic response on myeloid cells. In some embodiments, the second therapeutic is necessary to evade the anti-phagocytic, “don't-eat-me” signals by a tumor cell towards a phagocyte. For example, the second therapeutic may comprise a CD47 antagonist, a CD47 blocker, an antibody, a chimeric CD47 receptor, a sialidase, a cytokine, a proinflammatory gene, a procaspase, or an anti-cancer agent. In some embodiments, the second therapeutic agent can provide the second signal for the phagocytic cell mediated immune response.


Using the methods and compositions described herein, a myeloid cell can be directed to activate the immune response cycle irrespective of the effects in a tumor microenvironment. A phagocytic cell can be directed to phagocytose and kill a target cell, and activate the immune response sequelae that generates successful and sustained adaptive immune response and immunological memory against the target.


In the following section, compositions comprising therapeutic agents are described.


First Therapeutic Agent

In one aspect, a first therapeutic agent is described, wherein the first therapeutic agent comprises: (i) a first antigen binding domain that specifically interacts with an antigen of a target cell, and (ii) a second antigen binding domain that specifically interacts with an extracellular region of a receptor of a myeloid cell, such as a monocyte or a macrophage cell. The first therapeutic agent is a recombinant chimeric protein, which can bind to at least a target cell, such as a tumor cell, and a monocyte or macrophage cell and attach the two cell types to facilitate phagocytosis of the cancer cell by the monocyte or macrophage. In some embodiments, the first therapeutic agent is a chimeric bi- or trispecific engager. In some embodiments, the first therapeutic agent is coupled to a first component, wherein the first component is an additional therapeutic agent or a third binding domain. An additional therapeutic agent may be a peptide, a protein, a conjugated protein, an antibody, a functional derivative of an antibody such as an scFv, a ligand, a receptor or a functional fragment thereof for a ligand, or a small molecule. In several examples in the preceding sentence, the first therapeutic agent is coupled to a first component, wherein the first component is a binding element that can associate with a cell surface component of the target cell or the monocyte or macrophage cell.


In some embodiments, the first therapeutic agent comprises an additional therapeutic agent. An additional therapeutic agent as described herein can be a small molecule. In some embodiments, the additional therapeutic agent is a peptide binding domain. In some embodiments, the additional therapeutic agent is a cell surface binding domain. In some embodiments, the additional therapeutic agent is a target cell binding domain. In some embodiments, the additional therapeutic agent may be an antibody, a functional derivative of an antibody, such as an scFv. In some embodiments, the additional therapeutic agent is a ligand, a peptide. In some embodiments, the additional therapeutic agent is a protein, a conjugated protein, a receptor or a functional fragment thereof for a ligand. In some embodiments, the additional therapeutic agent is an inhibitor of the myeloid cell, e.g., the monocyte or macrophage cell mediated by the target cell.


In some embodiments, the therapeutic agent is a recombinant protein. The therapeutic agent as described herein is a recombinant protein that not only binds a tumor or a cancer cell and a monocyte or macrophage thereby providing a first signal (signal 1) for triggering phagocytosis of the tumor cell by the monocyte or macrophage, but also provides a second signal (signal 2) to enhance phagocytic killing by the monocyte or macrophage.


In one embodiment the first therapeutic agent is an extracellular protein.


In some embodiments, the first therapeutic agent is a secreted protein.


In some embodiments, the first therapeutic agent is encoded by a recombinant nucleic acid encoding one or more nucleic acid sequences encoding a first antigen binding domain that specifically interacts with an antigen of a target cell, and (ii) a second antigen binding domain that specifically interacts with an extracellular region of a receptor of a monocyte or macrophage cell.


In some embodiments, the first therapeutic agent is encoded by a vector expressing a recombinant nucleic acid encoding one or more polypeptides comprising a first antigen binding domain that specifically interacts with an antigen of a target cell, and (ii) a second antigen binding domain that specifically interacts with an extracellular region of a receptor of a myeloid cell.


In some embodiments, a binder is selected on the basis of its binding specificity to a its target or cognate element. A binding domain may be derived from a protein that is an antibody or a functional fragment thereof, that binds to the target antigen or the cognate molecule. The binding domain is one that has high specificity, high binding affinity or both, towards its target.


In some embodiments, the binding affinity to its target or cognate molecule is 10−8 M or less, 10−9 M or less 10−10 M or less or 10−11 M or less, 10−12 M or less. In some embodiments, the binding domain may further be modified to increase its binding specificity or binding affinity or both. One of skill in the art can use existing technology to enhance the binding properties of a binder region, and such modifications are contemplated within the scope of this disclosure.


Bi- and Trispecific Monocyte or Macrophage Engagers
A. Target Cell and Effector Cell

Provided herein are recombinant bi- and trispecific engagers designed to anchor a target cell with an effector cell, such that the effector cell attack the target cell, and kill the specific target cell. In some embodiments, the effector cell is a myeloid cell. In some embodiments, the myeloid cell is a monocyte or macrophage cell. In some embodiments, the target cell is a cancer cell.


While cancer is one exemplary embodiment described in exclusive detail in the instant disclosure, the methods and technologies described herein are contemplated to be useful in targeting an infected or otherwise diseased cell inside the body.


In some embodiments, the present disclosure provides compositions and methods for cancer immunotherapy. The methods provided herein help design tools that can induce resident human monocytes or macrophages to become efficient killer cells that target cancer cells and eliminate them by efficient phagocytosis. In some embodiments, the monocytes or macrophages provide sustained immunological response against the cancer cell. Various embodiments are described herein.


Provided herein are specific constructs and designs are disclosed for such chimeric proteins, termed chimeric “engagers”.


In some embodiments, the chimeric engagers comprise two or more fused antibodies, each having a specific binding region on the target cell, such as cancer cell or on the monocyte or macrophage. In certain embodiments, the two or more fused antibodies or the immunofusion comprises a target binding domain operably linked by a hinge-CH2-CH3 domain or a hinge-CH3 domain of an immunoglobulin constant region to an effector binding domain that specifically binds a cell surface component of the monocyte or macrophage.


In one aspect the chimeric protein is a bispecific monocyte or macrophage engager.


In some embodiments, a bispecific engager comprises a first therapeutic agent, wherein the first therapeutic agent comprises: (i) a first antigen binding domain that specifically interacts with an antigen of a target cell, and (ii) a second antigen binding domain that specifically interacts with an extracellular region of a receptor of a monocyte or macrophage cell. In one embodiment, the therapeutic agent is a bispecific engager. In one embodiment, the bispecific monocyte or macrophage engager comprises two antibody single chain variable regions (scFv) only (no Fc amino acid segments were included) with a flexible linker, one scFv binds a cell surface component of a target cell and the other binds a receptor on monocyte or macrophage cell surface. In full unmodified forms of IgG, the variable light chain domain (VL) and the variable heavy chain domain (VH) are separate polypeptide chains, i.e., are located in the light chain and heavy chain, respectively. Interaction of the antibody light chain and an antibody heavy chain, in particular the interaction of the VL and VH domains, one of the epitope binding site of the antibody is formed. In contrast, in the scFv construct, but VL and VH domains of antibodies are included in a single polypeptide chain. The two domains are separated by flexible linkers long enough to allow self-assembly of the VL and VH domains into functional epitope binding site.


In some embodiments, a bispecific monocyte or macrophage engager comprises: (a) a single chain variable fragment (scFv) that binds to a cell surface component of a target cell, e.g., a cancer antigen, (b) a single chain variable fragment (scFv) that binds to a cell surface component of an effector cell, e.g. the monocyte or macrophage, (c) a short linker operably linking (a) and (b). In some embodiments, the scFvs are fused at their C-termini. Each scFv comprises a light chain variable domain, and a heavy chain variable domain, operably linked by a peptide linker. In certain embodiments, the scFvs are humanized. Humanized scFvs comprise “complementarity determining regions” (CDR) that are present on a framework of an immunoglobulin of a different species as compared to that of the parent immunoglobulin from which the CDR was derived. For example, a murine CDR may be grafted into the framework region of a human antibody to prepare the “humanized antibody.” The design of an exemplary bispecific engager comprising two scFvs can be represented by the simplified formula:





NH2-[Target cell binding scFv]-COOH-[Linker]-COGH-[Effector cell binding scFv]-NH2  [I]


In some embodiments, the bispecific engager is a diabody. The bispecific diabody is constructed with a VL and a VH domain on a single polypeptide chain have binding specificities to different (non-identical) epitopes. Additionally, the linker connecting VL and VH is shorter than 12 amino acid in length that is insufficient for reassembly into a functional epitope. Generally, one polypeptide chain construct comprises VL having binding specificity to a first antigen and VH having binding specificity to a second antigen, and another polypeptide chain construct comprises VL having binding specificity to the second antigen and VH having binding specificity to the first antigen; the two polypeptide chains are allowed to self-assemble into a bi-specific diabody. In some embodiments, a cysteine residue may be introduced at the C terminus of the construct that can allow disulfide bond formation between two chains without interfering with the binding properties of the engager.


In some embodiments, the bispecific engager is a tandem-di-scFv.


In some embodiments, recombinant nucleic acid constructs can be prepared encoding the bispecific scFv engager. The recombinant nucleic acid constructs for expressing a bispecific scFv engager comprises one or more polypeptides encoding (a) a nucleic acid sequence encoding a variable domain of the target cell binding scFv light chain, a linker, a variable domain of the target cell binding scFv heavy chain; (b) a nucleic acid sequence encoding a linker; (c) a nucleic acid sequence encoding a variable domain of the effector (monocyte or macrophage) cell binding scFv light chain, a linker, a variable domain of the effector (monocyte or macrophage) cell binding scFv heavy chain. In some embodiments, the nucleic acid constructs for expressing a bispecific scFv engager comprises an N-terminal signal peptide sequence for secretion of the bispecific scFv engager.


In some embodiments, a bispecific engager comprises two single domain antibodies (Vhh) operably linked with a flexible linker, one Vhh binds a cell surface component of a target cell, and the other Vhh binds a receptor on a monocyte or macrophage cell surface. In some embodiments, a chimeric bispecific monocyte or macrophage engager comprises: (a) a Vhh domain that binds to a cell surface component of a target cell, e.g., a cancer antigen, (b) a Vhh domain that binds to a cell surface component of an effector cell, e.g. the monocyte or macrophage, (c) a short linker operably linking (a) and (b). In some embodiments the engager comprising two single domain antibodies is a nanobody. The design of an exemplary bispecific engager comprising two Vhh domains can be represented by the simplified formula:





NH2-[Target cell binding single domain]-COOH-[Linker]-COOH-[Effector cell binding single domain]-NH2  [II]


In some embodiments, the short linker operably linking (a) and (b) may further have additional functions. In some embodiments, the peptides can bind to a specific cell surface receptor, such as, for example, a TLR receptor, and can activate a receptor mediated cell signaling pathway in the monocyte or macrophage cell. In some embodiments, the linker is designed such as to be able to bind and activate at least an inflammatory pathway in the monocyte or macrophage cell, or potentiate monocyte or macrophage mediated phagocytosis and killing of a target cell. In some embodiments, the linker peptide may have a function of blocking or inhibiting a target cell mediated downregulation of a monocyte or macrophage cell function.


In some embodiments, nucleic acid constructs for a bispecific Vhh engager can be generated, which comprises: (a) a nucleic acid sequence encoding a (a) a Vhh domain that binds to a cell surface component of a target cell, e.g., a cancer antigen, (b) a Vhh domain that binds to a cell surface component of an effector cell, e.g. the monocyte or macrophage, (c) a short linker operably linking (a) and (b). In some embodiments, the nucleic acid constructs for expressing a bispecific scFv engager comprises an N-terminal signal peptide sequence for secretion of the bispecific scFv engager.


In some embodiments, nucleic acid sequences encoding the polypeptides comprising the Vhh or scFv binding domains can be inserted in a suitable expression vector under one or more promoters, e.g. CMV at the 5′end, and a polyadenylation signal at the 3′-end of the sequences encoding the polypeptides.


In some embodiments, the constructs may comprise internal ribosomal entry site (IRES), e.g., a nucleic acid sequences encoding one or more polypeptides may be preceded by an IRES.


In some embodiments, the nucleic acid sequences encoding one of the polypeptides may be placed under a separate promoter control than the remaining of the expressed sequences.


In some embodiments, a bispecific engager may further comprise an antibody or a fragment thereof that binds to a cell surface component of a target cell, and an antibody or a fragment thereof that binds to a cell surface component of an effector cell.


Provided herein are further variations of an engager, a trispecific engager. A trispecific engager comprises a first therapeutic agent, wherein the first therapeutic agent comprises: a first antigen binding domain that specifically interacts with an antigen of a target cell; a second antigen binding domain that specifically interacts with an extracellular region of a first receptor of a monocyte or macrophage cell; and a third antigen binding domain that specifically interacts with an extracellular region of a second receptor of the monocyte or macrophage cell.


In some embodiments, the trispecific engager is a fused construct of three scFvs, comprising a first scFv specific to a cell surface component on a target cancer cell, a second scFv specific to a cell surface component on the monocyte or macrophage, for example, the chimeric phagocytic receptor, and a third scFv specific to another cell surface component on the monocyte or macrophage. In some embodiments, the trispecific engager is designed such that the cell surface component on the monocyte or macrophage to which the third scFv can bind, provides an additional activation signal for the monocyte or macrophage to trigger phagocytosis and killing of the target cell. In some embodiments the third scFv binds to another phagocytic receptor on the monocyte or macrophage. In some embodiments the third scFv binds to a danger associated monocyte or macrophage signaling pathway (DAMP). In some embodiments, the third scFv binds to a TLR receptor. In some embodiments, the third scFv binds to a cytokine receptor which activates the receptor and triggers monocyte or macrophage intracellular signaling. In some embodiments, the third scFv binds to a monocyte or macrophage receptor known to generate a phagocytosis inhibitory signal and that binding of the third scFv to the receptor blocks the receptor, enabling enhanced phagocytosis. In some embodiments, the third scFv binds to a receptor that engages with one or more transmembrane domains and enhances phagocytic signaling. Various designs of trispecific engagers have been contemplated herein, of which an exemplary trispecific engager comprising two scFvs can be represented by the simplified formulae:




embedded image


In some embodiments, each of the three binding domains of the trispecific engager comprises the antigen binding domain of an antibody, a functional fragment of an antibody, a variable domain thereof, a VH domain, a VL domain, a VNAR domain, a Vhh domain (also referred to here as Vhh domains), a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody, a diabody, or a functional fragment or a combination thereof. The structural motifs shown in [I], [II], [III] and [IV] may also be representative of structures in which any or all scFvs are replaced by an Fab, a variable domain, a VH domain, a VL domain, a VNAR domain, or a Vhh domain.


In some embodiments, the binding domains of the trispecific engager are operably linked by one or more peptide linkers. In some embodiments, the one or more peptide linkers may be functional peptides that can bind to a specific cell surface receptor, such as, for example, a TLR receptor, and can activate a receptor mediated cell signaling pathway in the monocyte or macrophage cell. In some embodiments, the linker is designed such as to be able to bind and activate at least an inflammatory pathway in the monocyte or macrophage cell, or potentiate monocyte or macrophage mediated phagocytosis and killing of a target cell. In some embodiments, the linker peptide may have a function of blocking or inhibiting a target cell mediated downregulation of a monocyte or macrophage cell function.


In some embodiments, a nucleic acid constructs encoding a trispecific engager comprises one or more nucleic acid encoding (a) a polypeptide comprising an scFv domain that binds to a cell surface component of a target cell, e.g., a cancer antigen, (b) a polypeptide comprising an scFv domain that binds to a first cell surface component of an effector cell, e.g. the monocyte or macrophage, (c) a polypeptide comprising an scFv domain that binds to a second cell surface component of the monocyte or macrophage, for example, the chimeric construct constituting the second therapeutic agent; or a native monocyte or macrophage cell surface receptor, wherein each of the polypeptides are operably linked to one another. In some embodiments, a nucleic acid constructs encoding a trispecific engager comprises one or more nucleic acid encoding (a) a polypeptide comprising a Vhh domain that binds to a cell surface component of a target cell, e.g., a cancer antigen, (b) a polypeptide comprising a Vhh domain that binds to a first cell surface component of an effector cell, e.g. the monocyte or macrophage, (c) a polypeptide comprising a Vhh domain that binds to a second cell surface component of the monocyte or macrophage. In some embodiments, the nucleic acid constructs for expressing a bispecific scFv engager comprises an N-terminal signal peptide sequence for secretion of the bispecific scFv engager. As contemplated herein, a skilled artisan can exchange the scFv or Vhh binding sequences with a nucleic acid sequence of a short peptide encoding any suitable target region binding element. In some embodiments, the polypeptide constructs are encoded in a monocistronic construct. In some embodiments, the polypeptide constructs are encoded in a polycistronic construct. In some embodiments, one or more nucleic acid sequences encoding short linker polypeptides are inserted in between sequences encoding two polypeptides. In some embodiments, the expression of the nucleic acid sequence encoding each polypeptide is driven by a separate promoter. In some embodiments, the nucleic acid sequence encoding each polypeptide is driven by a single promoter. In some embodiments one or more IRES sequences are introduced into the construct.


In some embodiments, one or more polypeptides may be expressed separately within a cell, and which may assemble post-translationally.


In some embodiments, polypeptides may be designed to assemble on special peptide scaffolds upon secretion outside the cell.


In some embodiments, the bi- or trispecific engagers bind to an antigen on a cancer cell, selected from the group consisting of Thymidine Kinase (TK1), Hypoxanthine-Guanine Phosphoribosyltransferase (HPRT), Receptor Tyrosine Kinase-Like Orphan Receptor 1 (ROR1), Mucin-1, Mucin-16 (MUC16), MUC1, Epidermal Growth Factor Receptor vIII (EGFRvIII), Mesothelin, Human Epidermal Growth Factor Receptor 2 (HER2), Mesothelin, EBNA-1, LEMD1, Phosphatidyl Serine, Carcinoembryonic Antigen (CEA), B-Cell Maturation Antigen (BCMA), Glypican 3 (GPC3), Follicular Stimulating Hormone receptor, Fibroblast Activation Protein (FAP), Erythropoietin-Producing Hepatocellular Carcinoma A2 (EphA2), EphB2, a Natural Killer Group 2D (NKG2D) ligand, Disialoganglioside 2 (GD2), CD2, CD3, CD4, CD5, CD7, CD8, CD19, CD20, CD22, CD24, CD30, CD33, CD38, CD44v6, CD45, CD56CD79b, CD97, CD117, CD123, CD133, CD138, CD171, CD179a, CD213A2, CD248, CD276, PSCA, CS-1, CLECL1, GD3, PSMA, FLT3, TAG72, EPCAM, IL-1, an integrin receptor, PRSS21, VEGFR2, PDGFR-beta, SSEA-4, EGFR, NCAM, prostase, PAP, ELF2M, GM3, TEM7R, CLDN6, TSHR, GPRC5D, ALK, IGLL1 and combinations thereof. In some embodiments, for example, the cancer antigen for a target cancer cell can be one or more of the mutated/cancer antigens: MUC16, CCAT2, CTAG1A, CTAG1B, MAGE A1, MAGEA2, MAGEA3, MAGE A4, MAGEA6, PRAME, PCA3, MAGE C1, MAGEC2, MAGED2, AFP, MAGEA8, MAGE9, MAGEA11, MAGEA12, IL13RA2, PLAC1, SDCCAG8, LSP1, CT45A1, CT45A2, CT45A3, CT45A5, CT45A6, CT45A8, CT45A10, CT47A1, CT47A2, CT47A3, CT47A4, CT47A5, CT47A6, CT47A8, CT47A9, CT47A10, CT47A11, CT47A12, CT47B1, SAGE1, and CT55. Any one of the aforementioned targets may be contemplated in generating a target cell specific binder or engager that comprises the antigen binding domain of an antibody, a functional fragment of an antibody, a variable domain thereof, a VH domain, a VL domain, a VNAR domain, a Vhh domains, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody, a diabody, or a functional fragment that specifically binds to the target.


In some embodiments, the antigen on a cancer cell is selected from the group consisting of HER2, CD2, CD3, CD4, CD5, CD7, CCR4, CD8, CD30, CD45, CD56, TROP2, GPC3. For example, in some embodiments, a bi-specific or a tri-specific engager described herein comprises an engager which is a target cell-specific binder that is an scFv capable binding to any one of HER2, CD2, CD3, CD4, CD5, CD7, CCR4, CD8, CD30, CD45, CD56, TROP2, or GPC3. In some embodiments, a bi-specific or a tri-specific engager described herein comprises an engager which is a target cell-specific binder that is a Vhh capable binding to any one of HER2, CD2, CD3, CD4, CD5, CD7, CCR4, CD8, CD30, CD45, CD56, TROP2, or GPC3. In some embodiments, target cell-specific binder that is an scFv or a Vhh capable binding to any one of HER2, CD2, CD3, CD4, CD5, CD7, CCR4, CD8, CD30, CD45, CD56, TROP2, or GPC3 is a cancer antigen-specific binder.


In some embodiments, the antigen is an ovarian cancer antigen or a T lymphoma antigen.


In some embodiments, for example, the cancer antigen for a target cancer cell can be one or more of the mutated/cancer antigens: IDH1, ATRX, PRL3, or ETBR, where the cancer is a glioblastoma.


In some embodiments, for example, the cancer antigen for a target cancer cell can be one or more of the mutated/cancer antigens: CA125, beta-hCG, urinary gonadotropin fragment, AFP, CEA, SCC, inhibin or extradiol, where the cancer is ovarian cancer.


In some embodiments the cancer antigen on a target cancer cell may be CD5.


In some embodiments the cancer antigen on a target cancer cell may be HER2.


In some embodiments the cancer antigen on a target cancer cell may be EGFR Variant III.


In some embodiments the cancer antigen on a target cancer cell may be CD19.


In some embodiments, the antigen is an integrin receptor.


In some embodiments, the antigen is an integrin receptor selected from the group consisting of α1, α2, αIIb, α3, α4, α5, α6, α7, α8, α9, α10, α11, αD, αE, αL, αM, αV, αX, β1, β2, β3, β4, β5, β6, β7, and β8. In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a monocyte or macrophage receptor from a member of the integrin R2 subfamily αMβ2 (CDIIb/CD18, Mac-1, CR3, Mo-1), αLβ2 (CD11a/CD18, LFA-1), αXβ2 (CD11c/CD18), and αDβ2 (CD11d/CD18).


Provided herein are exemplary target cell binders (e.g., engagers) that can specifically bind to a cell surface molecule (such as a cell surface antigen) on a cancer cell. In some embodiments, the binder is an antibody specific to the antigen, or a fragment thereof. In some embodiments, the binder comprises a scFv, or a fragment thereof, that specifically binds to an antigen on a tumor cell. In some embodiments, the antigen on a tumor cell is CD5. The binder comprises a heavy chain (HC) sequence and a light chain (LC) sequence. An scFv specific for CD5 (anti-CD5 scFv) comprises an amino acid sequence corresponding to a variable heavy chain (VH) domain and an amino acid sequence corresponding to a (VL). In some embodiments, a first binding domain, which is a CD5 binder can be an scFv having comprising a sequence of SEQ ID NO: 27, and a sequence of SEQ ID NO: 28, joined by a linker peptide. Provided herein in Table 1A are exemplary anti-CD5 HC and LC variable domains.









TABLE 1A







Exemplary CD5 binder domains








Domain
Sequence





Anti-CD5
EIQLVQSGGGLVKPGGSVRISCAASGYTFTNYGMNWVRQ


heavy
APGKGLEWMGWINTHTGEPTYADSFKGRFTFSLDDSKNT


chain
AYLQINSLRAEDTAVYFCTRRGYDWYFDVWGQGTTVTV


variable
(SEQ ID NO: 27).


domain






Anti-CD5
DIQMTQSPSSLSASVGDRVTITCRASQDINSYLSWFQQK


light
PGKAPKTLIYRANRLESGVPSRFSGSGSGTDYTLTISSL


chain
QYEDFGIYYCQQYDESPWTFGGGTKLEIK


variable
(SEQ ID NO: 28).


domain









In one embodiment, the target cell binder is a single domain antibody that binds CD5. In some embodiments the target cell binder is an anti-CD5-binding Vhh. In some embodiments, the target cell binder or a first binding domain can be an anti-CD5 binding Vhh comprising a sequence of SEQ ID NO: 27.


In one embodiment, the anti-CD5 binding domain comprises a heavy chain CDR1 sequence, a CDR2 sequence and a CDR3 sequence, wherein the CDR1 may be denoted by a sequence of NYGMN (SEQ ID NO: 219), a CDR2 may be denoted by a sequence of WINTHTGEPTYADSFKG (SEQ ID NO: 220) and a CDR3 may be denoted by a sequence of RGYDWYFDV (SEQ ID NO: 221); or the anti-CD5 binding domain may comprise a sequence of









(SEQ ID NO: 27)


EIQLVQSGGGLVKPGGSVRISCAASGYTFTNYGMNWVRQAPGKGLEWMGW






INTHTGEPTYADSFKGRFTFSLDDSKNTAYLQINSLRAEDTAVYFCTRRG







YDWYFDVWGQGTTVTV








wherein underlined residues represent a CDR1, a CDR2 and a CDR3 in successive order.


In some embodiments, the anti-CD5 binding domain comprises a light chain CDR1 sequence, a CDR2 sequence and a CDR3 sequence, wherein the CDR1 sequence may be RASQDINSYLS (SEQ ID NO: 222); the CDR2 sequence may be RANRLES (SEQ ID NO: 223), and the CDR3 sequence may be QQYDESPWT (SEQ ID NO: 224); or wherein the anti-CD5 binding domain may comprise a sequence of









(SEQ ID NO: 28)


DIQMTQSPSSLSASVGDRVTITCRASQDINSYLSWFQQKPGKAPKTLIYR






ANRLESGVPSRFSGSGSGTDYTLTISSLQYEDFGIYYCQQYDESPWTFGG






GTKLEIK







wherein underlined residues represent a CDR1, a CDR2 and a CDR3 in successive order.


In some embodiments, an exemplary target cell binder (e.g., an engager) is a HER2 engager, that can specifically bind to cell surface antigen HER2 on a HER2 positive cancer cell. In some embodiments, the binder is an antibody specific to the antigen, or a fragment thereof. In some embodiments, the binder comprises a scFv, or a fragment thereof, that specifically binds to HER2. The binder comprises a heavy chain (HC) sequence and a light chain (LC) sequence. An scFv specific for HER2 (anti-HER2 scFv) comprises an amino acid sequence corresponding to a variable heavy chain (VH) domain and an amino acid sequence corresponding to a (VL). In some embodiments, a first binding domain may be an scFv having a HER2 binder comprising a sequence of SEQ ID NO: 29, and a sequence of SEQ ID NO: 30, joined by a linker peptide. In some embodiments, the target cell binder or a first binding domain can be a HER2 binding Vhh comprising a sequence of SEQ ID NO: 29 or a portion thereof.


Provided herein in Table 1B are exemplary anti-HER2 HC and LC variable domains.









TABLE 1B







Exemplary HER2 binder domains








Domain
Sequence





Anti-HER2
DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQ


heavy
KPGKAPKLLIYSASFLYSGVPSRFSGSRSGTDFTLTIS


chain
SLQPEDFATYYCQQHYTTPPTFGQGTKVEIKRTGSTSG


variable
SGKPGSGEGSEVQLVE


domain
(SEQ ID NO: 29).





Anti-HER2
LVQPGGSLRLSCAASGFNIKDTYIHWVRQAPGKGLEWV


light
ARIYPTNGYTRYADSVKGRFTISADTSKNTAYLQMNSL


chain
RAEDTAVYYCSRWGGDGFYAMDVWGQGTLVTV


variable
(SEQ ID NO: 30).


domain









In some embodiments, a HER2 binding heavy chain variable domain used in an engager may comprise a sequence:









(SEQ ID NO: 225)


EVQLVESGGGLVQPGGSLRLSCAASGFNIKDTYIHWVRQAPGKGLEWVAR






IYPTNGYTRYADSVKGRFTISADTSKNTAYLQMNSLRAEDTAVYYCSRWG







GDGFYAMDVWGQGTLVTVSS








(underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


In some embodiments, a HER2 binding heavy chain variable domain used in an engager may comprise a sequence:









(SEQ ID NO: 30)


LVQPGGSLRLSCAASGFNIKDTYIHWVRQAPGKGLEWVARIYPTNGYTRY






ADSVKGRFTISADTSKNTAYLQMNSLRAEDTAVYYCSRWGGDGFYAMDVW






GQGTLVTV







(underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


In some embodiments, a HER2 binding light chain variable domain used in an engager may comprise a sequence:









(SEQ ID NO: 226)


DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYS






ASFLYSGVPSRFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQ






GTKVEIK







(underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


In some embodiments, a HER2 binding light chain variable domain used in an engager may comprise a sequence:









(SEQ ID NO: 29)


DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYS






ASFLYSGVPSRFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQ






GTKVEIKRTGSTSGSGKPGSGEGSEVQLVE







(underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


An anti-HER2 binding ScFv may comprise a sequence of:









(SEQ ID NO: 227)


DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYS






ASFLYSGVPSRFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQ






GTKVEIKRTGSTSGSGKPGSGEGSEVQLVESSGGGGSGGGGSGGGGSLVQ





PGGSLRLSCAASGFNIKDTYIHWVRQAPGKGLEWVARIYPTNGYTRYADS





VKGRFTISADTSKNTAYLQMNSLRAEDTAVYYCSRWGGDGFYAMDVWGQG





TLVTV







(underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


An anti-HER2 binding ScFv may comprise a sequence of:









(SEQ ID NO: 228)


DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYS






ASFLYSGVPSRFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQ






GTKVEIKRTGSTSGSGKPGSGEGSEVQLVESGGGLVQPGGSLRLSCAASG





FNIKDTYIHWVRQAPGKGLEWVARIYPTNGYTRYADSVKGRFTISADTSK





NTAYLQMNSLRAEDTAVYYCSRWGGDGFYAMDVWGQGTLVTVSS







(underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


An anti-HER2 binding ScFv may comprise a sequence of:









(SEQ ID NO: 228)


DIQMTQSPSSLSASVGDRVTITCRASQDVNTAVAWYQQKPGKAPKLLIYS






ASFLYSGVPSRFSGSRSGTDFTLTISSLQPEDFATYYCQQHYTTPPTFGQ






GTKVEIKRTGSTSGSGKPGSGEGSEVQLVESGGGLVQPGGSLRLSCAASG





FNIKDTYIHWVRQAPGKGLEWVARIYPTNGYTRYADSVKGRFTISADTSK





NTAYLQMNSLRAEDTAVYYCSRWGGDGFYAMDVWGQGTLVTVSS







(underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


In some embodiments, an exemplary target cell binder (e.g., an engager) may be an anti-TROP2 (tumor-associated calcium signal transducer-2) binder, and a cancer cell engager may comprise a TROP2 binding domain. An anti-TROP2 binding domain may comprise a sequence,









(SEQ ID NO: 187)


QVQLQQSGSELKKPGASVKVSCKASGYTFTNYGMNWVKQAPGQGLKWMGW






INTYTGEPTYTDDFKGRFAFSLDTSVSTAYLQISSLKADDTAVYFCARGG






FGSSYWYFDVWGQGSLVTVSS,







or a portion thereof (underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


An anti-TROP2 binding domain may comprise a sequence,









(SEQ ID NO: 191)


DIQLTQSPSSLSASVGDRVSITCKASQDVSIAVAWYQQKPGKAPKLLIYS






ASYRYTGVPDRFSGSGSGTDFTLTISSLQPEDFAVYYCQQHYITPLTFGA






GTKVEIKR







or a portion thereof (underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


In some embodiments, an exemplary target cell binder (e.g., an engager) is an anti-GPC3 binder. An ant-GPC3 binding domain may comprise a sequence,









(SEQ ID NO: 197)


QVQLVQSGAEVKKPGASVKVSCKASGYTFTDYEMHWVRQAPGQGLEWMGA






LDPKTGDTAYSQKFKGKATLTADKSTSTAYMELSSLTSEDTAVYYCTRFY







SYTYWGQGTLVTVSS








or a portion thereof (underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


An anti-GPC3 binding domain may comprise a sequence,









(SEQ ID NO: 201)


DVVMTQSPLSLPVTPGEPASISCRSSQSLVHSNRNTYLHWYLQKPGQSPQ





LLIYKVSNRFSGVPDRFSGSGSGTDFTLKISRVEAEDVGVYYCSQNTHVP






PTFGQGTKLEIK








or a portion thereof (underlined residues represent CDR1 sequence, CDR2 sequence and CDR3 sequence in successive order).


An effector cell, in some embodiments, is an active myeloid cell, capable of phagocytosis and destruction of its target cell. In some embodiments, an effector cell is a myeloid cell, that upon binding of the engager is further activated to be capable of phagocytosis and destruction of its target cell. In some embodiments, the tumor associated macrophages may be characterized largely as having an M2 phenotype. Human M2 macrophages can be identified as nearing the cell surface markers CD14+CD163+CD206+CD80− phenotype. Hence, a bi- or trispecific engager that specifically binds to the myeloid cell, e.g., a monocyte or macrophage associated with a tumor can comprise one or more binding domains that can bind to one or more of: CD14, CD163, and CD206 cell surface molecules.


Typically, the M2-like tumor associated macrophage (TAM) population lacks expression of reactive nitrogen intermediates, less efficiently presents antigen, displays little tumoricidal activity, and produces angiogenic factors, metalloproteases, and cathepsins. Matrix metalloproteinases, e.g., MMP2 is readily expressed in TAMs. Classical activation of macrophages up-regulate MMP-1, -3, -7, -10, -12, -14 and -25 and decrease TIMP-3 (tissue inhibitors of metalloproteinase-3) levels. Bacterial lipopolysaccharide, IL-1 and TNFα are found to be more effective than IFN-gamma except for the effects on MMP-25, and TIMP-3. By contrast, alternative activation decrease MMP-2, -8 and -19 but increase MMP-11, -12, -25 and TIMP-3 steady-state mRNA levels. Up-regulation of MMPs during classical activation depends on mitogen activated protein kinases, phosphoinositide-3-kinase and inhibitor of KB kinase-2. Therefore, depending on the target monocyte or macrophage population, an engager may be designed such that a metalloproteinase can be a binding moiety for the monocyte or macrophage engager. MMP2 being one of the readily expressed TAM markers, a tumor specific myeloid cell engager comprises a MMP2 binding domain.


Hypoxia, or cytokines produced secondary to hypoxia, attract macrophages which subsequently up-regulate hypoxia inducible factor 2-alpha (HIF-2α). Accordingly, a binding domain on a bi- or trispecific engager that specifically binds to a tumor associated macrophage can bind to HIF-2α which is upregulated in these cells.


Monocyte/Macrophage cell-surface markers include LPS co-receptor (CD14), HLA-DR (MHC class II), CD312, CD115, the Fcγ-receptor FcγRIII (CD16). Subset-specific markers include CD163 and CD204, both scavenger receptors expressed by M2 macrophages, CD301, a galactose-type C-type lectin expressed by M2 macrophages.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a phagocytic receptor, selected from the extracellular domains of any one of the proteins in Table 2A.









TABLE 2A







Exemplary receptors on phagocytes








Gene names, aliases
NCBI Acc #





MSR1, SR-AI, , CD204, SCARA1, SR-A1
NM_138715


Alternatively spliced form of SR-AI SR-AII SR-A1.1
NM_002445


MARCO, SCARA2, SR-A6
NM_006770


SCARA3, MSRL1, SR-A3
NM_016240


COLEC12, SCARA4, SRCLI, SRCLII, CL-P1, SR-A4
NM_130386


SCARA5, TESR, NET33 SR-A5
NM_173833


CD36 SCARB3, FAT, GPIV, PAS4 SR-B2
NM_001001548


SCARB1 SR-BI, CD36L1 SR-B1
NM_005505


CD68 gp110, SCARD1, LAMP4 SR-D1
NM_001251


OLR1 LOX-1, SCARE1, CLEC8A SR-E1
NM_002543


Alternatively spliced form of SRE-1 LOXIN SR-E1.1
NM_001172632


CLEC7A, Dectin-1, SCARE2, CD369, SR-E2
NM_197947


CD206/MRC1, Mannose receptor 1 SR-E3
NM_002438


ASGPR ASGR1, CLEC4H1, HL-1 SR-E4
NM_001197216


SCARF1, SREC-I, SR-F1
NM_003693


MEGF10, EMARDD, SR-F2
NM_032446


CXCL16, SR-PSOX SR-G1
NM_001100812


STAB1, FEEL-1, SR-H1
NM_015136


STAB2, FEEL-2, SR-H2
NM_017564


CD163 M130, CD163A, SR-I1
NM_004244


CD163L1 CD163B, M160 SR-12
NM_001297650


SCART1 CD163c-a SR-I3
NR_002934.3


RAGE (membrane form) AGER SR-J1
NM_001136


RAGE (soluble form) AGER SR-J1.1
AB061668


CD44 Pgp-1 SR-K1
NM_000610


LRP1 A2MR, APOER, CD91 SR-L1
NM_002332


LRP2 Megalin, gp330 SR-L2
NM_004525


SRCRB4D
NM_080744


SSC5D
NM_001144950


CD14
NM_000591


Ly75/CD205
NM_002349


CD207/Langerin
NM_015717


CD209/DC-SIGN CLEC4L
NM_021155









In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a PFP, selected from the extracellular domains of any one of the proteins in Table 2B.


Table 2B provides exemplary surface markers and phenotypic characteristics of monocytes, macrophages and DCs.












TABLE 2B







Molecularly defined
Other characteristics


















Monocytes
CD14++CD16−
CD16+ monocytes (undefined as



CD14++CD16+
to whether they CD14++CD16+



DC-like phenotype -
or CD16+CD14dim) possess



High DR, CD80+
superior phagocytosis compared



Macrophage-like
to blood monocytes and can



phenotype - CD163+,
efficiently activate CD4+ T cells



CD68+



CD16+CD14dim



CD14 “DC”-



Postulated to be



monocyte derived


Macrophages
Pan CD68
Liver Macrophages appear to


in the liver

be predominantly tolerogenic




in nature, with a regulatory and




scavenging role


Dendritic
BDCA1 (CD1c+) DC
Tolerogenic in nature; Lower


cells
BDCA2 (CD303+) DC
expression of costimulation



BDCA3 (CD141hi) DC
markers compared to




spleen; Produce IL-10 on LPS




stimulation; Stimulate T-cells




that are IL-10 producing and




hypo-responsive on re-




stimulation; Produce higher




numbers of FoxP3+ Treg cells




on naïve T cell stimulation;




Weak MLR response compared




to blood.









In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a myeloid cell receptor, e.g., a monocyte receptor, a macrophage receptor, for examples, a receptor selected from the extracellular domain comprises an Ig binding domain.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a macrophage receptor e.g., an IgA, IgD, IgE, IgG, IgM, FcγRI, FcγRIIA, FcγRIIB, FcγRIIC, FcγRIIIA (CD16), FcγRIIIB, FcRn, FcRL5 binding domain. A CD16 receptor referred to herein can be a CD16A receptor or a CD16B receptor.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a an FcR extracellular domain.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a macrophage receptor selected from the extracellular domains of an FcR-alpha, an FcR-beta, an FcR-Epsilon or an FcR-gamma.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of an FcαR (FCAR).


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of an FcR-beta.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of an FcR (FCER1A).


In some embodiments, bi- or trispecific engager binds to the extracellular domain comprises an FcγR (FDGR1A, FCGR2A, FCGR2B, FCGR2C, FCGR3A, FCGR3B) receptor.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a monocyte or macrophage phagocytic receptor selected from selected from lectin, dectin 1, mannose receptor (CD206), scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD64, F4/80, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), and CD169 receptor.


In some embodiments, the bi- or trispecific engager binds to the extracellular domain of a TREM protein. In some embodiments, the extracellular domain of a TREM protein is a TREM 1 protein extracellular domain. In some embodiments, the extracellular domain of a TREM protein is a TREM 2 protein extracellular domain. In some embodiments, the extracellular domain of a TREM protein is a TREM 3 protein extracellular domain.


In some embodiments, the bi- or trispecific engager binds to an extracellular domain of a monocyte or macrophage receptor selected from a group consisting of lectin, dectin 1, mannose receptor (CD206), scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD64, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), and CD169 receptor.


It may be understood that in some embodiments, a binder or any part of an engager can be a molecule other than an antibody or a fragment thereof. For example, a binder that binds to a surface molecule of a cell, such as a target cell or an effector myeloid cell, and may be a ligand for a receptor, where the cell surface molecule is a receptor specific for the ligand. In some embodiments a ligand may be a chimeric protein or a fusion protein, or a naturally occurring ligand of the receptor. In some embodiments one binder in an engager recombinant protein may be a ligand, and another may be an antibody or a fragment thereof.


In some embodiments, an engager molecule may comprise one or more linkers or spacers. Linkers or spacers may be made up of 2-50 amino acids. In some embodiments, the linker is a 3-30 amino acid spacer. In some embodiments, the linker is a 4-20 or 5-10 amino acid long peptide. In some embodiments, the spacer may be made of nonreactive amino acid moieties, for example, a series of glycine or serine or alanine residues. An exemplary linker may comprise an amino acid sequence GSGS (SEQ ID NO: 229), or SGGG (SEQ ID NO: 230), or SGGGGSG (SEQ ID NO: 231). An exemplary linker may comprise an amino acid sequence SSGGGGSGGGGSGGGGS (SEQ ID NO: 114). A linker may link the VH and VL domains of an scFv. A linker may link the binder domains of a bi- or trispecific engager. The linkers generally serve as structural elements that connect the effective binder sites. In some embodiments, the linker may be flexible. In some embodiments, the linker may be rigid. The length of the linker is adjusted as per the need of the design and the length that is optimal or necessary to space the binders at the opposite ends. In some embodiments, the linker may comprise a peptide that has a unique function, other than linking two domains. Exemplary peptides discussed below may be part of the design of a bi- or trispecific or multispecific engager, and may or may not be a part of a linker.


In some embodiments, the bi- or trispecific engager comprises a peptide that specifically targets the tumor associated macrophages, such as, for instance, the M2 macrophages. In some embodiments, the M2-specific peptide is M2-pep, having an amino acid sequence, YEQDPWGVKWWY. (SEQ ID NO: 116).


In some embodiments, an M2-specific peptide may comprise a sequence HLSWLPDVVYAW, (hereafter, HLS pep) (SEQ ID NO: 117).


A peptide such as the M2-pep or the HLS pep described above can form a part of the bi-specific engager or a trispecific engager, such as a linker between two binding domains or a part of a linker. In some embodiments, the first and the second binding domains of an engager are coupled to an M2-pep or an HLS pep, whereas the M2-pep or the HLS pep further target the engager to the tumor associated macrophages, and help tether the engager to the tumor associated macrophages.


In some embodiments, an exemplary engager may comprise a CD5 binding domain and a CD16 binding domain, connected by a linker. In some embodiments an exemplary engager comprises TLR activation peptide, such as a TLR4 peptide.


B. Engagers with Masked Antigen Binding Domains


Provided herein are compositions for a therapeutic agent that comprising bispecific or trispecific engagers comprising one or more pro-antibodies, or binding domains for specific antigens with modifications to retain it in inactive form until further activation. In some embodiments, a pro-antibody is an inactive form of an antibody, or fragments or variants thereof, whose antigen binding domain is blocked or “masked” from interacting with the antigen. In some embodiments, the pro-antibody comprises a substrate peptide or a conjugate that remains associated with the antigen binding domain by a protease cleavable linker peptide and “mask” the antigen binding domain from binding to its cognate antigen. Under suitable condition, the substrate peptide is cleaved to release the mask, and promote antigen binding at the antigen binding domain.


In some embodiments, the bispecific or trispecific antibody comprises one or more scFv, that is a pro-antibody, that is, the antigen binding domain of the scFv is masked with a cleavable blocker. In some embodiments the blocker comprises a substrate peptide and a protease cleavable linker. In some embodiments, the bispecific or trispecific antibody comprises a Vhh pro-antibody, wherein, the VL domain or the VH domain or both of the Vhh antibody is masked with a cleavable blocker. In some embodiments, the bispecific or trispecific antibody comprises a nanobody where one or more of antigen binding domains are masked by association with a substrate peptide or conjugate linked to the antibody by a cleavable linker.


In some embodiments, the cleavable linker is designed such that it is cleaved when the therapeutic agent reaches the target site of its action. For example, the pro-antibody for a cancer therapeutic agent can be designed to contain a protease cleavable linker where the protease that cleaves the protease cleavable linker is abundant in the tumor microenvironment and relatively absent or negligible in the non-tumor tissue, and the therapeutic agent is activated by the protease when the therapeutic agent reaches the tumor microenvironment when administered systemically. In some embodiments, therapeutic agents are developed comprising protease-activated pro-antibodies to direct antibody action solely to disease sites.


In some embodiments, the cleavable linker is a matrix metalloprotease-2 (MMP2) cleavable peptide having the amino acid sequence GPLGVR (SEQ ID NO: 118).


In some embodiments, the cleavable linker is a M2-specific peptide, having the amino acid sequence YEQDPWGVKWWY (SEQ ID NO: 116), or the amino acid sequence HLSWLPDVVYAW (SEQ ID NO: 117).


In some embodiments, the cleavable linker comprises a hypoxia inducible protein mediated cleavage site.


In some embodiments, the cleavable linker is a non-naturally occurring synthetic peptide, and comprises a protease cleavable site. In some embodiments, the cleavage site can be cleaved by a protease that is administered exogenously. In some embodiments, the cleavage site can be cleaved by a protease that is associated with a cancer targeted drug.


In some embodiments, the cleavable linker is a mutated peptide, where the mutated peptide contains a protease cleavable site, not occurring in the corresponding non-mutated peptide.


In some embodiments, the purpose of the instant program disclosed herein is generating therapeutic products for use in immunotherapy.


C. Engagers with Domains that Promotes Enhanced Phagocytic Activity and Immune Response of the Myeloid Cell


The tumor microenvironment (TME) constitutes an immunosuppressive environment. Influence of IL-10, glucocorticoid hormones, apoptotic cells, and immune complexes can interfere with innate immune cell function. Immune cells, including phagocytic cells settle into a tolerogenic phenotype. In macrophages, this phenotype, commonly known as the M2 phenotype is distinct from the M1 phenotype, where the macrophages are potent and capable of killing pathogens. Macrophages exposed to LPS or IFN-gamma, for example, can polarize towards an Ml phenotype, whereas macrophages exposed to IL-4 or IL-13 will polarize towards an M2 phenotype. LPS or IFN-gamma can interact with Toll-like receptor 4 (TLR4) on the surface of macrophages inducing the TRIF and MyD88 pathways, inducing the activation of transcription factors IRF3, AP-1, and NFKB and thus activating TNF-α genes, interferon genes, CXCL10, NOS2, IL-12, etc., which are necessary in a pro-inflammatory Ml macrophage response. Similarly, IL-4 and IL-13 bind to IL-4R, activation the Jak/Stat6 pathway, which regulates the expression of CCL17, ARG1, IRF4, IL-10, SOCS3, etc., which are genes associated with an anti-inflammatory response (M2 response). Expression of CD14, CD80, D206 and low expression of CD163 are indicators of macrophage polarization towards the M1 phenotype.


In some embodiments, the engagers comprise a binding domain that can bind to the extracellular domain of a receptor, such as a phagocytic receptor. Engagement with the monocyte or macrophage phagocytic receptor, for example, at a specific site may activate the receptor by enhancing the intracellular signaling mediated by the intracellular domain of the receptor. In some embodiments, the binding domain of the engager comprises a ligand for the phagocytic receptor. In some embodiments the binding domain binds to the ligand which then binds to the phagocytic receptor.


Some phagocytic receptors are more potent in activating phagocytosis than the others, and can induce rapid phagocytosis of the target cell. It is necessary to identify the potent phagocytic receptors. Most macrophage scavenger have broad binding specificity that may be used to discriminate between self and non-self in the nonspecific antibody-independent recognition of foreign substances. The type I and II class A scavenger receptors (SR-All and SR-All) are trimeric membrane glycoproteins with a small NH2-terminal intracellular domain, and an extracellular portion containing a short spacer domain, an a-helical coiled-coil domain, and a triple-helical collagenous domain. The type I receptor additionally contains a cysteine-rich COOH-terminal (SRCR) domain. These receptors are present in macrophages in diverse tissues throughout the body and exhibit an unusually broad ligand binding specificity. They bind a wide variety of polyanions, including chemically modified proteins, such as modified LDL, and they have been implicated in cholesterol deposition during atherogenesis. They may also play a role in cell adhesion processes in macrophage-associated host defense and inflammatory conditions.


Table 2A and Table 2B exemplify a non-extensive list of receptors or surface antigens associated with different myeloid cells, wherein the cells have a range of characteristics ranging from highly phagocytic to tolerogenic. Even within macrophages, some receptors are associated with the actively phagocytic M1 phenotype, while others are associated with the anti-inflammatory M2 phenotype which has dampened phagocytic response. Activation of the M1-associated receptors by engaging with an M1 receptor can generate a characteristic shift in the macrophage type, from M2 towards M1 phenotype.


Macrophage receptors that activate phagocytosis comprise an intracellular phagocytosis signaling domain that comprises a domain having one or more Immunoreceptor Tyrosine-based Activation Motif (ITAM) motifs. ITAMs are conserved sequences present in the cytoplasmic tails of several receptors of the immune system, such as T cell receptors, immunoglobulins (Ig) and FcRs. They have a conserved amino acid sequence motif consisting of paired YXXL/I motifs (Y=Tyrosine, L=Lysine and I=Isoleucine) separated by a defined interval (YXXL/I-X6-8-YXXL/I). In addition, most ITAMs contain a negatively charged amino acid (D/E) in the +2 position relative to the first ITAM tyrosine. Phosphorylation of residues within the ITAM recruits several signaling molecules that activate phagocytosis. ITAM motifs are also present in the intracellular adapter protein, DNAX Activating Protein of 12 kDa (DAP12).


In some embodiments, the phagocytic signaling domain in the intracellular region can comprise a PI3kinase (PI3K) recruitment domain (also called PI3K binding domain). CD19, CD28, CSFR or PDGFR receptors comprise PI3 kinase recruitment to the binding domain. In some embodiments, the bi- or trispecific engager binds to a receptor such as any one or more of CD19, CD28, CSFR or PDGFR receptors. Engaging with such receptors lead to Akt mediated signaling cascade and activation of phagocytosis. The PI3K-Akt signaling pathway is important in phagocytosis, regulation of the inflammatory response, and other activities, including vesicle trafficking and cytoskeletal reorganization. The PI3kinase recruitment domain is an intracellular domain in a plasma membrane protein, which has tyrosine residues that can be phosphorylated, and which can in turn be recognized by the Src homology domain (SH2) domain of PI3Kp85. The SH2 domain of p85 recognizes the phosphorylated tyrosines on the cytosolic domain of the receptor. This causes an allosteric activation of p110 and the production of phosphatidylinositol-3,4,5-trisphosphate (PIP3) that is recognized by the enzymes Akt and the constitutively active 3′-phosphoinositide-dependent kinase 1 (PDK1) through their plekstrin homology domains. The interaction of Akt with PIP3 causes a change in the Akt conformation and phosphorylation of the residues Thr308 and Ser473 by PDK1 and rictor-mTOR complex, respectively. Phosphorylation of these two residues causes the activation of Akt which in turn phosphorylates, among other substrates, the enzyme glycogen synthase kinase-3 (GSK-3). GSK-3 has two isoforms, GSK-3a and GSK-3p both of which are constitutively active. The isoforms are structurally related but functionally nonredundant. Inactivation of GSK-3 is observed when the residues Ser21 in GSK-3a or Ser9 in GSK-3p, located in their regulatory N-terminal domains, are phosphorylated by Akt and other kinases. Inhibition of GSK-3 by phosphorylation is important for the modulation of the inflammation and in phagocytosis processes.


In some embodiments, a bi- or trispecific engager comprises a binding domain that binds to a receptor or part thereof that can activate pro-phagocytic signaling by engaging DAP12 activation.


In some embodiments, a bi- or trispecific engager comprises a binding domain that binds to a receptor or part thereof that promotes clustering of a group of receptors on a monocyte or macrophage or phagocytic cell, and potentiates phagocytosis. In some embodiments, clustering of receptors activate intracellular signaling pathways.


In some embodiments, the bi- or trispecific engager comprises a binding domain for FcαR1 (CD89). FcαR1 receptor engagement or cross-linking activates antigen mediated cytotoxicity, and activate phagocytosis on monocytes or macrophages. FcαR1 is expressed constitutively in macrophages as well as some other cells such as neutrophils and eosinophils. It is especially advantageous in a trispecific engager when the engager comprises a binding domain that binds to an antigen on a target cell, such as a tumor cell, a binding domain specific for a monocyte or macrophage receptor such as CD206, and a binding domain for CD89. Given the length and flexibility of the design of the engager molecule, the CD206 and FcαR1 (CD89) binding domains could engage and provide multiple activation signals by cross-linking with more than one phagocytosis specific receptors, and crosslinking with the target cell. FcαR1 activation redirects monocytes or macrophages from M2 phenotype to killer M1 phenotype and can therefore having an Fc R1 binding domain in a bi- or trispecific engager can be a powerful tool in repurposing tumor associated macrophages for tumor cytotoxicity.


In some embodiments, the bi- and trispecific engager comprises a binding domain that binds to a monocyte or macrophage scavenger receptor. There are currently eight classes of scavenger receptors (classes A-H). In some cases, multiple names have been assigned to the same receptor (e.g., MSR1, SR-AI, CD204, and SCARA1). In addition, there are proteins exhibiting scavenger receptor activity that have been named based on other criteria and have not been included in a general scavenger receptor nomenclature. Some examples include RAGE (SR-E1), LRP1, LRP2, ASGP, CD163, SR-PSOX, and CXCL16. In some embodiments, the bi- or trispecific engager comprises a binding domain that binds to a scavenger receptor, selected from lectin, dectin 1, mannose receptor (CD206), scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD64, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), and CD169 receptor. The binding domains bind to their respective ligands with a dissociation constant (KD) of 10−5 to 10−12 M or less, or, 10−7 to 10−12 M or less or, 10−8 to 10−12 M (i.e. with an association constant (KA) of 105 to 1012 M or more, or, 107 to 1012 M or more or 108 to 1012 M).


In some embodiments, an exemplary binding domain of an engager that binds to the scavenger receptor SRA1 comprises a variable region having an amino acid sequence or a portion thereof, or a sequence having at least 95% sequence identity to a sequence:









(SEQ ID NO: 1)


EVQLVESGGGLVQAGGSLRLSCTASGRAVSTYAMGWFRQAPGKEREFVA


AMISSLSSKSYADTVKGRFTISRDYAKNTVYXQMNSLKPEDTADYYCAA


DLLPYSSSRSLPMGYDYWGQGTQVTVSS.






Exemplary binding domains of an engager that binds to the scavenger receptor SRA1 can comprise a binding domain having an amino acid sequence of any one of SEQ ID NOs 2-7, or a portion thereof, or a sequence having at least 95% sequence identity to any one of the sequences:









(SEQ ID NO: 2)


EVQLVESGGGLVQAGGSLRLSCTASGRAVSTYAMGWFRQAPGKEREFVA





AMISSLSSKSYADSVKGRFTISRDYAKNTVYLQMNSLKPEDTADYYCAA





DLLPYSSTRSLPMGYDYWGQGTQVTVSS.





(SEQ ID NO: 3)


EVQLVESGGGLVQAGGSLRLSCAASGSFSLYDMGWFSQAPGKEREFVAA





INWSGGSTAYADSVKGRFTISRDSAKNTVYLQMNSLKPEDTAVYYCAAK





PAKYHFGSGYRDFAEYPYWGQGTQVTVSS.





(SEQ ID NO: 4)


EVQLVESGGGLVQAGGSLRLSCAASGRTFSRYAMAWFRHAPGKDREFVA





AVSQSGLLTFYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYDCAA





XSRFPLVVPVAYENWGQGTQVTVSS; wherein X can be any





naturally occurring amino acid.





(SEQ ID NO: 5)


EVQLVESGGGLVQAGGSLRLSCAASGRTFSRYAMAWFRHAPGKDREFVA





AVSQSGLLTFYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYDCAA





DSRFPLVVPVAYENWGQGTQVTVSS.





(SEQ ID NO: 6)


EVQLVESGGGLVQVGGSLRLSCAASGISIRTHAMGWYRQAPGKQRELVA





TITSVTSGGSLNYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYC





KLLGFDYRGQGTQVTVSS.





(SEQ ID NO: 7)


EVQLVESGGGLVQPGGSLRLSCAASGSIGRFVAMGWYRQAPGKQRELVA





TITSITSGGRTNYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYC





NVVPYVNDYWGQGTQVTVSS.






In some embodiments, an exemplary binding domain of an engager that binds to the scavenger receptor RAGE can comprise a binding domain having an amino acid sequence of any one of SEQ ID NOs 8-15, or a portion thereof, or a sequence having at least 95% sequence identity to any one of the sequences:









(SEQ ID NO: 8)


EVQLVESGGGLVQAGDSLRLSCIASGRTFTMGWFRQAPGKEREFVAAIS


WSGGRTYYADSVKGRFTISRENAKNTVYLQMNSLKPEDTAVYCCATENL


ASSGSAYSDDRYNACGQGTQVTVSS.





(SEQ ID NO: 9)


EVQLVESGGEVVQPGGSLRLSCAASGFTFDDRAIGWFRQAPGKEREGVA


CSANNDNRAFYEDSVKGRFAVSRDNAKNTVYLQMNSLKPEDTAVYYCAT


RCAAGRVNLYYGMDYWGKGTLVTVSS.





(SEQ ID NO: 10)


EVQLVESGGGLVQPGGSLRLSCAASGFTLGNYAIGWFRQAPGKEREGVS


CVDRDGGSTYYLDSVTGRFTTSRDDAENTVYLQMNSLIPDDTAVYYCAT


RLYGCSGYGRDYADWGQGTQVTVSS.





(SEQ ID NO: 11)


EVQLVESGGGLVQAGGSLRLSCAVSGRTFSTDAFGWFRQAPGKEREFVS


AMRWNGSSSYYADLVKGRFTISRDNAKNTVYLLMNSLKPEDTAVYYCTA


GKRYGYYDYWGQGTQVTVSS.





(SEQ ID NO: 12)


EVQLVESGGGLVQAGGSLRLSCAASGRTFSNYSMGWFRQAPGKEREFVA


TISWSGALTHYTDSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCAA


SDSDYGNKYDYWGQGTQVTVSS.





(SEQ ID NO: 13)


EVQLVESGGGLVQAGGSLRLSCAASGRTVSDMTMGWFRQAPGKERVFVA


AISNSGLSTYYQDSVKGRFTISRDTANNTVALQMNSLKPEDTAVYFCAA


RSGWSGQYDYWGQGTQVTVSS.





(SEQ ID NO: 14)


EVQLVESGGGLVQAGGSLRLSCAASGRIFNNYAMGWFRQAPGKEREFVA


GISWSGDSTLYADSVKGRFTTSRDNAKNTVYLQMNSLKPEDTANYYCAE


KQGADWAPYDYWGQGTQVTVSS.





(SEQ ID NO: 15)


EVQLVESGGGLVQAGGSLRLSCVASELTFSLYRMGWFRQAPGKEREFVS


AMSTSGAGTYYADSVKGRFTISRDNPKNTVYLQMNSLKPEDTAVYYCVA


GVRFGVYDYWGQGTQVTVSS.






In some embodiments, an exemplary binding domain of an engager that binds to the scavenger receptor Lox-1 can comprise a binding domain having an amino acid sequence of any one of SEQ ID NOs 16-26, or a portion thereof, or a sequence having at least 95% sequence identity to any one of the sequences.









(SEQ ID NO: 16)


EVQLVESGGGLVQPGGSLRLSCAASGFTLDDYAIGWFRQAPGKEREGVS


CISRTDGSTDYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCAA


GRTYYSGSYYFGLGSDEYDYWGQGTQVTVSS.






Sequences of additional exemplary binding domains of an engager that binds to the scavenger receptor Lox-1 comprises a variable region having an amino acid sequence are given below:









(SEQ ID NO: 17)


EVQLVESGGGLVQPGGSLRLSCAASGSIFTINAMAWYRQAPGKQRELVA


HLTNSGRTGYADSVKGRFTISSDNAKNTVYLQMNSLKPEDTAVYYCNRL


GLHWSWGQGTQVTVSS.





(SEQ ID NO: 18)


EVQLVESGGGLVQAGGSLRLSCAASIGTFSAYHMGWFRQAPGKERELVA


AISWSVSSTYYADSVKGRFTISRDNAKRTVSLQMDSLKPEDTAVYYCAA


RSGERYDYYKAQYEYWGQGTQVTVSS.





(SEQ ID NO: 19)


EVQLVESGGGLVQPGGSLRLSCAAYGSFFSIGTMGWYRQPPGNQRELVA


VTYGLGSTNYAESVKGRFTISRDNAKNTVSLQMNSLKPEDTAVYYCYAE


IDTDPRSGEWDYWGQGTQVTVSS.





(SEQ ID NO: 20)


EVQLVESGGGLVQPGGSLRLSCLPSTSTSSLRTVGWYRQGPGKQRDLVA


IMSAGTTRYADSVKGRFTISLDDAKNTVYLQMNSLKPEDTAVYICNGRP


VFSNVDYWGQGTQVTVSS.





(SEQ ID NO: 21)


EVQLVESGGGLVQAGGSLRLSCAASGFTFDDYAIGWFRQAPGKEREGVS


CVSRDGGSTYYLDSVKGRFTISSDNAKNTVYLQMNSLKPEDAAVYYCAA


SRYDCSKYLIDYNYRGQGTQVTVSS.





(SEQ ID NO: 22)


EVQLVKSGGGLVQAGGSLRLSCAASGRRFSTSGMGWFRQAPGREREFVX


GIXWNSRXTYYAESVKGRFTISRDNSKNTVYLQMNSLKPEDTAVYYCAT


NYYGSXWSVNSDDYDYWXQGXQVTVSS.





(SEQ ID NO: 23)


EVQLVESGGGLVQAGGSLRLSCAASGRTFSNYAMGWFRQAPGKEREFVA


AITWSGSSTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCAA


AQRGRYYYLDRNVEYDYWGQGTQVTVSS.





(SEQ ID NO: 24)


EVQLVESGGGLVQPGGSLRLSCAASGFTLDDYGIGWFRQAPGKEREGVS


CISSSDGSTDYADSVKGRFTISRDNAKNTVYLQMNNLKPEDTAVYYCAA


GRTYYSGSYYFGLGSDEYDYWGQGTQVTVSS.





(SEQ ID NO: 25)


EVQLVESGGNLVQAGGSLRLSCAASGFTFDDYVIGWFRQAPGKEREGVS


CISSVEGSTYYADSVKGRFTISGDNAKNTVYLQMNSLKPEDTAVYYCAA


GTWLDCSGYGSYDMDYWGKGTLVTVSS.





(SEQ ID NO: 26)


EVQLVESGGGLVQAGGSLRLSCAASGFTFDDYVIGWFRQAPGKEREGVS


CISSSEGSTYYAESVKGRFTISSDNAKNTVYLQMNSLKPEDTAVYYCAA


STWLDFVHGNEYDYRGQGTQVTVSS.






In some embodiments, an exemplary SRA-1 binding CDR1 sequence can be any one of the amino acid sequences: TYAMG (SEQ ID NO: 31), YDMG (SEQ ID NO: 32), RYAMA (SEQ ID NO: 33), THAMG (SEQ ID NO: 34), FVAMG (SEQ ID NO: 35).


In some embodiments, an exemplary SRA-1 binding CDR2 sequence can be any one of the amino acid sequence:











(SEQ ID NO: 36)



AMISSLSSKSYADTVKG.







(SEQ ID NO: 37)



AMISSLSSKSYADSVKG.







(SEQ ID NO: 38)



AINWSGGSTAYADSVKG.







(SEQ ID NO: 39)



AVSQSGLLTFYADSVKG.







(SEQ ID NO: 40)



AVSQSGLLTFYADSVKG.







(SEQ ID NO: 41)



TITSVTSGGSLNYADSVKG.







(SEQ ID NO: 42)



TITSITSGGRTNYADSVKG.






In some embodiments, an exemplary SRA-1 binding CDR3 sequence sequences can be any one of the amino acid sequences:











(SEQ ID NO: 43)



DLLPYSSSRSLPMGYD.







(SEQ ID NO: 44)



DLLPYSSTRSLPMGYDY.







(SEQ ID NO: 45)



KPAKYHFGSGYRDFAE.







(SEQ ID NO: 46)



XSRFPLVVPVAYEN.







(SEQ ID NO: 47)



DSRFPLVVPVAYEN.







(SEQ ID NO: 48)



LGFDY.







(SEQ ID NO: 49)



VPYVNDY.








    • wherein, X is a naturally occurring amino acid.





In some embodiments, an exemplary RAGE binding CDR1 sequence can be any one of the amino acid sequences: DRAIG (SEQ ID NO: 50), NYAIG (SEQ ID NO: 51), TDAFG (SEQ ID NO: 52), NYSMG (SEQ ID NO: 53), DMTMG (SEQ ID NO: 54), NYAMG (SEQ ID NO: 55), or LYRMG (SEQ ID NO: 56).


In some embodiments, an exemplary RAGE binding CDR2 sequence can be any one of the amino acid sequences:











(SEQ ID NO: 57)



AISWSGGRTYYADSVKG.







(SEQ ID NO: 58)



CSANNDNRAFYEDSVKG.







(SEQ ID NO: 59)



CVDRDGGSTYYLDSVTG.







(SEQ ID NO: 60)



AMRWNGSSSYYADLVKG.







(SEQ ID NO: 61)



TISWSGALTHYTDSVKG.







(SEQ ID NO: 62)



AISNSGLSTYYQDSVKG.







(SEQ ID NO: 63)



GISWSGDSTLYADSVKG.







(SEQ ID NO: 64)



AMSTSGAGTYYADSVKG.







(SEQ ID NO: 65)



CISRTDGSTDYADSVKG.






In some embodiments, an exemplary RAGE binding CDR3 sequence can be any one of the amino acid sequences:











(SEQ ID NO: 66)



ENLASSGSAYSDDRYN







(SEQ ID NO: 67)



RCAAGRVNLYYGMDY.







(SEQ ID NO: 68)



RLYGCSGYGRDYAD.







(SEQ ID NO: 69)



GKRYGYYDY.







(SEQ ID NO: 70)



SDSDYGNKYDY.







(SEQ ID NO: 71)



RSGWSGQYDY.







(SEQ ID NO: 72)



KQGADWAPYDY.







(SEQ ID NO: 73)



GVRFGVYDY.






In some embodiments, Lox-1 binding CDR1 sequences can be any one of the amino acid sequences: DYAIG (SEQ ID NO: 74), INAMA (SEQ ID NO: 75), AYHMG (SEQ ID NO: 76), IGTMG (SEQ ID NO: 77), LRTVG (SEQ ID NO: 78), DYAIG (SEQ ID NO: 79), TSGMG (SEQ ID NO: 80), NYAMG (SEQ ID NO: 81), DYGIG (SEQ ID NO: 82), DYVIG (SEQ ID NO: 83).


In some embodiments, Lox-1 binding CDR2 sequences can be any one of the amino acids sequences:











(SEQ ID NO: 84)



HLTNSGRTGYADSVKG







(SEQ ID NO: 85)



AISWSVSSTYYADSVKG







(SEQ ID NO: 86)



VTYGLGSTNYAESVKG







(SEQ ID NO: 87)



IMSAGTTRYADSVKG







(SEQ ID NO: 88)



CVSRDGGSTYYLDSVKG







(SEQ ID NO: 89)



GIXWNSRXTYYAESVKG







(SEQ ID NO: 90)



AITWSGSSTYYADSVKG







(SEQ ID NO: 91)



CISSSDGSTDYADSVKG







(SEQ ID NO: 92)



CISSVEGSTYYADSVKG







(SEQ ID NO: 93)



CISSSEGSTYYAESVKG








    • wherein, X is a naturally occurring amino acid.





In some embodiments, Lox-1 binding CDR3 sequences can be any one of the amino acid sequences:











(SEQ ID NO: 94)



GRTYYSGSYYFGLGSD







(SEQ ID NO: 95)



LGLHWS







(SEQ ID NO: 96)



RSGERYDYYKAQYEY







(SEQ ID NO: 97)



EIDTDPRSGEWDY







(SEQ ID NO: 98)



RPVFSNVDY







(SEQ ID NO: 99)



SRYDCSKYLIDYNY







(SEQ ID NO: 100)



NYYGSXWSVNSDDYDY







(SEQ ID NO: 101)



AQRGRYYYLDRNVEYD







(SEQ ID NO: 102)



GRTYYSGSYYFGLGSDEYDY







(SEQ ID NO: 103)



GTWLDCSGYGSYDMDY







(SEQ ID NO: 104)



STWLDFVHGNEYDY






In some embodiments, the bi- or trispecific engager comprises a binding domain that binds to a protein that can generate phagocytosis activation signals or pro-inflammatory signals, for example via activation of any one of: MRC1, ItgB5, MERTK, ELMO, BAIL Tyro3, Axl, Traf6, Syk, MyD88, Zap70, PI3K, FcγR1, FcγR2A, FcγR2B2, FcγR2C, FcγR3A, FcER1, FcαR1, BAFF-R, DAP12, NFAM1, and CD79b.


In some embodiments, the bi- or trispecific engager comprises a binding domain that binds to the extracellular domain of a TREM protein. TREM 1, 2, 3. TREMs share common structural properties, including the presence of a single extracellular immunoglobulin-like domain of the V-type, a trans-membrane domain and a short cytoplasmic tail. In particular, the TREM trans-membrane domain (TM) possesses negatively charged residues that interact with the positively charged residues of the DNAX Activating Protein of 12 kDa (DAP12), a trans-membrane adaptor containing an immunoreceptor tyrosine-based activation motif (ITAM).


D. Engagers with Domains that Promote Inflammatory Activity of the Myeloid Cell


Activation of monocytes or macrophages can lead to increase in inflammatory activity. Activated M1 monocytes or macrophages are characterized by IFN-gamma production, as well as production of pro-inflammatory cytokines, IL-1b, IL-6, CSF, GMCSF, and TNF to name a few. In some embodiments, a monocyte or macrophage M1 phenotype is associated with potent pro-inflammatory response associated with IL-1 signaling cascade and inflammasome activation.


In some embodiments, a bi- or trispecific engager may comprise a domain that generates a signal is necessary to trigger inflammasomes and pro-inflammatory signals. Toll-like receptors, TLRs are known to induce inflammasome activation. TLRs elicit conserved inflammatory pathways culminating in the activation of NF-κB and activating protein-I (AP-1). TLR ligands include high-mobility group B1 (HMGB1), heat shock proteins (HSP60, HSP70), endotoxins, and extracellular matrix components. TLR2 and TLR4, for example comprise extracellular domains which are activated by ligand binding, and which is turn activates a pro-inflammatory cascade associated with inflammasome activation. Intracellular signaling pathway is mediated by signaling proteins e.g., Nod-like receptors (NLRs) that recruit proinflammatory caspases and induce their cleavage and activation. This leads to direct activation of ROS, and often results in a violent cell death known as pyroptosis. There are four inflammasome complexes, NLRP1m, NLRP3, IPAF and AIM2.


In some embodiments, a bi- or trispecific engager may comprise a binding domain that generates a signal is necessary to trigger inflammasomes and pro-inflammatory signal binds to TLRs, such as TLR4. TLR4 is expressed in monocytes or macrophages and is induced by LPS and other ligands. In some embodiments, a bi- or trispecific engager may bind to a TLR ligand which then binds to the TLR.


E. Engagers with Domains that Promote Engagement with Target Cell, Cell Adhesion and Enhances Inflammatory Activity of the Myeloid Cell


Cell-cell and cell-substratum adhesion is mediated by the binding of integrin extracellular domains to diverse protein ligands; however, cellular control of these adhesive interactions and their translation into dynamic cellular responses, such as cell spreading or migration, requires the integrin cytoplasmic tails. These short tails bind to intracellular ligands that connect the receptors to signaling pathways and cytoskeletal networks. Integrins are heterodimeric adhesion receptors formed by the non-covalent association of a and 0 subunits. Each subunit is a type I transmembrane glycoprotein that has relatively large extracellular domains and, with the exception of the 04 subunit, a short cytoplasmic tail. Individual integrin family members have the ability to recognize multiple ligands. Integrins can bind to a large number of extracellular matrix proteins (bone matrix proteins, collagens, fibronectins, fibrinogen, laminins, thrombospondins, vitronectin, and von Willebrand factor), reflecting the primary function of integrins in cell adhesion to extracellular matrices. Many “counter-receptors” are ligands, reflecting the role of integrins in mediating cell-cell interactions. Integrins undergo conformational changes to increase ligand affinity.


The Integrin β2 subfamily consists of four different integrin receptors, αMβ2 (CDIIb/CD18, Mac-1, CR3, Mo-1), αLβ2 (CD11a/CD18, LFA-1), αXβ2 (CD11c/CD18), and αDβ2 (CD11d/CD18). These leukocyte integrins are involved in virtually every aspect of leukocyte function, including the immune response, adhesion to and transmigration through the endothelium, phagocytosis of pathogens, and leukocyte activation.


The a subunits of all β2 integrins contain an inserted region of ˜200 amino acids, termed the I or A domain. Highly conserved I domains are found in several other integrin a subunits and other proteins, such as certain coagulation and complement proteins. I domains mediate protein-protein interactions, and in integrins, they are integrally involved in the binding of protein ligands. Although the I domains dominate the ligand binding functions of their integrins, other regions of the a subunits do influence ligand recognition. As examples, in αMβ2 a mAb (OKM1) recognizing an epitope outside the I domain but in the αM subunit inhibits ligand binding; and the EF-hand regions in αLβ2 and α2β1, integrins with I domains in their a subunits, contribute to ligand recognition. The αM subunit, and perhaps other a subunits, contains a lectin-like domain, which is involved in engagement of non-protein ligands, and occupancy may modulate the function of the I domain.


As integrins lack enzymatic activity, signaling is instead induced by the assembly of signaling complexes on the cytoplasmic face of the plasma membrane. Formation of these complexes is achieved in two ways; first, by receptor clustering, which increases the avidity of molecular interactions thereby increasing the on-rate of binding of effector molecules, and second, by induction of conformational changes in receptors that creates or exposes effector binding sites. Within the ECM, integrins have the ability to bind fibronectin, laminins, collagens, tenascin, vitronectin and thrombospondin. Clusters of integrin/ECM interactions form focal adhesions, concentrating cytoskeletal components and signaling molecules within the cell. The cytoplasmic tail of integrins serve as a binding site for α-actinin and talin which then recruit vinculin, a protein involved in anchoring F-actin to the membrane. Talin is activated by kinases such as protein kinase C alpha (PKCα).


Integrins are activated by selectins. Leucocytes express L-selectin, activated platelets express P-selectin, and activated endothelial cells express E- and P-selectin. P-selectin-mediated adhesion enables chemokine- or platelet-activating factor-triggered activation of 2 integrins, which stabilizes adhesion. It also facilitates release of chemokines from adherent leucocytes. The cytoplasmic domain of P-selectin glycoprotein ligand 1 formed a constitutive complex with Nef-associated factor 1. After binding of P-selectin, Src kinases phosphorylated Nef-associated factor 1, which recruit the phosphoinositide-3-OH kinase p85-p1106 heterodimer and result in activation of leukocyte integrins. E-selectin ligands transduce signals that also affect 02 integrin function. Selectins trigger activation of Src family kinases. SFKs activated by selectin engagement phosphorylate the immunoreceptor tyrosine-based activation motifs (ITAMs) in the cytoplasmic domains of DAP12 and FcRγ. In some respects, CD44 is sufficient to transduce signals from E-selectin. CD44 triggers the inside-out signaling of integrins. A final common step in integrin activation is binding of talin to the cytoplasmic tail of the β subunit. Kindlins, another group of cytoplasmic adaptors, bind to a different region of integrin β tails. Kindlins increase the clustering of talin-activated integrins. Kindlins are responsive to selectin signaling, however, kindlins are found mostly in hematopoietic cells, such as neutrophils. Selectin signaling as well as signaling upon integrin activation by chemokines components have shared components, including SFKs, Syk, and SLP-76.


In some embodiments, the engagers comprise a binding domain that can bind to the extracellular domain of an adhesion molecule such as an integrin or a selectin, for example, a P-selectin, L-selectin or E-selectin.


F. Engagers with Binding Domains that Inhibits Anti-Phagocytic and Anti-Inflammatory Activity of the Myeloid Cell


In one aspect, a bi- or a trispecific engager may comprise an additional functional domain that inhibits CD47 mediated downregulation of monocyte or macrophage phagocytosis. Tumor cells typically express the “don't eat me” signal CD47 that binds to a monocyte or macrophage receptor SIRP-α, and inhibits phagocytosis. Inhibition of CD47 therefore counteracts the tumor cell mediated anti-phagocytosis activity. One arm of a bi- or trispecific engager may comprise a CD47 blocker. The CD47 blocker associated with the engager may be the extracellular CD47-binding domain of SIRP-α, acting as a decoy receptor or neutralizing receptor.


In one aspect, disclosed herein are compositions that can inhibit phagocytosis regulatory signal transduction by members of the Siglec family of membrane proteins that are expressed on immune cells. Various members of the family transduce checkpoint signal upon contact with sialylated glycans on membrane proteins. In some members, the intracellular domains of the Siglec proteins comprise multiple immunoreceptor tyrosine-based inhibitory motifs (ITIMs). ITIMs share a consensus amino acid sequence in their cytoplasmic tail, namely (I/V/L/S)-X-Y-X-X-(L/V), where X denotes any amino acid, I=Isoleucine, V=valine, L=Lysine, S=Serine, Y=Tyrosine. Phosphorylation of the Tyrosine residues at the ITIM motif recruit either of two SH2 domain-containing negative regulators: the inositol phosphatase SHIP (Src homology 2-containing inositol polyphosphate 5-phosphatase) or the tyrosine phosphatase SHP-1 (Src homology 2-containing protein tyrosine phosphatase-1). A leucine in the (Y+2) position favors binding to SHIP, whereas an isoleucine in the (Y-2) position favors SHP-1 binding. ITIMs can also bind to another tyrosine phosphatase, SHP-2, but evidence for SHP-2 playing a functional role in ITIM-mediated inhibition is less clear than for the other mediators. Therefore, activation of the Siglec membrane proteins at the extracellular ligand binding domain by binding with a sialic acid residue, (e.g. in sialylated membrane glycan proteins), the ITIMs receive the intracellular signals, which are phosphorylated, and initiate the SHP mediated signaling for immunomodulation, including reduction in phagocytic potential.


Siglec family receptors comprise the membrane proteins, siglec 1 (CD169), siglec 2 (CD22), siglec 3 (CD33), siglec 4 (MAG), siglec 5, siglec 6, siglec 7, siglec 8, siglec 9, siglec 10, siglec 11, siglec 12, siglec 13, siglec 14, siglec 15, siglec 16.


In some embodiments the composition described herein may comprise a binding domain for a Siglec receptor (SgR) such that the SgR receptor is blocked, and SgR induced immunoregulatory intracellular signaling is inhibited.


G. Exemplary Multimerization Domains for Engagers

Also envisioned in the molecular design of bi- and trispecific engagers are additional structures and helpers that assist in the engager's capability to modularly and concomitantly engage with multiple targets. These designs include additional anchoring or clasping elements for two or more binding domains separated by linkers, such as in a bi- or trispecific antibody, a tribody or a triple body formats. These higher order multi-specific binding domains often require inclusion of the multimerization domains to improve stability and flexibility in binding the multiple domains on the same and different cells. The additional anchoring or clasping elements occur in cognate pairs, such that one of the cognate pair of the anchoring or clasping modality is attached to one of the binding domains of an engager and the other of the pair is attached to the other of the cognate pair.


In some embodiments, the engager is a recombinant protein comprising multiple binding domains as described throughout the specification, each having individual binding specificities, that are each linked together by linkers having cognate peptide anchoring or clasping elements that exhibit complementary binding with each other. For example, one binding domain of the recombinant protein is fused with the first of a pair of cognate peptides, and the other binding domain is fused with the second of the pair of peptides, wherein, the pair of peptides exhibit complementary binding with each other, wherein the pair of cognate peptides comprise: (a) leucine zipper domains that exhibit complementary binding with each other; for example, leucine zippers in naturally occurring protein-protein interactions, such as the zipper sequences within the binding regions of c-Fos and c-Jun proteins, (b) synthetic peptides designed to specifically bind to each other via synthetic clasps.


In some embodiments, the therapeutic agent is a recombinant protein comprising multiple binding fragments configured to facilitate accelerated association with each other by means of leucine zipper peptide pairs comprised in the recombinant proteins. Leucine zipper sequences often comprise a heptad leucine repeat and constitute adhesive peptide pairs when two peptides possess the leucine zipper structures. Among the naturally occurring leucine zippers, the c-Fos and c-June pairs are most widely known. They exhibit a strong binding affinity with KD: 5.4×10−8 M. They form parallel coils. In some embodiments, the leucine zipper coil is the coil of the c-Fos: c-Jun pair. In some embodiments, exemplary cognate pair anchoring or clasping elements include the ACID-p1(LZA) and BASE-p1 (LZB) pair; which are prevented from homodimerizing because of the electrostatic repulsion between the charges among the amino acid side chains. Prevention of homodimerization can be beneficial in a number of embodiments.


Exemplary c-Fos leucine zipper domain comprises an amino acid sequence as follows:











(SEQ ID NO: 119)



IARLEEKVKTLKAQNSELASTANMLREQVAQLKQKVMNH.






Exemplary c-Jun leucine zipper domain comprises an amino acid sequence as follows:











(SEQ ID NO: 120)



TDTLQAETDQLEDEKSALQTEIANLLKEKEKLEFILAAH.






Exemplary LZA leucine zipper domain comprises an amino acid sequence as follows:











(SEQ ID NO: 121)



AQLEKELQALEKENAQLEWELQALEKELAQK.






Exemplary LZB leucine zipper domain comprises an amino acid sequence as follows:











(SEQ ID NO: 122)



AQLKKKLQALKKKNAQLKWKLQALKKKLAQK.






In some embodiments, the therapeutic agent is a recombinant protein comprising multiple binding fragments configured to facilitate accelerated association with each other by means of c-Fos/c-Jun binding domains in the peptide pairs comprised within the recombinant proteins.


In some embodiments, the anchoring or clasping elements exhibit specific heterodimerizing capabilities and do not exhibit homodimerization.


In some embodiments, the therapeutic agent is a recombinant protein comprising multiple binding fragments configured to facilitate accelerated association with each other by means of synthetic clasps. In some embodiments, the synthetic anchoring or clasping elements are designed to heterodimerize and prevent homodimerization.


In some embodiments the synthetic clasps of the linkers are non-peptide crosslinkers.


In some embodiments the complementary binding of cognate peptides with each other can be via chemical binding, such as crosslinking. Chemical crosslinkers can be useful for activating the crosslinking in vitro. There are homo- and heterobifunctional protein crosslinkers that can be commercially available. Examples include BS2G crosslinker (BS2G; Bis[Sulfosuccinimidyl]glutarate) is an amine-reactive, water soluble, homobifunctional protein crosslinker (both binding units at the opposite ends of a spacer arm have the identical reactive groups), or its membrane permeable version, DSG (Disuccinimidyl glutarate; Di(N-succinimidyl) glutarate); BS3 crosslinker (Bis[sulfosuccinimidyl] suberate; Sulfo-DSS; BSSS) or DST crosslinker (Disuccinimidyl tartrate), are among other homobifunctional crosslinkers for peptides; whereas BMPS (N-(ß-Maleimnidopropyloxy) succininide ester; MBS crosslinker (m-Maleimidobenzoyl-N-hydroxysuccinimide ester); PDPH crosslinker (3-[2-Pyridyldithio]propionyl hydrazide) provide examples of some heterobifunctional crosslinkers.


In some embodiments, the variable light chain (VL) subunit and the variable heavy chain (VH) regions arranged in tandem within a multi-specific engager may be linked via two linkers having the cognate peptide anchoring or clasping elements. The length of the linkers can limit or facilitate specific VL-VH associations. For example, limiting the linker peptide length to less than 10 amino acids restricts the association between two adjacent VL and VH domains.


In some embodiments, the anchoring or clasping elements exhibit an affinity having a KD: less than 5×10−6M, or less than 10−6M, less than 5×10−7M, or less than 4×10−7M, or less than 3×10−7M, or less than 2×10−7M; or less than 10−7M, or less than 9×10−8M, or less than 8×10−8M, or or less than 7×10−8M, or less than 6×10−8M, or less than 5×10−8M, or less than 4×10−8M, or less than 3×10−8M, or less than 2×10−8M, or less than 10−8M, or less than 10−8M, or less than 10−10M, or higher affinity.


Additionally, inclusion of the additional anchoring or hetero-multimerization domains in these higher order multi-specific engagers (e.g., engagers with multiple binding domains) that are formed by the assembly of heterodimeric or heteromultimeric units assist in the production, folding, stability and tissue availability of the multi-specific engagers.


Co-Expression of an Inflammatory Gene

In one aspect, the recombinant nucleic acid comprises a coding sequence for a pro-inflammatory gene, which is expressed in an engineered cell. In some embodiments, the pro-inflammatory gene is a cytokine. Examples include but not limited to TNF-α, IL-1α, IL-1β, IL-6, CSF, GMCSF, or IL-12 or interferons. In some embodiments, the recombinant nucleic acid encoding a coding sequence of a proinflammatory gene is a therapeutic agent, such as an additional therapeutic agent to accompany at least the first therapeutic agent.


Peptide Linker

In some embodiments, the antigen binding domains, scFvs or binding domains are linked with each other by a linker. In some embodiments, where there are more than one scFvs, the more than scFvs are linked with each other by linkers.


In some embodiments the linkers are flexible. In some embodiments the linkers comprise a hinge region. Linkers are usually short peptide sequences. In some embodiments the linkers are stretches of Glycine and one or more Serine residues. Other amino acids preferred for a peptide linker include but are not limited to threonine (Thr), serine (Ser), proline (Pro), glycine (Gly), aspartic acid (Asp), lysine (Lys), glutamine (Gln), asparagine (Asn), and alanine (Ala) arginine (Arg), phenylalanine (Phe), glutamic acid (Glu). Of these Pro, Thr, and Gln are frequently used amino acids for natural linkers. Pro is a unique amino acid with a cyclic side chain which causes a very restricted conformation. Pro-rich sequences are used as interdomain linkers, including the linker between the lipoyl and E3 binding domain in pyruvate dehydrogenase (GA2PA3PAKQEA3PAPA2KAEAPA3PA2KA (SEQ ID NO: 232)). For the purpose of the disclosure, the empirical linkers may be flexible linkers, rigid linkers, and cleavable linkers. Sequences such as (G4S)x (where x is multiple copies of the moiety, designated as 1, 2, 3, 4, and so on) (SEQ ID NO: 249) comprise a flexible linker sequence. Other flexible sequences used herein include several repeats of glycine, e.g., (Gly)6 (SEQ ID NO: 233) or (Gly)8 (SEQ ID NO: 234). On the other hand, a rigid linker may be used, for example, a linker (EAAAK)x, where x is an integer, 1, 2, 3, 4 etc. (SEQ ID NO: 235) gives rise to a rigid linker.


The length of a linker peptide can be crucial in the design of a multi-specific engager. For example, limiting the linker peptide length to less than 10 amino acids restricts the association between two adjacent domains. In some embodiments, the linker may comprise a anchoring or clasping function and may comprise a crosslinking moiety. The cross linking moiety may be a peptide or a chemical cross linking moiety, several of which are described in the previous section.


Specific peptides with specific functions have been discussed elsewhere in the document. In some embodiments, a peptide linker may further function as an activator or a signal in a myeloid cell. For example, a TLR4 activation peptide may be incorporated within the linker between two binding domains of an engager, and the TLR4 activation peptide binds to and activates a TLR4 signal in a monocyte or macrophage.


In some embodiments, a peptide linker may further function as a conditionally cleavable linker. By conditionally cleavable it is understood that the peptide is cleaved when the agent that cleaves it is available. For example, an MMP2 cleavable peptide is described herein, which is readily cleaved only when the peptide is in a region rich in MMP2. An exemplary MMP2 cleavable peptide is GPLGVR (SEQ ID NO: 118).


In some embodiments, a peptide linker may further function as a targeting peptide. For example, an M2 peptide is described, which is can bind to a M2 monocyte or macrophage, which is the predominant tumor associated monocyte or macrophage phenotype. An exemplary peptide is YEQDPWGVKWWY (SEQ ID NO: 116).


Any one or more peptide linkers may comprise specialized functions, such as they can dimerize, trimerize or multimerize. In some embodiments, one or more linkers may comprise leucine zipper sequences.


In some embodiments, the peptide linker is 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 amino acids in length. In some embodiments, a peptide linker or the two linker peptides with an anchor or a clasp together span a length of 50 amino acids or less, 45 amino acids or less, 40 amino acids or less, 35 amino acids or less, 30 amino acids or less, 25 amino acids or less, 20 amino acids or less, 15 amino acids or less, 10 amino acids or less, or 5 amino acids or less. In some embodiments, a peptide linker or the two linker peptides with an anchor or a clasp together span a length of 25 amino acids or less, 24 amino acids or less, 23 amino acids or less, 22 amino acids or less, 21 amino acids or less, 20 amino acids or less, 19 amino acids or less, 19 amino acids or less, 18 amino acids or less, 17 amino acids or less, 16 amino acids or less, 15 amino acids or less, 14 amino acids or less, 13 amino acids or less, 12 amino acids or less, 11 amino acids or less, 10 amino acids or less, 9 amino acids or less, 8 amino acids or less, 7 amino acids or less, 6 amino acids or less, or 5 amino acids or less.


Methods for Preparing Monocyte or Macrophage Specific Engagers

The engagers described herein are produced as recombinant proteins. Generally, a polynucleotide sequence is constructed that encodes the recombinant protein is prepared and inserted into an expression vector, such as a plasmid, in proper orientation and correct reading frame for expression, if necessary, the DNA may be linked to the appropriate transcriptional and translational regulatory control nucleotide sequences recognized by the desired host (e.g., bacteria), although such controls are generally available in the expression vector. The vector is then introduced into the host bacteria for cloning using standard techniques (see, e.g., Sambrook et al. (1989) Molecular Cloning, A Laboratory Manual, Cold Spring Harbor Laboratory, Cold Spring Harbor, N.Y.).


The recombinant polynucleotide is synthesized by ligating DNA encoding, for example, a first binding domain, a linker, and a second binding domain in the same open reading frame using the molecular cloning techniques well known to one of skill in the art. In some embodiments, one or more polynucleotide sequences are arranged under the same promoter and regulatory elements for generation of a single polypeptide. In some embodiments, a short spacer may be inserted between two adjacent polynucleotides encoding two polypeptides wherein the spacer may encode a post translational cleavage site. The two polypeptides can be separated after translation by induction of the cleavage at the specific cleavage site. In some embodiments, the construct may be monocistronic or polycistronic. In some embodiments, more than one polypeptides are generated which then reassemble after translation. For example, light chain and heavy chain domains of an antibody or parts thereof can be generated by translation from two independent polynucleotide sequences, which are allowed to freely assemble with each other post-translationally. Alternatively, multiple polypeptide chains containing LC and HC variable domains that bind with each other are transcribed and translated from a single polynucleotide, which is cleaved after translation into respective peptide chains which can then reassemble. The polypeptide having a leader sequence is a preprotein and can have the leader sequence cleaved by the host cell to form the mature form of the polypeptide.


In some embodiments, the polynucleotide construct encodes an N-terminal signal sequence upstream of the polypeptide for secretion of the polypeptides. In some embodiments, the N terminal signal sequence comprises a secretion sequence. The resulting translated protein product having the N-terminal signal sequence for secretion would be secreted by the cell.


In some embodiments the plasmid vector is introduced or incorporated in the cell by known methods of transfection, such as using lipofectamine, or calcium phosphate, or via physical means such as electroporation or nucleofection. In some embodiments the viral vector is introduced or incorporated in the cell by infection, a process commonly known as viral transduction.


In some embodiments, recombinant nucleic acid is integrated or incorporated in an expression vector. A vector comprises one or more promoters, and other regulatory components, including enhancer binding sequence, initiation and terminal codons, a 5′UTR, a 3′UTR comprising a transcript stabilization element, optional conserved regulatory protein binding sequences and others.


In some embodiments the vectors of use in the application are specifically enhanced for expression. Other exemplary vectors of use throughout the process include phages, cosmids, or artificial chromosomes.


It is understood that any one of the first binder domains (domain binding to a target cell such as a cancer cell or a diseased cell or a pathogen) can be designed in combination with a second binder domain that binds to a myeloid cell or a third binding domain described anywhere in the specification.


Viral Vectors: In some embodiments, the vector for expression of the recombinant protein is of a viral origin, namely a lentiviral vector or an adenoviral vector. In some embodiments, the nucleic acid encoding the recombinant nucleic acid is encoded by a lentiviral vector. In some embodiments the lentiviral vector is prepared in-house and manufactured in large scale for the purpose. In some embodiments, commercially available lentiviral vectors are utilized, as is known to one of skill in the art.


In some embodiments the viral vector is an Adeno-Associated Virus (AAV) vector.


Lipid nanoparticle mediated delivery: Lipid nanoparticles (LNP) may comprise a polar and or a nonpolar lipid. In some embodiments cholesterol is present in the LNPs for efficient delivery. LNPs are 100-300 nm in diameter provide efficient means of mRNA delivery to various cell types, including monocytes or macrophages. In some embodiments, LNP may be used to introduce the recombinant nucleic acids into a cell in in vitro cell culture. In some embodiments, the LNP encapsulates the nucleic acid wherein the nucleic acid is a naked DNA molecule. In some embodiments, the LNP encapsulates the nucleic acid wherein the nucleic acid is an mRNA molecule. In some embodiments, the LNP encapsulates the nucleic acid wherein the nucleic acid is inserted in a vector, such as a plasmid vector. In some embodiments, the LNP encapsulates the nucleic acid wherein the nucleic acid is a circRNA molecule.


In some embodiments, the LNP is used to deliver the nucleic acid into a subject. LNP can be used to deliver nucleic acid systemically in a subject. It can be delivered by injection. In some embodiments, the LNP comprising the nucleic acid is injected by intravenous route. In some embodiments the LNP is injected subcutaneously.


Microbubble mediated delivery: In some embodiments, microbubbles can be used for delivery of a composition comprising e.g., a nucleic acid in a subject. Perfluorocarbon-filled microbubbles are stable for circulating in the vasculature as blood pool agents, they act as carriers of these agents until the site of interest is reached. Ultrasound applied over the skin surface can then be used to burst the microbubbles at this site, causing localized release of the drug. Various other forms of microbubbles include Sonazoid Optison, gas-filled albumin microbubble, and PESDA. Optimization of the composition of the microbubble with respect to the composition of the therapeutic agent that is delivered, along with the site of delivery intended is necessary.


In some embodiments, the recombinant proteins, for example the engagers, or the inflammatory proteins that are co-expressed, or any associated protein designed to be expressed in a myeloid cell may be encoded by a recombinant nucleic acid, wherein the recombinant nucleic acid is an RNA. In some embodiments, the recombinant nucleic acid is an mRNA. In some embodiments, the mRNA comprises one or more modifications for enhanced expression and stability. In some embodiments, the mRNA may be circularized. In some embodiments, the modifications may include but are not limited to: replacement of a nucleobase with a base analog, or a modified nucleotide; inserting one or more motifs within the mRNA, and introducing modifications in the 5′- and 3′ UTRs. In some embodiments, the recombinant nucleic acid may be administered directly in a subject in need thereof.


Pharmaceutical Composition

Provided herein is a pharmaceutical composition, comprising at least a first therapeutic agent which comprises monocyte or macrophage specific engagers. The monocyte or macrophage specific engagers in the composition may be in the form of peptides or polypeptides or a complex of multiple peptides. The monocyte or macrophage specific engagers may be provided in a composition as purified recombinant proteins. The monocyte or macrophage specific engagers may be provided in a composition as conjugated recombinant proteins, Vhh complexes, scFv complexes or nanobodies. The monocyte or macrophage specific engagers may be in the form of a polynucleotide encoding the recombinant monocyte or macrophage specific engagers. In some embodiments, polynucleotide encoding the monocyte or macrophage specific engagers may comprise DNA, mRNA or circRNA or a liposomal composition of any one of these. The liposome is a LNP.


Pharmaceutical compositions can include, in addition to active ingredient, a pharmaceutically acceptable excipient, carrier, buffer, stabilizer or other materials well known to those skilled in the art. Such materials should be non-toxic and should not interfere with the efficacy of the active ingredient. The precise nature of the carrier or other material will depend on the route of administration.


Acceptable carriers, excipients, or stabilizers are those that are non-toxic to recipients at the dosages and concentrations employed, and include buffers such as phosphate, citrate, and other organic acids; antioxidants including ascorbic acid and methionine; preservatives (such as octadecyldimethylbenzyl ammonium chloride; hexamethonium chloride; benzalkonium chloride, benzethonium chloride; phenol, butyl or benzyl alcohol; alkyl parabens such as methyl or propyl paraben; catechol; resorcinol; cyclohexanol; 3-pentanol; and m-cresol); low molecular weight (less than about 10 residues) polypeptides; proteins, such as serum albumin, gelatin, or immunoglobulins; hydrophilic polymers such as polyvinylpyrrolidone; amino acids such as glycine, glutamine, asparagine, histidine, arginine, or lysine; monosaccharides, disaccharides, and other carbohydrates including glucose, mannose, or dextrins; chelating agents such as EDTA; sugars such as sucrose, mannitol, trehalose or sorbitol; salt-forming counter-ions such as sodium; metal complexes (e.g., Zn-protein complexes); and/or non-ionic surfactants such as TWEEN®, PLURONICS® or polyethylene glycol (PEG).


Acceptable carriers are physiologically acceptable to the administered patient and retain the therapeutic properties of the compounds with/in which it is administered. Acceptable carriers and their formulations are generally described in, for example, Remington' pharmaceutical Sciences (18th ed. A. Gennaro, Mack Publishing Co., Easton, PA 1990). One example of carrier is physiological saline. A pharmaceutically acceptable carrier is a pharmaceutically acceptable material, composition or vehicle, such as a liquid or solid filler, diluent, excipient, solvent or encapsulating material, involved in carrying or transporting the subject compounds from the administration site of one organ, or portion of the body, to another organ, or portion of the body, or in an in vitro assay system. Acceptable carriers are compatible with the other ingredients of the formulation and not injurious to a subject to whom it is administered. Nor should an acceptable carrier alter the specific activity of the neoantigens.


In one aspect, provided herein are pharmaceutically acceptable or physiologically acceptable compositions including solvents (aqueous or non-aqueous), solutions, emulsions, dispersion media, coatings, isotonic and absorption promoting or delaying agents, compatible with pharmaceutical administration. Pharmaceutical compositions or pharmaceutical formulations therefore refer to a composition suitable for pharmaceutical use in a subject. Compositions can be formulated to be compatible with a particular route of administration (i.e., systemic or local). Thus, compositions include carriers, diluents, or excipients suitable for administration by various routes.


In some embodiments, a composition can further comprise an acceptable additive in order to improve the stability of immune cells in the composition. Acceptable additives may not alter the specific activity of the immune cells. Examples of acceptable additives include, but are not limited to, a sugar such as mannitol, sorbitol, glucose, xylitol, trehalose, sorbose, sucrose, galactose, dextran, dextrose, fructose, lactose and mixtures thereof. Acceptable additives can be combined with acceptable carriers and/or excipients such as dextrose. Alternatively, examples of acceptable additives include, but are not limited to, a surfactant such as polysorbate 20 or polysorbate 80 to increase stability of the peptide and decrease gelling of the solution. The surfactant can be added to the composition in an amount of 0.01% to 5% of the solution. Addition of such acceptable additives increases the stability and half-life of the composition in storage.


The pharmaceutical composition can be administered, for example, by injection. Compositions for injection include aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, or phosphate buffered saline (PBS). The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol, and the like), and suitable mixtures thereof. Fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. Antibacterial and antifungal agents include, for example, parabens, chlorobutanol, phenol, ascorbic acid and thimerosal. Isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, and sodium chloride can be included in the composition. The resulting solutions can be packaged for use as is, or lyophilized; the lyophilized preparation can later be combined with a sterile solution prior to administration. For intravenous, injection, or injection at the site of affliction, the active ingredient will be in the form of a parenterally acceptable aqueous solution which is pyrogen-free and has suitable pH, isotonicity and stability. Those of relevant skill in the art are well able to prepare suitable solutions using, for example, isotonic vehicles such as Sodium Chloride Injection, Ringer's Injection, Lactated Ringer's Injection. Preservatives, stabilizers, buffers, antioxidants and/or other additives can be included, as needed. Sterile injectable solutions can be prepared by incorporating an active ingredient in the required amount in an appropriate solvent with one or a combination of ingredients enumerated above, as required, followed by filtered sterilization. Generally, dispersions are prepared by incorporating the active ingredient into a sterile vehicle which contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, the preferred methods of preparation can be vacuum drying and freeze drying which yields a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.


Compositions can be conventionally administered intravenously, such as by injection of a unit dose, for example. For injection, an active ingredient can be in the form of a parenterally acceptable aqueous solution which is substantially pyrogen-free and has suitable pH, isotonicity and stability. One can prepare suitable solutions using, for example, isotonic vehicles such as Sodium Chloride Injection, Ringer's Injection, Lactated Ringer's Injection. Preservatives, stabilizers, buffers, antioxidants and/or other additives can be included, as required. Additionally, compositions can be administered via aerosolization.


When the compositions are considered for use in medicaments or any of the methods provided herein, it is contemplated that the composition can be substantially free of pyrogens such that the composition will not cause an inflammatory reaction or an unsafe allergic reaction when administered to a human patient. Testing compositions for pyrogens and preparing compositions substantially free of pyrogens are well understood to one or ordinary skill of the art and can be accomplished using commercially available kits.


Acceptable carriers can contain a compound that stabilizes, increases or delays absorption, or increases or delays clearance. Such compounds include, for example, carbohydrates, such as glucose, sucrose, or dextrans; low molecular weight proteins; compositions that reduce the clearance or hydrolysis of peptides; or excipients or other stabilizers and/or buffers. Agents that delay absorption include, for example, aluminum monostearate and gelatin. Detergents can also be used to stabilize or to increase or decrease the absorption of the pharmaceutical composition, including liposomal carriers. To protect from digestion the compound can be complexed with a composition to render it resistant to acidic and enzymatic hydrolysis, or the compound can be complexed in an appropriately resistant carrier such as a liposome. Means of protecting compounds from digestion are known in the art (e.g., Fix (1996) Pharm Res. 13:1760 1764; Samanen (1996) J. Pharm. Pharmacol. 48:119 135; and U.S. Pat. No. 5,391,377).


The compositions can be administered in a manner compatible with the dosage formulation, and in a therapeutically effective amount. The quantity to be administered depends on the subject to be treated, capacity of the subject's immune system to utilize the active ingredient, and degree of binding capacity desired. Precise amounts of active ingredient required to be administered depend on the judgment of the practitioner and are peculiar to each individual. Suitable regimes for initial administration and booster shots are also variable, but are typified by an initial administration followed by repeated doses at one or more hour intervals by a subsequent injection or other administration. Alternatively, continuous intravenous infusions sufficient to maintain concentrations in the blood are contemplated.


Treatment Methods

The instant disclosure comprises methods of treatment for diseases such as cancer, and infection, where enhanced phagocytosis by myeloid cells can be beneficial to remove diseased cells, or infected cells.


Cancers include, but are not limited to T cell lymphoma, cutaneous lymphoma, B cell cancer (e.g., multiple myeloma, Waldenstrom's macroglobulinemia), the heavy chain diseases (such as, for example, alpha chain disease, gamma chain disease, and mu chain disease), benign monoclonal gammopathy, and immunocytic amyloidosis, melanomas, breast cancer, lung cancer, bronchus cancer, colorectal cancer, prostate cancer (e.g., metastatic, hormone refractory prostate cancer), pancreatic cancer, stomach cancer, ovarian cancer, urinary bladder cancer, brain or central nervous system cancer, peripheral nervous system cancer, esophageal cancer, cervical cancer, uterine or endometrial cancer, cancer of the oral cavity or pharynx, liver cancer, kidney cancer, testicular cancer, biliary tract cancer, small bowel or appendix cancer, salivary gland cancer, thyroid gland cancer, adrenal gland cancer, osteosarcoma, chondrosarcoma, cancer of hematological tissues, and the like. Other non-limiting examples of types of cancers applicable to the methods encompassed by the present disclosure include human sarcomas and carcinomas, e.g., fibrosarcoma, myxosarcoma, liposarcoma, chondrosarcoma, osteogenic sarcoma, chordoma, angiosarcoma, endotheliosarcoma, lymphangiosarcoma, lymphangioendotheliosarcoma, synovioma, mesothelioma, Ewing's tumor, leiomyosarcoma, rhabdomyosarcoma, colon carcinoma, colorectal cancer, pancreatic cancer, breast cancer, ovarian cancer, squamous cell carcinoma, basal cell carcinoma, adenocarcinoma, sweat gland carcinoma, sebaceous gland carcinoma, papillary carcinoma, papillary adenocarcinomas, cystadenocarcinoma, medullary carcinoma, bronchogenic carcinoma, renal cell carcinoma, hepatoma, bile duct carcinoma, liver cancer, choriocarcinoma, seminoma, embryonal carcinoma, Wilms' tumor, cervical cancer, bone cancer, brain tumor, testicular cancer, lung carcinoma, small cell lung carcinoma, bladder carcinoma, epithelial carcinoma, glioma, astrocytoma, medulloblastoma, craniopharyngioma, ependymoma, pinealoma, hemangioblastoma, acoustic neuroma, oligodendroglioma, meningioma, melanoma, neuroblastoma, retinoblastoma; leukemias, e.g., acute lymphocytic leukemia and acute myelocytic leukemia (myeloblastic, promyelocytic, myelomonocytic, monocytic and erythroleukemia); chronic leukemia (chronic myelocytic (granulocytic) leukemia and chronic lymphocytic leukemia); and polycythemia vera, lymphoma (Hodgkin's disease and non-Hodgkin's disease), multiple myeloma, Waldenstrom's macroglobulinemia, and heavy chain disease. In some embodiments, the cancer is an epithelial cancer such as, but not limited to, bladder cancer, breast cancer, cervical cancer, colon cancer, gynecologic cancers, renal cancer, laryngeal cancer, lung cancer, oral cancer, head and neck cancer, ovarian cancer, pancreatic cancer, prostate cancer, or skin cancer. In other embodiments, the cancer is breast cancer, prostate cancer, lung cancer, or colon cancer. In still other embodiments, the epithelial cancer is non-small-cell lung cancer, nonpapillary renal cell carcinoma, cervical carcinoma, ovarian carcinoma (e.g., serous ovarian carcinoma), or breast carcinoma. The epithelial cancers can be characterized in various other ways including, but not limited to, serous, endometrioid, mucinous, clear cell, or undifferentiated. In some embodiments, the present disclosure is used in the treatment, diagnosis, and/or prognosis of lymphoma or its subtypes, including, but not limited to, mantle cell lymphoma. Lymphoproliferative disorders are also considered to be proliferative diseases.


In some embodiments, a composition comprising at least a first therapeutic agent, comprising a monocyte or macrophage specific engager is administered per administration dose. In some embodiments, a composition the first therapeutic agent is administered in combination with a second or a third therapy.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered once. In some embodiments, the composition comprising at least a first therapeutic agent is administered more than once. In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered repeatedly, multiple times over a span of the therapy.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered twice, thrice, four times, five times, six times, seven times, eight times, nine times, or ten times or more to a subject over a span of time comprising a few months, a year or more.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered once weekly. In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered twice weekly.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered once every two weeks.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered once every three weeks.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered once monthly.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered once in every 2 months, once in every 3 months, once in every 4 months, once in every 5 months or once in every 6 months.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered by injection.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered by infusion.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered by intravenous infusion.


In some embodiments, the composition comprising at least a first therapeutic agent comprising a monocyte or macrophage specific engager is administered by subcutaneous infusion.


In some embodiments, treatment with monocyte or macrophage specific engagers increase the phagocytic ability and monocyte or macrophage mediated target cell killing, compared to a case where no monocyte or macrophage specific engagers were used. Monocytes or macrophages retrieved from the tumor site after treatment with monocyte or macrophage specific engagers may demonstrate a greater than 10%, or greater than 20%, or greater than 30%, or greater than 40%, or greater than 50%, or greater than 60%, or greater than 70%, or greater than 80%, or greater than 90%, or greater than 100%, or greater than 150%, or greater than 200%, or greater than 250%, or greater than 300%, or greater than 350%, or greater than 400%, or greater than 450%, or greater than 500%, or greater than 600%, or greater than 700%, or greater than 800%, or greater than 900%, or greater than 1000% increase in phagocytosis.


In some embodiments, treatment with monocyte or macrophage specific engagers increases ROS production in associated monocytes or macrophages that may be retrieved from the tumor site, compared to a case with no monocyte or macrophage specific engager treatment. Monocytes or macrophages retrieved from the tumor site after treatment with monocyte or macrophage specific engagers may demonstrate a greater than 2-fold, or greater than 3-fold, or greater than 4-fold, or greater than 5-fold, or greater than 6-fold, or greater than 7-fold, or greater than 8-fold, or greater than 9-fold, or greater than 10-fold, or greater than 20-fold, or greater than 30-fold, or greater than 40-fold, or greater than 50-fold, or greater than 60-fold, or greater than 70-fold, or greater than 80-fold, or greater than 90-fold, or greater than 100-fold, or greater than 200-fold, or greater than 300-fold, or greater than 400-fold, or greater than 500-fold, or greater than 700-fold, or greater than 800-fold, or greater than 900-fold, or greater than 1000-fold increase in ROS compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers increases iNOS production in associated monocytes or macrophages that may be retrieved from the tumor site, compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers increases respiratory burst in associated monocytes or macrophages that may be retrieved from the tumor site, compared to a case with no monocyte or macrophage specific engager treatment.


In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of CD80 in the associated monocytes or macrophages. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of CD86 in the associated monocytes or macrophages compared to a no treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of TRAIL/TNF Family death receptors in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of LIGHT in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of HVEM in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of CD40 in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of TL1A in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of OX40L in associated monocytes or macrophages compared to a case with no monocytes or macrophages specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of GITR in associated monocytes or macrophages compared to a case with no monocytes or macrophages specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of SLAM in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of CD58 in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of CD155 in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of CD112 in associated monocytes or macrophages compared to a case with no monocyte or macrophage specific engager treatment. In some embodiments, treatment with monocyte or macrophage specific engagers may increase the expression of B7-DC in a tumor associated myeloid cell compared to a case with no monocyte or macrophage specific engager treatment.


Specific Designs for Effective Myeloid Cell Activating BiME and TRiMEs

The goal of these improvements is to increase the potency and effectiveness of BiMEs and TRiMEs not only as binders that anchor an effector cell, e.g., a myeloid cell with a target cell, e.g. a diseased cell, such as an infected cell or a tumor cell and juxtapose the two, but also to activate the myeloid cell specifically to attack and kill the target cell, as well as activate an immune response cascade. For this a robust primary response, including target cell killing by phagocytosis, and cytokine and chemokine release by the effector myeloid cell is necessary. Several improvements are designed to create highly effective BiME and TRiMEs.


In one aspect, the BiME or TRiME is designed such that the resulting structures oligomerize to increase the concentration of binding domains and thereby increase the likelihood of contacts with the effector and the target cells. In one embodiment, a naturally oligomerizing (e.g., dimerizing or trimerizing etc.) cellular protein or a fragment thereof can be incorporated in a BiME or TRiME polypeptide construct so as to facilitate oligomerization of the BiME or TRIMEs units. Therefore, in one embodiment, a BiME or a TRiME of such design comprises a monomer, comprising one or more binding domains (binders), of which at least one binder capable of binding an antigen on a target cell (a first binding domain), e.g., a cancer cell, and at least one binder capable of binding a surface biomolecule on the cell surface of a myeloid cell (second binder domain); and a protein or a fragment thereof that capable of oligomerization (oligomerization domain). In one embodiment, the oligomerization domain is a domain that can bind to a myeloid cell surface component, for example a receptor. In one embodiment, the oligomerization domain or subunit structure is a ligand for a myeloid cell surface receptor, designed such that it is fused to one or more binder domains, at least one of which can bind to a target cell antigen. Each monomer can associate with another forming a dimer, a trimer or an oligomer. In one embodiment, the monomers associate or oligomerize by virtue of binding of the oligomerization domain (e.g., the ligand) to a receptor on the surface of a myeloid cell, because the receptor for the ligand forms natural homodimers or oligomers. Provided herein is a recombinant polynucleic acid designed to encode a dimer or trimer that is capable of oligomerization. For example, provided herein is a composition comprising a recombinant polynucleic acid that comprises a sequence encoding a first polypeptide chain comprising a first binding domain operatively linked to a first ligand, wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand, wherein the first binding domain specifically interacts with an antigen of a target cell, and wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell. In some embodiments, the first polypeptide chain further comprises a first immunoglobulin (Ig) domain operatively linked to the first binding domain and the first ligand.


For example, a first ligand as described above may be TNF-alpha. Accordingly, TNF alpha may bind to TNF-alpha receptor on the cell surface. TNF receptors trimerize. Therefore the polypeptide comprising the ligand oligomerizes. For example, a first ligand as described above may be a CD40 ligand (CD40L). As CD40Ls are capable of homotrimerization, a polypeptide comprising CD40L would form a trimer. Both TNF alpha in the first example, CD40L in the second example above can themselves activate the cell upon receptor engagement, that is, are themselves activators of myeloid cells.


In one embodiment, an immunoglobulin Fc chain or a fragment thereof can be incorporated into the BiME structure, such that Fc chains dimerize thereby allowing the polypeptide comprising the Fc chains to dimerize. In some embodiments, incorporating Fc chains can further stabilize a structure that can oligomerize via a ligand or another oligomerization domain, such as CD40L.


In some embodiments, the immunoglobulin Fc chains are IgG Fc chains. In some embodiments, the immunoglobulin Fc chains are IgA Fc chains. In some embodiments, the immunoglobulin Fc chains are IgG/A chains. Accordingly, the recombinant polynucleic acid described herein may comprise in some embodiments, a sequence encoding a second polypeptide chain comprising a second binding domain operatively linked to a second ligand. In some embodiments, the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand.


Therefore, provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: a first binding domain that specifically interacts with an antigen of a target cell, a first ligand or functional fragment thereof; and a first immunoglobulin (Ig) domain; wherein the first binding domain, the first ligand or functional fragment thereof, and the first Ig domain are operatively linked.


In one embodiment, the first polypeptide chain further comprises a first immunoglobulin (Ig) domain operatively linked to the first binding domain, the first ligand or functional fragment thereof, and the additional binding domain. In one embodiment, the first polypeptide chain further comprises an additional binding domain that specifically interacts with a first extracellular protein of a myeloid cell.


In one embodiment, the first ligand or functional fragment thereof is a TNFR ligand or functional fragment thereof. In one embodiment, the anti-TNFR binding domain interacts with a TNFR expressed on the myeloid cell. In one embodiment, the first ligand or functional fragment thereof is not an anti-GITR binding domain. In one embodiment, the first ligand or functional fragment thereof comprises CD40 or functional fragment thereof.


In one embodiment, the first ligand or functional fragment thereof is a modified ligand or functional fragment thereof. In one embodiment, the polypeptide is a modified such that the modification helps to increase stability of the polypeptide. In some embodiments, the modified in order to increase flexibility of the polypeptide. In some embodiments, the modification is a point mutation. In some embodiments, the modification involves addition, deletion or altering of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more amino acids within the polypeptide. In some embodiments, the modification involves structurally altering the polypeptide.


In some embodiments, homodimerization or homotrimerization of domains in a recombinant protein, such as in the engagers described herein may not be efficient, a problem that was encountered in the instant case, for example, with CD40L domains. Applicants devised a method for further functionalizing the CD40L domains in the engagers so as to avoid the issue of steric hindrance that was encountered herein, and that was found to cause reduction of the efficiency of the CD40L domain homotrimerization, Ineffective homotrimerization was also related to reduction in effective expression of the constructs. One exemplary solution to the problem applied herein was to design a circular permuted domain structure. In some embodiments, for example, a short peptide sequence could be inserted into the polypeptide to space out two adjacent structural or functional elements or domains. In one embodiment, the design may involve modifying an existing ligand or domain, to insert 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more amino acids within the ligand or domain. In some embodiments, the amino acids inserted are linker sequences. In some embodiments the amino acids inserted function as spacers. In one embodiment, the CD40 or functional fragment thereof may be modified for functionalization, that is introducing one, two, or more fusion polypeptides, that contain binder domains. In one embodiment, the CD40 functionalization or modification may comprises generating a circular permutated CD40 or functional fragment thereof. Therefore, one or more domains in a BiME or TRiME structure may further be modified to functionalize the domain further, such that one or more additional binders can be incorporated in the BiME or TRiME structure.


In some embodiments a polynucleic acid encoding the CD40 ligand may be engineered to generate a circular permutated CD40, in which the polynucleic encoding the CD40 ligand is cut at one selected site, and a polynucleotide sequence encoding a peptide linker or spacer comprising 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more amino acids are introduced at the cut site using commonly known molecular biological techniques, such that the three dimensional conformation of the engineered CD40L is altered slightly in that the N and C terminal ends are removed further from each other than in the native conformation, without altering or disturbing the general structural elements and interactions within the CD40L protein. The general structural elements and interactions within the CD40L protein that remain undisturbed include, but are not limited to, binding to CD40 receptor, homotrimerization, critical aspects of the structural scaffold, beta sheets, alpha chains intermolecular bonds, etc. In some embodiments, the circular permutation reduces steric hindrance in fusing a binding domain at both the N-terminus and the C-terminus simultaneously. In some embodiments, each unit of the CD40 ligands that are designed to form a trimer in a TRiME comprise the same modification, e.g., the circular permutated short linker insert, and that each CD40 ligand unit comprises a cut at the same site and with the same insert, i.e., identical modifications. Alternatively, one unit of the CD40L trimer may comprise a cut site different from another, and may comprise the same spacer insert, or a different spacer insert.


In one embodiment, an exemplary circular permutated CD40L comprises the amino acid sequence of SEQ ID NO: 171: VTLENGKQLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRAANTHSSA KPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGS GGGGSNPQIAAHVISEASSKTTSVLQWAEKGYYTMS (SEQ ID NO: 171). In one embodiment, a multimer engager molecule as described herein, e.g., a BiME or a TRiME comprises a circular permutated CD40L that comprises an amino acid sequence that is at least 85% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 87% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 90% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 91% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 92% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 93% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 94% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 95% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 96% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 97% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 98% identical to that of SEQ ID NO: 171. In some embodiments, a circular permutated CD40L as described herein is at least 99% identical to that of SEQ ID NO: 171.


In one embodiment, an exemplary circular permutated CD40L may comprise the amino acid sequence of SEQ ID NO: 175:


QLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRAANTHSSA KPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGS GGGGSPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLE (SEQ ID NO: 175). In some embodiments, a circular permutated CD40L as described herein is at least 87% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 90% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 91% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 92% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 93% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 94% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 95% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 96% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 97% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 98% identical to that of SEQ ID NO: 175. In some embodiments, a circular permutated CD40L as described herein is at least 99% identical to that of SEQ ID NO: 175.


In one embodiment, an exemplary circular permutated CD40L comprises the amino acid sequence of SEQ ID NO: 177:


GLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSI HLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSNPQ IAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLTV (SEQ ID NO: 177). In some embodiments, a circular permutated CD40L as described herein is at least 87% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 90% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 91% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 92% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 93% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 94% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 95% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 96% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 97% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 98% identical to that of SEQ ID NO: 177. In some embodiments, a circular permutated CD40L as described herein is at least 99% identical to that of SEQ ID NO: 177.


In one embodiment, an exemplary circular permutated CD40L comprises the amino acid sequence of SEQ ID NO: 179:


SSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVN VTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSNPQIAAHVISEASSKTTSVLQ WAEKGYYTMSNNLVTLENGKQLTVKRQGLYYIYAQVTFCS (SEQ ID NO: 179). In some embodiments, a circular permutated CD40L as described herein is at least 87% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 90% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 91% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 92% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 93% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 94% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 95% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 96% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 97% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 98% identical to that of SEQ ID NO: 179. In some embodiments, a circular permutated CD40L as described herein is at least 99% identical to that of SEQ ID NO: 179.


In one embodiment, an exemplary circular permutated CD40L comprises the amino acid sequence of SEQ ID NO: 181: FERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLG GGGSGGGGSGGGGSGGGGSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGK QLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLK (SEQ ID NO: 181). In some embodiments, a circular permutated CD40L as described herein is at least 87% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 90% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 91% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 92% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 93% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 94% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 95% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 96% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 97% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 98% identical to that of SEQ ID NO: 181. In some embodiments, a circular permutated CD40L as described herein is at least 99% identical to that of SEQ ID NO: 181.


In some embodiments, the second binding domain specifically interacts with a first extracellular protein of a myeloid cell. In some embodiments, the second ligand is configured to form a multimer with the first ligand. In some embodiments, the second ligand interacts with a second extracellular protein of a myeloid cell, wherein the second extracellular protein is different than the first extracellular protein to which the second binding domain specifically interacts. In some embodiments, the first ligand interacts with a second extracellular protein of a myeloid cell, wherein the second extracellular protein is different than the first extracellular protein to which the second binding domain specifically interacts. In some embodiments, the second polypeptide chain further comprises an additional binding domain that specifically interacts with an antigen of the target cell. In some embodiments, an additional binding domain of the second polypeptide chain specifically interacts with the antigen of the target cell to which the first binding domain specifically interacts. In some embodiments, the second polypeptide chain further comprises a second Ig domain. In some embodiments, Ig domain is operatively linked to the second binding domain and the second ligand. In some embodiments, the additional binding domain of the first polypeptide chain specifically interacts with the first extracellular protein to which the second binding domain specifically interacts. In some embodiments, the first Ig domain and/or the second Ig domain comprises an Fc domain. In some embodiments, the first Ig domain and/or the second Ig domain is an IgG Fc domain. In some embodiments, the IgG domain is selected from the group consisting of IgG1, IgG4 and IgGA. The immunoglobulin chains or Fc domains selected for the BiME or TRiME typically form dimers. The Ig Fc chains may form a homodimer. Alternatively, the Ig Fc chains can be selected or configured to form a heterodimer. In one embodiment, the IgG polypeptide chain(s) is/are modified such that the modification helps to increase stability of the polypeptide. In some embodiments, the modified in order to increase flexibility of the polypeptide. In some embodiments, the modification is a point mutation. In some embodiments, the modification involves addition, deletion or altering of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10 or more amino acids within the polypeptide. In some embodiments, the modification involves structurally altering the polypeptide.


For example, the Ig Fc chains are modified to incorporate a knob- and hole association between the two Fc chains. In some embodiments one or more amino acids may be suitably modified or altered to allow binding between adjacent polypeptide chains. Such modifications may include amino acid substitution of an amino acid with a cysteine, to introduce disulfide bonds between two adjacent polypeptides, or within the polypeptide. In some embodiments, the first Ig domain comprises a knob, wherein the knob comprises IgG1 Fc (F409R). In some embodiments, the second Ig domain comprises a hole wherein the hole comprises IgG1 Fc (K405L).


In one embodiment, an Ig Fc chain having a knob configuration comprises a sequence of SEQ ID NO: 164.









(SEQ ID NO: 164)


EPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVV





DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDW





LNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRKELTKNQ





VSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLKSDGSFFLYSKLT





VDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSP.






In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 90% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 91% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 92% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 93% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 94% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 95% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 96% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 97% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 98% identical to that of SEQ ID NO: 164. In some embodiments, the Ig Fc chain having a knob configuration as used herein comprises a sequence that is 99% identical to that of SEQ ID NO: 164.


In one embodiment, an Ig Fc chain having a hole configuration comprises a sequence of SEQ ID NO: 167.









(SEQ IS NO: 167)


EPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVV





DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDW





LNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQ





VSLTCLVKGFYPSDIAVEWESNGQPENNYDTTPPVLDSDGSFFLYSDLT





VDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSP.






In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 90% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 91% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 92% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 93% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 94% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 95% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 96% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 97% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 98% identical to that of SEQ ID NO: 167. In some embodiments, the Ig Fc chain having a hole configuration as used herein comprises a sequence that is 99% identical to that of SEQ ID NO: 167.


In some embodiment, an engager comprises, for example an anti-CD16 domain (e.g., anti-CD16 Vhh) linked to an Ig Fc chain having a knob configuration as described above, and further linked to a CD40L sequence; and an anti-HER2 domain (e.g., anti-HER2) linked to an Ig Fc chain having a hole configuration, which is linked to a CD40L sequence; or vice versa. Consequently, in some embodiment, a specific engager comprises an anti-HER2 binding domain (e.g., anti-CD16 Vhh) linked to an Ig Fc chain having a knob configuration, linked to a CD40L sequence, and an anti-CD16 domain linked to an Ig Fc chain having a hole configuration, which is linked to a CD40L sequence. Any other binding domains disclosed herein and combinations thereof can be used in construction of an engager using exemplified methods and compositions described herein. For example, in some embodiments, the antigen of the target cell is HER2, TROP2, GPC3, or CD70, any of which may be targeted. Using a binding domain disclosed herein, for example, an anti-CD5 binding domain, an anti-TROP2 binding domain, an anti-GPC3 binding domain, an anti-CD70 binding domain, can be used in combination with the Ig Fc domains and CD40L sequences as discussed above.


In some embodiments, the first polypeptide chain and the second polypeptide chain are configured to form a multimer with a third polypeptide chain comprising a third ligand. In some embodiments, the third ligand is configured to form a multimer with the first ligand and second ligands. In some embodiments, the third ligand is a TNFR ligand or functional fragment thereof. In some embodiments, the third ligand is CD40 or a functional fragment thereof. In some embodiments, the third ligand or functional fragment thereof does not specifically interact with GITR. In some embodiments, the third polypeptide chain further comprises a third binding domain that specifically interacts with an extracellular protein of the myeloid cell. In some embodiments, the extracellular protein to which the third binding specifically interacts is the first extracellular protein to which the additional binding domain of the first polypeptide chain specifically interacts. In some embodiments, the extracellular protein to which the third binding specifically interacts is the extracellular protein to which the second binding domain specifically interacts. In some embodiments, the third polypeptide chain further comprises an additional binding domain that specifically interacts with an antigen of a target cell.


In some embodiments, the additional binding domain of the third polypeptide chain specifically interacts with the antigen of a target cell to which the first binding domain specifically interacts. In some embodiments, the additional binding domain of the third polypeptide chain specifically interacts with the antigen of a target cell to which the additional binding domain of the second polypeptide chain specifically interacts.


In some embodiments, the multimer is a dimer. In some embodiments, the dimer is a homodimer. In some embodiments, the dimer is a heterodimer. In some embodiments, the multimer is a hexamer. In some embodiments, the multimer is a trimer. In some embodiments, the multimer is a trimer and is a homotrimer. In some embodiments, the multimer is a trimer and is a heterotrimer.


In one aspect, provided herein is a composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a TLR agonist sequence, wherein the TLR agonist sequence comprises two or more TLR sequences in tandem, and (c) an additional binding domain that specifically interacts with an extracellular protein of a myeloid cell, wherein the first binding domain, the TLR agonist sequence and the additional binding domain are operatively linked. In some embodiments, the first polypeptide chain further comprises a linker between the first binding domain and the additional binding domain. In some embodiments, the linker is a functional polypeptide. In some embodiments, the linker is a ligand for a receptor. In some embodiments, the linker activates the receptor upon binding to the receptor. In some embodiments, the receptor is expressed by the myeloid cell. In some embodiments, the receptor is a Toll-like receptor (TLR). In some embodiments, the TLR is TLR4. In some embodiments, the In some embodiments, the linker comprises a ligand for a TLR. In some embodiments, the linker comprises the TLR agonist sequence. In some embodiments, the TLR ligand activates a TLR.


In some embodiments, the linker comprising a TLR ligand comprises a sequence of APPHALS (SEQ ID NO: 137), or a sequence that is 1, or at the most 2 amino acids different from APPHALS (SEQ ID NO: 137). In some embodiments, there may be an additional amino acids, or 2 additional amino acids. In some embodiments, the linker comprises more than one TLR ligand sequences in tandem array. In some embodiments, the linker may comprise 2 TLR ligands in close proximity to each other on the linker. In some embodiments, the linker may comprise 3 TLR ligands in close proximity to each other on the linker. In some embodiments, the TLR ligands arranged in a tandem on a linker sequence are separated by 1 amino acid. In some embodiments, the TLR ligands arranged in a tandem on a linker sequence are separated by more than 1 amino acid. In some embodiments, the TLR ligands arranged in a tandem on a linker sequence are separated by 2, 3, or 4 or more amino acids. In some embodiments, the linker comprises a sequence of:











(SEQ ID NO: 206)



GSGGAPPHALSGGGAPPHALSGGGAPPHALSGGST.






In some embodiments, the Fc region is an IgGA Fc region. In some embodiments, the Fc region comprises a chimeric CH2 domain comprising a mammalian IgG Fc CH2 domain having a α1 loop of a mammalian IgA Fc CH2 domain In some embodiments, the Fc region comprises a mammalian IgA Fc CH3 domain. In some embodiments, the Fc region comprises a mammalian IgG Fc CH1 domain. In some embodiments, the α1 loop of a mammalian IgA is defined as a mammalian α1 loop corresponding to amino acids 245-257 of a human IgA Fc, according to the Kabat numbering scheme. In some embodiments, the α1 loop of a mammalian IgA Fc CH2 domain comprises the sequence PALEDLLLGSEAN (SEQ ID NO: 216). In some embodiments, the chimeric CH2 domain comprises the sequence PALEDLLLGSEANG (SEQ ID NO: 217). In some embodiments, the mammalian IgA Fc CH3 domain is defined as that mammalian IgA Fc CH3 domain corresponding to amino acids 336-443 of human IgA, according to the Kabat numbering scheme. In some embodiments, the mammalian IgA Fc CH3 domain comprises an amino acid sequence with at least 90% sequence identity to the amino acid sequence of SGNTFRPEVHLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQELPREKYLTWASRQ EPSQGTTTFAVTSILRVAAEDWKKGDTFSCMVGHEALPLAFTQKTIDR (SEQ ID NO: 218). In some embodiments, the chimeric CH2 domain comprises one, two or three amino acid positions from the α2 loop of a mammalian IgA Fc CH2 domain.


In some embodiments, the first and/or second antigen of the target cell is HER2, TROP2, GPC3, or CD70.


In some embodiments, first or second extracellular protein of the myeloid cell is a phagocytic receptor or tethering receptor or CD16, CD64, CD89, CD351, or FCER1A.


In some embodiments, the antigen of a T cell is CD3, CD4, CD5, CD7 and/or CD8.


In some embodiments, the checkpoint inhibitor is PD-L1, PD-L2, PD1, CTLA4, B7-1, B7-2, BTLA, VISTA, TIM-3, LAG3, and/or CD47.


In some embodiments, the first polypeptide chain is aglycosylated.


In some embodiments, the first polypeptide chain is coupled to a therapeutic, a reporter, or a targeting moiety. In some embodiments, the therapeutic is a nucleotide, a peptide, a small molecule, a therapeutic radionuclide, a chemotherapeutic, a tumor suppressor, an apoptosis inducer, an enzyme, a second antibody, an siRNA, a hormone, a prodrug, or an immunostimulant.


In some embodiments, the composition or the first polypeptide chain further comprises a FcRn-binding peptide.


In some embodiments, the first polypeptide chain comprises one or more of the following: (a) decreased affinity for FcγRIIb relative to a wild type IgG antibody; (b) increased affinity for FcγRIIa relative to a wild type IgA antibody; (c) increased affinity for FcγRI relative to a wild type IgA antibody; and (d) increased affinity for FcαRI relative to a wild type IgG antibody.


In some embodiments, each of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain is an scFv or an sdAb. In some embodiments, each of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain is an sdAb.


In some embodiments, the Fc region, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked in the following order: [first binding domain]-[second binding domain]-[Fc region]-[third binding domain]-[fourth binding domain].


In some embodiments, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked in the following order [second binding domain]-[first binding domain]-[Fc region]-[third binding domain]-[fourth binding domain].


In some embodiments, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked in the following order [second binding domain]-[first binding domain]-[Fc region]-[fourth binding domain]-[third binding domain].


In some embodiments, it is contemplated herein that the binding domains can be interchangeably arranged with respect to a linker or another domain on the recombinant polypeptide.


In some embodiments, the first polypeptide chain forms a dimer. In some embodiments, the first polypeptide chain forms a homodimer.


Also provided herein polypeptide or multimer thereof encoded by a recombinant polynucleic acid of a composition described herein.


In one aspect, provided herein is a multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 211. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 211


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 211. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 211.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 211.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 209. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 209.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 209. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 209.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 209.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 210. In one embodiment, the bispecific or trispecific engager (i.e., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 210.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 210. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 210.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 210.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis, comprising a polypeptide having an amino acid sequence that has at least 80% identity to SEQ ID NO: 209, or a polypeptide having an amino acid sequence that has at least 80% identity to SEQ ID NO: 210.


In some embodiments, the polypeptide of the multimeric engager that has at least 80% identity to SEQ ID NO: 209 associates with the polypeptide of the multimeric engager that has at least 80% identity to SEQ ID NO: 210 in a complex.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 202. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 202.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 202. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 202.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 202.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 203. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 203.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 203. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 203.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 203.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 205. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 205.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 205. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 205.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 205.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 207. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 207.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 207. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 207.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 207.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 80% sequence identity to SEQ ID NO: 208. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 81%, 82%, 83%, 84%, 85%, 86%, 87%, 88%, or 89% sequence identity to SEQ ID NO: 208.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence that has at least 90% sequence identity to SEQ ID NO: 208. In one embodiment, the bispecific or trispecific engager (ie., a multimeric engager) comprises a polypeptide having an amino acid sequence that has at least 91%, 92%, 93%, 94%, 95%, 96%, 97%, 98%, or 99% sequence identity to SEQ ID NO: 208.


In one aspect, provided herein is multimeric engager for use in cancer cell lysis that engages a myeloid cell and a cancer cell, comprising a polypeptide having an amino acid sequence of SEQ ID NO: 208.


In one aspect, provided herein is recombinant polynucleic acid, encoding any one of the bispecific or trispecific engagers having a polypeptide as denoted in SEQ ID NOs: 202, 203, 205, 207, 208, 209, 210 or 211.


In one embodiment, the recombinant polynucleic acid is mRNA.


In one aspect, provided herein is cell comprising a polynucleic acid of any one of embodiments disclosed and described herein.


In one aspect, provided herein is pharmaceutical composition for use in treating cancer, comprising any one of the recombinant polynucleic acids, recombinant polypeptides or a cell of any one of embodiments disclosed and described herein.


In some embodiments, the antigen of the target cell is a cancer antigen, a pathogenic antigen or an autoimmune antigen. In some embodiments, the antigen of the target cell is HER2, TROP2, GPC3, or CD70. In some embodiments, the first or second extracellular protein of the myeloid cell is a phagocytic receptor or tethering receptor.


In one embodiment, the first or second extracellular protein of the myeloid cell is CD16, CD64, CD89, CD351, or FCER1A. In one embodiment, the first binding domain, the second binding domain, the third binding domain, the additional binding domain of the first polypeptide chain, the additional binding domain of the second polypeptide chain and/or the additional binding domain of the third polypeptide chain comprises an antibody or binding fragment thereof.


In one embodiment, the first binding domain, the second binding domain, the third binding domain, the additional binding domain of the first polypeptide chain, the additional binding domain of the second polypeptide chain and/or the additional binding domain of the third polypeptide chain comprises a VH domain, a VL domain, a VNAR domain, a Vhh domain, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody or a diabody.


In some embodiments, an anti-HER2 binding domain comprises a sequence of SEQ ID NO: 155, or a sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95% at least 96% at least 97%, at least 98% or at least 99% identical to SEQ ID NO: 155.









(SEQ ID NO: 155)


EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVA


LISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRF


RTAAQGTDYWGQGTQVTVSS.






In some embodiments, an anti-HER2 binding domain comprises a sequence of SEQ ID NO: 163, or a sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95% at least 96% at least 97%, at least 98% or at least 99% identical to SEQ ID NO: 163.









(SEQ ID NO: 163)


EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVA


LISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRF


RTAAQGTDYWGQGTQVTVSS.






In some embodiments, an anti-CD16 binding domain comprises a sequence of SEQ ID NO: 170, or a sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95% at least 96% at least 97%, at least 98% or at least 99% identical to SEQ ID NO: 170:









(SEQ ID NO: 170)


EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVA


SITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYCAA


NPWPVAAPRSGTYWGQGTQVTVSS.






In some embodiments, an anti-CD16 binding domain comprises a sequence of SEQ ID NO: 157, or a sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95% at least 96% at least 97%, at least 98% or at least 99% identical to SEQ ID NO: 157:









(SEQ ID NO: 157)


EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVA


SITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYCAA


NPWPVAAPRSGTYWGQGTQVTVSS.






In some embodiments, an anti-CD16 binding domain comprises a sequence of SEQ ID NO: 166, or a sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95% at least 96% at least 97%, at least 98% or at least 99% identical to SEQ ID NO: 166:









(SEQ ID NO: 166)


EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVA


SITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYCAA


NPWPVAAPRSGTYWGQGTQVTVSS.






In some embodiments, an anti-HER2 binding domain comprises a sequence of SEQ ID NO: 172, or a sequence that is at least 90%, at least 91%, at least 92%, at least 93%, at least 94%, at least 95% at least 96% at least 97%, at least 98% or at least 99% identical to SEQ ID NO: 172:









(SEQ ID NO: 172)


EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVA


LISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRF


RTAAQGTDYWGQGTQVTVSS.






In one embodiment, the antigen on the target cell is an extracellular antigen. In one embodiment, the antigen on the target cell is an epitope of an intracellular antigen that is presented by the target cell. In one embodiment, the antigen on the target cell is a T-lymphocyte antigen. In one embodiment, the myeloid cell is a monocyte or a macrophage.


In one embodiment, an antigen binding domain can bind to TROP2 antigen on a cancer cell. In some embodiments, a BiME or a TRiME comprises a TROP2 binding domain that comprises SEQ ID NO: 182 or a portion thereof.









(SEQ ID NO: 182)


DIQLTQSPSSLSASVGDRVSITCKASQDVSIAVAWYQQKPGKAPKLLIY





SASYRYTGVPDRFSGSGSGTDFTLTISSLQPEDFAVYYCQQHYITPLTF





GAGTKVEIKRGGGGSGGGGSGGGGSQVQLQQSGSELKKPGASVKVSCKA





SGYTFTNYGMNWVKQAPGQGLKWMGWINTYTGEPTYTDDFKGRFAFSLD





TSVSTAYLQISSLKADDTAVYFCARGGFGSSYWYFDVWGQGSLVTVSS.






In some embodiments, an anti-TROP2 binding domain comprises a sequence of SEQ ID NO: 182, or a sequence that is at least 80% identical to SEQ ID NO: 182.


In one embodiment, an antigen binding domain can bind to TROP2 antigen on a cancer cell. In some embodiments, a BiME or a TRiME comprises a TROP2 binding domain that comprises SEQ ID NO: 183 or a portion thereof.









(SEQ ID NO: 183)


QVQLQQSGSELKKPGASVKVSCKASGYTFTNYGMNWVKQAPGQGLKWMG





WINTYTGEPTYTDDFKGRFAFSLDTSVSTAYLQISSLKADDTAVYFCAR





GGFGSSYWYFDVWGQGSLVTVSSGGGGSGGGGSGGGGSDIQLTQSPSSL





SASVGDRVSITCKASQDVSIAVAWYQQKPGKAPKLLIYSASYRYTGVPD





RFSGSGSGTDFTLTISSLQPEDFAVYYCQQHYITPLTFGAGTKVEIKR.






In some embodiments, an anti-TROP2 binding domain comprises a sequence of SEQ ID NO 183, or a sequence that is at least 80% identical to SEQ ID NO: 183.


In one embodiment, provided herein is a BiME or a TRiME construct, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1), a complementarity determining region 2 (CDR2), and a complementarity determining region 3 (CDR3), wherein the CDR3 comprises a sequence of SEQ ID NO: 184: ARGGFGSSYWYFDV (SEQ ID NO: 184). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 184 binds to TROP2.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1) having a sequence of SEQ ID NO: 185: GYTFTNYG (SEQ ID NO: 185) and/or a complementarity determining region 2 (CDR2), wherein the CDR2 comprises a sequence of SEQ ID NO: 186: NTYTGEP (SEQ ID NO: 186). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 185 or SEQ ID NO: 186 binds to TROP2.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a variable domain sequence comprising the sequence of SEQ ID NO: 187: QVQLQQSGSELKKPGASVKVSCKASGYTFTNYGMNWVKQAPGQGLKWMGWINTYTGEPT YTDDFKGRFAFSLDTSVSTAYLQISSLKADDTAVYFCARGGFGSSYWYFDVWGQGSLVTVS S (SEQ ID NO: 187). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 187 binds to TROP2, wherein SEQ ID NO: 187 is a variable heavy chain.


In one embodiment, provided herein is a BiME or a TRiME construct, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1), a complementarity determining region 2 (CDR2), and a complementarity determining region 3 (CDR3), wherein the CDR3 comprises a sequence of SEQ ID NO: 188: QQHYITPLTF (SEQ ID NO: 188). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 188 binds to TROP2.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1) having a sequence of SEQ ID NO: 189: QDVSIA (SEQ ID NO: 189) and/or a complementarity determining region 2 (CDR2), wherein the CDR2 comprises a sequence of SEQ ID NO: 190: YSAS (SEQ ID NO: 190). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 189 or SEQ ID NO: 190 binds to TROP2.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a variable domain sequence comprising the sequence of SEQ ID NO: 191: DIQLTQSPSSLSASVGDRVSITCKASQDVSIAVAWYQQKPGKAPKLLIYSASYRYTGVPDRFS GSGSGTDFTLTISSLQPEDFAVYYCQQHYITPLTFGAGTKVEIKR (SEQ ID NO: 191). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 191 binds to TROP2, wherein SEQ ID NO: 191 is a variable light chain.


In one embodiment, the BiME or a TRiME construct comprises a variable domain sequence that is at least 85% identical to the sequence of SEQ ID NO: 191.


In any of the above embodiments, the BiME or the TRiME comprises any one or more of (i) an immunoglobulin Fc region connecting between two binding domains, (ii) a modified immunoglobulin Fc region connecting between two binding domains (e.g., with a knob and hole configuration), connects to a binding domain that binds to a different heterologous protein, e.g., a myeloid cell expressing protein, selected from a phagocytic receptor selected from the group consisting of lectin, dectin 1, CD206, scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD16, CD64, F4/80, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), CD64, CD32a, CD16a, CD89, Fc-alpha receptor I, CR1, CD35, CR3, CR4, Tim-1, Tim-4 and CD169; (iii) a domain that dimerizes or trimerizes; (iv) a CD40 ligand domain or a modified CD40 circular permutated domain as described elsewhere in the disclosure, and (v) a TLR activating domain.


In one embodiment, an antigen binding domain can bind to a CD137 antigen expressed on a cancer cell. In some embodiments, the antigen binding domain comprises an anti-CD137 binding domain having a sequence of SEQ ID NO: 192, or a sequence that is at least 80% identical to SEQ ID NO: 192.









(SEQ ID NO: 192)


MEFGLSWLFLVAILKGVQCGLLDLRQGMFAQLVAQNVLLIDGPLSWYSD





PGLAGVSLTGGLSYKEDTKELVVAKAGVYYVFFQLELRRVVAGEGSGSV





SLALHLQPLRSAAGAAALALTVDLPPASSEARNSAFGFQGRLLHLSAGQ





RLGVHLHTEARARHAWQLTQGATVLGLFRVTPEIPAGLPSPRSE.






In one embodiment, an antigen binding domain can bind to a GPC3 antigen. In one embodiment, an antigen binding domain can bind to GPC3 antigen on a cancer cell. In some embodiments, a BiME or a TRiME comprises a GPC3 binding domain that comprises SEQ ID NO: 193 or a portion thereof.









(SEQ ID NO: 193)


QVQLVQSGAEVKKPGASVKVSCKASGYTFTDYEMHWVRQAPGQGLEWMG





ALDPKTGDTAYSQKFKGKATLTADKSTSTAYMELSSLTSEDTAVYYCTR





FYSYTYWGQGTLVTVSSGGGGSGGGGSGGGGSDVVMTQSPLSLPVTPGE





PASISCRSSQSLVHSNRNTYLHWYLQKPGQSPQLLIYKVSNRFSGVPDR





FSGSGSGTDFTLKISRVEAEDVGVYYCSQNTHVPPTFGQGTKLEIK.






In some embodiments, an anti-GPC3 binding domain comprises a sequence of SEQ ID NO: 193, or a sequence that is at least 80% identical to SEQ ID NO: 193.


In one embodiment, provided herein is a BiME or a TRiME construct, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1), a complementarity determining region 2 (CDR2), and a complementarity determining region 3 (CDR3), wherein the CDR3 comprises a sequence of SEQ ID NO: 194: FYSYTY (SEQ ID NO: 194). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 194 binds to GPC3.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1) having a sequence of SEQ ID NO: 195: DYEMH (SEQ ID NO: 195) and/or a complementarity determining region 2 (CDR2), wherein the CDR2 comprises a sequence of SEQ ID NO: 196: ALDPKTGDTAYSQKFKG (SEQ ID NO: 196). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 195 or SEQ ID NO:196 binds to GPC3.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a variable domain sequence comprising the sequence of SEQ ID NO: 197: QVQLVQSGAEVKKPGASVKVSCKASGYTFTDYEMHWVRQAPGQGLEWMGALDPKTGDT AYSQKFKGKATLTADKSTSTAYMELSSLTSEDTAVYYCTRFYSYTYWGQGTLVTVSS (SEQ ID NO: 197). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: binds to GPC3, wherein SEQ ID NO: 197 is a variable heavy chain.


In one embodiment, provided herein is a BiME or a TRiME construct, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1), a complementarity determining region 2 (CDR2), and a complementarity determining region 3 (CDR3), wherein the CDR3 comprises a sequence of SEQ ID NO: 198: SQNTHVPPT (SEQ ID NO: 198). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO:198 binds to GPC3.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a complementarity determining region 1 (CDR1) having a sequence of SEQ ID NO: 199: RSSQSLVHSNRNTYLH (SEQ ID NO:199) and/or a complementarity determining region 2 (CDR2), wherein the CDR2 comprises a sequence of SEQ ID NO: 200: KVSNRFS (SEQ ID NO: 200). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 199 or SEQ ID NO: 200 binds to GPC3.


In one embodiment, a BiME or a TRiME is constructed, wherein the BiME or the TRiME has a binding domain that comprises a variable domain sequence comprising the sequence of SEQ ID NO: 201: DVVMTQSPLSLPVTPGEPASISCRSSQSLVHSNRNTYLHWYLQKPGQSPQLLIYKVSNRFSGV PDRFSGSGSGTDFTLKISRVEAEDVGVYYCSQNTHVPPTFGQGTKLEIK (SEQ ID NO: 201). In one embodiment, the BiME or a TRiME construct comprising a binding domain comprising an amino acid sequence of SEQ ID NO: 201 binds to GPC3, wherein SEQ ID NO: 201 is a variable light chain.


In one embodiment, the BiME or a TRiME construct comprises a variable domain sequence that is at least 85% identical to the sequence of SEQ ID NO: 201.


In any of the above embodiments, the BiME or the TRiME comprises any one or more of (i) an immunoglobulin Fc region connecting between two binding domains, (ii) a modified immunoglobulin Fc region connecting between two binding domains (e.g., with a knob and hole configuration), connects to a binding domain that binds to a different heterologous protein, e.g., a myeloid cell expressing protein, selected from a phagocytic receptor selected from the group consisting of lectin, dectin 1, CD206, scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD16, CD64, F4/80, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), CD64, CD32a, CD16a, CD89, Fc-alpha receptor I, CR1, CD35, CR3, CR4, Tim-1, Tim-4 and CD169; (iii) a domain that dimerizes or trimerizes; (iv) a CD40 ligand domain or a modified CD40 circular permutated domain as described elsewhere in the disclosure, and (v) a TLR activating domain.


In one embodiment, the trispecific engagers comprise a second or a third antigen biding domain, wherein the second or third binding domain binds to an extracellular of IgA, IgD, IgE, IgG, IgM, FcγRI, FcγRIIA, FcγRIIB, FcγRIIC, FcγRIIIA, FcγRIIIB, FcRn, TRIM21, FcRL5. In some embodiments, the second or the third binding domain comprises an M2 domain. In some embodiments, the second or the third binding domain comprises a LIGHT domain. In some embodiments, the second or the third binding domain comprises a HVEM domain. In some embodiments, the second or the third binding domain comprises a GITR domain.


In one aspect, provided herein is a pharmaceutical composition comprising the composition of any one of the embodiments comprising polynucleotides, polypeptides and oligomeric complexes described herein, and a pharmaceutically acceptable excipient. In some embodiments, the pharmaceutical composition further comprises a second therapeutic agent. Provided herein is a method of treating a disease or condition in a subject in need thereof, the method comprising administering to the subject the pharmaceutical composition described above. In some embodiments, administering the pharmaceutical composition comprises administering the pharmaceutical composition subcutaneously or intravenously. In some embodiments, the method further comprises administering a second therapeutic agent. In some embodiments, the disease or condition is a cancer. In some embodiments, the cancer is a T-cell lymphoma or a HER2-associated cancer. In some embodiments, the subject is human. In some embodiments, the subject has been treated for the disease or condition previously. In some embodiments, the antigen on the target cell to which the first binding domain binds is selected from the group consisting of Thymidine Kinase (TK1), Hypoxanthine-Guanine Phosphoribosyltransferase (HPRT), Receptor Tyrosine Kinase-Like Orphan Receptor 1 (ROR1), Mucin-1, Mucin-16 (MUC16), MUC1, Epidermal Growth Factor Receptor vIII (EGFRvIII), Mesothelin, Human Epidermal Growth Factor Receptor 2 (HER2), Mesothelin, EBNA-1, LEMD1, Phosphatidyl Serine, Carcinoembryonic Antigen (CEA), B-Cell Maturation Antigen (BCMA), Glypican 3 (GPC3), Follicular Stimulating Hormone receptor, Fibroblast Activation Protein (FAP), Erythropoietin-Producing Hepatocellular Carcinoma A2 (EphA2), EphB2, a Natural Killer Group 2D (NKG2D) ligand, Disialoganglioside 2 (GD2), CD2, CD3, CD4, CD5, CD7, CD8, CD19, CD20, CD22, CD24, CD30, CD33, CD38, CD44v6, CD45, CD56CD79b, CD97, CD117, CD123, CD133, CD138, CD171, CD179a, CD213A2, CD248, CD276, PSCA, CS-1, CLECL1, GD3, PSMA, FLT3, TAG72, EPCAM, IL-I, an integrin receptor, PRSS21, VEGFR2, PDGFR-beta, SSEA-4, EGFR, NCAM, prostase, PAP, ELF2M, GM3, TEM7R, CLDN6, TSHR, GPRC5D, ALK, IGLL1 and combinations thereof. In some embodiments, the antigen on the target cell to which the first binding domain binds is selected from the group consisting of CD2, CD3, CD4, CD5, CD7, CCR4, CD8, CD30, CD45, and CD56. In some embodiments, the antigen on the target cell to which the first binding domain binds is an ovarian cancer antigen or a T lymphoma antigen. In some embodiments, wherein the antigen on the target cell to which the first binding domain binds is an integrin receptor. In some embodiments, second binding domain or the third binding domain binds to an integrin receptor. In some embodiments, the second binding domain or the third binding domain binds to an integrin receptor selected from the group consisting of α1, α2, αIIb, α3, α4, α5, α6, α7, α8, α9, α10, α11, αD, αE, αL, αM, αV, αX, β1, β2, β3, β4, β5, β6, β7, and β8. In some embodiments, the therapeutic agent binds to a phagocytic or tethering receptor that comprises a phagocytosis activation domain. In some embodiments, bi- or trispecific engager is the therapeutic agent, wherein the therapeutic agent binds to a receptor or a protein selected from the group consisting of the receptors listed in Table 2A and Table 2B, or a fragment thereof. In some embodiments, the therapeutic agent binds to a phagocytic receptor selected from the group consisting of lectin, dectin 1, CD206, scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD16, CD64, F4/80, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), CD64, CD32a, CD16a, CD89, Fc-alpha receptor I, CR1, CD35, CR3, CR4, Tim-1, Tim-4 and CD169. In some embodiments, wherein the therapeutic agent binds to a receptor comprising an intracellular signaling domain that comprises a pro-inflammatory signaling domain. In some embodiments, the first therapeutic agent comprises a polypeptide that is less than 1000 amino acids or 1000 nm in length. In some embodiments, the first therapeutic agent comprises a polypeptide that is less than 500 amino acids or 500 nm in length. In some embodiments, the first therapeutic agent comprises a polypeptide that is 200-1000 amino acids or 200-1000 nm in length. In some embodiments, engagement of the binding domains of the first therapeutic agent contacts the cancer cell to the myeloid cell. In some embodiments, the second binding domain specifically interacts with a myeloid cell and promotes phagocytosis activity of the myeloid cell. In some embodiments, the second binding domain specifically interacts with a myeloid cell and promotes inflammatory signaling of the myeloid cell. In some embodiments, the second binding domain specifically interacts with a myeloid cell or an adhesion molecule and promotes adhesion of the myeloid cell to the target cell. In some embodiments, the second binding domain specifically interacts with a myeloid cell and inhibits anti-phagocytic activity of the myeloid cell mediated by the target cell. In some embodiments, the second binding domain specifically interacts with a myeloid cell and inhibits anti-inflammatory activity of the myeloid cell mediated by the target cell. In some embodiments, the second and/or the third binding domain promotes phagocytic activity of the myeloid cell. In some embodiments, the second and/or the third binding domain promotes inflammatory signaling of the myeloid cell. In some embodiments, the second and/or the third binding domain specifically interacts with a myeloid cell or an adhesion molecule and promotes adhesion of the myeloid cell to the target cell. In some embodiments, the second and/or the third binding domain inhibits anti-phagocytic activity of the myeloid cell mediated by the target cell. In some embodiments, the second and/or the third binding domain inhibits anti-inflammatory activity of the myeloid cell mediated by the target cell. In some embodiments, the therapeutic agent comprises a therapeutic polypeptide. In some embodiments, the therapeutic agent comprises a recombinant nucleic acid encoding the therapeutic polypeptide. In some embodiments, the third binding domain or the additional therapeutic agent comprises a CD47 antagonist, a CD47 blocker, an antibody, a chimeric CD47 receptor, a sialidase, a cytokine, a proinflammatory gene, a procaspase, or an anti-cancer agent. In some embodiments, the first binding domain, the second binding domain and the third binding domain bind to distinct non-identical target antigens. In some embodiments, the first binding domain, the second binding domain or the third binding domain is a ligand binding domain. In some embodiments, the first, the second or the third binding domains are operably linked by one or more linkers. In some embodiments, upon binding of the therapeutic agent to the myeloid cell, the killing or phagocytosis activity of the myeloid cell is increased by at least 10%, or 20%, or 30%, or 40%, or 50%, or 60%, or 70% or 90% or 100% compared to a myeloid cell not bound by the therapeutic agent, as measured by a particle uptake assay. In some embodiments, engagement of the binding domains of first therapeutic agent triggers phagocytosis of the cancer cell by the myeloid cell. In some embodiments, engagement of the additional therapeutic agent potentiates or increases the phagocytic killing of the cancer cell by the myeloid cell.


In another aspect, contemplated herein is the use of potent inflammatory effects of FcαRI via IgA antibody isotype can be utilized for effector cell activation, wherein the effector cell is a myeloid cell, such as a monocyte, a macrophage or a dendritic cell. In some embodiments, a portion of IgA, a portion of Fc receptor alpha or a portion of FcRn receptor or the respective agonist may be integrated into a multi-specific engager, wherein the portion of the IgA, the portion of Fc receptor alpha or the portion of FcRn receptor acts as an engager in a multi-engager design. In one embodiment, provided herein is multi-specific myeloid cell engager (e.g. a tetra-specific engager) comprising, in addition to the structure of the BiMEs and TRiMEs described above, an additional engager arm. Therefore, provided herein is a recombinant polypeptide comprising a modified Ig domain or a portion thereof, for example, but not limited to: a chimeric CH2 domain comprising a mammalian IgG Fc CH2 domain having an alpha 1 (a l) loop of a mammalian IgA Fc CH2 domain; and/or, a mammalian IgA Fc CH3 domain. In some embodiments, the recombinant polypeptide of the multi-specific myeloid cell engager further comprises a mammalian IgG Fc CH1 domain. In some embodiments, the recombinant polypeptide further comprises an immunoglobulin variable domain.


In some embodiments, the α1 loop of a mammalian IgA of the multi-specific myeloid cell engager is defined as a mammalian α1 loop corresponding to amino acids 245-257 of a human IgA Fc, according to the Kabat numbering scheme. In some embodiments, the α1 loop of a mammalian IgA Fc CH2 domain comprises the sequence PALEDLLLGSEAN (SEQ ID NO: 216). In some embodiments, the chimeric CH2 domain comprises the sequence PALEDLLLGSEANG (SEQ ID NO: 217). In some embodiments, the mammalian IgA Fc CH3 domain is defined as that mammalian IgA Fc CH3 domain corresponding to amino acids 336-443 of human IgA, according to the Kabat numbering scheme having a sequence of









(SEQ ID NO: 218)


SGNTFRPEVHLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQE


LPREKYLTWASRQEPSQGTTTFAVTSILRVAAEDWKKGDTFSCMVGHEA


LPLAFTQKTIDR.






In some embodiments, the chimeric CH2 domain comprises one, two or three amino acid positions from the α2 loop of a mammalian IgA Fc CH2 domain.


Representative recombinant polypeptide sequences with modified Fc domains are shown below, contemplated herein, are sequences including those that are at least 90% identical to the sequences provided. In some embodiments, the recombinant polypeptide sequences with modified Fc domains comprises a sequence or a portion thereof:









(SEQ ID NO: 236)


PAPELLGGPSVFLFPPALEDLLLGSEANVTCVVVDVSHEDPEVKFNWYV





DGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKAL





PAPIEKTISKAKSGNTFRPEVHLLPPPSEELALNELVTLTCLARGFSPK





DVLVRWLQGSQELPREKYLTWASRQEPSQGTTTFAVTSILRVAAEDWKK





GDTFSCMVGHEALPLAFTQKTIDR.






In some embodiments, the recombinant polypeptide sequences with modified Fc domains comprises a sequence or a portion thereof:









(SEQ ID NO: 237)


PAPELLGGPSVFLFPPALEDLLLGSEANGVTCVVVDVSHEDPEVKFNWY





VDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKA





LPAPIEKTISKAKSGNTFRPEVHLLPPPSEELALNELVTLTCLARGFSP





KDVLVRWLQGSQELPREKYLTWASRQEPSQGTTTFAVTSILRVAAEDWK





KGDTFSCMVGHEALPLAFTQKTIDR.






In some embodiments, the recombinant polypeptide sequences with modified Fc domains comprises a FcRn-binding peptide. In some embodiments, the polypeptide is aglycosylated. In some embodiments, the antibody is a human or humanized antibody. In some embodiments, the engager polypeptide is coupled to a therapeutic, a reporter, or a targeting moiety. In some embodiments, the therapeutic is a nucleotide, a peptide, a small molecule, a therapeutic radionuclide, a chemotherapeutic, a tumor suppressor, an apoptosis inducer, an enzyme, a second antibody, an siRNA, a hormone, a prodrug, or an immunostimulant.


Using an antibody (Ig) Fc region, a modified or chimeric part of an Fc region, a ligand or any part thereof as described herein the chimeric engager (e.g., the multi-specific engager) is directed towards an outcome of antibody dependent cell mediated cytotoxicity (ADCC) (oxidative burst, degranulation) and antibody dependent cell mediated phagocytosis (ADCP) responses which might have been observed upon FcαRI activation. Further, addition of a FcRn binding peptide may increase serum half-life of the molecules. Thus, the new chimeric Fc polypeptides and antibodies that incorporate the polypeptides offer a broader range of effector functions.


In some embodiments, a pharmaceutical composition comprising a polynucleic acid encoding any one or more of the polypeptides disclosed herein is described, wherein the composition further comprises a delivery vehicle. In some embodiments, the polynucleic acid is an mRNA.


In some embodiments, the polynucleic acid is DNA, comprised in an expression vector.


In some embodiments, a nucleic acid may be delivered into a living system in the form of nanoparticles. Nucleic acid sequences of any one of the polypeptides disclosed herein may be delivered in vivo via suitable nanoparticles, e.g., liposomes, lipid nanoparticles, or polymeric nanoparticles. A lipid nanoparticle may comprise a polar lipid. In some embodiments, the lipid nanoparticle comprises a cationic lipid. In some embodiments, the lipid nanoparticle comprises a cationic lipid and a non-cationic lipid. In some embodiments, the lipid nanoparticle comprises a neutral lipid. In some embodiments, the lipid nanoparticle comprises a PEGylated lipid.


Alternatively, in some embodiments, the nucleic acid can be electroporated in a living cell ex vivo for preparation of a cellular therapy, wherein the cell is a myeloid cell.


EMBODIMENTS

1. A composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising a first binding domain operatively linked to a first ligand,

    • wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand,
    • wherein the first binding domain specifically interacts with an antigen of a target cell, and
    • wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell.


      2. The composition of embodiment 1, wherein the first polypeptide chain further comprises a first immunoglobulin (Ig) domain operatively linked to the first binding domain and the first ligand.


      3. A composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a first ligand or functional fragment thereof, and (c) an additional binding domain that specifically interacts with a first extracellular protein of a myeloid cell; wherein the first binding domain, the first ligand or functional fragment thereof, and the additional binding domain are operatively linked.


      4. The composition of embodiment 3, wherein the first polypeptide chain further comprises a first immunoglobulin (Ig) domain operatively linked to the first binding domain, the first ligand or functional fragment thereof, and the additional binding domain.


      5. A composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: (a) a first binding domain that specifically interacts with an antigen of a target cell, (b) a first ligand or functional fragment thereof; and (c) a first immunoglobulin (Ig) domain; wherein the first binding domain, the first ligand or functional fragment thereof, and the first Ig domain are operatively linked.


      6. The composition of any one of embodiments 1, 2 or 5, wherein the first polypeptide chain further comprises an additional binding domain that specifically interacts with a first extracellular protein of a myeloid cell.


      7. The composition of embodiment 1-6, wherein the first ligand or functional fragment thereof is a TNFR ligand or functional fragment thereof 8. The composition of any one of embodiments 1-7, wherein the anti-TNFR binding domain interacts with a TNFR expressed on the myeloid cell.


      9. The composition of any one of embodiments 1-8, wherein the first ligand or functional fragment thereof is not an anti-GITR binding domain.


      10. The composition of any one of embodiments 1-9, wherein the first ligand or functional fragment thereof comprises CD40 or functional fragment thereof.


      11. The composition of any one of embodiments 1-10, wherein the first ligand or functional fragment thereof is a modified ligand or functional fragment thereof.


      12. The composition of embodiment 10 or 11, wherein the CD40 or functional fragment thereof comprises a circular permutated CD40 or functional fragment thereof.


      13. The composition of any one of embodiments 1-12, wherein the recombinant polynucleic acid further comprises a sequence encoding a second polypeptide chain comprising a second binding domain operatively linked to a second ligand.


      14. The composition of any one of embodiments 3-13, wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand.


      15. The composition of embodiment 13 or 14, wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell 16. The composition of any one of embodiments 1, 2 and 13-15, wherein the second ligand is configured to form a multimer with the first ligand.


      17. The composition of any one of embodiments 1, 2 and 13-16, wherein the second ligand interacts with a second extracellular protein of a myeloid cell, wherein the second extracellular protein is different than the first extracellular protein to which the second binding domain specifically interacts.


      18. The composition of any one of embodiments 1, 2 and 13-17, wherein the second ligand or functional fragment thereof is a TNFR ligand or functional fragment thereof.


      19. The composition of embodiment 18, wherein the second ligand or functional fragment thereof is CD40 or a functional fragment thereof.


      20. The composition of embodiment 1, 2 and 13-19, wherein the second ligand or functional fragment thereof is a modified ligand or functional fragment thereof.


      21. The composition of embodiment 1, 2 and 13-20, wherein the second ligand or functional fragment thereof does not specifically interact with GITR.


      22. The composition of any one of embodiments 1-21, wherein the first ligand interacts with a second extracellular protein of a myeloid cell


      23. The composition of any one of embodiments 1, 2 and 13-22, wherein the first ligand interacts with a second extracellular protein of a myeloid cell, wherein the second extracellular protein is different than the first extracellular protein to which the second binding domain specifically interacts.


      24. The composition of any one of embodiments 1, 2 and 13-23, wherein the second polypeptide chain further comprises an additional binding domain that specifically interacts with an antigen of the target cell.


      25. The composition of embodiment 24, wherein the additional binding domain of the second polypeptide chain specifically interacts with the antigen of the target cell to which the first binding domain specifically interacts.


      26. The composition of any one of embodiments 1, 2 and 13-25, wherein the second polypeptide chain further comprises a second Ig domain.


      27. The composition of embodiment 26, wherein the second Ig domain is operatively linked to the second binding domain and the second ligand.


      28. The composition of any one of embodiments 1, 2 and 6-27, wherein the additional binding domain of the first polypeptide chain specifically interacts with the first extracellular protein to which the second binding domain specifically interacts.


      29. The composition of any one of embodiments 2 and 4-29, wherein the first Ig domain and/or the second Ig domain comprises an Fc domain.


      30. The composition of any one of embodiments 2 and 4-29, wherein the first Ig domain and/or the second Ig domain is an IgG domain.


      31. The composition of embodiment 30, wherein the IgG domain is selected from the group consisting of IgG1, IgG4 and IgGA.


      32. The composition of any one of embodiments 2 and 4-29, wherein the first Ig domain comprises a knob


      33. The composition of embodiment 30, wherein the knob comprises IgG1 Fc (F409R)


      34. The composition of any one of embodiments 24-31, wherein the second Ig domain comprises a hole.


      35. The composition of embodiment 33, wherein the hole comprises IgG1 Fc (K405L).


      36. The composition of any one of embodiments 1, 2 and 13-34, wherein the first polypeptide chain and the second polypeptide chain are configured to form a multimer with a third polypeptide chain comprising a third ligand.


      37. The composition of embodiment 36, wherein the third ligand is configured to form a multimer with the first ligand and second ligands.


      38. The composition of embodiment 36 or 37, wherein the third ligand is a TNFR ligand or functional fragment thereof.


      39. The composition of any one of embodiments 36-38, wherein the third ligand is CD40 or a functional fragment thereof.


      40. The composition of any one of embodiments 36-39, wherein the third ligand or functional fragment thereof does not specifically interact with GITR.


      41. The composition of any one of embodiments 36-40, wherein the third polypeptide chain further comprises a third binding domain that specifically interacts with an extracellular protein of the myeloid cell.


      42. The composition of embodiment 41, wherein the extracellular protein to which the third binding specifically interacts is the first extracellular protein to which the additional binding domain of the first polypeptide chain specifically interacts.


      43. The composition of embodiment 41 or 42, wherein the extracellular protein to which the third binding specifically interacts is the extracellular protein to which the second binding domain specifically interacts.


      44. The composition of any one of embodiments 41-43, wherein the third polypeptide chain further comprises an additional binding domain that specifically interacts with an antigen of a target cell.


      45. The composition of embodiment 44, wherein the additional binding domain of the third polypeptide chain specifically interacts with the antigen of a target cell to which the first binding domain specifically interacts.


      46. The composition of embodiment 44 or 45, wherein the additional binding domain of the third polypeptide chain specifically interacts with the antigen of a target cell to which the additional binding domain of the second polypeptide chain specifically interacts.


      47. A composition comprising a polypeptide encoded by the recombinant polynucleic acid of the composition of any one of embodiments 1-46.


      48. The composition of embodiment 47, wherein the composition comprises the second polypeptide chain.


      49. The composition of embodiment 47 or 48, wherein the composition comprises the third polypeptide chain.


      50. The composition of embodiment 48, wherein the composition comprises a multimer comprising the first polypeptide chain and the second polypeptide chain.


      51. The composition of any one of embodiments 49 or 50, wherein the composition comprises a multimer comprising the first polypeptide chain, the second polypeptide chain and the third polypeptide chain.


      52. The composition of embodiment 50, wherein the first Ig domain is complexed with the second Ig domain in the multimer.


      53. The composition of embodiment 50 or 51, wherein the first ligand is complexed with the second ligand in the multimer.


      54. The composition of embodiment 51, wherein the first ligand, the second ligand and the third ligand are complexed in the multimer.


      55. The composition of embodiment 50 or 52, wherein the multimer is a dimer.


      56. The composition of embodiment 55, wherein the dimer is a homodimer.


      57. The composition of embodiment 55, wherein the dimer is a heterodimer.


      58. The composition of embodiment 50 or 52, wherein the multimer is a hexamer.


      59. The composition of embodiment 51, wherein the multimer is a trimer.


      60. The composition of embodiment 59, wherein the trimer is a homotrimer.


      61. A composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising:
    • (a) a first binding domain that specifically interacts with an antigen of a target cell,
    • (b) a TLR agonist sequence, wherein the TLR agonist sequence comprises two or more TLR sequences in tandem, and
    • (c) an additional binding domain that specifically interacts with an extracellular protein of a myeloid cell
    • wherein the first binding domain, the TLR agonist sequence and the additional binding domain are operatively linked.


      62. The composition of embodiment 60 or 61, wherein the first polypeptide chain further comprises a linker between the first binding domain and the additional binding domain.


      63. The composition of embodiment 61, wherein the linker is a functional polypeptide.


      64. The composition of embodiment 62, wherein the linker is a ligand for a receptor.


      65. The composition of embodiment 63, wherein the linker activates the receptor upon binding to the receptor.


      66. The composition of embodiment 63 or 64, wherein the receptor is expressed by the myeloid cell.


      67. The composition of any one of embodiments 63-65, wherein the receptor is a Toll-like receptor (TLR).


      68. The composition of embodiment 66, wherein the TLR is TLR4.


      69. The composition of any one of embodiments 61-66, wherein the linker is a ligand for a TLR.


      70. The composition of any one of embodiments 61-68, wherein the linker comprises the TLR agonist sequence.


      71. The composition of any one of embodiments 1-69, wherein the antigen of the target cell is a cancer antigen, a pathogenic antigen or an autoimmune antigen.


      72. The composition of any one of embodiments 1-70, wherein the antigen of the target cell is HER2, TROP2, GPC3, or CD70.


      73. The composition of any one of embodiments 1-71, wherein first or second extracellular protein of the myeloid cell is a phagocytic receptor or tethering receptor.


      74. The composition of any one of embodiments 1-72, wherein first or second extracellular protein of the myeloid cell is CD16, CD64, CD89, CD351, or FCER1A.


      75. The composition of any one of embodiments 1-73, wherein the first binding domain, the second binding domain, the third binding domain, the additional binding domain of the first polypeptide chain, the additional binding domain of the second polypeptide chain and/or the additional binding domain of the third polypeptide chain comprises an antibody or binding fragment thereof.


      76. The composition of embodiment 74, wherein the first binding domain, the second binding domain, the third binding domain, the additional binding domain of the first polypeptide chain, the additional binding domain of the second polypeptide chain and/or the additional binding domain of the third polypeptide chain comprises a VH domain, a VL domain, a VNAR domain, a Vhh domain, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody or a diabody.


      77. The composition of any one of embodiments 1-75, wherein the antigen on the target cell is an extracellular antigen.


      78. The composition of any one of embodiments 1-75, wherein the antigen on the target cell is an epitope of an intracellular antigen that is presented by the target cell.


      79. The composition of any one of embodiments 1-75, wherein the antigen on the target cell is a T-lymphocyte antigen.


      80. The composition of any one of embodiments 1-78, wherein the myeloid cell is a monocyte or a macrophage.


      81. A pharmaceutical composition comprising the composition of any one of embodiments 1-79; and a pharmaceutically acceptable excipient.


      82. The pharmaceutical composition of embodiment 80, further comprising a second therapeutic agent.


      83. A method of treating a disease or condition in a subject in need thereof, the method comprising administering to the subject the pharmaceutical composition of embodiment 80.


      84. The method of embodiment 82, wherein administering the pharmaceutical composition comprises administering the pharmaceutical composition subcutaneously or intravenously.


      85. The method of embodiment 82 or 83, wherein the method further comprises administering a second therapeutic agent.


      86. The method of embodiment 82, wherein the disease or condition is a cancer.


      87. The method of embodiment 85, wherein the cancer is a T-cell lymphoma or a HER2-associated cancer.


      88. The method of embodiment 82, wherein the subject is human.


      89. The method of embodiment 82, wherein the subject has been treated for the disease or condition previously.


      90. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence ARGGFGSSYWYFDV (SEQ ID NO: 184).


      91. The composition of embodiment 90, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 185 or 186.


      92. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 187, or a sequence that is at least 85% identical to SEQ ID NO: 187.


      93. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence QQHYITPLTF (SEQ ID NO: 188).


      94. The composition of embodiment 93, wherein the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 189 or 190.


      95. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 191, or a sequence that is at least 85% identical to SEQ ID NO: 191.


      96. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence FYSYTY (SEQ ID NO: 194).


      97. The composition of embodiment 96, wherein the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 195 or 196.


      98. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 197, or a sequence that is at least 85% identical to SEQ ID NO: 197.


      99. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence SQNTHVPPT (SEQ ID NO: 198).


      100. The composition of embodiment 93, wherein the first polypeptide chain or the second polypeptide chain further comprises a sequence of SEQ ID NO: 199 or 200.


      101. The composition of any one of the embodiments 1-82, or the method of any one of the embodiments 83-89, wherein the first polypeptide chain or the second polypeptide chain comprises a sequence SEQ ID NO: 201, or a sequence that is at least 85% identical to SEQ ID NO: 201.


      102. A composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising a first binding domain operatively linked to a first ligand,
    • wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand,
    • wherein the first binding domain comprises a sequence of SEQ ID NO: 184, and
    • wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell.


      103. A composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising a first binding domain operatively linked to a first ligand,
    • wherein the first polypeptide chain is configured to form a multimer with a second polypeptide chain comprising a second binding domain operatively linked to a second ligand,
    • wherein the first binding domain comprises a sequence of SEQ ID NO: 194, and
    • wherein the second binding domain specifically interacts with a first extracellular protein of a myeloid cell.


      104. A composition comprising a recombinant polynucleic acid comprising a sequence encoding a first polypeptide chain comprising: (a) a first binding domain, (b) a second binding domain, (c) a third binding domain, (d) a fourth binding domain, and (e) an Fc region; wherein at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with a first antigen of a target cell, wherein at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with a first extracellular protein of a myeloid cell, and wherein the Fc region, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked.


      105. The composition of embodiment 104, wherein at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with specifically interacts with the first antigen of the target cell, a second antigen of the target cell, an antigen of a T cell, a checkpoint inhibitor, the first extracellular protein of a myeloid cell or a second extracellular protein of a myeloid cell.


      106. The composition of embodiment 104 or 105, wherein at least one of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain specifically interacts with the first antigen of the target cell, a second antigen of the target cell, an antigen of a T cell, a checkpoint inhibitor, the first extracellular protein of a myeloid cell or a second extracellular protein of a myeloid cell.


      107. The composition of any one of embodiments 104-106, wherein the Fc region is an IgGA Fc region.


      108. The composition of any one of embodiments 104-107, wherein the Fc region comprises a chimeric CH2 domain comprising a mammalian IgG Fc CH2 domain having a α1 loop of a mammalian IgA Fc CH2 domain 109. The composition of any one of embodiments 104-108, wherein the Fc region comprises a mammalian IgA Fc CH3 domain.


      110. The composition of any one of embodiments 104-109, wherein the Fc region comprises a mammalian IgG Fc CH1 domain.


      111. The composition of any one of embodiments 108-110, wherein the α1 loop of a mammalian IgA is defined as a mammalian α1 loop corresponding to amino acids 245-257 of a human IgA Fc, according to the Kabat numbering scheme.


      112. The composition of any one of embodiments 108-111, wherein the α1 loop of a mammalian IgA Fc CH2 domain comprises the sequence PALEDLLLGSEAN (SEQ ID NO: 216).


      113. The composition of any one of embodiments 108-112, wherein the chimeric CH2 domain comprises the sequence PALEDLLLGSEANG (SEQ ID NO: 217).


      114. The composition of any one of embodiments 109-113, wherein the mammalian IgA Fc CH3 domain is defined as that mammalian IgA Fc CH3 domain corresponding to amino acids 336-443 of human IgA, according to the Kabat numbering scheme.


      115. The composition of any one of embodiments 109-114, wherein the mammalian IgA Fc CH3 domain comprises an amino acid sequence with at least 90% sequence identity to the amino acid sequence of









(SEQ ID NO: 218)


SGNTFRPEVHLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQE


LPREKYLTWASRQEPSQGTTTFAVTSILRVAAEDWKKGDTFSCMVGHEA


LPLAFTQKTIDR.






116. The composition of any one of embodiments 108-115, wherein the chimeric CH2 domain comprises one, two or three amino acid positions from the α2 loop of a mammalian IgA Fc CH2 domain.


117. The composition of any one of embodiments 104-116, wherein the first and/or second antigen of the target cell is HER2, TROP2, GPC3, or CD70.


118. The composition of any one of embodiments 104-117, wherein first or second extracellular protein of the myeloid cell is a phagocytic receptor or tethering receptor or CD16, CD64, CD89, CD351, or FCER1A.


119. The composition of any one of embodiments 104-118, wherein:

    • (a) the antigen of a T cell is CD3, CD4, CD5, CD7 and/or CD8; and/or
    • (b) the checkpoint inhibitor is PD-L1, PD-L2, PD1, CTLA4, B7-1, B7-2, BTLA, VISTA, TIM-3, LAG3, and/or CD47.


      120. The composition of any one of embodiments 104-119, wherein the first polypeptide chain is aglycosylated.


      121. The composition of any one of embodiments 104-119, wherein the first polypeptide chain is coupled to a therapeutic, a reporter, or a targeting moiety.


      122. The composition of embodiment 121, wherein the therapeutic is a nucleotide, a peptide, a small molecule, a therapeutic radionuclide, a chemotherapeutic, a tumor suppressor, an apoptosis inducer, an enzyme, a second antibody, an siRNA, a hormone, a prodrug, or an immunostimulant.


      123. The composition of any one of embodiments 104-122, wherein the composition or the first polypeptide chain further comprises a FcRn-binding peptide.


      124. The composition of any one of embodiments 104-123, wherein the first polypeptide chain comprises one or more of the following: (a) decreased affinity for FcγRIIb relative to a wild type IgG antibody; (b) increased affinity for FcγRIIa relative to a wild type IgA antibody; (c) increased affinity for FcγRI relative to a wild type IgA antibody; and (d) increased affinity for FcαRI relative to a wild type IgG antibody.


      125. The composition of any one of embodiments 104-124, wherein each of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain is an scFv or an sdAb.


      126. The composition of any one of embodiments 104-125, wherein each of the first binding domain, the second binding domain, the third binding domain and the fourth binding domain is an sdAb.


      127. The composition of any one of embodiments 104-126, wherein the Fc region, the first binding domain, the second binding domain, the third binding domain and the fourth binding domain are operatively linked in the following order: [first binding domain]-[second binding domain]-[Fc region]-[third binding domain]-[fourth binding domain].


      128. The composition of any one of embodiments 104-127, wherein the first polypeptide chain forms a dimer.


      129. The composition of any one of embodiments 104-128, wherein the first polypeptide chain forms a homodimer.


      130. A polypeptide or multimer thereof encoded by the recombinant polynucleic acid of the composition of any one of embodiments 104-129.


      131. A pharmaceutical composition comprising the composition of any one of embodiments 104-130; and a pharmaceutically acceptable excipient.


      132. A method of treating a disease or condition in a subject in need thereof, the method comprising administering to the subject the pharmaceutical composition of embodiment 131.


      133. The method of embodiment 132, wherein the disease or condition is cancer.


EXAMPLES
Example 1. Materials and Methods

Dulbecco modified Eagle medium, trypsin-EDTA, wortmannin (W), LY294002 (LY), Bradford reagent, and lysostaphin are purchased from Sigma-Aldrich, Inc. (St. Louis, MO). Reduced serum Opti-MEM I medium are purchased from Gibco-BRL (Gaithersburg, MD). SH-5 was acquired from Enzo Life Sciences (Plymouth, PA), and OSU-03012 (OSU) was purchased from Cedarlane Labs (Burlington, NC). FuGENE transfection reagent and the 50×EDTA-free protease inhibitor cocktail are purchased from Roche Applied Science (Manheim, Germany). Cells are grown in 24-well plates to 60 to 70% confluence, and the culture medium was changed to DMEM 10% FCS. Then, in order to have a similar protein expression 5 ng of pCMV5-Akt-CA or 200 ng of pCMV5-Akt-DN in 1.2 i of FuGENE transfection reagent (ratio, 4:1 [FuGENE-plasmid]) are added to BEC in reduced serum Opti-MEM I medium according to the manufacturer's instructions.


Cloning and characterization of the BiME, TriME and multi-specific engagers is performed in a bacterial expression system, such as in an E coli system for test and screening purposes. Briefly, following screening of the binding domains to incorporate in an engager design, polynucleotide sequences encoding specific variable light chain and/or variable heavy chain domains are individually amplified by PCR from respective antibody-expressing clones. In case the binding domains comprise entire Fab regions, the respective regions are amplified by PCR from the respective antibody-expressing clones. The linkers are either enzymatically ligated typically to the C-terminal end of the encoded Fab or the variable domain. Alternatively, polynucleotides encoding the binding domains and the linker sequences are incorporated into plasmid by sequential cloning. In yet another alternative method, the specific sequences encoding the binding domains (Fab or variable regions) are ligated to each other by overlapping PCR, and larger inserts comprising Fab-linker-Fab designs are cloned into the expression vector to express chimeric proteins comprising the engagers.


Expressed proteins are purified and concentrated by commonly known techniques and the products are tested in experimental animals for tumor targeting and toxicity.


In some examples, a lentiviral construct comprising the chimeric proteins are used to transduce the chimeric construct in a monocyte or macrophage.


Example 2. Construction of a Bispecific Engager (BiME) Platform

In this example, a monocyte or macrophage and tumor targets with protease masking site is designed. The bispecific engager comprises a monocyte or macrophage binding domain, which is a scavenger receptor (SRA1) binding domain. The target cell binding domain is a tumor recognition domain (e.g., TROP2). An scFv construct polypeptide design is designated in FIG. 2A. A Vhh construct polypeptide design is designated in FIG. 2B. In another exemplary design, the antigen binding domains are occupied with protease cleavable masking elements. Additionally, the two binding domains are linked by a TLR4 synthetic peptide. An scFv construct polypeptide design is designated in FIG. 3A. A Vhh construct polypeptide design is designated in FIG. 3B. The synthetic peptide is bound to two scFvs (FIG. 3A) or across two single domains (FIG. 3B). The specific TLR4 synthetic peptide linker activates TLR4 receptor on monocytes or macrophages and provides the second activation signal—Signal 2 that potentiates a monocyte or macrophage phagocytic and pro-inflammatory activity. In another exemplary design, the two binding domains of a monocyte or macrophage specific engager comprises a M2 targeting peptide. The M2 targeting peptide has an amino acid sequence of YEQDPWGVKWWY (SEQ ID NO: 116) (M2-pep) or HLSWLPDVVYAW (HLS pep) (SEQ ID NO: 117), which specifically target and bind to an M2 monocyte or macrophage which is the predominant phenotype of tumor associated monocytes or macrophages. Thus, in addition to the binding and activation by the specific binding domain, in this design a bi-specific engager can further be employed to target the engager to the specific cell, in this case an M2 monocyte or macrophage cell (FIG. 3C and FIG. 3D).


Example 3. Construction and Expression of Bispecific Engagers

This example describes construction, expression and testing of BiMEs having activator peptide sequences within the linkers. First, a peptides sequences that were derived from different TLR activators were tested for immune activation on monocytes in culture. Exemplary TLR peptide sequences that were tested are listed below:


Table 3. TLR activator peptide sequences used as part of a linker sequences to generate bispecific engager constructs exemplified in FIG. 3A and FIG. 3B are shown in Table 3.










TABLE 3





Sequence



Name
Amino Acid Sequence







RS01
GGQEINSSYGG (SEQ ID NO: 105) or QEINSSY (SEQ ID NO: 129)





RS02
GGSHPRLSAGG (SEQ ID NO: 123) or SHPRLSA (SEQ ID NO: 130)





RS03
GGSMPNPMVGG (SEQ ID NO: 106) or SMPNPMV (SEQ ID NO: 131)





RS04
GGGLQQVLLGG (SEQ ID NO: 107) or GLQQVLL (SEQ ID NO: 132)





RS05
GGHELSVLLGG (SEQ ID NO: 124) or HELSVLL (SEQ ID NO: 133)





RS06
GGYAPQRLPGG (SEQ ID NO: 108) or YAPQRLP (SEQ ID NO: 134)





RS07
GGTPRTLPTGG (SEQ ID NO: 125) or TPRTLPT (SEQ ID NO: 135)





RS08
GGAPVHSSIGG (SEQ ID NO: 126) or APVHSSI (SEQ ID NO: 136)





RS09
GGAPPHALSGG (SEQ ID NO: 109) or APPHALS (SEQ ID NO: 137)





RS10
GGTFSNRFIGG (SEQ ID NO: 127) or TFSNRFI (SEQ ID NO: 138)





RS11
GGVVPTPPYGG (SEQ ID NO: 110) or VVPTPPY (SEQ ID NO: 139)





RS12
GGELAPDSPGG (SEQ ID NO: 128) or ELAPDSP (SEQ ID NO: 140)





Ad1-1
GSTGGGTGGAGGGAGSGGGSGGSGT (SEQ ID NO: 204)





Ad1-2
GSGGAPPHALSGGGAPPHALSGGGAPPHALSGGST (SEQ ID NO: 206)









For testing immune response of each of the peptides, 2×10{circumflex over ( )} monocytes were incubated overnight with 1 microgram/ml of a peptide from Table 3, and IL6 and TNF-alpha release was measured using fluorimetric detection using Luminex 200. As shown in FIG. 3E, RS01 and RS09 peptides induced higher IL6 release. These two peptide sequences were next selected from the pool above and utilized to generate bispecific engagers. Similarly, several more are being tested.


The bispecific or trispecific engagers can be constructed by molecular cloning. Upon generation of successful clones, each clone can be sequenced and the sequence validated. In some embodiments, a bispecific or trispecific engager comprises (i) an anti-CD5 scFv capable of binding to a CD5+ tumor cell, and (ii) an anti-CD16 scFv capable of binding to a CD16 surface molecule on a monocyte, or macrophage cell.


An exemplary anti-CD5 binder comprises a heavy chain comprising the sequence:









(SEQ ID NO: 111)


MWLQSLLLLGTVACSISEIQLVQSGGGLVKPGGSVRISCAASGYTFTNY


GMNWVRQAPGKGLEWMGWINTHTGEPTYADSFKGRFTFSLDDSKNTAYL


QINSLRAEDTAVYFCTRRGYDWYFDVWGQGTTVTV


or





(SEQ ID NO: 144)


MWLQSLLLLGTVACSISEIQLVQSGGGLVKPGGSVRISCAASGYTFTNY


GMNWVRQAPGKGLEWMGWINTHTGEPTYADSFKGRFTFSLDDSKNTAYL


QINSLRAEDTAVYFCTRRGYDWYFDVWGQGTTVTVSS.






Another exemplary anti-CD5 binder comprises a heavy chain comprising the sequence:









(SEQ ID NO: 112)


EIQLVQSGGGLVKPGGSVRISCAASGYTFTNYGMNWVRQAPGKGLEWMG


WINTHTGEPTYADSFKGRFTFSLDDSKNTAYLQINSLRAEDTAVYFCTR


RGYDWYFDVWGQGTTVTV


or





(SEQ ID NO: 143)


EIQLVQSGGGLVKPGGSVRISCAASGYTFTNYGMNWVRQAPGKGLEWMG


WINTHTGEPTYADSFKGRFTFSLDDSKNTAYLQINSLRAEDTAVYFCTR


RGYDWYFDVWGQGTTVTVSS






An exemplary anti-CD5 binder may comprise a light chain comprising the amino acid sequence:









(SEQ ID NO: 113)


DIQMTQSPSSLSASVGDRVTITCRASQDINSYLSWFQQKPGKAPKTLIY


RANRLESGVPSRFSGSGSGTDYTLTISSLQYEDFGIYYCQQYDESPWTF


GGGTKLEIK.






An exemplary a bispecific or trispecific engager, such as bispecific or trispecific engager containing an anti-CD5 scFv may comprise a short peptide linker connecting an exemplary heavy chain and an exemplary light chain, having a sequence: SSGGGGSGGGGSGGGGS (SEQ ID NO: 114) or SGGGGS (SEQ ID NO: 145) or GGGGS (SEQ ID NO: 146) or GGGG (SEQ ID NO: 147).


An exemplary anti-CD5 scFv comprises an amino acid sequence:









(SEQ ID NO: 115)


MWLQSLLLLGTVACSISEIQLVQSGGGLVKPGGSVRISCAASGYTFTNY





GMNWVRQAPGKGLEWMGWINTHTGEPTYADSFKGRFTFSLDDSKNTAYL





QINSLRAEDTAVYFCTRRGYDWYFDVWGQGTTVTVSSGGGGSGGGGSGG





GGSDIQMTQSPSSLSASVGDRVTITCRASQDINSYLSWFQQKPGKAPKT





LIYRANRLESGVPSRFSGSGSGTDYTLTISSLQYEDFGIYYCQQYDESP





WTFGGGTKLEIK.






An exemplary anti-CD16 scFv can comprise a heavy chain variable sequence comprising the amino acid sequence:









(SEQ ID NO: 141)


QVQLVQSGAEVKKPGESLKVSCKASGYTFTSYYMHWVRQAPGQGLEWMG


IINPSGGSTSYAQKFQGRVTMTRDTSTSTVYMELSSLRSEDTAVYYCAR


GSAYYYDFADYWGQGTLVTVSS.






An exemplary anti-CD16 scFv can comprise a light chain variable sequence comprising the amino acid sequence:









(SEQ ID NO: 142)


SYVLTQPSSVSVAPGQTATISCGGHNIGSKNVHWYQQRPGQSPVLVIYQ


DNKRPSGIPERFSGSNSGNTATLTISGTQAMDEADYYCQVWDNYSVLFG


GGTKLTVL.






The two scFvs can be linked by a synthetic peptide linker that comprises one of the TLR activating peptide sequences, such as those described in Table 3. The constructs are thereafter named as Binder 1-linker-Binder 2, such as, CD5-RS01-CD16, having an RS01 TLR activating peptide sequence in the linker; or, CD5-RS09-CD16, having an RS01 TLR activating peptide sequence in the linker, as shown in FIG. 3F, or FIG. 3H respectively. Sequence verified clones are then expressed in a suitable cell and the protein is detected by gel migration using molecular markers and western blot, using a suitable positive control.


An exemplary bispecific or trispecific engager can comprise the sequence: METDTLLLWVLLLWVPGSTG (SEQ ID NO: 148) or any other useful leader sequence.


An exemplary bispecific or trispecific engager can comprise the sequence: HHHHHH (SEQ ID NO: 149) or any other useful affinity tag.


An exemplary bispecific or trispecific engager can comprise the sequence: ENLYFQG (SEQ ID NO: 150) or any other useful protease cleavage sequence.


An exemplary bispecific or trispecific engager can comprise a first scFv comprising a variable heavy chain linked to a variable light chain via a first linker, which can be linked to a second scFv via a second linker, wherein the second scFv comprises a variable heavy chain linked to a variable light chain via a third linker. In some embodiments the second linker comprises a TLR activating peptide sequence, such as those described in Table 3. In some embodiments, the first linker has a length of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 or more amino acids. In some embodiments, the second linker has a length of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 or more amino acids. In some embodiments, the third linker has a length of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, or 20 or more amino acids.


An exemplary bispecific or trispecific engager can comprise the sequence: METDTLLLWVLLLWVPGSTGHHHHHHENLYFQGEIQLVQSGGGLVKPGGSVRISCAASGY TFTNYGMNWVRQAPGKGLEWMGWINTHTGEPTYADSFKGRFTFSLDDSKNTAYLQINSLR AEDTAVYFCTRRGYDWYFDVWGQGTTVTVSSsggggsSYVLTQPSSVSVAPGQTATISCGGH NIGSKNVHWYQQRPGQSPVLVIYQDNKRPSGIPERFSGSNSGNTATLTISGTQAMDEADYY CQVWDNYSVLFGGGTKLTVLggggQEINSSYggggsQVQLVQSGAEVKKPGESLKVSCKASG YTFTSYYMHWVRQAPGQGLEWMGIINPSGGSTSYAQKFQGRVTMTRDTSTSTVYMELSSL RSEDTAVYYCARGSAYYYDFADYWGQGTLVTVSSsggggsDIQMTQSPSSLSASVGDRVTITC RASQDINSYLSWFQQKPGKAPKTLIYRANRLESGVPSRFSGSGSGTDYTLTISSLQYEDFGIY YCQQYDESPWTFGGGTKLEIK (SEQ ID NO: 151). At least some linkers in this sequence are indicated as small letters.


An exemplary bispecific or trispecific engager can comprise the sequence: METDTLLLWVLLLWVPGSTGHHHHHHENLYFQGEIQLVQSGGGLVKPGGSVRISCAASGY TFTNYGMNWVRQAPGKGLEWMGWINTHTGEPTYADSFKGRFTFSLDDSKNTAYLQINSLR AEDTAVYFCTRRGYDWYFDVWGQGTTVTVSSsggggsSYVLTQPSSVSVAPGQTATISCGGH NIGSKNVHWYQQRPGQSPVLVIYQDNKRPSGIPERFSGSNSGNTATLTISGTQAMDEADYY CQVWDNYSVLFGGGTKLTVLggggAPPHALSggggsQVQLVQSGAEVKKPGESLKVSCKASG YTFTSYYMHWVRQAPGQGLEWMGIINPSGGSTSYAQKFQGRVTMTRDTSTSTVYMELSSL RSEDTAVYYCARGSAYYYDFADYWGQGTLVTVSSsggggsDIQMTQSPSSLSASVGDRVTITC RASQDINSYLSWFQQKPGKAPKTLIYRANRLESGVPSRFSGSGSGTDYTLTISSLQYEDFGIY YCQQYDESPWTFGGGTKLEIK (SEQ ID NO: 152). At least some linkers in this sequence are indicated as small letters.


An exemplary bispecific or trispecific engager can comprise the sequence:









(SEQ ID NO: 205)


EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVA





SITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYCAA





NPWPVAAPRSGTYWGQGTQVTVSSGSTGGGTGGAGGGAGSGGGSGGSGT





EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVA





LISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRF





RTAAQGTDYWGQGTQVTVSS.






An exemplary bispecific or trispecific engager can comprise the sequence:









(SEQ ID NO: 207)


EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVA





SITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYCAA





NPWPVAAPRSGTYWGQGTQVTVSSGSGGAPPHALSGGGAPPHALSGGGA





PPHALSGGSTEVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQ





APGKQRELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPE





DTAVYYCKRFRTAAQGTDYWGQGTQVTVSS.






Expression of the CD5-RS01-CD16 BiME is shown by SDS PAGE FIG. 3G (left) and by western blot in FIG. 3G (right) under reducing and non-reding gel electrophoresis as indicated. Expression of the CD5-RS09-CD16 BiME is shown by SDS PAGE FIG. 3I (left) and by western blot in FIG. 3I (right) under reducing and non-reding gel electrophoresis as indicated. These data demonstrate successful generation and expression of the TLR-activating sequence containing bispecific engagers. The engagers described above are tested in in vitro. A microparticle based phagocytosis assay was used to examine changes in phagocytosis. Briefly, streptavidin coupled fluorescent polystyrene microparticles (6 μm diameter) are conjugated with biotinylated recombinantly expressed and purified cancer ligand, in this case CD5. Myeloid cells cultured in presence of the beads and an engager protein, are incubated with the ligand coated microparticles for 1-4 h and the amount of phagocytosis was analyzed and quantified using flow cytometry.


Example 4. Trispecifc Engager (TriME) Design

In this example a design of a trispecific antigen-binding protein is set forth as follows. The trispecific antigen-binding protein comprises (a) a first domain (A) which specifically binds to human Scavenger/Phagocytic receptor; (b) a second domain (B) which is a danger signal receptor; and (c) a third domain (C) which specifically binds to a target antigen, wherein the domains are linked in the order H2N-(A)-(B)-(C)-COOH, H2N-(A)-(C)-(B)-COOH, H2N-(B)-(A)-(C)-COOH, H2N-(B)-(C)-(A)-COOH, H2N-(C)-(B)-(A)-COOH, or H2N-(C)-(A)-(B)-COOH by linkers L1 and L2 (FIG. 4A). The antigen binding domains are occupied with protease cleavable masking elements, which are activated by availability and contact with the protease. An exemplary nanobody design is shown in FIG. 4B. FIG. 4C provides a graphical view of a trispecific engager and an exemplary nature of function on a target tumor cell and a monocyte or macrophage. The trispecific engager structurally comprises a tumor recognition or tumor binding domain, a monocyte or macrophage receptor 1 binding domain, and a monocyte or macrophage receptor 2 binding domain (shown in inset on the top right corner of FIG. 4C). As an expected functional mode, the tumor binding domain binds to the target surface molecule (tumor antigen) of a tumor cell, while the two monocyte or macrophage receptors, B and A are bound respectively by the monocyte or macrophage receptor 1 binding domain, and the monocyte or macrophage receptor 2 binding domain of the trispecific engager. As shown in the figure, engagement of a receptor A and B, by the trispecific engager also operably linked with the tumor antigen by the tumor recognition domain, provides a Signal 1 and a Signal 2 to the monocyte or macrophage. The dual signal (Signal 1+Signal 2) activates the monocyte or macrophage thereby enhancing phagocytosis and activating an inflammatory cascade in this exemplary figure, which lead to phagocytic killing of the target cell.


Example 5. Antigen Binding Domain Masking Design

In this example, a generalized exemplary design for an engager having masked antigen binding domains is described in further detail. FIG. 5Ai is a diagrammatic representation of a bispecific engager with two scFV binders, scFv1, and scFv2. SdAb or diabody engagers can also be likewise constructed with necessary structural modifications, an exemplary diabody construct with two binders is represented in FIG. 5Aii. The antigen binding domains are masked by a peptide mask (1) that remains bound to the antigen binding portions of the diabody ABD1 and ABD2, linked at the N terminal portion of the light chain variable domain of ABD1 (3) of the first chain, or the light chain variable region of ABD2 of the second chain by a peptide linker (2). The peptide linker joining the mask with the light chain variable domains is a substrate for matrix metalloproteinase 2 (MMP2) substrate, having an amino acid sequence GPLGVR (SEQ ID NO: 118). The design allows passing of the masked diabody engager to pass through the circulation without binding to any substrate until MMP2 is available to cleave the linking peptide. It is understood that the cancer microenvironment is rich in MMP2. Therefore, the diabody engager is activated in a cancer microenvironment to bind its target cancer cell and the monocyte or macrophage with ABD1 and ABD2 respectively in a tumor environment. FIG. 5B exemplifies the nucleic acid construct of a single chain of a diabody. The nucleic acid construct comprises from 5′-3′ end a nucleic acid sequence encoding the mask peptide, a MMP2 linker, a sequence encoding ABD1 light chain (ABD1-LC), which is linked to a nucleic acid sequence encoding a peptide linker that joins with the ABD1-LC and ABD2-HC; followed by the nucleic acid sequence encoding the ABD2 HC.


Example 6. Modular Antigen Binding Engager Designs

In this example, several modular designs of binding domains represented by light chain heavy chain domains arranged on an antibody-like polypeptide structure as shown in FIG. 6. In one design, a common light chain is used to pair with two non-identical heavy chains in an IgG like structure, thereby rendering a bispecific binding domain that could be used in a bispecific or a trispecific engager design. In another model depicted herein, a chimeric bi- or trispecific engager uses a combination of an scFv joined to one arm of an usual antibody light and heavy chain combination. In one design, two scFvs replace the heavy chain-light chain paired regions, while the scFvs are connected by the constant regions of the heavy chains. In other designs as depicted herein, one or more scFvs may be conjugated to the Fc region. In yet other designs, one or more scFvs may be conjugated to the constant regions as side chains of an IgG like polypeptide.


Example 7. Use of Monocyte or Macrophage Specific Activators in an Engager for Activating Inflammatory Signal in Monocyte or Macrophage an Potentiating Phagocytosis

MD2 can bind to and activate TLR4 in response to LPS, as shown in the diagrammatic representation in FIG. 7A, upper panel. In an exemplary design, MD2 is constructed into a monocyte or macrophage specific engager, where the MD2, in addition to the tumor specific binding domain and the monocyte or macrophage specific binding domain associates with TLR4 receptors, and help in the dimerization of TLR4 receptors on the monocyte or macrophage thereby sending a monocyte or macrophage activating signal (Signal 2) that further potentiates the inflammatory activation and phagocytic killing of a target cancer cell by the monocyte or macrophage (FIG. 7B).


In another example, Herpes Virus Entry Mediator (HVEM) and its association with tumor necrosis factor (TNF)-related 2 (LIGHT) is exploited in designing an exemplary monocyte or macrophage specific engager that potentiates monocyte or macrophage effector functions. HVEM is a member of the TNFR superfamily and has two more ligands: HSV surface envelope gD and LTα. It is expressed on T cells, B cells, NK cells, monocytes, neutrophils, and DC. The LIGHT-HVEM interaction increased levels of phagocytosis, interleukin (IL)-8, TNF-α, nitric oxide (NO), and reactive oxygen species (ROS) in monocytes and neutrophils. In an exemplary design, a monocyte or macrophage specific engager comprises a LIGHT domain that can bind to HVEM. In a variation of the design, the LIGHT domain that binds to HVEM may be replaced by an agonist antibody of antigen binding domain that binds to HVEM, as shown in FIG. 8A. The corresponding mode of function of the engager is depicted graphically in FIG. 8B, where binding of the LIGHT domain with monocyte or macrophage associated HVEM activates an inflammatory signal (Signal 2) in the monocyte or macrophage, that potentiates its effector functions as a phagocytic cell.


In another example, GIRT associated activation signal is exploited in an exemplary monocyte or macrophage specific engager design that is shown in FIG. 9A. GIRT is expressed on monocytes or macrophages, and when bound by its ligand, GIRTL, it generates an inflammatory signal in the monocyte or macrophage, as depicted graphically in FIG. 9B.


Example 8. Use of Linkers with Sequences to Facilitate Accelerated Association within an Engager

In this example, monocyte or macrophage specific engagers are designed to have linkers between multi-specific binding domains that have complementarity to each other. FIG. 10A-FIG. 10C demonstrates exemplary designs which include leucine zipper domains, (FIGS. 10A and 10B) or rationally designed synthetic sequences comprising a complementary binding region (FIG. 10C). Exemplary linker sequences disclosed in the specification are used. In specific constructs linker domains are utilized that dimerize of trimerize, bringing useful domains in closer proximity. Shown in these figures are exemplary use of leucine zipper domains and coupling protein domains in binding heteromeric binder domains closer together.


Example 9. Screen for Selecting a Myeloid Cell Binder Domains

In this example, a screen is undertaken to select the cell surface molecules on a myeloid cell, or functional fragments thereof, that can be useful to design binding domains for engagers described herein. A binding domain can be a phagocytosis receptor engager or activator. As is now understood, not all phagocytic cell surface receptors on a phagocytic cell have equal ability to be induced or activated to generate proinflammatory signaling or in any way potentiate monocyte or macrophage effector functions. Hence, to harness monocytes or macrophages and other myeloid cells to kill cancer, a series of signal 1 and signal 2 targets are generated on myeloid cells. These targets were identified through the screening of materials associated with inflammation as well as immune tolerance.


This is done using a unique tool that uses proprietary arrays of expression vectors—encoding over 5,500 full-length human plasma membrane and tethered secreted proteins—spotted onto slides. Human cells are grown over the top become reverse-transfected resulting in cell surface expression of each respective protein at distinct slide locations. The test formulation is then applied and specific binding analyzed and confirmed using an appropriate detection system. These hits were then interrogated and examined as potential targets for monocyte or macrophage binding and modulation.


Specific useful binding agents, or domains identified from the screens are then reverse transcribed, and cloned into lentiviral expression vectors to generate the second binding domain or an engager BiME or TriME constructs. A recombinant nucleic acid encoding a BiMEs or TriMEs can generated using one or more domains from highly phagocytic receptor binding domains generated from the screen.


Example 10. Improved BiME Constructs with or without TLR Linkers

In this example, CD16 and HER2 binding BiMEs were designed and thereafter used and for functional validation. The method and designs used herein are useful in generating similar bispecific molecules with suitable binders. The exemplary HER2 binder is a Vhh derived from 5F7 antibody, which is shown to bind to HER2 with a high affinity (Kd=0.51 nM). Graphically represented in the top panel of FIG. 11A. The CD16 binder that tethers to a myeloid cell surface bound CD16, is a Vhh, derived from anti-llama C21 antibody for CD16, and has a reported KD value of 10 nM. The TLR agonist peptide linker is RS09, a synthetic Toll Like Receptor-4 (TLR-4) agonist peptide. Graphically represented in the bottom panel of FIG. 11A. The constructs are expressed in 293Expi cells and purified through Ni-NTA columns to obtain a high yield. Expression of both the constructs were checked by gel electrophoresis. Shown in the image at the right side in FIG. 11A, both the constructs could be generated with a high yield and with 98% purity. Expression of the constructs was verified with Anti-Vhh by flow cytometry (FIG. 11B).


The respective binding of the Vhh binders of the BiMEs were tested by binding to SKOV3 cells which are HER2+ tumor cells for binding to HER2, and for binding to CD16+ beads. Data shown in FIGS. 12A-12B, and also in FIGs. 15A and 15B. Interestingly, the effect of the BiMEs exhibit improved target cell specific killing in vitro than Trastuzumab (Herceptin), a monoclonal HER2 receptor antagonist antibody. Data shown in FIGS. 13, 16 and 17 demonstrate the above. Specifically, FIGS. 16 and 17 show that the BiMEs induces stronger ADCC than Trastuzumab at the same concentrations used. The construct with TLR agonist peptide linker showed even higher cytotoxicity than the construct with the GGGGS linker (SEQ ID NO: 146). These data indicate that the HER2xCD16 BiMEs are highly effective in target cell killing and specific killing of SKOV3 by BiME TLR and BiME are stronger than Trastuzunab. However an enhanced cytokine/chemokine secretion was not observed, as shown in the FIGs. 14A, 14B and 14C.


Example 11. Improved TRiME Constructs

Initial designs for trispecific engager (TRiME) utilizing a coiled-coil mediated multimerization domain as shown in FIG. 18 were further improved utilizing multimerization with CD40L, which can trimerize giving rise to structures as shown graphically in FIGS. 19, 20A, 26B and 26C. In each unit configuration a CD40 can be fused with a Vhh1 or a Vhh2, in addition to a third binding and activator domain conferred by the CD40L itself, that binds an anti-CD40L receptor on a myeloid cell. Vhh1 binders that can be designed can include anti-HER2, anti-TROP2, anti-GPC3, anti-CD70, and practically any possible binder, each targeting an antigen on a cancer cell and/or on a myeloid cell. Usually, Vhh2 binders are designed such that each recognize a target on the surface of a myeloid cell, e.g., CD16, CD64, CD89, CD351, FcεR1A. In a further improvement in design, shown in FIGS. 20A and 20B and others, an IgG Fc chain is used to provide linkage and scaffold to attach the Vhh1 and Vhh2 domains connected by short linkers and one end, and the CD40 ligand at the other end. Additional disulfide bridges between two Ig chains near the Vhh proximal terminus were helpful in providing structural stability. In an exemplary construct, PS002, IgGA Fc region was used as a connecting domain between the Vhh domains and the CD40L domain. The IgGA Fc is a “cross-isotype,” which is an engineered human Fc antibody domain that displays both IgG-like and IgA-like effector functions. A graphical representation is shown in FIG. 20A, and the sequence with the individual domains depicted are shown in FIG. 20B. In another design, IgG4 Fc is used (FIG. 19).


For increased stability, the Fc chains of a dimer were modified to contain knob-in hole configuration. In another design, the immunoglobulin Fc domains with knob and hole are used to create heterodimeric bispecific and trispecific engagers. For example, one subunit of the heterodimer can have a CD40L and a Vhh1 domains at the two termini of an Fc chain, and the other subunit of the heterodimer can have a CD40L and a Vhh2 domains at the two termini of an Fc chain, wherein the two Fc chains are in a knob and hole configuration, as shown in FIG. 21A. A respective construct exemplary of the design described above, the PS003/4 construct is shown in FIG. 21A, and its full amino acid sequence describing each structural segment is shown in FIG. 21B. Anti-HER2-Ig Fc Knob-CD40L polypeptide construct (PS0003) was designed for Vhh1 sequence having binding specificity to HER2, which is expressed on a cancer cell; and Anti-CD16-Ig Fc Hole-CD40L polypeptide construct (PS0004) was designed for Vhh2 sequence having binding specificity to CD16, which is expressed on a myeloid cell. Upon CD40L trimerization, the polypeptide can be represented as depicted in the schematic diagram FIG. 21A. The knob-hole Ig configurations hold the structure together in a manner such that the cancer (target) cell binder and the myeloid (effector) cell binder are in two arm-like projections. Binding data shown in FIG. 22 and FIG. 23 indicates high specificity to HER2 by the Vhh1, to CD16 by Vhh2 engagement by the constructs, as well as CD40L binding. TRiME engagers Anti-HER2 VHH-CD16 VHH-IgGA Fc (PS002) and Anti-HER2 and Anti-CD16 Vhh in Knob and Hole configuration (PS003/4) were tested for killing HER2 expressing target cell (SKOV3) in direct comparison with Trastuzumab. Cytotoxicity was tested as follows: GFP-SKOV3 cells were co-cultured with human PBMC in the presence of Trastuzumab, or the respective polypeptide constructs each at concentration 10 nM over 3 days in Incucyte. GFP+ cell counts were quantified by Incucyte and plotted. Surprisingly, in such a head to head comparison with Trastuzumab, TRiMEs were found to be superior in ADCC mediated killing target cells over Trastuzumab. FIG. 24 exhibits representative results. This was highly unexpected, given that Trastuzumab, the antibody well-known for ADCC cytotoxicity is the standard of care for HER2+ cancers. Thus these TRiME designs superseded expectations of success in tumor cell killing by directly engaging human myeloid cells. Also antitumor cytokines were highly elevated as a result of treatment with the TRiMEs (FIG. 25).


Another design of the IgA/Fc linker is shown schematically in FIG. 34. In this design, disulfide bridges are introduced within the linkers to increase the stability of the two polypeptides.


Example 12. Circular Permuted CD40 (CD40-CP) Based TRiMEs

A further modification of the biologic designs shown above were then contemplated, in which two binding domains (a Vhh1, and a Vhh2) could be fused with a single CD40L unit. This would ensure greater availability of engagers per unit oligomerized TRiMEs. However, wild-type CD40L is not amenable to simultaneous additions of engagers (Vhh domains) to both N and C terminal domains of CD40L simultaneously and results in low or no expression of the molecule. Upon careful observation of the three dimensional structures of the CD40L molecules in trimer form it was understood that steric hindrance is most likely the issue due to the proximity of the N and C termini to each other.



FIG. 26A showing the three dimensional structure of a CD40L trimer illustrates it. It was understood that the N and C terminal could be too close for fusion with Vhh. To solve the problem, circular permutation was thought of as a potential solution to the issue of steric hindrance. If successful, it could enable the expression of a bispecific biologic molecules to be fused on a single CD40L backbone with potential trimerization ability. Therefore, a circular permutated CD40 was designed to avoid steric hindrance when fusing with Vhh. CD40_CP (FIG. 26B) is circular permutated CD40. The structural design and a graphic representation of the mode of action of the mature trimerized CD40_CP TRiMEs are shown in FIG. 26B, and FIG. 26C respectively.



FIG. 27A shows the circular permutated CD40_CP construction at the molecular level. In order to perform the circular permutated CD40_CP construction, critical residues for CD40 binding were first identified, in order to avoid mutating them. Next, critical regions of interest were identified for CD40L trimerization (indicated in the FIG. 27A as CD40 binding critical). Loops of interest within the protein were then identified, which could be cut. Finally, a cut was introduced at potential sites and short linkers were fused at the newly generated C and N terminals at the cut site, thereby linking them. Five cut sites are illustrated in the figure, relative to the structural elements that were avoided. FIG. 27B shows the position of the cut sites in a 3-D structure model. The sequences annotated for the structural elements are shown in FIGS. 28A-28C. Finally, the polypeptide constructs were expressed and purified. Gel electrophoresis for detection of the overexpressed polypeptides were verified (FIG. 29). It was seen that a polypeptide generated with a CS1 cut, as indicated previously was only weakly expressed and had an unknown lower band. A polypeptide resulting from a CS2 cut also expressed poorly, while a polypeptide resulting from a CS3 cut was not detectable by the methods used herein. On the other hand, polypeptides resulting from a CS4 and CS5 cuts were well expressed and is designated as CD40_CP4 or PS013 and CD40_CP5 or PS014 respectively hereafter. FIG. 30 shows the fully expressed multimerized form of PS013 and PS014 at the ideal molecular weight range in a non-denaturing gel. These two polypeptide constructs showed specific target antigen and cell binding as demonstrated in FIG. 3I. In an assay for cytotoxicity in vitro, the CD40_CP constructs showed immense improvement with both the CD40_CP4 and CD40_CP5, and each of these were markedly more potent in killing HER2 specific cancer cells than Trastuzumab (FIG. 32). Comparison of cytokine release also indicated remarkably increased secretion of IL-1β, IL-6 and TNF-alpha (FIG. 33). Upon testing the CD40L constructs, the human CD40 ligands within the constructs were found to be cross-reactive to mouse CD40, which allows testing of the constructs in mice model (FIG. 35).


Sample TRiME designs constructed are listed in Table 4.












TABLE 4







Binding



Construct ID
Type
Domain
CD40L







Anti-HER2 VHH-CD16
CD40L-IgGA
HER2_Vhh;
Native


VHH-IgG/A Fc-CD40L
Based TriME
CD16_Vhh
CD40L


Sequence


Anti-HER2-Ig Fc Knob-
CD40L-IgG
HER2_Vhh;
Native


CD40L Sequence: Anti-
knob-in-hole
CD16_Vhh
CD40L


CD16-Ig Fc Hole-
Based TriME


CD40L Sequence


Anti-CD16 -CD40L-CS4-
CD40L_CP
HER2_Vhh;
CD40L


Anti-HER2
Based TriME
CD16_Vhh
Circular





Permutation





v4


Anti-CD16 -CD40L-CS5-
CD40L_CP
HER2_Vhh;
CD40L


Anti-HER2
Based TriME
CD16_Vhh
Circular





Permutation





v5









Specific sequences are disclosed in Table 5.











TABLE 5





Name
Type
Sequence







Anti-HER2
Full
MRRMQLLLLIALSLALVTNSEVQLVESGGGLVQAGGSLRLSC


VHH-CD16
sequence
AASGITFSINTMGWYRQAPGKQRELVALISSIGDTYYADSVKG


VHH-

RFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRFRTAAQGTDY


IgG/A Fc-

WGQGTQVTVSSGGGGSGGGGSGGGGSGGGGSEVQLVESGGE


CD40L

LVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVASITW


Sequence

SGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYC


(PS002)

AANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSGSGSGSEPKSC




DKTHTCPPCPAPELLGGPSVFLFPPALEDLLLGSEANGVTCVVV




DVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVL




TVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKSGNTFRPEV




HLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQELPRE




KYLTWASRQEPSQGTTTFAVTSILRVAAEDWKKGDTFSCMVGH




EALPLAFTQKTIDRTSGGSGGTGGSGGTGGSNPQIAAHVISEASS




KTTSVLQWAEKGYYTMSNNLVTLENGKQLTVKRQGLYYIYAQ




VTFCSNREASSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCG




QQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKL




(SEQ ID NO: 153)



Signal
MRRMQLLLLIALSLALVTNS



Peptide
(SEQ ID NO: 154)



5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGK



HER2
QRELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKP



Vhh
EDTAVYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 155)



(G4S)4
GGGGSGGGGSGGGGSGGGGS



Linker
(SEQ ID NO: 156)



C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGK



CD16
EREFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLK



Vhh
PEDTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 157)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




IgGA_
EPKSCDKTHTCPPCPAPELLGGPSVFLFPPALEDLLLGSEANGVT



Fc
CVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRV




VSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKSGNTFR




PEVHLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQELP




REKYLTWASRQEPSQGTTTFAVTSILRVAAEDWKKGDTFSCMV




GHEALPLAFTQKTIDR (SEQ ID NO: 158)



17 aa
TSGGSGGTGGSGGTGGS (SEQ ID NO: 160)



Linker




CD40L
NPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLT




VKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRA




ANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTG




FTSFGLLKL (SEQ ID NO: 161)





Anti-HER2
Full
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGK


VHH-CD16
sequence
QRELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKP


VHH-

EDTAVYYCKRFRTAAQGTDYWGQGTQVTVSSGGGGSGGGGSG


IgG/A Fc-

GGGSGGGGSEVQLVESGGELVQAGGSLRLSCAASGLTFSSYNM


CD40L

GWFRRAPGKEREFVASITWSGRDTFYADSVKGRFTISRDNAKNT


Sequence

VYLQMSSLKPEDTAVYYCAANPWPVAAPRSGTYWGQGTQVTV


(PS002)

SSGSGSGSGSGSGSEPKSCDKTHTCPPCPAPELLGGPSVFLFPPAL


(without

EDLLLGSEANGVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKT


signal

KPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPAPI


peptide

EKTISKAKSGNTFRPEVHLLPPPSEELALNELVTLTCLARGFSPK


sequence)

DVLVRWLQGSQELPREKYLTWASRQEPSQGTTTFAVTSILRVAA




EDWKKGDTFSCMVGHEALPLAFTQKTIDRTSGGSGGTGGSGGT




GGSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENG




KQLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFER




ILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQV




SHGTGFTSFGLLKL (SEQ ID NO: 211)





Anti-
Full
MRRMQLLLLIALSLALVTNSEVQLVESGGGLVQAGGSLRLSCAA


HER2-Ig
sequence
SGITFSINTMGWYRQAPGKQRELVALISSIGDTYYADSVKGRFTIS


Fc Knob-

RDNAKNTVYLQMNSLKPEDTAVYYCKRFRTAAQGTDYWGQGT


CD40L

QVTVSSGSGSGSGSGSGSEPKSCDKTHTCPPCPAPELLGGPSVFLF


Sequence

PPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGVEVHNA


(PS003

KTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSNKALPA


Knob

PIEKTISKAKGQPREPQVYTLPPSRKELTKNQVSLTCLVKGFYPSD


Sequence)

IAVEWESNGQPENNYKTTPPVLKSDGSFFLYSKLTVDKSRWQQG




NVFSCSVMHEALHNHYTQKSLSLSPTSGGSGGTGGSGGTGGSNP




QIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLTVK




RQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRAAN




THSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTS




FGLLKL (SEQ ID NO: 162)



Signal
MRRMQLLLLIALSLALVTNS



Peptide
(SEQ ID NO: 154)



5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQ



HER2
RELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPED



Vhh
TAVYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 163)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




IgG1
EPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTC



Knob Fc
VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVV




SVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQ




VYTLPPSRKELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNY




KTTPPVLKSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHN




HYTQKSLSLSP (SEQ ID NO: 164)



17 aa
TSGGSGGTGGSGGTGGS (SEQ ID NO: 160)



Linker




CD40L
NPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLT




VKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRA




ANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGF




TSFGLLKL (SEQ ID NO: 161)





Anti-
Full
MRRMQLLLLIALSLALVTNSEVQLVESGGELVQAGGSLRLSCAA


CD16-Ig
sequence
SGLTFSSYNMGWFRRAPGKEREFVASITWSGRDTFYADSVKGRF


Fc Hole-

TISRDNAKNTVYLQMSSLKPEDTAVYYCAANPWPVAAPRSGTY


CD40L

WGQGTQVTVSSGSGSGSGSGSGSEPKSCDKTHTCPPCPAPELLGG


Sequence

PSVFLFPPKPKDTLMISRTPEVTCVVVDVSHEDPEVKFNWYVDGV


(PS004

EVHNAKTKPREEQYNSTYRVVSVLTVLHQDWLNGKEYKCKVSN


Hole

KALPAPIEKTISKAKGQPREPQVYTLPPSRDELTKNQVSLTCLVKG


Sequence)

FYPSDIAVEWESNGQPENNYDTTPPVLDSDGSFFLYSDLTVDKSR




WQQGNVFSCSVMHEALHNHYTQKSLSLSPTSGGSGGTGGSGGTG




GSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQL




TVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRA




ANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGF




TSFGLLKL (SEQ ID NO: 165)



Signal
MRRMQLLLLIALSLALVTNS (SEQ ID NO: 154)



Peptide




C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 166)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




IgG1
EPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCV



Hole Fc
VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSV




LTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYT




LPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYDTTPP




VLDSDGSFFLYSDLTVDKSRWQQGNVFSCSVMHEALHNHYTQKS




LSLSP (SEQ ID NO: 167)



17 aa
TSGGSGGTGGSGGTGGS (SEQ ID NO: 160)



Linker




CD40L
NPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLTV




KRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRAAN




THSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSF




GLLKL (SEQ ID NO: 161)





Anti-
Full
MGWSLILLFLVAVATRVLSEVQLVESGGELVQAGGSLRLSCAAS


CD16-
sequence
GLTFSSYNMGWFRRAPGKEREFVASITWSGRDTFYADSVKGRFT


CD40L_

ISRDNAKNTVYLQMSSLKPEDTAVYYCAANPWPVAAPRSGTYW


CS1-Anti-

GQGTQVTVSSGSGSGSGSGSGSVTLENGKQLTVKRQGLYYIYAQ


HER2

VTFCSNREASSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQ


TriME

QSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGG




SGGGGSGGGGSGGGGSNPQIAAHVISEASSKTTSVLQWAEKGYY




TMSGSGSGSGSGSGSEVQLVESGGGLVQAGGSLRLSCAASGITFS




INTMGWYRQAPGKQRELVALISSIGDTYYADSVKGRFTISRDNAK




NTVYLQMNSLKPEDTAVYYCKRFRTAAQGTDYWGQGTQVTVSS




AHHHHHHHHHH (SEQ ID NO: 168)



Signal
MGWSLILLFLVAVATRVLS (SEQ ID NO: 169)



Peptide




C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
VTLENGKQLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKS



Permuted
PGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVT



CD40L
DPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSNPQIA




AHVISEASSKTTSVLQWAEKGYYTMS (SEQ ID NO: 171)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQ



HER2
RELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPE



Vhh
DTAVYYCKRFRTAAQGTDYWGQGTQVTVS (SEQ ID NO: 214-172)



His tag
AHHHHHHHHHH (SEQ ID NO: 173)





Anti-
Full
MGWSLILLFLVAVATRVLSEVQLVESGGELVQAGGSLRLSCAAS


CD16-
sequence
GLTFSSYNMGWFRRAPGKEREFVASITWSGRDTFYADSVKGRFT


CD40L_

ISRDNAKNTVYLQMSSLKPEDTAVYYCAANPWPVAAPRSGTYW


CS2-Anti-

GQGTQVTVSSGSGSGSGSGSGSQLTVKRQGLYYIYAQVTFCSNR


HER2

EASSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGG


TriME

VFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGS




GGGGSGGGGSPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLV




TLEGSGSGSGSGSGSEVQLVESGGGLVQAGGSLRLSCAASGITFSI




NTMGWYRQAPGKQRELVALISSIGDTYYADSVKGRFTISRDNAK




NTVYLQMNSLKPEDTAVYYCKRFRTAAQGTDYWGQGTQVTVS




SAHHHHHHHHHH (SEQ ID NO: 174)



Signal
MGWSLILLFLVAVATRVLS (SEQ ID NO: 169)



Peptide




C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
QLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILL



Permuted
RAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGT



CD40L
GFTSFGLLKLGGGGSGGGGSGGGGSGGGGSPQIAAHVISEASSKT




TSVLQWAEKGYYTMSNNLVTLE (SEQ ID NO: 175)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQ



HER2
RELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPED



Vhh
TAVYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)



His tag
AHHHHHHHHHH (SEQ ID NO: 173)





Anti-
Full
MGWSLILLFLVAVATRVLSEVQLVESGGELVQAGGSLRLSCAAS


CD16-
sequence
GLTFSSYNMGWFRRAPGKEREFVASITWSGRDTFYADSVKGRFT


CD40L_

ISRDNAKNTVYLQMSSLKPEDTAVYYCAANPWPVAAPRSGTYW


CS3-Anti-

GQGTQVTVSSGSGSGSGSGSGSGLYYIYAQVTFCSNREASSQAPF


HER2

IASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGA


TriME

SVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGG




GSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQ




LTVGSGSGSGSGSGSEVQLVESGGGLVQAGGSLRLSCAASGITFSI




NTMGWYRQAPGKQRELVALISSIGDTYYADSVKGRFTISRDNAK




NTVYLQMNSLKPEDTAVYYCKRFRTAAQGTDYWGQGTQVTVSS




AHHHHHHHHHH (SEQ ID NO: 176)



Signal
MGWSLILLFLVAVATRVLS (SEQ ID NO: 169)



Peptide




C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
GLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRAANTHS



Permuted
SAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLL



CD40L
KLGGGGSGGGGSGGGGSGGGGSNPQIAAHVISEASSKTTSVLQWA




EKGYYTMSNNLVTLENGKQLTV (SEQ ID NO: 177)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQ



HER2
RELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPED



Vhh
TAVYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)



His tag
AHHHHHHHHHH (SEQ ID NO: 173)





Anti-
Full
MGWSLILLFLVAVATRVLSEVQLVESGGELVQAGGSLRLSCAASG


CD16-
sequence
LTFSSYNMGWFRRAPGKEREFVASITWSGRDTFYADSVKGRFTISR


CD40L_

DNAKNTVYLQMSSLKPEDTAVYYCAANPWPVAAPRSGTYWGQG


CS4-Anti-

TQVTVSSGSGSGSGSGSGSSSQAPFIASLCLKSPGRFERILLRAANT


HER2

HSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFG


TriME

LLKLGGGGGGGGSGGGGSGGGGSNPQIAAHVISEASSKTTSVLQ




WAEKGYYTMSNNLVTLENGKQLTVKRQGLYYIYAQVTFCSGSGS




GSGSGSGSEVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWY




RQAPGKQRELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQM




NSLKPEDTAVYYCKRFRTAAQGTDYWGQGTQVTVSSAHHHHH




HHHHH (SEQ ID NO: 178)



Signal
MGWSLILLFLVAVATRVLS (SEQ ID NO: 169)



Peptide




C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
R



Vhh
EFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPED




T




AVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
SSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFE



Permuted
LQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGG



CD40L
SGGGGSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLEN




GKQLTVKRQGLYYIYAQVTFCS (SEQ ID NO: 179)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQR



HER2
ELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTA



Vhh
VYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)



His tag
AHHHHHHHHHH (SEQ ID NO: 173)





Anti-
Full
MGWSLILLFLVAVATRVLSEVQLVESGGELVQAGGSLRLSCAASG


CD16-
sequence
LTFSSYNMGWFRRAPGKEREFVASITWSGRDTFYADSVKGRFTISR


CD40L_

DNAKNTVYLQMSSLKPEDTAVYYCAANPWPVAAPRSGTYWGQG


CS5-Anti-

TQVTVSSGSGSGSGSGSGSFERILLRAANTHSSAKPCGQQSIHLGG


HER2

VFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSG


TriME

GGGSGGGGSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVT




LENGKQLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKGSGS




GSGSGSGSEVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWY




RQAPGKQRELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQM




NSLKPEDTAVYYCKRFRTAAQGTDYWGQGTQVTVSSAHHHHHH




HHHH (SEQ ID NO: 180)



Signal
MGWSLILLFLVAVATRVLS (SEQ ID NO: 169)



Peptide




C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
FERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQ



Permuted
VSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSNPQIAAHVIS



CD40L
EASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLTVKRQGLYYIY




AQVTFCSNREASSQAPFIASLCLK (SEQ ID NO: 181)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQR



HER2
ELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTA



Vhh
VYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)



His tag
AHHHHHHHH (SEQ ID NO: 215 173)





Anti-
Full
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE


CD16-
sequence
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE


CD40L_

DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSGSGS


CS4-Anti-

GSSSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGV


HER2

FELQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGG


TriME

GGSGGGGSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTL


(without a

ENGKQLTVKRQGLYYIYAQVTFCSGSGSGSGSGSGSEVQLVESGG


signal

GLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVALISSIG


sequence)

DTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRFR




TAAQGTDYWGQGTQVTVSS (SEQ ID NO: 202)



C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
R



Vhh
EFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPED




T




AVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
SSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFE



Permuted
LQPGASVFVNVTDPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGG



CD40L
SGGGGSNPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLEN




GKQLTVKRQGLYYIYAQVTFCS (SEQ ID NO: 179)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQR



HER2
ELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTA



Vhh
VYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)





Anti-
Full
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE


CD16-
sequence
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE


CD40L_

DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSGSGS


CS5-anti-

GSFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTD


HER2

PSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSNPQIAA


TriME

HVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLTVKRQGL


(without a

YYIYAQVTFCSNREASSQAPFIASLCLKGSGSGSGSGSGSEVQLVE


signal

SGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVAL


sequence)

ISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYC




KRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 203)



C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
FERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQ



Permuted
VSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSNPQIAAHVIS



CD40L
EASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLTVKRQGLYYIY




AQVTFCSNREASSQAPFIASLCLK (SEQ ID NO: 181)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQR



HER2
ELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTA



Vhh
VYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)





Anti-HER2
Full
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQR


VHH-CD16
sequence
ELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTA


VHH-

VYYCKRFRTAAQGTDYWGQGTQVTVSSGGGGSGGGGGGGGSG


IgG/A Fc-

GGGSEVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRA


CD40L

PGKEREFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSS


Sequence

LKPEDTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSG


(without

SGSGSEPKSCDKTHTCPPCPAPELLGGPSVFLFPPALEDLLLGSEAN


the signal

GVTCVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTY


sequence)

RVVSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKSGNTF




RPEVHLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQELP




REKYLTWASRQEPSQGTTTFAVTSILRVAAEDWKKGDTFSCMVG




HEALPLAFTQKTIDRTSGGSGGTGGSGGTGGSNPQIAAHVISEASS




KTTSVLQWAEKGYYTMSNNLVTLENGKQLTVKRQGLYYIYAQVT




FCSNREASSQAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSI




HLGGVFELQPGASVFVNVTDPSQVSHGTGFTSFGLLKL (SEQ ID




NO: 208)



5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGK



HER2
QRELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKP



Vhh
EDTAVYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)



(G4S)4
GGGGSGGGGSGGGGSGGGGS



Linker
(SEQ ID NO: 156)



C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGK



CD16
EREFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLK



Vhh
PEDTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS




(SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




IgGA
EPKSCDKTHTCPPCPAPELLGGPSVFLFPPALEDLLLGSEANGVT



Fc
CVVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRV




VSVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKSGNTFR




PEVHLLPPPSEELALNELVTLTCLARGFSPKDVLVRWLQGSQELP




REKYLTWASRQEPSQGTTTFAVTSILRVAAEDWKKGDTFSCMV




GHEALPLAFTQKTIDR (SEQ ID NO: 158)



17 aa
TSGGSGGTGGSGGTGGS (SEQ ID NO: 160)



Linker




CD40L
NPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLT




VKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRA




ANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTG




FTSFGLLKL (SEQ ID NO: 161)





Anti-
Full
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE


CD16-Ig
sequence
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE


Fc Knob-

DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSGSGSG


CD40L

SEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTC


Sequence

VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVS


(without

VLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVY


the signal

TLPPSRKELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTP


peptide)

PVLKSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQK




SLSLSPTSGGSGGTGGSGGTGGSNPQIAAHVISEASSKTTSVLQWA




EKGYYTMSNNLVTLENGKQLTVKRQGLYYIYAQVTFCSNREASS




QAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQ




PGASVFVNVTDPSQVSHGTGFTSFGLLKL (SEQ ID NO: 209)



C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 166)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




IgG1
EPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTC



Knob Fc
VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVV




SVLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQ




VYTLPPSRKELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNY




KTTPPVLKSDGSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHN




HYTQKSLSLSP (SEQ ID NO: 164)



17 aa
TSGGSGGTGGSGGTGGS (SEQ ID NO: 160)



Linker




CD40L
NPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLT




VKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRA




ANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGF




TSFGLLKL (SEQ ID NO: 161)





Anti-
Full
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQR


HER2 Fc
sequence
ELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTA


Hole-

VYYCKRFRTAAQGTDYWGQGTQVTVSSGSGSGSGSGSGSEPKSC


CD40L

DKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVS


Sequence

HEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQ


(without

DWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRD


the signal

ELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYDTTPPVLDSD


sequence)

GSFFLYSDLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPT




SGGSGGTGGSGGTGGSNPQIAAHVISEASSKTTSVLQWAEKGYYT




MSNNLVTLENGKQLTVKRQGLYYIYAQVTFCSNREASSQAPFIAS




LCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVF




VNVTDPSQVSHGTGFTSFGLLKL (SEQ ID NO: 210)



5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQ



HER2
RELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPED



Vhh
TAVYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 163)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




IgG1
EPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCV



Hole Fc
VVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSV




LTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYT




LPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYDTTPP




VLDSDGSFFLYSDLTVDKSRWQQGNVFSCSVMHEALHNHYTQKS




LSLSP (SEQ ID NO: 167)



17 aa
TSGGSGGTGGSGGTGGS (SEQ ID NO: 160)



Linker




CD40L
NPQIAAHVISEASSKTTSVLQWAEKGYYTMSNNLVTLENGKQLTV




KRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILLRAAN




THSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGTGFTSF




GLLKL (SEQ ID NO: 161)





Anti-
Full
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE


CD16-
sequence
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE


CD40L_

DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSGSGSG


CS1-Anti-

SVTLENGKQLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKS


HER2

PGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTD


TriME

PSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGGGGGSNPQIAAH


(without

VISEASSKTTSVLQWAEKGYYTMSGSGSGSGSGSGSEVQLVESGG


signal

GLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVALISSIG


sequence)

DTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRFR




TAAQGTDYWGQGTQVTVSSAHHHHHHHHHH (SEQ ID NO: 250)



C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
VTLENGKQLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKS



Permuted
PGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVT



CD40L
DPSQVSHGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSNPQIA




AHVISEASSKTTSVLQWAEKGYYTMS (SEQ ID NO: 171)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQ



HER2
RELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPE



Vhh
DTAVYYCKRFRTAAQGTDYWGQGTQVTVS (SEQ ID NO: 214-172)



His tag
AHHHHHHHHHH (SEQ ID NO: 173)





Anti-
Full
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE


CD16-
sequence
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE


CD40L_

DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSGSGS


CS2-Anti-

GSQLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFER


HER2

ILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVS


TriME

HGTGFTSFGLLKLGGGGSGGGGSGGGGSGGGGSPQIAAHVISEAS


(without

SKTTSVLQWAEKGYYTMSNNLVTLEGSGSGSGSGSGSEVQLVES


signal

GGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVALIS


sequence)

SIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCK




RFRTAAQGTDYWGQGTQVTVSSAHHHHHHHHHH (SEQ ID NO: 238)



C21 Anti-
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE



CD16
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE



Vhh
DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSS (SEQ ID NO: 170)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




Circular
QLTVKRQGLYYIYAQVTFCSNREASSQAPFIASLCLKSPGRFERILL



Permuted
RAANTHSSAKPCGQQSIHLGGVFELQPGASVFVNVTDPSQVSHGT



CD40L
GFTSFGLLKLGGGGSGGGGSGGGGSGGGGSPQIAAHVISEASSKT




TSVLQWAEKGYYTMSNNLVTLE (SEQ ID NO: 175)



(GS)6
GSGSGSGSGSGS (SEQ ID NO: 159)



Linker




5F7 Anti-
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQ



HER2
RELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPED



Vhh
TAVYYCKRFRTAAQGTDYWGQGTQVTVSS (SEQ ID NO: 172)



His tag
AHHHHHHHHHH (SEQ ID NO: 173)





Anti-
Full
EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQR


HER2-Ig
sequence
ELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTA


Fc Knob-

VYYCKRFRTAAQGTDYWGQGTQVTVSSGSGSGSGSGSGSEPKSC


CD40L

DKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTCVVVDVS


Sequence

HEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVSVLTVLHQ


(without

DWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVYTLPPSRK


signal

ELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYKTTPPVLKSD


peptide)

GSFFLYSKLTVDKSRWQQGNVFSCSVMHEALHNHYTQKSLSLSPT




SGGSGGTGGSGGTGGSNPQIAAHVISEASSKTTSVLQWAEKGYYT




MSNNLVTLENGKQLTVKRQGLYYIYAQVTFCSNREASSQAPFIAS




LCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQPGASVF




VNVTDPSQVSHGTGFTSFGLLKL (SEQ ID NO: 212)





Anti-
Full
EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKE


CD16-Ig
sequence
REFVASITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPE


Fc Hole-

DTAVYYCAANPWPVAAPRSGTYWGQGTQVTVSSGSGSGSGSGSG


CD40L

SEPKSCDKTHTCPPCPAPELLGGPSVFLFPPKPKDTLMISRTPEVTC


Sequence

VVVDVSHEDPEVKFNWYVDGVEVHNAKTKPREEQYNSTYRVVS


(without

VLTVLHQDWLNGKEYKCKVSNKALPAPIEKTISKAKGQPREPQVY


signal

TLPPSRDELTKNQVSLTCLVKGFYPSDIAVEWESNGQPENNYDTTP


sequence)

PVLDSDGSFFLYSDLTVDKSRWQQGNVFSCSVMHEALHNHYTQK




SLSLSPTSGGSGGTGGSGGTGGSNPQIAAHVISEASSKTTSVLQWA




EKGYYTMSNNLVTLENGKQLTVKRQGLYYIYAQVTFCSNREASS




QAPFIASLCLKSPGRFERILLRAANTHSSAKPCGQQSIHLGGVFELQ




PGASVFVNVTDPSQVSHGTGFTSFGLLKL (SEQ ID NO: 213)









The aforementioned data indicate that highly efficient and potent biologics have been devised that can be used for antitumor therapy. Using the method described above, a CD40-CP is likewise designed, that binds to a target of interest on any target cell. For example, a Vhh is designed that binds to a cancer cell target, for example, wherein the antigen of the target cell is HER2, TROP2, GPC3, or CD70. For example another Vhh is designed that can bind to a myeloid cell, for example, wherein the antigen of the myeloid cell is CD16, CD64, CD89, CD351, or FCER1A. In any one of the sequences, compositions are contemplated that lack a His Tag or a leader sequence or in which any one of the domains are swapped, and one of skill in the art easily understands the sequence of the aforesaid polypeptide without having the sequence explicitly mentioned.


Example 13. Construction of Exemplary BiME Engagers with Functional Linkers

An anti-CD16-Vhh-anti-HER2 Vhh BiME construct was generated. The anti-CD16-Vhh-anti-HER2 Vhh has the following sequence:









(SEQ ID NO: 205)



EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVA







SITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYCAA







NPWPVAAPRSGTYWGQGTQVTVSS
GSTGGGTGGAGGGAGSGGGSGGSGT







EVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQAPGKQRELVA







LISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPEDTAVYYCKRF







RTAAQGTDYWGQGTQVTVSS;








in which, the anti-CD16-Vhh sequence is denoted by underlining, the linker sequence is denoted in italics and the anti-HER2 Vhh sequence is denoted in bold.


An anti-CD16 Vhh-(TLR)3-anti-HER2 Vhh BiME construct was generated having a sequence:









(SEQ ID NO: 207)



EVQLVESGGELVQAGGSLRLSCAASGLTFSSYNMGWFRRAPGKEREFVA







SITWSGRDTFYADSVKGRFTISRDNAKNTVYLQMSSLKPEDTAVYYCAA







NPWPVAAPRSGTYWGQGTQVTVSSGSGGAPPHALSGGGAPPHALSGGGA







PPHALSGGSTEVQLVESGGGLVQAGGSLRLSCAASGITFSINTMGWYRQ







APGKQRELVALISSIGDTYYADSVKGRFTISRDNAKNTVYLQMNSLKPE







DTAVYYCKRFRTAAQGTDYWGQGTQVTVSS;








in which, the anti-CD16 Vhh is denoted by underlining, the linker is GSGGAPPHALSGGGAPPHALSGGGAPPHALSGGST (SEQ ID NO: 206), and the TLR3 agonist sequenced within the linker are marked in italics. The anti-HER2 Vhh sequence is marked in bold. In this construct the additional TLR3 agonist sequences serve as signals for an effector cell, e.g., a myeloid cell for potent inflammatory and phagocytic response.

Claims
  • 1-165. (canceled)
  • 166. A multi-specific multimeric engager comprising at least two polypeptide chains, each polypeptide chain of the at least two polypeptide chains comprises: (a) an antigen binding domain having a binding affinity to a specific antigen on a target cell or on an effector cell, and (b) a CD40 ligand or a functional fragment thereof, wherein the CD40 ligand forms a structural scaffold within the multi-specific multimeric engager; wherein the multi-specific multimeric engager comprises at least one binding domain comprising a myeloid cell engager that specifically interacts with an extracellular protein on a myeloid cell.
  • 167. The multi-specific multimeric engager of claim 166, wherein the effector cell is a myeloid cell.
  • 168. The multi-specific multimeric engager of claim 166, wherein the antigen binding domain having a binding affinity to the target cell is a target cell engager, and wherein the target cell engager and the myeloid cell engager are operatively linked.
  • 169. The multi-specific multimeric engager of claim 166, wherein the multi-specific multimeric engager is a bispecific or a trispecific engager.
  • 170. The multi-specific multimeric engager of claim 168, wherein each polypeptide chain of the at least two polypeptide chains further comprises a first myeloid cell engager, a second myeloid cell engager or a third myeloid cell engager; wherein the first myeloid cell engager, the second myeloid cell engager or the third myeloid cell engager binds to a first extracellular protein or a second extracellular protein or a third extracellular protein on a myeloid cell respectively, selected from a group consisting of lectin, dectin 1, CD206, scavenger receptor A1 (SRA1), MARCO, CD36, CD163, MSR1, SCARA3, COLEC12, SCARA5, SCARB1, SCARB2, CD68, OLR1, SCARF1, SCARF2, CXCL16, STAB1, STAB2, SRCRB4D, SSC5D, CD205, CD207, CD209, RAGE, CD14, CD16, CD64, F4/80, CCR2, CX3CR1, CSF1R, Tie2, HuCRIg(L), CD64, CD32a, CD16a, CD89, Fc-alpha receptor I, CR1, CD35, CR3, CR4, Tim-1, Tim-4 and CD169.
  • 171. The multi-specific multimeric engager of claim 166, wherein each polypeptide chain of the at least two polypeptide chains further comprises: (c) an immunoglobulin (Ig) domain; wherein the Ig domain comprises an IgG Fc domain, and wherein the IgG domain is selected from the group consisting of IgG1, IgG4 and IgGA.
  • 172. The multi-specific multimeric engager of claim 170, wherein each of the target cell engager, the first myeloid cell engager, the second myeloid cell engager and the third myeloid cell engager comprises a binding domain selected from a VH domain, a VL domain, a VNAR domain, a Vhh domain, a single chain variable fragment (scFv), an Fab, a single-domain antibody (sdAb), a nanobody, a bispecific antibody and a diabody.
  • 173. The multi-specific multimeric engager of claim 166, wherein the target cell engager binds to an antigen on a cancer cell, wherein the antigen on the cancer cell is HER2, TROP2, GPC3, or CD70.
  • 174. The multi-specific multimeric engager of claim 170, wherein the first extracellular protein, the second extracellular protein or the third extracellular protein on the myeloid cell is CD16, CD64, CD89, CD351, or FCER1A.
  • 175. The multi-specific multimeric engager of claim 166, wherein the at least two polypeptide chains comprise interacting domains or moieties that contact each other; wherein the interacting domains or moieties comprise modified IgG domains, wherein the modified IgG domains comprise a knob-in-hole structure, wherein the knob comprises IgG1 Fc (F409R), and wherein the hole comprises IgG1 Fc (K405L).
  • 176. The multi-specific multimeric engager of claim 166, wherein the CD40 ligand or the functional fragment thereof comprises a circular permutated CD40L.
  • 177. The multi-specific multimeric engager of claim 176, wherein the circular permutated CD40L comprises an N terminus or a C terminus which is engineered for the N terminus and the C terminus to connect to a binding domain simultaneously, and wherein the binding domain is selected from the target cell engager, the first myeloid cell engager, the second myeloid cell engager or the immunoglobulin (Ig) domain.
  • 178. The multi-specific multimeric engager of claim 177, wherein the circular permutated CD40L is engineered to connect the different binding domain at each of the N-terminus and the C-terminus via a linker.
  • 179. The multi-specific multimeric engager of claim 176, wherein the circular permutated CD40L comprises an amino acid sequence that is at least 90% identical to the sequence set forth in any one of SEQ ID NOs: 171, 175, 177, 179 or 181.
  • 180. The multi-specific multimeric engager of claim 166, wherein the antigen binding domain and the CD40 ligand or a functional fragment thereof on a polypeptide chain are connected by one or more linkers; wherein the one or more linkers are functionalized; and wherein the one or more linkers comprise a TLR activator peptide sequence.
  • 181. The multi-specific multimeric engager of claim 181, wherein the TLR activator peptide sequence comprises at least 3 repeats of a TLR4 peptide.
  • 182. The multi-specific multimeric engager of claim 181, wherein the TLR activator peptide sequence comprises a sequence selected from SEQ ID NOs. 105, 129, 123, 130, 106, 131, 107, 132, 124, 133, 108, 134, 125, 135, 126, 136, 109, 137, 127, 138, 110, 139, 128, 140, 204 and 206.
  • 183. The multi-specific multimeric engager of claim 166, wherein the polypeptide chain comprises an amino acid sequence that has at least 90% identity to any one of the polypeptides selected from the group having SEQ ID NOs: 151, 152, 153, 162, 165, 168, 174, 176, 178, 180, 202, 203, 205, 207, 208, 209, 210, 211, 212, 213, 238, 240, 241, 242, 243, 244, 245, 247, 248, and 250.
  • 184. At least one polynucleotide encoding the multi-specific multimeric engager of claim 166.
  • 185. A method of treating a subject in need thereof, comprising administering to the subject a composition comprising the polynucleotide of claim 184.
CROSS REFERENCE

This application claims the benefit of U.S. Provisional Application No. 63/242,970, filed on Sep. 10, 2021, and U.S. Provisional Application No. 63/252,416, filed on Oct. 5, 2021, each of which is incorporated herein by reference in its entirety.

Provisional Applications (2)
Number Date Country
63242970 Sep 2021 US
63252416 Oct 2021 US
Continuations (1)
Number Date Country
Parent PCT/US22/43154 Sep 2022 WO
Child 18600288 US