Patent Application
20210128615
The present invention pertains to methods and compounds useful in a therapy involving the administration of immune cells to a patient. The method of the invention involves the modification of cells of the immune system with agonists or antagonists of immune regulators such as Interleukin-10 (IL-10) or IL-6, in order to enhance and improve the immunological potential of the immune cells for therapy. Cells modified according to the method of the invention can be administered to a patient to support a treatment of proliferative diseases such as cancer or autoimmune disorders. Particular embodiments of the invention provide a combination of IL-10 antagonists with agonists of the pro-inflammatory cytokines IL-15 and IL-12 in immune effector cells such as genetically engineered T cells or natural killer cells, or others.
Natural killer (NK) cells and T cells are important cell types for the development of adoptive cancer immunotherapies. During the past decades different approaches were developed to enhance potency and antitumour activity of these effector lymphocytes. Before infusion into patients, T cells, tumour-infiltrating lymphocytes (TILs) and NK cells can be activated and expanded ex vivo through stimulation with soluble cytokines such as interleukin (IL)-2 or IL-15, or by exposure to feeder cells that express membrane-anchored cytokines and stimulatory ligands. Also monoclonal antibodies specific for tumour-associated antigens, bispecific T-cell engagers (BiTEs), bi- and trispecific killer cell engagers (BiKEs, TriKEs) and immune checkpoint inhibitors can increase antitumour activity of NK and T cells. Genetic modification of effector lymphocytes constitutes another approach to enhance their activity, and remarkable progress has been made in the clinical development of T cells engineered to express T-cell receptors (TCRs) or chimeric antigen receptors (CARs) with defined tumour cell specificity. Likewise, NK cells can be genetically modified to express CARs that mediate specific recognition and lysis of cancer cells, thereby overcoming endogenous resistance mechanisms in tumour cells.
In addition to direct killing of tumour cells, lymphocytes like NK cells and T cells can contribute to tumour control by recruitment of and cross-talk with other immune cells, to a large part mediated by the secretion of cytokines and chemokines. Hence, in addition to direct antitumour effects, adoptive transfer of NK cells and T cells can result in the induction of protective endogenous antitumour immunity as demonstrated in immunocompetent mouse models. This implies that NK and T cells could be employed as on-site tumour vaccination agents, which release a broad spectrum of tumour antigens by tumour cell lysis for uptake and presentation by antigen presenting cells (APCs). Improved antigen presentation is also intended by adoptive cell therapy with myeloid cells like macrophages and dendritic cells (DCs). However, together with pro-inflammatory factors such as interferon (IFN)-γ, adoptively transferred immune effector cells may also secrete immunoregulatory molecules like IL-10, which can downmodulate the activity of bystander immune cells thereby limiting therapeutic efficacy.
IL-10 is an immunomodulatory cytokine with a pleiotropic role in the regulation of the immune response. It was first discovered as cytokine synthesis inhibitory factor (CSIF) in Th2 T cells. Subsequently, IL-10 expression was also found in many different immune cells, including CD4+ and CD8+ T cells, NK cells, monocytes/macrophages, and activated B cells. High expression of IL-10 has been observed in cytokine-activated NK cells as well as in CAR-engineered NK cells. Serum analysis also demonstrated a marked increase in IL-10 concentration in the blood of patients treated with CAR T cells. Although IL-10 was shown to directly stimulate cytotoxic CD8+ T cells, it also promotes the development of regulatory T (Treg) cells and contributes to the shift towards a Th2 type T-cell response. This can in turn downmodulate antitumour activity of effector T cells. Indeed, enhanced IL-10 expression was reported in different human tumours, and elevated levels of circulating IL-10 were correlated with poor prognosis for patients with hematological and solid cancers. Furthermore, susceptibility to prostate, breast, cervical and gastric cancers has been associated with IL-10 promoter polymorphisms and increased IL-10 production.
It is generally accepted that IL-10 dampens adaptive immunity mainly through the direct suppression of the activity of APCs, including both dendritic cells and macrophages. IL-10 blocks MyD88-dependent toll-like receptor (TLR) signaling, prevents the differentiation of monocytes into DCs, and inhibits the maturation of DCs leading to the downregulation of IFN-γ-induced MHC II and costimulatory molecules like CD80 and CD86. Autocrine production of IL-10 also suppressed DC migration to draining lymph nodes. Conversely, inhibition of IL-10 with a neutralizing antibody restored the capacity of DCs to activate T cells. IL10 can further impair the formation of peptide-MHC II complexes in macrophages, suppressing cell-mediated antigen presentation. In addition, IL-10 inhibits the production of pro-inflammatory cytokines like IL-1β, IL-12, G-CSF, GM-CSF and TNF-α in bystander immune cells. Of note, also the bidirectional NK-DC crosstalk through IFN-γ, IL-12 and TNF-α to enhance T-cell priming can be significantly diminished by IL-10. Similar to IL-10, also IL-6 has multiple immunoregulatory activities.
It was therefore an object of the present invention to provide novel approaches to increase the therapeutic potential of immune cells, preferably for use in the context of adoptive immune cell transfer, for example, in the treatment of cancer.
The above problem is solved in a first aspect by a method for enhancing the immunological activity of a target immune effector cell, the method comprising the steps of:
In some embodiments the above method is used for the production of an immune effector cell with enhanced immunological activity. In these aspects and embodiments, the method may comprise an additional step (c) subsequent to step (b): harvesting said target immune effector cells. Prior to step (c), the method optionally may include a step (b′) comprising culturing said immune effector cells for an amount of time sufficient for the manifestation of the enhanced immunological activity in said cells.
In some preferred embodiments of the invention “enhancing” shall be understood to be increasing or enhancing the immunological activity of a target immune cell. An immunological activity is preferably the potential of a target immune cell to immunologically identify and/or to kill a target cell afflicted with a disease such as an infected cell or a tumour cell and/or to enhance antigen presentation and antitumour activity of bystander immune cells.
In the context of the herein disclosed invention the term “endogenous regulators of immunity of said target immune effector cell” are preferably proteins selected from the group consisting of IL-1, IL-4, IL-6, IL-10, IL-17, transforming growth factor (TGF)-β, CCL-2/MCP-1, CCL-5/RANTES, indoleamine 2,3-deoxygenase (IDO), vascular endothelial growth factor (VEGF), galectins, fibrinogen-like protein 2 (FGL2), CTLA-4, and/or PD-1, or any combination of these regulators. In preferred embodiments the endogenous regulator of immunity of said target immune effector cell is IL-10 or is IL-6.
In some embodiments the “endogenous regulator of immunity” is an endogenously expressed regulator of immunity. In preferred embodiments step (b) of inhibiting in said target immune effector cell the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell, pertains to an alteration performed within the target immune effector cell which has the effect of inhibiting the expression, function, stability or secretion of one or more endogenous regulators of immunity within the very same cell to which the alteration was performed. The term “same cell” in this specific context is not meant to refer to the same cell type, but to the same cellular entity. Therefore “inhibiting” in this specific embodiment is not dependent on cell-to-cell communication such as cell-to-cell binding or secretion of molecules. Such endogenously expressed regulators of immunity are preferably proteins which are either secreted (and therefore are soluble proteins) or are membrane-bound proteins such as membrane-anchored proteins. In some embodiments the endogenously expressed regulator of immunity is a cytokine or chemokine, preferably an extracellular secreted or extracellular membrane bound cytokine or chemokine, most preferably selected from IL-1, IL-4, IL-6, IL-10, IL-17, TGF-β, CCL-2/MCP-1, and CCL-5/RANTES; and preferably is IL-10, IL-6 and/or IL4.
In some other preferred embodiments of the invention the endogenously expressed regulator of immunity is not a component of the cellular Major Histocompatibility Complex (MHC) or T-cell receptor (TCR) complex. In particular, in this embodiment the endogenously expressed regulator of immunity is not HLA or CD3, and also not another protein involved in T-cell interactions such as CD7.
In other embodiments the “endogenous regulators of immunity of said target immune effector cell” are proteins or cellular factors which are known to act as a negative regulator of the immune function of the target immune cell. The invention hence suggests using in this context an inhibitor of such a negative regulator, and/or inhibiting by any other means such a negative regulator in the target immune cell, in order to enhance the immunological activity of a target immune effector cell for the herein disclosed therapeutic purposes.
In one additional embodiment the method of the invention may further comprise an additional step of bringing into contact the target immune effector cell with an activator or agonist of immune function of the target immune cell. Preferred activators or agonists of the invention are selected from pro-inflammatory cytokines. The term “pro-inflammatory cytokine” shall pertain to immunoregulatory cytokines which favour inflammation. Typically, pro-inflammatory cytokines comprise IL-2, LIF, IFN-γ, IFN-α, OSM, CNTF, GM-CSF, TWEAK, IL-11, IL-12, single-chain IL-12, IL-15, IL-15 hyper-agonist, IL-18, IL-19, IL-20, IL21, IL-8, IL-16, IL-22, IL-23, IL-31, IL-32, GM-CSF, and TNF-α; preferred pro-inflammatory cytokines of the invention are selected from IL-2, IL-12, single-chain IL-12, IL-15, IL-15 hyper-agonist, IL-18, IL-21, GM-CSF, TNF-α, or endoplasmic reticulum (ER)-retained or membrane anchored variants thereof, or any combination of these compounds, and in particular are single chain IL-12 and IL-15 hyper-agonist.
In particular embodiments of the invention the method involves the co-expression of such an activator and/or agonist of immune function, and which preferably is an agonist of IL-12 and/or IL-15, and preferably is selected from IL-15 hyper-agonist or single-chain IL-12. It is in this embodiment preferred that the method of the invention involves a co-expression in said target immune effector cell of an anti-IL-10 antibody (or a molecule comprising an antigen-binding fragment of an anti-IL-10 antibody) together with either an agonist and/or activator of IL-15 or an agonist and/or activator of IL-12, preferably of IL-15 hyper-agonist or single-chain IL-12. This embodiment is particularly useful to target immune effector cells which do not endogenously express, or do not endogenously express sufficient amounts of, IL-12 and/or IL-15 respectively.
In the context of the invention, in some preferred embodiments, said activator or agonist of immune function of the target immune effector cell is not an endogenous regulator of immune function of said target cell.
In some embodiments the activator or agonist of immune function is brought into contact with the target immune effector cell by expression of said activator or agonist in said cell, for example by introducing into the cell an expression construct encoding any one or a combination of the above disclosed activators or agonists. Other embodiments pertain to the use of mRNA of such activator or agonists which is contacted with the cell in order to allow for protein translation of the activator or agonists by the target cell. Other embodiments pertain to the use of isolated protein of the activator or agonists which can be used directly to induce and enhance immune cell activity. In some preferred embodiments the expression and/or introduction of said activator or agonist of immune function of the target immune effector cell is introduced together with the inhibitor of the endogenous regulator of the target immune effector cell. Preferably, a pro-inflammatory cytokine may be expressed together with an antibody construct encoding an inhibitory antibody specific for said endogenous regulator of immunity of said target immune effector cell. Co-expression can be affected by two separate constructs or using one genetic construct as for example shown in the appended examples. Hence, preferred constructs include the single chain IL12 and IL-15 hyper-agonist constructs shown in SEQ ID NO: 9 to 12, which are fused to the IL-10 ER retained antibody construct of the invention. Similar constructs using the other disclosed antibodies and agonists of immune function of the target immune effector cell can be envisioned by the skilled artisan in view of the present disclosure.
In the context of the invention the term “target immune effector cell” is a cell having a function in the adaptive or innate immune response of a host to infections or cancer. The target immune effector cell may be any cell of the immune system such as but not limited to any of the following (or combinations of these): monocytic cell, macrophage, dendritic cell, B cell, T cell, such as a T helper cell, Th17 T cell, cytotoxic T cell, mast cell, NK cell or NKT cell, but is preferably selected from the group consisting of a monocytic cell, macrophage, dendritic cell, B cell, T cell, NK cell or NKT cell. In alternative or additional embodiments of the invention said target immune effector cell is a mammalian cell, preferably a human cell, more preferably a human cell obtained from a patient in need of an adoptive immune cell treatment.
In the method of the invention “inhibiting” in said target immune effector cell the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell preferably comprises bringing into contact the target immune effector cell with an inhibitor of said negative regulator of immunity. Bringing into contact may involve simply admixing the cells with the inhibitor, or may involve the expression of the inhibitor in said cells, or alternatively transfection or transduction of said inhibitor into said cells.
Preferably, inhibiting in said target immune effector cell the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell comprises introducing into the target immune effector cell a vector for expression of an inhibitor of said regulator of immunity.
Yet more preferably, inhibiting in said target immune effector cell the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell involves (i) the use of an inhibitory antibody specific for said endogenous regulator of immunity, (ii) the use of an antisense nucleic acid construct targeting the expression of said endogenous regulator of immunity, or (iii) the use of a gene editing approach introducing a deleterious mutation into the gene sequence of said endogenous regulator of immunity.
In some embodiments of the invention modifying the immunological activity of a target immune effector cell involves any one of the following: (i) increased cytotoxicity of said target immune effector cell compared to a control, (ii) increased expression of pro-inflammatory cytokines, such as IL-1β, IL-12, G-CSF, GM-CSF and preferably TNF-α, preferably in bystander immune cells, (iii) induction of a tumour suppressing macrophage M1 phenotype.
In the context of the herein disclosed aspects and embodiments of the invention said endogenous regulator of immunity is preferably IL-10 or IL-6. Hence, in these aspects and embodiments the inhibiting in said target immune effector cell the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell involves the use of an inhibitor of IL-10 or IL-6.
As used herein, the term “IL-10 inhibitor” means a substance that affects a decrease in the amount or rate of IL-10 expression or activity. Such a substance can act directly, for example, by binding to IL-10 and decreasing the amount or rate of IL-10 expression or activity. An IL-10 inhibitor can also decrease the amount or rate of IL-10 expression or activity, for example, by binding to IL-10 in such a way as to reduce or prevent interaction of IL-10 with an IL-10 receptor; by binding to IL-10 and modifying it, such as by removal or addition of a moiety; and by binding to IL-10 and reducing its stability. An IL-10 inhibitor can also act indirectly, for example, by binding to a regulatory molecule or gene region so as to modulate regulatory protein or gene region function and affect a decrease in the amount or rate of IL-10 expression or activity. Thus, an IL-10 inhibitor can act by any mechanisms that result in a decrease in the amount or rate of IL-10 expression or activity.
An IL-10 inhibitor can be, for example, a naturally or non-naturally occurring macromolecule, such as a polypeptide, peptide, peptide-mimetic, nucleic acid, carbohydrate or lipid. An IL-10 inhibitor further can be an antibody, or antigen-binding fragment thereof, such as a monoclonal antibody, humanized antibody, chimeric antibody, mini-antibody, nanobody, bifunctional antibody, single chain antibody (scFv), variable region fragment (Fv or Fd), Fab or F(ab)2. An IL-10 inhibitor can also be polyclonal antibodies specific for IL-10. An IL-10 inhibitor further can be a partially or completely synthetic derivative, analog or mimetic of a naturally occurring macromolecule, or a small organic or inorganic molecule.
An IL-10 inhibitor that is an antibody can be, for example, an antibody that binds to IL-10 and inhibits binding to an IL-10 receptor, or alters the activity of a molecule that regulates IL-10 expression or activity, such that the amount or rate of IL-10 expression or activity is decreased. An antibody useful in a method of the invention can be a naturally occurring antibody, including monoclonal or polyclonal antibodies or fragments thereof, or a non-naturally occurring antibody, including but not limited to a single chain antibody, mini-antibody, nanobody, chimeric antibody, bi-functional antibody, complementarity determining region-grafted (CDR-grafted) antibody and humanized antibody or an antigen-binding fragment thereof.
An IL-10 inhibitor that is a nucleic acid can be, for example, an anti-sense nucleotide sequence, an RNA molecule, or an aptamer sequence. An anti-sense nucleotide sequence can bind to a nucleotide sequence within a cell and modulate the level of expression of IL-10, IL-10 receptor or modulate expression of another gene that controls the expression or activity of IL-10. Similarly, an RNA molecule, such as a catalytic ribozyme, can cleave a specific mRNA and alter the expression of the IL-10 gene, or another gene that controls the expression or activity of IL-10. An aptamer is a nucleic acid sequence that has a three dimensional structure capable of binding to a molecular target.
An IL-10 inhibitor that is a nucleic acid also can be a double-stranded RNA molecule for use in RNA interference methods. RNA interference (RNAi) is a process of sequence-specific gene silencing by post-transcriptional RNA degradation, which is initiated by double-stranded RNA (dsRNA) homologous in sequence to the silenced gene. A suitable double-stranded RNA (dsRNA) for RNAi contains sense and antisense strands of about 21 contiguous nucleotides corresponding to the gene to be targeted that form 19 RNA base pairs, leaving overhangs of two nucleotides at each 3′ end. dsRNAs of about 25-30 nucleotides have also been used successfully for RNAi. dsRNA can be synthesized in vitro and introduced into a cell by methods known in the art.
It is preferred that inhibiting in said target immune effector cell the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell involves bringing into contact said target immune effector cell with an IL-10 antibody, preferably wherein the IL-10 antibody binds and thereby inactivates IL-10.
In some preferred embodiments of the invention, the IL-10 inhibitor is an anti-IL-10 antibody. An IL-10 antibody according to the invention is preferably (i) added to said target immune effector cell as a protein preparation, or more preferably (ii) is expressed as a genetic construct in said cell, for example wherein the genetic construct encodes a secreted antibody, or a membrane associated antibody, or an endoplasmic reticulum (ER)-located antibody. Such methods for the cellular expression of antibody constructs which are targeted to cellular compartments or are indicated for antibody secretion are well known to the skilled artisan.
It shall be understood that the above said with regard to IL-10 inhibitors equally applies to any other herein disclosed or suggested inhibitor of a regulator of target immune cell function in accordance with the present invention. In particular the above said with regard to IL-10 equally applies to IL-6 inhibitors. The amino acid sequence of IL-10 (UniProt accession number P22301) is provided herein in SEQ ID NO: 28. The amino acid sequence of IL6 (UniProt accession number P05231) is provided in SEQ ID NO: 29. The amino acid sequences of other preferred endogenous immune regulators can be derived from public databases such as UniProt (www.uniprot.org) which can be reached for example via the mentioned gene names according to the HGNC Database of October 2017, HUGO Gene Nomenclature Committee (HGNC), EMBL Outstation—Hinxton, European Bioinformatics Institute, Wellcome Trust Genome Campus, Hinxton, Cambridgeshire, CB10 1SD, UK (https://www.genenames.org; Gray K A, Yates B, Seal R L, Wright M W, Bruford E A. gene-names.org: the HGNC resources in 2015. Nucleic Acids Res. 2015 January; 43 (Database issue):D1079-85. doi: 10.1093/nar/gku1071. PMID:25361968).
In alternative or additional embodiments said IL-10 antibody comprises one or more variable light chain sequences and variable heavy chain sequences of the BT-063 antibody as disclosed in PCT/EP2010/068569, and preferably is a homodimer of two antibody chains each comprising two scFv fragments of BT-063 (tetravalent anti-IL-10 antibody). Other antibodies useful for inhibiting IL-10 are the anti-IL-10 antibodies disclosed in U.S. Pat. No. 7,662,379 B2 (incorporated herein by reference).
In other preferred embodiments said IL-10 antibody comprises at least one anti-IL-10 single chain antibody, wherein the single chain antibody comprises one variable heavy chain sequence and one variable light chain sequence of the anti-IL-10 antibody, connected by a linker peptide. In certain embodiments, the linker peptide is a glycine-serine linker. In further embodiments, the linker peptide comprises or consists of the sequence of glycine and serine, e.g., (GGGGS)n, wherein n is an integer from 1 to 5, such as 1, 2, 3, 4, 5. Other linker peptides used for the design of single chain constructs are well known in the art. In further embodiments, the anti-IL-10 single chain antibody further comprises an endoplasmic reticulum retention sequence located at the carboxyterminus of the anti-IL-10 single chain antibody, comprising or consisting of the sequence lysine-aspartic acid-glutamic acid-leucine (KDEL). In other embodiments, the anti-IL-10 single chain antibody further comprises a transmembrane domain located at the carboxyterminus of the anti-IL-10 single chain Fv antibody. In further embodiments, the anti-IL-10 single chain Fv antibody further comprises a spacer sequence such as a hinge sequence located between the anti-IL-10 single chain Fv antibody and the transmembrane domain.
It shall be understood that the above said with regard to IL-10 inhibitors derived from antibody BT-063 equally applies to IL-10 inhibitors derived from other anti-IL-10 antibodies which like BT-063 block the interaction of IL-10 with IL-10 receptors, including but not limited to the anti-IL-10 antibodies disclosed in U.S. Pat. No. 7,662,379 B2, or anti-IL-10 antibodies generated by immunization of a mammal with IL-10 or isolated from random antibody libraries using IL-10, following procedures well known to the skilled artisan.
Preferred inhibitors of IL-10 according to the invention are any of the herein disclosed antibody constructs, as well as antigen binding fragments or derivatives thereof, or antisense compounds. The invention shall therefore in preferred embodiments pertain to an antibody, or antibody-like compound, derived from or similar to an antibody encoded by a nucleic acid which is at least 80%, preferably 90%, most preferably 95% (or 99%) identical to a sequence shown in SEQ ID No: 1, 3, 5, 7, 9, or 11. Alternatively, the invention shall pertain to an antibody, or antibody-like compound, derived from or similar to an antibody having an amino acid sequence which is at least 80%, preferably 90%, most preferably 95% (or 99%) identical to a sequence shown in SEQ ID No: 2, 4, 6, 8, 10 or 12. Preferably, the sequence identity is in some embodiments calculated based on the variable domain sequences of the antibody constructs of the examples (table 1). Most preferably, the antibodies encompassed by the present invention are those who have complementarity determining regions (CDR) 1 to 3 identical to the CDRs shown in any of the enclosed IL-10 antibody sequences (SEQ ID NO: 1 to 12). In some embodiments antibodies, or antibody-like compounds, are preferred which have in their CDR sequences not more than 3, preferably not more than 2, most preferably only 1, amino acid exchange, addition or deletion compared to the CDR sequences of any of the antibodies shown in SEQ ID Nos: 1 to 12.
In additional embodiments said inhibitor of an endogenous regulator of immunity of said target immune effector cell comprises at least one anti-IL-6 single chain antibody, wherein the single chain antibody comprises one variable heavy chain sequence and one variable light chain sequence of the humanized anti-IL-6 antibody olokizumab as disclosed in Shaw et al. mAbs 6: 774-782, 2014, connected by a linker peptide. In further embodiments, the anti-IL-6 single chain antibody further comprises an endoplasmic reticulum retention sequence located at the carboxyterminus of the anti-IL-6 single chain antibody, comprising or consisting of the sequence lysine-aspartic acid-glutamic acid-leucine (KDEL). In other embodiments, the anti-IL-6 single chain antibody further comprises a transmembrane domain located at the carboxyterminus of the anti-IL-6 single chain Fv antibody. In further embodiments, the anti-IL-6 single chain Fv antibody further comprises a spacer sequence such as a hinge sequence located between the anti-IL-6 single chain Fv antibody and the transmembrane domain. Other antibodies useful for inhibiting IL-6 are the anti-IL-6 antibodies disclosed in U.S. Pat. No. 7,612,182 B2, WO2016160923 A1, U.S. Pat. No. 9,187,560 B2, EP2087005 B1 (incorporated herein by reference). It shall be understood that the above said with regard to IL-6 inhibitors derived from antibody olokizumab equally applies to IL-6 inhibitors derived from other anti-IL-6 antibodies which like okolizumab block the interaction of IL-6 with IL-6 receptors, including but not limited to the anti-IL-6 antibodies disclosed in U.S. Pat. No. 7,612,182 B2, WO2016160923 A1, U.S. Pat. No. 9,187,560 B2, EP2087005 B1, or anti-IL-6 antibodies generated by immunization of a mammal with IL-6 or isolated from random antibody libraries using IL6, following procedures well known to the skilled artisan.
Preferred inhibitors of IL-6 according to the invention are any of the herein disclosed antibody constructs or antisense compounds. The invention shall therefore in preferred embodiments pertain to an antibody, or antibody-like compound, derived from or similar to an antibody encoded by a nucleic acid which is at least 80%, preferably 90%, most preferably 95% (or 99%) identical to a sequence shown in SEQ ID No: 13, 15, or 17. Alternatively, the invention shall pertain to an antibody, or antibody-like compound, derived from or similar to an antibody having an amino acid sequence which is at least 80%, preferably 90%, most preferably 95% (or 99%) identical to a sequence shown in SEQ ID No: 14, 16 or 18. Preferably, the sequence identity is in some embodiments calculated based on the variable domain sequences of the antibody constructs of the examples (table 1). Most preferably, the antibodies encompassed by the present invention are those who have complementarity determining regions (CDR) 1 to 3 identical to the CDRs shown in any of the enclosed IL-6 antibody sequences (SEQ ID NO: 13 to 18). In some embodiments antibodies, or antibody-like compounds, are preferred which have in their CDR sequences not more than 3, preferably not more than 2, most preferably only 1, amino acid exchange, addition or deletion compared to the CDR sequences of any of the antibodies of SEQ ID Nos: 13 to 18.
The person of skill may use other prior art antibodies targeting immune cell regulators to construct similar inhibitory compounds as the herein disclosed constructs for IL-10 and IL6.
Preferred embodiments of the invention are inhibitors that are antibodies or antibody derived compounds, or alternatively T-cell receptor (TCR) derived binding constructs, or artificial antigen binding constructs such as designed ankyrin repeat proteins (DARPins) or engineered lipocalins (anticalins). The term antibody in the context of the invention may refer to any antigen binding protein which is derived from an antibody. Antibodies of the invention include any immunoglobulin molecule which specifically binds to an antigen. Antibodies can be intact immunoglobulins derived from natural sources or from recombinant sources and can be immunoreactive portions of intact immunoglobulins. Antibodies are typically dimers of immunoglobulin molecules. The antibodies in the present invention may exist in a variety of forms including, for example, polyclonal antibodies, monoclonal antibodies, Fv, Fab and F(ab)2, as well as single chain antibodies (scFv) and humanized antibodies (more information on antibody technologies may be obtained from ANTIBODIES: A LABORATORY MANUAL—SECOND EDITION, 2014 by Cold Spring Harbor Laboratory Press, Cold Spring Harbor, N.Y., incorporated herein by reference).
The invention shall also include the use of “antibody fragments”, a term which refers to a portion of an intact antibody and refers to the antigen specificity determining variable regions of an intact antibody. Examples of antibody fragments include, but are not limited to, Fab, Fab′, F(ab′)2, and Fv fragments, linear antibodies, scFv antibodies, and multispecific antibodies formed from antibody fragments. Such fragments for example may be used in fusion proteins to obtain multivalent antibody constructs. The term “mini-antibody” (or minibody) refers to a single chain polypeptide that comprises a secretion signal, a variable heavy chain fragment, a variable light chain fragment and a constant chain fragment. After expression in a cell, the mini-antibody is secreted from the cell by virtue of the secretion signal.
Antisense inhibitors of other regulators of the invention, for example of IL-1, IL-4, IL-17, TGF-β, CCL-2/MCP-1, CCL-5/RANTES, indoleamine 2,3-deoxygenase (IDO), vascular endothelial growth factor (VEGF), galectins, fibrinogen-like protein 2 (FGL2), CTLA-4, or PD1 can be easily designed according to their mRNA sequences or by using publically available siRNA resources such as the human siGENOME siRNA Library of Dharmacon® (see http://dharmacon.gelifesciences.com/). Similar libraries or design tools are available for shRNA or CRISPR/Cas9 mediated gene editing using guide nucleic acid sequences. All these approaches are based on the sequence complementarity of an antisense construct and the target mRNA or gene sequence.
Preferred antisense constructs of the invention are for example guideRNAs according to any one of SEQ ID Nos: 19 to 26, which are used for targeted IL-10 gene manipulation. The gRNA sequence in the sequence protocol is provided always as DNA sequence, but the skilled artisan knows that depending on the gene editing approach it may be used either as RNA or DNA molecules. Another preferred antisense construct of the invention is the shRNA sequence (mature sequence) provided in SEQ ID NO: 27.
Other inhibitors of the target regulators include for example for IL-1: the IL-1 receptor antagonist anakinra, the soluble decoy receptor rilonacept and the neutralizing monoclonal anti-IL-1β antibody canakinumab. For IL-4, for example, dupilumab is known, which is a fully human monoclonal antibody that binds to a subunit of the IL-4 receptor. For IL-17: the fully human monoclonal antibody secukinumab, a humanized IgG4 specific for IL-17 (ixekizumab) and a fully human antibody that targets the IL-17 receptor A (brodalumab); further IL-17 antibodies are also disclosed in WO 2007/149032 (included herein by reference). Inhibitory antibodies to TGF-β are for example disclosed in US20020176858 (included herein by reference). Methods for the inhibition of CCL-2 are for example reviewed and disclosed in Kirk P S, et al. “Inhibition of CCL2 Signaling in Combination with Docetaxel Treatment Has Profound Inhibitory Effects on Prostate Cancer Growth in Bone.” International Journal of Molecular Sciences. 2013; 14(5):10483-10496. doi:m.3390/ijms140510483 (included herein by reference). CCl-2 inhibitors include neutralizing antibodies and peptides blocking receptor binding. Antibodies and siRNA inhibiting CCL-5 are for example disclosed in Kan Y J et al J Cell Physiol. 2015 August; 230(8):1883-94. doi: 10.1002/jcp.24918 (included herein by reference). Inhibitors of IDO include for example, but are not limited to, 1-methyl-tryptophan, β-(3 benzofuranyl)-alanine, β-[3-benzo(b)thienyl]-alanine, 6-nitro-tryptophan, and derivatives thereof. Further references and disclosure with regard to IDO inhibitors may be derived from US 2009/0155311 (included herein by reference). VEGF inhibitors are well known in the art, as an example the antibodies provided in any of the documents WO 98/35958, WO 00/09495, WO 00/27820, WO 00/59509, WO 98/11223, WO 00/27819, WO 01/55114, WO 01/58899 and EP 0 769 947 may be used. Antibodies against the proteins CTLA-4 and PD-1 are for example ipilimumab and nivolumab, respectively. A small molecular weight inhibitor of galectin-3 is for example known as 3,3′-dideoxy-3,3′-bis-[4-(3-fluorophenyl)-1H-1,2,3-triazol-1-yl]-1,1′-sulfanediyl-di-β-D-galactopyranoside (33DFTG, previously called TD139; Mackinnon A C, et al. “Regulation of transforming growth factor-beta1-driven lung fibrosis by galectin-3”. Am J Respir Crit Care Med. 2012; 185: 537-546, incorporated herein by reference). An inhibitory antibody of FGL2 is for example used in Yan J, Kong L-Y, Hu J, et al. “FGL2 as a Multimodality Regulator of Tumor-Mediated Immune Suppression and Therapeutic Target in Gliomas.” JNCI Journal of the National Cancer Institute. 2015; 107(8):djv137. doi:10.1093/jnci/djv137 (incorporated herein by reference).
In other preferred embodiments inhibiting in said target immune effector cell the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell involves bringing into contact said target immune effector cell with an IL-10 inhibitor that is a nucleic acid, such as an anti-IL-10 antisense nucleic acid. Such a nucleic acid construct could involve expression of an anti-IL-10 shRNA in said target immune effector cell. Alternatively, the nucleic acid IL-10 inhibitor of the invention may be a nucleic acid construct suitable for targeted gene editing. This may involve bringing into contact said target immune effector cell with at least one gene editing nuclease, such as CAS9 and a guide nucleic acid, such as a guide RNA (gRNA), specific for IL-10. Here the gRNA or gDNA construct is the IL-10 inhibitor of the invention.
In some preferred embodiments the method of the invention is performed in vivo for example by administration of one or more compounds for inhibiting in said target immune effector cell in vivo the expression, function, stability or secretion of one or more endogenous regulators of immunity of said target immune effector cell. In alternative embodiments the method of the invention is performed in vitro or ex vivo. In these embodiments target immune cells are provided in cell culture and used in the method. In such embodiments the method of the invention may further comprise a subsequent step (c) culturing and/or expanding said target immune effector cells.
In another aspect of the invention a method for modifying an immune response in a subject is provided, the method comprising performing the method for enhancing the immunological activity of a target immune effector cell as described herein, and administering said treated target immune effector cells to the subject. The method is usually applied when treating a disorder in the subject. Further, the method may optionally comprise prior to step (a) a step of obtaining a biological sample of the subject and isolating therefrom said target immune effector cells (autologous cell therapy). In alternative embodiments the method may comprise prior to step (a) a step of obtaining a biological sample of a different subject and isolating therefrom said target immune effector cells (heterologous cell therapy).
As used herein, the term “autologous cell therapy” refers to the implantation, transplantation, infusion, or transfer of cultured cells back into the individual from whom the cells were obtained. For example, immune cells may be obtained from a subject having cancer, expanded into a cell culture, then subjected to the methods of the invention, and reintroduced into the patient in order to boost the subject's immune response. Examples of cells that are useful for autologous culture include but are not limited to stem cells (e.g., hematopoietic stem cells, totipotent stem cells, pluripotent stem cells, fetal stem cells, embryonic stem cells, mesenchymal stem cells, and induced pluripotent stem cells), progenitor cells (e.g., bone marrow stromal cells, angioblasts and endothelial progenitor cells), immune cells (e.g. the above listed immune cells, and in particular T cells, B cells, NK cells, NKT cells, monocytes, macrophages, dendritic cells, granulocytes).
In another embodiment the method for cell therapy of a subject as described above may comprise the use of an established cell line as a target immune effector cell.
The subject in context of the invention is preferably a patient, such as a mammal and preferably a human suffering from a disease, such as cancer.
The method may in some embodiments further comprise a step of introducing into said target immune effector cells an antibody targeting tumour cells, a T-cell receptor (TCR), chimeric antigen receptor (CAR), and/or one or more pro-inflammatory cytokines such as IL-2, IL-12, single-chain IL-12, IL-15, IL-15 hyper-agonist, IL-18, IL-21, GM-CSF, TNF-α, or endoplasmic reticulum-retained or membrane-anchored variants thereof, or any combination of these compounds. In particular embodiments of the invention the method involves the co-expression of such an activator and/or agonist of immune function, and which preferably is an agonist of IL-12 and/or IL-15, and preferably is selected from IL-15 hyper-agonist or single-chain IL-12. It is in this embodiment preferred that the treatment of the invention involves a co-expression in said target immune effector cell of an anti-IL-10 antibody (or a molecule comprising an antigen-binding fragment of an anti-IL-10 antibody) together with either an agonist and/or activator of IL-15 or an agonist and/or activator of IL-12, preferably of IL-15 hyper-agonist or single-chain IL-12. This may be done preferably in target immune effector cells comprising anti-tumour effectors such as CARS or other therapeutic molecules.
As mentioned before, the method for autologous or heterologous cell transfer of the invention is suitable and useful in treating a disease in the subject, preferably a cancer such as brain cancer, colon cancer, renal cancer, head and neck cancer, squamous cell carcinoma, pancreatic cancer, uterine cancer, glioblastoma, medulloblastoma, sarcoma, liver cancer, breast cancer, lung cancer, prostate cancer, ovarian cancer, skin cancer (e.g., carcinoma, melanoma), or liquid cancers such as leukemia or lymphoma, and the like, or an immune disorder such as systemic lupus erythematosus, rheumatoid arthritis, multiple sclerosis, and similar autoimmune disorders. Preferred cancers are also ErbB2 expressing cancers.
In another aspect, an inhibitor of an endogenous regulator of immunity of a target immune effector cell is provided for use in a method for autologous or heterologous cell transfer as described herein above. In some embodiments the immune effector cell is obtained by a method for enhancing the immunological activity of a target immune effector cell as described herein before.
The immune effector cell for use according to the invention may comprise an inhibitor of an endogenous regulator of immunity of a target immune effector cell.
Yet another aspect then pertains to the use of an inhibitor of an endogenous regulator of immunity of a target immune effector cell in a method according to the invention.
In another aspect the invention provides a use of an inhibitor of an endogenous regulator of immunity of a target immune effector cell in adoptive cell therapy for the treatment of a disease such as cancer in a subject.
In all aspects of the invention the inhibitor of an endogenous regulator of immunity of a target immune effector cell is preferably an IL-10 or an IL-6 inhibitor as described before.
In addition the invention further pertains to the following set of items:
Item 1. An in vitro method for enhancing the immunological activity of a target immune effector cell, the method comprising the steps of:
The present invention will now be further described in the following examples with reference to the accompanying figures and sequences, nevertheless, without being limited thereto. For the purposes of the present invention, all references as cited herein are incorporated by reference in their entireties. In the Figures:
And in the sequences:
Monoclonal anti-IL-10 antibodies able to interfere with IL-10 activity have been described by different groups, with one of them having already been tested in a phase I clinical trial for systemic lupus erythematosus. Nevertheless, such IgG antibodies only possess two antigen binding sites which may limit their therapeutic potential. To enhance IL-10-neutralizing activity, the inventors designed a novel recombinant anti-IL-10 mini-antibody with four IL-10 binding domains. This tetravalent mini-antibody is a disulfide-linked homodimer of a molecule consisting of a single chain variable fragment (scFv) of anti-IL-10 antibody BT-063 (PCT/EP2010/068569) fused to hinge, CH2 and CH3 domains of human IgG4 and a second scFv fragment of BT-063 (
Secretion of the recombinant antibody was achieved via an immunoglobulin heavy chain signal peptide at the very N-terminus. The anti-IL-10 mini-antibody was expressed in human HEK 293 cells and purified from culture supernatant by Protein G affinity chromatography. Specific binding of purified anti-IL-10 mini-antibody to recombinant human IL-10 (rhIL-10) was demonstrated by ELISA (
The data of Example 1 demonstrate that an anti-IL-10 antibody such as the tetravalent anti-IL-10 mini-antibody described herein can be used to block undesired IL-10-induced activities during adoptive cell therapy without limiting the direct antitumour activity of unmodified or CAR-engineered immune effector cells.
In a second approach the inventors designed recombinant anti-IL-10 antibodies for direct expression in immune effector cells to block IL-10 activity in the extracellular space (secreted anti-IL-10; anti-IL-10S), prevent secretion of endogenously synthesized IL-10 by inhibiting its transport to the cell surface (endoplasmic reticulum-retained anti-IL-10; anti-IL-10ER), or trap IL-10 on the cell surface (transmembrane anti-IL-10; anti-IL-10TM). Anti-IL-10S consists of an N-terminal immunoglobulin heavy chain signal peptide for direction into the secretory pathway, an scFv fragment of anti-IL-10 antibody BT-063, and a peptide derived from human influenza virus hemagglutinin (HA-tag) for immunological detection (
The data summarized in Example 2 demonstrate that anti-IL-10 antibodies can be directly expressed in various types of immune effector cells highly relevant for adoptive immunotherapy, including CAR-engineered variants thereof.
Next, the consequences of intracellular expression of recombinant anti-IL-10 antibodies on activation-induced IL-10 production by NK cells and CAR-engineered NK cells, and on constitutive IL-10 production by B cells were investigated. NK cells transduced with lentiviral vectors encoding anti-IL-10S, anti-IL-10ER or anti-IL-10TM were cultured for 6 hours either in the absence of target cells, or in the presence of NK-sensitive K562 erythroleukemia cells at an E:T ratio of 1:1. Unmodified NK cells and K562 cells kept in the absence of NK cells were included as controls. Culture supernatants were collected and secretion of IL-10 was measured using a cytometric bead array (CBA). While unmodified NK cells did not secrete large amounts of IL-10 in the absence of target cells, activation by contact with target cells strongly induced IL-10 production (
The data summarized in Example 3 demonstrate that intracellular expression of anti-IL-m antibodies in various types of immune effector cells strongly inhibits activation-induced and constitutive IL-10 secretion.
Genetic modification of immune effector cells resulting in the expression of an IL-10-specific short hairpin (sh) RNA was investigated as an alternative means to reduce production of IL-10. shRNAs are artificial RNA molecules able to silence expression or inhibit translation of their target mRNA by RNA interference, resulting in the knockdown of target protein expression. To inhibit IL-10 expression, a commercially available lentiviral pGIPZ vector was used that encodes IL-10-specific shRNA (IL-10-specific region of the shRNA: 5′-UUCGUAUCUUCAUUGUCAU-3′) together with green fluorescent protein (GFP) as a marker. A vector encoding an irrelevant shRNA was used as a control. VSV-G pseudotyped lentiviral particles were generated and used for transduction of NK cells and CAR-engineered NK cells as representative examples for immune effector cells relevant for adoptive cell therapy. Successfully transduced cells were enriched by flow cytometric cell sorting of GFP-positive cells. Untransduced NK cells, or NK cells transduced with lentiviral vectors encoding IL-10-specific shRNA (shRNA IL-10) or control shRNA (shRNA control) were stimulated with phorbol 12-myristate 13-acetate (PMA) and ionomycin (each at a concentration of 1 μg/mL) for 5 hours in the presence of GolgiPlug. Then whole cell lysates were prepared and analyzed for IL-10 by immunoblot analysis with IL-10-specific antibody. As expected, treatment with PMA/ionomycin resulted in strong activation-induced expression of IL-10 which was not affected by transduction of the NK cells with a control shRNA construct. In contrast, transduction of NK cells with the IL-10-specific shRNA vector resulted in marked reduction of IL-10 protein expression (
The data summarized in Example 4 demonstrate that silencing of IL-10 expression by RNA interference strongly reduces IL-10 production in immune effector cells relevant for adoptive cell therapy.
The clustered regularly interspaced short palindromic repeats-associated RNA-guided (CRISPR)/CRISPR associated protein (Cas) 9 system allows specific RNA-guided gene editing including the silencing of a gene of interest in mammalian cells. To downregulate IL-10 expression using the CRISPR/Cas9 system, IL-10-specific guide RNAs (gRNAs) were designed and incorporated into a lentiviral transfer vector also encoding Cas9 nuclease, a puromycin resistance gene and EGFP as a marker. A similar construct lacking a guide RNA served as a control. VSV-G pseudotyped lentiviral particles were generated and used for transduction of NK cells and CAR-engineered NK cells as representative examples for immune effector cells relevant for adoptive cell therapy. Successfully transduced cells were enriched by selection with puromycin, followed by flow cytometric cell sorting of EGFP-positive cells. Untransduced NK cells, or NK cells transduced with lentiviral vectors encoding Cas9 (Cas9), or Cas 9 together with IL-10-specific gRNA (IL-10 CRISPR/Cas9) were stimulated with PMA/ionomycin (each at a concentration of 1 μg/mL) for 5 hours in the presence of GolgiPlug. Then whole cell lysates were prepared and analyzed for IL-10 by immunoblot analysis with IL-10-specific antibody. As expected, treatment with PMA/ionomycin resulted in strong activation-induced expression of IL-10 which was not affected by transduction of the NK cells with a Cas9-encoding vector. In contrast, transduction of NK cells with a vector encoding Cas9 and IL-10-specific gRNA resulted in a loss of IL-10 protein expression (
The data summarized in Example 5 demonstrate that targeted knockout of IL-10 expression by specific gene editing with the CRISPR/Cas9 nuclease system eliminates IL-10 production in immune effector cells relevant for adoptive cell therapy.
As demonstrated in the previous examples, different strategies including intracellular expression of anti-IL-10 antibodies (Examples 2, 3), shRNA-mediated gene silencing (Example 4) and CRISPR/Cas9-mediated gene knockout (Example 5) can be employed for genetic modification of immune effector cells to markedly reduce or eliminate IL-10 expression. To assess possible consequences of downregulation of IL-10 expression on the growth of such cells, cell proliferation was measured over a period of 7 days. NK cells genetically engineered to express an ErbB2-specific CAR together with an ER-retained anti-IL-10 antibody, IL-10-specific shRNA, or Cas9 nuclease and IL-10-specific guide RNA were used as representative examples of immune effector cells relevant for adoptive therapy. The cells were seeded in 24-well cell culture plates on day 0 at a cell density of 1.5×105 cells/mL, and cell growth was monitored by counting viable cells using trypan blue exclusion once per day for a period of 7 days. CAR NK cells with undisturbed IL-10 expression were included as controls. CAR NK cells modified by intracellular expression of anti-IL-10 antibody (anti-IL-10ER;
The data summarized in Example 6 demonstrate that inhibition of IL-10 production and activity by various means, including intracellular expression of an anti-IL-10 antibody, silencing of IL-10 expression by RNA interference and targeted knockout of IL-10 expression with the CRISPR/Cas9 system, has no negative effect on viability and proliferation of immune effector cells relevant for adoptive cell therapy.
Downregulation of IL-10 production in adoptively transferred immune effector cells is intended to limit the inhibitory effects of this immunoregulatory cytokine on bystander immune cells without interfering with direct antitumour activity of the adoptively transferred cells. To assess possible consequences of downregulation of IL-10 expression on specific cytotoxicity and direct antitumour activity, CAR-mediated cytotoxicity of CAR engineered ErbB2-specific NK cells also expressing an ER-retained anti-IL-10 antibody, IL-10-specific shRNA, or Cas9 nuclease and IL-10-specific guide RNA against ErbB2-positive MDA-MB453 human breast carcinoma cells was tested in 2 hour co-culture assays at different E:T ratios. CAR NK cells with undisturbed IL-10 expression were included as controls. Thereby CAR NK cells modified by intracellular expression of anti-IL-10 antibody (anti-IL-10ER;
The data summarized in Example 7 demonstrate that inhibition of IL-10 production and activity by various means, including intracellular expression of an anti-IL-10 antibody, silencing of IL-10 expression by RNA interference and targeted knockout of IL-10 expression with the CRISPR/Cas9 system, has no negative effect on direct antitumour activity of immune effector cells relevant for adoptive cell therapy.
IL-10 inhibits the production of pro-inflammatory cytokines like IL-1β, IL-6, IL-12, G-CSF, GM-CSF and TNF-α in bystander immune cells. Also the bidirectional NK-DC crosstalk through IFN-γ, IL-12 and TNF-α to enhance T-cell priming can be significantly diminished by IL-10. To assess whether downregulation of IL-10 production in immune effector cells can modulate these cells' endogenous expression of pro-inflammatory cytokines such as TNF-α, NK cells genetically engineered to express an ErbB2-specific CAR together with anti-IL-10 antibodies or IL-10-specific shRNA were used as representative examples of immune effector cells relevant for adoptive therapy. CAR NK cells transduced with lentiviral vectors encoding anti-IL-10S, anti-IL-10ER, anti-IL-10TM or IL-10-specific shRNA were cultured for 6 hours either in the absence of target cells, or in the presence of ErbB2-expressing MDA-MB453 breast carcinoma cells at an E:T ratio of 1:1. CAR NK cells with undisturbed IL-10 expression including CAR NK cells carrying an irrelevant shRNA construct were included as controls. Culture supernatants were collected, and TNF-α levels were determined using a cytometric bead array. CAR-mediated activation of NK cells by ErbB2-positive target cells induced TNF-α secretion, which was further enhanced in CAR NK cells expressing ER-retained (anti-IL-10ER) or membrane-anchored anti-IL-10 antibody (anti-IL-10TM) (
The data summarized in Example 8 demonstrate that inhibition of IL-10 production and activity by various means, including intracellular expression of anti-IL-10 antibodies and silencing of IL-10 expression by RNA interference can enhance the cells' endogenous production of the pro-inflammatory cytokine TNF-α, which is important for antitumour activity of bystander immune cells including the maturation of professional antigen presenting cells and other mechanisms that support the induction of an adaptive antitumour immune response.
Tumour-associated macrophages (TAMs) are one of the most abundant and crucial non-neoplastic cells in the tumour microenvironment. TAMs are primarily polarized towards tumour-promoting M2 subsets with polarization into tumour-suppressive M1 macrophages being only rarely observed. This imbalance in macrophage polarization is a major contributor to maintaining a tumour-promoting environment. To assess whether downregulation of IL-10 production modulates polarization of bystander macrophages, NK cells genetically engineered to express an ErbB2-specific CAR together with an intracellular anti-IL-10 antibody (anti-IL-10ER) were used as a representative example of immune effector cells relevant for adoptive therapy. Human monocyte-derived macrophages from healthy donors were used in a transwell assay, with macrophages cultured in the bottom chamber, separated by a membrane with a pore size of 0.4 μm from co-cultured CAR NK cells kept in the upper chamber. CAR NK cells co-expressing anti-IL-10ER were either kept alone, or co-cultured in the upper chamber with ErbB2-expressing MDA-MB453 breast carcinoma cells at an E:T ratio of 1:1 to induce CAR-mediated activation of the NK cells. Unmodified NK cells without CAR and anti-IL-10ER expression and CAR NK cells without anti-IL-10ER expression were included as controls. For comparison, macrophages cultured in the absence of NK cells were treated with IFN-γ and lipopolysaccharide (LPS), known to induce polarization towards an M1-like phenotype. After 24 hours, macrophages were harvested and polarization was investigated by assessing the levels of surface markers distinguishing M1-like and M2-like subpopulations (HLA-DR and CD86: high in M1, low in M2; CD163: low in M1, high in M2). In the presence of target tumour cells, CAR-mediated activation of CAR NK cells resulted in a downregulation of the M1 markers HLA-DR and CD86 in co-cultured macrophages (
The data summarized in Example 9 demonstrate that the therapeutic efficacy of immune effector cells for adoptive cell therapy can be limited by promoting polarization of bystander macrophages towards a tumour-promoting M2 phenotype. If IL-10 production or secretion in the immune effector cells is downregulated, this effect is reversed and polarization of macrophages is shifted towards a tumour-suppressive M1-like phenotype, expected to enhance therapeutic efficacy of adoptive cell therapy.
Similar to IL-10, interleukin-6 (IL-6) is an important endogenous regulator of immunity in immune effector cells, also influencing the activity of bystander immune cells (Fisher et al., Semin Immunol 26: 38-47, 2014). Following an approach similar to the one described for anti-IL-10 antibodies in Example 2, the inventors designed recombinant anti-IL-6 antibodies for direct expression in immune effector cells to block IL-6 activity in the extracellular space (secreted anti-IL-6; anti-IL-6S), prevent secretion of endogenously synthesized IL-6 by inhibiting its transport to the cell surface (endoplasmic reticulum-retained anti-IL-6; anti-IL-6ER), or trap IL-6 on the cell surface (transmembrane anti-IL-6; anti-IL-6TM) (Figure ii). Anti-IL-6S consists of an N-terminal immunoglobulin heavy chain signal peptide for direction into the secretory pathway, a codon-optimized scFv fragment of humanized anti-IL-6 antibody olokizumab (Shaw et al. mAbs 6: 774-782, 2014), and a peptide derived from human influenza virus hemagglutinin (HA-tag) for immunological detection (
The data summarized in Example 10 demonstrate that anti-IL-6 antibodies can be engineered like anti-IL-10 antibodies in different formats and directly be expressed in various types of immune effector cells highly relevant for adoptive immunotherapy, including CAR-engineered variants thereof.
IL-12 and IL-15 are important pro-inflammatory cytokines with therapeutic potential for the treatment of cancer (see Floros & Tarhini, Semin Oncol 42: 539-548, 2015). To demonstrate the feasibility of co-expression of an inhibitor of an endogenous regulator of immunity in immune effector cells such as ER-retained anti-IL-10 antibody (anti-IL-10ER) with pro-inflammatory cytokines such as IL-12 or IL-15, the inventors designed lentiviral constructs for simultaneous expression of anti-IL-10ER and either IL-15 hyper-agonist (
The data summarized in Example 11 demonstrate that an anti-IL-10 antibody can be combined with the pro-inflammatory cytokines IL-15 hyper-agonist or single chain IL-12 for co-expression in various types of immune effector cells highly relevant for adoptive immunotherapy, including CAR-engineered variants thereof. Thereby simultaneously inhibiting in a target immune effector cell the expression, function, stability or secretion of an endogenously expressed regulator of immunity as achieved here by expressing an anti-IL-10 antibody, and providing the same immune effector cell with an activator and/or agonist not naturally expressed by said immune effector cell such as a pro-inflammatory cytokine like IL-15 hyper-agonist or single chain IL-12, can enhance the immunological activity of the target immune effector cell even more strongly than only inhibiting an endogenously expressed regulator of immunity.
The imbalance in macrophage polarization is a major contributor to maintaining a tumour-promoting environment, with tumour-associated macrophages primarily being polarized towards tumour-promoting M2 subsets. To assess whether inhibition of the activity of secreted IL-10 modulates polarization of bystander macrophages, NK cells genetically engineered to express an ErbB2-specific CAR as a representative example of immune effector cells relevant for adoptive therapy were exposed to the tetravalent anti-IL-10 antibody from Example 1. Human monocyte-derived macrophages from healthy donors were used in a transwell assay, with macrophages cultured in the bottom chamber, separated by a membrane with a pore size of 0.4 μm from co-cultured CAR NK cells kept in the upper chamber. CAR NK cells were either kept alone in the absence or presence of 2 μg/mL of tetravalent anti-IL-10 antibody or an isotype-matched IgG4-Fc control protein, or co-cultured in the upper chamber in the absence or presence of tetravalent anti-IL-10 antibody or the IgG4-Fc control protein with ErbB2-expressing MDA-MB453 breast carcinoma cells at an E:T ratio of 1:1 to induce CAR-mediated activation of the NK cells. Unmodified NK cells without CAR expression were included as control. For comparison, macrophages cultured in the absence of NK cells were treated with IFN-γ and lipopolysaccharide (LPS), known to induce polarization towards an M1-like phenotype. After 24 hours, macrophages were harvested and polarization was investigated by assessing the levels of surface markers distinguishing M1-like and M2-like subpopulations (HLA-DR and CD86: high in M1, low in M2; CD163: low in M1, high in M2). In the presence of target tumour cells, CAR-mediated activation of CAR NK cells resulted in a downregulation of the M1 markers HLA-DR and CD86 in co-cultured macrophages (
The data summarized in Example 12 confirm that the therapeutic efficacy of immune effector cells for adoptive cell therapy can be limited by promoting polarization of bystander macrophages towards a tumour-promoting M2 phenotype. If the activity of IL-10 secreted by the immune effector cells is inhibited, this effect is reversed and polarization of macrophages is shifted towards a tumour-suppressive M1-like phenotype, expected to enhance therapeutic efficacy of adoptive cell therapy.
Dendritic cells (DCs) are crucial for uptake and presentation of tumour antigens to T cells, thereby facilitating T-cell activation and subsequent T-cell-mediated antitumour activity. A prerequisite for effective antigen presentation to T cells is maturation of DCs from an immature state to mature DCs, which are characterized by enhanced expression of costimulatory and major histocompatibility complex molecules. To assess whether downregulation of IL-10 production modulates maturation of bystander DCs, NK cells genetically engineered to express an ErbB2-specific CAR together with an intracellular anti-IL-10 antibody (anti-IL-10ER) were used as a representative example of immune effector cells relevant for adoptive therapy. Immature human monocyte-derived dendritic cells (iDCs) from healthy donors were used in a transwell assay, with iDCs cultured in the bottom chamber, separated by a membrane with a pore size of 0.4 μm from co-cultured CAR NK cells kept in the upper chamber. CAR NK cells co-expressing anti-IL-10ER were either kept alone, or co-cultured in the upper chamber with ErbB2-expressing MDA-MB453 breast carcinoma cells at an E:T ratio of 1:1 to induce CAR-mediated activation of the NK cells. Unmodified NK cells without CAR and anti-IL-10ER expression and CAR NK cells without anti-IL-10ER expression were included as controls. For comparison, iDCs were cultured in the absence of NK cells with TNF-α, IL-1β, IL-6 and prostaglandin E2, known to induce DC maturation. After 24 hours, DCs were harvested and DC maturation was investigated by assessing the levels of surface markers distinguishing immature and mature DC subpopulations (HLA-DR, CD86 and CD83: high in mature DCs, low in immature DCs). In the presence of target tumour cells, CAR-mediated activation of CAR NK cells resulted in a slight upregulation of the DC maturation markers HLA-DR and CD86 (
The data summarized in Example 13 demonstrate that immune effector cells for adoptive cell therapy can induce maturation of bystander dendritic cells towards a more mature phenotype. If IL-10 secretion in the immune effector cells is downregulated, this effect is strongly enhanced and maturation of dendritic cells is markedly increased, expected to enhance therapeutic efficacy of adoptive cell therapy.
The consequences of intracellular expression of the recombinant anti-IL-6 antibodies described in Example m on activation-induced IL-6 production by macrophages/monocytes, and on constitutive IL-6 production by breast carcinoma cells were investigated. Macrophages/monocytes transduced with lentiviral vectors encoding anti-IL-6S or anti-IL-6ER were cultured for 16 hours in medium containing 100 ng/mL LPS to induce IL-6 expression. Macrophages/monocytes kept in the absence of LPS were included as controls. Likewise, MDA-MB468 breast carcinoma cells which constitutively secrete IL-6 were transduced with lentiviral vectors encoding anti-IL-6S or anti-IL-6ER. Successfully transduced cells were enriched as described in Example 10 for macrophages/monocytes, and cultured in fresh medium for 6 hours. Untransduced MDA-MB468 cells served as control. Culture supernatants from macrophages/monocytes and breast carcinoma cells were collected and secretion of IL-6 was measured using a cytometric bead array (CBA). While resting macrophages/monocytes did not secrete measurable amounts of IL-6, activation with LPS strongly induced IL-6 production (
Likewise, constitutive secretion of IL-6 by MDA-MB468 cells was markedly reduced by expression of anti-IL-10S or anti-IL-10ER (
The data summarized in Example 14 demonstrate that intracellular expression of anti-IL-6 antibodies in immune effector cells and tumor cells strongly inhibits activation-induced and constitutive IL-6 secretion.
| Number | Date | Country | Kind |
|---|---|---|---|
| 17197125.2 | Oct 2017 | EP | regional |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/EP2018/078539 | 10/18/2018 | WO | 00 |
