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Research Paper

A novel targeted GPC3/CD3 bispecific antibody for the treatment hepatocellular carcinoma

, , , , , & show all
Pages 597-603
Received 15 May 2019
Accepted 11 Mar 2020
Published online: 02 Apr 2020

ABSTRACT

Hepatocellular carcinoma (HCC) is the most frequent primary liver cancer but has shown limited success to date in the treatment of advanced stage. Recruitment of T cells for cancer treatment is a rapidly growing strategy in immunotherapy such as chimeric antigen receptor T cells and bispecific antibodies. However, unwanted aggregations, structural instability or short serum half-life are major challenges of bispecific antibodies. Here, we developed a new format of T cell-redirecting antibody that is bispecific for membrane proteoglycans GPC3 of HCC and the T-cell-specific antigen CD3, which demonstrated to be favorable stability and productivity. Cross-linking of T cells with GPC3 positive tumor cells by the anti-GPC3/CD3 bispecific antibody-mediated potent GPC3-dependent and concentration-dependent cytotoxicity in vitro. Administration of the bispecific antibody with different concentrations in murine xenograft models of human HCC significantly inhibited tumor growth. In addition, no effects on tumor growth were observed in the absence of human effector cells or the bispecific antibody. Taken together, the anti-GPC3/CD3 bispecific antibody might be a potential therapeutic treatment for HCC.

Introduction

Hepatocellular carcinoma (HCC) is the most frequent primary liver cancer and many patients are diagnosed with advanced stage. Present standard treatments with sorafenib, lenvatinib and regorafenib remain unsatisfactory in advanced HCC.1 Thus, other therapeutic strategies are urgently needed such as therapeutic antibodies .2 GPC3 is a member of heparin sulfate proteoglycans and bound to external surface of the plasma membrane via a glycosyl-phosphatidylinositol linkage. It is an ideal therapeutic target, which is highly expressed in HCC and limited in normal liver tissue.3,4 The first anti-GPC3 monoclonal antibody showed the antitumor activity by antibody-dependent cell-mediated cytotoxicity (ADCC), but got failures in clinical trials for advanced HCC population.5,6 Nevertheless, current HCC therapy based on GPC3 utilizing new antibody platforms showed encouraging efficiency.7,8

Bispecific antibody recognizing two different epitopes with broad range of applications is attracting more and more attention as a novel strategy of cancer immunotherapy. The T cell-redirecting bispecific antibody is a common approach to against cancer, which specifically engaged CD3 on T cells in one side and on another side to antigens of cancer cells independent of their T cell receptor.9,10 For example, Blinatumomab, a bispecific T cell engager (BiTE) targeting CD3 and CD19, was given marketing permission by FDA for relapsed or refractory precursor B-cell acute lymphoblastic leukemia treatment.11 The format of BiTE contains two single chain antibody variable fragments (ScFv) linked by a flexible linker, which widely applied in targeting various cancer antigens for immunotherapy.12-14 Currently, majority of T cell-redirecting bispecific antibodies with different formats showed potential antitumor efficacy in preclinical and clinical studies. However, the therapeutic clinical usage was hampered by manufacturing problems of unwanted aggregations, low yields, instability or short serum half-life.15

Here, we designed a novel anti-GPC3/CD3 IgG-based bispecific antibody with two chains covalently linked by disulfide bonds in the Fc hinge region, which provided favorable stability and productivity. The biophysical properties of anti-GPC3/CD3 bispecific antibody were characterized, and the ability of redirecting T cells to kill target cells in vitro and inhibit the xenograft tumor growth in vivo were also investigated. These results suggested the anti-GPC3/CD3 bispecific antibody might be a potential reagent for patients with GPC3-positive HCC. Moreover, the platform provides a viable alternative selection to engineer bispecific antibodies.

Results

Generation of anti-GPC3/CD3 bispecific antibody

The anti-GPC3/CD3 bispecific antibody is an IgG-based heterodimeric antibody that simultaneously bind GPC3 expressed on tumor cells and CD3 epsilon chain on T cells (Figure 1a). The Fc region of bispecific provide extended half-life and markedly reduce Fc gamma receptors and complement component binding through amino acid substitution (P329 G/L234A/L235A). To facilitate heterodimerization of two chains, the knob (T366 W) and hole (T366 S/L368A/Y407 V) mutations were incorporated in the respective CH3 domain of each Fc. The bispecific antibody was expressed in HEK293 F cells and purified by Protein A affinity chromatography and cation exchange chromatography. Polymerase chain reaction (PCR) and sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) analysis showed a molecular weight of ~110 kDa of the bispecific antibody (Figure 1b,c) and the single peak of size exclusion HPLC (SE-HPLC) profile demonstrated the purified antibody is monomeric form (Figure 1d). Overall thermostability of the bispecific antibody was performed by differential scanning calorimetric with the onset of unfolding temperature (Tm, onset) of 54°C (Figure 1f), which had a similar Tm, onset with general IgG-like bispecific antibodies.16

Figure 1. Characteristics of anti-GPC3/CD3 bispecific antibody. (a) Illustration structure of the bispecific antibody contains monovalent binding domains of GPC3 and CD3 antigens. The theoretical length of each chain was confirmed by PCR (b) and SDS-PAGE (c). (d) The aggregation was analyzed by size exclusion chromatography. (f) The onset of unfolding temperatures (Tm, onset) was measured by differential scanning calorimetry.

Bispecific binding of anti-GPC3/CD3 antibody to antigens on cells

Three HCC cell lines had different expression level of GPC3 protein (Figure 2a), which were in correspondence with previous research.5 The bispecific binding ability of anti-GPC3/CD3 antibody was confirmed by flow cytometry using cells with overexpressing GPC3 or CD3 antigen. Results shown in Figure 2b demonstrated strong binding activity to both HepG2, Huh-7 cells and peripheral blood mononuclear cells (PBMCs), while no binding was observed on non-expressing GPC3 cells (SK-Hep-1). Subsequently, concentration-dependent binding to HepG2 and human PBMCs showed the avidity of the bispecific antibody of 4.8 and 5.5 nmol/L, respectively (Figure 2c)

Figure 2. Binding ability of the anti-GPC3/CD3 bispecific antibody to human GPC3 and CD3 antigens. (a) Western blot result of three HCC cell lines had different expression level of GPC3 protein. (b) Flow cytometry analysis of antibody binding to different HCC cells (HepG2, Huh-7, SK-hep-1) and human PBMCs. The black lines indicate staining with an isotype control antibody, and the red lines indicate staining with anti-GPC3/CD3 bispecific antibody. (c) Median fluorescence intensity (MFI) of binding of bispecific antibody on HepG2 cells and PBMCs was measured by flow cytometry.

Anti-GPC3/CD3 bispecific antibody mediated cytotoxicity and T-cell activation in vitro

The anti-GPC3/CD3 bispecific antibody mediated cytotoxicity of HCC cell lines HepG2, Huh-7 and SK-Hep-1 was evaluated in the presence of bispecific antibodies with freshly isolated human T cells. Concentration-dependent killing of bispecific antibodies was observed on GPC3-positive cells (HepG2, Huh-7) but no lysis to GPC3 negative SK-Hep-1 cells (Figure 3a). Previous study has proved the different surface expression level of human GPC3 on HepG2 and Huh-7 cells,5 which may led to the different potency of redirected T cells to lyse target cells by the bispecific antibodies.

Figure 3. The anti-GPC3/CD3 bispecific antibody mediates GPC3-dependent tumor cells killing via activation of T cells. (a) Tumor cells and human T cells were incubated with increasing concentrations of bispecific antibodies at different ratios of effector to target cells (E:T) for 48 h. (b) Activation makers (CD25 and CD69) on CD4-positive and CD8-positive T cells were detected at 24, 48, and 72 h after incubation of HepG2 cells with bispecific antibodies and human T cells (E:T = 5:1). (c) Human T cells were labeled with CFSE dye and subsequently incubated in the presence of HepG2 cells (E:T = 5:1) and bispecific antibody for 4 days.

CD69 and CD25 molecules relate to different activation pathways in various T-cell subsets.17The bispecific antibody induced CD8+ and CD4 + T cells activation was proved by determining the upregulation of CD25 and CD69 expression through flow cytometry (Figure 3b). The levels of CD69 and CD25 were reached rather high at 48 to 72 h on T cells. The proliferation of T cells subsequently was confirmed by incubating CFSE-labeled T cells and target cells with bispecific antibodies for 4 days to track cell division (Figure 3c).

Inhibition of tumor growth of murine xenografts by anti-GPC3/CD3 bispecific antibody

The ability of anti-GPC3/CD3 bispecific antibody to prevent tumor growth was investigated using a human HCC xenografts model with Huh-7 cancer cells subcutaneous injection in NOD/SCID mice. When the tumor volume reached 200 mm3, human PBMCs were injected intraperitoneally and treatment with the anti-GPC3/CD3 bispecific antibodies or vehicle the next day. Mean tumor volumes of 2 and 0.4 mg/kg antibody-treated group on day 45 were significantly lower than that of vehicle with T cells control group or 2 mg/kg (on T cells) group (P < 0.01), which demonstrated potent inhibition of GPC3-expressing tumor growth by the anti-GPC3/CD3 bispecific antibody (Figure 4a). In addition, the body weight of mice increased gently and no obvious difference among these groups (Figure 4a). To verify the antitumor effect of bispecific antibody, we removed the murine xenografts of vehicle and 2 mg/kg antibody treated groups on 3rd day after antibody administration to conduct immunohistochemical experiments. After incubation of second antibody (goat anti-human IgG -HRP antibody) and eikonogen, vehicle treated group showed negative staining while the antibody treated group was positive staining under microscopic examination (Figure 4b), which confirmed the bispecific antibody infiltrated the tumor tissue to exert its antitumor effect.

Figure 4. Inhibition of cancer xenografts growth by the anti-GPC3/CD3 bispecific antibody. (a) The NOD/SCID mice were implanted Huh-7 cancer cells subcutaneously until tumor volumes reached approximately 200mm3. After received human PBMCs by intraperitoneal injection, the mice were treated with the indicated doses of antibodies or vehicle via intravenous administration the next day. Tumor volumes and body weight are plotted as means with SD (n = 6). (b) immunohistochemistry analysis of Huh-7 xenograft tissues 3rd day after bispecific antibody administration. Black arrows indicate the timing of antibody administration, and red arrows indicate the positive staining (×200 magnification).

Discussion

GPC3 protein is a promising target for HCC therapy. GPC3-targeted chimeric antigen receptor T cells (CAR-T cell), vaccines, antibody–drug conjugates and bispecific antibodies are under preclinical and clinical evaluation.7,8,18,19 Bispecific molecules designed to simultaneously engage T cells with cancer cells have been the encouraging therapeutic strategy for lymphoid malignancies and solid tumor treatment.20,21 In the present study, the anti-GPC3/CD3 bispecific antibody was construct and showed the high avidity of cell binding of human GPC3 and CD3 antigens. Redirection of T-cell activation and cytotoxicity of the bispecific antibody to HCC cells and xenografts were demonstrated.

Previous studies have provided proof that the selected ScFv fragment of CD3 antibody can directly targets CD3 molecules on the surface of CD8+ and CD4 + T cells to kill cancer cells by release cytotoxic granules (perforin, granzymes) with transient increase in the level of the cytokines (IFN-γ, TNF-α, IL-2, IL-4, IL-6, and IL-10).12,14,22-25 The Fv domain of therapeutic antibodies with high enough affinity are generally optimized by phage, yeast surface or ribosome display.26-28 Moreover, the functional Fv domains also can be generated by transgenic mice.29,30 Therefore, both ScFv of CD3 binding domain and Fv of GPC3 binding domain fused to modified Fc regions with a prolonged serum half-life and a reduced cytokine release profile. Comparing the other studies, A full-length IgG-type anti-GPC3/CD3 bispecific antibody7 which owns good biophysical characteristics but need complicated engineering process to find the identical light chains recognizing different antigens, and another anti-GPC3/CD3 bispecific antibody31 with ScFv format is known as short serum half-life and tendency of aggregation. Hence, the format of bispecific antibody described here with Fc region can guarantee the productivity and stabilities in serum and storage. Inducing T-cell cytotoxicity by the anti-GPC3/CD3 bispecific antibody exhibited concentration-dependent and antigen-dependent properties (Figure 3a). The bispecific antibody showed the better anti-tumor activities on HepG2 cancer cells with high expressing levels of GPC3 antigen and low E/T ratios.

In addition, we found that T cells derived from different donors incubated with anti-GPC3/CD3 bispecific antibody disclosed different effects of killing to tumor cells (data not shown). Although the complete tumor remissions were observed in the antibody-treated groups with PBMCs, which might relate to the low injection amount of human PBMCs, the anti-GPC3/CD3 bispecific antibody also showed significant inhibition to mouse xenograft comparing the vehicle with effector cells group. Preliminary studies indicate that the anti-GPC3/CD3 bispecific antibody is a novel immunotherapeutic reagent for the treatment of HCC.

Materials and Methods

Cell lines

The three human HCC cell lines (HepG2, Huh-7, SK-Hep-1) were purchased from National Infrastructure of Cell Line Resource (Beijing, China) and were cultured in DMEM (Gibco, Grand Island, NY, USA) supplemented with 1% penicillin/streptomycin (Gibco)and 10% fetal bovine serum (FBS, Biological Industries, Israel). PBMCs were isolated from the blood of healthy donors using Ficoll® Paque Plus (GE Healthcare, Piscataway, NJ, USA) according to the manufacturer’s instructions. PBMCs were cultured in RMPI-1640 medium (Gibco), supplemented with 10%FBS, 1% L-glutamine, and 1% penicillin/streptomycin. These cells incubated at 37°C with 5% CO2. HEK293 F cell line was purchased (NANOGEN, Beijing, China) and cultured in NANO serum-free medium with 7% CO2 humidified atmosphere at 37°C.

Bispecific antibody engineering

The VH-VL domain (ScFv) of anti-human CD3 antibody and VH domain (Fv) of anti-GPC3 antibody are derived from monoclonal antibody L2K12 and HN326 separately. The bispecific molecules were designed in silico and chemically synthesized (GENEWIZ, Suzhou, China). Briefly, the ScFv fragment linked by 15 amino-acid long poly-glycine/serine linker consisting of (G4 S)3, was fused to the Fc of IgG1 via the hinge region. Similarly, the C-terminus of VH domain was fused to Fc domain. The regions of each Fc introduced P329 G/L234A/L235A (in EU numbering) mutations and the knob-in-hole mutations .32

Bispecific antibody expression and purification

Chemically synthesized antibody genes were sub-cloned into pCDNA3.4 vector for transient transfection in mammalian expression system HEK293 F cells. Culture supernatants were harvested by centrifugation and filtered through a 0.22 micron filter before passage through a Protein A column (MabSelect SuRe LX, GE Healthcare) and Cation exchange column (CaptoTMS ImpAct, GE Healthcare). Monomeric fractions were pooled, quantified, concentrated and stored at 4°C. The purity of antibodies was confirmed by SDS-PAGE and SEC-HPLC. For SEC-HPLC, the samples (30 μg) were loaded on to a TSKgel super SW3000 column (Tosoh, Tokyo, Japan) and developed with an isocratic gradient of 0.1 M sodium phosphate and sodium sulfate pH6.7 at 0.3 mL/min. Continuous detection was by absorbance at 280 nm.

Antigen-binding measurements

Human HCC cells and PBMCs were harvested, wash, and resuspended in PBS buffer containing 2% FBS. Each cell type with 5 × 105 cells, were incubated for 1 h at 4°C with 1 μg of bispecific antibodies or isotype control IgG1 antibody (Sigma-Aldrich, Munich, Germany). After the incubation, cells were washed and incubated with anti-human IgG-FITC antibody (Sigma) for 30 min at 4°C and subsequently washed again. The fluorescence associated with cells were analyzed using BD FACSVerse flow cytometer and BD FACSuite software (BD Bioscience, NJ, USA).

Thermostability assay

Thermostability was assessed by differential scanning calorimetry (DSC) using a Microcal VP-DSC scanning microcalorimeter (MicroCal, GE Healthcare UK, Little Chalfont, UK). Antibodies used for the studies were monomeric through analytical SEC-HPLC and filtered by a 0.22 micron filter before loading into the calorimeter. Bispecific antibodies with a concentration of 0.5 mg/ml (in pH 7.0 PBS buffer) were added to the sample well and DSC measurements were conducted at a 1°C/min scan rate from 25-95°C. Data analysis was carried out using the software Origin 7.0 provided by Microcal. The Tm, onset is defined as the qualitative temperature at which the thermogram appears to have a nonzero slope .16

Functional assays

Human T cells were isolated from the whole blood of healthy donors using human T-cell enrichment kit (Stem cell technologies, Vancouver, BC, Canada) according to the manufacturer’s instructions. Human T cells (effector cells, E) and HCC cells (target cells, T) were co-cultured with indicated E/T ratios and gradient diluted bispecific antibodies were added for incubation. Cytotoxicity was performed by WST-8 assay (Boster, Wuhan, China) after 48 h at 37°C and 5% CO2. For detection of T-cell activation, the cells were stained with anti-CD4, anti-CD8, anti-CD25 and anti-CD69 antibodies (BD Bioscience). For analysis of T-cell proliferation, the T cells were labeled with carboxyfluorescein diacetate succinimidyl ester (CFSE) dye (MedChemExpress, Shanghai, China) and analyzed by flow cytometry.

Mouse xenograft studies

All protocols were approved by the Ethics Committee of Chongqing Academy of Animal Sciences, and the experiments were performed in accordance with the guidelines. Female NOD/SCID mice (Vital River Laboratories, Beijing, China) were received a suspension of 5 × 106 of Huh-7 cells by subcutaneous injection. When the tumor volume reached approximately 200 mm3 (Tumor volumes were calculated using the formula: volume = 1/2 (length (width)2) and were allocated to treatment groups (n = 6). Mice were intraperitoneally injected with human PBMCs (1 × 107 cells). Therapy administration started after 1 day of PBMCs transfer, followed by intravenously injection of bispecific antibodies or PBS (vehicle) with indicated doses. Tumor size was measured every 5 days.

Immunohistochemistry

Preparation of paraffin-embedded sections of mouse tumor tissues and principles for immunohistochemistry were described previously .33 Bispecific antibody with a concentration of 2.5 µg/ml was applied for the detection.

Statistical analysis

Means, SDs, nonlinear regression analysis to determine EC50 values, and were calculated using GraphPad Prism version 5.0 (GraphPad Software, La Jolla, CA, USA). Tumor volumes in mouse xenograft studies were compared by one-way ANOVA with Dunnett’s posttest. Values of P < 0.05 were considered to be statistically significant.

Disclosure of potential conflicts of interest

No potential conflicts of interest were disclosed.

Additional information

Funding

This work was supported by National Major Scientific Research Instrument Development Project of NSFC (21827812) and The Key R & D Project in Agriculture and Animal Husbandrys of Rongchang (19255).

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