CS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma

Multiple myeloma (MM) is a hematological malignancy characterized by the presence of clonal plasma cells in the bone marrow niche. Despite significant therapeutic advances, MM remains incurable for the majority of patients. Targeted radionuclide therapy (TRNT) has emerged as a promising treatment op...

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Autores principales: Kim De Veirman, Janik Puttemans, Ahmet Krasniqi, Thomas Ertveldt, Heleen Hanssens, Ema Romao, Dirk Hose, Cleo Goyvaert, Philip Vlummens, Serge Muyldermans, Karine Breckpot, Frank Bruchertseifer, Alfred Morgenstern, Matthias D’Huyvetter, Nick Devoogdt
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Publicado: Taylor & Francis Group 2021
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Acceso en línea:https://doaj.org/article/5404affaa4564fd0a2b226d2759b274c
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spelling oai:doaj.org-article:5404affaa4564fd0a2b226d2759b274c2021-11-11T14:23:43ZCS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma2162-402X10.1080/2162402X.2021.2000699https://doaj.org/article/5404affaa4564fd0a2b226d2759b274c2021-01-01T00:00:00Zhttp://dx.doi.org/10.1080/2162402X.2021.2000699https://doaj.org/toc/2162-402XMultiple myeloma (MM) is a hematological malignancy characterized by the presence of clonal plasma cells in the bone marrow niche. Despite significant therapeutic advances, MM remains incurable for the majority of patients. Targeted radionuclide therapy (TRNT) has emerged as a promising treatment option to eradicate residual cancer cells. In this study, we developed and characterized single-domain antibodies (sdAbs) against the MM-antigen CS1 and evaluated its therapeutic potential in MM using TRNT. We first validated CS1 as potential target for TRNT. CS1 is expressed in normal and malignant plasma cells in different disease stages including progression and relapse. It is expressed in dormant as well as proliferating MM cells, while low expression could be observed in environmental cells. Biodistribution studies demonstrated the specific uptake of anti-CS1 sdAbs in tissues of 5TMM cell infiltration including bone, spleen and liver. TRNT using anti-CS1 sdAbs labeled with actinium-225 significantly prolonged survival of syngeneic, immunocompetent 5T33MM mice. In addition, we observed an increase in CD8+ T-cells and more overall PD-L1 expression on immune and non-immune cells, implying an interferon gamma signature using actinium-225 labeled CS1-directed sdAbs. In this proof-of-principle study, we highlight, for the first time, the therapeutic potential and immunomodulating effects of anti-CS1 radionuclide therapy to target residual MM cells.Kim De VeirmanJanik PuttemansAhmet KrasniqiThomas ErtveldtHeleen HanssensEma RomaoDirk HoseCleo GoyvaertPhilip VlummensSerge MuyldermansKarine BreckpotFrank BruchertseiferAlfred MorgensternMatthias D’HuyvetterNick DevoogdtTaylor & Francis Grouparticlemultiple myelomatargeted radionuclide therapysingle domain antibodycs1Immunologic diseases. AllergyRC581-607Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENOncoImmunology, Vol 10, Iss 1 (2021)
institution DOAJ
collection DOAJ
language EN
topic multiple myeloma
targeted radionuclide therapy
single domain antibody
cs1
Immunologic diseases. Allergy
RC581-607
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle multiple myeloma
targeted radionuclide therapy
single domain antibody
cs1
Immunologic diseases. Allergy
RC581-607
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Kim De Veirman
Janik Puttemans
Ahmet Krasniqi
Thomas Ertveldt
Heleen Hanssens
Ema Romao
Dirk Hose
Cleo Goyvaert
Philip Vlummens
Serge Muyldermans
Karine Breckpot
Frank Bruchertseifer
Alfred Morgenstern
Matthias D’Huyvetter
Nick Devoogdt
CS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma
description Multiple myeloma (MM) is a hematological malignancy characterized by the presence of clonal plasma cells in the bone marrow niche. Despite significant therapeutic advances, MM remains incurable for the majority of patients. Targeted radionuclide therapy (TRNT) has emerged as a promising treatment option to eradicate residual cancer cells. In this study, we developed and characterized single-domain antibodies (sdAbs) against the MM-antigen CS1 and evaluated its therapeutic potential in MM using TRNT. We first validated CS1 as potential target for TRNT. CS1 is expressed in normal and malignant plasma cells in different disease stages including progression and relapse. It is expressed in dormant as well as proliferating MM cells, while low expression could be observed in environmental cells. Biodistribution studies demonstrated the specific uptake of anti-CS1 sdAbs in tissues of 5TMM cell infiltration including bone, spleen and liver. TRNT using anti-CS1 sdAbs labeled with actinium-225 significantly prolonged survival of syngeneic, immunocompetent 5T33MM mice. In addition, we observed an increase in CD8+ T-cells and more overall PD-L1 expression on immune and non-immune cells, implying an interferon gamma signature using actinium-225 labeled CS1-directed sdAbs. In this proof-of-principle study, we highlight, for the first time, the therapeutic potential and immunomodulating effects of anti-CS1 radionuclide therapy to target residual MM cells.
format article
author Kim De Veirman
Janik Puttemans
Ahmet Krasniqi
Thomas Ertveldt
Heleen Hanssens
Ema Romao
Dirk Hose
Cleo Goyvaert
Philip Vlummens
Serge Muyldermans
Karine Breckpot
Frank Bruchertseifer
Alfred Morgenstern
Matthias D’Huyvetter
Nick Devoogdt
author_facet Kim De Veirman
Janik Puttemans
Ahmet Krasniqi
Thomas Ertveldt
Heleen Hanssens
Ema Romao
Dirk Hose
Cleo Goyvaert
Philip Vlummens
Serge Muyldermans
Karine Breckpot
Frank Bruchertseifer
Alfred Morgenstern
Matthias D’Huyvetter
Nick Devoogdt
author_sort Kim De Veirman
title CS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma
title_short CS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma
title_full CS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma
title_fullStr CS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma
title_full_unstemmed CS1-specific single-domain antibodies labeled with Actinium-225 prolong survival and increase CD8+ T cells and PD-L1 expression in Multiple Myeloma
title_sort cs1-specific single-domain antibodies labeled with actinium-225 prolong survival and increase cd8+ t cells and pd-l1 expression in multiple myeloma
publisher Taylor & Francis Group
publishDate 2021
url https://doaj.org/article/5404affaa4564fd0a2b226d2759b274c
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